Issuu

Board of Cowlitz County Commissioners

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 October 27, 2026, 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 October 19-20, 2026 Consent Agenda of October 27, 2026 Phone Option: (253) 215-8782 Webinar ID: 820 1961 3917 o Contracts/Agreements/Bid Awards o Resolutions o Correspondence o Vouchers Motion Items Board of Health – 10:00 a.m. Public Comments o Citizen Participation may be anonymous. See RCW 42.30.040

Consent Agenda Contracts/Agreements/Bid Awards Public Works 1. Revised County Road Project No. 818 for the East Canyon View Drive Slide Repair project. The total cost is $110,000.00. (235712) 2. Local Agency Agreement Supplement (LAAS) #3 and Revised Prospectus for the Allender Road Bridge Replacement Project. The LAAS is required to add $25,000 to the Consultant Construction phase for additional onsite inspection. (235652) 3. Change Order #1 to the Contract with North Cascade Excavating for the Dike Road Reconstruction Project. The change order increases the total contract by $49,098.00 for a total of 3,650,740.66. (235203) Health & Human Services 4. Interlocal Agreement with Tacoma Pierce County Health Department to access a online food handler testing services until December 31, 2031. (235533)

Page 1 of 4

Regular Public Meeting October 27, 2026, 9:00 a.m. Resolution Commissioners 5. Resolution establishing an Application and Interview Process for Appointment to the Board of Commissioners of Cemetery District No. 1. (235935) Correspondence 6. Letters/Executed Agreements a. Signed Warranty Deed and Temporary Construction Easement for Right of Way Purposes for the 1819 Allender Road Repair Project for parcel WN0405001 owned by Dean Hill. (235224) b. Affidavit of Posting Resume for August & September 2026.(235871)\ c. Signed letter dated 10/20/2026 to Robert Buchman thanking him for his application to the Board of Health. The position has been filled. (235908) d. Signed letter dated 10/20/2026 to Dustin Fristed thanking him for his application to the Board of Health. The position has been filled. (235909) e. Signed letter dated 10/20/2026 to Lorna Stuart reappointing her to the Board of Health representing Other Community Stakeholders. This is a 2-year term that expires September 30, 2028. (235910) f. Signed letter dated 10/20/2026 to Karen Joiner reappointing her to the Board of Health representing Public Health, Health Care Facilities, or Providers. This is a 2-year term that expires September 30, 2028. (235911) g. Signed letter dated 10/20/2026 to Kelly Lane reappointing him to the Board of Health representing Consumers of Public Health. This is a 2-year term that expires September 30, 2028. (235912) Vouchers The following vouchers/warrants are approved for payment. Funds Claims Claims Claims Claims Special Purpose District No. 1 Special Purpose District No. 1 Special Purpose District No. 2 Special Purpose District No. 2 Total

Voucher Numbers 1000029107-1000029198 1000029199-1000029215 1000075208-1000075432 1000075433-1000075443 5000004374-5000004389 5000021630-5000021643 7000000693-7000000693 7000004707-7000004709

Amount $ 1,831,466.38 831,459.64 973,945.72 56,705.41 555,833.88 60,772.39 31,931.78 42,554.37 $ 4,384,669.57

Motion Items Information Technology 7. Nutanix Hardware and 3-year Software Quotes from CompuNet for Servers. The total cost is $1,411,441.65. (235925) 8. Renewal of 800 Cisco Duo Advantage Licenses for one year. The total cost is $59,039.04. (235926) 9. Varonis Saas Service Renewal for three years. The total cost is $366,375.59. (235931) Page 2 of 4

Regular Public Meeting October 27, 2026, 9:00 a.m. Health & Human Services 10. Contract with Cowlitz Family Health Center to connect households who are experiencing homelessness with community resources, housing options, and support services. This agreement is funded through the Washington State Department of Commerce and paid on a cost reimbursement basis, not to exceed $27,900.00. (235481) 11. Contract with Family Promise of Cowlitz County to connect households who are experiencing homelessness with community resources, housing options, and support services. This agreement is funded through the Washington State Department of Commerce and paid on a cost reimbursement basis, not to exceed $20,000.00. (235476) 12. Contract with Emergency Support Shelter of Cowlitz County to connect households who are experiencing homelessness with community resources, housing options, and support services. This agreement is funded through the Washington State Department of Commerce and paid on a cost reimbursement basis, not to exceed $40,000.00. (235474) 13. Contract with Community House on Broadway of Cowlitz County to connect households who are experiencing homelessness with community resources, housing options, and support services. This agreement is funded through the Washington State Department of Commerce and paid on a cost reimbursement basis, not to exceed $25,000.00. (235472)

Board of Health – 10:00 a.m. 

  

 

10:00 am - Call Meeting to Order Old Business o Review Minutes New Business o H.H.S. FEE Schedule Review (follow up to last schedule). o No more Cell Phone use in Classrooms Public Comment Period o Citizen Participation may be anonymous. See RCW 42.30.040 Executive Session (as needed) Adjourn Meeting

Chairman Updates Upcoming Meetings/Important Dates:  Tuesday, November 3rd @ 10:00 a.m. – Service in Excellence Awards  Tuesday, November 10th @ 10:00 a.m. – Great Rivers Behavioral Health  Tuesday, December 15th @ 10:00 a.m. – Department of Ecology

Page 3 of 4

Regular Public Meeting October 27, 2026, 9:00 a.m. RCW 42.30.040 – Conditions to attendance not to be required. A member of the public shall not be required, as a condition, to attend 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 comments 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

235203

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 CHANGE ORDER NO. 1 - Dike Road Reconstruction Project No. 1297- North Cascade Excavating Submitted By: Averie Mejia, Administrative Assistant III Submitted For: Susan Eugenis, County Engineer Department:

Roads

Administration

Information

Subject and Summary Statement

Attached is Change Order No. 1 for the contract with North Cascade Excavating for the Dike Road Reconstruction Project. This change order is to address the need to add light loose rip rap placement on the project and the excavation of the existing driveways. It was discovered after construction had begun by Consolidated Diking Improvement District No.2 that to protect their outfall pipes at the pump station location, light loose rip rap would need to be installed on the slope. This change order increases the total

contract by $49,098.00. In addition there was no excavation including haul bid item for the reconnection of the driveways. This work will be tracked via force account at a unit price of$42.00 per cubic yard. Staff Attendance Susan

Eugenis

Department

Recommendation

It is the recommendation

of the Department of Public Works that the Board move to accept Change

Order No. 1 to the contract with North Cascade Excavating for the Dike Road Reconstruction Project, increasing the total contract amount by $49, 098.00, bringing the new contract total to $ 3, 650,740.66. Attachments Change

Order#

North Cascade Excavating

Form

Task

User Anonymous White,

User

Rich

Review

Action

Timestamp

Submit

10/ 8/ 2026

Review-

Submit

10/ 8/ 2026 4: 59: 00 PM

Review-

Submit

10/ 12/ 2026 1: 49: 00 PM

Approver

Approve

10/ 14/ 2026

6: 32: 00 AM

Legal Review

Approve

10/ 14/ 2026

9: 30: 00 AM

Clerk of the Board

Approve

10/ 14/ 2026

10: 24: 00 AM

Agenda

Item

Preliminary

Submission

3: 16: 00 PM

PW1 Eugenis,

Susan

Eugenis,

Susan

Preliminary PW2 Department Review

Jensen, Grayson,

Doug Kelly

Review

tz CO

DEPARTMENT

1600-

13"' Avenue

OF PUBLIC WORKS

South

Kelso, WA 98626

Board of County Commissioners

TEL ( 360) 577- 3030

Steve Rader

District 1

FAX ( 360) 636- 0845

Steven L. Ferrell

District 2

publicworks/ http://www.co.cowlitz.wa. us/publicworks/

Richard R. Dahl

District 3

www. co. cowlitz. wa. us/

it-

48HING1

Change Order Contract

Title

Contract

Dike Road Reconstruction Change

Order Reference:

Added

work for placement

Project

Number

of riprap and payment

for

driveway

Road No.

County

Change

Order

30152

Federal Aid No.

Date

1299

No.

N/ A

excavation.

10/ 6/ 2026 Prime Contractor North

Cascade

Project

428 N. Pekin Rd.

Excavating

Woodland,

WA 98674

360/ 946- 2524

Engineer

Susan Eu

enis,

P. E.

Phone

County Engineer

Number

360/ 577- 3030

Ordered by Engineer under the terms of Section 1- 04. 4 of the Standard Specifications. Change proposed by Contractor.

Approval required by Board of County Commissioners Approval required by County Engineer Change

Order Description:

This change order is to address the need to add light loose rip rap placement on the project and the excavation of the existing driveways.

After the project started, it was brought to the Counties attention by the Diking District that to protect their outfall pipes at the pump station location, light loose rip rap would need to be installed on the slope. The addition of a new bid item for light loose rip rap will be added to the contract.

Bid Item 30" Light Loose Rip Rap" with an agreed upon unit price of$ 81. 83 per ton for a total of 600 tons will add a cost of 49, 098. 00 to the contract. ( see backup documentation). It was also discovered that to construct the existing driveways per plan, driveway excavation was required. Nothing was placed in the contract to account for the cost of this excavation. This work will be tracked by force account based on the agreed unit price of$ 42. 00 per cubic yard and will be quantified using the agreed upon truck measuring correspondence between the contractor and the county.

see attached backup documentation). The light loose rip rap will add$ 49, 098. 00 to the contract, and the cost of driveway excavation will be taken out of the Misc. Construction

Bid item in the contract.

All work, materials and measurements

to be in accordance with the provisions of the Standard Specifications

and Special Provisions

for the type of construction involved unless stated otherwise in this document. Original

Contract

Current

Amount

3, 601, 642. 33

Change Order#

1 Light Loose Rip

Contract

Amount

3, 601, 642. 66

Rap&

Driveway

Excavation 10- 6- 26

Est. Net Change This C. O.

49, 098. 00

Sales on

0. 00

Tax

Change

Est. Revised Contract

3, 650, 740. 66

Amount

Dike Road Reconstruction Change

Project No. 1299

Project.

Order No, 1

Page 2 of 2

ENDORSED

BY:

North Cascade

EXECUTED

Excavating

day of

2026

BOARD OF COUNTY COMMISSIONERS

Contractor

Authorize

this

OF COWLITZ COUNTY, WASHINGTON

ignature

Chairman

Tyler Tumm Printed Name

Commissioner Project Manager Title Commissioner

10/ 07/ 2026 Date ATTEST:

Clerk of the Board

CONSENT OF SURETY( IF REQUIRED):

Not Reauired

Surety Company

Date

Signature

APPROVED

Susan Eugen' ,

County Eng'

BY:

j P. E. eer

/F// ( Date

428 N Pekin Rd, Woodland, WA 98674 Phone:

NCE

North

Cascade

360- 946- 2524

Fax: WA#

800- 764- 8150 NORTHCE798C

Excilaating

236926 w. nce. us

Submitted to: Cowlitz County Job Name:

Dike

Job Location:

Date:

Road Reconstruction

County

Rd#

9/ 9/ 2026

Rich White

Attention:

Phase II

Email:

30152

Woodland, Wa 98674

Change

whiter@cowlitzwa.

eov

Order:

Phone:

360- 749- 6450

Description of Change of Work:

Structural fill( loose Rip Rap 1'- 2') up to elevation 28. 17 at Pump Station

Description

Qty

Unit

Total

Unit

Price

Labor 1

Labor

0. 0

69. 07

Flagger

0. 0

65. 08

Apprentice

0. 0

59. 02

Pipe

Layer

0. 0

71. 38

Operator/

20. 0

Foreman

78. 65

1, 573. 00

Subtotal:

1, 573. 00

29%)

456. 17

Tototal

2, 029. 17

Markup( Grand

Material/ Equipment 1

Imported 17 RipRap(

345 John

Deere

Storedahl)

Excavator

with

GPS

600. 0

Ton

60. 00

20. 0

145. 00

Subtotal:

Markup(

36, 000. 00 2, 900. 00

38, 900. 00

21%) $

Grand Tototal

8, 169. 00

47, 069. 00

Subcontractors

Subtotal: Markup(

12%) $

Grand Tototal $

Subtotal: $

Total:

49, 098. 17

Per Ton:

Pricing

49, 098. 17

is good

81. 83

for 30 days

8/ 27/ 26, 2: 24 PM

North Cascade

Excavating

Mail-

Dike Road Reconstruction

Project

No. 1299-

lVCE

Rip Rap Change

Order

Tyler Tumm < tyler@nce. us>

Dike Road Reconstruction White,

Light Loose

Rich < WhiteR@cowlitzwa.

Project No. 1299 -

Light Loose Rip Rap Change Order Mon, Aug 24, 2026 at 2: 45 PM

gov>

To: Tyler Tumm < tyler@nce. us> Cc: Angela

Ritola < angela@nce. us>, " Maurer,

Roger" <

MaurerR@cowlitzwa. gov>

Tyler,

I have attached cross sections along the dike at the location of the pump station and concrete structures; the diking district has requested that we place light loose rip rap along the dike fill section up to elevation 28. 17 which would be up to

the theoretical levee section. Up from that elevation we will then go back to the 3" structural fill up to our subgrade elevation.

We anticipate that there will be roughly 352 cubic yards of light loose riprap needed to do this, or roughly 600 tons, we would like to do a unit cost for hauling in and placing this added material, if you could submit a per ton cost for review and

once we agree on a unit price, we can change order in a new bid item with the agreed upon unit price and quantity of 600 tons.

Please let me know if you have any questions, thank you.

ZUlctt' e

Cowlitz

Co. Department

Construction

Work#(

Cell#(

of Public Works

Manager

360)- 577- 3030 Ext. 6537

360)- 749- 6450

Email- mailto:whiter@ whiter@cowlitzwa. gov

cowlitzwa.gov

From: Maurer, Roger< mailto:MaurerR@ MaurerR@cowlitzwa. gov> Sent: Monday, August cowlitzwa.gov 10, 2026 1: 21 PM

mailto:tyler @nce.us mailto:WhiteR@ Subject: RE: Dike cowlitzwa.gov Road Reconstruction To: Tyler Tumm < tyler@nce. us> Cc: White,

Rich < WhiteR@cowlitzwa.

gov>; Angela RFI

mailto:angelaus> @nce.us

Ritola < angela@nce.

Hi Tyler,

Attached

is the

County' s response

to RFI # 2.

Fill slopes should catch on the existing grade on either side of

the road.

https:// mail. google. com/ mail/

u/ 0/?

ik= fbdadf4990&

view= pt& search=

al I&

permmsgid=

msg- f: 1874442785413265448&

simpl= msg- f: 1874442785413265448

1/ 4

9/ 9/ 26, 11: 32 AM

North Cascade

Excavating

Mail-

Dike Road Reconstruction

Project-

lVCE

Award

Tyler Tumm < tyler@nce. us>

Dike Road Reconstruction bo@storedahl.

Aggregate

com < bo@storedahl.

Project - Aggregate

Award Tue, Sep 8, 2026 at 11: 42 AM

com>

To: Tyler Tumm < tyler@nce. us> Cc: Angela

Ritola < angela@nce. us>,

Lindsey De La Grange < lindsey@nce. us>

Apologize on the delay. 1' 2'

Rip Rap delivered

to the Dike Rd Project will be $ 60. 00

per ton and we haul 30 ton loads with Truck &

Pup.

mailto:tyler

From: Tyler Tumm < tyler@nce. us>

@nce.us Sent: Thursday, September 3, 2026 9: 03 AM mailto:bo@ com storedahl.com

To: bo@storedahl. Quoted

text hidden]

Quoted text hidden]

https:// mail. google. com/ mail/

u/ 0/?

ik= fbdadf4990&

view= pt& search=

al I&

permmsgid=

msg- f: 1875790249252168280&

simpl= msg- f: 1875790249252168280

1/ 1

428 N Pekin Rd, Woodland, WA 98674 Phone:

NCE

North

Cascacle

360- 946- 2524

Fax: WA#

800- 764- 8150 NORTHCE798C

236926

Excavating

ww. nce. us

Submitted to: Cowlitz County Job Name:

Dike

Job Location:

Date:

Road Reconstruction

County

Rd#

Phase II

Rich White

Email:

30152

Woodland, Wa 98674

9/ 16/ 2026

Attention:

Change

whiter@cowlitzwa. gov

Order:

Phone:

360- 749- 6450

Description of Change of Work:

Haul- Off of Driveway Materials: Remove and haul off existing concrete and asphalt materials from the driveways.( Price per cy)

Description

Qty

Unit

Total

Unit

Price

Unit Price 1

Concrete/

Asphalt

Driveway

Removal

1. 0

42. 00

Subtotal: $

Total: Pricing

42. 00

42. 00 is good

for 30 days

From:

To:

Cc:

Subject: Sent:

mailto:karl Karl Homola @nce.us mailto:W White, Rich hiteR@ mailto:Gus Gustin, John; mailto:Maure Maurer, Roger; mailto:tyler Tyler Tumm; mailto:ed@ Ed Hagedorn; mailto:craig Craig Ny gaard;, cowlitzwa tinJ@ rR@ @nce.us nce.us @nce.us mailto:jaedo Jaedon Brade;, .gov cowlitzwa. cowlitzwa.go n@nce.us Re: Excavation cost per CY gov v 9/ 10/ 2026 4: 25: 21 PM

Rich, this sounds good. Will do, thanks. On Thu, Sep 10, 2026 at 9: 28 AM White, Rich< mailto:WhiteR@ WhiteR@cowlitzwa. gov> wrote:

cowlitzwa.gov

Good morning, Karl. This is acceptable to the County, we will want to do this work on a unit price basis with the price shown below and we

can

make

payment out of Bid Item #

1 Misc.

Construction.

Please note that this will only apply to the existing concrete and asphalt driveways, the driveways that are currently gravel will not be excavated, gravel will simply be added to attain finish grade.

Please let me know if you have any questions.

Thank you.

R" ZU" Cowlitz Co. Department of Public Works Construction

Manager

Work#( tel:(360)%20577-3030 360)- 577- 3030 Ext. 6537 Cell#.( tel:(360)% 360)- 749- 6450

20749-6450 Email- mailto:whiter@ whiter@cowlitzwa. gov cowlitzwa.gov

mailto:karl @nce.us Sent: Wednesday, August 19, 2026 12: 28 PM GustinJ @cowlitzwa. gov> To: Gustin, John < mailto:GustinJ@ cowlitzwa.gov From: Karl Homola < karl@nce. us>

Roger< mailto:MaurerR@ mailto:WhiteR@ cowlitzwa. gov>; Maurer, MaurerR@cowlitzwa. gov>; Tyler cowlitzwa.gov cowlitzwa.gov mailto:tyler nce. us>; Ed Hagedorn < mailto:ed ed@nce. us>; Craig Nygaard craig@nce. us>; Jaedon < mailto:craig @nce.us @nce.us @nce.us mailto:jaedon nce. us> Brade< jaedon @nce.us Subject: Re: Excavation cost per CY

Cc: White, Rich < WhiteR

Tumm < tyler

Thanks, John. I have revised the verbiage. Hi Rich,

John and I spoke onsite regarding the cubic yard ( CY) cost for driveway excavation, as well as establishing the CY capacities for various truck types. Please find the requested information below:

42 per CY Solo dump truck: 12 CY Truck& Pup: 24 CY Side dump: 24 CY

Driveway

excavation: $

Please reach out if you have any questions or need anything else. Thanks, Karl Homola

On Wed,

GustinJ@cowlitzwa. Aug 19, 2026 at 12: 20 PM Gustin, John < mailto:GustinJ@

gov> wrote:

cowlitzwa.gov

Hey Karl, that all seems accurate for what we talked about. However we do have an unsuitable bid item which is number 16. This was just for excavation for the driveways.

Thanks.

Get https://gcc02.s Outlook for iOS

afelinks.protect ion.outlook.co From:m/?url=https% Karl Homola < mailto:karl karl nce. us> 3A%2F% @nce.us Sent: Wednesday, 19 August 2026 12: 07: 49 2Faka.ms% WhiteR To: White, Rich < mailto:WhiteR@ cowlitzwa. gov> 2Fo0ukef& cowlitzwa.gov mailto:MaurerR@ MaurerR@cowlitzwa. Cc: Maurer, Roger< gov>; Gustin, John < mailto:GustinJ@ GustinJ@cowlitzwa. gov>; data=05% cowlitzwa.gov cowlitzwa.gov mailto:tyler Tyler Tumm < tyler nce. us>; Ed Hagedorn < mailto:ed ed@nce. us>; Craig Nygaard < mailto:craig craig@nce. us>; 7C02% mailto:jaedon @nce.us @nce.us nce. us> Jaedon Brade<@nce.us jaedon 7Cwhiter% @nce.us cost per CY Subject: Excavation 40cowlitzwa.g ov% 7C0ca6b3fdc4 b54214edc408 df0f92c40c%

Hi Rich,

John and I spoke on site regarding the cubic yard ( CY) cost for driveway and unsuitable material excavation, as well as establishing the CY capacities for various truck types. Please find the requested

Driveway

information

and unsuitable

materials

below:

excavation: $

42 per CY

Solo dump truck: 12 CY Pup: 24 CY Side dump: 24 CY

Truck&

Please reach out if you have any questions or need anything else. Thanks, Karl Homola

Karl Homola North Cascade Excavating

tel:(360) 3352 I OLO-1953.

nce. us mailto:karl + @nce.us 428 N Pekin Rd. Woodland, Washington 886674. https://gcc02.safelinks.protection.out 907.767 look.com/?url=https%3A%2F% 9 2Fmaps.google.com%2F%3Fq% 3D428%2520N%2520Pekin% 2520Rd.%2520Woodland%2C% 2520Washington%252098674&data =05%7C02%7Cwhiter% 40cowlitzwa.gov% 7C0ca6b3fdc4b54214edc408df0f92c 40c% 7C064b4393d3c54456b0dd56cb35f Karl Homola 9156b%7C0%7C0% 7C639246795204875672% North Cascade Excavating 7CUnknown% tel:(360) LO19.53_3352 I karl@nce. us mailto:karl 7CTWFpbGZsb3d8eyJFbXB0eU1hc + @nce.us 428 N Pekin Rd. Woodland, Washington 98674, https://gcc02.safelinks.protection.out GkiOnRydWUsIlYiOiIwLjAuMDAwM 907.767 look.com/?url=https%3A%2F% CIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpb 9 2Fmaps.google.com%2F%3Fq% CIsIldUIjoyfQ%3D%3D%7C0%7C% 7C%7C&sdata= 3D428%2520N%2520Pekin% 2520Rd.%2520Woodland%2C% ZDy7I7E6huHMYA5cvC8uwtO% 2520Washington%252098674&data 2Bd4I04vr80jVxzIwbr10%3D& =05%7C02%7Cwhiter% reserved=0 40cowlitzwa.gov% 7C0ca6b3fdc4b54214edc408df0f92c Karl Homola 40c% North Cascade Excavating 7C064b4393d3c54456b0dd56cb35f 9156b%7C0%7C0% tel:(360) f360)_953_3352 I mailto:karl karl nce. us 7C639246795204896336% + @nce.us N Pekin Rd. Woodland, Washington 428 8c86674, https://gcc02.safelinks.protection.out 7CUnknown% 907.767 look.com/?url=https%3A%2F% 7CTWFpbGZsb3d8eyJFbXB0eU1hc 9 2Fmaps.google.com%2F%3Fq% GkiOnRydWUsIlYiOiIwLjAuMDAwM 3D428%2520N%2520Pekin% CIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpb 2520Rd.%2520Woodland%2C%

karl

235224

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 WARRANTY DEED AND TEMPORARY CONSTRUCTION EASEMENT-

1819 Allender Rd Repair Project-

Dean Hill

Submitted By: Averie Mejia, Administrative Assistant III Submitted For: Susan Eugenis, County Engineer Department:

Roads

Administration

Information

Subject and Summary Statement

Attached are a Warranty Deed and Temporary Construction Easement for Right of Way Purposes for the 1819 Allender Road Repair Project. The subject property is parcel WN0405001 and owned by Dean Hill. These documents were signed on September 14, 2026, accepted by the Chairman of the Board of

County Commissioners on September 15, 2026, and recorded at the Cowlitz County Auditor's Office on October 8, 2026, under Auditor' s File Number 3798130 Warranty Deed and Auditor' s File Number 3798131 Temporary Construction Easement. Staff Attendance Susan

Eugenis

Department

Recommendation

It is the recommendation of the Department of Public Works that the Board acknowledge the Warranty

Deed and Temporary Construction Easement from Dean Hill for the 1819 Allender Road Repair Project for the Commissioners

official record.

Attachments

Temp Construction

Hill, Warranty

Deed -

Hill

Form

Task

User Anonymous Langeliers,

User Jason

Review

Action

Timestamp

Submit

10/ 8/ 2026

3: 56: 00 PM

Review-

Submit

10/ 8/ 2026

4: 12: 00 PM

Review-

Submit

10/ 12/ 2026

1: 50: 00 PM

Approver

Approve

10/ 14/ 2026

6: 34: 00 AM

Legal Review

Approve

10/ 14/ 2026

9: 30: 00 AM

Clerk of the Board

Approve

10/ 14/ 2026

10: 24: 00 AM

Agenda

Item

Preliminary

Submission

PW1 Eugenis,

Susan

Eugenis,

Susan

Preliminary PW2 Department Review

Jensen,

Doug

Grayson,

Kelly

Review

Approved: BOARD

OF COUNTY

COMMISSIONERS

235224

Consent

OF COWLITZ

Richard

Steve

Steven

COUNTY,

WASHINGTON

R. Dahl, Chairman

Rader,

Commissioner

L. Ferrell, Commissioner

Attest:

Clerk of the Board

Agenda

After Recording Return Document to: 3798131 10/ 08/ 2026 Easement

12:

20.

Pages:

COWLITZ COUNTY PUBLIC Cowlitz County Washington

Cowlitz

County' Dept of

Works

305. 50

IIIIII IN 111 I II 11111 IIIIIII III 1111 IIIII 1111Il

11111 III 1 1

600- 13`' Aenue Soth

WORKS

Kelso, WA 98626- 2851 RBI$

EXEMPt3)(wed

AFFIDAVIT NO.

U 31O

COUNTYTREASURER Dablo

IS IAAP

Dgxty

Document Title: Temporary Construction Easement Grantor( s):

Dean

Grantee(

Cowlitz County

s):

Hill

Legal Description: The East 96 Feet of the Northwest quarter of the Northeast quarter ( also known as Government Lot 2) of Section 4, Township 10 North, Range 3 West, W. M. Abbreviated Legal Description: 4- 10N - 3W EXC T- 513 FEE 737726 Additional Exhibit is on Page 3 of Document Assessor' s Tax Parcel Number: WN0405001

TEMPORARY

CONSTRUCTION

EASEMENT

Allender Road Repair MP 4. 10 to 4. 42— Project No. 1819

The Grantor( s),

Dean Hill as his separate estate, for and in consideration of TEN AND NO/ 100

10. 00) DOLLARS, and other valuable consideration, conveys and grants unto the COWLITZ COUNTY, a political subdivision of the State of Washington, and its assigns, Grantee, under the imminent threat of the Grantee' s exercise of its right of Eminent

Domain, the right,

privilege and easement over, upon, and across the hereinafter described lands for the purpose of the 1819 Allender Road Repair MP 4. 10 to 4. 42 project.

Said lands being situated in Cowlitz County, State of Washington, and described in Exhibit A, attached hereto and made a part hereof. The term of this Temporary Construction Easement ( TCE) shall commence on the date of acceptance of this TCE by Grantee and shall terminate on December 31, 2030, hereinafter the Term".

It is further agreed that this TCE may be extended by up to one year at the Grantee' s option. The rate associated with this extension shall be at the same rate as the original TCE, or at the

newly established rate determined by an updated appraisal; whichever is higher. Grantee shall notify Grantor in writing, and render payment, prior to exercising this option. It is understood and agreed that delivery of this TCE is hereby tendered and that the terms and obligations hereof shall not become binding upon COWLITZ COUNTY unless and until accepted and approved hereon in writing for COWLITZ COUNTY, by its authorized agent.

Parcel Number: WN0405001

Page 1 of 3

Dated:

2026

GRANTOR( S):

By:

nflaenn

Name: Dean Hill

Date:

JASON LANGELIERS

Notary Public

STATE OF WASHINGTON

State of Washington ss

Commission#

Cd W

County of I

23007413

My Comm. Expires Mar 31, 2027

Lk"(

y L 2026, before me personally appeared Dean Hill, to day of me known to be the individual described in and who executed the foregoing instrument and On this

acknowledged that they signed and sealed as their freeAnd voluntary act and deed, for the uses and purposes therein mentioned.

blic in

Notary Washi

ton,

My commission

ACCEPTED

THIS

35 ter

BOARD OF COUNTY OF COWLITZ

Si pt"

DAY OF

the State of

residi

grat

expires

i r

BA7T1. k'

tYj 12, T 2026,

COMMISSIONERS

COUNTY,

WASHINGTON

Richard R. Dahl, Chairman Authorized

ATTEST:

to sign

by Board per

{

100)

rojVLITZ n

p , yi e ! 2 Dated:

YWjqSMW6TON

04 15I d( Q 4v +„

Wlrtz COu4

Parcel Number:

WN0405001

Page 2 of 3

EXHIBIT A' '

pk Q 1

ENGINEER'

S DESIGN

STA: 4+ 29. 48

Nam-'

ALLENDER

ROW

A= 9° 11'

STA: 51+ 66. 16

o s

Q 13"

D= 23° 23' 10"

Co W LL,

L= 39. 28'

J 00 co W

LC= S62° 25' 28" W,

c•,)

39. 24'

Z Q

j 0

STA: 6+ 00. 00

Zwo

R= 245. 00'

QG'•

OFF: 30. 00' L

SCALE:

1" =

120

OFF: 20.00' L STA: 6+ 36. 50

60'

OFF: 30. 00' L

STA: 6+ 46. 50

OFF: 65. 00' L

y PC: 6+ 3`

J M

p0 63

W Z p IL Q

35'

ENGINEER'

PC: 53+ 44. 12

rli-

DESIGN

30,

EXISTING

CENTERLINE

RIGHT OF WAY CENTERLINE A= 32° 29' 00"

A= 59° 09' 27"

00 '

D= 30° 00' 00"

D= 23° 23' 10"

R= 190. 99'

R= 245. 00'

L= 108. 28'

LC= S83° 15' 34" W,

L= 252. 96'

LC= S87° 24' 35' W,

106. 83'

241. 87'

PT: 54+ 52. 40 J

2" BRONZE DISK STAMPED COWLITZ COUNTY PUBLIC

e55

PC: 55+ 10. 37

WORKS

PLS 41079"

FEND" STYLE BASE FLUSH

WITH PAVEMENT SEE

AFN3708433( 42/ ROS/ 043).

p Q A= 17° 29' 14" D= 20° 00' 00" R= 286. 48'

L= 87. 44'

8x8

LC= N71° 45' 19" W, 87. 10' PT: 55+ 97. 81

D GA STA: 9+ 58. 52

Q°

WAS t

OFF: 30. 00' L 01

STA: 10+ 08. 52

CISTE

OFF: 15. 00' L

OVAL LAI`

J 76

PROJECT

ID:

1819- 03

NAME OF OWNER: OWNER

ADDRESS:

TEMPORARY

PARCEL

NUMBER:

WN0405001

STR:

NE 1/ 4

T10N

R3W

DEAN HILL 370 ALLENDER

RYDERWOOD,

WA 98581

CONSTRUCTION EASEMENT

PARCEL ADDRESS: 349 ALLENDER RD RYDERWOOD, WA 98581

DWG: 1819- Allender- ROW- Exhibit B. dwg

After

Recording

Return Document

to:

12 20, 20 PM 110// 081120226 COWLITZ COUNTY PUBLIC Deed

Cowlitz

County

Pages

WORKS

306. 5E

Washington

1111111111111 I I 11111111111111111 Cowlitz County Dept of Public Works 1600—

Reoe" ed$ EXEMP% csetv Iemed

13th Avenue South

AFFIDAvrfNo.

Kelso, WA 98626- 2851

OVVLf Z COUNTY TF? AASURE R Date

l C,

Document Title: Warranty Deed for Road Right of Way Grantor( s): Dean Hill Grantee'

s):

Cowlitz County

Abbreviated Legal Description: 4- 10N - 3W ENCT- 513 FEE 737726 Legal Description: The East 96 Feet of the Northwest quarter of the Northeast quarter ( also

known as Government Lot 2) of Section 4, Township 10 North, Range 3 West, W. M. Additional Legal Descriptions on Page 3 of Document Exhibit Map on Page 4 Assessor' s Tax Parcel Number:

WN0405001

WARRANTY DEED

Allender

Road Repair MP 4. 10 to 4. 42— Project No. 1819

Grantor( s),

Dean Hill, as his separate estate, for and in consideration of the sum of TEN AND

NO/ 100 ($ 10. 00)

Dollars,

and

other

valuable

consideration,

hereby convey and warrant to

COWLITZ COUNTY, a political subdivision of the State of Washington, Grantee, the following described

real

property

situated

Cowlitz

County,

the

State

of Washington,

under the

imminent threat of the Grantee' s exercise of its rights of Eminent Domain: For legal description and additional conditions

See Exhibit A and B attached hereto and made a part hereof. Also, the Grantors

request the Assessor and Treasurer of said County to set over to the

remainder of parcel number( s) WN0405001, the lien of all unpaid taxes, if any, affecting the real estate herein conveyed, as provided for by RCW 84. 60. 070.

It is understood and agreed that delivery of this Warranty Deed is hereby tendered and that the terms and obligations hereof shall not become binding upon COWLITZ COUNTY unless and until accepted and approved hereon in writing for the COWLITZ COUNTY, by its authorized agent.

Dated:

12026

GRANTOR( S):

Ica

By: Name:

can Hill

Pagel

of 4

Parcel

No.

WN0405001

JASON LANGELIERS

Notary Public

STATE OF WASHINGTON

State of Washington

County

Commission#

11 1 of L DW L- J- A L

23007413

My Comm. Expires Mar 31, 2027

l" day of

S O'j nIV1 WL

2026, before me personally appeared Dean Hill, to me known to be the individual described in and who executed the foregoing instrument and acknowledged that they signed and sealed as their f and voluntary act and deed, for the uses and purposes therein mentioned. On this

Notary Washi

My c

ACCEPTED THIS

BOARD

OF COUNTY

OF COWLITZ

DAY OF

ublic

or the State of

ing at

res

gton,

mmission

expires

1Y1-

2026.

I '

DA11L9 "

1AO

COMMISSIONERS

COUNTY,

WASHINGTON

Richard R. Dahl, Chairman Authorized

to sign

Q,(.

by Board per

100)

rP IV,

ery(

N O0-

gte.d,

Dated: Cowlitz co

Page 2 of 4

Parcel No.

WN0405001

Exhibit " A" ALLENDER ROAD ( 1819- 03)

DEAN HILL RIGHT OF WAY DESCRIPTION September 14, 2026 Page 1 OF 1

A tract of land lying in the northeast one-quarter of Section 4, Township 10 North, Range 3 West, Willamette Meridian, Cowlitz County, Washington and being a portion of that property described in that certain Bargain and Sale Deed to Dean Hill, recorded July 7th, 2026 in Auditor' s File Number 3792732 of Cowlitz County Records; the said tract being that portion of said property included in a strip of land variable in width, lying on

each

side

of the center line of Allender Road ( County Road Number 28000),

which

center line is described as follows:

Bearings are based on my Record of Survey recorded in Auditor' s File Number 3708433, Cowlitz County Survey Records. BEGINNING at a 2" Bronze Disk marked " COWLITZ COUNTY PUBLIC WORKS PLS

41079" on a feno, expanding type steel base, hereinafter referred to as a " feno" marking Allender Road right of way centerline station 50+ 85. 64 per said Auditor' s File Number 3708433 ( Engineer' s Design Station 4+ 29. 48); Thence

South 67'

01' 04" West, 80. 52

feet ( Engineer' s Design Station 5+ 10. 00) to a point of 245. 00 foot radius curve to the left; Thence along said curve to the left, through a central angle of 09' 11' 13" ( the long chord of which bears South 620 25' 28" West, 39. 24 feet) an arc distance of 39. 28 feet Engineer' s Design

Station

5+ 49. 28); Thence

South 57'

49' 51"

West, 87. 21 feet

Engineer' s Design Station 6+ 36. 50) to a point of 245. 00 foot radius curve to the right; Thence along said curve to the right, through a central angle of 59' 09' 27" ( the long chord of which bears South 87' 24' 35" West, 241. 87 feet) an arc distance of 252. 96 feet ( Engineer' s Design Station

8+ 89. 46); Thence

North 63000' 42" West, 304. 12 feet

to a feno marking said Allender Road at right of way centerline station 58+ 35. 06 Engineer' s Design Station 11+ 93. 58), being the POINT OF TERMINUS of this description.

Note: Stations in the above center line description are bolded in order to make it easier

for surveyors and others to know where they are in relation to the alignment ( as shown on the attached sketch and my said Record of Survey). This is not intended to convey any additional significance to their weight in order of calls.

The width in feet of said strip of land is as follows: Station

Station

Width on Southerly Side of Center Line

5+ 10. 00

6+ 00. 00

30. 00 feet

6+ 00. 00

6+ 18. 77

30. 00 feet in a straight line to 20. 00 feet

6+ 18. 77

6+ 36. 50

20. 00 feet in a straight line to 30. 00 feet

6+ 36. 50

9+ 58. 52

30. 00 feet

9+ 58. 52

10+ 08. 52

30. 00 feet in a straight line to 15. 00 feet

Station

Width on Northerly Side of Center Line

10+ 00. 00

10. 00 feet

Station

5+ 10. 00

EXCEPTING All that portion

THEREFROM: of the above described

tract of land

lying within existing County Road rights of way.

Contains 3, 039 square feet, more or less. See the attached

Exhibit " B", labeled

DEAN HILL" and " SKETCH TO ACCOMPANY RIGHT OF WAY DESCRIPTION", which is made a part hereof.

F:\ Design\ Civil

3D\ Projects\

1819 Allender

Rd Bank Repair MP 0. 8\ SURVEY\ DOCS\ LEGALS\

1819- 01- DHill- ROW- Ease. doc

EXHIBITS'

50x656

ENGINEER' S DESIGN

STA: 4+ 29. 48

Q W

ALLENDER ROW d' o

STA:

A= 9

51+ 66. 16

11' 13"

W Z M LLJ oc)

D= 23° 23' 10"

R= 245. 00' 0

PG'•

Z W 0 LU_

L= 39. 28'

j ED M

LC= S62° 25' 28" W,

IllM 00

39. 24'

92b

yx0. Q

STA: 6+ 00. 00

OFF: 30. 00 L

STA: 6+ 18. 77

P6,

OFF:20. 00' L STA: 6+ 36. 50

OFF: 30. 00' L

SCALE:

1" =

120

PC: 6+ 36. 50

60'

cflN7 Q

PC:

C) Q ENGINEER' S

53+ 44. 12

RIGHT

DESIGN

30,

EXISTING

CENTERLINE

OF WAY

CENTERLINE A= 32° 29' 00"

D= 30° 00' 00"

A= 59° 09' 27"

D= 23° 23' 10"

R= 190. 99'

R= 245. 00'

L= 108. 28'

LC= S83° 15' 34' W, 106. 83'

L= 252. 96' LC= S87° 24' 35" W, 241. 87'

PT: 54+ 52. 40

N n 55

PC: 55+ 10. 37

2" BRONZE

COWLITZ

DISK STAMPED COUNTY

PUBLIC

WORKS PLS 41079" IN

A= 17° 29' 14"

FEND" STYLE BASE FLUSH

D= 20° 00' 00"

WITH

R= 286. 48'

L= 87. 44'

PAVEMENT

AFN3708433(

SEE

42/ ROS/ 043).

LC= N71° 45' 19" W, 0

87. 10'

(

2A ZOO

PT: 55+ 97. 81 S

STA: 9+ 58. 52

wgSHfM 1

OFF: 30. 00' L

moo

G14L1

N O

STA: 10+ 08. 52

476-

ALLENDER

41079

s 01 S T SS

OFF: 15. 00' L

ZONAL

ROW

PC: 58+ 35. 06 ENGINEER' S DESIGN STA 11+ 93. 58

PROJECT ID:

1819- 03

PARCEL NUMBER:

NAME OF OWNER:

DEAN HILL

OWNER ADDRESS:

370

WN0405001

ALLENDER RD

RYDERWOOD,

STR:

T10N

R3W

PARCEL ADDRESS: 349 ALLENDER RD

WA 98581

SKETCH TO ACCOMPANY RIGHT OF WAY DESCRIPTION

NE 1/ 4

RYDERWOOD,

DWG:

WA 98581

1819- Allender- ROW- Exhibit B. dwg

235652

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 AGREEMENT- WSDOT Local Agency Agreement Supplement No. 3 and Federal Aid Project Prospectus- Allender Road Bridge Replacement-

Project No. 1810

Submitted By: Emilie Cochrane, Lead Admin Assistant III Submitted For: Susan Eugenis, County Engineer Department:

Roads

Administration

Information

Subject and Summary Statement

Attached are a Local Agency Agreement

LAAS) # 3 and a revised prospectus.

Supplement (

The LAAS is required to add$ 25, 000 to the Consultant Construction phase for additional onsite inspection. This

will be included in the federal funding for the project. Staff Attendance Susan

Eugenis

Department

Recommendation

It is the recommendation of the Department of Public Works that the Chairman of the Board sign the

Local Agency Agreement and Project Prospectus. Attachments

LAA 3, LAA- Supplement 2- Executed, LAA- Supplement 1 - Executed, LAA- Executed, Vicinity Map

Form

Task

User Cochrane,

Emilie

Eugenis,

Susan

Eugenis,

Susan

Agenda

Review

Action

Timestamp

Item Submission

Submit

10/ 14/ 2026

2: 01: 00 PM

Review-

Submit

10/ 14/ 2026

2: 14: 00 PM

Approver

Approve

10/ 14/ 2026

6: 52: 00 PM

Approve

10/ 15/ 2026

7: 11: 00 AM

Preliminary PW1 Department Review

Grayson,

Kelly

Clerk of the Board Review

Aft Washington State

VAP Department of Transportation

Local Agency Agreement

Agency Cowlitz County

CFDA No. 20. 206

Catabg or Federal Domestic Assistance)

Address 13th Avenue

South

Project No. e1R

Kelso, WA 98626

Agreement No. I

U49965

For OSC WSDOT Use Only

The Local Agency having complied, or hereby agreeing to comply, with the terms and conditions set forth in( 1) Title 23, U. S. Code

Highways,( 2) the regulations issued pursuant thereto,( 3) 2 CFR Part 200,( 4) 2 CFR Part 180— certifying that the local agency is not

excluded from receiving Federal funds by a Federal suspension or debarment,( 5) the policies and procedures promulgated by the Washington State Department of Transportation, and( 5) the federal aid project agreement entered into between the State and Federal

Government, relative to the above project, the Washington State Department of Transportation will authorize the Local Agency to

proceed on the project by a separate notification. Federal funds which are to be obligated for the project may not exceed the amount

shown herein on line r,column 3, without written authority by the State, subject to the approval of the Federal Highway Administration.

All project costs not reimbursed by the Federal Government shall be the responsibility of the Local Agency. Project Description Allender Road Bridge Replacement '

Name

Length

Termini Milepost 0. 73 to 0. 75

0. 02 miles .

Description of Work

The consists of removing the existing bridge over Stillwater Creek and installing a new bridge. The approaches to the . bridgeproject will be reconstructed as needed. l-{'

Project Agreement End Date Proposed Advertisement

IZIS I( 2 026

1, 9024

tY'//

OIlI olA o 23

Date

Claiming Indirect Cost Rate

L] Yes

timat 1)

Estimated Total

Estimated Agency

Type of Work

Project Funds a.

i 00

oya

Federal Aid

Agency_

b. Other Consultant _

f Fund 3)

Estimated

Funds

Federal

Funds

45, 000. 00

0. 00

45, 000. 00

450, 000. 00

10. 00

450, 000. 00

5, 000. 00 _

0. 00

i 5, 0, 0. 00

c. Other

Participation State

Ratio for PE .

Total PE Cost Estimate

Right of Way

b. c+ d

500, 000. 0010.00 0. 00

500, 000. 00

l0 000. 00

lo, aoa. 00

0. 00

10, 000. 00

1 10, 000. - 0

0. 00

0.00

0. 00

1510, 000 00

10, 000. 00

500, 000. 00

f— maxg• Other

Federal Aid%

Participation h. Other_ Ratio for RW 1. State T

RIW Cos

ima e t ,;

Construction k. Contract

VI. Other m. Other Federal Aid Participation Ratio for CN

n. Other o.

P. 0.

ency I

Total CN Cost EstiMate

W + n

10191 PMieCt Cost Estimate

Agency Official

washing t n State Departmen of Transportation

this_ 1, 202f day of BOARD OF COUNTY CO MNERS

Approved

OF COWLITZ

COUN

Y, W

aft

Attest:

10-

Q. m

r''

Date Executed

rec or, Local Progra

SEP 0 3 2020 Page

rk of4he Board

h QC

SHIIVGTON , '

By: Chairman

4l 4a

a© ac!)

Constructlon Method of Financing ( Check Method Selected) State Ad and Award

Method A- Advance payment- Agency Share of total construction cost( based on contract award)

Method B- Withhold from gas tax the Agency' s share of total construction coast( line 5, column 2) in the amount of at$

per month for

months,

Local Force or Local Aci. and Award

V Method C- Agency cost incurred with partial reimbursement

The Local Agency further stipulates that pursuant..to said T1tle 23,.regulations and policies and procedures, and as a condition to payment of the federal funds obligated, it accepts and will comply with the applicable provisions set forth below. Adopted by official action on. ResolutiorVOrdinance

No.

Provisions 1. Scope. of Work

The Agency shall provide all the work, labor, materials, and services necessary to perform the project which is described and set

forth In detail in the" Project Description" and" Type of Work,"

When the State acts for and on behalf of the Agency, the State shall be deemed an agent of the Agency and shall perform the

services described and indicated in" Type of Work" on the face of this agreement, in accordance with plans and specifications as proposed by the Agency and approved by the State and the Federal Highway Administration.

When the State acts for the Agency but is not subject to the right of control by the Agency, the State shall have the right to perform

the work subject to the ordinary procedures of the State and Federal Highway Administration. It. Delegation of Authority

The State is willing to fulfill the responsibilities to the Federal Government by the administration of this project. The Agency agrees

that the State shall have the full authority to carry out this administration. The State shall review, process, and approve documents required for federal aid reimbursement in accordance with federal requirements. If the State advertises and awards the contract, the

State will further act for the Agency In all matters concerning the project as requested by the Agency. If the Local Agency advertises and awards the project, the State shall review the work to ensure conformity with the approved plans and specifications. III. Project Administration Certain types of work and services shall be provided by the State on this project as requested by the Agency and described In the

Type of Work above. in addition, the State will furnish qualified personnel for the supervision and Inspection of the work in progress. On

Local Agency advertised and awarded projects, the supervision and inspection shall be limited to ensuring all work is in conformance with approved plans, specifications, and federal aid requirements. The salary of such engineer or other supervisor and all other salaries

and costs Incurred by State forces upon the project will be considered a cost thereof. All costs related to this project incurred by employees of the State in the customary manner on highway payrolls and vouchers shall be charged as costs of the project. IV. Availability of Records

All project records in support of all costs Incurred and actual expenditures kept by the Agency are to be maintained in accordance

with local government accounting procedures prescribed by the Washington State Auditor' s Office, the U. S. Department of

Transportation, and the Washington State Department of Transportation. The records shall be open to inspection by the State and Federal Government at all reasonable times and shall be retained and made available for such inspection for a period of not less than three years from the final payment of any federal aid funds to the Agency. Copies of said records shall be furnished to the State and/or Federal Government upon request V. compliance with Provisions

The Agency shall not incur any federal aid participation costs on any classification of work on this project until authorized in writing

by the State for each classification. The classifications of work for projects are: 1. Preliminary engineering, 2. Right of way acquisition. 3. Project construction.

Once written authorization is given, the Agency agrees to show continuous progress through monthly billings. Failure to show

continuous progress may result the Agency' s project becoming inadva, as described In 23 CFR 630, and subject to de- obligation of federal aid funds and/ or agreement closure.

If right of way acquisition, or actual construction of the road for which preliminary engineering Is undertaken is not started by the dose of the tenth fiscal year following the fiscal year in which preliminary engineering phase was authorized, the Agency will repay to the State the sum or sums of federal funds paid to the Agency under the terms of this agreement( see Section IX).

If actual construction of the road for which right of way has been purchased Is not started by the close of the tenth fiscal year

following the fiscal year in which the right of way phase was authorized, the Agency will repay to the State the sum or sums of federal

funds paid to the Agency under the terms of this agreement( see Section IX). DOT Form 140- 039 Revised

05NO20•

Page 2

The Agency agrees that all stages of construction necessary to provide the Initially planned complete facility within the limits of this

Project will conform to at least the minimum values set by approved statewide design standards applicable to this class of highways,

even though such additional work Is financed without federal aid participation.

The Agency agrees that on federal aid highway construe on projects, the current federal aid regulations which apply to liquidated

dbmages relative to the basis of federal participation in the project coat shall be applica ble In the event the contractor fails to complete

the contract within the contract time.

VI. Payment and Partial Reimbursement

The total cost of the project, including all review and engineering costs and other expenses ofthe State, is to be paid by the Agency

and by the Federal Government. Federal funding shall be In accordance with the Federal Transportation Act, as amended, 2 CFR Part

200. The State shall not be ultimately responsible for any of the costs of the project. The Agency shall be ultimately responsible for all

costs associated with the project which are not re€mbursed by.the Federal Government. Nothing in this agreement shall N construed as

a promise by the State as to the amount or nature of federal participation in this project.

The Agency shall bil the state for tederal aid projeot costs incurred inconformity with applicable federal and state laws. The agency shall minimize the time elapsed between receipt of federal•aid funds and subsequent payment of Incurred costs. Expenditures by the Local Agency.for maintenance, general administration, supervision, and other overhead shah not be eligible for federal participation

unless a current Indirect cost plan has been prepared in accordance with the regulations outlined in 2 CFR Part 200- Uniform Admin

Requirements, Cost Principles and Audit Requirements for Federal. Awards, and retained for audit.

The State will pay for State incurred costs on the project. Following payment, the State shall bill the Federal Government for reimbursement of those costs eligible for federal participation to the extent that such costs are attributable and properly allocable to this project. Section IX). The State shall bill the Agency for that portion of State costs which were not reimbursed by the Federal Government( see 1, Project Construction Costs

Project construction financing will be accomplished by one of the three methods as indicated In this agreement.

Method A— The Agency will place with the State, within( 20) days after the execution of the construction contract, an advance in the

amount of the Agency's share of the total construction cost based on the contract award. The State will notify the Agency of the exact

amount to be deposited with the State. The State will pay all costs incurred under the contract upon presentation of progress billings from the contractor, Following such payments, the State will submit a billing to the Federal Government for the federal aid participation share of the cost. When the project is substantially completed and final actual costs of the project can be determined, the State will

present the Agency with a final billing showing the amount due the State or the amount due the Agency. This billing will be cleared by either a payment from the Agency to the State or by a refund from the State to the Agency.

Method l3-- The Agency' s share of the total construction costas shown on the face of this agreement shall be withheld from its monthlyfuel tax allotments. The face of this agreement establishes the months in which the withholding shall take place and the exact amount to be withheld each month. The extent of withholding will be confirmed by letter from the State at the time of contract award.

Upon receipt of progress billings from the contractor, the State will submit such billings to the Federal Government for payment of its

participating portion of such billings.

Method C— The Agency may submit vouchers to the State in the format prescribed by the State, in duplicate, not more than once

per month for those costs eligible for Federal participation to the extent that such costs are directly attributable and properly allocable

to this project. Expenditures by the Local Agency for maintenance, general administration, supervision, and other overhead shall not be

eligible for Federal participation unless claimed under a previously approved indirect cost plan,

The State shall reimburse the Agency for the Federal share of eligible project costs up to the amount shown on the face of this

agreement. At the time of audit, the Agency will provide documentation of all costs incurred on the project. The State shall bill the Agency for all costs Incurred by the State relative to the.project. The State shall also bill the Agency for the federal funds paid by the State to theAgency for project costs which are subsequently determined to be ineligible for federal participation( see SectionlX). VII. Audit of Federal Consultant Contracts

The Agency, if services of a consultant are required, shall be responsible for audit of the consultant' s records to determine eligible

federal aid costs on the project. The report of said audit shall be in theAgency' s files and made available to the State and the Federal Government.

An audit shall be conducted by the WSDOT Internal Audit Office in accordance with generally accepted governmental auditing

standards as issued by the United States General Accounting Office by the Comptroller General of the United States; WSDOT Manuel

MFHWA; 27-50,andConsultantAuthodzation, Selection, and Agreement Administration; memoranda of understanding between WSDOT and 2 CFR Part 200. 501- Audit Requirements.

If upon audit it is found that overpayment or participation of federal money In ineligible items of cost has occurred, the Agency shall

reimburse the State for the amount of such overpayment or excess participation( see Section IX). Vlll. Single Audit Act

The Agency, as a subrecipient of federal funds, shall adhere to the federal regulations outlined In 2 CFR Part 200.501 as well as all

applicable federal and state statutes and regulations, A subrecip€ent who expends$ 750,000 or more In federal awards from all sources

during a given fiscal year shall have a single or program- specific audit performed for that year In accordance with the provisions of 2 CFR Part 200.501. Upon conclusion of the audit, the Agency shall be responsible for ensuring that a copy of the report is transmitted

promptly to the State. DOT Form 140- 039 Revised 0512020

Page 3

IX. Payment of Billing

The Agency agrees that if payment or arrangement for payment of any of the State's billing relative to the project( e.g., State force

work, project cancellation, overpayment, cost Ineligible for federal participation, etc.) is not made to the State within 45 days after the Agency has been billed, the State shall effect reimbursement of the total sum due from the regular monthly fuel tax allotments to the Agency from,the Motor Vehicle Fund, No additional Federal project funding will be approved until full payment is received unless otherwise directed by the Director, Local Programs.', Project Agreement End Date- This date is based on your projects Period of Performance( 2 CFR Part 200. 309),

Any costs incurred after the Project Agreement End Date are NOT eligible for federal reimbursement. All eligible costs incurred prior tobecome the Project Agreement Endreimbursement. Date must be submitted for reimbursement within 60 days after the Project Agreement End Date or they ineligible for federal X. Traffic Control, Signing, Marking, and Roadway Maintenance .

The Agency will not permit any changes to be Made in the provisions for parking regulations and traffic control on this.project without prior approval of the State and Federal Highway Administration. The Agency will not install or permit to be Installed'-any signs, `

signals, or markings not In conformance with the Standards approved by the Federal Highway Administration and MUTCR. The Agency

will, at Its own expense, maintain the Improvement covered by this agreement, XI. Indemnity

The Agency shall hold the Federal Government and the State harmless from and shall process and defend at its own expense

all claims, demands, or salts, whether at law or equity brought against the Agency, State, or Federal Government, arising from the Agency's execution, performance, or failure to perfoirn any of the provisions of this agreement, or of any other agreement or contract

connected with this agreement, or arising by reason of the participation of the State or Federal Government in the project, PROVIDED,

nothing herein shall require the Agency to reimburse the State or the Federal Government for damages arising out of bodily injury to

persons or damage to property caused by or resulting from the sole negligence of the Federal Government or the State. MI. Nondiscrimination

Provision

No liability shall attach to the State or Federal Government except as expressly provided herein.

The Agency shall not discriminate on the basis of race, color, national origin, or sex in the award and performance of any USDOTassisted contract and/ or agreement or In the administration of Its DBE program or the requirements of 49 CFR Part 26. The Agency shall take all necessary and reasonable steps under 49 CFR Part 26 to ensure nondiscrimination in the award and administration of USDOT-assisted contracts and agreements. The WSDOT's DBE program, as required by 49 CFR Part 26 and as approved by USDOT,

Is Incorporated by reference in this agreement. Implementation of this program is a legal obligation and failure to carry out its terms shall be treated as a violation of this agreement. Upon notification to theAgency of Its failure to carry out Its approved program, the

Department may Impose sanctions as provided for under Part 26 and may, in appropriate cases, refer the matter for enforcement under 16 U.S.C. 1001 and/or the Program Fraud Civil Remedies Act of 1986( 31 U. S. C. 3801 at seq.). The Agency hereby agrees that it will incorporate or cause to be incorporated into any contract for construction work, or modification

thereof, as defined in the rules and regulations of'the Secretary of Labor in 41 CFR Chapter 60, which is paid for in whole or In part with

funds obtained from the Federal Government or borrowed on the credit of the Federal Government pursuant to a grant, contract, loan,

Insurance, or guarantee or understanding pursuant to any federal program involving such grant, contract, loan, insurance, or guarantee,

the required contract provisions for Federal- Aid Contracts( FHWA 1273), located in Chapter 44 of the Local Agency Guidelines. The Agency further agrees that it will be bound by the above equal opportunity clause with respect to Its own employment practices when it participates in federally assisted construction work: Provided, that if the applicant so participating is a State or Local

Government, the above equal opportunity clause is not applicable to any agency, instrumentality, or subdivision of such government

which does not participate In work on or under the contract. The Agency also agrees:

1) To assist and cooperate actively with the State in obtaining the compliance of contractors and subcontractors with the equal

opportunity clause and rules, regulations, and relevant orders of the Secretary of Labor.

2) To furnish the State such information as it may require for the supervision of such compliance and that It will otherwise assist the

State in the discharge of its primary responsibility for securing.complience.

3) To refrain from entering Into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with a contractor debarred from, or who has not demonstrated eligibility for, government contracts and federally assisted construction

contracts pursuant to the Executive Order.

4) To carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors and subcontractors by the State, Federal Highway Administration, or the Secretary of Labor pursuant to Part 11, subpart D of the Executive Order. in addition, the Agency agrees that if it fails or refuses to comply with these undertakings, the State may take any or all of the

following actions:

a) Cancel, terminate, or suspend this agreement in whole or in part;

b) Refrain from extending any further assistance to the Agency under the program with respect to which the failure or refusal occurred until satisfactory assurance of future compliance has been received from the Agency; and c) Refer the case to the Department of Justice for appropriate legal proceedings.

DOT Form

140- 039

Revised 06/ 2020

Page 4

Xlli. Liquidated Damages

The Agency hereby agrees that the liquidated damages provisions of 23 CFR Part 635, Subpart 127, as supp mented, relative to the amount of Federal participation in the project cost, shall be applicable In the event the contractor falls to complete the contract, within the contract time, Failure to Include liquidated damages provision will not relieve the Agency from reduction of federal participation In

accordance with this paragraph, M.Termination for Public Convenience

The Secretary of the Washington State Department of Transportation may terminate the contract In whole, or from time to time In

part, whenever:

1) The requisite federal funding becomes unavailable through failure of appropriation or otherwise.

2) The contractor is prevented from proceeding wlth.the work as a direct result of an Executive Order of the President with

respect to the prosecution of war or in the interest of national defense, or an Executive Order of the President or Governor of the State with respect to the preservation of energy resources.

3) The contractor Is prevented from proceeding with the work by reason of a preliminary, special, or'permanent restraining order of a court of competentjurisdiction where the issuance of such.order is primarily caused by the acts or omissions of persons

or agencies

other than the contractor.

4) The Secretary Is notified by the Federal Highway Adminlstration that the project is inactive. 5) The Secretary determines that such termination is in the best interests of the State, XV. Venue for Claims and/or Causes of Action

For the convenience of the parties to this contract, it is agreed that any claims and/or causes of action which the Local Agency

has against the State of Washington, growing out of this contract or the project with which It is concerned, shall be brought only in the Superior Court for Thurston County. XVI. Certification Regarding the Restrictions of the Use of Federal Funds for Lobbying The approving authority certifies, to the best of his or her knowledge and belief, that:

1) No federal appropriated funds have been paid or will be paid, by or on behalf of the. undersigned, to any person' for influencing or

attempting to influence an officer or employee of any federal agency, a member of Congress, an officer or employee of Congress, or

an employee of a member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal.,amendment,

or modification of any federal contract, grant, loan, or cooperative agreement.

2) If any funds other than federal appropriated funds have been paid or will be paid to any person for Influencing or attempting to Influence an officer or employee of any federal agency, a member of Congress, an officer or employee of Congress, or an employee

of a member of Congress In connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit the Standard Fort- LLL," Disclosure Form to Report Lobbying," in accordance with Its instructions. 3) The undersigned shall require that the language of this certification be Included in the award documents for all subawards at all tiers( including subgrants, and contracts and subcontracts under grants, subgrants, loans, and cooperative agreements) which exceed$ 100,000, and that all such subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification as a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U. S.

Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$ 10,000 and-not more then 100, 000 for each such failure. XVIL Assurances

Local agencies receiving Federal funding from the USDOT or its operating administrations( i.e., Federal Highway Administration, Federal Transit Administration, Federal Aviation Administration) are required to submit a written policy statement, signed by the Agency Executive and addressed to the State, documenting that all programs, activities, and services will be conducted in compliance with Section 504 and the Americans with Disabilities Act( ADA).

Additional Provisions

i i i

DOT Form 140- 039 Revised

05/ 2020

I Pape 6

Washington State

A Department of Transportation

Local Agency Agreement Supplement

Agency

Supplement

Cowlitz County

Project Number

Agreement

BROS- 2008( 033)

LA 09965

Number

ALN. 20. 205- Highway Planning and Construction

All provisions in the basic agreement remain in effect except as modified by this supplement. The Local Agency certifies that it is not excluded from receiving Federal funds by a Federal suspension or debarment 2 CFR Part 180). Additional changes to the agreement are as follows: Project

Description Allender Road Bridge Replacement

Name Termini

Length

0. 12 miles

0. 68 to 0. 80

Description

of Work

No Change

Reason for Supplement

To obligate construction funding, increase the federal funding amount and move funds from PE consultant to PE Agency. Indirect

Cost

Rate

117 Yes

Project

Agreement

End

Date

12/ 31/ 2029

Date

9/ 30/ 25

Estimate of Funding 1)

Type of Work

A reement/ Su PE a.

100 Federal Aid

45, 000. 00

Agency

b. Other Consultant

450, 000. 00

Supplement

Ratio( s) for RW

Estimated Federal

Funds

50, 000. 00

400, 000. 00

0. 00

400, 000. 00

5, 000. 00

0. 00

5, 000. 00

500, 000. 00

0. 00

500, 000. 00

0. 00

1, 950, 000. 00

0. 00

Other

0. 00

h. Other

0. 00 0. 00

State Services

Funds 95, 000. 00

f. Agency

J. Total R/ W Cost Estimate

0. 00

Construction k. Contract 100

Estimated Agency

Project Funds 0. 00

Federal Aid Participation

Estimated Total 95, 000. 00

5, 000. 00 500, 000. 00

Right of Way

0. 00

d. State Services

Ratio( s) for PE

50, 000. 00

c. Other

Participation

3) 2)

0. 00

1, 950, 000. 00

34. 000. 00

34, 000. 00

950, 000. 00

% elig. nonfed contract

I. Other Federal Aid

Participation

Other

elig nonfed consult

n. Other elig nonfed Agency

Ratio( s) for CN

Agency

p. State Services

34, 000. 00

175, 000. 00

70, 000. 00

10, 000. 00

0. 00

10. 000. 00

15, 000. 00

0. 00

15. 000. 00

q. Total CN Cost Estimate

0. 00

2, 254, 000. 00

279, 000. 00

1, 975, 000. 00

r. Total

500, 000. 00

2, 254, 000. 00

2, 754, 000. 00

279, 000. 00

2, 475, 000. 00

Pro ect Cost Estimate

The Local Agency further stipulates that pursuant to said Title 23, regulations and policies and procedures, and as a condition to payment of the Federal funds obligated, it accepts and will comply with the applicable provisions. Ageen c rLOfficial

Title

Kdw

Washington

t? Fr 1ftbn

Agency DOT Form Previous

Director, Date

State Department

August

26, 2025

140- 041 LP Revised Versions

Obsolete

12/ 2024 9

Date

Local

Executed

Programs

of Transportation Digitally signed by

Stephanie

Stephanie Tax

Tax

08: 32: 56- 0700'

Date: 2025. 09. 04

Page

Agency

Supplement

Cowlitz Project

County

Number

Agreement

BROS- 2008( 033)

VI. Payment

Number

ALN 20. 205- Highway Planning

LA 09965

and Partial

and Construction

Reimbursement

The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid

by the Agency and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation Act, as amended, 2 CFR Part 200. The State shall not be ultimately responsible for any of the costs of the project. The Agency shall be ultimately responsible for all costs associated with the project which are not reimbursed by the Federal Government. Nothing in this agreement shall be construed as a promise by the State as to the amount or nature of federal participation in this project.

The Agency shall bill the state for federal aid project costs incurred in conformity with applicable federal and state laws. The agency shall minimize the time elapsed between receipt of federal aid funds and subsequent payment of incurred costs. Expenditures by the Local Agency for maintenance, general administration, supervision, and other overhead shall not be eligible for federal participation unless a current indirect cost plan has been prepared in accordance with the regulations

outlined

in 2 CFR Part 200-

Uniform

Admin.

Requirements,

Cost Principles

and Audit Requirements

for

Federal Awards, and retained for audit.

The State will pay for State incurred costs on the project. Following payment, the State shall bill the Federal Government for reimbursement of those costs eligible for federal participation to the extent that such costs are attributable and properly allocable to this project. The State shall bill the Agency for that portion of State costs which were not reimbursed by the Federal Government( see Section IX).

VII. Audit of Federal Consultant Contracts The Agency, if services of a consultant are required, shall be responsible for audit of the consultant' s records to determine

eligible federal aid costs on the project. The report of said audit shall be in the Agency' s files and made available to the State and the Federal Government.

An audit shall be conducted by the WSDOT Internal Audit Office in accordance with generally accepted governmental auditing standards as issued by the United States General Accounting Office by the Comptroller General of the United States; WSDOT Manual M 27- 50, Consultant Authorization, understanding

Selection,

and Agreement Administration,

memoranda

between WSDOT and FHWA; and 2 CFR Part 200. 501 - Audit Requirements.

If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occurred. the Agency shall reimburse the State for the amount of such overpayment or excess participation.

IX. Payment of Billing The Agency agrees that if payment or arrangement for payment of any of the State' s billing relative to the project ( e. g., State force work, project cancellation, overpayment, cost ineligible for federal participation, etc.) is not made to the State within 45 days after the Agency has been billed, the State shall effect reimbursement of the total sum due from the regular

incurred prior to the Project Agreement End Date must be submitted for reimbursement within 90 days after the Project Agreement End Date or they become ineligible for federal reimbursement. Vlll. Single Audit Act The Agency, as a subrecipient well

all

applicable

of federal funds, shall adhere to the federal regulations

federal and

state

statutes

and

regulations.

A subrecipient

outlined in 2 CFR Part 200. 501 as

who

expends $

1, 000, 000 or more in

federal awards from all sources during a given fiscal year shall have a single or program- specific audit performed for that year

accordance

with

the

provisions

of 2

CFR

Part

200. 501.

Upon conclusion

of the audit, the Agency

shall be

responsible for ensuring that a copy of the report is transmitted promptly to the State. XVII. Assurances

Local Agencies receiving Federal funding from the USDOT or its operating administrations ( i. e., Federal Highway Administration, Federal Transit Administration, Federal Aviation Administration) are required to submit a written policy statement, signed by the Agency Executive and addressed to the State, documenting that all programs, activities and services will be conducted in compliance with Section 504 and the Americans with Disabilities Act( ADA). DOT Form 140- 041 LP Revised Previous

Versions

Obsolete

12/ 2024 9

Page 2

Adift Washington State Department of Transportation

Local Agency Agreement Supplement Supplement Number

Agency Cowlitz

County

Project Number

Agreement Number

ALN.

BROS- 2008( 033)

LA 09965

and Construction

20. 205- Highway Planning

Federal Highway Administration FHWA

changes

to the agreement

are as follows:

Description

Name Allender Road Bridge Replacement

Length 0. 12 miles

Termini 0. 68- 0. 80 Description

of Work

No Change

Reason for Supplement

Adjust contract based on low bids and replace CN agency funding with available federal funding for eligible work.

Indirect Cost

Rate Yes

Project Agreement End Date 12/ 31/ 2029 Advertisement

Date 9/ 30/ 2025

Estimate

Type of Work

Previous A reement/ Su

PE a.

100

a/o

Agency Consultant

b. Other

Federal Aid

Ratio( s) for RW CN 100

95, 000. 00

400, 000. 00

5, 000. 00

PE Cost Estimate

0. 00

500, 000. 00

f. Aciency

Other

0. 00

h. Other

0. 00

i. State Services

0. 00

i. Total R/ W Cost Estimate

0. 00

k. Contract

1, 950, 000. 00

elig. nonfed

I. Other

Participation

Ratio( s) for CN o.

Other

contract

consult

34, 000. 00

0. 00

302, 454. 00

1, 647, 546. 00

34, 000. 00

0. 00

175, 000. 00 70, 000. 00

70, 000. 00

0. 00

Agency

10, 000. 00

70, 000. 00

80, 000. 00

p. State Services

15, 000. 00

q. Total CN Cost Estimate

2, 254, 000. 00

336, 454.

r. Total

2, 754, 000. 00

336, 454. 00

Cost Estimate

0. 00

500, 000. 00

0. 00

1, 647, 546. 00

175, 000. 00

Other efig nonfed agency

Project

5, 000. 00

500, 000. 00 0. 00

Funds

95, 000. 00

5, 000. 00

d. State Services

Federal Aid

Estimated Federal

Funds

95, 000. 00

Federal Aid Participation

EstimatedAgency

Funds

0. 00

e. Total

Project

Other

Participation

Ratio( s) for PE

Estim te Total Estimated

Supplement

of Fun din

80, 000. 00 15, 000. 00

15, 000. 00

1, 917, 546. 00

0. 00

1, 917, 546. 00

1 2, 417, 546. 00

0. 00

2, 417, 546. 00

Washington

Department

6a0

State

of Transportation

Director, Local Programs

Date

Date Executed

Agency

03/ 03/ 2026

DOT Form 140- 041 LP Revised Previous

Stephanie

1a rman

Versions

09/ 2025

Obsolete•

Digitally signed by Stephanie Tz Date: 2026. 03. 1213: 11: 26- 07' OC

Tax Page 1

Supplement Number

Agency Cowlitz

County

Project Number

Agreement Number

ALN 20. 205- Highway Planning

BROS- 2008( 033)

LA 09965

and Construction

Federal Highway Administration FHWA VI. Payment

and Partial

Reimbursement

The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid by the Agency and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation Act, as amended, 2 CFR Part 200. The State shall not be ultimately responsible for any of the costs of the project. The

outlined in 2 CFR Part 200-

Uniform Admin. Requirements, Cost Principles and Audit Requirements for

Federal Awards, and retained for audit.

The State will pay for State incurred costs on the project. Following payment, the State shall bill the Federal Government for reimbursement of those costs eligible for federal participation to the extent that such costs are attributable and properly allocable to this project. The State shall bill the Agency for that portion of State costs which were not reimbursed by the Federal Government(

see Section IX).

VII. Audit of Federal

Consultant

Contracts

The Agency, if services of a consultant are required, shall be responsible for audit of the consultant' s records to determine eligible federal aid costs on the project. The report of said audit shall be in the Agency' s files and made available to the State and the Federal Government.

between WSDOT and FHWA; and 2 CFR Part 200. 501 - Audit Requirements.

If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occurred, the Agency shall reimburse the State for the amount of such overpayment or excess participation.

IX. Payment of Billing The Agency agrees that if payment or arrangement for payment of any of the State' s billing relative to the project( e. g., State force work, project cancellation, overpayment, cost ineligible for federal participation, etc.) is not made to the State within 45 days after the Agency has been billed, the State shall effect reimbursement of the total sum due from the regular

monthly fuel tax allotments to the Agency from the Motor Vehicle Fund. No additional Federal project funding will be approved until full payment is received unless otherwise directed by the Director, Local Programs. Project Agreement End Date- This date is based on your projects Period of Performance ( 2 CFR Part 200. 309). Any costs incurred after the Project Agreement End Date are NOT eligible for federal reimbursement. All eligible costs incurred prior to the Project Agreement End Date must be submitted for reimbursement within 90 days after the Project Agreement End Date or they become ineligible for federal reimbursement. Vill. Single Audit Act

The Agency, as a subrecipient of federal funds, shall adhere to the federal regulations outlined in 2 CFR Part 200. 501 as well as all applicable federal and state statutes and regulations. A subrecipient who expends $ 1, 000, 000 or more in

federal awards from all sources during a given fiscal year shall have a single or program- specific audit performed for that year in accordance with the provisions of 2 CFR Part 200. 501. Upon conclusion of the audit, the Agency shall be responsible for ensuring that a copy of the report is transmitted promptly to the State. XVII. Assurances

statement, signed by the Agency Executive and addressed to the State, documenting that all programs, activities and services will be conducted in compliance with Section 504 and the Americans with Disabilities Act( ADA). DOT Form Previous

140- 041 LP Revised Versions

Obsolete•

09/ 2025

Page

Washington State Department of Transportation

Transportation

Building

310 Maple

Avenue S. E.

P.O. Box 47300 Olympia,

WA 98504- 7300

360- 705- 7000 TTY: 1- 800- 833- 6388

www. wsdot. wa. gov

March

19, 2026

Mr. Mike Moss Public Works Director

Cowlitz County 1600 131h Avenue South Kelso, Washington

98626

Cowlitz County Allender

Road Bridge

BROS- 2008( 033) FUND

AUTHORIZATION

Dear Mr. Moss:

Enclosed for your information and file is a copy of Supplement Number 2 to Local Agency Agreement LA9965 for the above project between WSDOT and your agency.

This supplement modifies the funding for this project to the amounts shown below: Federal ALN Pro

ram Title

Phase

Total Funds

ALN

Preliminary Engineering

500, 000

20. 205

Highway Planning and Construction

Construction

1, 917, 546

20. 205

Highway Planning and Construction

NOTE: FHWA expenditures on this project will use the above noted Assistance Listing Numbers( ALNs) on your agency' s Schedule of Expenditures of Federal Awards( SEFA) report. All costs exceeding those shown on this agreement are the sole responsibility of your agency. Any costs incurred after the Project Agreement End Date shown on the supplement are not eligible for federal reimbursement. In addition, all eligible costs incurred prior to the End Date must be billed within sixty 60) days of the End Date or they are ineligible for federal reimbursement.

As a condition of authorization, you must show continuous project progress through monthly billings, until your project is complete. Failure to show continuous progress may result in your project becoming inactive per 23 CFR 630. 106( a)( 5) and subject to de- obligation of all federal funds and agreement closure.

You may proceed with the administration of this project in accordance with your WSDOT approved Certification

Acceptance

agreement.

Sincerely, St&

T-AX

Stephanie Tax

Manager, Program Management Local Programs

ST:jh:ml Enclosure cc:

Rob

Klug, PE, Southwest

Region

Local Programs

Engineer

Aft Washington

State

f Department of Transportation

Local Agency Agreement Supplement Supplement Number

Agency Cowlitz Project

County

Number

Agreement

BROS- 2008( 033)

Number

20. 205- Highway Planning

ALN.

LA 09965

and Construction

Federal Highway Administration FHWA All provisions in the basic agreement remain in effect except as modified by this supplement.

The Local Agency certifies that it is not excluded from receiving Federal funds by a Federal suspension or debarment 2 CFR Part 180). Additional changes to the agreement are as follows: Project Description Name Allender Road Bridge Replacement Termini

Length 0. 12 miles

0. 68- 0. 80

Description

of Work

V No Change

Reason for Supplement

CN Consultant will need to be increased based on current budgeting. Although the PE phase is not anticipated to use all of the

consultant funds, the agency prefers to wait before decreasing the PE phase until it is closer to being closed out. Indirect Cost Rate

Yes (

Project Agreement End Date 12/ 31/ 2029 Advertisement

Date

Estimate

Type of Work

Agency

100

Consultant

b. Other

Aid

Federal

400, 000. 00

PE Cost Estimate

500, 000. 00

Federal

Aid

0. 00

R/ W Cost Estimate

elig.

Other

0. 00

nonfed

contract

consult

Other elig nonfed

Agency

apencv

1, 647, 546. 00

Ratio( s) for CN

0. 00

i. State Services

500, 000. 00

0.00

I. Other

Participation

0. 00

k. Contract

100

5, 000. 00

5, 000. 00 0. 00

h. Other

Funds

400, 000. 00

Other

Total

Estimated Federal

Funds

95, 000. 00

Federal Aid

Ratio( s) for RW

Estimated Agency

Funds

95, 000. 00

f. Agency

Participation

Project

95, 000. 00

5, 000. 00

d. State Services e. Total

le Supplement

0. 00

Participation Ratio( s) for PE

Other

of Fun din

Estimated) Total

Previous A reement/ Su

9/ 30/ 2025

0. 00

175, 000. 00

25, 000. 00

0. 00 200, 000. 00

0. 00

80, 000. 00

200, 000. 00

80, 000. 00

15, 000. 00

p. State Services

15, 000. 00

q. Total CN Cost Estimate

1, 917, 546. 00

25, 000. 00

1, 942, 546. 00

0. 00

1, 942, 546. 00

2, 417, 546. 00

25, 000. 00

2, 442, 546. 00

0. 00

2, 442, 546. 00

r. Total

Project

Cost Estimate

Washington State Department of Transportation

Official

By Director, Local Programs

Title

Agency DOT Form Previous

Date Executed

Date

140- 041 LP Revised Versions

Obsolete•

09/ 2025

Page

Agency Cowlitz

Supplement Number

County

Project Number

Agreement Number

ALN 20. 205- Highway Planning

BROS- 2008( 033)

LA 09965

and Construction

Federal Highway Administration

FHWA

VI. Payment and Partial Reimbursement The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid by the Agency and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation Act, as amended, 2 CFR Part 200. The State shall not be ultimately responsible for any of the costs of the project. The

Agency shall be ultimately responsible for all costs associated with the project which are not reimbursed by the Federal Government. Nothing in this agreement shall be construed as a promise by the State as to the amount or nature of federal participation in this project. The Agency shall bill the state for federal aid project costs incurred in conformity with applicable federal and state laws. The agency shall minimize the time elapsed between receipt of federal aid funds and subsequent payment of incurred costs. Expenditures by the Local Agency for maintenance, general administration, supervision, and other overhead shall not be eligible for federal participation unless a current indirect cost plan has been prepared in accordance with the regulations outlined

in 2 CFR Part 200 -

Uniform Admin.

Requirements,

Cost Principles

and Audit Requirements

for

Federal Awards, and retained for audit.

The State will pay for State incurred costs on the project. Following payment, the State shall bill the Federal Government for reimbursement of those costs eligible for federal participation to the extent that such costs are attributable and properly allocable to this project. The State shall bill the Agency for that portion of State costs which were not reimbursed by the Federal Government ( see Section IX).

VII. Audit of Federal

Consultant

Contracts

Government.

understanding between WSDOT and FHWA; and 2 CFR Part 200. 501 - Audit Requirements. If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occurred, the Agency shall reimburse the State for the amount of such overpayment or excess participation.

IX. Payment of Billing The Agency agrees that if payment or arrangement

for payment of any of the State' s billing relative to the project( e. g.,

State force work, project cancellation, overpayment, cost ineligible for federal participation, etc.) is not made to the State within 45 days after the Agency has been billed, the State shall effect reimbursement of the total sum due from the regular monthly fuel tax allotments to the Agency from the Motor Vehicle Fund. No additional Federal project funding will be approved until full payment is received unless otherwise directed by the Director, Local Programs. Project Agreement End Date- This date is based on your projects Period of Performance ( 2 CFR Part 200. 309).

Any costs incurred after the Project Agreement End Date are NOT eligible for federal reimbursement. All eligible costs incurred prior to the Project Agreement End Date must be submitted for reimbursement within 90 days after the Project Agreement End Date or they become ineligible for federal reimbursement. Vill. Single Audit Act

federal awards from all sources during a given fiscal year shall have a single or program- specific audit performed for

that year in accordance with the provisions of 2 CFR Part 200. 501. Upon conclusion of the audit, the Agency shall be responsible for ensuring that a copy of the report is transmitted promptly to the State. XVII. Assurances

Local Agencies receiving Federal funding from the USDOT or its operating administrations ( i. e., Federal Highway Administration,

Federal Transit Administration,

Federal Aviation Administration)

are required to submit a written policy

140- 041 LP Revised Versions

Obsolete•

09/ 2025

Page 2

Instructions 1.

Agency— Enter the agency name as entered on the original agreement.

Supplemental

Number—

Enter the number of the supplement. Supplement numbers will be assigned in sequence beginning

with Number 1 for the first supplement.

Project Number—

Agreement

Project Description—

Description of Work— Clearly describe if there is a change in work such as the addition or deletion of work elements and/ or changes to the termini. If the work has not changed, put a check mark in the" No Change" box.

Reason for Supplement—

Enter the federal aid project number assigned by WSDOT on the original agreement.

Number—

Enter the agreement number assigned by WSDOT on the original agreement. Enter the project name, length, and termini.

Enter the reason for this supplement, i. e., increase PE funding to cover design changes presented in the revised prospectus; request funding of construction phase; decrease construction funding to the contract bid amount. If the supplement is authorizing a construction phase, the project' s proposed advertisement date must be included in the space provided.

Indirect Cost Rate— Check the Yes

box if the agency will be claiming indirect costs on the project. For those projects claiming indirect costs, supporting documentation that clearly shows the indirect cost rate being utilized must be provided with the supplement. Indirect cost rate approval by your cognizant agency or through your agency' s self- certification and supporting documentation is required to be available for review by FHWA, WSDOT and/ or State Auditor. Check the No box if the agency will not be claiming indirect costs on the project. See Section 23. 5 for additional guidance. Project

Agreement End Date— Enter your previously established Project Agreement End Date. If authorizing a new phase of the project, update the Project Agreement End Date based on the following guidance:

For PE and RW— WSDOT recommends determine

the" Project Agreement

b. For Construction— WSDOT determine

the" Project

agencies estimate when the phase will be completed and add three years to

End Date".

recommends

Agreement

agencies estimate when construction

will be completed

and add three years to

End Date".

c. If an extension to a Project Agreement End Date is required between phase authorizations, the need for the extension must be described in the Reason for Supplement. Adequate justification to approve the extension must be submitted with the supplement. See Section 22. 3 for additional guidance. 10. Advertisement 11.

Date- At construction authorization only, enter the proposed project advertisement date( mm/ dd/ yy).

Type of Work and Funding ( Round all amounts to the nearest whole dollar).

12.

Column 1 — Enter the amounts from column 1 of the original local agency agreement. If the agreement has already been supplemented, enter the amounts by type of work from column 3 of the last supplemental agreement.

Column 2—

Column 3— Add the amounts

Columns

Enter increase/ decrease to total amounts requested by type of work.

4 and 5—

in columns

1 and 2.

Enter the appropriate amounts based on the participation ratio recorded on the original agreement.

Signatures— An authorized

official of the local agency signs the Supplemental Agreement and enters their title and date of

signature ( mm/ dd/ yy). Note: Do NOT enter a date on the Date Executed line.

DOT

Form

140- 041 LP Revised

Previous Versions Obsolete•

09/ 2025

Page 3

Agm State of Transportation

7Department NAWashington

y Federal Aid g Local Agency Project Prospectus

Prefix Federal

Date

9/ 24/ 26

Aid

BROS- 2008( 033)

Project Number I Agency

o ect

Route

DUNS Number Federal Employer

1 YJ

WSDO Use On l

1810

Number

Agency

Yes

V] 20. 205

No [

Project Title

Project Termini From- To

Other

Start Latitude

N 46. 387511

Start Longitude W 123. 055483

End Latitude

N 46. 387551

End Longitude W 123. 056397

Allender Road Bridge Replacement

0. 68 mi W of SR 506

Nearest City Name

Project Zip Code(+ 4)

Ryderwood

98581- 9701

0. 80 mi W of SR 506

Begin Mile Post

End Mile Post

Length of Project

Award Type

0. 68

0. 80

0. 12 miles

Local

Route ID

Begin

WSDOT

End Mile Point

Mile Point

Region

County Name

Cowlitz

Agency Funding

Nearest Hundred Dollar

P. E.

500, 000

R/ W

50, 900

Const.

1, 942, 500

Total

2, 493, 400

State

Railroad

Urban Area Number

Local Cost

Estimated

Local Forces

County Number

Congressional District( s)

Total Phase

City Number

Legislative District( s)

Southwest Region

91- 600- 1310

Federal Program Title

CAAgency

Cowlitz County

Tax ID Number

081976292

Federal

Phase Start Funds

Nearest Hundred Dollar

Date Year

Month

500, 000

9/ 2020

1, 942, 500

9/ 2025

50, 900

2, 442, 500

Description of Existing Facility ( Existing Design and Present Condition) Roadway Width

Number of Lanes

21'

The existing bridge is posted for load restrictions and the road approaches and embankment at the bridge have been affected by scour. Description

The existing bridge width is —26' curb to curb.

of Proposed

Work

Description of Proposed Work( Attach additional sheet( s) if necessary)

The project consists of removing the existing bridge over Stillwater Creek and installing a new bridge. The approaches

to the bridge will be reconstructed

as needed.

The banks of Stillwater Creek will be stabilized.

Local Agency Contact Person

Title

Phone

Chris Andrews

Senior Engineer

360- 577- 3030

Mailing Address 1600 13th Avenue

South

City

State

Zip Code

Kelso

98626

By Project

Approving Authority

Prospectus

Title

County Engineer

Date 9/ 24/ 2026 Page 1

DOT Form 140- 101 Revised

01/ 2022

Previous Editions Obsolete

Agency

Project Title

Cowlitz County

Allender

Date

9/ 24/ 26

Road Bridge Replacement

Type of Proposed Work Project

Type( Check

all that Apply)

New Construction

Path / Trail

Reconstruction

Pedestrian /

Railroad

Parking

3- R

Roadway Width

Number of Lanes

No Change

2- R

Facilities

Other

Bridge

Geometric Design Data Description

Through Route

Crossroad Principal

Principal Arterial

Minor Arterial

Federal

Urban

El Collector

Collector

Functional

Rural

Major Collector

Classification

Flat Speed

Design Speed

Existing ADT

Design

NHS

Terrain Posted

Arterial

Minor Collector

Local Access

Roll

Mountain

Roll

Flat

Mountain

100

Year ADT

Design Year

2040

Design

Hourly Volume ( DHV)

Performance of Work Preliminary Engineering

Will Be Performed

Consultant with project management Construction Will Be Performed

Class

I-

Involves

Interagency Class

III -

Project

inspection

Agency

Contract

Agency

Classification

Environmental

Project

by County

Contract with agency and consultant Environmental

and surveying

Others

Impact Statement (

NEPA/ SEPA Section

EIS)

404

Involves

Class

II -

Categorically

Excluded ( CE)

Projects Requiring Documentation Documented

Agreement

Environmental

CE)

Assessment ( EA)

NEPA/ SEPA Section

404

Interagency Agreements Environmental

Considerations

Stillwater creek, which flows under the bridge, is habitat for ESA listed species.

There will be some work

within the ordinary high water to remove existing piles and regrade portions of the creek.

Page 2

DOT Form 140- 101 Revised 01/ 2022

Previous Editions Obsolete

Agency

Project

Cowlitz

Allender

County

Date

Title

Road Bridge Replacement

9/ 24/ 26

Right of Way No Right of Way Needed

All construction

Right of Way Needed

required

by the

No Relocation

Relocation

Required

contract can be accomplished

within the existing right of way. Utilities

Railroad

No utility work required

No railroad

All utility work will be completed of the construction contract

prior to the start

All utility work will be completed in with the construction contract

work required

All railroad work will be completed prior to the start of the construction

coordination

contract

All the railroad work will be completed in coordination with the construction contract

Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project

There is one communication utility located on the bridge. This utility will need to be temporarily or

permanently relocated prior to construction and can be placed back on the bridge after construction. The communications company has recently indicated they will abandon the phone line and provide alternate phone service for existing customers.

FAA Involvement Is any airport located

within

3. 2 kilometers (

2 miles)

of the proposed

project?

Yes n No

Remarks

This project has been reviewed by the legislative body of the administration agency or agencies, or it' s designee, and is not inconsistent with the agency' s comprehensive plan for community development. Agency By

Date

DOT Form

Mayor/ Chairperson

Page 3

140- 101

Revised

01/ 2022

Previous Editions Obsolete

ALLENDER RD BRIDGE Lewis County Cowlitz County Q

O Ln

5TH ST 4T

RYDERWQOD

3Dsr ND ST 1ST ST N V) u) u) n 0 Z w w Z OONOO Y

Z-

QQU

pa 10

CPA DESIGNED

Allender

Rd Bridge

sZ CO°

CIO

SA DRAWN

SHEET

DEPARTMENT

PUBLIC WORKS

1600 131h AVENUE SOUTH APPROVED

KELSO, WASHINGTON

y= DATE

4SHINGj0

98626

235803

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 Letter from Gary Huhta, Public Utility District No. 1 of Cowlitz County, regarding the PUD' s 2027 Budget. Submitted By: Pervie Nancy Reed, Administrative Assistant III Submitted For: Pervie Nancy Reed, Administrative Assistant III Department:

Commissioners

Information

Subject and Summary Statement

Letter from Gary Huhta, Public Utility District No. I of Cowlitz County, regarding the PUD' s 2027 Budget. Staff Attendance

Department

Recommendation

Attachments Document_

261016_

125442

Form

User

Task

Reed, Pervie

Agenda

Grayson,

Kelly

Clerk of the Board

Grayson,

Kelly

Item

Submission

Review

Action

Timestamp

Submit

10/ 19/ 2026

Approve

10/ 19/ 2026 7: 29: 00 AM

Approve

10/ 19/ 2026 7: 29: 00 AM

7: 17: 00 AM

Review Department Review

Approver

PUBLIC UTILITY DISTRICT NO.

I of Cowlitz County, Washington

September 23, 2026

Cowlitz County Board of Commissioners 207 41h Avenue N Kelso, WA 98626

Honorable Commissioners:

At the Statutory Budget Hearing held on September 22, 2026 by the Cowlitz PUD Board of Commissioners, the determination was made that the PUD' s 2027 Budget, as now prepared, discloses that no tax levy will be required for the year 2027. Sincerely,

A7 4P4. Gary Huhta General Manager

cc:

Cowlitz PUD Board of Commissioners

PO Box 3007.

961

121h Avenue .

Longview, Washington .

98632 . 360. 423. 2210 .

www.cowlitzpud.

org

235912

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 Signed letter dated 10/ 20/ 2026 to Kelly Lane appointing him to the Board of Health. Submitted By: Pervie Nancy Reed, Administrative Assistant III Submitted For: Pervie Nancy Reed, Administrative Assistant III Department:

Commissioners

Information

Subject and Summary Statement

Signed letter dated 10/ 20/ 2026 to Kelly Lane appointing him to the Board of Health representing Consumers of Public Health for a 2- year term, expiring on September 30, 2028. Staff Attendance

Department

Recommendation

Attachments

Untitled

Extract Pages

Form

User

Task

Reed, Pervie

Agenda

Grayson,

Kelly

Department

Kelly

Clerk of the Board

Item Submission Approver

Review

Action

Timestamp

Submit

10/ 20/ 2026

4: 17: 00 PM

Approve

10/ 21/ 2026

9: 14: 00 AM

Approve

10/ 21/ 2026

9: 15: 00 AM

Review Grayson,

Review

0VSZ CO&

Rdwd R Dahl, Chaimm

Go'

Board of Cowlitz County

Steve iiader, Cornrnm

District 3

wDisWI

Steven L Ferrell, Commissioner

District 2

Commissioners Kely Ckaysotj Oerkofthe Board

SSNING% October 20, 2026

Ms. Kelly Lane Dear Mr. Lane ,

The Cowlitz County Board of Commissioners is pleased to reappoint you to the Board of Health representing Consumers of Public Health for a 2- year term, expiring on September 30, 2028.

We sincerely appreciate your willingness to serve in this important role and are delighted by your commitment. Please also the Completion Certificate for the Open Public Meetings Act

OPMA) and Public Records Act ( PRA) Training, either by mail or via email at Cowlitz@cowlitzwa. gov. As a reminder, as part of your new role, any records created or

maintained in relation to your government duties, including through personal email or phone, are subject to the Public Records Act. Should you have any questions regarding this, feel free to contact our Public Records Department at 360- 577- 3020.

Sincerely,

Board of County Commissioners of Cowlitz County, Was ington

Richard

04,

Steve Rader,

l,. hairman

ommissioner

Steven L. Ferrell, Commissioner

cc:

Commissioner' s Record Health &

Cowlitz

Human

Services

County Board of Commissioners

360) 577- 3020

Fax(

360)

423- 9987

207 North 41 Avenue Cowlitz@cowlitzwa. Kelso, WA

98626

gov www.

co. cowlitz.

wa_us

235909

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 Signed letter dated 10/ 20/ 2026 to Dustin Fristed thanking him for his application to the Board of Health. Submitted By: Pervie Nancy Reed, Administrative Assistant III Submitted For: Pervie Nancy Reed, Administrative Assistant III Department:

Commissioners

Information

Subject and Summary Statement

Signed letter dated 10/ 20/ 2026 to Dustin Fristed thanking him for his application to the Board of Health. Staff Attendance

Department

Recommendation

Attachments

Untitled Extract Pages

Form

User

Task

Reed, Pervie

Agenda

Grayson,

Clerk of the Board

Kelly

Item

Submission

Review

Action

Timestamp

Submit

10/ 20/ 2026

4: 10: 00 PM

Approve

10/ 21/ 2026

9: 15: 00 AM

Approve

10/ 21/ 2026

9: 15: 00 AM

Review Grayson,

Kelly

Department Review

Approver

z 4Vk( col,4, G0

Ridiard R. Dahl, Chairrttian Distri

Board of Cowlitz

County

StaeRader,

Steven L Ferrell, ComnjAonerDejd2

Commissioners

Kery Grayson, irk cf the Board

4SFIING

October 20, 2026

Mr. Dustin Fristed

Dear Mr. Fristed,

Thank you for your application for the Board of Health board. After careful consideration, we regret to inform you that we are unable to move forward with your appointment at this time.

This may be because another applicant was selected or because the committee does not have any available openings. Frequently, opportunities on advisory boards become available, so we encourage you to keep an eye on the postings on the county website.

Good government starts with public participation in the many citizen volunteer boards. To promote that policy of participation and to get more citizens to learn more about their

government, when there is an opportunity to appoint a new member, even if it replaces a current member, the board may choose to appoint the new member. Sincerely,

Board of County Commissioners of Cowlitz County, Washington

Richard R. Dahl, Chairman

Rad

Steve

missioner

k=A Steven

L. Ferrell,

Commissioner

I cc:

Commissioner' s Record Health & Human Services

Cowlitz

County

Board

of Commissioners

360) 577- 3020 Fax( 360) 423- 9987

207 North 4'r' Avenue cowlitz@cowlitzwa. gov Kelso, WA

98626

www.

co. cowlitz.

wa. us

235911

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 Signed letter dated 10/ 20/ 2026 to Karen Joiner appointing her to the Board of Health. Submitted By: Pervie Nancy Reed, Administrative Assistant III Submitted For: Pervie Nancy Reed, Administrative Assistant III Department:

Commissioners

Information

Subject and Summary Statement

Signed letter dated 10/ 20/ 2026 to Karen Joiner appointing her to the Board of Health representing Public Health, Health Care Facilities, or Providers for a 2- year term, expiring on September 30, 2028. Staff Attendance

Department

Recommendation

Attachments

Untitled

Extract Pages

Form

User

Task

Reed, Pervie

Agenda

Grayson,

Kelly

Department

Kelly

Clerk of the Board

Item Submission Approver

Review

Action

Timestamp

Submit

10/ 20/ 2026

4: 15: 00 PM

Approve

10/ 21/ 2026

9: 14: 00 AM

Approve

10/ 21/ 2026

9: 15: 00 AM

Review Grayson,

Review

X''TZ Cp[/ R° C''

Board of Cowlitz County

DArd

Stems L Ferrell, Can is* w)E r Db rkt2

Commissioners 4S'H1NG

Ck ayson, Clerk ofthe Board

October 20, 2026 Ms. Karen Joiner Dear Ms. Joiner,

The Cowlitz County Board of Commissioners is pleased to reappoint you to the Board of Health

representing Public Health, Health Care Facilities, or Providers for a 2- year term, expiring on

September 30, 2028.

We sincerely appreciate your willingness to serve in this important role and are delighted by your commitment. Please also the Completion Certificate for the Open Public Meetings Act

OPMA) and Public Records Act ( PRA) Training, either by mail or via email at cowlitz@cowlitzwa. gov. As a reminder, as part of your new role, any records created or

of Cowlitz County, Washington

Richard R. Dahl, Chairman

issioner

Steve Rader,

Steven

cc:

rre ,

Commi

loner

Commissioner' s Record Health &

Human

Cowlitz County Board 207 North 4 h Avenue cowlitz@cowlitzwa. Kelso, WA

98626

Services

of Commissioners

360) 577- 3020

Fax( 360)

423- 9987

gov www. co. cowlitz. wa. us

235910

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 Signed letter dated 10/ 20/ 2026 to Lorna Stuart appointing her to the Board of Health. Submitted By: Pervie Nancy Reed, Administrative Assistant III Submitted For: Pervie Nancy Reed, Administrative Assistant III Department:

Commissioners

Information

Subject and Summary Statement

Signed letter dated 10/ 20/ 2026 to Lorna Stuart appointing her to the Board of Health representing Other Community Stakeholders for a 2- year term, expiring on September 30, 2028. Staff Attendance

Department

Recommendation

Attachments

Untitled

Extract Pages

Form

User

Task

Reed, Pervie

Agenda

Grayson,

Kelly

Department

Kelly

Clerk of the Board

Item Submission Approver

Review

Action

Timestamp

Submit

10/ 20/ 2026

4: 13: 00 PM

Approve

10/ 21/ 2026

9: 14: 00 AM

Approve

10/ 21/ 2026

9: 15: 00 AM

Review Grayson,

Review

Z CpG

Ridiard R Dahl, Chainnan Distrd3

Board of Cowlitz County 4SHINGI

StEkeRadmCommmorerMtidI StL-"

Commissioners

L Ferrell, commissioner District 2

Kelly Grdyson, ClerkoftheBoard

October 20, 2026

Ms. Lorna Stuart

Dear Ms. Stuart ,

The Cowlitz County Board of Commissioners is pleased to reappoint you to the Board of Health representing Other Community Stakeholders for a 2- year term, expiring on September 30, 2028.

We sincerely appreciate your willingness to serve in this important role and are delighted by your commitment. Please also the Completion Certificate for the Open Public Meetings Act

OPMA) and Public Records Act ( PRA) Training, either by mail or via email at cowlitz@cowlitzwa. gov. As a reminder, as part of your new role, any records created or

Board of County Commissioners

of Cowlitz County, Washington

Richard

Steve

Rader,

ahl

Chairman

mission

Steven L. Ferrell, Commissioner

cc:

Commissioner' s Record Health &

Human Services

Cowlitz County Board 207 North 4th Avenue cowlitz@cowlitzwa. Kelso, WA

98626

of Commissioners

360) 577- 3020 Fax( 360) 423- 9987

gov www. co. cowlitz. wa. us

235908

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 Signed letter dated 10/ 20/ 2026 to Robert Buchman thanking him for his application to the Board of Health. Submitted By: Pervie Nancy Reed, Administrative Assistant III Submitted For: Pervie Nancy Reed, Administrative Assistant III Department:

Commissioners

Information

Subject and Summary Statement

Signed letter dated 10/ 20/ 2026 to Robert Buchman thanking him for his application to the Board of Health. Staff Attendance

Department

Recommendation

Attachments

Untitled Extract Pages

Form

User

Task

Reed, Pervie

Agenda

Grayson,

Kelly

Department

Grayson,

Kelly

Clerk of the Board

Item Submission Approver

Review

Action

Timestamp

Submit

10/ 20/ 2026

Approve

10/ 21/ 2026 9: 15: 00 AM

Approve

10/ 21/ 2026 9: 16: 00 AM

4: 07: 00 PM

Review

01z GO— I'

Wjard R Dahl, Chamw Disaict3

Board of Cowlitz County

Steve Rader, GDrnn ssiona' D6tril1 Steven L Ferrell, Comm&siow District 2

Commissioners Kelly Grayson, 0erk ofthe l3card

45NING

October

20, 2026

Mr. Robert

Buchman

Dear Mr. Buchman,

Thank you for your application for the Board of Health board. After careful consideration, we regret to inform you that we are unable to move forward with your appointment at this time. This may be because another applicant was selected or because the committee does not have any available openings. Frequently, opportunities on advisory boards become available, so we encourage you to keep an eye on the postings on the county website.

Good government starts with public participation in the many citizen volunteer boards. To promote that policy of participation and to get more citizens to learn more about their government, when there is an opportunity to appoint a new member, even if it replaces a current member, the board may choose to appoint the new member. Sincerely, Board of County Commissioners of Cowlitz

County,

ington

Richard R. Dahl, Chairman

StevXEa

Steven L. Ferrell, Commissioner

cc:

Commissioner' Health &

Cowlitz

County

207 North 4'

Board

Services

of Commissioners

360) 577- 3020 Fax( 360) 423- 9987

Avenue

Cowlitz@cowlitzwa. Kelso, WA

s Record

Human

98626

gov www. co. cowlitz.

wa. us

235871

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 Affidavit

of Posting Resume

for the Month of August &

September

2026

Submitted By: Pervie Nancy Reed, Administrative Assistant III Submitted For: Pervie Nancy Reed, Administrative Assistant III Department:

Commissioners

Information

Subject and Summary Statement Affidavit

of Posting Resume for the Month of August &

September

2026

Staff Attendance

Department

Recommendation

Attachments Document_

261019_

140455

Form

User

Task

Reed, Pervie

Agenda

Grayson,

Department

Kelly

Item

Review

Action

Timestamp

Submission

Submit

10/ 20/ 2026

10: 09: 00 AM

Approver

Approve

10/ 20/ 2026

11: 22: 00 AM

Approve

10/ 20/ 2026

1: 34: 00 PM

Review

Reed, Pervie

Clerk of the Board Review

State of Washington

Affidavit of Posting Resume' Of the

Commissioners'

Proceedings

For the Month of

County of Cowlitz

August&

September 2026

Pervie Reed, Administrative Assistant, deposes and says: That she was authorized,

and that in compliance with said authorization from the Board of County Commissioners ofCowlitz County, Washington, she did on the 10 of October a resumd of the meetings, minutes, and

proceedings, in the City of Kelso, Washington, the County Seat of Cowlitz County, to- wit: on the bulletin board of the Cowlitz County Administration. Building. on the bulletin board of the Hall of Justice, and on the bulletin board at the Kelso Post Office. Dated 191h of October 2026.

rvie

Ree ,

Affiant

235935

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 Resolution Establising an Application and Interview process for Appointment to the Board of Commissioners of Cemetery District No. 1 Submitted By: Kelly Grayson, Exec Asst/ Clerk of the Board Submitted For: Kelly Grayson, Exec Asst/ Clerk of the Board Department:

Commissioners

Information

Subject and Summary Statement

A vacancy exists on the Board of Commissioners of Cemetery District No. 1. RCW 68. 52. 155 provides that " a vacancy on a board of cemetery district commissioners shall occur and shall be filled as

provided in chapter 42. 12 RCW". The resolution establishes an orderly and transparent application and interview process for the appointment of a qualified individual to fill the vacancy, consistent with applicable Washington State law. Staff Attendance

Department

Recommendation

Attachments

Resolution

Filling Cemetery District No 1 Position

Form

User

Task

Grayson,

Kelly

Agenda

Grayson,

Kelly

Department

Item

Review

Action

Timestamp

Submission

Submit

10/ 21/ 2026

9: 26: 00 AM

Approver

Approve

10/ 21/ 2026

9: 37: 00 AM

Approve

10/ 21/ 2026

1: 31: 00 PM

Review Grayson,

Kelly

Clerk of the Board Review

BEFORE

THE

BOARD

OF COWLITZ

OF COUNTY COUNTY,

COMMISSIONERS

WASHINGTON

In the Matter of Establishing an Application

and Interview

Appointment

Process

for

RESOLUTION

NO.

to the Board of

Commissioners of Cemetery District No. 1 WHEREAS, RCW 68. 52. 155 provides that " a vacancy on a board of cemetery district commissioners as provided in chapter 42. 12 RCW"; and

shall occur and shall be filled

WHEREAS, a vacancy exists on the Board of Commissioners of Cemetery District No. 1; and WHEREAS, the Board of County Commissioners of Cowlitz County desires to establish an orderly and transparent application and interview process for the appointment of a qualified individual to fill the vacancy, consistent with applicable Washington State law; and

NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Cowlitz County, Washington, 1.

as follows:

Public Advertisement. The vacancy on the Board of Commissioners of Cemetery District No. 1 shall be publicly advertised to solicit applications from interested and qualified individuals. The advertisement shall include information regarding the position, eligibility requirements,

application

submission

instructions,

and the application

deadline.

Application Process. Applications shall be made available to the public and submitted to

Cowlitz County by the deadline established by the Board of County Commissioners. Review and Interviews. The Board of County Commissioners shall review the applications received and may interview qualified applicants to evaluate their qualifications, interest, and willingness

at Open Public Following completion of the advertising, Meeting. application, and interview process, the Board of County Commissioners of Cowlitz County shall consider the qualified applicants and make the appointment to fill the vacancy on the Board of Commissioners of Cemetery District No. 1 during an open public meeting, in Appointment

accordance 5.

to serve.

with applicable

Compliance

with

Washington

Applicable

Law.

State law and the Open Public Meetings Act. The

advertising,

interview,

application,

and

appointment process shall be conducted in accordance with applicable state laws and public

ADOPTED

this

meeting

requirements.

day of

2026, by the Board of County Commissioners of Cowlitz County,

Washington. BOARD

OF COUNTY

OF COWLITZ

COMMISSIONERS

COUNTY,

Richard

WASHINGTON

R. Dahl, Chairman

Attest: Steve

Rader,

Commissioner

Kelly Grayson, Clerk of the Board Steven

L. Ferrell, Commissioner

235712

BOCC

Consent

Agenda

Meeting Date: 10/ 27/ 2026 Revised CRP No. 818- East Canyon View Drive Slide Repair- Project No. 1524- Work by County Forces Submitted By: Emilie Cochrane, Lead Admin Assistant III Submitted For: Susan Eugenis, County Engineer Department:

Roads

Administration

Information

Subject and Summary Statement

Attached is Revised County Road Project No. 818 for the East Canyon View Drive Slide Repair project, located between mileposts 0. 27 and 0. 30. On January 29, 2025, a portion of the roadway embankment slid down the slope. It has been determined that the work to repair the damage can be completed by County Forces. Staff Attendance Susan

Eugenis

Department

Recommendation

It is the recommendation of the Department of Public Works that the Board move to authorize said

revised County Road Project No. 818 and have the notice published in the usual manner. Attachments

Revised CRP 818, County Forces Notice- Publication, CRP No. 818 Executed, Vicinity Map

Form

Task

User Cochrane,

Emilie

Cochrane,

Emilie

Review

Action

Timestamp

Submit

10/ 15/ 2026

2: 00: 00 PM

Review-

Submit

10/ 15/ 2026

2: 14: 00 PM

Approver

Approve

10/ 17/ 2026

9: 08: 00 AM

Legal Review

Approve

10/ 19/ 2026

9: 17: 00 AM

Clerk of the Board

Approve

10/ 19/ 2026

9: 58: 00 AM

Agenda

Item

Preliminary

Submission

PW1 Moss,

Mike

Department Review

Jensen, Grayson,

Doug Kelly

Review

WORK BY COUNTY FORCES

NOTICE IS HEREBY GIVEN that the Board of County Commissioners of Cowlitz County, Washington,

have by Resolution

No.

authorized

the following

county

road

project, to be accomplished by County forces, at an estimated cost of$ 40, 000:

C.R.P. No. 818 East Canyon View Drive will repair the roadway embankment damaged by a landslide.

ADOPTED this 27th day of October, 2026.

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Resolution

No.

BEFORE THE BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY WASHINGTON In the Matter of Initiating

County Road Project Designated

C. R. P. No.

818 ; Project No.

1524

IT IS HEREBY RESOLVED THAT( EAST CANYON VIEW DRIVE), State Road Log No. 12480 from Milepost 0.27

to Milepost 0.30 be improved as provided below: Arterial Repair

embankment damaged

roadway

(_)

Collector

by a landslide.

Access

This project is hereby declared to be a public necessity and the County Road Engineer is hereby ordered and authorized to report and proceed thereon as by law provided. ( RCW 36. 75. 050, 36. 80. 030, 36. 80. 070) IT IS FURTHER RESOLVED THAT an appropriation from the officially adopted road fund budget and based on the County Engineer' s estimate is hereby made in the amounts and for the purposes shown: AMOUNT

PURPOSE

OF APPROPRIATION

Engineering

50, 000. 00

Right of Way Acquisition

20, 000. 00

TOTAL(

Not subject

70, 000. 00

to 36. 77. 060)

0. 00

Construction

70, 000. 00

TOTAL PROJECT COST Less

TOTAL

0. 00

from Other Funds

Contributions

COUNTY

70, 000. 00

ROAD FUND ALLOCATION

J This project is included in the officially adopted annual road program as Item The project is hereby made a part of the officially adopted annual road program in accordance with RCW 36. 81. 130. IT IS FURTHER RESOLVED

THAT:

MThe construction is to be accomplished by contract in accordance with RCW 36. 77. 020. et.seq. CJ The construction is to be accomplished by county forces in accordance with RCW 36. 77. 060 and WAC 136- 18. ADOPTED

this

Le" day

Mf& r-1n

COUNTpc0

EST:

CKelly

ray

Clerk

f the

, 2025.

O O

COWLITZ COUNTY WASHINGTON

oard c° wt, cz co

BOARD

OF COUNTY

OF COWLITZ

COUNTY,

SHINGTON

COMMISSIONERS

Richard

Steve

R. Dahl, Chairm

missioner

Steven L. Ferrell, Commissioner

Resolution No.

BEFORE

THE BOARD

In the Matter of Initiating

OF COUNTY

County

COMMISSIONERS

Road Project Designated

OF COWLITZ

C. R.P. No.

COUNTY,

WASHINGTON

818 ; Project No.

1524

IT IS HEREBY RESOLVED THAT( EAST CANYON VIEW DRIVE), State Road Log No. 12480 from Milepost 0. 27 to Milepost 0. 30 be improved as provided below: Arterial Repair roadway embankment

damaged

landslide.

(_)

Collector Access

(

THAT an appropriation

from the officially adopted road fund budget and based on the

County Engineer' s estimate is hereby made in the amounts and for the purposes shown: PURPOSE

AMOUNT OF APPROPRIATION

Engineering

50, 000. 00

Right of Way Acquisition

20, 000. 00

TOTAL( Not subject to 36. 77. 060) Construction

70, 000. 00 40, 000. 00

TOTAL PROJECT COST Less Contributions TOTAL COUNTY

110, 000. 00

from Other Funds

0. 00

ROAD FUND ALLOCATION

110, 000. 00

This project is included in the officially adopted annual road program as Item

15 .

The project is hereby made a part of the officially adopted annual road program in accordance with RCW 36. 81. 130. IT IS FURTHER RESOLVED

THAT:

The construction is to be accomplished by contract in accordance with RCW 36. 77. 020. et.seq. XX,) The construction is to be accomplished by county forces in accordance with RCW 36. 77.060 and WAC 136- 18. ADOPTED this

day of

2026.

BOARD OF COUNTY

COMMISSIONERS

ATTEST:

OF COWLITZ COUNTY, WASHINGTON

Kelly Grayson

Richard R. Dahl, Chairman

Clerk of the Board

Steve Rader, Commissioner

Steven L. Ferrell, Commissioner

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DESIGNED

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1A °° ,

V DEPARTMENT

Go'

3//4/ 2025

16K0LSO WASHINGTONAVENUE

M. P. 0. 27 TO M. P. 0. 30 SCALE:

1" =

KELSO, WASHINGTON 98626

2000'

SHEET

OF PUBLIC

SLIDE REPAIR PROJECT

APPROVED

EAST CANYON VIEW DRIVE

HING-

Motion

235533

BOCC

Item

Agenda

Meeting Date: 10/ 27/ 2026 Interlocal 26- 014 with Tacoma Pierce County Health Department Submitted By: Amanda Foshaug, Accounting Specialist II Submitted For: Gena James, HHS Deputy Director Department:

Human

Services

Dept

Information

Subject and Summary Statement

This interlocal agreement with Tacoma- Pierce County Health Department ( TPCHD) allows Cowlitz County and its residents access to a online food handler testing service. Several years ago, TPCHD developed and now manages this statewide online service to meet the requirements of WAC 246- 217 for education, testing, and issuance of food handler cards.

In addition to online access for residents, this agreement also allows Cowlitz County to subcontract with agencies

in the community to have kiosks available for residents that may not have access to online services and school districts to incorporate the testing into existing curriculum for students to learn and obtain food handler cards. This agreement will remain effective from January 01, 2027 to December 31, 2031. Staff Attendance Gena

James

Department

Recommendation

It is the recommendation

of the Cowlitz

County Health&

Human Services that the Board of

Commissioner move to approve interlocal 26- 014 with Tacoma Pierce County Health Department. Attachments

26- 014 FWC Interlocal

Form

User

Task

Foshaug, Amanda

Agenda

Drake,

Jamie

Preliminary

Review-

James,

Gena

Department

Approver

Item

Submission HHS

Review

Action

Timestamp

Submit

10/ 13/ 2026

10: 37: 00 AM

Approve

10/ 14/ 2026

2: 01: 00 PM

Approve

10/ 20/ 2026

2: 11: 00 PM

Review Berger, David

Legal Review

Approve

10/ 20/ 2026

4: 41: 00 PM

Grayson,

Clerk of the Board

Approve

10/ 21/ 2026

8: 55: 00 AM

Kelly

Review

235533

Motion

Item

Agreement#

INTERLOCAL

1061- 32- 2031

AGREEMENT

BETWEEN

TACOMA- PIERCE COUNTY HEALTH DEPARTMENT AND

COWLITZ COUNTY HEALTH &

HUMAN SERVICES

This Interlocal Agreement( Agreement) is made and entered into by and between the Tacoma- Pierce County Health

Department,

hereinafter

referred to as DEPARTMENT,

and COWLITZ COUNTY HEALTH &

HUMAN

SERVICES hereinafter referred to as the Local Health Jurisdiction. The DEPARTMENT and the Local

Health Jurisdiction

are collectively referred to as the " parties." I. RECITALS

WHEREAS, the DEPARTMENT and the Local Health Jurisdiction are local health departments as provided for under Chapters 70. 05, 70. 08, or 70. 46 RCW, with authority under Chapter 246- 217 WAC to issue food worker cards; and

WHEREAS, it is the purpose of this Agreement to provide for the funding and execution of services as described in Addenda A and B, attached hereto and incorporated herein; and

WHEREAS, the parties have the authority to enter into this Agreement pursuant to RCW 39. 34. 080. II. DEFINITIONS

As used herein, the following terms shall have the meanings set forth below: A.

Agreement means this Agreement together with the attached Addenda, and any other documents incorporated therein. Any oral representations or understandings not incorporated herein are excluded. Attached hereto and made a part hereof for all purposes are the following: Addendum

of Pages

Description

Scope of Work

Allocation of Fees

Department Representative means the individual or individuals designated and authorized by the DEPARTMENT to receive notices and to act for it in all matters relating to this Agreement, or the designee of such

Number

individual.

Local Health Jurisdiction' s Representative means the individual designated and authorized by the Local Health Jurisdiction to receive notices and to act for it in all matters relating to this Agreement, or the designee of such individual.

Services means all work performed by the DEPARTMENT or the Local Health Jurisdiction pursuant to and governed

by this Agreement,

including Addenda A and B.

III. TERM

The term of this Agreement shall be: January 1, 2027 through December 31, 2031, unless amended or terminated earlier pursuant to the terms and conditions herein. Should this Agreement be signed after the term beginning date stated herein, then it shall be retroactive and binding to that date. Prior to its entry into force, this Agreement shall be filed with the Pierce County Auditor' s office or, alternatively, listed by subject on the parties' websites or other electronically

retrievable

public source in compliance

with RCW 39. 34. 040.

IV. PAYMENT

Payment for the services described in Addendum A shall be provided as set forth in Addendum B, attached hereto and incorporated by reference. 1

Agreement#

1061- 32- 2031

V. HOLD HARMLESS

Except as otherwise provided herein, each party shall defend, protect, and hold harmless the other party, and its appointed and elected officials, employees, and agents from and against all liability, loss, cost, damage and expense, including but not limited to costs and attorney' s fees, because of claims, suits and/ or actions arising from any negligent or intentional act or omission asserted or arising or alleged to have arisen directly or indirectly out of or in consequence of the performance of this Agreement by that party' s appointed or elected officials, employees, and agents. VI.

The

DEPARTMENT

and

the

Local

Health

RECORDS

MAINTENANCE

Jurisdiction

shall

each

maintain

books,

records,

documents,

and

other materials, including but not limited to online data, that sufficiently and properly reflect all direct and indirect costs expended by either party in the performance of the services described herein. These records shall be subject to copying, inspection, review, or audit by personnel of either party, and other personnel duly authorized by law. The DEPARTMENT shall retain all books, records, documents, online data, and other material relevant to the services Jurisdiction

described

upon

in Addendum

A, which

materials

shall

made

available

to the

Local

Health

request.

VII.

TERMINATION

Except as otherwise provided for herein, either party may terminate this Agreement by giving the other party at least one hundred eighty ( 180) days written notice. If this Agreement is so terminated, each party shall be liable only for performance in accordance with the terms stated herein for services rendered prior to the effective date of termination.

Vill. CHANGE IN FUNDING

If the funding authorities of the DEPARTMENT ( Federal, State, and local agencies) fail to appropriate funds to enable the DEPARTMENT to continue payment as specified in this Agreement or if the Board of Health reduces the budget of the DEPARTMENT or any program( s) and, as a result of the Board of Health' s action, the DEPARTMENT' s Director of Health determines there are insufficient funds to continue payment as specified in this Agreement, then the DEPARTMENT may modify or cancel this Agreement without penalty provided that the Local Health Jurisdiction receives at least ninety ( 90) days prior written notice of lack of appropriated funds as the reason for the modification or termination. Any modification of this Agreement shall be effective only upon incorporation into a written amendment as set forth in Section XI.

IX. INTERPRETATION

In the event of an inconsistency found in the terms and conditions contained within this Agreement, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence in the following order: Applicable Federal and State Statutes and Regulations; Addenda A and B; and

The provisions of this Agreement. X. PERFORMANCE;

The DEPARTMENT

OWNERSHIP

OF WORK

shall perform all services in accordance with all applicable professional

standards and agrees

that it will use only qualified, competent personnel in the execution of these services. The DEPARTMENT owns all right, title, and interest in any materials or data, including but not limited to food worker card software, produced or created by the DEPARTMENT in the performance of its responsibilities under this Agreement.

Agreement#

1061- 32- 2031

XI. AMENDMENTS

Either party may request changes to this Agreement. Proposed changes, which are mutually agreed upon, shall be incorporated by written amendments to this Agreement. No changes to this Agreement are valid or binding on either party unless first reduced to writing and signed by the Representatives of both parties. XII.

NON- DISCRIMINATION

Each party covenants that in providing the Services and otherwise performing under this Agreement, no person shall

excluded

from

participation

therein,

denied

the

benefits

thereof,

otherwise

subjected

discrimination with respect thereto on the grounds of race, creed, color, national origin, families with children, sex, marital status, sexual orientation, age, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a person with a disability. XIII. DISPUTES This Agreement shall be administered

and interpreted

under

the laws of the State of Washington.

In the event

that a dispute arises in the interpretation or application of this Agreement, both parties are to proceed to good faith negotiation to resolve said disputes. The parties may also agree in writing to mediation if negotiation is not successful in resolving the dispute. However, in the event such disputes cannot be resolved, the dispute may be appealed to the parties' Local Health Officer or his / her designee for resolution.

In the event the Local Health

Officers are unable to resolve the dispute, either party may pursue relief in Superior Court. Jurisdiction of litigation shall be in the State of Washington. arising from this Agreement Venue for all actions arising pursuant to this Agreement shall lie within Pierce County, Washington. XIV. SERVICES MANAGEMENT

The work described in Addendum A shall be performed under the coordination and cooperation of both party representatives. Each party shall provide assistance and guidance to the other party as necessary for the successful performance and goals of this Agreement. XV. ALL WRITINGS

CONTAINED

HEREIN

This Agreement contains all the terms and conditions acknowledged by both parties. No other understandings, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to exist or bind the parties hereto. This Agreement supersedes any prior written agreements between the parties relating to the work described

in Addendum

IN WITNESS THEREOF the parties hereto have executed this Agreement as of the date( s) set forth below. Local

Health

Jurisdiction

Authorized

Signature

Board of County Commissioners County, Washington Refer to following page

Chantell Harmon

Cowlitz

Cowlitz County Health & 1952

9t" Avenue

Longview, 360)

WA 98632

414- 5599

Human

DEPARTMENT

Authorized Signature

Reed

Date

Director of Public Health

Services

Tacoma- Pierce County Health Department 3629 South D Street, MS 001 Tacoma, WA 98418 253)

649- 1500

Agreement#

1061- 32- 2031

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

REMAINDER

OF PAGE

LEFT

BLANK

INTENTIONALLY

Agreement#

ADDENDUM This Addendum

A applies

DEPARTMENT (

DEPARTMENT)

Jurisdiction).

1061- 32- 2031

A: SCOPE OF WORK AND SPECIFIC CONDITIONS

to Agreement #

and

1061- 32- 2031

COWLITZ

between the TACOMA- PIERCE COUNTY

COUNTY

HEALTH &

HUMAN

HEALTH

SERVICES ( Local

Health

In addition to the terms and conditions set forth in the Agreement, the parties agree as follows.

Local Health Jurisdiction' s Responsibilities:

1. 1. Authorize the DEPARTMENT by means of this Agreement to act as the Local Health Jurisdiction' s Designated Agent" and provide online food worker training, testing and card issuance to residents of Cowlitz County and any out- of-state residents who state they work in Cowlitz County, as permitted under Chapter 246- 217 WAC.

1. 2. Hold the DEPARTMENT harmless from any actual or purported loss of online food worker training, testing and card issuance income during times of unavoidable lack of access to the DEPARTMENT' s training, testing and card issuance web site. 1. 3. Maintain the security of the data originating from and contained in the online food worker card database. This includes but is not limited to adhering to the standard practices for strong password generation and user account management. The Local Health Jurisdiction shall not grant unauthorized parties access to the confidential data originating from or contained in the online food worker card database.

The DEPARTMENT' s Responsibilities: 2. 1.

Provide online food worker training, testing and card issuance services as a designated agent of the Local Health Jurisdiction in accordance with the State of Washington' s requirements under Chapter 246- 217 WAC.

2. 2. Ensure a good- faith effort to maintain a training, testing and card issuance web site that functions and is accessible to residents of Cowlitz County and any out-of-state residents who state they work in Cowlitz County. 2. 3. Provide Local Health Jurisdiction with the location of a website to which residents of Cowlitz County and any out- of- state residents who state they work in Cowlitz County may be directed for online training, testing and card issuance. The DEPARTMENT may change the location of the website, but must provide re- direction to a new site with a minimum of thirty( 30) days advance notice to Local Health Jurisdiction. 2. 4. Provide access to the software to print a food worker card with the Local Health Jurisdiction

logo which

shall be valid throughout the State of Washington for a minimum period of two years from the date of issuance.

2. 5. Establish a secure online payment gateway and service that will permit online payment services via, credit cards, including

but not limited to Visa and MasterCard,

2. 6. Provide and pay for an online maintenance

agreement

as well as debit cards.

with an outside contractor

to provide technical

support of the website and online programming of the online food worker card software. 2. 7. Provide Local Health Jurisdiction with a written statement of income on a quarterly basis, or as frequently as the parties may otherwise agree, or a link to an online report providing the same information.

2. 8. Provide support and service to Local Health Jurisdiction during regular DEPARTMENT hours of operation to ensure Local Health Jurisdiction has the ability to respond to queries from residents of Cowlitz County and any out- of- state residents who state they work in Cowlitz County.

Agreement#

Public

Records

1061- 32- 2031

Requests.

3. 1 The DEPARTMENT holds the records and data generated by the Food Workers Card software as the Local Health Jurisdiction' s designee. The DEPARTMENT will provide all such materials to the Local Health Jurisdiction in response to any public record request the Local Health Jurisdiction may receive relating to the Food Workers Card database. The Local Health Jurisdiction will be responsible for releasing the records to the requester in accordance with Chapter 42. 56 RCW and Chapter 44- 14 WAC.

When the Local Health Jurisdiction

requests

records, the Local

Health Jurisdiction

must

clearly describe the records that are being requested. The DEPARTMENT will notify the Local Health Jurisdiction as to the number of days it will take to gather the responsive records. Any public records will be fulfilled In the event the requests received by the DEPARTMENT by the DEPARTMENT. DEPARTMENT

receives

a request

for public

records

regarding

the

Local

Health

Jurisdiction' s

records, the DEPARTMENT will notify the Local Health Jurisdiction of the request prior to releasing the records.

Liaisons for the Agreement: On behalf of the DEPARTMENT:

Donald Foreman, REHS Project Manager

Tacoma- Pierce County Health Department 3629

S D Street

Tacoma,

98418

Phone: (

253)

649- 1707

Fax: ( 253)

649- 1360

Email: dforeman(a tpchd. org On behalf of the Local Health Jurisdiction: Jamie Drake Finance

Manager

Cowlitz

County Health &

Human

Services

1952 9t" Avenue Longview, Phone: (

98632

360) 414- 5599

Fax ( 360)

425- 7531

mailto:HHSAccounting@ cowlitzwa.gov

Email: HHSAccounting( c cowlitzwa. gov

REMAINDER

OF PAGE

LEFT

BLANK

INTENTIONALLY

Agreement#

ADDENDUM

This Addendum

B applies

DEPARTMENT (

DEPARTMENT)

Jurisdiction).

B: ALLOCATION

to Agreement #

and

1061- 32- 2031

COWLITZ

FOOD

WORKER

CARD

1061- 32- 2031

FEES

between the TACOMA- PIERCE COUNTY

COUNTY

HUMAN

HEALTH &

HEALTH

SERVICES ( Local

Health

In addition to the terms and conditions set forth in the Agreement and Addendum A, the parties

agree as follows: 1.

Fee Allocation and Method of Payment: 1. 1.

During the period January 1, 2027 through December 31, 2031, the DEPARTMENT will collect on behalf of the Local Health Jurisdiction or hereafter

1. 2.

The

the maximum fee established

under Chapter 246- 217 WAC, as now

amended.

DEPARTMENT

will

3. 50 per card fee as payment for the services described in this Agreement from each online food worker card issued online to a resident of Cowlitz County and any outin of- state resident he Cowlitz who states or she works County and who enters the www.foodworkercard. wa. gov testing website ( or a successor site) by means of the Local Health Jurisdiction' s web link, the DEPARTMENT' s web link, or any other approved link. The balance of the retain

a $

monies collected under Chapter 246- 217 WAC shall be remitted to the Local Health Jurisdiction in accordance with the terms set forth below.

1. 3. The DEPARTMENT may impose and retain a surcharge or equivalent assessment intended to recoup any credit card processing fees. Such a surcharge or equivalent assessment will be paid directly by the food worker( not by the Local Health Jurisdiction), and shall not be included in the fee allocations and methods of payment described elsewhere in this section. 1. 4. If the actual and indirect costs incurred

by the DEPARTMENT

to provide the services described

in this

Agreement exceed $ 3. 50 per card, the DEPARTMENT may, in its sole discretion, increase the amount it retains as payment for services to offset the difference Jurisdiction 90) days

will

be reduced.

in advance

1. 5. The DEPARTMENT

to the Local

will

and the amount remitted to the Local Health

Written notice of rate increases, if any, will be provided in writing ninety Health

Jurisdiction.

1. 00 per card fee for the services described in this Agreement from each replacement food worker card issued online to a resident of Cowlitz County and any out- of-state resident who has lost his or her original food worker card; provided, he or she works in Cowlitz County, purchases

retain

a $

food

replacement—

worker

card

without

taking

the

online

test,

and

enters

the

www. foodworkercard. wa. gov testing website ( or a successor site) by means of the Local Health Jurisdiction' s web link, the DEPARTMENT' s web link, or any other approved link. The balance of the monies

collected

under

Chapter

246- 217

WAC

shall

remitted

to the

Local

Health

Jurisdiction

accordance with the terms set forth below.

1. 6. If a food worker from a Local Health Jurisdiction challenges the validity of a payment for an online food worker card and the credit card company

charges

back or reverses

the payment,

the Local Health

Jurisdiction agrees to pay any fees and costs associated with the cost of the reversal. Currently these fees are $ 25. 00 per transaction

in addition to the actual amount reversed.

1. 7. The DEPARTMENT shall remit monies owed to the Local Health Jurisdiction on a quarterly basis, together with a written statement of income received, or as frequently as the parties may otherwise agree, or a link to an online report providing the same information. Said funds will be deposited by ACH payment within 20 business days of the end of the quarter.

1. 8. At the written request of the Local Health Jurisdiction Representative the DEPARTMENT may enter into agreements

with institutions

such as Department

of Corrections

to provide food worker cards for

residents of Cowlitz County that are not permitted internet access. The DEPARTMENT will retain 10. 00 per card

fee for this

service.

Agreement#

Accounting

1061- 32- 2031

Information:

3. 1.

Source of Funding: N/ A

3. 2.

DEPARTMENT

Program

Number:

REMAINDER

1061 -

Online Food Card

OF PAGE LEFT BLANK INTENTIONALLY

235474

BOCC

Motion

Item

Agenda

Meeting Date: 10/ 27/ 2026 Contract 26- 024 with Emergency Support Shelter for Coordinated Entry Submitted By: Amanda Foshaug, Accounting Specialist II Submitted For: Gena James, HHS Deputy Director Department:

Human

Services

Dept

Information

Subject and Summary Statement

Agreement with Emergency Support Shelter sets forth the terms and conditions to operate as a

coordinated entry access point 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. This agreement is funded through the Washington

State Department of Commerce.

The agreement will be paid on a cost reimbursement basis, not to exceed $ 40, 000. 00.

This agreement 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. This agreement is cost reimbursement based not to exceed $ 40, 000. 00 for the period of July 1, 2026

through June 30, 2027, funded through a grant from the Washington State Department of Commerce. Contract/ SOW Name

Current

26- 023 ESS CE

Change

1+$

Total

40, 000. 00

ime Period 7101/ 26- 6/ 30/ 27

Staff Attendance Gena

James

Department

Recommendation

It is the recommendation

of the Cowlitz

County Health&

Human Services that the Cowlitz County

Board of Commissioners move to approve Contract 26- 024 with Emergency Support Shelter. Attachments 26- 024

ESS CE

Form

Task

User

Foshaug, Drake,

Amanda

Jamie

Agenda

Item Submission

Preliminary

Review-

HHS

Review

Action

Timestamp

Submit

10/ 12/ 2026 2: 23: 00 PM

Approve

10/ 12/ 2026

2: 59: 00 PM

235474

James,

Motion

Gena

Department

Approver

Item

Approve

10/ 14/ 2026

7: 41: 00 AM

Review Berger, David

Legal Review

Approve

10/ 19/ 2026

9: 25: 00 AM

Grayson,

Clerk of the Board

Approve

10/ 19/ 2026

9: 57: 00 AM

Kelly

Review

NTZ CO&

GO*%' SUBRECIPIENT

GRANT

AGREEMENT

Number:

NSN1NG1

26- 024

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 Emergency Support Shelter( 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 as a Coordinated Entry access point. 2.

Term. This Agreement shall take effect on July 1, 2026 and terminate on June 30, 2027.

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").

Grant Award.

The Subrecipient is awarded a total of$ 40, 000.

Budget. The Grant Award shall be expended by the Subrecipient as set forth in Attachment B Budget.

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.

In addition to the responsibilities outlined herein and in Attachment A Reporting Requirements. 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.

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, b.

Date

Admin

or otherwise

lost or impaired

in whole or in part.

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26- 024 Last

suspended,

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 Subrecipient will be entitled to payment only for those expenses and costs reasonably and actually incurred prior to the effective date of the termination.

Revised:

Form:

1615. 1

01/ 22/ 2025

GRANT

AGREEMENT

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

The Subrecipient shall provide the County with an accounting of authorized services provided through the effective date of termination.

any.

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

Gena James

Title:

Deputy Director

Department:

Health &

Address:

1952

(

Admin

WA 98632

414- 5599

Emergency Support Shelter 1330 11th Avenue Longview,

WA 98632

360) 425- 1176

mailto:HHSContracts HHSContracts( c cowlitzwa. gov 360) 425- 7531 @cowlitzwa.

UEI:

TZ8RNRDSRNN1

MRFUY6XNE7E4

UBI:

08- 300- 3788

601- 052- 784

executivedirector@esshelter.

com

2 of 43

26- 024 Date

Chief Executive Officer Services

Fax:

E- mail:

Last

360)

Human

Shira Lile

9tn Ave

Longview, Telephone:

For the Subrecipient:

County:

Name:

Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

15.

AGREEMENT

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

Per occurrence

1, 000, 000 1, 000, 000

Per occurrence

2, 000, 000

Aggregate

1, 000, 000

Per occurrence

2, 000, 000

Aggregate

ERRORS AND OMISSIONS or PROFESSIONAL

LIABILITY with an Extended Reporting Period

Endorsement(

two year tail).

WORKERS COMPENSATION:

Statutory amount Waiver of Title 51 Rights

EMPLOYER' S LIABILITY/ Stop Gap: Per occurrence

1, 000, 000

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 3 of 43

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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.

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 91h 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.

to the Subrecipient shall be suspended

in the event of noncompliance.

Payment

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 state funds through the Washington State Department of Commerce.

Subrecipient agrees to use the Grant Award funds awarded to it in

accordance

A and in accordance

with Attachment

with

all applicable

rules

and

requirements

from

the Washington State Department of Commerce Consolidated Homeless Grant attached as

Attachment E. 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. 5 of 43

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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

d. Attachment

D—

e. Attachment

E— Consolidated

f. Exhibit

Cowlitz County Coordinated Entry Policies and Procedures

IN WITNESS

A—

WHEREOF,

Retirement

the parties

have

Form Certification Homeless

executed

Grant

this Agreement

this

day of

SUBRECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard

R. Dahl,

Chairman

Steven

L. Ferrell,

Commissioner

Print name: Steve

Title:

FORM

HAS

BEEN

BY COWLITZ

PROSECUTING

Date

APPROVED

AS TO

COUNTY

ATTORNEY

Clerk

of the Board

Date

6 of 43

26- 024 Admin

Commissioner

ATTEST:

CONTRACT

Last

Rader,

Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

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

a. Objective: Operate as a subpopulation dedicated Coordinated Entry ( CE) access point to efficiently and effectively connect Cowlitz County households fleeing intimate partner violence which has occurred within the previous thirty ( 30) days, and who are 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 subrecipient 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 subrecipient will assure households who are not fleeing or attempting to flee violence will be connected

with other CE access points.

e. The subrecipient 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 subrecipient shall comply with Exhibit A- Cowlitz County Coordinated Entry Policies and Procedures Provider Manual, attached as Exhibit A hereto and incorporated herein by reference, and as may be updated. h. The subrecipient 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 i.

ii.

of Subrecipient

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. Mobility— CE access points must be able to work with homeless people wherever they are.

iii.

iv.

vi.

vii.

viii.

ix.

Collaborative Approach —

the CE access points must have the ability to build and maintain strong and effective working partnerships with shelters and housing partners. Communication— CE access points must have the ability to communicate how the system works to individuals who are homeless, providers, and the public. Resource

Referral —

CE access points will engage in resource referral for individuals

seeking information on community resources. 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. 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. 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. Data- informed — CE is a critical source of information about who enters homelessness

the County. The data collected will be used for ongoing and continuous system

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AGREEMENT

ATTACHMENT

improvement. The CE access points must have strong commitment to data quality and a willingness to be data- informed.

These services may only be provided by the subrecipient, no portion may be delegated or subcontracted to any other individual, firm or entity. j. The Subrecipient shall comply with all applicable requirements, policies and procedures in the x.

Consolidated

Homeless- Grant Guidelines found here and as updated:

https://www.commerce.wa.gov/serving-communities/homelessness/consolidate https:// www. commerce. wa. gov/ serving- communities/ homelessness/ consolidated- homelesshttps://www.co d-homeless-grant/ grant/ k. Outcomes and Measures: mmerce.wa.go i. v/serving-com Households experiencing homelessness or at risk of homelessness have access to munities/home Coordinated Entry and are connected to available housing resources and other lessness/cons community resources. ii. The following outcomes/ outputs will be used to evaluate the performance of CE access olidated-homel points: ess-grant/ 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%) Reporting: The subrecipient will submit reports no later than the dates outlined in the following reporting schedule. Type Targeted

of Report

Time

Eligibility Screening

Monthly

Period

Due

Date

151' of the month following the month of service

Additional Requirements: The subrecipient 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

Data Collection

Completed evaluation tools

Backup reports/ data for invoicing. Site Visits: The subrecipient will coordinate visits with the County Project Manager for contract e.

compliance, 5.

organizational

due diligence,

program evaluation, technical assistance,

and Continuous

Quality Improvement. 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

BUDGET

Budget. The County shall reimburse the Subrecipient in an amount not to exceed $ 40, 000. Unspent grant proceeds will be reallocated at the discretion of the County. Budget Budget Lines

Total

34, 878

Personnel

Other Expenses ( equipment, Indirect

mileage,

lies

1, 486

10%

3, 636 40, 000

Total

Indirect charges must not include items that are billable to any other category Unless noted in the budget, actual

administrative

costs

cannot

exceed

a maximum

10% rate of

actual program expenses, each month. 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.

The Subrecipient may submit, in writing to the County Contract Representative, a request to adjust the budget at any time during the agreement period. The County will respond to all request in writing with determination. Requests may:

Change the individual line budget,

Not change the total agreement award.

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

the progress of the project, and fees.

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 may be due sooner than the 15t" and the County will provide notification of the end of the State fiscal period due date, if applicable.

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ATTACHMENT

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.

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.

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.

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.

Subrecipient is bound to follow all applicable terms of the Washington State Department of Commerce Consolidated Homeless Grant , which is attached hereto as Attachment E.

Additionally, Subrecipient agrees that the Washington State Department of Commerce and the State of Washington are not liable for claims or damages arising from Subrecipient' s performance under this Agreement.

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AGREEMENT

ATTACHMENT

CERTIFICATION

I, Shira Lilez am the Chief Executive Officer of Emergency Support Shelter and I certify that: 2.

1 have authority and approval from the governing body on behalf of Emergency Support Shelter to accept proceeds from the County per Agreement for the Coordinated Entry project by and between the County and Emergency Support Shelter .

1 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 Coordinated Entry Were incurred during the period that begins on July 1, 2026 through June 30, 2027.

1 understand Emergency Support Shelter 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.

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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AGREEMENT

ATTACHMENT

RETIREMENT

CERTIFICATION

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

Did you

retire

before age 65 using the 2008 early retirement

Will

you

be receiving direct compensation

Will

you

be receiving indirect

one

of the State of Washington

Retirement Systems? factors ( ERF)?

for your services? for your services?

compensation

YES

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

Social 2:

COUNTY

COMPLETES

Use Member Reporting 1.

Contractor

has

THIS

Security No.: SECTION

Date:

AND

RETAINS

FOR AUDIT

Verification ( MRV) to verify the past retirement

been

a member

of a Washington

State

Retirement

PURPOSES:

membership] System

YES

If YES, what system and plan? Teachers'

Retirement

System (

TRS)

Planl

Plan

School

Employees'

Retirement

System (

SERS)

Plan

Public

Employees'

Retirement

System (

PERS)

Plan

Public

Safety Employees'

Plan

Law

Enforcement

Washington

Retirement

Officers' &

State Patrol

Fire

System ( PSERS)

Fighters'

Retirement

System (

System ( WSPRS)

Plan

LEOFF)

Plan

Judicial Retirement System ( JRS) 5.

Is the contractor a retiree of a Washington

Did the contractor retire before

age

State Retirement

65 using the 2008

System?

ERF?

Yes

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

Signature:

REPRESENTATIVE:

Date:

COUNTY RETAINS THIS FORM 12 of 43

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GRANT

AGREEMENT

6ocusgn

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

Washington

State

G01Dement y1merce

Interagency Agreement with

Cowlitz County Health & Human Services

through

Housing Division Homelessness Assistance Unit

Contract Number: 26- 46108- 08 For Consolidated

Homeless

Grant

Dated: July 1, 2025

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EXH| 8| TA

m. 7E177F- 03--8EF-4wKg- j. 8A5- r4lromw47msB

Wm^~.^`v

Table of Contents TABLE

orcomrEmr&............................................................................................................................................. 2

FACESHEET............................................................................................................................................................

emSH/

mEM/

m43rom

STATE

DEPARTMENT

oF COMMERCE.............................................................................................

TmVIoxmmCONDITIONS.------------------_-----_-----'

Aur* onn,-------------------------------------------------'.

CONTRACT

COMPENSATION..............................................................................................................................................

BILLING

SUBCONTRACTOR

mamxncE...................................................................................................................................................... s

pRAuoxmo

ORDER op PRECEDENCE..................................................................................................................................

MANAGEMENT.............................................................................................................................

PROCEDURES

GamcmuTERMS

AND

DATA

OTHER

LOSS

PAYMENT.............................................................................................................

COLLECTION.............................................................................................................

REPORTING.............................................................................................................

s s

AND CONDITIONS.—'—'—'—'---'—_'---'—'_---'—'_—'---'/

DEFINITIONS....................................................................................................................................................

ALL WRITINGS

CONTAIN

HEREIN.................................................................................................................

AMENDMENTS................................................................................................................................................

ASSIGNMENT...................................................................................................................................................

CON p/ osmTIAur,

COPYRIGHT......................................................................................................................................................

DISPUTES.........................................................................................................................................................

GOVERNING

INDEMNIFICATION ..........................................................................................................................................

10.

mEma/ wm' ACCREDITATION

11.

RECAPTURE......................................................................................................................................................

12.

RECORDS

1a.

SAVINGS..........................................................................................................................................................

14.

aEVEnAmLnr...................................................................................................................................................

15.

SUBCONTRACTING ..........................................................................................................................................

zs.

SURVIVAL.......................................................................................................................................................

17.

TERMINATION

FOR

CAUSE.............................................................................................................................

1e.

TERMINATION

FOR

CONVENIENCE................................................................................................................

19.

TERMINATION

PROCEDURES.........................................................................................................................

xo.

TREATMENT

op ASSETS.................................................................................................................................

21.

wnIVsn ----------------------------------------_-----

ATTACHMENT»

ATTACHMENT

Amo SAFEGUARD/

msnpm

FORMATION...........................................................................

mwAmovswus........................................................................................................................ y n

xmonssonnAnom........................................................................................... n

MAINTENANCE................................................................................................................................

SCOPE

oFWORK.---'—'—'---'------'—'_---'—'_—'---

BUDGET....................................................................................................................................

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Enwe ape ID, 7E177E03- fiEE¢ 45flg- 9fiA5- B1FD9A4476EB

7Neshnp;

pn Stare

I, Depa= Face Sheet Contract Number: 2646108AS Washington

State Department

of Commerce

Housing Division Homelessness

1. Contractor Cowlitz

Assistance

Unit( HAU)

2 Contractor Doing Business As( as applicable}

County Health&

Human

Services

1952 9ih Ave Longview,

9& 632

3, Contractor Representative

4, COMMERCE Representative

Gena

Tia Stoner

1011

Contract

Olympia,

James

Deputy

Director

360) 414- 5599

360- 725- 5050

IaMeSQCUI.. COW11fZWa_ 5. Contract

Amount

Funds(

Funding

Source

Federal: as

Federal

applicable)

Other:

NIA:

NIA

wa. gov Date

June 30, 2027

ALN

Agency:

NIA

if. SWV#

12. UBI#

13. UEI#

0000537- 02

083- 003- 739

TZBRNRDSRNN

14. Award Method

NOFOIRFX#

Proviso#

Direct:®

NIA

Competitive:

15. Contract

End

July 1, 2025

NIA

10. TaxID#

ST SE

T. Start Date

State:®

NIA

Plum

93504- 2525

Tia. Stoner@Commerce.

Q0V

11, 737, 213. 00 9. Federal

Manager

Purpose

This grant provides resources to fund homelessness crisis response systems and to assist people who are experiencing or are at risk of homelessness to obtain or maintain housing. All funding sources identified in the Consolidated Homeless Grant must be prioritized for preserving and maintaining existing programs and service levels, as reported to Commerce in the SFY 2024 Annual COMMERCE,

Expenditure

defined

Report.

as the Department

of Commerce,

and the Contractor,

as defined

above,

acknowledge

and accept the

terms of this Contract and Attachments and have executed this Contract on the date below to start as of the date and year referenced above. The rights and obligations of both parties to this Contract are governed by this Contract and the following documents incorporated by reference: SFY 2026 and 2027 CHG Application and Budget workbook, CHG Guidelines ( as they may be revised from time to time), Contractor Terms and Conditions including Attachment ` A" - Scope of Work, Attachment "

B"—

Budget.

FOR CONTRACTOR

FOR COMMERCE

rlGeC<au d VAL Tic

ahl, Chair,

Board of County Commissioners

a eher, Interim

Assistant

Director

Housing Division 10/ 1/ 2025

1 &:

Date

PDT

1- 01312025

12: 50 PH PDT

Date

APPROV

ED AS T O FORM

BY ASSISTANT APPROVAL

ONLY

ATT ORNEY G E NEPAL

ON FILE

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Special Terms and Conditions 1.

AUTHORITY

COMMERCE and Contractor enter into this Contract pursuant to the authority granted by Chapter 39. 34 RCW. 2.

CONTRACT

MANAGEMENT

The Representative for each of the parties shall be responsible for and shall be the contact person for all communications and billings regarding the performance of this Contract. The Representative

for COMMERCE

and their

contact

information

are identified

on the Face

Sheet of this

Contract.

The Representative for the Contractor and their contact information are identified on the Face Sheet of this Contract. 3.

COMPENSATION

COMMERCE shall pay an amount not to exceed$ 11. 737, 213. 00 for the performanceof all things necessary for or incidental to the performance of work as set forth in the Scope of Work. Grantee' s compensation shall be based on the terms of the Scope of Work and Budget. Expenses Grantee

shall

receive

reimbursement

for approved

expenses

as identified

below

or as

authorized

advance by COMMERCE as reimbursable. The maximum amount to be paid to the Grantee for authorized expenses shall not exceed$ 11, 737.213. 00. This amount is included in the Grant total above. If travel is required to complete the scope of work and is approved

in advance

in writing,

reimbursable

travel

expenses may include airfare ( economy or coach class only), other transportation, lodging, and food necessary during periods of required travel. Grantee shall be reimbursed at a rate not to exceed the current state

rate

and

accordance

with

the

State

of Washington

Office

Financial

Management

Travel

Regulations. 4.

BILLING

PROCEDURES

AND

PAYMENT

COMMERCEwill pay Grantee upon acceptanceof deliverables or services provided and receipt of properly completed

invoices,

which

shall

submitted

to COMMERCE

via the

Contracts

Management

System

CMS).

The

invoices

shall

describe

and

document,

COMMERCE'

satisfaction,

a description

of the

work

performed, the progressof the project, and any expenses to be reimbursed. The invoice shall include Grant Number 2& 46108- 08. If applicable,

Grantee

must

also

include

attachments

that

describe

and

document,

COMMERCE'

satisfaction, a detailed description of the work performed, progress of the project, and) or receipts or other proof of payment. Except for approved indirect costs, if any, or as otherwise authorized by COMMERCE in writing, a receipt must accompany every expense in the amount of $ 50. 00 or more to receive reimbursement.

COMMERCE

may request

additional

documentation

at anytime.

Any expense reimbursed under this Grant which is later determined to be unallowable must be repaid according to the terms COMMERCE provides. Payment shall be considered timely if made by COMMERCE within thirty( 30) calendar days after receipt of properly completed invoices. Payment shall be made electronically utilizing Grantee' s Statewide Vendor SWV) number.

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Ufllar("e

COMMERCE may, in its sole discretion, terminate this Grant or withhold payments if the Grantee fails to satisfactorily comply with any term or condition of this Grant. No payments in advance or in anticipation of services or supplies to be provided under this Agreement shall be made by COMMERCE. No payments in advance ofor in anticipation of any expense reimbursable under this Grant shall be made by COMMERCE If subgranting and) or subcontracting is authorized by COMMERCE, all Subgrantee) Subcontractor payments are reimbursable

expenses

within the meaning

of this Agreement.

Grantee must have, and may be required

to demonstrate, the means to pay each and every SubgranteelSubcontractor. Failure to pay Subgrantees+Subcontractors as agreed may result in suspension or termination of this Grant. Invoices and End of Fiscal Year

I nvoices are due on the 20th of the month following the provision of services. Final invoices for a state fiscal year may be due sooner than the20th and Commerce will provide notification of t he end of fi s ca I yea r d ue d ate. The Contractor must invoice for all expenses from the beginning ofthe contract through June 30, regardless cfthe

contract

Duplication

start

of Billed

and and date. Costs

The Contractor shall not bill COMMERCE for services performed under this Agreement, and COMMERCE shall not paythe Contractor, if the Contractor isentitled to payment or has been or will be paid by anyother source, including grants. forthat service. Disallowed

Costs

The Grantee is responsible for any audit exceptions or disallowed casts incurred by its own organization or that of its subgrantees.

Unless otherwise authorized by COMMERCE employee overtime nor bonus pay. COMMERCE

may, in its

sole

discretion,

in writing,

withhold

ten

reimbursable

10%)

percent(

payroll costs shall not include

from each payment until acceptance

by COMMERCE of the final report( or completion of the prcject, etc.). 5.

SUBCONTRACTOR

DATA

COLLECTION

Contractorwill submit reports, in a form and format to be provided by Commerce and at intervals as agreed bythe parties, regarding work underthis Contract performed by subcontractors and the portion of Contract funds expended for work performed by subcontractors, including but not necessarily limited to minorityowned,

woman- owned,

and

veteran- owned

business

subcontractors. '

Subcontractors"

shall

mean

subcontractors of any tier. G.

INSURANCE

Each party certifies that it is self- insured under the State' s or local government program

and shall be responsible

Additionally, insurance

the Contractor

coverage

for losses for which it is found

is responsible

for the activities

for ensuring

self- insurance liability

liable.

that any Sub-grantees

arising out of subgrants,

provide

adequate

as follows:

Commercial General Liability Insurance Policy. Provide a Commercial General Liability Insurance Policy, including contractual liability, written on an occurrence basis, in adequate quantity to protect against legal liability arising out of Subgrant activity but no less than$ 1. 000. 000 per occurrence.

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I Depa- mMt" of W l aiT1CT[ E Automobile Liability. In the event that performance pursuant to this Grant involves the use of vehicles, owned or operated by the Subgrantee, automobile liability insurance shall be required. The minimum limit for automobile liability is$ 1, 000. 000 per occurrence, using a Combined Single Limit for bodily injury and property damage. 7.

FRAUD

AND OTHER

LOSS

REPORTING

Contractor shall report in writing all known or suspected fraud or other loss of any funds or other property furnished under this Contract immediately or as soon as practicable to the Commerce Representative identified on the Face Sheet. 8.

ORDER

OF PRECEDENCE

In the event of an inconsistency in this Contract, the inconsistency shall be resolved by giving precedence in the following order: Applicable

federal

and state of Washington

statutes

and regulations

Special Terms and Conditions

General Terms and Conditions Attachment

A— Scope of Work

Attachment B— Budget

CHG Guidelines, incorporated by reference on the Face Sheet.

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I, Depa- mMt" of Uw

aiT1CT[ e

General Terms and Conditions 1.

DEFINITIONS

As used throughout this Contract, the following terms shall have the meaning set forth below: A.

B. C.

Authorized Representative" on the Director' s behalf. COMMERCE"

Contract"

shall

mean

or` Agreement"

shall mean the director andlorthedesignee

the Washington or` Grant"

Department

means

the entire

authorized

in writing to act

of Commerce. written

agreement

between

COMMERCE

and the Contractor, including any Attachments, documents, or materials incorporated by reference. E- mail or Facsimile transmission of a signed copy of this contract shall be the same as delivery of an original. D.

Contractor" or' Grantee" shall mean the entity identified on the face sheet performing services) under this Contract,

and

shall

include

all employees

and agentsof

the Contractor.

Personal Information" shall mean information identifiable to any person, including, but not limited to, information that relatesto a person' s name, health, finances, education, business, use or receipt of governmental services or other activities, addresses, telephone numbers, social security numbers, driver license numbers, other identifying numbers, and any financial identifiers, and Protected Health Information" underthefederal Health Insurance Portability and Accountability Act of 1996( HIPAA).

State" shall mean the state of Washington.

Subcontractor" shall mean one not in the employment of the Contractor, who is performing all or part of those services under this Contract under a separate contract with the Contractor. subcontractor' and" subcontractors" mean subcontractor( s) in any tier.

ALL WRITINGS

CONTAINED

The terms

HEREIN

This Contract contains all the terms and conditions agreed upon by the parties. No other understandings, oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or to bind any of the parties hereto. 3.

AMENDMENTS

This Contract may be amended by mutual agreement of the parties. Such amendments shall not be binding unless they are in writing and signed by personnel authorized to bind each of the parties. 4.

ASSIGNMENT

Neither this Contract, work thereunder, nor any claim arising under this Contract, shall be transferred or assigned by the Contractor without prior written consent of COMMERCE. 5.

CONFIDENTIALITY A. ` Confidential i.

AND

Information"

SAFEGUARDING as used

OF INFORMATION

in this section

includes:

All material provided to the Contractor by COMMERCE that is designated as" confidential" by COMMERCE,

ii.

All material produced by the Contractor that is designated

as' confidential"

by COMMERCE;

and

iii. All Personal Information in the possession of the Contractor that may not be disclosed under state or federal

law.

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nof'v The Contractor shall comply with all state and federal laws related tot he use, sharing, transfer, sale, or disclosure

of Confidential

Information.

The Contractor

shall

use Confidential

Information

solely

forthe purposesof this Contract and shall not use, share, transfer, sell or disclose any Confidential Information to any third party except with the prior written consent of COMMERCE or as may be required bylaw. The Contractor shall take all necessary steps to assurethat Confidential Information is safeguarded to prevent unauthorized use, sharing, transfer, sale or disclosure of Confidential Information or violation of any state or federal laws related thereto. Upon request, the Contractor shall provide COMMERCE with its policies and procedures on confidentiality. COMMERCE may require changes to such policies and procedures as they apply to this Contract whenever COMMERCE reasonably determines that changes are necessary to prevent unauthorized disclosures. The Contractor shall make the changes within the time period specified by COMMERCE. Upon request, the Contractor shall immediately return to COMMERCE any Confidential Information that COMMERCE reasonably determines has not been adequately protected bythe Contractor against unauthorized disclosure. C.

Unauthorized Use or Disclosure. The Contractor shall notify COMMERCE within five( 5) working daysof any unauthorized use or disclosure of any confidential information, and shall take necessary steps to mitigate the harmful effects of such use or disclosure.

Unless otherwise provided, all Materials produced under this Contract shall be considered " works for hire" as defined by the U. S. Copyright Act and shall be owned by COMMERCE. COMMERCE shall be considered

the author of such

Materials.

In the event the Materials

are not

considered '

works for hire"

under the U. S. Copyright laws, the Contractor hereby irrevocably assigns all right, title, and interest in all Materials, including all intellectual property rights, moral rights, and rights of publicity to COMMERCE effectivefrom

the moment of creation of such Materials.

Waterials" means all items in any format and includes, but is not limited to, data, reports, documents, pamphlets, advertisements, books, magazines, surveys, studies, computer programs, films, tapes, andlor sound reproductions. ` Ownership" includes the right to copyright, patent, register and the ability to transfer these rights.

For Materialsthat aredelivered underthe Contract, but that incorporate preexisting materials not produced underthe Contract, the Contractor hereby grantsto COMMERCE a nonexclusive, royalty- free, irrevocable license(

with rights to sublicense

to others) in such Materials

to translate,

reproduce,

distribute,

prepare

derivative works, publicly perform, and publicly display. The Contractor warrants and represents that the Contractor has all rights and permissions, including intellectual property rights, moral rights and rights of publicity,

necessary

to grant such a licenseto

COMMERCE.

The Contractor shall exert all reasonable effort to advise COMMERCE, at the timeof delivery of Materials furnished under this Contract, of all known or potential invasions of privacy contained therein and of any portion of such document which was not produced in the performanceofthis Contract. The Contractor shall provide COMMERCE with prompt written notice of each notice or claim of infringement received by the Contractorwith respect to any Materials delivered under this Contract. COMMERCE shall havethe right to modify or remove any restrictive markings placed upon the Materials by the Contractor. 7.

DISPUTES

In the event that a dispute arises under this Agreement, it shall be determined by a Dispute Board in the following manner: Each party to this Agreement shall appoint one member to the Dispute Board. The members so appointed shall jointly appoint an additional member to the Dispute Board. The Dispute Board shall review the facts. Agreement

terms and applicable

statutes and rules and make a determination

of the

dispute. The Dispute Board shall thereafter decide the dispute with the majority prevailing. The determination of the Dispute Board shall 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.

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nof'v

GOVERNING

LAW AND

This Contract

VENUE

shall be construed

and interpreted

in accordance

with the laws of the state of Washington,

and the venue of any action brought hereunder shall be in the Superior Court for Thurston County. 9.

INDEMNIFICATION

Each party shall be solely responsible for the acts of its employees, officers, and agents. 10.

LICENSING,

ACCREDITATION

AND

REGISTRATION

The Contractor shall comply with all applicable local, state, and federal licensing, accreditation registration requirements or standards necessary for the performance of this Contract. 11.

and

RECAPTURE

In the event that the Contractor fails to perform this Contract in accordance with state laws, federal laws, and) or the provisions of this Contract, COMMERCE reserves the right to recapture funds in an amount to compensate

COMMERCE

for the noncompliance

in addition

to any other remedies

available

at law or in

eq u ity. Repayment by the Contractor of funds under this recapture provision shall occur within the time period specified by COMMERCE. In the alternative, COMMERCE may recapture such funds from payments due under this Contract. 12.

RECORDS

MAINTENANCE

The Contractor shall maintain books, records, documents, data and other evidence relating tothis contract and performance of the services described herein, including but not limited to accounting procedures and practices that sufficiently and properly reflect all direct and indirect costs of any nature expended in the performance

of this Contract.

The Contractor shall retain such records for a period of six years following the date of final payment. At no additional cost, these records, including materials generated under the Contract, shall be subject at all reasonable times to inspection, review or audit by COMMERCE, personnel duly authorized by COMMERCE, the Officeof the State Auditor, and federal and state off icials so authorized by law, regulation or agreement.

If any litigation, claim or audit is started before the expiration of the six( 6) year period, the records shall be retained until all litigation, claims, or audit findings involving the records have been resolved. 13.

SAVINGS

In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any way after the effective date of this Contract and prior to normal completion. COMMERCE may suspend or terminate the Contract under the ' Termination for Convenience" clause, without the ten calendar day notice requirement. I n lieu of termination, the Contract may be amended to reflect the new funding limitations and conditions.

14.

SEVERABILITV

The provisions of this Contract are intended to be severable. If any term or provision is illegal or invalid for any reason whatsoever, such illegality or invalidity shall not affect the validity of the remainder of the Contract. 15.

SUBCONTRACTING

The Contractor approval

may only subcontract

work contemplated

under this Contract

if It obtains the prior written

of COMMERCE.

If COMMERCE approves subcontracting, the Contractor shall maintain written procedures related to subcontracting, as well as copies of all subcontracts and records related to subcontracts. For cause, COMMERCE in writing may: ( a) require the Contractor to amend its subcontracting procedures as they relate tothis Contract;( b) prohibit the Contractor from subcontracting with a particular person or entity; or c) require

the Contractor

to rescind

or amend

a subcontract.

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Every subcontract shall bind the Subcontractor to follow all applicable terms of this Contract. The Contractor is responsible to COMMERCE if the Subcontractor fails to comply with any applicable term or condition of this Contract. The Contractor shall appropriately monitor the activities of the Subcontractor to assure fiscal conditions of this Contract.

In no event shall the existence of a su bcontract operate to release

or reduce the liability of the Contractor to COMMERCE for any breach in the performance of the Contractor' s duties.

Every subcontract shall include a term that COMMERCE and the State of Washington are not liable for claims or damages arising from a Subcontractor' s performance of the subcontract. 16.

SURVIVAL

The terms, conditions, and warranties contained in this Contract that by their sense and context are intended to survive the completion of the performance, cancellation ortermination of this Contract shall so survive.

17.

TERMINATION

FOR CAUSE

In the event COMMERCE determines the Contractor has failed to comply with the conditions of this Contract in a timely manner, COMMERCE has the right to suspend or terminate this Contract. Before suspending or terminating the Contract, COMMERCE shall notify the Contractor in writing of the need to take corrective action. If corrective action is not taken within 30 calendar days, the Contract may be terminated

or suspended.

In the event of termination or suspension, the Contractor shall be liable for damages as authorized by law including, but not limited to, any cost difference between theoriginal contract and the replacement or cover contract and all administrative costs directly related to the replacement contract, e. g., cost of the competitive bidding, mailing, advertising and staff time. COMMERCE reservesthe right to suspend all or partofthe Contract, withhold further payments, or prohibit the Contractor from incurring additional obligations of fund sduring investigation of the alleged compliance breach and pending corrective action by the Contractor or a decision by COMMERCE to terminate the Contract.

A termination

shall

be deemed

Termination

for Convenience"

if it

is determined

that

the

Contractor: ( 1) was not in default; or ( 2) failure to perform was outside of his or her control, fault or negligence.

The rights and remedies of COMMERCE provided in this Contract are not exclusive and are, in addition to any other rights and remedies, provided by law. 1a.

TERMINATION

FOR CONVENIENCE

Except asotherwise provided in this Contract. COMMERCE may, byten( 10) business days' written notice, beginning on the second day after the mailing, terminate this Contract, in whole or in part. If this Contract is so terminated, COMMERCE shall be liable only for payment required under the terms of this Contract for services rendered or goods delivered prior to the effective date of termination. 19.

TERMINATION

PROCEDURES

Upon termination of this Contract. COMMERCE, in addition to any other rights provided in this Contract, may require the Contractor to deliver to COMMERCE any property specifically produced or acquired for the performance of such part of this Contract as has been terminated. The provisions of the' Treatment of Assets"

clause shall apply in such property transfer.

COMMERCE shall pay to the Contractor the agreed upon price, if separately stated, for completed work and services accepted by COMMERCE, and the amount agreed upon by the Contractor and COMMERCE for( 1) completed work and services for which no separate price is stated, ( ii) partially completed work and services, ( iii) other property or services that are accepted by COMMERCE, and ( iv) the protection and preservation of property, u nless the termination is for default, in which case the Authorized Representative shall determine the extent of the liability of COMMERCE. Failure to agree with such determination shall be a dispute within the meaning of the" Disputes" clauseof this Contract. COMMERCE may withhold from any amounts due the Contractor such sum as the Authorized Representative determines to be necessary to protect COMMERCE against potential loss or liability. The rights and remedies of COMMERCE provided in this section shall not be exclusive and are in addition io any other rights and remedies provided by law or under this Contract.

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Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: Qn Stare epa': merit of

Uf17ITH` IY! e

After receipt ofa riot! ceof term! nation. and except as otherwise directed by the Authorized Representative, the Contractor

shall:

Stop work under the Contract on the date, and to the extent specified, in the notice;

Place no further orders or subcontracts for materials, services, or facilities except as may be necessary for completion of such portion of the work under the Contract that is not terminated;

Assign to COMMERCE, in the manner, at the times, and to the extent directed by the Authorized Representative, subcontracts

all

of the

so terminated,

rights,

title,

in which

and

interest

case COMMERCE

of the

Contractor

under

the

has the right, at its discretion,

orders

and

to settle or

pay any or all claims arising out of the termination of such orders and subcontracts; D.

Settle

all outstanding

subcontracts,

with

liabilities

the approval

and

all

claims

or ratification

arising

out of such

of the Authorized

termination

Representative

of orders

and

to the extent

the

Authorized Representative may require, which approval or ratification shall be final for all the purposes E.

of this clause;

Transfer title to COMMERCE and deliver in the manner, at the times, and to the extent directed by the Authorized Representative any property which, been required to be furnished to COMMERCE;

20.

had been completed,

would have

Complete performance of such part of the work as shall not have been terminated by the Authorized Representative;

if the Contract

and

Take such action as may be necessary, or as the Authorized Representative may direct, for the protection and preservation of the property related tothis Contract, which is in the possession of the Contractor and in which COMMERCE has or may acquire an interest.

TREATMENT

OF ASSETS

Title to all property furnished by COMMERCE shall remain in COMMERCE. Title to all property furnished by the Contractor, for the cost of which the Contractor is entitled to be reimbursed as a direct item of cost under this Contract, shall pass to and vest in COMMERCE upon delivery of such property by the Contractor. Title to other property, the cost of which is reimbursable to the Contractor under this Contract, shall pass to and vest in COMMERCE upon( i) issuance for use of such property in the performance of this Contract, or ( ii) commencement of use of such property in the performance of this Contract, or ( iii) reimbursement of the cost thereof by COMMERCE in whole or in part, whichever first occurs. A.

Any property of COMMERCE furnished to the Contractor shall, unless otherwise provided herein or approved by COMMERCE, be used only for the performance of this Contract.

The Contractor shall be responsible for any loss or damage to property of COMMERCE that results from the negligence

of the Contractor

or which

results from the failure on the part of the Contractor

to maintain and administer that property in accordance with sound management practices. C.

If any COMMERCE property is lost, destroyed or damaged, the Contractor shall immediately notify COMMERCE and shall take all reasonable steps to protect the property from further damage.

The Contractor shall surrender to COMMERCE all property of COMMERCE completion, termination or cancellation ofthis Contract.

Al reference

to the Contractor

prior to settlement

under this clause shall also include Contractor' s employees,

upon

agents

or Subcontractors. 21.

WAIVER

Waiver of any default or breach shall not be deemed to be a waiver of any subsequent default or breach. Any waiver shall not be construed to be a modification of the terms of this Contract unless stated to be such in writing and signed by Authorized Representative of COMMERCE.

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7 we

hmu: Qn Stare

I, Depa- mMt" of

mnimv

Attachment A.

Consolidated Homeless Grant funding must be prioritized for preserving and maintaining existing programs

A: Scope of Work

and service

levels,

as reported

to Commerce

in the SFY 2024 Annual

Expenditure

Report.

Contractor shall commit to operating a high- performing crisis response system in their county by: a. Assessing each household' s housing needs and facilitating housing stability with the goal of obtaining or maintaining permanent housing. b. Employing a progressive engagement service model. c. Prioritizing households most likely to become homeless when using homelessness prevention rent assistance. d.

Being anti- racist leaders in their crisis response systems and facilitate partnerships among organizations that respond to the disproportionality in services and outcomes for communities that may not seek assistance

from mainstream

organizations.

Prioritizing funding to preserve and maintain existing programs and service levels, as reported to Commerce

in the SFY 2024 Annual

Expenditure

Report.

Contractor shall submit the following monthly deliverables on time with truthful, accurate information: a. An Invoice and Voucher Detail Worksheet, along with at a minimum, a General Ledger generated from the organization' s accounting system. The General Ledger must include transaction- level detail for all costs that have been paid and are being claimed for reimbursement. These documents are d ue by the 20th of the month following the month in which services were provided.

Contractor shall submit the following deliverables on time with truthful, accurate information: a. Local Homeless Housing Plan and Annual Report. b. Annual County Expenditure Report) Homeless Housing Inventory including Paint- In- Time Count information. c.

HEN Essential Needs Report.

Grantees shall commit to reporting quality timely HMIS data.

Contractor shall comply with all of the requirements, policies and procedures in the Consolidated Homeless Grant Guidelines, including the Washington State Coordinated Entry Guidelines.

Performance a.

Requirements:

Housing Outcomes: Foreach intervention type funded by the Consolidated Homeless Grant, grantees must adopt the required housing outcome performance measure outlined in the Consolidated

Homeless

Grant

Guidelines,

Appendix

Table

Grantees

must

improve

housing outcomes by making progress towards the statewide performance target. Equitable Outcomes: For each of the required housing outcome performance measures, outcomes across racial and ethnic demographics should not be significantly less than the overall rate. The ' overall rate" refers to the rate of a particular intervention type' s total exits to positive outcomes. This is inclusive of all ethnic or racial categories. Equitable Access: While not a formal performance measure that will be monitored, grantees are expected to use equitable access data to identify underserved populations, assess the impact

of their access

can access

strategies

this data through

the

and work to improve Washington

equitable

Balanceof

access

as needed.

State Equitable

Access

Grantees Dashboard

which compares the race and ethnicity of households entering the homeless system ( HMIS) to the race and ethnicity ofthe homeless and unstably housed populations( The Snapshot Report)

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Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: gn S1aW

nFF.V- r tnt of

A#tachmen# B: Budge

I Total

Budget Standard

SFY 2426 and 2027

Standard

Admin

57 512. 00

Standard

Rent

500 000. 00

Standard

Facility Support

Standard

Operations

12 000. 00 718 845. 00

Homelessness

Prevention

SFY 2026 and 2027

Homelessness

Prevention

Admin

Homelessness

Prevention

Rent

Homelessness

Prevention

Operations

Emer, gencv Admin

68 000. 00 1 200 000. 00 859 799. 00

Housin

SFY 2026

2425

54 000. 00

Emergency

Housinq

Emergency Emengency

Housiriq Rent 2026

Emergency

Housin

Fi3c! llty Support

Emergency Emengency

Housing

Operations

Emergency Emengency

Housinq Admin 2027

Emix, gancy

Housinq

4 2425

2026

1 454 000. 00

Emer, gencV HousingSFY

54 000. 00

Rent 2027

Emergency Housin

Fi3c! l! tV Support

Emix, gancy

Operations

Housing I nflistionerV

I nflation

I ncrease

2026

Inflation

Increase

2027

Document DRF Backfill

Increase

2027

1 45D 000. 00

SFY 2426 and SFY 2027

556 281. 00

Recording

Fee

DRF

Backfill

SFY 2026

2426

694 997. 00 SFY 2026

2026

HEN

RentlFac

HEN

Operations

67 500. 00

Support

2026

1 353249. 00

2426

336 000. 00 HEN

HEN Admin

2027

556 281. 00

HEN HEN Admin

2027

SFY 2027

2027

HEN

RentlFac

HEN

Operations

67 500. 00

Support

2027

1 353249. 00

2027

336 000. 00 TOTAL

737213.

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ID' 46F4FC16- FECF- 43C3- 97CF- F11656F4FC2fi

rnendment

i H111161' IY'{'

Contract Number: 26- 46108- 06 Amendment:

Washington State Department of Corn coerce

Housing

Division

Homelessness Assistance Unit Consolidated Homeless Grant( CHG)

1. Contractor Cowlitz 1952

2. Contractor

County Health&

Human

Doing Business As( optional)

Services

Y1 Ave

Longview,

WA 98632

3. Contractor Representative

4. COMMERCE

Gena James

Tia Stoner

Deputy

Director

Contract

360) 414- 5599

Tia. Stoner[

gov

5. Original Contract Amount

and any previous

Federal:

1011

6. Amendment

96504- 2525

Commeme_wa. gov 7. New Contract Amount

Amount

1, 861, 284)

Funding

Source

State: X

Other:

It. Federal Funds(

Plum St SE

Ctympia, WA

amendments)

11, 737, 213

Amendment

PO Box 42525

Manager

360- 725- 5060

jamesg@cowlitzwa.

Representative

9, 875, 929

9. Amendment NIA:

as applicable):

NIA

Federal

Start Date

111. Amendment End Date

SFY 26 funds: March 1, 2026

SFY 26 funds: June 30, 2026

SFY 27 funds- Jul y 1, 2026

SFY 27 funds: June 30, 2027

CFDA Number:

Agency:

PIMA

12. Amendment Purpose: Deohligate

unused

SFY

2026

Funds.

Ad d SFY 2027 DRF BackfUl. Funding. SFY 27 Funds are available July 1, 2026 and must be spent by June 30, 2027.

COMMERCE, defined as the Departrrtent ofComrrterce, and the Contractor, as defined above, acknowledge and accept the terms ofthis Contract As Amended and attachments and have executed this Contract Arnendraimt on the date below to start as ofthe date

and yearrekrencedabove. The rights and obligations ofboth parties to this Contract As Arrtendedare govemedby this Contract Amendment and the following other documents incorporated by reference: CHG Guidelines( as they may be revised horn time to and Contract Terms and Conditions including Attachment" B"Budget. A copy ofthis Contract Amendment shall be attached to and made a part ofthe original Contract between COMMERCE and the Contractor. Any reference in the original time),

Contract to the" Contract' s-hall mean the" Contract as Amended". FOR

GRANTEE

Wmed

FOR

COMMERCE

DIV

W91gmd

Ric haJTDYU, TtEair, Board ofCounty Commissioners

by:

E", e,

FU" Ped

elle

fi ter rn Assistant

Director

Housing Division 3/ 9/ 2026

8: 21

POT

3/ 6/ 2026

1: 39 PM PST

Date

APPROVED AS TO FORM ONLY BY ASSISTANT ATTORNEY GENERAL APPROVAL ON FILE

Department

of Commerce

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ID' 46FaFC16- FECF- 43C3- FCF- F11S5fiEaFC2fi

Amendment

This Contract is amended asfollows: Attachment

Budget

Categories

Current

Contract

Amendment

New Total

Amount

and any previous amendments

and

revisions

Standard

SFY 2026 and 2 02 7

Standard

Admin

57 512

Standard

Rent

500 000

Standard

Facility Support

Stand and D peration

Homeless

Prevention

12 000 718 845

SFY 2026 and 2D27

Homelessness

Prevention

Admin

Homelessness

Prevention

Rent

Homelessness

Prevention

Operations

Eme EmergenGv Housing Admin

12 000 718 845

68 000

1 200 000

1 20D 000

859 799

ency Housing

2026

SFY 2026 50 00D

EmargenGv Housing Rent 2026

Emergency Housing Facility

50 000

1A50r000

Support

2026

Emergency Housing aerations

2026

Eme

1, 450, 000

ancy Housing

EmerqenGy Housing Admin 2027 Emergency Housing Rent2027 Emergency Housing Facility Support

SFY 2027 50, 001)

50, 001)

1 45D 00D

1 45D 000

2027

EmerqenGv Housing Operations

2027 PSH CHF

PSH CHF RenVFacillt

SFY 226 and SFY 2D27

Support

PSH CHF Operations Inflation Inflation

Increase

Inflations

2026

Increase 556 281

Increase 2D27

556 281

556 281 Document

Recording Fee

DRF Back-fill 2026

ackfill

694 997

DRF Back-fill 2027 HEN HEN Admin HEN

2026 Supiport

RentiPaGility

HEN Operations

2026

2026 HEN

HEN Admin

2027

HEN RenUFacilit

HEN Operations

2027

ort 202T

TOTAL

ALL OTHERTERMSAND

OF THIS CONTRACT

500 000

194 997

694 997

SFY 2026 67 500

67 500

1 353 249

336 000

336 OOD

SFY 2027 67 50D

67 50D

1 353 249

336 000

338 000

11, 737, 213

CONDrrIONS

0 556 281

REMAIN

i, B61, 2B4

9, 875, 929

IN FULL FORCE AND EFFECT

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GRANT

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EXHIBIT

Cowlitz County Health and Human Services

G•

PHONE:

3ITE:

W E65[ TE: Wain

Campus:

Environmental

1952

9th

Health Unit:

Avenue,

FAX.

us25'

753i

rmrw, w. ca,¢ co ow litx, wa. wa. usfhhs

Longview,

267 4th Avenue North,

kcowlitzheahh@cowlit7wa. gov

9B632

K Iso, WA 9B626

OM5eptic@cowlit2wa.

gov

Coordinated Policies and Procedures

Provider Manual-

Introduction The Department

of Commerce

requires

counties

to establish

and operate

a Coordinated

Entry( CE) system that provides

a streamlined process to access, assess, prioritize and refer to specific housing programs in the community. CE is not a one- size- fits all, or required referral system, to all housing resources in the County. The list below identifies the participating programs that are required to accept referrals through Coordinated Entry. Coordinated Entry is the first step to determine eligibility for these participating housing programs: Lower Columbia Community Action Program: Consolidated Homeless Grant Rapid Rehousing Program Lower Columbia Community Action Program: Housing& Essential Needs Rapid Rehousing Program Lower Columbia

CAP: Young Adult Housing Program

Janus Youth Programs: GRIP Rapid Rehousing Program Participating programs have limited availability and program openings are often contingent upon capacity and/ or availability offunds. Coordinated entry processes are intended to help participating programs prioritize persons who are most in need of assistance

through

standardized

assessment,

prioritization,

and referral

processes.

Participating

programs may change from time to time depending on funding. The Policies and Procedures within wi II define these processes for an effective and efficient Coordinated Entry system that comply with requirements set forth by Washington State Department of Commerce and the U. S. Department of Housing and Urban Development( HU D). Contents 1

Marketing

Accessing the Coordinated

Page 2

Strategy Entry System

Page 2

3 Accessibility

Page

4 Language Access Plan

Page4

5 Access Points

Page4

Page 5

Emergency

Services

7 Victim Services

Pages

Page

Screening and Assessment

9 Training

Curricula

Prioritization

Referral

Grievance and Appeal

Privacy

Non- Discrimination

Page 7 Pages Page S Process

Page 9 Page 10 Page 11

Appendix 1-

Language Access Plan

Appendix 2-

Resources

Appendix 3-

Coordinated

Last Date Revised:

Page13 Page 15

Entry Training

11/ 25/ 2025

Log

Page 16

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Marketing Strategy Marketing,

or advertising,

refers to how households

learn the CE system

exists. This may include,

but is not

limited to, written materials such as flyers and brochures, outreach to relevant partners, community education, and can include street outreach. CE marketing materials will be written in plan talk( Plan talk messages are clear, concise and visually easy to read. They contain common words, rather than jargon, acronyms or unnecessary legal language).

POLICY:

Marketing Strategy

All Coordinated Entry access points will be publicly advertised. All persons engaging with the Coordinated Entry system shall be afforded equal access to CE services and resources regardless of actual or perceived race, color, national origin, religion, sex, age, familial status, disability, sexual orientation, gender identity, marital status, or U. S residency status. PROCEDURE 1. 1: a.

Marketing to all Households

The County will publish a list of Coordinated Entry access points on the County website. The County will provide CE materials availableto the public and for community partners in multiple languages to meet the varying needs of those who speak other languages, have Limited English Proficiency( LEP}, and/ or have limited literacy abilities, as is locally appropriate. The County will coordinate with mainstream systems of care, and other community partners to provide education

multiple f.

on CE.

Coordinated Entry access points will publish a list of al I CE access points on agency website or link to County website. Coordinated Entry access points will display CE materials for the publicwithin the agency in languages

to meet the varying needs of those who speak other languages,

have Limited

English Proficiency( LEP}, and/ or have limited literacy abilities, as is locally appropriate. The County will ensure that CE materials provides information about how to access emergency services outside of the CE operating hours.

PROCEDUREI. 2:

Marketing to Households Least Likely toApply

The County will provide education

on the Coordinated

Entry system to local street outreach

teams.

The County will invite street outreach teams to monthly partner collaboration meeting and provide CE materials to teams.

Coordinated Entry access points will actively coordinate with street outreach teams.

Accessing the Coordinated Entry System Access refers to how people connect with the Coordinated Entry system. All households will have fair and equal access to the Coordinated Entry system. POLICY:

Coordinated Entry System Access Criteria

Coordinated Entry will be available to all households regardless of actual or perceived race, color, national origin, religion, sex, age, familial status, disability, sexual orientation, gender identity, marital status, and U. S. residency status. The CE system will adhere to state, federal, and local antidiscrimination

laws.

Households cannot be screened out based on thefollowing criteria: Havingtoo

little orno income

Having poor creditor financial history Last Date Revised:

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Having poor or lack of rental history Having involvement with the criminal justice system Having active or history of alcohol and/ or substance use Having a history ofvictimization o Information about a persoWs history ofvictimization shall be kept confidential and may not be used against them

CE processes may not require" proof' or documentation to determine whether a person has a history ofvictimization or not

The type or extent of disabi Iity- related services or supports that are needed Previous

system

involvement

No turning away of a person regardless ofthe number oftimes they have accessed services

Lacking

Identification

Lacking proof of U. S. Res i den cy+ Status Other behaviors that are perceived as indicating a lack of" housing readiness," including perceived resistance to receiving servicesrbad attitude" or lack of ability to demonstrate they will be successful in the program The CE system must ensure all households have fair and equal access, including people experiencing chronic homelessness, veterans, households with children, youth and young adults, survivors of domesticviolence, and those least likely to access services. PRQCEDURE2. 1: Ensuring Accessibility for all Households a. Coordinated Entry access points will maintain an internal antidiscrimination policy that adheres to state, federal, and local antidiscrimination laws. b.

Coordinated Entry access points will provide proof of stafftraining on antidiscrimination policy annually.

Accessibility for People with Disabilities Accessibility

refers to how accessible

the Coordinated

Entry system

is. The Coordinated

Entry system

must be

availableto all households, in all locations ofthe County, and ensure access for those who may experience variations in mobility, language, communication, or geographic location. POLICY: Coordinated Entry System Accessibility CE is accessible throughout the entire county either by appointment, by telephone, or by mobile outreach. Persons with disabilities or with mobility devices will be provided reasonable accommodation upon request. Access points will communicate

effectively

with individuals

with disabilities

and will

provide CE materials in locally appropriate languages. PROCEDURE 3. 1: Physical Accessibility and Reasonable Accommodation

Coordinated Entry access points must maintain the following accessibility components: a. Physical access points are accessible for people who use wheelchairs ormobility devices and must provide reasonable accommodations as needed( e. g. a different access point, telephone number, or online access).

Physical access points are located near public transportation and other mainstream services, or offer variation

to the assessment

process.

For example,

a person with a mobility

impairment

may request a reasonabl e accommodation in order to complete the CE assessment process at a different c.

location.

CE access points provide materials that are available in multiple languages in order to serve thosewho speak other languages, have limited English proficiency, and/ or have limited literacy abilities, as is locally appropriate.

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CE access points must be accessible throughout Cowlitz County and offer options to ensure access, which can include offering phone or mobile assessments.

PROCEDURE

3. 2:

Effective

Communication

with

Individuals

with

Disabilities

Access points ensure effective communication with individuals with disabilities, including access to all appropriate auxiliary aids and services necessary( e. g. braille, large type, assistive listening devices, and sign language

interpreters).

Language Access Plan This policy not only helps to ensure services are equitable and responsive to ALL clients who seek services but also establishes guidelines for providing language accessible services to individuals that are limited English Proficient( LEP) and/ or Deaf or Hard of Hearing. In accordance with Title VI ofthe Civil Rights Act of 1964 and the Americans

with

Disabilities

Act.

Coordinated entry access points will follow the Cowlitz County Language Access plan attached as Appendix 1: Cowlitz County Language Access Plan.

Also see Policy: Annual Screening and Assessment Training. 5.

Access Points Access points are the places— either virtual or physical— where an individual or family accesses the coordinated entry system. Cowlitz County has a combination of access points that includes four physical locations, as well as phone and mobile options. The four physical locations for individuals to contact Coordinated Entry are: CORE Health Social Support Center Annex, Cowlitz Family Health Center( FHC), Lower Columbia Community Action Program( CAP) and Emergency Support Shelter( ESS} for peopl a fleeing domestic violence.

CORE Health

Cowlitz Family Health Center

Lower Columbia CAP

Emergency Support Shelter

Support Center Annex

Social

1057 12th Ave

1526 Commerce Ave

1330

1408 121" Ave

Longview, WA. 98632

Longview,

Longview WA. 98632

Longview, WA. 98632

360- 703- 1103

360- 261- 6664

WA. 98632

111" Ave

360- 425- 1176

360- 846- 0462

CORE Health is affiliated with an emergency shelter in Cowlitz County( Community House on Broadway) and Emergency Support Shelter is an emergency shelterfor those fleeing domestic violence. Each access point must provide equal access to emergency services, use common assessment approaches and tools, be available to all people experiencing a housing crisis, and operate according to the Cowlitz County Coordinated Entry policies and procedures. Cowlitz County can consider the need for additional access points, based on data and the needs of the various

subpopulations

accessing

Coordinated

Entry.

To ensure that there is sufficient coordination and to best address the unique needs of households fleeing domesti c violence( DV), dating violence, sexual assault, stalking, trafficking or other dangerous or lifethreatening

conditions,

the county

has identified

a subpopulation

dedicated

access point through

the

Emergency Support Shelter so that households fleeing intimate partner violence receive the most appropriate services to resolve thei r crisis. PROCEDURE 5. 1:

Referrals to5ubpopulation

Designated

Access Points

If a household who identifies as fleeing intimate partner violence presents at a Coordinated Entry access point other than ESS, staff will offer an immediate and complete referral to the subpopulation dedicated access point by following these steps, ifthe household chooses:

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Discuss with the household if fleeing or attempting to flee intimate partner violence within the

last 30 days

Communicate

with ESS via phone call in the momentwith

the household

and ESS advocate

Physically assistthe household to ESS, if necessary, or assistwith arranging transportation Follow- up with household, if needed, to ensure connection with ESS If a household identifies as fleeing intimate partner violence presents at a Coordinated Entry access point other than ESS and chooses not to receive a referral to the subpopulation dedicated access point, staff will proceed with the CE process. If a household identifies as fleeing intimate partner violence more the 30 days prior, staff will offer information for local victim services provider and will proceed with the CE process. If a household presents at ESS for CE and is not fleeing intimate partner viol ence within the last 3o days, ESS must ensure connection to a non- sabpopulation dedicated access point by: a. Discussing with the household b. Provide contact information, call other access point in the moment, if possible

Provide information on mainstream services, if needed

Assist in arranging transportation to an appropriate access point, if needed.

Emergency Services Coordinated Entry access points must ensure people are ableto obtain information about how to access emergency services outside of CE operating hours. when prospective participants present for services during non- business hours the participants wi II still be able to obtain information on Emergency Services. PROCEDURE 6. 1:

Access to EmergencyServices

All CE access points will include contact information for emergency services within their Coordinated Entry after- hours phone message and post to their agency' s website or link to

county website.

Contact information

must include at minimum:

Emergency Support Shelter for DV victims Mental

Health Crisis Line

911 for a medical emergency 7.

Victim Services Vi ctim Service providers are organizations whose primary mission is to provide direct services( which may include shelter and/ or housing services) to survivors of domestic violence, sexual assault, stalking, trafficking and/ or other crimes. While Washington State Coordinated Entry Guidelines( appendix 2) do not require victim service providers to participate in CE, it should be noted that partnership with these organizations provides a more effective POLICY:

and efficient

system.

CE System Victim Services Partnerships

The County

and Coordinated

Entry access points will collaborate

and partner with victim service

providers to ensure accessibility, safety, and confidentiality for households who are fleeing, or attempting toffee, intimate partner violence( domestic viol ence, dating violence, sexual assault, stalking, or trafficking). The County will annually review this policy and the below procedures with victim service providers.

PROCEDURE 7. 1: Process for Households Fleeing Intimate Partner Molence and Seeking Services from Non1rictim Service Providers*

Also see Policy 5. 1 Referrals

to Subpopul

ation Dedicated

Access

Points

If a household is fleeing intimate partner violence within the last 30 days and seeking services from non- victim servi ce providers, upon learning that the household is f leeing violence, the

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service provider will ask ifthe household would preferto be connected to a victim service provider. b.

If the household would prefer to connect to a victim service provider, the CE access point will ensure a warm hand off occurs as soon as possible by completing the steps outlined in Procedure 5. 1 Referrals to Sub population Dedicated Access Points Ifthe household does not preferto connectto a victim service provider, the non- victim service providerwill guide the household through the Coordinated Entry process.

PROCEDURE

7. 2:

Process to Ensure Safe and Confidential

Access to the CE System

Coordinated Entry access points will ensure accessingthe CE system is confidential and secure.

Access points will follow all applicable confidentiality requirements and Homeless Management Information System( HMIS) data entry standards for households fleeing violence.

PROCEDURE 7. 3:

Process to Ensure Immediate Access to Emergency Services, such as Domestic Violence

Helplines and Shelter

Coordinated Entry access points will follow Procedure 5. 1 Referrals to Subpopulation Dedicated

Access

Points

Coordinated Entry access points will follow Procedure 6. 1Access to Emergency Services

Screening and Assessment The screening and assessment process is how Coordinated Entry gathers information about a household experiencing a housing crisis. Information gathered includes household make up, housing history, income, legal concerns,

health considerations,

and needed

resources.

This information is collected to determine a strategy to assist with the housing crisis and informs the uniform prioritization

process.

Household information is collected in phases, obtaining only what is absolutely necessary to connect households to appropriate resources.

POLICY:

Coordinated

Entry Screening and Assessment Process( Assessment Standardisation)

The Coordinated Entry screening and assessment process will be consistent among all access points, divert as often as possible( see Procedure 8. 2), and collect information in phases to obtain only what is absolutely necessary to connect households to appropriate resources. Access points cannot deny access to services or assessment if household refuses to provide certain pieces of information, unless the information is necessary to establish or document program eligibility. PROCEDURE8. 1: Targeted EligibilityScreening Coordinated Entry access points complete the following steps with households: a.

Complete Targeted Eligibility Screening- to determine housing status If fleeing intimate partner violence- follow Procedure 5. 1: Referrals to Subpopulation Designated

Access Point

If stably housed-

provide information on mainstream services as applicable, does not move on

to next step, encourage household to come back if housing situation changes. If at risk of becoming homeless- complete Prevention/ Diversion screening, provide information on mainstream services as applicable, encourage household to come back if housing situation changes.

If literally homeless, and not ableto be prevented or diverted— connect to emergency shelter as appropriate and if available. Complete Resource Screening, provide information on mainstream

services as applicable, encourage household to check back in 90 days or as their situation changes.

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PROCEDURE8. 2: Diversion

Coordinated Entry access points utilize diversion strategies as appropriate, throughout the assessment process. Diversion means a problem solving strategy that helps households preserve their current housing situation or make immediate alternative arrangements outside of the crisis response system. Diversion strategies can include, but are not limited to, the following components: Clientdriven Strength

based

Consider creative solutions Link to natural

supports

Light touch financial

assistance,

if available

Landlord mitigation

Housing locator assistance PROCEDURE8.

3: Household

Assessment

Coordinated Entry access points will receive notification from the County identifying whi ch client is eligibl efor a housing resource, when a housing resource becomes available in a

parti cipating project. b.

Coordinated Entry access points will contact the client to assess and verify information. Access point will notify County

once the assessment

is complete.

County will verify information, including mandatory prioritization criteria: length of time

homeless d.

and unsheltered

homelessness.

County will contact the parti cipating project with a list of possibl a candidates for the housing resource.

POLICY: Prohibiting Assessment Denial Coordinated Entry access points will not deny resource screening( s), assessment or services to a household if the household refuses to provide certain pieces of information regarding disabilities and/ or diagnoses. Specific information not related to disabi lities and/ or diagnoses may be requested for the purposes of determining program

eligibility to make appropriate

referrals.

Also see policy: Non- Discrimination

Training Curricula Cowlitz County is committed to ensuring that all Coordinated Entry access points receive sufficient training to implement Coordinated Entry in a manner consistent with the vision and framework of CE, as well as in accordance with the policies and procedures. POLICY: Training Curricula

All staff involved in the operations of a Coordinated Entry access point must receive training annually provided or approved by Cowlitz County HHS. Staffwill use the training log in Appendix 3 to track their training. New Staff Required Training to be completed before providing direct client services

Coordinated Entry access point staff complete the following trainings provided by Department of Commerce and Cowlitz County HHS: a.

Introduction

Working with Survivors of Domestic Violence

Introduction

into Housing First

Progressive

Engagement

Review of local processes, including CE policies and procedures, and any adopted variations for

into Problem

Solving(

Diversion)

specific subpopulations

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How to administer screening tools( targeted eligibility screening, resource screening, and assessment)

How to collect and use screening and assessment information

New Staff Required Training to be completed

within first year of employment

Mental health Training Trauma Training 1 and 2

Racial Equity in Homeless

LGBTQ+ Informed Training CE 101 Standard onboarding training( offered quarterly)

Services

Diversion Training 1 and 2( recommended)

Department

of Commerce

offered trainings

can be found at the Commerce

website:

https:// www. cornmerce. wa. gov/ serving- cornmunitiL- Vhornelessness/ training) 10. Prioritization Cowlitz County is responsi blefor establishing and implementing a system- wide prioritization policy for Coordinated Entry, which must describe who is considered in priority status for referrals to program openings with participating projects, when an opening becomes available. Prioritization

Policy

The prioritization process refers to determining a household' s priority status for services. Once a household has been screened, the information coll ected is analyzed in the context ofthe Coordinated

Entry prioritization poll ties. People with the highest priority are referred to program openings in participating projects, when an opening becomes available. Coordinated Entry access points complete the process as outl ined in section S( Screening and

Assessment).

A prioritization

tool included

in the screening

and assessment

process

is used consistently

at all

access points and identifies the most vul nerable( according to the Prioritization Policy). Households seeking assistance and household service providers can include additional information to be considered in prioritization by submitting a written statement to the CE access point at which the household is seeking assistance. However, only information relevant to the CE system' s prioritization policy may be used to make prioritization decisions.

Cowlitz

County

HHS manages

the scoring criteria that is part ofthe prioritization

tool.

The

scoring criteria will not be shared with providers to ensure objectivity when making housing referrals. e.

Cowlitz County HHS manages the by- name list and facilitates referrals to program openings in participating projects, taking into consideration each project' s eligibility criteria, when openings become available.( The by- name list is NOT a wait list; it is simply a list of households that have made contact with a Coordinated Entry access point within the last 90 days) Cowlitz County HHS manager will utilize the prioritization factors outlined in the state contract when needing to" tie break" multiple households with the same vulnerable score when a limited number

of openings

are available.

11. Referral The referral process matches households with available resources which will best help households quickly exit homelessness.

POLICY: Referral Process

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Coordinated Entry implements a uniform and coordinated referral process for referrals to program openings at participating projects. HHS manages the by- name list and will identify who is eligible to fill a program opening in a participating project, when an opening becomes available. The Coordinated Entry access point in which the household was seeking assistancewil I assess and verify household information. Cowlitz County HHSwill verify househoId' s eligibility, prioritization status based on prioritization criteria as outlined in section 10( Prioritization). HHS will contact participating projectwith a list of possible candidates for the number of project openings requested. For victim services specific participating

projects,

the coordinated

entry access point in which the household

was seeking

assistance

will assess, verify household information based on project criteria. The access point will securely forward household information to the participating project, for additional protection of the household' s confidential information.

POLICY: Referral Rejections by Project Projects may reject referrals into program openings if a conflict is identified that affects the household' s eligibility for that project. In instances where a referral to a program opening in a participating project is rejected by the project, households must be immediately referred to other appropriate services, if available, and will be placed back on the by- name list without retribution or limiting their access to other forms

of assistance.

PROCEDURE 11. 1: Additional

Referral if Rejected by Project

Upon noticethat a referral is rejected by a participating project, HHS will ensure the household

remains on the by- name list. The household will be referred to other participating projects if there is a program opening.

POLICY: Conditions to maintain list placement Homeless households who make contact with a Coordinated Entry access point every 90 days will remain on the by- name list. If a household declines a referral to a program opening or the participating project rejects a referral, the household will be placed back on the by- name list without retribution or limiting their access to other forms of assistance. PROCEDURE

11. 2: Maintaining

up- tcAate Information

on Project Capacities,

Vacancies,

and Eligibility

Criteri a a.

HHS will meet annually with Coordinated Entry participating projects to maintain up- to- date information on project capacity, expected vacancy, eligibility criteria, and any specific rent limit policies as required by funding sources. Coordinated Entry access points will maintain up- to- date information on community resources to connect households seeking assistance to any appropriate mainstream services.

12. Grievance and Appeal Households must be notified of their right to submit grievances, and how to submit grievances including nondiscrimination

and equal

POLICY:

and Appeal

Grievance

access complaints.

Households will be notified ofthe process to submit a grievance or appeal duringthe assessment process, and thegrievance and appeal process will be publicly available. Households can submit a grievance or appeal due to nondiscrimination or equal access complaints, service complaints, orto appeal a prioritization or referral decision.

PROCEDURE

12. 1: Grievance and Appeal Submission

Household

Household follows instructions on the form for submission

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Instructions on theform outline alternative options for submission, ifthe household would like to

submit the grievance and appeal form to staff not involved in their situation. PROCEDURE a.

12. 2: Grievance

and Appeal

Reviews

The Coordinated Entry access point has 14 days to review a grievance or appeal form upon submission and provide a written response Review must include staff who are not involved in the grievance or decision.

Documentation

of the grievance

Documentation

of the review

All Grievance

provided to the County If the grievance or appeal is elevated to the County, the County has 14 days to review and provide

and appeal

and written

and Appeal forms submitted,

a written

form must be kept on f le

response

must be kept on file

documentation

of review, and written

response

are

response

If an outcome is not identified within the 14 day timeline to provide a written response, a written response can be made to indicate the expected date to identify an outcome. Outcomes of the grievance or appeal are communicated to the household as outlined below in Procedure 12. 3.

PROCEDURE 12. 3: Communicating Outcomes of Grievance and Appeal

After review of the Grievance and Appeal submission, households must be notified in writing of

the outcome. b.

Written notification can be provided to the household through mail, email, or in person.

Written

Documentation

Written notification of the outcome and documentation

notification

of the outcome

must be kept on file.

that the household was notified of the outcome must be kept on fil e. the household was notified must be

provided to the County.

13. Privacy Coordinated Entry access points must impl ement policies and procedures for obtaining household consent to share and store household information for purposes of operating a coordinated entry access point. POLICY:

Privacy

All participant information collected, stored, or shared in the operation of CE functions, regardless of whether or notthose data are stored in HMIS, shall be considered personal and sensitive information. Coordinated Entry access points must adhere to thefollowing privacy protections: CE is prohibited from denying assessment or services to a household if the household refuses to provide certain pieces of information, unless the information is necessary to establish or document program eligibility per the appl icable program regulation. CE is prohibited from denying services to households if the household refuses to allow their data to be shared unless federal statute requires col lection, use, storage, and reporting of a household' s personally identifiable information as a condition of program participation. Records

containing

personally

identifying

information

must be kept secure and confidential.

The address of any family violence project must not be made public. The assessment and prioritization process cannot require disclosure of specific disabilities or diagnoses. Specific diagnosis or disability information may only be obtained for purposes of determining program eligibility to make appropriate referrals. PROCEDURE 13. 1: Obtaining Household Consent a. Coordinated Entry access points must follow assessment training protocols to obtain appropriate consent, which includes documentation of consent. Last Date Revised:

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Documentation of consent must be kept on file and includes HMIS consent as well as any other Releases

of information

obtained

to share information

Households may refuse or revoke their consent at any time.

PROCEDURE 13. 2: Secure and Confidential Storage of Records a.

Coordinated Entry access points must adhere to HMIS data privacy and security protections prescribed by HU Dfor HMIS practi ces in the HMIS Data and Technical Standards.

Coordinated

Entry access points must maintain

internal

policies/ procedures

that demonstrate

compliancewith privacy protections. Proof of annual staff training on these policies/ procedures are submitted annually to the

County.

14. IN on- Discrim ination Coordinated Entry access points must comply with all applicable civil rights and fair housing laws and requirements. CE must comply with the nondiscrimination and equal opportunity provisions of federal civil rights laws as specified at 24 CFR 5. 15( a}, including, but not limited to, the following: Fair Housing Act prohibits discriminatory housing practices( including but not limited to" steering" participants towards any particular housing facility or neighborhood) based on actual or perceived race, color, U. S. residency status, religion, sex, age, familial status, disability, sexual orientation, gender i dentity, or marital

status.

Section 504 of the Rehabilitation Act prohibits discrimination on the basis of disability under any program or activity receiving federal financial assistance. Title VI of the Civil Rights Act prohibits discrimination on the basi s of race, color, or national origin under any program or activity receiving federal financial assistance. Title II of theAmericans

with Disabilities

Act prohibits

public entities, which includes

state and local

governments, and special purpose districts, from discriminating against individuals with disabilities in all their services, programs, and activities, which include housing, and housing- related services such as housing search

and referral

assistance.

Title III of the Americans

with Disabilities

Act prohibits

private entities that own, lease, and operate

places

of public accommodation, which include shelters, social service establishments, and other public accommodations providing housing, from discriminating on because of disability. HUD' s Equal Access Rule at 24 CFR 5. 105( a}( 2) prohibits discriminatory eligibility determinations in HUDassisted or HU D- insured housing programs based on actual or perceived sexual orientation, gender identity, or marital status, including any protects funded by the CoC Program, ESG Program, and HOPWA Program. The CDC Program interim rule also contains a fair housing provision at 24 CFR 576. 93. For ESG, see 24 CFR 576. 407( a} and( b), and for HOPWA,

A CE system

see 24 CFR 574. 603.

must not use data collected

from the assessment

process

to discriminate

or prioritize

households for housing and services on a protected basis, such as actual or perceived race, color, national origin, religion, sex, age, familial status, disability, sexual orientation, gender identity, or marital status, including those least likely to access homeless assistance. Households must not be denied access to the CE process on the basis that the household is, or has been, a victim of domesti c violence, dating violence, sexual assault or stalking. Last Date Revised:

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EXHIBIT

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Appendix

EXHIBIT

1 — Language Access Plan

Purpose

This policy establishes guidelines for providing language accessible services to individuals that are limited English Proficient( LEP) and/ or Deaf or Hard of Hearing. This plan helps to ensure services are equitable and responsive to All clients who seek services.

Definitions

All definitions below are from the Language Access Policy Template prepared by the interpretation Technical Assistance&

Resource

Center of the Asian Pacific Institute

on Gender- Based Viol encewww.

api- gbv. org 2015.

Limited English Proficient individuals means any individual whose primary language is not English, and has limited to no ability to speak, understand,

read, or write English.

Primary language is the language that an individual communicates most effectively in. Interpretation is the process of orally rendering a spoken or signed communication from one language into another

language.

Translation is converting written text from one language into written text in another language. Translation'

is often

misused to mean interpretation,

but it is a written

medium.)

A qualif ed interpreter or translator is a trained professional who is a neutral third party with the requisite language skills, experienced in interpretation or translation techniques, and knowledgeable in

specialized content areas and technical terminology in order to effectively facil itate communication between two or more parties who do not share a common language. Simultaneous interpretation is the process or orally rendering one language into another language virtually at the same time that the speaker is speaking with only a very short lag time. Consecutive

interpretation

is the process

of orally rendering

one language

into another

language

after

the speaker has completed a statement or questions and pauses. The interpreter then renders that statement

into the other language.

Sight translation is the rendering of material written in one language, completely and accurately into spoken

speech

in another

language.

Vital documents are any materials that are essential to an individual' s ability to access services provided by the organization or are required by law. Guidelines of an interpreter vs bilingual staff An interpreter is: A conduit

for communication

A neutral third party with a single role( to interpret} A professional following codes and ethics Fluent

in English

and foreign

language( s)

An interpreter is not:

A bilingual community member A bilingual staff person with other duties A family member, child, or friend of either party. Needs

Assessment

Thetop three spoken/ written languages in Cowlitz county are English, Spanish and Chuukese. The county ensures that all Coordinated Entry material are provided in thetop three languages for our community.

Coordinated entry access point staff reportthat less than 5% of households that access services identify as

LEP, which is consistent with the Dffice of Financial management' s Washington data&

Research fact

reportfrom 2020, Languages spoken at home( mapped by county) I Office of Financial Management a.

which

obtains

there data from Census American Factfinder. The Washington data&

research

fact report states the following: Last Date Revised:

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6. 3%- 6. 6% of persons in Cowlitz County live in households where a language other than English was

spoken.

2. 9%- 6. 0% of persons

in Cowlitz

County

live in households

where Spanish

1. 1%- 1. 4% of persons

in Cowlitz

County

live in households

where Indo- European

than Spanish

is spoken. language

other

is spoken.

0. 7%- 1. 0% of persons in Cowlitz County live in households where Asian or Pacific Island language was spoken.

Individuals can access the coordinated entry system in many ways from in person( walk- in}, via phone, virtual or mobile

assessment.

Upon

initial

contact

with

a client that does not speak the same language

as the Coordinated

Entry access point staff, staff will attempt to identify the client' s primary language and seek language assistance. 1.

Determine

the need for language

assistance

Identify individuals preferred language If initial attempts to identify the client' s primary language are unsuccessful and there is an adult or companion with the LEP client, staff may request that individual to identify the client' s primary language. Language

Services

Once staff identify the client' s primary language, the staff person will determine which resource is most appropriatefor initial interpretation andto addresstheclient' s immediateneeds. Staff will contactthe correct

language assistance provider. If needed the Coordinated Entry access points will schedule a meetingwith client and appropriate language service to address the client' s housing needs free of charge to the client. Types of language services: Bilingual{

multilingual

staff

In person interpreters Telephonic/ video remote interpreters

Video Relay Services

Coordinated entry access points are prohibited from using minor children to interpret, absent emergency circumstances or family preference. Only a qualified professional interpreter or translator may provide interpretative or translator services.

Notice of Language Services

Signage informing guests of available interpretation services and allowing LEP clients to identify their primary language will be clearly posted at the entry and front desk a rea of each ofthe Coordinated entry access points. All access point personnel will inform members ofthe public that language assistance services are available free of charge to persons with LEP and provide these services to the individual. All Coordinated Entry access points shall provide free language assistance services to LEP individuals whom they encounter or whenever an LEP person requests language assistance services. Training All Coordinated Entry access point staff will receive initial training before meeting with clients and annual training

regarding

the language

access plan.

Also see Policy: Annual Screening and Assessment Training. Evaluation

The County will annually reviewthe language access plan policy and procedure( s) with access points for effectiveness

and efficiency

in meeting the needs ofthe local LEP community.

The county wilI use this

information to identify the top three languages used by individuals that access coordinated entry. The county will also obtain information regarding challenges and barriers access points have experienced in meeting the language needs of community members.

Last Date Revised:

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2 — Department of Commerce Guides

Appendix

In addition to this document, Cowlitz County encourages review of the foIIowing resources.

WA State Department of Commerce Coordinated

CE Management

and Data

Guide

Entry Guidelines

Washington State Department of

Cnanmeree,

Washington

Balance of State

Coordinated

Entry

Coordinated Enfry Management

and

Data

Guide

Guidelines

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Motion

235476

BOCC

Item

Agenda

Meeting Date: 10/ 27/ 2026 Contract 26- 026 with Family Promise of Cowlitz County for homeless prevention services Submitted By: Amanda Foshaug, Accounting Specialist II Submitted For: Gena James, HHS Deputy Director Department:

Human

Services

Dept

Information

Subject and Summary Statement

Agreement with Family Promise of Cowlitz County sets forth the terms and conditions to provide

homeless prevention and self-sufficiency services to families who are at risk of becoming homeless with the most appropriate community resources, housing options, and needed support services. This agreement is funded through the Washington

State Department of Commerce.

This agreement is cost reimbursement basis not to exceed $ 200, 000. 00 for the period of September 1,

2026 through June 30, 2027, funded through a grant from the Washington State Department of Commerce. Contract/ SOW Name

Current

26- 026 Family Promise

Change

CHG

200, 000. 00

Total

Time Period

200, 000. 00

9/ 01/ 26- 6/ 30/ 27

Staff Attendance Gena

James

Department

Recommendation

It is the recommendation

of the Cowlitz

County Health&

Human Services that the Cowlitz County

Board of Commissioners move to approve Contract 26- 026 with Family Promise of Cowlitz County. Attachments

26- 026 Family Promise ( CHG)

Form

Review

User

Task

Action

Timestamp

Foshaug, Amanda

Agenda Item Submission

Submit

10/ 12/ 2026 2: 33: 00 PM

Approve

10/ 12/ 2026

2: 59: 00 PM

Approve

10/ 14/ 2026

7: 46: 00 AM

Drake,

Jamie

Preliminary

Review-

James,

Gena

Department

Approver

HHS

Review Berger, David

Legal Review

Approve

10/ 19/ 2026 9: 40: 00 AM

Grayson,

Clerk of the Board

Approve

10/ 19/ 2026

Kelly

9: 57: 00 AM

Motion

235476

Review

Item

NTZ CO&

GO*%' SUBRECIPIENT

GRANT

AGREEMENT

Number:

NSNING1

26- 026

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 Family Promise of Cowlitz County 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 homeless prevention services. 2.

Term.

This Agreement shall take effect on September 1, 2026 and terminate on June 30, 2027 .

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").

Grant Award.

The Subrecipient is awarded a total of$ 200, 000.

Budget. The Grant Award shall be expended by the Subrecipient as set forth in Attachment B Budget.

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.

Access to and Maintenance of Records. Subrecipient shall maintain internal controls, accounts

terminated, b.

suspended,

or otherwise

Termination for Convenience. convenience

lost or impaired

in whole or in part.

Either party may terminate this Agreement for

upon giving the other party at least 30 days' advance written notice.

In that

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. 1 of 26

26- 026 Last

Date

Admin

Revised:

Form:

1615. 1

01/ 22/ 2025

GRANT

AGREEMENT

If the default is not cured within 30 days of notice, the

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

The Subrecipient shall provide the County with an accounting of authorized services provided through the effective date of termination.

any.

11.

Conflict of Interest. Subrecipient designees, agents, members, officers, employees, consultants,

The Subrecipient will secure at its own expense all labor and materials required to

Gena James

Title:

Deputy Director

Department:

Health &

Address:

1952

(

Admin

WA 98632

414- 5599

Family Promise of Cowlitz County 215 Academy St Kelso,

WA 98626

360. 703. 3131

mailto:HHSContracts HHSContracts( c cowlitzwa. gov 360) 425- 7531 @cowlitzwa.

UEI:

TZ8RNRDSRNN1

UEI: EUJEVZUERSR3

UBI:

08- 300- 3788

UBI: 604- 066- 455

Sara@fpcowlitz. org

2 of 26

26- 026 Date

Executive Director Services

Fax:

E- mail:

Last

360)

Human

Sara Wallace

9th Ave

Longview, Telephone:

For the Subrecipient:

County:

Name:

Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

15.

AGREEMENT

Bodily injury, including death. Property damage

Per occurrence

1, 000, 000 1, 000, 000

Per occurrence

2, 000, 000

Aggregate

1, 000, 000

Per occurrence

2, 000, 000

Aggregate

ERRORS AND OMISSIONS or PROFESSIONAL

LIABILITY with an Extended Reporting Period

Endorsement(

two year tail).

WORKERS COMPENSATION:

Statutory amount Waiver of Title 51 Rights

EMPLOYER' S LIABILITY/ Stop Gap: Per occurrence

1, 000, 000

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

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 3 of 26

26- 026 Last

Date

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Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

AGREEMENT

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.

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.

to the Subrecipient shall be suspended

in the event of noncompliance.

Payment

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

4 of 26

26- 026 Last

Date

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Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

AGREEMENT

18. Debarment

Certification.

The Subrecipient,

by signature to this Agreement,

certifies that the

in all

The Subrecipient and its officials, officers, employees, agents, and

If the Subrecipient is a faith- based or religious organization, it retains its

with Attachment

A and in accordance

with

all applicable

rules

and

requirements

from

the Washington State Department of Commerce Consolidated Homeless Grant attached as

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.

26- 026 Last

Date

Admin

Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

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

d. Attachment

D—

e. Attachment

E— Consolidated

Homeless

the parties

executed

IN WITNESS

WHEREOF,

Retirement

have

Form Certification Grant

this Agreement

this

day of

2026.

SUBRECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard R. Dahl,

Chairman

Steven

Commissioner

L. Ferrell,

Print name: Steve

Title:

FORM

HAS

BEEN

BY COWLITZ

PROSECUTING

Date

APPROVED

AS TO

COUNTY

ATTORNEY

Clerk

of the Board

Date

6 of 26

26- 026 Admin

Commissioner

ATTEST:

CONTRACT

Last

Rader,

Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

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.

Homeless Prevention Services to at- risk families. a.

Provide

short- term

assistance

with

stabilization

services

through

light touch

case

management b.

Budgeting and financial planning Problem- solving around employment, transportation, childcare, or other barriers d. Connect to community resources e. Goal setting through stabilization plans Program Evaluation and Continuous Quality Improvement The subrecipient will submit quarterly program reports no later than the dates outlined in the reporting schedule. Program reports will include updates on all items listed in the scope of work. Reporting schedule c.

Type

of Report

Time

Program

Report

September—

Program

Report

Jan—

March

Program

Report

April—

June

Additional

Requirements:

The

subrecipient

Period

Due

December

will maintain

Date

January 31, 2027 March

31,

2027

July 31, 2027 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

Number of hours of service

Data collection

Completed evaluation tools

Backup reports, data, receipts for invoicing 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. e.

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.

7 of 26

26- 026 Last

Date

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Revised:

Form:

1615. 1

1/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

BUDGET

Budget. The County shall reimburse the Subrecipient in an amount not to exceed $ 200, 000. Unspent grant proceeds will be reallocated at the discretion of the County. Budget Budget Lines Personnel (

Total

case

management,

budgeting, landlord coordination,

20, 000

follow- up, etc. Rent/ Move- in assistance

relocation,

deposits,

170, 000

etc.

10, 000

Administration

200, 000

Total

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.

Change

Not change the total agreement award.

the individual

line

budget,

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. 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 may be due sooner than the 15t" and the County will provide notification of the end of the State fiscal period due date, if applicable.

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.

8 of 26

26- 026 Last

Date

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Revised:

Form:

1615. 1

1/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

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.

Subrecipient

is bound to follow all applicable terms of the Washington State Department of

Commerce Consolidated Homeless Grant, which is attached hereto as Attachment E.

9 of 26

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1615. 1

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GRANT

AGREEMENT

ATTACHMENT

CERTIFICATION

I, Sara Wallace, am the Executive Director of Family Promise of Cowlitz County and I certify that: 2.

1 have authority and approval from the governing body on behalf of Family Promise of Cowlitz County to accept proceeds from the County per Agreement for the Homeless Prevention project by and between the County and Family Promise of Cowlitz County.

1 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 Homeless Prevention project Were incurred during the period that begins on September 1, 2026 through June 30, 2027.

1 understand Family Promise of Cowlitz County 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.

Printed

Name

Signature

Title

Date

10 of 26

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Form:

1615. 1

1/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

RETIREMENT

CERTIFICATION

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

Did you

retire

before age 65 using the 2008 early retirement

Will

you

be receiving direct compensation

Will

you

be receiving indirect

one

of the State of Washington

Retirement Systems? factors ( ERF)?

for your services? for your services?

compensation

YES

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

Social 2:

COUNTY

COMPLETES

Use Member Reporting 1.

Contractor

has

THIS

Security No.: SECTION

Date:

AND

RETAINS

FOR AUDIT

Verification ( MRV) to verify the past retirement

been

a member

of a Washington

State

Retirement

PURPOSES:

membership] System

YES

If YES, what system and plan? Teachers'

Retirement

System (

TRS)

Planl

Plan

School

Employees'

Retirement

System (

SERS)

Plan

Public

Employees'

Retirement

System (

PERS)

Plan

Public

Safety Employees'

Plan

Law

Enforcement

Washington

Retirement

Officers' &

State Patrol

Fire

System ( PSERS)

Fighters'

Retirement

System (

System ( WSPRS)

Plan

LEOFF)

Plan

Judicial Retirement System ( JRS) 5.

Is the contractor a retiree of a Washington

Did the contractor retire before

age

State Retirement

65 using the 2008

System?

ERF?

Yes

R 5/ 09), and the Internal Revenue Service rules governing independent contractor status.

COUNTY OFFICIAL/ DEPARTMENT

Signature:

REPRESENTATIVE:

Date:

COUNTY RETAINS THIS FORM 11 of 26

26- 026 Last

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Form:

1615. 1

1/ 09/ 2025

GRANT

AGREEMENT

6ocusgn

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

Washington

State

G01Dement y1merce

Interagency Agreement with

Cowlitz County Health & Human Services

through

Housing Division Homelessness Assistance Unit

Contract Number: 26- 46108- 08 For Consolidated

Homeless

Grant

Dated: July 1, 2025

12 of 26

26- 026 Last Date Revised: Admin

Form:

1615. 1

1/ 09/ 2025

PROFESSIONAL

o==*"

SERVICES

EnwIape/

AGREEMENT

ATTACHMENT

m. 7E177F- 03--8EF-4wKg- j. 8A5- r4lromw47msB

Wm^~.^`v

Table of Contents TABLE

orcomrEmr&............................................................................................................................................. 2

FACESHEET............................................................................................................................................................

emSH/

mEM/

m43rom

STATE

DEPARTMENT

oF COMMERCE.............................................................................................

TmVIoxmmCONDITIONS.------------------_-----_-----'

Aur* onn,-------------------------------------------------'.

CONTRACT

COMPENSATION..............................................................................................................................................

BILLING

SUBCONTRACTOR

mamxncE...................................................................................................................................................... s

pRAuoxmo

ORDER op PRECEDENCE..................................................................................................................................

MANAGEMENT.............................................................................................................................

PROCEDURES

GamcmuTERMS

AND

DATA

OTHER

LOSS

PAYMENT.............................................................................................................

COLLECTION.............................................................................................................

REPORTING.............................................................................................................

s s

AND CONDITIONS.—'—'—'—'---'—_'---'—'_---'—'_—'---'/

DEFINITIONS....................................................................................................................................................

ALL WRITINGS

CONTAIN

HEREIN.................................................................................................................

AMENDMENTS................................................................................................................................................

ASSIGNMENT...................................................................................................................................................

CON p/ osmTIAur,

COPYRIGHT......................................................................................................................................................

DISPUTES.........................................................................................................................................................

GOVERNING

INDEMNIFICATION ..........................................................................................................................................

10.

mEma/ wm' ACCREDITATION

11.

RECAPTURE......................................................................................................................................................

12.

RECORDS

1a.

SAVINGS..........................................................................................................................................................

14.

aEVEnAmLnr...................................................................................................................................................

15.

SUBCONTRACTING ..........................................................................................................................................

zs.

SURVIVAL.......................................................................................................................................................

17.

TERMINATION

FOR

CAUSE.............................................................................................................................

1e.

TERMINATION

FOR

CONVENIENCE................................................................................................................

19.

TERMINATION

PROCEDURES.........................................................................................................................

xo.

TREATMENT

op ASSETS.................................................................................................................................

21.

wnIVsn ----------------------------------------_-----

ATTACHMENT»

ATTACHMENT

Amo SAFEGUARD/

msnpm

FORMATION...........................................................................

mwAmovswus........................................................................................................................ y n

xmonssonnAnom........................................................................................... n

MAINTENANCE................................................................................................................................

SCOPE

oFWORK.---'—'—'---'------'—'_---'—'_—'---

BUDGET....................................................................................................................................

Page

36' 026 Last

Date Revised:

2mm

13of26 1m9/ 2025

PROFESSIONAL

Docusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE¢ 45flg- 9fiA5- B1FD9A4476EB

7Neshnp;

pn Stare

I, Depa= Face Sheet Contract Number: 2646108AS Washington

State Department

of Commerce

Housing Division Homelessness

1. Contractor Cowlitz

Assistance

Unit( HAU)

2 Contractor Doing Business As( as applicable}

County Health&

Human

Services

1952 9ih Ave Longview,

9& 632

3, Contractor Representative

4, COMMERCE Representative

Gena

Tia Stoner

1011

Contract

Olympia,

James

Deputy

Director

360) 414- 5599

360- 725- 5050

IaMeSQCUI.. COW11fZWa_ 5. Contract

Amount

Funds(

Funding

Source

Federal: as

Federal

applicable)

Other:

NIA:

NIA

wa. gov Date

June 30, 2027

ALN

Agency:

NIA

if. SWV#

12. UBI#

13. UEI#

0000537- 02

083- 003- 739

TZBRNRDSRNN

14. Award Method

NOFOIRFX#

Proviso#

Direct:®

NIA

Competitive:

15. Contract

End

July 1, 2025

NIA

10. TaxID#

ST SE

T. Start Date

State:®

NIA

Plum

93504- 2525

Tia. Stoner@Commerce.

Q0V

11, 737, 213. 00 9. Federal

Manager

Purpose

Expenditure

defined

Report.

as the Department

of Commerce,

and the Contractor,

as defined

above,

acknowledge

and accept the

B"—

Budget.

FOR CONTRACTOR

FOR COMMERCE

rlGeC<au d VAL Tic

ahl, Chair,

Board of County Commissioners

a eher, Interim

Assistant

Director

Housing Division 10/ 1/ 2025

1 &:

Date

PDT

1- 01312025

12: 50 PH PDT

Date

APPROV

ED AS T O FORM

9Y ASSISTANT APPROVAL

ONLY

ATT ORNEY G E NEPAL

ON FILE

Page3of

26- 026 Last

14 of 26

Date Revised:

Admin

Form:

1615. 1

1/ 09/ 2025

PROFESSIONAL

6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

Wwe

hmu: Qn Stare

n, lt=--r-,Ff„ f I' nn u r rr• re('

Special Terms and Conditions 1.

AUTHORITY

COMMERCE and Contractor enter into this Contract pursuant to the authority granted by Chapter 39. 34 RCW. 2.

CONTRACT

MANAGEMENT

The Representative for each of the parties shall be responsible for and shall be the contact person for all communications and billings regarding the performance of this Contract. The Representative

for COMMERCE

and their

contact

information

are identified

on the Face

Sheet of this

Contract.

The Representative for the Contractor and their contact information are identified on the Face Sheet of this Contract. 3.

COMPENSATION

shall

receive

reimbursement

for approved

expenses

as identified

below

or as

authorized

in advance

in writing,

reimbursable

travel

rate

and

accordance

with

the

State

of Washington

Office

Financial

Management

Travel

Regulations. 4.

BILLING

PROCEDURES

AND

PAYMENT

COMMERCEwill pay Grantee upon acceptanceof deliverables or services provided and receipt of properly completed

invoices,

which

shall

submitted

to COMMERCE

via the

Contracts

Management

System

CMS).

The

invoices

shall

describe

and

document,

COMMERCE'

satisfaction,

a description

of the

work

performed, the progressof the project, and any expenses to be reimbursed. The invoice shall include Grant Number 2& 46108- 08. If applicable,

Grantee

must

also

include

attachments

that

describe

and

document,

COMMERCE'

COMMERCE

may request

additional

documentation

at anytime.

Page

26- 026 Last

Form:

15 of 26

Date Revised:

Admin

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we hmu: Qn Stare 6epz- mert of

Ufllil " n"(, C

expenses

within the meaning

of this Agreement.

Grantee must have, and may be required

contract

Duplication

start

of Billed

and and date. Costs

Costs

The Grantee is responsible for any audit exceptions or disallowed casts incurred by its own organization or that of its subgrantees.

Unless otherwise authorized by COMMERCE employee overtime nor bonus pay. COMMERCE

may, in its

sole

discretion,

in writing,

withhold

ten

reimbursable

10%)

percent(

payroll costs shall not include

from each payment until acceptance

by COMMERCE of the final report( or completion of the prcject, etc.). 5.

SUBCONTRACTOR

DATA

COLLECTION

woman- owned,

and

veteran- owned

business

subcontractors. '

Subcontractors"

shall

mean

subcontractors of any tier. G.

INSURANCE

Each party certifies that it is self- insured under the State' s or local government program

and shall be responsible

Additionally, insurance

the Contractor

coverage

for losses for which it is found

is responsible

for the activities

for ensuring

self- insurance liability

liable.

that any Sub-grantees

arising out of subgrants,

provide

adequate

as follows:

Page

26- 026 Last

Form:

16 of 26

Date Revised:

Admin

S of

1615. 1

1/ 09/ 2025

PROFESSIONAL

6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hnp; pn Stare

FRAUD

AND OTHER

LOSS

REPORTING

ORDER

OF PRECEDENCE

In the event of an inconsistency in this Contract, the inconsistency shall be resolved by giving precedence in the following order: Applicable

federal

and state of Washington

statutes

and regulations

Special Terms and Conditions

General Terms and Conditions Attachment

A— Scope of Work

Attachment B— Budget

CHG Guidelines, incorporated by reference on the Face Sheet.

Page

26- 026 Last

Form:

17 of 26

Date Revised:

Admin

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1615. 1

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PROFESSIONAL

6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: Qn S1aW

I, Depa- mMt" of Uw

aiT1CT[ e

General Terms and Conditions 1.

DEFINITIONS

As used throughout this Contract, the following terms shall have the meaning set forth below: A.

B. C.

Authorized Representative" on the Director' s behalf. COMMERCE"

Contract"

shall

mean

or` Agreement"

shall mean the director andlorthedesignee

the Washington or` Grant"

Department

means

the entire

authorized

in writing to act

of Commerce. written

agreement

between

COMMERCE

Contractor" or' Grantee" shall mean the entity identified on the face sheet performing services) under this Contract,

and

shall

include

all employees

and agentsof

the Contractor.

State" shall mean the state of Washington.

ALL WRITINGS

CONTAINED

The terms

HEREIN

AMENDMENTS

This Contract may be amended by mutual agreement of the parties. Such amendments shall not be binding unless they are in writing and signed by personnel authorized to bind each of the parties. 4.

ASSIGNMENT

Neither this Contract, work thereunder, nor any claim arising under this Contract, shall be transferred or assigned by the Contractor without prior written consent of COMMERCE. 5.

CONFIDENTIALITY A. ` Confidential i.

AND

Information"

SAFEGUARDING as used

OF INFORMATION

in this section

includes:

All material provided to the Contractor by COMMERCE that is designated as" confidential" by COMMERCE,

ii.

All material produced by the Contractor that is designated

as' confidential"

by COMMERCE;

and

iii. All Personal Information in the possession of the Contractor that may not be disclosed under state or federal

law.

Page

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Form:

18 of 26

Date Revised:

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ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we hmu: Qn Stare 6epz- mert of

Ufllitk' n'v

The Contractor shall comply with all state and federal laws related tot he use, sharing, transfer, sale, or disclosure

of Confidential

Information.

The Contractor

shall

use Confidential

Information

solely

the author of such

Materials.

In the event the Materials

are not

considered '

works for hire"

the moment of creation of such Materials.

with rights to sublicense

to others) in such Materials

to translate,

reproduce,

distribute,

prepare

necessary

to grant such a licenseto

COMMERCE.

DISPUTES

terms and applicable

statutes and rules and make a determination

of the

Page

26- 026 Last

Form:

19 of 26

Date Revised:

Admin

2vf

1615. 1

1/ 09/ 2025

PROFESSIONAL

6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we hmu: Qn Stare 6epz- mert of

Ufllitk' n'v S.

GOVERNING

LAW AND

This Contract

VENUE

shall be construed

and interpreted

in accordance

with the laws of the state of Washington,

and the venue of any action brought hereunder shall be in the Superior Court for Thurston County. 9.

INDEMNIFICATION

Each party shall be solely responsible for the acts of its employees, officers, and agents. 10.

LICENSING,

ACCREDITATION

AND

REGISTRATION

The Contractor shall comply with all applicable local, state, and federal licensing, accreditation registration requirements or standards necessary for the performance of this Contract. 11.

and

RECAPTURE

COMMERCE

for the noncompliance

in addition

to any other remedies

available

at law or in

RECORDS

MAINTENANCE

of this Contract.

SAVINGS

14.

SEVERABILITV

SUBCONTRACTING

The Contractor approval

may only subcontract

work contemplated

under this Contract

if It obtains the prior written

of COMMERCE.

the Contractor

to rescind

or amend

a subcontract.

Page

26- 026 Last

Form:

20 of 26

Date Revised:

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9of

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PROFESSIONAL

6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7Neehmu:

Qn Stare

bilurtlCl

In no event shall the existence of a su bcontract operate to release

or reduce the liability of the Contractor to COMMERCE for any breach in the performance of the Contractor' s duties.

Every subcontract shall include a term that COMMERCE and the State of Washington are not liable for claims or damages arising from a Subcontractor' s performance of the subcontract. 16.

SURVIVAL

17.

TERMINATION

FOR CAUSE

or suspended.

A termination

shall

be deemed

Termination

for Convenience"

if it

is determined

that

the

Contractor: ( 1) was not in default; or ( 2) failure to perform was outside of his or her control, fault or negligence.

The rights and remedies of COMMERCE provided in this Contract are not exclusive and are, in addition to any other rights and remedies, provided by law. 1a.

TERMINATION

FOR CONVENIENCE

TERMINATION

PROCEDURES

clause shall apply in such property transfer.

Page

26- 026 Last

Form:

21 of 26

Date Revised:

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: Qn Stare epa': merit of

Uf17ITN(v After receipt ofa riot! ceof term! nation. and except as otherwise directed by the Authorized Representative, the Contractor

shall:

Stop work under the Contract on the date, and to the extent specified, in the notice;

Place no further orders or subcontracts for materials, services, or facilities except as may be necessary for completion of such portion of the work under the Contract that is not terminated;

Assign to COMMERCE, in the manner, at the times, and to the extent directed by the Authorized Representative, subcontracts

all

of the

so terminated,

rights,

title,

in which

and

interest

case COMMERCE

of the

Contractor

under

the

has the right, at its discretion,

orders

and

to settle or

pay any or all claims arising out of the termination of such orders and subcontracts; D.

Settle

all outstanding

subcontracts,

with

liabilities

the approval

and

all

claims

or ratification

arising

out of such

of the Authorized

termination

Representative

of orders

and

to the extent

the

Authorized Representative may require, which approval or ratification shall be final for all the purposes E.

of this clause;

Transfer title to COMMERCE and deliver in the manner, at the times, and to the extent directed by the Authorized Representative any property which, been required to be furnished to COMMERCE;

20.

had been completed,

would have

Complete performance of such part of the work as shall not have been terminated by the Authorized Representative;

if the Contract

and

TREATMENT

OF ASSETS

Any property of COMMERCE furnished to the Contractor shall, unless otherwise provided herein or approved by COMMERCE, be used only for the performance of this Contract.

The Contractor shall be responsible for any loss or damage to property of COMMERCE that results from the negligence

of the Contractor

or which

results from the failure on the part of the Contractor

to maintain and administer that property in accordance with sound management practices. C.

If any COMMERCE property is lost, destroyed or damaged, the Contractor shall immediately notify COMMERCE and shall take all reasonable steps to protect the property from further damage.

The Contractor shall surrender to COMMERCE all property of COMMERCE completion, termination or cancellation ofthis Contract.

Al reference

to the Contractor

prior to settlement

under this clause shall also include Contractor' s employees,

upon

agents

or Subcontractors. 21.

WAIVER

Page

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Form:

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: Qn Stare

I, Depa- mMt" of

mnimv

Attachment A.

Consolidated Homeless Grant funding must be prioritized for preserving and maintaining existing programs

A: Scope of Work

and service

levels,

as reported

to Commerce

in the SFY 2024 Annual

Expenditure

Report.

from mainstream

organizations.

Prioritizing funding to preserve and maintain existing programs and service levels, as reported to Commerce

in the SFY 2024 Annual

Expenditure

Report.

HEN Essential Needs Report.

Grantees shall commit to reporting quality timely HMIS data.

Contractor shall comply with all of the requirements, policies and procedures in the Consolidated Homeless Grant Guidelines, including the Washington State Coordinated Entry Guidelines.

Performance a.

Requirements:

Housing Outcomes: Foreach intervention type funded by the Consolidated Homeless Grant, grantees must adopt the required housing outcome performance measure outlined in the Consolidated

Homeless

Grant

Guidelines,

Appendix

Table

Grantees

must

improve

of their access

can access

strategies

this data through

the

and work to improve Washington

equitable

Balanceof

access

as needed.

State Equitable

Access

Grantees Dashboard

which compares the race and ethnicity of households entering the homeless system ( HMIS) to the race and ethnicity ofthe homeless and unstably housed populations( The Snapshot Report)

Page

26- 026 Last

Form:

23 of 26

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: gn S1aW

nFF.V- r tnt of

A#tachmen# B: Budge

I Total

Budget Standard

SFY 2426 and 2027

Standard

Admin

57 512. 00

Standard

Rent

500 000. 00

Standard

Facility Support

Standard

Operations

12 000. 00 718 845. 00

Homelessness

Prevention

SFY 2026 and 2027

Homelessness

Prevention

Admin

Homelessness

Prevention

Rent

Homelessness

Prevention

Operations

Emer, gencv Admin

68 000. 00 1 200 000. 00 859 799. 00

Housin

SFY 2026

2425

54 000. 00

Emergency

Housinq

Emergency Emengency

Housiriq Rent 2026

Emergency

Housin

Fi3c! llty Support

Emergency Emengency

Housing

Operations

Emergency Emengency

Housinq Admin 2027

Emix, gancy

Housinq

4 2425

2026

1 454 000. 00

Emer, gencV HousingSFY

54 000. 00

Rent 2027

Emergency Housin

Fi3c! l! tV Support

Emix, gancy

Operations

Housing I nflistionerV

I nflation

I ncrease

2026

Inflation

Increase

2027

Document DRF Backfill

Increase

2027

1 45D 000. 00

SFY 2426 and SFY 2027

556 281. 00

Recording

Fee

DRF

Backfill

SFY 2026

2426

694 997. 00 SFY 2026

2026

HEN

RentlFac

HEN

Operations

67 500. 00

Support

2026

1 353249. 00

2426

336 000. 00 HEN

HEN Admin

2027

556 281. 00

HEN HEN Admin

2027

SFY 2027

2027

HEN

RentlFac

HEN

Operations

67 500. 00

Support

2027

1 353249. 00

2027

336 000. 00 TOTAL

737213.

Page

26- 026 Last

Form:

24 of 26

Date Revised:

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1615. 1

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PROFESSIONAL

Docusgn

AGREEMENT

SERVICES

ATTACHMENT

Enwe ape ID' 46F4FC16- FECF- 43C3- 97CF- F11S56F4FC2fi

rnendment

i H111161' IY'{'

Contract Number: 26- 46106- 06 Amendment:

Washington State Department of Corn coerce

Housing

Division

Homelessness Assistance Unit Consolidated Homeless Grant( CHG)

1. Contractor Cowlitz 1952

2. Contractor

County Health&

Human

Doing Business As( optional)

Services

YI Ave

Longview,

WA 98632

3. Contractor Representative

4. COMMERCE

Gena James

Tia Stoner

Deputy

Director

Contract

360) 414- 5599

Tia. Stoner[

gov

5. Original Contract Amount

and any previous

Federal:

1011

6. Amendment

96504- 2525

Commeme_wa. gov 7. New Contract Amount

Amount

1, 861, 284)

Funding

Source

State: X

Other:

It. Federal Funds(

Plum St SE

Ctympia, WA

amendments)

11, 737, 213

Amendment

PO Box 42525

Manager

360- 725- 5060

jamesg@cowlitzwa.

Representative

9, 875, 929

9. Amendment NIA:

as applicable):

NIA

Federal

Start Date

111. Amendment End Date

SFY 26 funds: March 1, 2026

SFY 26 funds: June 30, 2026

SFY 27 funds- Jul y 1, 2026

SFY 27 funds: June 30, 2027

CFDA Number:

Agency:

PIMA

12. Amendment Purpose: Deohligate

unused

SFY

2026

Funds.

Ad d SFY 2027 DRF BackfUl. Funding. SFY 27 Funds are available July 1, 2026 and must be spent by June 30, 2027.

Contract to the" Contract' shall mean the" Contract as Amended". FOR

GRANTEE

Wmed

FOR

COMMERCE

DIV

W91gmd

Ric haJTDYU, TtEair, Board ofCounty Commissioners

by:

E", e,

FU" Ped

elle

fi ter rn Assistant

Director

Housing Division 3/ 9/ 2026

8: 21

POT

3/ 6/ 2026

1: 39 PM PST

Date

APPROVED AS TO FORM ONLY BY ASSISTANT ATTORNEY GENERAL APPROVAL ON FILE

Department

of Commerce

25 of 26

26- 026 Last

Date

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Revised:

Form:

1615. 1

1/ 09/ 2025

PROFESSIONAL

Docusgn

Enwlape

AGREEMENT

SERVICES

ATTACHMENT

ID' 46FaFC16- FECF- 43C3- FCF- F11S5fiEaFC2fi

Amendment

This Contract is amended asfollows: Attachment

Budget

Categories

Current

Contract

Amendment

New Total

Amount

and any previous amendments

and

revisions

Standard

SFY 2026 and 2 02 7

Standard

Admin

57 512

Standard

Rent

500 000

Standard

Facility Support

Stand and D peration

Homeless

Prevention

12 000 718 845

SFY 2026 and 2D27

Homelessness

Prevention

Admin

Homelessness

Prevention

Rent

Homelessness

Prevention

Operations

Eme EmergenGv Housing Admin

12 000 718 845

68 000

1 200 000

1 20D 000

859 799

ency Housing

2026

SFY 2026 50 00D

EmargenGv Housing Rent 2026

Emergency Housing Facility

50 000

1A50r000

Support

2026

Emergency Housing aerations

2026

Eme

1, 450, 000

ancy Housing

EmerqenGy Housing Admin 2027 Emergency Housing Rent2027 Emergency Housing Facility Support

SFY 2027 50, 001)

50, 001)

1 45D 00D

1 45D 000

2027

EmerqenGv Housing Operations

2027 PSH CHF

PSH CHF RenVFacillt

SFY 226 and SFY 2D27

Support

PSH CHF Operations Inflation Inflation

Increase

Inflations

2026

Increase 556 281

Increase 2D27

556 281

556 281 Document

Recording Fee

DRF Back-fill 2026

ackfill

694 997

DRF Back-fill 2027 HEN HEN Admin HEN

2026 Supiport

RentiPaGility

HEN Operations

2026

2026 HEN

HEN Admin

2027

HEN RenUFacilit

HEN Operations

2027

ort 202T

TOTAL

ALL OTHERTERMSAND

OF THIS CONTRACT

500 000

194 997

694 997

SFY 2026 67 500

67 500

1 353 249

336 000

336 OOD

SFY 2027 67 50D

67 50D

1 353 249

336 000

338 000

11, 737, 213

CONDrrIONS

0 556 281

REMAIN

i, B61, 2B4

9, 875, 929

IN FULL FORCE AND EFFECT

26 of 26

26- 026 Last

Date

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Revised:

Form:

1615. 1

1/ 09/ 2025

235481

BOCC

Motion

Item

Agenda

Meeting Date: 10/ 27/ 2026 Contract 26- 022 with Cowlitz Family Health center for Coordinated Entry Submitted By: Amanda Foshaug, Accounting Specialist II Submitted For: Gena James, HHS Deputy Director Department:

Human

Services

Dept

Information

Subject and Summary Statement

Agreement with Cowlitz Family Health Center sets forth the terms and conditions to operate as a

State Department of Commerce.

The agreement will be paid on a cost reimbursement basis, not to exceed $ 27, 900. 00.

This agreement is cost reimbursement based, not to exceed $ 27, 900. 00 for the period of July 1, 2026

through June 30, 2027, funded through a grant from the Washington State Department of Commerce. Contract/ SOW Name

Current

26- 022 CFHC CE

Change

1+$

ime Period

Total

27, 900. 00

7101/ 26- 6/ 30/ 27

Staff Attendance Gena

James

Department

It is the

Recommendation

recommendation

of the Cowlitz

County Health&

Human Services that the Board of

Commissioner move to approve Contract 26- 022 with Cowlitz Family Health Center. Attachments 26- 022 CFHC

Form

Review

User

Task

Action

Timestamp

Foshaug, Amanda

Agenda Item Submission

Submit

10/ 12/ 2026 2: 36: 00 PM

Approve

10/ 12/ 2026 3: 00: 00 PM

Approve

10/ 14/ 2026

Approve

10/ 19/ 2026 9: 17: 00 AM

Drake,

Jamie

Preliminary

Review-

James,

Gena

Department

Approver

HHS

7: 40: 00 AM

Review Berger, David

Legal Review

235481

Grayson,

Motion

Kelly

Clerk of the Board Review

Approve

10/ 19/ 2026

Item

9: 58: 00 AM

NTZ CO&

GO*%' SUBRECIPIENT

GRANT

AGREEMENT

Number:

NSN1NG1

26- 022 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 as a Coordinated Entry access point. 2.

Term.

Scope of Eligible Expenditures.

This Agreement shall take effect on July 1, 2026 and terminate on June 30, 2027.

expenditures

Grant funds may only be used to pay or reimburse eligible

consistent and as detailed in Attachment A-

Scope of Work for Project ( the

Project").

Grant Award.

The Subrecipient is awarded a total of$ 27, 900.

Budget. The Grant Award shall be expended by the Subrecipient as set forth in Attachment B Budget.

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.

Access to and Maintenance

of Records. Subrecipient shall maintain internal controls, accounts

terminated, b.

Date

Admin

or otherwise

lost or impaired

in whole or in part.

1 of 43

26- 022 Last

suspended,

Revised:

Form:

1615. 1

01/ 22/ 2025

GRANT

AGREEMENT

If the default is not cured within 30 days of notice, the

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

The Subrecipient shall provide the County with an accounting of authorized services provided through the effective date of termination.

any.

11.

Conflict of Interest. Subrecipient designees, agents, members, officers, employees, consultants,

The Subrecipient will secure at its own expense all labor and materials required to

Gena James

Title:

Deputy Director

Department:

Health &

Address:

1952

(

Admin

WA 98632

414- 5599

Cowlitz Family Health Center 1057 12th Avenue Longview, 360)

WA 98632

636- 3892

mailto:HHSContracts HHSContracts( c cowlitzwa. gov 360) 425- 7531 @cowlitzwa.

UEI:

TZ8RNRDSRNN1

K2C9N2M49CP7

UBI:

08- 300- 3788

600- 176- 084

JCoffee@cfamhc.

org

2 of 43

26- 022 Date

Chief Executive Officer Services

Fax:

E- mail:

Last

360)

Human

Jim Coffee

9tn Ave

Longview, Telephone:

For the Subrecipient:

County:

Name:

Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

15.

AGREEMENT

Bodily injury, including death. Property damage

Per occurrence

1, 000, 000 1, 000, 000

Per occurrence

2, 000, 000

Aggregate

1, 000, 000

Per occurrence

2, 000, 000

Aggregate

ERRORS AND OMISSIONS or PROFESSIONAL

LIABILITY with an Extended Reporting Period

Endorsement(

two year tail).

WORKERS COMPENSATION:

Statutory amount Waiver of Title 51 Rights

EMPLOYER' S LIABILITY/ Stop Gap: Per occurrence

1, 000, 000

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

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 3 of 43

26- 022 Last

Date

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Revised:

Form:

1615. 1

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GRANT

AGREEMENT

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.

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.

to the Subrecipient shall be suspended

in the event of noncompliance.

Payment

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

4 of 43

26- 022 Last

Date

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Revised:

Form:

1615. 1

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GRANT

AGREEMENT

18. Debarment

Certification.

The Subrecipient,

by signature to this Agreement,

certifies that the

in all

The Subrecipient and its officials, officers, employees, agents, and

If the Subrecipient is a faith- based or religious organization, it retains its

Subrecipient agrees to use the Grant Award funds awarded to it in

accordance

A and in accordance

with Attachment

with

all applicable

rules

and

requirements

from

the Washington State Department of Commerce Consolidated Homeless Grant attached as

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.

26- 022 Last

Date

Admin

Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

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

d. Attachment

D—

e. Attachment

E— Consolidated

f. Exhibit

Cowlitz County Coordinated Entry Policies and Procedures

IN WITNESS

A—

WHEREOF,

Retirement

the parties

have

Form Certification Homeless

executed

Grant

this Agreement

this

day of

2026.

SUBRECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard

R. Dahl,

Chairman

Steven

L. Ferrell,

Commissioner

Print name: Steve

Title:

FORM

HAS

BEEN

BY COWLITZ

PROSECUTING

Date

APPROVED

AS TO

COUNTY

ATTORNEY

Clerk

of the Board

Date

6 of 43

26- 022 Admin

Commissioner

ATTEST:

CONTRACT

Last

Rader,

Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

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.

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 subrecipient' 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 subrecipient 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 subrecipient will assure households fleeing or attempting to flee violence will be connected with the Emergency Support Shelter. e. The subrecipient 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/homeles https:// www. commerce. wa. gov/ serving- communities/ homelessness/ hmis/ sness/hmis/ g. The subrecipient shall comply with Exhibit A- Cowlitz County Coordinated Entry Policies and Procedures Provider Manual, attached as Exhibit A hereto and incorporated by reference, and as may be updated. h. The subrecipient 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 i.

of Subrecipient

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.

iv.

Collaborative Approach —

vi.

vii.

Resource

Referral —

CE access points will engage in resource referral for individuals seeking information on community resources. 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. 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 7 of 43

26- 022 Last

Date

Admin

Revised:

Form:

1615. 1

1/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

improvement. The CE access points must have strong commitment to data quality and a willingness to be data- informed.

Consolidated

Grant

Homeless

Guidelines

found

here

and

updated:

https://www.commerce.wa.gov/serving-communities/homelessness/consolidate https:// www. commerce. wa. gov/ serving- communities/ homelessness/ consolidated- homelesshttps://www.co d-homeless-grant/ grant/ k. Outcomes and Measures: mmerce.wa.go i. v/serving-com Households experiencing homelessness or at risk of homelessness have access to CE munities/homeand are connected to available housing resources and other community resources. ii. lessness/cons The following outcomes/ outputs will be used to evaluate the performance of CE access olidated-homelpoints: 1. Number of households with Targeted Eligibility Screenings, Resource Screenings, ess-grant/ Assessments, and housing referrals completed per access point. 2. Households receive an assessment within 10 days of request from County ( Target: 80%)

of Report

Time

Eligibility Screening

Period

Due 15"'

Monthly

Date

of the month following the month of

service

Additional

Requirements:

The

subrecipient

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

Number of hours of service

Data Collection

Completed evaluation tools

Backup reports/ data for invoicing. Site Visits: The subrecipient will coordinate visits with the County Project Manager for contract compliance, organizational due diligence, program evaluation, technical assistance, and Continuous Quality Improvement. 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 e.

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.

8 of 43

26- 022 Last

Date

Admin

Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

BUDGET

Budget. The County shall reimburse the Subrecipient in an amount not to exceed $ 27, 900. Unspent grant proceeds will be reallocated at the discretion of the County. Budget Budget Lines

Total

21, 200

Personnel

Other Expenses ( equipment, Indirect

mileage,

lies

4, 580

10%

2, 120 27, 900

Total

Indirect charges must not include items that are billable to any other category Unless noted in the budget, actual

administrative

costs

cannot

exceed

a maximum

10% rate of

actual program expenses, each month. 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.

Change the individual line budget,

Not change the total agreement award.

and

as updated.

The Subrecipient

shall

ensure

that

the progress of the project, and fees.

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.

9 of 43

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Date

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1615. 1

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GRANT

AGREEMENT

ATTACHMENT

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.

Subrecipient is bound to follow all applicable terms of the Washington State Department of Commerce Consolidated Homeless Grant, which is attached hereto as Attachment E.

10 of 43

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1615. 1

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GRANT

AGREEMENT

ATTACHMENT

CERTIFICATION

I, Jim Coffee, am the Chief Executive Officer of Cowlitz Family Health Center and I certify that: 2.

1 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 Coordinated Entry project by and between the County and Cowlitz Family Health Center .

1 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.

Printed

Name

Signature

Title

Date

11 of 43

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1615. 1

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GRANT

AGREEMENT

ATTACHMENT

RETIREMENT

CERTIFICATION

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

Did you

retire

before age 65 using the 2008 early retirement

Will

you

be receiving direct compensation

Will

you

be receiving indirect

one

of the State of Washington

Retirement Systems? factors ( ERF)?

for your services? for your services?

compensation

YES

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

Social 2:

COUNTY

COMPLETES

Use Member Reporting 1.

Contractor

has

THIS

Security No.: SECTION

Date:

AND

RETAINS

FOR AUDIT

Verification ( MRV) to verify the past retirement

been

a member

of a Washington

State

Retirement

PURPOSES:

membership] System

YES

If YES, what system and plan? Teachers'

Retirement

System (

TRS)

Planl

Plan

School

Employees'

Retirement

System (

SERS)

Plan

Public

Employees'

Retirement

System (

PERS)

Plan

Public

Safety Employees'

Plan

Law

Enforcement

Washington

Retirement

Officers' &

State Patrol

Fire

System ( PSERS)

Fighters'

Retirement

System (

System ( WSPRS)

Plan

LEOFF)

Plan

Judicial Retirement System ( JRS) 5.

Is the contractor a retiree of a Washington

Did the contractor retire before

age

State Retirement

65 using the 2008

System?

ERF?

Yes

R 5/ 09), and the Internal Revenue Service rules governing independent contractor status.

COUNTY OFFICIAL/ DEPARTMENT

Signature:

REPRESENTATIVE:

Date:

COUNTY RETAINS THIS FORM 12 of 43

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Date

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1615. 1

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GRANT

AGREEMENT

6ocusgn

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

Washington

State

G01Dement y1merce

Interagency Agreement with

Cowlitz County Health & Human Services

through

Housing Division Homelessness Assistance Unit

Contract Number: 26- 46108- 08 For Consolidated

Homeless

Grant

Dated: July 1, 2025

13 of 43

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1615. 1

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PROFESSIONAL

o==*"

SERVICES

EnwIape/

AGREEMENT

ATTACHMENT

m. 7E177F- 03--8EF-4wKg- j. 8A5- r4lromw47msB

Wm^~.^`v

Table of Contents TABLE

orcomrEmr&............................................................................................................................................. 2

FACESHEET............................................................................................................................................................

emSH/

mEM/

m43rom

STATE

DEPARTMENT

oF COMMERCE.............................................................................................

TmVIoxmmCONDITIONS.------------------_-----_-----'

Aur* onn,-------------------------------------------------'.

CONTRACT

COMPENSATION..............................................................................................................................................

BILLING

SUBCONTRACTOR

mamxncE...................................................................................................................................................... s

pRAuoxmo

ORDER op PRECEDENCE..................................................................................................................................

MANAGEMENT.............................................................................................................................

PROCEDURES

GamcmuTERMS

AND

DATA

OTHER

LOSS

PAYMENT.............................................................................................................

COLLECTION.............................................................................................................

REPORTING.............................................................................................................

s s

AND CONDITIONS.—'—'—'—'---'—_'---'—'_---'—'_—'---'/

DEFINITIONS....................................................................................................................................................

ALL WRITINGS

CONTAIN

HEREIN.................................................................................................................

AMENDMENTS................................................................................................................................................

ASSIGNMENT...................................................................................................................................................

CON p/ osmTIAur,

COPYRIGHT......................................................................................................................................................

DISPUTES.........................................................................................................................................................

GOVERNING

INDEMNIFICATION ..........................................................................................................................................

10.

mEma/ wm' ACCREDITATION

11.

RECAPTURE......................................................................................................................................................

12.

RECORDS

1a.

SAVINGS..........................................................................................................................................................

14.

aEVEnAmLnr...................................................................................................................................................

15.

SUBCONTRACTING ..........................................................................................................................................

zs.

SURVIVAL.......................................................................................................................................................

17.

TERMINATION

FOR

CAUSE.............................................................................................................................

1e.

TERMINATION

FOR

CONVENIENCE................................................................................................................

19.

TERMINATION

PROCEDURES.........................................................................................................................

xo.

TREATMENT

op ASSETS.................................................................................................................................

21.

wnIVsn ----------------------------------------_-----

ATTACHMENT»

ATTACHMENT

Amo SAFEGUARD/

msnpm

FORMATION...........................................................................

mwAmovswus........................................................................................................................ y n

xmonssonnAnom........................................................................................... n

MAINTENANCE................................................................................................................................

SCOPE

oFWORK.---'—'—'---'------'—'_---'—'_—'---

BUDGET....................................................................................................................................

Page

36- 022 Last

14of43

Date Revised:

xUmmronn

2mm

1615. 1

1m9/ 2025

PROFESSIONAL

Docusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE¢ 45flg- 9fiA5- B1FD9A4476EB

7Neshnp;

pn Stare

I, Depa= Face Sheet Contract Number: 2646108AS Washington

State Department

of Commerce

Housing Division Homelessness

1. Contractor Cowlitz

Assistance

Unit( HAU)

2 Contractor Doing Business As( as applicable}

County Health&

Human

Services

1952 9ih Ave Longview,

9& 632

3, Contractor Representative

4, COMMERCE Representative

Gena

Tia Stoner

1011

Contract

Olympia,

James

Deputy

Director

360) 414- 5599

360- 725- 5050

IaMeSQCUI.. COW11fZWa_ 5. Contract

Amount

Funds(

Funding

Source

Federal: as

Federal

applicable)

Other:

NIA:

NIA

wa. gov Date

June 30, 2027

ALN

Agency:

NIA

if. SWV#

12. UBI#

13. UEI#

0000537- 02

083- 003- 739

TZBRNRDSRNN

14. Award Method

NOFOIRFX#

Proviso#

Direct:®

NIA

Competitive:

15. Contract

End

July 1, 2025

NIA

10. TaxID#

ST SE

T. Start Date

State:®

NIA

Plum

93504- 2525

Tia. Stoner@Commerce.

Q0V

11, 737, 213. 00 9. Federal

Manager

Purpose

Expenditure

defined

Report.

as the Department

of Commerce,

and the Contractor,

as defined

above,

acknowledge

and accept the

B"—

Budget.

FOR CONTRACTOR

FOR COMMERCE

rlGeC<au d VAL Tic

ahl, Chair,

Board of County Commissioners

a eher, Interim

Assistant

Director

Housing Division 10/ 1/ 2025

1 &:

Date

PDT

1- 01312025

12: 50 PH PDT

Date

APPROV

ED AS T O FORM

9Y ASSISTANT APPROVAL

ONLY

ATT ORNEY G E NEPAL

ON FILE

Page3of

26- 022 Last

15 of 43

Date Revised:

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Form:

1615. 1

1/ 09/ 2025

PROFESSIONAL

6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

Wwe

hmu: Qn Stare

n, lt=--r-,Ff„ f I' nn u r rr• re('

Special Terms and Conditions 1.

AUTHORITY

COMMERCE and Contractor enter into this Contract pursuant to the authority granted by Chapter 39. 34 RCW. 2.

CONTRACT

MANAGEMENT

The Representative for each of the parties shall be responsible for and shall be the contact person for all communications and billings regarding the performance of this Contract. The Representative

for COMMERCE

and their

contact

information

are identified

on the Face

Sheet of this

Contract.

The Representative for the Contractor and their contact information are identified on the Face Sheet of this Contract. 3.

COMPENSATION

shall

receive

reimbursement

for approved

expenses

as identified

below

or as

authorized

in advance

in writing,

reimbursable

travel

rate

and

accordance

with

the

State

of Washington

Office

Financial

Management

Travel

Regulations. 4.

BILLING

PROCEDURES

AND

PAYMENT

COMMERCEwill pay Grantee upon acceptanceof deliverables or services provided and receipt of properly completed

invoices,

which

shall

submitted

to COMMERCE

via the

Contracts

Management

System

CMS).

The

invoices

shall

describe

and

document,

COMMERCE'

satisfaction,

a description

of the

work

performed, the progressof the project, and any expenses to be reimbursed. The invoice shall include Grant Number 2& 46108- 08. If applicable,

Grantee

must

also

include

attachments

that

describe

and

document,

COMMERCE'

COMMERCE

may request

additional

documentation

at anytime.

Page

26- 022 Last

Form:

16 of 43

Date Revised:

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we hmu: Qn Stare 6epz- mert of

Ufllil " n"(, C

expenses

within the meaning

of this Agreement.

Grantee must have, and may be required

contract

Duplication

start

of Billed

and and date. Costs

Costs

The Grantee is responsible for any audit exceptions or disallowed casts incurred by its own organization or that of its subgrantees.

Unless otherwise authorized by COMMERCE employee overtime nor bonus pay. COMMERCE

may, in its

sole

discretion,

in writing,

withhold

ten

reimbursable

10%)

percent(

payroll costs shall not include

from each payment until acceptance

by COMMERCE of the final report( or completion of the prcject, etc.). 5.

SUBCONTRACTOR

DATA

COLLECTION

woman- owned,

and

veteran- owned

business

subcontractors. '

Subcontractors"

shall

mean

subcontractors of any tier. G.

INSURANCE

Each party certifies that it is self- insured under the State' s or local government program

and shall be responsible

Additionally, insurance

the Contractor

coverage

for losses for which it is found

is responsible

for the activities

for ensuring

self- insurance liability

liable.

that any Sub-grantees

arising out of subgrants,

provide

adequate

as follows:

Page

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Form:

17 of 43

Date Revised:

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1615. 1

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PROFESSIONAL

6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hnp; pn Stare

FRAUD

AND OTHER

LOSS

REPORTING

ORDER

OF PRECEDENCE

In the event of an inconsistency in this Contract, the inconsistency shall be resolved by giving precedence in the following order: Applicable

federal

and state of Washington

statutes

and regulations

Special Terms and Conditions

General Terms and Conditions Attachment

A— Scope of Work

Attachment B— Budget

CHG Guidelines, incorporated by reference on the Face Sheet.

Page

26- 022 Last

Form:

18 of 43

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1615. 1

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: Qn S1aW

I, Depa- mMt" of Uw

aiT1CT[ e

General Terms and Conditions 1.

DEFINITIONS

As used throughout this Contract, the following terms shall have the meaning set forth below: A.

B. C.

Authorized Representative" on the Director' s behalf. COMMERCE"

Contract"

shall

mean

or` Agreement"

shall mean the director andlorthedesignee

the Washington or` Grant"

Department

means

the entire

authorized

in writing to act

of Commerce. written

agreement

between

COMMERCE

Contractor" or' Grantee" shall mean the entity identified on the face sheet performing services) under this Contract,

and

shall

include

all employees

and agentsof

the Contractor.

State" shall mean the state of Washington.

ALL WRITINGS

CONTAINED

The terms

HEREIN

AMENDMENTS

This Contract may be amended by mutual agreement of the parties. Such amendments shall not be binding unless they are in writing and signed by personnel authorized to bind each of the parties. 4.

ASSIGNMENT

Neither this Contract, work thereunder, nor any claim arising under this Contract, shall be transferred or assigned by the Contractor without prior written consent of COMMERCE. 5.

CONFIDENTIALITY A. ` Confidential i.

AND

Information"

SAFEGUARDING as used

OF INFORMATION

in this section

includes:

All material provided to the Contractor by COMMERCE that is designated as" confidential" by COMMERCE,

ii.

All material produced by the Contractor that is designated

as' confidential"

by COMMERCE;

and

iii. All Personal Information in the possession of the Contractor that may not be disclosed under state or federal

law.

Page

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Form:

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SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we hmu: Qn Stare 6epz- mert of

Ufllitk' n'v

The Contractor shall comply with all state and federal laws related tot he use, sharing, transfer, sale, or disclosure

of Confidential

Information.

The Contractor

shall

use Confidential

Information

solely

the author of such

Materials.

In the event the Materials

are not

considered '

works for hire"

the moment of creation of such Materials.

with rights to sublicense

to others) in such Materials

to translate,

reproduce,

distribute,

prepare

necessary

to grant such a licenseto

COMMERCE.

DISPUTES

terms and applicable

statutes and rules and make a determination

of the

Page

26- 022 Last

Form:

20 of 43

Date Revised:

Admin

2vf

1615. 1

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PROFESSIONAL

6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we hmu: Qn Stare 6epz- mert of

Ufllitk' n'v S.

GOVERNING

LAW AND

This Contract

VENUE

shall be construed

and interpreted

in accordance

with the laws of the state of Washington,

and the venue of any action brought hereunder shall be in the Superior Court for Thurston County. 9.

INDEMNIFICATION

Each party shall be solely responsible for the acts of its employees, officers, and agents. 10.

LICENSING,

ACCREDITATION

AND

REGISTRATION

The Contractor shall comply with all applicable local, state, and federal licensing, accreditation registration requirements or standards necessary for the performance of this Contract. 11.

and

RECAPTURE

COMMERCE

for the noncompliance

in addition

to any other remedies

available

at law or in

RECORDS

MAINTENANCE

of this Contract.

SAVINGS

14.

SEVERABILITV

SUBCONTRACTING

The Contractor approval

may only subcontract

work contemplated

under this Contract

if It obtains the prior written

of COMMERCE.

the Contractor

to rescind

or amend

a subcontract.

Page

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Form:

21 of 43

Date Revised:

Admin

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1615. 1

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7Neehmu:

Qn Stare

bilurtlCl

In no event shall the existence of a su bcontract operate to release

or reduce the liability of the Contractor to COMMERCE for any breach in the performance of the Contractor' s duties.

Every subcontract shall include a term that COMMERCE and the State of Washington are not liable for claims or damages arising from a Subcontractor' s performance of the subcontract. 16.

SURVIVAL

17.

TERMINATION

FOR CAUSE

or suspended.

A termination

shall

be deemed

Termination

for Convenience"

if it

is determined

that

the

Contractor: ( 1) was not in default; or ( 2) failure to perform was outside of his or her control, fault or negligence.

The rights and remedies of COMMERCE provided in this Contract are not exclusive and are, in addition to any other rights and remedies, provided by law. 1a.

TERMINATION

FOR CONVENIENCE

TERMINATION

PROCEDURES

clause shall apply in such property transfer.

Page

26- 022 Last

Form:

22 of 43

Date Revised:

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1615. 1

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: Qn Stare epa': merit of

Uf17ITN(v After receipt ofa riot! ceof term! nation. and except as otherwise directed by the Authorized Representative, the Contractor

shall:

Stop work under the Contract on the date, and to the extent specified, in the notice;

Place no further orders or subcontracts for materials, services, or facilities except as may be necessary for completion of such portion of the work under the Contract that is not terminated;

Assign to COMMERCE, in the manner, at the times, and to the extent directed by the Authorized Representative, subcontracts

all

of the

so terminated,

rights,

title,

in which

and

interest

case COMMERCE

of the

Contractor

under

the

has the right, at its discretion,

orders

and

to settle or

pay any or all claims arising out of the termination of such orders and subcontracts; D.

Settle

all outstanding

subcontracts,

with

liabilities

the approval

and

all

claims

or ratification

arising

out of such

of the Authorized

termination

Representative

of orders

and

to the extent

the

Authorized Representative may require, which approval or ratification shall be final for all the purposes E.

of this clause;

Transfer title to COMMERCE and deliver in the manner, at the times, and to the extent directed by the Authorized Representative any property which, been required to be furnished to COMMERCE;

20.

had been completed,

would have

Complete performance of such part of the work as shall not have been terminated by the Authorized Representative;

if the Contract

and

TREATMENT

OF ASSETS

Any property of COMMERCE furnished to the Contractor shall, unless otherwise provided herein or approved by COMMERCE, be used only for the performance of this Contract.

The Contractor shall be responsible for any loss or damage to property of COMMERCE that results from the negligence

of the Contractor

or which

results from the failure on the part of the Contractor

to maintain and administer that property in accordance with sound management practices. C.

If any COMMERCE property is lost, destroyed or damaged, the Contractor shall immediately notify COMMERCE and shall take all reasonable steps to protect the property from further damage.

The Contractor shall surrender to COMMERCE all property of COMMERCE completion, termination or cancellation ofthis Contract.

Al reference

to the Contractor

prior to settlement

under this clause shall also include Contractor' s employees,

upon

agents

or Subcontractors. 21.

WAIVER

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Form:

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1615. 1

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: Qn Stare

I, Depa- mMt" of

mnimv

Attachment A.

Consolidated Homeless Grant funding must be prioritized for preserving and maintaining existing programs

A: Scope of Work

and service

levels,

as reported

to Commerce

in the SFY 2024 Annual

Expenditure

Report.

from mainstream

organizations.

Prioritizing funding to preserve and maintain existing programs and service levels, as reported to Commerce

in the SFY 2024 Annual

Expenditure

Report.

HEN Essential Needs Report.

Grantees shall commit to reporting quality timely HMIS data.

Contractor shall comply with all of the requirements, policies and procedures in the Consolidated Homeless Grant Guidelines, including the Washington State Coordinated Entry Guidelines.

Performance a.

Requirements:

Housing Outcomes: Foreach intervention type funded by the Consolidated Homeless Grant, grantees must adopt the required housing outcome performance measure outlined in the Consolidated

Homeless

Grant

Guidelines,

Appendix

Table

Grantees

must

improve

of their access

can access

strategies

this data through

the

and work to improve Washington

equitable

Balanceof

access

as needed.

State Equitable

Access

Grantees Dashboard

which compares the race and ethnicity of households entering the homeless system ( HMIS) to the race and ethnicity ofthe homeless and unstably housed populations( The Snapshot Report)

Page

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Date Revised:

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: gn S1aW

nFF.V- r tnt of

A#tachmen# B: Budge

I Total

Budget Standard

SFY 2426 and 2027

Standard

Admin

57 512. 00

Standard

Rent

500 000. 00

Standard

Facility Support

Standard

Operations

12 000. 00 718 845. 00

Homelessness

Prevention

SFY 2026 and 2027

Homelessness

Prevention

Admin

Homelessness

Prevention

Rent

Homelessness

Prevention

Operations

Emer, gencv Admin

68 000. 00 1 200 000. 00 859 799. 00

Housin

SFY 2026

2425

54 000. 00

Emergency

Housinq

Emergency Emengency

Housiriq Rent 2026

Emergency

Housin

Fi3c! llty Support

Emergency Emengency

Housing

Operations

Emergency Emengency

Housinq Admin 2027

Emix, gancy

Housinq

4 2425

2026

1 454 000. 00

Emer, gencV HousingSFY

54 000. 00

Rent 2027

Emergency Housin

Fi3c! l! tV Support

Emix, gancy

Operations

Housing I nflistionerV

I nflation

I ncrease

2026

Inflation

Increase

2027

Document DRF Backfill

Increase

2027

1 45D 000. 00

SFY 2426 and SFY 2027

556 281. 00

Recording

Fee

DRF

Backfill

SFY 2026

2426

694 997. 00 SFY 2026

2026

HEN

RentlFac

HEN

Operations

67 500. 00

Support

2026

1 353249. 00

2426

336 000. 00 HEN

HEN Admin

2027

556 281. 00

HEN HEN Admin

2027

SFY 2027

2027

HEN

RentlFac

HEN

Operations

67 500. 00

Support

2027

1 353249. 00

2027

336 000. 00 TOTAL

737213.

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SERVICES

ATTACHMENT

Enwe ape ID' 46F4FC16- FECF- 43C3- 97CF- F11S56F4FC2fi

rnendment

i H111161' IY'{'

Contract Number: 26- 46106- 06 Amendment:

Washington State Department of Corn coerce

Housing

Division

Homelessness Assistance Unit Consolidated Homeless Grant( CHG)

1. Contractor Cowlitz 1952

2. Contractor

County Health&

Human

Doing Business As( optional)

Services

YI Ave

Longview,

WA 98632

3. Contractor Representative

4. COMMERCE

Gena James

Tia Stoner

Deputy

Director

Contract

360) 414- 5599

Tia. Stoner[

gov

5. Original Contract Amount

and any previous

Federal:

1011

6. Amendment

96504- 2525

Commeme_wa. gov 7. New Contract Amount

Amount

1, 861, 284)

Funding

Source

State: X

Other:

It. Federal Funds(

Plum St SE

Ctympia, WA

amendments)

11, 737, 213

Amendment

PO Box 42525

Manager

360- 725- 5060

jamesg@cowlitzwa.

Representative

9, 875, 929

9. Amendment NIA:

as applicable):

NIA

Federal

Start Date

111. Amendment End Date

SFY 26 funds: March 1, 2026

SFY 26 funds: June 30, 2026

SFY 27 funds- Jul y 1, 2026

SFY 27 funds: June 30, 2027

CFDA Number:

Agency:

PIMA

12. Amendment Purpose: Deohligate

unused

SFY

2026

Funds.

Ad d SFY 2027 DRF BackfUl. Funding. SFY 27 Funds are available July 1, 2026 and must be spent by June 30, 2027.

Contract to the" Contract' shall mean the" Contract as Amended". FOR

GRANTEE

Wmed

FOR

COMMERCE

DIV

W91gmd

Ric haJTDYU, TtEair, Board ofCounty Commissioners

by:

E", e,

FU" Ped

elle

fi ter rn Assistant

Director

Housing Division 3/ 9/ 2026

8: 21

POT

3/ 6/ 2026

1: 39 PM PST

Date

APPROVED AS TO FORM ONLY BY ASSISTANT ATTORNEY GENERAL APPROVAL ON FILE

Department

of Commerce

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PROFESSIONAL

Docusgn

Enwlape

AGREEMENT

SERVICES

ATTACHMENT

ID' 46FaFC16- FECF- 43C3- FCF- F11S5fiEaFC2fi

Amendment

This Contract is amended asfollows: Attachment

Budget

Categories

Current

Contract

Amendment

New Total

Amount

and any previous amendments

and

revisions

Standard

SFY 2026 and 2 02 7

Standard

Admin

57 512

Standard

Rent

500 000

Standard

Facility Support

Stand and D peration

Homeless

Prevention

12 000 718 845

SFY 2026 and 2D27

Homelessness

Prevention

Admin

Homelessness

Prevention

Rent

Homelessness

Prevention

Operations

Eme EmergenGv Housing Admin

12 000 718 845

68 000

1 200 000

1 20D 000

859 799

ency Housing

2026

SFY 2026 50 00D

EmargenGv Housing Rent 2026

Emergency Housing Facility

50 000

1A50r000

Support

2026

Emergency Housing aerations

2026

Eme

1, 450, 000

ancy Housing

EmerqenGy Housing Admin 2027 Emergency Housing Rent2027 Emergency Housing Facility Support

SFY 2027 50, 001)

50, 001)

1 45D 00D

1 45D 000

2027

EmerqenGv Housing Operations

2027 PSH CHF

PSH CHF RenVFacillt

SFY 226 and SFY 2D27

Support

PSH CHF Operations Inflation Inflation

Increase

Inflations

2026

Increase 556 281

Increase 2D27

556 281

556 281 Document

Recording Fee

DRF Back-fill 2026

ackfill

694 997

DRF Back-fill 2027 HEN HEN Admin HEN

2026 Supiport

RentiPaGility

HEN Operations

2026

2026 HEN

HEN Admin

2027

HEN RenUFacilit

HEN Operations

2027

ort 202T

TOTAL

ALL OTHERTERMSAND

OF THIS CONTRACT

500 000

194 997

694 997

SFY 2026 67 500

67 500

1 353 249

336 000

336 OOD

SFY 2027 67 50D

67 50D

1 353 249

336 000

11, 737, 213

CONDrrIONS

0 556 281

REMAIN

i, B61, 2B4

9, 875, 929

IN FULL FORCE AND EFFECT

27 of 43

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GRANT

AGREEMENT

EXHIBIT

Cowlitz County Health and Human Services

G•

PHONE:

3ITE:

W E65[ TE: Wain

Campus:

Environmental

1952

9th

Health Unit:

Avenue,

FAX.

us25'

753i

rmrw, w. ca,¢ co ow litx, wa. wa. usfhhs

Longview,

267 4th Avenue North,

kcowlitzheahh@cowlit7wa. gov

9B632

K Iso, WA 9B626

OM5eptic@cowlit2wa.

gov

Coordinated Policies and Procedures

Provider Manual-

Introduction The Department

of Commerce

requires

counties

to establish

and operate

a Coordinated

Entry( CE) system that provides

CAP: Young Adult Housing Program

through

standardized

assessment,

prioritization,

and referral

processes.

Participating

Marketing

Accessing the Coordinated

Page 2

Strategy Entry System

Page 2

3 Accessibility

Page

4 Language Access Plan

Page4

5 Access Points

Page4

Page 5

Emergency

Services

7 Victim Services

Pages

Page

Screening and Assessment

9 Training

Curricula

Prioritization

Referral

Grievance and Appeal

Privacy

Non- Discrimination

Page 7 Pages Page S Process

Page 9 Page 10 Page 11

Appendix 1-

Language Access Plan

Appendix 2-

Resources

Appendix 3-

Coordinated

Last Date Revised:

Page13 Page 15

Entry Training

11/ 25/ 2025

Log

Page 16

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28 of 43

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EXHIBIT

Marketing Strategy Marketing,

or advertising,

refers to how households

learn the CE system

exists. This may include,

but is not

POLICY:

Marketing Strategy

Marketing to all Households

multiple f.

on CE.

to meet the varying needs of those who speak other languages,

have Limited

PROCEDUREI. 2:

Marketing to Households Least Likely toApply

The County will provide education

on the Coordinated

Entry system to local street outreach

teams.

The County will invite street outreach teams to monthly partner collaboration meeting and provide CE materials to teams.

Coordinated Entry access points will actively coordinate with street outreach teams.

Accessing the Coordinated Entry System Access refers to how people connect with the Coordinated Entry system. All households will have fair and equal access to the Coordinated Entry system. POLICY:

Coordinated Entry System Access Criteria

laws.

Households cannot be screened out based on thefollowing criteria: Havingtoo

little orno income

Having poor creditor financial history Last Date Revised:

11/ 25/ 2025

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CE processes may not require" proof' or documentation to determine whether a person has a history ofvictimization or not

The type or extent of disabi Iity- related services or supports that are needed Previous

system

involvement

No turning away of a person regardless ofthe number oftimes they have accessed services

Lacking

Identification

Coordinated Entry access points will provide proof of stafftraining on antidiscrimination policy annually.

Accessibility for People with Disabilities Accessibility

refers to how accessible

the Coordinated

Entry system

is. The Coordinated

Entry system

must be

effectively

with individuals

with disabilities

and will

provide CE materials in locally appropriate languages. PROCEDURE 3. 1: Physical Accessibility and Reasonable Accommodation

Physical access points are located near public transportation and other mainstream services, or offer variation

to the assessment

process.

For example,

a person with a mobility

impairment

may request a reasonabl e accommodation in order to complete the CE assessment process at a different c.

location.

Last Date Revised:

11/ 25/ 2025

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EXHIBIT

CE access points must be accessible throughout Cowlitz County and offer options to ensure access, which can include offering phone or mobile assessments.

PROCEDURE

3. 2:

Effective

Communication

with

Individuals

with

Disabilities

interpreters).

with

Disabilities

Act.

Coordinated entry access points will follow the Cowlitz County Language Access plan attached as Appendix 1: Cowlitz County Language Access Plan.

Also see Policy: Annual Screening and Assessment Training. 5.

CORE Health

Cowlitz Family Health Center

Lower Columbia CAP

Emergency Support Shelter

Support Center Annex

Social

1057 12th Ave

1526 Commerce Ave

1330

1408 121" Ave

Longview, WA. 98632

Longview,

Longview WA. 98632

Longview, WA. 98632

360- 703- 1103

360- 261- 6664

WA. 98632

111" Ave

360- 425- 1176

360- 846- 0462

subpopulations

accessing

Coordinated

Entry.

conditions,

the county

has identified

a subpopulation

dedicated

access point through

the

Emergency Support Shelter so that households fleeing intimate partner violence receive the most appropriate services to resolve thei r crisis. PROCEDURE 5. 1:

Referrals to5ubpopulation

Designated

Access Points

Last Date Revised:

11/ 25/ 2025

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Discuss with the household if fleeing or attempting to flee intimate partner violence within the

last 30 days

Communicate

with ESS via phone call in the momentwith

the household

and ESS advocate

Provide information on mainstream services, if needed

Assist in arranging transportation to an appropriate access point, if needed.

Access to EmergencyServices

All CE access points will include contact information for emergency services within their Coordinated Entry after- hours phone message and post to their agency' s website or link to

county website.

Contact information

must include at minimum:

Emergency Support Shelter for DV victims Mental

Health Crisis Line

911 for a medical emergency 7.

and efficient

system.

CE System Victim Services Partnerships

The County

and Coordinated

Entry access points will collaborate

and partner with victim service

PROCEDURE 7. 1: Process for Households Fleeing Intimate Partner Molence and Seeking Services from Non1rictim Service Providers*

Also see Policy 5. 1 Referrals

to Subpopul

ation Dedicated

Access

Points

If a household is fleeing intimate partner violence within the last 30 days and seeking services from non- victim servi ce providers, upon learning that the household is f leeing violence, the

Last Date Revised:

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EXHIBIT

service provider will ask ifthe household would preferto be connected to a victim service provider. b.

PROCEDURE

7. 2:

Process to Ensure Safe and Confidential

Access to the CE System

Coordinated Entry access points will ensure accessingthe CE system is confidential and secure.

Access points will follow all applicable confidentiality requirements and Homeless Management Information System( HMIS) data entry standards for households fleeing violence.

PROCEDURE 7. 3:

Process to Ensure Immediate Access to Emergency Services, such as Domestic Violence

Helplines and Shelter

Coordinated Entry access points will follow Procedure 5. 1 Referrals to Subpopulation Dedicated

Access

Points

Coordinated Entry access points will follow Procedure 6. 1Access to Emergency Services

health considerations,

and needed

resources.

This information is collected to determine a strategy to assist with the housing crisis and informs the uniform prioritization

process.

Household information is collected in phases, obtaining only what is absolutely necessary to connect households to appropriate resources.

POLICY:

Coordinated

Entry Screening and Assessment Process( Assessment Standardisation)

Complete Targeted Eligibility Screening- to determine housing status If fleeing intimate partner violence- follow Procedure 5. 1: Referrals to Subpopulation Designated

Access Point

If stably housed-

provide information on mainstream services as applicable, does not move on

If literally homeless, and not ableto be prevented or diverted— connect to emergency shelter as appropriate and if available. Complete Resource Screening, provide information on mainstream

services as applicable, encourage household to check back in 90 days or as their situation changes.

Last Date Revised:

11/ 25/ 2025

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EXHIBIT

PROCEDURE8. 2: Diversion

based

Consider creative solutions Link to natural

supports

Light touch financial

assistance,

if available

Landlord mitigation

Housing locator assistance PROCEDURE8.

3: Household

Assessment

Coordinated Entry access points will receive notification from the County identifying whi ch client is eligibl efor a housing resource, when a housing resource becomes available in a

parti cipating project. b.

Coordinated Entry access points will contact the client to assess and verify information. Access point will notify County

once the assessment

is complete.

County will verify information, including mandatory prioritization criteria: length of time

homeless d.

and unsheltered

homelessness.

County will contact the parti cipating project with a list of possibl a candidates for the housing resource.

eligibility to make appropriate

referrals.

Also see policy: Non- Discrimination

Coordinated Entry access point staff complete the following trainings provided by Department of Commerce and Cowlitz County HHS: a.

Introduction

Working with Survivors of Domestic Violence

Introduction

into Housing First

Progressive

Engagement

Review of local processes, including CE policies and procedures, and any adopted variations for

into Problem

Solving(

Diversion)

specific subpopulations

Last Date Revised:

11/ 25/ 2025

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How to administer screening tools( targeted eligibility screening, resource screening, and assessment)

How to collect and use screening and assessment information

New Staff Required Training to be completed

within first year of employment

Mental health Training Trauma Training 1 and 2

Racial Equity in Homeless

LGBTQ+ Informed Training CE 101 Standard onboarding training( offered quarterly)

Services

Diversion Training 1 and 2( recommended)

Department

of Commerce

offered trainings

can be found at the Commerce

website:

Policy

Assessment).

A prioritization

tool included

in the screening

and assessment

process

is used consistently

at all

Cowlitz

County

HHS manages

the scoring criteria that is part ofthe prioritization

tool.

The

scoring criteria will not be shared with providers to ensure objectivity when making housing referrals. e.

of openings

are available.

11. Referral The referral process matches households with available resources which will best help households quickly exit homelessness.

POLICY: Referral Process

Last Date Revised:

11/ 25/ 2025

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EXHIBIT

projects,

the coordinated

entry access point in which the household

was seeking

assistance

of assistance.

PROCEDURE 11. 1: Additional

Referral if Rejected by Project

Upon noticethat a referral is rejected by a participating project, HHS will ensure the household

remains on the by- name list. The household will be referred to other participating projects if there is a program opening.

11. 2: Maintaining

up- tcAate Information

on Project Capacities,

Vacancies,

and Eligibility

Criteri a a.

12. Grievance and Appeal Households must be notified of their right to submit grievances, and how to submit grievances including nondiscrimination

and equal

POLICY:

and Appeal

Grievance

access complaints.

PROCEDURE

12. 1: Grievance and Appeal Submission

Household

Household follows instructions on the form for submission

Last Date Revised:

completes

11f 25/ 2025

Grievance

and Appeal

form

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EXHIBIT

Instructions on theform outline alternative options for submission, ifthe household would like to

submit the grievance and appeal form to staff not involved in their situation. PROCEDURE a.

12. 2: Grievance

and Appeal

Reviews

Documentation

of the grievance

Documentation

of the review

All Grievance

provided to the County If the grievance or appeal is elevated to the County, the County has 14 days to review and provide

and appeal

and written

and Appeal forms submitted,

a written

form must be kept on f le

response

must be kept on file

documentation

of review, and written

response

are

response

PROCEDURE 12. 3: Communicating Outcomes of Grievance and Appeal

After review of the Grievance and Appeal submission, households must be notified in writing of

the outcome. b.

Written notification can be provided to the household through mail, email, or in person.

Written

Documentation

Written notification of the outcome and documentation

notification

of the outcome

must be kept on file.

that the household was notified of the outcome must be kept on fil e. the household was notified must be

provided to the County.

Privacy

containing

personally

identifying

information

must be kept secure and confidential.

11f 25/ 2025

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EXHIBIT

Documentation of consent must be kept on file and includes HMIS consent as well as any other Releases

of information

obtained

to share information

Households may refuse or revoke their consent at any time.

PROCEDURE 13. 2: Secure and Confidential Storage of Records a.

Coordinated Entry access points must adhere to HMIS data privacy and security protections prescribed by HU Dfor HMIS practi ces in the HMIS Data and Technical Standards.

Coordinated

Entry access points must maintain

internal

policies/ procedures

that demonstrate

compliancewith privacy protections. Proof of annual staff training on these policies/ procedures are submitted annually to the

County.

status.

with Disabilities

Act prohibits

public entities, which includes

state and local

and referral

assistance.

Title III of the Americans

with Disabilities

Act prohibits

private entities that own, lease, and operate

places

A CE system

see 24 CFR 574. 603.

must not use data collected

from the assessment

process

to discriminate

or prioritize

11/ 25/ 2025

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SERVICES

Last Hate Revised:

AGREEMENT

11f 25/ 2025

EXHIBIT

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SERVICES

Appendix

EXHIBIT

1 — Language Access Plan

Purpose

Definitions

All definitions below are from the Language Access Policy Template prepared by the interpretation Technical Assistance&

Resource

Center of the Asian Pacific Institute

on Gender- Based Viol encewww.

api- gbv. org 2015.

Limited English Proficient individuals means any individual whose primary language is not English, and has limited to no ability to speak, understand,

read, or write English.

Primary language is the language that an individual communicates most effectively in. Interpretation is the process of orally rendering a spoken or signed communication from one language into another

language.

Translation is converting written text from one language into written text in another language. Translation'

is often

misused to mean interpretation,

but it is a written

medium.)

interpretation

is the process

of orally rendering

one language

into another

language

after

the speaker has completed a statement or questions and pauses. The interpreter then renders that statement

into the other language.

Sight translation is the rendering of material written in one language, completely and accurately into spoken

speech

in another

language.

for communication

A neutral third party with a single role( to interpret} A professional following codes and ethics Fluent

in English

and foreign

language( s)

An interpreter is not:

A bilingual community member A bilingual staff person with other duties A family member, child, or friend of either party. Needs

Assessment

Coordinated entry access point staff reportthat less than 5% of households that access services identify as

LEP, which is consistent with the Dffice of Financial management' s Washington data&

Research fact

reportfrom 2020, Languages spoken at home( mapped by county) I Office of Financial Management a.

which

obtains

there data from Census American Factfinder. The Washington data&

research

fact report states the following: Last Date Revised:

11/ 25/ 2025

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EXHIBIT

6. 3%- 6. 6% of persons in Cowlitz County live in households where a language other than English was

spoken.

2. 9%- 6. 0% of persons

in Cowlitz

County

live in households

where Spanish

1. 1%- 1. 4% of persons

in Cowlitz

County

live in households

where Indo- European

than Spanish

is spoken. language

other

is spoken.

0. 7%- 1. 0% of persons in Cowlitz County live in households where Asian or Pacific Island language was spoken.

Individuals can access the coordinated entry system in many ways from in person( walk- in}, via phone, virtual or mobile

assessment.

Upon

initial

contact

with

a client that does not speak the same language

as the Coordinated

Entry access point staff, staff will attempt to identify the client' s primary language and seek language assistance. 1.

Determine

the need for language

assistance

Services

multilingual

staff

In person interpreters Telephonic/ video remote interpreters

Video Relay Services

Notice of Language Services

regarding

the language

access plan.

Also see Policy: Annual Screening and Assessment Training. Evaluation

The County will annually reviewthe language access plan policy and procedure( s) with access points for effectiveness

and efficiency

in meeting the needs ofthe local LEP community.

The county wilI use this

Last Date Revised:

11/ 25/ 2025

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SERVICES

AGREEMENT

EXHIBIT

2 — Department of Commerce Guides

Appendix

In addition to this document, Cowlitz County encourages review of the foIIowing resources.

WA State Department of Commerce Coordinated

CE Management

and Data

Guide

Entry Guidelines

Washington State Department of

Cnanmeree,

Washington

Balance of State

Coordinated

Entry

Coordinated Enfry Management

and

Data

Guide

Guidelines

Last Date Revised:

11f 25/ 2025

Page 15 of 16

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42 of 43

Date Revised:

Admin

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D r N

3N o

o N N

Orn D r

m Q

CDrD, w

Cowlitz

County Health and

Human

Services

rn PHONC'

360- 6i.- 5599

FAX

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COORINNATIM ENTRY TRAINING LOG

Agency.

EMO:

rrafrring• Tldw Introduction

toPmhlemSolving- Diversion

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DueD4fe

Data Taken

On- Demand

Beforeprovlding

Signature—

Q Q

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service

44orki rig with SurvivarsofDvmestiCViolence

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Housing First

On- Demand

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Systems— Ca r e Ma nage ment

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S& V IC e

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LGBTQIA+

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Within one year of

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Within one yearot

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ent

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ar of

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Within one year Of

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Within oneyoar of

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Within onayaar of

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Within oneyear Of

Within one year of employment

era

grit

e mploymsnt Diversion

Part I ,

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Part 2•

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employment

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By s Ignl rig thl s farm you Are attest) n g that you have taken the idantif led tra Inl n g a n the date II sled

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235472

BOCC

Motion

Item

Agenda

Meeting Date: 10/ 27/ 2026 Contract 26- 023 with Community House on Broadway for Coordinated Entry Submitted By: Amanda Foshaug, Accounting Specialist II Submitted For: Gena James, HHS Deputy Director Department:

Human

Services

Dept

Information

Subject and Summary Statement

Agreement with Community House on Broadway sets forth the terms and conditions to operate as a

State Department of Commerce.

The agreement will be paid on a cost reimbursement basis, not to exceed $ 25, 000. 00.

This agreement is cost reimbursement based not to exceed $25, 000.00 for the period of July 1, 2026 through June 30, 2027, funded through a grant from the Washington State Department of Commerce. Contract/ SOW Name

Current

26- 023 CHOB CE

Change

Total

25, 000. 00

Time Period 7/ 01/ 26- 6/ 30/ 27

Staff Attendance Gena James

Department

Recommendation

County Health& Human Services that the Cowlitz County Board of Commissioners move to approve Contract 26- 023 with Community House on Broadway. It is the recommendation

of the Cowlitz

Attachments 26- 023 CHOB

Form

Task

User

Foshaug,

Amanda

Agenda

Item

Submission

Drake,

Jamie

Preliminary

Review-

James,

Gena

Department

Approver

HHS

Review

Action

Timestamp

Submit

10/ 12/ 2026

2: 15: 00 PM

Approve

10/ 12/ 2026

2: 58: 00 PM

Approve

10/ 14/ 2026

7: 41: 00 AM

Review Berger, David

Legal Review

Approve

10/ 19/ 2026

9: 20: 00 AM

Grayson,

Clerk of the Board

Approve

10/ 19/ 2026

9: 57: 00 AM

Kelly

Review

235472

Motion

Item

NTZ CO&

GO*%' SUBRECIPIENT

GRANT

AGREEMENT

Number:

NSNING1

26- 023 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 Community House on Broadway 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 as a Coordinated Entry access point. 2.

Term. This Agreement shall take effect on July 1, 2026 and terminate on June 30, 2027.

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").

Grant Award.

The Subrecipient is awarded a total of$ 25, 000.

Budget. The Grant Award shall be expended by the Subrecipient as set forth in Attachment B Budget.

Subrecipient

shall request payment from the County as outlined in Attachment B. 7.

Access to and Maintenance of Records. Subrecipient shall maintain internal controls, accounts

terminated, b.

26- 023 Last

Date

Admin

suspended,

or otherwise

lost or impaired

in whole or in part.

Revised:

Form:

1615. 1

01/ 22/ 2025

GRANT

AGREEMENT

If the default is not cured within 30 days of notice, the

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

The Subrecipient shall provide the County with an accounting of authorized services provided through the effective date of termination.

any.

11.

Conflict of Interest. Subrecipient designees, agents, members, officers, employees, consultants,

The Subrecipient will secure at its own expense all labor and materials required to

Name: Title:

Deputy

Director

Department:

Health &

Human

Address:

1952

Telephone:

(

Fax:

Services

WA 98632

414- 5599

Community House on Broadway PO Box 403 Longview,

WA 98632

360) 425- 8679

frankm@choblv. org

UEI:

TZ8RNRDSRNN1

F3GBRFKRNMW1

UBI:

08- 300- 3788

601- 064- 856

26- 023 Admin

Morrison

Executive Director

HHSContracts( a cowlitzwa. gov mailto:HHSContracts 360) 425- 7531 @cowlitzwa.

E- mail:

Date

360)

Frank

9th Ave

Longview,

Last

For the Subrecipient:

County:

Gena James

2 of 43 Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

15.

AGREEMENT

Bodily injury, including death. Property damage

Per occurrence

1, 000, 000 1, 000, 000

Per occurrence

2, 000, 000

Aggregate

1, 000, 000

Per occurrence

2, 000, 000

Aggregate

ERRORS AND OMISSIONS or PROFESSIONAL

LIABILITY with an Extended Reporting Period

Endorsement(

two year tail).

WORKERS COMPENSATION:

Statutory amount Waiver of Title 51 Rights

EMPLOYER' S LIABILITY/ Stop Gap: Per occurrence

1, 000, 000

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

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 26- 023 Last

Date

Admin

3 of 43 Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

AGREEMENT

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.

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.

to the Subrecipient shall be suspended

in the event of noncompliance.

Payment

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

26- 023 Last

Date

Admin

4 of 43 Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

AGREEMENT

18. Debarment

Certification.

The Subrecipient,

by signature to this Agreement,

certifies that the

in all

The Subrecipient and its officials, officers, employees, agents, and

If the Subrecipient is a faith- based or religious organization, it retains its

Subrecipient agrees to use the Grant Award funds awarded to it in

accordance

A and in accordance

with Attachment

with

all applicable

rules

and

requirements

from

the Washington State Department of Commerce Consolidated Homeless Grant attached as

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.

Date

Admin

5 of 43 Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

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

d. Attachment

D—

e. Attachment

E— Consolidated

f. Exhibit

Cowlitz County Coordinated Entry Policies and Procedures

IN WITNESS

A—

WHEREOF,

Retirement

the parties

have

Form Certification Homeless

executed

Grant

this Agreement

this

day of

2026.

SUBRECIPIENT:

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

Signature

Richard

R. Dahl,

Chairman

Steven

L. Ferrell,

Commissioner

Print name: Steve

Title:

FORM

HAS

BEEN

BY COWLITZ

PROSECUTING

Date

APPROVED

AS TO

COUNTY

ATTORNEY

26- 023 Admin

Commissioner

ATTEST:

CONTRACT

Last

Rader,

Clerk

of the Board

Date

6 of 43 Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

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.

c. The subrecipient 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.

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/homeles https:// www. commerce. wa. gov/ serving- communities/ homelessness/ hmis/

g.sness/hmis/ The subrecipient shall comply with Exhibit A- Cowlitz County Coordinated Entry Policies and Procedures Provider Manual, attached as Exhibit A hereto and incorporated herein by reference, and as may be updated. h. The subrecipient 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 i.

of Subrecipient

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.

iv.

Collaborative

Approach —

Resource

Referral —

seeking information vi.

vii.

viii.

ix.

CE access points will engage in resource referral for individuals on community

resources.

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. 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. 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. Data- informed —

CE is a critical source of information about who enters homelessness

the County. The data collected will be used for ongoing and continuous system 26- 023 Last

Date

Admin

7 of 43 Revised:

Form:

1615. 1

1/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

improvement. The CE access points must have strong commitment to data quality and a willingness to be data- informed.

Consolidated

Grant

Homeless

Guidelines

found

here

and

updated:

https://www.commerce.wa.gov/serving-communities/homelessness/consolidate https:// www. commerce. wa. gov/ serving- communities/ homelessness/ consolidated- homelesshttps://www.co d-homeless-grant/ grant/ k. Outcomes and Measures: mmerce.wa.go i. v/serving-com Households experiencing homelessness or at risk of homelessness have access to CE munities/homeand are connected to available housing resources and other community resources. ii. lessness/cons The following outcomes/ outputs will be used to evaluate the performance of CE access olidated-homelpoints: 1. Number of households with Targeted Eligibility Screenings, Resource Screenings, ess-grant/ Assessments, and housing referrals completed per access point. 2. Households receive an assessment within 10 days of request from County ( Target: 80%)

of Report

Time

Eligibility Screening

Period

Due 15"'

Monthly

Date

of the month following the month of

service

Additional

Requirements:

The

subrecipient

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

Number of hours of service

Data Collection

Completed evaluation tools

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.

26- 023 Last

Date

Admin

8 of 43 Revised:

Form:

1615. 1

01/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

BUDGET

Budget. The County shall reimburse the Subrecipient in an amount not to exceed $ 25, 000. Unspent grant proceeds will be reallocated at the discretion of the County. Budget Budget Lines

Total

22, 600

Personnel

Other Expenses

insurance,

office supplies,

etc.

Total

2, 400 25, 000

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.

Change

Not change

the individual the total

line

budget,

agreement

award.

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. 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.

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 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. 4.

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.

26- 023 Last

Date

Admin

9 of 43 Revised:

Form:

1615. 1

1/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

Subrecipient

is bound to follow all applicable terms of the Washington State Department of

Commerce Consolidated

Homeless Grant, which is attached hereto as Attachment

26- 023 Last

Date

Admin

10 of 43 Revised:

Form:

1615. 1

1/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

CERTIFICATION

I, Frank Morrison, am the Executive Director of Community House on Broadway and I certify that: 2.

1 have authority and approval from the governing body on behalf of Community House on Broadway to accept proceeds from the County per Agreement for the Coordinated Entry project by and between the County and Community House on Broadway .

1 understand Community House on Broadway 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.

Printed

Name

Signature

Title

Date

26- 023 Last

Date

Admin

11 of 43 Revised:

Form:

1615. 1

1/ 09/ 2025

GRANT

AGREEMENT

ATTACHMENT

RETIREMENT

CERTIFICATION

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

Did you

retire

before age 65 using the 2008 early retirement

Will

you

be receiving direct compensation

Will

you

be receiving indirect

one

of the State of Washington

Retirement Systems? factors ( ERF)?

for your services? for your services?

compensation

YES

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

Social 2:

COUNTY

COMPLETES

Use Member Reporting 1.

Contractor

has

THIS

Security No.: SECTION

Date:

AND

RETAINS

FOR AUDIT

Verification ( MRV) to verify the past retirement

been

a member

of a Washington

State

Retirement

PURPOSES:

membership] System

YES

If YES, what system and plan? Teachers'

Retirement

System (

TRS)

Planl

Plan

School

Employees'

Retirement

System (

SERS)

Plan

Public

Employees'

Retirement

System (

PERS)

Plan

Public

Safety Employees'

Plan

Law

Enforcement

Washington

Retirement

Officers' &

State Patrol

Fire

System ( PSERS)

Fighters'

Retirement

System (

System ( WSPRS)

Plan

LEOFF)

Plan

Judicial Retirement System ( JRS) 5.

Is the contractor a retiree of a Washington

Did the contractor retire before

age

State Retirement

65 using the 2008

System?

ERF?

Yes

R 5/ 09), and the Internal Revenue Service rules governing independent contractor status.

COUNTY OFFICIAL/ DEPARTMENT

Signature:

REPRESENTATIVE:

Date:

COUNTY RETAINS THIS FORM 26- 023 Last

Date

Admin

12 of 43 Revised:

Form:

1615. 1

1/ 09/ 2025

GRANT

AGREEMENT

6ocusgn

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

Washington

State

G01Dement y1merce

Interagency Agreement with

Cowlitz County Health & Human Services

through

Housing Division Homelessness Assistance Unit

Contract Number: 26- 46108- 08 For Consolidated

Homeless

Grant

Dated: July 1, 2025

13 of 43

26- 023 Last Date Revised: Admin

Form:

1615. 1

1/ 09/ 2025

PROFESSIONAL

o==*"

SERVICES

EnwIape/

AGREEMENT

ATTACHMENT

m. 7E177F- 03--8EF-4wKg- j. 8A5- r4lromw47msB

Wm^~.^`v

Table of Contents TABLE

orcomrEmr&............................................................................................................................................. 2

FACESHEET............................................................................................................................................................

emSH/

mEM/

m43rom

STATE

DEPARTMENT

oF COMMERCE.............................................................................................

TmVIoxmmCONDITIONS.------------------_-----_-----'

Aur* onn,-------------------------------------------------'.

CONTRACT

COMPENSATION..............................................................................................................................................

BILLING

SUBCONTRACTOR

mamxncE...................................................................................................................................................... s

pRAuoxmo

ORDER op PRECEDENCE..................................................................................................................................

MANAGEMENT.............................................................................................................................

PROCEDURES

GamcmuTERMS

AND

DATA

OTHER

LOSS

PAYMENT.............................................................................................................

COLLECTION.............................................................................................................

REPORTING.............................................................................................................

s s

AND CONDITIONS.—'—'—'—'---'—_'---'—'_---'—'_—'---'/

DEFINITIONS....................................................................................................................................................

ALL WRITINGS

CONTAIN

HEREIN.................................................................................................................

AMENDMENTS................................................................................................................................................

ASSIGNMENT...................................................................................................................................................

CON p/ osmTIAur,

COPYRIGHT......................................................................................................................................................

DISPUTES.........................................................................................................................................................

GOVERNING

INDEMNIFICATION ..........................................................................................................................................

10.

mEma/ wm' ACCREDITATION

11.

RECAPTURE......................................................................................................................................................

12.

RECORDS

1a.

SAVINGS..........................................................................................................................................................

14.

aEVEnAmLnr...................................................................................................................................................

15.

SUBCONTRACTING ..........................................................................................................................................

zs.

SURVIVAL.......................................................................................................................................................

17.

TERMINATION

FOR

CAUSE.............................................................................................................................

1e.

TERMINATION

FOR

CONVENIENCE................................................................................................................

19.

TERMINATION

PROCEDURES.........................................................................................................................

xo.

TREATMENT

op ASSETS.................................................................................................................................

21.

wnIVsn ----------------------------------------_-----

ATTACHMENT»

ATTACHMENT

Amo SAFEGUARD/

msnpm

FORMATION...........................................................................

mwAmovswus........................................................................................................................ y n

xmonssonnAnom........................................................................................... n

MAINTENANCE................................................................................................................................

SCOPE

oFWORK.---'—'—'---'------'—'_---'—'_—'---

BUDGET....................................................................................................................................

Page

36- 023 Last

14of43

Date Revised:

xUmmronn

2mm

1615. 1

1m9/ 2025

PROFESSIONAL

Docusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE¢ 45flg- 9fiA5- B1FD9A4476EB

7Neshnp;

pn Stare

I, Depa= Face Sheet Contract Number: 2646108AS Washington

State Department

of Commerce

Housing Division Homelessness

1. Contractor Cowlitz

Assistance

Unit( HAU)

2 Contractor Doing Business As( as applicable}

County Health&

Human

Services

1952 9ih Ave Longview,

9& 632

3, Contractor Representative

4, COMMERCE Representative

Gena

Tia Stoner

1011

Contract

Olympia,

James

Deputy

Director

360) 414- 5599

360- 725- 5050

IaMeSQCUI.. COW11fZWa_ 5. Contract

Amount

Funds(

Funding

Source

Federal: as

Federal

applicable)

Other:

NIA:

NIA

wa. gov Date

June 30, 2027

ALN

Agency:

NIA

if. SWV#

12. UBI#

13. UEI#

0000537- 02

083- 003- 739

TZBRNRDSRNN

14. Award Method

NOFOIRFX#

Proviso#

Direct:®

NIA

Competitive:

15. Contract

End

July 1, 2025

NIA

10. TaxID#

ST SE

T. Start Date

State:®

NIA

Plum

93504- 2525

Tia. Stoner@Commerce.

Q0V

11, 737, 213. 00 9. Federal

Manager

Purpose

Expenditure

defined

Report.

as the Department

of Commerce,

and the Contractor,

as defined

above,

acknowledge

and accept the

B"—

Budget.

FOR CONTRACTOR

FOR COMMERCE

rlGeC<au d VAL Tic

ahl, Chair,

Board of County Commissioners

a eher, Interim

Assistant

Director

Housing Division 10/ 1/ 2025

1 &:

Date

PDT

1- 01312025

12: 50 PH PDT

Date

APPROV

ED AS T O FORM

9Y ASSISTANT APPROVAL

ONLY

ATT ORNEY G E NEPAL

ON FILE

Page3of

26- 023 Last

15 of 43

Date Revised:

Admin

Form:

1615. 1

1/ 09/ 2025

PROFESSIONAL

6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

Wwe

hmu: Qn Stare

n, lt=--r-,Ff„ f I' nn u r rr• re('

Special Terms and Conditions 1.

AUTHORITY

COMMERCE and Contractor enter into this Contract pursuant to the authority granted by Chapter 39. 34 RCW. 2.

CONTRACT

MANAGEMENT

The Representative for each of the parties shall be responsible for and shall be the contact person for all communications and billings regarding the performance of this Contract. The Representative

for COMMERCE

and their

contact

information

are identified

on the Face

Sheet of this

Contract.

The Representative for the Contractor and their contact information are identified on the Face Sheet of this Contract. 3.

COMPENSATION

shall

receive

reimbursement

for approved

expenses

as identified

below

or as

authorized

in advance

in writing,

reimbursable

travel

rate

and

accordance

with

the

State

of Washington

Office

Financial

Management

Travel

Regulations. 4.

BILLING

PROCEDURES

AND

PAYMENT

COMMERCEwill pay Grantee upon acceptanceof deliverables or services provided and receipt of properly completed

invoices,

which

shall

submitted

to COMMERCE

via the

Contracts

Management

System

CMS).

The

invoices

shall

describe

and

document,

COMMERCE'

satisfaction,

a description

of the

work

performed, the progressof the project, and any expenses to be reimbursed. The invoice shall include Grant Number 2& 46108- 08. If applicable,

Grantee

must

also

include

attachments

that

describe

and

document,

COMMERCE'

COMMERCE

may request

additional

documentation

at anytime.

Page

26- 023 Last

Form:

16 of 43

Date Revised:

Admin

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we hmu: Qn Stare 6epz- mert of

Ufllil " n"(, C

expenses

within the meaning

of this Agreement.

Grantee must have, and may be required

contract

Duplication

start

of Billed

and and date. Costs

Costs

The Grantee is responsible for any audit exceptions or disallowed casts incurred by its own organization or that of its subgrantees.

Unless otherwise authorized by COMMERCE employee overtime nor bonus pay. COMMERCE

may, in its

sole

discretion,

in writing,

withhold

ten

reimbursable

10%)

percent(

payroll costs shall not include

from each payment until acceptance

by COMMERCE of the final report( or completion of the prcject, etc.). 5.

SUBCONTRACTOR

DATA

COLLECTION

woman- owned,

and

veteran- owned

business

subcontractors. '

Subcontractors"

shall

mean

subcontractors of any tier. G.

INSURANCE

Each party certifies that it is self- insured under the State' s or local government program

and shall be responsible

Additionally, insurance

the Contractor

coverage

for losses for which it is found

is responsible

for the activities

for ensuring

self- insurance liability

liable.

that any Sub-grantees

arising out of subgrants,

provide

adequate

as follows:

Page

26- 023 Last

Form:

17 of 43

Date Revised:

Admin

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1615. 1

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PROFESSIONAL

6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hnp; pn Stare

FRAUD

AND OTHER

LOSS

REPORTING

ORDER

OF PRECEDENCE

In the event of an inconsistency in this Contract, the inconsistency shall be resolved by giving precedence in the following order: Applicable

federal

and state of Washington

statutes

and regulations

Special Terms and Conditions

General Terms and Conditions Attachment

A— Scope of Work

Attachment B— Budget

CHG Guidelines, incorporated by reference on the Face Sheet.

Page

26- 023 Last

Form:

18 of 43

Date Revised:

Admin

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6ocusgn

SERVICES

AGREEMENT

ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: Qn S1aW

I, Depa- mMt" of Uw

aiT1CT[ e

General Terms and Conditions 1.

DEFINITIONS

As used throughout this Contract, the following terms shall have the meaning set forth below: A.

B. C.

Authorized Representative" on the Director' s behalf. COMMERCE"

Contract"

shall

mean

or` Agreement"

shall mean the director andlorthedesignee

the Washington or` Grant"

Department

means

the entire

authorized

in writing to act

of Commerce. written

agreement

between

COMMERCE

Contractor" or' Grantee" shall mean the entity identified on the face sheet performing services) under this Contract,

and

shall

include

all employees

and agentsof

the Contractor.

State" shall mean the state of Washington.

ALL WRITINGS

CONTAINED

The terms

HEREIN

AMENDMENTS

This Contract may be amended by mutual agreement of the parties. Such amendments shall not be binding unless they are in writing and signed by personnel authorized to bind each of the parties. 4.

ASSIGNMENT

Neither this Contract, work thereunder, nor any claim arising under this Contract, shall be transferred or assigned by the Contractor without prior written consent of COMMERCE. 5.

CONFIDENTIALITY A. ` Confidential i.

AND

Information"

SAFEGUARDING as used

OF INFORMATION

in this section

includes:

All material provided to the Contractor by COMMERCE that is designated as" confidential" by COMMERCE,

ii.

All material produced by the Contractor that is designated

as' confidential"

by COMMERCE;

and

iii. All Personal Information in the possession of the Contractor that may not be disclosed under state or federal

law.

Page

26- 023 Last

Form:

19 of 43

Date Revised:

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6ocusgn

SERVICES

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ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we hmu: Qn Stare 6epz- mert of

Ufllitk' n'v

The Contractor shall comply with all state and federal laws related tot he use, sharing, transfer, sale, or disclosure

of Confidential

Information.

The Contractor

shall

use Confidential

Information

solely

the author of such

Materials.

In the event the Materials

are not

considered '

works for hire"

the moment of creation of such Materials.

with rights to sublicense

to others) in such Materials

to translate,

reproduce,

distribute,

prepare

necessary

to grant such a licenseto

COMMERCE.

DISPUTES

terms and applicable

statutes and rules and make a determination

of the

Page

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Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we hmu: Qn Stare 6epz- mert of

Ufllitk' n'v S.

GOVERNING

LAW AND

This Contract

VENUE

shall be construed

and interpreted

in accordance

with the laws of the state of Washington,

and the venue of any action brought hereunder shall be in the Superior Court for Thurston County. 9.

INDEMNIFICATION

Each party shall be solely responsible for the acts of its employees, officers, and agents. 10.

LICENSING,

ACCREDITATION

AND

REGISTRATION

The Contractor shall comply with all applicable local, state, and federal licensing, accreditation registration requirements or standards necessary for the performance of this Contract. 11.

and

RECAPTURE

COMMERCE

for the noncompliance

in addition

to any other remedies

available

at law or in

RECORDS

MAINTENANCE

of this Contract.

SAVINGS

14.

SEVERABILITV

SUBCONTRACTING

The Contractor approval

may only subcontract

work contemplated

under this Contract

if It obtains the prior written

of COMMERCE.

the Contractor

to rescind

or amend

a subcontract.

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Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7Neehmu:

Qn Stare

bilurtlCl

In no event shall the existence of a su bcontract operate to release

or reduce the liability of the Contractor to COMMERCE for any breach in the performance of the Contractor' s duties.

Every subcontract shall include a term that COMMERCE and the State of Washington are not liable for claims or damages arising from a Subcontractor' s performance of the subcontract. 16.

SURVIVAL

17.

TERMINATION

FOR CAUSE

or suspended.

A termination

shall

be deemed

Termination

for Convenience"

if it

is determined

that

the

Contractor: ( 1) was not in default; or ( 2) failure to perform was outside of his or her control, fault or negligence.

The rights and remedies of COMMERCE provided in this Contract are not exclusive and are, in addition to any other rights and remedies, provided by law. 1a.

TERMINATION

FOR CONVENIENCE

TERMINATION

PROCEDURES

clause shall apply in such property transfer.

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Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: Qn Stare epa': merit of

Uf17ITN(v After receipt ofa riot! ceof term! nation. and except as otherwise directed by the Authorized Representative, the Contractor

shall:

Stop work under the Contract on the date, and to the extent specified, in the notice;

Place no further orders or subcontracts for materials, services, or facilities except as may be necessary for completion of such portion of the work under the Contract that is not terminated;

Assign to COMMERCE, in the manner, at the times, and to the extent directed by the Authorized Representative, subcontracts

all

of the

so terminated,

rights,

title,

in which

and

interest

case COMMERCE

of the

Contractor

under

the

has the right, at its discretion,

orders

and

to settle or

pay any or all claims arising out of the termination of such orders and subcontracts; D.

Settle

all outstanding

subcontracts,

with

liabilities

the approval

and

all

claims

or ratification

arising

out of such

of the Authorized

termination

Representative

of orders

and

to the extent

the

Authorized Representative may require, which approval or ratification shall be final for all the purposes E.

of this clause;

Transfer title to COMMERCE and deliver in the manner, at the times, and to the extent directed by the Authorized Representative any property which, been required to be furnished to COMMERCE;

20.

had been completed,

would have

Complete performance of such part of the work as shall not have been terminated by the Authorized Representative;

if the Contract

and

TREATMENT

OF ASSETS

Any property of COMMERCE furnished to the Contractor shall, unless otherwise provided herein or approved by COMMERCE, be used only for the performance of this Contract.

The Contractor shall be responsible for any loss or damage to property of COMMERCE that results from the negligence

of the Contractor

or which

results from the failure on the part of the Contractor

to maintain and administer that property in accordance with sound management practices. C.

If any COMMERCE property is lost, destroyed or damaged, the Contractor shall immediately notify COMMERCE and shall take all reasonable steps to protect the property from further damage.

The Contractor shall surrender to COMMERCE all property of COMMERCE completion, termination or cancellation ofthis Contract.

Al reference

to the Contractor

prior to settlement

under this clause shall also include Contractor' s employees,

upon

agents

or Subcontractors. 21.

WAIVER

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ATTACHMENT

Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: Qn Stare

I, Depa- mMt" of

mnimv

Attachment A.

Consolidated Homeless Grant funding must be prioritized for preserving and maintaining existing programs

A: Scope of Work

and service

levels,

as reported

to Commerce

in the SFY 2024 Annual

Expenditure

Report.

from mainstream

organizations.

Prioritizing funding to preserve and maintain existing programs and service levels, as reported to Commerce

in the SFY 2024 Annual

Expenditure

Report.

HEN Essential Needs Report.

Grantees shall commit to reporting quality timely HMIS data.

Contractor shall comply with all of the requirements, policies and procedures in the Consolidated Homeless Grant Guidelines, including the Washington State Coordinated Entry Guidelines.

Performance a.

Requirements:

Housing Outcomes: Foreach intervention type funded by the Consolidated Homeless Grant, grantees must adopt the required housing outcome performance measure outlined in the Consolidated

Homeless

Grant

Guidelines,

Appendix

Table

Grantees

must

improve

of their access

can access

strategies

this data through

the

and work to improve Washington

equitable

Balanceof

access

as needed.

State Equitable

Access

Grantees Dashboard

which compares the race and ethnicity of households entering the homeless system ( HMIS) to the race and ethnicity ofthe homeless and unstably housed populations( The Snapshot Report)

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Enwe ape ID, 7E177E03- fiEE4- 4Kg- 9fiA5- B1FD9A4476EB

7 we

hmu: gn S1aW

nFF.V- r tnt of

A#tachmen# B: Budge

I Total

Budget Standard

SFY 2426 and 2027

Standard

Admin

57 512. 00

Standard

Rent

500 000. 00

Standard

Facility Support

Standard

Operations

12 000. 00 718 845. 00

Homelessness

Prevention

SFY 2026 and 2027

Homelessness

Prevention

Admin

Homelessness

Prevention

Rent

Homelessness

Prevention

Operations

Emer, gencv Admin

68 000. 00 1 200 000. 00 859 799. 00

Housin

SFY 2026

2425

54 000. 00

Emergency

Housinq

Emergency Emengency

Housiriq Rent 2026

Emergency

Housin

Fi3c! llty Support

Emergency Emengency

Housing

Operations

Emergency Emengency

Housinq Admin 2027

Emix, gancy

Housinq

4 2425

2026

1 454 000. 00

Emer, gencV HousingSFY

54 000. 00

Rent 2027

Emergency Housin

Fi3c! l! tV Support

Emix, gancy

Operations

Housing I nflistionerV

I nflation

I ncrease

2026

Inflation

Increase

2027

Document DRF Backfill

Increase

2027

1 45D 000. 00

SFY 2426 and SFY 2027

556 281. 00

Recording

Fee

DRF

Backfill

SFY 2026

2426

694 997. 00 SFY 2026

2026

HEN

RentlFac

HEN

Operations

67 500. 00

Support

2026

1 353249. 00

2426

336 000. 00 HEN

HEN Admin

2027

556 281. 00

HEN HEN Admin

2027

SFY 2027

2027

HEN

RentlFac

HEN

Operations

67 500. 00

Support

2027

1 353249. 00

2027

336 000. 00 TOTAL

737213.

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Enwe ape ID' 46F4FC16- FECF- 43C3- 97CF- F11S56F4FC2fi

rnendment

i H111161' IY'{'

Contract Number: 26- 46106- 06 Amendment:

Washington State Department of Corn coerce

Housing

Division

Homelessness Assistance Unit Consolidated Homeless Grant( CHG)

1. Contractor Cowlitz 1952

2. Contractor

County Health&

Human

Doing Business As( optional)

Services

YI Ave

Longview,

WA 98632

3. Contractor Representative

4. COMMERCE

Gena James

Tia Stoner

Deputy

Director

Contract

360) 414- 5599

Tia. Stoner[

gov

5. Original Contract Amount

and any previous

Federal:

1011

6. Amendment

96504- 2525

Commeme_wa. gov 7. New Contract Amount

Amount

1, 861, 284)

Funding

Source

State: X

Other:

It. Federal Funds(

Plum St SE

Ctympia, WA

amendments)

11, 737, 213

Amendment

PO Box 42525

Manager

360- 725- 5060

jamesg@cowlitzwa.

Representative

9, 875, 929

9. Amendment NIA:

as applicable):

NIA

Federal

Start Date

111. Amendment End Date

SFY 26 funds: March 1, 2026

SFY 26 funds: June 30, 2026

SFY 27 funds- Jul y 1, 2026

SFY 27 funds: June 30, 2027

CFDA Number:

Agency:

PIMA

12. Amendment Purpose: Deohligate

unused

SFY

2026

Funds.

Ad d SFY 2027 DRF BackfUl. Funding. SFY 27 Funds are available July 1, 2026 and must be spent by June 30, 2027.

Contract to the" Contract' shall mean the" Contract as Amended". FOR

GRANTEE

Wmed

FOR

COMMERCE

DIV

W91gmd

Ric haJTDYU, TtEair, Board ofCounty Commissioners

by:

E", e,

FU" Ped

elle

fi ter rn Assistant

Director

Housing Division 3/ 9/ 2026

8: 21

POT

3/ 6/ 2026

1: 39 PM PST

Date

APPROVED AS TO FORM ONLY BY ASSISTANT ATTORNEY GENERAL APPROVAL ON FILE

Department

of Commerce

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Date

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ATTACHMENT

ID' 46FaFC16- FECF- 43C3- FCF- F11S5fiEaFC2fi

Amendment

This Contract is amended asfollows: Attachment

Budget

Categories

Current

Contract

Amendment

New Total

Amount

and any previous amendments

and

revisions

Standard

SFY 2026 and 2 02 7

Standard

Admin

57 512

Standard

Rent

500 000

Standard

Facility Support

Stand and D peration

Homeless

Prevention

12 000 718 845

SFY 2026 and 2D27

Homelessness

Prevention

Admin

Homelessness

Prevention

Rent

Homelessness

Prevention

Operations

Eme EmergenGv Housing Admin

12 000 718 845

68 000

1 200 000

1 20D 000

859 799

ency Housing

2026

SFY 2026 50 00D

EmargenGv Housing Rent 2026

Emergency Housing Facility

50 000

1A50r000

Support

2026

Emergency Housing aerations

2026

Eme

1, 450, 000

ancy Housing

EmerqenGy Housing Admin 2027 Emergency Housing Rent2027 Emergency Housing Facility Support

SFY 2027 50, 001)

50, 001)

1 45D 00D

1 45D 000

2027

EmerqenGv Housing Operations

2027 PSH CHF

PSH CHF RenVFacillt

SFY 226 and SFY 2D27

Support

PSH CHF Operations Inflation Inflation

Increase

Inflations

2026

Increase 556 281

Increase 2D27

556 281

556 281 Document

Recording Fee

DRF Back-fill 2026

ackfill

694 997

DRF Back-fill 2027 HEN HEN Admin HEN

2026 Supiport

RentiPaGility

HEN Operations

2026

2026 HEN

HEN Admin

2027

HEN RenUFacilit

HEN Operations

2027

ort 202T

TOTAL

ALL OTHERTERMSAND

OF THIS CONTRACT

500 000

194 997

694 997

SFY 2026 67 500

67 500

1 353 249

336 000

336 OOD

SFY 2027 67 50D

67 50D

1 353 249

336 000

11, 737, 213

CONDrrIONS

0 556 281

REMAIN

i, B61, 2B4

9, 875, 929

IN FULL FORCE AND EFFECT

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GRANT

AGREEMENT

EXHIBIT

Cowlitz County Health and Human Services

G•

PHONE:

3ITE:

W E65[ TE: Wain

Campus:

Environmental

1952

9th

Health Unit:

Avenue,

FAX.

us25'

753i

rmrw, w. ca,¢ co ow litx, wa. wa. usfhhs

Longview,

267 4th Avenue North,

kcowlitzheahh@cowlit7wa. gov

9B632

K Iso, WA 9B626

OM5eptic@cowlit2wa.

gov

Coordinated Policies and Procedures

Provider Manual-

Introduction The Department

of Commerce

requires

counties

to establish

and operate

a Coordinated

Entry( CE) system that provides

CAP: Young Adult Housing Program

through

standardized

assessment,

prioritization,

and referral

processes.

Participating

Marketing

Accessing the Coordinated

Page 2

Strategy Entry System

Page 2

3 Accessibility

Page

4 Language Access Plan

Page4

5 Access Points

Page4

Page 5

Emergency

Services

7 Victim Services

Pages

Page

Screening and Assessment

9 Training

Curricula

Prioritization

Referral

Grievance and Appeal

Privacy

Non- Discrimination

Page 7 Pages Page S Process

Page 9 Page 10 Page 11

Appendix 1-

Language Access Plan

Appendix 2-

Resources

Appendix 3-

Coordinated

Last Date Revised:

Page13 Page 15

Entry Training

11/ 25/ 2025

Log

Page 16

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Marketing Strategy Marketing,

or advertising,

refers to how households

learn the CE system

exists. This may include,

but is not

POLICY:

Marketing Strategy

Marketing to all Households

multiple f.

on CE.

to meet the varying needs of those who speak other languages,

have Limited

PROCEDUREI. 2:

Marketing to Households Least Likely toApply

The County will provide education

on the Coordinated

Entry system to local street outreach

teams.

The County will invite street outreach teams to monthly partner collaboration meeting and provide CE materials to teams.

Coordinated Entry access points will actively coordinate with street outreach teams.

Accessing the Coordinated Entry System Access refers to how people connect with the Coordinated Entry system. All households will have fair and equal access to the Coordinated Entry system. POLICY:

Coordinated Entry System Access Criteria

laws.

Households cannot be screened out based on thefollowing criteria: Havingtoo

little orno income

Having poor creditor financial history Last Date Revised:

11/ 25/ 2025

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CE processes may not require" proof' or documentation to determine whether a person has a history ofvictimization or not

The type or extent of disabi Iity- related services or supports that are needed Previous

system

involvement

No turning away of a person regardless ofthe number oftimes they have accessed services

Lacking

Identification

Coordinated Entry access points will provide proof of stafftraining on antidiscrimination policy annually.

Accessibility for People with Disabilities Accessibility

refers to how accessible

the Coordinated

Entry system

is. The Coordinated

Entry system

must be

effectively

with individuals

with disabilities

and will

provide CE materials in locally appropriate languages. PROCEDURE 3. 1: Physical Accessibility and Reasonable Accommodation

Physical access points are located near public transportation and other mainstream services, or offer variation

to the assessment

process.

For example,

a person with a mobility

impairment

may request a reasonabl e accommodation in order to complete the CE assessment process at a different c.

location.

Last Date Revised:

11/ 25/ 2025

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CE access points must be accessible throughout Cowlitz County and offer options to ensure access, which can include offering phone or mobile assessments.

PROCEDURE

3. 2:

Effective

Communication

with

Individuals

with

Disabilities

interpreters).

with

Disabilities

Act.

Coordinated entry access points will follow the Cowlitz County Language Access plan attached as Appendix 1: Cowlitz County Language Access Plan.

Also see Policy: Annual Screening and Assessment Training. 5.

CORE Health

Cowlitz Family Health Center

Lower Columbia CAP

Emergency Support Shelter

Support Center Annex

Social

1057 12th Ave

1526 Commerce Ave

1330

1408 121" Ave

Longview, WA. 98632

Longview,

Longview WA. 98632

Longview, WA. 98632

360- 703- 1103

360- 261- 6664

WA. 98632

111" Ave

360- 425- 1176

360- 846- 0462

subpopulations

accessing

Coordinated

Entry.

conditions,

the county

has identified

a subpopulation

dedicated

access point through

the

Emergency Support Shelter so that households fleeing intimate partner violence receive the most appropriate services to resolve thei r crisis. PROCEDURE 5. 1:

Referrals to5ubpopulation

Designated

Access Points

Last Date Revised:

11/ 25/ 2025

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Discuss with the household if fleeing or attempting to flee intimate partner violence within the

last 30 days

Communicate

with ESS via phone call in the momentwith

the household

and ESS advocate

Provide information on mainstream services, if needed

Assist in arranging transportation to an appropriate access point, if needed.

Access to EmergencyServices

All CE access points will include contact information for emergency services within their Coordinated Entry after- hours phone message and post to their agency' s website or link to

county website.

Contact information

must include at minimum:

Emergency Support Shelter for DV victims Mental

Health Crisis Line

911 for a medical emergency 7.

and efficient

system.

CE System Victim Services Partnerships

The County

and Coordinated

Entry access points will collaborate

and partner with victim service

PROCEDURE 7. 1: Process for Households Fleeing Intimate Partner Molence and Seeking Services from Non1rictim Service Providers*

Also see Policy 5. 1 Referrals

to Subpopul

ation Dedicated

Access

Points

If a household is fleeing intimate partner violence within the last 30 days and seeking services from non- victim servi ce providers, upon learning that the household is f leeing violence, the

Last Date Revised:

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service provider will ask ifthe household would preferto be connected to a victim service provider. b.

PROCEDURE

7. 2:

Process to Ensure Safe and Confidential

Access to the CE System

Coordinated Entry access points will ensure accessingthe CE system is confidential and secure.

Access points will follow all applicable confidentiality requirements and Homeless Management Information System( HMIS) data entry standards for households fleeing violence.

PROCEDURE 7. 3:

Process to Ensure Immediate Access to Emergency Services, such as Domestic Violence

Helplines and Shelter

Coordinated Entry access points will follow Procedure 5. 1 Referrals to Subpopulation Dedicated

Access

Points

Coordinated Entry access points will follow Procedure 6. 1Access to Emergency Services

health considerations,

and needed

resources.

This information is collected to determine a strategy to assist with the housing crisis and informs the uniform prioritization

process.

Household information is collected in phases, obtaining only what is absolutely necessary to connect households to appropriate resources.

POLICY:

Coordinated

Entry Screening and Assessment Process( Assessment Standardisation)

Complete Targeted Eligibility Screening- to determine housing status If fleeing intimate partner violence- follow Procedure 5. 1: Referrals to Subpopulation Designated

Access Point

If stably housed-

provide information on mainstream services as applicable, does not move on

If literally homeless, and not ableto be prevented or diverted— connect to emergency shelter as appropriate and if available. Complete Resource Screening, provide information on mainstream

services as applicable, encourage household to check back in 90 days or as their situation changes.

Last Date Revised:

11/ 25/ 2025

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PROCEDURE8. 2: Diversion

based

Consider creative solutions Link to natural

supports

Light touch financial

assistance,

if available

Landlord mitigation

Housing locator assistance PROCEDURE8.

3: Household

Assessment

Coordinated Entry access points will receive notification from the County identifying whi ch client is eligibl efor a housing resource, when a housing resource becomes available in a

parti cipating project. b.

Coordinated Entry access points will contact the client to assess and verify information. Access point will notify County

once the assessment

is complete.

County will verify information, including mandatory prioritization criteria: length of time

homeless d.

and unsheltered

homelessness.

County will contact the parti cipating project with a list of possibl a candidates for the housing resource.

eligibility to make appropriate

referrals.

Also see policy: Non- Discrimination

Coordinated Entry access point staff complete the following trainings provided by Department of Commerce and Cowlitz County HHS: a.

Introduction

Working with Survivors of Domestic Violence

Introduction

into Housing First

Progressive

Engagement

Review of local processes, including CE policies and procedures, and any adopted variations for

into Problem

Solving(

Diversion)

specific subpopulations

Last Date Revised:

11/ 25/ 2025

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How to administer screening tools( targeted eligibility screening, resource screening, and assessment)

How to collect and use screening and assessment information

New Staff Required Training to be completed

within first year of employment

Mental health Training Trauma Training 1 and 2

Racial Equity in Homeless

LGBTQ+ Informed Training CE 101 Standard onboarding training( offered quarterly)

Services

Diversion Training 1 and 2( recommended)

Department

of Commerce

offered trainings

can be found at the Commerce

website:

Policy

Assessment).

A prioritization

tool included

in the screening

and assessment

process

is used consistently

at all

Cowlitz

County

HHS manages

the scoring criteria that is part ofthe prioritization

tool.

The

scoring criteria will not be shared with providers to ensure objectivity when making housing referrals. e.

of openings

are available.

11. Referral The referral process matches households with available resources which will best help households quickly exit homelessness.

POLICY: Referral Process

Last Date Revised:

11/ 25/ 2025

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projects,

the coordinated

entry access point in which the household

was seeking

assistance

of assistance.

PROCEDURE 11. 1: Additional

Referral if Rejected by Project

Upon noticethat a referral is rejected by a participating project, HHS will ensure the household

remains on the by- name list. The household will be referred to other participating projects if there is a program opening.

11. 2: Maintaining

up- tcAate Information

on Project Capacities,

Vacancies,

and Eligibility

Criteri a a.

12. Grievance and Appeal Households must be notified of their right to submit grievances, and how to submit grievances including nondiscrimination

and equal

POLICY:

and Appeal

Grievance

access complaints.

PROCEDURE

12. 1: Grievance and Appeal Submission

Household

Household follows instructions on the form for submission

Last Date Revised:

completes

11f 25/ 2025

Grievance

and Appeal

form

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Instructions on theform outline alternative options for submission, ifthe household would like to

submit the grievance and appeal form to staff not involved in their situation. PROCEDURE a.

12. 2: Grievance

and Appeal

Reviews

Documentation

of the grievance

Documentation

of the review

All Grievance

provided to the County If the grievance or appeal is elevated to the County, the County has 14 days to review and provide

and appeal

and written

and Appeal forms submitted,

a written

form must be kept on f le

response

must be kept on file

documentation

of review, and written

response

are

response

PROCEDURE 12. 3: Communicating Outcomes of Grievance and Appeal

After review of the Grievance and Appeal submission, households must be notified in writing of

the outcome. b.

Written notification can be provided to the household through mail, email, or in person.

Written

Documentation

Written notification of the outcome and documentation

notification

of the outcome

must be kept on file.

that the household was notified of the outcome must be kept on fil e. the household was notified must be

provided to the County.

Privacy

containing

personally

identifying

information

must be kept secure and confidential.

11f 25/ 2025

Page 10 of 16

HS PIE: P7605

26- 023 Last

Date

Admin

37 of 43 Revised:

Form:

1615. 1

1/ 09/ 2025

PROFESSIONAL

SERVICES

AGREEMENT

EXHIBIT

Documentation of consent must be kept on file and includes HMIS consent as well as any other Releases

of information

obtained

to share information

Households may refuse or revoke their consent at any time.

PROCEDURE 13. 2: Secure and Confidential Storage of Records a.

Coordinated Entry access points must adhere to HMIS data privacy and security protections prescribed by HU Dfor HMIS practi ces in the HMIS Data and Technical Standards.

Coordinated

Entry access points must maintain

internal

policies/ procedures

that demonstrate

compliancewith privacy protections. Proof of annual staff training on these policies/ procedures are submitted annually to the

County.

status.

with Disabilities

Act prohibits

public entities, which includes

state and local

and referral

assistance.

Title III of the Americans

with Disabilities

Act prohibits

private entities that own, lease, and operate

places

A CE system

see 24 CFR 574. 603.

must not use data collected

from the assessment

process

to discriminate

or prioritize

11/ 25/ 2025

Page 11 of 16

HS PIE: P7605

26- 023 Last

Date

Admin

38 of 43 Revised:

Form:

1615. 1

1/ 09/ 2025

PROFESSIONAL

SERVICES

Last Hate Revised:

AGREEMENT

11f 25/ 2025

EXHIBIT

Page 12 of 16

HS PIE: P7605

26- 023 Last

Date

Admin

39 of 43 Revised:

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1615. 1

1/ 09/ 2025

PROFESSIONAL

AGREEMENT

SERVICES

Appendix

EXHIBIT

1 — Language Access Plan

Purpose

Definitions

All definitions below are from the Language Access Policy Template prepared by the interpretation Technical Assistance&

Resource

Center of the Asian Pacific Institute

on Gender- Based Viol encewww.

api- gbv. org 2015.

Limited English Proficient individuals means any individual whose primary language is not English, and has limited to no ability to speak, understand,

read, or write English.

Primary language is the language that an individual communicates most effectively in. Interpretation is the process of orally rendering a spoken or signed communication from one language into another

language.

Translation is converting written text from one language into written text in another language. Translation'

is often

misused to mean interpretation,

but it is a written

medium.)

interpretation

is the process

of orally rendering

one language

into another

language

after

the speaker has completed a statement or questions and pauses. The interpreter then renders that statement

into the other language.

Sight translation is the rendering of material written in one language, completely and accurately into spoken

speech

in another

language.

for communication

A neutral third party with a single role( to interpret} A professional following codes and ethics Fluent

in English

and foreign

language( s)

An interpreter is not:

A bilingual community member A bilingual staff person with other duties A family member, child, or friend of either party. Needs

Assessment

Coordinated entry access point staff reportthat less than 5% of households that access services identify as

LEP, which is consistent with the Dffice of Financial management' s Washington data&

Research fact

reportfrom 2020, Languages spoken at home( mapped by county) I Office of Financial Management a.

which

obtains

there data from Census American Factfinder. The Washington data&

research

fact report states the following: Last Date Revised:

11/ 25/ 2025

Page 13 of 16

HS PIE: P7605

26- 023 Last

Date

Admin

40 of 43 Revised:

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1615. 1

1/ 09/ 2025

PROFESSIONAL

SERVICES

AGREEMENT

EXHIBIT

6. 3%- 6. 6% of persons in Cowlitz County live in households where a language other than English was

spoken.

2. 9%- 6. 0% of persons

in Cowlitz

County

live in households

where Spanish

1. 1%- 1. 4% of persons

in Cowlitz

County

live in households

where Indo- European

than Spanish

is spoken. language

other

is spoken.

0. 7%- 1. 0% of persons in Cowlitz County live in households where Asian or Pacific Island language was spoken.

Individuals can access the coordinated entry system in many ways from in person( walk- in}, via phone, virtual or mobile

assessment.

Upon

initial

contact

with

a client that does not speak the same language

as the Coordinated

Entry access point staff, staff will attempt to identify the client' s primary language and seek language assistance. 1.

Determine

the need for language

assistance

Services

multilingual

staff

In person interpreters Telephonic/ video remote interpreters

Video Relay Services

Notice of Language Services

regarding

the language

access plan.

Also see Policy: Annual Screening and Assessment Training. Evaluation

The County will annually reviewthe language access plan policy and procedure( s) with access points for effectiveness

and efficiency

in meeting the needs ofthe local LEP community.

The county wilI use this

Last Date Revised:

11/ 25/ 2025

Page 14 of 16

HS PIE: P7605

26- 023 Last

Date

Admin

41 of 43 Revised:

Form:

1615. 1

1/ 09/ 2025

PROFESSIONAL

SERVICES

AGREEMENT

EXHIBIT

2 — Department of Commerce Guides

Appendix

In addition to this document, Cowlitz County encourages review of the foIIowing resources.

WA State Department of Commerce Coordinated

CE Management

and Data

Guide

Entry Guidelines

Washington State Department of

Cnanmeree,

Washington

Balance of State

Coordinated

Entry

Coordinated Enfry Management

and

Data

Guide

Guidelines

Last Date Revised:

11f 25/ 2025

Page 15 of 16

HS PIE: P7605

26- 023 Last

42 of 43

Date Revised:

Admin

Form:

1615. 1

1/ 09/ 2025

D r N

3N o

o N W

Orn D r

m Q

CDrD, w

Cowlitz

County Health and

Human

Services

rn PHONC'

360- 6i.- 5599

FAX

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COORINNATM ENTRY TRAINING LOG

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EMO:

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Befarepruviding service

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Housing First

On- Demand

Beforeprwidmg

On- Demand

Systems— Ca r e Ma nage ment

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S& V IC e

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Motion

235925

BOCC

Item

Agenda

Meeting Date: 10/ 27/ 2026 Nutanix Hardware and 3- Year Software Quotes from CompuNet for Servers

Submitted By: Mirchelle McKoy, IT Director Submitted For: Mirchelle McKoy, IT Director Department:

Information

Technology

Information

Subject and Summary Statement

Nutanix hardware and three- year software quotes as on integrated infrastructure purchase for 1, 411, 441. 65,

including

shipping, $ 25, 000 for staff training

the new

technology, and 8. 1%

sales

tax.

The purchase will replace aging County server infrastructure supporting County applications and services.

Staff Attendance

Mirchelle

McKoy

Department

Recommendation

Attachments

Cowlitz County. Nutanix HW. KB290142. v3. 24, Cowlitz County. Nutanix SWCommunication

Form_

CompuNet

Quotes

Form

Task

User Grayson,

Agenda

Kelly

McKoy,

Mac

Roewe,

Shawn (

Grayson,

Kelly

3 Yr. KB301333. v2. 3, SBAR

Item Submission

Department

Approver

Review

Action

Timestamp

Submit

10/ 21/ 2026

8: 09: 00 AM

Approve

10/ 21/ 2026

1: 14: 00 PM

Approve

10/ 21/ 2026

1: 42: 00 PM

Approve

10/ 21/ 2026

4: 06: 00 PM

Review OA)

Finance

Clerk of the Board Review

Approved: BOARD

OF COUNTY

OF COWLITZ

Richard

Steve

COMMISSIONERS

COUNTY,

WASHINGTON

R. Dahl, Chairman

Rader,

Review

Commissioner

235925

Steven L. Ferrell, Commissioner

Attest:

Clerk of the Board

Motion

Item

r4CompuNet

Kaelah

Brinkerhoff

385- 232- 3559 kbrinkerhoff@compunet.

Quote#:

biz

KB290142

Nutanix HW Contract Information WA, NASPO,

AR2472- 05116

Quote Information:

Prepared for:

Bill To:

Ship To:

Cowlitz County

Quote#:

KB290142

Cowlitz County

Version:

Mac McKoy

Quote

Date: 10/ 09/ 2026

Expiration Date: 10/ 23/ 2026

McKoyM@cowlitzwa. gov

Ridge Moss

Mac McKoy

207 N 4th Ave

Suite 307

Kelso, WA 98626

Kelso, WA

98626

Mossr@cowlitzwa. gov

Nutanix

Pro Description Quantity

Nu Platform with

NTX- NX- HCI-

Nutanix Enterprise Hyperconverged

SOLUTION- I-CTO

Nutanix Acropolis- Tier 1

S- HW- PRD- T2

24/ 7 Production Level HW Support for Nutanix

213, 145. 28

1, 065, 726. 40

13, 910. 60

69, 553. 00

63. 13

315. 65

appliance- For Tier 2 product C- TPM- 2. 0- U- CM

Hardware TPM 2. 0 Module

ALL ITEMS INCLUDED

IN THIS CONFIGURATION:

QTY 5: NX- 8173AS- G10- A9355P- CM

NX- 8173AS- G10, 1 Node; 1x AMD EPYC 9355P processor ( 3. 55GHz/ 32- core/ 280W, Turin) per node QTY 60: C- MEM- 64GB- 6400- C- CM

64GB Memory Module ( DDR5- 6400 RDIMM) QTY 70: C- NVM- 15. 36TB- DB1A- CM 15. 36 TB NVMe SSD - PCIe Gen5 ( E3. S) QTY 5: C- LOM- 10G2B1 BT- CM LOM

Module: SMC 10GbE,

2- port Base- T &

2- port SFP+

NIC ( Intel X710)

QTY 5: C- NIC- 25G2D2- CM

SMC 25/ 10GbE, 2- port, SFP28 NIC ( BCM 57414 8MB) QTY 10: C- PWR- 4FC13C14B- CM C13/ C14, 15A, 4ft Power cord QTY 5: S- HW- PRD 24/ 7 Production

Level HW Support for Nutanix HCI appliance

QTY 36: Support- Term Support Term in Months QTY 5: C- TPM- 2. 0- U- C- CM TPM 2. 0 Module Unprovisioned QTY 1:

Platform

Integration

Platform Integration

Fee Subtotal:

1, 135, 595. 05

r4CompuNet

Kaelah

Brinkerhoff

385- 232- 3559 kbrinkerhoff@compunet.

Quote#:

biz

KB290142

Shipping ProductQuantity Fixed

Fee Shipping

Charges

4, 000. 00

4, 000. 00 4, 000.

Subtotal:

001

Quote Summary Description Nutanix

1, 135, 595. 05 Subtotal:

4, 000. 00

Shipping: Total:

1, 135, 595. 05

1, 139, 595. 05

r4CompuNet

Kaelah

Brinkerhoff

385- 232- 3559 kbrinkerhoff@compunet.

Quote#:

biz

KB290142

Taxes, shipping, handling and other fees may apply. We reserve the right to cancel any order arising from pricing or other errors. If Customer is purchasing a subscription- based product, Customer agrees to pay all charges for the complete term of the subscription. By signing below or issuing a Purchase Order, Customer agrees to CompuNet' s standard terms and conditions, which can be reviewed at https://compunet.biz/t https:// compunet. biz/ terms-hhtt and-hhttps://c conditions/, provided, that if Customer and CompuNet are parties to a erms-and-conditions/ tps: tompunet currently effective Master Product Purchase and Services Agreement ( MSA), the terms and conditions of such MSA shall control

t//c t.biz/term and shall supersede these standard terms and conditions. Your electronic signature, per the Electronic Signature Act, is pomps-andconsidered equivalent to your signed and faxed signature, and allows you to accept and place your order. This Quote becomes sconditioof acceptance.. You are NOT required to electronically sign binding and noncancelable upon Customer's return tospu CompuNet ns/ Account Executive. your order, you may fax or email your signed proposal:net to :your /.bi / /z/t / cer c Memory/Compute quotes only oms o All pricing in this quote reflects manufacturer andm costs as available at the time of issuance. Please note that - distributor m products containing memory are subject to marketprice adjustments, and vendors may update pricing up to the pandriven p point of shipment. The pricing in this quote will be to adjustment for any price increase from the vendor after ud-subject u the point of quote issuance to the point of shipment. A purchase order issued in response to this quote will be subject nco n to adjustment for any price increase from the vendor after the time of quote issuance to the point of shipment. endi e ttioist confirmed and invoiced by the vendor, CompuNet is committed to While quoted prices are not guaranteed until your order working for its customers to receive fair and competitive even during a time of market volatility. To the extent permitted by .ns/pricing, . the vendor, we will offer the opportunity to cancel an b orderb prior to shipment if updated pricing does not match the customer' s budget. i i z s authorized z This quote may be accepted by signature of Customer' representative below. If Customer intends to accept this / / the following language: quote by issuance of a purchase order, it must include t t Customer acknowledges and agrees: ( a) that the pricing in this purchase order reflects the manufacturer or distributor cost e e available to CompuNet at the time of issuance; ( b) that the vendor of the products listed in this purchase order may update r r pricing up to the point of shipment; and ( b) that this purchase order will be subject to pricing adjustment by CompuNet to mthempoint of shipment and invoicing by the vendor. The foregoing sentence reflect any price increase from the vendor up to s s between Customer and CompuNet, or any conflicting provision of an shall control over any conflicting terms or conditions existing master agreement between Customer- and- CompuNet. a a Alternately, if customer PO references quote# and includes " Per terms and conditions in CompuNet Quote ( Applicable n n Quote #)", PO will be accepted. d d A Purchase Order not including the foregoing language - - will not constitute an acceptance and is rejected. c c The undersigned representative of Customer represents and warrants that he or she is an authorized signatory of Customer, with o o authority to bind Customer to and accept this Quote, and that upon acceptance this Quote will be the binding obligation of n nor consent. Customer without the need for any additional permission d d i i t t i i o o n n s s / /

r4CompuNet

Kaelah

Brinkerhoff

385- 232- 3559 kbrinkerhoff@compunet.

Quote#:

Cowlitz County

Signature:

Name:

Title:

Date:

PO Number:

biz

KB290142

r4CompuNet

Kaelah

Brinkerhoff

385- 232- 3559 kbrinkerhoff@compunet.

Quote#:

biz

KB301333

Nutanix SW - 3 Yr Contract Information WA, NASPO,

AR2472- 05116

Quote Information:

Prepared for:

Bill To:

Ship To:

Cowlitz County

Quote#:

KB301333

Cowlitz County

Version:

Mac McKoy

Date: 10/ 09/ 2026

Quote

Expiration Date: 10/ 23/ 2026

McKoyM@cowlitzwa. gov

Ridge Moss

Mac McKoy

207 N 4th Ave

Suite 307

Kelso, WA 98626

Kelso, WA

98626

Mossr@cowlitzwa. gov

3 Year

Pro Description Quantity

Nu Nutanix Cloud

SW- NCI- PRO- PR-

Subscription,

3YR

Software License& Service

Infrastructure(

NCI) Pro

160

881. 79

141, 086. 40

Production Software Support

for 1 CPU Core, 3 Years

Subtotal:

141, 086. 40

Quote Summary Description 3 Year

141, 086. 40 Total: )

www.

compunet.

biz

141, 086.

40I

r4CompuNet

Kaelah

Brinkerhoff

385- 232- 3559 kbrinkerhoff@compunet.

Quote#:

biz

KB301333

help@compunet.

biz

r4CompuNet

Kaelah

Brinkerhoff

385- 232- 3559 kbrinkerhoff@compunet.

Quote#:

biz

KB301333

Cowlitz County

Signature:

Name:

Title:

Date:

PO Number:

help@compunet.

biz

10/ 21/ 26, 8: 08 AM

SBAR

Communication

Form

Situation- Background-

Assessment- Recommendation

SBAR)

SBAR For questions about or assistance with this form, please contact the Clerk of the Board.

Request Source*

Internal ( County Depts) External

Prepared

by:*

McKoy, Mirchelle

Prepared

mckoym@cowlitzwa.

gov

Email:*

Department*

Information Technology Department

Date*

10/ 15/ 2026

Open Public

Yes

Meeting Discussion

No Other

https:// adm- If- web. cowl itz. local/ Forms/ form/ sub miss ion/ history/ 235730/ 419936? hide Head er= true& showlnstanceDetai

ls= false& fromInstances=

true

1/ 9

10/ 21/ 26, 8: 08 AM

Situation

SBAR

Communication

Form

Page

Situation What is being requested and by whom? Requested

Approval

Action/ Decision

Authorization Direction Acceptance Other

Does

this request

Yes

have a financial

impact?*

Brief Description of Approve the Nutanix hardware and three- year software quotes as one integrated Request

infrastructure

purchase for$ 1, 411, 441. 65,

training on the new technology, and 8. 1%

including

shipping, $ 25, 000 for staff

sales tax. The purchase will replace

aging County server infrastructure supporting County applications and services.

Total Requested

1, 411, 441. 65

Dollar Amount:*

Time

Both quotes are dated October 9, 2026, and

Sensitivity/ Deadline expire October 23, 2026 ( extended to 10/ 30 by Vendor). Vendor pricing is subject to change before shipment under the quoted terms.

https:// adm- If- web. cowl itz. local/ Forms/ form/ sub miss ion/ history/ 235730/ 419936? hide Head er= true& showlnstanceDetai

ls= false& fromInstances=

true

2/ 9

10/ 21/ 26, 8: 08 AM

SBAR

Background

Communication

Form

Page

Background Essential context only)

Relevent history or

The County operates approximately 90 virtual servers on aging Dell hardware

prior Board

supporting its VMware environment. Hardware replacement has been identified in

action:

IT planning to address equipment age, supportability, and service continuity. This request Board

brings the hardware consideration.

and required

Nutanix

software

forward

together

for

Last hardware replacement was year 2020.

Legal, regulatory,

Both quotes identify WA NASPO contract AR2472- 05116. Purchasing and Legal

should confirm the applicable contract coverage, ordering authority, and

policy

considerations ( applicable):

acceptance of the quoted terms before purchase order issuance. The quotes become binding and noncancelable upon acceptance and contain priceadjustment provisions through shipment.

Prior budget

Proposed funding is IT Reserves for infrastructure

direction

appropriation,

constraints:

replacement. Available

the account to charge, and any required budget amendment must

be confirmed by Budget before purchase order issuance.

https:// adm- If- web. cowl itz. local/ Forms/ form/ sub miss ion/ history/ 235730/ 419936? hide Head er= true& showlnstanceDetai

ls= false& fromInstances=

true

3/ 9

10/ 21/ 26, 8: 08 AM

Assessment

SBAR

Communication

Form

Page

Assessment Analysis, risks, and impacts.)

Operational /

Public Replacing the aging platform will support continued availability of County systems and reduce exposure to equipment failure and prolonged outages. The five- node Safety / Service Impact:

configuration and 160 software core licenses align at 32 processor cores per node. Implementation

must include workload sizing, migration planning, backup

validation, and recovery testing before production cutover.

Financial Impact:

Impact to fund blalance or program The two quotes are a single purchase set. An additional $ 25, 000 is requested for staff training on the new technology; this is a County planning allowance separate from the vendor quotes. The hardware quote includes 36 months of hardware support; the software quote includes a three- year NCI Pro subscription and production

software support. Amount

Cost component Hardware,

and support—

platform

1, 135, 595. 05

KB290142 v3

Shipping —

KB290142 v3

4, 000. 00

Hardware quote total

1, 139, 595. 05

Three- year NCI Pro

141, 086. 40

KB301333

software—

Staff training on new technology—

25, 000. 00

allowance

Combined

subtotal

before tax

1, 305, 681. 45

Sales tax at 8. 1%

105, 760. 20

Total requested approval

1, 411, 441. 65

Tax basis:

8. 1%

applied to the full combined subtotal, including shipping and the

training allowance; tax rounded to the nearest cent. Impact to fund balance or program: The proposed purchase would use 1, 411, 441. 65 of IT Reserves. Remaining reserve balance cannot be determined without

the current

balance

and other commitments.

https:// adm- If- web. cowl itz. local/ Forms/ form/ sub miss ion/ history/ 235730/ 419936? hide Head er= true& showlnstanceDetai

ls= false& fromInstances=

true

4/ 9

10/ 21/ 26, 8: 08AM

SBAR

Communication

Form

Future budget

Software subscription and support renewal will require future funding after the

implications ( if

three- year term. Renewal pricing is not provided. The quotes do not separately

any):

identify migration services, offsite disaster recovery, or other associated software; these costs are outside this request unless confirmed as included by the vendor.

Risks

of not

Continued dependence on aging hardware increases the risk of service

approving the

disruption and emergency replacement. Delay may require refreshed quotes and

request:

expose the County to price increases.

https: Hadm- If- web. cowl itz. local/ Forms/ form/ submission/ history/ 235730/ 419936? hideHeader= true& showlnsta nceDetails= false& fromInstances=

true

5/ 9

10/ 21/ 26, 8: 08 AM

SBAR

Recommendation

Communication

Form

Page

Recommendation Specific action requested)

Staff Recommends that the Board of

County Commissioners:

Recommendations

Approve:

Deny: Modify: Provide Direction to:

Approve both CompuNet quotes as one integrated Nutanix purchase in the combined amount

of$ 1, 411, 441. 65,

technology,

and 8. 1%

including shipping, $ 25, 000 for staff training on the new

tax, using IT Reserves subject to Budget confirmation of

appropriation and Purchasing/ Legal review of contract coverage and terms. Authorize purchase order issuance within the approved amount. Any price increase exceeding this amount requires further approval before commitment

https:// adm- If- web. cowl itz. local/ Forms/ form/ sub miss ion/ history/ 235730/ 419936? hide Head er= true& showlnstanceDetai

ls= false& fromInstances=

true

6/ 9

10/ 21/ 26, 8: 08 AM

SBAR

Communication

Form

Budget Source Details Page

Budget Source Details Required

Budget

for Financial

Status:

Requests)

Budgeted Unbudgeted

Partially Budgeted Department /

Information Technology

Program

Account / Line Item

50202

if applicable):

Funding Source:

Existing Appropriation Fund Balance

Contingency Grant Other

Budget

Yes

Amendment

Required?

Other

https:// adm- If- web. cowl itz. local/ Forms/ form/ sub miss ion/ history/ 235730/ 419936? hide Head er= true& showlnstanceDetai

ls= false& fromInstances=

true

7/ 9

10/ 21/ 26, 8: 08 AM

SBAR

Alternatives

Considered

Communication

Form

Page

Alternatives Considered Optional)

Alternative

Cloud Option- Initial and ongoing cost could not be vetted properly. Commitment to purchase without a not to exceed was a constraint.

Alternative 2

Structure Hyperconverged

technology.

Cost was too high.

https:// adm- If- web. cowl itz. local/ Forms/ form/ sub miss ion/ history/ 235730/ 419936? hide Head er= true& showlnstanceDetai

ls= false& fromInstances=

true

8/ 9

10/ 21/ 26, 8: 08AM

Attachments

SBAR

Communication

Form

Page

Attachments File Upload

Contract Resolution/ Ordinance Budget Amendment

Map/ Plan/ Report 9 Other

Other

Cowlitz

County. Nutanix

HW. KB290142. v3. 24. pdf

304. 21 KB

Cowlitz

County. Nutanix

SW-

252. 1 KB

3 Yr. KB301333. v2. 3. pdf

https: Hadm- If- web. cowl itz. local/ Forms/ form/ submission/ history/ 235730/ 419936? hideHeader= true& showlnsta nceDetails= false& fromInstances=

true

9/ 9

Motion

235926

BOCC

Item

Agenda

Meeting Date: 10/ 27/ 2026 800 Cisco Duo Advantage Licenses Renewal

Submitted By: Mirchelle McKoy, IT Director Submitted For: Mirchelle McKoy, IT Director Department:

Information

Technology

Information

Subject and Summary Statement

Approval of the renewal of 800 Cisco Duo Advantage Licenses for one year, with Cisco Duo Security Basic technical support listed at no additional charge. The total request is $ 56, 039. 04, including 8. 1% estimated sales tax. Staff Attendance

Mirchelle

McKoy

Department

Recommendation

Attachments

BlueAlly Quote

45275_

DUO,

SBAR

Communication

Form_

Form

User

Task

Grayson,

Agenda

McKoy,

Kelly Mac

Item Submission

Department

Approver

Cisco

Duo

Review

Action

Timestamp

Submit

10/ 21/ 2026

8: 19: 00 AM

Approve

10/ 21/ 2026

1: 14: 00 PM

Approve

10/ 21/ 2026

1: 21: 00 PM

Approve

10/ 21/ 2026

1: 28: 00 PM

Review Roewe,

Shawn (

Grayson,

OA)

Finance

Kelly

Review

Approved: BOARD

OF COUNTY

OF COWLITZ

COMMISSIONERS

COUNTY,

WASHINGTON

Richard R. Dahl, Chairman

Steve

Steven

Rader,

Review

Clerk of the Board

Commissioner

L. Ferrell, Commissioner

235926

Attest:

Clerk of the Board

Motion

Item

Quote # 45275 v. 1

BlueAlly

Date Issued:

09/ 14/ 26

Expire

11/ 30/ 26

Date:

DUO- SU Prepared By: Bill to:

Ship to:

Cowlitz Mac

Cowlitz

County

Mac

McKoy

207 4th Ave North

Joel Newman

County

McKoy

Piedmont

Suite

900

Atlanta,

207 4th Ave North

Room 307/ attn: IT Req ADMIN_ 307 Kelso,

3475

P:+

WA, 98626

Road

Georgia,

30305

19498703508

Kelso, WA, 98626 P: E:

P: McKoyM@cowlitzwa.

Cisco

DUO- SUB

gov

E: jnewman@blueally. com

gov

Subscription End Date: 12/ 01/ 2026

Renewal --

Manufacturer

McKoyM@cowlitzwa.

Part

Number 1

DUO- SUB

Cisco

Duo

Security-

SVS- DUO- SUP- B

Cisco

Duo

Security Basic-

800

DUO- ADVANTAGE

Cisco Systems:

Sub1697284--

12/ 2/ 2026 -

Subscription

0. 00

64. 80

51, 840. 00

Subtotal:

51, 840. 00

license

Technical

support-

Cisco Duo Advantage

edition(

phone consulting-

24x7

formerly Access)

12/ 1/ 2027

Quote Summary Cisco

DUO- SUB

Amount Renewal--

Subscription

End

Date:

12/ 01/ 2026

51, 840. 00 Subtotal: Estimated

51, 840. 00

Tax:

4, 199. 04

Total:

56, 039. 04

Please ask your BIueAIIy Sales Representative about Managed Services. The information contained herein is the intellectual property of BIueAIIy. This quotation is an invitation to offer only. The prices quoted shall remain firm for 30 days from the date hereof, unless modified in writing by BIueAIIy. The customer is obligated to pay for this purchase within 30 days of original invoice. Payment may be made either through third party financing or by payment from the customer. FOB- Freight collect. This quote includes a 3% discount for payment by cash or check on agreed terms. Payment through credit card will result in the loss of this additional discount. Please Reference Quote Number on all Purchase Orders

All orders are subject to the manufacturer' s terms and conditions including, but not limited to, any end user licensing agreement( EULA) Pricing Subject to Change Due to Manufacturer Actions. All pricing is contingent upon manufacturer and distributor pricing remaining unchanged. In the event that any manufacturer or distributor increases pricing, imposes surcharges, modifies discount structures, or otherwise increases BlueAIIy' s cost at any time prior to shipment or delivery— including due to inflation, component shortages, tariffs, or foreign exchange— BIueAIIy may adjust pricing accordingly upon notice to Customer. Customer acknowledges that manufacturer pricing is outside of BlueAlly' s control and agrees to pay any such adjusted pricing as a condition of performance. MULTI- YEAR

COMMITMENT,

NON- CANCELLATION

1. Full- Term Commitment. By accepting this Quote, Buyer commits to purchase all products and services for the full multi- year term stated herein. This commitment is firm, non- cancellable, and not subject to reduction based on changes in Buyer' s priorities, budget, or business needs. Please ask your BIueAIIy Sales Representative about Managed Services. The information contained herein is the intellectual property of BIueAIIy. This quotation is an invitation to offer only. The prices quoted shall remain firm for 30 days from the date hereof, unless modified in writing by BIueAIIy. The customer is obligated to pay for this purchase within 30 days of original invoice. Payment may be made either through third party financing or by payment from the customer. FOB- Freight collect. This quote includes a 3% discount for payment by cash or check

on agreed

terms.

Payment

through

credit

card will result

in the loss of this additional

discount.

Please Reference Quote Number on all Purchase Orders All

orders are

subject to the manufacturer' s terms and

conditions

including,

but not limited

to, any end

user

licensing

agreement(

EULA)

Quote # 45275 v. 1

BlueAlly

Date Issued:

09/ 14/ 26

Expire

11/ 30/ 26

Date:

Pricing Subject to Change Due to Manufacturer Actions. All pricing is contingent upon manufacturer and distributor pricing remaining unchanged. In the event that any manufacturer or distributor increases pricing, imposes surcharges, modifies discount structures, or otherwise increases BlueAlly' s cost at any time prior to shipment or delivery— including due to inflation, component shortages, tariffs, or foreign exchange— BlueAlly may adjust pricing accordingly upon notice to Customer. Customer acknowledges that manufacturer pricing is outside of BlueAlly' s control and agrees to pay any such adjusted pricing as a condition of performance. MULTI- YEAR

COMMITMENT,

NON- CANCELLATION

1. Full- Term Commitment. By accepting this Quote, Buyer commits to purchase all products and services for the full multi- year term stated herein. This commitment

is firm, non- cancellable,

and not subject

to reduction

based

on changes

in Buyer' s priorities,

budget,

or business

needs.

2. Binding Effect. These terms are incorporated into the Quote and, once accepted, supersede any conflicting terms in any Buyer- issued purchase order or other document.

Acceptance

BlueAlly

Joel

Cowlitz County

Newman

Signature/

Name

Signature/

09/ 14/ 2026 Date

Date

Name

Initials

10/ 21/ 26, 8: 19 AM

SBAR

Communication

Form

Situation- Background-

Assessment- Recommendation

SBAR)

SBAR For questions about or assistance with this form, please contact the Clerk of the Board.

Request Source*

Internal ( County Depts) External

Prepared

by:*

McKoy, Mirchelle

Prepared

mckoym@cowlitzwa.

gov

Email:*

Department*

Information Technology Department

Date*

10/ 15/ 2026

Open Public

Yes

Meeting Discussion

No Other

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Situation

SBAR

Communication

Form

Page

Situation What is being requested and by whom? Requested

Approval

Action/ Decision

Authorization Direction Acceptance Other

Does

this request

Yes

have a financial

impact?*

Brief Description of Approve renewal of 800 Cisco Duo Advantage licenses for one year, with Cisco Request

Duo Security Basic technical support listed at no additional charge. The total request is $ 56, 039. 04,

Total Requested

including quoted 8. 1%

estimated sales tax.

56, 039. 04

Dollar Amount:*

Time

Quote 45275

version

issued September

Sensitivity/ Deadline 14, 2026, expires November 30, 2026. Service period: December 2, 2026 through December

2027.

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SBAR

Background

Communication

Form

Page

Background Essential context only)

Relevent history or

This is a renewal of the County Cisco Duo subscription. The quote identifies the

prior Board

current subscription

action:

Sub1697284

end date as December

2026, and renewal

from December 2, 2026 through December 1,

preserves continuity of the existing authentication

subscription

2027. Renewal

service.

Legal, regulatory,

The quote does not identify a cooperative purchasing contract. County

purchasing review should confirm the appropriate procurement route and review

policy

considerations ( applicable):

the manufacturer terms and BlueAlly acceptance provisions. The stated expiration is November 30, 2026, but the terms also limit firm pricing to 30 days from issue and allow price adjustments;

obtain written price confirmation

before

ordering.

Prior budget

Proposed funding is the IT operating software budget. Budget status, available

direction

appropriation,

and account coding require Budget confirmation.

constraints:

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Assessment

SBAR

Communication

Form

Page

Assessment Analysis, risks, and impacts.)

Operational /

Public The renewal supports continued multifactor authentication for County users and systems integrated with Duo. Maintaining the subscription reduces the risk of a Safety / Service Impact:

lapse in the County authentication

controls. IT will verify license quantities and

the renewal dates before ordering.

Financial Impact:

Impact to fund blalance or program

The quote lists 800 Duo Advantage licenses at$ 64. 80 each, totaling $ 51, 840. 00 before tax. DUO- SUB and 24x7 Cisco Duo Security Basic phone technical support are each listed at$ 0. 00. Payment

Pricing

includes

is due within 30 days of invoice.

cash/ check discount; credit card payment removes that

discount. Cost component

Amount

800 Duo Advantage licenses at$ 64. 80

$ 51, 840. 00

Subscription Subtotal

Quoted

and basic technical

support$

before tax

sales

tax at 8. 1%

Total requested

approval

0. 00 51, 840. 00 4, 199. 04 56, 039. 04

Impact to fund balance or program: The request would use $ 56, 039. 04 in operating funding over the quoted term. Any amount not covered by existing appropriation will require an approved funding action. This approval covers one year. Continued use after December 1, 2027 will require a future renewal appropriation.

Future pricing is not provided. Confirm

that the vendor acceptance documents reflect the oneyear quoted service period despite the generic multi- year commitment language.

Future

budget

This approval covers one year. Continued use after December 1, 2027 will

implications ( if

require a future renewal appropriation.

any):

that the vendor acceptance documents reflect the oneyear quoted service period

Future pricing is not provided. Confirm

despite the generic multi- year commitment language.

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SBAR

Communication

Form

Risks of not

Failure to renew before the current subscription

approving the

service or require temporary access workarounds that weaken County security

request:

controls.

ends could disrupt authentication

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SBAR

Recommendation

Communication

Form

Page

Recommendation Specific action requested)

Staff Recommends that the Board of

County Commissioners:

Recommendations

Approve:

Deny: Modify: Provide Direction to:

Approve BlueAlly quote 45275 version 1 for renewal of 800 Cisco Duo Advantage licenses for December 2, 2026 through December 1, 2027, totaling $ 56, 039. 04 including estimated tax, subject to written price confirmation, available operating appropriation,

and County purchasing and contract review. Authorize purchase

order issuance within the approved

amount.

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SBAR

Communication

Form

Budget Source Details Page

Budget Source Details Required

Budget

for Financial

Status:

Requests)

Budgeted Unbudgeted

Partially Budgeted Department /

Information Technology

Program

Account / Line Item

50201

if applicable):

Funding Source:

Existing Appropriation Fund Balance

Contingency Grant Other

Budget

Yes

Amendment

Required?

Other

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SBAR

Alternatives

Considered

Communication

Form

Page

Alternatives Considered Optional)

Alternative

Alternative 2

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Attachments

SBAR

Communication

Form

Page

Attachments File Upload

Contract Resolution/ Ordinance Budget Amendment

Map/ Plan/ Report 9 Other

Other

BlueAlly Quote 45275_ DUO. pdf

103. 41 KB

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235931

BOCC

Motion

Item

Agenda

Meeting Date: 10/ 27/ 2026 Varonis Saas Service Renewal for 3- year term Submitted By: Mirchelle McKoy, IT Director Submitted For: Mirchelle McKoy, IT Director Department:

Information

Technology

Information

Subject and Summary Statement

Varonis Saas Agreement Renewal for 3- year term to provide the application and services in the cloud. The total cost is $366, 375. 59 for 3- year term. Staff Attendance

Mirchelle McKoy Department

Recommendation

Attachments

SHI Quote- 27848963

Varonis

Form

Task

User Grayson,

Agenda

Kelly

McKoy,

Mac

Roewe,

Shawn (

Item Submission

Department

Approver

Review

Action

Timestamp

Submit

10/ 21/ 2026

Approve

10/ 21/ 2026 1: 15: 00 PM

Approve

10/ 21/ 2026 1: 19: 00 PM

Approve

10/ 21/ 2026 1: 28: 00 PM

8: 33: 00 AM

Review OA)

Finance

Clerk of the Board

Grayson, Kelly

Review

Approved: BOARD

OF COUNTY

OF COWLITZ

COMMISSIONERS

COUNTY,

WASHINGTON

Richard R. Dahl, Chairman

Steve

Steven

Rader,

Review

Commissioner

L. Ferrell, Commissioner

235931

Attest:

Clerk of the Board

Motion

Item

Pricing Proposal Quotation #:

27848963

Created

8/ 11/ 2026

On:

Valid Until:

ASHIS

WA- County of Cowlitz

10/ 30/ 2026

Inside Account Executive

Mac McKoy

Dave Stanley

207 4TH AVE. NORTH

290 Davidson AVE

ATTN: ACCTS

Somerset,

PAYABLE

NJ 08873

Kelso,

WA 98626

Phone:

800- 527- 6389

United

States

Email:

dave_ stanley@shi.

Phone: (

360) 577- 3024

Email:

mckoym@cowlitzwa. gov

All Prices

ext. 6733

are in US Dollar(

USD)

Product

Varonis

Hybrid

Complete+

MDDR(

SaaS) 751- 1000SA

Varonis-

Part#: VHCM- 751- 1000SA

Contract

Name:

Contract#:

com

OMNIA

Partners

IT Solutions,

Products&

Qty

Your Price

800

137. 82

Total

110, 256. 00

Services

2024056- 02

Coverage

Term:

10/ 30/ 2026-

10/ 29/ 2027

Note: Year 1

Collector OS User Band

1- 5

Varonis-

Part#:

Contract

Name: OMNIA Partners

Contract#:

1, 359. 14

2, 718. 28

CL- 1- 50S IT Solutions,

Products&

Services

2024056- 02

Coverage

Term:

10/ 30/ 2026-

10/ 29/ 2027

Note: Year 1

Varonis Hybrid

Complete+

MDDR(

SaaS) 751- 1000SA

Varonis-

Part#: VHCM- 751- 1000SA

Contract

Name: OMNIA Partners

Contract#:

IT Solutions,

Products&

800

137. 82

110, 256. 00

Services

2024056- 02

Coverage

Term:

10/ 30/ 2027-

10/ 29/ 2028

Note: Year 2

Collector

OS User Band

1- 5

Varonis-

Part#: CL- 1- 50S

Contract

Name:

Contract#: Coverage

OMNIA

Partners

IT Solutions,

Products&

1, 359. 14

2, 718. 28

Services

2024056- 02 Term:

10/ 30/ 2027-

10/ 29/ 2028

Note: Year 2

Varonis Hybrid Complete+ Varonis-

MDDR( SaaS) 751- 1000SA

Part#: VHCM- 751- 1000SA

800

137. 82

110, 256. 00

Contract

Name: OMNIA

Partners

IT Solutions,

Products&

Services

2024056- 02

Contract#: Coverage

Term:

10/ 30/ 2028-

10/ 29/ 2029

Note: Year 3

Collector

OS User Band

1- 5

Varonis-

Part#: CL- 1- 5OS

Contract

Name:

Contract#: Coverage

OMNIA

Partners

IT Solutions,

Products&

1, 359. 14

2, 718. 28

Services

2024056- 02 Term:

10/ 30/ 2028-

10/ 29/ 2029

Note: Year 3

Subtotal

Tax Total

Additional

338, 922. 84 27, 452. 75

366, 375. 59

Comments

Thank you for choosing SHI International Corp! The pricing offered on this quote proposal is valid through the expiration date listed above. To ensure the best level of service, please provide End User Name, Phone Number, Email Address and applicable Contract Number when submitting a Purchase Order. For any additional information including Hardware, Software and Services Contracts, an SHI Inside Sales Representative at( 888) 744- 4084. SHI International Corp. is 100% Minority Owned, Woman

please contact Owned

Business.

TAX ID# 22- 3009648;

DUNS#

61- 1429481;

CCR# 61- 243957G;

CAGE

1 HTFO

Thank you for choosing SHI International Corp! The pricing offered on this quote proposal is valid through the expiration date set above. To ensure the best level of service, please provide End User Name, Phone Number, Email Address and applicable Contract Number when submitting a Purchase Order. Year 1

Billing Date: October 30, 2026 Amount: $ 112, 974. 28 Service

Period:

October 30, 2026— October 29, 2027

Year 2

Billing Date: October 30, 2027 Amount: $ 112, 974. 28 Service

Period:

October

30, 2027— October

29, 2028

Year 3

Billing Date: October 30, 2028 Amount: $ 112, 974. 28 Service

Period:

October

30, 2028— October

29, 2029

Total Contract Value( 3 years): $ 338, 922. 84

SHI International

Corp. is 100% Minority Owned, Woman Owned Business.

TAX ID# 22- 3009648;

DUNS#

61- 1429481;

CCR# 61- 243957G;

CAGE

1 HTFO

The products offered under this proposal are resold in accordance with the terms and conditions of the Contract referenced under that applicable line

item.