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HomeMy WebLinkAbout23-023 - Amendment A - King County - Transportation Demand Management Agreement23-023(a) CONTRACT AMENDMENT Council Approval N/A Contract Title: 2023-2024 City of Tukwila Transportation Demand Management Agreement Contractor: City of Tukwila Address: 6200 Southcenter Blvd. Tukwila, WA 98188 Contract No.: SR -0000190120 CPA 6263915 Amendment No.: 1 AMENDMENT EFFECTS ® Change of Scope ® Contract Extension ® Add Additional funds ® Terms and Conditions King County Metro contracted the City of Tukwila through a subrecipient agreement to provide Transportation Demand Management (TDM) services to help people use sustainable transportation options and reduce drive -alone travel in Tukwila and South King County. Contract Amendment 1 includes: In accordance with Section 2 of Contract CPA 6263915 this Contract Amendment is entered into by and between King County and the City of Tukwila. The Purpose of this Contract Amendment is to modify the terms of the Contract. Now, therefore, the parties agree to modify the Contract as follows: 1. Update the scope to exclude payment for capital related elements (i.e. bike rack infrastructure/installation); 2. Extend the term of the Contract through December 31, 2025; 3. Increase the Not to Exceed amount from $225,000 for a new Not to Exceed amount of $255,375; and 4. Update the following contract terms: a. Replace the Agreement introduction, pages 1-2, paragraphs 2-5: Whereas, the County has obligated a grant from the Federal Transit Administration (FTA) (Award 1181561 WA -2020-087-00) Congestion Mitigation and Air Quality Improvement program ("CMAQ"), awarded to the County on August 31, 2020 for a total award amount of $9,988,278; and Whereas, the grant is for multi -modal transportation project planning and demonstration programs, in order to reduce drive -alone vehicle travel and increase high occupancy vehicle use to help reduce energy consumption, air pollution and traffic congestion. This is not a research and development grant and there Ver. 3/13 is no indirect cost rate for this award. The Assistance Living Number for this grant is 20.507, Urbanized Area Formula Funding Program and the County intends to use up to $255,375, amended from $225,000 of these grant funds as a sub -award to the City for work performed in accordance with the terms and conditions of this Agreement; and not for research and development purposes. There will be no indirect costs charged to this award. Whereas, such projects and programs include strategies known as transportation demand management ("TDM") which may encompass incentives, outreach, promotions, website development and maintenance, materials and services that facilitate travel by public transportation, shared rides, bicycling, walking and teleworking; and Whereas, the City, will not enter into any subrecipient agreements; and b. Replace Sections 1-5: 1. PURPOSE OF AGREEMENT The purpose of this Agreement is to establish a mutually beneficial arrangement between the City and the County that will help both Parties realize their respective TDM objectives. This Agreement also creates a mechanism to allow the County to reimburse the City for costs incurred to perform the tasks and implement the programs described in the Scope of Work ("SOW"), as set forth in Exhibit A, which is attached and incorporated herein. In consideration of the City's performance of the tasks and responsibilities set forth in the SOW, the County will provide the City up to $255,375, amended from $225,000 in grant funds. 2. AGREEMENT TERM AND MODIFICATIONS This Agreement shall be effective as of January 1, 2023, upon signature by both Parties, and shall remain in effect unless otherwise terminated through December 31, 2025, extended from December 31, 2024. If mutually agreed, the Agreement may be extended by written amendment for up to an additional two (2) years. Exhibits and attachments may be modified at that time as mutually agreed by the Parties. Any extension shall be made in writing in accordance with Section 14 of the Agreement. The County will enter into or extend this Agreement only on the condition that all City accounts with the County are current. 3. CITY'S RESPONSIBILITIES The City shall furnish the necessary personnel, equipment, material and/or services and otherwise do all things necessary for or incidental to the performance of the work required as related to program performance associated with the SOW in Exhibit A. The program tasks, timelines and budget are stated in Exhibit A. 4. COUNTY'S RESPONSIBILITIES The County will reimburse the City for actual costs incurred to satisfactorily perform the tasks and implement the Program as provided for in the SOW. In no event shall the total reimbursement made by the County to the City for work performed pursuant to this Agreement exceed $255,375 (the "Reimbursement Cap"). 5. INVOICE AND PAYMENT PROCEDURES Ver. 3/13 The City shall submit completed invoice(s) to the County detailing expenses, quarterly activities, outcomes and metrics within thirty (30) calendar days following each quarter's end. The County shall pay the City within fifteen (15) calendar days after the County has received completed invoices. In no event will the total amount of the initial investment and quarterly payments exceed the Reimbursement Cap specified at Section 4 of this Agreement without the Parties mutually agreeing to amend this Agreement in accordance with Section 14 of the Agreement. c. Replace Section 6; Part A, Numbers 1-4, and 6; Part E; and Parts H -J: 6. FEDERAL REQUIREMENTS A. This Agreement is subject to a financial assistance agreement between the County and the FTA. The City shall comply with all applicable federal laws, regulations, policies, procedures and directives, including but not limited to the following, which are attached hereto or incorporated herein by this reference: 1. 2 CFR Part 200.300 through 2 CFR Part 345, contained in Subpart D, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. The text is available at: httpsalw ecfr.govlcurrent/title-2/subtitle-A/cha ter- 11/part-200/subpart-I). 2. 2 CFR Part 200.400 through 2 CFR Part 200.475, contained in Subpart E, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. The text is available at: ter- I1/part-200/subpart-E. 3. The requirements and obligations imposed on a "Recipient" under the applicable provisions of the FTA Master Agreement. The Master Agreement text is available at: https:�� transit,dot.gov�funding� rants�$rantee-resources/sample®fta®agree ents/fta® aster -agreement -version -31- ay -2-2024. 4. The requirements of FTA Circular 5010.1E Project Administration and Management. Circular 5010.1E text is available at: https-//www.transit.dotZov/regulations-and- _ ov/regulations-and® nor s�fta-circulars�aw cl®m ale _ent-�euire _eats -circular. 6. Applicable FTA Third Party Contract Provisions — Standard Terms and Conditions. ]The text is attached as Exhibit B. E. The City agrees to extend application of the federal requirements to its subrecipients or contractors, and their respective subcontractors, by including this Section and the related exhibits in each contract and subcontract the City awards under this Agreement financed in whole or in part with Federal assistance provided by FTA. It is further agreed that this Section shall not be modified, except to change the names of the parties to reflect the subrecipient or contractor which will be subject to its provisions. H. Because the County is sub -granting $30,000 or more of pass-through Federal Transit Administration funds, the County must comply with the reporting requirements of The Federal Funding Accountability and Transparency Act (FFATA or Transparency Act - P.L. 109-282., as amended by section 6202(a) of P.L. 110-252). The FFATA prescribes specific data to be reported and the County hereby agrees to report sub -award data into the website www.USASpending.gov via www.fsrs.gov. Ver. 3/13 1. Location of the City (physical address(es), including congressional district(s)); City of Tukwila City Hall, 6200 Southcenter Blvd. Tukwila, WA 98188; Congressional District: WA -09 and a. Place of performance (physical address(es), including congressional district(s)); City of Tukwila City Hall, 6200 Southcenter Blvd. Tukwila, WA 98188; Congressional District: WA -09 and I. The City's Commercial and Government Entity (CAGE) number is 47Z60. J. The City agrees to provide the County with a copy of its Title VI implementation plan in accordance with FTA Circular 4702.1 B, Chapter IIl, Section 11 and update it every three years. d. Replace Section 7, Parts 7.1, 7.3, and 7.4: 7. DISPUTE RESOLUTION PROCESS 7.1 Designated Dispute Resolution Representatives. The following individuals are the Designated Representatives for the purpose of resolving disputes that arise under this Agreement: or the County hristina O'Claire ability Division Director -tro Transit Department 1 South Jackson Street, M/S KSC-TR- 12 eattle, WA 98104 ?06)477-5801 or the City aron BeMiller inance Director ity of Tukwila 200 Southcenter Blvd. WA 98188 206) 433-1839 Laron. bemiller@tukwilawa. gov 7.3 In the event the Designated Representatives are unable to resolve the dispute, the appropriate City Administrator or her/his designee and the General Manager of the County's Metro Transit Division or her/his designee shall confer and exercise good faith to resolve the dispute. 7.4 In the event the City Administrator and the General Manager of Metro Transit are unable to resolve the dispute, the Parties may, if mutually agreed in writing, submit the matter to non- binding mediation. The Parties shall then seek to mutually agree upon the mediation process, who shall serve as the mediator, and the time frame the Parties are willing to discuss the disputed issue(s). e. Replace Section 9, Part 9.7 9. LEGAL RELATIONS 9.7 Compliance with Applicable Laws. The Parties agree to comply with all applicable federal, state, and local laws, rules, and regulations, including those pertaining to nondiscrimination, and agree to require the same of any subcontractors providing services or performing any work related to the Program using funds provided under this Agreement. f. Replace Section 13: 13. SEVERABILITY Ver. 3/13 If any provision of this Agreement or any provision of any document incorporated by reference shall be held invalid, such invalidity shall not affect the other provisions of this Agreement which can be given effect without the invalid provision, if such remainder conforms to the requirements of applicable law and the fundamental purpose of this Agreement, and to this end the provisions of this Agreement are declared to be severable. g. Replace Section 17: 17. CONTRACT MANAGEMENT The contact persons for the management of this Agreement (the "Contract Managers") are identified and their contact information is provided herein and may be updated by either Party for their agency only and shall be submitted in writing or electronic mail to the other Party. Any update to the Contract Managers' information shall state the effective date of said update. Contract Manager King County City of Tukwila ontact Name Trevor Goodloe Alison Turner itle Transportation Demand Management Sustainable Transportation Program Project/Program Manager II Manager King County Metro City of Tukwila Market Innovation Section Address 201 S. Jackson St. 6300 Southcenter Blvd 4100 /S KSC-TR-0411 Tukwila, WA 98188 Seattle, WA 98104 telephone 206) 263-8389 206) 433-7142 IE -Mail eoodloe ,kin coumy.gp_y Alison.turner tukwila a. gov h. Replace Section 18, Parts 18.1 and 18.4: 18. RECORDS RETENTION AND AUDIT 18.1 During the progress of the work and for a period of not less than six (6) years from the date of final payment by the County, the City shall keep available for inspection and audit by the County and the federal government the records pertaining to the Agreement and accounting therefore. Copies of all records, documents or other data pertaining to performance of the Agreement will be furnished upon request. If any litigation, claim or audit is commenced related to performance of the Agreement, the records along with supporting documentation shall be retained until all litigation, claims and/or audit findings have been resolved even though such litigation, claim or audit continues past the six-year retention period. 18.4 Unless already published and available at the federally appointed online, accessible audit reporting database the City agrees to submit to the County, a copy of the City's Single Audit report when requested by the County for sub recipient monitoring purposes. i. Add Attachment F: Conflict of Interest Clause and Form j. Add Attachment G: WSDOT Terms and Conditions Ver. 3/13 Docusign Envelope ID: D2D2CCB8-CA9B-4625-9C38-5811 F8361196 All other provisions of the Contract, as previously modified, shall remain in full force and effect. This Amendment shall be effective as of the date signed by King County below. IN WITNESS HEREOF, THE PARTIES HERETO HAVE CAUSED THIS AMENDMENT TO BE EXECUTED AND INSTITUTED WHEN COUNTERSIGNED BY KING COUNTY. DS Sign�f' by: Initial qq Signed by: Q� �; 6r Valiidt,�, r6m, 0.� bwiaS t�t.t, t,b� EEF2DBE10C4FE... King bounty, Washington Contractor By Annie Gienapp for Daniel Rowe Title Research Team Lead Date 12/30/2024 Ver. 3/13 By Thomas McLeod Title Mayor Date 12/20/2024 11:07 PM PST ATTACHMENT G WSDOT Terms and Conditions Section 5 General Compliance Assurance The CONTRACTOR agrees to comply with all instructions as prescribed in the WSDOT Public Transportation State Grant Programs Guidebook, hereinafter referred to as the "Guidebook", and any amendments thereto, found at https:// wsdot.wa.gov/business-wsdot/grants/public- transportation-grants/manage-your-grant which by this reference is incorporated herein as if fully set forth in this AGREEMENT. Section 8 Assignments and Subcontracts A. The CONTRACTOR shall submit to WSDOT a copy of any contract, amendment, or change order thereto pertaining to this Project for review and documentation. This includes any completed Project facilities and/or infrastructure under this AGREEMENT, or other actions obligating the CONTRACTOR in any manner with any third party with respect to its rights and responsibilities under this AGREEMENT, including any leasing and/or lending the Project or any part thereof to be used by anyone, not under the CONTRACTOR's direct supervision. B. The CONTRACTOR agrees to include Section 5, Sections 8 through 20, and Section 27 of this AGREEMENT in each subcontract and in all contracts it enters into for the employment of any individuals, procurement of any materials, or the performance of any work to be accomplished under this AGREEMENT. Section 9 Reports A. The CONTRACTOR shall prepare quarterly reports regarding services provided pursuant to this AGREEMENT and other related information as prescribed in the Guidebook, and any amendments thereto, whichever is applicable, or as requested by WSDOT. Due to Legislative and WSDOT reporting requirements, any required quarterly progress reports shall be submitted for the duration of the AGREEMENT period regardless of whether the underlying funding sources have been exhausted. Post -grant annual performance reporting may also be required as prescribed in the aforementioned guidebook. Those reports include, but are not limited to: 1. Project Passenger Trips Provided 2. Project Service Hours Provided 3. Project Revenue Service Miles Provided 4. Narrative Progress Report 5. Financial Status/Summaries of the Project. B. Failure to meet any of the above -identified report submittal timelines may result in the CONTRACTOR being considered to be in breach of contract and "Not In Good Standing" as defined in the Guidebook referenced in Section 5 - General Compliance of Agreement of this agreement. Failure to meet the above -identified report submittal timelines may also prevent the CONTRACTOR from receiving future PT Rideshare grant funds in the next biennium. Section 10 Energy Credit If CONTRACTOR receives any monies from the sale or disposition of energy credits, decarbonization credits, environmental credits, or any other monies through its participation of a like program, in relation to assets acquired or constructed with funding from this AGREEMENT, as public transportation is vital in reducing the carbon intensity of Washington's transportation system by providing alternative travel options and providing a cost-effective means to reduce greenhouse gas emissions, the CONTRACTOR agrees to reinvest those monies into service, projects or programs that support public transportation and the reduction of greenhouse gas emissions. Such investments will be consistent with the state's public transportation grant programs. Section 11 No Obligation by the State Government No contract between the CONTRACTOR and its subcontractors shall create any obligation or liability for WSDOT with regard to this AGREEMENT without WSDOT's specific written consent, notwithstanding its concurrence in, or approval of, the award of any contract or subcontract or the solicitations thereof. Section 12 Personal Liability of Public Officers No officer or employee of WSDOT shall be personally liable for any acts or failure to act in connection with this AGREEMENT, it being understood that in such matters they are acting solely as agents of WSDOT. Section 13 Ethics A. Relationships with Employees and Officers of WSDOT. The CONTRACTOR shall not extend any loan, gratuity or gift of money in any form whatsoever to any employee or officer of WSDOT, nor shall CONTRACTOR rent or purchase any equipment and materials from any employee or officer of WSDOT. B. Employment of Former WSDOT Employees. The CONTRACTOR hereby warrants that it shall not engage on a full-time, part-time, or other basis during the period of this AGREEMENT, any professional or technical personnel who are, or have been, at any time during the period of this AGREEMENT, in the employ of WSDOT without written consent of WSDOT. Section 14 Civil rights The CONTRACTOR shall not discriminate on the basis of race, color, national origin, or sex in the award and performance of any WSDOT-assisted contract or in the administration of its public transportation services. Section 15 Compliance with Laws and Regulations A. The CONTRACTOR agrees to abide by all applicable state and federal laws and regulations including but not limited to, those concerning employment, equal opportunity employment, nondiscrimination assurances, project record keeping necessary to evidence compliance with such federal and state laws and regulations, and retention of all such records. The CONTRACTOR will adhere to all of the nondiscrimination provisions in chapter 49.60 RCW. B. Additionally, the CONTRACTOR agrees to comply with the following.as applicable: 1. SB 5974 Move Ahead Washington 2. RCW 70A.02 Healthy Environmental for All (HEAL) ACT, and 3. RCW 70A. 65.260 Climate Commitment ACT. C. Except when a federal statute or regulation preempts state or local law, no provision of the AGREEMENT shall require the CONTRACTOR to observe or enforce compliance with any provision, perform any other act, or do any other thing in contravention of state or local law. If any provision or compliance with any provision of this AGREEMENT violates state or local law or would require the CONTRACTOR to violate state or local law, the CONTRACTOR agrees to notify WSDOT immediately in writing. Should this occur, WSDOT and the CONTRACTOR agree to make appropriate arrangements to proceed with or, if necessary, expeditiously, terminate the AGREEMENT. Section 16 Environmental and Regulatory Requirements The CONTRACTOR agrees to secure any necessary local, state, and federal permits and approvals, and comply with all applicable requirements of Chapter 43.21 C RCW State Environmental Policy Act (SEPA). The CONTRACTOR agrees to comply with all applicable requirements of Executive Order 21-02, Archaeological and Cultural Resources, for all capital construction projects or land acquisitions not undergoing Section 106 review under the National Historic Preservation Act of 1966 (Section 106). Section 17 Accounting Records A. Project Accounts. The CONTRACTOR agrees to establish and maintain for the Project(s) either a separate set of accounts or separate accounts within the framework of an established accounting system that can be identified with the Project(s). The CONTRACTOR agrees that all checks, payrolls, invoices, contracts, vouchers, orders, or other accounting documents pertaining in whole or in part to the Project(s) shall be clearly identified, readily accessible and available to WSDOT upon request, and, to the extent feasible, kept separate from documents not pertaining to the Project(s). B. Documentation of Project Costs and Program Income. The CONTRACTOR agrees to support all allowable costs charged to the Project(s), including any approved services contributed by the CONTRACTOR or others, with properly executed payrolls, time records, invoices, contracts, or vouchers describing in detail the nature and propriety of the charges. The CONTRACTOR also agrees to maintain accurate records of all program income derived from implementing the Project. Section 18 Audits, Inspection, and Retention of Records A. Submission of Proceedings, Contracts, Agreements, and Other Documents. During the performance period of the Project(s) and for six (6) years thereafter, the CONTRACTOR agrees to retain intact and to provide any data, documents, reports, records, contracts, and supporting materials relating to the Project(s) as WSDOT may require. Project closeout does not alter these recording and record-keeping requirements. Should an audit, enforcement, or litigation process be commenced, but not completed, during the aforementioned six-year period then the CONTRACTOR's obligations hereunder shall be extended until the conclusion of that pending audit, enforcement, or litigation process. B. General Audit Requirements. The CONTRACTOR agrees to obtain any other audits required by WSDOT at CONTRACTOR's expense. Project closeout will not alter the CONTRACTOR's audit responsibilities. C. Inspection. The CONTRACTOR agrees to permit WSDOT and the State Auditor, or their authorized representatives, to inspect all Project work materials, payrolls, and other data, and to audit the books, records, and accounts of the CONTRACTOR and its subcontractors pertaining to the Project. The CONTRACTOR agrees to require each third party to permit WSDOT, and the State Auditor or their duly authorized representatives, to inspect all work, materials, payrolls, and other data and records involving that third party contract, and to audit the books, records, and accounts involving that third party contract as it affects the Project. Section 19 Labor Provisions Overtime Requirements. No CONTRACTOR or subcontractor contracting for any part of the Project(s) work which may require or involve the employment of laborers or mechanics shall require or permit any such laborer or mechanic in any workweek in which he or she is employed on such work to work in excess of forty (40) hours in such workweek unless such laborer or mechanic receives compensation at a rate not less than one and one-half times the basic rate of pay for all hours worked in excess of forty (40) hours in such workweek. CONTRACTOR will comply with Title 49 RCW, Labor Regulations. Section 20 Changed Conditions Affecting Performance The CONTRACTOR hereby agrees to immediately notify WSDOT of any change in conditions or law, or of any other event, which may affect its ability to perform the Project(s) in accordance with the provisions of this AGREEMENT. Section 27 Limitation of Liability A. The CONTRACTOR shall indemnify and hold harmless WSDOT, its agents, employees, and officers and process and defend at its own expense any and all claims, demands, suits at law or equity, actions, penalties, losses, damages, or costs (hereinafter referred to collectively as "claims"), of whatsoever kind or nature brought against WSDOT arising out of, in connection with or incident to the execution of this AGREEMENT and/or the CONTRACTOR's performance or failure to perform any aspect of this AGREEMENT. This indemnity provision applies to all claims against WSDOT, its agents, employees and officers arising out of, in connection with or incident to the negligent acts or omissions of the CONTRACTOR, its agents, employees, officers and subcontractors. Provided, however, that nothing herein shall require the CONTRACTOR to indemnify and hold harmless or defend the WSDOT, its agents, employees or officers to the extent that claims are caused by the sole negligent acts or omissions of the WSDOT, its agents, employees or officers; and provided further that if such claims result from the concurrent negligence of (a) the CONTRACTOR its employees, agents, officers or contractors and (b) the STATE, its employees or authorized agents, or involves those actions covered by RCW 4.24.115, the indemnity provisions provided herein shall be valid and enforceable only to the extent of the negligence of the PARTY, its employees, officers, authorized agents, and/or contractors. The indemnification and hold harmless provision shall survive termination of this AGREEMENT. B. The CONTRACTOR shall be deemed an independent contractor for all purposes, and the employees of the CONTRACTOR or its subcontractors and the employees thereof, shall not in any manner be deemed to be the employees of WSDOT. C. The CONTRACTOR specifically assumes potential liability for actions brought by 4 CONTRACTOR's employees and/or subcontractors and solely for the purposes of this indemnification and defense, the CONTRACTOR specifically waives any immunity under the State Industrial Insurance Law, Title 51 Revised Code of Washington. D. In the event either the CONTRACTOR or WSDOT incurs attorney's fees, costs or other legal expenses to enforce the provisions of this section of this AGREEMENT against the other PARTY, all such fees, costs and expenses shall be recoverable by the prevailing PARTY. ATTACHMENT F Conflict of Interest Clause A. General Requirements The Subrecipient shall maintain written standards of conduct covering conflicts of interest. These standards must apply to the performance of employees engaged in the selection, award, and administration of contracts supported by a federal award. No employee, officer, or agent of the Subrecipient shall participate in the selection, award, or administration of a contract supported by federal funds if a real or apparent conflict of interest would be involved. A conflict of interest arises when any of the following has a financial or other interest in or a tangible personal benefit from a firm considered for a contract: • The employee, officer, or agent. • Any member of the employee's immediate family. • The employee's partner. • An organization which employs or is about to employ any of the parties listed above. The Subrecipient's officers, employees, and agents must neither solicit nor accept gratuities, favors, or anything of monetary value from contractors or parties to subcontracts. However, where the Subrecipient has determined that the financial interest is not substantial or the gift is an unsolicited item of nominal value, the Subrecipient may provide for exceptions to this rule in its conflict-of- interest policy. B. Mandatory Disclosure The Subrecipient must disclose in writing any potential or actual conflict of interest to the Pass- through Entity (PTE) in accordance with applicable federal laws and regulations. Additionally, any violation of federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the federal award must also be disclosed. Failure to disclose conflicts of interest or criminal violations could result in termination of the agreement, disallowance of costs, or other remedies in accordance with 2 CFR 200.339. C. Remedial Actions If a conflict of interest is discovered during the course of the agreement, the Subrecipient agrees to take immediate steps to resolve the conflict, including, but not limited to: • Disqualification of the employee, officer, or agent involved in the conflict from further participation in the contract or award process. • Possible termination of the contract or subcontract in question. • Additional internal controls or oversight to prevent future conflicts. D. Organizational Conflicts In addition to the personal conflicts of interest listed above, the Subrecipient shall also avoid any organizational conflicts of interest. An organizational conflict of interest means that because of relationships with a parent company, affiliate, or subsidiary organization, the Subrecipient is unable or appears to be unable to be impartial in conducting a federal award action. Conflict of Interest Disclosure Form Federal Grant Program Information • Federal Awarding Agency: FTA • Pass-through Entity (PTE): King County Metro • Subrecipient Name: City of Tukwila • Federal Award Identification Number (FAIN): WA -2020-087-00 • Grant/Contract Name: TDM Corridor Strategies Supporting Centers, and Regional Park -and -Ride TDM Activities and Access Improvements/2023-2024 City of Tukwila Transportation Demand Management Agreement Subrecipient Information • Name of Employee/Officer/Agent Disclosing Conflict: Alison Turner • Position/Title: Sustainable Transportation Program Manager • Phone Number: (206) 433-7142 • Email Address: alison.turner@tukwilawa.gov Section 1: Disclosure of Potential Conflict of Interest Please check the appropriate box that applies to your situation: ® I hereby declare that, to the best of my knowledge, I have no conflicts of interest to report in relation to my participation in this federal award. ❑ I hereby declare that 1, or an immediate family member, or an organization with which I have a personal or financial relationship, may have a potential or actual conflict of interest in relation to my participation in this federal award. Section 2: Nature of Potential or Actual Conflict of Interest If you have a potential or actual conflict of interest, please provide details below. Include the names of individuals and/or organizations involved, the nature of the conflict, and any financial or personal interest that may be affected by your role in this federal grant or contract. • Details of the Conflict: Names of Individuals/Organizations Involved: Relationship to Employee/Officer/Agent: Section 3: Certification and Acknowledgement I hereby certify that the information provided above is true, accurate, and complete to the best of my knowledge. I understand that providing false or misleading information may result in disciplinary action, including but not limited to termination of the subrecipient agreement, disallowance of costs, or other remedies as provided in federal regulations. I agree to notify the [Pass-through Entity] immediately if any conflict of interest arises during the term of the agreement • Signati • Date: For Use King County Metro Only • Date of Disclosure Review: • Reviewed by (Name/Title): • Action Taken (if any): N/A Instructions for Submitting the Form • Please complete this form and return it to King County Metro.