2013/07/31 Council Agenda Packet

Federal Grant Equipment Hand Receipt Form I-ti 1' Agency&Project Information / `q_1 � \1Grant:Port Security Grant 2011 Prepared By:Lt.Marc Olson l A > --- tiir '."' Project# Phone#:206.233.2590 i 4639116 )7f r . Agency Name:Everett Police Department 1 Email Address:marc.olson@seattle.gov Address 3002 Wetmore Ave. — — (Street,City,State,Zip Code):Everett WA 98201 ` CFDA#: — — ) — - .--� 1 Information of Equipment Received: I hereby acknowledge receipt of the following equipment using Department of Homeland Security funds on: Discipline Vendor Manufacturer Description Units Unit Cost Total Cost LE(Law Enforcement) Jet Dock Jet Dock Boat Lift 15'x40' 1 39,763.77 39,763.77 co in LE(Law Enforcement) Jet Dock Jet Dock Boat Lift 11'8"x30' 1 18,470.07 18,470.07 We understand this is a one-time grant and as such,the final recipient is responsible for the maintenance,training, Subtotal:58,233.84 and proper storage of the equipment. Equipment lost,stolen or unrepairable will not be replaced.This grant does not mandate that your jurisdiction purchase replacement equipment if this equipment expires or is used for WMD/ CBRNE purposes.If used for other purposes,Subgrantee will replace this equipment. Shipping Costs: We will make the above listed equipment available for audit/inspection at OEM'S request.We understand that our agency must report this equipment in accordance with OMB Circular A-87 and is subject to audit under OMB A-133. Sales Tax:5,535.21 We hold the Department of Homeland Security,the Marine Exchange and City of Seattle Police Department harmless for any and all damages that may result from the acceptance of this equipment,including data loss. Recipients shall abide by all applicable FAA FAR,and at the discretion of the Seattle Chief of Police,equipment shall Grand Total:63,769.05 e returned upon request. Authorized Signature: Date: Print Name: Phone#: Position Title: 1.