2007/11/21 Council Agenda Packet

V r J SAMPLE HAND RECEIPT ATTACHMENT F Subgrantee Organization: Address: Telephone #: I hereby acknowledge receipt of the following equipment from Snohomish County as part of the IFFY 200_ State Homeland Security Grant Program (SHSGP) Grant contract #EO_-_ CFDA# -OJP. Extended Date Recd Description Model / Part # Serial # # of Units Qty Unit Price Price It is understood and agreed that (Agency namel is responsible for the licensing, maintenance, training, storage, proper inventory and use of the above listed equipment. If this equipment is lost, stolen, or deemed unusable it will not be replaced by Snohomish County. Equipment valued at $5,000 or more is subject to additional compliance requirements. These include but are not limited,to; a) detailed property records must be maintained; b) an inventory must be conducted by the subgrantee every two years on all federally purchased equipment valued at $5,000 or more: c) a control system to adequately maintain and safeguard the equipment must be established, and d) federal disposal requirements must be met. To be consistent with Agency policy, lower limits (below $5,000) may be established. (Common Rule (CFR_.32)) AAgency namel agrees to hold Snohomish County, the Washington State Military Department and all their agents harmless from any and all damages that may result from the acceptance of this equipment. It is also understood and agreed that my agency must report this equipment in accordance with OMB Circulars A-87 and are subject to audit under OMB A-133. -Signed by: Date: -Print Name / Title: