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2018/05/22 - Regular Packet
22.1 BOARD OF MASON COUNTY COMMISSIONERS DRAFT MEETING AGENDA Commission Chambers— 6:00 p.m. 411 North Fifth Street, Shelton WA 98584 May 22, 2018 1. Call to Order 2. Pledge of Allegiance 3. Roll Call 4. Correspondence and Organizational Business 4.1 Correspondence 4.2 News Release: Request for Proposal Homeless Housing Grant Funds Staff: Todd Parker 4.3 Public Works bid award information Staff: John Huestis 4.4 News Release:Eells Hill Transfer Station half day closure Staff:Bart Stepp 5. Open Forum for Citizen Input (5 minutes per person, 15 minutes time limit) If you wish to address the Commission, raise your hand to be recognized by the Chair. When you have been recognized, please step up to the microphone and give your name and address before your comments.The Mason County Commission is committed to maintaining a meeting atmosphere of mutual respect and speakers are encouraged to honor this principle. 6. Adoption of Agenda Items appearing on the agenda after"Item 10. Public Hearings", may be acted upon before 6:30 p.m. 7. Approval of Minutes — May 8 and May 15, 2018 Regular meeting minutes 8. Approval of Action Agenda: All items listed under the Action Agenda may be enacted by one motion unless a Commissioner or citizen requests an item be removed from the Action Agenda and considered as a separate item. 8.1 Approval to set a Public Hearing on June 12, 2018 at 9:30 a.m. to update ordinance 123-08, building fee schedule, to acknowledge requirements set by HB1622 effective July 1, 2018. 8.2 Approval of Warrants Claims Clearing Fund Warrant #s 8056145-8056530 $ 1,161,633.84 Direct Deposit Fund Warrant #s $ Salary Clearing Fund Warrant #s $ Total $ 1,161,633.84 8.3 Approval of Amendment 2 to Consolidated Contract #CLF18253 between Mason County Public Health and The State of Washington Department of Health. 8.4 Approval to waive the 60-day waiting period for WA State Department Transportation (WADOT) property that WADOT is surplussing. This is for parcel 12332-50-00027 and in compliance with RCW 47.12.055 and RCW 43.17.400. 8.5 Approval to terminate the contract between Mason County and Housing Opportunities for Students in Transition (HOST), contract #HOST-2017.1 Last printed 5/22/2018 8:29:00 AM If special accommodations are needed, contact the Commissioners'office at ext. 419, Shelton #360-427- 9670; Belfair#275-4467, Elma #482-5269. MASON COUNTY COMMISSIONERS' MEETING AGENDA May 22, 2018— PAGE 2 8.6 Approval of the resolution changing the approval process for Private Line Occupancy Permits and Franchise renewals. 9. Other Business (Department Heads and Elected Officials) 10. 6:30 p.m. Public Hearings and Items Set for a Certain Time- No hearings. 11. Board's Reports & Calendars 12. Adjournment J:\AGENDAS\2018\2018-05-22 Reg.doc dc'y� MASON COUNTY TO: BOARD OF MASON COUNTY COMMISSIONERS Reviewed: FROM: Jennifer Giraldes Ext. 380 DEPARTMENT: Support Services Action Agenda DATE: May 22, 2018 No. 4.1 ITEM: Correspondence 4.1.1 Janice Loomis and Joseph Woodson Moore sent in applications for Mason County Board of Equalization. 4.1.2 Jean Bray sent in comments on the Recreation and Conservation Office (RCO) Grant. 4.1.3 Washington State Liquor and Cannabis Board sent liquor license applications for The Tides Restaurant 27061 US Highway 101, Hoodsport, Hood Canal Highland Celtic Festival Committee 3151 State Route 300, Belfair and Backcountry Hunters and Anglers 3680 Northeast Old Belfair Highway, Belfair. 4.1.4 Washington State Liquor and Cannabis Board sent a marijuana license application for Cannabis CO-OP 431 WA 3, Shelton. Attachments: Originals on file with the Clerk of the Board. CC:l,nnIVIKS Neatherlin,Shutttyy&Drexler �..a..> Clerk C 1 l X508 y coU,�;A C ® J 1 ir� �� MASON COUNTY COMMISSIONERS G CEIVt 411 NORTH FIFTH STREET MAY 112018 SHELTON WA 98584 - -— Fax 360-427-8437, Voice 360-427-9670, Ext. 419, 275-4467 or 482-5269 Mason County 1854 ✓ Com issioners I AM SEEKING APPOINTMENT TO Ea I NAME: ADDRESS: PHONE: Gf CITY/ZIP: VOTING PRECINCT: WORK PHONE: (OR AREA IN THE COUNTY YOU LIVE) E-MAIL: ------------------------------------------------------------------------------------------- COMMUNITY SERVICE EMPLOYMENT: (IF RETIRED. PREVIOUSEXPERIENCE) (ACTIVITIES OR MEMBERSHIPS) COMPANY:-VL43 j-j c1J 2n YRS POSITION: COMPANY: YRS POSITION: A ,O,�'- 4 z k 6 g g Z -------------------------------------------------------------------------------------------- In your words, what do you perceive is the role or purpose of the Board, Committee or Co un it for which you are applying: C�/hvl at interests, skills do you wish tp off r the Board, Committee, r Council? IF AA l Please list any financial, professional, or voluntary affiliations which may influence or affect your positron on this Board (i.e. create a potential conflict of interest) Your participation is dependent upon attending certain trainings made available by the County during regular business hours (such as Open Public Meetings Act and Public Records).The trainings would be at no cost to you.Would you be able to attend such trainings? Realistically, how much time can you give to this position?p Quarterly Monthly Weekly Daily Office Use Only Appointment Date gnature pate Term Expire Date -- "'I,anuuy&ulre�xier I; bf M1V1 / RE�sor� ooa�aA E��E MA lem ON COUNTY O ISSIONEI 411 NORTH FIFTH STREET MAY 14 2015 SHELTON WA 98584 —-— Fax 360-427-8437, Voice 360-427-9670, Ext. 419,,275-4467 or 482-521 Mason County 1854 '' Commissioners �, ,. I AM SEEKING APPOINTMENT TO NAME: TO SEP 5 1 ADDRESS: PHONE: _72.0. CITY/ZIP: VOTING PRECINCT:OI,r�C \aL�,d WORK PHONE: ShQ\toV% /985'34 (OR AREA IN THE COUNTY YOU LIVE) E-MAIL: � t.Ga'IY\ COMMUNITY SERVICE EMPLOYMENT: (IF RETIRED. PREVIOUS EXPERIENCE) (ACTIVITIES OR MEMBERSHIPS) COMPANY: D,,SY STREET G o`Lk?- YRS 2� Vel.\ cJ oca POSITION: coymv�er' �zeaa�or (S��V�nnach `t�p�Uvl-s�wce 1.9�b COMPANY: YRS POSITION: -------------------------------------------------------------------------------------------- In your words, what do you perceive is the role or purpose of the Board, Committee or Council for which you are applying: SS 1 st,lh C 1 Q� What interests, skills do you wish to offer the Board, Committee, or Council? QS Please list any financial, professional, or voluntary affiliations which may influence or affect your position on this Board: (i.e. create a potential conflict of interest) Your participation is dependent upon attending certain trainings made available by the County during regular business hours (such as Open Public Meetings Act and Public Records).The trainings would be at no cost to you.Would you be able to attend such trainings? YQ.S Realistically, how much time can you give to this position?p Quarterly Monthly 20 30\naves Weekly Dally Office Use Only VIJ 5- g Appointment Date Sig ture pale Term Expire Date cc:CMMRS Neatherlin,Shutty&Drexler Clerk From: Jeanmarie Bray <bray.jeanmarie@gmail.com> To: <bking@co.mason.wa.us> Date: 5/14/2018 7:40 AM RECEIVE® Subject: Submission/ Consideration Attachments: Commission About DNR.pdf May 14, 2018 MAY 14 2018 To: Commissioners, Mason County Mason County Commissioners From: J. Bray Attached is what I wanted you to hear about referenced land portion, as I see it. my perspective - the *Dewatto Natural Resources Conservation Area*, from the* commission's* study packets of May 8; May 14. It is noted here for the record. See attachment. JEAN BRAY, TAHUYA I am at this week's commissioner's meeting to speak for William W. and Emily Seymour, who are buried, _in the ground. W.W. Seymour passed away 88 years ago. The part of the referenced parcel cited in the briefing packet for today consists largely of the land donation a preserve, the Seymours generously made over eighty-five years ago. For eighty-three years, Washington state youth enjoyed recreation and a safe learning environment on this 520 acre parcel the Department of Natural Resources proposal references. As highlighted in the outline provided the county commissioners, "this property is the jewel of Hood Canal at the base of the Olympic Mountains." More than a few hundred people will cry in their pillows at night over a blind acceptance of this so-called state of Washington conservation district obtained and overseen by the Washington DNR. A thorough title search should be performed. I speak for the youth and adults who have so valued the land's previous use. The property had an ample, trained adult-youth supervision ratio while in use. It would seem to practically any Tahuya resident that the DNR is already overextended in its' management of public lands on the Tahuya peninsula. Emergency personnel services are twenty five miles and more than twenty-five minutes away. I urge the commission to review carefully whether GPC, the HCC and the DNR represent the best-practices for a land transfer. There should be an opportunity to hear from the public, where adequate notice is given. I urge careful review and consideration. i Kev<< - z� Camp # • AF Home Camp Staff Early Camp History Traditions and Stories William Seymour Hahobas History About Camp Hahobas Early Camp History Adventure Series Events Camp Hahobas History Camp Calendar In the 1930's,the Hood Canal camping area was known as Camp Hahobas.Scouts attendin Camp Registration► Camp Hahobas were transported by the Sea a ` Scout cruiser Occult.The cruiser departed frorr . the Municipal dock for the 125-mile water Camp Staff r journey to Camp Hahobas.This voyage required some 10 to 11-hours sailing time. Contact Information► Other Scouts not being able to make the long journey met other Sea Scout ships at Hood Canal and were transported across the canal tc Hahobas Campsites► the beach camp. Hahobas History► Camp Hahobas had grown to nearly 400 acres by 1939 and by the end of 1940 was 520 acres Program Information► All camping was on the beach property,with I hikes and daytime activities making use of the Camp Hahobas Map upper areas of the reservation. Campsite Map The year of 1949 marked the,"On Top"camping experience.A rough-cut road from the beach extended to the top of the hill.Camping was moved to the present area known as Camp Twana.Gravel and sand were hauled up from Area Map the beach to form a beach type appearance on Robbins Lake.Campsites were assigned by number,and the cutting of sallal for tentage set up was left to the individual troops.Also during 1949,travel to camp could be by auto,but Links required a long hike to reach the camping area. Camp Tahoma came into existence around 1955 at which time two camps(Tahoma and Twana)were being used to Sitemap support the summer camp program on Hahobas Scout Reservation. Contact us Troop sites were named by some of the early Camp Staff and participating Scoutmasters.Camp Twana received its name from the Twana Indians and Camp Tahoma was named after our Mount Rainier,which in those days was —— —known as Mount Tacoma and Mount Tahoma In 1980 Camp Twana and Camp Tahoma which were two separate summer camps operating on The Hahobas Scout Search Reservation were joined into one summer camp that we know today as Camp Hahobas. In 1993 the Mount Rainier Council merged with Twin Harbors Council and Tumwater Area Council to form The Pacifi Harbors Council.The following year new leadership brought in the scout-friendly concept of the Open Program. In 1998 Camp Hahobas pioneered it's own High Adventure Program across the Hood Canal into the Olympic Mountains. Like us on Facebook! Now Camp Hahobas has grown from it's humble past to offer many different merit badges,a high COPE course,a Welding Academy,Blacksmithing program,the advantages of the open program,and the best summer camp staff it the Northwest. In the past 75 years,Camp Hahobas has seen many changes,but one thing remains the same;Camp Hahobas is still the jewel of the Hood Canal at the base of the Olympic Mountains. Camp specific events:Great White Newt Regatta,Race for Washkanaba,Chetwoot Tolo games(new for 2009). Hahobas is divided into two different loops of campsites located on different sides of the camp called the Tahoma loop and the Twana loop. History of Camp Hahobas,courtesy of Kevin Rudsil Share This:Via Email G+ Share Tweet Share cc:CMMRS Neatherlin,Shutty&Drexler Clerk) r y ,^ Washington State Liquor and Cannabis Board NOTICE OF LIQUOR LICENSE APPLICATION WASHINGTON STATE LIQUOR AND CANNABIS BOARD License Division - 3000 Pacific, P.O. Box 43075 Olympia,WA 98504-3075 Customer Service: (360) 664-1600 Fax: (360) 753-2710 Website: http://Icb.wa.gov TO:MASON COUNTY COMMISSIONERS RETURN TO:localauthority@sp.lcb.wa.gov DATE: 5/14/18 RE:APPLICATION IN LIEU OF CURRENT PRIVILEGE UBI:603-029-069-001-0001 APPLICANTS: License: 081188 -1 F County:23 Tradename:THE TIDES RESTAURANT THE TIDES RESTAURANT LLC Address: 27061 N US HIGHWAY 101 CHAPPELL, LINDA F HOODSPORT WA 98548-9620 1949-10-31 CHAPPELL,WAYNE L 1949-10-01 Phone No.: 360-877-8921 LINDA CHAPPELL RECEIVE® MAY 14 2018 Privileges Upon Approval: Mason County DIRECT SHIPMENT RECEIVER-IN WA ONLY Cnmmissinners SPIRITS/BR/WN REST SERVICE BAR As required by RCW 66.24.010(8), the Liquor and Cannabis Board is notifying you that the above has applied for a liquor license. You have 20 days from the date of this notice to give your input on this application. If we do not receive this notice back within 20 days,we will assume you have no objection to the issuance of the license. If you need additional time to respond,you must submit a written request for an extension of up to 20 days,with the reason(s)you need more time. If you need information on SSN,contact our CHRI desk at(360)664-1724. YES NO 1.Do you approve of applicant?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑ 2.Do you approve of location?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑ 3.If you disapprove and the Board contemplates issuing a license,do you wish to request an adjudicative hearing before final action is taken?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑ (See WAC 314-09-010 for information about this process) 4.If you disapprove,per RCW 66.24.010(8)you MUST attach a letter to the Board detailing the reason(s)for the objection and a statement of all facts on which your objection(s)are based. DATE SIGNATURE OF MAYOR CITY MANAGER COUNTY COMMISSIONERS OR DESIGNEE cc:CMMRS Neatherliln,Shutty()QP WASHINGTON Clerk, (?,MAN t � ()QP WASHINGTON STATE LIQUOR AND CANNABIS BOARD — License Services 3000 Pacific Ave SE - P O Box 43075 Olympia WA 98504-3075 EMAIL: specialoccasions@lcb.wa.gov TO: MASON COUNTY COMMISSIONERS MAY 11, 2018 RECEIVED SPECIAL OCCASION #: 092650 HOOD CANAL HIGHLAND CELTIC FESTIVAL COMMITTEE MAY 14 2018 PO BOX 1413 BELFAIR WA 98528 Mason County Commissioners DATE: SEPTEMBER 1, 2018 TIME: 9 AM TO 5 PM SEPTEMBER 2, 2018 9 AM TO 5 PM PLACE: BELFAIR STATE PARK(ENCLOSED AREA) - 3151 ST RT 300, BELFAIR CONTACT: SUSAN MCDONALD [DOB 08.28.1946] 360-275-4935 SPECIAL OCCASION LICENSES * _Licenses to sell beer on a specified date for consumption at a specific place. * _License to sell wine on a specific date for consumption at a specific place. * _Beer/Wine/Spirits in unopened bottle or package in limited quantity for off premise consumption. * _Spirituous liquor by the individual glass for consumption at a specific place. If return of this notice is not received in this office within 20 days from the above date, we will assume you have no objections to the issuance of the license. If additional time is required please advise. 1. Do you approve of applicant? YES NO 2. Do you approve of location? YES NO 3. If you disapprove and the Board contemplates issuing a license, do you want a hearing before final action is taken? YES NO OPTIONAL CHECK LIST EXPLANATION YES NO LAW ENFORCEMENT YES NO HEALTH & SANITATION YES NO FIRE, BUILDING, ZONING YES NO OTHER: YES NO If you have indicated disapproval of the applicant, location or both, please submit a statement of all facts upon which such objections are based. DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY COMMISSIONERS OR DESIGNEE cc:CMMRS N1eaatherlin,Shutty&Drexler k Fs Clerk AA, WASHINGTON STATE LIQUOR AND CANNABIS BOARD - License Services 3000 Pacific Ave SE - P O Box 43075 Olympia WA 98504-3075 FAX:360-753-2710 EMAIL:specialoccasions@lcb.wa.gov TO: MASON COUNTY COMMISSIONERS MAY 11, 2018 RECEIVED SPECIAL OCCASION #: 090134 MAY 14 2016 BACKCOUNTRY HUNTERS & ANGLERS 725 W ALDER STE 11 Mason County MISSOULA MT 59802 Commissioners DATE: JUNE 23, 2018 TIME: 12 PM TO 10 PM PLACE: KBH ARCHERS - 3680 NE OLD BELFAIR HWY, BELFAIR CONTACT: JESSE SALSBERRY (DOB: 9. 18.82) 360-356-4349 SPECIAL OCCASION LICENSES * _Licenses to sell beer on a specified date for consumption at a specific place. * _License to sell wine on a specific date for consumption at a specific place. * _Beer/Wine/Spirits in unopened bottle or package in limited quantity for off premise consumption. * _Spirituous liquor by the individual glass for consumption at a specific place. If return of this notice is not received in this office within 20 days from the above date, we will assume you have no objections to the issuance of the license. If additional time is required please advise. 1. Do you approve of applicant? YES NO 2. Do you approve of location? YES NO 3. If you disapprove and the Board contemplates issuing a license, do you want a hearing before final action is taken? YES NO OPTIONAL CHECK LIST EXPLANATION YES NO LAW ENFORCEMENT YES NO HEALTH & SANITATION YES NO FIRE, BUILDING, ZONING YES NO OTHER: YES NO If you have indicated disapproval of the applicant, location or both, please submit a statement of all facts upon which such objections are based. DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY COMMISSIONERS OR DESIGNEE cc:CMMRS Neatherlin,Shutty&Drexler M�i1 Yvu� t Washington State Clerk JeIg Liquor and Cannabis Board NOTICE OF MARIJUANA LICENSE APPLICATION WASHINGTON STATE LIQUOR AND CANNABIS BOARD License Division - 3000 Pacific, P.O. Box 43075 Olympia,WA 98504-3075 Customer Service: (360) 664-1600 Fax: (360) 753-2710 Website: http://Icb.wa.gov RETURN TO: localauthority@sp.lcb.wa.gov DATE: 5/15/18 TO: MASON COUNTY COMMISSIONERS RE: CHANGE OF CORPORATE OFFICERS/STOCKHOLDERS APPLICATION UBI:603-344-725-001-0001 APPLICANTS: License: 417120 -7R County:23 CANNABIS CO-OP LLC Tradename: CANNABIS CO-OP PIERSON, ETIENNE MICHAEL Loc Addr: 431 WA 3 1988-09-07 SHELTON,WA 98584 PIERSON,JANET CAROLYN 1958-04-02 Mail Addr: PO BOX 315 EMARD,JERRY KEITH BELLEVUE,WA 98009 1955-10-14 KELLY III,ARTHUR FRANCIS Phone No: 360-499-1930 ETIENNE PIERSON 1967-08-15 KELLY, BIANCA NICOLE (Spouse) 1977-08-27 Privileges Applied For: RECEIVED MARIJUANA PRODUCER TIER 3 MARIJUANA PROCESSOR MAY 15 2016 Mason County Commissioners As required by RCW 69.50.331(7) the Liquor and Cannabis Board is notifying you that the above has applied for a marijuana license. You have 20 days from the date of this notice to give your input on this application. If we do not receive this notice back within 20 days,we will assume you have no objection to the issuance of the license. If you need additional time to respond,you must submit a written request for an extension of up to 20 days,with the reason(s)you need more time. If you need information on SSN,contact our Marijuana CHRI desk at(360)664-1704. YES NO 1. Do you approve of applicant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑ 2. Do you approve of location? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑ 3. If you disapprove and the Board contemplates issuing a license,do you wish to request an adjudicative hearing before final action is taken? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑ (See WAC 314-55-160 for information about this process) 4. If you disapprove,per RCW 69.50.331(7)(c)you MUST attach a letter to the Board detailing the reason(s)for the objection and a statement of all facts on which your objection(s) are based. DATE SIGNATURE OF MAYOR,CITY MANAGER,COUNTY COMMISSIONERS OR DESIGNEE NEWS RELEASE March 28, 2017 MASON COUNTY COMMISSIONERS' OFFICE 411 N 5T" ST, BLDG 1, SHELTON, WA 98584 TO: KMAS, KRXY, SHELTON-MASON COUNTY JOURNAL, THE OLYMPIAN, SHELTON CHAMBER OF COMMERCE, NORTH MASON CHAMBER OF COMMERCE, CITY OF SHELTON, ECONOMIC DEVELOPMENT COUNCIL, THE SUN RE: Request for Proposal Homeless Housing Grant Funds Mason County Community Services is soliciting applications from housing providers to aid in the capital purchase, renovation, and management of a clean and sober multi-plex house to benefit participants enrolled in Mason County's Therapeutic Court Programs that do not have housing or lose housing while in the program. This project provides safe, stable housing on a participants' path to treatment and recovery. The goals of this project are to improve our Therapeutic Court programs through increased graduation rates, increase family reunification, reduced recidivism, reduced homelessness, and to reduce the number of people in jail. Applications are due no later than 4:00 PM on Friday, June 29, 2018. Application materials can be found on the Mason County website under "Request for Proposals" at: http://www.co.mason.wa.us/ For more information, please contact Todd Parker at (360) 427-9670 ext. 293 or tparker(a-)-co.mason.wa.us. BOARD OF MASON COUNTY COMMISSIONERS Kevin Shutty Terri Drexler Randy Neatherlin Commissioner Commissioner Chair MASON COUNTY AGENDA ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS From: John Huestis, PE, Deputy Director/ County Engineer Action Agenda DEPARTMENT: Public Works EXT: 207 COMMISSION MEETING DATE: September 25, 2017 Agenda Item # BRIEFING DATE: May 14, 2018 and September 18, 2017 BRIEFING PRESENTED BY: John Huestis and Sarah Grice [] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency: ITEM: Contract Award: 2018 Mason County Overlay Projects BACKGROUND: On September 26, 2017, County Commissioners authorized the County Engineer to advertise, set bid opening date/time, and award the contract for the 2018 Overlay Projects. The project provides improvement to 2 miles of Johns Prairie Road (CRP 2012), from milepost 0.5-2.6, and 1.5 miles of Mason Lake Road (CRP 2013), from milepost 1.3-2.8. Date and time of opening was Friday, May 4, 2018 at 9:00am. Three (3) Bids were received and opened at the office of the Mason County Commissioners. The contract has been awarded to the apparent low bidder, Miles Resources, LLC out of Puyallup, WA at their bid price of $1,184,013.84. RECOMMENDED ACTION: No action required. ATTACHMENT: Bid Tabulation Road John's Prairie and Mason Lake BID TABULATION SHEET Page 1 of 1 BID OPENING:MAY 4.2018 CRP 2012&CRP 2013 Miles Resources,LLC Lakeside Industries,Inc Granite Construction Comp 400 Valley Ave No P 0 Box 3004 3200 113th Avenue SW 2018 MASON COUNTY OVERLAY Puyallup WA 98372 Lacey WA 98509 Olympia WA 95012 BIDDER NO: 1 BIDDER NO: 2 BIDDER NO: 3 ENGINEER'S ESTIMATE BOND/ADD? YES BOND/ADD? YES BOND/ADD? YES ITEM ITEM PLANNED UNIT ESTIMATE UNIT ESTIMATE UNIT ESTIMATE UNIT ESTIMATE NO. DESCRIPTION UNIT QUANTITY PRICE TOTAL PRICE TOTAL PRICE TOTAL PRICE TOTAL 1 MOBILIZATION LS 1 $- 94,636.00 $ 94,636.00 $ 65,000.00 $ 65,000.00 $ 89,900.00 $ 89,900.00 $ 147,750.00 $ 147,750.00 2 PAVEMENT REPAIR EXCAVATION INCL.HAUL SY 150 $ 200.00 $ 30,000.00 $ 74.55 $ 11,182.50 $ 60.00 $ 9,000.00 $ 34.00 $ 5,100.00 3 SHOULDER FINISHING MI 7.16 $ 8,500.00 $ 48,540.00 $ 6,344.30 $ 45,425.19 $ 7,500.00 $ 53,700.00 $ 6,800.00 $ 48,688.00 4 PLANING BITUMINOUS PAVEMENT SY 3,468 $ 8.00 $ 20,808.00 $ 7.15 $ 24,796.20 $ 12.00 $ 41,816.00 $ 12.00 $ 41,616.00 5 HMA FOR PAVEMENT REPAIR CL 1/21N.PG 6422 TON 102.00 $ 400.00 $ 40,800.00 $ 213.11 $ 21,737.22 $ 160.00 $ 16,320.00 $ 175.00 $ 17,850.00 6 HMA CL 1/2 IN.PG 64-22 TON 8,981 $ 75.00 $ 673,575.00 $ 75.01 $ 673,864.81 $ 78.50 $ 705,008.50 $ 85.00 $ 763,385.00 7 HMA FOR APPROACH CL 1/2 IN.PG 64-22 TON 109 $ 160.00 $ 17,440.00 $ 165.00 $ 17,985.00 $ 310.00 $ 33,790.00 $ 270.00 $ 29,430.00 8 EROSION/WATER POLLUTION CONTROL EST 1 $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 9 BEAM GUARDRAIL TYPE 31 LF 800 $ 48.00 $ 38,800.00 $ 28.75 $ 23,000.00 $ 35.00 $ 28,000.00 $ 29.50 $ 23,600.00 10 BEAM GUARDRAIL(TYPE 31) EACH 8 $ 3,000.00 $ 24,000.00 $ 4,801.25 $ 38,410.00 $ 3,100.00 $ 24,800.00 $ 5,000.00 $ 40,000.00 TRANSITION SECTION TYPE 21 11 BEAM GUARDRAIL TYPE 31 NON-FLARED TERMINAL EACH 8 $ 4,000.00 $ 32,000.00 $ 4,600.00 $ 38,800.00 $ 3,400.00 $ 27,200.00 $ 5,000.00 $ 40,000.00 12 BEAM GUARDRAIL(TYPE 31)ANCHOR TYPE 10 EACH 4 $ 1,000.00 $ 4,000.00 $ 1,725.00 $ 6,900.00 $ 1,033.00 $ 4,132.00 $ 1,800.00 $ 7,200.00 13 PAINT LINE LF 62,726 $ 0.15 $ 9,408.90 $ 0.31 $ 19,445.06 $ 0.22 $ 13,799.72 $ 0.25 $ 15,881.50 14 PLASTIC STOP LINE LF 207 $ 10.00 $ 2,070.00 $ 10.51 $ 2,175.57 $ 10.00 $ 2,070.00 $ 12.00 $ 2,484.00 15 PLASTIC RAILROAD CROSSING SYMBOL EACH 2 $ 700.00 $ 1,400.00 $ 1,247.40 $ 2,494.80 $ 970.00 $ 1,940.00 $ 975.00 $ 1,950.00 16 PLASTIC DRAINAGE MARKING EACH 45 $ 33.00 $ 1,485.00 $ 83.60 $ 3,782.00 $ 48.00 $ 2,160.00 $ 48.00 $ 2,160.00 17 RECESSED PAVEMENT MARKER HUND 3.4 $ 1,400.00 $ 4,760.00 $ 1,098.90 $ 3,736.26 $ 1,350.00 $ 4,590.00 $ 1,400.00 $ 4,760.00 18 TEMPORARY PAVEMENT MARKING-SHORT DURATION LF 38,018 $ 0.10 $ 3,801.60 $ 0.05 $ 1,900.80 $ 0.05 $ 1,900.80 $ 0.10 $ 3,801.60 19 PORTABLE CHANGEABLE MESSAGE SIGN HR 3,540 $ 4.00 $ 14,160.00 $ 2.56 $ 9,062.40 $ 3.33 $ 11,788.20 $ 3.00 $ 10,620.00 20 PROJECT TEMPORARY TRAFFIC CONTROL LS 1 $. 140,000.00 $ 140,000.00 $ 100,743.49 $ 100,743.49 $ 105,000.00 $ 105,000.00 $ 125,000.00 $ 125,000.00 21 TRAFFIC CONTROL SUPERVISOR LS 1 $ 30,000.00 $ 30,000.00 $ 20,960.04 $ 20,960.04 $ 25,000.00 $ 25,000.00 $ 35,000.00 $ 35,000.00 22 CONSTRUCTION SIGNS CLASS A SF 276.5 $ 34.00 $ 9,401.00 $ 35.00 $ 9,677.50 $ 32.00 $ 8,848.00 $ 20.00 $ 5,530.00 23 MONUMENT CASE AND COVER EACH 35 $ 600.00 $ 21,OOO.00 $ 633.00 $ 22,155.00 $ 450.00 $ 15,750.00 $ 450.00 $ 15,750.00 24 ADJUST VALVE BOX EACH 7 $ 500.00 $ 3,500.00 $ 1,000.00 $ 7,000.00 $ 450.00 $ 3,150.00 $ 450.00 $ 3,150.00 25 ROADSIDE CLEANUP EST 1 $ 10,000.00 j$ 10,000.00 $ 10,000.00 $ 10,000.00 $ 10,000�$ 40500 00 $ 10,000.00 $ 10,000.00 28 SPCC PLAN Ls---F- $ 1,000.00 $ 1,000.00 $ 1,000.00 $ 1,000.00 $ 4500 $ 1.00 $ 1.00 TOTALS $ 1,277,585.50 $ 1,184,013.84 $ 1,244,913.22 $ 1,405,507.10 BOARD OF MASON COUNTY COMMISSIONERS' PROCEEDINGS Mason County Commission Chambers, 411 North 5th Street, Shelton, WA May 8, 2018 1. Call to Order—The Chairperson called the regular meeting to order at 9:01 a.m. 2. Pledge of Allegiance— Earl Iddling led the flag salute. 3. Roll Call — Present: Commissioner District 1 - Randy Neatherlin; Commissioner District 2 — Kevin Shutty; Commissioner District 3—Terri Drexler. 4. Correspondence and Organizational Business 4.1 Correspondence 4.1.1 Washington State Liquor and Cannabis Board sent in two marijuana licenses for, Mari Mart 24090 North East State Route 3 Suite 1, Belfair; and Pura Valley Herbs 161 West Westfield Court, Shelton. 4.1.2 Economic Development Council of Mason County sent in their 2018 first quarter report. 4.1.3 Astrid Pearson and Tamra Ingwaldson sent in applications for the Mason County Citizens Advisory Budget Committee. 4.1.4 Washington State Department of Transportation sent a sixty day notice of disposition of Parcel No. 12332-50-00027 which has been declared surplus to the needs of Washington State Department of Transportation. 4.1.5 Washington State Liquor and Cannabis Board sent in a corrected marijuana license for Batstone Bud Shop 933 East Johns Prairie Road, Shelton. 4.1.6 Washington State Liquor and Cannabis Board sent in a liquor license application for Ridge Motorsports Park 1060 West eels Hill Road, Shelton. 4.1.7 John Gamon sent in a letter regarding Department of Natural Resources Notice of Intent to Purse Grants for Acquisitions in the County. 4.1.8 Tristan Goldsby sent in a letter regarding the jail. 4.1.9 Richard Flaherty sent a letter in regards to Mason Lake. 5. Open Forum for Citizen Input— 5.1 Jean Bray spoke about John Gammons' letter (4.1.7 in Correspondence) and the parcel in question. 5.2 Earl Liddings discussed voiced concerns about DNR and the above mentioned letter from John Gamon. He asked that in the future, the Board do more research and involve the public before releasing parcels. 5.3 Dave Haugen discussed the land use plan from DNR and voiced his concerns. He urged the Board send a letter requiring public input. 6. Adoption of Agenda - Cmmr. Shutty/Drexler moved and seconded to adopt the agenda as published. Motion carried unanimously. N-aye; S-aye; D-aye. 7. Approval of Minutes— None. 8. Approval of Action Agenda: 8.1 Approval to implement the final North Bay Shellfish Protection District (SPD) plan. Cmmr. Shutty asked that staff speak to the SPD. Debbie Riley and Katie Otanez spoke. Katie explained how the plan came to be with the help of others including state agencies, the Squaxin Tribe, and shellfish growers. Cmmrs. Drexler and Shutty praised the work done by the Health Department. BOARD OF MASON COUNTY COMMISSIONERS' PROCEEDINGS May 08, 2018 - PAGE 2 Cmmr. Drexler/Shutty moved and seconded to approve action item 8.1. Motion carried unanimously. N-aye; S-aye; D-aye. 9. Other Business (Department Heads and Elected Officials)- None. 10. 9:30 a.m. Public Hearings and Items set for a certain time— 10.1 Public Hearing to consider approval of the following budget transfer request: $150,000 Transfer out from Elections Fund Ending Fund Balance to: $150,000 Transfer into Elections Fund Machinery& Equipment BARS line 109.000.000.594.11.564010 Staff: Frank Pinter Frank introduced Jennifer Beierle, the new Budget Manager and asked her to present. Jennifer quickly read through the transfer and explained that the net budget impact is $0. No public comment received. Cmmr. Drexler explained the funds will be used for elections equipment which is necessary immediately due to changes in the law. Cmmr. Shutty/Drexler moved and seconded to approve the $150,000 Transfer out from Elections Fund Ending Fund Balance to:$150,000 Transfer into Elections Fund Machinery& Equipment BARS line 109.000.000.594.11.564010. Motion carried unanimously. N-aye; S-aye; D-aye. 10.2 Public Hearing to consider the 2017 Open Space applications and correct a 2011 Current Use application from Duane Rogers. Staff: Diane Zoren Diane Zoren announced that there are 50 applications, and one application from 2011 moving from an Open Space designation into Timber. Gayle Devol questioned her status. Cmmr. Drexler read through her request for reclassification of three parcels. Gayle said that an informal meeting was had with the Mason Conservation District about the land being classified as one of the last pristine areas in the state because of the foliage. Curtis Cousins questioned the public access requirement. Cmmr. Drexler stated that you are not required to provide public access but that could change soon. She then announced a Planning Advisory Commission (PAC) hearing being held May 22, 2018 regarding the Public Benefit Rating System. Ken VanBuskirk talked about the three categories of Open Space. He voiced concern over the loss of Farm and Agriculture land, noting that the amount of acreage in this category has declined 60%. He asked that all applicants be notified of the PAC meeting. Cmmr. Shutty thanked everyone for speaking. Cmmr. Drexler thanked the Assessor's office for their work and noted that if the Public Benefit Rating System is adopted, these applications would be turned over to Community Services. Cmmr. Drexler/Shutty moved and seconded to approve applications for the Current Space 2017 applications 1-49. Motion carried unanimously. N-aye; S-aye; D-aye. BOARD OF MASON COUNTY COMMISSIONERS' PROCEEDINGS May 08, 2018 - PAGE 3 Cmmr. Drexler/Shutty moved and seconded to reject item 50, parcel 32227-51-00019 on the list. Motion carried unanimously. N-aye; S-aye; D-aye. Cmmr. Drexler/Shutty moved and seconded to approve the transfer of parcel 31906-43- 00040, item 51, be changed from open space to timber. Motion carried unanimously. N-aye; S-aye; D-aye. 11. Board's Reports and Calendar-The Commissioners reported on meetings attended the past week and announced their upcoming weekly meetings. 12. Adjournment-The meeting adjourned at 9:53 a.m. BOARD OF COUNTY COMMISSIONERS ATTEST: MASON COUNTY, WASHINGTON Melissa Drewry, Clerk of the Board Randy Neatherlin, Chair Terri Drexler, Commissioner Kevin Shutty, Commissioner BOARD OF MASON COUNTY COMMISSIONERS' PROCEEDINGS Mason County Commission Chambers, 411 North 5th Street, Shelton, WA May 15, 2018 1. Call to Order—The Chairperson called the regular meeting to order at 9:02 a.m. 2. Pledge of Allegiance — Mr. Salisbury led the flag salute. 3. Roll Call — Present: Commissioner District 1 - Randy Neatherlin; Commissioner District 2 — Kevin Shutty; Commissioner District 3—Terri Drexler. 4. Correspondence and Organizational Business 4.1 Correspondence 4.1.1 Washington State Liquor and Cannabis Board sent a marijuana license application for Cannabis CO-OP 440 SE State Route 3, Shelton. 4.1.2 Hood Canal Salmon Enhancement Group (HCSEG) sent in a letter regarding grant funds from the Washington State Recreation and Conservation Office. 4.1.3 United States Department of Homeland Security sent in a letter regarding the approval of the Mason County Hazard Mitigation Plan. 4.1.4 North Mason School District sent an invitation to Community Health Projects at North Mason presented by Olympic College RN-BSN Nurses. 4.1.5 John Smith and Deborah Reis sent in applications for the Mason County Board of Equalization. 4.1.6 Washington State Liquor and Cannabis Board sent liquor license applications for Alderbrook Golf and Yacht Club 330 Country Club Drive East, Shelton; and Island Belle, LLC 23299 State Highway 3 Building A-2, Belfair. 4.1.7 Hoodsport Timberland Library sent a thank you letter to Commissioner Shutty for his dedication to the community. 4.1.8 Mason Conservation District sent in comments on the Public Benefit System. 4.2 News Release: Oakland Bay Day Staff: Debbie Riely 4.3 Presentation of Certificate of Good Practice Staff: Cmmr. Neatherlin 5. Open Forum for Citizen Input— No comments. 6. Adoption of Agenda - Cmmr. Drexler/Shutty moved and seconded to adopt the agenda as published. Motion carried unanimously. N-aye; S-aye; D-aye. 7. Approval of Minutes—April 301h and May 7, 2018 briefing minutes; May 1,2018 regular meeting minutes Cmmr. Shutty/Drexler moved and seconded to approve the April 30th and May 7, 2018 briefing minutes and the May 1,2018 regular meeting minutes. Motion carried unanimously. N-aye; S-aye; D-aye. 8. Approval of Action Agenda: 8.1 Approval of Warrants &Treasure Electronic Remittances Claims Clearing Fund Warrant #s $ Direct Deposit Fund Warrant #s 49738-50098 $ 650,801.50 Salary Clearing Fund Warrant #s 7003606-7003645 $ 916,344.35 Treasure Electronic Remittance for April 2018 $ 185,188.31 8.2 Approval to authorize the Chair to execute the Cooperative Purchasing Agreement between Mason County and King County extending the right to cooperatively purchase goods and/or services awarded through one another through competitive bidding process. 8.3 Approval of the resolution amending Resolution 85-17 to increase the Utilities &Waste petty cash to $450. BOARD OF MASON COUNTY COMMISSIONERS' PROCEEDINGS September 12, 2017 - PAGE 2 8.4 Approval to have the Chair sign the letter of acceptance for a Digital Imaging Grant from the 2017-2018 WA State Archives Local Records Grant Program for up to $7,000. 8.5 Approval of a resolution establishing a Mason County Housing and Behavioral Health Advisory Board on Housing, Homelessness, Mental health and Chemical Dependency Treatment to improve the health of Mason County residents. 8.6 Approval to appoint the following citizens to the Mason County Citizens Advisory Budget Committee: Tamara Ingwaldson, James Sims, Cheryl Williams, Astrid Pearson and Jeff Carey for a term ending December 31, 2018 unless extended by the County Commissioners. 8.7 Approval to have the Chair sign Amendment #2 for the Hood Canal Regional Septic Loan Program Interlocal Agreement. 8.8 Approval to set a public hearing on June 5, 2018 at 9:30 a.m. to consider declaring Mason County Public Works owned property as surplus for the following parcel: 42002-10-00020, approximately 35 acres on the corner of Highway 101 and Highway 102. Cmmr. Shutty/Drexler moved and seconded to approve action items 8.1 through 8.8. Motion carried unanimously. N-aye; S-aye; D-aye. 9. Other Business (Department Heads and Elected Officials) 9.1 News Release- Mason County Housing and Behavioral Health Advisory Board Staff: Todd Parker 10. 9:30 a.m. Public Hearings and Items set for a certain time— None. 11. Board's Reports and Calendar -The Commissioners reported on meetings attended the past week and announced their upcoming weekly meetings. 12. Adjournment—The meeting adjourned at 9:28 a.m. BOARD OF COUNTY COMMISSIONERS ATTEST: MASON COUNTY, WASHINGTON Melissa Drewry, Clerk of the Board Randy Neatherlin, Chair Terri Drexler, Commissioner Kevin Shutty, Commissioner F 'ti MASON COUNTY AGENDA ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS From: Kristopher Nelsen, Action Agenda Permit Assistance Center Manager Public Hearing Other DEPARTMENT: Community Services EXT: _359_ COMMISSION MEETING DATE: May 22, 2018 Agenda Item # �. Commissioner staff to complete) BRIEFING DATE: May 14, 2018 BRIEFING PRESENTED BY: Kristopher Nelsen, PAC Manager (] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency: ITEM: House Bill 1622: State Building Code, Permit Definition and State Fee Increase. BACKGROUND: Effective July 1st, 2018, per HB1622, state building fees will increase from $4.50 to $6.50 for residential building permits and $25 for commercial permits. HB1622 added the following definitions in RCW 19.27.015 to; *"Residential building permit" means a building permit issued by a ... county to construct, enlarge, alter, repair, move, demolish, or change the occupancy of any building containing only dwelling units used for independent living of one or more persons including permanent provisions for living, sleeping, eating, cooking, and sanitation, and structures accessory to dwelling units, such as detached garages and storage buildings •"Commercial building permit" means a building permit issued by a ... county to construct, enlarge, alter, repair, move, demolish, or change the occupancy of any building not covered by a residential building permit. BUDGET IMPACTS: Business operations RECOMMENDED ACTION: Set public hearing for June 12th, 2018 to update ordinance 123-08 building fee schedule to acknowledge requirements set by HB1622 effective July int, 2018. ATTACHMENT(S): Proposed Ordinance with updated schedule page, 14-page bill available for view online at; http://Iawfilesext.leg.wa.gov/biennium/2017- 18/Pdf/Bills/Session%20Laws/House/1622-S2.SL.pdf#page=1 ♦ J Attachment ORDINANCE NO. ORDINANCE AMENDING COMMUNITY DEVELOPMENT FEE SCHEDULES,TO IMPLEMENT STATE HOUSE BILL 1622. WHEREAS, House Bill 1622 signed by the Governor March 26",2018;and WHEREAS,the State Building Code, RCW 19.27.015 and 2009 c 362 s 2, have been amended to define "Commercial Building Permits"and "Residential Building Permits",and WHEREAS,State Building Code, RCW 19.27.085 and 1989 c 256 s 1, have been amended to impose a fee of six dollars and fifty cents on each residential building permit and a fee of twenty-five dollars for each commercial building permit,and WHEREAS,prior development state fees were to be assessed at four dollars and fifty cents for building permits,and WHEREAS,the Mason County Board of County Commissioners held a public hearing about the House Bill 1622 amendments on June 12`h,2018 to consider the testimony of Mason County Community Development staff and Mason County citizens regarding state fees;and WHEREAS,the amended definition and rates per House Bill 1622 take effect July 1", 2018. NOW THEREFORE,BE IT HEREBY ORDAINED,the Mason County Board of County Commissioners hereby approves the update to Mason County Ordinance 123-08,fee schedule,to meet the amendments set by House Bill 1622,which include the state's definition and assessed fees for;"Commercial Building Permits"of twenty-five dollars,and "Residential Building Permits"of six dollars and fifty cents,to become effective July 11`, 2018. Approved this day of June 2018. BOARD OF COUNTY COMMISSIONERS MASON COUNTY,WASHINGTON ATTEST: Randy Neatherlin,Chair Melissa Drewry,Clerk of the Board APPROVED AS TO FORM: Terri Drexler,Commissioner Tim Whitehead,Chief DPA Kevin Shutty,Commissioner MASON COUNTY Attachment • COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health BUILDING PERMIT FEE INFORMATION EFFECTIVE: July 1, 2018 (Draft) VALUATION BASED FEES: Building permits and plan review fees are to be based upon the building valuation. Mason County will utilize the International Code Council's "Building Valuation Data" as published in the August edition of the Building Safety Journal. The square footage valuations from this table will be implemented on the first day of September following publication and remain in force though August of the following year (updated annually). For occupancies or structure types not addressed by the building valuation table please refer to Table 1. The building permit fee is based on Table 1 (as shown below) and the plan review fee is calculated at 65% of the building permit fee. The plan check fee will be collected when the building plans and applications are submitted. In addition, all other review fees and addressing fee, if applicable, will be collected at submittal. The building permit fee, and other associated fees, will be collected when the permit is issued. Table 1 — Building Permit Fees Total Valuation Fee $1.00 to $500.00 $141.00 minimum* $501.00 to $2,000.00 $141.00 minimum* $2,001.00 to $25,000.00 $141.00 minimum*or$69.25 for the first$2,000.00 plus $14.00 for each additional $1,000.00, or fraction thereof, to and including $25,000.00. Whichever is greater $25,001.00 to$50,000.00 $391.25 for the first$25,000.00 plus $10.10 for each additional $1,000.00, or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $643.75 for the first$50,000.00 plus$7.00 for each additional $1,000.00, or fraction thereof, to and including $100,000.00. $100,001.00 to $500,000.00 $993.75 for the first$100,000.00 plus$5.60 for each additional $1,000.00, or fraction thereof, to and including $500,000.00. $500001.00 to$1,000,000.00 $3,233.75 for the first$500,000.00 plus$4.75 for each additional $1,000.00, or fraction thereof, to and including $1,000,000.00. $1,000,000.00 and up $5,608.75 for the first$1,000,000.00 plus $3.15 for each additional $1,000.00, or fraction thereof *Permit fees shall be as set forth in Table 1. A minimum fee of$141.00 will be assessed or adjusted fee(based upon departmental cost considerations)assigned at the discretion of the Building Official and/or Community Services Director. • For plumbing and mechanical fees, please refer to the attached tables 1-B and 1-C. • For Land Modification permit fees see table 1-D • Planning fees are per"Planning Program Permit Fees" documents • Technology fee per Mason County Ordinance 84.17. • State Building fee collected per RCW 19.27.085. • For additional fee information please contact the Permit Assistance Center at(360)427-9670 ext. 352. Llason Count Ordinance ***-1&.update to Ord.123-08 dCrK-..0 MASON COUNTY AGENDA ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS From: Jennifer Giraldes Action Agenda _X_ Public Hearing Other DEPARTMENT: Support Services EXT: 380 DATE: May 22, 2018 Agenda Item # (Commissioner staff to complete) BRIEFING DATE: BRIEFING PRESENTED BY: [X] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency ITEM: Approval of Warrants Claims Clearing Fund Warrant #s 8056145-8056530 $ 1,161,633.84 Direct Deposit Fund Warrant #s $ Salary Clearing Fund Warrant #s $ Total $ 1,161,633.84 Background: The Board approved Resolution No. 80-00 Payment of Claims Against County: Procedure Authorizing Warrant Issue and Release Prior to Board Claim Approval. Mason County Code 3.32.060(a) requires that the board enter into the minutes of the County Commissioners the approval of claims listing warrant numbers. Claims Clearing YTD Total $ 9,148,427.53 Direct Deposit YTD Total $ 6,570,357.76 Salary Clearing YTD Total $ 7,080,997.57 Approval of Treasure Electronic Remittances YTD Total $ 2,445,017.54 RECOMMENDED ACTION: Approval to: Move to approve the following warrants: Claims Clearing Fund Warrant #s 8056145-8056530 $ 1,161,633.84 Direct Deposit Fund Warrant #s $ Salary Clearing Fund Warrant #s $ Total $ 1,161,633.84 Attachment(s): Originals on file with Auditor/Financial Services (Copies on file with Clerk of the Board) MASON COUNTY AGENDA ITEM SUMMARY FORM TO- SOARD OF MASON, COUNTY COMMISSIONERS From: Casey Bingham Action Agenda _X Public Hearing Other DEPARTMENT: Community Services EXT: 562 DATE: 5/22/18 Agenda Item # Y,3 Commissioner staff to complete) BRIEFING DATE: 5/14/18 BRIEFING PRESENTED BY: Casey Bingham [ ] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency ITEM: Consolidated Contract CLH18253 Amendment 2 Background: Amends Statement of work for: 1. Childhood Lead Poisoning Prevention Program: Provide $1,500 in case management to children fourteen and younger with elevated blood lead levels. 2. Maternal Child Health Block Grant: Shifts $5,344.00 unspent funding in 2017 to 2018. 3. Natural Estuaries Program Onsite Sewage Management: The purpose of this revision is to remove $2,433 of funding spent in 2017 from 2018. 4. Emergency Preparedness & Response: The purpose of this revision is to add $9,062.00 of unspent funds from 2017 into 2018 S. Prescription Drug Overdose Prevention: The purpose of this revision is to add $29,627.00 of unspent funds from 2017 into 2018 BUDGET IMPACTS: This Amendment provides an $41,600.00 of already budgeted funding in 2018. There is $1,500 of funding that was not currently budgeted. This does not require adjusting any effected budgets. RECOMMENDED ACTION: Approve Amendment 2 to Consolidated Contract #CLF18253 5/16/2018 MASON COUNTY PUBLIC HEALTH 2018-2020 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH18253 AMENDMENT NUMBER: 2 PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as"DOH",and MASON COUNTY PUBLIC HEALTH hereinafter referred to as"LHJ",pursuant to the Modifications/Waivers clause,and to make necessary chaAges within the scope of this contract and any subsequent amendments thereto. IT IS MUTUALLY AGREED: That the contract is hereby amended as follows: 1. Exhibit A Statements of Work,attached and incorporated by this reference,are amended as follows: ❑ Adds Statements of Work for the following programs: ® Amends Statements of Work for the following programs: • Childhood Lead Poisoning Prevention Program-Effective January 1,2018 • Maternal&Child Health Block Grant-Effective January 1,2018 • NEP SSI Onsite Sewage Management-Effective January 1,2018 • Office of Emergency Preparedness&Response-Effective January 1,2018 • Prescription Drug Overdose Prevention for States Supplement-Effective January 1,2018 ❑ Deletes Statements of Work for the following programs: 2. Exhibit B-2 Allocations,attached and incorporated by this reference,amends and replaces Exhibit B-1 Allocations as follows: ® Increase of$43,100 for a revised maximum consideration of$426,936. ❑ Decrease of for a revised maximum consideration of ❑ No change in the maximum consideration of Exhibit B Allocations are attached only for informational purposes. 3. Exhibit C-2 Schedule of Federal Awards,attached and incorporated by this reference,amends and replaces Exhibit C-1. Unless designated otherwise herein,the effective date of this amendment is the date of execution. ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force and effect. IN WITNESS WHEREOF,the undersigned has affixed his/her signature in execution thereof. MASON COUNTY PUBLIC HEALTH STATE OF WASHINGTON DEPARTMENT OF HEALTH Date Date APPROVED AS TO FORM ONLY Assistant Attorney General Page 1 of 38 AMJ3T:__ -ENT #2 2018-2020 CONSOLIDATED CONTRACT EXHIBIT A STATEMENTS OF WORK TABLE OF CONTENTS DOH Program Name or Title: Childhood Lead Poisoning Prevention Program-Effective January 1, 2018.....................................................................................3 DOH Program Name or Title: Maternal &Child Health Block Grant-Effective January 1,2018.....................................................................................................7 DOH Program Name or Title: NEP SSI Onsite Sewage.Management-Effective January 1,2018 .................................................................................................11 DOH Program Name or Title: Office of Emergency Preparedness&Response-Effective January 1, 2018.....................................................:............................30 DOH Program Name or Title: Prescription Drug Overdose Prevention for States Supplement-Effective January 1,2018...........................................................36 Exhibit A,Statements of Work Page 2 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEr ENT#2 Exhibit A Statement of Work Contract Term: 2018-2020 DOH Program Name or Title: Childhood Lead Poisoning Prevention Program_ Local Health Jurisdiction Name: Mason County Public Health Effective January 1,2018 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment ❑ Federal<Select One> (check if applicable) ® Reimbursement Period of Performance: January 1,2018 through June 30,2018 ® State ❑ FFATA(Transparency Act) ❑ Fixed Price ❑ Other ❑Research&Development Statement of Work Purpose: The purpose of this statement of work is to support local interventions with the case management of elevated blood lead levels in children 14 years of age and younger.The focus of this program in 2018 is to build local capacity statewide to provide standard case management services to all children with elevated blood lead levels. Revision Purpose: The purpose of this revision is to add funding for case management related training opportunities. Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Increase(+) Consideration Code Code Start Date End Date SFYI Lead Environments of Children(proviso funds) N/A 334.04.93 25715110 01/01/18 06/30/18 1,500 1,500 3,000 TOTALS 1,500 1,500 3,000 Payment Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Information Number Standards/Measures Frame and/or Amount 1 Contact the provider to gather complete information on the Submit the completed Monthly,by the $500 per home assigned elevated blood lead case to conduct an Child Blood Lead Investigation Form 30'of the visit,up to two environmental assessment available through WA DOH following month (2)home visits a) Verify the blood lead level(BLL)is confirmed. indicating: per child Reference Centers for Disease Control and a) Confirmed BLL Prevention's(CDC's)confirmed case defmition: b) Date LHJ contacted the family https://wwwn.cdc.gov/nndss/conditions/lead-elevated- c) Date the environmental blood-levels/case-definition/2016/ assessment was completed b) Call family and schedule a home visit d) Date the interview was c) Visit the child's residence(or other sites where the completed child spends significant amounts of time)at least once e) Specify if the home is Section 8 d) Interview the caregivers using the Child Blood Lead or HUD Housing and if the Investigation Form and conduct an environmental child is Medicaid enrolled assessment to identify factors that may impact the child's blood lead level Exhibit A,Statements of Work Page 3 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AME-1 ENT#2 Payment Task Tasic/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Information Number Standards/Measures Frame and/or Amount e) Determine if the family lives in Section 8 or HUD f) (If applicable)If DOH Housing.If the child is Medicaid enrolled collect the assistance is requested, list the Provider One number DOH contact and date contacted f) Provide educational material to the child's caregivers in g) (If applicable)If the LHJ opts to the family's primary language close the case after verifying g) (Optional)If warranted,contact DOH to request that the second lead level has technical or environmental investigation assistance dropped to<5 gg/dL, it must with an X-ray fluorescent(XRF)analyzer submit a copy of the letter mailed to the family Have the child retested following the Pediatric Environmental Health Specialty Units(PEHSU)medical Submit a written report summarizing management guidelines.If the lead level remains>5 gg/dL the environmental assessment lab test the LHJ will conduct a second home visit to connect the results and a Plan of Care that lists family to other service providers as needed. recommendations on how to remove and remediate lead exposure. Include PEHSU medical management guidelines: the educational material provided to https://wwwpehsu.net/ Library/facts/medical-mgmnt- the family that addresses the child's childhood-lead-exposure-June-2013.pdf needs.(DOH will provide a generic template.)The LHJ will provide a If the second lead level drops to<5 gg/dL,the LHJ has the copy of the report to DOH,the option to: 1)Mail the child's caregivers a letter child's caregivers and provider. recommending a developmental and nutritional screening, the letter will include providers in the child's,residential area.The LHJ may then close the case. (DOH will provide a template letter.);or 2)proceed to Task 2 and conduct a second home visit. 2 The purpose of the second home visit is to connect the Submit an updated Plan of Care to Monthly,by the $500 per home family to other service providers as needed: DOH,the child's caregivers and 301 of the visit,up to two a) LHJ staff will facilitate and guide the child's caregiver provider that includes: following month (2)home visits in completing the WithinReach Developmental a) Completion date and results of per child. Screening Questionnaire online the online WithinReach http://www.parenthelp123.oreJ.The LHJ must provide Developmental Screening a hard copy of the developmental screening in case it Questionnaire cannot be submitted online.In unusual,and DOH b) If blood lead testing of at-risk approved cases,in which the WithinReach assessment family members was cannot be performed,the LHJ may refer the family to recommended, list the the child's physician or to another entity that is trained individuals to administer developmental screening tests c) The referral date and provider of b) Encourage blood lead testing of other children less than the nutritional assessment, 72 months of age and pregnant or nursing caregivers in include all other referrals the home Exhibit A,Statements of Work Page 4 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AME-1 ENT#2 Payment Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Information Number Standards/Measures Frame and/or Amount c) If appropriate,refer the child's caregivers to the d) The members of the case Women,Infants,and Children(WIC)program or a management team,their Registered Dietitian Nutritionist(RDN)for a involvement,and the case nutritional assessment and to other service providers as information provided to them appropriate d) Coordinate services and communicate regularly with members of the case management team 3 DOH will reimburse LHJ staff for DOH-approved case .Attend approved training and submit As needed Reimbursement management related training opportunities and travel. training invoices and receipts to for actual costs DOH not to exceed funding consideration. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at: hqp://www.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Vers ion-1.0.pdf Proaram Specific Req uirements/Narrative Program Manual,Handbook,Policy References A Targeted Approach to Blood Lead Screening in Children,Washington State 2015 Expert Panel Recommendations hqps://www.doh.wa.gov/Portals/l/Documents/Pubs/334-383.pd Special References(RCWs,WACs,etc) Laboratories are required to report to the Department of Health all Blood Lead test results(WAC 246-101-201). Elevated results(>_5 mcg/dL)must be reported within 2 days;non- elevated results<5 mcg/dL need to be reported within one month. Monitoring Visits(frequency,type) Telephone calls with contract manager at least once every quarter. Definitions BLL-Blood Lead Level EBLL-Elevated Blood Lead Level PEHSU-Pediatric Environmental Health Specialty Units Exhibit A,Statements of Work Page 5 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET ENT#2 Special Billing Requirements Payment is contingent upon DOH receipt and approval of all deliverables and an acceptable written report to include a plan of care.Payment to completely expend the"Total Consideration"for a specific funding period will not be processed until all deliverables are accepted and approved by DOH.Invoices must be submitted monthly by the 30th of each month following the month in which the expenditures were incurred and must be based on actual allowable program costs.Billing for services on a monthly fraction of the "Total Consideration"will not be accepted or approved. DOH Program Contact Araceli Mendez,Health Services Consultant Office of Environmental Public Health Sciences Washington State Department of Health Street Address: 310 Israel Rd SE,Tumwater,WA 98501 Telephone: 360-236-3392/Fax: 360-236-3059 Email:araceli.mendez(Ddoh.wa.gov DOH Fiscal Contact Victoria Reyes,Management Analyst 1 Assistant Secretary's Office Telephone: 360-236-3071 Exhibit A,Statements of Work Page 6 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEr ENT#2 Exhibit A Statement of Work Contract Term: 2018-2020 DOH Program Name or Title: Maternal&Child Health Block Grant- Local Health Jurisdiction Name: Mason County Public Health Effective January 1,2018 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) I Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) ® Reimbursement Period of Performance: January 1,2018 through September 30,2018 ❑ State ®FFATA(Transparency Act) ❑ Fixed Price ❑ Other ❑Research&Development Statement of Work Purpose: The purpose of this statement of work is to support local interventions that impact the target population of the Maternal and Child Health Block Grant. Revision Purpose: The purpose of this revision is to shift unspent FFY18 funds from October-December 2017 to the Consolidated Contract that began in January 2018. Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Consideration Code Code Increase(+) Start Date End Date FFY18 MCHBG LHJ CONTRACTS 93.994 333.93.99 78120281 01/01/18 09/30/18 50,771 5,344 56,115 TOTALS 50,771 5,344 56,115 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Payment Information Number Standards/Measures and/or Amount Maternal and Child Health Block Grant(MCHBG)Administration la Participate in calls,at a minimum of every Designated LHJ staff will participate September 30,2018 Reimbursement for quarter,with DOH contract manager. Dates in contract management calls. actual costs,not to and time for calls are mutually agreed upon exceed total funding between DOH and LHJ consideration.Action lb Report actual expenditures for October 1, Submit actual expenditures using the May 26,2018 Plan and Progress 2017 through March 31,2018 MCHBG Budget Workbook to DOH Reports must only contract manager reflect activities paid I c Develop 2018-2019 MCHBG Budget Submit MCHBG Budget Workbook September 5,2018 for with funds provided Workbook for October 1,2018 through to DOH contract manager in this statement of September 30,2019 using DOH provided work for the specified template. funding period. Exhibit A,Statements of Work Page 7 of 38 Contract Number CLH 18253-2 Revised as of March 15,2018 AMOK ENT#2 Task Task/Activity/Description *May Support PHAB Deliverables/Guteomes Due Date/Time Frame Payment Information Number Standards/Measures and/or Amount See Program Specific Requirements and Special Billing Requirements. MCHBG Assessment and Evaluation 2a Participate in project evaluation activities Documentation using report template September 30,2018 Reimbursement for developed and coordinated by DOH,as provided by DOH actual costs,not to requested. exceed total funding 2b Report program level strategy measure data Documentation using report template January 15,2018 consideration. (CSHCN,UDS,ACEs). provided by DOH April 15,2018 July 15,2018 See Program Specific Requirements and Special Billing Requirements. MCHBG Implementation 3a Develop 2018-2019 MCHBG Action Plan Submit MCHBG Action Plan to Draft August 17,2018 Reimbursement for for October 1,2018 through September 30, DOH contract manager Final September 5,2018 actual costs,not to 2019 usin DOH-provided template. exceed total funding 3b Report activities and outcomes of 2017-2018 Submit Action Plan monthly reports Monthly,on or before consideration.Action MCHBG Action Plan using DOH-provided to DOH contract manager the 15s'of the following Plan and Progress template. month Reports must only reflect activities paid for with funds provided in this statement of work for the specified funding period. See Program Specific Requirements and Special Billing Re uirements. Children with Special Health Care Needs(CSHCN) 4a Complete Child Health Intake Form(CHIF) Submit CHIF data into Secure File January 15,2018 Reimbursement for using the CHIF Automated System on all Transport(SFT)website: April 15,2018 actual costs,not to infants and children served by the CSHCN haps://sft.wa.gov July 15,2018 exceed total funding Program as referenced in CSHCN Program consideration.Action Manual. Plan and Progress Exhibit A,Statements of Work Page 8 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AME- ` ENT#2 Task *May Support PHAB Payment Information Number Task/Activity/DescriptionStandards/Measures Deliverables/Outcomes Due Date/Time Frame and/or Amount Reports must only Ensure client data is collected on all children reflect activities paid served by CSHCN contractors,including for with funds provided neurodevelopmental centers,regional in this statement of maxillofacial coordinators,and the DOH work for the specified Newborn Screening Program. funding period. 4 b Administer requested DOH Diagnostic and Submit completed Health Services 30 days after forms are Treatment funds for infants and children per Authorization forms and Central completed. See Program Specific CSHCN Program Manual when funds are Treatment Fund requests directly to Requirements and used. the CSHCN Program as needed. Special Billing 4c Participate in the CSHCN Regional System Submit Action Plan monthly reports Monthly,on or before Requirements. and quarterly meetings as described in the including number of regional the 151 of the following CSHCN Program Manual. meetings attended to the DOH month contract manager. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at: hn://www phaboard orW"-content/uploads/PHAB-Standards-and-Measures-Version-l.O.pdf Program Specific Requirements/Narrative Special Requirements Federal Fundin¢Accountability and Transparency Act(FFATA) This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Data Universal Numbering System(DUNS®)number. Information about the LHJ and this statement of work will be made available on USASpending_gov by DOH as required by P.L. 109-282. Program Manual,Handbook,Policy References Children with Special Health Care Needs Manual-hitp://www.doh.wa.pov/Portals/1/Documents/Pubs/970-209-CSHCN-Manual.pdf Health Services Authorization(HSA)Form hqp://www.doh.wa.p-ov/Portals/l/Documents/Pubs/910-002-Appr vedHSA.docx Restrictions on Funds(what funds can be used for which activities,not direct payments,etc.) 1. At least 30%of federal Title V funds must be used for preventive and primary care services for children and at least 30%must be used services for children with special health care needs. [Social Security Law,Sec. 505(a)(3)). Exhibit A,Statements of Work Page 9 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET ENT#2 2. Funds may not be used for: a. Inpatient services,other than inpatient services for children with special health care needs or high risk pregnant women and infants,and other patient services approved by Health Resources and Services Administration(HRSA). b. Cash payments to intended recipients of health services. c. The purchase or improvement of land,the purchase,construction,or permanent improvement of any building or other facility,or the purchase of major medical equipment. d. Meeting other federal matching funds requirements. e. Providing funds for research or training to any entity other than a public or nonprofit private entity. f. payment for any services furnished by a provider or entity who has been excluded under Title XVIII(Medicare),Title XIX(Medicaid),or Title XX(social services block grant).[Social Security Law,Sec 504(b)]. 3. If any charges are imposed for the provision of health services using Title V(MCH Block Grant)funds,such charges will be pursuant to a public schedule of charges;will not be imposed with respect to services provided to low income mothers or children;and will be adjusted to reflect the income,resources,and family size of the individual provided the services. [Social Security Law, Sec. 505 (1)(D)]. Monitoring Visits(frequency,type) Telephone calls with contract manager at least one every quarter,and annual site visit. Special Billing Requirements Payment is contingent upon DOH receipt and approval of all deliverables and an acceptable A19-1A invoice voucher. Payment to completely expend the"Total Consideration" for a specific funding period will not be processed until all deliverables are accepted and approved by DOH. Invoices must be submitted monthly by the 30th of each month following the month in which the expenditures were incurred and must be based on actual allowable program costs. Billing for services on a monthly fraction of the"Total Consideration'will not be accepted or approved. DOH Program Contact Mary Dussol Community Consultant Office of Family and Community Health Improvement Washington State Department of Health Street Address: 310 Israel Rd SE,Tumwater,WA 98501 Mailing Address:PO Box 47848,Olympia,WA 98504 Telephone: 360-236-3781 /Fax: 360-236-3646 Email: Mary.Dussolna,doh.wa.gov Exhibit A, Statements of Work Page 10 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET ENT#2 Exhibit A Statement of Work Contract Term: 2018-20207 DOH Program Name or Title: NEP SSI Onsite Sewage Management- Local Health Jurisdiction Name: Mason County Public Health Effective January 1,2018 Contract Number: CLH18253. SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment N Federal Subrecipient (check if applicable) ® Reimbursement Period of Performance: January 1,2018 through March 31,2019 ❑ State N FFATA(Transparency Act) ❑ Fixed Price ❑ Other ❑ Research&Development Statement of Work Purpose: The purpose of this statement of work is for Mason County Public Health(MCPH)to protect public health by minimizing the public's effects of onsite septic systems(OSS)on surface water,assure effective treatment and disposal of sewage on a long-term basis,minimize potential for public exposure to sewage,uphold and comply with design,installation,and management requirements for OSS to accommodate effective treatment and disposal of sewage on a long term basis,and enhance protection of environmentally sensitive areas within the Oakland Bay and Hammersley Inlet shellfish growing areas. Mason County Public Health(MCPH)will employ previously successful tools used by the health department such as following up on unsatisfactory service events and complaints,creating as-builts to complete records,completing parcel surveys,offering monitary operation and maintenance(O&M)incentives,notifying OSS owners of an overdue O&M status and educating the public about O&M and water quality.MCPH will identify and correct non-point source pollution sources by conducting a monitoring program for optical brighteners. MCPH will also prioritize for the emergency closure growing area of Hammersley Inlet to implement OSS regulation and increase O&M compliance. MCPH will develop,enhance,and review risk-based protocols to support the work. Mason County Public Health(MCPH)will work with the Washington Department of Health(DOH)to develop and implement a risk based on-site sewage system evaluation program within the Hammersley Inlet area. The program will employ previously successful tools used by the health department such as file review,parcel evaluations,sampling(fecal coliform and optical brightener),dye studies,notifying homeowners of overdue O&M evaluations,offering O&M incentives,and educating the public about O&M and water quality. Mason County Public Health will focus primarily on the Hammersley Inlet shoreline and upland area.Outreach and education activities will also occur in the Oakland Bay watershed including Uncle John's Creek which feeds Oakland Bay's Chapman Cove. NOTE: This statement of work(SOW)carries forward incomplete tasks and unspent funds from the 2015-2017 consolidated contract SOW.Total spending between the two SOWs may not exceed the total award amount of$202,407.There are multiple funding sources for this award.See Special Instructions for spending requirements from each funding source. NOTE 2: Dates that precede January 1,2018 are for reference only. Revision Purpose: The purpose of this revision is to bring the contract budget into alignment with current spending Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Consideration Code Code Increase(+) Start Date End Date NEP 5-6 ONSITE SEWAGE MANAGEMENT 66.123 333.66.12 261Al2A5 01/01/18 03/31/19 74,426 10,904 85,330 PS SSI 1-5 OSS TASK 4 66.123 333.66.12 261K1209 01/01/18 03/31/19 99,878 -13,337 86,541. TOTALS 174,304 -2,433 171,871 GOALS&MEASURABLE OBJECTIVES This simply summarizes key deliverables and measures called out in the tasks below. This table is a component of the FEATS report. Exhibit A,Statements of Work Page 11 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMT_ -INT#2 Description(e.g.,"shellfish beds reopened") Units Targets (e.g."acres") ("number") Complete Task 0.3 Evaluation Plan Evaluation Plan 1 Complete Task 1.1 Project Factsheet Project Factsheet 1 Change the status of 19 parcel closures from Closed to Open in the growing area of Hammersley Parcel Open 19 Inlet Growing Area QAPP QAPP l Optical Brightener Policy&Procedure Plan ] Risk Based On-Site Sewage System Evaluation Policy&Procedure Plan 1 Updated OSS Dye Testing Policy&Procedure Plan 1 Fecal coliform monitoring plan Plan I Number of Hammersley Inlet fecal coliform samples collected Samples 600 Number of Hammersley Inlet Optical Brighteners(OB)pads analyzed by Mason County Public OB pads analyzed (MCPH) 600 Health MCPH Number of Hammersley Inlet Optical Brighteners(OB)pads analyzed by Ozark Underground OB pads analyzed(OUL) 60 Laboratory OUL Number of sanitary surveys conducted in Hammersley Inlet Sanitary Surveys Up to 10 200 Investigative fecal coliform monitoring Samples Up to 30 Risk based list of parcels for field evaluation in Hammersley Inlet List 1 Risk based list of parcels requiring OSS dye studies. List 1 Number of dye tests conducted in Hammersley Inlet Dye Tests 100% of parcels identified to be dye tested Number or percentage of OSS failures found that have been fixed OSS Failures repaired or in 100% repair process Number of OSS Rebates distributed Rebates 100 Oakland Bay Day EDDM for DOH approval Mailer 1 Number of Oakland Bay Day Mailers went in 2018 EDDMs sent Up to 12,000 Number of Oakland Bay Day Mailers went in 2019 EDDMs sent Up to 12,000 Oakland Bay overdue O&M educational mailings Mailings Up to 80 Mailer for community meeting for DOH approval Mailer 1 Final Project Report Report 1 Exhibit A,Statements of Work Page 12 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEIN ENT#2 Task *May Support PHAB Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or Amount NEP ONSITE SEWAGE MANAGEMENT ROUNDS 5-6—CFDA 66.123 THESE FUNDS MUST BE SPENT FIRST. Costs for activities charged to this grant will not exceed$74,426. All A19-IA invoice vouchers for these expenditures will be billed to NEP 5-6 ONSITE SEWAGE MANAGEMENT(Master Index Code 261Al2A5). FEATS,MBE/WBE,and any other reporting for activities conducted under Cooperative Agreement#OOJ88801 and will reference this agreement number. See Special Instructions for applicable federal Terms and Conditions for this agreement. NEP SHELLFISH STRATEGIC INITIATIVE ONSITE SEWAGE MANAGEMENT—CFDA 66.123 THESE FUNDS CAN ONLY BE SPENT AFTER ALL NEP OSS ROUNDS 5-6 FUNDS ARE SPENT. Costs for activities charged to this grant will not exceed$99,878. All A19-1A invoice vouchers for these expenditures will be billed to PS SSI 1-5 TASK 4(Master Index Code 261K1204).FEATS,MBE/WBE,and any other reporting for activities conducted under Cooperative Agreement#OOJ18001 and will reference this agreement number. See Special Instructions for applicable federal Terms and Conditions for this agreement. TASK 0. PROJECT DEVELOPMENT This task must be completed before initiating any other work under this subaward. Work completed prior to the completion of Task 0 will be ineligible for reimbursement under this subaward. 0.1 Project Spatial Data and Climate Change Project Spatial Data and September 15,2017 Reimbursement Assessment Climate Assessment up to$0 based In the tasks below subrecipients will create a on actual costs. detailed project outline and timeline to describe This was included as project expectations and outcomes.The detailed informational only for contract project plan will also identify how the negotiations,not intended to objectives of the project will be evaluated, stay in contract. including quantifiable performance measures and targets.DOH will review project to see if actions may have climate change intersections. If there is a strong climate change interconnections,DOH will work with the subrecipient on how the project may be developed to be climate resilient. DOH will work with the subrecipient on the plan and establish mutual expectations. Subrecipients should provide relevant spatial data for their project,and this should be identified in the detailed project plan. Subrecipients should consult with technical staff andspatial analysts where appropriate to Exhibit A,Statements of Work Page 13 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 _ AMEr ENT#2 determine the spatial data,associated metadata, and data storage location that are relevant for the project.All subrecipients should submit project coordinates(latitude,longitude)in decimal degrees. 0.2 Quality Assurance Project Plan(QAPP) QAPP Within 60 days of award Development Subrecipient will submit a Quality Assurance MCPH will work with Kitsap Project Plan(QAPP)or QAPP waiver using Public Health District,Hood Environmental Protection Agency's(EPA's) Canal Coordinating Council, National Estuary Program(NEP)guidance for Island County Public Health, QAPPs. If a QAPP is required,subrecipients and Department of Ecology will work with the Washington State (ECY)to develop an approved Department of Ecology's QA Officer to develop QAPP. and approve the QAPP.Work related to collecting environmental data may not begin until the QAPP or waivers are completed and approved. See EPA Programmatic Condition#5 in this a Bement for more information. 0.3 Evaluation Plan Complete a short one-page Within 30 days of award document.Use it to plan the process your program will use to gather information or collect data. Following the project,it will be used to assist in describing what the outcome results tell you about the impact and success of your program activities. TASK 1.PROJECT MANAGEMENT AND REPORTING This task describes the data collection and reporting requirements associated with this subaward.Maintenance of project records,submittal of payment vouchers,fiscal forms, and progress reports;compliance with applicable procurement,contracting and interlocal agreement requirements;application for,receipt of,and compliance with all required permits,licenses,easements,or property rights necessary for the project and submittal of required performance items. Carry out project in accordance with any completion dates outlined in the agreement.Refer to and comply with all underlying federal terms and conditions. 1.1 Project Factsheet Project Fact Sheet August 30,2017 Reimbursement Create a project factsheet(using included up to$4,603 template)and submit it in MS Word with the based on actual first quarterly progress report. costs. 1.2 Bi-monthly(ConCon.invoices are due every Bi-monthly invoice and project Due annually: 60 days)Invoicing and Progress Summary summaries. The subrecipient will email bi-monthly progress June 15 summary and invoicing related to project tasks FEATS will serve as project August 15 and deliverables to the contract manager.The summary for performance October 1 (FEATS) surnmary period is synced to inform the Grant periods that fall on or near December 15 Exhibit A,Statements of Work Page 14 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET ENT#2 Program's EPA reporting schedule;therefore it FEATS due dates. See FEATS March 15 (FEATS) is critical that the Project Sponsor submit these schedule in Task 1.2.1. summaries to the Grant Program according to the following schedule.Progress Summaries Annual Performance Periods shall include,at a minimum: • A description of the work completed in the First Period: last performance period,including total January 1 —February spending by the project sponsor and any partners and any completed deliverables. Second Period: • The status and completion date for the March—April(FEATS) project activities and near-term deliverables. Third Period: • Description of any problem or May—June 30 circumstances affecting the completion date,scope of work,or costs. Fourth Period: • Evidence that all the reporting requirements July 1 —August have been satisfactorily completed(see below). Fifth Period: September—October(FEATS) Sixth Period: November—December 1.2.1 Financial and Ecosystem Accounting Tracking Semi-annual FEATS reports April 1 System(FEATS) October 1 Complete semi-annual FEATS progress reports, FEATS will serve as project as well as a final FEATS report.The final summary for performance And upon contract completion FEATS report,reflecting the final project periods that fall on or near billing,will be provided during project closeout, FEATS due dates. See FEATS after the end of the grant,and will describe the schedule in Task 1.2.1. entire project,highlighting project outcomes and discussing lessons learned. See EPA Prograromatic Condition#1. 1.2.2 Puget Sound Partnership Required Near- 1. Implementation Status 1: March 31-April 28,2017 Term Actions(NTA)Reporting November 1-30,2017 NTA owners are required to report on the May 1-31,2018 following: Upon project/NTA • Implementation status of their actions on a completion or semiannual basis November 2018 • Financial status of their actions on an annual basis 2. Financial Status 2.: June 30-August 15,2017 June 29-August 13,2018 Upon project/NTA completion or August 2019 Exhibit A,Statements of Work Page 15 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEIV ENT#2 1.2.3 Women/Minority-Owned Business MBE/WBE Reporting October 15 annually (MBE/WBE)Reports MBE/WBE reporting is required annually.This And upon project completion federal reporting is required for assistance agreements where there are funds budgeted for procuring construction,equipment,services and supplies,including funds budgeted for direct procurement by the recipient or procurement under subawards or loans in the"Other" category that exceed the threshold amount of $150,000,including amendments and/or _ modifications. 1.3 Final Project Report Final Report and updated Fact Upon project completion A final report will be written by the project Sheet owners that describes the methods,results, lessons learned and recommendations for future work. The final report will evaluate the success of achieving the performance measures identified in the detailed project plan.Included with the final project report will be an updated Project Fact Sheet see 1.1 . TASK 2. POLICY DEVELOPMENT AND REVIEW MCPH will develop a policy and procedure that will be used in the implementation of a sampling plan to include the analysis of optical brighteners. In addition,MCPH will develops and implements a risk based analysis of all OSS along the shoreline of Hammersley Inlet to assure the systems are functioning properly and not impacting surface water.Policies and procedures,using existing practices in Mason and other counties,will be developed. 2.1 OB Policy&Procedure a)QAPP or QAPP addendum a-b)Within 60 days of award Reimbursement MCPH will evaluate,develop,and complete a up to$0 based policy and procedure for OB sampling,analysis, b)Policy and procedure for OB on actual costs. and regulatory implication.MCPH will provide sampling reviewed by DOH a copy to DOH for review and approval. 2.2 Risk Based OSS Evaluation Procedure Development of a risk based Final procedure to DOH by MCPH,in cooperation with DOH,will develop OSS evaluation procedure September 30,2017 a risk based OSS evaluation procedure.The reviewed by DOH. procedure will assess the risk of individual OSS and the potential for impact to surface water. The procedure will assign high,medium,and low tiers with the intent of implementing field- based OSS evaluations and dye studies based on the assi ned tier. 2.3 OSS Dye Study Protocol&Procedure a)Evaluation of the current a-b)Final procedure to DOH by Reevaluation OSS dye study protocols and October 31,2017 MCPH,in cooperation with DOH,will evaluate procedures,in cooperation with the county's current OSS dye study protocols I DOH Exhibit A,Statements of Work Page 16 of 38 Contract Number CLH 18253-2 Revised as of March 15,2018 AMEr ENT#2 and procedures.Protocols will be updated,as necessary,based on current conditions and b)Update current OSS dye evaluation techniques. study protocols and procedures TASK 3. SHORELINE MONITORING AND"HOT SPOT"IDENTIFICATION Hammersley Inlet is a shallow,narrow tidal channel connecting Oakland Bay with the main body of southern Puget Sound.The inlet is approximately 6.5 miles in length and 0.13 mile wide.The entire watershed is approximately 36.5 square miles,most of which is along the southern shoreline. There are approximately 175 small creeks,drainages, culverts,and seeps exist along the shorelines of the Inlet. This study will target a minimum of 50 drainages with historically elevated bacteria levels or located near significant upland development. MCPH will use the policies and procedures developed in Task 2 to conduct a pilot project to monitor for optical brighteners(OB)and fecal coliform(FC). Optical brighteners are fluorescent dyes found in most laundry detergents. Since adsorption is critical in the performance of on-site sewage systems(OSS),the presence of OB in surface water may indicate ineffective OSS treatment. Monitoring for OB will help differentiate the source of elevated fecal coliform bacteria levels currently and previously identified in upland drainages. MCPH will work with DOH to develop the sampling plan. General direction of the sampling will include drainage and discharge analysis during both the"wet"and"dry" seasons of the study period. The period of October through April will be considered the"wet"season while May through September will be considered the"dry"season. OB cotton pads will be installed at each site during portions of the evaluation period. Sites will be evaluated for a four week period during both"wet"and"dry"seasons. During these evaluation periods,cotton pads will be replaced each week. Flow measurements and FC samples will be collected when the cotton pads are replaced. Additional FC and OB sampling may be used to investigate and segment drainages with positive OB detections or elevated FC concentrations. Sampling and analysis activities will be performed according the plans and policies developed for the study. MCPH will analyze OB pads under a long wavelength ultraviolet(365 nm)light in-house and verify the results of approximately 10%of the samples at Ozark Underground Laborator. Fecal coliform samples will be analyzed at a certified laboratory outside Mason County. All results will be provided to DOH. 3.1 OB&'Fecal Coliform Sampling a)OB and FC monitoring plan May 31,2019 Reimbursement MCPH will conduct fresh water monitoring at a approved by DOH up to$41,806 minimum of 50 drainages to Hammersley Inlet based on actual to identify the presence of optical brighteners b)Number and results of OB costs. (OB). Sampling at each drainage will occur one cotton sample pads(up to 600) time during the predefined"wet"and"dry" analyzed by MCPH seasons.All OB pads will be analyzed in-house according to developed and approved c) Number and results of OB procedures.Ten percent of the pads will be cotton sample pads analyzed by analyzed by Ozark Underground Laboratory for Ozark Underground Laboratory QA/QC. Simultaneously,the selected drainages (up to 60 for QA/QC) will be monitored for fecal coliform bacteria. Fecal coliform samples will be analyzed by a d)Number and results of fecal certified laboratory.MCPH will develop a coliform monitoring samples. sampling plan in cooperation with DOH. (Up to 600 samples collected by MCPH) e)Number of drainages evaluated along the shorelines of Hammersley Inlet. (A minimum of 50 drainages evaluated. Exhibit A,Statements of Work Page 17 of 38 Contract Number CLH 18253-2 Revised as of March 15,2018 AME)` ENT#2 TASK 4: RISK BASED EVALUATION OF ON-SITE SEWAGE SYSTEMS(OSS) According to a 2016 shoreline survey completed by DOH,there are approximately 350 developed parcels along the Hammersley inlet shorelines using OSS for wastewater treatment and dispersal. Land use is a mix of residential,timber,and agricultural lands with residential development along the fresh and marine water shorelines.Ninety-eight percent of these sites were single family use sites with 60%considered to be full time residential sites. Fifty-eight percent of the OSS used gravity distribution for dispersal of effluent and 43%of the systems were greater than 30 years old.To identify impacts from OSS into shellfish growing areas MCPH will complete an OSS risk based evaluation along Hammersley Inlet. 4.1 OSS Record Search a) In-house record search a) Ongoing. Reimbursement MCPH will complete an OSS record search for and data evaluation for a up to$90,000 all systems along the Hammersley Inlet minimum of 350 First record search due based on actual shoreline. A risk based analysis will be shoreline parcels October 31,2017. costs. completed using the data collected and summarized to prioritize field based analysis. b) Development of a risk b) September 30,2018 This will be a working document that will be based list of parcels for continually revised and updated. field evaluation 4.2 OSS Field Evaluations a)Number of field parcel a) Field evaluation of 100 MCPH will complete"wet"season field surveys.Conduct a minimum of parcels by April 2418 evaluations using the procedures identified in the 200 field parcel surveys in the OSS field evaluation portion of the performance work area. plan outline in Task 2. b)Development of a risk based b) Field evaluation of 100 list of parcels requiring OSS parcels by April 2019 dye studies. c)Summarize number and c) See Task 1. results Deliverables/Outcomes and other progress indicators utilizing DOH Pollution Identification and Correction Implementation Reporting form quarterly. Attach reports to each FEATS report. The final quarterly report will have the cumulative total for the entire ro'ect eriod. 4.3 OSS Dye Testing a) Number of OSS dye tests a) OSS dye test of 30691/o MCPH will complete dye tests of the OSS of completed. A target of parcels by April 2018 concern identified in Task 4.2 using approved 100%of OSS identified dye testing methodologies. in the risk analysis will be OSS dye test of 100%of dye tested. parcels April 2019 b) Number of OSS b) April 2019 deficiencies/failures identified Exhibit A,Statements of Work Page 18 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AME r ENT#2 c) Summarize number and c) See Task 1. results Deliverables/Outcomes and other progress indicators utilizing DOH Pollution Identification and Correction Implementation Reporting form quarterly. Attach reports to each FEATS report. The final quarterly report will have the cumulative total for the entire project period. 4.4 OB Positive"Hot Spot"OSS Follow up a) Completed record a) Record search and field MCPH will follow up on positive OB and fecal searches for developed evaluations completed for coliform results identified in Task 3 by parcels near OB postive first"wet"season by June completing OSS record searches for those parcels drainages within 30 days 2018 in the vicinity of the implicated drainages.Risk of positive sampling based field evaluation and dye tests shall be results. completed according to the ase plan b) Completed risk based b) Record search and field risk-based OSS evluation procedure outlined in field evaluations of evaluations completed for Task 2. developed parcels near second"wet"season by OB positive drainages May 2019 within 15 days of record search c) Completed risk based c) OSS dye studies completd OSS dye studies of by May 2019 developed parcels near OB positive drainages. d) Up to 30 investigative FC d) May 2019 samples and results. TASK 5. STUDY EDUCATION AND OUTREACH As a member of Mason ECO Net,MCPH will help plan and participate in Oakland Bay Day.Oakland Bay Day is hosted by Mason ECO Net to educate the community about water quality.Mason County will have an educational booth educating attendees about OSS maintenance and regulation and water quality.MCPH will provide twelve thousand (12,000)every door direct mailings(EDDM)to the residents and landowners in the Oakland Bay MRA to encourage attendance. MCPH will educate the shoreline OSS owners within the Hammersley Inlet emergency closure area with an out of date O&M status about their maintenance status and ways to move into compliance.These informational mailings will occur four(4)times throughout the project.The number of mailings will depend on the number of shoreline OSS out of compliance at the time of the mailing. One hundred(100)rebates will be offered first come,first served to incentivize OSS maintenance.A$200 rebate will be offered for O&M or pumping.A second$200 rebate will be offered for the installation of risers or an effluent filter.MCPH will prioritize the rebates first to the OSS owners in the Hammersley Inlet and then to the general MRA where appropriate.Within each priority area MCPH will offer rebates to OSS with no O&M or out-of-date O&M. Exhibit A,Statements of Work Page 19 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AME- ` ENT#2 MCPH will inform all residents and landowners in the Hammersley Inlet study area,via direct mailing,of the project described in Tasks 2-3 before work starts. The mailing will inform owners of the pending project,the importance of OSS operation and maintenance,and the time,date,and location of the scheduled community-based meeting.At project com letion,findings will be available for landowner review. 5.1 Oakland Bay Days a) Copy of the direct mailing. a) May 30,2018 Reimbursement MCPH will coordinate and participate in Draft mailer materials May 30,2019 up to x,89-3 Oakland Bay Day 2018 and 2019 by providing will be sent to DOH staff $35,462 based water quality and onsite information at an for review on actual costs. educational booth. b) Number of mailings. b) June 30,2018 MCPH will send 12,000 EDDM mailings to 12,008 10,000 mailings inform and invite residents and landowners of for 2018 the Oakland Bay MRA to Oakland Bay Day to c) June 30,2019 help increase attendance and to track the c) Number of mailings. effectiveness of EDDM for educational events. 12,00 10,000 0 mailings for 2019 d) July 2018 July 2019 d) Coordinate and participate in Oakland Bay Day e) Upon project completion e) Number of Oakland Bay Day 2018 and 2019 attendees who heard about the event through the mailings.MCPH will report outcomes in FEATS. 5.2 Oakland Bay OSS O&M Educational Mailings up to eighty(80) a)October 2017 Mailings shoreline and upland OSS MCPH will inform all shorelines OSS owners _ p owners within Oakland Bay b)April 2018 within the Oakland Bay Shellfish Growing Area with out of date operation and with out of date OSS of O&M status and next maintenance compliance. c)October 2018 steps for O&M compliance and rebate information. There will be four 4 mailings. d)April 2019 5.3 OSS Rebates a)Provide up to one hundred a)April 30,2019 Incentives will be offered to OSS owners within (100)rebates the Oakland Bay and Hammersley shellfish growing areas in the form of rebates.Applicants will be required to submit their paid invoices with the proper paperwork to receive the rebate. A$200 rebate will be offered for either maintenance or pumping.A second$200 rebate will be offered to install risers and or effluent filter.If a homeowner self-installs risers or an effluent filter,MCPH will conduct a site visit to Exhibit A, Statements of Work Page 20 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET ENT#2 inspect the construction.Each interested household will be eligible for both rebates with the maximum amount of$400 per household. MCPH will-offer rebates exclusively to Hammersley Inlet OSS owners until April 2018. After April 2018,the rebates offered are first come,first served. Within each priority area MCPH will offer rebates to OSS with no O&M and out of date O&M.MCPH will offer incentives to individuals as well as targeted areas. 5.4 Hammersley Inlet Study Education& Outreach 5.4.1 MCPH will inform all Hammersley Inlet a)Copy of the mailing. Draft a-b) September 2017 shoreline residents and landowners in the study mailer materials will be sent to area,via direct mailing,of the project before DOH staff for review. work starts. The mailing will inform owners of the pending project,the importance of OSS b)Date and number of mailings operation and maintenance,and the time,date, sent(up to 400). and location of the scheduled community-based meeting.At project completion,findings will be available for landowner review. 5.4.2 MCPH will hold one community-based meeting a)Report showing agenda, a) November 2017 to inform the shoreline OSS owners,and other time,date,location and interested parties,of the upcoming ro'ect. I estimated number of attendees. TASK 6.BROADER IMPACTS AND COMMUNICATION MCPH will participate in and present project outcomes at a knowledge exchange event relevant to the project topic(conference,forum,stakeholder workshop). The subrecipient will submit high-quality project photos or video clips of the project(process,progress,etc.).MCPH will ensure anyone in the photo or video has signed a release in case photos or videos are used for future publications. 6.1 Submit high-quality project photos or videos. a) Photos a) Upon completion of project Reimbursement up to$0 based Participate in and present project outcomes at a b) MCPH will create a poster b) November 2018 or on actual costs. knowledge exchange event relevant to the displaying their results June 2019 depending on project topic. and discussion. workshop schedule c) Draft materials will be c) Upon completion of project sent to DOH staff for review. MCPH will present and display - their poster at the South Sound Science Symposium in Exhibit A,Statements of Work Page 21 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEl ENT#2 September 2019 after the close of the grant. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at: http://www.phaboard.or /g_wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf BUDGET Category Amount Personnel/Salaries $72,734 Fringe Benefits $41,633 Travel $0 Equipment (federal definition) $0 Supplies $750 Contracts $20,500 Lab Services Subawards $0 Name and amount ea. Other • Rebates $22,197$2 4,63 • Postage • EDDM Mailings Total Direct Charges $157,814$4,H9,-24- Indirect Charges $14,057 (federally approved rate TOTAL $171,871$47484 Proeram Specific Req uirements/Narrative Special Requirements Federal Fundin¢Accountability and Transparency Act(FFATA) This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Data Universal Numbering System(DUNS®)number. Information about the LHJ and this statement of work will be made available on USASpending.eov by DOH as required by P.L. 109-282. Exhibit A, Statements of Work Page 22 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEl, - _,_ENT#2 Program Manual,Handbook,Policy References Mason County's On-site Sewage System Management Plan,December 5,2007 Special References(RCWs,WACs,etc.) WAC 246-272A,RCW 70.,118A,Puget Sound Action Agenda,Interim PIC Program Protocols Federal funds from the Environmental Protection Agency(EPA)National Estuary Program(NEP)Account must be used to implement elements and activities of the local on-site sewage management plans that do not conflict with and are consistent with the goals,strategies,objectives,and actions of the Puget Sound Action Agenda. Monitoring Visits(frequency,type) The DOH program contact may conduct at least one(1)monitoring visit during the life of this project.The type,duration,and timing of visit will be determined and scheduled in cooperation with the subawardee.The DOH Fiscal Monitoring Unit may conduct at least one(1)fiscal monitoring visit during the life of this project. Special Instructions "Unexpended funds,tasks,and deliverables in.this statement of work that are not completed by December 31,2017 will be reauthorized for work in 2018 in anew statement of work under the new consolidated contract term beginning January 1,2018.Total spending between the 2015-2017 and 2018-2020 SOWs may not exceed$202,427(award total)." Progress reports are due to DOH via email to tracy.farrell ,doh.wa.gov,Kirsten.weinmeisteradoh.wa.gov and megan.schell@doh.wa.gov on the following dates:March 1,2018, September 1,2018,and upon contract completion.Minority and Women-Owned business Reporting is due to kristy.warner@doh:wa.gov and cc: tracy.farrell@doh.wa.gov, Kirsten.weinmeister a,doh.wa.gov and megan.schell(a)doh.wa. ov on the following dates: October 15 annually,and upon contract completion. All environmental data must be entered by the LHJ into EPA's Storage and Retrieval data system(STORET)at http://www.epa.pov/STORET.The semi-annual report format and data reporting requirements will be provided by DOH and may be modified throughout the contract period via email announcement. "Note: Deliverables and due dates after December 31,2017 are included in this statement of work for informational purposes only and will be included in a new statement of work under the new consolidated contract term beginning January 1,2018. Program Specific Requirements/Narrative The following provisions are the pass-thru requirements of all U.S.EPA-DOH subawards funded under cooperative agreement PCO1J18001-0. Administrative Conditions 1. General Terms and Conditions-Effective March 29,2016 The subrecipient agrees to comply with the current EPA general terms and conditions available at: hgps://www.epa.gov/grants/epa-general-terms-and-conditions-effective- march-29-2016-or-later.These terms and conditions are in addition to the assurances and certifications made as part of the award and terms,conditions or restrictions cited below. The EPA repository for the general terms and conditions by year can be found at: htips://www.epa. ov/ rg ants/grant-terms-and-conditions# eg neral 2. General Terms and Conditions-Consultant Cap-Additional Information In addition to the General Terms and Conditions#6 "Consultant Cap",as of January 1,2016,the limit is$614.48 per day$76.81 per hour. NOTE:For future years'limits,the subrecipient may find the annual salary for Level IV of the Executive Schedule on the following Internet site: hq://www.opm. og v/oca. Select"Salary and Wages",and select"Rates of Pay for the Executive Schedule".The annual salary is divided by 2087 hours to determine the maximum hourly rate,which is then multiplied by 8 to determine the maximum daily rate. 3. General Terms and Conditions—Cybersecurity The subrecipient agrees to comply with the current EPA general terms and conditions"Cybersecurity". The terms and conditions can be found on the EPA Grants Terms and Conditions Website. For STATE:hns://www.epa.gov/grants/state- rg ant-cybersecuriiy-condition For TRIBE:https://www.epa.lzov/grants/tribal- rg ant-cybersecuriiy-condition Exhibit A, Statements of Work Page 23 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEr ENT#2 For Other Recipients: hM?://www2.epa.gov/sites/production/files/2015-07/documents/cybersecuriiyp-rantconditionforotherr ecipientg.pdf. 4. General Terms and Conditions-Indirect Costs for States and Tribal The cost principles of 2 CFR 200 Subpart E are applicable,as appropriate,to this subaward. In addition to the General Terms and Conditions "Indirect Cost Rate Agreements",if the subrecipient does not have a previously established indirect cost rate,it agrees to prepare and submit its indirect cost rate proposal in accordance with 2 CFR 200 Appendix VII. For State Agencies The subrecipient must send its proposal to its cognizant federal agency within six(6)months after the close of the governmental unit's fiscal year. If EPA is the cognizant federal agency,the state subrecipient must send its indirect cost rate proposal within six(6)months after the close of the governmental unit's fiscal year to: Regular Mail Financial Analysis and Rate Negotiation Service Center Office of Acquisition Management U.S.Environmental Protection Agency 1200 Pennsylvania Avenue,NW,MC 3802R Washington,DC 20460 Mail Courier(e.g.FedEx,UPS,etc.) Financial Analysis and Rate Negotiation Service Center Office of Acquisition Management US Environmental Protection Agency 1300 Pennsylvania Avenue,NW,6th floor Bid and Proposal Room Number 61107 Washington,DC 20004 For Indian Tribe If the subrecipient does not have a previously established indirect cost rate,the subrecipient must submit their indirect cost rate proposals to: National Business Center Indirect Cost Services U.S.Department of the Interior 2180 Harvard Street,Suite 430 Sacramento,CA 95815-3317 The subrecipient agrees to comply with the audit requirements in accordance with 2 CFR 200 Subpart F. 5. Utilization of Small,Minority and Women's Business Enterprises(MBE/WBE) General Compliance,40 CFR,Part 33 The subrecipient agrees to comply with the requirements of EPA's Disadvantaged Business Enterprise(DBE)Program for procurement activities under assistance agreements, contained in 40 CFR,Part 33. MBE/WBE Reporting,40 CFR,Part 33,Subpart E MBE/WBE reporting is required in annual reports.Reporting is required for assistance agreements where there are funds budgeted for procuring construction,equipment, services and supplies,including funds budgeted for direct procurement by the subrecipient or procurement under subawards or loans in the"Other"category that exceed the threshold amount of$150,000.,including amendments and/or modifications. Based on EPA's review of the planned budget,this award meets the conditions above and is subject to the Disadvantaged Business Enterprise(DBE)Program reporting requirements.However,if subrecipient believes this award does not meet these conditions,the subrecipient must provide a justification and budget detail within 21 days of the award date clearly demonstrating that,based on the planned budget,this award is not subject to the DBE reporting requirements to the Region 10 DBE Coordinator. The subrecipient agrees to complete and submit a"MBE/WBE Utilization Under Federal Grants,Cooperative Agreements and Interagency Agreements"report(EPA Form 5700-52A)on an annual basis.All procurement actions are reportable,not just that portion which exceeds$150,000. Exhibit A, Statements of Work Page 24 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET -INT#2 When completing the annual report,subrecipients are instructed to check the box titled"annual"in section 1B of the form. For the final report,subrecipients are instructed to check the box indicated for the"last report"of the project in section 113 of the form. Annual reports are due by October 301 of each year.Final reports are due by October 30`1 or 90 days after the end of the project period,whichever comes first. The reporting requirement is based on total procurements. Subrecipients with expended and/or budgeted funds for procurement are required to report annually whether the planned procurements take place during the reporting period or not. If no budgeted procurements take place during the reporting period,the subrecipient should check the box in section 5B when completing the form. The current EPA Form 5700-52A can be found at the EPA Office of Small Business Program's Home Page at hqp://www.epa. og v/osbp/dbereporting hum. This provision represents an approved deviation from the MBE/WBE reporting requirements as described in 40 CFR,Part 33,Section 33.502;however,the other requirements outlined in 40 CFR Part 33 remain in effect,including the Good Faith Effort requirements as described in 40 CFR Part 33 Subpart C,and Fair Share Objectives negotiation as described in 40 CFR Part 33 Subpart D and explained below. Six Good Faith Efforts,40 CFR,Part 33,Subpart C Pursuant to 40 CFR, Section 33.301,the subrecipient agrees to make the following good faith efforts whenever procuring construction,equipment,services and supplies under an EPA financial assistance agreement,and to require that sub-subrecipients,loan subrecipients,and prime contractors also comply. Records documenting compliance with the six good faith efforts shall be retained: (a) Ensure DBEs are made aware of contracting opportunities to the fullest extent practicable through outreach and recruitment activities. For Indian Tribal, State and Local and Government subrecipients,this will include placing DBEs on solicitation lists and soliciting them whenever they are potential sources. (b) Make information on forthcoming opportunities available to DBEs and arrange time frames for contracts and establish delivery schedules,where the requirements permit, in a way that encourages and facilitates participation by DBEs in the competitive process. This includes,whenever possible,posting solicitations for bids or proposals for a minimum of 30 calendar days before the bid or proposal closing date. (c) Consider in the contracting process whether funis competing for large contracts could subcontract with DBEs.For Indian Tribal, State and local Government subrecipients,this will include dividing total requirements when economically feasible into smaller tasks or quantities to permit maximum participation by DBEs in the competitive process. (d) Encourage contracting with a consortium of DBEs when a contract is too large for one of these firms to handle individually. (e) Use the services and assistance of the SBA and the Minority Business Development Agency of the Department of Commerce. (f) If the prime contractor awards subcontracts,require the prime contractor to take the steps in paragraphs(a)through(e)of this section. Contract Administration Provisions,40 CFR,Section 33.302 The subrecipient agrees to comply with the contract administration provisions of 40 CFR, Section 33.302. Bidders List,40 CFR,Section 33.501(b)and(c) Subrecipients of a Continuing Environmental Program Grant or other annual reporting grant,agree to create and maintain a bidders list. Subrecipients of an EPA financial assistance agreement to capitalize a revolving loan fund also agree to require entities receiving identified loans to create and maintain a bidders list if the subrecipient of the loan is subject to,or chooses to follow,competitive bidding requirements.Please see 40 CFR,Section 33.501 (b)and(c)for specific requirements and exemptions. Fair Share Objectives,40 CFR,Part 33,Subpart D (1) For Grant Awards$250.000 or Less This assistance agreement is a Technical Assistance Grant(TAG);or the award amount is$250,000 or less;or the total dollar amount of all of the subrecipient's financial assistance agreements from EPA in the current Federal fiscal year is$250,000 or less.Therefore,the subrecipient of this assistance agreement is exempt from the fair share objective requirements of 40 CFR,Part 33, Subpart D,and is not required to negotiate fair share objectives/goals for the utilization of MBE/WBEs in its procurements. Exhibit A, Statements of Work Page 25 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AM2 __ ENT#2 (2) For Subrecipients Accepting Goals A subrecipient must negotiate with the appropriate EPA award official,or his/her designee,fair share objectives for MBE and WBE participation in procurement under the financial assistance agreements. In accordance with 40 CFR, Section 33.411 some Subrecipients may be exempt from the fair share objectives requirements as described in 40 CFR,Part 33, Subpart D. Subrecipients should work with their DBE coordinator,if they thirdc their organization may qualify for an exemption. Accepting the Fair Share Objectives/Goals of Another Subrecipient The dollar amount of this assistance agreement,or the total dollar amount of all of the subrecipient's financial assistance agreements in the current federal fiscal year from EPA is$250,000,or more.The subrecipient accepts the applicable MBE/WBE fair share objectives/goals negotiated with EPA.The Region 10 fair share objectives/goals can be found:hqp://www.epa.gov/osbp/pdfs/r]Ofairsharegoals.pdf. By signing this financial assistance agreement,the subrecipient is accepting the fair share objectives/goals and attests to the fact that it is purchasing the same or similar construction,supplies,services and equipment,in the same or similar relevant geographic buying market. Negotiating Fair Share Objectives/Goals,40 CFR,Section 33.404 The subrecipient has the option to negotiate its own MBE/WBE fair share objectives/goals. If the subrecipient wishes to negotiate its own MBE/WBE fair share objectives/goals,the subrecipient agrees to submit proposed MBE/WBE objectives/goals based on an availability analysis,or disparity study,of qualified MBEs and WBEs in their relevant geographic buying market for construction,services,supplies and equipment. The submission of proposed fair share goals with the supporting analysis or disparity study means that the subrecipient is not accepting the fair share objectives/goals of another subrecipient.The subrecipient agrees to submit proposed fair share objectives/goals,together with the supporting availability analysis or disparity study,to the Regional MBE/WBE Coordinator within 120 days of its acceptance of the financial assistance award.EPA will respond to the proposed fair share objective/goals within 30 days of receiving the submission.If proposed fair share objective/goals are not received within the 120 day time frame,the subrecipient may not expend its EPA funds for procurements until the proposed fair share objective/goals are submitted. (3) For Subrecipients with Established Goals The subrecipient must negotiate with the appropriate EPA award official,or his/her designee,fair share objectives for MBE and WBE participation—in procurement under the financial assistance agreements. In accordance with 40 CFR, Section 33.411 some subrecipients may be exempt from the fair share objectives requirements described in 40 CFR,Part 33,Subpart D. Subrecipients should work with their DBE coordinator,if they think their organization may qualify for an exemption. Current Fair Share Objective/Goal The dollar amount of this assistance agreement or the total dollar amount of all of the subrecipient's financial assistance agreements in the current federal fiscal year from EPA is$250,000,or more.The Region 10 fair share objectives/goals can be found: http://www.epa.gov/osbp/pdfs/rlOfairsharegoals.pdf. Negotiating Fair Share Objectives/Goals In accordance with 40 CFR,Part 33, Subpart D,established goals/objectives remain in effect for three fiscal years unless there are significant changes to the data supporting the fair share objectives.The subrecipient is required to follow requirements as outlined in 40 CFR Part 33,Subpart D when renegotiating the fair share objectives/goals. (4) For DWSRF.CWSRF and BROWNFIELDS RLF Subrecipients ONLY Objective/Goals of Loan Subrecipients As a subrecipient of an EPA financial assistance agreement to capitalize revolving loan funds,the subrecipient agrees to either apply its own fair share objectives negotiated with EPA to identified loans using a substantially similar relevant geographic market,or negotiate separate fair share objectives with its identified loan subrecipients.These separate objectives/goals must be based on demonstrable evidence of the availability of MBEs and WBEs in accordance with 40 CFR,Part 33, Subpart D. The subrecipient agrees that if procurements will occur over more than one year,the subrecipient may choose to apply the fair share objective in place either for the year in which the identified loan is awarded or for the year in which the procurement action occurs. The subrecipient must specify this choice in the financial assistance agreement,or incorporate it by reference therein. Exhibit A, Statements of Work Page 26 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET ENT#2 (5) R10 DBE Coordinator and Where to Send Report Andrea Bennett at(206)553-1789 or email: Bennett.Andreanepa.gov. The coordinator can answer any MBE/WBE reporting questions you may have. MBE/WBE reports should be sent to the EPA Region 10,Grants and Interagency Agreements Unit, 1200 Sixth Avenue,Suite 900,OMP-173, Seattle,WA 98101 or FAX to (206)553-4957. Programmatic Conditions 1. Semi-Annual Performance Reports The subrecipient shall submit performance reports every six(6)months during the life of the project.Reports are due 30 calendar days after the end.of each reporting period. Reports shall be submitted to the DOH Contract Manager and may be provided electronically. In accordance with 2 CFR 200.328,as appropriate,the subrecipient agrees to submit performance reports that include brief information on each of the following areas: (a) A comparison of actual accomplishments to the outputs/outcomes established in the assistance agreement work plan for the period; (b) The reasons why established goals were not met,if appropriate; (c) Additional pertinent information including,when appropriate,analysis and explanation of cost overruns or high unit costs. In addition to the semi-annual performance reports,the subrecipient shall immediately notify the DOH Contract Manager of developments that have a significant impact on the award-supported activities. As appropriate, the subrecipient agrees to inform the DOH Contract Manager as soon as problems, delays or adverse conditions become known which will materially impair the ability to meet the outputs/outcomes specified in the assistance agreement work plan. This notification shall include a statement of the action taken or contemplated,and any assistance needed to resolve the situation. The subrecipient will submit performance reports through EPA's Puget Sound Financial and Ecosystem Accounting Tracking System(FEATS). Reports are due at least 30 calendar days after the end of each reporting period. Earlier,but not later due dates may be mutually agreed upon by the Contract Manager and subrecipient in the award document.The reporting periods shall end March 31 st and September 30th of each calendar year. Reports shall be submitted to the DOH Contract Manager on the FEATS form provided by the Contract Manager and shall be submitted by electronic mail.The subrecipient agrees to submit performance reports that include brief information on each of the following areas: (a) A comparison of actual accomplishments to the outputs/outcomes established in the assistance agreement work plan for the period; (b) The reasons for slippages if established outputs/outcomes were not met; (c) Additional pertinent information,including when appropriate,analysis and information of cost overruns or high unit costs. 2. Final Performance Report The subrecipient shall submit a final performance report through FEATS,which is due 90 calendar days after the expiration or termination of the award.The report shall be submitted to the DOH Contract Manager and must be provided electronically.The report shall generally contain the same information as in the periodic reports,but should cover the entire project period.After completion of the project,the DOH Contract Manager may waive the requirement for a final performance report if the DOH Contract Manager deems such a report is inappropriate or unnecessary. 3. Program Income-Addition If program income is generated,the subrecipient is required to account for program income related to this project.Program income earned during the project period shall be retained by the subrecipient and shall be added to funds committed to the project by EPA and the subrecipient,and shall be used to further eligible project objectives. 4. Recognition of EPA Funding Reports,documents,signage,videos,or other media,developed as part of projects funded by this assistance agreement shall contain the following statement: "This project has been funded wholly or in part by the United States Environmental Protection Agency under assistance agreement(number)to(subrecipient).The contents of this document do not necessarily reflect the views and policies of the Environmental Protection Agency,nor does mention of trade names or commercial products constitute endorsement or recommendation for use." Exhibit A, Statements of Work Page 27 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEN -NT#2 5. Quality Assurance Requirements(2 CFR 1500.11)(if applicable) Acceptable Quality Assurance documentation must be submitted within 30 days of the acceptance of this agreement or another date as negotiated with the DOH Contract Manager and NEP Quality Assurance Coordinator.No work involving direct measurements or data generation,environmental modeling,compilation of data fi•om literature or electronic media,and data supporting the design,construction,and operation of environmental technology shall be initiated under this project until the EPA Project Officer,in concert with the EPA Quality Assurance Manager,has approved the quality assurance document. Instructions to Submit Quality Assurance Documents for Review Please refer to The Department of Ecology's website at:hiip://www.ecy.wa.gov/programs/eap/ga/docs/NEPQAPP/index.htmi for guidance and templates. Submit the Acceptable Quality Assurance documentation to Tom Gries at tarl461 ecy.wa.gov(NEP Quality Assurance Coordinator)for review with a cc: to megan.schell@doh.wa.g_ov and tracy.farrell(a),doh.wa.gov(DOH NEP Contract Managers). Additional information on these requirements can be found at the EPA Office of Grants and Debarment website: hllp://www.epa.gov/ogd/arants/assurance.htm. 6. Peer Review The results of this project may affect management decisions relating to Puget Sound.Prior to finalizing any significant technical products the Principal Investigator(PI)of this project must solicit advice,review and feedback from a technical review or advisory group consisting of relevant subject matter specialists. A record of comments and a brief description of how respective comments are addressed by the PI will be provided to the Project Monitor prior to releasing any final reports or products resulting from the funded study. 7. Competency of Organizations Generating and/or Using Environmental Measurement Data In accordance with Agency Policy Directive Number FEM-2012-02,Policy to Assure the Competency of Organizations Generating Environmental Measurement Data under Agency-Funded Assistance Agreements,subrecipient shall maintain competency for the duration of the project period of this agreement and this will be documented during the annual reporting process.A copy of the Policy is available online at http://www.epa.gov/fem/lab comp.htm or a copy may also be requested by contacting.the DOH Contract Manager for this award. Federal Assistance Agreement Funds Up To$200,000 Subrecipient agrees that if the total federal funding obligated on this award exceeds$200,000(resulting from subsequent amendments to this agreement)and will involve the use or generation of environmental data it will(unless it has otherwise done so)demonstrate competency prior to carrying out any activities involving the generation or use of environmental data under this agreement. Federal Assistance Agreement Funds Exceed or Expect to Exceed$200,000 Subrecipient agrees,by entering into this agreement,that it has demonstrated competency prior to award,or alternatively,where a pre-award demonstration of competency is not practicable. Subrecipient agrees to submit documentation and demonstrate competency prior to carrying out any activities under the award involving the generation or use of environmental data. Shellfish Strategic Initiative Quality Assurance Coordinator Contact: Tom Gries at tar1461 a,ecywa.gov 8. STORET Requirement Subrecipients are required to institute standardized reporting requirements into their work plans and include such costs in their budgets.All water quality data generated in accordance with an EPA approved Quality Assurance Project Plan as a result of this assistance agreement,either directly or by subaward,will be required to be transmitted into the Agency's Storage and Retrieval(STORET)data warehouse using either WQX or WQX web.Water quality data appropriate for STORET include physical,chemical, and biological sample results for water,sediment and fish tissue.The data include toxicity data,microbiological data,and the metrics and indices generated from biological and habitat data.The Water Quality Exchange(WQX)is the water data schema associated with the EPA,State and Tribal Exchange Network.Using the WQX schema partners map their database structure to the WQX/STORET structure. WQX web is a web based tool to convert data into the STORET format for smaller data generators that are not direct partners on the Exchange Network.More information about WQX,WQX web,and the STORET warehouse,including tutorials,can be found at hqp://www.epa.p,ov/storet/wqx/ If activities submitted as match for this federal assistance agreement involve the generation of water quality data,the resulting information must be publicly accessible(in STORET or some other database). Subrecipients are encouraged to develop a cross walk between any non-STORET database utilized for the storage of water quality data associated with match activities and EPA's Water Quality Exchange(WQX). Exhibit A, Statements of Work Page 28 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEl ENT#2 9. Riparian Buffers Riparian buffer restoration projects in agricultural areas shall be consistent with the interim riparian buffer reconunendations provided to EPA and the Natural Resource Conservation Service by National Marine Fisheries Service letters of January 30,2013 (stamp received date-February 4,2013)and April 9,2013 (stamp received date— April 16,2013),or the October 28,2013 guidance.Grantees shall confirm in writing projects'consistency with the recommendations referenced above. When developing project proposals,grantees also should consider the extent to which proposals include appropriate riparian buffers or otherwise address pollution sources on other water courses on the properties in the project area to support water quality and salmon recovery. Deviations can only be obtained through an exception approved by EPA. In order for EPA to evaluate a request for an exception,the grantee must submit the scientific rationale demonstrating adequacy of buffers for supporting water quality and salmon recovery.The request must summarize tribal input on the scientific rationale or other relevant issues. The scientific rationale could be developed from sources such as site- specific assessment data,salmon recovery plans,Total Maximum Daily Loads(TMDLs)and the state nonpoint plan.EPA will confer with the National Oceanic and Atmospheric Administration(NOAA)and the Washington Department of Ecology and provide the opportunity for affected tribes to consult with EPA before malting a final decision on a deviation request. 10. International Travel(Including Canada) All International Travel must be approved by the Office of International and Tribal Affairs(OITA)BEFORE travel occurs.Even a brief trip to a foreign country,for example to attend a conference,requires OITA approval.Please contact your DOH Contract Manager as soon as possible if travel is planned out of the country,including Canada and/or Mexico,so that they can obtain appropriate approvals from EPA Headquarters. If you have questions,please contact your DOH Contract Manager listed in this award document. 11. Geospatial Data Standards All geospatial data created must be consistent with Federal Geographic Data Committee(FGDC)endorsed standards.Information on these standards may be found at www.fgdc.gov 12. ULO Stretch Goal Subrecipients should manage their programs and subaward funding in ways that reduce the length of time that federal funds obligated and committed to subaward projects are "unspent"federal funds,not yet drawn down through disbursements. EPA encourages the reduction of these unliquidated obligations(ULOs)by applying the following programmatic term and condition to these assistance agreements Assistance agreement subrecipients are to apply these"stretch"goals throughout the life of the assistance agreement and to confer with your DOH Contract Manager whenever instances arise that make attainment of these stretch goals unlikely. A stretch goal for utilization of funds is established.All funds should be spent by 2 years. Stretch Goal Funds Awarded in FY 2016 (October, 1,2016-September 30,2017) Should all Be Drawn Down by March 2019 DOH Program Contact Tracy Farrell,Office of Environmental Health,PO Box 47824,Olympia WA 98504-7824;360.236.3337;tracy.farrell@doh.wa.gov Exhibit A, Statements of Work Page 29 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AME1, ENT#2 Exhibit A Statement of Work Contract Term: 2018-2020 DOH Program Name or Title: Office of Emergency Preparedness&Response- Local Health Jurisdiction Name: Mason County Public Health Effective January 1,2018 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment ®Federal Subrecipient (check if applicable) ® Reimbursement Period of Performance: January 1,2018 through June 30,2018 ❑ State ® FFATA(Transparency Act) ❑ Fixed Price ❑ Other ❑ Research&Development Statement of Work Purpose: The purpose of this statement of work is to establish the funding and tasks for the Public Health Emergency Preparedness and Response program for the 2017 grant period. Revision Purpose: The purpose of this revision is to add unspent funds from the prior contract period July-December 2017. Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Consideration Code Code Increase(+) Start Date End Date FFY17 EPR PHEP BPI LHJ FUNDING 93.069 333.93.06 18101380 01/01/18 06/30/18 19,917 9,062 28,979 TOTALS 19,917 9,062 28,979 Task *May Support PHAB Due Date/Time Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Frame Information and/or Amount 1 Attend emergency preparedness events,(e.g. Submit end of year progress report. June 30,2018 Reimbursement for trainings,meetings,conference calls,and actual costs not to conferences)as necessary to advance LHJ exceed total funding preparedness or complete the deliverables in this consideration amount. statement of work. 2 Complete reporting templates as requested by Submit completed templates to June 30,2018 DOH to comply with program and federal grant DOH requirements(e.g.performance measures,gap analysis,mid-year and end-of-year reporting templates,etc. 3 Use established procedures to activate a public Submit end of year progress report. June 30,2018 health emergency response plan within the jurisdiction. Test the following: Submit the most recent Public • How the command structure is utilized to Health Emergency Response Plan. manage emergency response Submit documentation of the use of the Public Health Emergency Exhibit A, Statements of Work Page 30 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET ENT#2 Task *May Support PHAB Due Date/Time Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Frame Information and/or Amount • The relationship between the LHJ and the Response Plan during an incident county Emergency Operations Center and/or exercise. Documents (EOC)during a response. should include an Incident Action • An EOC location from which public Plan(IAP),After Action Report health will coordinate the Public Health (AAR),Situation Reports(SitRep), Emergency Response Plan Corrective Action Plans(CAP). • The process for notifying and mobilizing staff during an incident. 3.1)Provide training for appropriate staff who Submit agenda and sign in sheets serve in the EOC and the Emergency Support of trainings,including attendee Function#8(ESF#8)role on the Incident signatures and contact information, Command System(ICS),recent Public Health conducted on Public Health Emergency Response plans and policies Emergency Response Plan 3.2)Train appropriate public health emergency Agenda and sign in sheets of response staff on Web EOC or applicable trainings conducted,with attendee information management system utilized by local signatures and contact information, emergency management in the county. or registrations if training is not conducted by the LHJ 4 Use established decision malting protocol to Submit end of year progress report. June 30,2018 support the Local Health Officer and the Public Health Administrator in making policy level Submit documented use of the decisions during an emergency. decision making protocol used during an emergency to DOH 4.1 Document that Public Health,Medical and Public Health,Medical and Mortuary Response is identified in the Public Mortuary Response documentation Health Emergency Plan and is integrated with the showing inclusion in city and City and County Emergency Plans. county plans. 5 Maintain Washington Secure Electronic Submit end of year progress report. June 30,2018 Communication,Urgent Response and Exchange System(WASECURES)program as the primary A list of registered users to include emergency notification system within the LHJ and their title and role in the include all critical LHJ positions as registered emergency response plan. users. 5.1) Conduct a notification drill using Results of notification drill. WASECURES. Exhibit A,Statements of Work Page 31 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET� ENT#2 Task *May Support PHAB Due Date/Time Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes name Information and/or Amount Notes: Registered users must log in quarterly at a minimum. DOH will provide on-site technical assistance to LHJs,as needed,on utilizing WASECURES.LHJs may choose to utilize other notification systems in addition to WASECURES to alert staff during incidents. 6 Use established procedures for your LHJ to request Submit end of year progress report. June 30,2018 assistance from the local EOC,neighboring LHJs, and DOH during disasters. Submit AARs and IAPs that • Identify how resources are coordinated with includes documentation of the the local EOC. elements listed. • Identify how to coordinate the logistical issues to receive resources from DOH and other partners. (If LHJs rely on local Emergency Management(EM)or other partners to coordinate logistical issues for receiving resources,and the local EM plan documents this fact,that documentation will suffice. 7 Use established procedures and plans to inform the Submit end of year progress report. June 30,2018 public of threats to health and safety by various means. Include a list of the various mechanisms Submit AARs and messaging used used by your LHJ for releasing information to the to inform the public during drills, public during drills,exercises or incident response. exercise or incident response. Include a summary of how 7.1)Create and maintain templates for news communication tools were used. releases for categories of public health hazards. Submit sample templates. 8 Participate in evaluation of response capabilities Submit end of year progress report. June 30,2018 based on a standard evaluation tool created by _ DOH. 9 Use established procedures to gain and maintain Submit end of year progress report. June 30,2018 situational awareness during an incident. Use forms and processes for collecting key data Submit an AAR which includes elements during disasters including: how these plans and forms were • The functionality of critical public health used to maintain situational operations awareness during all drills, • The functionality of critical healthcare exercises and real world incidents facilities and the services they provide • The functionality of critical infrastructure Submit SitReps that include the serving public health and healthcare facilities data elements listed and a (roads,water,sewer,power,communications) summary of how it was • Number of disease cases disseminated. Exhibit A, Statements of Work Page 32 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AME] [ENT#2 *May Support PHAs Due Date/TimePayment Task Task/Activity/Description Deliverables/Outcomes Information and/or Number Standards/Measures Frame Amount • Number of fatalities attributed to an incident • If key elements are collected by others,such as local EM or Health Care Coalition(HCC), describe how the LHJ gains access to that information. 9.1)Create an ESF#8 situation report form based Data collection form templates. on an established planning cycle to include,at a minimum,the data elements listed above. 9.2)Demonstrate disseminating situation reports to Submit ESF#8 SitReps used ESF#8 response partners during drills,exercises or real world incidents. 9.3)Train staff on all procedures established to Submit agenda and sign in sheets, maintain situational awareness during an incident. including attendee signatures and contact information,for trainings conducted on situational awareness. 10 Participate in one or more exercises or real world Submit end of year progress report. June 30,2018 incidents testing each of the following: • The process for requesting and receiving Submit AAR and Improvement mutual aid resources Plan for each • The process for gaining and maintaining drill/exercise/incident. situational awareness • Development of an ESF#8 situation report,or compilation of situational awareness information to be included in a County situation report • EOC or ICS activation • The COOP plan for the LHJ I I Update or develop procedures to request,receive Submit end of year progress report. June 30,2018 and dispense medical countermeasures. Submit up to date procedure to request,receive and dispense medical countermeasures. 12 Use established procedures and plans to manage Submit end of year progress report. June 30,2018 spontaneous health and medical volunteers during disaster response,including roles non-vetted Submit documentation of volunteers can perform. management of medical volunteers during a response. Exhibit A, Statements of Work Page 33 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEN --NT#2 Task *May Support PHAB Due Date/Time Payment Number Standards/Measures Standards/Measures Deliverables/Outcomes Frame Information and/or Amount 13 Implement the Continuity of Operations Plan Submit end of year progress report. June 30,2018 (COOP)plan for the local health jurisdiction. Demonstrate the following: Submit the most current COOP • Identification of essential services to sustain and AAR documenting COOP LHJ mission and operations implementation demonstrating the • Implementation of the Line of succession and elements listed. written delegation of authority for select critical positions in the LHJ,including LHO • Reassigning staff(scalable workforce reduction)and temporarily discontinuing select LHJ functions to sustain critical services 14 Provide notification to DOH for all instances Submit end of year progress report. June 30,2018 involving a public health response by the LHJ to an emergency utilizing emergency response plans and Submit Incident Action Plans, structures. Situation Reports and After Action Reports., 15 Provide LHJ situation reports to DOH during all Submit end of year progress report. June 30,2018 incidents involving an emergency response by the LHJ. Provide Situation Reports. 16 Submit essential elements of information(EEIs) Submit end of year progress report. June 30,2018 during incident response upon request by DOH. Provide information upon request. 17 Participate in the regional healthcare coalition and Submit end of year progress report. June 30,2018 attend coalition meetings as necessary Provide a summary of participation in coalition activities. 18 Provide notification to the DOH Duty Officer at Submit end of year progress report. June 30,2018 360-888-0838 or hanalert@doh.wa.gov for all response. Documentation that notification to DOH was provided;or statement that no incident response occurred. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at: http://www.phaboard.org/n-content/uploads/PHAB-Standards-and-Measures-Version-l.O.pdf Exhibit A, Statements of Work Page 34 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMEN ?NT#2 Special Requirements Federal Fundine Accountability and Transt)arency Act(FFATA) This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Data Universal Numbering System(DUNS®)number. Information about the LHJ and this statement of work will be made available on USASpending_gov by DOH as required by P.L. 109-282. DOH Program Contact: Jennifer Albertson,Contract and Finance Specialist Department of Health P O Box 47960,Olympia,WA 98504-7960 j ennifer.albertson(c—)doh.wa.gov PHEP/HPP Deliverable Submission email address: concondeliverables@doh.wa.gov Exhibit A, Statements of Work Page 35 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET ENT#2 Exhibit A Statement of Work Contract Term: 2018-20207 DOH Program Name or Title: Prescription Drug Overdose Prevention for States Local Health Jurisdiction Name: Mason County Public Health Supplement-Effective January 1,2018 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) ® Reimbursement Period of Performance: January 1,2018 through September 30,2018 ❑ State ®FFATA(Transparency Act) ❑ Fixed Price ❑Other ❑ Research&Development Statement of Work Purpose: Mason County is among the four Washington counties with the highest opioid overdose death rates during 2010-2014. In response,under Centers for Disease Control and Prevention(CDC)Priority Strategy 2(enhancing and empowering community-level prevention), an Opioid Overdose Prevention position will be funded. This position will be staffed by a Public Health Nurse or other public health professional(.6 FTE)to conduct the work described below. This position will provide community and prescriber technical assistance and education to help prevent overdoses,and to improve clinical care for patients taking opioids for chronic pain and those with opioid use disorder. Mason County Public Health(MCPH)will 1)follow up with nonfatal overdose patients,provide training for overdose reversal,and refer nonfatal overdose patients to treatment and other services;2)if the overdose involved a prescription opioid,follow up with the prescriber regarding the nonfatal overdose;3)when available,obtain a list of patients' prescriptions from the Prescription Drug Monitoring Prograin(PDMP),and follow up with provider(s)to discuss opioid prescribing and provide education;4)on a monthly basis provide DOH with opioid overdose reports which include the number of nonfatal overdose patients in Mason County and the number of patients served by the public health consultant;5)perform public outreach,education and trainings to improve community awareness around opioid use and opioid overdose;and 6)attend monthly meetings with DOH and provide updates on activities. Revision Purpose: The purpose of this revision is to extend the period of performance from August 31,2018 to September 30,2018,add carryover funds to the new contract term,revise and add language to the statement of work,and add a DOH program contact. Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Consideration Code Code Increase(+} Start Date-End Date FFY17 PRESCRIPTION DRUG OD-SUPP 93.136 333.93.13 77520271 01/01/18 08/31/18 33,400 29,627 63,027 TOTALS 33,400 29,627 63,027 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Payment Information Number Standards/Measures and/or Amount 1. Follow up with overdose patients in Provide monthly reports to DOH MCPH will submit monthly Monthly invoices for Mason County to connect them to which includes number of fatal written progress reports of Aactual cost evidence based substance abuse treatment and nonfatal overdoses and ongoing activities on DON- reimbursement will be and other needed services. number of persons contacted. provided template January 1, submitted to DON. 2018—August 31,2018. In the case of a suspected opioid overdose: Report technical assistance Total of all invoices provided dates,location, I will not to exceed Exhibit A, Statements of Work Page 36 of 38 Contract Number CLH18253-2. Revised as of March 15,2018 AMET ENT#2 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Payment Information Number Standards/Measures and/or Amount Notify the person's prescribers listed in participants-TA consultation)If Final report to be submitted by X400$63,027 the PMP and person's primary care materials are prepared,please September 30, 2018. through August 31, provider,if known,of the overdose event. share. 2018.bXedne less (See Special Instructions than inemth4,and H-9 Provide technical assistance,training, At least one(1)community forum below) consultation and resources regarding will be held where opioid opioid prescribing guidelines and opioid addiction and treatment is Final invoice must be use disorder. discussed, received by September 15,2018. Provide public outreach,education,and Provide updates on ongoing training to community around opioids and activities at monthly meetings (See Special Billing opioid use disorder. with DOH. Requirements below.) Increase prevention activities to include law enforcement to coordinate opioid overdose response and prevention efforts. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB) Standards/Measures that may apply can be found at: http://www.phaboard.org/U-content/uploads/PHAB-Standards-and-Measures-Version-1.O.pdf Proaram Specific Requirements/Narrative Special Requirements Federal Fundine Accountability and Transparency Act(FFATA) This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Data Universal Numbering System(DUNS®)number. Information about the LHJ and this statement of work will be made available on USASpending.gov by DOH as required by P.L. 109-282. Staffing Requirements: Added time for specialist to perform community outreach Restrictions on Funds(what funds can be used for which activities,not direct payments,etc) This grant cannot be used to pay for food or drink for events. Special Billing Requirements: DOH will provide an A19-IA invoice voucher form that must be used for monthly billing. Exhibit A, Statements of Work Page 37 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMET ENT#2 Special Instructions Monthly written progress reports on DOH provided template via email and conference calls with DOHprogram contacts. DOH Program Contacts Jennifer Alvisurez Rachel Meade Program Manager Opioid Overdose Prevention Specialist Injury and Violence Prevention Injury and Violence Prevention Office of Cormnunity Health Systems Phone: 360-236-2846 Washington State Department of Health rachel.meade a,doh.wa.eov P.O. Box 47853,Olympia,WA 98504 Phone: 360-236-2845 Fax: 360-236-2830 i ennifer.alvisurez@,doh.wa.gov Exhibit A,Statements of Work Page 38 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 E T B-2 Mason County PuDnc health ALLOCATIONS Contract Number: CLH18253 Contract Term:2018-2020 Date: March 15,2018 Indirect Rate as of January 2018: 13.71% DOH Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Revenue Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification# Amend# CFDA* Code** Start Date End Date Start Date End Date Amount Sub Total Total NEP 5-6 Onsite Sewage Management OOJ88801 Amd 2 66.123 333.66.12 01/01/18 03/31/19 10/01/14 08/31/19 $10,904 $85,330 $85,330 NEP 5-6 Onsite Sewage Management OOJ88801 N/A 66.123 333.66.12 01/01/18 03/31/19 10/01/14 08/31/19 $74,426 PS SSI 1-5 OSS Task 4 01318001 Amd 2 66.123 333.66.12 01/01/18 03/31/19 07/01/17 06/30/19.; ($13,337) $86,541 $86,541 PS SSI 1-5 OSS Task 4 OIJ18001 N/A 66.123 333.66.12 01/01/18 03/31/19 07/01/17 06/30/19•; $99,878 FFY17 EPR PHEP BPl LHJ Funding NIJ90TP921889-01 Amd 2 93.069 333.93.06 01/01/18 06/30/18 07/01/17 07/02/18 $9,062 $28,979 $28,979 FFYl7 EPR PHEP BPI LHJ Funding NU90TP921889-01 N/A 93.069 333.93.06 01/01/18 06/30/18 07/01/17 07/02/18 $19,917 FFY17 Prescription Drug OD-Supp U17CE002734 Amd 2 93.136 333.93.13 01/01/18 08/31/18 09/01/17 08/31/18:! $29,627 $63,027 $63,027 FFY 17 Prescription Drug OD-Supp U17CE002734 N/A 93.136 333.93.13 01/01/18 08/31/18 09/01/17 08/31/18 ? $33,400 FFY17317Ops 5NH23IP000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/181 $1,423 $1,423 $1,423 FFY17AFIX SNH231P000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/18 $4,293 $4,293 $4,293 FFY17VFCOps 5NH231P000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/18 $2,228 $2,228 $2,228 FFY18 MCHBG LHJ Contracts B04MC31524 Amd 2 93.994 333.93.99 01/01/18 09/30/18 10/01/17 09/30/18 $5,344 $56,115 $56,115 FFY18 MCHBG LHJ Contracts 1304MC31524 N/A 93.994 333.93.99 01/01/18 09/30/18 10/01/17 09/30/18 $50,771 GFS-Group B(FO-SW) N/A N/A 334.04.90 01/01/18 06/30/18 07/01/17 06/30/19 $2,500 $2,500 $2,500 11 SFYI Lead Environments of Children Amd 2 N/A 334.04.93 01/01/18 06/30/18 ` 07/01/17 06/30/18 $1,500 $3,000 $3,000 SFYI Lead Environments of Children Amd 1 N/A 334.04.93 01/01/18 06/30/18 07/01/17 06/30/18 $1,500 Rec Shellfisb/Biotoxin N/A N/A 334.04.93 01/01/18 06/30/19 07/01/17 06/30/19 $7,500 $7,500 $7,500 Wastewater Management-GFS N/A N/A 334.04.93 07/01/18 06/30/19 07/01/17 06/30/19 $60,000 $60,000 $60,000 YR 20 SRF-Local Asst(15%)(FS)-SS N/A N/A 346.26.64 01/01/18 12/31/20 07/01/15 12/31/20 $12,000 $12,000 $12,900 Sanitary Survey Fees(FO-SW)-SS State N/A N/A 346.26.65 01/01/18 12/31/20 07/01/17 12/31/20 $12,000 $12,000 $12,000 Yr 20 SRF-Local Asst(15%)(FS)-TA N/A N/A 346.26.66 01/01/18 12/31/20 97/01/17 12/31/20 $2,000 $2,000 $2,000 TOTAL $426,936 $426,936 Total consideration: $383,836 GRAND TOTAL $426,936 $43,100 GRAND TOTAL $426,936 Total Fed $327,936 Page I of 2 I IT B-2 Mason County Punic health ALLOCATIONS Contract Number: CLH18253 Contract Term:2018-2020 Date: March 15,2018 Indirect Rate as of January 2018: 13.71% DOH Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Revenue Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification# Amend# CFDA* Code** Start Date End Date Start Date End Date Amount' Sub Total Total Total State $99,000 *Catalog of Federal Domestic Assistance **Federal revenue codes begin with"333". State revenue codes begin with"334". Page 2 of 2 Exhibit C-2 oedule of Federal Awards „MENDMENT#2 Date:March 15,2018 MASON COUNTY HEALTH SERVICES-SWV0001893-04 CONTRACT CLH18253-Mason County Public Health CONTRACT PERIOD: 01101/2018-12/31/2020 DOH Total Amt Allocation Period Chart of Accounts Program Title BARS Federal Federal Start End Contract Amt CFDA CFDA Program Title Federal Agency Name Federal Award Federal Grant Award Name Award Date Award Date Date Identification Number Puget Sound Action Agenda: PS SSI 1-5 OSS TASK 4 333.66.12 08/02I16 $5,000,000 01/01/18 03/31/19 $86,541 6G.123 Technical Investigations and Environmental Protection Agency Implementation Assistance Region 10 01J18001 PUGET SOUND SHELLFISH STRATEGIC INITIATIVE-LEAD Program Puget Sound Action Agenda: NEP 5-6 ONSITE SEWAGE MANAGEMENT 333.66.12 01/09/11 $2,490,000 Technical Investigations and Environmental Protection Agency PUGET SOUND RESTORATION00 01/01/18 03/31/19 $85,330 66.123 Implementation Assistance Region 10 OOJ88801 PROJECT Program FFY17 EPR PHEP BPI LHJ FUNDING 333.93.06 07/18/17 $11,062,782 01!01/18 06/30/18 $28.979 93.069 Public Health Emergency Department of Health and Human HPP AND PHEP COOPERATIVEPreparedness Services Centers for Disease Control NU90TP921889-01 AGREEMENT and Prevention Injury Prevention and Control Department of Health and Human PRESCRIPTION DRUG OVERDOSE FFY17 PRESCRIPTION DRUG OVERDOSE 333.93.13 03/16/16 $4,031,632 01101/18 08/31/18 $63,027 93.136 Research and Stale and Services Centers for Disease Control U17CE002734 FOR STATES Community Based Programs and Prevention Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND FFY17 VFC OPS 333.93.26 03/03/17 $1,201 605 01/01/18 06/30/18 $2,228 93.268 Agreements Services Centers for Disease Control 5NH231P000762-05-00 VACCINES FOR CHILDREN'S and Prevention PROGRAM Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND FFY17 AFIX 333.93.26 03/03/17 $1,672,289 01/01/18 06/30/18 $4,293 93.268 Agreements Services Centers for Disease Control 5NH231P000762-05-00 VACCINES FOR CHILDREN'S and Prevention PROGRAM Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND FFY17 317 OPS 333.93.26 03/03/17 $575,969 01/01/18 06/30/18 $1,423 93.268 Agreements Services Centers for Disease Control 5NH231P000762-05-00 VACCINES FOR CHILDREN'S and Prevention PROGRAM Maternal and Child Health Services Department of Health and Human MATERNAL AND CHILD HEALTH FFY18 MCHBG LHJ CONTRACTS 333.93.99 10/20/17 $1,650,528 01/01/18 09/30/18 $56,115 93.994 Block Grant to the Stales Services Health Resources and B04MC31524 SERVICES Services Administration TOTAL $327,936 Page 1 of 1 MASON COUNTY AGENDA ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS From: Diane Zoren Action Agenda x Public Hearing Other DEPARTMENT: Support Services EXT: 747 DATE: May 22, 2018 Agenda Item # 12$.Ll Commissioner staff to com tete BRIEFING DATE: May 14, 2018 BRIEFING PRESENTED BY: Support Services [ ] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency ITEM: Approval to waive the 60-day waiting period for WA State Department Transportation (WADOT) property that WADOT is surplussing. This is for parcel 12332- 50-00027 and in compliance with RCW 47.12.055 and RCW 43.17.400. Background: WADOT notified Mason County they are surplussing this parcel. Mason County has no interest in acquiring this property and to expedite the process, Mason County is willing to waive the 60-day waiting period. Budget Impacts: None RECOMMENDED ACTION: Approval to waive the 60-day waiting period for WA State Department Transportation (WADOT) property that WADOT is surplussing. This is for parcel 12332-50-00027 and in compliance with RCW 47.12.055 and RCW 43.17.400. Attachment(s): Parcel info 4/30/201_4j"" /2018 Diane Zoren SR 3, BAWS1 (_.__ __). ._._....._....nSR 3, , IC#3 23 15486, Parcel No 3-10299, From: "Dick, Herbert" <DickH@wsdot.wa.gov> To: "bking@co.mason.wa.us" <bking@co.mason.wa.us> CC: "Gilchrist, Lois" <GilchrL@wsdot.wa.gov> Date: 4/26/2018 10:35 AM Subject: SR 3, BAWSI, IC#3-23-15486, Parcel No. 3-10299, Fisher remainder Attachments: Mason County Assessor Map.pdf; RW Plan Sh. 6 of 10 BAWSI.pdf; Google Aerial 2-23- 18.pdf RE: TPN- 12332-50-00027 WSDOT ICN- IC#3-23-15486 The property shown in red on the attached map has been declared surplus to the needs of the Washington State Department of Transportation. In compliance with RCW 47.12.055 and RCW 43.17.400, this letter provides the required 60-day notice of the disposition of this property. If you are interested in receiving additional information regarding this surplus, please reply in writing to the undersigned at the address below. If you have no interest in this property, WSDOT would appreciate a written response (e-mail or letter) stating that you waive the 60-day waiting period. This will allow the WSDOT to move forward with the sale of the property without delay. Sincerely, Herb Dick WSDOT-Olympic Region Real Estate Services Property and Acquisition Specialist PO Box 47440 Olympia, WA 98504-7440 Direct Phone: 360-357-2797 DickH@wsdot.wa.gov<mai Ito:DickH @wsdot.wa.gov> Washington State Department of Transportation Olympic Region Real Estate Services PO Box 47440 Olympia, WA 98504-7440 Direct Phone: 360-357-2797 1 x Mason County WA GIS Page 1 of I Mason County WA GIS '-tasen Ccunty Homepace + Search by Parcel or Ad 123375180731 1D339'90224 111 1111 '13tl1E SGIE R W E 3 123776000088 T..p.—I Nmnber.I • P.—I Number:1'_33 80 I1 ZZI fJE STATE ROUIE 3 -R=Desrriptlon: 1ID1...v.�r... • SAM P.Tf�l.ER'S IOMi: AR TR TR ,-A She in Acres:I. INurmalinn be oul .plc - iril or up inlu lion. Owner 232291E S ROUTE 3 STATEO WA. TON, DEPT 1) IItA TATE N REAL TA VICE"D B0X 47.1413 OLY a W 7 1a17soawz� R. :IW Tu nd'p' tlan: � 23311 HE STATE ROUTE 3 V So 1 23210 NE STATE ROUIF 3 • 123373000D78 311011E SUM ROUTE 1 123YZ50O0D26 1235250=2 123]2! 17337700MM 1 123377000001 123323OM4 61 TIE BSEALY OR 12332600W77 ` 231601E STATE ROUTE 3 • 1713 /M3\\ County of Kitsap,Bun 1� 60N -722.834 47.4M Degms https://gis.co.mason.wa.us/mason/ 2/23/2018 _ T. RAW.W.M. RAY R..rH TNELER'6 NCYE +t "'�"""•"�"•°""°n"'• GARDEN TRACTS \ EEC.n «,. ETCRRNEIIER \\ u c �O A \ O ± IC-3-23-15486 \ CEM) m �E _ I , _. ., .. - --- ---- -- - -- ---- -- ----- ------- ---"----- -� -- - � --- -""__-- ----- ---- e1U W nr E --' � o SE-ANIN''A ® \ [tel SEC.72 ® ® \ \ 1� D .\',\• ® EW A NEA •.• SEC.32 SR • ` VICINITY W 2a.G]TO VICINITY RIDGE POINT BLVD. _..._----»NN. - Ju.aw,N.aavc•a[[.,[. r[ad cant r <vr vv .n4 DFD <n ===F— MW ..a ,_.,<..��. .,,. <.,_ ,k[,o kms• .�.� _— _ .., _• - , OWNERSHIPS 3-11IR WW o-2n SR 3»1122 Belfair-Google Maps Page 1 of 2 Go ale Mans Belfair - f AL 47 ,. � t f ' Imagery©2018 DigitalGlobe,U.S.Geological Survey,Map data 02018 Google 3-23-15486 Approximate location Lot size:54,471 sq.ft. https://www.google.com/maps/place/Belfair,+WA+98528/@47.4432546,-122.8327765,188m/data=!3m l!le3!4m5!3m4!1 sOx54... 2/23/2018 RCW 43.17.400: Disposition of state-owned land—Definitions—Notice. Page 1 of 1 RCW 43.17.400 Disposition of state-owned land—Definitions—Notice. *** CHANGE IN 2018 *** (SEE 2382-S3.SL) *** (1) The definitions in this subsection apply throughout this section unless the context clearly requires otherwise. (a) "Disposition" means sales, exchanges, or other actions resulting in a transfer of land ownership. (b) "State agencies" includes: (i) The department of natural resources established in chapter 43.30 RCW; (ii) The department of fish and wildlife established in chapter 43.300 RCW; (iii) The department of transportation established in chapter 47.01 RCW; (iv) The parks and recreation commission established in chapter 79A.05 RCW; and (v) The department of enterprise services established in this chapter. (2) State agencies proposing disposition of state-owned land must provide written notice of the proposed disposition to the legislative authorities of the counties, cities, and towns in which the land is located at least sixty days before entering into the disposition agreement. (3) The requirements of this section are in addition and supplemental to other requirements of the laws of this state. [ 2015 c 225 § 64; 2007 c 62 § 2.] NOTES: Finding—Intent-2007 c 62: "The legislature recognizes that state agencies dispose of state-owned lands when these lands cannot be advantageously used by the agency or when dispositions are beneficial to the public's interest. The legislature also recognizes that dispositions of state-owned land can create opportunities for counties, cities, and towns wishing to purchase or otherwise acquire the lands, and citizens wishing to enjoy the lands for recreational or other purposes. However, the legislature finds that absent a specific requirement obligating state agencies to notify affected local governments of proposed land dispositions, occasions for governmental acquisition and public enjoyment of certain lands can be permanently lost. Therefore, the legislature intends to enact an express and supplemental requirement obligating state agencies to notify local governments of proposed land dispositions." [ 2007 c 62 § 1.] Severability-2007 c 62: "If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected." [ 2007 c 62 § 13.] http://app.leg.wa.gov/RCW/default.aspx?cite=43.17.400 5/17/2018 MASON COUNTY AGENDA ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS From: Dave Windom // Todd Parker Action Agenda _X_ Public Hearing Other DEPARTMENT: Community Services EXT: COMMISSION MEETING DATE: 5/22/18 Agenda Item # O J Commissioner staff to complete) BRIEFING DATE: 5/14/18 BRIEFING PRESENTED BY: Dave Windom // Todd Parker [] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency: ITEM: Housing Options for Students in Transition (HOST) contract termination Background: Contractor default by failing to perform program reporting of the contract according to contract time frames and has been non-responsive to contact attempts. RECOMMENDED ACTION: Termination of Contract Attachment(s): I:\Community Services-Public Health\PH_05.22.18 C.Agenda—Contract termination.doc MASON COUNTY AGENDA ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS From: John Huestis, PE, Deputy Director/County Engineer Action Agenda DEPARTMENT: Public Works EXT: 207 COMMISSION MEETING DATE: May 22, 2018 Agenda Item # BRIEFING DATE: April 16 & 30, 2018 and May 14, 2018 BRIEFING PRESENTED BY: John Huestis/Loretta Swanson [] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency: ITEM: Private Line Occupancy Permit and Franchise Renewal Procedure BACKGROUND: Commissioners and Public Works recently reviewed procedures for the issuance of private line occupancy permits and franchise renewals. As a result, process changes are proposed that will result in reduced time and cost to process while maintaining transparency. Private Line Occupancy permits will be approved or denied during regular Board meetings. Franchise renewals will also be approved or denied during regular Board meetings with two exceptions: cable franchises and franchises with terms/conditions significantly different from the current agreement. RECOMMENDED ACTION: Recommend the Board approve the resolution changing the approval process for Private Line Occupancy permits and Franchise renewals. ATTACHMENT(S): Resolution RESOLUTION NO. A RESOLUTION RELATING TO ISSUANCE OF PRIVATE LINE ACCUPANCY PERMITS AND RENEWAL OF FRANCHISE AGREEMENTS WHEREAS, Mason County Public Works utilizes a variety of permits or licenses to manage right- of-way use including Private Line Occupancy (PLO) Permits and Franchise Agreements; and WHEREAS, the approval procedure for PLO Permits and Franchise Renewals has been to conduct a public hearing which increases processing time and cost; and WHEREAS, the Board of County Commissioners wishes to improve government efficiency while remaining transparent; and WHEREAS, public testimony is rare during PLO Permit and Franchise Renewal hearings with the exception of Cable Operator franchises; and WHEREAS, Both 47 U.S. Code 546 and Mason County Code Chapter 5.20.190 require a public process and hearing for renewal of Cable Operator franchises; and WHEREAS, Both Chapter 36.55 RCW and Mason County Code Chapter 12.24 require a hearing for new franchises but not for renewals (except Cable Operator franchises); NOW,THEREFORE, BE IT RESOLVED that: Private Line Occupancy Permits will be approved or denied by the Board of County Commissioners during regular board meetings. Franchise Renewals will be approved or denied by the Board of County Commissioners during regular board meetings with the following two exceptions: 1.) A hearing is required for Cable Operator franchises which are governed by 47 U.S. Code 546, and 2.) A hearing is required for Franchise Renewals with terms and/or conditions significantly different from the current agreement. ADOPTED this day of , 2018 BOARD OF COUNTY COMMISSIONERS ATTEST: MASON COUNTY, WASHINGTON Melissa Drewry, Clerk of the Board Randy Neatherlin, Chair APPROVED AS TO FORM: Terri Drexler, Vice Chair Tim Whitehead, Kevin Shutty, Commissioner Chief Deputy Prosecuting Attorney