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HomeMy WebLinkAbout2021/02/22 - Briefing Packet f MASON COUNTY COMMISSIONER BRIEFING INFORMATION FOR WEEK OF February 22, 2021 In the spirit of public information and inclusion, the attached is a draft of information for Commissioner consideration and discussion at the above briefing. This information is subject to change, additions and/or deletion and is not all inclusive of what will be presented to the Commissioners. Please see draft briefing agenda for schedule. CO _3F ` :_ 185 . Pursuant to Proclamation by the Governor 20-28.15, in-person attendance to Commission meetings is temporarily restricted. Our Commission meetings are live streamed at http://masonwebtv.com/ and we will accept public comment via email dlzOco.mason.wa.us; or mail to Commissioners Office, 411 North 5tn Street, Shelton, WA 98584; or call 360-427-9670 ext. 419. If you need to listen to the Commission meeting via your telephone, please provide your telephone number to the Commissioners'office no later than 4 p.m. the Friday before the meeting. BOARD OF MASON COUNTY COMMISSIONERS DRAFT BRIEFING MEETING AGENDA 411 North Fifth Street, Shelton WA 98584 Week of February 22, 2021 Monday - Friday 8:00 A.M. COVID-19 Coordinators Briefing* Public Works Meeting Room A 100 Public Works Way Noon WA State Association of Counties Zoom Meeting* Coronavirus Relief Funding *this is being noticed as a Special Commission Meeting because a quorum of the Mason County Commission may attend this event and notification is provided per Mason County Code Chapter 2.88.020 - Special Meetings Monday, February 22, 2021 Commission Chambers Times are subject to change, depending on the amount of business presented 9:00 A.M. Timberland Regional Library— Cheryl Heywood 9:30 A.M. Support Services — Frank Pinter 10:00 A.M. Pacific Mountain Workforce 10:30 A.M. BREAK 10:35 A.M. Community Services — Dave Windom 11:00 A.M. Public Works — Loretta Swanson Utilities & Waste Management 11:30 A.M. Economic Development Council —Jennifer Baria Commissioner Discussion — as needed Briefing Agendas are subject to change,please contact the Commissioners'office for the most recent version. Last printed 02/18/21 at 1:42 PM If special accommodations are needed,contact the Commissioners'office at ext.419,Shelton#360-427-9670;Belfair #275-4467,Elma#482-5269. Mason County Support Services Department Budget Management Gd�Y 411 North 5 th Street Commissioner Administration Shelton WA 98584 Emergency Management Facilities, Parks&Trails 360.427.9670 ext. 419 Human Resources Information Services w Labor Relations �txsr Risk Management MASON COUNTY COMMISSIONER BRIEFING ITEMS FROM SUPPORT SERVICES February 22, 2021 • Specific Items for Review o Agreement with TMBHO and Prosecuting Attorney's Office for Involuntary Treatment Court—Tim Whitehead o Public hearing scheduled on February 23 to consider Fire District 16 annexation—Diane o ILA between Shelton City, Shelton School District and Mason County Parks &Trails regarding the Skate Park Operations 5 year contract—Ross o Discussion on moving to a "dot gov" domain for Mason County government— Ross o News release to fill vacancy on Mason County Housing Authority Board - Frank o Process/timeline for replacement of Support Services Director- Frank • Commissioner Discussion o Gorst Coalition Memorandum of Understanding& permission to use County logo—Cmmr. Neatherlin o Letter of Support to City of Shelton—Workforce Housing—Cmmr. Shutty J:\DLZ\Briefmg Items\2021\2021-02-22.doex MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Michael Dorcy, Prosecuting Attorney DEPARTMENT: Prosecuting Attorneys Office EXT: 417 BRIEFING DATE:.,Aaarsl PREVIOUS BRIEFING DATES: �t If this is a follow-up briefing, please provide only new information INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance €Human Resources €Legal €Other— please explain ITEM: Amendment to the Interlocal Agreement between the Thurston-Mason Behavioral Health Organization and the Prosecuting Attorney's Office. EXECUTIVE SUMMARY: (If applicable,please include available options and potential solutions): Over the past year, involuntary treatment court cases have been file and hearings have been held in the Mason County Superior Court pursuant to RCW's 71.05 and 71.24. The Thurston- Mason Behavioral Health Organization reimburses the Mason County Prosecutor's Office for services and costs associated with these hearings. The initial contract expired on December 31, 2020. The Amendment to that contract runs through December 31, 2021 _BUDGET IMPACT: There will be no impact to the budget. The funding remains the same as established in the original contract and is included in the Prosecutor's current budget. PUBLIC OUTREACH:(include any legal requirements,direct notice,website,community meetings, etc.) N/A RECOMMENDED OR REQUESTED ACTION: Approval of the Amendment to the Interlocal Agreement with the Thurston-Mason Behavioral Health Organization and the Prosecuting Attorney's Office, to fund the Prosecutor's services and costs related to involuntary treatment court. ATTACHMENTS: Copy of the Amendment to the ILA Briefing Summary 2/17/2021 THURSTON-MASON! BEHAVIORAL HEALTH ADMINISTRATIVE SERVICE 'ORGANIZATION RATION (TM . H-ASO) AMENDMENT TO THE INTERLOCAL AGREEMENT FOR INVOLUNTARY JUDICAL SERVICES WITH MASON COUNTY PROSECUTING ATTORNEY,S OFFICE Provider:. Mason County Prosecuting Attorney's Office. Contact: Michael Dorcy Title: Prosecuting Attorney Phone: 360 427-9670 Email: MlChaeD@co,mason.wa,us Mailing Address: 521 N 4"St#B,Shelton,WA 98584 Agreement Number: 2021 Amendment Number: 1 New Start Date: January 1,2021 New End Date: December 31, 2021 _V— .A Thurston-Mason BH-ASO Contacts: Tara Smith, Finance Director Phone: 360.763.5809 Email: tara.smithCo)tmbho,org Mark Freedman,ASO Administrator Phone: 360.763.5791 Email: mark,freedman@tmbho.org Phone: Email: Mailing Address: 612 Woodland Square Loop SE,Ste 401, Lacey WA 98503 INCORPORATION OF EXHIBITS AND ATTACHMENTS- The Provider shall provide services and comply with the requirements set forth in the following attached exhibits,attachments, or any other materials which are Incorporated herein by reference.To the extent that the terms and conditions of any Exhibit or Attachments conflicts with the terms and conditions of this base contract,the terms of this Contract shall control, rs This Contract Amendment,including all Exhibits and other attachments Incorporated by reference,contains all of the terms and conditions agreed upon by the parties as changes to the original contract, No other understandings and representations,oral or otherwise,regarding the subject matter of this Contract Amendment shall be deemed to exist or bind the parties,All other terms and conditions of the original Behavioral Health Services Contract and preceding amendment remain in full force and effect,The parties signing below warrant that they have read and understand this Contract Amendment and have authority to enter Into this Contract Amendment. By their signatures below,the parties hereto agree to this Contract Amendment, Contractor Signature: Printed Name and Title: Date: Thurston-Mason BH-ASO Signature: Printed Name and Title: Date: Mark Freedman, CEO TM BH-ASO Amendment#1 to Interlocal Agreement 4 Page 1 of 2 The Interlocal Agreement for Judicial Services, between Thurston-Mason BH-ASO and Mason County Prosecuting Attorney is hereby amended as follows; 4. Funding a) Total amount to not exceed$50,000 annually shall remain the same as will the$10,000 for costs associated with supplies, equipment,trials,jury expenses and other verified expenses. b)Sharing Protected Health Information; The parties agree that information shared under this agreement is shared for the purpose of coordination of treatment and/or health care operations. The parties also agree not to use or disclose protected health Information other than as permitted or required by this Agreement, HIPAA and the Health Information Technology for Economic and Clinical Health Act(HITECH). The parties shall use and disclose protected health Information only If such use or disclosure,respectively, in compliance with each applicable requirement of 45 CPR Section 164.504(e) Except as expressly provided by this Amendment No.01,all other terms and conditions of the original Interlocal Agreement as signed by Mason County on February 4, 2020,for Judicial Services and preceding amendment remain in full force and effect. TM BH-ASO Amendment#1 to Interlocal Agreement 4 Page 2 of 2 MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Ross McDowell DEPARTMENT: Parks &Trails EXT: 806 BRIEFING DATE: 02-22-2021 PREVIOUS BRIEFING DATES: 12-09-2019 If this is a follow-up briefing, please provide only new information INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources X Legal ❑ Other— please explain ITEM: ILA between Shelton City, Shelton School District and Mason County Parks &Trails regarding the Skate Park Operations— 5-year contract EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions): Mark Ziegler from the city of Shelton requested a meeting to discuss the MOU for the skate park that expired 02/24/2020. A brief phone discussion was done indicating that a new agreement would need to be made. The soon to expire MOU contents would remain close to the same but I asked that the maintenance be increased on the Skate Park itself. Mr. Zeigler stated that he would draft an extension for the MOU for the Skate Park. The purpose of this MOU is to facilitate a lease agreement and management responsibilities of the Shelton Skate Park, located at 110 Wallace Kneeland Blvd., Shelton. As of February 24, 2015, the County transferred ownership of the skate park ramps to the City of Shelton and removed the skate park from County's property and liability insurance. On that same date, the City of Shelton accepted full responsibility of the skate park and added it to their property and liability insurance. The City and the County agreed that if, by the end of the five-year lease (February 24, 2020) if funding is not raised to either re-build or re-locate the skate park, the City and the County will negotiate an extension to this agreement or jointly close and decommission the skate park. If closed, the cost of the closure being shared 50/50 between the City and The County and return the grounds to a condition agreeable to the School District. The County entered into a pledge of$5,000 per year to the City of Shelton for the operations and will also provide staff expertise needed for structural and ramp repairs. The skate park's regular maintenance and cleanup is essential to insure the safety and usability of the property. Since that time with COVID-19 pandemic the extension for the MOU was placed on hold by the City of Shelton. On 02-02-2021, I received an e-mail from Mark Ziegler with an Interlocal Agreement (ILA) for the Skate Park stating that the City's attorney suggested an ILA instead Briefing Summary 2/3/2021 of a MOU. The ILA's content is similar to the original MOU except the transferring of the Skate park ramps have been removed since it was completed back in 2015. BUDGET IMPACT: Mason County Parks &Trails currently budgets the $5,000 annually for the Skate Park MOU. PUBLIC OUTREACH:(Include any legal requirements,direct notice,website, community meetings, etc.) RECOMMENDED OR REQUESTED ACTION: 1. Legal review of the ILA was completed by the Mason County Prosecutor's Office with no issues. 2. Discussion and decision to either: extend the ILA for another 5 years at $5,000 a year or decommission and close the skate park with a 50/50 cost share of removal/disposal of structure/ramps and clean-up site. 3. Decision to move forward to a place the ILA on a BOCC meeting for approval. ATTACHMENTS: Draft ILA between City of Shelton, Shelton School District and Mason County (Parks &Trails) regarding Shelton Skate Park operations. Briefing Summary 2/3/2021 INTERLOCAL AGREEMENT REGARDING SHELTON SKATE PARK OPERATION The Parties, the City of Shelton ("City"), Mason County ("County"), and the Shelton School District ("District") enter into this Agreement under RCW 39.34.030, concerning operation of the Shelton Skate Park. WHEREAS, the Shelton Skate Park, located at 110 Wallace Kneeland Boulevard, occupies property owned by the Shelton School District; and WHEREAS, in 2014 the City agreed to take on the responsibility of operating the Skate Park from the Mason County Parks and Trails Department; and WHEREAS, the Parties wish to enter into this Agreement to clarify and extend each Party's responsibilities with regard to the Skate Park; and WHEREAS, all the Parties are authorized by State law to enter into interlocal agreements for cooperative performance of duties. NOW, THEREFORE, the Parties agree as follows: LEASE OF SCHOOL DISTRICT PROPERTY- The District and City will extend the existing lease agreement, which transfers use of the Skatepark property to the City, for an additional five years. The terms of the ground lease shall be set forth in the separate Lease Agreement. RESPONSIBILITY FOR OPERATIONS The City shall be responsible for operating the Skatepark, including as-needed maintenance. COUNTY SUPPORT OF OPERATIONS The County shall contribute up to but not exceeding five thousand dollars ($5,000) annually for operations expenses. The County shall provide staff expertise on an as- needed basis for purposes such as structure and ramp repairs. REBUILD OR DEVELOPMENT OF NEW PARK The City and County shall mutually pursue grant opportunities and engage in other efforts, including community fundraising, either to rebuild of the Skatepark at its current location, or to develop a new Skatepark at an alternative location. The Parties anticipate the City will assume operational responsibilities if a new Skatepark is developed. If needed, the Parties will execute an amended or new Interlocal Agreement to govern relative responsibilities for a rebuilt or new Skatepark. The City and the County agree that if, by the end of the five-year lease,funding has not been raised to either re-build or re-locate the Skatepark,the City and the County may negotiate an extension to this Agreement.Alternatively,the Parties may agree to jointly close and decommission the Skatepark. DECOMMISSIONING OF EXISTING SKATEPARK If,at anytime within the term of this Agreement or following expiration,the Parties mutually agree not to continue the Skatepark at the existing location,the fixtures shall be removed and the grounds restored to a condition agreeable to the District,with costs of removal and restoration split 50/50 between the City and the County. TERM The term of this Agreement shall commence immediately upon signatures of all Parties and continue in effect for a period of five years, unless terminated earlier. COMMUNITY CLEAN-UP The City and County shall cooperate in organizing community groups for maintenance and clean-up of the Skatepark as needed. INSURANCE AND INDEMNITY The City shall maintain property and liability insurance for the Skatepark in accordance with its customary coverages and limits. The City shall defend, indemnify, and hold the other Parties harmless from all claims, actions, and judgments arising from the City's operation of the Skatepark, except for claims arising from the negligence or intentional actions of the other Parties. TERMINATION Any Party may terminate its participation in this agreement with a minimum 180 days prior written notice to the other parties, and in accordance with the termination provisions of the Lease i Agreement. Provided,however,that if the County's decision to terminate its participation in this Agreement results in closure of the Skatepark or termination of the City's Lease with the District, the County and City shall share equally in the cost of any removal of improvements and site restoration that needs to be performed. NO SEPARATE LEGAL ENTITY By executing this Agreement,the Parties do not intend to form a separate legal entity. EFFECTIVE DATE This agreement shall be in full force and effect upon approval by the City,County and District officials signing below on behalf of all the Parties,following approval by each Party's governing body in an open public meeting. ELECTRONIC POSTING Consistent with RCW 39.34.040, publication of this Agreement shall be achieved by posting the Agreement electronically on the City's website. Dated this day of ____, 2021 MASON COUNTY By CITY OF SHELTON By: Jeff Niten, City Manager SHELTON SCHOOL DISTRICT By MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Ross McDowell DEPARTMENT: Information Technology EXT: 806 BRIEFING DATE: 02-22-2021 PREVIOUS BRIEFING DATES: If this is a follow-up briefing, please provide only new information INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources ❑ Legal ❑ Other— please explain ITEM: Discussion on moving to a "dot gov"domain for Mason County government EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions): Mason County currently uses a".wa.us"domain for our website and e-mail addresses. We have a possibility of changing to the federally administrated".gov"top-level domain for our webpages and e- mail addresses. The .gov domain includes a variety of security features that commercially available web addresses, like those ending in .com or .org often lack, including active vulnerability monitoring and two-factor authentication for all users. Sites on .gov are also capable of being"preloaded"in web browsers using HTTPS, a protocol that runs over an encrypted connection, rather than the unsecured HTTP protocol. The federal government also runs a round-the-clock emergency help desk for .gov operators. The DOTGOV Online Trust in Government Act, a bipartisan measure first proposed in 2019, which would reduce or eliminate the costs for state and local governments to adopt .gov addresses, a step widely considered to bolster their internet security. Currently, though, the GSA charges state and local governments $400 annually for each .gov domain, which has been cited as a reason why many smaller local organizations have not moved over. Reasons to move over to"dot gov"domain: 1. Increased security: there are certain security requirements that must be met, like https, in order to have a dot gov domain. These security features may not always be required on other domains. 2. Identification: website visitors can immediately recognize the website as the official source of information, including election information. Dot gov is the only official domain that helps visitors identify a legitimate government website from a spoof website. 3.Vulnerability monitoring: all dot gov domains are proactively monitored to look for vulnerabilities and identify opportunities for upgrades and patches. Proactive government monitoring and collaboration is not included with other domains. The major impact to move to the"dot gov"domain would be time on Information Technology Department to move everything over slowly one by one in most cases leaving access on both for a month or two.The implementation time is between 40 to 60 hours of work on this project. The name of www.masoncountywa.gov is available and coincides with the naming convention. Briefing Summary 2/4/2021 BUDGET IMPACT: The cost, if the $400 dollars per year .gov domain is removed by the DOTGOV Online Trust in Government Act, would be a $25 a month charge ($300) for DNS hosting. So, we are looking at the technical side being $400 a year to go to"dot gov"domain for a total of$700. There would also be a cost to reprinting anything that has our current web or e-mail addresses on it, such as business cards and stationary. PUBLIC OUTREACH:(Include any legal requirements,direct notice,website,community meetings, etc.) RECOMMENDED OR REQUESTED ACTION: Discussion on.the possibility of moving to the"dot gov"domain for Mason County. ATTACHMENTS: Domain Authorization Letter Template Briefing Summary 2/4/2021 [County Government Letterhead] [Date] .Gov Domain Registration c/o Verisign, Inc. 12061 Bluemont Way Reston, Virginia 20190 Dear Domain Manager, As [County Commissioner (or equivalent highest-ranking elected county official)] for [County Name, State Name], I formally request that authority over the [xxxxx.gov] second-level domain name be delegated to [County Name, State Name]. I attest that I am the highest-ranking official for [County Name, State Name] or have signing rights on behalf of the [Title of the Highest-Ranking Elected Official] for [County Name, State Name]. This domain name will be used for [state the purpose]. The use of this domain is consistent with the County of [County Name] Internet policy. In addition, I will ensure the content of the requested domain name conforms to the .gov policy. By requesting this domain name, I acknowledge that I will be responsible for payment of the annual $400 domain fee. I understand that if I wish to retire my domain, I must submit a written request to registrar@dotgov.gov. If a written request is not submitted, I understand that I will continue to be responsible for all accrued domain fees. The following individuals will be listed as points of contact for [xxxxx.gov]. It is understood that the contact information must remain valid and up to date, and that administrative, billing, and technical points of contact will be unique. Administrative Point of Contact First Name, Last Name Title Address Phone Number Email Address Billing Point of Contact First Name, Last Name Title Address Phone Number Email Address Technical Point of Contact First Name, Last Name Title Address Phone Number Email Address Security Point of Contact [recommended, see https://home.dotgov.gov/management/security-best-practices/#add-a-security- contact] Email Address Sincerely, [Signature] [Name] [Title] [Notary Public Section] Signed and sworn to (or affirmed) before me on [Date] Name of the Individual Making a Statement [First Name, Last Name] Signature of Notary Public My Commission Expires [Date] Notary Public Seal MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Frank Pinter DEPARTMENT: Support Services EXT: 530 BRIEFING DATE: 2/22/2021 PREVIOUS BRIEFING DATES: If this is a follow-up briefing, please provide only new information ITEM: Review proposed timeline for replacement hire of Support Services Director Background: The current Support Services Director noticed his retirement this year. The BOCC requested a proposed timeline for rehire of the position. 3/1 to 3/15 rewrite Job Description if necessary 3/1 to 4/1 Solicit Agency to post position if necessary 4/1 to 5/15 post position 5/15 to 6/1 Job Panel review— Select Hire — Hiree to give 2 to 4 weeks' notice 7/1 to 8/30 Work in tandem RECOMMENDED ACTION: Review proposed timeline, make modifications and approve a process to proceed going forward. Attachment: None Briefing Summary 2/16/2021 Gee Gorst Coalition GORST COALITION MEMORANDUM OF UNDERSTANDING This Memorandum of Understanding(MOU) is made and entered into by and between the undersigned parties to form the Gorst Coalition for the purposes and according to the procedures set forth herein.This MOU is not intended to be binding or enforceable but is established to provide a common framework and guide the efficient and effective goals of the Gorst Coalition. ARTICLE I: GENERAL Section 1:Coalition Formation and'Purpose The Gorst Coalition formed by this MOU is a group of public agencies, businesses, and community partners within Kitsap and Mason Counties that have an interest in the area,of Gorst and a desire to work cooperatively for the best interests for the citizens and ecosystem in Gorst.As,fd, h r explained in Article IV,this MOU does not create a separate entity or confer any additional substantivepowedor authorities on members. Each member brings to the Coalition all powers and authorities otherwise vestedy law. 4 The purpose of the Gorst Coalition is to find and secure statetand fecleial resources needed to construct the projects recommended strategies outlined by the members of the Coalition and Washington State Department of Transportation (WSDOT)for the SR3/SR16 Gorst corridor.The Coalitivn,,,recognizes the urgent need to address resiliency from sea level rise and seismic events, national security, congest on, and impacts to the ecosystem at Gorst and plans to build on previous partnership planning. The Coalition Wilkwork collaboratively with local businesses and governing bodies of state, local, and federal levels to ensure th6 safety, economic vitality,and mitigation of natural and cuitural°resources,while supporting national security and sustaining the mission of our military. n Section 2:Value of the Gorst Corridor and�t C eek,Ecosystem 1. Transportation and Emergency Ma`na>?ement Vai"ue The Gorst Corridor is the vital transportatbrt link for the movement of people,freight, and emergency supplies within Kitsap County and is the gateway to Mason,Jefferson and Clallam Counties.The Federal Highway Administration designated the SR 3/SR 16—Gorst Corridor as a "Critical Urban Freight Corridor" and it provides the only roadway link to strategic U.S. Naval facilities,which are vital not only to military readiness and national security, but to the regional economy.The area is identified by the Federal Emergency Management Agency (FEMA) as a chokepoint that can affect public safety and would be completely shut down in the event of a major earthquake or rising sea levels.With daily traffic volumes of 84,000 vehicles per day,the Corridor supports traffic levels similar to 1-5 south of Olympia and 1-90 east of Issaquah. Daily congestion impacts commuters,transit, and freight modes serving the region and Naval Base Kitsap. 2. Cultural Value The Corridor is also within the ancestral lands and waters of the Suquamish Tribe,where the Suquamish people once hunted deer and elk,fished for salmon and smelt, dug clams and collected vegetal foods for millennia and where they exercise their treaty right to harvest salmon in these waters as they have for thousands of years.The Corridor is also overlaid with ancestral Suquamish village sites, seasonal villages, ceremonial gathering places and settings for creation stories. 3. Ecological Value Gorst Coalition Memorandum of Understanding 1 The Corridor's primary natural features are the Gorst Creek watershed and the marine waters and shorelines of Sinclair Inlet.The Gorst Creek ecosystem, one of the largest and most productive watersheds in the east Water Resource Inventory Area (WRIA)-15 subregion,supports runs of chinook,coho, and chum salmon as well as steelhead and cutthroat trout.The Sinclair Inlet estuary supports waterfowl,shorebirds,great blue herons, bald eagles, and is an important rearing and refuge area for juvenile chinook salmon and formerly hosted a natural oyster bed. The importance of the Corridor in terms of resiliency, national security, congestion, cultural and ecosystem functions requires robust coordination on transportation planning and mitigation for past, present, and future impacts to the region. Section 3: Membership and Vacancies The undersigned entities form the voting membership of the Coalition Nrhether such entity signed the MOU upon formation or after.The Coalition embodies the five committees listed;under Section 4.The Coalition also includes "Resource Members" consisting of the Navy,Washington Statetegjsl tors; SDOT, and other state and federal agencies that provide expertise to the Coalition but do not have a finandakstake in the Coalition, nor do they direct lobbyists.These resource members are not signatories to this MOU and do,not vote. Nr Section 4: Structure and Decision Making Each Coalition member shall appoint a representative to serve on a committee as identified herein, but each member shall only have one vote on each decision-making committee.Should a representave be unable to fulfill his or her duties for the Coalition member,`t e h Coalition member will be responsible for appointing a new representative. y� , The roles, decision-making model, and members�of each committee is described below. 1. Co-Chair Committee: a. Role: Guides the coordination of the Coalition bymonitnring Coalition work plan progress and budget performance,teeing up decisions..f'the Executive Committee to make, and overseeing k administrative staff that could be a consultant or public agency staff(not lobbyist consultant). b. Decision-Ma king: By consensus. (see Figur' Decision Making by Consensus) c . °Meeting_Chair.:Leadership will be shared by having rotating Chairs facilitate the Co-Chair and Executive Committee meetings.The full Co-Chair group will have the opportunity to review all meeting materials. d *Membership: One representative each from the Port of Bremerton,the private sector,Senator Randall,, and fiduciary sponsor. 2. Executive Committee, a. Role: Coordinates on the'state and federal strategy, leverages resources and partners, provides guidance to the lobbyi t'Oversight Committee on public and legislative media/communications, oversees the Technical and Environmental Committees, and approves any spending of the Coalition's funds. b. Decision Making: By consensus of the voting membership. (see Figure 1: Decision Making by Consensus) c. Meeting Chair:The rotating Co-Chair as described above. d. Membership: Kitsap County, Mason County, City of Bremerton, City of Poulsbo, City of Port Orchard, Kitsap Transit,Suquamish Tribe, Port of Bremerton, Port of Kingston,WSDOT, and representatives of educational, recreational,community, business, and industry interests. 3. Lobbyist Oversight Committee Gorst Coalition Memorandum of Understanding 2 a. Role: Guides the coordination of the lobbyist(s) by overseeing their work plan progress and budget performance. b. Decision Making: By consensus of the voting membership. (see Figure 1: Decision Making by Consensus) c. Meeting Chair:TBD d. Membership:A subgroup of the Executive Committee based on interest, capacity, and ability to direct advocacy efforts. 4. Technical Advisory Committee a. Role: Coordinate on the technical components of Gorst projects and share updates and recommendations to the Executive Committee.This group can convene themselves without direction of the Executive Committee but may receive requests to address topics as needed. b. Decision Making: N/A,this groups provides recommendations. c. Meeting Chair: Rotating Chair from public agencies(excluding resource members).The Chair is responsible for scheduling the meetings, developing agendas,facilitating meetings,and providing meeting summaries. d. Membership:Suquamish Tribe, Port of Bremerton, City of Bremerton, City of Port Orchard, Kitsap County, Mason County, Dept. of Ecology,,Dept. of Fish and Wildlife,WSDOT. 5. Environmental Committee a. Role: Coordinate on the ecological components of Gorst projects and share updates and recommendations to the Executive Committee Thrs group can convene themselves without direction of the Executive Committee but may receiv requests to address topics as needed. b. Decision Making: N/A,this groups provides recommendations. c. Meeting Chair Rotating Chair from public agencies (exc(udiiigIresource members).The Chair is responsible for scheduling the meetings, developing agendasJhcilitating meetings, and providing meeting sumrna (e d. Membership Suguamish e, Kitsap County Public Works (KCPW)Stormwater, WSDOT, Dept. of Fish and Wildlife,The Waterman Group 6. Coalition Building Partners a. Role: Cultivate broad support and advo `for the project through various means as appropriate, including potentially pursuing a;grassroots fundraising model. Receive updates from the Executive Committee on decisions and milestones via quarterly emails. b. Decision Making: Not applicable ,Ih s is not a decision-making body. c. Membership:Jurisdictions,government agencies,Tribes, organizations and individuals from the private and public sectors. 7. Military Liaison a. Role: Provide Navy specific information to the Coalition. b. Decision Making: No decision-making authority. c. Membership: Naval Base Kitsap Gorst Coalition Memorandum of Understanding 3 Decision Making by Consensus: Gradients of Agreement Scale Consensus No Consensus Whole- Agreement Support More Don't Serious hearted with minor with Abstain discussion like but disagreement, Veto endorsement point of reservation needed will but won't veto concern support OGradients of Agreement Scale,Sam Kaner, Duane Berger, and staff at Community at Work, 1987 Figure 1:Decision Making by Consensus Gorst Coalition Organizational Chart Committee Lobbyist Oversight - E Committee Lobbyist .M. Consu taut. o' F. E: Figure 2: Gorst Coalition Organizational Chart Section 5: Fiduciary Responsibilities and Financing of Coalition The City of Bremerton will act as the fiduciary ag nVor the Coalition and will be responsible for coordinating and executing contracts on behalf of the Coalition and`for invoicing the paying members pursuant to this MOU.The City of Bremerton may resign from this position at any time or it may be re-assigned by the Co-Chair Committee as deemed appropriate. Coalition members will share the cost of the Coalition's budget through a tiered model in which members, regardless of public or private entity, aim to pay a certain minimum amount.Tiers will be determined by consensus based on economic,transportation, security, cultural, and ecological reliance on the Gorst Corridor. The annual target contributions are as follows: Tier 1: Parties most affected by Gorst—$20,000-450,000 annual contribution Tier 2: Parties affected by Gorst—$10,000-$20,000 annual contribution Tier 3: Parties affected by Gorst but with limited funding capacity—any amount Gorst Coalition Memorandum of Understanding 4 These payment amounts may be adjusted as deemed appropriate by the Co-Chair Committee,with actual amounts paid within the range determined by the paying member.All monies paid to or from the fiduciary agent shall be accounted for in accordance with RCW 43.09.210. Resource members including Legislators,WSDOT, and other state and federal agencies are not involved in the financing of the Coalition. The budget and work plan of the Coalition will be established annually based on expected contribution of the paying members,with the budget coinciding with the calendar year. Each September,the Co-Chair Committee will prepare a draft budget for review and approval by Executive Committee prior to the end of the fiscal year. ARTICLE II: OBJECTIVES AND WORK PR CTS Section 1: Objectives 1.1 The primary goal of the Coalition is to obtain funding.f 67 T to design and construct capacity, resiliency and redundancy improvements through the Gorst Corridor. 1.2 Work toward consensus whenever possible. 1.3 Work with the Washington State Legislature and U.S. Congress to p ioritlZ a and obtain funding for the Gorst Corridor. 1.4 Bring forth previous work done on the Corridor to advance progress. 1.5 Identify and gather resources ne ed to support funding and environmental, cultural, and economic mitigation. �y � 1.6 Review communication materials an draft.pIans. Section 2:Work Products 2.1 Administrative staff will produce meetingsummaries for,e86h;Coalition Executive Committee meeting. 2.2 The Executive Committee will approve an annual"workpland3budget. 2.3 The Executive Committee will approve a lobby t�scope of work and communication materials put forwardy`the,Lobbyist Oversight Committee. , 2.4 T e.Executive-C m:mittee will approve periodic updates to Coalition Partners about the work of the pp p P Coalition. 2.5 The;Technical Advisory Committee and Environmental Committee may produce memos or other resources to share informat ii uv th the Executive Committee. ARTICLE III: MEETINGS AND RECORDS Section 1: Meetings The Executive Committee shall meet o"n�a schedule determined by the Co-Chair Committee following coordination with the Executive Committee to select the date,time, and location of any meeting.Administrative staff will email Executive Committee members to confirm the time and location of the meeting and to provide any materials for that meeting. It is the responsibility of Executive Committee members to review summaries of any meetings they did not attend. Section 2: Public Participation in Meetings The Executive Committee meetings are open to the public and publicly noticed. Members of the public and Coalition members who do not serve on the Executive Committee may observe the meeting and provide public comment at the end of the meeting if desired. Section 3: Operating Protocols Gorst Coalition Memorandum of Understanding 5 Coalition members and their representatives will: 3.1 Use available and appropriate resources to accomplish Coalition objectives. 3.2 Participate regularly and on time. 3.3 Participate with positive communication and respect for the opinions of other members. 3.4 Represent their perspective. 3.5 Acknowledge any conflicts of interest. 3.6 Leverage resources and information. 3.7 Advocate for recommendations of the Coalition. 3.8 Bring institutional knowledge. 3.9 Act as a conduit of information between the Coalition and their cities or organizations. Section 4: Records The Coalition members acknowledge that to the extent public agencies are subject to the Washington State Public Records Act, chapter 42.56 RCW, all materials submitted to those public agencies may be subject to review and copying by the public unless an exemption applies. Section 5: Media Policy m Should Coalition members be contacted with inquiries`by the media regarding the Coalition, members should direct them to the hired lobbyist. � g ARTICLE IV:TERMINATION, INDEMNIFICATION, EFFECT O MOU,AND AMENDMENT Section 1: Effective Date and Termination ° This MOU is effective when signed-and shall remain in effect until terminated,by a majority of the Co-Chair Committee members.Any member amyterminate its membership in the Coalition by providing no less than 30 days written notice to the Co-Chair Committee of the desired termination date. Upon terminating its membership, a member forf4s;its membership dues to the Coalition. Upon termination of the MOU, without renewal or replacement of this MOU, or upon dissolution of the Coalition, any unencumbered Coalition funds shall be returned, pro rata,to its then current;paying membership based on a formula determined by the amount of contributions annually paid by each mem s-apptoved by the Co-Chair Committee,or based on a formula as otherwise established by the Co-Chair C mmittee. `" Section 2: Indemnification Each Party shall defend, indemnify and hold eac other harmless from any and all claims, demands, suits, actions, judgments, recoveries, liabilities, penalties, costs and expenses, including, but not limited to reasonable attorneys' fees, resulting from damage or bodily injury, including death,to the extent caused by a Party's breach of this MOU or the negligent actions or omissions of that Party, or its employees, agents, or officers,elected or appointed.The foregoing indemnity specially covers actions brought by the Party's own employees, and each Party agrees that the foregoing indemnity is specifically and expressly intended to constitute a waiver of immunity under Washington's Industrial Insurance Act, RCW Title 51, but only as to the Party entitled to indemnity and only to the extent necessary to provide a full and complete indemnity as required under this Section.The indemnification obligation provided in this section shall survive the expiration or earlier termination of this Agreement for the. duration of any applicable statute of limitations. Section 3: Effect of MOU This MOU is an internal agreement and does not confer any rights upon any individual or other entity.This MOU sets forth mutual goals and approaches.This MOU is not intended to create any rights, benefits, or other responsibilities, either substantive or procedural, nor is it enforceable as law or equity by a party against the U.S., its agencies, its officers,or any other person. Nothing in this MOU shall obligate members to expend other monies Gorst Coalition Memorandum of Understanding 6 or enter into any contract or other obligation. Nothing in the MOU shall be interpreted as limiting,superseding, or otherwise affecting the Parties' normal operations or decisions in carrying out their statutory or regulatory duties. This MOU does not limit or restrict members from participating in similar activities or arrangements with other agencies. SECTION 4:Amendment This MOU may be amended only in writing and only by agreement of all signing parties, except as set forth herein. Gorst Coalition Memorandum of Understanding V. Member Signatures Executed this_day of ,2021. CITY OF BREMERTON Approved as to form Bremerton City Attorney Greg Wheeler, Mayor Executed this_day of , 2021. _ CITY OF P—A TORCHARD Approved as to form Port Orchard City Attorney Robert Putaansuu, Mayor Executed this_day of 2021� CITY OF�POULSBO Approved as to form r'J Poulsbo City Attorney Becky'Erickson, Mayor Executed th►s;: day of �, _ Fr , 2021. PORT OF BREMERTON Approved as to form Port of Bremerton Attorney Cary Bozeman, President Executed this_day of , 2021. PORT OF KINGSTON Approved as to form Port of Kingston Attorney Greg Englin, Executive Director Gorst Coalition Memorandum of Understanding 8 Executed this_day of ,2021. KITSAP TRANSIT Approved as to form Kitsap Transit Attorney John Clauson, Executive Director Executed this_day of 2021. SUQUAMISH TRIBE Approved as to form Leonpe&F,orsman, Chairman p 9�3 - Executed this day of 2Q21 �U KITSAP COUNTY BOAT D'OF COMMISSIONERS CHARLOTTE GARRtbTComissioner " ROBERT GELDER, Commissioner ATTEST: '` y � EDWARD Dana Daniels, Clerk of the E. WOLFE Commissioner Board , Deputy Prosecuting Attorney Executed this_day of , 2021" Approved as to form Executed this_day of 2021. Approved as to form Executed this_day of , 2021. Gorst Coalition Memorandum of Understanding 9 Approved as to form Executed this_day of , 2021. Approved as to form Executed this_day of , 2021. Approved as to form Executed this_day of , 2021. Approved as to form Executed this_day of , 2021. Approved as to form x Executed this ay of , 2021. .,� Approved as to form A � Executed this_day of ,2021. Approved as to form Executed this_day of , 2021. Gorst Coalition Memorandum of Understanding 10 Approved as to form Executed this_day of ,2021. Approved as to form Executed this_day of , 2021. Approved as to form Executed this_day of , 2021. bar Approved as to form ` Executed this_day of , 2021. :� Approved as to forrrs� ` Executed this_t day of , 2021. Approved as to form k 3 �r Executed this_day of , 2021. Approved as to form Gorst Coalition Memorandum of Understanding 11 February 3, 2021 City of Shelton ATTN: Council 525 W. Cota St. Shelton,WA 98584 Dear Councilmembers, Recently, Mason County's Housing and Behavioral Health Advisory Board recommended the Board of County Commissioners provide a letter of support for the workforce housing development project under consideration by City Council. Providing access to safe, affordable housing is a priority for the commission and we are encouraged to see the City developing partnerships to bring opportunities to our community.While there is still much work to be done from a planning perspective,we are supportive of your continued work with Equity Plus and others who want to invest in Mason County. The benefits to housing workers and families in our community are many and will lead to a stronger tax base, stabilized utility rates and increased opportunities for people to invest in Shelton and Mason County for years to come. It also aligns with our previous support for workforce housing, and community development projects including the siting of the new Shelton YMCA.We see benefits for increased housing availability across the spectrum and working with the City on the long-term affordability of these units as well as requirements of the federal tax credits the developer responsibilities. Our support for this initial phase of the planning process also comes with a request to strengthen our partnership when evaluating development in the Shelton Urban Growth Area (UGA).We have heard the concerns of residents who live in the unincorporated portion of the UGA and share their concerns related to traffic and environmental impacts, particularly around Island Lake,which has seen increased traffic flows in recent years.We hope as the discussion continues,the County is included in planning for any mitigation the development would require.Though County residents outside City limits will not have a vote on this matter,we want to be sure future needs and impacts are considered and to be part of developing solutions. Finally,we look forward to learning more about this and other projects designed to bring housing,jobs and opportunity to our community and appreciate your work in this area. Kindest regards, MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Casey Bingham DEPARTMENT: Public Health EXT: 562 BRIEFING DATE: o21TT/aM PREVIOUS BRIEFING DATES: If this is a follow-up briefing, please provide only new information ITEM: Consolidated Contract CLH18253 Amendment 19 Amends Statement of Work for: 1. COVID-19 Coordinated Response: Extends the period of performance to 06/30/2021 and provides additional funding of 189,582 for Covid Case management and tracing. 2. Division of Emergency Preparedness &Response: Added Report Dates 3. ELC COVID-19i Extended Period from 12/31/2020 to 12/31/2021. 4. Emergency Preparedness &Response COVID-19 Local Cares: Extends performance period to 7/31/2021. 5. Foundational Public Health Services: Extends Service Period to 6/30/2021 6. Injury and Violence Prevention: Extends Service Period to 8/31/2021 7. On-site septic system local management plan Implementation: Extends Service Period to 6/30/2021 and adds 30,000 in funding. 8. Recreational Shellfish Activities: Extends Service Period to 6/30/2021 and adds 1,750 in funding. BUDGET IMPACTS: This increasing Amendment provides an increase of$189,582 in unbudgeted revenue the other 31,750 was budgeted in the 2021 budget to support Public Health's ongoing programs. RECOMMENDED OR REQUESTED ACTION: Move Amendment 19 CLH18253 Consolidated Contract to the Action Agenda. Briefmg Summary 2/10/2021, MASON COUNTY PUBLIC HEALTH 2018-2021 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH18253 AMENDMENT NUMBER: 19 PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as"DOH",and MASON COUNTY PUBLIC HEALTH,a Local Health Jurisdiction,hereinafter referred to as"LHJ",pursuant to the Modifications/Waivers clause,and to make necessary changes 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: • COVID-19 Coordinated Response-Effective July 1,2020 • Division of Emergency Preparedness&Response COVID-19-Effective January 20,2020 • ELC COVID-19-Effective June 1,2020 • Emergency Preparedness&Response COVED-19 Local CARES-Effective March 1,2020 • Foundational Public Health Services(FPHS)-Effective July 1,2019 • Injury&Violence Prevention(IVP)Overdose Data to Action-Effective September 1,2020 • OSS LMP Implementation-Effective July 1,2019 • Recreational Shellfish Activities-Effective July 1,2019 ❑ Deletes Statements of Work for the following programs: 2. Exhibit B-19 Allocations,attached and incorporated by this reference,amends and replaces Exhibit B-18 Allocations as follows: ® Increase of$221,332 for a revised maximum consideration of$3,874,044. ❑ 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-15 Schedule of Federal Awards,attached and incorporated by this reference,amends and replaces Exhibit C-14. 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 39 AMENDMENT#19 2018-2021 CONSOLIDATED CONTRACT EXHIBIT A STATEMENTS OF WORK TABLE OF CONTENTS DOH Program Name or Title: COVID-19 Coordinated Response-Effective July 1, 2020.............................................................................................................. 3 DOH Program Name or Title: Division of Emergency Preparedness&Response-COVID-19-Effective January 20,2020......................................................... 12 DOH Program Name or Title: ELC COVID-19-Effective June 1,2020 ........................................................................................................................................22 DOH Program Name or Title: Emergency Preparedness&Response COVID-19 Local CARES-Effective March 1,2020 ........................................................24 DOH Program Name or Title: Foundational Public Health Services(FPHS)-Effective July 1,2019............................................................................................27 DOH Program Name or Title: Injury&Violence Prevention(IVP)-Overdose Data to Action-Effective September 1,2020.......................................................32 DOH Program Name or Title: OSS IMP Implementation-Effective July 1,2019.........................................................................................................................35 DOH Program Name or Title: Recreational Shellfish Activities-Effective July 1,2019................................................................................................................38 Exhibit A,Statements of Work Page 2 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: COVID-19 Coordinated Response- Local Health Jurisdiction Name: Mason County Public Health Effective July 1,2020 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment ®Federal Subrecipient (check if applicable) ®Reimbursement ® State ®FFATA(Transparency Act) ❑Fixed Price Period of Performance: July 1,2020 through June 30,2021 ❑ Other ❑Research&Development Statement of Work Purpose: The purpose of this statement of work is to provide supplemental funding for the LHJ to ensure adequate culturally and linguistically responsive testing,investigation and contact tracing resources to limit the spread of COVID-19. Revision Purpose: The purpose of this revision is to change the DOH Program Name or Title from"Disease Control&Health Statistics BITV Cl/CT COVID-19-Effective July 1,2020"to"COVID-19 Coordinated Response-Effective July 1,2020";extend the period of performance from December 30,2020 to June 30,2021;replace FEMA-75 COVID LHJ ALLOCATION funds with BITV-COVID ED LHJ ALLOCATION-CARES funds;add and revise language for Tasks 1 and 2 and add FFY21 COVID GFS LHJ Regional funding allocation,and add Task 3 and funding for COV D-19 Vaccine Services. 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 BITV-COVID ED LHJ ALLOCATION-CARES 21.019 333.21.01 1897129V 07/01/20 12/30/21 87,918 263,754 351,672 FEMA-75 COVID LHJ ALLOCATION 97.036 333.97.03 1897129W 07/01/20 12/30/20 263,754 -263,754 0 FFY21 COVID19 VACCINE SERVICES-CARES 93.268 333.96.26 74310209 07/01/20 06/30/21 0 14,582 14,582 FFY21 COVID GFS LHJ REGIONAL I N/A 334.04.92 1897211G 12/31/20 06/30/21 0 175,000 175,000 TOTALS 351.672 189,582 541-254 Payment Task *May Support.PHAB Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or Amount Participate in public health emergency preparedness and response activities for COiI7D-19. This may include surveillance, epidemiology, laboratory capacity, infection control, mitigation, communications and or other preparedness and response activities for COVID-19. Examples of key activities inchrde: • Incident management for the response • Testing • Case Investigation/Contact Tracing • Sustainable isolation and quarantine • Care coordination • Surge management • Data reporting Exhibit A,Statements of Work Page 3 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Task *May Support'PHAB Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or Amount Previous funding provided by DO11 for•COVID response(federal Crisis Cooperative Agreement funding, state Disaster Recovery Account funding)must be fidly utilised before these funds can be accessed. The total state funding consideration is for the period of December 31, 2020 through June 30, 2021. NOTE: The purpose of this agreement is to supplement existing funds for local health jurisdictions to carry out surveillance, epidemiology, case investigations&contact tracing, laboratory capacity, infection control, mitigation, communications, community engagement, and other public health preparedness and response activities for COVID-19. DCHS COVID-I9 Response- Tasks.1 and 2 1 Establish a budget plan and narrative to be submitted to the Submit the budget plan Within 30 days of Reimbursement of Department of Health(DOH)Contract Manager. DOH will and narrative using the receiving#hi$anv new actual costs send the`Budget narrative Template",`Budget Guidance" template provided. award for DCHS incurred,not to and any other applicable documents that may be identified. COVID-19 Response exceed: tasks. T/' s&deniew r .r inchAdes FzAM fi.,,6i ft.. aFt..� $351,672 BITV- �Y ./ tr' n n . . n r a. �.r COVID ED LHJ .r---ese eest-l -s le e ide!e use re �`-- - -,�,-- - - - .-r n,...yide the �.ed r ALLOCATION- .....,... a..,..................... a ,,,,,: q.,. i1 CARES Funding en andUnielinefie;p;-evidhig ihese will be sh ea r cr.AM (M118971291) ;wimrmwefnew i,epe4h7g. nOT . T epwpese of th&agreonent ./e ,t $175,000FFY21 COVID GFS LHJ REGIONAL swvelganee' Funding an (MI other- (MI 1897211 G) rOjgD iA aMvNesmay no!be displaced by thesefiinds an feder-ab,s�ate OF loealfwids nor any OHS OP cvm;iitiiieiits iiiadi a befvTe,4 iigus t 3.1 j i0-0r DOH does recognize the public health response goes beyond December 2020 and authorizes local health jurisdictions the ability to maximize funding streams available to them by using short term funding first to have longer term funding available to continue to support the local health jurisdiction response activities beyond December 2020 as applicable. Exhibit A,Statements of Work Page 4 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Task *May Support PHAB Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or Amount 2 1) LHJ Active monitoring activities.In partnership with Data collected and Enter performance WA DOH,the LHJ must ensure adequate culturally and reported into DOH metrics daily into DOH linguistically responsive testing,investigation and systems daily. identified systems contact tracing resources to limit the spread disease. LHJs must conduct the following activities in accordance with the guidance to be provided by DOH. a. Allocate enough funding to ensure the following r., ?d4?g nnw b, fl!si twteted ewaFds Contact Enter all contact tracing Quarterly performance Tracing and Case Investigation Support: data in CREST cis reporting updates i. Contact tracing a••^et4bfollowing 1. Strive to maintain the capacity to surge a guidance from DOH. minimum of eight(S)five(5)contact tracers for every 100,000 people in the jurisdiction,as needed,based on disease rates.DOH centralized investigations may vvill count towards this minimum.sheet- beyend the eighs ion . . Inn nnn 12TE._ 2. Have staff that reflect the demographic makeup of the jurisdiction and who can provide culturally and linguistically competent and responsive services.In addition,or alternatively,enter into an agreement(s)with community-based and culturally-specific organizations to provide such services.DOH centralized investigations mqywill count towards this minimum. pe;- tnn n� nE- 3. Ensure all contact tracing staff are trained in accordance with DOH investigative guidelines and data entry protocols. 4. Follow up with 9-5y6 90%of contacts within 24 heurs flvo(2)days ofpositive lab reporting. This can be modified and adapted based on caseloads and current case investigation and contact tracing prioritization recommendations. Exhibit A,Statements of Work Page 5 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Payment Task Task/Activity/Description *May Support-PHAB' Deliverables/Outcomes Due Date/Time Frame Information and/or Number Standards/Measures Amount -bweied by nnra-Strive to achieve DOH Case and Contact Tracing Metrics. (https://www.doh.wa.gov/Portals/I/Documents /I6001coronavirus/data-tables/COVIDI9- Caselnvest i�-ati onContraciTracingReport.,2& 6. Perform daily monitoring for symptoms during quarantine period of contacts ii. Case investigation 1. Strive to maintain the capacity to surge a Enter all case minimum of five(5)case investigators and investigation data in contact tracers for every 100,000 people in WDRS ~ d by the jurisdiction, as needed, based on following guidance from disease rates.DOH centralized DOH. investigation will count toward this minimum. 2. Enter all case investigation and outbreak data in WDRS following DOH guidance. a) Strive to enter all case investigation and outbreak data into WD CREST as directed by DOH. b) Ensure all staff designated to utilize WDRS have access and are trained in the system. c) Include if new positive cases are tied to a known existing positive case or indicate community spread. d) Conduct case investigation and monitor outbreaks. e) Strive to achieve DOH Case and Contact Tracing Metrics. (httns:Avww.doh.wa.gov/Portals/1/Docunients /16001coi•onavirus/data-tables/COVIDI9- CaselnvestigationContraciTi•acingReport.pdfl b. Testing L Work with partners to ensure testing is Maintain a current list of available to every person within the entities providing jurisdiction meeting current DOH criteria for COVID-19 testing and at testing and other local testing needs. what volume.Provide reports to DOH Contract Exhibit A,Statements of Work Page 6 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Task *May.Support PHAS Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or Amount ii. Work with partners to ensure testing is manager on testing provided in a culturally and linguistically locations and volume as responsive manner with an emphasis on requested. making testing available to disproportionately impacted communities and as a part of the jurisdiction's contact tracing strategy. iii. Maintain a current list of entities providing COVED-19 testing and at what volume. Provide reports to DOH on testing locations and volume as requested. c. Surveillance i. Ensure all COVID positive lab test results are entered in to WDRS by 1)entering data directly in to WDRS, 2)sending test results to DON to enter, or 3)working with DOH and entities conducting tests to implement an electronic method for test result submission. iL Maintain records of all COVID negative lab test results and enter into TVDRS when resources permit or send test results to DOH. d. Tribal Support. Ensure alignment of contact tracing Quarterly performance and support for patients and family by coordinating updates related to with local tribes if a patient identified as American culturally and linguistic Indian/Alaska Native and/or a member of a WA competency and tribe,if patient providers permission to notify tribes. responsiveness,tribal support,infection e. Support Infection Prevention and control for high- prevention and control for risk populations high-risk populations, i. Migrant and seasonal farmworker support. community education and Partner with farmers,agriculture sector and regional active monitoring farmworker service organizations to develop activities. Performance and execute plans for testing,quarantine and update should include isolation,and social service needs for migrant status of all projects and seasonal farmworkers. listed. ii. Congregate care facilities: In collaboration with the state licensing agency(DSHS), support infection prevention assessments, testing.Infection control and isolation and quarantine protocols in congregate care facilities. Exhibit A,Statements of Work Page 7 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Task *May Support PHA.B Payment Number Task/Activity/Description 5tandards/Measures . Deliverables/Outcomes Due Date/Time Frame Information and/or Amount iii. High risk businesses or community-based operations. In collaboration with state licensing agencies and Labor and Industries, partner with food processing and manufacturing businesses to ensure adequate practices to prevent COVID-19 exposure, conduct testing and respond to outbreaks. "b� d' '.J 1 tvid R T. ..7le pep .1..d Healthcare:Support infection prevention and control assessments, testing, cohorting, and isolation procedures.Provide educational resources to a variety of healthcare setting types(e.g., nursing homes, hospitals, dental, dialysis). Non-healthcare settings that house vulnerable populations:In collaboration with state corrections agency(DOC)and other state partners,support testing, infection control, isolation and quarantine and social services and wraparound supports for individuals living or temporarily residing in congregate living settings, including detention centers, prisons,jails, transition housing, homeless shelters, and other vulnerable populations. Schools:In collaboration with OSPI and local health jurisdictions, support infection prevention and control and outbreak response in K-12 and university school settings f. Community education. Work with partners to provide culturally and linguistically responsive community outreach and education related to COVID-19. g. n T t r f v ikkies. r,,. fltW-u? at, rn1 n011 tt e LH r ...t, ,.-1, '�T ether LAW t) ,,.t.,...,U..l,.,,..,tA..,T„ srzrrt-i�sr�c� •..h:� _ _ Exhibit A,Statements of Work Page 8 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Task *May Support PHAB Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or Amount suff_ .,epidemielegie and state eapaeity,+,ee der.. r i njitsteL9n6h1ej.the!Il v ,.iiyisies in r DOAfi rmuw ieeninninieatienan?eng r fiV ri. r l _d shaiv a ivgienal data ,.l +4y aniepg T I-lA wid with WA DOT` T-I W. t l.l' h T T/lT l..F. •.k44?,epiden4el,gie _d eapaeity,need9fei=A, iwgien iv. of 1en?ew T fO l as iieeded Establish sustainable isolation and quarantine Quarterly performance measures. updates to include name, L Have at least one(1)location identified and address and capacity of confrrrned through contract/fornial agreement identified location that that can support isolation and quarantine can support isolation and adequate to the population for your quarantine, date of jurisdiction with the ability to expand,' exercise to be conducted alternatively, establish with an adjacent and confirmation of jurisdiction a formal agreement to provide the appropriate planning and isolation and quarantine capacity adequate to coordination as required the population for your jurisdiction with the ability to expand ii. Conduct at least one(1)exercise per year with the identified isolation and quarantine site to include a minimum of confirmation of-wrap around services(food service/delivery, laundiy service,water/septic,garbage, ambulance service, cleaning/sanitation),facility intalce and discharge procedures, transport procedures, and staffing. iii. Planning must incorporate transfer or receipt of isolation and quarantine patients to from adjacent jurisdictions or state•facilities in the event of localized increased need. iv. Planning must incorporate triggers and coordination to request state isolation and quarantine support either through mobile learns or the state facility to include site identification and access Exhibit A,Statements of Work Page 9 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Task *May Support PHAB Payment Number Task/Activity/Description Standards/Measures : Deliverables/Outcomes Due Date/Time Frame Information and/or Amount COVID-19 Vaccine Services- Task 3 3.A Identify activity/activities to support COVID vaccine Summary of the January 31, 2021 Reimbursement of response in your community, using the examples below as a engagement strategies to actual costs guideline. be used with health care incurred, not to Example 1:Develop and implement communication providers and other exceed: strategies with health care providers, community, and/or partners, and the locally other partners to help build vaccine confidence broadly and identified population to be $14,582 FFY21 among groups anticipated to receive early vaccination, as reached. COVIDI9 well as dispel vaccine misinformation. Document and VACCINE provide a plan that shows the communication strategies SERT17CES-CARES used with health care providers and other partners and the (MI 74310209) locally idenifedpopulation anticipated to reach. Example 2:Engage in other vaccination planning activities such as partnership development,provider education, vaccination point of dispensing(POD)planning, tabletop exercises, engagement with communities, leaders, non- traditional provider, or vulnerable populations to develop strategies to ensure equitable access to vaccination services 3.B Implement the communication strategies or other activities, Mid-term written report March 31. 2021 working with health care providers and other partners to describing reach the locally identified population, support providers in activity/activities and vaccination plans, and support equitable access to progress made to-date vaccination services. and strategies used (tea late to beprovided) 3.0 Catalog activities and conduct an evaluation of the Final written report, June 30, 2021 strategies used showing the strategies used and the final progress of the reach tea late to beprovided) *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 app ly can be found at: http•//www Rhaboard org/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.ndf Special Requirements Exhibit A,Statements of Work Page 10 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Federal Funding 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 Specific Requirements/Narrative Restrictions on Funds:Indirects are NOT allowable for CARES funding from September 2,2020 forward—LHJ can charge administrative activities as direct costs but not incur indirects f►•om September 2, 2020 through December 30, 2020 for activities f inded with CARES funds(COi,ID LOCAL CARES-COVID LIIJ OFMALLOCATION-C.i IRE,S, BITV-COVID ED LHJALLOCATION-CARES, FEMA-75 COT"ID LHJ ALLOCATION) o Since the federal guidance was not updated until September•2, 2020,DOH understands that indirects could be charged from March August, 2020. Payment: Upon approval of deliverables and receipt of an invoice voucher,DOH will reimburse for actual allowable costs incurred. Billings for services on a monthly fraction of the budget will not be accepted or approved. Submission of Invoice Vouchers: The LHJ shall submit correct monthly A19-IA invoice vouchers for amounts billable under this statement of work to DOH by the 25th of the following.month or on a frequency no less often than quarterly. DOH Program Contact DOM F;.eal Contact ear►., n G u e. A.f efKasey i'Valke► 811mmer ru.. ", DOH,r,.,,.,,,..ieabr nr..eas r,orPHOCIS 1610 NE 1501 St,Shoreline,WA 98155 on n 47840, 7f? 0 nr,..,,,; rn4 98504 7-841 21,.206 48 C/S7/ a^t Icasev.walkeY:@doh.wa.JZOv Ph.- 2-36 96X-fflf. 60 664 -2-2i-ic...,...pi-R Tv,.....ga, , DOHBITV-COVID ED LHJAllocation-CARES Fiscal Contact(Tasks I and 2) Sheri Spezze DOH, Office of Program Financial Management PO Box 47840, Olympia, WA 98504-7841 Ph: 360-236-4447/Fax:360-664-22161shei-i.Mezzeoa_doh.wagov DOH GFS Allocation Fiscal Contact(Tasks I and 2) Christie Durkin DOH, Office of Program Financial Management PO Box 47840, Olympia, WA 98504-7841 Ph:360-236-4235/christie.duirlcinndoh.iva.gov DOH COVIDI9 Vaccine Services Program Contacts(Task 3) Tawney Harper,MPA Misty Ellis, Project Manager Sonja Alorris, Program Manager Deputy Director I Operations Manager CDC Public Health Advisor Enhanced Influenza and COVID-19 Response Office of Immunization and Child Profile Office of Immunization and Child Profile Office of Immunization and Child Profile Department of Health Department of Health Department of Health PO Box 47843, Olympia TVA 98504-7843 PO Box 47843, Olympia WA 98504-7843 PO Box 47843, Olympia, WA 98504-7843 tmvney.harperQadoh.wa.gov1360-236-3525 mis, .elliss,doh.wa.go_v1360-236-3675 sonia.morris(a_doh.wa..Qov/360-236-3545 Exhibit A,Statements of Work Page 11 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: Division of Emergency Preparedness&Response- Local Health Jurisdiction Name: Mason County Public Health COVID-19-Effective January 20,2020 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 20,2020 through June 30,2021 ® State ®FFATA(Transparency Act) ®One-Time ❑Other Distribution ❑Research&Development Statement of Work Purpose: The purpose of this statement of work is to establish funding and tasks for LHJs to prevent,prepare for,and respond to the COVID-19 disease outbreak. Revision Purpose: The purpose of this revision is to extend the period of performance from December 31,2020 to June 30,2021 and extend funding periods and add report deliverable due dates for 2021. Chart of Accounts Program Name or Title CFDA# BARS Master Funding-Period Current Change Total Revenue Index (LHJ Use Only) Consideration None Consideration Code Code Start Date End Date FFY20 CDC COVID-19 Crisis Resp LHJ-Tribe 93.354 333.93.35 31104102 01/20/20 03/15/21 130,871 0 130,871 FY20/21 COVID-19 Disaster Response N/A 334.04.92 934A0101 01/20/20 1 06/30/21 119,129 0 119,129 TOTALS 250,000 0 250,000 Task Task/Activity/Description *May"Support PHAB Deliverables/Outcomes Due Date/Time Payment Information Number Standards/Measures Frame and/or Amount 1 Federal Funds Activity report(s)on template June 30,2020 Reimbursement for actual Participate in public health emergency preparedness to be provided DOH. December 31,2020 costs not to exceed total and response activities for COVID-19.This may March 15, 2021 funding consideration include surveillance,epidemiology,laboratory amount capacity,infection control,mitigation, Frequency and due communications,and or other preparedness and dates of reports may Note:Per Federal response activities for COVID-19. change based on funding requirements, federal requirements. prior approval from Activities must address one or more of the following DOH will notify LHJ DOH is required for six domains: of any changes via reimbursement of • Incident management for early crisis email. expenses incurred on or response after January 20,2020 • Jurisdictional recovery A final activity report through March 4,2020. • Information management is required prior to • Countermeasures and mitigation DOH releasing the Exhibit A,Statements of Work Page 12 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Task *May:Support PHAB Due Date/Time Payment Information Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Frame and/or Amount • Surge management final amount of After approval is • Biosurveillance funding. received from DOH, LHJ must submit a DOH will provide additional guidance and technical separate invoice for assistance. reimbursement of these expenses. Note:The total federal funding consideration is for the period of January 20,2020 through March 30 15, 2021 _i "r &..t d as i and a 1:,,, -abl,....,:,i 6hie dales Oei-Deeeinber.31, 2020..,;n r,,. :."ehtded 2 State Funds Activity report(s)on template July 15,2020 LHJ has already received Participate in public health emergency preparedness to be provided DOH. October 15,2020 these funds as a one-time and response activities for COVID-19.This may Janilary 15, 2021 distribution. include surveillance,epidemiology,laboratory April 15, 2021 capacity,infection control,mitigation, June 30, 2021 communications,and or other preparedness and response activities for COVID-19. Activities must address one or more of the following six domains: • Incident management for early crisis response • Jurisdictional recovery • Information management • Countermeasures and mitigation • Surge management • Biosurveillance DOH will provide additional guidance and technical assistance. Note:The total state funding consideration is for the period of January 20,2020 through June 30,2021. 1f Exhibit A,Statements of Work Page 13 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 *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/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.O.Rdf Program Specific Requirements/Narrative Any subco_ntract/s must be approved by DOH prior to executing the contracts. Deliverables are to be submitted to the ConCon deliverables-mailbox at concondeliverables(),doh.wa.gov Special Requirements Federal Funding 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 perfonn 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 USASpendinggov by DOH as required by P.L. 109-282. Restrictions on Funds(what funds can be used for which activities,not direct payments,etc) Please reference the Code of Federal Regulations: https•//www ecfr gov/c i bin/retrieveECFR?gp=1&SID=58ffddb5363a27f26e9d12ccec462549&ty=HTML&li=L&mc=true&r=PART&n=pt2.1.200#se2.1.200 1439 Allowable Activities-See list of allowable activities below,Appendix 2 from COVID-19 Crisis Response Cooperative Agreement—Components A and B Supplemental Funding, Interim Guidance,March 15,2020. Costs that are NOT allowable • Facility purchases—May be if prior approval received from the feds and state. Send those requests to Amy.Ferris a,doh.wa.gov • Research • Clinical care except as provided for individuals while under state or federal quarantine and isolation orders that are not eligible for payment by another source. • Publicity and propaganda(lobbying): • Other than for normal and recognized executive-legislative relationships,no funds may be used for: o publicity or propaganda purposes,for the preparation,distribution,or use of any material designed to support or defeat the enactment of legislation before any legislative body o the salary or expenses of any grant or contract recipient,or agent acting for such recipient,related to any activity designed to influence the enactment of legislation, appropriations,regulation,administrative action,or Executive order proposed or pending before any legislative body o See Additional Requirement(AR) 12 for detailed guidance on this prohibition and additional guidance on lobbying for CDC recipients: https://www.cdc.gov/grants/doctiments/Aiiti-Lobbying Restrictions for CDC Grantees July 2012.pdf • Funds cannot be used to supplant existing federal funds awarded by other federal sources • Funds cannot be used to match funding on other federal awards. DOH Program Contact Tory Henderson,Contracts&Finance Specialist Department of Health P O Box 47960,Olympia,WA 98504-7960 360-236-4596/torv.henderson@doh.wa.gov Exhibit A,Statements of Work Page 14 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Appendix Z, AlTowalbIQ ACtivit-f es Incident rAanagement Emergency Operations Examples of allowable•activities. for Early-crests Fte:sponse and Goordinatlon o conduct jurlsdlctlonal,CIDVID-39 risk assessment. • Identify and priarltfze risk-road uctiVn strategies acid risk.-mutigatlon effeirts In coordination with community partners and stakeholders. .• ImpJernent public health actiocns,designed to mitigate risks in.accordance with CDC: guidance_ o implement pul_ilrc:health response plans leased an CDC covID-to preparedness and Response Planning Guidance for State,Local,Terrltarlat. and Tribal•public Health Agencies. o Provide.technrcal asslstanceata local and tribal health dep-artments on development of covlD-15 response plans and respond to,requests for public health assistance. Activate the jurisdirtfon's emergency operations center(EciG)at a level appropriate to meet the needs ofthe response. Staff the EOC with the numbers-and skills necessary to support the r-spon5e, assure worker safety, and ronfinually monitor absenteeism, + use established sysitems to ensure continurty of operations (COOP)and Implement'COOP plans as needed.. o Establish call centers or other communication capacity,for rriforn'bation sharing,-public information,.and directing residents to aveflable resour-ces. ,7 Activate emriergency:h tri ng auth fad riti es and expedited contra ctt ng p,ro0esses. ,.assess the jurlsdicuon's.publle health and healthcare system training needs. i Provide materials and facilitate training designed to imprcove the jurisdiction's puhli- health and healthcare system response.Focus on infection prevention and control strategies and tmpl'ementation/triggers Tor crfsis,/cantingency sta.ndarcis of Care_ z Irriplernent procedures to notify rerevant personnel and pa:rtielpate in CDC-naitiorkar calls and Clinician Outreach and Cornmunication Activity,(COCA:)c311s. o Ensure plans and jurisdictional response actions rineorporate the late-st CDC g+uldanee and direction. VI Responder Safety and Examples of allowable activities, Health 0 Assure the health and safety of the jurisdiction's workforce,including but clot limited to irnprementatiorn of staff resil.ienW programs,occup;}tlanar'heaft h/rsafety programs,arld responder merutal health support-'L 7eterminegaips.and implement corrective ar-tions. a Implement personal protectrve egjucpment,[PPE)-sparing strategfea.for public health/hoalt:hawo zystDrn workforc42 in accar•danc-a wiiih rodoarmii guidalinom. a Develop an,occupatronal safety acnd health strike team to ensure workers are protected. frnpEement,corrective,ar-trons,and gather lessons learned_ o Establish-a team of communicators wh,D Cali Interpret CDC guidance and assist wfth rrit•prementation of worker safety and health strategies. C. Create ytoois to assist and anticipate supply chain shortages,track PPE Inventory. 1j Develop PPE strategies•conslstentw.ith cCDc guidance for hospitals,outpatient chnlcs.long- term care-facilities,and other heiiplkh facilitfes;+aw 7%with suppliers and ooalitions to develop statewide plans for caching or redistributing/sharing.This strategy should be integrated with health care coalltdons•'system plans for purcliasing, caching,and distributing PPE and accessrcigr. the 5trataEoc Mationni Stockplfe_ c, Purchase required PPE[if availmlale)_ Exhibit A,Statements of Work Page 15 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 a Identification,of Examples of allowamleactivities: vulnerable populations o Implement mitigation strategies for populations at risikfor morbidtty, m017t3lity,and Other adverse outcomes. Update response and recovery plans to Include pOp4ilatlons at risk. v enitlst other governmental and nongovernmental programs that.can be leveraged to provide social services and ensurethat patients with c-OVID-13 virus(or at risk of exposure) receive proper information to connect them with available social services. c, (Leverage so,Oat services and behavioral health within the community,including the Administration for Children and Families(.AC:F)and Health Resources and;services AdminlstratiOn CHRSA). , Conduct rmpid assessment(e.g_,focus araups)of concerns and needs of the community miabed to prevention. o Identify gaps and implement strategies that encourage risk-reduction behaviors. Jurisdictional Recovery Jurisdictional Recovery Examples of allowable activities: C Recovery efforts to restoree to pre-event functioning. o conduct a hot wash/after action review and develop an improvement plan. Exhibit A,Statements of Work Page 16 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 I Information Information Sharing Examples of allowable activities: Mana.geni-tent a Ensure informa.tidn sharing an-long public health staff, healthcare personnel,.airport entry scm_enirng personnel,emergency amedical services,(EM-5) providers,and the public. 0 Develop,coordinate,an.d.disseam:iriate information,,alerts,warnings,and rnot6ficatioma ra;g,arding risks and self-pratectiwa•nncasures to tho public, particularlytiwrith at-rlsk and vulnerable popurationm•and incident management responders._ U Develop new systems or utilize existl.ngsystem.s to rapidly report public health data. r, Develop com:rmunity messages that are accurate,timely, and reach at-risk populations Emergency Public Examples of ellawable activities: Information and Warning o Ensure nedundant,ptatforrns are in place for pushing out.messages t.o tha publfe and the and Risk C.ommurilestion healthcare sector regarding risks to the public,risk of transmission,and protective Mc-aSu Tes. Work with health curnmuniGatars and educators on risk communications efforts desiened to prevent the spread of OOVID-19'vlruls. C. Updato scripts far jurisdictional-call,centers wv.ith spacif8c covID-19 massaging(alarts, warnings, and notifieati•onm)_ V Evaluate COVID-19 messagl:ng and other communication materials and, based ornfeedback from target audiences,revJse messages and materials as needed. . conduct rapid assassmant(s•.g., focus graups)of-oxistine massaging and co.t,rtmun:ications activities(e.g,, web-based,social media) related to COVID-19 prevention. Monitor local news stories•arnd social media:postings•to determine if information is acca,rata,I'd®ntif>r massaging gaps,and adjust communications as n a,adad. 'Z. Carntract vial local vendors for tranzlation has necrmsoryj, printing.signage,and audlovisuaf/publrc service.anrnou,n•oement-developm:ent and disse.mrrnatiom v Identify gaps and develop culturally appropriate risk messages for at-risk poputatlons Including mess.agestKa'tfocus on risk-reduction behaviors. c, Develop a COVID-19-specirdc rne9ia relations,strategy,i'nclucring Identification of key s okes ea I'e atnd an approach foir regular media outreach_ Exhibit A,Statements of Work Page 17 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 . 71 c. ,coordinate comm messages,products,anrd programs.witth key partners and stakeholders to harmonize response messaging. 0 Clearly communicate steps that health care providers should take if they suspect a patient has COVID-19-virus infection ¢e.:g., diagnostic tes:tirng, clinical guidance). Counternmeaserre+s and Nonpharmareutical Examples o9'allo-wabla activities: Mitigation Interventions C. Devellop plans and t0grers•11or the implementation of community interventions, including: + Activating eimergency oper ation.s plans for schools, higher educatlgn,and mass gatherings.;, Ensuring that community,faith-lased,and business organizations acre prepared to support Interventions to prevent spread;and s Integrating.Er,torvantions ralotod to social',sarvican pra•vid-am,,crim:inal Dustico systems,lnarxnele:ss persons,and other vulnerable populations and at-ris'le populations. .a rv.nticipata disruptinn caused by cam rnunity spread and rnterventians to prevent further spread_ • Planning for school dEsmissal including continuLty.of educstron and other school- based services{e.g., meals); Ensuring systems are active W provide guidance on closure of lausinesses, government offices,.and sacia'1 services agencies] • Ensuring systems are in place To morfitdr social disruption(e-g.,school closures); and Ensuring that services (e,g-[housing,transportation,food)are to place for community members Impacted by social distancing Inteirve.ntions. Quarantine•and Isolation Examples of allowable activities: Support C. Provide lodging and wrap-around services,including food and beverage,creasing;waste menagern.ent,maln>tenaiice,repairs at quaramtinefisoeatlan sites,an❑clinical care-costs Tor individuals while under state or federal quarantine and iscilytion orders that are not Griglblo for paVment by another source. o Review and!update state quarantine and-isoration law-,regulations,and procedures_ Funds mayalso be used to develop training and educational mateFIBIs for local Health departments and Judicial oirdciais_ Exhibit A,Statements of Work Page 18 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 U identify and secure safe housl:ng for persons subgectto restricted movement andother public health orders. ilevelop and Um lernent behavioral health strate Mes to 5UPPOFt affected Populations. Distribution and Use of Exampies of allows ble actilvetles: m4ndical matcarial -1 Ensuro lurisdictuonal capacity fora mass'waccinatiiarn campaign-Once vaccine baoocnas available. including: + Enhancement of immunization information systems Maintaining ability for vaccine-specific cold-chain management Coordinating mass,vaccination clinics for emergency response $ Assessing and Tracking vaccination cauerage + Rapidly Identifying high-risk persons requiring vacclne Plannnirngto'prioritize Dirnit,ed medical countermeasures,(M. .CM)based on gurdance Rroun: CDC and the Department-air Health and Human serv'rres (AHS) Enaurc jurisdictmarnal capacity for distrn butian,DF MCNl and supplies surge Management. Surge staffing Examples of allowable activitiaes: •o Activate mechanisms for surging public health responder staff. - Activate volunteer organization inefuding but not llmfted to Medical?Reserve•Corps. Public"aalth Ex_mples of alla.wo bla activities: Cocrdination with 4� In partnorahip-with health care coalitiGns, dovalop triggors F -r enacting crisis/cantin�a:nry HeaIthc:are systems stanch-rds of care_ •a Co-ordinate�oith l-lospRA Preparedness program (HP:P.j entities., he:slthesre•coalitions,Eeesltl� Lyre organizations,emergency am anago-,ment.,and other relevant partners and stakeholders to assess the public health and medical surge needs of the communitW'. o prepare for Increased demands forservdces;expansions of; ubllc health fuenetlans, E ncreases In administrative management requirements,and other emergency response surge needs. a Train hospitals, tong-term care facilitfes.and other high-risk facilftres on infections prevention ,and corntrof,. AM'Vely monitor-healthcare sysrern capacity and develop mitigation strategies to Preserve healthcare system resources. Exhibit A,Statements of Work Page 19 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 ci ,Execute authorities for responding to healthcare system surge and implement activities to mitigate demands c+n the healthcare system;, Plan to ac'tivata crisis{co.ntingenr_y.st:andards of cane. infect an-control Examples of allowable activities; c, Follow updated CdoO gur.danace orb infection control and prevention a nd PPE. 0 Engage with healthcare providers and healthcare eoalitrons to address issues related to infection prevention measures,such as: Changes ira hospital/healthcare-facility visitation policies, Social•dista.ncimg,.and + infectlon control,practices In ha,spitals and long-terrnr care facilities,such as. • PPK use, Hand hygiene., • source control,and . Isolation of patients_ Bios¢irvcillancr Public Health Examples of allowable activities: survelliance and Read- in Conduct surveillance and.case Idertificatrr n (including,but not limited to.. public health time Reporting epidimmiulogicall investigation activities such as'ooratact falla-w-up)- ID Assess risk.oftraverers and other personas with potential COVIO-19 exposures. o Enhance surveillance systems to provide case-7cased and aggregate epldelnlolo'glcal•clata_ c Enhance exiisUng syndromicsaarveillance for respirator?yr illness such as.raaflauenza4ike illness (ILI)or acute respiratory Illness(A.RI)by Expanding data,inputs,and:sites. o Enhance systems to Identify and monitorthe o-utcomes of severe disease outcomes, including among•vulneralAe:populations. o Enhance systems to-track outcomes of pregnancies affected by CaV ID-ls. 0 Develop models.for anticipating disease: ro resslon within the cornmunit . Public Health Laboratory Examples of allowable activities, Testing,Equipment, a Assess cornmercial and public health capacity for lab testing. Supplies,and shipping Develop a lrst of avalrable testrng sites and,criteria for testing and disseminarteto clinicians and the publEc. Exhibit A,Statements of Work Page 20 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 0 Appropriately collect and handle hOspitaP and other urinicaf laubamtorys:peciimens that requiVre testing and shipping to Laboratory Response Network(LRN)ar CDC laboratories designated for testing. ._i Rapidly report test results between the laboratory,the public healtF+def�artment, healthcare facifities,,and CCC.ta,support public health,inwestiigatio:ns. o Test.a sarnp"le of outpatients with ILq or AFU for cciviD-19 and at'her respiratory wlruses and complete the ioll'owing: U Report weekly percent positive COVID-19 Outpatient uLsits by age group_ F C3etermine the rate of ILI/A R1 outpatient visits and the prate-of COV/ID-10-conftrm.ec9 ILI patients_ This.allowable.activity Is sirrbllar to"Sentinel cc)vriD-19 Surveillance,March 2020,and ILINet Enhancements In 2019:"it may include,but Is.not limited to the following: — Conduct testing at public health labaratorfes. — Describe modification of protocols ared valldauoan of specimen,type otlierthan h p/op swabs. including validetron of different swab types and self-swabbing for-COViD-19 o collaborate with Emerging infection Program and Influenza Hospfroalization'Surveillance Network to.m.ociffy existing Flusurv-KET program for COV1D-19_ o Erihasnce laboratory,surge capacity plans. Determine:maxirnvum:lab.testing capacity and,establish,prroritrzationcriteria and contingency plans for testing if maxim urn capacity is reach.ed- o Work with la'borator,r partners to ensure labs reweave updated guidance on appropriate testing algorithms and sample types as additional informatiorn Ls acquired. o Ensure clear guidance is communicated to.clinical(labs and.physlFcfans on how to obtain appropriate:lab testing_ a P'rovidn keazting.for rrnpaebad individuals,. Data Management Ekarnples of sllowaule activities: a Ensure data management systems are in place and meetthe needs-of-the Jurisdiction. o Is-k3plement analysis.vlsualfzation,and reporting for surveillance and other available data to support understanding of the outbreak,,transmission,a nd impact of interventions. a Ensure efficlent and t[rnely data•collection. r ,Gnmure abilitytnr rabidly mxchange data with public heal:'th parknera(inetuding CDC)and vti,er relevant partners. Coordinate dates sterns f'eare idemiolo ical-and labomto. su•rvelllanc-e- Exhibit A,Statements of Work Page 21 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: ELC COVID-19-Effective June 1,2020 Local Health Jurisdiction Name: Mason County Public Health Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment ®Federal Subrecipient (check if applicable) ®Reimbursement ElState ®FFATA(Transparency Act) ❑Fixed Price Period of Performance: June 1,2020 through December 31,2021 ElOther ❑Research&Develo ment Statement of Work Purpose: The purpose of this statement of work is to build and strengthen epidemiology,laboratory and health information systems capacity in local health jurisdictions. Revision Purpose: The purpose of this revision is to extend the period of performance and funding from 12/31/20 to 12/31/21,add federal funding terms,and update contact information. Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration None Consideration Code Code Start Date End Date FFY19 COVID CARES 93.323 333.93.32 1891029A 06/01/20 1 12/31/21 65,595 0 65,595 TOTALS 65,595 1 0 65,595 Payment Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Information and/or Number Standards/Measures Amount 1 Establish a spending plan and staffing proposal to Submit spending plan and staffing August 15,2020 $65,595—MI support the work of COVID-19 case investigation proposal summary to the DOH 1891029A— and contact tracing. The spending plan and staffing Contract Manager. COVID CARES proposal should include proposed positions and define roles. ($65,595 for the 2 Hire,orient and/or train staff based on the negotiated Staff summary and training plan September 30,2020 period 06/O1/20- staffing proposal.Develop a training plan in 12/31/21) consultation with DOH that is consistent with the DOH COVID-19 guideline.Training plan will be flexible depending on staff experience and based on for onboarding into new systems. 3 Conduct case investigations,contact tracing and Data collected and reported into Daily monitoring in accordance with DOH COVID-19 DOH systems Infection Reporting and Surveillance Guidelines (DOH 420-107),Appendix 1:Case and Contact Investigation,pages 16-21: Exhibit A,Statements of Work Page 22 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Task *May.Support PHAB Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or Amount littps://www.doh.wa.gov/Portals/l/Documents/51 00/ 420-107-Guideline-COVID-19.pdf *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: li=://www phaboard ore/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.ndf Special Requirements Federal Funding 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 USASnendine.eov by DOH as required by P.L. 109-282. Restrictions on Fiords(what funds can be used for which actvities,not direct payments,etc): CDC Funding Regulations and Policies https•//wwli cdc gov/grants/documents/General-Terms-and-Conditions-Non-Research-All,ards.pdf Monitoring Visits(frequency,type): The DOH program contact may conduct monitoring visits 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 fiscal monitoring site visits during the life of this project Program Specific Requirements/Narrative All work will be performed in accordance with the revised and approved project plans to be submitted to DOH by 'dy is, 0206 Special Billing Requirements Payment: Upon approval of deliverables and receipt of an invoice voucher,DOH will reimburse for actual allowable costs incurred. Billings for services on a monthly fraction of the budget will not be accepted or approved. Submission of Invoice Vouchers: The LHJ shall submit correct monthly A19-I A invoice vouchers for amounts billable under this statement of work to DOH by the 25`h of the following month or on a frequency no less often than quarterly. DOH Program Contact DOH Fiscal Contact Kasey Walker A''�e Bayww? Christie Durkin Summer- if'ufwt DOH,PHOCIS Gennnunicabko n:..,.as -P DOH, Office of Program Financial Management 1610 NE 1501h St,Shoreline,WA 98155 PO Box 47840,Olympia,WA 98504-7841 kasev.walker ,doh.wa.p—,ov 360-236-42353486/Fax:360-664-2216 chrislie.durkina_doh.wa.Qov Exhibit A,Statements of Work Page 23 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: Emergency Preparedness&Response COVID-19 Local Local Health Jurisdiction Name: Mason County Public Health CARES-Effective March 1,2020 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: March 1,2020 through July 31,2021 ❑State ®FFATA(Transparency Act) One-Time ❑Other Distribution ❑Research&Development Statement of Work Purpose: The purpose of this statement of work is to provide additional funding to supplement existing funds for LHJs to prevent,prepare for,and respond to the COVID-19 disease outbreak. Revision Purpose: The purpose of this revision is to extend the period of performance from December 31,2020 to July 31,2021,extend the funding period to June 30,2021,and add report deliverable due dates. Chart of Accounts Program Name or Title CFDA# BARS Master Funding'.Period Current Change Total Revenue Index (LHJ Use Only) Consideration None Consideration Code Code Start Date End Date COVID LHJ OFM Allocation-CARES 21.019 333.21.01 934EO200 03/01/20 1 06/30/21 1,389,600 0 1,389,600 TOTALS 1,389,600 0 1,389,600 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Payment Information Number Standards/Measures and/or Amount 1 Federal Funds Complete Federal Funding September 30,2020 Reimbursement for Participate in public health emergency Certification(provided by actual costs not to preparedness and response activities for DOH). exceed total funding COVID-19.This may include surveillance, consideration amount. epidemiology,laboratory capacity,infection Activity report(s)on template September 30,2020 control,mitigation,communications,and or other to be provided DOH. October 31,2020 preparedness and response activities for November 30,2020 COVID-19. December 31,2020 January 30, 2021 The CARES Act(Coronavirus Relief Fund) February 28, 2021 provides that payments from the Fund may only be March 31, 2021 used to cover costs that: April 30, 2021 1. Are necessary expenditures incurred due to the May 31, 2021 public health emergency with respect to the June 30, 2021 Coronavirus Disease 2019(COVID-19); Exhibit A,Statements of Work Page 24 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 2. Were not accounted for in the budget most Final Report: recently approved as of March 27,2020(the Januw5,3a, ?m r_ date of enactment of the CARES Act)for the July 30, 2021 State or government;and; 3. Were incurred during the period that begins on Frequency and due dates March 1,2020 and ends on Deeembe;—30,?ter of reports may change June 30, 2021. based on federal requirements.DOH will The guidance on the Department of the Treasury's notify LHJ of any changes interpretation of these limitations on the via email. permissible use of Fund payments can be found at this link: A final activity report is required prior to DOH releasing the final amount n r r rind Guid,.,,.,, for r.we T-,...:!eri4 of funding. hunS://home.treasury.p,ov/policy-issues/cares/state- and-local-zovernments DOH will provide additional guidance and technical assistance. Note. T , i..ds am available through 2020L, iffiinding is et a. be e, ..., die- r aU month -Deee.,.bep The purpose of this agreement is to supplement existing funds for local health jurisdictions to carry out surveillance,epidemiology,case investigations and contact tracing,laboratory capacity,infection control,mitigation, communications,community engagement,and other public health preparedness and response activities for COVID-19. Existing funds for COVID-19 public health response activities may not be displaced by these funds and reallocated for other organizational expenses.No funds from this agreement shall be used to supplant existing federal,state or local funds nor any funding allocations or commitments made before August 31,2020. Exhibit A,Statements of Work Page 25 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 DOH does recognize the public health response goes beyond December 2020 and authorizes local health jurisdictions the ability to maximize funding streams available to them by using short term funding first to have longer term funding available to continue to support the local health jurisdiction response activities beyond December 2020 as applicable. *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: hgp•//wwwphaboard org/wp-content/uploads/PHAB-Standards-and-Measures-Version-I.O.pdf Program Specific Requirements/Narrative Deliverables are to be submitted to the ConCon deliverables mailbox at concondeliverables@doh.wa.gov Special Requirements Federal Funding 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. Restrictions on Funds(what funds can be used for which activities,not direct payments,etc) Please reference the Code of Federal Regulations: hops•//wwweefrgov/cgi bin/retrieveECFR?gp=l&SID=58ffddb5363a27f26e9dI2ceec462549&ty=HTML&h=L&mc=true&i=PART&n=nt2.1.200#se2.1.200 1439 Allowable Activities- - -. r See information about alloivable activities at US Department of the Treaswy—CARES Act Provides Assistance for State, Local, and Tribal Governments: hops•//home treasww gov/policv-issues/cares/state-and-local-governments DOH Program Contact Tory Henderson,Contracts&Finance Specialist Department of Health P O Box 47960,Olympia,WA 98504-7960 360 M' 59 (Mobile 360-789-7262/tory.henderson@doh.wa. og_v Exhibit A,Statements of Work Page 26 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: Foundational Public Health Services Local Health Jurisdiction Name: Mason County Public Health (FPHS)-Effective July 1,2019 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 2 Funding Source Federal Compliance Type of Payment ❑Federal<Select One> (check if applicable) ❑Reimbursement ® State ❑FFATA(Transparency Act) N Periodic Period of Performance: July 1,2019 through June 30,2021 ❑Other Distribution ❑Research&Develo ment Statement of Work Purpose: The purpose of this statement of work is to specify how state funds for Foundational Public Health Services(FPHS)will be used for the period of July 1,2019 through June 30,2021. Note: The total consideration is for the period of July 1,2019 through June 30,2021. 2019-2021 biennial funding allocations will be divided into four six-month lump sum amounts that will be disbursed at the beginning of each six month period as follows: July,1,2019;January 1,2020;July 1,2020;January 1,2021. FPHS funds must be spent in the state fiscal year(SFY)in which they are disbursed: SFY20 07/01/19-06130/20 and SFY21 07/01/20-06/30/21. 2019-2021 Biennial Allocation: $405,782 Annual Allocation: $202,891 Six Month Disbursement: $101,445.50 Revision Purpose: The purpose of this revision is to extend the period of performance and funding from December 31,2020 to June 30,2021. Chart of Accounts Program Name or Title CFDA# BARS Master Funding.Period Current Change Total Revenue Index (LHJ Use Only) Consideration None Consideration Code Code Start Date End Date FPHS FUNDING FOR LHJS N/A 336.04.25 99202101 07/01/19 06/30/20 100,000 0 100,000 FPHS FUNDING FOR LHJS N/A 336.04.25 99202101 07/01/20 06/30/21 100,000 0 100,000 FPHS-Hepatitis C N/A 336.04.25 99202101 07/01/19 06/30/20 102,891 0 102,891 FPHS-Hepatitis C I N/A 1 336.04.25 99202101 07/01/20 06/30/21 102,891 0 102,891 TOTALS 405,782 0 405,782 Task Task/Activity/Description Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Number 1 These funds are for delivering ANY or all of the FPHS Annual Report(template By 09/15/20 Funds are available beginning July 1,2019. communicable disease,environmental public health or provided by DOH)for Note:January 2021 Half of the annual allocation will be assessment service and can also be used for any of the SFY20(07/01/19—06/30/20) payment is dependent disbursed each July upon receipt of the other FPHS capabilities that support these FPHS as on submission of this - Annual Report and the second half will be defined in the most current version of FPHS Definitions. annual report. disbursed each January. Exhibit A,Statements of Work Page 27 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Task Task/Activity/Description Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Number Annual Report(template By 08/15/21 Note: Funds must be spent in the state fiscal provided by DOH)for year(SFY)in which they are disbursed. SFY21 (07/01/20—06/30/21) 2 FPHS Hepatitis C—Address Hepatitis C cases in the $205,782 for the biennium. jurisdiction per guidance developed by the statewide FPHS Communicable Disease Workgroup,including,but Annual distribution amount: not limited to:shared priorities,standardized $102,891 surveillance,minimum standards of practice,common metrics and staffing models. The allocation of these funds is based on burden of disease using the most current The priorities for SFY21 (July 2020—June 2021)are: Hepatitis C data.Allocations will be revised • Surveillance—entering labs into Washington using updated data biennially. Disease Reporting System(WDRS),enter acute cases into WDRS. These FPHS funds are for long-term core • Investigation—focus on acute cases: people aged FPHS investments in Hepatitis C elimination 35 or younger,newly diagnosed,pregnant women, as directed by the FPHS Steering Committee. However in order to make use of the funds people seen in the ED/inpatient,Black,Indigenous and People of Color or other historically available this 19-21 biennium,and in each specific SFY during the COVID-19 marginalized population,and incorporate Hepatitis B work. response,flexibility is allowed and these funds can be used for other FPHS activities like responding to COVID-19. Tasks/Activittes/Description:. ' - Impaet_Measures Control of Communicable Disease and Other Notifiable Conditions Percent of toddlers and school age children that have 1. Provide timely,statewide,locally relevant and accurate information statewide and to communities on completed the standard series of recommended vaccinations. prevention and control of communicable disease and other notifiable conditions. 2. Identify statewide and local community assets for the control of communicable diseases and other Percent of new positive Hepatitis C lab reports that are notifiable conditions,develop and implement a prioritized control plan addressing communicable received electronically which have a completed case report. diseases and other notifiable conditions and seek resources and advocate for high priority prevention and control policies and initiatives regarding communicable diseases and other notifiable conditions. Percent of new positive Hepatitis C case reports with 3. Promote immunization through evidence-based strategies and collaboration with schools,health care completed investigations. providers and other community partners to increase immunization rates. 4. Ensure disease surveillance,investigation and control-for communicable disease and notifiable Percent of Gonorrhea cases investigated. conditions in accordance with local,state and federal mandates and guidelines. 5. Ensure availability of public health laboratory services for disease investigations and response,and Percent of Gonorrhea cases investigated that are receiving dual reference and confirmatory testing related to communicable diseases and notifiable conditions. treatment(treatment for both Gonorrhea and Chlamydia at the 6. When Additional Important Services(AIS)are delivered regarding prevention and control of same time) communicable disease and other notifiable conditions,ensure that they are well coordinated with foundational services. Exhibit A,Statements of Work Page 28 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 m aet Measures Tasks/ActivitiesZDescrighon• .. I P. • Percent of newly diagnosed syphilis cases that receive partner services interview. Environmental Public Health TBD 1. Provide timely,state and locally relevant and accurate information statewide and to communities on environmental public health issues and health impacts from common environmental or toxic exposures. 2. Identify statewide and local community environmental public health assets and partners,and develop and implement a prioritized prevention plan to protect the public's health by preventing and reducing exposures to health hazards in the environment,seek resources and advocate for high priority policy initiatives. 3. Conduct environmental public health investigations,inspections,sampling,laboratory analysis and oversight to protect food,recreational water,drinking water and liquid waste and solid waste systems in accordance with local,state and federal laws and regulations. 4. Identify and address priority notifiable zoonotic conditions(e.g.those transmitted by birds,insects, rodents,etc.),air-borne conditions and other public health threats related to environmental hazards. 5. Protect the population from unnecessary radiation exposure in accordance with local,state and federal laws and regulations. 6. Participate in broad land use planning and sustainable development to encourage decisions that promote positive public health outcomes 7. When Additional Important Services(AIS)are delivered regarding environmental public health,assure that they are well coordinated with foundational services. Assessment(Surveillance and Epidemiology) TBD 1. Ability to collect sufficient,statewide and community level data and develop and maintain electronic information systems to guide public health planning and decision making at the state,regional and local level. 2. Abilfty to access,analyze,use and interpret data. 3. Abilfty to conduct a comprehensive community or statewide health assessment and identify health priorities arising from that assessment,including analysis of health disparities and the social determinants of health. Emergency Preparedness(All Hazards). TBD 1. Ability to develop emergency response plans for natural and man-made public health hazards;train public health staff for emergency response roles and routinely exercise response plans. 2. Ability to lead the Emergency Support Function 8—Public Health&Medical and/or a public health response for the county,region,jurisdiction and state. 3. Ability to activate and mobilize public health personnel and response teams;request and deploy resources; coordinate with public sector,private sector and non-profit response partners and manage public health and medical emergencies utilizing the incident command system. 4. Ability to communicate with diverse communities across different media,with emphasis on populations that are disproportionately challenged during disasters,to promote resilience in advance of disasters and protect public health during and following disasters. Exhibit A,Statements of Work Page 29 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Tasks/Activities/Description ImpacfM measure*- Communication. 1. Ability to engage and maintain ongoing relations with local and statewide media. 2. Ability to develop and implement a communication strategy,in accordance with Public Health Accreditation Standards,to increase visibility of public health issues.This includes the ability to provide information on health risks,healthy behaviors,and disease prevention in culturally and linguistically appropriate formats for the various communities served. Policy Development and Support 1.. Ability to develop basic public health policy recommendations.These policies must be evidence-based, or,if innovative/promising,must include evaluation plans. 2. Ability to work with partners and policy makers to enact policies that are evidence-based(or are innovative or promising and include evaluation plans)and that address the social determinants of health and health equity. 3. Ability to utilize cost-benefit information to develop an efficient and cost-effective action plan to respond to the priorities identified in a community and/or statewide health assessment. Community Partnership Development 1.. Ability to create and maintain relationships with diverse partners,including health-related national, statewide and community-based organizations;community groups or organizations representing populations experiencing health inequity;private businesses and health care organizations;Tribal Nations, and local,state and federal government agencies and leaders. 2. Ability to select and articulate governmental public health roles in programmatic and policy activities and coordinate with these partners. Business Competencies—Leadership Capabilities;Accountability and Quality Assurance Capabilities;Quality TBD Improvement Information;Technology Capabilities;Human Resources Capabilities;Fiscal Management, Contract and Procurement Capabilities;Facilities and Operations;Legal Capabilities. Program Specific Requirements/Narrative Special References(RCWs,WACs,etc) Link to 2SHB 1497—http•//Iawfliesext leg wa gov/biennium/2019 20/Pdf/]3ills/House%20Passed%20Legislature/1497-S2.PL.ndf FPHS Definitions www.doh.wa.gov/fphsresources Special Instructions There are two different BARS Revenue Codes for"state flexible funds"to be tracked separately and reported separately on your annual BARS report. These two BARS Revenue Codes and definitions from the State Auditor's Office(SAO's)are listed below along with a link to the BARS Manual. 336.04.25 is the new BARS Revenue Code to use for the Foundational Public Health Services(FPHS)funds included in this statement of work. 336.04.24—County Public Health Assistance Use this account for the state distribution authorized by the 2013 2ESSB 5034,section 710.The local health jurisdictions are required to provide reports regarding expenditures to the legislature from this revenue source. Exhibit A,Statements of Work Page 30 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 336.04.25—Foundational Public Health Services Use this account for the funding designated for the local health jurisdictions to provide a set of core services that government is responsible for in all communities in the WA state. This set of core services provides the foundation to support the work of the broader public health system and community partners.At this time the funding from this account is for delivering ANY or all of the FPHS communicable disease services(listed above)and can also be used for the FPHS capabilities that support FPHS communicable disease services as defined in the most current version of FPHS Definitions. SAO's BARS Manual Flexibility During COVID-19 Pandemic Response—FPHS funds are for long-term core FPHS investments as directed by the FPHS Steering Committee.However,in order to make use of the funds available for the 19-21 biennium and in each specific state fiscal year(SFY)during the COVID-19 response,flexibility is allowed and these funds can be used for other FPHS activities like responding to COVID-19. Deliverables are to be submitted to Marie Flake at marie.tlake(a.doh.wa.gov DOH Program Contact Marie Flake,Special Projects,Foundational Public Health Services Washington State Department of Health PO Box 47890,Olympia,WA 98504-7890 Phone 360-236-4063/Mobile 360-951-7566 Fax 360.236.4024/marie.flake@doh.wa.gov Exhibit A,Statements of Work Page 31 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: Injury&Violence Prevention(IVP)-Overdose Data to Local Health Jurisdiction Name: Mason County Public Health Action-Effective September 1,2020 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance JMReimbursem of Payment ®Federal Subrecipient (check if applicable)El State ®FFATA(Transparency Act) xed Price Period of Performance: September 1,2020 through August 31,2021 ❑ Other ❑Research&Development Statement of Work Purpose: Mason County Public Health(MCPH)will support strategies 5,6,and 7.MCPH will collaborate and coordinate among public health partners to establish seamless linkages to care via"warm hand-offs"between the various entities.MCPH will use existing partnerships and systems to engage the community,including emergency medical services,emergency departments,jails,public safety,mental health and substance use treatment providers, diversion programs,courts,and syringe exchange. It will build both client and agency awareness of existing resources,enhance those resources,and deploy technology to facilitate successful care linkage and coordination. Revision Purpose: The purpose of this revision is to extend the period of performance and funding from December 31,2020 to August 31,2021. Chart of Accounts Program Name or Title CFDA# BARS Master .-FundingPeriod . Current Change Total Revenue Index (LHJ Use Only) Consideration None Consideration Code Code Start Date End Date FFY20 OVERDOSE DATA TO ACTION PREV 93.136 333.93.13 77520292 09/01/20 1 08/31/21 50,000 0 50,000 TOTALS 50,000 0 50,000 Task *May Support PHAB Payment Information Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame and/or Amount 1. Strategy 5:Collect and analyze opioid response Progress Report:Report data, Quarterly progress Monthly invoices for plan data.Conduct continuous quality improvement findings and analysis. reports to DOH for all actual cost on the opioid response plan and system.Data is Demonstrate how data informs tasks. reimbursement will be collected on all response activities in Mason Mason County linkages to care submitted to DOH. County.This includes outreach events,trainings, and opioid response plan Due Dates: naloxone distribution,overdoses,provider reports activities.Demonstrate how September-November Total of all invoices etc. This data is utilized to inform quality work aligns with Overdose due December 10,2020. will not exceed improvement for the community referral and Data to Action(OD2A)logic December-February due $50,000 through linkage system. model. March 10,2021. August 31,2021. 2. Strategy 6:Conduct continuous community Progress report:list training education on opioid and other substance use risks dates,locations,attendance and March-May due June 10, (See Special Billing and treatment resources through group and objective of trainings;lessons 2021. Requirements below.) individual trainings,outreach activities at transit learned and successes with center,shelters,jail,syringe exchange,mobile outreach,education and linkages to care.Are there Exhibit A,Statements of Work Page 32 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Payment Information Number Standards/Measures and/or Amount outreach,Quick Response Team,to link individuals procedures or policies that June-August final report to care. MCPH has developed? for this funding period Demonstrate how work aligns due September 30,2021. with OD2A logic model. 3. Strategy 7:Facilitate academic detailing Progress report:list opportunities for primary care providers on safe opportunities,#of trainings, opioid prescribing,overdose prevention and outcomes,changes in buprenorphine-based medication-assisted treatment prescribing and any new (MAT).Academic detailing will also include waivered prescribers as an education on hepatitis C virus(HCV)treatment or outcome of these opportunities. other drug user health complications. Demonstrate how work aligns with OD2A logic model. 4. Participate in quarterly calls with DOH and grant Collaboration with grant partners.Share lessons learned and successes.More partners and DOH to improve frequent one on one calls with DOH when needed. statewide efforts to address the o ioid/all drug epidemic. *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: ]=//www phaboard org/M-content/uploads/PHAB-Standards-and-Measures-Version-1.O.pdf Special Requirements Federal Funding 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 USASpendin .gov by DOH as required by P.L. 109-282. Restrictions on Funds(what funds can be used for which activities,not direct payments,etc.) • Subrecipients may not use funds for research. • Subrecipients may not use funds for clinical care except as allowed by law. • Subrecipients may use funds only for reasonable program purposes,including personnel,travel,supplies,and services. • Generally,subrecipients may not use funds to purchase furniture or equipment. • No funds may be used for: o Publicity or propaganda purposes,for the preparation,distribution,or use of any material designed to support or defeat the enactment of legislation before any legislative body the salary or expenses of any grant or contract recipient,or agent acting for such recipient,related to any activity designed to influence the enactment of legislation,appropriations,regulation,administrative action,or Executive order proposed or pending before any legislative body. Exhibit A,Statements of Work Page 33 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 o In accordance with the United States Protecting Life in Global Health Assistance policy,all non-governmental organization(NGO)applicants acknowledge that foreign NGOs that receive funds provided through this award,either as a prime recipient or subrecipient,are strictly prohibited,regardless of the source of funds, from performing abortions as a method of family planning or engaging in any activity that promotes abortion as a method of family planning,or to provide financial support to any other foreign non-governmental organization that conducts such activities. See Additional Requirement(AR)35 for applicability (https://www.cdc.szov/arants/additionalrequirements/ar-35.htm i). • Program funds cannot be used for purchasing naloxone,implementing or expanding drug"take back"programs or other drug disposal programs(e.g.drop boxes or disposal bags),purchasing fentanyl test strips,or directly funding or expanding direct provision of substance abuse treatment programs.Such activities are outside the scope of this Notice of Funding Opportunity(NOFO). Monitoring Visits(frequency,type) DOH program staff may conduct site visits up to twice per funding year. Special Billing Requirements Billing on an A19-IA invoice voucher must be received by DOH monthly. Special Instructions The following funding statement must be used for media(publications,presentations,manuscripts,posters,etc.)created using OD2A funding: This publication(journal article,etc.)was supported by the Grant or Cooperative Agreement Number,NU17CE925007,funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services. DOH Program Contact DOH Program Contact DOH Fiscal Contact Rachel Meade Jennifer Alvisurez Tami Davidson Opioid Overdose Prevention Specialist Opioid Overdose Prevention Project Manager Contracts Coordinator Racliel.Meade@doh.wa.gov Jennifer.Alvisurez@doh.wa.gov Tami.Davidson@doh.wa.gov 360-236-2846 360-236-2845 Exhibit A,Statements of Work Page 34 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: OSS LMP Implementation-Effective July 1,2019 Local Health Jurisdiction Name: Mason County Public Health 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 ® State ❑FFATA(Transparency Act) ❑Fixed Price Period of Performance: July 1,2019 through June 30,2021 ❑Other ❑Research&Development Statement of Work Purpose: The purpose of this statement of work is to fund implementation of the on-site sewage system(OSS)local manamgenet plan(UP). Revision Purpose: The purpose of this revision is to extend the period of performance and funding period for the GFS funding account from December 31,2020 to June 30,2021 and add an additional Wastewater Management GFS funding account. 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 Wastewater Management-GFS N/A 334.04.93 26701100 07/01/19 06/30/20 30,000 0 30,000 Wastewater Management-GFS N/A 334.04.93 26701100 07/01/20 06/30/21 30,000 0 30,000 Wastewater Management-GFS N/A 334.04.93 26701100 01/01/21 06/30/21 0 30,000 30,000 TOTALS 60,000 30,000 90,000 Payment Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Information Number Standards/Measures and/or Amount 1 Administration Meet reporting requirements and Report Due Date: $S 9A9 LHJ will participate in all grant-related meetings attend DOH-sponsored meetings January 15,2020 $7,500 and conference calls sponsored by DOH. Final June 15,2020 report will be submitted including documents used December 31,2020 or produced for grant activities. June 15, 2021 Task is ongoing throughout the project period. 2 On-Site Education Educational Presentations Attended by greater than 10,000 Report Due Date: 2A.Mason County Public Health(MCPH)staff people. January 15,2020 $37,500 will host a booth the first full weekend in October June 15,2020 for Oysterfest. December 31,2020 June 15, 2021 2B.Modify and print maintenance manuals to be handed out to all new system owners,hand out at Task ongoing throughout the project period. Exhibit A,Statements of Work Page 35 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Payment Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Information Number Standards/Measures and/or Amount educational presentations and are available to professional providers to give to their customers. 3B.Twenty-five(25)$200 rebates for pumping or maintenance or$200 rebates for retro-fitting tanks with risers and/or effluent filter.Each resident would be able to qualify for two 2)rebates 3 Operation and Maintenance(O&M) Track contacts and increase in Report Due Date: $.15,009 Notification to Homeowners maintenance.Progress will be January 15,2020 $22,500 3A.Follow up on unsatisfactory maintenance reported on the report form. June 15,2020 reports and complaints(75 unsatisfactory reports December 31,2020 and 20 complaints per month). June 15, 2021 Task is ongoing throughout the project period. 4 O&M Database Management Progress will be reported on the Report Due Date: $i0;000 4A.Continue truthing and creating record drawings report form. January 15,2020 $.15,000 June 15,2020 4B.Maintenance of the O&M database. December 31,2020 June 15, 2021 Task is ongoing throughout the project period. 5 Enhance GIS On-site Sewage Data Layer Mapping data as outlined in the Report Due Date: $5,000 LHJ will continue to develop and update on-site "Marine Recovery Area(MRA) January 15,2020 $7,500 sewage system(OSS)and O&M data to enhance OSS Data Reporting Requirement" June 15,2020 the Geographic Information Systems(GIS)OSS form. December 31,2020 Layer. Work will be done by GIS staff. June 15, 2021 Task is ongoing throughout the project period. *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/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.ndf Prosram Specific Requirements/Narrative Restrictions on Funds(what funds can be used for which activities,not direct payments,etc) These funds can NOT be used for local match to federal grants. Exhibit A,Statements of Work Page 36 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Special References(RCWs,WACs,etc) WAC 246-272A and RCW'"� 70A.110 State funds from the Aquatic Lands Enhancement 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. Definitions Failure: A condition of an on-site sewage system or component that threatens the public health by inadequately treating sewage or by creating a potential for direct or indirect contact between sewage and the public.Examples of failure include: (a)Sewage on the surface of the ground;(b)Sewage backing up into a structure caused by slow soil absorption of septic tank effluent;(c)Sewage leaking from a sewage tank or collection system;(d)Cesspools or seepage pits where evidence of ground water or surface water quality degradation exists;(e)Inadequately treated effluent contaminating ground water or surface water;or(f)Noncompliance with standards stipulated on the permit. Maintenance and Monitoring: The actions necessary to keep the on-site sewage system components functioning as designed.Periodic or continuous checking of an on-site sewage system,which is performed by observations and measurements,to determine if the system is functioning as intended and if system maintenance is needed.Monitoring also includes maintaining accurate records that document monitoring activities. Special Billing Requirements Billing Information 1. Billings are submitted on an A19-1A form,which is provided by DOH. 2. A19-IA forms maybe submitted monthly and must be submitted bi-monthly at minimum. Special Instructions Semiannual progress reports,including marine recovery area(MRA)mapping data,are due to DOH via email to 'et remv.simmons0.doh.1+,a.gov and tavla-.N,arren@doh.)i,a.Qov.Progress Report Due Dates: January 15,2020,June 15,2020,-an1 December 31,2020, and June 15, 2021. The report format will be provided by DOH and may be modified throughout the contract period via email announcement. DOH Program Contact: ek K-40 '"!'Jeremy Simmons,Office of Environmental Health and Safety,PO Box 47824,Olympia WA 98504-7824;360-236-3-"63346; iereniy.simmon.v@doh.»,a..,•o�v. DOH Fiscal Contact:K�-nef-Taylor TYarren,&?vh--eniiicr"s! Pzubl a Heafth Office of Financial Services,PO Box 47820,Olympia WA 98504-7820,360-236-3742,3348, '^'�• tavlor.ivarrenndoh.wa.gov Exhibit A,Statements of Work Page 37 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: Recreational Shellfish Activities- Local Health Jurisdiction Name: Mason County Public Health Effective July 1,2019 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 2 Funding Source Federal Compliance Type of Payment ❑Federal<Select One> (check if applicable) ®Reimbursement Period of Performance: July 1,2019 through June 30.2021 ® State ❑FFATA(Transparency Act) El Fixed Price ❑Other ❑Research&Development Statement of Work Purpose: The purpose of this statement of work is to provide funds for shellfish harvesting safety. Revision Purpose: The purpose of this revision is to extend the period of performance and funding from December 31, 2020 through June 30,2021,add funds,and update DOH fiscal contact information. 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 Rec.Shellfish/Biotoxin N/A 334.04.93 26402600 07/01/19 1 06/30/21 5,250 1,750 7,000 TOTALS 5,250 1,750 7,000 Task *May Support PHAB Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or Amount 1 Biotoxin Monitoring Submit report on DOH approved Email Report to DOH by: $it SSA$6,400 • Collect samples on schedule according to format of activities for the year, December 31,2020 Department of Health(DOH)Biotoxin including the number and names Monitoring Plan,coordinate deviations from the of beaches posted for (See Special Instructions schedule with DOH,notify DOH in advance if classification. below.) samples cannot be collected. • Post/remove recreational shellfish warning and /or classification signs on beaches and restock cages as needed. • This may also include recruiting,training,and coordination of volunteers,and fuel reimbursement funds for volunteer biotoxin monitoring. 2 Outreach Submit report including the Email Report to DOH by: &iUO$600 • Staff educational booths at local events. number of events staffed,and December 31,2020 • Distribute safe shellfish harvesting information. amount of educational materials distributed. Exhibit A,Statements of Work Page 38 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 AMENDMENT#19 Payment Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Information Number Standards/Measures and/or Amount (See Special Instructions below.) *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: hq://www phaboard org/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.O.pdf Prolzram Specific Requirements/Narrative Program Manual,Handbook,Policy References Department of Health's Biotoxin Monitoring Plan Special References(RCWs,WACs,etc) Chapter 246-280 WAC http•//www doh wa gov/CommuniiyandEnvironment/Shellfish/Recreationa]Shellfisli hnp://www doh wa gov/AboutUs/ProgramsandServices/EnvironmentaIPublicHealth/EnvironmentalHealthandSafety/ShellfishProgramBiotoxins Special Instructions Report for work done the previous year must be submitted via email to Liz Maier by December 31,2020. The report format will be provided by DOH and may be modified throughout the period of performance via email announcement. DOH Program Contacts: Liz Maier,Office of Environmental Health and Safety,PO Box 47824,Olympia WA 98504-7824;360.236.3308;liz.maier@doll.wa.gov Kristy Warner Office of Environmental Health and Safety PO Box 47824 Olympia WA 98504-7824.360 701 7537• kristy.warner@doh.wa.gov DOH Fiscal Contact: nn ytm e735n ni,,., Taylor TEarren, Office of Financial Management;PO Box 47850, Olympia, TKA 98504-7850;360.236.3348;taylor.1varren@d6h.wa.gov Exhibit A,Statements of Work Page 39 of 39 Contract Number CLH18253-19 Revised as of November 16,2020 EXHIBIT B-19 Mason County Public Health ALLOCATIONS Contract Number: CLH18253 Contract Term:2018-2021 Date: November 16,2020 Indirect Rate as of January 2018:13.71% Indirect Rate as of January 2019:14.53% i DOH;Use Only, BARS Statement of Work ; Chartiof,Accounts Funding Chart of Federal Award Revenue Funding Period Funding•P,etiod Period Accounts Chart of Accounts Program Title Identification 9 Amend# CFDA* Code** Start Date End Date1Start%Date EudsDate'j Amount Sub Total Total BITV-COVID Ed LHJ Allocation-CARES NGA Not Received Amd 19 21.019 333.21.01 07/01/20 12/30/21 ;.07/O1Y26 12/30%?1' ` $263,754 $351,672 $351,672 BITV-COVID Ed LHJ Allocation-CARES NGA Not Received Amd 17,19 21.019 333.21.01 07/01/20 12/30/21 ' 07/Ol/20. 12/30/21' $87,918 COVID LHJ OFM Allocation-CARES NGA Not Received Amd 17,19 21.019 333,21.01 03/01/20 06/30/21 ' 03101/20' 06/30/21 ( $1,399,600 $1,389,600 $1,389,600 I SS Community Outreach PN NGA Not Received Amd 18 21.019 333.21.01 07/01/20 12/30/20 07/01/20, 12/30/20 $20,000 $20,000 $20,000 ,1 NEP 5-6 Onsite Sewage Management OOJ88801 Amd 2,8 66.123 333.66.12 01/01/18 06/30/19!10/01/14 08/3/119 $10,904 $85,330 $85,330 NEP 5-6 Onsite Sewage Management OOJ88801 N/A,Amd 8 66.123 333.66.12 01/01/18 06/30/19 /0/01114 08/3.1Y19.j $74,426 a PS SSI 1-5 OSS Task 4 01J18001 Amd 2,8 66.123 333.66.12 01/01/18 06/30/19{ 07/01/17 .,06/30/19 ; ($13,337) $86,541 $86,541 PS SSI 1-5 OSS Task 4 OIJ18001 N/A,Amd 8 66.123 333.66.12 01/01/18 06/30/19 07/0111.7 06/30/19 1 $99,878 FFY17 EPR PHEP BPI LHJ Funding NU90TP921889-01 Amd 2 93.069 333.93.06 01/01/18 06/30/18 07/01117' ,07J02/18 , $9,062 $28,979 $28,979 FFY17 EPR PHEP BPI LHJ Funding NU90TP921889-01 N/A 93.069 333.93.06 01/01/18 06/30/18 1 07101/1.7 07/02/18 $19,917 I FFY18 EPR PHEP BPI Supp LHJ Funding NU90TP921889-01 Amd 5 93.069 333.93.06 07/01/18 06/30/19 07/01/18; 06/30/19'; $888 $49,341 $49,341 FFY18 EPR PHEP BP 1 Supp LHJ Funding N J90TP921889-01 Amd 4 93.069 333.93.06 07/01/18 06/30/19 i.07/Ol/18 0-6/30/19 i $48,453 i FFY20 PHEP BP2 LHJ Funding NU90TP922043 Amd 18 93.069 333.93.06 07/01/20 06/30/21 j'07/01/20' 06/3.0/2.1 $19,737 $49,342 $98,684 FFY20 PHEP BP2 LHJ Funding NU90TP922043 Amd 17,18 93.069 333.93.06 07/01/20 06/30/21 07/01/20 06/30/21 $29,605 FFY19 PHEP BPI LHJ Funding NU90TP922043 Amd 10 93.069 333.93.06 07/01/19 06/30/20; 07/011,19 06/30/20 t $49,342 $49,342 FFY20 Overdose Data to Action Prev NGA Not Received Amd 17,19 93.136 333.93.13 09/01/20 08/31/21 09/01/20t 08/31/21 ; $50,000 $50,000 $100,000 FFY19 Overdose Data to Action Prev NU17CE925007 Amd 11 93.136 333.93.13 09/Ol/19 08/31/20 109/01/I'9; 08/31/20 $50,000 $50,000 I FFY18 Prescription Drug OD-Supp NU17CE002734 Amd 8 93.136 333.93.13 09/01/19 08/31/19? 09/01/18. 08/31/•19 $35,000 $110,000 $173,027 FFY18 Prescription Drug OD-Supp NU17CE002734 Amd 4 93.136 333.93.13 09/01/18 08/31/19 1 09/01/18 08/3d/1•.9 i $75,000 FFY17 Prescription Drug OD-Supp U17CE002734 Amd 2 93.136 333.93.13 01/01/18 08/31/18 i 09/01117' 08/31/18 I $29,627 $63,027 FFY17 Prescription Drug OD-Supp U17CE002734 N/A 93.136 333.93.13 01/01/18 08/31/18 i 09/01/17 08/31/18 $33,400 I FFY17 Increasing Immunization Rates NH231P000762 Amd 3,4 93.268 333.93.26 07/01/18 06/30/19 1 07/01/1.8' '66/30/10 $5,600 $5,600 $5,600 I FFY21 PPHF Ops NH23IP922619 Amd 18 93.268 333.93.26 07/01/20 06/30/21 1.07/01720 06/30/21, $250 $500 $1,500 FFY21 PPHF Ops NH231P922619 Amd 16,18 93.268 333.93.26 07/01/20 06/30/21 07/01/20; .06/30/21;., $250 FFY20 PPHF Ops NH231P922619 Amd 9 93.268 333.93.26 07/01/19 06/30/20; 07/01/19 .06/30/20 $500 $500 FFY17 PPHF Ops NH231P000762 Amd 3,4 93.268 333.93.26 07/01/18 06/30/19 07/01118,: t)6/30119 $500 $500 . I FFY17 317 Ops 5NH231P000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 L04/OP11T 06/30/18_; $1,423 $1,423 $1,423 Page I of 4 EXHIBIT B-19 Mason County Public Health ALLOCATIONS Contract Number: CLH18253 Contract Term:2018-2021 Date: November 16,2020 Indirect Rate as of January 2018:13.71% Indirect Rate as of January 2019:14.53% `�DQ$.Use:Only BARS Statement of Work i ;Ch4rtofAcc6mts Funding Chart of Federal Award Revenue Funding Period {!{ FundingTeribd' Period Accounts Chart of Accounts Program Title Identification# Amend# CFDA* Code** Start Date End DatelStartDafer End,Diite'i Amount Sub Total Total FFY17 AFIX 5NH231P000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 ''04/0f/l,T =06/30118' $4,293 $4,293 $4,293 f FFY21 COVIDI9 Vaccine Services-CARES NGA Not Received Amd 19 93.268 333.93.26 07/01/20 06/30/21 ,07/01l2Q 06/30/2T., $14,582 $14,582 S14,582 i FFY21 VFC Ops NH231P922619 Amd 16 93.268 333.93.26 07/01/20 12/31/20 i 07/01120­06/30/21 1, $2,800 $2,800 $10,628 FFY20 VFC Ops NH23IP922619 Amd 9 93.268 333.93.26 07/01/19 06/30/20 "07/01119' 06130/20? $5,600 $5,600 FFY17 VFC Ops 5NH231P000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 j 04/01%30 .06/30/18;.� $2,228 $2,228 j FFY19 COVID CARES NU50CK000515 Amd 16,19 93.323 333.93.32 06/01/20 12/31/2l '06/01%20, 12/31/211-1 $65,595 $65,595 $65,595 FFY20 CDC COVID-19 Crisis Resp LHJ-Tribe NU90TP922069 Amd 14,19 93.354 333.93.35 01/20/20 03/15/21 =;01701/20. A3/15/21'. $130,871 $130,871 $130,871 FFY21 MCHBG LHJ Contracts NGA Not Received Amd 18 93.994 333.93.99 10/01/20 09/30/21 1.10/01/20 :09/30/21', $67,694 $67,694 $259,197 FFY20 MCHBG LHJ Contracts B04MC32579 Amd 10 93.994 333.93.99 10/01/19 09/30/20' •10/61/19- •09130/20'' $67,694 $67,694 FFY19 MCHBG LHJ Contracts B04MC32578 Amd 4 93.994 333.93.99 10/01/18 09/30/19 1.10/01118- •09/30/19 ; $67,694 $67,694 FFY18 MCHBG LHJ Contracts B04MC31524 Amd 2 93.994 333.93.99 01/01/18 09/30/18 l:10/01/,17. _;09/30Z1&; $5344 $56,115 FFY18 MCHBG LHJ Contracts B04MC31524 N/A 93.994 333.93.99 01/01/18 09/30/18 i.10(01%17,. '09.80Lb8,1 $50:771 i FEMA-75 COVID LHJ Allocation NGA Not Received Amd 19 97.036 333.97.03 07/01/20 12/30/20, .07/0l/20. 12/30/2b-+ ($263,754) $0 $u FEMA-75 COVID LHJ Allocation NGA Not Received Amd 17 97.036 333.97.03 07/01/20 12/30/20 07/01/20; .12/30/20] $263,754 i FY2 Group B Programs for DW(FO-SW) Amd 11 N/A 334.04.90 07/01/18 06/30/19;. 07/0171.7. 06/30/1'9_' ($272) $4,728 $4,728 FY2 Group B Programs for DW(FO-SW) Amd 3 N/A 334.04.90 07/01/18 06/30/19 .'07/01117 06130/19 1 $5,000 i GFS-Group B(FO-SW) Amd 10 N/A 334.04.90 07/01/20 12/31/20(07/01/19 .06130/21 $2,500 $2,500 $7,500 GFS-Group B(FO-SW) Amd 10 N/A 334.04.90 07/01/19 06/30/20 07/01/19.' 06/30/21 $2,500 $2,500 GFS-Group B(FO-SW) N/A N/A 334.04.90 01/01/18 06/30/18 I.07/.0171,7 .06/30/ig i $2,500 $2,500 Op Permit Fees(FO-SW) Amd 11 N/A 334.04.90 02/Ol/19 02/28/19;.07/01/17 06/30/1.9"1 $272 $272 $272 i Healthy Communities Amd 12 N/A 334.04.91 07/01/19 06/30/20 i`07/01/19 +06/30/21; ($1,370) $0 $0 Healthy Communities Amd 10 N/A 334.04.91 07/01/19 06/30/20 1 07161119. 06/30/2T, $1,370 i FY20/21 COVID-19 Disaster Response Acct Amd 14,19 N/A 334.04.92 01/20/20 06/30/21 01/01120,- .06/30/21 $119,129 $119,129 $119,129 i FFY21 COVID GFS LHJ Regional Amd 19 N/A 334.04.92 12/31/20 06/30/21 i l,2/3,1d&_ 06136/21 S175,000 $175,000 $175,000 FPH Lead Case Mgmt-FPH Amd 12 N/A 334.04.93 07/01/19 06/30/20 i 07/01%1'9`06/30120':i $1,370 $1,370 $1,370 Page 2 of 4 EXHIBIT B-19 Mason County Public Health ALLOCATIONS Contract Number: CLH18253 Contract Term:2018-2021 Date: November 16,2020 Indirect Rate as of January 2018:13.71% Indirect Rate as of January 2019:14.53% �^ i DOHUsetOnly BARS Statement of Work ! :Chart'dfAccounts Funding Chart of Federal Award Revenue Funding Period , .Funding Period I Period Accounts Chart of Accounts Program Title Identification## Amend# CFDA* Code** Start Date End Date Start Date:End Date; Amount Sub Total Total SFY2 Lead Environments of Children Amd 4 N/A 334.04.93 07/01/18 06/30/19 ~07/Ol/fi8'. :06/30/19': $1,500 $1,500 $4,500 SFY1 Lead Environments of Children Amd 2 N/A 334.04.93 01/01/18 06/30/119 '07/01/1.T .06/30/18• $1,500 $3,000 SFYl Lead Environments of Children Amd 1 N/A 334.04.93 01/01/18 06/30/18 107/Ol/1T %1:/ 0/18:.; $1,500 I Rec Shellfish/Biotoxin Amd 19 N/A 334.04.93 07/01/19 06/30/21 : 07/01119. '06/30/21 4 $1,750 $7,000 $14,500 Rec Shellfish/Biotoxin Amd 16,19 N/A 334.04.93- 07/01/19 06/30/21 { 07/01/19' 06130/211 $1,750 Rec Shellfish/Biotoxin Amd 9,16,l9 N/A 334.04.93 07/01/19 06/30/21 i 07/01/19: 06/30/21,:." $3,500 Rec Shellfish/Biotoxin N/A N/A 334.04.93 01/01/18 06/30/19 1'07/01117' 06/30/19 $7,500 $7,500 Wastewater Management-GFS Amd 19 N/A 334.04.93 01/01/21 06/30/21 107/01/19' 06/30/2-1 $30,000 S30,000 $150,000 Wastewater Management-GFS Amd 9,19 N/A 334.04.93 07/01/20 06/30/21 107/0111=9' 06/30/21 ! $30,000 $30,000 Wastewater Management-GFS Amd9,19 N/A 334.04.93 07/01/20 06/30/211.07/01/19 06/3D/21'1 $30,000 $30,000 Wastewater Management-GFS Amd 5 N/A 334.04.93 07/01/18 06/30/19 1;07/01/.17 06/30719.i $43,274 $43,274 Wastewater Management-GFS Amd 5 N/A 334.04.93 01/01/18 06/30/18(A7/01/14 06/30/19': ($43,274) $16,726 Wastewater Management-GFS N/A,Amd 5 N/A 334.04.93 01/01/18 06/30/18 1 07/01117. 06130%19. $60,000 FPHS Funding for LHJs Amd 17,19 N/A 336.04.25 07/01/20 06/30/21 ;-07/01/19 06/30/21 i $160,891 $202,891 $447,782 FPHS Funding for LHJs Amd 10,19 N/A 336.04.25 07/01/20 06/30/21,,67101/19.' ,.06130/21j $42,000 FPHS Funding for LHJs Amd 17 N/A 336.04.25 07/01/19 06/30/20 i i01101'719 .06130/21.f $160,891 $202,891 FPHS Funding for LHJs Amd 10 N/A 336.04.25 07/01/19 06/30/20 i,0,7/01/19' ;06130ril' $42,000 FPHS Funding for LHJs Dir Amd 3 N/A 336.04.25 07/01/18 06/30/19 1 07/011*17` 06/30/.19 j $42,000 $42,000 YR 20 SRF-Local Asst(15%)(FS)-SS Amd 3 N/A 346.26.64 01/01/18 12/31/18 1.07/01/17 -,0/31`118 ($12,000) $0 $0 YR 20 SRF-Local Asst(15%)(FS)-SS N/A,Amd 3 N/A 346.26.64 01/01/18 12/31/18 07/01/17 12/31118 i $12,000 YR 21 SRF-Local Asst(15%)(FS)SS Amd 10 N/A 346.26.64 01/01/18 06/30/1910.7/01111. 06/30/d9 ($13,600) $11,200 $11,200 YR 21 SRF-Local Asst(15%)(FS)SS Amd 7,10 N/A 346.26.64 01/01/18 06/30/19' 07/01/17' 06/30/19! $800 YR 21 SRF-Local Asst(15%)(FS)-SS Amd 6,10 N/A 346.26.64 01/01/18 06/30/19"'07/01117' 06/30/19`j $12,000 YR 21 SRF-Local Asst(15%)(FS)-SS Amd 3,10 N/A 346.26.64 01/01/18 06/30/19 j 07/Ol/17 06/30/19 ; $12,000 YR 22 SRF-Local Asst(15%)(FO-SW)SS Amd 15 N/A 346.26.64 01/01/19 12/31/20 07/01/19. 06/30/21 1 ($1,800) $23,000 $23,000 YR 22 SRF-Local Asst(15%)(FO-SW)SS Amd 12 N/A 346.26.64 01/01/19 12/31/20 07/01/19 -06/30/21 i $11,200 YR 22 SRF-Local Asst(15%)(FO-SW)SS Amd 10,12 N/A 346.26.64 01/01/19 12/31/20�'07/01/,1'9 06/30/21 1 $13,600 I Sanitary Survey Fees(FO-SW)-SS State Amd 15 N/A 346.26.65 01/01/18 12/31/20 1 07/0111.7 06/3.0/21 i ($1,800) $34,200 $34,200 Sanitary Survey Fees(FO-SW)-SS State Amd 12 N/A 346.26.65 01/01/18 12/31/20('07/01117 06/30/21 $11,200 Sanitary Survey Fees(FO-SW)-SS State Amd 7,12 N/A 346.26.65 01/01/18 12/31/20 1 07/01/dZ 06/30/21: 1 $800 Sanitary Survey Fees(FO-SW)-SS State Amd 6,12 N/A 346.26.65 01/01/18 12/31/20 j 07/01%17 06.13'0/21i $12,000 Sanitary Survey Fees(FO-SW)-SS State N/A,Amd 3,6,12 N/A 346.26.65 01/01/18 12/31/20(07/01/17 06/30/2-t $12,000 Page 3 of 4 EXHIBIT B-19 Mason County Public Health ALLOCATIONS Contract Number: CLH18253 Contract Term:2018-2021 Date: November 16,2020 Indirect Rate as of January 2018:13.71% Indirect Rate as of January 2019:14.53% 'DOH•Use'Only BARS Statement of Work Chart;ofAcepunts Funding Chart of Federal Award Revenue Funding Period i Funding+Period'..; Period Accounts Chart of Accounts Program Title Identification 9 Amend# CFDA* Code** Start Date End Date IStart:Date EndZate i Amount Sub Total Total YR 20 SRF-Local Asst(15%)(FS)-TA Amd 3 N/A 346.26.66 01/01/18 12/31/18 1101/61/1,7 12/35118? ($2,000) $0 $0 YR 20 SRF-Local Asst(15%)(FS)-TA N/A,Amd 3 N/A 346.26.66 01/01/18 12/31/18 i,07/01117 12'/31/18 $2,000 YR 21 SRF-Local Asst(15%)(FS)TA Amd 10 N/A 346.26.66 01/01/18 06/30/19; 07/O1/17. 06/30%19'.I ($4,000) $0 $0 YR 21 SRF-Local Asst(15%)(FS)-TA Amd 6,10 N/A 346.26.66 01/01/18 06/30/19 i.0.7/Ol/1.7 -06/30/19 $2,000 YR 21 SRF-Local Asst(15%)(FS)-TA Amd 3,10 N/A 346.26.66 01/01/18 06/30/19 07101/17' 66/30/19'i $2,000 YR 22 SRF-Local Asst(15%)(FO-SW)TA Amd 12 N/A 346.26.66 01/01/19 12/31/20 i 01/01/19 .06/30/21' $2,000 $4,000 $4,000 YR 22 SRF-Local Asst(15%)(FO-SW)TA Amd 10,12 N/A 346.26.66 01/01/19 12/31/20!01/01%19 06/30/2-1 $2,000 TOTAL $3,874,044 $3,874,044 Total consideration: $3,652,712 GRAND TOTAL $3,874,044 $221,332 GRAND TOTAL $3,874,044 Total Fed $2,876,863 Total State $997,181 *Catalog of Federal Domestic Assistance **Federal revenue codes begin with"333". State revenue codes begin with"334". Page 4 of 4 Exhibit C-15 Schedule of Federal Awards AMENDMENT#19 Date:November 16,2020 MASON COUNTY HEALTH SERVICESSWV0001893-04 CONTRACT CLH18253-Mason County Public Health CONTRACT PERIOD: 0 110 112 01 8-1 213 112 0 21 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 SS COMMUNITY OUTREACH PN 333.21.01 NGA Not NGA Not 07/01/20 12/30/20 $20,000 21.019 Coronavirus Relief Fund Department of the Treasury NGA Not Received NGA Not Received Received Received COVID LHJ OFM ALLOCATION-CARES 333.21.01 NGA Not NGA Not 03101/20 06130121 $1,389.600 21.019 Coronavlrus Relief Fund Department of the Treasury NGA Not Received NGA Not Received Received Received BITV•COVID ED LHJ ALLOCATION-CARES 333.21.01 NGA Not NGA Not D7/01/20 12/30/21 $351.672 21.019 Coronavirus Relief Fund Department of the Treasury NGA Not Received NGA Not Received Received Received Puget Sound Action Agenda: Environmental Protection Agency PUGET SOUND SHELLFISH PS SSI 1.5 OSS TASK 333.66.12 08/02/16 $5.000,000 01/01/18 06/30/19 $86,541 65.123 Technical Investigations and Region 10 01,118001 STRATEGIC INITIATIVE LEAD Implementation Assistance Program ....._�._a�_..,._.__..:__._..._..._._.-.._ -•----••--------•-------------- --�--'_--^—"""�`-"""'—" Puget Sound Action Agenda: Environmental Protection Agency PUGET SOUND RESTORATION NEP 5-6 ONSITE SEWAGE MANAGEMENT 333.66.12 01/09/11 $2,490,000 01/01/18 06/30/19 $85.330 66.123 Technical Investigations and Region 10 ODJB8801 PROJECT Implementation Assistance Program Heel Emergency Department of Health and Human PUBLIC HEALTH EMERGENCY Public Health FFY20 PHEP BP2 LHJ FUNDING 333.93.05 06/12120 $11,365,797 07/01120 06130121 $49.342 93.069 Preparedness Services Centers for Disease Control NUBOTP922043 PREPAREDNESS(PHEP) P and Prevention COOPERATIVE AGREEMENT Department of Health and Human Y PUBLIC HEALTH EMERGENCY FFY19 PHEP BPI LHJ FUNDING 333.93.06 06/29/19 $11,307,904 07/01/19 06/30/20 $49,342 93.059 Public Health Emergency Services Centers for Disease Control NUSOTP922043 PREPAREDNESS(PHEP) Preparedness and Prevention COOPERATIVE AGREEMENT HOSPITAL PREPAREDNESS PROGRAM Public Health Emergency Department of Health and Human AND PUBLIC HEALTH EMERGENCY FFY18 EPR PHEP BPI SUPP LHJ FUNDING 333.93.05 08/01/18 $11,062,782 07/01/18 06130/19 $49,341 93.069 Preparedness Services Centers for Disease Control NU90TP921889-01 PREPAREDNESS COOPERATIVE and Prevention AGREEMENT Public Health Emergency Department of Health and Human HPP AND PHEP COOPERATIVE FFY17 EPR PHEP BPI LHJ FUNDING 333.93.06 07/18/17 $11,062,782 01/01/18 06/30118 $28,979 93.069 Preparedness Services Centers for Disease Control NU90TP9218B9-01 AGREEMENT and Prevention _.___..____-_��___, ,._.. --.•�_-.._____....._.--._.___---- `� �Y Injury Prevention and Control Department of Health and Human NGA Not NGA Not FFY20 OVERDOSE DATA TO ACTION PREV 333.93.13 09/01/20 08/31 Received Received /21 $50,000 93.136 Research and Slate and Community-Services Centers for Disease Control NGA Not Received NGA Not Received Based Programs and Prevention ��•�.- �`y�A`�����-.•�-}- _- -_•��~R`�� �^ A-'_�vm l••�v •.----� Injury Prevention and Control Department of Health and Human Y Y WASHINGTO14 STATE DEPARTMENT' FFY19 OVERDOSE DATA TO ACTION PREV 333.93.13 D8/12/19 $4,390.240 09/01/19 08131/20 $50,000 93.136 Research and State and Community.Services-Centers for Disease Control NU17CE925007 OF HEATLH OVERDOSE DATA TO Based Programs and Prevention-National Center for ACTION Injury Prevention and Control Injury Prevention and Control Department of Health and Human PRESCRIPTION DRUG OVERDOSE FFY18 PRESCRIPTION DRUG ODSUPP 333.93.13 05/31/17 $6,223,523 09/01/18 08/31/19 $110,000 93.136 Research and Slate and Community Services Centers for Disease Control U17CE002734 FOR STATES Based Programs and Prevention Injury Prevention and Control Department of Health and Human PRESCRIPTION DRUG OVERDOSE FFY17 PRESCRIPTION DRUG ODSUPP 333.93.13 03/16/16 $4,031,632 01/01/18 08/31/18 $63,027 93.136 Research and Stale and Community Services Centers for Disease Control U17CE002734 FOR STATES Based Programs and Prevention ___—___,_.._._.._,___..,__._._..._...�____.__,___._�_—.^-_---.--------------•— ___. Immunization Cooperative Services of Health and Human IMMUNIZATION GRANT AND VACCINES FFY21 VFC Ops 333.93.26 07/01120 $9,082,252 07/01/20 12/31/20 $2,80D 93.268 Agreements Services Centers for Disease Control NH231P922619 FOR CHILDREN PROGRAM and Prevention Page 1 of 3 Exhibit C-15 Schedule ®f Federal Awards AMENDMENT#19 Date:November 16,2020 MASON COUNTY HEALTH SERACESSWV0001893-04 CONTRACT CLH18253-Mason County Public Health CONTRACT PERIOD: D1/01/2018-12/31/2021 DOH Total Amt Allocation Period Federal Award Chart of Accounts Program Title BARS Federal Federal Start End e Award Date Date Contract Amt CFDA CFDA Program Title Federal Agency Name Federal Grant Award Name Award Date Identification Number --- ---- _-- Department of Health and Human IMMUNIZATION GRANT AND VACCINES - - - _ - -- -- - - -- -- - -- -- Immunization Cooperative FFY21 PPHF OPS 333.93.26 07/01/20 $9,DB2,252 07101/20 06/30/21 $500 93.268 Agreements Services Centers for Disease Control NH231P922619 FOR CHILDREN PROGRAM and Prevention NGA Not �`V_V�•T^--�4 Immunization Cooperative Department of Health and Human NGA Not FFY21 COVID19 VACCINE SERVICES-CARES 333.93.26 Received Received 07/01/20 06/30/21 $14,5B2 93.268 Agreements Services Centers for Disease Control NGA Not Received NGA Not Received and Prevention Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINES FFY20 VFC OPS 333.93.26 07/01/19 $9,234,835 07/01/19 06/30120 $5,600 93.268 Agreements Services Centers for Disease Control NH231P922619 FOR CHILDREN PROGRAM and Prevention ,_..__.._�..a,�.....--<._._ ---------------- -------•---------•- ---•-----'---"^'-'-•`--'-""-`-"'-"'""'- '-Immunization Cooperative Services of Health and Human IMMUNIZATION GRANT AND VACCINES FFY20 PPHF OPS 333.93.26 07/01/19 $9,234,835 07/01/19 06/30/2D $50D 93.268 Agreements Services Centers for Disease Control NH231P922619 FOR CHILDREN PROGRAM and Prevention Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINES FFY17 VFC OPS 333.93.26 03/03/17 $1,201,605 01/01/18 06/30/18 $2,228 93.26E Agreements Services Centers for Disease Control 5NH23IP000762-05.00 FOR CHILDREN'S PROGRAM and Prevention Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINES FFY1T PPHF OPS 333.93.26 06/29/18 $3,534,512 07/01/18 06/30/19 $500 93.268 Agreements Services Centers for Disease Control NH231P000762 FOR CHILDREN'S PROGRAM and Prevention �'-+�_•�- �•Y_T��— -- ^y -____—J'-T �`�� '�^` Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINES FFY171NCREASING IMMUNIZATION RATES 333.93.26 06f29/18 $1,722.443 07/01/18 06130/19 $5,600 93.268 Agreements Services Centers for Disease Control NH231P000762 FOR CHILDREN'S PROGRAM and Prevention Department of Health and Human IMMUNIZATION GRANT AND VACCINES 333.93.26 03/03/17 $1.672, FFY17 AFIX 209 01/01/18 06/30/18 $4,293 93.268 Immunization Cooperative Services Centers for Disease Control 5NH231POOD762-05-00 Agreements and Prevention FOR CHILDREMS PROGRAM Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND VACCINES FFY17 317 OPS 333.93.26 03/03/17 $575.969 01101/18 06/30/18 $1.423 93.268 Agreements Services Centers for Disease Control 5NH231POOD762-05-00 FOR CHILDREN'S PROGRAM and Prevention EpidemiologyandLaboratory EPIDEMIOLOGY&LABORATORY T� Capacity for Infectious Diseases Department of Health and Human CAPACITY FOR INFECTIOUS DISEASES FFY19 COVID CARES 333.93.32 04/23120 $22,581,799 06/01/20 12/31/21 $65,595 93.323 (ELC)-Building and Strengthening Services Centers for Disease Control NUSOCK000515 (ELC)-BUILDING&STRENGTHENING Epidemiology,Laboratory and and Prevention �- EPIDEMIOLOGY,LABORATORY& -- --- ------•^-^-•-' •" '"'"" --"'�"�"�` '- -�' '�� -�� - Public Health Emergency t of Health and Human W ®CDC COOPERATIVE AGREEMENT FOR Department Response:Cooperative Agreement EMERGENCY RESPONSE:PUBLIC FFY20 CDC COVID-19 CRISIS RESP LHJ TRIBE 333.93.35 03/16/20 $13,230.799 01/20/20 03/15/21 $130,871 93.354 for Emergency Response:Public Services Centers for Disease Control NU90TP922069 HEALTH CRISIS RESPONSE CDC-RFA- and Prevention Health Crisis Response TP18-1 8D2 NGA Not NGA Not Matemal and Child Health Services Department of Health and Human FFY21 MCHBG LHJ CONTRACTS 333.93.99 Received Received 10/01/20 09/30/21 $67.694 93.994 Block Grant to the States Services Health Resources and NGA Not Received NGA Not Received Services Administration _.�_,.____._.__..r..^... ------------ --- •^-•^^--- ^'-'•"-"" "`Maternal and Child Health Services Department of Health and Human MATERNAL AND CHILD HEALTH FFY20 MCHBG LHJ CONTRACTS 333.93.99 11/14/18 $2.225,977 10/01/19 09/30/20 $67,694 93.994 Block Grant to the Stales Services Health Resources and B04MC32578 SERVICES BLOCK GRANT Services Administration Maternal and Child Health Services Department of Health and Human MATERNAL AND CHILD HEALTH FFY19 MCHBG LHJ CONTRACTS 333.93.99 11/14/18 $2,225,977 10/01/18 09/30/19 $57,694 93.994 Block Grant to the States Services Health Resources and B04MC32578 SERVICES BLOCK GRANT Services Administration Page 2 of 3 Exhibit C-15 Schedule of Federal Awards AMENDMENT#19 Date:November 16,2020 MASON COUNTY HEALTH SERVICES-SWV0001893-04 CONTRACT CLH18253-Mason County Public Health CONTRACT PERIOD: 0110112 01 8-1 2/3 1/2 0 21 DOH Total Amt Allocation Period Federal Federal Start End Federal Award Federal Grant Award Name Chart of Accounts Program Title BARS Contract Amt CFDA CFDA Program Title Federal Agency Name Award Date Award Date Date Identification Number 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 $2,876,863 Page 3 of 3 MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Kell Rowen and Josh Luck DEPARTMENT: Building EXT: 286 BRIEFING DATE: February 22, 2021 PREVIOUS BRIEFING DATES: None If this is a follow-up briefing, please provide only new information INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources ❑ Legal ❑ Other ITEM: Contract: Building Services; Plans Examining and Building Inspections EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions): Mason County Community Services (Building Department) is renewing its Building Services (plans examining/building inspections) contracts with Townzen &Associates, Inc. and CodePros, LLC for 2021. BUDGET IMPACT: Not to exceed $50,000 as budgeted in 2021 for outside services. PUBLIC OUTREACH:(Include any legal requirements, direct notice,website, community meetings, etc.) N/A. RECOMMENDED OR REQUESTED ACTION: Discussion of any necessary edits to the contract prior to placing on the March 2, 2021 Action Agenda for execution. ATTACHMENTS: Draft contracts between Mason County and Townzen &Associates, Inc. and Mason County and CodePros, LLC. Briefing Summary 2/16/2021 Building Department Services This Agreement ("Agreement"), is made and entered into on the day and year indicated by and between the COUNTY OF MASON, WASHINGTON, a (Washington municipal corporation), hereinafter referred to as the "COUNTY", and Townzen & Associates, Inc a Washington State Corporation,hereinafter referred to as "TA." 1. Scope of Services. TA will provide the County with the services described in Appendix A, "Scope of Services," attached hereto and fully incorporated herein. Said services shall be performed with the ordinary skill, care, and expertise customarily expected from those in the business of providing such services. 2. Rates and charges. The County will pay TA the hourly fees and costs as described at Appendix A herein. Unless otherwise specified, the County will pay the fees and costs on or before the expiration of thirty (30) days from the date of receipt of the invoice. 3. Duration. This Agreement shall begin upon execution and continue in full force and effect through December 31, 2021; provided that, either party may terminate this Agreement at any time, with or without cause, upon not less than sixty (60) days prior written notice. In addition, the County may terminate this Agreement in the event it receives notice of cancellation of TA's insurance coverage, or other good cause including breach of this Agreement, upon not less than ten (10) days prior written notice. This Agreement may be renewed for additional terms upon mutual agreement of the parties. 4. Confidentiality. TA acknowledges that the some of the plans reviewed plans may be confidential or constitute valuable assets of and are proprietary to the County. TA and their employees may, during the course of performing services under this Agreement, have access to confidential information. TA also acknowledges that the County has a responsibility to its customers and employees to keep County information confidential and proprietary, except to the extent such information is subject to public disclosure under state law. TA agrees under no circumstances to disclose, sell or trade, either directly or indirectly, to any person, firm or corporation information of any kind located at or received from the County, except as directed by the County. TA agrees to safeguard and protect any information located at or received from the County. This provision shall survive termination of this Agreement. 5. Indemnification. TA shall indemnify, defend and hold the County, its officers, agents and employees harmless from all suits, claims or liabilities of any nature, including attorney fees, costs and expenses, for or on account of injuries or damages sustained by any person or property resulting from the negligent acts or omissions of and to the extent harm is caused by TA, its agents or employees in connection with this Agreement. If suit in respect to the above is filed and judgment is rendered or settlement made requiring payment of damages by the County, its officers, agents or employees, TA shall pay the same. This indemnification obligation shall be limited to the amount the amount of liability insurance carried by TA, provided that such insurance shall be at least in the amount set forth in Section 6 herein. The County shall indemnify, defend and hold TA, its officers, agents and employees harmless from all suits, claims or liabilities of any nature, including attorney fees, costs and expenses, for or on account of injuries or damages sustained by any person or property resulting from the negligent acts or omissions of and to the extent harm is caused by the County, its agents or employees in connection with this Agreement. If suit in respect to the above is filed and judgment is rendered or settlement made requiring payment of damages by the TA, its officers, agents or employees, the County shall pay the same. 6. Insurance. 6.1 TA agrees to maintain, at their own expense, for the benefit of the County, as additional insured, insurance against liability for damage or loss and against liability for personal injury or death, arising from acts or omissions of TA, its agents and employees. Such policy or policies shall contain a provision whereby the County must receive at least thirty (30) days prior written notice of any cancellation of TA's insurance coverage. TA shall provide insurance coverage in amounts not less than the following: a.) One Million Dollars per occurrence/one million dollars aggregate. 6.2 TA and its employees, subcontractors and agents performing services under this Agreement shall ensure that any personal vehicles utilized during the performance of this Agreement are properly and sufficiently insured for their use. 6.3 Prior to the commencement of this Agreement, TA shall deliver to the County certificates or binders evidencing the existence of the insurance required herein indicating the County as an additional insured. Failure to provide proof of the insurance at any time to the satisfaction of the County shall be grounds for termination of this Agreement. 7. Prior Agreements. This Agreement shall govern performance of all services described herein. Any prior agreement is hereby superseded and wholly replaced by this Agreement for all services described. 8. No Employment Relationship. This Agreement creates an independent contractor relationship. TA and its employees, subcontractors and agents performing services under this Agreement are not and shall not be considered employees of the County. Nothing herein shall be deemed to create an employment relationship between those individuals or entities performing services hereunder and the County. 9. Governing Law. This Agreement shall be governed by the laws of the State of Washington. The venue for any litigation concerning this Agreement shall be Thurston County, Washington. 10. Integration — Written Amendments Only. This writing including Attachment A constitutes the full and only agreement between the parties, there being no promises, agreements or understandings, written or oral, except as herein set forth, or as hereinafter may be amended in writing. This Agreement including Attachment A may only be amended or modified by written agreement of the parties. 11. Assignment. TA shall not assign any interest on this Agreement (whether by assignment or notation), without prior written consent of the County, which consent may be withheld in the sole discretion of the County. Any assignment or transfer of an interest in this Agreement by TA without the prior written consent of the County shall be void. The covenants and conditions herein contained shall apply to and bind the heirs, successors, administrators and assigns of all parties hereto. 12. Remedies for Breach and Attorney's Fees and Costs. All remedies available in law and equity shall be available in the event of a breach of this Agreement. In the event legal action is initiated by either party against the other, the prevailing party shall be entitled, in addition to all other amounts to which it is otherwise entitled by this Agreement,to its reasonable attorney's fees and costs, including those incurred on appeal. 13. Nonwaiver of Breach. Failure of either party to require performance of any provision of this Agreement shall not limit such parry's right to enforce such provision, nor shall a waiver of any breach of any provision of this Agreement constitute a waiver of any succeeding breach of such provision or a waiver of such provision itself. 14. Severability. If any portion of this Agreement is deemed void, illegal or unenforceable,the balance of this Agreement shall not be affected thereby. 15. Notice. Notice provided or required under this Agreement shall be sent in writing or by facsimile transmission to the parties at the following address/numbers: COUNTY OF MASON TOWNZEN&ASSOCIATES, Inc.: 615 W Alder St. Leslie D. Townzen, President Shelton, WA 98584 2620 RW Johnson Blvd SW, Suite 112 Tumwater, WA 98512 Fax No. (360) 754-7722 16. Capability of County to Bind Parties. The parties represent and acknowledge that the individual signing this Agreement has the authority to do so and to bind each party, and their successors and assigns. In Witness Whereof, the parties enter into this Agreement, mutually agree on above terms, are authorized to execute this Agreement and the parties have executed this Agreement on the day and year indicated. COUNTY OF MASON TOWNZEN& ASSOCIATES, Inc Leslie D. Townzen President, Townzen&Associates Dated: , 2021 Dated: , 2021 TOWNZEN & ASSOCIATES, INC Appendix A Services Based on a Proportion of the County's Fees Description Rates Building Plan Review Services.................................55% of the County's Collected Plan Review Fee Fire Code Review of Building Plan Reviews..........30% of the County's Collected Plan Review Fee Structural Plan Review.............................................30% of the County's Collected Plan Review Fee* Inspections.................................................................$80.00/Hour of Inspection Time Inspections Travel Time............................................$45.00/Hour of Travel Time Mileage.......................................................................Per Current Rates Fire Alarm Systems....................................................75% of the County's Collected Permit Fee** 90% of the County's Collected Plan Review Fee Fire Sprinkler Systems...............................................75% of the County's Collected Permit Fee** 90% of the County's Collected Plan Review Fee Other Fire Protection Systems.................................75% of the County's Collected Permit Fee** 90% of the County's Collected Plan Review Fee *Structural review is performed by a Certified WA State Structural Engineer contracted by Townzen &Associates, Inc.This fee is in addition to the building plan review fee. **The monies collected from the permit fees for fire protection system will cover all related inspections for that particular permit. Services Based on Hourly Rates Description Rates Plan Examiner.............................................................................. $85.00/Hour Structural Engineer...................................................................... $125.00/Hour Inspector (Fire and Building) ......................................................$80.00/Hour of Inspection Time Inspectors Travel Time................................................................ $45.00/Hour of Travel Time Mileage.......................................................................................... Per Current Rates The fees associated with the plan review will include one initial review and one re-submittal review. Any additional reviews will be charged at the hourly rate listed in this proposal. Deferred submittals or additional plan reviews required by changes, additions or revisions to plans will be an additional fee based on actual hours utilized at the appropriate hourly rate with a minimum of 1 hour. Expedited Review Fees: (IV-a.ii) Our standard rate for an expedited review is a surcharge of 100% of the plan review fee collected by the County. 221 Kenyon St NW I Suite 102 1 Olympia,WA 98502 Phone: (360)754-1335 1 www.townzen-consulting.com Page 18 of 27 TOWNZEN & ASSOCIATES, INC Type of Project Standard Review Time Expedited Review Time Commercial Business Days* Business Days*, **** 10 5 Up to $5M in valuation Commercial 15 Business Days* Negotiable Depending on the $5M-$10M in valuation size of the project Commercial 20 Business Days* Negotiable Depending on the $10+ in valuation size of the project Commercial Re-Check 3-5 Business Days*-** Business Days*-** Residential 3-5 Business Days* 2 Business Days* Residential Re-Check 2 Business Days* 1 Business Days* Tenant Improvements 2-3 Business Days*-*** 1-2 Business Days*-*** TI Re-check 2 Business Days*-** 1 Business Days*-** *First review comments or approved plans will be issued by Townzen &Associates with respect to the plan reviews within the following business days from the receipt of the plans.The day of plan submittal does not count within the appropriate business day. **Review of the re-submittal will be completed within the following business days from the receipt of the re-submitted items.The day of plan submittal does not count within the appropriate business day. ***Tenant Improvements: depending upon completeness of submittal. ****Any projects that included the structural review will have 5 business days added to time frames, expedited reviews with structural reviews will be based on the availability of the engineer. 221 Kenyon St NW I Suite 102 1 Olympia,WA 98502 Phone: (360) 754-2335 1 www.townzen-consulting.com Page 19 of 27 ZE AN AGREEMENT BY AND BETWEEN MASON COUNTY, WA, AND CODEPROS, LLC. FOR SUPPLEMENTAL BUILDING DEPARTMENT SERVICES THIS AGREEMENT FOR BUILDING DEPARTMENT SERVICES (this "Agreement') is made this day of , 2021. The parties to this agreement are the Mason County Department of Community Development, , hereinafter referred to as the "Department" and CodePros, LLC, a Washington Limited Liability Company, hereinafter referred to as the "Company". In consideration of the recital, promises, and covenants herein set forth, and any other good and valuable consideration receipted for, the parties agree as follows: 1. The Department authorizes the Company to perform supplemental building plan review services and/or building and structure inspections services within the un-incorporated boundaries of the County on an as-needed, non-exclusive basis as directed by Department staff based upon the Washington State Building Codes and any other adopted codes and state and local amendments, or applicable State and Federal requirements, and other County adopted regulations, standards, and requirements related to building construction (collectively, the "County's Codes"). 2. The Company shall utilize the County's Codes as its governing criteria in all plan reviews, and any building inspections performed by the Company. 3. The services to be provided by the Company to the Department are listed in "Attachment A— List of Services Provided by CodePros, LLC." Services may be added, deleted, or modified from time to time if jointly agreed upon by both parties. The parties further agree that the fees listed in "Attachment B — Fee Schedule for Department Services Provided by CodePros" may be modified if jointly agreed upon in writing by both parties in the event services to be provided by the Company to the Department are added, deleted or modified from those stated in Attachment A at the time this Agreement is signed. 4. In consideration of the Company providing such services, the Department shall pay the Company for the services performed on each building permit in accordance with the fee schedule included herein as "Attachment B — Fee Schedule for Department Services Provided by CodePros". All fees will be billed and submitted by the Company to the Department in accordance with the terms set forth in "Attachment B — Fee Schedule for Department Services Provided by CodePros" and the Department shall pay such bill or invoice in accordance with the terms set forth in "Attachment B — Fee Schedule for Department Services Provided by CodePros". 5. Plan review and permit fees shall be based on the fee schedule as adopted by Mason County, utilizing the fee table as adopted in Ordinance 123-08. Plan Review fees shall be established as 65% of the permit fee. Project valuations shall be defined as the total value of all construction work for which the permit is issued, and shall include but not be limited to: all finish work, painting, roofing, electrical, plumbing, heating, air conditioning, elevators, fire extinguishing systems, permanent equipment, architectural/engineering services and contractors profit. The valuation shall be, at a minimum, as determined by utilizing the most recently published "Square Foot Construction Costs" table published by the International Code Council in its "Building Safety Journal" magazine. CodePros.LLC, Mason County-Service Agreement Page 1 of 4 6. The Company is and shall be an independent contractor and not an employee or agent of the Department. As an independent contractor, the Company and anyone employed by the Company is not entitled to workers' compensation benefits or to unemployment insurance benefits other than such worker's compensation or unemployment compensation coverage as provided by the Company or some other entity. The Department shall not be liable for payment of any unemployment benefits, employment taxes, worker's compensation claims, or any and all other forms of compensation or benefit to any personnel of the Company performing building department services herein for said Department. The Company acknowledges that neither it nor its employees are covered by Mason County's Workers' Compensation policy. Accordingly, the Company acknowledges and agrees that the Company will provide Workers' Compensation insurance for all of its employees who are not officers of the Company. 7. The compensation set forth in Exhibit B is inclusive of all costs of any nature associated with the Company's efforts, including but not limited to salaries, benefits, expenses, overhead, administration, profits, expenses, and outside consultant or subcontractor fees. As the Company is an independent contractor, the Department shall have no liability or responsibility for any direct payment of any salaries, wages, payroll taxes, or any and all other forms or types of compensation or benefits to any personnel performing inspection services for the Department under this Agreement. 8. Insurance The Company agrees to procure and maintain, at its own cost, and require any subcontractors to procure and maintain at their own cost, a policy or policies of insurance sufficient to insure against liability, claims, demands, and other obligations assumed by the Company pursuant to this Agreement. Such insurance coverage shall be procured and maintained with forms and insurers acceptable to the Department. In the case of any claims- made policy, the necessary retroactive dates and extended reporting periods shall be procured to maintain such continuous coverage. Such insurance shall be in addition to any other insurance requirements imposed by law and shall cover the following issues: 8.1 Worker's compensation insurance to cover obligations imposed by applicable law for any employee engaged in the performance of work under this Agreement, and Employer's Liability insurance with minimum limits of one hundred thousand dollars ($100,000) each accident, for each employee. 8.2 Commercial general liability insurance with minimum combined single limits of one million dollars ($1,000,000) each occurrence and two million dollars ($2,000,000) general aggregate. The policy shall be applicable to all premises and operations. The policy shall include coverage for bodily injury, broad form property damage (including completed operations), personal injury (including coverage for contractual and employee acts), blanket contractual, independent corporation, products, and completed operations. The policy shall contain a severability or interests provision, and shall be endorsed to include the Department as an additional insured. No additional insured endorsement shall contain any exclusion for bodily injury or property damage arising from completed operations. 8.3 Professional liability insurance with minimum limits of one million dollars ($1,000,000) each claim and one million dollars ($1,000,000) general aggregate. 9. The Company agrees to indemnify, defend, and hold harmless the Department, its officers and employees from and against liability, claims and demands on account of injury, loss or damage, including, without limitation, claims arising from bodily injury, personal injury, CodePros,LLC, Mason County-Service Agreement Page 2 of 4 sickness, disease, death, property loss, or damage (including reasonable attorney's fees and litigation costs) to the extent caused by the negligent act, omission, or error of the Company, or any officer, employee, representative or agent of Company. 10. The Department shall indemnify and hold the Company harmless for claims against the Company arising from the enforcement of any of Mason County's Codes, as defined herein, which are determined by a court of competent jurisdiction to be unconstitutional or otherwise invalid and in cases where the professional services provided pursuant to this Agreement are performed in good faith and as generally accepted standards practiced by others providing similar services. 11. The Department agrees to indemnify, defend, and hold harmless the Company, its officers and employees from and against liability, claims and demands on account of injury, loss or damage, including, without limitation, claims arising from bodily injury, personal injury, sickness, disease, death, property loss, or damage (including reasonable attorney's fees and litigation costs) to the extent caused by the negligent act, omission, or error of the Department, or any officer, employee, representative or agent of Department. 12. Either party to this Agreement may terminate this Agreement upon thirty (30) days written notice to the other party. If such termination does occur, all structures that have had inspections made but are not completed at the time of termination may be completed through final inspection at the agreed fee rate if the Department so requests and if the Company agrees to do so, provided that the work to reach such completion and finalization does not exceed sixty (60) days. The Department shall pay all outstanding fees owed to the Company for the work accomplished to the date of termination within thirty (30) days of the date of termination. 13. The initial term of this agreement shall be one year. Extensions of this Agreement shall be negotiated between the Company and the Department prior to termination. In the absence of written extension or newly negotiated terms, the Agreement will continue in force until such time as either party notifies the other of their desire to terminate this Agreement pursuant to the terms and conditions herein. 14. The extent of this agreement shall be limited to a maximum total value (fee amount(s)) not to exceed $50,000.00 (fifty thousand dollars) unless otherwise established in writing. 15. The Department and its duly authorized representatives shall have access to any books, documents, papers and records of the Contractor, other than the Company's financial records, that are related to this Agreement for the purposes of audit or examination, and may make excerpts and transcriptions of the same. 16. All building inspection records, documents, notes, plans, data and other materials required for or resulting from the performance of the services hereunder shall not be used by the Company for any purpose other than the performance of the services hereunder without the express prior written consent of the Department. All such records, documents, notes, plans, data and other materials shall become the exclusive property of the Department when the Company has been compensated for the same as set forth herein, and the Department shall thereafter retain sole and exclusive rights to receive and use such materials in such manner and for such purposes as determined by it. 17. The Company will not discriminate against any employee or applicant for employment because of race, color, religion, age, sex, disability or national origin. Such action shall include but not be limited to the following: employment, promotion, demotion, transfer, CodePros,LLC, Mason County-Service Agreement Page 3 of 4 recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training. The Company agrees to post in conspicuous places, available to employees and applicants for employment, notice to be provided by an agency of the federal government, setting forth the provisions of the Equal Opportunity laws. 18. The Company shall comply with the appropriate provisions of the Americans with Disabilities Act (the "ADA"), as enacted and as subsequently amended and any other applicable federal regulations. 19. Prohibition Against Employing Illegal Aliens. The Company shall not knowingly employ or contract with an illegal alien to perform work under this contract. The Company shall not enter into a contract with a subcontractor that fails to certify to the Company that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this contract. 20. This Agreement shall be construed and enforced in accordance with the provisions of Washington law and the codes, resolutions and ordinances related to the services covered herein. 21. In the event a dispute arises out of or relates to this Agreement, or the breach thereof, and if said dispute cannot be settled through negotiation, the parties agree first to try in good faith to settle the dispute by mediation, before resorting to arbitration, litigation, or some other dispute resolution procedure. 22. Any notice under this Agreement shall be in writing, and shall be deemed sufficient when directly presented or sent pre-paid, first class United States Mail, addressed as follows: If to the Department: Mason County Department of Community Development Attn: Kell Rowen 426 W. Cedar Shelton, WA 98584 If to the Company: Michael J. Barth, Managing Member CodePros, LLC. P.O. Box 185 Allyn, WA 98524 23. This Agreement constitutes the complete, entire and final agreement of the parties hereto with respect to the subject matter hereof, and shall supersede any and all previous communications, representations, whether oral or written, with respect to the subject matter hereof. Mason County, WA By: Date: CodePros, LLC. By: Date: Michael J. Barth, Managing Member CodePros,LLC, Mason County-Service Agreement Page 4 of 4 ATTACHMENT A List of Services Provided by CodePros, LLC for Mason County Department of Community Development- CodePros Services Agreement dated , 2021 Note: This list of services can be updated and amended as necessary to ensure the Department's needs are met and the services provided satisfy the County, property owners, and the building community. Plan Review services provided as part of the agreement Perform plan review on select building projects in the County on a non-exclusive, as-needed basis as requested by the Department. These may include any type of construction project, such as, without limitation: single-family residential construction; multi-family residential construction; new commercial, industrial, and institutional construction; as well as tenant improvements and/or remodeling projects in any existing buildings. Building plan review will, as directed by Department staff, include review of foundation systems, structural systems, plumbing and mechanical systems and energy code provisions to determine compliance with the Washington State Building Code, along with the Plumbing, Mechanical, Fuel-Gas and Energy Codes, and any local amendments adopted by Mason County. Follow-up plan review of corrections of identified items is included. Plan Review turn-around time-frame targets are as follows: . Project Size based on Valuation: Plan Review Turnaround Goal time to first comments: IRC Residential Projects 5 working days 99. IBC Small Commercial Project 15 working days 99% (Valuation less than $11VI) IBC Large Commercial Project 20 working days 100% (Valuation $11VI to $10M) IBC Exceptionally Large Project 30 working days 10.0% (Valuation greater than $10M) Other Services provided as part of the agreement: o Provide code interpretations and professional opinions as requested by the Department o On-call building inspections as requested by the Department (minimum 48 hours notice) o Application of the provisions of the Existing Building Code as adopted by the State of Washington in regard to existing and/or historic structures o Communicate and coordinate efforts with professional partner employees, service providers, and other jurisdiction staff, elected officials and other agencies o Provide regular status and activity reports o Maintain proper legal records, provide document storage, and respond to public disclosure records requests CodePros,LLC, Mason County-Service Agreement,Attachment A ATTACHMENT B Fee Schedule for Department Services by CodePros, LLC. CodePros Services Agreement dated , 2021 CodePros' Plan Review Service Fees: o Building Plan Review Service Fee (Commercial > $1 M) 55% of County's review fee o Building Plan Review Service Fee (Commercial = < $1 M) 60% of County's review fee o Building Plan Review Service Fee (1-2 Family Residential) 75% of County's review fee o Attendance of Pre-Ap conference for projects > $1 M valuation no charge o Attendance of Pre-Ap conference for projects =<$1 M valuation $50.00 per hour o Fire Code Plan Review $75.00 per hour Other Fees: o Supplemental On-Call building inspections $75.00 per hour o Project Support (upon specific request of jurisdiction) 65% of County's review and permit fee o Inspections outside of business hours $120.00 per hour, (2 hour minimum) o Investigative Services and/or testimony $150.00 per hour o Code consultation and/or code interpretation, not associated with plan review services above (as requested by the Department) $75.00 per hour o Analysis of alternate methods and/or materials $75.00 per hour o Structural engineering review by P.E. (projects<$4M) (actual costs) o Structural engineering review by P.E. (projects>$4M) no additional charge (Service is all-inclusive; there are no additional fees for mileage, customer question response, jurisdiction question response, (up to two) plan review re-checks, document preparation, shipping, etc.) Terms: CodePros bills for the previous month, typically by the third business day of the month, payable within 30 days. Plan review: 60% of fee due upon first comments, the remaining 40% upon completion of the final review. If billing discrepancies are identified by the Department, such discrepancy shall be brought to the attention of the Company prior to the payment due date. CodePros,LLC, Mason County-Service Agreement, Attachment B MASON COUNTY BRIEFING ITEM SUMMARY FORM To: Board of Mason County Commissioners From: Kell Rowen Department: Community Development Ext: 286 Briefing Date: February 22, 2021 Previous Briefing Dates: If this is a follow-up briefing, please provide only new information Item Approval to appoint Randy Neff to the Planning Advisory Commission for a term ending January 31, 2022. Background: The Mason County Planning Advisory Commission is a seven-member citizen board appointed to advise the Board of Commissioners on policy related to the County comprehensive plan and on land use issues. The Planning Advisory Commission members help set the long-term direction or vision for the community's future. The Planning Advisory Commission considers and makes recommendations on many issues such as amendments to the Mason County Comprehensive Plan, Shoreline Master Program, and land use regulations. Recommended or Requested Action: Approval to appoint Randy Neff to the Planning Advisory Commission for a term ending January 31, 2022. Attachments: Application Briefing Summary 2/18/2021 ~~^~`~^''"��- '---- L������=8 � ����) u�� � 00 MASON CO[JD7Tl'COMESSIOPERS � 411 NORTH FII72H STREET � ' `'"~ GHELTON WA 98584 M a S 0 r oun Fa.-360-427-8437; Voice 360-427-9670, Ext.419;275-4467 or 482-5269 _ ` ~ CoMrnbo|oners1854 ' � ADDRESS: LHONE: CITYIZIP: - VOTING PRECINCT: WORK PHONE: (OR AREA IN THE COUNTY YOU LIVE) E-MAIL: ------------------------------------------------------------------------ COMMUNITY SERVICE EMPLOYMENT: (IF RETIRED, PREVIOUS EXPERIENCE) (ACTIvmESonwEMBEnSHIPS) CO�. �NY: YRS POSITION: COM5ANY- YRS -------------------------------------------------------------------------------------' In your words, what do you perceive is the role or purpose of the Board, Committee or Council for which you are applying: � = What interests, skills'do you wish to offer the Board, Committee, or Council? Al Please list any financial, pnzfesakznal, or voluntary affiliations which may influence or affect your position on this Board: (ie create a potential conflict ofinterest) Your participation is dependent upon attending certain trainings made available by the County during regular business hours (such au Open Public Meetings Act andPub|i Records).The trainings would be at no cost to you.Would you be able to attend such tnaininga? Realisticaly how much time can you give to this position? Is Daily Offlee Use Only Appointnent Date ` Signature � `^r = [ate MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Alex Paysse DEPARTMENT: Community Services, EXT: 279 Environmental Health BRIEFING DATE: 2/22/2021 PREVIOUS BRIEFING DATES: 7/15/2019, 8/5/2019, 12/9/2019, 2/24/2020, 11/30/21, 1/25/21 If this is a follow-up briefing, please provide only new information ITEM: Water Quality Program EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions): Continue work around combination of all Shellfish Protection Districts and funding options. Last briefing, commission requested information on parcels served by a wastewater treatment facility. They also requested a breakdown of proposed program details and estimated budget. See attached. PUBLIC OUTREACH: (Include any legal requirements, direct notice, website, community meetings, etc.) BUDGET IMPACTS: None at this time RECOMMENDED OR REQUESTED ACTION: Continue discussion, no formal actions at this time. ATTACHMENTS: Water Quality Program Proposal Excerpts from RCW 90.72 related to wastewater SPD fees Briefing Summary 2/17/2021 RCW 90.72.040 Shellfish protection districts—Creation—Boundaries—Cooperation with governmental entities—Abolition—Referendum to repeal creation— Certain fees not permitted. (1) The county legislative authority may create a shellfish protection district on its own motion [...] (2) If the county legislative authority creates a shellfish protection district by its own motions ] M {3) The;county a " -Iatwe authority shall not impose fees, rates, or charges for shellfish�protection district programs upon properties on which fees, rates,.or charges ;are imposed under,chapter.:36:89 or 36 94,RCW for substantially the same programs and_services: Chapter 36.89 RCW HIGHWAYS 'OPEN SPACES=PARKS—OTHER PUBLIC FACILITIES STORMWATERgCONTROL Chapter 36.94 RCW SEWERAGE,µWATER, AND DRAINAGE SYSTEMS: RCW 90.72.070 Program financing—Activities not subject to fees, rates, or charges— Collection of charges or rates. The county legislative authority establishing a shellfish protection district may finance the protection program through (1) county tax revenues, (2) reasonable inspection fees and similar fees for services provided, (3) reasonable charges or rates specified in its protection program, or (4) federal, state, or private grants. A dairy animal feeding operation with a certified dairy nutrient management plan as required in chapter 90.64 RCW and any other commercial agricultural operation on agricultural lands as defined in RCW 36.70A.030 shall be subject to fees, rates, or charges by a shellfish protection district of no more than five hundred dollars in a calendar year. Fac�lit�es permitted and assessed fees for wastewater d�Scharge under the national pollutant discharge elirriination system'shall ynot be subject to fees, rates, or charges for wastewater dkit a by a shellfish„protection district Lands classified as forestland under chapter 84.33 RCW and timberland under chapter 84.34 RCW shall not be subject to fees, rates, or charges by a shellfish protection district. Counties may collect charges or rates in the manner determined by the county legislative authority. Mason County Water Quality Program Proposal Summary Mason County is reviewing the current Water Quality program activities and needs in consideration of a single county wide Shellfish Protection District(SPD).The following program outlines a base for identifying and correcting non-point sources of pollution within the proposed SPD. The proposed program will allow us to assess current water quality throughout the county through coordination with local partners and tribes, identify areas of concern through collaborative discussions with a single advisory committee,and perform various corrective actions through existing resources or grant proposals. Program Objectives 1. Freshwater Monitoring: Collect up to 30 freshwater samples from significant streams and drainages throughout the Mason County SPD on a monthly schedule. 2. Shoreline Survey and Monitoring: Conduct a shoreline survey and sampling in coordination with DOH such that every shoreline area within the Mason County SPD is surveyed approximately once every 5 yrs. 3. OSS Management. Support implementation of the Onsite Sewage System Local Management Plan with focus on overlapping Marine Recovery Areas (MRA)and other marine shoreline areas within the Mason County SPD. 4. Reporting and Sharing Data: Develop a routine water quality report to be shared with partners, BOCC, BOH,and the public. Share water quality data with partnering agencies and tribes through an interactive GIS web map. 5. Response and Correction: Respond to and correct non-point sources of pollution affecting water quality. 1. Freshwater Monitoring We will conduct monthly ambient freshwater monitoring at 30 sites throughout Mason County. The specific sampling locations will be determined with the input of the SPD advisory committee. Data gathered from monitoring at these sites is highly valuable because it provides continuous data that can be used for trend analysis after only a few years and can potentially serve as an indicator of water quality in similar stream systems. Ambient monitoring results will be used to prioritize Pollution Identification and Correction work as well as support our efforts to acquire water quality grants for larger targeted projects. 2. Shoreline Survey and Monitoring Under current funding, Mason County's shorelines are surveyed and sampled once every 10 years by DOH. Non-point source pollution problems can go for nearly a decade before they are found and addressed. This leaves our county open to increased risk of additional downgrades,closures, and increases risk to the public that work and recreate in our marine waters. Under this funding proposal,we will coordinate with DOH such that all marine shoreline within Mason County will be surveyed and sampled once every five years. We will follow existing policies and procedures to correct pollution sources we find. 3. On-site Sewage System Management In 2007 Mason County adopted a Local Management Plan (LMP)for all Onsite Sewage Systems within the county boundaries per WAC246-272A. To date Mason County has used various grant funding sources to implement the outlined prioritized activities. These activities include: 1. Enhancement to the Operations and Maintenance database 2. Response to unsatisfactory maintenance reports received through the O/M database 3. Routine reminders and education to homeowners for Operation and Maintenance of OSS Proposal includes supplementing existing efforts and funds that provide these services. With additional support,staff can reduce response time to unsatisfactory reports, coordinate more closely with DOH on OSS failures,and provide a more coordinated effort to educate and remind system owners of the importance of proper operation and maintenance to sustain water quality. Work would be prioritized within the Mason County SPD shoreline areas and existing Marine Recovery Areas. 4. Reporting and Sharing Data Mason County will coordinate with partners and produce an annual water quality report which summarizes freshwater monitoring,shoreline surveys and monitoring, OSS Management activities, changes in shellfish growing area classifications, and other activities completed by staff or partners. Mason County will utilize existing GIS staffing at Public Works to create and maintain a Water Quality web map for all data collected. The web map increases transparency, reduces reporting and partner requests,and provides public education for residents. S. Response and Correction We will respond to and investigate water quality complaints which generally do not fit into currently established categories like onsite sewage or solid waste. As nonpoint sources of pollution are identified,we will work with landowners and partner agencies to correct those issues. When applicable we will use monitoring data to seek grants to address water quality impacts caused by widespread land use issues where many properties are contributing to poor water quality. Estimated Budget The following budget information was gathered in coordination with various county departments and information obtained during the extensive program review in 2010 from the Stormwater Task Force. Various aspects of the program proposal and amount of funding received will vary, highlighting needs for an annual budget report. Objective Staffing Costs Sample Costs Other Costs Total Cost 1. Freshwater Monitoring $12,000 $9,720 $0 $21,720 2.Shoreline Survey and Monitoring $85,000 $10,800 $3,750 $99,550 3.OSS Management $55,000 $0 $7,500 $62,500 4. Reporting and Data Sharing $5,200 $0 $1,800 $7,000 5. Response and Correction $2,000 $0 $0 $2,000 Totals $159,200 $20,520 $13,050 $192,770 Administration Costs(S%) $9,639 Subtotal $202,409 Treasurer fee(1%) $2,024 Total $204,433 Parcel Review Proposed SPD boundaries have been mapped and overlayed with Mason Co. Parcels. All parcels served by sewer have been excluded from the initial download per RCW 90.72, including all parcels within the City of Shelton. Resource (Ag, Mining, Fish) 337 Marijuana 5 Transportation 82 Commercial 39 Residential 27269 Trade 98 Services ill Recreational 80 Undeveloped 12356 Estimated Count 40377 Proposed Budget $204,433 Proposed Fee $5.06 MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: David Windom DEPARTMENT: MCCS EXT: 260 BRIEFING DATE: 22 February/ 2021 PREVIOUS BRIEFING DATES: If this is a follow-up briefing,please provide only new information NA INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources ❑ Legal XX❑ Other— please explain Board of Health ITEM: Vacancies on the Mason County Board of Health EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions):The Mason County Board of Health currently has three positions open: e One position for a medical professional that is one of the following: MD, DO, ARNP or PA currently practicing in Mason County One position for a representative of the Squaxin Island Tribe One position for a representative of the Skokomish Indian Tribe Interested persons are encouraged to apply for this commission by completing an advisory board form that can be downloaded from our website — http:/Lwww.co.mason.wa.us/forms/adviso[y/­`Adviso[Yboardapp.pdf or by calling the Commissioners'office at 427-9670 ext. 419 or 275-4467 ext. 419. Completed applications should be submitted in the Commissioners'office at 411 N Th Street, Shelton. Positions are open until filled. Information on the Board of Health can be found at: hops://www.co.mason.wa.us/health/board-of-health.php BUDGET IMPACT: None PUBLIC OUTREACH:(Include any legal requirements,direct notice,website,community meetings,etc.) Newspaper notice, website Briefing Summary 2/17/2021 RECOMMENDED OR REQUESTED ACTION: Approve announcement ATTACHMENTS: Announcement i ,I II I I i Briefing Summary 2/17/2021 March 2, 2021 MASON COUNTY COMMISSIONERS 411 NORTH 5T" ST SHELTON, WA 98584 (360)427-9670 EXT. 419 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: Mason County Board of Health The Mason County Commissioners are seeking applicants to fill open positions on the Mason County Board of Health. Mason County Board of Health conducts semi public meetings to discuss local public health issues. Meetings are scheduled on the fourth Tuesday of every other month, at 3:00 p.m. see resolution 01-20 for more information, in the Courthouse Annex, Mason County Building 1, 411 N 5th Street, Shelton, WA 98584. During COVID these meetings are being held via Zoom. Applicants must be residents of Mason County. The Mason County Board of Health currently has three positions open: • One position for a medical professional that is one of the following: MD, DO, ARNP or PA currently practicing in Mason County • One position for a representative of the Squaxin Island Tribe • One position for a representative of the Skokomish Indian Tribe Interested persons are encouraged to apply for this commission by completing an advisory board form that can be downloaded from our website— http://www.co.mason.wa.us/forms/advisorv/Advisoryboardapp.pdf or by calling the Commissioners' office at 427-9670 ext. 419 or 275-4467 ext. 419. Completed applications should be submitted in the Commissioners' office at 411 N 5th Street,Shelton. Positions are open until filled. If there are questions about theses positions, please contact David Windom at 427-9670 ext. 260 or by e-mail at dwindom@co.mason.wa.us BOARD OF MASON COUNTY COMMISSIONERS Sharon Trask Randy Neatherlin Kevin Shutty Chair Commissioner Commissioner MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: David Windom DEPARTMENT: MCCS EXT: 260 BRIEFING DATE: 22 February 2021 PREVIOUS BRIEFING DATES: If this is a follow-up briefing, please provide only new information NA INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources ❑ Legal x❑ Other— please explain Frank Pinter ITEM: Create Accounting Technician position in Public Health to assist with grant accounting and billing. EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions): Creates a .5 FTE position reporting to the Finance Manager for Public Health that would assist with grant accounting and billing. With the addition of the LEAD grant and multiple streams of COVID funding and managing/monitoring more than 32 active grants with the related deliverables and grant tracking,the finance section needs additional support. With current staff fully engaged with normal business as well as Covd-19 response,there is no depth in grant accounting. Per recent Auditor recommendation:"The County should think of cross training as a disaster recovery plan. Implemented correctly, it will help the County to run smoothly in the event there is an absence of one or more key players. With cross training, organizations are better equipped to recover quickly from disruptions and handle transitions gracefully. To be specific, employees will be able to easily step into other roles to make sure the job gets done especially if a key employee is no longer available,for any reason." BUDGET IMPACT: 36,614.16 per year. Would require a budget amendment. PUBLIC OUTREACH:(Include any legal requirements,direct notice,website,community meetings,etc.) Briefing and action agenda RECOMMENDED OR REQUESTED ACTION: Approve proposed position ATTACHMENTS: Accounting Technician job description Briefmg Summary 2/17/2021 .PgON CUU.y�A 'Y POSITION DESCRIPTION rxu Title: Accounting Technician Department: Community Services-Public Health Division Affiliation: Teamsters General Reports to: Finance Manager Services Exempt: Non-Exempt: X Supervises/Directs: None Job Class: Risk Class: Salary Range: According to current Collective Bargaining Agreement Union Approval Date: Elected Official / Human Resources Approval Date: GENERAL DESCRIPTION: Performs entry-level technical accounting work and assists with the maintenance of accounting records to provide senior level accounting technician(s) with necessary financial information for the Public Health Division of the Community Services Department. ESSENTIAL JOB FUNCTIONS: (Any one position may not include all of the duties listed nor do the listed examples include all tasks which may be found in positions of this class.) Performs entry level accounting activities in the areas of budgeting, payroll, grants, report compilation and analysis and other assigned accounting areas within the Public Health Division. Prioritizes and coordinates work with other departments, staff and agencies to ensure timely completion of projects. Coordinates the preparation and maintenance of journals and ledgers for assigned activities ensuring the classification and distribution of items to proper accounts per legal requirements and County procedures. Edits, reconciles discrepancies and corrects irregularities to prepare balanced ledgers for the department. Monitors departmental budget by tracking and reconciling revenues and expenditures. Assists in the preparation of the annual departmental budget and assists in the preparation of cost estimates for work performed by department personnel. Assists Senior Accounting Technician with the coordination and monitoring grant budgets by monitoring expenditures against grants. Assists Senior Accounting Technician with the coordination of the input of departmental payroll and benefits information to ensure employees are paid correctly. Coordinates and maintains departmental personnel files and records to ensure confidentiality. Revises and updates automated system software to accommodate changes in accounting procedures and system requirements. Provides assistance and information within the scope of knowledge and authority. Regular, reliable and punctual attendance. WORKING CONDITIONS: Duties are primarily performed in an office environment while sitting at a desk or computer terminal. QUALIFICATIONS: Knowledge of: Accounting principles, methods and terminology. Governmental and cost accounting and budgeting principles and procedures. Grant accounting procedures and processes. Basic data processing principles and accounting applications. Est. Unknown/Rev 1-6.2002/Rev 2-2.xx.2021 Ability to: Analyze, interpret and prepare accounting reports and financial statements using generally accepted accounting principles. Communicate effectively, both orally and in writing. Establish and maintain effective working relationships with staff, other agencies, vendors and the general public. Apply and adapt established accounting methods to a variety of financial transactions. Set work priorities. Physically perform the essential functions of the job. EDUCATION AND EXPERIENCE:Any equivalent combination of education and experience which provides the applicant with the knowledge, skills, and abilities required to perform the job. A typical way to obtain the knowledge and abilities would be: One year of business/technical school with at least three accounting classes (total of 45 quarter hours or 30 semester hours), or one year of accounting experience, preferably in the public sector. LICENSES, CERTIFICATES, AND OTHER REQUIREMENTS: Valid WA State driver's license or reasonable accommodation. REQUIRED TRAINING FOR THIS POSITION: Sexual Harassment& Discrimination—Annually Smart Risk Management—Once Slip, Trip and Fall—Annually Safe Lifting Practices—Annually FEMA IS 100 and 700-Once FEMA IS-907-Active Shooter-Annually REGULAR MONITORED DRIVER: Yes X No Additional job specific trainings may be issued at a later date. Union Representative Signature of Approval: Date: Elected Official/Director Signature of Approval: Date: I have read and understand the above position description: Name: Date: Signature: Est. Unknown/Rev 1-6.2002/Rev 2-2.xx.2021 MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: David Windom DEPARTMENT: MCCS EXT: 260 BRIEFING DATE: 22 February 2021 PREVIOUS BRIEFING DATES: If this is a follow-up briefing, please provide only new information NA INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources ❑ Legal x❑ Other— please explain Frank Pinter ITEM: Temporary position in Environmental Health to assist with meeting objectives 5.2.1.2 — 5.2.1.4 of the Mason County/Squaxin Tribe MOU. EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions):This temporary clerical position would research Group B well records.The county has over 500 records which will need to be pulled, wells verified, two party verses multiple party wells identified, and scanned into SmartGov. This should take no more than two months. BUDGET IMPACT: Estimated expense at less than $6000. Would require a budget amendment. PUBLIC OUTREACH:(Include any legal requirements,direct notice,website,community meetings,etc.) Briefing and action agenda RECOMMENDED OR REQUESTED ACTION: Approve proposed position ATTACHMENTS: Accounting Technician job description Briefing Summary 2/17/2021 _ MASON COUNTY BRIEFING ITEM SUMMARY FORM ��SI TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: David Windom DEPARTMENT: MCCS EXT: 260 BRIEFING DATE: 22 February 2021 PREVIOUS BRIEFING DATES: If this is a follow-up briefing, please provide only new information NA INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources ❑ Le al ❑ Other— please explain Frank Pinter ITEM: Final Draft for Local Review of WRIA 14 EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions):The enclosed document represents more than two years of work by the WRIA 14 Committee and is submitted for local review and approval. Commissioner Shutty and Director Windom worked on this project and will carry the recommendation of the board forward to the committee. The WRIA committee will vote in early April via consensus to send this plan forward to Ecology as an approved plan for Ecology to review or to not approve the plan at which point Ecology will take the plan as written as a base for its plan for WRIA 14. BUDGET IMPACT: Budget impacts are difficult to determine based on the plan lifetime of 20 years and the variation of project proposals and county involvement. PUBLIC OUTREACH:(Include any legal requirements, direct notice,website,community meetings,etc.) If the plan is approved by the committee and then by Ecology, the County will hold a public hearing to adopt the completed plan RECOMMENDED OR REQUESTED ACTION: Review and discuss implications of the enclosed plan. ATTACHMENTS: https://www.ezview.wa.gov/site/aI!a 1962/373 26/watershed restorati on and enhancement - wria 14.asax Briefing Summary 2/9/2021 MASON COUNTY -0 BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: David Windom DEPARTMENT: MCCS EXT: 260 BRIEFING DATE: 22 February 2021 PREVIOUS BRIEFING DATES: If this is a follow-up briefing, please provide only new information NA INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources ❑ Legal ❑ Other— please explain Frank Pinter ITEM: Final Draft for Local Review of WRIA 15 EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions):The enclosed document represents more than two years of work by the WRIA 15 Committee and is submitted for local review and approval. Commissioner Neatherlin and Director Windom worked on this project and will carry the recommendation of the board forward to the committee. The WRIA committee will vote in early April via consensus to send this plan forward to Ecology as an approved plan for Ecology to review or to not approve the plan at which point Ecology will take the plan as written as a base for its plan for WRIA 15. BUDGET IMPACT: Budget impacts are difficult to determine based on the plan lifetime of 20 years and the variation of project proposals and county involvement. PUBLIC OUTREACH:(Include any legal requirements, direct notice,website, community meetings,etc.) If the plan is approved by the committee and then by Ecology, the County will hold a public hearing to adopt the completed plan RECOMMENDED OR REQUESTED ACTION: Review and discuss implications of the enclosed plan. ATTACHMENTS: https://www.ezview.wa.aov/site/alias 1962/37327/watershed restorati on and enhancement - wria 15.aspx Briefing Summary 2/9/2021 MASON COUNTY PUBLIC WORKS—COMMISSIONER BRIEFING FEBRUARY 22,2021 Briefing Items • Private Line Occupancy Permit granting permission to run the utility lines under and across NE Haven lane and NE Rhododendron Blvd. for address 11 NE Haven Lane,parcel number 22330-50-00080. • Public Works Owned Property Timber Cruise-Thinning-Harvesting project. • Purchase of equipment trailer off of State Contract for$35,127.50 • PaintCare Paint Stewardship Program Discussion Items Commissioner Follow-Up Items Upcoming Calendar/Action Items • Hearing for franchise agreement renewal with the City of Shelton scheduled for March 2, 2021 @ 9:15am Attendees Commissioners: Public Works: Other Dept. Staff: Public: _Randy Neatherlin _Loretta Swanson _Kevin Shutty _Mike Collins _Sharon Trask _Richard Dickinson Other(list below): MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Mike Collins P.E, County Engineer DEPARTMENT: Public Works EXT: 450 BRIEFING DATE: February 22, 2021 INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources X Legal ❑ Other — please explain ITEM: Private Line Occupancy Permit EXECUTIVE SUMMARY: Scott & Mary Wilkins have applied for a Private Line Occupancy Permit to install a new underground waterline and sewer transport line This permit will include running water and a septic transport line for moving the drain field to an upland property to which they have secured an easement from the owner. The home owner's property is located at 11 NE Haven Lane (parcel number 22330-50- 00080). The permit will cover the running a new waterline and a septic transport line that will run under Haven Lane and NE Rhododendron Blvd (see attached map). BUDGET IMPACT: No budget impacts. An application fee of $200 has been paid to process the proposed Private Line Occupancy Permit. PUBLIC OUTREACH: N/A RECOMMENDED OR REQUESTED ACTION: Recommend the Board approve the Private Line Occupancy Permit granting permission to run the utility lines under and across NE Haven lane and NE Rhododendron Blvd. for address 11 NE Haven Lane, parcel number 22330-50-00080. Attachments: 1. PLO 2. Vicinity Map IN THE MATTER OF THE APPLICATION OF Scott Wilkins FOR A PRIVATE LINE UTILITY OCCUPANCY PERMIT TO CONSTRUCT, OPERATE,AND MAINTAIN A new sewer transport line and a new water line ALONG AND UNDER Haven lane and Rhododendron Blvd. ,A COUNTY MAINTAINED ROAD LOCATED IN MASON COUNTY, WASHINGTON Application of Scott Wilkins ,with principal residence located,by and through 927 34t'' Ave NW Gig Habor WA,for a private line utility occupancy permit to construct, operate and maintain a private waterline under county roads and highways in Mason County, Washington, as set forth in attached Exhibit "A", having come before the County Commissioners of Mason County,Washington during a regularly scheduled public meeting,on the day of ,20_, and that it is in the public interest to allow the private line utility occupancy permit herein granted; NOW THEREFORE,IT IS ORDERED that a non-exclusive private line utility occupancy permit be, and the same is hereby given and granted to operator, and its successors and assigns, hereinafter referred to as the"Permittee",for a period commencing from and after the date of the entry of this order for the purposes,at the location(s),and upon the express terms and conditions as described herein,and terminating as provided herein. I. DEFINITIONS For the purposes of this private line utility occupancy permit, terms, phrases, words, and their derivations not defined herein that are defined in Title 12 of the Mason County Code or the Manual on Accommodating Utilities in the Mason County Right-of-Way published by the County Engineer(the"Manual"),shall have the same meaning or be interpreted as provided in Title 12 of the Mason County Code or the Manual. Words not defined here,in Title 12 of the Mason County Code or the Manual shall have their ordinary meaning. A reference to Title 12 of the Mason County Code or the Manual refers to the same as may be amended,revised,updated,re-enacted or re-codified from time to time. H. GRANT The County of Mason(hereafter the"County")hereby grants to the Permittee a non-exclusive private line utility occupancy permit(hereinafter"Permit")which, once it becomes effective shall authorize the Permittee to enter upon the road rights-of-way located within the Permit Area for the purpose of maintaining,repairing,replacing,which grant shall be limited to the following described purpose(s):A new sewer transport line and water line. 1 Such grant is subject to and must be exercised in strict accordance with and subject to this Permit, Title 12 of the Mason County Code, the Manual and all applicable laws,rules,regulations and ordinances. Permittee's exercise of any rights granted pursuant to the Permit is subject to the exercise of the County's police powers, and other regulatory powers as it may have or obtain in the future. No rights shall pass to the Permittee by implication. This Permit does not include permission to enter into or upon the road rights-of-way for any purposes others than the purposes expressly described herein. Permittee has a duty to notify the County of any change in use or condition of the utility facilities that may affect the status of the utility facilities as (a) private line(s) or the impact of the utility facilities upon the road rights-of-way. III. UTILITY PERMIT REQUIRED Permittee shall not commence or perform work to install, construct, maintain repair, replace adjust,connect,disconnect,rebuild,or relocate its utility facilities within the road rights-of-way (hereafter collectively or individually the "Work"), without first applying for, paying all associated fees, and obtaining a utility permit as required pursuant to Title 12 of the Mason County Code. In any utility permit so issued, the County may impose, as a condition of the granting the utility permit,such conditions and regulations as may be necessary for the protection, preservation and management of the road rights-of-way, including,by way of example and not limitation, for the purpose of protecting any structures in the road rights-of-way, maintaining proper distance from other utilities,ensuring the proper restoration of such road rights-of-way and structures,and for the protection of the County and the public and the continuity of pedestrian and vehicular traffic. Permittee shall first file with the County Engineer its application for a utility permit to do such Work together with plans and specifications showing at a minimum: A. The position, depth and location of all such utility facilities sought to be constructed, laid, installed or erected at that time, showing their relative position to existing county roads, rights-of-way or other county property upon plans drawn to scale,hereinafter collectively referred to as the"map of definite location; B. The class and type of material and equipment to be used, manner of excavation, construction, installation, backfill, erection of temporary structures, erection of permanent structures, traffic control,traffic turnouts and road obstructions; C. The manner in which the utility facility is to be installed; D. Measures to be taken to preserve safe and free flow of traffic; E. Structural integrity of the roadway, bridge, or other structure; F. Specifications for the restoration of the county road, right-of-way or other county 2 property in the event that the road right of way will be disturbed by the Work; and G. Provision for ease of future road maintenance and appearance of the roadway. Provision shall be made for known or planned expansion of the utility facilities,particularly those located underground or attached to bridges or other structures within the road right-of-way. The location,alignment and depth of the utility facilities shall conform with said map of definite location, except in instances in which deviation may be allowed thereafter in writing by the County Engineer pursuant to application by Permittee. All such Work shall be subject to the approval of and shall pass the inspection of the County Engineer. The Permittee shall pay all costs of and expenses incurred in the examination, inspection and approval of such work on account of granting the said utility permits. IV. RESTORATION OF ROAD RIGHT OF WAY In any Work which disturbs or causes damage to the road rights-of-way subject to this Permit, public or private property,the Permittee shall at its own expense and with all convenient speed, complete the work to repair and restore the county road right-of-way, or the public or private property so disturbed or damaged,and leave the same in as good or better condition as before the Work was commenced, to the reasonable satisfaction of the County Engineer. The Permittee shall pay all costs of and expenses incurred in the examination,inspection and approval of such restoration or repair. The County Commissioners and/or County Engineer may at any time do,order or have done any and all work that they consider necessary to restore to a safe condition such County road right-of- way or other County property left by the Permittee or its agents in a condition dangerous to life or property, and the Permittee,upon demand, shall pay to the County all costs of such work. V. PERMITTEE WORK IN RIGHT OF WAY Permittee expressly agrees and understands that,with regard to Work within the road rights-of- way: A. All of Permittee's utility facilities and Work within the road rights-of-way or other County property shall be performed in compliance with the provisions of Title 12 MCC, the Manual,the administrative regulations adopted by the County Engineer,other County-established requirements for placement of utility facilities in road rights-of-way, including the specific location of utility facilities in the road rights-of-way, and all applicable laws,rules,regulations and ordinances; B. In preparing plans and specifications for the Work the Permittee shall use the Manual. Prior to commencement of any Work,Permittee shall submit such plans and specifications to the County Engineer for review and approval together with the adequate exhibit depicting the existing 3 or proposed location of the utility facility in relation to the road, including right-of-way or easement lines; relationship to currently planned road revisions, if applicable; and all locations and situations for which deviations in depth of cover (including the proposed method of protection) or other locational standards that are anticipated; C. All Work subject to this Permit shall be done in such a manner as not to interfere, other than in ways approved by the County,with the construction,operation and maintenance of other utilities, public or private, drains, drainage ditches and structures, irrigation ditches and structures,located therein,nor with the grading or improvements of such County roads,rights-of- way or other County property; D. The owners and operators of all utility facilities (public or private) installed in the Permit Area or other county property prior in time to the utility facilities of the Permittee, shall have preference as to the alignment and location of such utilities so installed with respect to the Permittee. Such preference shall continue in the event of the necessity of relocating or changing the grade of any such county road or right-of-way; E. Permittee shall perform the Work and operate its utility facilities in a manner that minimizes interference with the use of the road rights-of-way by others,including others that may be installing utility facilities; and F. The County may require that Permittee's utility facilities be installed at a particular time, at a specific place,or in a particular manner as a condition of access to a particular road or road right-of-way; may deny access if a Permittee is not willing to comply with the County's requirements; and may remove, or require removal of, any utility facility that is not installed in compliance with the requirements established by the County,or which is installed without prior County approval of the time,place,or manner of installation and charge the Permittee for all the costs associated with removal; and may require Permittee to cooperate with others to minimize adverse impacts on the road and road rights-of-way through joint trenching and other arrangements. G. The County may inspect the utility facilities at any time reasonable under the circumstances to ensure compliance with this Permit and applicable law,including to ensure that the private line utility facilities are constructed and maintained in a safe condition. If an unsafe condition is found to exist, the County, in addition to taking any other action permitted under applicable law,may order the Permittee,in writing,to make the necessary repairs and alterations specified therein forthwith to correct the unsafe condition on a time-table established by the County which is reasonable in light of the unsafe condition. The County has the right to correct, inspect,administer,and repair the unsafe condition if the Licensee fails to do so,and to charge the Permittee therefor. The right of the County to conduct such inspections and order or make repairs shall not be construed to create an obligation therefore, and such obligation to construct and maintain its utility facilities in a safe condition shall at all times remain the sole obligation of the Permittee. 4 H. When required by the County,Permittee shall make information available to the public regarding any Work involving the ongoing installation, construction, adjustment, relocation, repair or maintenance of its utility facilities sufficient to show(1)the nature of the work being performed;(2)where it is being performed;(3) its estimated completion date;and(4)progress to completion. I. PERMITTEE IS PLACED ON NOTICE THAT FIBER OPTIC COMMUNICATIONS, POWER, CONTROL SYSTEMS, OTHER TYPES OF CABLES AND PIPELINES MAY BE BURIED ON THE RIGHT OF WAY. Before beginning any underground work,Permittee will contact the appropriate personnel to have such facilities located and make arrangements as to protective measures that must be adhered to prior to the commencement of any work within the road and road rights-of-way. In addition to the liability terms elsewhere in this Agreement, Permittee shall indemnify and hold the County and its elected and appointed officers,employees and agents harmless against and from all cost, liability, and expense whatsoever (including, without limitation, attorney's fees and court costs and expenses) arising out of or in any way contributed to by any act or omission of Permittee,its contractor,agents and/or employees,that cause or in any way or degree contribute to(1) any damage to or destruction of any such facilities by Permittee, and/or its contractor, agents and/or employees, on the County's property, (2) any injury to or death of any person employed by or on behalf of any entity, and/or its contractor, agents and/or employees, on the road rights-of-way, and/or(3) any claim or cause of action for alleged loss of profits or revenue,or loss of service,by a customer or user of services or products of such company(ies). J. Permittee shall continuously be a member of the State of Washington one number locator service under RCW 19.122, or an approved equivalent, and shall comply with all such applicable rules and regulations. K. Except in the event of emergency as described below,Permittee and its agents may not enter upon the permit area to perform work for which a utility permit is required, unless and except upon two-business days notice to the County Engineer. L. In the event of an emergency involving the threat of imminent harm to persons or property, and for purposes of taking immediate corrective action, Permittee and its agents may enter the Permit Area without advance notice to the County as long as such entry is for the sole purpose of addressing the emergency; provided however, that if any entry for such purposes would require issuance of a utility permit,Permittee shall give the County verbal or telephonic notice of the places where and the manner in which entry is required prior to such entry,promptly followed by written notice. In all cases,notice to the County shall be given as far in advance as practical prior to entry or as soon as practicable after entry upon the road right-of-way. M. Pernuttee shall promptly reimburse the County for its reasonable and direct costs incurred in responding to an emergency that is caused,created by or attributable to the presence, construction,maintenance,repair,or operation of Permittee's utility facilities in the road rights- 5 of-way. N. If, during any Work, Permittee or its agents discover scientific or historic artifacts, Permittee or its agents shall immediately notify the County of said discovery and shall protect such artifacts in a manner as specified by the County. Any such artifact shall be the property of the County if the County wishes to own it. VI. PROTECTION OF PUBLIC All Work done under this Permit shall be done in a thorough and workman-like manner. In the performance of any Work,including without limitation,the opening of trenches and the tunneling under county roads,right-of way or other county property,the Permittee shall leave such trenches, ditches and tunnels in such a way as to interfere as little as possible with.public travel and shall take all due and necessary precautions to guard the same,so that damage or injury shall not occur or arise by reason of such Work;and where any of such trenches,ditches and tunnels are left open at night, the Permittee shall place warning lights, barricades and other appropriate protective devices at such a position as to give adequate warning of such Work. The Permittee shall be liable for any injury to person or persons or damage to property sustained arising out of its carelessness or neglect,or through any failure or neglect to properly guard or give warning of any trenches, ditches or tunnels dug or maintained by the Permittee. VII. POLICE POWERS The County,in granting this Permit,does not waive any rights which it now has or may hereafter acquire with respect to county roads,rights-of-way or other county property and this Permit shall not be construed to deprive the county of any powers,rights or privileges which it now has or may hereafter acquire to regulate the use of and to control the county roads, right-of-way and other county property covered by this Permit. The County retains the right to administer and regulate activities of the Permittee up to the fullest extent of the law. The failure to reserve a particular right to regulate, or reference a particular regulation, shall not be interpreted by negative implication or otherwise to prevent the application of a regulation to the Permittee. VIII. RELOCATION Permittee shall, in the course of any Work, comply with the following requirements: A. The Permittee shall,by a time specified by the County,protect, support,temporarily disconnect,relocate,or remove any of its utility facilities when required by the County by reason of traffic conditions; public safety; road right-of-way construction; road right-of-way repair (including resurfacing or widening);change of road right-of-way grade;construction,installation, or repair of County-owned sewers, drains, water pipes, power lines, signal lines, tracks, communications system,other public work,public facility,or improvement of any government- owned utility; road right-of-way vacation; or for any other purpose where the County work involved would be aided by the removal or relocation of the utility facilities. Collectively, such 6 matters are referred to below as the "public work." Permittee acknowledges and understands that any delay by Permittee in performing the above described work may delay, hinder, or interfere with the work performed by the County and its contractors and subcontractors done in furtherance of such Public Work and result in damage to the County,including but not limited to,delay claims. Permittee shall cooperate with the County and its contractors and subcontractors to coordinate such Permittee work to accommodate the Public Work project and project schedules to avoid delay,hindrance of,or interference with the Public Work. The County shall make available to the Permittee a copy of the Six Year Transportation Program and the County's annual construction program after adoption each year. It is anticipated these programs will aid the Permittee in planning construction programs. B. Permittee has a duty to protect its utility facilities from work performed by the County within the road rights-of-way. The rights granted to the Permittee herein do not preclude the County,its employees,contractors,subcontractors,and agents from blasting,grading,excavating, or doing other necessary road work contiguous to Permittee's utility facilities;providing that,the Permittee shall be given a minimum of forty-eight(48)hours notice of said blasting or other work in order that the Permittee may protect its utility facilities. C. In the event of an emergency,or where the utility facility creates or is contributing to an imminent danger to health, safety,or property,the County may protect, support,temporarily disconnect, remove, or relocate any or all parts of the utility facility without prior notice, and charge the Permittee for costs incurred. D. If any Person that is authorized to place facilities in the road right of way requests the Permittee to protect, support,temporarily disconnect,remove,or relocate the Permittee's utility facilities to accommodate the construction, operation, or repair of the facilities of such other person, the Permittee shall, after 30 days' advance written notice, take action to effect the necessary changes requested; provided that, if such project is related to or competes with Permittee's service,or if the effect of such changes would be to permanently deprive Permittee of the beneficial enjoyment of this Permit for its intended purposes through interference with the operation of Permittee's utility facilities or otherwise,Permittee shall not be required to relocate its utility facilities. Unless the matter is governed by a valid contract or a state or federal law or regulation, or unless the Permittee's utility facilities were not properly installed,the reasonable cost of the same shall be borne by the Person requesting the protection, support, temporary disconnection,removal, or relocation at no charge to the County, even if the County makes the request for such action. E. The Permittee shall, on the-request of any person holding a valid permit issued by a governmental authority,temporarily raise or lower its wires to permit the moving of buildings or other objects. The expense of such temporary removal or raising or lowering of wires shall be paid by the person requesting the same. 7 The County of Mason will accept liability for direct and actual damages to said Permittee that are the result of the negligence of Mason County, its trustees, officers, employees, contractors, subcontractors or agents while performing County improvement or Public Works projects enumerated in Section VIII,paragraph B. Direct and actual damages are specifically limited to physical damage to properly installed and located infrastructure of the Permittee and the cost to repair such physical damage. Mason County retains the right to assert all applicable defenses in the event of a dispute including contributor"egligence on the part of the Permittee. Mason County shall in no way be liable for incidental damages claimed to arise from such actions. All Work to be performed by the Permittee under this section shall pass the inspection of the County Engineer. The Permittee shall pay all costs of and expenses incurred in the examination, inspection and approval of such work. IX. PRESERVATION OF MONUMENTS/MARKERS Before any Work is performed under this permit which may affect any existing monuments or markers of any nature relating to subdivisions,plats,roads and all other surveys, the Permittee shall reference all such monuments and markers. The reference points shall be so located that they will not be disturbed during the Permittee's Work and operations under this Permit. The method of referencing these monuments or other points to be referenced shall be approved by the County Engineer. The replacement of all such monuments or markers disturbed during construction shall be made as expeditiously as conditions permit in accordance with RCW 58.24 and WAC 332-120, and as directed by the County Engineer. The cost of monuments or other markers lost, destroyed, or disturbed, and the expense of replacement by approved monuments shall be borne by the Permittee. A complete set of reference notes for monument and other ties shall be filed with the office of the Mason County Engineer. X. VACATION OF ROAD RIGHT-OF-WAY If at any time the County shall vacate any County road or right-of-way or other County Property which is subject to rights granted by this Permit and said vacation shall be for the purpose of acquiring the fee or other property interest in said road or right-of-way for the use of the County, in either its proprietary or governmental capacity, then the Board of Mason County Commissioners may, at its option,and by giving thirty(30)days written notice to the Permittee, terminate this Permit with reference to such county road right-of-way or other County property so vacated, and the County of Mason shall not be liable for any damages or loss to the Permittee by reason of such termination. It has been the practice of Mason County to reserve easements for utilities at the time of road vacation,and will continue to be the practice until such time the Board of Mason County Commissioners direct a change of practice. 8 XI. FINANCIAL SECURITY A. Insurance It is intended that the following insurance requirements shall apply to the person performing the Work in the road right-of-way. Permittee and Permittee's contractors shall not perform or cause to be performed any Work, unless and until Pernuttee (to the extent Pernittee performs any of the Work in the road right-of-way) or its contractors (to the extent Permittee's contractor performs any of the Work in the road right-of-way)provide certificates of insurance evidencing that Permittee or Permittee's contractors are in compliance with the following requirements, including,maintaining insurance in at least in the following amounts: 1.COMMERCIAL GENERAL LIABILITY insurance to cover liability,bodily injury,and property damage. The Commercial General Liability insurance shall be written on an occurrence basis, with an aggregate limit location endorsement for the Permit Area, and shall provide coverage for any and all costs,including defense costs,and losses and damages resulting from personal injury,bodily injury and death,property damage,products liability and completed operations arising out of the Work. Coverage must be written with the following limits of liability: Bodily and Personal Injury&Property Damage $ 1,000,000 per Occurrence $ 2,000,000 aggregate 2 WORKERS' COMPENSATION insurance shall be maintained by Permittee's contractor to comply with statutory limits for all employees, and in the case any work is sublet, the contractor shall require its subcontractors similarly to provide workers' compensation insurance for all the employees. 3.COMPREHENSIVE AUTO LIABILITY insurance shall include owned,hired, and non-owned vehicles on an occurrence basis with coverage of at least $500,000 per occurrence. The required insurance shall be maintained from the time that Work in the road right-of-way commences until the Work is complete and the utility permit issued for said Work has been released by the County Engineer, or his or her designee. If the Permittee or its contractors and subcontractors do not have the required insurance, the County may require such entities to stop operations until the insurance is obtained and approved. Pernuttee shall, or shall cause its contractors to, file with the application for a utility permit, certificates of insurance reflecting evidence of the required insurance in a form and content approved by the County's Risk Manager. All coverage shall be listed on one certificate with the same expiration dates. 9 The certificates shall contain a provision that coverages afforded under these policies will not be canceled until at least 30 days'prior written notice has been given to the County. In the event that the insurance certificate provided indicates that the insurance shall terminate or lapse during the period of the Work,then,in that event,the Permittee shall furnish, at least 30 days prior to the expiration of the date of such insurance, a renewed certificate of insurance as proof that equal and like coverage has been or will be obtained prior to any such lapse or termination during the balance of the period of the Permit. The County reserves the right, during the term of the Permit, to require any other insurance coverage or adjust the policy limits as it deems reasonably necessary utilizing sound risk management practices and principals based upon the loss exposures. Each insurance policy required pursuant to this Permit shall be primary and non-contributing as respects any coverage maintained by the County and shall include an endorsement reflecting the same. Any other coverage maintained by County shall be excess of this coverage herein defined as primary and shall not contribute with it. The certificate of insurance must reflect that the above wording is included in all such policies. Each insurance policy obtained pursuant to this Permit shall be issued by financially sound insurers who may lawfully do business in the State of Washington with a financial rating at all times during coverage of no less than rating of"A" and a class of"X" or better in the latest edition of`Best's Key Rating Guide"published by A.M.Best Company,or such other financial rating or rating guide approved in writing by the County's risk manager. In the event that at any time during coverage,the insurer does not meet the foregoing standards,Permittee shall give or shall cause its contractors to give prompt notice to the County and shall seek coverage from an insurer that meets the foregoing standards. The County reserves the right to change the rating or the rating guide depending upon the changed risks or availability of other suitable and reliable rating guides. Comprehensive general liability insurance policies and coverage obtained pursuant to this Permit shall include an endorsement(standard ISO form CG 24-17)deleting all exclusions for work or incidents occurring within any distance from a railroad track or railroad property,or on,over,or under a railroad track. Insurance policies required pursuant to this Permit shall have no non-standard exclusions unless approved of by the County Risk Manager or designee. Commercial general liability insurance policies obtained pursuant to this Permit shall name the County as an additional insured without limitation,pursuant to an endorsement approved of by the County's Risk Manager or designee. Permittee or Permittee's Contractors' insurers, through policy endorsement, shall waive their rights of subrogation against the County for all claims and suits. The certificate of insurance must 10 reflect this waiver of subrogation rights endorsement. B. Contractor Bond. All contractors performing Work on behalf of Permittee shall be licensed and bonded. C. Limitation of Liability. to the fullest extent permitted by law, permittee shall, and shall cause its contractor(s) only as to subsection(9) below, to release, indemnify, defend and hold harmless the county and the county's legal representatives,officers(elected or appointed), employees and agents (collectively, "indemnitees") for, from and against any and all claims, liabilities, fines, penalties, costs, damages, losses, liens, causes of action, suits, demands, judgments and expenses(including,without limitation,court costs,attorneys' fees,and costs of investigation, removal and remediation and governmental oversight costs), environmental or otherwise (collectively"liabilities") of any nature,kind, or description,of any person or entity, directly or indirectly, arising out of, resulting from, or related to (in whole or in part): I.- this permit; 2. any rights or interests granted pursuant to this permit; 3. permittee's occupation and use of the road right of way; 4. permittee's operation of its utility facilities; 5. the presence of utility facilities within the right of way; 6. the environmental condition and status of the road right-of-way caused by, aggravated by, or contributed to, in whole or in part,by permittee or its agents; or 7. the acts,errors,or omissions of third parties when arising out of the,installation, construction, adjustment, relocation, replacement,removal, or maintenance of such third party utility facilities within the road rights-of-way when such work is performed under authority of the operator's utility permit or at the direction or under the control of the operator; or 8. any act or omission of permittee or permittee's agents; or 9.any act or omission of contractor or its employees, agents,or subcontractors when arising out of the work. Even if such liabilities arise from or are attributed to,in whole or in part,any negligence of any indemnitee. The only liabilities with respect to which permittee's obligation to indemnify the indemnitees does not apply are liabilities to the extent proximately caused by the sole negligence or intentional misconduct of an indemnfee or for liabilities that by law the indemniteees cannot be indemnified for. 11 Upon written notice from the county, permittee agrees to assume the defense of any lawsuit or other proceeding brought against any indemnitee by any entity,relating to any matter covered by this permit for which permittee has an obligation to assume liability for and/or save and hold harmless any indemnitee. Permittee shall pay all costs incident to such defense,including,but not limited to,attorneys' fees,investigators'fees,litigation and appeal expenses,settlement payments and amounts paid in satisfaction of judgments. Permittee will fully satisfy said judgment within ninety (90) days after said suit or action shall have finally been determined if determined adversely to mason county. upon the permittee's failure to satisfy said judgment within the ninety (90)day period,this permit shall at once cease and terminate and the county of mason shall have a lien upon permittee's utility facilities and all other facilities used in the construction, operation and maintenance of the permittee's utility system which may be enforced against the property for the full amount of any such judgment so taken against any of the indemnitees Acceptance by the County of any Work performed by the Permittee at the time of completion shall not be grounds for avoidance of this covenant. XII. PERMIT NONEXCLUSIVE This Permit shall not be deemed to be an exclusive Permit. It shall in no manner prohibit the County of Mason from granting rights to other utilities under,along,across,over and upon any of the County roads, rights-of-way or other County property subject to this Permit and shall in no way prevent or prohibit the County of Mason from constructing, altering,maintaining or using any of said roads rights-of-way,drainage structures or facilities,irrigation structures or facilities, or any other county property or affect its jurisdiction over them or any part of them with full power to make all necessary changes, relocations, repairs, maintenance, etc., the same as the County may deem fit. XIII. SUCCESSORS AND ASSIGNS All the provisions, conditions, regulations and requirements herein contained shall be binding upon the successors and assigns of the Permittee and all privileges,as well as all obligations and liability of the Permittee, shall inure to its successors and assigns equally as if they were specifically mentioned wherever the Permittee is mentioned. Any reference in this Permit to a specifically named party shall be deemed to apply to any successor,heir,administrator,executor or assign of such party who has acquired its interest in compliance with the terms of this Permit or under law. XIV. TRANSFER/ASSIGNMENT Permittee may assign or transfer this Permit by contacting the County of Mason to obtain an Assignment Agreement. The Agreement must be signed and delivered back to the County of Mason. Assignees shall thereafter be responsible for all obligations of Permittee with respect to the Permit and guaranteeing performance under the terms and conditions of the Permit and that transferee will be bound by all the conditions of the Permit and will assume all the obligations of 12 its predecessor. Such an assignment shall relieve the Permittee of any further obligations under the Permit, including any obligations not fulfilled by Permittee's assignee; provided that, the assignment shall not in any respect relieve the Permittee, or any of its successors in interest, of responsibility for acts or omissions,known or unknown,or the consequences thereof,which acts or omissions occur prior to the time of the assignment. No Permit may be assigned or transferred without filing or establishing with the county the insurance certificates, security fund and performance bond as may be required pursuant to this Permit. XV. ANNEXATION Whenever any of the County road rights-of-way or other county property as designated in this Permit,by reason of the subsequent incorporation of any town or city,or extension of the limits of any town or city, shall fall within the city or town limits; then, except to the extent allowed by law,this Permit shall terminate in respect to the said roads,rights-of-way or other county property so included with city or town limits;but this Permit shall continue in force and effect to all county road rights-of-way or other county property not so included in city or town limits. XVI. TERM/TERMINATION/REMEDIES A. Term. This Permit shall commence upon acceptance by the Permittee as provided at Section XVHI herein and continue in PERPETUITY until terminated or otherwise superseded by a subsequent franchise, private line utility occupancy permit, master road use permit or other agreement of the Parties. In the event that it is determined by a court of competent jurisdiction that, as a matter or law,the term provided for herein is unlawful,this Permit shall be deemed to have a term for the maximum period allowed by law,and if no such maximum period is readily and easily capable of being identified, for a term of not longer than fifty(50)years. B. Termination by County. Permittee has elected to obtain a Permit in lieu of a franchise agreement. Permittee understands and agrees that, unlike a franchise, this Permit may be terminated by the County with or without cause. This means that the County is not required to have or provide a reason for the termination and that the County may terminate this Permit in its sole discretion without penalty to the County and regardless of whether or not Permittee is or is not in default; provided that, the County may not terminate this Permit for a reason that is unlawful. The Parties agree that the only condition of termination by the County of this Permit is that the County must give not less than ninety (90) days written notice to the Permittee of termination. The County Engineer is authorized to exercise the right of the County to terminate this Permit. C. Termination upon Transfer/Assignment/Conveyance. This Permit shall automatically terminate upon: (1) assignment of the Permit without the prior written consent of the County in substantially the form of an Assignment Agreement (obtained by request), (2) transfer of the utility facilities located with the Permit Area without prior written notice to the County and mutual acceptance of an assignment of the Permit,(3)conveyance of the real property or any part thereof benefited by the installation and operation of the utility facilities without prior written 13 notice to the County and mutual acceptance of an assignment of the Permit, or (4) use of the utility facilities for the benefit of persons other than the owner/operator in a manner that no longer constitutes a de-minimis use of the road right-of-way. D. Termination upon Removal of Utility Facilities. This Permit and all of the rights, duties and obligations contained herein, shall terminate upon removal of all Permittee utility facilities from the road right-of-way or abandonment and de-commissioning in place to the reasonable satisfaction of and in the manner approved by the County Engineer and restoration of the road right-of way to the satisfaction of the County Engineer. E. Effect of Termination. On or before the effective date of termination or as otherwise mutually agreed to by the Parties,Permittee shall remove its utility facilities from the road rights- of-way and restore the road rights-of-way to the reasonable satisfaction of the County Engineer. In lieu of removal, the County Engineer may authorize abandonment in place and de- commissioning of the utility facilities in the manner approved by and to the reasonable satisfaction of the County Engineer. In the event that the Permittee fails to timely and completely perform such work,the County may perform or complete such work at the cost of the Permittee and Permittee shall be obligated to reimburse the County for such work within 30 days of invoice by the County. F. Remedies. In addition to the right of the County to terminate this Permit,the County has the right to exercise any and all of the following remedies, singly or in combination, in the event of Default. "Default"shall mean any failure of Permittee or its agents to keep,observe or perform any of Permittee's or its agent's duties or obligations under this Permit: 1. Damages. Permittee shall be liable for any and all damages incurred by County. 2. Specific Performance. County shall be entitled to specific performance of each and every obligation of Permittee under this Permit without any requirement to prove or establish that County does not have an adequate remedy at law. Permittee hereby waives the requirement of any such proof and acknowledges that County would not have an adequate remedy at law for Permittee's commission of an Event of Default hereunder. 3. Injunction. County shall be entitled to restrain, by injunction, the actual or threatened commission or attempt of an Event of Default and to obtain a judgment or order specifically prohibiting a violation or breach of this Permit agreement without, in either case, being required to prove or establish that County does not have an adequate remedy at law. Permittee hereby waives the requirement of any such proof and acknowledges that County would not have an adequate remedy at law for Permittee's commission of an Event of Default hereunder. 4. Alternative Remedies. Neither the existence of other remedies identified in this Permit nor the exercise thereof shall be deemed to bar or otherwise limit the right of the County to commence an action for equitable or other relief and/or proceed against Permittee and any guarantor for all direct monetary damages, costs and expenses arising from the Default and to 14 recover all such damages,costs and expenses,including reasonable attorneys'fees.Remedies are cumulative; the exercise of one shall not foreclose the exercise of others. XVII. SUBSEQUENT ACTION The County reserves for itself the right at any time upon ninety(90) days written notice to the Permittee, to so change, amend, modify or amplify any of the provisions or conditions herein enumerated to conform to any state statute or county regulation, relating to the public welfare, health, safety or highway regulation, as may hereafter be enacted, adopted or promulgated. XVIII. ACCEPTANCE Permittee shall execute and return to County a signed acceptance of the Permit granted hereunder. The acceptance shall be in the form of the acceptance attached hereto as Exhibit "A", and in accepting the Permit,Permittee warrants that it has carefully read the terms and conditions of this Permit and accepts all of the terms and conditions of this Permit and agrees to abide by the same and acknowledges that it has relied upon its own investigation of all relevant facts,that it has had the assistance of counsel or an opportunity to have assistance of counsel,that it was not induced to accept a Permit,that this Permit represents the entire agreement between the Permittee and the County.In the event the Permittee fails to submit the acceptance as provided for herein within the time limits set forth in this section,the grant herein is and shall become null and void. XIX. RECORDING OF MEMORANDUM OF PERMIT The Parties agree that a"Memorandum of Permit" in substantially the form attached hereto as Exhibit"A", shall be filed for record with the Office of the Mason County Auditor upon written acceptance by the Permittee. The cost and expense of such filing shall be borne by the Permittee if not already included in the fee for issuance of this Permit. Notwithstanding the foregoing,this Permit is not intended nor shall it be construed to create an interest in land or constitute the grant or conveyance of a real property interest by the County to the Permittee. The requirements of this Section XIX are intended solely to provide notice of the existence of this Permit and the terms and conditions there under, including inter-alia,the limitations upon assignment of the Permit. Permittee shall at the time of its acceptance of this Permit identify the assessor's tax identification number of the parcel or parcels benefited by this Permit and a legal description of each such parcel to be included in the Memorandum of Permit. XX. MISCELLANEOUS PROVISIONS A. Controlling Law/Venue. Any disputes concerning the application or interpretation of any of the provisions of this Permit shall be governed by the laws of the State of Washington. Venue of any action or arbitration brought under this Permit shall be in Mason County, Washington or the Western District of Washington if an action is brought in federal court, provided; however,that venue of such action is legally proper. 15 B. Liens. Permittee shall promptly pay and discharge any and all liens arising out of any Work done, suffered or permitted to be done by Permittee on any Permit area. C. Waiver. No waiver by either parry of any provision of this Permit shall in any way impair the right of such parry to enforce that provision for any subsequent breach,or either parry's right to enforce all other provisions of this Permit. D.Attorney's Fees. If any action at law or in equity is necessary to enforce or interpret the terms of this Permit, the substantially prevailing Party or Parties shall be entitled to reasonable attorney's fees, costs and necessary disbursements in addition to any other relief to which such Party or Parties may be entitled. E. Amendment. This Permit may be amended only by a written contract signed by authorized representatives of Permittee and County of Mason. F. Severability. If any provision of this Permit is held to be illegal, invalid or unenforceable under present or future laws,such provision will be fully severable and this Permit will be construed and enforced as if such illegal,invalid or unenforceable provision is not a part hereof, and the remaining provisions hereof will remain in full force and effect. In lieu of any illegal, invalid or unenforceable provision herein,there will be added automatically as a part of this Permit,a provision as similar in its terms to such illegal,invalid or unenforceable provision as may be possible and be legal,valid and enforceable. G. Joint and Several Liability. Permittee acknowledges that, in any case in which Permittee and Permittee's contractors are responsible under the terms of this Permit, such responsibility is joint and several as between Permittee and any such Permittee's contractors; provided that,the Permittee is not prohibited from allocating such liability as a matter of contract. H. Notices. Any notice contemplated, required, or permitted to be given under this Permit shall be sufficient if it is in writing and is sent either by: (a)registered or certified mail, return receipt requested; or (b) a nationally recognized overnight mail delivery service, to the Parry and at the address specified below, except as such Party and address may be changed by providing no less than thirty (30) days' advance written notice of such change in address. Permittee: Scott Wilkins 927 341h ave NW Gig Harbor, W.A. Attn: Scott Wilkins Grantor: Mason County Public Works 100 W Public Works Drive Shelton, WA 98584 16 I. Approvals. Nothing in this Permit shall be deemed to impose any duty or obligation upon the County to determine the adequacy or sufficiency of Permittee's plans and specifications or to ascertain whether Permittee's proposed or actual construction, installation, testing, maintenance,repairs,replacement,relocation,adjustment or removal is adequate or sufficient or in conformance with the plans and specifications reviewed by the County. No approval given, inspection made, review or supervision performed by the County pursuant to this Permit shall constitute or be construed as a representation or warranty express or implied by County that such item approved, inspected, or supervised, complies with laws,rules regulations or ordinances or this Permit or meets any particular standard, code or requirement, or is in conformance with the plans and specifications,and no liability shall attach with respect thereto.County and inspections as provided herein, are for the sole purpose of protecting the County's rights as the owner and manager of the road rights-of-way and shall not constitute any representation or warranty,express or implied, as to the adequacy of the design, construction, repair, or maintenance of the utility facilities, suitability of the permit area for construction, maintenance, or repair of the utility facilities, or any obligation on the part of the County to insure that work or materials are in compliance with any requirements imposed by a governmental entity. County is under no obligation or duty to supervise the design, construction, installation, relocation, adjustment, realignment,maintenance,repair, or operation of the utility facilities. J. Force Majeure. Neither Party hereto shall be liable to the other Party for any failure to perform an obligation set forth herein to the extent such failure is caused by war,act of terrorism or an act of God, provided that such Party has made and is making all reasonable efforts to perform such obligation and minimize any and all resulting loss or damage. K. Construction. All pronouns and any variations thereof shall be deemed to refer to the masculine, feminine or neuter, singular or plural, as the identity of the Party or Parties may require. The provisions of this Permit shall be construed as a whole according to their common meaning, except where specifically defined herein, not strictly-for or against any party and consistent with the provisions contained herein in order to achieve the objectives and purposes of this Permit. L. Incorporation by Reference. All exhibits annexed hereto at the time of execution of this Permit or in the future as contemplated herein,are hereby incorporated by reference as though fully set forth herein. M. Calculation of Time. All periods of time referred to herein shall include Saturdays, Sundays, and legal holidays in the State of Washington, except that if the last day of any period falls on any Saturday, Sunday, or legal holiday in the State of Washington, the period shall be extended to include the next day which is not a Saturday, Sunday,or legal holiday in the State of Washington. 17 N. Entire Agreement. This Permit is the full and complete agreement of County and Permittee with respect to all matters covered herein and all matters related to the use of the Permit Area by Permittee and Permittee's Contractors, and this Permit supersedes any and all other agreements of the Parties hereto with respect to all such matters,including,without limitation,all agreements evidencing the Permit. O. No Recourse. Without limiting such immunities as the County or other persons may have under applicable law, Permittee shall have no monetary recourse whatsoever against the County or its officials,boards,commissions,agents,or employees for any loss or damage arising out of the County's exercising its authority pursuant to this Permit or other applicable law. P. Responsibility for Costs. Except as expressly provided otherwise, any act that Permittee is required to perform under this Permit shall be performed at its cost. If Permittee fails to perform work that it is required to perform within the time provided for performance,the County may perform the work and bill the Permittee. The Permittee shall pay the amounts billed within 30 days. Q. Work of Contractors and Subcontractors. Work by contractors and subcontractors are subject to the same restrictions,limitations,and conditions as if the Work was performed by the Permittee. The Permittee shall be responsible for all Work performed by its contractors and subcontractors,and others performing Work on its behalf,under its control,or under authority of its utility permit, as if the work were performed by it and shall ensure that all such work is performed in compliance with this Permit,Title 12 MCC,the Manual and other applicable law, and shall be j ointly and severally liable for all damages and correcting all damage caused by them. It is the Permittee's responsibility to ensure that contractors, subcontractors, or other Persons performing work on the Permittee's behalf are familiar with the requirements of the Permit, Title 12 MCC,the Manual,and other applicable laws governing the work performed by them and further, for ensuring that such contractors and subcontractors maintain insurance as required herein. R. Survival of Terms. Upon the termination of the Permit,the Permittee shall no longer have the right to occupy the Permit area. However,the Permittee's obligations under this Permit to the County shall survive the termination of these rights according to its terms for so long as the Permittee's utility facilities shall remain in whole or in part in the road rights-of-way, except to the extent the County Engineer has approved abandonment in place. By way of illustration and not limitation, Permittee's obligations to indemnify, defend and hold harmless the County, provide insurance and a performance/payment bond pursuant to Section XI and Permittee's obligation to relocate its utility facilities pursuant to Section VIU,shall continue in effect as to the Permittee, notwithstanding any termination of the Permit, except to the extent that a County- approved transfer, sale, or assignment of the utility system is completed, and another entity has assumed full and complete responsibility for the utility facilities or for the relevant acts or omissions. 18 DATED at Shelton, Washington this day of 520 APPROVED: BOARD OF COMMISSIONERS MASON COUNTY, WASHNGTON County Engineer Chair Approved as to form: Vice Chair Chief D.P.A. Commissioner 19 RECORDED AT THE REQUEST OF AND AFTER RECORDING RETURN TO: County of Mason 100 West Public Works Drive Shelton WA 98584 Attn: County Engineer EXHIBIT "A" MEMORANDUM OF PERMIT Title: Private Line Occupancy Permit Grantor: COUNTY OF MASON, a legal subdivision of the state of Washington Grantee: Description of Franchise Area: SEE EXHIBIT A-4 A-1 ACCEPTANCE OF PERMIT Private Line Utility Occupancy Permit effective ,20 I/We, amour the of parcel(s) and Uwe am/are the(Operator and) or(representative authorized to) accept Permit on behalf of Uwe certify that this Permit and all terms and conditions thereof are accepted by without qualification or reservation and guarantee performance hereunder. I/We certify that,to the best of my/our knowledge,the assessor's tax identification number of the parcel or parcels benefited by this Permit and a legal description of each such parcel are as described in the attached exhibit. DATED this day of , 20 PERMITTEE(S) By: Title: STATE OF ) ss. COUNTY OF ) I certify that I know or have satisfactory evidence that isthe person who appeared before me, and said person acknowledged that he/she signed this instrument, on oath stated that he/she was authorized to execute the instrument and acknowledged it as the of the to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. Dated: Notary Public Print Name My commission expires A-2 MEMORANDUM OF PRIVATE LINE UTILITY OCCUPANCY PERMIT THIS MEMORANDUM OF PERMIT is dated as of the_day of ,20_ between the County of Mason, a legal subdivision of the state of Washington("County")and (Permittee"). 1. Property. County has,pursuant to Private Line Utility Occupancy Permit granted to Permittee,the right,revocable at the will of the County,to use and occupy certain road rights- of-way for the construction,installation,adjustment,maintenance,removal,repair,relocation and operation of Permittee's utility facilities for the benefit of the herein described Property,upon the terms and conditions of that certain permit agreement between the parties accepted the day of , 2020 (the "Permit"), which terms and conditions are incorporated herein by this reference. The property to be benefited by this permit is situated in the Mason County, Washington, legally described in Exhibit A attached hereto (herein called the "Property"). The road right-of-way permit area("Permit Area") is also described in attached Exhibit A. 2. Term. The term of the Permit is in perpetuity unless terminated. 3. Termination. County in its sole discretion may terminate all or part of the Permit with or without cause upon no less than ninety(90)days written notice to the Permittee. Further, this Permit will automatically terminate upon assignment without the prior written consent of the County, or upon transfer of the Property without the prior written consent of the County to an assignment of the Permit or upon transfer of all or part of the utility facilities located in the Permit Area without the prior written consent of the County to an assignment of the Permit. 4. Purpose of Memorandum of Permit. This memorandum of permit is prepared for the purpose of recordation and notice and in no way modifies the Permit and is in no way intended to or should be construed to create or convey an interest in land or the road right-of-way. DATED this day of ,20_ COUNTY OF MASON County Engineer Approved as to form: Chief D.P.A. A-3 FORM OF MEMORANDUM OF PERMIT Permit Area Map fi It NE I A 51 NE RHODODENDRON BLVD (� ' 3 • a= r 60 NE 1 RHODODENDRON fy BLVD 9CN A Fro . 2• ' c C 731 NE l HAVEN LAKE DR A Scott& Mary Wilkins PLO A-4 . Exhibit Map for Scott & Mary Wilkins Private Line Occupancy 22330EDO0077 2233016000259 .................................. 223UMU0078 ti 223305D064437 223305000352 M3313-moom =305000WD 22330FAD00811 \J i 223306000357 2231-05000081", 22331150013348 ........ 0 ................................. ............. 223SOBD00347 440 2233DI51300083 .............. ............................... 223305000351 2305000346 ............................... ......... 223305i)DODS44 . ............................... 22330,50013345 222305000343 223SD50410342 .................... .......... .................................. -------............................................................. NE HAVEN 223309383999 LAKE DR 11 Haven Ln. benefiting parcel (22330-50-00080) MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Loretta Swanson, Director DEPARTMENT: Public Works EXT: 450 BRIEFING DATE: February 22, 2021 INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources ❑ Legal ❑ Other— please explain ITEM: Public Works Owned timber properties EXECUTIVE SUMMARY: The Public Works Department Roads and U&W Management divisions own multiple timber property's'that have profitable timber on the parcels. These parcels have not been thinned for many years, if ever. To preserve and improve the timber growth Public Works would like to hire a forester to evaluate the timber on these properties and assist with determining the harvest and managing the projects. BUDGET IMPACTS: Project will be funded through the Road and Utilities/Waste Management divisions of Public Works. RECOMMENDED OR REQUESTED ACTION: Recommend the Board of County Commissioners authorize the Public Works Director to procure a forester and enter into an agreement, declare timber surplus sale notices for timber thinning and harvesting, and advertise, set bid opening dates/times and award contracts. ATTACHMENT: 1. List of Public Works Properties Public Works Properties for Timber Cruise Parcel Acreage Location 42004-30-60000 98.18 Eells Hill 42002-13-90030 6.1 PW Area 42002-13-90040 6.1 PW Area 42002-13-90050 6.09 PW Area 42002-13-90060 6.1 PW Area 42002-13-90070 6.1 PW Area 42002-13-90080 6.1 PW Area 42002-21-90010 9 PW Area Portion of larger parcel 12330-13-50020 12.1 Sand Hill 32202-41-00000 6.43 Fred Hill lay down area 32202-41-00030 13.57 Fred Hill lay down area 41901-12-60000 20 Isabella pit 12319-30-00000 24 Sand Hill (Belfair) transfer station 42210-4Q-6000Q 80 Ho""odsport,Transfer station Appears rnostl_y logged; 32105.24-60000 4 85 Union Transfer.station : Recently logged 32105=21-62000 <26 Union Transfer'statiori , Mostly logged Totals 330.72 Harvestable Timber Total 219.87 Acres MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Mike Collins, PLS, PE, Deputy Director/County Engineer DEPARTMENT: Public Works EXT: 450 BRIEFING DATE: February 22 2021 PREVIOUS BRIEFING DATES: If this is a follow-up briefing, please provide only new information INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources ❑ Legal ❑ Other— please explain ITEM: Purchase of a tilt equipment trailer EXECUTIVE SUMMARY: Public Works is looking to acquire a tilt equipment trailer to haul Road Operations and Maintenance equipment to job sites that require equipment that cannot be driven on public roadways. The purchase will be from Capital Industrial out of Tumwater, WA and off of Washington State Contract No. 00816 for a price of $35,127.50. Budget Impacts: The purchase of this equipment has been budgeted in the current 2021 road fund budget. RECOMMENDED OR REQUESTED ACTION: Recommend the Board of County Commissioners authorize Public Works to procure a tilt bed equipment trailer from Capital Industrial off of the Washington State Contract for $35,127.50. Attachments: 1. Sale Quote ........ LE TATION ------------------------- ---------- . Original � S Document Number Document Date Page Q:, ig it 01/19/2021 1/1 DUSTRIAL°:: :: :.:::: :::'' ...--_..... Olympic;Traiiltelr;MFg:.:�:Oli�mpic:l:nader:Mfg Customer No. Federal Tax ID-Business Partner Phone:360-786-1890 Email:Sales@cimfg.com 2649 RW 3ohnson Blvd SW ------------------------------------------------------------ Tumwater WA 98512 Your Reference Quotation Valid Until: USA Verified Contract# 00816 -------------------------------------------------- Delivery Address Your Contact Mason County Pud#3 Max Calnan Shelton WA 98584 Same as Bill-to USA -------------------------------------------------------------- --------------------------------------------------- Currenty:$ Description - Quantity UoM Price Tax% Total . 4 Tilt Equipment 25+4 Silver 1 Each 31,495.0000 9.4000 31,495.00 62000 G V W R Air Brakes Item Code: 103-TFD-0033 -•-------..------------------------------....----...-----....----....----.. •30a- 20T/30T OPTION Extra Tool 1 Each 499.9900 9.4000 499.99 Box in Back part of Tongue as Manufactured Item Code: 105-TOP-0001 -------------------— ?03 Document Fee 1 Each 34.9900 9.4000 34.99 Item Code: 960-FEE-0002 ------------------------------------------------------------------------------------------------------------------------------ 0".1, License Fee 1 Each 89.9900 9.4000 89.99 Item Code: 96D-FEE-0001 ----------------------------------------------- -------------------------•------------------------...---.....---...----------- ;;DS 6-8 Week Current Lead Time Quotation Subtotal: $32,119.97 Tax Details Tax Code Taz/ Net Tax Total Before Tax: $32,119.97 T0406 9.40 31,994.99 3,007.53 Total Tax Amount: $3,007.53 ------------------------------------------------------------------------ ----------------------....----...------------- s WA 0.00 31,994.99 0.00 Total Amount: $35,127.50 Additional Expenses Shipping Type: Payment Term Net 30 Pnang Verified W{WA STA7E CONTRA CT# 00816`. 3ereni @m mason yaa us°.: '_ - -. .Ys... ... MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Richard Dickinson, Deputy Director/U&W Management DEPARTMENT: Public Works EXT: 652 BRIEFING DATE: February 22, 2021 INTERNAL REVIEW (please check all that apply): ❑ Budget/Finance ❑ Human Resources Legal ❑ Other—please explain ITEM: PaintCare Paint Stewardship Program EXECUTIVE SUMMARY: A State law passed in May 2019 requires paint manufacturers to set up and operate a paint stewardship program in Washington. Program funding comes from a paint stewardship fee (PaintCare fee) applied to each container of architectural paint sold in Washington when the program begins in April 2021. The primary requirement of the paint stewardship law is to have drop-off sites where households and businesses can take leftover architectural paint, free of charge. Benefits to the county as participants in the Washington Paint Stewardship Program are listed below: • Staff training • Paint collection bins • Free paint transportation and processing services • Site signage • Compensation for additional services including paint reuse programs, bulking of oil-based paint and other optional services. • Publicity of HHW site or event (optional) PUBLIC OUTREACH: None at this time. RECOMMENDED OR REQUESTED ACTION: Recommend the Board of Commissioners authorize the Deputy Director/U&W Manager to sign the agreement with PaintCare Washington, LLC for Mason County to take part in the Washington Paint Stewardship Program. ATTACHMENTS: 1. Draft Agreement 2. Program Information Sheet WASHINGTON ARCHITECTURAL PAINT RECOVERY PROGRAM 901 New York Avenue NW,Suite 30OW d�-w."irow Washington DC 20001 min ��/''"�jrl�c Phone: (855)724-6809 ! iq a Fax: (855)385-2020 • � www.paintcare.org DRAFT Washington Architectural Paint Stewardship Program Moderate Risk Waste Drop-Off Site Operation Agreement Between PaintCare Washington LLC and Mason County Last updated August 17,2020 r' PC Contract No.003344 WASHINGTON ARCHITECTURAL PAINT STEWARDSHIP PROGRAM MODERATE RISK WASTE DROP-OFF SITE OPERATION AGREEMENT This Agreement (the "Agreement") is made by and between Insert legal name of company, Mun.ic�pal►ty, etc:] located at [insert q` l_ ss] (the "Service Provider") and PaintCare Washington LLC, a Delaware limited liability company having its office at 901 New York Avenue NW, Suite 300W, Washington, D.C. 20001 ("PaintCare"). RECITALS Whereas, PaintCare is the program manager of the Washington Architectural Paint Stewardship Program (the "Program"), as set forth by Washington Revised Code §§ 70.375.010 —70.375.130 (2019); Whereas, pursuant to the Program, PaintCare submitted a plan to the Washington Department of Ecology to facilitate the management of "PaintCare Products" (defined below) that are collected by "Drop-Off Sites" (defined below) under the Program; Whereas, PaintCare desires to enter into agreements with Moderate Risk Waste facilities for the purposes of collecting PaintCare Products; Whereas, the Service Provider has and/or operates a Moderate Risk Waste collection program, including permanent collection sites and/or temporary collection events, to which local residents may bring certain types of waste, including PaintCare Products, for appropriate treatment, recycling, and/or disposal; Whereas, PaintCare, as part of its responsibility to facilitate the management of the Program, wishes to obtain the services of the Service Provider for the collection of PaintCare Products from the Service Provider's Drop-Off Sites, as provided in this Agreement; and Whereas, the Service Provider may, but is not required to, engage in Additional Activities that are part of the Program, including Direct Reuse, Reprocessing, and Bulking. Now, therefore, for and in consideration of the terms of this Agreement and the mutual promises and covenants contained herein, the parties hereto agree as follows. ARTICLE 1 — DEFINITIONS 1.1 "Additional Activities" means those on-site paint management activities that the Service Provider has the option to perform and for which PaintCare will provide monetary compensation. 1.2 "Bulking/Bulked" means opening individual cans of paint and combining the latex paint into 55-gallon drums marked "Latex Paint" and the oil-based paint into a separate 55- gallon drum marked "Oil-Based Paint." 2 PC Contract No.003344 1.3 "Collect/Collected/Collection" means accepting PaintCare Products from the public at Drop-Off Sites and screening incoming materials in accordance with the Program Guidelines to determine which materials are acceptable PaintCare Products. 1.4 "Collection Bins" are containers provided by or approved for use by PaintCare or its contractors to hold PaintCare Products. 1.5 "Drop-Off Sites" mean all permanent collection facilities and Temporary Collection Events owned, leased, subleased, controlled, and/or operated by the Service Provider and are added to this Agreement according to its terms. 1.6 "Effective Date" means the date that the parties' obligations begin under this Agreement. The Effective Date is the date of the later signature below. 1.7 "Force Majeure" is defined in Article 13.2. 1.8 "Haulers" mean independent contractors hired by PaintCare to transport PaintCare Products from the Drop-Off Sites. 1.9 "Including" (whether or not capitalized) means "including but not limited to." 1.10 "Indemnified Parties" is defined in Article 9.1. 1.11 "Initial Term" is defined in Article 2.1. 1.12 "Law" means all federal, state, and local statutes, laws, codes, ordinances, decrees, rules, regulations, requirements, and orders, of any governmental authority, entity, or agency whether federal, state, municipal, local, or other government body or subdivision, including those relating to unemployment compensation, worker's compensation, disability, taxes, worker and public health and safety, the environment, and the Program. 1.13 "Loose Packing/Loose Packed" means placing acceptable PaintCare Products into Collection Bins, including sorting oil-based and latex PaintCare Products into separate Collection Bins to the greatest extent practicable, in a manner that is conducive to safe and efficient transport. 1.14 "Non-PaintCare Products" mean products not covered by the Program that are collected and/or managed by the Service Provider. 1.15 "Paint Drop-Off Log" means the form provided by PaintCare to Drop-Off Sites that is used to verify whether businesses and organizations are eligible to use the Program for oil-based paint and other hazardous PaintCare Products. The Service Provide may adopt its own version of the Paint Drop-Off Log, subject to PaintCare's prior written approval of that substitute version. 1.16 "Program Guidelines" mean the "Washington Architectural Paint Stewardship Program MRW Drop-Off Site Guidelines" in Attachment I, as may be updated by PaintCare from time-to-time. 1.17 "PaintCare Products" mean the materials that are eligible to be collected through the Program in the State, which may change from time to time. The Program Guidelines include a list of such eligible Program Products that is current as of the date of this 3 PC Contract No.003344 Agreement. PaintCare will communicate in writing any changes to the types of materials that are eligible to be collected as Program Products. 1.18 "Services" mean all services for which Service Provider is responsible, as described in this Agreement and in the Attachments hereto. 1.19 "State" means the State of Washington. 1.20 "Temporary Collection Events" mean an event hosted and/or operated by the Service Provider to Collect PaintCare Products at locations within the State. 1.21 "Written" or "In Writing" (whether or not capitalized) means in a written communication in hardcopy or electronic form, including e-mail. ARTICLE 2—TERM OF AGREEMENT 2.1 This Agreement will commence upon the later of (i) the Effective Date, and (ii) the date on which the Program launches in the State. Unless terminated under Article 11 ("Termination of Agreement"), the Agreement will remain in full force and effect for a period of two (2) years (such two-year period, the "Initial Term"). 2.2 Option Years. Immediately after the expiration of the Initial Term, this Agreement will automatically renew for additional successive one (1) year terms, unless either party notifies the other in writing at least sixty (60) days in advance of the renewal term commencement date that the Agreement will not be renewed. 2.3 If either party provides notice that the Agreement will not be renewed, unless otherwise instructed by PaintCare, the Service Provider, before the end of the term of the Agreement, shall assemble all Collection Bins supplied by PaintCare whether or not full, and shall make them available for pick up by a Hauler at one of the Drop-Off Sites. In the event of any expiration of this Agreement, Service Provider shall cooperate with PaintCare in good faith to bring about an orderly cessation of the Services or the orderly transition of the Services to a successor. ARTICLE 3 —GENERAL OBLIGATIONS OF THE SERVICE PROVIDER 3.1 In consideration of PaintCare's payments, if any, to the Service Provider for the Services, and for activities undertaken at the expense of PaintCare,the Service Provider shall perform the Services provided for in Attachment A ("Scope of Work") in conformity with the Program Guidelines (except to the extent the Program Guidelines conflict with the terms of this Agreement or any applicable Law). 3.2 Either party may amend Attachment C ("Drop-Off Site Information") to add or delete sites subject to the other party's prior written approval for each such addition/deletion. 3.3 Service Provider's Temporary Collection Events will automatically be added under this Agreement on an ongoing basis with the following conditions and exclusions: a. Service Provider must provide PaintCare with at least ten (10) days' advance written notice of when each Temporary Collection Event is to take place. If Service Provider fails to provide at least ten (10) days' advance written notice of a Temporary Collection Event as required hereunder, the Temporary Collection Event will not be added unless expressly approved by PaintCare in writing. 4 PC Contract No.003344 b. In instances where PaintCare receives timely advance notice of a Temporary Collection Event as required hereunder, PaintCare may decline the addition of a Temporary Collection Event(s) by providing Service Provider with written notice to that effect no later than ten (10) days after PaintCare received notice of that Temporary Collection Event(s) from Service Provider. 3.4 The Service Provider shall manage at its own expense all PaintCare Products Collected at the Drop-Off Sites only in accordance with Attachment A ("Scope of Work") and not process or dispose PaintCare Products by any other method without the prior written approval of PaintCare. 3.5 The Service Provider (and not PaintCare) is responsible for: a. making day-to-day and critical decisions regarding the Services, including the management and supervision of all activities comprising the Services; b. complying with all applicable Law relating to the Services and the operation of the Drop-Off Sites; and c. securing and locking the Drop-Off Sites at all times when the facilities are closed or not attended. 3.6 The Service Provider shall make best efforts to comply in all material respects with the Program Guidelines. The Service Provider must notify PaintCare in writing if the Service Provider is unable to comply with any aspect of the Program Guidelines. 3.7 The Service Provider is responsible for and will manage at its sole expense any and all Non-PaintCare Products it collects at the Drop-Off Sites. PaintCare in no way accepts responsibility for such Non-PaintCare Products. 3.8 The Service Provider shall not charge Program participants a fee relating to any costs that are covered by the Program. To avoid any fee practices at Drop-Off Sites that may reflect badly on the Program, the Service Provider must consult with PaintCare and obtain its approval before charging Program participants a fee for dropping off PaintCare Products, such approval not to be unreasonably withheld. Nothing in this Agreement prohibits the Service Provider from charging fees to participants for dropping off Non- PaintCare Products. 3.9 The Service Provider shall provide the Services at its own risk and take all reasonable precautions to protect all public and private property during the performance of the Services. If the Service Provider's personnel or equipment cause any damage to PaintCare's or one of its contractor's property, the Service Provider, at its sole expense, shall promptly replace the damaged property or repair it to the condition existing before the damage. 3.10 The Service Provider shall thoroughly familiarize itself with the nature and scope of the Services under this Agreement and with matters that may affect the Services, including the Law governing the Services and this Agreement. Any failure by the Service Provider to thoroughly familiarize itself with such matters does not relieve the Service Provider of its obligations under this Agreement. 3.11 The Service Provider is responsible for promptly containing and cleaning up any spills that may occur at the Drop-Off Sites, including (i) maintaining spill kits or other appropriate spill containment and clean-up materials at all Drop-Off Sites, (ii) instituting 5 PC Contract No.003344 spill prevention and response procedures at the Drop-Off Sites, and (iii) training Drop- Off Site personnel on all such spill prevention and response procedures. 3.12 Work under this Agreement shall be performed only by competent personnel under the management, supervision, and direction of, or in the employment of, the Service Provider. All personnel working for or at the direction of Service Provider must be managed, supervised, and directed by the Service Provider. 3.13 The Service Provider shall commit adequate resources to participate in the Program and meet its obligations under this Agreement. 3.14 The reporting and notification requirements identified in Attachment A("Scope of Work") and elsewhere in this Agreement are an integral part of the Services. The Service Provider shall comply with all reasonable requests from PaintCare for preparation, access, review, and/or adjustment of these deliverables throughout the term of this Agreement. 3.15 The Service Provider shall inspect the Collection Bins upon arrival and determine whether they are in proper condition for use. PaintCare is responsible for replacing any defective Collection Bins and repairing normal wear-and-tear to the Collection Bins. The Service Provider shall immediately notify PaintCare if at any point during the term of the Agreement a Collection Bin(s) is not in proper condition for use and shall not use any such defective Collection Bins until they are repaired or replaced by PaintCare. The Service Provider is responsible for its use (or misuse) of any equipment it uses to perform the Services, including any Collection Bins. 3.16 The Service Provider shall not knowingly accept into the Program any oil-based paint or other hazardous materials from any business or organization unless that business or organization first signs the Paint Drop-Off Log to verify the business's or organization's eligibility to use the Program for such materials. ARTICLE 4— REPRESENTATIONS AND WARRANTIES 4.1 The Service Provider represents, covenants, and warrants that: a. It is an entity in good standing and qualified to carry on business in the State and has all necessary approval, capacity, and authority to enter into this Agreement and fully perform its obligations under this Agreement; b. This Agreement does not in any way conflict with any other agreements of the Service Provider; c. It possesses the business, professional, and technical expertise, training, personnel, and equipment required to perform the Services; d. It will perform the Services in a diligent, safe, and workmanlike manner that conforms with generally accepted industry and professional practices, and the care and skill ordinarily exercised, for such Services; and e. It and/or its facilities, employees, or agents, have been issued, as of the date of this Agreement and throughout the term of the Agreement, all permits, licenses, certificates, or approvals required by applicable Law to perform the Services. 6 PC Contract No.003344 4.2 PaintCare represents, covenants, and warrants that: a. it is a non-profit entity formed under the laws of the state of Delaware, in good standing, and is qualified to carry on business in the State and has all necessary approval, capacity, and authority to enter into this Agreement and fully perform its obligations under this Agreement; b. the execution and delivery of this Agreement has been validly authorized by all necessary corporate action by PaintCare; and c. this Agreement does not in any way conflict with any other agreements of PaintCare. ARTICLE 5 — GENERAL OBLIGATIONS OF PAINTCARE 5.1 PaintCare shall arrange for a Hauler to be available to pick up Collected PaintCare Products from any permanent Drop-Off Site within ten (10) business days of the Drop- Off Site placing a pick-up request to the Hauler. PaintCare shall, at its expense, arrange for the Hauler to transport such PaintCare Products after pick-up to intermediary locations, processors, or other final destination that are part of the Program. 5.2 Provided that the Service Provider provides PaintCare with sufficient notice as required under this Agreement, PaintCare (or its Hauler) will coordinate with the Service Provider to arrange for the timely pick-up of PaintCare Products Collected at a Temporary Collection Event at a date and time designated by the Service Provider. 5.3 PaintCare shall pay the Service Provider for any Additional Activities as set forth in this Agreement and in accordance with the pricing in Attachment B ("Pricing"). 5.4 For each Drop-Off Site, PaintCare shall provide Collection Bins to the Service Provider or approve the Service Provider's containers as Collection Bins. All Collection Bins supplied by PaintCare will remain the property of PaintCare. 5.5 PaintCare shall require the Haulers and their subcontractors to treat, store, and dispose of in accordance with all applicable Law all PaintCare Products picked up by Hauler from a Drop-Off Site. PaintCare shall require that any disposal or recycling facilities utilized as part of the Program are maintained in accordance with all applicable Law. 5.6 PaintCare will contract with its Haulers to arrange and provide for the ultimate disposition of the PaintCare Products as set forth in PaintCare's program plan. 5.7 Nothing herein creates an exclusive arrangement between PaintCare and the Service Provider. The Service Provider may not restrict PaintCare from contracting with other entities under the Program, including other service providers with waste collection facilities in the Service Provider's geographical region. 5.8 If PaintCare or a Hauler causes any damage to the Service Provider's or one of its subcontractor's property, PaintCare shall, at no expense to the Service Provider, either (i) promptly replace the damaged property or repair it to the condition existing before the damage, or (ii) require the Hauler to replace the damaged property or repair it to the condition existing before the damage. PC Contract No.003344 ARTICLE 6 —TITLE AND RISK OF LOSS; DISCLAIMERS 6.1 As between the Service Provider and PaintCare, the Service Provider has title to and risk of loss and liability for any and all PaintCare Products and Non-PaintCare Products that the Service Provider receives at the Drop-Off Sites, including any risk of loss and liability under the federal Comprehensive Environmental Response, Compensation and Liability Act, 42 U.S.C. § 9601 et seq. and under state or local Law. Notwithstanding the foregoing, once a Hauler accepts for transportation any PaintCare Products Collected by the Service Provider under this Agreement, title to and risk of loss for those PaintCare Products will transfer to that Hauler. PaintCare at no time takes title to or assumes liability for any materials that Service Provider accepts at the Drop-Off Sites; however, for the PaintCare Products that Service Provider Collects under the Program, PaintCare shall require in its contracts with its Haulers that the Haulers accept such title and risk of loss immediately upon accepting those PaintCare Products for transportation from a Drop-Off Site. 6.2 PaintCare-has no authority to manage, direct, or supervise employees, representatives, or agents of the Service Provider, including how they perform the work and achieve compliance with applicable Law. PaintCare does not have responsibility for making day- to-day and critical decisions regarding the Services, including the management or supervision of any activities comprising the Services. PaintCare is not responsible for any damage to persons or property resulting from the performance of the Services. 6.3 NEITHER PARTY WILL BE LIABLE TO THE OTHER FOR ANY CONSEQUENTIAL, PUNITIVE, OR SPECIAL DAMAGES, WHETHER BASED ON BREACH OF CONTRACT, TORT (INCLUDING NEGLIGENCE), OR ANY OTHER LEGAL THEORY, EVEN IF ADVISED OF SUCH POTENTIAL DAMAGES; HOWEVER, NOTHING IN THIS PARAGRAPH CONSTITUTES A LIMIT OF THE INDEMNIFICATION OBLIGATIONS IN ARTICLE 9 ("INDEMNIFICATION"). ARTICLE 7 —PAYMENT AND INVOICING 7.1 As consideration under this Agreement, PaintCare will (i) have Collection Bins provided to the Drop-Off Sites, (ii) facilitate the transportation and processing of PaintCare Products by Haulers as set forth in this Agreement, (iii) pay the Service Provider for any Additional Activities as set forth in this Agreement, and (iv) perform other services incident to the management of the Program. 7.2 PaintCare's payment for any Additional Activities provided by the Service Provider, if any, will be made in U.S. currency and in the manner set forth in Attachment B ("Pricing"). 7.3 If the Service Provider is performing any Additional Activities under this Agreement, the Service Provider shall provide an "Activity Report for Reimbursement"form (Attachment E) to PaintCare on a monthly basis, either by hard copy or electronically, within thirty (30) days after the end of the month in which the invoiced Additional Activity services were performed. The report may be sent with or without a separate invoice. The Service Provider's timely submission to PaintCare of the Activity Report for Reimbursement form in Attachment E is sufficient to meet the invoicing requirements hereunder. PaintCare reserves the right to refuse payment of any invoice or portion thereof that is not timely submitted or does not meet the requirements set forth in this Agreement. 8 PC Contract No.003344 7.4 All amounts paid by PaintCare to the Service Provider are subject to audit by PaintCare. 7.5 The Service Provider shall submit all Activity Report for Reimbursement forms and invoices, if applicable,together to PaintCare by the method directed by PaintCare and/or at the address specified below. To: PaintCare Washington LLC Attn: Accounting E-mail: paintcare(cD_bill.com Address: 901 New York Avenue NW, Suite 300W Washington, DC 20001 7.6 Provided that the Service Provider has supplied the required information and otherwise performed its obligations under this Agreement, PaintCare shall pay such invoice within forty-five (45) days of the date that PaintCare receives the invoice. In the event PaintCare has a good-faith objection to an invoice, PaintCare shall pay the undisputed amount pursuant to the terms of this Agreement and notify in writing the Service Provider of said objections and describe in reasonable detail the basis for the objections. The Dispute Resolution provisions in Article 16 ("Dispute Resolution")will be used to resolve such disputed portion of an invoice. During any such dispute, the Service Provider shall continue with its responsibilities under this Agreement and shall not stop providing the Services and PaintCare shall make all payments due to the Service Provider over which there is no good-faith dispute. 7.7 PaintCare's payment of all or a part of an invoice neither relieves the Service Provider of any of its obligations under this Agreement nor constitutes a waiver of any claims by PaintCare. Likewise, the Service Provider's acceptance of all or part of a payment neither relieves PaintCare of any of its obligations under this Agreement nor constitutes a waiver of any claims by the Service Provider. 7.8 The Service Provider warrants that, to the best of its knowledge, all documents including invoices, billings, back-up information for invoices, and reports submitted by the Service Provider to PaintCare to support amounts invoiced in connection with the Services truly reflect the facts about the activities and transactions to which they pertain. The Service Provider warrants that PaintCare may rely upon all such documents and the data therein as being complete and accurate. The Service Provider shall promptly notify PaintCare upon discovering any errors or discrepancies in any documents that the Service Provider provided to PaintCare under this Agreement. ARTICLE 8 —AUDIT AND INSPECTION RIGHTS 8.1 PaintCare and its representatives may (a) monitor and verify that the Service Provider has complied with this Agreement and the applicable Law; and (b) consult with the Service Provider about such compliance; provided, however, that PaintCare shall not, and affirmatively disclaims any ability to, control, supervise, or manage(i)the employees of the Service Provider, (ii) the activities undertaken by the Service Provider in the performance of this Agreement, and (iii)the means by which the Service Provider meets all requirements, including applicable Law. 9 PC Contract No.003344 8.2 PaintCare may, audit and inspect, with full access, the Service Provider's Drop-Off Sites during the Drop-Off Sites' hours of operation, as well as any other site at which the Service Provider performs the Services. PaintCare will provide the Service Provider with at least seventy-two (72) hours' notice before any such audit or inspection. 8.3 The Service Provider will maintain and make available to PaintCare, during regular business hours, accurate books and accounting records relating to its Services under this Agreement. The Service Provider will permit PaintCare to audit, examine, and make excerpts and transcripts, for any books or records, and to make audits of invoices, materials, and other data related to all other matters covered by this Agreement. The Service Provider shall maintain such data and records (and ensure that any subcontractors of the Service Provider maintain any such data and records) in an accessible location and condition for a period of not less than three (3) years from the date of the final report or final payment under this Agreement, as applicable, or until after final audit has been resolved, whichever is later. 8.4 In addition to those reports detailed in Attachment A ("Scope of Work"), the Service Provider shall maintain the following records: a. for each pick-up of PaintCare Products by a Hauler from a Drop-Off Site, a bill of lading, manifest, or equivalent shipping documentation specifying the following: i. the name, address, and telephone number of both the originating Drop- Off Site and the Hauler; ii. the destination of the PaintCare Products; iii. the quantity of PaintCare Products being transported; iv. the date on which the Hauler accepted the PaintCare Products from the originating location; and, v. the signatures of both the Hauler and a representative of the originating Drop-Off Site; b. records of any inspections required by Law; c. Paint Drop-Off Logs; and d. Employee Training records, as described in and required by the Program Guidelines. ARTICLE 9 — INDEMNIFICATION 9.1 The Service Provider's Indemnification of PaintCare. To the extent permitted by Law, the Service Provider, its successors and assigns, agrees to indemnify, defend, and hold harmless PaintCare, its affiliate and related companies, and their member companies, officers, directors, employees, agents, successors, and assigns (collectively, "Indemnified Parties") from and against all claims, suits, demands, obligations, losses, damages (including punitive or exemplary damages), liabilities, expenses (including attorney fees, litigation expenses, and reasonable costs of investigation), and causes of action of every kind whatsoever, whether based in contract, tort, statute, common law, or strict liability, which are claimed in any way to result from, arise out of, or be connected with the performance of the Services (whether 10 PC Contract No.003344 by the Service Provider or any subcontractor of the Service Provider), the Service Provider's operation of a Drop-Off Site, or the Service Provider's performance of its obligations under the Agreement. This indemnification obligation does not apply to any claims, suits, demands, obligations, losses, damages, liabilities, expenses, or causes of action are proven to result primarily from the negligence, willful misconduct, or breach of this Agreement attributable to an Indemnified Party. 9.2 Indemnification of Service Provider. PaintCare shall require in its contracts with its Haulers that the Haulers agree to indemnify the Service Provider, its agents, elected officials, and employees, from and against all claims, losses, damages, liabilities, expenses, and causes of action of every kind whatsoever, whether based in contract, tort, statute, common law, or strict liability, which result from or arise out of the Hauler's (or its subcontractors') transportation or processing/disposal of any PaintCare Products that the Hauler picks up from any of the Service Provider's Drop-Off Sites. This indemnification obligation does not apply to the extent any claims, suits, demands, obligations, losses, damages, liabilities, expenses, or causes of action result from the negligence, willful misconduct, or breach of this Agreement attributable to the Service Provider, its agents, elected officials, or employees. ARTICLE 10 — INSURANCE 10.1 The Service Provider shall comply with the requirements set forth in Attachment D ("Insurance Requirements for PaintCare MRW Drop-Off Sites"). 10.2 PaintCare shall require that its Haulers carry appropriate insurance, including the following (collectively, the "Hauler Insurance"): a. Commercial General Liability insurance written on an occurrence basis covering personal injury, property damage, and bodily injury and death with limits not less than $1,000,000 each occurrence, and $2,000,000 in the aggregate; b. Commercial Automobile Liability insurance (owned, non-owned or hired) with limits not less than $1,000,000 combined single limit; and c. Workers' Compensation Insurance as required by the State or other applicable Law. 10.3 For any Hauler that PaintCare designates to pick up hazardous PaintCare Products from the Drop-Off Sites, the Hauler Insurance will include environmental pollution liability insurance covering liability arising from the handling or release of pollutants by the Hauler, including during transport. Such environmental pollution liability insurance will have limits not less than $2,000,000 each occurrence, and $5,000,000 in the aggregate. 10.4 PaintCare shall require in its contracts with its Haulers that the Hauler include the Service Provider and its agents, elected officials, and employees as additional insured (which may be by blanket endorsement) under the Hauler Insurance policies (other than Worker's Compensation). 11 PC Contract No.003344 ARTICLE 11 —TERMINATION OF AGREEMENT 11.1 Either party may terminate this Agreement or any Services under this Agreement under the following conditions: a. Immediately upon prior written notice if the other party has breached any material provision of this Agreement, and has failed to cure such breach within thirty (30) days of receiving written notification of such breach; or b. upon ten (10) days' prior written notice if the other party has violated applicable Law. Any notice of termination must specify the date of termination and the reasons for termination. 11.2 Either party may terminate this Agreement (in whole or in connection with one or more particular Drop-Off Sites) at any time without cause upon sixty (60) days' written notice to the other party. 11.3 -If this Agreement is terminated under this Article, PaintCare shall pay the Service Provider for any unpaid fees validly owed under the Agreement for any Additional Activities performed before the date of the termination. Other than its obligation to pay the Service Provider for any unpaid fees as provided in this paragraph, PaintCare will have no liability arising from any termination or expiration of this Agreement. 11.4 At the time of any termination of this Agreement, unless otherwise instructed by PaintCare, the Service Provider shall assemble all Collection Bins supplied by PaintCare, whether or not full, and shall make them available for pick up by a Hauler at one of the Service Provider's Drop-Off Sites. ARTICLE 12—ASSIGNMENT AND SUBCONTRACTING 12.1 Neither party may assign, novate, or otherwise transfer (including transfer by operation by law) this Agreement or the obligations and rights hereunder without the express written consent of the other party, which consent shall not be unreasonably withheld. Any attempted assignment, novation, or other transfer made in violation of this Article is void and has no effect. Notwithstanding the foregoing, PaintCare will provide notice but does not require prior consent to assign the Agreement to an entity that is at least fifty percent (50%) owned or controlled by PaintCare or to an entity that owns or controls at least fifty percent (50%) of PaintCare. 12.2 Either party may subcontract any part of its obligations under this Agreement. Nothing contained in this Agreement or otherwise, creates any contractual relationship between a party and any subcontractor of the other party. A subcontract does not relieve a party of its responsibilities and obligations hereunder. It is the subcontracting party's responsibility to ensure that any subcontractor is aware and complies with the terms of this Agreement relating to the services being performed by that subcontractor. The subcontracting party agrees to be as fully responsible to the other party for the acts and omissions of its subcontractors as it is for its own acts and omissions. 12.3 The Service Provider's obligation to pay its subcontractors is an obligation independent from PaintCare's obligation to make payments to the Service Provider. Neither party has 12 PC Contract No. 003344 an obligation to pay or to enforce the payment of any moneys to any subcontractor of the other party. ARTICLE 13— FORCE MAJEURE 13.1 Any delay or failure of either party to perform its obligations hereunder will be suspended if, and to the extent, caused by the occurrence of a Force Majeure. In the event that either party intends to rely upon the occurrence of a Force Majeure to suspend or to terminate its obligations, such party shall notify the other party in writing immediately, or as soon as reasonably possible (but no later than ten (10) calendar days), setting forth the particulars of the circumstances. Written notices shall likewise be given after the effect of such occurrence has ceased. 13.2 An occurrence of a "Force Majeure" means any of the following that prevent performance of this Agreement and are not within the reasonable anticipation and control of the affected party, but only to the extent that due diligence is being exerted by the applicable party to resume performance at the earliest possible time: riots;wars; civil disturbances; insurrections; acts of terrorism; strikes and labor disputes; embargoes; state or federal orders; epidemics or pandemics; and acts of nature (or any threat of such occurrences)whose effects prevent safe passage of vehicles upon state or federal highways for a continuing period of not less than fourteen (14) days; or any other similar events or circumstances. ARTICLE 14— NOTICES 14.1 Except where otherwise expressly authorized, notice will be by email, first class certified or registered mail, or by commercial delivery service issuing a receipt for delivery. Notices will be addressed as set forth below. Either party may change the address information below by providing written notice to the other party. Notice is effective upon delivery. If delivery is refused, notice must be attempted by an alternate method hereunder. If delivery is refused for more than one method of notice specified herein, notice is deemed to be effective as of the date the second notice was attempted. To: PaintCare Washington LLC Attn: General Counsel Email: Legal a(D_paintcare.org Address: 901 New York Avenue NW, Suite 30OW Washington, DC 20001 [SERVICE PROVIDER] To: Attn: Email: Address: 13 PC Contract No.003344 ARTICLE 15 — INDEPENDENT CONTRACTOR STATUS 15.1 The parties intend that the Service Provider, in performing the Services specified herein, is acting as an independent contractor and that the Service Provider will control the work and the manner in which it is performed. This Agreement is not intended and may not be construed to create the relationship between the parties of agent, servant, employee, partnership, joint venture, or association. 15.2 Each party, or its subcontractors, as appropriate, is solely liable and responsible for providing all compensation and benefits due to, or on behalf of, all persons performing work on its behalf in connection with this Agreement. Neither party has any liability or responsibility for the payment of any salaries, wages, unemployment benefits, disability benefits, federal, State, or local taxes, or other compensation, benefits, or taxes for any personnel provided by or on behalf of the other party. 15.3 Each party understands and agrees that all persons performing work pursuant to this Agreement on its behalf are, for purposes of Workers' Compensation liability, solely employees of that party and not employees of the other party. Each party is solely liable and responsible for furnishing any and all Workers' Compensation benefits to its employees as a result of any injuries arising from or connected with any work performed by or on behalf of that party pursuant to this Agreement. 15.4 The Haulers are independent third-party contractors and are not employees, partners, subcontractors, or agents of either party. Neither party is liable for the acts or omissions of the Haulers under this Agreement. ARTICLE 16 — DISPUTE RESOLUTION 16.1 Both parties shall, in good faith, attempt to negotiate resolutions to all disputes arising out of this Agreement. 16.2 Subject to the conditions and limitations of this Article, any controversy or claim arising out of or relating to this Agreement will be exclusively settled by arbitration under the laws of the State, in accordance with the rules of the American Arbitration Association. 16.3 The parties agree to consolidation of any arbitration between them with any other arbitration involving, arising from, or relating to this Agreement. 16.4 Each party hereto accepts the jurisdiction of the courts of the State for the purposes of commencing, conducting and enforcing an arbitration proceeding or arbitration decision pursuant to this Article. Each party will accept service of notice of the other party's intent to proceed with arbitration, and of any other step in connection therewith or enforcement thereof, if such notice is in writing and sent by certified letter addressed to said party according to Article 14.1, and such notice will have the same effect as if the party had been personally served within the State. 16.5 Any decision of an arbitrator engaged under this Article is final, binding and enforceable upon both parties. 16.6 The parties shall continue to perform their respective obligations during the dispute resolution process in a diligent and timely manner in accordance with all applicable provisions of this Agreement. 14 PC Contract No.003344 16.7 Each party hereto shall bear the costs and expenses incurred by it in connection with such arbitration processes.The cost of any independent decision maker shall be shared equally between the parties. ARTICLE 17 — COMPLIANCE WITH LAW 17.1 Each party shall comply with all Law applicable to the performance of its obligations under this Agreement. 17.2 The Service Provider shall promptly notify PaintCare in writing upon discovery of any material failure, or any allegation of any material failure, of the Service Provider or its subcontractors to comply with any applicable Law relevant to the performance of Services or any requirement of this Agreement. 17.3 Duties and obligations imposed by the Agreement, and rights and remedies available thereunder, are in addition to (and not a limitation of) duties, obligations, rights, and remedies otherwise imposed on or afforded to the parties under applicable Law. ARTICLE 18 — SAFETY, HEALTH, AND ENVIRONMENTAL PROTECTION; RELEASES OF HAZARDOUS SUBSTANCES; EMERGENCY RESPONSE 18.1 The Service Provider is responsible for safety, health, and environmental protection related to the performance of the Services and shall take appropriate measures required by applicable Law and legal standards to ensure that it (and any of its subcontractors): a. provide and maintain safe, health-protective, and environmental-protective working areas at or in proximity to where the Services are performed; b. protect and safeguard (i) all persons at or in proximity to the Services, including those in adjacent areas, from risk or injury and danger to health, and (ii) all property and equipment from damage or loss; c. comply with all applicable Law governing the generation, handling, management, treatment, storage, or disposal of hazardous wastes, including the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), 42 U.S.C. § 6901 et seq., the Hazardous Materials Transportation Act,49 U.S.C. § 1801 et seq., and all requirements for household waste collection facilities pursuant to all applicable permits and state law; and d. comply with all other applicable health, safety and environmental Law, including the requirements of the U.S. Occupational Safety and Health Administration ("OSHA'), U.S. Environmental Protection Agency ("EPA"), and delegated state programs authorized by OSHA and EPA. 18.2 The Service Provider shall notify PaintCare within twenty-four (24) hours of any circumstance or occurrence during the performance of the Services that requires reporting to any governmental authority under any applicable permit or Law, including reporting to the National Response Center because of the release of a reportable quantity of hazardous substances pursuant to 42 U.S.C. § 9603 or under applicable state or local law. The Service Provider shall ensure that any such reports are made within the applicable time limits and shall not delay making such reports because of any inability to notify PaintCare. 15 PC Contract No.003344 18.3 In the event of any action or occurrence during the performance of the Services which causes or threatens a release of a hazardous substance, hazardous waste, or hazardous material into the environment which presents or may present an imminent and substantial endangerment to public health or welfare or the environment and/or requires cleanup or a response action under applicable Law, the Service Provider shall (i) immediately take all appropriate action to prevent, abate, minimize, and cleanup such release and endangerment in conformance with applicable Law and cleanup standards, and (ii) notify PaintCare of the incident within twenty-four (24) hours. As between the parties, the Service Provider is solely responsible for the costs of such action and any liability and damages of any type arising from any action or occurrence identified in this Article. The Service Provider shall not delay the undertaking of appropriate action because of any inability to notify PaintCare. ARTICLE 19 —CONFIDENTIALITY/PUBLICITY 19.1 The Service Provider will not disclose the terms of this Agreement to any third party without PaintCare's prior written authorization, except as may be otherwise provided hereunder or required by law. Nothing in this Agreement prohibits the Service Provider from publishing its role and participation in the PaintCare program. Notwithstanding the foregoing the Service Provider shall not, and shall not authorize another to, publish or disseminate any commercial advertisements, press releases, feature articles, or other materials using the PaintCare service mark without the prior written consent of PaintCare, which consent will not be unreasonably withheld. The Drop-Off Sites and any events may be listed, referenced, or advertised as Collection sites by PaintCare for the Program during the term of this Agreement in accordance with the Program Guidelines. 19.2 To the extent that the Service Provider is subject to disclosure requirements under the Washington Public Records Act (Revised Code of Washington Title 42, Chapter 56) and/or other applicable federal, state, and local public record laws (collectively, "the Disclosure Laws"), the following additional terms apply: a. In the event the Service Provider receives a request under the Disclosure Laws for disclosure of this Agreement or any portion thereof, the Service Provider may comply with the request as required under the Disclosure Laws. The Service Provider must notify PaintCare in writing within five (5) business days of making any such disclosure, such notification to include the identity of the requestor and a copy of what information was disclosed. ARTICLE 20 — MISCELLANEOUS PROVISIONS 20.1 No Waiver. The failure at any time to enforce any provision of this Agreement or failure to exercise any right herein granted does not constitute a waiver of such provision or of such right thereafter to enforce any or all of the provisions of this Agreement. 20.2 Selective Waiver. Either party may waive any default by the other party under this Agreement by an instrument in writing to that effect, and no such waiver will extend to any subsequent or other default by the other party. No failure or delay on the part of either party to exercise any right hereunder operates as a waiver thereof. Either party 16 PC Contract No.003344 may elect to selectively and successively enforce its rights hereunder, such rights being cumulative and not alternative. 20.3 Amendment or Modification. Unless otherwise provided herein, no amendments, changes, alterations, variations, or modifications to this Agreement will be effective unless in writing and signed by the respective duly authorized representatives of the parties hereto. 20.4 Governing LawNenue. The laws of the State, without giving effect to its principles of conflicts of law, govern the interpretation and effect of this Agreement. Subject to the provisions of Article 16 ("Dispute Resolution"), any legal proceedings regarding this Agreement initially will be brought before a court of jurisdiction prescribed by law in the State. 20.5 Severability. If any term, covenant, condition, or provision of this Agreement is held by a court of competent jurisdiction to be invalid, void, or unenforceable, the remainder of the provisions hereof will remain in full force and effect and will in no way be affected, impaired, or invalidated thereby. 20.6 Calendar Days. Any reference to the word "day" or"days" herein shall mean calendar day or calendars days, respectively, including weekends and federal holidays unless otherwise expressly provided. If a deadline falls on a weekend or federal holiday, the next business day will be the applicable deadline. 20.7 No Third-Party Beneficiary. This Agreement is intended solely for the benefit of the parties hereto, and no third party has any right or interest in any provision of this Agreement or as a result of any action or inaction by any party in connection therewith. 20.8 Authorization.' Each party represents and warrants that it has full power and authority to enter into this Agreement and to perform its obligations set forth herein. The representative(s) signing this Agreement on behalf of each party represents that he/she has the authority to execute this Agreement on behalf of the applicable party and to bind it to its contractual obligations hereunder. 20.9 Survivability. All continuing obligations, rights, and remedies of the parties under this Agreement will survive the expiration or termination of this Agreement, including the continuing obligations in the following articles: Article 6 ("Title and Risk of Loss; Disclaimers"); Article 8 ("Audit and Inspection Rights"); Article 9 ("Indemnification"); Article 10 ("Insurance"); Article 16 ("Dispute Resolution"); Article 17 ("Compliance With Law");Article 18 ("Safety, Health, and Environmental Protection; Releases of Hazardous Substances; Emergency Response"); And Article 19 ("Confidentiality/Publicity"). 17 PC Contract No.003344 IN WITNESS WHEREOF, the parties have each caused this Agreement to be executed by its duly authorized representative on the day and year set forth below. By: Authorized Signatory Authonzed Signatory PaintCare Washington LLC Service Provider Print Name ;Ph t Name Print Title Prirt:Title Date: Date,: 18 PC Contract No.003344 ATTACHMENT A: SCOPE OF WORK As part of the Services under this Agreement, the Service Provider shall do the following: 1) Collect PaintCare Products and Loose Pack them into Collection Bins to be picked up by Haulers. 2) Notify PaintCare when there are at least five (5) Collection Bins full of PaintCare Products ready for pick up by a Hauler, or sooner if pickups are necessary for the Service Provider to comply with storage limits or other applicable Law. 3) Manage at the Drop-Off Sites (or other locations approved by PaintCare in writing) all collected PaintCare Products gathered through the Drop-Off Sites only in the following ways and not dispose of PaintCare Products in any other method without the written approval of PaintCare: a) By Loose Packing; b) By Bulking; or c) By any other Additional Activities specifically contemplated in this Agreement. 4) Report directly to PaintCare any spills or health or safety incidents as provided in the Agreement. 5) Provide to PaintCare a minimum of ninety (90) days' advance notice of any Temporary Collection Events conducted by the Service Provider that include the Collection of PaintCare Products to be picked up by Haulers at the Temporary Collection Event. A-1 PC Contract No.003344 ATTACHMENT 13: Pricing PaintCare will provide compensation for other Additional Activities as set forth below: besprip. io! Direct Reuse PaintCare agrees to pay to the Service $N/A per gallon Provider for each gallon of paint sold or given away to the public for Direct Reuse. Gallons may be estimated according to any process that reasonably approximates actual volume. If requested by PaintCare, Service Provider must provide a detailed explanation of its estimation process. Invoices for Direct Reuse must separately break out the number of gallons of latex PaintCare Products versus oil-based PaintCare Products. Bulked Paint PaintCare agrees to pay to the Service $N/A per Bulked Rate (Latex) Provider for every 55-gallon drum of 55-gallon Bulked latex paint that is picked up by a drum Hauler. Rate includes drum cost. Bulked Paint PaintCare agrees to pay to the Service $N/A per Bulked Rate (Oil- Provider for every 55-gallon drum of 55-gallon based) Bulked oil-based paint that is picked up drum by Hauler. Rate includes drum cost. Paint PaintCare agrees to pay to the Service $N/A per gallon Reprocessing Provider for each gallon of Reprocessed Rate (Latex) latex paint produced from PaintCare Products that is actually taken by a public consumer, whether sold or given away without charge. B-1 A achs n C.:fir®p,off a 1. f rmat ion Please complete all sections for permanent sites;complete sections A-B for temporary events. 0a e ,2 2 1. Name of site Eells Hill Transfer Station 2. Street address for site 501 W Eells Hill Rd 3. City,state, zip code for site Shelton,WA 98584 4. Permit holder(if applicable) s. Service area (counties/cities/towns) 6. Type of Site: ❑ HHWCF ❑ One-Day HHW Event ❑Transfer Station ❑ Paint-Only Event ❑Other: 7• If One-Day Event: Date/Hours ER, EN s. Primary contact's agency/company Zach Foster, Mason County 9. Primary contact's name and title Solid Waste Operations Program Manager 10. Primary contact's email and phone# zfoster@co.mason.wa.us(360)427-9670 x271 1i. Second contact's agency/company 12. Second contact's name and title 13. Second contact's email and phone# r . 14. Phone#for households 15. Website for households 15. Days/hours for households 17. Volume limits for households 18. Days/hours for businesses 19. Phone#for businesses,if different 20. Website for businesses,if different 21. Admin fee for businesses, if any 22. Volume limits for businesses _. Pn 23. Is paint given away for reuse? ❑yes 0 no 24. Best newspapers and radio stations for promoting this site? 25. Would you like PaintCare to list this site ❑yes ❑ no in print ads* in your area? 26. Additional info or special notes for your site on PaintCare's site locator *Site listings in print ads are for permanent sites only. PaintCare does not list one-day events in print ads. Site ID No.WA2143 (internal use only) C-1 Drop-Off Site Information #2 Please complete all sections for permanent sites;complete sections A-B for temporary events. P r 15 M MM " x 1. Name of site 2. Street address for site 3. City,state, zip code for site 4. Permit holder(if applicable) 5. Service area (counties/cities/towns) 5. Type of Site: ❑ HHWCF ❑ One-Day HHW Event ❑Transfer Station ❑ Paint-Only Event ❑Other: 7. If One-Day Event: Date/Hours ME S. Primary contact's agency/company 9. Primary contact's name and title 10. Primary contact's email and phone# 11. Second contact's agency/company 12. Second contact's name and title 13. Second contact's email and phone# :- vWYMN 14. Phone#for households 15. Website for households 15. Days/hours for households 17. Volume limits for households 18, Days/hours for businesses 19. Phone#for businesses, if different 20. Website for businesses,if different 21. Admin fee for businesses, if any 22. Volume limits for businesses 23. Is paint given away for reuse? ❑yes ❑ no 24. Best newspapers and radio stations for promoting this site? 25. Would you like PaintCare to list this site ❑yes ❑ no in print ads* in your area? 26. Additional info or special notes for your site on PaintCare's site locator *Site listings in print ads are for permanent sites only. PointCare does not list one-day events in print ads. Site ID No. (internal use only) C-2 PC Contract No. ATTACHMENT D: Insurance Requirements for PaintCare IVIRW Drop-Off Sites 1. Service Provider's Required Insurance.The Service Provider must continuously carry (without interruption) the following types of insurance: a. Commercial General Liability insurance written on an occurrence coverage basis covering claims for bodily injury, death, and property damage (including loss of use), personal injury, and advertising injury, at least as broad as the 1986 (or later) Insurance Services Office Commercial General Liability Policy form CG 0001 ©, current edition occurrence form. b. Automobile Liability insurance covering liability arising from the use or operation of any auto, including owned, hired, leased, rented and non-owned vehicles. The coverage must be at least as broad as the Insurance Services Office Business Automobile Policy form CA 0001 ©, current edition. c. Workers' Compensation meeting or exceeding the requirements imposed by statute or law in (i)the State of the Project and (ii) all other States, if any, in which Services are performed, including as may be available on a voluntary basis. Statutory coverage must be provided in all State(s) in which any of the Services are being performed, including as may be available on a voluntary basis. d. Employer's Liability insurance providing coverage for liability to employees for work-related bodily injury or disease, other than liability imposed by a workers' compensation law. e. Pollution Legal Liability insurance applying to all locations at which the Service Provider stores, consolidates, sorts, processes, recycles, handles, treats, or otherwise manages any materials received pursuant to this Agreement.The Pollution Legal Liability insurance must cover: bodily injury,sickness,disease, death or mental anguish or shock sustained by any person; property damage including physical injury to or destruction of tangible property including the resulting loss of use thereof, on-site and off-site clean-up costs, natural resource damages, and the loss of use of tangible property that has not been physically injured or destroyed;defense including costs,charges and expenses incurred in the investigation,adjustment or defense of claims; and products and completed operations.The Pollution Legal Liability insurance must be maintained with at least minimum limits as outlined herein covering sudden and gradual pollution losses arising out of the operations and completed operations associated with work performed under this Agreement. 2. Minimum Limits of Insurance. a. All insurance that the Service Provider and any Subcontractors are required to carry pursuant to this Agreement must meet the following minimum limits(or any higher limits that may be mandated by applicable law): Minimum Limits Required Minimum Limits Required Type of Insurance Per Claim/Occurrence Aggregate Policy Limits 1. Commercial General Liability $ 1,000,000 $ 2,000,000 a. Bodily Injury/Property Damage $ 1,000,000 $ 2,000,000 b. Products/Completed Operation $ 1,000,000 $ 2,000,000 c. Personal and Advertising Injury $ 1,000,000 $ 2,000,000 d. Loss of Use Insurance $ 1,000,000 $ 2,000,000 D-1 PC Contract No. Minimum Limits Required Minimum Limits Required Type of Insurance Per Claim/Occurrence Aggregate Policy Limits $1,000,000 Combined Single 2. Commercial Automobile Liability Limit Each Accident $ N/A 3. Worker's Compensation Statutory Limits Statutory Limits 4. Employer's Liability (Bodily Injury by $ 1,000,000 $ N/A Accident) a. By Disease $ 1,000,000 $ N/A b. Each Accident $ 1,000,000 $ N/A c. Each Employee $ 1,000,000 $ N/A 5. Pollution Liability Insurance (Facility $ 2,000,000 $ 5,000,000 Coverage) b. Should any of the Service Provider's insurance be provided under a form of coverage that includes a general annual aggregate limit, such general annual aggregate limit must be at least double the each-occurrence or each-claim limits specified above that are applicable to the type of insurance covered by such general annual aggregate limit. c. Should the Service Provider's Commercial General Liability policy provide that claims investigation or legal defense costs be included in any each-occurrence, each-claim, or general aggregate limit, each such limit must be at least double the corresponding limit specified in the table above. d. Claims-made coverage is permitted, provided the policy retroactive date is continuously maintained prior to the commencement of the Services through the longer of the applicable repose and statute of limitations periods.The policy must not include a reverse retroactive date. e. The Service Provider may utilize self-insurance to satisfy some or all of its insurance carriage obligations hereunder. To the extent that the Service Provider relies on its self-insurance to meet its obligations, the Service Provider warrants that it satisfies all of the requirements of this Article by virtue of its self-insurance. The intent of this paragraph is to impose on the Service Provider all of the same requirements and obligations that would have been imposed on one or more insurance carriers had the Service Provider procured the required insurance instead of relying on self-insurance. 3. Deductibles and Self-insured Retentions. As between PaintCare and the Service Provider, the funding of deductibles and self-insured retentions under all insurance maintained by the Service Provider (or any Subcontractor) is the sole responsibility of the Service Provider, including any amounts applicable to deductibles or self-insured retentions applicable to claims involving PaintCare, as an additional insured. Any self-insured retentions in excess of$100,000 must be declared to and approved by PaintCare in writing. 4. Additional Insurance Requirements. a. All insurance that the Service Provider(and any Subcontractor) is required to carry hereunder must contain the following additional provisions: D-2 PC Contract No. i. Additional Insured—PaintCare, its officers, agents, and employees must be listed as additional insureds on all Commercial General Liability, Automobile Liability, Umbrella or Excess Liability, Pollution Liability, and Contractor's Pollution Liability policies required herein as respects claims or liabilities arising from, or connected with the Services, including completed operations.The additional insured endorsements must be at least as broad as the current editions of the Insurance Services Offices forms CG 20 10 and CG 20 37. Upon reasonable request, the Service Provider shall provide PaintCare with proof of status as an additional insured under CG 20 10 during the term of the Agreement, and under CG 20 37 for completed operations through the expiration of the longest applicable statute of limitations or period of repose. ii. Primary Coverage — All insurance coverage required hereunder must be primary insurance, and any insurance or self-insurance maintained by PaintCare will be excess of and non-contributory with respect to such insurance. iii. Severability of Interest- Except with respect to the limits of insurance, all insurance required hereunder will apply separately to each insured or additional insured. iv. Notice of Cancellation—To the extent commercially reasonable, each insurance policy shall be endorsed to require insurer(s)to provide 30 days' advance written notice (except 10 days' advance notice for non- payment of premium) to PaintCare prior to any suspension, cancellation or non-renewal of the required insurance. For any policy that is not endorsed to provide notice to PaintCare hereunder, the Service Provider shall notify PaintCare of any contemplated or actual modification, nonrenewal, or cancellation of coverage that causes the Service Provider (or any Subcontractor) to be out of compliance with its obligations hereunder. v. Waiver of Subrogation—The Service Provider hereby agrees to waive, and to procure from its insurers waivers of, subrogation against PaintCare and its officers, agents, and employees. The Service Provider further agrees to hold harmless, defend and indemnify PaintCare and its officers,agents, and employees for any loss or expense incurred as a result of the Service Provider's (or any Subcontractor's) failure to obtain such waivers of subrogation from its insurers. 5. Acceptability of Insurers. All insurance required under this Agreement must be placed with insurers with a current A.M. Bests rating of not less than A-VII, unless otherwise approved in writing by PaintCare. 6. Verification of Coverage. a. Upon PaintCare's reasonable request, the Service Provider shall provide to PaintCare a certificate of insurance evidencing the coverage required of it under this Agreement. Likewise, upon PaintCare's reasonable request, the Service Provider shall procure and provide to PaintCare certificates of insurance from any Subcontractors evidencing the coverage required of them under this Agreement. Each certificate shall be signed by a person authorized by the insurer(s) to bind coverage on its/their behalf. The Service Provider shall provide renewal certificates to PaintCare prior to the expiration of any required insurance policy. b. Upon reasonable request,the Service Provider shall provide PaintCare with copies of all policies of insurance and endorsements thereto for all required insurance under this Agreement (including that of any Subcontractors). Such copies may be excerpted or redacted to remove premium pricing or other confidential business information; provided, however, that any such excerpted/redacted copies must include sufficient information for PaintCare to verify the Service Provider's(and its Subcontractor(s)')full compliance with the requirements of this Agreement and to evaluate actual, prospective, or denied claims as additional insured under such policies. c. Failure of PaintCare to request certificates or identify deficiencies will in no way limit or relieve the Service Provider of its obligations to maintain such insurance and require that its Subcontractors maintain such insurance. Failure of the Service Provider(or any of its Subcontractors) to maintain the required insurance constitutes a default under this Agreement and PaintCare may, at its option, terminate this Agreement for D-3 PC Contract No. cause. PaintCare's acceptance of a non-conforming insurance certificate does not constitute a waiver, compromise or release of PaintCare's rights. If PaintCare is damaged by the failure of the Service Provider (or its Subcontractors) to purchase or maintain insurance required under this Agreement, the Service Provider shall bear all costs (including attorneys'fees, consultant fees and court and settlement expenses) attributable to such failure to purchase or maintain the required insurance. 7. Subcontractor Insurance. If the Service Provider uses a Subcontractor to provide any portion of the Services, the Service Provider may satisfy the foregoing requirements applicable to the subcontracted Services by ensuring that the Subcontractor providing those Services satisfies each and all of the insurance requirements herein in the same manner as required had the Service Provider maintained that insurance. To the extent the Subcontractor fails to do so, however, the Service Provider is responsible and shall defend, indemnify and hold harmless PaintCare and its officers, agents, and employees to the same extent had all insurance required hereunder been properly procured and maintained by the Service Provider or its Subcontractor, as applicable. D-4 PC Contract No. ATTACHMENT E: Activity Report for Reimbursement E-1 PC Contract No. g aintoare V�k Activity Report for Reimbursement For direct reuse and other activities Invoice Date Invoice or Reference# PaintCare Contract Number* Service Month Company/Organization PaintCare Site ID (Please contact your contact at PaintCare if you do not know your contract or site ID number. Facility Street Address Facility City-State-Zip Contact Person Contact Phone Contact Email Mailing Address for Payment Description Units Unit of Measure Price Amount Activity Code Latex Paint Reuse Gallons 1.60 P-6834 Oil-Based Paint Reuse Gallons 1.60 P-6834 Reprocessing P-6835 Bulking Latex Paint P-6386 Bulking Oil Based Paint P-6387 Internal Transportation* Use this line to report the number of boxes or trips at the T-6350 negotiated rates for internal Transportation. Total (should match invoice) *For internal transportation, also provide a list of container weights for each bin or drum. A sample list is shown on the next page E-2 PC Contract No. Sample Container List for Internal Transportation Paint Container Tare Date Site ID Site Name Site Address City Units UOM Type Type (Lbs) 7/12/20 WA1234 City Hall 50 Main St Franklin 777 Lbs Latex Bin 72 7/12/20 WA1234 City Hall 50 Main St Franklin 815 Lbs Latex Bin 72 7/12/20 WA1234 City Hall 50 Main St Franklin 665 Lbs Latex Bin 72 7/19/20 WA1298 Fairgrounds 10 Center St Madison 800 Lbs Latex Bin 72 7/19/20 WA1298 Fairgrounds 10 Center St Madison 501 Lbs Oil- Based Drum 50 E-3 PC Contract No. ATTACHMENT F [RESERVED] F-1 PC Contract No. ATTACHMENT G [RESERVED] G-1 PC Contract No. ATTACHMENT H [RESERVED] H-1 PC Contract No. ATTACHMENT I WASHINGTON ARCHITECTURAL PAINT STEWARDSHIP PROGRAM OPERATIONAL GUIDELINES FOR MRW DROP-OFF SITES ***(attached separately)*** I-1 . WASHINGTON PAINT STEWARDSHIP PROGRAM 4 �Ya e rp,aintcare- HHW pkapuyn UPDATED —FEBRUARY 2021 Washington's paint stewardship Become a Drop-Off Site:. law benefits household Facilities(including events)that would like to become a drop-off site can fill out the interest form available hazardous waste programs. in the Waste Facilities section of www.paintcare.org/WA START DATE:April 1,2021 (PENDING APPROVAL) Water-Based (Latex) Paint is a Resource A state law passed in May 2019 requires paint An important goal of PaintCare is to conserve resources manufacturers to set up and operate a paint and increase the amount of paint that is recycled. In stewardship program in Washington. Program funding areas where HHW programs do not accept water-based comes from a paint stewardship fee(PaintCare fee) paint,households and businesses are often instructed to applied to each container of architectural paint sold in let water-based paint dry out and then dispose of the dry Washington when the program begins in April 2021. paint in the trash.Through the PaintCare program,all Household hazardous waste(HHW) programs that paint—including latex paint—is recycled to the maximum participate as leftover paint drop-off sites can save extent possible. money on paint management costs. . Paint Drop-Off Sites Paint Stewardship The primary requirement of paint stewardship laws is for PaintCare is a nonprofit organization established by the paint manufacturers to set up paint drop-off sites at American Coatings Association to implement retailers and other locations where households and manufacturer-led paint stewardship programs in states businesses can take leftover architectural paint,free of that pass paint stewardship laws. PaintCare currently charge. PaintCare has established more than 1,800 paint operates programs in California,Colorado, Connecticut, drop-off sites across its programs. While most sites are District of Columbia,Maine,Minnesota,Oregon,Rhode paint retailers,solid waste facilities including transfer Island,and Vermont,and is developing programs for stations, recycling centers,and landfills,as well as New York and Washington.The Washington program is household hazardous waste(HHW)facilities,may also . required by state law,but it is designed and operated by volunteer to be paint drop-off sites and have their paint the paint manufacturing industry through PaintCare. transportation and recycling costs paid by PaintCare. Designing a Program for Washington The law requires PaintCare,on behalf of paint -- r " manufacturers,to submit a comprehensive program r plan to the Washington State Department of Ecology. PaintCare held a series of public meetings beginning in = �£ W, `j September 2019 to resent the goals and design of the PAINT P P 9 9 z � and to receive input from HHW programs and `ear program P P g pAINT lARNISN other stakeholders. °° " � A Benefits of Partnering with PaintCare Will PaintCare Require Operational Changes? .? Save on paint management(supplies, o If your program does not currently accept latex transportation,and recycling)and public outreach paint, PaintCare will not require you to do so_ If you <> Conserve resources and keep paint out of the solid wish to start accepting latex, PaintCare will cover waste stream the transportation and processing costs. o Make recycling of leftover paint more convenient for If your program does not currently accept paint from your community businesses,PaintCare will not require you to do so. If you wish to start accepting paint from businesses, PaintCare will cover the transportation and PaintCare Partners Receive processing costs. z� Staff training at your site HHW programs may continue to put restrictions on Paint collection bins who can use their programs,e.g.,to residents of :� Free paint transportation and processing services certain towns or cities. (PaintCare retail drop-off Site signage sites accept paint from anyone in the state,and Compensation for additional services including from both households and businesses.) paint reuse programs,bulking of oil-based paint,and other optional services Our Program Would Like to Partner with Publicity of HHW site or event(optional) PaintCare,What Are Our Next Steps? Contact PaintCare to begin contracting discussions Drop-Off Site Responsibilities as early as possible Provide secure storage area for paint collection bins e, Analyze your current operations so you can describe them in detail to PaintCare to help determine the 5 Accept all brands of leftover PaintCare products most appropriate type of contracting approach for from the public during operating hours your program r� Place only PaintCare products in paint collection fy Reach out internally to those who will be involved bins,taking care not to open containers with the contracting process to understand their Keep paint collection bins neat and properly packed needs and time constraints Complete minimal paperwork related to tracking Fz. Consult with staff involved with paint management outgoing paint shipments operations to ensure they understand how e< Ensure all staff maintain training on PaintCare drop- partnership with PaintCare works and to address off site guidelines any questions and concerns with PaintCare staff Review the fact sheet Contracting with PaintCare for How do billing and payments work? Waste Facilities for more details on contract types In the most common scenario,when your site ships and other considerations as you prepare. Get a copy out PaintCare products,the hauler sends PaintCare by contacting PaintCare or find the fact sheet in the an invoice directly.This avoids the need for Waste Facilities section of www.paintcare.org/WA. reimbursement. If your site also contracts with PaintCare for Contact additional services such as paint reuse,your Jeremy Jones city/county sends an invoice to PaintCare for West Coast Program Manager reimbursement. (415) 590-0259 jjones@paint.org 901 NEW YORK AVE NW WASHINGTON,DC 20001 (855)PAINT09 www.painteare.org ir,,fo@paiiii.org WA-FSHW-0221 ^IASHINGTON PAINT STEWARDSHIP PROGRAM paiinteare* HHW PUVOM UPDATED —FEBRUARY 2021 Washington's paint stewardship Become a Drop-Off Site law benefits household Facilities(including events)that would like to become a"drop-off site"can fill out the interest form available hazardous Taste programs. in the Waste Facilities section of www.paintcare.org/WA START DATE:April 1,2021 (PENDING APPROVAL) Water-Based (Latex) Paint is a Resource A state law passed in May 2019 requires paint An important goal of PaintCare is to conserve resources manufacturers to set up and operate a paint and increase the amount of paint that is recycled. In stewardship program in Washington. Program funding areas where HHW programs do not accept water-based comes from a paint stewardship fee(PaintCare fee) paint,households and businesses are often instructed to applied to each container of architectural paint sold in let water-based paint dry out and then dispose of the dry Washington when the program begins in April 2021. paint in the trash.Through the PaintCare program,all Household hazardous waste(HHW) programs that paint—including latex paint—is recycled to the maximum participate as leftover paint drop-off sites can save extent possible. money on paint management costs. Paint Drop-Off Sites Paint Stewardship The primary requirement of paint stewardship laws is for PaintCare is a nonprofit organization established by the paint manufacturers to set up paint drop-off sites at American Coatings Association to implement retailers and other locations where households and manufacturer-led paint"stewardship programs in states businesses can take leftover architectural paint,free of that pass paint stewardship laws. PaintCare currently charge. PaintCare has established more than 1,800 paint operates programs in California,Colorado,Connecticut, drop-off sites across its programs.While most sites are District of Columbia,Maine,Minnesota,Oregon, Rhode paint retailers,solid waste facilities including transfer Island,and Vermont,and is developing programs for stations,recycling centers,and landfills,as well as New York and Washington.The Washington program is household hazardous waste(HHW)facilities,may also required by state law,but it is designed and operated by volunteer to be paint drop-off sites and have their paint the paint manufacturing industry through PaintCare. transportation and recycling costs paid by PaintCare. Designing a Program for Washington The law requires PaintCare,on behalf of paint ' manufacturers,to submit a comprehensive program � plan to the Washington State Department of Ecology. PaintCare held a series of public meetings beginning in September 2019 to present the goals and design of the PA program and to receive input from HHW programs and `-� �!(ZARNIsh PAINT�:.. other stakeholders. ` r Benefits of Partnering with PaintCare Will PaintCare Require Operational Changes? y Save on paint management(supplies, If your program does not currently accept latex transportation,and recycling) and public outreach paint,PaintCare will not require you to do so. If you Conserve resources and keep paint out of the solid wish to start accepting latex, PaintCare will cover the transportation and processing costs. waste stream o Make.recycling of leftover paint more convenient for e3 If your program does not currently accept paint from your community businesses, PaintCare will not require you to do so. If you wish to start accepting paint from businesses, PaintCare will cover the transportation and PaintCare Partners Receive processing costs. Staff training at your site o HHW programs may continue to put restrictions on Paint collection bins who can use their programs,e.g.,to residents of Free paint transportation and processing services certain towns or cities. (PaintCare retail drop-off Site signage sites accept paint from anyone in the state,and Compensation for additional services including from both households and businesses.) paint reuse programs,bulking of oil-based paint,and other optional services Our Program Would Like to Partner with Publicity of HHW site or event(optional) PaintCare,What Are Our Next Steps? o Contact PaintCare to begin contracting discussions Drop-Off Site Responsibilities as early as possible Provide secure storage area for paint collection bins Analyze your current operations so you can describe them in detail to PaintCare to help determine the :r Accept all brands of leftover PaintCare products most appropriate type of contracting approach for from the public during operating hours your program Place only PaintCare products in paint collection 4 Reach out internally to those who will be involved bins,taking care not to open containers with the contracting process to understand their o Keep paint collection bins neat and properly packed needs and time constraints Complete minimal paperwork related to tracking Consult with staff involved with paint management outgoing paint shipments operations to ensure they understand how Ensure all staff maintain training on PaintCare drop- partnership with PaintCare works and to address off site guidelines any questions and concerns with PaintCare staff. w Review the fact sheet Contracting with PaintCare for How do billing and payments work? Waste Facilities for more details on contract types In the most common scenario,when your site ships and other considerations as you prepare. Get a copy out PaintCare products,the hauler sends PaintCare by contacting PaintCare or find the fact sheet in the an invoice directly.This avoids the need for Waste Facilities section of www.paintcare.org/WA. reimbursement. If your site also contracts with PaintCare for Contact additional services such as paint reuse,your Jeremy Jones city/county sends an invoice to PaintCare for West Coast Program Manager reimbursement. (415) 590-0259 jjones@paint.org 901 NEWS Y ORK AVE NW WASHINGTON,DC 20001 (855)PAINT09 www.-naintcare.org irfo@paint.org WA-FSH Al-0221