Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2018/05/14 - Briefing Packet
BOARD OF MASON COUNTY COMMISSIONERS DRAFT BRIEFING MEETING AGENDA 411 North Fifth Street, Shelton WA 98584 Week of May 14, 2018 Monday, May 14, 2018 Commission Chambers 9:00 A.M. Executive Session — RCW 42.30.110 (1)(i) — Litigation 9:45 A.M. Closed Session — RCW 42.30.140(4) Labor Discussion 10:00 A.M. Support Services — Frank Pinter 10:30 A.M. BREAK 10:45 A.M. Community Services — Dave Windom 11:15 A.M. Public Works — Jerry Hauth Utilities & Waste Management 11:45 A.M. Sheriff's Office — Chief Deputy Dracobly Commissioner Discussion — as needed Briefing Agendas are subject to change,please contact the Commissioners'office for the most recent version. Last printed 05/10/18 at 10:36 AM If special accommodations are needed,contact the Commissioners'office at ext.419,Shelton#360-427-9670;Belfair #275-4467,Elma#482-5269. MASON COUNTY COMMISSIONER BRIEFING INFORMATION FOR WEEK OF May 14, 2018 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. We have changed the packet format so that it is an interactive document. Please click on the agenda item which then takes you to the cover sheet of that section in the document. To get back to the agenda, hit your "home" key on the keyboard. Please see draft briefing agenda for schedule. CO ,, r8s4 Mason County Support Services Department Budget Management Co�q• ' ,. th Commissioner Administration 411 North 5 Street Emergency Management Shelton, WA 98584 Facilities, Parks&Trails 360.427.9670 ext. 419 Human Resources Information Services Labor Relations /,Ycr Risk Management MASON COUNTY COMMISSIONER BRIEFING ITEMS FROM SUPPORT SERVICES May 14, 2018 • Specific Items for Review o WA State Department of Transportation surplus property; waive 60 day waiting period?—Diane o Revision to Scope of Work with Enterprise for Equity contract—Frank o Review of Citizens Advisory Budget Committee agenda - Frank o Status of Strategic Plan for Mason County—Frank • Commissioner Discussion o Dept. of Natural Resources application for two grants through WA Wildlife & Recreation Program (WWRP) for acquisition of 138 acres within the Kennedy Creek Natural Area & 420 acres within the proposed Dewatto Natural Resources Conservation Area o Hood Canal Salmon Enhancement Group grant application to WWRP for the Upper Sweetwater Creek Riparian Protection Project o Squaxin Island Tribe grant application to WWRP to acquire 614 acres of the Skookum Valley JADLZ�Briefing Items\2018\2018-05-14.docx T-- -- ._ _ 1 (4/30/2018) Diane Zoren -SR 3, BAWSI, IC#3-23-15486, Parcel No 3-10299, Page 1 From: "Dick, Herbert" <DickH@wsdot.wa.gov> To: "bking@co.mason.wa.us" <bking@co.mason.wa.us> CC: "Gilchrist, Lois" <GilchrL@wsdot.wa.gov> Date: 4/26/2018 10:35 AM Subject: SR 3, BAWSI, IC#3-23-15486, Parcel No. 3-10299, Fisher remainder Attachments: Mason County Assessor Map.pdf; RW Plan Sh. 6 of 10 BAWSI.pdf; Google Aerial 2-23- 18.pdf RE: TPN- 12332-50-00027 WSDOT ICN- IC#3-23-15486 The property shown in red on the attached map has been declared surplus to the needs of the Washington State Department of Transportation. In compliance with RCW 47.12.055 and RCW 43.17.400, this letter provides the required 60-day notice of the disposition of this property. If you are interested in receiving additional information regarding this surplus, please reply in writing to the undersigned at the address below. If you have no interest in this property, WSDOT would appreciate a written response (e-mail or letter) stating that you waive the 60-day waiting period. This will allow the WSDOT to move forward with the sale of the property without delay. Sincerely, Herb Dick WSDOT-Olympic Region Real Estate Services Property and Acquisition Specialist PO Box 47440 Olympia, WA 98504-7440 Direct Phone: 360-357-2797 DickH@wsdot.wa.gov<maiIto:DickH@wsdot.wa.gov> Washington State Department of Transportation Olympic Region Real Estate Services PO Box 47440 Olympia, WA 98504-7440 Direct Phone: 360-357-2797 Mason County WA GIS Page 1 of 1 Mason County WA GIS 'lawn Ccunty Ho:nepaye + Search by Parcel or Ac es ' 1 12332509041 1M23DO0224 I32401f STATE ROUE 3 12332500000 Tu parcel Nmnber.1 • P-1 Number:1'_33 Nq• 73221 NE STATE ROUTE 3 X841 DeecrlP9on: 13AZ,.....,., • JAM R.TFll-].FR'S IOw. TR 12-A She In Aeree:1.' Iraurmali9n be .plc - ieil ur up i01'u bun. Owner: D4U HE SV ROUTE 3 STATE•O WAS TON. DEPT O TRAN TATI N REAL-'EA VIC- O OOX 47440 OL W 7 19)2600002• R. :IW T mhlp- 1bn: 2321 ITE STATE ROUTE 3 mb ue:SOv 122 23210 NE.STATE ROME 3 12332501VL729 13191/E GINE ROUTE 3 • I2332000029 123325000037 12332E 123773000078 1 1233250ODM 1 1 D727m0m4 61 N—�..LY�ER 131O7300308 231601E STATE ROUTE 3 • 170 2WWW4 1733 Countyof Kltsap, un r�on -122.834 47.4"Deg— https://gis.co.mason.wa.us/mason/ 2/23/2018 T.23N.RAW.W.M. e,.. "O""•°"""O ""a'°�` � SAN Ill.TNELER'S HOME A "� "'P'•°"^•°""a` GARDEN TRACTS j \ • \ ata .c STORMWATER \ \ ..e• •• TREATMENT ® \ ® \, AREA \ At IC#3-?345486 \ � era e...t•...I ---- + -- - - `- _ _--- ----- ---- _ _ M SE'A NW u © SEC.32 SEC.12 . SR 7 VICIHRY Mr 24.61 TO VICINRY RIDGE POINT BLVD. or m« •w , .,,. .., ,echo __........... .•,vim u.. II. ,. w ... •`�,� OWNERSMPS w ,....._...,� 3-J/B ROW D-2 SR 1 0122 Belfair-Google Maps Page 1 of 2 Go ale Maps Belfair t t 1�9 a %J Z " -r t Imagery 82018 DigitalGlobe,U.S.Geological Survey,Map date 02018 Google 5� w 3-23-15486 Approximate location Lot size:54,471 sq.ft. https://www.google.com/maps/place/Belfa r,+WA+98528/@47.4432546,-122.8327765,188m/data=!3ml!le3!4m5!3m4!1sOx54... 2/23/2018 MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Jessica Sweet DEPARTMENT: Support Services EXT: 644 BRIEFING DATE: May 14, 2018 PREVIOUS BRIEFING DATES: N/A ITEM: EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions): Enterprise for Equity, one of Mason County's partners in the CDBG Economic Opportunity grant, funded by the Department of Commerce, is requesting revisions to the Scope of Work section of their Sub-Recipient Agreement with the County. There are three proposed revisions summarized below. As a part of the microloan portion of the grant, Enterprise for Equity must have a loan committee in place who reviews and ultimately decides on whether a loan applicant should receive a microloan. Enterprise for Equity currently has a candidate who has worked in Mason County for many years, but does not currently live in Mason County. Enterprise for Equity is requesting a revision of the language in the Scope of Work, Section #6, to read: • "Actively recruit a Loan Committee member who has a significant connection to Mason County." Other requested revisions are summarized below: • Scope of Work, Section #14D: Due to a change in the Department of Commerce's beneficiary reporting requirements from quarterly to annual, this section needs to be changed to the following: "Formulate and submit a CDBG Annual Beneficiary Reporting Form on an annual basis, due July 30 for the year of July 1-June 30, 20XX. A CDBG Project Status Report is due to the COUNTY on a quarterly basis due September 15, January 15, April 15, and July 15..." • Scope of Work, Section #17: As was discussed during a 2018 partner's meeting, the amount of participants in the microenterprise training needs to reflect a more accurate figure based on both current and projected work. This section should state: "Ensure that PROGRAM performance measures are met including providing 110 individuals with microenterprise training..." RECOMMENDED OR REQUESTED ACTION: Approve the revisions of the Scope of Work sections summarized above of the Sub-Recipient Agreement with Enterprise for Equity. ATTACHMENTS: Current Scope of Work section of Sub-Recipient Agreement J:\Jessica S\BOCC Briefing\2018\Briefing Summary 5.14.2018 for E4E.doc EXHIBIT A SCOPE-OF -WORK Enterprise for Equity (SUB-RECIPIENT) will be responsible for completing the tasks and activities below as well as others as detailed throughout this AGREEMENT, Washington Department of Commerce's (COMMERCE) Community Development Block Grant (CDBG) Management Handbook and other guides as required to provide referral and direct services in compliance with the CDBG program and Mason County's (COUNTY) policies and procedures. It is SUB-RECIPIENT's responsibility to review, understand, implement and adhere to all requirements as this Scope-of-Work is a summary, not an exhaustive list. SUB-RECIPIENT will: 1. Conduct outreach, public orientations and screening/enrolling participants per CDBG eligibility requirements. SUB-RECIPIENT must ensure effective outreach and recruitment for participants who are or will be minority and/or women owned microenterprises. 2. Provide a minimum of three (3) microenterprise training programs for eligible participants in Mason County. Participants are to be Mason County residents. Training locations are to vary throughout the County as to ensure that all residents are provided the opportunity to participate in the program. 3. Provide business builder training in Mason County for eligible participants. Participants are to be Mason County residents. Training locations are to vary throughout the County as to ensure that all residents are provided the opportunity to participate in the program. 4. Coordinate efforts with PROJECT's contracted outreach and technical assistance contracted provider. Provide direction, schedule one-on-one consultation support service for participants, coordinate provision of technical assistance and other efforts as requested by COUNTY. 5. Review and update SUB-RECIPIENT's current loan program policies and procedures to ensure that they are compliant with CDBG loan program requirements. Loan applications that are not approved by SUB-RECIPIENT's Loan Committee must be forwarded to COUNTY with a justification for the rejection. COUNTY reserve the right to appeal decision. COUNTY reserves the right to review and approve any or all loans provided through the PROJECT. 6. Actively recruit a Mason County resident to serve on SUB-RECIPIENT's Loan Committee. 7. Process and qualify eligible participants for microenterprise loans of up to $25,000 per SUB- RECIPIENT's policies and procedures as well as COUNTY Commerce, other local and state and federal laws, rules and regulations. Loans funds to be provided under a separate SUB-RECIPIENT agreement. 8. Conduct a second tier environmental review/NEPA per CDBG requirements for each loan prior to approval. SUB-RECIPIENT will forward a copy of each completed form to COUNTY. COUNTY will not release loan funds without the required documentation. 9. Participate in the formulation and implementation of COUNTY's Program Income Re-use Plan. 10. Provide COUNTY with the most recently submitted IRS form 990 within 30 days of the start of this AGREEMENT. 14 11. Develop and implement procurement policies and procedures that are compliant with 2 CFR Part 200 sections 317-326 prior to October 31, 2016. SUB-RECIPIENT must provide a copy to COUNTY. 12. Develop a tool to track PROJECT data for reporting and program development purposes. 13. Collect, track and report PROJECT data in a manner consistent with the requirements detailed in this AGREEMENT, COMMERCE's CDBG Management Handbook and other guides as applicable. SUB-RECIPIENT must ensure that the services provided to eligible individuals under this PROJECT are not reported to any other funding entities for the purpose of meeting contractual obligations. 14. Expense Detail, Voucher Requests and Reports.- A. eports:A. Provide a detailed list of expenses being billed by budget expense category with expense category sub-totals as well as an invoice total. Signed and certified timesheets must be provided for all staff hours billed to the grant. Back-up documentation must be provided for all expenses in the form of copies of receipts, mileage logs, contracted service provider invoices or other as appropriate. B. Formulate and submit a Washington State Voucher Distribution request (form A19) to COUNTY on a quarterly basis due September 15, January 15, April 15th and July 15. Monthly requests will be allowed and will be due no later than the 15th of the following month. Submission to include one digital copy in WORD e-mailed to Jessica Sweet and one copy that has been printed, signed and either scanned and e-mailed or sent by U. S. mail or hand delivery. County will be responsible for submitting completed requests to COMMERCE. See" Exhibit E Sample Forms and Instructions." C. Report program income as required by COUNTY's Program Income Re-use Plan and CDBG requirements including the completion and submission of the CDBG Program Income Form. See Exhibit E Sample Forms and Instructions. D. Formulate and submit a CDBG Quarterly Beneficiary Reporting Form and a CDBG Project Status Report to COUNTY on a quarterly basis due September 15, January 15, April 15th and July 15. A digital or hard copy is acceptable e-mailed or delivered to Jessica Sweet. County will be responsible for submitting completed forms and reports to COMMERCE. See Exhibit E Sample Forms and Instructions. Submit to: Jessica Sweet Mason County 411 N. 5th Street Shelton, WA 98584 JSweet@co.mason.wa.us 15. Ensure that all outreach, education, training curricula and other documents and/or media includes the required CDBG civil rights language. 16. Provide copies of all outreach, education, training curricula and participant sign-in sheets to COUNTY 17. Ensure that PROGRAM performance measures are met including providing 221 individuals with microenterprise training, 20 business owners with technical assistance and 4-6 microenterprises loans. 15 18. Participate in a loan program compliance review conducted by COUNTY and remediate any identified issues within 60 days of the review. 19. Participate in PROJECT meetings, including a grant start-up meeting, as scheduled by COUNTY. 20. Participate and support on-site compliance reviews conducted by COUNTY per CDBG requirements. 21. Assist COUNTY with all aspects of program administration and requirements including grant close- out process as requested. 16 MASON COUNTY CITIZENS ADVISORY BUDGET COMMITTEE Draft Meeting Agenda Commission Chambers, 411 North 51h Street, Shelton Wednesday, May 23, 2018 6:00 p.m. 1) Call to Order—Chair Terri Drexler 2) Introductions—Getting to know you, Getting to know the County 3) Review Resolution/ Bylaws 4) Determine Meeting Dates and Time—suggest Wednesdays at 6 p.m. 5/23, 6/6, 6/20,week of 4th of July?, 7/18, 7/25, 8/1 5) Background a) Why are we here?—Chair Drexler b) History of the Budget Process and what it looks like now—Frank Pinter, Support Services Director 6) Trend Data: a) 10 Years of Revenue/Expense History at Macro Level b) Proportion of Expenses for budgets per Office/Department c) FTE Counts/benefit costs/wage costs 7) Prioritize the Work 8) Review of Policy Decision Impacts to Trends, i.e.: a) Catch up on purchase of new MCSO vehicles b) Wage catch up c) Timber sales(both County and State) d) Deferred maintenance on Buildings e) Courthouse Security staffing to contract f) Building janitorial services g) New Reserve Policy h) Timing of County cash flow needs 9) What do the Committee members want to know? 10) Adjourn J:\BOARDS\Citizens Advisory Budget Committee\Agendas\2018-05-23.docx cc:CMMRS Neatherlin,Shutty&Drexler Clerk From: "GAMON, JOHN (DNR)" <JOHN.GAMON@dnr.wa.gov> To: "bking@co.mason.wa.us" <bking@co.mason.wa.us> Date: 4/30/2018 12:43 PM Subject: DNR Notice of Intent to Pursue Grants for Acquisitions in County Attachments: WWRP_Grant_Notification_Mason_County.PDF As I mentioned on the phone earlier today, I have attached a letter to the Mason County Board of County Commissioners, notifying them of DNR's intent to submit grant proposals, through the Washington Wildlife and Recreation Program, to acquire lands to add to DNR-managed natural areas: Kennedy Creek Natural Area and a proposed Dewatto Natural Resources Conservation Area. Please forward the attachment to each of the three county commissioners. Thanks! And let me know if you have any questions. John Gamon RECEI Natural Heritage Conservation Washington State Department of Natural Resources 1111 Washington Street SE APR 3 0 2013 Olympia, Washington 98504-7014 (360) 902-1661 Mason County john.gamon@dnr.wa.gov Commissioners DEPARTMENT OF �PSNtN010,�, NATURAL RESOURCES CONSERVATION,RECREATION B A u TRANSACTIONS Olympia,Washington 360-902-1661 NAT1fJohn,gamon@dnr.wa.gov aP April 27, 2018 Mason County Board of County Commissioners The Honorable Kevin Shutty, Terri Drexler and Randy Neatherlin, Commissioners 411 N 51h Street Shelton,WA 98584 Subject: Notice of Property Acquisition in Mason County RCO Grant Application#18-1519A and#18-1518A Dear Commissioners Shutty,Drexler and Neatherlin: I am writing to inform you that the Washington Department of Natural Resources is applying for two grants through the Washington Wildlife and Recreation Program(WWRP)to acquire property located in Mason County. If awarded, these grants would allow acquisition of approximately 138 acres within the Kennedy Creek Natural Area and approximately 520 acres within the proposed Dewatto NRCA.These acquisitions are intended to help protect and conserve several miles of shoreline on Hood Canal and increase protection for one of the few remaining high-quality salt marsh communities in Puget Sound. You and/or others within Mason County government may have already been contacted regarding these grant proposals. However, state law, RCW 79A.15.110, requires that we notify the local legislative body of our intent to apply for a state grant to acquire real property from the WWRP, administered by the Recreation and Conservation Office(RCO). This letter is your notification. The law states that the local legislative authority may, at its discretion, submit a letter to the RCO identifying its position with regard to the acquisition project. Any letters received will be made available to the governor and the state legislature when the prioritized project list is submitted as part of the RCO's capital budget request. The law also states that we must"confer" with local officials on this acquisition. To meet grant program deadlines, we must complete this prior to July 6, 2018. Please let me know who the appropriate contact(s) is/are so we may open a dialogue. Attached to this letter for each of the two grant proposals you will find a project description and a map identifying the location of the project, priority parcels and the geographic envelop of the proposed project. Please let me know if you have any questions or need additional information about this acquisition proposal. Sincerely, John G. Gamon Natural Heritage Conservation Washington State Department of Natural Resources 1111 Washington Street SE Olympia, Washington 98504-7014 (360)902-1661 john.gamon @dnr.wa.gov Enclosures April 27, 2018 Letter to Mason County Commissioners Subject: Notice of Property Acquisition in Mason County RCO Grant Application#18-1519A and#18-1518A Attachment: Reference to statutory language RCW 79A.15.110 Review of proposed project application. State or local agencies or nonprofit nature conservancies shall review the proposed project application and confer with the county or city with jurisdiction over the project area prior to applying for funds for the acquisition of property under this chapter.The appropriate county or city legislative authority may, at its discretion, submit a letter to the board identifying the authority's position with regard to the acquisition project.The board shall make the letters received under this section available to the governor and the legislature when the prioritized project list is submitted under this chapter. RCW 79A.15.010 "Confer" means a dialogue between project sponsors and local county and city officials with the purpose of early review of potential projects.The dialogue may include any matter relevant to a particular project,which may include but need not be limited to: Project purpose and scope; project elements; estimated project cost; costs and benefits to the community; plans for project management and maintenance;and public access. Kennedy Creek NA Project Description 18-1519A The Department of Natural Resources will use this grant to purchase approximately 138 acres within the Natural Resources Conservation Area (NRCA), along the Kennedy Creek corridor that connects to the Kennedy Creek Natural Area Preserve (NAP). The proposed acquisition will increase protection for one of the few remaining high-quality salt marsh communities in Puget Sound, including vital habitat for migrating shorebirds. The acquisition area is known for its robust fall chum run, with an average of 20,000 chum returning annually to spawn in Kennedy Creek. The project area also provides habitat for coastal cutthroat trout, steelhead, and Coho salmon. The site also includes the Kennedy Creek Salmon Trail, which is considered the region's premier salmon ecology-education trail. Each year the trail is visited by more than five thousand school children. The property also provides recreation opportunities for one of the fastest growing counties in southern Puget Sound. Dewatto pNRCA Project Description 18-1518A The proposed Dewatto Natural Resources Conservation Area (pNRCA) seeks protection for approximately 5 miles of Hood Canal shoreline, including Dewatto Bay and Little Dewatto Bay. The Washington State Department of Natural Resources (DNR), along with our partners at the Trust for Public Land, Hood Canal Salmon Enhancement Group, and Great Peninsula Conservancy, are proposing a 1,700 acre NRCA to ensure conservation of important Puget Sound features for enjoyment by future generations: Lowland forests, high-functioning riparian areas, and vital estuary habitat for fish and wildlife. This proposed NRCA is adjacent to the 4,643 acre West Tahuya block of DNR-managed trust lands. Located about 15 miles west of Belfair, the conservation area would continue to support several endangered species of salmon, including Hood Canal summer chum, Puget Sound steelhead, and Puget Sound Chinook. Runs of coho salmon and both coastal and resident cutthroat trout also utilize the site. The lower reaches of the Dewatto River and the Dewatto Watershed have the highest rating of salmonid refugia with natural ecological integrity of any within Mason and Kitsap Counties. Also, Dewatto Bay Inlet is one of the few areas on the western shoreline of Hood Canal that retains exemplary salt water habitat that is important for salmon feeding and ocean migration. Kennedy Creek Kennedy Creek Natural Area 2018/#18-1519A Natural Area Preserve / Natural Resources Conservation Area Puget TroughEcoregion -242419 MAP LEGEND t ® NAP Boundary 26 ° Q NRCA Boundary 25 DMI 28 v _ Natural Area Preserve + I -.:Oystet Natural Resource Conservation Area Masan .` ,' ��` ands Eligible for Inclusion C.. • •-' =� Granted Trust Lands Forest Board Trust Lands 3 3 `/ hne,�er Greek State Tidelands withdrawn from Leasing for Conservation Purposes at ® Priority Parcels for Acquisition .- T1 SIN - 101 n blf A Mason T18N (555 A Grays H r Thu . ton 12 l! r Q ...� 1�•� ..T•�Ur an J a '7/ �l WE 9 1 SS % _ °1 0 1.1m 2.390 4.600 e.9oo 9.200 Disclaimer. Extreme care was used during the compilation of mY(11� this map to ensure accuracy. However,due to changes in SV _ a v` t.- • ,,"" ,r".f _ ownership Information,Department of Natural cannot accept responsibility Y for errors or omissions,and,therefore.thee are no warranties which accompany this material. Jf' 4 14-- l r Conservation Lands-Melrose-April 2018 WASHINGTON STATE DEPT OF nATURAL � O 24 _ - _G__ 9 :--- -�- �I __ RESOURCES R04W R03W �N�w�'` HILARY S. FRANZ For Grant Presentation Purposes Only COMMISSIONER OF PUBLIC LANDS Dewatto Dewatto pNRCA 2018/#18-1518A Proposed Natural Resources Conservation Area PugetTiaughEooregim 20 t MAP LEGEND { �1� 01 \ ' 1 22 i 23 a ® pNRCA Boundary Lands Eligible for Inclusion Granted Trust Lands Forest Board Trust Lands Q I - WA State Parks G 228 ® Priority Parcels for Acquisition Dewatro Bay J r � 26 .I ;� Oewa o Kitsap � -�. a ry t - Little — _ �♦ r_—��- - i O Dewatto o I' o o ); ACO gtoq ' Masco 34 N �.y � 32 rte- VJ E B s i1 J'? ' T23N a eSe 1,700 9,�ee s,100 6,eeD —77� Disci Imer. Extreme care was used during the compilation of __a J this rrrep to ensure accuracy. Hawaoer,due to changes In l 1 ownership and the need to rely on outside Wormation,the r ti DeV--nerd of Natural Resources cannot accept responsibility / I ` T22N for errors or omissions,and,therefore,there are no warranties iwhich accompany this material. z i r Conservation Lands-Melrose-April 2018 1 2 r WASHINGTON STATE DEPT OF nATURAL s RESOURCES HILARY5.FRAN2 COMMISSIONER OF PUBLIC LANDS 8 10 Il t i R03W For Grant Presentation Purnoses Only cc:CMMRS Neatherlin,Shutty&Drexler •� Clerk - • ,� Mendy Harlow Executive Director p: 360.275.3575 ext. 23 SALMON f: 360.275.0648 mendy@pnwsalmoncenter.org P.O. Box 2169 1 Belfair, WA 98528 www.pnwsalmoncenter.org Deepening the connection between land,people,and salmon through restoration,education,and research. April 30, 2018RE ..MAY 02 2018 Mason County Commi3s,io erq Dear Commissioners, As you know, the Hood Canal Salmon Enhancement Group (HCSEG) is seeking grant funds from the Washington State Recreation and Conservation Office (RCO)for the Upper Sweetwater Creek Riparian Protection Project(#18-1764). Before applying for a grant to acquire property in the Washington Wildlife and Recreation Program, per RCW 79A.15.110, project sponsors such as HCSEG must give the county commission or city council with jurisdiction over the project area an opportunity to review the grant application. As the local legislative authority,the Board of Mason County Commissioners must review this project and may, at its discretion, submit a letter to the Recreation and Conservation Funding Board (RCFB) identifying your position with regard to this project.The RCFB shall make the letters received available to the Governor and Legislature when submitting its prioritized project list as part of the RCO's biennial capital budget request. Attached to this letter are several other maps and documents you will find useful in reviewing this project. The project description as it appears in HCSEG's application reads as follows: HCSEG will use this grant to acquire, develop and restore 0.92 acres of salmon habitat in the upper reaches of Sweetwater Creek.The site sits in the Belfair UGA of Mason County,just east of State Route 3.The project conserves the ecological integrity and biological diversity of the Sweetwater Creek Watershed by restoring fish passage to the upper reaches of the stream and linking critical riparian habitat.The project will create a new roughened stream channel to restore fish passage to 0.79 miles of the creek, bypassing a historic water wheel and its eight-foot spillway, along with a second eight-foot tall weir further upstream.The 0.92-acre parcel will connect more than 150 acres of public lands and protect critical riparian habitat.Anadromous fish supported by this habitat include fall chum and coho. The parcel being acquired is directly adjacent to five acres of protected North Mason School District property that will also be improved and developed to restore a historic water wheel, add an ADA- accessible loop trail and fishing dock and create solar and hydropower learning stations.A natural play area, native plantings, interpretative signage, permeable parking area and a restroom and maintenance facility will also be added. Developing a park and trail system with signage and learning stations will educate the public and students about the links between Hood Canal,estuaries, upland forests and streams,the life cycle of salmon and important aquatic resources issues. I sincerely appreciate your continued support of this project and its benefits to our community and the greater Hood Canal ecosystem. Thank you, Mendy Harlow Executive Director Sweetwater Creek Protection and Restoration #18-1764 Environmental Benefits The genesis of the Sweetwater Creek Protection and Restoration Project goes all the way back to 1997 when the North Mason School District acquired five acres of property directly adjacent to south side of Belfair Elementary School with ALEA Grant#AL-97-15.The wooded upland property is bisected by Sweetwater Creek and includes a dilapidated water wheel, a pond that feeds the wheel through a spillway, and a pair of eight-foot weirs blocking fish passage to the upper reaches of the creek. As part of the ALEA grant used to secure the upper Sweetwater Creek property,the district's scope of work addressed restoring the water wheel and creating trails at a future date.The Sweetwater Creek Protection and Restoration Project is the culmination of that 20-year-old vision. As part of this project, an additional 0.9-acre parcel will be acquired to allow enough room to re-align upper Sweetwater Creek to get past the historic fish barriers and pond.The water wheel will also be replaced and an ADA-accessible interpretive loop trail, with ADA fishing dock and three bridges over the creek will be installed.A parking lot along State Route 3, picnic shelter, natural play area and a structure with two restrooms and maintenance space will also be constructed.The restroom and maintenance facility will feature solar panels on its roof.A Tesla Power Wall will be on display and used as a learning station for students to understand solar-power generation. A second learning station will be housed in the water wheel generator and battery house to help students better understand hydro-power generation. The Hood Canal Watershed is a Washington State treasure facing the ongoing pressures of population increases and climate change. Educating young people about the value of clean water, human health as it relates to the environment and career development in natural resource fields will help ensure that Hood Canal remains a productive ecosystem by fostering a love of lifelong learning and environmental stewardship.Supporting teachers in districts throughout the watershed with environmental education curriculum development around our restoration and protection of Sweetwater Creek and delivery of this curriculum will only strengthen the likelihood that more students will grow to become environmental stewards. Our hands-on approach to STEM activities, environmental education and commitment to outdoor education and recreation rely on research that shows these approaches to be the most effective way to reach young people and engage them in the kind of critical thinking that leads to positive action and outcomes that benefit the environment. The National Wildlife Federation's 2010 "Back to School: Back Outside!" study demonstrates that the outdoor education time proposed in these programs"helps students become high-performance learners with skill sets that will be with them throughout their lives" and "help students perform measurably better on standardized tests." Through our work with the Pacific Education Institute (PEI) and school district partners,we know that STEM and field-based learning experiences are some of the most significant and meaningful learning opportunities a student will have in his or her K-12 years. As a result, each element of this project includes extensive outdoor learning opportunities for STEM education. 4/, RESTROOM BUILDING POND OVERLOOK INTERPRETIVE CENTER STORAGE VIEWPOINTMTH RAILS 2 UNISEX RESTROOMS WITH SOLAR GATHERING SPACE PANEL ROOF d INTERPRETIVE SIGNS - INTERPRETIVE SIGNS �--Ll -,��..- -�'� �'�•�� y - 1' v.ry , 'T .,,t' w \MATCHGRADEOFNEW t ----'---� ���;i� �� '�^�� �s�vd��e'�+'�-",�,d• ;A CREEK TO EXISTING CREEK SOUTH VIEW OF RESTROOM BUILDING =r�'�P .;. _ PARKING LOT `" �j' r; , ,BRIDGE 03 r� POROUS CONCRETE PARKING LOT WITH 2%CROSS SLOPE 2 ADA STALLS 9 STANDARD STALLS BERM WITH NATIVE PLANTINGS BOTANICALMARKERS• �q,,;b, �'Vn4 T• ��CONNECTTO ADA INTERPRETIVE LOOP TRAIL ALONG TRAILS i� ExIsnNGranl s S%6'WIDEADAWALK 8%6'WIDE ADA WALK WITH RAILS ON BOTH 5IDE5 Fr' .,.. «;"°..� $ti. .r*,�.,•,/ f a., LOW STONE WALL _ t UPPER WATERWHEEL ,, >i•' 4 #:�! + VIEWPOINT 'f M WATER WHEEL INTERPRETIVE CENTER }•o , RESTORED WATER WHEEL\ WATER WHEEL GENERATOR AND - v REMOVE POND SEDIMENT_ �� - • St �-_ l�t y 411�� NI..f BATTERY HOUSE ACHIEVE ORIGINAL SIZE L' tllY� i' BRIDGE#I— - _ 'k. I ' i P ` ADALoaPTRAa s` �* FISHING DOCK 0x 15 PICNIC SHELTER y 1 �r - ' •' �-rxyy •' "' "Rk - ` WITH POWER AND WATER .�4. _� ADA ACCESS i ;u: _ - � _f +►« ;1n+;'J` � 'y.``�� ;yt*- /�^ NATURE PLAYGROUND BRIDGE#1 OVERLOOKING WATER WHEEL ' _y ''�\�\ �.,� d-' �i*f" r ,,,,� y° •i'� INTERPRETIVE CENTER Y ' t _ ,_ CREEK -REMOVE CULVERT `a ��` �"� / • -MATCH GRADEOF NEWCREEKTOvx +•"'D 1 ' EXISTING CHANNEL o 10 20 w �,. CHANNEL CENTERLINE CRMRIC SCALE r. « ABRIDGE 112 5%GRADE ' HOOD CANAL SALMON ENHANCEMENT GROUP SWEETWATER CREEK WATER WHEEL PARK MASTER PLAN Bs& �• January 11,2016 ASSOCIATES A Partnership Between the Port of Allyn and Hood Canal Salmon Enhancement Group VKHTYMN r• �'" MW PNW Salmon Center . d - Theler Wetlands Community Center and TrailsL' r `> •' Peterson Parcel Schindelheim West Parcel Schindelheim East Parcel : .... Johnson Parcel r BELFAIR STATE PARK DEPARTMENT OF GAME DEPT OF FISH &WILDLIFE f �' '• �'7fI 3 - -:rte _.._ - ,�� "fir--. ..,>•, ._ ,<� t oi,y' i r} Sweetwater Creek Boundary Map #18-1764 0 0.15 0.3 0.6 0.9 1.2 -� ��- - ---�Miles ,. �� `'. _ .� �� •F • r it '41 �o �.`e'.. r .. p. A � �r �larMF �^ t 't .t !-deh f {✓ i `,t r � a'r. • '. lj��+` eG K fr^ ��^ I-� `lie � I�5 d 0.8 acres . __ - - 4.2 acres ' .�•. i 9.73 acres 11.5 acresR «"•�' a� " 0.92 acres ! ' .c •fir JUL VY * ,rte 4t r w: -\. t� - � '4j. � qyi�+� Y..T��• t �' w '�E � iFi ► s'!T.0 Y a T C �a � { ��"S��'` .ti�7^i+', �r 4 .-. .:a,it� � .a°x.a. - �r.�� - '>Z�.. !...�A��'' �� �-„` ( �r ^ h. °�►d�4'.Z.. C�j�11��r 'a"� . • � f.1. .FMK r(aY�,A, (��> -/ 1.t r knw,?''A _ �2;. � _• a. _.� h ,�yA�, i.[ '� r,� ire.- �, �._ Peterson Parcel Sweetwater Creek Protection and Restoration Schindelheim West Parcel #18-1764 Schindelheim East Parcel 0 0.035 0.07 0.14 0.21 0.28 C� Johnson Parcel Miles ����� �� ISLAND ����K���� ��v�m�u�-���uxu u��x�u��uu�� uu�u��u~ W. Terri Drexler April 18, ZO18 Mason County Commissioner 4l1NFifth St. Shelton,VVA98584 Subject: Notice ofProperty Acquisition inMason County,SkookunnValley RCOGrant Application#18'16S4 Honorable Commissioner Drexler, I am writing to inform you that the Squaxin Island Tribe, in collaboration with Capitol Land Trust, is applying for a grant through the Washington Wildlife and Recreation Program (WWRP)to acquire property located near Kamilche in Mason County. If awarded,this grant funding would allow acquisition of approximately 614 acres of the Skookum Valley. 3kookumCreek and its tributaries flow through these properties. This acquisition isintended toallow/provide permanent protection of these waterways, along with public access for passive recreation. Ultimately we will carry out a restoration ofthe creek and wetlands. State law, RCW 79A.15.110, requires that we notify the local legislative body of our intent to apply for a state grant to acquire real property from the WWRP, administered by the Recreation and Conservation Office(RCO).This letter is your notification.The law states that the local legislative authority may, at its discretion,submit a letter to the RCO identifying its position with regard to the acquisition project.Any letters received will be made available to thegovernor and the state legislature when the prioritized project list is submitted as part of the RCO's capital budget request. The law also states that we must"confe/^with local officials on this acquisition.And to meet grant program deadlines, we must complete this prior to May 1, 2018. Please let me know who the appropriate contact(s) is/are so we may open adia|o0ue. Enclosed is the application project description, location map, and parcel list for the proposed project.The geographic envelope ofthe proposed project isalso enclosed. Please let me know if you have any questions or need additional information about this acquisition proposal. I can be reached at360'432'4804or . Sincerely, Erica Marbet Water Resources Biologist Natural Resources Department ° 3110 S.E. Old Olympic Hwy. ° Shelton, WA 98584 Phone (360) 426-9781 ° Fax (360) 426_3971 Enclosures Skookum Valley Acquisition The Squaxin Island Tribe is partnering with Capitol Land Trust to acquire 614 acres in the Skookum Valley. The project encompasses multiple tax parcels over four ownerships,all contiguous and bisected by Skookum Creek.This project will protect over 4 miles of Skookum Creek and an additional 4.4 miles of tributaries, as well as wetlands, riparian and grassland habitat. Skookum Creek is used by coho,steelhead (ESA listed),chum,and cutthroat. In addition,there is a large elk herd that overwinter in the fields along the creek. Parcel List Parcel Identification# Last Name Total Acres . 419273100070 PORT BLAKELY TREE FARMS 5.1 419274200020 PORT BLAKELYTREE FARMS_ 52 _ 419274100010 PORT BLAKELYTREE FARMS 4.4 419274200010 PORT BLAKE LYTREE FARMS 0.5_ 419274100020 PORT BLAKELYTREE-FAR MS 4.7 41.9274200030 PORT BLAKELYTREE FARMS 5.1 41 92 71000000 PORT 8LAKE LYTREE FARMS 0.1 419273100060 PORT BLAKELYTREE FARMS 5.0 41_927310004_0 PORT BLAKEL_Y TREE FARMS_ 10.3 419273100050 PORT BLAKELYTREE FARMS 8.4 419274200010 PORT BLAKELYTREE FARMS 1.6 419252100090 REELER 32.0 419261100020 RELLER SR,ETUX 20.3 419261000000 RELLER SR,ETUX 45.6 -419234300010 RELLER SR,ETUX 10.0 ------------ -- 419243300000 SKOOKUM RANCH LLC 40.4 419234000000 SKOOKUMRANCH LLC 36.0 419243200000 SKOOKUM RANCH LLC 14.9 419252100020 SKOOKUM RANCH LLC 5.1 419243400030 SKOOKUM RANCH LLC i 32.9 ------- 419243100000 SKOOKUM RANCH LLC 28.9 419263400010 THE MCDONALD LAND COMPANY 2.8 419264100030 THE MCDONALD LAND COMPANY 1.0 419274100080 THE MCDONALD LAND COMPANY _ 5.1 4_1926240_0010 M_C_DONALD LAND COMPANY 8.1 419261300010 THE MCDONALD LAND COMPANY 24.3 ~ 419273300010 THE MCDONALD LAND COMPANY 4.9 419274200060 THE MCDONALD LAND COMPANY 5.2 419274200050 THE MCDONALD LAND COMPANY 5.2 419274200040 THE MCDONALD LAND COMPANY 5.2 419274100070 THE MCDONALD LAND COMPANY 5.1 419274100060 THE MCDONALD LAND COMPANY 5.1 419274100050 THE MCDONALD LAND COMPANY 5.1 419274200070 THE MCDONALD LAND COMPANY 5.2 419261400000 THE MCDONALD LAND COMPANY 39.8 419263000000 THE MCDONALD LAND COMPANY 73.5 419264200000 THE MCDONALD LAND COMPANY 32.8 419264_100000 THE MCDONALD LAND COMPANY 16.3__ 419271400010 THE MCDONALD LAND COMPANY 0.7 419262300000 THE MCDONALD LAND COMPANY 12.6 419274100030 THE MCDONALD LAND-C-OMPANY 4.6 419274100040 THE MCDONALD LAND CMPANY 5.0 419273200030 THE MCDONALD LAND COMPANY 8.0 419273300020 THE MCDONALD LAND COMPANY 24.7 Total Acreage 614.8 2 RCAPITOL L l Skookum Valley Conservation Project, Mason Co. WA " r+� Proximity Map W+ S Shelton 2 ❑ Q v —.,. - Skookum Ranch 158 Reller los ac ac SHE,,OA• p Mnr u.X ❑ 1 r Fckrml V McDonald Sooac 0 rh•-� PortBlakely 48 ac ' Capitol Lanf Trust eSABEI:a VALE, M 1 State DNR �.d d Puget Sourir) i057 PRAIRIE 1>• up- S / Oc an- - –` _4. r .., 5,7 Hf ti':t'f R FRA: I,J ,OJ r e h--50 yl E..gM•�n-� �' f• miz wrcr�lr �1y,,, 1 a H LACK ILLS 4 s Esn, ar In;ermapd PCorp.GFEim UsGs FAa mpiaN NL .�nul Suia�"s�-�51i7�lar Y.7�T I,Esri Ch"(Harp N.mp) iss opo, my n pen Nrk; p cohlnbt lom,and the GI�User Community C I; Map created by Capitol Land Trust with data Miles from Mason County and ESRI.3/22/2018. 0 2 4 3 Skookum Valley Prioritization: Streams PORT BLAKELY RELLER .: SKOOKUM RANCH MCDONALD v, { 0 y � Parcels proposed for acquisition:Skookum Ranch(158 acres),Reller(108 acres),McDonald(300 acres),Port Blakely(48 acres). 4 For reference: RCW 79A.15.110 Review of proposed project application. State or local agencies or nonprofit nature conservancies shall review the proposed project application and confer with the county or city with jurisdiction over the project area prior to applying for funds for the acquisition of property under this chapter.The appropriate county or city legislative authority may,at its discretion,submit a letter to the board identifying the authority's position with regard to the acquisition project.The board shall make the letters received under this section available to the governor and the legislature when the prioritized project list is submitted under this chapter. RCW 79A.15.010 "Confer" means a dialogue between project sponsors and local county and city officials with the purpose of early review of potential projects.The dialogue may include any matter relevant to a particular project,which may include but need not be limited to: Project purpose and scope; project elements;estimated project cost;costs and benefits to the community; plans for project management and maintenance;and public access. 5 Attachment B MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: David Windom DEPARTMENT: Community Services-Public Health EXT: 260 BRIEFING DATE: 5/14/8 PREVIOUS BRIEFING DATES: If this is a follow-up briefing, please provide only new information ITEM: Housing Options for Students in Transition (HOST) contract termination EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions): Contractor default by failing to perform program reporting of the contract according to contract time frames and has been non-responsive to contact attempts. BUDGET IMPACTS: Unknown- Contractor has received one payment of $27,411.50 payed on March 15, 2018 for July-February work. Remaining balance is $16,588.50. RECOMMENDED OR REQUESTED ACTION: Termination of contract ATTACHMENTS: Briefing Summary 5/9/2018 Attachment B MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Kristopher Nelsen, PAC Manager DEPARTMENT: Community Services EXT: 359 BRIEFING DATE: 5/14/2018 PREVIOUS BRIEFING DATES: 4/30/2018 If this is a follow-up briefing, please provide only new information ITEM: House Bill 1622: State Building Code, Permit Definition and Fee Increase. EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions): Effective July 1s, 2018, per HB1622, state building fees will increase from $4.50 to $6.50 for residential building permits and $25 for commercial permits. The following definitions have also become updated; *"Residential building permit" means a building permit issued by a ... county to construct, enlarge, alter, repair, move, demolish, or change the occupancy of any building containing only dwelling units used for independent living of one or more persons including permanent provisions for living, sleeping, eating, cooking, and sanitation, and structures accessory to dwelling units, such as detached garages and storage buildings *"Commercial building permit" means a building permit issued by a ... county to construct, enlarge, alter, repair, move, demolish, or change the occupancy of any building not covered by a residential building permit. BUDGET IMPACTS: Business operations RECOMMENDED OR REQUESTED ACTION: Set public hearing to adopt ordinance for update current building fee schedule to meet requirements set by HB1622, which become effective July 11*, 2018. ATTACHMENTS: Draft Ordinance, 14 page bill available for view online at; http://Iawfilesext.leg.wa.gov/biennium/2017- 18/Pdf/BilIs/Session%20Laws/House/1622-S2.SL.pdf#page=l Briefmg Summary 5/8/2018 ORDINANCE NO. ORDINANCE AMENDING COMMUNITY DEVELOPMENT FEE SCHEDULES,TO IMPLEMENT STATE HOUSE BILL 1688. WHEREAS, House Bill 1622 signed by the Governor March 26th, 2018; and WHEREAS,the State Building Code, RCW 19.27.015 and 2009 c 362 s 2, have been amended to define "Commercial Building Permits" and "Residential Building Permits", and WHEREAS, State Building Code, RCW 19.27.085 and 1989 c 256 s 1, have been amended to impose a fee of six dollars and fifty cents on each residential building permit and a fee of twenty-five dollars for each commercial building permit, and WHEREAS, prior development fee schedules acknowledge state fees to be assessed at four dollars and fifty cents for building permits, and WHEREAS,the Mason County Board of County Commissioners held„a public hearing about the House Bill 1622 amendments on JAgLto to consider the testimony of Mason County Community Development staff and Mason County citizens regarding state fees; and WHEREAS,the amended definition and rates per House Bill 1622 take effect July 11t, 2018. NOW THEREFORE, BE IT HEREBY ORDAINED,the Mason County Board of County Commissioners hereby approves the update to Mason County development permit fee schedules to meet the amendments set by House Bill 1622, which include the state's definition and assessed fees for; "Commercial Building Permits" of twenty-five dollars, and "Residential Building Permits" of six dollars and fifty cents,to become effective July 11, 2018., Approved this day of MAY 2018. BOARD OF COUNTY COMMISSIONERS MASON COUNTY, WASHINGTON ATTEST: Randy Neatherlin, Chair Melissa Drewry, Clerk of the Board APPROVED AS TO FORM: Terri Drexler, Commissioner Tim Whitehead, Chief DPA Kevin Shutty, Commissioner MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: David Windom // Todd Parker DEPARTMENT: Community Services EXT: 260 BRIEFING DATE: 5/14/18 PREVIOUS BRIEFING DATES: 1/22/18 & 4/2/18 If this is a follow-up briefing, please provide only new information ITEM: Request to initiate Request for Proposal (RFP) to use Treatment Sales Tax (Mental Health Fund) to purchase a house to be used by the participants of the Therapeutic Courts. EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions): After review of some County surplus property it was determined there was not property, at this time, with habitable homes that would work for this proposal. A call for RFP's will allow the Commissioners to assess the viability of a house for the Therapeutic Courts for the purpose of improving program participation and graduation rates. BUDGET IMPACTS: TBD based on the proposals received, but not to exceed $300,000 from the Treatment Sales Tax Fund. RECOMMENDED OR REQUESTED ACTION: Approval to release the Request for Proposal ATTACHMENTS: Request for Proposal Briefing Summary 5/8/2018 Request for Proposal — House for Therapeutic Court Programs Mason County Community Services is soliciting applications for the capital purchase, renovation, and management of a house using the Treatment Sales Tax (1/10 of 1% Sales & Use Tax: RCW 82.14.460) to benefit participants enrolled in Mason County Therapeutic Court programs. Specifically, item (3): "Moneys collected under this section must be used solely for the purpose of providing for the operation or delivery of chemical dependency or mental health treatment programs and services and for the operation or delivery of therapeutic court programs and services. For the purposes of this section, "programs and services" includes, but is not limited to, treatment services, case management, transportation, and housing that are a component of a coordinated chemical dependency or mental health treatment program or service". http://apps.leg.wa.gov/rcw/default.aspx?cite=82.14.460 Throughout this Request for Proposal (RFP), the term "Housing Agency" will be used as a general title for the agencies that will submit applications to acquire, own, manage and renovate the property. Furthermore, the term "House" will be used to mean the property to include a multi-unit dwelling preferably a duplex or triplex. The Housing Agency must first consider Tax Title Property owned by Mason County. Otherwise, the final property selected will be based on market availability at the time of the award. t Scope: The purpose is to use Treatment Sales Tax funds to aid in the purchase, renovation and property management of a house for Therapeutic Court participants that do not have housing or lose housing while in the program. The house will be defined as a group home to satisfy transitional housing needs. A multi-unit dwelling, such as a duplex, is ideal to have separate male and female or family living arrangements. The Housing Agency will: • Negotiate and make all arrangements for the purchase of the property including, but not limited to, selecting a real estate agency, closing costs, title, etc. in cooperation with Mason County and Therapeutic Court staff; • Make all arrangements for any renovations; • Meet environmental, health, and safety requirements; • Have the property ready for tenant occupancy within 90 days of purchase. Date of tenant occupancy can be determined upon the selection and purchase of the property; • Establish an MOU between the Housing Agency and Board of County Commissioners on behalf of the Therapeutic Courts that will establish a master lease relationship and responsibilities of each party; • Collect rent from tenants and make payment to the Treatment Sales Tax Fund for any amount collected above the property management fee; • Use the house for Therapeutic Court participants for up to a 30-year term with expectations that the property will remain as affordable housing stock in Mason County; • Obtain and maintain insurance, maintenance, property taxes, and core utilities (water, sewer, electric, gas and garbage), and; • In the final selection of the property, first consider Tax Title property owned by Mason County. Rationale: A requirement to become eligible for and become admitted into one of the Therapeutic Courts (Drug, Veteran, Mental Health, and Family Recovery) is to have secure housing. Safe and secure housing is one of the chief challenges of the Therapeutic Court participants. Many of the program participants are working to escape from a family or friend environment that has contributed to their conviction such as chemical dependency. Program participants are more successful with less relapse and higher graduation rates with safe, stable housing. From January 2017 through December 11, 2017, there were a total of 59 Therapeutic Court participants. 24 of these participants became homeless at some point during their program and 8 participants dropped out of the program due to becoming homeless. A house for Therapeutic Court participants will provide transitional housing for households until permanent housing is identified. Project Goals: • Increase program participation • Increase program graduation rates • Reduce homelessness • Increase family reunification • Reduce in-program recidivism • Reduce the number of people in the jail • Provide safe, stable housing on participants' path to treatment and recovery • Create a team atmosphere for program participants that can create a community support network that can last well beyond completion of the program • Secure rent revenue that can be directed back into the Therapeutic Court Program Application Submission and Timeline: The following anticipated timeline is subject to change, at the discretion of the County: May 22, 2018: Release of RFP June 30, 2018: RFP Application Due. Submit only typed, electronic copies of the application and supporting documents to Todd Parker, program coordinator, tparker(cbco.mason.wa.us July 5 — 15, 2018: Review committee meetings and scoring -August 1, 2018: Announcement of award Funding: The goal of this RFP is to solicit a funding request that will include the acquisition and renovation of the sample property and the monthly property management (i.e. administrative and maintenance) fee. The actual amount of money allocated to this project is at the discretion of the Mason County Commissioners and will depend on the property, the amount of funding requested to purchase and renovate the property, the percent contribution provided by the Housing Agency and the ongoing property management fee (to include maintenance costs). Notice of Solicitation: Failure of the County to notify any interested party or parties directly regarding the availability of these funds shall not void or otherwise invalidate the RFP process. Ownership of Material Responses, applications, and other materials submitted in response to this request become the property of Mason County, are documents of public record, and will not be returned. By applying, applicants acknowledge and agree that they and/or their organization claim no proprietary rights to the ideas or approaches contained in the applications. Proposal Costs and Payment of Contingent Fees Mason County is not liable for any costs incurred by an applicant prior to the issuance of a ' contract. All costs incurred in response to this solicitation are the responsibility of the applicant, including travel costs to attend workshops and/or contract negotiation sessions. Acceptance of Terms and Conditions By submitting a response to this RFP, the applicant acknowledges and accepts all terms and conditions of this request and all County, Washington State, and Federal regulations and requirements related to the delivery of the eligible activities. If the applicant is awarded a contract, the application will become part of the contract agreement. The application is bound by the terms of the application unless the County agrees that specific parts of the application are not part of the agreement. The County reserves the right to introduce different or additional terms and/or conditions during final contract negotiations. Applicants will be required to enter into formal written agreement with Mason County. Right to Reject or Negotiate Mason County reserves the right to reject any or all applications, if such a rejection is in the County's best interest. This Notice of Funding Availability (NOFA) is a solicitation for offers and shall not be construed as an offer, a guarantee, or a promise that the solicited services will be purchased by the County. The County may withdraw this notification at any time and for any reason without liability to applicants for damages, including, but not limited to, bid preparations costs. Additionally, Mason County reserves the right to negotiate with selected applicants and may request additional information or modification from an applicant. When deemed advisable, and before a contract is issued, Mason County reserves the right to arrange an on-site visit/review to determine the applicants' ability to meet the.terms and conditions described in this RFP. Cancellation of Applicants Mason County reserves the right, with or without cause, to cancel any contract resulting from this RFP with thirty (30) calendar days written notice sent by certified mail, return receipt requested, to the applicant's address of record, as indicated on the applicant's proposal to this RFP (or last known address on file). RFP Application Contact Information 1. Agency Name, type, mailing address, physical address, phone, and website 2. Executive Director's name, phone and email 3. Financial Manager's name, phone and email 4. Project Manager's name, phone and email 5. List the names, phone numbers and email of all board of directors Staffing 6. Has there been turnover in key positions, including the board, during the past 12 months? If yes, please explain the impact to the agency and plan to be fully staffed with timelines. , 7. List the person that will serve as project manager and include a description of their qualifications and experience. Fiscal Management 8. List the dates of the last financial, internal and/or compliance audit, the type of audit, and if there were any findings within the last three years. Are there any unresolved audit findings? If so, describe the status of these findings. 9. Describe the organizations current financial condition and outlook for sustainability. If the organization is facing financial challenges, describe what steps are being taken to strengthen the organizations financial condition. 10. Describe the organizations fiscal management, including financial reporting, record keeping, accounting systems, payment procedures, and audit requirements. 11. Describe your organizations policies and procedures to assure the proper use and safeguarding of public funds. Project 12. Describe your agency's experience operating property like the one described in this proposal. 13. Describe how you will use a fair process to select a real estate agency and negotiate fees to help keep cost down to provide affordable housing. Provide an example from a previous transaction where you were able to accomplish this. 14. Describe any supportive services your organization can provide to the tenants in partnership with the Therapeutic Courts. Many program participants are Medicaid eligible, so include a description of the types of services that can be covered by Medicaid through your organization in the answer. 15. A sample property is included in the application packet. Base your calculations on this property to project the amount of funds requested. The Housing Agency must first consider Tax Title Property owned by Mason County. Otherwise, the final property selected will be based on market availability at the time of the award. Submit a Pro Forma that includes the following items: 16. A list of each source of funding and the amount 17. Uses of income (e.g. acquisition, construction/rehab/renovation, due diligence, closing costs, loan fees, etc.) 18. Total Debt Service (e.g. amount to be financed, interest rate, and term) 19. Annual Debt Service amount 20. Operating Expenses (provide a detailed list) 21. Maintenance Expenses (provide a detailed list) 22. Administrative Expenses (provide a detailed list) 23. Summary: a. Total amount of funding requested for the acquisition and renovation b. Monthly property management fee Checklist for the RFP Application: o Application Questions l o Pro Forma o Project timeline to include estimated date of tenant occupancy o Sample MOU o Annual Report that includes financial performance I MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Casey Bingham DEPARTMENT: Public Health EXT: 562 BRIEFING DATE: 5/14/18 PREVIOUS BRIEFING DATES: If this isa follow-up briefing, please provide only new information ITEM: Consolidated Contract CLH18253 Amendment 2 Amends Statement of work for: 1. Childhood Lead Poisoning Prevention Program: Provide $1,500 in case management to children fourteen and younger with elevated blood lead levels. 2. Maternal Child Health Block Grant: Shifts $5,344.00 unspent funding in 2017 to 2018. 3. Natural Estuaries Program Onsite Sewage Management: The purpose of this revision is to remove $2,433 of funding spent in 2017 from 2018. 4. Emergency Preparedness & Response: The purpose of this revision is to add $9,062.00 of unspent funds from 2017 into 2018 S. Prescription Drug Overdose Prevention: The purpose of this revision is to add $29,627.00 of unspent funds from 2017 into 2018 BUDGET IMPACTS: This Amendment provides an $41,600.00 of already budgeted funding in 2018. There is $1,500 of funding that was not currently budgeted. At this time this does not require adjusting effected budgets. RECOMMENDED OR REQUESTED ACTION: Move Amendment 2 CLH18253 Consolidated Contract to the Action Agenda. Briefing Summary 5/9/2018 MASON COUNTY PUBLIC HEALTH 2018—2020 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH18253 AMENDMENT NUMBER: 2 PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as"DOH",and MASON COUNTY PUBLIC HEALTH hereinafter referred to as"LHJ",pursuant to the Modifications/Waivers clause,and to make necessary 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: • Childhood Lead Poisoning Prevention Program-Effective January 1,2018 • Maternal&Child Health Block Grant-Effective January 1,2018 • NEP SSI Onsite Sewage Management-Effective January 1,2018 • Office of Emergency Preparedness&Response-Effective January 1,2018 • Prescription Drug Overdose Prevention for States Supplement-Effective January 1,2018 ❑ Deletes Statements of Work for the following programs: 2. Exhibit B-2 Allocations,attached and incorporated by this reference,amends and replaces Exhibit B-1 Allocations as follows: ® Increase of$43,100 for a revised maximum consideration of$426,936. ❑ Decrease of for a revised maximum consideration of ❑ No change in the maximum consideration of Exhibit B Allocations are attached only for informational purposes. 3. Exhibit C-2 Schedule of Federal Awards,attached and incorporated by this reference,amends and replaces Exhibit C-1. Unless designated otherwise herein,the effective date of this amendment is the date of execution. ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force and effect. IN WITNESS WHEREOF,the undersigned has affixed his/her signature in execution thereof. MASON COUNTY PUBLIC HEALTH STATE OF WASHINGTON DEPARTMENT OF HEALTH Date Date APPROVED AS TO FORM ONLY Assistant Attorney General Page 1 of 38 AMENDMENT#2 2018-2020 CONSOLIDATED CONTRACT EXHIBIT A t STATEMENTS OF WORK TABLE OF CONTENTS DOH Program Name or Title: Childhood Lead Poisoning Prevention Program-Effective January 1,2018.....................................................................................3 DOH Program Name or Title: Maternal &Child Health Block Grant-Effective January 1,2018.....................................................................................................7 DOH Program Name or Title: NEP SSI Onsite Sewage Management-Effective January 1,2018 .................................................................................................11 DOH Program Name or Title: Office of Emergency Preparedness&Response-Effective January 1, 2018..................................................................................30 DOH Program Name or Title: Prescription Drug Overdose Prevention for States Supplement-Effective January 1,2018...........................................................36 Exhibit A,Statements of Work Page 2 of 38 Contract Number CLH 18253-2 Revised as of March 15,2018 AMENDMENT#2 Exhibit A Statement of Work Contract Term: 2018-2020 DOH Program Name or Title: Childhood Lead Poisoning Prevention Program- Local Health Jurisdiction Name: Mason County Public Health Effective January 1,2018 .Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) I Funding Source Federal Compliance Type of Payment ❑Federal<Select One> (check if applicable) ® Reimbursement Period of Performance: Januaryl,2018 through June 30,2018 ® State ❑FFATA(Transparency Act) ❑ Fixed Price ❑ Other ❑Research&Development Statement of Work Purpose: The purpose of this statement of work is to support local interventions with the case management of elevated blood lead levels in children 14 years of age and younger.The focus of this program in 2018 is to build local capacity statewide to provide standard case management services to all children with elevated blood lead levels. Revision Purpose: The purpose of this revision is to add funding for case management related training opportunities. Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Increase(+) Consideration Code Code Start Date End Date SFY1 Lead Environments of Children(proviso funds) N/A 334.04.93 25715110 01/01/18 06/30/18 1,500 1,500 3,000 TOTALS 1,500 1500 3,000 Payment Task Taslc/Activity/Description *May Support PHAB Deliverables/Outcomes Due bate/Time Information Number Standards/Measures frame and/or Amount 1 Contact the provider to gather complete information on the Submit the completed Monthly,by the $500 per home assigned elevated blood lead case to conduct an Child Blood Lead Investigation Form 301 of the visit,up to two environmental assessment available through WA DOH following month (2)home visits a) Verify the blood lead level(BLL)is confirmed. indicating: per child Reference Centers for Disease Control and a) Confirmed BLL Prevention's(CDC's)confirmed case definition: b) Date LHJ contacted the family https•//wwwn cdc.p,ov/nndss/conditions/lead-elevated- c) Date the environmental blood-levels/case-defmition/2016/ assessment was completed b) Call family and schedule a home visit d) Date the interview was c) Visit the child's residence(or other sites where the completed child spends significant amounts of time)at least once e) Specify if the home is Section 8 d) Interview the caregivers using the Child Blood Lead or HUD Housing and if the Investigation Form and conduct an environmental child is Medicaid enrolled assessment to identify factors that may impact the child's blood lead level Exhibit A,Statements of Work Page 3 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Payment Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Information Number Standards/Measures Frame and/or Amount e) Determine if the family lives in Section 8 or HUD f) (If applicable)If DOH Housing.If the child is Medicaid enrolled collect the assistance is requested,list the Provider One number DOH contact and date contacted f) Provide educational material to the child's caregivers in g) (If applicable)If the LHJ opts to the family's primary language close the case after verifying g) (Optional)If warranted,contact DOH to request that the second lead level has technical or environmental investigation assistance dropped to<5 gg/dL,it must with an X-ray fluorescent(XRF)analyzer submit a copy of the letter mailed to the family Have the child retested following the Pediatric Environmental Health Specialty Units(PEHSU)medical Submit a written report summarizing management guidelines.If the lead level remains>5 gg/dL the environmental assessment lab test the LHJ will conduct a second home visit to connect the results and a Plan of Care that lists family to other service providers as needed. recommendations on how to remove and remediate lead exposure. Include PEHSU medical management guidelines: the educational material provided to hqps://www.pehsu.net/ Library/facts/medical-mQmnt- the family that addresses the child's childhood-lead-exposure-June-2013.pdf needs.(DOH will provide a generic template.)The LHJ will provide a If the second lead level drops to<5 gg/dL,the LHJ has the copy of the report to DOH,the option to: 1)Mail the child's caregivers a letter child's caregivers and provider. recommending a developmental and nutritional screening, the letter will include providers in the child's residential area.The LHJ may then close the case.(DOH will provide a template letter.);or 2)proceed to Task 2 and conduct a second home visit. 2 The purpose of the second home visit is to connect the Submit an updated Plan of Care to Monthly,by the $500 per home family to other service providers as needed: DOH,the child's caregivers and 301 of the visit,up to two a) LHJ staff will facilitate and guide the child's caregiver provider that includes: following month (2)home visits in completing the WithinReach Developmental a) Completion date and results of per child. Screening Questionnaire online the online WithinReach hitp://www.parenthelpl23.or The LHJ must provide Developmental Screening a hard copy of the developmental screening in case it Questionnaire cannot be submitted online.In unusual,and DOH b) If blood lead testing of at-risk approved cases,in which the WithinReach assessment family members was cannot be performed,the LHJ may refer the family to recommended, list the the child's physician or to another entity that is trained individuals to administer developmental screening tests c) The referral date and provider of b) Encourage blood lead testing of other children less than the nutritional assessment, 72 months of age and pregnant or nursing caregivers in include all other referrals the home Exhibit A,Statements of Work Page 4 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Payment Task *May Support PHAB Deliverables/Outcomes Due Date/Time Information Task/Activity/Description Frame and/or Number Standards/Measures Amount c) If appropriate,refer the child's caregivers to the d) The mdmbers of the case Women,Infants,and Children(WIC)program or a management team,their Registered Dietitian Nutritionist(RDN)for a involvement,and the case nutritional assessment and to other service providers as information provided to them appropriate d) Coordinate services and communicate regularly with members of the case management team 3 DOH will reimburse LHJ staff for DOH-approved case Attend approved training and submit As needed Reimbursement management related training opportunities and travel. training invoices and receipts to for actual costs DOH not to exceed funding consideration. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at: hitp//www phaboard orp/mT content/uploads/PHAB-Standards-and-Measures-Version-1.O.pdf Prouram Specific Rea uirements/Na rrative Program Manual,Handbook,Policy References A Targeted Approach to Blood Lead Screening in Children,Washington State 2015 Expert Panel Recommendations htips://www.doh.wa.p,ov/Portals/I/Documents/Pubs/334-3 83.pdf Special References(RCWs,WACs,etc) lood Lead test results(WAC 246-101-201).Elevated results(>_5 mcg/dL)must be reported within 2 days;non- Laboratories are required to report to the Department of Health all B elevated results<5 mcg/dL need to be reported within one month. Monitoring Visits(frequency,type) Telephone calls with contract manager at least once every quarter. Definitions BLL-Blood Lead Level EBLL-Elevated Blood Lead Level PEHSU-Pediatric Environmental Health Specialty Units Exhibit A,Statements of Work Page 5 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Special Billing Requirements Payment is contingent upon DOH receipt and approval of all deliverables and an acceptable written report to include a plan of care. Payment t6 completely expend the"Total Consideration"for a specific funding period will not be processed until all deliverables are accepted and approved by DOH. Invoices must be submitted monthly by the 30th of each month following the month in which the expenditures were incurred and must be based on actual allowable program costs.Billing for services on a monthly fraction of the "Total Consideration"will not be accepted or approved. DOH Program Contact Araceli Mendez,Health Services Consultant Office of Environmental Public Health Sciences Washington State Department of Health Street Address: 310 Israel Rd SE,Tumwater,WA 98501 Telephone: 360-236-3392/Fax: 360-236-3059 Email:araceli.mendez(a,doh.wa.gov DOH Fiscal Contact Victoria Reyes,Management Analyst 1 Assistant Secretary's Office Telephone: 360-236-3071 Exhibit A, Statements of Work Page 6 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Exhibit A Statement of Work Contract Term: 2018-2020 DOH Program Name or Title: Maternal&Child Health Block Grant- Local Health Jurisdiction Name: Mason County Public Health Effective January 1,2018 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) ® Reimbursement Period of Performance: January 1,2018 through September 30,2018 ❑ State ® FFATA(Transparency Act) ❑Fixed Price ❑ Other ❑ Research&Development Statement of Work Purpose: The purpose of this statement of work is to support local interventions that impact the target population of the Maternal and Child Health Block Grant. Revision Purpose: The purpose of this revision is to shift unspent FFY 18 funds from October-December 2017 to the Consolidated Contract that began in January 2018. Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Consideration Code Code Increase(+) Start Date End Date' FFY18 MCHBG LHJ CONTRACTS 93.994 333.93.99 78120281 01/01/18 09/30/18 50,771 5,344 56,115 TOTALS 50,771 1 5,344 56,115 Task Taslc/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Payment Information Number Standards/Measures and/or Amount Maternal and Child Health Block Grant(MCHBG)Administration ]a Participate in calls,at a minimum of every Designated LHJ staff will participate September 30,2018 Reimbursement for quarter,with DOH contract manager.Dates in contract management calls. actual costs,not to and time for calls are mutually agreed upon exceed total funding between DOH and LHJ consideration. Action lb Report actual expenditures for October 1, Submit actual expenditures using the May 26,2018 Plan and Progress 2017 through March 31,2018 MCHBG Budget Workbook to DOH Reports must only contract manager reflect activities paid 1 c Develop 2018-2019 MCHBG Budget Submit MCHBG Budget Workbook September 5,2018 for with funds provided Workbook for October 1,2018 through to DOH contract manager in this statement of September 30,2019 using DOH provided work for the specified template. funding period. Exhibit A,Statements of Work Page 7 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Task *May Support PHAB Payment Information Number Task/Activity/DescriptionStandards/Measures Deliverables/Outcomes Due Date/Time Frame and/or Amount See Program Specific Requirements and Special Billing Requirements. MCHBG Assessment and Evaluation 2a Participate in project evaluation activities Documentation using report template September 30,2018 Reimbursement for developed and coordinated by DOH,as provided by DOH actual costs,not to re nested. exceed total funding 2b Report program level strategy measure data Documentation using report template January 15,2018 consideration. (CSHCN,UDS,ACEs). provided by DOH April 15,2018 July 15,2018 See Program Specific Requirements and Special Billing Requirements. MCHBG Implementation 3a Develop 2018-2019 MCHBG Action Plan Submit MCHBG Action Plan to Draft August 17,2018 Reimbursement for for October 1,2018 through September 30, DOH contract manager Final September 5,2018 actual costs,not to 2019 using DOH-provided template. exceed total funding 3b Report activities and outcomes of 2017-2018 Submit Action Plan monthly reports Monthly,on or before consideration.Action MCHBG Action Plan using DOH-provided to DOH contract manager the 151 of the following Plan and Progress template. month Reports must only reflect activities paid for with funds provided in this statement of work for the specified funding period. See Program Specific Requirements and Special Billing Requirements. Children with Special Health Care Needs(CSHCN) 4a Complete Child Health Intake Form(CHIF) Submit CHIF data into Secure File January 15,2018 Reimbursement for using the CHIF Automated System on all Transport(SFT)website: April 15,2018 actual costs,not to infants and children served by the CSHCN https://sft.wa.gov July 15,2018 exceed total funding Program as referenced in CSHCN Program consideration.Action Manual. Plan and Progress Exhibit A, Statements of Work Page 8 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 *May Support Su PHAB Dae Date/Time Frame Payment Information Task Taslc/Activity/Description Deliverables/Outcomes and/or Amount Number Standards/Measures Reports must only reflect activities paid Ensure client data is collected on all children for with funds provided served by CSHCN contractors,including in this statement of neurodevelopmental centers,regional work for the specified maxillofacial coordinators,and the DOH funding period. Newborn Screening Program. Submit completed Health Services 30 days after forms are 4b Administer requested DOH Diagnostic and Authorization forms and Central completed. See Program Specific Treatment funds for infants and children per Requirements and CSHCN Program Manual when funds are Treatment Fund requests directly to the CSHCN Program as needed. Special Billing used. Requirements. 4c Participate in the CSHCN Regional System Submit Action Plan monthly reports Monthly,on or before q including number of regional the 15a'of the following and quarterly meetings as described in the CSHCN Program Manual. meetings attended to the DOH month contract manager. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how programa 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 orp-/M content/uploads/PHAB-Standards-and-Measures-Version-1.O.pdf Program Specific Requirements/Narrative Special Requirements Federal Funding Accountability and Transparencv Act(FFATA) he Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act). This statement of work is supported by federal funds that require compliance with t 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 USA_pendiniz.gov by DOH as required by P.L. 109-282. Program Manual,Handbook,Policy References Children with Special Health Care Needs Manual-hiip://www.doh wa ov/Portals/1/Documents/Pubs/970-209-CSHCN-Manual,pdf Health Services Authorization(HSA)Form httR//www doh wa pov/Portals/l/Documents/Pubs/910-002-ApprovedHSA.docx Restrictions on Funds(what funds can be used for which activities,not direct payments,etc.) 1. At least 30%of federal Title V funds must be used for preventive and primary care services for children and at least 30%must be used services for children with special health care needs. [Social Security Law,Sec. 505(a)(3)]. Exhibit A,Statements of Work Page 9 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 2. Funds may not be used for: a. Inpatient services,other than inpatient services for children with special health care needs or high risk pregnant women and infants,and other patient services approved by Health Resources and Services Administration(HRSA). b. Cash payments to intended recipients of health services. c. The purchase or improvement of land,the purchase,construction,or permanent improvement of any building or other facility,or the purchase of major medical equipment. d. Meeting other federal matching funds requirements. e. Providing funds for research or training to any entity other than a public or nonprofit private entity. f. payment for any services furnished by a provider or entity who has been excluded under Title XVIII(Medicare),Title XIX(Medicaid),or Title XX(social services block grant).[Social Security Law,Sec 504(b)]. 3. If any charges are imposed for the provision of health services using Title V(MCH Block Grant)funds,such charges will be pursuant to a public schedule of charges;will not be imposed with respect to services provided to low income mothers or children;and will be adjusted to reflect the income,resources,and family size of the individual provided the services. [Social Security Law, Sec. 505 (1)(13)]. Monitoring Visits(frequency,type) Telephone calls with contract manager at least one every quarter,and annual site visit. Special Billing Requirements Payment is contingent upon DOH receipt and approval of all deliverables and an acceptable A19-1A invoice voucher. Payment to completely expend the"Total Consideration" for a specific funding period will not be processed until all deliverables are accepted and approved by DOH. Invoices must be submitted monthly by the 30th of each month following the month in which the expenditures were incurred and must be based on actual allowable program costs. Billing for services on a monthly fraction of the"Total Consideration"will not be accepted or approved. DOH Program Contact Mary Dussol Community Consultant Office of Family and Community Health Improvement Washington State Department of Health Street Address: 310 Israel Rd SE,Tumwater,WA 98501 Mailing Address: PO Box 47848,Olympia,WA 98504 Telephone: 360-236-3781 /Fax: 360-236-3646 Email: Mary.DussolAdoh.wa.gov Exhibit A, Statements of Work Page 10 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Exhibit A Statement of Work Contract Term: 2018-20207 DOH Program Name or Title: NEP SSI Onsite Sewage Management- Local Health Jurisdiction Name: Mason County Public Health Effective January 1,2018 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment ®Federal Subrecipient (check if applicable) ® Reimbursement Period of Performance: January 1,2018 through March 31,2019 ❑ State ®FFATA(Transparency Act) ❑Fixed Price ❑ Other ❑ Research&Development Statement of Work Purpose: The purpose of this statement of work is for Mason County Public Health(MCPH)to protect public health by minimizing the public's effects of onsite septic systems(OSS)on surface water,assure effective treatment and disposal of sewage on a long-term basis,minimize potential for public exposure to sewage,uphold and comply with design, installation,and management requirements for OSS to accommodate effective treatment and disposal of sewage on a long term basis,and enhance protection of environmentally sensitive areas within the Oakland Bay and Hammersley Inlet shellfish growing areas. Mason County Public Health(MCPH)will employ previously successful tools used by the health department such as following up on unsatisfactory service events and complaints,creating as-builts to complete records,completing parcel surveys,offering monitary operation and maintenance(O&M)incentives,notifying OSS owners of an overdue O&M status and educating the public about O&M and water quality.MCPH will identify and correct non-point source pollution sources by conducting a monitoring program for optical brighteners.MCPH will also prioritize for the emergency closure growing area of Hammersley Inlet to implement OSS regulation and increase O&M compliance.MCPH will develop,enhance,and review risk-based protocols to support the work. Mason County Public Health(MCPH)will work with the Washington Department of Health(DOH)to develop and implement a risk based on-site sewage system evaluation program within the Hammersley Inlet area. The program will employ previously successful tools used by the health department such as file review,parcel evaluations,sampling(fecal coliform and optical brightener),dye studies,notifying homeowners of overdue O&M evaluations,offering O&M incentives,and educating the public about O&M and water quality. Mason County Public Health will focus primarily on the Hammersley Inlet shoreline and upland area. Outreach and education activities will also occur in the Oakland Bay watershed including Uncle John's Creek which feeds Oakland Bay's Chapman Cove. NOTE: This statement of work(SOW)carries forward incomplete tasks and unspent funds from the 2015-2017 consolidated contract SOW.Total spending between the two SOWs may not exceed the total award amount of$202,407.There are multiple funding sources for this award.See Special Instructions for spending requirements from each funding source. NOTE 2: Dates that precede January 1,2018 are for reference only. Revision Purpose: The purpose of this revision is to bring the contract budget into alignment with current spending Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Increase(+) Consideration Code Code Start Date End Date NEP 5-6 ONSITE SEWAGE MANAGEMENT 66.123 333.66.12 261Al2A5 01/01/18 03/31/19 74,426 10,904 85,330 PS SSI 1-5 OSS TASK 4 66.123 333.66.12 261KI209 01/01/18 1 03/31/19 99,878 -13,337 86,541 TOTALS 174,304 -2,433 171,871 GOALS&MEASURABLE OBJECTIVES This simply summarizes key deliverables and measures called out in the tasks below. This table is a component of the FEATS report. Exhibit A, Statements of Work Page 11 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Units Targets Description(e.g.,"shellfish beds reopened") (e.g."acres") ("number") Complete Task 0.3 Evaluation Plan Evaluation Plan 1 Complete Task 1.1 Project Factsheet Project Factsheet 1 Change the status of 19 parcel closures from Closed to Open in the growing area of Hammersley Parcel Open 19 Inlet Growing Area QAPP QAPP 1 Optical Brightener Policy&Procedure Plan 1 Risk Based On-Site Sewage System Evaluation Policy&Procedure Plan 1 Updated OSS Dye Testing Policy&Procedure Plan I Fecal coliform monitoring plan Plan 1 Number of 14ammersley Inlet fecal coliform samples collected Samples 600 Number of Hammersley Inlet Optical Brighteners(OB)pads analyzed by Mason County Public OB pads analyzed(MCPH) 600 Health(MCPH) Number of Hammersley Inlet Optical Brighteners(OB)pads analyzed by Ozark Underground OB pads analyzed(OUL) 60 Laboratory OUL Number of sanitary surveys conducted in Hammersley Inlet Sanitary Surveys Up to 10 200 Investigative fecal coliform monitoring Samples Up to 30 Risk based list of parcels for field evaluation in Hammersley Inlet List 1 Risk based list of parcels requiring OSS dye studies. List 1 Number of dye tests conducted in Hammersley Inlet Dye Tests 100%of parcels identified to be dye tested Number or percentage of OSS failures found that have been fixed OSS Failures repaired or in 100% repair process Number of OSS Rebates distributed Rebates 100 Oakland Bay Day EDDM for DOH approval Mailer I Number of Oakland Bay Day Mailers went in 2018 EDDMs sent Up to 12,000 Number of Oakland Bay Day Mailers went in 2019 EDDMs sent Up to 12,000 Oakland Bay overdue O&M educational mailings Mailings Up to 80 Mailer for community meeting for DOH approval Mailer - 1 Final Project Report Report 1 Exhibit A, Statements of Work Page 12 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Task *May Support PHAB Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Due bate/Time Frame Information and/or Amount NEP ONSITE SEWAGE MANAGEMENT ROUNDS 5-6—CFDA 66.123 THESE FUNDS MUST BE SPENT FIRST. Costs for activities charged to this grant will not exceed$74,426. All A19-IA invoice vouchers for these expenditures will be billed to NEP 5-6 ONSITE SEWAGE MANAGEMENT(Master Index Code 261Al2A5). FEATS,MBE/WBE,and any other reporting for activities conducted under Cooperative Agreement#OOJ88801 and will reference this agreement number. See Special Instructions for applicable federal Terms and Conditions for this agreement. I NEP SHELLFISH STRATEGIC INITIATIVE ONSITE SEWAGE MANAGEMENT—CFDA 66.123 THESE FUNDS CAN ONLY BE SPENT AFTER ALL NEP OSS ROUNDS 5-6 FUNDS ARE SPENT. Costs for activities charged to this grant will not exceed$99,878. All A19-1A invoice vouchers for these expenditures will be billed to PS SSI 1-5 TASI{4(Master Index Code 261K1204).FEATS,MBE/WBE,and any other reporting for activities conducted under Cooperative Agreement#OOJ18001 and will reference this agreement number. See Special Instructions for applicable federal Terms and Conditions for this agreement. TASK 0. PROJECT DEVELOPMENT This task must be completed before initiating any other work under this subaward. Work completed prior to the completion of Task 0 will be ineligible for reimbursement under this subaward. 0.1 Project Spatial Data and Climate Change Project Spatial Data and September 15,2017 Reimbursement Assessment Climate Assessment up to$0 based In the tasks below subrecipients will create a on actual costs. detailed project outline and timeline to describe This was included as project expectations and outcomes. The detailed informational only for contract project plan will also identify how the negotiations,not intended to objectives of the project will be evaluated, stay in contract. including quantifiable performance measures and targets.DOH will review project to see if actions may have climate change intersections. If there is a strong climate change interconnections,DOH will work with the subrecipient on how the project may be developed to be climate resilient. DOH will work with the subrecipient on the plan and establish mutual expectations. Subrecipients should provide relevant spatial data for their project,and this should be identified in the detailed project plan. Subrecipients should consult with technical staff andspatial analysts where appropriate to Exhibit A, Statements of Work Page 13 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT 42 determine the spatial data,associated metadata, and data storage location that are relevant for the project.All subrecipients should submit project coordinates(latitude,longitude)in decimal degrees. 0.2 Quality Assurance Project Plan(QAPP) QAPP Within 60 days of award Development Subrecipient will submit a Quality Assurance MCPH will work with ICitsap Project Plan(QAPP)or QAPP waiver using Public Health District,Hood Environmental Protection Agency's(EPA's) Canal Coordinating Council, National Estuary Program(NEP)guidance for Island County Public Health, QAPPs.If a QAPP is required,subrecipients and Department of Ecology will work with the Washington State (ECY)to develop an approved Department of Ecology's QA Officer to develop QAPP• and approve the QAPP.Work related to collecting environmental data may not begin until the QAPP or waivers are completed and approved. See EPA Programmatic Condition#5 in this agreement for more information. 0.3 Evaluation Plan Complete a short one-page Within 30 days of award document.Use it to plan the process your program will use to gather information or collect data. Following the project,.it will be used to assist in describing what the outcome results tell you about the impact and success of your program activities. TASK 1.PROJECT MANAGEMENT AND REPORTING This task describes the data collection and reporting requirements associated with this subaward. Maintenance of project records,submittal of payment vouchers,fiscal forms, and progress reports;compliance with applicable procurement,contracting and interlocal agreement requirements;application for,receipt of,and compliance with all required permits,licenses,easements,or property rights necessary for the project and submittal of required performance items. Carry out project in accordance with any completion dates outlined in the agreement.Refer to and comply with all underlying federal terms and conditions. 1.1 Project Factsheet Project Fact Sheet August 30,2017 Reimbursement Create a project factsheet(using included basedupt $d onn actual template)and submit it in MS Word with the bact costs. first quarterly progress report. 1.2 Bi-monthly(ConCon invoices are due every Bi-monthly invoice and project Due annually: 60 days)Invoicing and Progress Summary summaries. The subrecipient will email bi-monthly progress June summary and invoicing related to project tasks FEATS will serve as project Augusstt 15 and deliverables to the contract manager.The summary for performance October 1 (FEATS) summaryperiod is synced to inform the Grant periods that fall on or near De ember 15 Exhibit A,Statements of Work Page 14 of 38 Contract Number CLH18253.-2 Revised as of March 15,2018 AMENDMENT#2 Program's EPA reporting schedule;therefore it FEATS due dates. See FEATS March 15 (FEATS) is critical that the Project Sponsor submit these schedule in Task 1.2.1. summaries to the Grant Program according to the following schedule.Progress Summaries Annual Performance Periods shall include,at a minimum: • A description of the work completed in the First Period: last performance period, including total January 1 —February spending by the project sponsor and any partners and any completed deliverables. Second Period: • The status and completion date for the March—April(FEATS) project activities and near-term deliverables. Third Period: • Description of any problem or May—June 30 circumstances affecting the completion date,scope of work,or costs. Fourth Period: • Evidence that all the reporting requirements July 1 —August have been satisfactorily completed(see below). Fifth Period: September—October(FEATS) Sixth Period: November—December 1.2.1 Financial and Ecosystem Accounting Tracking Semi-annual FEATS reports April 1 System(FEATS) October 1 Complete semi-annual FEATS progress reports, FEATS will serve as project as well as a final FEATS report.The final summary for performance And upon contract completion FEATS report,reflecting the final project periods that fall on or near billing,will be provided during project closeout, FEATS due dates. See FEATS after the end of the grant,and will describe the schedule in Task 1.2.1. entire project,highlighting project outcomes and discussing lessons learned. See EPA Pro ammatic Condition#1. 1.2.2 Puget Sound Partnership Required Near- 1. Implementation Status 1: March 31-April 28,2017 Term Actions(NTA)Reporting November 1-30,2017 NTA owners are required to report on the May 1-31,2018 following: Upon project/NTA • Implementation status of their actions on a completion or semiannual basis November 2018 • Financial status of their actions on an annual basis 2. Financial Status 2.: June 30-August 15,2017 June 29-August 13,2018 Upon project/NTA completion or August 2019 Exhibit A, Statements of Work Page 15 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 1.2.3 Women/Minority-Owned Business MBE/WBE Reporting October 15 annually (MBE/WBE)Reports MBE/WBE reporting is required annually. This And upon project completion federal reporting is required for assistance agreements where there are funds budgeted for procuring construction,equipment,services and supplies,including funds budgeted for direct procurement by the recipient or procurement under subawards or loans in the"Other" category that exceed the threshold amount of $150,000, including amendments and/or modifications. 1.3 Final Project Report Final Report and updated Fact Upon project completion A final report will be written by the project Sheet owners that describes the methods,results, lessons learned and recommendations for future work. The final report will evaluate the success of achieving the performance measures identified in the detailed project plan. Included with the final project report will be an updated Project Fact Sheet see 1.1 . TASK 2. POLICY DEVELOPMENT AND REVIEW MCPH will develop a policy and procedure that will be used in the implementation of a sampling plan to include the analysis of optical brighteners. In addition,MCPH will develops and implements a risk based analysis of all OSS along the shoreline of Hammersley Inlet to assure the systems are functioning properly and not impacting surface water.Policies and procedures,using existing practices in Mason and other counties,will be developed. 2.1 OB Policy&Procedure a)QAPP or QAPP addendum a-b)Within 60 days of award Reimbursement MCPH will evaluate,develop,and complete a up to$0 based policy and procedure for OB sampling,analysis, b)Policy and procedure for OB on actual costs. and regulatory implication.MCPH will provide sampling reviewed by DOH a copy to DOH for review and approval. 2.2 Risk Based OSS Evaluation Procedure Development of a risk based Final procedure to DOH by MCPH,in cooperation with DOH,will develop OSS evaluation procedure September 30,2017 a risk based OSS evaluation procedure.The reviewed by DOH. procedure will assess the risk of individual OSS and the potential for impact to surface water. The procedure will assign high,medium,and low tiers with the intent of implementing field- based OSS evaluations and dye studies based on the assigned tier. 2.3 OSS Dye Study Protocol&Procedure a)Evaluation of the current a-b)Final procedure to DOH by Reevaluation OSS dye study protocols and October 31,2017 MCPH,in cooperation with DOH,will evaluate procedures,in cooperation with the county's current OSS dye study protocols DOH Exhibit A, Statements of Work Page 16 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT 42 and procedures.Protocols will be updated,as necessary,based on current conditions and study protocols current OSS dye evaluation techniques. stud rotocols and rocedures TASK 3. SHORELINE MONITORING AND"HOT SPOT"IDENTIFICATION Hammersley Inlet is a shallow,narrow tidal channel connecting Oakland Bay with the main body of southern Puget Sound.The inlet is approximately 6.5 miles in length and 0.13 mile wide.The entire watershed is approximately 36.5 square miles,most of which is along the southern shoreline. There are approximately 175 small creeks,drainages, culverts,and seeps exist along the shorelines of the Inlet. This study will target a minimum of 50 drainages with historically elevated bacteria levels or located near significant upland development. MCPH will use the policies and procedures developed in Task 2 to conduct a pilot project to monitor for optical brighteners(OB)and fecal coliform(FC). Optical brighteners are fluorescent dyes found in most laundry detergents. Since adsorption is critical in the performance of on-site sewage systems(OSS),the presence of OB in surface water may indicate ineffective OSS treatment. Monitoring for OB will help differentiate the source of elevated fecal coliform bacteria levels currently and previously identified in upland drainages. MCPH will work with DOH to develop the sampling plan. General direction of the sampling will include drainage and discharge analysis during both the"wet"and"dry" seasons of the study period. The period of October through April will be considered the"wet"season while May through September will be considered the"dry"season. OB cotton pads will be installed at each site during portions of the evaluation period. Sites will be evaluated for a four week period during both"wet"and"dry"seasons. During these evaluation periods,cotton pads will be replaced each week. Flow measurements and FC samples will be collected when the cotton pads are replaced. Additional FC and OB sampling may be used to investigate and segment drainages with positive OB detections or elevated FC concentrations. Sampling and analysis activities will be performed according the plans and policies developed for the study. MCPH will analyze OB pads under a long wavelength ultraviolet(365 nm)light in-house and verify the results of approximately 10%of the samples at Ozarlc Underground Laborato Fecal coliform samples will be analyzed at a certified laboratoryoutside Mason County. All results will be rovided to 1SOH. Reimbursement 3.1 OB&Fecal Coliform Sampling a)OB and FC monitoring plan May 31,2019 roved b DOH up to$41,806 a MCPH will conduct fresh water monitoring ata pp y based on actual minimum of 50 drainages to Hammersley Inlet OB costs. t 60 to identify the presence of optical brighteners b)Number and results (OB). Sampling at each drainage will occur one cotton sample pads(up to 600) time during the predefined"wet"and"dry" analyzed by MCPH seasons.All OB pads will be analyzed in-house according to developed and approved c) Number and results of OB procedures.Ten percent of the pads will be cotton sample pads analyzed by analyzed by Ozark Underground Laboratory for' Ozark Underground Laboratory QA/QC. Simultaneously,the selected drainages (up to 60 for QA/QC) will be monitored for fecal coliform bacteria. Number and results of fecal Fecal coliform d samples will be analyzed by a ) certified laboratory.MCPH will develop a coliform monitoring samples. sampling plan in cooperation with DOH. (Up to 600 samples collected by MCPH) e)Number of drainages evaluated along the shorelines of Hammersley Inlet. (A minimum of 50 drainages evaluated. Exhibit A,Statements of Work Page 17 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 TASK 4: RISK BASED EVALUATION OF ON-SITE SEWAGE SYSTEMS(OSS) According to a 2016 shoreline survey completed by DOH,there are approximately 350 developed parcels along the Hammersley inlet shorelines using OSS for wastewater treatment and dispersal. Land use is a mix of residential,timber,and agricultural lands with residential development along the fresh and marine water shorelines.Ninety-eight percent of these sites were single family use sites with 60%considered to be full time residential sites. Fifty-eight percent of the OSS used gravity distribution for dispersal of effluent and 43%of the systems were greater than 30 years old.To identify impacts from OSS inte shellfish growing areas MCPH will complete an OSS risk based evaluation along Hammersley Inlet. 4.1 OSS Record Search a) In-house record search a) Ongoing. Reimbursement MCPH will complete an OSS record search for and data evaluation for a up to$90,000 all systems along the Hammersley Inlet minimum of 350 First record search due based on actual shoreline. A risk based analysis will be shoreline parcels October 31,2017. costs. completed using the data collected and summarized to prioritize field based analysis. b) Development of a risk b) September 30,2018 This will be a working document that will be based list of parcels for continually revised and updated. field evaluation 4.2 OSS Field Evaluations a)Number of field parcel a) Field evaluation of 100 MCPH will complete"wet'season field surveys.Conduct a minimum of parcels by April 2018 evaluations using the procedures identified in the 200 field parcel surveys in the OSS field evaluation portion of the performance work area. plan outline in Task 2. b)Development of a risk based b) Field evaluation of 100 list of parcels requiring OSS parcels by April 2019 dye studies. c)Summarize number and c) See Task 1. results Deliverables/Outcomes and other progress indicators utilizing DOH Pollution Identification and Correction Implementation Reporting form quarterly. Attach reports to each FEATS report. The final quarterly report will have the cumulative total for the entire project period. 4.3 OSS Dye Testing a) Number of OSS dye tests a) OSS dye test of 3038% MCPH will complete dye tests of the OSS of completed. A target of parcels by April 2018 concern identified in Task 4.2 using approved 100%of OSS identified dye testing methodologies. in the risk analysis will be OSS dye test of 100%of dye tested. parcels April 2019 b) Number of OSS b) April 2019 deficiencies/failures identified Exhibit A,Statements of Work Page 18 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 c) Summarize number and c) See Task 1. results Deliverables/Outcomes and other progress indicators utilizing DOH Pollution Identification and Correction Implementation Reporting form quarterly. Attach reports to each FEATS report. The final quarterly report will have the cumulative total for the entire pr9ject period. 4.4 OB Positive"Hot Spot"OSS Follow up a) Completed record a) Record search and field MCPH will follow up on positive OB and fecal searches for developed evaluations completed for coliform results identified in Task 3 by parcels near OB postive first"wet'season by Jule completing OSS record searches for those parcels drainages within 30 days 2018 in the vicinity of the implicated drainages.Risk of positive sampling based field evaluation and dye tests shall be results. completed according to the perfer-Enanee plan b) Completed risk based b) Record search and field risk-based OSS evluation procedure outlined in field evaluations of evaluations completed for Task 2. developed parcels near second"wet'season by OB positive drainages May 2019 within 15 days of record search c) Completed risk based c) OSS dye studies completd OSS dye studies of by May 2019 developed parcels near OB positive drainages. d) Up to 30 investigative FC d) May 2019 samples and results. TASK 5. STUDY EDUCATION AND OUTREACH As a member of Mason ECO Net,MCPH will help plan and participate in Oakland Bay Day. Oakland Bay Day is hosted by Mason ECO Net to educate the community about water quality.Mason County will have an educational booth educating attendees about OSS maintenance and regulation and water quality.MCPH will provide twelve thousand (12,000)every door direct mailings(EDDM)to the residents and landowners in the Oakland Bay MRA to encourage attendance. MCPH will educate the shoreline OSS owners within the Hammersley Inlet emergency closure area with an out of date O&M status about their maintenance status and ways to move into compliance.These informational mailings will occur four(4)times throughout the project:The number of mailings will depend on the-number of shoreline OSS out of compliance at the time of the mailing. One hundred(100)rebates will be offered first come,first served to incentivize OSS maintenance.A$200 rebate will be offered for O&M or pumping.A second$200 rebate will be offered for the installation of risers or an effluent filter.MCPH will prioritize the rebates first to the OSS owners in the Hammersley Inlet and then to the general MRA where appropriate.Within each priority area MCPH will offer rebates to OSS with no O&M or out-of-date O&M. Exhibit A, Statements of Work Page 19 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 MCPH will inform all residents and landowners in the Hammersley Inlet study area,via direct mailing,of the project described in Tasks 2-3 before work starts. The mailing will inform owners of the pending project,the importance of OSS operation and maintenance,and the time,date,and location of the scheduled community-based meeting.At project com letion,findings will be available for landowner review. a) 5.1 Oakland Bay Days Copy of the direct mailing. a) May 30,2018 Reimbursement Draft mailer materials May 30,2019 up to 537,89 MCPH will coordinate and participate in Oakland Bay Day 2018 and 2019 by providing will review sent to DOH staff on act 2 Uaost water quality and onsite information at an for review on actual costs. educational booth. U) Number of mailings. b) June 30,2018 MCPH will send 12,000 EDDM mailings to 12,009 10,000 mailings inform and invite residents and landowners of for 2018 the Oakland Bay MRA to Oakland Bay Day to c) June 30,2019 c Number of mailings. help increase attendance and to track the ) effectiveness of EDDM for educational events. 12,00 10,000 0 mailings for 2019 d) July 2018 July 2019 d) Coordinate and participate in Oakland Bay Day e) Upon project completion e) Number of Oakland Bay Day 2018 and 2019 attendees who heard about the event through the mailings.MCPH will report outcomes in FEATS. 5.2 Oakland Bay OSS O&M Educational Mailings up to eighty(80) a)October 2017 Mailings shoreline and upland OSS owners within Oakland Bay b)April 2018 MCPH will inform all shorelines OSS owners with out of date operation and within the Oakland Bay Shellfish Growing Area maintenance compliance. c)October 2018 with out of date OSS of O&M status and next steps for O&M compliance and rebate d)April 2019 information.There will be four 4 mailings. a)Provide up to one hundred a)April 30,2019 5.3 OSS Rebates Incentives will be offered to OSS owners within (100)rebates the Oakland Bay and Hammersley shellfish growing areas in the form of rebates.Applicants will be required to submit their paid invoices with the proper paperwork to receive the rebate. A$200 rebate will be offered for either maintenance or pumping.A second$200 rebate will be offered to install risers and or effluent filter.If a homeowner self-installs risers or an effluent filter,MCPH will conduct a site visit to Exhibit A,Statements of Work Page 20 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 inspect the construction.Each interested household will be eligible for both rebates with the maximum amount of$400 per household. MCPH will-offer rebates exclusively to Hammersley Inlet OSS owners until April 2018. After April 2018,the rebates offered are first come,first served. Within each priority area MCPH will offer rebates to OSS with no O&M and out of date O&M.MCPH will offer incentives to individuals as well as targeted areas. 5.4 Hammersley Inlet Study Education& Outreach 5.4.1 MCPH will inform all Hammersley Inlet a)Copy of the mailing. Draft a-b)September 2017 shoreline residents and landowners in the study mailer materials will be sent to area,via direct mailing,of the project before DOH staff for review. work starts. The mailing will inform owners of the pending project,the importance of OSS b)Date and number of mailings operation and maintenance,and the time,date, sent(up to 400). and location of the scheduled community-based meeting. At project completion,findings will be available for landowner review. 5.4.2 MCPH will hold one community-based meeting a)Report showing agenda, a) November 2017 to inform the shoreline OSS owners,and other time,date,location and interested parties,of the upcoming ro'ect. estimated number of attendees. TASK 6.BROADER IMPACTS AND COMMUNICATION ent MCPH will participate in and present project outcomes at a knowledge exchange event relevant to the project topic(conference,forum,stakeholder workshop).The subreciotos will submit high-quality project photos or video clips of the project(process,progress,etc.).MCPH will ensure anyone in the photo or video has signed a release in case photos or videos are used for future publications. 6.1 Submit high-quality project photos or videos. a) Photos a) Upon completion of project Reimbursement up to$0 based Participate in and present project outcomes at a yi b) MCPH will create a poster b) November 2018 or on actual costs. knowledge exchange event relevant to the 4 displaying their results June 2019 depending on project topic. and discussion. workshop schedule c) Draft materials will be c) Upon completion of project sent to DOH staff for review. MCPH will present and display their poster at the South Sound Science Symposium in Exhibit A,Statements of Work Page 21 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 September 2019 after the close of the grant. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at: hgp://www.phaboard.or,(wp-content/uploads/PHAB-Standards-and-Measures-Version-1.O.pdf BUDGET Category Amount Personnel/Salaries $72,734 Fringe Benefits $41,633 Travel $0 Equipment (federal definition) $0 Supplies $750 Contracts $20,500 Lab Services Subawards $0 Name and amount ea. Other • Rebates $22,197$24,63 • Postage • EDDM Mailings Total Direct Charges $157,814$P60;� Indirect Charges $14,057 (federally approved rate TOTAL $171,871$194;384 Proeram Specific Reg uirem ents/Na rrative Special Requirements Federal Fundine Accountability and Transparency Act(FFATA) This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Data Universal Numbering System(DUNS®)number. Information about the LHJ and this statement of work will be made available on USASpending:gov by DOH as required by P.L. 109-282. Exhibit A,Statements of Work Page 22 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Program Manual,Handbook,Policy References Mason County's On-site Sewage System Management Plan,December 5,2007 Special References(RCWs,WACs,etc.) WAC 246-272A,RCW 70.118A,Puget Sound Action Agenda,Interim PIC Program Protocols Federal funds from the Environmental Protection Agency(EPA)National Estuary Program(NEP)Account must be used to implement elements and activities of the local on-site sewage management plans that do not conflict with and are consistent with the goals,strategies,objectives,and actions of the Puget Sound Action Agenda. Monitoring Visits(frequency,type) The DOH program contact may conduct at least one(1)monitoring visit during the life of this project.The type,duration,and timing of visit will be determined and scheduled in cooperation with the subawardee.The DOH Fiscal Monitoring Unit may conduct at least one(1)fiscal monitoring visit during the life of this project. Special Instructions "Unexpended funds,tasks,and deliverables in this statement of work that are not completed by December 31,2017 will be reauthorized for work in 2018 in anew statement of work under the new consolidated contract term beginning January 1,2018.Total spending between the 2015-2017 and 2018-2020 SOWs may not exceed$202,427(award total)." Progress reports are due to DOH via email to tracy.farrell@doh.wa.gov,,Kirsten.weinmeister a,doh.1va.gov and megan.schell@doh.wa.gov on the following dates: March 1,2018, September 1,2018,and upon contract completion. Minority and Women-Owned business Reporting is due to kristy.warner a,doh.wa.goy and cc: tracy.farrell@doh.wa.gov, Kirsten.weinmeister@doh.wa.gov and megan.schell ,doh.wa.gov on the following dates: October 15 annually,and upon contract completion. All environmental data must be entered by the LHJ into EPA's Storage and Retrieval data system(STORET)at http://www.epa.gov/STORET.The semi-annual report format and data reporting requirements will be provided by DOH and may be modified throughout the contract period via email announcement. "Note: Deliverables and due dates after December 31,2017 are included in this statement of work for informational purposes only and will be included in a new statement of work under the new consolidated contract term beginning January 1,2018. Program Specific Req uirements/Narrative The following provisions are the pass-thru requirements of all U.S.EPA-DOH subawards funded under cooperative agreement PCO IJ18001-0. Administrative Conditions 1. General Terms and Conditions-Effective March 29,2016 The subrecipient agrees to comply with the current EPA general terms and conditions available at: https•//www epa gov/grants/epa-general-terms-and-conditions-effective- march-29-2016-or-later.These terms and conditions are in addition to the assurances and certifications made as part of the award and terms,conditions or restrictions cited below. The EPA repository for the general terms and conditions by year can be found at:https•//www epa gov/ rg ants/grant-terms-and-conditions#general 2. General Terms and Conditions-Consultant Cap-Additional Information In addition to the General Terms and Conditions#6"Consultant Cap",as of January 1,2016,the limit is$614.48 per day$76.81 per hour. NOTE:For future years'limits,the subrecipient may find the annual salary for Level IV of the Executive Schedule on the following Internet site: hqp://www.opm. og v/oca. Select"Salary and Wages",and select"Rates of Pay for the Executive Schedule".The annual salary is divided by 2087 hours to determine the maximum hourly rate,which is then multiplied by 8 to determine the maximum daily rate. 3. General Terms and Conditions—Cybersecurity The subrecipient agrees to comply with the current EPA general terms and conditions"Cybersecurity". The terms and conditions can be found on the EPA Grants Terms and Conditions Website. For STATE:haps•//www epa gov/grants/state- rg ant-cybersecurity-condition For TRIBE:hiips•//www epa pov/grants/tribal-grant-cybersecuriiy-condition Exhibit A, Statements of Work Page 23 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 For Other Recipients: hiip://www2.epa.gov/sites/production/files/2015-07/documents/cybersecurityuantconditionforotherr ecipients.pdf. 4. General Terms and Conditions-Indirect Costs for States and Tribal The cost principles of 2 CFR 200 Subpart E are applicable,as appropriate,to this subaward. In addition to the General Terms and Conditions "Indirect Cost Rate Agreements", if the subrecipient does not have a previously established indirect cost rate,it agrees to prepare and submit its indirect cost rate proposal in accordance with 2 CFR 200 Appendix VII. For State Aaencies The subrecipient must send its proposal to its cognizant federal agency within six(6)months after the close of the governmental unit's fiscal year. If EPA is the cognizant federal agency,the state subrecipient must send its indirect cost rate proposal within six(6)months after the close of the governmental unit's fiscal year to: Regular Mail Financial Analysis and Rate Negotiation Service Center Office of Acquisition Management U.S.Environmental Protection Agency 1200 Pennsylvania Avenue,NW,MC 3802R Washington,DC 20460 Mail Courier(e.g.FedEx,UPS,etc.) Financial Analysis and Rate Negotiation Service Center Office of Acquisition Management US Environmental Protection Agency 1300 Pennsylvania Avenue,NW,6th floor Bid and Proposal Room Number 61107 Washington,DC 20004 For Indian Tribe If the subrecipient does not have a previously established indirect cost rate,the subrecipient must submit their indirect cost rate proposals to: National Business Center Indirect Cost Services U.S.Department of the Interior 2180 Harvard Street, Suite 430 Sacramento,CA 95815-3317 The subrecipient agrees to comply with the audit requirements in accordance with 2 CFR 200 Subpart F. 5. Utilization of Small,Minority and Women's Business Enterprises(MBE/WBE) General Compliance,40 CFR,Part 33 The subrecipient agrees to comply with the requirements of EPA's Disadvantaged Business Enterprise(DBE)Program for procurement activities under assistance agreements, contained in 40 CFR,Part 33. MBE/WBE Reporting,40 CFR,Part 33,Subpart E MBE/WBE reporting is required in annual reports.Reporting is required for assistance agreements where there are funds budgeted for procuring construction,equipment, services and supplies,including funds budgeted for direct procurement by the subrecipient or procurement under subawards or loans in the"Other"category that exceed the threshold amount of$150,000.,including amendments and/or modifications. Based on EPA's review of the planned budget,this award meets the conditions above and is subject to the Disadvantaged Business Enterprise(DBE)Program reporting requirements. However, if subrecipient believes this award does not meet these conditions,the subrecipient must provide a justification and budget detail within 21 days of the award date clearly demonstrating that,based on the planned budget,this award is not subject to the DBE reporting requirements to the Region 10 DBE Coordinator. The subrecipient agrees to complete and submit a"MBE/WBE Utilization Under Federal Grants,Cooperative Agreements and Interagency Agreements"report(EPA Form 5700-52A)on an annual basis.All procurement actions are reportable,not just that portion which exceeds$150,000. Exhibit A, Statements of Work Page 24 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 When completing the annual report,subrecipients are instructed to check the box titled"annual"in section IB of the form.For the final report,subrecipients are instructed to check the box indicated for the"last report"of the project in section IB of the form. Annual reports are due by October 30'of each year.Final reports are due by October 30"' or 90 days after the end of the project period,whichever comes first. The reporting requirement is based on total procurements. Subrecipients with expended and/or budgeted funds for procurement are required to report annually whether the planned procurements take place during the reporting period or not. If no budgeted procurements take place during the reporting period,the subrecipient should check the box in section 5B when completing the form. The current EPA Form 5700-52A can be found at the EPA Office of Small Business Program's Home Page at http•//www epa gov/osbp/dbereportin lg itm. This provision represents an approved deviation fiom the MBE/WBE reporting requirements as described in 40 CFR,Part 33, Section 33.502;however,the other requirements outlined in 40 CFR Part 33 remain in effect,including the Good Faith Effort requirements as described in 40 CFR Part 33 Subpart C,and Fair Share Objectives negotiation as described in 40 CFR Part 33 Subpart D and explained below. Six Good Faith Efforts,40 CFR,Part 33,Subpart C Pursuant to 40 CFR,Section 33.301,the subrecipient agrees to make the following good faith efforts whenever procuring construction,equipment,services and supplies under an EPA financial assistance agreement,and to require that sub-subrecipients,loan subrecipients,and prime contractors also comply. Records documenting compliance with the six good faith efforts shall be retained: (a) Ensure DBEs are made aware of contracting opportunities to the fullest extent practicable through outreach and recruitment activities. For Indian Tribal, State and Local and Government subrecipients,this will include placing DBEs on solicitation lists and soliciting them whenever they are potential sources. (b) Make information on forthcoming opportunities available to DBEs and arrange time frames for contracts and establish delivery schedules,where the requirements permit, in a way that encourages and facilitates participation by DBEs in the competitive process.This includes,whenever possible,posting solicitations for bids or proposals for a minimum of 30 calendar days before the bid or proposal closing date. (c) Consider in the contracting process whether firms competing for large contracts could subcontract with DBEs.For Indian Tribal, State and local Government subrecipients,this will include dividing total requirements when economically feasible into smaller tasks or quantities to permit maximum participation by DBEs in the competitive process. (d) Encourage contracting with a consortium of DBEs when a contract is too large for one of these firms to handle individually. (e) Use the services and assistance of the SBA and the Minority Business Development Agency of the Department of Commerce. (f) If the prime contractor awards subcontracts,require the prime contractor to take the steps in paragraphs(a)through(e)of this section. Contract Administration Provisions,40 CFR,Section 33.302 The subrecipient agrees to comply with the contract administration provisions of 40 CFR, Section 33.302. Bidders List,40 CFR,Section 33.501(b)and(c) Subrecipients of a Continuing Environmental Program Grant or other annual reporting grant,agree to create and maintain a bidders list. Subrecipients of an EPA financial assistance agreement to capitalize a revolving loan fund also agree to require entities receiving identified loans to create and maintain a bidders list if the subrecipient of the loan is subject to,or chooses to follow,competitive bidding requirements. Please see 40 CFR, Section 33.501 (b)and(c)for specific requirements and exemptions. Fair Share Objectives,40 CFR,Part 33,Subpart D (1) For Grant Awards$250,000 or Less This assistance agreement is a Technical Assistance Grant(TAG);or the award amount is$250,000 or less;or the total dollar amount of all of the subrecipient's financial assistance agreements from EPA in the current Federal fiscal year is$250,000 or less.Therefore,the subrecipient of this assistance agreement is exempt from the fair share objective requirements of 40 CFR,Part 33,Subpart D,and is not required to negotiate fair share objectives/goals for the utilization of MBE/WBEs in its procurements. Exhibit A, Statements of Work Page 25 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 (2) For Subrecipients Accepting Goals A subrecipient must negotiate with the appropriate EPA award official,or his/her designee,fair share objectives for MBE and WBE participation in procurement under the financial assistance agreements. In accordance with 40 CFR, Section 33.411 some Subrecipients may be exempt from the fair share objectives requirements as described in 40 CFR,Part 33,Subpart D. Subrecipients should work with their DBE coordinator,if they think their organization may qualify for an exemption. Accepting the Fair Share Objectives/Goals of Another Subrecipient The dollar amount of this assistance agreement,or the total dollar amount of all of the subrecipient's financial assistance agreements in the current federal fiscal year from EPA is$250,000,or more.The subrecipient accepts the applicable MBE/WBE fair share objectives/goals negotiated with EPA.The Region 10 fair share objectives/goals can be found: hqp://www.epa.pov/osbp/pdfs/r I 0fairsharegoals.pdf. By signing this financial assistance agreement,the subrecipient is accepting the fair share objectives/goals and attests to the fact that it is purchasing the same or similar construction,supplies,services and equipment,in the same or similar relevant geographic buying market. Negotiating Fair Share Objectives/Goals,40 CFR,Section 33.404 The subrecipient has the option to negotiate its own MBE/WBE fair share objectives/goals. If the subrecipient wishes to negotiate its own MBE/WBE fair share objectives/goals,the subrecipient agrees to submit proposed MBE/WBE objectives/goals based on an availability analysis,or disparity study,of qualified MBEs and WBEs in their relevant geographic buying market for construction,services,supplies and equipment. The submission of proposed fair share goals with the supporting analysis or disparity study means that the subrecipient is not accepting the fair share objectives/goals of another subrecipient.The subrecipient agrees to submit proposed fair share objectives/goals,together with the supporting availability analysis or disparity study,to the Regional MBE/WBE Coordinator within 120 days of its acceptance of the financial assistance award.EPA will respond to the proposed fair share objective/goals within 30 days of receiving the submission. If proposed fair share objective/goals are not received within the 120 day time frame,the subrecipient may not expend its EPA funds for procurements until the proposed fair share objective/goals are submitted. (3) For Subrecipients with Established Goals The subrecipient must negotiate with the appropriate EPA award official,or his/her designee,fair share objectives for MBE and WBE participation in procurement under the financial assistance agreements. In accordance with 40 CFR, Section 33.411 some subrecipients may be exempt from the fair share objectives requirements described in 40 CFR,Part 33, Subpart D. Subrecipients should work with their DBE coordinator,if they think their organization may qualify for an exemption. Current Fair Share Objective/Goal The dollar amount of this assistance agreement or the total dollar amount of all of the subrecipient's financial assistance agreements in the current federal fiscal year from EPA is$250,000,or more.The Region 10 fair share objectives/goals can be found: litip://www.epa.pov/osbp/pdfs/rl Ofairsharegoals.pdf. Negotiating Fair Share Objectives/Goals In accordance with 40 CFR,Part 33,Subpart D,established goals/objectives remain in effect for three fiscal years unless there are significant changes to the data supporting the fair share objectives.The subrecipient is required to follow requirements as outlined in 40 CFR Part 33,Subpart D when renegotiating the fair share objectives/goals. (4) For DWSRF CWSRF and BROWNFIELDS RLF Subrecipients ONLY Objective/Goals of Loan Subrecipients As a subrecipient of an EPA financial assistance agreement to capitalize revolving loan funds,the subrecipient agrees to either apply its own fair share objectives negotiated with EPA to identified loans using a substantially similar relevant geographic market,or negotiate separate fair share objectives with its identified loan subrecipients.These separate objectives/goals must be based on demonstrable evidence of the availability of MBEs and WBEs in accordance with 40 CFR,Part 33, Subpart D. The subrecipient agrees that if procurements will occur over more than one year,the subrecipient may choose to apply the fair share objective in place either for the year in which the identified loan is awarded or for the year in which the procurement action occurs.The subrecipient must specify this choice in the financial assistance agreement,or incorporate it by reference therein. Exhibit A,Statements of Work Page 26 of 38 Contract Number CLHI8253-2 Revised as of March 15,2018 AMENDMENT#2 (5) R10 DBE Coordinator and Where to Send Report Andrea Bennett at(206)553-1789 or email: Bennett.Andrea@epa.gov. The coordinator can answer any MBE/WBE reporting questions you may have. MBE/WBE reports should be sent to the EPA Region 10,Grants and Interagency Agreements Unit, 1200 Sixth Avenue,Suite 900,OMP-173, Seattle,WA 98101 or FAX to (206)553-4957. Programmatic Conditions 1. Semi-Annual Performance Reports The subrecipient shall submit performance reports every six(6)months during the life of the project.Reports are due 30 calendar days after the end of each reporting period. Reports shall be submitted to the DOH Contract Manager and may be provided electronically. In accordance with 2 CFR 200.328,as appropriate,the subrecipient agrees to submit performance reports that include brief information on each of the following areas: (a) A comparison of actual accomplishments to the outputs/outcomes established in the assistance agreement work plan for the period; (b) The reasons why established goals were not met,if appropriate; (c) Additional pertinent information including,when appropriate,analysis and explanation of cost overruns or high unit costs. In addition to the semi-annual performance reports,the subrecipient shall immediately notify the DOH Contract Manager of developments that have a significant impact on the award-supported activities. As appropriate, the subrecipient agrees to inform the DOH Contract Manager as soon as problems, delays or adverse conditions become known which will materially impair the ability to meet the outputs/outcomes specified in the assistance agreement work plan. This notification shall include a statement of the action taken or contemplated,and any assistance needed to resolve the situation. The subrecipient will submit performance reports through EPA's Puget Sound Financial and Ecosystem Accounting Tracking System(FEATS).Reports are due at least 30 calendar days after the end of each reporting period. Earlier,but not later due dates may be mutually agreed upon by the Contract Manager and subrecipient in the award document.The reporting periods shall end March 31 st and September 30th of each calendar year.Reports shall be submitted to the DOH Contract Manager on the FEATS form provided by the Contract Manager and shall be submitted by electronic mail.The subrecipient agrees to submit performance reports that include brief information on each of the following areas: (a) A comparison of actual accomplishments to the outputs/outcomes established in the assistance agreement work plan for the period; (b) The reasons for slippages if established outputs/outcomes were not met; (c) Additional pertinent infonnation,including when appropriate,analysis and information of cost overruns or high unit costs. 2. Final Performance Report The subrecipient shall submit a final performance report through FEATS,which is due 90 calendar days after the expiration or termination of the award.The report shall be submitted to the DOH Contract Manager and must be provided electronically. The report shall generally contain the same information as in the periodic reports,but should cover the entire project period.After completion of the project,the DOH Contract Manager may waive the requirement for a final performance report if the DOH Contract Manager deems such a report is inappropriate or unnecessary. 3. Program Income-Addition If program income is generated,the subrecipient is required to account for program income related to this project. Program income earned during the project period shall be retained by the subrecipient and shall be added to funds committed to the project by EPA and the subrecipient,and shall be used to further eligible project objectives. 4. Recognition of EPA Funding Reports,documents,signage,videos,or other media,developed as part of projects funded by this assistance agreement shall contain the following statement: "This project has been funded wholly or in part by the United States Environmental Protection Agency under assistance agreement(number)to(subrecipient).The contents of this document do not necessarily reflect the views and policies of the Environmental Protection Agency,nor does mention of trade names or commercial products constitute endorsement or recommendation for use." Exhibit A,Statements of Work Page 27 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 5. Quality Assurance Requirements(2 CFR 1500.11)(if applicable) Acceptable Quality Assurance documentation must be submitted within 30 days of the acceptance of this agreement or another date as negotiated with the DOH Contract Manager and NEP Quality Assurance Coordinator.No work involving direct measurements or data generation,environmental modeling,compilation of data from literature or electronic media,and data supporting the design,construction,and operation of environmental technology shall be initiated under this project until the EPA Project Officer,in concert with the EPA Quality Assurance Manager,has approved the quality assurance document. Instructions to Submit Quality Assurance Documents for Review Please refer to The Department of Ecology's website at: http•//www ecv wa.yov/pro rag ms/eap/ga/docs/NEPOAPP/index.html for guidance and templates. Submit the Acceptable Quality Assurance documentation to Tom Gries at t r1461 @ecy.wa.gov(NEP Quality Assurance Coordinator)for review with a cc:to me an.schell ,doh.wa.gov and tracy.farrell(a-Moh.wa.gov(DOH NEP Contract Managers). Additional information on these requirements can be found at the EPA Office of Grants and Debarment website: hiip://www.epa.gov/opd/grants/assurance.htm. 6. Peer Review The results of this project may affect management decisions relating to Puget Sound.Prior to finalizing any significant technical products the Principal Investigator(PI)of this project must solicit advice,review and feedback from a technical review or advisory group consisting of relevant subject matter specialists.A record of comments and a brief description of how respective comments are addressed by the PI will be provided to the Project Monitor prior to releasing any final reports or products resulting from the funded study. 7. Competency of Organizations Generating and/or Using Environmental Measurement Data In accordance with Agency Policy Directive Number FEM-2012-02,Policy to Assure the Competency of Organizations Generating Environmental Measurement Data under Agency-Funded Assistance Agreements,Subrecipient shall maintain competency for the duration of the project period of this agreement and this will be documented during the annual reporting process.A copy of the Policy is available online at hqp://www.epa.gov/fem/lab comp.htm or a copy may also be requested by contacting the DOH Contract Manager for this award. Federal Assistance Agreement Funds Up To$200,000 Subrecipient agrees that if the total federal funding obligated on this award exceeds$200,000(resulting from subsequent amendments to this agreement)and will involve the use or generation of environmental data it will(unless it has otherwise done so)demonstrate competency prior to carrying out any activities involving the generation or use of environmental data under this agreement. Federal Assistance Agreement Funds Exceed or Expect to Exceed$200,000 Subrecipient agrees,by entering into this agreement,that it has demonstrated competency prior to award,or alternatively,where a pre-award demonstration of competency is not practicable. Subrecipient agrees to submit documentation and demonstrate competency prior to carrying out any activities under the award involving the generation or use of environmental data. Shellfish Strategic Initiative Quality Assurance Coordinator Contact: Tom Gries at ttart461@ecy.wa.gov 8. STORET Requirement Subrecipients are required to institute standardized reporting requirements into their work plans and include such costs in their budgets.All water quality data generated in accordance with an EPA approved Quality Assurance Project Plan as a result of this assistance agreement,either directly or by subaward,will be required to be transmitted into the Agency's Storage and Retrieval(STORET)data warehouse using either WQX or WQX web.Water quality data appropriate for STORET include physical,chemical, and biological sample results for water,sediment and fish tissue.The data include toxicity data,microbiological data,and the metrics and indices generated from biological and habitat data.The Water Quality Exchange(WQX)is the water data schema associated with the EPA, State and Tribal Exchange Network.Using the WQX schema partners map their database structure to the WQX/STORET structure. WQX web is a web based tool to convert data into the STORET format for smaller data generators that are not direct partners on the Exchange Network.More information about WQX,WQX web,and the STORET warehouse,including tutorials,can be found at hqp://www.epa.gov/storet/wg If activities submitted as match for this federal assistance agreement involve the generation of water quality data,the resulting information must be publicly accessible(in STORET or some other database). Subrecipients are encouraged to develop a cross walls between any non-STORET database utilized for the storage of water quality data associated with match activities and EPA's Water Quality Exchange(WQX). Exhibit A,Statements of Work Page 28 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 9. Riparian Buffers Riparian buffer restoration projects in agricultural areas shall be consistent with the interim riparian buffer recommendations provided to EPA and the Natural Resource Conservation Service by National Marine Fisheries Service letters of January 30,2013 (stamp received date-February 4,2013)and April 9,2013 (stamp received date— April 16,2013),or the October 28,2013 guidance.Grantees shall confirm in writing projects'consistency with the recommendations referenced above.When developing project proposals,grantees also should consider the extent to which proposals include appropriate riparian buffers or otherwise address pollution sources on other water courses on the properties in the project area to support water quality and salmon recovery.Deviations can only be obtained through an exception approved by EPA. In order for EPA to evaluate a request for an exception,the grantee must submit the scientific rationale demonstrating adequacy of buffers for supporting water quality and salmon recovery.The request must summarize tribal input on the scientific rationale or other relevant issues.The scientific rationale could be developed from sources such as site- specific assessment data,salmon recovery plans,Total Maximum Daily Loads(TMDLs)and the state nonpoint plan.EPA will confer with the National Oceanic and Atmospheric Administration(NOAA)and the Washington Department of Ecology and provide the opportunity for affected tribes to consult with EPA before malting a final decision on a deviation request. 10. International Travel(Including Canada) All International Travel must be approved by the Office of International and Tribal Affairs(OITA)BEFORE travel occurs.Even a brief trip to a foreign country,for example to attend a conference,requires OITA approval.Please contact your DOH Contract Manager as soon as possible if travel is planned out of the country,including Canada and/or Mexico,so that they can obtain appropriate approvals from EPA Headquarters. If you have questions,please contact your DOH Contract Manager listed in this award document. 11. Geospatial Data Standards All geospatial data created must be consistent with Federal Geographic Data Committee(FGDC)endorsed standards.Information on these standards may be found at www.fpdc.gov 12. ULO Stretch Goal Subrecipients should manage their programs and subaward funding in ways that reduce the length of time that federal funds obligated and committed to subaward projects are "unspent"federal funds,not yet drawn down through disbursements. EPA encourages the reduction of these unliquidated obligations(ULOs)by applying the following programmatic term and condition to these assistance agreements Assistance agreement subrecipients are to apply these"stretch"goals throughout the life of the assistance agreement and to confer with your DOH Contract Manager whenever instances arise that make attainment of these stretch goals unlikely. A stretch goal for utilization of funds is established. All funds should be spent by 2 years. Stretch Goal Funds Awarded in FY 2016 (October, 1,2016-September 30,2017) Should all Be Drawn Down by March 2019 DOH Program Contact ox 47824,Olympia WA 98504-7824;360.236.3337;tracy.farrell@doh.wa.gov Tracy Farrell,Office of Environmental Health,PO B Exhibit A,Statements of Work Page 29 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Exhibit A Statement of Work Contract Term: 2018-2020 DOH Program Name or Title: Office of Emergency Preparedness&Response- Local Health Jurisdiction Name: Mason County Public Health Effective January 1,2018 Contract Number: CLH18253 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) ®Reimbursement El State ®FFATA(Transparency Act) El Fixed Price Period of Performance: January 1,2018 through June 30,2018 Other ❑ Research&Development Statement of Work Purpose: The purpose of this statement of work is to establish the funding and tasks for the Public Health Emergency Preparedness and Response program for the 2017 grant period. Revision Purpose: The purpose of this revision is to add unspent funds from the prior contract period July-December 2017. Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Increase(+) Consideration Code Code Start Date End Date FFY17 EPR PHEP BPI LHJ FUNDING 93.069 333.93.06 18101380 01/01/18 06/30/18 19,917 9,062 28,979 TOTALS 19,917 1 9,062 1 28,979 Task *May Support PHAB Due Date/Time Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Frame Information and/or Amount l Attend emergency preparedness events,(e.g. Submit end of year progress report. June 30,2018 Reimbursement for trainings,meetings,conference calls,and actual costs not to conferences)as necessary to advance LHJ exceed total funding preparedness or complete the deliverables in this consideration amount. statement of work. 2 Complete reporting templates as requested by Submit completed templates to June 30,2018 DOH to comply with program and federal grant DOH requirements(e.g.performance measures,gap analysis,mid-year and end-of-year reporting templates,etc. 3 Use established procedures to activate a public Submit end of year progress report. June 30,2018 health emergency response plan within the jurisdiction. Test the following: Submit the most recent Public • How the command structure is utilized to Health Emergency Response Plan. manage emergency response Submit documentation of the use of the Public Health Emergency Exhibit A,Statements of Work Page 30 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Due Date/Time Payment Task May Support PHAB 1Deliverables/Outcomes Information and/or Taslt/Activity/Description ,�Standards/Measures Frame Amount Number • The relationship between the LHJ and the Response Plan during an incident county Emergency Operations Center and/or exercise. Documents (EOC)during a response. should include an Incident Action • An EOC location from which public Plan(IAP),After Action Report health will coordinate the Public Health (AAR), Situation Reports(SitRep), Emergency Response Plan Corrective Action Plans(CAP). • The process for notifying and mobilizing staff during an incident. 3.1)Provide training for appropriate staff who Submit agenda and sign in sheets serve in the EOC and the Emergency Support of trainings,including attendee Function#8(ESF#8)role on the Incident signatures and contact information, Command System(ICS),recent Public Health conducted on Public Health Emergency Response plans and policies Emergency Response Plan 3.2)Train appropriate public health emergency Agenda and sign in sheets of response staff on Web EOC or applicable trainings conducted,with attendee information management system utilized by local signatures and contact infonnation, emergency management in the county. or registrations if training is not conducted by the LHJ 4 Use established decision making protocol to Submit end of year progress report. June 30,2018 support the Local Health Officer and the Public Health Administrator in making policy level Submit documented use of the decisions during an emergency. decision making protocol used during an emergency to DOH 4.1 Document that Public Health,Medical and Public Health,Medical and Mortuary Response is identified in the Public Mortuary Response documentation Health Emergency Plan and is integrated with the showing inclusion in city and City and.County Emergency Plans. county plans. 5 Maintain Washington Secure Electronic Submit end of year progress report. June 30,2018 Communication,Urgent Response and Exchange System(WASECURES)program as the primary A list of registered users to include emergency notification system within the LHJ and their title and role in the include all critical LHJ positions as registered emergency response plan,. users. 5.1) Conduct a notification drill using Results of notification drill. WASECURES. Exhibit A,Statements of Work Page 31 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Task *May Support PHAB Due Date/Time Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Frame Information and/or Amount Notes: Registered users must log in quarterly at a minimum. DOH will provide on-site technical assistance to LHJs,as needed,on utilizing WASECURES.LHJs may choose to utilize other notification systems in addition to WASECURES to alert staff during incidents. 6 Use established procedures for your LHJ to request Submit end of year progress report. June 30,2018 assistance from the local EOC,neighboring LHJs, and DOH during disasters. Submit AARs and IAPs that • Identify how resources are coordinated with includes documentation of the the local EOC. elements listed. • Identify how to coordinate the logistical issues to receive resources from DOH and other partners. (If LHJs rely on local Emergency Management(EM)or other partners to coordinate logistical issues for receiving resources,and the local EM plan documents this fact that documentation will suffice. 7 Use established procedures and plans to inform the Submit end of year progress report. June 30,2018 public of threats to health and safety by various means. Include a list of the various mechanisms Submit AARs and messaging used used by your LHJ for releasing information to the to inform the public during drills, public during drills,exercises or incident response. exercise or incident response. Include a summary of how 7.1)Create and maintain templates for news communication tools were used. releases for categories of public health hazards. Submit sample templates. 8 Participate in evaluation of response capabilities Submit end of year progress report. June 30,2018 based on a standard evaluation tool created by DOH. 9 Use established procedures to gain and maintain Submit end of year progress report. June 30,2018 situational awareness during an incident. Use forms and processes for collecting key data Submit an AAR which includes elements during disasters including: how these plans and forms were • The functionality_ of critical public health used to maintain situational operations awareness during all drills, • The functionality of critical healthcare exercises and real world incidents facilities and the services they provide • The functionality of critical infrastructure Submit enthat include the serving public health and healthcare facilities data elements listed and a ts (roads,water,sewer,power,communications) summary of how it was • Number of disease cases disseminated. Exhibit A, Statements of Work Page 32 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Due Date/Time Payment TTask * Frame May SupporttanarP1-IAB Defiverables/Outcomes Information and/or Task/Activity/Description WActivity/Description Standards/Measures Number Amount • Number of fatalities attributed to an incident • If key elements are collected by others,such as local EM or Health Care Coalition(HCC), describe how the LHJ gains access to that information. 9.1)Create an ESF#8 situation report form based Data collection form templates. on an established planning cycle to include,at a minimum,the data elements listed above. 9.2)Demonstrate disseminating situation reports to Submit ESF#8 SitReps used ESF#8 response partners during drills,exercises or real world incidents. 9.3)Train staff on all procedures established to Submit agenda and sign in sheets, maintain situational awareness during an incident. including attendee signatures and contact information,for trainings conducted on situational awareness. 10 Participate in one or more exercises or real world Submit end of year progress report. June 30,2018 incidents testing each of the following: • The process for requesting and receiving Submit AAR and Improvement mutual aid resources Plan for each • The process for gaining and maintaining drill/exercise/incident. situational awareness • Development of an ESF#8 situation report,or compilation of situational awareness information to be included in a County situation report • EOC or ICS activation The COOP plan for the LHJ 11 Update or develop procedures to request,receive Submit end of year progress report. June 30,2018 and dispense medical countermeasures. Submit up to date procedure to request,receive and dispense medical countermeasures. 12 Use established procedures and plans to manage Submit end of year progress report. June 30,2018 spontaneous health and medical volunteers during disaster response,including roles non-vetted Submit documentation of volunteers can perform. management of medical volunteers during a response. Exhibit A,Statements of Work Page 33 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Due Date/Time payment Task May Support PHAB Frame Deliverables/Outcomes Information and/or Task/Activity/Description WActivity/Description *Standards/Measures NumberAmount 13 Implement the Continuity of Operations Plan Submit end of year progress report. June 30,2018 (COOP)plan for the local health jurisdiction. Submit the most current COOP Demonstrate the following: • Identification of essential services to sustain and AAR documenting COOP LHJ mission and operations implementation demonstrating the • Implementation of the Line of succession and elements listed. written delegation of authority for select critical positions in the LHJ,including LHO • Reassigning staff(scalable workforce reduction)and temporarily discontinuing select LHJ functions to sustain critical services 14 Provide notification to DOH for all instances Submit end of year progress report. June 30,2018 involving a public health response by the LHJ to an emergency utilizing emergency response plans and Submit Incident Action Plans, structures. Situation Reports and After Action Reports. 15 Provide LHJ situation reports to DOH during all Submit end of year progress report. June 30,2018 incidents involving an emergency response by the Provide Situation Reports. LHJ. 16 Submit essential elements of information(EEIs) Submit end of year progress report. June 30,2018 during incident rrponse upon request by DOH. Provide information upon request. 17 Participate in the regional healthcare coalition and Submit end of year progress report. June 30,2018 attend coalition meetings as necessary s Provide a summary of participation in coalition activities. 18 Provide notification to the DOH Duty Officer at Submit end of year progress report. June 30,2018 360-888-0838 or hanalert@doh.wa.gov for all response. Documentation that notification to DOH was provided;or statement that no incident response occurred. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at: http//www phaboard orgLwp content/uploads[PHAB-Standards-and-Measures-Version-I.O.pdf Exhibit A,Statements of Work Page 34 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 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. DOH Program Contact: Jennifer Albertson,Contract and Finance Specialist Department of Health P O Box 47960,Olympia,WA 98504-7960 Jennifer albertson(a,doh.wa.gov PHEP/HPP Deliverable Submission email address: concondeliverables@doh.wa.Qov Exhibit A,Statements of Work Page 35 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Exhibit A Statement of Work Contract Term: 2018-20207 DOH Program Name or Title: Prescription Drug Overdose Prevention for States Local Health Jurisdiction Name: Mason County Public Health Supplement-Effective January 1,2018 Contract Number: CLH18253 Funding Source Federal Compliance Type of Payment SOW Type: Revision Revision#(for this SOW) 1 ® Federal Subrecipient (check if applicable) ®Reimbursement ❑ State ®FFATA(Transparency Act) ❑Fixed Price Period of Performance: January 1,2018 through September 30,2018 ❑ Other ❑Research&Develo ment Statement of Work Purpose: Mason County is among the four Washington counties with the highest opioid overdose death rates during 2010-2014. In response,under Centers for Disease Control and Prevention(CDC)Priority Strategy 2(enhancing and empowering community-level prevention),an Opioid Overdose Prevention position will be funded. This position will be staffed by a Public HealthNurse or other public health professional(.6 FTE)to conduct the work described below.This position will provide community and rove clinical care for patients taking opioids for chronic pain and those with opioid use disorder. prescriber technical assistance and education to help prevent overdoses,and to imp Mason County Public Health(MCPH)will 1)follow up with nonfatal overdose patients,provide training for overdose reversal,and refer nonfatal overdose patients to treatment and other services;2)if the overdose involved a prescription opioid,follow up with the prescriber regarding the nonfatal overdose;3)when available,obtain a list of patients' prescriptions from the Prescription Drug Monitoring Program(PDMP),and follow up with provider(s)to discuss opioid prescribing and provide education;4)on a monthly basis provide DOH with opioid overdose reports which include the number of nonfatal overdose patients in Mason County and the number of patients served by the public health consultant; 5)perform public outreach,education and trainings to improve community awareness around opioid use and opioid overdose;and 6)attend monthly meetings with DOH and provide updates on activities. riod of performance from August 31,2018 to September 30,2018,add carryover funds to the new contract Revision Purpose: The purpose of this revision is to extend the pe term,revise and add language to the statement of work,and add a DOH program contact. Chart of Accounts Program Name or Title CFDA# BARS Master Funding:Period Current ChangeRevenue Index (LHJ Use y) Consideration IncreaseCode Code Start Date d Date FFY17 PRESCRIPTION DRUG OD-SUPP 93.136 333.93.13 77520271 01/01/18 31/18 33 400 29 627 63 027 33,400 29,627 1 63 027 TOTALS *May Support PHAB Payment Information Task Task/Activity/Description Deliverables/Outcomes Due Date/Time Frame and/or Amount Number Standards/Measures 1. Follow up with overdose patients in Provide monthly reports to DOH MCPH will submit monthly Monthly invoices for Mason County to connect them to which includes number of fatal written progress reports of actual cost evidence based substance abuse treatment and nonfatal overdoses and ongoing activities on DOH- reimbursement will be number of persons contacted. provided template January 1, submitted to DOH. and other needed services. 2018—August 31,2018. Report technical assistance Total of all invoices In the case of a suspected opioid overdose: p will not fo exceed rovided dates,location, Contract Number CLH18253-2 Exhibit A,Statements of Work Page 36 of 38 Revised as of March 15,2018 AMENDMENT#2 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Frame Payment Information Number Standards/Measures and/or Amount Notify the person's prescribers listed in participants-TA consultation)If Final report to be submitted by $33,-40 $63,027 the PMP and person's primary care materials are prepared,please September 30, 2018. through August 31, provider,if known,of the overdose event. share. 2018.Billed no legs (See Special Instructions than menlh4,and m Provide technical assistance,training, At least one(1)community forum below) consultation and resources regarding will be held where opioid opioid prescribing guidelines and opioid addiction and treatment is Final invoice must be use disorder. discussed. received by September 1 S,2018. Provide public outreach,education,and Provide updates on ongoing training to community around opioids and activities at monthly meetings (See Special Billing opioid use disorder. with DOH. Requirements below.) Increase prevention activities to include law enforcement to coordinate opioid overdose response andprevention efforts. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board(PHAB)Standards/Measures that may apply can be found at: htip•//www phaboard org!wp-content/uploads/PHAB-Standards-and-Measures-Version-1.O.pdf Procram Specific Requirements/Narrative 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(M)number. Information about the LHJ and this statement of work will be made available on USASpending,gov by DOH as required by P.L. 109-282. Staffing Requirements: Added time for specialist to perform community outreach Restrictions on Funds(what funds can be used for which activities,not direct payments,etc) This grant cannot be used to pay for food or drink for events. Special Billing Requirements: DOH will provide an A 19-1A invoice voucher form that must be used for month l billing. Exhibit A,Statements of Work Page 37 of 39 Contract Number CLH18253-2 Revised as of March 15,2018 AMENDMENT#2 Special Instructions Monthly written progress reports on DOH provided template via email and conference calls with DOH program contacts. DOH Program Contacts Jennifer Alvisurez Rachel Meade Program Manager Opioid Overdose Prevention Specialist Injury and Violence Prevention Injury and Violence Prevention Office of Community Health Systems Phone: 360-236-2846 Washington State Department of Health rachel.meadegdoh.wa.gov P.O.Box 47853,Olympia,WA 98504 Phone: 360-236-2845 Fax: 360-236-2830 iennifer.alvisurez(a�doh.wa. og_v Exhibit A, Statements of Work Page 38 of 38 Contract Number CLH18253-2 Revised as of March 15,2018 EXHIBIT B-2 Mason County Public Health ALLOCATIONS Contract Number: CLH18253 Contract Term:2018-2020 Date: March 15,2018 Indirect Rate as of January 2018: 13.71% DOH Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Revenue Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification# Amend# CFDA* Code** Start Date End Date Start Date End Date Amount Sub Total Total NEP 5-6 Onsite Sewage Management OOJ88801 Amd 2 66.123 333.66.12 01/01/18 03/31/19 10/01/14 08/31/19 $10,904 $85,330 $85,330 NEP 5-6 Onsite Sewage Management OOJ88801 N/A 66.123 333.66.12 01/01/18 03/31/19 10/01/14 08/31/19 $74,426 PS SSI 1-5 OSS Task 4 O IJ 18001 Amd 2 66.123 333.66.12 01/01/18 03/31/19 07/01/17 06/30/19 ($13,337) $86,541 $86,541 PS SSI 1-5 OSS Task 4 OIJ18001 N/A 66.123 333.66.12 01/01/18 03/31/19 07/01/17 06/30/19 $99,878 FFY17 EPR PNEP BPI.LHJ Funding NU90TP921889-01 Amd 2 93.069 333.93.06 01/01/18 06/30/18 07/01/17 07/02/18 $9,062 $28,979 $28,979 FFY17 EPR PHEP BPI LHJ Funding NU90TP921889-01 N/A 93.069 333.93.06 01/01/18 06/30/18 07/01/17 07/02/18 $19,917 FFY17 Prescription Drug OD-Supp 1117CE002734 Amd 2 93.136 333.93.13 01/01/18 08/31/18 09/01/17 08/31/18 $29,627 $63,027 $63,027 FFY17 Prescription Drug OD-Supp U17CE002734 N/A 93.136 333.93.13 01/01/18 08/31/18 09/01/17 08/31/18 $33,400 FFY17 317 Ops 5NH23IP000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/18 $1,423 $1,423 $1,423 FFY17 AFIX 5NH231P000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/18 $4,293 $4,293 $4,293 FFY17VFCOps 5NH231P000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/18 $2,228 $2,228 $2,228 FFY18 MCHBG LHJ Contracts B04MC31524 Amd 2 93.994 333.93.99 01/01/18 09/30/18 10/01/17 09/30/18 $5,344 $56,115 $56,115 FFY18 MCHBG LHJ Contracts B04MC31524 N/A 93.994 333.93.99 01/01/18 09/30/18 ' 10/01/17 09/30/18 $50,771 GFS-Group B(FO-SW) N/A N/A 334.04.90 01/01/18 06/30/18 07/01/17 06/30/19 $2,500 $2,500 $2,500 SFY1Lead Environments ofChildren Amd2 N/A 334.04.93 01/01/18 06/30/18 07/01/17 06/30/18 $1,500 $3,000 $3,000 SFY1 Lead Environments of Children Amd 1 N/A 334.04.93 01/01/18 06/30/18 07/01/17 06/30/18 $1,500 Rec Shellfish/Biotoxin N/A N/A 334.04.93 01/01/18 06/30/19 07/01/17 06/30/19 $7,500 $7,500 $7,500 Wastewater Management GFS N/A N/A 334.04.93 07/01/18 06/30/19 07/01117 06/30/19 $60,000 $60,000 $60,000 YR 20 SRF-Local Asst(15%)(FS)-SS N/A N/A 346.26.64 01/01/18 12/31/20 07/01/15 12/31/20 $12,000 $12,000 $12,000 Sanitary Survey Fees(FO-SW)-SS State N/A N/A 346.26.65 01/01/18 12/31/20 07/01/17 12/31/20 $12,000 $12,000 $12,000 Yr 20 SRF'-Local Asst(15%)(FS)-TA N/A N/A 346.26.66 01/01/18 12/31/20 07/01/17 12/31/20 $2,000 $2,000 $2,000 $426,936 $426,936 TOTAL Total consideration: $383,836 GRAND TOTAL $426,936 $43,100 GRAND TOTAL $426,936 Total Fed $327,93 Page 1 of 2 EXHIBIT B-2 Mason County Public Health ALLOCATIONS Contract Number: CLH19253 Contract Term:2018-2020 Date: March 15,2018 Indirect Rate as of January 2018: 13.71% DOH Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Revenue Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identilicalion# Amend# CFDA* Code** Start Date End Date Start Date End Date Amount Sub Total Total Total State $99,000 *Catalog of Federal Domestic Assistance **Federal revenue codes begin with"333". State revenue codes begin with"334". Page 2 of 2 Exhibit C-2 Schedule of Federal Awards AMENDMENT#2 Date:March 15,2018 MASON COUNTY HEALTH SERVICES-SWV0001893-04 CONTRACT CLI-118253-Mason County Public Health CONTRACT PERIOD: 01/01/2018-12/31/2020 DOH Total Amt Allocation Period Chart of Accounts Program Title BARS Federal Federal Start End Contract Amt CFDA CFDA Program Title Federal Agency Name Federal Award Award Date Award Date Date Identification Number Federal Grant Award Name Puget Sound Action Agenda: Technical Investigations and Environmental Protection Agency PUGET SOUND SHELLFISH PS SSI 1-6 OSS TASK 4 33366 12 08/02/16 $5,000,000 01/01/18 03/31!19 $86,541 66.123 Implementation Assistance Region 10 01,118001 STRATEGIC INITIATIVE LEAD Program Puget Sound Action Agenda: NEP 5-6 ONSITE SEWAGE MANAGEMENT 333.66.12 01/09/11 $2,490,000 01/01/18 03131119 $85,330 66.123 Technical Investigations and Environmental Protection Agency PUGET SOUND RESTORATIONImplementation Assistance Region 10 OOJ88801 PROJECT Program Public Health Emergency Department of Health and Human HPP AND PREP COOPERATIVE FFY17 EPR PHEP BP1 LHJ FUNDING 333.93.06 07/18/17 $11,062,782 01/01/18 06/30/18 $28,979 93.069 Preparedness Services Centers for Disease Control NU90TP921889-01 AGREEMENT and Prevention Injury Prevention and Control Department of Health and Human PRESCRIPTION DRUG OVERDOSE FFY17 PRESCRIPTION DRUG OVERDOSE 333.93.13 03/16/16 $4,031,632 01/01/18 08/31/18 $63,027 93.136 Research and Slate and Services Centers for Disease Control U17CE002734 FOR STATES Community Based Programs and Prevention Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND FFY17 VFC OPS 333.93.26 03/03/17 $1,201,605 01/01/18 06/30/18 $2,228 93.268 Services Centers for Disease Control 5NH231P000762-05-00 VACCINES FOR CHILDREN'S Agreements and Prevention PROGRAM Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND FFY17 AFIX 333.93.26 03/03/17 $1,672,209 01/01/18 06/30/18 $4,293 93.268 Agreements Services Centers for Disease Control 5NH231P000762-05-00 VACCINES FOR CHILDREN'S and Prevention PROGRAM Immunization Cooperative Department of Health and Human IMMUNIZATION GRANT AND FFY17 317 OPS 333.93.26 03/03117 $575,969 01101!18 06130/18 $1,423 93.268 Agreements Services Centers for Disease Control 5NH231P000762-05-00 VACCINES FOR CHILDREN'S and Prevention PROGRAM Maternal and Child Health Services Department of Health and Human MATERNAL AND CHILD HEALTH FFY18 MCHBG LHJ CONTRACTS 333.93.99 10/20/17 $1,650,528 01/01/18 09/30/18 $56,115 93.994 Block Grant to the Slates Services Health Resources and 604MC31524 SERVICES Services Administration TOTAL $327,936 Page 1 of 1 PUBLIC WORKS MONDAY MAY 14,2018— BRIEFING ITEMS FROM PUBLIC WORKS (For Commissioners Meeting May 22,2018) Items for this meeting are due to Diane Zoren on Wednesday,May 16,2018 4.0 CORRESPONDENCE AND ORGANIZATIONAL BUSINESS (None) 8.0 APPROVAL OF ACTION ITEM (None) 9.0 OTHER BUSINESS • Award of 2018 overlay projects to Miles Resources, LLC out of Puyallup, WA at their bid price of$1,184,013.84. 10.0 PUBLIC HEARINGS AND ITEMS SET FOR A CERTAIN TIME (None) DISCUSSION ITEMS: • Resolution—Approval process for Private Line Occupancy Permits and renewals of Franchise Agreements Attendees: Commissioners: Public Works: Other Dept.: Press: Public: _Randy Neatherlin _Jerry Hauth List below: List below List Below: _Kevin Shutty _John Huestis _Terri Drexler _Bart Stepp Others-List below: I MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: John Huestis, PE, Deputy Director/ County Engineer Sarah Grice PE Engineering &Construction Manager DEPARTMENT: Public Works EXT: 450 BRIEFING DATE: May 14, 2018 PREVIOUS BRIEFING DATES: September 18, 2017 (If this is a follow-up briefing,p/ease provide only new information,) ITEM: Contract Award: 2018 Hot-Mix-Asphalt (HMA) Overlay Projects Background: On September 26, 2017, County Commissioners authorized the County Engineer to advertise, set bid opening date/time, and award the contract for the 2018 Overlay Projects. The project provides improvement to 2 miles of Johns Prairie Road (CRP 2012), from milepost 0.5-2.6, and 1.5 miles of Mason Lake Road (CRP 2013), from milepost 1.3-2.8. Date and time of opening was Friday, May 4, 2018 at 9:00am. Three (3) Bids were received and opened at the office of the Mason County Commissioners. The contract has been awarded to the apparent low bidder, Miles Resources, LLC out of Puyallup, WA at their bid price of $1,184,013.84. Recommended Action: No action required. Attachment: Bid Tabulation Road.,John's Prairie and Mason Lek e BID TABULATION SHEET Page 1 of 1 BID OPENING:MAY 4.2018 CRP 2012 B CRP 2013 Miles Resources,LLC Lakeside Industries,Inc Granite Construction Comp 400 Valley Ave Ne P 0 Box 3004 3200 113th Avenue SW 2018 MASON COUNTY OVERLAY Puyallup WA 98372 Lacey WA 98509 Olympia WA 95012 ENGINEER'S ESTIMATE BIDDER NO: 1 BIDDER NO: 2 BIDDER NO: 3 BOND/ADD? YES BOND/ADD? YES BOND/ADD? YES ITEM ITEM PLANNED UNIT ESTIMATE UNIT ESTIMATE UNIT ESTIMATE UNIT ESTIMATE NO. DESCRIPTION UNIT QUANTITY PRICE TOTAL PRICE TOTAL PRICE TOTAL PRICE TOTAL 1 MOBILIZATION LS 1 - $ 94,836.00 $ 94,636.00 $ 65,000.00 $ 65,000.00 $ 89,900.00 $ 89,900.00 $ 147,750.00 $ 147,750.00 2 PAVEMENT REPAIR EXCAVATION INCL.HAUL SY 150 $ 200.00 $ 30,000.00 $ 74.55 $ 11,182.50 $ 60.00 $ 9,000.00 $ 34.00 $ 5,100.00 3 SHOULDER FINISHING MI 7.16 $ 8,500.00 $ 46,540.00 $ 8,344.30 $ 45,425.19 $ 7,500.00 $ 53,700.00 $ 6,800.00 $ 48,688.00 4 PLANING BITUMINOUS PAVEMENT SY 3,468 $ 6.00 $ 20,808.00 $ 7.15 $ 24,796.20 $ 12.00 $ 41,616.00 $ 12.00 $ 41,618.00 5 HMA FOR PAVEMENT REPAIR CL 1/2 IN.PG 64-22 TON 102.00 $ 400.00 $ 40,800.00 $ 213.11 $ 21,737.22 $ 160.00 $ 16,320.00 $ 175.00 $ 17,850.00 8 j HMA CL 1/2 IN.PG 64-22 TON 8,981 $ 75.00 $ 673,575.00 $ 75.01 $ 673,664.81 $ 76.50 $ 705,008.50 $ 85.00 $ 763,385.00 7 HMA FOR APPROACH CL 1/2 IN.PG 64-22 TON 109 $ 160.00 $ 17,440.00 $ 165.00 $ 17,985.00 $ 310.00 $ 33,790.00 $ 270.00 $ 29,430.00 8 EROSIONNVATER POLLUTION CONTROL EST 1 $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 9 BEAM GUARDRAIL TYPE 31 LF 800 $ 46.00 $ 36,800.00 $ 28.75 $ 23,000.00 $ 35.00 $ 28,000.00 $ 29.50 $ 23,600.00 10 BEAM GUARDRAIL(TYPE 31) EACH 8 $ 3,000.00 $ 24,000.00 $ 4,801.25 $ 38,410.00 $ 3,100.00 $ 24,800.00 $ 5,000.00 $ 40,000.00 TRANSITION SECTION TYPE 21 11 BEAM GUARDRAIL TYPE 31 NON-FLARED TERMINAL EACH 8 $ 4,000.00 $ 32,000.00 $ 4,600.00 $ 36,800.00 $ 3,400.00 $ 27,200.00 $ 5,000.00 $ 40,000.00 12 BEAM GUARDRAIL(TYPE 31)ANCHOR TYPE 10 EACH 4 $ 1,000.00 $ 4,000.00 $ 1,725.00 $ 6,900.00 $ 1,033.00 $ 4,132.00 $ 1,800.00 $ 7,200.00 13 PAINT LINE LF 62,726 $ 0.15 $ 9,408.90 $ 0.31 $ 19,445.06 $ 0.22 $ 13,799.72 $ 0.25 $ 15,681.50 14 PLASTIC STOP LINE LF 207 $ 10.00 $ 2,070.00 $ 10.51 $ 2,175.57 $ 10.00 $ 2,070.00 $ 12.00 $ 2,484.00 15 PLASTIC RAILROAD CROSSING SYMBOL EACH 2 $ 700.00 $ 1,400.00 $ 1,247.40 $ 2,494.80 $ 970.00 $ 1,940.00 $ 975.00 $ 1,950.00 16 PLASTIC DRAINAGE MARKING EACH 45 $ 33.00 $ 1,485.00 $ 83.60 $ 3,762.00 $ 48.00 $ 2,160.00 $ 48.00 $ 2,160.00 17 RECESSED PAVEMENT MARKER HUND 3.4 $ 1,400.00 $ 4,760.00 $ 1,098.90 $ 3,738.26 $ 1,350.00 $ 4,590.00 $ 1,400.00 $ 4,760.00 18 TEMPORARY PAVEMENT MARKING-SHORT DURATION LF 38,016 $ 0.10 $ 3,801.60 $ 0.05 $ 1,900.80 $ 0.05 $ 1,900.80 $ 0.10 $ 3,801.60 19 PORTABLE CHANGEABLE MESSAGE SIGN HR 3,540 $ 4.00 $ 14,160.00 $ 2.56 $ 9,062.40 $ 3.33 $ 11,788.20 $ 3.00 $ 10,620.00 20 PROJECT TEMPORARY TRAFFIC CONTROL LS 1 $ 140,000.00 $ 140,000.00 $ 100,743.49 $ 100,743.49 $ 105,000.00 $ 105,000.00 $ 125,000.00 $ 125,000.00 21 TRAFFIC CONTROL SUPERVISOR LS 1 $ 30,000.00 $ 30,000.00 $ 20,960.04 $ 20,960.04 $ 25,000.00 $ 25,000.00 $ 35,000.00 $ 35,000.00 22 CONSTRUCTION SIGNS CLASS A SF 1 276.5 $ 34.00 $ 9,401.00 $ 35.00 $ 9,677.50 $ 32.00 $ 8,848.00 $ 20.00 $ 5,530.00 23 MONUMENT CASE AND COVER EACH 35 $ 800.00 $ 21,000.00 $ 633.00 $ 22,155.00 $ 450.00 $ 15,750.00 $ 450.00 $ 15,750.00 24 ADJUST VALVE BOX EACH 7 $ 500.00 $ 3,500.00 $ 1,000.00 $ 7,000.00 $ 450.00 $ 3,150.00 $ 450.00 $ 3,150.00 25 ROADSIDE CLEANUP EST 1 $ 10,000.00 $ 10,000.00 $ 10,000.00 $ 10,000.00 $ 10,000.00 $ 10,000.00 $ 10,000.00 $ 10,000.00 26 SPCC PLAN LS 1 is 1,000.00 $ 1,000.00 Is 1,000.00 $ 1,000.00 $ 450.00 $ 450.00 $ 1.00 $ 1.00 11 TOTALS $ 1,277,585.50 $ 1,184,013.84 $ 1,244,913.22 $ 1,405,507.10 MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: John Huestis/Loretta Swanson DEPARTMENT: Public Works TEXT: 450 BRIEFING DATE: May 14, 2018 PREVIOUS BRIEFING DATES: April 16 and 30, 2018 ITEM: Private Line Occupancy Permit and Franchise Renewal Procedure EXECUTIVE SUMMARY: Commissioners and Public Works recently reviewed procedures for the issuance of private line occupancy permits and franchise renewals. As a result, process changes are proposed that will result in reduced time and cost to process while maintaining transparency. Private Line Occupancy permits will be approved or denied during regular Board meetings. Franchise renewals will also be approved or denied during regular Board meetings with two exceptions: cable franchises and franchises with terms/conditions significantly different from the current agreement. RECOMMENDED OR REQUESTED ACTION: Recommend the Board approve the change in process as described in the attached Resolution. Briefing Summary RESOLUTION NO. A RESOLUTION RELATING TO ISSUANCE OF PRIVATE LINE ACCUPANCY PERMITS AND RENEWAL OF FRANCHISE AGREEMENTS WHEREAS, Mason County Public Works utilizes a variety of permits or licenses to manage right-of-way use including Private Line Occupancy(PLO) Permits and Franchise Agreements; and WHEREAS, the approval procedure for PLO Permits and Franchise Renewals has been to conduct a public hearing which increases processing time and cost; and WHEREAS, the Board of County Commissioners wishes to improve government efficiency while remaining transparent; and WHEREAS, public testimony is rare during PLO Permit and Franchise Renewal hearings with the exception of Cable Operator franchises; and WHEREAS, Both 47 U.S. Code 546 and Mason County Code Chapter 5.20.190 require a public process and hearing for renewal of Cable Operator franchises; and WHEREAS, Both Chapter 36.55 RCW and Mason County Code Chapter 12.24 require a hearing for new franchises but not for renewals (except Cable Operator franchises); NOW, THEREFORE, BE IT RESOLVED that: Private Line Occupancy Permits will be approved or denied by the Board of County Commissioners during regular board meetings. Franchise Renewals will be approved or denied by the Board of County Commissioners during regular board meetings with the following two exceptions: 1.) A hearing is required for Cable Operator franchises which are governed by 47 U.S. Code 546, and 2.) A hearing is required for Franchise Renewals with terms and/or conditions significantly different from the current agreement. ADOPTED this day of 2018 BOARD OF COUNTY COMMISSIONERS ATTEST: MASON COUNTY, WASHINGTON Melissa Drewry, Clerk of the Board Randy Neatherlin, Chair APPROVED AS TO FORM: Terri Drexler,Vice Chair Tim Whitehead, Kevin Shutty, Commissioner Chief Deputy Prosecuting Attorney MASON COUNTY BRIEFING ITEM SUMMARY FORM TO: BOARD OF MASON COUNTY COMMISSIONERS FROM: Sheriffs Office DEPARTMENT: Chief Deputy Dracobly EXT: 313 BRIEFING DATE: May 14 th 2018 PREVIOUS BRIEFING DATES: If this is a follow-up briefing, please provide only new information i ITEM: 1) Request for supplemental funding for$12000 to send one Deputy to Polygraph training at Northeast Counterdrug Training Center in Pennsylvania. This starts in September and runs for about 12 weeks or 480 hours. This funding will cover travel, pier diem, and hotel. Good news the tuition is free. 2) Request for supplemental funding for$59000 to cover unexpected costs on the Lease Vehicles. 3) Request for $1500.00 to replace tires on the Search and Rescue Bus. EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions): BUDGET IMPACTS: This is a request for $72500.00 which would have to come from current expense. RECOMMENDED OR REQUESTED ACTION: I am requesting that the BOCC move forward with a supplemental budget on these three issues. : ATTACHMENTS: i i i I i Briefing Summary 5/10/2018