HomeMy WebLinkAbout2022/07/05 - Regular PacketBoard of Mason County Commissioners
Draft Meeting Agenda
Commission Chambers
411 N 5th St, Shelton, WA 98584
July 5, 2022
9:00 a.m.
Our Commission meetings are live streamed at http://www.masonwebtv.com/
Effective May 10, 2022, regular Commission business meetings will be held in-person and via Zoom.
Please click the Zoom meeting link posted on the Mason County homepage and use the “raise hand” feature to be
recognized by the Chair to provide your comments and testimony.
Public comment and testimony can be provided in -person, and you can also e-mail msmith@masoncountywa.gov;
mail in to the Commissioners’ Office at 411 N 5th St, Shelton, WA 98584; or call (360) 427-9670 ext. 419.
If you need to listen to the Commission meeting via telephone, please provide your telephone number to the
Commissioners’ Office no later than 4:00 p.m. the Friday before the meeting.
1. Call to Order
2. Pledge of Allegiance
3. Roll Call
4. Correspondence and Organizational Business
4.1 Correspondence
5. Open Forum for Citizen Input – (3 minutes per person, 15-minute time limit)
Please see above options to provide public comment.
6. Adoption of Agenda
Items appearing on the agenda after “Item 10. Public Hearings” maybe be acted upon before 9:15 a.m.
7. Approval of Minutes –
8. Approval of Action Agenda
Items listed under “Action Agenda” may be enacted by one motion unless a Commissioner or citizen requests
an item be removed from the Action Agenda and considered a separate item.
8.1 Approval of Warrants & Treasurer Electronic Remittances
Claims Clearing Fund Warrant # 8088831-8089180 $ 1,821,732.36
Direct Deposit Fund Warrant # 88043-88448 $ 803,395.71
Salary Clearing Fund Warrant # 7006724-7006749 $ 548,507.97
Treasurer Electronic Remittance $ -
8.2 Approval of the Eviction Rent Assistance Program 2.0 contract amendment no. 1 with
Crossroads Housing for the reallocation of unspent Mason County Admin funds and subcontract
unallocated funds for a total of $150,368.
8.3 Approval to appoint Greg Oldham to the Lodging Tax Advisory Committee to fill a vacant
Generator position.
8.4 Approval of the 2022/2023 seven replacement vehicle order requests from Enterprise and
permission for the Chair to sign for the vehicle order requests as presented.
8.5 Approval of the 2022 Court Commissioner Professional Services Agreement with Tirsa C. Butler
for the term of July 1, 2022 through December 31, 2023.
8.6 Approval for Public Works to procure materials and services, advertise, set bid openings, award
contracts, and have the Deputy Director and/or Chair sign all pertinent project documents for the
Rustlewood Water System Upgrades project.
8.7 Approval of the Private Line Occupancy permit granting permission to run a sewer transport line
under West Lost Lake View Drive for address 58 West Lost Lake View Drive.
8.8 Approval for the Public Works Director to execute an agreement with Teresa D. Johnson (TDJ),
CPA Inc. to provide technical accounting assistance in the amount of $81,510.
8.9 Approval of the ABCD Dental contract no. K2751 amendment no. 4 to extend services for an
additional two years effective July 1, 2022 through June 30, 2024.
8.10 Approval of the Memorandum of Understanding (MOU) between the Mason County Office of
Indigent Defense and Taschner Law d.b.a. Sound Defenders for Therapeutic Services.
9. Other Business (Department Heads and Elected Officials)
10. 9:15 a.m. Public Hearings and Items Set for a Certain Time
Please see above options to provide public testimony.
No Public Hearings set at this time.
11. Board’s Calendar and Reports
12. Adjournment
MASON COUNTY
TO: Board of Mason County Commissioners Reviewed
FROM: Cassidy Perkins Ext. 419
DEPARTMENT: Support Services Action Agenda
DATE: July 5, 2022 No. 4.1
ITEM: Correspondence
4.1.1 Washington State Liquor and Cannabis Board sent in the following:
Temporary discontinues business issuance on Cannabis License for Luna NW,
Cannabis License Application for WA Green Peak LLC, Special Occasion Liquor
License Application for The Rotary Club of North Mason County, Notice of
Cannabis License Approval for The Dab Lab, Notice of Firearm Possession on
Licensed Premises and While Transporting Cannabis, Notice of Liquor License
Application for Lakeland Village Golf Course, and Special Occasion Liquor
License for Mason General Hospital Foundation.
4.1.2 Olympic Region Clean Air Agency sent in the per capita assessment for 2023.
4.1.3 The Secretary of The Interior Washington sent in a Payments in Lieu of
Taxes (PILT) program notification.
Attachments: Originals on file with the Clerk of the Board.
Cc:CMMRS Neatherlin, Shutty, Trask
Clerk, (�e
z Washington State Licensing and Regulation
PO Box 43098
Liquor and Cannabis Board Olympia WA 98504-3098
Phone—(360) 664-1600
Fax—(360) 753-2710
Emailed to: JOHNNY@OUTLAWRIDING.COM
June 16, 2022aoo
JUN 1 :.L(_..
LUNA NW
SHELTON, WA 98557 Mason County
LICENSE #432529 - 7A Commissioners
U B I: 603-357-630-001-0003
The temporary discontinued business issued on your cannabis license number 432529
has been extended and will expire on August 9, 2022. You may not engage in the
production, sale or service of cannabis at the above location.
You must remain in compliance with all license fees and tax reporting requirements, and
report any changes in circumstance to your Enforcement Officer. You may not resume
business without authorization from Washington State Liquor and Cannabis Board.
Thank you,
Jim Martin
Customer Service Specialist
Licensing and Regulation
(360) 664-1600
cc: Mason County
Silverdale Enforcement
Finance:
LIQ1298 9/17
Cc:CMMRS Neatherlin, Shutty, Trask
Clerk,94v,, -t\a'^,\Q \ lt"vl.,
Washington State
Liquor and Cannabis Board
NOTICE OF CANNABIS LICENSE APPLICATION
WASHINGTON STATE LIQUOR AND CANNABIS BOARD
License Division - P.O. Box 43098
Olympia,WA 98504-3098
Customer Service: (360) 664-1600
Fax: (360) 753-2710
Website: http://Icb.wa.gov
RETURN TO: localauthority@sp.icb.wa.gov
TO: MASON COUNTY COMMISSIONERS DATE: 6/21/22
RE:ASSUMPTION APPLICANTS:
From WA GREEN PEAK LLC
Dba WA GREEN PEAK LLC PERFECT PLANT LLC
SZETO, ENNA
License: 413655 -7A County: 23 1980-05-25
U B I:604-919-343-001-0001
Tradename: PERFECT PLANT LLC
Loc Addr: 50 WEST WESTFIELD COURT#1 o.
SHELTON,WA 98584-6361 RECEIVED
Mail Addr: 13400 INTERURBAN AVE S U
TUKWILA,WA 98168-3330
Mason county
Phone No.: 206-800-3333 ENNA SZETO C0r7 MiSSi0n(?rS
Privileges Applied For:
CANNABIS PRODUCER TIER 2
CANNABIS PROCESSOR
As required by RCW 69.50.331(7), the Liquor and Cannabis Board is notifying you that the above has
applied for a cannabis license. You have 20 days from the date of this notice to give your input on
this application. If we do not receive this notice back within 20 days,we will assume you have no
objection to the issuance of the license. If you need additional time to respond,you must submit a
written request for an extension of up to 20 days,with the reason(s)you need more time. If you
need information on SSN,contact our Cannabis CHRI desk at(360) 664-1704.
YES NO
1. Do you approve of applicant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑
2. Do you approve of location? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑
3. If you disapprove and the Board contemplates issuing a license,do you wish to
request an adjudicative hearing before final action is taken? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑
(See WAC 314-09-060 for information about this process)
4. If you disapprove,per RCW 69.50.331(7)you MUST attach a letter to the Board
detailing the reason(s) for the objection and a statement of all facts on which your
objection(s) are based.
DATE SIGNATURE OF MAYOR,CITY MANAGER,COUNTY COMMISSIONERS OR DESIGNEE
Cc:CMMRS Neatherlin, Shutty, Trask
Clerk ;M'.b yV_% 0AV% ((AV\ 'SyA`U1fk V4-coVII�f
WASHINGTON STATE LIQUOR AND CANNABIS BOARD - LICENSE SERVICES
1025 UNION AVE SE - P O Box 43075
Olympia WA 98504-3075
specialoccasions@lcb.wa.gov Fax: 360-753-2710
TO: MASON COUNTY COMMISSIONERS JUNE 22, 2024"' V
SPECIAL OCCASION #: 090508
SUN 22, 2022
THE ROTARY CLUB OF NORTH MASON COUNTY
41 E GEM CT Mason County
GRAPEVIEW, WA 98546 Commissinners
DATE: AUGUST 13, 2022 TIME: LOAM - 5PM
PLACE: BELFAIR STATE PARK - 3151 WA 300, BELFAIR
CONTACT: KENNETH E BOAD (DOB: 9.14.1949) 360-509-5709
SPECIAL OCCASION LICENSES
* _Licenses to sell beer on a specified date for consumption at a
specific place.
* _License to sell wine on a specific date for consumption at a
specific place.
* _Beer/Wine/Spirits in unopened bottle or package in limited
quantity for off premise consumption.
* _Spirituous liquor by the individual glass for consumption at a
specific place.
If return of this notice is not received in this office within 20 days from the above
date, we will assume you have no objections to the issuance of the license. If
additional time is required please advise.
1. Do you approve of applicant? YES NO
2. Do you approve of location? YES NO
3. If you disapprove and the Board contemplates issuing a
license, do you want a hearing before final action is
taken? YES NO
OPTIONAL CHECK LIST EXPLANATION YES NO
LAW ENFORCEMENT YES NO
HEALTH & SANITATION YES NO
FIRE, BUILDING, ZONING YES NO
OTHER: YES NO
If you have indicated disapproval of the applicant, location or both,
please submit a statement of all facts upon which such objections are based.
DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY COMMISSIONERS OR DESIGNEE
Cc:CMMRS Neatherlin, Shutty, Trask
Clerk ,(Y cA04, DA4,�(Ah ,VO,\\
Washington State Licensing and Regulation
PO Box 43098
. , Liquor and Cannabis Board Olympia WA 98504-3098
Phone—(360) 664-1600
Fax—(360) 753-2710
June 27, 2022
AMAZINGARDENS LLC RECENED
2307 56TH ST SE
AUBURNWA 98092-6597 jUh 27 2621
Mason County
Re: THE DAB LAB Commissioners
160 W WESTFIELD CT STE Al
SHELTON WA 98584-4604
LICENSE No.: 430625-7A
U B I: 603-351-059-001-0004
Your license has been approved for the following: CANNABIS PROCESSOR
This license is valid through November 30, 2022.
You must post this letter in a public service area as your temporary operating permit.
If you do not receive your Business License with cannabis endorsement(s) within 15 days,
please contact Department of Revenue's Business Licensing Service/Specialty Licenses at
(360) 705-6744.
This license allows you to process, package, and label usable cannabis and cannabis-
infused products for sale at wholesale to cannabis processor and retailer licensees. You may
only purchase from a licensed cannabis producer.
The licensee must ensure required information is entered into the Cannabis Central
Reporting System (CCRS) and kept completely up-to-date as stated in WAC 314-55-083(4).
Persons under 21 years of age are not permitted on the premises. A sign reading "Persons
under twenty-one years of age not permitted on these premises" must be posted in a
conspicuous location at each entry to the premises (WAC 314-55-086).
Changes in ownership, alterations to your operating and/or floor plan, and business
relocation require prior Board approval. If you wish to make such changes, please contact
our office for assistance.
In accordance with WAC 314-55-020(16) the issuance of a license by the WSLCB shall not
be construed as a license for, or an approval of, any violations of local rules or ordinances
including, but not limited to: Building and fire codes, zoning ordinances, and business
licensing requirements.
Page 2
Your cannabis license can be renewed through the Department of Revenue Business
Licensing Service. Information on how to do this will be included on your renewal notice.
Your access to CCRS will begin the first business day after you receive this letter. Please
visit https://Icb.wa.gov/ccrs/resources for guides on getting started and using CCRS. If you
have questions about reporting or CCRS, please visit our website at https://Icb.wa.gov/ccrs.
P4M& R04( /BAM
Marijuana Licensing Specialist
360-664-1706
cc: Enforcement Office
Mason County Commissioners
File
Cannabis 9/4/14
Cc:CMMRS Neatherlin, Shutty, Trask
Clerk, NwYV-,(�vtlL IU11,Y•Pitl
Washington State
41 Liquor and Cannabis Board
mm
J U N 27 2022
[Mason County
commissioners
TO: Cannabis Producer, Processor, and Retail Licensees
RE: Washington State Liquor Control Board Notice to Licensees on Firearms
This notice is meant to help clarify federal laws about possession of firearms on licensed
premises and while transporting cannabis.
Federal Law on Firearms
Federal law prohibits users of controlled substances from possessing firearms. 18
U.S.C. § 922(g)(3). Cannabis remains a controlled substance under federal law. 18
U.S.C. § 812. Federal regulations provide that current use of controlled substances may
be inferred from evidence of recent use, possession, or a pattern of use or possession.
27 C.F.R. § 478.11. Furthermore, the federal Bureau of Alcohol, Tobacco, Firearms and
Explosives, an agency of the U.S. Department of Justice, stated in an Open Letter
September 21, 2011 that any person in possession of cannabis is prohibited by federal
law from possessing firearms or ammunition. In addition, it is illegal under federal law to
carry or use a firearm in furtherance of a federal drug trafficking crime, which includes
selling cannabis. 18 U.S.C. § 924(c).
CAUTION: Federal law prohibits the possession of firearms by any person on
premises where cannabis is present or being transported. Persons who are
prohibited by federal law from possessing a firearm may be prosecuted in federal
court.
A state license is not a defense to a federal prosecution under federal firearms
laws or the federal Controlled Substances Act, 21 U.S.C. Chapter 13.
Disclaimer
This notice regarding federal laws is not intended to provide legal advice nor does it
provide a legal defense to a violation of any federal laws or rules. Licensees are advised
to consult an attorney if they have questions or concerns regarding federal laws.
PO Box 43075, 1025 Union Ave, SE, Olympia WA 98501, (360) 664-1600, www.liq.wa.gov
t,C:UIVIwIrtJ INJUd LHU11111, JIIUIIy, 1 IGJN
Clerk,KOM, CAMQ i�A11�fh'Q41�Y�Q(�Y�J
Washington State
Liquor and Cannabis Board
NOTICE OF LIQUOR LICENSE APPLICATION
WASHINGTON STATE LIQUOR AND CANNABIS BOARD
License Division - P.O. Box 43098
Olympia,WA 98504-3098
Customer Service: (360) 664-1600
Fax: (360) 753-2710
Website: http://Icb.wa.gov
RETURN TO: localauthority@sp.lcb.wa.gov
TO:MASON COUNTY COMMISSIONERS DATE: 6/27/22
RE:NEW APPLICATION
U B I:600-346-600-001-0001
APPLICANTS:
License: 070712 -2N County:23
Tradename: LAKELAND VILLAGE GOLF COURSE (See Back of Letter)
Address: 200 E OLD RANCH RD
ALLYN WA 98524-7714 FFIECEIVED
lJ 2,7 2022
Phone No.: 360-275-2474 LORI SEVERSON
Mason County
Corr<mis,-inrtrs
Privileges Applied For:
SPIRITS/BR/WN REST LOUNGE-
As required by RCW 66.24.010(8), the Liquor and Cannabis Board is notifying you that the above has
applied for a liquor license. You have 20 days from the date of this notice to give your input on
this application. If we do not receive this notice back within 20 days,we will assume you have no
objection to the issuance of the license. If you need additional time to respond,you must submit a
written request for an extension of up to 20 days,with the reason(s)you need more time. If you
need information on SSN,contact our CHRI desk at(360)664-1724.
YES NO
1. Do you approve of applicant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑
2.Do you approve of location? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑
3. If you disapprove and the Board contemplates issuing a license, do you wish to ❑ ❑
request an adjudicative hearing before final action is taken? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(See WAC 314-09-010 for information about this process)
4. If you disapprove,per RCW 66.24.010(8)you MUST attach a letter to the Board
detailing the reason(s)for the objection and a statement of all facts on which your
objection(s)are based.
DATE SIGNATURE OF MAYOR,CITY MANAGER,COUNTY COMMISSIONERS OR DESIGNEE
ADDITIONAL NEW APPLICATION INFORMATION
Applicants:
LAKELAND VILLAGE GOLF COURSE, INC. 1930-04-01
ANDERSON, DONALD 1967-09-16
(Spouse) ANDERSON, LORI 1945-05-06
ANDERSON, MARILYN 1957-02-15
ANDERSON, RICHARD 1936-07-28
(Spouse) ANDERSON, SALLY 1966-11-30
ANDERSON,STEVEN 1958-07-23
(Spouse) DAHL, CAROL
Cc:CMMRS Neatherlin, Shutty Trask
Clerk, W..YU-,►DAR'1Ah-S11' R(\114.l.UYq
WASHINGTON STATE LIQUOR AND CANNABIS BOARD - LICENSE SERVICES
1025 UNION AVE SE - P 0 Box 43075
Olympia WA 98504-3075
specialoccasions@lcb.wa.gov Fax: 360-753-2710
TO: MASON COUNTY COMMISSIONERS JUNE 28, 2022
SPECIAL OCCASION #: 090131 w, @@ fri"
MASON GENERAL HOSPITAL FOUNDATION
2505 OLYMPIC HWY N, SUITE 170 masm c0mv
SHELTON, WA 98584
Cornmis,%imem
DATE: AUGUST 12, 2022 TIME: 7:OOAM - 6:OOPM
PLACE: LAKELAND VILLAGE GOLF COURSE - 200 E OLD RANCH RD, ALLYN
CONTACT: JENNIFER CAPPS (DOB: 1.28.1970) 3604273622
SPECIAL OCCASION LICENSES
* _Licenses to sell beer on a specified date for consumption at a
specific place.
* _License to sell wine on a specific date for consumption at a
specific place.
* _Beer/Wine/Spirits in unopened bottle or package in limited
quantity for off premise consumption.
* _Spirituous liquor by the individual glass for consumption at a
specific place.
If return of this notice is not received in this office within 20 days from the above
date, we will assume you have no objections to the issuance of the license. If
additional time is required please advise.
1. Do you approve of applicant? YES NO
2. Do you approve of location? YES NO
3. If you disapprove and the Board contemplates issuing a
license, do you want a hearing before final action is
taken? YES NO
OPTIONAL CHECK LIST EXPLANATION YES NO
LAW ENFORCEMENT YES NO
HEALTH & SANITATION YES NO
FIRE, BUILDING, ZONING YES NO
OTHER: YES NO
If you have indicated disapproval of the applicant, location or both,
please submit a statement of all facts upon which such objections are based.
DATE SIGNATURE OF MAYOR, CITY MANAGER, COUNTY COMMISSIONERS OR DESIGNEE
Cc:CMMRS Neatherlin, Shutty, Trask
Clerk, ),Qh
2940 Limited Lane NW
Olympia, WA 98502
oi>"'plc Region clean Air Agenc> Representing Clallam, Grays Harbor,Jefferson, (360) 539-7610 • 1-800-422-5623
ORCA A Mason, Pacific, and Thurston Counties
June 13, 2022 Eit
JUN .i i 2022
Mason County
Mason County Commissioners
Cnn-tmiSsi�;r�rs
411 N 5th
Shelton, WA 98584
Greetings:
The Washington Clean Air Act (RCW 70A.15) requires that prior to the fourth
Monday of June each year; the Air Pollution Control Authority shall notify each city,
town, and county, within their jurisdiction, of their assessment.
At its June 8, 2022 meeting, the Olympic Region Clean Air Agency's Board of
Directors established the per capita assessment for 2023 at$0.869. The population
figure for the unincorporated Mason County of 55,340 is based upon the publication
by the Washington State Office of Financial Management, Forecasting Division;
"2021 Population Trends for Washington State."
This letter will serve as notification that your Contribution for calendar year 2023 to
the Olympic Region Clean Air Agency is $48,090.46. You will receive a statement
for this amount in January. Please contact ORCAA if you have any questions.
Sincerely,
C
Jeff C. Johnston, Ph.D.
Executive Director
South Bend Field Office: 1216 W Robert Bush Drive, South Bend, WA 98586 • (360) 942-2137
Cc:CMMRS Neatherlin, Shutty, Trask
Clerk w�,Av1V-
Q�ttENTOr THE SECRETARY OF THE INTERIOR
c` gym WASHINGTON
a' D
N O
7 �
JUN 23 2022 0 i V
�4RCH 3
Local Government Official
411 N 5th Street, Suite I Mason County
Shelton, WA 98584-3400 Commissioners
Dear County Official:
I am pleased to notify you that on June 23,2022,the Department of the Interior(Department)
issued payments under the Payments in Lieu of Taxes(PELT)program. The PELT program
compensates eligible local jurisdictions for Federal lands administered by agencies within the
Department and on behalf of the U.S. Forest Service and the U.S. Army Corps of Engineers.
Local governments may use the PILT payments for any governmental purpose, including
emergency response,public schools, and roads. Since local governments cannot tax Federal
lands, annual PILT payments help to defray the costs associated with maintaining important
community services.
The Payments in Lieu of Taxes Act, 31 U.S.C. 6901-6907, as amended, authorized the program.
The PELT Act prescribes the formula used to compute the annual payments based on annually
adjusted per-acre and population variables. Prior-year Federal payments under certain revenue-
sharing programs, as reported annually by States, are deducted in formulating the payment
amounts. A provision in the PILT Act provides temporary compensation for recent additions to
the National Park System and National Forest Wilderness Areas.
The President signed the Consolidated Appropriations Act, 2022 (Public Law 117-103) on
March 15, 2022,providing full funding for the 2022 PILT program. More than 1,900 local
jurisdictions received a total of$549.4 million in PELT payments this year.
For 2022,your county is receiving a PILT payment of$354,065.00. If you provided current bank
routing and account numbers to our Interior Business Center or to the System of Awards
Management(SAM), an electronic funds transfer was posted to your account on or about
June 23, 2022. If you did not receive a payment or require further information,please refer to
www.doi.gov/pilt. The website includes information on how to register in SAM to expedite
receipt of future PILT payments. If you have any questions,please contact the PILT Program
Manager,Ms. Dionna Kiernan, at DOI PILT@ios.doi.gov or(202) 513-7783.
Sincerely,
Deb Haaland
MASON COUNTY
AGENDA ITEM SUMMARY FORM
To: Board of Mason County Commissioners
From: Cassidy Perkins Action Agenda: _x_
Public Hearing:
Other:
Department: Support Services Ext: 419
Date: July 5, 2022 Agenda Item # 8. 1
Commissioner staff to complete)
Briefing Date:
Briefing Presented By:
[ x ] Item was not previously briefed with the Board
Please provide an explanation of urgency
Item:
Approval of Warrants & Electronic Remittances
Claims Clearing Fund Warrant# 8088831-8089180 $ 1,821,732.36
Direct Deposit Fund Warrant# 88043-88448 $ 803,395.71
Salary Clearing Fund Warrant# 7006724-7006749 $ 548,507.97
Treasurer Electronic Remittance $
Background: The Board approved Resolution No. 80-00 Payment of Claims Against County:
Procedure Authorizing Warrant Issue and Release Prior to Board Claim Approval. Mason County
Code 3.32.060(a) requires that the board enter into the minutes of the County Commissioners the
approval of claims listing warrant numbers.
Claims Clearing YTD Total $ 19,835,003.11
Direct Deposit YTD Total $ 9,546,839.60
Salary Clearing YTD Total $ 9,560,299.65
Approval of Treasure Electronic Remittances YTD Total $ 6,716,673.40
Recommended Action:
Approval to: Move to approve the following warrants
Claims Clearing Fund Warrant# 8088831-8089180 $ 1,821,732.36
Direct Deposit Fund Warrant# 88043-88448 $ 803,395.71
Salary Clearing Fund Warrant# 7006724-7006749 $ 548,507.97
Treasure Electronic Remittance $
Attachment(s): Originals on file with Auditor/Financial Services (copies on file with the Clerk of
Board)
MASON COUNTY
AGENDA ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
From: Melissa Casey/ Haley Foelsch Action Agenda _X_
Public Hearing
Other
DEPARTMENT: Community Services- Public Health EXT: _404/704_
COMMISSION MEETING DATE: 7/5/2022 Agenda Item # 8.2
Commissioner staff to complete)
[BRIEFING DATE: 6/27/22
BRIEFING PRESENTED BY: Melissa Casey/Haley Foelsch
[] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD
Please provide explanation of urgency:
ITEM:
Eviction Rent Assistance Program 2.0
Background:
Eviction Rental Assistance Program 2.0 grant is part of Washington State's
response to the COVID-19 disaster. ERAP 2.0 is intended to prevent evictions that
would contribute to the spread of the virus by paying past due, current due and
future rent, and targeting limited resources to those with the greatest needs while
working to distribute funds equitably.
Funds have been subcontracted out to Crossroads Housing and Shelton Family
Center (dba The Youth Connection) and funds will be reallocated from unspent
Mason County Admin of $100,000 and funds unallocated in the amount of$50,368
and subcontracted so more evictions can be prevented.
RECOMMENDED ACTION:
Approve reallocation of unspent Mason County Admin fund and subcontract
unallocated funds for a total of $150,368.
Attachment(s): Amendment #1 CH
L:' 1 ADM INISTRATION\Briefing& Action Agendas\PH_7.5.22 C.AA ERAP 2.0 Amendment.doc
Contract Between
Mason County Community Services Department of Public Health and
Crossroads Housing Professional Services Contract number CH:2021-2023 ERAP 2.0 (MC 21-083)
Amendment# 1
The purpose of this amendment is to add ERAP 2.0 funds
IT IS MUTUALLY AGREED THEREFORE: That the Original Contract is hereby amended as follows:
1 EXHIBIT C: BUDGET: Additional funding award in ERAP 2.0 Category
Operations: $15,036
Rent and Utilities: $135,332
TOTAL: $150,368
ALL OTHER TERMS AND CONDITIONS of the original Contract and any subsequent amendments
hereto remain in full force and effect.
IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof on the
day of 2022.
CROSSROADS HOUSING: MASON COUNTY COMMISSIONERS
a
- • fr, y
Signature Kevin Shutty, Chair Date
/ Mason County Board of Commissioners
Title Da e
l
Mason County
Agenda Request Form
To: Board of Mason County Commissioners
From: Diane Zoren Ext. 747
Department: Support Services Briefing:
Action Agenda:
Public Hearing: ❑
Special Meeting: ❑
Briefing Date(s): June 27,2022 Agenda Date: July 5,2022
Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ Information Technology ❑ Other
(This is the responsibility of the requesting Department)
Below for Clerk of the Board's Use Only:
Item Number: e)•3
Approved: ❑Yes ❑ No ❑ Tabled ❑ No Action Taken
Ordinance/Resolution No. Contract No. County Code:
Item•
Fill the vacant Generator position on the Mason County Lodging Tax Advisory Committee(LTAC).
Backaround/Executive Summary:
Mason County Code Chapter 2.96.030—LTAC Composition
The Lodging Tax Advisory Committee shall consist of at least five members appointed by the Board of Mason
County Commissioners. The Committee shall include:at least two representatives of business that are
required to collect the lodging tax;at least two members who are persons involved in activities that are
authorized to be funded by lodging tax revenue;and one Mason County Commissioner who shall serve as the
Chair of the Lodging Tax Advisory Committee. Nathan Welch resigned from LTAC and Greg Oldham has
applied to fill the vacancy.
Generators: Shaun Tucker,Vacant
Spenders:Pam Volz,Heidi McCutcheon,Duane Wilson
Budtet Impact(amount,funding source,budget amendment):
N/A
Public Outreach (news release,community meeting,etc.):
None
Requested Action:
Approval to appoint Greg Oldham to the Lodging Tax Advisory Committee to fill a vacant Generator position.
Attachments
Application
Cc:CMMRS Neatherlin, Shutty, Trask -
Clerk
CO � 3 U N i 0 MASON COUNTY COMMISSIONERS
Mason County 411 NORTH FIFTH STREET
Commissioners SHELTON WA 98584
Fax 360-427-8437, Voice 360-427-9670, Ext. 419,275-4467 or 482-5269
las4
I AM SEEKING APPOINTMENT TO Lodging Tax-L Tax
NAME Greg Oldham
ADDRESS: PHONE:
CITY/ZIP: VOTING PRECINCT: WORK PHONE:
(OR AREA IN THE COUNT W E-MAILY YOU E)
---------------------------------------------------------- --------------------------------
COMMUNITY SERVICE EMPLOYMENT: (IF RETIRED, PREVIOUS EXPERIENCE)
North Mason(Chamber of Comerce COMPANY: Hood Canal Vacation Rentals - 10S
POSITION: Owner
COMPANY: Skyline Properties YRS
POSITION: Real Estate Broker
--------------------------------------------------------------------------------------------
In your words, what do you perceive is the role or purpose of the Board, Committee or Council for which you are applying:
To wisely and carefully spend lodging tax revenue to increase tourism in Mason County.
What interests,skills do you wish to offer the Board,Committee,or Council?
Planning and negotiating.
Please list any financial, professional, or voluntary affiliations which may influence or affect your position on this Board:
(i.e.create a potential conflict of interest)
Your participation is dependent upon attending certain trainings made available by the County during regular business hours
(such as Open Public Meetings Act and Public Records).The trainings would be at no cost to you.Would you be
able to attend such trainings? Yes
Realistically,how much time can you give to this position?
8 Quarterly Monthly Weekly Daly Office Use Only
Greg Oldham 6/9/2022 Appointment Date
Signature Dad
Term Expire Date
MASON COUNTY
AGENDA ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
From: Jennifer Beierle Action Agenda _X_
Public Hearing
Other
DEPARTMENT: Support Services EXT: 532
DATE: July 5, 2022 Agenda Item # 6A
Commissioner staff to complete)
BRIEFING DATE: June 27, 2022
BRIEFING PRESENTED BY: Jennifer Beierle
[ ] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD
Please provide explanation of urgency
Item: Replacement Vehicle Order Requests from Enterprise for 2022/2023
Background: There are a total of 7 vehicle order requests for the 2023 budget year to
replace existing high mileage and aging vehicles. The requests include:
Police Pursuit Vehicles (PPV):
1 Ford Police Interceptor Utility Vehicle, aprx. annual lease of $12,996 & capital upfit of
$31,447
2 Chevrolet Tahoe Canine Units, aprx. annual lease of$15,456 each & capital upfit of
$33,735
White Fleet:
1 Ford Escape 4x4 for Sheriff admin, aprx. annual lease of$8,352 &capital costs of$10,000
1 Ford F150 for Sheriff litter pickup, aprx. annual lease of$14,652 & capital costs of,
$30,000
1 Ford Ranger Supercab 4x4 for Facilities, aprx. annual lease of$8,688 & capital costs of
$1,000
1 Ford Transit Cargo Van for Coroner, aprx. annual lease of$14,148 & capital costs of
$20,301
The County began contracting with Enterprise for municipal leases in 2020. At the start of
the lease program, the fleet was overwhelmingly aging and needing replacement. Ordering
these 7 vehicles will complete the first round of capital leases since the start of the program.
The orders placed next year for 2024 will begin to cycle through the leases and enable the
County to start a regular vehicle replacement rotation of approximately one quarter of the
fleet each year: approximately 10 PPV and 16 White Fleet vehicles. At the end of the each
lease the County owns the vehicles and may choose to sell or keep the vehicles. Enterprise
helps determine the ideal time to sell the vehicles to get the most value out of the program.
J:\Budget OfficeTriefmg,Agenda,&Public Hearing Items\2022\Action Agenda 7.5.2022-2023 Vehicle
Order Requests.doc
Recommended Action: Approval of the 2022/2023 Seven Replacement Vehicle Order
Requests from Enterprise and permission for the Chair to sign for the vehicle order requests
as presented.
Attachment: Vehicle quotes from Enterprise and Systems for Public Safety
J:\Budget Office\Briefmg,Agenda,&Public Hearing Items\2022\Action Agenda 7.5.2022-2023 Vehicle
Order Requests.doc
FLEET MANAGEMENT Open-End (Equity) Lease Rate Quote Quote No: 6481773
Prepared For: Mason County Sheriffs Office Date 06/15/2022
Dracobly,Jason AE/AM S3M/RJL
Unit#
Year 2023 Make Ford Model Police Interceptor Utility
Series Base All-Wheel Drive **ESTIMATED PRICING FOR MY23**
Vehicle Order Type Ordered Term 48 State WA Customer# 602013 **BUILT ACCORDING TO MY22 ORDER SPECS-SUBJECT TO CHANGE**
$44,779.90 Capitalized Price of Vehicles All language and acknowledgments contained in the signed quote
apply to all vehicles that are ordered under this signed quote.
$0.00 Sales Tax 0.0 State WA
$400.00 Initial License Fee Order Information
$0.00 Registration Fee Driver Name Replacing#61,#70,#71
$510.00 Other:(See Page 2) Exterior Color (0 P)Agate Black
$0.00 Capitalized Price Reduction Interior Color (0 1)Charcoal Black w/Unique HD Cloth Front
$0.00 Tax on Capitalized Price Reduction Lic.Plate Type Government
$0.00 Gain Applied From Prior Unit GVWR 0
$0.00 Tax on Gain On Prior
$0.00 Security Deposit
$0.00 * Tax on Incentive(Taxable Incentive Total:$0.00)
$45,289.90 Total Capitalized Amount(Delivered Price)
$792.57 Depreciation Reserve @ 1.7500°
$202.27 Monthly Lease Charge(Based on Interest Rate-Subject to a Floor)2
$994.84 Total Monthly Rental Excluding Additional Services
Additional Fleet Management
Master Policy Enrollment Fees
$0.00 Commercial Automobile Liability Enrollment
Liability Limit$0.00
$0.00 Physical Damage Management Comp/Coll Deductible 0/0
$0.00 Full Maintenance Program 3 Contract Miles 0 OverMileage Charge $0.0000 Per Mile
Incl:#Brake Sets(1 set=1 Axle)0 #Tires 0 Loaner Vehicle Not Included
$0.00 Additional Services SubTotal
$87.55 Sales Tax 8.8000% State WA
$1,082.39 Total Monthly Rental Including Additional Services
$7,246.54 Reduced Book Value at 48 Months
$400.00 Service Charge Due at Lease Termination
Quote based on estimated annual mileage of 20,000
(Current market and vehicle conditions may also affect value of vehicle)
(Quote is Subject to Customer's Credit Approval)
Notes
Enterprise FM Trust will be the owner of the vehicle covered by this Quote.Enterprise FM Trust(not Enterprise Fleet Management)will be the Lessor of such vehicle under the Master Open-
End(Equity)Lease Agreement and shall have all rights and obligations of the Lessor under the Master Open-End(Equity)Lease Agreement with respect to such vehicle.
Lessee must maintain insurance coverage on the vehicle as set forth in Section 11 of the Master Open-End(Equity)Lease Agreement until the vehicle is sold.
ALL TAX AND LICENSE FEES TO BE BILLED TO LESSEE AS THEY OCCUR.
Lessee hereby authorizes this vehicle order,agrees to lease the vehicle on the terms set forth herein and in the Master Equity Lease Agreement and agrees that Lessor shall have the right to
collect damages in the event Lessee fails or refuses to accept delivery of the ordered vehicle.Lessee certifies that it intends that more than 50%of the use of the vehicle is to be in a trade or
business of the Lessee.
LESSEE Mason County Sheriffs Office
BY TITLE DATE
INDICATES ITEMS TO BE BILLED ON DELIVERY.
1 Capitalized Price of Vehicle May be Adjusted to Reflect Final Manufacturer's Invoice.Lessee Hereby Assigns to Lessor anyManufacturer Rebates And/Or Manufacturer Incentives Intended for the Lessee,Which Rebates
And/Or Incentives Have Been UsedBy Lessor to Reduce the Capitalized Price of the Vehicle.
z Monthly Lease Charge will Be Adjusted to Reflect the Interest Rate on the Delivery Date(Subject to a Floor).
3The inclusion herein of references to maintenance fees/services are solely for the administrative convenience of Lessee.Notwithstanding the inclusion of such references in this[Invoice/Schedule/Quote],all such
maintenance services are to be performed by Enterprise Fleet Management,Inc.,and all such maintenance fees are payable by Lessee solely for the account of Enterprise Fleet Management,Inc.,pursuant to that certain
separate[Maintenance Agreement]entered into by and between Lessee and Enterprise Fleet Management,Inc.;provided that such maintenance fees are being billed by Enterprise FM Trust,and are payable at the direction
of Enterprise FM Trust,solely as an authorized agent for collection on behalf of Enterprise Fleet Management,Inc.
Printed On 06/15/2022 01:23:25 PM Page 1 of 6
FLEET
MANAGEMENT Open-End (Equity) Lease Rate Quote Quote No: 6481773
VEHICLE INFORMATION:
2023 Ford Police Interceptor Utility Base All-Wheel Drive-US
Series ID:K8A
Pricing Summary:
INVOICE MSRP
Base Vehicle $39,877 $41,110.00
Total Options $-663.00 $-705.00
Destination Charge $1,495.00 $1,495.00
Total Price $40,709.00 $41,900.00
SELECTED COLOR:
Exterior: UM-(0 P)Agate Black
Interior: 96-(0 1)Charcoal Black w/Unique HD Cloth Front Bucket Seats w/Vinyl Rear
SELECTED OPTIONS:
CODE DESCRIPTION INVOICE MSRP
119WB 119"Wheelbase STD STD
17T Switchable Red/White Lighting in Cargo Area $47.00 $50.00
19K H8 AGM Battery(850 CCA/92-amp) $103.00 $110.00
43D Dark Car Feature $24.00 $25.00
44U Transmission: 10-Speed Automatic(44U) NC NC
47A Police Engine Idle Feature $244.00 $260.00
500A Order Code 500A NC NC
51T Driver Only LED Spot Lamp(Whelen) $394.00 $420.00
52P Hidden Door-Lock Plunger $150.00 $160.00
549 Heated Sideview Mirrors $56.00 $60.00
55F Remote Keyless Entry Key Fob w/o Key Pad $320.00 $340.00
60A Grille LED Lights,Siren&Speaker Pre-Wiring $47.00 $50.00
60R Noise Suppression Bonds(Ground Straps) $94.00 $100.00
63B Side Marker LED Sideview Mirrors $273.00 $290.00
76D Underbody Deflector Plate $315.00 $335.00
76P Pre-Collision Assist w/Pedestrian Detection $136.00 $145.00
76R Reverse Sensing System $259.00 $275.00
85R Rear Console Plate $42.00 $45.00
85S Rear Center Seat Delete NC NC
9 Unique HD Cloth Front Bucket Seats w/Vinyl Rear Included Included
425 50 State Emission System STD STD
96_01 (0 1)Charcoal Black w/Unique HD Cloth Front Bucket Seats w/Vinyl Rear NC NC
99B Engine:3.31-V6 Direct-Injection(FFV) $-3,167.00 $-3,370.00
PAINT Monotone Paint Application STD STD
STDAX 3.73 Axle Ratio Included Included
STDGV GVWR:6,840 Ibs(3,103 kgs) Included Included
STDRD Radio:AM/FM/MP3 Capable Included Included
STDTR Tires:255/60R18 AS BSW Included Included
STDWL Wheels: 18"x 8"5-Spoke Painted Black Steel Included Included
UM_01 (0 P)Agate Black NC NC
Printed On 06/15/2022 01:23:25 PM Page 3 of 6
Front Pedestrian Braking: pedestrian detection
Forward Collision Alert: forward collision
Water Temp Gauge: water temp.gauge
Engine Hour Meter: engine hour meter
Clock: in-radio display clock
Systems Monitor: systems monitor
Check Control: redundant digital speedometer
Rear Vision Camera: rear vision camera
Oil Pressure Warning: oil-pressure warning
Water Temp Warning: water-temp.warning
Battery Warning: battery warning
Lights On Warning: lights-on warning
Key in Ignition Warning: key-in-ignition warning
Low Fuel Warning: low-fuel warning
Low Washer Fluid Warning: low-washer-fluid warning
Door Ajar Warning: door-ajar warning
Trunk Ajar Warning: trunk-ajar warning
Brake Fluid Warning: brake-fluid warning
Safety And Security:
ABS four-wheel ABS brakes
Number of ABS Channels: 4 ABS channels
Brake Assistance: brake assist
Brake Type: four-wheel disc brakes
Vented Disc Brakes: front and rear ventilated disc brakes
Spare Tire Type: full-size spare tire
Spare Tire Mount: spare tire mounted inside under cargo
Driver Front Impact Airbag: driver and passenger front-impact airbags
Driver Side Airbag: seat-mounted driver and passenger side-impact airbags
Overhead Airbag: curtain 1 st and 2nd row overhead airbag
Knee Airbag: knee airbag
Occupancy Sensor: front passenger airbag occupancy sensor
Height Adjustable Seatbelts: height adjustable front seatbelts
Seatbelt Pretensioners: front seatbelt pre-tensioners
Side Impact Bars: side-impact bars
Tailgate/Rear Door Lock Type: tailgate/rear door lock included with power door locks
Rear Child Safety Locks: rear child safety locks
Electronic Stability: electronic stability stability control with anti-roll
Traction Control: ABS and driveline traction control
Front and Rear Headrests: manual adjustable front head restraints
Rear Headrest Control: 2 rear head restraints
Seats And Trim:
Seating Capacity max.seating capacity of 4
Front Bucket Seats: front bucket seats
Number of Driver Seat Adjustments: 8-way driver and passenger seat adjustments
Reclining Driver Seat: manual reclining driver and passenger seats
Driver Lumbar: manual driver and passenger lumbar support
Driver Height Adjustment: power height-adjustable driver and passenger seats
Driver Fore/Aft: power driver and passenger fore/aft adjustment
Driver Cushion Tilt: power driver and passenger cushion tilt
Rear Seat Type: rear bucket seat
Rear Folding Position: rear seat fold-forward seatback
Leather Upholstery: cloth front seat upholstery
Rear Seat Material: vinyl rear seat upholstery
Headliner Material: full cloth headliner
Floor Covering: full vinyl/rubber floor covering
Dashboard Console Insert,Door Panel Insert Combination: metal-look instrument panel insert,door panel insert,console insert
Shift Knob Trim: urethane shift knob
Interior Accents: metal-look interior accents
Cargo Space Trim: carpet cargo space
Printed On 06/15/2022 01:23:25 PM Page 5 of 6
Systems for Public Safety Inc. Sub Estimate For Order#
9412 Front St S Bldg B
Lakewood, WA. 98499 041958
Phone: 253-983-1103 Fax: 253-983-1101
ESTIMATE FOR SERVICES Estimate Date : 06/16/2022
Enterprise Leasing - Austin Yost 2023 Ford - Interceptor-
9315 Olive Blvd Lic#: -MO Odometer In: 2
Saint Louis, MO 63132
Office: 314-274-0890 VIN#:
Part Description/Number Qty Sale Ext Labor Description Hours Extended
Legacy Duo Core Bundle 1.00 3,340.00 3,340.00 Install all listed equipment along with 55.00 4,950.00
Core Legacy Package supplied radios, radar, and power dock.
Legacy Duo WeCanX Size: 48" 1.00 0.02 0.02
Install Customer Supplied Camera System 4.00 360.00
E138DEDE Lettering Package Applied-PIU 1,165.00
LIGHTBAR STRAP KIT 1.00 88.00 88.00 -Mutoh print on Avery half wrap on sides
-Mutoh print on reflective for rear
STPKT105 lettering
WeCanX KNOB/SLIDE CONTROL 1.00 0.02 0.02 Plug speaker into main radio.
HEAD
CCTL6
OBDII CANPORT KIT FORD/DODGE 1.00 0.02 0.02
C399K1
100W Siren Speaker,Whelen 1.00 195.00 195.00
SA315P-
Universal Siren Speaker Bracket 1.00 24.00 24.00
SAK1
Core Output Expansion Module 2.00 228.33 456.66
CEM16
Cencom CORE Siren Amplifier 1.00 1,145.00 1,145.00
C399
DIR,12 LED,H IDE-A-BLAST,TWIST 1.00 87.07 87.07
LOCK,R/W
CD9012-PI-RW
DIR,12 LED,HID E-A-BLAST,TWIST 1.00 87.07 87.07
LOCK,B/W
CD9012-PI-BW
Flush Mount Light Head, Red/Blue 2.00 97.84 195.68
416300-RB
ION T-SERIES LINEAR DUO R/W 1.00 109.90 109.90
TL12D
ION T-SERIES LINEAR DUO B/W 1.00 109.90 109.90
TL12E
3"Round Compartment Light, 1.00 65.00 65.00
Red/W h ite
3SRCCDCR
Dome Light, 12 LED Red/White 1.00 99.95 99.95
ECVDMLTAL00
Map Light 19' Gooseneck LED 1.00 68.40 68.40
Red/White/UV
L-5/18-LED-MV
Havis Adjustable Arm Rest 1.00 62.02 62.02
C-ARM-102
11"Slide Out Locking Swing Arm/Low 1.00 263.90 263.90
Profile Tilt
C-M D-119
Page 1 of 3 Copyright(c)2022 Mitchell Repair Information Company,LLC 11.19.14jd
Systems for Public Safety Inc. Sub Estimate For Order#
9412 Front St S Bldg B
Lakewood, WA. 98499 041958
Phone: 253-983-1103 Fax: 253-983-1101
ESTIMATE FOR SERVICES Estimate Date : 06/16/2022
Enterprise Leasing - Austin Yost 2023 Ford- Interceptor-
9315 Olive Blvd Lic#: -MO Odometer In: 2
Saint Louis, MO 63132
Office: 314-274-0890 VIN#:
Part Description/Number Qty Sale Ext Labor Description Hours Extended
Rain Cap, Black 2.00 8.75 17.50
QWRCB
UHF Male PL259 for LMR195 2.00 5.85 11.70
RFU505-ST
RAM Double Socket Arm 1.00 13.99 13.99
RAM-B-201 U-A
1"Ball Adapter with 1/4"-20 Threaded 1.00 15.70 15.70
Hole
RAM-B-348U
1"Ball with 1/4"-20 x.25'Threaded 1.00 13.56 13.56
Stud
RAP-B-379U-252025
4.8A USB Dual Port-Water Proof 1.00 69.95 69.95
091-219-5-W P
Sector Printer Mount/Housing 1.00 111.43 111.43
LBX028
Sector Printer Power Wire 1.00 27.30 27.30
LB3692
SWITCH ROUND ROCKER BLACK 2.00 2.03 4.06
GREEN LED SPST ON-OFF 12
44171
Tint 2 front 1.00 125.00 125.00
Tint 2
Shipping on Equipment 1.00 100.00 100.00
Freight
Shop Supplies 25.00
Parts/Supplies:14,972.19 Labor:6,475.00 Total: $21,447.19
Motor vehicle repair practices are regulated by ❑This vehicle received YOU ARE ENTITLED TO A PRICE ESTIMATE FOR THE REPAIRS YOU HAVE
chapter ATCP 132,Wis.Adm.Code,administered without face to face AUTHORIZED.THE REPAIR PRICE MAYBE LESS THAT THE ESTIAMTE,BUT WILL
the Bureau of Consumer Protection,Wisconsin customer contact. NOT EXCEED THE ESTIMATE WITHOUT YOUR PERMISSION.YOUR SIGNATURE
Dept.of Agriculture,Trade and Consumer WILL INDICATE YOUR ESTIMATE SELECTION.
Protection,P.O.Box 8911,Madison,Wisconsin 1.1 request an estimate inwriting before you begin repair
5378E-8911 Shop Representative
2.Please proceed with repairs,but call me before continuing Ifthe price will
Having authority to do so I hereby order the above products and services,parts and labor exceed 6
and grant permission to you and/or your employees to operate the vehicle described for 3.1 do not want an estimate
the purpose of testing and/or Inspection.I agree to pay cash when the work is completed
or to pay on other terms satisfactory to you.Until paid in full,the amount owing on this Do you want the replaced parts you are entitled to?❑Yes❑ No
work shall constitute a lien on the motor vehicle.If collection Is made by suit or othervvise,
I agree to pay storage and collection and reasonable attorney's fees.
Customer Sign: Paymentwill be made by❑Cash❑Check❑Credit❑Card Charge
Date: Call when vehicle is ready❑ Yes❑No
Page 3 of 3 Copyright(c)2022 Mitchell Repair Informat on Company,LLC 11.19.14jd
_ FLEET (Equity)-End O en E Lease Rate Quote Quote No: 6482171
MANAGEMENT p q Y)
Prepared For: Mason County Sheriffs Office Date 06/15/2022
Dracobly,Jason AE/AM S3M/RJL
Unit#
Year 2023 Make Chevrolet Model Tahoe
Series Police Vehicle 44
Vehicle Order Type Ordered Term 48 State WA Customer# 602013 **ESTIMATED PRICING FOR MY23**
$53,388.39 Capitalized Price of Vehicles All language and acknowledgments contained in the signed quote
$0.00 Sales Tax 0.0000° State WA apply to all vehicles that are ordered under this signed quote.
$400.00 Initial License Fee Order Information
$0.00 Registration Fee Driver Name Replacing#72I
$510.00 Other:(See Page 2) Exterior Color (0 P)Black
$0.00 Capitalized Price Reduction Interior Color (0 1)Jet Black w/Cloth Seat Trim
$0.00 Tax on Capitalized Price Reduction Lic.Plate Type Government
$0.00 Gain Applied From Prior Unit GVWR 0
$0.00 Tax on Gain On Prior
$0.00 * Security Deposit
$0.00 Tax on Incentive(Taxable Incentive Total:$0.00)
$53,898.39 Total Capitalized Amount(Delivered Price)
$943.22 Depreciation Reserve @ 1.7500°
$240.27 Monthly Lease Charge(Based on Interest Rate-Subject to a Floor)z
$1,183.49 Total Monthly Rental Excluding Additional Services
Additional Fleet Management
Master Policy Enrollment Fees
$0.00 Commercial Automobile Liability Enrollment
Liability Limit$0.00
$0.00 Physical Damage Management Comp/Coll Deductible 0/0
$0.00 Full Maintenance Program 3 Contract Miles 0 OverMileage Charge $0.0000 Per Mile
Incl:#Brake Sets(1 set=1 Axle)0 #Tires 0 Loaner Vehicle Not Included
$0.00 Additional Services SubTotal
$104.15 Sales Tax 8.8000% State WA
$1,287.64 Total Monthly Rental Including Additional Services
$8,623.83 Reduced Book Value at 48 Months
$400.00 Service Charge Due at Lease Termination
Quote based on estimated annual mileage of 20,000
(Current market and vehicle conditions may also affect value of vehicle)
(Quote is Subject to Customer's Credit Approval)
Notes
Enterprise FM Trust will be the owner of the vehicle covered by this Quote.Enterprise FM Trust(not Enterprise Fleet Management)will be the Lessor of such vehicle under the Master Open-
End(Equity)Lease Agreement and shall have all rights and obligations of the Lessor under the Master Open-End(Equity)Lease Agreement with respect to such vehicle.
Lessee must maintain insurance coverage on the vehicle as set forth in Section 11 of the Master Open-End(Equity)Lease Agreement until the vehicle is sold.
ALL TAX AND LICENSE FEES TO BE BILLED TO LESSEE AS THEY OCCUR.
Lessee hereby authorizes this vehicle order,agrees to lease the vehicle on the terms set forth herein and in the Master Equity Lease Agreement and agrees that Lessor shall have the right to
collect damages in the event Lessee fails or refuses to accept delivery of the ordered vehicle.Lessee certifies that it intends that more than 50%of the use of the vehicle is to be in a trade or
business of the Lessee.
LESSEE Mason County Sheriffs Office
BY TITLE DATE
INDICATES ITEMS TO BE BILLED ON DELIVERY.
Capitalized Price of Vehicle May be Adjusted to Reflect Final Manufacturer's Invoice.Lessee Hereby Assigns to Lessor anyManufacturer Rebates And/Or Manufacturer Incentives Intended for the Lessee,Which Rebates
And/Or Incentives Have Been UsedBy Lessor to Reduce the Capitalized Price of the Vehicle.
2 Monthly Lease Charge Will Be Adjusted to Reflect the Interest Rate on the Delivery Date(Subject to a Floor).
3The inclusion herein of references to maintenance fees/services are solely for the administrative convenience of Lessee.Notwithstanding the inclusion of such references in this[Invoice/Schedule/Quote],all such
maintenance services are to be performed by Enterprise Fleet Management,Inc.,and all such maintenance fees are payable by Lessee solely for the account of Enterprise Fleet Management,Inc.,pursuant to that certain
separate[Maintenance Agreement]entered into by and between Lessee and Enterprise Fleet Management,Inc.;provided that such maintenance fees are being billed by Enterprise FM Trust,and are payable at the direction
of Enterprise FM Trust,solely as an authorized agent for collection on behalf of Enterprise Fleet Management,Inc.
Printed On 06/15/2022 02:32:32 PM Page 1 of 6
FLEET
MANAGEMENT Open-End (Equity) Lease Rate Quote Quote No: 6482171
VEHICLE INFORMATION:
2023 Chevrolet Tahoe Police Vehicle 4x4-US
Series ID:CK10706
Pricing Summary:
INVOICE MSRP
Base Vehicle $50,516.4 $53,400.00(Est.)
Total Options $-3,776.50 $-4,150.00(Est.)
Destination Charge $1,795.00 $1,795.00
Total Price $48,534.90 $51,045.00(Est.)
SELECTED COLOR:
Exterior: GBA-(0 P)Black
Interior: H1T-(0 1)Jet Black w/Cloth Seat Trim
SELECTED OPTIONS:
CODE DESCRIPTION INVOICE MSRP
1FL Preferred Equipment Group 1FL $-3,776.50 $4,150.00 (Est.)
5,13 Surveillance Mode Calibration Interior Lighting Included Included (Est.)
5T5 SEO:2nd Row Vinyl Seats w/Front Cloth NC NC (Est.)
5Y1 SEO:Front Center Seat Delete NC NC (Est.)
9C1 Identifier for Police Package Vehicle NC NC (Est.)
ATD 3rd Row Passenger Seat Delete Included Included (Est.)
AZ3 Front 40/20/40 Split-Bench Seat STD STD (Est.)
C6G GVWR:7,600 Ibs(3,447 kgs) STD STD (Est.)
FE9 Federal Emissions Requirements NC NC (Est.)
GBA_01 (0 P)Black NC NC (Est.)
GU5 3.23 Rear Axle Ratio STD STD (Est.)
H1T_02 (0 1)Jet Black w/Cloth Seat Trim NC NC (Est.)
IOR Radio:Chevrolet Infotainment 3 System STD STD (Est.)
K47 High-Capacity Air Cleaner Included Included (Est.)
K6K 760 Cold-Cranking Amps Auxiliary Battery Included Included (Est.)
KX4 250 Amps Alternator Included Included (Est.)
L84 Engine:5.31-EcoTec3 V8 STD STD (Est.)
MHU Transmission:Electronic 10-Speed Automatic w/OD STD STD (Est.)
NPO Single-Speed Elec Autotrac Active Transfer Case Included Included (Est.)
PXT Wheels:20"x 9"Steel Included Included (Est.)
RAV Spare P275/55R20 AS BW Tire Included Included (Est.)
RC1 Front Skid Plate Included Included (Est.)
STDTM Cloth Seat Trim STD STD (Est.)
UQF 6-Speaker Audio System Feature Included Included (Est.)
UT7 SEC:Ground Wires Included Included (Est.)
V53 Luggage Rack Side Rails Delete Included Included (Est.)
VK3 License Plate Front Mounting Package NC NC (Est.)
XCS Tires:P275/55R20SL AS BW Included Included (Est.)
Z56 Full Independent Suspension Package Included Included (Est.)
ZY1 Solid Paint STD STD (Est.)
Printed On 06/15/2022 02:32:32 PM Page 3 of 6
Front Wipers: variable intermittent Rainsense rain detecting wipers wipers
Rear Window wiper: fixed interval rear window wiper
Rear Window Defroster: rear window defroster
Tinted Windows: deep-tinted windows
Front Reading Lights: front and rear reading lights
Ignition Switch: ignition switch light
Variable IP Lighting: variable instrument panel lighting
Display Type: analog appearance
Tachometer: tachometer
Voltameter: voltmeter
Low Tire Pressure Warning: tire specific low-tire-pressure warning
Park Distance Control: Front and Rear Park Assist front and rear parking sensors
Trip Computer: trip computer
Trip Odometer: trip odometer
Oil Pressure Gauge: oil pressure gauge
Water Temp Gauge: water temp.gauge
Engine Hour Meter: engine hour meter
Clock: in-radio display clock
Systems Monitor: systems monitor
Check Control: redundant digital speedometer
Rear Vision Camera: rear vision camera
Oil Pressure Warning: oil-pressure warning
Water Temp Warning: water-temp.warning
Battery Warning: battery warning
Low Oil Level Warning: low-oil-level warning
Low Coolant Warning: low-coolant warning
Lights On Warning: lights-on warning
Key in Ignition Warning: key-in-ignition warning
Low Fuel Warning: low-fuel warning
Low Washer Fluid Warning: low-washer-fluid warning
Door Ajar Warning: door-ajar warning
Trunk Ajar Warning: trunk-ajar warning
Brake Fluid Warning: brake-fluid warning
Turn Signal On Warning: turn-signal-on warning
Transmission Fluid Temperature Warning: transmission-fluid-temperature warning
Safety And Security:
ABS four-wheel ABS brakes
Number of ABS Channels: 4 ABS channels
Brake Assistance: brake assist
Brake Type: four-wheel disc brakes
Vented Disc Brakes: front and rear ventilated disc brakes
Daytime Running Lights: daytime running lights
Spare Tire Type: full-size spare tire
Spare Tire Mount: underbody mounted spare tire w/crankdown
Driver Front Impact Airbag: driver and passenger front-impact airbags
Driver Side Airbag: seat-mounted driver and passenger side-impact airbags
Overhead Airbag: curtain 1 st,2nd and 3rd row overhead airbag
Occupancy Sensor: front passenger airbag occupancy sensor
Height Adjustable Seatbelts: height adjustable front seatbelts
Seatbelt Pretensioners: front seatbelt pre-tensioners
3Point Rear Centre Seatbelt: 3 point rear centre seatbelt
Side Impact Bars: side-impact bars
Tailgate/Rear Door Lock Type: tailgate/rear door lock included with power door locks
Rear Child Safety Locks: rear child safety locks
Ignition Disable: PASS-Key III immobilizer
Security System: security system
Panic Alarm: panic alarm
Tracker System: tracker system
Electronic Stability: electronic stability
Printed On 06/15/2022 02:32:32 PM Page 5 of 6
Systems for Public Safety Inc.
ESTIMATE#
9412 Front St S Bldg B
Lakewood, WA. 98499 045286
Phone: 253-983-1103 Fax: 253-983-1101
Your One Stop Shop for Emergency Vehicle Needs
Estimate for Services Estimate Date : 4/5/2022
Enterprise Leasing - Austin Yost 2023 Chevrolet-Tahoe PPV-
9315 Olive Blvd Lic#: -MO Odom. In: 0
Saint Louis, MO 63132
Office: 314-274-0890 VIN#:
Part Description/Number Qty Sale Ext Labor Description Hours Extended
Legacy Duo Core Bundle 1.00 3,340.00 3,340.00 Install all listed equipment to customer Spec. 68.00 6,120.00
Core Legacy Package Customer radio-
Sector Printer
Legacy DUO 54"WeCanX Lightbar 1.00 0.00 0-00 Computer Dock
Size: 54" GPS
EB2DEDE Install K9 Insert 15.00 1,350.00
Cencom CORE Siren Amplifier 1.00 0.00 0.0
12s PIT BAR Inserts
C399
WeCanX KNOB/SLIDE CONTROL 1.00 0.00 0.00
HEAD
CCTL6
OBDII CANPORT CABLE KIT CHEVY 1.00 0.00 0.00
C399K2
Core Output Expansion Module 2.00 228.33 456.66
CEM16
100W Siren Speaker,Whelen 2.00 187.14 374.28
SA315P-
Universal Siren Speaker Bracket 2.00 24.00 48.00
SAK1
ION T-SERIES LINEAR DUO B/W 1.00 98.69 98.69
TL12E
ION T-SERIES LINEAR DUO R/W 1.00 98.69 98.69
TL12D
ION T-SERIES LINEAR DUO R/W 1.00 109.90 109.90
TL12D
ION T-SERIES LINEAR DUO B/W 1.00 109.90 109.90
TL12E
ION Slim LED DUO Red White 3.00 101.90 305.70
12D
ION Slim LED DUO Blue White 3.00 101.90 305.70
12E
Dome Light, 12 LED Red/White 1.00 81.75 81.75
ECVDMLTAL00
FedSig Micropulse Ultra 3 LED Flush 1.00 89.00 89.00
Mount, Blue
MPS31 U-B
Hella Hero Hideaway Reverse Stop Tail 2.00 130.77 261.54
Tu rn
358118101
FedSig Micropulse Ultra 3 LED Flush 1.00 89.00 89.00
Mount, Red
MPS31 U-R
12.5"Wide High Angled 22"Vehicle 1.00 629.33 629.33
Specific Console for 2021 Chevrolet
Tahoe Police Pursuit Vehicle
C-VSW-1012-TAH
Havis Dual Cup Holder 1.00 34.01 34.01
Page 1 of 3 Copyright(c)2022 Mitchell Repair Information Company,LLC esthrs 4.06.2016kr
Systems for Public Safety Inc. ESTIMATE#
9412 Front St S Bldg B
Lakewood, WA. 98499 045286
Phone: 253-983-1103 Fax: 253-983-1101
Your One Stop Shop for Emergency Vehicle Needs
Estimate for Services Estimate Date : 4/5/2022
Enterprise Leasing - Austin Yost 2023 Chevrolet-Tahoe PPV-
9315 Olive Blvd Lic#: -MO Odom. In: 0
Saint Louis, MO 63132
Office: 314-274-0890 VIN#
Part Description /Number Qty Sale Ext Labor Description Hours Extended
Harness 1.00 571.44 571.44
WIre Harness
NMO Kit 17ft 3.00 17.50 52.50
NM058UPL
Lind Input Cable Bare Wire 1.00 21.27 21.27
CBLIP-F00051
Switch, Rocker, SPST,Lit, On-Off-On 1.00 9.42 9.42
44306
Rocker Switch Cover, Red 1.00 2.43 2.43
44365
USB Cable,Type A to Mini-B, 15ft 1.00 25.00 25.00
USB 15-AB
USB 2.0 Cable-A-Male to B-Male-10 1.00 6.42 6.42
Feet
A6TK
Freight on K9 1.00 900.00 900.00
Shipping
Shop Supplies 25.00
Parts/Supplies: 16,264.68 Labor:7,470.00 Total: $23,734.68
Visit Us Online:www.systemsforpublicsafety.com
I hereby authorize the above repair work to be done along with the necessary material and hereby grant you and/or your employees permission to operate the
vehicle described for testing and/or inspection. Express mechanic's lien is hereby acknowledged on above vehicle to secure the amount of repairs thereto.
NOT RESPONSIBLE FOR LOSS OR DAMAGE TO CARS OR ARTICLES LEFT IN CARS IN CASE OF FIRE,THEFT OR ANY OTHER CAUSE.
"Estimates are good for 45 days after date printed on estimate"
Signature Date Time
Page 3 of 3 Copyright(c)2022 Mitchell Repair Information Company,LLC esthrs 4.06.2016kr
FLEET
FIRM
MANAGEMENT Open-End (Equity) Lease Rate Quote Quote No: 6481922
Prepared For: Mason County Sheriffs Office Date 06/15/2022
Dracobly,Jason AE/AM S3M/RJL
Unit#
Year 2023 Make Ford Model Escape
Series S 4dr All-Wheel Drive **ESTIMATED PRICING FOR MY23**
Vehicle Order Type Ordered Term 48 State WA Customer# 602013 **BUILT ACCORDING TO MY22 ORDER SPECS-SUBJECT TO CHANGE**
$31,797.70 Capitalized Price of Vehicles All language and acknowledgments contained in the signed quote
$0.00 Sales Tax 0.0000° State WA apply to all vehicles that are ordered under this signed quote.
$400.00 * Initial License Fee Order Information
$0.00 Registration Fee Driver Name Replacing#160
$510.00 Other:(See Page 2) Exterior Color (0 P)Oxford White
$0.00 Capitalized Price Reduction Interior Color (0 1)Dark Earth Gray w/Cloth Front Bucket Se
$0.00 Tax on Capitalized Price Reduction Lie.Plate Type Government
$0.00 Gain Applied From Prior Unit GVWR 0
$0.00 * Tax on Gain On Prior
$0.00 Security Deposit
$0.00 Tax on Incentive(Taxable Incentive Total:$0.00)
$32,307.70 Total Capitalized Amount(Delivered Price)
$436.15 Depreciation Reserve @ 1.3500°
$162.57 Monthly Lease Charge(Based on Interest Rate-Subject to a Floor)2
$598.72 Total Monthly Rental Excluding Additional Services
Additional Fleet Management
Master Policy Enrollment Fees
$0.00 Commercial Automobile Liability Enrollment
Liability Limit$0.00
$0.00 Physical Damage Management Comp/Coll Deductible 0/0
$40.96 Full Maintenance Program 3 Contract Miles 22,000 OverMileage Charge $0.0000 Per Mile
Incl:#Brake Sets(1 set=1 Axle)0 #Tires 0 Loaner Vehicle Not Included
$40.96 Additional Services SubTotal
$56.29 Sales Tax 8.8000% State WA
$695.97 Total Monthly Rental Including Additional Services
$11,372.50 Reduced Book Value at 48 Months
$400.00 Service Charge Due at Lease Termination
Quote based on estimated annual mileage of 5,500
(Current market and vehicle conditions may also affect value of vehicle)
(Quote is Subject to Customer's Credit Approval)
Notes
Enterprise FM Trust will be the owner of the vehicle covered by this Quote.Enterprise FM Trust(not Enterprise Fleet Management)will be the Lessor of such vehicle under the Master Open-
End(Equity)Lease Agreement and shall have all rights and obligations of the Lessor under the Master Open-End(Equity)Lease Agreement with respect to such vehicle.
Lessee must maintain insurance coverage on the vehicle as set forth in Section 11 of the Master Open-End(Equity)Lease Agreement until the vehicle is sold.
ALL TAX AND LICENSE FEES TO BE BILLED TO LESSEE AS THEY OCCUR.
Lessee hereby authorizes this vehicle order,agrees to lease the vehicle on the terms set forth herein and in the Master Equity Lease Agreement and agrees that Lessor shall have the right to
collect damages in the event Lessee fails or refuses to accept delivery of the ordered vehicle.Lessee certifies that it intends that more than 50%of the use of the vehicle is to be in a trade or
business of the Lessee.
LESSEE Mason County Sheriffs Office
BY TITLE DATE
INDICATES ITEMS TO BE BILLED ON DELIVERY.
Capitalized Price of Vehicle May be Adjusted to Reflect Final Manufacturer's Invoice.Lessee Hereby Assigns to Lessor anyManufacturer Rebates And/Or Manufacturer Incentives Intended for the Lessee,Which Rebates
And/Or Incentives Have Been UsedBy Lessor to Reduce the Capitalized Price of the Vehicle.
2 Monthly Lease Charge Will Be Adjusted to Reflect the Interest Rate on the Delivery Date(Subject to a Floor).
3The inclusion herein of references to maintenance fees/services are solely for the administrative convenience of Lessee.Notwithstanding the inclusion of such references in this[Invoice/Schedule/Quote],all such
maintenance services are to be performed by Enterprise Fleet Management,Inc.,and all such maintenance fees are payable by Lessee solely for the account of Enterprise Fleet Management,Inc.,pursuant to that certain
separate[Maintenance Agreement]entered into by and between Lessee and Enterprise Fleet Management,Inc.;provided that such maintenance fees are being billed by Enterprise FM Trust,and are payable at the direction
of Enterprise FM Trust,solely as an authorized agent for collection on behalf of Enterprise Fleet Management,Inc.
Printed On 06/15/2022 01:39:24 PM Page 1 of 6
FLEET O en-End E uit Lease Rate Quote Quote No: 6481922
_
MANAGEMENT P q y�
VEHICLE INFORMATION:
2023 Ford Escape S 4dr All-Wheel Drive-US
Series ID:U917
Pricing Summary:
INVOICE MSRP
Base Vehicle $27,412 $28,260.00
Total Options $0.00 $0.00
Destination Charge $1,495.00 $1,495.00
Total Price $28,907.00 $29,755.00
SELECTED COLOR:
Exterior: YZ-(0 P)Oxford White
Interior: VH-(0 1)Dark Earth Gray w/Cloth Front Bucket Seats
SELECTED OPTIONS:
CODE DESCRIPTION INVOICE MSRP
100A Equipment Group 100A NC NC
106WB 106"Wheelbase STD STD
153 Front License Plate Bracket NC NC
425 50-State Emissions System STD STD
448 Transmission:8-Speed Automatic Included Included
996 Engine:1.5L EcoBoost Included Included
PAINT Monotone Paint Application STD STD
STDAX 3.81 Axle Ratio Included Included
STDGV GVWR:TBD Included Included
STDRD Radio:AM/FM Stereo Included Included
STDTR Tires:225/65R17 AS BSW Included Included
STDWL Wheels:17"Steel w/Sparkle Silver-Painted Covers Included Included
SYNC SYNC Communications&Entertainment System Included Included
SYNCON FordPass Connect Included Included
V Cloth Front Bucket Seats Included Included
VH_01 (0 1)Dark Earth Gray w/Cloth Front Bucket Seats NC NC
YZ_01 (0 P)Oxford White NC NC
Printed On 06/15/2022 01:39:24 PM Page 3 of 6
Front Reading Lights: front and rear reading lights
Ignition Switch: ignition switch light
Variable IP Lighting: variable instrument panel lighting
Display Type: analog appearance
Tachometer: tachometer
Compass: compass
Exterior Temp: outside-temperature display
Low Tire Pressure Warning: tire specific low-tire-pressure warning
Trip Computer: trip computer
Trip Odometer: trip odometer
Lane Departure Warning: lane departure
Blind Spot Sensor: blind spot
Front Pedestrian Braking: pedestrian detection
Forward Collision Alert: forward collision
Water Temp Gauge: water temp.gauge
Clock: in-radio display clock
Systems Monitor: systems monitor
Rear Vision Camera: rear vision camera
Oil Pressure Warning: oil-pressure warning
Water Temp Warning: water-temp.warning
Battery Warning: battery warning
Lights On Warning: lights-on warning
Key in Ignition Warning: key-in-ignition warning
Low Fuel Warning: low-fuel warning
Low Washer Fluid Warning: low-washer-fluid warning
Bulb Failure Warning: bulb-failure warning
Door Ajar Warning: door-ajar warning
Trunk Ajar Warning: trunk-ajar warning
Brake Fluid Warning: brake-fluid warning
Safety And Security:
ABS four-wheel ABS brakes
Number of ABS Channels: 4 ABS channels
Brake Assistance: brake assist
Brake Type: four-wheel disc brakes
Vented Disc Brakes: front ventilated disc brakes
Daytime Running Lights: daytime running lights
Driver Front Impact Airbag: driver and passenger front-impact airbags
Driver Side Airbag: seat-mounted driver and passenger side-impact airbags
Overhead Airbag: Safety Canopy System curtain 1st and 2nd row overhead airbag
Knee Airbag: knee airbag
Occupancy Sensor: front passenger airbag occupancy sensor
Height Adjustable Seatbelts: height adjustable front seatbelts
Seatbelt Pretensioners: front seatbelt pre-tensioners
3Point Rear Centre Seatbelt: 3 point rear centre seatbelt
Side Impact Bars: side-impact bars
Perimeter Under Vehicle Lights: remote activated perimeter/approach lights
Tailgate/Rear Door Lock Type: tailgate/rear door lock included with power door locks
Rear Child Safety Locks: rear child safety locks
Ignition Disable: SecuriLock immobilizer
Panic Alarm: panic alarm
Tracker System: tracker system
Electronic Stability: AdvanceTrac w/Roll Stability Control electronic stability stability control with anti-roll
Traction Control: ABS and driveline traction control
Front and Rear Headrests: manual adjustable front head restraints
Rear Headrest Control: 3 rear head restraints
Seats And Trim:
Seating Capacity max.seating capacity of 5
Front Bucket Seats: front bucket seats
Number of Driver Seat Adjustments: 6-way driver and passenger seat adjustments
Printed On 06/15/2022 01:39:24 PM Page 5 of 6
_ FLEET MANAGEMENT p O en-End (Equity) Lease Rate Quote Quote No: 6482161
Prepared For: Mason County Sheriffs Office Date 06/15/2022
Dracobly,Jason AE/AM S3M/RJL
Unit#
Year 2023 Make Ford Model F-150
Series XL 4x4 SuperCrew Cab 5.5 ft.box 145 in.WB **ESTIMATED PRICING FOR MY23**
Vehicle Order Type Ordered Term 48 State WA Customer# 602013 **BUILT ACCORDING TO MY22 ORDER SPECS-SUBJECT TO CHANGE**
$48,335.10 Capitalized Price of Vehicles All language and acknowledgments contained in the signed quote
$0.00 Sales Tax 0.00 State WA apply to all vehicles that are ordered under this signed quote.
$400.00 Initial License Fee Order Information
$0.00 Registration Fee Driver Name Replacing#208
$510.00 Other:(See Page 2) Exterior Color (0 P)Oxford White
$0.00 Capitalized Price Reduction Interior Color (0 1)Black w/Medium Dark Slate w/Vinyl 40/20
$0.00 Tax on Capitalized Price Reduction Lic.Plate Type Government
$0.00 Gain Applied From Prior Unit GVWR 0
$0.00 Tax on Gain On Prior
$0.00 Security Deposit
$0.00 Tax on Incentive(Taxable Incentive Total:$0.00)
$48,845.10 Total Capitalized Amount(Delivered Price)
$805.94 Depreciation Reserve @ 1. 50 °
$224.62 Monthly Lease Charge(Based on Interest Rate-Subject to a Floor)2
$1,030.56 Total Monthly Rental Excluding Additional Services
Additional Fleet Management
Master Policy Enrollment Fees
$0.00 Commercial Automobile Liability Enrollment
Liability Limit$0.00
$0.00 Physical Damage Management Comp/Coll Deductible 0/0
$91.53 Full Maintenance Program 3 Contract Miles 100,000 OverMileage Charge $0.0000 Per Mile
Incl:#Brake Sets(1 set=1 Axle)0 #Tires 0 Loaner Vehicle Not Included
$91.53 Additional Services SubTotal
$98.74 Sales Tax 8.8000% State WA
$1,220.83 Total Monthly Rental Including Additional Services
$10,159.98 Reduced Book Value at 48 Months
$400.00 Service Charge Due at Lease Termination
Quote based on estimated annual mileage of 25,000
(Current market and vehicle conditions may also affect value of vehicle)
(Quote is Subject to Customer's Credit Approval)
Notes
Enterprise FM Trust will be the owner of the vehicle covered by this Quote.Enterprise FM Trust(not Enterprise Fleet Management)will be the Lessor of such vehicle under the Master Open-
End(Equity)Lease Agreement and shall have all rights and obligations of the Lessor under the Master Open-End(Equity)Lease Agreement with respect to such vehicle.
Lessee must maintain insurance coverage on the vehicle as set forth in Section 11 of the Master Open-End(Equity)Lease Agreement until the vehicle is sold.
ALL TAX AND LICENSE FEES TO BE BILLED TO LESSEE AS THEY OCCUR.
Lessee hereby authorizes this vehicle order,agrees to lease the vehicle on the terms set forth herein and in the Master Equity Lease Agreement and agrees that Lessor shall have the right to
collect damages in the event Lessee fails or refuses to accept delivery of the ordered vehicle.Lessee certifies that it intends that more than 50%of the use of the vehicle is to be in a trade or
business of the Lessee.
LESSEE Mason County Sheriffs Office
BY TITLE DATE
INDICATES ITEMS TO BE BILLED ON DELIVERY.
1 Capitalized Price of Vehicle May be Adjusted to Reflect Final Manufacturer's Invoice.Lessee Hereby Assigns to Lessor anyManufacturer Rebates And/Or Manufacturer Incentives Intended for the Lessee,Which Rebates
And/Or Incentives Have Been UsedBy Lessor to Reduce the Capitalized Price of the Vehicle.
2 Monthly Lease Charge Will Be Adjusted to Reflect the Interest Rate on the Delivery Date(Subject to a Floor).
3The inclusion herein of references to maintenance fees/services are solely for the administrative convenience of Lessee.Notwithstanding the inclusion of such references in this[Invoice/Schedule/Quote],all such
maintenance services are to be performed by Enterprise Fleet Management,Inc.,and all such maintenance fees are payable by Lessee solely for the account of Enterprise Fleet Management,Inc.,pursuant to that certain
separate[Maintenance Agreement]entered into by and between Lessee and Enterprise Fleet Management,Inc.:provided that such maintenance fees are being billed by Enterprise FM Trust,and are payable at the direction
of Enterprise FM Trust,solely as an authorized agent for collection on behalf of Enterprise Fleet Management,Inc.
Printed On 06/15/2022 02:07:37 PM Page 1 of 6
FLEET MANAGEMENT Open-End (Equity) Lease Rate Quote Quote No: 6482161
VEHICLE INFORMATION:
2023 Ford F-150 XL 4x4 SuperCrew Cab 5.5 ft.box 145 in.WB-US
Series ID:W1E
Pricing Summary:
INVOICE MSRP
Base Vehicle $40,516 $42,425.00
Total Options $1,630.00 $1,790.00
Destination Charge $1,795.00 $1,795.00
Total Price $43,941.00 $46,010.00
SELECTED COLOR:
Exterior: YZ-(0 P)Oxford White
Interior: AS-(0 1)Black w/Medium Dark Slate w/Vinyl 40/20/40 Front Seat
SELECTED OPTIONS:
CODE DESCRIPTION INVOICE MSRP
100A Equipment Group 100A Standard NC NC
145WB 145"Wheelbase STD STD
153 Front License Plate Bracket NC NC
44G Transmission:Electronic 10-Speed Automatic Included Included
53A Trailer Tow Package $1,088.00 $1,195.00
53B Class IV Trailer Hitch Receiver Included Included
64C Wheels: 17'Silver Steel Included Included
67T Integrated Trailer Brake Controller Included Included
96W Tough Bed Spray-In Bedliner $542.00 $595.00
99B Engine:3.3L V6 PFDI Included Included
A Vinyl 40/20/40 Front Seat NC NC
AS_02 (0 1)Black w/Medium Dark Slate w/Vinyl 40/20/40 Front Seat NC NC
PAINT Monotone Paint Application STD STD
STDGV GVWR:6,470 Ibs Payload Package Included Included
STDRD Radio:AM/FM Stereo w/6 Speakers Included Included
STDTR Tires:265/70R17 BSW A/T Included Included
SYNC SYNC 4 Included Included
WARANT Fleet Customer Powertrain Limited Warranty NC NC
X26 3.73 Axle Ratio Included Included
YZ_01 (0 P)Oxford White NC NC
Printed On 06/15/2022 02:07:37 PM Page 3 of 6
Display Type: analog appearance
Tachometer: tachometer
Voltometer: voltmeter
Compass: compass
Exterior Temp: outside-temperature display
Low Tire Pressure Warning: tire specific low-tire-pressure warning
Trip Odometer: trip odometer
Lane Departure Warning: lane departure
Front Pedestrian Braking: pedestrian detection
Forward Collision Alert: forward collision
Oil Pressure Gauge: oil pressure gauge
Water Temp Gauge: water temp.gauge
Transmission Oil Temp Gauge: transmission oil temp.gauge
Clock: in-radio display clock
Rear Vision Camera: rear vision camera
Oil Pressure Warning: oil-pressure warning
Water Temp Warning: water-temp.warning
Battery Warning: battery warning
Lights On Warning: lights-on warning
Key in Ignition Warning: key-in-ignition warning
Low Fuel Warning: low-fuel warning
Door Ajar Warning: door-ajar warning
Brake Fluid Warning: brake-fluid warning
Safety And Security:
ABS four-wheel ABS brakes
Number of ABS Channels: 4 ABS channels
Brake Assistance: brake assist
Brake Type: four-wheel disc brakes
Vented Disc Brakes: front and rear ventilated disc brakes
Daytime Running Lights: daytime running lights
Spare Tire Type: full-size spare tire
Spare Tire Mount: underbody mounted spare tire w/crankdown
Driver Front Impact Airbag: driver and passenger front-impact airbags
Driver Side Airbag: seat-mounted driver and passenger side-impact airbags
Overhead Airbag: Safety Canopy System curtain 1st and 2nd row overhead airbag
Occupancy Sensor: front passenger airbag occupancy sensor
Height Adjustable Seatbelts: height adjustable front seatbelts
Seatbelt Pretensioners: front seatbelt pre-tensioners
3Point Rear Centre Seatbelt: 3 point rear centre seatbelt
Side Impact Bars: side-impact bars
Perimeter Under Vehicle Lights: remote activated perimeter/approach lights
Tailgate/Rear Door Lock Type: tailgate/rear door lock included with power door locks
Rear Child Safety Locks: rear child safety locks
Ignition Disable: SecuriLock immobilizer
Security System: security system
Panic Alarm: panic alarm
Electronic Stability: electronic stability stability control with anti-roll
Traction Control: ABS and driveline traction control
Front and Rear Headrests: manual adjustable front head restraints
Rear Headrest Control: 3 rear head restraints
Seats And Trim:
Seating Capacity max.seating capacity of 6
Front Bucket Seats: front split-bench 40-20-40 seats
Number of Driver Seat Adjustments: 4-way driver and passenger seat adjustments
Reclining Driver Seat: manual reclining driver and passenger seats
Driver Fore/Aft: manual driver and passenger fore/aft adjustment
Front Centre Armrest Storage: front centre armrest
Rear Seat Type: rear 60-40 split-bench seat
Rear Folding Position: rear seat fold-up cushion
Printed On 06/15/2022 02:07:37 PM Page 5 of 6
FLEET MANAGEMENT Open-End (Equity) Lease Rate Quote Quote No: 6481548
Prepared For: Mason County Date 06/15/2022
Neary,Mark AEIAM S3M/RJL
Unit#
Year 2023 Make Ford Model Ranger
Series XL 44 SuperCab 6 ft.box 126.8 in.WB **ESTIMATED PRICING FOR MY23**
Vehicle Order Type Ordered Term 48 State WA Customer# 549343 **BUILT ACCORDING TO MY22 ORDER SPECS-SUBJECT TO CHANGE**
$34,218.80 Capitalized Price of Vehicle t All language and acknowledgments contained in the signed quote
$0.00 Sales Tax 0.0000° State WA apply to all vehicles that are ordered under this signed quote.
$400.00 * Initial License Fee Order Information
$0.00 Registration Fee Driver Name
$510.00 Other:(See Page 2) Exterior Color (0 P)Oxford White
$0.00 Capitalized Price Reduction Interior Color (0 1)Ebony w/Front Vinyl Bucket Seats
$0.00 Tax on Capitalized Price Reduction Lic.Plate Type Government
$0.00 Gain Applied From Prior Unit GVWR 0
$0.00 * Tax on Gain On Prior
$0.00 * Security Deposit
$0.00 Tax on Incentive(Taxable Incentive Total:$0.00)
$34,728.80 Total Capitalized Amount(Delivered Price)
$468.84 Depreciation Reserve @ 1.350 °
$174.57 Monthly Lease Charge(Based on Interest Rate-Subject to a Floor)2
$643.41 Total Monthly Rental Excluding Additional Services
Additional Fleet Management
Master Policy Enrollment Fees
$0.00 Commercial Automobile Liability Enrollment
Liability Limit$0.00
$23.00 Physical Damage Management Comp/Coll Deductible 5000/5000
$0.00 Full Maintenance Program 3 Contract Miles 0 OverMileage Charge $0.0650 Per Mile
Inc]:#Brake Sets(1 set=1 Axle)0 #Tires 0 Loaner Vehicle Not Included
$23.00 Additional Services SubTotal
$56.62 Sales Tax 8.8000% State WA
$723.03 Total Monthly Rental Including Additional Services
$12,224.48 Reduced Book Value at 48 Months
$400.00 Service Charge Due at Lease Termination
Quote based on estimated annual mileage of 5,500
(Current market and vehicle conditions may also affect value of vehicle)
(Quote is Subject to Customer's Credit Approval)
Notes
Enterprise FM Trust will be the owner of the vehicle covered by this Quote.Enterprise FM Trust(not Enterprise Fleet Management)will be the Lessor of such vehicle under the Master Open-
End(Equity)Lease Agreement and shall have all rights and obligations of the Lessor under the Master Open-End(Equity)Lease Agreement with respect to such vehicle.
Lessee must maintain insurance coverage on the vehicle as set forth in Section 11 of the Master Open-End(Equity)Lease Agreement until the vehicle is sold.
ALL TAX AND LICENSE FEES TO BE BILLED TO LESSEE AS THEY OCCUR.
Lessee hereby authorizes this vehicle order,agrees to lease the vehicle on the terms set forth herein and in the Master Equity Lease Agreement and agrees that Lessor shall have the right to
collect damages in the event Lessee fails or refuses to accept delivery of the ordered vehicle.Lessee certifies that it intends that more than 50%of the use of the vehicle is to be in a trade or
business of the Lessee.
LESSEE Mason County
BY TITLE DATE
INDICATES ITEMS TO BE BILLED ON DELIVERY.
Capitalized Price of Vehicle May be Adjusted to Reflect Final Manufacturer's Invoice.Lessee Hereby Assigns to Lessor anyManufacturer Rebates And/Or Manufacturer Incentives Intended for the Lessee,Which Rebates
And/Or Incentives Have Been UsedBy Lessor to Reduce the Capitalized Price of the Vehicle.
2 Monthly Lease Charge Will Be Adjusted to Reflect the Interest Rate on the Delivery Date(Subject to a Floor).
3The inclusion herein of references to maintenance fees/services are solely for the administrative convenience of Lessee.Notwithstanding the inclusion of such references in this[Invoice/Schedule/Quote],all such
maintenance services are to be performed by Enterprise Fleet Management,Inc.,and all such maintenance fees are payable by Lessee solely for the account of Enterprise Fleet Management,Inc.,pursuant to that certain
separate[Maintenance Agreement]entered into by and between Lessee and Enterprise Fleet Management,Inc.;provided that such maintenance fees are being billed by Enterprise FM Trust,and are payable at the direction
of Enterprise FM Trust,solely as an authorized agent for collection on behalf of Enterprise Fleet Management,Inc.
Printed On 06/15/2022 12:47:55 PM Page 1 of 6
FLEET
MANAGEMENT Open-End (Equity) Lease Rate Quote Quote No: 6481548
VEHICLE INFORMATION:
2023 Ford Ranger XL 4x4 SuperCab 6 ft.box 126.8 in.WB-US
Series ID:RIF
Pricing Summary:
INVOICE MSRP
Base Vehicle $28,683 $29,570.00
Total Options $930.00 $990.00
Destination Charge $1,495.00 $1,495.00
Total Price $31,108.00 $32,055.00
SELECTED COLOR:
Exterior: YZ-(0 P)Oxford White
Interior: SH-(0 1)Ebony w/Front Vinyl Bucket Seats
SELECTED OPTIONS:
CODE DESCRIPTION INVOICE MSRP
100A Equipment Group 100A Standard NC NC
126WB 126.8"Wheelbase STD STD
153 Front License Plate Bracket NC NC
425 50-State Emissions System STD STD
44U Transmission:Electronic 10-Speed SelectShift Auto Included Included
4SPK 4 Speakers Included Included
53R Trailer Tow Package $465.00 $495.00
53RHTC Class IV Trailer Hitch Receiver Included Included
64A Wheels:16"Silver Steel Included Included
86S Tough Bed Spray-In Bedliner $465.00 $495.00
99H Engine:2.3L EcoBoost Included Included
PAINT Monotone Paint Application STD STD
S Front Vinyl Bucket Seats NC NC
SH_03 (0 1)Ebony w/Front Vinyl Bucket Seats NC NC
STDAX 3.73 Axle Ratio Included Included
STDGV GVWR:6,050 lbs Included Included
STDRD Radio:AM/FM Stereo Included Included
STDTR Tires:P255/70R16 A/S BSW Included Included
STOP Auto Start-Stop Technology Included Included
YZ_01 (0 P)Oxford White NC NC
Printed On 06/15/2022 12:47:55 PM Page 3 of 6
Forward Collision Alert: forward collision
Oil Pressure Gauge: oil pressure gauge
Water Temp Gauge: water temp.gauge
Transmission Oil Temp Gauge: transmission oil temp.gauge
Clock: in-radio display clock
Rear Vision Camera: rear vision camera
Oil Pressure Warning: oil-pressure warning
Water Temp Warning: water-temp.warning
Battery Warning: battery warning
Lights On Warning: lights-on warning
Key in Ignition Warning: key-in-ignition warning
Low Fuel Warning: low-fuel warning
Door Ajar Warning: door-ajar warning
Brake Fluid Warning: brake-fluid warning
Safety And Security:
ABS four-wheel ABS brakes
Number of ABS Channels: 4 ABS channels
Brake Assistance: brake assist
Brake Type: four-wheel disc brakes
Vented Disc Brakes: front ventilated disc brakes
Daytime Running Lights: daytime running lights
Spare Tire Type: full-size spare tire
Spare Tire Mount: underbody mounted spare tire w/crankdown
Driver Front Impact Airbag: driver and passenger front-impact airbags
Driver Side Airbag: seat-mounted driver and passenger side-impact airbags
Overhead Airbag: Safety Canopy System curtain 1st and 2nd row overhead airbag
Occupancy Sensor: front passenger airbag occupancy sensor
Height Adjustable Seatbelts: height adjustable front seatbelts
Seatbelt Pretensioners: front seatbelt pre-tensioners
Side Impact Bars: side-impact bars
Tailgate/Rear Door Lock Type: manual tailgate/rear door lock
Ignition Disable: Securil-ock immobilizer
Tracker System: tracker system
Electronic Stability: AdvanceTrac w/Roll Stability Control electronic stability stability control with anti-roll
Traction Control: ABS and driveline traction control
Front and Rear Headrests: manual adjustable front head restraints with tilt
Rear Headrest Control: 2 rear head restraints
Seats And Trim:
Seating Capacity max.seating capacity of 4
Front Bucket Seats: front bucket seats
Number of Driver Seat Adjustments: 6-way driver and passenger seat adjustments
Reclining Driver Seat: manual reclining driver and passenger seats
Driver Lumbar: manual driver and passenger lumbar support
Driver Height Adjustment: manual height-adjustable driver and passenger seats
Driver Fore/Aft: manual driver and passenger fore/aft adjustment
Front Centre Armrest Storage: front centre armrest
Removeable Rear Seats: removeable rear seat
Rear Seat Type: rear full bench seat
Rear Folding Position: rear seat fold-up cushion
Leather Upholstery: vinyl front and rear seat upholstery
Headliner Material: full cloth headliner
Floor Covering: full vinyl/rubber floor covering
Cabback Insulator: cabback insulator
Shift Knob Trim: urethane shift knob
Interior Accents: chrome interior accents
Standard Engine:
Engine 270-hp,2.3-liter 1-4(regular gas)
Standard Transmission:
Printed On 06/15/2022 12:47:55 PM Page 5 of 6
FLEET MANAGEMENT Open-End (Equity) Lease Rate Quote Quote No: 6481747
Prepared For: Mason County-Coroner Date 06/15/2022
Neary,Mark AE/AM S3M/RJL
Unit#
Year 2023 Make Ford Model Transit-150 Cargo
Series Base All-Wheel Drive Low Roof Van 148 in.WB **ESTIMATED PRICING FOR MY23**
Vehicle Order Type Ordered Term 48 State WA Customer# 602024 **BUILT ACCORDING TO MY22 ORDER SPECS-SUBJECT TO CHANGE**
$53,860.80 Capitalized Price of Vehicles All language and acknowledgments contained in the signed quote
apply to all vehicles that are ordered under this signed quote.
$0.00 Sales Tax 0.0000° State WA
$400.00 Initial License Fee Order Information
$0.00 Registration Fee Driver Name
$510.00 Other:(See Page 2) Exterior Color (0 P)Oxford White
$0.00 Capitalized Price Reduction Interior Color (0 1)Ebony w/Cloth Front Bucket Seats
$0.00 Tax on Capitalized Price Reduction Lie.Plate Type Government
$0.00 Gain Applied From Prior Unit GVWR 0
$0.00 Tax on Gain On Prior
$0.00 Security Deposit
$0.00 * Tax on Incentive(Taxable Incentive Total:$0.00)
$54,370.80 Total Capitalized Amount(Delivered Price)
$734.01 Depreciation Reserve @ 1. 00°
$271.99 Monthly Lease Charge(Based on Interest Rate-Subject to a Floor)z
$1,006.00 Total Monthly Rental Excluding Additional Services
Additional Fleet Management
Master Policy Enrollment Fees
$0.00 Commercial Automobile Liability Enrollment
Liability Limit$0.00
$23.00 Physical Damage Management Comp/Coll Deductible 5000/5000
$56.08 Full Maintenance Program 3 Contract Miles 50,000 OverMileage Charge $0.0000 Per Mile
Incl:#Brake Sets(1 set=1 Axle)0 #Tires 0 Loaner Vehicle Not Included
$79.08 Additional Services SubTotal
$93.47 Sales Tax 8.8000% State WA
$1,178.55 Total Monthly Rental Including Additional Services
$19,138.32 Reduced Book Value at 48 Months
$400.00 Service Charge Due at Lease Termination
Quote based on estimated annual mileage of 12,500
(Current market and vehicle conditions may also affect value of vehicle)
(Quote is Subject to Customer's Credit Approval)
Notes
Enterprise FM Trust will be the owner of the vehicle covered by this Quote.Enterprise FM Trust(not Enterprise Fleet Management)will be the Lessor of such vehicle under the Master Open-
End(Equity)Lease Agreement and shall have all rights and obligations of the Lessor under the Master Open-End(Equity)Lease Agreement with respect to such vehicle.
Lessee must maintain insurance coverage on the vehicle as set forth in Section 11 of the Master Open-End(Equity)Lease Agreement until the vehicle is sold.
ALL TAX AND LICENSE FEES TO BE BILLED TO LESSEE AS THEY OCCUR.
Lessee hereby authorizes this vehicle order,agrees to lease the vehicle on the terms set forth herein and in the Master Equity Lease Agreement and agrees that Lessor shall have the right to
collect damages in the event Lessee fails or refuses to accept delivery of the ordered vehicle.Lessee certifies that it intends that more than 50%of the use of the vehicle is to be in a trade or
business of the Lessee.
LESSEE Mason County-Coroner
BY TITLE DATE
INDICATES ITEMS TO BE BILLED ON DELIVERY.
Capitalized Price of Vehicle May be Adjusted to Reflect Final Manufacturer's Invoice.Lessee Hereby Assigns to Lessor anyManufacturer Rebates And/Or Manufacturer Incentives Intended for the Lessee,Which Rebates
And/Or Incentives Have Been UsedBy Lessor to Reduce the Capitalized Price of the Vehicle.
z Monthly Lease Charge Will Be Adjusted to Reflect the Interest Rate on the Delivery Date(Subject to a Floor).
3The inclusion herein of references to maintenance fees/services are solely for the administrative convenience of Lessee.Notwithstanding the inclusion of such references in this[Invoice/Schedule/Quote),all such
maintenance services are to be performed by Enterprise Fleet Management,Inc.,and all such maintenance fees are payable by Lessee solely for the account of Enterprise Fleet Management,Inc.,pursuant to that certain
separate[Maintenance Agreement]entered into by and between Lessee and Enterprise Fleet Management,Inc.;provided that such maintenance fees are being billed by Enterprise FM Trust,and are payable at the direction
of Enterprise FM Trust,solely as an authorized agent for collection on behalf of Enterprise Fleet Management,Inc.
Printed On 06/15/2022 01:07:39 PM Page 1 of 6
=41 FLEET MANAGEMENT Open-End (Equity) Lease Rate Quote Quote No: 6481747
VEHICLE INFORMATION:
2023 Ford Transit-150 Cargo Base All-Wheel Drive Low Roof Van 148 in.WB-US
Series ID:E2Y
Pricing Summary:
INVOICE MSRP
Base Vehicle $45,529 $47,925.00
Total Options $3,972.00 $4,360.00
Destination Charge $1,795.00 $1,795.00
Total Price $51,296.00 $54,080.00
SELECTED COLOR:
Exterior: YZ-(0 P)Oxford White
Interior: CB-(0 1)Ebony w/Cloth Front Bucket Seats
SELECTED OPTIONS:
CODE DESCRIPTION INVOICE MSRP
101A Order Code 101A NC NC
148WB 148"Wheelbase STD STD
153 Front License Plate Bracket NC NC
15F Full Rear Compartment Lighting $69.00 $75.00
16E Front&Rear Vinyl Floor Covering $223.00 $245.00
17B Fixed Rr Cargo Door&2nd Row Passenger-Side Glass $387.00 $425.00
219 Ebony Cloth Bucket Seats NC NC
425 50-State Emissions System STD STD
43B Back Up Alarm $137.00 $150.00
43R Reverse Sensing System Included Included
44U Transmission: 10-Spd Automatic w/OD&SelectShift Included Included
53D Tow/Haul Mode w/Trailer Wiring Provisions $269.00 $295.00
542 Short-Arm Pwr-Folding Heated Pwr Adjusting Mirrors Included Included
55D Front Fog Lamps Included Included
57N Rear-Window Defroster Included Included
58B Radio:AM/FM Stereo w/SYNC 4 $847.00 $930.00
60C Cruise Control w/Adjustable Spd Limiting Device(ASLD) $296.00 $325.00
61D 360-Degree Camera w/Split View $910.00 $1,000.00
641 Wheels: 16"Silver Steel w/Silver Hubcaps Included Included
65A Blind Spot Assist 1.0 $724.00 $795.00
86F 2 Additional Keys(4 Total) $69.00 $75.00
90B Rearview Mirror Included Included
942 Daytime Running Lights $41.00 $45.00
998 Engine:3.5L PFDi V6 Flex-Fuel Included Included
C Cloth Front Bucket Seats NC NC
CB_02 (0 1)Ebony w/Cloth Front Bucket Seats NC NC
GRILLE Honeycomb Mesh Grille w/Chrome Surround Included Included
PAINT Monotone Paint Application STD STD
STDGV GVWR:8,670 lbs Included Included
STDTR Tires:235/65R16C 121/119 R AS BSW Included Included
TEMP Electronic Air Temperature Control Included Included
WARANT Fleet Customer Powertrain Limited Warranty NC NC
X7L 3.73 Limited-Slip Axle Ratio Included Included
Printed On 06/15/2022 01:07:39 PM Page 3 of 6
CONFIGURED FEATURES:
Body Exterior Features:
Number Of Doors 3
Rear Cargo Door Type: split swing-out
Driver And Passenger Mirror: power remote heated power folding side-view door mirrors with turn signal indicator
Convex Driver Mirror: convex driver and passenger mirror
Door Handles: black
Front And Rear Bumpers: black front and rear bumpers
Front License Plate Bracket: front license plate bracket
Body Material: fully galvanized steel body material
: trailering with harness
Body Side Cladding: black bodyside cladding
Grille: chrome grille
Convenience Features:
Air Conditioning automatic air conditioning
Cruise Control: cruise control with steering wheel controls,Ford Co-Pilot360-ACC with ASLD distance pacing
Power Windows: power windows with driver 1-touch down
Remote Keyless Entry: keyfob(all doors)remote keyless entry
Illuminated Entry: illuminated entry
Integrated Key Remote: integrated key/remote
Auto Locking: auto-locking doors
Steering Wheel: steering wheel with manual tilting,manual telescoping
Day-Night Rearview Mirror: day-night rearview mirror
Emergency SOS: emergency communication system
Navigation System: SYNC 4 Connected Navigation navigation system with voice activation
Front Cupholder: front cupholder
Floor Console: partial floor console with box
Glove Box: locking glove box
Driver Door Bin: driver and passenger door bins
IP Storage: bin instrument-panel storage
Driver Footrest: driver's footrest
Power Accessory Outlet: 2 12V DC power outlets
Entertainment Features:
radio AM/FM stereo with seek-scan
Voice Activated Radio: voice activated radio
Steering Wheel Radio Controls: steering-wheel mounted audio controls
Speakers: 4 speakers
Internet Access: FordPass Connect 4G internet access
1st Row LCD: 1 1st row LCD monitor
Wireless Connectivity: wireless phone connectivity
Antenna: fixed antenna
Lighting,Visibility and Instrumentation Features:
Headlamp Type delay-off aero-composite halogen headlamps
Auto-Dimming Headlights: Ford Co-Pilot360-Auto High Beam auto high-beam headlights
Front Fog Lights: front fog lights
Front Wipers: variable intermittent wipers
Rear Window Defroster: rear window defroster
Tinted Windows: light-tinted windows
Dome Light: dome light with fade
Front Reading Lights: front reading lights
Variable IP Lighting: variable instrument panel lighting
Display Type: analog appearance
Tachometer: tachometer
Low Tire Pressure Warning: low-tire-pressure warning
Park Distance Control: Reverse Sensing System rear parking sensors
Trip Odometer: trip odometer
Lane Departure Warning: lane departure
Printed On 06/15/2022 01:07:39 PM Page 5 of 6
Systems for Public Safety Inc. ESTIMATE#
9412 Front St S Bldg B
Lakewood, WA. 98499 045679
Phone: 253-983-1103 Fax: 253-983-1101
ESTIMATE FOR SERVICES Estimate Date : 06/16/2022
Enterprise Leasing - Austin Yost 2023 Ford-Transit-
9315 Olive Blvd Lic#: -MO Odometer In: 0
Saint Louis, MO 63132
Office: 314-274-0890 VIN#:
Part Description/Number Qty Sale Ext Labor Description Hours Extended
Cenator WC 54"AW/RW 1.00 1,990.74 1,990.74 Install Listed equipment to Corner Spec 50.00 4,500.00
CB2DDDD Install Windows 6.00 540.00
Code 3 Siren Speaker W/Universal 1.00 231.11 231.11
Bracket "Equipment Serial Numbers"
C39000
ARGES2, Pro Focus Spot Light 1.00 467.67 467.67 Radio: Kenwood NX-5700
Serial#
ARGES2 Radio: Kenwood NX-5800
Bail Mount Control Head 1.00 186.28 186.28
ARGCH1 Cradle Point
Serial#
Add Vehicle Specific Mounting Bracket 1.00 68.04 68.04 Verify Window with Corner
ADDMNT Install Side Windows at left and right quarter 500.00
SIREN AMP W/21 Button CONTROL 1.00 549.91 549.91 panels
HHS4207 -Cut holes in L&R quarter panels, install customer supplied
Ecco Warning Lights Round LED Flood 2.00 44.04 88.08 glass.
Beam "Body panels are curved and glass is not bent. Cannot
E92005 warranty for leaks or adhesion failure
ION T-SERIES LINEAR LT Clear 4.00 98.00 392.00
TLIC
Hella Hero Hideaway Reverse Stop Tail 2.00 119.00 238.00
Turn
358118101
Map Light Red/White With Dimmer 18" 1.00 80.64 80.64
Gooseneck
CA0130
Havis 24'consoleCen Com 1.00 419.12 419.12
Switch Plate
Kenwood Radio
C-2410
Havis Dual Cup Holder 1.00 37.74 37.74
C-CUP2-1
6"Accessory Pocket W/Hinged Lid& 1.00 100.51 100.51
Lock,4.5"Deep
C-AP-0645-L
2015-2020 Ford Transit Passenger Side 1.00 550.65 550.65
Mount Package
PKG-PSM-383
4.8A USB Dual Port-Water Proof 1.00 69.95 69.95
091-219-5-W P
Magnetic Mic Conversion Kit, Single 3.00 34.95 104.85
Unit
MMSU1
Havis Mic Clip Bracket 3.00 12.25 36.75
C-MCB
Tunnel Mount Assembly for 2015-2020 1.00 188.74 188.74
Ford Transit Van
Page 1 of 3 Copyright(c)2022 Mitchell Repair Information Company,LLC 11.19.14jd
Systems for Public Safety Inc. ESTIMATE#
9412 Front St S Bldg B
Lakewood, WA. 98499 045679
Phone: 253-983-1103 Fax: 253-983-1101
ESTIMATE FOR SERVICES Estimate Date : 06/16/2022
Enterprise Leasing - Austin Yost 2023 Ford-Transit-
9315 Olive Blvd Lic# : -MO Odometer In: 0
Saint Louis, MO 63132
Office: 314-274-0890 VIN#:
Part Description/Number Qty Sale Ext Labor Description Hours Extended
25Ft CAT 5E Shielded Ethernet 1.00 10.00 10.00
Network Booted Cable
4312
VWD VAN BUNK HALF-SLIDER 2.00 345.36 690.72
WINDOW DRIVER SIDE 39"X 15"
39"X 15"
Shipping on Equipment 1.00 200.00 200.00
Freight
Shop Supplies 25.00
Parts/Supplies:8,332.02 Labor:5,040.00 Sublet:500.00 HazMat/Fees:0.00 Tax:1,428.82 Total: $15,300.84
Motor vehicle repair practices are regulated by ❑This vehicle received YOU ARE ENTITLED TO A PRICE ESTIMATE FOR THE REPAIRS YOU HAVE
chapter ATCP 132,Wis.Adm.Code,administered withoutface to face AUTHORIZED.THE REPAIR PRICE MAYBE LESS THAT THE ESTIAMTE,BUT WILL
the Bureau of Consumer Protection,Wisconsin customer contact. NOT EXCEED THE ESTIMATE WITHOUT YOUR PERMISSION.YOUR SIGNATURE
Dept.of Agriculture,Trade and Consumer WILL INDICATE YOUR ESTIMATE SELECTION.
Protection,P.O.Box 8911,Madison,Wisconsin 1.1 request an estimate inwriting before you begin repair
53708-8911 Shop Representative
2.Please proceed with repairs,but call me before continuing If the price will
Having authority to do so I hereby order the above products and services,pats and labor exceed$
and grant permission to you and/or your employees to operate the vehicle described for 3.1 do not want an estimate
the purpose of testing and/or inspection.I agree to pay cash vNfien thevwrk Is completed
orto pay on otherterms satisfactorytoyou.Until paid In full,the amount owing onthis Do you wantthe replaced parts you are entitled to?❑Yes❑ No
vwrk shell constitute a lien on the motor vehicle.If collection Is made by suit or othervvise,
I agree to pay storage and collection and reasonable attorney's fees.
Customer Sign: Paymentwill be made by❑Cash❑ Check❑ Credit❑Card Charge
Date: Call when vehicle Is ready❑ Yes❑No
Page 3 of 3 Copyright(c)2022 Mitchell Repair Information Company,LLC 11.19.141d
MASON COUNTY
AGENDA ITEM SUMMARY FORM
To: Board of Mason County Commissioners
From: Daniel Goodell, Presiding Judge Action Agenda: X
Amber Finlay, Judge Public Hearing:
Monty Cobb, Judge Other
Jim Madsen Chief Administrator
Department: Superior Court Ext: 206/332
Commission Meeting Date: 7/5/2 Agenda Item # 8.6
(Commissioner staff to
complete)
Briefing Date: 6/27/22
Briefing Presented By: Daniel Goodell, Presiding Judge
[ ] Item was not previously briefed by the board
Please provide explanation of urgency
Item: Superior Court Commissioner Contract
Background:
Background: Since 2011, the Board of County Commissioners and Superior Court
have entered into an annual contract with the Mason County Superior Court
Commissioner. On July 1, 2022 Commissioner Ferguson-Brown will become Judge
Ferguson-Brown, and the Court has selected Tirsa Butler to fill the vacant
Commissioner position. The proposed contract is for 37 hours per week (.925 FTE)
split between the Superior Court Budget (.625 FTE) and the Therapeutic Courts
budget (.30 FTE), which are the same terms of the previous contract. Because of
the mid-year departure of Ms. Ferguson-Brown the new contract will be for the term
of July 1, 2022 — December 31, 2023.
Recommended Action:
Approve the 2022 Court Commissioner Professional Services Agreement for the
term of July 1,2022 — December 31,2023 and return the original to Superior Court for
our records.
Attachment(s):
Court Commissioner Professional Services Agreement
Agenda Summary 6/29/2022
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Domestic Violence and Anti-harassment
Ex parte
5 . During the hours established by the work schedule
herein, Commissioner may also be required to perform other
duties, such as, (1) hear and decide civil, domestic, probate,
juvenile and/or adult criminal matters authorized by LCrR 4 . 2;
(2) review requests for temporary orders in domestic violence
petitions and other ex parte order requests; and (3) other
matters as arranged by the Court .
6 . Commissioner will successfully complete the Washington
Judicial College and shall comply with Continuing Judicial
Education requirements as set out in GR 26 .
Section Three - Compensation
Pursuant to RCW 2 . 24 . 030, County agrees to pay Commissioner
for the work set out in the schedule herein a salary at the rate
of 850 of the salary of a Superior Court Judge for . 925 FTE. As
of July 1, 2022 Commissioner' s rate of pay is as follows :
$13, 311 . 80 per month ($83 . 03 per hour) for a total annual salary
of $159, 741 . 62 . In the event the salary of a Superior Court
judge is modified by the Washington Citizen' s Commission on
Salaries for Elected Officials, the Commissioner' s salary/rate
of pay will also be modified using the following formula:
(Superior Court Judicial salary X 0 . 925) X 850 . Any work
performed over and above the schedule set forth herein shall be
compensated at the hourly rate .
Section Four - Benefits/Deductions
Commissioner shall be eligible for all benefits available
to Mason County employees within Chapters 6 and 7 of the Mason
County Personnel Policies . Commissioner shall receive the same
insurance premium contribution as regular full-time employees .
Deductions by County from Commissioner' s pay will include
applicable taxes, an amount equal to an employee' s contribution
for applicable benefits and other deductions required by federal
and state law.
Section Five - Integration Clause
This agreement embodies the whole agreement between the
parties . This agreement shall supersede all previous
communications, representations or agreements, either verbal or
written, between the parties .
COURT COMMISSIONER PROFESSIONAL SERVICES AGREEMENT - 2
Section Six - Written Modification as Necessary
There may be no modification of this agreement, except in
writing, executed with the same formalities as this instrument.
Section Seven - Termination
This agreement shall terminate immediately should
Commissioner not be in good standing with the Washington State
Bar Association. Additionally, Court or Commissioner may
terminate this agreement for any reason upon thirty (30) days
written notice delivered to the other party. Actual delivery by
Commissioner of a written notice to terminate to the Presiding
Judge will constitute notice.
Signed this day of Signed this day of
2022 : , 2022 :
MASON COUNTY SUPERIOR COURT BOARD OF COUNTY COMMISSIONERS
, Judge RANDY NEATHERLIN
Commissioner District 1
DANIEL L. GOODELL, Judge KEVIN SHUTTY
Commissioner District 2
MONTY D. COBB, Judge SHARON TRASK
Commissioner District 3
Signed this a`k'day of
2022 :
TIRSA LE
COURT COMMISSIONER PROFESSIONAL SERVICES AGREEMENT - 3
Approved as to form:
MASON COUNTY PROSECUTOR' S OFFICE
1
COURT COMMISSIONER PROFESSIONAL SERVICES AGREEMENT - 4
ACKNOWLEDGEMENT
I, Tirsa C. Butler, acknowledge receipt of a copy of Mason
County' s Non-Discrimination and Harassment Policy (chapter 12 of
the Personnel Policies) . I shall abide by this policy and that
of state and federal laws that preclude discrimination on the
basis of a person' s race, color, creed, religion, national
origin, ethnicity, age, sex, marital status, veteran' s status,
sexual orientation, or disability (known or perceived) .
Signed: Date: ,
T I R S A -C-�.
COURT COMMISSIONER PROFESSIONAL SERVICES AGREEMENT - 5
MASON COUNTY
AGENDA ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
FROM: Richard Dickinson, Deputy Director/U&W Action Agenda
DEPARTMENT: Public Works EXT: 450
COMMISSION MEETING DATE: July 5, 2022 Agenda Item #6.19
BRIEFING DATE: June 27, 2022
BRIEFING PRESENTED BY: Richard Dickinson/Loretta Swanson
[ ] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD
Please provide explanation of urgency
ITEM: Rustlewood Water System Upgrade Project
BACKGROUND:
On June 21, 2022, County Commissioners accepted the appropriation funding for the
County Rustlewood Water System Upgrades project. Governor Inslee signed a 2022
Supplemental State Capital Budget, which includes an appropriation of $550,000 for
the project.
The project will address water quality issues, update and improve drinking water
system reliability and safety for the community of Rustlewood. Reservoir, wellfield and
system pressurization electrical and control to be brought up to current electrical code
compliance standards through rewiring and critical component replacements. This
project will also include replacing/relocating a distribution system pressure reducing
valve (PRV) that has failed.
The project is 100% grant funded. The net grant award will be $533,500 (Department
of Commerce retains three percent (up to a maximum of $50,000) for administering
the project).
RECOMMENDED ACTION:
Recommend the Board authorize Public Works to procure materials/services, advertise,
set bid openings, award contracts, and the Deputy Director and/or Chair to sign all
pertinent project documents for the Rustlewood Water System Upgrades project.
MASON COUNTY
AGENDA ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
From: Mike Collins, PE, PLS, County Engineer Action Agenda
DEPARTMENT: Public Works EXT: 450
COMMISSION MEETING DATE: July 5, 2022 Agenda Item # �.
BRIEFING DATE: June 27, 2022
BRIEFING PRESENTED BY: Mike Collins
[ ] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD
Please provide explanation of urgency
ITEM: Private Line Occupancy Permit
BACKGROUND:
Mr. Joey Maneman has applied for a Private Line Occupancy Permit to install a new
underground sewer transport line under West Lost Lake View Drive. This line is needed to
move his septic system to the upland side of the road at 58 West Lost Lake View Drive
parcel numbers (51901-52-02008) & (51901-52-01010).
An application fee of $200 has been paid to process the proposed Private Line Occupancy
Permit.
RECOMMENDED ACTION:
Recommend the Board approve the Private Line Occupancy Permit granting permission to
run a sewer transport line under West Lost Lake View Drive for address 58 West Lost Lake
View Drive.
ATTACHMENT:
1. PLO (Page A-4, Area Map)
IN THE MATTER OF THE APPLICATION OF Joey Maneman
FOR A PRIVATE LINE UTILITY OCCUPANCY PERMIT TO CONSTRUCT, OPERATE,
AND MAINTAIN On-site Septic transport line
ALONG AND UNDER Lost Lake View Drive A COUNTY MAINTAINED ROAD
LOCATED IN MASON COUNTY, WASHINGTON
Application of Joey Maneman with principal residence located at
PO BOX 44,Raymond,WA 98577,by and through Joey Maneman, for a private line utility
occupancy permit to construct,operate and maintain a private waterline under county roads and
highways in Mason County, Washington, as set forth in attached Exhibit "A", having come
before the County Commissioners of Mason County, Washington during a regularly scheduled
public meeting, on the day of , 20_, and that it is in the public interest
to allow the private line utility occupancy permit herein granted;
NOW THEREFORE, IT IS ORDERED that a non-exclusive private line utility occupancy
permit be,and the same is hereby given and granted to operator,and its successors and assigns,
hereinafter referred to as the "Permittee", for a period commencing from and after the date of
the entry of this order for the purposes, at the location(s), and upon the express terms and
conditions as described herein, and terminating as provided herein.
I. DEFINITIONS
For the purposes of this private line utility occupancy permit, terms, phrases, words, and their
derivations not defined herein that are defined in Title 12 of the Mason County Code or the
Manual on Accommodating Utilities in the Mason County Right-of-Way published by the
County Engineer(the"Manual"), shall have the same meaning or be interpreted as provided in
Title 12 of the Mason County Code or the Manual. Words not defined here, in Title 12 of the
Mason County Code or the Manual shall have their ordinary meaning. A reference to Title 12
of the Mason'County Code or the Manual refers to the same as may be amended, revised,
updated, re-enacted or re-codified from time to time.
II. GRANT
The County of Mason(hereafter the"County")hereby grants to the Permittee a non-exclusive
private line utility occupancy permit(hereinafter"Permit")which,once it becomes effective
shall authorize the Permittee to enter upon the road rights-of-way located within the Permit
Area for the purpose of maintaining,repairing,replacing, which grant shall be limited to the
following described purpose(s):On-site septic transport line for shared on-site system for
tax parcels: 51901-52-02008 & 51901-52-01010.
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Such grant is subject to and must be exercised in strict accordance with and subject to this
Permit, Title 12 of the Mason County Code, the Manual and all applicable laws, rules,
regulations and ordinances. Permittee's exercise of any rights granted pursuant to the Permit
is subject to the exercise of the County's police powers, and other regulatory powers as it may
have or obtain in the future. No rights shall pass to the Permittee by implication. This Permit
does not include permission to enter into or upon the road rights-of-way for any purposes others
than the purposes expressly described herein. Permittee has a duty to notify the County of any
change in use or condition of the utility facilities that may affect the status of the utility facilities
as (a)private line(s)or the impact of the utility facilities upon the road rights-of-way.
III. UTILITY PERMIT REQUIRED
Permittee shall not commence or perform work to install, construct, maintain repair, replace
adjust, connect, disconnect, rebuild, or relocate its utility facilities within the road rights-of-
way (hereafter collectively or individually the "Work"), without first applying for, paying all
associated fees, and obtaining a utility permit as required pursuant to Title 12 of the Mason
County Code. In any utility permit so issued, the County may impose, as a condition of the
granting the utility permit, such conditions and regulations as may be necessary for the
protection, preservation and management of the road rights-of-way, including, by way of
example and not limitation, for the purpose of protecting any structures in the road
rights-of-way, maintaining proper distance from other utilities, ensuring the proper restoration
of such road rights-of-way and structures, and for the protection of the County and the public
and the continuity of pedestrian and vehicular traffic.
Permittee shall first file with the County Engineer its application for a utility permit to do such
Work together with plans and specifications showing at a minimum:
A. The position, depth and location of all such utility facilities sought to be constructed,
laid, installed or erected at that time, showing their relative position to existing county roads,
rights-of-way or other county property upon plans drawn to scale, hereinafter collectively
referred to as the "map of definite location;
B. The class and type of material and equipment to be used, manner of excavation,
construction, installation, backfill, erection of temporary structures, erection of permanent
structures,traffic control,traffic turnouts and road obstructions;
C. The manner in which the utility facility is to be installed;
D. Measures to be taken to preserve safe and free flow of traffic;
E. Structural integrity of the roadway,bridge, or other structure;
F. Specifications for the restoration of the county road, right-of-way or other county
property in the event that the road right of way will be disturbed by the Work; and
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G. Provision for ease of future road maintenance and appearance of the roadway.
Provision shall be made for known or planned expansion of the utility facilities, particularly
those located underground or attached to bridges or other structures within the road right-of-
way-
The location,alignment and depth of the utility facilities shall conform with said map of definite
location, except in instances in which deviation may be allowed thereafter in writing by the
County Engineer pursuant to application by Permittee.
All such Work shall be subject to the approval of and shall pass the inspection of the County
Engineer. The Permittee shall pay all costs of and expenses incurred in the examination,
inspection and approval of such work on account of granting the said utility permits.
IV. RESTORATION OF ROAD RIGHT OF WAY
In any Work which disturbs or causes damage to the road rights-of-way subject to this Permit,
public or private property,the Permittee shall at its own expense and with all convenient speed,
complete the work to repair and restore the county road right-of-way, or the public or private
property so disturbed or damaged, and leave the same in as good or better condition as before
the Work was commenced, to the reasonable satisfaction of the County Engineer. The
Permittee shall pay all costs of and expenses incurred in the examination, inspection and
approval of such restoration or repair.
The County Commissioners and/or County Engineer may at any time do, order or have done
any and all work that they consider necessary to restore to a safe condition such County road
right-of-way or other County property left by the Permittee or its agents in a condition
dangerous to life or property, and the Permittee,upon demand, shall pay to the County all costs
of such work.
V. PERMITTEE WORK IN RIGHT OF WAY
Permittee expressly agrees and understands that,with regard to Work within the road rights-of-
way:
A. All of Permittee's utility facilities and Work within the road rights-of-way or other
County property shall be performed in compliance with the provisions of Title 12 MCC, the
Manual, the administrative regulations adopted by the County Engineer, other
County-established requirements for placement of utility facilities in road rights-of-way,
including the specific location of utility facilities in the road rights-of-way, and all applicable
laws,rules, regulations and ordinances;
B. In preparing plans and specifications for the Work the Permittee shall use the
Manual. Prior to commencement of any Work, Permittee shall submit such plans and
specifications to the County Engineer for review and approval together with the adequate
exhibit depicting the existing or proposed location of the utility facility in relation to the road,
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including right-of-way or easement lines; relationship to currently planned road revisions, if
applicable; and all locations and situations for which deviations in depth of cover (including
the proposed method of protection) or other locational standards that are anticipated;
C. All Work subject to this Permit shall be done in such a manner as not to interfere,
other than in ways approved by the County, with the construction, operation and maintenance
of other utilities,public or private,drains,drainage ditches and structures,irrigation ditches and
structures, located therein,nor with the grading or improvements of such County roads,rights-
of-way or other County property;
D. The owners and operators of all utility facilities (public or private) installed in the
Permit Area or other county property prior in time to the utility facilities of the Permittee, shall
have preference as to the alignment and location of such utilities so installed with respect to the
Permittee. Such preference shall continue in the event of the necessity of relocating or changing
the grade of any such county road or right-of-way;
E. Permittee shall perform the Work and operate its utility facilities in a manner that
minimizes interference with the use of the road rights-of-way by others, including others that
may be installing utility facilities; and
F. The County may require that Permittee's utility facilities be installed at a particular
time, at a specific place, or in a particular manner as a condition of access to a particular road
or road right-of-way; may deny access if a Permittee is not willing to comply with the County's
requirements; and may remove, or require removal of,any utility facility that is not installed in
compliance with the requirements established by the County,or which is installed without prior
County approval of the time, place, or manner of installation and charge the Permittee for all
the costs associated with removal; and may require Permittee to cooperate with others to
minimize adverse impacts on the road and road rights-of-way through joint trenching and other
arrangements.
G. The County may inspect the utility facilities at any time reasonable under the
circumstances to ensure compliance with this Permit and applicable law, including to ensure
that the private line utility facilities are constructed and maintained in a safe condition. If an
unsafe condition is found to exist,the County, in addition to taking any other action permitted
under applicable law, may order the Permittee, in writing, to make the necessary repairs and
alterations specified therein forthwith to correct the unsafe condition on a time-table established
by the County which is reasonable in light of the unsafe condition. The County has the right to
correct, inspect, administer, and repair the unsafe condition if the Licensee fails to do so, and
to charge the Permittee therefor. The right of the County to conduct such inspections and order
or make repairs shall not be construed to create an obligation therefore, and such obligation to
construct and maintain its utility facilities in a safe condition shall at all times remain the sole
obligation of the Permittee.
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H. When required by the County, Permittee shall make information available to the
public regarding any Work involving the ongoing installation, construction, adjustment,
relocation, repair or maintenance of its utility facilities sufficient to show(1)the nature of the
work being performed; (2)where it is being performed; (3) its estimated completion date; and
(4)progress to completion.
I. PERMITTEE IS PLACED ON NOTICE THAT FIBER OPTIC
COMMUNICATIONS, POWER, CONTROL SYSTEMS, OTHER TYPES OF CABLES
AND PIPELINES MAY BE BURIED ON THE RIGHT OF WAY. Before beginning any
underground work, Permittee will contact the appropriate personnel to have such facilities
located and make arrangements as to protective measures that must be adhered to prior to the
commencement of any work within the road and road rights-of-way. In addition to the liability
terms elsewhere in this Agreement, Permittee shall indemnify and hold the County and its
elected and appointed officers, employees and agents harmless against and from all cost,
liability,and expense whatsoever(including,without limitation,attorney's fees and court costs
and expenses) arising out of or in any way contributed to by any act or omission of Permittee,
its contractor,agents and/or employees,that cause or in any way or degree contribute to(1) any
damage to or destruction of any such facilities by Permittee,and/or its contractor,agents and/or
employees, on the County's property, (2) any injury to or death of any person employed by or
on behalf of any entity, and/or its contractor, agents and/or employees, on the road rights-of-
way, and/or (3) any claim or cause of action for alleged loss of profits or revenue, or loss of
service, by a customer or user of services or products of such company(ies).
J. Permittee shall continuously be a member of the State of Washington one number
locator service under RCW 19.122, or an approved equivalent, and shall comply with all such
applicable rules and regulations.
K. Except in the event of emergency as described below, Permittee and its agents may
not enter upon the permit area to perform work for which a utility permit is required,unless and
except upon two-business days notice to the County Engineer.
L. In the event of an emergency involving the threat of imminent harm to persons or
property, and for purposes of taking immediate corrective action,Permittee and its agents may
enter the Permit Area without advance notice to the County as long as such entry is for the sole
purpose of addressing the emergency; provided however, that if any entry for such purposes
would require issuance of a utility permit, Permittee shall give the County verbal or telephonic
notice of the places where and the manner in which entry is required prior to such entry,
promptly followed by written notice. In all cases, notice to the County shall be given as far in
advance as practical prior to entry or as soon as practicable after entry upon the road right-of-
way-
M. Permittee shall promptly reimburse the County for its reasonable and direct costs
incurred in responding to an emergency that is caused,created by or attributable to the presence,
construction,maintenance,repair,or operation of Permittee's utility facilities in the road rights-
of-way.
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N. If,during any Work,Permittee or its agents discover scientific or historic artifacts,Permittee
or its agents shall immediately notify the County of said discovery and shall protect such
artifacts in a manner as specified by the County. Any such artifact shall be the property of the
County if the County wishes to own it.
VI. PROTECTION OF PUBLIC
All Work done under this Permit shall be done in a thorough and workman-like manner. In the
performance of any Work, including without limitation, the opening of trenches and the
tunneling under county roads, right-of way or other county property, the Permittee shall leave
such trenches, ditches and tunnels in such a way as to interfere as little as possible with public
travel and shall take all due and necessary precautions to guard the same, so that damage or
injury shall not occur or arise by reason of such Work;and where any of such trenches,ditches
and tunnels are left open at night,the Permittee shall place warning lights,barricades and other
appropriate protective devices at such a position as to give adequate warning of such Work.
The Permittee shall be liable for any injury to person or persons or damage to property sustained
arising out of its carelessness or neglect, or through any failure or neglect to properly guard or
give warning of any trenches, ditches or tunnels dug or maintained by the Permittee.
VII. POLICE POWERS
The County,in granting this Permit,does not waive any rights which it now has or may hereafter
acquire with respect to county roads, rights-of-way or other county property and this Permit
shall not be construed to deprive the county of any powers, rights or privileges which it now
has or may hereafter acquire to regulate the use of and to control the county roads,right-of-way
and other county property covered by this Permit. The County retains the right to administer
and regulate activities of the Permittee up to the fullest extent of the law. The failure to reserve
a particular right to regulate, or reference a particular regulation, shall not be interpreted by
negative implication or otherwise to prevent the application of a regulation to the Permittee.
VIII. RELOCATION
Permittee shall, in the course of any Work, comply with the following requirements:
A. The Permittee shall,by a time specified by the County,protect,support,temporarily
disconnect, relocate, or remove any of its utility facilities when required by the County by
reason of traffic conditions; public safety; road right-of-way construction; road right-of-way
repair (including resurfacing or widening); change of road right-of-way grade; construction,
installation, or repair of County-owned sewers, drains, water pipes, power lines, signal lines,
tracks, communications system, other public work, public facility, or improvement of any
government-owned utility; road right-of-way vacation; or for any other purpose where the
County work involved would be aided by the removal or relocation of the utility facilities.
Collectively, such matters are referred to below as the "public work."
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Permittee acknowledges and understands that any delay by Permittee in performing the above
described work may delay, hinder, or interfere with the work performed by the County and its
contractors and subcontractors done in furtherance of such Public Work and result in damage
to the County, including but not limited to, delay claims. Permittee shall cooperate with the
County and its contractors and subcontractors to coordinate such Permittee work to
accommodate the Public Work project and project schedules to avoid delay, hindrance of, or
interference with the Public Work. The County shall make available to the Permittee a copy of
the Six Year Transportation Program and the County's annual construction program after
adoption each year. It is anticipated these programs will aid the Permittee in planning
construction programs.
B. Permittee has a duty to protect its utility facilities from work performed by the
County within the road rights-of-way. The rights granted to the Permittee herein do not
preclude the County, its employees, contractors, subcontractors, and agents from blasting,
grading, excavating, or doing other necessary road work contiguous to Permittee's utility
facilities; providing that, the Permittee shall be given a minimum of forty-eight (48) hours
notice of said blasting or other work in order that the Permittee may protect its utility facilities.
C. In the event of an emergency, or where the utility facility creates or is contributing
to an imminent danger to health, safety, or property, the County may protect, support,
temporarily disconnect, remove, or relocate any or all parts of the utility facility without prior
notice, and charge the Permittee for costs incurred.
D. If any Person that is authorized to place facilities in the road right of way requests
the Permittee to protect, support, temporarily disconnect, remove, or relocate the Permittee's
utility facilities to accommodate the construction, operation, or repair of the facilities of such
other person,the Permittee shall,after 30 days'advance written notice,take action to effect the
necessary changes requested; provided that, if such project is related to or competes with
Permittee's service, or if the effect of such changes would be to permanently deprive Permittee
of the beneficial enjoyment of this Permit for its intended purposes through interference with
the operation of Permittee's utility facilities or otherwise, Permittee shall not be required to
relocate its utility facilities. Unless the matter is governed by a valid contract or a state or
federal law or regulation, or unless the Permittee's utility facilities were not properly installed,
the reasonable cost of the same shall be borne by the Person requesting the protection, support,
temporary disconnection,removal, or relocation at no charge to the County, even if the County
makes the request for such action.
E. The Permittee shall, on the request of any person holding a valid permit issued by a
governmental authority, temporarily raise or lower its wires to permit the moving of buildings
or other objects. The expense of such temporary removal or raising or lowering of wires shall
be paid by the person requesting the same.
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The County of Mason will accept liability for direct and actual damages to said Permittee that
are the result of the negligence of Mason County, its trustees, officers, employees, contractors,
subcontractors or agents while performing County improvement or Public Works projects
enumerated in Section VIII, paragraph B. Direct and actual damages are specifically limited
to physical damage to properly installed and located infrastructure of the Permittee and the cost
to repair such physical damage. Mason County retains the right to assert all applicable defenses
in the event of a dispute including contributory_negligence on the part-of the Permittee. Mason
County shall in no way be liable for incidental damages claimed to arise from such actions.
All Work to be performed by the Permittee under this section shall pass the inspection of the
County Engineer. The Permittee shall pay all costs of and expenses incurred in the examination,
inspection and approval of such work.
IX. PRESERVATION OF MONUMENTS/MARKERS
Before any Work is performed under this permit which may affect any existing monuments or
markers of any nature relating to subdivisions,plats,roads and all other surveys,the Permittee
shall reference all such monuments and markers. The reference points shall be so located that
they will not be disturbed during the Permittee's Work and operations under this Permit. The
method of referencing these monuments or other points to be referenced shall be approved by
the County Engineer. The replacement of all such monuments or markers disturbed during
construction shall be made as expeditiously as conditions permit in accordance with RCW 58.24
and WAC 332-120, and as directed by the County Engineer. The cost of monuments or other
markers lost, destroyed, or disturbed,and the expense of replacement by approved monuments
shall be borne by the Permittee.
A complete set of reference notes for monument and other ties shall be filed with the office of
the Mason County Engineer.
X. VACATION OF ROAD RIGHT-OF-WAY
If at any time the County shall vacate any County road or right-of-way or other County Property
which is subject to rights granted by this Permit and said vacation shall be for the purpose of
acquiring the fee or other property interest in said road or right-of-way for the use of the County,
in either its proprietary or governmental capacity, then the Board of Mason County
Commissioners may,at its option,and by giving thirty(30)days written notice to the Permittee,
terminate this Permit with reference to such county road right-of-way or other County property
so vacated,and the County of Mason shall not be liable for any damages or loss to the Permittee
by reason of such termination. It has been the practice of Mason County to reserve easements
for utilities at the time of road vacation, and will continue to be the practice until such time the
Board of Mason County Commissioners direct a change of practice.
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XI. FINANCIAL SECURITY
A. Insurance It is intended that the following insurance requirements shall apply to the
person performing the Work in the road right-of-way. Permittee and Permittee's contractors
shall not perform or cause to be performed any Work,unless and until Permittee (to the extent
Permittee performs any of the Work in the road right-of-way) or its contractors (to the extent
Permittee's contractor performs any of the Work in the road right-of-way) provide certificates
of insurance evidencing that Permittee or Permittee's contractors are in compliance with the
following requirements, including,maintaining insurance in at least in the following amounts:
1. COMMERCIAL GENERAL LIABILITY insurance to cover liability,
bodily injury, and property damage. The Commercial General Liability insurance shall be
written on an occurrence basis, with an aggregate limit location endorsement for the Permit
Area, and shall provide coverage for any and all costs, including defense costs, and losses and
damages resulting from personal injury, bodily injury and death, property damage, products
liability and completed operations arising out of the Work. Coverage must be written with the
following limits of liability:
Bodily and Personal Injury&Property Damage
$ 1,000,000 per Occurrence
$ 2,000,000 aggregate
2 WORKERS'COMPENSATION insurance shall be maintained by Permittee's
contractor to comply with statutory limits for all employees,and in the case any work is sublet,
the contractor shall require its subcontractors similarly to provide workers' compensation
insurance for all the employees.
3. COMPREHENSIVE AUTO LIABILITY insurance shall include owned,
hired, and non-owned vehicles on an occurrence basis with coverage of at least $500,000 per
occurrence.
The required insurance shall be maintained from the time that Work in the road right-of-way
commences until the Work is complete and the utility permit issued for said Work has been
released by the County Engineer, or his or her designee.
If the Permittee or its contractors and subcontractors do not have the required insurance, the
County may require such entities to stop operations until the insurance is obtained and
approved.
Permittee shall, or shall cause its contractors to, file with the application for a utility permit,
certificates of insurance reflecting evidence of the required insurance in a form and content
approved by the County's Risk Manager. All coverage shall be listed on one certificate with
the same expiration dates.
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The certificates shall contain a provision that coverages afforded under these policies will not
be canceled until at least 30 days'prior written notice has been given to the County.
In the event that the insurance certificate provided indicates that the insurance shall terminate
or lapse during the period of the Work, then, in that event, the Permittee shall furnish, at least
30 days prior to the expiration of the date of such insurance, a renewed certificate of insurance
as proof that equal and like coverage has been or will be obtained prior to any such lapse or
termination during the balance of the period of the Permit.
The County reserves the right, during the term of the Permit, to require any other insurance
coverage or adjust the policy limits as it deems reasonably necessary utilizing sound risk
management practices and principals based upon the loss exposures.
Each insurance policy required pursuant to this Permit shall be primary and non-contributing
as respects any coverage maintained by the County and shall include an endorsement reflecting
the same. Any other coverage maintained by County shall be excess of this coverage herein
defined as primary and shall not contribute with it. The certificate of insurance must reflect
that the above wording is included in all such policies.
Each insurance policy obtained pursuant to this Permit shall be issued by financially sound
insurers who may lawfully do business in the State of Washington with a financial rating at all
times during coverage of no less than rating of"A" and a class of"X" or better in the latest
edition of`Best's Key Rating Guide"published by A.M.Best Company,or such other financial
rating or rating guide approved in writing by the County's risk manager. In the event that at
any time during coverage, the insurer does not meet the foregoing standards, Permittee shall
give or shall cause its contractors to give prompt notice to the County and shall seek coverage
from an insurer that meets the foregoing standards. The County reserves the right to change
the rating or the rating guide depending upon the changed risks or availability of other suitable
and reliable rating guides.
Comprehensive general liability insurance policies and coverage obtained pursuant to this
Permit shall include an endorsement (standard ISO form CG 24-17) deleting all exclusions
for work or incidents occurring within any distance from a railroad track or railroad property,
or on, over, or under a railroad track.
Insurance policies required pursuant to this Permit shall have no non-standard exclusions unless
approved of by the County Risk Manager or designee.
Commercial general liability insurance policies obtained pursuant to this Permit shall name the
County as an additional insured without limitation,pursuant to an endorsement approved of by
the County's Risk Manager or designee.
Permittee or Permittee's Contractors' insurers, through policy endorsement, shall waive their
rights of subrogation against the County for all claims and suits. The certificate of insurance
must reflect this waiver of subrogation rights endorsement.
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B. Contractor Bond. All contractors performing Work on behalf of Permittee shall
be licensed and bonded.
C. Limitation of Liability. to the fullest extent permitted by law, permittee shall, and
shall cause its contractor(s) only as to subsection (9) below, to release, indemnify, defend and
hold harmless the county and the county's legal representatives,officers(elected or appointed),
employees and agents (collectively, "indemnitees") for, from and against any and all claims,
liabilities, fines, penalties, costs, damages, losses, liens, causes of action, suits, demands,
judgments and expenses (including, without limitation, court costs, attorneys' fees, and costs
of investigation,removal and remediation and governmental oversight costs),environmental or
otherwise(collectively"liabilities")of any nature,kind,or description,of any person or entity,
directly or indirectly, arising out of, resulting from, or related to (in whole or in part):
1. this permit;
2. any rights or interests granted pursuant to this permit;
3. permittee's occupation and use of the road right of way;
4. permittee's operation of its utility facilities;
5. the presence of utility facilities within the right of way;
6. the environmental condition and status of the road right-of-way caused by,
aggravated by,or contributed to, in whole or in part, by permittee or its agents; or
7. the acts,errors,or omissions of third parties when arising out of the,installation,
construction, adjustment, relocation, replacement, removal, or maintenance of such third party
utility facilities within the road rights-of-way when such work is performed under authority of
the operator's utility permit or at the direction or under the control of the operator; or
8. any act or omission of permittee or permittee's agents; or
9. any act or omission of contractor or its employees, agents, or subcontractors
when arising out of the work.
Even if such liabilities arise from or are attributed to, in whole or in part,any negligence of any
indemnitee. The only liabilities with respect to which permittee's obligation to indemnify the
indemnitees does not apply are liabilities to the extent proximately caused by the sole
negligence or intentional misconduct of an indemnitee or for liabilities that by law the
indemniteees cannot be indemnified for.
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Upon written notice from the county,permittee agrees to assume the defense of any lawsuit or
other proceeding brought against any indemnitee by any entity, relating to any matter covered
by this permit for which permittee has an obligation to assume liability for and/or save and hold
harmless any indemnitee. Permittee shall pay all costs incident to such defense, including,but
not limited to, attorneys' fees, investigators' fees, litigation and appeal expenses, settlement
payments and amounts paid in satisfaction of judgments. Permittee will fully satisfy said
judgment within ninety (90) days after said suit or action shall have finally been determined if
determined adversely to mason county. upon the permittee's failure to satisfy said judgment
within the ninety(90) day period, this permit shall at once cease and terminate and the county
of mason shall have a lien upon permittee's utility facilities and all other facilities used in the
construction, operation and maintenance of the permittee's utility system which may be
enforced against the property for the full amount of any such judgment so taken against any of
the indemnitees.
Acceptance by the County of any Work performed by the Permittee at the time of completion
shall not be grounds for avoidance of this covenant.
XII. PERMIT NONEXCLUSIVE
This Permit shall not be deemed to be an exclusive Permit. It shall in no manner prohibit the
County of Mason from granting rights to other utilities under, along, across, over and upon any
of the County roads, rights-of-way or other County property subject to this Permit and shall in
no way prevent or prohibit the County of Mason from constructing, altering, maintaining or
using any of said roads rights-of-way, drainage structures or facilities, irrigation structures or
facilities, or any other county property or affect its jurisdiction over them or any part of them
with full power to make all necessary changes,relocations,repairs,maintenance,etc.,the same
as the County may deem fit.
XIII. SUCCESSORS AND ASSIGNS
All the provisions, conditions, regulations and requirements herein contained shall be binding
upon the successors and assigns of the Permittee and all privileges, as well as all obligations
and liability of the Permittee, shall inure to its successors and assigns equally as if they were
specifically mentioned wherever the Permittee is mentioned. Any reference in this Permit to a
specifically named party shall be deemed to apply to any successor, heir, administrator,
executor or assign of such party who has acquired its interest in compliance with the terms of
this Permit or under law.
XIV. TRANSFER/ASSIGNMENT
Permittee may assign or transfer this Permit by contacting the County of Mason to obtain an
Assignment Agreement. The Agreement must be signed and delivered back to the County of
Mason. Assignees shall thereafter be responsible for all obligations of Permittee with respect
to the Permit and guaranteeing performance under the terms and conditions of the Permit and
that transferee will be bound by all the conditions of the Permit and will assume all the
obligations of its predecessor. Such an assignment shall relieve the Permittee of any further
12
obligations under the Permit, including any obligations not fulfilled by Permittee's assignee;
provided that, the assignment shall not in any respect relieve the Permittee, or any of its
successors in interest, of responsibility for acts or omissions, known or unknown, or the
consequences thereof, which acts or omissions occur prior to the time of the assignment. No
Permit may be assigned or transferred without filing or establishing with the county the
insurance certificates, security fund and performance bond as may be required pursuant to this
Permit.
XV. ANNEXATION
Whenever any of the County road rights-of-way or other county property as designated in this
Permit,by reason of the subsequent incorporation of any town or city,or extension of the limits
of any town or city, shall fall within the city or town limits; then, except to the extent allowed
by law, this Permit shall terminate in respect to the said roads, rights-of-way or other county
property so included with city or town limits; but this Permit shall continue in force and effect
to all county road rights-of-way or other county property not so included in city or town limits.
XVI. TERM/TERMINATION/REMEDIES
A. Term. This Permit shall commence upon acceptance by the Permittee as provided
at Section XVIII herein and continue in PERPETUITY until terminated or otherwise
superseded by a subsequent franchise, private line utility occupancy permit, master road use
permit or other agreement of the Parties. In the event that it is determined by a court of
competent jurisdiction that, as a matter or law, the term provided for herein is unlawful, this
Permit shall be deemed to have a term for the maximum period allowed by law, and if no such
maximum period is readily and easily capable of being identified, for a term of not longer than
fifty(50)years.
B. Termination by County. Permittee has elected to obtain a Permit in lieu of a
franchise agreement. Permittee understands and agrees that,unlike a franchise,this Permit may
be terminated by the County with or without cause. This means that the County is not required
to have or provide a reason for the termination and that the County may terminate this Permit
in its sole discretion without penalty to the County and regardless of whether or not Permittee
is or is not in default;provided that,the County may not terminate this Permit for a reason that
is unlawful. The Parties agree that the only condition of termination by the County of this
Permit is that the County must give not less than ninety(90)days written notice to the Permittee
of termination. The County Engineer is authorized to exercise the right of the County to
terminate this Permit.
C. Termination upon Transfer/Assignment/Conveyance. This Permit shall
automatically terminate upon: (1)assignment of the Permit without the prior written consent of
the County in substantially the form of an Assignment Agreement (obtained by request), (2)
transfer of the utility facilities located with the Permit Area without prior written notice to the
County and mutual acceptance of an assignment of the Permit, (3) conveyance of the real
property or any part thereof benefited by the installation and operation of the utility facilities
without prior written notice to the County and mutual acceptance of an assignment of the
13
Permit,or(4)use of the utility facilities for the benefit of persons other than the owner/operator
in a manner that no longer constitutes a de-minimis use of the road right-of-way.
D. Termination upon Removal of Utility Facilities. This Permit and all of the rights,
duties and obligations contained herein, shall terminate upon removal of all Permittee utility
facilities from the road right-of-way or abandonment and de-commissioning in place to the
reasonable satisfaction of and in the manner approved by the County Engineer and restoration
of the road right-of way to the satisfaction of the County Engineer.
E. Effect of Termination. On or before the effective date of termination or as otherwise
mutually agreed to by the Parties, Permittee shall remove its utility facilities from the road
rights-of-way and restore the road rights-of-way to the reasonable satisfaction of the County
Engineer. In lieu of removal, the County Engineer may authorize abandonment in place and
de-commissioning of the utility facilities in the manner approved by and to the reasonable
satisfaction of the County Engineer. In the event that the Permittee fails to timely and
completely perform such work, the County may perform or complete such work at the cost of
the Permittee and Permittee shall be obligated to reimburse the County for such work within 30
days of invoice by the County.
F. Remedies. In addition to the right of the County to terminate this Permit,the County
has the right to exercise any and all of the following remedies, singly or in combination, in the
event of Default. "Default" shall mean any failure of Permittee or its agents to keep, observe
or perform any of Permittee's or its agent's duties or obligations under this Permit:
1. Damages. Permittee shall be liable for any and all damages incurred by
County.
2. Specific Performance. County shall be entitled to specific performance of
each and every obligation of Permittee under this Permit without any requirement to prove or
establish that County does not have an adequate remedy at law. Permittee hereby waives the
requirement of any such proof and acknowledges that County would not have an adequate
remedy at law for Permittee's commission of an Event of Default hereunder.
3. Injunction. County shall be entitled to restrain, by injunction, the actual or
threatened commission or attempt of an Event of Default and to obtain a judgment or order
specifically prohibiting a violation or breach of this Permit agreement without, in either case,
being required to prove or establish that County does not have an adequate remedy at law.
Permittee hereby waives the requirement of any such proof and acknowledges that County
would not have an adequate remedy at law for Permittee's commission of an Event of Default
hereunder.
4. Alternative Remedies. Neither the existence of other remedies identified in
this Permit nor the exercise thereof shall be deemed to bar or otherwise limit the right of the
County to commence an action for equitable or other relief and/or proceed against Permittee
and any guarantor for all direct monetary damages,costs and expenses arising from the Default
14
and to recover all such damages, costs and expenses, including reasonable attorneys' fees.
Remedies are cumulative; the exercise of one shall not foreclose the exercise of others.
XVII. SUBSEQUENT ACTION
The County reserves for itself the right at any time upon ninety(90) days written notice to the
Permittee, to so change, amend, modify or amplify any of the provisions or conditions herein
enumerated to conform to any state statute or county regulation, relating to the public welfare,
health, safety or highway regulation, as may hereafter be enacted, adopted or promulgated.
XVIII. ACCEPTANCE
Permittee shall execute and return to County a signed acceptance of the Permit granted
hereunder. The acceptance shall be in the form of the acceptance attached hereto as Exhibit
"A", and in accepting the Permit, Permittee warrants that it has carefully read the terms and
conditions of this Permit and accepts all of the terms and conditions of this Permit and agrees
to abide by the same and acknowledges that it has relied upon its own investigation of all
relevant facts, that it has had the assistance of counsel or an opportunity to have assistance of
counsel, that it was not induced to accept a Permit, that this Permit represents the entire
agreement between the Permittee and the County. In the event the Permittee fails to submit the
acceptance as provided for herein within the time limits set forth in this section,the grant herein
is and shall become null and void.
XIX. RECORDING OF MEMORANDUM OF PERMIT
The Parties agree that a"Memorandum of Permit" in substantially the form attached hereto as
Exhibit"A",shall be filed for record with the Office of the Mason County Auditor upon written
acceptance by the Permittee. The cost and expense of such filing shall be borne by the Permittee
if not already included in the fee for issuance of this Permit. Notwithstanding the foregoing,
this Permit is not intended nor shall it be construed to create an interest in land or constitute the
grant or conveyance of a real property interest by the County to the Permittee. The requirements
of this Section XIX are intended solely to provide notice of the existence of this Permit and the
terms and conditions there under, including inter-alia, the limitations upon assignment of the
Permit. Permittee shall at the time of its acceptance of this Permit identify the assessor's tax
identification number of the parcel or parcels benefited by this Permit and a legal description
of each such parcel to be included in the Memorandum of Permit.
XX. MISCELLANEOUS PROVISIONS
A. Controlling Law/Venue. Any disputes concerning the application or interpretation
of any of the provisions of this Permit shall be governed by the laws of the State of Washington.
Venue of any action or arbitration brought under this Permit shall be in Mason County,
Washington or the Western District of Washington if an action is brought in federal court,
provided; however,that venue of such action is legally proper.
15
B. Liens. Permittee shall promptly pay and discharge any and all liens arising out of
any Work done, suffered or permitted to be done by Permittee on any Permit area.
C. Waiver. No waiver by either party of any provision of this Permit shall in any way
impair the right of such party to enforce that provision for any subsequent breach, or either
party's right to enforce all other provisions of this Permit.
D. Attorney's Fees. If any action at law or in equity is necessary to enforce or interpret
the terms of this Permit, the substantially prevailing Party or Parties shall be entitled to
reasonable attorney's fees, costs and necessary disbursements in addition to any other relief to
which such Party or Parties may be entitled.
E. Amendment. This Permit may be amended only by a written contract signed by
authorized representatives of Permittee and County of Mason.
F. Severability. If any provision of this Permit is held to be illegal, invalid or
unenforceable under present or future laws, such provision will be fully severable and this
Permit will be construed and enforced as if such illegal, invalid or unenforceable provision is
not a part hereof, and the remaining provisions hereof will remain in full force and effect. In
lieu of any illegal, invalid or unenforceable provision herein,there will be added automatically
as a part of this Permit, a provision as similar in its terms to such illegal, invalid or
unenforceable provision as may be possible and be legal, valid and enforceable.
G. Joint and Several Liability. Permittee acknowledges that, in any case in which
Permittee and Permittee's contractors are responsible under the terms of this Permit, such
responsibility is joint and several as between Permittee and any such Permittee's contractors;
provided that, the Permittee is not prohibited from allocating such liability as a matter of
contract.
H. Notices. Any notice contemplated, required, or permitted to be given under this
Permit shall be sufficient if it is in writing and is sent either by: (a)registered or certified mail,
return receipt requested; or (b) a nationally recognized overnight mail delivery service, to the
Party and at the address specified below, except as such Party and address may be changed by
providing no less than thirty(30)days'advance written notice of such change in address.
Permittee: Joey Maneman
PO BOX 44
Raymond, WA 98577
Grantor: Mason County Public Works
100 W Public Works Drive
Shelton, WA 98584
16
I. Approvals. Nothing in this Permit shall be deemed to impose any duty or obligation upon
the County to determine the adequacy or sufficiency of Permittee's plans and specifications or
to ascertain whether Permittee's proposed or actual construction, installation, testing,
maintenance, repairs, replacement, relocation, adjustment or removal is adequate or sufficient
or in conformance with the plans and specifications reviewed by the County. No approval
given, inspection made,review or supervision performed by the County pursuant to this Permit
shall constitute or be construed as a representation or warranty express or implied by County
that such item approved, inspected, or supervised, complies with laws, rules regulations or
ordinances or this Permit or meets any particular standard, code or requirement, or is in
conformance with the plans and specifications,and no liability shall attach with respect thereto.
County and inspections as provided herein, are for the sole purpose of protecting the County's
rights as the owner and manager of the road rights-of-way and shall not constitute any
representation or warranty, express or implied, as to the adequacy of the design, construction,
repair, or maintenance of the utility facilities, suitability of the permit area for construction,
maintenance, or repair of the utility facilities, or any obligation on the part of the County to
insure that work or materials are in compliance with any requirements imposed by a
governmental entity. County is under no obligation or duty to supervise the design,
construction,installation,relocation,adjustment,realignment,maintenance,repair,or operation
of the utility facilities.
J. Force Majeure. Neither Party hereto shall be liable to the other Party for any failure
to perform an obligation set forth herein to the extent such failure is caused by war, act of
terrorism or an act of God, provided that such Party has made and is making all reasonable
efforts to perform such obligation and minimize any and all resulting loss or damage.
K. Construction. All pronouns and any variations thereof shall be deemed to refer to
the masculine, feminine or neuter, singular or plural, as the identity of the Party or Parties may
require. The provisions of this Permit shall be construed as a whole according to their common
meaning, except where specifically defined herein, not strictly for or against any party and
consistent with the provisions contained herein in order to achieve the objectives and purposes
of this Permit.
L. Incorporation by Reference. All exhibits annexed hereto at the time of execution of
this Permit or in the future as contemplated herein, are hereby incorporated by reference as
though fully set forth herein.
M. Calculation of Time. All periods of time referred to herein shall include Saturdays,
Sundays,and legal holidays in the State of Washington,except that if the last day of any period
falls on any Saturday, Sunday, or legal holiday in the State of Washington, the period shall be
extended to include the next day which is not a Saturday, Sunday, or legal holiday in the State
of Washington.
17
N. Entire Agreement. This Permit is the full and complete agreement of County and
Permittee with respect to all matters covered herein and all matters related to the use of the
Permit Area by Permittee and Permittee's Contractors, and this Permit supersedes any and all
other agreements of the Parties hereto with respect to all such matters, including, without
limitation, all agreements evidencing the Permit.
O. No Recourse. Without limiting such immunities as the County or other persons may
have under applicable law, Permittee shall have no monetary recourse whatsoever against the
County or its officials, boards, commissions, agents, or employees for any loss or damage
arising out of the County's exercising its authority pursuant to this Permit or other applicable
law.
P. Responsibility for Costs. Except as expressly provided otherwise, any act that
Permittee is required to perform under this Permit shall be performed at its cost. If Permittee
fails to perform work that it is required to perform within the time provided for performance,
the County may perform the work and bill the Permittee. The Permittee shall pay the amounts
billed within 30 days.
Q. Work of Contractors and Subcontractors. Work by contractors and subcontractors
are subject to the same restrictions, limitations, and conditions as if the Work was performed
by the Permittee. The Permittee shall be responsible for all Work performed by its contractors
and subcontractors, and others performing Work on its behalf, under its control, or under
authority of its utility permit, as if the work were performed by it and shall ensure that all such
work is performed in compliance with this Permit, Title 12 MCC, the Manual and other
applicable law, and shall be jointly and severally liable for all damages and correcting all
damage caused by them. It is the Permittee's responsibility to ensure that contractors,
subcontractors, or other Persons performing work on the Permittee's behalf are familiar with
the requirements of the Permit,Title 12 MCC,the Manual,and other applicable laws governing
the work performed by them and further, for ensuring that such contractors and subcontractors
maintain insurance as required herein.
R. Survival of Terms. Upon the termination of the Permit,the Permittee shall no longer
have the right to occupy the Permit area. However, the Permittee's obligations under this
Permit to the County shall survive the termination of these rights according to its terms for so
long as the Permittee's utility facilities shall remain in whole or in part in the road rights-of-
way,except to the extent the County Engineer has approved abandonment in place. By way of
illustration and not limitation, Permittee's obligations to indemnify, defend and hold harmless
the County, provide insurance and a performance/payment bond pursuant to Section XI and
Permittee's obligation to relocate its utility facilities pursuant to Section VIII, shall continue in
effect as to the Permittee, notwithstanding any termination of the Permit, except to the extent
that a County-approved transfer, sale, or assignment of the utility system is completed, and
another entity has assumed full and complete responsibility for the utility facilities or for the
relevant acts or omissions.
18
DATED at Shelton, Washington this day of , 20
APPROVED: BOARD OF COMMISSIONERS
MASON COUNTY, WASHINGTON
County Engineer
Chair
Approved as to form:
Vice Chair
Chief D.P.A.
Commissioner
19
RECORDED AT THE REQUEST OF
AND AFTER RECORDING RETURN TO:
County of Mason
100 West Public Works Drive
Shelton WA 98584
Attn: County Engineer
EXHIBIT "A"
MEMORANDUM OF PERMIT
Title: Joey Maneman Private Line Occupancy Permit
Grantor: COUNTY OF MASON, a legal subdivision of the state of Washington
Grantee: Joey Maneman
Description of Franchise Area: SEE EXHIBIT A-4
A-1
ACCEPTANCE OF PERMIT
Private Line Utility Occupancy Permit effective , 20
UWe, am/our the of parcel(s)
and Uwe am/are the (Operator and)or(representative
authorized to)accept Permit on behalf of Uwe certify that this
Permit and all terms and conditions thereof are accepted by without
qualification or reservation and guarantee performance hereunder. UWe certify that,to the
best of my/our knowledge,the assessor's tax identification number of the parcel or parcels
benefited by this Permit and a legal description of each such parcel are as described in the
attached exhibit.
DATED this day of 920
PERMITTEE(S)
By:
Title:
STATE OF )
)ss.
COUNTY OF )
I certify that I know or have satisfactory evidence that is
the person who appeared before me, and said person acknowledged that he/she signed this instrument, on
oath stated that he/she was authorized to execute the instrument and acknowledged it as the
of the to be the free and
voluntary act of such party for the uses and purposes mentioned in the instrument.
Dated:
Notary Public
Print Name
My commission expires
A-2
MEMORANDUM OF PRIVATE LINE UTILITY OCCUPANCY PERMIT
THIS MEMORANDUM OF PERMIT is dated as of the_day of ,20
between the County of Mason,a legal subdivision of the state of Washington("County")and
(Permittee").
1. Pro e . County has, pursuant to Private Line Utility Occupancy Permit
granted to Permittee, the right, revocable at the will of the County, to use and occupy certain
road rights-of-way for the construction, installation, adjustment,maintenance,removal,repair,
relocation and operation of Permittee's utility facilities for the benefit of the herein described
Property, upon the terms and conditions of that certain permit agreement between the parties
accepted the day of , 2022 (the "Permit"), which terms and conditions are
incorporated herein by this reference. The property to be benefited by this permit is situated in
the Mason County, Washington, legally described in Exhibit A attached hereto (herein called
the"Property"). The road right-of-way permit area("Permit Area")is also described in attached
Exhibit A.
2. Term. The term of the Permit is in perpetuity unless terminated.
3. Termination. County in its sole discretion may terminate all or part of the Permit
with or without cause upon no less than ninety (90) days written notice to the Permittee.
Further, this Permit will automatically terminate upon assignment without the prior written
consent of the County,or upon transfer of the Property without the prior written consent of the
County to an assignment of the Permit or upon transfer of all or part of the utility facilities
located in the Permit Area without the prior written consent of the County to an assignment of
the Permit.
4. Purpose of Memorandum of Permit. This memorandum of permit is prepared
for the purpose of recordation and notice and in no way modifies the Permit and is in no way
intended to or should be construed to create or convey an interest in land or the road right-of-
way-
DATED this day of ,20_.
COUNTY OF MASON
County Engineer
Approved as to form:
Chief D.P.A.
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MASON COUNTY
AGENDA ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
From: Loretta Swanson, Director Action Agenda
DEPARTMENT: Public Works EXT: 450
COMMISSION MEETING DATE: July 5, 2022 Agenda Item # E3.
BRIEFING DATE: June 27, 2022
BRIEFING PRESENTED BY: Loretta Swanson
[ ] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD
Please provide explanation of urgency
ITEM: Agreement to Perform Accounting Services
BACKGROUND:
Public Works/Utilities and Waste Management has need of technical accounting assistance
in the absence of a Finance Manager. The firm of Teresa D Johnson, CPA, Inc. is capable
and available to provide these services for anywhere between 10 — 20 hours per week
through the remainder of 2022.
The agreement specifies a not to exceed amount of $81,510. There is adequate budget
authority for this expenditure. The adopted budget includes $81,000 for professional
services in the administration sub-fund. Additionally, approximately $56,850 in Finance
Manager salary and benefits is under-expended to date.
REQUESTED ACTION:
Request the Board authorize the Director to execute an agreement with TDJ, CPA
Incorporated to provide technical accounting assistance in the amount of $81,510.
ATTACHMENT:
1. Agreement
CP
I C O R P R A T E D
Teresa D. Johnson CPA, Inc.
June 6, 2022
Loretta Swanson, Director
Mason County Public Works/Utilities and Waste Management
411 North 5'�' Street#1
Shelton, WA 98584
Dear Loretta:
Teresa D Johnson CPA,Inc("firm,""we,""us,"or"our"Kisleased to provide the Mason County
Public Works("you"or"your"or"PW')with the profess services described below. This letter,
and the attached Terms and Conditions Addendum and attachments incorporated herein
(collectively,"Agreement"),confirm our understandi the terms and objectives of our engagement
and the nature and limitations of the services we e. The engagement between you and our
firm will be governed by the terms of this Agraom,e
Engagement Objective and Scope
Consulting Services
We will provide technical accounting assistance to the Mason County Public Works finance department.
This may relate to answering technical accounting questions, aiding with internal controls or other
manners. More specifically, some of the accounting assistance we will provide is as follows:
• Review and reconcile capital assets—special emphasis on utility assets
• Create framework for asset processing.
• Develop Utility and ER&R rates and improve monitoring process.
• Set up CAMS to better track maintenance management plan.
• Look at processes in Munis to see if dual accounting systems can be eliminated.
• Ensure procedures are in place to accurately and efficiently complete year end reporting
• Assist with development of 2023 department budgets
The performance of"other accounting services"is deemed to be"nonattest services" in our professional
standards.
CPA Firm Responsibilities
We will conduct our engagement in accordance with the Statements on Standards for Accounting and
Review Services ("SSARS") issued by the American Institute of Certified Public Accountants including
the ethical principles of integrity, objectivity, professional competence, and due care. Such services do
not constitute an audit, review, or any other attestation service as those services are defined in AICPA
literature applicable to such engagements. Accordingly,these services will not result in the issuance of a
written communication to third parties by Teresa D Johnson,CPA Inc regarding financial data or internal
controls, expressing an opinion or conclusion or obtaining or providing any form of assurance.
Our engagement does not include any procedures designed to detect errors, fraud, or theft. Therefore,our
engagement cannot be relied upon to disclose such matters. In addition, we are not responsible for
identifying or communicating deficiencies in your internal controls, unless otherwise specified in the
scope of this Agreement. You are responsible for developing and implementing internal controls
applicable to your operations.
Teresa D Johnson, CPA Inc, in its sole professional judgment, reserves the right to refuse to take any
action that could be construed as making management decisions or performing management functions on
your behalf.
Engagement Deliverables
We anticipate issuing the following deliverables i tion with our services:
• Capital asset reconciliation documents
• 2023 Budget schedules
• Proposed Utility and ER&R rate,Q
We will provide draft deliverables to you for review and comment,prior to final delivery.
The deliverable(s)presented as part of this engagement are solely for the internal use of your management
and the board of directors. It is not to be distributed to third parties other than those noted herein, in whole
or in part, or used for any other purpose.
After we provide you with the deliverables, we shall have no obligation to update or revise the
observations or conclusions reflected in our deliverable(s), if new information, future events or changes
in applicable laws and regulations affect the observations or conclusions reflected in those deliverables.
You understand and agree that our services may include advice and recommendations based upon our
knowledge,training and experience,but at all times,the decisions related to implementation of the advice
and recommendations are solely your responsibility. We encourage you to consider our recommendations
and advice and implement what you believe is best for your company. If you ask us to assist you in
implementing any advice or recommendation, we will confirm this representation in a separate
engagement letter.
If, for any reason, we are unable to complete the engagement, we will not issue a deliverable(s).
PHONE
3 6 0 9 0 4 _ 0 9 7 2
EMAIL
T E R E S A@ T D J C P A . C O M
6 0 1 2 N W 1 6 9 ' ° S t r e e t C9 R i d g e f i e l d W a s h i n g t o n cis 9 8 6 4 2
Client Responsibilities
Your Support
We require the support of your personnel in order to achieve timely completion of the engagement.
Support includes, but is not limited to, the collection of all relevant documents (paper or electronic) and
the scheduling of interviews and coordination of meetings. Failure to receive such support in a timely
manner may negatively affect our ability to fulfill the scope requirements described above within the
agreed-upon timeframe. Failure to provide such support in a timely manner may negatively affect our
ability to fulfill the requirements in the Engagement Objectives and Scope and Engagement Deliverables
within the agreed-upon timeframe.
Project Mana eg ment
You will designate a member of your management who possesses suitable skill,knowledge,or experience
(the"Project Sponsor")to oversee the services and conduct of this engagement,including coordination of
your resources needed and review of draft deliverables. You authorize us to accept instructions from the
Project Sponsor for this engagement.
The Project Sponsor is responsible for:
• maintaining appropriate oversight of our client <
ice team;
• reviewing and approving the deliverabl by our firm during the engagement;
• reporting the results of our services wi reporting structure,including the board of directors
or other governing body; and
• evaluating observations and reco dations that arise from the services.
You agree that your personnel assigned to this project are responsible for reviewing any draft deliverables
provided by our firm on a timely basis.
Management Functions
Your management agrees to:
• make all management decisions and perform all management functions
• evaluate the adequacy and results of the services performed;
• accept responsibility for the results of the services, including decisions regarding the
implementation of any recommendations provided by us; and establish and maintain internal
controls relevant to your organization, including monitoring ongoing activity related to their
operation.
PRONE
360 . 904 . 0972
EMAIL
TERESA@TDJ CPA . COM
6 0 1 2 N W 1 6 9 1 h S t r e e t cR R i d g e f i e l d W a s h i n g t o n cis 9 8 6 4 2
You agree that your management and employees are responsible for the accuracy and reliability of
information provided to us, including but not limited to, the proper recording of transactions, the
safekeeping of assets, and the accuracy of the financial statements.
Timing of Engagement
We expect to begin all services,as described in the Engagement Objective and Scope,approximately June
13, 2022. The timing of our work is dependent on the timely receipt of the information we request from
you. Additionally,our consulting and monthly preparation services will be available until December 31,
2022.
Professional Fee
We estimate that our fee for the services outlined above will not exceed $81,510. This will be billed
monthly at the standard billing rate of$209 per hour. We expect to provide services at 10 to 20 hours
weekly. Monthly services are quoted thru December 31, 2022 and an amendment to this Agreement
may be required to extend monthly services beyond this date. This fee is based upon the complexity of
the work to be performed and our professional time, as well as out-of-pocket expenses. Additionally,
this fee is dependent on the timely delivery, availability, quality, and completeness of the information
you provide to us. You agree that you will deliver all records requested and respond to all inquiries
made by our staff to complete this engagement on a timelyJLgsis. If this estimate will be exceeded, we
will obtain pre-approval prior to performing additional s ift and the billing rate of$209 per hour will
remain the same.
Termination and Other Terms
We reserve the right to withdraw from the ent without completing services for any reason,
including, but not limited to, non-pa en fees, your failure to comply with the terms of this
Agreement, or as we determine professi 1 dards require. If our work is suspended or terminated,
you agree that we will not be responsible f r your failure to meet governmental and other deadlines, or
for any liability, including but not limited to, penalties or interest that may be assessed against you
resulting from your failure to meet such deadlines. Further, either party may terminate with a 30-day
written notice.
If this Agreement is terminated before services are completed,you agree to compensate us for the services
performed and expenses incurred through the effective date of termination.
You may request that we perform additional services not contemplated by this engagement letter. If this
occurs,we will communicate with you regarding the scope and estimated cost of these additional services.
Engagements for additional services may necessitate that we amend this letter or issue a separate
engagement letter to reflect the obligations of both parties. In the absence of any other written
communications from us documenting additional services, our services will be limited to and governed
by the terms of this engagement letter.
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Electronic Signatures and Counterparts
Each party hereto agrees that any electronic signature is intended to authenticate a written signature, shall
be valid,and shall have the same force and effect as a manual signature. For purposes hereof, "electronic
signature" includes, but is not limited to, a scanned copy of a manual signature, an electronic copy of a
manual signature affixed to a document, a signature incorporated into a document utilizing touchscreen
capabilities, or a digital signature. This agreement may be executed in one or more counterparts, each of
which shall be considered an original instrument, but all of which shall be considered one and the same
agreement.
Entire Agreement
This engagement letter, including any attachments, encompasses the entire agreement of the parties and
supersedes all previous understandings and agreements between the parties,whether oral or written. Any
modification to the terms of this engagement letter must be made in writing and signed by both parties.
This Agreement has been entered into solely between Mason County Public Works and Teresa D Johnson
CPA,Inc and no third-party beneficiaries are created hereby.
We appreciate the opportunity to be of service to Mason Co ty Public Works. Please date and execute
the enclosed copy of this Agreement and return it to us acknowledge your acceptance. We will not
initiate services until we receive the executed Agreem
Very truly yours,
Teresa D. Johnson
Approved:
Loretta Swanson, Director
Date:
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Terms and Conditions Addendum for Teresa D Johnson CPA, Inc
Overview
This addendum to the engagement letter describes our standard terms and conditions("Terms and
Conditions") related to our provision of services to you. This addendum, and the accompanying
engagement letter, comprise your agreement with us ("Agreement"). If there is any inconsistency
between the engagement letter and this Terms and Conditions Addendum, the engagement letter
will prevail to the extent of the inconsistency.
For the purposes of this Terms and Conditions Addendum, any reference to"firm,""we,""us,"or
"our" is a reference to Teresa D Johnson CPA, Inc, and any reference to "you," or "your" is a
reference to the party or parties that have engaged us to provide services. References to
"Agreement" mean the engagement letter or other written document describing the scope of
services, any other attachments incorporated therein,and this Terms and Conditions Addendum.
Electronic Data Communication and Storage
In the interest of facilitating our services to you, w ay d data over the Internet, temporarily
store electronic data via computer software applica s hosted remotely on the Internet,or utilize
cloud-based storage. Your confidential electronic data may be transmitted or stored using these
methods. In using these data communication and storage methods, our firm employs measures
designed to maintain data security. We use reasonable efforts to keep such communications and
electronic data secure in accordance .,our;,obligations under applicable laws, regulations, and
professional standards. \0��
You recognize and accept that we have no control over the unauthorized interception or breach of
any communications or electronic data once it has been transmitted or if it has been subject to
unauthorized access while stored, notwithstanding all reasonable security measures employed by
us. You consent to our use of these electronic devices and applications during this engagement.
Newsletters and Similar Communications
We may send newsletters, emails, explanations of technical developments or similar
communications to you. These communications are of a general nature and should not be construed
as professional advice. We may not send all such communications to you. These communications
do not constitute a client relationship with you,nor do they constitute advice or an undertaking on
our part to monitor issues for you.
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Independent Contractor
When providing services to your company, we will be functioning as an independent contractor
and in no event will we or any of our employees be an officer of you, nor will our relationship be
that of joint venturers, partners, employer and employee, principal and agent, or any similar
relationship giving rise to a fiduciary duty to you.
Our obligations under this agreement are solely obligations of Teresa D Johnson CPA,Inc,and no
partner, principal, employee or agent of Teresa D Johnson CPA, Inc shall be subjected to any
personal liability whatsoever to you or any person or entity.
Disclaimer of Legal and Investment Advice
Our services under this Agreement do not constitute legal or investment advice unless specifically
engaged to provide investment advice in the Engagement Objective and Scope section of this
Agreement. We recommend that you retain legal counsel and investment advisors to provide such
advice.
Brokerage or Investment Advisory Statements
If you provide our firm with copies of brokerage (or investment advisory) statements and/or read-
only access to your accounts, we will use the information solely for the purpose described in the
Engagement Objective and Scope section of the en{gagemerit letter. We will rely on the accuracy
of the information provided in the statements and will not undertake any action to verify this
information. We will not monitor transactions, in h ent activity, provide investment advice, or
supervise the actions of the entity or indiduals entering into transactions or investment activities
on your behalf. We recommend that you reeve and carefully review all statements upon receipt
and direct any questions regarding account activity to your banker, broker or investment advisor.
Limitations on Oral and Email Communications
We may discuss with you our views regarding the treatment of certain items or decisions you may
encounter. We may also provide you with information in an email. Any advice or information
delivered orally or in an email (rather than through a memorandum delivered as an email
attachment) will be based upon limited research and a limited discussion and analysis of the
underlying facts. Additional research or a more complete review of the facts may affect our
analysis and conclusions.
Due to these limitations and the related risks, it may or may not be appropriate to proceed with a
decision solely on the basis of any oral or email communication from us. You accept all
responsibility, except to the extent caused by our gross negligence or willful misconduct, for any
liability, including but not limited to additional tax, penalties or interest resulting from your
decision(i) not to have us perform the research and analysis necessary to reach a more definitive
conclusion and (ii) to instead rely on an oral or email communication. The limitation in this
paragraph will not apply to an item of written advice that is a deliverable of a separate engagement.
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If you wish to engage us to provide formal advice on a matter on which we have communicated
orally or by email,we will confirm this service in a separate engagement letter.
Conflicts of Interest
If we,in our sole discretion,believe a conflict has arisen affecting our ability to deliver services to
you in accordance with either the ethical standards of our firm or the ethical standards of our
profession, we may be required to suspend or terminate our services without issuing our work
product.
Mediation
If a dispute arises out of or relates to the Agreement, including the scope of services contained
herein, or the breach thereof, and if the dispute cannot be settled through negotiation, the parties
agree first to try to settle the dispute by mediation administered by the American Arbitration
Association ("AAA") under the AAA Accounting and Related Services Arbitration Rules and
Mediation Procedures before resorting to arbitration, litigation, or some other dispute resolution
procedure. The mediator will be selected by mutual agreement of the parties. If the parties cannot
agree on a mediator, a mediator shall be designated by V AAA.
The mediation will be treated as a settlement discus®rn , therefore, all discussions during the
mediation will be confidential.The mediator may not testify or either parry in any later proceeding
related to the dispute.No recording or transcript shall be made of the mediation proceedings. The
costs of any mediation proceedings shall be shared"equally by all parties. Any costs of legal
representation shall be borne by the hiring party.,M
Indemnification
You agree to indemnify, defend, and hold harmless Teresa D Johnson CPA, Inc and any of its
partners,principals, shareholders, officers, directors,members, employees, agents or assigns with
respect to any and all claims made by third parties arising from this engagement,regardless of the
nature of the claim, and including the negligence of any party, excepting claims arising from the
gross negligence or intentional acts of the Teresa D Johnson CPA,Inc.
Insurance
Teresa D Johnson, CPA Inc shall, during the term of the engagement and for 3 years after
termination of same by either you or us,maintain in full force and effect,accountants professional
liability insurance coverage from an insurance carrier or carriers licensed to conduct business in
the state of Washington. As of the policy effective date, such insurance carrier(s)shall be rated A-
(Excellent), by A.M. Best with a Financial Size Category of Class VII or greater. Premiums for
said insurance policy shall be paid by Teresa D Johnson CPA,Inc.
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Upon your written request, Teresa D Johnson CPA, Inc shall furnish certificates of insurance for
the required insurance coverage. Such certificate of insurance shall indicate the minimum limits
of liability per claim and in the aggregate as required by you.
Force Majeure
Neither party shall be held liable for any delays resulting from circumstances or causes beyond
our reasonable control, including, without limitation, fire or other casualty, act of God, strike or
labor dispute,war or other violence,epidemics or pandemics as defined by The Centers for Disease
Control and Prevention,or any law,order or requirement of any governmental agency or authority.
However,no Force Majeure event shall excuse the client of any obligation to pay any outstanding
invoice or fee or from any indemnification obligation under this Agreement.
Assignment
All parties acknowledge and agree that the terms and conditions of this Agreement shall be binding
upon and inure to the parties' successors and assigns, subject to applicable laws and regulations.
Severability
If any portion of this Agreement is deemed invalid enfo ceable, said finding shall not operate
to invalidate the remainder of the terms set fa Agreement.
Potential Impact of COVID-19 on SOekeq
We and you acknowledge that gove1 authorities may restrict travel and/or the movement
of citizens due to the COVID-19 p In addition, we and you may restrict personnel from
travel and onsite work, whether at a client facility or our facility. Accordingly, to the extent that
the services described in the Agreement requires or relies on personnel to travel and/or perform
work onsite, we and you acknowledge and agree that the performance of such work may be
delayed, significantly or indefinitely, or may require modification. We and you agree to provide
the other with prompt written notice in the event any of the services described herein must be
rescheduled,suspended,or modified.We and you also both acknowledge and agree that any delays
or modifications may increase the cost of the services. We will obtain your prior written approval
for any increase in the cost of our services that may result from the impact of COVID-19 on our
services.
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MASON COUNTY
AGENDA ITEM SUMMARY FORM
To: Board of Mason County Commissioners
From: Melissa Casey Action Agenda: _X_
Public Hearing:
Other:
Department: Community Services — Public Health Ext: 404
Date: 6/28/22 Agenda Item # E3.9
Commissioner staff to complete)
Briefing Date: 6127/22
Briefing Presented By: Melissa Casey
[ ] Item was not previously briefed with the Board
Please provide an explanation of urgency
Item: ABCD Dental Contract Amendment (HCA Contract No. K2751 Amendment No. 04)
Background:
Washington Health Care Authority (HCA) extending contract with Mason County Public Health to
provide Access to Baby and Child Dentistry (ABCD) services for an additional two years, effective July
1, 2022 through June 30, 2024.
Budget Impact(s): None
Recommended Action: Approve ABCD Dental Contract Amendment K2751-04
Attachment(s): HCA Contract No. K2751-04
CONTRACT HCA Contract No.: K2751
Washington State AMENDMENT Amendment No.: 04
Health CareVuthority For
ABCD DENTAL
SERVICES
THIS AMENDMENT TO THE CONTRACT is between the Washington State Health Care Authority
and the party whose name appears below, and is effective as of the date set forth below.
CONTRACTOR NAME ASSIGNED SERVICE REGION/COUNTY
Mason County Public Health Mason County
CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER
PO Box 1666 (UBI)
Shelton, WA 98564
WHEREAS, HCA and Contractor previously entered into a Contract for to provide `Access to Baby and
Child Dentistry' (ABCD) services to detect and prevent early childhood dental decay by engaging
dentists in seeing Apple Health/Medicaid-eligible Clients, ages birth to six (6), with an emphasis on
children of color and children 0-2, ages six (6) to thirteen (13) who are clients of the Developmental
Disabilities Administration and other eligible but underserved children in the service area, and engaging
local public health departments in outreach and case management, and;
WHEREAS, HCA and Contractor wish to amend the Contract pursuant to Section 4.3 to revise
definitions, extend the term, increase funds, update the Schedule A: Statement of Work, and update
Exhibits;
NOW THEREFORE, the parties agree the Contract is amended as follows:
1. Section 3, Special Terms and Conditions, the following definitions are revised to read as follows:
a) "ABCD" means Access to Baby and Child Dentistry, a program designed to detect and
prevent early childhood dental decay by engaging dentists in seeing birth to six (6) year old
Medicaid eligible children and clients of the Developmental Disabilities Administration (DDA)
birth to thirteen (13) years old and engaging local public health departments in outreach and
case management.
e) "Client" means Medicaid eligible Clients ages birth through six (6) years of age and clients
of the Developmental Disabilities Administration (DDA) birth to thirteen (13) years old.
h) "Coordinator" means the individual hired to organize events and activities related to the
ABCD program and who also acts as a liaison/advocate between providers and families of
ABCD eligible children birth up to six (6) years old and clients of the Developmental
Disabilities Administration (DDA) birth to thirteen (13) years old.
2. Section 3.2 Term, subsection 3.2.1 is deleted and replaced in its entirety as follows:
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HCA Contract No.: K2751-04
3.2.1 The initial start date of the Contract is July 1, 2018, the term has been extended for an
additional two (2) year tear, and set to continue through June 30, 2024, unless terminated
sooner as provided herein.
3. Section 3.3 Compensation, subsection 3.3.1 is revised to read as follows:
3.3.1 The Maximum Compensation payable to the Contractor for the performance of all things
necessary for or incident to the performance of the work as set forth in Schedule A-3:
Statement of Work has increased by $50,314.00, for a new Contract Maximum
Compensation of$134,845.00, and includes any allowable expenses.
4. Section 4, General Terms and Conditions, subsection 4.23, Legal and Regulatory Compliance is
replaced in its entirety as follows:
4.23 Legal and Regulatory Compliance
4.23.1 During the term of this Contract, Contractor must comply with all local, state,
and federal licensing, accreditation and registration requirements/standards,
necessary for the performance of this Contract and all other applicable
federal, state and local laws, rules and regulations.
4.23.2 While on the HCA premises, Contractor must comply with HCA operations
and process standards and policies (e.g., ethics, Internet/ email usage,
data, network and building security, harassment, as applicable). HCA will
make an electronic copy of all such policies available to Contractor.
4.23.3 Pursuant to Proclamation 21-14 — COVID-19 Vaccination Requirement
(dated August 9, 2021) as amended by Proclamation 21-14.1 —COVID-19
Vaccination Requirement (dated August 20, 2021) ("Proclamation") all
contractors and any of their employees and/or subcontractors who provide
contracted services on-site at HCA facilities must certify that they are fully
vaccinated against the COVID-19 virus, unless properly excepted or
exempted for disability or sincerely held religious beliefs as set forth in the
Proclamation. Contractors who cannot so certify are prohibited from
contracting with the state.
4.23.4 Contractor represents and warrants that should their responsibilities to the
HCA involve on-site services as of October 18, 2021, Contractor's
personnel (including subcontractors) providing such services will be fully
vaccinated against the COVID-19 virus unless properly excepted or
exempted for disability or sincerely held religious beliefs as set forth in the
Proclamation. Contractor further understands that, upon request, Contractor
personnel must provide to HCA proof of vaccination, in a manner
established by the HCA. Failure to meet these requirements may result in
the immediate termination of this Contract.
4.23.5 Failure to comply with any provisions of this section may result in Contract
termination.
5. Schedule A-2: Statement of Work is replaced in its entirety with Schedule A-3: Statement of
Work, attached hereto and incorporated herein.
Page 2 of 20
HCA Contract No.: K2751-04
6. Exhibit A-2: ABCD Quarterly Community and Provider Outreach and Case Management Report
is replaced in its entirety with Exhibit A-3: ABCD Quarterly Community and Provider Outreach
and Case Management Report, attached hereto and incorporated herein.
7. Exhibit B-2: ABCD Quarterly Outreach and Coordination of Care Report is replaced in its entirety
with Exhibit B-3: ABCD Quarterly Outreach and Coordination of Care Report, attached hereto
and incorporated herein.
8. Exhibit C-1: ABCD Yearly Budget Tool is replaced in its entirety with Exhibit C-2: ABCD Yearly
Budget Tool, attached hereto and incorporated herein.
9. This Amendment will be effective July 1, 2022 ("Effective Date").
10.All capitalized terms not otherwise defined herein have the meaning ascribed to them in the
Contract.
11.All other terms and conditions of the Contract remain unchanged and in full force and effect.
The parties signing below warrant that they have read and understand this Amendment and have
authority to execute the Amendment. This Amendment will be binding on HCA only upon signature by
both parties.
CONTRACTOR SIGNATURE PRINTED NAME AND TITLE DATE SIGNED
HCA SIGNATURE PRINTED NAME AND TITLE DATE SIGNED
Page 3 of 20
HCA Contract No.: K2751-04
Schedule A-3:
Statement of Work (SOW)
The Contractor shall provide the services and staff, and otherwise do all things necessary for or incidental
to the performance of work, as set forth below:
A. In accordance with deadlines in Exhibit A-3, ABCD Quarterly Community and Provider Outreach and
Case Management Report, develop and implement an ABCD action plan in accordance with the
ABCD program principles and submit corresponding budget, using Exhibit C-2, ABCD Yearly Budget
Tool. The ABCD program principles are outlined below.
1. Provide outreach and linkage of Apple Health/Medicaid-eligible Clients, ages birth to six (6), with
an emphasis on children of color and children 0-2, ages six (6)to thirteen (13) who are clients of
the Developmental Disabilities Administration and other eligible but underserved children in the
service area in collaboration with other organizations, including, but not limited to:
a) Provide outreach by attending, visiting or working with the below, but not limited to the following:
i. Outreach and marketing events and activities such as health fairs, use of social
media (i.e., Facebook, Twitter, Instagram, Constant Contact, etc.) to perform
targeted outreach activities that effectively connect with families of eligible children;
ii. SmileMobile (sponsored by the Arcora Foundation) locations (a mobile dental clinic
providing dental services to children, pregnant women, and others;
iii. Women, Infants, and Children WIC offices (a federal assistance program of the
Food and Nutrition Services of the United States Department of Agriculture;
iv. Head Start and Early Head Start facilities (a federal program that promotes the
school readiness of children under five from low-income families);
v. Early Learning Regional Coalitions (that are a not-for-profit alliance of employers
and community subsidized before and after school child care);
vi. Day Care facilities throughout the state of Washington;
vii. Connect with community health worker or regional network to gain resources,
community connections on outreach efforts for eligible children of color and
children ages 0-2; and
viii.Connect and collaborate with your local Children with Special Health Care Needs
(CSHCN) program, local Developmental Disabilities Administration (DDA) office
and/or other organizations who work with children with disabilities to find methods
and resources on how to identify eligible children for outreach work.
b) Provide care coordination, including:
i. Provide family orientation; including but not limited to, sharing information about the
value of an infant, toddler, or young child going to the dentist, what activities to expect at
the dentist's office, and the importance of oral health care at home and the importance of
keeping an appointment.
ii. Connect families with an ABCD certified dentist who accepts Apple Health/Medicaid, and
providing information including, but not limited to, names and referrals to dentists,
sharing information about interpreters and transportation benefits, and assist in
Page 4 of 20
HCA Contract No.: K2751-04
scheduling appointments for eligible children and following up after an appointment, if
appropriate;
c) Work with the DentistLink team to align DentistLink tool with local program's referral processes to
ensure ABCD clients have a variety of complementary avenues for referral and linkage to ABCD
providers.
i. Coordinate ABCD program's dentist recruitment and support efforts with DentistLink's by
assuring both programs have the same updated information:
ii. Contact each practice to update participating-ABCD dentist roster:
1. number and frequency of clients accepted;
2. appointment times/days;
3. translation availability times/days;
4. change business status of practice (not accepting new ABCD clients, accepting
more clients, etc.);
5. new providers, Phase I, Phase II; and
6. other.
iii. Update ABCD provider roster to DentistLink electronically.
iv. Identify and address family barriers to accessing oral health care.
d) Bi-annually convene or participate in a county-wide or regional oral health coalition or ABCD
steering committee or other groups which focuses on health care, access or early learning in
order to build awareness of the ABCD program and solicit input on process improvements
i. Invite to participate in the meeting with the ABCD state managing director, the Arcora
Foundation, and the Health Care Authority dental program administrator.
e) Continuously coordinate with the local ABCD Dental Champion(s) to:
i. Identify and recruit dental providers to accept and provide care to Apple Health/Medicaid
clients birth to six (6) years through the ABCD Program;
ii. Maintain a list of active ABCD dental and medical providers who accept Apple
Health/Medicaid Clients birth to six (6) years, ages six (6) to thirteen (13)who are clients
of the Developmental Disabilities Administration and monitor provider availability to
accept new Client's birth to six (6) years into their practice;
iii. Support current ABCD providers by communicating program changes and policy updates
through in-person meetings and written communication;
iv. Plan and implement, in coordination with the UW School of Dentistry, timely ABCD
provider trainings (Phase I, II, III and refresher training) leading to certification of
providers and onboarding of their staff;
v. Assure provider ABCD certification process is completed;
Page 5 of 20
FICA Contract No.: K2751-04
vi. Provide or arrange for, timely Apple Health/Medicaid billing training assistance to ABCD
office staff and providers, as needed;
vii. At minimum annually update dental society (or local dentists/study clubs in counties
without a society) on the ABCD Program and support their continued participation in the
program and encourage recruitment of new Apple Health/Medicaid providers; and
viii.Support the Dental Champion(s) participation in meetings and activities necessary to
effectively conduct Apple Health/Medicaid provider outreach, recruitment and training,
including financial support of attendance (travel, lodging, etc.) in Development Day.
ix. Participate in the annual statewide ABCD Champion Development Day meeting to
remain current with new clinical practices and opportunities. Meet, network, and share
knowledge with other champions regarding program roadblocks and successes.
1. Extend invitation to ABCD Dental Champion to attend the annual ABCD Champion
Development Day meeting.
2. ABCD Champion travel reimbursement, if any, to attend Development Day, is
included in the total compensation.
f) Identify and recruit primary care medical providers to participate in Apple Health/Medicaid as
ABCD certified providers, secure their training through Arcora Foundation in preventive oral
health care techniques (Family Oral Health Education, fluoride varnish, etc.) and build their role
in referring Apple Health/Medicaid-eligible children to the ABCD Program.
g) Participate in all three (3) statewide ABCD Coordinators group meetings to remain current with
ABCD policies, practices and opportunities. Programs which do not meet this annual contract
requirement will be subject to contract review by HCA and potentially, to loss of this contract.
h) Identify an ABCD Coordinator within the contracting organization who will develop and maintain
a desk manual that outlines the expected ABCD contractual deliverables and how the contractor
meets each deliverable. The Coordinator will utilize this manual to fulfill the contractual
requirements and to orient new lead staff within the organization to the ABCD program.
i) If the Contractor's Coordinator vacates the position, the Contractor must notify the Health
Care Authority within two weeks of the coordinator's departure, and;
i. Share the Contractor's developed work plan that outlines how the expected contract
deliverables will be met;
ii. Include the HCA and the State Managing Partner, Arocra Foundation, in the hiring
process to find a new coordinator;
iii. Share with HCA the contact information of the newly hired or appointed Coordinator;
iv. Coordinate with HCA to assure a smooth transition of the expected contracted work
deliverables, including participation in program orientation with HCA and other state
partners and;
v. ABCD Coordinator new hire must reasonably meet the expectations as identified in
Exhibit D ABCD Coordinator Performance Expectations and Abilities.
Page 6 of 20
HCA Contract No.: K2751-04
j) If the Contractor determines that it can no longer serve as the ABCD Contractor, reasonable
notice 90 days must be given to HCA in order to assure uninterrupted service to clients and work
with providers and:
i. Work with HCA and other state partners to identify potential new ABCD-lead agencies.
2. Each quarter, the contractor must complete and submit the following via email:
a) Community and Provider Outreach and Coordination Care summary which shall
include;
i. Exhibit A-3, ABCD Quarterly Community and Provider Outreach and Case Management
Report for the specific quarter; and
ii. Exhibit B-3, ABCD Quarterly Outreach and Coordination of Care Report.
3. Each year, the contractor must complete and submit via email the Exhibit C-2, ABCD Yearly
Budget Tool, as applicable to the requirements, contained in Exhibit A-3.
4. The contractor must meet with the State Managing Partner, Arcora Foundation, on a yearly basis
to review local needs, utilization, and review the desk manual that outlines the ABCD contractual
deliverables and how the contractor has met or plans to meet those deliverables.
5. Each quarter the contractor must submit a fully completed invoice that correlates with dollar
values for completed deliverables outlined in Exhibit A-3:
a) Exhibit templates are available on the ABCD website http://abcd-dental.org/for-coordinators/;
and
b) Reports and billing must be submitted no later than one month after each quarter end date,
unless otherwise mutually agreed by both parties.
Page 7 of 20
HCA Contract No.: K2751-04
Exhibit A-3 ABCD Quarterly Community and Provider Outreach and Case Management Report
Year One July 1, 2022 - June 30, 2023 * 1st Quarter Report
Please complete and submit report electronically to:
Janice Tadeo, ABCD Program Manager at janice.tadeo(c�hca.wa.gov
Cc: Pixie Needham, Dental Program Administrator at pixie.need ham(c)-hca.wa.gov and
Heather Gallagher, ABCD State Managing Director, hgallagher .arcorafoundation.org
Organization:
ABCD Contact Person:
Phone and Email:
1st Quarter
7/1/2022—
Report Due: 10/31/2022 9/30/2022
Brief description (for events, provide date held/attended/for
Maximum staff assignments, provide name and title) -no more than 100
$$ available for words (complete Exhibit A-3 and attach supporting document if
Performance Category Yes/No this deliverable providing additional detail
Attend and participate in ABCD
Coordinator/Program Meeting $1,000.00
Community and Provider Outreach $3,791.00 Com fete Exhibit B-3
Coordinate Care $948.00 Complete Exhibit B-3
Complete budget tool and year two action
Ian $0 Complete Exhibit C-2
Provide outcome information such as minutes, copies of information
Convene Health Coalition/ABCD Steering provided or list of items provided, examples of type of Organizations
committee or participate in a Coalition or attended, what were outcomes or next steps for ABCD.
Steering Committee Focused on Health
Care, Access or Early Learning with ABCD
as a Quarterly Agenda Item. Send invitation and report back any concerns/issues to HCA Dental
$500.00 Program Administrator&ABCD Administrator
Page 8 of 20
HCA Contract No.: K2751-04
Exhibit A-3 ABCD Quarterly Community and Provider Outreach and Case Management Report
Year One July 1, 2022 - June 30, 2023 .2"d Quarter Report
Please complete and submit report electronically to:
Janice Tadeo, ABCD Program Manager at janice.tadeo(ci-)hca.wa.gov
Cc: Pixie Needham, Dental Program Administrator at pixie.need ham(chca.wa.gov and
Heather Gallagher, ABCD State Managing Director, hgallagher(a)-arcorafoundation.org
Organization:
ABCD Contact Person:
Phone and Email:
2nd Quarter
10/1/2022—
Re ort Due: 01/31/2023 12/31/2022
Maximum Brief description (for events, provide date held/attended/for
$$ available staff assignments, provide name and title) -no more than 100
for this words (complete Exhibit A-3 and attach supporting document if
Performance Category Yes/No deliverable providing additional detail
Community and Provider Outreach $3,791.00 Complete Exhibit B-3
Coordinate Care $948.00 Complete Exhibit B-3
Update DentistLink roster $100.00 Complete Exhibit B-3
Submit invoice showing expenses for dental champion to attend
Attend and participate in development day $2,000.00 development day.
Page 9 of 20
HCA Contract No.: K2751-04
Exhibit A-3 ABCD Quarterly Community and Provider Outreach and Case Management Report
Year One July 1, 2022 - June 30, 2023 . 3rd Quarter Report
Please complete and submit report electronically to:
Janice Tadeo, ABCD Program Manager at ia nice.tadeo(Whca.wa.gov
Cc: Pixie Needham, Dental Program Administrator at pixie.need ham(@hca.wa.gov and
Heather Gallagher, ABCD State Managing Director, hgallagher(cDarcorafoundation.org
Organization:
ABCD Contact Person:
Phone and Email:
3rd Quarter
1/1/2023—
Re ort Due: 04/30/2023 3/31/2023
Maximum Brief description (for events, provide date held/attended/for
$$ available staff assignments, provide name and title) -no more than
for this 100 words (complete Exhibit A-3 and attach supporting
Performance Category Yes/No deliverable document if providing additional detail
Attend and participate in ABCD
Coordinator/Program Meeting $1,000.00
Community and Provider Outreach $3,791.00 Complete Exhibit B-3
Coordinate Care $948.00 Complete Exhibit B-3
Provide outcome information such as minutes, copies of
Convene Health Coalition/ABCD Steering information provided or list of items provided, examples of type
committee or participate in a Coalition or Steering of Organizations attended, what were outcomes or next steps
Committee Focused on Health Care, Access or for ABCD.
Early Learning with ABCD as a Quarterly Agenda
Item. Send invitation and report back any concerns/issues to HCA
$500.00 Dental Program Administrator&ABCD Administrator
Page 10 of 20
HCA Contract No.: K2751-04
Exhibit A-3 ABCD Quarterly Community and Provider Outreach and Case Management Report
Year One July 1, 2022 - June 30, 2023 . 4th Quarter Report
Please complete and submit report electronically to:
Janice Tadeo, ABCD Program Manager at janice.tadeo(a�hca.wa.gov
Cc: Pixie Needham, Dental Program Administrator at pixie.need ham(a)-hca.wa.Cloy and
Heather Gallagher, ABCD State Managing Director, hgallagher(d)arcorafoundation.org
Organization:
ABCD Contact Person:
Phone and Email:
4th Quarter
Report Due: 07/09/2023 (report due on this 4/1/2023—
date to allow HCA to close out fiscal ear) 6/30/2023
Maximum Brief description (for events, provide date held/attended/for
$$ available staff assignments, provide name and title) - no more than
for this 100 words (complete Exhibit A-3 and attach supporting
Performance Category Yes/No deliverable document if providing additional detail
Attend and participate in ABCD
Coordinator/Program Meeting $1,000.00
Update ABCD provider roster to DentistLink $100.00 Complete Exhibit B-3
Community and Provider Outreach 1 $3,791.00 1 Com fete Exhibit B-3
Coordinate Care 1 1 $948.00 Complete Exhibit B-3
Page 11 of 20
HCA Contract No.: K2751-04
Exhibit A-3 ABCD Quarterly Community and Provider Outreach and Case Management Report
Year Two July 1, 2023 -June 30, 2024. 1st Quarter Report
Please complete and submit report electronically to:
Janice Tadeo, ABCD Program Manager at janice.tadeo(c)hca.wa.gov
Cc: Pixie Needham, Dental Program Administrator at pixie.need ham(a)hca.wa.gov and
Heather Gallagher, ABCD State Managing Director, hgal lag her(a),arcorafoundation.org
Organization:
ABCD Contact Person:
Phone and Email:
1st Quarter
7/1/2023—
Report Due: 10/31/2023 9/30/2023
Brief description (for events, provide date held/attended/for
Maximum staff assignments, provide name and title) -no more than 100
$$ available for words (complete Exhibit A-3 and attach supporting document if
Performance Category Yes/No this deliverable providing additional detail
Attend and participate in ABCD
Coordinator/Program Meeting $1,000.00
Community and Provider Outreach $3,791.00 Complete Exhibit B-3
Coordinate Care $948.00 Complete Exhibit B-3
Complete budget tool and year two action
Ian $0 Com lete Exhibit C-2
Provide outcome information such as minutes, copies of information
Convene Health Coalition/ABCD Steering provided or list of items provided, examples of type of Organizations
committee or participate in a Coalition or attended, what were outcomes or next steps for ABCD.
Steering Committee Focused on Health
Care, Access or Early Learning with ABCD
as a Quarterly Agenda Item. Send invitation and report back any concerns/issues to HCA Dental
$500.00 Program Administrator&ABCD Administrator
Page 12 of 20
HCA Contract No.: K2751-04
Exhibit A-3 ABCD Quarterly Community and Provider Outreach and Case Management Report
Year Two July 1, 2023—June 30, 2024. 2"d Quarter Report
Please complete and submit report electronically to:
Janice Tadeo, ABCD Program Manager at janice.tadeo c(DDhca.wa.gov
Cc: Pixie Needham, Dental Program Administrator at pixie.need ham@hca.wa.gov and
Heather Gallagher, ABCD State Managing Director, hgallagher _arcorafoundation.org
Organization:
ABCD Contact Person:
Phone and Email:
2nd Quarter
10/l/2023—
Re ort Due: 01/31/2024 12/31/2023
Maximum Brief description (for events, provide date held/attended/for
$$ available staff assignments, provide name and title) -no more than 100
for this words (complete Exhibit A-3 and attach supporting document if
Performance Category Yes/No deliverable providing additional detail
Community and Provider Outreach $3,791.00 Complete Exhibit B-3
Coordinate Care $948.00 Complete Exhibit B-3
Update DentistLink roster $100.00 Complete Exhibit B-3
Submit invoice showing expenses for dental champion to attend
Attend and participate in development day $2,000.00 development day.
Page 13 of 20
HCA Contract No.: K2751-04
Exhibit A-3 ABCD Quarterly Community and Provider Outreach and Case Management Report
Year Two July 1, 2023 —June 30, 2024.3rd Quarter Report
Please complete and submit report electronically to:
Janice Tadeo, ABCD Program Manager at janice.tadeo(aD-hca.wa.gov
Cc: Pixie Needham, Dental Program Administrator at pixie.need ham(a)-hca.wa.gov and
Heather Gallagher, ABCD State Managing Director, hgal lag her(aD-arcorafoundation.org
Organization:
ABCD Contact Person:
Phone and Email:
3rd Quarter
1/1/2024—
Re ort Due: 04/30/2024 3/31/2024
Maximum Brief description (for events, provide date held/attended/for
$$ available staff assignments, provide name and title) -no more than
for this 100 words (complete Exhibit A-3 and attach supporting
Performance Category Yes/No deliverable document if providing additional detail
Attend and participate in ABCD
Coordinator/Program Meeting $1,000.00
Community and Provider Outreach $3,791.00 Complete Exhibit B-3
Coordinate Care $948.00 Complete Exhibit B-3
Provide outcome information such as minutes, copies of
Convene Health Coalition/ABCD Steering information provided or list of items provided, examples of type
committee or participate in a Coalition or Steering of Organizations attended, what were outcomes or next steps
Committee Focused on Health Care, Access or for ABCD.
Early Learning with ABCD as a Quarterly Agenda
Item. Send invitation and report back any concerns/issues to HCA
$500.00 Dental Program Administrator&ABCD Administrator
Page 14 of 20
HCA Contract No.: K2751-04
Exhibit A-3 ABCD Quarterly Community and Provider Outreach and Case Management Report
Year Two July 1, 2023 -June 30, 2024. 4th Quarter Report
Please complete and submit report electronically to:
Janice Tadeo, ABCD Program Manager at ianice.tadeo(c�hca.wa.gov
Cc: Pixie Needham, Dental Program Administrator at pixie.need ham(aD-hca.wa.gov and
Heather Gallagher, ABCD State Managing Director, hgallagher(c-arcorafoundation.org
Organization:
ABCD Contact Person:
Phone and Email:
4th Quarter
Report Due: 07/09/2024 (report due on this 4/1/2024—
date to allow HCA to close out fiscal ear) 6/30/2024
Maximum Brief description (for events, provide date held/attended/for
$$ available staff assignments, provide name and title) -no more than
for this 100 words (complete Exhibit A-3 and attach supporting
Performance Category Yes/No deliverable document if providing additional detail
Attend and participate in ABCD
Coordinator/Program Meeting $1,000.00
Update ABCD provider roster to DentistLink $100.00 Complete Exhibit B-3
Community and Provider Outreach $3,791.00 Complete Exhibit B-3
Coordinate Care $948.00 Complete Exhibit B-3
Page 15 of 20
HCA Contract No.: K2751-04
Exhibit B-3 ABCD Quarterly Outreach and Coordination of Care Report
COMMUNITY OUTREACH
ABCD AGES 0-5
PROGRESS REPORT
(Describe your outreach work, who you reached out to, how many families were reached, progress of workplan and measurable goals
outlined in Action Plan.)
ABCD EXPANSION
PROGRESS REPORT
(Describe collaboration with organization who work with children with disabilities, progress of workplan and measurable goals
outlined in Action Plan)
ABCD EQUITY AND CLIENTS AGES 0-2
PROGRESS REPORT
(Describe collaboration with community health worker or regional network, progress of workplan and measurable goals outlined in
Action Plan)
Page 16 of 20
HCA Contract No.: K2751-04
WORK WITH CHAMPION/RECRUIT PROVIDERS
Provider Trainings Held How Many Place and Date
I
PROGRESS REPORT
(Describe outreach done to recruit both dental and medical providers to participate in the ABCD program and work done to maintain
relationship with participating providers.)
COORDINATE CARE
PROGRESS REPORT
(How are you providing coordination of care to clients? Family orientation, assisting with needed services such as transportation and
interpreter services,teaching the importation of making and keeping appointments?What barriers are you running into and what
kinds of successes are you seeing?)
Update provider roster on DentistLink. How Many
Page 17 of 20
HCA Contract No.: K2751-04
Page 18 of 20
HCA Contract No.: K2751-04
Exhibit C-2 ABCD Yearly Budget Tool
2022-2024 Yearly Expenses (estimated)
Year One Year Two
EXPENSES July 1,2022 July 1, 2023
to To
June 30, 2023 June 30, 2024
Staffing/Salary & Benefits—add a column to identify % and hours per week for each year
Program Coordinator (x hrs/week= .X FTE)
Outreach Staff(x hrs/week= .X FTE)
Program Manager (x hrs/week=.X FTE)
Support Staff(clerical, IT, finance, communications/per staff, other x hrs/week=.X FTE)
Administration (x hrs/week (.X FTE)
Salary & Benefits Subtotal
Operating Expenses
Advertising/Marketing (print, broadcast ads; cable TV time, movie ads,weekly newspaper,
billboards, social media)
Office Equipment(Copier, Fax)
Meeting Expenses (steering committee room,food, etc.)
Postage
Printing (Outside Vendors)
Professional Services
Office Supplies
Operating Supplies
Telephone
ABCD Certification Training/dentists and staff(room, audiovisuals, food,thank you to
participating families, promotion, etc.)
Travel (Per Diem, Transportation, Mileage/airfare, accommodations as required)for 3x annual
ABCD Coordinators meeting—2 Seattle, 1 Central WA; and for 1x annual Dental
Cont.
Page 19 of 20
HCA Contract No.: K2751-04
Champion(s)travel/expenses to Development Day, Seattle (Coordinator participation in this
meeting optional but recommended)
Computer Support/Tech Services
Rent/Insurance/Janitorial/Maintenance
Utilities
Operating Expenses Subtotal
Indirect Costs
TOTAL EXPENSES
FUNDING SOURCES Year One Year Two
Other Funding (United Way, Grants, Community Development Block Grant, etc.)
Agency Funds and/or In-Kind
Current Health Care Authority Contract
TOTAL FUNDING
Page 20 of 20
HCA Contract No.: K2751-04
Mason County
Agenda Request Form
To: Board of Mason County Commissioners
From: Peter Jones
Ext. 280
Department: Public Defense
Briefing: ☒
Action Agenda: ☒
Public Hearing: ☐
Special Meeting: ☐
Briefing Date(s): June 27, 2022
Agenda Date: July 5, 2022
Internal Review: ☐ Finance ☐ Human Resources ☐ Legal ☐ Information Technology ☐ Other
(This is the responsibility of the requesting Department)
Below for Clerk of the Board’s Use Only:
Item Number: __________
Approved: ☐ Yes ☐ No ☐ Tabled ☐ No Action Taken
Ordinance/Resolution No. __________ Contract No. __________ County Code: __________
Item:
Memorandum of Understanding (MOU) between the Mason County Office of Indigent Defense and
Taschner Law d.b.a. Sound Defenders for Therapeutic Services.
Background/Executive Summary:
Contract allows for Sound Defenders to provide indigent defense services for the new District Court
Therapeutic Court experiment.
Budget Impact (amount, funding source, budget amendment):
$500.00/month - $3,000 in supplemental funding for 2022 budget.
Public Outreach (news release, community meeting, etc.):
None.
Requested Action:
Approval of the Memorandum of Understanding (MOU) between the Mason County Office of Indigent
Defense and Taschner Law d.b.a. Sound Defenders for Therapeutic Services.
Attachments:
Memorandum of Understanding
4.
2.
3.
1.This is a Memorandum of Understandi
Defense and Taschner Law, LLP, d.b.a.
service contract for District Court cases
MEMORAN OF UNDERSTANDING
(MOU) between the lvlason County Office of Indigent
nd Defenders (Taschner). This modifies the current
rrently in place.
Parties acknowledge that the Mason nLV Di<trict Court. ir conjunrtion with the City of
Shelton Municipal Court, has received funding for a therapeutic court program, and is in
the process of putting a therapeutic
in both courts.
rt in place for defendants charged with misdemeanors
Taschner is already under contract the City of Shelton. That contract includes the
representation of clients within thrs m. Because of the structure of the grant, all funds for
ents reside with the City of Shelton, and are funded
Taschner shall represent a maximum indigent Mason County clients who are participating
This shallduties of a therapeutic court attorney.
both City of Shelton and Mason County
through the City of Shelton.
in this court. Taschner shall perform all
include, but not be limited to:
Appea ra nce at allThera ic Court hearings
Ava iia bility for consultation with clients partlcipating in the Therapeutic Court.
Advocacy for clients in the
whether such hearings are
of the District Court,
of alleged violations or termination from court,
ld before the therapeutic court or in the regular course
5. Taschner shall be paid 5500.00 per
ny clients terminated from the therapeutic court
h for all services outlined within.
6. Taschner is subject to other contracts Mason County. Taschner shall abide by allthe terms
and conditions of those contracts while ing services as outlined in this MOU. This
includes the requirement for case repo
servtces.
ng, which shall include a case count weighted for these
Advocacy at sentencing for
program.
Signatu
Sean T , Taschner Law
,6
Date
Mason Countv Board of Countv Commissioners Date