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HomeMy WebLinkAbout2023/04/10 - Briefing Packet MASON COUNTY COMMISSIONER BRIEFING INFORMATION FOR THE WEEK OF April 10, 2023 In the spirit of public information and inclusion, the attached is a draft of information for Commissioner consideration and discussion at the above briefing. This information is subject to change, additions and/or deletion, and is not all inclusive of what will be presented to the Commissioners. Please see draft briefing agenda for schedule. CoU���� . 1854 BOARD OF MASON COUNTY COMMISSIONERS DRAFT BRIEFING MEETING AGENDA 411 North Fifth Street, Shelton WA 98584 Week of April 10, 2023 llcf Monday Noon WA State Association of Counties Zoom Meeting* Virtual Assembly *This is being noticed as a Special Commission meeting because a quorum of the Mason County Commission may attend this event and notification is provided per Mason County Code Chapter 2.88.020-Special Meetings. Monday,April 10, 2023 Commission Chambers Times are subject to change,depending on the amount of business presented 9:00 A.M. Closed Session—RCW 42.30.140(4)Labor Discussion 10:00 A.M. Support Services—Mark Neary 10:15 A.M. Community Development—Kell Rowen 10:25 A.M. Public Health—Dave Windom 10:30 A.M. Public Works—Loretta Swanson Utilities&Waste Management Commissioner Discussion—as needed Tuesday,April 11, 2023 Commission Chambers Times are subject to change,depending on the amount of business presented 10:00 A.M. Finance Committee Commission meetings are live streamed at hlW://www.masonwebtv.com/and public commented is accepted via email msmith@masoncountywa.gov;mail to Commissioners Office,411 N 5'Street, Shelton, WA 98584;or phone at(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 p.m.the Friday before the meeting. If special accommodations are needed,contact the Commissioners'office at Shelton(360)427-9670 ext.419 Briefing Agendas are subject to change,please contact the Commissioners' office for the most recent version. Last printed 04/05/23 at 1:00 PM �r�ON CO& Mason County Administrator ' 411 N 5th Street Shelton, WA 98584 (360) 427-9670 ext. 419 Mason County Commissioner Briefing Items from County Administrator April 10, 2023 Specific Items for Review Hood Canal Coordinating Council (HCCC)dues increase—Jennifer Beierle RV covers for Park Hosts at Sandhill, Oakland Bay,and Mason Lake—John Taylor Award MCRA concessions contract to Mendoza's Texas Style Food—John Taylor Cabot Dow agreement extension—Mary Ransier Administrator Updates Commissioner Discussion C Mason County Agenda Request Form Y /A t! To: Board of Mason County Commissioners From: Jennifer Beierle Ext. 532 Department: Support Services Briefing: ❑X Action Agenda: ❑X Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 10,2023 Agenda Date: April 25,2023 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• Hood Canal Coordinating Council Dues Increase from$2,500 to$10,000 annually Background/Executive Summary: The Hood Canal Coordinating Council(HCCC)is a council of governments formed in 1985 in response to community concerns about water quality problems and related natural resource issues in the Hood Canal watershed.Member governments include Jefferson,Kitsap,and Mason Counties,and the Port Gamble S'Klallum and Skokomish Tribes. The HCCC works with partners and communities to advance a shared regional vision to protect and recover Hood Canal's environmental,economic,and cultural wellbeing. The dues to HCCC recently went from$2,500 to $10,000 for 2023. The amount budgeted by the County to expend in 2023 is$2,500,so I am asking for a$7,500 budget amendment for the dues increase. Budget Impact(amount, funding source,budget amendment): $7,500 increase to expenditures in 2023 Public Outreach (news release,community meeting, etc.): The HCCC meets monthly Requested Action: Approval for the Board to increase the 2023 Hood Canal Coordinating Council dues in the budget from$2,500 to$10,000; an increase to expenditures of$7,500 in the General Fund. Attachments 2023 HCCC dues invoice Hood Canal Coordinating Council GoORD, � 17791 Fjord Dr NE Ste 118, Poulsbo, WA 98370 hccc.wa.gov n Attn: Terry Fischer, Accountant/360-536-1338 p HCCC 2 O ^�A M tfischer(c�hccc.wa.gov r r BILL TO w Mason County Board of Commissioners Invoice Date: 3/18/2023 411 N 5th St Due Date: Upon Receipt Shelton, WA 98584 Kshutty(c)-masoncountywa.gov Z mneary(c)-masoncountywa.gov ib(a�mason countywa.gov DESCRIPTION QTY UNIT PRICE TOTAL Basic Membership Dues Jan 1,2023-Dec 31,2023 1 $ 10,000.00 $ 10,000.00 SUBTOTAL $ 10,000.00 DISCOUNT $ - SUBTOTAL LESS DISCOUNT $ 10,000.00 Thank you for your business! TAX RATE $ - TOTAL TAX $ - SHIPPING/HANDLING $ - Balance Due $ 10,000.00 C Mason County Agenda Request Form Y /A t! To: Board of Mason County Commissioners From: John Taylor Ext. 806 Department: Parks&Trails Briefing: ❑X Action Agenda: ❑X Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 10,2023 Agenda Date: April 25,2023 Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ Information Technology ❑ Risk (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• RV Cover Installation at Sandhill,Mason Lake, and Oakland Bay Parks Background/Executive Summary: An RV cover was installed at Truman Glick Park in January for the cost of$19,580.73. Budget Impact(amount, funding source,budget amendment): Covers could be paid for from REET 2 Capital Improvements. Public Outreach (news release,community meeting, etc.): N/A Requested Action: Approval to install RV covers at Sandhill,Mason Lake, and Oakland Bay Parks. Attachments RV Specifications American carports, Inc. IFax this form to:(817)484-2182 or(866)396.20571 457 North Broadway Street"Joshua,TX 76058 E-Mail to;orders@americansteelinc,com American Carports,Inc Is a California state licensed Contractor (Lie.No.879371)and bonded(CSLB Bond Number T14951-1) Ready: 19rNot Ready: ❑ Financed: ❑The Responsible Managing Officer Is Melton Castillo. Dealer r'7�t'ne'0 11tcal!l Phone .7C�f'�17.• /0 )- 2 ���7 Date � �/ Z i BuyerName(S) NAS04 �1:14 bPapr ! I County /195O✓I Buyer Address `f// A 51j. y�. city_Sh 4/7 State G IAZip d/95P�l Phone 340- Yoo— OLES (Alternative#) . `Z27- g670 ee4, 71-5 CF��o CZ� ntnw io n,. Site(Unit location If different from above): (Email) )=-�- Barn Style:t� prf-1-joj(�❑ Building Type: ❑carport 'QRV Cover ❑Mint Storage❑Special Order Description Width ' RooF Fram L Gauge Price Length Lengt�l HeP�tI F�V 22 'i I N� I+i I2 IIY, 73S Total Sale:$_ 17997, 00 If your unit Is longer than 31'in length,we strongly recommend to opt for ourA-Frame VeNcairoo1'Io avoid More leaks. �° % Tax; i 15�3a Options: ❑ Regular A-Frame Horizontal ❑ Amnf.basadwTar Rate eflnsfaill.".9on I ® Vertical Roof ❑All Vertical f 5�f) ) .3 i N 3 0 subtotal:s � ® Leg Height l if ` ' I 7 5 Return Trip CIosed des ❑ Vertical Sides Transportation Fee:$ rdapplicable) 6E] ds ❑ Vertical Ends Drawfnps:$ ❑ Gable Ends ❑ Front Back fdoyplica6le) ❑ RolkUp Door Size: Labor/Eqqu(pm ant;S grapplkabia) ❑ Overhead Door Size: Total:s �! ❑ Walk-In Door Size: ❑ Window Origination Fee:$ 1 / y 76 (Rom Ne total safe betas T&xej ❑ Anchors Mobile Home ® Asphalt Concrete ❑ ff(J (� Balance Due:5 X(� L7 All Orders C.O.D. I Roof Pet l (3, Sides Ends Trim ❑ Color: a /3a: Site Level: ❑Yes ❑No Electricity: ❑Yes No Ridge Cap Color(Vertical Style Only): Installation: ©Ground ❑ Cement ❑ Other(Specify) THINGS YOU SHOULD KNOW AND THAT YOU AGREE TO: 1. It is solely the Buyer's responsibility to check restrictions regarding installation of the building.Some slate and local ordinances may require i a foundation prior to installation.American Carports, Inc.("ACI")does not Install foundations and all costs associated with foundations shall be the sole responsibility of the Buyer.Other local or state restrictions or prohibitions may apply.The lot must be level and have an adequate foundation or the Building will.be Installed'AS IS"and ALL WARRANTIES WILL BE VOIDED.It is life Buyers responsibility to research local and state restrictions or prohibitions on anchoring systems and utilize proper anchors. 2. Height is measured from the top of the base rail to the sidewail(leg height),not the peak.The base rail is 12 inches shorter than the roof. 3. If there Is a price discrepancy over$50.00,the(Act')reserves the right to cancel the order,If the Buyer wishes to place the order on hold, ("ACI")will.honor the revised price for only 30 days, 4. in most cases,all orders will include a free set of generic plans which may not Include all options available.Custom plans specific to a purchase can be provided upon request,for an additional nonrefundable fee which MUST be paid in advance. 5. It Is highly recommended that all ground,gravel,or blacktop installation be securely fastened with Mobile Home anchors.Rebar anchors are designed for temporary use only.("ACI")will not be responsible for any damage to the structure If the Buyer chooses to use only the rebar anchors provided with the Building.Not using the proper anchors may result in forfeiting the warranty.If It Is not possible to Install all the mobile home anchors due to rocky or other ground conditions,Buyer will be reimbursed for the mobile home anchors that are not used. 6. The above pricing does not include any extra additions,tasks or requests by the Buyer.A separate quotation and approval by("ACI')will be required.Any changes to the Building requested after its manufacture Is completed,will Incur a fee of at least$175.(°ACI")reserves the right to apply and/or Increase additional charges,based on the size and amount of changes. 7. If you are a tax-exempt purchaser,a copy of your tax exemption certificate must be provided before delivery and Installation. BALANCES OWING: Balance due must be paid In full upon delivery.If any balance Is left unpaid at the time of delivery,('ACI")will remain the owner of the Sullding(s).It Is at("ACI")'s discretion,to repossess the Building(s)at any time.I give my consent for(Act')to enter my property and repossess the Building(s). THIS IS A CONTRACT.By signing this,Buyer acknowledges and agrees with all the above terms contained on the front and back of this document, the three-day cancellation form and all the terms and conditions located on our website at vAm.AmericanCarportslnc.com/12o-torms-and-conditions. This contract is NOT final until revfew(approval by American Carports,Inc. XCustomer Signature: / ,L j r ,},: -(. D LO Fr2'ICE:tus Date: x , r 1, s i rQ x e Dealer Signature: �`-- Date: /3 2- IgAp"proval/Aut1h oniiz almn mnTmp-RFF nYf4FR RInF np THIS nnrgiMFMT PnP AnnITInMAl TFRMS P.MIUnITInMF C Mason County Agenda Request Form Y /A t! To: Board of Mason County Commissioners From: John Taylor Ext. 806 Department: Parks&Trails Briefing: ❑X Action Agenda: Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 10,2023 Agenda Date: April 11,2023 Internal Review: ❑ Finance ❑ Human Resources ❑X Legal ❑ Information Technology ❑ Risk (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• Award Contract to Mendoza's Texas Style Food for Concessions at Mason County Recreation Area(MCRA) Background/Executive Summary: As a convenience for visitors of MCRA park,the County allows concession vendors to sell food and beverages. These vendors are selected and awarded concession contracts through a competitive Request for Proposals(RFP)process. Notice for the RFP was sent out on March 14,2023 and proposals were due April 4, 2023 by noon. One proposal was received from Mendoza's Texas Style Food. County staff has completed a thorough review of the proposal submitted and recommends contracting with Mendoza's Texas Style Food for concessions and MCRA. Mendoza's has provided concessions at MCRA since 2017. Budget Impact(amount, funding source,budget amendment): Concession vendor contracts do not impact the County financially as the vendor is required to compensate Mason County at a rate of 10%of gross income from sales of food and beverages in exchange for utilizing the County's facilities. These funds are used to offset any cost the County has in procuring and/or facilitating the vendors. Public Outreach (news release,community meeting, etc.): Notice was sent to the Shelton-Mason County Journal and was available on the County website. Requested Action: Approval for the County Administrator to sign the contract with Mendoza's Texas Style Food for concession services at Mason County Recreation Area(MCRA)for 2023 with the option to extend the contract for up to three additional years. Attachments Proposal Contract MASON COUNTY and MENDOZA's TEXAS STYLE FOOD PROFESSIONAL SERVICES CONTRACT This CONTRACT is made and entered into by and between Mason County, hereinafter referred to as "COUNTY"and MENDOZA'S TEXAS STYLE FOOD,referred to as"CONTRACTOR",and collectively referred to as "PARTIES". Recitals WHEREAS, COUNTY desires to retain a person or firm to provide the following service: food and beverage concessions at the Mason County Recreation Area(MCRA); and WHEREAS, CONTRACTOR warrants that it is qualified and competent to render the aforesaid services. NOW,THEREFORE,for and in consideration of the CONTRACT made,the parties agree to the following: Special Conditions Concession Site: CONTRACTOR will provide a self-contained concession stand or food truck to be located at MCRA in the space designated by Mason County Parks and Trails Manager. CONTRACTOR will not make any alterations,additions,or improvements to the site without prior approval from the Parks and Trails Manager or designee. Concessions by Contract: Through this CONTRACT, COUNTY grants concessions by contract, not lease. CONTRACTOR understands that concession contracts only confer permission to occupy and use the premises for concession purposes. Compliance: 1. CONTRACTOR shall comply with and perform the services in accordance with all applicable Federal, State, and County laws including,without limitation, all codes, ordinances, standards, and policies, as now existing or hereafter adopted or amended,including but not limited to the following:Federal,State, and local health, safety, and licensing laws relating to the sale of concession goods; County codes. 2. CONTRACTOR is solely responsible for collecting and remitting sales tax and all other applicable governmental charges as required by the Washington State Department of Revenue (DOR) or other State or County agencies. Vendors will be solely responsible for remitting Leasehold Excise Tax payments, currently at 12.84%to the DOR. 3. CONTRACTOR may not sell, transfer, or give the concession rights to anyone else without prior written approval from COUNTY. 4. CONTRACTOR agrees to allow and cooperate with any inspections by COUNTY prior to, during the season, at the conclusion of seasonal operations, and other times as requested. 5. Concessions area is for concessions sales only and is not to be used for storage of items other than what is necessary for concession operations. 6. CONTRACTOR will comply with all Mason County Department of Public Health requirements for food and beverage concession services and food handling. Service Provision: CONTRACTOR will provide services at regularly scheduled games,tournaments,special events,and daily activities as mutually agreed with COUNTY. This CONTRACT does not grant exclusive rights to 1 distribute services or products at the parks. As determined by COUNTY additional vendors may be contracted to provide food, beverage, and other services during tournaments and/or special events as required to meet the needs of participants COUNTY may elect to give CONTRACTOR the right of first refusal to provide the additional services. Compensation: CONTRACTOR will remit 10%of the gross income from the sale of concessions at MCRA to COUNTY on a quarterly basis with first payment due June 1,2023. Customer Service: CONTRACTOR will ensure that its employees, volunteers, agents, or representatives provide quality customer service and treat all customers with courtesy and respect. Employee Appearance: CONTRACTOR will ensure that employees are appropriately dressed and appear neat and sanitary. Staffing: CONTRACTOR will ensure that the concession services is adequately staffed preventing undue delays to the public in the form of long and/or slow moving service lines. Menu and Pricing: COUNTY reserves the right to request menu and/ or pricing changes including but not limited to: adding items, limiting items, and removing items. Removal of Equipment: CONTRACTOR will remove its concession stand or food truck at the end of the recreational season or upon notification from COUNTY due to contract termination. Maintenance: CONTRACTOR at its sole cost and expense shall maintain the concession stand/food truck,equipment and concession site including maintaining a clean and sanitary appearance. Signs: CONTRACTOR will not place signs other than on the concession stand or food truck without the prior approval of the Parks and Trails Manager or designee. General Conditions Term: The performance period for this CONTRACT will start upon execution through the end of the recreational season not anticipated to extend beyond September of 2023. COUNTY reserves the option,at COUNTY's sole discretion,to extend this contract for up to three(3) additional years. Independent Contractor: CONTRACTOR's services shall be furnished by the CONTRACTOR as an independent contractor, and nothing herein contained shall be construed to create a relationship of employer-employee. Taxes: CONTRACTOR understands and acknowledges that COUNTY will not withhold Federal or State income taxes. Where required by State or Federal law,the CONTRACTOR authorizes COUNTY to withhold for any taxes other than income taxes(i.e.,Medicare). All compensation received by the CONTRACTOR will be reported to the Internal Revenue Service at the end of the calendar year in accordance with the applicable IRS regulations. It is the responsibility of the CONTRACTOR to make the necessary estimated tax payments throughout the year,if any,and the CONTRACTOR is solely liable for any tax obligation arising from the CONTRACTOR's performance of this CONTRACT. The CONTRACTOR hereby agrees to 2 indemnify COUNTY against any demand to pay taxes arising from the CONTRACTOR's failure to pay taxes on compensation earned pursuant to this CONTRACT. Labor Standards: CONTRACTOR agrees to comply with all applicable State and Federal requirements, including but not limited to those pertaining to payment of wages and working conditions, in accordance with RCW 39. 12 040,the Prevailing Wage Act;the Americans with Disabilities Act of 1990;the Davis -Bacon Act; and the Contract Work Hours and Safety Standards Act providing for weekly payment of prevailing wages, minimum overtime pay,and providing that no laborer or mechanic shall be required to work in surroundings or under conditions which are unsanitary, hazardous, or dangerous to health and safety as determined by regulations promulgated by the Federal Secretary of Labor and/or the State of Washington. Assignment and Subcontracting: No portion of this CONTRACT may be assigned or subcontracted to any other individual or entity without the express and prior written approval of COUNTY. Non-Discrimination in Employment: COUNTY' s policy is to provide equal opportunity in all terms, conditions, and privileges of employment for all qualified applicants and employees without regard to race,color,creed,religion,national origin,sex, sexual orientation, age,marital status, disability, or veteran status. CONTRACTOR shall comply with all laws prohibiting discrimination against any employee or applicant for employment on the grounds of race, color, creed, religion, national origin, sex, sexual orientation, age, marital status, disability, or veteran status, except where such constitutes a bona fide occupational qualification. Furthermore,in those cases in which CONTRACTOR is governed by such laws CONTRACTOR shall take affirmative action to insure that applicants are employed, and treated during employment, without regard to their race, color,creed,religion,national origin,sex, age,marital status, sexual orientation,disability, or veteran status, except where such constitutes a bona fide occupational qualification. Such action shall include, but not be limited to advertising, hiring,promotions, layoffs or terminations, rate of pay or other forms of compensation benefits, selection for training including apprenticeship, and participation in recreational and educational activities. In all solicitations or advertisements for employees placed by them or on their behalf, CONTRACTOR shall state that all qualified applicants will receive consideration for employment without regard to race,color,religion, sex or national origin. The foregoing provisions shall also be binding upon any subcontractor, provided that the foregoing provision shall not apply to contracts or subcontractors for standard commercial supplies or raw materials, or to sole proprietorships with no employees. Non-Discrimination in Client Services: CONTRACTOR shall not discriminate on the grounds of race, color, creed, religion, national origin, sex, age, marital status, sexual orientation, disability, or veteran status; or deny an individual or business any service or benefits under this CONTRACT; or subject an individual or business to segregation or separate treatment in any manner related to his/her/its receipt any service or services or other benefits provided under this CONTRACT; or deny an individual or business an opportunity to participate in any program provided by this CONTRACT. Right to Review: This CONTRACT is subject to review by any Federal, State, or COUNTY Auditor. COUNTY or its designee shall have the right to review and monitor the financial and service components of this program by whatever means are deemed expedient by the Administrative Officer or by COUNTY's Auditor's Office. Such review may occur with or without notice and may include, but is not limited to, onsite inspection by COUNTY agents or employees, inspection of all records or other materials which COUNTY deems pertinent to the CONTRACT and its performance, and all communications with or evaluations by service recipients under this CONTRACT. CONTRACTOR shall preserve and maintain all financial records and records relating to the performance of work under this CONTRACT for six (6) years after CONTRACT termination, and shall make them available for such review, within Mason County, State of Washington, 3 upon request. CONTRACTOR also agrees to notify the Administrative Officer in advance of any inspections, audits, or program review by any individual, agency, or governmental unit whose purpose is to review the services provided within the terms of this CONTRACT. If no advance notice is given to CONTRACTOR,then CONTRACTOR agrees to notify the Administrative Officer as soon as it is practical. Insurance Requirements: At a minimum,CONTRACTOR shall provide insurance that meets or exceeds the requirements detailed in "Exhibit A Insurance Requirements". Proof of Insurance: A Certificate of Insurance naming COUNTY as the Certificate Holder must be provided to COUNTY within five(5)days of CONTRACT execution. Industrial Insurance Waiver: With respect to the performance of this CONTRACT and as to claims against COUNTY,its officers,agents, and employees, CONTRACTOR expressly waives its immunity under Title 51 of the Revised Code of Washington, the Industrial Insurance Act, for injuries to its employees and agrees that the obligations to indemnify, defend and hold harmless provided in this CONTRACT extend to any claim brought by or on behalf of any employee of CONTRACTOR. This waiver is mutually negotiated by the parties to this CONTRACT. CONTRACTOR Commitments,Warranties, and Representations: Any written commitment received from CONTRACTOR concerning this CONTRACT shall be binding upon CONTRACTOR, unless otherwise specifically provided herein with reference to this paragraph. Failure of CONTRACTOR to fulfill such a commitment shall render CONTRACTOR liable for damages to COUNTY. A commitment includes,but is not limited to, any representation made prior to execution of this CONTRACT, whether incorporated elsewhere herein by reference, as to performance of services or equipment,prices,or options for future acquisition to remain in effect for a fixed period, or warranties. Defense and Indemnity Contract: 1. Indemnification by CONTRACTOR. To the fullest extent permitted by law, CONTRACTOR agrees to indemnify, defend, and hold COUNTY and its departments, elected, and appointed officials, employees, agents and volunteers, harmless from and against any and all claims, damages, losses and expenses, including but not limited to court costs, attorney's fees and alternative dispute resolution costs, for any personal injury, for any bodily injury, sickness, disease or death and for any damage to or destruction of any property (including the loss of use resulting therefrom) which a) are caused in whole or in part by any act or omission,negligent or otherwise,of the CONTRACTOR,its employees, agents, or volunteers or CONTRACTOR's subcontractors and their employees, agents, or volunteers; or b) are directly or indirectly arising out of,resulting from, or in connection with performance of this CONTRACT; or c) are based upon CONTRACTOR's or its subcontractors' use of, presence upon or proximity to the property of COUNTY. This indemnification obligation of CONTRACTOR shall not apply in the limited circumstance where the claim, damage, loss, or expense is caused by the sole negligence of COUNTY. This indemnification obligation of the CONTRACTOR shall not be limited in any way by the Washington State Industrial Insurance Act, RCW Title 51, or by application of any other workmen's compensation act, disability benefit act, or other employee benefit act, and the CONTRACTOR hereby expressly waives any immunity afforded by such acts. The foregoing indemnification obligations of the CONTRACTOR are a material inducement to COUNTY to enter into this CONTRACT, are reflected in CONTRACTOR' s compensation, and have been mutually negotiated by the parties. 2. Participation by County. No waiver. COUNTY reserves the right,but not the obligation,to participate in the defense of any claim, damages, losses, or expenses and such participation shall not constitute a waiver of CONTRACTOR's indemnity obligations under this CONTRACT. 4 3. Survival of CONTRACTOR's Indemnity Obligations. CONTRACTOR agrees all CONTRACTOR's indemnity obligations shall survive the completion, expiration or termination of this CONTRACT. 4. Indemnity by Subcontractors. In the event the CONTRACTOR enters subcontracts to the extent allowed under this CONTRACT, CONTRACTOR's subcontractors shall indemnify COUNTY on a basis equal to or exceeding CONTRACTOR's indemnity obligations to COUNTY. Compliance with Applicable Laws,Rules,and Regulations: This CONTRACT shall be subject to all laws, rules, and regulations of the United States of America, the State of Washington, political subdivisions of the State of Washington, and Mason County. CONTRACTOR also agrees to comply with applicable Federal, State, County, or municipal standards for licensing, certification, and operation of facilities and programs, and accreditation and licensing of individuals. Administration of Contract: COUNTY hereby appoints, and CONTRACTOR hereby accepts, the Mason County's Parks and Trails Manager and his or her designee,as COUNTY's representative,hereinafter referred to as the Administrative Officer, for the purposes of administering the provisions of this CONTRACT, including COUNTY's right to receive and act on all reports and documents, and any auditing performed by the COUNTY related to this CONTRACT. The Administrative Officer for purposes of this CONTRACT is: John Taylor Parks and Trails Manager 2100 E Johns Prairie Road Shelton,WA 98584 (360)427-9670 ext. 806 jtaylorkmasoncountywa.gov CONTRACTOR's Primary Contact's Information: Raul Mendoza Mendoza's Texas Style Food 80 E Clonakilty Drive Shelton,WA 98584 (360)401-0088 elraul44&msn.com Notice: Except as set forth elsewhere in the CONTRACT, for all purposes under this CONTRACT except service of process, notice shall be given by CONTRACTOR to COUNTY's Administrative Officer under this CONTRACT. Notices and other communication may be conducted via e- mail, U S. mail, fax, hand- delivery or other generally accepted manner including delivery services. Modifications: Either parry may request changes in the CONTRACT. Any and all agreed modifications,to be valid and binding upon either party, shall be in writing and signed by both of the parties. Termination for Default: If CONTRACTOR defaults by failing to perform any of the obligations of the CONTRACT or becomes insolvent or is declared bankrupt or commits any act of bankruptcy or insolvency or makes an assignment for the benefit of creditors, COUNTY may, by depositing written notice to CONTRACTOR in the U. S. mail, terminate the CONTRACT, and at COUNTY's option, obtain performance of the work elsewhere. CONTRACTOR shall bear any extra expenses incurred by COUNTY in completing the work, including all increased costs for completing the work, and all damage sustained, or which may be sustained by COUNTY by reason of such default. 5 If a notice of termination for default has been issued and it is later determined for any reason that CONTRACTOR was not in default, the rights and obligations of the parties shall be the same as if the notice of termination had been issued pursuant to the Termination for Public Convenience paragraph hereof. Termination for Public Convenience: COUNTY may terminate this CONTRACT in whole or in part whenever COUNTY determines,in its sole discretion, that such termination is in the interests of COUNTY. Termination of this CONTRACT by COUNTY at any time during the term, whether for default or convenience, shall not constitute breach of CONTRACT by COUNTY. Disputes: Differences between the CONTRACTOR and COUNTY, arising under and by virtue of the CONTRACT shall be brought to the attention of COUNTY at the earliest possible time in order that such matters may be settled, or other appropriate action promptly taken. Arbitration: Other than claims for injunctive relief brought by a party hereto (which may be brought either in court or pursuant to this arbitration provision) and consistent with the provisions hereinabove, any claim, dispute, or controversy between the parties under, arising out of, or related to this CONTRACT, or otherwise, including issues of specific performance, shall be determined by arbitration in Shelton,Washington,under the applicable American Arbitration Association(AAA)rules in effect on the date hereof, as modified by this CONTRACT. There shall be one arbitrator selected by the parties within ten(10)days of the arbitration demand, or if not, by the AAA or any other group having similar credentials. Any issue about whether a claim is covered by this CONTRACT shall be determined by the arbitrator. The arbitrator shall apply substantive law and may award injunctive relief, equitable relief(including specific performance), or any other remedy available from a judge,including expenses,costs and attorney fees to the prevailing party and pre-award interest,but shall not have the power to award punitive damages. The decision of the arbitrator shall be final and binding and an order confirming the award or judgment upon the award may be entered in any court having jurisdiction. The parties agree that the decision of the arbitrator shall be the sole and exclusive remedy between them regarding any dispute presented or pled before the arbitrator. At the request of either party made not later than forty-five (45) days after the arbitration demand, the parties agree to submit the dispute to nonbinding mediation, which shall not delay the arbitration hearing date; provided, that either party may decline to mediate and proceed with arbitration. Any arbitration proceeding commenced to enforce or interpret this CONTRACT shall be brought within six (6) years after the initial occurrence giving rise to the claim, dispute, or issue for which arbitration is commenced, regardless of the date of discovery or whether the claim, dispute, or issue was continuing in nature. Claims, disputes or issues arising more than six (6)years prior to a written request or demand for arbitration issued under this CONTRACT are not subject to arbitration. Venue and Choice of Law: In the event that any litigation should arise concerning the construction or interpretation of any of the terms of this CONTRACT,the venue of such action of litigation shall be in the courts of the State of Washington and Mason County. Unless otherwise specified herein,this CONTRACT shall be governed by the laws of the State of Washington. Severability: If any term or condition of this CONTRACT or the application thereof to any person(s) or circumstances is held invalid, such invalidity shall not affect other terms, conditions or applications which can be given effect without the invalid term, condition, or application. To this end, the terms and conditions of this CONTRACT are declared severable. Waiver: Waiver of any breach or condition of this CONTRACT shall not be deemed a waiver of any prior or subsequent breach. No term or condition of this CONTRACT shall be held to be waived, modified, or deleted except by an instrument, in writing, signed by the parties hereto. The failure of COUNTY to insist 6 upon strict performance of any of the covenants of this CONTRACT, or to exercise any option herein conferred in any one or more instances,shall not be construed to be a waiver or relinquishment of any such, or any other covenants or contracts,but the same shall be and remain in full force and effect. Order of Precedence: A. Applicable Federal, State, and County statutes,regulations,policies,procedures,Federal Office of Management and Budget(OMB)circulars and Federal and State executive orders. B. Exhibit A Insurance Requirements C. Special Conditions D. General Conditions Entire Contract: This written CONTRACT, comprised of the writings signed or otherwise identified and attached hereto, represents the entire CONTRACT between the parties and supersedes any prior oral statements, discussions,or understandings between the parties. IN WITNESS WHEROF, COUNTY and CONTRACTOR have executed this CONTRACT at Shelton,Washington on this day of , MENDOZA'S TEXAS STYLE FOOD BOARD OF COUNTY COMMISSIONERS MASON COUNTY,WASHINGTON Raul Mendoza Mark Neary, County Administrator APPROVED AS TO FORM: Tim Whitehead, Chief DPA 7 Exhibit A Insurance Requirements A.MINIMUM Insurance Requirements: 1. Commercial General Liability Insurance using Insurance Services Office "Commercial General Liability" policy form CG 00 01, with an edition date prior to 2004, or the exact equivalent Coverage for an additional insured shall not be limited to its vicarious liability. Defense costs must be paid in addition to limits. Limits shall be no less than$ 1,000,000 per occurrence for all covered losses and no less than $2,000,000 general aggregate, for bodily injury, personal injury, and property damage, including without limitation,blanket contractual liability. 2. Workers' Compensation on a State-approved policy form providing statutory benefits as required by law with employer's liability limits for CONTRACTOR's, with two (2) or more employees and/or volunteers,no less than$ 1,000,000 per accident for all covered losses. 3. Business Auto Coverage on ISO Business Auto Coverage form CA 00 01 including owned,non-owned and hired autos, or the exact equivalent. Limits shall be no less than $ 1, 000,000 per accident, combined single limit. If CONTRACTOR owns no vehicles, this requirement may be satisfied by a non-owned auto endorsement to the general liability policy described above. If CONTRACTOR or CONTRACTOR's employees will use personal autos in any way on this project,CONTRACTOR shall obtain evidence of personal auto liability coverage for each such person. 4. Excess or Umbrella Liability Insurance(Over Primary)if used to meet limit requirements,shall provide coverage at least as broad as specified for the underlying coverages. Such policy or policies shall include as insureds those covered by the underlying policies, including additional insureds. Coverage shall be"pay on behalf,with defense costs payable in addition to policy limits. There shall be no cross liability exclusion precluding coverage for claims or suits by one insured against another. Coverage shall be applicable to COUNTY for injury to employees of CONTRACTOR, subcontractors or others involved in the Work. The scope of coverage provided is subject to approval of COUNTY following receipt of proof of insurance as required herein. B. Certificate of Insurance: A Certificate of Insurance naming COUNTY as the Certificate Holder must be provided to COUNTY within five(5)days of CONTRACT execution. C. Basic Stipulations: 1. CONTRACTOR agrees to endorse third party liability coverage required herein to include as additional insureds COUNTY, its officials, employees and agents, using ISO endorsement CG 20 10 with an edition date prior to 2004. CONTRACTOR also agrees to require all subcontractors, and anyone else involved in this CONTRACT on behalf of the CONTRACTOR hereinafter"indemnifying parties")to comply with these provisions. 2. CONTRACTOR agrees to waive rights of recovery against COUNTY regardless of the applicability of any insurance proceeds,and to require all indemnifying parties to do likewise. 3. All insurance coverage maintained or procured by CONTRACTOR or required of others by CONTRACTOR pursuant to this CONTRACT shall be endorsed to delete the subrogation condition as to COUNTY or must specifically allow the named insured to waive subrogation prior to a loss. 4. All coverage types and limits required are subject to approval, modification, and additional requirements by COUNTY. CONTRACTOR shall not make any reductions in scope or limits of coverage that may affect COUNTY's protection without COUNTY's prior written consent. 5. CONTRACTOR agrees upon request by COUNTY to provide complete,certified copies of any policies required within ten (10) days of such request COUNTY has the right, but not the duty, to obtain any insurance it deems necessary to protect its interests. Any premium so paid by COUNTY shall be charged to and promptly paid by CONTRACTOR or deducted from sums due CONTRACTOR. Any 8 actual or alleged failure on the part of COUNTY or any other additional insured under these requirements to obtain proof of insurance required under this CONTRACT in no way waives any right or remedy of COUNTY or any additional insured, in this or in any other regard. 6. It is acknowledged by the parties of this CONTRACT that all insurance coverage required to be provided by CONTRACTOR or indemnifying party, is intended to apply first and on a primary non- contributing basis in relation to any other insurance or self-insurance available to COUNTY. 7. CONTRACTOR agrees not to self-insure or to use any self-insured retentions on any portion of the insurance required herein and further agrees that it will not allow any indemnifying party to self-insure its obligations to COUNTY. If CONTRACTOR's existing coverage includes a self-insured retention, the self-insured retention must be declared to the COUNTY. The COUNTY may review options with CONTRACTOR,which may include reduction or elimination of the self-insured retention,substitution of other coverage, or other solutions. 8. CONTRACTOR will renew the required coverage annually as long as COUNTY, or its employees or agents face an exposure from operations of any type pursuant to this CONTRACT. This obligation applies whether or not the CONTRACT is canceled or terminated for any reason. Termination of this obligation is not effective until COUNTY executes a written statement to that effect. 9. The limits of insurance as described above shall be considered as minimum requirements. Should any coverage carried by CONTRACTOR or a subcontractor of any tier maintain insurance with limits of liability that exceed the required limits or coverage that is broader than as outlined above,those higher limits and broader coverage shall be deemed to apply for the benefit of any person or organization included as an additional insured and those limits shall become the required minimum limits of insurance in all Paragraphs and Sections of this CONTRACT. 10. None of the policies required herein shall be in compliance with these requirements if they include any limiting endorsement that has not been first submitted to COUNTY and approved of in writing. 11. The requirements in this Exhibit supersede all other sections and provisions of this CONTRACT to the extent that any other section or provision conflicts with or impairs the provisions of this Exhibit. 12. Unless otherwise approved by COUNTY, insurance provided pursuant to these requirements shall be by insurers authorized to do business in Washington and with a minimum A.M. Best rating of A-:VII. 13. All insurance coverage and limits provided by CONTRACTOR and available or applicable to this CONTRACT are intended to apply to the full extent of the policies. Nothing contained in this CONTRACT limits the application of such insurance coverage. 14. CONTRACTOR agrees to provide prompt notice to COUNTY of any notice of cancellation of any required policy or of any material alteration or non -renewal of any such policy, other than for non- payment of premium. CONTRACTOR shall assure that this provision also applies to any of its employees, agents or subcontractors engaged by or on behalf of CONTRACTOR in relation to this CONTRACT. 15. COUNTY reserves the right at any time during the term of the CONTRACT to change the amounts and types of insurance required by giving the CONTRACTOR ninety(90)days advance written notice of such change. If such change results in substantial additional cost to the CONTRACTOR, the COUNTY and CONTRACTOR may renegotiate CONTRACTOR's compensation. 16. Requirements of specific coverage features are not intended as limitation on other requirements or as waiver of any coverage normally provided by any given policy. Specific reference to a coverage feature is for purposes of clarification only as it pertains to a given issue and is not intended by any party or insured to be all-inclusive. 17. CONTRACTOR agrees to provide immediate notice to COUNTY of any claim or loss against CONTRACTOR arising out of the work performed under this CONTRACT. COUNTY assumes no obligation or liability by such notice,but has the right(but not the duty)to monitor the handling of any such claim or claims if they are likely to involve COUNTY. 9 C Mason County Agenda Request Form Y /A t! To: Board of Mason County Commissioners From: Mary Ransier Ext.422 Department: Human Resources Briefing: 0 Action Agenda: 0 Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 10,2023 Agenda Date: April 11,2023 Internal Review: 0 Finance 0 Human Resources 0 Legal ❑ Information Technology ❑X Risk (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• Professional Services Agreement with Cabot Dow Associates,Inc. Background/Executive Summary: The County has residual contracts from 2022 and additional agreements opening for negotiations in 2023 and the need to start the process and collect data is imminent.Additional time is also needed for those contracts which have moved to mediation. Budget Impact(amount, funding source,budget amendment): Supplemental Public Outreach (news release,community meeting, etc.): N/A Requested Action: Approval for the County Administrator to extend the current Professional Services Agreement with Cabot Dow Associates, Inc.through May 1,2024 to include an additional $20,000. Attachments Professional Services Agreement PROFESSIONAL SERVICES AGREEMENT AMENDMENT BY AND BETWEEN MASON COUNTY,WASHINGTON AND "Cabot Dow Inc" This Agreement Amendment is entered into by and between Mason County,Washington, hereinafter referred to as"the COUNTY,"and Cabot Dow Inc,2712 941h Ave NE, Clyde Hill,WA 98004 a consultant providing labor relations services, hereinafter referred to as the "CONSULTANT." WHEREAS, the COUNTY is required by Ch. 41.56 RCW to negotiate in good faith with regard to the terms and conditions of successor labor contracts with a bargaining units of COUNTY employees; WHEREAS, the COUNTY is needing an extension through May 1, 2024, to the professional services obtaining the services of a labor consultant to assist in negotiations involving the labor agreement covering its bargaining units; WHEREAS, the COUNTY has additional labor agreements opening in 2023 and residual labor agreements from 2022 and the need to continue negotiations and collect data. NOW, THEREFORE, in consideration of the mutual benefits and conditions hereinafter contained, the parties hereto agree to extend the original professional services agreement with an addition of$20,000. DATED this day of 520 COUNTY OF MASON CONSULTANT Printed Name: Mark Neary; County Printed Name: Administrator Date: Date: Address &Phone# APPROVED AS TO FORM: McKenzie Smith; Clerk of Board t d• hief D ��cutmngttorney 1 9. soN co�� Mason County Community Development Briefing April 10, 2023 Briefing Items Planning Advisory Commission application—Kell Rowen Monthly permitting update—Kell Rowen C Mason County Agenda Request Form Y /A t! To: Board of Mason County Commissioners From: Kell Rowen Ext.286 Department: Community Services Briefing: ❑X Action Agenda: ❑ Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 10,2023 Agenda Date: 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• Planning Advisory Commission(PAC)Application Background/Executive Summary: The Mason County Planning Advisory Commission(PAC)is a seven-member citizen board appointed to advise the Board of Commissioners on policy related to the County Comprehensive Plan and on land use issues. The Planning Advisory Commission members help set the long-term direction or vision for the community's future. The Commission considers and makes recommendations on issues such as amendments to the Mason County Comprehensive Plan, Shoreline Master Program, and land use regulation. An application has been received from Mike Hill(District 3) for the Planning Advisory Commission. There is currently one open position. Current members include District 1: Jeff Carey, Terri Arcieri, Robert"Mac"McLean, and Timothy Opiela Jr.; District 2: Joseph Meyers; and District 3: Bob Wilkerson. Budget Impact(amount,funding source,budget amendment): N/A Public Outreach (news release,community meeting, etc.): News Release and County website. Requested Action: Interview Mike Hill for service on the PAC. Attachments Application RECEIVED MASON COUNTY COMMISSIONERS BAR 2 3 2T' 3 411 NORTH FIFTH STREET Mason County SHELTON WA 98584 Commissioners Fax 360-427-8437; Voice 360-427-9670, Ext.419;275-4467or482-5269 I AM SEEKING APPOINTMENT TO/JGJL?/� Imo: i e ADDRESS / oRAREAINTHECOUNTY YODUVE) E� -- ------------------------------------------------------------------------ COMMUNITY SERVICE EMPLOYMENT: (IF RETIRED, PREVIOUS EXPERIENCE) (ACTIVITIES OR MEMBERSHIPS) COMPANY: YRS f`1elfow �O�Cr-Ny l�1UbTiPosrrioN: '�1i1/Nl9J1T[SG�Gf7//lT/tti�rr�r' COMPANY: YRS POSITION: -------------------------------------------------------------------------------------------- In your words,what do you perceive is the role or purpose of the Board, Committee or Council for which you are applying: /cam d o s� e�4� cis 6vc- ter /�ovr«ry �fas�� ci�C.ayl�/,.o�Gldlil/I✓/�/�G1 Oy �,�xy-1 arsfd l-LlPa!!f What interests,skills do you wish to offer the Board, Committee,or Council? e- air Please list any financial, professional, or voluntary affiliations which may influence or allact 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 a d Public Records).The trainings would be at no cost to you.Would you be able to attend such trainings? Realistically,how much time can yout Is sition? Quart Day �J Office Use Only �/ 7� Appointment Date Signa7' / Term Expire Date C Mason County Agenda Request Form Y /A t! To: Board of Mason County Commissioners From: Kell Rowen Ext.286 Department: Community Services Briefing: ❑X Action Agenda: ❑ Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 10,2023 Agenda Date: Click or tap here to enter text. 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• Monthly Update Regarding Permitting for Community Development Background/Executive Summary: The Community Development Department will discuss the monthly permitting report including number of permit submittals,number of permits issued and average permit turnaround times. Budget Impact None Public Outreach N/A Requested Action: Discussion only Attachments Monthly Permit Reports Average Days to Issuance - Monthly Permit Status Permit Type Permit Number Date Submitted Date Ready To Issue ISSUED ADDITION OR REMODEL- BLD2022-01366 10/24/2022 03/08/2023 RESIDENTIAL 134 ISSUED ADDITION OR REMODEL- BLD2023-00080 01/23/2023 03/23/2023 RESIDENTIAL 60 ISSUED ADDITION OR REMODEL- BLD2023-00142 02/02/2023 03/22/2023 RESIDENTIAL 50 ISSUED GARAGE/STORAGE BLD2022-01577 12/28/2022 03/03/2023 65 ISSUED GARAGE/STORAGE BLD2023-00011 01/05/2023 03/14/2023 69 ISSUED GARAGE/STORAGE BLD2023-00041 01/12/2023 03/13/2023 61 ISSUED MANUFACTURED HOME BLD2023-00053 01/17/2023 03/30/2023 73 ISSUED MANUFACTURED HOME BLD2023-00034 01/12/2023 03/10/2023 58 ISSUED MANUFACTURED HOME BLD2023-00173 02/13/2023 03/29/2023 46 ISSUED MANUFACTURED HOME BLD2023-00120 01/30/2023 03/31/2023 60 ISSUED MANUFACTURED HOME BLD2023-00122 01/30/2023 03/29/2023 59 ISSUED MANUFACTURED HOME BLD2022-01550 12/19/2022 03/16/2023 87 ISSUED MANUFACTURED HOME BLD2022-01570 12/27/2022 03/01/2023 64 ISSUED MANUFACTURED HOME BLD2023-00131 01/31/2023 03/06/2023 36 ISSUED NEW COMMERCIAL PERMIT COM2023-00017 03/03/2023 03/13/2023 10 ISSUED NEW COMMERCIAL PERMIT COM2023-00018 03/03/2023 03/14/2023 11 ISSUED NEW COMMERCIAL PERMIT COM2023-00020 03/06/2023 03/09/2023 3 ISSUED NEW COMMERCIAL PERMIT COM2023-00013 02/21/2023 03/02/2023 11 ISSUED NEW COMMERCIAL PERMIT COM2023-00015 02/22/2023 03/08/2023 16 ISSUED NEW SINGLE FAMILY BLD2023-00221 02/27/2023 03/09/2023 RESIDENCE 12 ISSUED NEW SINGLE FAMILY BLD2023-00126 01/31/2023 03/22/2023 RESIDENCE 52 ISSUED NEW SINGLE FAMILY BLD2023-00036 01/12/2023 03/14/2023 RESIDENCE 62 ISSUED NEW SINGLE FAMILY BLD2023-00004 01/04/2023 03/10/2023 RESIDENCE 66 ISSUED NEW SINGLE FAMILY BLD2023-00009 01/05/2023 03/30/2023 RESIDENCE 85 ISSUED NEW SINGLE FAMILY BLD2023-00010 01/05/2023 03/14/2023 RESIDENCE 69 ISSUED NEW SINGLE FAMILY BLD2022-01572 12/28/2022 03/10/2023 RESIDENCE 72 ISSUED NEW SINGLE FAMILY BLD2022-01574 12/15/2022 03/14/2023 RESIDENCE 89 ISSUED NEW SINGLE FAMILY BLD2022-01551 12/19/2022 03/03/2023 RESIDENCE 74 ISSUED NEW SINGLE FAMILY BLD2022-01553 12/20/2022 03/21/2023 RESIDENCE 91 ISSUED NEW SINGLE FAMILY BLD2022-01415 11/03/2022 03/08/2023 RESIDENCE 125 ISSUED NEW SINGLE FAMILY BLD2022-01416 11/04/2022 03/21/2023 RESIDENCE 137 ISSUED NEW SINGLE FAMILY BLD2022-01532 12/12/2022 03/16/2023 RESIDENCE 94 ISSUED NEW SINGLE FAMILY BLD2022-00853 02/27/2023 03/23/2023 RESIDENCE 26 ISSUED NEW SINGLE FAMILY BLD2022-00867 02/24/2023 03/21/2023 RESIDENCE 27 ISSUED NEW SINGLE FAMILY BLD2022-00869 02/27/2023 03/16/2023 RESIDENCE 19 ISSUED NEW SINGLE FAMILY BLD2022-00872 02/24/2023 03/09/2023 RESIDENCE 15 ISSUED NEW SINGLE FAMILY BLD2022-00884 07/08/2022 03/20/2023 RESIDENCE 252 ISSUED NEW SINGLE FAMILY BLD2022-00886 02/23/2022 03/13/2023 RESIDENCE 380 ISSUED NEW SINGLE FAMILY BLD2022-00889 07/08/2022 03/21/2023 RESIDENCE 253 ISSUED NEW SINGLE FAMILY BLD2022-01304 10/05/2022 03/10/2023 RESIDENCE 155 Average Days to Issuacne: 78.2 Permit Applications 2023 Permit Type Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Accessory Dweiling Unit 1 1 1 Addition or Remodel 9 11 7 Address Request Form 24 24 32 Administrative Varicance Request 12 13 20 Application for Ammendment 2 0 1 Boundary Line Adjustment 4 1 2 Building Administrative Variance 0 0 4 Bulkhead of Dock-Residential 3 1 4 Carport/Deck Covered 2 3 4 Change in Tennant 2 1 Common Line Mitigation Plan 1 Cottage Industry Permit 1 Declalration of Parcel Combination 2 1 3 Demo 11 6 9 Development Reg Variance 1 0 0 Flood Damage Prevention Reivew 9 5 15 Forest Practices 1 0 2 Garage/Storage 9 9 5 Geological Review 7 5 5 Grading 1 0 2 Ground Mount Solar 1 1 0 Larg Lot Subdivision 1 0 0 Hearing Examiner 0 0 0 Manufactured Home-Residential 13 4 10 Manufactured Home Replacement 0 0 0 Manufactured Modular Structure Commercial 0 0 0 Mason Environmental Permit 1 0 1 Mech/Plumb-Commercial 3 2 0 Mechanical-Residential 52 42 46 New Commercial Permit 3 4 11 New SFR 13 11 15 Plat-Subdivision 1 0 0 Plumbing Residential 3 6 3 Pre-Application Meeting 10 4 9 Repair-Residential 5 1 2 Reroof 16 5 27 Resrource Ordinance Variance 0 0 0 Retaining Wall,Deck Residential 1 1 1 Roof Mount Solar 4 4 2 SEPA 10 6 9 Shoreline Conditional Use 1 0 0 Shoreline Exemption 4 3 5 Shoreline Substantial Dev 1 0 1 Shoreline Variance 1 0 0 Short Subdivision 0 4 1 Site Pre Inspection 16 13 11 Special Use Permits 0 0 0 Window Replacement 0 0 0 Total 260 192 272 0 0 0 0 0 0 0 0 0 Permit Issuance 2023 Permit Type Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Accessory Dweiling Unit 0 2 0 Addition or Remodel 6 10 6 Address Request Form 21 36 20 Administrative Varicance Request 28 6 15 Application for Ammendment 0 0 0 Boundary Line Adjustment 0 0 0 Building Administrative Variance 0 0 0 Bulkhead of Dock-Residential 1 6 2 Carport/Deck Covered 4 6 1 Change in Tennant 0 0 0 Declalration of Parcel Combination 0 0 0 Demo 5 10 6 Development Reg Variance 0 2 0 Flood Damage Prevention Reivew 3 8 8 Forest Practices 2 0 0 Garage/Storage 8 22 6 Geological Review 2 0 6 Grading 0 4 3 Ground Mount Solar 0 0 1 Larg Lot Subdivision 0 0 0 Hearing Examiner 0 0 0 Manufactured Home-Residential 11 16 13 Manufactured Home Replacement 0 0 0 Manufactured Modular Structure Commercial 1 0 0 Mason Environmental Permit 1 2 0 Mech/Plumb-Commercial 2 0 2 Mechanical-Residential 54 76 36 New Commercial Permit 2 6 9 New SFR 14 30 41 Plat-Subdivision 0 0 0 Plumbing Residential 2 2 1 Pre-Application Meeting 2 0 1 Repair-Residential 2 4 1 Reroof 1 10 16 Resrource Ordinance Variance 14 0 0 Retaining Wall,Deck Residential 0 2 2 Roof Mount Solar 0 0 0 SEPA 2 6 8 Shoreline Conditional Use 0 0 0 Shoreline Exemption 6 4 2 Shoreline Substantial Dev 0 4 0 Shoreline Variance 0 0 0 Short Subdivision 0 0 0 Site Pre Inspection 11 20 13 Special Use Permits 0 0 0 Window Replacement 0 0 0 Total 205 294 219 0 0 0 0 0 0 0 0 0 MASON COUNTY rTi Public Health & Human Services Briefing April 10, 2023 Briefing Items Crossroads Housing Eviction Rent Assistance Program amendment—Melissa Casey C Mason County Agenda Request Form Y /A t! To: Board of Mason County Commissioners From: Melissa Casey Ext.404 Department: Public Health Briefing: 0 Action Agenda: 0 Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 10,2023 Agenda Date: April 25,2023 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• Crossroads Housing Eviction Rent Assistance Program(ERAP 2.0)Amendment Background/Executive Summary: The Department of Commerce has allocated additional funding to the Eviction Rent Assistance Program (ERAP 2.0)aimed at reducing and preventing homelessness. Funds will be subcontracted to Crossroads Housing to support the eviction rent assistance program through June 2023. Budget Impact(amount, funding source,budget amendment): Additional$165,000 pass through to Crossroads Housing Eviction Rent Assistance Program Public Outreach (news release,community meeting, etc.): None Requested Action: Approval of the Crossroads Housing Eviction Rent Assistance Program(ERAP)2.0 amendment for an additional$165,000. Attachments Washington Department of Commerce Contract No 21-4619C-117 Amendment C Mason County Contract#21-083 Amendment#3 DocuSign Envelope ID:AD3B8C20-9CA4-447D-BB05-2299CC9E1835 rmendment Contract Number:21-4619C-117 Amendment Number: C Washington State Department of Commerce Housing Division Homelessness Assistance Unit Eviction Rent Assistance Program 2.0 1.Contractor 2.Contractor Doing Business As(optional) Mason County Community Services 415N6t'St Shelton,WA 98584 3.Contractor Representative 4.COMMERCE Representative Haley Foelsch Henry Bennett PO Box 42525 Community Health Specialist 1 Commerce Specialist II 1011 Plum St SE 360-427-9670 x704 (360)725-5053 Olympia,WA 98504-2525 haley@masoncountywa.gov henry.bennett@commerce.wa.gov 5.Original Contract Amount 6.Amendment Amount 7.New Contract Amount (and any previous amendments) $6,425,567.00 $165,000.00 $6,590,567.00 8.Amendment Funding Source 9.Amendment Start Date 10.Amendment End Date Federal:X State: Other: N/A: 3/15/2023 6/30/2023 11.Federal Funds(as applicable): Federal Agency: CFDA Number: UEI#: Indirect SNAXPBGW4VR4 Rate: 10% $6,590,567.00 US Dept.of Treasury 21.027 12.Amendment Purpose: To add additional funds. COMMERCE,defined as the Department of Commerce,and the Contractor,as defined above,acknowledge and accept the terms of this Contract As Amended and attachments and have executed this Contract Amendment on the date below to start as of the date and year referenced above. The rights and obligations of both parties to this Contract As Amended are governed by this Contract Amendment and the following other documents incorporated by reference: Contractor Terms and Conditions including Attachment "A"—Budget.A copy of this Contract Amendment shall be attached to and made a part of the original Contract between COMMERCE and the Contractor.Any reference in the original Contract to the"Contract'shall mean the"Contract as Amended". FOR CONTRACTOR FOR COMMERCE os KK Signature,Executive Corina Grigoras,Assistant Director Housing Division Date Date APPROVED AS TO FORM ONLY Sandra Adix Assistant Attorney General 3/20/2014 Date Department of Commerce DocuSign Envelope ID:AD3B8C20-9CA4-447D-BB05-2299CC9E1835 Amendment This Contract is amended as follows: Attachment A Budget Current Contract New Contract Total Budget Category Total Amendment C Administration $217,379.00 $5000.00 $222,379.00 Operations $400,486.25 $10,000.00 $410,486.25 Rent and Utility Assistance $5,514,681.75 $150,000.00 $5,664,681.75 By and For Sub grant/s $293,020.00 $0.00 $293,020.00 Total $6,425,567.00 $165,000.00 $6,590,567.00 ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE AND EFFECT. 2 DocuSign Envelope ID:AD3B8C20-9CA4-447D-BB05-2299CC9E1835 DocuSign Certificate Of Completion Envelope Id:25B3FOA2FB6542529D6E3D8CA4645E08 Status:Completed Subject:Complete with DocuSign: ERAP 2.0 Mason Amendment C.pdf Division: Community Services and Housing Program: ERAP 2.0 ContractNumber:21-4619C-117 DocumentType: Contract Amendment Source Envelope: Document Pages:2 Signatures:0 Envelope Originator: Certificate Pages:2 Initials: 1 Henry Bennett AutoNav: Enabled 1011 Plum Street SE Envelopeld Stamping: Enabled MS 42525 Time Zone:(UTC-08:00)Pacific Time(US&Canada) Olympia,WA 98504-2525 henry.ben nett@commerce.wa.gov IP Address: 198.239.10.220 Record Tracking Status:Original Holder: Henry Bennett Location:DocuSign 4/3/2023 10:38:08 AM henry.ben nett@commerce.wa.gov Security Appliance Status:Connected Pool:StateLocal Storage Appliance Status:Connected Pool:Washington State Department of Commerce Location:DocuSign Signer Events Signature Timestamp Kathy Kinard D5 Sent:4/3/2023 1:28:32 PM Kathy.Kinard@commerce.wa.gov �� Viewed:4/3/2023 1:38:55 PM Security Level: Email,Account Authentication Signed:4/3/2023 1:39:29 PM (None) Signature Adoption:Pre-selected Style Using IP Address: 198.239.10.130 Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Kathryn Dodge VIEWED Sent:4/3/2023 10:41:12 AM kathryn.dodge@commerce.wa.gov Viewed:4/3/2023 1:28:32 PM Security Level: Email,Account Authentication (None) Using IP Address: 198.239.106.236 Electronic Record and Signature Disclosure: Not Offered via DocuSign Carbon Copy Events Status Timestamp Witness Events Signature Timestamp DocuSign Envelope ID:AD3B8C20-9CA4-447D-BB05-2299CC9E1835 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 4/3/2023 10:41:12 AM Certified Delivered Security Checked 4/3/2023 1:38:55 PM Signing Complete Security Checked 4/3/2023 1:39:29 PM Completed Security Checked 4/3/2023 1:39:29 PM Payment Events Status Timestamps DocuSign Certificate Of Completion Envelope Id:AD3B8C209CA4447DBB052299CC9El835 Status:Sent Subject:Complete with DocuSign: ERAP 2.0 Mason Amendment C.pdf Division: Community Services and Housing Program: ERAP 2.0 ContractNumber:21-4619C-117 DocumentType: Contract Amendment Source Envelope: Document Pages:4 Signatures:0 Envelope Originator: Certificate Pages:5 Initials:0 Henry Bennett AutoNav: Enabled 1011 Plum Street SE Envelopeld Stamping: Enabled MS 42525 Time Zone:(UTC-08:00)Pacific Time(US&Canada) Olympia,WA 98504-2525 henry.ben nett@commerce.wa.gov IP Address: 198.239.10.220 Record Tracking Status:Original Holder: Henry Bennett Location:DocuSign 4/3/2023 2:14:20 PM henry.ben nett@commerce.wa.gov Security Appliance Status:Connected Pool:StateLocal Storage Appliance Status:Connected Pool:Washington State Department of Commerce Location:DocuSign Signer Events Signature Timestamp Sharon Trask strask@masoncountywa.gov Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Haley Foelsch VIEWED Sent:4/3/2023 2:20:28 PM haley@masoncountywa.gov Viewed:4/3/2023 2:22:02 PM Security Level: Email,Account Authentication (None) Using IP Address:216.235.103.241 Electronic Record and Signature Disclosure: Accepted:4/3/2023 2:22:02 PM I D:935e38af-5202-4008-b97a-c8651 ce9a622 Melissa Casey Sent:4/3/2023 2:22:03 PM mcasey@masoncountywa.gov Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Accepted:3/29/2023 1:59:43 PM ID:2a64fc94-2044-4711-93e6-6050dc7cfc96 Certified Delivery Events Status Timestamp McKenzie Smith msmith@masoncountywa.gov Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Accepted:2/13/2023 3:40:27 PM 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Contract Between Mason County and Crossroads Housing Professional Services Contract #CH.2021-2023.ERAP2.0 (MC Contract #21-083) Amendment # 3 IT IS MUTUALLY AGREED THEREFORE: That the Original Contract is hereby amended as follows: 1. FUND SOURCE: Eviction Rent Assistance Program 2.0 Grant 2. AMENDMENT TERM: March 15, 2023— June 30, 2023 3. TOTAL ADDITIONAL AWARD: $165,000 Current Amount Amended Amount Total New Budget Administration: $103,179 $5,000 $108,179 -Operations: $331,126 $10,000 $341,126 Rent and Utilities: $5,126,765 $150,000 $5,276,765 By and for: $263,720 $0 $263,720 TOTAL: $5,824,790 $165,000 $5,989,790 ALL OTHER TERMS AND CONDITIONS of the original Contract remain in full force and effect. IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof on the day of , 2023. CONTRACTOR MASON COUNTY Tanya Frazier Sharon Trask, Chair Executive Director, Crossroads Housing Mason County Board of County Commissioners 1 MASON COUNTY PUBLIC WORKS COMMISSIONER BRIEFING April 10, 2023 Action Items• —.Delegation of signature authority for required ecology reports and document submittals for county permitted wastewater facilities. Discussion Items: Commissioner Follow-Up Items: Upcoming Calendar/Action Items: C Mason County Agenda Request Form Y /A t! To: Board of Mason County Commissioners From: Richard Dickinson Ext.450 Department: Utilities&Waste Management Briefing: ❑X Action Agenda: ❑X Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 10,2023 Agenda Date: April 25,2023 Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ Information Technology ❑ Risk (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• Delegation of Signature Authority for Required Ecology Submittals Background/Executive Summary: The Washington State Department of Ecology(DOE)requires submittal of reports or documents for permitted wastewater facilities using Ecology's WQWebPortal with an electronic signature. The Board previously delegated signature authority to Richard Dickinson,Deputy Director of Utilities and Waste Management and Justin Phelps,previous Water and Wastewater Manager. Public Works would like to add Loretta Swanson,Director of Public Works, as a signature authority for the DOE reports and documents for County permitted wastewater facilities. This authorization applies to the submittal of Biosolids Reports,Discharge Monitoring Reports(DMRs),Notice of Intent,and Certificates of No Exposure for Rustlewood Wastewater Treatment Plant,North Bay/Case Inlet Water Reclamation Facility, and Belfair Wastewater and Water Reclamation Facility. Budget Impact(amount, funding source,budget amendment): N/A Public Outreach (news release,community meeting, etc.): N/A Requested Action: Approval to delegate signature authority to the Public Works Director to submit reports or documents for County permitted wastewater facilities. Attachments Electronic Signature Forms Department of Ecology Letters Electronic Signature Agreement Form Washington State Department of Ecology For Ecology Use Only Date Received: Water Quality Program Form Reviewed Entered Verified DEPARTMENT OF Headquarters:(360)407-7097 ECOLOGY Web site:www.ecy.wa.gov/programs/wq ESAF State of Washington 1. Site Location Information If you are applying for multiple facilities/permits, please include a list containing the site location information and permit numbers for all requested facilities/permits. Site/Facility Name: Site Location Address: City/State/Zip: Permit Number: 2. Electronic Signer Contact Information Role: 0 Facility Signer ❑ Facility Coordinator Signature Account User Name: Full Name: Loretta Swanson Work Mailing Address: 100 W Public Works Drive City/State/Zip: Shelton,WA 98584 Work Phone No.(Ext): 360-427-9670, Ext. 769 Work Email Address: lorettas@masoncountywa.gov 3. Proof of Identity Please include a copy of one of the following documents,with your name on the document,with your ESAF to prove your association with the facility-(ies). • Your permit's letter of coverage • Your permit's cover sheet • A previously submitted DMR • A correspondence from Ecology that has both the facility name and permit number on the same page • Signature authority delegation letter signed by the permittee(responsible official). 4. Electronic Signature Agreement and Certification Statement By completing and submitting this form to Ecology, I agree to follow the rules and procedures governing the Electronic Signature account. I also agree that the reports and documents I submit under my Electronic Signature will be used as the corresponding paper report would. I want to submit the following report(s)or document(s)using WQWebPortal with an electronic signature. 0 Discharge Monitoring Reports/Submittals p Notice of Intent(Permit Applications) ❑ Certificate of No Exposure 5. Clean Water Act Certification Statement All submittals to the Department of Ecology under this WQWebPortal application are subject to the following certification,as required by federal and state regulations: /certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete and l am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 6. Certification Statement I agree that I will: I agree that I will not: • Protect my Electronic Signature account,which includes • Let anyone else use my Electronic Signature account. my answers to the verification questions and my password; • Review the content and meaning of my submitted Annual Reports and Notifications; • Within 24 hours of discovery, report to Ecology if: o My Electronic Signature account is lost, stolen or used by someone else; o There is any difference between the information I submitted and the information displayed in WebDMR; o My role as a signer for this organization changes. L.S. Agree: L.S. (initial here Agree: (initial here) 9 (i ) 1, (print Electronic Signer's name), understand that: 1. My electronic signature is legally the same as my handwritten signature for the purpose of compliance with the relevant environmental regulations; 2. A failure to timely notify Ecology of a possible misuse of my Electronic Signature account may result in my liability for the information submitted; 3. There are significant penalties for submitting false information, including possible fines and imprisonment, related to the federal Department of Justice and federal environmental program; 4. 1 will be asked to verify that I am following the rules outlined in this agreement when I electronically submit documents. 7. Signature of Electronic Signer kqg III, Electronic Signer's Signature Date 7 Loretta Swanson Mason County Public Works Director Name(print or type) Title 8. Signature of Permittee(Responsible Official) Sharon Trask (insert name of permittee or responsible official)acknowledge that the individual named above works at/for Belfair Water Reclamation Facility (insert site/facility name)and is authorized to submit documents on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Sharon Trask Mason County Commissioner - Chair Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form or if the responsible official completes this form. If you need this document in a version for the visually impaired call the Water Quality Program at 360-407-6401. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. 9.Assign Administrator This section cannot be processed without a handwritten signature. I, (insert name of permittee or responsible official)acknowledge that (person being assigned)is authorized to be an administrator on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form,if the responsible official completes this form,or if the responsible official is not assigning a person to the administrator role. Mail the signed electronic signature agreement and additional document(s)to one of the following Ecology office. Stormwater Permit Facilities— Industrial and Major Industrial Unit Construction Stormwater Washington Department of Ecology Washington Department of Ecology Water Quality Program Stormwater Unit Major Industrial Unit PO Box 47696 PO Box 47600 Olympia,WA 98504-7696 Olympia, WA 98504-7600 360-407-7097 360-407-6945 For all other permits, please contact one of the follow offices. Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Wahkiakum counties Whitman counties Washington Department of Ecology Washington Department of Ecology Water Quality Program -SWRO Water Quality Program - ERO PO Box 47775 N. 4601 Monroe Olympia, WA 98504-7775 Spokane,WA 99205-1295 360-407-6300 509-329-3400 Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and and Yakima counties Whatcom counties Washington Department of Ecology Washington Department of Ecology Water Quality Program -CRO Water Quality Program - NWRO 1250 W ALDER ST ATTN: Chris Smith UNION GAP WA 98903-0009 3190 - 160th Ave. SE 509-575-2490 Bellevue, WA 98008-5452 425-649-7000 April 25, 2023 Department of Ecology Southwest Regional Office Attn: Ms. Emily Kijowski P.O. Box 47775 Olympia, WA 98504-7775 RE: Biosolids General Permit (BSGP), Permit No. ST6224 Belfair Water Reclamation Facility (WRF) Dear Ms. Kijowski, This letter is to grant authorization to Loretta Swanson, Public Works Director, to sign the reports, Notices Of Intents and all other reports and correspondence as may be required by the Department of Ecology as per our BSGP permit as described below. Any person signing documents related to BSGP Permit No. ST6224 agrees to the following statement: "1 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Sharon Trask, Mason County Commissioner, District 3, Chair Date Randy Neatherlin, Mason County Commissioner, District 1, Vice Chair Date Kevin Shutty, Mason County Commissioner, District 2 Date April 25, 2023 Department of Ecology Southwest Regional Office Attn: Carey Cholski P.O. Box 47775 Olympia, WA 98504-7775 RE: State Waste Discharge Permit (SWDP), Permit No. ST6224 Belfair Water Reclamation Facility (WRF) Dear Ms. Cholski, This letter is to grant authorization to Loretta Swanson, Public Works Director, to sign the monthly discharge monitoring reports (DMRs) and all other reports and correspondence as may be required by the Department of Ecology as per our SWDP permit as described below. Any person signing documents related to SWDP Permit No. ST6224 agrees to the following statement: "1 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Sharon Trask, Mason County Commissioner, District 3, Chair Date Randy Neatherlin, Mason County Commissioner, District 1, Vice Chair Date Kevin Shutty, Mason County Commissioner, District 2 Date Electronic Signature Agreement Form Washington State Department of Ecology For Ecology Use Only Date Received: Water Quality Program Form Reviewed Entered Verified DEPARTMENT OF Headquarters:(360)407-7097 ECOLOGY Web site:www.ecy.wa.gov/programs/wq ESAF State of Washington 1. Site Location Information If you are applying for multiple facilities/permits, please include a list containing the site location information and permit numbers for all requested facilities/permits. Site/Facility Name: Site Location Address: City/State/Zip: Permit Number: 2. Electronic Signer Contact Information Role: 0 Facility Signer ❑ Facility Coordinator Signature Account User Name: Full Name: Loretta Swanson Work Mailing Address: 100 W Public Works Drive City/State/Zip: Shelton,WA 98584 Work Phone No.(Ext): 360-427-9670, Ext. 769 Work Email Address: lorettas@masoncountywa.gov 3. Proof of Identity Please include a copy of one of the following documents,with your name on the document,with your ESAF to prove your association with the facility-(ies). • Your permit's letter of coverage • Your permit's cover sheet • A previously submitted DMR • A correspondence from Ecology that has both the facility name and permit number on the same page • Signature authority delegation letter signed by the permittee(responsible official). 4. Electronic Signature Agreement and Certification Statement By completing and submitting this form to Ecology, I agree to follow the rules and procedures governing the Electronic Signature account. I also agree that the reports and documents I submit under my Electronic Signature will be used as the corresponding paper report would. I want to submit the following report(s)or document(s)using WQWebPortal with an electronic signature. 0 Discharge Monitoring Reports/Submittals p Notice of Intent(Permit Applications) ❑ Certificate of No Exposure 5. Clean Water Act Certification Statement All submittals to the Department of Ecology under this WQWebPortal application are subject to the following certification,as required by federal and state regulations: /certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete and l am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 6. Certification Statement I agree that I will: I agree that I will not: • Protect my Electronic Signature account,which includes • Let anyone else use my Electronic Signature account. my answers to the verification questions and my password; • Review the content and meaning of my submitted Annual Reports and Notifications; • Within 24 hours of discovery, report to Ecology if: o My Electronic Signature account is lost, stolen or used by someone else; o There is any difference between the information I submitted and the information displayed in WebDMR; o My role as a signer for this organization changes. L.S. Agree: L.S. (initial here Agree: (initial here) 9 (i ) 1, (print Electronic Signer's name), understand that: 1. My electronic signature is legally the same as my handwritten signature for the purpose of compliance with the relevant environmental regulations; 2. A failure to timely notify Ecology of a possible misuse of my Electronic Signature account may result in my liability for the information submitted; 3. There are significant penalties for submitting false information, including possible fines and imprisonment, related to the federal Department of Justice and federal environmental program; 4. 1 will be asked to verify that I am following the rules outlined in this agreement when I electronically submit documents. 7. Signature of Electronic Signer kqg III, Electronic Signer's Signature Date 7 Loretta Swanson Mason County Public Works Director Name(print or type) Title 8. Signature of Permittee(Responsible Official) Sharon Trask (insert name of permittee or responsible official)acknowledge that the individual named above works at/for Belfair Water Reclamation Facility (insert site/facility name)and is authorized to submit documents on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Sharon Trask Mason County Commissioner - Chair Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form or if the responsible official completes this form. If you need this document in a version for the visually impaired call the Water Quality Program at 360-407-6401. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. 9.Assign Administrator This section cannot be processed without a handwritten signature. I, (insert name of permittee or responsible official)acknowledge that (person being assigned)is authorized to be an administrator on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form,if the responsible official completes this form,or if the responsible official is not assigning a person to the administrator role. Mail the signed electronic signature agreement and additional document(s)to one of the following Ecology office. Stormwater Permit Facilities— Industrial and Major Industrial Unit Construction Stormwater Washington Department of Ecology Washington Department of Ecology Water Quality Program Stormwater Unit Major Industrial Unit PO Box 47696 PO Box 47600 Olympia,WA 98504-7696 Olympia, WA 98504-7600 360-407-7097 360-407-6945 For all other permits, please contact one of the follow offices. Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Wahkiakum counties Whitman counties Washington Department of Ecology Washington Department of Ecology Water Quality Program -SWRO Water Quality Program - ERO PO Box 47775 N. 4601 Monroe Olympia, WA 98504-7775 Spokane,WA 99205-1295 360-407-6300 509-329-3400 Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and and Yakima counties Whatcom counties Washington Department of Ecology Washington Department of Ecology Water Quality Program -CRO Water Quality Program - NWRO 1250 W ALDER ST ATTN: Chris Smith UNION GAP WA 98903-0009 3190 - 160th Ave. SE 509-575-2490 Bellevue, WA 98008-5452 425-649-7000 April 25, 2023 Department of Ecology Southwest Regional Office Attn: Ms. Emily Kijowski P.O. Box 47775 Olympia, WA 98504-7775 RE: Biosolids General Permit (BSGP), Permit No. ST6039 North Bay/Case Inlet Water Reclamation Facility (WRF) Dear Ms. Kijowski, This letter is to grant authorization to Loretta Swanson, Public Works Director, to sign the reports, Notices of Intents and all other reports and correspondence as may be required by the Department of Ecology as per our BSGP permit as described below. Any person signing documents related to BSGP Permit No. ST6039 agrees to the following statement: "I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Sharon Trask, Mason County Commissioner, District 3, Chair Date Randy Neatherlin, Mason County Commissioner, District 1,Vice Chair Date Kevin Shutty, Mason County Commissioner, District 2 Date April 25, 2023 Department of Ecology Southwest Regional Office Attn: Carey Cholski P.O. Box 47775 Olympia, WA 98504-7775 RE: State Waste Discharge Permit (SWDP), Permit No. ST6039 North Bay/Case Inlet Water Reclamation Facility (WRF) Dear Ms. Cholski, This letter is to grant authorization to Loretta Swanson, Public Works Director, to sign the monthly discharge monitoring reports (DMRs) and all other reports and correspondence as may be required by the Department of Ecology as per our SWDP permit as described below. Any person signing documents related to SWDP Permit No. ST6039 agrees to the following statement: "1 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Sharon Trask, Mason County Commissioner, District 3, Chair Date Randy Neatherlin, Mason County Commissioner, District 1, Vice Chair Date Kevin Shutty, Mason County Commissioner, District 2 Date Electronic Signature Agreement Form Washington State Department of Ecology For Ecology Use Only Date Received: Water Quality Program Form Reviewed Entered Verified DEPARTMENT OF Headquarters:(360)407-7097 ECOLOGY Web site:www.ecy.wa.gov/programs/wq ESAF State of Washington 1. Site Location Information If you are applying for multiple facilities/permits, please include a list containing the site location information and permit numbers for all requested facilities/permits. Site/Facility Name: Site Location Address: City/State/Zip: Permit Number: 2. Electronic Signer Contact Information Role: 0 Facility Signer ❑ Facility Coordinator Signature Account User Name: Full Name: Loretta Swanson Work Mailing Address: 100 W Public Works Drive City/State/Zip: Shelton,WA 98584 Work Phone No.(Ext): 360-427-9670, Ext. 769 Work Email Address: lorettas@masoncountywa.gov 3. Proof of Identity Please include a copy of one of the following documents,with your name on the document,with your ESAF to prove your association with the facility-(ies). • Your permit's letter of coverage • Your permit's cover sheet • A previously submitted DMR • A correspondence from Ecology that has both the facility name and permit number on the same page • Signature authority delegation letter signed by the permittee(responsible official). 4. Electronic Signature Agreement and Certification Statement By completing and submitting this form to Ecology, I agree to follow the rules and procedures governing the Electronic Signature account. I also agree that the reports and documents I submit under my Electronic Signature will be used as the corresponding paper report would. I want to submit the following report(s)or document(s)using WQWebPortal with an electronic signature. 0 Discharge Monitoring Reports/Submittals p Notice of Intent(Permit Applications) ❑ Certificate of No Exposure 5. Clean Water Act Certification Statement All submittals to the Department of Ecology under this WQWebPortal application are subject to the following certification,as required by federal and state regulations: /certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete and l am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 6. Certification Statement I agree that I will: I agree that I will not: • Protect my Electronic Signature account,which includes • Let anyone else use my Electronic Signature account. my answers to the verification questions and my password; • Review the content and meaning of my submitted Annual Reports and Notifications; • Within 24 hours of discovery, report to Ecology if: o My Electronic Signature account is lost, stolen or used by someone else; o There is any difference between the information I submitted and the information displayed in WebDMR; o My role as a signer for this organization changes. L.S. Agree: L.S. (initial here Agree: (initial here) 9 (i ) 1, (print Electronic Signer's name), understand that: 1. My electronic signature is legally the same as my handwritten signature for the purpose of compliance with the relevant environmental regulations; 2. A failure to timely notify Ecology of a possible misuse of my Electronic Signature account may result in my liability for the information submitted; 3. There are significant penalties for submitting false information, including possible fines and imprisonment, related to the federal Department of Justice and federal environmental program; 4. 1 will be asked to verify that I am following the rules outlined in this agreement when I electronically submit documents. 7. Signature of Electronic Signer kqg III, Electronic Signer's Signature Date 7 Loretta Swanson Mason County Public Works Director Name(print or type) Title 8. Signature of Permittee(Responsible Official) Sharon Trask (insert name of permittee or responsible official)acknowledge that the individual named above works at/for Belfair Water Reclamation Facility (insert site/facility name)and is authorized to submit documents on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Sharon Trask Mason County Commissioner - Chair Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form or if the responsible official completes this form. If you need this document in a version for the visually impaired call the Water Quality Program at 360-407-6401. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. 9.Assign Administrator This section cannot be processed without a handwritten signature. I, (insert name of permittee or responsible official)acknowledge that (person being assigned)is authorized to be an administrator on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form,if the responsible official completes this form,or if the responsible official is not assigning a person to the administrator role. Mail the signed electronic signature agreement and additional document(s)to one of the following Ecology office. Stormwater Permit Facilities— Industrial and Major Industrial Unit Construction Stormwater Washington Department of Ecology Washington Department of Ecology Water Quality Program Stormwater Unit Major Industrial Unit PO Box 47696 PO Box 47600 Olympia,WA 98504-7696 Olympia, WA 98504-7600 360-407-7097 360-407-6945 For all other permits, please contact one of the follow offices. Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Wahkiakum counties Whitman counties Washington Department of Ecology Washington Department of Ecology Water Quality Program -SWRO Water Quality Program - ERO PO Box 47775 N. 4601 Monroe Olympia, WA 98504-7775 Spokane,WA 99205-1295 360-407-6300 509-329-3400 Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and and Yakima counties Whatcom counties Washington Department of Ecology Washington Department of Ecology Water Quality Program -CRO Water Quality Program - NWRO 1250 W ALDER ST ATTN: Chris Smith UNION GAP WA 98903-0009 3190 - 160th Ave. SE 509-575-2490 Bellevue, WA 98008-5452 425-649-7000 April 25, 2023 Department of Ecology Southwest Regional Office Attn: Ms. Emily Kijowski P.O. Box 47775 Olympia, WA 98504-7775 RE: Biosolids General Permit (BSGP), Permit No. WA0038075 Rustlewood Wastewater Treatment Plant Dear Ms. Kijowski, This letter is to grant authorization to Loretta Swanson, Public Works Director, to sign the reports, Notices of Intents and all other reports and correspondence as may be required by the Department of Ecology as per our BSGP permit as described below. Any person signing documents related to BSGP Permit No. WA0038075 agrees to the following statement: "1 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Sharon Trask, Mason County Commissioner, District 3, Chair Date Randy Neatherlin, Mason County Commissioner, District 1, Vice Chair Date Kevin Shutty, Mason County Commissioner, District 2 Date April 25, 2023 Department of Ecology Southwest Regional Office Attn: Carey Cholski P.O. Box 47775 Olympia, WA 98504-7775 RE: National Pollutant Discharge Elimination System (NPDES) Permit No. WA0038075, Rustlewood Wastewater Treatment Plant Dear Ms. Cholski, This letter is to grant authorization to Loretta Swanson, Public Works Director, to sign the monthly discharge monitoring reports (DMRs) and all other reports and correspondence as may be required by the Department of Ecology as per our NPDES permit as described below. Any person signing documents related to NPDES Permit No. WA0038075 agrees to the following statement: "7 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Sharon Trask, Mason County Commissioner, District 3, Chair Date Randy Neatherlin, Mason County Commissioner, District 1,Vice Chair Date Kevin Shutty, Mason County Commissioner, District 2 Date Electronic Signature Agreement Form Washington State Department of Ecology For Ecology Use Only Date Received: Water Quality Program Form Reviewed Entered Verified DEPARTMENT OF Headquarters:(360)407-7097 ECOLOGY Web site:www.ecy.wa.gov/programs/wq ESAF State of Washington 1. Site Location Information If you are applying for multiple facilities/permits, please include a list containing the site location information and permit numbers for all requested facilities/permits. Site/Facility Name: Site Location Address: City/State/Zip: Permit Number: 2. Electronic Signer Contact Information Role: 0 Facility Signer ❑ Facility Coordinator Signature Account User Name: Full Name: Loretta Swanson Work Mailing Address: 100 W Public Works Drive City/State/Zip: Shelton,WA 98584 Work Phone No.(Ext): 360-427-9670, Ext. 769 Work Email Address: lorettas@masoncountywa.gov 3. Proof of Identity Please include a copy of one of the following documents,with your name on the document,with your ESAF to prove your association with the facility-(ies). • Your permit's letter of coverage • Your permit's cover sheet • A previously submitted DMR • A correspondence from Ecology that has both the facility name and permit number on the same page • Signature authority delegation letter signed by the permittee(responsible official). 4. Electronic Signature Agreement and Certification Statement By completing and submitting this form to Ecology, I agree to follow the rules and procedures governing the Electronic Signature account. I also agree that the reports and documents I submit under my Electronic Signature will be used as the corresponding paper report would. I want to submit the following report(s)or document(s)using WQWebPortal with an electronic signature. 0 Discharge Monitoring Reports/Submittals p Notice of Intent(Permit Applications) ❑ Certificate of No Exposure 5. Clean Water Act Certification Statement All submittals to the Department of Ecology under this WQWebPortal application are subject to the following certification,as required by federal and state regulations: /certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete and l am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 6. Certification Statement I agree that I will: I agree that I will not: • Protect my Electronic Signature account,which includes • Let anyone else use my Electronic Signature account. my answers to the verification questions and my password; • Review the content and meaning of my submitted Annual Reports and Notifications; • Within 24 hours of discovery, report to Ecology if: o My Electronic Signature account is lost, stolen or used by someone else; o There is any difference between the information I submitted and the information displayed in WebDMR; o My role as a signer for this organization changes. L.S. Agree: L.S. (initial here Agree: (initial here) 9 (i ) 1, (print Electronic Signer's name), understand that: 1. My electronic signature is legally the same as my handwritten signature for the purpose of compliance with the relevant environmental regulations; 2. A failure to timely notify Ecology of a possible misuse of my Electronic Signature account may result in my liability for the information submitted; 3. There are significant penalties for submitting false information, including possible fines and imprisonment, related to the federal Department of Justice and federal environmental program; 4. 1 will be asked to verify that I am following the rules outlined in this agreement when I electronically submit documents. 7. Signature of Electronic Signer kqg III, Electronic Signer's Signature Date 7 Loretta Swanson Mason County Public Works Director Name(print or type) Title 8. Signature of Permittee(Responsible Official) Sharon Trask (insert name of permittee or responsible official)acknowledge that the individual named above works at/for Belfair Water Reclamation Facility (insert site/facility name)and is authorized to submit documents on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Sharon Trask Mason County Commissioner - Chair Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form or if the responsible official completes this form. If you need this document in a version for the visually impaired call the Water Quality Program at 360-407-6401. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. 9.Assign Administrator This section cannot be processed without a handwritten signature. I, (insert name of permittee or responsible official)acknowledge that (person being assigned)is authorized to be an administrator on the site's/facility's behalf. I understand that I will be contacted by Ecology to validate the account holder's employment at the site/facility name listed above. Signature Date Name(print or type) Title Note:You may skip this section if the responsible official has written,signed,and attached a delegation letter to this form,if the responsible official completes this form,or if the responsible official is not assigning a person to the administrator role. Mail the signed electronic signature agreement and additional document(s)to one of the following Ecology office. Stormwater Permit Facilities— Industrial and Major Industrial Unit Construction Stormwater Washington Department of Ecology Washington Department of Ecology Water Quality Program Stormwater Unit Major Industrial Unit PO Box 47696 PO Box 47600 Olympia,WA 98504-7696 Olympia, WA 98504-7600 360-407-7097 360-407-6945 For all other permits, please contact one of the follow offices. Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Mason, Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lewis, Pacific, Pierce, Skamania, Thurston, and Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, and Wahkiakum counties Whitman counties Washington Department of Ecology Washington Department of Ecology Water Quality Program -SWRO Water Quality Program - ERO PO Box 47775 N. 4601 Monroe Olympia, WA 98504-7775 Spokane,WA 99205-1295 360-407-6300 509-329-3400 Benton, Chelan, Douglas, Kittitas, Klickitat, Okanogan, Island, King, Kitsap, San Juan, Skagit, Snohomish, and and Yakima counties Whatcom counties Washington Department of Ecology Washington Department of Ecology Water Quality Program -CRO Water Quality Program - NWRO 1250 W ALDER ST ATTN: Chris Smith UNION GAP WA 98903-0009 3190 - 160th Ave. SE 509-575-2490 Bellevue, WA 98008-5452 425-649-7000 April 25, 2023 Department of Ecology Southwest Regional Office Attn: Ms. Emily Kijowski P.O. Box 47775 Olympia, WA 98504-7775 RE: National Pollutant Discharge Elimination System (NPDES) Permit No. WAG994585, Rustlewood Wastewater Treatment Plant Dear Ms. Kijowski, This letter is to grant authorization to Loretta Swanson, Public Works Director, to sign the monthly discharge monitoring reports (DMRs) and all other reports and correspondence as may be required by the Department of Ecology as per our NPDES permit as described below. Any person signing documents related to NPDES Permit No. WAG994585 agrees to the following statement: "7 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Sharon Trask, Mason County Commissioner, District 3, Chair Date Randy Neatherlin, Mason County Commissioner, District 1,Vice Chair Date Kevin Shutty, Mason County Commissioner, District 2 Date April 25, 2023 Department of Ecology Southwest Regional Office Attn: Carey Cholski P.O. Box 47775 Olympia, WA 98504-7775 RE: National Pollutant Discharge Elimination System (NPDES) Permit No. WAG994585, Rustlewood Wastewater Treatment Plant Dear Ms. Cholski, This letter is to grant authorization to Loretta Swanson, Public Works Director, to sign the monthly discharge monitoring reports (DMRs) and all other reports and correspondence as may be required by the Department of Ecology as per our NPDES permit as described below. Any person signing documents related to NPDES Permit No. WAG994585 agrees to the following statement: "7 certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering information, the information is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Sincerely, Sharon Trask, Mason County Commissioner, District 3, Chair Date Randy Neatherlin, Mason County Commissioner, District 1,Vice Chair Date Kevin Shutty, Mason County Commissioner, District 2 Date