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2024/10/08 - Regular
y. ; Board of Mason County Commissioners 'i Proceedings Commission Chambers 1 411 N 5' St, Shelton, WA 98584 October 8, 2024 1. Call to Order—The Chairperson called the regular meeting to order at 9:02 a.m. 2. Pledge of Allegiance—Monte Ritter led the flag salute. 3. Roll Call—Present: Present: Commissioner District 1 —Randy Neatherlin; Commissioner District 2—Kevin Shutty; Commissioner District 3 —Sharon Trask. 4. Correspondence and Organizational Business 4.1 Correspondence 4.1.1 Nicole Gonzalez Timmons sent in an application for the Timberland Regional Library (TRL)Board of Trustees. 4.1.2 Plauche&Carr LLP sent Notice of Appearance for Friends of Oakland Bay vs.Mason County,Taylor Shellfish Farms. 5. Open Forum for Citizen Input Susan Kirchoff,Youth Connection,shared there are six offsite shelters for youth ages 12-24 years old as well as programs to prevent homelessness in Mason County. One of Youth Connections missions is to stop chronic homelessness. Studies show,that if assisted at an early age,.it helps prevent chronic homelessness. The goal is safe inclusive space for youth to connect with services and resources. At the end of August,the count for homeless youth from the beginning of the year is 88. In 2023,there were 34,703 unaccompanied youth that were homeless. This number increased by 20%from 2022. Susan encouraged support for House Bill 1590. Monte Ritter, Shelton, shared that one of the most requested items for the Parks and Trails Comprehensive Plan was a trail from Mason County Recreation Area(MCRA)to Shelton High School as well as a trail from Shelton to Belfair. Monte requested this be added back to the Comprehensive Plan. 6. Adoption of Agenda Cmmr.Trask/Shutty moved and seconded to adopt the agenda as published. Motion carried unanimously. N-aye; S-aye; T-aye. 7. Approval of Minutes Cmmr.Shutty/Trask moved and seconded to adopt the September 9,September 16,and September 23,2024 Briefing Minutes and September 10 and September 24,2024 Regular Minutes as presented. Motion carried unanimously. N-aye; S-aye;T-aye. 8. Approval of Action Agenda 8.1 Approval of Warrants and Treasurer Electronic Remittances Claims Clearing Fund Warrant#8107718-8107987 $1,341,267.66 Direct Deposit Fund Warrant# 109912-110315 $ 930,675.61 Salary Clearing Fund Warrant#7008398-7008423 $ 628,446,40 Treasurer Electronic Remittance $ 191,510.19 8.2 Approval for the Clerk's Office to upgrade from the Next-.Generation jury system to the Web- Generation jury system. 8.3 Approval of the Substance Use Mobile Outreach of Mason County Home Service Program expansion proposal. 8.4 Approval for Public Health to host an open house/ribbon cutting for Building 13 on Friday, October 11,2024. 8.5 Approval of the Lead Pay requests for Kathy Chausse, Community Development Program Support Technician;Genie McFarland,Community Development Senior Permit Specialist; Mariah Frazier,Community Development Office Specialist;Julie Cheney, Community Development Planner; Scott Ruedy,Community Development Senior Planner;and Joshua Luck,Community Development Building Inspector IV. 8.6 Approval of the Memorandum of Understanding(MOU)with Teamsters Local 252 Prosecuting Attorney Support Staff to address the Western Conference of Teamsters Pension Trust required language amendments. 8.7 Approval of the ABA Cleaning Services contract amendment for additional cleaning services and a two(2)year contract extension ending December 31,2026 for the total cost of$208,835. 8.8 Approval to grant Public Utility District No.3 (PUD 3)with an easement for parcel no. 12221- 75-00110 for the purpose of installing a new power pole,as well as a tree trimming permit for any brush clearing needed to do so. 8.9 Approval for the Chair to sign the 2025 Take-Home Vehicle requests for Erin Tesch,Kelly Frazier,Jeremy Seymour,Grant Dishon,Rod LaRue,Roy Beierle,Pete Medcalf,and John Ronald. 8.10 Approval of the letters of request for Public Utility District No. 1's applications for the Energy Programs in Communities(EPIC)grant through the Washington State Department of Commerce for two grid resiliency projects—Seal Rock OH to URD line conversion and Jorstad Substation. 8.11 Approval of amendment no.2 to the Interagency Agreement no.K3547 between Washington State Department of Agriculture,Mason County,and Mason County Noxious Weed Control Board to transfer$4,000 from contracted services to supplies,equipment,and travel and salaries,wages,and benefits. 8.12 Approval of the movement of up to$1,000,000 in the 2024 Sheriff s Office budget from salaries and benefits to operating,leaving capacity to move an additional budget amount up to $50,000 until the end of 2024 per Resolution No.26-17;approval of a 2024 budget amendment of$300,000 in the Sheriffs Office to cover outsourcing costs to Nisqually;and approval of a 2024 budget amendment of$600,000 to the Office of Public Defense to cover contract cost increases. 8.13 Approval to set a Public Hearing for Tuesday,November 5,2024 at 9:15 a.m.to consider the rezone of 325 acres from Rural Residential 10(RR10)to Rural Residential 5 (RR5). 8.14 Approval of the Resolution setting a hearing date with the Hearings Examiner for Wednesday, November 20,2024 at 1:00 p.m.via Zoom to consider public comment on Road Vacation No. 419. (Exhibit A,Resolution No.2024-054) 8.15 Approval for Public Works to convert a Central Stores Specialist job position to a Mechanic job position. 8.16 Approval of the Private Line Occupancy(PLO)permit granting permission for the proposed septic transport line to cross under North Shore Road for address 11241 NE North Shore Road in Belfair for parcel no.32224-50-00051 to parcel no.32224-50-00005. 8.17 Approval of the Resolution designating certain low volume unpaved County access roads as primitive County roads. (Exhibit B,Resolution No.2024-055) 8.18 Approval of the Resolution amending the Mason County Veterans'Advisory Board(VAB) Operating Policy and Procedures per the recommendation of the Veterans' Advisory Board. (Exhibit C,Resolution No.2024-056) 8.19 Approval to submit the Joint Aquatic Resources Permit Application(JARPA)Form to the Department of Natural Resources(DNR)for aquatic use authorization on DNR-managed aquatic lands. 8.20 Approval of the letter of support for Public Utility District No.3's application for the Energy Programs in Communities(EPIC)grant through the Washington State Department of 2 October 8 , 2024 Commission Minutes Commerce to upgrade the Pioneer substation which serves the Pioneer School District, Shorecrest,Agate,Timberlakes, Spencer Lake,Phillips Lake,Harstine Island and other communities. 8.21 Approval of the Resolution increasing the Mason County Parks Field Use Rates by 3.1% beginning January 1,2025. (Exhibit D,Resolution No.2024-057) 8.22 Approval of the Walker Park Host agreement with Scott and Kris Hewitt from October 3,2024 through December 31,2026. 8.23 Approval of the Mason County Recreational Area(MCRA)Park Host agreement with Kerry and Lucia Goodwin from October 3,2024 through December 31,2026. 8.24 Approval to participate in Washington Counties Risk Pool's (WCRP) optional$S million excess of$20 million policy for October 1, 2024 through January 1, 2026 Cmmr.Shutty/Trask moved and seconded to approve action items 8.1 through 8.24. Motion carried unanimously. N-aye; S-aye;T-aye. 9. Other Business(Department Heads and Elected Officials) Steve Duenkel,Auditor,ballots go out today encourage all eligible citizens.to vote. David Windom,Public Health Director,Friday 1:00 p.m.ribbon cutting for Public Health building. Partnership with Mason Health. 10. 9:15 a.m. Public Hearings and Items Set for a Certain Time Please see above options to provide public testimony. These options are available only while COVID-19 OPMA meeting restrictions are in place. No Public Hearings set for this time. 11. Board's Calendar and Reports—The Commissioners reported on meetings attended the past week and announced their upcoming weekly meetings. 12. Adjournment—The meeting adjourned at 9:28 a.m. BOARD OF COUNTY COMMISSIONERS ATTEST: MASON COUNTY,WASHINGTON mulm McKenzie Sn th, rk of the Board Rand Neather ' , Chair Kevin Shutty,Vice-C air Sharon Trask, Commissioner 3 October 8, 2024 Commission Minutes RESOLUTION NO. 2.Oa4'OJi VACATION FILE NO.419 NOTICE OF INTENT TO VACATE SETTING TIME AND PLACE FOR HEARING ON SAID VACATION RCW 36.87 WHEREAS NOTICE IS HEREBY GIVEN that the Mason County Public Works Department is requesting for the vacation of the following right of way: Vacate the East half of an unnamed road adjacent to Lot 15, Block 1, in Pirates Cove, as recorded May 9, 1960, in Volume 5 of plats, page 30, under Auditor's File No. 193390, records of Mason County,Washington in Section 8,Township 21 North, Range 1,West. Said unnamed road is now known as E. Bahama Drive. WHEREAS the Board of Mason County Commissioners did set a date for public hearing on the matter before the Hearing Examiner on the matter and directed Public Works to prepare notice thereof for posting and publication. NOW THEREFORE, BE IT RESOLVED that said hearing has been set for Wednesday, November 20,2024,at 1:00 p.m.via Zoom, at which time any taxpayer may appear via Zoom to hear-the County Engineer's report and be heard either for or against the vacation of the above said portion of road located in Mason County Washington. For those unable to attend the hearing email testimony to mfrazieraco.mason.wa.us. Visit the Mason County Hearings Examiner Agenda webpage at www.co.mason.wa.us/hearings-examiner or contact Mariah Frazier at mfrazier@co.mason.wa.us or call (360)427-9670 Fact 365 for Zoom information. DATED this day of 00t& A, . 2024. BOARD OF COUNTY COMMISSIONERS MASON COUNTY,WASHINGTON ATTEST: (1 ��_1►�(_llYlclk �C'Y'Y��Ir� McKenzie Sm h, rk of the Board Ran Neathe in, Chair APPROVED AS TO FORM: Kevin Shu , Vice I hair Tim White ea , -h. DPA Assessor c�tt.�s .( Auditor Sharon Trask, Commissioner County Engineer Petitioner Post no later than 10/31/2024 (20 days prior to hearing at each terminus of the county road or portion thereof proposed to be vacated or abandoned.) Vacation File No. 419 JOURNAL—Publish 2t: 10/17/24— 10/24/24 (Bill Public Works) RESOLUTION NO. 2024-�� REPLACING RESOLUTION 2023-060 MASON COUNTY ROADS DESIGNATED AS PRIMATIVE ROADS WHEREAS,WAC 468-95-290, pursuant to RCW 36.75.300, authorizes a classification of county roads to be designated by resolution as primitive roads; and, WHEREAS,the legislative authority of each county may,by resolution, classify and designate portions of the county road as primitive roads where the designated road portion: (1) Is not classified as part of the county primary system, as provided for in RCW 36.86.070; (2) Has a gravel or earth driving surface; and (3) Has an average annual daily traffic of one hundred or fewer vehicles; and WHEREAS,WAC 468-95-090 states that any road designated as a primitive road shall be marked with a"PRIMITIVE ROAD" sign at all places where the primitive road portion begins or connects with a highway other than a primitive road. WHEREAS,Mason County first designated primitive roads within the county road system in 1982,Resolution 62-82, and has updated the list as changes have been made to our road system that affect the primitive road status; and, WHEREAS,the County Engineer has reviewed the county road system and determined which roads are appropriate to be classified as primitive roads. NOW,THEREFORE,BE IT RESOLVED,that the following roads be designated Primitive Roads: Road Start End Total Road Name Number Sec.-Twn.-Rna. Mile Mile Length FORD LOOP RD 00190 05 19N 6W 0.094 1.679 1.585 WHITE RD 06360 36 20N 4W 0.291 0.938 0.647 ROCK CREEK RD 10480 03 19N 4W 0.000 1.101 1.101 WALDRIP RD 14320 21 19N 3W 0.000 0.082 0.082 ELLIS RD 15960 02 19N 3 W 0.000 0.720 0.720 COVE DRIVE 27170 16 2N 2W 0.000 0.132 0.132 SQUAXIN DRIVE 30320 01 19N 2W 0.000 0.090 0.090 MAPLES RD 32850 24 20N 2W 0.038 0.602 0.602 CEMETERY RD 35650 12 20N 2W 0.000 0.130 0.130 YATES RD 36600 35 21N 2W 0.011 1.129 1.118 FOUR CORNERS RD 40590 30 21N 4W 0.000 3.275 3.275 EELLS HILL RD 40850 18 21N 4W 0.163 5.357 5.194 CALIFORNIA RD 41100 26 21N 4W 1.300 5.409 4.109 CALIFORNIA CUT-OFF RD 41380 18 21N 4W 0.000 0.568 0.568 Page 1 of 2 i:ages Resolution 2024-_M5 R Road Start End Total Road Name Number Sec.-Twn.-Rng. Mile Mile Length NASON RD 52400 36 21N 3W 0.000 0.190 0.190 WEBB HILL RD 57530 25 21N 2W 1.810 3.013 1.203 ROO'S COURT 62350 04 21N 2W 0.000 0.371 0.371 Total 21.117 NOW,THEREFORE,BE IT RESOLVED,that the Board of Mason County Commissioners hereby replaces Resolution 2023-060. BE IT FURTHER RESOLVED that the County Engineer place appropriate primitive road signing on the above designated primitive roads. DATED this day of , 2024. BOARD OF COUNTY COMMISSIONERS MASON COUNTY, WASHINGTON . ATTEST: Q MCKENZIE MI Y NEATHERLIN, Chair Clerk of the Board A7 IN SHUTTIr Chair APPROVED AS TO FORM SHARON TRASK, Commissioner T AD�Ch. DPA Page 2 of 2 racjes RESOLUTION NO. ')MA-05LD RESOLUTION AMENDING RESOLUTION NO. 2023-007 VETERANS' ADVISORY BOARD/VETERANS' ASSISTANCE WHEREAS,Mason County established a levy per RCW 73.08.080 for the purpose of creating the Veterans' Assistance Fund for the relief of honorably discharged veterans or for veterans discharged for physical reason with an honorable record;and, WHEREAS,RCW 73.08.035 authorizes the establishment of a Veterans' Advisory Board and the Mason County Commissioners adopted Resolution no. 58-13 establishing the Veterans' Advisory Board (VAB);and, WHEREAS, RCW 73.08.010 provides for relief of indigent and suffering veterans and their families or the families of those deceased veterans and on September 11, 2024 at the Veterans' Advisory Board meeting the Board made.the recommendation changes in Attachment A; and, NOW, THEREFORE, BE IT RESOLVED; by the Board of County Commissioners of Mason County that the Veterans' Advisory Board Operating Policy and Guidelines is amended to include the changes shown in Attachment A. DATED this 81 day of October,2024. BOARD OF COUNTY COMMISSIONERS ATTEST: MASON COUNTY, HINGTON McKenzie S ith,elerk of the Board Randy eatherlin,Cha' APPRO ORM: Kevin Shutty, ce-Chair Tim Whitehead,Chief Deputy Prosecuting ��� ;� Attorney Sharon Trask,Commissioner MASON COUNTY VETERANS' ADVISORY BOARD OPERATING POLICY & PROCEDURES Amendments are effective October 8, 2024. Mason County,Washington Randy Neatherlin,Chair Kevin Shutty,Vice-Chair ATTEST: Sharon Trask,Commissioner .McKenzie Smith,Clerk of the Board MASON COUNTY VETERANS ' ADVISORY BOARD OPERATING POLICY & PROCEDURES TABLE of CONTENTS I.Organizational Policies..............................................................................................................................3 ILFinancial Policies.....................................................................................................................................3 III.Policy Establishing Board.......................................................................................................................4 IV.Eligibility Policies..................................................................................................................................5 V.Referral to Other Services........................................................................................................................5 VI.Appeal and Resolution Policy.................................................................................................................5 VII.Application Procedures.........................................................................................................................6 VHI.Processing of Packet Procedures..........................................................................................................7 IX.Records,Files,Forms and Reports.........................................................................................................8 X.List of Attachments(Att.)........................................................................................................................8 Page 2 of 8 Adopted September 2024 1. Organizational Policies a. All RCWs(Revised Code of the State of Washington)within Chapter 73.08 RCW VETERAN'S RELIEF,with other RCWs and Mason County Resolutions will be used and referred to throughout this policy. b. The purpose of the Mason County Veteran's Assistance Fund(VAF)is to provide relief as set forth in RCW 73.08.010 to indigent and suffering veterans,their families,and the families of deceased indigent veterans. c. Any honorably discharged veterans or veterans with a General Discharge Under Honorable Conditions or a General Discharge with Other than Honorable Conditions(Administrative Discharge), as outlined in RCW 41.04.005 and RCW 41.04.007,and meeting the criteria in I-b may apply. The veteran has to have served as a member in any branch of the armed forces of the United States,including the national guard and armed forces reserves,and fulfilled their initial military service obligation or as a member of the armed forces reserves,national guard, or coast guard,and have been called into federal service by a presidential select reserve call up for at least one hundred and eighty(180)cumulative days. Accepted documents include the following: DD-214 showing Honorable, General Under Honorable or Other Than Honorable(OTH)Discharge;DD215 Correction to Military Record DD-214;Honorable or General Under Honorable Discharge Certificate;Reserve Discharges&Certificates;National Guard Discharge NGB22,DD256, Certificates,and United States Department of Veteran Affairs Health ID Card with acceptable secondary proof of income to prove honorable discharge status. d. These policies and procedures are subject to review annually by the Veteran's Advisory Board(VAB). 1) If a revision is made, it is so noted and a narrative of revision is put in VAB minutes. 2) If no revisions are made,the date of review is noted, and put in VAB minutes. 3) Post Commanders will be advised concerning any revisions and reviews recommended by the VAB. 4) The Mason County Board of County Commissioners(BOCC)has final approval of all revisions. e. The VAB will meet the second Wednesday of each month at 8:45 a.m. at Memorial Hall located at 210 W Franklin Street in Shelton,WA. f. A quorum must be met to conduct any business that may come before the board. g. If a quorum is not met,the Chair may contact other members via phone/text messaging or by e-mail. h. Upon reaching a member,and member agrees to be part of the meeting,thus creating a quorum,the Chair must remain in contact with the member throughout the meeting. H. Financial Policies a. The funds for creating a Veterans'Assistance Fund(VAF)RCW 73.08.080,is generated from a tax levied by the BOCC,use of the fund is governed by same RCW. b. Approval of the one thousand eight hundred($1,800)dollars for assistance shall be granted only for the following: 1) Rent or mortgage i. First,last, deposit,and/or move in/move out costs 2) Utilities: i. Electric ii. Water iii. Natural Gas iv. Wastewater(sewer) 3.)Miscellaneous items: i. Necessity Items(refer to list—Attachment A) a. Single two hundred dollars($200.00) b. Married three hundred dollars($300.00) c. Plus an additional one hundred dollars($100.00)per dependent ii. Firewood or propane iii. Clothing Page 3 of 8 Adopted September 2024 4) Other Items i. Obtain State identification card(one time only) c. Exclusions will include,but are not limited to alcohol,tobacco, and lottery tickets. d. Purchases in excess of the amount written on the check are the responsibility of the applicant. e. No cash back will be given to the applicant if purchases are less than the amount written on the check. f. All requests for assistance will be approved by the Veterans Service Officer(VSO),with final approval by the BOCC. g. If it is determined an applicant needs assistance due to any event, catastrophic illness, or other significant change in circumstance which comes into being unexpectedly and is beyond the applicants' management or control,the VSO may request in writing that Mason County consider approval of an amount not to exceed a two thousand($2,000.00)dollar lifetime limit per applicant. A Veteran does not need to be defined as indigent to be eligible for catastrophic funds. h. The intent of the VAF is not to replace assistance from any other agency, and assistance is granted on a"case-by-case" basis only. i. The VAF is not intended to provide continuing assistance on a routine basis. j. The VAF shall not duplicate other available assistance for the purposes as noted in II(b). M. Policy Establishing Board a_ RCW 73.08.035 states each county must establish a Veteran's Advisory Board,the Board shall advise the BOCC on the needs of local indigent veterans,the resources available to local indigent veterans, and programs that could benefit the needs of local indigent veterans and their families. b. The VAB is comprised of veterans from the community"at large",and representatives from nationally recognized veterans'service organizations within Mason County. Per said RCW,no fewer than a majority of the board members shall be members from a nationally recognized veterans'service organization and only veterans are to serve on the board. Service on the board is voluntary. c. Mason County Resolution No. 05-15 allows for appointment of two members residing in Mason County from each Nationally Recognized Veterans' Service Organizations to be appointed to the Veteran's Advisory Board,and two members "at large". d. The VAB will consist of a ten(10)member board;members are appointed as follows: 1) American Legion(2 members) 2) Veterans of Foreign Wars(2 members) 3) 40 et 8(2 members) 4) Disabled American Veterans(2 members) 5) Two(2)Mason County resident veteran(at large) e. Commanders of these organizations will not be members of the VAB. f. Commanders will appoint the members from their organization to serve on the VAB for the purpose of overseeing the VAR g. These members may be appointed or removed at the discretion of their commander. h. The first appointment of members shall be three(3)members for a three(3)year term, and four(4) members for a two(2)year term. i. Thereafter all terms will be two(2)year terms. j. The BOCC reserves the right to disallow VAB appointee for cause. Page 4 of 8 Adopted September 2024 IV. Eligibility Policies a. RCW 73.08.005 and other provisions in RCW Title 73 shall govern eligibility assistance to indigent and suffering veterans and/or families. b. The county defines"indigent and suffering"to mean the current poverty level as defined by the United States Department of Health and Human Services (HHS)found at h=s://asQe.hhs.soy/poverty- zuidelines c. Family members entitled to apply for assistance shall be defined as spouse or domestic partner, surviving spouse or surviving domestic partner,and dependent children of a living or deceased veteran. d. Applicants must be a resident of Mason County for at least ninety(90) days. e. Applicant and anyone over the age of 18 in the household must present proof of residency and income. Income verification must be from within the previous twelve(12)months. If no income, an affidavit - must be signed by both the veteran and household member(s)(Attachment B). f. An applicant may use hotel/motel receipts as proof of residence,provided that: 1) All receipts show a minimum of a 90(ninety)day stay with in Mason County. 2) The 90(ninety)day stay must be continuous. 3) All receipts must be in the applicant's name. 4) All receipts must be original(no copies). g. Under the federally established poverty guidelines,the gross income after taxes and deductions for medical insurance premium,including Medicare,of the veteran and all members of the household must be at or below 150%of the poverty guidelines established by the HHS. h. Veterans making above the 150%and who do not have an emergency financial situation will not be eligible for assistance. i. An applicant may have a source of income above the aforementioned 150%and still be considered indigent on an emergency basis. j. Lack of funds because of bad financial management of an adequate source of income does not make the applicant indigent. V. Referral to Other Services a_ As per RCW 73.08.070 the county shall assist indigent veterans with burial or cremation costs of three hundred($300.00)dollars minimum or up to one thousand eight hundred($1,800) dollars. b. The burial assistance is in addition to prior one thousand eight hundred($1,800.00)dollars limitation as outlined in H-b. c. In an effort to maximize dollars and provide for as many as.possible applicants,and when appropriate, the veteran may be referred by the VSO to other veteran services and to other community resources for services. d. Applicants must provide either a death certificate or working death certificate in addition to the invoice from the funeral home. VI. Appeal and Resolution Policy a_ If an applicant has either by accident or on purpose falsely filed a claim,or has misused monies from the Veterans' Assistance Fund,the following will apply: 1) A letter is given to the applicant,from the County, denying further use of this fund,until the false claim is resolved. Page S of 8 Adopted September 2024 2) A copy of that letter will be sent to the Veterans'Service Office,to be placed in the offending applicant's file. 3) The applicant's file will then be"Red Flagged", and denied further use until the problem is resolved. b. To resolve the claim,the applicant can clear their name by: 1) If applicant feels this is unjustified,they may appeal in writing to the Veterans'Advisory Board within fifteen(15) days of notification. 2) The appeal will be reviewed by the VAB at the next regular scheduled meeting and a decision will be made no later than the next regular scheduled meeting. 3) Approval or disapproval requires a"Super Majority" vote by the entire VAB. 4) The applicant may file an appeal,in writing,with the Mason County Commissioners.A decision in regard to appeal may take up to 30 days. c. The applicant may repay any and all monies that have come into question and may not have access to these funds for one(1)year after payment. d. If the applicant elects not to do VI.b. or VI. c.there will be a two(2)year probationary wait period. After the wait period is over,the applicant must"in writing" request to receive these funds once more, a decision will be forthcoming. e. If it is found that the applicant has done this two (2)times,they will be permanently denied from using this fund. VII. Application Procedures a. Upon arriving at the VSO office,the applicant will be asked to sign-in. b. The applicant is then screened about their assistance needs,residence,income,and eligibility,an "Assistance Fund Application(AFA)(Attachment C)must be filled out as part of the application process. c. If the applicant does not have all needed information or documentation,they will be given the "Veterans'Assistance Fund Documents Checklist" (Attachment E)to help them gather the needed information. d. If an applicant cannot show proof of service, a"Standard Form 180" (Attachment F)will be given to them to be filled out and sent in,they can also go to the VA at American Lake to get proof of service. e. If two or more applicants are sharing the same physical residency, all income is considered as one. f. Only.one application may be used for any single physical residency. g. If an applicant has a"Sub-Lease Agreement",then VII 0)will apply. h. When an applicant has requested assistance for rent or mortgage payment, H. (b)(1)and has gone through the screening process. The VSO will call the landlord to inform them that the veteran has applied for assistance and that a letter of"Recommendation for Payment" (Attachment G)will be forthcoming. i. The applicant will then be given a form"Rental/Mortgage Verification" (Attachment D)to be given to the landlord. This form must be filled out by the landlord or lien holder,notarized, and sent back or taken to the VSOs' office. The VSO will then verify all information on the form. j. Shared dwelling: 1) In the case of a veteran sharing a dwelling with another person who is not a family member as defined in Operating Policy item IV(c),the rental amount will be prorated by the number of people living in the dwelling. Page 6 of 8 Adopted September 2024 2) In the case of a veteran sharing a dwelling with another person who is not a family member as defined in Operating Policy item IV(c),the utility expenses will be prorated by the number of people living in the dwelling. 3) In the case of a veteran sharing a dwelling with another person who is not a family member as defined in Operating Policy item IV(c),the firewood/propane expenses will be prorated by the number of people living in the dwelling. k. When an applicant has requested assistance for utilities(electric,water,or natural gas)H(b)(2)and has gone through the screening process, a copy of the utility bill must be provided for payment.If the applicant has a past due amount and is at risk of shut off,the utility company will be contacted. When an applicant is on a utility prepay account,the utility company must provide the daily rate applicable to the prepay account. This daily rate must be attached to the applicant's AFA. The provided daily rate will be multiplied by thirty(30)days to determine the total needed assistance amount. 1. Some utilities companies,i.e., City of Shelton utilities,include garbage within the water bill,in this situation where the bill is"combined",the whole bill is paid. m. The VSO will call the utilities company to verify the current amount to be paid and inform them that the veteran has applied for assistance and that a letter of"Recommendation for Payment" (Attachment G)will be forthcoming. n. When the applicant requests assistance for firewood or propane and has gone through the screening process,the VSO will call a vendor to confirm prices and amount needed. The VSO will inform the vendor that the veteran has applied for assistance and that a letter of"Recommendation for Payment" (Attachment G)will be forthcoming,VH(n(3) also applies. o. The VSO will then fill out a"Purchase Order" (Attachment I)to be sent with"Assistance Fund Application" (AFA)(Attachment C)for approval. An invoice must be provided in order for payment to be remitted. p. When an applicant requests Miscellaneous Items or Other Items and has gone through the screening process,the VSO will,to the best of their ability,determine the needs of the applicant. q. The VSO will fill out the"Assistance Fund Application" (AFA)(Attachment C),determine the amount,the vendor, and have the applicant sign the application with a full understanding of the request. r. Necessity Item check(s)are issued various increments for a maximum of four(4)checks.New applicants will be given an itemized list of authorized items that may be purchased(Attachment A). s. After all needed information and documentation is gathered from the applicant and outside sources,the AFA is then filled out and the packet is complete. t. It is the VSOs'responsibility to ensure all information in the packet is correct and verified. u. When the completed packet is sent on to MCC, it will have a copy of"Recommendation for Payment" as a cover sheet(Attachment G)or"Assistance Fund Application" (Attachment C). v. The VSO reserves the right to refuse service to disorderly or abusive individuals. Service will be refused to individuals under the influence of alcohol and/or drugs. Applicants who are disorderly or abusive to Mason County employees or volunteers will not be provided assistance and will be asked to leave the building. VIII. Processing of Packet Procedures a. Once the packet is received at the BOCC office,it is date stamped and reviewed to ensure all information is correct and supporting documentation is provided. b. Applications submitted to the BOCC for processing that have been determined to meet the necessary guidelines will have checks issued within three business days. c. Applicants who pick up their check(s),must have proper picture ID and must sign for check(s). Check(s)are sent out by mail the next business day following approval. d. Necessity item check(s)are printed with: "No Alcohol or Tobacco", "No Cash Back". Page 7 of 8 Adopted September 2024 e. Some delays may result if a legal holiday falls within the time period or if there are insufficient funds to release the check. f. A weekly list of"Approval of Expenditures" is sent to the VSO's office from the BOCC office. g. A monthly list of"Approval of Expenditures"is sent to the BOCC. IX. Records, Files, Forms, and Reports a. It will be the responsibility of the VAB Chair, acting in concert with the VSO's to establish and maintain a record of each applicant requesting and/or receiving assistance from the VAF. b. The VSO will provide forms and reports of attendants, decisions,and record-keeping for clientele, e.g.,forms for vendors,initial applications,and VAB decisions. c. Each October,the VAB, acting in concert with the VSOs shall produce an annual report for the BOCC,containing the following information: 1) The number of requests for assistance received during the calendar year. 2) The number of requests for assistance for which assistance was given. 3) The number of requests for assistance for which assistance was not provided and a narrative description of the reasons assistance were not provided. 4) The total dollar value of assistance provided on a monthly basis. 5) A narrative description of non-monetary assistance provided by the VAB. 6) Meeting minutes as an attachment. 7) A copy of appeals as an attachment. d. If any section of these policies or procedures is determined to be in conflict with federal,state, or county laws, ordinances or directives,then said section will be void and the aforementioned laws, ordinances or directives shall prevail. X. Attachments (Aft.) A. VAF Necessity Itemized List B.Affidavit of Income C.Assistance Fund Application(AFA) D.Rental/Mortgage Verification E.Veteran's Assistance Documents Checklist(S&S form) F.Request Pertaining to Military Records(Standard Form 180) G.Recommendation for Payment H.Mason County Veterans Service Office-Purchase Order Page 8 of 8 Adopted September 2024 Attachment A Veterans Assistance Fund Necessity Items Food Items Food Items Baby Food Milk Substitutes—Soy,Rice,Almond Baby Formula Nuts Breads &Tortillas Pasta Canned Soups Peanut Butter Cereals Potatoes Cheese Rice Condiments Seafood—Fresh,Frozen, Canned,Dried -Cottage Cheese Spices Corn Meal Vegetables—Fresh,Frozen, Canned,Dried Dairy&Dairy Substitutions Yogurt Dried Peas &Beans Eggs &Egg Substitutions Non-Food Items Ensure (Nutritional Drink) Cleaning Products : Fish—Fresh,Frozen, Canned,Dried Dental Products Flour—All Types Shaving Products Fruit—Fresh,Frozen, Canned,Dried Deodorant Glucerna Drink(for Diabetics) Diapers—Baby,Adult Grains Dish&Bath Soap Juice— 100% Toilet Paper Legumes &Beans Feminine Hygiene Products Meat—Fresh,Frozen, Canned,Dried Laundry Detergent Milk—Fresh, Canned,Powdered Paper Towels Shampoo Attachment B Affidavit of Income Complete When No Income Declared VETERAN: I, ,swear or aff=that I currently do not have any income of any kind. I do not have any current income because: SPOUSE or DOMESTIC PARTNER: swear or affirm that I currently do not have any income of any kind. I do not have any current income because: DEPENDENT or HOUSEHOLD MEMBER: I, swear or affirm that I currently do not have any income of any kind. I do not have any current income because: I solemnly affirm under the penalties of perjury that the information provided in this Affidavit of Income is true, correct, and complete to the best of my ability, belief, and knowledge. I further realize that if proven to be a deliberate falsification,I will lose all rights to any future assistance. Date Veteran Signature Date Spouse or Domestic Partner Signature Date Dependent or Household Signature Veterans' Service Office of Mason County 210 W Franklin Street Shelton,WA 98584 Phone: (360)426-4546 Fax: (360)427-4491 Assistance Fund Application ❑ Belfair ❑ Shelton Date: ❑ Mail-to Client ❑ Client pick-up Client Name: Address: Phone: Email: Eli 'bili Branch of Service: Date of Entry: Date of Discharge: Type of Discharge: ❑ Honorable ❑ Other Than Honorable ❑ Dishonorable War Period or Campaicn Award for Participation in Armed Conflict—See RCW 41.04.005 ❑ WWI(4/6/1917— 11/12/1918) ❑ WWI Russia(4/6/1917—4/1/1920) ❑ WWII (12/7/1941 - 12/31/1946) ❑ Korean(6/27/1950—1/31/1955) ❑ Vietnam(8/5/1964—5/7/1975) ❑ Persian Gulf(8/2/1990— 1/17/199 1) ❑ Grenada ❑ Panama(Op. "Just Cause") ❑ Somalia(Op. "Restore Hope") ❑ Haiti (Op. "Uphold Democracy") ❑ Bosnia(Op. "Joint Endeavor") ❑ Other State of Residency: County of Residency: Household Spouse or Domestic Partner Name: Address (if Different): Dependents/Household Members(Include Names,Ages, and Addresses if Different) Emplo went Veteran- ❑ No ❑ Yes Where: How Long: Salary: Spouse or Domestic Partner- ❑ No ❑ Yes Where: How Long: Salary: Dependent/Household Member- ❑ No ❑ Yes Where: How Long: Salary: Income Please note:verification of income is required. Veteran Full or Part-Time: Unemployment: Public Assistance: Child Support: VA Comp/Disability: Alimony: VA Pension/School: State Disability: Social Security: Property: Retirement: Food Stamps: Other: Total: Spouse or Domestic Partner Full or Part-Time: Unemployment: Public Assistance: Child Support: VA Comp/Disability: Alimony: VA Pension/School: State Disability: Social Security: Property: Retirement: Food Stamps: Other: Total: Dependent/Household Member , Full or Part-Time: Unemployment: Public Assistance: Child Support: VA Comp/Disability: Alimony: VA Pension/School: State Disability: Social Security: Property: Retirement: Food Stamps: Other: Total: Total Household Income: 2 By signing this document,I swear that to the best of my knowledge,the information is true and correct. I further realize that if proven to be a deliberate falsification,I will lose all rights to any future assistance. ❑ I verify that I have been a resident of Mason County,Washington for at least 90 days. Signature of Veteran: Date: Signature of Service Team Member: ❑ Approve ❑ Disapprove Please pay for the following assistance: We,Mason County,Washington do hereby certify that the services herein specified have been received. Staff Reviewed By: Date: Staff Processed By: Date: Veterans'Assistance Fund Account Signer: Date: Check no. Check no. Amount$ Amount$ Payable To Payable To Check no. Check no. Amount$ Amount$ Payable To Payable To 3 Attachment D Veterans Service Office Mason County, Washington 206 W Franklin Street P.O.Box 8 Shelton,WA 98584 Office: (360)426-4546 1 Fax: (360)4274491 Veterans' Assistance Fund Rental/Mortgage Verification Date: Veteran's Name: Phone Number: Address of Property: Parcel No: Mailing Address of Lease: Name of Landlord/Lienholder: Phone Number of Landlord/Lienholder: Amount of Rent/Payment: Weekly Semi-Monthly Monthly Does this amount include any utilities? Amount in arrears as of the date of this form: I, the undersigned, swear or affirm that the answers to the questions hereon are true and correct, and I understand should it be proven false upon investigation, I may forfeit my right to assistance under the Veteran's Relief Act of the State of Washington and incur such other penalties as may be prescribed by law. I further agree to release any information regarding my case that may be in the possession of other relief agencies. By making application to the relief fund, I permit the investigation officer to make discreet inquires as may be necessary. Signature of Landlord/Lienholder: Verification must be from owner/mortgage holder only. This form must be notarized by an official notary public. All payments will be mailed directly to the owner/mortgage holder of said property, unless payment will not stop eviction. SUBSCRIBED AND SWORN before me on this day of .20 NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON Residing at Commission expires Attachment E Veterans Service Office Mason County, Washington 206 W Franklin Street P.O.Box 8 Shelton,WA 98584 Office: (360)426-4546 1 Fax: (360)427-4491 Veteran's Assistance Fund Documents Checklist Veteran's Name: Contact Address: Contact Phone Number: Veteran Service Officer Name: Date: The following items are needed by the County to process the application for the above-named veteran. Check off items you have,write"N/A" is not applicable. DD214 or similar document verifying veteran was honorably discharged State residency proof for last twelve (12)months County residency proof for last three (3)months to VSO's satisfaction Income proof for last three(3)months for entire household, ex: paystubs,bank deposits If unemployed,Form Q01 from WorkSource Proof of expenses Proof of Financial Emergency Food Past due rent(Rental/Mortgage Verification form filled out and notarized) Utilities Past Due (if separate) Water bill Heat(electrical,natural gas,propane, firewood, etc.) Electricity Phone (if needed for medical reasons) Garbage Other: Notes: INSTRUCTION AND INFORMATION SHEET FOR SF 180,REQUEST PERTAINING TO MILITARY RECORDS 1. General Information. The Standard Form 180,Request Pertaining to Military Records(SF180)is used to request information from military records. Certain identifying information is necessary to determine the location of an individual's record of military service.Please try to answer each item on the SF 180.If you do not have and cannot obtain the information for an item,show"NA,"meaning the information is "not available".Include as much of the requested information as you can.Incomplete information may delay response time. To determine where to mail this request see Page 2 of the SF180 for record locations and facility addresses. Online requests may be submitted to the National Personnel Records Center(NPRC)by a veteran or deceased veteran's next-of-kin using eVetRecs at http://www.archives.gov/veterans/military-service-records/ . 2. Personnel Records/Military Human Resource Records/Official Military Personnel File (OMPF) and Medical Records/Service Treatment Records(SIR). Personnel records of military members who were discharged,retired, or died in service LESS THAN 62 YEARS AGO and medical records are in the legal custody of the military service department and are administered in accordance with rules issued by the Department of Defense and ` the Department of Homeland Security(DHS,Coast Guard). STRs of persons on active duty are generally kept at the local servicing clinic. After the last . day of active duty,STRs should be requested from the appropriate address on page 2 of the SF 180. (See item 3,Archival Records,if the military member was discharged,retired or died in service more than 62 years ago.) a. Release of information:Release of information is subject to restrictions imposed by the military services consistent with Department of Defense regulations,the provisions of the Freedom of Information Act(FOIA)and the Privacy Act of 1974.The service member(either past or present)or the member's legal guardian has access to almost any information contained in that member's own record The authorization signature of the service member or the member's legal guardian is needed in Section III of the SF180. Others requesting information from military personnel records and/or STRs must have the release authorization in Section III of the SF 180 signed by the member or legal guardian. If the appropriate signature cannot be obtained, only limited types of information can be provided. If the former member is deceased, the surviving next-of-kin may, under certain circumstances,be entitled to greater access to a deceased veteran's records than a member of the.general public.The next-of-kin may be any of the following: unremarried surviving spouse,father,mother,son,daughter,sister,or brother.Requesters MUST provide proof of death,such as a copy of a death certificate,newspaper article(obituary)or death notice,coroner's report of death,funeral director's signed statement of death,or verdict of coroner's jury. b. Fees for records: There is no charge for most services provided to service members or next-of-kin of deceased veterans. A nominal fee is charged for certain types of service.In most instances,service fees cannot be determined in advance.If your request involves a service fee,you will receive an invoice with your records. 3. Archival Records. Personnel records of military members who were discharged,retired,or died in service 62 OR MORE YEARS AGO have been transferred to the legal custody of NARA and are referred to as"archival records". a. Release of Information: Archival records are open to the public. The Privacy Act of 1974 does not apply to archival records,therefore,written authorization from the veteran or next-of-kin is not required In order to protect the privacy of the veteran,his/her family,and third parties named in•-" the records,the personal privacy exemption of the Freedom of Information Act(5 U.S.C.552(b)(6))may still apply and may preclude the release of some information. b. Fees for Archival Records: Access to archival records are granted by offering copies of the records for a fee(44 U.S.C.2116(c)).If a fee applies to the photocopies of documents in the requested record,you will receive an invoice. Photocopies will be sent after payment is made. For more information see http://www.archives.gov/st-louis/archival-programs/military-personnel-archival/ompf-archival-requests.htni. 4.Where reply may be sent.The reply may be sent to the service member or any other address designated by the service member or other authorized: requester. If the designated address is NOT registered to the addressee by the U.S.Postal Service(USPS),provide BOTH the addressee's name AND"in . care of(c/o)the name of the person to whom the address is registered on the NAME line in Section III,item 3,on page l,of the SF 180. The COMPLETE address must be provided,INCLUDING any apartment/suite/unit/lot/space/etc.number. 5. Definitions and abbreviations.DISCHARGED—the individual has no current military status;SERVICE TREATMENT RECORD (STR) —The chronology of medical,mental health,and dental care received by service members during the course of their military career(does not include records of treatment while hospitalized);TDRL—Temporary Disability Retired List. 6. Service completed before World War L National Archives Trust Fund(NATF)fors must be used to request these records. Obtain the forms by e mail from inquire@,nara.gov or write to the Code 6 address on page 2 of the SF 180. PRIVACY ACT OF 1974 COMPLIANCE INFORMATION The following information is provided in accordance with 5 U.S.C. 552a(e)(3)and applies to this form.Authority for collection of the information is 44 U.S.C.2907,3101,and 3103,and Public Law 104-134(April 26,1996),as amended in title 31,section 7701.Disclosure of the information is voluntary.If the requested information is not provided,it may delay servicing your inquiry because the facility servicing the service member's record may not have all of the information needed to locate it.The purpose of the information on this for is to assist the facility servicing the records(see the address list)in locating the correct military service record(s)or information to answer your inquiry.This for is then retained as a record of disclosure.The for may also be disclosed to Department of Defense components,the Department of Veterans Affairs,the Department of Homeland Security(DHS,U.S.Coast Guard),or the National Archives and Records Administration when the original custodian of the military health and personnel records transfers all or part of those records to that agency. If the service member was a member of the National Guard, the for may also be disclosed to the Adjutant General of the appropriate state,District of Columbia,or Puerto Rico,where he or she served PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT Public burden reporting for this collection of information is estimated to be five minutes per request, including time for reviewing instructions and completing and reviewing the collection of information.Send comments regarding the burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden,to National Archives and Records Administration(ISSD),8601 Adelphi Road,College Park,MD 20740- 6001.DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. SEND COMPLETED FORMS TO THE APPROPRIATE ADDRESS LISTED ON PAGE 2 OF THE SF 180. Standard Form 180(Rev.112015) (Page 1) Authorized for local reproduction Prescribed by NARA(36 CFR 1233.18(d)) Previous edition unusable OMB No 3095 0029 Expires 04/302018 REQUEST PERTAINING TO MILITARY RECORDS Requests from veterans or deceased veteran's next-of-kin may be submitted online by using eVetRecs at http://www.archives.gov/veterans/military-service-records/ To ensure the best possible service,please thoroughly review the accompanying instructions before filling out this form. PLEASE PRINT LEGIBLY OR TYPE BELOW. .'��.d�"� ��, tr� �/;3Y' m �_a�yC���l���i/�N ,{�,•,1-�,"�'�}7"'�X �� `f�r/lp!,wry� �'k'a -0/,f/'i��iC'$rtad&�$� '.R', I. NAME USED DURING SERVICE(last;first full middle) 2. SOCIAL SECURITY# 13. DATE OF BIRTH 14. PLACE OF BIRTH 5. SERVICE,PAST AND PRESENT(For an effective records search,it is important that ALL service be shown below.) BRANCH OF SERVICE DATE DATE OFFICER ENLISTED SERVICE NUMBER ENTERED RELEASED (If unknown,write"unknown") a. ACTIVE — ❑ ❑ b. RESERVE — ❑ ❑ c. STATE NATIONAL — ❑ ❑ GUARD 6. IS THIS PERSON DECEASED? ❑ NO ❑ YES-MUST provide Date of Death if veteran is deceased: 7. DID THIS PERSON RETIRE FROM MILITARY SERVICE? ❑ NO ❑ YES I. CHECK THE ITEM(S)YOU ARE REQUESTING: ❑ DD Form 214 or equivalent. Year(s)in which form(s)issued to veteran: This form contains information normally needed to verify military service.A copy may be sent to the veteran,the deceased veteran's next-of-kin,or other persons or organizations,if authorized in Section III,below. An UNDELETED DD214 is ordinarily required to determine eligibility for benefits. If you request a DELETED copy,the following items will be blacked out: authority for separation,reason for separation,reenlistment eligibility code,separation (SPD/SPN)code,and,for separations after June 30,1979,character of separation and dates of time lost. An UNDELETED copy will be sent UNLESS YOUSPECIFYA DELETED COPY by checking this box ❑I want a DELETED copy. ❑ Medical Records Includes Service Treatment Records,Health(outpatient)and Dental Records. IFHOSPITALIZED(inpatient)the FACILITY NAME and -DATE(month and year)for EACH admission MUST be provided: ❑ Other(Specify): 2. PURPOSE: (Providing information about the purpose of the request is strictly voluntary;however,it may help to provide the best possible response and may result in a faster reply. Information provided will in no way be used to make a decision to deny the request.) ❑ Benefits(explain) ❑ Employment ❑ VA Loan Programs ❑ Medical ❑ Genealogy ❑ Correction ❑ Personal ❑ Other(explain) Explain here: 50 sew ayRa•":�`"' 1. REQUESTER NAME: 2.© I am the MILITARY SERVICE MEMBER OR VETERAN identified in Section I am the VETERAN'S LEGAL GUARDIAN(MUST submit copy of Court I,above. Appointment)or AUTHORIZED REPRESENTATIVE(MUST submit copy of I am the DECEASED VETERAN'S NEXT-OF-KIN(MUSTsubmit Proof of Authorization Letter or Power of Attorney) Death. See item 2a on instruction sheet.) OTHER (Relationship to deceased veteran) (Speck type of Other) 3. SEND INFORMATION/DOCUMENTS TO: 4. AUTHORIZATION SIGNATURE:I declare(or certify,verify,or (Please print or type. See item 4 on accompanying instructions) state)under penalty of perjury under the laws of the United States of America that the information in this Section III is true and correct and that I authorize the release of the requested information.(See items 2a or Name 3a on accompanying instruction sheet. Without the Authorization Signature of the veteran,next-of-kin of deceased veteran,veteran's legal guardian, authorized government agent,or other authorized representative,only Street Apt limited information can be released unless the request is archival No signature is required if the request iffor archival records.) City State Zip Code *This form is available at http✓Amw.archives govlveteransli i7 i ary-service- Signature Required-Do not print Date recordslstandard form-180.hbn1 on the National Archives and Records Administration(NARA)web site.* Daytime phone Fax Number Email address Standard Form 180(Rev.112015)(Page 2) Authorized for local reproduction Prescribed by NARA(36 CFR 1233.18(d)) Previous edition unusable OMB No.3095-0029 Expires 04/30/2018 The various categories of military service records are described in the chart below.For each category there is a code number which indicates the address at the bottom of the page to which this request should be sent Please refer to the Instruction and Information Sheet accompanying this form as needed. BRANCH CURRENT STATUS OF SERVICE MEMBER Personnel Medical or Service Record Treatment Record Discharged,deceased,or retired before 5/l/1994 14 14 Discharged,deceased,or retired 5/1/1994—9/302004 14 11 Discharged,deceased,or retired 10/12004—12/312013 1 11 AIR Discharged,deceased,or retired on or after 1/1R014 1 13 FORCE Active(including National Guard on active duty in the Air Force),TDRL,or general officers retired with pay 1 Reserve,MR,Retired Reserve in non-pay status,current National Guard officers not on active duty in the As Force,or National Guard 3p P,, released from active duty in the Air Force 2 y� r Current National Guard enlisted not on active duty in the Air Force 2 13 Discharge,deceased,or retired before I/1/1898 6 t _" Discharged,deceased,or retired 1/1/1898—3/31/1998 14 14 COAST Discharged,deceased,or retired 4/1/1998—9/302006 14 11 GUARD Discharged,deceased,or retired 10/1R006—9/302013 3 11 Discharged,deceased,or retired on or after 10/1R013 3 14 Active,Reserve,Individual Ready Reserve or TDRL 3 xt'n z u Discharged,deceased,or retired before 1/l/1895 6 ,a Discharged,deceased,or retired 1/1/1905—4/30/1994 14 14 Discharged,deceased,or retired 5/1/1994—12/31/1998 14 11 MARINE Discharged,deceased,or retired 1/l/1999-12/31/2013 4 11 CORPS Discharged,deceased,or retired on or after 1/1R014 4 8 Individual Ready Reserve 5 ' Active,Selected Marine Corps Reserve,TDRL 4 Discharged,deceased,or retired before 11/1/1912(enlisted)or before 7/1/1917(officer) 6 ua rM Discharged,deceased,or retired 11/1/1912—10/15/1992(enlisted)or 7/1/1917—10/1511992(officer) 14 Discharged,deceased,or retired 10/16/1992—9/302002 14 11 ARMY Discharged,deceased,or retired(including TDRL)1011/2002—12/31/2013 7 I1 Discharged,deceased,or retired(including TDRL)on or after 1/1/2014 7 9 Current Soldier(Active,Reserve(including Individual Ready Reserve)or National Guard) 7 2il, Discharged,deceased,or retired before l/1/1886(enlisted)or before 1/l/1903(officer) 6 Discharged,deceased,or retired 1/l/1886—1/30/1994(enlisted)or 1/1/1903—1/30/1994(officer) 14 14 Discharged,deceased,or retired 1/31/1994—12/31/1994 14 11 NAVY Discharged,deceased,or retired 1/1/1995—12/31R013 10 11 Discharged,deceased,or retired on or after I/l2014 10 8 Active,Reserve,or TDRL 10 PHS Public Health Service- Commissioned Corps officers only 12 ADDRESS LIST OF CUSTODIANS and SELF-SERVICE WEBSITES(BY CODE NUMBERS SHOWN ABOVE)—Where to writelsend this form Air Force Personnel Center National Archives&Records Administration Department of Veterans Affairs HQ AFPC/DPSMP Research Services(RDT1R) Records Management Center 1 550 C Street West,Suite 19 6 700 Pennsylvania Avenue NW 11 P.O. Release of Information Randolph AFB,TX 78150-4721 Washington,DC 20408-0001 P.O Box 5020 St Louis,MOO 63115-5020 Air Reserve Personnel Center US Army Human Resources Command's web page: Division of Commissioned Corps Officer Support Records Management Branch(DPTSC) httos://www.hrc.army.m&TAGD/A ccessinz%,20or'01o20 ATTN: Records Officer 2 18420 E.Silver Creek Avenue 7 Reauestine'1620Yoar%200Jficiol%20Militarv%20Pers 12 1101 Wooton Parkway,Plana Level,Suite 100 Building 390 MS 68 onnel°�.20File%20Docwnents Rockville,MD 20852 Buckley AFB,CO 80011 or 1-888-ARYHRC(1-888-276-9472)M Commander, Personnel Service Center AF STR Processing Center (BOPS-C-MR)MS7200 Navy Medicine Records Activity(NMRA) ATTN: Release of Information US Coast Guard BUMED Detachment St Louis 13 3370 Nacogdoches Road,Suite 116 3 2703 Martin Luther 1Gng Jr Ave SE 8 4300 Goodfellow Boulevard,Building 103 San Antonio,TX 78217 Washington,DC 20593-7200 St Louis,MO 63120 MR CustomerService(a),usep.mil National Personnel Records Center (Military Personnel Records) Headquarters U.S.Marine Corps AMEDD Record Processing Center 1 Archives Drive Manpower Management Records&Performance 3370 Nacogdoches Road,Suite 116 14 St Louis,MO 63138-1002 4 (MMRP-10) 9 San Antonio,TX 78217 2008 Elliot Road eVetRecs: Quantico,VA 22134-5030 hrta://www.archives.tov/veterans/militarv-service-records/ Marine Forces Reserve Navy Personnel Command ERS-313 ( r $ 2000 Opelousas Avenue 10 5720 Integrity Drive New Orleans,LA 70146-5400 Millington,TN 38055-3120 Attachment G Veterans Service Office Mason County, Washington 206 W Franklin Street P.O. Box 8 Shelton, WA 98584 Office: (360) 426-4546 Fax: (360) 427-4491 "Recommendation for Payment" Date: To: Regarding: The Veterans' Assistance Fund Screening Committee has recommended to the Mason County Commissioners that they approve payment of$ to you against the unpaid account of This fund is available to all County veterans who have been determined eligible. Based on the Commissioner's schedule, you may expect to receive your funds on or about If this payment is for rental assistance, theCommissioners will not begin their process until they have received the "Rental/Mortgage Verification" form that this veteran has provided to you. The Veteran, and Staff of this office, and the office of the County Commissioners all appreciate your patience with this process. Service Officer: Attachment H u"rxi�xY�,'Yi'4gg-''�J,,,„�ffi#i4 i' ', �' � �''Y ,'" '''.f`vr(,�''� H. Veterans Ser-v�ce. Office 210 W.Franklin Street Shelton,WA 98584 PO# Phone:(360).4274546 Date: Fax:(360)4274491 Ordered By: VENDOR Company Name: SHIP TO Customer ID: #..._ _. DEsclxloN ___... ttcvrr PiucE_ rr �o ram: Payment Details SUBTOTAL Check SHIPPING& Credit Card HANDLING Account# SALES TAX TOTAL Notes/Remarks Approval Signature Date 'kg '��^ x � ,.�. s -"o� 4 .,� -,r..a" ,+ ,.t 4 t �` -•r• .a'' �'7 �..s t�v �. ,ca ' RESOLUTION No. a4.05�- A RESOLUTION ESTABLISHING THE 2025 FIELD RENTAL RATES FOR THE MASON COUNTY PARKS AND TRAILS DEPARTMENT WHEREAS, Chapter 67.20.010 RCW, provides the authority for Counties to own and operate recreational facilities for public use, and to set forth the regulations, policies and practices governing such use, and WHEREAS, Mason County Parks and Trials Department owns and operates parks for the enjoyment and use of County residents and visitors; WHEREAS, the Mason County Parks &Trails Advisory Committee reviewed the proposed 2024 rates and recommends approval; WHEREAS, costs to support parks administration, operations and maintenance continue to increase and pursuant to the Fees and Charges Policy for Parks and Trails Department, Section IV, fees will be adjusted annually by using the by using the Seattle-Tacoma-Bellevue CPI-U (Consumer. Price Index— Urban) August to August with a minimum annual increase of 2% and a maximum annual increase of 5% WHEREAS, the Seattle-Tacoma-Bellevue CPI-U (Consumer Price Index — Urban) is 3.1% at August 2024; -BE THEREFORE, BE IT RESOLVED THAT THE Board of'County Commissioners of Mason County does hereby amend the 2025 Field Rental Rates and Deposits (Exhibit A) that includes an increase of 3.1%, CPI for all Cities August to August 2024. PASSED this 'B*' day of Nd 2024. BOARD OF COUNTY COMMISSIONERS MASON COUNTY, WASHINGTON ATTEST: Rand Neatherli , Commissioner McKenzie S ith, derk of the Board APPROVED AS TO FORM: Sharon Trask, Commissioner Tim Whitehead, Chief Deputy Prosecuting Kevin Shutty, Com over Attorney C:\Users\TimW\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\01841Z44\Resolution to increase fees for 2025.doc Exhibit A MASON COUNTY PARKS DEPARTMENT 2025 FIELD RENTAL RATE: ORGANIZED YOUTH LEAGUES Use 2026 Rate 2025 Pro-Rated Based on 2-Hour Practice Practice $ 23.00 $ 11.50 2-Hour Slot with Field Prep Game $ 40.00 ORGANIZED ADULT LEAGUES: Practice $ 33.00 $ 16.50 Game $ 47.50 TOURNAMENTS: Includes Field Preps Per Field $ 175.00 Full Complex $ 1,218.00 MISCELLANEOUS FIELD USE: Per Hour $ 23.00 Cleanup Fee Fee charged if field is not returned in condition it was received or cigarette butts or sunflower seeds left on the Synthetic Turf $ 350.00 Biohazard Cleanup Fee $ 650.00 Supplemental Fees 3.5'X 8'sign on outfield fence $200.00/year $350.00/2 years .3.5'X 8'sign on outfield fence in preferred location $375.00/year $675.00/2 years Sponsor is responsible for purchasing sponsor banner County Staff will erect and remove banner at the end of the season Deposits Deposits refunded if cancelled at least 21 days before first day of play. Deposit is 100%forfeited if not canceled at least 14 days before first day of play and new deposit required for future Field Set Up Field set up shall be called in to MCRA 3 days before a tournament. Deposit-Local League Play .Local League play payment of$375 deposit due upon acceptance of schedule, even for multiple day reservations. Payment-Local League Play Local league play will be billed mid-season for the first half and again at the end of the season for the second half. Payment due upon receipt of invoice and no later than September 30 of year Deposit-Tournament Play Tournament play deposit of$1,218 per tournament day is due upon acceptance of schedule, even for multiple tournament reservations.The deposit will be rolled forward to the next tournament date for multiple dates scheduled, assuming the tournament fee has been paid for tournaments played. Payment-Tournament Play C:\Users\MSmith\AppData\Local\Microsoft\Windows\INetCache\Content.Oubook\Z2SZPP14\Field Use Rates 2025 3.1% increase final-exhibt for fee resolution.xlsx Exhibit A Tournament play payment of$1,218 for each tournament day is due no later than the Friday prior to tournament play. Payment-Other than League or Tournament Play Any person or group who reserves multiple fields for other than League or Tournament Play, shall C:\Users\MSmith\AppData\LocahMicrosoft\Windows\INetCache\Content.Outlook\Z2SZPP14\Field Use Rates 2025 3.1% increase final-exhibt for fee resolution.xlsx