Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2025/04/07 - Briefing Packet
oo BOARD OF MASON COUNTY COMMISSIONERS DRAFT BRIEFING MEETING AGENDA 411 North Fifth Street, Shelton WA 98584 Week of March 31, 2025 1854 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 7, 2025 Zoom link available on the Mason County website 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. Executive Session—RCW 42.30.110(1)(c)Real Estate 10:20 A.M. WSU Extension—Dan Teuteberg 10:25 A.M. Public Health—David Windom 11:10 A.M. Community Development—Kell Rowen 11:20 A.M. Central Services—Mark Neary 11:35 A.M. Public Works—Loretta Swanson Utilities&Waste Management Commissioner Discussion—as needed Commission meetings are live streamed at hLtp://www.masonwebtv.com/and public comment is accepted via email msmith(a-)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 4:00 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 04/03/25 at 1:43 PM Ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: Heidi Steinbach,Noxious Weed Program Ext• 592 Coordinator Department: WSU Extension Briefing: CK Action Agenda: ❑X Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 7,2025 Agenda Date(s): April 15,2025 Internal Review: ❑ Finance ❑ Human Resources © Legal ❑ IT ❑X Risk ❑ Other (This is the responsibility of the requesting Department) Item• Washington State Department of Agriculture (WSDA)Knotweed Control Program Project Solicitation. Background/Executive Summary: The Mason County Noxious Weed Control Board is submitting a proposal to WSDA to request funding for knotweed control on creeks and shorelines,within Mason County. Since 2013,Mason County Noxious Weed Control Board has received funding through WSDA Knotweed Control Program.This funding has supported our knotweed control work. Knotweed species are highly invasive noxious weeds. They impact on our natural resources, and degrade habitat for native species such as salmon. Budget Impact(amount, funding source,budget amendment,etc.): Provide a maximum of$30,000 to be used over the 2025-2027 budget years. This will assist with funding the extra-help noxious weed position and facilitate knotweed control in Mason County. Public Outreach: NA Requested Action: Approval of the Washington State Department of Agriculture (WSDA)Knotweed Control program grant application. Attachment(s) Washington State Department of Agriculture Knotweed Control Program Project Solicitation&2024 Mason County Knotweed Control Report. Washington State Department of Agriculture Knotweed Control Program Project Solicitation Posted: 3/31/2025 Applications Due: 4/30/2025 Matching Requirement: In kind: equipment use, vehicle use, wages, other invasive(s), restoration and follow up efforts, etc. (Securing additional in kind funds and/or staff will bolster your program and your proposal.) Examples of Eligible Applicants County Noxious Weed Control Boards State Agencies Salmon and Habitat Enhancement Groups Tribal Governments Non-governmental Organizations Conservation Districts Funding Opportunity Description The Washington State Department of Agriculture (WSDA) is soliciting proposals for the control of knotweed in Washington State. Knotweed means the following plants: Polygonum cuspidatum (Japanese knotweed),Persicaria wallichii(Himalayan knotweed),Polygonum sachalinense (giant knotweed),Polygonum x bohemicum (Bohemian knotweed), and hybrids and crosses of these species. The issuance of this request does not guarantee the availability of funding for this program. Costs incurred prior to July 1, 2025, will not be reimbursed. WSDA funding is intended for control/eradication of knotweed within riparian habitats, i.e., boots on the ground treatments. Shovel-ready projects with completed surveys and permissions will have the highest priority. Projects should address areas with low-level knotweed infestations,protect functional riparian habitats, target project areas that are in the early stages of invasion, and protect endangered species such as salmon. Projects will begin at the farthest upstream infestation and continue downstream. This funding may not be used downstream of a landowner that has a knotweed infestation and has not given written permission for entry and treatment. Funding stops where permission stops! Applicants are encouraged to form partnerships with multiple entities. All work must follow integrated pest management principles as outlined in Chapter 17.15 RCW. WSDA mandates that all herbicide treatments at aquatic sites be conducted under the supervision of a licensed applicator with an aquatic endorsement. Proposal Format Proposals should address all of the following bulleted items. WSDA staff will use the information in the project summary and budget to evaluate your proposal. There is a required appendix; the format is on the last page of this project solicitation. 1 Funding Format Applicants may apply for 1- or 2-year funding depending on program needs. However, WSDA reserves the right to adjust funding timelines to meet programmatic goals or budgetary limitations. There will not be a project solicitation sent out in 2026. All proposals requesting funds for only the second year of the biennium still must be submitted by April 30, 2025. Ex) 1 year funding beginning on July 1, 2025, to June 30, 2026 -1-year funding reports due December 1, 2025 Ex)2-year funding beginning on July 1, 2025, to June 30, 2027 -2-year funding reports due December 1, 2025, and December 1, 2026 1. Introduction ■ Agency/organization name, primary contacts, address, e-mail,phone and fax numbers ■ Brief background information about lead organization and partners o indicate whether or not your organization has licensed applicators on staff o will you seek limited agent status under the Noxious Weed NPDES General Permit, if not provide explanation o will your organization be able to submit a report, GIS data, and monitoring photos of select knotweed control sites to WSDA by December I"of each year 2. Project Summary ■ Number of jobs created or maintained ■ Project objective o measures of success that will be used to document progress toward objective o discuss the long-term(10 year) outcome of the project ■ Project area description o ecological integrity of the watershed(s) or project area o riparian conditions o current land use o riparian protection/restoration efforts o salmon and/or other fish species utilization o number of landowners to be assisted by survey or treatment o river miles to be surveyed/protected(measured once down middle) ■ Infestation description o extent(acres, affected river miles, number of patches, etc.) o patch density o species of the knotweed infestation 2 ■ Integrated pest management strategies o work plan for contacting all landowners in treatment area and obtaining permission to conduct treatments, or a summary of work already done to this effect o treatment methodologies o herbicides to be used o equipment to be used o monitoring strategy ■ Work completed to date o year project was initiated o landowner outreach/permission waivers signed o description of survey, education, and treatment completed in proposed project area ■ Project timeline o provide a work plan for the period you are requesting, i.e., beginning July 1, 2025, and ending June 30, 2026, or July 1, 2025, and ending June 30, 2027. 3. Budget ■ Estimated project budget (Show estimates for the following) o in-kind contributions (equipment, wages, other invasive(s) controlled, etc.) o contributions from other funding sources o personnel salaries and benefits o travel, supplies and equipment o contracted services o indirect expenses (cannot exceed 5% of salaries and benefits) ■ Estimated herbicide and adjuvant needs (Do not include this cost in your budget request; These will be supplied by WSDA.) Additional Materials You may send in additional materials for consideration. This could include survey data, spatial data, photos or digital images, maps, or letters of support. WSDA prefers that these materials be in digital format. Proposal Evaluation Criteria WSDA prefers projects that address areas with low-level knotweed infestations, protect functional riparian habitats, protect ecologically important areas,protect endangered species such as salmon, or leverage state contributions to secure additional funding. Prior performance of previous and current WSDA funded projects will also be considered. 3 Proposal Submission Mail: Proposals must be postmarked on or before April 30, 2025, and mailed to: Jonathan Still Washington State Department of Agriculture PO Box 42560 Olympia, WA 98504-2560 Electronic (preferred): Proposals must be e-mailed to Jonathan Still at jstill(a),agr.wa.gov on or before April 30, 2025. 4 Appendix A: Required Period of Performance Requested: see RFP page 2 Dates: Proposal Metrics: Estimated total acres to be protected Acres Estimated solid acres of knotweed to be treated* Acres Number of landowners to be assisted Landowners River miles to be surveyed/protected ** River Miles Number of riparian systems protected Top-Down Projects all top-down, individual tributaries, etc. In-kind contributions and additional fund sources available/leveraged by WSDA support: *** In-kind/$ In-kind/$ Source/$ Source/$ Herbicide Needs: - do not include in budget request, Imazapyr/Gallons will be provided by WSDA Specify desired (Blazon, Hi-Light, Super Marking Marker/Gallons Dye) Specify desired (Competitor, Agri-dex, Rainier-EA) Surfactant/Gallons Budget Requested: Salaries and benefits $ Contracted services $ Travel, supply and equipment $ Indirect(cannot exceed 5%of salaries and benefits) $ Total funds requested $ * A measure of how many acres a dispersed population would occupy if all knotweed plants were grouped together. ** Measured once down the middle, not both shorelines. *** Include estimated dollar equivalent for in-kind contributions. For example, if you list vehicle use as in-kind, please provide an estimate of how much this costs your agency. 5 IAA Between Washington State Department of Agriculture and Mason County and Its Agent Mason County Noxious Weed Control Board 2024 Report Report compiled by Mason County Noxious Weed Control Board Heidi Steinbach, Program Coordinator Ryan Youngquist, Noxious Weed Specialist November 27, 2024 303 N. 4t" St Shelton, WA 98584 (360) 427-9670 extension 592 Report Contents Introduction — pg. 3 WSDA knotweed accomplishments— pg. 4 Non-WSDA knotweed accomplishments— pg. 5 Difficulties— pg. 5 Conclusion — pg. 6 Future reccomendations— pg. 7 Appendix 1 Summary WSDA knotweed accomplishments— pg. 8 Appendix 2 —Summary of 2024 WSDA Knotweed Treatment Dates pg. 9 Appendix 3 Summary Non-WSDA knotweed accomplishments— pg. 10 Appendix 4 Project Maps— pg. 11 r .� _ .ors•'lt _y �r -0— ' c.. Newly documented patch of bohemian knotweed found in 2024 while surveying Mission Creek,in Belfair Washington. 2 Introduction _ On August 1, 2023, the Mason Countyy, ; Noxious Weed Control Board (MCNWCB) received $20,000.00 in grant funding from the Washington State Department of Agriculture (WSDA)for the period July 01, 2023,to June 30, 2025, Contract Number: y �` K3547.This agreement provided Mason County and its agent, MCNWCB, funding for a project to control invasive knotweed species within selected riparian corridors of Mason County. _ = 2024 Objectives included: _ ■ Introduce the new program coordinator to landowners who have ; been working with MCNWCB to control knotweed on their Nr properties.These introductions are F crucial to maintaining relationships and trust in the community. ■ Continue to assist landowners with knotweed control along Finch, Sherwood/Anderson, Coulter, Y Mission and Stimson Creeks. MCNWCB staff survey for and treats knotweed on Mission Creek. ■ Renew expired WSDA 'Permission to Enter private Land and Waiver of Liability'agreements. ■ Contact new landowners to establish communication about knotweed and obtain new 'Permission to Enter private Land and Waiver of Liability' agreements 2 ■ Continue efforts to obtain new u� permissions to survey and treat - knotweed infestations along Mission Creek. Obtaining permissions from property owners along Mission Creek is key in preventing knotweed encroachment onto Belfair State Park and along Hood Canal. MCNWCB staff survey for knotweed in Finch Creek. This landowner's knotweed has successfully been eradicated. 3 ■ Build communication with Hood Canal 2 Salmon Enhancement Group (HCSEG) to coordinate a joint effort to survey f� and control knotweed on Mission Creek. ,- � ■ Build relationship with Grays Harbor Noxious Weed Control to coordinate knotweed surveys in East Fork Satsop River. ■ Document knotweed infestations = -- along priority systems and track site t descriptions, population characteristics, and landowner information. Bohemian knotweed growing along Mission Creek. ■ Identification of other noxious weed species encountered, such as butterfly bush, giant hogweed, perennial pepper weed, spotted-jewelweed, policeman's helmet,yellow archangel and yellow-flag iris within the project areas. WSDA Knotweed Accomplishments ■ Completed a two-month treatment season from August 8th, 2024,to ' October 9th, 2024. ■ Received 9 new"Permission(s)to Enter Private Land and Waiver of Liability." Renewed 69 "Permission(s) � �=u to Enter Private Land and Waiver of z _ Liability". ■ Completed treatment on 39 parcels on _.. approximately 4.17 miles of river. �„ y ■ Surveyed a total of 10.09 river miles. Small patch of knotweed along Finch creek. Treatments in Finch ■ Visited multiple private properties to Creek are working very well to reduce knotweed infestations. provide information to residents about noxious weeds, weed laws, and request permission to survey for and treat knotweed. During these site visits, staff identified other noxious weeds and provided information on control. ■ This year had a heavy focus on permission renewal.We have successfully renewed 69 permissions along Finch, Sherwood/Anderson, Coulter, Mission and Stimson Creeks. Landowners are excited to continue working with MCNWCB to control knotweed. ■ See Appendix 1 for summarized metric accomplishments. 4 Non-WSDA Knotweed Accomplishments ■ Completed knotweed treatments on 13 parcels •F '" throughout Mason County. .A j ■ See Appendix 2 for summarized accomplishments. • Participated in Allyn Days, Master Gardener plant � + sale, Shelton Farmers Market, Shelton Rock& Mineral Show, and Oyster Fest. Events like these provide an opportunity for staff to engage with the local community and educate them about the �> 1 impacts of noxious riparian weeds such as knotweed. In 2024 MCNWCB staff engaged with over 700 members of the public at community Y events. a Difficulties MCNWCB staff injects large knotweed near Theler ■ Property owner contacts continue to require Wetlands in Belfair, WA. considerable time and, in many cases, repeat visits or contacts are necessary to secure permissions. Every year there are changes in ownership along the funded systems, and this can set knotweed control efforts back. ■ Gaining property owners' permission along Little Mission and Mission Creek continues to be a challenge. Due to lack of permissions on Little Mission Creek,we will be taking a break from knotweed treatments to focus on landowner outreach in the area.This will help to build more support and compliance with the project. ■ We have strong landowner support in areas of Mission Creek but lack permission to treat large stretches of the river. Getting permission to treat the entire system has been a continued challenge. In early 2025 we are going to have a strong emphasis on education and outreach directed towards landowners who live along Mission Creek.This will be done through mailers, site visits and presentations. ■ Through our surveys, we learned that Mission Creek has more knotweed infestations than previously documented. We will continue treating knotweed for landowners who have signed permission forms, survey new stretches of Mission Creek and contact landowners when new infestations of knotweed are found on their property. ■ We are working with HCSEG to coordinate more thorough survey and treatment of Mission Creek. ■ Due to time and budget constraints, the Program did not complete all treatments in the Allyn and North Bay. We did communicate with these landowners and renew permissions to treat knotweed in the area.The Program will prioritize these areas in 2025 to assess knotweed stands and pursue treatment options. 5 Conclusion Since 2013,WSDA has provided stable, dedicated funding, which supports MCNWCBq' effort to control knotweed in Mason County. Initial control measures took place along three systems, North Bay/Allyn, Sherwood and Finch Creeks. With continued funding, MCNWCB has expanded project scope to include additional creeks. .. K 7 � During the 2015-2016 biennium,treatment T efforts increased to four systems. ` "i The Program continued work on North Bay/Allyn, Sherwood and Finch Creek and began survey and treatment on Coulter Creek. During the 2017-2018 biennium the Program doubled the number of systems to include Stimson Creek, Little Mission Creek, Mission Creek and Anderson Creek, a tributary of Sherwood Creek. 44 From 2019-2022,the Program focused on j continuing our treatments within these systems and increasing surveys for knotweed, �> d with special focus on Mission Creek. In 2023,the Program again focused on increasing- permissions along Mission Creek, and two new •, .. permissions allowed the Program to push MCNWCB staff treating knotweed on Sherwood/Anderson Creek. further downstream. In 2024,the program continued to treat the Anderson/Sherwood system, Stimson, Coulter, Finch and sections of Mission Creek. We've successfully renewed many permissions and acquired new permissions along Sherwood and Mission creek which has helped to treat knotweed we couldn't access previously. We are going to focus on education and outreach directed towards the landowners of Mission and Little Mission Creek to help increase awareness and support for knotweed control.This year,we completed treatment on 39 parcels over approximately 4.17 miles of creeks in Mason County. We surveyed a total of 10.09 creek/river miles for knotweed. 6 Currently, 102 property owners, owning 150 parcels, are participating in this WSDA funded knotweed control project. Knotweed was treated with non-WSDA funding for an additional 9 landowners, owning 13 parcels. Areas that have received five of more years of treatment have fewer infested acres of knotweed and are requiring much less effort, herbicide and time. With the continued support of WSDA knotweed grant funding, the Mason County Noxious Weed Control Board will continue to maintain and expand its knotweed control efforts. 2025-2026 Recommendations include: The Program will complete early season site visits 2025 to work at obtaining new permissions.This will be focused on Finch, Coulter and Mission Creek. Given the Program's repeated attempts to initiate contact and receive permissions along Little Mission in the past, we will focus on an outreach campaign to educate landowners on the impacts and recommended treatment of knotweed. The Program will continue to collaborate with other entities involved in knotweed control in Mason County.As all programs expand, it is imperative to communicate with one another about priority systems and ensure a cohesive message is being sent to Mason County community members. Additionally,this would prevent unintended overlap in treatments. In 2024 the program worked with Grays Harbor Noxious Weed Control to survey for knotweed in the East Fork Satsop River. We plan to collaborate further in the future. We are currently in communication with the HCSEG to develop a cohesive approach to knotweed survey and control in Mission Creek. Both HCSEG and MCNWCB are working in the Mission Creek area. Communication and coordination with HCSEG are vital to implementing effective control in Mission Creek Treatments along Stimson Creek have been incredibly successful, and very little knotweed remains. Treating Stimson Creek after other streams have been treated will be the new approach to control as knotweed in the area is scarce. We found a new patch of knotweed near the mouth of the creek. We will contact the landowner in early 2025 to obtain permission to treat this knotweed. 7 Appendix 1 — Summary of 2024 WSDA Knotweed Accomplishments 14 14 & 15 15 15 16 22 WRIA & Sherwood North Coulter Mission Stimson Finch East Fork • System -Anderson Bay/ Creek Creek Creek Creek Satsop River Creek Allyn Acres 61.16 13.77 91.24 2,693.75 1,857.32 88.38 3,510.48 acres Permittedpermitted Landowners 23 12 11 23 11 20 2 102 landowners • Permitted Landowners 12 1 3 4 3 10 0 33 Worked-on landowners worked-on Parcels 26 15 14 33 15 32 15 150 permitted parcels Permitted Parcels 15 1 5 4 3 11 0 39 Worked-on parcels worked-on New 2 0 0 3 2 2 0 ' new Permissions permissions Renewed 11 8 11 12 3 23 1 69 renewed permissions Permissions Solid Acres of 0.282 0.011 0.042 0.022 NA 0.0226 NA 0.3796 solid acres Knotweed Treated River Miles 1.8 0 0.76 2.14 1.82 1.07 2.5 10.09 river miles surveyed Surveyed River Miles 1.8 0 I 0.4 0.14 1.26 0.57 NA • Treated 8 Appendix 2 — Summary of 2024 WSDA Knotweed Treatment Dates Waterbody WSDA Date Pin NPDES? 9/10/2024 12219-50-***** Yes 14 Anderson Creek Yes Knotweed 9/10/2024 12219-50-***** Yes 14 Anderson Creek Yes Knotweed 9/10/2024 12219-50-***** Yes 14 Anderson Creek Yes Knotweed 9/10/2024 12219-50-***** Yes 14 Anderson Creek Yes Knotweed 10/9/2024 12219-50-***** Yes 14 Anderson Creek Yes Knotweed 9/24/2024 12209-31-***** yes 15 Coulter Creek Yes Knotweed 9/24/2024 12209-31-***** yes 15 Coulter Creek Yes Knotweed 9/24/2024 12209-24-***** yes 15 Coulter Creek Yes Knotweed 9/24/2024 12209-31-***** yes 15 Coulter Creek Yes Knotweed 9/10/2024 12220-50-***** Yes 14 Lake Anderson Yes Knotweed 9/10/2024 12220-50-***** Yes 14 Lake Anderson Yes Knotweed 10/9/2024 12229-22-***** Yes 14 Sherwood Creek Yes Knotweed 10/9/2024 12220-33-***** Yes 14 Sherwood Creek Yes Knotweed 10/9/2024 12229-22-***** Yes 14 Sherwood Creek Yes Knotweed 10/9/2024 12230-00-***** Yes 14 Sherwood Creek Yes Knotweed 10/9/2024 12230-10-***** Yes 14 Sherwood Creek Yes Knotweed 10/9/2024 12230-11-***** Yes 14 Sherwood Creek Yes Knotweed 10/9/2024 12229-22-***** Yes 14 Sherwood Creek Yes Knotweed 10/9/2024 12229-51-***** Yes 14 Sherwood Creek Yes Knotweed 10/9/2024 12220-33-***** Yes 14 Sherwood Creek Yes Knotweed 9/24/2024 12209-24-***** yes 15 Coulter Creek yes Knotweed 9/18/2024 22201-52-***** Yes 15 Hood Canal Yes Knotweed 9/30/2024 22336-13-***** Yes 15 Mission Creek Yes Knotweed 9/30/2024 22336-50-***** Yes 15 Mission Creek Yes Knotweed 9/30/2024 22336-50-***** Yes 15 Mission Creek Yes Knotweed 9/27/2024 22211-51-***** Yes 15 Stimson Creek Yes Knotweed 9/27/2024 22211-51-***** Yes 15 Stimson Creek Yes Knotweed 9/27/2024 22203-44-***** Yes 15 Stimson Creek Yes Knotweed 8/8/2024 42211-50-***** Yes 16 Finch Creek Yes Knotweed 8/8/2024 42211-50-***** Yes 16 Finch Creek Yes Knotweed 8/8/2024 42211-50-***** Yes 16 Finch Creek Yes Knotweed 9/23/2024 42211-41-***** Yes 16 Finch Creek Yes Knotweed 9/23/2024 42211-41-***** Yes 16 Finch Creek Yes Knotweed 9/23/2024 42212-50-***** Yes 16 Finch Creek Yes Knotweed 9/23/2024 42211-44-***** Yes 16 Finch Creek Yes Knotweed 9/23/2024 42211-41-***** Yes 16 Finch Creek Yes Knotweed 9/24/2024 12208-00-***** yes 15 Hood Canal yes Knotweed 9/23/2024 42212-50-***** Yes 16 Finch Creek Yes Knotweed 9 Appendix 3 — Summary of 2024 non-WSDA Knotweed Accomplishments Terrestrial Total 9 landowners 13 L parcels worked . 9 new permissions 4 renewed permission 0.0916 KnotweedSolid Acres of F -ml Treated (Acres) EMM2D. • � 8/21/2024 12332-50-***** No NA NA No Knotweed 8/21/2024 12332-50-***** No NA NA No Knotweed 9/10/2024 12220-00-***** No NA NA No Knotweed 9/11/2024 32024-54-***** No NA NA No Knotweed 9/12/2024 12332-50-***** No NA NA No Knotweed 9/12/2024 12332-50-***** No NA NA No Knotweed 9/12/2024 22334-00-***** No NA NA No Knotweed 9/13/2024 32019-24-***** No NA NA No Knotweed 9/23/2024 42212-50-***** No NA NA No Knotweed 9/23/2024 42211-00-***** No NA NA No Knotweed 9/23/2024 42212-50-***** No NA NA No Knotweed 10/3/2024 12232-40-***** Yes 14 Case Inlet No Knotweed 10/3/2024 12232-40-***** Yes 14 Case Inlet No Knotweed 10 Coulter Creek permitted areas f r Finch Creek permitted areas 12 Missionpermitted areas 13 c�* i • :h V ■ ', F ,J r' i Sherwood/Anderson Creek and Allyn, WA. permitted areas � ,�.. _+�rv,P.a rYw)•swxr' i .ti a+.t ��a�?.`r�"� �i {- a��,, if4 � •�. 1 rt ~ _ �. k + 3- v 14 Stimson Creek permitted areas 15 . • MASON COUNTY Public Health & Human Services Briefing March 31, 2025 Briefing Items Homeless Service Provider Presentation—Community Lifeline CHG Supplemental Funds Contract Amendments Request for Proposal Homeless Response Grant Funds Health Care Authority(HCA) Reentry Demonstration Project Lease Renewal for 2300 Kati Court, Shelton ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: Melissa Casey Ext:404 Department: Public Health Briefing: ❑X Action Agenda: ❑ Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): 4/7/25 Agenda Date(s): Click or tap here to enter text. Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item• Homeless Service Provider Presentation—Community Lifeline Background/Executive Summary: Erin Martinache, Chair of the Board of Community Lifeline,has prepared a 30-minute presentation for the Board describing 1)the organization's services,2)how many people are served, 3)how many people exit the programs, and 4)how the organization is funded. Budget Impact(amount, funding source,budget amendment, etc.): N/A Public Outreach: N/A Requested Action: None; information only Attachments) None ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: Melissa Casey Ext:404 Department: Public Health Briefing: ❑X Action Agenda: ❑X Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): 3/3/25,4/7/25 Agenda Date(s): 4/15/25 Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item• FY25 Consolidated Homeless Grant Supplemental Funds Contract Amendments Background/Executive Summary: An RFQ to allocate unspent funds for Mason County's Homeless Crisis Response System for Fiscal Year 2025 (July 1, 2024 through June 30,2025)was released to current providers contracted with Mason County through the Consolidated Homeless Grant(CHG)and/or Local Document Recording Fees. Funding decisions were based on prioritization of eligible activities. Budget Impact(amount, funding source,budget amendment, etc.): No impact to general fund; $127,500 from Department of Commerce Consolidated Homeless Grant Public Outreach: Followed the RFP process and contracted with agencies for CHG funding Requested Action: Move contract amendments to 4/15 action agenda for approval Attachments) Crossroads Housing FY24-25 CHG.2163.TST Amendment#7 Shelton Family Center FY24-25 CHG.2163 Amendment#5 Contract Between Mason County and Crossroads Housing Professional Services Contract#CH FY24-25 CHG.2163.TST (MC Contract #23-037) Amendment#7 IT IS MUTUALLY AGREED THEREFORE: That the Original Contract is hereby amended as follows: 1. PURPOSE: Provide additional funding to support additional rent for the CHG Eviction Prevention Program to serve at least 15 households. 2. FUND SOURCE: Consolidated Homeless Grant 3. AMENDMENT TERM: April 1, 2025 through June 30, 2025 4. TOTAL ADDITIONAL AWARD: $70,000 New Budget Category Starting Budget Amended Amount Total New Budget FY 2025 Supplemental Funds — EP $0 $70,000 $70,000 Rent 5. SCOPE OF WORK: • Households must be connected to the Dispute Resolution Center before rent is paid to attempt conciliation and reconciliation to prevent evictions. • Crossroads Housing will enhance relationships with the courts to reduce the number of unlawful detainer cases. ALL OTHER TERMS AND CONDITIONS of the original Contract and any subsequent amendments hereto remain in full force and effect. IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof on the day of 12025. CONTRACTOR MASON COUNTY Tanya Frazier Sharon Trask, Chair Executive Director Mason County Board of County Commissioners 1 Contract Between Mason County and Shelton Family Center Professional Services Contract#SFC FY24-25 CHG.2163 (MC Contract#23-039) Amendment#5 IT IS MUTUALLY AGREED THEREFORE: That the Original Contract is hereby amended as follows: 1. PURPOSE: Provide additional funding to support additional rent for the CHG Eviction Prevention Program to serve 15 households and to support current shelter housing needs. 2. FUND SOURCE: Consolidated Homeless Grant 3. AMENDMENT TERM: April 1, 2025 through June 30, 2025 4. TOTAL ADDITIONAL AWARD: $57,500 New Budget Category Starting Budget Amended Amount Total New Budget FY 2025 Supplemental Funds $0 $57,500 $57,500 Budget Breakdown: FY25 Supplemental Funds Support for EP Rent $45,000 FY25 Supplemental Funds Support for EP Operations $5,000 FY25 Supplemental Funds Support for Facility Support $7,500 Facility Support Items Amount Queen bed X 2 $1,000 Queen bed Frame X 2 $1,000 Twin Bed Replacement x 6 $1,500 Twin Bed Frame replacement x 6 $750 Supplies to replace $3,250 Supplies include kitchen equipment (dishes, cookware) and cleaning supplies (brooms, mops, garbage cans). ALL OTHER TERMS AND CONDITIONS of the original Contract and any subsequent amendments hereto remain in full force and effect. IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof on the day of , 2025. CONTRACTOR MASON COUNTY Susan Kirchoff Sharon Trask, Chair Executive Director Mason County Board of County Commissioners 1 ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: Melissa Casey Ext:404 Department: Public Health Briefing: ❑X Action Agenda: ❑X Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): 4/7/25 Agenda Date(s): 4/15/25 Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item• Request for Proposal Homeless Response Grant Funds Background/Executive Summary: Mason County Public Health&Human Services is pleased to announce the Request for Proposal Application for Homeless Response Grants is now open for the fiscal year 2026-2027 grant term. The News Release is a call for applications for the new grant term. Budget Impact(amount, funding source,budget amendment, etc.): N/A Public Outreach: News Release Requested Action: Approval of News Release to be read at the April 15th,2025 regular meeting Attachments) News Release SON c0U�rA NEWS RELEASE 4/15/25 = MASON COUNTY COMMISSIONERS' OFFICE rasa 411 N 5TH ST,BLDG 1, SHELTON,WA 98584 TO: KMAS, KRXY, SHELTON-MASON COUNTY JOURNAL, THE OLYMPIAN, SHELTON CHAMBER OF COMMERCE,NORTH MASON CHAMBER OF COMMERCE, CITY OF SHELTON, ECONOMIC DEVELOPMENT COUNCIL, THE SUN RE: Request for Proposal Homeless Response Grant Funds Mason County Public Health&Human Services is pleased to announce the Request for Proposal Application for Homeless Response Grants is now open for the fiscal year 2026-2027 grant term. The Homeless Response Grant Program includes funds from the Consolidated Homeless Grant(CHG) and the Local Document Recording Fees (RCW 36.22.179-1791) administered by Mason County. Mason County Public Health& Human Services is responsible for contracting and compliance activities related to these homeless response funds. These funds provide resources to agencies that respond to the immediacy and urgency of homelessness and ensure everyone has a safe and appropriate place to live. Mason County Public Health& Human Services is committed to supporting agencies that aim to end homelessness in Mason County. The RFP Application materials can be found on the Mason County website under Request for Proposals at: https://masoncountywa.gov/ CONTACT PERSON: Todd Parker Phone: (360) 427-9670 ext. 293 Email: t2arker(amasoncountywa.gov BOARD OF MASON COUNTY COMMISSIONERS Sharon Trask, Pat Tarzwell, Randy Neatherlin, Chair Vice-Chair Commissioner *1854 Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: David Windom Ext:260 Department: Public Health Briefing: Action Agenda: ❑ Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): 7 April 2025 Agenda Date(s): Click or tap here to enter text. Internal Review: ❑ Finance ❑ Human Resources ® Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item: HCA Reentry Demonstration Project<HCAReentryDemonstrationProject@hca.wa.gov> Background/Executive Summary: The Sheriffs office has requested to be removed from the Health Care Authority Reentry Demonstration Cohort 3 project,citing a lack of space and expertise to implement the project,as well as the tight timelines involved. Budget Impact(amount, funding source,budget amendment, etc.): No change to the current budget Public Outreach: Requested Action:Allow the public health director to coordinate the withdrawal from the project with the Health Care Authority Attachment(s): Original contract Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 Washington State INTERAGENCY AGREEMENT HCA Contract Number: K7845 Health CareVuthority' Reentry Demonstration Contractor Contract Number: Initiative Project THIS AGREEMENT is made by and between Washington State Health Care Authority (HCA) and Mason County Jail (Contractor), pursuant to the authority granted by Chapter 39.34 RCW. CONTRACTOR NAME CONTRACTOR DOING BUSINESS AS (DBA) Mason County Jail CONTRACTOR ADDRESS Street Citv State Zip Code 322 N 3rd St Shelton WA 98584 CONTRACTOR CONTRACT MANAGER CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS David Windom (360)427-9670 ext. 260 dwindom@masoncountywa.gov HCA PROGRAM HCA DIVISION/SECTION Medicaid Reentry Demonstration Initiative Project 1070/OMT HCA CONTRACT MANAGER NAME AND TITLE HCA CONTRACT MANAGER ADDRESS Emma Oppenheim, Medicaid Transformation Project Director Health Care Authority 626 8th Avenue SE Olympia, WA 98504 HCA CONTRACT MANAGER TELEPHONE HCA CONTRACT MANAGER E-MAIL ADDRESS (360)725-0868 emma.oppenheim@hca.wa.gov CONTRACT START DATE CONTRACT END DATE TOTAL MAXIMUM CONTRACT AMOUNT July 1, 2024 July 31, 2028 $2,250,000.00 PURPOSE OF CONTRACT: To provide essential services for individuals while in or leaving a carceral facility(i.e., state prison, county/city jail, or youth correctional facility). The parties signing below warrant that they have read and understand this Contract, have authority to execute this Contract. This Contract will only be binding upon signature by both parties. The parties may execute this contract in multiple counterparts, each of which is deemed an original and all of which constitute only one agreement. E-mail (electronic mail)transmission of a signed copy of this contract shall be the same as delivery of an original. CONTRACTOR SIGNATURE PRINTED NAME AND TITLE DATE lE°ocuSigned by: Randy Neatherlin ra ud ' t& Randy Neatherlin Mason county Commissioner 7/31/2024 n.t IF('.F)i4ll HCA SIGNATURE PRINTED NAME AND TITLE DATE Uosigned by: Annette Schuffenhauer t, S Chief Legal Officer 7/31/2024 P.1.c.u.-I.- 4 Washington State Page 1 of 24 HCA IAA K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 1. DEFINITIONS "Accountable Community of Health" or"ACH" means a regional coalition consisting of leaders from a variety of different sectors working together to build capacity to work collaboratively, develop regional health improvement plans, jointly implement or advance local health projects, and advise state agencies on how best to address health needs within its region. "Authorized Representative" means a person to whom signature authority has been delegated in writing acting within the limits of the person's authority. "Capacity Building Application" means a formal application for specific capacity building funds and specifications of how these funds will be spent by facilities on IT and non-IT needs. It also includes a detailed plan of how the work will be implemented. "Centers for Medicare and Medicaid Services" or "CMS" means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the Medicare and Medicaid programs. "Confidential Information" means information that may be exempt from disclosure to the public or other unauthorized persons under chapter 42.56 RCW or chapter 70.02 RCW or other state or federal statutes or regulations. Confidential Information includes, but is not limited to, any information identifiable to an individual that relates to a natural person's health, finances, education, business, use or receipt of governmental services, names, addresses, telephone numbers, social security numbers, driver license numbers, financial profiles, credit card numbers, financial identifiers and any other identifying numbers, law enforcement records, HCA source code or object code, or HCA or State security information. "Contract" or"Agreement" means the entire written agreement between HCA and the contractor, including any exhibits, documents, or materials incorporated by reference. Contract and Agreement may be used interchangeably. "Contractor" means Mason County Jail, its employees and agents. Contractor includes any firm, provider, organization, individual or other entity performing services under this Agreement. It also includes any Subcontractor retained by Contractor as permitted under the terms of this Agreement. "Data" means information disclosed, exchanged or used by Contractor in meeting requirements under this Agreement. Data may also include Confidential Information as defined in this Contract. Financial Executor Portal" or "FE Portal" means the payment portal where incentive funds flow from federal Center for Medicare and Medicaid Services through the Delivery System Reform Incentive Payment program. "Health Care Authority" or "HCA" means the Washington State Health Care Authority, any division, section, office, unit or other entity of HCA, or any of the officers or other officials lawfully representing HCA. "Health-Related Social Needs" or "HRSN" means the social and economic needs that individuals experience that affect their ability to maintain their health and well-being. These include needs such as Washington State Page 2 of 24 HCA IAA K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 employment, affordable and stable housing, healthy food, personal safety, transportation, and affordable utilities. "Implementation Plan" means how the Contractor describes how the facility will support pre-release services, as outlined in the Statement of Work Attachment 1; #3. "Interim and Final Progress Report" means a report that includes information on both the initial progress and the outcomes of the Reentry Demonstration Initiative Opportunity (Initiative). "Information and Communication Technology" or "ICT" means information technology and other equipment, systems, technologies, or processes, for which the principal function is the creation, manipulation, storage, display, receipt, or transmission of electronic data and information, as well as any associated content. Examples include computers and peripheral equipment; information kiosks and transaction machines; telecommunications equipment; customer premises equipment; multifunction office machines; software; applications; websites; videos; and electronic documents. "Letter of Intent" means a document that provides specific facility information and is a commitment to participate in the Initiative. "Readiness Assessment" means a framework for assessing a Contractor's ability to go-live or fully participate in the Initiative and will include an attestation that the facility has met all of the requirements. "Reentry" means a broadly defined demonstration population that includes otherwise eligible, soon-to- be former incarcerated individuals as defined by the Reentry Section 1115 Demonstration Intitiative Opportunity. It can include both pre-release and post-release services. "Services" means all work performed or provided by Contractor pursuant to this Contract. "Statement of Work" or "SOW" means a detailed description of the work activities the Contractor is required to perform under the terms and conditions of this Contract, including the deliverables and timeline, and is included as Attachment 1. "Subcontractor" means a person or entity that is not in the employment of the Contractor, who is performing all or part of the business activities under this Agreement under a separate contract with Contractor. The term "Subcontractor" means subcontractor(s) of any tier. "Subrecipient" shall have the meaning given in 45 C.F.R. 75.2, or any successor or replacement to such definition, for any federal award from HHS; or 2 C.F.R. 200.93, or any successor or replacement to such definition, for any other federal award. "Third Party Administrator" or "TPA" is an entity that may provide implementation and administrative support to carceral facilities in support of reentry. 2. STATEMENT OF WORK Contractor will furnish the necessary personnel, equipment, material and/or service(s) and otherwise do all things necessary for or incidental to the performance of work set forth in Attachment 1. Washington State Page 3 of 24 HCA IAA K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 3. PERIOD OF PERFORMANCE Subject to its other provisions, the period of performance of this Contract will commence on date of last signature, and continue through July 31, 2028, unless terminated sooner or extended upon written agreement between the parties. 4. PAYMENT Compensation for the work provided in accordance with this Agreement has been established under the terms of RCW 39.34.130. Compensation for services will be based in accordance with the following terms set forth in the Statement of Work, Attachment 1. 5. PAYMENT PROCESS 5.1. HCA will pay the Contractor for the targeted milestones set forth in Attachment 1: Statement of Work. 5.2. The milestone deliverables must be submitted per the instructions set forth in the Attachment 1: Statement of Work and must describe and document to HCA's satisfaction the required information. All milestone deliverable submissions will be reviewed and must be approved by the HCA Contract Manager or designee prior to payment. 5.3. Once Contractor's submission of milestone deliverables have been accepted and approved by HCA, payments will distributed by HCA through the Financial Executor(FE) Portal at https://wafinancialexecutor.com/. 5.4. FE Portal customer service telephone number is (844) 300-5040 or accessible by email at WA—FE—FinancialServices@pcgus.com. 5.5. Payment will be considered timely if made within thirty (30)calendar days of receipt of properly completed invoices. 5.6. Upon expiration or termination any claims for payment for costs due and payable under this Agreement that are incurred prior to the expiration date must be submitted by Contractor within sixty(60)calendar days after the expiration date. There will be no obligation to pay any claims that are submitted sixty-one (61)or more calendar days after the expiration date ("Belated Claims"). Belated Claims will be paid at HCA's sole discretion, and any such potential payment is contingent upon the availability of funds. 6. ACCESSIBILITY 6.1. REQUIREMENTS AND STANDARDS. Each information and communication technology (ICT) product or service furnished under this Contract shall be accessible to and usable by individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and other applicable Federal and State laws and policies, including OCIO Policy 188, et seq. For purposes of this clause, Contractor shall be considered in compliance with the ADA and other applicable Federal and State laws if it satisfies the requirements (including exceptions)specified in the Washington State Page 4 of 24 HCA IAA K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 regulations implementing Section 508 of the Rehabilitation Act, including the Web Content Accessibility Guidelines (WCAG)2.1 Level AA Success Criteria and Conformance Requirements (2008), which are incorporated by reference, and the functional performance criteria. 6.2. DOCUMENTATION. Contractor shall maintain and retain, subject to review by HCA, full documentation of the measures taken to ensure compliance with the applicable requirements and functional performance criteria, including records of any testing or simulations conducted. 6.3. REMEDIATION. If the Contractor claims that its products or services satisfy the applicable requirements and standards specified in this Section and it is later determined by HCA that any furnished product or service is not in compliance with such requirements and standards, HCA will promptly inform Contractor in writing of noncompliance. Contractor shall, at no additional cost to HCA, repair or replace the non-compliant products or services within the period specified by HCA. If the repair or replacement is not completed within the specified time, HCA may cancel the contract, delivery, task order, or work order, or purchase line item without termination liabilities or have any necessary changes made or repairs performed by employees of HCA or by another contractor, and Contractor shall reimburse HCA for any expenses incurred thereby. 6.4. INDEMNIFICATION. Contractor agrees to indemnify and hold harmless HCA from any claim arising out of failure to comply with the aforesaid requirements. 7. AGREEMENT CHANGES, MODIFICATIONS AND AMENDMENTS This Agreement may be amended by mutual agreement of the parties. Such amendments are not binding unless they are in writing and signed by an Authorized Representative of each party. 8. SUBCONTRACTING Neither the Contractor nor any Subcontractor shall enter into subcontracts for any of the work contemplated under this Agreement without obtaining HCA's prior written approval. HCA shall have no responsibility for any action of any such Subcontractors. 9. SUBRECIPIENT If the Contractor is a subrecipient (as defined in 45 C.F.R. 75.2 and 2 C.F.R. 200.93) of federal awards, then the Contractor shall: 9.1. Comply with 2 C.F.R. 200.501 and 45 C.F.R. 75.501; and 9.2. Overpayments: If it is determined by HCA, or during the course of a required audit, that Contractor has been paid unallowable costs under this or any program agreement, Contractor will refund the full amount to HCA. In the event that overpayments or erroneous payments have been made to the Contractor under this Contract, HCA will provide written notice to Contractor and Contractor will refund the full amount to HCA within thirty (30) calendar days of the notice. If the Contractor disagrees with HCA's actions under this section, then it may invoke the dispute resolution provisions of Section 13, Disputes. Washington State Page 5 of 24 HCA IAA K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 10. ASSIGNMENT The work to be provided under this Agreement, and any claim arising thereunder, is not assignable or delegable by either party in whole or in part, without the express prior written consent of the other party, which consent will not be unreasonably withheld. 11. CONTRACT MANAGEMENT The Contract Manager for each of the parties, named on the face of this Contract, will be responsible for and will be the contact person for all communications and billings regarding the performance of this Agreement. Either party must notify the other party within thirty (30)days of change of Contract Management. Changes in Contract Management shall require an amendment. 12. DISALLOWED COSTS The Contractor is responsible for any audit exceptions or disallowed costs incurred by its own organization or that of its Subcontractors. 13. DISPUTES In the event that a dispute arises under this Agreement, it will be determined by a dispute board in the following manner: Each party to this Agreement will appoint one member to the dispute board. The members so appointed will jointly appoint an additional member to the dispute board. The dispute board will review the facts, Agreement terms and applicable statutes and rules and make a determination of the dispute. The dispute board will thereafter decide the dispute with the majority prevailing. The determination of the dispute board will be final and binding on the parties hereto. As an alternative to this process, either of the parties may request intervention by the Governor, as provided by RCW 43.17.330, in which event the Governor's process will control. 14. GOVERNANCE This Agreement is entered into pursuant to and under the authority granted by the laws of the state of Washington and any applicable federal laws. The provisions of this Agreement will be construed to conform to those laws. In the event of an inconsistency in the terms of this Agreement, or between its terms and any applicable statute or rule, the inconsistency will be resolved by giving precedence in the following order: A. Applicable Federal and State of Washington statutes and regulations; B. Attachment 2: Federal Compliance Certifications and Assurances; C. Attachment 1: Statement of Work; D. Exhibit A: Centers of Medicare & Medicaid Services, Special Terms and Conditions; and E. Any other provisions of the agreement, including materials incorporated by reference. Washington State Page 6 of 24 HCA IAA K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 15. INDEPENDENT CAPACITY The employees or agents of each parry who are engaged in the performance of this Agreement will not be considered for any purpose to be employees or agents of the other party. 16. RECORDS MAINTENANCE 16.1. The parties to this Agreement will each maintain books, records, documents and other evidence which sufficiently and properly reflect all direct and indirect costs expended by either party in the performance of the services described herein. These records will be subject to inspection, review or audit by personnel of both parties, other personnel duly authorized by either party, the Office of the State Auditor, and federal officials so authorized by law. All books, records, documents, and other material relevant to this Agreement will be retained for six years after expiration and the Office of the State Auditor, federal auditors, and any persons duly authorized by the parties will have full access and the right to examine any of these materials during this period. 16.2. Records and other documents, in any medium, furnished by one party to this Agreement to the other party, will remain the property of the furnishing party, unless otherwise agreed. The receiving party will not disclose or make available this material to any third parties without first giving notice to the furnishing party and giving it a reasonable opportunity to respond. Each party will use reasonable security procedures and protections to assure that records and documents provided by the other party are not erroneously disclosed to third parties. 17. TREATMENT OF ASSETS 17.1. Ownership HCA shall retain title to all property furnished by HCA to Contractor under this contract. Title to all property furnished by the Contractor, for the cost of which the Contractor is entitled to reimbursement as a direct item of cost under this contract, excluding intellectual property provided by the Contractor, shall pass to and vest in HCA upon delivery of such property by the Contractor. Title to other property, the cost of which is reimbursable to the Contractor under this Contract, shall pass to and vest in HCA upon (i) issuance for use of such property in the performance of this Contract, (ii) commencement of use of such property in the performance of this Contract, or(iii) reimbursement of the cost thereof by HCA, in whole or in part, whichever occurs first. 17.2. Use of Property Any property furnished to Contractor shall, unless otherwise provided herein, or approved in writing by the HCA Contract Manager, be used only for the performance of and subject to the terms of this Contract. Contractor's use of the equipment shall be subject to HCA's security, administrative and other requirements. 17.3. Damage to Property Washington State Page 7 of 24 HCA IAA K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 Contractor shall continuously protect and be responsible for any loss, destruction, or damage to property which results from or is caused by Contractor's acts or omissions. Contractor shall be liable to HCA for costs of repair or replacement for property or equipment that has been lost, destroyed or damaged by Contractor or Contractor's employees, agents or subcontractors. Cost of replacement shall be the current market value of the property and equipment on the date of the loss as determined by HCA. 17.4. Notice of Damage Upon the loss of, destruction of, or damage to any of the property, Contractor shall notify the HCA Contract Manager thereof within one (1) Business Day and shall take all reasonable steps to protect that property from further damage. 17.5. Surrender of Property Contractor will ensure that the property will be returned to HCA in like condition to that in which it was furnished to Contractor, reasonable wear and tear excepted. Contractor shall surrender to HCA all property upon the earlier of expiration or termination of this Contract. 18. RIGHTS IN DATA Unless otherwise provided, data which originates from this Agreement will be "works for hire" as defined by the U.S. Copyright Act of 1976 and will be owned by HCA. Data will include, but not be limited to, reports, documents, pamphlets, advertisements, books, magazines, surveys, studies, computer programs, films, tapes and/or sound reproductions. Ownership includes the right to copyright, patent, register and the ability to transfer these rights. 19. CONFIDENTIALITY Each party agrees not to divulge, publish or otherwise make known to unauthorized persons Confidential Information accessed under this Agreement. Contractor agrees that all materials containing Confidential Information received pursuant to this Agreement, including, but not limited to information derived from or containing patient records, claimant file and medical case management report information, relations with HCA's clients and its employees, and any other information which may be classified as confidential, shall not be disclosed to other persons without HCA's written consent except as may be required by law. 20. SEVERABILITY If any provision of this Agreement or any provision of any document incorporated by reference will be held invalid, such invalidity will not affect the other provisions of this Agreement, which can be given effect without the invalid provision if such remainder conforms to the requirements of applicable law and the fundamental purpose of this agreement, and to this end the provisions of this Agreement are declared to be severable. 21. FUNDING AVAILABILITY Washington State Page 8 of 24 HCA IAA K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 HCA's ability to make payments is contingent on funding availability. In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any way after the effective date and prior to completion or expiration date of this Agreement, HCA, at its sole discretion, may elect to terminate the Agreement, in whole or part, or to renegotiate the Agreement subject to new funding limitations and conditions. HCA may also elect to suspend performance of the Agreement until HCA determines the funding insufficiency is resolved. HCA may exercise any of these options with no notification restrictions. 22. TERMINATION Either party may terminate this Agreement upon 30-days' prior written notification to the other party. If this Agreement is so terminated, the parties will be liable only for performance rendered or costs incurred in accordance with the terms of this Agreement prior to the effective date of termination. 23. TERMINATION FOR CAUSE If for any cause, either party does not fulfill in a timely and proper manner its obligations under this Agreement, or if either party violates any of these terms and conditions, the aggrieved party will give the other party written notice of such failure or violation. The responsible party will be given the opportunity to correct the violation or failure within 30 days. If failure or violation is not corrected, this Agreement may be terminated immediately by written notice of the aggrieved party to the other. 24. WAIVER A failure by either party to exercise its rights under this Agreement will not preclude that party from subsequent exercise of such rights and will not constitute a waiver of any other rights under this Agreement unless stated to be such in a writing signed by an Authorized Representative of the party and attached to the original Agreement. 25. ALL WRITINGS CONTAINED HEREIN This Agreement contains all the terms and conditions agreed upon by the parties. No other understandings, oral or otherwise, regarding the subject matter of this Agreement will be deemed to exist or to bind any of the parties hereto. 26. SURVIVORSHIP The terms, conditions and warranties contained in this Agreement that by their sense and context are intended to survive the completion of the performance, expiration or termination of this Agreement shall so survive. In addition, the terms of the sections titled Rights in Data, Confidentiality, Disputes and Records Maintenance shall survive the termination of this Agreement. Washington State Page 9 of 24 HCA IAA K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 Attachments Attachment 1: Statement of Work Attachment 2: Federal Compliance, Certifications and Assurances Exhibit A: Centers of Medicare & Medicaid Services, special terms and conditions Washington State Page 10 of 24 HCA IAA K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 ATTACHMENT 1: STATEMENT OF WORK The Contractor will provide the services and staff, and otherwise do all things necessary for, or incidental to, the performance of work, as described in this Schedule. 1. Background In June 2023, the Health Care Authority (HCA) received federal approval for a Medicaid waiver demonstration that includes the Initiative. This new Initiative under the Medicaid Transformation Project (MTP) renewal known as the MTP 2.0. was approved by the federal Centers for Medicare and Medicaid Services (CMS)to provide essential services for individuals leaving a state prison, county/city jail, or youth correctional facility. The Initiative will support the delivery of targeted pre-release services to Medicaid eligible adults and youth in state prisons, jails, and youth carceral facilities that will be reimbursed by the Medicaid program known as Apple Health in Washington State. 2. Purpose The purpose of this project is to prepare people for a successful transition and reentry into their community and help them live their healthiest life, improve health outcomes and reducing rates of recidivism (re-offense), emergency department visits, substance use and death. To stabilize and treat common conditions both prior and post release, so the opportunity for a successful reentry is increased. 3. Project Objectives Targeted Pre-Release Services. The first three services listed below will be mandatory for facilities to implement. The last four services are optional. Contractor must support the implementation of a targeted set of pre-release services, as described in the Special Terms and Conditions (STC) of MTP 2.0 and the Reentry Implementation Plan approved by CMS: a. Case management b. Medications for alcohol and opioid use disorder c. 30-day supply of medications and medical supplies at release d. Medications during the pre-release period e. Lab and radiology f. Services by community health workers with lived experience g. Physical and behavioral clinical consultations As appropriate, a third-party administrator(TPA) as well as regional Accountable Communities of Health (ACH) may assist the Contractor in the planning and implementation of these services, including the delivery of appropriate Health Related Social Needs (HRSN), and the milestones in Section 4. Additionally, HCA will collaborate with facilities on solutions for electronic health record (EHR) systems and systems that bill for Medicaid services. Activities for implementing reentry services must include: a. Communicating with HCA regarding Initiative implementation b. Meeting cohort milestones as described below. c. Ensuring that a client receives targeted pre-release services and when feasible, providing HRSN services for clients reentering a community. Washington State 11 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 d. An ability to support communication with community providers and Medicaid billing. 4. Milestones The Contractor will develop and implement the following deliverables that execute the Project Objectives. The Contractor will provide services and deliverables to perform all activities necessary for or incidental to the performance of work as set forth under this SOW and described in the Waiver to achieve progress on the following milestones. Milestone 1 — Letter of Intent Following the receipt of a Letter of Intent documentation and approval by HCA, Contractor must meet the specifications outlined in the template provided to the Contractor as determined by HCA for each of the following four milestones in order to receive funding and participate in the next milestone. Milestone 2 - Complete a Capacity Building Application The Capacity Building Application includes an Implementation Plan and a detailed budget. The Implementation plan must describe how the facility will support pre-release services. The detailed budget will represent a facility's formal application for capacity building funds and will specify how capacity building funds will be spent by facilities on IT and non-IT needs. Facilities in Cohorts 1 and 2 that identify the need for additional time to complete a Capacity Building Application may implement after the go live date of that cohort or join a subsequent cohort and complete milestones in-line with the deadlines for these cohorts. Milestone 3 - Complete a Readiness Assessment The Readiness Assessment report must include a framework for assessing facility readiness to go-live as part of the Initiative and will include an attestation that the facility is ready to go-live. HCA will provide a template for the assessment and will review submitted assessments and determine facility readiness prior to the go-live date for each facility. Milestone 4 - Submit Interim Progress Report The Contractor will be required to submit an Interim Progress Report to HCA with information on the initial implementation of the Initiative. HCA will provide a template for the Interim Progress Report and will review and approve submitted progress reports. Milestone 5— Submit Final Progress Report The Contractor will be required to submit a Final Progress Report to HCA with information on the overall implementation progress of the Initiative and outcomes for clients. HCA will provide a template for the Final Progress Report and will review and approve submitted progress reports. Milestones deadlines will be based upon the cohort a Facility participates in. Milestone deadlines for Cohort 1 are as follows: • Implement. . . . Assessment Pla-r I services is W. 0 Cohort 1 June 1, 2024 Oct 1, 2024 Mar 1, 2025 July 1, 2025 May 1, 2026P0ctq1, 2026 5. HCA Responsibilities Washington State 12 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 HCA will provide IT infrastructure funding through the Capacity Building Program. If needed, HCA will collaborate with facilities on solutions for electronic health record (EHR) systems and systems that bill for Medicaid services. HCA is soliciting for TPA to provide administrative support possibly starting as early as Q1 2025. The administrative support may include but may not be limited to assisting clients with Medicaid eligibility screening and application, supporting providers to become enrolled as a Medicaid provider, and serving as a claim clearinghouse that helps facilities and providers prepare and submit claims. 6. Capacity Building Program Funding Contractors that complete Milestone 2 —Capacity Building Application, HCA will provide capacity building funding to facilities to support the planning for and implementation of the Demonstration. Eligible uses of the funding are available in Appendix A, and include the following activities: a. IT infrastructure funding to support systems changes for data exchange, access to virtual health services, and other IT needs. b. Reentry planning and implementation funding to support planning expenses, such as the development of process changes, protocols, and procedures for implementation and hiring and training of staff. Maximum funding for reentry planning and implementation will vary by facility size, based on their average daily population for the period of time specified in the Contractor's Letter of Intent response. The table below delineates the maximum funding amounts for Tier 2 facilities. The maximum IT infrastructure funding will be $1 million for each participating facility. Facility tier Total capacity Total IT _11W Total funding (based on average daily building funding infrastructure per facility ••• • per • • facilityper Tier 2 (50—249) $1,250,000 $1,000,000 $2,250,000 7. Milestone Deliverables Compensation Table HCA will assess Contractor's progress towards achieving the Initiative goals based on achievement of specific milestones and measured by these milestones. Distribution of Capacity Building funding to Contractor is based on a Contractor's tier as described below and is contingent upon their completion of the implementation milestones described below. Milestones will be developed by the State in consultation with stakeholders and members of the public and approved by CMS. Generally, progress milestones will be organized into the following categories: Milestones I Funding IT Funding Timing for Cohort 1 Planning Milestones Before Go-Live with Pre-Release Services 1) Letter of Intent 10% of total RPP funding N/A Due Date June 1, 2024 Submission upon submission: Funding Paid: July 2024 Tier 2: $125,000 Washington State 13 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 2) Capacity Building Up to 40% of total RPP Up to Due Date: October 1, Application funding upon approval: $500,000 2024 Submission Tier 2: Up to $500,000 upon Funding Paid: December approval of 1, 2024 the Application 3) Readiness Up to 40% of total RPP Up to Due Date: March 1, 2025 Assessment funding upon approval: $500,000 Funding Paid: July 1, Submission and Tier 2: Up to $500,000 upon 2025 Approval approval of the Readiness Assessment Implementation Milestones After Go-Live with Pre-Release Services 4) Interim Progress Up to 5% of total RPP funding N/A Due Date: May 1, 2026 Report Submission upon submission: Funding Paid: July 1, Tier 2: Up to $62,500 2026 5) Final Progress Up to 5% of total RPP funding N/A Due Date: November 1, Report Submission upon submission: 2026 Tier 2: Up to $62,500 Funding Paid: January 1, 2027 Participating in the Evaluation Contractor will support the Evaluation of the Initiative. HCA contracted with an independent evaluator to evaluate the Waiver. The evaluator will use claims data from pre-release services to assess the effectiveness of this Initiative. The evaluator stores and analyzes the data in a secure environment. Facilities that participate are consenting to the use of this claims data for evaluation. Facility staff may also be asked to participate in qualitative interviews performed by the independent evaluator regarding their experience participating in the Initiative, to inform the evaluation. Washington State 14 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 Appendix A: Eligible Uses of Capacity Building Funding Eligible uses of capacity building funds • Development of protocols and procedures. ■ Expenditures to support the preparation/execution of policies and procedures related to enrollment and suspension/unsuspension and pre- and post-release reentry navigation services. • Additional activities to promote collaboration. ■ Expenditures for additional activities that will advance collaboration among stakeholders. This may include conferences and meetings convened with the agencies, organizations, and stakeholders involved in the initiative. • Expenditures for planning to focus on developing processes and information sharing protocols to: ■ Identify uninsured individuals who are potentially eligible for Medicaid/ Children's Health Insurance Program (CHIP). • Assist with the completion of an application. • Submit an application to the county social services department for coordinating suspension/unsuspension. • Screen for eligibility for pre-release services and reentry planning in a period for up to 90 days immediately prior to the expected date of release. • Deliver necessary services to eligible individuals in a period for up to 90 days immediately prior to the expected date of release and care coordination to support reentry. • Establish ongoing oversight and monitoring process upon implementation. • Hiring of staff and training to: ■ Assist with the coordination of enrollment/suspension/unsuspension. ■ Provide reentry navigation services during the 90-day pre-release period, and to support reentry. ■ Provide overall guidance on how to work with justice-involved individuals effectively and appropriately. ■ Support an environment appropriate for provision of 90-day pre-release services. ■ Accommodations for private space, such as correctional facility-grade moveable screen walls, desks, and chairs to conduct assessments and interviews within carceral settings. Eligible uses of IT infrastructure funding • Electronic interfaces for prisons,jails, and youth facilities to support enrollment/suspension. • Enhancements to existing IT systems to create and improve data-exchange to support reentry navigation services in the 90-day pre-release and post-release period. Washington State 15 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 • Adoption of system upgrades to ensure compatibility with Epic's data sharing platform. Any additional expenses related to upgrades—including the billing module or new platforms—not covered by Health Care Management and Coordination System (HCMACS) which will likely not be available until mid- 2025. • Installation of audio-visual equipment or other technology to support provision of pre-release services delivered via telehealth in a period for up to 90 days immediately prior to the expected date of release and care coordination to support reentry. Washington State 16 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 ATTACHMENT 2: FEDERAL COMPLIANCE, CERTIFICATIONS AND ASSURANCES I. FEDERAL COMPLIANCE-The use of federal funds requires additional compliance and control mechanisms to be in place. The following represents the majority of compliance elements that may apply to any federal funds provided under this contract. For clarification regarding any of these elements or details specific to the federal funds in this contract, contact: HCA DBHR Contract Manager. a. Source of Funds: This Contract is being funded through Washingtons State's five-year Medicaid Transformation Project 2.0 approved under section 1115(a)of the federal Social Security Act by the Center for Medicare and Medicaid Service (CMS)on June 30, 2023, No. 11-W-00304/0 and 21-W-00071/0. b. Period of Availability of Funds: Funds will become available to Contractor or Subrecipient commencing on the date of final signature of the Contract to which is attached and continuing through June 30, 2028. c. Single Audit Act:This section applies to subrecipients only. Subrecipient (including private, for-profit hospitals and non-profit institutions)shall adhere to the federal Office of Management and Budget(OMB) Super Circular 2 CFR 200.501 and 45 CFR 75.501. A Subrecipient who expends $750,000 or more in federal awards during a given fiscal year shall have a single or program-specific audit for that year in accordance with the provisions of OMB Super Circular 2 CFR 200.501 and 45 CFR 75.501. d. Modifications:This Contract may not be modified or amended, nor may any term or provision be waived or discharged, including this particular Paragraph, except in writing, signed upon by both parties. 1) Examples of items requiring Health Care Authority prior written approval include, but are not limited to, the following: i. Deviations from the budget and Project plan. ii. Change in scope or objective of the Contract. iii. Change in a key person specified in the Contract. iv. The absence for more than one (1) months or a 25% reduction in time by the Project Manager/Director. V. Need for additional funding. vi. Inclusion of costs that require prior approvals as outlined in the appropriate costprinciples. vii. Any changes in budget line item(s) of greater than twenty percent(20%)of the total budget in this Contract. 2) No changes are to be implemented by the Sub-awardee until a written notice of approval is received from the Health Care Authority. e. Sub-Contracting:The Contractor or Subrecipient shall not enter into a sub-contract for any of the work performed under this Contract without obtaining the prior written approval of the Health Care Authority. If sub-contractors are approved by the Health Care Authority, the subcontract, shall contain, at a minimum, sections of the Contract pertaining to Debarred and Suspended Vendors, Lobbying certification, Audit requirements, and/or any other project Federal, state, and local requirements. f. Condition for Receipt of Health Care Authority Funds: Funds provided by Health Care Authority to the Contractor or Subrecipient under this Contract may not be used by the Washington State 17 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 Contractor or Subrecipient as a match or cost-sharing provision to secure other federal monies without prior written approval by the Health Care Authority. g. Unallowable Costs:The Contractor or Subrecipient's expenditures shall be subject to reduction for amounts included in any invoice or prior payment made which determined by HCA not to constitute allowable costs on the basis of audits, reviews, or monitoring of this Contract. h. Supplanting Compliance: SABG: If SABG funds support this Contract, the Block Grant will not be used to supplant State funding of alcohol and other drug prevention and treatment programs. (45 CFR section 96.123(a)(10)). i. Federal Compliance:The Contractor or Subrecipient shall comply with all applicable State and Federal statutes, laws, rules, and regulations in the performance of this Contract, whether included specifically in this Contract or not. j. Civil Rights and Non-Discrimination Obligations: During the performance of this Contract, the Contractor or Subrecipient shall comply with all current and future federal statutes relating to nondiscrimination. These include but are not limited to: Title VI of the Civil Rights Act of 1964 (PL 88-352), Title IX of the Education Amendments of 1972 (20 U.S.C. §§ 1681-1683 and 1685-1686), section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101-6107), the Drug Abuse Office and Treatment Act of 1972 (PL 92-255), the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290dd-3 and 290ee-3), Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), and the Americans with Disability Act (42 U.S.C., Section 12101 et seq.) http://www.hhs.gov/ocr/civilrights. HCA Federal Compliance Contact Information Washington State Health Care Authority Post Office Box 42710 Olympia, Washington 98504-2710 II. CIRCULARS `COMPLIANCE MATRIX' -The following compliance matrix identifies the OMB Circulars that contain the requirements which govern expenditure of federal funds. These requirements apply to the Washington State Health Care Authority (HCA), as the primary recipient of federal funds and then follow the funds to the sub-awardee, Mason County Jail. The federal Circulars which provide the applicable administrative requirements, cost principles and audit requirements are identified by sub-awardee organization type. OMB CIRCULAR ENTITY TYPE ADMINISTRATIVE COST AUDIT REQUIREMENTS REQUIREMENTS PRINCIPLES State. Local and Indian OMB Super Circular 2 CFR 200.501 and 45 CFR 75.501 Tribal Governments and Governmental Hospitals Non-Profit Organizations and Non- Profit Hospitals Colleges or Universities and Affiliated Hospitals For-Profit Organizations Washington State 18 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 III. STANDARD FEDERAL CERTIFICATIONS AND ASSURANCES - Following are the Assurances, Certifications, and Special Conditions that apply to all federally funded (in whole or in part) Contracts administered by the Washington State Health Care Authority. a. CERTIFICATION REGARDING DEBARMENT AND SUSPENSION : The undersigned (authorized official signing for the contracting organization) certifies to the best of his or her knowledge and belief, that the contractor, defined as the primary participant in accordance with 45 CFR Part 76, and its principals: are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal Department or agency have not within a 3-year period preceding this contract been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local)transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; are not presently indicted or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local)with commission of any of the offenses enumerated in Section 2 of this certification; and have not within a 3-year period preceding this contract had one or more public transactions (Federal, State, or local)terminated for cause or default. Should the Contractor or Subrecipient not be able to provide this certification, an explanation as to why should be placed after the assurances page in the contract. The contractor agrees by signing this contract that it will include, without modification, the clause above certification in all lower tier covered transactions (i.e., transactions with sub- grantees and/or contractors)and in all solicitations for lower tier covered transactions in accordance with 45 CFR Part 76. b. CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS: The undersigned (authorized official signing for the contracting organization) certifies that the contractor will, or will continue to, provide a drug-free workplace in accordance with 45 CFR Part 76 by: 1. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; Establishing an ongoing drug-free awareness program to inform employees about i. The dangers of drug abuse in the workplace; ii. The contractor's policy of maintaining a drug-free workplace; iii. Any available drug counseling, rehabilitation, and employee assistance programs; and iv. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; 2. Making it a requirement that each employee to be engaged in the performance of the contract be given a copy of the statement required by paragraph (1) above; 3. Notifying the employee in the statement required by paragraph (1), above, that, as a condition of employment under the contract, the employee Will— i. Abide by the terms of the statement; and Washington State 19 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 ii. Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five (5) calendar days after such conviction; 4. Notifying the agency in writing within ten calendar days after receiving notice under paragraph (111)(b)from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every contract officer or other designee on whose contract activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; 5. Taking one of the following actions, within thirty (30) calendar days of receiving notice under paragraph (III) (b), with respect to any employee who is so convicted— i. Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or ii. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; 6. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (1) through (V). For purposes of paragraph (V) regarding agency notification of criminal drug convictions, Authority has designated the following central point for receipt of such notices: Legal Services Manager WA State Health Care Authority PO Box 42700 Olympia, WA 98504-2700 c. CERTIFICATION REGARDING LOBBYING: Title 31, United States Code, Section 1352, entitled "Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions,"generally prohibits recipients of Federal grants and cooperative Contracts from using Federal (appropriated)funds for lobbying the Executive or Legislative Branches of the Federal Government in connection with a SPECIFIC grant or cooperative Contract. Section 1352 also requires that each person who requests or receives a Federal grant or cooperative Contract must disclose lobbying undertaken with non-Federal (non-appropriated)funds. These requirements apply to grants and cooperative Contracts EXCEEDING $100,000 in total costs (45 CFR Part 93). The undersigned (authorized official signing for the contracting organization) certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative Contract, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative Contract. Washington State 20 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 2. If any funds other than Federally appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative Contract, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. (If needed, Standard Form-LLL, "Disclosure of Lobbying Activities," its instructions, and continuation sheet are included at the end of this application form.) 3. The undersigned shall require that the language of this certification be included in the award documents for all subcontracts at all tiers (including subcontracts, subcontracts, and contracts under grants, loans and cooperative Contracts) and that all sub- recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. d. CERTIFICATION REGARDING PROGRAM FRAUD CIVIL REMEDIES ACT (PFCRA): The undersigned (authorized official signing for the contracting organization) certifies that the statements herein are true, complete, and accurate to the best of his or her knowledge, and that he or she is aware that any false, fictitious, or fraudulent statements or claims may subject him or her to criminal, civil, or administrative penalties. The undersigned agrees that the contracting organization will comply with the Public Health Service terms and conditions of award if a contract is awarded. e. CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE: Public Law 103-227, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, early childhood development services, education or library services to children under the age of 18, if the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law also applies to children's services that are provided in indoor facilities that are constructed, operated, or maintained with such Federal funds. The law does not apply to children's services provided in private residence, portions of facilities used for inpatient drug or alcohol treatment, service providers whose sole source of applicable Federal funds is Medicare or Medicaid, or facilities where WIC coupons are redeemed. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. By signing the certification, the undersigned certifies that the contracting organization will comply with the requirements of the Act and will not allow smoking within any portion of any indoor facility used for the provision of services for children as defined by the Act. The contracting organization agrees that it will require that the language of this certification be included in any subcontracts which contain provisions for children's services and that all sub- recipients shall certify accordingly. Washington State 21 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 The Public Health Services strongly encourages all recipients to provide a smoke-free workplace and promote the non-use of tobacco products. This is consistent with the PHS mission to protect and advance the physical and mental health of the American people. f. CERTIFICATION REGARDING OTHER RESPONSIBILITY MATTERS 1. The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective contractor shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective contractor to furnish a certification or an explanation shall disqualify such person from participation in this transaction. 2. The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If it is later determined that the prospective contractor knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause of default. 3. The prospective contractor shall provide immediate written notice to the department or agency to whom this contract is submitted if at any time the prospective contractor learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. You may contact the person to whom this contract is submitted for assistance in obtaining a copy of those regulations. 5. The prospective contractor agrees by submitting this contract that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by Authority. 6. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 7. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, HCA may terminate this transaction for cause or default. Washington State 22 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 CONTRACTOR SIGNATURE REQUIRED rZAT" 8� OF AUTHORIZED CERTIFYING OFFICIAL: TITLE: ud"t,, Randy Neatherlin Mason county Comm s: OttvAWAESO PRINT OR TYPE NAME: Randy Neatherlin ORGANIZATION NAME: (if applicable) DATE: Mason county 7/31/2024 Washington State 23 HCA Contract#K7845 Health Care Authority Docusign Envelope ID:COF2C5EB-ED6D-4467-98CA-786724E7A5E8 EXHIBIT A: CENTERS OF MEDICARE & MEDICAID SERVICES, SPECIAL TERMS AND CONDITIONS The Special Terms and Conditions portion of the MTP 2.0 Waiver is an integral part of this Contract and is incorporated herein by this reference and is not attached but is available upon request from the HCA Contract Manager. Washington State 24 HCA Contract#K7845 Health Care Authority ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: David Windom Ext:260 Department: Public Health Briefing: ❑X Action Agenda: ❑X Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 7,2025 Agenda Date(s): April 15,2025 Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item• Lease Renewal for 2300 Kati Court, Shelton Background/Executive Summary: Mason County Public Health and Human Services would like to extend its lease with Mason Health for the building at 2300 Kati Court for the next year until April 30, 2026, and an additional year ending April 30, 2027.We greatly appreciate the opportunity to continue a great partnership. Budget Impact(amount, funding source,budget amendment, etc.): None Public Outreach: N/A Requested Action: Approval for the Public Health and Human Services Director to send a request to extend its lease with Mason Health at 2300 Kati Court, Shelton for an additional two years ending April 30,2027. Attachments) Letter MASON COUNTY = COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health April 2,2025 Eric C. Moll Chief Executive Officer 901 Mountain View Dr Shelton,WA 98584 Hello Eric, Mason County Public Health and Human Services would like to extend its lease with Mason Health for the building at 2300 Kati Court for the next year until April 30, 2026, and an additional year ending April 30, 2027. Signed, David Windom, MSHS Director Public Health (Community Health/Environmental Health) 415 N.6"Street—Shelton,WA 98584 Shelton:360-427-9670,Ext.400 Belfair:360-275-4467,Ext.400 Elma:360-482-5269,Ext.400 9. soN co�� Mason County Community Development Briefing April 7, 2025 Briefing Items 2025 Comprehensive Plan—Periodic Update Grant Contract Amendment All-Staff Meeting ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: Marissa Watson Ext: 367 Department: Community Development Briefing: Action Agenda: Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 7,2025 Agenda Date(s): April 15,2025 Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item• 2025 Mason County Comprehensive Plan—Periodic Update Grant Contract Amendment Background/Executive Summary: Mason County is the recipient of a periodic update grant for the update of the Mason County Comprehensive Plan,this grant is administered through the Department of Commerce. The BOCC previously provided their approval of the grant contract and now that contract requires amendment. There is no change in the amount of the grant or contract end date.The only changes are to the distribution amounts per deliverable and updates to the deliverables as drafts and not final documents. The final draft of the Comprehensive plan will be due December 31,2025. A DocuSign version of the grant was distributed to the chair for signature, signature was also obtained from the appropriate Commerce signatory as well. Budget Impact(amount, funding source,budget amendment, etc.): N/A Public Outreach: N/A Requested Action: Approval for the Chair to sign the 2025 Mason County Comprehensive Plan—Periodic Update Grant contract amendment. Attachment(s)• Amendment Docusign Envelope ID:2AEA7506-75D7-46B0-A3EE-88DD6A26DAC8 Amendment Contract Number: 24-63335-030 Washington State Department of Amendment: 1 94of Commerce Local Government Division Growth Management Services GMA Periodic Update Grant (PUG) 1. Contractor 2. Contractor Doing Business As (optional) Mason County N/A Community Development Department 615 W. Alder Street Shelton, WA 98584 3. Contractor Representative (only if updated) 4. COMMERCE Representative (only if updated) Marrisa Watson (Senior Planner) and Kell Rowen Ted Vanegas PO Box 42525 (Director) Senior Planner 1011 Plum St SE (360)427.9670 ext. 367 (360)280-0320 Olympia, WA 98504- mwatson(@masoncountywa.goy(project manager) ted.vanegas(a�commerce.wa.gov 2525 krowen(a�masoncountywa.gov 5. Original Contract Amount 6. Amendment Amount 7. New Contract Amount (and any previous amendments) $350,000 No Change $350,000 8.Amendment Funding Source 9. Amendment Start Date 10.Amendment End Date Federal: ❑ State: ❑x Other:❑ N/A: ❑ Date of Execution June 30, 2025 11. Federal Funds (as applicable): Federal Agency: ALN: N/A N/A N/A 12.Amendment Purpose: The purpose of this amendment is to modify the scope of work and redistribute funds among deliverables with no change to the overall budget. 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-1"-Scope of Work and 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 Signed by: DocuSign/eLd by: S c+2o9— T1-14k E 1 LA I-sbv, CCF75ACCEB0422._ 65C599C401AD40A... Sharon Trask, Chair Mark K. Barkley, Assistant Director Mason County Board of Commissioners Local Government Division 3/31/2025 1 6:57 AM PDT 3/31/2025 1 9:26 AM PDT Date Date APPROVED AS TO FORM ONLY Sandra Adix Assistant Attorney General 3/20/2014 Date Docusign Envelope ID:2AEA7506-75D7-46B0-A3EE-88DD6A26DAC8 Amendment This Contract is amended as follows: Attachment A Scope of Work is hereby replaced in its entirety by Attachment A-1 Scope of Work and Budget: ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT REMAIN IN FULL FORCE AND EFFECT. 2 Docusign Envelope ID:2AEA7506-75D7-46B0-A3EE-88DD6A26DAC8 Amendment Attachment A-1 Scope of Work and Budget Task/Work Item SFY 2024 SFY 2025 Deliverable Funds Funds Phase 1: Project Management. $7,426 $7,297 (1) Periodic Update Ongoing phase throughout the Work Plan life of the project starting with a (2) Progress tracker, Kick off meeting with consultant work plan, and to update scope of work and timeline milestone schedule in order to finalize Periodic Update work plan in conjunction with Project Management Plan. Anticipated completion date: June 30,2025 Phase 2: Public Engagement. $16,392 $10,674 (1) Public Participation Engagement activities Plan throughout life of project, but (2) Draft Public early work item is the Engagement preparation of a public Summary Report participation plan that identifies public engagement activities, project calendar, and project responsibilities. Engagement activities may include, but are not limited to, the following: orientation interviews, website and social media postings, planning advisory committee vetting, storefront studio pop ups, public workshops, questionnaires, interdepartmental and interagency coordination meetings, etc. Anticipated completion date: June 30, 2025 Phase 3: Current Context and $34,610 $17,500 (1) Comprehensive Needs. Plan Checklist 3 Docusign Envelope ID:2AEA7506-75D7-46B0-A3EE-88DD6A26DAC8 Amendment The consultant and County will (2) Growth Projections be preparing updated & Land Use Needs demographic information, Analysis Memo compiling GIS data, reviewing or the existing Comprehensive Plan (3) COM Status Report and any other relevant plans, on Comprehensive establishing growth projections Plan Update and land use needs analysis, Recommendations and incorporating the community's vision in order to prepare thorough GMA checklists and Comprehensive Plan Update recommendations. Anticipated completion date: June 30, 2025 Phase 4: Scenarios and Plans. $67,033 $40,087 (1) Draft The County and consultant will Comprehensive work together to develop at least Plan with Maps two alternative land use (2) Draft Allyn Subarea scenarios, addressing land use Plan with map(s) and policy changes. The County (3) Updated and consultant will work closely Countywide with the city of Shelton to Planning Policies establish a preferred growth (4) COM Status Report alternative which will inform Countywide Planning Policies. This work plus all work accomplished in previous phases will dictate a draft Countywide Planning policies, Comprehensive plan, subarea plans, and critical areas ordinance. Anticipated completion date: June 30, 2025 Phase 4A: Housing. The County $26,409 $28,241 (1) Draft Housing and consultant will prepare a Element draft Housing Element. Anticipated completion date: June 30, 2025 4 Docusign Envelope ID:2AEA7506-75D7-46B0-A3EE-88DD6A26DAC8 Amendment Phase 5: Environmental Review $23,130 $71,124 (1) Preliminary Draft and Final Adoption. EIS The SEPA EIS scoping and draft (2) COM status report process will run through the previous two phases as well. Workshops and comment periods will be integrated in order to prepare a DEIS & FEIS and support the final draft Mason County Comprehensive Plan Anticipated completion date: June 30, 2025 Total Budget $175,000 $174,923 Control Number $175,000 $175,000 Total Grant Available 5 Docusign Envelope ID:2AEA7506-75D7-46B0-A3EE-88DD6A26DAC8 Internal routing form. Will be deleted after contract fully signed. Commerce GMS programs - Contract review and routing form Reviewer Name Initials and Date Budget Analyst Corina Campbell NA—no change to the budget GMS Managing Director Dave Andersen 1 CDs Valerie Smith v 3/27/2025 1 9:10 AM PDT DS Deputy Assistant Director—LGD Tony Hanson �L I � 3/31/2025 1 9:26 AM PDT 0 docusign. Certificate Of Completion Envelope Id:2AEA7506-75D7-46B0-A3EE-88DD6A26DAC8 Status:Completed Subject:Complete with Docusign:Mason Co PUG 24-63335-030 Amendment 1.pdf Division: Local Government Program: PUG ContractN u m be r:24-63335-030 DocumentType: Contract Amendment Source Envelope: Document Pages:6 Signatures:2 Envelope Originator: Certificate Pages:5 Initials: 1 Ashley Dofner AutoNav: Enabled 1011 Plum Street SE Envelopeld Stamping: Enabled MS 42525 Time Zone:(UTC-08:00)Pacific Time(US&Canada) Olympia,WA 98504-2525 ashley.dofner@commerce.wa.gov IP Address: 198.238.29.33 Record Tracking Status:Original Holder:Ashley Dofner Location:DocuSign 3/27/2025 2:15:09 PM ashley.dofner@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 Signed by: Sent:3/27/2025 2:17:34 PM STrask@masoncountywa.gov E�CCF75MCCEB0422'' _ T...kViewed:3/31/2025 6:57:20 AM Commissioner Signed:3/31/2025 6:57:33 AM Security Level: Email,Account Authentication (None) Signature Adoption:Pre-selected Style Using IP Address:216.235.103.241 Electronic Record and Signature Disclosure: Accepted:3/31/2025 6:57:20 AM ID:a162a2ca-eacb-4605-b4d8-eade69c8b973 Tony Hanson HDS Sent:3/31/2025 6:57:35 AM tony.hanson@commerce.wa.gov Viewed:3/31/2025 9:26:19 AM Washington State Department of Commerce Signed:3/31/2025 9:26:32 AM Security Level: Email,Account Authentication (None) Signature Adoption:Pre-selected Style Using IP Address: 147.55.149.238 Electronic Record and Signature Disclosure: Not Offered via Docusign Tony Hanson ED—Sig-dby: Sent:3/31/2025 9:26:33 AM tony.hanson@commerce.wa.gov oln� RcUn Sbin, Viewed:3/31/2025 9:26:50 AM Washington State Department of Commerce 65C599C401AD40A Signed:3/31/2025 9:26:54 AM Delegate Of: Mark K.Barkley Signature Adoption:Pre-selected Style mark.barkley@commerce.wa.gov Using IP Address: 147.55.149.238 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 Carbon Copy Events Status Timestamp Marissa Watson COPIED Sent:3/27/2025 2:17:34 PM MWatson@masoncountywa.gov Viewed:3/27/2025 2:32:45 PM Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/27/2025 2:17:34 PM Certified Delivered Security Checked 3/31/2025 9:26:50 AM Signing Complete Security Checked 3/31/2025 9:26:54 AM Completed Security Checked 3/31/2025 9:26:54 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on:8/11/2020 4:44:12 PM Parties agreed to:Sharon Trask ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Washington State Department of Commerce (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD),please confirm your agreement by selecting the check-box next to `I agree to use electronic records and signatures' before clicking `CONTINUE' within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.15 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process,please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Washington State Department of Commerce: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: docusign@commerce.wa.gov To advise Washington State Department of Commerce of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at docusign@commerce.wa.gov and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Washington State Department of Commerce To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to docusign@commerce.wa.gov and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Washington State Department of Commerce To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to docusign@commerce.wa.gov and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https:Hsupport.docusi ng com/jzuides/si ig�er- uigu de- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you,please confirm that you have read this ERSD, and(i)that you are able to print on paper or electronically save this ERSD for your future reference and access; or(ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to `I agree to use electronic records and signatures' before clicking `CONTINUE' within the DocuSign system. By selecting the check-box next to `I agree to use electronic records and signatures', you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Washington State Department of Commerce as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Washington State Department of Commerce during the course of your relationship with Washington State Department of Commerce. ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: Kell Rowen,DCD Ext:286 Department: Community Development Briefing: ❑X Action Agenda: ❑ Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 7,2025 Agenda Date(s): Click or tap here to enter text. Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item: All-Staff Meeting for DCD Background/Executive Summary: The Department of Community Development requests office closure for the day of Tuesday,May 6,2025, for an All-Staff Training Day to be held at DCD. Budget Impact(amount, funding source,budget amendment, etc.):N/A Public Outreach:Notice will be made on the website,office door and outgoing phone message. Requested Action: Discussion and approval to close the Permit Assistance Center from 8:00 a.m. to 4:30 p.m. on May 6,2025, for training purposes. Attachments) MASON COUNTY COMMUNITY DEVELOPMENT Permit Assistance Center, Building,Planning ALL-STAFF AGENDA Date: May 6, 2025 /Time: 8:00 a.m. to 4:00 p.m. / 615 W. Alder St. Time Topic/Discussion Item Facilitator 8:00 a.m. Coffee chat, opening remarks Kell 8:15 Group Efficiency Discussion—Team breakouts Kell &Teams 10:00 First Amendment Audit 101 Mariah Cleaning Common Drive Files 10:30 General SG Q&A and Reminders—Hot Topics All 11:30 Team Lunch: 4th Annual Mac&Cheese Off All 12:00 Team Building Exercise The Voluntolders: Trish &Scott 1:00— Permit Techs meet with Planning Breakout#1 Building Breakout Scanning Breakout 2:15 Break All 2:30— Permit Techs meet with Building Breakout#2 Planning Breakout—invite EH 4:00 p.m. End - �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 7, 2025 Specific Items for Review Lewis-Mason-Thurston Area Agency on Aging Advisory Council opening McKenzie Smith Housing Authority opening—McKenzie Smith Mason County Career Fair recap—Mary Ransier Compensation Board Policy review—John Taylor Administrator Updates Commissioner Discussion Calendar updates NEWS RELEASE �,P+SON cou April 15, 2025 MASON COUNTY COMMISSIONERS' OFFICE 411 N 5TH ST,BLDG 1, SHELTON,WA 98584 1854 TO: KMAS, KRXY, SHELTON-MASON COUNTY JOURNAL, THE OLYMPIAN, SHELTON CHAMBER OF COMMERCE,NORTH MASON CHAMBER OF COMMERCE, CITY OF SHELTON, ECONOMIC DEVELOPMENT COUNCIL, THE SUN RE: Lewis-Mason-Thurston Area Agency on Aging Advisory Council Opening Mason County is seeking applicants to serve on the Lewis-Mason-Thurston Area Agency on Aging Advisory Council (LMTAAA). The LMTAAA is a local government agency that provides home and community services for seniors and adults with disabilities to help them remain living in their own homes. The advisory council makes recommendations to the governing board and staff. Members serve a two-year term and meet on the first Wednesday of the month at the Area Agency on Aging Office located at 2404 Heritage Court SW Suite A in Olympia from approximately 9:30 a.m. to 12:00 p.m. Members are not paid; however, automobile mileage is covered. Interested applicants can visit the LMTAAA website at http://www.Imtaaa.org. For more information about LMTAAA, contact Chrissy Franklin at chrissy.franklin(c�r�,dshs.wa.gov or(360) 664-2168. To apply for the LMTAAA, fill out an Advisory Board Application form online at https://www.cognitoforms.com/MasonCouniy2/AdvisoryBoardApplication. For further assistance, contact the Mason County Commissioner's Office at(360)427-9670 ext. 419. BOARD OF MASON COUNTY COMMISSIONERS Sharon Trask, Pat Tarzwell, Randy Neatherlin, Chair Vice-Chair Commissioner NEWS RELEASE �,P+SON cou April 15, 2025 MASON COUNTY COMMISSIONERS' OFFICE 411 N 5TH ST, BLDG 1, SHELTON,WA 98584 1854 TO: KMAS, KRXY, SHELTON-MASON COUNTY JOURNAL, THE OLYMPIAN, SHELTON CHAMBER OF COMMERCE,NORTH MASON CHAMBER OF COMMERCE, CITY OF SHELTON, ECONOMIC DEVELOPMENT COUNCIL, THE SUN RE: Mason County Housing Authority Board Openings Mason County is seeking two motivated and engaged individuals to serve on the Mason County Housing Authority Board. The Housing Authority was established in 1972 to supply adequate and affordable housing and assist low-income and special needs households. This five-member board oversees local public housing operations and ensures fairness in the administration of Housing Authority policies. Members serve five-year terms and meet on the third(3rd) Wednesday of the month at 2:30 p.m. Applications to serve on the Mason County Housing Authority Board will be accepted until both positions are filled and shall be submitted to the Mason County Commissioner's Office at 411 N 5th Street, Shelton, WA 98584. For more information, please call (360) 427-9670 ext. 419. Applications can be found online at: https://www.cognitoforms.com/MasonCouniy2/AdvisoryBoardApplication BOARD OF MASON COUNTY COMMISSIONERS Sharon Trask, Pat Tarzwell, Randy Neatherlin, Chair Vice-Chair Commissioner Ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: Mary Ransier and Winter Perez Ext:422 Department: Human Resources Briefing: ❑X Action Agenda: ❑ Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): 4/7/2025 Agenda Date(s): N/A Internal Review: ❑ Finance ® Human Resources ❑ Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item• Mason County Career Fair Summary Background/Executive Summary: Mason County HR hosted its first Career Fair on March 13', 2025,to promote employment opportunities within the county and connect with job seekers from the local community and surrounding areas. The event aimed to support our ongoing efforts in workforce development,recruitment, and community engagement. Budget Impact(amount, funding source,budget amendment, etc.): N/A Public Outreach: N/A Requested Action: N/A Attachment(s)• Career Fair Summary �ryoN CpUHTF PHYSICAL: 423 N 5TH ST BUILDING #9 MAILING: 411 N 5TH ST,SHELTON, WA 98584 HLIMANRESOURCES@MASONCOUNTYWA.GOV Mason County HR hosted a Career Fair on March 13th, 2025, to promote employment opportunities within the county and connect with job seekers from the local community and surrounding areas.The event aimed to support our ongoing efforts in workforce development, recruitment, and community engagement. Participating Departments • Total Department in attendance: 12 o Assessor's Office, Auditor's Office, Clerk's Office, Community Development, Coroner's Office, Facilities and Grounds, Human Resources, Information Services, Public Health and Human Services,Jail &Support Staff, Utilities and Waste Management, and WSU Ext. Recruitment • Estimated total attendees: —50 • Open positions promoted: 12 o ARNP, Chief Public Defender, Corrections Deputy, Deputy Prosecuting Attorney I and 11, Deputy Sheriff, Deputy Public Defender III, Engineering Construction Technician, Noxious Weeds Specialist, Seasonal Flagger/Laborer, Support Specialist and Truck Driver. • Tentative interviews scheduled: 3 (Seasonal Flagger/Laborer) • Resumes received: 3 • Notable areas of interest: administrative support, entry level roles, customer service, and Public Works Engagement • Promoted the event and job opportunities across County social media platforms, increasing public awareness of Mason County as an employer • Several attendees signed up for Future Job Alerts • Distributed promotional items featuring a QR code linking directly to current County job openings • Provided department overviews to highlight the services each offers to the County Challenges • GPS directions led attendees to the back of the building, causing confusion upon arrival • Limited availability of entry-level positions, many attendees were primarily seeking general employment opportunities Suggested improvements for future fairs • Encourage participation from all County departments to provide a broader representation of opportunities. • Recommend two representatives per department, rotating shifts between morning and afternoon • Consider a shorter event duration, as attendance declined after 1:0013M. • Expand outreach to include bilingual and underserved communities • Schedule future fairs closer to the school district's spring break and/or graduation to maximize student attendance and interest. The 2025 Mason County Career Fair was a successful step forward in our recruitment and community outreach efforts.The level of engagement and interest reaffirms the importance of continued visibility and proactive hiring strategies. We look forward to building on this success for future events. s I 1 ORA' ♦ 1 ia- 1 a ��jy COUNTY - -ECTIp .� N5 Clerk ��►' e II �. ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: John Taylor Ext: 806 Department: Emergency Management Briefing: ❑X Action Agenda: ❑X Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 7,2025 Agenda Date(s): April 15,2025 Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item• Mason County Compensation Board In-Person Meeting Policy Background/Executive Summary: The purpose of this policy is to establish guidelines for the Mason County Compensation Board to conduct meetings in-person, in accordance with Washington State laws, including the Open Public Meetings Act(OPMA) and RCW 38.52.210. This policy is enacted under the authority of the Mason County Board of County Commissioners (BOCC) and aligns with state regulations governing public meetings and emergency management compensation claims. Budget Impact(amount, funding source,budget amendment, etc.): N/A Public Outreach: N/A Requested Action: Approval of the Mason County Compensation Board In-Person Meeting Policy Attachments) Policy MASON COUNTY COMPENSATION BOARD IN-PERSON MEETING POLICY MEETING REQUIREMENTS I. Purpose The purpose of this policy is to establish guidelines for the Mason County Compensation Board to conduct meetings in-person, in accordance with Washington State laws, including the Open Public Meetings Act(OPMA) and RCW 38.52.210. II. Scope This policy applies to all Compensation Board members, county staff, and members of the public who wish to attend and participate in in-person meetings. III. Authority This policy is enacted under the authority of the Mason County Board of County Commissioners (BOCC) and aligns with state regulations governing public meetings and emergency management compensation claims. IV. Meeting Format 1. The Compensation Board shall consist of. A County Commissioner serving as the Chair; the County Director of Emergency Management; Director of Emergency Services; the Prosecuting attorney, and the County Auditor serving as the secretary. 2. The Compensation Board conducts meetings in-person with the time and location published on the Mason County Emergency Management website. 3. In the event a board needs to convene during a disaster activation, and physical location is not available, an in-person meeting can be conducted, at the direction of the County Administrator. V. Public Notification & Access 1. Meeting notices must be published in accordance with OPMA,providing details on the date, time, and method of access at least 24 hours in advance. 2. A public link or call-in number shall be provided in the meeting notice to ensure open access. 3. The meeting platform must allow for public observation and participation as required by law. VI. Voting& Decision-Making 1. All members participating virtually shall be considered present and counted toward quorum requirements. 2. Voting shall be conducted via roll call to ensure accuracy and transparency. 3. The Chair shall ensure that all members have the opportunity to speak and be heard before a vote is taken. March 25, 2025, 11 P a g e VII. Technical Requirements & Troubleshooting 1. Compensation Board members must use county-approved devices and internet connections to ensure security and functionality. 2. If technical difficulties occur that prevent quorum or public participation, the meeting must be adjourned and rescheduled. 3. County IT support will be available to assist with in-person meeting issues as needed. OPERATIONAL REQUIREMENTS I. Recordkeeping & Compliance 1. In-person meetings shall be recorded and retained in compliance with public record laws. 2. Meeting minutes shall be taken and published in accordance with the standard procedures. 3. The Board shall review this policy annually to ensure compliance with any legislative changes. II. Claims Injuries/Immediate Treatment 1. (1) The injured person shall have been a registered emergency worker, activated by an authorized official for an authorized activity under the provisions of chapter 38.52 RCW, and shall have reported to or been in the process of reporting to the authorized on-scene official. (2) The emergency management division shall provide forms for personal injury claims (Form EMD-084, medical expenses claim),parts of which must be completed by the local emergency management agency, the claimant, and the attending physician. This form shall be submitted with documentation to the local emergency management agency. (3) For missions occurring outside an injured person's jurisdiction of residence, the claimant may file the claim with the local agency in the jurisdiction of residence, provided that the local emergency management agency director in the injured person's jurisdiction of residence coordinates the claim with the local emergency management director in the jurisdiction where the mission occurred. (4) In the event of injury to an emergency worker, the agency responsible for the on- scene authorized official shall be notified as soon as possible. (5) The on-scene authorized official shall advise the local emergency management agency director of any injuries, as soon as possible, and shall provide appropriate and timely documentation. The local emergency management agency director shall notify the emergency management division of any injuries as soon as possible. The emergency management division shall assist the local emergency management agency director in processing claims. March 25, 2025, 2 1 P a g e (6) Labor and industries workers' compensation forms shall not be used, nor shall medical expense claims be submitted to the department of labor and industries for a claim made pursuant to chapter 38.52 RCW. (7) Documentation shall include any reports, mission logs, ambulance and hospital bills, receipts, medical reports, or other information helpful in describing the extent of the injury, the circumstances under which the injury occurred, and the costs that were incurred as a result of the injury. (8) The injury, disability, or death shall not have been caused by the willful misconduct, gross negligence, or bad faith of the claimant. (9) Compensation for injury, disability, death, and related claims shall be adjusted and paid in accordance with department of labor and industries workers' compensation schedules. (10) For claims in excess of the amount set by RCW 38.52.220, a compensation board shall convene to review the claim under RCW 38.52.210, 38.52.220, 38.52.230, 38.52.240, and 38.52.250. (a) The local emergency management agency shall notify the emergency management division of any pending claim in excess of the amount set by statute. (b) The claimant shall be notified of date, time, and place of the compensation board hearing by the local emergency management agency director by personal service or registered mail. (c) The compensation board established under chapter 38.52 RCW may request that the claimant appear before the board. (d) The local emergency management agency director shall transmit the findings and recommendations of the compensation board to the emergency management division for disposition. (11) In accordance with RCW 51.28.050, no claim for injury shall be valid unless filed within one year after the day upon which the injury occurred or the rights of dependents or beneficiaries accrued except as provided in RCW 51.28.055. 2. In the case(s) that the EW is not able to pay for the treatment in advance, Emergency Management Department form EMD-084 is completed, taken to their appointment with the physician to complete and provide an invoice for the costs (< $2,000) is submitted to the local Emergency Management administrator for processing. 3. All claims will have the supporting document before being processed: (1) EMD-084 (2) ICS-213 (Statement of Incident, completed by the Injured Worker and processed through Incident Command. (3) ICS-213 (Statement of Incident, Completed by the Injured Workers Supervisor during the activation. (4) ICS-214 Logging in the incident and the actions taken. (5)Activation Sign-in and Sign-out Log Claims for Property Damage In Washington State, the process for filing property damage claims varies depending on the March 25, 2025, 3 1 P a g e responsible parry and the nature of the damage. The following guidelines should be followed: 1. Filing a Claim Against a Government Entity: o Determine the appropriate jurisdiction for the claim(state, county, or city government). o Obtain and complete the relevant claim form from the entity responsible. o Submit the completed form through the entity's designated submission method (e.g., online, mail, or in-person). o Three formal estimates are required 2. Filing a Claim with an Insurance Company: o Review your insurance policy to understand coverage details and requirements. o Document the damage with photographs and receipts. o Contact your insurance provider and follow their claim process. 3. Filing a Claim Against Another Individual or Business: o Gather evidence such as photographs, witness statements, and receipts. o Communicate with the party responsible to seek a resolution. o If necessary, consider filing a civil claim in the appropriate court. 4. All claims will have the supporting document before being processed: (1) EMD-086 (2) ICS-213 (Statement of Incident, completed by the Emergency Worker and processed through Incident Command. (3) ICS-213 (Statement of Incident, Completed by the Emergency Worker Supervisor during the activation. (4) ICS-214 Logging in the incident and the actions taken. (5)Activation Sign-in and Sign-out Log Key considerations for all claims include timely reporting, accuracy in providing details, and maintaining proper documentation to support the claim. To receive Emergency Worker Program claim payments, individual emergency workers and volunteer organizations (501(c)(3)) must register as payees with the State of Washington. III. Appeals Process If a claim is denied or a claimant disagrees with the Compensation Board's decision, they may appeal using the following process: I. The claimant must submit a written appeal within 30 days of receiving the decision. The appeal should detail the reasons for disagreement and include any supporting documentation. 2. The appeal must be submitted using an ICS-213 General Message Form and addressed to the Incident Commander, who must approve and endorse the appeal using an ICS-213. 3. If the appeal is due to a lack of documentation,the claimant must fully explain any missing records, invoices, or evidence supporting their claim. 4. The Incident Commander will review the appeal and may request additional information from the Compensation Board or the claimant as necessary. March 25, 2025, 4 1 P a g e 5. The Incident Commander will provide a formal written decision on the appeal within 15 business days of receipt. 6. If further review is necessary, the appeal may be forwarded to the Mason County Board of County Commissioners for final determination. If a claim is denied or a claimant disagrees with the Compensation Board's decision, they may appeal using the following process: 7. The claimant must submit a written appeal within 30 days of receiving the decision. The appeal should detail the reasons for disagreement and include any supporting documentation. 8. The appeal must be submitted using an ICS-213 General Message Form and addressed to the Incident Commander. 9. The Incident Commander will review the appeal and may request additional information from the Compensation Board or the claimant as necessary. 10. The Incident Commander will provide a formal written decision on the appeal within 15 business days of receipt. 11. If further review is necessary, the appeal may be forwarded to the Mason County Board of County Commissioners for a final determination. IV. Effective Date This policy shall take effect immediately upon approval by the Mason County Board of County Commissioners and the Compensation Board. Approved by: Chair, Mason County Compensation Board Date: Mason County Board of County Commissioners Date: March 25, 2025, 5 1 P a g e MASON COUNTY PUBLIC WORKS COMMISSIONER BRIEFING April 7, 2025 IN C� Action Items: Delegation of signature authority to Ralph Scott, Water and Wastewater Manager,to submit reports or documents for County permitted wastewater facilities. Road Vacation No. 424 set public hearing with hearings examiner for May 28, 2025 at 1:OOpm County Road Project No. 2064, Old Olympic Highway road improvement project: Asphalt overlay, shoulder improvements and roadway striping. Discussion Items: Commissioner Follow-Up Items: Belfair Water Reclamation Facility Tour PW Operations Road Tour Upcoming Items: April 21st—25th National Work Zone Awareness Week May 4ch - IOth National Drinking Water Week May 18th—24th National Public Works Week ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From Richard Dickinson, PW Deputy Director Ext• 273 Utilities and Waste Management Department: Public Works Briefing: 0 Action Agenda: 0 Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 7,2025 Agenda Date(s): April 15,2025 Internal Review: ❑ Finance ❑ Human Resources ❑ Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) 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 Loretta Swanson, Director of Public Works. Public Works would like to add Ralph Scott,Water and Wastewater Manager, 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: N/A Public Outreach: N/A Requested Action: Request the Board delegate signature authority to Ralph Scott, Water and Wastewater Manager, to submit reports or documents for County permitted wastewater facilities. Attachments: 1. Electronic Signature Forms 2. DOE Letters April 15, 2025 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. BA0038075 Rustlewood Wastewater Treatment Plant Dear Ms. Kijowski, This letter is to grant authorization to Ralph Scott, Water/Wastewater Manager, 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. BA0038075 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 Pat Tarzwell, Mason County Commissioner, District 2,Vice Chair Date Randy Neatherlin, Mason County Commissioner, District 1 Date April 15, 2025 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 Ralph Scott, Water/Wastewater Manager, 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 Pat Tarzwell, Mason County Commissioner, District 1, Vice Chair Date Randy Neatherlin, Mason County Commissioner, District 1 Date April 15, 2025 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 NBCI Water Reclamation Facility (WRF) Dear Ms. Kijowski, This letter is to grant authorization to Ralph Scott, Water/Wastewater Manager, 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: "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 Pat Tarzwell, Mason County Commissioner, District 2,Vice Chair Date Randy Neatherlin, Mason County Commissioner, District 1 Date April 15, 2025 Department of Ecology Southwest Regional Office Attn: Isaiah Murrell-Thomas P.O. Box 47775 Olympia, WA 98504-7775 RE: National Pollution Discharge Elimination System (NPDES), Permit No. WA0038075 Rustlewood Wastewater Treatment Plant Dear Mr. Murrell-Thomas, This letter is to grant authorization to Ralph Scott, Water Wastewater Manager, 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 NPDES 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 Pat Tarzwell, Mason County Commissioner, District 2,Vice Chair Date Randy Neatherlin, Mason County Commissioner, District 2 Date April 15, 2025 Department of Ecology Southwest Regional Office Attn: Isaiah Murrell-Thomas P.O. Box 47775 Olympia, WA 98504-7775 RE: State Waste Discharge Permit (SWDP), Permit No. ST6224 Belfair Water Reclamation Facility (WRF) Dear Mr. Murrell-Thomas, This letter is to grant authorization to Ralph Scott, Water Wastewater Manager, 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 Pat Tarzwell, Mason County Commissioner, District 2,Vice Chair Date Randy Neatherlin, Mason County Commissioner, District 1 Date April 15, 2025 Department of Ecology Southwest Regional Office Attn: Isaiah Murrell-Thomas 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 Mr. Murrell-Thomas, This letter is to grant authorization to Ralph Scott, Water Wastewater Manager, 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 Pat Tarzwell, Mason County Commissioner, District 2,Vice Chair Date Randy Neatherlin, Mason County Commissioner, District 1 Date Ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: Lovejoy Schaefer,Right of Way Agent Senior, on behalf of Mike Collins,PLS,PE Deputy Ext:456 Director/County Engineer Department: Public Works Briefing: CK Action Agenda: ❑X Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 7,2025 Agenda Date(s): April 15,2025 Internal Review: ❑ Finance ❑ Human Resources ® Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item: Road Vacation Order No.424—Set Hearing date with Hearing Examiner Vacate all that portion of the unnamed road adjacent to Tract 29 of Skookum Point Tracts, recorded in Volume 4 of plats,pages 54 and 55, said Tract being a portion of Resultant Parcel 1 of Boundary Line Adjustment#02-40,recorded under Auditor's File No. 1760371, in the Southwest quarter of Section 24,Township 20 North,Range 3 West,W.M.in Mason County,Washington. Background/Executive Summary: Sean Wessels and Maria Corinna Palanca-Wessels,own parcel#32025-2 1-000 10,being Tract 29 of Skookum Point Tracts as recorded in Volume 4 of plats,page 54 and 55,as dedicated on October 2, 1947, in Mason County,Washington.The property owner has petitioned for the vacation of the deeded right of way as mentioned above which is adjacent to their property. The requested areas have never been maintained. We have no record of the road being opened. Vacating this area would create more usable land for the petitioners. Public Works see no value in opening the proposed vacation area at any point in the future. In compliance with RCW 36.87.40,at the Board of County Commissioners and County Engineer's direction,Public Works Department staff examined that portion of the road right-of-way requesting to be vacated and solicited comments on the proposed vacation. Our findings are as follows: 1. The road is unopened and not presently in use by the public. 2. The road is classified as"Class A"per RCW 36.87.120&MCC 12.20.040, 12.20.050, & 12.20.060, compensation is fifty percent(50%)of appraised value. The square footage of the road requested for vacation is 4,000 and the cost per square foot is$0.77. The compensation amount due for the petitioned road is$1,540.00. 3. The proposed vacation area is not deemed necessary for future use for the county road system. 4. The public will benefit from this action since it will add the vacated area to the tax rolls and relieve the county of liability. 5. The petitioners have paid in full the required administrative fee of$1000.00. The compensation amount is $1,540.00 due prior to approval. Budget Impact(amount, funding source,budget amendment, etc.): Petitioners have paid the required administrative fee of$1,000 regarding the petition for vacation of the county road. The road is classified as"Class A", all roads for which the right of way is an easement. Compensation is fifty percent(50%) of the appraised value. The remaining compensation amount is $1,540.00 due prior to approval of the road vacation. Public Outreach: The Notice of Intent to vacate will be published in the Shelton Journal two times and posted in three locations, as required by RCW 36.87.050. Requested Action: Recommend the Board approve and execute the resolution setting a hearing date with the Hearings Examiner for Wednesday May 28,2025, at 1:OOpm via zoom to consider public comment on Road Vacation No. 424. Attachments) 1. Engineer's Report 2. Hearing Notice MASON COUNTY DEPARTMENT of PUBLIC WORKS 100 W PUBLIC WORKS DRIVE N C SHELTON, WASHINGTON 98584 MEMORANDUM DATE: March 17, 2025 TO: Mason County Hearings Examiner FROM: Tina Schaefer, Right of Way Agent Senior, for Mike Collins, County Engineer, and Deputy Director. Cc: David Smith, Engineering and Construction Manager Mike Mclrvin, County Surveyor SUBJECT: ENGINEER'S REPORT— ROAD VACATION FILE NO. 424 Vacate all that portion of the unnamed road adjacent to Tract 29 of Skookum Point Tracts, recorded in Volume 4 of plats, pages 54 and 55, said Tract being a portion of Resultant Parcel 1 of Boundary Line Adjustment# 02-40, recorded under Auditor's File No. 1760371, in the Southwest quarter of Section 24,Township 20 North, Range 3 West, W.M. in Mason County, Washington. BACKGROUND: Sean Wessels and Maria Corinna Palanca-Wessels, the petitioners, own parcel # 32025-21- 00010, which is adjacent to the above mentioned proposed road vacation. They have petitioned for the vacation of the dedicated right of way as attached as Exhibit A. The requested road is an unopened right of way that has never been maintained. The road was dedicated to the public on October 2, 1947, when Skookum Point Tracts was platted. Public Works see no value in opening the proposed vacation area at any point in the future. Currently, part of the proposed vacation area has a shop built on top of it. So, vacating this area would clear the cloud on title. 1 In compliance with RCW 36.87.40, at the Board of County Commissioners and County Engineer's direction, Public Works Department staff examined That portion of the road right- of-way requested and solicited comments on the proposal. Our findings are the following: 1. The road is unopened and not presently in use by the public. 2. The road is classified as "Class A" per RCW 36.87.120 & MCC 12.20.040, 12.20.050, & 12.20.060, compensation is fifty percent (50%) of appraised value. The square footage of the road requested for road vacation is 4,000, and the cost per square foot is $0.77. The compensation amount due for the petitioned road is $1,540.00. 3. The proposed vacation area is not deemed necessary for future use for the County Road system. 4. The public will benefit from this action since it will add the vacated area to the tax rolls and relieve the county of liability. 5. The petitioner has paid in full the required administrative fee of$1000.00. The compensation amount for the proposed road vacation adjacent to parcel # 32025-21-00010 is $1,540.00 and is due prior to approval. Public Notice Public notice has been provided as required by RCW 36.87.050, both by posting at the site and by publishing in the county official newspaper. Recommendation Public Works recommends the vacation of that portion of the unnamed road, adjacent to parcel no. 32025-21-00010. The vacated area will still be subject to existing easements for ingress and egress or other purposes, if any, and in accordance with RCW 36.87.140, retaining an easement in favor of Mason County for any utilities present in the vacated right of way. Attachments: • Petition: Exhibit A pages 1—6 • Legal Description: Exhibit B • Aerial Map: Exhibit C • Photos: Exhibit D 2 EXHIBIT "A" MASON COUNTY ROAD VACATION 4 4Agy ' � PETITION FOR VACATION OF COUNTY ROAD TO: Board of Mason County Commissioners c/o: Mason County Public Works Department 100 W. Public Works Drive Shelton,WA 98584 Applicant Name: SC if N Mailing Address: '//cam �— Phone Number: :ZcX. y/cf )-4,?)- Email Address: Parcel Number: 32025-21-00010 We, the undersigned, being owners of the majority of the frontage of the below-described county road, hereby petition the Board of Mason County Commissioners for vacation of the following described county road: Road Name: Unnamed road Road Number: None Description of road right of way to be vacated: Plat Name: Skookum Recording Date: Point Tracts October 14, 1947 Section: 24 Township: 20 North Range: 3 West Attached herewith is a map secured from the Mason County Engineer or from the Mason County Assessor. We have shaded the right of way herein petitioned to be vacated and have also shown the ownerships along said right of way. IN SUPPORT OF SAID PETITION,PETITIONERS ALLEGE: I That the undersigned are the owners of the majority of the frontage of the county road right of way petitioned to be vacated and said right of way is located in Mason County, Washington. II That contact information,signatures and legal descriptions of the property owned by each petitioner on the right of way to be vacated are provided below: NAME/ADDRESS/SIGNATURE LEGAL DESCRIPTION OF PHONE PROPERTY/PARCEL# &I Pvsi"r- '84 yl`r 'X?-�I- 5 eM-v.,, c-)A x 2 7 437 St, x PETITION FOR VACATION OF COUNTY ROAD Page I EXHIBIT "A" ROAD VACATION # 424 NAME/ADDRESS/SIGNATURE LEGAL DESCRIPTION OF PHONE PROPERTY/PARCEL# 3 X 4 X (Additional petitioners are listed on the attachment hereto.) III That, if the plat was recorded prior to March, 12, 1904, and, if the right of way is not now in use as a public road, the following proof is provided that the road was never opened for public travel for five years following recording of the plat: IV That such county road right of way is useless as a part of the county road system and that the public would be benefited by its vacation for the following reasons: Diuc c;��M-�. c�:k /yel 5 5J►`✓�v�c�rCX ��c� .�/`��Jc� 1c,14eJ et-ld &t4 J � cc C, '1-//,ad, I n A I 1 c 4--c-,k.Q h&,i e 6+- 1':;�,..i Itw— C y►n�A c�✓i sc�f'Icy+1 •t'�;/ n►Y lu✓!�p. V That this road vacation is requested for the following purpose: / luff 5?vti.Tl;��.. a -�j CAe,,ii•!�j ,#w ..r.3 �;A C'4 %4e- Ata Pe:lHis `' e-, c� VI That this petition is accompanied by an Administrative fee of One Thousand Dollars($1,000.00), payable to Mason County Public Works, pursuant to statute, conditioned upon petitioners paying into the Mason County Road Fund the amount of all costs and expenses incurred in the examination,report and all proceedings pertaining to this petition for the vacation of said road right of way. The County also requires compensation for Class A(50%)and Class B (100%)of appraised value. DATED this , t n` day of ,�c.► .��:_r-t ,20,-;Z 5 PETITION FOR VACATION OF COUNTY ROAD Page 2 EXHIBIT "A" ROAD VACATION # 424 ATTACHEMENT TO PETITION FOR VACATION OF COUNTY ROAD ADDITIONAL PETITIONERS NAME/ADDRESS/SIGNATURE LEGAL DESCRIPTION OF PHONE PROPERTY/PARCEL# 7 X 8 X 9 X 10 X 11 X 12 X 13 X PETITION FOR VACATION OF COUNTY ROAD Page 3 EXHIBIT "A" ROAD VACATION # 424 T-� CJ i /41 c� U` s A Z<Fr�DppO,,nPN. oZ wN(1 tono J > >-c r�»£ P••�nA A AA nA ap]�Dc.DE a.:��7.6 mr U+DA�PD 2L�..�aap-�AQ_,gx 13aJVLA�PLbZ-0?g •�P°_n�U�J3 a U nA .�c'A< 3p 0 N QQRC]]o- 0 O•}�qFAZ? p PF-1�SARA,P,.3p p1�� D q A r.1 P o 11V°:A G �P D a a-1 A D J ,+ A'o p° P wa u' w'' „P D - N c'�=�.nE°7u=rPrw^0 i�c� '3� pv p umu000gc- a07?3 A A0.0 NOPOroJ SU° r+P C ..� D_ pUA 7V AQ� p A a AEA 'F, ao !�P r A _UTD- 3o-Aa YD R. lD(P 1 N An77A 1J a U nvQp"n]p7a - 0 u�ie n'e-meou 'D Or*j r'O p r'r� O r'n 0 Uo R V]V �;i,D A F... C A mQ N �ar=a ..o,., 'NRcApnpP7�»u Zc-on_y.uN�/� i �\ �SJoF"�OuP7SPp uA g• i L q 0,c00.p_-OU,� OAOa 0Q' r!. �0 Vn'O I.0 P_p p9gp,'` Y a.,Pn P�TPO rOr.P7A0.°] NHS 'o �nrn 7�n]L.1.D nS 3 E Y( Q Jl P~' EN_-�87JOS�3 F AnA N p7q �[n 0 A�(1R nr,oN PD�v]c-P:0 » 7.-p"ID 0 �o Na. V TrS""p DuN '_nv — u i� V 0 ]D 7] 3 0 . _L 5 �7.i.n]3_.rq .0(y l'wu73 U ]o..- I.A l`7v ua pA,[_ qq N--'-0- 7 A P.o z-u p R�- p a 7 U OA ' pPo:3 -',op %(Hp O�apO�Na NFtA /-,r iA:0, n-2 pu.auti`J] O.0 AP"' f) 0Vn 0gr*quU :)00 A-- G' i, < j'O - 'u,Qy V O P o00�oP 0 Am� 'AJ-fZv -1T3 A °- uoUAo�Po (A w ------ � .,7rtPv.,a ^DPQnj0u00 E70 \/ 7 o0.0 ATaaiT m O E ------- fi TA TZ0]��Oc-n iD~p1+70A z� u7� i% D£vnj1S °ap n T EPaAvaoA<P, r*a7$NZO O 0, -70U30.0 aE I 3 u N � 7- w0- A7 U q wAu 70.D Ppg�C JN .Or �n0 \,s -3n -13 CA�-S 3 Q �J ooA D .DpP1�V;i-e1u .,7si Pj Z-- y\ANCVAAn'`?pP 0 ]7 r•,., -'1 3 a 1 7=v-w La 0. 0 o 0 {'7 rim-'A.��A9',a a0- a Z 0-:3 A 3°p 'P AA �n 7�] DD uuOu5u2�7q 07 nn P JAn Nrtc°'c0-_-10'�A(i�N uP A P ~i °u1u 1�PFa1 Z l P 1 O_A-*V-n a •o. 0] U r 7 OD_ JO'POPp 3 a Ar�_0 3a s � D O,� v� - QA SN- P ^A c Sc +0- n P D �5��-kC C e° �( z ffffff1111110 yT1 0.� m m orA,ti,- -A aPAu0d1 SCA cp ay�ry N c aA D n ssE aQA.m70 J 7 7- p QUL ' (\' C7 -0 3 _ 0 A 7 A E u L.3A a a ap • ° p{ D�. ngcrt]1ppa..-A'O� P uF`3 m7SP0 n7D'•_. V .D\�' ..A0o. At0A��7-9aaA7] msK0Oco W < o 0" � r uUJ Z D .A PCpa 1p mN r0 2361 6 A00 Zv .: o3AzP P o.a " 0 G A m 0°0 'a0 n 0no n P7 1 o FC 3 a _D<<n A3p D a]0 a�DC< -7 m U a A 0 3 O ° aA�y i< 0 70G a�- , TCn 3m ItD yr 1 I Eon» A PAP D PDAup? aapF 3A3pc7� P 0 e PC S 1 r ^i ANF.g - V pU ~r�o'7 00aa7 C 1 I ?P`+P 0 DOK 0 y, 1 ``^^ V. .D p6S�ar' A�, D On?O0p�CPurIrpp _ ,[ 3 �A'� Au 3v\ p' cU u] 7pP Q7 u.n zl\ rn p 0 0 ` !0� a f P r p a7 f Eo-o aD S A aA P-o 0 U A 3 0 O L 1 7-a0 7 P 3 r,7A r-a rn 3 0 S7 ] {^ u D-'F D a CAPJa DO ^� �c0 ° �� o n o D A^nat.3 ^1 i c° -P7-1 5'c0 n R.h 7 pP j 0 C a o1 0 0V]O 5 Dau .- c uvD n P- s .7+ �' is aoA78 UA g pSF paP� AD 7 J T c o�p gn ^« 2 a°� Pw a�aa3gan p] 7 .+ D A D��l rn A U .IAC 0_ (V p VVn .0 -y 3 ° p _aUi j. i ap`D A° n cA 1 in°fin r. 0,10 3 = i c Ic D p yu 39 i rn rn J. ;,� ,d,+�` EXHIBIT "A" ROAD VACATION # 424 t ( / A,4 i UNPLAl'TEO Cn MM 07 f ) u 1ti'• --I-- O J011- � N Vpyli ni = I .o w i-. .P �`�✓�s�YOt"Jd t-vaz. , rn '-'------�C•' �e•w.ry xw �...,s.a..-.nos. N � J 0 ox rn -1 +� 01 N U _1 ell�+ , , 1lllllltlIll A N COUNTY ROAD VACATION # 4 tFGHNOL00iFF y WASHINGTON TA.XSIFTER ...i t4 SIMPLE SEARCH SALES SEARCH REETSIFTER COUNTY HOME PAGE CONTACT DISCLAIMER PAYMENT CART(0) Patti McLean Mason County Assessor 411 N 5TH ST Shelton, WA 98584 Assessor Treasurer Appraisal MapSifte>r Parcel Parcel#: 32025-21-00010 Owner Name: WESSELS ET UX, SEAN DOR Code: 18 - Residential - All other Addressl: MARIA CORINNA PALANCA-WESSELS Situs: 61 SE CHANNEL POINT RD, SHELTON 98584 Address2: 916 23RD AVE E Map Number: City, State: SEATTLE WA Status: Zip: 98112 Description: TR 1 OF NE NW&SKOOKUM PT TRACTS TR 29 &T.L. & MILL CREEK PARK TR 66 &TAX 1310 A S 5/72* - PCL 1 OF BLA #02-40 AF#1760371 Comment: 2025 Market Value 2025 Taxable Value 2025 Assessment Data Land: $275,500 Land: $275,500 District: 0070-Tax District 0070 Improvements: $737,835 Improvements: $737,835 Current Use/DFL: No Permanent Crop: $0 Permanent Crop: $0 Total $1,013,335 Total $1,013,335 Total Acres: 8.21000 Ownership Owner's Name I Ownership % Owner Type WESSELS ET UX, SEAN 100% Title Owner Sales History Sale Sales # Excise # Grantor (Grantee Price Date Document Parcels (III 08/06/24 2214162 1 WESSELS ET UX, SEAN $0 05/30/24 2211401 1 24-61742 BAILEY, CHARLES L ET WESSELS ET UX, SEAN $1,250,000 06/28/02 1758727 1 200262510 GEORGIA C MORAN GEORGIA C MORAN &CHARLES L BAILEY $0 W/H 06/20/89 495127 1 198901883 UX HARD I PFEIFER ET GEORGIA C MORAN $0 Building Permits Permit No. Date Description Amount BLD2024-00901 I 7/24/2024 INSTALL ROOF MOUNT SOLAR PANELS Historical Valuation Info Year Billed Owner Land Impr. PermCrop Value Total Exempt Taxable 2025 WESSELS ET UX,SEAN $275,500 $737,835 $0 $1,013,335 $0 $1,013,335 2024 WESSELS ET UX,SEAN $275,500 $742,635 $0 $1,018,135 $0 $1,018,135 2023 BAILEY,CHARLES L ET UX $250,450 $617,215 $0 $867,665 $0 $867,665 EXHIBIT B Legal Description for Road Vacation No. 424 Vacate all that portion of the unnamed road adjacent to Tract 29 of Skookum Point Tracts, recorded in Volume 4 of plats, pages 54 and 55, said Tract being a portion of Resultant Parcel 1 of Boundary Line Adjustment# 02-40, recorded under Auditor's File No. 1760371, in the Southwest quarter of Section 24,Township 20 North, Range 3 West,W.M. in Mason County,Washington. 0 GOP o a �Z�ZeRoad Vacation 424 J 60 4 x I III �r ie Jam" 7 L?t 3?' i .r3 W��f.J y�r� . 3`t'*$ti.;d' `�s" i'�'�a i� �`_ a �:T`�R_z�' •� ��• s , � Zk 04 1-5 ra . } �!'��• Lv,s�GiT�r��_'�A'wf✓��Ya ��/,.k'„'�, �� �t�-� � � �` +�t `I"Se�f Isx�l"$�� y(tts .u� ,� s ?'•-r v:�` '�'•r`'�+ s',r�p �»'� •;{„i` EXHIBIT D Road Vacation #424-Unnamed Road in Skookum Point Tracts Near the West line Facing East 4, I„ i u } r� r RESOLUTION NO. VACATION FILE NO.424 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 the vacation of the following right of way: Vacate all that portion of the unnamed road adjacent to Tract 29 of Skookum Point Tracts, recorded in Volume 4 of plats, pages 54 and 55, said Tract being a portion of Resultant Parcel 1 of Boundary Line Adjustment # 02-40, recorded under Auditor's File No. 1760371, in the Southwest quarter of Section 24, Township 20 North,Range 3 West,W.M.in Mason County,Washington. 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, May 28,2025,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 mfrazierAmasoncountywa.gov. Visit the Mason County Hearings Examiner Agenda webpage at www.masoncountywa.gov/government/hearings examiner or contact Mariah Frazier at mfrazierAmasoncountywa.gov or call (360)427-9670 Ext 365 for Zoom information. DATED this day of ,2025. BOARD OF COUNTY COMMISSIONERS MASON COUNTY,WASHINGTON ATTEST: McKenzie Smith, Clerk of the Board Sharon Trask, Chair APPROVED AS TO FORM: �s - Pat Tarzwell, Vice Chair Tim Whitele , h.DPA Assessor Auditor Randy Neatherlin,Commissioner County Engineer Petitioner Post no later than 5/7/25 420 days prior to hearing at each terminus of the county road or portion thereof proposed to be vacated or abandoned.) Vacation File No. 424 JOURNAL—Publish 2t: 4/17/25—4/24/25 (Bill Public Works) Ji�;�� Mason County Agenda Request Form To: Board of Mason County Commissioners Item No. From: Michael Collins Ext: 450 Department: Public Works Briefing: ❑x Action Agenda: ❑x Public Hearing: ❑ Special Meeting: ❑ Briefing Date(s): April 7, 2025 Agenda Date(s): April 15, 2025 Internal Review: ❑ Finance ❑ Human Resources ❑x Legal ❑ IT ❑ Risk ❑ Other (This is the responsibility of the requesting Department) Item: County Road Project (CRP) 2064 Old Olympic Highway Improvement Project Background/Executive Summary: County Road Project(CRP) 2064 is a road improvement project on Old Olympic Highway from milepost 1.50 to milepost 2.89, that will consist of resurfacing the existing roadway and shoulders, roadway striping and any other necessary safety improvements. Public Works is requesting to move funds from new road fund to maintenance for this project. Budget Impact (amount, funding source, budget amendment, etc.): Funds will be County Road Fund. The preliminary estimated cost of the project is $1,041,000. Public Outreach: The resolution will be published in Shelton Journal. Requested Action: Request Board execute a resolution for County Road Project No. 2064, Old Olympic Highway Improvement Project, authorize the Public Works County Engineer to advertise, set bid dates/times, award contract and County Engineer and/or the Chair to sign all pertinent documents. Attachment(s) 1. Resolution 2. Project Location Map MASON COUNTY COMMISSIONERS RESOLUTION NO: COUNTY ROAD PROJECT NO. 2064 WHEREAS,on Mason County Road No. 14010,known locally as the Old Olympic Highwav and more specifically located in Sec. 29 and 20,,T. 19N.R 3W,WM at approximately mile post 1.50 to mile post 2.89;work defined as"construction"in the BARS Manual, Page 11-63,et seq,is determined to be necessary and proper; and, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS that it is their intention to: Roadway Improvement Project: asphalt overlay,shoulder improvements,and roadway striping. SAID WORK is to be performed by Contract and/or County Forces in accordance with Washington State Standard Specifications for Road and Bridge Construction as adopted by Mason County(RCW 36.77.020 and/or RCW 36.77.065 and WAC 136-18). BE IT FURTHER RESOLVED that the described County Road Project is necessary and proper,and the estimated costs of said project are herewith set out as follows: Engineering: $ -0- Right of Way $ -0- Construction $ 19)041 000 The County Road project herein described in HEREBY DECLARED to be a public necessity,and the County Road Engineer is HEREBY ORDERED AND AUTHORIZED to report and proceed thereon as by law,provided and in accordance with RCW 36.75.0509 36.80.080 and 36.80.070. ADOPTED this day of 20250 BOARD OF COUNTY COMMISS[ONERS MASON COUNTY,WASHINGTON Sharon Trask,Chair ATTEST: Pat Tarzwell,Vice Chair McKenzie Smith,Clerk of the Board Randy Neatherlin,Commissioner APPROVED AS TO FORM: Tim Whit A cr. Co.Commissioners Engineer JOURNAL: Publ. It: 04/24/2025 CRP 2064 Old Olympic Highway Kamilche N Improvement Project a O 3 2 MP 2.89 380 ft O�OQ�G/wi 00, 'V r 47 MP 1.50 Kennedy Creek G Natural Area Preserve s. i �s I w G)O `tot N P 2.89 101 FO8 CI 1.50 0 1.252.5 5 7.5 10 Miles u