mason cou com miss er briefing informati for week july … · 0 community waterfront/pvt beach...

MASON COU COM MISS ER BRIEFING INFORMATI FOR WEEK

July 6, 2015

In the spirit of public information and inclusion, the attached is a draft of information for Commissioner consideration and discussion at the above briefing.

This information is subject to change, additions and/or deletion and is not all inclusive of what will be presented to the Commissioners.

Please see draft briefing agenda for schedule.

F

ID Specific Items Review o Introduction of Jeff Vrabel, Facilities, Parks & Trails Manager o Request to list certain surplus properties for sale - details enclosed o Homeless Coalition Authority/RCW discussion

o 2016 MACECOM budget

e Divisions Reports/ Status Overview - Bill Kenny •:• Budget Management •!• Central Operations •!• Emergency Management •!• Facilities, Parks & Trails •!• Human Resources •!• Information Services •!• Labor Relations •!• Risk Management •!• Boards & Commissions •!• Other

Commissioner Administration

Emergency Management

Facilities, Parks & Trails

Human Resources

Information Services

Labor Relations

Risk Management

Parcel #22005-55-00009 91 E Willchar Blvd Shelton (Phillips Lake Area) Old manufactured single wide 2 bed 1 bath on 1 Assessed value is currently $38,820 Realtor requests listing at $25,000

129-7 5-90092 8635 E State 3 Shelton (near Junkyard) Vacant land 1.04 acre, no improvements Assessed value at $15,980 Realtor requests listing at $15,000

Parcel #22129-75-90093 8635 E State Rt 3 Shelton (near Anthony Rd Junkyard) Vacant land 1.03 acre, no improvements Assessed value at $15,980 Realtor requests listing at $15,000

Attachments: NWMLS forms for Chair signature i: Property Mng/Briefing to List Surplus for Sale 070615

s.f. lot

1 on 1

Parcel 129-75-90093 8635 E State 3 Shelton (near Anthony Rd Junkyard) Vacant land 1.03 acre, no improvements Assessed value at $15,980 Realtor requests listing at $15,000

Realtor has requested re-list Star Lake with manufactured home.

Parcel #51908-50-00100 92 W Blakely Dr Elma

damaged manufactured home and surplus . It was

Property Mng/Briefing to List Surplus for Sale 070615

was

NWMLS Form 5 Rev. 6/14 Copyright 2014 Northwest Multiple Listing Service All Rights Reserved

LAND INPUT of 3)

ADDRESS 'Indicates Required information ( ) Indicates Maximum Choice

Mason County

176

91 Street # (HSN)

Suffix

LISTING

LOCATION

9 lot Number

E Modifier Direction

listing Date

3rd Party Approval Required (2)

Shelton 98584 "'City ZiP Code +4

Wilkhar " Street Name

Post Direction Unit#

22005-55-00009 Expiration Date "'Tax ID# Preliminary Title Ordered

Wilkhar add to Block Plat/Subdivision/Building Name

GZJ None 0 Other - See Remarks 0 Short Sale Bank Owned/REO Auction

Unknown MAP BOOK

PROPERTY INFORMATION

" Owner's Name

'" Prohibit Slogging

4%

Owner's Phone

" Allow Automated Valuation

Top Map Side Map Coo rd. Coard. Map Page

Assessor Owner's City and State " Lot Size (Square Feet) " lot Size Source

" Show Map link " Internet Advertising " Show Address to Public

" SOC (Selling Office Com.) Selling Office Commission Comments (40 characters maximum) Virtual Tour URL (Please include http://)

BROKER INFORMATION

55681 Richard Beckman 360-790-1921 4537 Richard Beclunan 360-426-5521 " LAG Broker Name and Phone Listing Firm - ID# Firm Name and Phone

Listing Broker ID#

Co Broker - ID# CO Broker Name and Phone Co Firm- ID# Co Firm Name and Phone

LISTING INFORMATION

41 - Res-Over 1 Acre '"Style Code

Restrictions (4)

DCC&R 0 NO Manufactured Homes D Manufactured Homes OK 0 No Restrictions D Timber Clause D Unknown 0 See Remarks

No Senior Exemption

General Zoning Classification (6)

D Agricultural D Forestry 0 Office RRS 0 Business D Industrial 0 Residential O Commercial O Industrial-Light o Retail " Zoning Jurisdiction Zoning Code

0 Farm & Ranch D Multi-Family D See Remarks

Possession (3)

ll:'.i Closing 0 Negotiable D See Remarks 0 Sub. Tenant's Rights

No Right of First Refusal

No

Form 17 Sketch Submitted

Assessment Fees (6)

0 Electric 0 Road 0 Water 0 Gas 0 School 0 See Remarks 0 Parks 0 Sewer

2014 0.00 Tax Year Annual Taxes

Potential Terms (10)

~Assumable 0 Owner Financing Cash Out 0 Rehab Loan Conventional 0 See Remarks

0 Farm Home Loan 0 State Bond OFHA OVA D Lease/Purchase

Term Remarks (40 characters maximum)

INITIALS: Seller Date Seller Date Brol(er Date

NWMLS Form 5 Rev. 6/14 Copyright 2014

VACANT PROPERTY TYPE Northwest Multiple Listing Service

All Rights Reserved

SITE INFORMATION

5202 Quarter (Secflwn/Rng)

Reports/Documents Completed (9)

D CCRs D Wetland Delineation D Drainage D See Remarks D Geotech D Road Agreement D Septic "As Built" 0 Topographical D Well Agreement

Lot Details (7) DAiiey D Corner Lot D Cul-de-sac D Curbs D Dead End Street D High Voltage Line D Open Space

Topography (5) D Cliffs D Fill Needed D Gullies fi:1 Level 0 Rolling

D Paved Street D Secluded 0 Sidewalk

0 See Remarks 0 Sloped 0 Swale

Slopes Down to The (40 characters maximum)

UTILITY I SCHOOL I COMMUNITY

Community Features (9)

0 Age Restriction 0 Gated Entry D Airfield D Golf Course D Boat Launch 0 Tennis Courts 0 CCRs D Clubhouse 0 Community Waterfront/Pvt Beach Access

"Gas

Yes Septic System Installed

Soil Test Date

Septic Design Exp. Date

Easements

INITIALS: Seller

Address: 91 E Willchar Shelton LAG# 55681

Date

150xl15 lot Dimensions (Feet)

Waterfront (5)

0 Bank-High 0 Bank-Low 0 Bank Medium 0 Bay 0 Bulkhead D Canal 0 Creek 0 Jetty

Improvements (10)

0 Barn 0 Boat House 0 Cabana/Gazebo 0 Cable TV Avail D Dock D Dwelling 0 Fenced-Fully

0 Lake D No Bank D Ocean 0 River 0 Saltwater 0 Sound Ostrait 0 Tideland Rights

0 Fenced-Partially 0 Garage 0 Outbuilding(s) 0 Shop 0 Stable

Road Information (5) D Access Easement 0 County Maintained 0 County Right of Way 0 Gravel

0 Privately Maintained 0 Recorded Main!. Agrm D Trail Permit 0 See Remarks

0 Paved

Waterfront Footage (Feet)

View (5)

0 Bay 0 Canal Deity 0 Golf Course 0 Jetty D Lake D Mountain

Property Features (12)

0 Brush D Comm. Grade Timber 0 Corners Flagged 0 Dune Grasses 0 Evergreens 0 Garden/Fruit Trees 0 Heavily Forested 0 Irrigation

0 Ocean 0 Partial ORiver 0 See Remarks 0 Sound DStrait 0 Territorial

0 Lightly Treed 0 ORV Trails 0 Partially Cleared 0 Pasture Land 0 Pond D Recreational 0 Riding Trails 0 Stream/Creek

North and Sonth Road on which side of Property

Level (40 characters maximum)

"Water (5)

0 Available D Community Well riZ'.i Drilled Well 0 In Street 0 Lake 0 Not Available

" Electricity

2

D On Property 0 Private Well 0 Share Available 0 Shared Well D Unknown D Water Rights

Septic Approved for# of Bedrooms

Septic Design Applied For

Septic System Type

Homeowner Dues Include

D Well Needed D Well Site Approved

Water Jurisdiction

" Sewer (2) D Available 0 In Street

1£:\ Not Available 0 On Property

Soil Feasibility Test Available

Septic Design Apprv. Date

Survey Information

D Common Area Maintenance D Concierge

D See Remarks D Snow Removal

0 Lawn Service $ 0 Road Maintenance 0 Security Services Homeowners Dues

Seller Date Broker Date



REMARKS

LISTING INPUT

Address: 91 E Wilkhar Shelton

Pioneer Elementary

3 3)

# 55681

PROPERTY TYPE

Marketing Remarks. CAUTION! The comments you make in the following lines are limited to descriptions of the land and improvements only. These remarks will appear in the client handouts and websites. (500)

3 level lots over a 1/4 acre of near Lake. and power are on site. Also indudes a 1972 manufactured home with an addition. Rehab the home or remove the home and start over.

Confidential Broker-Only Remarks. Comments in this category are for broker's use only. (250)

Possibly acquired through tax foreclosure. May be subject to redemption. Title insurance may not be available and title may be transferred with a bargain and sale deed. Please use Mason County Title. Buyer shall pay for title insurance.

'" Driving Directions to Property (200)

From Shelton, North on Hwy 3, right onto Pickering Rd. Right onto Phillips Lake Rd, left onto Phillips Lake Loop Rd, left onto Willchar Blvd to address on left.

11\llTIALS: -------~-- ----·---·---·----·-----

Seller Date Seller Date Broker Date

SIMPLE SEARCH SALES SEARCH REETSIFTER COUNTY HOME PAGE CO~ITACT DISCLAIMER PAYi\JIE~IT CART(O)

Peterson i\] 5TH ST SheHon1 PJA 9838LJ

!Parcel#: 22005-55-00009 Owner ~Jam:=: MASON COUNTY

11 - Residential - Single Family

91 E WILLCHAR BLVD SHELTON

;"\ddrnssl.: MASON COUNTY COURTHOUSE

Status:

DzscdpUon:

Comrnent:

Land:

Improvements:

Permanent Crop:

Total

EXEMPT FULL YEAR

WILL-CHAR ADD TO PHILLIPS LAKE TR 9

$4,850 Land:

$33,970 Improvements:

$0 Permanent Crop:

$38,820 Total

Ownar's Name

MASON COUNTY

Sales

t\dciress2: 411 N 5TH ST

Zip:

\!alu2

SHELTON WA

985843400

$0 District:

$0 Current Use/DFL:

$0

$0 Total Acres:

100 %

Salas lDocun12n~ #Parcels Excrrse # Grantor

0182 Tax District 0182

No

0.00000

01/11/11 1968612 4 SKAGEN, SHIRLEY MASON COUNTY $0

Historical Info

~·{ear i3Wecl Owner la ml Im pr. PermCrop VahVio Totai Exempt Taxable

2015 MASON COUNTY $4,850 $33,970 $0 $38,820 $38,820 $0

2014 MASON COUNTY $5,000 $34,665 $0 $39,665 $39,665 $0

2013 MASON COUNTY $4,500 $34,665 $0 $39,165 $39,165 $0

2012 MASON COUNTY $5,000 $34,665 $0 $39,665 $39,665 $0

2011 MASON COUNTY $5,000 $45,220 $0 $50,220 $50,220 $0

No Comments Available

No images found.

1.0.5642.25'1-33 TX __ RollYear_Search: 2015

l


of 3)

ADDRESS •Indicates Required information ( ) Indicates Maximum Choice #

Mason County

172 Area

xxx Street# (HSN)

Suffix

LISTING

LOCATION

E Modifier Direction

Shelton City

Shelton Community/District

Post Direction

Lot 2 of SP 774 lot Number Block


6ZJ None D Other - See Remarks D Short Sale


3604279670 Shelton WA

22129-75-90092 "Tax ID#

Auction

98584 "ZIP Code

Unit#

+4

"' Preliminary Title Ordered

Plat/Subdivision/Building Name

Assessor "' Owner's Name " Owner's Phone "' Owner's City and State " lot Size (Square Feet) ., lot Size Source

Yes " Prohibit Slogging

4°/o

" Allow Automated Valuation "' Show Map link '" Internet Advertising " Show Address to Public


BROKER INFORMATION

55681 Richard Beckman 360-790-1921 4537 Richard Beckman 360-426-5521 "' LAG Broker Name and Phone listing Firm - ID# Firm Name and Phone

Listing Broker ID#

Co Broker - ID# CO Broker Name and Phone Co Firm-JD# Co Firm Name and Phone

LISTING INFORMATION

41 - Res-Over 1 Acre "Style Code

Restrictions (4)

OCC&R 0 NO Manufactured Homes D Manufactured Homes OK D No Restrictions D Timber Clause D Unknown D See Remarks

No Senior Exemption


0 Agricultural 0 Forestry 0 Office 0 Business 0 Industrial 0 Residential 0 Commercial 0 Industrial-Light 0 Retail " Zoning Jurisdiction 0 Farm & Ranch 0 Multi-Family 0 See Remarks

RRS Zoning Code

"' Possession (3)

It\ Closing 0 Negotiable 0 See Remarks 0 Sub. Tenant's Rights


No

Form 17 Sketch Submitted

Assessment Fees (6)

0 Electric 0 Road 0 Water 0 Gas 0 School 0 See Remarks 0 Parks 0 Sewer

2014 Tax Year Annual Taxes

Potential Terms (10)

~Assumable Cash Out Conventional

0 Farm Home Loan 0 FHA 0 Lease/Purchase

0 Owner Financing 0 Rehab Loan 0 See Remarks 0 State Bond OVA

Remarks 40 characters maximum

11\JITIALS: Seller Date Seller Date Broker Date


SITE INFORMATION

29212 Quarter (Sec/Twn/Rng)


0 CCRs D Wetland Delineation 0 Drainage 0 See Remarks 0 Geotech 0 Road Agreement 0 Septic "As Built" 0 Topographical 0 Well Agreement

Lot Details (7)

DAiiey 0 Corner Lot 0 Cul-de-sac 0 Curbs 0 Dead End Street 0 High Voltage Line D Open Space

Topography (5)

0 Cliffs D Fill Needed 0 Gullies 0 Level D Rolling

0 Paved Street 0 Secluded 0 Sidewalk

0 See Remarks 0 Sloped 0 Swale



Community Features (9)

0 Age Restriction 0 Gated Entry D Airfield D Golf Course 0 Boat Launch 0 Tennis Courts OCCRs 0 Clubhouse 0 Community Waterfront/Pvt Beach Access

., Gas

Septic System Installed

Soil Test Date


Easements

INITIALS: Seller Date

INPUT

Shelton

Lot Dimensions (Feet)

Waterfront (5)

0 Bank-High 0 Bank-Low 0 Bank Medium 0 Bay 0 Bulkhead 0 Canal 0 Creek OJetty

Improvements (10) 0 Barn 0 Boat House 0 Cabana/Gazebo 0 Cable TV Avail 0 Dock 0 Dwelling 0 Fenced-Fully

0 Lake 0 No Bank 0 Ocean 0 River 0 Saltwater D Sound DStrait 0 Tideland Rights

D Fenced-Partially 0 Garage 0 Outbuilding(s) 0 Shop 0 Stable

Information (5) Access Easement

0 County Maintained 0 County Right of Way 0 Gravel 0 Paved

0 Privately Maintained 0 Recorded Main!. Agrm 0 Trail Permit 0 See Remarks

of PROPERTY TYPE

# 55681


View(5)

0 Bay 0 Canal OCity 0 Golf Course 0 Jetty D Lake D Mountain

Property Features (12) D Brush D Comm. Grade Timber D Corners Flagged 0 Dune Grasses 0 Evergreens 0 Garden/Fruit Trees D Heavily Forested D Irrigation

0 Ocean 0 Partial ORiver 0 See Remarks 0 Sound DStrait 0 Territorial

0 Lightly Treed 0 ORV Trails 0 Partially Cleared 0 Pasture Land 0 Pond 0 Recreational 0 Riding Trails 0 Stream/Creek

Road on which side of Property

level (40 characters maximum)

"Water (5)

OAvailable 0 Community Well D Drilled Well 0 In Street 0 Lake 0 Not Available

" Electricity

0 On Property 0 Private Well 0 Share Available q Shared Well li:'.'.l Unknown 0 Water Rights

Septic Approved for # of Bedrooms

0 Well Needed D Well Site Approved

Water Jurisdiction

"Sewer (2)

DAvailable 0 In Street

[i Not Available D On Property


Septic Design Applied For Septic Design Apprv. Date

Septic System Type


0 Common Area Maintenance D Concierge 0 Lawn Service 0 Road Maintenance 0 Security Services

Seller

0 See Remarks 0 Snow Removal

Date

Survey Information

$

Monthly Homeowners

Broker Date



REMARKS

LAND

Address: xxx E

Pioneer Elementary School

INPUT of 3)

Shelton # 55681

PROPERTY TYPE


off Rd.


Poss. acq. through tax foreclosure. May be sub. to redemption. Title insurance may not be avail. and title may be transferred with a B & S deed. Please use Mason County Title. Buyer shall pay for title insur. There is a recorded ease. Road need built

'" Driving Directions to Property (200)

From Shelton, North on Hwy 3, left onto Anthony Rd. Property is behind old wrecking yard off of HWY 3.

INITIALS: Seller Date Seller Date Broker Date

SIMPLE SEARCH SALES SEARCH REETSIFTER COUNTY HOME PAGE CONTACT DISCLArniJER PAYME~IT CART(Q_)

~Jason

Parcel#: 22129-75-90092

Code: 91 - Undeveloped - Land

Situs: 8635 ESTATE ROUTE 3, SHELTON

Map Pllnnber:

Status: EXEMPT FULL YEAR

LOT: 2 OF SP #774 OF TR 9-B OF S 6/1

Connrnt~nt:

5TM ST Sheaon,

Owner ~li'lrne: MASON COUNTY

P1c1drnss1: MASON COUNTY COURTHOUSE

/\tkltess:?.: 411 N 5TH ST

City, State:

;:;::ip:

SHELTON WA

985843400

Land:

Improvements:

$15,980 Land:

$0 Improvements:

$0 Permanent Crop:

$15,980 Total

$0 District:

$0 Current Use/DFL:

$0

0182 - Tax District 0182

No

Permanent Crop:

Total $0 Total Acres: 1.04000

MASON COUNTY

History

Sale Date Sales Document # Parcels IExdse # Grantor

Own,ership O/o

100 %

Grantee

01/11/11 1968615

09/22/08 1928069

12/12/01 1745099

12/04/96 638573

PROBLEM PROPERTY SOLUTIONS LLC MASON COUNTY

1

1

Vea:;· Bi~led owner

2015 MASON COUNTY

2014 MASON COUNTY

2013 MASON COUNTY

2012 MASON COUNTY

2011 MASON COUNTY

View Taxes

200803692 WILLIAM A LOONEY

200100000 MASON COUNTY TREASURER

199639123 LAWRENCE L-NELLIE RANKIN

Historical Valuation Info

land !n1pr. PenrnCfop Vah.ne

$15,980 $0 $0

$15,300 $0 $0

$15,300 $0 $0

$17,000 $0 $0

$17,000 $0 $0


PROBLEM PROPERTY SOLUTIONS LLC

WILLIAM A LOONEY

BOBBY G & LYDIA D CORBIN

Total Exennpt Taxabl2

$15,980 $15,980

$15,300 $15,300

$15,300 $15,300

$17,000 $17,000

$17,000 $17,000

1

$0

$0

$0

$0

$0

$0

$0

$0

$0

l

2


ADDRESS

Mason "County

172 Area

xxx Street# (HSN) Modifier

Road Suffix

LISTING

LOCATION

Lot 3 of SP 774 lot Number

0 Indicates Required information

E Direction

Shelton City

Shelton

INPUT

( ) Indicates Maximum Choice

Post Direction

22129-75-90093 listing Date Tax ID#

Block


0 None 0 Other - See Remarks 0 Short Sale

Unknown MAP BOOK Map Page


Mason ------··''----· ·-·-------

3604279670 Shelton WA

of 3)

Unit#

" Preliminary Title Ordered

Plat/Subdivision/Building Name

Top Map Side Map Coard. Coo rd.

Assessor ., Owner's Name " Owner's Phone " Owner's City and State " lot Size (Square Feet) " Lot Size Source

" Prohibit Blogging

4%

" Allow Automated Valuation " Show Map Link ., Internet Advertising " Show Address to Public


BROKER INFORMATION

55681 Richard Beckman 360-790-1921 4537 Richard Beckman 360-426-5521 "' LAG Broker Name and Phone Listing Firm - ID# Firm Name and Phone

Listing Broker ID#

Co Broker - ID# CO Broker Name and Phone Co Firm - ID# Co Firm Name and Phone

LISTING INFORMATION

41- Res-Over 1 Acre "'Style Code

Restrictions ( 4) Occ&R 0 NO Manufactured Homes 0 Manufactured Homes OK D No Restrictions 0 Timber Clause 0 Unknown 0 See Remarks

No Senior Exemption

Term Remarks

INITIALS: Seller


0 Agricultural 0 Forestry 0 Office RRS 0 Business 0 Industrial 0 Residential 0 Commercial 0 Industrial-Light 0 Retail " Zoning Jurisdiction 0 Farm & Ranch 0 Multi-Family 0 See Remarks

Zoning Code

" Possession (3)

li'.'.J Closing 0 Negotiable 0 See Remarks 0 Sub. Tenant's Rights


Date

No 2014 0.00

"' Form 17 Sketch Submitted Tax Vear Annual Taxes

" Potential Terms (10)

Assessment Fees (6)

0 Electric 0 Road 0 Water 0 Gas 0 School 0 See Remarks D Parks 0 Sewer

~Assumable 0 Owner Financing Cash Out 0 Rehab Loan Conventional 0 See Remarks

0 Farm Home Loan 0 State Bond 0 FHA OVA 0 Lease/Purchase



SITE INFORMATION

29212 Quarter (SecfTwn/Rng)


D CCRs 0 Wetland Delineation D Drainage D See Remarks 0 Geotech D Road Agreement D Septic "As Built" D Topographical D Well Agreement

Lot Details (7) DAiiey D Corner Lot 0 Cul-de-sac D Curbs 0 Dead End Street D High Voltage Line 0 Open Space

Topography (5)

0 Cliffs D Fill Needed 0 Gullies D Level 0 Rolling

D Paved Street 0 Secluded 0 Sidewalk

D See Remarks 0 Sloped D Swale



Community Features (9) 0 Age Restriction 0 Gated Entry 0 Airfield 0 Golf Course 0 Boat Launch D Tennis Courts DCCRs 0 Clubhouse 0 Community Waterfront/Pvt Beach Access

"Gas

Septic System Installed

Soil Test Date


Easements

INITIALS: Seller Date

LISTING INPUT

Lot Dimensions (Feet)

Waterfront (5)

0 Bank-High 0 Bank-Low 0 Bank Medium OBay 0 Bulkhead D Canal 0 Creek OJetty

Improvements (10) 0 Barn D Boat House 0 Cabana/Gazebo 0 Cable TV Avail ODock 0 Dwelling 0 Fenced-Fully

0 Lake 0 No Bank 0 Ocean 0River 0 Saltwater 0 Sound 0 Strait 0 Tideland Rights

0 Fenced-Partially 0 Garage 0 Outbuilding(s) 0 Shop 0 Stable

Road Information (5) ll!l Access Easement 0 County Maintained 0 County Right of Way 0 Gravel

0 Privately Maintained 0 Recorded Main!. Agrm 0 Trail Permit 0 See Remarks

0 Paved

of 3) PROPERTY TYPE

LAG# 55681


View(5)

0 Bay 0 Canal Deity 0 Golf Course DJetty 0 Lake 0 Mountain

Property Features (12)

0 Brush 0 Comm. Grade Timber D Corners Flagged 0 Dune Grasses 0 Evergreens 0 Garden/Fruit Trees D Heavily Forested 0 Irrigation

D Ocean 0 Partial DRiver 0 See Remarks 0 Sound OStrait 0 Territorial

D Lightly Treed 0 ORV Trails 0 Partially Cleared 0 Pasture Land 0 Pond 0 Recreational 0 Riding Trails 0 Stream/Creek

Road on which side of Property

level (40 characters maximum)

"Water (5)

OAvailable 0 Community Well 0 Drilled Well 0 In Street 0 Lake 0 Not Available

" Electricity

0 On Property 0 Private Well 0 Share Available q Shared Well ~Unknown 0 Water Rights

Septic Approved for# of Bedrooms

Septic Design Applied For

Septic System Type


D Well Needed 0 Well Site Approved

Water Jurisdiction

"Sewer (2)

0 Available 0 Jn Street

~ Not Available 0 On Property


Septic Design Apprv. Date

Survey Information

0 Common Area Maintenance 0 Concierge

0 See Remarks 0 Snow Removal

0 Lawn Service $ 0 Road Maintenance 0 Security Services Monthly Homeowners Dues




REMARKS

INPUT

Shelton LAG# 55681

PROPERTY TYPE


1 acre


Poss. acq. through tax foreclosure. May be sub. to redemption. Title insurance may not be avail. and title may be transferred with a B & S deed. Please use Mason County Title. Buyer shall pay for title insur. There is a recorded ease. Road need built

" Driving Directions to Property (200)

From Shelton, North on Hwy 3, left onto Anthony Rd. Property is behind old wrecking yard off of HWY 3.

INITIALS: ----·----

Seller Date Seller Date Broker Date

2

SIMPLE SEARCH SA1-ES SEARCH REETSIFTER COUNTY HOME PAGE CONTACT QISCLA!MEE PAYMENT CART(Q]

Parc·zl#:

.Status:

Descdp!:Jon:

Con1r;nerr~:

2015

22129-75-90093

91 - Undeveloped - Land

8635 E HWY 3 SHELTON

EXEMPT FULL YEAR

LOT: 3 OF SP #774 OF TR 9-C OF S 6/1

!Peterson i'-l 5TM ST §Jizlton, Plti

Owner fi'lanie: MASON COUNTY

fi\c!clress1: MASON COUNTY COURTHOUSE

Atlclress2: 411 N 5TH ST

Zip:

SHELTON WA

985843400

Land: $15,980 Land: $0 District: 0182 - Tax District 0182

Improvements:

Permanent Crop:

Total

$0 Improvements: $0 Current Use/DFL: No

$0 Permanent Crop:

$15,980 Total

$0

$0 Total Acres: 1.03000

OV'n12rship O/o

MASON COUNTY 100 %

Sales

SaL:: Date Salas JDoc11.u112~1rt # Parce~s fxdsB # Gran'l:or

01/11/11 1968616 1 PROBLEM PROPERTY SOLUTIONS LLC

09/22/08 1928069 1 200803692 WILLIAM A LOONEY

12/12/01 1745098 1 200100000 MASON COUNTY TREASURER

12/04/96 638573 1 199639123 LAWRENCE L-NELLIE RANKIN

Historical Valuation Info

'\/'ear BHleci Owner !..an DI !nupr. Permt:rop Vaiu2

2015 MASON COUNTY $15,980 $0 $0

2014 MASON COUNTY $15,300 $0 $0

2013 MASON COUNTY $15,300 $0 $0

2012 MASON COUNTY $17,000 $0 $0

2011 MASON COUNTY $17,000 $0 $0

Vie~v Tax·e3


Grantee

MASON COUNTY

PROBLEM PROPERTY SOLUTIONS LLC

WILLIAM A LOONEY

BOBBY G & LYDIA D CORBIN

Tota~ E::·en1pt Ta;:abie

$15,980 $15,980

$15,300 $15,300

$15,300 $15,300

$17,000 $17,000

$17,000 $17,000

$0

$0

$0

$0

$0

$0

$0

$0

$0

15

.y Washington Surplus Property For Sale. Government owned Real Estate! R. .. Page 3of3

Nearly a 1 /2 acre waterfront lot near Nearly a 1 /2 acre waterfront lot near

Shorecrest Enjoy 75+- feet of waterfront with Shorecrest Enjoy 76+- feet of waterfront with and

sweeping views of the city of Shelton and

Oakland Bay. Adjacent lot to the south also

available.

Corner lot in Star Lake community with

sweeping views of the city of Shelton and

Oakland Bay. Adjacent lot to the north also

available.

5 level acres centrally located on Harstine

power, water and septic already installed . Island. This ro er is a blank canvas waitin

Site also has a 1989 manufactured home with or ou to build the home ou alwa s wanted.

some fire damage. Quiet street with only a few neighbors.

Mason County Surplus Commercial Real Estate Mason County Surplus Land

More Mason County Surplus property will hit the market in_ the coming weeks.

in size from 1. 3 to 1. 75 acres.

Home I Property Search I Our Ac ti ve Listings I Mason County Stu-plus I Advanced Search I Map Search I Hood Canal Foreclosures

SheltonWARealEstate I Lake Cushman I Vacation Rentals I Lake Limerick Homes I Mason Lake I Waterfront Property Rentals I

Buyer /Seller· Info I Mortgage Rates I About The Group I Our Blog I Meet Our Agents I Contact Me I Richard Beckman I Shelton Washington

Shelton Homes For. .. I Get Your Real Estate License J Lake Limerick J Alderbrook Real Estate

I~

Powered by iHOUSE Elite Real Estate Websites I Admin Menu

http://www.richardbeckmamealtygroup.com/Web/AR447512/CustomContent/index/5396891 6/5/2015

2

N

SALES SEARCH REETSIFTER COUNTY HOME PAGE CONTACT DISCLA!Ml=R PAYMENT CART(Qj

Mason

Parcel#: 51908-50-00100

DOR Code: 18 Residential - All other

92 W BLAKLEY DR ELMA

Map ~·Jomber:

5tat:us:

Descdptllon: STAR LAKE #1 LOT: 100

Comment:

Pe£erson N 5TH ST Sh.elton, 93580

Owner f·Jam2: MASON COUNTY

t'u:klress1:

Address?.:

Zip:

411 N 5TH ST

SHELTON WA

98584-3400

Land:

Improvements:

$7,875 Land:

$64,480 Improvements:

$0 Permanent Crop:

$72,355 Total

$0 District:

$0 Current Use/DFL:

$0

0111 - Tax District 0111

No

Permanent Crop:

Total $0 Total Acres:

Owner's Name

MASON COUNTY

Sale Darte Sales iDocun1ent

01/26/15 2035609

01/05/00 1705583

09/12/94 595011

03/13/87 464413

10/15/86 458694

08/06/86 455734

08/04/86 455733

Year Bii~ed O~vn·ar

2015 MASON COUNTY

2014 SMITH, CHERYL L

2013 SMITH, CHERYLL

2012 SMITH, CHERYLL

2011 SMITH, CHERYLL

Sales

# !Parcels Excise# Granter

1

1

1

1

1

1

1

MASON COUNTY TREASURER

200051951 FD HIPKINS

199400000 HELEN E HIPKINS DEC

198797853 THELMA M HIPKINS

198696339 HELEN E HIPKINS

198695534 THELMA M HIPKINS

198695533 JOHN E STRANDBERG ET UX

H

Land !rrilpr. PermCrop Value

$7,875 $64,480

$7,875 $65,060

$7,500 $62,600

$8,750 $68,525

$8,750 $68,525


Ownership 01o

100 %

Grantee

MASON COUNTY

CHERYL L SMITH

FREDERICK HIPKINS SURV SPS

HELEN E HIPKINS

Total E"rempt

$0 $72,355 $72,355

$0 $72,935 $72,935

$0 $70,100 $70,100

$0 $77,275 $77,275

$0 $77,275 $77,275

0.00000

Price

$0

$0

$0

$0

$0

$0

$19,000

TcixabJe

$0

$0

$0

$0

$0

15

Mason County owns certain (Parcel Numbers: #22017-53-00046: #22213-11-00020: #31904-53-00066: #32122-50-00027: #51908-50-00 l 00 located at various locations in Mason County, WA and has been determined the property to be surplus to the Cmmty's needs;

WHEREAS, Mason County issued public notice regarding the proposed surplus property for two consecutive weeks in a newspaper of general circulation within Mason County;

\VHEREAS, the Mason County Board of Commissioners, on Tuesday, May 19, 2015, held a public hearing regarding the property in which members of the public were able to testify before the Mason County Board of Commissioners regarding the proposed property to be surplused;

NOW, THEREFORE, BE IT HEREBY RESOLVED, by the Board of Mason County Commissioners that the following parcels is declared surplus property:

PARCEL NOS: #22017-53-00046: #22213-11-00020: #31904-53-00066: #32122-50-00027: #51908-50-00100

NOW, THEREFORE, BE IT FURTHER RESOLVED, by the Mason County Board of Commissioners that the real property described in Exhibit attached is declared su11Jlus and the Property is authorized to offer all of said property for sale, by any of the several means authorized by Mason County Code 3.40, Offering prices are to be recommended by the Mason County's Real Estate Contractor. The Property Manager may adjust these prices upon receiving new information from the Assessor's office or other sources, The final selling prices are to be approved by the Board of County Commissioners; and

BE IT FURTHER RESOLVED, that the proceeds of the sale of said property are to be dedicated first to any delinquent property tax obligations and related penalties, expenses and assessments; and next to reimbursement of the of the Prope1iy Manager; and finally to the Current Expense fund,

Dated this 19th day ofMay2015,

ATTEST:

APPROVED AS TO FORM:

Tim Whitehead, ChiefbPA

BOARD OF COUNTY COMMISSIONERS MASON COUNTY, WASHING TON

1/ ,/(~, 7:·'?\/i<(

RandyNeatherlin, Chair

Tim Sheldon, Commissioner

Parcel#:

17-53-00046

22213-11-00020

31904-53-00066

32122-50-00027

51 100

Location:

Lot in Timberlakes

Land near Rasor Road Lakewood Plat

Lot at Fawn Lake

Lot at Lake Limerick

Lot at Star Lake

Mason County Housing Coalition

please potential solutions): The Commissioners requested background and "authority" clarification regarding the Housing Coalition. The question was raised merely as a need for clarification as to the statutory history and legislative intent of law and previous Commissioners regarding the funding and plan for homelessness reduction.

BUDGET IMPACTS: Continue to assure appropriate recommendations and budgeting of program revenues.

RECOMMENDED OR REQUESTED ACTION: Background information and authority provided .

Overview by Support Services Director (Public Health Director requested to also attend)

Provide opportunity for additional direction or information needed by Commissioners?

Commissioner discussion

ATTACHMENTS:

RCW 43.185C.160 Department of Commerce Overview of Program Mason County Resolution No. 96-06 News Release: Mason County Housing Coalition Membership

7/1/2015

RCW 43 .l 85C.l 60: County homeless housing task forces - Homeless housing plans - ... Page 1 of 2

RCW 43.1 SSC.160

County homeless housing task forces - Homeless housing plans -Reports by counties.

(1) Each county shall create a homeless housing task force to develop a ten-year homeless housing plan addressing short-term and long-term housing for homeless persons.

Membership on the task force may include representatives of the counties, cities, towns, housing authorities, civic and faith organizations, schools, community networks, human services providers, law enforcement personnel, criminal justice personnel, including prosecutors, probation officers, and jail administrators, substance abuse treatment providers, mental health care providers, emergency health care providers, businesses, at-large representatives of the community, and a homeless or formerly homeless individual.

In lieu of creating a new task force, a local government may designate an existing governmental or nonprofit body which substantially conforms to this section and which includes at least one homeless or formerly homeless individual to serve as its homeless representative. As an alternative to a separate plan, two or more local governments may work in concert to develop and execute a joint homeless housing plan, or to contract with another entity to do so according to the requirements of this chapter. While a local government has the authority to subcontract with other entities, the local government continues to maintain the ultimate responsibility for the homeless housing program within its borders.

A county may decline to participate in the program authorized in this chapter by forwarding to the department a resolution adopted by the county legislative authority stating the intention not to participate. A copy of the resolution shall also be transmitted to the county auditor and treasurer. If a county declines to participate, the department shall create and execute a local homeless housing plan for the county meeting the requirements of this chapter.

(2) In addition to developing a ten-year homeless housing plan, each task force shall establish guidelines consistent with the statewide homeless housing strategic plan, as needed, for the following:

(a) Emergency shelters;

(b) Short-term housing needs;

(c) Temporary encampments;

(d) Supportive housing for chronically homeless persons; and

(e) Long-term housing.

Guidelines must include, when appropriate, standards for health and safety and notifying the public of proposed facilities to house the homeless.

(3) Each county, including counties exempted from creating a new task force under subsection (1) of this section, shall report to the *department of community, trade, and economic development such information as may be needed to ensure compliance with this chapter.

[2005 c 485 § 1.)

Notes:

http://apps.leg.wa.gov/RCW /default.aspx?cite=43 . l 85C. l 60 6/24/2015

.1 1 2 2

was

5

Homeless Assistance and Prevention Programs

0 Department of Commerce Innovation is in our nature.

Sf'..alC"I nus $tte

About Commerce Programs Services & Assistance Economic Development

Homeless Assistance and Prevention Programs 2014 RCW 43. l 85C Expenditure Report •New

The Homelessness Hous ing and Ass istance Act (RC'.v'J 4_?,185C) passed in 2005 requires counties to:

Develop a ten-year plan to reduce homelessness by 50 percent by 2015. Conduct an annual point in time count of homeless persons. Report progress implementing plans annuall y to Commerce. Use the loca l portion of document recording fees ($20.2 million per year) to reduce homelessness. Implement a Homeless Management Information System (HMIS) to collect cli ent data used to measure program, county and state performance.

The Act requires the Department of Commerce to:

Work with the lnteragency Council on Homelessness (ICH) and Affordab le Housing Advisory Board (AHAB) to develop a ten-year plan to reduce homelessness by 50 percent by 2015. Coordinate the annual point in time count. Produce an annual report on the performance measures used to measure state and local pl an implementation. Provide technical assistance to counties. Pass through most of the state portion of document recording fees ($8.6 million per year) to local governments to reduce homelessness. Implement Homeless Management Information Systems (HMIS) to collect client data used to measure program, county and state performance.

Looking For Assistance?

Locate Homeless and Prevention Assistance ..... ........................................ . ........................... .

Links

.2.Q.l. ~ .. F.l.(;\A/ .~~. 1 .. 8.~.r:; .~~P.~.n.~itu. r.e..B.~P.().rt.

H..O. .rT1~.le. s..s. r1 .e.s.s. .. i.r1.':f'J.as.h_ir19to.11 .. ?ta..t~; . 2..0.l .4. . F.l~P.().rt.

I.r.a.11.S.i~i()n.~.U:l().~:5iD9 . C::().n.~~.r:5i() _r\ l/\'~~ i ria.r .P.()~~.rp()in. t

(;()ri _s()li.cia.t~.ciPl~.n. H.()~s.iri9 .?.~ .rx~Y.

2.9.19.~.2.9. 1 4. (;()n.S.()li9.a.~e.9 .P.la.n.:?Q l}. /\c:t!.~ri.P.I a..n.

:r.~.n.~x~a.r H..()11:1~.ie.s.s. . F.'l~n.s. ~Y.. (;.()~.n.t.Y.

H.o.11:1~1e.s.srie.s.s.. H.o.u.s.i .n.g a.rici . /\,ss. is.~~n. ~e. A~t .C.()rl~~c.ts. .. ~Y.. (;(l~.n.tY. Homeless Education Liaison Contacts by School :D.iS.frkC... .... .... . .. . ... . . . ..

Page 1 of 2

Boards & Commissions Media Center

Homeless Programs Consolidated Homeless Grant

.E.r:1.~~-~~.r\~Y. .. ~.°.1~.ti()l1~.g.r_a. 11.tS. ..

C.<J.n.~ i. 11.~~rr.:i .. o.!ga.r.~ .C.<J.r:1P.~.ti~i. ().r\ .. Tenant Based Rental Assistance

.1 .11~.~P..~11.~~.11~ .Y.a.u.th. . ':l°.~S.i11.~ .. P.r.a.w~r:n. Ho~S.!11~ .. ().P.P..°..'.t.U.11.iti_e,s._for ~~.°.P..l~ _ with Al DS

.H..O.r:r1~.1.e.s. .s .. ~.'3.11. a.9.~r:r1~.n.t .. 111.f()_rrn,a..ti_°.11 .. ~Y..S.t.e,r;i. S. .. Annual Point In Time Count

lnteragency Council On Homelessness

State Advisory Council On Homelessness

Documents

http://www.commerce.wa.gov/Programs/housing/Homeless/Pages/default.aspx 6/24/2015

RESOLUTION No. 11 ~ov BUDGET POLICY RE: THE USE OF AFFORDABLE HOUSING & HOMELESS HOUSING

PROGRAM REVENUES

WHEREAS, RCW 36.32.120, states "the board of county commissioners .. have the care of the county property and the management of the county funds and business .. ' '

WHEREAS, RCW 36.22.179, (Senate House Bill 2163), requires counties to develop plans to reduce homelessness in their communities;

WHEREAS, RCW 36.22.179, (Senate House Bill 2163), establishes a surcharge on recorded documents revenue to be used by counties for homeless housing programs;

WHEREAS, the Board of Mason County Commissioners recognizes the neecl to coordinate priorities and funding requests for Affordable Housing Revenue (RCW 36.22.178 - SHB 2060) and Homeless Housing Programs Revenue (RCW 36.22.179- SHB 2163);

WHEREAS, affordable housing, emergency shelter services, and homeless prevention and reduction priorities are identified in a formal and inclusive community needs assessment;

WHEREAS, the Mason County Housing Coalition will meet and use this community needs assessment to provide the Mason County Board of Commissioners with spending recommendations;

NOW THEREFORE, the Board of Mason County Commissioners does hereby agree to consider the recommendations of the Mason County Housing Coalition when budgeting the uses of the Affordable Housing and Homeless Housing Programs revenues.

APPROVED this I g'-'1J>-- day of September 2006.

BOARD OF MASON COUNTY COMMISSIONERS

I

1.. 'Vldcu d Ring Erickson, Chairpe ' n

~ ) \/\ ' ·Yh'\ ... h = ~ - ~ Ja:\c~in, Co~kfleT

Tim Sheldon, Commissioner ATTEST:

NEWS RELEASE October 3, 2006

MASON COUNTY COMMISSIONERS 411 NORTH 5rn ST

SHEL TON, WA 98584 (360) 427-9670 EXT. 419

TO: KMAS, KRXY, SHEL TON-MASON COUNTY JOURNAL, THE OLYMPIAN, SHEL TON CHAMBER OF COMMERCE, NORTH MASON CHAMBER OF COMMERCE, CITY OF SHEL TON, ECONOMIC DEVELOPMENT COUNCIL, THE SUN

RE: Mason County Housing Coalition Membership

Mason County is seeking applicants to serve on the Mason County Housing Coalition. There will be one representative selected from each Commissioner district.

Mason County's Housing Coalition is committed to assisting individuals and families who become homeless or are at risk of becoming homeless to regain housing stability and to add to their quality of life. Mason County Housing Coalition will plan and implement a comprehensive and responsive Continuum of Care that exemplifies excellence in the stewardship of community resources.

They meet the fourth Thursday of the month from 10:30 a.m. - 12:00 noon in the Community Action Council Build ing , 807 W Railroad Avenue, Shelton.

The Coalition's current membership consists of service providers who directly provide housing services, or whose clients are indirectly affected by housing issues and Mason County would like to expand the membership.


Lynda Ring Erickson Chair

Jayni Kamin Commissioner

Tim Sheldon Commissioner

MACECOM Governance and Legislative Boards were presented a proposed 2016 budget to be approved July 14. The budget is adopted very early in the year so member agencies can include an accurate fee for services amount in their respective budgets.

Primary revenues used to fund MACECOM include:

Voter Approved SalesTax 911 taxes on phone service (wireless and landline) Fees for Service

$523,000 $622,304 $715,437

28% 33% 38%

The formula and principles used to determine fee for services is outlined in the Governing Agreement between the 18 agencies who are served by MACECOM.

Some of the general principles include: • Total revenue generated by fees for service will be determined by budget

requirements 111 Law enforcement's share of the total fee for service revenues should be

approximately 70% and Fire/EMS should be 30%. I'm told this is the historic break out and, in fact, it continues to be the case.

• Each agency1s fee for service will be expressed as a per call rate and is applied to the 3 year average number of calls for service per agency.

Following audit findings regarding fiscal sustainability of MACECOM around 2011, the Board decided to increase fees for service rates at $1.00 per year. Other revenue sources steadily increased and costs were held, allowing the Board to hold the fee for service rate in 2015 and review any rate increase needs annually.

lete

General cost increases (2% one additional tower rental and vendor subscription costs) plus a proposed personnel change necessitate increasing the fee for service rate.

In the proposed budget and fee structure, Mason County will see an increase of $4,759 for 2016. This charge is paid out of the Sheriff's Budget.

Propose Mason County vote to approve MACECOM's proposed 2016 budget.

Attachment(s):

MACECOM proposed 2016 budget Fee for Service rate history

MACECOM 2015 BUDGET

BARS# Title 2016 PROPOSED Budget

2015 Adopted Amount

10 0 Beginn ing Balance $ 125,000.00 $ 125,000.00

I INot included in Revenue)

Mason Countv Treasurer $ 120,000.00

Pettv Cash $ 5 000.00

$ 125,000.00

REVENUES I

16 00 E911 Services - .1 Sales Tax $ 523,000.00 $ 503,000.00 Local .01 sales tax revenue (2014 = $569,59212013 = 531,601\

63 00 Enhanced 911 - Land Acc. Line $ 132,000.00 $ 146,028.00 .70 oer local line collected bv the State 64 00 Enhanced 911 - W ireless Acc. Line $ 277,200.00 $ 280,096.00 .70 oer local line collected by the State 64 00 Enhanced 911 - Prepaid W ireless $ 66,504.00 $ 61 ,569.00

65 00 Enhanced 911 - VOiP $ 39,600.00 $ 43,336.00 .70 per local line collected by the State 01 BX Enhanced 911 I Military Dept $ 287,000.00 $ 35,000.00 State E-911 Contract (32k CPDl75k Contract/180k ohone

Total 911 Revenues $ 802,304.00 $ 566,029.00

80 00 User Fees $ 671,437.75 $ 658,436.50 User Fees

Contracted User Fees $ 44,000.00 $ 39,000.00 Medic One

0 0 W ord Processing , Printing & Dup $ 200.00 $ 200.00 Public Disclosure reauests, misc 0 0 Enhanced 911 Interest $ 150.00 $ 150.00 Interest earned on State collected 911 tax revenue 0 0 Other Misc. Revenue/NSF Checks Witness fees, iurv dutv reimbursements 0 0 Non-Revenue, Reimburse Grants 0 0 Other Financing Sources - Transfers In

$ 350.00 $ 350.00

TOTAL REVENUES $ 2,041,091 .75 $ 1,766,815.50

EXPENDITURES

PAYROLL:

80 10 10 Regular Pay $ 923,395.29 $ 552,092.54 Includes Holidav,CTO and Differential 1+2% COLA/Position chanae 70 10 19 Regular Pay- 911 $ - $ 313,398.24 I Annroved amount elioible in State 911 contract 80 10 20 Overtime $ 95,000.00 $ 75,000.00

70 10 29 Overtime - 911 $ 20,000.00 Aooroved amount eliaible in State 911 contract 80 10 30 Extra Help $ 10,000.00 $ 10,000.00 lntermittant emPlovees (Part time)

70 10 39 Extra Help - 911 $ - I annroved amount eligible in State 911 contract 10 40 Holiday Pay $ 16,000.00 $ 16,000.00

$ 1,044,395.29 $ 986,490.78

BENEFITS:

80 20 20 Payroll Benefits - PERS $ 109,092.17 $ 50,847.71

70 20 29 Payroll Benefits - PERS - 911 $ 28,863.99 I Annroved amount eliaible in State 911 contract

80 20 30 Payroll Benefits - Medical Insurance $ 348,970.67 $ 226,108.40

70 20 39 Payroll Benefits - Medical Insurance - 911 $ 75,862.36 Aooroved amount eliaible in State 911 contract

80 20 40 Payroll Benefits - Labor & Industries $ 3,266.76 $ 2, 140.74

70 20 49 Payroll Benefits - Labor & Industries - 911 $ 966.78 I annroved amount eligible in State 911 contract 80 20 50 Payroll Benefits - FICA $ 14,293.81 $ 8,005.35

70 20 59 Payroll Benefits - FICA - 911 $ 4,544.27 IAnnroved amount eliaible in State 911 contract 80 20 60 Payroll Benefits - Unemployment $ 1,455.46 $ 857.43

70 20 69 Payroll Benefits - Unemployment - 911 $ 393.17 IAnnroved amount elioible in State 911 contract 80 20 70 Payroll Benefits - Deferred Comp $ 4,712.40

70 20 79 Payroll Benefits - Deferred Comp - 911 $ 2,716.80 I annroved amount eliaible in State 911 contract

$ 481,791 .27 $ 401,307.00

I 1 $ 1,526, 186.56 $ 1,387,797.78

OFFICE & OPERATING:

31 10 Office & Operating $ 10,000.00 $ 10,000.00 Office suoolies, cleanina sup, lies, oublications,water

31 19 Office & Operating - 911 $ 5,000.00 $ 5,000.00 Pub Ed brochures. Printina supplies, misc

$ 15,000.00 $ 15,000.00

GAS & OIL:

32 00 Gas & Oil $ 500.00 $ 500.00 Emeraencv Generator fuel i $ 500.00 $ 500.00

SMALL TOOLS & MINOR EQUIPMENT: -

35 10 Small Tools/Minor Equip $ 15,000.00 $ 15,000.00 Computer hardware, furniture. office accessories 35 19 Small Tools/Minor Equip - 911 $ 2,000.00 $ 2,000.00 Public Education booth items, Headsets -

$ 17,000.00 $ 17,000.00 l-

C:\Users\mevans\Desktop\2016 MACECOM Budget - DRAFT 6/30/20151 :35 PM

MACECOM 2015 BUDGET PROFESSIONAL SERVICES:

41 10 Professional Services $ 29,470.00 $ 29,470.00 Accounting, Consulting, Employment testing

41 19 Professional Services - 911 Contract $ 27,000.00 $ 27,000.00 Mason Co GIS contract, Console Cleaning , Language Line services

41 20 Professional Services - Legal Costs $ 2,000.00 $ 2,000.00

41 30 Professional Services Treasurer $ 1,900.00 $ 1,900.00 Mason Co Treasurer services

$ 60,370.00 $ 60,370.00

COMMUNICATIONS:

42 10 Communication $ 25,000.00 $ 25,000.00 Teleohone. oostage, internet, web site 42 19 Communication - 911 $ 500.00 $ 500.00 lntemeVcell service for Director $500 limit

$ 25,500.00 $ 25,500.00

TRAVEL:

43 10 Travel $ 1,000.00 $ 1,000.00 milaae reimbursement, meals , non-911 43 19 Travel - 911 $ 12,000.00 $ 12,000.00 911 travel expenses for approved training and meetings

reimbursable by the State contract.

1$ 13,000.00 $ 13,000.00

OPERATING RENTALS:

45 10 Operating Rentals $ 75,000.00 $ 67,000.00 City Building space lease.Copier lease, Leased tower sites w/maint. (PUD-Kamilchee etc.l

$ 75,000.00 $ 67,000.00

INSURANCE:

46 10 Insurance $ 15,000.00 $ 14,000.00 WCIA Liabi lity, bonds

$ 15,000.00 $ 14,000.00

UTILITY SERVICES:

47 10 Utility Services $ 25.00 $ 25.00 Shredding services 47 19 Utility Services - 911 $ 25.00 $ 25.00 Shredding services reimbursible in State E-911 contract

$ 50 .00 $ 50.00

REPAIRS & MAINTENANCE:

48 00 Repair & Maintenance $ 35,000.00 $ 35,000.00 Building maint not part of Lease w/City,equip repair

48 19 Repair & Maintenance - 911 $ 10,000.00 $ 10,000.00 Portion of expenses for Generator and UPS contract, misc repairs. 911 Positron phone system maint agreement, ~

$ 45,000.00 $ 45,000.00 reimburseable under State E-911 contract.

MISCELLANEOUS:

49 10 Miscellaneous $ 6,500.00 $ 6,500.00 Registrations,memberships,subscriptions,recording fees, printing

49 19 Miscellaneous - 911 $ 2, 160.00 $ 2,160.00 Registrations, memberships, subscriptions.contractual serv.

49 20 Misc - User Fee/Main! ConVLicenses $ 30,000.00 $ 17,700.00 Spil lman licenses,WSP Access licenses

49 29 Misc - User Fee/Main! Cont/Licenses - ! $ 17,000.00 $ 17,000.00 licenses, Stancil recording maint, % of Spillman Maint

$ 55,660.00 $ 43,360.00

INTERGOVERNMENTAL PROFESSIONAL SERVICES: I 51 10 Intergovernmental Professonal Services $ - Audits

I $ - $ -CAPITAL EQUIPMENT:

64 10 Capital Equipment $ 78,237.72

64 19 Capital Equipment - 911 $ 180,000.00

$ 180,000.00 $ 78,237.72

00 00 Fund Transfer !Cacital Eauicmentl $ 12,825.19

00 00 $ -

TOTAL EXPENDITURES $ 2,041,091.75 $ 1,766,815.50 $ 1,766,815.50

DIFFERENCE $ - $ -Ending Fund Balance $ 125,000.00 (Not included in Expense)

Roll-over into 2015

BALANCES: As of 1/1/15 As of 12/31/1 4

General Fund $ 120,000.00

Cacital Eauicment $ 241,108.96

ER&R $ 75,000.00 $ 75,000.00

Reserves $ 238,485.00 $ 238,485.00 Total of ER&R & Reserves $ 313,485.00 $ 313,485.00

I

KevBank - Pavroll $ - $ -KevBank - Pettv Cash $ 5,000.00 $ 5,000.00

TOTALS $ 559,593.96 $ 438,485.00

C:\Userslmevans\Desktop\2016 MACECOM Budget · DRAFT 6/30/20151:35 PM 2

MACECOM 5 year user fee plan

I NO CHANGE FROM 2014

ll ~ 3yr Av) ll5 3yravg ~ o~ c ""-\!< .:;1<. c 2012 2013 2014 2015 2016

FOl 241 15.90 3,831.90 16.90 4,072.90 17.65 4,253.65 17.65 4,253.65 18.25 325

F02 1936 15.90 30,782.40 16.90 32,718.40 17.65 34,170.40 17.65 34,170.40 2089 (2/8/NM)

F03 223 15.90 3,545.70 16.90 3,768.70 17.65 3,935.95 17.65 3,935.95 306

-t' F04 937 15.90 14,898.30 16.90 15,835.30 17.65 16,538.05 17.65 16,538.05 1015

F05 4302 15.90 68,401.80 16.90 72,703.80 17.65 75,930.30 17.65 75,930.30 4683 \) FOG 343 15.90 5,453.70 16.90 5,796.70 17.65 6,053.95 17.65 6,053.95 367

J F08 15.90 16.90 3,194.10 3,335.85 3,335.85

F09 286 15.90 4,547.40 16.90 4,833.40 17.65 5,047.90 17.65 5,047.90 5,219.50 ,.,"~·-~o 281 {) Fll 352 15.90 5,596.80 16.90 5,948.80 17.65 6,212.80 17.65 6,212.80 6,424.00 '.3:'f - . '. : ·. P,o 595 ·-g Fl2 120 15.90 1,908.00 16.90 3,194.10 3,335.85 3,335.85 3,449.25 o ,,,~~~t- ~ 127

~ Fl3 189 15.90 3,005.10 16.90 3,194.10 17.65 3,335.85 17.65 3,335.85 3,449.25 ;};. ~-·· .. ·. "• 1 9.QO 197

Fl6 182 15.90 2,893.80 16.90 3,194.10 3,335.85 3,335.85 3,449.25 . ri-:~-;;-;~·:.-. '•Ao 245

i.Z Fl7 90 15.90 1,431.00 16.90 3,194.10 3,335.85 3,335.85 3.449.25 ·.: '.~}~:\~~:: 104

Fl8 269 15.90 4,277.10 16.90 4,546.10 17.65 4,747.85 17.65 4,747.85 4,909.25 331

I 9470 I I 150,573.00 166,194.60 173,570.10 173,570.10 176,021.25 183,260.00

MCSO 19603 12.75 249,938.25 13.75 269,541.25 14.50 284,243.50 284,243.50 14.75 289,144.25

:(;~~.~~' ~ SPD 11949 12.75 152,349.75 13.75 164,298.75 14.50 173,260.50 173,260.50 176,247.75 9935 Squaxin 1148 12.75 14,637.00 13.75 15,785.00 14.50 16,646.00

"'"00 ~ 16,933.00 . j o 1336

Skok 890 12.75 11,347.50 13.75 12,237.50 14.50 12,905.00 12,905.00 13,127.50 ' 0'.!15 797

I 33.s9o 1 I 428,272.50 461,862.50 487,055.00 . 487,055.00 ..,,"~ I """M' I 2953112016 2% 13,212.50

~~ '15/Jv_O

25.500.00 I 628,057.10 660,625.10

\

660,625.10 671,473.7J 671,998.051 "T alc:> .. l .C../ 0, I 9 lP 673,837.60

MCMO 3600 32,000.00 39,000.00 39,000.00 44,000.00 44,000.00 ~

I 46.660 1 1 604,345.50 1 660,os1.10 1 1 699.62s.10 1 699,625.10 715,473.75

MCMO Increase 6,500.00 7,000.00 5,000.00

Law % 0.71 0.700 0.696 I 0.696 0.692 0.683

* Revised ih 2014 to reflect .75 increase in user fees (rate to be evaluated annually) ,, co-,..

'\e..,' >e-~

ITEM: Consolidated Contract C17118 Amendment 3

: This funding was applied for and approved to reimburse the cost of the Health Officer attending The National Tuberculosis Controller's Association conference.

2. Pollution Identification Correction: $42,650 was awarded to continue water sampling, Uploading sample data collected, onsite educational presentations (homeowners workshops), and the administration to complete the progress reports and billing. This body of work will be completed by December 31, 2015.

Changes Allocations for:

1. Emergency Preparedness & Response: 2. Pollution Identification and Correctioon

RECOMMENDED OR REQUESTED ACTION:

$ 2,379.00 $ 42,650.00

Move Amendment #3 of 2012-2014 Consolidated Contracts C17118 to the Consent Agenda on 7/14/2015

CONTRACT NUMBER: Cl 7118 AMENDMENTNUMBER: 3

PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as "DOH", and MASON COUNTY PUBLIC HEAL TH hereinafter referred to as "LHJ", pursuant to the Modifications/Waivers clause, and to make necessary changes within the scope of this contract and any subsequent amendments thereto.

IT IS MUTUALLY AGREED: That the contract is hereby amended as follows:

1. Exhibit A Statements of Work, attached and incorporated by this reference, are amended as follows:

[SJ Adds Statements of Work for the following programs:

CD TB Program - Effective May 1, 2015

[SJ Amends Statements of Work for the following programs:

" NEP Pollution ID & Correction Rounds 1 & 2 - Effective January 1, 2015

D Deletes Statements of Work for the following programs:

2. Exhibit B-3 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-2 Allocations as follows:

[SJ Increase of $45,029 for a revised maximum consideration of $700,545.

D Decrease of for a revised maximum consideration of

D No change in the maximum consideration of __ . Exhibit B Allocations are attached only for informational purposes.

3. Exhibit C-3 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces Exhibit C-2.

Unless designated otherwise herein, the effective date of this amendment is the date of execution.

ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force and effect.

IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof.

MASON COUNTY PUBLIC HEAL TH

Date

l of

STATE OF WASHINGTON DEPARTMENT OF HEALTH

Date

APPROVED AS TO FORM ONLY Assistant Attorney General

2015-2017 CONSOLIDATED CONTRACT EXHIBIT A

STATEMENTS OF WORK TABLE OF CONTENTS

DOH Program Name or Title: NEP Pollution ID & Correction Rounds 1 & 2 - Effective January 1, 2015 ... . DOH Name or Title: TB Program - Effective May 1, 2015 ............................................................ .

Exhibit Statements of Work Page 2of15 Revised as of May 15, 2015

AMEl AENT#3

. ..................................... 3 . ........................................... 13

Contract Number Cl 7118-3

Exhibit A Statement of Work

Contract Term: 2015-2017

AMEl AENT #3

DOH Name or Title: NEP Pollution ID & Correction Rounds 1 & 2 -Effective January 1, 2015

Local Health Jurisdiction Name: Mason County Public Health

ContractNumber: Cl7118

sow Revision Revision # (for this SOW) 1 Funding Source Federal Compliance Type of Payment 1:2] Federal Subrecipient (check if applicable) 1:2] Reimbursement D State 1:2] FFATA (Transparency Act) D Fixed Price D Other D Research & Development

Period of Performance: January 1, 2015 through December 31, 2015

Statement of Work Purpose: The purpose of this statement of work is to implement a Pollution Identification and Correction Program to protect public health and shellfish growing areas in Mason County. The focus of this program in 2015 is corrective actions for onsite sewage system and livestock pollution sources in areas identified with consistent elevated fecal coliform levels.

The purpose of this revision is to: 1) extend the funding period end date from 06/30/15 to 12/30/15 and increase the award amount based on actual for this project under the 2012-2014 ConCon; 2) revise deliverable due dates and payment information; 3) correct mislabeled task numbers, and 4) add a deliverable to

Task 1.

Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration

Increase(+) Consideration

Code Code Start Date End Date NEP 1-4 POLLUTION ID & CORRECTION 66.123 333.66.12 261Bl21A 01101/15 I 12130;15 171,021 42,650 213,671 NEP 1-4 LIVESTOCK MGMT AG BMP 66.123 333.66.12 261Cl21A 01/01115 I i2131;15 150,000 0 150,000

TOTALS 321,021 42,650 363,671

Task Number Task/ Activity/Description *May Support PHAB

Deliverables/Outcomes Due Date/Time Frame Payment Information

Standards/Measures and/or Amount

l Project Administration and a) Semi-Annual Enviromnental a) FEATS reports due: Reimbursement up to POLLUTION ID Management Protection Agency (EPA) Puget April 15, 2015; ~ $JI. 15 0 based AND Sound Financial and Ecosystem October 15, 2015; on actual costs. CORRECTION - A project manager is needed to Accounting Tracking System NEP oversee all aspects of this (FEATS) Progress Reports and an Final report due:

proposal including fiscal annual Women/Minority Owned December 31, 2015 reporting, supervising of staff, Business (WMOB) report. hiring and supervising WMOB report due contractors, contract October 15, 2015: and administration, and meeting all upon contract completion. aspects of the DOH reporting and performance reporting b) Hold and.facilitate semi-annual b)Meeting held by requirements. PJC Workshop infal/ 2015. December 31, 2015

Exhibit Statements of Work Page 3of15 Contract Number Cl 7118-3 Revised as of May 15, 2015

AMEl, AENT #3

Task Number Task/ Activity /Description *May Support PHAB



2 Work with partners to implement a) A steering committee of a) Steering committee Reimbursement up to

POLLUTION ID a Comprehensive Pollution representatives from Mason County meetings held in January, $4,500 based on actual

AND Identification and Correction Public Health, the Squaxin Tribe, March, May, July, costs.

CORRECTION - (PIC) program focused on water shellfish industry, EPA, Washington September, November.

NEP quality hot spots. State Departments of Health and Ecology, Washington State University b) Report due by

In Winter 2015, convene one or (WSU) Mason County Extension and March 31, 2015. more steering committee the Mason Conservation District will: meetings to evaluate progress with finding specific properties • Review current programs, reports causing pollution and correcting and maps for areas of work. pollution sources. The group will recommend and make changes to • Identify gaps in programs, focus efforts and resources to authority and funding. improve the effectiveness of the program in 2015. Efforts will be • Develop options for addressing made to improve coordination the needs identified. between the data from PIC monitoring and the onsite septic • Coordinate options particularly system (OSS) Operation and for agriculture and enforcement to Maintenance (O&M) program. protect shellfish growing areas

and ensure corrective actions for identified pollution sources.

The committee is co-chaired by Mason County Public Health and the Squaxin Island Tribe.

b) Report summarizing changes to improve the efficacy of the PIC program.

3 Ambient Monitoring - Tier 1 a) Five (5) routine surface water a-b) Annual sampling, Reimbursement up to

POLLUTION ID samples collected and analyzed for ongoing through Mav 29, $25, 000 $3 0, 000 based

AND Data will be entered into pathogenic pollutants at fifteen (15) ~October 31, 2015 on actual costs. CORRECTION - STORET and Geographic sites throughout basins draining into NEP Information Systems (GIS) and Puget Sound (excluding Hood Canal). c) Data provided to

will update the OSS O&M maps. Data entry, STORET data entry, data steering committee at management and routine reporting meetings outlined in will be perfonned. task 2 (Janumy, March,

May, July, September, b) Follow up sampling will be November). conducted for sites identified in 2014

Exhibit Statements of Work Page 4of15 Contract Number Cl 7118-3 Revised as of May 15, 2015

Task Number Task/ Activity /Description

4 Education and Outreach POLLUTION ID Presentations and workshops will AND be conducted in Oakland Bay. CORRECTION - Handouts/packets of education NEP information will be developed

and distributed to Oakland Bay landowners. Efforts will be made to ensure that all Chapman Cove residents are current on their OSS O&M.

A $200 rebate for an OSS inspection will be provided to landowners after they present a paid invoice from OSS professional. If the homeowner perfonns the inspection themselves, Mason County Public Health staff will provide a site visit to confirm that the work was done properly. Specialized information and outreach will be given to polluters to attempt to gain voluntary compliance before enforcement is instituted.

A report will be generated at the completion of the PIC work in Oakland Bay to inform citizens of

Exhibit A, Statements of Work Revised as of May 15, 2015

*May Support PHAB Standards/Measures

AMEJ\ 11ENT #3

Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount

with high levels of fecal coliform d) All data uploaded by bacteria levels to detennine if sanitary September 30, 20l5 surveys, dye tests or further PIC December 31, 2015 investigation should occur.

c) Monitoring results will inform the steering committee to identify and prioritize areas for intensive sanitary surveys and dye tests and future PIC work.

d) Data uploaded into STORET, GIS, andO&Mmap. a) Presentations and up to .fetiP-(4t a -fl) Firstfour (4) Reimbursement up to eight (8) homeowner workshops will workshops held by $31, 021 $53, 021 based be scheduled with WSU Extension. June 30, 2015 on actual costs.

b) Printed materials, with the Additional homemvner (Breakdown: exception of the annual Oakland Bay workshops sched11! ed for $-l-3;-fi.U $23,02 lfor report card and additional service July, August, September, activities and notices have been developed. All and October 31,2015 $I 0, 000 $30, 000 for samples of printed materials will be incentives) provided to DOH. b-d) June 30, 2015

c) Water quality reports to citizens in Quarterly throughout the Oakland Bay. A copy of the report year 2015. Annual report will be provided to DOH. card will be presented to

the Board of Directors d) Incentives provided to citizens. A and available on the list of the incentives provided for each website in June 2015 work area will be provided to DOH.

A report of all educational activities will be provided in the final report including the number of workshops, presentations, educational packets, incentives and water quality reports were provided for every work area.

Page 5 of 15 Contract Number Cl 7118-3

Task Number Task/ Activity/Description

the progress made to improve water quality.

5 Pollution Identification and POLLUTION ID Correction of OSS. Conduct a AND minimum often (10) site CORRECTION - inspections and a minimum of NEP five (5) dye tests in PIC work

areas with high fecal coliform levels to identify deficient or failing OSS. Identified failures will be corrected through voluntary compliance and if not achieved, the property will be posted for non-occupancy through Environmental Health (EH) Enforcement policy.

16 Administration of the Agricultural AGRICULTURAL Best Management Practices BEST (BMP) Fund will be conducted in MANAGEMENT accordance with guidance PRACTICES developed by the Department of

Ecology. Mason County will be responsible for oversight of the funds as outlined in the guidance document for the following tasks:

<II Conduct outreach to landowners and stakeholders

<II Provide technical assistance to landowners, directory or via appropriate organizations to best site, design and construct livestock BMPs.


*May Support PHAB Standards/Measures

AMEi. "v1ENT #3


and/or Amount

a) Number of site inspections for OSS. a) March 31, 2015 Reimbursement up to A minimum often (10) site $ 7 0, 000 $ 7 5. 000 based inspections will be conducted. on actual costs.

b) Number of dye tests conducted. A b) March 31, 2015 Inspections and dye minimum of five (5) dye tests will be tests must be conducted. completed for

reimbursement. c) Number of OSS deficiencies/ c) March 31, 2015 failures found through PIC work.

d) Number of OSS deficiencies/ failures corrected through PIC work. d) September 30, 2015.

e) Number of properties posted for non-occupancy in each PIC work area.

e) September 30, 2015. f) Reports will summarize number and results of a-e above in each FEATS report and as a cumulative total in the f) Reporting schedule final report in each PIC work area for as outlined in task 1. the entire PIC project period (2012 -2015) a) BMPs installed. a) October 31, 2015 Reimbursement up to

$150,000 based on b) Each progress report will include b) December 31, 2015 actual costs.

the number, type and location of BMPs completed and in progress Reimbursement for and the total spent for each actual costs up to reporting period and the total to $133,333 for BMP date. The final report will installation (materials, provide a summary of completed equipment and labor). BMPs.

Reimbursement for actual costs up to $16,667 (up to 20% of actual BMP costs) for outreach, planning, administration and management as

Page 6of15 Contract Number Cl 7118-3

AMEl AENT#3

Task Number Task/ Activity !Description *May Support PHAB



<II Conduct initial and follow-up outlined in the task

site visits to ensure proper description. installation, use and maintenance of BMPs. Reimbursement

.. Conduct administrative tasks requests for

for grant reporting and cost administrative and

share reimbursement. outreach will only be

Maintain project records and paid after BMPs are

submit grant reporting installed.

information. Reporting on BMPs will be completed as outlined in Ecology's guidance document.

87 Squaxin Island Tribe will a) One (1) annual data quality a) April 15, 2015 Reimbursement up to POLLUTION ID complete the following tasks: summary report Data quality summary $20,000 based on AND .. Co-chair PIC Steering report submitted with actual costs. CORRECTION - Committee b)Up to 140 compliance verification April semi-annual reports NEP .. Advise health director and water quality samples as outlined in task l.

health officer .. Act as data quality assurance c) One (1) annual voluntary b) December 3 !, 2015

officer compliance and enforcement report

.. Verify water quality (may be combined with the annual c) April 15, 2015

corrections (locations shall data quality summary report)

be provided by Mason cl) June 30, 2015

County and Mason d) Data management, GIS & STORET December 31, 2015

Conservation District). support.

.. Provide data management, GIS and STORET support.

I) 8 Mason County Public Health will a) Up to 40 water quality samples a) Ongoing through Reimbursement up to POLLUTION ID complete the following tasks: during the period from January 1, June 30, 2015. $20,000 based on AND .. Continue segmented 2015 through June 30, 2015. actual costs. CORRECTION - monitoring to identify NEP pollutant sources in the b) Newsletter/Report Card to b) June 30, 2015 (Up to $1,500 for fecal

Chapman Cove basin. Chapman Cove residents coliform lab samples) Follow up on high sample results. c) Progress reports with number of c) Corrective action (Up to $600 for

.. Send a newsletter/report to inspections - attempt to make sure all summary reports mailing)

property owners in the Uncle OSS are current with O&M service; submitted with semi-

John's Creek area informing number, type and location of OSS and annual reports as outlined

them of the results of the livestock problems found and fixed. in task 1.

work completed. @I Identify pollution sources

Exhibit Statements of Work Page 7of15 Contract Number C 17118-3 Revised as of May 15, 2015

AMEl . AENT #3

Task Number Task/ Activity/Description *May Support PHAB



through individual parcel d) Data management, GIS and d) Ongoing through OSS and livestock STORET support. June 30, 2015 inspections, sampling and December 31, 2015 dye tracing. .. Update the OSS database to document status of systems identified through the project.

.. Correct all identified OSS failures.

*For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: http://www.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf

Federal Funding Accountability and Transparency Act (FFATA) This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act (FF AT A or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent.

To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DUNS®) number.

Information about the LHJ and this statement of work will be made available on http://USASpending.gov by DOH as required by P.L. 109-282.

Manual, Handbook, Policy References Mason County's On-Site Sewage System Management Plan As Required by WAC 246-272A, Revised December 11, 2007 Mason County Public Health Water Quality Standard Operating Procedure & Protocol February, 2007 Mason County Environmental Health Policies- Enviromnental Health Enforcement Policy

"'!'""''"References (RCWs, WACs, etc) WAC 246-272A, RCW 70. l 18A, Puget Sound Action Agenda, Interim PIC Program Protocols, February 2007 Mason County Public Health Water Quality Standard Operating Procedure & Protocol.

Federal funds from the Enviromnental Protection Agency (EPA) National Estuary Program (NEP) Account must be used to implement elements and activities of the local on-site sewage management plans that do not conflict with and are consistent with the goals, strategies, objectives, and actions of the Puget Sound Action Agenda.

Visits (frequency, type) The DOH program contact will conduct at least one monitoring visit during the life of this project. The type, duration, and timing of visit will be determined and scheduled in cooperation with the subawardee.


Page 8 ofl5 Contract Number C 17118-3

AME1 . JENT #3

Instructions Progress reports are due to DOH via email to [email protected] and [email protected] on the following dates: April 15, 2015, October 15, 2015; and December 15, 2015. Minority and Women-Owned business Reporting is due to [email protected] the following dates: October 15, 2015 and upon contract completion.

All enviromnental data must be entered by the local health jurisdiction into EPA's Storage and Retrieval data system (STORET) at http://www.epa.gov/STORET. The semi-annual format and data reporting requirements will be provided by DOH and may be modified throughout the contract period via email announcement.

Program Specific Requirements/Narrative The following provisions are the pass-thru requirements of all U.S. EPA - DOH subawards funded under cooperative agreement PC-OOJ32601.

Administrative Conditions

5.

Cost _ Subrecipient agrees to comply with the cost principles of the below listed federal regulations are applicable as appropriate to this award.

2 CFR 225 (A-87) for State, Local, and Indian Tribal Governments 2 CFR 220 (A-21) for Educational Institutions 2 CFR 230 (A-122) Nonprofit Organizations FAR 31.2 for Commercial Organizations

An electronic copy of all the Circulars and applicable CFR's may be obtained via the OMB Home Web page at: http://www.whitehouse.gov/omb/grants default/

Unless otherwise indicated, the Cost Principles apply to the use of funds provided under this Agreement and In-kind matching donations. The applicability of the Cost Principles depends on the type of organization incurring the costs.

Audit Requirements The Subrecipient shall fully comply with requirements of OMB Circular A-133, 'Audits of States, Local Governments, and Non-Profit Organizations, if applicable.

Hotel-Motel Fire Safety Act Pursuant to 40 CFR 30.18, if applicable, and 15 USC 2225a, Subrecipient agrees to ensure that all space for conferences, meetings, conventions, or training seminars funded in whole or in part with federal funds complies with the protection and control guidelines of the Hotel and Motel Fire Safety Act (PL 101-391, as amended. Subrecipient may search the Hotel-Motel National Master List at: http://www.usfa.dhs.gov/applications/hotel to see if a property is in compliance (FEMA ID is currently not required), or to find other information about the Act.

Paper (State Tribal and Local Government Recipients) In accordance with the policies set forth in EPA Order 1000.25 and Executive Order 13423, Strengthening Federal Enviromnental, Energy and Transportation Management (January 24, 2007), Subrecipient agrees to use recycled paper and double sided printing for all reports which are prepared a part of this Agreement and delivered to EPA. This requirement does not apply to reports prepared on forms supplied by EPA, or to Standard Forms, which are printed on recycled paper and are available through the General Services Administration.

Subrecipient agrees to comply with Title 40 CFR Part 34, New Restrictions on Lobbying Subrecipient shall include the language of this provision in award documents for all sub awards exceeding $100, 000, and require that subawardees submit certification and disclosure fonns accordingly.

In accordance with the Byrd Anti-Lobbying Amendment, any recipient who makes a prohibited expenditure under Title 40 CFR Part 34 or fails to file the required certification or lobbying fonns shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each expenditure.


Page 9of15 Contract Number C 1 7118-3

AMEJ\. Part 30 Recipients ---·. ------- -·---~---

All contracts awarded by Subrecipient shall contain, when applicable, the anti-lobbying provisions as stipulated in the Appendix at Title 40 CFR Part 30.

Pursuant to Section 18 of the Lobbying Disclosure Act, Subrecipient affirms that it is not a non-profit organization described in Section 50l(c)(4) of the Internal Revenue Code of 1986; or that it is a non-profit organization described in Section 50l(c)(4) of the Code but does not and will not engage in lobbying activities as defined in Section 3 of the Lobbying Disclosure Act.

and Litigation

#3

Subrecipient's chief executive officer shall ensure that no grant funds awarded under this Agreement are used to engage in lobbying of the Federal Government or in litigation against the United States unless authorized under existing law. Subrecipient shall abide by its respective OMB Circular (A-21, A-87, or A-122), which prohibits the use of Federal grant funds for litigation against the United States or for lobbying or other political activities.

and Debarment Subrecipient shall fully comply with Subpart C of2 CFR Part 180 and 2 CFR Part 1532, entitled 'Responsibilities of Participants Regarding Transaction (Doing Business with Other Persons)'. Subrecipient is responsible for ensuring that any lower tier covered transaction as described in Subpart B of 2 CFR Part 180 and 2 CFR Part 1532, entitled 'Covered Transactions', includes a tenn or condition requiring compliance with Subpart C. Subrecipient is responsible for further requiring the inclusion of a similar term or condition in any subsequent lower tier covered transactions. Subrecipient acknowledges that failing to disclose the infonnation as required at 2 CFR 180.335 may result in the delay or negation of this assistance agreement, or pursuance of legal remedies, including suspension and debarment.

Subrecipient may access the Excluded Parties List System at: http://www.epls.gov. This tenn and condition supersedes EPA Form 5700-49, 'Certification Regarding Debannent, Suspension, and Other Responsibility Matters'.

7. Drug-Free Workplace Certification

8.

Subrecipient must make an ongoing, good faith effort to maintain a drug-free workplace pursuant to the specific requirements set forth in Title 40 CFR 36.200-36.230. Additionally, in accordance with these regulations, Subrecipient organization must identify all known workplaces under its federal award; and keep this information on file during the performance of the award.

Subrecipients who are individuals must comply with the drug-free provisions set forth in Title 40 CFR 36.300.

The consequences for violating this condition are detailed under Title 40 CFR 36.510. Subrecipients can access the Code of Federal Regulations (CFR) Title 40 Part 36 at: http://www.access.gpo.gov/nara/cfr/waisidx 06/40cfr36 06.html

Fees Management fees or similar charges in excess of the direct costs and approved indirect rates are not allowable. The term "management fees or similar charges" refers to expenses added to the direct costs in order to accumulate and reserve funds for ongoing business expenses, unforeseen liabilities, or for other similar costs which are not allowable under this assistance agreement. Management fees or similar charges may not be used to improve or expand the project funded under this Agreement, except to the extent authorized as a direct cost of carrying out the scope of work.

9. Reimbursement Limitation If Subrecipient expends more than the amount of federal funding in its approved budget in anticipation of receiving additional funds, it does so at its own risk. The Federal Government is not legally obligated to reimburse Subrecipient for costs incurred in excess of the approved budget.

in Persons The following prohibition statement applies to Subrecipient, and all subawardees of Subrecipient. Subrecipient must include this statement in all subawards made to any private entity under this Agreement.

"You AS THE SUBRECIPIENT, YOUR EMPLOYEES, SUBA w ARDEES UNDER THIS AW ARD, AND SUBA w ARDEES' EMPLOYEES MA y NOT ENGAGE IN SEVERE FORMS OF

TRAFFICKING IN PERSONS DURING THE PERIOD OF TIME THAT THE AWARD IS IN EFFECT; PROCURE A COMMERCIAL SEX ACT DURING THE PERIOD OF TIME THAT THE AWARD IS

IN EFFECT; OR USE FORCED LABOR IN THE PERFORMANCE OF THE AW ARD OR SUBA WARDS UNDER THIS AW ARD."


Page 10of15 Contract Number C17118-3

AMEL~ Lv1ENT #3

DUNS and CCR Requirements Unless otherwise exempted from this requirement under 2 CFR 25 .110, Subrecipient must maintain the currency of its information in the CCR until submission of its final financial report required under this A ward or receive the final payment, whichever is later.

Subrecipient may not make a subaward to any entity unless the entity has provided its DUNS number to Subrecipient.

Business Enterprise Requirements, General Compliance Subrecipient agrees to comply with the requirements of EPA 's Program for Utilization of Small, Minority and Women's Business Enterprises in procurement under assistance agreements, contained in 40 CFR, Part 33.

Subawards If Subrecipient makes subawards under this Agreement, Subrecipient is responsible for selecting its subawardees and, if applicable, for conducting subaward competitions. Subrecipient agrees to:

Establish all subaward agreements in writing; 2. Maintain primary responsibility for ensuring successful completion of the approved project (SUBRECIPIENT CANNOT DELEGATE OR TRANSFER THIS RESPONSIBILITY TO A

SUBAWARDEE). 3. Ensure that any subawards comply with the standards in Section 210(a)-(d) of OMB Circular A-133, and are not used to acquire commercial goods or services for the

subawardee. 4. Ensure that any subawards to 50l(c)(4) organizations do not involve lobbying activities; 5. Monitor the performance of subawardees, and ensure subawardees comply with all applicable regulations, statutes, and terms and conditions which flow down in the

subaward; 6. Obtain DOH's consent before making a subaward to a foreign or international organization, or a subaward to be performed in a foreign country; and 7. Obtain approval from DOH for any new subaward work that is not outlined in the approved work plan in accordance with 40 CFR Parts 30.25 and 31.30, as applicable.

Programmatic Conditions

Semi-Annual Performance Reports Subrecipient is required to submit performance reports every six months, unless a different reporting frequency is outlined in the Scope of Work, using the reporting tool supplied by DOH. Subrecipient agrees to include briefinfonnation on each of the following areas:

a) a comparison of actual accomplishments to the outputs/outcomes established in the assistance agreement work plan for the period; b) the reasons for slippages if established outputs/outcomes were not met; c) additional pertinent information, including when appropriate, analysis and information of cost overruns or high unit costs.

Repo1iing periods are from October 1 to March 31 and April 1 to September 30. Performance repmis are due to DOH 15 calendar days after the end of each reporting period.

Kecogmnon of EPA Funding Repmis, documents, signage, videos, or other media, developed as part of projects funded by this Agreement shall contain the following statement:

"THIS PROJECT HAS BEEN FUNDED WHOLLY OR IN PART BY THE UNITED STATES ENVIRONMENTAL PROTECTION AGENCY UNDER ASSISTANCE AGREEMENT PC-00J32601 TO WASHING TON DEPARTMENT OF HEAL TH. THE CONTENTS OF THIS DOCUMENT DO NOT NECESSARILY REFLECT THE VIEWS AND POLICIES OF THE ENVIRONMENT AL PROTECTION AGENCY, NOR DOES MENTION OF TRADE NAMES OR COMMERCIAL PRODUCTS CONSTITUTE ENDORSEMENT OR RECOMMENDATION FOR USE."

Material EPA has the right to reproduce, publish, use, and authorize others to use copyrighted works or other data developed under this assistance agreement for Federal purposes.

DOH acknowledges that EPA may authorize another grantee to use copyrighted works or other data developed under this Agreement as a result of: a) the selection of another grantee by EPA to perform a project that will involve the use of the copyrighted works or other data or; b) termination or expiration of this agreement.

Exhibit Statements of Work Page 11 ofl5 Contract Number Cl 7118-3 Revised as of May 15, 2015

AME1 .viENT #3

Peer Review The results of this project may affect management decisions relating to Puget Sound. Prior to finalizing any significant technical products the Principal Investigator (PI) of this project must solicit advice, review and feedback from a technical review or advisory group consisting ofrelevant subject matter specialists. A record of comments and a brief description of how respective comments are addressed by the PI will be provided to the DOH Grant Manager prior to releasing any final reports or products resulting from the funded study.

Assurance Requirements Acceptable Quality Assurance documentation must be submitted to the DOH within 30 days of acceptance of this agreement or another date as negotiated with the DOH grants manager. The Department of Ecology will hire a National Estuary Program (NEP) Quality Coordinator for all EPA-funded NEP projects. DOH will notify subawardees when the position is hired and provide contact information. The subrecipient will then submit all Quality Assurance documentation to the NEP Quality Coordinator at the Department of Ecology. No work involving direct measurements or data generation, environmental modeling; compilation of data from literature or electronic media, and data supporting the design, construction, and operation of environmental technology shall be initiated under an agreement until DOH or Department of Ecology has approved the

assurance document.

Environmental Data and Information Technology Subrecipients are required to institute standardized reporting requirements into their work plans and include such costs in their budgets. All environmental data will be required to be entered into the EPA's Storage and Retrieval data system (STORET). The best method (local or state consolidated) for reporting will be determined on a project-by-project basis between the DOH grant manager and subrecipient. More information about STORET can be found at http://www.epa.gov/STORET.

7. and Women-Owned Business Enterprise (MBE/WBE) Fair Share Objectives and Reporting Subrecipients are held to the same requirements as the recipient of the EPA Grant and must accept the MBE/WBE fair share objectives/goals negotiated with EPA by the

Office of Minority and Women's Business Enterprises as follows:

MBE: PURCHASED GOODS 8%, PURCHASED SERVICES 10%, PROFESSIONAL SERVICES 10% WBE: PURCHASED GOODS 4%, PURCHASED SERVICES 4%, PROFESSIONAL SERVICES 4%

By accepting this financial assistance the subrecipient is accepting the fair share objectives/goals stated above and attests to the fact that it is purchasing the same or similar construction, supplies, services and equipment, in the same or similar relevant geographic buying market as, Washington Office of Minority and Women's Business

Subrecipients are required to submit MBE/WBE utilization reports annually. Reports will be in the following format and will include all qualifying purchases. Reporting periods are from October l to September 30, and upon contract completion. Reports are due to DOH 15 calendar days after the end of each reporting period.

1. Procurement Made By 2. Business Enterprise 3. $Value of 4. Date of 5. Type of 6. Name/Address/Phone Number ofMBE/WBE (check box) (check box) Procurement Purchase Product or Contractor or Vendor

I I I MM/DD/YY Services * Recipient l Subrecipient l Prime Minority I Women (Enter Code) I

I I I I I I

I I I I I I I I I I I I I I I

*Type of product or service codes: 1 = Construction 2 =Supplies 3 =Services 4 = Equipment

DOH Program Contact (Name, Program Title, Mailing Address, Email Address, Phone & Fax Number) Knackstedt, Office of Shellfish and Water Protection, PO Box 47824, Olympia WA 98504-7824; 360.236.3319; [email protected]

Exhibit A, Statements of Work Revised as ofMay 15, 2015

Page 12of15 Contract Number C 17118-3

Exhibit A Statement of Work

Contract Term: 2015-2017

AME~~ .1ENT #3

DOH Pro!!ram Name or Title: TB Program - Effective May 1, 2015 Local Health Jurisdiction Name: Mason County Public Health ContractNumber: Cl7118

SOW Original Revision # (for this SOW) Funding Source Federal Compliance Type of Payment L2'.] Federal Subrecipient (check if applicable) L2'.J Reimbursement D State L2'.] FF AT A (Transparency Act) D Fixed Price D Other D Research & Development

Period of Performance: May l, 2015 through November 30, 2015

Statement of Work Purpose: The purpose of this statement of work is to provide tuberculosis (TB) prevention and control services.

Revision NIA

Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration

Increase ( +) Consideration

Code Code Start Date End Date FFY 15 TB Elimination 93.116 333.93.11 12708215 05101115 I 11130115 0 2,379 2,379

TOTALS 0 2,379 2,379

Task Task/ Activity /Description

*May Support PHAB Deliverables/Outcomes Due Date/Time Frame Information and/or

Number Standards/Measures Amount

Provide Directly Observed Therapy (DOT) for 6.4 S, 6.4 L, 6.5 S Written summary of2014 August 2015 for 2014 Reimbursement for Tuberculosis (TB) per local protocol and activities. DOT activities actual costs. procedure. DOT is defined as a direct, face-to-face contact, including videophone contact, in any location between an individual with TB and a health care worker who is trained to observe patients with TB take each dose of medication and to remove barriers to completion of treatment.

2 Endeavor to assure completion of curative TB 6.4 S, 6.4 L, 6.5 S Completion of case in Public Ongoing Reimbursement for therapy within 12 months of initiation. Health Information Management actual costs.

System (PHIMS) TB 3 Appropriately evaluate immigrants and refugees 7.2 L, 7.2 S Completion of case on TB Ongoing Reimbursement for

designated as Class A, B 1, and B2. worksheet in Electronic Disease actual costs. Notification (EDN) Database

Exhibit Statements ofWork Page 13of15 Contract Number C 17118-3 Revised as of May 15, 2015

AMEl. .AENT #3

Task *May Support PHAB Payment

Number Task/Activity/Description

Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or

Amount Management of TB contacts: the LHJ shall 4.4 S, 4.6 S, Aggregate Reports for TB July 1, 2015 for a) final Reimbursement for medically evaluate persons who are identified as 4.7 S, 4.9 S, Program Evaluation - Contacts screening data for 2013 actual costs. TB contacts and initiate appropriate procedures 4.12S,8.1 S, and b) preliminary and treatment in accordance with current Centers 8.2 S, 8.3 S, screening data for 2014 for Disease Control and Prevention 8.7 S, 8.8 S, (CDC)/ American Thoracic Society (ATS) 8.10 s recommendations. The state and national objective is to evaluate 95% of close contacts to infectious cases of TB. Ongoing contact data will be periodically supplied by the LHJ to the DOH TB Program (DOH-TB). This data will be used by DOH-TB to complete the Aggregate Reports for Tuberculosis Program Evaluation Follow Up and Treatment for Contacts of Tuberculosis Cases .. This report is required by the CDC.

5 Maintain a system to collect and evaluate current 6.4 S, 6.4 L, Aggregate Reports for TB July 1, 2015 for a) final Reimbursement for and future data regarding activities associated 6.5 S, 7.2 L, Program Evaluation - Targeted screening data for 2013 actual costs. with identification and treatment of persons with 7.2 s Testing and b) preliminary latent TB infection who are at high risk for active screening data for 2014 TB (See MMWR "Targeted Tuberculin Testing and Treatment of Latent Tuberculosis Infection", June 9, 2000/Vol. 49/No. RR-6). Screening data will be reported to DOH-TB in the Aggregate Reports for Tuberculosis Program Evaluation -Targeted Testing and Treatment of Latent Tuberculosis Infection on an annual basis.

6 Provide computer and records support, interpreter 7.2L CDC annual report summary and August 2015 Reimbursement for services, transportation support, and other cooperative agreement actual costs. associated TB outreach activities as provided for application in the current CDC TB Elimination Cooperative Agreement.

*For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: http://www.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Version- l .O.pdf

Program Specific Requirements/Narrative


Page 14of15 Contract Number C 17118-3

AMEl _JENT #3

Federal Funding Accountability and Transparency Act (FFATA) This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act (FF A TA or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent.

To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DUNS®) number.

Infonnation about the LHJ and this statement of work will be made available on http://USASpending.gov by DOH as required by P.L. 109-282.

Handbook, Policy References TB Guidelines Manual (http://www.doh.wa.gov/Y ouandY our Family/II lnessandDisease/Tuberculosis/ProviderM aterials/TB ServicesManual.aspx)

Restrictions on Funds 1. Emphasis must be given to directing the majority of funds to core TB control activities. 2. Funds may not be used:

~ To supplant State or LHJ funds; >- For inpatient care or construction or renovation of facilities; >- To purchase treatment medications.

References TB Laws and Regulations (http://www.doh.wa.gov/Y ouandYourFamily/IllnessandDisease/Tuberculosis/LawsGuidelines.aspx)

DOH ~ Sheanne Allen

Contact Name, Address, Email Address, Phone Number

TB Controller/ Program Manager P.O. Box 47837, Olympia, WA 98504-7837 [email protected]

236-3423

Exhibit Statements of Work Revised as of May 15, 2015

Page 15of15 Contract Number Cl 7118-3

This program provides in home visitation services for families that are screened by Child Protective Services to be low to moderately low risk of abuse or neglect but still have enough risk to warrant education, training and monitoring. The Public Health Nurse serves as a case manager going into homes to provide assessment, identification of health risk factors, health and parenting education, developmental testing and community referrals and linkages.

' This Contract is a continuation of the current Early Intervention Program for

$82,402.00 through 9/30/2017. The revenue and work load from this contract were budgeted in the 2015 budget. There is no match requirement for this contract.

RECOMMENDED OR REQUESTED ACTION: Recommend to move the Agreement to an Action Agenda for approval.

W.J~·1~,ragron Si.JI

Dep<irtmenl of Social & Health Serl'ices

Tr;;nsforming lives

p

This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement on General Terms and Conditions, which is incor orated b reference.

DSHS Agreement Number

1563-42463

Program Agreement Number 0603-County Agreement Number

DSHS ADMINISTRATION Childrens Administration

DSHS DIVISION DSHS INDEX NUMBER DSHS CONTRACT CODE

DSHS CONTACT NAME AND TITLE Richard Morgan Contract Mana er DSHS CONTACT TELEPHONE (253 983-6240

COUNTY NAME Mason County Mason County

Division of Children and Family 1229 2048CS-63 Services

DSHS CONT ACT ADDRESS 1949 South State StreetTacoma, WA 984052850

DSHS CONTACT FAX

COUNTY ADDRESS Attn Casey Bingham PO Box 1666 Shelton, WA 98584-

COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER COUNTY CONTACT NAME 916001354 Casey Bingham

ov

COUNTY CONTACT TELEPHONE 360 427-9670

COUNTY CONTACT FAX (360) 427-7798

COUNTY CONTACT E-MAIL caseyb@co. mason. wa. us

IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM AGREEMENT?

No

CFDA NUMBERS

PROGRAM AGREEMENT START DATE PROGRAM AGREEMENT END DATE MAXIMUM PROGRAM AGREEMENT AMOUNT 07/01/2015 09/30/2017 $82,402.00 EXHIBITS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into this County Program Agreement by reference: ~ Exhibits (specify): Exhibit A - Data Security Requirements; Exhibit B- Statement of Work; Exhibit C - Program Requirements; Exhibit D- Exit Code Definition; and ~-Exhibit E - Budget Contract Purpose: The purpose of these services is to control threats to child safety so children can remain safely in their own homes, while continuing to support families. These services at a minimum will:

" Place the child and their safety as the center of focus for service delivery " Assess the child's safety to remain in the home on an ongoing basis " Engage families in the focus to reduce safety threats " Work to increase safe parenting skills; and .. Re uire immediate communication with the Children's Administration about safet threats to the child.

By their signatures below, the parties agree to the terms and conditions of this County Program Agreement and all documents incorporated by reference. No other understandings or representations, oral or otherwise, regarding the subject matter of this Program Agreement shall be deemed to exist or bind the parties. The parties signing below certify that the are authorized to si n this Pro ram A reement. COUNTY SIGNATURE(S) PRINTED NAME(S) AND TITLE(S) DATE(S) SIGNED

DSHS SIGNATURE

DSHS Central Contract Services 2048CS EIP County (6-i0-2015)

PRINTED NAME AND TITLE DATE SIGNED

Page 1

Terms and

1. Definitions. The words and phrases listed below, as used in this Contract, shall each have the following definitions:

a. "Abuse of Client" means the injury, sexual abuse or exploitation, negligent treatment or maltreatment of a client by any person under circumstances which indicate that the client's health, welfare or safety is harmed thereby.

b. "Agency" means a public or private agency or other organization providing services to DSHS clients.

c. "Authorized" means approved by a CA social worker as evidenced by receipt of an SSPS Social Services notice or other written notice.

d. "Authorized User(s)" means an individual or individuals with an authorized business requirement to access DSHS Confidential Information.

e. "Case" means a family for which a risk of abuse or neglect has been determined and the family is open to CA services.

f. "CA" means Children's Administration, which is an Administration within DSHS.

g. "CN EIP Liaison" means the CA staff person who is responsible for maintaining contact with the Contractor and coordinating EIP services in the region.

h. "CFWS" means Children and Family Welfare Services, a program under CA.

i. "Child Abuse or Neglect" means the injury, sexual abuse, sexual exploitation, negligent treatment, or maltreatment of a child under circumstances, which indicate that the child's health, welfare, and safety is harmed. An abused child is a child who has been subjected to child abuse or neglect.

j. "Client" means any child or adult who is authorized services by DSHS.

k. "Community Resources" means community supports and concrete services.

I. "Community Resource Directory" means a list of local resource agencies or individuals that provide supports for families.

m. "Community Supports" means services that are offered to families by community providers that may include but are not limited to: housing assistance, mental health services, public health services, alcohol and drug treatment, family and social support connections, financial assistance, domestic violence counseling and treatment, educational and employment assistance, parent education, legal services and cultural and language assistance.

n. "Contract" means the entire written County Program Agreement between DSHS and the Contractor, including any Exhibits, documents, and materials incorporated by reference.

o. "Contractor" means the individual or entity performing services pursuant to this Contract and includes the Contractor's owners, members, officers, directors, partners, employees, and/or agents, unless otherwise stated in this Contract. For purposes of any permitted Subcontract, "Contractor" includes any Subcontractor and its owners, members, officers, directors, partners, employees, and/or agents.

p. a child.

DSHS Central Contract Services 2048CS EIP County (6-10-2015)

means any act that inflicts or causes infliction of on

Page 2

Terms and

q. "Compliance Agreement" means a written plan approved by DSHS which identifies deficiencies in Contractor's performance, describes the steps Contractor must take to correct the deficiencies, and sets forth timeframes within which such steps must be taken to return Contactor to compliance with the terms of the Contract.

r. "CPS" means Child Protection Services, a program under CA.

s. "CPS Intake" is the process designated to record all referral reports concerning instances of suspected child abuse and neglect, determine if the referral meets referral screening criteria and make a disposition concerning the referral.

t. "EFSS" means the CA program called Early Family Support Services.

u. "EIP" means Early Intervention Program. A program provided by County Public Health Departments.

v. "Face to Face Contact" means an in-home visit or visit at an alternative location with the referred family which is visual contact within the same room not to include any form of electronic contact, e.g., telephone or computer, with the exception of the use of such equipment as reasonable accommodation for a client with a disability.

w. "FVS" means Family Voluntary Services, a program under CA.

x. "Hardened Password" means a string of at least eight characters containing at least one alphabetic character, at least one number and at least one special character such as an asterisk, ampersand or exclamation point.

y. "KBS" means Knowledge, Behavior, and Status which is the problem rating scale for outcomes within the Omaha System.

z. "LEP" means Limited English Proficiency, and indicates an individual's need for additional support and assistance in comprehending the English language.

aa. "Omaha System" is the comprehensive classification rating and outcome tool used for EFSS and EIP. The Omaha System consists of the Problem Classification Scheme, Intervention Scheme, and Problem Rating Scale for Outcomes.

bb. "Participation" means family participation in one or more of the services outlined in the Family Service Plan.

cc. "Security Incident Response" means the steps taken to respond to a breach of confidential data.

dd. "Service Plan" means a plan written with input from the EIP nurse and family to address family needs and strengths, behaviorally directed goals, specific interventions and community referrals.

ee. "Staffing" means a formal or informal meeting, conducted by a CA social worker or CA staff member with one or more of the following persons: other CA staff, Contractor and/or other provider, consultants, parents or others, for the purpose of reviewing or discussing, or for making decisions concerning, a client or case.

ff. "Unique User ID" means a string of characters that identifies a specific user and which, in conjunction with a password, passphrase or other mechanism, authenticates a user to an

DSHS Central Contract Services 2048CS EIP County (6-10-2015) Page 3

Terms and

2. Data A. The Contractor shall protect, segregate, and dispose of data from Children's Administration as described in Exhibit A, and as required in the Section below entitled of Confidential

3. Statement of Work - Exhibit B. The Contractor shall provide services and staff as described in the Statement of Work attached as Exhibit B.

4. Requirements - C. The Contractor shall comply with all program and other requirements for providing services under this Contract, as stated in the Program Requirements attached as Exhibit C.

5. Exit Code - Exhibit D. The Contractor shall utilize the Exit Code Definitions when documenting case closure with a family, attached as Exhibit D.

6. Budget - Exhibit E. If Exhibit E- Budget is checked on page 1 of the Contract, and Consideration Section 8 indicates payment for either service based on actual costs or in monthly payments then the Contractor's budget for providing services under this Contract is attached as Exhibit E. Funds may be transferred between budget line items of the Contractor's Budget subject to the following conditions:

a. Transfer of funds up to 10% of the budget line item must be requested in writing by the Contractor and may be made without amending this Contract;

b. Transfer of funds that exceeds 10% of the budget line item shall require a written amendment to this Contract prior to the transfer of funds between budget line items.

7. Secure Management of Confidential Information

The Contractor shall ensure that all Confidential Information (also referred to as Personal Information) as defined in the General Terms and Conditions Section 1, acquired under this contract is used only for the provision of services under this contract and is handled with the utmost confidentiality as described in the General Terms and Conditions, Section 6, Confidentiality. In addition:

a. Contractors have permission to use mobile devices under this contract and shall ensure that mobile devices and data are accessed and protected as described in Exhibit A- Data Security Requirements.

b. Failure to comply with applicable requirements may result in termination of this contract.

c. The contractor shall provide Security Incident Response in accordance with the CA Incident Response Plan for Providers which can be accessed at https://www.dshs.wa.gov/ca/.

8. Consideration

a. Maximum Contract Amount. The maximum amount of total compensation payable to the Contractor for satisfactory performance of the work under this Contract is $82,402.00.

b. Allocated Funds. Allocated funds not expended during the period ending on September 30th, 2017 shall not be carried forward into any subsequent contractual period.

c. Vendor Rate Increase. In the event of a legislatively mandated vendor rate increase for the services under this Contract, the rates under this Contract shall be adjusted accordingly and incorporated into this Contract as of the date the new rate becomes effective.

d. DSHS Central Contract Services 2048CS El P County (6-10-2015)

will Contractor:

Page 4

Terms and Conditions

(1) DSHS will pay Contractor for actual costs related to services provided to CA referred families during the period of this Contract.

9. The Contractor shall submit the following documents, prepared in the manner prescribed by DSHS, to invoice services performed under this Contract:

DSHS may choose to pay the Contractor for services under this Contract through Fam link as an alternative method to the invoice billing process, described below. The Contractor shall be notified in writing of any change in the billing process.

a. A-19 Invoice. The Contractor shall submit a monthly invoice for services performed under this Contract on State of Washington Invoice Voucher forms (Form A-19), prepared in the manner prescribed by DSHS.

(1) The A-19 invoice shall state the amount of each cost or expense incurred by Contractor in the preceding calendar month that is based on the items listed in the Budget Exhibit. Costs or expenses listed in the A-19 invoice must match the corresponding items listed in the Budget Exhibit for costs or expenses that will be incurred by the Contractor.

(2) The cost or expense billed for each such item shall be charged against the total amount listed for that item in the Budget Exhibit. The cumulative dollar amount for each such item, for all invoices submitted by Contractor, shall not exceed the total dollar amount stated for that item in the Budget Exhibit.

(3) The A-19 invoice shall clearly indicate that it is:

"FOR SERVICES RENDERED IN PERFORMANCE UNDER DSHS CONTRACT NO. FOR THE MONTH OF , 20 "

(4) The A-19 invoice shall be submitted to:

Richard Morgan, Contract Manager Children's Administration 1949 South State Street

Tacoma, WA 98405-

(5) The Contractor shall contact Richard Morgan at (360) 893-6240 concerning billing questions.

(6) The Contractor shall bill for each month of service on a separate A-19 invoice. The A-19 invoice shall state the month services were provided.

10. Payment

a. Claims for payment must be received by DSHS no later than sixty (60) days from the date services were rendered.

b. CA will not be obligated to pay for services submitted more than three (3) months after the calendar month in which the services were performed.

c. DSHS will make payment within thirty (30) days of receipt of a properly completed invoice for services.

d. DSHS may DSHS Central Contract Services 2048CS El P County (6-10-2015)

under this are

Page 5

11.


i.e., not submitted within 10 days of the due date, or incomplete.

e. DSHS may, at its sole discretion, withhold or deny payment claimed by the Contractor for services rendered if Contractor fails to satisfactorily comply with any term or condition of the Contract.

Except as otherwise provided in this Contract, the Contractor shall not subcontract any of the contracted services without the prior approval of DSHS. Contractor is responsible to ensure that all terms, conditions, assurances and certifications set forth in this Contract are included in any and all Subcontracts. Any failure of Contractor or its subcontractors to perform the obligations of this Contract shall not discharge the Contractor from its obligations hereunder or diminish DSHS's rights or remedies available under this Contract.

12. Payment Only for Authorized Services

13.

DSHS shall pay the Contractor only for authorized services provided in accordance with this Contract. If this Contract is terminated for any reason, DSHS shall pay only for services authorized and provided through the date of termination.

Stipulations

a. Information for Federal Funding. The Contractor shall cooperate in supplying any information to DSHS that may be needed to determine DSHS or the client's eligibility for federal funding.

b. Duplicate Billing. The Contractor must not bill other funding sources for services rendered under this Contract which would result in duplicate billing to different funding sources for the same service. Furthermore, the Contractor shall ensure that no subcontractor bills any other funding sources for services rendered under this Contract, which would result in duplicate billing to different funding sources for the same service.

c. No Federal Match. The Contractor shall not use funds payable under this Contract as match toward federal funds without the prior written permission of DSHS.

d. Supplanting. The Contractor shall use these funds to supplement, not supplant the amount of federal, state and local funds otherwise expended for services provided under this Contract.

14. Recovery of Fees for Noncompliance

In the event the Contractor bills for services provided and is paid fees for services that DSHS later finds were either (a) not delivered or (b) not delivered in accordance with applicable standards or the requirements of this Contract, DSHS shall have the right to recover the fees for those services from the Contractor, and the Contractor shall fully cooperate during the recovery process.

15. Overpayments

In the event that DSHS establishes overpayments or erroneous payments made to the Contractor under this Contract, DSHS may secure repayment, plus interest, if any, by requiring the posting of a bond, assignment of deposit, or some other form of security acceptable to DSHS.

16. Prohibition of Use of Funds for Activities

The Contractor shall not use funds under the Contract for Contractor certifies that no state or federal funds


under this activities of any nature. The

shall be to any

Page 6

Terms and

person or organization to influence, or attempt to influence, either directly or indirectly, an officer or employee of any state or federal agency, or an officer or member of any state or federal legislative body or committee, regarding the award, amendment, modification, extension, or renewal of a state or federal contract or grant.

Any act by the Contractor in violation of this prohibition shall be grounds for termination of this Contract, at the sole discretion of DSHS, and shall subject Contractor to such monetary and other penalties as may be provided by law.

17. Investigations of Contractor or Related Personnel

DSHS may, without prior notice, suspend the Contractor's performance of the Contract if the Contractor, or any partner, officer or director of the Contractor or a subcontractor, or any employee or volunteer of the Contractor or a subcontractor, is investigated by DSHS or a local, county, state or federal agency regarding any matter that, if ultimately established, could either:

a. Result in a conviction for violating a local, state or federal law, or

b. In the sole judgment of DSHS, adversely affect the delivery of services under this Contract or the health, safety or welfare of DSHS clients.

DSHS may also take other lesser action, including, but not limited to, disallowing the subject of the investigation, whether an employee, volunteer, or other person associated with the Contractor or a subcontractor, from providing services, or from having contact with DSHS clients, until the investigation is concluded and a final determination made by the investigating agency.

18. Removal of Individuals from Performing Services

a. In the event that any of Contractor's employees, subcontractors, or volunteers who provide services under this Contract do not meet qualifications required by this Contract or do not perform the services as required in this Contract, DSHS may require that Contractor assure DSHS that such individual will not provide services to DSHS clients under this Contract.

b. DSHS shall notify the Contractor of this decision verbally and in writing and the Contractor shall, within 24 hours, disallow that person from providing direct services to DSHS clients. Failure to do so may result in a Compliance Agreement Plan and possible suspension or termination of this Contract.

19. Compliance Agreement

In the event that DSHS identifies deficiencies in Contractor's performance under this Contract, DSHS may, at its option, establish a Compliance Agreement. When presented with a Compliance Agreement, Contractor agrees to undertake the actions specified in the Agreement within the timeframes given to correct the deficiencies. Contractor's failure to do so shall be grounds for termination of this Contract.

20. Insurance. For purposes of this Contract:

a. DSHS certifies that it is self-insured under the State's self-insurance liability program, as provided by RCW 4.92.130, and shall pay for losses for which it is found liable.

b. The Contractor certifies, by checking the appropriate box below, initialing to the left of the box selected, and signing this Contract, that


Terms and

____ D The Contractor is self-insured or insured through a risk pool and shall pay for losses for which it is found liable; or

____ D The Contractor maintains the types and amounts of insurance identified below and shall, upon request, provide certificates of insurance to that effect to the DSHS Contact on Page 1 of this Contract

c. The Contractor shall ensure that all subcontractors providing client services under this Agreement meet the insurance requirements specified below.

21. Insurance Requirements

For the purpose of this section, the term "Contractor" as used in the following provisions shall mean the Contractor and its subcontractors, and the term "Contract" shall mean this Agreement and the Contractor's subcontract with a subcontractor.

The Contractor shall ensure that all subcontractors have and maintain insurance with the following types and limits of coverage. The Contractor shall maintain copies of Certificates of Insurance for each subcontractor as evidence that each subcontractor has and maintains insurance as required by this Agreement.

a. General Liability Insurance

The Contractor shall maintain Commercial General Liability Insurance, or Business Liability Insurance, including coverage for bodily injury, property damage, and contractual liability, with the following minimum limits: Each Occurrence - $1,000,000; General Aggregate - $2,000,000. The policy shall include liability arising out of premises, operations, independent contractors, productscompleted operations, personal injury, advertising injury, and liability assumed under an insured contract. The State of Washington, Department of Social & Health Services (DSHS), its elected and appointed officials, agents, and employees of the state, shall be named as additional insureds.

In lieu of general liability insurance mentioned above, if the contractor is a sole proprietor with less then three contracts, the contractor may choose one of the following three general liability policies but only if attached to a professional liability policy, and if selected the policy shall be maintained for the life of the contract:

Supplemental Liability Insurance, including coverage for bodily injury and property damage that will cover the contractor wherever the service is performed with the following minimum limits: Each Occurrence - $1,000,000; General Aggregate - $2,000,000. The State of Washington, Department of Social & Health Services (DSHS), its elected and appointed officials, agents, and employees shall be named as additional insureds.

or

Workplace Liability Insurance, including coverage for bodily injury and property damage that provides coverage wherever the service is performed with the following minimum limits: Each Occurrence - $1,000,000; General Aggregate - $2,000,000. The State of Washington, Department of Social & Health Services (DSHS), its elected and appointed officials, agents, and employees of the state, shall be named as additional insureds.

or

Premises Liability Insurance and provide services only at their recognized place of business, including coverage for bodily injury, property damage with the following minimum limits: Each

DSHS Central Contract Services 2048CS El P County (6-10-2015)

Aggregate - The State of Washington,

Page 8

Terms and

of Social & Health Services (DSHS), its elected and appointed officials, agents, and employees of the state, shall be named as Additional Insured.

b. Business Automobile Liability Insurance

If a Contractor transports DSHS clients, the Contractor shall maintain a Business Automobile Policy on all vehicles used to transport clients, including vehicles hired by the Contractor or owned by the Contractor's employees, volunteers or others, with the following minimum limits: $1,000,000 per accident combined single limit. The Contractor's carrier shall provide DSHS with a waiver of subrogation or name DSHS as an additional insured.

c. Professional Liability Insurance

The Contractor shall maintain Professional Liability Insurance or Errors & Omissions insurance, including coverage for losses caused by errors and omissions, with the following minimum limits: Each Occurrence - $1,000,000; Aggregate - $2,000,000.

d. Worker's Compensation

The Contractor shall comply with applicable Worker's Compensation, occupational disease, and occupational health and safety laws and regulations. The State of Washington and DSHS shall not be held responsible for claims filed for Worker's Compensation under RCW 51 by the Contractor or its employees under such laws and regulations.

e. Employees and Volunteers

Insurance required of the Contractor under the Contract shall include coverage for the acts and omissions of the Contractor's employees and volunteers. In addition, the Contractor shall ensure that all employees and volunteers who use vehicles to transport clients or deliver services have personal automobile insurance and current driver's licenses.

f. Subcontractors

The Contractor shall ensure that all subcontractors have and maintain insurance with the same types and limits of coverage as required of the Contractor under the Contract.

g. Separation of Insureds

All insurance policies shall include coverage for cross liability and contain a "Separation of Insureds" provision.

h. Insurers

The Contractor shall obtain insurance from insurance companies identified as an admitted insurer/carrier in the State of Washington, with a Best's Reports' rating of B++, Class VII, or better. Surplus Lines insurance companies will have a rating of A-, Class VII, or better.

i. Evidence of Coverage

The Contractor shall, upon request by DSHS, submit a copy of the Certificate of Insurance, policy, and additional insured endorsement for each coverage required of the Contractor under this Contract. The Certificate of lnswrance shall identify the Washington State Department of Social and Health Services as the Certificate Holder. A duly authorized representative of each insurer,


with the insurance specified in this shall execute each

Page 9


The Contractor shall maintain copies of Certificates of Insurance, policies, and additional insured endorsements for each subcontractor as evidence that each subcontractor maintains insurance as required by the Contract.

j. Material Changes

The insurer shall give the DSHS point of contact listed on page one of this Contract 45 days advance written notice of cancellation or non-renewal. If cancellation is due to non-payment of premium, the insurer shall give DSHS 10 days advance written notice of cancellation.

k. General

By requiring insurance, the State of Washington and DSHS do not represent that the coverage and limits specified will be adequate to protect the Contractor. Such coverage and limits shall not be construed to relieve the Contractor from liability in excess of the required coverage and limits and shall not limit the Contractor's liability under the indemnities and reimbursements granted to the State and DSHS in this Contract. All insurance provided in compliance with this Contract shall be primary as to any other insurance or self-insurance programs afforded to or maintained by the State.

I. Waiver

The Contractor waives all rights, claims and causes of action against the State of Washington and DSHS for the recovery of damages to the extent said damages are covered by insurance maintained by Contractor

22. Resolution of Differences

In the event of any differences between the parties on matters related to the interpretation and implementation of this Contract, the parties shall first attempt to resolve the difference informally between themselves at the local or regional level, by following the regional conflict resolution process.

If the parties are unable to resolve their difference as stated above, then either party may submit a request for dispute resolution as provided below, in the section titled "Disputes".

A copy of the regional conflict resolution process is available from the DSHS Contact person listed on Page 1 of this Contract.

23. Disputes

a. Either party who has a dispute concerning this Contract may submit a written request for dispute resolution. The amount of any rate set by law, regulation, or DSHS policy is not disputable. A party's written request for dispute resolution must include:

( 1) A statement identifying the issue( s) in dispute; and

(2) Contractor's name, address and contract number.

b. The request must be mailed to the following address within thirty (30) calendar days after the party could reasonably be expected to have knowledge of the issue, which is disputed.

c. A of the current CA dispute resolution process is available at any time by written request.

d. for

DSHS Central Contract Services 2048CS EIP County (6-i0-2015)

resolution or for a of the current CA's resolution process

Page iO

be sent to:


DSHS/Children's Administration Attention Contracts Management Unit P.O: Box 45710 Olympia, WA 98504-5710

This dispute resolution process is the sole administrative remedy available under this Contract.

24. Braam Considerations

In the event that CA should need to include additional requirements relating to the services provided under this Contract, as part of CA's obligation to meet the requirements of Braam v. State of Washington, the parties agree to negotiate in good faith the incorporation of such additional requirements in this Contract, either by an amendment to this Contract or by a revised contract that would replace this Contract.

DSHS Central Contract Services 2048CS El P County (6-10-2015) Page 11

1.

Exhibit A - Data

The words and phrases listed below, as used in this Exhibit, shall each have the following definitions:

a. "Authorized User(s)" means an individual or individuals with an authorized business requirement to access DSHS Confidential Information.

b. "Hardened Password" means a string of at least eight characters containing at least one alphabetic character, at least one number and at least one special character such as an asterisk, ampersand or exclamation point.

c. "Unique User ID" means a string of characters that identifies a specific user and which, in conjunction with a password, passphrase or other mechanism, authenticates a user to an information system.

2. Data Transport. When transporting DSHS Confidential Information electronically, including via email, the Data will be protected by:

a. Transporting the Data within the (State Governmental Network) SGN or Contractor's internal network, or;

b. Encrypting any Data that will be in transit outside the SGN or Contractor's internal network. This includes transit over the public Internet.

3. Protection of Data. The Contractor agrees to store Data on one or more of the following media and protect the Data as described:

a. Hard disk drives. Data stored on local workstation hard disks. Access to the Data will be restricted to Authorized User(s) by requiring logon to the local workstation using a Unique User ID and Hardened Password or other authentication mechanisms which provide equal or greater security, such as biometrics or smart cards.

b. Network server disks. Data stored on hard disks mounted on network servers and made available through shared folders. Access to the Data will be restricted to Authorized Users through the use of access control lists which will grant access only after the Authorized User has authenticated to the network using a Unique User ID and Hardened Password or other authentication mechanisms which provide equal or greater security, such as biometrics or smart cards. Data on disks mounted to such servers must be located in an area which is accessible only to authorized personnel, with access controlled through use of a key, card key, combination lock, or comparable mechanism.

For DSHS Confidential Information stored on these disks, deleting unneeded Data is sufficient as long as the disks remain in a Secured Area and otherwise meet the requirements listed in the above paragraph. Destruction of the Data as outlined in Section 5. Data Disposition may be deferred until the disks are retired, replaced, or otherwise taken out of the Secured Area.

c. Optical discs (CDs or DVDs) in local workstation optical disc drives. Data provided by DSHS on optical discs which will be used in local workstation optical disc drives and which will not be transported out of a Secured Area. When not in use for the contracted purpose, such discs must be locked in a drawer, cabinet or other container to which only Authorized Users have the key, combination or mechanism required to access the contents of the container. Workstations which access DSHS Data on optical discs must be located in an area which is accessible only to authorized personnel, with access controlled through use of a card key, combination lock, or


mechanism.

Page 12

d. discs or in drives or attached to servers. Data provided by DSHS on optical discs which will be attached to network servers and which will not be transported out of a Secured Area. Access to Data on these discs will be restricted to Authorized Users through the use of access control lists which will grant access only after the Authorized User has authenticated to the network using a Unique User ID and Hardened Password or other authentication mechanisms which provicje equal or greater security, such as biometrics or smart cards. Data on discs attached to such servers must be located in an area which is accessible only to authorized personnel, with access controlled through use of a key, card key, combination lock, or comparable mechanism.

e. Paper documents. Any paper records must be protected by storing the records in a Secured Area which is only accessible to authorized personnel. When not in use, such records must be stored in a locked container, such as a file cabinet, locking drawer, or safe, to which only authorized persons have access.

f. Remote Access. Access to and use of the Data over the State Governmental Network (SGN) or Secure Access Washington (SAW) will be controlled by DSHS staff who will issue authentication credentials (e.g. a Unique User ID and Hardened Password) to Authorized Users on Contractor staff. Contractor will notify DSHS staff immediately whenever an Authorized User in possession of such credentials is terminated or otherwise leaves the employ of the Contractor, and whenever an Authorized User's duties change such that the Authorized User no longer requires access to perform work for this Contract.

g. Data storage on portable devices or media.

(1) Except where otherwise specified herein, DSHS Data shall not be stored by the Contractor on portable devices or media unless specifically authorized within the terms and conditions of the Contract. If so authorized, the Data shall be given the following protections:

(a) Encrypt the Data with a key length of at least 128 bits

(b) Control access to devices with a Unique User ID and Hardened Password or stronger authentication method such as a physical token or biometrics.

(c) Manually lock devices whenever they are left unattended and set devices to lock automatically after a period of inactivity, if this feature is available. Maximum period of inactivity is 20 minutes.

Physically Secure the portable device(s) and/or media by

(d) Keeping them in locked storage when not in use

(e) Using check-in/check-out procedures when they are shared, and

(f) Taking frequent inventories

(2) When being transported outside of a Secured Area, portable devices and media with DSHS Confidential Information must be under the physical control of Contractor staff with authorization to access the Data.

(3) Portable devices include, but are not limited to; smart phones, tablets, flash memory devices (e.g. USB flash drives, personal media players), portable hard disks, and laptop/notebook/netbook if those computers be transported outside of a Secured Area.


(4) Portable media includes, but is not limited to; optical media (e.g. CDs, DVDs), magnetic media (e.g. floppy disks, tape), or flash media (e.g. CompactFlash, SD, MMC).

purposes.

(1) DSHS data may be stored on portable media as part of a Contractor's existing, documented backup process for business continuity or disaster recovery purposes. Such storage is authorized until such time as that media would be reused during the course of normal backup operations. If backup media is retired while DSHS Confidential Information still exists upon it, such media will be destroyed at that time in accordance with the disposition requirements in Section 5. Data Disposition

(2) DSHS Data may be stored on non-portable media (e.g. Storage Area Network drives, virtual media, etc.) as part of a Contractor's existing, documented backup process for business continuity or disaster recovery purposes. If so, such media will be protected as otherwise described in this exhibit. If this media is retired while DSHS Confidential Information still exists upon it, the data will be destroyed at that time in accordance with the disposition requirements in Section 5. Data Disposition.

4. Data

a. DSHS Data must be segregated or otherwise distinguishable from non-DSHS data. This is to ensure that when no longer needed by the Contractor, all DSHS Data can be identified for return or destruction. It also aids in determining whether DSHS Data has or may have been compromised in the event of a security breach. As such, one or more of the following methods will be used for data segregation.

b. DSHS Data will be kept on media (e.g. hard disk, optical disc, tape, etc.) which will contain no non-DSHS data. And/or,

c. DSHS Data will be stored in a logical container on electronic media, such as a partition or folder dedicated to DSHS Data. And/or,

d. DSHS Data will be stored in a database which will contain no non-DSHS data. And/or,

e. DSHS Data will be stored within a database and will be distinguishable from non-DSHS data by the value of a specific field or fields within database records.

f. When stored as physical paper documents, DSHS Data will be physically segregated from nonDSHS data in a drawer, folder, or other container.

g. When it is not feasible or practical to segregate DSHS Data from non-DSHS data, then both the DSHS Data and the non-DSHS data with which it is commingled must be protected as described in this exhibit

5. Data Disposition. When the contracted work has been completed or when no longer needed, except as noted in Section 3. Protection of Data b. Network Server Disks above, Data shall be returned to DSHS or destroyed. Media on which Data may be stored and associated acceptable methods of destruction are as follows:

on: Server or workstation hard disks, or

Removable media


portable hard disks) excluding optical discs Degaussing sufficiently to ensure that the Data cannot be reconstructed, or

Physically destroyinq the disk

Paper documents with sensitive or Confidential Recycling through a contracted firm provided the Information contract with the recycler assures that the

confidentiality of Data will be protected.

Paper documents containing Confidential Information On-site shredding, pulping, or incineration requiring special handling (e.g. protected health information)

Optical discs (e.g. CDs or DVDs) Incineration, shredding, or completely defacing the readable surface with a coarse abrasive

<

Maqnetic tape Deqaussinq, incineratinQ or crosscut shredding

6. Notification of or Potential The compromise or potential compromise of DSHS shared Data must be reported to the DSHS Contact designated in the Contract within one (1) business day of discovery. If no DSHS Contact is designated in the Contract, then the notification must be reported to the DSHS Privacy Officer at [email protected]. Contractor must also take actions to mitigate the risk of loss and comply with any notification or other requirements imposed by law or DSHS.

7. Data shared Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the subcontractor must be submitted to the DSHS Contact specified for this contract for review and approval.


OF STATEMENT OF WORK

1. Intent of Services 2. Philosophical Principles used in the Delivery of EIP Services 3. Client Eligibility and Referral for Services 4. Referral Procedures 5. Service Coordination with CA 6. Dual Case Management with Another Agency 7. Family Centered Practice Model 8. Provision of Services

a. Face to Face Contact b. Initial Screen c. Service Delivery d. Brief Intervention Path e Assessment and Comprehensive Service Path f. Service Plan g. 90-Day Reviews h. Exit from the EIP Program i. Exit Summary

9. Reports 10. Program Improvements

The Contractor shall ensure that services provided under this Contract at all times meet the specifications described in this Statement of Work Exhibit.

1. Intent of Services

EXHIBIT B

a. Early Intervention Services is a home visiting nurse program which shall address health conditions, physical growth, child development, social-emotional health, caretaking/parenting, and home safety issues for children served by CA. EIP nurses shall provide assessments, education/counseling, care management, and linkage into community programs for identified concerns.

b. The Contractor shall provide EIP services through direct services to families and/or by linking families to community resources to accomplish the following goals for families:

(1) Reduce risk of abuse or neglect of children in the home;

(2) Enhance parenting skills, family and personal self-sufficiency, and family functioning;

(3) Reduce stress on the family;

(4) Reduce the likelihood of additional referrals to CPS;

(5) Enhance the health and well being of children and their families; and

(6) Facilitate linkages to health and community services.


2.

3.

used in the of EIP services

a. Individualized, tailored intervention;

b. Empowerment approaches;

c. Community support building approach;

d. Strengths perspective;

e. Cultural competence;

f. Developmental appropriateness; and

g. Outcome driven service plans.

Client and Referral for Services

a. Eligibility. Families are eligible for EIP services who meet the following criteria:

OR

( 1) Have a child ages birth to six who has issues related to his/her:

(a) Nutrition;

(b) Physical growth;

(c) Social-emotional health;

(d) Hygiene;

(e) Developmental patterns;

(f) Medical conditions;

(g) Access to health care;

(h) Attachment with caregiver; or

(i) Risks for injuries from home safety hazards.

(2) Have a school aged child or youth who has medical neglect or problems with chronic health conditions.

Infants and young children under three are of highest priority and should be served first whenever possible

b. Referrals. EIP services are designed to be a cooperative service between CA and the contracted nurse. Both CA and the EIP nurse shall work together to provide service delivery in a coordinated approach. All EIP service plans should be developed in consultation with the CA social worker. All families must be referred to EIP by a CA social worker. Families may be referred from CPS, Family Voluntary Services, or Child and Family Welfare Services as follows:

(1) Open Child Protective Services (CPS) Cases: Includes children who have been investigated by CPS and are residing with their biological parent or legal caregiver. Referral can be made to EIP:

worker has the and has an issue to the

DSHS Central Contract Services 2048CS EIP County (6-10-2015) Page i7

child's health, growth, development, caretaking/parenting, or home safety.

(b) Families are opened for brief assessment and must be closed when the CPS social worker closes their case. The EIP Nurse links family to needed community resources and services.

(2) Open Family Voluntary Service (FVS) Cases: Includes children who are opened to FVS services and have an active service plan in place.

(a) FVS social worker has interviewed the family and has identified an issue relating to the child's health, growth, development, caretaking/parenting, or home safety.

(b) The CA family's service plan indicates a goal related to the child's health, growth, development, caretaking/parenting, or home safety and the family would benefit from having an EIP nurse home visitor to address these issues in the CA service plan.

(c) Priority for EIP eligibility is given to child(ren) in home or returning to the home within 60 days.

(3) Open Child and Family Welfare SerJice (CFWS) Cases: Includes children who are in relative placement, foster care, or in-home dependencies:

(a) CFWS social worker has interviewed the family and has identified an issue relating to the child's health, growth, development, parenting, or home safety.

(b) An EIP referral may be appropriate for a brief nurse consultation when the child enters foster care or out-of home placement and has an immediate health care management problem that requires health assessment, case coordination, care management education, and linkage into health care services.

(c) A child in out-of home placement and who is being returned to a caregiver or permanent placement within 60 days and has a health care management problem. The home visiting nurse is to provide health assessment, case coordination, caregiver care management education, and linkage into health care services.

(d) Priority for EIP eligibility is given to child(ren) in home or returning to the home within 60 days.

4. Referral Procedures

a. CA shall have sole responsibility for referring clients to the Contractor under this Contract. All referrals must be initiated in writing by CA. CA will not pay for any families served under this Contract who were not referred by CA.

b. CA shall submit a written EIP referral to the Contractor which will authorize services.

c. The Contractor shall adhere to the referral procedures set forth in the CA regional/local protocol.

d. Referral review.

(1) The Contractor shall review the EIP referral to ensure:

(a) The referral meets the eligibility criteria and the family and has identified an issue relating to the child's health, growth, development, caretaking/parenting, or home safety concern that necessitates nursing interventions;

(b) The reasons for requested El P intervention are clear and are appropriate for nursing


(c) Clients case numbers, clients names and dates of births, and client contact information are provided; and

(d) Assigned CA social worker names and contact information is provided.

(2) If the referral does not have the above information or the information is unclear, the Contractor shall contact the referring CA social worker, or their agency EIP program leads, or the CA EIP liaison to obtain the needed information.

(3) Upon receipt of the referral, the EIP nurse shall telephone the referring CA social worker to inform them of their assignment to the case and discuss coordination of services for the family.

5. Service Coordination with CA. The Contractor shall ensure that the assigned EIP nurse:

6.

a. Works collaboratively with the CA social worker to determine the EIP nurse's role in working with the needs of children in order to coordinate, but not overlap, service delivery;

b. Reviews the CA's family assessment, if services have warranted its development; and

c. Develops a family assessment, if CA has not developed one.

a. If the Contractor and another agency are performing case management services for the same family, the Contractor shall facilitate a staffing with the other agency to assure that the family's needs are met in a coordinated approach.

b. The Contractor shall ensure services being provided under this Contract are not being charged to another funding source which would result in duplicate payment.

7. Family Centered Practice Model

The Contractor shall provide services consistent with the "The Washington State Division of Children and Family Services Family Centered Practice Model". It shall be the Contractor's responsibility to obtain information on the Family Centered Practice Model from CA. Information about the Family Centered Practice Model is available at https://www.dshs.wa.gov/ca/advancing-child-welfare/solutionbased-casework

8. Provision of Services

The Contractor shall deliver services as follows for CA referred families:

a. Face to Face Contact. The Contractor shall:

(1) Attempt to make initial contact with the family within three (3) working days of acceptance of the referral from CA. Initial contact may be via a telephone contact or face to face contact.

(2) Notify the CA social worker in writing within 10 working days if the family is unavailable or unwilling to meet with the Contractor for an initial face to face home visit.

(3) Make, at a minimum, two home visit attempts before closing a case. If a second home visit attempt is not completed, the Contractor shall document on the Exit Summary the reason a second attempt for a home visit was not completed.

the social worker and complete an Exit if the has moved from the service area and is not available for any face-to-face contact.


b. Screen

(1) The EIP nurse shall conduct an initial screening to determine the family or child's:

(a) Health care needs, to include physical and developmental health, social-emotional health, and dental health; and

(b) Issues relating to home safety, basic needs, parenting skills, parental delays, and home environment

(2) Based on the initial screening, the EIP nurse, family, and CA social worker will determine the service path for the family. The service path will be either a Brief Intervention Path or an Assessment and Comprehensive Service Path.

c. Service

(1) Schedule services at the family's convenience and tailor to accommodate a family's work schedule whenever possible.

(2) Make EIP nurses available to testify at court hearings when subpoenaed. When requested by CA staff, EIP nurses shall participate in CA EIP meetings, Child Protective Team (CPT) or case staffings, and child fatality reviews for EIP involved families. If EIP nurses are not able to attend in person, the Contractor shall provide a written summary of the family's progress.

(3) Length of Service. EIP services shall be provided only while the case is open to CA.

d. Brief Intervention Path

(1) The Brief Intervention Path is a short-term intervention designed to:

(a) Provide health and developmental assessments for the identified child;

(b) Assist the CA social worker with case planning information;

(c) Connect the family with community services; and

(d) Provide brief and focused teaching and guidance in areas identified in the screening process.

(2) The Brief Intervention shall be completed within 90 days and an Exit summary completed within 10 days of case closure.

e. Assessment and Comprehensive Service Path

(1) Assessment. The Contractor shall work with the assigned CA social worker and family so that a complete family assessment is created that identifies or addresses the family's:

(a) Current protective factors;

(b) Current strengths and successes of the family that can be built upon to address need;

(c) Current safety or health risk factors;

(d) Natural support systems, such as friends, family, community members, and groups;

(e) Physical health and social-emotional health care needs;

(f) Attainment of developmental milestones and

Service and/or of the and


(h) Circumstances that led to the crisis.

(2) Identified Priorities. After the assessment is cqrnpleted, the EIP nurse shall utilize the Omaha System for identified priorities.

(a) The EIP nurse shall identify the top two to three Omaha problems that are of priority for EIP interventions.

(b) The EIP nurse shall score each selected Omaha problem using the Knowledge, Behavior, and Status (KBS) scoring system as defined by the Omaha System in conjunction with the CA KBS manual.

(c) The results of the Omaha scores shall be recorded on 90 day reports and Exit summary reports.

f. Service Plan. The EIP nurse may contribute to the CA service plan by assisting the social worker in the identification of:

(1) The top two to three Omaha priorities for the client. The nurse, in conjunction with the family and CA social worker, shall develop specific behaviorally driven goals and objectives that support the target areas identified through the family assessment process and supported by the Omaha priorities.

(2) The client's individualized interventions designed to increase protective factors, decrease risk factors, and target child safety and well-being outcomes. The Contractor shall focus on the following:

(a) Physical health;

(b) Wellness;

(c) Social-emotional health;

(d) Home safety;

(e) Caretaking/parenting; and

(f) Developmental issues.

(3) The family's internal and external support networks and service providers and plans for utilization.

g. 90-Day Reviews

(1) The Contractor shall complete the EIP 90 Day Review form when providing services to families up to and beyond 90 days. The 90 Day Review form is #10-479 and may be accessed at: http://www.dshs.wa.gov/forms/eforms.shtml

(2) Contractor shall submit reports at 90 day service intervals or when CA requires service reports for court proceedings.

h. Exit from the EIP Program. The Contractor shall staff with CA to determine whether to close an EIP case if one or more of the following occurs:

(1) Family refused service;


(3) Family moved from contractor service area;

(4) Family was referred to another program or service that is more appropriate than the EIP intervention;

(5) CA is closing the case; or

(6) Services were completed.

i. Exit

(1) The Contractor shall complete the EIP Exit Summary on completion of services with families served under the EIP Contract. The EIP Exit Summary form is #10-475 and may be accessed at: http://www.dshs.wa.gov/forms/eforms.shtml

(2) The Contractor shall submit the Exit Summary to the CA social worker within 10 working days of case closure.

9. Reports

a. Written reports must be submitted by secure email to the DSHS contacts identified below. The DSHS Secure E-mail User Guide is available at http://www.dshs.wa.gov/ca/partners/intro.asp

b. The Contractor shall submit the following monthly reports, in a format prescribed by CA as instructed below, unless specified differently in the regional protocol:

EIP Contractor Reports Submit to: Due Date 41 EIP Monthly Report

41 90 Day Review .. Exit Summary

.. Annual (Contract period) roll-up report to include:

0 # of referrals 0 # of unduplicated children

served 0 # of unduplicated families

(cases) served 0 #of families (cases) exited

EIP for:

" # of families-Provider


1 electronic copy to the EIP CA By the 151h of the month

regional liaison for services provided in Name: Andrea Ringer the previous month

Email: [email protected]

1 electronic copy to the EIP CA headquarters liaison

Mireya Beltre, MSW HQ Family Voluntary Services Program Manager [email protected]

1 copy of each to the assigned CA social By the 151n of the month worker for services provided in

the previous month

1 electronic copy to the EIP CA By the 15th of the regional liaison (as above) month of July each

year of contract. 1 electronic copy to the EIP headquarters liaison (as above)

Page 22

unable to make contact ~ # of families-Provider

determined family does not need EIP #of families - Family refused services #of families -Family was referred to another program within CA

" # of families - Service were completed

" # of families -Provider referred EIP case back to CPS as higher risk

" # of families - re-referral and accepted for investigation

0 # of cases with another CPS referral received while family was participating in EIP

0 # of families enrolled in community resource and referral services

0 # of families enrolled in Family Engagement Services

0 Of total # of families, what % improved KBS scores in caretaking and parenting over time

c. DSHS may stop payment to the Contractor if reports required under this Contract are delinquent or incomplete.

d. Additional Data

DSHS may request additional measurable service and outcome data for services provided. In the event DSHS so requests, DSHS commits to work with the Contractor to develop data elements. If so requested, the Contractor agrees to provide data collection in a manner prescribed by DSHS.

10. Program Improvements

The Contractor agrees to collaborate with CA to develop and implement program changes which may include: a standardized assessment tool, performance measures, and service standards.


OF PROGRAM

1. Qualification Requirements 2. Licensing or Statutory Requirements 3. Required License in Good Standing 4. Staff and Subcontractor Training 5. Annual EIP Provider Meetings 6. Evaluation of Contractor 7. No Transportation of DSHS Clients 8. Records

a. Client Records b. Administrative Records c. Personnel and Subcontractor Records

9. Operating Procedures 10. Degree Requirements 11. Background Checks 12. Health and Safety of CA Clients 13. Corporal Punishment Prohibited 14. Smoking Prohibited in Presence of Client Children and Foster Youth 15. Culturally Relevant Services 16. Interpretation and Translation 17. Confidentiality - Additional Requirements 18. Auditing and Monitoring 19. Office of the Family and Children's Ombudsman (OFCO)

EXHIBIT C

The Contractor shall ensure that all qualifications for employees, volunteers, or subcontractors, performance expectations and program requirements for services provided under this Contract at all times meet the specifications described in this Program Requirement Exhibit.

1. Qualification Requirements

a. The Contractor shall ensure that employees, subcontractors, and/or volunteers providing services to DSHS clients under this Contract have the following minimum qualifications:

(1) Holds a current license to practice as a registered nurse by the State of Washington;

(2) Has a minimum of two years working with children and families; and

(3) Has experience providing a home visitation model of service delivery.

OR

(4) Has completed a Bachelor of Nursing Program and currently is serving as a Public Health Nurse in a Local Health Jurisdiction.

b. Exceptions for Required Staff Qualifications


2.

If the preferred candidate does not meet the requirements for the minimum home visiting experience, the Contractor shall request an exception by submitting the following information to the CA headquarters program manager for EIP:

( 1) Documentation of the individual's credentials and work experiences;

(2) Documentation of related coursework, conferences, and other training;

(3) Reasons why applicant was chosen;

(4) How the Contractor plans to supervise the applicant;

(5) Training plan; and

(6) Position description for which the exception is being requested.

or

DSHS/Children's Administration Attention: EIP Program Manager PO Box 45710 Olympia, WA 98504-5710

a. The Contractor shall meet or exceed all minimum licensing or certification requirements or other requirements as required by statute.

b. When licensing, certification, or other statutory requirements differ from contract requirements, the Contractor shall meet whichever requirement imposes the higher standard. Any variance from such requirements shall require a licensing waiver from the issuing agency.

3. Required License in Good Standing.

a. If the Contractor or any of the Contractor's staff are required to be licensed to provide any of the services under this Contract, the required license must be in good standing at all times during the term of the Contract.

b. In the event that a required license is suspended, or if any limitations or restrictions are placed on the license, the Contractor shall notify the DSHS Contact person listed on Page 1 of this Contract

4. Staff and Subcontractor Training.

a. Omaha System

The Contractor shall ensure that all direct service staff have completed the Omaha Training. The Omaha training can be obtained through King County Health Department or the Tacoma-Pierce County Health Department. Training is to be paid by the Contractor through the allotted Contract dollars.

b. Mandated Reporter Training

(1) The Contractor shall ensure that all current employees and volunteers, who are mandated reporters or who have access to children, read and/or view the materials in CA's Mandated Reporter Toolkit within 30 days the effective date of a first time CA Contract and annually thereafter; and that all hired employees and volunteers who are mandated reporters or who

access to children view the in the Mandated Toolkit within two DSHS Central Contract Services 2048CS EIP County (6-10-2015) Page 25

5. EIP

(2) weeks initial employment. After reading and reviewing the materials, each employee shall sign and date a statement acknowledging his or her duty to report child maltreatment and affirming that he or she understands when and how to report suspected child abuse or neglect. The Contractor shall retain the signed statement in each individual's personnel file.

(2) The Contractor shall either obtain a copy of the Mandated Reporter Toolkit from DSHS, or access the Mandated Reporter Toolkit on line at the following address: http://www.dshs.wa.gov/ca/safety/abuseReport.asp?2

Meetings

It is expected under this Contract that, at a minimum, one Contractor representative shall attend any scheduled CA's EIP provider meetings.

6. Evaluation of Contractor

a. DSHS may evaluate the Contractor's performance during the term of the Contract. Areas of review may include, but are not limited to, the following:

(1) Reports required under this contract are complete and submitted in a timely manner;

(2) Families are referred to appropriate community resources; and

(3) EIP direct service staff participate in all EIP program meetings and trainings as required by CA.

b. If the Contractor fails to meet any of the performance measures, DSHS may terminate this Contract.

7. No Transportation of DSHS Clients. The Contractor shall not provide transportation to DSHS clients under this Contract.

8. Records

a. Client Records

The Contractor shall maintain individual client records and shall promptly submit to DSHS a copy of such records upon request. At a minimum, individual client records must include:

(1) CA Intake Referral Summary Report;

(2) Additional referral information, if applicable;

(3) Client Assessment;

(4) Client Screenings;

(5) Family Service Plan;

(6) 90 Day Reviews;

(7) Exit Summary;

(8) KBS scores and supporting documentation;

DSHS Central Contract Services 2048CS El P County (6-10-2015)

to date of of

Page 26

(10) Contacts with CA social worker and service providers.

b. Administrative Records

The Contractor shall retain the following administrative records:

(1) Community Resource Directory that lists: name of agency, address, telephone number, description of available resources and supports for families;

(2) Monthly Reports;

(3) Fiscal records that shall substantiate costs charged to DSHS under this contract;

(4) Audits, license review, contract monitoring and corrective actions required and action taken;

(5) Documentation of all audits, license reviews, contract monitoring reports, and corrective action reports and actions taken. Documentation of all costs associated with service provided under this Contract;

(6) Recruitment policy which demonstrates that Contractor is an equal opportunity employer;

(7) Personnel policy reflecting CA policy requirements re "Smoking Prohibited in Presence of Client Children and Foster Youth", as stated above in Section 11; · ·

(8) A copy of any subcontract or other agreement for subcontracted services and the provider's qualifications;

(9) Copy of the Certificate of Insurance for each subcontractor; and

(10) Protected group data:

(a) A list of current staff by position that addresses date of birth, sex, and identified protected group status, including race, Vietnam Era Veteran, Disabled Veteran, and person of disability.

(b) A list of all clients served that addresses date of birth, sex, and race.

When collecting protected groups data, the Contractor shall inform staff and clients that (1) the furnishing of the information is entirely voluntary; (2) the refusal to furnish the data shall not have adverse effects.

c. Personnel and Subcontractor Records

The Contractor shall retain the following records on (1) all of Contractor's staff and employees, whether full-time or part-time, (2) volunteers, and (3) any subcontractor's staff and employees who may have contact with DSHS clients in performing duties or providing services under this Contract:

(1) DSHS criminal history background check approval;

(2) Any other criminal history background checks;

(3) Current license(s) or certification(s) to practice in the state of Washington and/or in the state in which services are provided, as applicable;

Proof of


if and or other school any

Page 27

9.

(5) Documentation academic history and credentials, as applicable;

(6) Employment and experience history;

(7) description;

(8) Annual performance evaluations;

(9) Training records, as applicable;

( 10) Hours worked and payment records;

(11) Staff training log;

(12) Signed statements to adhere to confidentiality of client information;

(13) Signed statements acknowledging duty to report child maltreatment; and

(14) Copy of each signed subcontract or other agreement for any subcontractors.

a. In collaboration with CA, the Contractor shall develop written operating procedures, which set forth procedures for the day-to-day operation and conduct of activities under this Contract. Such procedures must be in accord and consistent with, and shall not conflict with, the provisions of this Contract. The written operating procedures shall address:

(1) Referral process steps;

(2) Communication links (contact persons);

(3) Case updating requirements;

(4) Case termination and extension procedures;

(5) Scheduling process;

(6) Training collaboration, if any;

(7) Report and feedback process;

(8) Emergency procedures.

b. The Contractor shall submit a copy of the written operating procedures to the DSHS Contact identified on Page 1 of this Contract.

c. The Contractor and CA shall each retain a copy of the written operating procedures.

10. Degree Requirements

The Contractor shall ensure that any degrees required of the Contractor or the Contractor's staff under this Contract, or by statute, shall meet the following requirements before the Contractor shall provide services under this Contract:

a. The degree must be awarded following successful completion of a required course of instruction undertaken by the recipient of the degree;

b.


accredited by the Council for Higher Education Accreditation (CHEA) or an accreditation organization recognized by the Council for Higher Education Accreditation, or by one of the following regional accreditation boards for the United States:

( 1) MSA - Middle States Association

(2) NWCCU - Northwest Commission on Colleges and Universities

(3) NGA - North Central Association of Colleges and Schools

(4) NEASC - New England Association of Schools and Colleges

(5) SACS - Southern Association of Colleges and Schools

(6) WASC - Western Association of Schools and Colleges

c. If the degree has been awarded by a tribal college, university, community college, trade or vocational school, it must be accredited by one of the above regional accreditation boards or other accreditation organization recognized by the American Indian Higher Education Consortium, which may be accessed at: www.aihec.org.

d. If the degree has been awarded by a foreign educational institution outside of the United States, it must be qualified in the country in which it is located to provide the course of instruction leading to that degree, and must be accredited by an accreditation organization recognized as such in the country in which it is located or recognized by the Council for Higher Education Accreditation.

e. The Council for Higher Education Accreditation (CHEA) is located at One Dupont Circle NW, Suite 510, Washington, DC 20036-1135 and may be accessed at: www.chea.org.

f. Failure to comply with the degree requirements of this section shall be grounds for termination of this Contract.

11. Background Checks

a. This requirement applies to any employees, volunteers and subcontractors who may have unsupervised access to children served under this Contract.

b. This requirement does not apply to currently licensed foster parents who are affiliated with the Contractor. Licensed foster parents are subject to the criminal history background provisions associated with obtaining and maintaining a current foster license.

c. The Contractor shall ensure a criminal history background check pursuant to RCW 43.43.832, 43.43.834, RCW 43.20A.710 and WAC 388-06, or successor statutes has been completed through DSHS for all current employees, volunteers, and subcontractors, and that a criminal history background check shall be initiated for all prospective employees, volunteers and subcontractors who may have unsupervised access to children served under this contract.

d. The Contractor shall assist in obtaining additional state or national criminal history and/or child abuse/neglect history, if requested by DSHS.

e. The Contractor shall ensure that no employee, volunteer or subcontractor, including those provisionally hired pursuant to RCW 43.43.832(7), or successor statute, has unsupervised access to children served under this contract, until a full and satisfactory background check is completed and


the individual for access, is returned to the

Page 29

12.

13.

a. If the Contractor determines that there are additional health and safety concerns, suspected substance abuse, or other presenting problems which were not stated in the CA referral, the Contractor shall immediately report this information to the referring CA social worker and, if appropriate to CPS Intake. The Contractor shall follow such verbal notification by written notification within 24 hours to the CA social worker and to CPS Intake.

b. Contractors are mandated reporters under Chapter 26.44.030 RCW. The Contractor shall immediately report all instances of suspected child abuse and neglect to (1) Child Protective Services (CPS) Intake and (2) the referring CA social worker. The Contractor shall follow verbal notification by written notification within 24 hours to the CA social worker and to CPS Intake.

c. CPS Intake shall make the determination of whether the referral constitutes an allegation of child abuse or neglect that shall be accepted for investigation, as a possible licensing compliance issue, or as a matter of "information only".

d. Written notification required by the Contractor shall include notification by fax or by e-mail.

Punishment

Corporal punishment of children in the Department's care or custody is prohibited. Corporal punishment is any act which willfully inflicts or causes the infliction of physical pain on a child. The Contractor, and the Contractor's agents and employees, shall not administer corporal punishment to children served under this Contract.

14. Smoking Prohibited in Presence of Client Children and Foster Youth

Smoking in the presence of client children, including the use of e-cigarettes, is prohibited. This prohibition extends to, but is not limited to, the following circumstances:

a. When transporting client children under age 18 and foster youth 18 to 21 years of age;

b. When there is direct contact with client children under age 18 and foster youth 18 to 21 years of age, such as talking with a child or accompanying a child, even when in a public place where smoking may otherwise be permitted.

15. Culturally Relevant Services

The Contractor shall provide appropriate, accessible, and culturally relevant services to clients and their families. Service delivery shall be culturally competent and responsive to each client's cultural beliefs and values, ethnic norms, language needs, and individual differences. Contractors are encouraged to employ a diverse workforce that reflects the diversity of their clientele and the community. The Contractor shall have a written recruitment policy which demonstrates that the Contractor is an equal opportunity employer. http://www.dshs.wa.gov/sites/default/files/SESA/odi/documents/CA-2014.pdf

16. Interpretation and Translation

a. The Contractor shall provide Limited English Proficient (LEP) clients with certified or otherwise qualified interpreters and translated documents.

b. The Contractor shall provide deaf, deaf-blind, or hard of hearing clients with the services of a certified language interpreter.

C. and translation DSHS Central Contract Services 2048CS EIP County (6-10-2015)

shall be at no cost to the client. All and

Page 30

17.

18.

translation costs shall be the financial responsibility of the Contractor. These costs are included in the contracted rate.

d. Extraordinary costs, which create an undue hardship for the Contractor in providing interpretation and/or translation services to an individual client, may be reviewed and addressed for supplemental reimbursement by the CA Regional Administrator or designee on a case by case basis.

This Contract imposes the following additional requirements to the section titled Confidentiality, set forth as one of the General Terms and Conditions of this Contract:

a. The Contractor shall not use, publish, transfer, sell or otherwise disclose any Confidential Information of a minor except as provided by law or with the prior written consent of the minor's parent, legal representative or guardian. If a child is a dependent of Washington State, then prior written consent must be obtained from DSHS.

b. Encrypted Email Account. The Contractor shall use an encrypted email account for electronic submissions which contain Confidential, and Personal Information, as defined in the General Terms and Conditions. Information regarding encrypted email accounts can be obtained at CA's website, located at: http://www.dshs.wa.gov/ca/partners/intro.asp.

and

a. If the Contractor is required to have an audit or if an audit is performed, the Contractor shall forward a copy of the audit report to the DSHS Contact listed on page 1 of this Contract.

b. If federal or state audit exceptions are made relating to this Contract, the Contractor must reimburse the amount of the audit exception, and any other costs including, but not limited to, audit fees, court costs, and penalty assessments.

c. The Contractor shall be financially responsible for any overpayments by DSHS/CA to the Contractor. The Contractor shall be financially responsible for any audit disallowances resulting from a federal or state audit which resulted from an action, omission or failure to act on the part of the Contractor.

d. DSHS may schedule monitoring visits with the Contractor to evaluate performance of the program. The Contractor shall provide at no further cost to DSHS reasonable access to all program-related records and materials, including financial records in support of billings, and records of staff and/or subcontractor time.

19. Office of the Family and Children's Ombudsman (OFCO)

a. The Contractor shall release records relating to services provided to youth that are dependent under Chapter 13.34 RCW to the OFCO. The Contractor can release records for dependent youth under Chapter 13.34 without the consent of a dependent youth's parent or guardian or the youth if the youth is under the age of 13 years, unless law otherwise specifically prohibits such release.

b. The Contractor shall notify the CA headquarters Program Manager when the OFCO makes a request for records.


Code 1a. Family Engagement and Assessment Services Completed

1 b. Community Resource and Referral Completed 2. Initial Screening Visit Only

3. Participated in Services but did not complete service plan due to:

a. Change in Circumstance

b. Refused

Family has reached the service limit and is not longer eligible for services.

4a. Family has transferred to other community services.

4b.No other community services are available. 5.All services declined

6.Unable to locate family

7.Unable to contact


Definition

EXHIBIT D 1 of 2

The family has engaged in ongoing services with a provider and has identified goals and priorities for services. The family has engaged in interventions or services outlined in the service plan to address risk factors for child abuse and neglect and support family strengths and protective factors. The family has initiated community services.

The family engaged in the initial screening visit with the provider and declined further services either directly or by agreeing to services and then failing to show for appointments.

3a. The family engages in services to a level the provider believes will benefit the family to some degree, but further services are discontinued due to change in circumstances.

3b. The family engages in services to a level that the provider believes the children will benefit to some degree from the changes that will occur, but the family refuses to further engage in services prior to addressing all risk/protective factors for child abuse and neglect. (The provider MUST write the activities the family participated in on the exit summarv.) The family continues to participate in services and is no longer eligible for EFSS services.

4a. The Family has transferred to other community services.

4b. The community does not have appropriate services for the family. Provider contacts family by Qhone, or in Qerson and the family declines to QarticiQate in services. The provider is not able to physically locate the address or the family at the address provided. Family does live at the identified address but the provider is not able to contact the family through at least 2 attempted home visits; and phone calls and/or letters.

Page 32

8.Services not needed

8a. Self Report

Sb. Verification received 9.Returned to CPS due to high level of risk

EFSS Only 10. New CPS referral. Assigned for investigation

EFSS Only 11. Participated in Services then family moved. 12. Child Placed in out of home care


EXHIBIT D 2 of 2

Family was contacted in person and is already engaged in community services that address the allegations, thus services would be duplicative and would not be necessary.

8a. Client self reported, unable to verify

Sb. Provider verified other service involvement Prior to contact with the family CPS receives additional information accepts the case for investigation or after further discussion with CA results in accepted investigation.

Anytime after the first face-to-face visit, an additional referral is made to CPS and the case is accepted for investigation.

Family no longer in EFSS service area and cannot receive services.

Child has been placed in out of home care through a dependency or court intervention

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ram

E

Page 34

new information

ITEM: Bringing Mason County Housing Choice Vouchers back to the Mason County Housing Authority for management rather than continuing to have the Bremerton Housing Authority manage the Housing Choice Vouchers for Mason County

............ ""'available options solutions): At the health and human services department briefing on

June 15, 2015, I was directed by the Commissioners to find out what would be required to move management of the Mason County Housing Choice Vouchers from the Bremerton Housing Authority (BHA) back to the Mason County Housing Authority (MCHA). They were voluntarily and formally transferred by the MCHA to the BHA and approved by Housing and Urban Development (HUD) effective 9/1/2008.

Commissioner Jeffreys stated that she had heard that there would be around $80,000 in administrative funds associated with the Housing Vouchers. Mason County wants to consider taking those administrative funds, together with the recording fee funds to hire a person or persons to support both the Ending Homelessness program and the Mason County Housing Authority. Currently the only funded position is the part time Program Coordinator who serves as the Housing Coalition Coordinator and manages the Homeless Count and Housing Inventory under the Ending Homelessness Act. The new person or persons could potentially manage both the Housing Authority Housing Choice Voucher program and the Ending Homelessness program to maximize efficiency and collective impact. Following is what we have learned:

1. How do we bring the Mason County Housing Choice Vouchers back to the Mason County Housing Authority the Bremerton Housing Authority? To determine the answer to this question we talked with Kurt Wiest, Bremerton Housing Authority Executive Director; Merrill Wallace, Mason County Housing Authority Chair; and Harlan Stewart representing Region X HUD. Harlan Stewart stated that it is a transfer

7/l/2015

Year Mainstream Certificates".

This is consistent with HUD's movement towards having fewer Public Housing Authorities to reduce overall cost achieved through economies of scale. It is also consistent with what we heard in conversations with Kurt Wiest, BHA; Merrill Wallace, Chair, MCHA; and Harlan Stewart, Region X HUD.

2. Administrative Fees: Currently the Bremerton Housing Authority receives $54.61 per voucher that is actually leased per month. The administrative fee is only paid on those vouchers being used. Housing Authority's cannot issue more than the number of vouchers authorized in their Annual Contributions Contract (ACC) OR expend more than the annual funding provided by HUD for the ACC. According to the Bremerton Housing Authority, in almost all cases the budget authority limits how many vouchers may be issued because the actual cost of each voucher subsidy is typically substantially higher than the amount funded by HUD. At the time the Bremerton Housing Authority took over the management/ownership of the MCHA Housing Choice Vouchers, the MCHA had 181 authorized maximum vouchers and an annual budget authority of 639,628 (including Housing Choice Vouchers, Tenant Based Rental Assistance, and the housing units).

At the time of the transfer, MCHA was only able to use 130 of the housing vouchers. Therefore, assuming MCHA had continued to hold the Housing Choice Vouchers Annual Contributions Contract with HUD and assuming the budget authority constraint still held us to 130 vouchers and assuming that our administrative fee per voucher per month is the same as the BHAs, we would get an annual Housing Choice Voucher fee amount of $85,192. It is also important to note that there is uncertainty in the future funding if Congress has another round of sequestration and they follow the same pattern of across the board cuts, administrative fees would be reduced. The last time that happened, those fees were never restored to their pre-sequestration level.

I also want to thank Kurt Wiest, Merrill Wallace, and Harlan Stewart for working with us and answering our many questions about the Public Housing Authority program funded by HUD.

BUDGET IMPACTS: from where we are currently.

RECOMMENDED OR REQUESTED ACTION: Information

1. A copy of a recent job description or project description (for a Request for Proposal) which describes the duties and requirements under the Ending Homelessness Housing the exr)ectat1

2.

7/1/2015

Thu Homeless and

on Coun able Housing ordinator

Thurston County is accepting responses to a Request for Proposals (RFP) from interested parties to complete Homeless and Affordable Housing planning and community development work to provide assistance to the HOME Consortium and Housing Action Team of Thurston Thrives.

Applicants should demonstrate skills and experience to meet the Proposed Scope of Work and submit a work plan that efficiently uses imagination and resources to meet it. Knowledge of housing, social services, homeless systems, affordable housing and rural community needs is desired. The HOME Consortium and Housing Action Team provide an advisory role to the Board of County Commissioners in Thurston County, Washington on Homeless and Affordable Housing issues.

Project Overview: This project seeks a contracted consultant to perform a variety of activities related to homeless system planning work. This will include the completion of a number of elements in the 10 year homeless housing plan, the completion of a homeless point in time count, the finalization of homeless prevention and rapid rehousing guidelines, and the completion of the community wide coordinated entry program description. Additional responsibilities will be drawing reports from the state of Washington's Homeless Management Information System (HMIS) Database to track program success.

There are a number of uncompleted tasks, due to staffing changes, which need to be completed as a part of this project. It is expected that the successful bidder will have strong written and verbal communication skills in order to synthesize all materials into a cohesive whole.

A number of documents have been attached as reference points including a draft 10 year plan, Coordinated Entry Plan and the State Homeless Point in Time Count Guidelines.

Upon development, these tasks shall be reported to and where appropriate recommendations made to the Director of Public Health and Social Services who will advance them to the Board of County Commissioners, the Thurston Thrives Housing Action Team or others for policy guidance.

This work is expected to begin on or about September 1, 2015 and be completed by August 31, 2016.

Brief Scope of Work: The selected individual or firm shall perform and provide the following services:

1. HMIS Data and Reporting:

2.

@ Develop a clear performance measurement system that can be documented, implemented and measured based on HMIS reports. Describe the consequences of noncompliance and less than acceptable performance standards.

@ Coordinate at least 6 (bimonthly) HMIS trainings for all participating agencies.

11 Align HMIS data with actual program performance using the Agency Homeless System Performance Measures Report and use as a training tool.

Commerce Annual Report data after the close of each year. new programs, new bed new use of new

the year.

3. Priorities Homeless rur»LJB''""

4.

Work within the Housing Action Team and other community agencies to develop funding priorities for existing homeless revenue streams.

Count

• Track system wide performance through HMIS reports. • Develop a method for countywide dissemination of this data and use it to improve agency

performance.

5. Ten Year Plan (See

• Complete the draft of the 10 Year Plan addressing all issues identified in prior evaluation.

• Submit completed draft.

6. Targeted Prevention and Rapid Re-housing

Research targeted prevention methods and national best practices. Prepare a set of recommendations.

• Develop model program to be included as an appendix to the 10 year Homeless Housing plan.

• Create RRH policies and procedures with input from Homeless System agencies including priorities, amounts, fair market rents, how rural agencies access funding.

7. Coordinated Entry (CE) (See attachment)

e Complete the draft CE Policy and Procedure Manual and include as an appendix to a completed 10 year homeless housing plan.

• Identify milestones and measures to determine success or progress.

• Create a training program for progressive engagement so that everyone understand its elements and impacts.

8. landlord Engagement:

• Research past local initiatives and national best practices. • Create and provide training for all agencies on best practices for landlord engagement.

• Specifically work with agency staff/navigators to create system wide participating landlord list and affordable housing vacancy list.

9. Homeless Point in Time Count: (See attachment)

• Organize and work with community volunteers to complete the annual Point in Time Homeless count to comply with the minimum state requirements for Thurston County. This task to include preparing all necessary reports, submitting them to the State of Washington Department of Commerce and a short final report to the County and interested parties regarding the number and nature of homelessness in the community.

10. Meetings:

• Meet bi-weekly with the Housing Programs Manager and Homeless Housing Program Coordinator regarding system progress. Meet monthly with Health Department Director or designee for overall vision and direction and to review progress and deliverables.

Submittal The individual or firm will be selected through this RFP process. Individuals or firms interested in providing the above services must submit the following information:

1. A cover letter indicating the firm's interest in the project and highlighting its qualifications to

perform this project. List the firm's address, contact person and phone number.

2. List the name and attach the resume of principal respondent to this RFP and identify and provide

qualifications of any other individuals who may be part of the Project Team.

3. Provide a work plan, time line and a description of your methodology to complete the project

4. The cost to complete the required work.

5. Provide a minimum of three references relating to similar completed projects with full name,

address, email address, phone and fax numbers.

6. RFP responses are limited to 5 pages. Cover letter does not count toward page limit. Provide 3

hard copies and 1 electronic copy of the submittal ..

This RFP does not obligate Thurston County to pay any costs incurred by respondents in the preparation and submittal of their RFP or other costs associated with responding to this RFP. No late RFP responses will be accepted.

Evaluation Criteria: Submittals will be evaluated based on the following criteria: 1. Experience of individual or firm with similar projects;

2. Experience of project lead and other key personnel;

3. Overall quality of the response;

4. Ability to undertake work immediately and maintain the project schedule; and

5. Local knowledge.

Selection· Process: 1. A selection committee will review each of the RFP's submitted and will be the sole judge of the

merits of the respective submittals received.

2. Interviews may be scheduled with finalists. However, the County reserves the right to select a

firm based on the RFP response only and not to proceed to the interviews.

3. The highest ranked firm will be invited to enter into contract negotiations.

4. If the County is unsuccessful in negotiating a contract with the highest-qualified firm, we may

negotiate with the second or third most qualified firm until a contract is executed, or we may

decide to terminate the selection process.

Questions: Questions regarding this project may be directed to Gary Aden via email at [email protected], or via telephone at {360) 867-2532.

Submission Information: All submittals are due by 4:00 p.m., July 24, 2015, addressed to:

Homeless and Affordable Housing Coordinator Attn: Gary Aden, Housing and Community Renewal

412 Lilly Road NE; Olympia, WA 98506

Special Atte.ution: Housing Choice Voucher Program Administrators; Public Housing Field Office Directors; Section 8 Financial Management Center

U.S.

NOTICE 2012-11 (HA). 1ssued: February 15, 2012

Expires: Effective until amended, superseded, or rescinded

Cross References: Notice PIH 2010-39 (HA) Notice PIH 2007-6 (HA) Notice PIH 2001-25 (HA)

_Subject: Process for Public Housing Agency Transfers and Consolidations Housing Choke Vouchers, Five-Year Mainstream Vouchers, Project-Based and Project-Based Certificates

1. Applicability. This notice applies to public housing agencies (PHAs) that administer the Housing Choice Voucher (HCV), Project-Based Vouchers (PBV) and/or Project-Based Certificates/(PBC) and Five-Year Mainstream (MS5) programs. This notice does not cover the public housing program or the Section 8 Moderate Rehabilitation program. Please note that MS5 vouchers have not been included in prior notices; however, these vouchers are now included in HCV funding appropriations, but are still reported separately under section 14.879 (Mainstream Vouchers) of the Catalog of Federal Domestic Assistance.

2. Purpose. The purpose of this notice is to clarify the circumstances under which HUD will consider a voluntary transfer or consolidation of budget authority (including net restricted assets (NRA), unrestricted net assets (UNA) and other capital assets) and corresponding baseline units for the HCV program (including PBVs, PBCs and MS5) from the divesting PHA's Consolidated Annual Contributions Contract (CACC) to the receiving or consolidating PHA(s)' CACC. In a voluntary transfer one PHA' s identifyiiig number and CACC remains intact. In a consolidation, ~tlior all of the PHAs' names, CACCs and identifying numbers will be permanently terminated and replaced by a new PHA with a new name, identifying number and CACC.

This notice also explains the process and procedures associated with such a transfer or consolidation. Sections 3 through 14 address the HCV and MS5 programs. Special additional provisions for transfers of PB Vs and PB Cs are addressed in Section 15.

3. Eligibility for HCVTransfers and Consolidations. All transfers and consolidations will be permanent and for the entire balance of one PHA's HCV program to one or more receiving PHAs. The transfer or consolidation must be between PHAs within the same metropolitan ~ea, within the same non-metropolitan county, or within the same state whefr the HCV program administration is voluntarily shifted from a city or county PHA to its state PHA or from a state PHA to one or more ofits county or city PHAs. All divesting receiving or consolidating PHAs are bound

housing requirements, includirig the responsibility to affirmatively further fair housing and to reduce racial and national origin concentrations. No transfers may be permitted to a PHA with a troubled Section 8 Management Assessment Program (SEMAP) performance designation, nor may transfers be permitted where a receiving PHA has failed to comply with corrective action plans to address.financial or program audit findings related to the HCV program.

4. Exceptions to Eligibility for HCV transfers. The Department will consider approving _yoluntary partial tr~nsfers only in the following cases: (1) the transfer is for the purpose of developing PBV units in an area of low poverty concentration; (2) the transfer is to a state or regional PHA; or (3) for a compelling business reason. These exceptions do not_apply to consolidations.

5. Application Process for Transfers and Consolidations. At least 90 days before the requested effective date of the voluntary transfer or consolidation both the divesting and receiving PHAs must submit letters to their respective field offices indicating agreement upon the part of the PHAs of the transfer or consolidation and the date upon which the PHAs would like the transfer to occur. All transfers must have an effective date of either January lst or July 1st of a given calendar year (CY); however, HUD will determine whether there are compelling business reasons to make an exception to this requirement. No transfers or consolidations may be retroactive. The letters must be signed by their respective Executive Directors with an accompanying board resolution. If the PHA is a unit oflocal government, the appropriate authorized official must sign the letter.

6. Renewal and Administrative Fee Funding Amounts for Units Transferred or Consolidated and Equity Balances. At the time of the transfer or consolidation, the divesting PHA(s) must transfer to the receiving PHA( s) the total budget authority on hand and accumulated NRA and UNA to ensure the latter has enough funding to continue operations uninterrupted. If the divesting PHA( s) owes money to HUD (such as NRA used for other purposes), these funds must be paid prior to the transfer from the PHA's non-federal funds or available UNA. When neither is available, and compelling reasons exist to ensure uninterrupted housing assistance to families, the transfer or consolidation will be processed. Funds owed to HUD include executed repaymen1 agreements and audit findings involving money due for which a management decision has not yet been rendered. Forgiveness of amounts due to the Department must be approved pursuant to the Audits Management System Handbook 2006.06, paragraph 5-7.B.3. No receiving PHA/s will be responsible for a divesting PHA's debts.

Administrative fees earned by the divesting PHA(s) and/or HAP funds disbursed to the divesting PHA(s) during the months not yet reconciled by the time of the transfer or consolidation (whether an underpayment owed to the PHA or an overpayment owed HUD), will be provided (or offset) to

-- - the receiving or consolidating PHA(s) based on the divesting PHA(s)' rates. For subsequent years the renewal funding and administrative fee calculations will be considered based on the receiving or consolidating PHA' s eligibility and leasing reported, respectively, subject to the mandates of the Appropriations Bill for that year.

7; Special Purpose Vom~hers. Any special purpose vouchers (HUD-Veterans Affairs Supportive Housing 01 ASH); Family Unification Program (PUP); Non-Elderly Disabled (NED) and Five-Year Mainstream (MS5 ) vouchers) must be maintained and accounted for as such by the receiving PHA(s) or consolidating PHA.

8. No later than 30 days after the receipt of the documents referenced in seetion 5 of this notice, the field office of the or

2

consolidation documents. If the field office determines thatthe request is unacceptable, the Public Housing Director will submit a written notice to the PHA. If the field office determines that the request is acceptable, the Public Housing Director will prepare a memorandum to the Housing Voucher Financial Management Division Director with the following information:

(1) name and code of the divesting and receiving or consolidating PHA(s); (2) the requested effective date -of the transfer or consolidation; (3) the number ofHCVs that will be. divested to each receiving PHA or combinedjnto the

new consolidated PHA; (4) the number of special purpose vouehers by category (HOD-VASH, FUP, NED and

MS5) that will be divested to ea9h receiving PHA or combined into the new consolidated PHA. If the Public Housing Director does not have information on the number of special purpose vouchers of the divesting PHA(s), he or she may contact Miguel Fontanez-Sanchez, Director of the Financial Management Division, by email or by phone at 202-402-4212.

· The field office will consider a number of factors in determining whether to recommend approval of the transfer to the receiving PHA(s) or consolidation including:

(1) the receiving or consolidating PHAs' most recent SEMAP performance designation; (2) under utilization based on the receiving or consolidating PHAs' SEMAP leasing

indicator regardless of performance; (3) outstanding debts to HUD and the status of the divesting, receiving or consolidating

PHAs' repayment; and ( 4) estimated NRA and UNA balances as of the latest audited Financial Assessment

Subsystem (FASS) submission, and restricted cash and investments for all divesting or consolidating PHAs as determined by the field office.

Finally, all transfers and consolidations are considered permanent. PHAs will not be able to decouple from the transferred or consolidated entity to reinstate a former program or PHA.

8. Approval Notification. Once Headquarters has app__roved the transfer or consolidation, the Public Housing Field Office and Financial Management Center (FMC) Director will be notified. The Public Housing Field Office Director will notify the respective PHAs of the approved transfer or consolidation of HCV budget authority and units. The FMC will prepare and transmit the requisite amendments to the CACC of all affected PHAs including a new CACC in the case of a consolidation.

9. Owner and Tenant Notification. No later than 30 days after approval notification, the receiving or consolidated PHA must notify owners and participants of the transfer.

10. RAP Contracts. No later than at the family's next annual recertification, new HAP contracts must be executed with the existing owners reflecting the name of the receiving or consolidated PHA. No other changes to the HAP contracts will be required.

11. Receiving or Consolidated PHA Management Responsibilities. At the time of the family's next annual recertification, the receiving or consolidated PRA may apply its occupancy and subsidy standards and any other applicable administrative policies. However, ifthe payment standards of the receiving or consolidated PHA are lower than those of the divesting PHA(s), the receiving or consolidated PHA must maintain the higher payment standard for the family until its second annual reexamination accordance 24 CFR § 982.505(c). addition, the receiving or consolidating

3

must honor all reasonable accommodation waivers and exceptions. If there are issues with the reasonable accommodation waivers or exceptions, they should be addressed with the field office.

12. Headquarters will complete the transfer or consolidation of all Family Reports (form HUD-50058) in PIC so that all affected families will be recorded under the receiving PHA's code or consolidated PHA's new code with the last action code (field 2a on the Family Report) that was entered by the divesting PHA.

Voucher Management System (VMS) Data Entry. Starting with the effective date of the transfer or consolidation, the receiving or cons;lidated PHA will begin including the transferred or consolidated units for the applicable month in its next VMS submission. Conversely, the divesting PHA( s) will stop including any divested units starting with the effective month of the transfer.

14. HUD Self-Reported Systems. PHAs that are transferring or consolidating will be responsible for submitting their individual financial statements through VMS, PIC, FASS, and other selfreported HUD systems for periods prior to the effective date of the transfer or consolidation.

15. PBV and PBC Units. All provisions in sections l through 14 will apply. However, PBV and PBC HAP contracts must be executed as soon as possible between the receiving or consolidated

and the owner with the expiration date and all terms and conditions unchanged. The field office will consider whether the receiving or consolidated PHA has the capacity to manage assistance under the PBV and PBC programs.

16. Information Contact. Inquiries about this Notice should be directed to your field office Public Housing Director or Financial Management Center representative.

17. Paperwork Reduction Act. The information collection requirements contained in this document have been submitted to the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1955. ( 44 U.S.C. 3501-3520) and assigned OMB control number 2577-0169. In accordance with the Paperwork Reduction Act, HUD may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection displays a currently valid OMB control number.

Isl ~~~~~~~ ·~~~~~~~~~~~

Sandra B. Henriquez, Assistant Secretary for Public and Indian Housing

4

(None)

@ii Request the Board to accept the Recommendation of the Hearing Examiner for Road Vacation No. 391.

9.0 PUBLIC HEARINGS AND ITEMS SET FOR A CERTAIN TIME Briefed June 8, 2015 -Set Hearing at June 16, 2015 Commission Meeting s Hearing: Private Line Occupancy Permit with Francis Milette for a septic transport line 330 NE

Lake Drive, Tahuya WA.

•Hearing: Sand Hill Road School speed zone time change from 8:00am to 9:30pm to "daylight hours".

10. OTHER BUSINESS (None)

DISCUSSION ITEMS: (None)

Attendees: Commissioners: Public Works:

D Randy Neatherlin 0 Brian Matthews D Tim Sheldon D D Melissa McFadden

Terri Jeffreys D Loretta Swanson

D Erika Schwender D Others (List)

Other Dept.:

D Diane Zoren D Others (List)

Press: Public:

D KMAS List Below: D Journal D Others (List)

EXT:

BRIEFING DATE: 2015

ITEM: Request approval to accept Recommendation of Hearing Examiner for Vacation No. 391.

EXECUTIVE SUMMARY: The Mason County Hearing Examiner has held a public hearing on the petition of Ronald O'Neil and Joanne Todd to vacate the west 30 feet of Fir Street and the east 5 feet of the alley adjacent to their property in the Hood Canal Land & Improvement Company's Plan of Union plat, and has rendered his recommendation, which is attached. The next step is consideration of the recommendation by the Board and a vote at it's regularly scheduled meeting of July 14, 2015, to accept the recommendation or take other action.

RECOMMENDED OR REQUESTED ACTION: I move the Mason County Board of Commissioners accept the recommendation of the Hearing Examiner, at the July 14, 2015 Commission Meeting, and grant the vacation of the right-of-way as petitioned, subject to the conditions contained in the Findings, Conclusions and Recommendations of the Hearing Examiner.

Attachments: Hearing Examiner's FINDINGS, CONCLUSIONS AND RECOMMENDATIONS County Engineer's Staff Report Exhibit Order of Vacation

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BEFORE THE HEARING EXAMINER FOR MASON COUNTY

Phil Olbrechts, Hearing Examiner

RE: Road Vacation No. 391

Request for a Road Vacation FINDINGS OF FACT, CONCLUSIONS OF LAW AND RECOMMENDATION

INTRODUCTION

The petitioners have applied for a vacation of the west thirty feet of Fir Street and the east 5 feet of the alley adjacent to their property in the Hood Canal Land and Improvement Company's Plan of Union City. The Examiner recommends approval of the petition, subject to conditions.

ORAL TESTIMONY

Cathe Bennett, Mason County Public Works, summarized the proposed street vacation. Ms. Bennett no.ted that the union plat was approved in 1899. The petitioners paid the deposit for the vacation. The proposed vacation area is undeveloped and the terrain is steep and ·drops off. The vacation area is at the edge of the plat. Fir Street and the vacated alley have been vacated north of the vacation area. In response to examiner questions, Ms. Bennett noted that a looped road system would not be possible to serve the lots south of the vacation area because . of the areas vacated to the north.

Exhibit 1 Exhibit 2 Exhibit 3

Procedural:

EXHIBITS

Petition for Vacation Four aerial photographs of project site June 10, 2015 Staff Report.

FINDINGS OF FACT

L Petitioner. The petitioners are Ronald O'Neil and Joanne Todd.

Vacation p. 1 Findings, Conclusions and Decision

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2. Hearing. A hearing was held on the vacation petition on June 10, 2015 in the Mason County Board of Commissioners Meeting Chambers.

Substantive:

3. Site/Proposal Description. The petitioners, who own all the property abutting the vacation areas, have petitioned to vacate the west 30 feet of Fir Street and the east five feet of the alley adjoining Lots 15, 16 and 17 of Block 21 of the Hood Canal Land & Irnprnvement Company's Plan of Union City as recorded in Vol. 1 of Plats, pages 8&9, records of Mason County, Washington. As right of way dedicated in a plat, the vacation area is an easement. As testified by Ms. Bennett, the petitioners have paid the deposit required for the petition.

4. Adverse Impacts of Proposed Use. There are no adverse impacts associated with the proposal. As testified by Ms. Bennett, the County road system has no need for any of the proposed vacation areas. The vacation areas are directly south of areas that have already been vacated and are comprised of steep terrain that could not be reasonably developed with street improvements. The vacation would not land-lock any parcels. The public interest would benefit by the vacation by adding property to the County's assessment roll and by facilitating the use and development of the abutting property.

CONCLUSIONS OF LAW

Procedural:

1. Authority of Hearing Examiner. MCC 12.20.030 provides the Examiner with the authority to review road vacation applications and provide a recommendation to the Mason County Board of County Commissioners.

Substantive:

2. Review Criteria and Application. The Petitioners seek a vacation of a County road. Chapter 12.20 MCC sets forth the requirements for vacation of roads. Furthermore, MCC 12.20.010 provides that County roads may be vacated in accordance with the provisions of Chapter 36.87 RCW. Applicable review standards for vacation under Chapter 12.20 MCC, as well as those in Chapter 36.87 RCW, are laid out below with Conclusions of Law for a recommendation to the Board of Commissioners.

MCC 12.20.010: County roads may be vacated in accordance with the provisions of 25 RCW 36.87, and Mason County may require as a condition precedent to the vacation

the receipt of just compensation from the person or persons benefi.ting from the vacation.

Road Vacation p.2 Findings, Conclusions and Decision

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RCW 36.87.010: When a county road or any part thereof is considered useless, the board by resolution entered upon its minutes, may declare its intention to vacate and abandon the same or any portion thereof and shall direct the county road engineer to report upon such vacation and abandonment.

RCW 36.87.020: Owners of the majority of the frontage on any county road or portion thereof may petition the county legislative authority to vacate and abandon the same or any portion thereof The petition must show the land owned by each petitioner and set forth that such county road is useless as part of the county road system and that the public will be benefited by its vacation and abandonment. The legislative authority may: (1) require the petitioners to make an appropriate cash deposit or furnish an appropriate bond against which all costs and expenses incurred in the examination, report, and proceedings pertaining to the petition shall be charged; or (2) by ordinance or resolution require the petitioners to pay a fee adequate to cover such costs and expenses.

RCW 36.87.060: If the county road is found useful as a part of the county road system it shall not be vacated, but if it is not useful and the public will be benefited by the vacation, the county legislative authority may vacate the road or any portion thereof

3. The criteria quoted above are all met. As detennined by the findings of fact, the petitioners own a majority of the property abutting the proposed vacation area. The proposal is conditioned on the petitioners paying all administrative costs associated with the vacation.

As determined in Finding of Fact No. 5, the proposed vacation area is not useful to the County road system because the street/alley areas directly north of the proposed vacation area have already been vacated, the vacation area is composed of steep terrain, and no land-locked parcels will result from the vacation. The public shall benefit from the vacation because it will place the vacation area into private taxable property.

MCC 12.20.040: For the purpose of vacating county roads, all roads shall be classified as follows: (I) Class A. All roads for which the right-of-way is an easement. (2) Class B. All roads for which the right-of-way is owned in fee simple and for which the county paid full fair market value of the fee simple estate.

4. As determined in Finding of Fact No. 3, the right-of-way is owned as an easement. Consequently, it qualifies as a Class A road.

MCC 12.20.050: Any person or persons desiring to have any portion of any county road vacated shall be required by the Mason County Board of County Commissioners as a condition precedent to the vacation to compensate the county prior to the

Vacation p. 3 Findings, Conclusions and

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vacation. The compensation shall include, but not be limited to, the appraised, fair market value of the county's fee simple interest in the vacated road as of the effective date of the vacation, and the costs of any and all appraisals deemed necessary by [. .. ] the Hearing Examiner or the Board of County Commissioners, together with any and all administrative costs incurred by the county in vacating the road. Said administrative costs shall include the costs of the Hearing Examiner in holding the public hearing and reporting recommendations to the Board of County Commissioners. Such compensation must be paid to Mason County within six months of the date the vacation was approved by the Mason County commissioners or the vacation shall be null and void.

5. The administrative costs of the street vacation should be assessed against the Petitioners as required by MCC 12.20.050. Since the County has no fee interest in the road, MCC 12.20.050 does not require the petitioners to pay for the fair market value of the road.

MCC 12.20.060: (a) The county shall require, as a condition precedent to the vacation of roads or portion thereof within the classifications set forth in Section 12.20.040, that persons benefiting from the vacation thereof compensate Mason County as set forth in the following schedule: (1) Class A roads. No compensation other than for the administrative costs of the vacation action; (2) Class Broads. One hundred percent of the appraised,fair market value.

6. No compensation for the fair market value of the road is required because the road qualifies as a Class A road.

MCC 12.20.080: Eae,h petition for vacation of a road shall be accompanied by a bond or cash deposit of a minimum of five hundred dollars, which shall be used to defray examination, report, publication, investigation and other costs connected with the application. When deemed necessary by the county engineer, an additional deposit amount may be required to cover appraisal or other costs. Board of County Commissioners [sic} For any petition, whether granted or denied, for which the deposit exceeds the total costs, the excess deposit shall be refunded to the petitioner. For any petition, whether granted or denied, for which the costs exceeds the deposit, the excess shall be billed to the petitioner and be due and payable immediately.

7. The petitioners have paid the required $500 deposit.

VI. RECOMMENDATION

The Hearing Examiner recommends that the Board of Commissioners approve the proposed street vacation, subject to the following conditions:

1. Payment of all administrative costs as required by MCC 12.20.080 if not paid already.

Road Vacation p.4 Findings, and Decision

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2. All existing easements for ingress and egress and utilities shall be retained within the vacation area.

DATED this 24th day of June, 2015.

Mason County Hearing Examiner

Road Vacation p.5 Findings, Conclusions and Decision

June 10, 15

TO: Mason County Hearing Examiner

FROM: Catherine Bennett, Right Way Agent, ARWP, Brian Matthews, Public Works Director

RE: ENGINEER'S REPORT - ROAD VACATION Fl NO. 391 - Vacation of a portion of Fir Street and alley, Hood Canal Land & Improvement Company's Plan of Union City, Volume 1 of Plats, Pages 8 & 9, records of Mason County, Washington.

Background:

Ronald and Joanne Todd, the owners of record, have petitioned to vacate the west 30 feet of Fir Street and the east 5 feet of the alley adjacent to their property in Hood Canal Land & Improvement Company's Plan of Union City adjacent to Lots 15, 16 and 17, all in Block 21, as recorded in Vol. 1 of Plats, pages 8 & 9, records of Mason County, Washington. As right of way dedicated in a plat, this is an easement.

In compliance with RCW 36.87.40, on April 22, 2015, Public Works staff examined the portion of road and alley requested to be vacated. Our findings are the following:

1. The road right of way is not presently in use by the general public, as the road appears to be unopened. 2. The right of way area is forested and brushy and of steep terrain. 3. There is no issue regarding preserving this right of way for the County road system for the future. 4. It will benefit the public by clearing title and facilitating the development of the abutting property.

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 the subject portion of petitioned, in with RCW.36 1 retaining an

in the or

Street and alley as of Mason

- Vacation No. 391 2 of2

1. vacation meets the standards established as as

Engineer.

Find that this vacation fails meet the standards established state law and recommend the vacation be denied.

3. Develop other findings and recommendations as appropriate.

Attachments:

e Petition ~ Exhibit Map

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ROAD VACATION #391

FIFTH STREET, HOOD CANAL LAND & IMPROVEMENT COMPANY'S PLAN OF UNION CITY

EXHIBIT MAP

VACATION AREA

RETURN TO MASON COUNTY 100 W. Public Works Drive

WA 98584

IN THE MATTER OF THE PETITION OF:

A PORTION OF FIR STREET AND ALLEY

ORDER OF VACATION VACATION FILE NO. 391 RCW36.87

WHEREAS, it is the intention of the Board of Mason County Commissioners to vacate the following described rights of way:

A portion ofFir Street and alley in Union, WA, Sec. 32, T22N, R3W, W.M., Mason County, WA, described as follows:

All that po1tion of the west 30 feet of Fir SU-eet adjacentto Lots 15, 16 & 17 and the east 5 feet of the alley attached thereto, all in Block 21, Hood Canal Land and Improvement Company's Plan of Union City, Volume 1, of plats, pages 8 and 9, records of Mason County, Washington.

AND, WHEREAS, the date of hearing was set for June 10, 2015 at 1:00 p.m. and Notice of Hearing, Intent to Vacate, was published and posted according to law; and

WHEREAS, the hearing was held on June 10, 2015 and the Mason County Hearing Examiner considered the County Engineer's report, together with any evidence for or objection against said vacation; and

WHEREAS, the Hearing Examiner has rendered to the Board of Mason County Commissioners, his Findings, Conclusions and Recommendations and the members of the Board have given them due consideration.

NOW, THEREFORE, IT IS ORDERED that the above described right of way is hereby vacated; and

IT IS FURTHER ORDERED that said vacation is subject to any existing private easements for ingress and egress or any other purpose and to retaining an easement in favor of Mason County for any utilities present in the vacated road right-of-way in accordance with RCW 36.87.140.

Order of Vacation File No. 391 Page 2

DATED this __ day of ___ _, 2015.

ATTEST:

Julie Almanzor, Clerk of the Board


Deputy Prosecuting Attorney

Assessor; Auditor; Petitioner; Public Works Dept.; Vacation File No. 391

BOARD OF COUNIY C01vl11ISSIONERS MASON COUNTY, WASHINGTON

Randy Neatherlin, Chair


Terri Jeffreys, Commissioner ______ _

PEBB medical coverage for Chief Finance Manager

Due to an unexpected IRS/PEBB regulation, the new Chief Finance Manager was unable to change his PEBB coverage as a new employee at the county. This has resulted in a $520 per month reduction in his salary that he did not anticipate nor request.


Approval to pay our new Chief Finance Manager the salary at which he was hired.

Options include approving a Y-rate of pay, special pay, or medical coverage reimbursement - thru the end of the year. No additional funds are being requested.

SU


Barbara Adkins

Community Development EXT:286

July 6, 2015

PREVIOUS BRIEF! DATES: June 1 and June 221 2015 please provide only new information)

ITEM: Request for Review and Adjustment of Planning Permit Fees -Additional Information

EXECUTIVE SUMMARY: (If potential solutions)

please

At the conclusion of the June 22, 2015 Briefing, Commissioners requested Staff reanalyze planning fees with the 38% increase included as they would then compare to the other jurisdictions. This analysis is summarized belowi an updated comprehensive table and June 16 Issue Paper are attached.

Current% With38% Difference Increase

Lewis 50% 8%

Grays Harbor 65°/0 20%

Island 105% 49%

Jefferson 56% 13%

Clallam -30% -49%

Thurston 268% 166%

Kitsap 207% 123%

Fierce 227% 137%


Review of planning permit fees.

LAND USE PERMITS - MUL Tl COUNTY COMPARISON i. . .......

Mason;+ Lewis %L'>

Grays %L'> Island %6 Jefferson %<'.). Clallam %L'> Thurston %<'.). Kitsap Pierce

38% Harbor %L'> %<'.).

· .. SHORELINE PERMITS:

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Substantial Development . .•

; Permit: ;;.··.·· .•... >

$10,000 or Less f 1,04~ $ 5,060 386% $10,001 to $50,000 $ i<tiit $ 5,300 280%

$50,001 to $200,000 $ 2.;99~ $ 5,300 153% Over $200,000 $ ),6;15 $2,830 8% $ 1,212 -54% $ 3,000 15% $ 1,248 -52% $ 2,855 9% $ 7,670 193% $ 5,800 122%

Conditional Use and/or ;•

Variance/SOP: .

$10,000 or Less $ 1. :Z:.t4 $10,001 to $50,000 I $;l;S(;_6

$50,001 to $2001000 .··$;.:z&:t.5 $ 1,000 -62%

Over $2001000 (;\;4$5 $ 1,838 -47% $ 3,000 -14% $ 1,950 -44% $ 2,000 -43% $ 2,855 -18% $ 5,460 5?'Yo $ 5,600 61%

Shoreline Exemption: .·· ....... Single Family* $ •>':\<;2 Other $ •704 $600 -15% $ 283 -60% $ 500 -29% $ 546 -22% $ 150 -79% $ 1,220 73% $ 650 -8% $ 800 14%

Shoreline Permit Revision $ 52.4 Shoreline Appeals of Admin.

•ja7 Decision .··

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LAND SEGREGATIONS: .. ; ••

Boundary Line Adjustments $ ·'.\q>;l $905 130% $ 876 123% $ 500 27% $ 702 78% $ 150 -62% $ 1,155 194%

Boundary Line Adjustments-;·

GIS fee $ ;55

Easement Removal $ .... 2.97 Declaration of Parcel

$ .llfl $ -58% $ 650 262% Combination

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Short Subdivisions $ ~1443. $1,475 -40% $ 1,128 -54% $ 2,210 -10% $ 2,106 -14% $ 1,000 -59% $ 4,240 74%

Short Subdivision-GIS fee $ ;ljo

Large Lot Subdivisions $ 2,6?!3 $445 -83%

(Administrative) .

Large Lot Subdivisions (Hearing) $ :3'485 $2,080 -40% $ 1,132 -68% $ 1,200 -66% $ 4,290 23% $ 2,980 -14%

Large Lot Subdivision-GIS fee . ;

$ 110 (Adm & Hearinq) ..

LAND USE PERMITS - MUL Tl COUNTY COMPARISON

Mason"' Lewis %6 Grays

%6 Island %6 Jefferson %6 Clallam %6 Thurston %6 Kitsap %6 Pierce %6 38~ Harbor

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Preliminary Plat- Subdivision '$'~.ii.St; $5,045 45% $ 6,573 89% $ 4,071 17% $ 6,708 93% $ 1,200 -66% $ 4,909 41% $ 9,880 184% $ 3,960 14% Final Plat- Subdivision $ '1/739 $1,600 -8% $ 153 -91% $ 1,650 -5% $ 234 -87% $ 250 -86% $ 2,436 40% $ 7,150 311% $ 3,600 107%

Final Plat-GIS fee $ 179 Short (large lot) Subdivision .. •..... ·

,() $355 114% $ 775 368% Alteration .....

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REVIEW/SEPA: ·•·· .. SEPA- Checklist

Sinqle Family* $ .. t;H $605 14% $ 713 34% $ 840 58% Non-Sinqle Family ...

o to 9.99 Acres $ ' .~~9 10 to 20 Acres $ .1()4:2 $ 752 -28%

Over 20 Acres $ 'iii94 $1,305 0% $ 912 -30% $ 500 -62% $ 780 -40% $ 250 -81% $ 2,466 89% $ 6~o -50% $ 2,350 80% SEPA- EIS (DS) $ 'j,4B~ $4,235 22% $ 9,732 179% $ 5,000 43% $ 1,000 -71% $ 19,524 460% $ 13,000 273% $ 7,300 109%

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MOBILE HOME PARK AND RV PARK ... Small Mobile Home Park $ ::io,214 Mobile Home Park J 2.44~ $2,080 -15% $ 7,760 218% $ 8,744 258% $ 300 -88%

Recreational Vehicle Park . $ 2.i't4':\ $2,080 -15% $ 7,760 218% I

CRITICAL AREAS ORDINANCE

: . Critical Areas Ordinance - I ..

$ 2,098 $ 934 -55% $ 3,753 79% $ 5,200 148% $ 1,870 -11% Variance

CAO- Reasonable Use .$ .. 21$98 $ 934 -55% Mason Environmental Permit $ 86q

Mason Environmental Permit

when processed with another $ >s:Z4 DCD permit '

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Mason Conditional

Environmental Permit $ 2,098

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Geotechnical -72% $ -34% $ 250% $ 352 $ 100 234 1,230

Assessment/Report Review ·.·


:. ..•. <''). Grays +

lewis %Ll. %Li. Island %Ll. Jefferson %.6. Clallam %Li. Thurston Kitsap Pierce Harbor

%Ll. %Ll. %Ll. i

Wetland Delineation Review I $ ' itd $ 750 2B8% $ 234 21% $ Boo 314% Habitat Management Plan ··• ·.··

.6~4 $ 350 -43% $ 234 -62% $ B6% Review

1,140

Restoration Plan Review .'$• • R~/ . $ 234 -62%

...... . J OTHER PERMITS OR i .. .···

ACTIONS: '•> .••\.

Comprehensive Plan :···· {~36 $2,500 -5% $ 2,B29 7% $ 5,000 90% $ 3,744 42% $ 1,200 -54% $ 3,917 49% $ 1,950 -26% $ 3,000 14% Amendment or Rezone

Dev. Regs. - Special Use Permit $ 1,_566 $2,oBo 33% $ 1,274 -19% $ 1,794 15% $ 1,000 -36% $ 3,711 137% $ 5,200 232% $ 3,200 104%

Dev. Reqs. - Variance $ 15§§ $1,220 -22% $ 934 -40% $ 2,B5B Bi% $ 1,63B 5% $ 1,000 -36% $ 3,753 140% $ 1,B70 19% Dev. Regs -Administrative

$ Variance

>159 $260 64% $ 150 -5% $ B5B 441% $ 400 152% $ 2,105 1226% $ B50 436%

Pre-Consultation $>262 $ 150 -43% FDPO Development Permit $ • 352 $135 -62% $ 1,041 196%

Appeals of Administrative I . $ . 780 $670 -14% $ 292 -63% $ 1,740 123% $ B5B 10% $ 1,175 51% $ 3,360 331%

Decisions I

Hazardous Waste Siting Permit $ 3;4B5

Administrative determination .. ·:: . :.· 546 10B% 103% $ 262 $ $ 531 $ 1,450 453%

letter '•

Technical Assistance Fee (per ,. '

$ •\91 $ 50 -4B% hour)

Site Inspection .. ~ '.\!;2 $ 156 -56%

Stormwater review houri{

.>.r~t~ :·•·. Stormwater Utility review

hourly

.ra.te

Legal costs hoµfly rat¢

Water System Reviews $ <1.86 $ 500 168% $ 234 26%

Forest Practice Reviews (with no $ 518 $7B5 52%

SEPA) $ 7Bo 51% $ Boo 55%


Mason+ Lewis %6

Grays %6 Island %6. Jefferson %6 Clallam %6 Thurston Kitsap Pierce

38% Harbor %6 %6 %6

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Forest Practice Reviews (SEPA . •'

additional) $ 1§2 $1,390 295% $ 980 178% $ 873 148% $ 1,560 343% $ 1,070 204%

Pre-application $ (• '.142, $ 263 -25% $ 136 -61% $ 390 11% $ 1,043 196% $ 1,000 184% Residential Building Permit

.. )83 $go -68%

Review

Commercial Building Permit ···•· >4.55 $90 -80% Review Siqn Permit Review $ 97

Building Permit Revision Review . ,· 90

Moratorium Waiver $ .id39 $300 -83% Moratorium Removal $ '.1.485 $ 1,123 -68% $ 1,638 -53% $ 3,500 0% Multi-Family Housing Tax •·

Incentive Proqram: .... ••••

Development Review, Inspection .·. ;' '.l,566 and Application/Processing Fee

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Annual Monitorinq $ / q']

Hearinq Examiner Fees: ; .... .

Hearing Examiner Hearings . 2,767 $800 -71%

(permits and appeals) ·. ·,·· ,··,

Heraing Examiner Hearings $ • 4oJ $800 97%

(easement removals) ·· .

Hearing Examiner Hearings ..

$ 5 $800 -13% (Accessory Dwellinq Unit) .. Hearing Examiner Hearings ;

(enforcement cases) ............ Motion for Reconsideration $ .. 9.~5. $ 75 -92% $ 651 -30% $ 815 -12%

••

HOURLY RATES (planninq) $ ··.<·97 $100 4% $ 78 -19% $ 177 83% $ 130 35%

Totals - Average Percentage ••• 8% 20% 49% 13% -49% 166% 123% 137%

MASON COUNTY BOARD OF COUNTY COMMISSIONERS PLANNING PROGRAM PERMIT FEES

REVIEW OF COMPARABLE AND ADJACENT COUNTIES

JUNE 161 2015

BACKGRO-UND: A briefing was held on June 1, 2015 to discuss potential increases for land use permit fees in the Department of Community Development. Staff was asked to provide Commissioners with information on similar fees for other Counties. A review of Mason County's official \\comparables" including Lewis, Grays Harbor, Island, Jefferson, and Clallam County is detailed in the attached Table. In addition, the neighboring counties of Kitsap, Pierce, and Thurston were also included for comparison. The discussion below provides a narrative on the distinctions and similarities between the different counties. Not all permits translate easily between the jurisdictions; however there is enough corresponding data to draw sufficient conclusions. Of special note, there are many services provided by Mason County staff at no charge to the public that are provided in other jurisdictions for a fee.

LEWIS COUNTY Fees for Lewis County begin with a base cost with added fee variables depending on the complexity of the permit and the time needed to process. Many of these have a minimum number of staff hours included in the base fee with an hourly rate attached to any work that exceeds that limit. For comparison purposes, permits that had a minimum of one hour and then an hourly rate for anything above that were calculated to a cost equal to the hours Mason County staff have estimated to complete the same permit. The Hearings Examiner rates in Mason County vary dependent upon the type of case and calculated separately; Lewis County has a base rate that is also varied by case but is included in the individual permit costs. Adjustments in the Lewis,County calculations have been made to account for hearing fees. Of the 29 permits matched and analyzed, Lewis County's land use permits are on average 50% higher than those similar permits in Mason County.

GRAYS HARBOR COUNTY Permits in Grays Harbor County are more difficult to match up with ours as their fees structure has more emphasis on subdivisions and less on environmental impacts. Therefore many of the permits required for development in Mason County's extensive critical areas are not reflected in Grays Harbor. Grays Harbor is not a fully GMA mandated county. Of the 24 permits matched and analyzed, land use permits are on average 65% higher than those similar permits in Mason County.

Fee supported services in Grays Harbor County that are provided in Mason County at no charge:

• Special site evaluations

ENT

" Flood Elevation Certificate .. Floodplain Determination

ISLAND COUNTY Island County has a very extensive fee schedule that includes services Mason County provides but does not currently charge for. This includes processing citizen complaints, land use information response, and certificates of zoning compliance. There are also many permitted activities in Island County that are not required in Mason and therefore are not comparable with our fees. Of the 19 permits matched and analyzed, land use permits are on average 105% higher than those similar permits in Mason County.

Fee supported services in Island County that are provided in Mason County at no charge: .. Land Use Information Response " Certificate of Zoning Compliance " Zoning Code Interpretation " Consistency Review " Citizen Complaint

JEFFERSON COUNTY As with Island County, Jefferson charges for services that at this point are gratis in Mason County. This includes a customer assistance meeting charged at an hourly rate. Customer service in Mason County is provided every day as needed at no cost to our customers. The D_epartment of Community Development in Jefferson County is structured differently than Mason, as it likely the case in other counties in this comparison. That being said, the fee schedule includes services and permits unique to that structure such as stormwater management, road vacations, business permits, open space applications, and the like. Of the 23 permits matched and analyzed, land use permits are on average 56% higher than those similar permits in Mason County.

Fee supported services in Jefferson County that are provided in Mason County at no charge:

" Fire Marshal Services " Customer Assistance Meetings " Code Interpretation " Tree/Vegetation Removal

CLALLAM COlJNTY Clallam County's fees schedule has also not been updated since 2009 according to their Code. There are fewer similarities between Mason and Clallam than the other county com parables, and with the exception of one permit all of the fees fell below ours. Of the 18 permits matched and analyzed, use permits are on average 30% lower than those similar permits in Mason County.

Fee supported services in Clallam County that are provided in Mason County at no charge:

PfvtENT

" Code Interpretation .. Certificates of Compliance

THURSTON COUNTY Thurston County's fees include those for public works and environmental health, which are to be paid at intake. The rate reflected in the attached Table includes the "base fee" only,

not including the work of the other departments. As with some of the other example counties, each Community Development department is structured differently and therefore the fees represent the work of other specialists outside of planning. Thurston has also established separate fees for Special Use Permits associated with recreational marijuana businesses outside the scope of other permits. Most of the fees that can be compared with Mason County are extremely high1 and when the other specialists are added

into the total the amounts are staggering. Thurston County has a $531 non-refundable docketing fee for comprehensive plan amendments (outside of the $3,917 base fee for amendment itself) and charges between $500 and $1,ooo for a code interpretations - which

is generally also provide free to Mason County customers. Of the 20 permits matched and analyzed, use are on 268% than those similar permits in Mason County.

Fee supported services in Thurston County that are provided in Mason County at no charge: .. Administrative Actions (dangerous trees, scrap metal)

.. Code Interpretations

KITSAP COUNTY As with Thurston, Kitsap County has established fees for many services that Mason County provides without charge. This includes zoning determination letters, danger tree site visits, and staff consultations. They also have fees that act as a deposit with a specific amount of staff hours included. Work that exceeds that limit is charged accordingly by the hour.

Kitsap's fee schedule includes those associated with Public Works as well as land use and buildingi it does not include environmental health. Of the 15 permits matched and analyzed, land use permits are on average 207% higher than those similar permits in Mason County

Fee supported services in Kitsap County that are provided in Mason County at no charge: " Staff Consultation " Zoning Confirmation Letter " Technical Deviation Review

PIERCE COUNTY Pierce County's fees are quite detailed and complex, combining roads and stormwater into the mix. They are also prophetic in their inclusion of resubmissions, inspections, and

monitoring/compliance. It is often difficult to calculate appropriate fees for work beyond the initial permit if none was anticipated. Many of the fees for Pierce County were similar1

however considering the volume of them there were many more that were not. Of the 29

DEPARTMENT OF Nrn' D EVELOPfV[ENT

permits matched and analyzed, similar permits in Mason County.

use are on than those

Fee supported services in Pierce County that are provided in Mason County at no charge: .. Permit Extensions • Floodplain Elevation Certificate .. Hazardous Tree report review " Certification Letters ..

..

..

Director Decision Classification Expedited Review Off-Hours Inspections Project Meetings Pre-Development Meetings Customer Information Meetings

SUMMARY Reviewing Mason County's land use permitting fee schedule with respect to its comparables and neighboring jurisdictions has been an extremely useful exercise for two reasons. First, it more intensely illustrates how below the industry standards our fees actually are and solidifies the argument for an increase. On average, Mason County's fees are nearly 120% less than those of both our neighbors as well as are com parables. If the County were to increase the fees by 38% as requested in order to break even with the Planning Division's expenditures, they would still be more than 80% below the average.

Second, reviewing the fees charged by other jurisdictions has shown how many services Mason County provides at no costs to its citizens that other counties do not. The Commissioners may wish to consider recovering additional costs provided by this Department thought the institution of fees similar to those of our counter-parts (e.g. customer service meetings, nonrefundable deposits, hourly rate caps, flood plain analysis letters, flood elevation certificates, zoning determinations, rebuild letters, citizen complaints, dangertree determination/site visit, etc.). There are many services provided within the Department that take hours of staff time in which no permit orfees are required or have been established. Efforts to rectify this imbalance with the implementation of fees that recoup the costs of operations might be in order.

BUDGET CONCERNS In the May 14, 2015 Issue Paper entitled "A Request for Review and Adjustment of Planning Permit Fees", concerns were raised over the inadequacy of the revenues being collected for land use permits. On average, the planning division of this Department falls short of meeting its expenditures by more than $1001 000 each year and has since 2009. Fees collected for building permit activity has been used within the Department to subsidize, or make up for, the shortage of planning fees over this period of time. At this point, planning fees need to be increase by 38% in order to maintain coverage of expenditures and eliminate the use of building fees in a potentially inappropriate manner.

Of equal concern, however less specific to the land use permit discussion, is the accumulation of unexpended building fees culminating in the General Fund's ending fund balance. As previously identified, RCW 82.02.020 is designed to prevent governmental entities from using permit fees to cover the cost of unrelated programs and expenses. Un budgeted, or unexpected, building permit fees associated with specific permitting activities are being included in the County's ending fund balance and potentially applied to other departments and programs in no way associated with the permit. This not only appears to run counter to the intent of the law, but also further debilitates the building division from attracting, maintaining, and educating the personnel needed to efficiently process permits. Without appropriate and adequate staffing levels development in Mason County is extremely hindered. Fees collected within the Department have gradually increased since 2012 making it more than possible to supplement staffing levels; however with those fees being spent on department shortfalls and unrelated expenses, this has not been possible.

DEPARTMENT OF f\llUNfTY DEVELOPfVlEh!T

B


Community Development 286

July 61 2015

PREVIOUS BRIEFING June 22, 2015

(If this is a follow-up briefing, please only new information)

ITEM: Mason County Code1 Amendments to Title 141 Building and Construction 1

Chapter 14.08 Building Code Amendments, New Section 14.08.031 Work Exempt From Permits

EXECUTIVE SUMMARY: (If applicable, please include available options and potential solutions)

Staff is bringing forward a proposed amendment to Mason County's Building code creating a new Section for work exempt from permits. Title 141 Building and Construction1 does not currently have a section specific to exemptions. The amendment proposed below is intended to add a section that would supplement Chapter 14.08 (Section 105.2) including agricultural buildings and boathouses as part of the State's adopted list of exemptions.


Review proposed amendmenti determine if appropriate to schedule for a public hearing.

ATTACHMENTS: Staff Report1 Proposed Ordinance1 Affidavit of Exemption1 IBC References

DEPARTl\1ENT OF U>~ITY DEVELOPlVlENT

STAFF REPORT

1V1ASON COUNTY CODE

AMENDMENTS To TITLE 14, BUILDING AND CONSTRUCTION CHAPTER BlllLDING CODE AMENDMENTS

NEW SECTION WORK EXEMPT FROM PERMITS

STAFF CONTACT

Barbara A. Adkins, AICP, Director Department of Community Development 426 W. Cedar Street

Shelton, WA 98584 (360) 427-9670, ext. 286

SUMMARY OF PROPOSAL:

Staff is bringing forward a proposed amendment to Mason County's Building code creating a new Section for work exempt from permits. Any City or County may amend the State Building Code so long as the amendments do not reduce the minimum performance standards of the codes th.ey have adopted. Amendments that affect the construction of single-family or multi-family residential buildings must be reviewed and approved by the State Building Code Council before such amendments can be enforced. In Chapter 1 of the International Building Code, entitled Scope and Administration, there are portions that describe process, including work exempt from permits, in which amendments at the local level can be made. Of note, however, the International Building Code is clear on one important fact when it comes to exemptions. "Exemptions from permit requirements ... shall not be deemed to grant authorization for any work to be done in any manner in violation of the provisions of th[ e] International Building Code or any other laws or ordinances of [its]jurisdiction."1 Even though a building permit may not be required, provisions of the state code are still in force and effect.

Title 14, Building and Construction, does not currently have a section specific to exemptions. The amendment proposed below is intended to add a section that would supplement Chapter 14.08 (Section 105.2) including agricultural buildings and boathouses as part of the State's adopted list of exemptions. The adopted 2012 IBC exempts the following from the requirement of building permits:

1. One-story detached accessory structures used as tool and storage sheds, playhouses and similar uses, provided the floor area is not greater than 120 square feet (11 m2).

2. Fences not over7 feet (2134 mm) high.

3. Oil derricks.

1 !BC [A] 105.2

BoCC Title 14 Staff Reportll.doc Page 1 07.01.15

DEP A R17\A F'"'1T ()_r' .. ...... l 1 1....-- . J lJNITY DEVELOP!vlENT

STAFF REPORT

4. Retaining walls that are not over 4 feet (1219 mm) in height measured from the bottom of the footing to the top of the wall, unless supporting a surcharge or impounding Class I, ff or !!IA liquids.

5. Water tanks supported directly on grade if the capacity is not greater than 51 000 gallons (18 925 L) and the ratio of height to diameter or width is not greater than 2:1.

6. Sidewalks and driveways not more than 30 inches (762 mm) above adjacent grade, and not over any basement or story below and are not part of an accessible route.

7. Painting, papering, tiling, carpeting, cabinets, counter tops and similar finish work.

8. Temporary motion picture, television and theater stage sets and scenery.

9. Prefabricated swimming pools accessory to a Group R-3 occupancy that are less than 24 inches (610 mm) deep, are not greater than 51 000 gallons (18 925 L) and are installed entirely above ground.

10. Shade cloth structures constructed for nursery or agricultural purposes, not including service systems.

11. Swings and other playground equipment accessory to detached one- and twofamily dwellings.

12. Window awnings in Group R-3 and U occupancies, supported by an exterior wall that do not project more than 54 inches (1372 mm) from the exterior wall and do not require additional support.

13. Nonfixed and movable fixtures, cases, racks, counters and partitions not over 5 feet 9 inches (1753 mm) in height.

The proposed amendment would add other exemptions as recognized and adopted by Mason County. This new section would read as follows,

14.08.031- IBC/IRC SECTION 105.2, WORK EXEMPT FROM PERMIT. [New Section]

Section 105.2 of the International Building Code and International Residential Code is adopted herein by reference and supplemented with the following:

1. Agricultural buildings are structures designed and constructed to house farm implements, hay, grain, poultry, livestock or other horticultural products. These structures shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Agricultural buildings shall be exempt from the permitting requirements of Title 14 only when:


(a)

(b)

(c)

DEPARTNlENT OF COJ\ 1L\1UNITY DEVELOPMENT

STAFF REPORT

Located in non-residential zoning districts, and agricultural and agriculturallyrelated designated areas; and are less than 864 square feet with a wall height not to exceed 14 feet and setback 25 feet from all other structures; or

Located in residential zoning districts; and are less than 864 square feet with a wall height not to exceed ten feet and setback 25 feet from all other structures; and

The property owner must certify through the use of an affidavit recorded on title:

i. That the exempt structure will meet the definition of an agriculture structure;

ii. That the structure is not located within a critical area unless it complies with Chapter 8.52 MCC, Resource Management;

iii. That it complies with setback requirements in accordance with Title 17 MCC, Zoning; and

iv. That it is built to the latest version of the International Residential Code and International Building and Fire Code.

(d) Plumbing and mechanical permits are still required.

(e) The maximum height of the structure not to exceed those described in 14.08.031(1)(a) and (b).

(f) The exemption does not apply to structures located within a floodway.

(g) The proposed structure must adhere to other applicable Mason County, State, and Federal regulations or ordinances.

(2) Boathouses

BACKGROUND/DISCUSSION

In response to recent citizen inquiries, the Commissioners had asked whether or not agricultural buildings were exempt from building permits. The short answer is, "no". They were at one time, but over the years with each code update the exemption changed, and then eventually was completely removed. With each new edition of the International Building Code (f/k/a Uniform Building Code) the County officially adopts the state's language into Title 14. Beginning in 19751 exemptions for agricultural buildings has taken many forms including a Departmental policy allowing for buildings up to 11 000 square feet with walls up to ten feet. There are discrepancies as to whether or not this policy was actually a lawi but however it came to be the 11000 foot exemption was practiced until 1999 when it was reduced to 864 square feet. The reasons forthe reduction are not clear. Finally, in 2004 when the County adopted the 2004 International Building Code replacing the old Uniform Building Code


DEPARTJ\1ENT OF CONilVlUNITY DEVELOPlViENT

REPORT

exemptions for agricultural buildings were removed completely. At this time, Mason County does not offer any exemptions for agricultural buildings.

As described earlier in this report, the Board of County Commissioners may choose to amend portions of the State's building code as long as it does not reduce any of the performance standards- and exemptions fall into that category. The amendments proposed bring back the 864 square foot exemption that existed prior to 2004 with the modification of wall height.

As to the addition of boathouses to the exemption list, this too has recently become a topic of concern. Boathouses as a whole are not widespread throughout the County and, as with agricultural buildings, should be exempt from building permits. In general, boathouses will be regulated under the Shoreline Management Program if necessary.

STATE ENVIRONMENT PROTECTION ACT (SEP A)

This proposed amendment is categorically exempt from SEPA review under WAC 197-11-800(19)

"Procedural Actions".

PUBLIC NOTIFICATION

Public notice of the hearing with the Board of County Commissioners was made in compliance with MCC 15.07.030. This Staff Report along with all supporting documents was also made available on the Mason County website at least fourteen (14) days prior to the hearing.

SUMl\tL\RY AJ\1D RECOMMENDATION

The Board of County Commissioners should consider this proposal together with the Staff's Report and public testimony in the adoption of these amendments.

BoCC Title Staff Reportll.doc Page 4 07 .01.15

ORDINANCE NUMBER ---

AMENDING AND CONSTRUCTION, CHAPTER

AMENDMENTS, ADDING SECTION TO ALLOW EXEMPTIONS FOR AGRICULTURAL BUILDINGS AND BOATHOUSES

AN ORDINANCE amending Title 141 Chapter14.081 Building Code Amendments1 adding new Section 14.08.031 providing exemptions for agricultural buildings and boathouses under the

authority of RCW 19.27.040.

WHEREAS, this Ordinance amends Chapter 14.08 to create a new Section 14.08.031 - Work Exempt from Permiti and

'VVHEREAS1 Section 14.08.031 supplements Section 105.2 of the International Building Code and International Residential Code to include certain and specific agricultural buildings and boathouses as being exempt from those building permit requirements.

NOVV THEREFORE, BE IT HEREBY ORDAINED1 that the Board of Commissioners of Mason County hereby amends the Mason County Code Title 14 (Building and Construction) revising Chapter 14.08. (See Attachment A)

DA TED this __ day of _____ 2015.

ATTEST:

Clerk of the Board


Tim Whitehead, Chief DPA

BOARD OF COUNTY COMMISSIONERS MASON COUNTY, WASHINGTON

Randy Neatherlin1 Chair

Terri Jeffreys1 Commissioner


NEW SECTION

1 - IBC/IRC SECTION 105.2, VVORK EXEMPT FROM PERMIT.

Section 105.2 of the International Building Code and International Residential Code is adopted herein by reference and supplemented with the following:

(1) buildings are structures designed and constructed to house farm implements, hay, grain, poultry, livestock or other horticultural products. These structures shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Agricultural buildings shall be exempt from the permitting requirements of Title 14 only when:

(a) Located in non-residential zoning districts, and agricultural and agriculturally-related designated areas; and are less than 864 square feet with a wall height not to exceed 14 feet and setback 25 feet from all other structures; or

(b) Located in residential zoning districts; and are less than 864 square feet with a wall height not to exceed ten feet and setback 25 feet from all other structures; and

(c) The property owner must certify through the use of an affidavit recorded on title:

i. That the exempt structure will meet the definition of an agriculture structure;

ii. That the structure is not located within a critical area unless it complies with Chapter 8.52 MCC, Resource Management;

iii. That it complies with setback requirements in accordance with Title 17 MCC, Zoning; and

iv. That it is built to the latest version of the International Residential Code and International Building and Fire Code.

(d) Plumbing and mechanical permits are still required.

(e) The maximum height of the structure not to exceed those described in 14.08.031(1)(a) and (b).

(f) The exemption does not apply to structures located within a floodway.

(g) The proposed structure must adhere to other applicable Mason County, State, and Federal regulations or ordinances.

(2) Boathouses

BUILDING " PLANNING " FIRE MARSHAL

Mason County Bldg. 426 West Cedar Street Shelton, WA 98584

(360) 427-9670 Shelton ext.352

(360) 275-4467 Belfair ext. 352 (360) 482-5269 Elma ext. 352

www .co.mason.wa.us

AFFIDAVIT FOR THE EXEMPTION FROM BUILDING PERMIT OF

AN AGRICULTURAL STRUCTURE OF UP TO 864 SQUARE FEET

The property owner must certify, through this Affidavit, recorded on title, that the exempt structure meets the listed criteria in Section 14.08.031(a) and that the building meets the requirements of an agricultural building as defined in the International Building Code. A scaled site plan must be included and recorded with this Affidavit.

I/We __________________ , being the legal owner(s) of the

property located at: Address: 1 on

Parcel no.: __________________ ,, acknowledge the following:

I. Building Use

A. Limitations of use of this structure as marked below, as defined by the International Building Code.

AGRICULTURAL BUILDING (Barn) (IBC Section 202) designed and constructed to house farm implements, hay, grain, poultry, livestock or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shi:!ll it be a place used by the public. 1

This building shall be classified as Group U and shall include the following uses:

1. Storage, livestock and poultry

2. Milking barns

3. Shade structures

4. Horticu,l;turoal5troctures (greenhouse and crop protection)

B. I/We, agree and affirm under penalty of perjury, the building will not be used or occupied except as outlined above. I/We further affirm and understand that a business,

1 Farm implements may include farm vehicles as identified under RCW 46.16A.08o(A) and be registered per RCW 46.16A.420

i. That the exempt structure will meet the definition of an agriculture structure; ii. That the structure is not located within a critical area unless it complies with Chapter 8.52

MCC, Resource Management; 111. That it complies with setback requirements in accordance with Title 17 MCC, Zoning; and iv. That it is built to the latest version of the International Residential Code and International

Building and Fire Code.

Property Owner signature

Date Signed

NOTARY:

STATE OF WASHINGTON

COUNTY OF MASON ) SS

)

Property Owner Signature

Date Signed

On this day of 20_, before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared to me known to be the individual described in and who executed the foregoing instrument, and acknowledged to me that he/she/they signed and sealed the said instrument as a free and voluntary act and deed forthe uses and purposes therein mentioned.

Given under my hand and official seal this ___ day of ________ _, 20_

Notary Public in and forthe State of Washington

Residing at:---------------My commission expires: _________ _

AFFIDAVIT FOR THE EXEMPTION FROM A BUILDING PERMIT OF

AGRIGGLTUR"'-L STRUCTURE OF UP To SQUARE FEET

Site Plan (scaled)

el

1

ex: em

(1) A farmer apply to the department, county auditor or other agent, or subagent appointed by the director for a farm exempt decal for a farm vehicle if the farm vehicle is exempt under RCW 46.16A080 (3). The farm exempt decal:

(a) Allows the farm vehicle to be operated on public highways as identified under RCW 46.16A 080 (3);

(b) Must be displayed on the farm vehicle so that it is clearly visible from outside of the farm vehicle;

(c) Must identify that the farm vehicle is exempt from the registration requirements of this chapter; and

(d) Must be visible from the rear of the farm vehicle. This requirement for a farm exempt decal to be visible from the rear of the vehicle applies only to farm exempt decals issued after July 28, 2013.

(2) A farmer or the farmer's representative must apply for a farm exempt decal on a form furnished or approved by the department. The application must show:

(a) The name and address of the person who is the owner of the vehicle;

(b) A full description of the vehicle, including its make, model, year, the motor number or the vehicle identification number if the vehicle is a motor vehicle, or the serial number if the vehicle is a trailer;

(c) The purpose for which the vehicle is principally used;

(d) The place where the farm vehicle is principally used or garaged; and

(e) Other information as required by the department upon application.

(3) The department, county auditor or other agent, or subagent appointed by the director shall collect the fee required under RCW 46.17.325 when issuing a farm exempt decal.

(4) A farm exempt decal may not be renewed. The status as an exempt vehicle continues until suspended or revoked for misuse, or when the vehicle is no longer used as a farm vehicle.

(5) The department may adopt rules to implement this section.

[2013 c 299 § 1. Prior: 2010 c 161 § 409; 2010 c 8 § 901 O; 1979 c 158 § 139; 1967 c 202 § 3. Formerly RCW 46.16.025]

0 other : See notes following RCW

el of 2

1

The following vehicles are not required to be registered under this chapter:

(1) Converter gears used to convert a semitrailer into a trailer or a two-axle truck or tractor into a three or more axle truck or tractor or used in any other manner to increase the number of axles of a vehicle;

(2) Electric-assisted bicycles;

(3)(a) Farm vehicles operated within a radius of twenty-five miles of the farm where it is principally used or garaged for the purposes of traveling between farms or other locations to engage in activities that support farming operations, (b) farm tractors and farm implements including trailers designed as cook or bunk houses used exclusively for animal herding temporarily operating or drawn upon the public highways, and (c) trailers used exclusively to transport farm implements from one farm to another during daylight hours or at night when the trailer is equipped with lights that comply with applicable law;

(4) Forklifts operated during daylight hours on public highways adjacent to and within five hundred feet of the warehouses they serve;

(5) Golf carts, as defined in RCW 46.04.1945, operating within a designated golf cart zone as described in RCW 46.08.175;

(6) Motor vehicles operated solely within a national recreation area that is not accessible by a state highway, including motorcycles, motor homes, passenger cars, and sport utility vehicles. This exemption applies only after initial registration;

(7) Motorized foot scooters;

(8) Nurse rigs or equipment auxiliary for the use of and designed or modified for the fueling, repairing, or loading of spray and fertilizer applicator rigs and not used, designed, or modified primarily for the purpose of transportation;

(9) Off-road vehicles operated on a street, road, or highway as authorized under RCW 46.09.360, or nonhighway roads under RCW 46.09.450;

(10) Special highway construction equipment;

(11) Dump trucks and tractor-dump trailer combinations that are:

(a) Designed and used primarily for construction work on highways;

(b) Not designed or used primarily for the transportation of persons or property on a public highway; and

(c) Only incidentally operated or moved over the highways;

or in the

of 2

(13) Tow dollies;

(14) Trams used for transporting persons to and from facilities related to the horse racing industry as regulated in chapter 67.16 RCW, as long as the public right-of-way routes over which the trams operate are not more than one mile from end to end, the public rights-of-way over which the tram operates have average daily traffic of not more than fifteen thousand vehicles per day, and the activity is in conformity with federal law. The operator must be a licensed driver and at least eighteen years old. For the purposes of this section, "tram" also means a vehicle, or combination of vehicles linked together with a single mode of propulsion, used to transport persons from one location to another; and

(15) Vehicles used by the state parks and recreation commission exclusively for park maintenance and operations upon public highways within state parks.

[2013 c 299 § 2; 2011c171§45; 2010c161§404.]

Intent -- 1 c 1 : See notes following RCW 4.24.210.

46.04.013.