HomeMy WebLinkAboutCAG2003-0530 - Original - WA State Department of Transportation - Commute Trip Reduction Implementation Grant - 07/01/2003 T Records M eme
KEN Document
WASNINGTON
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission to City Clerks Office. All
portions are to be completed, if you have questions, please contact Mary Simmons, City
Clerks Office.
Vendor Name: W Vendor Number:
JD Edwards Number
Contract Number:
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Contract Effective Date: J U u 2-00 Termination Date:
Contract Renewal Notice (Days): 't-4 t a 5
Number of days required notice for termination br renewal or amendment
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Washington State City of Kent
Department of Transportation 220 Fourth Ave South
310 Maple Park Avenue Kent,WA 98032-5895
PO Box 47387
Olympia, WA 98504-7387
Key Contact Person: Cathy Mooney
Key Contact Person: T.J. Johnson q Employer Federal ID#: 91-6001254
Agreement I Start Date I Completion JProject AmountLProject Title
Number Date
mute Trip Reduction
GCA3655 Jul 1,2003 June 30,2005 $549647 ementation
This Agreement is made and entered into this 1st day of July, 2003, between the Washington
State Department of Transportation, acting by and through its Secretary of Transportation,
(hereinafter called"WSDOT") and C ity o f K ent(hereinafter r efen ed t o a s"Contractor") a nd
said parties WITNESS THAT:
WHEREAS, RCW 70.94.521 through 70.94.551 requires cities, counties and towns containing
"major employers," in counties with populations over 150,000, to develop ordinances, plans and
programs to reduce Vehicle Miles Traveled (VMT) and Single Occupant Vehicle (SOV)
commute trips, and thereby reduce vehicle-related air pollution, traffic congestion and energy
use;
WHEREAS, RCW 70.94.541 (2) provides for technical assistance to counties, cities, and towns
in developing and implementing Commute Trip Reduction(CTR)plans and programs;
WHEREAS, RCW 70.94.544 provides for distribution of funds for local CTR implementation
efforts;
WHEREAS, WSDOT desires to achieve trip reduction in order to improve the efficiency of the
state transportation system and the quality of life for citizens of the State of Washington;
WHEREAS, the Washington State Legislature's delay in approving continued funding for the
CTR program requires this contract to be effective retroactive to July 1, 2003 to preserve
continuity of program funding.
NOW, THEREFORE, in consideration of covenants, conditions, performances and promises
herein contained,the parties agree to the following terms and conditions:
Section 1
Purpose of Agreement
The purpose of this Agreement is for WSDOT to provide funding to the Contractor to be used
solely for activities undertaken to fulfill the requirements of RCW 70.94.521, et. seq, and to
implement tasks as described in Exhibit II, Scope of Work. This Agreement consists of the
terms and conditions, and Exhibits I, II and III, which by this reference are incorporated herein.
•b A
Section 2
Scope of Work
The C ontractor a nd W SDOT w ill p erform all t heir d esignated t asks u nder t his A greement a s
described in Exhibit II, Scope of Work.
Section 3
Time for Beginning and Completion
The work to be performed under this Agreement shall commence July 1, 2003, and terminate on
June 30, 2005,unless terminated sooner as provided herein.
Section 4
Reimbursement and Payment
WSDOT shall reimburse the Contractor for eligible expenditures not to exceed $54,647 during
the first fiscal year of the contract period. The maximum amount of Rmdmg for the Contractor
was determined using the methodology contained in Exhibit I, Funding Allocation
Methodology. WSDOT will reimburse the Contractor only for actual and eligible direct project
costs. Payment will be made on a reimbursable basis. Payment is subject to the submission to
and approval by WSDOT of properly prepared invoices accompanied by progress reports and
financial summaries. The Contractor shall submit an invoice (state form A-19) or WSDOT
approved invoice format to WSDOT in order to receive reimbursement. The Contractor shall
submit invoices up to 4 times per fiscal year, or up to eight times during the course of this
contract. The Contractor shall submit a final invoice to WSDOT no later than July 15, 2005.
Any payment request received after July 15, 2005 or fifteen (15) days of the termination date,
whichever is applicable, will not be eligible for reimbursement. Within thirty (30) days after
receiving the invoice and upon approval, WSDOT shall remit to the Contractor a warrant for
payment. All invoices and warrants shall be based on and paid on actual work performed and
actual costs incurred up to the maximum amount identified in this Agreement.
Section 5
Project Records
The Contractor agrees to establish and maintain for the project either a separate set of accounts
or accounts within the framework of an established accounting system, in order to sufficiently
and properly reflect all eligible direct and indirect project costs claimed to have been incurred in
the performance of this Agreement. Such accounts are referred to herein collectively as the
"Project Account". All costs claimed against the Project Account must be supported by properly
executed payrolls, time records, invoices, contracts, and payment vouchers evidencing in proper
detail the nature and propriety of the charges.
Section 6
Progress Reports
The Contractor shall submit to WSDOT progress reports as described in Exhibit II, Scope of
Work, so that WSDOT may adequately and accurately assess the progress made by the
Contractor and third parties to this Agreement in implementing RCW 70.94.521 et. seq. These
reports shall be submitted to WSDOT along with any request for reimbursement submitted
pursuant to Section 4, Reimbursement and Payment.
Page 2 GCA3655
Section 7
Audits, Inspections, and Records Retention
WSDOT, the State Auditor, and any of their representatives shall have full access to and the
right to examine, during normal business hours and as often as they deem necessary, all of the
Contractor's records with respect to all matters covered by this Agreement. Such representatives
shall be permitted to audit, examine and make excerpts or transcripts from such records, and to
make audits of all contracts, invoices, materials, payrolls, and other matters covered by this
Agreement. In order to facilitate any audits and inspections, the Contractor shall retain all
documents, papers, accounting records, and other materials pertaining to this Agreement for six
years from the date of completion of the project or the project final payment date. However, in
case of audit or litigation extending past that six years period, then the Contractor must retain all
records until the audit or litigation is completed. The Contractor shall be responsible to assure
that it, WSDOT, the State Auditor, and any of their representatives, retain comparable audit
rights with respect to subcontractors to the Contractor within the scope of this Agreement.
Section 8
Agreement Modifications
1. Either party may request changes to this Agreement, including changes in the Scope of
Work. Such changes that are mutually agreed upon shall be incorporated as written
amendments to the Agreement. No variation or alteration of the terms of this Agreement
shall be valid unless made in writing and signed by authorized representatives of the parties
hereto.
2. Any additional funding secured by WSDOT beyond the amount identified in Section 4,
Reimbursement and Payment will be allocated to the Contractor for the period July 1,
2004 to June 30, 2005 in accordance with the methodology described in Sections 1 and 2 of
Exhibit I, Funding Allocation Methodology. If an increase in funding by the funding source
augments the Contractor's allocation of funding under this Agreement, the Contractor and
WSDOT agree to enter into an amendment to this Agreement providing for an appropriate
change in the Scope of Work and/or the project amount in order to reflect any such increase
in funding.
3. If a reduction of funding by the funding source reduces the Contractor's allocation of funding
under this Agreement, the Contractor and WSDOT agree to enter into an amendment to this
Agreement providing for an appropriate change in the Scope of Work and/or the project
amount in order to reflect any such reduction of funding.
Section 9
Recapture Provision
In the event that the Contractor fails to expend state funds in accordance with state law and/or
the provisions of this Agreement, WSDOT reserves the right to recapture state funds in an
amount equivalent to the extent of noncompliance. Such right of recapture shall exist for a
period not to exceed three (3) years following termination of the Agreement. Repayment by the
Contractor of state funds under this recapture provision shall occur within thirty (30) days of
demand.
Page 3 GCA3655
Section 10
Disputes
Any disputes between WSDOT and the Contractor with regard to this Agreement that are not
disposed of by the project administrators assigned to supervise this Agreement shall be referred
for determination to the Secretary of WSDOT, or his/her designee, as a condition precedent to
the commencement of any legal action, accept as necessary to avoid the preclusive effects of any
applicable contractual deadlines or statutes of limitation.
Section 11
Termination
WSDOT, at its sole discretion,may suspend or terminate this Agreement in whole, or in part, for
the following reasons:
1. The Contractor materially breaches, or fails to perform any of the requirements of, this
Agreement, and after fourteen(14) days written notice, has failed to cure the condition(s)
causing that breach; The Contractor materially breaches and, fails to remedy after
fourteen(14) days written notice. Conditions of breach may include, but not be limited
to:
• Any action of the Contractor,which under the procedures of this Agreement would have
required the approval of WSDOT, taken without such WSDOT approval;
• Failure to perform in the manner called for in this Agreement; and
• Failure to comply with any provision of this Agreement.
2. The Contractor is prevented from proceeding with the Project by reason of a temporary
preliminary, special, or permanent restraining order or injunction of a court of competent
jurisdiction where the issuance of such order or injunction is primarily caused by the acts
or omissions of persons or agencies other than the Contractor;
3. The requisite state funding is reduced or becomes unavailable through failure of
appropriation or otherwise;
4. WSDOT determines that the continuation of the project would not produce beneficial
results commensurate with the further expenditure of funds;
5. WSDOT, at its sole discretion, determines to accept a request made in writing by the
Contractor to terminate the Agreement in whole or in part; or
6. WSDOT determines that suspension or termination is in the best interests of the state.
If this Agreement is terminated under subsections 2, 3, 4, 5, and/or 6 of this Section, then the
Contractor may be reimbursed only for actual and eligible direct expenses under this Agreement
incurred prior to the date of termination, and then only to the extent of appropriated funds. If this
Agreement is terminated under subsection 1 of this Section, then WSDOT shall not be obligated
to provide any additional reimbursement past the effective date of that termination and WSDOT
shall also retain all rights to seek recapture or damages from the Contractor. If an appropriate
judicial authority determines that the Agreement was improperly terminated under subsection 1
of this Section, then the termination shall be deemed a termination under subsection 6 of this
Section with all attendant rights and limitations.
Page 4 GCA3655
Section 12
Forbearance by WSDOT Not a Waiver
Any forbearance by WSDOT in exercising any right or remedy hereunder, or otherwise afforded
by applicable law, shall not be a waiver of or preclude the exercise of any such right or remedy.
Section 13
Waiver
In no event shall any WSDOT payment of grant funds to the Contractor constitute or be
construed as a waiver by WSDOT of any Contractor breach, or default which and shall in no way
impair or prejudice an right or remedy available to WSDOT with respect to an breach or
P P J Y � Y P Y
default.
Section 14
Independent Contractor
The Contractor shall be deemed an independent Contractor for all purposes, and the employees
of the Contractor or any of its subcontractors and the employees thereof, shall not in any manner
be deemed to be employees of WSDOT.
Section 15
WSDOT Advice
The Contractor bears complete responsibility for the administration and success of the Project as
it is defined by this Agreement and any amendments thereto. Although the Contractor is allowed
to seek the advice of WSDOT on problems that may arise, the offering of WSDOT advice shall
not shift the responsibility of the Contractor for the correct administration and success of the
Project, and WSDOT shall not be held liable for offering advice to the Contractor.
Section 16
Limitation of Liability and Indemnification
No liability shall be attached to WSDOT or the Contractor by reason of entering into this
Agreement except as expressly provided herein. This Agreement is not intended to benefit any
third party. The Contractor shall indemnify and hold WSDOT, its agents, employees, and/or
officers harmless from, and shall process and d efend at i is own expense, any and all c laims,
demands, suits, penalties, losses, damages, or costs of whatsoever kind or nature (hereafter
"claims") brought against WSDOT arising out of or incident to the execution, performance or
failure to perform of or under this Agreement; provided, however, that if such claims are caused
by or result from the concurrent negligence of(a) the Contractor, its agents, employees, and/or
officers and (b) WSDOT, its agents, employees, and/or officers, this indemnity provision shall
be valid and enforceable only to the extent of the negligence of the Contractor, its agents,
employees, and/or officers; and provided further that nothing herein shall require the Contractor
to hold harmless or defend WSDOT, its agents, employees, and/or officers from any claims
arising from the sole negligence of WSDOT, its agents, employees, and/or officers.
Page 5 GCA3655
Section 17
Hold Harmless
It is understood and agreed that this Agreement is solely for the benefit of the parties hereto and
gives no right to any other party. No joint venture or partnership is formed as a result of this
Agreement. Each party hereto agrees to be responsible and assumes liability for its own
negligent acts or omissions, or those of its officers, agents or employees, and agrees to save,
indemnify, defend, and hold harmless the other party from such liability. Each contract for
service or activities utilizing funds provided in whole or part by this Agreement shall include a
provision that WSDOT and the State of Washington are not liable for damage or claims for
damages arising from any city, town, designee or subcontractor's performance or activities under
the terms of those contracts.
Section 18
Governing Law,Venue, and Process
This Agreement shall be construed and enforced in accordance with, and the validity and
performance thereof shall be governed by the laws of the State of Washington. In the event that
either party deems it necessary to institute legal action or proceedings to enforce any right or
obligation under this Agreement, the parties hereto agree that any such action shall be initiated in
the Superior Court of the State of Washington situated in Thurston County. The Contractor
hereby accepts service of process by registered mail consistent with RCW 4.28.080(1). Each
party shall bear its own legal costs and expenses, including attorney fees, in any such litigation.
The parties may bilaterally elect to submit their dispute to mediation or arbitration on such terms
as are agreed upon by the parties.
Section 19
Compliance with Laws and Regulations
The Contractor agrees to abide by all applicable state and federal laws and regulations,
including, but not limited to, those concerning employment, equal opportunity employment,
nondiscrimination assurances, project record keeping necessary to evidence agreement
compliance, and retention of all such records. The Contractor will adhere to all of the
nondiscrimination provisions in Chapter 49.60 RCW. The Contractor will also comply with the
Americans with Disabilities Act (ADA), Public Law 101-336, which provides comprehensive
civil rights protection to individuals with disabilities in the areas of employment public
accommodations, state and local government services and telecommunication.
Section 20
Section Headings
All section headings are inserted for convenience only and shall not affect any construction or
interpretation of this Agreement.
Section 21
Severability
If any covenant or provision of this Agreement shall be adjudged void, such adjudication shall
not affect the validity or obligation of performance of any other covenant or provision, or part
thereof, that in itself is valid if such remainder conforms to the terms and requirements of
applicable law and the intent of this Agreement.No controversy concerning any covenant or
provision shall delay the performance of any other covenant or provision except as herein
allowed.
Page 6 GCA3655
4 '
Section 22
Execution and Acceptance
This Agreement may be simultaneously executed in several counterparts, each of which shall be
deemed to be an original having identical legal effect. The Contractor does hereby ratify and
adopt all statements, representations, warranties, covenants, and agreements and their supporting
materials contained and/or mentioned herein, and does hereby accept State funds and agrees to
all of the terms and conditions thereof.
Section 23
Execution
This Agreement is executed by the Director of the Public Transportation and Rail Division, State
of W ashington,D epartment o f T ransportation o r t he D irector's d esignee, n of a s a n i ndividual
incurring personal obligation and liability, but solely by, for, and on behalf of the State of
Washington, Department of Transportation, in his/her capacity as Director of the Public
Transportation and Rail Division.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year
first above written.
STATE OF WASHINGTON CONTRACTOR
DEPARTMENT OF TRANSPORTATION
By: By:
Judi iniger, Direc r Print e:
P7 Transportation and Rail Division Titl .
o certifies p oper authority to
execute this agreement on behalf of
g �Id
the Contractor
Date: 3Date: 91d3
�T.
Approved as to form by:
Jeanne A. Cushman
Assistant Attorney General
Counsel to WSDOT
Date: July 30, 2003
Page 7 GCA3655
Exhibit I
Funding Allocation Methodology
Funding allocated by WSDOT for local implementation of CTR activities is based on the
following formula:
1. Each county is provided $1,200 per affected worksite as a base allocation to ensure
sufficient funding to meet jurisdiction obligations pursuant to RCW.70.94.521-551. The
number of affected worksites in each county shall be based on information contained in
WSDOT database as of May 1 of each year.
2. The remaining funding will be allocated based on the number of commute trips reduced
per day in each county between each worksite's base year survey and its most recent
survey,provided that every county receives at least $80,000 per year. For the period July
1, 2003 through June 30, 2004, the most recent survey period will be 2001. For the
period July 1, 2004 through June 30, 2005, the most recent survey period will be 2003.
July 1,2003 —June 30, 2004 Allocation
Additional
Trips Worksite to Achieve
Number Reduced/ Base Performance $80,00 Total
County of Sites Day Allocation Allocation Floor Allocation
Benton $50,00
Clark 47 654 $56,40 $20,266 $3,334 $80,00
King 552 11,575 $662,40 $280,270 $942,67
Kitsap 32 0 $38,40 $ $41,600 $80,000.0
Pierce 83 4,278 $99,60 $103,585 $203,185
Snohomish 84 1,050 $100,80 $25,42 $126,22
Spokane 99 2,255 $118,80 $54,601 $173,401
Thurston 65 579 $78,00 $14,020 $92,020
Whatcom 23 329 $27,60 $10,195 $42,205 $80,00
Yakima 20 304 $24,00 $9,420 $46,580 $80,00
TOTAL 19005 215024 $19206,00 $5179781 $1339719 $199079500.0
Any distribution of funds to jurisdictions within a county shall be done on the basis of the
number of affected worksites in each jurisdiction. For example,if there are two jurisdictions in a
county, each with fifty percent of the total number of affected worksites in the county, any
division of funds within the county should provide each of the two jurisdictions with fifty
percent of the total county funding allocation.
Page 8 GCA3655
EXHIBIT II
SCOPE OF WORK
Implementation of Commute Trip Reduction (CTR)
Plans and Program
CONTRACTOR TASKS
1. General Administration
The Contractor will administer a Commute Trip Reduction (CTR) ordinance and implement
a CTR program for major employers as required by RCW 70.94.521 et. seq.
2. Funding Distribution and Reporting
The Contractor may distribute funds to affected jurisdictions, or their designees, within the
county implementing CTR plans and ordinances as required by RCW 70.94.544 by entering
into agreement as appropriate with other jurisdictions, local transit agencies, regional
transportation planning organizations, or other organizations. The Contractor shall submit to
WSDOT a list of dollar amounts to be disbursed by the Contractor to local jurisdiction(s)
local transit agencies, regional transportation planning organizations, or independent
contractors, or a fund dispersion methodology within thirty (30) days of approval of any
agreements between the Contractor and other parties.
3. Implementation Plans
The Contractor, the affected jurisdictions, or its designee, shall implement all of the
provisions 1 isted b elow. T he C ontractor s hall i nclude a 11 o f t hese p rovisions i n i nterlocal
agreements with other jurisdictions, local transit agencies, regional transportation planning
organizations, or other organizations, as necessary, to coordinate the development,
implementation, and administration of CTR plans and ordinances.
3.1 Appeals,Exemptions,and Modifications
Maintain an appeals process. This process must be consistent with RCW 70.94.534(6)
and procedures contained in the Commute Trip Reduction Task Force Guidelines. The
Contractor, or their designees, will submit requests for exemptions or modifications,
including requests for goal modifications, to WSDOT for review and comment within
five(5) days of receiving such requests, and shall allow WSDOT five(5)working days to
provide continents prior to approving or denying the request.
3.2 Survey Processing
Notify WSDOT prior to sending any surveys to the University of Washington, Office of
Educational Assessment for processing. The notification must include the name of the
worksite, employer identification code, and type of survey for each survey being
submitted for processing. The notification shall be submitted as an electronic spreadsheet
via electronic mail. The Contractor agrees to wait for confirmation from WSDOT prior
to sending or delivering the surveys for processing.
Page 9 GCA3655
t .
3.3 Database Updates
Provide WSDOT with updated lists of affected worksites and jurisdiction contacts on a
quarterly basis. These updates will be submitted electronically in a format specified by
WSDOT.
3.4 Employer Annual Reports
Within 30 days from the date of approval, submit to WSDOT one electronic or hard copy
of any approved employer annual reports.
3.5 Employer Exemptions and Goal Modifications
Within 30 days from the date of approval, submit to WSDOT the name and employer
identification code for any worksite that has been granted an exemption or goal
modification. Include information about the duration of all exemptions and information
on the type of goal modification granted.
3.6 Progress Report and Invoice
Submit to WSDOT periodic progress reports, as detailed in Exhibit III, along with any
invoice or request for reimbursement.
WSDOT TASKS
1. General Technical Assistance
WSDOT will provide support to the Contractor, or their designees, in developing and
implementing CTR plans and programs, including providing training, informational
materials, and assistance in CTR evaluation. WSDOT will also assist with overall CTR
marketing and promotion on a statewide basis.
2. Exemptions and Modifications
WSDOT will review and comment on employer requests for waivers and modifications,
including requests for goal modifications, within five (5) working days. Failure to review
and comment on such requests within five (5) working days shall be considered a forfeiture
of the right to comment on the request.
3. Database Management
WSDOT will maintain a current database of all affected worksites in Washington State.
WSDOT will input new and/or updated worksite information within fifteen (15) working
days of receipt from local jurisdictions. WSDOT will employ an internal verification process
to ensure all new and/or updated information is input in a timely and accurate manner.
Information from the WSDOT database will be used to determine funding allocation
consistent with the methodology contained in Exhibit I,Funding Allocation Methodology.
4. Training
WSDOT will develop and maintain employer and jurisdictions training materials to support
local implementation of the CTR program.
Page 10 GCA3655
s �
5. Public Awareness
WSDOT will develop and implement statewide public awareness and recognition programs
to support local implementation of the CTR program in affected jurisdictions.
6. Annual Reporting Assistance
WSDOT will distribute in sufficient quantities the State "Program Description & Employer
Annual Report"form to the Contractor, affected jurisdiction, or its designee, as requested.
WSDOT will also maintain an intemet-based annual report system, and will provide
information and ongoing technical assistance to employers and jurisdictions using the
system.
7. Survey Assistance
WSDOT will:
7.1 Provide the Contractor, or their designees,with summary survey information as
requested.
7.2 Distribute the Employee Questionnaires in sufficient numbers to the Contractor, or its
designees, as requested.
7.3 Maintain an internet-based survey tool, and provide information and ongoing technical
assistance to employers and jurisdictions using the system.
7.4 Provide survey processing at no cost to the Contractor, or their designees, and affected
employers, during the base year and all subsequent surveys required by the Contractor.
7.5 Provide technical assistance to the Contractor, or their designees, and employers, on
surveying, as requested.
7.6 Work with the Contractor, or their designees, to calculate goal measurement information
and track measurement survey history for all CTR affected worksites.
7.7 Return the processed Employee Questionnaires and survey reports to the Contractor, or
their designees, within thirty(30) days of the date the forms are delivered for processing.
7.8 Maintain and periodically update the "CTR Guide for Employer Surveys." WSDOT will
review survey guide/instructional materials developed by the Contractor or its designees
for consistency with the state-developed"CTR Guide for Employer Surveys."
7.9 Review all electronically submitted survey notifications and respond to the Contractor
within five (5)working days.
Page 11 GCA3655
• r
Exhibit III
Progress Report Format
• Name of the Organization Submitting Report:
• Submitted on behalf of following Jurisdicbon(s):
• Contact Name:
• Contact Phone and Fax Number:
• Contact E-mail:
1. CTR Activities
A brief summary of activities undertaken during the period for which reimbursement is
requested.
2. State CTR Funds Disbursed
Disbursed Total Disbursed
Jurisdiction Since Last Report Fiscal Year to Date
Jurisdiction A $ $
Jurisdiction B $ $
(etc)
Total Disbursement $ $
Page 12 GCA3655
3. Expenditures This Period
List actual total expenditures on the last line of the following table. Estimate
expenditures by category as indicated.
Local Fiscal Year Other Fiscal Year
Funds to Date Funds to Date
State CTR Fiscal Year Spent on Local Spent on Other
Funds To Date CTR Funds CTR Funds
Spent State CTR Activities Spent on Activities Spent on
Since Last Funds Since Last CTR Since Last CTR
Cate ories Report Sent I Report Activities Report I Activities
Required Activities, $ $ $ $ $ $
including:
1. Notification of
New Worksites
2. Administering
CTR Surveys
3. Employer
Annual Report
Review
4. Exemptions and
Modifications
5. Record
Maintenance
6. Enforcement
Employer Service Activities
Employer Training $ $ $ $ $ $
Incentives $ $ $ $ S $
Promotion and $ $ $ $ $ $
Marketing
Guaranteed Ride $ $ $ $ $ $
Home
Other(Specify) $ $ $ Is $ $
Totals $ Is Is Is is Is
4. Jurisdiction(s)Contact Names,Address,and Phone Numbers
Jurisdiction A John Who City of X PO Box 1234 X,WA 98000 Phone(206)999-9999
5. List of contact information for affected worksites in the Jurisdiction.
The information will be submitted in the electronic format approved by WSDOT.
6. Employer Annual Reports Approved During This Period
Provide the name and worksite identification number for all employer annual reports approved
during this period. Attach a hard copy or electronic(disc)copy of any employer annual reports
approved by the Jurisdiction during the quarter. If the jurisdiction approved employer annual
reports submitted via WSDOT's web based reporting system, indicate the name and worksite
identification number for each worksite report approved.
Page 13 GCA3655
7. Employer Exemptions and Goal Modifications Granted During This Period
Provide the name and worksite identification number for any worksite that has been
granted an exemption or goal modification during this period. Include information about
the duration of all exemptions and information on the type of goal modification granted.
Page 14 GCA3655