HomeMy WebLinkAboutPW05-433 - Original - WSDOT - Commute Trip Reduction - 07/01/2005 4a^ r3
Records Man.-, " emend
KENT � Document
W,.51i1N C TON
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: Washington State Department of Transportation
Contract Number: eW0§-- u 33
This is assigned by Mary Simmons
Vendor Number:
Project Name: Commute Trip Reduction
Contract Effective Date: September 12, 2005
Contract Termination Date: June 30 2007
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Chris Simmons
Department: Engineering
Abstract:
Implementation of Commute Trip Reduction activities.
ADCUB32 07/02
I
Commute Trip Reduction Im lementation Agreement
Contractor
Washington State City of Kent
Department of Transportation 220 4m Avenue South
310 Maple Park Avenue Kent, WA 98032
PO Box 47387
Olympia,WA 98504-7387 Key Contact Person: Chris Simmons
Employer Federal ID#91-6001254
Key Contact Person: Rabin Hartsell
Project Amount Project Amount
July 1, 2005 through June 30, 2006 July 1,2006 through June 30,2007
$58,567 Will be allocated as set forth in Exhibit I,
Funding Allocation Methodology
Agreement Start Date Completion Project Title
Number Date
Commute Trip Reduction Implementation
GCA4573 July 1,ZOOS June 30,2007
This AGREEMENT is entered into by the Washington State Department of Transportation
(hereinafter referred to as "WSDOT") and the Contractor identified above (hereinafter referred
to as "CONTRACTOR"), and/or individually referred to as the "PARTY" and collectively
referred to as the"PARTIES."
WHEREAS, RCW 70.94.521 through 70.94.551 requires counties, cities 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, and
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, and
WHEREAS, RCW 70,94.544 provides for distribution of funds for local CTR implementation
efforts, and
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, and
WHEREAS, WSDOT hereby desires to engage and the CONTRACTOR so agrees to perform
all tasks as hereinafter agreed upon by both PARTIES, and
NOW, THEREFORE, in consideration of covenants, conditions, performances and promises
herein contained and Exhibits I, II and Ill, attached hereto and made a part hereof, the PARTIES
agree to the terms and conditions following:
GCA4573
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 through
.551 and to implement tasks as described in Exhibit II, Scope of Work.
Section 2
Scope of Work
The CONTRACTOR and WSDOT agree to perform all designated tasks under this
AGREEMENT as described in Exhibit II, Scope of Work.
Section 3
Time for Beginning and Completion
The work to be performed under this AGREEMENT shall commence on July 1, 2005, and
terminate on June A 2007,unless terminated sooner as provided herein.
Section 4
Reimbursement and Payment
WSDOT shall reimburse the CONTRACTOR for eligible expenditures not to exceed $58,567
during the AGREEMENT period. The maximum amount of funding 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 and related
indirect 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 as provided in Section 6 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 may submit invoices, not more than once per month,
during the course of this AGREEMENT. The CONTRACTOR shall submit a final invoice to
WSDOT no later than July 15, 2007. Any invoice received after July 15, 2007 will not be
eligible for reimbursement. Within 30 days after receiving an invoice and upon approval,
WSDOT shall remit payment to the CONTRACTOR. All invoices and payments 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 related 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 sufficient detail the nature and propriety of the costs claimed.
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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 under the
terms of this AGREEMENT. Progress reports shall be submitted to WSDOT along with every
invoice request for reimbursement submitted pursuant to Section 4, Reimbursement and
Payment.
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 hatters 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 (6) 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 (6)
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 S
Agreement Modifications
A. 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.
B. 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,
2005 to June 30, 2007 in accordance with the methodology described in 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.
C. 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
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amendment to this AGREEMENT providing for an appropriate change in the Scope of Work
and/or the AGREEMENT 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 or expiration of this AGREEMENT.
The CONTRACTOR agrees to repay such state funds under this recapture provision within 30
days of demand.
Section 10
Disputes
A. Disputes. Disputes, arising in the performance of this AGREEMENT, which are not
resolved by agreement of the PARTIES, shall be decided in writing by the authorized
representative of WSDOT Public Transportation and Commute Options (PT&CO) Office. If the
PARTIES cannot resolve a dispute by mutual agreement,the CONTRACTOR may submit a
written detailed description of the dispute to the PT&CO Program Manager who will issue a
written decision within ten(10) days of receipt of the written description of the dispute. This
decision shall be final and conclusive.
B. Performance During Dispute. Unless otherwise directed by WSDOT, the CONTRACTOR
shall continue performance under this AGREEMENT while matters in dispute are being
resolved.
Section 11
Termination
WSDOT, at its sole discretion, may suspend or terminate this AGREEMENT in whole,or in
part, for the reasons following:
A. 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. Conditions of breach may include, but are not be limited to:
• Any action taken by the CONTRACTOR without WSDOT approval,which under the
provisions of this AGREEMENT, required WSDOT approval,
• Failure to perform in the manner called for under this AGREEMENT; or
• Failure to comply with any provision of this AGREEMENT;
B. The CONTRACTOR is prevented from proceeding with the AGREEMENT 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;
C. The requisite state or federal funding is reduced or becomes unavailable through failure of
appropriation or otherwise;
D. WSDOT determines that the continuation of the project would not produce beneficial results
commensurate with the further expenditure of funds;
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E. 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
F. WSDOT determines that suspension or termination is in the best interests of the state.
If this AGREEMENT is terminated under subsections B, C, D, E, and/or F of this Section, the
CONTRACTOR may be reimbursed only for actual and eligible direct and related indirect
expenses incurred prior to the date of termination, and then only to the extent of appropriated
funds. If this AGREEMENT is terminated under subsection A of this Section, the WSDOT shall
not be obligated to provide any additional reimbursement, and WSDOT shall retain all rights to
seek recapture or damages from the CONTRACTOR.
Section 12
jForbearance 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 any right or remedy available to WSDOT with respect to any breach
or 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
work as it is defined in this AGREEMENT and any amendments thereto. Although the
CONTRACTOR is allowed to seek the advice of WSDOT, the offering of WSDOT advice shall
not modify the CONTRACTOR's rights and obligations under this AGREEMENT, and WSDOT
shall not be held liable for offering advice to the CONTRACTOR.
Section 16
Limitation of Liability and Indemnification
No liability shall attach 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 defend at its own expense, any
p�^p s nr t 5 GCA4573
and all claims, demands, suits,penalties, losses, damages (both to persons and property), 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 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.
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. Each
agreement, contract or subcontract for services or activities to further the terms of this
AGREEMENT u shall include an indemnification and hold harmless providing that WSDOT and
the State of Washington are not liable for damages or claims for damages arising from any city,
town, designee or subcontractor's performance or activities under the terms of those agreements,
contracts or subcontracts.
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.
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.
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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 perfonmance 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
Section 22
Execution and Acceptance
This AGREEMENT may be 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 Washington, Department of Transportation or the Director's designee, not as an
individual 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.
This space intentionally left blank.
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IN WITNESS WHEREOF, the PARTIES hereto have executed this AGREEMENT the day and
year first above written.
WASHINGTON STATE 'ONTRAC�T�OR 7
DEPART NT OF TRANSPORTATION �(
/ By.
rinigei�,Dire r
rtation and Rail Division Print ame::Jc*%
Title: M P .
Who, rtifies proper authority to
execute this Agreement on behalf of
the Contractor
Date: _T�� S Date:
Approved as to form only:
By: Ann E. Salay
Assistant Attorney General
Date: June 21, 2005
GCA4573
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Exhibit I
Funding Allocation Methodology
Funding allocated by WSDOT for local implementation of CTR activities is based on the
formula following:
1. Each county is provided$1,260 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's
database as of May 1 st 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 1,2005
through June 30, 2006,the most recent survey period will be 2003. For the period July 1,
2006 through June 30, 2007, the most recent survey period will be 2005.
July 1, 2005-June 30, 2006 Allocation
Worksite Additional to
Number Trips Base Performance Achieve Total
County of Sites Reduced/Day Allocation Allocation $80,000 Floor Allocation
Benton $50,000
Clark 48 1,157 $60,480 $29,309 $0 $89,789
King 527 11,863 $664,020 $300,511 $0 $964,532
Kitsap 31 1,522 $39,060 $38,555 $2,385 $80,000
Pierce 80 2,900 $100,800 $73,462 $0 $174,262
Snohomish 88 806 $110,880 $20,417 $0 $131,297
Spokane 100 1,562 $126,000 $39,568 $0 $165,568
Thurston 62 550 $78,120 $13,932 $0 $929052
Whatcom 23 421 $28,9801 $10,6651 $40,355 $8000
Yakima 23 122 $28,9801 $3,0901 $47,930 $80,000
TOTAL 982 209903 $1,237,320 $52%510 $90,670 $1,907,500
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 (2)jurisdictions
in a county, each with fifty percent(50%) of the total number of affected worksites in the county,
any division of funds within the county should provide each of the two(2)jurisdictions with fifty
percent (50%) of the total county funding allocation.
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EXHIBIT II
SCOPE OF WORK
Implementation of Commute Trip Reduction (CTR)
Plans and Program
1. CONTRACTOR AGREES TO:
I.I. Work to be Performed
1.1.1. The county or city, whichever applies, has enacted a Commute Trip Reduction
(CTR) ordinance in compliance with RCW 70 94.521-.551 Said ordinance
requires, for example, the submission of employee commuter surveys, employer
annual reports, and other provisions for the tracking of certain vehicle miles traveled
(VMT) and single occupant vehicle (SOV) commute trips, as well as provisions to
assist in the reduction of VMT and SOV. Therefore, the CONTRACTOR agrees to
implement a CTR program and to comply with all provisions of the applicable
county or city ordinance, which is incorporated herein by reference and made a part
of this AGREEMENT and this Scope of Work.
1.2. Funding Distribution and Reporting
1.2.1. The CONTRACTOR may distribute funds to its eligible contracting partner(s)
who are implementing CTR plans and ordinances as authorized by RCW 70,94.544,
by entering into agreements with other jurisdictions, local transit agencies, regional
transportation planning organizations, or other eligible organizations. The
CONTRACTOR shall submit to WSDOT within 30 days of execution of any
agreement between the CONTRACTOR and is eligible contracting partner(s). (a) a
list of dollar amounts to be disbursed by the CONTRACTOR to its eligible
contracting partner(s), or (b) a fund dispersion methodology.
1.3. Implementation Plans
1.3.1. In addition to complying with Section 1, above, the CONTRACTOR shall
implement all CONTRACTOR provisions in this Scope of Work. Further, the
CONTRACTOR shall incorporate Sections 1 and 3 of the Scope of Work in all
agreements with eligible contracting partner(s), as necessary, to coordinate the
development, implementation, and administration of CTR plans and compliance
with applicable ordinances.
1.3.2. Appeals, Exemptions, and Modifications
1.3.3. The CONTRACTOR shall maintain an appeals process consistent with RCW
70.94.534(6), applicable ordinances, and procedures contained in the Commute Trip
Reduction Task Force Guidelines, which may be obtain from the WSDOT or found
at http://www.wsdot.wa.gov/tdm/tripreduction/CTRguide/default.cfm. The
CONTRACTOR, or its eligible contracting partner(s), shall submit requests for
CTR exemptions or goal modifications to WSDOT for review and comment within
five(5) days of receiving such requests, and shall provide WSDOT five (5)working
days to comment prior to approving or denying the request.
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1.3.4. Survey Processing
1.3.5. The CONTRACTOR shall notify WSDOT prior to sending employee commuter
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 not to deliver or send surveys for
processing unless authorized to do so by WSDOT.
1.3.6. Database Updates
1.3.7. The CONTRACTOR agrees tq.provide WSDOT with updated lists of affected
worksites and jurisdiction contacts on a quarterly basis. These updates shall be
submitted electronically in a format specified by WSDOT.
1.3.8. Employer Annual Reports
1.3.9. The CONTRACTOR agrees to, within 30 days from the date of filing, submit to
WSDOT one (1) electronic or hard copy of all employer annual report(s).
1.3.10. Employer Exemptions and Goal Modifications
1.3.11. The CONTRACTOR agrees to, within 30 days from the date of official
administrative decision, submit to WSDOT the name and employer identification
code for any worksite that has been granted an exemption or goal modification,
including information about the duration of all exemptions and information on the
type of goal modification granted.
1.3.12. Progress Report and Invoice
1.3.13. The CONTRACTOR agrees to submit to WSDOT periodic progress reports, as
specified in Exhibit III, Progress Report Format, with all invoices in accordance
with Section 4 of this AGREEMENT.
2. WSDOT AGREES TO:
2.1. General Technical Assistance
2.1.1. WSDOT will provide support to the CONTRACTOR, or its eligible contracting
partner(s), 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.
2.2. Exemptions and Modifications
2.2.1. WSDOT will review and comment on employer requests for exemptions from
CTR requirements and/or goal modifications, within five (5) working days after
receipt. Failure to review and comment on such requests within five (5) working
days after receipt shall be considered a waiver of WSDOT's right to comment.
14 GCA4573
2.3. Database Management
2.3.1. 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 after receipt from CONTRACTOR. 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 1,Funding Allocation Methodology.
2.4. Training
2.4.1. WSDOT will maintain training materials to support implementation of CTR
programs.
2.5. Public Awareness
2.5.1. WSDOT will develop and implement statewide public awareness and recognition
programs to support local implementation of CTR programs.
2.6. Annual Reporting Assistance
2.6.1. WSDOT will distribute insufficient quantities the State"Program Description &
Employer Annual Report" form to the CONTRACTOR, or other eligible recipients,
if 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.
2.7. Survey Assistance
2.7.1. WSDOT will:
2.7.1.1. Provide the CONTRACTOR, or its eligible contracting partner(s),with
summary survey information if requested.
2.7.1.2. Distribute the Employee Questionnaires in sufficient numbers to the
CONTRACTOR, its eligible contracting partner(s)if requested.
2.7.1.3. Maintain an intemet-based survey tool, and provide information and
ongoing technical assistance to employers and jurisdictions using the system.
2.7.1.4. Provide survey processing at no cost to the CONTRACTOR, or its eligible
contracting partner(s), and affected employers, during the base year and all
subsequent surveys.
2.7.1.5. Provide technical assistance to the CONTRACTOR, or its eligible
contracting partner(s), and employers, on surveying, if requested.
2.7.1.6. Work with the CONTRACTOR, or its eligible contracting partner(s), to
calculate goal measurement information and track measurement survey history
for all CTR affected worksites.
CYC;A4573
2.7.1.7. Return the processed employee commuter survey and reports to the
CONTRACTOR, or its eligible contracting partner(s), within thirty(30) days
of the date the forms are delivered for processing
2.7.1.8. Maintain and periodically update the "CTR Guide for Employer
Surveys." WSDOT will review survey guide/instructional materials developed
by the CONTRACTOR or its eligible contracting partner(s) for consistency
with the state-developed"CTR Guide for Employer Surveys,"which may be
obtained from WSDOT.
2.7.1.9. Review all electronically submitted survey notifications and respond to the
CONTRACTOR within five(5) working days after receipt.
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Exhibit III
Progress Report Format
• Name of the Organization Submitting Report:
• Submitted on behalf of following Jurisdiction(s):
• Contact Name:
• Contact Phone and Fax Number:
• Contact E-mail:
1. CTR Activities
Prepare 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 $
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3. Expenditures This Period
Under `Categories' listed below, indicate either the actual expenditures, or estimated
expenses if actual costs for these categories are not known. List the actual total
expenditures on the last line of the following table
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
Categories 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 S $ $ $ $ $
Incentives $ $ $ $ $ $
Promotion and $ $ $ $ $ $
Marketing
Guaranteed Ride $ $ $ $ $ $
Home
Other(Specify) $ $ $ $ $ $
Totals $ $ 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 effected 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
accepted during this period. Attach a hard copy or electronic (disc) copy of all employer
annual reports accepted by the jurisdiction during the quarter. If the jurisdiction accepted
employer annual reports submitted via WSDOT's web-based reporting system, indicate
the name and worksite identification number for each worksite report accepted.
GCA4573
7. Employer Exemptions and Goal Modifications Granted During This Period
Provide the name and worksite identification number for any worksde that has been
granted a CTR exemption or goal modification during the period, including information
about the duration of all exemptions and information on the type of goal modification
granted.
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