HomeMy WebLinkAboutPW16-385 - Other - King County - Interlocal Agreement - 4/19/16 Records M , er
KEhT Document
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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 City Clerk's Office.
Vendor Name: King County
Vendor Number:
JD Edwards Number
Contract Number: Pw�Lc - z
This is assigned by City Clerk's Office
Project Name: King County Waterworks Grant Acceptance - Leber Homestead Arsenic
Remediation
Description: ® Interlocal Agreement ❑ Change Order ❑ Amendment ❑ Contract
❑ Other:
Contract Effective Date: 4/19/16Termination Date: 10/31/2018
Contract Renewal Notice (Days): N/A
Number of days required notice for termination or renewal or amendment
Contract Manager: Matt Knox Department: Engineering/Env.
Detail: (i.e. address, location, parcel number, tax id, etc.):
The WaterWorks Grant agreement in the amount of $100,000 provides for final phase
construction for the Mill Creek Side Channel - Leber Restoration project. Other grants
include KC Cooperative Watershed Management Fund 2014 for $787,846.00, KC
Cooperative Watershed Management Fund 2015 for $558,000.00, RCO Salmon Recovery
Funding Board 2014 for $327,353.00, and RCO Puget Sound Acquisition and Restoration
2014 for 478,885.53. These grants total $2,152,084.53 and with the additional
WaterWorks grant $2,252,084.53. The city of Kent will provide an additional $76,440.06
in matching funds for $76,440.00 in plants and labor. This brings the total to
$2,328,524.53.
S:Publlc\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08
ICETLT
w o� Agenda Item: CONSENT - 7H
TO: City Council
DATE: October 4, 2016
SUBJECT: King County Waterworks Grant Acceptance - Leber Homestead
Arsenic Remediation- Authorize
MOTION: Authorize the Mayor to sign the WaterWorks (WW) Grant in the
amount of $100,000, direct staff to accept the grant and establish a budget for
the funds to be spent within the Mill Creek Side Channel (Leber) Restoration
project.
SUMMARY: The Mill Creek Side Channel-Leber project was previously funded for
clearing, grubbing and the first phase of planting, which was completed in March
2015. Grant funds in the amount of $100,000.00, will provide additional funding for
final construction.
Once completed, the restoration project will create off-channel habitat in the Green
River near the confluence of Mill Creek, will increase floodplain refuge habitat for
Chinook and other salmonids, enhance riparian habitat, and restore floodplain
functions. The 8.6 acre site is owned by the City and is also known as Leber
Homestead.
EXHIBITS: Waterworks Program Grant Agreement
RECOMMENDED BY: Public Works Committee
YEA: Fincher, Ralph NAY:
BUDGET IMPACTS: The WaterWorks Grant agreement in the amount of $100,000
provides for final phase construction for the Mill Creek Side Channel - Leber
Restoration project. Other grants include KC Cooperative Watershed Management
Fund 2014 for $787,846.00, KC Cooperative Watershed Management Fund 2015 for
$558,000.00, RCO Salmon Recovery Funding Board 2014 for $327,353.00, and
RCO Puget Sound Acquisition and Restoration 2014 for 478,885.53. These grants
total $2,152,084.53 and with the additional WaterWorks grant $2,252,084.53. The
city of Kent will provide an additional $76,440.00 in matching funds for $76,440.00
in plants and labor. This brings the total to $2,328,524.53.
WaterWorks Grant Program
Agreement Cover Page
King County
q �r%
Year: 2015
Application Cycle: Round 1 q! P
Project Name: Leber Homestead - Arsenic Remediation
Recipient: City of Kent
Funding Amount: $100,000
P�oject Summary This project will remove arsenic fl
contaminated soil from the oodplain
area on the Leber Homestead site IKent. These contaminants will be
removed and buried in order to prepare the site for salmon habitat
restoration work. The project will create a floodplain wetland tributary
to the Green River and include restorative plantings as well as woody
debris.
Primary Contact: Matt Knox
Phone: 253-856-5551
Email: mknoxgkentwa,gov
Start Date: November 16, 2016
End Date: September 30, 2018
LIM
Icing County
Waterworks Grant Program
Grant Agreement
AGREEMENT
between
CITY OF KENT
and
KING COUNTY
This is an Agreement between the City of Kent, hereinafter the "RECIPIENT" and King County,
a political subdivision of the state of Washington, hereinafter the "COUNTY." This Agreement
is effective as of the date of the COUNTY signatory.
The purpose of this Agreement is to set forth the terms, conditions, and the legal and
administrative relations that apply to the RECIPIEN in exchange for financial assistance in
carrying out a proposed project entitled Leber Homestead—Arsenic Remediation, hereinafter
the "PROJECT."
Section 1. Background and Recitals:
A. Proposed PROJECT benefit or improvement to water quality and/or the regional
wastewater treatment system and its ratepayers: This project will remove arsenic
contaminated soil from the floodplain area on the Leber Homestead site in Kent. These
contaminants will be removed and buried in order to prepare the site for salmon habitat
restoration work. The project will create a floodplain wetland tributary to the Green River
and include restorative plantings as well as woody debris.
B. The COUNTY plans and proposes to remunerate the RECIPIENT for the purpose
described in Subsection A above in an amount up to, but not exceeding $100,000,
hereinafter the"AWARD."
C. This AWARD is made with the understanding that the RECIPIENT will complete the
PROJECT as outlined in the Scope of Work(Exhibit A) and will fulfill reporting
requirements as described under the Terms and Conditions of this Agreement.
D. The RECIPIENT plans to contribute to this PROJECT a cash and/or in-kind match
valued at $2,558,036, to be verified in submitted PROJECT reports.
E. The RECIPIENT applied for a WaterWorks grant on September 16, 2015.
F. The RECIPIENT was notified that its proposal for the PROJECT was recommended for
funding on March 29, 2016.
G. Beginning on April 19, 2016,the RECIPIENT commenced work on the PROJECT,
according to the original timeline in its proposal.
H. The King County Council approved the WaterWorks grants from this funding cycle
(Round 1, deadline September 16, 2015) on July 25, 2016.
1. The COUNTY agrees to pay for eligible PROJECT expenses incurred on and after
April 19, 2016, subject to the terms and conditions below.
Section 2. Terms and Conditions:
A. The PROJECT shall be in accordance with the tasks and activities specified in the Scope
of Work (Exhibit A). Any modifications must be requested in an Agreement Amendment
and be approved by the Director of the Wastewater Treatment Division(WTD) in the
COUNfY's Department of Natural Resources and Parks.
The COUNTY will,upon execution of this Agreement, establish procedures to allow
payment to the RECIPIENT of all eligible expenses for approved activities up to the limit
of the AWARD. Payments are on a reimbursement basis; except in special circumstances,
at the discretion of the COUNTY, where advances of a portion of the AWARD may be
made. Twenty percent(20%) of the AWARD amount will be withheld by the COUNTY
until receipt of the final Quarterly Progress and Expense Reports and the Closeout
Reports.
C. The RECIPIENT's expenditures of AWARD funds shall be separately identified in the
RECIPIENT's accounting records. If requested,the RECIPIENT shall comply with other
reasonable requests made by the COUNTY with respect to the manner in which
PROJECT expenditures are tracked and accounted for in the RECIPIENT's accounting
books and records. The RECIPIENT shall maintain such records of expenditures as may
be necessary to conform to generally accepted accounting principles, and to meet the
requirements of all applicable state and federal laws.
D. The COUNTY will reimburse RECIPIENT for expenses on a quarterly basis, following
receipt and approval of Quarterly Progress Reports, Quarterly Expense Reports, and
Closeout Reports. Twenty percent (20%) of the AWARD will be held back until a close-
out verifies fiscal and programmatic compliance with the terms and conditions of the
agreement.
1. The RECIPIENT shall be responsible for submitting the following PROJECT
progress reports: Quarterly Progress Reports (Exhibit E), Quarterly Expense
Reports (Exhibit F or G), Financial Closeout Report (Exhibit H), and Narrative
Closeout Report(Exhibit 1); including backup documentation such as photos,
copies of articles, and financial backup such as copies of receipts.
Agreement between City of Kent and King County
Leber Homestead—ArsenicRemediation- Round 1,2015
Page 2 of 21
2. Quarterly Progress Report (Exhibit E) and Quarterly Expense Report (Exhibit F
or G) shall be submitted together.
a. Each Quarterly Progress Report shall be presented in the format shown in
Exhibit E of this Agreement; each Quarterly Expense Report shall be
presented in the format shown in Exhibit F of this agreement.
b. The Quarterly Progress and Quarterly Expense reports are due thirty (30)
days after the end of each quarter.
c. If no expenses are made during a quarter, no Expense Report is needed.
However, the Quarterly Progress Report should still be submitted and
indicate that no expenses were made during that time period.
d. The Quarterly Expense Report should detail expenses and include backup
documentation of expenses.
3. Financial Closeout Report (Exhibit H) and Narrative Closeout Report (Exhibit I)
shall be submitted together,which will include closeout documentation.
a. The Final Closeout reports are due thirty (30) days after the end date of the
PROJECT or not later than October 31, 2018.
E. Failure to submit the aforementioned Quarterly Report on the PROJECT progress within
ninety(90) days of the due date may be cause for the COUNTY to terminate this
agreement for non-performance. Termination would require the return of any funds
advanced but not already spent executing the PROJECT, as well as forfeiture of AWARD
fiords for activities not completed by termination date.
F. Failure to provide all of aforementioned documentation may result in the need to
withhold part or all of the AWARD.
G. Costs eligible for payment shall be limited to those costs identified in the Budget
(Exhibit B) and incurred on and after April 19, 2016, through September 30, 2018.
H. Any and all activities to be funded by this Agreement to the RECIPIENT shall be .
completed by September 30, 2018. If needed, an Agreement Amendment may be granted
to extend the terms of the contract beyond the end date, adjust the scope of work, or
change the budget details (but not increase the total AWARD amount), conditioned upon
approval by KING COUNTY. The extension must be requested and approved at least
sixty (60) days in advance of the original end date.
I
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 3 of 21
I. The RECIPIENT agrees to acknowledge the COUNTY in all media, publications, and
signage that are produced as part of the PROJECT. This includes press releases, public
service announcements, posters, flyers, signage, Web pages, blogs, and videos. The
RECIPIENT will use the wording provided in Exhibit C of this Agreement (Credit and
Disclaimers).
Section 3. Legal and Administrative Relations:
A. The RECIPIENT shall maintain such records of expenditures as may be necessary to
conform to generally accepted accounting principles and to meet the requirements of all
applicable state and federal laws. The RECIPIENT shall maintain and submit to the
COUNTY any such records as the COUNTY may require to conduct any audit of the
PROJECT it may elect to conduct or to substantiate expenditures paid for by this
AWARD. The RECIPIENT shall maintain and retain books and records related to the
Agreement for at least three (3)years after the termination of said Agreement.
B. The COUNTY's financial assistance to the RECIPIENT shall be construed by the parties
as a special disbursement to the RECIPIENT to fundl activities, as described herein that
generally benefit the COUNTY's efforts to leverage or complement the water quality
mission of the regional wastewater system. The COUNTY's sole obligation under this
agreement shall be to provide funds to the RECIPIENT and this agreement shall not be
construed as a contract for services between the RECIPIENT and She COUNTY, or as
establishing a principal agent relationship between the COUNTY and the RECIPIENT.
No joint venture or partnership is formed as a result of this Agreement.
C. The RECIPIENT shall be solely responsible for the recruiting, training, and supervision
of its employees and volunteers. Individuals hired and paid by the RECIPIENT shall not,
in any event,be construed to be employees of, or contractors to, the COUNTY and the
RECIPIENT shall indemnify and hold harmless the COUNTY from any and all claims
arising from any contention that said individuals are employees of, or contractors to, the
COUNTY. This condition shall survive the termination of this Agreement. All actions
undertaken under the funding provided by the terms of this agreement are, as between the
COUNTY and the RECIPIENT, the sole responsibility of the RECIPIENT.No
employees, agents, volunteers, or contractors of RECIPIENT shall be deemed, or
represent themselves,to be employees of the COUNTY.
D. RECIPIENT agrees for itself, its successors, assigns or by others including, without
limitation, all persons directly or indirectly employed by RECIPIENT, or any agents,
contractors, subcontractors, consultants, subconsultants, volunteers, licensees or invitees
of RECIPIENT, to defend, indemnify, and hold harmless the COUNTY, its appointed
and elected officials, and employees from and against liability for all claims, demands,
suits, and judgments, including costs of defense thereof for injury to persons, death, or
property damage which is caused by, arises out of, or is incidental to RECIPIENT's
exercise of rights,privileges, and obligations under this Agreement, except for the
COUNTY's sole negligence. RECIPIENT's obligations under this section shall include,
but not be limited to all of the following: (i) The duty to promptly accept tender of
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 4 of 21
defense and provide defense to the COUNTY with legal counsel acceptable to the
COUNTY at RECIPIENT's own expense; (ii) Indemnification of claims made by
RECIPIENT's own employees or agents; and (iii) Waiver of RECIPIENT's immunity
under the industrial insurance provisions of Title 51 R.C.W. but only to the extent
necessary to indemnify the COUNTY, which waiver has been mutually negotiated by the
Parties.
In the event it is necessary for the COUNTY to incur attorney's fees, legal expenses, or
other costs to enforce the provisions of this section, all such fees, expenses, and costs
shall be recoverable from RECIPIENT. The provisions of this Section 3.1) shall survive
the expiration, abandonment, or termination of this Agreement.
E. Nothing in this Agreement shall be construed as prohibiting the RECIPIENT from
undertaking or assisting projects developed outside the purview of this Agreement, or
entering into agreements with other parties to undertake said projects in accordance with
whatever terms and conditions may be agreed to between the RECIPIENT and other
parties.
F. The COUNTY shall be under no obligation to continue this agreement and may request
partial or full reimbursement of payments it made to the RECIPIENT should the
RECIPIENT fail to perform according to the terms and conditions of this Agreement,
whether or not failure to perform is within the RECIPIENT's control.
G. This Agreement may be amended at any time by written concurrence of the parties
through a formalized Amendment Agreement Form and will terminate upon fulfillment
of all obligations contained herein.
H. The COUNTY may terminate this Agreement immediately for cause. If this Agreement is
terminated the RECIPIENT shall return any unused portion of the funds advanced up to
the date of termination.
I. Invalidity or unenforceability of one or more provisions of this Agreement shall not
affect any other provision of this Agreement.
J. In its performance under this Agreement the RECIPIENT shall not discriminate against
any person on the basis of sex, race, color, marital status, national origin, religious
affiliation, disability, sexual orientation, gender identity or expression, age except by
minimum age, and retirement provisions, unless based upon a bona fide occupational
qualification, and the RECIPIENT shall not violate any of the terms of chapter
49.60 RCW, Title VII of the Civil Rights Act of 1964, or any other applicable federal,
state, or local law or regulation regarding nondiscrimination in employment.
K. Authority' Representations and Warranties. Each signatory to this Agreement represents
and warrants that he or she has full power and authority to execute and deliver this
Agreement on behalf of the entity for whom he or she is signing.
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 5 of 21
L. CounteMarts. This Agreement may be executed in counterparts, each of which shall be
deemed an original, and all counterparts together shall constitute but one and the same
instrument. The exchange of copies of this Agreement and of signature pages by
facsimile transmission,by electronic mail in "portable document format" (".pdf') form,
or by any other electronic means intended to preserve the original graphic and pictorial
appearance of a document, or by combination of such means, shall constitute effective
execution and delivery of this Agreement as to the Parties and may be used in lieu of the
original Agreement for all purposes. Signatures of the Parties transmitted by facsimile
shall be deemed to be their original signatures for all purposes.
M. The effective date of this agreement is the date of COUNTY signatory.
i
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 6 of 21
AGREEMENT SIGNATURE PAGE
CITY OF KENT by:
Signature:
SuzettecoW,Vayoy/
Date:
KING COUNTY by,
4 4
Signature:
Mark Isaacson, Division Director, Wastewater Treatment Division
Date:
III
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 7 of 21
EXHIBIT A: SCOPE OF WORK
The task(s) set forth below summarize the RECIPIENT'S activities to be performed under this
agreement to complete the PROJECT. All activities in the following tasks, including
deliverables, must be completed by the expiration date of this agreement unless otherwise
modified through an Agreement Amendment Form and approved by the COUNTY in writing.
Any work performed or costs incurred prior to the effective date of this agreement will be at the
sole expense of the RECIPIENT.
Tasks and Activities Measurable Results/Deliverables Time-frame
TASK 1: Spec finalizing, request Lowest responsive bidder will be February-
for bid and project award awarded contract for construction April 2016
TASK 2: TESC, excavation, "Clean" site with all 8,000 Cy of May-June
mixing and/or disposal of contaminated soil either removed from 2016
contaminated soil, verification the site (to approved facility) r mixed
testing to enure clean soils down below arsenic action levls
Permits/Permissions
Construction Stormwater General Purpose: Ensure BMPs for sediment control are enacted
Permit Coverage, Dept. of Ecology and effective. Issued July 3, 2014 (Eff. until terminated)
Nationwide Permit#27, Section Purpose: Clean Water Act, Coastal Zone Management
404 Dredge & Fill Permit, Seattle Act, DOE Water Quality Certification,National Historic
Dist. Corps of Eng. Preservation Act and Endangered Species Act
compliance. Issued June 4, 2013; Expires Mar. 18, 2018
Hydraulic Project Approval, Purpose: Preservation of fish and other aquatic species
Washington Dept. of Fish and and their habitat. Issued Nov. 29, 2012; Expires
Wildlife Nov. 28, 2017.
Revised Mitigated Determination Purpose: State Environmental Policy Act and Kent
of Nonsignificance, City of Kent Critical Areas Ordinance compliance. Issued
Aug. 27, 2012.No expiration date.
Shoreline Exemption, City of Kent Purpose: Exempt project from Kent Shoreline Master
Program (SMP). Letter issued Sept. 10, 2013.
Agreement between City of Kent and King County
Leber Ilomestead—Arsenic Remediation—Round 1,2015
Page 8 of21
EXHIBIT B: BUDGET
Costs are limited to those approved by the COUNTY in the current Budget. Costs should be
reasonable and necessary to carry out the task. All activities and PROJECT expenditures must be
completed according to this agreement unless otherwise modified through an Agreement
Amendment Form and approved by the COUNTY in writing.
Any work performed or costs incurred prior to the effective date of this agreement will be at the
sole expense of the RECIPIENT.
An Agreement Amendment must be completed and approved to change a scope of work,request
an extension, or if the budget might deviate more than ten percent (10%) (of Grand Total). For
more information, contact your grant administrator.
A B C D E F
ITEMS:
BUDGET Description GRANT CASH IN SOURCE OF
CATEGORY (rate or unit x AWARD MATCH MATCH MATCH
quantity)
Staff salaries and benefits: $152,416(7.5%of $200,000 KCD grant: $200,000—
Construction inspection, construction contract) Excess will be applied
management, engineering to construction contract
and remediation
Salary and Benefits Subtotal $200,000
Commercial services: Excavation,mix, $100,000
• Construction stockpile,and/or
contractor(removal dispose of
and/or mixing of contaminated soil-
contaminated soil) $908,640(Scarsella
• Consultant(arsenic Bros.)
level verification and Verification&
remediation) Remediation services-
$89,200(ANIEC)
Commercial services: Construction Contract $2,152,085 $205,951 Cash: PSAR2013 &
• Construction -$2,225,277 2014$478,886; SRFB
contractor Remediation 2014 $327,353; CWM
• Consultant(arsenic Consultant Contract- 2014$787,846;CWM
level verification and $89,200 2015 $558,000;
remediation services) Native plant planting to-Kind: City plants
and labor-$205,951 and planting labor
DirectCostsSubtotal $100,000 $2,152,085 $205,954 r <;
Project Subtotal $100,000 $2,352,085 $205,951
(Salary and Benefits Subtotal+Direct Costs � . a
Subtotal)
Overhead(not more than 10%of Grand TOTAL)
Grand TOTAL $100,0110 $2,352,085 $205,951 �" ' t '+
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 9 of 21
EXHIBIT C: ACKNOWLEDGEMENTS AND DISCLAIMERS
L19
King County
Department of
Natural Resources and Parks
Wastewater Treatment Division
Logo and logo standards: For electronic versions of the official logos and logo standards,
contact your grant administrator. The above logo must be included on all printed documents
and electronic media produced in carrying out the PROJECT. This includes signage, posters,
documents, brochures, flyers,newsletters, newspaper advertising, Web pages, blogs, and videos.
Credit for materials produced as part of the PROJECT: Acknowledge PROJECT funding by
including the folloying sentence with the logo:
This project is funded by the King County Wastewater Treatment Division
If your PROJECT has multiple funders, it can say:
This project is funded in part by the King County Wastewater Treatment Division
Disclaimer language: For items where opinions or advice or a list of organizations or businesses
are included in the copy(e.g., an interpretive panel, a guidebook, or a directory),please add the
following disclaimer sentence:
The content herein does not constitute an endorsement by King County government,its
employees, or its elected and appointed officials.
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation Round 1,2015
Page 10 of21
EXHIBIT D: AGREEMENT TERMS AND PROCEDURES
ACKNOWLEDGMENT: Please acknowledge KING COUNTY in all written and electronic
media(publications, signage,press releases, public service announcements, posters, flyers, Web
pages, videos, PowerPoint presentations, etc.). Refer to Exhibit C for further information.
ADVANCE: Advance payments are allowed in some cases at the discretion of the COUNTY;
documentation of payments made from advances shall be submitted to the COUNTY prior to any
further requests for AWARD funds.
AGREEMENT AMENDMENT: This document must be completed and approved to change a
scope of work,request an extension, or if the budget(Exhibit B)might deviate in any PROJECT
cost categories by an amount equal to or greater than ten percent (10%) of the total AWARD
amount. This form is available from your grant administrator.
BALANCE OF AWARD: Any amount of your AWARD not spent on this PROJECT must be
returned to KING CQUNTY, if an advance was issued.
CLOSEOUT REPORTS,FINANCIAL AND NARRATIVE: These reports document the
successful completion of the PROJECT according to the scope of work. The Financial and
Narrative Closeout Reports are due thirty (30) days after the end of your agreement period. Refer
to Exhibit H for more information. Include in the final report:
I. Financial Closeout Report (Exhibit H) documenting the records of expenditures for
the PROJECT (reconcile your project expenses, award, cash, and in-kind match).
2. Narrative Closeout Report(Exhibit I) documenting the successful completion of the
PROJECT according to the scope of work. The final report will include a narrative,
outreach materials, copies of communication materials, and tools created for and
about the PROJECT.
ELIGIBLE CHARGES: Only expenses in the categories listed in the budget page of this grant
agreement can be covered by this AWARD and only up to the indicated amount without prior
authorization.
FINANCIAL RECORDS: Maintain a record of your expenditures to conform to generally
accepted accounting principles. Retain records for at least three (3) years after the end date of
your agreement. It is highly recommended that if you use a computer to track your project
expenses you assign a code to this grant. If you keep track of your expenses manually, you will
need to make copies of your receipts or other"manual' documents. This way, you will be able to
document your expenses.
MATCH: Keep track of cash and/or in-kind match amount as it is described in your budget
(Exhibit B)because it must be documented in your Financial Closeout Report (Exhibit H).
MILESTONE: Milestones are considered significant actions or events marking important
progress or change in the stage of development of the PROJECT.
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 11 of 21
QUARTERLY PROGRESS REPORTS (Exhibit E): These reports include a task summary
and provide a status report on the progress of tasks identified in the scope of work. It also
quantifies the amount spent to date and percent of the PROJECT completed. The quarterly
reports are due thirty(30) days after the end of each quarter.
QUARTERLY EXPENSE REPORTS (Exhibit F or G): This form, submitted along with a
Quarterly Progress Report, is for reimbursement of costs each quarter.
SCOPE OF WORK(EXHIBIT A): Keep track of your activities as they relate to the scope of
work you provided. You will have to document the progress when submitting your Quarterly
Reports (Exhibit E) and Closeout Report(Exhibit 1).
START DATE: The start date of this agreement is the date of the COUNTY signatory.
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 12 of21
EXHIBIT E: QUARTERLY PROGRESS REPORT
WaterWorks Grant Program
ka Quarterly Progress Report
King County
Date
Recipient
(organization)
Contact Name
Phone Email
Address
City, State, Zip Code
Dates
Request No. (beginning&end date for this claim)
Project Name
Instructions: Complete trandsubmitther with Quarterly Expense Report to Grant Administrator
Tasks/ActivitiesMeasurable Results/Deliverables
(from Scope of Worss/status/percentage completed (note dates)
(from Scope of Work)
1) ��
2)
3)
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 13 of 21
4)
5)
Briefly describe for this time period, in five lines or less per topic:
Project Successes
Obstacles and Challenges
Please email inquiries and all documents to:
Elizabeth Loudon,WaterWorks Grant Administrator
Wastewater'freatment Division
Phone: 206-477-4297 Email: water.grants@kingcounty.gov
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 14 of21
EXHIBIT F: QUARTERLY EXPENSE REPORT
WaterWorks Grant Program
kaQuarterly Expense Report
King County
Date
Recipient
(organization)
Contact Name _
Phone Email
Address
City, State, Zip Code
Dates
Request No. (beginning&end date for this claim)
Project Name
instructions: Complete this spreadsheet in Excel and attach your financial/accotnnting system reports to document all
expenses.
Budget Line Item Budgeted Current Request Amount of all Award Balance
(From rixhibit B Budget, use (From Fxhibit B Prior Requests Remaining
Budget, use latest (Do not include
latest approved amendment
approved amendment) advances as a line
item
TOTAL
THIS REQUEST
Please email inquiries and all documents to:
Elizabeth Loudon, WaterWorks Grant Administrator
Wastewater Treatment Division
Phone: 206-477-4297 Email: water.grants@kingeounty.gov
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 15 of 21
EXHIBIT G: QUARTERLY EXPENSE REPORT—ADVANCE
WaterWorks Grant Program
LQ Quarterly Expense Report with Advance
King County
Date
Recipient
(organization)
Contact Name
Phone Email
Address
City, State, Zip Code
Dates
Request No. (beginning&end date for this claim)
Project Name
Instructions: Complete this spreadsheet in Excel and attach your financial/accounting system reports to document all
expenses. Advances will only be given in specific circumstances and need prior approval from the grant administrator.
Budget Line Item Budgeted Current Request Advance Amount of all Award Balance
(From Exhibit B Budget, (Fmui Exhibit Reconciliation Prior Requests Remaining
use latest approved Budget,use latest (Expenses covered (Do not include
amendment) approved amendment) b v last advance) advances as line item)
TOTAL
ADVANCE ` S
ii tt"
REQUESTEDs�
(Par next period " i
GRAND TOTAL �l
ADVANCE FROM q
LAST INVOICE t r .l
ADJUSTED FOR
W A"
ADVANCE '
FORFEITURE
(Advance balances do not + 9 sty ,_ t F'� -i„i tt
cart forward) w ;`
THIS REQUEST
ADVANCE EXPLANATION:
Please email inquiries and all documents to:
Elizabeth Loudon,WaterWorks Grant Administrator
Wastewater Treatment Division
Phone:206-477-4297 Email: water.grants@kingcounty.gov
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 16 of 21
EXHIBIT H: FINANCIAL CLOSEOUT REPORT
WaterWorks Grant Program
King County Financial Closeout Report
Project Name
Recipient
Total Award
Project Contact
Address
City/State
Phone
Email —� —
Grant Agreement
Dates
Date Reporting i odoy's l'a+e
Instructions: Complete the budget table below comparing your proposed budget to actual spending
within the project and sign. Include receipts and/or auditable accounting details (that you haven't
already provided)for all costs incurred for the project. This may include ledger-based copies, cancelled
checks, and payroll records. You do not need to provide this documentation for any match dollars spent.
B CASH CASH IN-KIND
BUDGET GRANT GRANT IN-HIND
ITEM BUDGET ACTUAL MATCH, MATCH MATCH MATCH
PROPOSED ACTUAL PROPOSED PROPOSED
Staff salaries&
benefits
,Votaries&
Benefits.Sub
Total
Freelance
workers and
consultants
Project supplies,
materials,and
equipment
Commercial
services
Transportation
Other costs
Direct Costs
Sub Total
Overhead
(10%of Grand
Total max
Grand TOTAL
Agreement between City of Kent and King County
Leber Homestead- Arsenic Remediation—Round 1,2015
Page 17 of 21
Provisions
Please complete and sign below.
By signing this financial closeout report, I an authorized
representative of the above named RECIPIENT, confirm that I have examined the information
contained herein and that, to the best of my knowledge, it is a true and accurate account of all the
financial expenses and in-kind contributions incurred by the above named PROJECT in the
course of fulfilling the conditions of the Agreement between Wrganizatiom> and KING
COUNTY.
This report contains financial documents from to (dates).
I hereby acknowledge that there are no further expenses associated with this PROJECT, nor any
pending or future claims to the COUNTY and that the COUNTY is not liable for any expenses
not documented in the budget. I understand that aOrganizatiom> is fully bound by the provisions
of the Agreement, including but not f mited to, the return of COUNTY funds that are unspent or
whose spending is unsubstantiated according to the Terms of the Agreement, and the right to
examine records. I further understand that the COUNTY,upon examining final budget and
closeout reports, submitted by the RECIPIENT will determine the amount of the balance due to
the RECIPIENT.
Signature:
RECIPIENT printed name and title:
Date:
Please email inquiries and all documents to:
Elizabeth Loudon, WaterWorks Grant Administrator
Wastewater Treatment Division
Phone:206-477-4297 Email: water.grants@kingeounty.gov
II
Agreement between City of Kent and King County
Leber Homestead--Arsenic Remediation—Round 1,2015
Page 18 of 21
EXHIBIT 1: NARRATIVE CLOSEOUT REPORT
LQWaterWorks Grant Program
KingGounty Narrative Closeout Report
Project Name
Recipient
Total Award
Project Contact —
Address
City/State
Phone
Email
Grant Agreement Dates stari -O�j.t. — Fvu Doie
Date Reporting Todey's D, re
Instructions:In narrative format, summarize the project accomplishments and successes,
regional benefits,project performance, obstacles and challenges, lessons learned, and
recommendations for fiture comparable projects. Attach copies of all project materials and
publications as well as photos from your project.
Project Performance
Please quantify all fields below that are applicable to your project and for which you have data;
add any other quantifiable data that is pertinent, including units (e.g. square feet, volunteer
hours, gallons/year).
Waster;atsr Capturcd and Trcated volunicer;;ours
5torrnwa'er &unoff'-aptuf."d events Organ ized/Tou[s Givt;n
Stormvvaiee R.unoFf Diverlcd Fvarnt Attendance
acst tmanagcment Practires ln9ialied Peonlc Engaged
Hain Gardem histalled Presentations Given
t;isl.erns Installed Ylaterials Created
"Yatcr Saved AQateriaL; Distriuiaca
Mites Resiored Languages Provided
Site Defaved communities Served
i`dat vc p1mas installed Proj'ct Parin.'rs
Organizations Engaged Social Media Pollowors
Ambassadors Rt,cruitcd Website Visits
A'Live Vmul:leers Ca-:ned Media :;tones
Agreement between City of Kent and King County
Leber Homestead-.Arsenic Remediation—Round 1,2015
Page 19 of 21
i
Regional Water Quality Benefits
What difference did this project make in supporting King County WTD's water quality mission,
and create a benefit to or improvement of water quality within WTD's service area?
Project Accomplishments and Successes
Please describe the notable accomplishments and success of your project, both anticipated and
unanticipated.
Obstacles and Challenges
Please describe any obstacles or challenges you,faced while carrying out this project.
Lessons Learned and Recommendations for Future Projects
Please describe any lessons learned from both successes and failures alike. What strategies
worked well that might be replicated elsewhere and what approaches,fell short oj'expectations?
Why?
Project Materials and Photos (list here and attach)
Please email inquiries and all documents to:
Elizabeth Loudon,WaterWorks Grant Administrator
Wastewater Treatment Division
Phone: 206-477-4297 Email: water.grants@Dkingeounty.gov
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 20 of 21
EXHIBIT J: FUNDING AUTHORITY
The funding authority for this AWARD comes from the COUNTY, through its Department of
Natural Resources and Parks, which operates a regional system of sewage treatment and
conveyance facilities for which it collects charges from local governments. Said charges
constitute the source of revenue for operation of the COUNTY's sewage treatment system. By
agreement with said local governments, this revenue can be used only to fund expenditures that
are related to the development, operation,maintenance, and replacement and improvement of
said system. By budget authority, the COUNTY funds activities related to the regional water
quality objectives advanced by the development of the sewage treatment system.
Agreement between City of Kent and King County
Leber Homestead—Arsenic Remediation—Round 1,2015
Page 21 of 21
REQUEST F NATURE
I T Print on Che i y-(rdored ="•'aoer
w, a„ T— � ,v
Routing Information: ., _ ...
(ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
APProvgd`� 'tor
Originator: Cheryl Viseth for Matt Knox Phone (Originator): 55 4 J 5551
Date Sent: Dct?4 29-l-& li/ E Date Required: Nov 71 2016
Return Signed Document to: Cheryl Viseth Contract Termination Date: Oct 311 2018
VENDOR NAME: Date Finance Notified:
KingCounty (Only required on contracts
y 20 000 and over or on any Grant j
DATE OF COUNCIL APPROVAL: Date Risk Manager Notified:/
OCt 4� 20�.6 (Required on Non-City Standard Contracts A reements
Has this Document been Specificall Account Number: ®2�®73r
Authorized in the.Budget? ® YES8NO
Brief Explanation of Document:
The WaterWorks Grant agreement in the amount of $100,000;provides for final phase
construction for the Mill Creek Side Channel — Leber Restoration project.
All Contracts Must Be Routed Through The Law Department
(This area to be completed by the Law Department)
Received: ' I
Approval of Law Dept.:
Law Dept. Comments:
Date Forwarded to mayor:
Shaded Areas To Be Completed By Administration Staff
Received:
Recommendations and Comments:
r.� f.
DF � �� ` " :�✓�rv"�t�'C r��J�pit � f�i+[� e�s'
7 '
Date Returned:
P:ILINI4�oim menlPmw smplReque I lopMayors slgnatureaou
0p9'�%�ip.{OF KEFryNT
0'1jrCV :'fIl," VI