HomeMy WebLinkAboutPW17-363 - Amendment - #C - WA State Dept of Commerce - 228th Bikeway Grant 14-93220-018 - 05/06/2021ApprovalOriginator:Department:
Date Sent:Date Required:
Authorized to Sign:
Director or Designee Mayor
Date of Council Approval:
Grant? Yes No
Type:Review/Signatures/RoutingDate Received by City Attorney:
Comments:
Date Routed to the Mayor’s Office:
Date Routed to the City Clerk’s Office:Agreement InformationVendor Name:Category:
Vendor Number:Sub-Category:
Project Name:
Project Details:
Agreement Amount:
Start Date:
Basis for Selection of Contractor:
Termination Date:
Local Business? Yes No*
Business License Verification: Yes In-Process Exempt (KCC 5.01.045)
If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace.
Notice required prior to disclosure?
Yes No
Contract Number:
Agreement Routing Form
For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor’s Signature and Contract Cover Sheet forms.
(Print on pink or cherry colored paper)
Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20
Budget Account Number:
Budget? Yes No
Dir Asst:
Sup/Mgr:
Dir/Dep:
rev. 200821
FOR CITY OF KENT OFFICIAL USE ONLY
(Optional)
* Memo to Mayor must be attached
Face Sheet - Amendment
1/7/09 1
Contract Number: 14-93220-018
Amendment Number: C
Washington State Department of Commerce
Local Government Division
Projects that Strengthen Communities
1. Contractor 2. Contractor Doing Business As (optional)
City of Kent
400 West Gowe Street
Kent, Washington 98032
3. Contractor Representative (only if updated) 4. Commerce Representative (only if updated)
Kari Sample
Project Manager
(360) 764-3090
kari.sample@commerce.wa.gov
Community Capital Facilities
P.O. Box 42525
1011 Plum Street SE
Olympia, WA 98504-2525
5. Original Contract Amount 6. Amendment Amount 7. New Contract Amount
$727,500.00 N/A N/A
8. Amendment Funding Source 9. Amendment Start Date 10. Amendment End Date
Federal: State: Other: N/A: Upon final signature. 6/30/2023
11. Federal Funds (as applicable)
None
Federal Agency
None
CFDA Number
None
12. Amendment Purpose:
The Parties desire to extend the grant period of the contract
Commerce, defined as the Department of Commerce, and the Contractor acknowledge and accept the terms of this Contract As
Amended and have executed this Contract Amendment on the date below to start as of the date and year referenced above. The rights
and obligations of both parties to this Contract As Amended are governed by this Contract Amendment and all other documents
incorporated by reference. A copy of this Contract Amendment shall be attached to and made a part of the original Contract between
Commerce and the Contractor. Any reference in the original Contract to the "Contract" shall mean the "Contract as Amended".
FOR THE CONTRACTOR FOR COMMERCE
Dana Ralph, Mayor
Date
Mark K. Barkley
Assistant Director
Date
DocuSign Envelope ID: 10E641C7-98C8-4D69-AB95-BDB6AD59AB82
5/6/2021 | 2:40 PM PDT
5/6/2021 | 2:48 PM PDT
Amendment
1/28/13 2
The contract face sheet is revised to change the contract end date from 6/30/2021 to 6/30/2023.
Special Terms and Conditions Section REAPPROPRIATIONS is hereby revised:
“The parties hereto understand and agree that any state funds not expended by June 30, 2023
will lapse on that date unless specifically reappropriated by the Washington State Legislature. If
funds are so reappropriated, the state's obligation under the terms of this contract shall be
contingent upon the terms of such reappropriation.”
ALL OTHER TERMS AND CONDITIONS OF THIS CONTRACT INCLUDING ANY AMENDMENTS AND
ATTACHMENTS, REMAIN IN FULL FORCE AND EFFECT.
DocuSign Envelope ID: 10E641C7-98C8-4D69-AB95-BDB6AD59AB82
This Routing sheet is for the contract extensions for CCF – Capital Programs LCP’s ONLY
Name Initial’s Date
Lea Ford
DocuSign Envelope ID: 10E641C7-98C8-4D69-AB95-BDB6AD59AB82
Operations Manager 5/6/2021 | 2:41 PM PDT
Certificate Of Completion
Envelope Id: 10E641C798C84D69AB95BDB6AD59AB82 Status: Completed
Subject: Please DocuSign: 14-93220-018 City of Kent Interurban Trail - Contract Amendment C.pdf, Routing...
Division:
Local Government
Program: Community Capital Facilities
ContractNumber: 14-93220-018
Source Envelope:
Document Pages: 3 Signatures: 2 Envelope Originator:
Certificate Pages: 5 Initials: 1 Kari Sample
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
1011 Plum Street SE
MS 42525
Olympia, WA 98504-2525
kari.sample@commerce.wa.gov
IP Address: 198.239.10.236
Record Tracking
Status: Original
4/28/2021 8:22:59 AM
Holder: Kari Sample
kari.sample@commerce.wa.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: Washington State Department of Commerce Location: DocuSign
Signer Events Signature Timestamp
Mayor Dana Ralph
mayor@KentWA.gov
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 146.129.252.126
Sent: 4/28/2021 8:27:31 AM
Resent: 5/4/2021 10:41:51 AM
Viewed: 4/28/2021 2:33:30 PM
Signed: 5/6/2021 2:40:13 PM
Electronic Record and Signature Disclosure:
Accepted: 4/28/2021 2:33:30 PM
ID: 00531db9-9813-43d0-af8c-5f687c05b82f
Lea Ford
lea.ford@commerce.wa.gov
Washington State Department of Commerce
Security Level: Email, Account Authentication
(None)Signature Adoption: Drawn on Device
Using IP Address: 198.239.10.192
Sent: 5/6/2021 2:40:15 PM
Viewed: 5/6/2021 2:41:09 PM
Signed: 5/6/2021 2:41:21 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Mark Barkley
mark.barkley@commerce.wa.gov
Assistant Director
Washington State Department of Commerce
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.239.157.57
Sent: 5/6/2021 2:41:24 PM
Viewed: 5/6/2021 2:48:36 PM
Signed: 5/6/2021 2:48:40 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Christina Schuck
CSchuck@kentwa.gov
Assistant City Attorney
Security Level: Email, Account Authentication
(None)
Using IP Address: 146.129.252.126
Sent: 5/4/2021 10:41:07 AM
Viewed: 5/4/2021 10:41:51 AM
Electronic Record and Signature Disclosure:
Accepted: 5/4/2021 10:41:51 AM
ID: 3692e86a-1911-493f-bf61-3fcf4c8054ae
Carbon Copy Events Status Timestamp
Kari Sample
kari.sample@commerce.wa.gov
Washington State Department of Commerce
Security Level: Email, Account Authentication
(None)
Sent: 5/6/2021 2:48:42 PM
Resent: 5/6/2021 2:48:44 PM
Viewed: 5/6/2021 4:02:36 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 4/28/2021 8:27:31 AM
Certified Delivered Security Checked 5/6/2021 2:48:36 PM
Signing Complete Security Checked 5/6/2021 2:48:40 PM
Completed Security Checked 5/6/2021 2:48:42 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Washington State Department of Commerce (we, us or Company) may be
required by law to provide to you certain written notices or disclosures. Described below are the
terms and conditions for providing to you such notices and disclosures electronically through the
DocuSign system. Please read the information below carefully and thoroughly, and if you can
access this information electronically to your satisfaction and agree to this Electronic Record and
Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to
‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the
DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. You will have the ability to download and print documents we send
to you through the DocuSign system during and immediately after the signing session and, if you
elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a
$0.15 per-page fee. You may request delivery of such paper copies from us by following the
procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to
receive required notices and consents electronically from us or to sign electronically documents
from us.
All notices and disclosures will be sent to you electronically
Electronic Record and Signature Disclosure created on: 8/11/2020 4:44:12 PM
Parties agreed to: Mayor Dana Ralph, Christina Schuck
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
How to contact Washington State Department of Commerce:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: docusign@commerce.wa.gov
To advise Washington State Department of Commerce of your new email address
To let us know of a change in your email address where we should send notices and disclosures
electronically to you, you must send an email message to us at docusign@commerce.wa.gov and
in the body of such request you must state: your previous email address, your new email
address. We do not require any other information from you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your
account preferences.
To request paper copies from Washington State Department of Commerce
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an email to docusign@commerce.wa.gov and in
the body of such request you must state your email address, full name, mailing address, and
telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with Washington State Department of Commerce
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to docusign@commerce.wa.gov and in the body of such request you must
state your email, full name, mailing address, and telephone number. We do not need any other
information from you to withdraw consent.. The consequences of your withdrawing consent for
online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: https://support.docusign.com/guides/signer-guide-
signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for
your future reference and access; or (ii) that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before
clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm
that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
Until or unless you notify Washington State Department of Commerce as described
above, you consent to receive exclusively through electronic means all notices,
disclosures, authorizations, acknowledgements, and other documents that are required to
be provided or made available to you by Washington State Department of Commerce
during the course of your relationship with Washington State Department of Commerce.