HomeMy WebLinkAboutCAG2023-099 - Original - WA State Department of Commerce - Panther Lake Community Park - 02/17/20232/9/2023
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CAG2023-099
2/21/23
X
state
Contract
Washington State Capital Budget
2022 Local & Community Projects
Working Papers
Grantee: City of Kent
Project Title: Panther Lake Community Park (Kent)
Net Grant Amount: $1,960,000.00
Instructions:
LEED Certification Declaration
SECTION 1. GENERAL INFORMATION
1.1 City of Kent
1.2 X
1.3 SWV0000552-00
1.4 173 000 002
1.5 91-6001254
1.6 13525 SE 216 th ST Kent WA 98042
1.7 220 4th AVE S Kent WA 98032
1.8 King
1.9
47.407469 122.161605
1.10 King, Kent
1.11 47
1.12 8
1.13 Pat Sullivan, Mona Das, Debra Entenman
1.14 Dana Ralph
Mayor
253 856 5700
1.15 Bryan Higgins
253 856 5113
SECTION 2. PROJECT INFORMATION
PROJECT DESCRIPTION
2.1
2.2 X YES NO
SITE CONTROL
2.3
(at least 10 years)
IMPORTANT:Site control is required before we can begin writing the contract.
X YES NO
GOVERNOR EXECUTIVE ORDER 21-02 (EO 21-02) CULTURAL & HISTORICAL RESOURCES REVIEW (OR SECTION 106)
2.4
2.4a .
IMPORTANT: If EO 21-02 (or Section 106) applies to your project, you will need to
complete this review before we can execute the contract.1
X YES NO
LEED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN) CERTIFICATION
2.5 YES x NO
IMPORTANT: As part of your contracting process, you are required to complete a LEED Certification
Declaration form.
PREVAILING WAGE
2.6 x YES
SCOPE OF WORK
2.7 IMPORTANT: Provide a description of the project along with the estimated start and end date.Your Scope
of Work must correspond with your application or member request and will become part of your contract.
LEED Certification Declaration
PROJECT COSTS
2.8 if your budget is finalized.
IMPORTANT:Your Total Project Costs must equal your Total Funding in Question 2.9. The cost categories
must correspond with the activities listed on your Scope of Work. The Project Cost table will become part
of your contract. Please note that this is a reimbursement grant; only costs incurred after July 1, 2018 will
be reimbursed.
IMPORTANT:A finalized budget is required before we can begin writing the contract.
IMPORTANT: Internal project management is NOT an eligible cost for reimbursement.
Cost Category Amount
Permitting, Survey, Testing, Certification, Etc.
TOTAL PROJECT COSTS (must match 2.8 Total Project
Funding) $3,960,000
PROJECT FUNDING
2.9
Committed
In-Hand
IMPORTANT: Your Total Project Funding must equal your Total Project Costs in Question 2.8. The Project
Funding table will become part of your contract. You are required to have full funding for your project by
either having the funds in-hand or by showing that the funds are committed.
IMPORTANT: All project funding is required before we can begin writing the contract.
Type of Funding Identify Source Amount
Status
(Committed or In-Hand)
State Grant Department of Commerce $1,960,000.00 Committed
Other Funds (e.g. State, Federal, Local, Grants, Private, Loans)
Total Other:
TOTAL PROJECT FUNDING (must match 2.8 Total Project
Costs) $3,960,000
CONTINGENCIES
2.10
PROJECTIONS
3.0
Fiscal Year 2023
Q6
Q7
Q8
Total
Fiscal Year 2024
Q1
Q2
Q3
Q4
Total
Fiscal Year 2025
Q5
Q6
Q7
Q8
Total
GRANTEE CERTIFICATION
02/17/2023
Eligible Costs Ineligible Costs
project management (from
any source)****;
Construction management and observation
Furnishings and equipment
Costs directly associated with property
**** In no way shall funds be used to supplant or subsidize operating costs such as ordinary
maintenance or administrative staff expenses
Note: Please do not include operating costs in your project scope and budget.
Signature: Terry Jurg an (Febf2023 PST)
Email: tjungman@kentwa.gov
Signature: L�-
Email: rlashley@kentwa.gov
Signature:
Juli arascondola (Feb 7, 20231L27 PST)
Email: jparascondola@kentwa.gov
WA St Dept of Commerce Grant -Panther Lake
Community Park
Final Audit Report 2023-02-07
Created: 2023-02-02
By: KateLynn Jennings (kjennings@kentwa.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAH9Q50shYrp3nekYnmF_OR_2tZUC8Cjgt
"WA St Dept of Commerce Grant -Panther Lake Community Park
" History
Document created by KateLynn Jennings (kjennings@kentwa.gov)
2023-02-02 - 4:30:10 PM GMT- IP address: 146.129.252.126
Document emailed to tjungman@kentwa.gov for signature
2023-02-02 - 4:31:18 PM GMT
RL Email viewed by tjungman@kentwa.gov
2023-02-02 - 6:21:40 PM GMT- IP address: 146.129.252.126
7a Signer tjungman@kentwa.gov entered name at signing as Terry Jungman
2023-02-02 - 6:23:16 PM GMT- IP address: 146.129.252.126
Document e-signed by Terry Jungman (tjungman@kentwa.gov)
Signature Date: 2023-02-02 - 6:23:18 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature
2023-02-02 - 6:23:19 PM GMT
Email viewed by Ronald Lashley (rlashley@kentwa.gov)
2023-02-03 - 11:30:55 PM GMT- IP address: 146.129.252.126
Document e-signed by Ronald Lashley (rlashley@kentwa.gov)
Signature Date: 2023-02-04 - 0:08:59 AM GMT - Time Source: server- IP address: 146.129.252.126
P4 Document emailed to bjlevenhagen@kentwa.gov for signature
2023-02-04 - 0:09:00 AM GMT
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KateLynn Jennings (kjennings@kentwa.gov) added alternate signer Julie Parascondola
(jparascondola@kentwa.gov). The original signer bjlevenhagen@kentwa.gov can still sign.
2023-02-06 - 6:48:25 PM GMT- IP address: 146.129.252.126
Document emailed to Julie Parascondola (jparascondola@kentwa.gov) for signature
2023-02-06 - 6:48:25 PM GMT
Email viewed by Julie Parascondola (jparascondola@kentwa.gov)
2023-02-07 - 7:27:43 PM GMT- IP address: 146.129.252.126
E= Document e-signed by Julie Parascondola Qparascondola@kentwa.gov)
Signature Date: 2023-02-07 - 7:27:59 PM GMT - Time Source: server- IP address: 146.129.252.126
Agreement completed.
2023-02-07 - 7:27:59 PM GMT
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