HomeMy WebLinkAboutCAG2024-239 - Original - King County - Kent Lakes Water Quality Monitoring - 05/07/2024 FOR CITY OF KENT OFFICIAL USE ONLY
Sup/Mgr:
Agreement Routing Form DirAsst:
• For Approvals,Signatures and Records Management Dir/Dep:
KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover (Optional)
WASHINGTON Sheet forms. (Print on pink or cherry colored paper)
Originator: Department:
Karin Bayes/Rowena Valencia-Gica Public Works
Date Sent: Date Required:
c 04/22/2024 4/22/2024
Q Mayor or Designee to Sign. Date of Council Approval:
Q Interlocal Agreement Uploaded to Website Not needed
Budget Account Number: Grant? Yes[Z] NOE:]
TBD
Budget? Yes E]No Type: N/A
Vendor Name: Category:
King County Grant: Non-Real Property
Vendor Number: Sub-Category:
Original
0
Project Name: Kent Lakes Water Quality Monitoring
3- Project Details: This project is for the Lake Water Quality Monitoring Project at Lake Meridian and Lake Fenwick,two lakes within the city limits,
0 through 2025.The City of Kent would work in partnership with the King County Lake Stewardship Program,and multiple water quality
4- parameters will be collected by volunteers to track long term trends and the effects of multiple water quality improvement projects
r_ _implemented by the City,including the Lake Fenwick aerator improvements previously funded by WaterWorks.
40
r_
(11.111 Basis for Selection of Contractor:
Agreement (DODO Other
E *Memo to Mayor must be attached
A- Start Date: March 2024 Termination Date: 10/31/2026
a Local Business? Yes F—INO*If meets requirements per KCC 3.70.100,please complete"Vendor Purchase-Local Exceptions"form on Cityspace.
Business License Verification: ❑Yes In-Process F1 Exempt(KCC 5.01.045) FlAuthorized Signer Verified
Notice required prior to disclosure? Contract Number:
Yes❑No CAG2024-239
Comments:
Routed via DocuSign
0
� c
IM }.
a,
a
Date Received:City Attorney: 4/23/24 Date Routed:Mayor's Office 5/9/24 'ty Clerk's Office 5/20/24
adccW22373_7_20 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.20221201
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
LQ'
2023 WaterWorks Grant Program
King County Grant Agreement Cover Page
Grant Cycle: 2023 WaterWorks Council Allocated
Recipient: City of Kent
Project Name: Kent Lakes Water Quality Monitoring
Funding Amount: $60,000.00
Project Summary: This project is for the Lake Water Quality
Monitoring Project at Lake Meridian and Lake
Fenwick, two lakes within the city limits, through
2025. The City of Kent would work in partnership
with the King County Lake Stewardship Program,
and multiple water quality parameters will be
collected by volunteers to track long term trends and
the effects of multiple water quality improvement
projects implemented by the City, including the
Lake Fenwick aerator improvements previously
funded by WaterWorks.
Primary Contact: Rowena Valencia-Gica
Phone: 253-856-5551
Email: ralencia@kentwa.gov
Start Date: 5/7/2024
End Date: 10/31/26
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
Waterworks Grant Program
Grant Agreement
AGREEMENT
between
City of Kent
and
KING COUNTY
This is an Agreement between City of Kent, hereinafter"City"or 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 RECIPIENT in exchange for financial assistance in
carrying out a proposed project entitled Kent Lakes Water Quality Monitoring, 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 is for the Lake Water
Quality Monitoring Project at Lake Meridian and Lake Fenwick, two lakes within
the City's limitsthrough-March 2026. The City will work in partnership with the
King County Lake Stewardship Program, and multiple water quality parameters
will be collected by King County Lakes Stewardship Program volunteers to track
long term trends and the effects of multiple water quality improvement projects
implemented by the City, including the Lake Fenwick aerator improvements
previously funded by WaterWorks.
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 $60,000.00,
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$7,200.00, to be verified in submitted PROJECT reports.
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
Agreement between
City of Kent and King County
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 1
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
and be approved by the WaterWorks Grant Manager in the COUNTY's Department of
Natural Resources and Parks, Wastewater Treatment Division.
B. 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 some cases at the
discretion of the COUNTY, where advances of the AWARD may be made. For all
projects,the last payment will be withheld by the COUNTY until the final Quarterly
Report and the Final Report are approved.
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 Reports. The final payment 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 Reports and the Final Report; including backup
documentation such as photos, copies of reports, and financial backup such as
accounting software reports, copies of receipts.
2. Quarterly Reports shall be submitted through the online system using the
provided format and following instructions from WaterWorks grant
administrators.
a. The Quarterly Reports are due thirty (30) days after the end of each
quarter.
b. If no expenses are made or no activities are conducted during a quarter,
the form should still be submitted.
c. The expense section should detail expenses and include backup
documentation of expenses. The narrative section should include
documentation proving the project activities took place, such as photos,
workshop agenda, volunteer sign in sheets, etc.
3. RECIPIENTS that receive approval for advance payments shall submit a request
with an estimate of expenses for upcoming activities in the next two quarters,
using the form provided. Subsequent advance requests may only be approved if
Agreement between
City of Kent and King County
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 2
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
the RECIPIENT is up to date with reporting. Advances may be paid up to 90% of
the total award, the remainder may be withheld until the Final Report has been
submitted.
4. The Final Report shall be submitted online using the provided format and
following instructions from the Waterworks grant administrator and will include
closeout documentation.
a. The Final Report is due thirty (30) days after the end date of the
PROJECT.
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
funds for activities not completed by termination date.
F. Failure to provide all of the 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 during the effective dates of this Agreement.
H. Any and all activities to be funded by this Agreement to the RECIPIENT shall be
completed by the end date of 10/31/26. 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. 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.
Agreement between
City of Kent and King County
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 3
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
B. The COUNTY's financial assistance to the RECIPIENT shall be construed by the parties
as a special disbursement to the RECIPIENT to fund 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 the 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 who are not employees of the COUNTY or volunteers
recruited by the COUNTY. Individuals hired and paid by the RECIPIENT who are not
employees or volunteers of the COUNTY shall not, in any event,be construed to be
employees of, or contractors to, the COUNTY and the RECIPIENT shall defend,
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
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
Agreement between
City of Kent and King County
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 4
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
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.
L. Counterparts. 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.
Agreement between
City of Kent and King County
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 5
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
AGREEMENT SIGNATURE PAGE
City of Kent by:
DocuSigneedby::PAIL
Signature: 93E99D67ED24142
Dana Ralph, City Mayor
5/2/2024
Date:
KING COUNTY by:
DocuSigned by:
E
Signature: DA8A7BA8E0454B3...
Jim Bolger, Section Manager, Wastewater Treatment Division
5/7/2024
Date:
Agreement between
City of Kent and King County
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 6
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
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.
Scope of Work:
Task
# Tasks and Activities Measurable Results/Deliverables Timeframe
1 Lakes Water Quality Monitoring:monitor City of Kent will enter into an ILA with King County Lakes March 2024 to
water quality of Lake Meridian and Lake Stewardship Program in March 2024 to conduct monthly March 2026
Fenwick for 2 years and submit reports water quality monitoring for Lake Meridian and Lake
Fenwick from May 2024 to October 2025.Annual Monitoring
Reports will be submitted to the City and King County
WTD/WaterWorks Grant Coordinator by March 2025 and
March 2026
2 Acknowledge WaterWorks Funding Include acknowledgement of King County WTD funding in March 2024 to
relevant outreach materials when possible. City staff will March 2026
acknowledge King County WTD funding during the Lake
Meridian Homeowners Association annual meetings.
Agreement between
City of Kent and King County
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 7
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
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 expenditure category might deviate more than twenty percent (20%
of award total) for projects over $50,000; OR for projects less than or equal to $50,000, if the
change is greater than $10,000. For more information, contact your grant administrator.
BUDGET CATEGORY ITEMS: Description WaterWorks Grant
Funding Request
Staff salaries & benefits
Project Manager(40hrs*$104);
Staff salaries & benefits (using Supervisor(19*$121); Finance staff $8,000.00
billing or fully burdened rates) (8*$72); Finance staff(8*$97);
Contracting Specialist (2*$82)
Project supplies, materials, and
equipment
Commercial services
Consultant/contractor services $52,000.00
Transportation
Other costs
Overhead
TOTAL Request $60,000.00
Type of Match Match source. Secured? Y/N Match Amount
Cash Match
In-kind Match Yes $7,200.00
Sub-total Match $7,200.00
Total Project Budget $67,200.00
Agreement between
City of Kent and King County
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 8
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
EXHIBIT C: ACKNOWLEDGEMENTS AND DISCLAIMERS
L41
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, visit
https://kin_cg ogpty.gov/en/dept/dW/about-kin_-cg ounty/about-d=/grants-
partnerships/waterworks-,grant/resources-for-,grant-recipients or 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 following sentence with the logo:
This project is funded by the King County Wastewater Treatment Division
If your PROJECT has multiple fenders, 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
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 9
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
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 and
approved prior to any further payments of 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 twenty percent(20%) of the total AWARD
amount if the award is greater than $50,000, OR if the budget may deviate more than $10,000 for
projects less than$50,000. This form is available from your grant administrator.
BALANCE OF AWARD: Any amount of your AWARD not spent on this PROJECT, or not
documented with approved backup documentation, must be returned to KING COUNTY, if an
advance was issued.
ELIGIBLE CHARGES: Only expenses in the categories listed in the budget (Exhibit B) of this
grant agreement can be covered by this AWARD and only up to the indicated amount without
prior authorization.
END DATE: The end of the time period to complete activities funded by this agreement. Any
activities or expenses incurred after this date cannot be reimbursed or covered by this agreement.
FINAL REPORT: This report documents the successful completion of the PROJECT according
to the scope of work. The Final Report is due thirty (30) days after the end of your agreement
period and must be submitted online, following instructions from the Waterworks grant
administrator.
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 Final Report.
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
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 10
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
QUARTERLY REPORTS: This report includes two sections; a progress section that provides
a status report on the progress of activities and tasks identified in the scope of work; and an
expense section for reimbursement or documentation of costs each quarter. The quarterly reports
are due thirty(30) days after the end of each quarter. Quarterly reports must be submitted even if
no work was completed towards tasks or if no expenses were incurred during the quarter.
SCOPE OF WORK: Keep track of your activities as they relate to the scope of work you
provided(Exhibit A). You will have to document the progress when submitting your Quarterly
Reports and Final Closeout Report.
START DATE: The start date of this agreement(same as effective date) is the date of the
COUNTY signatory. Expenses can be posted as of the start date of your agreement but not
sooner. Any work performed or costs incurred prior to the effective date of this agreement will
be at the sole expense of the RECIPIENT.
Agreement between
City of Kent and King County
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 11
DocuSign Envelope ID:2CA6EA7C-7BA6-449A-A86E-A6E9DE324348
EXHIBIT E: 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
Kent Lakes Water Quality Monitoring—2023 WaterWorks Council Allocated
Page 12
DocuSign
Certificate Of Completion
Envelope Id:2CA6EA7C7BA6449AA86EA6E9DE324348 Status:Completed
Subject:Complete with DocuSign: DraftAgreement-CG23-CityofKent-KentLakesv3.pdf
Source Envelope:
Document Pages: 13 Signatures:2 Envelope Originator:
Certificate Pages:5 Initials:0 Elizabeth Loudon
AutoNav: Enabled 401 5TH AVE
Envelopeld Stamping:Enabled SEATTLE,WA 98104
Time Zone:(UTC-08:00)Pacific Time(US&Canada) elizabeth.loudon@kingcounty.gov
IP Address:68.74.205.45
Record Tracking
Status:Original Holder: Elizabeth Loudon Location: DocuSign
4/12/2024 10:34:28 AM elizabeth.loudon@kingcounty.gov
Security Appliance Status:Connected Pool:FedRamp
Storage Appliance Status:Connected Pool:King County-Dept of Natural Resources& Location: DocuSign
Parks-Wastewater Treatment
Signer Events Signature Timestamp
Dana Ralph ED...Signed by. Sent:4/12/2024 4:12:27 PM
dralph@kentwa.gov aJAA F'0JfL Viewed:5/2/2024 8:32:25 AM
Mayor 93E99067Eo24442 Signed:5/2/2024 8:32:32 AM
Security Level:Email,Account Authentication
(None) Signature Adoption: Pre-selected Style
Using IP Address: 146.129.252.126
Electronic Record and Signature Disclosure:
Accepted:5/2/2022 4:58:36 PM
ID:8e639680-bff1-4e63-9918-6e3a221 a059f
Jim Bolger D Sg dby. Sent:5/7/2024 2:39:18 PM
jbolger@kingcounty.gov =L — Viewed:5/7/2024 3:04:55 PM
Environmental Prog.Sect Mgr EDASA713ME0454133 Signed:5/7/2024 3:12:28 PM
King County-WTD
Signature Adoption: Uploaded Signature Image
Security Level:Email,Account Authentication
(None) Using IP Address:24.113.76.159
Electronic Record and Signature Disclosure:
Accepted:7/30/2020 10:45:10 AM
ID:6b372429-24d3-45a4-9084-5a9d4f147421
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
Rowena Valencia-Gica I EViVE D Sent:4/12/2024 10:38:22 AM
rvalencia@kentwa.gov Viewed:4/12/2024 4:12:26 PM
Security Level: Email,Account Authentication
(None) Using IP Address: 146.129.252.126
Electronic Record and Signature Disclosure:
Certified Delivery Events Status Timestamp
Accepted:4/12/2024 4:12:26 PM
ID:2c7ed362-e5ee-4e09-9024-6435c3afb289
Kai Fulginiti I EVIV E D Sent:5/2/2024 8:32:33 AM
kfulginiti@kingcounty.gov Viewed:5/7/2024 2:39:18 PM
Water Quality Plnr/Prj Mgr II
King County WTD Using IP Address: 174.21.156.71
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Carbon Copy Events Status Timestamp
Kai FulginitiI E Sent:5/7/2024 3:12:30 PM
kfulginiti@kingcounty.gov
Water Quality Plnr/Prj Mgr II
King County WTD
Security Level:Email,Account Authentication
(None)
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 4/12/2024 10:38:22 AM
Certified Delivered Security Checked 5/7/2024 3:04:55 PM
Signing Complete Security Checked 5/7/2024 3:12:28 PM
Completed Security Checked 5/7/2024 3:12:30 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on:6/25/2020 6:57:10 AM
Parties agreed to: Dana Ralph,Jim Bolger,Rowena Valencia-Gica
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, King County-Department of Natural Resources and Parks-Wastewater
Treatment(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
$0.00 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
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 King County-Department of Natural Resources and Parks-Wastewater
Treatment:
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: ohansen@kingcounty.gov
To advise King County-Department of Natural Resources and Parks-Wastewater
Treatment 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 ohansen@kingcounty.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 King County-Department of Natural Resources and Parks-
Wastewater Treatment
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 ohansen@kingcounty.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 King County-Department of Natural Resources and Parks-
Wastewater Treatment
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 ohansen@kingcounty.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:Hsppport.docusi n c�om/guides/si ig ler- uig de-
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 King County-Department of Natural Resources and Parks-
Wastewater Treatment 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 King County-
Department of Natural Resources and Parks-Wastewater Treatment during the course of
your relationship with King County-Department of Natural Resources and Parks-
Wastewater Treatment.