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Regular Public Meeting 08.04.2026

Page 1

Board of Cowlitz County Commissioners

Steve Rader, Commissioner District 1 Steven L. Ferrell, Commissioner District 2 Richard R. Dahl, Commissioner District 3 Kelly Grayson, Clerk of the Board

Regular Public Meeting August 4, 2026, 9:00 a.m. Board Meeting Convenes at 9:00 a.m. • • • • • •

Invocation by Invitation Pledge of Allegiance Minutes of July 27-28, 2026 Consent Agenda of August 4, 2026 o Contracts/Agreements/Bid Awards o Correspondence Motion Items Public Comments o Citizen Participation may be anonymous. See RCW 42.30.040

ZOOM Link

KLTV Link

Live Stream

Phone Option: (253) 215-8782 Webinar ID: 820 1961 3917

Print Agenda

Consent Agenda Contracts/Agreements/Bid Awards Public Works 1. Amendment #7 to the Professional Services Agreement with RH2 Engineering for the Shadow Mountain Reservoir Project extending the expiration date until December 31, 2027, and increasing the not-to exceed amount by $96,000. The total authorized amount is $636,489. (231380) 2. Contract Execution and Bond in Lieu of Retainage with Tapani, Inc. for the Burma Road Toutle Park Bypass Road Project. The total cost is $1,234,000. (231261) Human Resources 3. Humana Group Medicare Advantage Plan Renewal for LEOFF 1 Retirees. (231414) Commissioners 4. Southwest Washington Regional Airport 2025-2026 Budget. (231681) Correspondence 5. Letters/Notices a. Executed Perpetual Easement with Raymond and Viola Clark for permanent access to the Pig Station #1 Leachate Transmission Pipeline. (231296)

Page 1 of 3


Regular Public Meeting August 8, 2026, 9:00 a.m. b. Federal Energy Regulatory Commission (FERC) letter dated 07/27/2026 regarding the Authorization for Construction, Right Abutment Seepage Monitoring Improvements, Swift No. 1 Projects. (231447) c. Federal Energy Regulatory Commission (FERC) letter dated 07/27/2026 regarding the Part 12D Inspection Plan and Independent Consultant (IC) Team Proposal, Comprehensive Assessment of the Merwin Hydroelectric Project. (231445) Vouchers The following vouchers/warrants are approved for payment. Funds Claims Claims Special Purpose District No. 1 Special Purpose District No. 1 Special Purpose District No. 2 Special Purpose District No. 2 Total

Voucher Numbers 1000073502-1000073599 1000027984-1000028053 5000021400-5000021411 5000004187-5000004198 7000004618-7000004632 7000000651-7000000653

$

$

Amount 435,345.03 3,526,570.69 23,153.19 546,804.32 42,652.29 892.35 4,575,417.87

Motion Items Public Works 6. Bid Award to Western United Civil Group for the South Toutle Road Headwall Repair Project. The total amount is $167,700. (231490) Health & Human Services 7. Contract with Washington State Department of Social Services to provide funding for the Developmental Disability Program through June 30, 2027. The reimbursement will not exceed $2,745,890. (231667)

Updates Chairman Updates Cancellations/Closures • Tuesday, September 8th – Office Closed Upcoming Meetings: • Tuesday, August 25th @ 10:00 a.m. – Board of Health • Tuesday, September 22nd @ 10:00 a.m. – Department of Ecology

Page 2 of 3


Regular Public Meeting August 8, 2026, 9:00 a.m. RCW 42.30.040 – Conditions to attendance not to be required. A member of the public shall not be required, as a condition to attendance at a meeting of a governing body, to register his or her name and other information, to complete a questionnaire, or otherwise to fulfill any condition precedent to his or her attendance. People may remain anonymous when logging on to Zoom by creating any name and email of their choosing. In a meeting, public comment will be received, either or both, orally (raise hand in Zoom or use *9 on phone) and by writing. Note: Written comments may be sent to the Board at any time. For oral presentations, the Board may set a time for comments and speakers. All matters listed with the Consent Agenda were previously distributed to each Board Member for reading and study, were available for public viewing, are considered items of regular County business, and will be approved, without separate discussion, by one motion of the Board of County Commissioners. An item may be removed from the Consent Agenda and placed on the Regular Agenda for separate discussion and voting at the request of any Board Member. The Board of Commissioners may add and take action on other items not listed on this Agenda. • • •

Agenda Online Address: https://www.co.cowlitz.wa.us/535/Agendas---Regular-Public-Meetings ZOOM Invitation Address (for all meeting days): o https://us06web.zoom.us/j/82019613917 KLTV Live Feed Address: http://www.kltv.org

Page 3 of 3


231380

BOCC

Consent

Agenda

Agenda

Meeting Date: 8/ 4/ 2026 AMMENDMENT NO. 7 - Shadow Mountain Reservoir- Project No. 2953- RH2 Engineering, Inc. Submitted By: Averie Mejia, Administrative Assistant III Submitted For: Susan Eugenis, County Engineer Department:

Roads

Administration

Information

Subject and Summary Statement

Attached is Amendment No. 7 to the Professional Services Agreement with RH2 Engineering for the Toutle Water System Improvement Projects. The purpose of the amendment is to extend the expiration

date to December 31, 2027 and to increase the not to exceed amount by $96, 000 for a total authorized amount of$ 636, 489 to complete work detailed in Exhibit A. This additional work is required to meet the

requirements of the USEPA grant and to provide services during construction. Staff Attendance Susan

Eugenis

Department

Recommendation

It is the recommendation

of the Department

of Public Works that the Board move to approve

Amendment No. 7, to the Professional Services Agreement, with RH2 Engineering, Inc., for the Shadow Mountain

Reservoir

Project.

Form

Task

User Mejia,

Averie

Eugenis,

Susan

Review

Action

Timestamp

Item Submission

Submit

7/ 27/ 2026

8: 25: 00 AM

Review-

Submit

7/ 28/ 2026

6: 50: 00 AM

Preliminary Review-

Submit

7/ 28/ 2026

8: 48: 00 AM

Review-

Submit

7/ 28/ 2026

5: 19: 00 PM

Approver

Approve

7/ 28/ 2026

5: 21: 00 PM

Legal Review

Approve

7/ 29/ 2026

8: 44: 00 AM

Clerk of the Board

Approve

7/ 29/ 2026

8: 48: 00 AM

Agenda

Preliminary PW1

Cochrane,

Emilie

PW2 Eugenis,

Susan

Preliminary PW3

Eugenis,

Susan

Department Review

Jensen, Grayson,

Doug Kelly

Review


A4\' CC z CDIi

yes

CIO

PROFESSIONAL SERVICES AGREEMENT

45FI! HG D

THIS AGREEMENT is entered into between COWLITZ COUNTY, a political subdivision of the State of hereinafter called " County"

Washington, (

or " Cowlitz

Name:

RH2 Engineering

Address:

1201 Pacific Avenue, Suite 1750 Tacoma,

Phone

N4:

WA

County") and

98402

253- 272- 3059

hereinafter called " Contractor"). This Agreement is comprised of: Attachment

A—

Scope of Work

Attachment B— Compensation Attachment C— General

Conditions

Attachment D— Special Terms and Conditions and Retirement Status Form ( signature required)

Attachment

E— (

specify)

copies of which are attached hereto and incorporated herein by this reference as if fully set forth. G The

term

of this

terminated

CONT

provided

as

IN WITNESS

Agreement

WHEREOF,

shall

elsewhere

commence

in the Agreement,

n

G" tf

Dennis

Date:

the 31st

on

this-

day of December,

L day of

shall,

unless

1I2025.

dVUwJE1' 2022.

P.

TY, W

CO

SHI

eber, Commissi

TON

ner

U ( A rGi Arne

Title:

on

OF COWLITZ

004 f40

Print name:

terminate

BOARD OF COUNTY COMMISSIONERS

01

!

2022 and

day of

the

the parties have executed this Agreement

OR:

RH2 Engi

on

Mortensen,

Commissioner

11 `> ! + /' ?

2022 ssioner

A

5T:

Clerk of the 6oard

CONTRACT

HAS BEEN APPROVED

AS TO FORM

BY COWLITZ COUNTY PROSECUTING

ATTORNEY


PROFESSIONAL

ATTACHMENT

SERVICES AGREEMENT

SCOPE

OF WORK

The contractor agrees to complete the professional services work on the Cowlitz County, as described below(

or

in the attached

The Consultant

document),

will complete

including the following elements:

Toutle Water System

Improvement

Projects tasks as described

in the Scope of Work included as Attachment Al.

In the event the Contractor, or its agents or assigns, are unable to complete their work as scheduled, the

contract period and compensation may be adjusted by mutual agreement of the County and Contractor.

ATTACHMENT

A

Page 1

A


Attachment Al Scope of Work

Cowlitz County Toutle Water System improvement Projects September

2022

Background

The existing Toutle Water System consists of approximately 11 miles of 12- inch ductile iron transmission

main,

Road), and three

two

booster pumps

reservoirs (

BPS) (

stations (

Castle Rock intertie connection and Tower

Tower Road, South Silver Lake, and Shadow

Mountain

area).

There are

two areas within the existing system' s service area that do not have adequate pressure. Another area, not within the system' s service area, has water quality issues ( arsenic) from its wells. Cowlitz

County ( County)

requested

that

RH2

Engineering, Inc., ( RH2)

provide engineering services

for three projects. The first two projects include boosting pressure in the two low pressure zones and the design of a water main extension,

BPSs, and associated mechanical piping.

The first project near Tower Road ( Lower Zone High Pressure Line Tap) will require an analysis to determine if tapping the existing high- pressure water line at the Tower Road BPS or a new, separate

BPS would be the best alternative for service. Exhibit E shows the proposed number of Estimated Residential Units ( ERUs) and approximate service area for this project. The

second

construction

project

is

near

Juanita

Lane ( Upper

Zone

of a small BPS ( no file flow capacity required) .

BPS)

and will require the design and

Exhibit F shows the proposed number of

ERUs, possible BPS location, and approximate service area for this project.

The third project is the development of a BPS and distribution system to serve the Shadow Mountain area, located off Martin Road behind the Toutle High School. Exhibit G shows the proposed number of ERUs and approximate service area for this project. The major features of these projects are as follows.

Reporting and permitting with the Washington State Department of Health ( DOH).

Environmental documentation and preparation of permit applications for federal, state, and local permits. Design of a new BPS and connection to the distribution system and existing supervisory control and data acquisition system.

Preparation of DOH required engineering reports. Development of the operations and maintenance manual.

The County' s goal is to design the three projects under one DOH project report and set of construction plans, with the bidding process as two packages due to the Shadow Mountain area receiving possible federal funds.

1 10/

13/ 20221: 38: 09 PM

PSA-

SOW-

Toutle Water System Improvements Projects


Cowlitz Toutle

County Water

Exhibit

System

Improvements

Projects

A

Scope of Work

It is anticipated that the designs for the projects will include the following. Tower Road — distribution

main design along State Road 504 to the service area ( Exhibit E)

with details for service lines and pressure reduction devices. Juanita Shadow

Lane— BPS design to the service

area ( Exhibit F).

BPS and water distribution mains design with details for service connections, fire hydrants, and appurtenances. This service area ( Exhibit G) will require fire Mountain —

flow.

Project Assumptions

The following assumptions were made in the preparation of this Scope of Work.

The County will provide the topographic survey and boilerplate specifications for the projects. The County will be responsible for developing acquisition plans, obtaining appraisals, and negotiating for property or easements, if needed. The County will be responsible for project bidding and award.

This Scope of Work excludes effort in support of procurement of funding. RH2 will rely on the accuracy and completeness of any information, data, or materials generated or provided by the County or others in relation to this work. RH2 assumes that the

entity providing such information to RH2 is either the owner of such information or has obtained written authorization from the owner to distribute said information. Unless otherwise noted, all deliverables will be provided in electronic PDF. RH2 will perform the services described up to the amounts included in the attached Fee

Estimate. If additional effort is needed, that extra work will be mutually determined by the County and RH2. Task 1 — Project Management

Objective: Manage RH2' s project team and maintain frequent client communications, including phone calls, emails, and progress meetings. Maintain project schedule and track compliance with federal, state, and local requirements for the plans and specifications throughout the duration of the contract.

Approach: 1. 1

Provide direction, coordination, and oversight to the RH2 project team. Organize, manage, and coordinate technical disciplines as described herein, and implement quality assurance and quality control ( QA/ QC) processes to execute this Scope of Work in close coordination with County staff.

1. 2

Document and retain information generated during the execution of the project.

1. 3

Prepare monthly invoices and progress reports. 2

10/

13/

2022

1: 38: 09

PM

PSA- SOW- Toutle Water System

Improvements

Projects


Cowlitz Toutle

1. 4

Exhibit

County System

Water

Improvements

A

Scope of Work

Projects

Prepare for and attend coordination meetings with County staff, as requested. Prepare meeting agendas and minutes. Atotal of two (2) coordination meetings are assumed in the Fee Estimate,

in addition to the other milestone and review meetings identified elsewhere in this Scope of Work. RH2 Deliverables:

Monthly invoices.

Meeting agendas and minutes. Task 2— Water System Hydraulic

Analysis

Objective: Prepare a technical memorandum evaluating the advantages and disadvantages for the Tower Road

area

connection (

BPS

versus

direct

line tap).

Perform desktop hydraulic analyses to

confirm that the proposed BPSs ( Juanita Lane and Shadow Mountain) operate within the existing operating parameters and pressure of the existing water system. Approach: 2. 1

Prepare a technical memorandum evaluating the advantages and disadvantages to tapping the existing high- pressure line at the Tower BPS or a separate pump station.

2. 2

Perform two (2) field visits to help the County set and remove several RH2 provided pressure transducers on the existing transmission main to document existing operating pressures for the system. Pressure transducers will be placed on existing fire hydrants for a period of one 1) week.

2. 3

Confirm that the existing hydraulic model is up to date and operates without error. Review

the facility setpoints and demands to see if they are consistent with the descriptions provided by County staff. The Fee Estimate assumes up to six ( 6) hours of RH2 staff time to confirm model operation. 2. 4

Update the hydraulic model with the proposed BPS improvements. Run the model to see if the operation of the existing system can accommodate the proposed improvements. Perform hydraulic analyses to develop system head curves and the net positive suction head available forth e booster pump stations.

2. 5

technical

Prepare

a

pitless,

vault,

memorandum

stick- built wood),

summarizing

BPS

alternatives

( pre- fabricated,

in- line

pump options and curves, possible water reservoir options,

and operation alternatives. 2. 6

Submit both draft technical memoranda to the County for review. Address and incorporate County comments into the final technical memoranda.

2. 7

Meet with the County to discuss the technical memoranda, water system distribution design, and BPSs and decide on an approach for preliminary designs.

Assumptions:

The County will provide a desired flow for each BPS. 3 10/ 13/ 20221: 38: 09 PM

PSA- SOW-

Toutle

Water System Improvements

Projects


Cowlitz Toutle

County Water

Exhibit A

System

Improvements

Projects

Scope of Work

Aerial elevations and pressure transducer readings will be used for water system evaluations. The Tower Road area evaluation will determine if a direct line tap is the best solution.

It is assumed that the existing water system mains have adequate capacity to accommodate the proposed BPS improvements. Provided by County: Hydraulic

model calibrated

in KYPipe and WaterCAD

compatible.

Existing operational description and setpoints of existing reservoirs and BPSs. Distribution system as- builts and pertinent distribution system information. Desired operational description of the proposed system. Timely redline review comments on both technical memoranda. Attendance at one ( 1) review meeting and two ( 2) field visits. RH2 Deliverables:

Draft and final technical memorandum evaluating Tower Road area water service options.

Draft and final technical memorandum summarizing BPS options, including pump curves. Attendance at one ( 1) review meeting and two (2) field visits. Task 3 — BPS and Water System Improvements Preliminary Design

Objective: Prepare preliminary water system and BPS construction plans and preliminary Engineer' s estimate of probable construction cost for review by the County. The design criteria

developed during the hydraulic analysis will be expanded further based on the County' s preferences established as part of this Task. Approach: 3. 1

Prepare distribution water plans for Tower Road and Shadow Mountain area.

3. 2

Prepare the preliminary mechanical design, including piping layout and minor mechanical equipment sizing for the BPSs ( Juanita Lane and Shadow Mountain).

3. 3

Prepare structural plans and calculations for Shadow Mountain BPS and Juanita Lane BPS. It

is assumed that the Shadow Mountain BPS will be an above grade building, wood framed walls and roof and concrete floor and foundation. Juanita Lane BPS will be within a below- grade, cast- in- place concrete vault or similar structure. 3. 4

Perform site visit and prepare the preliminary electrical power supply requirements. Develop an electrical one- line diagram identifying the electrical equipment and connections between equipment.

Coordinate

with

electrical

service

utility

and

prepare

electrical

service

applications. Meet with electrical service utility to review utility power supply installation requirements.

4 10/ 13/ 20221: 38: 09 PM

PSA-

SOW- Toutle Water System Improvements

Projects


Cowlitz

Exhibit A

County

Scope of Work

Projects

Toutle

Water System

3. 5

Develop preliminary telemetry and automatic control plans identifying the instrumentation equipment and connections between the instrumentation components and control

Improvements

equipment.

3. 6

Attend one ( 1) conference call with the County and its electrical contractor to discuss control and telemetry requirements. Prepare minutes from conference call.

3. 7

Prepare Engineer' s estimate of probable construction cost and preliminary technical specifications

using

WSDOT ( Standard

Specifications)

and

RH2' s modified

Construction

Specifications Institute ( Special Provisions) format for the BPS and water distribution plans. 3. 8

Submit preliminary designs, technical specifications, and Engineer' s estimate of probable construction cost to the County for review.

3. 9

Meet with the County to review preliminary comments and direction for bid- ready designs.

Provided by County: Topographic and boundary survey for service areas. Timely review comments on preliminary plans.

Attendance at one ( 1) review meeting and review comments as red- lined markups. RH2 Deliverables:

Conference call minutes for County and control system integrator.

Preliminary BPS design, water plans, technical specifications, and Engineer' s estimate of probable construction cost. Attendance at one ( 1) review meeting. Task 4— Bid- Ready

Documents

Objective: Prepare bid- ready project plans, specifications, and cost estimates. Approach: 4. 1

Update technical specifications, plans, and Engineer' s estimate of probable construction cost based upon County preliminary design review comments.

4. 2

Submit updated plans to the County and Washington State Department of Transportation WSDOT) for permitting.

4. 3

Incorporate permit review comments and County review comments into the design plans and prepare bid- ready site, water, mechanical, structural, and electrical plans.

4. 4

Prepare and submit a project report to DOH based on applicable Washington Administrative Code and DOH report requirements. Document the background of the project and objectives, BPS sizing, and BPS design criteria.

4. 5

Perform an in- house QA/ QC review of finalized plans and DOH project report. 5

10/

13/

20221: 38: 09 PM

PSA- SOW- Toutle Water System Improvements

Projects


Cowlitz Toutle

4. 6

County Water

Exhibit

System

Improvements

Projects

A

Scope of Work

Prepare a bid- ready Engineer' s estimate of probable construction cost formatted for bidding and include in the bid- ready documents for the purpose of establishing a bid bond value.

4. 7

Submit bid- ready plans, specifications, and Engineer' s estimate of probable construction cost to the County for bidding purposes.

Assumptions:

The County will prepare all permits, pay permit fees directly, and submit local permit applications for the project.

With the size of the mains (smaller than 12 inches) and lack of substantial grading (less than 50 cubic yards) outside of the County/ State right-of-way, a SEPA or NEPA will not be required. The County will handle all County permitting tasks and applications.

The County will handle project bidding, including preparing the bid package and advertising. RH2 cannot warrant or guarantee any agency' s response or approval. Provided by County: Payment of all permit fees and submittal of applications to local agencies. RH2 Deliverables:

DOH project report and construction documents submitted to DOH for approval. Bid- ready construction

design

plans,

technical

specifications,

and Engineer' s estimate of probable

cost.

Task 5 — Submittal Reviews and On- Site Construction Observation Objective:

Review

submittals,

shop

drawings,

and

requests

for information (

RFIs) as requested.

Observe on- site construction activities as requested by the County. Approach: 5. 1

Review submittals, shop drawings, and RFIs as requested. Review and accept or reject, if necessary, shop drawings, equipment submittals, schedules, and construction sequence for conformance to the design plans and based on the County' s requests.

5. 2

Perform part- time on- site construction observations as requested by the County on an on- call basis. Prepare a site observation

report for each visit.

Assumptions:

The County will provide a full-time inspector for the duration of the project. This will include

inspection for temporary erosion and sedimentation control, grading, crushed surfacing base course compaction, and hot mixed asphalt compaction, access, landscaping, booster pump construction, and utility installation.

6 10/

13/ 2022 1: 38: 09 PM

PSA- SOW- Toutle Water System Improvements

Projects


i

Cowlitz Toutle

Exhibit

County Water

System

Improvements

A

Scope of Work

Projects

These services shall be performed up to the level included in the attached Fee Estimate, which includes approximately six ( 6) hours per site visit. If additional effort is needed or requested, RH2 and the County will mutually determine that extra work. The Fee Estimate reflects a total of three (3) on- site observations by an RH2 engineer.

RH2 is not responsible for site safety or for determining means and methods or directing the contractor in their work.

The County will handle contractor pay requests.

Based upon the County inspector and selected contractor, the County may request additional review or construction observation support at the hourly rates identified in Exhibit B.

The County will handle startup and testing of the BPS.

i

The County will handle record drawings. RH2 Deliverables:

I

Submittals, shop drawings, and RFI responses. Construction

observation

reports.

Project Schedule

Construction for the low- pressure zone projects (Tower Road and Juanita Lane) is planned for 2023 with advertisement date in the third quarter of 2023. Construction for the Shadow Mountain Projects is planned for 2024, with an advertisement date in the first quarter of 2024.

7 10/

13/ 2022 1: 38: 09 PM

PSA- SOW- Toutle Water

System

Improvements Projects


PROFESSIONAL

ATTACHMENT

SERVICES AGREEMENT

B

COMPENSATION

1.

a.

completed

For services rendered, the County shall pay to the Contractor a

FIXED FEE FOR SERVICE:

for the completed

DOLLARS ($

fixed fee of

tasks shall be

made

at completion

annually;

no more

frequently

of project;

work set forth in Attachment" A.". bi- monthly;

than

quarterly;

Payments for

semi- annually;

other ( specify)

Each request for payment shall be supported by an invoice specifying the tasks completed up to the request for payment and the payment amount requested. In no event shall payment be sought in an amount which represents a percentage of the fee greater than the percentage of completed tasks. OR

b. HOURLY RATES:

For services rendered, the County shall compensate the Contractor at the

following hourly rates: Hourly Rate

Name/ Position

See attachment

Payments

for completed

annually;

annually;

tasks

shall be made

at completion

no more

of project;

frequently than ®

monthly;

quarterly;

semi-

other( specify)

Each request for payment shall be supported by an invoice specifying: the name/ position of the Contractor's employee if two or more are identified above; number of hours worked; completed tasks for which

compensation

is sought

and;

payment amount requested.

In no event shall Contractor be compensated

in excess of$

DOLLARS

for the completed work set forth in Attachment" A." 2. AND

a. The compensation set forth herein includes, without limitation: labor, materials, equipment, travel, telephone, computer, copiers and the like. OR

b. The County shall reimburse the Contractor for actual expenses incurred for travel, telephone, copiers and computer. Reimbursement for airfare, mileage, meals and/ or accommodations shall be at the same rate as that applicable to county employees traveling on county business. OR

c. Other ( specify) The County, in addition to the compensation herin set forth shall provide to the Contractor the following:

ATTACHMENT

B

Page 1


Attachment Fee

B

Estimate

Cowlitz

County

Toutle Water System Improvement Projects Oct- 22

Total Description

Tadr

1

7D $

Management

act

Z.

1. 1

Prpr: de difectlCn

12

Document infonnativn

1. 3

Pr_

1. 4

pme fca arvl attend

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1-

are

Water

to the RHI project

1-

and progress

5VAem

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I. 1

Prepare

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Confirm

that

the hydr.

Field

IA

Vpdaee

25

Pre

2. 6

Submit

27

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iry

Design

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3. 457

7, 310 $

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7715

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30, 757

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la the C011n

plans

Prepare

$

6 $

date

plans

ater

3. 7

91 $

12

Nptern Irnprove.

Attend one_[ mNereme

3, 640 $

34 $

memOENada

3. 3

3. 9

in

narypre6m i6lu den sig

3. 6

16 $

16

ft technical

distributiW-

38

sup

memorandum

p

S_

navdeE{

Ve mpdel

Pr,

the

131 $

10

revile

3. I

are

136

5, 266 $

116

County

aPSand W. T.,

SA30 $

24 $

Cocoaty

d¢

488 $

17, 026

20 $

32

h

Total Cost

Total Eapense

labor

2

memorandum

3. 1

pare

rrth

meetlnas

visits

areatefhnical batM1dr

reports

Anal

ezlsl[ In

the

team

eowdlnatim

Hydrau8c

2. 2

Total

Hours

5

66

$

d8

$

18 $

1242 $

_

a, 878

248, 994 $

2, 362

S

5

4,020

5

25, 038

2, D75

S

15,703

592 $

1A, 596

309 $

51187

22, 746

111

272, 740


PROFESSIONAL

ATTACHMENT

SERVICES AGREEMENT

C

GENERAL CONDITIONS

The Contractor agrees to provide to the County services and any materials set forth in the project narrative identified as Attachment A during the agreement period. No material, labor, or facilities will be furnished by the County, except as provided for herein.

1.

Scope of Contractor' s Services.

2.

Accounting and under

this

for Contractor Services. Payment B. shall be as set forth in Attachment

Payment

Agreement

to the Contractor

for services

rendered

Unless specifically stated in Attachment

B, the County will not reimburse the Contractor for any costs or expenses incurred by the Contractor in the performance of this contract. 3.

Delegation and Subcontracting. Contractor' s services are deemed personal and no portion of this contract may be delegated or subcontracted to any other individual, firm or entity without the

express and prior written approval of the County Project Manager. 4.

Independent

The Contractor' s services

Contractor.

shall be furnished

by the Contractor

as an

independent contractor and nothing herein contained shall be construed to create a relationship of employer/

The

employee

Contractor

or master/

servant.

acknowledges

that

the

entire

compensation

for this

Agreement

is specified

in

Attachment B and the Contractor is not entitled to any county benefits including, but not limited to: vacation pay, holiday pay, sick leave pay, medical, dental or other insurance benefits, or any other or

rights

privileges

afforded

to

Cowlitz

County

employees.

The Contractor

represents that it

maintains a separate place of business, serves clients other than the County, will report all income and expense

accrued

under this contract

with

the Internal

Revenue

Service

on a business

tax

schedule, and has a tax account with the State of Washington Department of Revenue for payment of all sales and use and Business and Occupation taxes collected by the State of Washington. In the event that either the state or federal government determines that an employer/ employee or

master/ servant relationship exists rather than an independent contractor relationship such that Cowlitz County is deemed responsible for federal withholding, social security contributions, workers compensation and the like, the Contractor agrees to reimburse Cowlitz County for any payments made or required to be made by Cowlitz County. Should any payments be due to the Contractor

pursuant to this Agreement, the Contractor agrees that reimbursement may be made by deducting from such future payments a pro rata share of the amount to be reimbursed. Notwithstanding

any determination

by the state or federal government that an employer/ employee

or master/ servant relationship exists, the Contractor, its officers, employees and agents, shall not be entitled to any benefits which Cowlitz County provides to its employees. 5.

No Guarantee of Employment. The performance of all or part of this contract by the Contractor shall not operate to vest any employment rights whatsoever and shall not be deemed to guarantee any employment of the Contractor or any employee of the Contractor or any subcontractor or any employee of any subcontractor by the County at the present time or in the future.

6.

Regulations

and Requirements.

This Agreement

shall be subject to all federal,

state and local laws,

rules, and regulations. 7.

Riot to Review. This contract is subject to review by any federal or state auditor. The County shall have the right to review and monitor the financial and service components of this program by whatever means are deemed expedient Such review may occur by the County Project Manager.

with or without notice, and may include, but is not limited to, on- site inspection by County agents or employees,

inspection of all records or other materials which the County deems pertinent to the

Agreement and its performance, recipients

and

ATTACHMENT

under

records

C

this

relating

Agreement. to

the

and any and all communications with or evaluations by service The Contractor shall preserve and maintain all financial records

performance

of work

under

this

Agreement

for

six (

6)

years

after

Page 1


ATTACHMENT C

PROFESSIONAL SERVICES AGREEMENT

contract termination, and shall make them available for such review, within Cowlitz County, State of Washington, upon request, during reasonable business hours. 8.

Either

Modifications.

party

may

request

in

changes

the

Any and

Agreement.

all agreed

modifications shall be in writing, signed by each of the parties. 9.

Termination for Default. If the Contractor defaults by failing to perform any of the obligations of the contract or becomes insolvent or is declared bankrupt or makes an assignment for the benefit of

creditors, the County may, by depositing written notice to the Contractor in the U. S. Mail, postage prepaid, terminate the contract, and at the County' s option, obtain performance of the work elsewhere.

If the contract is terminated

any further

under

such

the

for default, the Contractor

contract.

payments default( s) shall be deducted

from

shall not be entitled to receive

Any extra cost or damage to the County resulting from any

money

due

or

coming

due

to

the

The

Contractor.

Contractor agrees to bear any extra expenses incurred by the County in completing the work, including all increased costs for completing the work, and all damage sustained, or which may be sustained by the County by reason of such default. If a notice of termination for default has been issued and it is later determined for any reason that

the Contractor was not in default, the rights and obligations of the parties shall be the same as if the

notice of termination had been issued pursuant to the Termination for Public Convenience paragraph hereof. 10.

Termination

for

Public

The County may terminate the contract in whole or in part

Convenience.

whenever the County determines, in its sole discretion that such termination is in the interests of the County.

Whenever the contract is terminated in accordance with this paragraph, the Contractor An equitable to payment for actual work performed for completed items of work.

shall be entitled

adjustment in the contract price for partially completed items of work will be made, but such adjustment shall not include provision for loss of anticipated profit on deleted or uncompleted work. Termination of this contract by the County at any time during the term, whether for defauft or 11.

convenience,

shall not constitute a breach of contract by the County.

Termination

Due

appropriated

or allocated or are withdrawn, reduced, or otherwise limited, the County may terminate notice to the Contractor. upon thirty ( 30) days written No penalty or expense shall

this

contract

to Insufficient

Funds.

If sufficient funds for payment under this contract are not

accrue to the County in the event this provision applies: 12.

Termination

Procedure.

The following

provisions

apply in the event that this Agreement

is

terminated:

a)

The Contractor shall cease to perform any services required hereunder as of the effective date of termination and shall comply with all reasonable instructions contained in the notice of termination, if any.

b)

The Contractor shall provide the County with an accounting of authorized services provided through the effective date of termination.

c)

If the Agreement has been terminated for default, the County may withhold a sum from the

final payment to the Contractor that the County determines necessary to protect itself against loss or liability. 13.

Defense and Indemnity Agreement.

The Contractor agrees to defend, indemnify and save harmless

the County, its appointed and elected officers, agents and employees, from and against all loss or expense, including but not limited to claims, demands, actions, judgments,

settlements,

attorneys'

fees and costs by reason of any and all claims and demands upon the County, its elected or

appointed officials or employees for damages because of personal or bodily injury, including death at any time resulting therefrom, sustained by any person or persons and on account of damage to property including loss of use thereof, whether such injury to persons or damage to property is due

ATTACHMENT

C

Page

2


SERVICES AGREEMENT

PROFESSIONAL

ATTACHMENT C

to the negligence of the Contractor, his/ her subcontractors, its successor or assigns, or its or their agent, servants, or employees, the County, its appointed or elected officers, employees or their

agents, except only such injury or damage as shall have been occasioned by the sole negligence of County, its appointed or elected officials or employees. It is further provided that no liability

the

shall attach to the County by reason of entering into this contract, except as expressly provided herein.

The County agrees to defend, indemnify and save harmless the Contractor, its appointed and

elected officers, agents and employees, from and against all loss or expense, including but not limited to claims, demands, actions, judgments, settlements, attorneys' fees and costs by reason of any and all claims and demands upon the Contractor,

its elected or appointed

officials or employees

for damages because of personal or bodily injury, including death at any time resulting therefrom, sustained by any person or persons and on account of damage to property including loss of use thereof, whether such injury to persons or damage to property is due to the negligence County, its subcontractors,

of the

its successor or assigns, or its or their agent, servants, or employees,

the

Contractor, its appointed or elected officers, employees or their agents, except only such injury or damage as shall have been occasioned by the sole negligence of the Contractor, its appointed or

elected officials or employees.

It is further provided that no liability shall attach to the Contractor by

reason of entering into this contract, except as expressly provided herein. 14.

Industrial

Insurance Waiver. With respect to the performance of this Agreement and as to claims against the County, its appointed and elected officers, agents and employees, the Contractor

expressly waives its immunity under Title 51 of the Revised Code of Washington, the Industrial Insurance Act, as now or hereafter amended, for injuries to its employees and agrees that the

obligations to indemnify, defend and hold harmless provided in this Agreement extend to any claim brought

by or on behalf of any employee of the Contractor. Along with the other provisions of this Agreement, this waiver is mutually negotiated by the parties to this Agreement. 15.

and Choice

Venue

of Law.

In the event that any litigation should arise concerning the construction

or interpretation of any of the terms of this Agreement, the venue of such action shall be in the courts of the State of Washington in and for the County of Cowlitz. This Agreement shall be governed by the law of the State of Washington. 16.

Withholding Payment. In the event the County Project Manager determines that the' Contractor has failed to perform any obligation under this Agreement within the times set forth in this Agreement, then the County may withhold from amounts otherwise due and payable to Contractor the amount determined by the County as necessary to cure the default, until the County Project Manager determines

that such

failure

to perform

has been

cured.

Withholding

under this clause shall not be

deemed a breach entitling Contractor to termination or damages, provided that the County promptly gives notice in writing to the Contractor of the nature of the default or failure to perform, and in no case

more

than

ten (

10)

days

after

it

determines

to

withhold

amounts

otherwise

due.

A

determination of the County Project Manager set forth in a notice to the Contractor of the action

required and/ or the amount required to cure any alleged failure to perform shall be deemed conclusive,

except

to the extent

that the Contractor

acts within

the times

and

in strict accord

with

the provision of the Disputes clause of this Agreement. The County may act in accordance with any determination of the County Project Manager which has become conclusive under this clause,

without prejudice to any other remedy under the Agreement, to take all or any of the following actions: ( 1) cure any failure or default, ( 2) the same to the account of the Contractor, (

due or to become due the Contractor.

to pay any amount so required to be paid and to charge 3) to set off any amount paid or incurred from amounts

In the event the Contractor obtains relief upon a claim under

the Disputes clause, no penalty or damages shall accrue to the Contractor by reason of good faith withholding 17.

Rights

by the County under this clause.

and Remedies.

The duties and obligations imposed by this Agreement and the rights and remedies available hereunder shall be in addition to and not a limitation of any duties, obligations, rights and remedies otherwise imposed or available bylaw.

ATTACHMENT C

Page

3


ATTACHMENT

PROFESSIONAL SERVICES AGREEMENT

18.

Contractor

Commitments,

Warranties

and Representations.

C

Any written commitment received from

the Contractor concerning this Agreement shall be binding upon the Contractor, unless otherwise specifically provided herein with reference to this paragraph. Failure for damages to liable the Contractor shall render a commitment

of the Contractor to fulfill such A commitment the County.

includes, but is not limited to any representation made prior to execution of this Agreement, whether or not incorporated elsewhere herein by reference, as to performance of services or equipment,

prices or options for future acquisition to remain in effect for a fixed period, or warranties. 19.

Infringement. Patent/ Copyright Contractor will defend, indemnify and save harmless County, its appointed and elected officers, agents and employees from and against all loss or expense, including

but not limited to claims, demands, actions, judgments, settlements, attorneys' fees and costs by reason of any and all claims and demands upon the County, its elected or appointed officials or employees for damages because of the Contractor' s alleged infringement on any patent or copyright.

The Contractor will pay those costs and damages attributable to any such claims that are finally awarded against the County, its appointed and elected officers, agents and employees in any action. Such defense and payments are conditioned upon the following: a)

b)

That Contractor shall be notified promptly in writing by County of any notice of such claim. Contractor shall have the right, hereunder, at its option and expense, to obtain for the County

the right to continue using the information, in the event such claim of infringement, is made, provided no reduction in performance or loss results to the County. 20.

Disputes:

a)

General.

Differences between the Contractor and the County, arising under and by virtue of

the contract documents shall be brought to the attention of the County at the earliest possible

time in order that such matters may be settled or other appropriate action promptly taken. The records, orders, rulings, instructions, and decision of the County Project Manager shall be final and conclusive thirty ( 30) days from the date of mailing unless the Contractor mails or otherwise

furnishes to the County

Project

Manager

a written

notice

of appeal.

The notice

of

appeal shall include facts, law, and argument as to why the conclusions of the County Project Manager are in error.

In connection with any appeal under this clause, the Contractor and County shall have the opportunity to submit written materials and argument and to offer documentary evidence in support of the appeal.

Oral argument

and live testimony will not be

permitted.

The decision

of the County Project Manager for the determination of such appeals shall be final and conclusive.

Reviews of the appellate determination shall be brought in the Superior Court of

Cowlitz County within fifteen ( 15) days of mailing of the written appellate determination. Pending final decision of the dispute, the Contractor shall proceed diligently with the performance of this Agreement and in accordance with the decision rendered. b)

Notice

of Potential Claims.

The Contractor shall not be entitled to additional compensation or

to extension of time for ( 1) any act or failure to act by the County Project Manager or the County, or ( 2) the happening of any event or occurrence, unless the Contractor has given the

County a written Notice of Potential Claim within ten ( 10) days of the commencement ofThe the and before final payment by the County. or event giving rise to the claim, written Notice of Potential Claim shall set forth the reasons for which the Contractor believes act, failure,

additional compensation

or extension of time is due, the nature of the cost involved, and

insofar as possible, the amount of the potential claim. Contractor shall keep full and complete

daily records of the work performed, labor and material used, and all costs and additional time claimed

c)

to be additional.

Claim. The Contractor shall not be entitled to claim any such additional compensation, or extension of time, unless within thirty ( 30) days of the accomplishment of

Detailed

the portion of the work from which the claim arose, and before final payment by the County,

ATTACHMENT C

Page

4


PROFESSIONAL SERVICES AGREEMENT

ATTACHMENT C

the Contractor has given the County a detailed written statement of each element of cost or other compensation

requested

and of all elements

of additional

time required,

and copies of

any supporting documents evidencing the amount or the extension of time claimed to be due. 21.

of Items Produced and Public

Ownership

Disclosure.

All writings,

programs,

data, art work, music,

maps, charts, tables, illustrations, records or other written, graphic, analog or digital in connection prepared by the Contractor and/ or its consultants or subcontractors,

materials with

the

performance of this Agreement shall be the sole and absolute property of the County and constitute

work made for hire" as that phrase is used in federal and/ or state intellectual property laws and Contractor and/ or its agents shall have no ownership or use rights in the work. Except as to data or information in the public domain or previously known to Contractor or required to be disclosed by law, subpoena or other process, the following shall apply: Correspondence,

a)

reports and other electronic or written work product will be

emails,

between

generated

the

Contractor

and

County

during

the

course

of this

Contract.

This

Contract and such work product in the possession of Contractor may be deemed public records subject to disclosure RCW (

Public

Records

Act).

under the Washington

State Public Records Act, Chapter 42. 56

Thus, the County shall be required, upon request, to disclose this

Contract and all documents related to it unless an exemption under the Public Records Act or

other laws applies. Contractor shall fully cooperate with and assist the County with respect to any request for public records received by the County related to the services performed under this Contract. b)

Should County receive a request for disclosure, County agrees to provide Contractor ten ( 10)

days written notice of impending release, and to cooperate with any legal action which may be initiated by Contractor to enjoin or otherwise prevent such release, provided that all expense of any such litigation shall be borne by Contractor, including any damages, attorney' s fees or costs awarded by reason of having opposed disclosure, and further provided that County shall not be liable for any release where notice was provided and Contractor took no to oppose the

of information.

Notice of any proposed release of information pursuant to Chapter 42. 56 RCW, shall be provided to Contractor according to the " Notice" action

release

provision herein. If the Contractor has not obtained an injunction and served the County with that injunction by the close of business on the tenth business day after the County sent notice, the County will then disclose the record unless it makes an independent determination that the record is exempt from disclosure. Notwithstanding the above, the Contractor most

not take any action that would affect ( a) the County' s ability to use goods and services provided under this Contract or ( b) the Contractor obligations under this Contract. The

Contractor will fully cooperate with the County in identifying and assembling records in case of any public disclosure request. c)

Contractor' s failure to timely provide such records upon demand shall be deemed a material

breach of this Contract. To the extent that the County incurs any monetary penalties, attorneys' fees, and/ or any other expenses as a result of such breach, Contractor shall fully indemnify

and

hold

harmless County

as

set forth

in Section

13.

For purposes of this section,

the terms " public records" and " agency" shall have the same meaning as defined by Chapter

42. 56 RCW, as said chapter has been construed by Washington courts. The provisions of this section shall survive the expiration or termination of this Agreement. 22.

Recovery of Payments

to

Contractor.

The right of the Contractor to retain monies paid to it is contingent Upon satisfactory performance of this Agreement, including the satisfactory completion of the

project

described

in the Scope

of Work (

Attachment

A).

In the event that the Contractor fails,

for any reason, to perform obligations required of it by this Agreement, the Contractor may, at the County Project Manager's sole discretion, be required to repay to the County all monies disbursed to the Contractor for those parts of the project that are rendered worthless in the opinion of the County Project Manager by such failure to perform.

ATTACHMENT

C

Page

5


ATTACHMENT

PROFESSIONAL SERVICES AGREEMENT

shall

Interest

accrue

Manager demands 23.

at the

of 12

rate

repayment

percent ( 12%)

C

per annum from the time the County Project

of funds.

The extent and character of all work and services to be performed under this Agreement by the Contractor shall be subject to the review and approval of the County Project Approval.

Project

Manager.

For purposes of this Agreement, the County Project Manager is:

Name:

Susan Eugenis

Title:

County Engineer

Department:

Public

Address:

1600 —

Telephone:

Kelso, WA 98626 360- 577- 3030 ext. 6538

E- mail:

eugeniss@co.

Fax:

360- 636- 0845

Works

13th Avenue S.

cowlitz. wa. us

In the event there is a dispute with regard to the extent and character

of the work to be done, the

determination of the County Project Manager as to the extent and character of the work to be done shall govern subject to the Contractor' s right to appeal that decision as provided herein. 24.

The Contractor shall not discriminate against any person on the basis of race, creed, political ideology, color, national origin, sex, marital status, sexual orientation, age, or the Non- Discrimination.

presence of any sensory, mental or physical handicap. 25.

In the event that the Contractor employs the use of any subcontractors,

Subcontractors.

the

contract between the Contractor and the subcontractor shall provide that the subcontractor is bound by the terms of this Agreement between the County and the Contractor. The Contractor shall insure that in all subcontracts entered into, County is named as an express third- party beneficiary of such contracts with full rights as such.

Party Beneficiaries. This agreement is intended for the benefit of the County and Contractor and not for the benefit of any third parties.

26.

Third

27.

Standard

of Care.

The Contractor shall perform its duties hereunder in a manner consistent with

that degree of care and skill ordinarily exercised by members of the same profession as Contractor currently

practicing

compensation, 28.

Time

under

similar

circumstances.

The

Contractor

shall,

without

additional

correct those services not meeting such a standard.

is of the

Essence.

Time is of the essence in the performance of this contract unless a more

specific time period is set forth in either the Special Terms and Conditions or Scope of Work. 29.

Except as set forth elsewhere in the Agreement, for all purposes under this Agreement,

Notice.

except service of process, any notices shall be given by the Contractor to the County Project Manager. Notice to the Contractor for all purposes under this Agreement shall be given to the person executing the Agreement on behalf of the Contractor at the address identified on the signature page. 30.

Severability.

If any term or condition of this contract or the application thereof to any person( s) or

circumstances is held invalid, such invalidity shall not affect other terms, conditions or applications which

can be given effect without the invalid term, condition and conditions of this contract are declared severable.

31.

Precedence.

or application.

To this end, the terms

In the event of inconsistency in this Agreement, unless otherwise provided herein, the

inconsistency shall be resolved by giving precedence in the following order: a)

Applicable federal, state and local statutes, ordinances and regulations;

b)

Scope of Work ( Attachment

ATTACHMENT C

A) and Compensation (

Attachment

B);

Page

6


ATTACHMENT

PROFESSIONAL SERVICES AGREEMENT

32.

c)

Special Terms and Conditions ( Attachment D); and

d)

General

Conditions (

Attachment

C

C).

Waiver. Waiver of any breach or condition of this contract shall not be deemed a waiver of any prior or

subsequent

breach.

No term or condition of this contract shall be held to be waived, modified or

deleted except by an instrument, in writing, signed by the parties hereto. 33.

Attorney

Fees.

In the event that litigation must be brought to enforce the terms of this agreement,

the prevailing party shall be entitled to be paid reasonable attorney fees. 34.

Construction. This agreement has been mutually reviewed and negotiated by the parties and should be given a fair and reasonable interpretation and should not be construed less favorably against either party.

351

Survival.

Without being exclusive, Paragraphs 4, 7, 13- 19, 21- 22 and 30- 35 of these General

Conditions shall survive any termination, expiration or determination of invalidity of this Agreement in whole or in part. Any other Paragraphs of this Agreement which, by their sense and context, are intended to survive shall also survive. 36.

Entire

Agreement.

This written contract represents the entire Agreement between the parties and

supersedes any prior statements, discussions or understandings

between the parties except as

provided herein.

ATTACHMENT

C

Page 7


ATTACHMENT

SERVICES AGREEMENT

PROFESSIONAL

D

SPECIAL TERMS AND CONDITIONS AND RETIREMENT

Reporting.

1.

STATUS

FORM

The Contractor shall submit written progress reports to the County Project

Manager as set forth below:

With each request for payment. Monthly. Quarterly. Semi- annually. Annually. Project completion.

Other ( specify) As requested by County Project Manager Progress reports shall include, at a minimum, the following:

Reports shall include any problems, delays or adverse conditions which will materially affect the Contractor' s ability to meet project objectives or time schedules together with a statement of

taken

or

recommendations

for

action

to

proposed changes

to the

resolve

the

situation.

Scope of Work,

if any.

Reports

shall

also

include

Payments may be withheld if

reports are not submitted. 2.

Insurance.

The Contractor

shall maintain

in full force and effect during the term of this

Agreement, and until final acceptance of the work, public liability and property damage insurance with companies or through sources approved by the state insurance commissioner The County, its appointed and pursuant to RCW Title 48, as now or hereafter amended.

elected officials, agents and employees, shall be specifically named as additional insureds in a policy with the same company which insures the Contractor or by endorsement to an existing

policy or with a separate carrier approved pursuant to RCW Title 48, as now or hereafter amended, and the following coverages shall be provided: COMPREHENSIVE

GENERAL LIABILITY:

Bodily injury, including death.

1, 000, 000

per occurrence

Property damage

1, 000, 000

per occurrence

1, 000, 000

per occurrence

ERRORS AND OMISSIONS

or PROFESSIONAL

LIABILITY with an Extended Reporting Period Endorsement (

WORKERS

two year tail).

AUTOMOBILE:

coverage on owned, non- owned, rented and hired vehicles

Bodily injury, liability, including

Property damage liability

ATTACHMENT

D

Statutory amount

COMPENSATION:

death

1, 000, 000

per occurrence

1, 000, 000

per occurrence

Page

1


PROFESSIONAL SERVICES

ATTACHMENT

AGREEMENT

D

All Contractor' s and Contractor' s subcontractors' insurance policies and additional named insured endorsements shall provide primary insurance coverage and be non- contributory. Any insurance, self- insured retention, deductible, risk retention or insurance pooling maintained or participated in by the County shall be excess and not contributory to such insurance policies. All Contractor' s and Contractor' s subcontractors' liability insurance policies must be endorsed to show this primary coverage.

Upon request, the Contractor shall provide a full and complete certified copy of all requested insurance policies to the County. The County reserves the right, but not the obligation, to revise any insurance requirement,

not limited to limits, coverages and endorsements,

or to

reject any insurance policies which fail to meet the requirements of this Agreement. Additionally, the County reserves the right, but not the obligation, to review and reject any

proposed insurer providing coverage based upon the insurer's financial condition or licensing status

in Washington.

and/ or self- insured

Any deductibles

retentions

exceeding $

10, 000, stop

loss provisions, and/ or exclusions contained in such policies must be approved by the County in writing.

any deductibles

For

or

self- insured

retentions

exceeding $

10, 000 or any stop- loss

provisions, the County shall have the right to request and review the Contractor' s most recent annual financial reports and audited financial statements as a condition of approval.

Contractor hereby agrees to a waive subrogation with respect to each insurance policy maintained under this Agreement. When required by an insurer, or if a policy condition does not permit Contractor to enter into a pre- loss agreement to waive subrogation without an endorsement, then Contractor agrees to notify the insurer and obtain such endorsement. This requirement shall not apply to any policy which includes a condition expressly prohibiting waiver of subrogation by the insured or which voids coverage should the Contractor enter into such a waiver of subrogation on a pre- loss basis. The

County,

departments,

its

shall

volunteers

be

and

elected

named

as

appointed

additional

insureds

officials, on

agents

employees,

Contractor'

s

and

and

Contractor'

s

subcontractors' insurance policies by way of endorsement for the full available limits of insurance maintained by the Contractor and subcontractor, and all coverage shall be primary and non- contributory. A statement or notation of additional insured status on a Certificate of This endorsement shall not be required if the Insurance shall not satisfy these requirements. [

Contractor is a governmental entity and is insured through a governmental entity risk pool authorized by the State of Washington.]

The Contractor shall, for each required insurance policy, provide a Certificate of Insurance, with

endorsements

attached,

all

evidencing

required

limits,

coverages,

self-

deductibles,

insured retentions and endorsements and which is conditioned upon the County receiving

thirty ( 30) days prior written notice of reduction in coverages, cancellation or non- renewal. Each

Certificate of Insurance

Manager,

Cowlitz

and all

insurance

Administrative

County

Svc.,

notices

207

4th

shall

be

provided

Ave.

N.,

Kelso,

Risk

ATTN:

to: WA

98626.

This

Agreement shall be void ab initio if the proof of coverage is not timely supplied. The insurance maintained under this Agreement shall not in any manner limit or qualify the liabilities

or

obligations

of the

Contractor

this

under

Agreement.

All

insurance

policy

deductibles and self- insured retentions for policies maintained under this Agreement shall be paid by the Contractor. Compensation conditioned to

the

and/ or payments

upon

Contractor

the Contractor'

shall

be

due to the Contractor s

strict

suspended

compliance

in

the

under this Agreement

with all insurance

event

of

are expressly

requirements.

non- compliance.

Upon

Payment

receipt

of

evidence of Contractor' s compliance, payments not otherwise subject to withholding or set- off will be released to the Contractor. This Agreement shall be void ab initio if the proof of coverage is not timely supplied.

ATTACHMENT

D

Page 2


PROFESSIONAL

SERVICES

ATTACHMENT

AGREEMENT

If the Errors and Omissions or Professional

D

Liability insurance obtained is an occurrence policy

as opposed to a claims- made policy, the Extended Reporting Period Endorsement is not required. 3.

Liquidated

Damages.

milestones

of the work in progress, the Contractor

For delays in timely completion of the work to be done or missed shall be assessed

Dollars ($

per day as liquidated damages and not as a penalty because the County finds it impractical to calculate the actual cost of delays. Liquidated damages will not be assessed for any days for which

an

extension

of time

has

been

granted.

No deduction

or payment

of liquidated

damages will, in any degree, release the Contractor from further obligations and liabilities to complete the entire project. 4.

ATTACHMENT

Other ( specify

D

Page 3


ATTACHMENT

PROFESSIONAL SERVICES AGREEMENT

COUNTY RETAINS THIS FORM

Individual contractors and service providers must complete and sign 5.

WA

of Retirement

Department

Systems:

Independent Contractor Verification and State

Retirement Status Reporting Form [ WAC 415- 02- 110; DRS Email 13- 011; DRS Email 09- 001]

SECTION

INDIVIDUAL CONTRACTOR COMPLETES THIS SECTION AND SIGNS:

1:

Did you Did you

retire

from

one

of the State of Washington

Systems?

Retirement

before age 65 using the 2008 early retirement factors ( ERF)? Will you be receiving direct compensation for your services? Will you be receiving indirect compensation for your services? retire

CONTRACTOR(

Full, individual

Social Security COUNTY

2:

RETAINS

FOR

HUMAN

AUDIT

NO NO

YES

NO

YES

NO

name of contractor):

Signature:

SECTION

YES YES

RESOURCES

Date:

No. :

DEPARTMENT

COMPLETES

THIS SECTION

AND

PURPOSES:

Use Member Reporting Verification ( MRV) to verify the past retirement membership] 1.

Contractor

has been

a

member

of a Washington

State

Retirement

YES

System

NO

If YES, what system and plan? Teachers'

Retirement System ( TRS) Retirement

Public Employees'

Retirement System ( PERS)

Public

Safety Employees'

System (

SERS) Plan

Plan 3

Plan 2

Planl

School Employees'

1

Retirement System ( PSERS)

Plan

2

Plan

Plan

2

Plan 3

3

Plan

2

Law Enforcement Officers'& Fire

Washington

Fighters'

Retirement System (

LEOFF)

Plan

1

Plan

2

Plan

1

Plan

2

State Patrol System ( WSPRS)

Retirement

Judicial Retirement System ( JRS) 2. Is the contractor

3. Did the

contractor

a retiree retire

of a Washington

before

age

State

Retirement

65 using the 2008

System?

ERF?

Yes

No

Yes

No

I have verified the information above using MRV or by contacting DRS, and I have evaluated the individual Contractor, R 5/ 09),

Independent

Contractor

or Service

Provider

under

WAC 415- 02- 110 and/ or DRS

Form- MS 344

and the Internal Revenue Service rules governing independent contractor status.

COUNTY OFFICIAL/ DEPARTMENT

Signature:

Date:

COUNTY

ATTACHMENT D

REPRESENTATIVE:

HR DEPARTMENT

RETAINS

THIS FORM

Page 4

D


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01

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50ERU' S 41 s

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gyp; •

7

E%HIBff G COWLITZ

I EL500. 0'

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COUNTY

SERVICE

AREA


AMENDMENT

NO. 1

to

Cowlitz County Professional Services Agreement with

RH2 Engineering

1.

This Amendment

No. 1 to Agreement is between Cowlitz County, Washington, (" COUNTY"), Engineering. (" CONTRACTOR") shall take effect and be in force on the below stated date of authorization as agreed to by COUNTY and CONTRACTOR.

and RH2

2.

COUNTY AND CONTRACTOR have entered into an Agreement for professional services, approved and executed by the Board of County Commissioners, which agreement will expire on December 31, 2025.

3.

COUNTY is now in need of additional professional services under the original Agreement and CONTRACTOR is amenable to adding his/ her professional services to COUNTY under the same terms and conditions of the original Agreement, and as set forth below.

4.

Both COUNTY and CONTRACTOR agree to modify the original Agreement as in the parties' best interests and in furtherance of the purposes and intent of this amendment, as set forth below:

i)

The CONTRACTORS scope of work is modified to add surveying for the project according

to the attached

scope ( Exhibit A) in the amount of$ 68, 000 for an total

authorize amount of$ 339, 740. ii)

5.

The expiration

date is not changed.

Except as provided above in this Amendment No. 1, all terms, conditions, duties, obligations

and provisions of the original Agreement and any prior Amendment( s) shall remain in full force and effect. The

parties

hereto

have executed

this

agreement

on

this the

day of June 2023, and each

signatory to this Amendment No. 1 warrants that he/ she is duly authorized and executes this Amendment for and on behalf of the below- inscribed parties hereto. BOARD OF COUNTY COMMISSIONERS CONTRACTOR:

OF COWLITZ COUNTY, WASHINGTON

ByA-4141A, X QO Acro— V

l

07. ( 31 « ar {

Richard

R. Dahl, Chairman

truthorized by Bylaws to sign) A

AX1,

TES :

CJ

Arne Mortensen,

Kell

D

Commissioner

RP

rowsky, Clerk of Board D

AMENDMENT FORM HAS BY COWLITZ COUNTY PROSECUTING ATTORNEYS OFFIC

GOt1Npy

CONTRACT

APPROVED

QO m

0 RH2 Amendment

No. 1 to PSA

dated November

eber, Commissioner

CO rG '

r

3

COUNTY

wftswNGtoN

O


AMENDMENT

NO. 2

to

Cowlitz County Professional Services Agreement with RH2 Engineering

1.

This

Amendment

No. 2 to Agreement

Cowlitz

between

shall

(" CONTRACTOR")

take

effect

County, Washington, ("

COUNTY"),

be

below

and

Engineering authorization as agreed to by COUNTY and CONTRACTOR. 2.

in force

on

the

and

stated

RH2

date

of

COUNTY AND CONTRACTOR have entered into an Agreement for professional services, to wit: Board agenda item AS- 12361, approved and executed by the Board of County Commissioners on November 1, 2022, which agreement will expire on December 31, 2025.

COUNTY AND CONTRACTOR

3.

have amended the Agreement with Amendment

No. 1,

to wit: Board

agenda item AS- 12850, approved and executed by the Board of County Commissioners on June 6, 2023, which increased the Compensation

4.

from $ 271, 740 to an authorized amount of$ 339, 740.

COUNTY is now in need of additional professional services under the original Agreement and Addendum No. 1 and CONTRACTOR is amenable to extending his/ her professional services to COUNTY under the same terms and conditions of the original Agreement and Amendment

No. 1, and

as set forth below.

Both COUNTY and CONTRACTOR agree to modify the original Agreement in the parties' best interests and in furtherance of the purposes and intents of this amendment, as set forth below:

5.

a.

The CONTRACTORS scope of work is modified to add geotechnical engineering, water line distribution plans, permitting and other work as outlined in the attached scope ( Exhibit A) in the

b.

The expiration

amount of$ 35, 000( Exhibit B) for a total authorized

6.

Except as provided

amount of$ 374, 740.

date is not changed.

above

in this Amendment

No. 2, all terms,

conditions,

duties,

obligations

and

provisions of the original Agreement and Amendment 1 shall remain in full force and effect. loth

The parties

hereto

have executed

September

2024 and each day of signatory to this Amendment No. 2 warrants that he/ she is duly authorized and execute this Amendment for and on behalf of the below- inscribed parties hereto. this

agreement

on

BOARD CONTRACTOR:

e

By.

OF COUNTY

OF COWLITZ

,

o_.

S,i' gned^ byy::

f1

L. Ballard

ATTEST:

by:

FA__

MW4eAJeA

Arne by:

Dahl, Chairman

ar

DocuSigned by:

Signed

Si Signed

y

ensen, Commissioner

o

i

Signed

e

WASHINGTON

II'

is

authorized by Bylaws to sign)

COMMISSIONERS

COUNTY,

,

p'

Richard

this

om

rowsky, Clerk

FD—

WAUs wtDu''

Board

ennis

CONTRACT

AMENDMENT

FORM

APPROVED

BY COWLITZ

COUNTY

PROSECUTING

ATTORNEYS

by:

HAS

OFFICE

BEEN

.

eber, Commissioner


AMENDMENT

NO. 3

to

Cowlitz County Professional Services Agreement with RH2 Engineering

1.

This Amendment Engineering("

between Cowlitz County, Washington, (" COUNTY"), and RH2 shall take effect and be in force on the below stated date of

No. 3 to Agreement

CONTRACTOR")

authorization as agreed to by COUNTY and CONTRACTOR, 2.

COUNTY AND CONTRACTOR have entered into an Agreement for professional services, to wit: Board agenda item AS- 12361, approved and executed by the Board of County Commissioners on November 1, 2022, which agreement will expire on December 31, 2025.

3.

4.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 1, to wit: Board agenda item AS- 12850, approved and executed by the Board of County Commissioners on June 6, 2023, which increased the Compensation from$ 271, 740 to an authorized amount of$ 339, 740. COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 2, to wit: Board agenda item AS- 13696, approved and executed by the Board of County Commissioners on

September 10, 2024, which increased the Compensation from$ 339, 740 to an authorized amount of 374, 740.

5.

COUNTY is now in need of additional professional services under the original Agreement, Amendment No. 1 and Amendment No. 2 and CONTRACTOR is amenable to extending his/ her

professional services to COUNTY under the same terms and conditions of the original Agreement, Amendment No. 1 and Amendment No. 2, and as set forth below. 6.

Both COUNTY and CONTRACTOR agree to modify the original Agreement in the parties' best interests and in furtherance of the purposes and intents of this amendment, as set forth below: a.

b.

7.

Increasing the not to exceed by$ 33, 200( Exhibit B) for a total authorized amount of 407, 900 to complete work detailed in Exhibit A. The expiration date is not changed.

Except as provided above in this Amendment No. 3, all terms, conditions, duties, obligations and

provisions of the original Agreement, Amendment No. 1 and Amendment No. 2 shall remain in full force and effect. loth The parties

hereto have executed

this

agreement

December

2024 and

day of

on this

each signatory to this Amendment No. 2 warrants that he/ she is duly authorized and execute this Amendment for and on behalf of the below- inscribed parties hereto. For:

RH2 ENGINEERING,

BOARD OF COUNTY COMMISSIONERS OF

INC.

F

JT; COUNTY, WASHINGTON

I

Jl(,IA. V'Ol

By:

OAD7

Gea

G.

D

Bt

BS

F ...

4' egat, Chairman

Ric}

illard

Aocue f lor enseA Signed

4by:

i '

i`;

by:

e

40D

E244E6..

ggy eri, Commissioner

g

t,ln Vt is 0jtDV Dennis

We

er, Commissioner

Kelly Grayson, Clerk of the Board CONTRACT

AMENDMENT

FORM HAS BEEN APPROVED

BY COWLITZ

COUNTY PROSECUTING

ATTORNEYS'

OFFICE


AMENDMENT

NO. 4

to

Cowlitz County Professional Services Agreement with RH2 Engineering 1.

This Amendment

NO. H to

shall

Cowlitz

between

Agreement

CONTRACTOR")

take

effect

and

Engineering (" authorization as agreed to by COUNTY and CONTRACTOR. 2.

COUNTY AND CONTRACTOR

and RH2 County, Washington, (" COUNTY"), be in force on the below stated date of

have entered into an Agreement for professional

services, to wit: Board

agenda item AS- 12361, approved and executed by the Board of County Commissioners on November 1, 2022, which agreement 3.

will expire on December 31, 2025.

COUNTY AND CONTRACTOR

have amended

the Agreement

with Amendment

No. 1,

to wit: Board

agenda item AS- 12850, approved and executed by the Board of County Commissioners on June 6, 2023, which increased the Compensation

from $ 271, 740 to an authorized amount of$ 339, 740.

4.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 2, to wit: Board agenda item AS- 13696, approved and executed by the Board of County Commissioners on September 10, 2024, which increased the Compensation from $ 339, 740 to an authorized amount of$ 374, 740.

5.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 3, to wit: Board

agenda item AS- 13876, approved and executed by the Board of County Commissioners on December 10, 2024, which increased the Compensation 6.

from $ 374, 740 to an authorized amount of$ 407, 900.

COUNTY is now in need of additional professional services under the original Agreement, Amendment No. 1, Amendment No. 2 and Amendment No. 3 and CONTRACTOR is amenable to extending his/ her

professional services to COUNTY under the same terms and conditions of the original Agreement, Amendment 7.

No. 1, Amendment

No. 2 and Amendment

Both COUNTY and CONTRACTOR

No. 3, and as set forth below.

agree to modify the original Agreement in the parties' best interests

and in furtherance of the purposes and intents of this amendment, as set forth below: a.

b. 8.

Increasing the not to exceed by $ 91, 886 ( Exhibit 499, 786 to complete work detailed in Exhibit A.

B) for a total authorized

amount

of

Extending Contract to expire on June 30, 2026.

Except as provided above in this Amendment

No. 4, all terms, conditions, duties, obligations and

provisions of the original Agreement, Amendment No. 1, Amendment No. 2, and Amendment No. 3 shall remain in full force and effect. 14

The parties

hereto have executed

this agreement

on

day of

this

January,

20252024 and each

signatory to this Amendment No. 4 warrants that he/ she is duly authorized and execute this Amendment for and on behalf of the below- inscribed parties hereto. BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

CONTRACTOR:

By:

oe

Ant" A.P

authorized

y

w

Signed by:by::

L

`4

ylaws

to sign) Signed

by:

ATTEST:

V aU

GL(. A V, D

QrTg'.16a f, Chairman Signed by:

5hmt

Ft,i t(4 ytSfvic

2

C23F04523203415

Signed by:

couH', r ~`

Steve Ferrell, Commissioner

wnsnwclory

Signed by: it

C3

,

52F4B6FF0D93D4CA l W`

40

1`"

t

Kell y Grayson, Clerk of Bot y Steve

CONTRACT

AMENDMENT FORM

HAS

BEEN APPROVED

BY

Rader,

tSl i i

Commissioner

COWLITZ COUNTY

PROSECUTING ATTORNEYS'

OFFICE


AMENDMENT

NO. 5

to

Cowlitz County Professional Services Agreement with RH2 Engineering

1.

This Amendment and RH2

No. 5 to Agreement

Engineering ("

between

CONTRACTOR")

Cowlitz

Washington, ("

County,

shall take effect

and be in force

COUNTY"),

on the below

stated

date of authorization as agreed to by COUNTY and CONTRACTOR. 2.

COUNTY AND CONTRACTOR have entered into an Agreement for professional services, to wit: Board agenda item AS- 12361, approved and executed by the Board of County Commissioners

3.

COUNTY Board

on November

AND

CONTRACTOR item

agenda

Commissioners authorized

4.

COUNTY Board

on

amount

AND

have

Commissioners

June

6, 2023,

to an authorized

agreement

the Agreement

approved which

will expire

and

increased

with Amendment

executed the

on December

by

Compensation

No.

Board

the

31, 2025.

of

1, to wit:

County

from $ 271, 740 to an

of$ 339, 740.

item on

amended

AS- 12850,

CONTRACTOR

agenda

1, 2022, which

have

amended

AS- 13696,

September

amount

the Agreement

approved

and

10, 2024, which

with Amendment

executed

increased

the

by

No. 2, to wit:

Board

the

Compensation

of

County

from $ 339, 740

of$ 374, 740.

5.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 3, to wit: item AS- 13876, Board agenda approved and executed by the Board of County Commissioners 10, 2024, which increased the Compensation on December from $ 374, 740 to an authorized amount of$ 407, 900.

6.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 4, to wit: Board

item

agenda

Commissioners

on

AS- 13944,

January

approved

14, 2025,

which

and

executed

increased

the

by

Board

the

Compensation

of

County

from $ 407, 900 to

an authorized amount of$ 499, 886.

7.

COUNTY is now in need of additional professional services under the original Agreement, Amendment

No.

1,

Amendment

No.

2,

Amendment

No.

3

and

Amendment # 4

and

CONTRACTOR is amenable to extending his/ her professional services to COUNTY under the same terms and conditions of the original Agreement, Amendment No. 1, Amendment No. 2, Amendment No. 3 and Amendment No. 4, and as set forth below. 8.

Both COUNTY and CONTRACTOR agree to modify the original Agreement in the parties' best interests and in furtherance of the purposes and intents of this amendment, as set forth below:

9.

a.

Increasing the not to exceed by $ 7, 403 ( Exhibit B) for a total authorized amount of$ 507, 289 to complete work detailed in Exhibit A.

b.

Extending Contract to expire on June 30, 2026.

Except as provided above in this Amendment No. 5, all terms, conditions, duties, obligations of the original Agreement, provisions Amendment No. 3 and Amendment No. 4 shall and

Amendment remain

No.

1,

Amendment

in full force and effect.

No.

2,


The

hereto

have

executed

16th

September

day of 2025 and each signatory to this Amendment No. 5 warrants that he/ she is duly authorized and execute this Amendment for and on behalf of the below- inscribed parties hereto. parties

this

agreement

BOARD CONTRACTOR:

this

on

OF COUNTY

OF COWLITZ

COMMISSIONERS

COUNTY,

WASHINGTON

Signed by:

Edwin

By:

Halim,

Director

64 v4k is

authorized

by Bylaws to

sign)

Si

Signed

ATTEST: Signed by: P

Key

J 1( A

wnsnirvc

yA 0

0rayson Clerk of

ed by:

c

Yy

ll

s «

2

CfI eVT' T6ftell, Commissioner

cower

qq

Q Q,

by:

a 1, Chairman

ar

ory

Signed by:

fU^t I a., t r)

Boa

96Y4Commissioner CONTRACT ATTORNEYS'

AMENDMENT OFFICE

FORM

HAS

BEEN

APPROVED

BY

COWLITZ

COUNTY

PROSECUTING


AMENDMENT

NO. 6

to

Cowlitz County Professional Services Agreement with RH2 Engineering

1.

This

Amendment

and RH2

No. 6 to Agreement

Engineering (" CONTRACTOR")

between

Cowlitz

County, Washington, ("

COUNTY"),

shall take effect and be in force on the below stated

date of authorization as agreed to by COUNTY and CONTRACTOR. 2.

COUNTY AND CONTRACTOR have entered into an Agreement for professional services, to wit:

Board

item

agenda

AS- 12361,

approved

and executed

by the Board of County

Commissioners on November 1, 2022, which agreement will expire on December 31, 2025. 3.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 1, to wit: Board

agenda

Commissioners authorized

4.

item

AS- 12850,

on June

6, 2023,

approved

and

which increased

executed

by

the

the Compensation

Board

of County

from $ 271, 740 to an

amount of$ 339, 740.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 2, to wit: item AS- 13696, Board agenda approved and executed by the Board of County Commissioners on September 10, 2024, which increased the Compensation from $ 339, 740 to an authorized amount of$ 374, 740.

5.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 3, to wit: Board item agenda AS- 13876, approved and executed by the Board of County Commissioners

on

December

10, 2024,

which

increased the Compensation

from $ 374, 740

to an authorized amount of$ 407, 900. 6.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 4, to wit: agenda Board item AS- 13944, approved and executed by the Board of County on January Commissioners 14, 2025, which increased the Compensation from $ 407, 900 to

an authorized amount of$ 499, 886. 7.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 5, to wit: Board

agenda

Commissioners

to an authorized

8.

item

AS- 14336,

approved

September 16, 2025, amount of$ 507, 289.

on

and

executed

by

the

Board

which increased the Compensation

of County

from $ 499, 886

COUNTY is now in need of additional professional services under the original Agreement, Amendment

No. 1, Amendment

No. 2, Amendment

No. 3, Amendment # 4, Amendment # 5

and CONTRACTOR is amenable to extending his/ her professional services to COUNTY under the same terms and conditions of the original Agreement, Amendment No. 1, Amendment No. 2, Amendment No. 3, Amendment No. 4, and Amendment No. 5, and as set forth below.

9.

Both COUNTY and CONTRACTOR agree to modify the original Agreement in the parties' best interests and in furtherance of the purposes and intents of this amendment, as set forth below: a.

Increasing the not to exceed by$ 33, 200 ( Exhibit B) for a total authorized amount of$ 540, 489 to complete work detailed

in Exhibit A.


b.

Extending Contract to expire on December 31, 2026.

10. Except as provided above in this Amendment No. 6, all terms, conditions, duties, obligations and

of

provisions

the

original

Agreement,

No.

Amendment

1,

Amendment

No.

2,

Amendment No. 3, Amendment No. 4 and Amendment No. 5 shall remain in full force and effect.

The parties hereto

have executed

this agreement

4

on this

day of

November

2025

and each signatory to this Amendment No. 6 warrants that he/ she is duly authorized and execute this Amendment for and on behalf of the below- inscribed parties hereto.

BOARD OF COUNTY COMMISSIONERS OF COWLITZ COUNTY, WASHINGTON

CONTRACTOR:

by,

it '

.'

Dahl,

Chairman

jqi 2EcTok

authorized by Bylaws to sign) Signed by:

r166"NITTerrell, Commissioner

ATTEST:

JSigmd

I.

XX

Kelly Grayson,

by: L

Sa- d by: u J

QMA91.

er

of the Boa

cuc

_

1Wv

St-&WTC06r, Commissioner

CONTRACT AMENDMENT FORM HAS BEEN APPROVED BY COWLITZ COUNTY PROSECUTING ATTORNEYS'

OFFICE


EXHIBIT

B

Fee Estimate Amendment No. 6

Cowlitz County Toutle Water System Improvement Projects Shadow Mountain Updates Oct- 25

Total Description

Task i

Additional

Design Services

1. 1

Update plans, specifications,

1. 2

Provide 99- percent construction

1. 3

Address

County comments and prepare bid- ready construction documents

1. 4

JProvide

updates

to

reservoir

and cost estimate documents

for County

J:\

Data\

CC\ 22-0177\ DO Comna\

Amendment

review and comment

grading, access, and electrical

PROJECT TOTAL

6\ Amnd_ 6_ FEE_ Shadm

WM Updates

Total

Hours

services

1

RH2

Labor

Total ALL

Total ALL

Hours

Labor

146

$

32, 068

146

23

$

5, 505

23

4

$

818

50

$

69

$

146

1$

Total Expense

Total Cost

32,068 $

1, 132 $

33, 200

5, 505 $

193 $

5, 698

4

818 $

20 $

838

11, 408

50

11, 408 $

395 $

11, 803

14, 337

69

14, 337 $

523

32, 068

146

32, 068 $

1, 132

S

T$

$

14, 860 1

33, 200

10/ 7/ 2025

5: D4 AM


EXHIBIT A Scope of Work Amendment No. 6

Cowlitz County Toutle Water System Improvement

Projects

Shadow Mountain Updates October 2025

Background

Cowlitz County( County) has requested design revisions to show construction phasing at the Shadow Mountain service area. The updates include the following:

Install the booster pump station and 4- inch water line up to the reservoir. Construct

the reservoir.

Install the 8- inch main from the reservoir down to Shadow Mountain Road. Construct

the water line to the east on Shadow

Mountain

Road

and to the west to the

reservoir feed only.

Install electrical improvements for the booster pump station and reservoir. The water line to the west of the reservoir feed towards Martin Road will not be included in this

project; however, it will be shown as a future water main so the County can use the plans as the area develops.

The plans to the

west

will

be noted

as "

NOT

IN CONTRACT"

or similar

on the

sheets

affected, so the number of sheets should not change.

The Shadow Mountain Reservoir plans have been revised several times with different options for grading,

access,

reactivated

and

water

service (

mechanical).

The project was put on hold in 2024 until being

in July 2025. RH2 Engineering, Inc., ( 111- 12) has included

this additional

effort and time as

subtask 1. 4.

This Scope of Work also includes additional effort for phasing the civil, structural, and electrical plans,

updating the specifications, updating the bid quantities and Engineer' s estimate of probable construction cost, and completing the design and bidding for the project. Task 1 — Additional Design Services

Objective: Provide additional design services for the phasing of the Shadow Mountain plans, specifications,

and construction

cost estimate.

Approach: 1. 1

Update the Shadow Mountain civil, structural, and electrical plans, specifications, and cost estimate for phasing the project.

1 10/ 7/ 2025 5: 03: 37 AM

1:\ Data\ CC\ 22- 0177\ 00 Contract\ Amendment

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I I

i

Cowlitz County Water System Improvement Projects

Toutle Shadow

1. 2

Mountain

Exhibit

Provide 99- percent construction

A— Scope of Work Amendment

Updates

documents ( plans, specifications,

No. 6

and estimate) to the

County for review and comment. 1. 3

Address County comments and provide bid- ready construction documents.

1. 4

Provide updates to the Shadow Mountain Reservoir design for grading, access, and electrical service. This work was previously completed.

Assumptions:

RH2 will rely on the accuracy and completeness of information, data, and materials generated

or produced by the County or others in relation to this Scope of Work. RH2 assumes that the entity providing such information

to RH2 is either the owner of such information

or has

obtained written authorization from the owner to distribute said information. Provided by County: 99- percent construction document review. RH2 Deliverables:

99- percent and bid- ready plans, specifications, and cost estimate in electronic PDF. Project Schedule

RH2 is prepared to begin work following receipt of an executed amendment.

It is anticipated . that

99- percent construction documents can be provided within four ( 4) weeks from receiving an and bid- ready documents can be provided within two ( 2) weeks from amendment,

executed

receiving any County comments.

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AMENDMENT

NO. 7

to

Cowlitz County Professional Services Agreement with RH2 Engineering

1.

This Amendment

No. 7 to Agreement

and RH2 Engineering (" CONTRACTOR")

between Cowlitz

Washington, ("

County,

COUNTY"),

shall take effect and be in force on the below stated

date of authorization as agreed to by COUNTY and CONTRACTOR. 2.

COUNTY AND CONTRACTOR have entered into an Agreement for professional services, to wit: Board agenda item AS- 12361, approved and executed by the Board of County Commissioners on November 1, 2022, which agreement will expire on December 31, 2025.

3.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 1, to wit: Board

item

agenda

Commissioners

on

approved

AS- 12850,

June 6, 2023, which

and

increased

executed the

by

Board

the

Compensation

of

County

from $ 271, 740 to an

authorized amount of$ 339, 740.

4.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 2, to wit: Board

item

agenda

Commissioners

on

approved

AS- 13696,

September

and

10, 2024, which

executed

increased

the

by

Board

the

Compensation

of

County

from $ 339, 740

to an authorized amount of$ 374, 740.

5.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 3, to wit: Board

item

agenda

Commissioners

on

approved

AS- 13876,

and

10, 2024, which

December

executed

increased

the

by

Board

the

Compensation

of

County

from $ 374, 740

to an authorized amount of$ 407, 900.

6.

COUNTY AND CONTRACTOR have amended the Agreement with Amendment No. 4, to wit: Board

item

agenda

Commissioners

on

AS- 13944,

January

approved

14, 2025, which

and

executed

increased

by

Board

the

Compensation

the

of

County

from $ 407, 900 to

an authorized amount of$ 499, 886.

7.

COUNTY Board

AND

CONTRACTOR item

agenda

Commissioners

on

have

amended

AS- 14336,

September

the Agreement

approved

and

16, 2025, which

with

executed

increased

the

Amendment

by

No.

Board

the

Compensation

of

5, to wit:

County

from $ 499, 886

to an authorized amount of$ 507, 289.

8.

COUNTY Board

AND

CONTRACTOR

agenda

Commissioners an authorized

9.

item on

have

amended

AS- 14455,

the Agreement

approved

November 4, 2025, which

amount

and

with

executed

increased

Amendment

by

Board

the

the Compensation

No.

6, to wit:

of County

from $ 507, 289 to

of$ 540, 489.

COUNTY is now in need of additional professional services under the original Agreement, Amendment

No. 1, Amendment

No. 2, Amendment

No. 3, Amendment

No. 4, Amendment

No. 5, Amendment No. 6 and CONTRACTOR is amenable to extending his/ her professional services

to

Amendment

COUNTY

under

the

No. 1, Amendment

No. 5 and Amendment

No. 6, and

same

terms

and

No. 2, Amendment as

set forth

below.

conditions

of

the

No. 3, Amendment

original

Agreement,

No. 4, Amendment


10. Both COUNTY and CONTRACTOR agree to modify the original Agreement in the parties' best interests and in furtherance of the purposes and intents of this amendment, as set forth below:

Increasing the not to exceed amount by $ 96, 000 ( Exhibit B) for a total authorized

a.

amount

b.

of$ 636, 489 to complete

work detailed

in Exhibit

A.

Extending Contract to expire on December 31, 2027.

11. Except as provided above in this Amendment No. 7, all terms, conditions, duties, obligations and provisions of the original Agreement and any prior Amendment( s) shall remain in full force and effect.

The

2026 on this parties hereto have executed this agreement day of and each signatory to this Amendment No. 7 warrants that he/ she is duly authorized and execute this Amendment for and on behalf of the below- inscribed parties hereto.

BOARD CONTRACTO :

OF COUNTY

OF COWLITZ

COMMISSIONERS

COUNTY,

WASHINGTON

By: Edwin

Halim,

Richard

R. Dahl,

Chairman

Steven

L. Ferrell,

Commissioner

Director

authorized by Bylaws to sign)

ATTEST:

Kelly Grayson,

CONTRACT ATTORNEYS'

Clerk of the Board

AMENDMENT OFFICE

FORM

Steve

HAS

BEEN

APPROVED

Rader, Commissioner

BY

COWLITZ

COUNTY

PROSECUTING


EXHIBIT A Scope of Work Amendment No. 7

Cowlitz County Toutle Water System Improvement Projects Shadow Mountain Water System July 2026

Background Cowlitz

County ( County) has requested additional

support

from

RH2

Engineering,

Inc., ( RH2) for the

Toutle Water System projects, including the Tower Road Water Line and Juanita Way Booster Pump Station ( BPS) projects. The estimated budget has been exhausted for the projects based on additional services, including site observations and submittals. This Scope of Work includes the additional effort for the budget overages associated with the Toutle Water System, anticipated updates to the bidding documents due to U. S. Environmental Protection Agency ( EPA) requirements, updates based upon American Rescue Plan Act ( ARPA) timing, and services during construction of the Shadow Mountain Phase

1 improvements (

BPS,

reservoir,

and water

mains).

General Assumptions

RH2 will rely on the accuracy and completeness of information, data, and materials generated or produced by the County or others in relation to this Scope of Work. RH2 assumes that the entity providing such information to RH2 is either the owner of such information or has obtained written authorization from the owner to distribute said information. RH2 is not responsible for site safety, for determining means methods, or for directing the contractor in their work.

The services are limited to those described herein and will be performed to the level of effort identified in the attached Fee Estimate. If additional effort is needed, that extra work will be mutually determined by the County and RH2. Deliverables will be submitted in electronic format( PDF) unless otherwise noted. Task 1 —

Additional Services During Juanita Way Booster Pump Station Construction

Objective: Provide additional services during construction for Juanita Way BPS portion of the project. Approach: 1. 1

Provided

additional

support

during

construction

of

the

Juanita

BPS,

including

field

observations, piping exhibits, and construction sequences.

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Cowlitz Toutle

Exhibit

County Water

Shadow

System

Mountain

Improvement

A

Scope of Work

Projects

Water System

Amendment

No. 7

Task 2 — Shadow Mountain EPA and ARPA Updates

Objective: Provide additional services during design for the Shadow Mountain Water System. Approach: 2, 1

Update

the plans and specifications

for Shadow

Mountain

based

upon

EPA review.

The

County will coordinate with EPA and provide review comments to RH2 for document updates. 2, 2

Update the plans and specifications for Shadow Mountain based upon ARPA timing requirements. Phased plans will be prepared to provide water from the BPS to the eastern portion of the site ( Lot 3 and 4, short subdivision

volume 16, page 93; Lots 1, 2, 4, and 8 BLA,

volume 30, page 49; and Lot 99 BLA, volume 32, page 12). Provided by County: Coordination

with EPA and EPA review

comments.

Updated plans and specifications showing phased development for ARPA timing. RH2 Deliverables:

Updated plans and specifications based on EPA review comments. Task 3 —

Shadow Mountain Services During Construction

Objective: Provide additional services during construction for the Shadow Mountain Water System. Approach: 3. 1

Provide additional part-time on- site construction observation activities to review whether the construction

activities observed are in compliance with the construction

contract plans

and specifications. This subtask anticipates 221 hours of additional construction support effort from RH2 staff, as shown on the attached Fee Estimate. Provided by County: Observation

schedule.

RH2 Deliverables:

On- site observation forms.

Project Schedule

RH2 is prepared to begin work following receipt of an executed agreement. It is anticipated that construction

services will begin in October 2026 and continue through May 2027.

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EXHIBIT

B

Fee Estimate Amendment

No. 7

Cowlitz County Toutle Water System

Improvement

Projects

Jul- 26

Description

Task 1 1. 1

Task 2

Additional

Services During Juanita Way Booster Pump Station Construct

Provide additional

support

Update the plans and

2. 2

ARPA Updates

3. 1

specifications

based

upon

Shadow Mountain Services

During Construction

Provide additional

on- site

part- time

construction

PROJECT

corp. rh2. com\

of Juanita BPS.

Shadow Mountain EPA Updates

2. 1

Task 3

during construction

EPA review

observation

TOTAL

projects\ Project\ Data\ CC\ 22- 0177\ 00 Contract\ Amendment 7\ Amnd_

7_ FEE_ Shadow MTN SDC

activities.

Total

Total RH2

Total RH2

Hours

Labor

Expense

Total Cost

23

$

5, 299

$

297

$

5, 596

23

$

5, 299

$

297

$

5, 596

90

$

22, 478

$

1, 413

$

23, 891

11

$

2, 863

$

154

$

3, 017

79

$

19, 615

$

1, 259

$

20, 874

221

$

61, 656

$

4, 856

$

66, 512

221

$

61, 656

$

4, 856

$

66, 512

334

$

89, 433

$

6, 567

$

96, 000

07/ 20/ 2026 09: 45 AM


EXHIBIT C RH2 ENGINEERING,

INC.

2026 SCHEDULE OF RATES AND CHARGES RATE

RATE

UNIT

Professional

LIST 1

181

hr

Professional

11

200

hr

Professional

III

223

hr

Professional

IV

244

hr

Professional

V

262

hr

Professional

VI

281

hr

Professional

VII

307

hr

Professional

VIII

334

hr

Professional

IX

338

hr

Technician 1

141

hr

Technician

11

154

hr

Technician 111

174

hr

Technician IV

189

hr

Technician

V

207

hr

Technician

VI

228

hr

Technician VII

248

hr

Technician

260

hr

VIII

Administrative

1

95

hr

Administrative

II

110

hr

Administrative

111

132

hr

Administrative

IV

154

hr

Administrative V

178

hr

CAD/ GIS System

27. 50

hr

CAD Plots-

Half Size

2. 50

price per plot

CAD Plots-

Full Size

10. 00

price per plot

CAD Plots-

Large

25. 00

price per plot

Copies(

bw) 8. 5" X 11"

0. 09

price per copy

Copies(

bw) 8. 5" X 14"

0. 14

price per copy

Copies( bw) 11" X 17"

0. 20

price per copy

Copies(

color)

8. 5" X 11"

0. 90

price per copy

Copies(

color)

8. 5" X 14"

1. 20

price per copy

Copies(

color)

11" X 17"

2. 00

price per copy

2. 50%

of Direct Labor

Night Work

10. 00%

of Direct

Mileage

0. 7250

or Current IRS Rate)

15%

Cost+

Technology

Charge

Labor

price per mile

Subconsultants Outside Services

at cost

Rates listed

are

adjusted annually.


EXHIBIT A Scope of Work Amendment No. 7

Cowlitz County Toutle Water System Improvement Projects Shadow Mountain Water System April 2026

Background Cowlitz

County ( County)

has requested

additional

support

from

RH2

Engineering,

Inc., ( RH2) for the

Toutle Water System projects, including the Tower Road Water Line and Jaunita Way Booster Pump Station ( BPS) projects. The estimated budget has been exhausted for the projects based on additional services, including site observations and submittals. This Scope of Work includes the additional effort for the budget overages associated with the Toutle Water System, anticipated updates to the bidding documents

due to U. S. Environmental

Protection

Agency ( EPA) requirements,

and services during

construction of the Shadow Mountain Phase 1 improvements ( booster pump station, reservoir, and water

mains).

Task 1 —

Additional Services During Juanita Way Booster Pump Station Construction

Objective: Provide additional services during for Juanita Way BPS portion of the project. Approach: 1. 1

Provided

additional

of the during construction inspections, piping exhibits, and construction sequences.

Task 2 — Shadow

support

Mountain

Juanita

BPS,

including field

EPA Updates

Objective: Provide additional services during design for the Shadow Mountain Water System. Approach: 2. 1

Update the plans and specifications for Shadow Mountain based upon EPA review. The County will coordinate with EPA and provide review comments to RH2 for document updates.

Provided by County: Coordination with EPA and EPA review comments. RH2 Deliverables:

Updated plans and specifications based on EPA review comments. Assumptions:

RH2 will rely on the accuracy and completeness of information, data, and materials generated or produced by the County or others in relation to this Scope of Work. RH2 assumes that the

1 4/ 29/ 2026 8: 35: 20 AM

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Cowlitz County Toutle Shadow

Water

System

Mountain

Improvement

Water

Projects

Exhibit

System

A— Scope of Work Amendment

No. 7

entity providing such information to RH2 is either the owner of such information or has obtained written authorization from the owner to distribute said information. Task 3 —

Shadow Mountain Services During Construction

Objective: Provide additional services during construction for the Shadow Mountain Water System. Approach: 3. 1

Provide additional part- time on- site construction observation activities to review whether the construction activities observed are in compliance with the construction contract plans and specifications. This subtask anticipates 221 hours of additional construction support effort for RH2 staff, as shown on the attached Fee Estimate.

Provided by County: Observation

schedule.

RH2 Deliverables: On- site observation forms in electronic PDF. Assumptions:

RH2 will rely on the accuracy and completeness of information, data, and materials generated or produced by the County or others in relation to this Scope of Work. RH2 assumes that the entity providing such information to RH2 is either the owner of such information or has obtained written authorization from the owner to distribute said information. RH2 is not responsible for site safety, for determining means methods, or for directing the contractor in their work.

The services are limited to those described herein and will be performed to the level of effort identified in the attached Fee Estimate. If additional effort is needed, that extra work will be mutually determined by the County and RH2. Project Schedule

RH2 is prepared to begin work following receipt of an executed agreement. It is anticipated that construction services will begin in October 2026 and continue through May 2027.

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Shadow MTN SDC. docx


EXHIBIT

B

Fee Estimate Amendment

No. 7

Cowlitz County Toutle Water System

Improvement

Projects

Apr- 26

Description

Task 1

Additional

Services

During Juanita Way Booster Pump Station Constructi

Task 2

Shadow Mountain EPA Updates

Task 3

Shadow Mountain Services During

1 Construction

Subtotal Toutle Water System

Improvement Projects

PROJECT TOTAL

1:\

Data\ CC\ 22- 0177\ 00 Contract\ Amendment

7\ Amnd

7

FEE

Shadow MTN SDC

Tasks

1

Total

Total RH2

Total RH2

Hours

Labor

Expense

Total Cost

23

$

5, 155

$

294

$

5, 449

11

$

2, 863

$

154

$

3, 017

221

$

61, 656

$

4, 878

$

66, 534

255

$

69, 674

$

5, 326

$

75, 000

69, 674

$

5, 326

$

75, 000

255

$

04/ 29/ 2026 08: 34 AM


EXHIBIT C RH2 ENGINEERING,

INC.

2026 SCHEDULE OF RATES AND CHARGES RATE

RATE

UNIT

Professional

LIST 1

181

hr

Professional

11

200

hr

Professional

III

223

hr

Professional

IV

244

hr

Professional

V

262

hr

Professional

VI

281

hr

Professional

VII

307

hr

Professional

VIII

334

hr

Professional

IX

338

hr

Technician 1

141

hr

Technician

11

154

hr

Technician 111

174

hr

Technician IV

189

hr

Technician

V

207

hr

Technician

VI

228

hr

Technician VII

248

hr

Technician

260

hr

VIII

Administrative

1

95

hr

Administrative

II

110

hr

Administrative

111

132

hr

Administrative

IV

154

hr

Administrative V

178

hr

CAD/ GIS System

27. 50

hr

CAD Plots-

Half Size

2. 50

price per plot

CAD Plots-

Full Size

10. 00

price per plot

CAD Plots-

Large

25. 00

price per plot

Copies(

bw) 8. 5" X 11"

0. 09

price per copy

Copies(

bw) 8. 5" X 14"

0. 14

price per copy

Copies( bw) 11" X 17"

0. 20

price per copy

Copies(

color)

8. 5" X 11"

0. 90

price per copy

Copies(

color)

8. 5" X 14"

1. 20

price per copy

Copies(

color)

11" X 17"

2. 00

price per copy

2. 50%

of Direct Labor

Night Work

10. 00%

of Direct

Mileage

0. 7250

or Current IRS Rate)

15%

Cost+

Technology

Charge

Labor

price per mile

Subconsultants Outside Services

at cost

Rates listed

are

adjusted annually.


231261

BOCC

Consent

Agenda

Agenda

Meeting Date: 8/ 4/ 2026 CONTRACT EXECUTION and BOND IN LIEU OF RETAINAGE - Burma Road Toutle Park Road Bypass1859-

Tapani

Project No.

Inc.

Submitted By: Emilie Cochrane, Lead Admin Assistant III Submitted For: Susan Eugenis, County Engineer Department:

Roads

Administration

Information

Subject and Summary Statement

Attached are the contract documents for the Burma Road Toutle Park Bypass Road Project, including a Bond in Lieu of Retainage from Travelers Casualty and Surety Company of America. The project was awarded to Tapani Inc. on July 7, 2026, for the bid price of$ 1, 234, 000. Staff Attendance Susan

Eugenis

Department

Recommendation

It is the recommendation

of the Department

of Public Works that the Board move to enter into the

contract with Tapani Inc. for the Burma Road Toutle Park Bypass Road Project in the amount of

1, 234, 000, including the acceptance of the Bond in Lieu of Retainage from Travelers Casualty and

Surety Company of America. Approval of Bond in Lieu of Retainage this 4th day of August, 2026.

Form

Task

User Cochrane,

Emilie

Boursaw,

Ronald

Review

Action

Timestamp

Submit

7/ 23/ 2026

10: 09: 00 AM

Submit

7/ 23/ 2026

12: 08: 00 PM

Review-

Submit

7/ 27/ 2026

8: 14: 00 AM

Approver

Approve

7/ 28/ 2026

5: 22: 00 PM

Legal Review

Approve

7/ 29/ 2026

8: 44: 00 AM

Clerk of the Board

Approve

7/ 29/ 2026

8: 49: 00 AM

Agenda

Item

Submission

Preliminary ReviewPW1

Eugenis,

Susan

Preliminary PW2

Eugenis,

Susan

Department Review

Jensen,

Doug

Grayson,

Kelly

Review

Approved: BOARD

OF COUNTY

OF COWLITZ

COMMISSIONERS

COUNTY,

WASHINGTON


231261

Consent

Richard R. Dahl, Chairman

Steve

Rader,

Commissioner

Steven L. Ferrell, Commissioner

Attest:

Clerk of the Board

Agenda


Bond No. 108511138

BOND IN LIEU OF RETAINAGE

ALL

KNOW

MEN

THESE

BY

PRESENTS,

That

we,

INC,

TAPANI,

as

and

Principal,

of America ,

Casualty and

Travelers

Surety Company as Surety are held and firmly bound unto COWLITZ COUNTY as trustee for the lawful claimants designated in chapter 60. 28 RCW, the Obligee, in the sum of Sixty One Thousand Seven Hundred & No/ 100---($ 61, 700. 00--), lawful money ofthe United States of

America, to the payment of which, well and truly to be paid, we bind ourselves, our heirs, executors and successors, jointly and severally, by these presents. THE CONDITION WHEREAS,

on

the construction

OF THE ABOVE OBLIGATION

2026

July

the date of

IS SUCH, That the Principal and Obligee entered into a contract for

of the Burma Road Toutle Park Road Bypass Project; and

WHEREAS, Obligee is required to retain funds for the benefit of lawful claimants in accordance with the provisions of Chapter 60. 28 RCW; and WHEREAS, the Principal elected to submit a bond in lieu of all of the contract retainage as permitted by the provisions of Chapter 60. 28 RCW; and

WHEREAS, the purpose of the contract retainage is to provide a trust fund for the payment of lawful claims against the Principal that arise from said contract.

NOW, THEREFORE, the Surety shall not defend against claims against the contract retainage but instead shall be merely a stakeholder of, and insurer that, funds are available in the amounts required by the provisions of Chapter

60. 28 RCW for payment to lawful claimants under Chapter 60. 28 RCW, including Cowlitz County to the extent of its right to withhold for claims it may have against the Principal under RCW 60. 28. 021, all for the statutorily required period. WITNESS

IN

said Principal

WHEREOF,

July

and

Surety have hereunto

set their

hands this

13th

day of

2026.

Travelers

Casualty and Surety

ompany of America

Tapani, Inc. Name

of Principal

N

Au

ized

Authorized Signature*

nature

r, cr

f Surety

Q

o

Z

Gloria

im

Bruning, Attorney- in- fact '

Title

Title

7 h r,

July 13, 2026

Date

Date

sY

e

J

r,

l

Attach Power of Attorney

ti s

sa3

b


Travelers Casualty and Surety Company of America Travelers Casualty and Surety Company

TRAVELERS J

St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY

Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations

duly organized

the laws of the State

under

and appoint Gloria

constitute

of Connecticut(

called

herein

collectively PORTLAND

of

Bruning

the " Companies"),

and the Companies

do hereby

Oregon

make,

their

true and lawful Attorney( s)- in- Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 13th day of May, 2026.

J

W;

JY

Pa

µpm

MAR/

Mt•

Wl; • .(

p SUREry yam • `

O

SEALi

SEAL •

SEAL •<

i

is

d,.,. •

rn

s'.

'

.

i

State of Connecticut

By: Bryce Grissom, Senior Vice President

City of Hartford ss.

On this the 13th day of May, 2026, before me personally appeared Bryce Grissom, who acknowledged himself to be the Senior Vice President, Surety, Bond& Specialty Insurance, of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies

by himself as a duly authorized officer.

IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission

expires

the 31st

day of March,

2031

l '?"' ':

t

i`"

t

Aw(. t?

G-

jPWCj4f.

Marie E. Sorensen, Notary Public

UBLA°:` ;

This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies, which resolutions

are now in full force and effect, reading

as follows:

RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys- in- Fact and

Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company' s name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is

FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice

President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;

and it is

FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when ( a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any

Assistant Secretary and duly attested and sealed with the Company' s seal by a Secretary or Assistant Secretary; or( b) duly executed ( under seal, if required) by one or more Attorneys- in- Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is

FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any

Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding which

to

it is attached.

I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, Dated this

13th SUREt

2026

July

day of

which remains in full force and effect.

MARIp

JY µp

i

r

t;

3••

SEAL • i<

a, i,

ie

W;

i

SEAL'

ii

jai

SEALi

a'• .

=

R

row r,.... ....

G`" ( / -

I"''

Kevin E. Hughes, Assistant Secretary

To verify the authenticity olthis PoCv&h 6h4ttorney, please call us at 1- 800- 421- 3880. Please

refer

to the

above- named

Attorney( s)- inoc! and the details of the bond

to which

this Power

of Attorney is attached.


Cowlitz County

Department of Public Works

CONTRACT

DOCUMENTS FOR

BURMA

ROAD TOUTLE

PARK ROAD BYPASS

NE AND NW Y. SEC. 27, T10N, R2W

Cowlitz County Project No. 1859 C. R. P. No. 820

June 9, 2026

COWLITZ

COUNTY

Department of Public Works 1600- 13t" Avenue South Kelso, Washington

98626

Phone ( 360) 577- 3030

BOARD OF COUNTY COMMISSIONERS STEVE RADER

District No. 1

STEVEN L. FERRELL

District No. 2

RICHARD R. DAHL

District No. 3

CONTRACT

PROJECT


ADDENDUM

NO . 4

To the Plans and Specifications

BURMA

ROAD TOUTLE

Project

PART[

for the

BYPASS

PROJECT

No. 1859

For the Department of Public Works, Cowlitz County, Washington Bid Opening Date: July 1, 2026, at 10: 00 a. m. ( Revised

Per Addendum #

1)

THIS ADDENDUM IS HEREBY MADE A PART OF THE CONTRACT DOCUMENTS TO THE SAME EXTENT AS THOUGH

PROPOSAL

IT WAS ORIGINALLY

INCLUDED

THEREIN.

FORM

Delete Item 6 Paving Contractor' s Project Information Standard Questionnaire from Instructions to Bidders page 6 and page 7.

Acknowledgment of this addendum is required under ADDENDA on Page 9 of the Contract Documents. ISSUED THIS 29TH

AY OF JUNE, 2026.

SUSAN

EUGENIS,

P. E.

County Engineer Cowlitz County Public Works 1600 1311 Avenue South Kelso, WA 98626


ADDENDUM

N .

To the Plans and Specifications BURMA

ROAD TOUTLE

Project

PART{

3

for the

BYPASS

PROJECT

No. 1859

For the Department of Public Works, Cowlitz County, Washington Bid

Opening

Date:

July 1, 2026,

at 10: 00 a. m. ( Revised

Per Addendum# 1)

THIS ADDENDUM IS HEREBY MADE A PART OF THE CONTRACT DOCUMENTS TO THE SAME EXTENT AS THOUGH

IT WAS ORIGINALLY

INCLUDED THEREIN.

SPECIAL PROVISIONS

Delete the following paragraph: BID ITEM 28: CHAINLINK FENCE WITH BARBED WIRE BID ITEM 29: WIRE FENCE

These items shall be accomplished

in accordance with the Plans and Standard Specification

Section 8- 12.

Replace with: BID ITEM 28: CHAINLINK FENCE WITH BARBED WIRE 8- 12. 3 Construction Requirements

Add the following to 8- 12. 3( 1) A

All line posts to be set in concrete per Concrete Post Base per Standard Plan L- 20. 10- 03. BID ITEM 29: WIRE FENCE

8- 12. 3 Construction Requirements

Add the following to 8- 12. 3( 2) B Barbed Wire and Wire Mesh Welded Wire Mesh Shall be 16 Gauge These items shall be accomplished

in accordance with the Plans and Standard Specification

Section 8- 12.

Acknowledgment of this addendum is required under ADDENDA on Page 9 of the Contract Documents. ISSUED

THIS 25TH

DAY OF JUNE,

2026.

SUSAN EUGENIS, P. E.

County Engineer

Cowlitz County Public Works 1600 13th Avenue South Kelso, WA 98626


A

DENDUM

N .

2

To the Plans and Specifications for the

BURMA ROAD TOUTLE PARK BYPASS PROJECT

Project

No. 1859

For the Department of Public Works, Cowlitz County, Washington Bid

Opening

THIS ADDENDUM

Date:

July 1, 2026,

at 10: 00 a. m. ( CHANGED-

Addendum

IS HEREBY MADE A PART OF THE CONTRACT DOCUMENTS

No. 1)

TO THE SAME

EXTENT AS THOUGH IT WAS ORIGINALLY INCLUDED THEREIN.

CALL FOR BIDS

PROPOSAL

FORM

The Proposal Form has been revised. Bid item 19 for Corrugated Polyethylene Storm Sewer Pipe, 60inch Diameter. Attached to this addendum

is a revised Proposal Form.

SPECIAL PROVISIONS

BI

ITEMS

BID ITEM 19: Corrugated Polyethylene Storm Sewer Pipe, 60- inch Diameter This bid item is revised to read 60- inch Diameter.

ATTACHMENTS

r

TO THIS ADDENDUM

The attached

Proposal

Form

replaces

the Proposal

Form

in the Contract

Documents.

Acknowledgment of this addendum is required under ADDENDA on Page 9 of the Contract Documents.

ISSUED THIS 24TH DAY OF JUNE, 2026.

SUSAN EUGENIS, P. E.

County Engineer

Cowlitz County Public Works 1600 131" Avenue South Kelso,

WA 98626

Page 1 of 2


PROPOSAL

FORM

Board of County Commissioners

TO:

County Administration

Building

207 Fourth Avenue North, 3rd Floor Kelso, WA 98626

FOR:

BURMA

ROAD TOOTLE

PARK

ROAD

BYPASS

PROJECT

Name of Project

FROM: Bidder' s Business

Name

Mailing Address

Email Address

Name

City, State and Zip

of Bidder' s Representative

Washington

Registration

Employment

Security

Industrial

for Bid

Telephone

No.

Tax I. O. No.

Department

Insurance Coverage

State Excise Tax Registration

No.

Account

No.

No.

UBI No.

INSTRUCTIONS TO BIDDERS

1.

Contract Documents.

documents" tions

for

that

Road,

Transportation

up the

make

Bridge,

of

the

Submission

Standard

and

Municipal

and the American

cations are sometimes

2.

See Section

contract.

Public

1- 04. 2 of the Special Provisions for a list of the " contract

Be sure that you have a copy of the 2025 Standard SpecificaConstruction, by the Washington State Department of Works Association,

Washington

State Chapter.

Such

specifi-

referred to as the " Standard Specifications."

of Bid.

Specifications.

Fill out this Proposal Form completely, in accordance with Section 1- 02. 6 Enclose your Proposal Form and bid deposit in an opaque sealed

envelope addressed to:

Cowlitz County Department of Public Works

Attn: Susan Eugenis, P. E., County Engineer 1600— 13th Avenue S Kelso,

WA 98626

Proposal Burma

Form

Road Toutle Park Road Bypass project No. 1859

Page 5


Mark the outside of the envelope with the name of the bidder, the name of the project, and the date and time of the bid opening. It is your responsibility to make sure that your bid is physically received by the time set for the bid opening. Bids not s received will not be considered. Bids may not be submitted by facsimile machine. The County' s determination of when a bid was received shall be final and non- appealable. 3. Bidder

It is the intent of the Owner to award a contract to the

Standards.

Responsibility

lowest, responsible and responsive bidder for all described Work. Before award, the bidder must meet

all criteria and satisfy all requirements of the following bidder- responsibility standards to be considered a

and

responsible

documentation

a

bidder.

responsive

demonstrating

The

compliance

bidder

may be required

by the Owner

with these standards to be qualified

to submit

to be awarded a

contract. The bidder must:

Have a current certificate of registration as a contractor in compliance with chapter 18. 27

a.

RCW, which must have been in effect at the time of bid submittal;

h.

Have a current

c.

If applicable:

i.

Have

Washington

Industrial

Unified

Business

Insurance (

workers'

Identifier(

UBI)

number;

compensation)

coverage

for

the

bidder' s

employees working in Washington, as required in Title 51 RCW; ii.

Have a Washington Employment Security Department number, as required in Title 50 RCW;

iii.

Have a Washington required

d.

Department

of Revenue state excise tax registration

number, as

in Title 82 RCW;

Not be disqualified from bidding on any public works contract under RCW 39. 06. 010 or 39. 12. 065( 3).

4. Execution of Contract. The successful bidder must use the performance bond form and other forms provided by Cowlitz County to be considered both a responsible and responsive bidder. 5. Standard

Prequalification. Specifications

Cowlitz County has no prequalification requirements. All provisions in the to

relating

prequalification

are

deleted.

See Contractors

Project

Information

Standard Questionnaire (attached with Bid Documents), for requirements necessary to be considered a qualified bidder. 6.

Paving Contractor'

Proiect

s

qualification

of all bidders for

36. 77. 040).

All

Questionnaire

bidders

attached

are

this

project to

required

hereto.

Information

to

Failure

Standard

ensure

complete to complete

Questionnaire.

award

the

to

the

lowest

Contractor' s Project

the Standard

Cowlitz County requires and

best

bidder (

Information

Questionnaire

will

RCW

Standard

result

in the

proposal being non- responsive, and irregular and rejected as per Section 1- 02. 13 of the Standard Specifications.

The bidder should list a minimum of three jobs requiring 7, 000 tons or more of hot mix Proposal Burma

Form

Road Toutle Park Road Bypass Project

Page 6 No.

1859


asphalt paving completed Information

during the timeframe

subcontractor,

the

subcontractor

specified

on the Paving Contractor' s Project

If the bidder proposes placement of the asphalt pavement by a

Standard Questionnaire.

shall

complete

the

Standard

Questionnaire.

The

minimum

requirements for the subcontractor shall be the same as for the Contractor.

7.

Sales Tax Code.

In computing and reporting sales taxes payable to the Washington State

Department of Revenue on this project, the following code number shall be used: 0800.

PROPOSAL

The undersigned bidder proposes to perform the project named above in strict compliance with the contract documents, for the following amounts:

ITEM

UNIT PRICE

AMOUNT

Construction

10, 000. 00

10, 000. 00

Staking Services ( For county provided staking only)

100. 00

100. 00

2, 000. 00

2, 000. 00

Item

Approximate

No.

Quantity

1

Force Account

2

1 Hours

3

Lump Sum

Mobilization

4

Lump Sum

Project Temporary Traffic Control

5

Force Account

6

Lump Sum

Clearing and Grubbing

7

Lump Sum

Removal of Structures

8

2150 C. Y.

Roadway Excavation, Embankment and Disposal Including Haul

9

16, 650 C. Y.

10

100 C. Y.

Miscellaneous

Replacement

Work Zone Traffic Contingency

Onsite

and Obstructions

Haul

Unsuitable

Foundation

Excavation

Including Haul 11

Lump Sum

Trimming and Cleanup

Proposal Burma

Page 7

Form

Road Toutle Park Road Bypass

Project No. 1859


Item

Approximate

No.

Quantity

12

3285 S. Y.

Construction Geotextile for Stabilization

13

12410 S. Y.

Construction Geotextile for Separation

14

4989 Ton

Structural Fill Including Haul

15

5994 Ton

Crushed Surfacing Base Course

16

1240 Ton

HMA Class 3/ 8 Inch

17

Calculation

18

190 L. F.

ITEM

Asphalt

Pipe,

19

AMOUNT

0. 00

0.00

PG 58H- 22

Cost Price Adjustment

Corrugated

UNIT PRICE

Polyethylene

Storm Sewer

12- inch Diameter

Corrugated Polyethylene Storm Sewer 160 L. F.

Pipe, 60- inch Diameter

20

1 Each

21

Lump Sum

Shoring or Extra Excavation Class B

22

Lump Sum

Stormwater

23

2320 C. Y.

Topsoil Type C

24

1. 16 Acre

Seeding, Fertilizing, And Mulching

25

125 L. F.

26

162. 5 L. F.

Catch

Basin,

Cement

Type 1with Solid

Lid

Pollution Prevention

Concrete

Curb and Gutter

Beam Guardrail Type 316- Foot Steel Posts

27

2 Each

Beam Guardrail Type 31 Non- Flared TL- 2 Terminal

27a

100 L. F.

Removing and Resetting Beam Guardrail

Proposal

Form

Burma Road Toutle Park Road Bypass Project No. 1859

Page 8


Item

Approximate

No.

Quantity

28

1400L. F.

29

1000 L. F.

ITEM

UNIT PRICE

AMOUNT

15, 000

15, 000

6- Foot Chain link Fence with Barb Wire

4- foot Galvanized Welded Wire Mesh

4" x4" Opening) with T- Pasts 30

2235 Ton

Quarry Spalls

31

1000 L. F.

Paint Line

32

Force Account

Reconnect

Existing Driveways

TOTAL COST TO COWLITZ COUNTY......................................$

Addenda. and

The bidder acknowledges receipt of the following addenda: Insert numbers of any addenda received.)

Non- Collusion. with

their

bid.

Each bidder must submit a declaration of non- collusion completely executed Reasonable grounds for believing that any bidder( s) have engaged, either directly or

indirectly, into any agreement, participated in any collusion, or otherwise taken any action, in restraint

of free competitive bidding in connection with this bid will cause rejection of all proposals which said bidder( s) has shown interest, and none of the participants to such direct or indirect actions will be considered.

The persons) signing this bid on behalf of the bidder declares) under penalty of perjury under the laws of the United States and the State of Washington that this bidder has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action, in restraint of free competitive bidding in connection with this bid.

Date

Signature

Bidder'

s

Signed

in

Business Name

of Person Authorized

to Bind Bidder

Title of Person Signing Bid

Washington

Proposal Form Burma

Road Toutle Park Road Bypass Project No. 1859

Page 9


ADDENDUM

NO . 1

To the Plans and Specifications for the

BURMA

ROAD TOUTLE

Project

PARK BYPASS

PROJECT

No. 1859

For the Department of Public Works, Cowlitz County, Washington Bid

THIS ADDENDUM

Opening

IS HEREBY

Date:

July 1, 2026, at 10: 00 a. m. ( CHANGED)

MADE A PART OF THE CONTRACT

EXTENT AS THOUGH

IT WAS ORIGINALLY

DOCUMENTS

TO THE SAME

INCLUDED THEREIN.

CALL FOR BIDS

The first paragraph is revised as follows: The Board of County Commissioners of Cowlitz County, Washington will receive sealed bids until July 1, 2026, prior to 10: 00 a. m., for the following work: BURMA ROAD TOUTLE PARK BYPASS

PROPOSAL

PROJECT.

FORM

The Proposal Form has been revised to include a bid item for Removing and Resetting Beam Guardrail. In addition, quantities for Crushed Surfacing Base Course, and Beam Guardrail Type 31 6Foot Steel

SPECIAL

Posts

has been

revised.

Attached

to this addendum

is a revised

Proposal

Form.

PROVISIONS

BID ITEMS

BID ITEM 27a: REMOVING

AND RESETTING

BEAM GUARDRAIL

This bid item is added to the contract and shall be accomplished in accordance with the Plans, Standard

Specification

ATTACHMENTS

and the Special

Provisions.

TO THIS ADDENDUM

The attached

Proposal

Form

replaces

the Proposal

Form

in the Contract

Documents.

Page 1 of 2


Acknowledgment of this addendum is required under ADDENDA on Page 9 of the Contract Documents.

ISSUED THIS 22 DAY OF JUNE,

2026.

SUSAN EUGENIS,

P. E.

County Engineer Cowlitz County Public Works 1600 13' h Avenue South Kelso,

WA 98626

Page 2 of 1


PROPOSAL FORM

Board of County Commissioners

TO:

County Administration

Building

207 Fourth Avenue North, 3rd Floor Kelso, WA 98626

FOR:

BURMA

ROAD TOUTLE

PARK ROAD BYPASS

PROJECT

Name of Project

FROM: Bidder' s Business

Name

Mailing Address

Email Address

City, State and Zip

Name of Bidder' s Representative

Washington

Registration

Employment

Security

Industrial Insurance

for Bid

No.

Tax I. D. No.

Department

Coverage

No.

Account

State Excise Tax Registration

No.

INSTRUCTIONS

Contract Documents.

1. documents" tions

for

that

Road,

Transportation

Bridge,

and

No.

UBI No.

TO BIDDERS

See Section 1- 04. 2 of the Special Provisions for a list of the " contract

up the contract.

make

Telephone

Municipal

and the American

Public

Be sure that you have a copy of the 2025 Standard SpecificaConstruction, by the Washington State Department of Works

Association,

Washington

State Chapter.

Such specifi-

cations are sometimes referred to as the " Standard Specifications."

2. of the

Submission

Standard

of Bid.

Fill out this Proposal Form completely, in accordance with Section 1- 02. 6 Enclose your Proposal Form and bid deposit in an opaque sealed

Specifications.

envelope addressed to:

Cowlitz County Department of Public Works Attn: Susan Eugenis, P. E., County Engineer 1600— 13th Avenue S Kelso, WA 98626

Proposal Form Burma

Road

Toutle

Park Road Bypass Project No. 1859

Page 5


Mark the outside of the envelope with the name of the bidder, the name of the project, and the date and time of the bid opening. It is your responsibility to make sure that your bid is physically received by the time set for the bid opening. Bids not so received will not be considered. Bids may not be submitted by facsimile machine. The County' s determination of when a bid was received shall be final and non- appealable. 3.

Bidder Responsibility

It is the intent of the Owner to award a contract to the

Standards.

lowest, responsible and responsive bidder for all described Work. Before award, the bidder must meet

all criteria and satisfy all requirements of the following bidder- responsibility standards to be considered a responsible and a responsive bidder. The bidder may be required by the Owner to submit documentation demonstrating compliance with these standards to be qualified to be awarded a contract.

The bidder

must:

Have a current certificate of registration as a contractor in compliance with chapter 18. 27

a.

RCW,

which

must have been

b.

Have a current

c.

If applicable:

i.

Have

Washington

Industrial

in effect at the time of bid submittal;

Unified

Business

Insurance (

workers'

Identifier ( UBI)

compensation)

number;

coverage

for

the

bidder' s

employees working in Washington, as required in Title 51 RCW; ii.

Have a Washington Employment Security Department number, as required in Title 50 RCW;

iii.

Have a Washington

Department of Revenue state excise tax registration

number, as

required in Title 82 RCW;

d.

Not be disqualified from bidding on any public works contract under RCW 39. 06. 010 or 39. 12. 065( 3).

4. Execution of Contract. The successful bidder must use the performance bond form and other forms provided by Cowlitz County to be considered both a responsible and responsive bidder. 5.

Prequalification.

Standard Specifications

Cowlitz County has no prequalification requirements. All provisions in the to

relating

prequalification

are

deleted.

See Contractors

Project

Information

Standard Questionnaire ( attached with Bid Documents), for requirements necessary to be considered a qualified bidder. 6.

Paving Contractor'

Project

s

Information

Standard Questionnaire.

Cowlitz County requires

qualification of all bidders for this project to ensure award to the lowest and best bidder ( RCW 36. 77. 040).

Questionnaire

All bidders

are

required

attached

hereto.

to complete

the Contractor' s Project

Information

Standard

Failure to complete the Standard Questionnaire will result in the

proposal being non- responsive, and irregular and rejected as per Section 1- 02. 13 of the Standard Specifications. The bidder should list a minimum of three jobs requiring 7, 000 tons or more of hot mix Proposal Form Burma

Road

Toutle

Park Road Bypass Project No. 1859

Page 6


asphalt

paving

completed

during the timeframe specified on the Paving Contractor' s Project Questionnaire. If the bidder proposes placement of the asphalt pavement by a

Standard

Information

subcontractor,

the

subcontractor

shall

complete

the

Standard

Questionnaire.

The

minimum

requirements for the subcontractor shall be the same as for the Contractor.

7.

Sales Tax Code.

Department

of Revenue

on

In computing and reporting sales taxes payable to the Washington State project, the following code number shall be used: 0800.

this

PROPOSAL

The undersigned bidder proposes to perform the project named above in strict compliance with the contract documents, for the following amounts:

Item

Approximate

No.

Quantity

1

Force Account

2

1 Hours

Miscellaneous

Replacement

ITEM

UNIT PRICE

AMOUNT

Construction

10, 000. 00

10, 000. 00

100. 00

100. 00

2, 000. 00

2, 000. 00

Staking

Services ( For county

provided staking only) 3

Lump Sum

Mobilization

4

Lump Sum

Project Temporary Traffic Control

5

Force Account

6

Lump Sum

Clearing and Grubbing

7

Lump Sum

Removal of Structures and Obstructions

8

2150 C. Y.

Work Zone Traffic

Contingency

Roadway Excavation, Embankment and Disposal Including Haul

9

16, 650 C. Y.

10

100 C. Y.

Onsite Haul

Unsuitable

Foundation

Excavation

Including Haul 11

Lump Sum

Trimming and Cleanup

Proposal Form Burma

Road

Toutle

Park Road Bypass Project No. 1859

Page 7


Item

Approximate

No.

ITEM

Quantity

12

3285 S. Y.

Construction Geotextile for Stabilization

13

12410 S. Y.

Construction Geotextile for Separation

14

4989 Ton

Structural Fill Including Haul

15

5994 Ton

Crushed Surfacing Base Course

16

1240 Ton

HMA Class 3/ 8 Inch PG 58H- 22

17

Calculation

Asphalt

18

190 L. F.

Cost Price Adjustment

Corrugated

Polyethylene

Storm

UNIT PRICE

AMOUNT

0. 00

0. 00

Sewer

Pipe, 12- inch Diameter Corrugated Polyethylene Storm Sewer 19

160 L. F.

Pipe, 72- inch Diameter

Catch Basin, Type 1with Solid Lid

20

1 Each

21

Lump Sum

Shoring or Extra Excavation Class B

22

Lump Sum

Stormwater

23

2320 C. Y.

Topsoil

24

1. 16 Acre

Seeding, Fertilizing, And Mulching

25

125 L. F.

26

162. 5 L. F.

Prevention

Type C

Cement

Beam

Pollution

Concrete

Guardrail

Curb and Gutter

Type 31 6- Foot Steel

Posts

27

2 Each

Beam Guardrail Type 31 Non- Flared TL- 2 Terminal

27a

100 L. F.

Removing and Resetting Beam Guardrail

Proposal Burma

Road

Toutle

Park

Road

Form Bypass

Page 8 Project

No. 1859


Item

Approximate

No.

Quantity

28

1400L. F.

29

1000 L. F.

ITEM

UNIT PRICE

AMOUNT

15, 000

15, 000

6- Foot Chain link Fence with Barb Wire

4- foot Galvanized Welded Wire Mesh

4" x4" Opening) with T- Posts 30

2235 Ton

Quarry Spalls

31

1000 L. F.

Paint Line

32

Force Account

Reconnect

Existing

Driveways

TOTAL COST TO COWLITZ

Addenda. and

COUNTY......................................$

The bidder acknowledges receipt of the following addenda: Insert numbers of any addenda received.)

Non- Collusion.

Each bidder must submit a declaration of non- collusion completely executed Reasonable grounds for believing that any bidder( s) have engaged, either directly or indirectly, into any agreement, participated in any collusion, or otherwise taken any action, in restraint of free competitive bidding in connection with this bid will cause rejection of all proposals which said bidder( s) has shown interest, and none of the participants to such direct or indirect actions will be

with

their

bid.

considered.

The person( s) signing this bid on behalf of the bidder declare( s) under penalty of perjury under the laws of the United States and the State of Washington that this bidder has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action, in restraint of free competitive bidding in connection with this bid.

Signature of Person Authorized to Bind Bidder

Date

Bidder' s Business

Signed

in

Title of Person Signing Bid

Name

Washington

Proposal Form Burma

Road

Toutle

Park Road Bypass Project No. 1859

Page 9


Cowlitz County

Department of Public Works CONTRACT

DOCUMENTS FOR

BURMA ROAD TOUTLE PARK ROAD BYPASS PROJECT

NE AND NW Y. SEC. 27, TION,

R2W

Cowlitz County Project No. 1859 C. R. P. No. 820

June 9, 2026

r

12007565

Responsible for all portions of the Contract Documents

COWLITZ

COUNTY

Approved by:

Department of Public Works 1600- 13th Avenue

South

Kelso, Washington

98626

Phone ( 360) 577- 3030

4 Susan Euge ' ,

County Engineer

CONTRACT

Da e

NCO


TABLE OF CONTENTS Burma

CALLFOR

Road Toutle

Park Road

Bypass

PROJECT

BIDS....................................................................................................................

Page 1

BIDDER' S CHECKLIST..........................................................................................................

Page 3

BIDPROPOSAL...................................................................................................................

Page 5

INSTRUCTIONS

TO BIDDERS...........................................................................................

PROPOSAL...................................................................................................................... NON- COLLUSION PROPOSAL

Page 7

DECLARATION.......................................................................................

FOR INCORPORATING

RECYCLED

MATERIALS

Page 5

INTO PROJECT ......................

Page 10 Page 11

BID DEPOSIT FORM............................................................................................................

Page 12

E- VERIFY DECLARATION ....................................................................................................

Page 13

COMPLIANCE

WITH WAGE PAYMENT LAWS

DECLARATION ...........................................

Page 14

AGREEMENT.......................................................................................................................

Page 15

PERFORMANCE

Page 19

SPECIAL

BOND.......................................................................................................

PROVISIONS.........................................................................................................

DIVISION 1 — GENERAL

Page 20

REQUIREMENTS......................................................................

BIDITEMS......................................................................................................................

Page 21 Page 59

BID ITEM 1:

MISCELLANEOUS

BID ITEM 2:

REPLACEMENT

BID ITEM 3:

MOBILIZATION ..................................................................................

Page 59

BID ITEM 4:

PROJECT TEMPORARY TRAFFIC

Page 59

BID ITEM 5:

WORK ZONE TRAFFIC

BID ITEM 6:

CLEARING

BID ITEM 7:

REMOVAL OF STRUCTURES

BID ITEM 8:

ROADWAY EXCAVATION,

CONSTRUCTION ....................................................

Page 59

STAKING SERVICES ...................................................

Page 59

CONTROL........................................

CONTINGENCY...............................................

AND GRUBBING................................................................

INCLUDING

Page 60 Page 60

AND OBSTRUCTIONS ............................

Page 60

EMBANKMENT AND DISPOSAL ...............

Page 61

HAUL

BID ITEM 9:

ONSITE

BID ITEM 10:

UNSUITABLE

HAUL.....................................................................................

BID ITEM 11:

TRIMMING AND CLEANUP ................................................................

Page 64

BID ITEM 12:

CONSTRUCTION

TEXTILE FOR STABILIZATION ..................................

Page 64

BID ITEM 13:

CONSTRUCTION

TEXTILE

Page 64

BID ITEM 14:

STRUCTURAL

BID ITEM 15:

CRUSHED

BID ITEM 16:

HMA CLASS 3/ 8 INCH PG 58H- 22......................................................

Page 68

BID ITEM 17:

ASPHALT COST PRICE ADJUSTMENT.................................................

Page 68

BID ITEM 18:

CORRUGATED

FOUNDATION

EXCAVATION

HAUL...........

FOR SEPARATION......................................

FILL INCLUDING

SURFACING

INCLUDING

HAUL.................................................

BASE COURSE................................................

Page 61 Page 61

Page 65 Page 67

POLYETHYLENE

STORM

SEWER

PIPE, 12- INCH .........

Page 95

POLYETHYLENE

STORM

SEWER

PIPE, 60- INCH .........

Page 96

DIAMETER BID ITEM 19:

CORRUGATED DIAMETER

CONTRACT


TABLE OF CONTENTS -

BASIN,

CONTINUED

BID ITEM 20:

CATCH

TYPE 1 WITH SOLID LID..............................................

BID ITEM 21:

SHORING OR EXTRA EXCAVATION

BID ITEM 22:

STORMWATER

BID ITEM 23:

TOPSOIL TYPE C.................................................................................

Page 99

BID ITEM 24:

SEEDING,

FERTILIZING

Page 99

BID ITEM 25:

CEMENT

CONCRETE

BID ITEM 26:

BEAM GUARDRAIL TYPE 31 6- FOOT STEEL POSTS............................

Page 101

BID ITEM 27:

BEAM GUARDRAIL TYP 31 NON- FLARED TL- 2 TERMINAL.................

Page 101

BID ITEM 28:

6- FOOT CHAINLINK

Page 102

BID ITEM 29:

4- FOOT T- POST STRAND

BID ITEM 30:

QUARRY SPALLS.................................................................................

Page 103

BID ITEM 31:

PAINT LINE.........................................................................................

Page 103

BID ITEM 32:

RECONNECT

Page 59

POLLUTION

CLASS B ......................................

PREVENTION.........................................

AND MULCHING ...........................................

CURB AND GUTTER..........................................

FENCE WITH

EXISTING

BARB WIRE...................................

FENCE ........................................................

DRIVEWAYS ..................................................

STANDARD

PLANS ( SEPTEMBER

16, 2025) .......................................................................

PREVAILING

MINIMUM HOURLY WAGE RATES*** .........................................................

APPENDICES ..................................................................................................................... Appendix A—

Limited

Appendix B—

Technical

Topographic

Survey*** .........................................................

Memorandum

from Delve Underground***.....................

CALL BEFORE YOU DIG.......................................................................................................

Included as indicated but numbered

CONTRACT

independently.

Page 97 Page 98 Page 98

Page 101

Page 102

Page 112 Page 113 Page 114 Page 115 Page 116 Page 117


CALL FOR BIDS

The Board of County Commissioners of Cowlitz County, Washington will receive sealed bids until June 29, 2026, prior to 1: 30 p. m., for the following work: BURMA ROAD TOUTLE PARK ROAD BYPASS

PROJECT.

Work performed under this contract consists of the following: Constructing the newly established road from Burma Road to Toutle Park Road by clearing and grubbing, installing quarry spalls, geotechnical fabric, dredge spoils, crushed surfacing base course, culvert, fencing, gates, guardrail, seeding and mulch, hot mix asphalt and associated

work.

and read in the Board' s

At that time all bids will be publicly opened

hearing room.

Bids must

be addressed to:

Cowlitz County Department of Public Works Attn: County Engineer 1600-

131E Avenue South

Kelso WA

98626

Project bid documents ( Plans, specifications, addenda, bid documents, bidders list and plan holders list) for this project are available online for inspection during the bidding period through

the Builders

Posted Projects,

Exchange Public

then

of Washington (

Works, then

BXWA) website at www. bxwa. com. Click on

Cowlitz

County

and

then

Projects

Bidding.

These

documents are available for viewing, downloading and printing on your own equipment free of charge. This service is provided to Prime Bidders, Subcontractors, and Vendors bidding on this Bidders

project.

will

need

to "

Register

as a Bidder"

through

the BXWA in order to receive

automatic e- mail notification of future addenda and to be placed on the Bidders List. Bidders should contact Builder' s Exchange of Washington at ( 425) 258- 1303 for questions regarding access

or

registration.

It is the sole responsibility of the Bidder to obtain Addenda, if any. Addenda information will be available on the BXWA web site at www. bxwa. com. Cowlitz County accepts no responsibility or liability and will provide no accommodation to bidders who fail to check for addenda and thereby submit inadequate or incomplete responses. Cowlitz County will not provide paper copies of the Project bid documents for this project for bidding purposes. A copy of the plans and specifications may be reviewed at the office of the Clerk of the Board of County Commissioners. All bid proposals shall be accompanied cashier'

bid

s

by a bid proposal deposit in cash, certified check,

check, or surety bond in an amount

proposal.

Should

the successful

equal to five percent ( 5%) of the amount of such

bidder

fail to enter

into such

Call for Bids Burma

Road

Toutle

Park Bypass-

contract

and

furnish

Page 1 Project No. 1859


satisfactory performance

bond within the time stated in the specifications,

the bid proposal

deposit shall be forfeited to Cowlitz County. All documents received in response to this invitation to bid will become a matter of public record and subject to the Washington public disclosure act under chapter 42. 56 RCW, Cowlitz County, in accordance with the provisions of Title VI of the Civil Rights Act of 1964 78 Stat. 252, 42 U. S. C. 2000d to 2000d- 4) and the Regulations,

hereby notifies all bidders

that it will affirmatively ensure that in any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full and fair opportunity to submit

bids

in response

to this

invitation

and

will

not be discriminated

grounds of race, color, or national origin in consideration

against

on the

for an award.

The Board reserves the right to reject any and all bids and to waive any immaterial irregularities or informalities in any bid or in the bidding.

DATED

this

09

rune

day of

2D26.

BOARD OF COUNTY COMMISSIONERS OF COWLITZ

Absent-

COUNTY,

WASHINGTON

Excused

Richard R. Dahl, Chairman Signed by. c. Ve.

e/.

Etf'

Steve taker,Commissioner by:

CSigned

am. b Ftmtt

Steven L. Ferrell,

Commissioner

ATTEST:

Signed

Signed

by:

by:

Kelly Grayson, Clerk of NQ SlQ;; Pd

Call for Bids Burma

Road

Toutle

Park Bypass-

Page 2 Project

No.

1859


BIDDER' S CHECKLIST

Informational only— not required to be submitted with the BID)

Burma Road Toutle Park Road Bypass PROJECT Name of Project

ITEMS TO BE INCLUDED WITH BID

The following checked items are required to be completed and submitted with the BID, except as noted

otherwise:

Required

if Checked:

0

1.

by bidder. Provide all information pertaining to BIDDER' S organization on the first page. Fill in all unit prices and amounts for each bid item. Fill in all subtotals, sales tax and the total bid amount in the spaces provided. List the addenda in the spaces provided to indicate acknowledgement. Sign, date, and provide requested information in the spaces provided on the last page.

2.

CERTIFICATION

PROPOSAL

information

FORM —

To

be completed

OF APPRENTICESHIP—

In the spaces provided on the PROPOSAL FORM, provide

on the BIDDER' S Apprenticeship

0

3.

NON- COLLUSION

0

4.

PROPOSAL

DECLARATION —

FOR INCORPORATING

signed

and

Programs.

required on all projects. RECYCLED MATERIALS

INTO THE PROJECT— required

on all

road construction projects. FOR FEDERAL AID CONTRACTS—

5.

CERTIFICATION

6.

DISADVANTAGED

BUSINESS

funded projects with

a

ENTERPRISE

required on FHWA- funded projects.

UTILIZATION

goal of greater than

CERTIFICATION —

0%. ( Note to preparer -

required on FHWA-

Check for latest FORM

272- 056)

7.

DISADVANTAGED required

on

BUSINESS

ENTERPRISE ( DBE)

FHWA- funded projects with

be submitted

within

48

hours

after

WRITTEN

CONFIRMATION

goal of greater than

a

the

time

for

delivery

0%.

of the

DOCUMENT —

This form is required to bid

proposal. ( Note

to

preparer - Check for latest FORM 422- 031) DISADVANTAGED

BUSINESS

ENTERPRISE ( DBE) TRUCKING

CREDIT FORM— required

on FHWA- funded

goal of greater than 0%. This form is required to be submitted within 48 hours after the time for delivery of the bid proposal. ( Note to preparer - Check for latest projects

with

a

FORM 272- 058)

10.

LOCAL AGENCY

SUBCONTRACTOR

LISTS—

To be filled in and signed by BIDDER.

Bidder' s Checklist Burma

Road

Toutle

Park

Road

Bypass

Page 3 Project

No. 1859


11.

CONTRACTOR' S PROJECT complete

M

12.

INFORMATION

STANDARD

QUESTIONNAIRE -

The BIDDER shall

this form.

BID DEPOSIT

FORM -

This form is to be executed by the BIDDER and the Surety Company

unless bid is accompanied

by cash, cashier' s check, or a certified check. The amount of the

deposit

be not less than

or

bid

bond

shall

5%

of the total amount of the bid and may be

shown in dollars or on a percentage basis. Bid Bond forms other than the enclosed form may be accepted providing it has been approved by the OWNER prior to bid submittal. 0

13.

E- VERIFY DECLARATION — The BIDDER shall complete and sign this form.

M

14.

CERTIFICATION

OF

and

sign

complete

COMPLIANCE this form.

WITH

This form

WAGE

PAYMENT

is required

STATUTES —

to be submitted

The

within

BIDDER

shall

24 hours

after

the time for delivery of the bid proposal. 15.

BIDDER

QUESTIONNAIRE—

To be filled in and signed by BIDDER.

Bidder' s Checklist Burma

Road

Toutle

Park

Road

Bypass

Page 4 Project

No. 1859


PROPOSAL

TO:

FORM

Board of County Commissioners County Administration Building 207 Fourth

Avenue

North,

3rd Floor

Kelso, WA 98626

BURMA ROAD TOUTLE PARK ROAD BYPASS PROJECT

FOR:

Name of Project P. O. Box 1900

Tapani Inc.

FROM:

Bidder'

s

Business

Name

bidadmin@tapani.

Mailing Address Battle Ground,

com

City, State and Zip

Email Address

Romaine

360- 687- 1148

Rotschy

of Bidder' s Representative

Name

TAPANI*

for Bid

Telephone

91- 1350790

8830E

Washington

Registration

Tax I. D. No.

No.

600 642 677

613932008 Employment

Department

Security

State

No.

478. 929- 00 Industrial

Contrast

documents" tions

for

that

Insurance

Coverage

Road,

Transportation

up the contract.

Bridge,

No.

Account

No,

and

UB1 No.

TO BIDDERS

See Section 1- 04. 2 of the Special Provisions for a list of the " contract

Documents.

make

Excise Tax Registration

600 642 677

INSTRUCTIONS

1.

WA 98604

Municipal

Be sure that you have a copy of the 2025 Standard SpecificaConstruction,

by the Washington State Department of

Public Works Association,

and the American

Washington

State Chapter.

Such specifi-

cations are sometimes referred to as the " Standard Specifications."

2. Submission of Bid. Fill out this Proposal Form completely, in accordance with Section 1- 02. 6 of the Standard envelope

Specifications.

addressed

Enclose your Proposal Form and bid deposit in an opaque sealed

to:

Cowlitz County Department of Public Works Attn:

Susan Eugenis, P. E., County Engineer

1600— 13th Avenue S Kelso,

WA 98626

Proposal Burma

Road

Toutle Park Road

Page 5

Form Bypass

Project

No. 1859


Mark the outside of the envelope with the name of the bidder, the name of the project, and the date

and time of the bid opening. It is your responsibility to make sure that your bid is physically received by the time set for the bid opening. Bids not so received will not be considered. Bids may not be submitted by facsimile machine.

The County' s determination of when a bid was received shall be final and non- appealable. 3.

Bidder

Responsibility

It is the intent of the owner to award a contract to the

Standards.

lowest, responsible and responsive bidder for all described Work. Before award, the bidder must meet

all criteria and satisfy all requirements of the following bidder- responsibility standards to be considered a

responsible

and

a

The bidder

bidder.

responsive

may be required

by the Owner to submit

documentation demonstrating compliance with these standards to be qualified to be awarded a contract. The bidder must:

a.

Have a current certificate of registration as a contractor in compliance with chapter 18. 27 RCW, which must have been in effect at the time of bid submittal;

h.

Have a current Washington Unified Business Identifier ( UBI) number;

c.

If applicable:

i.

Have

Industrial

Insurance (

workers'

compensation)

for

coverage

the

bidder' s

employees working in Washington, as required in Title 51 RCW;

Have a Washington Employment Security Department number, as required in Title 50

ii.

RCW;

Have a Washington

Ji.

required

d.

Department

of Revenue state excise tax registration

number,

as

in Title 82 RCW;

Not be disqualified from bidding on any public works contract under RCW 39. 06. 010 or 39. 12. O65( 3).

4. Execution of Contract. The successful bidder must use the performance bond form and other

forms provided by Cowlitz County to be considered both a responsible and responsive bidder. 5.

Pre qualification. Cowlitz County has no prequalification requirements. All provisions in the

Standard Specifications relating

to

are

prequalification

See Contractors

deleted.

Project Information

Standard Questionnaire ( attached with Bid Documents), for requirements necessary to be considered a qualified bidder. 6.

Paving Contractor'

for

information

Standard

Questionnaire.

award

lowest

Cowlitz County requires and

best

bidder ( RCW

qualification 36. 77A40).

All bidders are required to complete the Contractor' s Project Information Standard

Questionnaire

bidders

s Project

of all

attached hereto.

this

project

to

ensure

to

the

Failure to complete the Standard Questionnaire

will result in the

proposal being non- responsive, and irregular and rejected as per Section 1- 02. 13 of the Standard Specifications.

The bidder should list a minimum of three jobs requiring 7, 000 tons or more of hot mix Proposal Burma

Road

Toutle

Park

Page 5

Form

Road Bypass

Project

No. 1859


asphalt paving completed during the timeframe specified on the Paving Contractor' s Project Information Standard Questionnaire. If the bidder proposes placement of the asphalt pavement by a subcontractor,

the

shall

subcontractor

complete

the

Standard

The

Questionnaire.

minimum

requirements for the subcontractor shall be the same as for the Contractor.

7.

Sales

Tax Code.

in computing and reporting sales taxes payable to the Washington State

Department of Revenue on this project, the following code number shall be used: 0800.

PROPOSAL

The undersigned bidder proposes to perform the project named above in strict compliance with the contract documents, for the following amounts:

Item

Approximate

No.

Quantity

1

Force Account

Miscellaneous

ITEM

UNIT PRICE

AMOUNT

Construction

10, 000. 00

10, 000. 00

f Replacement Staking Services ( For county provided staking only)

2

1 Hours

3

Lump Sum

Mobilization

4

Lump Sum

Project

5

Force Account

6

Lump Sum

Clearing and Grubbing

7

Lump Sum

Removal of Structures

8

2150 C. Y.

l ro

Temporary

Excavation,

ec

00

000 10, 000. 00

2, 000. 00

2, 000. 00

svxzo. and Obstructions

Embankment

',

Da()

10, 000. 00

Traffic Control

Work Zone Traffic Contingency

Roadway

100. 00

100. 00

and

60

%

00

0 oco.

10, 000. 00

10, 000. 00

15. 00

32, 250. 00

10. 00

155, 500. 00

50. 00

5, 000. 00

4, 000. 00

4, 000. 00

Disposal Including Haul 9

16, 550 C. Y.

10

100 C. Y.

Onsite

Haul

Unsuitable

11

Lump Sum

Foundation

Including

Haul

Trimming

and

Excavation

Cleanup

Page

Proposal Form Burma

Road

Toutle Park Road Bypass

Project

No. 1859

7


Item

Approximate

UNIT PRICE

No.

Quantity

12

3285 S. Y.

Construction

Geotextile

for Stabilization

2. 40

7, 884. 00

13

12410 S. Y.

Construction

Geotextile

for Separation

2. 20

27, 302. 00

14

4989 Ton

Structural

15

5994 Ton

Crushed Surfacing Base Course

16

1240 Ton

HMA

17

Calculation

18

190 L. F.

ITEM

9

Haul

Fill Including

AMOUNT

9 C.

Q3R6 O

f 71 SS(2'.J,"

Class 3/ 8 Inch PG 58H- 22

Asphalt

Cost Price Adjustment

Corrugated

Polyethylene

0. 00

Storm Sewer

0. 00

50 00

9, 500 00

300 00

48, 000. 00

3, 150. 00

3, 150. 00

250. 00

250. 00

Pipe, 12- inch Diameter

19

Corrugated

Polyethylene

Storm

Sewer

160 L. F. Pipe, 60- inch Diameter

20

1 Each

21

Lump Sum

Shoring or Extra

22

Lump Sum

Stormwater

23

2320 C. Y.

Topsoil

24

1. 16 Acre

Seeding, Fertilizing, And Mulching

Catch

Basin,

Type

lwith Solid

Excavation

Lid

Class

B

Pollution Prevention od

j

25

26

125

L. F.

162. 5 L. F.

Cement

Beam

Concrete

Guardrail

y7

t

Type C

Curb and Gutter

Type 31 6- Foot Steel

6, 500. 00

7, 540. 00

50. 00

6, 250. 00

45. 00

7, 312. 50

Posts

27

Beam Guardrail

Type 31 Non- Flared

TL- 2

z Each Terminal

27a

100 L. F.

Removing and Resetting

Proposal Burma

Beam Guardrail

Form

Road Toutle Park Road Bypass Project No. 1859

3, 500. 00

30. 00

7, 000. 00 t 3, 000. 00

Page 8


i

Item

Approximate

No.

Quantity

28

1400L. F.

zs

l000 L. F.

UNIT PRICE

ITEM

6- Foot Chain link Fence with

4- foot Galvanized

Welded

Lin oD

Wire Mesh

I t-

2235 Ton

Quarry Spalls

31

1000 L. F.

Paint Line

32

Force Account

Reconnect

00

00

Barb Wire

4" x4" Opening) with T- Posts 30

AMOUNT

00

I S.

00

1 Qd5

7J

ro

15, 000

15, 000

I

Existing Driveways

00 TOTAL COST TO COWLITZ

Addenda.

A—,

and

The bidder

COUNTY.......................... ...

of the

.

following addenda: Insert numbers of any addenda received.) acknowledges receipt

L25 2

cg06. 3

Non- Collusion. with their

bid.

Each bidder must submit a declaration of non- collusion completely executed Reasonable grounds for believing that any bidder( s) have engaged, either directly or

indirectly, into any agreement, participated in any collusion, or otherwise taken any action, in restraint

of free competitive bidding in connection with this bid will cause rejection of all proposals which said bidder( s) has shown interest, and none of the participants to such direct or indirect actions will be considered.

The person( s) signing this bid on behalf of the bidder declare( s) under penalty of perjury under the laws of the United States and the State of Washington that this bidder has not, either directly or

indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action, in restraint of free competitive bidding in connection with this bid.

L •

7/ 1/ 2026 Date

Si

Tapani

Inc.

Bidder'

s

Signed

in

Business

tur

Romaine Rotschy

Person Authorized to Bind Bidder

Estimating Director Name

Battle Ground

Title of Person Signing Bid

Washington

Proposal Burma

Form

Road Toutle Park Road Bypass Project No. 1859

Page 9


Failure to return this Declaration as part of the bid proposal package will make the bid nonresponsive and ineligible for award. NON- COLLUSION DECLARATION

I,

by signing

perjury

under

statements

1.

proposal,

the

the laws

of the

United

penalty

under

States

that the

of

following

are true and correct:

the

That have)

undersigned

not.

free

That

signature

deemed

the

signing to have

agreement,

any indirectly, or otherwise taken any action in restraint of

in

by

has

corporation

or

into

entered

bidding proposal is submitted. competitive

association

or

collusion.

any

firm,

persons),

directly

either

participated in

2.

declare,

hereby

connection

signed

to

and

with

page have

the

of

for

project

this

agreed

which

I

proposal, to

the

this

am

provisions

of this declaration.

NOTICE TO ALL BIDDERS

To report rigging activities call: 1 - 800- 424- 9071

The

U S.

hotline"

Department

Monday

of

through

Transportation

Friday,

8: 00

( USDOT) to 5, 00

a. m.

operates

p. m.,

knowledge

collusion, of possible bid rigging, bidder activities should use the " hotline" to report such activities.

with

The " hotline"

is part of USDOT' s continuing

highway

construction

direction

of

the

contract

USDOT

fraud

Inspector

and

or

All

and

is

operated

information

will

above

toll- free

time.

Anyone fraudulent

other

effort to identify and

abuse

General.

the

eastern

investigate under

be

the

treated

confidentially and caller anonymity will be respected.

DOT Form 272- 0361 EF 07/ 2011

Non- Collusion Burma

Page 10

Declaration

Road Toutle Park Road Bypass Project

No.

1859


ANIA APWA- WA Division

s-

rev. 1/ 812016

1 Committee

Proposal for Incorporating Recycled Materials into the Project In

compliance

with

a

new

law that went

into effect

January

propose below, the total percent of construction incorporated

into

the amounts

allowed in Section 9- 03. 21( 1) E, Table

the

Project that

Recycled

Material,

of the

Proposed

total percentage:

are

Standard

recycled

2016 ( SHB1695),

1,

the

Bidder

shall

aggregate and concrete materials to be Calculated percentages must be within

materials. on

Maximum

Allowable

Percent ( By Weight)

of

Specifications.

01/(

percent.

Note: Use of recycled materials is highly encouraged within the limits shown above, but does not constitute a Bidder Preference. and will not affect the determination of award. unless two or more

lowest responsive Bid totals are exactly equal, in which case proposed recycling percentages will

be used as a tie- breaker, per the APWA GSP in Section 1- 03. 1 of the Special Provisions. Regardless, the Bidder' s stated proposed percentages will become a goal the Contractor should do its best to accomplish.

will be required to report

Bidders

on

recycled

incorporated info the Project. in accordance with the APWA GSP in Section

materials

actually

1- 06- 6 of the Special

Provisions.

Bidder:

Tapam

Signature of Authorized Official:

11L

Date:

71

Proposal

Inc.

J

A026

for Incorporating

Burma

Romaine Rotschy, Estimating Director

Road

Toutle

Recycled Materials

into the Project

Park Road Bypass Project No. 1859

Page

11


BID DEPOSIT FORM

Burma Road Toutle Park Road Bypass

PROJECT

Name of Project

Tapani,

Inc.

Name of Bidder

The bidder named above hereby submits its bid deposit in the form of a certified check, cashier' s check, cash or bid bond in the amount of five ( 5) percent of the total bid. PROPOSAL BOND

LL MF,j11 BY T

CNO 111 rave ers

Comfy

asua

PRESENTS,

EJE

That

Tapani,

we,

and Sure y a

of America

corporation

as Principal and

Inc.

organized

duly

the

under

laws

of

state

the

of

and authorized to do business in the State of Washington, as 5urety, are held

Connecticut

and firmly bound unto Cowlitz County as Obligee, in the full and penal sum of five ( 5) percent of the total amount of the bid proposal of said Principal for the work hereinafter described, for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, by these presents. The condition of this bond is such, that whereas the Principal herein is herewith submitting his or its sealed proposal for the following

works

public

project, to wit:

Burma Road Toutle Park Road Bypass Project# 1859 CRP

820

Said bid and proposal, by reference thereto, being made a part hereof.

NOW, THEREFORE, If the said proposal bid by said Principal be accepted, and the contract be awarded to said Principal, and if the said Principal shall duly make and enter into and execute said contract and shall

furnish bond as required by the contract documents within a period of ten ( 10) days from and after said

award, exclusive of the day of such award, then this obligation shall be null and void, otherwise it shall be and remain in full force and effect.

SIGNED

Tapani,

AND SEALED

day of

17th

this

June

Travelers Casualty and Surety Company of America

Inc.

Name of Bidder

on

A

2026.

tea

SignatureYY1CLtY&

pOt SGh

of Surety

Authorised Signature'

Gloria Bruning, Attorney- in- fact Title

Title

n

rr r'

Attach Power of Attorney'

Date

C0NN,

a.*

Bid Deposit Form

7

Page 12

Burma Road Toutle Park Road Bypass Project No. 1859 Provided

to

Builders

Fxchange

of

WA,

Tnc-

For

usage

Conditions

Agreement

see

www.

bxwa.

com -

Always

Verify

Scal


Travelers Casualty and Surety Company of America T f

Travelers Casualty and Surety Company St Paul Fire and Marine Insurance Company

RAVFLERS J POWER

OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company,herein and St. Paul

Fire

and

called

collectively

Insurance

Marine

the"

PORTLAND

are

corporations

do

hereby

any in

and

all

their

business

bonds

and

Companies

guaranteeing

bonds,

recognizances,

of

required

and

true

under

and

constitute

appoint lawful

the

laws

Gloria

of

the

State

of

Connecticut (

of

Bruning

Attorneys]- in- Fact

to

execute,

sign,

conditional undertakings the

guaranteeing

undertakings

organized

duty

make,

their

Oregon

acknowledge

the

Company

Companies"), and that the Companies

fidelity

or permitted

and other writings obligatory in the nature thereof guaranteeing the performance of contracts and in any actions or proceedings allowed by law. of

seal

and

on behalf of executing or

persons,

IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April, 2021.

c

I

Cow

CorN

Y,y

State of Connecticut

By: City of Hartford

Robert L. Rane

as.

enior Vice

President

On this the 21st day of April, 2021. before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF.

foregoing

instrument

for

the

PNO

r

I hereunto set my hand and official seal.

the

kaunr

My Commission

expires

the

j

30th day of June, 2026

Anna P. Nowik,

Notary

Public

This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies, which resolutions

are now in full force and effect, reading as follows:

RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys- in- Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company' s name and seal with the Company' s seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove

any such appointee and revoke the power given him or her; and it is

FURTHER

RESOLVED,

that the Chairman,

the President, any Vice Chairman,

any Executive Vice President,

any Senior Vice President

or

any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation

is in writing and a copy thereof is filed in the office of the Secretary; and it is

FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when ( a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer. the

Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company' s seal by a Secretary or Assistant Secretary; or ( b) duly executed ( under seal, if required) by one or more Attorneys- in- Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED,

that the signature of each of the following officers. President, any Executive Vice President, any Senior Vice President,

any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys- inFact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.

1, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect. Dated

this

17th

day of June

OWL

2026

F, .+•

eii,

Kevin E. Hughes,

Assi

taut Secretary

or the bond to which this Power of Attorney

is atfached.

To verify the authenti[ tity of this Porrhr dfAlto rray, please ca11 us at 1- 800- 42.1- 3880. Please

refer to

the

abo ve- named Attorneys)-

in- Fact and the details


E- VERIFY

DECLARATION

Burma Road Toutle Park Road Bypass

PROJECT

Cowlitz County Project No. 1859

Tapani Inc.

Firm Name:

The undersigned declares, under penalty of perjury under the laws of Washington that: 1.

That the above- named firm is currently enrolled in and using the E- Verify system implemented on October 25, 2011 as outlined in Resolution No. 11- 118 and will continue to use the E- Verify system for so long as work is being performed on the above named project.

2.

1 certify that I am duly authorized to sign this declaration on behalf of the above- named bidder/ proposer.

3.

1 acknowledge that Cowlitz County reserves the right to require a copy of the Memorandum of Understanding between the contractor listed above and the Department of Homeland Security certifying enrollment in the E- Verify program at any time. Failure to provide the required Memorandum of Understanding within 10 days of request could lead to suspension of this contract.

Dated

at

Battle

Ground

,

State of

WA

on

this

I st

day of

July

12026.

Signature

Printed

N"

emiaine Rotschy, Estimating Director

THIS PAGE MUST BE RETURNED WITH THE BID DOCUMENTS

E- Verify Burma

Road Toutle

Declaration

Park Road Bypass Project No. 1859

Page 13


COMPLIANCE

Burma Road Toutle

WITH

WAGE

PAYMENT

LAWS DECLARATION

PROJECT

Park Road Bypass

Cowlitz County Project No. 1859

Tapani

Inc.

Firm

Name:

1.

The bidder hereby certifies that, within the three- year period immediately preceding the bid solicitation

date (

5/ 9/ 26

the bidder is not a " willful"

violator, as defined in

RCW 49. 48. 082, of any provision of chapters 49. 46, 49. 48, or 49. 52 RCW, as determined by a final and binding citation and notice of assessment issued by the Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction. 2.

1 certify that I am duly authorized to sign this declaration on behalf of the above- named bidder/ proposer.

3.

1 acknowledge

that Cowlitz County is required to receive this declaration

as a condition

to

awarding the public works contract pursuant to RCW 39. 04. 350.

The undersigned declares, under penalty of perjury under the laws of Washington that the foregoing is true and correct.

Signed

and dated

July

at

Bathe Ground

in State of WA

on

this

1st

day of

2025.

5ignatu re

Printed

Name

omaine Rotschy, Estimating Director

THIS PAGE MUST BE RETURNED

BEFORE THE PUBLIC WORKS CONTRACT CAN BE AWARDED

Page

Compliance Burma

with Wage Payment

Laws Declaration

Road Toutle Park Road Bypass Project No. 1859

14


Cowlitz County Dept of Public Works 1600 13th Avenue South Kelso, WA 98626

Local Agency Subcontractor List Prepared in compliance with RCW 39. 30. 060 as amended

To Be Submitted with the Bid Proposal Project Name

Burma

Road Toutle

Park Road Bypass

Project

Failure to list subcontractors with whom the bidder, if awarded the contract, will directly subcontract for performance of the work of structural steel installation, rebar installation, heating, ventilation and air conditioning, plumbing, as described in Chapter 18. 106 RCW, and electrical, as described in Chapter 19. 28 RCW or naming more than one subcontractor to perform the same work will result in your bid being non- responsive

and therefore

void.

Subcontractor( s) with whom the bidder will directly subcontract that are proposed to perform the work of structural steel installation. rebar installation, heating, ventilation and air conditioning, plumbing. as described in Chapter 18. 106 RCW, and electrical as described

in Chapter

19. 28 RCW must be listed below. The work to be performed

is to be listed below the subcontractor(

s) name.

To the extent the Project includes one or more categories of work referenced in RCW 39. 30, 060, and no subcontractor is

listed below to perform such work, the bidder certifies that the work will either( i) be performed by the bidder itself, or( ii) be performed

by a lower tier subcontractor

Subcontractor

Name

who will not contract

directly with the bidder.

NQrtheasl Electric LLC

Work to be performed

Electrical

Subcontractor Name

Columbia Allied Services Inc.

Work to be performed

Plumbing

Subcontractor

Name

Columbia Allied Services Inc.

Work to be performed

Heating. Ventilation and Air Conditioning

Subcontractor

Tani Inc

Work to be

Name

performed

Subcontractor

Name

Work to be performed

Re ar Installation____

Tapani Inc

StructurW_ Steel Installation

Bidder' s are notified that it is the opinion of the enforcement agency that PVC or metal conduit, junction boxes, etc, are considered electrical equipment and therefore considered current is connected during the project. DOT Form 271- 015A Revised

0& 2020

part of electrical work, even if the installation is for future use and no wiring or electrical


page 1 of 1

Tapani Inc. 1904 SE b`h Place PO Boa 1900. Battle Ground,

WA 98604

360) 687- 1 148 + ( 360) 687- 7968 FAX

August 30, 2012

Hellol

We have exciting news to share witli you I We are changing our name from Tapani Underground Inc. to Tapani Inc. The name change is due to the following reason; Tapani Underground Inc is involved in many more aspects of the construction industry than just the underground

portion.

The changes that will be implemented

include

the logo change and our website,

Tapani. com.

brand and we will keep the style the same with the subtle changes as seen below. We are the same company with the same people, just a change In name.

Thank you,

Leigh

Tapani

President y

ur logo is our


Management/ Supervisory Employees

Status

Date

Title

First Name

Last Name

Employee

Stacey

Palomaki

Active

Assistant

Project

Steven

Tapani

Active

Assistant

Superintendent

Cameron

Massie

Active

Assistant

Superintendent

Jeremy

Cooper

Active

Assistant

Manager

II

Superintendent

Hired

2/ 2/ 2021

Years Of Service 4 Years,

1 Month,

12 Days

5/ 6/ 2013 11 Years, 10 Months, 8 Days

2/ 12/ 2024 1 Year, 1 Month, 2 Days 10/ 14/ 2024

5 Months

6/ 20/ 2023

1 Year, 8 Months,

22 Days

Kevin

Clark

Active

Crusher

Foreman

Romaine

Rotschy

Active

Director

of

Estimating

2/ 20/ 2012

13 Years, 22 Days

Robert

Kaarto

Active

Equipment

Manager

9/ 28/ 2009

14 Years, 3 Months,

11 Days

Nicholas

Hendershot

Active

Estimating

Lead

6/ 24/ 2009

15 Years, 8 Months,

18 Days

23 Years, 8 Months,

5 Days

9 Years,

19 Days

Lance

Tapani

Active

Estimating Lead

7/ 9/ 2001

Cory

Mahoney

Active

Estimating

Lead

3/ 23/ 2015

Blade

Granger

Active

Estimating Lead

11/ 16/ 2020 4 Years, 3 Months, 26 Days

Joseph

Cahoon

Active

Estimating Lead

5/ 1/ 2018 5 Years, 7 Months, 1 Day

Charlotte

Dwonch

Active

Estimator

Administrator

Caitlin

Hatfield

Active

Estimator

Assistant

1

9/ 25/ 2018

5 Years, 8 Months,

24 Days

Charles

Smith

Active

Estimator Assistant

1

9/ 21/ 2020

4 Years, 5 Months,

21 Days

Lourdes

Soto

Active

Estimator

Assistant

1

Bryan

Hendershot

Active

Estimator Assistant

II

Douglas

Sanders

Active

Estimator

1

4/ 10/ 2006 18 Years, 11 Months, 4 Days

Kai

Humphrey

Active

Estimator

1

9/ 30/ 2020

4 Yea rs, 5 Months,

14 Days

Patrick

Bachmeier

Active

Estimator 1

9/ 1/ 2021

3 Years, 6 Months,

13 Days

William

Greenwood

Active

Estimator

1

Anthony

Wagenknecht

Active

Estimator

1

2/ 13/ 2023 2 Years, 1 Month, 1 Day

Rylan

Hersey

Active

Estimator

11

3/ 20/ 2015 9 Years, 11 Months, 22 Days

David

Preuss

Active

Estimator

II

7/ 31/ 2023

David

Ruonavaara

Active

Estimator II

11/ 11/ 2024

Anthony

Martin

Active

Estimator

III

11/ 1/ 2023

Aaron

Halting

Active

Estimator III

11/ 21/ 2005

9/ 14/ 2015 9 Years, 6 Months

10/ 23/ 2023 1 Year, 4 Months, 19 Days 4/ 5/ 2018

6 Years,

it Months,

9 Days

10/ 26/ 2021 3 Years, 4 Months, 16 Days

Kelley

Active

Fabrication

Foreman

Steven

Tomsik

Active

Fabrication

Project

Coordinator

Lead 1

Anna

Rhoades

Active

Facilities

Don

Toivonen

Active

Facilities

Samuel

Rhoades

jActive

lFacilities Supervisor

Inc.

1 Year, 7 Months, 4 Months,

14 Days

3 Days

1 Year, 4 Months, 13 Days 19 Years, 3 Months,

21 Days

3/ 14/ 2013 12 Years

Cliff

Tapani

11 Months,

Manager

12/ 13/ 2022 2 Years, 3 Months, 1 Day 12/ 27/ 2018

6 Years, 2 Months,

15 Days

1/ 14/ 2019 6 Years, 2 Months 5/ 2/ 2008

16 Years,

10 Months,

12 Days

1


Management/ Supervisory Employees

1/ 3/ 2002

23 Years, 2 Months,

Foreman

2/ 15/ 2010

15 Years, 27 Days

Foreman

3/ 11/ 2019 6 Years, 3 Days

Director

11 Days

Nathan

Kaski

Active

Field Operations

Ryan

Zumstein

Active

Field Tech

Thomas

Williamson

Active

Field Tech

Marty

McDaniels

Active

Finance

Norvell

McDaniels

Active

Fleet

Cory

Peterson

Active

Foreman 1

6/ 9/ 2015 9 Years, 9 Months, 5 Days

Stephen

New

Active

Foreman

1

1/ 28/ 2019 6 Years, 1 Month, 14 Days

Rylan

Tapani

Active

Foreman 1

Arthur

Lipe

Active

Foreman

1

1/ 29/ 2018 4 Years, 10 Months, 13 Days

Richard

Graves

Active

Foreman

1

1/ 26/ 2016 7 Years, 10 Months, 27 Days

Kasey

Wallace

Active

Foreman

1

Joshua

Sixberry

Active

Foreman

1

Kevin

Terwitleger

Active

Foreman

1

Michael

Whittaker

Active

Foreman

1

7/ 17/ 2017 7 Years, 7 Months, 25 Days

Isaac

Martinez

Active

Foreman

1

1/ 18/ 2022

Brett

Childress

Active

Foreman 1

Logan

McNealy

Active

Foreman

1

10/ 4/ 2021 3 Years, 5 Months, 10 Days

Shane

Kaski

Active

Foreman

1

2/ 4/ 2019 6 Years, 1 Month, 10 Days

Austin

Maygra

Active

Foreman

1

2/ 10/ 2020 5 Years, 1 Month, 4 Days

Austyn

Finley

Active

Foreman

1

4/ 20/ 2020 4 Years, 10 Months, 22 Days

Nicholas

Pierson

Active

Foreman

1

4/ 6/ 2020 4 Years, 11 Months, 8 Days

Grant

Tapani

Active

Foreman

1

Tobias

Gamble

Active

Foreman

1

4/ 30/ 2020

4 Years,

2/ 26/ 2024

1 Year, 16 Days

Director

Director

7/ 18/ 2005 19 Years, 7 Months, 24 Days 3/ 30/ 2007 17 Years, 11 Months, 14 Days

10/ 2/ 2019 5 Years, 5 Months, 12 Days

11/ 27/ 2017 7 Years, 3 Months, 15 Days 4/ 20/ 2017 7 Years, 10 Months, 22 Days 6/ 6/ 2017

4 Years, 9 Months,

3 Years,

1 Month,

25 Days

24 Days

2/ 7/ 2023 2 Years, 1 Month, 7 Days

5/ 4/ 2020 4 Years, 10 Months, 10 Days 10 Months,

14 Days

Ian

McAble

Active

Foreman

1

James

Nottingham

Active

Foreman

1

5/ 8/ 2023 1 Year, 10 Months, 6 Days

Chase

Simonson

Active

Foreman

1

8/ 12/ 2021 3 Years, 7 Months, 2 Days

Spencer

Granger

Active

Foreman

1

5/ 30/ 2023 1 Year, 9 Months, 14 Days

Kevin

Ralston

Active

Foreman

1

9/ 18/ 2024 5 Months, 24 Days

David

McVay

Active

Foreman

1

2/ 16/ 2024

Tyler

Robinson

Active

Foreman

1

3/ 18/ 2024 11 Months, 24 Days

Michael

Lindstedt

Active

Foreman

1

5/ 6/ 2024

10 Months,

8 Days

Sodavuth

Chhim

Active

Foreman 1

5/ 28/ 2024

9 Months,

14 Days

Kelly

Erickson

lActive

Foreman

6/ 24/ 2024 8 Months, 18 days

Tapani

1

Inc.

1 Year, 26 Days

2


Management/ Supervisory Employees

Thomas

Wiesner

Active

Foreman

1

7/ 1/ 2024

8 Months,

13 Days

Kolby

Valdez

Active

Foreman

II

8/ 12/ 2024

Justin

Batty

Active

Foreman

II

3/ 11/ 2024 1 Year, 3 Days

Joshua

Vanderzanden

Active

Foreman

II

9/ 23/ 2024

5 Months,

Tyler

Haggstrom

Active

Foreman

II

11/ 18/ 2024

3 Months, 24 Days

9/ 25/ 2023 1 Year, 5 Months, 17 Days 5/ 22/ 2019 5 Years, 9 Months, 20 Days

7 Months, 2 Days

19 Days

Bradley

Catt

Active

Foreman

II

John

Rhodes

Active

Foreman

II

Robert

Trent

Active

Foreman II

Shawn

Zenner

Active

Foreman

II

David

Boespflug

Active

Foreman

II

5/ 31/ 2016 8 Years, 9 Months, 14 Days

II

11/ 16/ 2015 9Years, 3 Months, 26 Days

4/ 11/ 2023 1 Year, 11 Months, 3 Days 12/ 19/ 2022 2 Years, 2 Months, 23 Days

Michael

Glass

Active

Foreman

Wade

Holdsworth

Active

Foreman

II

8/ 19/ 2015 9 Years, 6 Months, 23 Days

Teryn

Muonio

Active

Foreman

11

5/ 26/ 2015 9Years, 9 Months, 16 Days

Jason

Haggard

Active

Foreman

II

4/ 6/ 2015 9 Years, 11 Months, 8 Days

11

4/ 30/ 2012 12 Years, 10 Months, 14 Days

Cory

Borges

Active

Foreman

Austin

Stephenson

Active

Foreman II

John

Homola

Active

Foreman

Keith

Yancey

Active

Foreman 111

Joseph

Hallstrom

Active

Foreman

III

1/ 14/ 1997 28 Years, 2 Months

Anthony

Hicks

Active

Foreman

III

12/ 8/ 2003 21 Years, 3 Months, 6 Days

Keith

Miller

Active

Foreman

III

4/ 28/ 2000 24 Years, 10 Months, 14 Days

Colin

Armes

Active

Foreman

III

1/ 14/ 2005 20 Years, 26 Days

Neil

Stadeb

Active

Foreman

III

6/ 22/ 2011 13 Years, 8 Months, 20 Days

Kenny

Uskoski

Active

Foreman

111

5/ 27/ 2014

7/ 6/ 2012

12 Years,

8 Months,

8 Days

5/ 18/ 2009 15 Years, 9 Months, 24 Days

11

4/ 23/ 2007 17 Years, 10 Months, 19 Days

10 Years, 9 Months,

15 Days

2/ 4/ 2015 10 Years, 1 Month, 10 Days

111

Daniel

Ackley

Active

Foreman

Logan

McDonald

Active

Foreman 111

Jacob

Hastings

Active

Foreman

Ill

Jaime

Mina

Active

Foreman

III

Harris

Garcia

Active

Foreman

III

8/ 24/ 2020 4Years, 6 Months, 18 Days 10/ 2/ 2023 1 Year, 5 Months, 12 Days

Castro

8/ 13/ 2014 10 Years, 7 Months, 1 Day 12/ 15/ 2016 8 Years, 2 Months, 27 Days 6/ 2/ 2017

Raymond

Miller

Active

Foreman

III

David

Bethje

Active

Foreman

III

Andrew

Palomaki

Active

General Superintendent

II

John

Jordan

jActive

lGeneral Superintendent

II

Tapani Inc.

10/ 30/ 2023

7 Years, 9 Months,

1 Year, 4 Months,

12 Days

14 Days

5/ 4/ 2020 4 Years, 10 Months, 10 Days 3/ 22/ 2017 7 Years,

11 Months,

20 Days

3


Management/ Supervisory Employees

11/ 20/ 2014

10 Years, 3 Months, 22 Days

Dave

Barela

Active

General Superintendent

II

Zane

Shaut

Active

General Superintendent

II

Reuben

Halme

Active

General Superintendent

II

5/ 23/ 2012

Jamey

Radford

Active

General Superintendent

II

8/ 12/ 1991 33 Years, 7 Months, 2 Days

Warren

Sarkinen

Active

General Superintendent

II

8/ 10/ 1988 36 Years, 7 Months, 4 Days

Kyle

Hiivala

Active

GPS Manager

Dustin

Sarkinen

Active

Maintenance

Alyssa

Alanis

Active

Marketing Coordinator

Leigh

Tapani

Active

President

Kevin

Tapani

Active

Project

Director

5/ 5/ 2005

19 Years,

10 Months,

2/ 8/ 2010

15 Years,

1 Month,

11 Years, 9 Months,

7 Days

Tech

Foreman

5/ 7/ 2015 9 Years, 10 Months, 7 Days 12 Years,

1 Month, 20 Days

4/ 26/ 2010

14 Years,

10 Months,

16 Days

11/ 7/ 2011

13 Years, 4 Months, 7 Days

12/ 27/ 2018 6 Years, 2 Months, 15 Days 6/ 10/ 1991 33 Years, 9 Months, 4 Days

6/ 15/ 1990 34 Years, 8 Months, 27 Days 9 Days

Jerome

Sarkinen

Active

Project

Director

Justin

Massie

Active

Project

Director

Raleigh

Tapani

Active

Project Manager

1

6/ 7/ 2013

Clayton

Buruse

Active

Project

Manager

1

6/ 18/ 2013

11 Years,

8 Months,

24 Days

Colter

Wisti

Active

Project

Manager

1

11/ 3/ 2014

10 Years, 4 Months,

11 Days

4/ 15/ 2019 5 Years, 10 Months, 27 Days

Dustin

Nelson

Active

Project

Manager

1

Manager

1

6 Days

2/ 5/ 2018 7 Years, 1 Month, 9 Days

Erik

Somers

Active

Project

Walker

Toliver

Active

Project Manager 1

Jonathan

Schniedewind

Active

Project

Manager

1

6/ 24/ 2019

Shane

MacArthur

Active

Project

Manager

II

1/ 27/ 2020 5 Years, 1 Month, 15 Days

II

10/ 9/ 2017 7 Years, 5 Months, 5 Days 12/ 18/ 2014 10 Years, 2 Months, 24 Days

6/ 29/ 2020 4Years, 8 Months, 14 Days

Nikolas

Schriener

Active

Project

Manager

Daren

Sarkinen

Active

Project

Manager

II

Benji

Tapani

Active

Project Manager

II

larren

Thoma

Active

Project

Manager

II

3/ 3/ 2025

4/ 7/ 2008

5 Years,

8 Months,

16 Years,

18 Days

11 Months,

7 Days

4/ 24/ 2006 18 Years, 10 Months, 18 Days 11 Days

Cory

Gove

Active

Project

Manager

II

Jonathon

Hardt

Active

Project

Manager

111

11/ 6/ 2023

John

Snowden

Active

Project

Manager

III

7/ 24/ 2023 1 Year, 7 Months, 18 Days

Randal

Redinger

Active

Project

Manager

111

Chad

Mahoney

Active

Project

Manager

111

3/ 10/ 2004 21 Years, 4 Days

111

1/ 28/ 2016 7 Years, 1 Month

Patrick

Herz

Active

Project

Manager

Abram

Jenks

Active

Project

Sponsor

Jessica

Whittaker

Active

Purchasing

Blaine

Bellikka

JActive

5/ 4/ 2010

1 Year, 4 Months,

14 Years,

8 Days

10 Months,

10 Days

10/ 7/ 2024

5 Months, 7 Days

Agent

11/ 29/ 2021

3 Years, 3 Months,

14 Days

lRegional Director

11/ 7/ 2011

13 Years, 4 Months,

7 Days

Tapani

Inc.

4


Management/ Supervisory Emptoyees

10/ 1/ 2018 6Years, 5 Months, 13 Days

Edward

Hauskins

Active

Shop Foreman

Levi

Silva

Active

Shop Manager

Tya

Tapani

Active

Small Tools Manager

3/ 13/ 2023 2 Years, 1 Day

Tyler

Carlson

Active

Small Tools

5/ 17/ 2021

Derek

Kemppainen

Active

Special Projects

5/ 2/ 2014

9/ 3/ 2015

Mechanic

9Years,

6 Months,

11 Days

3 Years, 9 Months, 10 Years,

25 Days

10 Months,

12 Days

Stanton

Active

Sr. Project

Manager

1/ 3/ 2023 2 Years, 25 Days

Shane

Jundt

Active

Sr. Project

Manager

2/ 3/ 2017

8 Years, 1 Month,

11 Days

Brandon

Farmer

Active

Sr. Project Manager

7/ 26/ 2018

6 Years, 7 Months,

16 Days

Abe

Rhoades

Active

Structures

Foreman

Ethan

Bright

Active

Structures

Foreman

11/ 2/ 2020 4 Years, 4 Months, 12 Days

Active

Structures

Foreman

4/ 27/ 2020 4 Years, 10 Months, 15 Days

Robert

Escorcia

1/ 29/ 2019 6 Years, 1 Month, 14 Days

Jose

Lazcano

Kody

Cassidy

Active

Structures

Foreman

9/ 3/ 2024

Eric

Seckletstewa

Active

Structures

Foreman

7/ 31/ 2023

1 Year, 7 Months,

Joshua

Nyman

Active

Structures

Foreman

8/ 28/ 2023

1 Year, 6 Months,

14 Days

Active

Structures Foreman

12/ 11/ 2023

1 Year, 3 Months,

3 Days

Ramos

6 Months, 11 Days 14 Days

Antonio

Avalos

Owen

Sarkinen

Active

Structures Superintendent

3/ 12/ 2025

Matthew

Homota

Active

Structures

Superintendent

3/ 15/ 2021 3Years, it Months, 27 Days

Andy

Rhoades

Active

Structures

Superintendent

5/ 7/ 2018 6 Years, 10 Months, 7 Days

Jason

Turnquist

Active

Structures

Superintendent

5/ 18/ 2015 9 Years, 9 Months, 24 Days

Phillip

Webb

Active

Structures

Superintendent

8/ 24/ 2009

Jed

Tapani

Active

Superintendent

1

6/ 8/ 2014 9 Years, 11 Months, 11 Days

James

Maddux

Active

Superintendent

1

7/ 5/ 2011

13 Years, 8 Months, 9 Days

Jay

Paso

Active

Superintendent

1

7/ 5/ 2011

13 Years, 8 Months,

Ryan

Tapani

Active

Superintendent

1

12/ 14/ 2012

12 Years, 3 Months

2 Days

15 Years, 6 Months,

18 Days

9 Days

Timothy

Walker

Active

Superintendent

1

4/ 27/ 2016 8 Years, 10 Months,

Ladd

Uskoski

Active

Superintendent

1

5/ 10/ 2021

3 Years,

10 Months,

4 Days

Jamie

Dunn

Active

Superintendent

1

8/ 24/ 2020

4Years,

6 Months,

18 Days

Christopher

Hale

Active

Superintendent

II

11/ 30/ 2017

7 Years, 3 Months,

14 Days

Brandon

Luelling

Active

Superintendent

II

1/ 19/ 2012

II

13 Years,

6/ 1/ 2015 9 Years,

1 Month, 1 Month,

15 Days

23 Days 8 Days

Brian

Blackwell

Active

Superintendent

Zakary

Gross

Active

Superintendent II

6/ 17/ 2015 9 Years, 8 Months, 25 Days

Kurt

Cichosz

jActive

Isuperintendent II

5/ 31/ 2011 13 Years, 9 Months, 14 Days

Vance

Purdin

jActive

iSuperintendent II

7/ 16/ 2007

Tapani

Inc.

17 Years, 7 Months,

26 Days

5


Management/ Supervisory Employees

Blake

Active

Stocking

Superintendent

111

6/ 15/ 2009

15 Years, 8 Months,

15 Years, 7 Months, 14 Days

27 Days

Rhoades

Active

Superintendent

III

7/ 28/ 2009

Shane

Prante

Active

Superintendent

III

6/ 13/ 2011 13 Years, 9 Months, 1 Day

Martin

Flood

Active

Superintendent

111

3/ 26/ 2015

Todd

Honore

Active

Superintendent

III

2/ 20/ 2023 2 Years, 22 Days

Michael

Edgmand

Active

Superintendent

III 111

Joseph

11/ 18/ 2024

9Years,

11 Months,

3 Months,

16 Days

24 Days

3/ 4/ 2024 1 Year, 10 Days

Scott

Erickson

Active

Superintendent

Nevin

Ortiz

Active

Support Services

Foreman

5/ 8/ 2023 1 Year, 10 Months, 6 Days

Richard

Ramsay

Active

Support

Services

Foreman

3/ 23/ 2016 8Years, 11 Months, 19 Days

Michael

Moss

Active

Support Services Foreman

II

Bryan

Skoko

Active

TM Manager

Michael

Maddux

Active

TM Superintendent

Samantha

Ortman

Active

Traffic Control

Neil

Kaski

Active

TT Superintendent

Shane

Tapani

Active

VP Facilities

Tod

Tapani

Active

36 Years, 2 Months,

7 Days

Inc.

5/ 6/ 2015 9Years, 10 Months, 8 Days 8/ 8/ 2017 7 Years, 7 Months, 6 Days

Manager

and Investments

VP Operations

Tapani

1/ 7/ 1989

1/ 14/ 2021 4Years, 2 Months

1

1/ 10/ 2022

3Years,

2 Months,

4 Days

1/ 19/ 1993

32 Years,

1 Month, 23 Days

9/ 1/ 1997

27 Years,

6 Months,

13 Days

6


EM

Equipment

Equipment Code

Description

VIN/ Serial#

Make

Model

Year

1101090

John Deere 35G

1FF035GXTFK273552

John

Deere

35G

2015

1101102

John

1FF035GX]

GK276523

John

Deere

35G

2016

1101114

Caterpillar 303. 5E2

JWY02267

Caterpillar

303. 50

2017

1101149

Caterpillar 303. 5E2

CAT3035ELJWY04730

Caterpillar

303. 5E2

2019

1103072

John Deere 50D

1FF050DXPCG276999

John Deere

50D

2012

1103074

John

Deere

50D

1FF050DXHBG276087

John

Deere

50D

2011

1103077

John

Deere 50G

1FF050GXLDH280423

John

Deere

50G

2013

1103091

John Deere 50G

1FF050GXVFH282723

John Deere

50G

2015

1103115

Caterpillar

305. 5E2

CAT3055FJCR504158

Caterpillar

305. 5E2

2017

1103119

John Deere

50G

1FF05DGXVFH283581

John

Deere

JD 50

2016

1103125

John Deere

50G

1FF050GXVGH285316

John

Deere

50G

2017

1103137

Caterpillar 305. 5E2

CAT3055ECCR504350

Caterpillar

305. 5E2

2018

1103157

Caterpillar

305. 5E2

CAT3055EVCR507841

Caterpillar

305. 50

2019

1104065

John

50D

1FF050DXVBG276358

John

50D

2011

ZX85- 3

2011

Deere

35G

Deere

Deere

1105066

Hitachi

3

HCMIP700E00082058

Hitachi

1105078

John

Deere 85

1FF085DXHCGO17170

John

Deere

85D

2013

1105079

John

Deere

85G

1FF085GXAD]

John

Deere

85G

2013

1105093

John

Deere

85G

1FF085GXTF3018021

John

Deere

85G

2015

1105096

John Deere 85G

1FF085GXHF3018208

John Deere

85G

2015

1105097

John Deere 85G

1FF085GXLF]

John

85G

2015

1105101

Hitachi

HCMDEF60C00018566

Hitachi

ZX85

1105107

Komatsu

HFA007681

Komatsu

PC88MR-

1105116

Caterpillar 308E2

CAT0308EVFJX09347

Caterpillar

308E2

2017

1105126

John Deere 85G

1FF085GXCG3018746

John Deere

85G

2017

1105138

Caterpillar 308E2

CAT030BEEFIX10035

Caterpillar

308E2

2018

1105146

Caterpillar

CAT0308ELFIX10582

Caterpillar

308E2

2018

1105147

Caterpillar 307E2

CAT0307ECKC901097

Caterpillar

307E2

2018

1105148

Caterpillar 308E2

CAT030BETFJX11897

Caterpillar

308E2

2018

1105152

Caterpillar 308E2

CAT030BEAFIX12265

Caterpillar

308E2

2018

1105154

Caterpillar

CAT03075CGW700385

Caterpillar

307. 50

2019

1105156

Caterpillar 308

CAT00308JGG800145

Caterpillar

308

2019

1110070

Caterpillar 312DL

CAT0312DLXGKO0416

Caterpillar

312DL

2012

1110076

John

130G

1FF130GXHCE040090

John

130G

2012

1110080

Caterpillar

312EL

CAT0312EEMJD00611

Caterpillar

312EL

2012

1110094

Caterpillar 312EL

MJD01202

Caterpillar

312EL

2015

1110100

Caterpillar 312EL

MID01188

Caterpillar

312EL

2014

CAT0312ETMID00286

Caterpillar

312EL

2012

ZX85-

ZX85 PC88MR-

Deere

10

308E2

307. 5

No Blade

017067

018210

Deere

Deere

2017 10

2016

1110104

Caterpillar 312EL

1110105

Caterpillar

313F

CAT0313FTDJED0170

Caterpillar

313F

2016

1110106

Caterpillar

312EL

CAT0312ECMJD01405

Caterpillar

312EL

2015

1110122

Hitachi ZX130- 6

1FFDAP70AGF140007

Hitachi

7X130- 6

2016

1 01 1


EM Equipment 1110123

Hitachi

HCMDAF60L00100376

Hitachi

ZX135

2016

1110135

Caterpillar

ZX135 313F

CAT0313FLDJE10207

Caterpillar

313F

2018

1110136

Caterpillar

313F

CAT0313FCDJE10252

Caterpillar

313F

1110139

Komatsu PC138USLC- 11

51758

Komatsu

PC138USLC-

1110142

Caterpillar

313F

CAT0313FCD] E10249

Caterpillar

313F

1115064

Caterpillar

315

CAT03150JG500465

Caterpillar

315

1115067

Hitachi 7-X160- 3LC

1FFAPXDXTBD200064

Hitachi

ZX160.

1115073

Caterpillar 316EL

CAT0316ELDZWO0209

Caterpillar

316EL

2012

1115081

Caterpillar

316EL

CAT0315ETDZWO0726

Caterpillar

316EL

2012

1115117

Caterpillar 316F

CAT0316FKYDL10114

Caterpillar

316F

2017

1115128

Caterpillar 316EL

CAT0316EJDZW00620

Caterpillar

316EL

2013

1120037

Caterpillar

321LCR

MCF00194

Caterpillar

321CLR

2004

1120063

Caterpillar

320C

CAT0320CFPAC01219

Caterpillar

320C

2006

1120071

Caterpillar 320E LRR

CAT0320EKTFX00147

Caterpillar

320E LRR

2012

1120072

Jahn Deere

1120082

Caterpillar

1120083

225DLC

taxis

2018 11

2018 201E

2011 3 LC

2011

1FF225DXKCD502492

John Deere

225DLC

2012

MPGO0577

Caterpillar

321DLCR

2013

Caterpillar 320ELRR

CAT0320ELRRTFX00571

Caterpillar

32DELRR

2013

1120084

John Deere 245G

1FF245GXKCE600082

John Deere

245G

2014

1120085

Caterpillar

32DDL

CAT0320DTPHX01801

Caterpillar

320DL

2008

1120087

Caterpillar

321DLCR

CAT0321DCNAS00281

Caterpillar

321DLCR

2007

1120095

Caterpillar

321DLCR

CAT0321DCMPIG00993

Caterpillar

321DLCR

1120109

Caterpillar

CAT0320FVYBM10423

Caterpillar

320F

1120111

Komatsu

1751

Komatsu

PC228USLC-

112D118

Caterpillar

320EL

CAT0320EEW13KO1550

Caterpillar

320EL

2014

1120127

John

245G

1FF245GXEGF800065

John

245

2016

1120129

Caterpillar 320EL

CAT0320E7N] 00330

Caterpillar

320EL

2014

1120131

Caterpillar

32DE

CAT0320ECTFX00667

Caterpillar

32DERR

2013

1120132

Caterpillar

325FCR

CAT0325FAXAA10296

Caterpillar

325FCR

2017

1120133

Caterpillar 325FCR

CAT0325FCXAA10286

Caterpillar

1325FCR

2017

1120134

Caterpillar 320- 07

CAT00320AHEX00426

Caterpillar

320- 07

2018

1120141

John

1FF245GXCHF800478

Jahn

245G

2018

1120144

Caterpillar

CAT00320PHEX00726

Caterpillar

320

2018

1120153

Caterpillar M322D

CATM322DCW2S00289

Caterpillar

M322D

2008

1120155

Caterpillar 320C FM Brush Machine

CAT0320CLSAH01299

Caterpillar

32DC

2007

1125099

Caterpillar

CAT0328DTRMX00257

Caterpillar

328DLCR

2011

1125103

Caterpillar 328DLCR

CAT0328DPRMX00633

Caterpillar

328DLCR

2013

1125120

Caterpillar 335F

CAT0335FCKNE10114

Caterpillar

335F

2017

1125145

Caterpillar 335F

CAT0335F]

Caterpillar

335F CR

2018

1125158

Caterpillar 335F

CAT0335FTSGJ20376

Caterpillar

335F

2019

1130061

Caterpillar

W3K01048

Caterpillar

336DL

2010

1130069

Hitachi ZX350- 5

1FFDDC70HCE930152

Hitachi

ZX350- 5

2012

321DLCR

320F PC228USLC-

Deere

Deere

10

LRR

245G 320

328DLCR

3360L

SG720091

1 of 1

Deere

Deere

2017 10

2015


EM Equipment 1130086

Caterpillar 336E

CAT0336ECYEP00395

Caterpillar

336E

2012

1130110

Caterpillar

336F

CAT0336FJRKB10654

Caterpillar

336F

2017

1130112

Caterpillar

336EL

BZY00525

Caterpillar

336EL

2011

1130113

Caterpillar 336EL

CAT0336ETJRJO0377

Caterpillar

336EL

2014

1130121

Caterpillar

336EL

CAT0336EE3RJ00408

Caterpillar

336EL

2014

1130124

Caterpillar

33ODL

CAT0330DTNBDO0256

Caterpillar

330DL

2006

1130130

Caterpillar 336EL

CAT0336EPJRJO0347

Caterpillar

336EL

2013

1130140

Hitachi

1FFDDR70HFF940116

Hitachi

ZX350- 6

2015

1130143

Caterpillar

336F

CAT0336FPSSN20077

Caterpillar

336F

2018

1145039

Caterpillar

345BL

AG502276

Caterpillar

345BL

2004

1145088

Caterpillar 349E

CAT03349EATFGO1D44

Caterpillar

349E

2014

1145092

Caterpillar 345D

CAT0345OCEEHOO921

Caterpillar

345D

2010

1145098

Caterpillar

CAT0345CTDHP00347

Caterpillar

345C

2006

1145108

Caterpillar 345CL

CAT0345CCPJW00969

Caterpillar

345CL

2006

1145151

Caterpillar 349F

CAT0349FEHPD20408

Caterpillar

349F

2018

1160150

Caterpillar

CAT0374FAEBF20248

Caterpillar

374F

2019

1180050

John

T0750X970031

John

750

2031

1320018

John Deere 650HLT

T0650HX883732

John Deere

65OHLT

2000

1320025

John Deere 6501LG

T065DIX103918

Jahn Deere

6503LGP

2004

1320043

John

IT0650KXEHF313699

John

650KLGP

2017

1320050

Caterpillar D5K2

CATOOD5KCKY203334

Caterpillar

D5K2

2017

1322047

Komatsu D39PXI- 24

95635

Komatsu

D39PXI- 24

2017

1325032

John

700JXLT

1T070OIXTBD208672

John

700] XLT

2011

1325045

Caterpillar

D6K2LGP

CATO00 WEE L700116

Caterpillar

6K2

1325051

Komatsu

KMTOD133KJBB20453

Komatsu

51PXI-

1325052

Caterpillar D6K2

CATOOD6KCEL700330

Caterpillar

DGK2

2018

1330024

Caterpillar

AKM00624

Caterpillar

D61N XL

2004

1330037

John

1T0750KXEFF289857

John

750K

2016

1330038

Komatsu

30163

Komatsu

D61PX-

23

2013

1330048

Komatsu D61PX- 23

KMTOD120JO1030102

Komatsu

D61PX-

23

2013

1332036

Komatsu

D61PXi- 23

30833

Komatsu

D61PXi-

23

2014

1332041

Komatsu

D61PXI-

23

30917

Komatsu

D61PXI-

23

2015

1332042

Komatsu

061PXI- 24

B60369

Komatsu

D61PXI- 24

2017

1332044

Komatsu D61PXi- 23

30859

Komatsu

D61PXi-

23

2015

1332050

Komatsu

KMTOD129VJBB60672

Komatsu

D61PXI-

24

201B

1340G34

John

1T085DKXCEE269867

Jahn Deere

850K

1340035

John Deere 850K

1T0850KXHFF278568

John

Deere

850K

1340039

John Deere 85OKWLT

1T0850KXAGF291514

John

Deere

85OK

1340046

Komatsu

90462

Komatsu

1340049

850K lJohn lKomatsu D65PX- 18

1340054

ZX350- 6

345C

374F

Deere

750

Deere 65OKLGP

Deere

D51PXI-

24

D6NXL

Deere 750K

D61PX- 23

61PXI- 24

Deere 850K

D65EX- 18

Deere

Deere

Deere

Deere

Deere

Deere

1TOBSOKXTIF332609

John

KMTOD127LEA090018

Komatsu

1 of 1

LGP

24

2017

2018

2014 2015 WILT

2016

18

2017

D65EX-

850K 65PX- 18

2018 2016


EM Equipment

18

1342040

Komatsu

D65PXI-

1342053

Komatsu

D65PXi- 18

1520022

John Deere

544J

1520025

Caterpillar

930H

90447

Komatsu

D65PXI- 18

2016

KMTOD127CKA092052

Komatsu

55PXi- 18

2019

DW544JP506896

John

Deere

5443

2006

CAT0930HTDHCO0672

Caterpillar

930H

2O08

1DW544KZCBD637577

John Deere

544K

2011

1520027

John Deere

152D028

John

1DW524KZVB0634278

John Deere

524K

2011

1520030

John Deere 524K

1DW524KZPCE647093

John Deere

524K

2012

1520031

John Deere

544K

1DW544KZLDE651097

Jahn Deere

544K

2013

1520032

John

Deere 544K

1DW544KZVDE651100

John Deere

544K

2013

1520033

John Deere 544K

1DW544KZVDE656927

John

Deere

544K

2014

1520034

John Deere

524K

1DW524KZEEE661087

John Deere

524K

2014

1520039

Jahn Deere

5443

DW5441P612913

John

Deere

5443

2007

152OG40

John

Deere 5443

DW544JP600217

John

Deere

544J

2005

1520041

Caterpillar 93DM

CAT0930MHKTGO0914

Caterpillar

930M

2016

1520045

Jahn

Deere 544K

1DW544KZLHF679370

John

Deere

544K

2017

1520052

John

Deere

IDW544KZCHF683186

John

Deere

544K- 2

2017

1520058

John

Deere

2019 2018

544K

Deere 524K

544K- 2 544L

John Deere

CAT0926MLLTE05364

Caterpillar

925M

DW6241P613095

John Deere

6243P

2007

DW524JP613100

John

Deere

6243

12007

1520059

Caterpillar

1530023

John

Deere

1530024

John

Deere 624)

1530029

John Deere 624K

1DW624KZABD636840

John

Deere

624K

2011

1530035

Jahn

Deere

624K

IDW624KZCEE657708

John

Deere

624K

2014

1530037

Jahn

Deere

624K

1DW624KZIFF666989

John

Deere

624K

2015

1530D38

John

Deere 624K

1DW624KZVFF668647

Jahn Deere

624K

2015

1530042

John Deere 624K

IDW624KZLFF668229

John

Deere

624K

2015

1530043

Caterpillar

938M

33RO2371

Caterpillar

938M

2016

1530044

Caterpillar

938M

CAT0938M03RO2951

Caterpillar

938M

2017

CAT0938MCJ3R01113

Caterpillar

938M

2015

WA320- 8

2018

1530046

926M

IDW544LZEKF699658

544L

624JP

Caterpillar 938M

1530047

Komatsu WA320- 8

85525

Komatsu

1530048

Caterpillar

033RO4186

Caterpillar

938M

2017

1530049

Caterpillar 938M

CAT0938MV13RO4563

Caterpillar

983M

2017

1530050

Caterpillar 938M

CAT0938MH33RO4258

Caterpillar

938M

2017

1530051

Caterpillar 938M

CAT0938ME33RO5105

Caterpillar

938M

2018

1530054

Komatsu

WA320-

KMTWA135UNA38507

Komatsu

WA320- 8

2018

1530055

Caterpillar

938M

CAT0938MJJ3R04835

Caterpillar

938M

2018

1530056

Caterpillar 938M

CAT0938MEJ3R06478

Caterpillar

938M

2019

1530060

Caterpillar 938M

CAT093BM113R06794

Caterpillar

938M

2019

1540053

Komatsu

KMTWA130KHAO15272

Komatsu

WA380- 8

2018

CAT0950MCJIS00955

Caterpillar

950M

2018

JMS06190

Caterpillar

980H

2O11

Caterpillar

420E

200E

1540057 1550036 1720015

938M

WA380- 8

Caterpillar 950M Caterpillar 980H Caterpillar

8

420E

CAT0420EVHL506946

1 of 1


EM Equipment 1720016

Caterpillar 420FIT

CAT0420FPJW] 00682

Caterpillar

420F IT

2012

1720017

Jahn Deere 310SL

1T0310SLHFF284454

John

310 SL

2015

1720018

Caterpillar

JWJ01905

Caterpillar

420F

IT

2014

1720019

Caterpillar 420EIT

CAT0420EKDAND1742

Caterpillar

420E IT

2011

1720020

Caterpillar

420FIT

CAT8428FJJW]

02449

Caterpiller

420FIT

2014

1920001

Caterpillar 279D

CAT0279DCGTLO3759

Caterpillar

279

2017

1920002

Caterpillar

CAT02268VMWD06477

Caterpillar

2268- 3

2014

1920003

Caterpillar 279D

CAT0279DPGTLO6650

Caterpillar

279D

2019

2120002

Caterpillar 12OG

87V4926

Caterpillar

120G

1979

2121015

Caterpillar

CATOI2MVM9H00234

Caterpillar

120M2

2012

2130006

Caterpillar 140H

2ZKO0806

Caterpillar

140H

1996

2130012

Caterpillar 140H

CAT0140HIAPM01990

Caterpillar

140H

2DO5

2131009

Caterpillar

143H

1AL0810

Caterpillar

143H

2O00

2131010

Caterpillar

143H

CAT0143H] APNO0627

Caterpillar

143H

2O05

2131011

John

Deere 772GP

IDW772GPCBE638279

John

Deere

772GP

2012

2131013

John

Deere

772G

1DW772GPCB0634155

John

Deere

772G

2011

2131014

Jahn

Deere

772GP

2014

2150015

Caterpillar 14H

2O00

2310037

Caterpillar CB14 32" Double

2310044

Caterpillar

CB24B

2330028

Caterpillar

CS423E

2330038

420FIT

22613- 3

120M2

Deere

1DW772GPHEF664330

John Deere

772GP

7W101486

Caterpillar

14H

CATDCB14LDT- FOO752

Caterpillar

CB14

CATC824BE2X401518

Caterpillar

CB24

2018

CATCS423AASTDO512

Caterpillar

CS423E

2005

Caterpillar CS433E

CATCS433VASR00802

Caterpillar

C5433E

2006

2350010

Caterpillar

8XF000527

Caterpillar 84in SD

CS563

1992

2350015

Hamm

40488

Hamm

2350030

Caterpillar

CATC5533ADAK00537

2350033

Caterpillar CS563E

2350034

Caterpillar CS54B

2350039

Caterpillar

47"

Double

Drum Drum

CS563

2420D

CS533E- Smooth Drum

CS533E

3410 84" Smooth Drum

84in SD

2420D

1997

Caterpillar

CS533E

2DO7

CATCS563TCNG02054

Caterpillar

C5563E

2007

CATCS54BAL4H00171

Caterpillar

CS54B

2013

CATCS533KDAK00239

Caterpillar

CS533E

2005

H 1792538

Hamm

3410

2016

2350040

Hamm

2352023

Caterpillar CS533E

CATOCS533EDAK00343

Caterpillar

CS533E

2006

2352024

Caterpillar

CS533E

CATOCS533EDAK00340

Caterpillar

CS533E

2006

2352026

Caterpillar

CS- 563E

CATOCS563ECNG01410

Caterpillar

CS- 563E

2007

2352027

Caterpillar C5533E

CATOCS533EDAK00449

Caterpillar

CS533E

2006

2352029

Caterpillar CS- 54

C5RO0514

Caterpillar

CS- 54

2011

2352031

Caterpillar

CATOCS56JFCS00711

Caterpillar

CS56

2011

2352032

Hamm

H1802560

Hamm

3412

2013

2352035

Caterpillar CS533E Conversion Drum

CATCS533CDAK00575

Caterpillar

CS533E

2007

2352036

Caterpillar CS- 54B

CATCS54BKL4H00407

Caterpillar

CS- 54B

CATCS54BAL4H00588

Caterpillar

CS54B

84"

2015

CATCS54BIL4H00408

Caterpillar

CS54B 84"

2014

57UO0822

Caterpillar

816

1980

2352041

CS56 Conversion

3412 84" Conversion

Caterpillar

CS54B

84" Conversion Drum

CS54B 84" Conversion

2352042

Caterpillar

2370007

Caterpillar 8168

Drum

1 of 1

SD/ SF

2D14


EM Equipment

2370D13

Caterpillar

816B

15ZOO520

Caterpillar

816B

1985

2370045

Caterpillar 815E

17ZO1104

Caterpillar

815E

1989

2380043

Caterpillar

825C

B6XO0804

Caterpillar

825C

1988

2530008

Caterpillar

623E

6CB00850

Caterpillar

623E

1989

2530013

Caterpillar 623E

Caterpillar

623E

1993

1991

J 6DBOU847

6YFOO409 Machine SS000409

Scra

er

253DO14

Caterpillar

623E

6YFOO251/

55GO0251

Caterpillar

1523E

2530015

Caterpillar

623F

5EW00240/

3XWD0240

Caterpillar

623F

1999

2530021

Caterpillar 623G

DBC00187 j DBY00187

Caterpillar

623G

2005

2530022

Caterpillar 623F

6BKO0611/

1998

2920024

1991

292DO25

2001 GMC C7500

Z920028

2001

292DO32

2001 International 4700 2000 Gallon

2920033

2000 Sterling A9500 2500 Gallon

2920035

1996 GMC Topkick 2000 Gallon

Bowl

Ford F800 2200 Gallon

Ford F750

Kodiak

20DO Gallon

Caterpillar

623F

1FDPK84PXMVA15530

5SGO1058

Ford

F800

1GDM7H1C311500309

GMC

C7500

3FDPF75A11MA47121

Ford

F750

2001

1HTSCAALD1H354489

International

4700

2001

ZFWWHWDA7YAF99359

Sterling

A9500

2000

1GBL7H133T3102703

GMC

Topkick

1996

1GBL7H131TJ102733

GMC

Kodiak

1996

3BKMHD6XXXF817435

Kenworth

T300

1999

1FVABTAL43DMO2243

Freightliner

FL70

2003

2XKWDB9X2FM914163

Kenworth

W900B

1985

1XKWDB9X5FK327067

Kenworth

W900

1985

1991 2200 Gal

2001

2920036

1996 GMC

2920040

1999

292OD43

2003 Freightliner

2930019

1985

293DO20

1985 Kenworth

W900

293DO21

1986 Peterbilt

359 4000

Gallon

1XP9D29XXGP193958

Peterbilt

359

1986

293DO27

1996 Peterbilt 357 4000 Gallon

1XPAX5DX3TD410720

Peterbilt

357

1996

2930031

1990 Kenworth T800 4000 Gallon

2NKDLR9X4CM923133

Kenworth

T80O

1990

2930037

1999

Kenworth

1NKDLTOXOXR818047

Kenworth

TBOOB

1999

2930038

2003

Kenworth T800 4000 Gallon

1XKDAU8X43R387339

Kenworth

T800

2003

2930039

1989 Kenworth T80O

1NKDLBOX3KS522077

Kenworth

T800

1989

2930041

1992 Kenworth TBOOB 3000 Gallon

2XKDDB9X6NM572772

Kenworth

TBOOB

1992

1NKDL40X67R152141

Kenworth

TBOO

2007

Kenworth

T300

2000

Gallon

FL70 2000 Gallon

Kenworth W9008

Kenworth

TBOOB

T800

4000

Gallon

50OD Gallon

2930042

2007

2930044

2000 Kenworth T800 3500 Gallon

1NKDLR9X6YR833756

Kenworth

T8DO

2000

7940029

2000 Peterbilt 357 6x6 5000 Gallon

1NPAMTOXOYN545615

Peterbilt

357 6X6

2000

2940030

2004 Peterbilt 357 6x6 50DO Gallon

INPAMUDX34DB21873

Peterbilt

357

6x6

2004

3020019

Renta120D0/ Gal 700

zoos

3110002

Morooka

K70451

Morwka

MST

3330018

Caterpillar 730

BIM00455

Caterpillar

730

3330024

Caterpillar 730C

CAT00730CBlMO0847

Caterpillar

730C

2006

3330025

Caterpillar 73DC

OTFF00698

Caterpillar

730C

2015

3330028

Caterpillar

73DC

CAT0730CCTFF00707

Caterpillar

730C

2015

3335009

Caterpillar

735

CAT00735LAWROO290

Caterpillar

735

12002

3335016

Caterpillar 735

BlNO0458

ICaterpillar

735

12006

MST7DO

1

of 1

2006


EM

Equipment

Caterpillar 735

BIN423

Caterpillar

735

2006

3335019

Caterpillar 735

CAT00735CB1N01043

Caterpillar

735

2008

3335020

Caterpillar

BIN00834

Caterpillar

735

2007

3340012

Caterpillar 740

CAT00740CAXM00499

Caterpillar

740

2002

3340013

Caterpillar 740

CAT0070VAXM00494

Caterpillar

740

2002

3340021

Caterpillar

740

CAT0074081P01278

Caterpillar

740

2006

3340022

Caterpillar

740B

CAT0749BPT4R01742

Caterpillar

7406

2013

3340023

Caterpillar 740E

CAT0740BKT4R01709

Caterpillar

740E

2013

3340026

Caterpillar 740

CAT00740HB1P05054

Caterpillar

740Q

2011

3340027

Caterpillar 740

CAT00740VBlPO6051

Caterpillar

740Q

3510007

28" Asphalt Zipper AZ360

8415M1 Zipper/

Zipper

AZ360[

Zipper

AZ480

2002

AZ480

2004

3335017

735

2011 100407]

1999

109FS1018W U021281Tra i I Vr 3520006

109FS10172U0212

Trailer#

42" Asphalt Zipper AZ480

5 11 Z ippe r# 1 0 3520008

34" Asphalt

Zipper

48SO0127

AZ480

Asphalt

Zipper/

Zipper

WA98248309 Trailer 3710002

Rosco

R134B

38603

R05co

RB48

2003

3710003

Broce

CR350- 4WH

404753

Broce

CR350

2005

3710004

Allmand 6600 Maxi- Sweep

9304MSO4

Allmand

6600 Maxi Sweep

1993

3710005

Rosco RB48

36674

Rosco

RB48

1999

3710006

Laymor

SM300

34824

Laymor

5M300

3710007

Laymor

3 Wheeled Sweeper/ Kubota Engine

Laymor

8HC300

3710009

Broce

Broce

IKR350

KR350

3 Wheeled

Sweeper

34823

Engine#

ICU9708

1408138

1

of 1

12013


Qocusign

Envelope

ID: 42QCO26A- 005C- 402A- 96A5- 18B7EQ74FFQ0

CONSENT

TO ACTION

BY THE BOARD OF DIRECTORS OF TAPANI

INC.

The undersigned, corporation (

the "

constituting the Board of Directors of Tapani Inc., Corporation"), hereby consent to taking the following actions

a Washington

with respect to

the affairs of the Corporation. SIGNATURE AUTHORITY WHEREAS:

in accordance with the Corporation' s governing documents and

prior resolutions adopted by the Board of Directors, each of Leigh Tapani, Tod Tapani,

Kevin

Tapani,

Shane

Tapani,

Lance Tapani,

and

Benji

Tapani

are

authorized signatories on behalf of the Corporation; WHEREAS:

in addition to the parties previously authorized as signatories on behalf of the Corporation, and in order to facilitate greater organizational and operational

efficiency,

the Board

employees of the Corporation

of Directors

desires

to authorize

certain

to execute documents on behalf of the Corporation,

in accordance with a signature authority matrix attached hereto as Exhibit A; it is hereby RESOLVED:

that the Board of Directors hereby approves and adopts the signature authority matrix in the form attached hereto as Exhibit A; FURTHER

RESOLVED:

that the individuals

listed on the attached

Exhibit A

shall have the authority to execute documents on behalf of the Corporation as set forth on the attached Exhibit A; provided, that in the event an individual listed on Exhibit A is no longer employed by the Corporation, then such person' s signature authority on behalf of the Corporation shall immediately terminate; and FURTHER RESOLVED:

that the officers of the Corporation

are authorized and

directed to take any and all additional actions required to implement the foregoing resolutions.

February

20th

Dated effective:

32026.

signatures on following page]

CONSENT

TO ACTION

BY THE BOARD

OF DIRECTORS -

1


ocusign Envelope ID: 42DCO26A- 005C- 402A- 96A5- 1887ED74FFp0

Signing this Consent to Action constitutes a waiver of any notice required by the Corporation' s Articles of Incorporation

or Bylaws, the Washington

Business Corporation

otherwise.

yySigned

f

6t^

Signed by:

by:

n.

estii

lw

Kevin D. Tapani, Director Docu

Signed

by'

Shane A. Tapani, Director SJiggoee

r Jd

5

`

yaw

Leigh E. Tapani, Director Docu8ignod by:

Tod R. Tapani, Director Signal by:

by:

A pp

falAi

Lance D. Tapani, Director

CONSENT TO ACTION BY THE BOARD

Benji Tapani,+ Director

OF DIRECTORS -

2

Act, or


Docusign

Envebpe

ID: 42DCO26A-

0p5C- 402A- 96A5-- 1867ED74FFDO

EXHIBIT

Type of Document

Authorized Signatories

Construction

Contracts(

under

General

Contractor

or a

as a

A

which Tapani

serves

Subcontractor)

Blaine Bellikka, Regional Director Justin Massie,

Project

Director

Romaine Rotschy, Estimating Director Marty McDaniels, Finance Director Jerome

Sarkinen,

Erin Lamble ,

Bid Documents(

e. g.,

bid proposals,

responses

to

RFPs or RFQs, and bid packages)

Project

Director

Risk Manager

Romaine Rotschy, Estimating Director Blaine Bellikka, Regional Director Justin Massie, Project Director

Jerome Sarkinen, Project Director Master Subcontract

Service Agreements, under

Agreements, Professional

Erin Lambley, Risk Manager Marty McDaniels, Finance Director

and Hauling Agreements

which another party is a subcontractor

to

Aaron Diester, Controller

Tapani)

Work Order Authorizations, Change Orders, and

Project Managers

Purchase Orders for construction projects

performed by the Corporation Credit Applications( applying

under which

Tapani is

for credit)

Marty McDaniels, Finance Director Aaron Diester, Controller Erin Lamble ,

Business Licenses 1 Registrations

Risk Manager

Sara McLaughlin, Accountant Aaron Diester,

Controller

Marty McDaniels, Finance Director Software

Agreements 1 Office Equipment

Leases

Erin Lamble ,

Risk Manager

Aaron Diester,

Controller

Marty McDaniels Finance Director

CONSENT

TO ACTION

BY THE BOARD OF DIRECTORS -

3


w

r=Verifvor

Company

I

Number:

257353

THE E- VERIFY MEMORANDUM

OF UNDERSTANDING

FOR EMPLOYERS

ARTICLE

I

PURPOSE AND AUTHORITY

The parties to this agreement are the Department of Homeland Security ( DHS) and the Tapani, Inc ( Employer).

The purpose of this agreement is to set forth terms and conditions which the

Employer will follow while participating in E- Verify.

E- Verify is a program that electronically confirms an employee' s eligibility to work in the United States completion

after

of Form 1- 9, Employment

Eligibility

Verification ( Form

1- 9). This Memorandum

of

Understanding ( MOLL) explains certain features of the E- Verify program and describes specific responsibilities

of the Employer,

the Social

Security Administration (

SSA),

and DHS.

Authority for the E- Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Pub. L. 104- 208, 110 Stat. 3009, as amended ( 8 U. S. C.

Immigrant Responsibility Act of 1996 ( IIRIRA), 1324a

note). The Federal

Acquisition Regulation ( FAR) Subpart 22. 18, " Employment

Eligibility

Verification" and Executive Order 12989, as amended, provide authority for Federal contractors and subcontractors ( Federal contractor) to use E- Verify to verify the employment eligibility of certain employees working on Federal contracts.

ARTICLE II RESPONSIBILITIES A. RESPONSIBILITIES 1.

OF THE EMPLOYER

The Employer agrees to display the following notices supplied by DHS in a prominent place that is

clearly visible to prospective employees and all employees who are to be verified through the system:

2.

a.

Notice of E- Verify Participation

b.

Notice of Right to Work

The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone

numbers of the Employer representatives to be contacted about E- Verify. The Employer also agrees to

keep such information current by providing updated information to SSA and DHS whenever the representatives' 3.

contact information changes.

The Employer agrees to grant E- Verify access only to current employees who need E- Verify access.

Employers must promptly terminate an employee' s E- Verify access if the employer is separated from the company or no longer needs access to E- Verify. Page

1

of 17

E- Verify

MOLL

for Employers

I Revision

Date 06/ 01/

13


E-VerifyCompany ID Number. 257353

4. The Employer agrees to become familiar with and comply with the most recent version of the E- Verify User Manual.

5. The Employer agrees that any Employer Representative who will create E- Verify cases will complete the E- Verify Tutorial before that individual creates any cases. a.

The Employer

agrees that all Employer representatives

will take the refresher tutorials when Failure to complete a refresher tutorial

using E- Verify. prompted by E- Verify will prevent the Employer Representative from continued use of E- Verify. in order to continue

6. The Employer agrees to comply with current Form 1- 9 procedures, with two exceptions: a.

If an employee presents a " List B" identity document, the Employer agrees to only accept " List that contain a photo. ( List B documents

B" documents

be presented during the Form 1- 9 process to establish

identified

in 8 C. F. R. § 274a. 2( b)( 1)(

B))

can

identity.} If an employee objects to the photo

requirement for religious reasons, the Employer should contact E- Verify at 888- 464- 4218.

b.

If an employee

Employment

presents

Authorization

a DHS

Form

Document),

Resident

1- 551 ( Permanent

Card),

Form

1- 766

or U. S. Passport or Passport Card to complete Form 1- 9,

the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee' s Form 1- 9. The Employer will use the photocopy to verify the photo and to assist DHS with its review of photo mismatches that employees contest. DHS may in the future designate other documents that activate the photo screening tool.

Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right to present any List A, or List B and List C, document( s) to complete the Form 1- 9. 7. The Employer agrees to record the case verification number on the employee' s Form 1- 9 or to print

the screen containing the case verification number and attach it to the employee' s Form 1- 9. 8. The Employer agrees that, although it participates in E- Verify, the Employer has a responsibility to complete, retain, and make available for inspection Forms 1- 9 that relate to its employees, or from other

requirements of applicable regulations or laws, including the obligation to comply with the antidiscrimination a.

requirements of section 274B of the INA with respect to Form 1- 9 procedures.

The following modified requirements are the only exceptions to an Employer' s obligation to not

comply with the anti- discrimination provision of the INA: ( 1) List B identity documents must have photos, as described in paragraph 6 above; ( 2) When an Employer employ

unauthorized

workers and

confirms the identity and employment eligibility of newly hired employee using E- Verify procedures, the Employer establishes a rebuttable presumption that it has not violated section 274A( a)( 1)( A) of hiring of that employee; ( 3) If the Employer receives a final nonconfirmation for an employee, but continues to employ that person,

the

Immigration

the

Employer

and

Nationality

Act ( INA) with

respect to the

must notify DHS and the Employer

and $ 1, 100 for each failure to notify nonconfirmation; (

is subject

to a civil

money penalty

between $ 550

HS of continued employment following a final

4) If the Employer continues to employ an employee after receiving a final

nonconfirmation, then the Employer is subject to a rebuttable presumption that it has knowingly Page

2 of 17 E- Verify

MOU

for Employers

I Revision Date 06/ 01/ 13


E-Verify WW

Company ID Number: 257353

employed

an unauthorized

alien

in

violation

of section 274A( a)( 1)( A);

and ( 5) no E- Verify participant

is civilly or criminally liable under any law for any action taken in good faith based on information provided through the E- Verify. b.

DHS reserves the right to conduct Form 1- 9 compliance inspections,

as well as any other

enforcement or compliance activity authorized by law, including site visits, to ensure proper use of E- Verify.

The Employer is strictly prohibited from creating an E- Verify case before the employee has been hired, meaning that a firm offer of employment was extended and accepted and Form 1- 9 was completed. The Employer agrees to create an E- Verify case for new employees within three Employer 9.

business days after each employee has been hired ( after both Sections 1 and 2 of Form 1- 9 have been completed),

and to complete as many steps of the E- Verify process as are necessary according to the

E- Verify User Manual. If E- Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the Employer' s attempting, in good faith, to make inquiries during the period of unavailability.

The Employer agrees not to use E- Verify for pre- employment screening of job applicants, in support of any unlawful employment practice, or for any other use that this MOLD or the E- Verify User 10.

Manual

does not authorize.

11. The Employer must use E- Verify for all new employees. The Employer will not verify selectively and will not verify employees hired before the effective date of this MOLL.

Employers who are Federal

contractors may qualify for exceptions to this requirement as described in Article II. S of this M0U. 12. The Employer agrees to follow appropriate procedures ( see Article I II below) regarding tentative nonconfirmations. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information

specific to the employee' s E-

Verify case.

The

Employer agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees

if they choose to contest the finding, while their case is still pending. Further, when employees contest a tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps see Article 111. 6. below) to contact DHS with information necessary to resolve the challenge.

13. The Employer agrees not to take any adverse action against an employee based upon the employee' s perceived employment eligibility status while SSA or DHS is processing the verification request unless the Employer

obtains

knowledge ( as defined

in 8 C. F. R. §

274a. 1( 1)}

that the employee

is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated verification system to verify work authorization, a tentative nonconfirmation, a case in continuance government to resolve a case), or the finding of a photo mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work

Indicating the need for additional

time for the

authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest the finding, and if he or she does so, the employee may not be terminated or suffer any adverse employment consequences based upon the employee' s perceived employment eligibility status Page 3 of 17 E- Verify

MQU for Employers

I Revision

Date 06/ 01/ 13


E-Verifv-

1111111

OW

Company

I

Number:

257353

including denying, reducing, or extending work hours, delaying or preventing training, requiring an

employee to work in poorer conditions, withholding pay, refusing to assign the employee to a Federal contract or other assignment, or otherwise assuming that he or she is unauthorized to work) until and

unless secondary verification by SSA or DHS has been completed and a final nonconfirmation has been issued.

If the employee

does not choose to contest a tentative

nonconfirmation

or a photo

mismatch or if a secondary verification is completed and a final nonconfirmation is issued, then the Employer

can find the employee

is not work authorized

and terminate

the employee' s employment.

Employers or employees with questions about a final nonconfirmation may call E- Verify at 1- 888- 4644218 ( customer service) or 1- 888- 897- 7781 ( worker hotline).

The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of the INA as applicable by not discriminating unlawfully against any individual in hiring, firing, employment eligibility verification, or recruitment or referral practices because of his or her national origin or citizenship status, or by committing discriminatory documentary practices. The Employer understands that such illegal practices can include selective verification or use of E- Verify except as 14.

provided in part D below, or discharging or refusing to hire employees because they appear or sound foreign" or have received tentative nonconfirmations.

The Employer further understands that any

violation of the immigration- related unfair employment practices provisions in section 274B of the INA

could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject the Employer to back pay awards, compensatory and punitive damages. Violations of either section 274B of the INA or Title VII may also lead to the termination of its

participation in E- Verify. If the Employer has any questions relating to the anti- discrimination provision, it should contact OSC at 1- 896- 255- 8155 or 1- 800- 237- 2515 ( TDD).

15. The Employer agrees that it will use the information it receives from E- Verify only to confirm the

employment eligibility of employees as authorized by this MOU. The Employer agrees that it will safeguard this information,

and

means

of access

to it ( such

as

PINS and passwords),

to ensure that it

is not used for any other purpose and as necessary to protect its confidentiality, including ensuring that it is not disseminated to any person other than employees of the Employer who are authorized to perform the Employer' s responsibilities under this MOU, except for such dissemination as may be authorized in advance by SSA or DHS for legitimate purposes. 16.

The Employer agrees to notify DHS immediately in the event of a breach of personal information.

Breaches

are

defined

as

loss of control

or unauthorized

access to

E- Verify personal data.

All

suspected or confirmed breaches should be reported by calling 1- 888- 464- 4218 or via email at Privacy Incident— Password" in the subject line of your email when sending a breach report to E- Verify. E_-Verify( aDdhs. goy.

Please

use "

The Employer acknowledges that the information it receives from SSA is governed by the Privacy Act ( 5 U. S. C. § 552a( i)( 1) and ( 3)} and the Social Security Act ( 42 U. S. C. 1366( a)}. Any person who 17.

obtains this information under false pretenses or uses it for any purpose other than as provided for in this MOU may be subject to criminal penalties. 18. The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and

evaluation of E- Verify, which includes permitting DHS, SSA, their contractors and other agents, upon Page 4 of 17 E- Verify

MOU for Employers

i Revision Date 06/ 01/ 13


eriow Company ID Number: 257353

reasonable notice, to review Forms 1- 9 and other employment records and to interview it and its

employees regarding the Employer' s use of E- Verify, and to respond in a prompt and accurate manner to

HS requests for information relating to their participation in E- Verify.

19.

The Employer shall not make any false or unauthorized claims or references about its participation

in E- Verify on its website, in advertising

materials,

or other media.

The Employer shall not describe its

services as federally- approved, federally-certified, or federally- recognized, or use language with a similar intent

on

its website

or other

materials

provided

to the public.

Entering into this MOU does not

mean that E- Verify endorses or authorizes your E- Verify services and any claim to that effect is false. 20.

The Employer shall not state in its website or other public documents that any language used

therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining

21.

the prior

written

consent of

HS_

The Employer agrees that E- Verify trademarks and logos may be used only under license by see M- 795 ( Web]} and, other than pursuant to the specific terms of such license, may not

DHSIUSCIS {

be used in any manner that might imply that the Employer' s services, products, websites, or HS, USCIS, or E- Verify. publications are sponsored by, endorsed by, licensed by, or affiliated with 22.

The Employer understands that if it uses E- Verify procedures for any purpose other than as

authorized by this MOU, the Employer may be subject to appropriate legal action and termination of its participation in E- Verify according to this MOU. B. RESPONSIBILITIES 1.

OF FEDERAL CONTRACTORS

If the Employer is a Federal contractor with the FAR E- Verify clause subject to the employment

verification terms in Subpart 22. 18 of the FAR, it will become familiar with and comply with the most

current version of the E- Verify User Manual for Federal Contractors as well as the E- Verify Supplemental

2.

Guide

for Federal

Contractors.

In addition to the responsibilities of every employer outlined in this MOU, the Employer understands

that if it is a Federal contractor subject to the employment verification terms in Subpart 22. 18 of the FAR it must verify the employment FAR 22. 1801).

eligibility of any " employee

assigned

to the contract" ( as defined in

Once an employee has been verified through E- Verify by the Employer, the Employer

may not create a second case for the employee through E- Verify.

An Employer that is not enrolled in E- Verify as a Federal contractor at the time of a contract award must enroll as a Federal contractor in the E- Verify program within 30 calendar days of contract award and, within 90 days of enrollment, begin to verify employment eligibility of new hires using E- Verify. The Employer must verify those employees who are working in the United States, whether or not they are assigned to the contract. Once the Employer begins verifying new hires, a.

such verification of new hires must be initiated within three business days after the hire date. Once

enrolled in E- Verify as a Federal contractor, the Employer must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee' s assignment

Page 5 of 17 E- Verify

MOU

to the contract, whichever

for Employers

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E-Verify Company ID Number: 257353

b.

Employers enrolled in E- Verify as a Federal contractor for 90 days or more at the time of a

contract award must use E- Verify to begin verification of employment eligibility for new hires of the Employer who are working in the United States, whether or not assigned to the contract, within three business days after the date of hire. If the Employer is enrolled in E- Verify as a Federal contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90

days of enrollment, begin to use E- Verify to initiate verification of new hires of the contractor who are working in the United States, whether or not assigned to the contract. Such verification of new hires must be initiated within three business days after the date of hire. An Employer enrolled as a

Federal contractor in E- Verify must begin verification of each employee assigned to the contract within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever is later. c.

Federal contractors that are institutions of higher education ( as defined at 20 U. S. C. 1001{ a}),

state or local governments, governments of Federally recognized Indian tribes, or sureties performing under a takeover agreement entered into with a Federal agency under a performance

bond may choose to only verify new and existing employees assigned to the Federal contract. Such Federal contractors may, however, elect to verify all new hires, and/ or all existing employees hired after November 6, 1986. Employers in this category must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee' s assignment d.

to the contract,

whichever

date is later.

Upon enrollment, Employers who are Federal contractors may elect to verify employment

eligibility of all existing employees working in the United States who were hired after November 6, 1986, instead of verifying only those employees assigned to a covered Federal contract. After Employers

enrollment,

must elect to verify existing staff following

HS procedures and begin

E- Verify verification of all existing employees within 180 days after the election. e.

The Employer may use a previously completed Form 1- 9 as the basis for creating an E- Verify

case for an employee assigned to a contract as long as: i.

That Form 1- 9 is complete ( including the SSN) and complies with Article Ii. A. 6,

ii.

The employee' s work authorization

has not expired, and

The Employer has reviewed the Form I- 9 information either in person or in communications with the employee to ensure that the employee' s Section 1, Form 1- 9 iii.

attestation has not changed ( including, but not limited to, a lawful permanent resident alien having become a naturalized U. S. citizen). f.

The Employer shall complete a new Form 1- 9 consistent with Article II. A.6 or update the

previous Form 1- 9 to provide the necessary information if: i.

The Employer cannot determine that Form 1- 9 complies with Article II. A. 6,

ii.

The employee' s basis for work authorization as attested in Section 1 has expired or

changed, or iii. Note:

Page

The Form 1- 9 contains

no SSN or is otherwise

incomplete.

If Section 1 of Form 1- 9 is otherwise valid and up- to- date and the form otherwise complies with

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1

lilpll

ur

Company ID Dumber: 257353

Article II. C. 5, but reflects documentation ( such as a U. S. passport or Form 1- 551) that expired after

completing Form 1- 9, the Employer shall not require the production of additional documentation, or use the photo screening tool described in Article II. A. 5, subject to any additional or superseding instructions that may be provided on this subject in the E- Verify User Manual. g.

The Employer agrees not to require a second verification using E- Verify of any assigned

employee who has previously been verified as a newly hired employee under this MOU or to authorize verification of any existing employee by any Employer that is not a Federal contractor based on this Article. 3.

The Employer understands that if it is a Federal contractor, its compliance with this MOU is a

performance requirement under the terms of the Federal contract or subcontract, and the Employer consents to the release of information relating to compliance with its verification responsibilities under this MOU to contracting officers or other officials authorized to review the Employer' s compliance with Federal contracting requirements. C. RESPONSIBILITIES 1.

OF SSA

SSA agrees to allow DHS to compare data provided by the Employer against SSA' s database. SSA

sends DHS confirmation that the data sent either matches or does not match the information in SSA' s database.

2.

SSA agrees to safeguard the information the Employer provides through E-Verify procedures. SSA

also agrees to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security numbers or responsible for evaluation of E- Verify or such other persons or entities who may be authorized by SSA as governed by the Privacy Act ( 5 U. S. C. § 552a), the Social

3.

Security Act ( 42 U. S. C. 1306( a)}, and SSA regulations ( 20 CFR Part 401).

SSA agrees to provide case results from its database within three Federal Government work days of

the initial inquiry. E- Verify provides the information to the Employer. 4.

SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative

nonconfirmation

visits an SSA field

office and

provides the required evidence.

If the employee

visits an

SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA

agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that more than eight days may be necessary. In such cases, SSA will provide additional instructions to the If the employee does not visit SSA in the time allowed, E- Verify may provide a final

employee.

nonconfirmation

to the employer.

Note: If an Employer experiences technical problems, or has a policy question, the employer should contact E- Verify at 1- 888- 464- 4218. D. RESPONSIBILITIES

OF OHS

1.

DHS agrees to provide the Employer with selected data from DHS databases to enable the Employer to conduct, to the extent authorized by this MOU: a. Page

Automated verification checks on alien employees by electronic means, and

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E-VerifvMW

Company ID Number: 257353

b.

Photo verification checks ( when available) on employees.

DHS agrees to assist the Employer with operational problems associated with the Employer's participation in E- Verify. DHS agrees to provide the Employer names, titles, addresses, and telephone

Z.

numbers of DHS representatives to be contacted during the E- Verify process. 3.

DHS agrees to provide to the Employer with access to E- Verify training materials as well as an

E- Verify User Manual that contain instructions on E- Verify policies, procedures, and requirements for both SSA and DHS, including restrictions on the use of E- Verify. 4.

DHS agrees to train Employers on all important changes made to E- Verify through the use of

mandatory refresher tutorials and updates to the E- Verify User Manual. Even without changes to

E- Verify, DHS reserves the right to require employers to take mandatory refresher tutorials. DHS agrees to provide to the Employer a notice, which indicates the Employer' s participation in E- Verify. DHS also agrees to provide to the Employer anti- discrimination notices issued by the Office of

5.

Special Counsel for Immigration-

Related

Unfair

Employment

Practices (

OSC), Civil Rights Division,

U. S. Department of Justice.

DHS agrees to issue each of the Employer' s E- Verify users a unique user identification number and password that permits them to log in to E- Verify. DHS agrees to safeguard the information the Employer provides, and to limit access to such information to individuals responsible for the verification process, for evaluation of E- Verify, or to such

7.

other persons or entities as may be authorized by applicable law. Information will be used only to verify the accuracy of Social Security numbers and employment eligibility, to enforce the INA and Federal criminal laws, and to administer Federal contracting requirements.

DHS agrees to provide a means of automated verification that provides ( in conjunction with SSA verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility 8.

within three Federal Government work days of the initial inquiry. 9.

DHS agrees to provide a means of secondary verification ( including updating DHS records) for

employees who contest DHS tentative nonconfirmations

and photo mismatch tentative

nonconfirmations. This provides final confirmation or nonconfirmation of the employees' employment

eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases, DHS will provide additional verification

instructions.

ARTICLE

III

REFERRAL OF INDIVIDUALS TO SSA AND DHS A.

REFERRAL

TO SSA

1.

If the Employer receives a tentative nonconfirmation issued by SSA, the Employer must print the

notice as directed by E- Verify. The Employer must promptly notify employees in private of the finding

and provide them with the notice and letter containing information specific to the employee' s E- Verify Page

8

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E-Verifvor

Company! Q Number: 257353

case.

The Employer also agrees to provide both the English and the translated notice and letter for

employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action

against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee' s response about whether he or she will contest the

tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation.

Only the employee may determine whether he or she will contest the tentative

nonconfirmation.

3.

After a tentative non confirm ation, the Employer will refer employees to SSA field offices only as

directed by E- Verify. The Employer must record the case verification number, review the employee

information submitted to E- Verify to identify any errors, and find out whether the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security number, or any other corrected employee information that SSA requests, to SSA for verification again if this review indicates a need to do so.

4.

The Employer will instruct the employee to visit an SSA office within eight Federal Government work

days. SSA will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary.

5. While waiting for case results, the Employer agrees to check the E- Verify system regularly for case updates.

6. The Employer agrees not to ask the employee to obtain a printout from the Social Security Administration

number database ( the Numident) or other written verification of the S S N from the SSA.

B. REFERRAL TO DHS 1.

If the Employer receives a tentative nonconfirmation issued by DHS, the Employer must promptly

notify employees in private of the finding and provide them with the notice and letter containing Information specific to the employee' s E- Verify case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer must allow employees to contest the finding, and not take adverse action

against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee' s response about whether he or she will contest the

tentative nonconfirmation as soon as possible after the Employer receives the tentative

nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation.

3. The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation.

4.

If the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the

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E-VerifvoffY Company ID Number: 257353

employee to contact DHS through its toll- free hotline ( as found on the referral letter) within eight Federal

Government

work days.

If the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative 5.

nonconfirmations,

generally.

6. The Employer agrees that if an employee contests a tentative nonconfirmation

based upon a photo

mismatch, the Employer will send a copy of the employee' s Form 1- 551, Form I- 766, U. S. Passport, or passport card to DHS for review by: a.

Scanning and uploading the document, or

b.

Sending a photocopy of the document by express mail ( furnished and paid for by the employer).

7. The Employer understands that if it cannot determine whether there is a photo match/ mismatch, the Employer must forward the employee' s documentation

to DHS as described in the preceding

paragraph. The Employer agrees to resolve the case as specified by the DHS representative who will determine the photo match or mismatch.

DHS will electronically transmit the result of the referral to the Employer within 14 Federal

8.

Government work days of the referral unless it determines that more than 16 days is necessary.

9. While waiting for case results, the Employer agrees to check the E- Verify system regularly for case updates.

ARTICLE SERVICE

IV

PROVISIONS

A.

NO SERVICE

FEES

1.

SSA and DHS will not charge the Employer for verification services performed under this Mall. The

Employer is responsible for providing equipment needed to make inquiries. To access E- Verify, an Employer will need a personal computer with Internet access. ARTICLE

MODIFICATION

V

AND TERMINATION

A.

MODIFICATION

1.

This MOU is effective upon the signature of all parties and shall continue in effect for as long as the

SSA and DHS operates the E- Verify program unless modified in writing by the mutual consent of all parties.

Any and all E- Verify system enhancements by DHS or SSA, including but not limited to E- Verify checking against additional data sources and instituting new verification policies or procedures, will be 2.

covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. Page

10 of 17 E- Verify

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E-Verifv_ or

Company

ID Number:

257353

B. TERMINATION 1.

The Employer may terminate this MOU and its participation in E- Verify at any time upon 30 days

prior written notice to the other parties.

Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU, and thereby the Employer' s participation in E- Verify, with or without notice at any time if deemed necessary because of the requirements of law or policy, or upon a determination by SSA or DHS that there has been a breach of system integrity or security by the Employer, or a failure on the part of the Employer to comply with established E- Verify procedures and/ or legal requirements. The Employer understands that if it is a 2.

Federal contractor, termination of this MOU by any party for any reason may negatively affect the performance

of its contractual

Similarly, the Employer understands that if it is in a state

responsibilities.

where E- Verify is mandatory, termination of this by any party MOU may negatively affect the Employer' s business.

3. An Employer that is a Federal contractor may terminate this MOU when the Federal contract that requires its participation in E- Verify is terminated or completed. In such cases, the Federal contractor must provide written notice to DHS. If an Employer that is a Federal contractor fails to provide such notice, then that Employer will remain an E- Verify participant, will remain bound by the terms of this

MOU that apply to non- Federal contractor participants, and will be required to use the E- Verify procedures to verify the employment eligibility of all newly hired employees.

4. The Employer agrees that E- Verify is not liable for any losses, financial or otherwise, if the Employer is terminated from E- Verify. ARTICLE

VI

PARTIES A. Some

or

all SSA and

DHS

under this MOU

responsibilities

may be performed by contractors), and

SSA and DHS may adjust verification responsibilities between each other as necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. B. Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive or procedural, enforceable at law by any third party against the United States, its agencies, officers, or employees,

or against

the Employer,

its agents,

officers,

or employees.

C. The Employer may not assign, directly or indirectly, whether by operation of law, change of control or

merger, all or any part of its rights or obligations under this MOU without the prior written consent of DHS,

which consent

shall not be unreasonably

withheld

or delayed.

Any attempt to sublicense,

assign,

or transfer any of the rights, duties, or obligations herein is void.

D. Each party shall be solely responsible for defending any claim or action against it arising out of or

related to E- Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including ( but not limited to) any dispute between the Employer and any other person or entity regarding the applicability of Section 403( d) of IIRIRA to any action taken or allegedly taken by the Employer.

E. The Employer understands that its participation in E- Verify is not confidential information and may be disclosed as authorized or required by law and DHS or SSA policy, including but not limited to, Page

11

of 17 E- Verify MOU for Employers

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E-VerifyWW

Company

ID Number:

257353

Congressional oversight, E- Verify publicity and media inquiries, determinations of compliance with Federal contractual

requirements,

and responses

to inquiries

under the Freedom

of Information

Act

FOIA).

The individuals whose signatures appear below represent that they are authorized to enter into this MOLL on behalf of the Employer and HS respectively. The Employer understands that any inaccurate statement, representation, data or other information provided to OHS may subject the Employer, its subcontractors, its employees, or its representatives to: ( 1) prosecution for false statements pursuant to of its MOU and/ or; ( 3) possible debarment or 18 U. S. C. 1001 and/ or; ( 2) immediate termination F.

suspension.

G. The

foregoing constitutes

the full agreement

on this subject

between

HS and the Employer.

To be accepted as an E- Verify participant, you should only sign the Employer' s Section of the signature page. If you have any questions, contact E- Verify at 1- 888-464-4218.

Page 12 of 17 E- Verify MQU for Employers

I Revision pate 06/ 01/ 13


r=VerifyEff

Company

ID Number:

257353

Approved by:

Employer Tapani,

Inc

Name ( Please Type or Print) Carice

Title

L Cooper

Date

Signature Electronically

Department

of Homeland

Name ( Please USCIS

09/ 25/ 2009

Signed

Verification

Security— Verification

Title

Type or Print) Division

Date

Signature Electronically

Page

Division

09/ 25/ 2009

Signed

13 of 17 E- Verify MDU for Employers

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r

er' Company ID Number:

h Mw

257353

Information Required for the E- Verify Program Information relating to your Company: Tapani,

Inc

Company Name 1904 se 6th place

battle ground, WA 98604

Company Facility Address

Company Alternate Address

County or Parish

CLARK

Employer identification North American

Classification

Number

Industry

911350790

237

Systems Code

Parent Company

Number of Employees

Number of Sites Verified

Page 14

100 to 499

for

of 17 E- Verify MOU for Employers

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ri E-Vefvoff

Company ID Number: 257353

Are you verifying for more than 1 site? if yes, please provide the number of sites verified for in each State:

WASHINGTON

1 site( s)

Page 15 of 17 E- Verify MOU for Employers

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E-VerifvSw

Company ID Number: 257353

Information relating to the Program Administrator( s) for your Company on policy questions or operational problems: Helen

Name Phone Number Fax Number

( 360)

M Eggleston 687-

360) 687-

(

Email Address

helene@tapaniunderground.

Name

Kristina

Phone Number

1148 ext. 1003 7968

(

com

Griflee

360) 687-

1148

Fax Number kristig@tapani. com

Email Address

Laura

Name Phone Number

(

Venned

360) 687-

1148

Fax Number Email Address

Page

laurav@tapani. com

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Page intentionally left blank

Page 17 of 17 E- Verify

MOLT for Employers

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AGREEMENT

THIS

AGREEMENT

Contractor") for the

The Parties

is

COWLITZ

between

COUNTY

TAPANI,

and

INC.

Burma Road Toutle Park Road Bypass (" the Project").

following project:

Agree

into

entered

as Follows:

I. Acceptance of Bid Proposal. Cowlitz County accepts Contractor' s bid proposal for the

Project. Such acceptance is limited to the following items of the bid proposal: 1- 32. 2. Contractor

to Accomplish

Project.

Contractor

shall

do

all work

and furnish

all

labor,

materials, equipment, tools, services, and incidentals necessary to accomplish the Project in strict compliance

with the contract documents.

3. Contract Amount. Cowlitz County shall pay Contractor in accordance with the contract documents,

based

the

on

unit

and

prices

lump sums stated

in the

Proposal

The total

Form.

contract

amount for the Project shall not exceed $1, 234, 000, including sales taxes. 4.

Contract 2025

the

reference

Washington

Documents. (

State

Standard

Specifications

Department

Washington State Chapter(

This Agreement shall be governed by and incorporates by

a)

for

Road,

of Transportation

the " Standard

Bridge,

Municipal

and

and the American

Construction,

Public

Works Association,

All provisions of the Standard Specifications

Specifications").

apply unless specifically modified herein. ( b) The contract documents constitute the parties' integrated

agreement

the

concerning

Project,

and

by the

supersede

all

prior

and

entire and

contemporaneous

negotiations, representations, or agreements, both written and oral.

5. registered

Contractor Registration. in

contractor

By submitting a bid, each bidder warrants that it is currently a

accordance

with

RCW

18. 27.

Continuous

registration

throughout

the

performance of the project is a requirement of the contract. The bidder shall promptly furnish proof of registration

whenever

requested.

6. Performance

of Work. (

a) The Contractor warrants that all work performed shall be free

from defects in material and workmanship, shall conform to the contract documents, and shall be fit for Cowlitz

County' s intended

If the Engineer determines that the work or any portion thereof

purposes.

fails to conform to the foregoing warranty, the Engineer shall give the Contractor written notice thereof and the Contractor

shall then

take

corrective

action

as

directed

by the Engineer.

The purpose of the

corrective action will be to remedy all nonconforming work and any damage caused by the nonconforming

work. The Contractor

shall begin the repair or replacement

Agreement Burma

Road Toutle Park Road Bypass Project No. 1859

within

10 days after

Page

15


receiving the notice, and shall complete the work within such reasonable time as determined by the Engineer,

If the Contractor fails to carry out the corrective action as required by this section, Cowlitz

County may perform the corrective action with its own resources or by contract, and the Contractor shall pay all the costs thereof. b)

If other provisions of the contract documents contain different performance

requirements, the more stringent requirements shall apply. c) No inspection, acceptance, use, or occupancy of the work, or payment for the work, shall relieve the Contractor from its responsibilities. d)

The

Contractor

good

warrants

title

to

all

materials,

supplies,

and

equipment

incorporated into the work.

7. Uniformity of Equipment and Materials. Like items of equipment and materials to be

incorporated into the work shall be products of one manufacturer. 8. Substitution of" Equal" Products. Unless otherwise provided, any reference in the contract

documents to any product by a brand name, model, or catalog number shall be understood as establishing a standard of quality, and products equal in quality may be substituted advance

by the Engineer.

if approved in

If the Contractor wishes to propose a substitution, it shall submit a written

proposal in a form approved by the County, warranting and guarantying the substitute product will be, including but not limited to, at least equal to or better than the specified product in terms of quality, function, performance, compatibility and reliability, to the Engineer, whose decision shall be final. The proposal shall identify the proposed substitute product, and the Contractor shall upon request and at its expense furnish the Engineer with such detailed specifications, test results, and other data as are

helpful to the Engineer. The Engineer will not consider any proposed substitution if there is inadequate time

available

to

fully evaluate

the

proposal. If the Engineer approves a substitution proposed by the

Contractor, it is understood that such approval is in reliance upon the Contractor' s written warranty and guaranty the substitute product to be, including but not limited to, at least equal to or better than the

specified product in terms of quality, function, performance, compatibility and reliability. There will be no

additional

compensation

or

extensions to the time

for completion.

If the installation, application or

performance of the substitute product is not equal to the specified product, the Engineer may direct

the Contractor to remove the substitute product and replace it with the specified product, and to remedy any damage and delay caused by the use of the substitute product, all at the Contractor' s expense.

The County has a right to a deductive Change Cutler if the substituted product proves less

costly than the contractually

9.

Utilities.

required product.

The

Contractor this

Specification

1- 07. 17,

and

Coordinating

Council

is ( 800)

shall

paragraph. 424- 5555.

comply

with

the

The telephone

provisions

of RCW

19. 122,

Standard

number of the Cowlitz County Utilities

The Special Provisions and/ or contract plans identify all

underground facilities known by Cowlitz County to be located within the area of excavation required as part of the work.

Locations and dimensions shown in the Special Provisions or on the plans are in Agreement

Burma Road Toutle Park Road Bypass Project No. 1859

Page

16


with available information

accordance

without

uncovering,

or other

measuring,

verification.

If a utility

is known or suspected of having underground facilities within the area of the excavation, and that utility is not a subscriber to the Cowlitz County Utilities Coordinating Council, the Contractor shall give individual notice to that utility. 10._

Prevailinx Waiges and E- Verify. The Contractor shall pay all fees required by the

Department of Labor and Industries in connection with the administration of the prevailing wage requirements. No increase in prevailing wage rates or fringe benefits shall be grounds for any additional compensation

to the Contractor.

Cowlitz County requires that all businesses which contract with the County for contracts awarded

by

requirement provide

formal

competitive

procedures

extends to every subcontractor

certification

of enrollment

with

be

enrolled

in

the

Federal

E- Verify

Program.

The

meeting the same criteria. The Prime Contractor must

bid submittal.

The

Prime

Contractor

is responsible

for

verification of every applicable subcontractor. Cowlitz County reserves the right to require a copy of a Memorandum of Understanding between the Prime or any Subcontractor and Department of Homeland Security upon request at any time during the project verifying the contractor' s enrollment. Failure to provide this document could result in suspension of the project.

A copy of Resolution No. 11- 118 is available at the Offices of the Board of County Commissioners. Federal E- Verify Program is a web- based application that can be accessed at www. dhs.€;ov/ everify_. 11. Air Pollution Regulations. The Southwest Washington Air Pollution Control Authority has

adopted regulations to control the emission of contaminants into the air by sources within the Authority' s jurisdiction, which includes Cowlitz County. The Contractor shall comply with all regulations and orders of such Authority.

12. Shoring. If in the performance of this contract, the Contractor or any subcontractor excavates any trench to a depth in excess of four feet, the Contractor shall provide adequate safety systems for the trench excavation that comply with the requirements of the Washington Industrial Safety and Health Act, RCW 39. 04. 180, and with all regulations thereunder. It is not anticipated that any excavation 4- feet or more in depth will be required for completion of the Work under this contract.

Therefore, no bid item for trench safety systems is included in the bidder' s proposal. In the event in the performance of the contract the Engineer directs excavation such that shoring or extra excavation is required as determined by the Engineer, payment to the Contractor for such work will be made in accordance with Standard Specifications Section 1- 04. 4.

13.

Worker' s Benefits. The following is added at the end of Standard Specification 1- 07. 10:

Notwithstanding the provisions of the preceding paragraphs, Contractor shall remain at all times liable

for payment of any and all premiums due under Title 50 or Title 51 RCW, or any other employee benefit Agreement Burma

Road Toutle Park Road Bypass Project No. 1859

Page 17


1 act, with respect to all work performed by Contractor or any subcontractor pursuant to this contract.

Contractor shall indemnify, defend and hold Cowlitz County harmless from and against any claim or demand

for payment

of such

premiums.

The Contractor' s responsibilities

under this section

shall

survive the termination or completion of the contract and/ or any release of retainage with respect to the contract. These waivers by the Contractor are a material inducement to County to enter into this contract, are reflected in Contractor' s compensation, and have been mutually negotiated by the parties.

BOARD OF COUNTY COMMISSIONERS OF COWLITZ

COUNTY,

WASHINGTON

1 I L Richard

R. Dahl, Chairman

Steve Rader,

Nam

Commissioner

of Contractor

Signend

to

Steven

orized by Firm Bylaws

y A Co

tractor

j2s w

L. Ferrell, Commissioner

Title

ATTEST:

Kelly Grayson,

Clerk of the Board

Date

Washington Contractor' s Registration Number

Date

APPROVED

AS TO FORM:

Civil Deputy Prosecuting Attorney

1 Executed copies shall be delivered each to County, Contractor, Surety and Insurance Company]

1 1 Page 18

Agreement

uP- Ma—

Roa -

T-0w4[-

Paxk R- Oad

V,

y1

SS—

P10j441-

t85


Bond

No.

108511137

PERFORMANCE BOND

KNOW ALL MEN BY THESE PRESENTS, that the undersigned Contractor and Surety, a corporation,

organized and existing under and by virtue of the laws of the State of Washington, are jointly and severally

obligated

Cowlitz

to

County,

of

State

Washington,

in

the

penal

sum

of

for the payment of which sum we jointly and severally bind ourselves and

1, 234, 000. 00---

our heirs, executors, administrators, and assigns, and successors and assigns, firmly in accordance with the following provisions:

The Contractor has entered into or is about to enter into a contract with Cowlitz County for the following project: Burma Road Toutle Park Road Bypass PROJECT.

Now, if the Contractor fully and timely performs all terms, conditions and requirements of the contract

in all respects, including all warranty provisions; and pays all laborers, mechanics, subcontractors, and materialmen, and all persons who supply such person or persons, or subcontractors, with provisions and supplies for the above project; and defends and indemnifies Cowlitz County against any direct or indirect loss, damage, liability, judgments, and costs, to the extent required by the contract; then this obligation shall be void; otherwise it shall remain in full force and effect.

Provided, however, that the conditions of this obligation shall not apply to any money loaned or

advanced to the Contractor or to any subcontractor or other person in the performance of any such work.

The Surety, for value received agrees that no change, extension of time, alteration or addition to the terms of the Contract, the specifications accompanying the Contract or to the work to be performed under the Contract shall in any way affect its obligation on this bond, and waives notice of any change, extension of time, alteration or addition to the terms of the Contract or the work performed. The Surety agrees that modifications and changes to the terms and conditions of the Contract that increase the

total amount to be paid the Contractor shall automatically increase the obligation of the Surety on this bond and notice to Surety Is not required for such increased obligation.

Any judgment against Cowlitz County that relates to or is covered by the contract or this bond shall be conclusive against the Contractor and the Surety, not only as to the amount of damages but also as to their liability if reasonable notice of the pendency of the suit has been given. Travelers Casualty and Surety Company of America

Tapani, Inc. Name of Contractor

a

e of Surety ti.

6W1 n! uDSc Au

rize

S

Authorized

ignature yv, a k; r`

Gloria Bruning, Attorney- in- fact

j

m 44

Title

Title

1

Signature

l

w.

July 13, 2025

s'

z,

Date

Date ti..

7#

Attach Power of Attorney Performance Burma

Page 19

Bond

Road Toutle Park Road Bypass Project

No. 1859


Travelers Casualty and Surety Company of America A.

Travelers Casualty and Surety Company

TRAVELERS J

St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY

Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations constitute

duly organized

under

and appoint Gloria

the laws of the State of Connecticut(

Bruning

herein collectively of PORTLAND

called

the" Companies"),

and the Companies

do hereby make,

their

Oregon

true and lawful Attomey{ s} in- Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings

obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by lawIN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 13th day of May, 2026. tr Ryp

D

Y!

1RlMfOM!

rS State of Connecticut

By: Bryce Grissom, Senior Vice President

V

City of Hartford ss.

On this the 13th day of May, 2026, before me personally appeared Bryce Grissom, who acknowledged himself to be the Senior Vice President, Surety, Bond& Specialty Insurance, of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission

r

expires the 31 st day of March, 2031

Marie E. Sorensen,( Votary Public

L+_

cR

This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies, which resolutions are now in full force and effect, reading as follows:

RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any

Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys- in- Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company' s name and seal with the Company' s seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is

FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is fled in the office of the Secretary: and it is

FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional

undertaking shall be valid and binding upon the Company when ( a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company' s seal by a Secretary or Assistant Secretary-, or( b) duly executed ( under seal, if required) by one or more Attomeys- in- Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is

FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding which

to

it is attached-

I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect. Dated this

13th

2026 ,

July

day of

k rtivp

ypsuRErr

7

N

A

4A1gF

S41 J!" fr F EAL

SEAL

1

SEAL

Kevin E. Hughes, Assistant Secretary

To verity the authenticity of this Po* ei,ofAttorney, please call us at 1- 800-421- 3880. Please

refer to

the above- narned

Attorney(

s)- in- Fact anciffa

defpils

o f-the

pond to which this Power of Attorney

is attached.


C"

R"

THIS CERTIFICATE CERTIFICATE

IS ISSUED

DOES

THIS

BELOW.

P_

CERTIFICATE QF LIABILITY INSURANCE AS A MATTER

NOT AFFIRMATIVELY

CERTIFICATE

OF INFORMATION

OR NEGATIVELY

OF INSURANCE

DOES

NOT

ONLY AND CONFERS

AMEND,

CONSTITUTE

EXTEND

NO RIGHTS

OR ALTER THE

A CONTRACT

711 115/ 2026

UPON THE CERTIFICATE

COVERAGE

BETWEEN

MMDOYYYY)

AFFORDED

THE ISSUING

HOLDER,

BY THE

INSURER( S),

THIS

POLICIES

AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT:

provisions

or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.

If the Certificate

A statement on

this certificate

holder is an ADDITIONAL

does not confer

rights to the certificate

Feek Insurance

LLC

INSURED,

the policy( ies) must have ADDITIONAL

holder in lieu of such endorsement(

INSURED

S),

CONTACT

PRODUCER

Parker Smith&

Bethany Sutherland

PHONE

FAX

E- MAIL

ADDRESS:

bcsutherl and @Ysflnc_com

RMURER

A:

Arch Insurance Company

INSURER

B:

Arch Indemn

INSURER(

LlYren

PC- 171M

e#:

TAPAINC-

INSURED

Tapa i. Inc. Pp 19D0 Battle Ground

ABC, No]: 503- 928- 6841

50341 fi- 4281

iA C, No, Exv;

1111 Gateway Loop Springfield OR 97477

anni,

WA 98604

01

INSURER

C:

INSURER

D!

INSURER

E

11150

Company

30830

Sped alt r lnsurence

41718

Insurance

Endurance American

NAIC 1

COVERAGE_

S) AFFORDING

Company

F

INSURER F

COVERAGES

CERTIFICATE

NUMBER:

REVISION

287729753

NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS NLITSRR{-

AND CONDITIONS

X

LIMITS

COMMERCIAL

GENERAL

MAY HAVE BEEN REDUCED

BY PAID CLAIMS.

MPOLICY MUI DeYY

POLICY NUMBER Y

LIABILITY

ZAGLB9248704

1011/

MM

VATS D YY

10111202E

2025

EACH

OCCUR

MED

Any one person)

PERSONAL A ADV

INJURY

G EN' L AGG R E GAT E LIMITAPPLIES

PER:

GENERALAGGREGATE

X

LOC

PRODUCTS-

POLICY

X A

EXP(

RENTED

JE

OTHER-

StopGap

AUTOMOBILE

LIABILITY

X

7_ACAT9278404

10/ 1/

10I112025

2026

ANY AUTO

S 300, D00

Ea oxwence]

PREMISES[

xCU NOT Exduded

2, ODD, 000

OCCURRENCE

7DAMAGETO

X

MADE

CLAIMS-

SHOWN

SUBR

OF INSURANCE

TYPE A

OF SUCH POLICIES. ADDL

-

$

10, D00

$

2.0Dt1, 000 4, 000, 000

$

4. D00, 000

CO_M_P+'OP AGG $

2, 000, 000

Stop Gs

A

COMaINEO Ea accident]

SINGLE LIMIT

s2. 000. 000

_

BODILY INJURY( Per person) $

OWNED AUTOS ONLY HIRED AUTOS ONLY

SCHEDULED AUTOS NON- OWNED

_

AUTOS

BODILY

INJURY(

Per awdent).$

PROPERTYDAMAGE Per accident)

ONLY

2, 000, 000

Uninsured Motorkit UMBRELLA

X

B

EXCESS

LIAR

DED

X

WO RKERS

7AULP9277704

OCCUR CLAIMS-

10W2026

ZAWC19791901

LIABILITY

10/ 112026X

10/ 112025

TN E RrEXECUTIVE

ExeesslUmbrelia(

C

4xT=

C

OF OPERATIONS 2nd

below

layer)

ZAL LP9283101

Umbrella( 3nd layer) ProressionallPollution

ELD30012824204

DESCRIPTION

6. 000. 000

OF OPERATIONS+

ER

STATUTE. ,_

E. L. EACH ACCIDENT

1, 000, 000

E L. DISEASE•

EA EMPLOYEE $

1, D00, 000

E

POLICY LIMIT $

N i A

MBE REXCLUDEW

A

S 3, D00, 000

YIN

Mandatory In NH) If YYes, describe under iESCRIPTION

OCCURRENCE

EACH

AGGREGATE

RETENTION$ n

rETOWPAR

OFFICERIME

10/ 1/ 2025

MADE

COMPENSATION

AND EMPLOYERS' ANYPROPR

X

LIAB

PNV100150854005

LOCATIONS;

VEHICLES(

ACORD 101, Addillonal

10/ 1/ 2026 1011/ 2026 101112026

101112025 10/ 1/ 2026 1011/ 2025

L.

DISEASE-

Occurrence

Limit

Occurrence PoillProf

Limit

1, 000, 000 5. 000. 000 10. 000. 000 10m110m

5m15m

Remarks Schedule, may be atlached If mdre space is required)

Certificate Holder and all other parties required by the contract are included as Additional Insured on the General Liability, Auto Liability, Excess Liability and Pollution/ Professional Policies, if required by written contract or agreement, subject to the policy terns and conditions. This Insurance contract

is Primary& Non- Contributory on the General Liability, or agreement, subject to the policy terms and conditions.

A Waiver of Subrogation

is provided in favor of the Certificate

Auto Liability, Excess Liability and PollutionJProfessional Policies, if required by written

Holder and all other parties required by the contract on the General Liability, Auto Liability, Excess

Liability, Workers Compensation and Pollution Professional Policies, per policy provisions. General Liability, Auto Liability Coverage( s) include 30- day notice of cancellation, subject to the policy terms and conditions. Excess Liability policy is in excess of the General Liability, Automobile Liability and Employers Liability Policies, subject to the policy terms and conditions. See Attached... CERTIFICATE

HOLDER

CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE

EXPIRATION

ACCORDANCE

Cowlitz County Department of Public Works 1600- 13th Avenue South Kelso WA 98626

DATE

THEREOF,

WITH THE POLICY

NOTICE

WILL

DELIVERED

IN

AUTHORIZED REPRESENTATIVE

1988- 2015 ACORD CORPORATION. ACORD 25( 20115103)

BE

PROVISIONS.

The ACORD

name

and logo are registered

marks

of ACORD

All rights reserved.


AGENCY

CUSTOMER

ID: TAPAINC- 01

LOC#:

ADDITIONAL

REMARKS

AGENCY

Parker

NAMED

Smith&

SCHEDULE

Page

t

of

1

INSURED

Tapani, Inc. PO Box 1900

Feek Insurance LLC

Battle Ground

POLICY NUMBER

CARRIER

WA 98604

HAIC CODE EFFECTIVE DATE:

ADDITIONAL

REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:

25

FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE

Hired Auto Physical Damage included(

Deductibles:

Comp.-$

1000 Coll- -$

1000)

Re: Project No. 1859- Burma Road Toutle Park Road Bypass Project

Cowlitz County is included as Additional Insured on the General Liability Policy, if required by written contract or agreement, subject to the policy terms and conditions.

Ou 2008 ACORD CORPORATION.

ACORD 101 ( 2008101) The ACORD

name

and logo

are

registered

marks

of ACORD

All rights reserved-


POLICY

NUMBER:

ZAGLB9248704

COMMERCIAL

GENERAL

LIABILITY

CG04421219

THIS ENDORSEMENT

CHANGES

STOP GAP -

THE POLICY.

PLEASE

READ

IT CAREFULLY.

EMPLOYERS LIABILITY COVERAGE

ENDORSEMENT -

WASHINGTON

This endorsement modifies insurance provided under the following: COMMERCIAL

GENERAL

LIABILITY

COVERAGE

FORM

SCHEDULE

Limits Of Insurance

Bodily Injury By Accident

$

1, 000, 000

Each

Disease

$

1, 000, 000

Aggregate

Bodily Injury_ By Disease

$

1, 000, 000

Bodily Injury By Information

A.

The

is added

to Section

Employers

Stop Gap1.

Each

required to complete this Schedule,

following

Accident

b. This insurance applies to " bodily injury by accident"

Liability Coverage

We will

pay

becomes

1)

those

sums that the

obligated

legally

to pay as damages because injury by accident" or " bodily to

disease" insurance and

will

seeking those have

against

this

may,

at

accident may 1)

and

result.

The

Limits Our we

as

Bodily injury by accident" or " bodily injury by disease" arises out of and

the insured

against

any

in

damages.

However,

we

employee' s"

defend

insurance

or

perform

unless

to

was

any

or " suit"

claim

any

will

we

pay

described

that

obligation

is

2)

payment

of

under

a

workers'

compensation

law"

of

and

limit

of b) "

judgments

this coverage.

liability to pay sums services is covered for under provided

Insurance

Services

Bodily injury by accident" is caused by an accident that occurs during the policy period, or

or

or

you;

The:

ends when

applicable

injured

by

III a) "

duty to defend

in the

damages

Section

the

at the time of the injury,

covered

workers'

and

used up the

acts

for

in

of

employment

compensation policy and subject to a

Bodily injury by disease" is caused by or aggravated by conditions of employment by you and the injured last of last employee' s" day exposure to the conditions causing or aggravating such " bodily injury by disease" occurs during the policy period.

explicitly Supplementary Payments.

CG 04 42 12 19

Employee",

c) "

We

investigate

course

and

insured

damages seeking does not apply.

or settlements under other

the

the

Washington;

right and have

territory";

right

Of Insurance;

Na

coverage b) "

But:

amount

limited

2)

settle

bodily injury by the

will

discretion,

our

tay " Bodily injury by accident" or " bodily injury by disease" takes place in the

of"

have

any " suit" insurance

which

The:

this

to

duty

no

only

which

We

to defend

duty

suit"

your "

injury by disease"

to

employee"

applies.

insured

by Washington

Law

or " bodily

if:

Insuring Agreement a.

Employee

if not shown above, will be shown in the Declarations.

Coverages:

I-

Limit

Office,

Inc.,

2019

Page

1 of 5


c.

The damages

will pay, where recovery law, include damages: by

is permitted 1)

we

e.

Bodily injury by accident" or " bodily injury by disease" suffered or caused by any

For: Which

a)

by

liable

are

you

of

reason

to a third

a claim

suit"

or"

employee while employed

party

with your actual

against

party to recover the claimed against such third

as

party

of

result

a

to

injury

your

Consequential accident"

"

or

disease"

to

brother

or

f. Termination,

"

a

and

bodily bodily

spouse,

child,

parent,

the

injured

of

sister

by by

injury injury

direct

that

arises

the

injured "

of " bodily

are

the

injury

by

Because

of and

out

in the

employee'

s"

course

employment

a.

that

out of and

arises

of employment, a

claimed

by

are:

as

Intentional

Injury

not apply

from

an

been

act which

is determined

by

reasonable

to

that

substantially

certain

believe

if

you

it

an

injury

is

fine

levied

by

to occur.

Any assessment,

penalty

any

inspection

regulatory

or

employee"

when

you

subject to penalty;

Of Age Laws Or Employment

2

of

the

compensation,

unemployment

i.

Federal

Laws

1)

The Federal Employer' s Liability Act ( 45 USC Section 51- 60);

under

disability

compensation

law

or

Act ( 5

USC

Sections

Harbor

Workers'

8171- 8173);

a

benefits

Fund

Non- appropriated

The

Instrumentalities insured

of

Any premium, assessment, penalty, fine, benefit, liability or other obligation imposed by or granted pursuant to:

3)

The

Longshore

Compensation

any

law.

Contractual

Under the age of 14 y ears, regardless g g

any such law.

or

agency

Knowingly employed by you in violation of any law as to age; or

2)

obligation

similar

d.

1)

Statutory Obligations

or

an "

Deprived of common law defenses; or

Violation

to was

Fines Or Penalties

workers'

to

person:

committed

Any

Law"

Bodily injury by accident" or " bodily injury by disease" suffered or caused by any

to:

authority. c.

or

or arising

Of Minors

Bodily injury by accident" or " bodily injury caused or disease" intentionally by or " aggravated by you, bodily injury by accident" or " bodily injury by disease"

b.

employee",

because of your failure to secure your obligations or other failure to comply with any" workers' compensation law".

in the

h.

does

have

disease"

2) Otherwise

against than

other

capacity

insurance

resulting

against

of any "

Bodily injury by accident" or " bodily injury

Exclusions This

discrimination

by

employer.

2.

harassment,

humiliation,

1)

in

you

defamation,

of

bodily injury by accident" or to injury by disease" your

employee" course

reassignment,

evaluation,

discipline,

Compensation

of"

bodily

Or Discrimination

g• Failure To Comply With " Workers'

you; and 2)

Coercion

out of other employment or personnel decisions concerning the insured.

bodily injury by disease"

or "

that

damages

these

consequence

accident"

executive

demotion,

termination

employee";

provided

or the actual

your "

Damages arising out of coercion, criticism,

Care and loss of services;

c)

of

any

officers".

employee";

b)

in violation of law

knowledge

of

knowledge

that third

you by damages

Violation Of Law

and

Act ( 33

USC

Sections

910- 954 4)

Liability

Liability assumed

by you

under

any contract

The

Outer

Continental

43 USC Section

Shelf

Lands

Act

CO 04 4212

19

1331- 1356);

or agreement.

Page

2 of 5

Insurance

Services Office, Inc., 2019


5)

The

Defense

6) The

Base

1651-

Sections

Federal Act

Safety

Act

( 42

USC

No person or organization is an insured with

Health

and

respect to the conduct of any current or past partnership, joint venture or limited liability

Sections

company that is not shown as a Named

1654); Coal

Mine

of 1969 ( 30

USC

Insured in the Declarations.

901_ 942); 7)

The

Migrant

and

Seasonal

Worker Protection

8)

1801-

1872);

Any

other

workers'

subsequent

Any

laws listed Punitive

j.

Crew

or

Section 1.

above.

or

exemplary

crew

of any vessel

flying

crew

damages.

punitive

or

2.

RP rY Payments provisions P apply pP y Supplementary Y to Stop Gap — Employers Liability Coverage as as to Coverages

A and B.

of this endorsement,

b.

Claims made or" suits" brought; or

The "

Bodily

3. The "

is replaced

II—

Section

1.

An

designated

2.

A

their

Your

joint

are

as:

to

managers

to their

the conduct are

duties

organization

but

your

but

only

than

liability

Your " executive as

are

other

insured.

insureds,

you

managers.

or

only

a

an

insured.

but only

company, with or

with

you

with Your

respect

joint

partnership,

officers"

officers

of this

Bodily shown

Injury By in

Aggregate

Disease" —

the

of

Schedule

this

is the most we will pay for all

are an

and directors

respect

to

directors.

their

"

Bodily

By

Injury

Disease"

—

Each"

Employee" Limit shown in the Schedule of this

an

but only with business.

your

limited

the

endorsement

and

partners,

insureds,

insureds, as

are

you

of your business.

venture

duties

your

liability company,

Each

Schedule

4. Subject to Paragraph 0. 3. of this endorsement,

is the most we will pay for all

damages because of" bodily injury by disease"

insureds,

also

members are also

respect

are

venture,

members,

Accident" —

in the

injury by disease", regardless of the number of" employees" who sustain " bodily injury by disease".

spouse

to the conduct of your

A limited

4. An

or

Your

spouses

respect

3.

and

partnership

claims or

out of " bodily

but

insured.

By

making

damages covered by this insurance and arising

are you your only with respect to the conduct of a business of which you are the sole owner.

insureds,

Injury

Limit shown

endorsement

by the following:

in the Declarations

individual,

shown in the Schedule

and the rules below fix the

endorsement is the most we will pay for all damages covered by this insurance because of bodily injury by accident" to one or more employees" in any one accident.

Section II— Who Is An Insured are

the

Of Insurance

Insureds;

Limit

If you

by

a.

Accident

of the

member

any

Ili— Limits

c. Persons or organizations bringing " suits".

of an aircraft.

Who Is An Insured

Section III

replaced

most we will pay regardless of the number of:

Members

For the purposes

is

The Limits Of Insurance

the

to

amendments

B. The

C.

Insurance

of this endorsement

or

Bodily injury by accident" or " bodily injury by disease" to a master or member of the

well

Of

Limits

Damages

Multiple, k.

compensation,

compensation

laws or any similar law;

disability

D. For the purposes of this endorsement,

Sections

following:

unemployment

9)

Agricultural

Act ( 29 USC

to any one" employee".

The limits of the coverage apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the

Declarations,

extended

unless the policy period is after issuance for an additional period of

less

12

than

months.

In that case,

the additional

period will be deemed part of the fast preceding period for purposes of determining the Limits of Insurance.

Your

stockholders are also insureds, but only with respect to their liability as stockholders.

CG 04 42 12 19

0 Insurance

Services

Office, Inc„

2019

Page

3 of 5


E.

For

the

2. Duties Suit

Section

under

d.

Condition

of this endorsement, purposes In The Event Of Occurrence, IV — Conditions

is

cost, voluntarily make a payment, assume any obligation, or incur any expense, other

replaced

than for first aid, without our consent.

by the following: 2.

Duties a.

In The Event

Of Injury, Claim Or Suit

must

it that

You

notified

extent 1)

which

How,

when

and or"

The

1f

a

result

4. and 18. of the Definitions

bodily injury by a"

4. " Coverage

in a claim. To the

You

is

made

insured,

suit"

or "

of

addresses

travel or transportation between any places

any

included

of any injury. is

suit"

or "

damage

brought

the

of the

specifics P

and the

must of

date

see

to it that

we

the

claim

suit"

or "

receive as

the insured' s responsibility

to pay

is

States

determined its

territories

Rico or Canada,

copies

any

summonses

or

legal

in

connection or"

with

or

with

request,

settlement

the

of

us,

other

and

assist

in

the

investigation

the

claim

us,

or

as

law in such

by

disease"

alleged. " Suit"

insured

this

proceeding

are must

to

claimed submit

which

in which

and

to

or does

this

includes:

such

which

the

submit

with

or

we

b. Any

or

defense

other

alternative

proceeding

in which

claimed

and to which

dispute

such

resolution

damages

the insured

are

submits

with our consent. request,

our

of any

right

in

against

the

any

be or organization which person may liable to the insured because of injury to insurance

may

also

G.

The

following

are

added

to

the

Definitions

section:

1. "

apply;

Workers'

Compensation

Law"

means

the

Workers'

Compensation

Law

and

any

Occupational Disease Law of Washington. This

and o

possessions), in a suit an the merits

are

damages

us

upon

enforcement

5)

and

injury

a. An arbitration

against the" suit'%

which

United

applies

bodily

"

insurance

suit";

us to obtain records and

Cooperate

Assist

in the

means a civil proceeding in which damages because of" bodily injury by accident"

our consent;

4)

a

18. " Suit"

of

us

notices,

received

Authorize

may

of

damages

according to the substantive

as

information; 3)

activities

provided

Puerto

written

soon

must:

injury, claim, proceeding 2)

of the

short time on your business;

including

insured

send

Immediately demands, papers

out

territory, or in a settlement we agree to.

You and any other involved 1)

arises

received;

practicable. c.

or

person whose home is in the territory described in a. above, but who is away for a

must:

you

in a. above;

c. All other parts of the world if the injury or

Notify us as soon as practicable.

notice

its

Rico

International waters or airspace, but only if

b.

and

2)

Puerto

possessions),

and Canada;

and witnesses; and

Immediately Y record claim

States of America ( including and

territories

where the " bodily injury bodily injury by disease"

and location

nature

any

territory" means:

a. The United

should include:

and

persons

claim

section are replaced

by the following:

the injury or damage occurs in the course of

names

against 1

of

bodily

or "

F. For the purposes of this endorsement, Paragraphs is

agent

or our

place;

The

3)

we

practicable

notice

by accident"

injured

b.

as

may

possible,

took

2)

soon

accident"

by

disease"

to

see

as

injury

No insured will, except at that insured' s own

Claim Or

nothing

would

after

interfere

an

with

injury our

occurs

does

that

not

include

provisions

of

any

law

providing non- occupational disability benefits.

right to recover

from others.

Page

4 of 5

Insurance

Services

Office,

Inc.,

2019

CG 04 42 12 19


2. "

Bodily injury by accident" sickness

or

disease

including death, disease it

means

sustained

resulting

from

injury by disease" means a disease by a person, including death. " Bodily injury by disease" does not include a disease that results directly from an accident.

3. " Bodily

bodily injury, by a person,

an

accident.

sustained

A

is not"

results

bodily injury by accident" unless directly from " bodily injury by

accident".

CG 04 42 12 19

H.

For

the

purposes

of

this

endorsement,

the

definition of" bodily injury" does not apply.

CO Insurance

Services Office,

Inc.,

2019

Page

5 of 5


Policy No. ZAGLB9248704

CHANGES THE POLICY.

THIS ENDORSEMENT

PLEASE

READ

IT CAREFULLY.

NORTH DAKOTA— STOP GAP — EMPLOYERS LIABILITY COVERAGE ENDORSEMENT —

SELF- INSURED

RETENTION

INSURED DUTY TO DEFEND.)

This endorsement modifies insurance provided under the following: COMMERCIAL

GENERAL LIABILITY COVERAGE

PART

SCHEDULE

Limits

Of Insurance

Bodily Injury By Accident:

$

1, 000, 000

Each

Bodily Injury By Disease:

$

1, 000, 000

Aggregate Limit

Bodily Injury By Disease:

$

1, 000, 000

Each Employee

Accident

If no entry appears with respect to any of the limits shown above, then the limit will be deemed to be 1, 000, 000.)

Self- Insured

Self- Insured

Retention

Retention

Self- Insured

Amount

Retention

Bodily Injury By Accident:

N/ A

Each

Accident

By Disease:

NIA

Each

Employee

N/ A

Self- Insured

Bodily Injury Applies

A.

The

if checked "

following is added

to SECTION

I—

Aggregate—

Fixed

Basis

COVERAGES:

STOP GAP— EMPLOYERS

COVERAGE—

1.

X"

Basis

LIABILITY

Insuring Agreement a.

We will pay those sums, in excess of the " self- insured retention" that the insured

becomes legally obligated by North Dakota Law to pay as damages because of" bodily injury by accident" or " bodily injury by disease" to your " employee" to which this insurance applies. We will have the right, but not the duty, to defend the insured against any " suit" seeking those damages even if the total amount of such damages does not or will

not exceed

the " self- insured

retention".

We also have the right to investigate any

accident or settle any claim or" suit" that may result even if the amount of such damages does

not or will

not exceed

the " self- insured

1)

The amount we will pay for damages is limited as described in SECTION III — LIMITS OF INSURANCE:

2)

retention".

But:

and

Our right to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements

under this coverage.

No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under SUPPLEMENTARY b.

This insurance applies to " bodily injury by accident" or" bodily injury by disease" only if: 1)

00 GL1003

PAYMENTS.

35 05 23

The: Includes

copyrighted

material

of

Insurance Services Office, Inc., with its permission2023

Arch

Insurance

Group

Inc.

Page 1 of 14


Bodily injury by accident" or" bodily injury by disease" takes place in the coverage territory";

a)

"

b)

"

Bodily injury by accident" or" bodily injury by disease" arises out of and in the course of the injured " employee' s" employment by you; and

c)

"

Employee", at the time of the injury, was covered under a worker' s compensation policy and subject to a" workers compensation law" of North

Dakota; and

2)

The:

a)

"

Bodily injury by accident" is caused by an accident that occurs during the policy period; or

b)

"

Bodily injury by disease" is caused by or aggravated

by conditions

of

employment by you, and the injured" employee' s" last day of last exposure to the conditions causing or aggravating occurs during the policy period. C.

such " bodily injury by disease"

The damages we will pay, where recovery is permitted by law, include damages: 1)

For:

a)

Which you are liable to a third party by reason of a claim or" suit" against

you by that third party to recover the damages claimed against such third party as a result of injury to your" employee"; b)

Care and loss of services; and

c)

Consequential " bodily injury by accident" or" bodily injury by disease" to a spouse, child, parent, brother or sister of the injured " employee";

provided that these damages are the direct consequence of " bodily injury by accident" or" bodily injury by disease" that arises out of and in the course of the injured" employee' s" employment by you; and 2)

Because of " bodily injury by accident" or " bodily injury by disease" to your employee"

that arises out of and in the course of employment,

claimed

against

you in a capacity other than as employer. 2.

Exclusions

This insurance does not apply to: a.

Intentional

Injury

Bodily injury by accident" or " bodily injury by disease" intentionally caused or aggravated by you, or" bodily injury by accident" or" bodily injury by disease' resu#ting from an act which is determined to have been committed by you if it was reasonable to believe that an injury is substantially b.

00 GL1003

certain to occur.

Fines Or Penalties

35 05 23

Includes

copyrighted

material of

Insurance Services Office, Inc., with its permission. 2023 Arch Insurance Group Inc.

Page

2 of 14


Any assessment, penalty, or fine levied by any regulatory inspection agency or authority.

C.

Statutory Obligations Any obligation of the insured under a workers' compensation, disability benefits or unemployment

d.

compensation

law or any similar law.

Contractual Liability Liability assumed by you under any contract or agreement.

e.

Violation Of Law

Bodily injury by accident" or " bodily injury by disease" suffered or caused by any

employee while employed in violation of law with your actual knowledge or the actual knowledge of any of your" executive officers". f.

Termination,

Damages

Coercion

arising

out

Or Discrimination

of

coercion,

criticism,

demotion,

evaluation,

reassignment,

discipline, defamation, harassment, humiliation, discrimination against or termination of any"

employee",

or arising out of other employment or personnel decisions concerning

the insured.

g.

Failure To Comply With " Workers Compensation Law" Bodily injury by accident" or" bodily injury by disease" to an " employee" when you are: 1)

Deprived of common law defenses; or

2)

Otherwise subject to penalty;

because of your failure to secure your obligations or other failure to comply with any

h.

workers

compensation

law".

Violation

Of Age Laws Or Employment

Of Minors

Bodily injury by accident" or " bodily injury by disease" suffered or caused

by any

person:

i.

1)

Knowingly

2)

Under the age of 14 years, regardless of any such law.

Federal

employed

by you in violation of any law as to age; or

Laws

Any premium, assessment, penalty, fine, benefit, liability or other obligation imposed by or granted pursuant to:

00 GL1003

35 05 23

1)

The Federal Employer' s Liability Act ( 45 USC Section 51- 60);

2)

The Non- appropriated

Includes

Fund Instrumentalities

copyrighted

material

Act ( 5 USC Sections 8171- 8173);

of

Insurance Services Office, Inc., with its permission. 2023

Arch Insurance

Group Inc.

Page

3 of 14


The Longshore and Harbor Workers' Compensation Act( 33 USC Sections 910-

3)

950);

4)

The Outer Continental Shelf Lands Act( 43 USC Section 1331- 1356);

5)

The Defense

6)

The Federal Coal Mine Health and Safety Act of 1969 ( 30 USC Sections 901-

Base Act ( 42 USC Sections

1651- 1654);

942);

The Migrant and Seasonal Agricultural Worker Protection Act( 29 USC Sections

7)

1801- 1872);

8)

Any other workers compensation, or any similar law; or

9)

Any subsequent

Punitive

j.

amendments

unemployment compensation or disability laws

to the laws listed above.

Damages

Multiple, exemplary or punitive damages. Crew Members

k.

Bodily injury by accident" or " bodily injury by disease" to a master or member of the crew of any vessel or any member of the flying crew of an aircraft. B.

For the purposes of this endorsement, provisions

under

SECTION

SUPPLEMENTARY 1.

I—

PAYEMENTS—

If the applicable "

Paragraph 1. of the SUPPLEMENTARY

PAYMENTS

COVERAGES is deleted in its entirety and replaced as follows

self- insured

Stop Gap— Employers retention"

is exhausted

Liability as described

in this endorsement,

we

will pay the reasonable" allocated loss adjustment expenses", pursuant to the Option selected G. below, that exceed such applicable " self- insured retention", provided Paragraph however, such " allocated loss adjustment expenses" are incurred by you and reported to us under

in accordance

with this endorsement.

These payments will not reduce the limits of insurance. C.

For the purposes provisions

under

of this endorsement, SECTION

I—

Paragraph

COVERAGES

will

2. of the SUPPLEMENTARY PAYMENTS to Stop Gap — Employers Liability

apply

Coverage and is amended to include the following:

We will have the right, but not the duty to defend, that insured' s indemnitee against a" suit" described in this Paragraph 2.

Such payments, as described in this Paragraph 2., are not subject to any self-insured retention" and will not reduce the limits of insurance. If we defend that insured' s indemnitee and pay for attorneys' fees and necessary litigation expenses, such defense and payments will end when: a.

We have used up the applicable limit of insurance in the payment of judgments or settlements; or

00 GL1003 35 05 23

Includes

copyrighted

material

of

Insurance Services Office, Inc., with its permission. 2023

Arch

Insurance

Group Inc.

Page 4 of 14


The conditions set forth above, or the terms of the agreement described in Paragraph

b.

f. above, are no longer met.

D.

of this endorsement,

For the purposes

SECTION

WHO IS AN INSURED,

II--

is deleted in its entirety

and replaced by the following: If you are designated in the Declarations as 1.

An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. insured.

Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business.

2.

A partnership

3.

A limited liability company, you are an insured. Your members are also insureds, but only with

or

joint

venture,

are

you

an

respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. 4.

An organization other than a partnership, joint venture or limited liability company, you are an insured. Your " executive officers" and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders.

No person or organization is an insured with respect to the conduct of any current or past partnership,

joint venture or limited liability company that is not shown as a Named Insured in the DeclarationsE.

For

the

purposes

of this

SECTION

endorsement,

III —

LIMITS

OF INSURANCE

is deleted

in its

entirety and replaced by the following: 1.

The Limits of Insurance shown in the Schedule apply over the applicable " self- insured retention".

2.

The Limits of Insurance shown in the Schedule of this endorsement

and the rules below fix

the most we will pay regardless of the number of:

2.

a.

Insureds:

b.

Claims made or" suits" brought, or

C.

Persons or organizations

The "

Bodily

injury

By

making claims or bringing" suits". Each

Accident' —

Accident

Limit

shown

in

the

Schedule

of

this

endorsement is the most we will pay for all damages covered by this insurance because of bodily injury by accident" to one or more " employees" 3.

The"

Bodily Injury By Disease"—

Aggregate

in any one accident.

Limit shown

in the Schedule

of this endorsement

is the most we will pay for all damages covered by this insurance and arising out of" bodily injury by

disease",

regardless of the number of " employees" who sustain " bodily injury by

disease".

4.

00 GL1003

Bodily Injury By Disease" — Each Employee" Limit shown in the Schedule of this endorsement is the most we will pay for all damages because of" bodily injury by disease" to any one" employee Subject

35 05 23

to

Paragraph

E. 3.

of

this

Includes

endorsement,

copyrighted

the "

material

of

Insurance Services Office, Inc., with its permission. 2023

Arch

Insurance

Group

Inc.

Page 5 of 14


The limits of the coverage apply to the policy period set forth in the Declarations or any endorsements thereto.

F.

The following

Section is added:

SELF- INSURED

1.

RETENTIONS

The" self- insured retention" will be reduced or exhausted only by your actual payment of: a.

Any damages to which this insurance applies; and

b.

Any " allocated Paragraph

lost

adjustment

expenses"

pursuant to the Option selected under

G. below.

This " self- insured retention" cannot be satisfied by the payment of any other self- insured retention or deductible as required by any other insurance issued by us or by any other insurer. The " self- insured retention"

under this policy cannot be satisfied

by any insurance

coverage

The " self- insured retention" may not be reduced or exhausted by any setoff payment made by a third- party to the insured. whatsoever.

We have no Obligation or liability to pay sums or perform acts or services under this policy until the full amount of the applicable " self- insured retention" 2.

has been paid by you.

Bodily Injury by Accident " self- insured retention", shown in the Schedule, applies to the sum of all damages and" allocated loss adjustment expenses", if applicable, because of" bodily injury by accident" to one or more " employees" in any one accident, regardless of the number The

of insureds and regardless of the number of persons or organizations who sustain damage because

3.

The

of that accident.

Bodily Injury by Disease "

self- insured

retention",

shown

in the

Schedule,

applies

to the

sum of all damages and" allocated loss adjustment expenses", if applicable, because of" bodily injury by disease" to any one" employee 4.

If a Self- Insured Retention Aggregate is indicated in the Schedule above, we will pay, subject to the applicable

a.

limits

of insurance

in Section

III — Limits Of Insurance:

Those sums that the insured becomes legally obligated to pay as damages under Stop Gap— Employers

b.

described

Any " allocated Paragraph

without reduction

Liability Coverage;

loss adjustment

and

expenses" pursuant to the Option selected under

G. below;

by the" self- insured

retention",

if the sum of all " self- insured retentions"

paid

by you in a policy year exceeds the Self- Insured Retention Aggregate Amount shown in the Schedule

above.

The Self- Insured Retention Aggregate Amount applies separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be

deemed part of the last preceding period for purposes of determining the Self-Insured Retention

00 GL1003

Aggregate

Amount.

35 05 23

Includes

Insurance

copyrighted

material

of

Services Office, Inc., with its permission. 2023 Arch Insurance Group Inc.

Page

6 of 14


5.

If we pay all or any part of any" self- insured retention", you must promptly reimburse us for our payment of any such amount, upon notification of payment by us. If you fail to reimburse us

when such payment is due, we may, if permitted by law, cancel this policy by mailing or delivering to you advance written notice in accordance with the Cancellation Common Policy Condition.

Any resulting return premium may be applied to the reimbursement of amounts

due us. G.

ALLOCATED LOSS ADJUSTMENT EXPENSES

You must pay" Allocated Loss Adjustment Expenses" as indicated by an " X" below: 1.

Option

I—

Allocated

Loss

Adjustment

Expenses

Are

Included

In The

Self- Insured

Retention.

You must pay all " allocated loss adjustment expenses" within the applicable " self- insured retention"

that

incurred

are

for any

claim

or "

However, your combined total of all

suit".

payments for such " allocated loss adjustment expenses" and damages shall not exceed the applicable " self- insured retention".

2.

Option

II — Allocated

Loss Adjustment

Expenses

Are Payable

In Addition

To The Self-

Insured Retention On A Shared Basis.

a.

You must pay all " allocated insured

retention"

expenses b.

that

are

loss adjustment incurred

until the" conclusion

for any of the claim".

expenses" within the applicable " selfor " suit". You must pay all such

claim

We will reimburse you for our proportional share of the " allocated loss adjustment expenses" described in Paragraph a. above after the" conclusion of the claim" only if: 1)

You have paid all damages that are within the applicable" self- insured retention'; and

2)

We pay, or are liable to pay, damages that exceed the applicable " self-insured retention".

Our proportional share of" allocated loss adjustment expenses" is equal to: a)

The " allocated loss adjustment expenses" multiplied by

b)

The ratio of:

i)

The covered damages for the claim or" suit" that exceed the" self- insured retention";

ii)

paid by you for the claim or " suit';

to

The total amount of covered damages we paid or are liable to pay, plus covered damages paid by you within the " self- insured retention" for the claim or" suit".

For

example,

if we

pay

80%

of the total

covered

damages

for the claim

or " suit"

described in Paragraph ( a) above, we will be responsible for reimbursing you for 80% of the" allocated loss adjustment expenses" incurred by you for such claim or" suit".

00 GL1003

35 05 23

Includes

copyrighted

material

of

Insurance Services Office, Inc„ with its permission. 2023 Arch Insurance Group Inc.

Page 7 of 14


C.

If we pay no damages for such claim or " suit', we will not reimburse you for any allocated loss adjustment expenses" for that claim or" suit".

ll 3.

III— Allocated

Option

Loss Adjustment

Expenses Are Payable In Addition To The Self-

Insured Retention" And Are Your Full Responsibility. You must pay all " allocated loss adjustment expenses" that are incurred for any claim or" suit" seeking damages for " bodily injury by accident" or " bodily injury by disease" to which this

insurance applies, and such payment will not reduce the applicable " self- insured retention". Your payment for " allocated loss adjustment expenses" may exceed the applicable " selfinsured retention",

Your obligation to pay " allocated loss adjustment expenses" applies separately to any one accident in the Self- Insured Retention Schedule. or any one " employee" as shown Any " allocated loss adjustment expenses" for which we reimburse you are in addition to the Limit of Insurance, and are in excess of the " self- insured retention", and payable according to the Option selected above. If no option is indicated by an X above, then Option I shall be deemed to apply. H.

For the purposes of this endorsement, under SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit is deleted

in its entirety and replaced by the following: 2.

Duties In The Event Of Injury, Claim Or Suit In the event of any"

bodily injury by accident", " bodily injury by disease", claim or" suit" which

have or may result in payments applicable

a.

within

an applicable " self- insured

retention"

amount

or an

Limits of Insurance:

You must notify us in writing as soon as practicable but not later than 30 days after you receive

notice

of any"

bodily injury by accident", ` bodily injury by disease", claim or" suit"

involving: 1)

A fatality;

2)

Dismemberment

3)

Paraplegia or quadriplegia;

4)

Loss or impairment

5)

Any" bodily injury by accident", " bodily injury by disease",

or amputation;

of eyesight or hearing; claim or" suit" in which

your reasonable judgment, taking into account past or anticipated" allocated loss adjustment

or

00 GL1003

35 05 23

in connection with

expenses"

injury by disease",

claim or"

suit",

injury by accident", " bodily may result in payments equal to or exceeding the " bodily

of the applicable " self- insured retention";

6)

Brain injury;

7)

Burn,

8)

Any claim in which a " suit" has been filed;

9)

Any class action " suit"; Includes

copyrighted

material

of

Insurance Services Office, Inc., with its permission. 0 2023 Arch Insurance Group Inc.

Page 8 of 14


10)

Any " bodily injury by accident", " bodily injury by disease", claim or" suit" in which there is an allegation of continuous or repeated exposure causing " bodily injury by accident" or" bodily injury by disease";

11)

Any claim or" suit" seeking punitive or exemplary damages, even if this insurance does not apply to such damages;

12)

Any claim or" suit" alleging that we, you or your ` third- party administrator" have been involved

in any unfair or bad- faith claim handling or claim settlement

acts

or practices, or other conduct that may give rise to extra- contractual liability; or 13)

Other: .

To the extent possible, notice should include the information listed in subparagraph b.( 1)

h.

On

through

b.( 4) below.

basis, you or your " third- party administrator' must provide us with a written

summary of all " bodily injury by accident" and " bodily injury by disease" which have or may

result

in payments

within

the

applicable " self- insured

retention

To

the

extent

possible, notice should include: 1)

How, when and where the" bodily injury by accident" or" bodily injury by disease" took place;

2)

The names and addresses of any injured persons and witnesses;

3)

The nature and location of any injury; and

4)

The amount paid or set aside as a reserve, including " allocated loss adjustment expenses",

for the " bodily

injury by accident", " bodily injury by disease

claim or

suit

We reserve the right to audit and review the claim handling by you, any insured, or the s

third- party administrator' all other

C.

reasonable

at any time, and to verify that procedures, documentation and

requirements

are met.

If a claim is made or" suit" is brought against any insured, you must: 1)

Immediately record the specifics of the claim or"' suit" and the date received; and

2)

Notify us or your" third- party administrator"

as soon as practicable.

You must see to it that we or your " third- party administrator' receive written notice of the claim or" suit" as soon as practicable. d.

You and any other involved insured mush 1)

Immediately send us copies of any demands, notices, summonses or legal papers received and any other supporting documentation we or your" third- party administrator" may require in connection with the injury, claim or" suit" involving

or likely to involve a sum in excess of any applicable" self- insured retention"; 2)

Authorize

us or your " third- party administrator"

to obtain records

and other

information; 00 GLf 003 35 05 23

Includes

copyrighted

material

of

Insurance Services Office, Inc., with its permission. @ 2023

Arch

Insurance

Group

Inc.

Page

9 of 14


Cooperate with us and assist us if we exercise our right to defense or participate

3)

in the investigation,

4)

defense or settlement

as described

in this endorsement;

Assist us, upon our request, in the enforcement of any right against any person

or organization which may be liable to the insured because of injury to which this insurance or the applicable" self- insured retention" may also apply; and 5)

o nothing after an injury occurs that would interfere with our right to recover from others.

We shall only be responsible for damages covered under the policy up to the Limits of

e.

Insurance in excess of the applicable" self- insured retention", whether or not such" selfinsured retention" is recoverable or collectable.

1.

For

the

purposes

of

this

SECTION

endorsement,

IV —

COMMERCIAL

GENERAL

LIABILITY

CONDITIONS is amended to include the following: INVESTIGATION*

a.

DEFENSE

AND SETTLEMENT

OF CLAIMS

OR " SUITS"

You have the right and duty to defend any insured against any " suit" seeking damages to which this insurance applies, to investigate any" bodily injury by accident" or" bodily injury by disease"

and settle any claim or " suit" that may result. Such right and duty to investigate, defend and settle ends at the earliest of the following times:

1)

On the date we provide written notice to you that we are exercising our discretionary right to assume control of the defense, investigation or settlement of any claim or" suit";

2)

On the date of the" conclusion of the claim';

3)

On the date the duty to defend, investigate or settle is assumed by another insurer or any other person or organization;

or

On the date when we have used up the applicable limit of insurance with the payment

4)

of judgments or settlements. You will not, except at your own cost or expense, make or accept any agreement or settlement,

or agree to any judgment, or incur any ` allocated loss adjustment expenses", which in whole, or

in

part, exceed

the applicable " self- insured

without

retention"

our

prior

written

If

consent.

you fail to comply with this condition and settle a claim or " suit", or incur any " allocated loss adjustment expenses", for an amount in excess of the" self- insured retention" without our prior written consent, then no damages or" allocated loss adjustment expenses" will be payable by us under

b.

this

insurance

with

respect

to such

claim

or" suit".

With respect to your investigation, defense or settlement obligations described in Paragraph a. above, you have the duty to contract with a " third- party administrator" to perform such investigation,

defense

and

settlement

activities

on

your

behalf.

Such " third- party

administrator" must be approved by us in writing prior to the beginning of the Policy Period shown in the Declarations. If you request that we waive this requirement, we will require proof of your ability, or the ability of" outside counsel", to competently investigate, defend and settle claims and " suits" for covered damages to which this insurance applies. If we agree that you have such ability

or

you may

use

such " outside

counsel",

we reserve

the right to review

and

approve the fee schedule or structure used by you or charged by such " outside counsel".

00 GL1003

35 05 23

Includes

copyrighted material

of

Insurance Services Office, Inc., with its permission. 0 2023 Arch Insurance

Group

Inc.

Page 10 of 14


If you fail to comply with the duties described in Paragraphs a. or b. above, then with respect to any claim or" suit", any" allocated loss adjustment expenses" incurred for a claim or" suit" for damages to which this insurance applies will not reduce the applicable " self- insured retention", and you will be

responsible to pay such" allocated loss adjustment expenses" without any reimbursement of, or other payment for, such expenses from us. C.

Upon our written notice to you, we have the right to assume control of the investigation, defense or settlement of claims or" suits"( including our selection and termination of attorneys). Upon our written request:

You and any other insured must cooperate with us in all aspects of such investigation,

1)

defense, and settlement

activities.

You must tender such portion of the applicable" self-insured retention" as we may deem

2)

necessary to complete the investigation, defense or settlement of any claim or" suit" as to which we exercise our discretionary rights in this Paragraph c.

You or your " outside counsel" may, at your own expense, associate with us in the

3)

investigation,

defense

or

settlement

of any such

claim

or "

You and any other

suit".

insured must assist us and cooperate with us in all aspects of the investigation, defense and

settlement.

When we exercise our rights under this Paragraph c., our right to defend will end when we

have paid or tendered our available applicable limit( s) of insurance for the judgment or settlement,

have

or

paid

or

deposited

such

limit( s)

with

you

or

into

the

court.

When

our

defense or investigation right ends under this Paragraph c., you have the duty to assume the investigation,

defense

or

settlement

of the

claim or"

suit".

Should we not exercise

our right to

assume control of the investigation, defense or settlement of a claim or " suit", we have the

right to associate with you in the investigation, defense or settlement of any claim or" suit" at our own expense.

d.

You will not make any agreement or settlement which relieves you of further liability while

creating or transferring a right of action by any third party against us. If you fail to comply with the provisions of this paragraph, insurance provided under this policy will be void with respect to you and any such insured, and we will have no duty or obligation to you or any such insured with respect to such claim or" suit".

e.

Both we and you have the right, but not the duty, to appeal an award or judgment that exceeds You must notify us immediately of any insured' s decision to appeal

the" self- insured retention". or

not appeal

an

award

or

judgment that exceeds

the applicable"

self- insured

If we

retention".

tender all or part of our applicable limit( s) of insurance to satisfy the portion of the award or judgment that exceeds the applicable" self- insured retention", you may still elect to appeal, but

our total liability for the claim or" suit" will be limited to that part or all of our applicable limit( s) which we tendered plus all " allocated loss adjustment expenses" already incurred by us subject to any right of reimbursement), and we will have no further duty or obligation with respect

f.

to such

claim

or" suit".

The insured seeking coverage under this policy must comply with duties described

endorsement as a condition precedent to coverage under this insurance.

in this

If the insured does

not comply with such duties, the insurance provided by this policy for which that insured is seeking coverage is void, unless we waive our rights to exercise this provision in writing. g.

Your bankruptcy, insolvency, inability to pay, failure to pay, or refusal to satisfy the applicable

self-insured retention" for any reason will not increase our obligations under this insurance. This

00 GL1003

policy

35 05 23

will not apply as a replacement Includes

for the " self- insured

copyrighted

material

retention".

of

Insurance Services Office, Inc., with its permission. Q 2023 Arch

Insurance

Group

Inc.

You will continue Page 11 of 14


to be responsible

for the full amount of the" self- insured retention"

before the limits of insurance

under this policy apply. In no case will we be required to pay all or part of the applicable " selfinsured retention".

J.

For the purposes

of this endorsement,

SECTION

under

V— DEFINITIONS,

Definition

4. is replaced

by the following: 4.

"

Coverage territory" means: a.

The

United

and

Canada;

States

of America (

including

its territories

and

Puerto

possessions),

Rico

b.

International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in a. above; or

C.

All other parts of the world if the injury or damage arises out of the activities of a person whose home is in the territory described in a. above, but who is away for a short time on your business;

provided the insured' s responsibility to pay damages is determined in the United States Puerto Rico, or Canada, in a suit on the merits including its territories and possessions), according K.

SECTION

1.

"

to the substantive

V— DEFINITIONS

law in such territory, or in a settlement we agree to-

is amended to include the following additional

definitions:

Workers Compensation Law" means the Workers Compensation Law and any Occupational Law of North Dakota. This does not include provisions of any law providing non-

Disease

occupational 2.

"

disability benefits.

Bodily injury by accident" means bodily injury, sickness or disease sustained by a person,

including death, resulting from an accident. A disease is not" bodily injury by accident" unless it results directly from " bodily injury by accident". 3.

"

Bodily injury by disease" means a disease sustained by a person, including death. " Bodily injury by disease" does not include a disease that results directly from an accident.

4.

"

Allocated Loss Adjustment Expenses"

a.

Means claim adjustment expenses that can be directly allocated by us to a specific claim or"

1)

2)

3)

"

suit".

Such expenses

Reasonable

but not be limited to:

fees" for legal services by " outside counsel";

Fees, costs or expenses for alternative

dispute resolution

proceedings;

Fees, costs or expenses for the hiring of undercover

operatives,

services,

4)

attorneys'

shall include,

experts

Fees, costs

detective

or consultants;

or expenses

for medical

expenses,

laboratory,

x- ray,

document

management

and

and

examination,

autopsy;

reproduction,

medical

cost containment

stenographic,

witness.

summons,

and

costs;

expenses

transcript

or

reasonably chargeable to the investigation, negotiation, settlement or defense of any claim or " suit" against you or any other insured, or for the protection and perfection of the insured' s or our subrogation rights. 00 GL1 003 35 05 23

Includes

copyrighted

material

of

Insurance Services Office, Inc., with its permission. 2023 Arch

Insurance

Group Inc.

Page 12 of 14


b.

Includes any of the following that can directly be allocated by us to a specific claim or suit":

1)

Up to $ 250 for cost of bail bonds required because of an accident or traffic law violations arising out of the use of any vehicle to which this insurance applies, but we d

2)

not have to furnish these bonds;

The cost of appeal bonds and bonds to release attachments

within the applicable

limit of insurance, but we do not have to furnish the bonds or provide security for such bonds; 3)

All reasonable expenses incurred by the insured at our request to assist us in the

investigation or defense of the claim or" suit", including actual loss of earnings up to$ 250 a day because of time off from work; 4)

All court costs taxed

against the insured

in the " suit".

However, these payments

do not include attorney' s fees or attorney' s expenses taxed against the insured; 5)

6)

Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer; and

All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court on the part of the judgment that is within the applicable limit of insurance.

C.

Does not include any of the following: 1)

Employee

salaries, general overhead

expenses,

or

administrator" Paragraph 2)

other

costs

or

or us,

other

than

expenses,

expenses

such

outside claim adjuster fees or by you, your " third- party

incurred

fees,

costs

or expenses

described

in

1. a. or 1. b. above.

Our general overhead or expenses we incur, the salary and benefits of any of nor the fees, costs or expenses for any attorney who is our employee" or under our permanent retainer; nor the fees of any attorney we

our " employees",

retain to provide counsel

to us about our obligations., if any, under any policy

issued by us with respect to a claim or" suit" against you. 5.

"

Conclusion of the claim" means the earliest of the following times: a.

The date the claim or " suit" is settled and paid as required by a written settlement agreement,

between

the

insured( s) and

the claimant(

s),

that we have approved,

to

which we are a party, or to which we consent in writing; or b.

The date of a final judgment or binding arbitration award for which: 1)

All appeals have been exhausted

2)

The final judgement for the " suit" is entered against the insured by a court administrator

3)

00 GL1003

35 05 23

or have expired;

or the final the arbitration

decision is rendered

by the arbitrator; or

The claim or" suit" is dismissed, withdrawn or terminated.

Includes

copyrighted

material

of

Insurance Services Office, Inc., with its permission. 2023 Arch Insurance Group Inc.

Page

13 of 14


B.

"

Outside counsel" means any attorney or law firm hired or engaged by you to investigate, or settle claims or " suits". " Outside counsel" includes national coordinating counsel.

defend

Outside

counsel"

does not include

any of your " employees"

or any attomey

or law firm

employed, hired or engaged by your" third- party administrator'. 7.

Reasonable attorneys' fees" means the usual amount of fees, costs or expenses that we have

"

been paying for legal services to attorneys retained in the ordinary course of our business for the defense of claims or" suits" in the community where the claim or" suit" is being defended. a.

"

Self- Insured Retention"

means the amount( s) shown in the Schedule

that shall be borne by

you and shall not be insured. 9.

"

Third- party administrator': a.

Means a licensed against "

suits",

establishes

claims- adjustment

investigates

reserves

organization

accidents

for damages

and

that administers claims, defends

injuries,

and " Allocated

settles

claims

Loss Adjustment

or "

suits"

Expenses"

and for

outstanding claims and" suits". b. L.

Does not include " outside

For the purposes of this endorsement,

counsel".

under

SECTION

V—

DEFINITIONS, the definition of" bodily

injury" does not apply. All other terms and conditions of this Policy remain unchanged.

Endorsement

Number:

This endorsement is effective on the inception date of this policy unless otherwise stated herein. The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Policy Number: ZAGLB9248704 Named

Insured:

Endorsement

00 GL1003

TAPAN

Effective

35 05 23

I,

Date:

INC. 1010112

0 2 5

Includes copyrighted

material

of

Insurance Services Office, Inc., with its permission. 2023

Arch

Insurance

Group

Inc.

Page 14 of 14


THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WYOMING -

STOP GAP -

EMPLOYERS

LIABILITY

COVERAGE

ENDORSEMENT -

SELF- INSURED RETENTION

INSURED DUTY TO DEFEND.) This endorsement

modifies insurance provided

COMMERCIAL

GENERAL

under the following:

LIABILITY COVERAGE

PART

SCHEDULE

Limits

By Accident:

$

Bodily Injury Bodily Injury By Disease:

$

Bodily Injury By Disease:

$

Of Insurance

Each Accident

1, 000, 000

Aggregate

1, 000. 000

Each

1, 000. 000

Limit

Employee

If no entry appears with respect to any of the limits shown above, then the limit will be deemed to be 1, 000, 000.

Self- Insured

Self- Insured

Retention

Retention

Bodily Injury By Accident:

NIA

Bodily Injury By Disease:

NIA

Applies

A.

The

if checked "

is added

COVERAGE—

STOP

1.

Each

Employee

Self- Insured

to Section

GAP—

Basis

Each Accident

NIA

X"

following

Self- Insured Retention

Amount

I—

Aggregate—

Fixed

Basis

Coverages:

EMPLOYERS

LIABILITY

Insuring Agreement a.

We will pay those sums, in excess of the " self- insured retention" that the insured

becomes legally obligated by Wyoming law to pay as damages because of " bodily injury by accident"

or " bodily injury by disease" to your " employee" to which this We will have the right, but not the duty, to defend the insured against any " suit" seeking those damages even if the total amount of such damages insurance

applies.

does

or

not

will

not

exceed

the " self- insured

We also have the right to

retention

investigate any accident or settle any claim or " suit' that may result even if the amount of such damages

1)

not or will not exceed

the" self- insured

retention

But:

The amount we will pay for damages is limited as described in SECTION III — LIMITS

2)

does

Our

OF

right

INSURANCE:

to defend

and

ends

when

we

have

used

up the

applicable

limit

of

insurance in the payment of judgments or settlements under this coverage. The tender of the limits of insurance before judgment or settlement does not relieve us of our duty to defend.

No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under SUPPLEMENTARY

00 GL1003

51 05 23

Includes

Insurance

copyrighted

material

PAYMENTS.

of

Services Office, Inc.. with its permission. 2023 Arch Insurance Group Inc.

Page

1 of 14


b.

This insurance applies to " bodily injury by accident" or ` bodily injury by disease" only if: 1)

The:

a)

"

Bodily injury by accident" or" bodily injury by disease" takes place in the coverage territory";

b)

"

Bodily injury by accident" or " bodily injury by disease" arises out of and in the course of the injured" employee' s" employment by you; and

c)

"

Employee",

at the time of the injury, was covered under a workers'

compensation policy and subject to a " workers' compensation law" of Wyoming; and 2)

The:

a)

"

Bodily injury by accident" is caused by an accident that occurs during the policy period; or

b)

"

Bodily injury by disease" is caused by or aggravated by conditions of employment

by

you

and

the

injured "

employee' s"

last

day

of

last

exposure to the conditions causing or aggravating such " bodily injury by disease" occurs during the policy period. C.

The damages we will pay, where recovery is permitted by law, include damages: 1)

For:

a)

Which you are liable to a third party by reason of a claim or" suit" against

you by that third party to recover the damages claimed against such third party as a result of injury to your" employee"; b)

Care and loss of services; and

c)

Consequential " bodily injury by accident" or" bodily injury by disease" to a spouse, child, parent, brother or sister of the injured " employee";

provided that these damages are the direct consequence of " bodily injury by accident" or" bodily injury by disease" that arises out of and in the course of the injured" employee' s" employment by you; and 2)

Because of " bodily injury by accident"

or " bodily injury by disease"

to your

employee" that arises out of and in the course of employment, claimed against you in a capacity other than as employer. d.

2.

Damages include prejudgment interest awarded against the insured.

Exclusions

This insurance does not apply to: a.

00 GL1003

51

Intentional Injury

05 23

Includes

copyrighted

material

of

Insurance Services Office, Inc., with its permission. 2023 Arch

Insurance

Group

Inc.

Page 2 of 14


disease"

intentionally caused or aggravated by you, or " bodily injury by accident" or" bodily injury by disease" resulting from an act which is determined to have been committed by you if it was reasonable Bodily

injury

by

accident"

or "

bodily

injury

by

to believe that an injury is substantially certain to occur. b.

Fines

Or Penalties

assessment,

Any

penalty

or fine

levied

by any

regulatory

inspection

agency

or

authority. C.

Statutory Obligations Any obligation of the insured under a workers' compensation, disability benefits or unemployment

d.

Contractual

compensation

law or any similar law.

Liability

Liability assumed by you under any contract or agreement. e.

Violation

Of Law

Bodily injury by accident" or " bodily injury by disease" suffered

or caused

by any

employee while employed in violation of law with your actual knowledge or the actual knowledge of any of your" executive officers". f.

Termination,

Coercion

Damages

arising

discipline,

defamation,

out

Or Discrimination of

coercion,

harassment,

criticism,

demotion,

humiliation,

evaluation,

discrimination

or arising out of other employment concerning the insured. of

g.

any " employee",

against

reassignment, or termination

or personnel

decisions

Failure To Comply With " Workers' Compensation Law" Bodily injury by accident" or " bodily injury by disease" to an " employee" when you are:

1)

Deprived

2)

Otherwise subject to penalty;

of common

law defenses;

or

because of your failure to secure your obligations or other failure to comply with any workers' compensation law".

h.

Violation Of Age Laws Or Employment Of Minors

Bodily injury by accident" or " bodily injury by disease" suffered or caused by any person-

i.

00 GL1003

1)

Knowingly employed by you in violation of any law as to age; or

2)

Under the age of 14 years, regardless of any such law.

Federal

51 0523

Laws

Includes

copyrighted

material

of

Insurance Services Office, Inc., with its permission. p 2023 Arch

Insurance

Group Inc.

Page

3 of 14


Any premium, assessment, penalty, fine, benefit, liability or other obligation imposed by or granted pursuant to: 1)

The Federal Employer' s Liability Act ( 45 USC Section 51- 60);

2)

The Non- appropriated Fund Instrumentalities Act ( 5 USC Sections 8171- 8173);

3)

The Long shore and Harbor Workers' Compensation Act ( 33 USC Sections 910950);

4)

The Outer Continental

Shelf Lands Act ( 43 USC Section

5)

The Defense

6)

The Federal Coal Mine Health and Safety Act of 1969 ( 30 USC Sections 901-

Base Act( 42 USC Sections

1331- 1356);

1651- 1654);

942);

The Migrant

7)

1801-

Agricultural

Worker

Protection

8)

Any other workers' compensation, laws or any similar law; or

9)

Any subsequent amendments to the laws listed above.

Punitive

j.

and Seasonal

Act ( 29 USC Sections

1872);

unemployment compensation or disability

Damages

Multiple, exemplary or punitive damages. k.

Crew

Members

Bodily injury by accident" or " bodily injury by disease" to a master or member of the crew of any vessel or any member of the flying crew of an aircraft. B.

For

the

of

purposes

provisions

SUPPLEMENTARY

1.

this

SECTION

under

Paragraph

endorsement, I—

PAYEMENTS—

pay

the

of the

SUPPLEMENTARY

PAYMENTS

COVERAGES is deleted in its entirety and replaced as follows: Stop Gap— Employers Liability

If the applicable " self- insured retention" will

1.

allocated

reasonable "

selected under Paragraph

is exhausted

loss

as described

adjustment

in this endorsement,

pursuant

expenses",

we

to the Option

G. below, that exceed such applicable " self- insured retention",

provided

however, such " allocated

reported

to us in accordance

with

loss adjustment

expenses"

are incurred

by you and

this endorsement.

These payments will not reduce the limits of insurance. C.

For the purposes of this endorsement, Paragraph 2. of the SUPPLEMENTARY PAYMENTS provisions

under

SECTION

I—

COVERAGES

will

apply

to

Stop

Gap — Employers

Liability

Coverage and is amended to include the following: We will have the right, but not the duty to defend, that insured' s indemnitee described

00 GL1003

51

in this Paragraph

against a " suit"

2.

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Arch Insurance

Group Inc.

Page 4 of 14


Such payments,

described

in this Paragraph

2.,

are not subject to any " self- insured retention" and will not reduce the limits of insurance. If we defend that insured' s indemnitee and pay for attorneys' fees and necessary litigation expenses, such defense and payments will end when: a.

as

We have used settlements;

b.

up the applicable

limit of insurance

in the payment

of judgments

or

in Paragraph

f.

or

The conditions

set forth

above,

or the terms

of the agreement

described

above, are no longer met.

D.

For

the

of this

purposes

SECTION

endorsement,

WHO IS AN INSURED, is replaced by the

II —

following: Section II— Who Is An Insured

If you are designated in the Declarations as: Z.

An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner.

2.

A partnership or joint venture, you are an insured. Your members, your partners, and their

spouses are also insureds, but only with respect to the conduct of your business. 3.

A limited with

liability company,

respect

you

to the conduct

are

insured.

an

of your

Your members are also insureds, but only

business.

Your managers

are insureds,

but only with

respect to their duties as your managers. 4.

An organization other than a partnership, joint venture or limited liability company, you are an insured. Your executive officers" and directors are insureds, but only with respect to their duties

as

your

officers

directors.

or

Your stockholders

are also insureds,

but only with

respect to their liability as stockholders. No person

or organization

is an

insured

with

respect

to the

conduct

of any current

or past

partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations.

E.

For

the

purposes

of this

Section

endorsement,

III —

Limits Of Insurance

is replaced by the

following: Section III— Limits Of Insurance 1.

The Limits of Insurance shown in the Schedule apply over the applicable " self-insured retention".

2.

The Limits Of Insurance

shown

in the Schedule

of this endorsement

and the rules below fix

the most we will pay regardless of the number of:

00 GL1003

a.

Insureds;

b.

Claims made or" suits" brought, or

C.

Persons or organizations

51 05 23

making claims or bringing " suits".

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of

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Page

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3.

The "

Bodily injury By

Each

Accident" —

Accident

Limit

shown

in

the

Schedule

of this

endorsement is the most we will pay for all damages covered by this insurance because of bodily injury by accident" to one or more" employees" in any one accident. 4.

The"

Bodily Injury By Disease'—

Aggregate

Limit shown

in the Schedule

of this endorsement

is the most we will pay for all damages covered by this insurance and arising out of" bodily injury by

disease",

regardless of the number of " employees" who sustain " bodily injury by

disease".

5.

Subject

to

Paragraph

E. 3.

of this

endorsement,

the "

Bodily

Injury

By Disease" —

Each

Employee" Limit shown in the Schedule of this endorsement is the most we will pay for all damages Because of" bodily injury by disease" to any one" employee".

The limits of the coverage apply to the policy period set forth in the Declarations or any endorsements

F.

thereto.

The following Section is added: SELF- INSURED RETENTIONS 1.

The" self- insured retention" will be reduced or exhausted only by your actual payment of: a.

Any damages to which this insurance applies; and

b.

Any " allocated lost adjustment expenses" pursuant to the Option selected under Paragraph

G. below.

This " self- insured retention" cannot be satisfied by the payment of any other self- insured retention or deductible as required by any other insurance issued by us or by any other

The " self-insured retention" under this policy cannot be satisfied by any insurance

insurer.

coverage whatsoever. The" self-insured retention" may not be reduced or exhausted by any setoff payment made by a third- party to the insured. We have no obligation or liability to pay sums or perform acts or services under this policy until the full amount of the applicable" self- insured retention" has been paid by you. 2.

The

Bodily Injury by Accident " self- insured

retention",

shown in the Schedule,

sum

of all damages

loss

adjustment

expenses",

and " allocated

if applicable,

applies to the because

of

bodily injury by accident" to one or more " employees" in any one accident, regardless of the number of insureds and regardless of the number of persons or organizations who sustain damage because of that accident. 3.

The

Bodily Injury by Disease "

sum

of

all damages

and "

self- insured

retention",

loss

adjustment

allocated

shown in the Schedule, expenses",

applies to the

if applicable, because of

bodily injury by disease" to any one" employee". 4.

If a Self- Insured

Retention

Aggregate

subject to the applicable limits

a.

is indicated

of insurance

described

in the Schedule in Section

above,

we will pay,

III — Limits Of Insurance:

Those sums that the insured becomes legally obligated to pay as damages under Stop Gap— Employers Liability Coverage; and

b.

Any " allocated Paragraph

00 GL1003

51

05 23

loss

adjustment

expenses"

pursuant to the Option selected under

G. below;

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material

of

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Page

6 of 14


without

by the " self- insured

reduction

retention",

if the

sum

of all " self- insured

retentions'

paid by you in a policy year exceeds the Self- Insured Retention Aggregate Amount shown in the Schedule above.

The Self-Insured Retention Aggregate Amount applies separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is In that case, the extended after issuance for an additional period of less than 12 months.

additional period will be deemed part of the last preceding period for purposes of determining the Self-Insured Retention Aggregate Amount. If we pay all or any part of any " self- insured retention", you must promptly reimburse us for our payment of any such amount, upon notification of payment by us. If you fail to reimburse us when such payment is due, we may, if permitted by law, cancel this policy by mailing or

5.

delivering to you advance written notice in accordance with the Cancellation Common Policy Condition. Any resulting return premium may be applied to the reimbursement

of amounts

due us.

G.

ALLOCATED

LOSS ADJUSTMENT

EXPENSES

You must pay" Allocated Loss Adjustment Expenses" as indicated by an " X' below: 1.

Option

I—

Allocated

Loss

Adjustment

Expenses

Are

Included

In The

Self- Insured

Retention.

You must pay all " allocated loss adjustment expenses" within the applicable " self-insured retention"

that

are

incurred

for any

claim

or "

However, your combined total of all

suit".

payments for such " allocated loss adjustment expenses' and damages shall not exceed the applicable"

2.

self- insured retention".

Option II -- Allocated

Loss Adjustment

Expenses

Are Payable

In Addition

To The Self-

Insured Retention On A Shared Basis.

a.

You must pay all " allocated loss adjustment expenses' within the applicable " selfinsured

b.

that

retention"

expenses

for any of the claim".

incurred

are

until the " conclusion

or " suit".

claim

You must pay all such

We will reimburse you for our proportional share of the " allocated loss adjustment expenses" described 1)

You

have

retention

2)

in Paragraph

paid

all

a. above after the" conclusion

damages

that

are

within

the

of the claim" only if: self- insured

applicable "

and

We pay, or are liable to pay, damages that exceed the applicable " self- insured retention".

Our proportional share of" allocated loss adjustment expenses' is equal to: a)

The " allocated loss adjustment expenses" paid by you for the claim or " suit'; multiplied by

b)

The ratio of: 1)

The covered damages for the claim or" suit" that exceed the " self- insured retention";

00 GL1003

51

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to

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material

of

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Arch

Insurance

Group Inc.

Page

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The total amount of covered damages we paid or are liable to pay, plus

ii)

covered damages paid by you within the " self- insured retention" for the

For

claim

or" suit".

if

pay

example,

we

of the total covered damages for the claim or " suit"

80%

described in Paragraph ( a) above, we will be responsible for reimbursing you for 80% of the" allocated loss adjustment expenses" incurred by you for such claim or" suit". C.

133.

pay no damages for such claim or " suit", we will not allocated loss adjustment expenses" for that claim or" suit".

reimburse you for any

If we

Option III — Allocated

Loss Adjustment

Expenses

Are Payable

In Addition

To The Self-

Insured Retention" And Are Your Full Responsibility. You must pay all " allocated loss adjustment expenses" that are incurred for any claim or

suit" seeking damages for " bodily injury by accident" or " bodily injury by disease" to which this

insurance

retention".

applies,

Your

and

such

payment

will

payment

for " allocated

loss

not

the

reduce

adjustment

self- insured

applicable "

may

expenses"

exceed

the

applicable" self- insured retention".

Your obligation to pay " allocated loss adjustment expenses" applies separately to any one accident or

any

one " employee"

as

shown

in

Retention

Self- Insured

the

Schedule.

Any " allocated

loss

adjustment expenses" for which we reimburse you are in addition to the Limit of Insurance, and are in excess of the " self-insured retention", and payable according to the Option selected above. If no option is indicated by an X above, then Option I shall be deemed to apply. H.

For the purposes

CONDITIONS,

of this endorsement,

Condition

2. Duties

under SECTION IV— COMMERCIAL GENERAL LIABILITY In The Event Of Occurrence, Offense, Claim Or Suit is

deleted in its entirety and replaced by the following: 2.

Duties In The Event Of Injury, Claim Or Suit

bodily injury by disease", claim or" suit" which have or may result in payments within an applicable " self-insured retention" amount or an In the event of any " bodily injury by accident", " applicable

a.

Limits of Insurance:

You must notify us in writing as soon as practicable but not later than 30 days after you receive notice of any " bodily injury by accident", " bodily injury by disease", claim or" suit" involving: 1)

A fatality;

2)

Dismemberment

3)

Paraplegia

4)

Loss or impairment of eyesight or hearing;

t5)

Any " bodily injury by

or amputation;

or quadriplegia;

accident", "

which your reasonable

bodily injury by

judgment,

taking

disease",

claim

of " suit" in

into account past or anticipated

allocated loss adjustment expenses" in connection with the " bodily injury by accident", " bodily injury by disease", claim or " suit", may result in payments

equal to or exceeding or of the applicable" self-insured retention"; 00 GL1003

51 05 23

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of

Insurance Services Office, Inc., with its permission. 2023 Arch

Insurance

Group

Inc.

Page

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6)

Brain injury;

7)

Burn;

8)

Any claim in which a " suit" has been filed;

9)

Any class action" suit";

10)

Any " bodily injury by accident", " bodily injury by disease", claim or " suit" in which there is an allegation of continuous or repeated exposure causing " bodily injury by accident" or" bodily injury by disease";

11)

Any

claim

or "

suit"

seeking punitive or exemplary damages, even if this

insurance does not apply to such damages; 12)

Any claim or " suit" alleging that we, you or your " third- party administrator" have been involved in any unfair or bad- faith claim handling or claim settlement acts or practices, or other conduct that may give rise to extra- contractual liability; or

13) Other: .

To the extent possible, notice should include the information listed in subparagraph b.( 1)

b.

through

b.( 4) below.

On

basis, you or your " third- party administrator" must provide us with a written summary of all " bodily injury by accident" and " bodily injury by disease" which have or in

may result

payments

within

the

applicable "

self- insured

retention".

To the extent

possible, notice should include: 1)

How, when and where the " bodily injury by accident" or " bodily injury by disease" took place;

2)

The names and addresses of any injured persons and witnesses;

3)

The nature and location of any injury; and

4)

The amount paid or set aside as a reserve, including " allocated loss adjustment expenses",

for the " bodily

injury by accident", " bodily injury by disease", claim or

suit".

We reserve the right to audit and review the claim handling by you, any insured, or the third- party administrator" at any time, and to verify that procedures, documentation and

C.

all other

reasonable

requirements

are met.

if a claim is made or" suit" is brought against any insured, you must: 1)

Immediately

record the specifics of the claim or " suit" and the date received;

and 2)

Notify us or your" third- party administrator" as soon as practicable.

You must see to it that we or your " third- party administrator" receive written notice of the claim or" suit" as soon as practicable. d.

You and any other involved insured must:

00 GL1003 51 05 23

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Insurance Services Office, Inc., with its permission. 2023 Arch

Insurance

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Inc.

Page

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1)

Immediately send us copies of any demands, notices, summonses or legal papers received and any other supporting documentation we or your " thirdparty administrator' may require in connection with the injury, claim or " suit" involving or likely to involve a sum in excess of any applicable " self- insured retention";

2)

Authorize

us or your " third- party administrator"

to obtain

records and other

information;

3)

Cooperate

with

participate

in the investigation,

us

and

assist

us if we

exercise

our right

defense or settlement

to defense

as described

or

in this

endorsement;

4)

Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury to which this insurance or the applicable " self- insured retention" may also apply; and

5)

o nothing after an injury occurs that would interfere with our right to recover from others.

We shall only be responsible for damages covered under the policy up to the Limits of

e.

Insurance

in

self- insured

I.

For

the

purposes

of this

of

excess

retention"

the

applicable "

is recoverable

SECTION

endorsement,

self- insured

whether

or not such

GENERAL

LIABILITY

retention",

or collectable.

IV —

COMMERCIAL

CONDITIONS is amended to include the following: INVESTIGATION,

a.

DEFENSE

AND SETTLEMENT

OF CLAIMS

OR " SUITS"

You have the right and duty to defend any insured against any " suit" seeking damages to which this insurance applies, to investigate any " bodily injury by accident" or " bodily injury by

disease" and settle any claim or " suit" that may result. Such right and duty to investigate, defend and settle ends at the earliest of the following times:

On the date we provide written notice to you that we are exercising our discretionary

1)

right to assume

control

of the defense,

investigation

or settlement

of any claim or

suit

On the date of the " conclusion of the claim";

2)

On the date the duty to defend, investigate or settle is assumed by another insurer or

3)

any other person or organization; or

On the date when we have used up the applicable limit of insurance with the payment of judgments or settlements.

4)

You will not, except at your own cost or expense, make or accept any agreement or settlement, or agree to any judgment, or incur any " allocated loss adjustment expenses", which in whole, or in part, exceed the applicable " self- insured retention" without our prior written

any "

consent.

allocated

If you loss

fail to comply

adjustment

with

this condition

expenses",

for

an

and

amount

settle

in

a

claim

excess

or " suit",

or incur

of the " self- insured

retention" without our prior written consent, then no damages or " allocated loss adjustment

expenses" will be payable by us under this insurance with respect to such claim or` suit"— b.

00 GL1003

With respect to your investigation, defense or settlement obligations described in Paragraph a. above, you have the duty to contract with a " third- party administrator' to perform such 51

05 23

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investigation,

defense

and

behalf.

Such "

third- party administrator" must be approved by us in writing prior to the beginning of the Policy Period proof of your ability, and

settle

activities

on

your

If you request that we waive this requirement, we will require

in the ) declarations.

shown

settlement

to competently investigate, defend ability of " outside counsel", If we and " suits" for covered damages to which this insurance applies.

claims

the

or

agree that you have such ability or you may use such " outside counsel", we reserve the right

to review and approve the fee schedule or structure used by you or charged by such outside

counsel".

If you fail to comply with the duties described in Paragraphs a. or b. above, then with respect to any or" suit", any " allocated loss adjustment expenses" incurred for a claim or " suit" for damages

claim

to which

this insurance

applies

will

not reduce the applicable "

self- insured

retention",

and you will

be responsible to pay such " allocated loss adjustment expenses" without any reimbursement of, or other payment for, such expenses from us. C.

Upon our written notice to you, we have the right to assume control of the investigation of accidents or injuries, and the investigation,

including our selection 1)

and termination

defense or settlement of claims or " suits"

of attomeys).

Upon

our written

request:

You and any other insured must cooperate with us in all aspects of such investigation, defense, and settlement activities.

2)

You must tender such portion of the applicable " self-insured retention" as we may deem necessary to complete the investigation, defense or settlement of any claim or suit" as to which we exercise our discretionary rights in this Paragraph c.

3)

You or your " outside counsel" may, at your own expense, investigation,

insured

defense

or

settlement

must assist us and

of any such

cooperate

claim

associate with us in the You and any other

or " suit".

with us in all aspects

of the investigation,

defense and settlement. When

we exercise

our rights

have paid or tendered

under this Paragraph

our available

applicable

c., our right to defend

limit( s) of insurance

will end when we

for the judgment

or

paid or deposited such limit( s) with you or into the court. When our defense or investigation right ends under this Paragraph c., you have the duty to assume the settlement,

or

investigation,

have

defense

or

settlement

of the claim or" suit".

Should we not exercise our right to

assume control of the investigation, defense or settlement of a claim or " suit", we have the

right to associate with you in the investigation, defense or settlement of any claim or" suit" at our own expense.

d.

You will not make any agreement or settlement which relieves you of further liability while creating or transferring a right of action by any third party against us. If you fail to comply with the provisions of this paragraph, insurance provided under this policy will be void with respect to you and any such insured, and we will have no duty or obligation to you or any such insured with respect to such claim or" suit".

e.

Both we and you have the right, but not the duty, to appeal an award or judgment that exceeds

the "

self- insured

retention".

You must notify us immediately of any insured' s

decision to appeal or not appeal an award or judgment that exceeds the applicable " selfinsured retention". If we tender all or part of our applicable limit( s) of insurance to satisfy the of the award or judgment that exceeds the applicable " self- insured retention", you portion may still elect to appeal, but our total liability for the claim or " suit" will be limited to that part or all of our applicable limit( s) which we tendered plus all " allocated loss adjustment

expenses" already incurred by us ( subject to any right of reimbursement), and we will have no further duty or obligation with respect to such claim or" suit". 00 GL1003

51

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f.

The insured seeking coverage under this policy must comply with duties described

in this

endorsement as a condition precedent to coverage under this insurance. If the insured does not comply with such duties, the insurance provided by this policy for which that insured is seeking coverage is void, unless we waive our rights to exercise this provision in writing. Your

bankruptcy, insolvency, inability to pay, failure to pay, or refusal to satisfy the applicable ' self- insured retention" for any reason will not increase our obligations under this

g.

insurance.

This

will continue limits

will

policy

not apply

to be responsible

of insurance

under

as a

this policy

apply. the applicable " self- insured retention". J.

For the purposes

replacement

for the full amount

of this endorsement,

under

for

the " self- insured

of the " self- insured

You

retention

retention"

before

the

In no case will we be required to pay all or park of

SECTION

V— DEFINITIONS,

efinition 4. is replaced

by the following: 4.

"

Coverage territory" means. a.

The

United

and

Canada;

States

of America (

including its territories

and

Puerto

possessions),

Rico

b.

International waters or airspace. but only if the injury or damage occurs in the course of travel or transportation between any places included in a. above; or

C.

All other parts of the world if the injury or damage arises out of the activities of a person whose home is in the territory described

in a. above, but who is away for a

short time on your business;

provided the insured' s responsibility to pay damages is determined in the United States its

including

territories

and

possessions),

Puerto

Rico, or Canada,

in a suit on the merits

according to the substantive law in such territory, or in a settlement we agree to. K.

SECTION

1.

V—

DEFINITIONS is amended to include the following additional definitions-

Workers Compensation

"

Disease

Law

occupational

of

Law" means the Workers Compensation

Law and any Occupational

This does not include provisions of any law providing non-

Wyoming.

disability benefits.

2.

"

Bodily injury by accident" means bodily injury, sickness or disease sustained by a person, including death, resulting from an accident. A disease is not " bodily injury by accident" unless it results directly from " bodily injury by accident".

3.

"

Bodily injury by disease" means a disease sustained by a person, including death. " Bodily injury by disease" does not include a disease that results directly from an accident.

4.

"

Allocated

a.

Loss

Adjustment

Means claim adjustment expenses that can be directly allocated by us to a specific claim or" suit".

Reasonable attorneys' fees' for legal services by " outside counsel'%

2)

Fees, costs or expenses for alternative dispute resolution proceedings,

Fees, costs or expenses for the hiring of undercover operatives, detective services,

51

05 23

Such expenses shall include, but not be limited to:

1) "

3)

00 GL1003

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experts

or consultants;

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Insurance

Group

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4)

Fees,

costs

or expenses

for medical

examination,

medical

cost containment

expenses,

laboratory, x- ray, and autopsy;

stenographic,

witness, summons,

document

management

and

costs;

reasonably

chargeable

and

reproduction,

to the investigation,

transcript

negotiation,

or expenses

settlement or defense

of any claim or " suit" against you or any other insured, or for the protection and perfection b.

of the insured' s or our subrogation

rights.

Includes any of the following that can directly be allocated by us to a specific claim or suit":

1)

Up to $ 250 for cost of bail bonds required because of an accident or traffic law

violations arising out of the use of any vehicle to which this insurance applies, but we do not have to furnish these bonds; 2)

The

cost

of

appeal

bonds

and

bonds

to

release

attachments

within

the

applicable limit of insurance, but we do not have to furnish the bonds or provide

security for such bonds; 3)

All reasonable expenses incurred by the insured at our request to assist us in of the claim or " suit", including actual loss of the investigation or defense earnings up to$ 250 a day because of time off from work;

4)

All

court

taxed

costs

against

the

insured

in

the " suit".

However,

these

payments do not include attorney' s fees or attorney' s expenses taxed against the insured;

5)

Prejudgment

interest awarded

against the insured on that part of the judgment

If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer; and

we

6)

pay.

All interest on the full amount of any judgment that accrues after entry of the

judgment and before we have paid, offered to pay, or deposited in court on the part of the judgment that is within the applicable limit of insurance. C.

Does not include any of the following: 1)

Employee salaries, general overhead expenses, outside claim adjuster fees or expenses,

or

other

costs

or

expenses

incurred

by

you,

your " third- party

administrator or us, other than such fees, costs or expenses described in Paragraph

2)

1. a. or 1. b. above.

Our general overhead or expenses we incur, the salary and benefits of any of not the fees, costs or expenses for any attorney who is our employee" or under our permanent retainer; nor the fees of any attorney we retain to provide counsel to us about our obligations, if any, under any policy issued by us with respect to a claim or" suit" against you. our " employees",

5.

"

Conclusion of the claim" means the earliest of the following times: a.

The date the claim or " suit" is settled and paid as required by a written settlement agreement,

between

the

insured( s)

and

the

claimant( s),

that we have

approved,

to

which we are a party, or to which we consent in writing; or b.

The date of a final judgment or binding arbitration award for which: 1)

00 Gl_ 1003

51 05 23

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Insurance Services Office, Inc., with its permission. 2023

Arch Insurance

Group

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Page 13 of 14


2)

The final judgement for the " suit" is entered against the insured by a court administrator or the final the arbitration decision is rendered by the arbitrator; or

3)

B.

"

The claim or" suit" is dismissed,

withdrawn

or terminated.

Outside counsel" means any attorney or law firm hired or engaged by you to investigate, or settle claims or " suits". " Outside cour sel" includes national coordinating counsel.

defend

Outside counsel" does not include any of your " employees" or any attorney or law firm employed, hired or engaged by your" third- party administrator". 7.

Reasonable

"

attorneys'

fees"

means

the usual

amount

of fees,

costs

or expenses

that we

have been paying for legal services to attorneys retained in the ordinary course of our business for the defense of claims or " suits' in the community where the claim or " suit" is being defended. 8.

"

Self- Insured Retention" means the amount( s) shown in the Schedule that shall be borne by you and shall not be insured.

9.

"

Third- party administrator": a.

Means

a licensed

against "

suits',

establishes

claims- adjustment

investigates

reserves

organization and

accidents

for damages

that

injuries,

and " Allocated

administers settles

claims

Loss Adjustment

claims,

defends

suits'

and

Expenses"

for

or "

outstanding claims and " suits'. b.

Does not include" outside counsel".

For the purposes

L.

of this endorsement,

under

SECTION

V—

DEFINITIONS, the definition of

bodily injury" does not apply. All other terms and conditions of this Policy remain unchanged.

Endorsement

Number;

This endorsement is effective on the inception date of this policy unless otherwise stated herein.

The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Policy Number: ZAGLB9248704 Named

Insured:

TAPANI,

INC .

Endorsement

Effective Date: 10/

00 GL1003

05 23

51

01/

2 0 2 5 Includes

copyrighted

material

of

Insurance Services Office, Inc., with its permission. 2023 Arch Insurance

Group Inc.

Page 14 of 14


POLICY

NUMBER:

COMMERCIAL

ZAGLB9248704

GENERAL

LIABILITY

CIS 25 04 05 09

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ R CAREFULLY.

DESIGNATED

LOCATION( S)

GEN ERAL AGGREGATE

LI MIT

This endorsement modifies insurance provided under the following: COMMERCIAL

GENERAL

LIABILITY COVERAGE

PART

SCHEDULE Designated

Location( s):

APPLIES

TO

ALL

LOCATIONS

OCCUPIED

BY

THE

INSURED

UNLESS

OTHERWISE

EXCLUDED

Information

A

required to cam

For all sums which

fete this Schedule,

the insured

obligated

to pay as damages under Section occurrences"

for all medical under

expenses

Section I —

attributed

I—

caused

location"

shown

b.

legally

by

c.

Coverage

A, and

by accidents

Coverage C, which

only to operations

designated '

becomes

caused

if not shown above, will be shown in the Declarations.

can

Claims made or " suits" brought; or

Persons or organizations making claims or

bringing '' suits 3. Any payments made under Coverage A far

be

at a single

damages

or under Coverage

in the Schedule

expenses

shall reduce the Designated

Location

General Aggregate

above:

location".

designated ' 1.

A separate

Designated

Location

General

Aggregate

Limit applies

to each

designated

location",

and

that limit

is equal to the amount

of the General

Aggregate

Limit shown in the

The

Designated under

Location

Coverage

because

of"

damage"

included

operations under

reduce any other Designated Location

General Aggregate Limit for any other

General

Aggregate

above.

bodily injury"

A, except

damages

or " property

in the " products- completed and for medical expenses

hazard",

Coverage

C regardless

of the

4. The limits shown Occurrence,

number

in the Declarations

Damage

General

Aggregate such

CG 25 04 05 09

Aggregate

Cc

Insurance

Services

for Each Rented

Limit

shown

limits

will be subject

applicable Designated lnsureds;

To Premises

To

You and Medical Expense continue to apply. However, instead of being subject to the Declarations,

of: a.

shown in the Declarations nor shall they

designated ' location" shown in the Schedule

Limit is the most we will pay for the sum of all

damages

Limit for that

Such payments shall

not reduce the General Aggregate Limit

Declarations. 2.

C for medical

Office, Inc., 2008

in the to the

Location General

Limit.

Page

1 of 2


B.

For all sums which

the insured

to pay as damages

obligated

Section

occurrences"

under

for all medical

expenses

under

I—

Section

attributed

I—

Coverage

location" shown

legally

by

Coverage

caused

only to operations

designated '

becomes

caused

by

A, and

accidents

C, which

cannot

be

C. When coverage for liability arising out of the products- completed operations hazard" is provided, any payments for damages because of bodily injury" or " property damage" included in the " products- completed operations hazard" will

at a single

reduce the Products- completed

in the Schedule

Aggregate

Limit, and not reduce the General

Aggregate

Limit nor the Designated

above:

1.

Any

payments

made

damages

or under

expenses

shall

under

reduce

the General

Coverage

A for

Limit

Operations

or

the

whichever

is applicable;

Such

payments

shall not reduce any General Aggregate

Location

the

Definitions Section is amended by the addition of the following definition-

Aggregate

Limit,

Designated

D. For the purposes of this endorsement,

the amount available

Aggregate

Location

General Aggregate Limit.

Coverage C for medical

Products- completed

2.

under

Operations

Location" means premises

and

involving the same or

connecting lots, or premises whose connection is interrupted only by a street. roadway, waterway or right- of-way of a railroad-

Limit. E.

The

provisions

of Section

III — Limits

Of

Insurance not otherwise modified by this

endorsement shall continue to apply as stipulated.

Page

2 of 2

D Insurance

Services

Office,

Inc..

2008

CG

25 04 05 09


IL 01 46 07 25

WASHINGTON COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. The

in

conditions

similar

this

endorsement

in the policy

conditions

replace

that are less

any

favorable

3.

the Commercial cancel may Coverage Part and the Capital Assets

We

Property Program

to the insured.

Output Policy) Coverage

A.

of this policy, by mailing or delivering to the first

Cancellation 1.

The

Named Insured and the first Named Insured' s

first

Named

Declarations us

the

or

Insured

may cancel this policy insurance

in

shown

in

producer

the

agent or broker written notice of cancellation

at

by notifying

least five

of

of

cancellation

one

the

following ways: Written

b.

Surrender of the policy

c.

Verbal

notice

or

The date

The

on

We

date of

delivering first

to

Named

issued

is surrendered;

this

or the

the first

agent

known

to us, at least:

days

before

cancellation

b.

broker

written

the

actual

last

mailing

the

if we cancel

effective

date

for nonpayment

c.

if

we

the

effective

cancel

for

is unoccupied

consecutive

days,

rental

are

provided in Paragraphs

units

d.

at

or

for more

than 60

least 65%

of the

unoccupied

for more

than

days, unless the structure

Without

reasonable

date

any

the structure

has

days

receipt

after

Because

its

of

explanation,

Because

of

vacation

or

progress

the

of

unsafe

applicable

law;

e.

for

60

following

the

condition,

Fixed

and

condition,

order or

structure,

in

it

been

has

been

with

accordance

salvageable

items

a

has

have

been

removed from the structure, indicating an

other

f.

to vacate

Without

g.

the structure;

reasonable

heat,

explanation,

sewer

and

electricity

are

not

furnished

for

the

structure

for

60

consecutive

days; or maintained

in

water,

The

structure

is

substantial compliance building codes.

Q Insurance

within

funds

physical

its

declared

3. and 4.

of

demolition

issued

of

not occurred

physical

of

below.

IL 01 46 07 25

the

explanation,

structure is in danger of collapse;

or

before

reasonable

structure

loss resulting from a fire;

the

to

the

Without

intent as

two of

satisfactory adjustment or adjudication of

or

reason;

except

where

under construction or repair;

by the

including

cancellation,

days

structure

date

toward completion of permanent repairs to

mailing Insured and or

address

cancellation,

cancellation

for any

the effective

is maintained for seasonal occupancy or is

or

by

policy Named

for the

60

of

Insured.

Insured' s

premium;

before

120 consecutive

following:

requested

of

b.

this

evidence

is received

notice

reason

10

as

cancel

the later of the

notice

a.

a.

or

will

we

cancellation

cancel

may

on

which

or binder

first Named 2.

binder;

or

notice,

binder

any

effective

policy b.

fax or e- mail;

notice.

coverage, a.

by mail,

receipt of such

policy

days

more of the following conditions exist:

a.

Upon

Part, if made a part

Services Office, Inc., 2024

not

with fire, safety and

Page

1 of 4


4.

If:

7.

a.

You

b.

A covered

auto

you

passenger

type";

and

c.

individual;

are an

The

service

cancel

may

Coverage first

Part

cover

shop,

public

parking

place

agent

or

mailing

and

a.

broker

or

including

the

mailing

last

first

written

to the

cancellation,

to the

delivering

b.

10 days

premium; At least

before

10 days

At least

At least

for

days

that

if

30 days

or more; or

effective

the

driver' s license customarily

has

been

auto"

effect

holder, policy

mail

also

or

pledgee to have

occur

mailing

this

cancellation, cancellation.

known

g.

is

a

covered

or

revoked

notice

delivered

will

be

to

the

cancellation

Paragraph

at

policy, the

of any

B.

is

A. 3.

same

first

for

a

above,

this notice at least

that

as

reason

we

last

notice

of

date

of

Insured.

If

contained

in

prior

to the

or

If

C.

of

cancellation

will

state

the

not less

than 90%

not exceeding $

deliver

effective

mailed,

proof of mailing will be

Services

Insured

shown in the Declarations

to make changes

in the terms of this

Of Your Books And Records

afterward. D.

Inspection 1.

We

effective

Insurance

is

notice

during the policy period and up to three years

b.

And

have

Surveys

the right to:

Make inspections and surveys at any time;

Give you reports on the conditions we find; and

that date.

2 of 4

be

records as they relate to this policy at any time

c.

Page

portion

We may examine and audit your books and

date of cancellation. The policy period will end on

will

unearned

Examination

a.

Notice

place

Changes

date of cancellation. 6.

shop,

parking

policy with our consent. This policy' s terms can be amended or waived only by endorsement issued by us and made a part of this policy.

which

or

mail

the refund

is authorized

in this

mailed

will

garage,

repair

The first Named Insured cancels:

The first Named

A. 3. above,

Named

20 days

cover

The policy contains all the agreements between you and us concerning the insurance afforded.

mortgage

their

effective

in Paragraph

the

not

sufficient proof of notice.

If cancellation is for reasons other

than those contained this

any

to us, written

to

prior

does

sales agency,

have not made or offered a refund,

that

shown person interest in any loss

an

policy

The cancellation will be effective even if we

or

to

is of the

of

uses

other

under

address

deliver

own

60

cancellation

suspended

or

you

for

during policy period. will

auto

date

or continuation

for

reason

who

in

the

of any 100, plus 95% of any unearned portion over $ 100 but not exceeding $ 500, and not less than 97% of any unearned portion in excess of$ 500.

or

of

your

driver

4)

the

nonpayment

and

policy,

if

the effective date

policy is or more or is a renewal

Breakdown, cancels,

You are an individual;

service station or public operations hazards; and

than

before the

be at

of the pro rats

75%

of

reason

if the

least

nonpayment

other

20 days

at

automobile

before

is in effect

be

of

other

will

private passenger type";

for

cancellation

may

will

2) A covered

for

20 days

the policy

We

refund

known

before the effective date of

for

cancellation

5.

Insured

first

date

any policy is in effect less than 30 days;

d.

Equipment

Named

the

or

cancellation

c.

Two —

if

1)

of

reason

address

the effective

if we cancel

cancellation

b.

For Division

3) The

At least

refund

if:

to us: a.

the

Named notice

actual

cancels,

refund.

Automobile

the

Insured

90%

of the pro rata refund unless the following applies:

garage;

repair

Commercial

the

Insured

cancellation,

Named

agency,

or

by

Named

Insured' s

the " private

hazards;

operations we

not

sales

station

of

least

does

policy

automobile

is

own

If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first

Office,

Recommend

Inc.,

2024

changes.

IL 01 46 07 25


2.

We

not obligated

are

surveys,

such

reports

actions

We

do

any inspections, and any

to make

recommendations,

do

we

and

insurability

or

undertake

Nonrenewal 1.

only to be charged.

relate

the

premiums to safety inspections.

not make

G.

We do not

first Named

the public. And we do not warrant

Are safe

or

healthful;

b.

Comply

with

or

laws,

regulations,

codes

Insured' s agent or broker, at their

last mailing addresses known to us. We will also mail to any mortgage holder, pledgee or other person shown in this policy to have an interest in any loss which may occur under this policy, at their last mailing address known to

that conditions: a.

or

us, written

standards.

notice

of nonrenewal.

or deliver these notices 3.

Paragraphs

1. and 2. of this

apply not

condition

or

insurance

4.

similar

which

organization

inspections,

surveys,

a•

makes

reports

has

one year.

inspections,

surveys, we

certification,

state

ordinances

under or

may

to

statutes,

of boilers,

pressure

first Named

first

Named

Insured

shown

in

Is

for the payment

responsible

for a term of more

than

Insured

and the first Named

Insured' s insurance agent or broker, at least

the

Declarations: 1.

written

a. The first Named Insured fails to pay the renewal premium after we have expressed to willingness renew, our including a statement of the renewal premium, to the

Premiums The

been

Otherwise, we will renew this policy unless:

or

relative

municipal

or

regulations,

reports

make

vessels or elevators.

E.

Expiration of the policy; or

Paragraph 2. of this condition does not apply to recommendations

mail

b. Anniversary date of this policy if this policy

or

recommendations.

any

We will

at least 60 days before

the:

only to us, but also to any rating, advisory, rate service

of

for the reasons stating nonrenewal, to the first Named Insured and the

to perform the duty of any person or organization to provide for the health or safety or

by

nonrenewal,

undertake

of workers

We may elect not to renew this policy notice written or delivering mailing

b.

of all premiums;

20 days before the expiration

date;

Other

to the

coverage

acceptable

insured

has been procured prior to the expiration

and

date of the policy; or 2.

Will

be the

payee

for any

return

we

premiums

c. The policy clearly states that it is not

pay

renewable

F.

Transfer

Of Your Rights And Duties Under This

Policy Your

transferred

and duties without

of death

under

this

our written

of an individual

policy may not be consent except in Named

2.

a

a.

Insured.

If you die, your rights and duties will be transferred but only while acting your legal representative the

scope

representative,

appointed,

Until

anyone

of your

duties legal

having

custody of your property will

as

your

legal

representative

is

proper temporary have your rights and

specific

line,

that is

basis.

If: You are an individual;

b. A covered auto you own is of the " private passenger type"; and

to

within

for

is

or type of coverage

not offered on a renewable

rights

the case

and

subclassification,

c.

The

policy

automobile

does sales

service station or operations hazards;

not

cover

garage,

agency,

repair

shop,

public

parking

place

duties but only with respect to that property.

IL 0146

07 25

Q Insurance Services Office,

Inc., 2024

Page 3 of 4


the

following

place a.

to

applies

Commercial

Automobile

nonrenewal

of

the

Coverage

Part

in

b.

may elect not to

policy

by

renew

or

mailing

or continue

this

to you

and

continue original

refuse

Collision

to

renew

Coverage

Liability solely

delivering

under Comprehensive Coverage or Towing c.

including the actual reason for nonrenewal. If the policy period is more than one year, will

or

And Labor Coverage.

your agent or broker written notice at least 20 days before the end of the policy period,

we

not

because an " insured" has submitted claims

of GA.:

We

will

Coverage

We

have

the

right

not

to

renew

If we fail to mail or deliver proper notice of nonrenewal and you obtain other insurance, this policy will end on the effective date of that insurance.

or

it only at an anniversary of its effective

or continue

date.

If we offer to renew

you

do

and

not

accept,

this

policy will current

terminate at the end of the policy period. Failure to pay the

required

renewal

or continuation

premium

when due shall mean that you have not accepted our offer.

Page

4 of 4

Insurance

Services

Office,

Inc.,

2024

IL 01

46 07 25


Policy # PNV100150854005

c.

With regard to Coverage

A— COVERED

OPERATIONS

only, any client of the First Named

Insured or entity or person that requires the First Named Insured in a written contract, agreement, or permit to add such person or organization to this Policy as an " Additional Insured",

but only to the extent required and up to the limits required in such written contract

or agreement;

f.

The estate,

heirs,

executors,

administrators,

and legal representatives

of each

Insured

in the

event of death, incapacity or bankruptcy, but only with respect to the liability of each Insured as otherwise covered by this Policy; g.

Any other person or organization listed as an Insured by endorsement to this Policy;

h.

Any organization newly formed or acquired by the First Named Insured during the Policy Period and in which, thereafter, the First Named Insured has more than a fifty percent( 50%) ownership interest. However, coverage for such organization( s) shall apply: i.

Only to Professional Services or Covered Operations performed on or after the date of formation or acquisition or exercised financial or management control; and

ii.

Until the ninetieth( 90")

day following the date of formation or acquisition or until the end

of the Policy Period, whichever is earlier. After the ninetieth ( 90tl' day, coverage shall only apply if such organization( s) has been endorsed to the Policy by the Company. Before doing so, the Company may, at its sole discretion, require additional information, including but not limited to a completed Application, loss history, or information regarding the operations of such organization( s), and may also require an additional premium. 22. Insured Contract means: a.

With respect to any Claim arising from Covered Operations or Professional Services: i.

A contract or agreement with a client in which the Insured assumes liability for the

operations of subcontractors for work performed on behalf of the Insured by such subcontractors;

ii.

A sidetrack

agreement;

iii. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; or iv. That part of any other contract or agreement pertaining to Covered Operations or Professional Services of the Insured ( including an indemnification of a municipality in connection with work performed for a municipality) under which the Insured has assumed the tort liability of another party to pay for Environmental Damage, Cleanup Costs, Bodily Injury, Property Damage or Damages to a third party. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. b.

With respect to any Claim arising from a Scheduled Location or Ancillary Location, a contract or agreement that is approved by the Company and scheduled by endorsement to the Policy as an Insured Contract.

Endurance American

Specialty Insurance Company

Page 23 of 27

CPL

0204

0420


Emergency Mitigation Actions, but in no event later than scvcnty- two ( 72) hotn' s after the Pollution Condition( s) or Biological Agent Conditionts) has been discovered. M.

NO TICF OF CIRCUMSTANCES If dieing Acl( s).

Policy Period

the

Pollution

expected

to

give

Insured

any

Condition( s), to

rise

Claim

a

first becomes 3War2 of aivy fact.

Etiological

or

that

Agent

Conditions) "

circ

nnstavice. "

Mich may reasonably

Condition(

be

ould be covered under [ his Policy. and provided that the

Insured gives written notice to the Company of such fact. circumstance. Pollution

songful

Wrongful

Act(%),

or Biological Arent Conditiun( s) during the Policy Period. then any

s).

Claim ilia[ may subsequently be made against any Insured arising out of such fact. circuit stance. Wrongful

Pollution Condition( s). or Bialugic21 Agent Conditions)

AcI( s),

shall be deemed for

p Jr Pose S of 1110S Policy to have been made during the Policy Period. As a condition precedent to exercising its rights hereunder, the Insured shall include within any such of

notice

a

Biological

full description

of titc fact, circumstance,

Condition(

Agent

s),

Wrongful

Aet( s),

Pollution

Condition( s),

ilia[ is the subject of the notice, the nature or extent of the

injury or potential damages, the names of the potential claimants. the manner in which the Insured I irs]

became

Biological

of

aware

such

Condition(

Agent

fact, s),

circutnstanc:.

Wrongful.

Act( s),

Pollution

Condition(,$).

and give the Company any such addJtnlnal information and

cooperation as it may reasonably request. N.

OTHER

INSURANCE

kris Policy shall be in excess and

of any

excess

insurance

f the amount of the applicable ScIf Insured Retc ill 1on

insurance

other

or indemnification

or

inde tlnification

is collectible

available

to the

insured,

or uncol feet ible, and whether such insurance

f this Policy hetlwr

s tclti

is stated to

be primary. pro rasa, contributory, excess, contingent, or otherwise, unless such other insurance is written only as specific excess insurance over file Limits of Liability

provided Oil this Policy.

However, under Coverage A. when the Insured is required by contract, agreement or peenit to include any person or entity as an additional insured. such coverage shall be provided on a primary and non- contributory basis. 0.

RLPRLSENTA

rJONS

AND COVENANTS

I- lie First Nrnled Insured acknowledges I.

The inlortnahoit.

ind agrees that:

varrarthesandrepresenlalionscontainrd

in [ fie Application submilled by the

Insured as veil as in all supplemental documents provided herewith are trite. correct and complete:

2.

l' hc Company has issued this Policy iit specific reliance upon the Truth and accuracy of the nrranties and represent; ttions contained in [ he Application: and

3.

All

activities

of

Environmental

the

Insured

have

been

and

will

be clllld lCied

in full

coinplianre •

ith

Laws,

The Application. [ lie Ike lara[ ions avid endorsements. ifany, are incorporated into. and arc part all agreements existing between the First Named insured and the

of: [ his Policy and eirbody

C oillpuny and supersede all prior agreenlenis. whethcr

IinJairaiicc Anurlom

5pccialiti

lasurincc

i ompim'

Policy No. PNVIO0150854005

I' n- me I X of 27

vrilten or oral. expressed or iinpi+ed.

C111

0204 11420


The Application, the declarations and endorsements, if any, are incorporated into, and are part of, this Policy and embody all agreements existing between the First Named Insured and the

Company and supersede all prior agreements, whether written or oral, expressed or implied. P.

SEPARATION

OF INSURED

Except with respect to the Limits of Liability, the Insured versus Insured exclusion and the Known Conditions exclusion under the Exclusions section, and any rights or duties specifically assigned to the Insured, this Policy applies: 1.

As if each Insured were the only Insured; and

2.

Separately to each Insured against whom a Claim is made.

In the event of any misrepresentation, concealment, breach of condition or violation of any obligation under this Policy by any one Insured, such misrepresentation, concealment, breach of condition or violation of any obligation will not prejudice any other Insured that did not participate or assist in, or have knowledge of, such misrepresentation, concealment, breach of condition or

violation of any obligation unless the Insured that misrepresented, concealed or breached a term or condition of or violated an obligation under this Policy is a parent, subsidiary or affiliate of the Insured.

Q.

SUBROGATION

In the event that the Company pays any amount under this Policy, the Company shall be subrogated to all of each Insured' s rights of recovery against any person or organization. All Insureds shall

execute and deliver instruments and papers and do whatever else is necessary to secure such rights. No Insured shall do anything to waive or prejudice such rights. Any recovery obtained through subrogation, after expenses incurred in such subrogation are deducted by the Company, shall be

applied first to the Insured to the extent of any payments in excess of the Limits of Liability under this Policy, if any, then to the Company to the extent of its payment under the Policy, and then to the Insured to the extent of any retention or deductible. However, if the Insured has, prior to the time the Wrongful

Act( s), Pollution

Condition(

s),

Biological Agent Condition( s) is discovered

or the Damages, Bodily Injury, Property Damage or Cleanup Costs to which this Policy applies takes place, waived subrogation rights against a person or organization in a written contract or agreement, the Company hereby waives any rights of recovery against such person or organization, provided that such person or organization is not a subcontractor of the Insured. R.

TERRITORY

This Policy only applies to a Claim first brought within the United States of America, its territories or possessions, or Canada. S.

TRANSFER OF YOUR RIGHTS AND DUTIES UNDER THIS POLICY

Any rights and duties under this Policy may not be transferred without the Company' s prior written consent except

in the

case

of death of an individual

Insured.

If an individual

Insured

dies, the

rights and duties will be transferred to the individual Insured' s legal representative but only while acting

within

the

scope

of duties

as

the

individual

Insured' s legal

representative.

Until

the

individual Insured' s legal representative is appointed, anyone having proper temporary custody of

Endurance American

Specialty

Insurance Company

Policy No. PNV100150854005

Page 19 of 27

CPL 0204

0420


Policy No. ZAULP9277704 COMMERCIAL

EXCESS

LIABILITY

CX 00 01 04 13

COMMERCIAL Various

in

provisions

Read

the

entire

policy

duties

and what

is and

Throughout refer

to the

and

any

Named and "

this

this

the

Insured

under

this

policy. The

to

the

company

The

word '

and

Coverage

Refer

to

Section

but

defined have

Definitions.

IV —

the

the

provided

same

this insurance.

To

the

Part

Coverage

the

insurance"

of

will

under

this

one "

controlling

which

of

this

Coverage

exclusions

for which

event"

will

and

insurance" a claim

In

in

such

Coverage

b. This

to

is made

or suit

in

1.

COVERAGES

We

c.

will

pay

on

behalf

ultimate

net

loss"

in

because

of '

limit"

insurance

of

the

insured

of

the " retained

excess

injury provided under

or

damage" this

to

the

which

Coverage

Part

applies.

We

will

have

insured such "

the right and

against

injury

or

of " controlling

been

exhausted

provisions

of

duty to defend

the

for any suit seeking damages when damage" the applicable

limits

of

defense

expenses,

this

under

settlements

applies

to ' injury

or damage" limit

If

the " controlling

insurance",

underlying

this

in

Declarations

the

the

under

Schedule of" controlling underlying insurance

Insuring Agreement a.

of " controlling

insurance does not apply to "injury or damage" arising out of that exposure unless that limit is

is

apply.

I—

policy

Part.

Part.

insurance

specified

SECTION

or

Coverage

any other limit, such as, a sublimit, is specified

the

applicable

of

that is subject to an applicable " retained

a

of the

limitations

the

the

underlying

Part.

this

if

limit

of judgments

applicable

under

payment or judgments

not superseded

are

II —

are reduced by defense expenses, our right and duty to defend ends when we have used up the applicable limit of insurance in

provided

and provisions

and

underlying

that

net

in Section

underlying insurance" specifies that limits

or

insurance".

underlying

conflict,

the provisions,

controlling particular "

differ Part

than

However,

by

the

up

in the payment

settlements

provisions

listed in the Declarations

provisions

limitations

Coverage

broader

used

insurance

such

pay for " ultimate

as described

Our right and duty to defend ends when we have

controlling

provided

we will

Limits Of Insurance; and

of

directed

amount

loss" is limited

this

coverage

than

The

Part will

and

otherwise

not be

more

policies

1)

Part

policy

Coverage

unless

the applicable " controlling

may be

this

applicable "

the extent

will

But:

2)

the

provisions

However,

the

in

exclusions

in

insurance",

underlying

have the duty to defend.

meaning.

insurance"

underlying

under

provisions,

contained

are

brought

our discretion, we may investigate any event" that may involve this insurance and settle any resultant claim or suit, for which we

At

insurance".

underlying

under this policy does not

quotation

this Coverage

described

meaning

insurance

case,

or

insurance

Other words and

under

in the " controlling

controlling

by

that appear in phrases Part have special

that are not defined

will

the

apply.

any person

this

those

which

this

providing

the " controlling

in

There

words " we", " us"

under

words

conflict,

a

means

marks

phrases

as

such

as

However, we will have no duty to defend the insured against any suit seeking damages for

Declarations,

qualifying

defend,

seeking damages for " injury or damage".

your"

insured"

qualifying

Other

by

organization

and '

to

or to participate in the defense of, the insured against any other suit

insurance".

underlying

apply.

in the

shown

or

organization

that

you"

words '

right

the

rights,

is not covered.

Insured

refer

When we have no duty to defend, we will have

coverage.

determine

person

our"

follow

to

other

insurance.

The

restrict

policy

carefully

policy

Named

EXCESS LIABILITY COVERAGE FORM

underlying

insurance"

have

with

the

in

accordance

such

" controlling

underlying

insurance".

If

the

"

insurance"

underlying

controlling

requires, for a particular claim, that the ' injury or damage" occur during its policy period in order

for

that

coverage

to

apply,

then

this

insurance will only apply to that ' injury or damage" if it occurs during the policy period of this

Coverage

underlying

Part.

insurance"

If

the

"

controlling

requires that the " event"

causing the particular " injury or damage" takes place during its policy period in order for that coverage

to

apply,

then

this

insurance

will

apply to the claim only if the ' event" causing

that ' injury or damage" takes place during the policy period of this Coverage Part.

CX 00 0104

13

Q Insurance

Services

Office, Inc., 2012

Page

1 of 5


d.

additional

Any

insured

controlling

If

additional

insured

agreement,

the

the

amounts

is

required will

we

insured

under

insured

insurance

will

provided

by

not

any way responding

amount

of

effects of, pollutants.

less

any

provided

broader

"

controlling

than

or would

this

by

In

coverage

d.

underlying

and

exclusions,

the

addition,

controlling exclusions,

or

applicable

insurance"

underlying unless

superseded

superseded

added by endorsement

any

to

this

SECTION 1,

following

the

to this Coverage Part.

to Payments

Medical

payments

coverage

without

provided

provided

by

that

expenses

to fault,

regard

the

or

applicable

whether

loss,

cost from

resulting

the

most

we

will

pay

b.

Claims made or suits

brought, or number of

c. Persons or organizations bringing suits; or

making

claims

or

expense

of

any

payable

the

First- party

under

following

physical damage

2)

No- fault

coverage;

3)

Personal

injury

payments

coverage; or

Uninsured

d.

any

controlling

The

actual,

escape

Any

auto

medical

injury

damage"

which

in

or

whole

cost

or

in

regulatory

Part will

migration,

not but

or

out

of

at any time. expense

d.

arising

controlling underlying

insurance

Subject

to

of

Part-

Paragraph

2. b.

to

under

above,

the

an the

Each

Limit is the most we will pay for the

all "

ultimate

net

loss"

under

this

or damage"

If the Limits of Insurance of the " controlling underlying insurance" are reduced by defense expenses

demand,

subject

insurance

limit

insurance because of all ' injury arising out of any one" event".

discharge, release

is

of

sum

the

that

damage"

Occurrence

have

for

under this Coverage

this Aggregate Limit only applies to

or

aggregate

motorists

would

part,

threatened

or

seepage,

Request,

of this Coverage

limit

However,

any: a)

of Insurance

or damage" covered or

underinsured

of pollutants

loss,

"

b. The Aggregate Limit is the most we will pay for the sum of all " ultimate net loss", for all ' injury

coverage;

protection

or

alleged

dispersal,

Limits

retained

c. or

under

available

a. This insurance only applies in excess of the

coverage.

Injury

Limits

or

auto

Pollution

occurred,

or

apply as follows:

1)

2)

fix

Insureds;

coverages:

1) "

below

underlying insurance". 2.

Any

c.

rules

or

" controlling

Auto

4)

the

a.

insurance".

underlying b.

OF INSURANCE

vehicles involved;

Medical

not

II — LIMITS

regardless of the number of_

Insurance provided under this Coverage Part does

are

or

law or any similar

The Limits of Insurance shown in the Declarations,

and

other exclusions

any

benefits

disability compensation

law.

Part

to

apply

by

by

unemployment

other exclusions

any

to this Coverage

apply

exclusions

insurance

a.

of

Workers' Compensation And Sirriiar Laws

compensation,

by endorsement,

not apply

have existed but for the exhaustion

underlying limits for ' injury or damage". Any obligation of the insured under a workers'

following

added

to, or assessing the

This exclusion does not apply to the extent that valid " controlling underlying insurance" for the pollution liability risks described above exists

underlying

Exclusions The

containing,

of

on

insurance"2.

monitoring,

removing,

behalf

be

the

up,

treating, detoxifying or neutralizing, or in

contract,

coverage

cleaning

for,

testing

or

insurance". Additional

of

provided by a contract the

the

because

the

by any" controlling

payable

will

insured

pay

is

by

required

b) Claim or suit by or on behalf of a damages for governmental authority

of

policy

to

coverage

most

additional

insurance

additional

an

insurance.

any

insurance"

underlying be

automatically this

under

by

the

terms

of

that

policy,

any

payments for defense expenses we make will order

requirement

or

that

statutory

or

reduce our applicable

any insured

Limits of Insurance in the

same manner.

or others test for, monitor, Glean up, r contain, treat, detoxify neutralize, or in any way respond to, or assess the effects of, pollutants; or

remove,

Page

2 of 5

cD Insurance

Services

Office,

Inc.,

2012

CX 00 01 D4 13


3.

If

insurance" underlying that is different from the policy

policy period of this Coverage this

Aggregate

the " retained

will

payments

under

of

Coverage

this

Coverage

Part and to any remaining

Coverage

Part

of

less

than

beginning

of

the

policy

12

3.

a.

after

the

unless

issuance

for

You must see to it that we are notified

of

only

be

made

for

Part

should

applies

1)

period

in

How,

b,

insurance"

You

provided

to

applicable

insurance

the

following conditions.

1.

Appeals

the

coverage

superseded

unless

by

and

location

of any ' injury

and

must

see

to

it

that

we

receive

of

the

claim

or

suit

as

of the " retained We

expense.

event will

will

and

predisbursements

limit", also

1)

provision

the

described

in Section

as

for

and

appeal.

In no

our

liability

increase Limits

applicable

interest

II — Limits

of

notices,

received

papers

of

any

summonses

or

legal

connection

with

the

us

in

claim or suit;

court

taxable

such

demands,

must:

copies

send

Immediately

do so at our

may

pay

with

associated

this

we

postjudgment

beyond

written soon

c. You and any other insured involved

costs,

or

practicable.

insurer" the " controlling or insured underlying not to appeal elects a judgment in excess of the amount

took

Notify us as soon as practicable.

notice

If

own

the " event"

or suit and the date received; 2)

this

where

Immediately record the specifics of the claim

In conditions addition, the following apply. conditions applicable to any " controlling underlying under

and

notice

If a claim is made or suit is brought against any insured, you musk:

The

also

possible,

damage" arising out of the" event".

III — CONDITIONS

are

when

3) The nature

policy

1) SECTION

extent

2) The names and addresses of any injured persons and witnesses; and

the

additional

an

the

include:

place;

with

starting

shown

To

insurance.

period of this period of this

months,

as soon

as practicable of an " event", regardless of the amount, which may result in a claim under this

period is extended period of less than 12 In that case, the additional months. period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. Declarations,

Duties In The Event Of An Event, Claim Or Suit

this insurance.

annual

consecutive

a

period

purposes

limit"

by

covered

Limit

to each

separately

for the

then,

exhausted

or

or damage"

injury The

Part

insurance,

reduced

the

has

any " controlling

2) Authorize

us to obtain

records

and

other

information;

3)

Insurance

Of Insurance.

Cooperate

with

settlement

of the claim

us

in the

investigation

or defense

or

against

the suit; and 2.

Bankruptcy a.

4)

Bankruptcy the

s

of the

will

estate

not

insured

relieve

this Coverage

Of Controlling

Bankruptcy

us

or

of

underlying

insurer"

obligations

under

However,

insurance

will

this

not

relieve

Coverage

provided

us

of

this

No

our

insolvency will

of

the " controlling

insurance apply

insurance"

underlying

provided under this as

were

if

the

" controlling

in full effect and

in

against

the any

insured

will,

except

at that insured' s own

first aid, without our consent. Coverage

Part will not replace any " controlling underlying in insurance" the of event bankruptcy or The

right

cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for

Part.

under

request,

our

any

apply.

Insurer

of the " controlling

insolvency

or

of

to

Part.

Underlying

upon

person or organization which may be liable of " injury because or the insured damage" to which this insurance may also

of

our

d.

Bankruptcy

us,

enforcement

insolvency

or

insured'

obligations under

b.

Assist

Of Insured

Bankruptcy

insurer"_

Coverage

Part

underlying

4.

First

Named

Insured

Duties

The

or Named Insured is the first person organization first named in the Declarations and is

responsible

for the payment

first Named

Insured

of all premiums.

will act on

behalf

The

of all other

Named Insureds for giving and receiving of notice

recoverable.

of

cancellation

or

the

receipt

of

any

return

Page

3 of 5

premium that may become payable.

Cx 00 01 0413

C) Insurance

Services

Office, Inc.,

2012


At our request, us,

as

soon

the first

as

of any " controlling

provided 5.

in

a complete

insurance"

endorsements

any

affect

way

this Coverage

under

Such

will furnish

Insured

with

underlying

issued

subsequently which may

Named

practicable,

and

any

or

policies insurance

the

Part.

Cancellation first

The

a.

Named

Declarations

cancel

may to

delivering

or

Insured

us

in

shown

this

advance

written

notice

as

soon

of

replaced

scope We

cancel

may

delivering

policy

to the first

Named

of cancellation

notice

1)

this

10

days

30

the

nonpayment

for

g.

to

or otherwise

of coverage

terminated,

or if the limits or

of any " controlling

underlying

is changed.

Other Insurance a.

of

date

effective

if we cancel

a failure

if any " controlling practicable, is cancelled, not renewed,

as

insurance"

This

insurance

is excess

over,

and

shall

not

contribute with any of the other insurance, whether primary, excess, contingent or on any

of

or

premium; 2

at least:

before

cancellation

or by mailing Insured written

is not

insurance"

underlying

cancellation.

b.

or reduction

The first Named Insured must notify us in writing,

the

by mailing

policy

exhaustion

maintain " controlling underlying insurance Failure to maintain " controlling underlying insurance" will not invalidate insurance provided under this Coverage Part, but insurance provided under this Coverage Part will apply as if the " controlling underlying insurance" were in full effect.

copy

other basis. This condition will not apply to

dayss

before if

cancellation

the

cancel

we

date

effective

for

of

insurance

other

any

specifically

this Coverage

written

as excess

over

if

other

Part.

reason.

When We

c.

will

mail

Named

deliver

or

Insured'

last

s

our

to

notice

known

address

mailing

first

the

Notice date

of

The

the

state

effective

b.

end

will

period

policy

If this policy

is cancelled,

Named

Insured

cancel,

the

Named

Insured

will

we

refund any premium refund will be pro rata. the refund

cancels,

the first

send

due.

if we have

not made or offered

is

proof

will be entitled

against

all those

When

this

a

other

no

to the

insured' s rights

insurers.

insurance

is

excess

ultimate

net loss" that exceeds

1)

total

If we

be less

over

other

amount

that

the sum of: such

other

insurance would pay for the loss absence of the insurance provided

in the under

The

this Coverage

than pro rata. The cancellation will be effective even

but we

If the first

may

excess,

insurance, we will pay only our share of the

that date.

on e.

will

cancellation

of cancellation.

is

insurance

insurer defends, we may undertake to do so,

to

us,

d.

this

all

Part: and

2) The total of all deductible and self- insured

refund.

amounts under all that other insurance. f.

If

notice

of mailing will be

proof of notice.

sufficient 6.

mailed,

9.

Prerrtium

Audit

a. We will compute all premiums for this Coverage

Changes

Part in accordance This

Coverage

and

contains

between

you

afforded.

The first Named

us

to m

this

Part

Coverage

only

Part' s terms

Insured

the

can

in the

amended

or

b.

Underlying

deposit

of

audit

This

in

underlying full effect

limits

except

or

aggregate

limits in

of

controlling

such "

results

insurance

4 of 5

from '

of

is a each

c compute the earned

waived

Insured.

The due date

for audit

Controiing

the

insurance"

If the

sum

of the

advance

and audit

must

be

without

reduction

of

excess to the first Named

for

reduction

of

the with

underlying or

bill.

premiums paid for the policy period is greater than the earned premium, we will return the

accordance

injury

will

premium close

premium is the date shown as the due date on To

coverage

the

only.

we

period,

first Named

Of/

maintained

Part as advance

premium

premium for that period and send notice to the

Insurance

Any " controlling

If this policy is auditable, the premium shown in this Coverage

by

terms

consent.

our

be

insurance

is authorized

changes

with

with our rules and rates.

the agreements

by endorsement.

Maintenance

Page

all

concerning

all other insureds

Coverage

7.

Part

damage"

c. The first Named

the provisions insurance" that to

which

the

must keep records of

for premium and send us copies at such times

information

computation,

this

insured

Insured.

we

need

as we may request.

applies.

0 Insurance

Services

Office,

inc.,

2012

CX 00 01 04 13


10. Loss Payable

Liability

to a given a.

We will cooperate

claim

The

insured

The

obligation

ultimate

net

limit"

been

has

judgment

insured,

has

limit';

of

insurer" (

or a

obligated

insured

to

of

excess

determined or

controlling to

the " retained

by a final agreement

written

Legal No

Action

the

or

controlling underlying representative of one or more of

Coverage a.

To

b.

join

To

asking

sue

a

party

for damages from

unless

all of

fully complied

agreed

settlement

insured;

an

Coverage

but

Part

limit

applicable

may

with.

sue

final

or

on

a

we

will

not

recover

are

in

of insurance.

An

agreed

settlement

a

by

the insured, "

and

or

and

release

of

liable

for

of

excess

the

• "

settlement

liability

signed

a.

the

limits

insurance"

To Us

accordance with the provisions of " controlling insurance",

underlying defense

transferred

we

to

the transfer of control claims

or

suits

us.

insurance

applies

covered

by

the

insurance"

had

the

may elect to have the We will cooperate in

to us of any

seeking

damages which

and "

outstanding to which

would

have

controlling applicable

this been

underlying limit

not

been

exhausted. b.

Defense When

Transferred our

exhausted

limits our

By Us of

duty to

insurance provide

have a

defense

been will

cease.

If we decide

not

deliver

mail

or in

the

to renew to

this Coverage

the

first

Declarations

not

to

the

less

written

than

30

Part, we

Named

Insured

notice

days

of the

before

the

date.

definitions

to

applicable

any

"

controlling

means insurance" any underlying Controlling policy of insurance or self-insurance listed in the Declarations under the Schedule of " controlling

under the Schedule of " controlling

Event" act,

means

or

an

occurrence,

event,

other

the

accident, applicable

in the applicable " controlling

underlying

insurance" arising from an " event". 5. ' Retained

controlling

limit"

the

means

underlying

available

limits

of

insurance" applicable to the

claim,

g. " Ultimate

net

loss"

reduction

for

recoveries,

means

that the insured becomes as damages by reason of:

or

the

total

salvages

legally

sum,

after

collectible,

obligated

to pay

a. Settlements, judgments, binding arbitration; or Other

resolution binding alternate dispute proceeding entered into with our consent.

Ultimate

net

loss" includes underlying

that limits are reduced

Services

offense,

which

or damage" means any injury or damage,

covered

b.

C Insurance

to

controlling underlying insurance" applies. 4. " Injury

the " controlling

CX 00 01 04 13

control

underlying insurance".

of " controlling underlying been exhausted, in

have

of

underlying insurer" means any insurer who provides any policy of insurance listed in the

3. " When

transfer

written

we will

Part,

o Not Renew

We

Declarations

Transfenred

the

insurance

underlying insurance

Of Defense

Defense

in

no

2. " Controlling

representative.

12. Transfer

is

Coverage

underlying insurance" also apply to this insurance. In addition, the following definitions apply.

controlling underlying insurer" or the claimant claimant' s legal

the

there this

will

The

judgment

be

that over

SECTION IV— DEFINITIONS

to

us

that

means us,

event

excess

shown

damages that are not payable under the terms of this

the

If notice is mailed, proof of mailing will be sufficient proof of notice.

Part

been

would

expiration

or

have

which

into

insured;

Coverage

organization

us

an

this

or

against

this

under

bring

or otherwise

on

us

A person an

right

a

and

exhausted.

nonrenewal

us as

its terms

on

has

applies

covered

insured and its designated representative.

Part:

a suit

been

13. When

organization

insurance

cooperate

"

Against Us

person

have

as

these) and us. 11.

this

In

settlement among

of

claims or suits seeking damages to

which

not been

the

pay

of control

by the " controlling underlying insurance" had the applicable limit

and

in

claimant,

"

become

the

loss"

outstanding s

in the transfer

defense to any insurer specifically written as Coverage Part this excess over of any

not apply

does

insured'

insurer"

the " retained

Part

until:

or

pay

or

and

unless

underlying

b.

Coverage

this

under

Office,

Inc., 2012

defense expenses insurance"

if

specifies

by defense expenses.

Page

5 of 5


POLICY

NUMBER:

Z4ULP9277704

COMMERCIAL

EXCESS

LIABILITY

CX24331116

THIS ENDORSEMENT

CHANGES

THE POLICY.

PLEASE

READ IT CAREFULLY.

NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL

EXCESS

LIABILITY

COVERAGE

PART

SCHEDULE

Name Of Additional Insured Person( s) Or Organization( s): ANY

ADDITIONAL

KNOWN

AS

REQUIRED

BY

CONTRACT

required

to complete

8. of Section

this Schedule,

III— Conditions

is replaced

c)

Other Insurance a.

This insurance whether

1

contingent

or

have or

insurance

would

condition

insurer

defends,

over

will

this Coverage

The

not

provided

Part

will

from

other

insurance

a)

The

a

this

not seek contribution

available

to

we

is excess, will

if no other

undertake

to

do

so,

to the insured' s rights

against all those other insurers. b.

When

this

insurance

is

excess

over

other

insurance, we will pay only our share of the

insurance

any

other

Part.

Coverage additional

to

apply PP Y

in

that

insured.

When this insurance

on

specifically written as excess

writing

agreement

but we will be entitled This

in

agreed

contract

the additional

basis. However:

insurance 2)

excess,

primary,

other

You

from any other insurance

is excess over, and shall not

contribute with any of the other insurance, any

TO

if not shown above, will be shown in the Declarations.

by the following: 8.

PRIOR

LOSS.

Information

Paragraph

INSURED

insured, additional

this

under

not seek

ultimate net loss" that exceeds the sum of:

contribution

available

to

an

1)

provided that: insured

is

a

Named

The total amount that all such other insurance would pay for the loss in the absence of the insurance provided under this Coverage

Part; and

Insured under such other insurance; 2) b)

The additional Schedule;

CX 24 33 11

16

insured

is shown in the

The total of all deductible and self- insured amounts

under all that other insurance.

and

0 Insurance

Services

Office, Inc., 2016

Page

1 of 1


ILo1460725

WASHINGTON COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. The

in

conditions

similar

this

endorsement

in the policy

conditions

that

replace any less favorable

are

to the insured. A.

3. We may cancel the Commercial Coverage

Named The

first

Named

Declarations us

Insured

in

shown

may cancel this policy insurance producer in

the

or

the

by notifying one

of the

following ways: by mail, fax or e- mail;

a.

Written

b.

Surrender of the policy or binder;

c.

notice

or

The

on

date or

b.

notice,

binder

any

effective

policy

We

a.

or

as

delivering

to the

Named

the

or

of

reason

for the

10

first

or

to

days

before

the

written

the

actual

the

days,

last mailing

c.

cancellation

d.

structure

Because

of

its

Because

of

vacation

or

cancel

for

of

any

e.

Fixed

in Paragraphs

progress

other

3. and

4.

and

f.

the

within

60

funds

following or adjudication of the

condition,

physical

condition,

order or

structure,

in

it

items

a

has

been

has

been with

accordance

salvageable

to vacate

Without

have

been

the structure;

reasonable

water,

below_

occurred of

removed from the structure, indicating an intent

provided

for

its

law;

date

not

demolition

applicable

we

than

the structure

explanation,

physical

unsafe

if

for more

is in danger of collapse;

declared

effective

60

of the

or repair;

has

issued

the

the

than

65%

unless

receipt

after

of

before

date

more

least

at

or

reasonable

of

reason; as

construction

Without

structure

or

days

for

days,

date

effective

of

units are unoccupied

if we cancel for nonpayment

the

at

effective

explanation,

satisfactory adjustment loss resulting from a fire;

or

broker

including

cancellation,

to us, at least:

except

reasonable

is unoccupied

the

the

by

mailing Insured and

Named

Insured' s

of cancellation

toward completion of permanent repairs to

by

policy

the

structure

days

known

premium;

60

this

cancellation,

cancellation

b.

before

Without

under

b.

or

requested

Insured' s agent

notice

a.

days

notice

is maintained for seasonal occupancy or is

following:

is received

notice

of cancellation

cancel

address

and the first Named

120 consecutive

of

evidence

later of the

binder is surrendered;

The date

cancel this

will

we

Issued

on the

which

may

first

Program

cancellation for any structure where two or more of the following conditions exist:

first Named Insured. 2.

five

rental

of such

coverage, a.

least

notice.

receipt

policy

Insured

agent or broker written

consecutive

Verbal

Upon

Property

Assets

Output Policy) Coverage Part, if made a part of this policy, by mailing or delivering to the first

Cancellation 1.

Part and the Capital

furnished

sewer

and

for

the

heat,

explanation,

electricity

are

not

structure

for

60

maintained

in

consecutive days; or g. The

structure

is

not

substantial compliance with fire, safety and building codes.

IL 01 46 07 25

Insurance

Services

Office, Inc., 2024

Page

1 of 4


4.

7. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we

If: a.

You

individual;

are an

cancel, the refund will be pro rata. If the first b. A covered

is of the " private

you own type"; and passenger

c.

The

auto

does

policy

automobile service

station

cover

garage,

agency,

repair

shop,

public

parking

place

or

a.

hazards;

operations

Insured' s

Insured

agent

or

written actual

the

last

to the

first

the

broker

including

cancellation, cancellation,

and

b.

notice

of

10 days

before

reason

for

At least

10 days

before

At least

will

20 days

date

if the

cancellation

days or more policy, that

and

the

driver' s

your

who

customarily

auto"

has

been

holder,

mail

also

pledgee have an

occur

may

mailing

address

known to

cancellation,

than

those

this

contained

notice will

be

to

if

cancellation

is

cancellation

g.

is

or

that

uses

a

covered

Paragraph

A. 3.

this

at least

notice

a

above,

will

be not less

portion

not

than

90%

exceeding $

or

revoked

If

is

notice

will be effective

mailed,

even if we

proof of mailing will be

sufficient proof of notice.

any

B. Changes g

The policy contains

to

all the agreements

shown

in this

loss

which

at

notice

of

date

of

effective

reasons

between

reason we

will

policy with our consent. This policy' s terms can be

C.

other

mailed

If

contained

in

mail

20 days prior to the

or

deliver

effective

Examination

Of Your Books And Records

We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years

or

Insured.

shown in the Declarations

to make changes in the terms of this

amended or waived only by endorsement issued by us and made a part of this policy.

A. 3. above,

that

as

Named

is authorized

last

their

to us, written

is for

The first Named Insured

mortgage

any

the

same

first

for

refund

of any unearned portion in excess of$ 500.

or continuation

in Paragraph

the

the

place

have not made or offered a refund.

policy,

prior If cancellation

cancellation.

delivered

this

under

shop,

parking

for 60

person interest in any

to

garage,

repair

is in effect

or other

policy

cover

of any 100, plus 95% of any unearned portion over$ 100 but not exceeding $ 500, and not less than 97%

or

of

is of the

you and us concerning the insurance afforded.

deliver

or

not

agency,

The cancellation

suspended

the

The first Named Insured cancels;

the

during policy period, We will

does sales

date of

license

driver

policy

effective

for

reason

Breakdown, cancels,

You are an individual;

unearned

nonpayment

policy is a renewal

or

4)

of the

date of

effective

At least 20 days before the

at

If:

service station or public operations hazards; and

than

be

of the pro rata

of

is in effect 30 days or more;

the policy

75%

for nonpayment

the effective

other

at least

automobile

before the

for

be

of

for

cancellation

will

2) A covered auto you own private passenger type";

known

reason if any other policy is in effect less than 30 days; or

5.

Insured

the effective date

if we cancel

cancellation

d.

Equipment

Named

first

the

or

premium;

c.

Two --

if

3) The

At least

cancellation

b.

For Division

1)

to us: a.

refund

Named

address

mailing

the

refund.

Automobile may cancel the Commercial Coverage Part by mailing or delivering to the

Named

cancels,

90%

refund

we

first

Insured

of the pro rata refund unless the following applies: least

not

sales

Named

afterward. D.

Inspection 1.

And

Surveys

We have the right to:

date of cancellation. a.

6.

Notice

of

cancellation

date of cancellation.

will

state

The policy

the

effective

period will end

and c.

Q Insurance

and surveys at any time;

b. Give you reports on the conditions we find;

on that date.

Page 2 of 4

Make inspections

Recommend changes.

Services Office, Inc., 2024

IL 0146 07 25


2.

We

not obligated

are

surveys,

such

reports

actions

insurability We

do

we

and

any inspections, and any

to make

or recommendations, undertake

the

premiums

do not make safety

G. Nonrenewal 1.

only to to be charged. relate

to perform the duty of any person or to provide for the health or safety organization undertake

of workers

the public. And

or

that conditions: a.

Are

b.

Comply

safe

healthful;

or

with

or

laws,

regulations,

codes

this policy

written

the

stating

notice

by of for

reasons

nonrenewal,

to the first Named

Insured

and the

first Named

Insured' s agent or broker,

at their

last mailing addresses known to us. We will also mail to any mortgage holder, pledgee or other person shown in this policy to have an interest in any loss which may occur under this

do not warrant

we

delivering

or mailing nonrenewal,

We do not

inspections.

We may elect not to renew

policy, at their last mailing address known to

or

us, written

standards.

notice of nonrenewal.

We will mail

or deliver these notices at least 60 days before 3.

Paragraphs

1.

and

2. of this condition apply

not

the:

only to us, but also to any rating, advisory, rate service

or

similar

insurance

which

organization

inspections,

surveys,

a• Expiration of the policy; or

makes

reports

b. Anniversary date of this policy if this policy

or

has been written for a term of more than

recommendations.

4.

Paragraph

2. of this

inspections,

any

recommendations

we state

under

vessels

E.

or

Otherwise, we will renew this policy unless:

or

to

may

make

or

municipal

statutes,

of boilers,

pressure

regulations,

one year.

not apply to reports

surveys,

certification, ordinances

does

condition

relative

a. The first Named Insured fails to pay the renewal premium after we have expressed renew, willingness to our including a statement of the renewal premium, to the

or elevators.

Premiums

The

first

first

Named

Insured

in

shown

the

Insured

and

the

first

Named

20 days before the expiration date;

Declarations:

1.

Named

Insured' s insurance agent or broker, at least

Is responsible

for the

b.

of all premiums;

payment

Other

coverage

acceptable

to the

insured

has been procured prior to the expiration

and

date of the policy; or 2.

Will

be the

payee

for any

return

we

premiums

c. The policy clearly states that it is not

pay. F.

Of Your

Rights And Duties

Under

This

and duties

within

die, your legal

Named Insured.

rights

and duties

the

scope

Until

anyone

of your

will

duties legal

having

acting

your

legal

as

proper

custody of your property will have

your

is

temporary rights

specific

line,

basis.

If: You are an individual;

b. A covered auto you own is of the " private

while

representative

2.

a.

be transferred

but only

representative

representative.

appointed,

of an individual

without

the case of death

to your

our written

may not be consent except in

this policy

under

a

or type of coverage that is

not offered on a renewable

rights

transferred

If you

for

is

subclassification,

Policy Your

and

renewable

Transfer

and

passenger type"; and c.

The

service

does

policy

automobile

sales

station

operations

or

not

cover

garage,

agency,

repair

shop,

public

parking

place

Page

3 of 4

hazards;

duties but only with respect to that property.

IL 01 46 07 25

Insurance

Services

Office, Inc., 2024


following

the

place a.

to

applies

Commercial

Automobile

nonrenewal

of

the

Coverage

Part

in

b.

of GA.:

We may elect policy

not to renew

by mailing

your agent

or

or continue

this

to

and

delivering

or

broker

you

notice

at least

of the policy

period,

written

We

renew will refuse to not Liability Coverage or Collision Coverage solely because an " insured" has submitted claims

under Comprehensive Coverage or Towing And Labor Coverage. c.

If we fail to mail or deliver proper notice of

reason

for nonrenewal.

nonrenewal and you obtain other insurance, this policy will end on the effective date of

If the

is

than

that insurance.

we

right

20 days

before

the end

including

the actual

policy period will have the

continue original

more

not

to

one

year, renew or

it only at an anniversary effective

date.

of its

If we offer to renew

or continue and you do not accept, this policy will terminate at the end of the current policy period. Failure to pay the required

renewal

or continuation

premium

when due shall mean that you have not accepted our offer.

Page 4 of 4

Insurance Services Office, Inc., 2024

IL 0146 07 25


Policy No. ZAGLB9248704 COMMERCIAL

GENERAL

LIABILITY

CG 20 01 04 13

THIS ENDORSEMENT

CHANGES THE POLICY.

PLEASE

READ IT CAREFULLY.

PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/ COMPLETED The

following

Condition

and

is

added

to

supersedes

OPERATIONS the any

Other

LIABILITY

COVERAGE

Insurance

provision

to

2)

You have agreed in writing in a contract or agreement

the

that

this

insurance

would

be

primary and would not seek contribution from any other insurance available to the

contrary:

Primary And Noncontributory

PART

Insurance

additional

insured.

This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: 1)

The additional under

CG 20 01

04 13

such

insured

other

is a Named

insurance;

Insured

and

Insurance

Services

Office,

Inc.,

2012

Page

1 of 1


NUMBER:

POLICY

COMMERCIAL. GENERAL LIABILITY

ZAGL89248704

CG 24 04 05 09

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL

GENERAL

LIABILITY COVERAGE PART

PRODUCTS/ COMPLETED

OPERATIONS

LIABILITY COVERAGE

PART

SCHEDULE

Name Of Person Or Organizafon: ANY

PERSON

OR

PERMITTED

BY

CONTRACT

WAS

ORGANIZATION LAW

AND

IS

EXECUTED

WHERE

REQUIRED

PRIOR

TO

Information required to complete this Schedule

WAIVER BY

THE

OF

WRITTEN

OUR

RIGHT

CONTRACT

TO

RECOVER

PROVIDED

IS

SUCH

LOSS

if not shown above, will be shown in the Declarations.

The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Sect on IV— Conditons:

We waive any right of recovery we may have against

the person or organization shown in the Schedule

above because of payments we make for injury or damage arising out of your ongoing operations your work" done under a contract or

organization

completed

only

to the

included

and

operations

person

hazard".

in

the "

products-

This waiver

or organization

or

with that person

shown

applies

in the

Schedule above.

CG 24 04 05 09

Q Insurance

Services

Office,

Inc.,

2008

Page

1 of 1


POLICY

NUMBER

COMMERCIAL AUTO

ZACAT9278404

CA04441013

THIS ENDORSEMENT

CHANGES THE POLICY.

PLEASE REA

IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US ( WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following. AUTO

EALERS

COVERAGE

FORM

BUSINESS AUTO COVERAGE

FORM

MOTOR

FORM

CARRIER

COVERAGE

With respect to coverage provided by this endorsement,

the provisions

of the Coverage

Form apply unless

modified by the endorsement

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named

Insured:

Endorsement

Effective

Date:

SCHEDULE

Name( s) Of Person( s) Or Organization( s):

Any person or organization where waiver of our right to recover is permitted by law and is required by written prior

to

the

contract

provided

such

contract

was

executed

loss

Information re uired t

com lete this Schedule -f not shown above. will be shown : n the Declarations.

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the persons) or organization( s) shown in the Schedule. but only to the extent that subrogation is waived prior to the " accident"

or the " loss"

under a contract

with

that person or organization

CA 04 44 10 13

CD Insurance

Services

Office,

inc., 2011

Page 1 of 1


POLICY NUMBER

COMMERCIAL

ZAGLB9248704

GENERAL

LIABILITY

CG 20 11 01 96

THIS ENDORSEMENT

CHANGES THE POLICY.

PLEASE

READ

IT CAREFULLY.

ADDITIONAL INSURED -- MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL

GENERAL

LIABILITY

COVERAGE

PART

SCHEDULE

1.

Designation

of Premises(

Part

Leased

to You)-

Any premises where

2. Name of Person or Organization ( Additional Insured). Any 3.

Additional

person

written

Premium;

required by written

or organization

where

contract required

contract

If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement)

IS AN

INSURE (

Section li) Is amended to include as an insured the person or organization shown in the maintenance or use to liability arising out of the ownership, f that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions:

WHO

Schedule

but only

with

respect

This insurance does not apply to1.

Any " occurrence" which takes place after you cease to be a tenant in that premises.

2. Structural

alterations,

new construction

or demolition

operations

performed

by or on behalf of the person or

organization shown in the Schedule.

CG 2011

01 96

Copyright,

Insurance

Services Office,

Inc.,

1994

Page 1 of 1

by


Policy No. ZAGLB9248704 COMMERCIAL

GENERAL

LIABILITY

CG 20 34 07 04

THIS ENDORSEMENT

PLEASE

THE POLICY.

CHANGES

READ

IT CAREFULLY.

ADDITIONAL INSURED LESSOR OF LEASED EQUIPMENT -- AUTOMATIC STATUS WHEN

REQUIRED IN LEASE AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART

A.

Who

Is

An

include

as

ganization you

and

son

or

Section

whom

person

II}

insured

additional

from such

in writing

Insured {

an

you

is

amended

to

or

or-

any person

lease

equipment

or organization

have

agreed

that such

per-

be

additional

in-

added

as

an

insured

sured

on your policy. Such person or organization is an insured only with respect to liability for " bodily

under

this

endorsement

ends

when

their

contract or agreement with you for such leased

when

in a contract or agreement

organization

A person' s or organization' s status as an additional

equipment

B.

With

ends.

respect

to the

insurance

afforded

to these

additional insureds, this insurance does not apply

to any ' occurrence" which takes place after the equipment

lease expires.

injury", " property damage" or " personal and advertising injury" caused, in whole or in part, by your maintenance,

operation

or

use

of

equipment

leased to you by such person or organization.

CG 20 34 07 04

D ISO

Properties,

Inc.,

2004

Page

1 of 1


POLICY

NUMBER:

ZAGLB9248704

COMMERCIAL

GENERAL

LIABILITY

CG20100704

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL

INSURED -

OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement madifies insurance provided under the following: COMMERCIAL

GENERAL

LIABILITY

COVERAGE

PART

SCHEDULE

Name Of Additional Or Or PARTIES

ALL

A

WRITTEN

KNOWN

Person( s) Locations

s :

WHERE

REQUIRED

CONTRACT

PRIOR

Section include

required

II — as

Who

TO

s)

with

to

respect

damage"

or

to complete this Schedule,

Is

An

additional

an

organization(

"

shown

Insured insured

in

the

is

if not shown above, will be shown

amended

to

B. With

the

person( s) or Schedule, but only

liability for ' bodily injury", " property personal and advertising injury"

caused, in whole or in part, by: 1.

Your

acts

or omissions;

2.

The

acts

or omissions

on

insurance

afforded

to these

This insurance does not apply to " bodily injury" or property damage" occurring after: 1.

acting

respect to the

sions apply:

or

of those

in the Declarations.

additional insureds, the following additional exclu-

All work, including materials, parts or equipment furnished in connection with such work,

on the project ( other than service, maintenance or repairs) to be performed by or on behalf of

your

behalf;

the additional

in the performance of your ongoing operations for insured( s) at the location( s) desigthe additional nated

Of Covered Operations

r.LL

BY

LOSS

Information

A

Insured

anization

insureds)

covered operations

at the location

has been completed;

of the or

2. That portion of ' your work" out of which the injury or damage arises has been put to its in-

above.

tended

use

by

any

other than another

person

or

organization

contractor or subcontractor

engaged in performing operations for a principal as a part of the same project.

CG 20 10 07 04

0 ISO Properties,

Inc..

2004

Page 1 of 1

0


POLICY

NUMBER.

ZAGLB9248704

COMMERCIAL

GENERAL

LIABILITY

CG 20 37 07 04

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL

INSURED -

CONTRACTORS -

OWNERS, LESSEES OR

COMPLETED OPERATIONS

This endorsement modifies insurance provided under the following: COMMERCIAL

GENERAL

LIABILITY COVERAGE PART SCHEDULE

Name Of Additional Insured Person( s) Or Or ALL

A

PARTIES

WRITTEN

KNOWN

anization

s :

WHERE

REQUIRED

CONTRACT

PRIOR

BY

Location

And Desai

ALL

LOCATIONS

lion Of Completed

Operations

TO

LOSS

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

II —

Section

Who Is An Insured

clude as an additional

insured

is amended to in-

the person( s) or or-

ganization( s) shown in the Schedule, but only with respect

to

liability

for '

bodily

injury"

or " property

damage" caused, in whole or in part, by ' your work" at

the

location

designated

and

schedule of this endorsement additional

insured

completed

operations

C G 20 37 07 04

and

included

described

performed in

in

the

for that

the " products-

hazard".

I SO

Pro perties,

I n c., 2004

Page

1 of 1


COMPENSATION

WORKERS

AND

EMPLOYERS

LIABILITY

INSURANCE

POLICY

WC 00 03 13 Ed. 4- 84)

POLICY

NUMBER:

ZAWC19791901

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy_ We will not enforce

our

right

against

the

person or organization

named in the Schedule. (

This agreement applies only to

the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ANY

PERSON

WHERE

RECOVER AND

OR

WAVIER

IS

IS

ORGANIZATION OF

OUR

RIGHT

PERMITTED

REQUIRED

PROVIDED

SUCH

EXECUTED

PRIOR

BY

BY

TO

LAW

WRITTEN

CONTRACT DATE

TO

CONTRACT

WAS OF

LOSS .

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Insured

Effective

TAPANI,

10/ 01/ 2025

Policy

No. ZAWC19791901

INC,

Premium

Insurance Company ARCH INDEMNITY INSURANCE COMPANY

DATE

OF ISSUE:

Countersigned By

10/ 1/ 2025

WC 00 03 13 Ed. 4- 84) c

1983

National

Council

on

compensation

Endorsement

Insurance.

No.

INCL.


Policy Number: ZACAT9278404

COMMERCIAL

AUTO

CA044911

THIS ENDORSEMENT

THE POLICY.

CHANGES

16

PLEASE READ IT CAREFULLY.

PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE This endorsement AUTO

modifies insurance

DEALERS

BUSINESS MOTOR

COVERAGE

provided under the following:

FORM

AUTO COVERAGE

CARRIER

CONDITION

FORM

COVERAGE

FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A.

The

following

Condition

in

added

is

to

Auto

and the Other Insurance — Provisions

Insurance

Form

Coverage

and

Other

the

Business

the

Insurance

Coverage

Primary And

in

the

supersedes

Form

Excess Carrier

Motor

to

any provision

the contrary

This

Coverage contribution

from

any

insured"

I.

Such "

insured"

other

insurance;

You

have

under

will

insurance

is a Named

Liability not

seek

available

policy provided

in the Auto Dealers Coverage

supersedes

any provision

This Coverage Form' s Coverage and General

Insured

to

under

insurance

Form and

to the contrary: Covered Autos Liability Liability Coverages are

1.

this

seek

an " insured"

under

insurance;

and

2. You have agreed in writing in a contract or that

this

insurance

would

be

contract

or

primary and would not seek contribution from

would

be

contribution

from

other any insured".

writing insurance

not

insurance

in

to

Such " insured" is a Named insured under such other

such

available

your policy provided that:

agreement

that would

other

that:

and in

and

other

other

your

Autos

and

to

agreed

agreement

any

Covered

primary

an "

primary

Condition

primary to and will not seek contribution from any Form' s

Coverage is

2.

B. The following is added to the Other Insurance

a

available

to

insurance

available

to

such

Page

1 of 1

such

insured

CA 04 49 11

16

Insurance

Services

Office,

Inc.,

2016


POLICY

NUMBER

COMMERCIAL

ZAGLB9248704

GENERAL

LIABILITY

CG 20 32 07 04

THIS ENDORSEMENT

CHANGES

PLEASE READ IT CAREFULLY.

THE POLICY.

ENGINEERS, ARCHITECTS OR SURVEYORS NOT ENGAGED BY THE NAMED INSURED

ADDITIONAL INSURED -

This endorsement modifies insurance provided under the following: COMMERCIAL

GENERAL

LIABILITY COVERAGE

PART

SCHEDULE

Name Of Additional Insured Engineers, Architects Or Surveyors Not Engaged By The Named Insured: Any

person

provide

or organization

additional

insured

for

whom

status

Information required to complete this Schedule.

A.

Section

II —

Who

Is

as

an

gineers

or

surveyors

with

An

additional

include

Insured

insured

shown

you

have

specitically

under

this

policy

1.

respect

acts

or omissions, or

2. The

acts

or

omissions

B.

With

to the

by

you,

to these

additional insureds, the following additional exclusion applies

Schedule,

of those

insurance does not apply to " bodily injury", property damage" or " personal and advertising in-

This

jury" arising out of the rendenng of or the failure to render any professional services, including:

acting

engineers or surveyors, are

afforded

but

in the

on

your

1.

The preparing, approving, or failing to prepare or approve

architects,

insurance

to en-

in the performance of your ongoing operations formed by you or on your behalf.

engaged

respect

is amended

behalf,

Such

to

the architects,

to

Your

in writing

if not shown above, will oe shown in the Declarations.

liability for " bodily injury", property damage" or " personal and advertising Inury" caused, in whole or in part, by:

only

agreed

contractually

per-

while

required

to

not

maps, drawings,

opinions, reports,

surveys, change orders, designs or specifications, or 2.

Supervisory,

inspection

or

engineering

ser-

vices.

be

added as an additional insured to your policy.

CG 20 32 07 04

0 ISO Properties,

Inc ,

2004

Page

i of 1


Policy Number: ZACAT9278404

THIS ENDORSEMENT ADDITIONAL

CHANGES

INSURED -

THE POLICY.

DESIGNATED

PLEASE

PERSON

READ IT CAREFULLY.

OR ORGANIZATION

This endorsement modifies insurance provided under the following. AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR

CARRIER

COVERAGE

FORM SCHEDULE

Name of Person( s) or Organization( s); ANY

PERS( JN

OP

SFECIF' ICALLY

ADDITIONAL

N

C AGREEf)

INSURED

IN

Fk-; P

WFIIIN.=

ST"A' TJS

UNUEP

WHOM Tn

YOU

HAVE

PROVIDE

THLS

With respect to coverage provided by this endorsement, unless modified by the endorsement

POLICY,

the provisions of the Coverage

Form apply

Under Covered Autos Liability Coverage, the Who is An Insured provision is amended to include as an ' insured" the person( s) or organization( s) named in the Schedule above, but only with respect to their

legal liability for your acts or omissions or acts or omissions of any person for whom Covered Auto Liability Coverage is afforded under this policy All other terms and conditions of this Policy remain unchanged

00 CA0070

00 10 13

Page

1 of 1


SPECIAL PROVISIONS

INTRODUCTION

TO THE SPECIAL

PROVISIONS

January 4, 2024 APWA GSP, Option A)

The work on this project shall be accomplished in accordance with the Standard Specifications for Road, Bridge and Municipal Construction, 2025 edition, as issued by the Washington State Department of Transportation ( WSDOT) and the American Public Works Association ( APWA), Washington State Chapter hereafter "

Standard

The Standard Specifications, as modified or supplemented by these Special Provisions, all of which are made a part of the Contract Documents, shall govern all of the Specifications").

Work.

These Special Provisions are made up of both General Special Provisions ( GSPs) from various sources, which

may have

supplements,

project- specific fill- ins; and project- specific Special

modifies,

or

replaces

the

comparable

Standard

Provisions.

Specification,

or

Each is a

new

Provision

either

Provision.

The

deletion, amendment, alteration, or addition to any subsection or portion of the Standard Specifications is meant to pertain only to that particular portion of the section, and in no way should it be interpreted that the balance of the section does not apply. The GSPs are labeled

under the headers

of each GSP, with the effective

date of the GSP and its source.

For example:

March 8, 2013 APWA GSP) April 1, 2013

WSDOT GSP)

Project specific special provisions are labeled without a date as such:

Also incorporated into the Contract Documents by reference are: Manual on Uniform Traffic Control Devices for Streets and Highways, currently adopted edition, with Washington State modifications, if any Standard Plans for Road, Bridge and Municipal Construction, WSDOT Manual M21- 01, current edition

Contractor shall obtain copies of these publications, at Contractor' s own expense.

Special Provisions Burma

Road Toutle

Park

Road Bypass

Page 20 Project

No. 1859


DIVISION GENERAL

DESCRIPTION

1-

REQUIREMENTS

OF WORK

March 13, 1995) This contract

provides for the improvement

of ***

the newly established road from Burma Road to Toutle

Park Road by clearing and grubbing, installing quarry spalls, geotechnical fabric, dredge spoils, crushed surfacing

base

culvert,

course,

fencing, gates, guardrail, seeding

other work, all in accordance with the attached

and mulch, hot

mix

asphalt

Contract Plans, these Contract Provisions,

and

and the

Standard Specifications

Appendices. The following appendices are hereby provided for the Contractor' s information: Appendix

A —

Limited Topographic Survey Technical Memorandum from Delve Underground

Appendix B —

1- 01. 3

Definitions

January 19, 2022 APWA GSP)

Delete the heading Completion Dates and the three paragraphs that follow it, and replace them with the following: Dates

Bid Opening Date The date on which the Contracting Agency publicly opens and reads the Bids. Award Date

The date of the formal decision of the Contracting Agency to accept the lowest responsible and responsive Bidder for the Work. Contract Execution

Date

The date the Contracting Agency officially binds the Agency to the Contract. Notice

to Proceed

The date stated

Date

in the Notice

to Proceed

on which

the Contract

time begins.

Substantial Completion Date

The day the Engineer determines the Contracting Agency has full and unrestricted use and benefit of the facilities, both from the operational

and safety standpoint, any remaining traffic disruptions

will be rare and brief, and only minor incidental work, replacement of temporary substitute facilities,

plant establishment periods, or correction or repair remains for the Physical Completion of the total Contract. Physical

Completion

Date

The day all of the Work is physically completed on the project. All documentation required by the Contract and required by law does not necessarily need to be furnished by the Contractor by this date.

Special Burma

Road

Toutle

Park

Provisions Road

Bypass

Page 21 Project

No. 1859


Completion

Date

The day all the Work specified in the Contract is completed and all the obligations of the Contractor under the contract are fulfilled by the Contractor. All documentation required by the Contract and required by law must be furnished by the Contractor before establishment of this date. Final Acceptance Date

The date on which the Contracting Agency accepts the Work as complete. Supplement this Section with the following: All

references

in the Standard

Secretary

Specifications

of Transportation", "

Department

of Transportation", "

or WSDOT General

Washington

Secretary", "

State

Special

Transportation

Headquarters",

Provisions,

Commission", "

and " State Treasurer"

to the terms Commission",

shall be revised to

read " Contracting Agency". All references to the terms " State" or " state" shall be revised to read " Contracting Agency" unless the reference is to an administrative agency of the State of Washington, a State statute or regulation, or the context reasonably indicates otherwise.

All references to " State Materials Laboratory" shall be revised to read " Contracting Agency designated location".

All

final

shall be interpreted to mean the Contracting Agency form( s) by which final payment is authorized, and final completion and acceptance granted. to "

references

contract

voucher

certification"

Additive

A supplemental unit of work or group of bid items, identified separately in the Bid Proposal, which may, at the discretion of the Contracting Agency, be awarded in addition to the base bid. Alternate

One of two or more units of work or groups of bid items, identified separately in the Bid Proposal, from which the Contracting Agency may make a choice between different methods or material of construction for performing the same work. Business Day

A business day is any day from Monday through Friday except holidays as listed in Section 1- 08. 5. Contract Bond The definition in the Standard Specifications for " Contract Bond" applies to whatever bond form( s) are

required by the Contract Documents, which may be a combination of a Payment Bond and a Performance

Bond.

Contract Documents See definition

for " Contract".

Special Provisions Burma

Road Toutle

Park

Road Bypass

Page 22 Project

No. 1859


Contract

Time

The period of time established by the terms and conditions of the Contract within which the Work must be physically completed. Notice of Award

The written notice from the Contracting Agency to the successful Bidder signifying the Contracting Agency' s acceptance of the Bid Proposal. Notice to Proceed

The written notice from the Contracting Agency or Engineer to the Contractor authorizing and directing the Contractor to proceed with the Work and establishing the date on which the Contract time begins. Traffic

Both vehicular and non- vehicular traffic, such as pedestrians, bicyclists, wheelchairs, and equestrian traffic.

The following highlighted text is not allowed on Federal Aid Projects: Contracting Agency" means Cowlitz County. Engineer" or " Project Engineer" means the Cowlitz County Engineer. Secretary"

or "

Secretary

of Transportation"

means the Board of County Commissioners of Cowlitz

County. State"

or "

State of Washington"

means Cowlitz County, except when referring to state departments

other than the department of transportation, and except when referring to state publications, laws, etc.

1- 02

1- 02. 1

BID PROCEDURES

AND CONDITIONS

Prequalification of Bidders

Delete this Section and replace it with the following: 1- 02. 1

Qualifications of Bidder

January 24, 2011 APWA GSP)

Before award of a public works contract, a bidder must meet at least the minimum qualifications of RCW 39. 04. 350( 1) to be considered a responsible bidder and qualified to be awarded a public works project. 1- 02. 2

Plans and Specifications

June 27, 2011 APWA

GSP)

Delete this section and replace it with the following: Information as to where Bid Documents can be obtained or reviewed can be found in the Call for Bids Advertisement for Bids) for the work.

Special Provisions Burma

Road Toutle

Park

Road Bypass

Page Project

No. 1859

23


After award of the contract, plans and specifications will be issued to the Contractor at no cost as detailed below:

To Prime Contractor Reduced

plans ( 11"

Contract

Provisions

Large plans (

e. g.,

x

22"

No. of Sets

Basis of Distribution

2

Furnished automatically upon award.

2

Furnished automatically upon award.

3

Furnished only upon request.

17")

x

34")

Additional plans and Contract Provisions may be obtained by the Contractor from the source stated in the Call for Bids, at the Contractor' s own expense.

General

1- 02. 4( 1)

December 30, 2022

The first sentence

APWA GSP Option B)

of the ninth

paragraph, beginning with " Prospective

Bidder

desiring...

is revised to

read:

Prospective Bidders desiring an explanation or interpretation of the Bid Documents, shall request the in writing by close of business *** 5*** explanation or interpretation business days preceding the bid opening to allow a written reply to reach all prospective Bidders before the submission of their Bids. 1- 02. 5

Proposal Forms

November

25, 2024

APWA GSP)

Delete this section and replace it with the following: The Proposal Form will identify the project and its location and describe the work. It will also list estimated quantities, units of measurement, the items of work, and the materials to be furnished at the unit bid prices. The bidder shall complete spaces on the proposal form that call for, but are not limited to, unit prices; extensions; summations; the total bid amount; signatures; date; and, where applicable, retail sales taxes and acknowledgment of addenda; the bidder' s name, address, telephone number, and signature; the bidder' s DBE commitment, if applicable; a State of Washington Contractor' s Registration Number; and a Business License Number, if applicable. Bids shall be in legible figures( not words) written

in ink or typed and expressed in U. S. dollars. The required certifications are included as part of the Proposal

Form.

The Contracting Agency reserves the right to arrange the proposal forms with alternates and additives, if such be to the advantage of the Contracting Agency. The bidder shall bid on all alternates and additives set forth in the Proposal Form unless otherwise specified.

Special Provisions Burma

Road Toutle

Park

Road Bypass

Page 24 Project

No. 1859


1- 02. 6

Preparation of Proposal

Section 1- 02. 6 is supplemented with the following: Preparation of Proposal November

25, 2024

APWA

Option

B

Supplement the second paragraph with the following: 4.

If a minimum bid amount has been established for any item, the unit or lump sum price must equal or exceed the minimum amount stated.

Delete the last two paragraphs, and replace them with the following: The Bidder shall submit with their Bid a completed

Contractor

Certification

Wage

Law Compliance

form,

provided by the Contracting Agency. Failure to return this certification as part of the Bid Proposal package will make this Bid Nonresponsive and ineligible for Award. A Contractor Certification of Wage Law Compliance

form

is included

in the Proposal

Forms.

The Bidder shall make no stipulation on the Bid Form, nor qualify the bid in any manner. A bid by a corporation shall be executed in the corporate name, by the president or a vice president ( or other corporate officer accompanied by evidence of authority to sign). A bid by a partnership shall be executed in the partnership name and signed by a partner. A bid by a joint venture shall be executed in the joint venture name and signed by a member of the joint venture.

Add the following new section: 1- 02. 6( 1)

Recycled Materials Proposal

January 4, 2016 APWA GSP)

The Bidder shall submit with the Bid, its proposal for incorporating recycled materials into the project, using the form provided in the Contract Provisions. 1- 02. 9 Delivery of Proposal July 8, 2024 APWA GSP, Option A)

Delete the first two paragraphs of this section and replace it with the following: The proposal shall be sealed and delivered to the location as specified in the call for bids and instructions to bidders.

Special Provisions Burma

Road Toutle

Park

Road Bypass

Page Project

No. 1859

25


1- 02. 10 Withdrawing, Revising, or Supplementing Proposal July 23, 2015 APWA GSP)

Delete this section, and replace it with the following: After submitting a physical Bid Proposal to the Contracting Agency, the Bidder may withdraw, revise, or supplement it if:

1.

The Bidder submits a written request signed by an authorized person and physically delivers it to the place designated for receipt of Bid Proposals, and

2.

The Contracting

Agency receives the request before the time set for receipt of Bid Proposals,

and 3.

The revised or supplemented Bid Proposal ( if any) is received by the Contracting Agency before the time set for receipt of Bid Proposals.

If the Bidder' s request

to withdraw,

revise,

or supplement

its Bid Proposal

is received

before

the time

set for receipt of Bid Proposals, the Contracting Agency will return the unopened Proposal package to the

Bidder.

The Bidder

must

then

submit

the

revised

or

supplemented package

in its entirety.

If the

Bidder does not submit a revised or supplemented package, then its bid shall be considered withdrawn. Late revised or supplemented Bid Proposals or late withdrawal requests will be date recorded by the Contracting Agency and returned unopened. Mailed, emailed, or faxed requests to withdraw, revise, or supplement a Bid Proposal are not acceptable.

1- 02. 12 Public Opening of Proposal Section 1- 02. 12 is supplemented with the following: Date Of Opening Bids Sealed bids are to be received at the following location prior to the time specified in the CALL FOR BIDS: Cowlitz County Department of Public Works Attn: Susan Eugenis, P. E. County Engineer 1600— 13th Avenue Kelso WA

1- 02. 13

S

98626

Irregular

Proposals

September 3, 2024 APWA GSP)

Delete this section and replace it with the following: 1.

A Proposal will be considered irregular and will be rejected if: a.

b.

The Bidder is not prequalified when so required; The Bidder adds provisions reserving the right to reject or accept the Award, or enter into the Contract;

Special Burma

Road

Toutle

Park

Provisions Road

Bypass

Page 26 Project

No. 1859


C.

d. e.

A price per unit cannot be determined from the Bid Proposal; The Proposal form is not properly executed; The Bidder fails to submit or properly complete a subcontractor list ( WSDOT Form 271015),

f.

if applicable, as required in Section 1- 02. 6;

The Bidder fails to submit or properly complete a Disadvantaged Business Enterprise Certification ( WSDOT Form 272- 056), if applicable, as required in Section 1- 02. 6;

g.

The Bidder fails to submit Written Confirmations ( WSDOT Form 422- 031) from each DBE

firm listed on the Bidder' s completed DBE Utilization Certification that they are in agreement with the bidder' s DBE participation commitment, if applicable, as required in Section

1- 02. 6,

or if the written

confirmation

that

is submitted

fails to meet the

requirements of the Special Provisions; h.

The Bidder fails to submit DBE Good Faith Effort documentation, if applicable, as required in Section

1- 02. 6, or if the documentation

that is submitted

fails to demonstrate

that a

Good Faith Effort to meet the Condition of Award in accordance with Section 1- 07. 11; i.

The

fails

Bidder

applicable,

to

submit

as required

Bid

DBE

in Section

to meet the requirements

j.

a

Item

Breakdown ( WSDOT

1- 02. 6, or if the documentation

of the Special

Form

if

272- 054),

that is submitted

fails

Provisions;

The Bidder fails to submit the Bidder Questionnaire (

DOT Form 272- 022), if applicable

as

required by Section 1- 02. 6, or if the documentation that is submitted fails to meet the requirements of the Special Provisions; or k.

The Bid Proposal terms

2.

does not constitute

a definite

and unqualified

offer to meet the material

of the Bid invitation.

A Proposal may be considered irregular and may be rejected if: a. The Proposal does not include a unit price for every Bid item; b. Any of the unit prices are excessively unbalanced ( either above or below the amount of a reasonable Bid) to the potential detriment of the Contracting Agency; C. The authorized Proposal Form furnished by the Contracting Agency is not used or is altered; d.

The completed Proposal form contains unauthorized additions, deletions, alternate Bids, or conditions;

e.

Receipt of Addenda is not acknowledged;

f.

A member of a joint venture or partnership and the joint venture or partnership submit Proposals for the

g.

1- 02. 14

same

project ( in such an instance, both Bids may be rejected);

or

If Proposal form entries are not made in ink.

Disqualification of Bidders

May 17, 2018 APWA GSP, Option A)

Delete this section and replace it with the following: A Bidder will be deemed not responsible if the Bidder does not meet the mandatory bidder responsibility criteria

in RCW 39. 04. 350( 1), as amended.

The Contracting Agency will verify that the Bidder meets the mandatory bidder responsibility criteria in RCW 39. 04. 350( 1). To assess bidder responsibility, the Contracting Agency reserves the right to request Special Provisions Burma

Road Toutle

Park

Road Bypass

Page 27 Project

No. 1859


documentation as needed from the Bidder and third parties concerning the Bidder' s compliance with the mandatory bidder responsibility criteria. If the Contracting Agency determines the Bidder does not meet the mandatory bidder responsibility criteria in RCW 39. 04. 350( 1) and is therefore not a responsible Bidder, the Contracting Agency shall notify

Bidder in writing,

the

determination,

it

with

appeal

the

for its determination.

reasons

determination

If the Bidder disagrees with this

2)

business days of the Contracting Agency' s determination by presenting its appeal and any additional information to the Contracting may

the

within

two (

Agency. The Contracting Agency will consider the appeal and any additional information before issuing its

final determination.

If the final determination

affirms that the Bidder

is not responsible,

the

Contracting Agency will not execute a contract with any other Bidder until at least two business days after the Bidder determined to be not responsible has received the Contracting Agency' s final determination.

1- 02. 15

Pre- Award Information

December 30, 2022

Revise this section

APWA GSP)

to read:

Before awarding any contract, the Contracting Agency may require one or more of these items or actions 1.

of the apparent

lowest

responsible

bidder:

A complete statement of the origin, composition, and manufacture of any or all materials to be used,

2.

Samples of these materials for quality and fitness tests,

3.

A progress schedule ( in a form the Contracting Agency requires) showing the order of and time required for the various phases of the work,

4.

A breakdown of costs assigned to any bid item,

5.

Attendance at a conference with the Engineer or representatives of the Engineer,

6.

Obtain, and furnish a copy of, a business license to do business in the city or county where the work is located.

7.

Any other information or action taken that is deemed necessary to ensure that the bidder is the lowest responsible bidder.

1- 03 1- 03. 1

AWARD AND EXECUTION Consideration

December

30, 2022

OF CONTRACT

of Bids APWA

GSP)

Revise the first paragraph to read: After opening and reading proposals, the Contracting Agency will check them for correctness of extensions of the prices per unit and the total price. If a discrepancy exists between the price per unit and the extended amount of any bid item, the price per unit will control. If a minimum bid amount has been established for any item and the bidder' s unit or lump sum price is less than the minimum specified amount, the Contracting Agency will unilaterally revise the unit or lump sum price, to the minimum Special Provisions Burma

Road Toutle

Park

Road Bypass

Page Project

No. 1859

28


specified amount and recalculate the extension. The total of extensions, corrected where necessary, including sales taxes where applicable and such additives and/ or alternates as selected by the Contracting Agency, will be used by the Contracting Agency for award purposes and to fix the Awarded Contract Price amount and the amount of the contract bond.

1- 03. 1( 1)

Identical Bid Totals

December

30, 2022

APWA GSP)

Revise this section to read:

After opening Bids, if two or more lowest responsive Bid totals are exactly equal, then the tie- breaker will be the Bidder with an equal lowest bid, that proposed to use the highest percentage of recycled materials

in the Project,

per the form

submitted

with the

Bid

Proposal.

If those percentages

are also

exactly equal, then the tie- breaker will be determined by drawing as follows: Two or more slips of paper will be marked

as

follows:

one

marked "

Winner"

other( s)

marked "

unsuccessful".

The slips will

placed inside a box. One authorized representative of each Bidder shall draw a slip from the box. Bidders shall draw in alphabetic order by the name of the firm as registered with the Washington State Department of Licensing. The slips shall be unfolded and the firm with the slip marked " Winner" will be determined to be the successful Bidder and eligible for Award of the Contract. Only those Bidders who submitted a Bid total that is exactly equal to the lowest responsive Bid, and with a proposed recycled materials percentage that is exactly equal to the highest proposed recycled materials amount, are eligible to draw. be

folded

to

make

the

marking

unseen.

The

and the slips

will

be

For Non- Federal Aid Projects, use the following GSP) 1- 03. 3

Execution of Contract

January 4, 2024 APWA GSP Option B) Revise this section to read:

Within 3

calendar

days of Award date ( not including Saturdays,

Sundays

and

Holidays),

the successful

Bidder shall provide the information necessary to execute the Contract to the Contracting Agency. The Bidder shall send the contact information, including the full name, email address, and phone number, for the authorized signer and bonding agent to the Contracting Agency. Copies of the Contract Provisions, including the unsigned Form of Contract, will be available for signature by the successful bidder on the first business day following award. The number of copies to be executed by the Contractor will be determined by the Contracting Agency. Within 10 calendar days after the award date, the successful bidder shall return the signed Contracting Agency- prepared contract, an insurance certification as required by Section 1- 07. 18, a satisfactory bond as required by law and Section 1- 03. 4, the Transfer of Coverage form for the Construction Stormwater General Permit with sections I, III, and VIII completed when provided. Before execution of the contract by the Contracting Agency, the successful bidder shall provide any pre- award information the Contracting Agency may require under Section 1- 02. 15.

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Until the Contracting Agency executes a contract, no proposal shall bind the Contracting Agency nor shall any work begin within the project limits or within Contracting Agency- furnished sites. The Contractor shall bear all risks for any work begun outside such areas and for any materials ordered before the contract is executed by the Contracting Agency. If the bidder experiences circumstances beyond their control that prevents return of the contract documents within the calendar days after the award date stated above, the Contracting Agency may grant up to a maximum of 10 additional calendar days for return of the documents, provided the Contracting Agency deems the circumstances warrant it.

1- 03. 4

Contract

Bond

July 23, 2015 APWA GSP)

Delete the first paragraph and replace it with the following: The successful bidder shall provide executed payment and performance bond( s) for the full contract amount. The bond may be a combined payment and performance bond; or be separate payment and performance bonds. In the case of separate payment and performance bonds, each shall be for the full contract

amount.

The bond( s) shall:

1.

Be on Contracting Agency- furnished form( s);

2.

Be signed by an approved surety ( or sureties) that: a.

Is registered with the Washington State Insurance Commissioner, and

b.

Appears on the current Authorized Insurance List in the State of Washington published by the Office of the Insurance Commissioner,

3.

Guarantee

that

the

Contractor

will perform

and

comply

with all

obligations,

duties,

and

conditions under the Contract, including but not limited to the duty and obligation to indemnify, defend, and protect the Contracting Agency against all losses and claims related directly or indirectly from any failure: a.

Of the Contractor ( or any of the employees, subcontractors, or lower tier subcontractors of the Contractor) to faithfully perform and comply with all contract obligations, conditions, and duties, or

b.

Of the Contractor ( or the subcontractors or lower tier subcontractors of the Contractor) to

pay all laborers, mechanics, subcontractors, lower tier subcontractors, material person, or any other person who provides supplies or provisions for carrying out the work; 4.

Be conditioned upon the payment of taxes, increases, and penalties incurred on the project under titles 50, 51, and 82 RCW;

5.

and

Be accompanied by a power of attorney for the Surety' s officer empowered to sign the bond; and

6.

Be signed by an officer of the Contractor empowered to sign official statements ( sole proprietor partner). If the Contractor is a corporation, the bond( s) must be signed by the president or vice president, unless accompanied by written proof of the authority of the individual signing the bond( s) to bind the corporation ( i. e., corporate resolution, power of attorney, or a letter to such effect signed by the president or vice president). or

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1- 03. 7

Judicial

December

Review

30, 2022

APWA GSP)

Revise this section to read:

All decisions made by the Contracting Agency regarding the Award and execution of the Contract or Bid rejection shall be conclusive subject to the scope of judicial review permitted under Washington Law. Such review, if any, shall be timely filed in the Superior Court of the county where the Contracting Agency headquarters is located, provided that where an action is asserted against a county, RCW 36. 01. 050 shall control venue and jurisdiction.

1- 04

SCOPE

1- 04. 2

OF THE WORK

Coordination of Contract Documents, Plans, Special Provisions, Specifications, and Addenda

December

30, 2022

APWA GSP)

Revise the second paragraph to read: Any inconsistency in the parts of the contract shall be resolved by following this order of precedence e. g., 1 presiding over 2, 2 over 3, 3 over 4, and so forth): 1.

Addenda,

2.

Proposal Form,

3.

Special Provisions,

4.

Contract

5.

Standard Specifications,

6.

Contracting Agency' s Standard

7.

WSDOT Standard Plans for Road, Bridge, and Municipal Construction.

Plans,

of Contract

Plans

or

Details ( if any), and

The Contractor shall provide any work or materials clearly implied in the contract even if the contract documents do not mention it specifically. If the contract documents use words that are not defined therein but have a commonly accepted technical or trade meaning, the words shall be understood in accordance with that meaning. Interpretation

1- 04. 4

Documents.

Changes

January 19, 2022 APWA GSP)

The first two sentences of the last paragraph of Section 1- 04. 4 are deleted. 1- 05

CONTROL

OF WORK

1- 05. 1 Authority of The Engineer Section 1- 05. 1 is supplemented with the following:

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Additional

from

Engineer.

If the Engineer determines that the provisions in the contract documents are not sufficiently clear to permit the Contractor to proceed with the work, the Engineer Directions

shall, either on his own or upon written request from the Contractor, furnish such additional written

directions as he deems appropriate. When the Contractor makes such a request, it must do so in writing and must allow ample time to permit the Engineer to review the request and prepare any additional directions before the Contractor begins any work affected by the request. Any additional directions issued by the Engineer shall not be inconsistent with the contract documents and shall have the same force and effect as if contained in the contract documents.

1- 05. 3 Plans and Working Drawings Section 1- 05. 3 is supplemented with the following: The Contractor shall submit five copies of all shop drawings and samples to the Engineer for review and approval in accordance with the schedule of shop drawing submissions approved at the Pre- Construction Conference. Contractor shall check and verify all field measurements prior to submitting shop drawings to Engineer for review and approval, shop drawings shall have been checked by and stamped with the approval of the Contractor and identified as the Engineer may require. The data shown on the Shop Drawings will be complete with respect to dimensions, design criteria, Shop Drawings,

material or construction and like information to enable the Engineer to review the information as required.

At the time of each submission, the Contractor shall, in writing, call the Engineer' s attention to any deviations that the Shop Drawings or Samples may have from the requirements of the Contract Documents.

The Engineer will review and approve with reasonable promptness shop drawings and samples, but the Engineer' s review and approval shall be only for conformance with the design concept of the Project and for compliance with the information given in the Contact Documents and shall not extend to means, methods, sequences, techniques or procedures of construction or to safety precautions or programs incident thereto.

The review and approval of a separate item as such will not indicate approval of the

which

functions.

The Contractor shall make any corrections required by the Engineer and shall return the required number of corrected copies of shop drawing and resubmit new samples for review and approval. The Contractor shall direct specific attention, in writing, to revisions other than the corrections called for by the Engineer on previous submittals. The Contractor' s stamp of approval on any shop drawings or samples shall constitute a representation to Owner and Engineer that Contractor has either determined and verified all quantities, dimensions, field construction criteria, materials, catalog numbers, and similar data or assumes full responsibility for doing so, and that the Contractor has reviewed or coordinated each shop drawing or sample with the requirements of the assembly

in

the

item

work and the Contract Documents.

Where a shop drawing or sample is required by the Specifications, no related work shall be commenced until the submittal has been reviewed and approved by the Engineer. The Engineer' s review and approval of shop drawings or samples shall not relieve the Contractor from responsibility for any deviations from the Contract Documents unless the Contractor has, in writing, Special Provisions Burma

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called the Engineer' s attention to such deviation at the time of submission and the Engineer has given written concurrence and approval to the specific deviation, nor shall any concurrence or approval by the Engineer relieve the Contractor from responsibility for errors or omissions in the shop drawings. The following is a list of products and materials for which the Contractor shall submit shop drawings or samples. The list may not be inclusive and is subject to revision by the Engineer and Owner. 1.)

Shoring and cribbing

1- 05. 4 Conformity With And Deviations From Plans And Stakes Section 1- 05. 4 is supplemented

with the following:

The Contracting Agency will provide construction surveying following a written request by the Contractor. The Contractor shall prepare the project site as necessary to accommodate the survey operations. This includes clearing and grubbing, and any excavation or placement of fill materials the stakes to be placed at the correct elevations. for necessary If the Contracting Agency' s survey personnel arrive at the project site and the site has not been adequately prepared for the specific surveying

task,

the

survey

request

will

be denied

and

returned

to

the

Contractor.

The Contracting

Agency will not provide the requested surveying services until a new request has been submitted by the Contractor.

The Contractor shall provide sufficient, safe and adequate space for the surveyors to set points and elevations and shall use caution whenever it is necessary to have equipment working at the same time and the same vicinity as the Contracting Agency' s survey personnel. If the Engineer determines that sufficient, safe and adequate space is not provided, then survey personnel may be withdrawn until corrective action is taken by the Contractor to the satisfaction of the Engineer. The Contractor shall assume full responsibility for the interpretation and measurements from the stakes, hubs or marks. If the Contractor notices any discrepancies in line or grade, the Contractor shall bring them to the immediate attention of the Engineer, prior to constructing the affected work

Add the following new sub- section: 1- 05. 4 Conformity With and Deviations from Plans and Stakes Supplement this section with the following: Roadway and Utility Surveys November

25, 2024

APWA

GSP, Option A)

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The Engineer shall furnish to the Contractor one time only all principal lines, grades, and measurements the Engineer deems necessary for completion of the work. These shall generally consist of one initial set of: 1.

Slope stakes for establishing grading;

2.

Curb grade stakes;

3.

Centerline finish grade stakes for pavement sections wider than 25 feet; and

4.

Offset points to establish line and grade for underground utilities such as water, sewers, and storm

drains.

On alley construction projects with minor grade changes, the Engineer shall provide only offset hubs on one side of the alley to establish the alignment and grade.

1- 05. 7

Removal of Defective and Unauthorized Work

October 1, 2005 APWA GSP)

Supplement this section with the following: If the Contractor fails to remedy defective or unauthorized work within the time specified in a written notice from the Engineer or fails to perform any part of the work required by the Contract Documents, the Engineer may correct and remedy such work as may be identified in the written notice, with Contracting Agency forces or by such other means as the Contracting Agency may deem necessary. If the Contractor fails to comply with a written order to remedy what the Engineer determines to be an situation, the Engineer may have the defective and unauthorized work corrected immediately, have the rejected work removed and replaced, or have work the Contractor refuses to perform completed by using Contracting Agency or other forces. An emergency situation is any situation when, in the opinion of the Engineer, a delay in its remedy could be potentially unsafe, or might cause serious risk of loss or damage to the public. emergency

Direct or indirect costs incurred by the Contracting Agency attributable to correcting and remedying defective or unauthorized work, or work the Contractor failed or refused to perform, shall be paid by the Contractor. Payment will be deducted by the Engineer from monies due, or to become due, the Contractor.

Such

direct

and

indirect

costs

shall

include

in

particular,

but

without

limitation,

compensation for additional professional services required, and costs for repair and replacement of work of others destroyed or damaged by correction, removal, or replacement of the Contractor' s unauthorized

work.

No adjustment in contract time or compensation will be allowed because of the delay in the performance of the work attributable to the exercise of the Contracting Agency' s rights provided by this Section.

The rights exercised under the provisions of this section shall not diminish the Contracting Agency' s right to pursue any other avenue for additional remedy or damages with respect to the Contractor' s failure to perform the work as required.

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1- 05. 9 Equipment

Section 1- 05. 9 is supplemented with the following: March 9, 2026 ******* revised WSDOT to Contracting Agency) General

This specification contains requirements for the use of machine control grading. Instead of providing grade control through construction stakes, the Contractor may control grade with equipment that is controlled by a machine control system. The Contractor may use any type of equipment and machine control system that produces results meeting the requirements of the Contract. Electronic data is provided for the Contractor' s convenience, and is not a part of the Contract. No guarantee or warranty is made by the Contracting Agency that electronic data provided to the Contractor: is compatible with any of the systems that are used by the Contractor; is complete; is representative of the actual conditions at the project site, or; accurately reflects the quantities and character of the actual Work required. The furnishing of electronic design data or documentation shall not relieve the Contractor from any risks or of any duty to make examinations and investigations as required by Section 1- 02. 4 or any other responsibility under the Contract or as required by law. Except as provided above, no corrections, additions, or updates of any kind will be made to electronic data provided to the Contractor. The Engineer may perform spot checks of the Contractor' s machine control grading results, calculations, records, field procedures, and quality control measures. If the Engineer determines that the Work being performed is not achieving results that will meet the Contract requirements,

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the Contractor shall make corrections to the Work at no additional cost to the Contracting Agency. Contracting Agency******* 1.

Responsibilities

The Engineer will set the initial horizontal and vertical control points for the project as shown in the Contract documents.

2.

The Engineer will provide additional datum and scale information upon request.

3.

After execution of the Contract, the Engineer will make available upon written request the

following electronic data used to design the project: design

drawings***

Data may be obtained by furnishing a written request to the Engineer Contractor' s Responsibilities 1.

The Contractor shall provide any information or data that is requested by the Contracting Agency for the purpose of performing the verification of quantities, and quality. The Contractor shall be responsible for any edits or conversions of the Contracting Agency' s electronic data whether done by the Contractor or a vendor hired by the Contractor to perform such edits or conversions. The Contractor shall be responsible for the accuracy and usability of any data or model that is developed from the Contracting Agency' s data. The Contractor shall be responsible for checking and recalibrating machine control

2.

3.

4.

equipment

as required

to achieve

results that meet the requirements

of the Contract.

The Contractor shall be responsible for establishing any additional control points needed to

5.

achieve results that meet the requirements of the Contract. 6.

The Contractor shall provide the Contracting Agency electronic as- built construction data for the final Roadway surface model in a LandXML format. One week prior to the start of grading operations the Contractor shall meet with the Engineer' s staff to review the grading plans, quality processes, and tolerance requirements.

7.

Payment

All costs associated with the use of machine control grading equipment are incidental to related items of Work, and no additional payment will be provided. 1- 05. 11

Final Inspection

Delete this section and replace it with the following: 1- 05. 11 Final Inspections and Operational Testing October 1, 2005 APWA

GSP)

1- 05. 11( 1)

Completion

Substantial

Date

When the Contractor considers the work to be substantially complete, the Contractor shall so notify the Engineer and request the Engineer establish the Substantial Completion Date. The Contractor' s request

shall list the specific items of work that remain to be completed in order to reach physical completion. The Engineer will schedule an inspection of the work with the Contractor to determine the status of

completion. The Engineer may also establish the Substantial Completion Date unilaterally. Special Provisions Burma

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If, after this inspection, the Engineer concurs with the Contractor that the work is substantially complete and ready for its intended use, the Engineer, by written notice to the Contractor, will set the Substantial Completion Date. If, after this inspection the Engineer does not consider the work substantially complete and ready for its intended use, the Engineer will, by written notice, so notify the Contractor giving the reasons, therefore.

Upon receipt of written notice concurring in or denying substantial completion, whichever is applicable, the Contractor shall pursue vigorously, diligently and without unauthorized interruption, the work necessary to reach Substantial and Physical Completion. The Contractor shall provide the Engineer with a revised schedule indicating when the Contractor expects to reach substantial and physical completion of the work.

The above process shall be repeated until the Engineer establishes the Substantial Completion Date and the Contractor considers the work physically complete and ready for final inspection. 1- 05. 11( 2)

Final Inspection

and Physical

Completion

Date

When the Contractor considers the work physically complete and ready for final inspection, the Contractor by written notice, shall request the Engineer to schedule a final inspection. The Engineer will set a date for final inspection.

The Engineer

and the Contractor

will then make a final inspection

and the

Engineer will notify the Contractor in writing of all particulars in which the final inspection reveals the work incomplete or unacceptable. The Contractor shall immediately take such corrective measures as are necessary to remedy the listed deficiencies. Corrective work shall be pursued vigorously, diligently, and without interruption until physical completion of the listed deficiencies. This process will continue until the Engineer is satisfied the listed deficiencies have been corrected.

If action to correct the listed deficiencies is not initiated within 7 days after receipt of the written notice

listing the deficiencies, the Engineer may, upon written notice to the Contractor, take whatever steps are necessary to correct those deficiencies pursuant to Section 1- 05. 7. The Contractor will not be allowed an extension of contract time because of a delay in the performance of the work attributable to the exercise of the Engineer' s right hereunder.

Upon correction of all deficiencies, the Engineer will notify the Contractor and the Contracting Agency, in writing, of the date upon which the work was considered physically complete. That date shall constitute the Physical Completion Date of the contract but shall not imply acceptance of the work or that all the obligations of the Contractor under the contract have been fulfilled.

1- 05. 11( 3)

Operational Testing

It is the intent of the Contracting Agency to have at the Physical Completion Date a complete and operable system. Therefore, when the work involves the installation of machinery or other mechanical equipment; street lighting, electrical distribution or signal systems; irrigation systems; buildings; or other similar work it may be desirable for the Engineer to have the Contractor operate and test the work for a period of time after final inspection but prior to the physical completion date. Whenever items of Special Provisions Burma

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work are listed in the Contract Provisions for operational testing, they shall be fully tested under operating conditions for the time period specified to ensure their acceptability prior to the Physical Completion Date. During and following the test period, the Contractor shall correct any items of workmanship, materials, or equipment which prove faulty, or that are not in first class operating condition. Equipment, electrical controls, meters, or other devices and equipment to be tested during this period shall be tested under the observation of the Engineer, so that the Engineer may determine their suitability for the purpose for which they were installed. The Physical Completion Date cannot be established until testing and corrections have been completed to the satisfaction of the Engineer. The costs for power, gas, labor, material, supplies, and everything else needed to successfully complete operational testing, shall be included in the unit contract prices related to the system being tested, unless specifically set forth otherwise in the proposal. Operational and test periods, when required by the Engineer, shall not affect a manufacturer' s guaranties or warranties furnished under the terms of the contract. 1- 05. 13

Superintendents,

Labor and Equipment

of Contractor

August 14, 2013 APWA GSP)

Delete the sixth and seventh paragraphs of this section. Add the following new section: 1- 05. 16

Water and Power

October 1, 2005 APWA GSP)

The Contractor shall make necessary arrangements and shall bear the costs for power and water necessary for the performance of the work, unless the contract includes power and water as a pay item. 1- 06

1- 06. 6

CONTROL

Recycled

OF MATERIAL

Materials

January 4, 2016 APWA GSP) Delete this section, including its subsections, and replace it with the following: The Contractor shall make their best effort to utilize recycled materials in the construction of the project. Approval of such material use shall be as detailed elsewhere in the Standard Specifications.

Prior to Physical Completion the Contractor shall report the quantity of recycled materials that were utilized in the construction of the project for each of the items listed in Section 9- 03. 21. The report shall include hot mix asphalt, recycled concrete aggregate, recycled glass, steel furnace slag and other recycled materials ( e. g. utilization of on- site material and aggregates from concrete returned to the supplier). The Contractor' s report shall be provided on DOT form 350- 075 Recycled Materials Reporting.

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1- 07

LEGAL RELATIONS

1- 07. 1

AND RESPONSIBILITIES

TO THE PUBLIC

Laws To Be Observed

Section 1- 07. 1 is supplemented with the following: October

1, 2005 APWA

GSP)

Supplement this section with the following: In cases of conflict between different safety regulations, the more stringent regulation shall apply. The Washington State Department of Labor and Industries shall be the sole and paramount administrative agency responsible for the administration of the provisions of the Washington Industrial Safety and Health Act of 1973 ( WISHA). The Contractor shall maintain at the project site office, or other well- known place at the project site, all articles necessaryfor providing first aid to the injured. The Contractor shall establish, publish, and make known to all employees, procedures for ensuring immediate removal to a hospital, or doctor' s care, should not persons, including employees, who may have been injured on the project site. Employees be permitted to work on the project site before the Contractor has established and made known procedures for removal of injured persons to a hospital or a doctor' s care. The Contractor shall have sole responsibility for the safety, efficiency, and adequacy of the Contractor' s plant, appliances, and methods, and for any damage or injury resulting from their failure, or improper maintenance, use, or operation. The Contractor shall be solely and completely responsible for the conditions of the project site, including safety for all persons and property in the performance of the work.

This

requirement

shall apply continuously,

and

not

be

limited

to

normal

working

hours.

The

required or implied duty of the Engineer to conduct construction review of the Contractor' s performance does not, and shall not, be intended to include review and adequacy of the Contractor' s safety measures in, on, or near the project site. 1- 07. 2

State Sales Tax

Delete this section, including its sub- sections, in its entirety and replace it with the following: 1- 07. 2

State Sales Tax

June 27, 2011 APWA GSP)

The Washington State Department of Revenue has issued special rules on the State sales tax. Sections through

1- 07. 2( 1)

1- 07. 2( 3)

are

meant

to

clarify

those

rules.

The Contractor

should

contact the

Washington State Department of Revenue for answers to questions in this area. The Contracting Agency will not adjust its payment if the Contractor bases a bid on a misunderstood tax liability. The Contractor shall include all Contractor- paid taxes in the unit bid prices or other contract amounts. In

some

cases,

however,

state

retail

sales

tax

will

not

be included.

Section 1- 07. 2( 2) describes this

exception.

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The Contracting Agency will pay the retained percentage ( or release the Contract Bond if a FHWAfunded Project) only if the Contractor has obtained from the Washington State Department of Revenue a certificate showing that all contract- related taxes have been paid ( RCW 60. 28. 051). The Contracting Agency may deduct from its payments to the Contractor any amount the Contractor may owe the Washington State Department of Revenue, whether the amount owed relates to this contract or not.

Any amount so deducted will be paid into the proper State fund. 1- 07. 2( 1)

State Sales Tax — Rule 171

WAC 458- 20- 171, and its related rules, apply to building, repairing, or improving streets, roads, etc., which are owned by a municipal corporation, or political subdivision of the state, or by the United States, and

which

used

are

primarily

for foot

or

vehicular

traffic.

This

includes

storm

or combined

sewer

systems within and included as a part of the street or road drainage system and power lines when such are part of the roadway lighting system. For work performed in such cases, the Contractor shall include Washington State Retail Sales Taxes in the various unit bid item prices, or other contract amounts, including those that the Contractor pays on the purchase of the materials, equipment, or supplies used or consumed in doing the work. 1- 07. 2( 2)

State Sales Tax —

Rule 170

WAC 458- 20- 170, and its related rules, apply to the constructing and repairing of new or existing buildings, or other structures, upon real property. This includes, but is not limited to, the construction roads, water mains and their of streets, highways, etc., owned by the state of Washington; appurtenances; sanitary sewers and sewage disposal systems unless such sewers and disposal systems are within, and a part of, a street or road drainage system; telephone, telegraph, electrical power distribution lines, or other conduits or lines in or above streets or roads, unless such power lines become a part of a street or road lighting system; and installing or attaching of any article of tangible personal property in or to real property, whether or not such personal property becomes a part of the realty by virtue of installation.

For work performed in such cases, the Contractor shall collect from the Contracting Agency, retail sales on the full contract price. The Contracting Agency will automatically add this sales tax to each

tax

payment

to the

Contractor.

For this reason, the Contractor shall not include the retail sales tax in the

unit bid item prices, or in any other contract amount subject to Rule 170, with the following exception. Exception: The Contracting Agency will not add in sales tax for a payment the Contractor or a subcontractor makes on the purchase or rental of tools, machinery, equipment, or consumable supplies not integrated into the project. Such sales taxes shall be included in the unit bid item prices or in any other

contract

1- 07. 2( 3)

amount.

Services

The Contractor shall not collect retail sales tax from the Contracting Agency on any contract wholly for professional or other services ( as defined in Washington State Department of Revenue Rules 138 and 244).

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1- 07. 6

Permits and Licenses

Section 1- 07. 6 is supplemented with the following: Use the following if Construction Stormwater General Permit required for the Project) January 2, 2018)

The Contracting Agency has obtained the below- listed permit( s) for this project. A copy of the permit( s) is attached as an appendix for informational purposes. Copies of these permits, including a copy of the Transfer of Coverage form, when applicable, are required to be onsite at all times.

Contact with the permitting agencies, concerning the below- listed permit( s), shall be made through the Engineer

with

the

exception

of

when

the

Construction

Stormwater

General

Permit

coverage

is

transferred to the Contractor, direct communication with the Department of Ecology is allowed. The Contractor shall be responsible for obtaining Ecology' s approval for any Work requiring additional Treatment Form). The Contractor shall obtain additional permits approvals ( e. g. Request for Chemical as necessary. All costs to obtain and comply with additional permits shall be included in the applicable Bid items for the Work

Construction

involved.

General

Stormwater

Permit -

Pending ***

1- 07. 7 Load Limits

Section 1- 07. 7 is supplemented with the following: March

13, 1995)

If the sources of materials provided by the Contractor necessitates hauling over roads other than State Highways, the Contractor shall, at the Contractor' s expense, make all arrangements for the use of the haul routes.

1- 07. 8 High- Visibility Apparel

The third and fourth paragraphs of Section 1- 07. 8 are revised to read: November

4, 2024)

High- visibility garments shall always be the outermost garments worn in a manner to ensure 360 degrees of uninterrupted background and retroreflective material encircling the torso. High- visibility garments shall be labeled as, and in a condition compliant with the ANSI/ ISEA 107- 2015 publication

entitled " American

equivalent

revisions.

1- 07. 9

National

Standard

for High- Visibility

Safety Apparel and Accessories,"

or

Wages

1- 07. 13 Contractor' s Responsibility for Work

1- 07. 13( 4)

Repair of Damage

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Section 1- 07. 13( 4) is revised to read:

The Contractor shall promptly repair all damage to either temporary or permanent work as directed by the

For damage

Engineer.

qualifying

for

relief

under

Sections

1- 07. 13( 1),

1- 07. 13( 2)

or 1- 07. 13( 3),

payment will be made in accordance with Section 1- 04. 4. Payment will be limited to repair of damaged work only. No payment will be made for delay or disruption of work.

1- 07. 14 Responsibility for Damage Section 1- 07. 14 is supplemented with the following: Indemnification. understood

to

References include

the

in Standard Contractor'

Specification s

1- 07. 14 to the

subcontractors.

The

Contractor'

Contractor' s

s"

agents"

responsibilities

shall

be

under

Standard Specification 1- 07. 14 shall survive the termination or completion of the contract.

Utilities

and Similar

Facilities

Section 1- 07. 17 is supplemented with the following: April 2, 2007)

Locations and dimensions shown in the Plans for existing facilities are in accordance with available information obtained without uncovering, measuring, or other verification. The following addresses and telephone numbers of utility companies known or suspected of having facilities within the project limits are supplied for the Contractor' s convenience: Power:

Cowlitz Public Utility District 961 12th Avenue Longview,

Washington

98632

360) 577- 7546

Gas:

Cascade

Natural

2688 Coweeman

Gas Park Dr.

Kelso, Washington 98626 888) 522- 1130

Telephone:

Lumen Technologies

4501 NE Minnehaha St, Bldg II Vancouver,

WA 98661

564) 888- 2024

Sprint Communications

2210 S. 351h Street Tacoma,

WA 98409

360) 402- 4159

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Ziply Fiber 354 S. 4th St. P. O. Box 535

Coos Bay, OR. 97420 503) 626- 3270

Fiber Optic:

Cascade

Networks

1111 11th Avenue Longview, WA 98632- 3109 360) 414- 5990

Lumen Technologies

4501 NE Minnehaha St, Bldg II Vancouver,

WA 98661

564) 888- 2024

AT& T

11241 Willows Road NE Suite 130 Redmond,

WA 98052

Zayo Fiber Solutions

21014th Avenue, Suite 2000 Seattle, Washington

98121

702) 755- 1143

Cable:

Comcast

6916 NE 40th Street Vancouver, WA 98661 360) 891- 3204**

The above are all the utilities known by the County to be within the location of the planned excavation or project area. With respect to any utilities other than those identified above, which are not known to the County, the Contractor shall bear full responsibility. Additionally, the Contractor shall take all steps required to comply with RCW Chapter 19. 122. Once marked by the owner of the underground facility, the Contractor is responsible for maintaining the markings, per RCW 19. 122. 030. 1- 07. 18

Public Liability and Property Damage Insurance

Delete this section in its entirety, and replace it with the following: 1- 07. 18 Insurance

January 4, 2024 APWA GSP)

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1- 07. 18( 1) General Requirements A.

The Contractor shall procure and maintain the insurance described in all subsections of section 1- 07. 18 of these Special Provisions, from insurers with a current A. M. Best rating of not less than A-: VII and licensed to do business in the State of Washington. The Contracting Agency reserves the right to approve or reject the insurance provided, based on the insurer' s financial condition.

B.

The Contractor shall keep this insurance in force without interruption from the commencement of the Contractor' s Work through the term of the Contract and for thirty ( 30) days after the Physical Completion date, unless otherwise indicated below.

C.

If any insurance policy is written on a claims- made form, its retroactive date, and that of all subsequent renewals, shall be no later than the effective date of this Contract. The policy shall state that coverage is claims made and state the retroactive date.

Claims- made form coverage

shall be maintained by the Contractor for a minimum of 36 months following the Completion Date or earlier termination of this Contract, and the Contractor shall annually provide the If renewal of the claims made form of coverage Contracting Agency with proof of renewal. becomes unavailable, or economically prohibitive, the Contractor shall purchase an extended reporting period (" tail") or execute another form of guarantee acceptable to the Contracting Agency to assure financial responsibility for liability for services performed. D.

The Contractor' s Automobile Liability, Commercial General Liability and Excess or Umbrella Liability insurance policies shall be primary and non- contributory insurance as respects the Contracting Agency' s insurance, self-insurance, or self-insured pool coverage. Any insurance, selfinsurance, or self- insured pool coverage maintained by the Contracting Agency shall be excess of the Contractor' s insurance and shall not contribute with it.

E.

The Contractor shall provide the Contracting Agency and all additional insureds with written notice of any policy cancellation, within two business days of their receipt of such notice.

F.

The Contractor shall not begin work under the Contract until the required insurance has been

obtained and approved by the Contracting Agency G.

Failure on the part of the Contractor to maintain the insurance as required shall constitute a material breach of contract, upon which the Contracting Agency may, after giving five business days' notice to the Contractor to correct the breach, immediately terminate the Contract or, at its discretion, procure or renew such insurance and pay any and all premiums in connection therewith, with any sums so expended to be repaid to the Contracting Agency on demand, or at the sole discretion of the Contracting Agency, offset against funds due the Contractor from the Contracting Agency.

H.

All costs for insurance shall be incidental to and included in the unit or lump sum prices of the Contract and no additional payment will be made.

I.

Under no circumstances shall a wrap- up policy be obtained, for either initiating or maintaining coverage, to satisfy insurance requirements for any policy required under this Section. A " wrap up policy" is defined as an insurance agreement or arrangement under which all the parties Special Provisions Burma

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working on a specified or designated project are insured under one policy for liability arising out of that specified or designated project. 1- 07. 18( 2) Additional Insured

All insurance policies, with the exception of Workers Compensation, and of Professional Liability and Builder' s Risk ( if required by this Contract) shall name the following listed entities as additional insured( s) using the forms or endorsements required herein: the Contracting Agency and its officers, elected officials, employees, agents, and volunteers The above- listed entities shall be additional insured( s) for the full available limits of liability maintained by the Contractor, irrespective of whether such limits maintained by the Contractor are greater than those required by this Contract, and irrespective of whether the Certificate of Insurance provided by the Contractor pursuant to 1- 07. 18( 4) describes limits lower than those maintained by the Contractor. For Commercial General Liability insurance coverage, the required additional insured endorsements shall be at least as broad as ISO forms CG 20 10 10 01 for ongoing operations and CG 20 37 10 01 for completed operations.

1- 07. 18( 3)

Subcontractors

The Contractor shall cause each subcontractor of every tier to provide insurance coverage that complies with all applicable requirements of the Contractor- provided insurance as set forth herein, except the Contractor shall have sole responsibility for determining the limits of coverage required to be obtained by subcontractors. The Contractor shall ensure that all subcontractors of every tier add all entities listed in 1- 07. 18( 2) as additional insureds, and provide proof of such on the policies as required by that section as detailed in 1- 07. 18( 2) using an endorsement as least as broad as ISO CG 20 10 10 01 for ongoing operations and CG 20 37 10 01 for completed operations.

Upon request by the Contracting Agency, the Contractor shall forward to the Contracting Agency evidence of insurance and copies of the additional insured endorsements of each subcontractor of every tier as required in 1- 07. 18( 4) Verification of Coverage.

1- 07. 18( 4) Verification of Coverage

The Contractor shall deliver to the Contracting Agency a Certificate( s) of Insurance and endorsements for each policy of insurance meeting the requirements set forth herein when the Contractor delivers the signed Contract for the work. Failure of Contracting Agency to demand such verification of coverage with these insurance requirements or failure of Contracting Agency to identify a deficiency from the insurance documentation provided shall not be construed as a waiver of Contractor' s obligation to maintain such insurance.

Verification of coverage shall include: 1.

An ACORD certificate or a form determined by the Contracting Agency to be equivalent.

2.

Copies of all endorsements naming Contracting Agency and all other entities listed in 1- 07. 18( 2) as additional insured( s), showing the policy number. The Contractor may submit a copy of any blanket additional insured clause from its policies instead of a separate endorsement. Special Provisions Burma

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3.

Any other amendatory endorsements to show the coverage required herein.

4.

A notation of coverage enhancements on the Certificate of Insurance shall not satisfy these requirements—

actual endorsements must be submitted.

Upon request by the Contracting Agency, the Contractor shall forward to the Contracting Agency a full and certified copy of the insurance

policy( s).

If Builders Risk insurance is required on this Project, a full

and certified copy of that policy is required when the Contractor delivers the signed Contract for the work.

1- 07. 18( 5) Coverages and Limits

The insurance shall provide the minimum coverages and limits set forth below. Contractor' s maintenance

of insurance,

its scope

of coverage,

and limits as required

herein

shall not be construed

to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the Contracting Agency' s recourse to any remedy available at law or in equity. All deductibles and self- insured retentions must be disclosed and are subject to approval by the Contracting Agency. The cost of any claim payments falling within the deductible or self- insured retention shall be the responsibility of the Contractor. In the event an additional insured incurs a liability subject to any policy' s deductibles or self- insured retention, said deductibles or self- insured retention shall be the responsibility of the Contractor. 1- 07. 18( 5) A Commercial General Liability Commercial General Liability insurance shall be written on coverage forms at least as broad as ISO occurrence form CG 00 01, including but not limited to liability arising from premises, operations, stop gap liability, independent contractors, products- completed operations, personal and advertising injury, and liability assumed under an insured contract. There shall be no exclusion for liability arising from explosion, collapse or underground property damage. The Commercial General Liability insurance shall be endorsed to provide a per project general aggregate limit, using ISO form CG 25 03 05 09 or an equivalent endorsement. Contractor shall maintain Commercial General Liability Insurance arising out of the Contractor' s completed operations for at least three years following Substantial Completion of the Work. Such policy must provide the following minimum limits: 2, 000, 000

Each Occurrence

3, 000, 000

General Aggregate

3, 000, 000

Products &

Completed Operations Aggregate

2, 000, 000

Personal &

Advertising Injury each offence

2, 000, 000

Stop Gap/

Employers' Liability each accident

1- 07. 18( 5) B Automobile Liability

Automobile Liability shall cover owned, non- owned, hired, and leased vehicles; and shall be written on a coverage form at least as broad as ISO form CA 00 01. If the work involves the transport of

pollutants, the automobile liability policy shall include MCS 90 and CA 99 48 endorsements. Special Provisions Burma

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Such policy must provide the following minimum limit: 1, 000, 000

Combined

1- 07. 18( 5) C Workers'

single

limit each accident

Compensation

The Contractor shall comply with Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington.

1- 07. 23 Public Convenience And Safety 1- 07. 23( 1)

Construction

Under Traffic

The second paragraph of Section 1- 07. 23( 1) is supplemented with the following:

delay to the public, to a maximum of *** 20 *** minutes, during 20 *** travel through the project. If the delay becomes greater than *** minutes, the Contractor shall The Contractor

shall limit the total

immediately begin to take

to cease

action

the operations

that

are

causing the delays.

If the ***

20 ***

minute delay limit has been exceeded, as determined by the Engineer, the Contractor shall provide to a written proposal to revise his work operations to meet the *** 20 *** minute limit. This proposal shall be approved by the Engineer prior to resuming any work requiring traffic control.

the Engineer,

1- 07. 24 Rights of Way July 23, 2015

APWA GSP)

Delete this section and replace it with the following: Street Right of Way lines, limits of easements, and limits of construction permits are indicated in the Plans. The Contractor' s construction activities shall be confined within these limits unless arrangements

for use of private property are made. Generally, the Contracting Agency will have obtained, prior to bid opening, all rights of way and easements, both permanent and temporary, necessary for carrying out the work. Exceptions to this are noted in the Bid Documents or will be brought to the Contractor' s attention by a duly issued Addendum. Whenever any of the work is accomplished on or through property other than public Right of Way, the Contractor shall meet and fulfill all covenants and stipulations of any easement agreement obtained by the

Contracting Agency

from the

owner

of the private

property.

Copies of the easement agreements

may be included in the Contract Provisions or made available to the Contractor as soon as practical after they have been obtained by the Engineer. Whenever easements or rights of entry have not been acquired prior to advertising, these areas are so noted in the Plans. The Contractor shall not proceed with any portion of the work in areas where right of way, easements or rights of entry have not been acquired until the Engineer certifies to the Contractor that the right of way

or

easement

is available

or

that the

right

of entry has been received.

If

the Contractor is delayed due to acts of omission on the part of the Contracting Agency in obtaining Special Provisions Burma

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easements, rights of entry or right of way, the Contractor will be entitled to an extension of time. The Contractor agrees that such delay shall not be a breach of contract. Each property owner shall be given 48 hours notice prior to entry by the Contractor. This includes entry onto easements and private property where private improvements must be adjusted. The Contractor shall be responsible for providing, without expense or liability to the Contracting Agency, any additional land and access thereto that the Contractor may desire for temporary construction facilities, storage of materials, or other Contractor needs. However, before using any private property, whether adjoining the work or not, the Contractor shall file with the Engineer a written permission of the private property owner, and, upon vacating the premises, a written release from the property owner of each property disturbed or otherwise interfered with by reasons of construction pursued under this contract. The statement shall be signed by the private property owner, or proper authority acting for the owner of the private property affected, stating that permission has been granted to use the property and all necessary permits have been obtained or, in the case of a release, that the restoration of the property has been satisfactorily accomplished. The statement shall include the parcel number, address, and date of signature.

Written

releases

must be filed with the Engineer

before the Completion

Date will

be established.

1- 08 PROSECUTION

AND PROGRESS

Add the following new section: 1- 08. 0 Preliminary Matters May 25, 2006 APWA GSP)

Add the following new section: 1- 08. 0( 1)

Preconstruction

Conference

July 8, 2024 APWA GSP)

Prior to the Contractor beginning the work, a preconstruction conference will be held between the the Engineer and such other interested parties as may be invited. The purpose of the preconstruction conference will be:

Contractor,

1.

To review the initial progress schedule;

2.

To establish a working understanding among the various parties associated or affected by the work;

3.

To establish and review procedures for progress payment, notifications, approvals, submittals, etc.;

4.

To review DBE Requirements, Training Plans, and Apprenticeship Plans, when applicable.

5.

To establish normal working hours for the work;

6.

To review safety standards and traffic control; and

7.

To discuss such other related items as may be pertinent to the work.

The Contractor shall prepare and submit at the preconstruction conference the following: Special Provisions Burma

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1.

A breakdown of all lump sum items;

2.

A preliminary schedule of working drawing submittals; and

3.

A list of material sources for approval if applicable.

Add the following new section: 1- 08. 0( 2)

Hours of Work

December

8, 2014 AP WA GSP)

Except in the case of emergency or unless otherwise approved by the Engineer, the normal working hours for the Contract shall be any consecutive 8- hour period between 7: 00 a. m. and 6: 00 p. m. Monday through Friday, exclusive of a lunch break. If the Contractor desires different than the normal working hours stated above, the request must be submitted in writing prior to the preconstruction conference, subject to the provisions below. The working hours for the Contract shall be established at or prior to the preconstruction

conference.

All working hours and days are also subject to local permit and ordinance conditions ( such as noise ordinances).

If the Contractor wishes to deviate from the established working hours, the Contractor shall submit a request to the Engineer for consideration. This request shall state what hours are being

written

requested, and why.

Requests

shall be submitted for review

no

later than ***

3 days***

prior to the

day( s) the Contractor is requesting to change the hours. If the Contracting Agency approves such a deviation, such approval may be subject to certain other conditions, which will be detailed in writing. For example: 1.

On non- Federal aid projects, requiring the Contractor to reimburse the Contracting Agency for the costs in excess of straight- time costs for Contracting Agency representatives who worked during such times. ( The Engineer may require designated representatives to be present during the work. Representatives who may be deemed necessary by the Engineer include but are not limited to: survey crews; personnel from the Contracting Agency' s material testing lab; inspectors; and other Contracting Agency employees or third party consultants when, in the opinion of the Engineer, such work necessitates their presence.)

2.

Considering the work performed on Saturdays, Sundays, and holidays as working days with regard to the contract time.

3.

Considering multiple work shifts as multiple working days with respect to contract time even though the multiple shifts occur in a single 24- hour period.

4.

If a 4- 10 work schedule is requested and approved the non- working day for the week will be charged as a working day.

5.

If Davis Bacon wage rates apply to this Contract, all requirements must be met and recorded properly on certified payroll.

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1- 08. 0( 3)

Reimbursement for Overtime Work of Contracting Agency Employees

Where the Contractor elects to work on a Saturday, Sunday, or holiday, or longer than an 8- hour work shift on a regular working day, as defined in the Standard Specifications, such work shall be considered work. as overtime On all such overtime work an inspector will be present, and a survey crew may be required at the discretion of the Engineer. In such case, the Contracting Agency may deduct from amounts due or to become due to the Contractor for the costs in excess of the straight- time costs for

employees of the Contracting Agency required to work overtime hours. The Contractor by these specifications does hereby authorize the Engineer to deduct such costs from the amount

due or to become

THE FOLLOWING

due to the Contractor.

IS NOT ALLOWED

ON FEDERAL AID PROJECTS)

1- 08. 1 Subcontracting

Section 1- 08. 1 is supplemented with the following:

The Contractor

shall

ensure

that

each

subcontractor (

in any tier)

agrees

in writing

to: ( a)

perform its

work in strict compliance with these contract documents; and ( b) defend, indemnify, and hold harmless Cowlitz County ( and its officials, employees, and agents) from claims and liabilities arising from the subcontractor' s acts and omissions, to the same extent provided in Standard Specification 1- 07. 14 for the Contractor. Upon request, the Contractor will promptly provide the Engineer with a copy of any subcontract.

The Contractor shall include the language of this section in each of its first tier subcontracts, and shall require

each of its subcontractors

subcontracts,

adjusting only

as

to include

the same

necessary the terms

language

of this section

in each of their

used for the contracting parties.

Upon request of

the Owner, the Contractor shall promptly provide documentation to the Owner demonstrating that the subcontractor meets the subcontractor responsibility criteria below. The requirements of this section apply to all subcontractors regardless of tier. At the time of subcontract execution, the Contractor shall verify that each of its first tier subcontractors meets the following bidder responsibility criteria: 1.

Have a current certificate of registration

in compliance with chapter 18. 27 RCW, which must

have been in effect at the time of subcontract bid submittal;

2.

Have a current

Washington

3.

If applicable, have:

Unified

Business

Identifier ( UBI)

number;

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a.

Have

Industrial

Insurance (

workers'

compensation)

coverage

for the

subcontractor' s

employees working in Washington, as required in Title 51 RCW; b.

A Washington Employment Security Department number, as required in Title 50 RCW;

c.

A Washington

Department of Revenue state excise tax registration

number, as required in

Title 82 RCW;

4.

d.

An electrical contractor license, if required by Chapter 19. 28 RCW;

e.

An elevator contractor license, if required by Chapter 70. 87 RCW.

Not be disqualified from bidding on any public works contract under RCW 39. 06. 010 or 39. 12. 065 ( 3).

THE FOLLOWING 1- 08. 3

Progress

IS NOT ALLOWED ON FEDERAL AID PROJECTS) Schedule.

Add the following to Section 1- 08. 3:

A critical path schedule shall be submitted by the Contractor for review and approval by the Engineer prior to the preconstruction meeting. Work shall not begin until the critical path schedule is approved. Any deviation from the approved critical path must be submitted to the Engineer with a modified critical path schedule two ( 2) working days prior to the proposed deviation. Approval must be received from the Engineer prior to proceeding with the deviation. Costs for the critical path schedule shall be included in the bid items of this contract and will not be paid for individually.

1- 08. 4

Prosecution of Work

Delete the first sentence of paragraph one of Section 1- 08. 4 which begins" The Contractor shall begin...," and replace with the following:

The work shall begin within five ( 5) calendar days from the date of execution of the contract by the County. 1- 08. 5

Time for Completion

Delete the third

paragraph of Section with the following:

1- 08. 5, which begins " Contract

time

shall begin...,"

and replace

Contract time shall begin on the fifth calendar day after the County executes the contract. Section 1- 08. 5 is supplemented with the following: March 13, 1995)

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This project shall be physically

1- 08. 9

completed

within ***

60 ***

working days.

Liquidated Damages

March 3, 2021 APWA GSP, Option B)

Revise the second and third paragraphs to read: Accordingly, the Contractor agrees: 1.

To pay ( according to the following formula) liquidated damages for each working day beyond the number of working days established for Physical Completion, and

2.

To authorize the Engineer to deduct these liquidated damages from any money due or coming due to the Contractor.

Liquidated

Damages

Formula

LD= 0. 15C/ T

Where:

LD =

liquidated damages per working day ( rounded to the nearest dollar)

C = original Contract amount T=

original time for Physical Completion

When the Contract Work has progressed to Substantial Completion as defined in the Contract, the the Contract Work is Substantially Engineer may determine Complete. The Engineer will notify the Contractor in writing of the Substantial Completion Date. For overruns in Contract time occurring after the date

so

established,

the formula

for liquidated

damages

shown

above

will not apply.

For overruns

in Contract time occurring after the Substantial Completion Date, liquidated damages shall be assessed on the basis of direct engineering and related costs assignable to the project until the actual Physical Completion Date of all the Contract Work. The Contractor shall complete the remaining Work as promptly as possible. Upon request by the Project Engineer, the Contractor shall furnish a written schedule for completing the physical Work on the Contract.

1- 09

MEASUREMENT

AND PAYMENT

1- 09. 6 Force Account December

30, 2022

APWA GSP)

Supplement this section with the following: The Contracting Agency has estimated and included in the Proposal, dollar amounts for all items to be

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paid per force account, only to provide a common proposal for Bidders. All such dollar amounts are to become a part of Contractor' s total bid. However, the Contracting Agency does not warrant expressly or by implication, that the actual amount of work will correspond with those estimates. Payment will be made on the basis of the amount of work actually authorized by the Engineer. 1- 09. 7 Mobilization December

30, 2022

APWA GSP)

Delete this Section and replace it with the following: Mobilization consists of preconstruction expenses and the costs of preparatory Work and operations performed by the Contractor typically occurring before 10 percent of the total original amount of an individual

Bid Schedule

is earned

from other Contract items

on

that

Bid Schedule.

Items which

are not

to be included in the item of Mobilization include but are not limited to:

1.

Portions of the Work covered by the specific Contract item or incidental Work which is to be included

2. 3.

Based

on

1.

2.

3.

in a Contract

item or items.

Profit, interest on borrowed money, overhead, or management costs. Costs incurred for mobilizing equipment for force account Work. the

lump sum Contract price for " Mobilization", partial payments will be made as follows:

When 5 percent of the total original Bid Schedule amount is earned from other Contract items on that original Bid Schedule, excluding amounts paid for materials on hand, 50 percent of the Bid Item for mobilization on that original Bid Schedule, 5 percent of the total of that original Bid Schedule, or 5 percent of the total original Contract amount, whichever is the least, will be paid. When 10 percent of the total original Bid Schedule amount is earned from other Contract items on that original Bid Schedule, excluding amounts paid for materials on hand, 100 percent of the Bid Item for mobilization on that original Bid Schedule, 10 percent of the total of that original Bid Schedule, or 10 percent of the total original Contract amount, whichever is the least, will be paid. When the Substantial Completion Date has been established for the project, payment of any remaining amount Bid for mobilization will be paid.

Nothing herein shall be construed to limit or preclude partial payments otherwise provided by the Contract.

1- 09. 9

Payments

July 8, 2024, APWA GSP, Option 8)

Delete the fourth paragraph and replace it with the following:

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Progress payments for completed work and material on hand will be based upon progress estimates prepared by the Engineer. A progress estimate cutoff date will be established at the preconstruction conference.

The initial progress estimate will be made not later than 30 days after the Contractor commences the work, and successive progress estimates will be made every month thereafter until the Completion Date. Progress estimates made during progress of the work are tentative, and made only for the purpose of determining progress payment. The progress estimates are subject to change at any time prior to the calculation of the Final Payment. The value of the progress estimate will be the sum of the following: 1.

Unit

Price

2.

Lump Sum

Items

in the

Bid Form —

the approximate quantity of acceptable units of work completed multiplied by the unit price. Items in the Bid Form —

based on the approved Contractor' s lump sum breakdown

for that item, or absent such a breakdown, based on the Engineer' s determination. Hand —

100 percent of invoiced cost of material delivered to Job site or other storage area approved by the Engineer.

3.

Materials

4.

Change Orders —

on

entitlement

for approved

extra cost or completed

extra work as determined

by the Engineer. Progress payments will be made in accordance with the progress estimate less: 1.

Retainage

per Section

1- 09. 9( 1),

2.

The amount of Progress Payments previously made; and

3.

Funds withheld by the Contracting Agency for disbursement in accordance with the Contract

on non FHWA- funded projects;

Documents.

Progress payments for work performed shall not be evidence of acceptable performance or an The by the Contracting Agency that any work has been satisfactorily completed. determination of payments under the contract will be final in accordance with Section 1- 05. 1. admission

July 8, 2024 APWA GSP, Option A)

Supplement this section with the following: Lump sum item breakdowns are not required when the bid price for the lump sum item is less than 20, 000.

Section 1- 09. 9 is supplemented with the following:

Partial

Partial payments shall be made once each month, based on estimates prepared by The Contractor shall prepare a document detailing work and labor performed and material furnished during each calendar month, and shall deliver the document to the Engineer by the

the

Payments.

Engineer.

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fifth day of the following month. The documentation shall be in a format prescribed by the Engineer. If the Contractor' s documentation is timely submitted, the County Auditor will issue a warrant payable to the Contractor on the last working day of the month, based on the estimate prepared by the Engineer.

1- 09. 11( 3)

Time Limitation and Jurisdiction

December

30, 2022

APWA

GSP)

Revise this section to read:

For the convenience of the parties to the Contract it is mutually agreed by the parties that all claims or causes of action which the Contractor has against the Contracting Agency arising from the Contract shall be brought within 180 calendar days from the date of final acceptance ( Section 1- 05. 12) of the Contract

by the Contracting Agency; and it is further agreed that all such claims or causes of action shall be brought only in the Superior Court of the county where the Contracting Agency headquarters is located, provided that where an action is asserted against a county, RCW 36. 01. 050 shall control venue and jurisdiction. The parties understand and agree that the Contractor' s failure to bring suit within the time period provided, shall be a complete bar to all such claims or causes of action. It is further mutually agreed by the parties that when claims or causes of action which the Contractor asserts against the Contracting Agency arising from the Contract are filed with the Contracting Agency or initiated in court, the Contractor shall permit the Contracting Agency to have timely access to all records deemed necessary by the Contracting Agency to assist in evaluating the claims or action. 1- 09. 13( 3) A

Arbitration General

January 19, 2022 APWA GSP)

Revise the third paragraph to read: The Contracting Agency and the Contractor mutually agree to be bound by the decision of the arbitrator, and judgment upon the award rendered by the arbitrator may be entered in the Superior Court of the county in which the Contracting Agency' s headquarters is located, provided that where claims subject to arbitration are asserted against a county, RCW 36. 01. 050 shall control venue and jurisdiction of the Superior Court. The decision of the arbitrator and the specific basis for the decision shall be in writing. The arbitrator shall use the Contract as a basis for decisions.

1- 09. 13( 4) Venue December

for Litigation

30, 2022

APWA GSP)

Revise this section to read:

Litigation shall be brought in the Superior Court of the county in which the Contracting Agency' s headquarters is located, provided that where claims are asserted against a county, RCW 36. 01. 050 shall control venue and jurisdiction of the Superior Court. It is mutually agreed by the parties that when litigation occurs, the Contractor shall permit the Contracting Agency to have timely access to all records deemed necessary by the Contracting Agency to assist in evaluating the claims or Special Provisions Burma

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action.

1- 10 TEMPORARY

1- 10. 2

TRAFFIC

CONTROL

Traffic Control Management

Section 1- 10. 2 is supplemented with the following: November Z 2022)

Work Zone Safety Contingency Enhancements to improve the effectiveness of the accepted traffic control plans to increase the safety of the work zones shall be discussed on a weekly basis between the Contractor and the Contracting Agency. Enhancements shall be mutually agreed upon by the Contractor and Engineer prior to performing any Work to implement the enhancement. Enhancements allowed

do not include the use of Uniformed

work hour

restrictions,

or changes

Police Officers or WSP, address changes to the

to the staging

plans in the Contract ( if applicable).

If allowed

by the Engineer, these items will be addressed in accordance with Section 1- 04. 4. The Contractor shall be solely responsible for submitting any traffic control plan revision to implement the enhancement in accordance with Section 1- 10. 2( 2).

General

Section 1- 10. 2( 1) is supplemented with the following: October

3, 2022)

The Traffic Control Supervisor shall be certified by one of the following: The Northwest Laborers- Employers Training Trust 27055

Ohio Ave.

Kingston,

WA 98346

360) 297- 3035

https://

www. nwlett. edu

Evergreen Safety Council 12545 135th Ave. NE Kirkland, WA 98034- 8709 1- 800- 521- 0778

https://www.esc.org https:// www. esc. org / The American Traffic Safety Services Association 15 Riverside Parkway, Suite 100 Fredericksburg,

Virginia 22406- 1022

Training Dept. Toll Free ( 877) 642- 4637 Phone: ( 540) 368- 1701

https: Hatssa. com/ training

Special Provisions Burma

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Integrity Safety 13912

NE 20th Ave.

Vancouver,

WA 98686

360) 574- 6071

https://www.integritysafety.com https:// www. integritVsafetV. com / US Safety Alliance 904) 705- 5660

https:// www. ussafetyalliance.

com

K& D Services Inc. 2719 Rockefeller

Ave.

Everett, WA 98201 800) 343- 4049

www. kndservices. net

https://

THE FOLLOWING 1- 10. 3

Traffic

1- 10. 3( 3) A

IS NOT ALLOWED

Control

Labor,

Construction

ON FEDERAL AID PROJECTS)

Procedures,

and Devices

Signs

The first paragraph of Section 1- 10. 3( 3) A is revised to read as follows: All

by the approved traffic control plan( s) as well as any other appropriate signs prescribed by the Engineer shall be furnished by the Contractor. The Contractor shall provide the posts signs

required

or supports

and erect and maintain

the signs in a clean, neat, and presentable

condition

until the

necessity for them has ceased. When the need for these signs has ceased, the Contractor, upon approval of the Engineer, shall remove all signs, posts, and supports from the project and they shall remain the property of the Contractor. There shall be no intermixing of signs with non- fluorescent orange reflective sign sheeting and signs with fluorescent orange reflective sign sheeting on the same signpost. The third paragraph of Section 1- 10. 3( 3) A is supplemented with the following: The Contractor shall furnish, install, and remove all construction signs and all cones, barricades, flashers,

and other traffic control devises of a temporary and portable nature. The Contractor shall maintain all signs and other traffic control

devices.

MOTORCYCLES USE EXTREME CAUTION" signs per W21- 1701 of the WSDOT Sign Fabrication Manual shall be supplied by the Contractor if there will be grooved pavement, abrupt lane edges, steel plates or gravel-or-earth surfaced roadways within the project limits. The Contractor shall include the signs in the Traffic Control Plan and install the signs in advance of the work zone and maintain the signs for as long as the above conditions are present. These signs are in addition to any other signs stating the condition of the roadway. MOTORCYCLES USE EXTREME CAUTION" signs shall be considered Class 8 signs.

The seventh paragraph of Section 1- 10. 3( 3) A is revised to read as follows: Special Burma

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Signs, posts, or supports that are lost, stolen, damaged, destroyed, or which the Engineer deems to be unacceptable while their use is required on the project, shall be replaced by the Contractor without additional compensation.

1- 10. 4

Measurement (

use 1- 10. 4( 2) or 1- 10. 4( 3))

1- 10. 4( 3)

Reinstating Unit Items With Lump Sum Traffic Control Section 1- 10. 4( 3) is supplemented with the following: November The bid

2, 2022)

proposal contains

temporary traffic

the

item " Project

Temporary

Traffic

control items listed below. The provisions

Control,"

lump sum and the additional

of Section 1- 10. 4( 1), Section 1- 10. 4( 3), and

Section 1- 10. 5( 3) shall apply. Work Zone

Safety Contingency",

by force account.

1$$ ***

1- 10. 5

Payment

1- 10. 5( 2)

Item Bids With Lump Sum for Incidentals Add the following to Section 1- 10. 5( 2): November

2, 2022)

Work Zone

Safety Contingency",

by force account.

All costs as authorized by the Engineer will be paid for by force account as specified in Section 1- 09. 6. For purpose of providing a common proposal for all bidders, the Contracting Agency has entered an for the item " Work Zone Safety Contingency" in the Proposal to become a part of the

amount

Contractor'

s total

bid.

The Engineer may choose to use existing bid items for the implementation of the agreed upon enhancement.

USE THE FOLLOWING

IF NO BID ITEM FOR"

Delete the fifth and sixth paragraphs unit

Contract

price...",

OTHER TEMPORARY

of Section

TRAFFIC

1- 10. 5( 2), which begin "'

CONTROL":

Flaggers',

per hour."

and " The

respectively, and replace with the following:

Special Provisions Burma

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per hour. The unit Contract price, when applied to the number of units measured for this item in accordance with Section 1- 10. 4( 2), shall be full compensation for all costs incurred by the Contractor in performing the Flaggers",

Work defined in Section 1- 10. 3( 1) A and Section

1- 10. 3( 1) B. Payment for Flaggers shall also include

performing the duties of the Traffic Control Supervisor, furnishing, installing and removing construction signs, barricades, flashers, cones, traffic safety drums, and other temporary traffic control devices. Cowlitz County will not in any event pay for Flaggers at overtime rates unless the Engineer has specifically directed such overtime work. ( Delete highlighted text on FHWA funded projects)

BID ITEMS

BID ITEM 1: MISCELLANEOUS BID ITEM These

32: RECONNECT

bid items

shall

CONSTRUCTION

EXISTING

be accomplished

DRIVEWAYS in accordance

with the Plans and Standard

Specification

Section

1- 09. 6, except as modified below.

1- 09. 6

Force Account

Insert the following paragraph before the first paragraph of Section 1- 09. 6, which begins " The terms of the contract or of a change order may call...": The Miscellaneous Construction bid item has been included for any additional work directed by the Engineer that is not required by the original contract. The Reconnect Existing Driveways bid item has been included for the work to reconnect three driveways at the end of Toutle Park Road to the new

roadway. The amount indicated in the proposal for these bid items are to provide a common bid amount. The actual amount paid under these bid items may vary from no payment to the full amount of the bid item.

Add the following to Section 1- 09. 6: In lieu of the preceding prescribed method of determining payment for force account work, payment may be made at unit prices or lump sum prices agreed to by the Engineer and the Contractor, prior to beginning the Miscellaneous Construction and Reconnect Existing Driveways work. BID ITEM 2: REPLACEMENT

STAKING

SERVICES

BID ITEM 3: MOBILIZATION

This bid item shall be accomplished in accordance with the Plans and Standard Specification Section 109. 7.

BID ITEM 4: PROJECT TEMPORARY TRAFFIC CONTROL

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BID ITEM 5: WORK ZONE SAFETY CONTINGENCY

These bid items shall be accomplished in accordance with the Plans and Standard Specification Sections 1- 07 and 1- 10 and the Special Provisions for Section 1- 10.

BID ITEM 6: CLEARING

AND GRUBBING

This bid item shall be accomplished in accordance with the Plans and Standard Specification Section 201 except as modified below:

2- 01. 1

Description

paragraph one of Section 2- 01. 1, which the following: Delete

begins " The Contractor shall

clear..."

and replace

with

The Contractor shall clear, grub, and clean the entire limits of clearing within the project area, unless otherwise noted or specified. The Contractor shall also clear, grub and clean areas designated to receive fill materials, as specified herein. Existing trees outside the limits of clearing and specific improvements marked on the plans as remaining shall be protected from damage. paragraph two of Section with the following: Delete

2- 01. 1 which

begins "

Clearing"

means

removing

and..."

and

replace

Clearing" means removing and disposing of all unwanted material from the surface, as determined by the Engineer, such as trees, brush, vines, down timber, lumber, concrete, miscellaneous

trash, and

other.

2- 01. 2

Disposal of Usable Material and Debris

Add the following to Section 2- 01. 2:

The contractor shall use Disposal Method No. 2 per Section 2- 01. 2( 2) of the Standard Specifications. No waste site has been provided by the County for this project. 2- 01. 5

Payment

Add the following to the third paragraph of Section 2- 01. 5 which begins " the unit Contract price per acre...":

It has been calculated that there are approximately 4 acres of Clearing and Grubbing required for this project. This value has been provided for the purposes of bidding only. No adjustment to this lump sum bid item will be made.

BID ITEM 7: REMOVAL

OF STRUCTURES

AND OBSTRUCTIONS

Special Provisions Burma

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60


This bid item shall be accomplished in accordance with the Plans and Standard Specification Section 202, except as modified below:

2- 02. 1

Description

Add the following to Section 2- 02. 1:

Removal of Structures and Obstructions shall consist of the following work: 1. 2.

Removal of existing fence. Removal of gate.

3.

2- 02. 3( 3)

Removal of Pavement, Sidewalks, Curbs and Gutters

Revise Item 2. of Section

2.

2- 02. 3( 3) which

begins " Material

that

is.."

to read as follows:

Material from excavated pavements, sidewalks, curbs and gutters to be incorporated into the roadway embankment shall be cleaned of embankment materials and broken into individual fragments one foot or less in their greatest dimension and no part of any piece shall be within 3 feet

of the

top,

side,

or

end

surface

of the

embankment

or

any

Structure.

Materials

not

incorporated into the roadway embankment shall be disposed of in accordance with applicable local and state regulations.

2- 02. 5

Payment

Add the following to Section 2- 02. 5:

The lump sum contract price shall be full pay for excavating, loading, hauling, placing, or otherwise disposing of all items of this bid item designated for removal, salvage, or abandonment. The contract price shall also include all backfilling as is necessary to bring the voids left by the removal of the items specified above to match the elevation of the sub- grade or surrounding grade. It has been calculated that there are approximately 500 square yards of existing asphalt concrete pavement located within the project limits that are designated for removal in the Removal of Structure and Obstruction bid item. This value has been provided for the purposes of bidding only. No cost adjustment to the lump sum bid item for Removal of Structure and Obstruction will be made.

BID ITEM 8: ROADWAY BID ITEM 9: ONSITE

EXCAVATION,

EMBANKMENT

AND DISPOSAL

INCLUDING

HAUL

HAUL

BID ITEM 10: UNSUITABLE

FOUNDATION

EXCAVATION

INCLUDING

HAUL

These bid items shall be accomplished in accordance with the Plans and Standard Specification Section

2- 03, except as modified below. The bid quantities listed for these items are approximate and are for the Special Provisions Burma

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purposes of bidding only. Overruns and underruns in these bid items shall not be cause for adjustment in the unit prices. Section 1- 04.6 " Increased or Decreased Quantities" does not apply to these bid items. 2- 03

ROADWAY

2- 03. 1

EXCAVATION

AND EMBANKMENT

Description

paragraph one following: Delete

of Section 2- 03. 1 which

begins " The work described in..."

and replace with the

The work described in this section, regardless of the nature or type of materials encountered, includes

excavation and grading the roadway, excavation below grade, excavating channels and ditches, removal of slide material, placement and compaction

of excavated

materials as directed by the Engineer, and

disposal of all excess material. These activities may be performed in making cuts, embankments, slopes, roadway ditches, parking areas, driveways, and in completing other related work. It is the County' s intent to maximize use of the material excavated in the Roadway Excavation, Embankment and Disposal Including Haul and the Rock Excavation Including Haul bid items in the construction of embankments in lieu of using the Structural Fill Including Haul, or other embankment material specifications noted in this contract.

2- 03. 3

Construction

Requirements

Add the following to Section 2- 03. 3: 2- 03. 3( 19)

Removal of Pavement, Sidewalks, and Curbs

Removal of pavement, sidewalks, curbs, or other similar materials that lie within the limits of excavation shall be included in the unit bid price for this bid item and shall be completed in accordance with Section 2- 02. 3( 3) unless specifically identified for removal under the Removal of Structures and Obstructions bid item of this document.

Add the following to Section 2- 02. 3( 3) which is referenced by Section 2- 03. 3( 19):

Revise Item 2. of Section

2.

2- 02. 3( 3) which begins " Material that

is.."

to read as follows:

Material from excavated pavements, sidewalks, curbs and gutters to be incorporated into the roadway embankment shall be cleaned of embankment materials and broken into individual fragments one foot or less in their greatest dimension and no part of any piece shall be within 3 feet of the

top,

side,

or

end

surface

of

the

embankment

or

any

Structure.

Materials

not

incorporated into the roadway embankment shall be disposed of in accordance with applicable local and state regulations.

2- 03. 3( 3)

Add

the

Excavation

Below

following after the

Grade

second

paragraph

of Section

2- 03. 3( 3)

which begins " If the Contractor

uses...":

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Existing culverts, storm drains, and drainage structures located within the horizontal limits of the excavation shall be removed, backfilled, compacted, or abandoned as specified, unless otherwise noted on the plans.

Where shown on the Plans or where designated by the Engineer, existing culverts shall be plugged on both the inlet and outlet ends with Class 3000 concrete. Care shall be used in placing the concrete in A minimum the culvert to see that the opening of the pipe is completely filled and thoroughly plugged. linear plug length of two pipe diameters is required. 2- 03. 3( 7) A

General

Delete the text of Section

2- 03. 3( 7) A which

begins " The Contractor

shall

haul..."

and

replace

with the

following:

The Contractor shall haul all suitable excavation, as determined by the Engineer, to the nearest area designated to receive embankment material. The excavated materials for this project not considered by the Engineer to be acceptable for embankment, or determined to be in excess of the embankment materials required for this work, shall become the property of the Contractor to be disposed of in accordance with Section 2- 03. 3( 7) C. No waste site has been provided by the County. The disposal of waste or excess materials from this project on private property requires a permit(s) from Cowlitz County Building and Planning Department. This includes the temporary stockpiling and processing/

for

the

crushing

time

of material ( soil, rock, etc.).

required

to

obtain

permits

and/ or

No adjustment in the time of completion will be made the

failure

to

obtain

or

qualify

for

a

permit.

It is

recommended that the contractor contact the Building and Planning Department early in the bidding process to review potential sites to avoid problems and delays. 2- 03. 4

Measurement

Add the following to Section 2- 03. 4:

and disposal

including haul -

by the cubic yard. The quantities indicated on the proposal include an estimated 35 cubic yards of cut for driveway excavation and an estimated 100 cubic yards of over excavation. The actual over excavation quantity will be determined neat measurement. line by All other materials will be measured in- place as determined by neat- line Roadway

excavation,

embankment

modeling.

Onsite Haul— by the cubic yard.

The onsite haul quantity will be determined by neat line measurement. Only material determined to be within the Owner' s portion of the project to be excavated and used in the embankment construction will be measured for the bid item Onsite Haul.

Excavation

Haul —

by the cubic yard. excavation quantity will be determined by neat line measurement. Unsuitable

2- 03. 5

Foundation

Including

The unsuitable foundation

Payment

Add the following to Section 2- 03. 5: Special Provisions Burma

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Excavation,

Roadway

Embankment

and Disposal

Including

Haul",

per cubic yard.

The unit contract price per cubic yard for Roadway Excavation, Embankment and Disposal Including Haul shall be full pay for excavating, loading, hauling, placing, compacting, or otherwise disposing of the All work materials as directed by the Engineer. required in removal, backfilling, plugging or abandonment of existing culverts or structures shall be included in the unit bid price of this bid item, unless specifically identified for removal under the Removal of Structures and Obstructions bid item of this document.

When the Engineer orders excavation below subgrade before subgrade preparation is complete, unit prices for Roadway Excavation, Embankment and Disposal Including Haul shall apply. It is anticipated that up to 16, 650 cubic yards of the material excavated in this bid item may be determined suitable by the Engineer to be used in the construction of embankments in lieu of using the Structural Fill Including Haul or other embankment material specifications noted in this contract. This value has been provided for the purposes of bidding only. No adjustment to the unit price of this bid item will be made.

Onsite Haul",

per cubic yard.

The unit contract price per cubic yard for Onsite Haul shall be full pay for loading, hauling, placing, compacting, and incorporating the material into the embankment. No adjustment to the unit price of this bid item will be made. Unsuitable

Foundation

Excavation

Including Haul", per cubic yard.

The unit contract price per cubic yard for Unsuitable Excavation Including Haul shall be full pay for excavating, loading, and disposing of the materials as directed by the Engineer.

BID ITEM 11: TRIMMING

AND CLEANUP

This bid item shall be accomplished in accordance with the Plans and Standard Specification Section 211.

BID ITEM 12: CONSTRUCTION

GEOTEXTILE

FOR SEPARATION

BID ITEM

GEOTEXTILE

FOR STABILIZATION

13: CONSTRUCTION

These bid items shall be accomplished in accordance with the Plans and Standard Specification Section

2- 12, except as modified below. The bid quantity listed for these items are approximate and are for the Overruns and underruns in this ( these) bid item( s) shall not be cause for purposes of bidding only. in the unit price. Section 1- 04.6 " Increased or Decreased Quantities" does not apply to this adjustment these) bid item( s).

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2- 12

CONSTRUCTION

2- 12. 2

GEOTEXTILE

Materials

Add the following to Section 2- 12. 2:

Construction Geotextile for Separation per 9- 33. 2( 1) Table 3 shall be nonwoven. Construction Geotextile for Stabilization per 9. 33. 2( 2) Table 7 shall be woven. 2- 12. 3

Construction

Requirements

Add the following to Section 2- 12. 3:

Geotextile shall be placed with the long axis parallel to the centerline of the road. Overlaps of the fabric shall be pinned with sod pins on intervals determined for the site by the Engineer. Pleats for changing directions of the fabric roll shall be pinned. Additional sod pins shall be used to prevent displacement of the fabric by the wind or other conditions. Fabric placed over benches cut in a slope shall be pinned at the bottom of the vertical cuts at 10- foot intervals, or as otherwise directed by the Engineer. 2- 12. 3( 3) Delete or

Soil Stabilization

the second

more.",

sentence

of Section

2- 12. 3( 3) which

reads " The initial

lift thickness

shall be 12 inches

and replace with the following:

The initial lift thickness shall be 18 inches or more.

2- 12. 4

Measurement

paragraph one of Section with the following: Delete

2- 12. 4 which begins " Construction

geotextile,

with the...",

and replace

Construction geotextile will be measured by the square yard of material installed.

BID ITEM 14: STRUCTURAL

FILL INCLUDING

This bid item shall be accomplished

HAUL

in accordance

with the Plans, Standard

Specifications

and the

following Special Provisions Section 2- 13. The bid quantity listed for this item is approximate and is for the purposes of bidding only. Overruns and underruns in this bid item shall not be cause for adjustment in the unit price. Section 1- 04. 6 " Increased or Decreased Quantities" does not apply to this bid item. 2- 13

STRUCTURAL

2- 13. 1

FILL

Description

The work described as Structural Fill Including Haul shall consist of providing from off- project sources, a manufactured rock meeting the requirements below and placing, shaping, and compacting those materials into the roadway embankment, as is indicated on the drawings.

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It is the County' s intent to maximize use of the material excavated in the Roadway Excavation, Embankment and Disposal Including Haul, and Structure Excavation Class A Including Haul bid items in the construction of embankments in lieu of using the material noted in this bid item. 2- 13. 2

Materials

Aggregate for Structural Fill shall meet the requirements of Section 9- 03. 10, Aggregate for Gravel Base

with the following modifications: In lieu of the grading requirements specified in Section 9- 03. 10, grading shall conform to one of the following gradations: Sieve Size

Percent Passing by Weight 3- inch Max

12- inch Max

12- inch square

100

100

3- inch

square

100

30- 50

1- inch

square

45- 75

15- 35

inch

square

15- 35

10- 20

5

5 max.

U. S. No. 200

max.

In addition to the requirements specified in Section 9- 03. 10, Structural Fill shall meet the following requirements:

50% of the the

aggregate

retained

retained

aggregate

on

on

the

3- inch

square

each of the 1- inch

sieve

square

shall have at least one fractured face. 70% of

and %- inch square sieves shall have at least one

fractured face.

Structural Fill shall consist of unweathered, hard, angular, durable, free- draining material that is visibly well graded from course to fine. No rock retained on the 3- inch square sieve shall have breadth or thickness less than half of its length.

2- 13. 3

Construction

Requirements

For the 3- inch maximum structural fill, embankments shall be constructed in lifts not exceeding 8 inches. Verification of compaction for Structural Fill shall be accomplished by routing a loaded 10- yard minimum capacity dump truck over the compacted material in the presence of the Engineer. Compaction shall be determined

to

be adequate

if there is no visual deflection

of the material

under

the

load.

In locations

where there is insufficient room for a dump truck, compaction shall be accomplished with a small roller, hoe pack, or by other methods as approved by the Engineer. For the 12- inch maximum structural fill, embankments shall be constructed in accordance with Sections 2- 03. 3( 14) A of the Standard Specifications.

Structural Fill to be placed on construction geotextile shall not be dumped directly onto construction geotextile. Structural Fill shall be placed on previously placed materials then spread over the construction

geotextile.

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Structural Fill material shall not be more than 3 inches in size when placed within the upper 2 feet of embankments, within 1 foot of guardrail posts or within 2 feet of any culvert. If traffic is to be routed over structural fill, a 0. 17- foot thick( minimum) course of crushed surfacing base course shall be placed and compacted to provide a smooth roadway surface, prior to opening the road to traffic. The fill shall be graded as necessary to provide smooth horizontal and vertical roadway alignments prior to placing the crushed surfacing base course. Crushed surfacing base course placed below subgrade shall remain in place and shall be incorporated into the roadway embankment. 2- 13. 4

Measurement

Structural

fill including haul",

by the ton.

Only material imported from offsite sources and meeting the requirements of this Special Provision will be measured. Excavated material from the Roadway, Excavation, Embankment and Disposal Including Haul and Structure Excavation Class A Including Haul bid items that are stockpiled and/ or placed in the embankment will not be measured for this bid item. Crushed surfacing base course that is placed below subgrade ( to provide a smooth roadway surface) will be included in the measurement for Structural Fill Including Haul. 2- 13. 5

Payment

Structural

Fill

Including Haul",

per ton.

The unit contract price per ton shall be full pay for furnishing, processing, hauling, placing, and compacting the structural fill. Crushed surfacing base course that is placed below subgrade ( to provide a smooth roadway surface) will be paid at the unit price per ton for Structural Fill Including Haul.

BID ITEM

15: CRUSHED

SURFACING

BASE COURSE

This bid item shall be accomplished in accordance with the Plans and Standard Specification Section 404, except as modified below.

4- 04. 3( 4) Delete

Placing and Spreading

item

2 of Section

4- 04. 3( 4), which

begins " Road

Mix Method.

Each..."

and replace with the

following: 2.

Road Mix Method.

The road mix method of mixing crushed surfacing base course and top

course will not be allowed.

3.

Placement on Construction Geotextile. Crushed surfacing base and top course to be placed on geotextile shall not be dumped directly onto geotextile. Crushed surfacing base and top course shall be dumped on previously placed materials then spread over the geotextile and compacted as required by the Plans. construction

Special Provisions Burma

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Delete the second

following nominal

paragraph under item 2 Road Mix Method of Section 4- 04. 3( 4), which begins " The and replace with the following:

depth..."

The following nominal depth of compacted material shall not be exceeded in any one course without the approval of the Engineer:

Crushed Surfacing

0. 50- foot

4- 04. 3( 5)

Shaping and Compaction Add the following to Section 4- 04. 3( 5):

The top surface of the compacted materials shall not deviate from the design grade in excess of the following: Crushed

Surfacing

Base Course: +

or— 0. 02

foot.

BID ITEM 16: HMA CLASS 3/ 8 Inch PG 58H- 22 BID ITEM 17: ASPHALT COST PRICE ADJUSTMENT

These bid items shall be accomplished in accordance with the Plans, the following APWA GSP for Section 5- 04, as modified by Cowlitz County, and the subsequently following WSDOT GSP for Asphalt Cost Price Adjustment. Cowlitz County modifications to the APWA GSP are shown as underlined text for additions and as strikethrough text for deletions.

5- 04

Hot Mix Asphalt

January 31, 2023 APWA GSP)

Delete Section 5- 04, Hot Mix Asphalt, and replace it with the following: 5- 04. 1

Description

This Work shall consist of providing and placing one or more layers of plant- mixed hot mix asphalt( HMA) on a prepared foundation or base in accordance with these Specifications and the lines, grades, thicknesses, and typical cross- sections shown in the Plans. The manufacture of HMA may include warm mix asphalt ( WMA) processes in accordance with these Specifications. WMA processes include organic additives, chemical additives, and foaming. HMA shall be composed of asphalt binder and mineral materials as may be required, mixed in the proportions 5- 04. 2

specified to provide a homogeneous,

stable, and workable mixture.

Materials

Materials shall meet the requirements of the following sections: Asphalt

Binder

Cationic

Emulsified

9- 02. 1( 4) Asphalt

9- 02. 1( 6)

Anti- Stripping Additive

9- 02. 4

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HMA Additive

9- 02. 5

Aggregates

9- 03. 8

Recycled Asphalt Pavement ( RAP)

9- 03. 8( 3) B, 9- 03. 21

Reclaimed

9- 03. 8( 3) B, 9- 03. 21

Asphalt Shingles ( RAS)

Mineral Filler

9- 03. 8( 5)

Recycled

9- 03. 21

Material

The Contract documents may establish that the various mineral materials required for the manufacture of HMA will be furnished in whole or in part by the Contracting Agency. If the documents do not establish the furnishing of any of these mineral materials by the Contracting Agency, the Contractor shall be required to furnish such materials in the amounts required for the designated

mix. Mineral materials

include coarse and fine aggregates, and mineral filler.

The Contractor may choose to utilize recycled asphalt pavement ( RAP) in the production of HMA. The RAP may be from pavements removed under the Contract, if any, or pavement material from an existing stockpile.

The Contractor may use up to 20 percent RAP by total weight of HMA with no additional sampling or testing of the RAP.

If the Contractor wishes to utilize High RAP/ Any RAS, the design must be listed on the WSDOT Qualified Products

List ( QPL).

The grade of asphalt binder shall be as required by the Contract. Blending of asphalt binder from different sources is not permitted.

The Contractor may only use warm mix asphalt ( WMA) processes in the production of HMA with 20 percent or less RAP by total weight of HMA. The Contractor shall submit to the Engineer for approval the process that is proposed and how it will be used in the manufacture of HMA.

Production of aggregates shall comply with the requirements of Section 3- 01. Preparation of stockpile site, the stockpiling of aggregates, and the removal of aggregates from stockpiles shall comply with the requirements of Section 3- 02. 5- 04. 2( 1)

How to Get an HMA Mix Design on the QPL

If the Contractor

wishes

to submit

a mix

design for inclusion

in the

Qualified Products

List ( QPL),

please

follow the WSDOT process outlined in Standard Specification 5- 04. 2( 1). 5- 04. 2( 1) A

5- 04. 2( 2)

Vacant

Mix Design -

Obtaining Project Approval Special Provisions Burma

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No paving shall begin prior to the approval of the mix design by the Engineer.

Nonstatistical evaluation will be used for all HMA not designated as Commercial HMA in the Contract documents.

Commercial evaluation will be used for Commercial HMA and for other classes of HMA in the following applications: sidewalks, road approaches, ditches, slopes, paths, trails, gores, prelevel, temporary pavement, and pavement repair. Other nonstructural applications of HMA accepted by commercial evaluation shall be as approved by the Project Engineer. Sampling and testing of HMA accepted by commercial evaluation will be at the option of the Project Engineer. The Proposal quantity of HMA that is accepted by commercial evaluation will be excluded from the quantities used in the determination of nonstatistical

evaluation.

Nonstatistical Mix Design. Fifteen days prior to the first day of paving the Contractor shall provide one of the following mix design verification certifications for Contracting Agency review; The WSDOT Mix Design Evaluation

Report from the current WSDOT QPL, or one of the mix design

verification certifications listed below.

The proposed HMA mix design on WSDOT Form 350- 042 with the seal and certification ( stamp signature)

of a valid

licensed

Washington

State

Professional

Engineer.

The Mix Design Report for the proposed HMA mix design developed by a qualified City or County laboratory that is within one year of the approval date.

The mix design shall be performed by a lab accredited by a national authority such as Laboratory Accreditation Bureau, L- A- B for Construction Materials Testing, The Construction Materials Engineering Council ( CMEC' s) ISO 17025 or AASHTO Accreditation Program ( AAP) and shall supply evidence of participation in the AASHTO: resource proficiency sample program. Mix designs for HMA accepted by Nonstatistical evaluation shall: Be designed for ***

0. 3 to less than 3. 0***

million

equivalent

single

axle loads ( ESALs).

Have the aggregate structure and asphalt binder content determined in accordance with WSDOT

Standard Operating Procedure 732 and meet the requirements of Sections 9- 03. 8( 2), except that Hamburg testing for ruts and stripping are at the discretion of the Engineer, and 9- 03. 8( 6). Have anti- strip requirements, if any, for the proposed mix design determined in accordance with AASHTO T 283 or T 324 or based on historic anti- strip and aggregate source compatibility from previous WSDOT lab testing. At the discretion of the Engineer, agencies may accept verified mix designs older than 12 months from the original verification date with a certification from the Contractor that the materials and sources are the same as those shown on the original mix design.

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Commercial Evaluation Mix Design. Approval of a mix design for" Commercial Evaluation" will be based on a review of the Contractor' s submittal of WSDOT Form 350- 042 ( for commercial

mixes, AASHTO T

324 evaluation is not required) or a Mix Design from the current WSDOT QPL or from one of the

processes allowed by this section. Testing of the HMA by the Contracting Agency for mix design approval is not required.

For the Bid Item Commercial HMA, the Contractor shall select a class of HMA and design level of ESALs appropriate

for the required

use.

5- 04. 2( 2) B

Using Warm Mix Asphalt Processes

The Contractor may elect to use additives that reduce the optimum mixing temperature or serve as a

compaction aid for producing HMA. Additives include organic additives, chemical additives and foaming processes. The use of Additives is subject to the following: Do not use additives that reduce the mixing temperature more than allowed in Section 5- 04. 3( 6) in the production of mixtures. Before using additives, obtain the Engineer' s approval using WSDOT Form 350- 076 to describe the proposed additive and process. 5- 04. 3

Construction

5- 04. 3( 1)

Weather

Requirements

Limitations

Do not place HMA for wearing course on any Traveled Way beginning October 1st through March 31st of the following year without written concurrence from the Engineer.

Do not place HMA on any wet surface, or when the average surface temperatures are less than those specified below, or when weather conditions otherwise prevent the proper handling or finishing of the HMA.

Minimum Surface Temperature for Paving Compacted

Thickness

Feet) Less than

0. 10

0. 10 to . 20

More than

5- 04. 3( 2)

0. 20

Wearing Course

Other Courses

557

457

450F

350F

357

35° F

Paving Under Traffic

When the Roadway being paved is open to traffic, the requirements of this Section shall apply. The Contractor shall keep intersections open to traffic at all times except when paving the intersection or paving across the intersection. During such time, and provided that there has been an advance warning to the public, the intersection may be closed for the minimum time required to place and compact the mixture. In hot weather, the Engineer may require the application of water to the Special Provisions Burma

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pavement to accelerate the finish rolling of the pavement and to shorten the time required before reopening

to traffic.

Before closing an intersection, advance warning signs shall be placed, and signs shall also be placed marking the detour or alternate route. During paving operations, temporary pavement markings shall be maintained throughout the project. Temporary pavement markings shall be installed on the Roadway prior to opening to traffic. Temporary pavement markings shall be in accordance with Section 8- 23. All costs in connection with performing the Work in accordance with these requirements, except the cost of temporary pavement markings, shall be included in the unit Contract prices for the various Bid items

involved

5- 04. 3( 3)

5- 04. 3( 3) A

in the Contract.

Equipment

Mixing Plant

Plants used for the preparation of HMA shall conform to the following requirements: 1.

of Asphalt Binder— Tanks for the storage of asphalt binder shall be

Equipment for Preparation

equipped to heat and hold the material at the required temperatures. The heating shall be accomplished by steam coils, electricity, or other approved means so that no flame shall be in contact with the storage tank. The circulating system for the asphalt binder shall be designed to ensure proper and continuous circulation during the operating period. A valve for the purpose of sampling the asphalt binder shall be placed in either the storage tank or in the supply line to the mixer.

2.

Thermometric

An armored thermometer, capable of detecting temperature

Equipment —

ranges expected in the HMA mix, shall be fixed in the asphalt binder feed line at a location near

the charging valve at the mixer unit. The thermometer location shall be convenient and safe for access by Inspectors. The plant shall also be equipped with an approved dial- scale thermometer, a mercury actuated thermometer, an electric pyrometer, or another approved thermometric instrument placed at the discharge chute of the drier to automatically register or indicate the temperature of the heated aggregates. This device shall be in full view of the plant operator. 3.

Heating

of Asphalt

Binder —

The temperature

of the asphalt

binder shall

not exceed

the

maximum recommended by the asphalt binder manufacturer nor shall it be below the minimum temperature

required to maintain

the asphalt binder in a homogeneous

state. The asphalt

binder shall be heated in a manner that will avoid local variations in heating. The heating method shall provide a continuous supply of asphalt binder to the mixer at a uniform average temperature with no individual variations exceeding 25° F. Also, when a WMA additive is included

in the asphalt binder, the temperature

of the asphalt binder shall not exceed the

maximum recommended by the manufacturer of the WMA additive. 4.

and

Testing of

Mineral

Materials —

The HMA plant shall be equipped with a mechanical sampler for the sampling of the mineral materials. The mechanical sampler shall

Sampling

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meet the requirements of Section 1- 05. 6 for the crushing and screening operation. The Contractor shall provide for the setup and operation of the field- testing facilities of the Contracting Agency as provided for in Section 3- 01. 2( 2). 5.

Sampling

HMA —

The HMA plant shall provide for sampling HMA by one of the following

methods:

a.

A mechanical sampling device attached to the HMA plant.

b.

Platforms or devices to enable sampling from the hauling vehicle without entering the hauling vehicle.

5- 04. 3( 3) B

Hauling Equipment

Trucks used for hauling HMA shall have tight, clean, smooth metal beds and shall have a cover of canvas or other suitable material of sufficient size to protect the mixture from adverse weather. Whenever the weather conditions during the work shift include, or are forecast to include precipitation or an air temperature less than 45° F or when time from loading to unloading exceeds 30 minutes, the cover shall be securely attached to protect the HMA. The Contractor shall provide an environmentally benign means to prevent the HMA mixture from adhering to the hauling equipment. Excess release agent shall be drained prior to filling hauling equipment with HMA. Petroleum derivatives or other coating material that contaminate or alter the characteristics

of the HMA shall not be used. For live bed trucks, the conveyer shall be in operation

during the process of applying the release agent. 5- 04. 3( 3) C

Pavers

HMA pavers shall be self-contained, power- propelled units, provided with an internally heated vibratory screed and shall be capable of spreading and finishing courses of HMA plant mix material in lane widths required by the paving section shown in the Plans. The HMA paver shall be in good condition and shall have the most current equipment available from the manufacturer for the prevention of segregation of the HMA mixture installed, in good condition, and in working order. The equipment certification shall list the make, model, and year of the paver and any equipment that has been retrofitted. The screed

shall be operated

in accordance

with the manufacturer' s recommendations

and shall

effectively produce a finished surface of the required evenness and texture without tearing, shoving, segregating, or gouging the mixture. A copy of the manufacturer' s recommendations shall be provided upon request by the Contracting Agency. Extensions will be allowed provided they produce the same results, including ride, density, and surface texture as obtained by the primary screed. Extensions without augers and an internally heated vibratory screed shall not be used in the Traveled Way. When specified in the Contract, reference lines for vertical control will be required. Lines shall be placed on both outer edges of the Traveled Way of each Roadway. Horizontal control utilizing the reference line will be permitted. The grade and slope for intermediate lanes shall be controlled automatically from reference lines or by means of a mat referencing device and a slope control device. When the finish of Special Provisions Burma

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the grade prepared for paving is superior to the established tolerances and when, in the opinion of the Engineer, further improvement to the line, grade, cross- section, and smoothness can best be achieved without the use of the reference line, a mat referencing device may be substituted for the reference line. Substitution of the device will be subject to the continued approval of the Engineer. Ajoint matcher

may be used subject to the approval of the Engineer. The reference line may be removed after the completion of the first course of HMA when approved by the Engineer. Whenever the Engineer determines that any of these methods are failing to provide the necessary vertical control, the reference lines will be reinstalled by the Contractor. The Contractor shall furnish and install all pins, brackets, tensioning devices, wire, and accessories necessary for satisfactory operation of the automatic control equipment. If the paving machine in use is not providing the required finish, the Engineer may suspend Work as allowed by Section 1- 08. 6. Any cleaning or solvent type liquids spilled on the pavement shall be thoroughly removed before paving proceeds. 5- 04. 3( 3) D

Material

Transfer

Device

or Material

Transfer

Vehicle

A Material Transfer Device/ Vehicle ( MTD/ V) shall only be used with the Engineer' s approval, unless otherwise required by the Contract. Where an MTD/ V is required by the Contract, the Engineer may approve paving without an MTD/ V, at the request

of the Contractor.

The Engineer

will determine

if an equitable

adjustment

in cost or time is

due.

When used, the MTD/ V shall mix the HMA after delivery by the hauling equipment and prior to laydown by the paving machine. Mixing of the HMA shall be sufficient to obtain a uniform temperature throughout the mixture. If a windrow elevator is used, the length of the windrow may be limited in urban areas or through intersections, at the discretion of the Engineer.

To be approved for use, an MTV:

1.

Shall be self- propelled vehicle, separate from the hauling vehicle or paver.

2.

Shall not be connected to the hauling vehicle or paver.

3.

May accept HMA directly from the haul vehicle or pick up HMA from a windrow.

4.

Shall mix the HMA after delivery by the hauling equipment and prior to placement into the paving

5.

machine.

Shall mix the HMA sufficiently to obtain a uniform temperature throughout the mixture.

To be approved for use, an MTD:

1.

Shall be positively connected to the paver.

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2.

May accept HMA directly from the haul vehicle or pickup HMA from a windrow.

3.

Shall mix the HMA after delivery by the hauling equipment and prior to placement into the paving machine.

4.

Shall mix the HMA sufficiently to obtain a uniform temperature throughout the mixture.

5- 04. 3( 3) E

Rollers

Rollers shall be of the steel wheel, vibratory, oscillatory, or pneumatic tire type, in good condition and of reversing

capable

without

Operation

backlash.

of the roller shall

be in accordance

with the

manufacturer' s recommendations. When ordered by the Engineer for any roller planned for use on the project, the Contractor shall provide a copy of the manufacturer' s recommendation for the use of that roller for compaction mixture

in

in

crushing

compaction

compliance

of the

of HMA. The number and weight of rollers shall be sufficient to compact the with the

aggregate

of the surface,

requirements

will

not

displacement

be

of Section 5- 04. 3( 10). The use of equipment that results

permitted.

of the mixture

Rollers

producing

pickup,

or other undesirable

washboard,

results

shall

uneven

not be used.

5- 04. 3( 4)

Preparation of Existing Paved Surfaces When the surface of the existing pavement or old base is irregular, the Contractor shall bring it to a uniform grade and cross- section as shown on the Plans or approved by the Engineer. Preleveling of uneven or broken surfaces over which HMA is to be placed may be accomplished by using an asphalt paver, a motor patrol grader, or by hand raking, as approved by the Engineer. Compaction of preleveling HMA shall be to the satisfaction of the Engineer and may require the use of small steel wheel rollers, plate compactors, or pneumatic rollers to avoid bridging across preleveled areas by the compaction equipment. Equipment used for the compaction of preleveling HMA shall be approved by the Engineer. Before construction of HMA on an existing paved surface, the entire surface of the pavement shall be clean. All fatty asphalt patches, grease drippings, and other objectionable matter shall be entirely removed from the existing pavement. All pavements or bituminous surfaces shall be thoroughly cleaned of dust, soil, pavement grindings, and other foreign matter. All holes and small depressions shall be filled with an appropriate class of HMA. The surface of the patched area shall be leveled and compacted thoroughly. Prior to the application of tack coat, or paving, the condition of the surface shall be approved by the Engineer.

A tack coat of asphalt shall be applied to all paved surfaces on which any course of HMA is to be placed or abutted. Tack coat shall be uniformly applied to cover the existing pavement with a thin film of residual asphalt free of streaks and bare spots at a rate between 0. 02 and 0. 10 gallons per square yard of retained asphalt. The rate of application shall be approved by the Engineer. A heavy application of tack coat shall be applied to all joints. For Roadways open to traffic, the application of tack coat shall be limited to surfaces that will be paved during the same working shift. The spreading equipment shall be equipped with a thermometer to indicate the temperature of the tack coat material.

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Equipment shall not operate on tacked surfaces until the tack has broken and cured. If the Contractor' s

operation damages the tack coat it shall be repaired prior to placement of the HMA. The tack coat shall be CSS- 1, or CSS- 1h emulsified asphalt. The CSS- 1 and CSS- 1h emulsified asphalt may be diluted once with water at a rate not to exceed one- part water to one- part emulsified asphalt. The tack coat shall have sufficient temperature such that it may be applied uniformly at the specified rate of application and shall not exceed the maximum temperature recommended by the emulsified asphalt

manufacturer.

5- 04. 3( 4) A Crack Sealing When the Proposal includes a pay item for crack sealing, seal cracks in accordance with Section 5- 03. 5- 04. 3( 4) B

Vacant

5- 04. 3( 4) C

Pavement Repair

The Contractor shall excavate pavement repair areas and shall backfill these with HMA in accordance with

the

details

shown

in the

Plans

and

as

marked

in the

field.

The

Contractor

shall

conduct

the

excavation operations in a manner that will protect the pavement that is to remain. Pavement not designated to be removed that is damaged as a result of the Contractor' s operations shall be repaired

by the Contractor to the satisfaction of the Engineer at no cost to the Contracting Agency. The Contractor shall excavate only within one lane at a time unless approved otherwise by the Engineer. The Contractor shall not excavate more area than can be completely finished during the same shift, unless approved by the Engineer. Unless otherwise shown in the Plans or determined by the Engineer, excavate to a depth of 1. 0 feet. The Engineer will make the final determination of the excavation depth required. The minimum width

of any pavement repair area shall be 40 inches unless shown otherwise in the Plans. Before any excavation, the existing pavement shall be sawcut or shall be removed by a pavement grinder. Excavated materials will become the property of the Contractor and shall be disposed of in a Contractorprovided site off the Right of Way or used in accordance with Sections 2- 02. 3( 3) or 9- 03. 21. Asphalt for tack coat shall be required as specified in Section 5- 04. 3( 4). A heavy application of tack coat shall be applied to all surfaces of existing pavement in the pavement repair area. Placement of the HMA backfill shall be accomplished in lifts not to exceed 0. 35- foot compacted depth.

Lifts that exceed 0. 35- foot of compacted depth may be accomplished with the approval of the Engineer. Each lift shall be thoroughly compacted by a mechanical tamper or a roller. 5- 04. 3( 5)

Producing/ Stockpiling Aggregates and RAP Aggregates and RAP shall be stockpiled according to the requirements of Section 3- 02. Sufficient storage space shall be provided for each size of aggregate and RAP. Materials shall be removed from stockpile( s) in a manner to ensure minimal segregation when being moved to the HMA plant for processing into the final mixture. Different aggregate sizes shall be kept separated until they have been delivered to the HMA plant. 5- 04. 3( 5) A

Vacant

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5- 04. 3( 6)

Mixing

After the required amount of mineral materials, asphalt binder, recycling agent and anti- stripping additives

have been introduced

into the mixer the HMA shall be mixed until complete and uniform

coating of the particles and thorough distribution of the asphalt binder throughout the mineral materials is ensured.

When discharged, the temperature of the HMA shall not exceed the optimum mixing temperature by more than 257 as shown on the reference mix design report or as approved by the Engineer. Also, when a WMA additive is included in the manufacture of HMA, the discharge temperature of the HMA shall

not exceed the maximum recommended by the manufacturer of the WMA additive. A maximum water content of 2 percent in the mix, at discharge, will be allowed providing the water causes no problems with handling, stripping, or flushing. If the water in the HMA causes any of these problems, the moisture content shall be reduced as directed by the Engineer. Storing or holding of the HMA in approved storage facilities will be permitted with approval of the Engineer,

but in no event

shall the HMA

be held for more than

24 hours.

HMA

held for more

than

24

hours after mixing shall be rejected. Rejected HMA shall be disposed of by the Contractor at no expense to the Contracting Agency. The storage facility shall have an accessible device located at the top of the cone or about the third point. The device shall indicate the amount of material in storage. No HMA shall be accepted from the storage facility when the HMA in storage is below the top of the cone of the storage facility, except as the storage facility is being emptied at the end of the working shift. Recycled asphalt pavement ( RAP) utilized in the production of HMA shall be sized prior to entering the mixer so that a uniform and thoroughly mixed HMA is produced. If there is evidence of the recycled asphalt pavement not breaking down during the heating and mixing of the HMA, the Contractor shall immediately suspend the use of the RAP until changes have been approved by the Engineer. After the required

amount of mineral materials,

RAP, new asphalt binder and asphalt rejuvenator have been

introduced into the mixer the HMA shall be mixed until complete and uniform coating of the particles and thorough distribution of the asphalt binder throughout the mineral materials, and RAP is ensured.

5- 04. 3( 7)

Spreading and Finishing The mixture shall be laid upon an approved surface, spread, and struck off to the grade and elevation established. HMA pavers complying with Section 5- 04. 3( 3) shall be used to distribute the mixture. Unless otherwise directed by the Engineer, the nominal compacted depth of any layer of any course shall not exceed the following: 0. 35 feet

HMA Class 1" HMA Class %"

and HMA Class %" wearing other

course

0. 30 feet 0. 35 feet

courses

9. 17 feet

HMA Class %"

On areas where irregularities or unavoidable obstacles make the use of mechanical spreading and finishing equipment impractical, the paving may be done with other equipment or by hand.

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When more than one JMF is being utilized to produce HMA, the material produced for each JMF shall be placed by separate spreading and compacting equipment. The intermingling of HMA produced from more than one JMF is prohibited. Each strip of HMA placed during a work shift shall conform to a single JMF established for the class of HMA specified unless there is a need to make an adjustment in the JMF.

The internal temperature of the HMA mixture as measured immediately behind the paver screed should not be less than the minimum Compaction Temperature listed in the Mix Design Submittal Form or that

listed in the WSDOT Mix Design Verification Report, whichever is greater. All underground utilities testing shall be completed, and the installation of the underground utilities shall

be accepted

by

the

under the HMA pavement prior to placing HMA.

owner

utility

prior

to

placing

shall be placed, compacted

HMA.

All fill and crushed surfacing materials

and tested according to the Contract

The HMA mixture shall be laid upon the prepared

Documents

surface, spread, and struck off

to the grade and elevation established. The finish

surface

of the compacted

HMA shall

not deviate

from the design

grade

in excess

of the

following:

Specified Depth

Max. Allowable

Ave. Depth Deviation

Deviation

for entire project

At any point Single lift 0. 08— 0. 17'

0. 045'

0. 015'

Multi lift

0. 03'

0. 01,

0. 26— 0. 50'

0. 00-

0. 045'

0. 015'

0. 51— 0. 75'

0. 06'

0. 02'

0. 075'

0. 025'

over

0. 25'

0. 75'

5- 04. 3( 8)

Aggregate

Acceptance

For

accepted

by

HMA

uncompacted void

Prior to Incorporation

nonstatistical

content,

evaluation,

in HMA

the aggregate properties of sand equivalent,

and fracture will be evaluated in accordance

with Section

3- 04.

Sampling

and testing of aggregates for HMA accepted by commercial evaluation will be at the option of the Engineer.

5- 04. 3( 9)

HMA Mixture Acceptance

Acceptance of HMA shall be as provided under nonstatistical, or commercial evaluation. Nonstatistical

evaluation

will be used for the acceptance

of HMA unless Commercial

Evaluation

is

specified.

Commercial evaluation will be used for Commercial HMA and for other classes of HMA in the following applications: sidewalks, road approaches, ditches, slopes, paths, trails, gores, prelevel, temporary pavement, and pavement repair. Other nonstructural applications of HMA accepted by commercial evaluation shall be as approved by the Engineer. Sampling and testing of HMA accepted by commercial evaluation will be at the option of the Engineer.

The mix design will be the initial JMF for the class of HMA. The Contractor may request a change in the JMF. Any adjustments to the JMF will require the approval of the Engineer and may be made in Special Provisions Burma

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accordance with this section.

HMA Tolerances and Adjustments 1.

Job Mix Formula Tolerances — The constituents of the mixture at the time of acceptance shall be within tolerance. The tolerance limits will be established as follows:

For Asphalt

and Air Voids ( Va),

Binder

the acceptance limits are determined by adding the

tolerances below to the approved JMF values. These values will also be the Upper Specification Limit ( USL) and Lower Specification Limit ( LSL) required in Section 1- 06. 2( 2) D2

Non- Statistical

Property Asphalt Binder

Commercial

Evaluation

0. 5%

Air Voids, Va

2. 5%

Evaluation

0. 7%

min.

and 5. 5%

N/ A

max

For Aggregates in the mixture:

a.

First, determine preliminary upper and lower acceptance limits by applying the following tolerances to the approved JMF.

Aggregate

Non- Statistical

Percent

Evaluation

Passing 1",

4",

Commercial Evaluation

%",

and

3/ 8"

+/-

6%

8%

No. 4 sieve

6%

8%

No. 8 Sieve

6%

8%

No. 200

2. 0%

3. 0%

sieves

b.

sieve

Second, adjust the preliminary upper and lower acceptance limits determined from step a) the minimum amount necessary so that none of the aggregate properties are outside the control points in Section 9- 03. 8( 6). The resulting values will be the upper and lower acceptance

limits for aggregates,

as well as the USL and LSL required

in Section

1-

06. 2( 2) D2.

2.

Job

Mix Formula Adjustments — An

adjustment to the aggregate gradation or asphalt binder content of the JMF requires approval of the Engineer. Adjustments to the JMF will only be considered if the change produces material of equal or better quality and may require the development of a new mix design if the adjustment exceeds the amounts listed below.

a.

Aggregates —2

percent for the

aggregate

passing the 1%",

1",

W, %", %",and the No. 4

sieves, 1 percent for aggregate passing the No. 8 sieve, and 0. 5 percent for the aggregate passing the No. 200 sieve. The adjusted JMF shall be within the range of the control points in Section 9- 03. 8( 6). b.

Asphalt Binder Content—

The Engineer may order or approve changes to asphalt binder

content. The maximum adjustment from the approved mix design for the asphalt binder

content shall be 0. 3 percent. Special Provisions Burma

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5- 04. 3( 9) A

Vacant

5- 04. 3( 9) B

Vacant

5- 04. 3( 9) C

Mixture Acceptance— Nonstatistical Evaluation

HMA mixture which is accepted by Nonstatistical Evaluation will be evaluated by the Contracting Agency by dividing the HMA tonnage into lots. 5- 04. 3( 9) C1

Mixture Nonstatistical

Evaluation — Lots and Sublots

A lot is represented by randomly selected samples of the same mix design that will be tested for acceptance. A lot is defined as the total quantity of material or work produced for each Job Mix Formula placed. Only one lot per JMF is expected. A sublot shall be equal to one day' s production or 800 tons, whichever is less except that the final sublot will be a minimum of 400 tons and may be increased to 1200 tons.

All of the test results obtained from the acceptance samples from a given lot shall be evaluated collectively. If the Contractor requests a change to the JMF that is approved, the material produced after the change will be evaluated on the basis of the new JMF for the remaining sublots in the current lot and for acceptance of subsequent lots. For a lot in progress with a CPF less than 0. 75, a new lot will begin at the Contractor' s request after the Engineer is satisfied that material conforming to the Specifications can be produced. Sampling and testing for evaluation shall be performed on the frequency of one sample per sublot. Sampling and testing for total project quantities less than 400 tons is at the discretion of the engineer. For a total project quantity less than 800 tons but more than 400 tons, a minimum of one acceptance test shall be performed: i.

If test results are found to be within specification requirements, additional testing will be at the Engineer' s discretion.

ii.

If test results are found not to be within specification requirements, additional testing as needed to determine a CPF shall be performed.

5- 04. 3( 9) C2 Mixture Nonstatistical Evaluation Sampling Samples for acceptance testing shall be obtained by the Contractor when ordered by the Engineer. The Contractor shall sample the HMA mixture in the presence of the Engineer and in accordance with AASHTO T 168. A minimum of three samples should be taken for each class of HMA placed on a project. If used in a structural application, at least one of the three samples shall be tested.

Sampling and testing HMA in a structural application where quantities are less than 400 tons is at the discretion

of the Engineer.

For HMA used in a structural application and with a total project quantity less than 800 tons but more than 400 tons, a minimum of one acceptance test shall be performed. In all cases, a minimum of 3 samples will be obtained at the point of acceptance, a minimum of one of the three samples will be Special Provisions Burma

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tested for conformance to the JMF:

If the test results are found to be within specification requirements, additional testing will be at the Engineer' s discretion.

If test results are found not to be within specification requirements, additional testing of the remaining samples to determine a CPF shall be performed. 5- 04. 3( 9) C3

Mixture

Nonstatistical Evaluation — Acceptance Testing

Testing of HMA for compliance of Va will at the option of the Contracting Agency. If tested, compliance of Va will use WSDOT SOP 731. Testing for compliance of asphalt binder content will be by WSDOT FOP for AASHTO T 308.

Testing for compliance of gradation will be by FOP for WAQTC T 27/ T 11. 5- 04. 3( 9) C4 For each

Mixture

Nonstatistical

lot of material

Evaluation — Pay

Factors

limits in 5- 04. 3( 9), the Contracting Agency will falling determine a CPF using the following price adjustment factors: the

outside

Table of Price Adjustment

tolerance

Factors

Factor " f'

Constituent aggregate

passing: 1%",

All

aggregate

passing

No. 8 sieve

15

All

aggregate

passing

No. 200

20

Asphalt

1",

4", %",

3/"

All

and No. 4 sieves

2

sieve

40

binder

Air Voids ( Va) ( where

20

applicable)

Each lot of HMA produced under Nonstatistical Evaluation and having all constituents falling within the tolerance limits of the job mix formula shall be accepted at the unit Contract price with no further evaluation. When one or more constituents fall outside the nonstatistical tolerance limits in the Job Mix Formula shown in Table of Price Adjustment Section

1- 06. 2 to determine

calculation

the appropriate

Factors, the lot shall be evaluated

CPF. The nonstatistical

tolerance

in accordance with

limits will be used

in the

of the CPF and the maximum CPF shall be 1. 00. When less than three sublots exist, backup

samples of the existing sublots or samples from the Roadway shall be tested to provide a minimum of three sets of results for evaluation.

5- 04. 3( 9) C5

Vacant

5- 04. 3( 9) C6

Mixture Nonstatistical

Evaluation — Price Adjustments

For each lot of HMA mix produced under Nonstatistical Evaluation when the calculated CPF is less than 1. 00, a Nonconforming Mix Factor( NCMF) will be determined. The NCMF equals the algebraic difference of CPF minus 1. 00 multiplied by 60 percent. The total job mix compliance price adjustment will be Special Burma

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calculated as the product of the NCMF, the quantity of HMA in the lot in tons, and the unit Contract price per ton of mix. If a constituent is not measured in accordance with these Specifications, its individual pay factor will be considered 1. 00 in calculating the CPF. 5- 04. 3( 9) C7

Mixture

Nonstatistical

Evaluation -

Retests

The Contractor may request a sublot be retested. To request a retest, the Contractor shall submit a written request within 7 calendar days after the specific test results have been received. A split of the original acceptance sample will be retested. The split of the sample will not be tested with the same

tester that ran the original acceptance test. The sample will be tested for a complete gradation analysis, asphalt binder content, and, at the option of the agency, Va. The results of the retest will be used for the acceptance of the HMA in place of the original sublot sample test results. The cost of testing will be deducted from any monies due or that may come due the Contractor under the Contract at the rate of 500 per sample. 5- 04. 3 ( 9) D

Mixture Acceptance—

Commercial

Evaluation

If sampled and tested, HMA produced under Commercial Evaluation and having all constituents falling within the tolerance limits of the job mix formula shall be accepted at the unit Contract price with no further evaluation. When one or more constituents fall outside the commercial tolerance limits in the Job

Mix Formula

determine

shown

in 5- 04. 3( 9), the lot shall

the appropriate

CPF.

The commercial

be evaluated

tolerance

limits

in accordance will

be used

with

Section

1- 06. 2 to

in the calculation

of the

CPF and the maximum CPF shall be 1. 00. When less than three sublots exist, backup samples of the existing sublots or samples from the street shall be tested to provide a minimum of three sets of results for evaluation.

For each lot of HMA mix produced and tested under Commercial Evaluation when the calculated CPF is less than 1. 00, a Nonconforming Mix Factor ( NCMF) will be determined. The NCMF equals the algebraic difference of CPF minus 1. 00 multiplied by 60 percent. The Job Mix Compliance Price Adjustment will be calculated as the product of the NCMF, the quantity of HMA in the lot in tons, and the unit Contract price per ton of mix. If a constituent is not measured in accordance with these Specifications, its individual pay factor will be considered 1. 00 in calculating the CPF. 5- 04. 3( 10)

HMA Compaction

Acceptance

HMA mixture accepted by nonstatistical evaluation that is used in traffic lanes, including lanes for intersections, ramps, truck climbing, weaving, and speed change, and having a specified compacted course thickness greater than 0. 10- foot, shall be compacted to a specified level of relative density. The specified level of relative density shall be a CPF of not less than 0. 75 when evaluated in accordance with Section 1- 06. 2, using a LSL of 92. 0 ( minimum of 92 percent of the maximum density). The maximum density shall be determined by WSDOT FOP for AASHTO T 729. The specified level of density attained will be determined by the evaluation of the density of the pavement. The density of the pavement shall be determined in accordance with WSDOT FOP for WAQTC TM 8, except that gauge correlation will be at the discretion of the Engineer, when using the nuclear density gauge and WSDOT SOP 736 when using cores to determine density. Special Provisions Burma

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Tests for the determination of the pavement density will be taken in accordance with the required procedures for measurement by a nuclear density gauge or Roadway cores after completion of the finish rolling.

If the Contracting Agency uses a nuclear density gauge to determine density the test procedures FOP for WAQTC TM 8 and WSDOT SOP T 729 will be used on the day the mix is placed and prior to opening to traffic.

Roadway cores for density may be obtained by either the Contracting Agency or the Contractor in accordance with WSDOT SOP 734. The core diameter shall be 4- inches minimum, unless otherwise

approved by the Engineer. Roadway cores will be tested by the Contracting Agency in accordance with WSDOT

FOP for AASHTO

T 166.

If the Contract includes the Bid item "

Core",

the cores shall be obtained by the Contractor in the presence of the Engineer on the same day the mix is placed and at locations designated by the Engineer. If the Contract does not include the Bid item " Roadway Core", the Contracting Agency will obtain

Roadway

the cores.

For a lot in progress with a CPF less than 0. 75, a new lot will begin at the Contractor' s request after the Engineer is satisfied that material conforming to the Specifications can be produced. HMA mixture accepted by commercial evaluation and HMA constructed under conditions other than those listed above shall be compacted on the basis of a test point evaluation of the compaction train. The test point evaluation shall be performed in accordance with instructions from the Engineer. The number of passes with an approved compaction train, required to attain the maximum test point density, shall be used on all subsequent paving. HMA for preleveling shall be thoroughly compacted. HMA that is used for preleveling wheel rutting shall be compacted with a pneumatic tire roller unless otherwise approved by the Engineer. Test Results

For a sublot that has been tested with a nuclear density gauge that did not meet the minimum of 92 percent of the reference maximum density in a compaction lot with a CPF below 1. 00 and thus subject to a price reduction or rejection, the Contractor may request that a core be used for determination of the relative density of the sublot. The relative density of the core will replace the relative density determined by the nuclear density gauge for the sublot and will be used for calculation of the CPF and acceptance of HMA compaction lot.

When cores are taken by the Contracting Agency at the request of the Contractor, they shall be requested by noon of the next workday after the test results for the sublot have been provided or made available to the Contractor. Core locations shall be outside of wheel paths and as determined by the Engineer. Traffic control shall be provided by the Contractor as requested by the Engineer. Failure by the Contractor to provide the requested traffic control will result in forfeiture of the request for cores. When the CPF for the lot based on the results of the HMA cores is less than 1. 00, the cost for the coring will be deducted from any monies due or that may become due the Contractor under the Contract at Special Provisions Burma

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the rate of$ 200 per core and the Contractor shall pay for the cost of the traffic control. 5- 04. 3( 10) A

HMA Compaction—

General Compaction Requirements

Compaction shall take place when the mixture is in the proper condition so that no undue displacement, cracking, or shoving occurs. Areas inaccessible to large compaction equipment shall be compacted by other mechanical means. Any HMA that becomes loose, broken, contaminated, shows an excess or deficiency of asphalt, or is in any way defective, shall be removed and replaced with new hot mix that shall be immediately compacted to conform to the surrounding area. Separate

breakdown

and finish

rollers

are

required.

The type of rollers to be used and their relative

position in the compaction sequence shall generally be the Contractor' s option, provided the specified densities are attained. Unless the Engineer has approved otherwise, rollers shall only be operated in the static mode when the internal temperature of the mix is less than 1757. Regardless of mix temperature,

a roller shall not be operated in a mode that results in checking or cracking of the mat. Rollers shall only be operated in static mode on bridge decks. Approaches shall be compacted with vibratory plates or a small roller if determined

5- 04. 3( 10) B

necessary

HMA Compaction -

by the Engineer.

Cyclic Density

Low cyclic density areas are defined as spots or streaks in the pavement that are less than 90 percent of the theoretical maximum density. At the Engineer' s discretion, the Engineer may evaluate the HMA pavement for low cyclic density, and when doing so will follow WSDOT SOP 733. A $ 500 Cyclic Density Price Adjustment will be assessed for any 500- foot section with two or more density readings below 90 percent of the theoretical maximum density. 5- 04. 3( 10) C

Vacant

5- 04. 3( 10) D

HMA Nonstatistical

5- 04. 3( 10) D1

Compaction

HMA Nonstatistical Compaction -

Lots and Sublots

HMA compaction which is accepted by nonstatistical evaluation will be based on acceptance testing performed by the Contracting Agency dividing the project into compaction lots. A lot is represented by randomly selected samples of the same mix design that will be tested for acceptance. A lot is defined as the total quantity of material or work produced for each Job Mix Formula placed. Only one lot per JMF is expected. A sublot shall be equal to one day' s production or 400 tons, whichever is less except that the final sublot will be a minimum of 200 tons and may be increased to 800 tons. Testing for compaction will be at the rate of 5 tests per sublot per WSDOT T 738. The sublot locations within each density lot will be determined by the Engineer. For a lot in progress with a CPF less than 0. 75, a new lot will begin at the Contractor' s request after the Engineer is satisfied

that material conforming to the Specifications can be produced. HMA mixture accepted by commercial evaluation and HMA constructed under conditions other than those listed above shall be compacted on the basis of a test point evaluation of the compaction train. The test point evaluation shall be performed in accordance with instructions from the Engineer. The number of passes with an approved compaction train, required to attain the maximum test point density, shall be used on all subsequent paving. Special Provisions Burma

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HMA for preleveling shall be thoroughly compacted. HMA that is used to prelevel wheel ruts shall be compacted with a pneumatic tire roller unless otherwise approved by the Engineer. 5- 04. 3( 10) D2

HMA Compaction

Nonstatistical Evaluation — Acceptance Testing

The location of the HMA compaction acceptance tests will be randomly selected by the Engineer from within each sublot, with one test per sublot. 5- 04. 3( 10) D3

HMA Nonstatistical Compaction — Price Adjustments

For each compaction lot with one or two sublots, having all sublots attain a relative density that is 92 percent of the reference maximum density the HMA shall be accepted at the unit Contract price with no further evaluation. When a sublot does not attain a relative density that is 92 percent of the reference maximum density, the lot shall be evaluated in accordance with Section 1- 06. 2 to determine the appropriate CPF. The maximum CPF shall be 1. 00, however, lots with a calculated CPF in excess of

1. 00 will be used to offset lots with CPF values below 1. 00 but greater than 0. 90. Lots with CPF lower 0. 90 will be evaluated for compliance per 5- 04. 3( 11). Additional testing by either a nuclear moisture- density gauge or cores will be completed as required to provide a minimum of three tests for

than

evaluation.

For

compaction

below

the

required

92%,

a

Non- Conforming

Compaction

Factor ( NCCF)

will

be

determined. The NCCF equals the algebraic difference of CPF minus 1. 00 multiplied by 40 percent. The Compaction Price Adjustment will be calculated as the product of CPF, the quantity of HMA in the compaction control lot in tons, and the unit Contract price per ton of mix. 5- 04. 3( 11) 5- 04. 3( 11) A

Reject Work Reject

Work General

Work that is defective or does not conform to Contract requirements shall be rejected. The Contractor

may propose, in writing, alternatives to removal and replacement of rejected material. Acceptability of such alternative proposals will be determined at the sole discretion of the Engineer. HMA that has been rejected is subject to the requirements in Section 1- 06. 2( 2) and this specification, and the Contractor

shall submit a corrective action proposal to the Engineer for approval. 5- 04. 3( 11) B Rejection by Contractor The Contractor may, prior to sampling, elect to remove any defective material and replace it with new material. Any such new material will be sampled, tested, and evaluated for acceptance. 5- 04. 3( 11) C Rejection Without Testing ( Mixture or Compaction) The Engineer may, without sampling, reject any batch, load, or section of Roadway that appears defective. Material rejected before placement shall not be incorporated into the pavement. Any rejected section of Roadway shall be removed. No payment will be made for the rejected materials or the removal of the materials unless the Contractor requests that the rejected material be tested. If the Contractor elects to have the rejected material tested, a minimum of three representative samples will be obtained and tested. Acceptance of rejected material will be based on conformance with the nonstatistical acceptance Specification. If the

CPF for the rejected material is less than 0. 75, no payment will be made for the rejected material; in Special Provisions Burma

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addition, the cost of sampling and testing shall be borne by the Contractor. If the CPF is greater than or equal to 0. 75, the cost of sampling and testing will be borne by the Contracting Agency. If the material is rejected before placement and the CPF is greater than or equal to 0. 75, compensation for the rejected material will be at a CPF of 0. 75. If rejection occurs after placement and the CPF is greater than or equal to 0. 75, compensation

for the rejected material will be at the calculated CPF with an addition of 25

percent of the unit Contract price added for the cost of removal and disposal. 5- 04. 3( 11) D

Rejection - A Partial Sublot

In addition to the random acceptance sampling and testing, the Engineer may also isolate from a normal sublot any material that is suspected of being defective in relative density, gradation or asphalt binder content. Such isolated material will not include an original sample location. A minimum of three random

samples of the suspect material will be obtained and tested. The material will then be statistically evaluated

as an independent

5- 04. 3( 11) E

lot in accordance

with Section

1- 06. 2( 2).

Rejection - An Entire Sublot

An entire sublot that is suspected of being defective may be rejected. When a sublot is rejected a minimum

of two additional

and the original

5- 04. 3( 11) F

sublot

random

samples

will be evaluated

Rejection -

from this sublot will be obtained.

as an independent

lot in accordance

These

additional

with Section

samples

1- 06. 2( 2).

A Lot in Progress

The Contractor shall shut down operations and shall not resume HMA placement until such time as the Engineer is satisfied that material conforming to the Specifications can be produced: 1.

When the CPF of a lot in progress drops below 1. 00 and the Contractor is taking no corrective action,

or

2.

When the Pay Factor ( PF) for any constituent of a lot in progress drops below 0. 95 and the

3.

When either the PF for any constituent or the CPF of a lot in progress is less than 0. 75.

Contractor is taking no corrective action, or

5- 04. 3( 11) G

Rejection -

An Entire Lot ( Mixture or Compaction)

An entire lot with a CPF of less than 0. 75 will be rejected.

5- 04. 3( 12)

Joints

5- 04. 3( 12) A

HMA Joints

5- 04. 3( 12) A1

Transverse

Joints

The Contractor shall conduct operations such that the placing of the top or wearing course is a continuous operation or as close to continuous as possible. Unscheduled transverse joints will be allowed, and the roller may pass over the unprotected end of the freshly laid mixture only when the placement of the course must be discontinued for such a length of time that the mixture will cool below compaction temperature. When the Work is resumed, the previously compacted mixture shall be cut back to produce a slightly beveled edge for the full thickness of the course. A temporary wedge of HMA constructed on a 20HAV shall be constructed where a transverse joint as a result of paving or planing is open to traffic. The HMA in the temporary wedge shall be separated from the permanent HMA by strips of heavy wrapping paper or other methods approved by the Engineer. The wrapping paper shall be removed and the joint trimmed to a slightly beveled edge for the full Special Provisions Burma

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thickness of the course prior to resumption of paving. The material that is cut away shall be wasted and new mix shall be laid against the cut. Rollers or tamping irons shall be used to seal the joint. 5- 04. 3( 12) A2

Longitudinal Joints

The longitudinal joint in any one course shall be offset from the course immediately below by not more than 6 inches nor less than 2 inches. All longitudinal joints constructed in the wearing course shall be located at a lane line or an edge line of the Traveled Way. A notched wedge joint shall be constructed along all longitudinal joints in the wearing surface of new HMA unless otherwise approved by the Engineer. The notched wedge joint shall have a vertical edge of not less than the maximum aggregate size

or

more

of the compacted

than %

lift thickness

and then

taper

down

on a slope

not steeper

than

4H: 1V. The sloped portion of the HMA notched wedge joint shall be uniformly compacted. 5- 04. 3( 12) B

Bridge Paving Joint Seals

Bridge Paving Joint Seals shall be in accordance with Section 5- 03. 5- 04. 3( 13)

Surface

Smoothness

The completed surface of all courses shall be of uniform texture, smooth,

uniform as to crown and

grade, and free from defects of all kinds. The completed surface of the wearing course shall not vary more than %8 inch from the lower edge of a 10- foot straightedge placed on the surface parallel to the centerline. The transverse slope of the completed surface of the wearing course shall vary not more than %

inch in 10 feet from the rate of transverse slope shown in the Plans.

When deviations in excess of the above tolerances are found that result from a high place in the HMA, the pavement surface shall be corrected by one of the following methods: 1.

Removal of material from high places by grinding with an approved grinding machine, or

2.

Removal and replacement of the wearing course of HMA, or

3.

By other method approved by the Engineer.

Correction of defects shall be carried out until there are no deviations anywhere greater than the allowable tolerances.

Deviations in excess of the above tolerances that result from a low place in the HMA and deviations resulting from a high place where corrective action, in the opinion of the Engineer, will not produce satisfactory results will be accepted with a price adjustment. The Engineer shall deduct from monies due or that may become due to the Contractor the sum of$ 500.00 for each and every section of single traffic lane 100 feet in length in which any excessive deviations described above are found. When utility appurtenances such as manhole covers and valve boxes are located in the traveled way, the utility appurtenances shall be adjusted to the finished grade prior to paving. This requirement may be waived when requested by the Contractor, at the discretion of the Engineer or when the adjustment details provided in the project plan or specifications call for utility appurtenance adjustments after the Special Provisions Burma

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completion of paving. Utility appurtenance adjustment discussions will be included in the Pre- Paving and Pre- Planing Briefing 5- 04. 3( 14) B3). Submit a written request to waive this requirement to the Engineer prior to the start of paving.

5- 04. 3( 14)

Planing Bituminous Pavement

The planing plan must be approved by the Engineer and a pre- planing meeting must be held prior to the start of any planing. See Section 5- 04. 3( 14) B2 for information on planing submittals. Where planing an existing pavement is specified in the Contract, the Contractor must remove existing surfacing material and to reshape the surface to remove irregularities.

The finished product must be a

prepared surface acceptable for receiving an HMA overlay.

Use the cold milling method for planing unless otherwise specified in the Contract. Do not use the planer on the final wearing course of new HMA. Conduct planing operations in a manner that does not tear, break, burn, or otherwise damage the surface which is to remain. The finished planed surface must be slightly grooved or roughened and must be free from gouges, deep grooves, ridges, or other imperfections. The Contractor must repair any damage to the surface by the Contractor' s planing equipment, using an Engineer approved method. Repair

or

replace

any

metal

castings

and

other

surface

improvements

damaged

by

planing,

as

determined by the Engineer. A tapered wedge cut must be planed longitudinally along curb lines sufficient to provide a minimum of 4 inches of curb reveal after placement and compaction of the final wearing course. The dimensions of the wedge must be as shown on the Drawings or as specified by the Engineer. A tapered wedge cut must also be made at transitions to adjoining pavement surfaces ( meet lines) where butt joints are shown on the Drawings. Cut butt joints in a straight line with vertical faces 2 inches or more in height, producing a smooth transition to the existing adjoining pavement.

After planing is complete, planed surfaces must be swept, cleaned, and if required by the Contract, patched and preleveled. The Engineer may direct additional depth planing. Before performing this additional depth planing, the Contractor must conduct a hidden metal in pavement detection survey as specified in Section 504. 3( 14) A.

5- 04. 3( 14)A Pre- Planing Metal Detection Check Before starting planing of pavements, and before any additional depth planing required by the Engineer, the Contractor must conduct a physical survey of existing pavement to be planed with equipment that can identify hidden metal objects. Should such metal be identified, promptly notify the Engineer. Special Burma

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See

Section

1- 07. 16( 1)

regarding the protection of survey monumentation that may be hidden in

pavement.

The Contractor is solely responsible for any damage to equipment resulting from the Contractor' s failure to conduct a pre- planing metal detection survey, or from the Contractor' s failure to notify the Engineer of any hidden metal that is detected. 5- 04. 3( 14) B Paving and Planing Under Traffic 5- 04. 3( 14) B1

General

In addition, the requirements of Section 1- 07. 23 and the traffic controls required in Section 1- 10, and

unless the Contract specifies otherwise or the Engineer approves, the Contractor must comply with the following: 1.

Intersections:

a.

Keep intersections open to traffic at all times, except when paving or planing operations through

an intersection

requires

closure.

Such closure

must be kept to the minimum

time

required to place and compact the HMA mixture, or plane as appropriate. For paving, schedule such closure to individual lanes or portions thereof that allows the traffic volumes and schedule of traffic volumes required in the approved traffic control plan. Schedule

work

adjacent

intersections

b.

traffic

control

are

not

impacted

required

the

at the

same

time

and

Each by individual intersection closure or partial closure must be addressed in the traffic control plan, which must be submitted to and accepted by the Engineer, see Section 1- 10. 2( 2).

comply

with

so that the

restrictions

When planing or paving and related construction

Traffic

Engineer.

must occur in an intersection,

consider

scheduling and sequencing such work into quarters of the intersection, or half or more of an intersection with side street detours. Be prepared to sequence the work to individual lanes or portions thereof. c.

Should closure of the intersection in its entirety be necessary, and no trolley service is impacted, keep such closure to the minimum time required to place and compact the HMA mixture, plane, remove asphalt, tack coat, and as needed.

d.

Any work in an intersection requires advance warning in both signage and a number of Working Days advance notice as determined by the Engineer, to alert traffic and emergency services of the intersection closure or partial closure.

e.

Allow new compacted HMA asphalt to cool to ambient temperature before any traffic is allowed on it. Traffic is not allowed on newly placed asphalt until approval has been obtained from the Engineer.

2.

Temporary centerline marking, post- paving temporary marking, temporary stop bars, and maintaining temporary pavement marking must comply with Section 8- 23.

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3.

Permanent pavement marking must comply with Section 8- 22.

5- 04. 3( 14) B2

Planing Plan and HMA Paving Plan The Contractor must submit a separate planing plan and a separate paving plan to the Engineer at least 5 Working Days in advance of each operation' s activity start date. These plans must show how the moving operation and traffic control are coordinated, as they will be discussed at the pre- planing briefing and pre- paving briefing. When requested by the Engineer, the Contractor must provide each operation' s traffic control plan on 24 x 36 inch or larger size Shop Drawings with a scale showing both Submittals -

the area of operation and sufficient detail of traffic beyond the area of operation where detour traffic be

may

required.

The

scale

on

the

Shop

Drawings

is 1 inch =

20 feet, which may be changed if the

Engineer agrees sufficient detail is shown.

The planing operation and the paving operation include, but are not limited to, metal detection, removal of asphalt and temporary asphalt of any kind, tack coat and drying, staging of supply trucks, paving trains, rolling, scheduling, and as may be discussed at the briefing. When intersections will be partially or totally blocked, provide adequately sized and noticeable signage alerting traffic of closures to come, a minimum 2 Working Days in advance. The traffic control plan must show where police officers will be stationed when signalization is or may be, countermanded, and show areas where flaggers are proposed. At a minimum, the planing and the paving plan must include: 1.

A copy of the accepted traffic

control plan,

2.

A copy of each intersection' s traffic control plan.

3.

Haul routes from supplier facilities, and locations of temporary parking and staging areas, including return routes. Describe the complete round trip as it relates to the sequencing of

Section

1- 10. 2( 2),

detailing each day' s traffic control as it relates to the specific requirements of that day' s planing and paving. Briefly describe the sequencing of traffic control consistent with the proposed planing and paving sequence, and scheduling of placement of temporary pavement markings and channelizing devices after each day' s planing, and paving. see

paving operations.

4.

Names and locations of HMA supplier facilities to be used.

5.

List of all equipment to be used for paving.

6.

List of personnel and associated job classification assigned to each piece of paving equipment.

7.

Description ( geometric or narrative) of the scheduled sequence of planing and of paving and intended area of planing and of paving for each day' s work, must include the directions of proposed planing and of proposed paving, sequence of adjacent lane paving, sequence of skipped lane paving, intersection planing and paving scheduling and sequencing, and proposed notifications and coordinations to be timely made. The plan must show HMA joints relative to Special Provisions Burma

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the final pavement marking lane lines. 8.

Names, job titles, and contact information for field, office, and plant supervisory personnel.

9.

A copy of the approved Mix Designs.

10.

Tonnage of HMA to be placed each day.

11.

Approximate times and days for starting and ending daily operations.

5- 04. 3( 14) B3 Pre- Paving and Pre- Planing Briefing At least 2 Working Days before the first paving operation and the first planing operation, or as scheduled by the Engineer for future paving and planing operations to ensure the Contractor has adequately prepared for notifying and coordinating as required in the Contract, the Contractor must be prepared to discuss that day' s operations as they relate to other entities and to public safety and convenience, including driveway and business access, garbage truck operations, transit operations and working around energized overhead wires, school and nursing home and hospital and other accesses, other Contractors who may be operating in the area, pedestrian and bicycle traffic, and emergency services. The Contractor, and Subcontractors that may be part of that day' s operations, must meet with the Engineer and discuss the proposed operation as it relates to the submitted planing plan and paving plan, approved traffic control plan, and public convenience and safety. Such discussion includes, but is not limited

1.

to:

General for both the Paving and Planing: a.

The actual times of starting and ending daily operations.

b.

In

intersections,

how

to

break

up

the

intersection,

and

address

traffic

control

and

signalization for that operation, including use of peace officers. c.

The sequencing and scheduling of paving operations and of planing operations, as applicable, as it relates to traffic control, public convenience and safety, and other Contractors who may operate in the Project limits.

d.

Notifications required of Contractor activities and coordinating with other entities and the public as necessary. This includes notification of the public of areas where parking will be prohibited

during planing or paving operations,

PARKING"

signs.

including any necessary " TEMPORARY

NO

e.

Description of the sequencing of installation and types of temporary pavement markings as it relates to planning and paving.

f.

Description of the sequencing of installation of, and the removal of, temporary pavement patch material around exposed castings and as may be needed.

g.

Description of procedures and equipment to identify hidden metal in the pavement, such Special Provisions Burma

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as survey monumentation, monitoring wells, streetcar rail, and castings, before planing as per Section 5- 04. 3( 14) B2. h.

Description of how flaggers will be coordinated with the planing, paving, and related operations.

i.

Description of sequencing of traffic controls for the process of rigid pavement base repairs.

j. 2.

Other items the Engineer deems necessary to address.

Paving— additional

topics:

a.

When to start applying tack and coordinating with paving.

b.

Types of equipment and numbers of each type of equipment to be used. If more pieces of equipment than personnel are proposed, describe the sequencing of the personnel operating the types of equipment. Discuss the continuance of operator personnel for each type of equipment as it relates to meeting Specification requirements.

c.

Number of JMFs to be placed, and if more than one JMF is used, how the Contractor will ensure different JMFs are distinguished, how pavers and how MTVs are distinguished, and how pavers and MTVs are cleaned so that one JMF does not adversely influence the other JMF.

d.

Description of contingency plans for that day' s operations such as equipment breakdown, rain out, and supplier shutdown of operations.

Number of sublots to be placed, sequencing of density testing, and other sampling and

e.

testing. 5- 04. 3( 15)

Sealing Pavement Surfaces

Apply a fog seal where shown in the plans. Construct the fog seal in accordance with Section 5- 02. 3. Unless otherwise approved by the Engineer, apply the fog seal prior to opening to traffic. 5- 04. 3( 16)

HMA Road Approaches

Construct HMA approaches at the locations shown in the Plans or where staked by the Engineer, in accordance with Section 5- 04.

5- 04. 3( 17)

Protection of Monuments

Monuments that are within cases shall be adjusted as described in the Special Provisions for the bid item Adjusting

Valve Boxes/ Monument

Cases.

In areas where pavement

planing will occur, the planing

shall come to within 0. 5 feet of the monument. If the monument has no case, it shall be protected and covered as necessary throughout the planing and paving operations. The new pavement shall match the grade of the existing pavement surface surrounding the monument.

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In locations where pavement planing will not occur and survey monuments have no existing casing, the Contractor

shall cover the monument

with material that will protect the monument

from damage. The

Contractor shall pave over the protected monument, leaving a 3- inch diameter hole in the paving mat centered over the monument. After paving operations are complete, the Contractor shall coat the sides of the hole and underlying pavement with tack coat. No tack coat shall cover the monument itself. 5- 04. 4

Measurement

HMA Cl.

PG

HMA for

Cl.

and Commercial HMA will be measured by the ton in accordance with Section 1- 09. 2, with no deduction being made for the weight of asphalt binder, mineral filler, or any other component of the mixture. If the Contractor elects to remove and replace mix as allowed by Section 5- 04. 3( 11), the material removed will not be measured. ,

PG

,

Roadway cores will be measured per each for the number of cores taken. Pavement repair excavation will be measured by the square yard of surface marked prior to excavation. Planing bituminous pavement will be measured by the square yard. No specific unit of measurement will apply to the calculated item of asphalt cost price adjustment. 5- 04. 5

Payment

Payment will be made for each of the following Bid items that are included in the Proposal: HMA Cl.

PG

",

HMA for Approach

per ton. Cl.

PG

HMA for Preleveling

Cl.

HMA for Pavement

Repair Cl.

Commercial

",

PG

per ton. ",

per ton.

PG

",

per ton.

HMA", per ton.

The unit Contract

for Preleveling Cl.

price per ton for " HMA Cl. PG

", "

PG

HMA for Pavement

", "

HMA for Approach Cl.

Repair Cl.

PG

",

PG

", "

HMA

and " Commercial HMA"

shall be full compensation for all costs, including anti- stripping additive, incurred to carry out the requirements of Section 5- 04 except for those costs included in other items which are included in this

Subsection and which are included in the Proposal. The cost of asphalt for tack coat, preparation of existing surfaces, protection of monuments, temporary striping and removal of existing buttons and all other costs in connection

with performing

the work in accordance

with these

requirements

shall be

included in the unit cost for the HMA bid item of this contract.

Pavement Repair Excavation

Incl. Haul",

per square yard.

The unit Contract price per square yard for" Pavement Repair Excavation Incl. Haul" shall be full payment for all costs incurred to perform the Work described in Section 5- 04. 3( 4) with the exception, however, Special Provisions Burma

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that all costs involved in the placement of HMA shall be included in the unit Contract price per ton for HMA for Pavement

Asphalt for Prime

Repair Cl.

Coat",

PG

",

per ton.

per ton.

The unit Contract price per ton for " Asphalt for Prime Coat" shall be full payment for all costs incurred to obtain, provide and install the material in accordance with Section 5- 04. 3( 4). Prime Coat

Agg.", per cubic yard, or per ton.

yard or per ton for " Prime Coat Agg." shall be full pay for furnishing, loading, and hauling aggregate to the place of deposit and spreading the aggregate in the quantities required by the Engineer.

The unit Contract price per

Planing

Bituminous

cubic

Pavement",

per square yard.

The unit Contract price per square yard for " Planing Bituminous Pavement" shall be full payment for all costs incurred to perform the Work described in Section 5- 04. 3( 14). Job Mix Compliance

Job

Mix

Price Adjustment",

Compliance

Price

Adjustment"

by calculation. will be calculated and paid for as described in Section 5-

04. 3( 9) C6.

Compaction

Price Adjustment",

by calculation.

Compaction Price Adjustment" will be calculated and paid for as described in Section 5- 04. 3( 10) D3. Roadway

Core",

The Contractor'

per each.

s costs

for all Work associated with the coring ( e. g., traffic control) shall be incidental

and included in the unit Bid price per each. Cyclic

Density Price Adjustment", by calculation.

Cyclic Density Price Adjustment" will be calculated and paid for as described in Section 5- 04. 3( 10) B.

January 13, 2021) Asphalt Cost Price Adjustment

The Contracting Agency will make an Asphalt Cost Price Adjustment, either a credit or a payment, for qualifying changes in the reference cost of asphalt binder. The adjustment will be applied to partial payments made according to Section 1- 09. 9 for the following bid items when they are included in the proposal: HMA Cl.

PG

"

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HMA for Approach

11

Cl.

PG

Preleveling Cl.

HMA for

11

PG

HMA for Pavement Repair Cl. Commercial

PG

HMA"

The adjustment is not a guarantee of full compensation for changes in the cost of asphalt binder. The Contracting Agency does not guarantee that asphalt binder will be available at the reference cost. The Contracting Agency will establish asphalt binder reference costs twice each month and post the information on the Agency website at: https: Hwsdot. wa. gov/ business- wsdot/ contracts/ about- publicpayments- reporting/ asphalt- binder-

works- contracts/

determined

reference-

cost.

The

reference

will

cost

be

by Poten & Partners, Inc. If the selected price source ceases to be available for any reason, then the Contracting Agency will select a substitute price source to posted

using

prices furnished

establish the reference cost.

Price adjustments will be calculated one time per month. No price adjustment will be made if the Reference Cost is within +/- 5% of the Base Cost. Reference costs for projects located in Eastern

Current versus

Western

Eastern",

If the

or "

Washington

Western",

shall

be selected

from

the

column

in the WSDOT

than

Adjustment = ( Current

Reference

Cost— ( 1. 05 x Base Cost)) x ( Q x 0. 056).

reference

Current

Where:

cost

Reference

is less than

or

Cost— ( 0. 95

x

or

equal

105%

is greater

If the

table

labeled

accordingly. The adjustment will be calculated as follows:

cost

reference

website

to

of the

base

cost,

then

Asphalt

Cost

Price

equal to 95% of the base cost, then Asphalt Cost Price Adjustment =

Base Cost)) x ( Q x 0. 056).

Current Reference Cost is selected from the website table based on the " Date Effective"

that immediately precedes the current month' s progress estimate end date. For work completed after all authorized working days are used, the adjustment will be based on the posted reference cost during which contract time was exhausted.

Base Cost is selected from the website table based on the " Date Effective" that immediately precedes the contract bid opening date, and shall be a constant for all monthly adjustments. Q=

total tons of all classes of HMA paid in the current month' s progress payment.

by calculation. Asphalt Cost Price Adjustment" will be calculated and paid for as described in this section. For the purpose of providing a common proposal for all bidders, the Contracting Agency has entered an amount in the proposal to become a part of the total bid by the Contractor. Asphalt

Cost Price Adjustment",

BID ITEM

18: CORRUGATED

POLYETHYLENE

STORM

SEWER

PIPE,

12- INCH

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BID ITEM 19: CORRUGATED These

bid items

shall

POLYETHYLENE

be accomplished

STORM

SEWER

in accordance

PIPE, 60- INCH DIAM

with the Plans and Standard

Specification

Section

7- 04 and 7- 08, except as modified below.

7- 04. 3

Construction

Requirements

Add the following to Section 7- 08, which is referenced by Section 7- 04. 3: 7- 08. 2

Materials

Delete the text of Section 7- 08. 2 and replace with the following:

Materials shall meet the requirements of the following sections: Gravel

Backfill

for Pipe Zone

Bedding ...............

9- 03. 9( 3),

Base Course

Gravel

Backfill

for Pipe Zone Backfill..................

9- 03. 9( 3),

Base Course

9- 03. 9( 3),

Base Course

Gravel Backfill Above Pipe..................................

7- 08. 3( 2)

Laying Pipe

Add the following to Section 7- 08. 3( 2):

7- 08. 3( 2) J

Beveled Ends

All exposed ends of storm sewer pipes or culverts shall be beveled on a 3: 1 slope beginning 6 inches above the pipe flow line, or beveled to match the embankment or ditch foreslope, not to exceed 4: 1. 7- 04. 3( 1) A

General

Add the following to Section 7- 04. 3( 1) A: Testing will not be required if a section of storm sewer pipe is less than 75 feet long, has less than 5 feet of cover, and has no inlet or junction structures. 7- 04. 4

Measurement

Delete the second

sentence

of paragraph one of Section 7- 04. 4, which

begins, "

The number

of linear..."

and replace with the following: The number of linear feet will be measured from the inside face of drainage structure to the inside face

of drainage structure or from the inside face of drainage structure to the end of pipe, as is appropriate. 7- 04. 5

Payment

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Delete

paragraph two of Section

7- 04. 5, which

begins, " The

unit contract

price..."

and add the following:

The unit contract price per linear foot for storm sewer pipe of the type and size specified shall be full Installation shall include excavation, removal of culverts or pay for furnishing and installing the pipe. structures to be abandoned or replaced, fittings, jointing materials, beveling, backfilling to existing grade or subgrade, compaction, and all other items essential for completion of the installation to the required

lines and grades.

BID ITEM 20:

CATCH

BASIN TYPE 1

This bid item shall be accomplished in accordance with the Plans, Cowlitz County Standard Plans, WSDOT Standard Plans and Standard Specification Section 7- 05, except as modified below.

7- 05. 2

Materials

Add the following to Section 7- 05. 2: A WSDOT inspection stamp is required on all precast concrete structures. 7- 05. 3

Construction

Requirements

Add the following to Section 7- 05. 3: Where mortar is used to seal around pipes, both faces of the structure wall shall be fully grouted around the pipe, and the annular space around the pipe shall be grouted solid through the entire wall thickness. Manholes and curb inlets shall be constructed in conformance with the following standard plans:

Drainage Catch

Standard Plan

Structure

Rectangular Solid Metal

7- 05. 5

WSDOT Standard Plan B- 5. 20- 03

Basin Type 1 Cover

WSDOT Standard Plan B- 30. 20- 04

Payment

Add the following to Section 7- 05. 5: Catch Basin Type_",

per each.

The unit contract price per each for the drainage structures of the type and size specified shall be full

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Installation shall include excavation, furnishing and installing the completed installation. removal of culverts or structures to be abandoned or replaced, furnishing and placing of all accessories such as cast iron rings, covers and steps, connections to new and existing facilities, backfill, compaction, testing and all other items essential for the completion of the installation as specified. pay

for

BID ITEM 21: SHORING

OR EXTRA EXCAVATION

This bid item shall be accomplished

CLASS B

in accordance with the Plans, Standard Specification Section 2- 09,

Section 7- 08, the Revised Code of Washington Chapter 39. 04. 180, the Washington Administrative Code,

Chapter 296- 155, Part N, and all referenced or otherwise applicable safety requirements, except as modified

7- 08. 4

below.

Measurement

Delete

paragraph five of Section 7- 08. 4 which the following:

begins "

Shoring or extra

excavation...",

and replace

with

No specific unit of measurement shall apply to the lump sum item of shoring or extra excavation. 7- 08. 5

Payment

Delete the ninth paragraph of Section 7- 08. 5 which begins " Shoring or Extra Excavation Class B per... and replace with the following: Shoring

or

Extra Excavation

BID ITEM 22: STORMWATER

lump sum.

Class B",

POLLUTION

PREVENTION

This bid item shall be accomplished in accordance with the Plans, Standard Specification Section 8- 01, and Appendix X— Construction Stormwater General Permit, except as modified below.

8- 01

Erosion Control and Water Pollution Control

Section 8- 01 is supplemented with the following:

Stormwater

Pollution

Prevention

The Contractor shall prepare a Stormwater Pollution Prevention Plan ( SWPPP) for all construction activities required for the project. The SWPPP shall comply with all requirements of the State of Washington

Department

of

Ecology

Construction

Stormwater

General

Permit ( NPDES

Permit)

in

Appendix X. The SWPPP shall be prepared prior to any construction activities and shall be kept onsite at all times from the initial soil disturbance until final stabilization of the project site. A copy of the SWPPP shall be submitted to the Engineer.

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In the event that the SWPPP needs to be modified due to changes in the Contractor' s operations, the

Contractor shall prepare a revised SWPPP. This revised SWPPP shall be kept onsite at all times from the initial soil disturbance until final stabilization of the project site. A copy of this revised SWPPP shall be submitted to the Engineer.

The Contractor shall implement all provisions of the SWPPP and the NPDES Permit throughout the project. This includes, but is not limited to, the installation of all necessary best management practices BMP' s), monitoring and reporting on the BMP' s and stormwater discharges, and maintenance of the BMP' s.

Transfer of Coverage

Prior to the commencement of any construction activities, the Contractor and Contracting Agency shall complete a Transfer of Coverage form to transfer coverage of the Construction

Stormwater General

Permit. The Contractor shall become the new operator/ permittee and shall assign an on- site contact person. After the Transfer of Coverage form has been completed and signed by both parties, the County shall submit the form to the Washington State Department of Ecology. Measurement

No unit of measurement shall apply to the lump sum item of Stormwater Pollution Prevention. Payment

Payment will be made in accordance with Section 1- 04. 1, for the following bid item when it is included in the proposal: lump sum. The lump sum contract price for Stormwater Pollution Prevention shall be full pay for preparing the SWPPP, revising the SWPPP as necessary, and keeping the SWPPP onsite at all times from the initial soil disturbance until final stabilization of the project site. It shall also be full pay for providing, installing and maintaining all necessary BMP' s. It shall also be full pay for all monitoring and reporting required by the SWPPP and the NPDES Permit. Stormwater

Pollution

Prevention",

BID ITEM 23: TOPSOIL TYPE C BID ITEM 24: SEEDING,

FERTILIZING,

AND MULCHING

These bid items shall be accomplished in accordance with the Plans and Standard Specification Section 8- 02, except as modified below:

8- 02. 3

Construction

Requirements

8- 02. 3( 9) B Seeding, Fertilizing and Mulching Section 8- 02. 3( 9) B is supplemented with the following: Seed Mix: Grass seed, of the following composition, proportion, and quality shall be applied at the rate of ** 80** pounds of pure live seed per acre on all areas requiring permanent roadside seeding within Special Provisions Burma

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the project limits. Meadow Seed Mix Com

Latin

mon

Name

Germi

W

NA

eig

P

ht

u

nation

ri

me

t y

Red

Agros

top

tis

or

alba

Ore

or

gon

Agros

Ben

tis

tgra

orego

ss

nensis

Red

Festu

Fesc

ca

ue

rubra

20

9

85

2

70

9

90

8

Whi

Trifoli

to

um

dutc

repen

h

s

10

9

90

8

clov er

Seeds shall be certified "

Weed

Free",

indicating there are not noxious or nuisance weeds in the seed.

Fertilizing

Sufficient quantities of fertilizer shall be applied to supply the following amounts of nutrients: Total

Nitrogen

as

N-

135 pounds per acre.

Available Phosphoric Acid Soluble Potash

90 pounds of

nitrogen

as

K20 -

applied

as

P205 - 60 pounds per acre.

60 pounds per acre.

per acre shall be derived

from isobutylidene

diurea ( IBDU), cyclo- di- urea

CDU),

or a time release, polyurethane coated source with a minimum release time of 6 months. The remainder may be derived from any source. The fertilizer formulation and application rate shall be approved by the Engineer before use. Mulching

Wood Cellulose Fiber mulch shall be hydraulically applied at a rate of 2, 000 pounds per acre to produce 100% soil coverage.

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BID ITEM

25: CEMENT

CONCRETE

CURB AND GUTTER

This bid item shall be accomplished in accordance with the Plans and Standard Specification Section 804, except as modified below.

8- 04. 3

Construction

Requirements

Add the following to Section 8- 04. 3: Cement Concrete Curb and Gutter shall be constructed in accordance with Cowlitz County Standard Plan CC- 1201.

8- 04. 3( 1)

Cement Concrete Curbs, Gutters, and Spillways

Delete the first

paragraph of Section 8- 04. 3( 1) which

begins " Cement

concrete

curb...",

and replace

with

the following: Cement concrete curb, curb and gutter, gutter, and spillway shall be constructed with air entrained concrete Class 3000 conforming to the requirement of Section 6- 02. 8- 04. 5

Payment

Add the following to Section 8- 04. 5: Cement

Concrete

Curb and Gutter",

per linear foot.

The unit contract price per linear foot for cement concrete curb and gutter shall be full pay for furnishing all labor, materials, tools, and equipment necessary to complete the gutters according to the plans and specifications, installation and removal of forms, preparation of subgrade, including excavation, placement, backfill and compaction, grading of backslopes to drain, and all other items essential for the completion of the gutters as specified.

BID ITEM 26: BEAM GUARDRAIL

TYPE 31— 6 FOOT LONG POSTS

BID ITEM 27: BEAM GUARDRAIL TYPE 31 NON- FLARED TL- 2 TERMINAL

These bid items shall be accomplished in accordance with the Plans and Standard Specification Section 8- 11, except as modified below.

8- 11

GUARDRAIL

8- 11. 2

Materials

Add the following to Section 8- 11. 2: Special Provisions Burma

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Beam Guardrail Flared and Non- Flared Terminals shall be listed on the WSDOT Qualified Product List.

Terminals shall have a TL- 2 rating when so specified on the Plans. Otherwise, TL- 2 terminals will not be allowed.

8- 11. 4

Measurement

paragraph one of Section with the following:

begins, " Measurement

8- 11. 4, which

Delete

of beam guardrail..." and replace

Measurement of beam guardrail and beam guardrail with long posts will be by the linear foot measured along the line of completed guardrail from end to end including Design F end sections for connection to concrete barrier, but excluding transition and terminal sections as are covered by other bid items of this contract.

Delete

paragraph six of Section 8- 11. 4, which and replace with the following:

begins, "

Measurement of removal of guardrail will be..."

Measurement of removal of guardrail will be by the linear foot measured along the line of guardrail removed including transition sections, expansion sections, guardrail anchors, and terminal sections. Add

following to paragraph guardrail anchors will be...": the

seven

of Section

8- 11. 4, which

begins, " Measurement

of removal of

Guardrail anchors that are within the limits of removal of guardrail will not be measured, as they are included in the bid item for removal of guardrail. 8- 11. 5

Payment

Delete the fifth sentence

of the first paragraph of Section 8- 11. 5, which begins, " The unit contract price

per linear foot..."

and replace with the following:

The unit contract

price per linear foot for " Beam Guardrail Type

Post",

", "

Beam Guardrail Type 1-

Ft.

Beam Guardrail Type 31-

Ft. Long Post" shall include all CRT posts and installation of the guardrail to the posts as specified and indicated on the plans. Long

BID ITEM

or "

28: CHAIN

LINK FENCE

WITH

BARBED

WIRE

BID ITEM 29: WIRE FENCE

These bid items shall be accomplished in accordance with the Plans and Standard Specifications

Section 8- 12.

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BID ITEM 30: QUARRY SPALLS This bid item shall

be accomplished

in accordance

with the Plans and Standard

Specification

Section

8-

15, except as modified below. The bid quantities listed for these items are approximate and are for the purposes of bidding only. Overruns and underruns in these bid items shall not be cause for adjustment in the unit prices. Section 1- 04. 6 " Increased or Decreased Quantities" does not apply to these bid items. 8- 15. 3

Construction

8- 15. 3( 6)

Requirements

Quarry Spalls

Add the following to Section 8- 15. 3( 6): A hoe- pack may also be used for compaction.

BID ITEM

31: PAINT

LINE

This bid item shall be accomplished in accordance with the Plans and Standard Specifications Section 822.

November 4, 2024)

Standard Plans

The Washington State Department of Transportation Standard Plans M21- 01, published September 2024, is made a part of this Contract with the following revisions: A- 10. 30 RISER

RING

detail ( Including SECTION

view

and

RISER

RING

DIMENSIONS

table):

The

RISER

RING

detail is deleted from the plan. INSTALLATION Note: The +

detail,

SECTION A: The " 1/ 4""

1/ 4" installation

is shown

is revised

callout

in the Section

to

read "+/-

1/ 4" ( SEE CONTRACT

A view)"

A- 40. 20

Sheet 1, NOTES 1, 2, 3, and 4 are replaced with the following: 1.

inch joint details for bridges with expansion length less than 100 feet and for bridges with L type abutments. Use the 1 inch joint details for other applications.

2.

Use detail 5, 6, 7 on steel trusses and timber bridges with concrete bridge deck panels.

3.

For details

Use the %

payment.

1,

2,

3,

and 4,

the

item " HMA

Joint

Seal

at

Bridge

End"

shall be used for

For details 5 and 6, the item " HMA Joint Seal at Bridge Deck Panel Joint" shall

be used for payment. For detail 7, the item " Clean and Seal Bridge Deck Panel Joint" shall be used for payment.

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Sheet 2, Detail

is revised to read " 6- 21. 3( 7)".

8 reference to " 6- 09. 3( 6)"

A- 50. 40 Sheet

1, Plan View: The callout " BEAM

24 ( SEE

STANDARD

TRANSITION

PLAN

SECTION

GUARDRAIL

TYPE 31 TRANSITION

C- 25. 30)"

is revised to

C- 25. 20 OR

TYPE 21, 24, OR 25 ( SEE STANDARD

SECTION

read " BEAM

TYPE 21 OR TYPE

GUARDRAIL

TYPE

31

PLAN C- 25. 20, C- 25. 30, OR C- 25. 32)"

A- 60. 40 Note 2

is revised to read " 6- 21. 3( 7)".

to " 6- 09. 3( 6)"

reference

B- 90. 40 Valve Detail — DELETED

C- 23. 70 Sheet 2, ANCHOR BRACKET ASSEMBLY

DETAIL, dimension, "

ANCHOR PLATE DETAIL, weld callout ( fillet),

1/ 4" is revised

R. 5/ 16" is revised to read; R. 15/ 16" to read;

3/ 16"

C- 60. 20 Sheet

1,

Plan

view,

callout — "

1/ 2" (

IN)

DIAMETER

SPEC. SECT. 9- 06. 5( 4) ( TYPICAL) ( SEE NOTE 7)"

X 6 1/ 2" ( IN)

is revised

to read: "

LONG

ANCHOR

5/ 8" DIAMETER

BOLT — PER STD. 6 1/ 2" ( IN) LONG

x

ANCHOR BOLT— PER STD. SPEC. SECT. 9- 06. 5( 4) ( TYPICAL) ( SEE NOTE 7)"

C- 81. 15 Sheet 1, General

Notes, Add

The concrete class for the moment slab shall be

Note 7, to read;" 7.

class 4000 typically and class 4000A when the top of the slab is used as the roadway, or sidewalk, surface. The concrete class for the barrier is defined in Standard Specification Section 6- 10. 3."

C- 85. 11 On Section 3"

B, the callout "

EXPANDED

3"

POLYSTYRENE

EXPANDED

POLYSTYRENE

OR POLYETHYLENE

is revised

AROUND COLUMN ( TYR)"

to read

FOAM AROUND COLUMN ( TYR)"

D- 3. 09 Sheet

1, Geosynthetic

Standard

Wall

with

2 FT Traffic is revised

Plan D- 3. 15 or D- 3. 16"

Surcharge

to read: "

detail,

callout — "

BARRIER

ON WALL — SEE

BARRIER ON WALL— SEE Standard Plan C- 81. 10

and/ or C- 81. 15"

D- 3. 10 Sheet

1, Typical Section,

callout — "

FOR WALLS

DETAILS ABOVE THE MATCH LINE ON STANDARD

WITH

Section,

ABOVE THE MATCH TRAFFIC

BARRIER,

callout — " FOR WALLS

LINE ON STANDARD SEE CONTRACT

SLOPE

PLAN D- 3. 15" is revised

SINGLE SLOPE TRAFFIC BARRIER, SEE CONTRACT Sheet 1, Typical

SINGLE

TRAFFIC

BARRIER.

USE THE

to read; "

FOR WALLS WITH

USE THE DETAILS

PLANS" WITH

F- SHAPE

TRAFFIC

BARRIER.

PLAN D- 3. 16" is revised

to read;"

FOR WALLS WITH

F- SHAPE

PLANS"

D- 3. 11

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Typical

1,

Sheet

PERMANENT to

callout — ""

GEOSYNTHETIC

1, Typical

PLANS)

Section,

to

CONTRACT

BRIDGE

SLAB OR MOMENT

callout — "

TYPICAL

OR PERMANENT GEOSYNTHETIC

revised

B"

APPROACH

WALL BARRIER — SEE STANDARD

read; " B" BRIDGE APPROACH

Sheet

is

Section,

read; " TYPICAL

BARRIER

BARRIER

ON

BRIDGE

BRIDGE

PLANS)

OR

PLANS D- 3. 15 OR D- 3. 16" is revised

SLAB ( SEE CONTRACT

WALL BARRIER— ON

SLAB ( SEE

BRIDGE

APPROACH

SEE STANDARD

APPROACH

PLANS)

SLAB

PLANS OR

SLAB ( SEE

BRIDGE

D- 3. 15 OR D- 3. 16"

MOMENT

SLAB ( SEE

PLANS)

D- 10. 10 Note 7, " If Traffic Barriers are required, See Standard Plans D- 15. 10, D- 15. 20 and D- 15. 30" is revised

to read " Traffic Barriers shall not be structurally connected to the Reinforced Concrete Retaining Wall Type

1 and 1SW".

D- 10. 15 Note 7, " If Traffic Barriers are required, See Standard Plans D- 15. 10, D- 15. 20 and D- 15. 30" is revised

to read " Traffic Barriers shall not be structurally connected to the Reinforced Concrete Retaining Wall Type 2 and 2SW".

D- 10. 30

Wall Type 5 may be used in all cases. D- 10. 35

Wall Type 6 may be used in all cases. D- 10. 40 Note 5, " If Traffic Barriers are required, See Standard Plans D- 15. 10, D- 15. 20 and D- 15. 30" is revised

to read " Traffic Barriers shall not be structurally connected to the Reinforced Concrete Retaining Wall Type 7".

D- 10. 45 Note 5, " If Traffic Barriers are required, See Standard Plans D- 15. 10, D- 15. 20 and D- 15. 30" is revised

to read " Traffic Barriers shall not be structurally connected to the Reinforced Concrete Retaining Wall Type 8".

F- 10. 18

General

Note

Spacing"

Is revised to read — "See Standard Plan F- 30. 10 and Standard Specification

1; "

Construct curb joints at concrete pavement transverse joint locations. If all adjacent pavement is HMA, see Standard Plam F- 30. 10 for Curb Expansion and Contraction Joint Section 8- 04. 3

for Curb Expansion and Contraction Joint details and spacing" F- 30. 10 All five instances

of the " 2. 0% MAX"

are

replaced with " 2. 1% MAX"

F- 40. 12 The

one

instance

of" 2. 0% MAX." is replaced with " 2. 1% MAX"

Note 7 is replaced with the following: Special Provisions Burma

Road Toutle

Park

Road Bypass

Page Project

No. 1859

105


7. The running

slope

of curb ramps shall

not

exceed 8. 3% maximum except as noted herein. If the

8. 3%

running slope creates a ramp that exceeds 15ft, see contract plans for details. Use a single constant slope from bottom of ramp to top of ramp to match into the landing. Do not include the abutting landing in the Curb Ramp length measurement. When a ramp is constructed on a radius, the Curb Ramp length is measured on the inside radius along the back of the walkway. Section B is amended as follows: Delete: " 15' — 0" MAX. ( TYR)"

Section C is amended as follows: Delete: " 15' — 0" MAX. ( TYR)"

F- 40. 14 The

one

instance

of" 2. 0% MAX."

is replaced

with " 2. 1%

MAX."

Note 7 is replaced with the following: 7. The running

slope

of curb ramps shall not exceed 8. 3% maximum except as noted herein. If the

8. 3%

running slope creates a ramp that exceeds 15ft, see contract plans for details. Use a single constant slope from bottom of ramp to top of ramp to match into the landing. Do not include the abutting landing in the Curb Ramp length measurement. When a ramp is constructed on a radius, the Curb Ramp length is measured on the inside radius along the back of the walkway. Section A is amended as follows: Delete: " 15' — 0" MAX. ( TYR)" Section

C is amended

as follows:

Delete: " 15' — 0" MAX. ( TYR)"

F- 40. 15 The one instance

of" 2. 0% MAX." is replaced with " 2. 1% MAX."

Note 7 is replaced with the following: 7. The running

slope

of curb ramps shall

not

exceed

8. 3% maximum except as noted herein. If the

running slope creates a ramp that exceeds 15ft, see contract plans for details. Use a single constant slope from bottom of ramp to top of ramp to match into the landing. Do not include the abutting landing in the Curb Ramp length measurement. 8. 3%

Section A is amended as follows: Delete: " 15' — 0" MAX. ( TYR)"

F- 40. 16 The one instance

of" 2. 0% MAX." is replaced with " 2. 1% MAX."

Note 8 is replaced with the following: 7. The running

slope

of curb

ramps

shall

not

exceed 8. 3% maximum except as noted herein. If the

running slope creates a ramp that exceeds 15ft, see contract plans for details. Use a single constant slope from bottom of ramp to top of ramp to match into the landing. Do not include the abutting landing in the Curb Ramp length measurement. 8. 3%

Section A is amended as follows: Delete: " 15' — 0" MAX. ( TYR)"

Section B is amended as follows: Delete: " 15' — 0" MAX. ( TYR)"

F- 80. 10

Special Provisions Burma

Road Toutle

Park

Road Bypass

Page Project

No. 1859

106


The one instance of " 2. 0% MAX." is replaced

with " 2. 1% MAX."

Note 6 is replaced with the following: The running

slope

of the Pedestrian Ramp shall not exceed 8. 3% maximum except as noted herein.

If the 8. 3%

running slope creates a ramp that exceeds 15ft, see contract plans for details. Use a single constant slope from bottom of ramp to top of ramp to match into the sidewalk. Section A is amended as follows: Delete: " 15"

Max."

J- 10. 10 Sheet 4 of 6, " Foundation to read:

Size Reference Table",

7' — 3". Type 342LX/

Sheet 5 of 6, Plan View, " FOR EXAMPLE TYPE B MOD. CABINET

PAD WIDTH

NEMA P44= 5' — 10" is revised PAD SHOWN

AND 33x CABINET

MOD. CABINET ( BACK OF ALL CHANNEL

IS 6" ( IN)"

column,

to read:

HERE:, "

Type 33xD= 6' — 3"

first bullet"

IS REVISED TO READ: "

STEEL) AND 33x CABINET

is revised

6' — 10" item, "- SPACE SPACE

BETWEEN

BETWEEN

IS 6" ( IN) ( CHANNEL

TYPE B

STEEL ADDS

ABOUT 5" ( IN)"

J- 10. 16

Key Note 1, Standard Plan J- 10. 30 revised to Standard Plan J- 10. 14 J- 10. 17

Key Note 1, Standard Plan J- 10. 30 revised to Standard Plan J- 10. 14 J- 10. 18

Key Note 1, Standard Plan J- 10. 30 revised to Standard Plan J- 10. 14 J- 20. 10 DELETED

J- 20. 11 DELETED

J- 20. 26

Add Note 1, " 1. One accessible pedestrian pushbutton station per pedestrian pushbutton post." Add

General

Accessible

Note

2,

Pedestrian

to

read: "

Signs shown are for locations with pedestrian signal displays Accessible information device ( AID) pushbuttons signs not

Signals/ APS).

shown"

Revise View Titles ( Both Sheets) to read: " ACCESSIBLE

PEDESTRIAN

PUSHBUTTON

ASSEMBLY"

J- 20. 16 View A, callout,

was—

LOCK

NIPPLE,

is revised

to read;

CHASE

NIPPLE

J- 21. 10 Sheet 1, Anchor

Bolt Template,

9" ( IN)

callout; "

is revised to read: " 9" ( IN)

BOLT CIRCLE"

DIA. BOLT

CIRCLE" Base Plate Detail,

callout; "

3/ 4" ( IN) STEEL PLATE WITH HOLE =

TO READ; " 3/ 4" ( IN) STEEL PLATE WITH

HOLE =

Special Burma

Road

Toutle

Park

POLE BASE +

POLE BASE +

Bypass

IS REVISED

1/ 16" ( IN)"

Provisions Road

1/ 6" ( IN)"

Page Project

No. 1859

107


Detail —

Flat Foundation

Elevation,

THREE REQ' D. PER ASSEMBLY"

callout; "

is revised

ANCHOR

BOLTS — W ( IN)

to read; " ANCHOR

x

30" ( IN)

BOLTS— W ( IN)

x

FULL THREAD

30" ( IN) FULL THREAD

FOUR REQ' D. PER ASSEMBLY" dimension; 4' — 0" is revised to read; " 4' — 0" ROUND OR 3' — 0"

Detail — Elevation,

Flat Foundation SQUARE"

J- 21. 15 Partial

View, callout,

LOCK NIPPLE — 1 %"

was—

DIAM.,

is revised to read; CHASE

NIPPLE — 1 %" (

IN)

DIAM.

J- 28. 30 General

Note 13 —" See Standard

is revised

to read; "

See Standard

Plans C- 8b and C- 85. 14 for steel light standards

on traffic

Plan C- 85. 15 for steel

barrier."

light standards

on traffic

barrier"

J- 40. 10 Sheet 2 of 2, Detail revised

to read; "

F, callout, " 12— 13 x 1 %"

12 — 13 x 1 %"

S. S. PENTA HEAD BOLT AND 12" S. S. FLAT WASHER"

is

S. S. PENTA HEAD BOLT AND 1/ 2" ( IN) S. S. FLAT WASHER"

J- 40. 36 Note 1, second Finish

sentence; "

shall be#

Finish shall be #

2B for barrier

213 for backbox

box and HRAP ( Hot Rolled

and #

4 for the cover." Is revised to read;

Annealed

and Pickled)

for the cover.

J- 40. 37 Note 1, second

sentence; "

Finish shall be#

Finish shall be # 213 for backbox and # 4 for the cover." Is revised to read;

2B for barrier box and HRAP ( Hot Rolled Annealed and Pickled) for the cover.

J- 75. 20

Key Notes,

note

16, second bullet point, end

of the

was: "

1/ 2" ( IN)

x

0. 45" ( IN) Stainless

Steel Bands

add the

Alternate: Stainless steel cable with stainless steel ends, nuts,

following bolts, and washers may be used in place of stainless steel bands and associated hardware." to the

note: "

J- 75. 55 Notes,

Note Al, Revise

reference,

was—

G- 90. 29, should be— G- 90. 20.

L- 5. 10 Add

general Note 9 on sheet 1 — " 9. The top of wall in Section A on Sheet 1 shall be located as follows: 1) flush with the finished grade when placed within the deflection distance of the long span guardrail system ( Std. Plan C- 20. 40), 2) Two inches maximum above finished grade when placed behind a box culvert guardrail steel post system ( Std. Plan C- 20. 41 or C- 20. 43), 3) Six inches minimum for all other applications. The bottom rail shall be located at mid height between the top rail and the top of structure." new

M- 20. 30 Wide Dotted Lane Line Detail,

reference

below title, ( SEE NOTE 6) is revised

to read: ( SEE NOTE 5)

M- 40. 10

Special Provisions Burma

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Road Bypass

Page Project

No. 1859

108


Guide

Post Type -

Reflective

Sheeting

Applications Table,

remove

reference - "(

SEE NOTE 5)"

The following are the Standard Plan numbers applicable at the time this project was advertised. The date shown with each plan number is the publication approval date shown in the lower righthand corner of that plan. Standard Plans showing different dates shall not be used in this contract. A- 10. 10- 00 ......... 8/ 7/ 07

A- 30. 35- 00 ..... 10/ 12/ 07

A- 50. 10- 02 ....... 7/ 18/ 24

A- 10. 20- 00 ....... 10/ 5/ 07

A- 40. 00- 01 .........

7/ 6/ 22

A- 50. 40- 01 ....... 8/ 17/ 21

A- 10. 30- 00 ....... 10/ 5/ 07

A- 40. 10- 04 ....... 7/ 31/ 19

A- 60. 10- 03 ..... 12/ 23/ 14

A- 20. 10- 00 ....... 8/ 31/ 07

A- 40. 15- 00 ....... 8/ 11/ 09

A- 60. 20- 03 ..... 12/ 23/ 14

A- 30. 10- 00 ....... 11/ 8/ 07

A- 40. 20- 04 ....... 1/ 18/ 17

A- 60. 30- 01 ....... 6/ 28/ 18

A- 30. 30- 01 ....... 6/ 16/ 11

A- 40. 50- 03 ......

9/ 12/ 23

A- 60. 40- 00 ....... 8/ 31/ 07

B- 5. 20- 03 ...........

B- 30. 50- 03.......

2/ 27/ 18

B- 75. 20- 03.......

8/ 17/ 21

B- 5. 40- 02 ......... 1/ 26/ 17

9/ 9/ 20

B- 30. 60- 00.........

9/ 9/ 20

B- 75. 50- 02.......

3/ 15/ 22

B- 5. 60- 02 ......... 1/ 26/ 17

B- 30. 40- 03.......

2/ 27/ 18

B- 70. 60- 01.......

1/ 26/ 17

B- 10. 20- 03 ....... 8/ 23/ 23

B- 30. 70- 04.......

2/ 27/ 18

B- 75. 60- 00.........

6/ 8/ 06

B- 10. 40- 02 ....... 8/ 17/ 21

B- 30. 80- 01.......

2/ 27/ 18

B- 80. 20- 00.........

6/ 8/ 06

B- 10. 70- 03 ....... 8/ 23/ 23

B- 30. 90- 02.......

1/ 26/ 17

B- 80. 40- 00.........

6/ 1/ 06

B- 15. 20- 01 ......... 2/ 7/ 12

B- 35. 20- 00.........

6/ 8/ 06

B- 85. 10- 01.......

6/ 10/ 08

B- 15. 40- 01 ......... 2/ 7/ 12

B- 35. 40- 01.......

8/ 23/ 23

B- 85. 20- 00.........

6/ 1/ 06

B- 15. 60- 02 ....... 1/ 26/ 17

B- 40. 20- 00.........

6/ 1/ 06

B- 85. 30- 00.........

6/ 1/ 06

B- 20. 20- 02 ....... 3/ 16/ 12

B- 40. 40- 02.......

1/ 26/ 17

B- 85. 40- 00.........

6/ 8/ 06

B- 20. 40- 04 ....... 2/ 27/ 18

B- 45. 20- 01.......

7/ 11/ 17

B- 85. 50- 01.......

6/ 10/ 08

B- 20. 60- 03 ....... 3/ 15/ 12

B- 45. 40- 01.......

7/ 21/ 17

B- 90. 10- 00.........

6/ 8/ 06

B- 25. 20- 02 ....... 2/ 27/ 18

B- 50. 20- 00.........

6/ 1/ 06

B- 90. 20- 00.........

6/ 8/ 06

B- 25. 60- 03 ....... 8/ 23/ 23

B- 55. 20- 03.......

8/ 17/ 21

B- 90. 30- 00.........

6/ 8/ 06

B- 30. 05- 00 .........

9/ 9/ 20

B- 60. 20- 02.........

9/ 9/ 20

B- 90. 40- 01.......

1/ 26/ 17

B- 30. 10- 03 ....... 2/ 27/ 18

B- 60. 40- 01.......

2/ 27/ 18

B- 90. 50- 00.........

6/ 8/ 06

B- 30. 15- 00 ....... 2/ 27/ 18

B- 65. 20- 01.......

4/ 26/ 12

B- 95. 20- 02.......

8/ 17/ 21

B- 30. 20- 04 ....... 2/ 27/ 18

B- 65. 40- 00.........

6/ 1/ 06

B- 95. 40- 01.......

6/ 28/ 18

B- 30. 30- 03 ....... 2/ 27/ 18

B- 70. 20- 01.......

3/ 15/ 22

C- 1......................

C- 23. 70- 01.....

10/ 16/ 23

C- 70. 10- 04.....

10/ 16/ 23

C- lb................ 10/ 12/ 23

9/ 8/ 22

C. 24. 10- 05 ....... 7/ 21/ 24

C- 70. 15- 01.......

7/ 21/ 24

C- 1d................

10/ 31/ 03

C- 24. 15- 00.......

3/ 15/ 22

C- 75. 10- 02.......

9/ 16/ 20

C- 6a....................

9/ 8/ 22

C- 25. 20- 07.......

8/ 20/ 21

C- 75. 20- 03.......

8/ 20/ 21

C- 7......................

9/ 8/ 22

C- 25. 22- 06.......

8/ 20/ 21

C- 75. 30- 03.......

8/ 20/ 21

C- 7a....................

9/ 8/ 22

C- 25. 26- 05.......

8/ 20/ 21

C- 80. 10- 03.....

10/ 16/ 23

C- 20. 10- 09 ..... 10/ 12/ 23

C- 25. 30- 01.......

8/ 20/ 21

C- 80. 20- 01.......

6/ 11/ 14

C- 20. 14- 05 .........

9/ 8/ 22

C- 25. 32- 00.......

7/ 29/ 24

C- 80. 30- 02.......

8/ 20/ 21

C- 20. 15- 03 ..... 10/ 12/ 23

C- 25. 80- 05.......

8/ 12/ 19

C- 80. 40- 01.......

6/ 11/ 14

C- 20. 18- 04 ......... 9/ 8/ 22

C- 60. 10- 04.......

7/ 21/ 24

C- 85. 10- 00.........

4/ 8/ 12

C- 20. 40- 10 ..... 10/ 12/ 23

C- 60. 15- 01.......

7/ 21/ 24

C- 85. 11- 01.......

9/ 16/ 20

C- 20. 41- 05 ....... 7/ 18/ 24

C- 60. 20- 01.........

9/ 8/ 22

C- 85. 15- 03.....

10/ 17/ 23

C- 20. 43- 01 ....... 7/ 18/ 24

C- 60. 30- 02.......

7/ 21/ 24

C- 85- 18- 03.........

Special Provisions Burma

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9/ 8/ 22

Page Project

No. 1859

109


C- 20. 44- 00 ....... 8/ 13/ 24

C- 60. 40- 01.......

7/ 21/ 24

C- 81. 10- 00.......

9/ 12/ 23

9/ 8/ 22

C- 60. 45- 01.......

7/ 21/ 24

C- 81. 15- 00.......

9/ 12/ 23

C- 20. 55- 00 ....... 7/ 30/ 24

C- 60. 50- 01.......

7/ 21/ 24

C- 22. 16- 08 ..... 10/ 17/ 23

C- 60. 60- 01.......

7/ 21/ 24

C- 22. 40- 11 .......

C- 60. 70- 01.........

9/ 8/ 22

C- 22. 45- 07 ....... 7/ 21/ 24

C- 60. 80- 02.......

7/ 21/ 24

D- 2. 36- 03 .........

D- 3. 11- 03.........

6/ 11/ 14

D- 10. 25- 01.........

8/ 7/ 19

C- 20. 45- 03 .........

7/ 21/ 24

6/ 11/ 14

D- 2. 46- 02 ......... 8/ 13/ 21

D- 4.................

12/ 11/ 98

D- 10. 30- 00.........

7/ 8/ 08

D- 2. 84- 00.......

7/ 8/ 08

D- 6...................

6/ 19/ 98

D- 10. 35- 00.........

D- 2. 92- 01 ......... 4/ 26/ 22

11/ 10/ 05

D- 10. 10- 01.......

12/ 2/ 08

D- 10. 40- 01....... 12/ 2/ 08

D- 3. 09- 00.........

D- 10. 15- 01.......

12/ 2/ 08

D- 10. 45- 01.......

12/ 2/ 08

D- 3. 10- 01 ......... 5/ 29/ 13

D- 10. 20- 01.........

8/ 7/ 19

D- 20. 10- 00.......

10/ 9/ 23

E- 1....................

2/ 21/ 07

E- 4....................

8/ 27/ 03

E- 20. 10- 00 ....... 9/ 12/ 23

E- 2....................

5/ 29/ 98

E- 4a..................

8/ 27/ 03

E- 20. 20- 00 ....... 10/ 4/ 23

F- 10. 12- 04........ 9/ 24/ 20

F- 10. 62- 02 ....... 4/ 22/ 14

F- 40. 15- 04 ....... 9/ 25/ 20

F- 10. 16- 00...... 12/ 20/ 06

F- 10. 64- 03 ....... 4/ 22/ 14

F- 40. 16- 03 .......

6/ 29/ 16

F- 10. 18- 04........ 6/ 28/ 24

F- 30. 10- 04 ....... 9/ 25/ 20

F- 45. 10- 05 .........

6/ 4/ 24

F- 10. 40- 04........ 9/ 24/ 20

F- 40. 12- 03 ....... 6/ 29/ 16

F- 80. 10- 04 ....... 7/ 15/ 16

F- 10. 42- 00........ 1/ 23/ 07

F- 40. 14- 03 .......

6/ 29/ 16

G- 10. 10- 00....... 9/ 20/ 07

G- 24. 50- 05.........

8/ 7/ 19

G- 90. 10- 03.......

7/ 11/ 17

G- 20. 10- 03.......

5/ 17/ 12

8/ 20/ 21

G- 24. 60- 05.......

6/ 28/ 18

G- 90. 20- 05.......

7/ 11/ 17

G- 22. 10- 04....... 6/ 28/ 18

G- 25. 10- 05.......

9/ 16/ 20

G- 90. 30- 04.......

7/ 11/ 17

11/ 8/ 07

G- 26. 10- 00.......

7/ 31/ 19

G- 95. 10- 02.......

6/ 28/ 18

G- 24. 20- 01.........

2/ 7/ 12

G- 30. 10- 04.......

6/ 23/ 15

G- 95. 20- 03.......

6/ 28/ 18

G- 24. 30- 02.......

6/ 28/ 18

G- 50. 10- 03.......

6/ 28/ 18

G- 95. 30- 03.......

6/ 28/ 18

G- 24. 40- 07.......

6/ 28/ 18

H- 10. 10- 01.........

6/ 2/ 24

H- 30. 10- 00.....

10/ 12/ 07

H- 70. 10- 02.......

8/ 17/ 21

H- 10. 11- 00.........

6/ 2/ 24

H- 32. 10- 00.......

9/ 20/ 07

H- 70. 20- 02.......

8/ 17/ 21

H- 10. 15- 01.........

6/ 2/ 24

H- 60. 10- 01.........

7/ 3/ 08

H- 10. 16- 00.........

6/ 2/ 24

H- 60. 20- 01.........

7/ 3/ 08

1- 10. 10- 01......... 8/ 11/ 09

1- 30. 20- 00........

9/ 20/ 07

1- 40. 20- 00 ........

9/ 20/ 07

1- 30. 10- 02......... 3/ 22/ 13

1- 30. 30- 02 ........ 6/ 12/ 19

1- 50. 20- 02 ..........

7/ 6/ 22

1- 30. 15- 02......... 3/ 22/ 13

1- 30. 40- 02 ........ 6/ 12/ 19

1- 60. 10- 01 ........ 6/ 10/ 13

1- 30. 16- 01......... 7/ 11/ 19

1- 30. 60- 02 ........ 6/ 12/ 19

1- 60. 20- 01 ........ 6/ 10/ 13

1- 30. 17- 01......... 6/ 12/ 19

1- 40. 10- 00........

9/ 20/ 07

1- 80. 10- 02 ........ 7/ 15/ 16

J- 05. 50- 00 ........ 8/ 30/ 22

J- 26. 10- 03........

7/ 21/ 16

J- 50. 05- 00........

7/ 21/ 17

J- 10...................

7/ 18/ 97

J- 26. 15- 01........

5/ 17/ 12

J- 50. 10- 01........

7/ 31/ 19

J- 10. 10- 04 ........ 9/ 16/ 20

J- 26. 20- 01........

6/ 28/ 18

J- 50. 11- 02........

7/ 31/ 19

J- 10. 12- 00 ........ 9/ 16/ 20

J- 27. 10- 01........

7/ 21/ 16

J- 50. 12- 02..........

8/ 7/ 19

G- 24. 10- 00.......

Special Provisions Burma

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No. 1859

110


J- 10. 14- 00 ........ 9/ 16/ 20

J- 27. 15- 00........

3/ 15/ 12

J- 50. 13- 01........

8/ 30/ 22

J- 10. 15- 01 ........ 6/ 11/ 14

J- 28. 01- 00........

8/ 30/ 22

J- 50. 15- 01........

7/ 21/ 17

J- 10. 16- 02 ........

8/ 18/ 21

J- 28. 10- 02..........

8/ 7/ 19

J- 50. 16- 01........

3/ 22/ 13

J- 10. 17- 02 ........

8/ 18/ 21

J- 28. 22- 00........

8/ 07/ 07

J- 50. 18- 00..........

8/ 7/ 19

J- 10. 18- 02 ........ 8/ 18/ 21

J- 28. 24- 02........

9/ 16/ 20

J- 50. 19- 00..........

8/ 7/ 19

J- 10. 20- 04 ........ 8/ 18/ 21

J- 28. 26- 01......

12/ 02/ 08

J- 50. 20- 00..........

6/ 3/ 11

J- 10. 21- 02 ........ 8/ 18/ 21

6/ 3/ 11

J- 28. 30- 04........

6/ 18/ 24

J- 50. 25- 00..........

10/ 4/ 23

J- 28. 40- 02........

6/ 11/ 14

J- 50. 30- 00..........

6/ 3/ 11

J- 10. 25- 01 ........ 6/ 21/ 24

J- 28. 42- 01........

6/ 11/ 14

J- 60. 05- 01........

7/ 21/ 16

J- 10. 26- 00 ........ 8/ 30/ 22

J- 28. 43- 01........

6/ 28/ 18

J- 60. 11- 00........

5/ 20/ 13

J- 12. 15- 00 ........ 6/ 28/ 18

J- 28. 45- 03........

7/ 21/ 16

J- 60. 12- 00........

5/ 20/ 13

J- 12. 16- 00 ........ 6/ 28/ 18

J- 28. 50- 03........

7/ 21/ 16

J- 60. 13- 00........

6/ 16/ 10

J- 15. 10- 01 ........ 6/ 11/ 14

J- 28. 60- 03........

8/ 27/ 21

J- 60. 14- 01........

7/ 31/ 19

J- 15. 15- 02 ........ 7/ 10/ 15

J- 28. 70- 04........

8/ 30/ 22

J- 75. 10- 02........

7/ 10/ 15

J- 20. 01- 01 ........ 6/ 21/ 24

J- 29. 10- 02........

8/ 26/ 22

J- 75. 20- 01........

7/ 10/ 15

J- 20. 05- 00 ........ 6/ 21/ 24

J- 29. 15- 01........

7/ 21/ 16

J- 75. 30- 02........

7/ 10/ 15

J- 20. 10- 05 ........

10/ 4/ 23

J- 29. 16- 02........

7/ 21/ 16

J- 75. 50- 00........

8/ 30/ 22

J- 20. 11- 03 ........ 7/ 31/ 19

J- 30. 10- 01........

8/ 26/ 22

J- 75. 55- 00........

8/ 30/ 22

J- 20. 15- 04 ........ 6/ 21/ 24

J- 40. 01- 00........

8/ 30/ 22

J- 80. 05- 00........

8/ 30/ 22

J- 20. 16- 02 ........ 6/ 30/ 14

J- 40. 05- 00........

7/ 21/ 16

J- 80. 10- 01........

8/ 18/ 21

J- 20. 20- 02 ........ 5/ 20/ 13

J- 40. 10- 04........

4/ 28/ 16

J- 80. 12- 00........

8/ 18/ 21

J- 20. 26- 01 ........ 7/ 12/ 12

J- 40. 20- 03........

4/ 28/ 16

J- 80. 15- 00........

6/ 28/ 18

J- 21. 10- 05 ........

6/ 21/ 24

J- 40. 30- 04........

4/ 28/ 16

J- 81. 10- 02........

8/ 18/ 21

J- 21. 15- 01 ........ 6/ 10/ 13

J- 40. 35- 01........

5/ 29/ 13

J- 81. 12- 00..........

9/ 3/ 21

J- 21. 16- 02 ........ 6/ 21/ 24

J- 40. 36- 02........

7/ 21/ 17

J- 84. 05- 00........

8/ 30/ 22

J- 21. 17- 01 ........ 6/ 10/ 13

J- 40. 37- 02........

7/ 21/ 17

J- 86. 10- 00........

6/ 28/ 18

J- 21. 20- 01 ........

6/ 10/ 13

J- 40. 38- 01........

5/ 20/ 13

J- 90. 10- 03........

6/ 28/ 18

J- 22. 15- 03 ........

J- 10. 22- 03 ........

6/ 21/ 24

J- 40. 39- 00........

5/ 20/ 13

J- 90. 20- 03........

6/ 28/ 18

J- 22. 16- 03 ........ 7/ 10/ 15

J- 40. 40- 02........

7/ 31/ 19

J- 90. 21- 02........

6/ 28/ 18

J- 22. 17- 00 ........ 6/ 21/ 24

J- 45. 36- 00........

7/ 21/ 17

J- 90. 50- 00........

6/ 28/ 18

K- 70. 20- 01..........

6/ 1/ 16

K- 80. 32- 00 ....... 8/ 17/ 21

K- 80. 35- 01 ....... 9/ 16/ 20

K- 80. 10- 02........ 9/ 25/ 20

K- 80. 34- 00 ....... 8/ 17/ 21

K- 80. 37- 01 ....... 9/ 16/ 20

L- 5. 10- 02............

6/ 5/ 24

L- 20. 10- 03........

7/ 14/ 15

L- 40. 20- 02........

6/ 21/ 12

L- 5. 15- 00..........

9/ 19/ 22

L- 30. 10- 02........

6/ 11/ 14

L- 70. 10- 01........

5/ 21/ 08

L- 10. 10- 02........

6/ 21/ 12

L- 40. 15- 01........

6/ 16/ 11

L- 70. 20- 01........

5/ 21/ 08

M- 1. 20- 04........ 9/ 25/ 20

M- 9. 60- 00........

2/ 10/ 09

M- 24. 66- 00...... 7/ 11/ 17

M- 1. 40- 03 ........ 9/ 25/ 20

M- 11. 10- 04........ 8/ 2/ 22

M- 40. 10- 04.... 10/ 17/ 23

M- 1. 60- 03 ........ 9/ 25/ 20

M- 12. 10- 04...... 6/ 28/ 24

M- 40. 20- 00.... 10/ 12/ 07

M- 1. 80- 03 .......... 6/ 3/ 11

M- 15. 10- 02......

7/ 17/ 23

M- 40. 30- 01......

M- 2. 20- 03 ........ 7/ 10/ 15

M- 17. 10- 02........

7/ 3/ 08

M- 40. 40- 00...... 9/ 20/ 07

M- 2. 21- 00........

7/ 10/ 15

M- 20. 10- 04........ 8/ 2/ 22

M- 40. 50- 00...... 9/ 20/ 07

M- 3. 10- 04........ 9/ 25/ 20

M- 20. 20- 02...... 4/ 20/ 15

M- 40. 60- 00...... 9/ 20/ 07

M- 3. 20- 04..........

M- 20. 30- 05......

M- 60. 10- 01........

8/ 2/ 22

6/ 28/ 24

Special Provisions Burma

Road Toutle

Park

Road Bypass

7/ 11/ 17

6/ 3/ 11

Page Project

No. 1859

111


M- 3. 30- 04 ........ 9/ 25/ 20

M- 20. 40- 03...... 6/ 24/ 14

M- 60. 20- 03...... 8/ 17/ 21

M- 3. 40- 04 ........ 9/ 25/ 20

M- 20. 50- 02........

6/ 3/ 11

M- 65. 10- 03...... 8/ 17/ 21

M- 3. 50- 03 ........

9/ 25/ 20

M- 24. 20- 02......

4/ 20/ 15

M- 80. 10- 01........

6/ 3/ 11

M- 5. 10- 03 ........

9/ 25/ 20

M- 24. 40- 02......

4/ 20/ 15

M- 80. 20- 00......

6/ 10/ 08

M- 7. 50- 01 ........ 1/ 30/ 07

M- 24. 60- 04...... 6/ 24/ 14

M- 9. 50- 02 ........ 6/ 24/ 14

M- 24. 65- 00...... 7/ 11/ 17

Special Burma

Road

Toutle

Park

M- 80. 30- 00...... 6/ 10/ 08

Provisions Road

Bypass

Page Project

No. 1859

112


PREVAILING

INCLUDE ALWAYS

INCLUDE

MINIMUM

FEDERAL WAGE

HOURLY

WAGE

RATES

RATES FOR FEDERAL AID PROJECTS)

BENEFIT CODE KEY AND SUPPLEMENTAL

TO THE WAGE RATES FOR THE STATE

WAGES

Prevailing Burma

Road

Minimum

Toutle

Park

Hourly Wage

Road

Bypass

Rates

Project

No. 1859

Page 113


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

State of Washington Department

of Labor & Industries

Prevailing Wage Section - Telephone

360- 902- 5335

PO Box 44540, Olympia, WA 98504- 4540

Washington State Prevailing Wage The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fringe benefits. On public works projects, worker' s wage and benefit rates must add to not less than this total. A brief description of overtime calculation requirements are

provided on the Benefit Code Key.

Journey Level Prevailing Wage Rates for the Effective Date: 6/ 10/ 2026

Cowlitz County A'

Trade

Job Classification

v

Wage

v

Holiday

Overtime

Note

Ris

Asbestos Abatement

Journey Level

62. 61

6Z

iM

Boilermakers

Journey Level

78. 89

SN

1C

Brick Mason

Brick Finisher

50. 38

SA

1113

76. 59

SA

16

SA

16

Workers

Caulker- PointerBrick Mason Cleaner

https://

Brick Mason

Journey Level

76. 59

Building Service Employees

Janitor

17. 13

1

Building Service Employees

Shampooer

17. 13

1

secure.

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level-

rates

1/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Building Service Employees

Waxer

17. 13

1

Building Service Employees

Window Cleaner

17. 13

1

Cabinet Makers( In Shop)

Journey Level

17. 13

1

Carpenters

Acoustical Worker

Bridge&

$

71. 70

151

11111, 11

9L

73. 07

15J

11U

9L

71. 87

15J

11111, 11

9L

71. 70

15J

11U

9L

67. 70

7E

4X

8N

71. 87

15J

11U

9L

81. 87

15J

4U

81. 36

15J

4U

81. 87

15J

4U

81. 36

15J

4U

Highway

Carpenters Carpenter

Floor Layer And Carpenters Floor Finishers

Carpenters

General Carpenter

$

Scaffold/ Shoring Carpenters

Erecting& Dismantling

Stationary Power Carpenters Saw

Application

of all

Cement Masons Composition

Mastic

Application of all Cement Masons

Epoxy Material

Application

of all

Cement Masons Plastic Material

Application of Cement Masons

Sealing Compound

https://

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level-

rates

2/ 84


6/ 10/ 26, 8: 06 AM

Journey

Application

Level Wages

of

Cement Masons

81. 87

15J

4U

81. 36

15J

4111. 11

81. 87

15J

4111. 11

81. 36

15J

4U

81. 87

15J

4111. 11

81. 36

15J

4111. 11

81. 36

15J

4U

81. 87

15J

4U

81. 87

15J

4111. 11

81. 36

15J

4U

81. 87

15J

4U

81. 36

15J

4111. 11

81. 36

15J

4111. 11

81. 87

15J

4111. 11

Underlayment

Cement Masons

Building General

Composition

or

Cement Masons Kalman Floors

Cement Masons

Concrete

Curb&

Paving

Gutter

Cement Masons Machine

Curb&

Gutter,

Cement Masons Sidewalks

Cement Masons

Curing Concrete

Finish Colored Cement Masons Concrete

Floor Grinding

Cement Masons

Floor Cement Masons

Grinding/ Polisher

Green Concrete Cement Masons

Saw, self- powered

Grouting of all Cement Masons Plates

Grouting of all TiltCement Masons

up Panels

Cement Masons

https://

secure.

Ini. wa. gov/ wagelookup/

Gunite Nozzleman

rates/ journey-

level-

rates

3/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Hand Powered Cement Masons

81. 87

15J

4111. 11

81. 36

15J

4111J

81. 36

15J

4111. 11

81. 87

15J

4111. 11

81. 87

15J

4111. 11

81. 87

15J

4111. 11

81. 87

15J

4111. 11

81. 36

15J

4111. 11

81. 87

15J

4111. 11

81. 87

15J

4111. 11

Grinder

Cement Masons

Journey Level

Cement Masons

Patching Concrete

Pneumatic

$

Power

Cement Masons Tools

Power Chipping& Cement Masons

Brushing

Sand Blasting Cement Masons Architectural Finish

Screed &

Rodding

Cement Masons Machine

Spackling or Skim Cement Masons Coat Concrete

Troweling Machine Cement Masons Operator

Troweling Machine Cement Masons

Operator

on

Colored

$

Slabs

Cement Masons

Tunnel Workers

81. 87

15J

4111. 11

Divers&

Tenders

Assistant Tender

79. 35

15J

11T

91

Divers&

Tenders

Bell/ Vehicle

128. 93

15J

11T

91

or

Submersible

https://

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level-

rates

4/ 84


6/ 10/ 26, 8: 06 AM

Journey

Operator

Level Wages

Not Under

Pressure

Divers&

Tenders

Dive Master

98. 29

151

11T

91

Divers&

Tenders

Dive Supervisor

130. 43

151

11T

91

Divers&

Tenders

Diver Diving

128. 93

151

11T

91

Divers&

Tenders

Diver Tender

84. 92

151

11T

91

Divers&

Tenders

93. 29

15J

11T

91

89. 92

15J

11T

91

90. 92

15J

11T

91

84. 92

15J

11T

91

79. 35

15J

11T

91

72. 54

5D

1N

8D

67. 18

5D

1N

8D

72. 54

5D

1N

8D

69. 88

5D

1N

8D

71. 05

5D

1N

8D

Divers Including Stand- By Diver

Divers&

Tenders

Divers&

Tenders

Manifold Operator

Manifold

Operator

Mixed Gas

Divers&

Tenders

Divers&

Tenders

ROV Operator

ROV Tender/ Technician

Dredge Workers

Assistant Engineer

Assistant

$

Mate

Dredge Workers deckhand)

Dredge Workers

Boatman( licensed)

$

Fill Equipment Dredge Workers Operator

Dredge Workers

https://

secure.

Ini. wa. gov/ wagelookup/

Fireman

rates/ journey-

level-

rates

5/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Leverman ( hydraulic Dredge Workers

75. 70

SD

1N

8D

Clamshell)

Dredge Workers

Mate

72. 54

SD

1N

8D

Dredge Workers

Oiler

67. 18

SD

1N

8D

71. 05

SD

1N

8D

8113

Tenderman Dredge Workers

boatman Attending

$

Dredge Plant)

Dredge Workers

Welder

72. 54

SD

1N

Drywall Applicator

Journey Level

67. 80

SA

1B

Drywall Tapers

Journey Level

69. 95

7E

1E

Journey Level

25. 23

99. 74

SA

1B

106. 48

SA

1B

Electrical

Fixture 1

Maintenance

Workers

Electricians-

Inside

Journey Level

Electricians-

Inside

Journeyman, Welder

Electricians-

Motor

Shop

Craftsman

17. 13

1

Electricians-

Motor

Shop

Journey Level

17. 13

1

Electricians-

Powerline Cable Splicer

107. 31

SA

4D

98. 45

SA

4D

$

Construction

Electricians-

Powerline

secure.

Ini. wa. gov/ wagelookup/

Line

Welder

Construction

https://

Certified

rates/ journey-

level-

rates

6/ 84


6/ 10/ 26, 8: 06 AM

Journey

Electricians-

Level Wages

Powerline Groundperson

61. 75

SA

4D

98. 45

SA

4D

98. 45

SA

4D

84. 18

SA

4D

Meter Installer

61. 75

SA

4D

Pole Sprayer

98. 45

SA

4D

Powderperson

72. 81

SA

4D

Electronic Technicians

Journey Level

83. 46

SA

1B

Elevator Constructors

Mechanic

119. 67

SN

4A

Elevator Constructors

Mechanic In Charge

129. 52

SN

4A

Construction

Electricians-

Powerline

Construction

Electricians-

Equipment

Powerline

Construction

Electricians-

Operator

Journey Level Lineperson

Powerline

Line Equipment Operator

Construction

Electricians-

Heavy Line

Powerline 8W

Construction

Electricians-

Powerline

Construction

Electricians-

Powerline

Construction

Fabricated

Precast

Journey Level Concrete

https://

17. 13

1

17. 13

1

Products

Fabricated Concrete

$

Precast

Journey Level - In-

Products

Factory Work Only

Fence Erectors

Fence Erector

57. 51

6Z

iM

8S

Fence Erectors

Fence Laborer

57. 51

6Z

iM

85

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

7/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Flaggers

Journey Level

57. 51

6Z

iM

Glaziers

Journey Level

76. 71

71

11K

Mechanic

87. 79

5N

1F

Journey Level

107. 92

7F

1E

Journey Level

65. 23

5D

1113

Journey Level

17. 13

Inland Boatmen

Boat Operator

71. 28

5B

1K

Inland Boatmen

Cook

69. 70

5B

1K

Inland Boatmen

Deckhand

70. 00

5B

1K

Inland Boatmen

Deckhand Engineer

69. 55

5B

1K

Inland Boatmen

Launch Operator

71. 23

5B

11K

Inland Boatmen

Mate

89. 12

5B

11K

Heat& Asbestos

Frost Insulators

8S

And

Workers

Heating Equipment Mechanics

Hod Carriers&

Mason

Tenders

Industrial Power Vacuum 1

Cleaner

$

Inspection/ Cleaning/ Sealing Cleaner Operator, Of Sewer&

Water Systems

17. 13

1

17. 13

1

Foamer Operator

By Remote Control

Inspection/ Cleaning/ Sealing Grout Truck Of Sewer&

Water Systems Operator

By Remote Control

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

8/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Inspection/ Cleaning/ Sealing Of Sewer&

Water Systems

Head Operator

17. 13

1

Technician

17. 13

1

Tv Truck Operator

17. 13

1

Insulation Applicators

Journey Level

71. 87

15J

11111. 11

Ironworkers

Journey Level

85. 13

15K

11N

Laborers

Anchor Machines

62. 61

6Z

iM

$

61. 96

6Z

iM

$

62. 61

6Z

iM

61. 10

6Z

iM

63. 17

6Z

iM

By Remote Control

Inspection/ Cleaning/ Sealing Of Sewer&

Water Systems

By Remote Control

Inspection/ Cleaning/ Sealing Of Sewer&

Water Systems

By Remote Control

9L

Application

Including Pot Power Tender For

Same), Applying Laborers

Protective

Material

By Hand Or Nozzle On Utility Lines Or Storage Tanks On Project

Laborers

Asbestos

Removal

Asphalt Plant Laborers Laborers

Laborers

https://

secure.

Ini. wa. gov/ wagelookup/

Asphalt Raker

rates/ journey-

level-

rates

9/ 84


6/ 10/ 26, 8: 06 AM

Journey

Laborers

Asphalt Spreaders

Laborers

$

Level Wages

61. 10

6Z

iM

Ballast Regulators

62. 61

6Z

iM

Laborers

Batch Weighman

61. 10

6Z

iM

Laborers

Bit Grinder

62. 61

6Z

iM

Laborers

Brick Pavers( Dry)

61. 10

6Z

iM

Laborers

Broomers

61. 10

6Z

iM

Laborers

Brush ( Power Saw)

61. 96

6Z

iM

61. 10

6Z

iM

61. 96

6Z

iM

61. 10

6Z

iM

61. 10

6Z

iM

61. 10

6Z

iM

$

Brush Burners And Laborers Cutters

Laborers

Burners

Car And Truck Laborers Loaders

Laborers

Carpenter Tender

Change- house Man Laborers

Or Dry Shack Man

https://

Laborers

Chipping Guns

61. 96

6Z

iM

Laborers

Choker Setters

61. 10

6Z

iM

Laborers

Choker Splicer

61. 96

6Z

iM

Laborers

Chuck Tender

61. 96

6Z

iM

secure.

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level-

rates

10/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Clary Power Laborers

Spreader And

61. 96

6Z

iM

61. 10

6Z

iM

61. 96

6Z

iM

61. 96

6Z

iM

61. 96

6Z

iM

63. 17

6Z

iM

61. 96

6Z

iM

62. 61

6Z

iM

63. 17

6Z

iM

57. 51

6Z

iM

Similar Types

Laborers

Clean

Up Laborers

$

Clean- up Nozzleman- GreenLaborers Cutter( Concrete Rock, Etc.)

Concrete

Crew, Bull

Laborers

Gang

Laborers

Concrete

Laborers

$

Concrete Laborers Nozzlemen

Concrete

Power

Laborers Buggyman

Concrete

Saw

Laborers Operator

Concrete Saw Laborers Operator( Walls)

Confined

Space/

Laborers

8S

Hole Watch

https://

Laborers

Crusher Feeder

61. 96

6Z

iM

Laborers

Curing, Concrete

61. 10

6Z

iM

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

11/ 84


6/ 10/ 26, 8: 06 AM

Journey

Demolition Laborers

Level Wages

And

Wrecking Charred

61. 96

6Z

iM

61. 10

6Z

iM

62. 61

6Z

iM

63. 17

6Z

iM

Materials

Demolition, Laborers

Wrecking And Moving Laborers

Drill Doctor

Laborers

Drill Operators, Air Tracks, Cat Drills, Wagon Drills, Rubber- mounted Laborers Drills And Other Similar Types,

Including At Crusher Plants

Laborers

Dry Pack Machine

61. 96

6Z

iM

Laborers

Dry Stack Walls

61. 10

6Z

iM

61. 10

6Z

iM

61. 10

6Z

iM

61. 10

6Z

iM

61. 10

6Z

iM

57. 51

6Z

iM

Dumpers, Road Laborers

Oiling Crew

Dumpmen(

for

Laborers

Grading Crew)

Elevator Feeders

Laborers

Erosion Control Laborers Specialist

Laborers

https://

secure.

Ini. wa. gov/ wagelookup/

Final Clean- up

rates/ journey-

level-

rates

8S

12/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Laborers

Fine Graders

61. 10

6Z

iM

Laborers

Fire Watch

57. 51

6Z

iM

61. 10

6Z

iM

61. 10

6Z

iM

63. 17

6Z

iM

61. 10

6Z

iM

63. 17

6Z

iM

61. 96

6Z

iM

61. 96

6Z

iM

61. 96

6Z

iM

61. 96

6Z

iM

62. 61

6Z

iM

Form Strippers(

8S

Not

Laborers

Swinging Stages)

Laborers

General

Laborers

Grade Checker

Laborer

Guard Rail, Median Rail, Reference Post Laborers Guide Post, Right-

of- way Marker

Gunite Nozzleman

Laborers

Gunite Nozzleman Laborers Tender

Gunite or Sand Laborers

Blasting Pot Tender

Hand Placed Sand Laborers

Blasting( Wet)

Handlers Or Mixers Of All Materials

Of

An Irritating Nature

Laborers

$

Including Cement& Lime)

Hazardous Laborers

Waste

Worker

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level-

rates

13/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

High Scalers, Strippers&

Drillers

covers work in

swinging stages, chairs or belts under Laborers

extreme

conditions

$

63. 17

6Z

iM

63. 17

6Z

iM

63. 17

6Z

iM

63. 17

6Z

iM

62. 61

6Z

iM

61. 10

6Z

iM

unusual to normal

drilling, blasting, barring down or slopping and stripping

Laborers

Laser Beam

Laser Beam ( Pipe

Laying)- Applicable Laborers

When Employee Assigned

To Move,

Set Up, Align

Laser Beam ( Tunnel) Applicable Laborers

Employee

When

Assigned

$

To Move, Set Up, Align

Lead Abatement

Laborers

Leverman

Or

Aggregate Laborers

Spreaders( Flaherty And Similar Types)

https://

secure.

Ini. wa. gov/ wagelookup/

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level-

rates

14/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Laborers

Loading Spotters

61. 10

6Z

iM

Laborers

Loop Installation

63. 17

6Z

iM

Laborers

Manhole

Building

62. 61

6Z

iM

Laborers

Material Yard Man

61. 10

6Z

iM

Laborers

Miner-

63. 17

6Z

iM

62. 61

6Z

iM

62. 61

6Z

iM

62. 61

6Z

iM

57. 51

6Z

iM

61. 96

6Z

iM

$

63. 17

6Z

iM

$

61. 10

6Z

iM

61. 96

6Z

iM

Tunnel

Mold Remediation Laborers Or Removal

Nippers And Laborers Timbermen

Nuclear Plant Workers-

Lead

Shield, Power Saw

Laborers

Operators( Bucking Falling)

Pilot Car

Laborers

8S

Pipe Doping& Laborers

Wrapping

Laborers

Pipe Layer All Types

Laborers

Pittsburgh

Chipper

Operator

Or Similar

Types

Post Hold Digger, Laborers Air, Gas Or Electric

https://

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Ini. wa. gov/ wagelookup/

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level-

rates

15/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

PowdermanLaborers

63. 17

6Z

iM

61. 10

6Z

iM

Tunnel

Laborers

Powderman Tender

$

Laborers

Power Jacks

62. 61

6Z

iM

Laborers

Pressure Washer

61. 96

6Z

iM

61. 10

6Z

iM

61. 96

6Z

iM

61. 10

6Z

iM

61. 10

6Z

iM

61. 10

6Z

iM

Railroad Track Laborers Laborers

Laborers

Ribbon Setter, Head

$

Ribbon Setters Laborers

Including Steel Forms)

Laborers

Rigger/ SignaIperson

$

Rip Rap Man ( Hand Laborers Packed)

https://

Laborers

Rip Rap Man ( Head)

$

61. 96

6Z

iM

Laborers

Road Pump Tender

$

61. 10

6Z

iM

Laborers

Sand

$

62. 61

6Z

iM

Laborers

Scaffold Tender

61. 10

6Z

iM

Laborers

Sewer Labor

61. 10

6Z

iM

Laborers

Sewer Timbermen

62. 61

6Z

iM

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

Blasting( Dry)

rates

$

16/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Laborers

Signalman

61. 10

6Z

iM

Laborers

Skipman

61. 10

6Z

iM

Laborers

Slopers

61. 10

6Z

iM

Laborers

Spraymen

61. 10

6Z

iM

Laborers

Stake Chaser

61. 10

6Z

iM

Laborers

Stake- setter

61. 96

6Z

iM

Laborers

Stockpiler

61. 10

6Z

iM

Laborers

Tampers

61. 96

6Z

iM

Laborers

Tie Back Shoring

61. 96

6Z

iM

61. 10

6Z

iM

61. 96

6Z

iM

61. 96

6Z

iM

61. 10

6Z

iM

62. 61

6Z

iM

61. 10

6Z

iM

Timber Faller And Laborers Bucker( Hand Labor)

Tool OperatorsLaborers Jackhammer

Tool OperatorsLaborers

Paving Breakers

Toolroom Man ( At Laborers Job Site)

Laborers

Track Liners

Traffic Control Laborers Laborer

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rates

17/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Traffic Control Laborers

61. 96

6Z

iM

61. 96

6Z

iM

61. 10

6Z

iM

62. 61

6Z

iM

63. 17

6Z

1M

63. 17

6Z

iM

63. 17

6Z

iM

63. 17

6Z

iM

63. 17

6Z

iM

63. 17

6Z

iM

63. 17

6Z

iM

62. 61

6Z

iM

61. 10

6Z

iM

Supervisor

Traffic Control Laborers Supervisor

Truck Mounted Laborers Attenuator

Tugger Operator

Laborers

Tunnel Bullgang Laborers Above Ground)

Tunnel Chuck Laborers Tenders

Tunnel Motorman Laborers

Dinky Locomotive

Tunnel

Muckers,

Laborers Brakemen

Tunnel Shield Laborers Operator

Laborers

Vibrating Screed

Laborers

Vibrators( All Types)

Laborers

Water Blaster

$

Weight- ManLaborers

Crusher( Aggregate

$

When Used)

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rates

18/ 84


6/ 10/ 26, 8: 06 AM

Journey

Laborers

LaborersSewer&

Welder

Underground

Water

General

Level Wages

62. 61

6Z

iM

63. 17

6Z

iM

68. 46

7113

4G

8U

49. 42

6Z

1M

8T

Laborer and

Topman

Landscape Landscape

Construction Operator

Landscaping or Landscape Construction

Planting Laborer

Groundskeeper

17. 13

Lathers

Journey Level

71. 80

5A

1113

Marble Setters

Journey Level

77. 59

5A

11113

Metal Fabrication ( In Shop)

Fitter

25. 33

75

11113

Metal Fabrication ( In Shop)

Machine Operator

25. 33

75

11113

Metal Fabrication ( In Shop)

Welder

25. 33

75

11113

Millwright

Journey Level

84. 40

5A

11113

Modular Buildings

Journey Level

17. 13

Painters

Bridge Painter

63. 95

7E

11L

Painters

Commercial

54. 86

7E

11L

Painters

Industrial Painter

57. 06

7E

11L

9F

Pile Driver

Journey Level

73. 07

15. 111

11111. 11

9L

Landscape

https://

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Ini. wa. gov/ wagelookup/

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level-

rates

Painter

$

1

1

19/ 84


6/ 10/ 26, 8: 06 AM

Journey

Plasterers

Playground& Equipment

Plumbers&

Level Wages

Journey Level

64. 24

5H

1E

Journey Level

17. 13

Journey Level

95. 37

5A

1G

65. 24

7113

4G

8U

74. 18

7B

4G

8U

68. 46

7113

4G

8111. 11

68. 46

7113

4G

8111. 11

69. 70

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

Park 1

Installers

Pipefitters

Power Equipment

Air Filtration

Operators

Equipment( group 6)

Asphalt Plant( any Power Equipment

Type) ( assistant

Operators

Engineer Required)

group 2)

Asphalt, Burner&

Reconditioner( any Power Equipment Type),( asst To Operators Engineer If

Required)(group 5)

Asphalt, Extrusion Power Equipment Machine Operators

Operator( group 5)

Asphalt, Paver Power Equipment screed Man Operators

Required)( group 4)

Power Equipment

Asphalt, Pugmill

Operators

any Type)( group 6)

Power Equipment

Asphalt,

Operators

https://

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rates/ journey-

level-

rates

20/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Asphalt, Roller( any Power Equipment Asphalt Mix)( group

$

68. 46

7B

4G

8111. 11

69. 70

7B

4G

8111. 11

74. 18

7B

4G

8111. 11

68. 46

7B

4G

8111. 11

69. 70

7B

4G

8U

65. 24

7B

4G

8U

$ 65. 24

7B

4G

8111. 11

74. 18

7B

4G

8111. 11

Operators 5)

Asphalt, Roto- mill, Power Equipment

Pavement

Operators

Profiler

Under 8 Ft Lateral

Cut( group 4)

Asphalt, Roto- mill, Power Equipment

Pavement

Operators

Profiler, 8

Ft Lateral Cut&

Over( group 2)

Asphalt, Roto- mill, Power Equipment

Pavement

Operators

Profiler,

Groundman( group 5)

Power Equipment

Asphalt,

Operators

Screed( group 4)

Asphalt, Truck Power Equipment

Mounted

Operators

Spreader,

With Screed( group 6)

Power Equipment Auger Oiler( group

6)

Operators

Auto Grader Or Power Equipment

trimmer"( grade

Operators

Checker

Required)

group 2)

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rates

21/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Back Filling Machine Power Equipment

assistant To

Operators

69. 70

7B

4G

8111. 11

69. 70

7B

4G

8U

74. 18

7B

4G

8111. 11

65. 24

7B

4G

8U

69. 70

7113

4G

8U

74. 18

7B

4G

8111. 11

65. 24

7B

4G

8U

69. 70

7B

4G

8111. 11

Engineer Required)

group 4)

Backhoe, Robotic, Track And Wheel

Type Up To And Power Equipment

Including 20, 000 Operators

Lbs. With Any Attach ments(group 4)

Band Wagons( in Power Equipment

Conjuction

Operators

With

Whell Excavator)

group 2)

Bell Man ( any Type Power Equipment Of Comunication) Operators

group 6)

Power Equipment

Blade Any

Operators

Type( group 4)

Power Equipment

Blade,

Operators

Robotic(group 2)

Power Equipment Boatman( group 6) Operators

Power Equipment

Boatman,

Operators

https://

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Licensed( group 4)

rates/ journey-

level-

rates

22/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment

Level Wages

Bobcat, Skid Steer

Operators

65. 24

7113

4G

8U

68. 46

7113

4G

8U

69. 70

7113

4G

8U

65. 24

7113

4G

8U

68. 46

7113

4G

8U

69. 70

7113

4G

8U

73. 03

7113

4G

8U

lyd)(group 6)

Boom Type Lifting Power Equipment

Device, 5 Ton

Operators

Capacity Or Less(group 5)

Boring Machine Power Equipment asst To Engineer Operators

Required)( group 4)

Broom SelfPower Equipment

propelled,

Operators

Construction

Job

Site( group 6)

Bulldozer Operator, Power Equipment

20, 000 Lbs Or Less,

Operators

Or 100 Horse Or

Less(group 5)

Bulldozer Operator, Over 20, 000 Lbs Power Equipment And More Than 100

$

Operators

Horse Up To 70,000 Lbs(group 4)

Bulldozer Over

70, 000 Lbs Up To Power Equipment And

Including

Operators

120, 000 Lbs(group 3)

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23/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Bulldozer Over Power Equipment 120, 000 Lbs And

74. 18

7113

4G

8111. 11

74. 18

7113

4G

8U

69. 70

7113

4G

8111. 11

74. 18

7113

4G

8U

69. 70

7113

4G

8111. 11

74. 18

7113

4G

8U

69. 70

7113

4G

8111. 11

68. 46

7113

4G

8111. 11

$ 69. 70

7113

4G

8111. 11

68. 46

7113

4G

8111. 11

69. 70

7113

4G

8111. 11

Operators

Above( group 2)

Power Equipment

Bulldozer Robotic

Operators

Equipment( group 2)

Power Equipment

Cable- plow( any

Operators

Type)( group 4)

Power Equipment

Cableway 25 Ton&

Operators

Over( group 2)

Power Equipment

Cableway Up To 25

Operators

Ton( group 4)

Canal Trimmer Power Equipment grade

Oiler

Operators

Required)(group 2)

Power Equipment

Cat Drill ( john

Operators

Henry)(group 4)

Power Equipment

Cement

Operators

Pump(group 5)

Power Equipment Challenger( group 4) Operators

Power Equipment

Chip Spreading

Operators

Machine(group 5)

Chippers( asst To Power Equipment Engineer If Operators

Required)( group 4)

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rates

24/ 84


6/ 10/ 26, 8: 06 AM

Journey

Churn Drill&

Level Wages

Earth

Power Equipment

Boring

68. 46

7B

4G

8U

69. 70

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

68. 46

7B

4G

8U

65. 24

7B

4G

8U

Operators

Machine( group 5)

Combination

Heavy

Duty MechanicPower Equipment welder,

When

Operators Required To Do

Both(group 4)

Compactor

Self

Propelled

Without

Power Equipment $

Operators

Blade( group 5)

Compactor

With

Power Equipment Blade Self Operators

Propelled( group 4)

Power Equipment

Compactor, Multi-

Operators

engine(group 4)

Power Equipment

Compactor,

Operators

Robotic(group 4)

Compressor( any Power Equipment

Power) 1, 250 Cu Ft

Operators

And Over Total

Capacity( group 5)

Compressor

Operator( any Power Equipment Power) Under 1, 250

$

Operators Cu Ft Total

Capacity( group 6)

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rates

25/ 84


6/ 10/ 26, 8: 06 AM

Journey

Concrete Power Equipment

Level Wages

Batch

Plant And/ or Wet

Operators

76. 09

7B

4G

8111. 11

74. 18

7B

4G

8111. 11

68. 46

7B

4G

8111. 11

69. 70

7B

4G

8111. 11

74. 18

7B

4G

8111. 11

65. 24

7B

4G

8U

$ 74.18

7113

4G

8111. 11

69. 70

7113

4G

8111. 11

Mix( 3 Units Or

More)( groupl)

Concrete Power Equipment

Batch

Plant And/ or Wet Mix Operator( 1&

Operators

2

Drums)( group 2)

Concrete

Batch

Power Equipment Plant

Quality

Operators

Control( group 5)

Concrete Power Equipment

Breaker

assistant To

Operators

Engineer Required)

group 4)

Concrete Power Equipment

Canal

Line, Assistant

Operators

To

Engineer

Required( group 2)

Concrete Curing Power Equipment Machine( riding Operators

Type)(group 6)

Concrete

Diamond

Power Equipment Head Profiler( group Operators 2)

Power Equipment

Concrete Paving

Operators

https://

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rates/ journey-

level-

rates

26/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment

Level Wages

Concrete

Operators

68. 46

7113

4G

8U

65. 24

7113

4G

8111. 11

74. 18

7113

4G

8111. 11

68. 46

7113

4G

8111. 11

68. 46

7113

4G

8U

68. 46

7113

4G

8U

69. 70

7113

4G

8U

68. 46

7113

4G

8U

68. 46

7113

4G

8U

Planer(group 5)

Power Equipment

Concrete

Operators

Saw( group 6)

Concrete,

Automatic Slip Form Power Equipment Paver( asst To Operators Engineer Required)

group 2)

Concrete, Combination

Mixer

Power Equipment Compressor Operators Operator, Gunite

Work(group 5)

Concrete, Curb Machine Mechanical Power Equipment Berm, Curb And/ or

$

Operators Curb And

Gutter( group 5)

Power Equipment

Concrete, Finishing

Operators

Machine( group 5)

Power Equipment

Concrete, Grout

Operators

Plant( group 4)

Power Equipment

Concrete, Grouting

Operators

Machine( group 5)

Power Equipment

Concrete, Joint

Operators

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rates

27/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment

Concrete,

Operators

Level Wages

Mixer 69. 70

7B

4G

8111. 11

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8111. 11

68. 46

7B

4G

8111. 11

68. 46

7113

4G

8U

68. 46

7113

4G

8111. 11

69. 70

7B

4G

8111. 11

76

4G

8U

Mobile(group 4)

Concrete,

Mixer

Power Equipment Single Drum Any Operators

Capacity(group 5)

Concrete, Paving Machine

8' And

Power Equipment Less( asst To Operators Engineer Required)

group 5)

Power Equipment

Concrete, Placing

Operators

Boom( group 5)

Power Equipment

Concrete, Pump

Operators

Truck(group 5)

Power Equipment

Concrete,

Operators

Pump(group 5)

Concrete, Power Equipment

Pumperete

Operators

Operator( any Type) group 5)

Concrete, Reinforced

Tank

Power Equipment

Banding Machine Operators asst To Engineer

Required)( group 4)

Power Equipment

Concrete,

Operators

Slip Form

$

68. 46

Pumps, Power Driven Hydraulic

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28/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Lifting Device For Concrete

Forms( group 5)

Power Equipment

Concrete,

Operators

68. 46

7B

4G

8U

68. 46

7B

4G

8111. 11

68. 46

7B

4G

8111. 11

65. 24

7B

4G

8U

68. 46

7113

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8111. 11

69. 70

7B

4G

8U

Spreader( group 5)

Power Equipment

Concrete,

Operators

Telebelt( group 5)

Concrete, Treated Power Equipment

Base Roller

Operators

Operator,

Oiling( group 5)

Conveyor

Operator

Power Equipment Or Assistant( group

$

Operators 6)

Conveyored Power Equipment Material Operators

Hauler(group 5)

Crane, Bridge Power Equipment

Locomotive, Gantry And

Operators

Overhead( group 4)

Power Equipment

Crane, Carry

Operators

Deck( group 4)

Crane, Chicago Power Equipment Boom&

Similar

Operators

Types( group 4)

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29/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Crane, Floating derrick Barge) 30 Power Equipment

Ton But Less Than

Operators

74. 18

7113

4G

8U

76. 09

7B

4G

8U

78. 25

7113

4G

8U

74. 18

7113

4G

8U

69. 70

7113

4G

8U

150 Ton ( asst To Engineer Required)

group 2)

Crane, Floating 150 Ton But Less Than Power Equipment 250 Ton( asst To Operators Engineer Required)

group 1)

Crane, Floating 250 Ton And Over( asst Power Equipment To Engineer And Operators Deckhand

Required)

group 1)

Crane, Floating Clamshell Power Equipment

3 Cu. Yds.

Over( fireman Or

Operators

Diesel Electric Engineer

Required( group 2)

Crane, Floating Clamshell,

Dragline

Etc. Operator

Under

Power Equipment 3 Cu. Yds. Or Less Operators Than 30 Ton ( dieselelectric Engineer

Required)( group 4)

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30/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Crane, Hydraulic Power Equipment 200 Ton Through

76. 09

7B

4G

8U

74. 18

7B

4G

8U

73. 03

7B

4G

8111. 11

76. 09

7B

4G

8111. 11

74. 18

7B

4G

8111. 11

78. 25

7B

4G

8U

Operators

399 Ton ( group 1)

Crane, Hydraulic 50 Ton Through Power Equipment

89 Ton

With Luffing Or Tower

Operators

Attach ment(group 2)

Crane, Hydraulic 50 Power Equipment Ton Through 89 Operators

Tons( group 3)

Crane, Hydraulic 90 Ton Through

199

Power Equipment Ton With

Luffing Or

$

Operators Tower Attachment

group 1)

Crane, Hydraulic 90 Power Equipment Ton Through 199 Operators

Ton( group 2)

Crane, Hydraulic Crane 200 Ton Through

300 Ton

Power Equipment With Luffing Or Operators Tower

Attach ment(group 1)

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31/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Crane, Hydraulic Power Equipment Crane 400 Ton And

$

80. 41

7113

4G

8U

80. 41

7113

4G

8111. 11

69. 70

7113

4G

8U

78. 25

7113

4G

8111. 11

78. 25

7113

4G

8111. 11

80. 41

7113

4G

8U

73. 03

7113

4G

8U

Operators

Over( group 1)

Crane, Hydraulic Crane Over 300 Ton Through

399 Ton

Power Equipment With Luffer Or Operators Tower

Attach ment(group 1)

Crane, Hydraulic Power Equipment Under 50 Ton( group

$

Operators 4)

Crane, Lattice Boom Power Equipment

200 Ton Through

Operators

299 Ton, With Over

200' Boom( group 1)

Crane, Lattice Boom Power Equipment 300 Ton Through Operators

399 Ton( group 1)

Crane, Lattice Boom Power Equipment

300 Ton Through

Operators

399 Ton, With Over

200' Boom( group 1)

Crane, Lattice Boom Power Equipment

50 Ton Through

Operators

89

Ton With 150' Boom

Or Less( group 3)

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32/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Crane, Lattice Boom Power Equipment

50 Ton Through

Operators

89 74. 18

7113

4G

8U

74. 18

7113

4G

8U

69. 70

7113

4G

8U

76. 09

7113

4G

8U

76. 09

7113

4G

8U

73. 03

7113

4G

8U

Ton With Over 150' Boom

Crane, Lattice Boom Power Equipment

90 Ton Through 199 Ton With 150' - 200'

Operators

Boom( group 2)

Crane, Lattice Boom Power Equipment Under 50 Ton( group

$

Operators 4)

Crane, Lattice Boom, 200 Ton Power Equipment Through

299 Ton

Operators With 200' Boom Or

Less( group 1)

Crane, Lattice Boom, 90 Ton Power Equipment Through 199 Ton Operators With Over 200'

Boom ( group 1)

Crane, Shovel, Dragline Or Clamshell

3 Cu. Yds.

Power Equipment But Less Than 5 Cu.

$

Operators Yds. ( asst To Engineer Required)

group 3)

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33/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Crane, Tower Crane With 175' Tower Or Power Equipment Less And With Less

$

74. 18

7B

4G

8U

76. 09

7B

4G

8U

65. 24

7B

4G

8U

76. 09

7B

4G

8U

74.18

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

74. 18

7B

4G

8U

65. 24

7B

4G

8U

7B

4G

8U

Operators

Than 200' Jib( group 2)

Crane, Tower Crane Power Equipment

With Over 175

Operators

Tower Or Over 200'

Jib( group 1)

Power Equipment

Crane,

Operators

Tugger( group 6)

Crane, Whirley 90 Power Equipment Ton And Over Operators

group 1)

Crane, Whirley Power Equipment Under 90 Ton( group

$

Operators 2)

Power Equipment

Crusher

Operators

Feederman( group 6)

Power Equipment

Crusher Oiler( group

Operators

6)

Power Equipment

Crusher Plant(group 2)

Operators

Power Equipment Deckhand( group

6)

$

Operators

Power Equipment

Derrick Operator

Operators

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69. 70

Under 100 Ton ( two

rates/ journey-

level-

rates

34/ 84


6/ 10/ 26, 8: 06 AM

Journey

Operators

Level Wages

Required

When Swing Control

Is Remote

From Hoist)(group 4)

Diesel- electric Power Equipment Engineer( plant Or

69. 70

7B

4G

8111. 11

69. 70

7B

4G

8111. 11

65. 24

7B

4G

8U

69. 70

7B

4G

8111. 11

68. 46

7B

4G

8U

69. 70

7B

4G

8U

68. 46

7B

4G

8111. 11

69. 70

7B

4G

8111. 11

Operators

Floating)(group 4)

Directional

Drill

Power Equipment Over 20, 000 Lbs Operators

Pullback( group 4)

Power Equipment

Drill Assistant( group

Operators

6)

Power Equipment

Drill Cat

Operators

Operator( group 4)

Drill Directional Power Equipment

Type Less Than

Operators

20, 000 Lbs

Pullback( group 5)

Drill Doctor And/ or Power Equipment bit Grinder)( group

$

Operators 4)

Power Equipment

Drill Mud

Operators

Mixer( group 5)

Power Equipment

Drill Oscillator( group 4)

Operators

https://

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rates/ journey-

level-

rates

35/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment

Level Wages

Drill, Directinal

Operators

65. 24

7B

4G

8U

69. 70

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

73. 03

7B

4G

8U

69. 70

7B

4G

8U

7B

4G

8U

Locator(group 6)

Driller, Percussion, Diamond, Core, Power Equipment Cable,

Rotary&

Operators

Similar Type(group 4)

Elevating Grader Operator, Tractor Power Equipment Towed

Requiring

Operators Operator

Or

Grader( group 5)

Elevating Loader Power Equipment Operator( any Type)

$

Operators

group 5)

Elevator To Move Power Equipment Personnel

Or

Operators

Materials(group 5)

Excavator Power Equipment

Over

80, 000 Lbs

Operators

Through

130, 000

Lbs(group 3)

Excavator Power Equipment

Operator,

Over 20, 000 Lbs

Operators

Through

80, 000

Lbs(group 4)

Power Equipment

Excavator Operator,

Operators

https://

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Ini. wa. gov/ wagelookup/

$

74. 18

Over 130, 000

rates/ journey-

level-

rates

36/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Lbs( group 2)

Power Equipment Fireman( group

6)

65. 24

7B

4G

8U

80. 41

7B

4G

8U

65. 24

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

65. 24

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

65. 24

7B

4G

8U

Operators

Floating, Crane 350 Ton And Over( asst Power Equipment To Engineer And Operators Deckhand

Required)

group 1)

Power Equipment Fork Lift( group

6)

Operators

Fork Lift, Over 10 Power Equipment Ton Or Operators

Robotic( group 5)

Power Equipment

Generator

Operators

Operator( group 4)

Power Equipment

Grade

Operators

Checker(group 6)

Grade Setter/ Power Equipment Layout From Operators

Plans( group 4)

Power Equipment Grade- all( group

4)

Operators

Guardrail

Machines,

Power Equipment I. e. Punch, Auger, Operators

Etc.( group 4)

Power Equipment

Guardrail

Operators

https://

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Punch

Oiler( group 6) rates/ journey-

level-

rates

37/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment

Level Wages

Hammer Operator

Operators

69. 70

7B

4G

8111. 11

65. 24

7B

4G

8U

74. 18

7B

4G

8111. 11

68. 46

7B

4G

8111. 11

$ 65. 24

7B

4G

8U

76. 09

7B

4G

8U

68. 46

7B

4G

8111. 11

69. 70

7B

4G

8111. 11

69. 70

7B

4G

8U

pile Driver)(group 4)

Heavy Duty Power Equipment Repairman Operators

Assistant( group 6)

Heavy Equipment Power Equipment

Robotics Operator

Operators

Or Mechanic(group 2)

Power Equipment

Helicopter

Operators

Hoist( group 5)

Helicopter Power Equipment Radioman ( ground) Operators

group 6)

Helicopter When Power Equipment Used In Erecting Operators

Workcrane(group 1)

Hoist Operator, Power Equipment Single Drum( group

$

Operators 5)

Power Equipment

Hoist, 2 Drums Or

Operators

More(group 4)

Hoist, Stiff Leg, Guy Power Equipment

Derrick Or Similar

Operators

Type, 50 Ton And

Over(group 4)

https://

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Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

38/ 84


6/ 10/ 26, 8: 06 AM

Journey

Hydraulic

Level Wages

Backhoe

Track Type Up To Power Equipment And

Including

68. 46

7B

4G

8111. 11

68. 46

7113

4G

8111. 11

65. 24

7113

4G

8111. 11

69. 70

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8111. 11

68. 46

7B

4G

8U

69. 70

7B

4G

8111. 11

Operators

20, 000 Lbs( group 5)

Hydraulic

Backhoe

Power Equipment Wheel Type( any Operators

Make)(group 5)

Power Equipment

Hydraulic

Operators

Pipe

Press(group 6)

Hydro Axe( loader Power Equipment Mounted Or Similar

$

Operators

Type)( group 4)

Hydrographic Power Equipment

Seeder Machine

Operators

Straw, Pulp Or Seed( group 6)

Power Equipment

Hydrostatic Pump

Operators

Operator( group 6)

Internal

Full Slab

Power Equipment Vibrator Operators

Operator(group 5)

Jack Operator,

Elevating Barges, Power Equipment

Barge Operator,

Operators

Self- unloading( asst To Engineer

Required)( group 4)

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

39/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment

Level Wages

Laser Screed( group

Operators

68. 46

7B

4G

8U

80. 41

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

74.18

7B

4G

8U

73. 03

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

5)

Lattice Boom Crane Power Equipment 400 Ton And Operators

Over( group 1)

Lime Spreader, Power Equipment Construction

Job

Operators

Site( group 5)

Loaders Operator, Front End& Power Equipment

Overhead, 25, 000

Operators

Lbs And Less Than

60, 000 Lbs( group 4)

Loaders, 120, 000 Power Equipment Lbs And Operators

Above(group 2)

Loaders, 60, 000 Power Equipment

Lbs And Less Than

Operators

120, 000 Lbs( group 3)

Loaders, RubberPower Equipment

tire Type, Less Than

Operators

25, 000 Lbs( group 5)

Power Equipment

Log Skidders( group 4)

Operators

https://

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rates/ journey-

level-

rates

40/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Master Power Equipment

Environmental

Operators

74. 18

7B

4G

8U

65. 24

7B

4G

8U

69. 70

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

Maintenance

Mechanic(group 2)

Power Equipment

Material

Operators

Handler(group 6)

Power Equipment

Mechanic, Heavy

Operators

Duty(group 4)

Power Equipment

Mixer Box( c.t.b., Dry

Operators

Batch, Etc.)(group 6)

Power Equipment Oiler( group 6) Operators

Power Equipment

Parts Man ( tool

Operators

Room)( group 6)

Pavement Power Equipment

Grinder

And Or Grooving

Operators

Machine( riding Type)(group 5)

Pile Driver Operator Power Equipment

not Crane Type)

Operators

asst To Engineer

Required)(group 4)

Pipe Bending, Power Equipment

Cleaning, Doping

Operators

And Wrapping Machines( group 4)

https://

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rates/ journey-

level-

rates

41/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Pipe, Cast In Place Power Equipment Pipe

Laying

68. 46

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

65. 24

7113

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

7B

4G

8U

Operators

Machine( group 5)

Power Equipment Plant Oiler( group 6)

$

Operators

Power Equipment

Pump( any Power)

Operators

group 6)

Pump Operator, Power Equipment More Than 5 Pumps

$

Operators

any Size)(group 5)

Rail, Ballast Compactor, Power Equipment Regulator

Or

Operators Tamper

Machines( group 5)

Rail, Ballast Tamper Power Equipment MultiOperators

purpose( group 4)

Rail, Brakeman, Power Equipment Switchman, Operators

Motorman( group 6)

Power Equipment

Rail, Car

Operators

Mover( group 5)

Power Equipment

Rail, Clip

Operators

Applicator( group 5)

Rail, High Rail Self

Power Equipment Operators

https://

secure.

Ini. wa. gov/ wagelookup/

68. 46

Loader Truck( group

rates/ journey-

level-

rates

42/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

5)

Power Equipment

Rail, Lo- railer(group

Operators

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

68. 46

7B

4G

8U

74. 18

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

5)

Rail, Locomotive, Power Equipment

40

Ton And Over( asst

Operators

To Engineer

Required)( group 5)

Power Equipment

Rail, Shuttle Car

Operators

Operator( group 5)

Rail, Power Equipment

Speedswing( group

$

Operators 5)

Power Equipment

Rail,

Operators

Switchman( group 6)

Rail, Tamping Power Equipment

Machine,

Operators

Mechanical,

Self-

propelled( group 6)

Power Equipment

Rail, Track

Operators

Liner( group 5)

Remote Controlled Power Equipment Earth

Moving

Operators

Equipment( group 2)

Power Equipment Rigger( group

6)

Operators

Power Equipment

Roller Grading( not

Operators

https://

secure.

Ini. wa. gov/ wagelookup/

Asphalt)( group 6) rates/ journey-

level-

rates

43/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Rubber- tired Dozers Power Equipment And Pushers( group

$

69. 70

7B

4G

8U

69. 70

7B

4G

8U

68. 46

7B

4G

8U

74. 18

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

68. 46

7B

4G

8U

65. 24

7B

4G

8U

Operators 4)

Power Equipment

Scraper All

Operators

Types( group 4)

Power Equipment

Service Oiler

Operators

greaser)( group 5)

Shovel, Dragline, Power Equipment Clamshell, 5 Yards Operators

And Over(group 2)

Power Equipment Side- boom( group 4)

$

Operators

Power Equipment

Skip Loader, Drag

Operators

Box(group 4)

Stump Grinder Power Equipment

loader Mounted

Operators

Or

Similar Type)(group 4)

Power Equipment

Surface Heater And

Operators

Planer( group 4)

Sweeper SelfPower Equipment

propelled,

Operators

Construction

Job

Site( group 5)

Tar Pot Fireman Power Equipment power

Agitated) Or

$

Operators

Not(group 6)

https://

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rates/ journey-

level-

rates

44/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Tractor RubberPower Equipment

tired, 50 Hp 68. 46

71113

4G

8U

69. 70

71113

4G

8U

69. 70

71113

4G

8U

68. 46

7113

4G

8U

65. 24

71113

4G

8U

68. 46

71113

4G

8U

68. 46

71113

4G

8U

68. 46

71113

4G

8U

Flywheel&

Operators

Under(group 5)

Tractor, RubberPower Equipment tired Over 50

Hp

Operators

Flywheel( group 4)

Trenching Machine 3 Ft Depth And Power Equipment Deeper( asst To The

$

Operators Operator

If

Required)( group 4)

Trenching Machine Power Equipment

Operator, Maximum

Operators

Digging Capacity 3 Ft Depth( group 5)

Power Equipment

Truck Crane Oiler-

Operators

driver(group 6)

Power Equipment

Truck, All Terrain Or

Operators

Track Type( group 5)

Power Equipment

Truck, Barrel

Operators

Type(group 5)

Power Equipment

Truck, Boom( group

Operators

https://

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Ini. wa. gov/ wagelookup/

5)

rates/ journey-

level-

rates

45/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Truck, Off- road Power Equipment

Trucks, Articulated

Operators

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

76. 09

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

And Non- articulated

Trucks( group 5)

Truck, Off raod Power Equipment

Trucks, Articulated

Operators

And Non- articulated

Trucks( group 5)

Power Equipment

Truck,

Operators

Vacuum( group 5)

Power Equipment

Truck, Water( group

Operators

5)

Power Equipment

Tub Grinder( group 4)

Operators

Tunnel Boring Power Equipment Machine Operators

Mechanic(group 4)

Power Equipment

Tunnel Boring

Operators

Machine( group 1)

Power Equipment

Tunnel Segment

Operators

Plant( group 4)

Power Equipment

Tunnel Separation

Operators

Plant( group 4)

Power Equipment

Tunnel Shaef

Operators

https://

secure.

Ini. wa. gov/ wagelookup/

Loader( group 4)

rates/ journey-

level-

rates

46/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment

Level Wages

Tunnel, Locomotive,

Operators

68. 46

7B

4G

8U

76. 09

7B

4G

8U

69. 70

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

74. 18

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

65. 24

7B

4G

8U

Dinkey(group 5)

Tunnel, Micro Power Equipment

Boring Tunnel Operators

Machine( group 1)

Power Equipment

Tunnel, Mucking

Operators

Machine( group 4)

Tunnel, Power Power Equipment Jumbo

Setting Slip

$

Operators

Forms, Etc.(group 5)

Power Equipment

Tunnel, Shield

Operators

Operator( group 4)

Ultra High Pressure Power Equipment

Water Jet Cutting

Operators

Tool System

Operator( group 4)

Underwater Power Equipment

Equipment,

Operators

Remote

Or Otherwise( group 2)

Vacuum Blasting Power Equipment Machine Operators

Operator( group 4)

Power Equipment

Water Pulls, Water

Operators

Wagon( group 4)

Power Equipment

Welder' s

Operators

https://

secure.

Ini. wa. gov/ wagelookup/

Assistant( group 6)

rates/ journey-

level-

rates

47/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Welder; Heavy Duty, Power Equipment Certified

Or

69. 70

7B

4G

8111. 11

65. 24

7B

4G

8U

74. 18

7113

4G

8U

65. 24

7113

4G

8111. 11

65. 24

7B

4G

8111. 11

74. 18

7B

4G

8111. 11

68. 46

7B

4G

8U

68. 46

7113

4G

8111. 11

Operators

Not(group 4)

Power Equipment

Welding

Operators

Machine( group 6)

Wheel Excavation Power Equipment

Any Size( grade

Operators

Oiler Required)

group 2)

Wire Mat Or Power Equipment

Brooming Operators

Machine( group 6)

Power Equipment Air Filtration Operators-

Underground

Equipment( group 6) Sewer&

Water

Asphalt Plant( any Power Equipment Type) ( assistant Operators- Underground Engineer Required) Sewer&

Water

group 2)

Asphalt, Burner& Power Equipment OperatorsSewer&

Reconditioner(

Underground

Water

any

Type),( asst To Engineer If

Required)( group 5)

Power Equipment OperatorsSewer&

https://

secure.

Asphalt, Extrusion

Underground

Water

Ini. wa. gov/ wagelookup/

Machine

Operator( group 5)

rates/ journey-

level-

rates

48/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment OperatorsSewer&

Level Wages

Asphalt, Paver

Underground

Water

screed Man

69. 70

7B

4G

8111. 11

65. 24

7B

4G

8U

65. 24

7B

4G

8U

68. 46

7B

4G

8111. 11

69. 70

7B

4G

8111. 11

74. 18

7B

4G

8111. 11

68. 46

7B

4G

8111. 11

69. 70

7B

4G

8111. 11

Required)( group 4)

Power Equipment Asphalt, Pugmill Operators-

Underground

any Type)(group 6) Sewer&

Water

Power Equipment Asphalt, Operators-

Underground

Raker( group 6) Sewer&

Water

Power Equipment OperatorsSewer&

Asphalt, Roller( any

Underground

Water

Asphalt Mix)( group

$

5)

Asphalt, Roto- mill, Power Equipment Pavement

Profiler

Operators- Underground Under 8 Ft Lateral Sewer&

Water

Cut( group 4)

Asphalt, Roto- mill, Power Equipment Pavement

Profiler, 8

Operators- Underground Ft Lateral Cut& Sewer&

Water

Over(group 2)

Asphalt, Roto- mill, Power Equipment Pavement

Profiler,

Operators- Underground

Groundman( group Sewer&

Water 5)

Power Equipment Asphalt, Operators-

Underground

Screed( group 4) Sewer&

https://

secure.

Water

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

49/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Asphalt, Truck Power Equipment Mounted

Spreader,

Operators- Underground

65. 24

7113

4G

8111. 11

65. 24

7113

4G

8111. 11

74. 18

7113

4G

8111. 11

69. 70

7113

4G

8111. 11

69. 70

7113

4G

8111. 11

74. 18

7113

4G

8U

With Screed( group Sewer&

Water 6)

Power Equipment OperatorsSewer&

Underground

Auger Oiler( group

6)

$

Water

Auto Grader Or Power Equipment

trimmer"( grade Operators- Underground Checker Sewer&

Required)

Water

group 2)

Back Filling Machine Power Equipment assistant To Operators- Underground Engineer Required) Sewer&

Water

group 4)

Backhoe, Robotic, Track And Wheel Power Equipment OperatorsSewer&

Type Up To And

Underground

Water

Including 20, 000 Lbs. With Any Attach ments( group 4)

Band Wagons( in Power Equipment Conjuction Operators-

With

Underground Whell Excavator)

Sewer&

Water

group 2)

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

50/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment OperatorsSewer&

Level Wages

Bell Man ( any Type

Underground

Water

Of Comunication)

65. 24

7B

4G

8U

69. 70

7B

4G

8U

74.18

7B

4G

8U

65. 24

7113

4G

8111. 11

69. 70

7B

4G

8U

65. 24

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

group 6)

Power Equipment

Blade Any Operators-

Underground

Type(group 4) Sewer&

Water

Power Equipment Blade, Operators-

Underground

Robotic( group 2) Sewer&

Water

Power Equipment OperatorsSewer&

Underground

Boatman( group

6)

Water

Power Equipment Boatman, Operators-

Underground

Licensed( group 4) Sewer&

Water

Power Equipment Bobcat, Skid Steer Operators-

Underground

1yd)( group 6) Sewer&

Water

Boom Type Lifting Power Equipment Device, 5 Ton Operators-

Underground

Capacity Or Sewer&

Water

Less(group 5)

Power Equipment OperatorsSewer&

https://

secure.

Boring Machine

Underground

Water

Ini. wa. gov/ wagelookup/

asst To Engineer

Required)( group 4)

rates/ journey-

level-

rates

51/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Broom SelfPower Equipment

propelled, Operators- Underground Construction Sewer&

65. 24

7113

4G

8111. 11

68. 46

7113

4G

8111. 11

69. 70

7113

4G

8111. 11

73. 03

7113

4G

8111.11

74.18

7113

4G

8111.11

74. 18

7113

4G

8111. 11

69. 70

7113

4G

8111. 11

Job

Water

Site( group 6)

Bulldozer Operator, Power Equipment 20, 000 Lbs Or Less, Operators- Underground Or 100 Horse Or Sewer&

Water

Less(group 5)

Bulldozer Operator, Power Equipment OperatorsSewer&

Over 20, 000 Lbs

Underground

Water

And More Than 100

$

Horse Up To 70,000 Lbs( group 4)

Bulldozer Over Power Equipment OperatorsSewer&

70, 000 Lbs Up To

Underground

Water

And Including

120, 000 Lbs(group 3)

Power Equipment OperatorsSewer&

Bulldozer Over

Underground

Water

120, 000 Lbs And

Above( group 2)

Power Equipment Bulldozer Robotic Operators-

Underground

Equipment( group 2) Sewer&

Water

Power Equipment

Cable- plow( any Operators-

Underground

Type)(group 4) Sewer&

https://

secure.

Water

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

52/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Power Equipment

Cableway 25 Ton& Operators-

Underground

74. 18

7113

4G

8111. 1

69. 70

7113

4G

8U

74.18

7113

4G

8U

69. 70

7113

4G

8111. 11

68. 46

7113

4G

8111. 1

$ 69. 70

7113

4G

81111

68. 46

7113

4G

8U

69. 70

7113

4G

8111. 11

68. 46

7113

4G

8111. 1

Over(group 2) Sewer&

Water

Power Equipment

Cableway Up To 25 Operators-

Underground

Ton( group 4) Sewer&

Water

Power Equipment OperatorsSewer&

Canal Trimmer

Underground

Water

grade Oiler

Required)( group 2)

Power Equipment

Cat Drill ( john Operators-

Underground

Henry)(group 4) Sewer&

Water

Power Equipment Cement Operators-

Underground

Pump(group 5) Sewer&

Water

Power Equipment OperatorsSewer&

Underground

Challenger( group 4)

Water

Power Equipment

Chip Spreading Operators- Underground

Machine(group 5) Sewer&

Water

Power Equipment OperatorsSewer&

Chippers( asst To

Underground

Water

Required)( group 4)

Power Equipment OperatorsSewer&

https://

secure.

Churn Drill&

Underground

Water

Ini. wa. gov/ wagelookup/

Engineer If

Earth

Boring Machine( group 5)

rates/ journey-

level-

rates

53/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Combination Heavy Power Equipment OperatorsSewer&

Duty Mechanic-

Underground

Water

welder, When

69. 70

71113

4G

8111. 11

68. 46

7113

4G

8111. 11

69. 70

71113

4G

8111. 11

69. 70

7B

4G

8U

69. 70

7B

4G

8U

68. 46

71113

4G

8111. 11

65. 24

7B

4G

8U

7B

4G

8U

Required To Do

Both( group 4)

Power Equipment OperatorsSewer&

Underground

Water

Sewer&

Self

Propelled

Without

$

Blade( group 5)

Power Equipment Operators-

Compactor

Compactor

Underground

Water

With

Blade Self

Propelled( group 4)

Power Equipment Compactor, MultiOperators-

Underground

engine(group 4) Sewer&

Water

Power Equipment Compactor, Operators-

Underground

Robotic( group 4) Sewer&

Water

Compressor( any Power Equipment Power) 1, 250 Cu Ft Operators-

Underground And Over Total

Sewer&

Water

Capacity(group 5)

Compressor Power Equipment OperatorsSewer&

Operator( any

Underground

Water

Power) Under 1, 250

$

Cu Ft Total

Capacity( group 6)

Power Equipment Operators-

https://

secure.

Concrete

Underground

Ini. wa. gov/ wagelookup/

rates/ journey-

Batch

76. 09

Plant And/ or Wet

level-

rates

54/ 84


6/ 10/ 26, 8: 06 AM

Sewer&

Journey

Water

Level Wages

Mix( 3 Units Or

More) (groupl)

Concrete

Batch

Power Equipment Plant And/ or Wet Operators-

Underground Mix Operator( 1&

Sewer&

74. 18

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8111. 11

74. 18

7113

4G

8U

65. 24

7B

4G

8111. 11

74. 18

7B

4G

8111. 11

69. 70

7B

4G

8U

7B

4G

8U

2

Water

Drums)(group 2)

Power Equipment OperatorsSewer&

Concrete

Underground

Water

Batch

Plant Quality

Control( group 5)

Concrete

Breaker

Power Equipment assistant To Operators-

Underground Engineer Required)

Sewer&

Water

group 4)

Concrete

Canal

Power Equipment Line, Assistant To Operators-

Underground Engineer

Sewer&

Water

Required( group 2)

Power Equipment OperatorsSewer&

Concrete Curing

Underground

Water

Type)( group 6)

Power Equipment OperatorsSewer&

Machine( riding

Concrete

Underground

Water

Diamond

Head Profiler( group

$

2)

Power Equipment

Concrete Paving Operators-

Underground

Road Mixer(group 4) Sewer&

Water

Power Equipment Operators-

https://

secure.

Concrete

Underground

Ini. wa. gov/ wagelookup/

rates/ journey-

68. 46

Planer(group 5) level-

rates

55/ 84


6/ 10/ 26, 8: 06 AM

Sewer&

Journey

Level Wages

Water

Power Equipment Concrete Operators-

Underground

65. 24

7113

4G

8111. 11

74. 18

7113

4G

8111. 11

68. 46

7113

4G

8U

68. 46

7113

4G

8U

68. 46

7113

4G

8U

69. 70

7113

4G

8U

68. 46

7113

4G

8111. 11

Saw( group 6) Sewer&

Water

Concrete, Power Equipment OperatorsSewer&

Automatic Slip Form

Underground

Water

Paver( asst To Engineer Required)

group 2)

Concrete, Power Equipment OperatorsSewer&

Combination

Underground

Water

Mixer

Compressor Operator, Gunite

Work(group 5)

Concrete, Curb Power Equipment OperatorsSewer&

Machine Mechanical

Underground

Water

Berm, Curb And/ or

$

Curb And

Gutter( group 5)

Power Equipment

Concrete, Finishing Operators-

Underground

Machine(group 5) Sewer&

Water

Power Equipment

Concrete, Grout Operators-

Underground

Plant( group 4) Sewer&

Water

Power Equipment

Concrete, Grouting Operators-

Underground

Machine(group 5) Sewer&

https://

secure.

Water

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

56/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Power Equipment Concrete, Joint Operators-

Underground

68. 46

7B

4G

8111. 11

69. 70

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8111. 11

68. 46

7B

4G

8111. 11

68. 46

7B

4G

8111. 11

68. 46

7B

4G

8111. 11

Machine(group 5) Sewer&

Water

Power Equipment Concrete, Operators-

Mixer

Underground

Mobile(group 4) Sewer&

Water

Power Equipment OperatorsSewer&

Concrete,

Underground

Water

Mixer

Single Drum Any

Capacity(group 5)

Concrete, Paving Power Equipment OperatorsSewer&

Machine

Underground

Water

8' And

Less( asst To Engineer Required)

group 5)

Power Equipment

Concrete, Placing Operators-

Underground

Boom(group 5) Sewer&

Water

Power Equipment

Concrete, Pump Operators-

Underground

Truck(group 5) Sewer&

Water

Power Equipment Concrete, Operators-

Underground

Pump(group 5) Sewer&

Water

Concrete, Power Equipment Pumperete Operators- Underground

Operator( any Type) Sewer&

Water

group 5)

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

57/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Concrete, Power Equipment OperatorsSewer&

Reinforced

Underground

Water

Tank

Banding Machine

69. 70

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

65. 24

7B

4G

8U

68. 46

7B

4G

8U

asst To Engineer

Required)( group 4)

Concrete, Slip Form Pumps, Power Power Equipment Driven Hydraulic Operators-

Underground

Lifting Device For Sewer&

Water Concrete

Forms( group 5)

Power Equipment Concrete, Operators-

Underground

Spreader(group 5) Sewer&

Water

Power Equipment Concrete, Operators-

Underground

Telebelt(group 5) Sewer&

Water

Concrete, Treated Power Equipment Base Roller Operators-

Underground Operator,

Sewer&

Water

Oiling(group 5)

Power Equipment OperatorsSewer&

Conveyor

Underground

Water

Sewer&

https://

secure.

$

Conveyored

Underground

Water

Ini. wa. gov/ wagelookup/

Or Assistant( group 6)

Power Equipment Operators-

Operator

Material

Hauler( group 5)

rates/ journey-

level-

rates

58/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Crane, Bridge Power Equipment

Locomotive, Gantry Operators- Underground

69. 70

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

74. 18

7B

4G

8U

76. 09

7B

4G

8U

78. 25

7B

4G

8U

And Sewer&

Water

Overhead( group 4)

Power Equipment

Crane, Carry Operators-

Underground

Deck(group 4) Sewer&

Water

Power Equipment OperatorsSewer&

Crane, Chicago

Underground

Water

Boom&

Similar

Types( group 4)

Crane, Floating derrick Barge) 30 Power Equipment Ton But Less Than Operators- Underground 150 Ton ( asst To Sewer&

Water Engineer Required)

group 2)

Crane, Floating 150 Power Equipment OperatorsSewer&

Ton But Less Than

Underground

Water

250 Ton( asst To Engineer Required)

group 1)

Crane, Floating 250 Power Equipment

Ton And Over( asst

Operators- Underground

To Engineer And

Sewer&

Deckhand

Water

Required)

group 1)

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

59/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Crane, Floating Clamshell

3 Cu. Yds.

Power Equipment Over( fireman Or Operators-

Underground

74. 18

7B

4G

8U

69. 70

7B

4G

8U

76. 09

7B

4G

8U

74. 18

7B

4G

8U

73. 03

7B

4G

8U

7B

4G

8U

Diesel Electric Sewer&

Water Engineer

Required( group 2)

Crane, Floating Clamshell, Power Equipment OperatorsSewer&

Dragline

Etc. Operator

Underground

Water

Under

3 Cu. Yds. Or Less Than 30 Ton ( dieselelectric Engineer

Required)( group 4)

Power Equipment OperatorsSewer&

Crane, Hydraulic

Underground

Water

200 Ton Through

399 Ton ( group 1)

Crane, Hydraulic Ton Through

50

89 Ton

Power Equipment

With Luffing Or Operators-

Underground Tower

Sewer&

Water

Attach ment( group 2)

Power Equipment OperatorsSewer&

Crane, Hydraulic 50

Underground

Water

Tons( group 3)

Power Equipment OperatorsSewer&

https://

secure.

Crane, Hydraulic 90

Underground

Water

Ini. wa. gov/ wagelookup/

Ton Through 89

Ton Through

$ 76. 09

199

Ton With Luffing Or

rates/ journey-

level-

rates

60/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Tower Attachment

group 1)

Power Equipment OperatorsSewer&

Crane, Hydraulic 90

Underground

Water

Ton Through 199

74.18

7113

4G

8U

78. 25

7B

4G

8U

80. 41

7113

4G

8111. 11

80. 41

7113

4G

8111. 11

69. 70

7113

4G

8U

78. 25

7113

4G

8111. 11

Ton( group 2)

Crane, Hydraulic Crane 200 Ton Power Equipment OperatorsSewer&

Through

Underground

Water

With

300 Ton

Luffing Or

Tower

Attach ment( group 1)

Power Equipment OperatorsSewer&

Crane, Hydraulic

Underground

Water

Crane 400 Ton And

$

Over( group 1)

Crane, Hydraulic Crane Over 300 Ton Power Equipment OperatorsSewer&

Through

Underground

Water

399 Ton

With Luffer Or Tower

Attach ment( group 1)

Power Equipment OperatorsSewer&

Crane, Hydraulic

Underground

Water

Under 50 Ton( group

$

4)

Crane, Lattice Boom Power Equipment 200 Ton Through Operators-

Underground 299 Ton, With Over

Sewer&

Water

200' Boom( group 1)

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

61/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment OperatorsSewer&

Level Wages

Crane, Lattice Boom

Underground

Water

300 Ton Through

78. 25

7B

4G

8U

80. 41

7B

4G

8U

73. 03

7B

4G

8U

74. 18

7B

4G

8U

74. 18

7B

4G

8U

69. 70

7B

4G

8U

76. 09

7B

4G

8U

399 Ton( group 1)

Crane, Lattice Boom Power Equipment 300 Ton Through Operators- Underground 399 Ton, With Over Sewer&

Water

200' Boom( group 1)

Crane, Lattice Boom Power Equipment 50 Ton Through

89

Operators- Underground Ton With 150' Boom Sewer&

Water

Or Less( group 3)

Crane, Lattice Boom Power Equipment 50 Ton Through

89

Operators- Underground Ton With Over 150' Sewer&

Water Boom

Crane, Lattice Boom Power Equipment 90 Ton Through 199 Operators- Underground Ton With 150' - 200' Sewer&

Water

Boom( group 2)

Power Equipment OperatorsSewer&

Crane, Lattice Boom

Underground

Water

Under 50 Ton( group

$

4)

Crane, Lattice Power Equipment OperatorsSewer&

Boom, 200 Ton

Underground

Water

Through

299 Ton

With 200' Boom Or

Less( group 1)

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

62/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Crane, Lattice Power Equipment OperatorsSewer&

Boom, 90 Ton

Underground

Water

Through 199 Ton

76. 09

7113

4G

8U

$

73. 03

7113

4G

8U

$

74. 18

7113

4G

8U

76. 09

7113

4G

8U

65. 24

7113

4G

8U

76. 09

7113

4G

8U

7113

4G

8U

With Over 200'

Boom ( group 1)

Crane, Shovel, Dragline Or Power Equipment OperatorsSewer&

Clamshell

Underground

Water

3 Cu. Yds.

But Less Than 5 Cu. Yds.( asst To Engineer Required)

group 3)

Crane, Tower Crane Power Equipment OperatorsSewer&

With 175' Tower Or

Underground

Water

Less And With Less

Than 200' Jib( group 2)

Crane, Tower Crane Power Equipment With Over 175' Operators-

Underground Tower Or Over 200'

Sewer&

Water

Jib( group 1)

Power Equipment Crane, Operators-

Underground

Tugger(group 6) Sewer&

Water

Power Equipment OperatorsSewer&

Crane, Whirley 90

Underground

Water

group 1)

Power Equipment Operators-

https://

secure.

Crane, Whirley

Underground

Ini. wa. gov/ wagelookup/

Ton And Over

rates/ journey-

74.18

Under 90 Ton( group level-

rates

63/ 84


6/ 10/ 26, 8: 06 AM

Sewer&

Journey

Water

Level Wages

2)

Power Equipment Crusher Operators-

Underground

65. 24

7B

4G

8111. 1

65. 24

7B

4G

8U

74. 18

7B

4G

8U

65. 24

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8111. 11

69. 70

7B

4G

8U

7B

4G

8U

Feederman( group 6) Sewer&

Water

Power Equipment

Crusher Oiler(group Operators-

Underground 6)

Sewer&

Water

Power Equipment

Crusher Plant( group Operators-

Underground 2)

Sewer&

Water

Power Equipment OperatorsSewer&

Underground

Deckhand( group 6)

$

Water

Derrick Operator Under 100 Ton ( two Power Equipment OperatorsSewer&

Operators Required

Underground

Water

When

Swing

Control

Is Remote

From Hoist)( group 4)

Power Equipment OperatorsSewer&

Diesel- electric

Underground

Water

Floating)( group 4)

Power Equipment OperatorsSewer&

Directional Drill

Underground

Water

https://

secure.

Drill Assistant( group

Underground

Ini. wa. gov/ wagelookup/

Over 20, 000 Lbs

Pullback(group 4)

Power Equipment Operators-

Engineer( plant Or

rates/ journey-

$

65. 24

6)

level-

rates

64/ 84


6/ 10/ 26, 8: 06 AM

Sewer&

Journey

Level Wages

Water

Power Equipment Drill Cat Operators-

Underground

69. 70

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

65. 24

7B

4G

8U

69. 70

7B

4G

8U

7B

4G

8U

Operator( group 4) Sewer&

Water

Drill Directional Power Equipment Type Less Than Operators- Underground 20, 000 Lbs Sewer&

Water

Pullback(group 5)

Power Equipment OperatorsSewer&

Drill Doctor And/ or

Underground

Water

bit Grinder)( group

$

4)

Power Equipment Drill Mud Operators-

Underground

Mixer(group 5) Sewer&

Water

Power Equipment

Drill Oscillator(group Operators-

Underground 4)

Sewer&

Water

Power Equipment Drill, Directinal Operators-

Underground

Locator(group 6) Sewer&

Water

Driller, Percussion, Power Equipment OperatorsSewer&

Diamond, Core,

Underground

Water

Cable,

Rotary&

Similar Type( group 4)

Power Equipment OperatorsSewer&

https://

secure.

Elevating Grader

Underground

Water

Ini. wa. gov/ wagelookup/

68. 46

Operator, Tractor

Towed Requiring rates/ journey-

level-

rates

65/ 84


6/ 10/ 26, 8: 06 AM

Journey

Operator

Level Wages

Or

Grader(group 5)

Power Equipment OperatorsSewer&

Elevating Loader

Underground

Water

Sewer&

$

68. 46

7B

4G

8U

68. 46

7B

4G

8U

73. 03

7B

4G

8U

69. 70

7B

4G

8U

74. 18

7B

4G

8U

65. 24

7B

4G

8U

80. 41

7B

4G

8U

group 5)

Power Equipment Operators-

Operator( any Type)

Elevator To Move

Underground

Water

Personnel Or

Materials(group 5)

Excavator

Over

Power Equipment 80, 000 Lbs Operators- Underground Through Sewer&

130, 000

Water

Lbs( group 3)

Excavator

Operator,

Power Equipment Over 20, 000 Lbs Operators- Underground Through Sewer&

80, 000

Water

Lbs(group 4)

Power Equipment OperatorsSewer&

Excavator

Underground

Water

Operator,

Over 130, 000

Lbs( group 2)

Power Equipment OperatorsSewer&

Underground

Fireman( group

6)

Water

Floating, Crane 350 Power Equipment OperatorsSewer&

Ton And Over( asst

Underground

Water

To Engineer And Deckhand

Required)

group 1)

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

66/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Power Equipment OperatorsSewer&

Underground

6)

65. 24

7B

4G

8111. 11

68. 46

7B

4G

8U

69. 70

7B

4G

8U

65. 24

7B

4G

8U

69. 70

7B

4G

8111. 11

69. 70

7B

4G

8U

69. 70

7B

4G

8U

65. 24

7B

4G

8U

69. 70

7B

4G

8111. 11

Water

Power Equipment OperatorsSewer&

Fork Lift( group

Fork Lift, Over 10

Underground

Water

Ton Or

Robotic(group 5)

Power Equipment Generator Operators-

Underground

Operator( group 4) Sewer&

Water

Power Equipment Grade Operators-

Underground

Checker(group 6) Sewer&

Water

Power Equipment OperatorsSewer&

Grade Setter/

Underground

Water

Layout From

Plans( group 4)

Power Equipment OperatorsSewer&

Underground

Grade- all( group

4)

Water

Power Equipment

Guardrail

Machines,

Operators- Underground

I. e. Punch, Auger,

Sewer&

Etc.( group 4)

Water

Power Equipment Guardrail Punch Operators-

Underground

Oiler(group 6) Sewer&

Water

Power Equipment Hammer Operator Operators-

Underground

pile Driver)(group 4) Sewer&

https://

secure.

Water

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

67/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment OperatorsSewer&

Level Wages

Heavy Duty

Underground

Water

Repairman

65. 24

7B

4G

8U

74. 18

7B

4G

8U

68. 46

7B

4G

8U

$ 65. 24

7B

4G

8U

76. 09

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

7B

4G

8U

Assistant( group 6)

Heavy Equipment Power Equipment Robotics Operator Operators- Underground

Or Mechanic(group Sewer&

Water 2)

Power Equipment Helicopter Operators-

Underground

Hoist(group 5) Sewer&

Water

Power Equipment OperatorsSewer&

Helicopter

Underground

Water

group 6)

Power Equipment OperatorsSewer&

Helicopter

Underground

Water

Sewer&

When

Used In Erecting

Workcrane(group 1)

Power Equipment Operators-

Radioman ( ground)

Hoist Operator,

Underground

Water

Single Drum( group

$

5)

Power Equipment Hoist, 2 Drums Or Operators-

Underground

More(group 4) Sewer&

Water

Hoist, Stiff Leg, Guy Power Equipment Derrick Or Similar Operators-

Underground Type, 50 Ton And

Sewer&

Water

Over(group 4)

Power Equipment Operatorshttps://

secure.

Hydraulic

Underground

Ini. wa. gov/ wagelookup/

rates/ journey-

Backhoe

$

68. 46

Track Type Up To level-

rates

68/ 84


6/ 10/ 26, 8: 06 AM

Sewer&

Journey

Water

Level Wages

And Including 20, 000 Lbs(group 5)

Power Equipment OperatorsSewer&

Hydraulic Backhoe

Underground

Water

Wheel Type( any

68. 46

7B

4G

8U

65. 24

7B

4G

8U

69. 70

7B

4G

8111. 11

65. 24

7B

4G

8111. 11

65. 24

7B

4G

8111. 11

68. 46

7B

4G

8U

69. 70

7113

4G

8111. 11

Make)(group 5)

Power Equipment Hydraulic Operators-

Pipe

Underground

Press( group 6) Sewer&

Water

Power Equipment OperatorsSewer&

Hydro Axe( loader

Underground

Water

Mounted

Or Similar

$

Type)( group 4)

Hydrographic Power Equipment Seeder Machine Operators- Underground

Straw, Pulp Or Sewer&

Water

Seed( group 6)

Power Equipment

Hydrostatic Pump Operators-

Underground

Operator(group 6) Sewer&

Water

Power Equipment OperatorsSewer&

Internal

Underground

Water

Full Slab

Vibrator

Operator(group 5)

Jack Operator,

Elevating Barges, Power Equipment Barge Operator, Operators- Underground

Self- unloading( asst Sewer&

Water To Engineer

Required)( group 4)

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

69/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Power Equipment

Laser Screed( group Operators-

Underground

68. 46

7B

4G

8U

80. 41

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

74. 18

7B

4G

8U

73. 03

7B

4G

8U

68. 46

7B

4G

8U

7B

4G

8U

5) Sewer&

Water

Power Equipment OperatorsSewer&

Lattice Boom Crane

Underground

Water

Over(group 1)

Power Equipment OperatorsSewer&

400 Ton And

Lime Spreader,

Underground

Water

Construction

Job

Site( group 5)

Loaders Operator, Front End& Power Equipment Overhead, 25, 000 Operators-

Underground Lbs And Less Than

Sewer&

Water

60, 000 Lbs(group 4)

Power Equipment OperatorsSewer&

Loaders, 120, 000

Underground

Water

Lbs And

Above(group 2)

Loaders, 60, 000 Power Equipment Lbs And Less Than Operators-

Underground

120, 000 Lbs( group Sewer&

Water 3)

Loaders, RubberPower Equipment tire Type, Less Than Operators-

Underground

25, 000 Lbs( group Sewer&

Water 5)

Power Equipment Operators-

https://

secure.

Log Skidders( group

Underground

Ini. wa. gov/ wagelookup/

rates/ journey-

$

69. 70

4)

level-

rates

70/ 84


6/ 10/ 26, 8: 06 AM

Sewer&

Journey

Level Wages

Water

Master Power Equipment Environmental Operators-

Underground

74. 18

7B

4G

8U

65. 24

7B

4G

8U

69. 70

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

Maintenance Sewer&

Water

Mechanic( group 2)

Power Equipment Material Operators-

Underground

Handler(group 6) Sewer&

Water

Power Equipment

Mechanic, Heavy Operators-

Underground

Duty(group 4) Sewer&

Water

Power Equipment

Mixer Box( c.t.b., Dry Operators-

Underground

Batch, Etc.)(group 6) Sewer&

Water

Power Equipment OperatorsSewer&

Underground

Oiler( group 6)

Water

Power Equipment Parts Man ( tool Operators-

Underground

Room)( group 6) Sewer&

Water

Pavement

Grinder

Power Equipment

And Or Grooving Operators- Underground

Machine( riding Sewer&

Water

Type)( group 5)

Pile Driver Operator Power Equipment not Crane Type) Operators- Underground asst To Engineer Sewer&

Water

Required)(group 4) https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

71/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Pipe Bending, Power Equipment

Cleaning, Doping Operators- Underground

69. 70

7B

4G

8U

68. 46

7113

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

68. 46

7113

4G

8111. 11

68. 46

7B

4G

8111. 11

69. 70

7B

4G

8111. 11

65. 24

7113

4G

8U

And Wrapping Sewer&

Water

Machines( group 4)

Power Equipment OperatorsSewer&

Pipe, Cast In Place

Underground

Water

Pipe

Laying

Machine( group 5)

Power Equipment OperatorsSewer&

Underground

Plant Oiler( group

6)

$

Water

Power Equipment

Pump( any Power) Operators-

Underground

group 6) Sewer&

Water

Power Equipment OperatorsSewer&

Pump Operator,

Underground

Water

More Than 5 Pumps

$

any Size)( group 5)

Rail, Ballast Power Equipment OperatorsSewer&

Compactor,

Underground

Water

Regulator Or Tamper

Machines( group 5)

Power Equipment OperatorsSewer&

Rail, Ballast Tamper

Underground

Water

purpose( group 4)

Power Equipment OperatorsSewer&

https://

secure.

Rail, Brakeman,

Underground

Water

Ini. wa. gov/ wagelookup/

Multi-

Switchman,

Motorman( group 6)

rates/ journey-

level-

rates

72/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Power Equipment Rail, Car Operators-

Underground

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

65. 24

7B

4G

8U

Mover(group 5) Sewer&

Water

Power Equipment

Rail, Clip Operators-

Underground

Applicator(group 5) Sewer&

Water

Power Equipment OperatorsSewer&

Rail, High Rail Self

Underground

Water

Loader Truck( group

$

5)

Power Equipment

Rail, Lo- railer(group Operators-

Underground 5)

Sewer&

Water

Rail, Locomotive,

40

Power Equipment Ton And Over( asst Operators- Underground To Engineer Sewer&

Water

Required)(group 5)

Power Equipment Rail, Shuttle Car Operators-

Underground

Operator(group 5) Sewer&

Water

Power Equipment OperatorsSewer&

Rail,

Underground

Water

Speedswing( group

$

5)

Power Equipment Rail, Operators-

Underground

Switchman( group 6) Sewer&

https://

secure.

Water

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

73/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Rail, Tamping Power Equipment Machine, Operators- Underground Mechanical, Sewer&

65. 24

7B

4G

8U

68. 46

7B

4G

8U

74. 18

7B

4G

8U

65. 24

7B

4G

8U

65. 24

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

68. 46

7B

4G

8U

Self-

Water

propelled( group 6)

Power Equipment Rail, Track Operators-

Underground

Liner(group 5) Sewer&

Water

Power Equipment OperatorsSewer&

Remote Controlled

Underground

Water

Earth

Moving

Equipment(group 2)

Power Equipment OperatorsSewer&

Underground

Rigger( group 6)

Water

Power Equipment

Roller Grading( not Operators-

Underground

Asphalt)( group 6) Sewer&

Water

Power Equipment OperatorsSewer&

Rubber- tired Dozers

Underground

Water

And Pushers( group

$

4)

Power Equipment Scraper Operators-

All

Underground

Types( group 4) Sewer&

Water

Power Equipment

Service Oiler Operators-

Underground

greaser)(group 5) Sewer&

https://

secure.

Water

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

74/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment OperatorsSewer&

Level Wages

Shovel, Dragline,

Underground

Water

Clamshell, 5 Yards

74. 18

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8111. 11

69. 70

7B

4G

8111. 11

69. 70

7B

4G

8111. 11

68. 46

7B

4G

8U

65. 24

7B

4G

8U

68. 46

7B

4G

8U

And Over( group 2)

Power Equipment OperatorsSewer&

Underground

Side- boom( group 4)

$

Water

Power Equipment

Skip Loader, Drag Operators-

Underground

Box(group 4) Sewer&

Water

Stump Grinder Power Equipment loader Mounted Operators-

Or

Underground

Similar Type)( group Sewer&

Water 4)

Power Equipment Surface Heater And Operators-

Underground

Planer( group 4) Sewer&

Water

Sweeper SelfPower Equipment

propelled, Operators- Underground Construction Sewer&

Job

Water

Site( group 5)

Power Equipment OperatorsSewer&

Tar Pot Fireman

Underground

Water

power

Agitated) Or

$

Not(group 6)

Tractor RubberPower Equipment

tired, 50 Hp Operators- Underground Flywheel& Sewer&

Water

Under( group 5)

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

75/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Equipment OperatorsSewer&

Level Wages

Tractor, Rubber-

Underground

Water

tired Over 50

Hp

69. 70

71113

4G

8U

69. 70

71113

4G

8U

68. 46

7113

4G

8U

65. 24

71113

4G

8U

68. 46

71113

4G

8U

68. 46

7113

4G

8U

68. 46

7113

4G

8U

68. 46

71113

4G

8U

Flywheel( group 4)

Trenching Machine Power Equipment OperatorsSewer&

3 Ft Depth And

Underground

Water

Deeper( asst To The Operator

$

If

Required)(group 4)

Trenching Machine Power Equipment Operator, Maximum Operators- Underground

Digging Capacity 3 Sewer&

Water

Ft Depth( group 5)

Power Equipment Truck Crane OilerOperators-

Underground

driver( group 6) Sewer&

Water

Power Equipment Truck, All Terrain Or Operators-

Underground

Track Type(group 5) Sewer&

Water

Power Equipment Truck, Barrel Operators-

Underground

Type(group 5) Sewer&

Water

Power Equipment

Truck, Boom( group Operators-

Underground 5)

Sewer&

Water

Truck, Off- road Power Equipment Trucks, Articulated Operators- Underground And Non- articulated Sewer&

Water

Trucks( group 5)

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

76/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Truck, Off raod Power Equipment Trucks, Articulated Operators- Underground

68. 46

7B

4G

8U

68. 46

7B

4G

8U

68. 46

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

76. 09

7B

4G

8U

69. 70

7B

4G

8U

69. 70

7B

4G

8U

And Non- articulated Sewer&

Water

Trucks( group 5)

Power Equipment Truck, Operators-

Underground

Vacuum( group 5) Sewer&

Water

Power Equipment

Truck, Water(group Operators-

Underground 5)

Sewer&

Water

Power Equipment

Tub Grinder(group Operators-

Underground 4)

Sewer&

Water

Power Equipment OperatorsSewer&

Tunnel Boring

Underground

Water

Machine

Mechanic(group 4)

Power Equipment

Tunnel Boring Operators-

Underground

Machine(group 1) Sewer&

Water

Power Equipment Tunnel Segment Operators-

Underground

Plant(group 4) Sewer&

Water

Power Equipment Tunnel Separation Operators-

Underground

Plant( group 4) Sewer&

https://

secure.

Water

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

77/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Power Equipment Tunnel Shaef Operators-

Underground

69. 70

7113

4G

8111. 11

68. 46

7113

4G

8U

76. 09

7113

4G

8U

69. 70

7113

4G

8111. 11

68. 46

7113

4G

8111. 11

69. 70

7B

4G

8U

69. 70

7113

4G

8U

74. 18

7B

4G

8U

7113

4G

8U

Loader(group 4) Sewer&

Water

Power Equipment Tunnel, Locomotive, Operators-

Underground

Dinkey(group 5) Sewer&

Water

Power Equipment OperatorsSewer&

Tunnel, Micro

Underground

Water

Boring Tunnel Machine( group 1)

Power Equipment

Tunnel, Mucking Operators-

Underground

Machine(group 4) Sewer&

Water

Power Equipment OperatorsSewer&

Tunnel, Power

Underground

Water

Jumbo

Setting Slip

$

Forms, Etc.(group 5)

Power Equipment Tunnel, Shield Operators-

Underground

Operator(group 4) Sewer&

Water

Ultra High Pressure Power Equipment

Water Jet Cutting Operators-

Underground Tool System

Sewer&

Water

Operator(group 4)

Underwater Power Equipment Equipment, Remote Operators-

Underground

Or Otherwise( group Sewer&

Water 2)

Power Equipment Operatorshttps://

secure.

Vacuum

Underground

Ini. wa. gov/ wagelookup/

rates/ journey-

Blasting

69. 70

Machine level-

rates

78/ 84


6/ 10/ 26, 8: 06 AM

Sewer&

Journey

Water

Level Wages

Operator( group 4)

Power Equipment Water Pulls, Water Operators-

Underground

69. 70

7B

4G

8111. 11

65. 24

7B

4G

8U

69. 70

7B

4G

8U

65. 24

7B

4G

8111. 11

74. 18

7B

4G

8U

65. 24

7B

4G

8111. 11

69. 62

SA

4A

65. 89

SA

4A

69. 62

SA

4A

Wagon( group 4) Sewer&

Water

Power Equipment Welder' s Operators-

Underground

Assistant( group 6) Sewer&

Water

Power Equipment OperatorsSewer&

Welder; Heavy Duty,

Underground

Certified

Water

Or

Not(group 4)

Power Equipment

Welding Operators-

Underground

Machine( group 6) Sewer&

Water

Wheel Excavation Power Equipment

Any Size( grade Operators-

Underground Oiler Required)

Sewer&

Water

group 2)

Power Equipment OperatorsSewer&

Wire Mat Or

Underground

Brooming

Water

Power Line Clearance

Machine( group 6)

Tree

Trimmers

Power Line Clearance

Journey Level In Charge

Tree

Spray Person Trimmers

Power Line Clearance

Tree

Trimmers

https://

secure.

Ini. wa. gov/ wagelookup/

Tree Equipment Operator

rates/ journey-

level-

rates

79/ 84


6/ 10/ 26, 8: 06 AM

Journey

Power Line Clearance

Level Wages

Tree Tree Trimmer

62. 19

SA

4A

45. 93

SA

4A

Journey Level

100. 71

SA

1G

Journey Level

23. 02

1

Residential Carpenters

Journey Level

36. 07

1

Residential Cement

Journey Level

17. 13

1

Journey Level

31. 97

1

Trimmers

Power Line Clearance

Tree

Trimmers

Tree Trimmer Groundperson

Refrigeration&

Air

Conditioning Mechanics

Residential

Residential

Brick Mason

Masons

Drywall

Applicators

Residential

Drywall Tapers

Journey Level

21. 22

1

Residential

Electricians

Journey Level

30. 53

1

Journey Level

49. 60

1

Journey Level

26. 30

1

Residential Glaziers

Residential

Insulation

Applicators

Residential

Laborers

Journey Level

49. 42

Residential

Marble Setters

Journey Level

23. 02

Residential

Painters

Journey Level

54. 86

Residential

Plumbers&

Journey Level

51. 05

6Z

iM

ST

1

7E

11L

1

Pipefitters

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

80/ 84


6/ 10/ 26, 8: 06 AM

Residential

Journey

Level Wages

Refrigeration&

Journey Level

107. 92

7F

1E

Journey Level

107. 92

7F

1E

Journey Level

64. 08

7E

11Q

Journey Level

41. 11

1

Journey Level

23. 02

1

Journey Level

17. 13

1

Journey Level

36. 64

1

Residential Tile Setters

Journey Level

17. 13

1

Roofers

Journey Level

70. 70

5A

3H

73. 70

5A

3H

107. 92

7F

1E

87. 79

5N

1F

Air Conditioning Mechanics

Residential

Sheet Metal

Workers

Residential

Soft Floor

Layers

Residential

Sprinkler

Fitters

Fire Protection)

Residential Stone Masons

Residential

Terrazzo

Workers

Residential

Terrazzo/ Tile

Finishers

Using Irritable Roofers

Bituminous Materials

Journey Level ( Field Sheet Metal Workers

or Shop)

New Construction

Shipbuilding& Ship Repair

Heat&

Frost

Insulator

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

81/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Ship Repair Heat& Shipbuilding& Ship Repair

87. 79

SN

1F

Frost Insulator

Sign Makers&

Installers

Journey Level

17. 13

1

Journey Level

17. 13

1

Journey Level

63. 29

Journey Level

17. 13

Journey Level

83. 61

Journey Level

17. 13

Journey Level

76. 59

Journey Level

17. 13

Surveyors

Chain Person

65. 24

7B

1B

9H

Surveyors

Instrument Person

68. 46

7B

1B

9H

Surveyors

Party Chief

74. 18

7B

1B

9H

Journey Level

83. 46

SA

1B

Cable Splicer

42. 62

5A

2B

Electrical)

Sign Makers&

Installers

Non- Electrical)

Soft Floor Layers

For Windows

Solar Controls

Sprinkler

15. 111

4C

1

Fitters( Fire 7J

1111?

Protection)

Stage Rigging Mechanics 1

Non Structural)

Stone Masons

SA

1B

Street And Parking Lot 1

Sweeper Workers

$

Telecommunication Technicians

Telephone

Line

Construction-

https://

secure.

Outside

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

82/ 84


6/ 10/ 26, 8: 06 AM

Telephone

Journey

Line

Construction-

Level Wages

Hole Digger/ Ground

Outside

27. 97

SA

2B

35. 60

SA

2B

40. 28

SA

2B

Person

Telephone Telephone

Line Equipment Operator

Construction-

$

Outside Light)

Telephone

Line

Construction-

Telephone Lineperson

Outside

Terrazzo Workers

Journey Level

67. 27

SA

1B

Tile Setters

Journey Level

67. 27

SA

1B

Finishers

50. 25

SA

1B

Journey Level

91. 39

1SN

1K

49. 39

SA

1B

49. 24

SA

1B

49. 24

SA

1B

49. 39

SA

1B

49. 39

SA

1B

49. 24

SA

1B

Tile, Marble&

Terrazzo

Finishers

Traffic Control Stripers

Asphalt Mix Over 10 Truck Drivers Yards

Asphalt Mix To 10 Truck Drivers Yards

Truck Drivers

Dump Truck

Dump Truck And Truck Drivers Trailer

Truck Drivers

Other Trucks

Transit Mix 5 cubic Truck Drivers-

Ready Mix yards and under

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

83/ 84


6/ 10/ 26, 8: 06 AM

Journey

Level Wages

Transit Mix over 11 Truck Drivers-

Ready Mix

cubic

yards

up to 15

$

49. 85

SA

1B

$

49. 39

SA

1B

$

49. 54

SA

1B

cubic yards

Transit Mix over 5 Truck Drivers-

Ready Mix

cubic

yards

cubic

yards

up to 7

Transit Mix Over 7 Truck Drivers-

Well Drillers&

Ready Mix

Irrigation

yards

cubic

yards

up to 11

Irrigation Pump 17. 13

1

Oiler

17. 13

1

Well Driller

17. 97

1

Installer

Pump Installers

Well Drillers&

cubic

Irrigation

Pump Installers

Well Drillers&

Irrigation

Pump Installers

https://

secure.

Ini. wa. gov/ wagelookup/

rates/ journey-

level-

rates

84/ 84


Washington State Department of Labor and Industries

Policy Statement Regarding the Production of " Standard" or " Non- standard"

Items)

Below is the department' s ( State L& I' s) list of criteria to be used in determining whether a prefabricated item is " standard" or" non- standard". For items not appearing on WSDOT' s predetermined list, these criteria shall be used by the Contractor ( and the Contractor's subcontractors, agents to subcontractors, suppliers, manufacturers, and fabricators) to determine

coverage

RCW 39. 12.

under

The production,

in the State of Washington,

of

non- standard items is covered by RCW 39. 12, and the production of standard items is not. The production of any item outside the State of Washington is not covered by RCW 39. 12. 1.

Is the item fabricated

for a public works

project?

If not, it is not subject to RCW 39. 12.

If it is, go to question 2. 2.

Is the item fabricated

RCW 39. 12.

on

the public works

jobsite?

If it is, the work is covered under

If not, go to question 3.

3.

Is the item fabricated in an assembly/ fabrication plant set up for, and dedicated If it is, the work is covered by RCW 39. 12. If not, go to question 4. primarily to, the public works project?

4.

Does the item require any assembly, cutting, modification or other fabrication by the If not, the work is not covered by RCW 39. 12. If yes, go to question 5.

supplier?

5.

Is the prefabricated item intended for the public works project typically an inventory could reasonably be sold on the general market? If not, the work is covered RCW 39. 12. If yes, go to question 6. by item which

6.

Does the specific prefabricated item, generally defined as standard, have any unusual such as shape, type of material, strength requirements, finish, etc? If yes,

characteristics

the work is covered under RCW 39. 12.

Any

firm

with

questions

regarding

the

policy,

WSDOT'

s

Predetermined

List,

or

for

determinations of covered and non- covered workers shall be directed to State L& I at( 360) 902- 5330.

Supplemental 1/ 30/ 2026

to Wage

Edition,

Rates

Published

1

January 30, 2026


WSDOT' s Predetermined List for Suppliers -

Fabricator

Manufactures -

Below is a list of potentially prefabricated items, originally furnished by WSDOT to Washington State Department of Labor and Industries, that may be considered nonstandard and therefore covered by the prevailing wage law, RCW 39. 12. Items marked with an X in the " YES"

by RCW

covered

column

39. 12.

should

Items

be considered with

marked

considered to be standard and therefore

general

an

to be non- standard X

in

not covered.

the " NO"

and therefore

column

should

be

Of course, exceptions to this

list may occur, and in that case shall be evaluated

according

to the criteria

described in State and L& I' s policy statement.

ITEM

1.

NO

Metal rectangular frames, solid metal covers, herringbone grates, and bi- directional vaned grates for Catch Basin Types 1,

2.

YES

DESCRIPTION

1 L, 1 P, and 2 and Concrete Inlets. See Std. Plans

Metal circular frames ( rings) and covers, circular grates, and prefabricated ladders for Manhole Types 1, 2, and 3, Drywell

Types

1,

2, and 3 and Catch

Basin

Type 2.

See Std. Plans 3.

Prefabricated steel grate supports and welded grates, metal

frames

and dual vaned

X

grates, and Type 1, 2, and

3 structural tubing grates for Drop Inlets. See Std. Plans. 4.

Concrete Pipe -

Plain Concrete pipe and reinforced

X

concrete pipe Class 2 to 5 sizes smaller than 60 inch diameter. 5.

Concrete

Pipe -

Plain Concrete pipe and reinforced

concrete

X

pipe Class 2 to 5 sizes larger than 60 inch diameter. 6.

Corrugated Steel Pipe - Steel lock seam corrugated pipe for culverts and storm sewers, sizes 30 inch

X

to 120 inches in diameter. May also be treated, 1 thru 5. 7.

Corrugated Aluminum

Pipe -

Aluminum

lock seam

corrugated

pipe for culverts and storm sewers, sizes 30 inch to 120 inches diameter. May also be treated, # 5.

Supplemental 1/ 30/ 2026

to Wage

Edition,

Rates

Published

in

X

2

January 30, 2026


ITEM DESCRIPTION

8.

Anchor

Bolts &

Nuts -

YES

Anchor Bolts and Nuts, for

mounting sign structures, luminaries and other items, shall be

X

from commercial bolt stock. See Contract Plans and Std. Plans for size and material type. made

9.

Aluminum

Pedestrian

conforming

to the type and material

Handrail -

Pedestrian

handrail set forth in

specifications

the contract plans. Welding of aluminum shall be in accordance with Section

10.

Major Structural Steel Fabrication -

Minor Structural

Steel

Items such as special structures,

joint

systems,

Aluminum

Fabrication hangers,

ladders

access etc.,

boring of holes. shop drawings. 12.

X

9- 28. 14( 3).

Fabrication

of major steel

items such as trusses, beams, girders, etc., for bridges. 11.

NO

for irrigation

of minor steel

access

boxes,

doors for

bridge

expansion

involving welding, cutting, punching and/ or

See Contact

Bridge

Fabrication

brackets,

Plans for item description

Railing Type

BP -

conforming to the type and material

X

X

and

Metal bridge railing specifications

set forth

X

in the Contract Plans. Welding of aluminum shall be in accordance with Section 9- 28. 14( 3). 13.

Concrete Piling-- Precast- Prestressed concrete piling for use as 55 and 70 ton

concrete

piling.

Concrete to conform

to Section

X

9- 19. 1 of Std. Spec.. 14.

Precast

Manhole

1,

Types

2, and 3 with

cones,

adjustment

X

sections and flat top slabs. See Std. Plans. 15.

Precast

Drywell

Types

1,

2, and with cones

and adjustment

X

Sections. See Std.

16.

Plans.

Precast Catch

Basin -

With adjustment

Supplemental 1/ 30/ 2026

to Wage

Edition,

Catch

sections.

Basin type

Rates

Published

1,

See Std. Plans.

1 L, 1 P, and 2

X

3

January 30, 2026


ITEM DESCRIPTION

17.

Precast Concrete

YES

Inlet - with adjustment

sections,

X

See Std. Plans 18.

Precast

Drop

Inlet Type

1 and 2 with metal grate

supports.

X

See Std. Plans. 19.

Precast

Inlet Type 2 with

Grate

and

extension

top units.

X

See Std. Plans 20.

Metal frames, Inlets.

21.

vaned grates, and hoods for Combination

See Std.

NO

X

Plans

Precast Concrete Utility Vaults - Precast Concrete utility vaults of various sizes. Used for in ground storage of utility facilities and

See Contract

controls.

Plans for

size

and

X

construction

Shop drawings are to be provided for approval

requirements.

prior to casting. 22.

Vault

Risers -

For

23.

Valve Vault -

For

See Contract

Plans for details.

24.

Precast

with Valve Vaults

use

use

Concrete

with underground

Barrier-

Precast

25.

as

new

Reinforced size

and

annual

or

also

may

utilities.

Concrete

be used

X

Vaults.

X

Barrier for

Temporary Concrete Barrier. Only new state approved barrier may be used as permanent barrier. use

barrier

and Utilities

as

Earth Wall Panels — Reinforced

shape

as

approval

shown

for

in the Plans.

methods

and

Earth Wall Panels

X

in

Fabrication plant has

materials

to be used.

See Shop Drawing. Fabrication at other locations may be approved, after facilities

X

inspection, contact HQ. Lab. 26.

Precast Concrete Walls in

Precast Concrete Walls -

tilt- up wall

shown in Plans. panel Fabrication plant has annual approval for methods and

materials

Supplemental 1/ 30/ 2026

size

and

shape

as

X

to be used

to Wage

Edition,

Rates

Published

4

January 30, 2026


ITEM DESCRIPTION

27.

Precast

YES

Crossings - Concrete

Railroad

Crossing Structure

X

Slabs.

28.

12, 18 and 26 inch Standard Standard

Precast

Fabricator

plant has annual

Precast

Prestressed

Prestressed

Girder

NO

Girder—

for use in structures.

approval

of methods

and

X

materials

To be used.

Shop Drawing to be provided for approval prior to casting girders. See Std. Spec. Section 6- 02. 3( 25) A

29.

Prestressed Girders

for

Concrete in

Girder Series

4- 14 - Prestressed

Concrete

Fabricator plant has annual to be used. Shop Drawing to be provided for approval prior to casting girders. approval

use

structures.

of methods

and

materials

X

See Std. Spec. Section 6- 02. 3( 25) A. 30.

Tri- Beam Girder-

Prestressed

Prestressed

Tri- Beam

Girders

for

in structures.

Fabricator plant has annual approval of to be used. Shop Drawing to be provided for approval prior to casting girders. use

methods

and

X

materials

See Std. Spec. Section 6- 02. 3( 25) A 31.

Prestressed

Hollow- Core Slab — Precast

Precast

Hollow- core slab for

in

Prestressed

Fabricator plant has Annual approval of methods and materials to be used. Shop Drawing to be provided for approval prior to casting girders. use

structures.

X

See Std. Spec. Section 6- 02. 3( 25) A. 32.

Prestressed-

Bulb Tee Girder-

Bulb Tee Prestressed

Girder

for

in structures.

Fabricator plant has annual approval of methods and materials to be used. Shop Drawing to be provided for approval prior to casting girders. use

X

See Std. Spec. Section 6- 02. 3( 25) A 33.

Monument

Case and Cover

See Std. Plan.

Supplemental 1/ 30/ 2026

to Wage

Edition,

Rates

Published

X

5

January 30, 2026


ITEM DESCRIPTION

34.

YES

Cantilever Sign Structure - Cantilever Sign Structure fabricated from steel tubing meeting AASHTO- M- 183. See Std. Plans, and Contract Plans for details. The steel structure

NO

X

shall be galvanized after fabrication in accordance with AASHTO-

35.

M- 111.

Mono- tube Sign Structures fabricated

to details

Mono- tube Sign in the Plans.

shown

Bridge

Shop drawings

for

X

approval are required prior to fabrication. 36.

Steel

Bridges -

Sign

Steel Sign Bridges fabricated from steel

tubing meeting AASHTO- M- 138 for Aluminum Alloys. See Std.

Plans, and Contract

Plans for details.

The steel

X

Structure shall be galvanized after fabrication in accordance with AASHTO-

37.

Steel

Sign

Plans.

M- 111.

Post -

Fabricated Steel Sign Posts as detailed in Std

Shop drawings

for approval

are

to be

X

provided prior to

fabrication

38.

Light Standardconcrete

39.

Prestressed -

Spun,

prestressed, hollow

X

poles.

Light Standards - Lighting Standards for use on highway illumination systems, poles to be fabricated to conform with methods and materials as specified on Std. Plans. See Specia

X

Provisions for pre- approved drawings. 40.

Traffic Signal Standards - Traffic Signal Standards for use on

highway and/ or street signal systems. Standards to be fabricated

to conform

with

methods

and material

as

specified

X

on Std. Plans.

See Special Provisions for pre- approved drawings 41.

Precast Concrete Sloped Mountable Curb ( Single and Dual

X

Faced) See Std.

Supplemental 1/ 30/ 2026

Plans.

to Wage

Edition,

Rates

Published

6

January 30, 2026


ITEM DESCRIPTION

42.

Traffic

YES

NO

X

X

Signs - Prior to approval of a Fabricator of Traffic Signs,

the sources of the following materials must be submitted and approved for reflective sheeting, legend material, and luminum sheeting. NOTE: ***

Fabrication

inspection

required.

Only signs tagged Fabrication Approved" by WSDOT Sign Fabrication Inspector

to be installed.

Custom Message

Std

Signing Message

43.

Cutting & bending reinforcing

44.

Guardrail

45.

components

Aggregates/

Concrete

X

steel

mixes

X

X

Custom

Standard

End Sec

Sec

Covered by WAC 296- 127- 018

46.

Covered by

Asphalt

WAC 296- 127- 018

47.

Fiber fabrics

X

48.

Electrical

wiring/ components

X

49.

treated

untreated

50.

Girder pads ( elastomeric

51.

Standard

Dimension

52.

Irrigation

components

Supplemental 1/ 30/ 2026

or

to Wage

Edition,

timber pile

bearing)

X

lumber

X

Rates

Published

X

7

January 30, 2026


ITEM DESCRIPTION

YES

NO

53.

Fencing materials

X

54.

Guide Posts

X

55.

Traffic Buttons

X

56.

Epoxy

X

57.

Cribbing

X

58.

Water distribution

59.

Steel " H" piles

60.

Steel

X

materials

X

pipe for concrete

pile

casings,

standard

Steel pipe for concrete

pile

casings,

custom

61.

Steel pile tips, standard

62.

Steel

pile tips,

X X X X

custom

Prefabricated items specifically produced for public works projects that are prefabricated in a county other than the county wherein the public works project is to be completed, the wage for the offsite prefabrication shall be the applicable prevailing wage for the county in which the actual prefabrication takes place.

It is the manufacturer of the prefabricated product to verify that the correct county wage rates are applied to work they perform. See

RCW

39. 12. 010

The definition of" locality" in RCW 39. 12. 010( 2) contains the phrase" wherein the physical work is being performed." The department interprets this phrase to mean the actual work site.

Supplemental 1/ 30/ 2026

to Wage

Edition,

Rates

Published

8

January 30, 2026


WSDOT' s List of State Occupations not applicable to Heavy and Highway Construction Projects This project is subject to the state hourly minimum rates for wages and fringe benefits in the contract provisions, as provided by the state Department of Labor and Industries. The following list of occupations, is comprised of those occupations that are not normally used in the construction of heavy and highway projects. When considering job classifications for use and/ or payment when bidding on, or building for, or administered projects heavy and highway construction by WSDOT, these Occupations will be excepted from the included "Washington State Prevailing Wage Rates For Public Work Contracts"

documents.

Building Service Employees Electrical

Fixture

Electricians -

Maintenance

Workers

Motor Shop

Heating Equipment Mechanics Industrial

Engine

Industrial

Power Vacuum

and Machine

Mechanics

Cleaners

Inspection, Cleaning, Sealing of Water Systems by Remote Control Laborers -

Underground

Sewer & Water

Machinists ( Hydroelectric Site Work) Modular

Buildings

Playground &

Park Equipment

Power Equipment Residential ***

Operators -

Installers Underground

ALL ASSOCIATED

Sewer&

Water

RATES ***

Sign Makers and Installers ( Non- Electrical) Sign Makers

and

Installers (

Electrical)

Stage Rigging Mechanics ( Non Structural)

The following occupations may be used only as outlined in the preceding text concerning WSDOT'

s

list for Suppliers - Manufacturers - Fabricators"

Fabricated

Precast

Concrete

Products

Metal Fabrication ( In Shop)

Definitions for the Scope of Work for prevailing wages may be found at the Washington State Department of Labor and Industries web site and in WAC Chapter 296- 127.

Supplemental 1/ 30/ 2026

to Wage

Edition,

Rates

Published

9

January 30, 2026


Washington State Department of Labor and Industries

Policy Statements Regarding Production and Delivery of Gravel, Concrete, Asphalt, etc.)

WAC 296- 127- 018 Agency filings affecting this section Coverage and exemptions of workers involved in the production and delivery of gravel, concrete, asphalt, or similar materials. 1) The materials covered under this section include but are not limited to: Sand, gravel, crushed

rock, concrete,

asphalt,

or other similar

materials.

2) All workers, regardless of by whom employed, are subject to the provisions of chapter 39. 12 RCW when they perform any or all of the following functions: a) They deliver or discharge any of the above- listed materials to a public works project site:

i)

At

one

incorporated

point( s) directly upon the location where the material will be into the project; or or

more

ii) At multiple points at the project; or iii) Adjacent

to the location

and coordinated

with the incorporation

of those

materials.

b) They wait at or near a public works project site to perform any tasks subject to this section of the rule.

c) They remove any materials from a public works construction site pursuant to contract

requirements

or

specifications ( e. g.,

excavated

materials,

materials

from

demolished structures, clean- up materials, etc.). They work in a materials production facility( e. g., batch plant, borrow pit, rock quarry, which is established for a public works project for the specific, but not necessarily exclusive, purpose of supplying materials for the project. d)

etc.,)

e)

They deliver concrete to a public works site regardless of the method of

incorporation.

f) They assist or participate in the incorporation of any materials into the public works project.

Supplemental 1/ 30/ 2026

to Wage

Edition,

Rates

Published

10

January 30, 2026


3) All travel

time that relates

to the work covered

under

subsection (

2) of this section

requires the payment of prevailing wages. Travel time includes time spent waiting to load, loading, transporting, waiting to unload, and delivering materials. Travel time would include all time spent in travel in support of a public works project whether the vehicle is empty or full. For example, travel time spent returning to a supply source to obtain another load of material for use on a public works site or returning to the public works site to obtain another load of excavated material is time spent in travel that is subject to prevailing wage. Travel to a supply source, including travel from a public works site, to obtain materials for use on a private project would not be travel subject to the prevailing wage. 4) Workers are not subject to the provisions of chapter 39. 12 RCW when they deliver materials to a stockpile.

a) A " stockpile" is defined as materials delivered to a pile located away from the site

of incorporation such that the stockpiled materials must be physically moved from the stockpile and transported to another location on the project site in order to be incorporated

into the project. b) A stockpile does not include any of the functions described in subsection ( 2)( a) through ( f) of this section;

nor does

a stockpile

include

materials

delivered

or distributed

to multiple locations upon the project site; nor does a stockpile include materials dumped at

the place incorporation.

of

incorporation,

or

adjacent

to

the

location

and

coordinated

with

the

5) The applicable prevailing wage rate shall be determined by the locality in which the work is performed. Workers subject to subsection ( 2)( d) of this section, who produce such materials at an off-site facility shall be paid the applicable prevailing wage rates for the county in which the off-site facility is located. Workers subject to subsection ( 2) of this section, who deliver such materials to a public works project site shall be paid the applicable prevailing wage rates for the county in which the public works project is located.

Statutory Authority: Chapter 39. 12 RCW, RCW 43. 22. 051 and 43. 22. 270. 08- 24- 101, § 296- 127- 018, filed 12/ 2/ 08, effective 1/ 2/ 09. Statutory Authority: Chapters 39. 04 and 39. 12 RCW and

RCW 43. 22. 270. 92- 01- 104 and 92- 08- 101, §

296- 127- 018, filed

12/ 18/ 91 and

4/ 1/ 92, effective 8/ 31/ 92.]

Supplemental 1/ 30/ 2026

to Wage

Edition,

Rates

Published

11

January 30, 2026


Benefit

Code

Key— Effective

Overtime

3/ 4/ 2026

thru

9/ 1/ 2026

Codes

Overtime calculations are based on the hourly rate actually paid to the worker. On public works projects, the hourly rate must be not less than the prevailing rate of wage minus the hourly rate of the cost of fringe benefits actually provided for the worker.

1.

ALL HOURS

WORKED

PAID AT ONE AND

B.

IN EXCESS

ONE- HALF

All hours worked

on

OF EIGHT(

TIMES

Saturdays

8) HOURS

THE HOURLY

PER DAY OR FORTY(

RATE

shall be paid at one and

40) HOURS

PER WEEK

SHALL

BE

OF WAGE.

one-

half times the hourly rate of wage.

All hours worked on

Sundays and holidays shall be paid at double the hourly rate of wage. C.

The first two ( 2) hours after eight( 8) regular hours Monday through Friday and the first ten( 10) hours on Saturday shall be paid at one and one- half times the hourly rate of wage. All other overtime hours and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.

D.

The first two( 2) hours before or after a five- eight( 8) hour workweek day or a four-ten( 10) hour workweek day and the first eight( 8) hours worked the next day after either workweek shall be paid at one and one- half times the hourly rate of wage. All additional hours worked and all worked on Sundays and holidays shall be paid at double the hourly rate of wage.

E.

The first two( 2) hours after eight( 8) regular hours Monday through Friday and the first eight( 8) hours on Saturday shall be paid at one and one- half times the hourly rate of wage. All other hours worked Monday through Saturday, and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.

F.

The first two ( 2) hours after eight( 8) regular hours Monday through Friday and the first ten( 10) hours on Saturday shall be paid at one and one- half times the hourly rate of wage. All other overtime hours worked, except Labor Day, shall be paid at double the hourly rate of wage. All hours worked on Labor Day shall be paid at three times the hourly rate of wage.

G.

The first ten( 10) hours worked on Saturdays and the first ten( 10) hours worked on a fifth calendar weekday in a fourten hour schedule, shall be paid at one and one- half times the hourly rate of wage. All hours worked in excess of ten 10) hours per day Monday through Saturday and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.

H.

All hours worked on Saturdays( except makeup days if work is lost due to inclement weather conditions or equipment breakdown) shall be paid at one and one- half times the hourly rate of wage. All hours worked Monday through Saturday over twelve( 12) hours and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.

1.

All hours worked on Sundays and holidays shall also be paid at double the hourly rate of wage.

J.

The first two ( 2) hours after eight( 8) regular hours Monday through Friday and the first ten( 10) hours on Saturday shall be paid atone and one- half times the hourly rate of wage. All hours worked over ten( 10) hours Monday through Saturday, Sundays and holidays shall be paid at double the hourly rate of wage.

K.

All hours worked on Saturdays and Sundays shall be paid at one and one- half times the hourly rate of wage. All hours worked on holidays shall be paid at double the hourly rate of wage.

M.

All hours worked on Saturdays( except makeup days if work is lost due to inclement weather conditions) shall be paid at one and one- half times the hourly rate of wage. All hours worked on Sundays and holidays shall be paid at double the hourly rate of wage. 1

1 Page


Benefit

Code

Key— Effective

3/ 4/ 2026

thru

9/ 1/ 2026

Overtime Codes Continued

1.

N.

O.

All hours worked on Saturdays( except makeup days) shall be paid at one and one-half times the hourly rate of wage. All hours worked on Sundays and holidays shall be paid at double the hourly rate of wage. The first ten( 10) hours worked on Saturday shall be paid at one and one- half times the hourly rate of wage. All hours

worked on Sundays, holidays and after twelve( 12) hours, Monday through Friday and after ten( 10) hours on Saturday shall be paid at double the hourly rate of wage. P.

All hours worked on Saturdays( except makeup days if circumstances warrant) and Sundays shall be paid at one and one-half times the hourly rate of wage. All hours worked on holidays shall be paid at double the hourly rate of wage.

Q.

The first two ( 2) hours after eight ( 8) regular hours Monday through Friday and up to ten ( 10) hours worked on Saturdays shall be paid at one and one- half times the hourly rate of wage. All hours worked in excess of ten ( 10) hours per day Monday through Saturday and all hours worked on Sundays and holidays( except Christmas day) shall be paid at double the hourly rate of wage. All hours worked on Christmas day shall be paid at two and one- half times the hourly rate of wage.

R.

All hours worked on Sundays and holidays shall be paid at two times the hourly rate of wage.

U.

All hours worked on Saturdays shall be paid at one and one- half times the hourly rate of wage. All hours worked on Sundays and holidays( except Labor Day) shall be paid at two times the hourly rate of wage. All hours worked on Labor Day shall be paid at three times the hourly rate of wage.

V.

All hours worked on Sundays and holidays ( except Thanksgiving Day and Christmas day) shall be paid at one and one- half times the hourly rate of wage. All hours worked on Thanksgiving Day and Christmas day shall be paid at double the hourly rate of wage.

X.

The first four( 4) hours after eight( 8) regular hours Monday through Friday and the first twelve( 12) hours on Saturday shall be paid at one and one-half times the hourly rate of wage. All hours worked over twelve ( 12) hours Monday through Saturday, Sundays and holidays shall be paid at double the hourly rate of wage. When holiday falls on Saturday or Sunday, the day before Saturday, Friday, and the day after Sunday, Monday, shall be considered the holiday and all work performed shall be paid at double the hourly rate of wage.

Y.

All hours worked outside the hours of 5: 00 am and 5: 00 pm ( or such other hours as may be agreed upon by any employer and the employee) and all hours worked in excess of eight( 8) hours per day( 10 hours per day for a 4 x 10 workweek) and on Saturdays and holidays ( except labor day) shall be paid at one and one-half times the hourly rate of wage. ( except for employees who are absent from work without prior approval on a scheduled workday during the workweek shall be paid at the straight- time rate until they have worked 8 hours in a day( 10 in a 4 x 10 workweek) or 40 hours during that workweek.) All hours worked Monday through Saturday over twelve( 12) hours and all hours worked on Sundays and Labor Day shall be paid at double the hourly rate of wage.

Z.

All hours worked on Saturdays and Sundays shall be paid at one and one- half times the hourly rate of wage. All hours worked on holidays shall be paid the straight time rate of pay in addition to holiday pay.

2

1 Page


Benefit

Code

Key— Effective

3/ 4/ 2026

thru

9/ 1/ 2026

Overtime Codes Continued 2.

ALL HOURS WORKED IN EXCESS OF EIGHT( 8) HOURS PER DAY OR FORTY( 40) HOURS PER WEEK SHALL BE PAID AT ONE AND

3.

ONE- HALF

TIMES

THE HOURLY

RATE

OF WAGE.

B.

All hours worked on holidays shall be paid at one and one-half times the hourly rate of wage.

F.

The first eight( 8) hours worked on holidays shall be paid at the straight hourly rate of wage in addition to the holiday pay. All hours worked in excess of eight( 8) hours on holidays shall be paid at double the hourly rate of wage.

M.

This code appears to be missing. All hours worked on Saturdays, Sundays and holidays shall be paid at double the hourly rate of wage.

R.

All hours worked on Sundays and holidays and all hours worked over sixty( 60) in one week shall be paid at double the hourly rate of wage.

U.

All hours worked on Saturdays shall be paid at one and one- half times the hourly rate of wage. All hours worked over 12 hours in a day or on Sundays and holidays shall be paid at double the hourly rate of wage.

ALL HOURS

WORKED

PAID AT ONE AND

IN EXCESS

ONE- HALF

OF EIGHT(

TIMES

8) HOURS

THE HOURLY

PER DAY OR FORTY(

RATE

40) HOURS

PER WEEK

SHALL

BE

OF WAGE.

F.

All hours worked on Saturday shall be paid at one and one- half times the hourly rate of wage. All hours worked on Sunday shall be paid at two times the hourly rate of wage. All hours worked on paid holidays shall be paid at two and one- half times the hourly rate of wage including holiday pay.

H.

All work performed on Sundays between March 16th and October 14th and all Holidays shall be compensated for at two ( 2) times the regular rate of pay. Work performed on Sundays between October 15th and March 15th shall be compensated at one and one half( 1- 1/ 2) times the regular rate of pay.

J.

All hours worked between the hours of 10: 00 pm and 5: 00 am, Monday through Friday, and all hours worked on Saturdays shall be paid at a one and one- half times the hourly rate of wage. All hours worked on Sundays and holidays

shall be paid at double the hourly rate of wage. K.

Work performed in excess of eight( 8) hours of straight time per day, or ten( 10) hours of straight time per day when four ten ( 10) hour shifts are established, or forty ( 40) hours of straight time per week, Monday through Friday, or outside the normal 5 am to 6pm shift, and all work on Saturdays shall be paid at one and one-half times the hourly rate of wage. All work performed after 6: 00 pm Saturday to 5: 00 am Monday and Holidays, and all hours worked in excess of twelve( 12) hours in a single shift shall be paid at double the hourly rate of wage. After an employee has worked eight ( 8) hours at an applicable overtime rate, all additional hours shall be at the applicable overtime rate until such time as the employee has had a break of eight( 8) hours or more. When an employee

returns to work without at least eight( 8) hours time off since their previous shift, all such time shall be a continuation of shift and paid at the applicable overtime rate until he/ she shall have the eight( 8) hours rest period.

3

1 Page


Benefit

Code

Key— Effective

3/ 4/ 2026

thru

9/ 1/ 2026

Overtime Codes Continued 4.

ALL HOURS

WORKED

PAID AT ONE AND

IN EXCESS

ONE- HALF

OF EIGHT(

TIMES

8) HOURS

THE HOURLY

PER DAY OR FORTY(

RATE

40) HOURS

PER WEEK

SHALL

BE

OF WAGE.

A.

All hours worked in excess of eight( 8) hours per day or forty( 40) hours per week shall be paid at double the hourly rate of wage. All hours worked on Saturdays, Sundays and holidays shall be paid at double the hourly rate of wage

C.

On Monday through Friday, the first four( 4) hours of overtime after eight ( 8) hours of straight time work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay, unless a four( 4) day ten( 10) hour workweek has been established. On a four ( 4) day ten ( 10) hour workweek scheduled Monday through Thursday, or Tuesday through Friday, the first two ( 2) hours of overtime after ten( 10) hours of straight time work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay. On Saturday, the first twelve( 12) hours of work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay, except that if the job is down on Monday through Friday due to weather conditions or other conditions outside the control of the employer, the first ten( 10) hours on Saturday may be worked at the straight time rate of pay. All hours worked over twelve( 12) hours in a day and all hours worked on Sunday and Holidays shall be paid at two( 2) times the straight time rate of pay.

D.

All hours worked in excess of eight( 8) hours per day or forty( 40) hours per week shall be paid at double the hourly rate of wage. All hours worked on Saturday, Sundays and holidays shall be paid at double the hourly rate of pay. Rates include all members of the assigned crew. EXCEPTION:

On all multipole structures and steel transmission lines, switching stations, regulating, capacitor stations, generating plants, industrial plants, associated installations and substations, except those substations whose primary function is to feed a distribution system, will be paid overtime under the following rates: The first two ( 2) hours after eight( 8) regular hours Monday through Friday of overtime on a regular workday, shall be paid at one and one- half times the hourly rate of wage. All hours in excess of ten( 10) hours will be at two( 2) times the hourly rate of wage. The first eight( 8) hours worked on Saturday will be paid at one and one- half( 1- 1/ 2) times the hourly rate of wage. All hours worked in excess of eight( 8) hours on Saturday, and all hours worked on Sundays and holidays will be at the double the hourly rate of wage. All overtime eligible hours performed on the above described work that is energized, shall be paid at the double the hourly rate of wage. E.

The first two( 2) hours after eight( 8) regular hours Monday through Friday and the first eight( 8) hours on Saturday shall be paid at one and one- half times the hourly rate of wage. All other hours worked Monday through Saturday, and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage. On a four-day, ten-hour weekly schedule, either Monday thru Thursday or Tuesday thru Friday schedule, all hours worked after ten shall be paid at double the hourly rate of wage. The Monday or Friday not utilized in the normal fourday, ten hour work week, and Saturday shall be paid at one and one half( 1'/ z) times the regular shift rate for the first eight ( 8) hours. All other hours worked Monday through Saturday, and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.

G.

All hours worked on Saturdays shall be paid at one and one- half times the hourly rate of wage. All hours worked Monday through Saturday over twelve ( 12) hours and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.

L

The First eight( 8) hours worked

on

Saturdays

shall be paid at one and one- half times the hourly rate of wage.

All

hours worked in excess of eight( 8) per day on Saturdays shall be paid at double the hourly rate of wage. All hours worked on Sundays and holidays shall be paid at double the hourly rate of wage. 4

1 Page


Benefit

Code

Key— Effective

Overtime

4.

J.

The first eight( 8) hours hours

worked

worked

on a

Codes

Saturday

in excess of eight( 8) hours

on a

3/ 4/ 2026

thru

9/ 1/ 2026

Continued

shall be paid at one and one- half times the hourly rate of wage.

Saturday shall be

paid

at double

the hourly rate of wage.

All

All hours

worked over twelve( 12) in a day, and all hours worked on Sundays and Holidays shall be paid at double the hourly rate of wage. K.

All hours worked on a Saturday shall be paid at one and one-half times the hourly rate of wage, so long as Saturday is the sixth consecutive day worked. All hours worked over twelve( 12) in a day Monday through Saturday, and all hours worked on Sundays and Holidays shall be paid at double the hourly rate of wage.

L.

The first twelve( 12) hours worked on a Saturday shall be paid at one and one- half times the hourly rate of wage. All hours worked on a Saturday in excess of twelve ( 12) hours shall be paid at double the hourly rate of pay. All hours worked over twelve( 12) in a day Monday through Friday, and all hours worked on Sundays shall be paid at double the hourly rate of wage. All hours worked on a holiday shall be paid at one and one- half times the hourly rate of wage, except that all hours worked on Labor Day shall be paid at double the hourly rate of pay.

S.

On a four( 4) day ten( 10) hour workweek scheduled Monday through Thursday, or Tuesday through Friday, work performed in excess of( 10) hours shall be paid at one and one half( 1- 1/ 2) times the hourly rate of pay. On Monday through Friday, work performed outside the normal work hours of 6: 00 a.m. and 6: 00 p.m. shall be paid at one and one- half( 1- 1/ 2) times the straight time rate,( except for special shifts or multiple shift operations).

All hours worked on Saturdays shall be paid at one and one- half times the hourly rate of wage. All work performed on Sundays and holidays shall be paid at double the hourly rate of wage. When an employee returns to work without at least eight( 8) hours time off since their previous shift, all such time shall be a continuation of shift and paid at the applicable overtime rate until such time as the employee has had a break of eight( 8) hours. Multiple Shift Operations: When the first shift of a multiple shift( a two or three shift) operation is started at the basic

straight time rate or at a specific overtime rate, all shifts of that day's operation shall be completed at that rate. Special Shifts: The Special Shift Premium is the basic hourly rate of pay plus$ 2. 00 an hour. When due to conditions beyond the control of the employer or when an owner ( not acting as the contractor), a government agency or the contract specifications require more than four( 4) hours of a special shift can only be performed outside the normal 6am to 6pm shift then the special shift premium will be applied to the basic straight time for the entire shift. When an employee works on a special shift, they shall be paid the special shift premium for each hour worked unless they are in overtime or double- time status. ( For example, the special shift premium does not waive the overtime requirements for work performed on Saturday or Sunday). U.

The first four( 4) hours after eight( 8) regular hours Monday through Friday and the first twelve( 12) hours on Saturday shall be paid at one and one- half times the hourly rate of wage.( Except on makeup days ifwork is lost due to inclement weather, then the first eight( 8) hours on Saturday may be paid the regular rate.) All hours worked over twelve( 12) hours Monday through Saturday, and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.

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Overtime

4.

X.

3/ 4/ 2026

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Continued

All hours worked on Saturdays shall be paid at one and one- half times the hourly rate of wage. All hours worked on Sundays and holidays shall be paid at double the hourly rate of wage. Work performed outside the normal shift of 6

am to 6pm shall be paid at one and one-half the straight time rate,( except for special shifts or three shift operations). All work performed on Sundays and holidays shall be paid at double the hourly rate of wage. Shifts may be established when considered necessary by the Employer. The Employer may establish shifts consisting of eight( 8) or ten( 10) hours of work( subject to WAC 296- 127- 022), that shall constitute a normal forty ( 40) hour work week. The Employer can change from a 5- eight to a 4- ten hour or back to the other. schedule All hours of work on these shifts shall be paid for at the straight time hourly rate. Work performed in excess of eight hours( or ten hours per day( subject to WAC 296- 127- 022) shall be paid at one and onehalf the straight time rate. When due to conditions beyond the control of the Employer, or when contract specifications require that work can

only be performed outside the regular day shift, then by mutual agreement a special shift may be worked at the straight eight( 8) hours work for eight( 8) hours pay. The starting time shall be arranged to fit such conditions of

time rate, work.

When an employee returns to work without at a break of eight( 8) hours since their previous shift, all such time shall be a continuation of shift and paid at the applicable overtime rate until such time as the employee has had a break of eight( 8) hours.

Overtime

it.

ALL HOURS

WORKED

PAID AT ONE AND

B

IN EXCESS

ONE- HALF

OF EIGHT(

TIMES

Codes

8) HOURS

THE HOURLY

Continued

PER DAY OR FORTY(

RATE

40) HOURS

PER WEEK

SHALL

BE

OF WAGE.

After an employee has worked eight ( 8) hours, all additional hours worked shall be paid at the applicable overtime rate until such time as the employee has had a break of eight( 8) hours or more.

C

The first two( 2) hours after eight( 8) regular hours Monday through Friday and the first eight( 8) hours on Saturday shall be paid at one and one- half times the hourly rate of wage. All other overtime hours worked, except Labor Day, and all hours on Sunday shall be paid at double the hourly rate of wage. All hours worked on Labor Day shall be paid at three times the hourly rate of wage. All non- overtime and non- holiday hours worked between 4: 00 pm and 5: 00 am, Monday through Friday, shall be paid at a premium rate of 15% over the hourly rate of wage.

D.

All hours worked on Saturdays and holidays shall be paid at one and one- half times the hourly rate of wage. All hours worked on Sundays shall be paid at double the hourly rate of wage. After an employee has worked eight ( 8) hours, all additional hours worked shall be paid at the applicable overtime rate until such time as the employee has had a break of eight( 8) hours or more.

E.

The first two( 2) hours after eight( 8) regular hours Monday through Friday, the first ten( 10) hours on Saturday, and the first ten( 10) hours worked on Holidays shall be paid at one and one-half times the hourly rate of wage. All hours worked over ten( 10) hours Monday through Saturday, and Sundays shall be paid at double the hourly rate of wage. After an employee has worked eight ( 8) hours, all additional hours worked shall be paid at the applicable overtime rate until such time as the employee has had a break of eight( 8) hours or more.

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11.

F.

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Continued

The first two( 2) hours after eight( 8) regular hours Monday through Friday and the first eight( 8) hours on Saturday shall be paid at one and one- half times the hourly rate of wage. All other hours worked Monday through Saturday, and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage. On a four- day, ten- hour weekly schedule, either Monday thru Thursday or Tuesday thru Friday schedule, all hours worked after ten shall be paid at double the hourly rate of wage. The Monday or Friday not utilized in the normal fourday, ten hour work week, and Saturday shall be paid at one- half times the hourly rate of wage for the first eight( 8) hours. All other hours worked Monday through Saturday, and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage.

G.

Work performed in excess of eight( 8) hours of straight time per day, or ten( 10) hours of straight time per day when four ten ( 10) hour shifts are established, or forty ( 40) hours of straight time per week, Monday through Friday, or outside the normal 5 am to 6pm shift, and all work on Saturdays shall be paid at one and one- half times the hourly rate of wage.

All work performed after 6: 00 pm Saturday to 5: 00 am Monday and Holidays, and all hours worked in excess of twelve( 12) hours in a single shift shall be paid at double the hourly rate of wage. After an employee has worked eight ( 8) hours at an applicable overtime rate, all additional hours shall be at the applicable overtime rate until such time as the employee has had a break of nine( 9) hours or more. When an employee

returns to work without at least nine( 9) hours time off since their previous shift, all such time shall be a continuation of shift and paid at the applicable overtime rate until he/ she shall have the nine( 9) hours rest period. H.

Work performed in excess of eight( 8) hours of straight time per day, or ten( 10) hours of straight time per day when four ten ( 10) hour shifts are established, or forty ( 40) hours of straight time per week, Monday through Friday, or outside the normal 5 am to 6pm shift, and all work on Saturdays shall be paid at one and one-half times the hourly rate of wage.

All work performed after 6: 00 pm Saturday to 5: 00 am Monday and Holidays, and all hours worked in excess of twelve( 12) hours in a single shift shall be paid at double the hourly rate of wage. After an employee has worked eight ( 8) hours at an applicable overtime rate, all additional hours shall be at the applicable overtime rate until such time as the employee has had a break of ten( 10) hours or more. When an employee

returns to work without at least ten( 10) hours time off since their previous shift, all such time shall be a continuation of shift and paid at the applicable overtime rate until he/ she shall have the ten( 10) hours rest period. J.

All hours worked on holidays shall be paid at double the hourly rate of wage.

K.

On Monday through Friday hours worked outside 4: 00 am and 5: 00 pm, and the first two( 2) hours after eight( 8) hours worked shall be paid at one and one- half times the hourly rate. All hours worked over 10 hours per day Monday through Friday, and all hours worked on Saturdays, Sundays, and Holidays worked shall be paid at double the hourly rate of wage.

L.

An employee working

outside

5: 00 am and 5: 00 pm shall receive an additional

two dollar($

2. 00) per hour for all

hours worked that shift. All hours worked on holidays shall be paid at one and one- half times the hourly rate of

wage. All hours worked on holidays shall be paid at one and one- half times the hourly rate of wage.

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11.

M.

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Continued

On Monday through Friday, the first four( 4) hours of overtime after eight( 8) hours of straight time work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay, unless a four( 4) day ten( 10) hour workweek has been established. On a four( 4) day ten( 10) hour workweek scheduled Monday through Thursday, or Tuesday through Friday, the first two( 2) hours of overtime after ten( 10) hours of straight time work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay. Work performed outside the normal work hours of 5: 00 a.m. and 6: 00 p.m. shall be paid at one and one- half( 1- 1/ 2) times the straight time rate,( except for special shifts or multiple shift operations). When the first shift of a multiple shift( a two or three shift) operation is started at the basic straight time rate or at a specific overtime rate, all shifts of

that day's operation shall be completed at that rate. When due to conditions beyond the control of the Employer or when contract specifications require that work can only be performed outside the regular day shift of 5: 00 am to 6: 00 pm, then a special shift may be worked at the straight time rate, plus the shift pay premium when applicable. The starting time of work will be arranged to fit such conditions of work. Such shift shall consist of eight( 8) hours work for eight( 8) hours pay or ten( 10) hours work for ten( 10) hours pay for four ten shifts. On Saturday, the first twelve( 12) hours of work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay. All work performed after 6: 00 pm Saturday to 5: 00 am Monday, all work performed over twelve( 12) hours, and all work performed on holidays shall be paid at double the straight time rate of pay. Shift Pay Premium: In an addition to any overtime already required, all hours worked between the hours of 6: 00 pm and 5: 00 am shall receive an additional two dollars($ 2. 00) per hour. N.

All work performed over twelve hours in a shift and all work performed on Sundays and Holidays shall be paid at double the straight time rate.

Any time worked over eight( 8) hours on Saturday shall be paid double the straight time rate, except employees assigned to work six 10- hour shifts per week shall be paid double the straight time rate for any time worked on Saturday over 10 hours. O.

All work performed on Saturdays, Sundays, and Holidays shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay.

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Overtime Codes Continued 11.

P.

Work performed in excess of ten( 10) hours of straight time per day when four ten( 10) hour shifts are established and all work on Saturdays, except for make- up days shall be paid at time and one- half( 1 '/ 2) the straight time rate.

Work performed outside the normal work hours of 5: 00 a.m. and 6: 00 p.m. shall be paid at one and one- half( 1- 1/ 2) times the straight time rate,( except for special shifts or multiple shift operations). When the first shift of multiple shift( a two or three shift) operation is started at the basic straight time rate or at a specific overtime rate, all shifts of

that day' s operation shall be completed at that rate. When due to conditions beyond the control of the Employer or

when contract specifications require that work can only be performed outside the regular day shift of 5: 00 a.m. to 6: 00 p.m., then a special shift may be worked at the straight time rate, plus the shift pay premium when applicable. The starting time of work will be arranged to fit such conditions of work. Such shifts shall consist of eight( 8) hours

work for eight( 8) hours pay or ten( 10) hours work for ten( 10) hours pay for four ten-hour shifts. In the event the job is down due to weather conditions, then Saturday may, be worked as a voluntary make- up day at the straight time rate. However, Saturday shall not be utilized as a make- up day when a holiday falls on Friday. All work performed on Sundays and holidays and work in excess of twelve( 12) hours per day shall be paid at double 2x) the straight time rate of pay. After an employee has worked eight( 8) hours at an applicable overtime rate, all additional hours shall be at the applicable overtime rate until such time as the employee has had a break of eight( 8) hours.

When an employee returns to work without a break of eight( 8) hours since their previous shift, all such time shall be a continuation of shift and paid at the applicable overtime rate until such time as the employee has had a break of eight( 8) hours.

Q.

All hours worked between the hours of 6: 00 pm and 6: 00 am, Monday through Saturday, shall be paid at a premium rate of 35% over the hourly rate of wage. Work performed on Sundays shall be paid at double time. All hours worked on holidays shall be paid at double the hourly rate of wage.

R

On Monday through Saturday hours worked outside 6: 00 am and 7: 00 pm, and all hours after eight( 8) hours worked shall be paid at one and one- half times the hourly rate. All hours worked on Sundays and Holidays shall be paid at double the hourly rate of wage. When a holiday falls on a Saturday, the Friday before shall be the observed holiday. When a holiday falls on a Sunday, the following Monday shall be the observed holiday.

S.

The first ten( 10) hours worked on Saturdays shall be paid at one and one- half times the hourly rate of wage. In the event the job is down due to weather conditions, or other conditions beyond the control of the Employer, then Saturday may be worked at the straight time rate, for the first eight( 8) hours, or the first ten( 10) hours when a four day ten hour workweek has been established. All hours worked Monday through Saturday over twelve( 12) hours and all hours worked on Sundays and holidays shall be paid at double the hourly rate of wage. When an employee returns to work without a break of eight( 8) hours since their previous shift, all such time shall be a continuation of shift and paid at the applicable overtime rate until such time as the employee has had a break of eight( 8) hours.

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Overtime Codes Continued 11.

T.

On Monday through Friday, the first four( 4) hours of overtime after eight( 8) hours of straight time work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay, unless a four( 4) day ten( 10) hour workweek has been established. On a four( 4) day ten( 10) hour workweek scheduled Monday through Thursday, or Tuesday through Friday, the first two( 2) hours of overtime after ten( 10) hours of straight time work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay. On Saturday, the first twelve( 12) hours of work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay, except that if the job is down on Monday through Friday due to weather conditions or other conditions outside the control of the employer, the first ten( 10) hours on Saturday may be worked at the straight time rate of pay.

All hours worked over twelve( 12) hours in a day and all hours worked on Sunday and Holidays shall be paid at two 2) times the straight time rate of pay.

U.

On Monday through Friday, the first four( 4) hours of overtime after eight( 8) hours of straight time work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay, unless a four( 4) day ten( 10) hour workweek has been established. On a four( 4) day ten( 10) hour workweek scheduled Monday through Thursday, or Tuesday through Friday, the first two( 2) hours of overtime after ten( 10) hours of straight time work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay. On Saturday, the first twelve( 12) hours of work shall be paid at one and one half( 1- 1/ 2) times the straight time rate of pay, except that if the job is down on Monday through Friday due to weather conditions or other conditions outside the control of the employer, the first ten( 10) hours on Saturday may be worked at the straight time rate of pay.

All hours worked over twelve( 12) hours in a day and all hours worked on Sunday and Holidays shall be paid at two 2) times the straight time rate of pay. If,due to conditions beyond the control of the Employer or when contract specifications require that work can only be performed outside the regular day shift, then a Special Shift may be worked, Monday through Friday, at the straight- time rate. The starting time of work for the Special Shift will be arranged to fit such conditions of work. Such Special Shift shall consist of eight( 8) hours of work for eight( 8) hours of pay or ten( 10) hours of work for ten( 10) hours of pay on a four-ten workday schedule.

V.

All hours worked on Saturdays and Sundays ( except make-up days due to conditions beyond the control of the employer) shall be paid at one and one-half times the hourly rate of wage. All hours worked on holidays shall be paid at double the hourly rate of wage.

W.

Work performed in excess of eight( 8) hours of straight time per day, or ten( 10) hours of straight time per day when four ten( 10) hour shifts are established, or forty( 40) hours of straight time per week, Monday through Friday, or outside the normal 6 am to 6pm shift, and all work on Saturdays shall be paid at one and one-half times the hourly rate of wage. All work performed on Sundays and Holidays shall be paid at double the hourly rate of wage. After an employee has worked eight( 8) hours at an applicable overtime rate, all additional hours shall be at the applicable overtime rate until such time as the employee has had a break of eight( 8) hours or more.

When an employee returns to work without at least eight( 8) hours time off since their previous shift, all such time shall be a continuation of shift and paid at the applicable overtime rate until he/ she shall have the eight( 8) hours rest period.

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Holiday Codes 5.

A.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving Day, and Christmas Day( 7).

B.

Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving Day, the day before Christmas, and Christmas Day( 8).

C.

Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, And Christmas Day( 8).

D.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday and Saturday after Thanksgiving Day, And Christmas Day( 8).

H.

Holidays: New Year's Day, Memorial Day, Independence Day, Thanksgiving Day, the Day after Thanksgiving Day, And Christmas( 6).

I.

Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day 6).

K.

Holidays: New Year' s Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday After Thanksgiving Day, The Day Before Christmas, And Christmas Day( 9).

L.

Holidays: New Year' s Day, Martin Luther King Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving Day, And Christmas Day( 8).

N.

Holidays: New Year' s Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day, The Friday After Thanksgiving Day, And Christmas Day( 9).

P.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday And Saturday After Thanksgiving Day, The Day Before Christmas, And Christmas Day ( 9). If A Holiday Falls On Sunday, The Following Monday Shall Be Considered As A Holiday.

Q.

Paid Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day( 6).

R.

Paid

S.

Paid Holidays: New Year' s Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day,

Holidays:

New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Day After Thanksgiving Day, One- Half Day Before Christmas Day, And Christmas Day. ( 7 1/ 2).

And Christmas Day( 7). Z.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Veterans Day, Thanksgiving Day, the Friday after Thanksgiving Day, And Christmas Day( 8).

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Holiday Codes Continued 6.

G.

Paid Holidays: New Year' s Day, Martin Luther King Jr. Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Day, and Christmas Eve Day( 11).

H.

Paid Holidays: New Year's Day, New Year' s Eve Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday After Thanksgiving Day, Christmas Day, The Day After Christmas, And A Floating Holiday( 10).

T.

Paid

Z.

Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving Day, And Christmas Day ( 7). If a holiday falls on Saturday, the preceding Friday shall be considered as the holiday. If a holiday falls on Sunday, the following Monday shall be considered as the holiday.

Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, The Friday After Thanksgiving Day, The Last Working Day Before Christmas Day, And Christmas Day( 9).

Holiday Codes Continued 7.

A.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday and Saturday after Thanksgiving Day, And Christmas Day( 8). Any Holiday Which Falls On A Sunday Shall Be Observed As A Holiday On The Following Monday. If any of the listed holidays falls on a Saturday, the preceding Friday shall be a regular work day.

B.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday and Saturday after Thanksgiving Day, And Christmas Day( 8). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

C.

Holidays: New Year's Day, Martin Luther King Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, And Christmas Day ( 8). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

D.

Paid Holidays:

E.

Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, And Christmas Day( 7). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

F.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, the last working day before Christmas day and Christmas day( 8). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

New Year's Day, Memorial Day, Independence Day, Labor Day, Veteran' s Day, Thanksgiving Day, the Friday after Thanksgiving Day, And Christmas Day ( 8). Unpaid Holidays: President' s Day. Any paid holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any paid holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

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Holiday Codes Continued 7.

G.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day 6). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday.

H.

Holidays: New Year's Day, Martin Luther King Jr. Day, Independence Day, Memorial Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, the Last Working Day before Christmas Day and Christmas Day( 9). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

1.

Holidays: New Year' s Day, President' s Day, Independence Day, Memorial Day, Labor Day, Thanksgiving Day, The Friday After Thanksgiving Day, The Day Before Christmas Day And Christmas Day( 9). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

J.

Holidays: New Year's Day, Independence Day, Memorial Day, Labor Day, Thanksgiving Day and Christmas Day( 6). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

K.

Holidays: New Year's Day, Memorial Day, Independence Day, Thanksgiving Day, the Friday and Saturday after Thanksgiving Day, And Christmas Day( 8). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

L.

Holidays: New Year' s Day, Memorial Day, Labor Day, Independence Day, Thanksgiving Day, the Last Work Day before Christmas Day, And Christmas Day( 7). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

N.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, And Christmas Day( 7). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. When Christmas falls on a Saturday, the preceding Friday shall be observed as a holiday.

P.

Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving Day, And Christmas Day( 7). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday.

Q.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, the Last Working Day before Christmas Day and Christmas Day( 8). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. If any of the listed holidays falls on a Saturday, the preceding Friday shall be a regular work day.

S.

Paid Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving Day, Christmas Day, the Day after Christmas, and A Floating Holiday( 9). If any of the listed holidays falls on a Sunday, the day observed by the Nation shall be considered a holiday and compensated accordingly.

V.

Holidays: New Year' s Day, President' s Birthday, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Day, the day before or after Christmas, and the day before or after New Year' s Day. If any of the above listed holidays falls on a Sunday, the day observed by the Nation shall be considered a holiday and compensated accordingly.

W.

Holidays: New Year's Day, Day After New Year' s, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Eve Day, Christmas Day, the day after Christmas, the day before New Year' s Day, and a Floating Holiday. 13

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Holiday Codes Continued 7.

X.

Holidays: New Year's Day, Day before or after New Year' s Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Day, and the day before or after Christmas day. If a holiday falls on a Saturday or on a Friday that is the normal day off,then the holiday will be taken on the last normal workday. Ifthe holiday falls on a Monday that is the normal day off or on a Sunday, then the holiday will be taken on the next normal workday.

Y.

Holidays: New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, and Christmas Day. ( 8) If the holiday falls on a Sunday, then the day observed by the federal government shall be considered a holiday and compensated accordingly.

Z.

Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday and Saturday after Thanksgiving Day, Christmas Eve, and Christmas Day( 9). Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday. Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Holiday Codes Continued

15.

G.

New Year's Day, Washington' s Birthday, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, The Friday After Thanksgiving Day, the last scheduled workday before Christmas, and Christmas Day( 9). If any of the listed holidays falls on a Sunday, the day observed by the Nation shall be considered a holiday and compensated accordingly.

H.

Holidays: New Year' s Day, Martin Luther King Jr. Day, Independence Day, Memorial Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, the Last Working Day before Christmas Day and Christmas Day( 9). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

1.

Holidays: New Year's Day, President' s Day, Independence Day, Memorial Day, Labor Day, Thanksgiving Day, The Friday After Thanksgiving Day, The Day Before Christmas Day And Christmas Day( 9). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

J.

Holidays: New Year's Day, Martin Luther King Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday and Saturday after Thanksgiving Day, and Christmas Day( 9). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. If any of the listed holidays falls on a Saturday, the preceding Friday shall be a regular work day.

K.

Holidays: New Year's Day, Memorial Day, Independence Day, Thanksgiving Day, the Friday and Saturday after Thanksgiving Day, And Christmas Day( 8). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

L.

Holidays: New Year' s Day, Memorial Day, Independence Day, Labor Day, Veteran' s Day, Thanksgiving Day, the Friday after Thanksgiving Day, and Christmas Day( 8). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. If any of the listed holidays falls on a Saturday, the preceding Friday shall be a regular work day.

M.

Holidays: New Year's Day, Martin Luther King Jr. Day, Independence Day, Memorial Day, Labor Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Eve Day and Christmas Day ( 9). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. If any of the listed holidays falls on a Saturday, the preceding Friday shall be a regular work day.

14

1 Page


Benefit

Code

Key— Effective

3/ 4/ 2026

thru

9/ 1/ 2026

Holiday Codes Continued 15.

N.

Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Veteran' s Day, Thanksgiving Day, the Friday after Thanksgiving Day, and Christmas Day( 8). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday.

O.

Holidays:

P.

Holidays: New Year' s Day, Memorial Day, Labor Day, Independence Day, Thanksgiving Day, the Friday after Thanksgiving Day, Christmas Eve Day, And Christmas Day( 8). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday. Any holiday which falls on a Saturday shall be observed as a holiday on the preceding Friday.

New Year's Day, Martin Luther King Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Friday and Saturday after Thanksgiving Day, the day before Christmas day, and Christmas Day( 10). Any holiday which falls on a Sunday shall be observed as a holiday on the following Monday.

Note Codes

8.

D.

Workers working with supplied air on hazmat projects receive an additional$ 1. 00 per hour.

L.

Workers Level

M.

on hazmat

projects

receive

additional

hourly premiums

as

follows - Level

receive

additional

hourly premiums

as

follows:

A: $ 0. 75, Level

B: $ 0. 50, And

C: $ 0. 25.

Workers

on

hazmat

projects

on

hazmat

projects

Levels

A &

B: $ 1. 00, Levels

C&

D:

0. 50.

N.

Workers

receive

additional

hourly premiums

as

follows- Level A: $ 1. 00, Level B: $ 0. 75, Level

C: $ 0. 50, And Level D: $ 0. 25.

S.

Effective August 31, 2012— A Traffic Control Supervisor shall be present on the project whenever flagging or spotting or other traffic control labor is being utilized. Flaggers and Spotters shall be posted where shown on approved Traffic Control Plans or where directed by the Engineer. All flaggers and spotters shall possess a current flagging card issued by the State of Washington, Oregon, Montana, or Idaho. This classification is only effective on or after August 31, 2012.

T.

Effective August 31, 2012— A Traffic Control Laborer performs the setup, maintenance and removal of all temporary

traffic control devices and construction signs necessary to control vehicular, bicycle, and pedestrian traffic during construction operations. Flaggers and Spotters shall be posted where shown on approved Traffic Control Plans or where directed by the Engineer. All flaggers and spotters shall possess a current flagging card issued by the State of Washington, Oregon, Montana, or Idaho. This classification is only effective on or after August 31, 2012. U.

Workers

on hazmat

And Class

projects

receive

additional

hourly premiums

as

follows— Class A Suit:$ 2. 00, Class B Suit: $ 1. 50,

C Suit: $

1. 00. Workers performing underground work receive an additional$ 0. 40 per hour for any and all work performed underground, including operating, servicing and repairing of equipment. The premium for underground work shall be paid for the entire shift worked. Workers who work suspended by a rope or cable receive an additional$ 0. 50 per hour. The premium for work suspended shall be paid for the entire shift worked. Workers who do " pioneer" work( break open a cut, build road, etc.) more than one hundred fifty( 150) feet above grade elevation receive an additional$ 0. 50 per hour.

15

1 Page


Benefit

Code

Key— Effective

3/ 4/ 2026

Note Codes

8.

V.

thru

9/ 1/ 2026

Continued

In addition to the hourly wage and fringe benefits, the following depth and enclosure premiums shall be paid. The premiums are to be calculated for the maximum depth and distance into an enclosure that a diver reaches in a day.

The premiums are to be paid one time for the day and are not used in calculating overtime pay. Depth premiums 101'

to 150'-$

Over 221'-$

apply to depths

of fifty feet

or

more. Over

50' to 100'-$

3. 00 per foot for each foot over 101 feet. Over

2. 00 per foot for each foot over 50 feet. Over 4. 00 per foot for each foot over 220 feet.

151' to 220'-$

5. 00 per foot for each foot over 221 feet.

Enclosure premiums apply when divers enter enclosures ( such as pipes or tunnels) where there is no vertical ascent and is measured by the distance travelled from the entrance. 25' to 300'-$ 1. 00 per foot from entrance. 300' to 600' 1. 50 per foot beginning at 300'. Over 600' -$ 2. 00 per foot beginning at 600'. W.

Meter Installers work on single phase 120/ 240V self-contained residential meters. The Lineman/ Groundmen rates would apply to meters not fitting this description.

X.

Workers on hazmat projects receive additional hourly premiums as follows- Class A Suit:$ 2. 00, Class B Suit: 1. 50, Class C Suit: $ 1. 00, and Class D Suit: $ 0. 50. Special Shift Premium: Basic hourly rate plus$ 2. 00 per hour. When due to conditions beyond the control of the Employer or when an owner( not acting as the contractor), a government agency or the contract specifications requires that work can only be performed outside the normal 5 am to 6pm shift, then the special shift premium will be applied to the basic hourly rate. When an employee works on a special shift, they shall be paid a special shift premium for each hour worked unless they are in OT or Double- time status. ( For example, the special shift premium does not waive the overtime requirements for work performed on Saturday or Sunday.)

Y.

Tide Work: When employees are called out between the hours of 6: 00 p.m. and 6: 00 a.m. to work on tide work work located in the tide plane) all time worked shall be at one and one-half times the hourly rate of pay. Swinging Stage/ Boatswains Chair: Employees working on a swinging state or boatswains chair or under conditions them to be tied off to allow their hands to be free shall receive seventy- five cents($ require 0. 75) per hour above

that

the classification rate.

Z.

Workers working with supplied air on hazmat projects receive an additional$ 1. 00 per hour. Special Shift Premium: Basic hourly rate plus$ 2. 00 per hour. When due to conditions beyond the control of the Employer or when an owner( not acting as a contractor), a government agency or the contract specifications

require

that more than( 4) hours of a special shift can only be performed outside the normal 6 am to 6pm shift, then the special shift premium will be applied to the basic straight time for the entire shift. When an employee works on a special shift, they will be paid a special shift premium for each hour worked unless they are in overtime or doubletime status.( For example, the special shift premium does not waive the overtime requirements for work performed on Saturday or Sunday.)

16

1 Page


Benefit

Code

Key— Effective

3/ 4/ 2026

thru

9/ 1/ 2026

Note Codes Continued 9.

A.

Workers working with supplied air on hazmat projects receive an additional$ 1. 00 per hour. Special Shift Premium: Basic hourly rate plus $ 2. 00 per hour. When due to conditions beyond the control of the Employer or when an owner( not acting as the contractor), a government agency or the contract specifications require

that more than four( 4) hours of a special shift can only be performed outside the normal 6 am to 6pm shift, then the special shift premium will be applied to the basic straight time for the entire shift.

When an employee works on a

special shift, they shall be paid a special shift premium for each hour worked unless they are in overtime or doubletime status.( For example, the special shift premium does not waive the overtime requirements for work performed on Saturday or Sunday.) Certified Crane Operator

Premium:

Crane operators requiring certifications shall be paid$ 0. 50 per hour above their

classification rate.

Boom Pay Premium:

A)— 130' B)— 200' C)— 300'

B.

All cranes including tower shall be paid as follows based on boom length:

to 199'—$

0. 50 per hour over their classification rate. 0. 80 per hour over their classification rate. and over—$ 1. 00 per hour over their classification rate.

to 299'—$

The highest pressure registered on the gauge for an accumulated time of more than fifteen( 15) minutes during the shift shall be used in determining the scale paid. Tide Work: When employees are called out between the hours of 6: 00 p.m. and 6: 00 a.m. to work on tide work( work located in the tide plane) all time worked shall be at one and one- half times the hourly rate of pay. Swinging Stage/ Boatswains Chair: Employees working on a swinging stage or boatswains chair or under conditions that require them to be tied off to allow their hands to be free shall receive seventy- five cents ($ 0. 75) per hour above the classification rate.

C.

Tide Work: When employees are called out between the hours of 6: 00 p. m. and 6: 00 a.m. to work on tide work( work located in the tide plane) all time worked shall be at one and one-half times the hourly rate of pay. Swinging Stage/ Boatswains Chair: Employees working on a swinging stage or boatswains chair or under conditions that require them to be tied off to allow their hands to be free shall receive seventy- five cents ($ 0. 75) per hour above the classification rate.

Effective August 31, 2012— A Traffic Control Supervisor shall be present on the project whenever flagging or spotting or other traffic control labor is being utilized. A Traffic Control Laborer performs the setup, maintenance and removal of all temporary traffic control devices and construction signs necessary to control vehicular, bicycle, and pedestrian traffic during construction operations. Flaggers and Spotters shall be posted where shown on approved Traffic Control Plans or where directed by the Engineer. All flaggers and spotters shall possess a current flagging card issued by the State of Washington, Oregon, Montana, or Idaho. These classifications are only effective on or after August 31, 2012. D.

Industrial Painter wages are required for painting within industrial facilities such as treatment plants, pipelines, towers, dams, bridges, power generation facilities and manufacturing facilities such as chemical plants, etc., or anywhere abrasive blasting is necessary to prepare surfaces, or hazardous materials encapsulation is required.

E.

Heavy Construction includes construction, repair, alteration or additions to the production, fabrication or manufacturing portions of industrial or manufacturing plants, hydroelectric or nuclear power plants and atomic reactor construction. Workers on hazmat projects receive additional hourly premiums as follows- Level A: $ 1. 00, Level

B: $ 0. 75, Level

C: $ 0. 50, And Level D: $ 0. 25.

17

1 Page


Benefit

Code

Key— Effective

3/ 4/ 2026

thru

9/ 1/ 2026

Note Codes Continued 9.

F.

Industrial Painter wages are required for painting within industrial facilities such as treatment plants, pipelines, towers, dams, power generation facilities and manufacturing facilities such as chemical plants, etc., or anywhere abrasive blasting is necessary to prepare surfaces, or hazardous materials encapsulation is required.

H.

One( 1) person crew shall consist of a Party Chief.( Total Station or similar one( 1) person survey system). Two( 2) person survey party shall consist of a least a Party Chief and a Chain Person. Three( 3) person survey party shall consist of at least a Party Chief, an Instrument Person, and a Chain Person.

I.

In addition to the hourly wage and fringe benefits, the following depth and enclosure premiums shall be paid. The premiums are to be calculated for the maximum depth and distance into an enclosure that a diver reaches in a day. The premiums are to be paid one time for the day and are not used in calculating overtime pay. Depth premiums apply to depths of fifty feet or more. Over 50' to 100'-$ 2. 00 per foot for each foot over 50 feet. Over 101' to 150'-$ 3. 00 per foot for each foot over 101 feet. Over 15 F to 220'-$ 4. 00 per foot for each foot over 220 feet. Over 22F-$

5. 00 per foot for each foot over 221 feet.

Enclosure premiums apply when divers enter enclosures( such as pipes or tunnels) where there is no vertical ascent and is measured by the distance travelled from the entrance. 25' to 300' -$ 1. 00 per foot from entrance. 300' to 600' 1. 50 per foot beginning at 300'. Over 600' -$ 2. 00 per foot beginning at 600'. Employees may be required to perform any combination of work within the Diving team/ crew,( with the exception of dive Supervisor) provided they are paid at the highest rate at which he/ she has worked for the shift. L.

Workers Level

on hazmat

projects

receive

additional

hourly premiums

as follows-

Level A: $ 0. 75, Level

B: $ 0. 50, And

C: $ 0. 25.

Tide Work: When employees are called out between the hours of 6: 00 p.m. and 6: 00 a.m. to work on tide work work located in the tide plane) all time worked shall be at one and one-half times the hourly rate of pay. Swinging Stage/Boatswains Chair: Employees working on a swinging stage or boatswains chair or under conditions them to be tied off to allow their hands to be free shall receive seventy- five cents($ 0. 75) per hour above

that require

the classification rate.

M.

Certified Crane Operator Premium: Crane operators requiring certifications shall be paid$ 1. 50 per hour above their classification

rate.

Workers on hazmat projects receive additional hourly premiums as follows- Class A Suit:$ 2. 00, Class B Suit: 1. 50, Class C Suit: $ 1. 00, and Class D Suit: $ 0. 50.

Special Shift Premium: Basic hourly rate plus$ 2. 00 per hour. When due to conditions beyond the control of the Employer or when an owner( not acting as the contractor), a government agency or the contract specifications

requires that work can only be performed outside the normal 6 am to 6pm shift, then the special shift premium will be applied to the basic hourly rate. When an employee works on a special shift, they shall be paid a special shift premium for each hour worked unless they are in OT or Double- time status.( For example, the special shift premium does not waive the overtime requirements for work performed on Saturday or Sunday.)

18

1 Page


Appendices

January 2, 2012)

The following appendices are attached and made a part of this contract:

APPENDIX

A- LIMITED

TOPOGRAPHIC

APPENDIX B— TECHNICAL

SURVEY

MEMORANDUM

FROM

DELVE

UNDERGROUND

Appendices Burma

Road

Toutle

Park

Road

Bypass

Page Project

No. 1859

114


APPENDIX

LIMITED

A

TOPOGRAPHIC

SURVEY

Appendices Burma

Road Toutle

Park

Road Bypass

Page Project

No. 1859

115


m

PURPOSE OF SURVEY THE

PURPOSE

ROAD

THIS SURVEY

OF

AND RIGHT

SURVEY, 7

7190),

CERTAIN

PARCELS

PARK

DESCRIBED

32588215828811E PURPOSES

OF

RD(

COUNTY

IN

COWLITZ

3151423E

1,

ROADWT170), COUNTY

3562931E

AND

AUDITOR'

S FILE

96

3617073,

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EDGE

o`

I

OF

S W, 6

AND

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ROM

POPE OP

s

VERTICAL DATUM ELEVATIONDATUM:

NAVD

BENCHMARK:

CP N8

LOCATION:

AS SHOWN

88(

PER

ELEVATION:

140. 10'

OPUS

AND

ADJUSTMENT

AS

DETAIED

SOUTH

COORDINATES

ZONE)-

39. 96'

WHICH

AND

RE

WERE

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BASIS

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AND

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THEN

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1033838. 603

5/ 8" REBAR

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FOR

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BY

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OF

211

372481.

115

1032582.

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212

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1032679.

845

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213

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ON

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232

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1033433.

509

518"

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4

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7/ SPLATSR3

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239

371125.

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1033136.

51W

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1786-

7/ SPLATS/ 73

01-

06

10.

10'

CLOSED

KINEMATIC(

TIME

THIS

SURVEY

WACM-

130-

MEETS

M.

A

EDGE

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SURVEYS'(

LABELED

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A

333129'

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372492.

300

1032584.

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AND

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MD STATIC GPS METHODS.

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THE

LEAST

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OF

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FEET

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236

371M.

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SIe'

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PLANE

AS

WELL

R

217

372192. 821

1032160. 229

12' RE8AR W/OPC- GRANT PLS M1291

UNKNOWN

218

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2- IRON PIPE W/CASING IN CONC IN MON BOX

WSOT

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237

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MEASUREMENTS WERE PERFORMED USING

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AT

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IN

FOR

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ORDER

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545

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W/ DESTROYED

IMPLATS/

120

PLAT

SUBDIVISION

WROS/## -

1.

PAGE,

NOTED

COUNTY AUDITORS

C. BOYD

2.

AND

S SURVEY

COWLRZ COUNTY

AUDITORS

RODS( IF MY) ARE NOTED AS SUCH.

ALL FOUND MONUMENTS WERE VISITED AND TIED DURING

THIS SURVEYONUMENTS WERE VI

L0T1 85° OSY10' R'

WK2608015

RECORDS

OTHERWISE.

THE TERM' IRON ROD' REFERS TO REINFORCING BAR.

3.

2/ SPLATS/ 120

RECORDS

SURVEY

TEMPORARY CONTROL POINT

SMOOTH

1423

SURVEY RECORDS

SURVEY RECORDS

COWLITZCOUNTYAUDITOR'

6).

ALL PIPE DIAMETERS ARE INSIDE DIMENSIONS, UNLESS

SHARI HARI J.J. BOVD

PAGE, COWLITZ

BOOKAND

RECORD OF SURVEY BOOK AND PAGE,

NOTE

AND

NOTES:

7/ SPLATS/] 3

CORNER RECORD BOOK AND PAGE, COWLITZ COUNTY AUDITORS

SEE

N

DESC-

REFERENCE SURVEYS LEGEND:

12' REBR W/OPC' GRANT PL333129"

PROTECTOR

NEEDED(

DESCRIPTION,

SEE MONUMENT DESCRIPTIONS

5

WSDOT

NINETY- FIVE

THE

1033242.

AS

COORDINATES,

T

JAMES

STANDARD

POSITION

NOTED.

ORIGIN IN FOUND MONUMENTTABE( S).

4' h

1786"

JOHNON

AS

SEE MORE INFORMATION, INCLUDING STATE W

7'

SECTION 215

MONUMENT

PRESERVE

O,

4

VERTICAL

RADIAL

371

RNOTED

OF

PAVEMENT

73

45

MAP:

ANDTRIMBLE R121, SURVEY GRADE GPS UNITS. THE RELATIVE HORIZONTAL ACCURACY

TOTALSTATION SHOWN

PERCENT

MON.

14

1

ANDFOUNDMONUMENTS

IN

2

POSITIONAL ACCURACY

VERTICAL

PLANIMETRIC

SURVEYS WERE ACCOMPLISHED

TRIMBLE

CONCRETE

THE

OF

PROFESSIONAL

METHOD OF SURVEY FIELD

IN

219

HEREON

SOT

W/ CASING

PIE

FOUND

RELATIVE VERTICAL POSITIONAL ACCURACY CONTOURS

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MONUMENT LEGEND:

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1980.

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KNOWN

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THIS

SURVEY

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EFFORTS BY

NOTES

PER

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PAGES

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SAND

INTENDED

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OTHERWISE

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NOTED.

PRIVATE

OR

ANY

REPLACE

PROPERTY

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BOUNDARY

PROPERTY

SHOWN HEREON

LINES

PURPOSES ONLY AND HAVE NOT BEEN SURVEYED HEREIN,

REPLACED,

BOUNDARY

TO

UNLESS

OTHERWISE

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AND

FOR

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INFORMATION

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INFORMATION

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PER

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FROM

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347238

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1996-

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WSDOT-

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4)

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RECORD

INFORMATION

PER

BURMA

RD

6)

-

RECORD

INFORMATION

PER

TOUTLE

PARK

6)

-

RECORD

INFORMATION

PER

WSDOT

PLANS-

7)

-

RECORD

INFORMATION

PER SURVEY BY RAE JOHNSON, VOL7

RD

FIELD

PLANS

RD

WIDTH

0F

40',

WHICH

WAIVER

1958_

179.

ABBREVIATIONS:

80'

AFN

AUDITORS FILE NUMBER

CCCJ =

COWLITZ COUNTY COMMISSIONER' S JOURNAL

CCPWFB

COWLITZ

COUNTY

PUBLIC

CCRER =

COWLITZ

COUNTY

ROAD ENGINEER' S RECORDS

CL

CENTERLINE

OF

S'

GRAVEL DRIVEWAY

1954- SEE CCRER

NOTES-

FIELD

EDGE

1954- SEE CCRER

gy0

10

0

195( 1

POPE& TALOT TO COUNTY-

IN

1957

1966

n

PGT3

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OF

=

CR#

=

WORKS

FIELD

BOOK

COUNTY ROAD NUMBER

PAVEMENT

130•

PRIVATE

DBCNR

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FD

=

FOUND

IP

=

BY

CONSTRUCTION,

NOT

RESET

S07° 08'ISW

LINES

733.

4)

NOTALL

MONUMENTS

IN

THE

AREAS

SURVEYED

WERE

RESEARCHED,

LOCATED,

AND

SHOWN

HEREON.

THE

HOWEVER,

DURING

UNTIL

IT

GOT

TO

I HELD

FOR

SHOWN

WNTHE

RIGHT

OF

TO

CLAIM

AS'

DEED

PARCEL

COWLITZ

NORTH LINE

THE

ALSO MATCHED

WAY(

20'

20'

ITWAS

MONUMENT

MONUMENT

IN

L

B

THE

FOP sPaY'

FROM

A"),

5)

POPE

COWLITZ

COUNTY.

OF

AND

TALBOT

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I HELD

s

7/ SPLATS/

PLANE

STATE

FOUND

TO

THE

AUDITOR'

FUTURE.

201E

NORMAL

TYPICALLY

THISRESOLUTION

PURPOSES

ONLY.

OF

MONUMENTS

SPCS

ARE

RULES

BEING

OF

SET

INCLUDED

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THEIR

S

MONUMENT

SPCS)

COORDINATES(

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AND

IN

FOR

PROPERTY

MARK

THE

OWNERS,

FUTURE

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WITH

6)

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OR

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58.

ON

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MONUMENTS DISTURBED BY CONSTRUCTION

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RD( CR# 57270)

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MONUMENTS

AT

THE

TIME

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PAGE

PREVIOUSLY

PKA

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LC_S398' LC,5Z25' 2' u 4' 15-W,

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I

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AFN3562931

THE

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ALL SURVEY MONUMENTS, EITHER

AND

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SECTION

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MERRILL

SANDI

TO

BE DESTROYED

SURVEYS APPLY(

FOR

IN

73

WK2608O03

MONUMENT

MONUMENTS

MONUMENTS THAT MY

OF CALLS)

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RE

SAID

ENGINEERS,

FOR RESETTING

CONSTRUCTION(

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FINDING

AFN3620758 0758

DEDEDA

PER

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ELOW)

ESTES SURVEY" BY RARE JOHNSON-

HIGHWAY

THE END IN1954.

AT

QUIT

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THIS RESOLUTION

PROPERTY.

ADDITIONAL ROW DEDICATIONS PER SHORT HO PLATS, AS PARK

RECORD

RECORD

ROADWAY.

SAID I NAL ROW

223

225

DIMENSION

ACTIVITIES DURING THIS PROJECT

INFLUENCE ON SAID UNSURVEYED

THEIR

-

3)

118- 119.

MONUMENTS DESTROYED BY COUNTY CONSTRUCTION

SURVEY BEEN

RCW

TOOTLE

TREES

ROW

9" 42Y5

DRIVEWAY

COWLITZ COUNTY ROAD ENGINEER

HEREON.

HOLDING

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OR

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THE SECTION CORNER, AND ROTATED RECORD( 2) LINEWORKTO FOUND MONUMENT230( SETBYWSDOT).

MARKING

CCPWF8202502,

UNLESS

ILLUSTRATIVE

PRIVATE

ROAD"

IT WAS THEN GIVEN OVER TO COWLITZ COUNTY,

I RESOLVED OF

LARGER

AS PART OF THIS SURVEY.

LOCATED

PRESERVATION

STATE

AND

PAVED

111 E TU REFOREY IRON PIPE LN Aq? 3E0° KENNETH SKEIE TAKES STEPSTO 6029 T AF L9 THIS SURVEY TO THE LOCATION OF µ1Ap4' THE ANY MO ENTS LOCATED CO SE OF THIS SURVEY ARE SHOWN LOT 4931 OFF GPOV

CONSTRUCTED BY WSDOT AS'

BURMARDWRORIGINALLV

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THEINTEN

RD( CR# 57190)

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2)

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BURMA

SPECIFIC

19803) THE

WHICH

ORDER

ONLY

OF

-RECORD DIMENSION PER REFERENCE NUMBER( BELOW) MEASURED

AS REQUESTED,

1) A

MEASURED

r(#)

COUNTY COMMISSIONERSS

H

DREDGING).

TO

SPOILS) ONTO THE

MITIGATION

THE

TOIRI.

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PREVIOUSLY

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FLOODED THE BANKS, INCLUDING CARRIES IT

TO

MID-

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WHO

STATE

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TO UPSTREAM

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RIVER

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ASH( DREDGE

WSDOT)

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100YEARSOR

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THE

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E MT.

OF

OF

EHALF

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WATER

IM,

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OWNERS

COUNTY

TO

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lM,

INTO THE TOOTLE RIVER.

AS IT HAS DONE THIS, THE WATER HAS RISEN AND

STOP

MAY

APPROXIMATELY

DEPARTMENT

WASHINGTON

PROPERTY

MUD FLOW,

ERUPTION'

SAND/

CORPS

PLACED

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RD OTHER AGENCIES.

CORPS

ON

ENORMOUS AMOUNT OF SAND AND ASH

AN

DREDGED

ENGINEERS

WHICH

AFTER

DEPOSITED

BACK WATER).

ALONG

SPOT

APPEARS

WHICH ACCOUNTS FOR THE SEVERAL MOVING CHANNELS IN THIS SECTION OFTHE

BUILDUP,

NEW-

MAPPING)

EDGE

COWLITZ COUNTY PUBLIC WORKS FIELD BOOK YEAR, NUMBER, AND PAGE

PT

=

=

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POINT

=

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MOM AS

POINT ON SEMI TANGENT OF

PUBLIC

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=

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STA

=

STATION

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SET

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MAGNETIC

NAIL

WITH

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O SURFACE PERMALEMONUMENT ERE SHALL BE T CONSTRDCTIOFPREEXSTING TOUTLEPARKS, DUERD TO ORIGINALLYCT. HELE S ERUPTIOND IN 1959 BY TITHE SUBSEQUENTNTY, MORE DRDGING LESS ONGTHERONTE OF 1SITE BY TPRIVAHE woo ABOVE WASHERREMAINING WIND ORIGINAL ORIGINAL MONUMENTINTHE COUNTY IN THE SAME SA ASPHALTME HORIZONTAL FLQ RMONUMENTSSHALL 0, INTHETHE1980M STATE OFWA EARLY TO ID- 198ELENSEHASED AND OWN DATTHE TIME BY THINSANE PIL HINGTO INTHE

1980'

THE

Ti

S ITE

MON

N).

WI TOP OFI THESURVEY WAS IN COVEREOD IN UP; O APPROXIMATELY THE LTi FEET OFTHE ORDER

I RESOLVED

THE

PERFORMED

BY

CENTERLINE RAE

TOUTLE PARK ROAD

L.

THE

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SAID

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PLS

1786,

PARK

PER

RD

BY

IMOV12

THE ORIGINAL

HOLDING AND

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MATERIAL THE COUNTY CONSTRUCTED A NEW( ROAD

7/ SPLATS73,

R

THEIR

ORIGINAL

BOUNDARIES THAN AND

MONUMENTS THE

BEST

RECORD

EVIDENCE

INFORMATION OF

WHEW

MONUMENTS MO ROAD ARE UNDER UP TO SW OF SAND- FILL

THE

SO

RE

FROM

THE

AFNS

3258621&

1 ESTRLISHED WELL

WITH

THIS THIS

3628811 LINE

BY

COWLITZ

COUNTY

3617073&

ORIGINAL

LOCATION

OF

UNRECOVERABLE

FOUND

COWLITZ

MONUMENTS

N1

COUNTY

AND

206,

AS

VOLUME

AND PETLOCVJMARS14ALLSHOWN

HEREON.

1113, EACH

TO

DISTURBED

IT SHALL

PAGE

OR

MONUMENTS

99, AND

IN PAR n

MONUMENTS 202E 203, 205,

ERETAINEDORR

BY

ENABLE

THE

LAND

CORNERS, ELEVATIONS AND

PROPERTY

LINES,

WITHOUT REQUIRING CURRENT

SURVEYS

CONSTRUCTION

OR

ORIGINATING

PLACED

EDGE

IN

p,

TRACT

FROM MONUMENTS

234 /

POW/

OTHER

W7,

WORKS

212E AND

GOVERNMENTAL

AGENCY OR OTHERS PERFORMING

2W

FIT

OF

BE

OTHER SET

THE

DUTY

PERSON TO

MARK

DIRECT

TIES

EVERY

LAND

IN

MATTERS

OF

THE

LIMITING

LINES

FOR THIS PURPOSE WITH

OF

IN

UNLESS

SURVEYOR

MAPS, OF

FIELD

TO NOTES,

HIGHWAYS,

SPECIFICALLY

NOTED

COOPERATE AND

WITH

OTHER

PERTINENT

ROADS,

OR

ON

RECORDS

THE

SUCH

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OF

THE AND

V0

POSITION

OVj

VOL

W/ AUC =

WITH

ALUMINUM

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WIOO =

WITH

ORANGE

PLASTIC

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WITH

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q'

LOT 1

1'

p

y/

RPO

W/YPC =

PLASTIC

CAP

LINE

BETWEEN

VOLUME

1113,

PAGE

96 AND AFNS

3629811&

3468291(

COWLITZ COUNTY

AND

WAC33z-

FORDIMARSHALL) I ESTABLISHED

THIS

LINE

BY

HOLDING

FOUND

MONUMENTS

206

AND

226,

AS

SHOWN

HEREON.

MONUMENTS

221,

222E AND

223

FIT

WELL

WITH

SURVEY 1z

O

MONUMENTS-

MONUMENT

REMOVAL

REMOVAL OR

WAC 332- 120-050

APPLICATION PROCESS

WAC 332- 120- 060

PROJECT

OR

4G,1 t

WITH YELLOW PLASTIC CAP

WK2608008

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O

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CAP

237

GOVERNMENTAL

SHALL

THOSE

OF

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r

O

y1x

Ro y101

Uj ONE LGO

ACTIVITY.

CONSTRUCTION WORK OR OTHER ACTIVITY TO PROVIDE FOR THE MONUMENTATION REQUIRED BY THIS

AT

ADEQUATE

EYERHAEUSER/

HOLDING

CONTROLLLIING

IT SHALL BE THE RESPONSIBILITY OF THE

AGENCY

AUDITOR' S FILE NUMBER

POSITIONS

TO BE REESTABLISHED

ONES

SECTION.

LINE BETWEEN

UFFFICIENT

SURVEYS

THISTIME).

PROPERTY

ADDITIONALLY,

G

LYING

SITE.

OF

MENTS.

7,

y

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COMPLETION- PERPETUATION AND THE ORIGINAL POSITION

7 3. l'qL I.A131

Y

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THIS LINE.

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BE PROJECT

MANAGER

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SCALE:

1"=

VERT.

SCALE:

WA

FOG&

CWB BY

6/ 9/ 2026 DATE

CH, CKEDB CHECKED

BY

V}TZCOG 1').

O

DATE DATE

LOCATED

DEPARTMENT OF

DATE PROJECT

DRAWN

100'

ROAD

NO. :

FILE:

FIELD

S):

BOOK(

104- 105

PUBLIC WORKS

57270

COMPUTER

1859- Burma

Rd- Topo.

2025- 02, PAGES

dwg

82- 97,

THE NORTHEAST

1600 13TH AVENUE SOUTH /

y

-.

gSHING

O

KELSO, WASHINGTON

IN THE SOUTHEAST

ONE- QUARTER

22, THE SOUTHWEST

OF SECTION

ONE- QUARTER OF SECTION 23, THE NORTHWEST ONE- QUARTER OF SECTION 26, AND

ID: 1859

98626

ONE- QUARTER OF SECTION

WILLAMETTE

MERIDIAN,

27, TOWNSHIP

COWLITZ COUNTY,

FIELD WORK DATE: 2/ 5- 6, 17, 19/ 2026-

10 NORTH,

WASHINGTON

4/ 29/ 2026

RANGE

2 WEST,

PROPOSED " BEAVER LAKE ROAD" TOUTLE

PARK RD - BURMA

RD BYPASS

TOPOGRAPHIC SURVEY EXISTING BOUNDARY AND MONUMENTS

SHEET

1 OF

6


SITE PHOTOS: PHOTOS WERE TAKEN ON 02/ 112026, AND REFLECT SITE CONDITIONS AT THE TIME OF SURVEY. ADDITIONAL PHOTOS ARE AVAILABLE UPON REQUEST

L160.25 CP33 SETMAG

9

CP3611- SETI8 R AREA

THIS

BEEN

HAS

REDEVELOPED

THIS

SINCE

PHOTO

WAS

TAKEN.

AERIALTO

O

CONVENTIONAL

PO SURVEY BOUNDARY

WEVESER

TAKEN AT

ON

THE NORTHWEST

LOCATIONOF

ROAD

A;

LOOKING

AND

THE

SIDE

OF

BURMA

EASTERLY

PETLOCK'

AT

TAKEN FROM THE CENTERLINE OF THE

ROAD,

THE

END

LOCATION"

S DRIVEWAY

B,'

LOOKING

ROAD,

SOUTHWESTERLY

WEYERHAEUSER

GATE/

N

AT

ATTIRE

1 -

5

ENTRANCE.

1159. 77

t:-

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Burma

Rd- Topo.

2025- 02, PAGES

dwg

82- 97,

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160013TH

AVENUE SOUTH

KELSO, WASHINGTON

IN THE SOUTHEAST

ONE- QUARTER

OF SECTION

22, THE SOUTHWEST

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104- 105

2025- 02,

Rd- Topo. dwg

PAGES

82- 97,

160013TH y

95111NGtp

KELSO,

AVENUE SOUTH

WASHINGTON

IN THE SOUTHEAST

ONE- QUARTER

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22, THE SOUTHWEST

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98626

THE NORTHEAST

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6/ 9/ 2026

FIELD

CHECKED

DATE

ID: 1859

FILE: 1859- Burma

BOOK( S):

104- 105

2025- 02,

Rd- Topo. dwg

PAGES

82- 97,

L

gSHiNGt

C1

KELSO,

13TH AVENUE WASHINGTON

IN THE SOUTHEAST

ONE- QUARTER

22, THE SOUTHWEST

OF SECTION

ONE- QUARTER OF SECTION 23, THE NORTHWEST ONE- QUARTER OF SECTION 26, AND

PUBLIC WORKS

57270

1600 BY

LOCATED

DEPARTMENT

tij.

OF PROJECT

PDG&

4 ytTZCoo

A

NIA

DATE

SOUTH 98626

THE NORTHEAST

ONE- QUARTER

WILLAMETTE

OF SECTION

MERIDIAN,

27, TOWNSHIP

COWLITZ

10 NORTH,

COUNTY, WASHINGTON

FIELD WORK DATE: 2/ 5- 6, 17, 1912026-

4/ 29/ 2026

RANGE

2 WEST,

PROPOSED ° BEAVER LAKE ROAD" TOUTLE PARK RD - BURMA

RD BYPASS

TOPOGRAPHIC SURVEY EXISTING BOUNDARY AND MONUMENTS

SHEET

6 OF

6


APPENDIX

TECHNICAL

MEMORANDUM

FROM

B

DELVE UNDERGROUND

Appendices Burma

Road

Toutle

Park

Road

Bypass

Page Project

No. 1859

116


DELVE underground

Technical Memorandum Ron

Boursaw

Jr, PE

Burma Road to Toutle Park Road— Cowlitz

To:

Public

Department

County

of

Project:

Connection

Road

Works

Farid Sariosseiri,

PE,

From:

cc:

Delve Underground Date:

May

12,

Jeff Quinn,

Prepared

Madison

by.

Delve

Revision

Log

Revision

No.

226463. 10

PE

Reviewed

Callan,

Farid Sariosseiri, PE

EIT, GIT

by.

Underground

Geotechnical

Subject:

Job No.:

2026

Engineering Technical

Memorandum—

Date

Final Submittal

Revision

Description

0

March 16, 2026

Draft submitted for Cowlitz County review

1

March

Final submittal based on Cowlitz County review

2

1. 0

31, 2026

May 12, 2026

Final submittal based on Cowlitz County review

Introduction

Cowlitz County Department of Public Works ( County) has retained Delve Underground to provide geotechnical services for the proposed roadway connecting Burma Road to Toutle Park Road in Castle Rock, Washington. The project location is shown in Figure 1, Vicinity Map. Our project understanding is based on our communication with the County, as well as our review

of the preliminary

February

2026 ( Cowlitz

project drawings

entitled, "

Burma Road to Toutle Park Road,"

dated

County, 2026). The County is planning to bypass an erosion- susceptible

segment of Toutle Park Road, where the roadway is being actively undermined by the adjacent Toutle River. The County plans on constructing a new, approximately 2, 000- foot- long roadway connecting Burma Road to Toutle Park Road from Station ( STA) 0+ 00 to STA 19+ 44. The proposed roadway will require cuts and fills on the order of 20 to 25 feet and will include the installation

of a 72- inch- diameter, 100- foot- long culvert through a new fill embankment

spanning an existing drainage. The County plans to complete the mass grading and earthwork aspects of the project and will wait approximately one year before constructing the asphalt pavement sections. We understand that permanent fill slopes will be typically inclined at 3HAV horizontal

to vertical

1. 5H: 1V in cut areas

ratio),

cut slopes will be as steep as 2H: 1V, and ditch backslopes will be

and 2HAV

in fill areas.

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May 2026


Burma Road to Toutle Park Road— Connection

2. 0

Geotechnical

Road

Geotechnical Engineering Memorandum

Investigation

The geotechnical investigation for the project consisted of a site reconnaissance and six exploratory test pits competed on February 19 and February 26, 2026, respectively. Relevant site observations, as well as the approximate test pit locations, are shown in the attached Figure 2, Site Plan.

2. 1

Subsurface Information Test Pits

Six test pits, designated TP- 01 through TP- 06, were excavated with a CAT 305 mini excavator equipped with a 24- inch- wide toothed bucket provided and operated by Cowlitz County Public Works personnel. Excavation depth below ground surface ( bgs), elevation, and nearest station along the proposed roadway alignment are provided in Table 2- 1 below. Test pit logs and photos are included in Appendix A. The test pits were excavated to refusal conditions or when the test pit sidewalls collapsed/ caved in. Upon completion, the test pits were backfilled with the excavation spoils and compacted with the excavator bucket.

Table 2- 1. Test Pit Locations 1

Nearest Station1, 2

Test Pit

Depth ( ft bgs)

Elevation ( ft)

TP- 01

7

154

3+ 00

TP- 02

7

133

6+ 50

TP- 03

6

106

8+ 00

TP- 04

6

98

9+ 00

TP- 05

5

102

10+ 00

TP- 06

8

138

14+ 00

Notes: 1.

Test pit locations were measured with a handheld GPS device with a horizontal accuracy of 10 to 15 feet and an elevation

2.

2. 2

accuracy of about 5 feet.

Test pit stationing rounded off to the nearest 50 feet.

Laboratory Testing

Soil samples obtained from the test pits were re- examined and classified independently of field log descriptions to provide a quality control check of the field classifications. Six representative soil samples were selected for laboratory testing. The laboratory testing program included the following tests: Water Content of Soil and Amount of Material Finer than U. S. No. 200 Sieve, or Percent Fines" ( ASTM D1140); Washed Sieve Analysis ( ASTM C117); and Atterberg Limits of Soils ( ASTM

D4318).

Laboratory testing was performed by FEI Testing and Inspection, Inc. of Tangent, Oregon. Laboratory test results were used to characterize soil properties and refine soil classifications. The laboratory test results are included on the test pit logs and in Appendix B.

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Burma Road to Toutle Park Road— Connection

3. 0

Site Conditions

3. 1

Site Geology

Road

Geotechnical Engineering Memorandum

The project site is located adjacent to, and to the north of, the Toutle River channel, which was filled by volcanic debris and mud flow materials following the 1980 eruption of Mount St. Helens. The U. S. Army Corps of Engineers ( USACE) subsequently excavated significant amounts of debris and mud flow materials out of the Toutle River channel and placed them on the westnorthwest side of the river, in an area that was formerly vegetated with trees and may have included wetlands. The reported fill thickness is estimated to range from approximately 40 to 120 feet and consists primarily of sandy soils with varying amounts of gravel and fines ( i. e., silt and/ or clay). 3. 2

Site Reconnaissance

A geotechnical engineer from Delve Underground performed site reconnaissance as part of the preliminary assessment of the proposed roadway on February 19, 2026. The reconnaissance consisted of a visual inspection of the site, adjacent roadways, and riverbank erosion along the Toutle River. Photos 1 through 3 show site conditions across the proposed alignment observed during the site reconnaissance. Photo 4 shows the current state of riverbank erosion along Toutle Park Road.

5 a

ice.

e.:

C

1 l

7. Y.

Photo 1. Looking north from El. 155 ft at approximately STA 2+ 00.

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Final Submittal/

May 2026


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Burma Road to Toutle Park Road— Connection

Road

Geotechnical Engineering Memorandum

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Photo 4. Toutle River erosion looking south along Toutle Park Road. 3. 3

Surface Description

The project site is located in Cowlitz County, Washington along Toutle Park Road, and is approximately 4 miles north of Castle Rock, Washington. Toutle Park Road is a rural access road located east of Interstate 5 ( 1- 5) that connects several residential properties and a public shooting range to Burma Road. The Toutle River, which lies east of Toutle Park Road, has caused significant erosion and scour over many years. The western section of the proposed alignment from Burma Road ( STA 0+ 00) to the proposed culvert location ( STA 9+ 00) is characterized by small- diameter trees and thick brush. The eastern section from the proposed culvert to the intersection with Toutle Park Road ( STA 19+ 44) is sparsely vegetated with low- lying grasses and brush. The existing ground surface along the proposed alignment typically varies from 140 feet to 160 feet in elevation and is generally gently sloping at inclinations of up to 10H: 1V. The exceptions to the gently sloping topography are at the incised drainage located from approximately STA 6+ 60 to STA 9+ 85, where its western slope is inclined from approximately 2H: 1V to 4H: 1V and the eastern slope is inclined from approximately 3. 5H: 1V to 5H: 1V. The incised drainage represents a topographic low along the project alignment at approximately 105 feet elevation.

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3. 4

Road

Geotechnical Engineering Memorandum

Subsurface Conditions

Test pit excavations were directed by a Delve Underground geotechnical engineer who classified the soils in accordance with the Standard Practice for Description and Identification of Soils ( Visual- Manual

Sample depths, stratigraphy, groundwater occurrence and soil engineering characteristics were also recorded. The stratigraphic contacts Procedures) (

ASTM D2488).

indicated on the test pit logs represent the approximate

boundaries between soil types and

actual transitions may be more gradual. Test pit logs and photos are included in Appendix A. Subsurface conditions in TP- 01 and TP- 02 consisted of cohesive soils, while subsurface

conditions in TP- 03 through TP- 06 generally consisted of cohesionless soils. For design purposes, the ground conditions for this site have been categorized into the following geomaterials, mainly based on soil classification and engineering properties. The material types include:

Lean

Clay ( Alluvium): Dry to moist, brown to dark brown, low- plasticity clay ( CL) with

trace silt, moderate cementation, and orange- brown to gray mottling. Encountered from near surface to approximately 7 feet bgs in TP- 01 and TP- 02. Poorly Graded Sand with Varying Gravel ( Fill): Moist to wet, dark gray, clean, coarse to fine, poorly graded sand ( SP- SM);

with fine to coarse, rounded to subrounded gravel and cobbles. Gravel and cobble content generally increases with depth, and in TP- 03, poorly graded gravel with sand and cobbles ( GP) was encountered below a depth of 3 feet. Fines content ranges from 0. 3 to 10. 8 percent based on laboratory test results. Encountered from near surface to approximately 8 feet bgs in TP- 03, TP- 04, TP- 05, and TP- 06. It is important to note that these soils are the existing fill materials placed in the area by the USACE after the Mt. St. Helens eruption in 1980. The County plans on using these materials as fill for the proposed project for mass grading and embankment construction

3. 5

purposes.

Groundwater Conditions

Seepage with saturated soil conditions were observed in test pit TP- 03 at a depth of 4. 5 feet bgs. Minor groundwater seepage was observed in test pits TP- 01 at depths of 3. 0 and 6. 5 bgs, TP- 02 at 3. 0 feet bgs, and TP- 04 at 3. 0 feet bgs. This seepage is likely due to shallow subsurface flow associated with the incised drainage within the topographic low area. In contrast, no

seepage was encountered in TP- 05 and TP- 06 on the eastern end of the proposed alignment. 4. 0

Design

4. 1

Permanent Cut and Fill Slope Recommendations

Recommendations

We understand the County plans on constructing permanent cut and fill slopes to the following inclinations for this project:

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Geotechnical Engineering Memorandum

Fill embankment slope inclinations will typically be 3H: 1V ( horizontal to vertical ratio) or less steep. Cut slope inclinations will typically be 2H: 1V or less steep.

Within cut areas of the project alignment, typical drainage ditch backslopes will be 1. 5H: 1V.

Within fill areas of the project alignment, typical drainage ditch backslopes will be 2H: 1V.

We are of the opinion that the above- referenced cut and fill slope inclinations are acceptable,

provided the appropriate erosion control measures are implemented, as discussed in Section 5. 0 of this technical memorandum. 4. 2

Fill Embankment Stability

The primary slope- stability concern is the fill embankment that will be constructed to facilitate crossing the incised drainage between approximate STA 6+ 60 and STA 9+ 85. This fill embankment will be up to approximately 25 feet tall and will be constructed of on- site excavated materials.

Section 7. 4 of the Washington State Department of Transportation ( WSDOT) Geotechnical

Design Manual ( WSDOT 2022) states a minimum factor of safety ( FOS) of 1. 25 is required for permanent cut and fill slopes. To confirm that the proposed 3H: 1V permanent cut and fill slope inclinations meet WSDOT slope stability guidelines, we conducted a slope stability analysis using the software program SLIDE 2 ( Rocscience,

Inc., 2022) using the Morgenstern- Price ( 1965)

and Spencer ( 1967) methods, which are both limit- equilibrium approaches that compute a

factor of safety ( FOS) against failure for a two- dimensional slope cross- section by comparing the resisting forces ( soil shear strength) to the driving forces ( weight of the soil) along a potential failure surface. Soil engineering properties were estimated based on results of explorations and laboratory testing, and our engineering judgement. Seepage observed during the explorations was conservatively interpreted to represent the seasonal groundwater. Soil strength parameters and groundwater levels are shown on the slope stability analyses results in Appendix

C.

The results of our slope stability analysis indicate a FOS ranging from 1. 60 ( Morgenstern- Price method) to 1. 62 ( Spencer method) and demonstrate satisfactory stability per WSDOT' s minimum

FOS requirements.

4. 3

Culvert Structural Integrity and Depth of Cover

We understand the culvert will be 72 inches in diameter and approximately 100 feet long; however, the type of culvert and culvert material has not been defined at this stage of design.

The culvert designer should verify that the pipe is able to accommodate the anticipated depth of cover of approximately 15 feet ( i. e., an approximate overburden stress of 2, 000 psf). The

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Geotechnical Engineering Memorandum

pipe material should meet the requirements of Section 9- 05 Drainage Structures and Culverts of the Washington State Department of Transportation ( WSDOT) Standard Specifications for Road, Bridge, and Municipal Construction M41- 10 ( WSDOT 2026). The culvert should be sloped

at a gradient of 1. 5- percent to allow flow of water, per the notes on Sheet 4 of 7 of the preliminary project plans ( Cowlitz County, 2026). 4. 4

Pavement Section Thickness

A pavement design analysis was not performed as part of the geotechnical scope of work for this project. However, we understand that the County will be constructing the pavement section in accordance with the typical roadway section for the appropriate functional classification for the proposed roadway. We anticipate the functional classification will be either a Rural Minor Collector or a Rural Low Volume Access. The pavement section for both classifications consists of a 3. 5- inch- thick lift of hot- mix asphalt ( HMA) overlying 12 inches of crushed surfacing base course. 5. 0

Construction

Recommendations

The construction of the proposed project will require excavation depths on the order of 20 feet and construction of a fill embankment on the order of 25 feet tall. All specifications refer to the Washington State Department of Transportation ( WSDOT) Standard Specifications for Road,

Bridge, and Municipal Construction M41- 10 ( WSDOT 2026). We recommend constructing the roadway and culvert during the dry season ( June to October) to decrease moisture conditioning efforts and facilitate fill placement. 5. 1

Clearing and Grubbing

Clearing and grubbing should be carried out by the Contractor in accordance with Section 3- 01. 3( 1) Clearing and Section 3- 01. 3( 2) Grubbing of WSDOT 2026. Based on our geotechnical investigation, we anticipate a topsoil and root- zone depth of less than 5 inches.

5. 2

Temporary Excavations

Based on our review of the preliminary project plans, we understand that cuts up to 20 feet deep will be made to facilitate mass grading along the proposed alignment. We do not anticipate that vertical shoring will be required to facilitate construction of the project. Based on the site subsurface conditions, we recommend an Occupational Safety and Health Administration ( OSHA) Type C soil type for temporary excavation layout. For excavations up to 20 feet deep, the maximum allowable temporary slope for Type C soils is 1. 5H: 1V if fully dewatered.

Temporary slope recommendations do not consider site constraints such as groundwater, surcharge, or nearby structures. Temporary slopes should be evaluated on a case- by- case basis

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Geotechnical Engineering Memorandum

and incorporate groundwater conditions, soil classification, and site constraints. Slopes should be inspected and maintained as required by OSHA. Temporary slopes kept open during construction should be protected from erosion by installing a surface water diversion ditch or berm at the top of the slope and covering the cut face with well- anchored plastic sheets. The Contractor should monitor temporary cut slope stability and adjust the slope inclination accordingly. Temporary excavation stability is the responsibility of the Contractor and must comply with current federal, state, and local requirements. 5. 3

Subgrade Preparation

We recommend that the proposed fill embankment and roadway section footprints be excavated to firm Subgrade conditions, confirmed by a Delve Underground engineer. We recommend using a smooth- edge bucket for excavation at the subgrade level to minimize disturbance. If soft, loose, or otherwise unsuitable soils are encountered, a subgrade

stabilization layer should be placed below the design pavement section. Subgrade stabilization is discussed in Section 5. 7. 3.

5. 4

Fill Embankment

5. 4. 1

General Fill Embankment

Construction

Construction

Proposed fill heights for the project are generally up to about 5 feet tall. It should be noted that specific construction recommendations for the approximately 25- foot-tall fill embankment spanning the incised drainage are provided in Section 5. 4. 2 below. Recommendations for general fill embankment construction are presented as follows: Excavate the area to receive new embankment fill to a firm subgrade condition per the subgrade preparation recommendations provided in Section 5. 3. Subgrade conditions should be confirmed by a Delve Underground representative. Where fill is to be placed on existing slopes steeper than 5H: 1V ( e. g., 20 percent grade), we recommend keying and benching prior to fill placement, in general accordance with details provided in Figure 4. To achieve well compacted slope faces, we recommend slopes be overbuilt by a few feet and then trimmed back to proposed final grades. Construct the fill embankment up to the bottom of the roadway pavement section ( i. e., to the bottom of the Crushed Surfacing base rock section) with the onsite sandy fill materials. See Section 5. 7. 1 for more information regarding the re- use of onsite materials as embankment fill material. The loose lift thickness of the embankment fill material should be limited to 12 inches. Each lift should be compacted with a smooth-

drum roller, track walked with an excavator, or tamped in placed with the backside of an excavator bucket.

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Geotechnical Engineering Memorandum

The embankment fill material should be compacted to a minimum of 92 percent of the maximum

dry density and within

3 percent (±) of optimum

moisture content per ASTM

D698 ( i. e., standard Proctor compaction test). We recommend performing at least five in- place density tests ( i. e., with nuclear density gauge) for every 2 vertical feet of embankment constructed. As an alternative to in- place density testing, Delve Underground ( or their representative) should observe proof rolls to evaluate the compaction adequacy of the embankment fill materials. When the fill embankment reaches a height associated with the bottom of the roadway pavement

section (

i. e., at the bottom

of the Crushed

Surfacing

base

course

layer),

place

a separation geotextile meeting the requirements in Table 3 of WSDOT 2026 Section 9- 33. 2( 1).

Then, follow the pavement section construction recommendations provided

in Section

5. 6.

The embankment fill materials ( i. e., the on- site sandy soils) are susceptible to erosion. Therefore, we recommend implementing erosion control measures, such as armoring the outer 1 foot of the embankment slope face with hydroseeding or other Countyapproved erosion control measures. Erosion control recommendations for hydroseeding are provided in Section 5. 9. 5. 4. 2

Fill Embankment Spanning Drainage

To facilitate crossing the incised drainage between approximate STA 6+ 60 and STA 9+ 85, a fill embankment up to approximately 25 feet tall will be constructed. The Contractor should construct the fill embankment in accordance with Section 3- 03. 3( 14) B Earth Embankment Construction of WSDOT 2026. We recommend that Method B under Section 3- 03. 3( 14) C

Compacting Earth Embankments of WSDOT 2026 be used. The fill embankment will be constructed across an incised drainage in which we anticipate

seasonal flow. Therefore, we anticipate the fill embankment, if only constructed with the onsite sandy soils, will be susceptible to erosion and potential scouring, which could lead to undermining and slope stability issues. To reduce the risk of erosion and scouring at the base of the fill embankment, we recommend the lower 2 feet of the embankment section be

constructed with quarry spalls per Section 9- 13. 1( 5) Quarry Spalls of WSDOT 2026. Alternatively, this may be accomplished by cement- amending the on- site sandy soils to be used as embankment fill within the lower 2 feet of the embankment section. To reduce the risk of

erosion along the slopes of the fill embankment, we recommend constructing the outer 12 inches of the embankment slopes with topsoil and hydroseeding or other approved vegetation. A conceptual sketch of this embankment geometry is shown in Figure 3. Specific recommendations for construction of the main, approximately 25- foot-tall fill embankment spanning the incised drainage are presented as follows:

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Geotechnical Engineering Memorandum

Excavate the embankment footprint to a firm subgrade condition per the subgrade preparation recommendations provided in Section 5. 3. Subgrade conditions should be confirmed by a Delve Underground

representative.

Implement appropriate measures to prevent water from entering the excavation. If constructed during the dry summer months, we do not anticipate significant volumes of water will be generated along the base of the incised drainage on which the fill embankment

will be founded.

Place Quarry Spalls per Section 9- 13. 1( 5) Quarry Spalls of WSDOT 2026 to construct the lower 2 feet of the fill embankment. The base loose lift thickness of the Quarry Spalls should be 18 inches. Subsequent loose lift thickness should be limited to 12 inches. Each

lift of Quarry Spalls should be compacted with a smooth- drum roller, track walked with an excavator or tamped in placed with the backside of an excavator bucket until a dense, well- keyed condition has been achieved. As an alternative to Quarry Spalls, the lower 2 feet of the fill embankment may be constructed of cement- amended embankment fill material. To clarify, we only recommend that the bottom 2 feet of the fill embankment consist of Quarry Spalls ( or cement- amended embankment fill) within the incised drainage channel ( i. e., between approximate STA 7+ 60 and 8+ 90) to protect against

stream

erosion.

We anticipate backfilling and re- grading operations will include the placement of fill on existing slopes to achieve the proposed topography shown in Figure 3. When fill is to be placed on existing slopes steeper than 5H: 1V ( e. g., 20 percent grade), we recommend keying and benching prior to fill placement, in general accordance with details provided in Figure 4. To achieve well compacted slope faces, we recommend slopes be overbuilt

by a few feet and then trimmed back to proposed final grades. Place

a

reinforcement

geotextile

meeting the

requirements

of Section

9- 33. 2( 2), Table 7

of WSDOT 2026 over the compacted Quarry Spalls. Construct the fill embankment up to the bottom of the roadway pavement section ( i. e., to the bottom of the Crushed Surfacing base rock section) with the onsite sandy fill materials. See Section 5. 7. 1 for more information regarding the re- use of onsite materials as embankment fill material. The loose lift thickness of the embankment fill material should be limited to 12 inches. Each lift should be compacted with a smooth-

drum roller, track walked with an excavator, or tamped in placed with the backside of an excavator bucket.

The embankment fill materials should be compacted to a minimum of 92 percent of the maximum

dry density and within

3 percent (±)

of optimum moisture content per ASTM

D698 ( i. e., standard Proctor compaction test). We recommend performing at least five in- place density tests ( i. e., with nuclear density gauge) for every 2 vertical feet of embankment constructed. As an alternative to in- place density testing, Delve Underground ( or their representative) should observe proof rolls to evaluate the compaction adequacy of the embankment fill materials.

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Geotechnical Engineering Memorandum

The embankment fill materials ( i. e., the on- site sandy soils) are susceptible to erosion. Therefore, the outer 12 inches of the embankment slope face ( measured perpendicular from the slope face) should be constructed with topsoil and hydroseeding or other approved vegetation cover, as shown in Figure 3. Recommendations for hydroseeding are provided in Section 5. 9. 1.

When the fill embankment reaches a height associated with the bottom of the roadway pavement

section (

i. e., at the bottom

of the Crushed

Surfacing

base

course

layer),

place

a separation geotextile meeting the requirements in Table 3 of WSDOT 2026 Section

5. 5

9- 33. 2( 1).

Then, follow the pavement section construction recommendations provided

in Section

5. 6.

Culvert Construction

The 100-foot- long culvert should be constructed through the new fill embankment and be placed on firm subgrade. Culvert construction should be integrated with the fill embankment construction described in Section 5. 4.

Specific recommendations for the culvert construction are presented as follows: Place the 72- inch- diameter culvert with an invert depth of approximately 21 feet below the finished road surface, as shown on the preliminary project drawings. It should be noted that the proposed culvert invert elevation may change in subsequent design stages of the project. To resist embankment

erosion at the culvert outlet, place Light Loose Riprap meeting

the requirements of WSDOT 9- 13. 1( 3) near and below the culvert outfall.

The culvert bedding and backfill around the culvert should consist of Pipe Zone Bedding meeting the requirements of WSDOT 9- 03. 12( 3). Pipe Zone Bedding around the culvert should be at least 12 inches thick.

5. 6

Roadway Pavement Section Construction

Specific recommendations for the roadway pavement section construction are presented as follows:

We recommend that the proposed roadway section footprint be excavated to firm subgrade conditions, confirmed by a Delve Underground engineer. We recommend using a smooth- edge bucket for excavation at the subgrade level to minimize disturbance. If soft, loose, or otherwise unsuitable soils are encountered, a subgrade

stabilization layer should be placed below the design pavement section. Subgrade stabilization is discussed in Section 5. 7. 3.

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Geotechnical Engineering Memorandum

Perform mass grading to achieve the design top- of-subgrade elevation for the roadway section.

Place a separation geotextile meeting the requirements in Table 3 of WSDOT 2026 Section 9- 33. 2( 1) over the prepared native subgrade or mass grading fill ( i. e., depending on whether the roadway section is in a cut or fill area). Place the 12- inch- thick section of Crushed Surfacing base course meeting the requirements of Section 9- 03. 9( 3) of WSDOT 2026. Loose lift thickness should not

exceed 9 inches. The Crushed Surfacing base course should be compacted to a minimum of 95% of the material' s maximum dry density, as determined in general accordance with ASTM D698 ( Standard Proctor).

Place a single 3 1/ 2- inch- thick lift of hot- mix asphalt ( HMA) Class 3/ 8" PG 58H- 22

meeting the requirements of Section 9- 02 of WSDOT 2026. 5. 7

5. 7. 1

Fill Materials

Re- use of Onsite Materials for Mass Grading and Embankment Fill

If the excavated, on- site materials ( i. e., existing fill materials as described in Section 3. 4) are to be re- used as mass grading embankment fill, the following restrictions apply: Embankment fill material should contain no organic matter, debris, or particles larger than 3 inches, and have less than 7 percent material passing the U. S. Standard No. 200 Sieve.

The percentage of fines can be increased to 12 percent of the material passing the U. S. Standard No. 200 Sieve if placed during dry weather, and provided the fill material is moisture- conditioned, as necessary, for proper compaction. Mass grading and embankment fill materials should be compacted to not less than 92 percent of the material' s maximum dry density, as determined in general accordance with ASTM D698 Standard Proctor). Proper moisture conditioning and the use of vibratory equipment will facilitate compaction of these materials.

If the reuse of the excavated materials as embankment fill is not feasible, then use Structural

Fill per Section 2- 13 of the Cowlitz County Special Provisions. 5. 7. 2

Quarry Spalls

Quarry spalls are to be provided per Section 9- 13. 1( 5) Quarry Spalls of WSDOT 2026 according to Table 5- 1 below.

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Geotechnical Engineering Memorandum

Table 5- 1. Requirements for Quarry Spalls Gradation Sieve

Size

Percent Passing

inches) 8

100

3

40 max.

3/ 4

10 max.

Each lift of Quarry Spalls should be compacted with a smooth- drum roller, track walked with an excavator or tamped in placed with the backside of an excavator bucket until a dense, wellkeyed

5. 7. 3

condition

has been achieved.

Subgrade Stabilization Section

Based on the subsurface explorations across the roadway alignment, we anticipate competent subgrade conditions to support the pavement section. However, the subgrade can be disturbed if left exposed to water or general construction activities. If the subgrade becomes weakened or if soft/ wet subgrade is encountered in localized areas due to perched groundwater, a subgrade stabilization layer may be required. The subgrade stabilization layer should consist of clean, open- graded crushed aggregate, such as Quarry Spalls as described above in Section 5. 7. 2. The foundation stabilization layer should be a minimum 12 inches thick and placed upon a reinforced geotextile fabric that provides both filtration/ separation and reinforcement, as described in Section 5. 8. 2.

5. 7. 4

Cement- Amended Soils for Embankment Fill

As an alternative to constructing the lower 2 feet of the approximately 25- foot- tall fill embankment, cement- amended on- site soils ( i. e., the sandy soils to be used for mass grading and embankment fill) can be used.

We anticipate that a 5 percent cement amendment amount ( by weight) will achieve a blended soil- cement product meeting durability and strength requirements to protect the lower 2 feet of the fill embankment from erosion and scouring. A typical, minimum 7- day unconfined compressive strength for a cement- amended soil mixture is generally on the order of 80 to 100 psi. In addition, a typical durability requirement for cement- amended soils is soil- cement loss of 6% or less produced by repeated wetting and drying cycles of hardened soil- cement specimens. Cement- amended soils typically consist of a 12- inch treatment depth ( e. g., tilled/ disked inplace) proportioned with appropriate cement quantity, by weight. The anticipated 5 percent cement amendment amount is a preliminary estimate and may change based on the actual mix design completed by the Contractor and performance specifications.

DELVE underground

14

Final Submittal/

May 2026


Burma Road to Toutle Park Road— Connection

Road

Geotechnical Engineering Memorandum

If the County chooses to pursue this alternative, Delve Underground can provide specific cement

amendment

recommendations.

5. 8

Geosynthetics

5. 8. 1

Separation Geotextile

Separation geotextile should meet the requirements

of Table 3 in WSDOT 2026 Section

9- 33. 2( 1).

5. 8. 2

Reinforcement

Geotextile

Reinforcement geotextile should meet the requirements of Table 7 in WSDOT 2026 Section 9- 33. 2( 2).

5. 9 Erosion

Erosion

Control

and sedimentation

control

measures

should

be employed

in accordance

with applicable

City, County, and State regulations. We anticipate that erosion control measures will mainly consist of either hydroseeding, slope armoring/ lining associated with embankment slopes and drainage ditches, or other County- approved erosion control measures. These recommendations are provided in the following sections. 5. 9. 1

Hydroseeding for Slope Protection

The embankment fill materials ( i. e., the on- site sandy soils) used to construct the fill embankment slopes are susceptible to erosion. Therefore, we recommend implementing erosion control measures, such hydroseeding, to maintain stability of the fill embankments. Hydroseeding should be implemented in general accordance with Section 9- 14 ( Erosion Control and Roadside Planting) of WSDOT 2026. In addition, we recommend hydroseeding cut slopes to provide erosion protection and to maintain cut slope stability. We recommend a minimum 4- inch topsoil thickness to allow for adequate root development

and moisture retention. Topsoil materials should be in general accordance with Section 9- 14. 2 Topsoil) of WSDOT 2026.

5. 9. 2

Drainage Ditch Lining

To protect against erosion, we recommend that all roadside drainage ditches be lined/ armored with a minimum 1- foot- thick layer of Quarry Spalls per Section 9- 13. 1( 5) Quarry Spalls of WSDOT

2026.

DELVE underground

15

Final Submittal/

May 2026


Burma Road to Toutle Park Road— Connection

5. 10 Based

Road

Geotechnical Engineering Memorandum

Pavement Section Materials

proposed roadway ( i. e., either a Rural Minor Collector or a Rural Low Volume Access), the pavement section will consist of a 3. 5- inch- thick lift of hot- mix asphalt ( HMA) Class 3/ 8" PG 58H- 22 overlying 12 inches of crushed surfacing base course. This pavement section is consistent with the requirements of Cowlitz County Typical Roadway Section drawings for both Rural Minor Collector ( Drawing CC- 1310) and Rural Low Volume Access ( Drawing CC- 1309) functional classifications. on

the functional

classification

of the

Asphalt materials should meet the requirements of Section 9- 02 of WSDOT 2026.

Crushed surfacing base rock should be in conformance with Section 9- 03. 9( 3) of WSDOT 2026 and asphalt materials should be in conformance with Section 5- 04 of WSDOT 2026.

A separation geotextile ( see Section 5. 8. 1) should be placed on the prepared subgrade surface prior to placing the crushed surfacing base rock. 5. 11

Settlement Monitoring of Fill Embankment Spanning Incised Drainage

We understand that Cowlitz County plans to wait approximately one year before constructing the asphalt pavement sections after conducting the mass grading and earthwork aspects of the project. Delve Underground' s geotechnical investigation did not include any deep borings to evaluate subsurface conditions below the approximately 25- foot fill embankment spanning the incised drainage. The large aerial fill embankment footprint will have a large depth of influence

in increasing effective stresses in the subsurface and thus has the potential for inducing large settlements. We anticipate that most of the fill embankment settlement will have occurred by the end of the one- year waiting period. However, we are of the opinion that settlement monitoring points ( i. e., survey prisms attached to rebar or spikes driven into the embankment) should be installed along the crest of the fill embankment at 50- foot intervals. We recommend conducting survey readings of the prism elevations every month for the first six months of the waiting period and then every two months thereafter. The survey readings should be taken from a fixed reference datum located at least 100 feet from the fill embankment. If the surveys

indicate that settlement is still occurring at the one- year mark, Delve Underground should be contacted

6. 0

for further

recommendations.

Limitations

This memorandum was prepared for the exclusive use of the Cowlitz County Department of Public Works for the Burma Road to Toutle Park Road Project. Our conclusions and

recommendations are based on our interpretation of the information from the geotechnical explorations and laboratory testing as well as our professional experience and judgement. In the performance of geotechnical work, specific information is obtained at specific locations at specific times, and geologic conditions can change over time. It should be acknowledged that

DELVE underground

16

Final Submittal/

May 2026


Burma Road to Toutle Park Road— Connection

Road

Geotechnical Engineering Memorandum

variations in soil conditions may exist between exploration and exposed locations and this report does not necessarily reflect variations between different explorations. The nature and extent of variation may not become evident until construction. Delve Underground is not responsible for the interpretation of the data contained in this report by anyone; as such interpretations are dependent on each person' s subjectivity. If, during construction, conditions different from those disclosed by this report are observed or encountered, Delve Underground should be notified at once so we can observe and review these conditions and reconsider our recommendations

where necessary.

The site investigation and this report were completed within the limitations of the Delve Underground approved scope of work, schedule, and budget. The services rendered have been

performed in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same area. Delve Underground is not responsible for the use of this report in connection with anything other than the project at the location described above. DELVE UNDERGROUND

Jeff Quinn, PE Associate

Madison

Geotechnical Engineer

DELVE underground

Callan,

EIT, GIT

Staff Geotechnical Engineer

17

Final Submittal/

May 2026


Burma Road to Toutle Park Road— Connection

7. 0

Road

Geotechnical Engineering Memorandum

References

Cowlitz County. 2026. Preliminary Plan Set for Burma Road to Toutle Park Road, February 2026, Sheets 1 through 7. Morgenstern,

N. R., &

Geotechnique,

Price, V. E. 1965. The analysis of the stability of general slip surfaces. 15( 1), 79- 93.

Rocscience, Inc. 2025. Slide2, 2D Limit Equilibrium Analysis for Slopes. Version 9. 038, February 28, 2025.

Spencer,

E. (

1967). A method of analysis of the stability of embankments assuming parallel

inter- slice forces. Geotechnique,

Washington

State Department

17( 1),

11- 26.

of Transportation ( WSDOT). 2022. Geotechnical Design Manual,

M46- 03, February 10, 2022. WSDOT.

2026. Standard

DELVE underground

Specifications

for Road,

18

Bridge,

and Municipal

Construction,

M41- 10.

Final Submittal/

May 2026


Burma Road to Toutle Park Road— Connection

Road

Geotechnical Engineering Memorandum

List of Tables Table 2- 1. Test Pit Locations........................................................................................................... Table

5- 1. Requirements

for

Quarry Spalls

Gradation .................................................................

2 14

List of Figures Figure 1

Vicinity Map

Figure 2

Site Plan

Figure 3

Fill Embankment Construction Detail

Figure 4

Keying and Benching Detail

Appendices Appendix A

Test Pit Logs and Photos

Appendix B

Laboratory Test Results

Appendix C

Slope Stability Analysis

DELVE underground

19

Final Submittal/

May 2026


DELVE underground

Figures

Final Submittal/

May 2026


603 12

3138 ft

i

505

5061

QI 00

504

y

0

Site

Location

O

N

I

M

I

rI

Toutle

5

0

Range

U) D

3297 ft

m

I

c 0

so uny

co

cm m U

Fork

Out/PRiy er I I

w

411 I

Co Jdlit7

m a ui

a Longview

a Clatskanie

a H U d

2 d co

a

0

1 inch =

5 miles

2. 5

5

10 Miles

mCL Y

M

a

COWLITZ COUNTY DEPARTMENT OF PUBLIC WORKS BURMA

E

Q

ROAD

TO TOUTLE

PARK

ROAD-

CONNECTION

VICINITY MAP

00

COWLITZ COUNTY, WASHINGTON attle

M

ZVan(

MAY 2026 • PROJECT: 226463. 10

pia

N

wSite 2-

FIGURE Location

c ouver

co

a

DELVE underground

1

ROAD


EXPLANATION TP- 01 -

test pit name and approximate

location

Elevations are based on NAVD88 Proposed

Project

Alignment

BURMARD

l

g

\

TP,-b

i/

co

Q/

I

o

TP- 01

04

140

ch l

I

i

I/

l// ,

l

I

I

I

I

I I I

a m

1

I

CL

TOUTLE

PARK RD

1 inch = 200 feet 1

a

I

I

a

I

I

0

I

r \

100

400 Feet

200

of Coordinate System: NAD 1983 HARN StatePlane a

l

I

II

I

Washington South FIPS 4602 Feet; Map Units: Foot

I

COWLITZ I

a

1

I/

COUNTY

DEPARTMENT

OF PUBLIC

BURMA ROAD TO TOUTLE PARK ROAD-

I

co

WORKS

CONNECTION

SITE PLAN COWLITZ COUNTY, WASHINGTON

M

MAY

2026 •

PROJECT:

226463.

10

FIGURE

25

TOUTLE RIVER 1,

DELVE underground

2

ROAD


3- 1/ 2" LIFT HMA CLASS

3/ 8" PG 58H- 22 12" OF CRUSHED

SEPARATION WSDOT

GEOTEXTILE

9. 33. 2( 1),

TABLE

SURFACING

BASE COURSE WSDOT 9- 03. 9( 3)

3

Thickness TBD

3H: 1V FINISHED

SLOPE

12" EMBANKMENT

FILL MATERIAL

SEE REPORT

SECTION

12"

5. 7. 1)

TpA Spy`

5 0

CP o&

REINFORCEMENT

O'

S'

GEOTEXTILE

WSDOT 9. 33. 2( 2), TABLE 7

0Q

psF c

24"

QUARRY SPALLS OR CEMENTAMENDED EMBANKMENT FILL MATERIAL

WSDOT 9- 13. 1( 5)

Fill Embankment

EXCAVATE

TO FIRM

Construction

Detail

SUBGRADE

NOT TO SCALE

BURMA ROAD TO TOUTLE PARK ROAD - CONNECTION

DELVE underground

FILL EMBANKMENT

CONSTRUCTION

DETAIL

ROAD

FIG. 3 MAY2026


STANDARD EMBANKMENT CONSTRUCTION Not to scale: Diagrammatic

only)

Excavotion

Original ground

See note 6 10' min.

New

placed in

embankment

and

horizontal

compacted layers

Cleared and grubbed surface

See 36"-

note

48"

4

410r;

See note 8

max. typ.)

Saxe Ss OP : a'

Standard embankment 1.

general

Construct benches v. h)

to provide

on

slopes

positive

Excavation

notes:

after

benching

Original

24" min.)

ground

steeper

with

bond

surface

than

1:

See

5

note

4

Existing

toe

of slope

36" min. typ.)

existing

ground. 2.

work

Benching

is

incidental

to embankment

Keyed and benched

construction.

be replaced

excavations

with embankment

to

fill per

See note 4

24"

typ.)

10' min.)

Section 5. 7. 1 of geotechnical report.

Standard

embankment

3. Geotechnicol

notes

Engineer

embankment,

slope

and

foundation

bearing

shall

to designers:

evaluate

overall

capacity

stability, and

7. This detail may require removal of port of existing

paved

roadway.

settlement.

ADDITIONAL

4. Final bench and keyway dimensions to be determined by the geotechnical engineer.

1.

NOTES:

THE INTENT OF THIS FIGURE PLACING

5.

Maximum

determined

finish

slope

inclinations to be

by the geotechnicol

IS TO PROVIDE

FILL ON SLOPES AND THEREFORE,

THE SUBJECT

GENERAL

RECOMMENDATIONS

FOR

NOT ALL NOTES WILL BE RELEVANT

TO

PROJECT.

engineer.

6. Embankment( fill) materials to be determined by the geotechnicolengineer.

COWLITZ COUNTY DEPARTMENT OF PUBLIC WORKS

D E LV E underground

BURMA

ROAD

TO TOUTLE

KEYING

PARK

ROAD-

AND BENCHING

CONNECTION

ROAD

FIG. 4

DETAIL MAY 2026


DELVE underground

Appendix A

Test Pit Logs and Photos

Final Submittal/

May 2026


SOIL CLASSIFICATION

PER ASTM D 2488

CHART

SECONDARY

GRAIN SIZE

DIVISIONS

PRIMARY DIVISIONS

GW CLEAN

ESCRIPTION

SIEVE SIZE

Boulders

12"

GRAIN SIZE• . APPROXIMATE

well- graded GRAVEL

GRAVEL

less than 5% fines

GRAVEL

GRAVEL with

more

GRAVEL

GW- GM

well- graded GRAVEL

basketball- sized

with silt

GP- GM

poorly-

GW- GC

well- graded GRAVEL with clay

graded

Larger than

12"

GRAVEL

with silt

Cobbles

3-

12"

3-

Fist- sized

12"

basketball-

to sized

CLASSIFICATIONS

coarse

5% to 12%

fraction

No. 4

poorly- graded

DUAL

than 50% of

retained

GP

fines

on GP- GC

sieve

graded

poorly-

GM GRAVEL FINES COARSE-

GRAVEL with clay

3/ 4-

Coarse

silty GRAVEL

3"

3/ 4-

Thumb- sized

3"

to

fist- sized

Gravel

with than

more

GC

clayey

GRAVEL

Fine

#

4-

3/ 4"

Coarse

#

10-#

Medium

#

40-#

0. 19-

0. 75"

0. 079

0. 19"

0. 017

0. 079"

Pea- sized to thumb- sized

12% fines

GRAINED GC- GM

SOILS

silty, clayey GRAVEL

more than 50% retained on

SW

No. 200

CLEAN than

sieve

well- graded

SP

poorly- graded

SW- SM

SAND 50% or

SAND with DUAL

of

more

well- graded

4

Rock- salt- sized

to

pea- sized

SAND

SAND with silt Sand

SP- SM

poorly- graded SAND with silt

SW- SC

well- 9graded

10

Sugar- sized to rock- salt- sized

CLASSIFICATIONS

coarse

5% to 12% fines

fraction retained

SAND

SAND less 5% fines

SAND with clayy

Fine

200-#

#

40

0. 0029-

Flour- sized

0. 017"

No. 4 sieve

SP- SC

poorly- graded SAND with clay

SM

silty SAND Fines

than 12%

SC

200

Passing#

SAND with FINES more

to

sugar- sized

on

<

Flour- sized and

0. 0029"

smaller

clayey SAND

fines SC- SM

SAND

silty, clayey

CL

lean CLAY

ML

SILT

CL- ML

silty CLAY

PLASTICITY CHART

70 INORGANIC SILT and CLAY

60

liquid

limit less than 50%

PI>

OL(

4)

organic

0

50

w

40

CLAY

CH or OH

ORGANIC

FINE-

I

GRAINED SOILS

OL( PI<

4)

organic

CLAY

z

50% or more

30

fat CLAY

CH

passes No. 200sieve SILT and

MH

SILT

plots

ab( above' A'- I i ne)

organic

CLAY

10

organic

SILT

0

ML OH( plots below A'- line)

0 Organic

Highly

APPARENT

PT

Soils

DENSITY -

COARSE-

SPOOLING CABLE OR CATHEAD

foot)

blows/

Medium

Dense

Dense

Very Dense

r OL

rOH

on or

ORGANIC

Loose

ML

MH

a

or

more

Loose

rOL

a 20

elastic

CLAY liquid limit 50%

Very

CL INORGANIC

SPLIT BARRE L blows/ foot)

54

I

GRAINED

SOIL

8

53

b

fo. t

ws/

55

21

4-

7

6-

14

11-

30

22-

63

8-

20

15-

42

50

105

105

CONSISTENCY -

BARREL

9-

64-

21-

30

40

33

33

50

60

70

80

90

100

FINE- GRAINED

SOIL

SPOOLING CABLE OR CATHEAD

AUTOMATIC TRIP HAMMER

It

blows/ foot)

CONSISTENC

SPT

lrblows/ foot)

10

50

20

LIQUID LIMIT( LL),%

AUTOMATIC TRIP HAMMER

5-

31-

10

Peat

43-

foo

10 ws/

Very Soft

SPLIT BARREL blows/ foot)

2

BARREL blows/ foot)

3

1

2

Soft

24

3

5

13

23

Firm

5-

8

6-

10

4-

5

4-

6

Stiff

9-

15

11-

20

6-

10

7-

13

Very Stiff

16-

30

21-

39

11-

20

14-

26

70

70

Hard

30

39

20

26


N

Q E LV E

LAT:

underground

46. 32955

DATE: W

TP- 01

LOGGED

Fs

122. 90469 s

SOIL

a)

E

0 FT

o

color, SOIL

Moisture,

ravel

c

1.

SOFT,

1

FT

NAME(

USCS), sand

GROUND

DRY, DARK

BURMA ROAD TO TOUTLE

EXCAVATION

COMPANY:

OPERATOR:

DAVE

EQUIPMENT/

BUCKET

LEAN

COWLITZ

PARK ROAD BYPASS

CO DEPT OF PUBLIC

WORKS

BY:

uRFACE:

M. CALLAN

SOIL

SIZE:

CAT 305 EXCAVATOR; 24" BUCKET

SKETCH

gravel

size,

SURFACE

BROWN,

AND ROOTS,

ORGANICS

24, 2026

NAME:

DESCRIPTION

litholo ,

1^ TOPSOIL AND ROOTS;

FEBRUARY

PROJECT

E

LONG:

TEST PIT NO.

NO.: 226463. 10

PROJECT

size

and

a

shape, U)

bedding0__

IS WET WITH STANDING

CLAY(

in

c

o

0

o

100

0

0

Shape, contacts, sample locations, groundwater seepage

WATER

CL); TRACE

LOW PLASTICITY(

ii

LP

1.

FILL)

1

2 FT GS

2. SOFT,

01

PLASTICITY( ALLUVIUM) SAMPLE

MOIST,

BROWN,

LEAN CLAY(

CL); MEDIUM

MP

100

0

0

GS- 01: PL= 23, LL= 46, P1= 23, MC= 36. 6%

3 FT

GROUNDWATER

2'

SEEPAGE < 1 GPM 4 FT

4 GRAY

TO ORANGE

3. STIFF,

MOIST,

MODERATELY

MOTTLING

ORANGE-

BROWN,

CEMENTED

CHUNKS,

LEAN

CLAY(

MEDIUM

CL);

100

0

0

PLASTICITY

3.

ALLUVIUM)

6 FT

6

GROUND

ATER

SEEPAGE

1GPM

7 FT 7 TEST

PIT TERMINATED

ENCOUNTERED

8 FT

8

9 FT

9

AT 7 FT; GROUNDWATER

AT 3 FT

a N N

10 FT

MI

10

0

TEST 11

PIT

REMAINED

THE

EXCAVATION,

WAS

OBSERVED.

OPEN

MINOR

DURING

LOGGED ANDSKETCHED

NOR

HWES

WALL

OF TEST PIT

o

SLOUGHING

2 0)

g IL


N

LAT:

DELVE

46. 32963

underground

DATE: W

TP- 02

LOGGED

122. 90382 SOIL

E

O FT

o

Moisture,

color, SOIL

ravel

U)

Y=-

DESCRIPTION

NAME(

USCS),

litholo ,

sand

gravel

size,

24, 2026

size

and

shape,

m

beddinga

J

M. CALLAN

BY:

SOIL

SURFACE:

s a)

FEBRUARY

PROJECT

NAME:

BURMA

EXCAVATION

COMPANY:

OPERATOR:

DAVE

EQUIPMENT/

BUCKET

ROAD

TO TOUTLE

COWLITZ

PARK

ROAD

BYPASS

CO DEPT OF PUBLIC

WORKS

E

LONG:

TEST PIT NO.

NO.: 226463. 10

PROJECT

N

m

amU)

ii

-

a

in

10

8-

SIZE:

CAT

305

EXCAVATOR;

24"

BUCKET

SKETCH c9

Shape, contacts, sample locations, groundwater seepage

1 8-

Y TOPSOIL AND ROOTS

1.

FT

1

2 FT

2

3 FT

3

1

SOFT,

DRY, DARK

ORGANICS

AND

2. STIFF,

MOIST,

PLASTICITY,

4

5 FT

5

GRAY

LEAN

CL); TRACE

CLAY(

LOW PLASTICITY(

BROWN,

SILT; MODERATELY

4 FT

BROWN,

ROOTS,

LEAN

CEMENTED MOTTLING

CLAY(

ON WEST

90

10

0

1.

CL) WITH

CHUNKS,

LP

FILL)

SOME

100

0

0

GROUNDWATER

LOW WALL

SEEPAGE < 1 GPM

OF TEST

2.

PIT( ALLUVIUM)

GS

SAMPLE

GS- 01: PL= 25, LL= 42, PI= 17; MC= 39. 6%

01

6 FT

6

7 FT 7 TEST

PIT TERMINATED

ENCOUNTERED

8 FT

8

9 FT

9

AT 7 FT; GROUNDWATER

AT 3. 5 FT

a V N

tl m

10 FT

10

M 0

TEST 11

PIT

REMAINED

THE

EXCAVATION,

WAS

OBSERVED.

OPEN

MINOR

DURING

LOGGED

AND

SKETCHED SOUTH WALL

OF TEST PIT

o

SLOUGHING

2 0)

g IL


N

LAT:

DELVE

46. 32993

underground

DATE: W

TP- 03

LOGGED

122. 90336 SOIL

a)

OFT

o

Moisture,

color, SOIL

cn

ravel

Y=0 1 >

DESCRIPTION

NAME(

litholo ,

USCS), sand

gravel

size,

BY:

SURFACE:

s

Q E

FEBRUARY

24, 2026

PROJECT NAME: BURMA ROAD TO TOUTLE PARK ROAD BYPASS EXCAVATION

COMPANY:

OPERATOR:

DAVE

EQUIPMENT/

BUCKET

COWLITZ

CO DEPT OF PUBLIC

WORKS

E

LONG:

TEST PIT NO.

NO.: 226463. 10

PROJECT

and

size

J

shape,

SOIL N75

m

0__

bedding

M. CALLAN

SIZE:

CAT

305

EXCAVATOR;

24"

BUCKET

SKETCH

a)

c

ii

in

C9

o

0

o

10

90

0

Shape, contacts, sample locations, groundwater seepage

TOPSOIL

1.

LOOSE,

DRY,

SP); TRACE

FT

1

2 FT

2

1

SAND(

BROWN,

MOIST,

SP);

FINE

ORANGE-

BROWN,

TO MEDIUM

SAND(

3. MOIST, DARK GRAY, WITH

3 FT

4 FT

3

POORLY

AND ROOTS,

GRADED

SAND

NP

<

1.

FINE TO MEDIUM

FILL)

2. LOOSE, SAND(

DARK

ORGANICS

GRAVEL(

COARSE

SP);

GRAVEL(

CLEAN,

POORLY

10

GRADED

0

2.

POORLY

FINE TO COARSE

GRADED

SAND,

FINE

SAND

R-

TO

SR

0. 3

44

55. 7

FILL)

GS

SLOUGHING/

01

SAMPLE GS- 01: 44. 0% GRAVEL, 55. 7% SAND, 0.3% SILT

CAVING

OBSERVED

AT 3 FT

3,

4 0

5 FT

90

FILL)

5

4. WET,

DARK

GRAY

TO ORANGE-

GRAVEL

WITH

SAND

AND

RED,

COBBLES(

POORLY

GP);

FINE

25

75

GROUNDWATER TABLE _ _ _ _ _

4_ _ _ _ _ _

GRADED, TO

COARSE GRAVEL, FINE TO COARSE SAND, PREDOMINATELY ROUNDED

6 FT

6

COARSE

GRAVEL

TEST PIT TERMINATED APPROXIMATELY

SAND,

AND COBBLES(

SUBROUNDED

IF

AT 6 FT DUE TO WATER

1 GPM);

TO

FILL)

GROUNDWATER

V

INFLOW

ENCOUNTERE

AT 4. 5 FT

7 FT 7

8 FT

8

9 FT

9

a N N

tl m

10 FT

10

M 0 CD

LOGGED

AND

SKETCHED NORTHWEST

WALL

OF TEST PIT

0 N

11

E

2 rn

g IL


N

LAT:

DELVE

46. 33000

underground

DATE: W

TP- 04

LOGGED

122. 90293 SOIL

a)

OFT

Q E

o

c

Moisture,

color, SOIL

ravel

Y=0 1 >

DESCRIPTION

NAME(

litholo ,

USCS), sand

gravel

size,

BY:

SURFACE:

s

a

FEBRUARY

24, 2026

PROJECT

NAME:

BURMA

EXCAVATION

COMPANY:

OPERATOR:

DAVE

EQUIPMENT/

BUCKET

ROAD

TO TOUTLE

COWLITZ

PARK

ROAD

CO DEPT OF PUBLIC

BYPASS

WORKS

E

LONG:

TEST PIT NO.

NO.: 226463. 10

PROJECT

size

and

J

shape,

M. CALLAN

SOIL N75

m

beddinga?

SIZE:

CAT

305

EXCAVATOR;

24"

BUCKET

SKETCH

a)

c

ii

in

c9

o

0

o

5

85 <

10

Shape, contacts, sample locations, groundwater seepage

4" TOPSOIL AND ROOTS

1.

LOOSE,

SAND(

1

FT

1

SP);

GRAVEL

DRY, GRAY

TO BROWN,

FINE TO MEDIUM

AND COBBLES,

POORLY

GRADED

TRACE

COARSE

SAND,

TRACE

ORGANICS

NP

R-

<

SR

1

AND ROOTS

FILL)

2 FT

2

3 FT

3

TEST

PIT CAVE- IN OBSERVED

BELOW

3 FT

GROUNDWATER

4 FT

4 2. LOOSE,

MOIST,

SP);

TO MEDIUM

FINE

TO ROUNDED

5 FT

DARK

GRAY,

SAND,

GRAVEL(

POORLY

TRACE

GRADED

FINE

SAND

5. 9

85 <

10

2

SUBROUNDED

FILL)

5 GS

SAMPLE GS- 01: 23. 6% MC, 5. 9% FINES GROUNDWATER

01

6 FT

SEEPAGE < 1 GPM

6

TEST PIT TERMINATED

SEEPAGE < 1 GPM

AT 6 FT DUE TO SIDEWALL

COLLAPSE

7 FT 7

8 FT

8

9 FT

9

a N N

tl m

10 FT

10

M 0

11

TEST

PIT WALLS

HAVE

TIME,

FREQUENT

CAVING

SLOUGHING

OBSERVED

POOR

STANDUP

LOGGED

AND

SKETCHED SOUTHEAST WALL OF TEST

PIT

o

AND

2 0)

g IL


N

LAT:

DELVE

46. 32984

underground

DATE: W

TP- 05

LOGGED

122. 90237 SOIL

a)

a)

OFT

Y=- (

DESCRIPTION

a >

Moisture,

color, SOIL

cm

ravel

NAME(

litholo ,

USCS), sand

gravel

size

and

shape,

m

J

m

a?

beddin

size,

24, 2026

M. CALLAN

BY:

SURFACE:

s

Q E

FEBRUARY

PROJECT

NAME:

BURMA

EXCAVATION

COMPANY:

OPERATOR:

DAVE

EQUIPMENT/

BUCKET

ROAD

TO TOUTLE

COWLITZ

PARK

ROAD

CO DEPT OF PUBLIC

BYPASS

WORKS

E

LONG:

TEST PIT NO.

NO.: 226463. 10

PROJECT

SOIL

D

N a)

m

iE

-

a c

SIZE:

CAT

305

EXCAVATOR;

BUCKET

SKETCH

in

c9

8-

0

8-1Shape,contacts, sample locations, groundwater seepage

0

90 <

10

1

24"

2" TOPSOIL AND ROOTS

1.

LOOSE,

FINE TO

FT

1

2 FT

2

3 FT

3

1

DRY, BROWN,

MEDIUM

ROUNDED

2. LOOSE, SAND(

SAND,

GRAVEL,

TRACE

TRACE

DRY, GRAY

SP);

POORLY

GRADED

FINE

TO DARK GRAY, SAND,

SP);

SUBROUNDED

ORGANICS

FINE TO MEDIUM

SAND(

AND

ROOTS(

POORLY

TRACE

NP

RSR

1

TO FILL)

GRADED

10

85 <

5

FINE GRAVEL

FILL)

2.

4 FT

4 GS 01

5 FT

SAMPLE

GS- 01: 9. 6% MC, 10. 8% FINES

10. 8

85 <

5

5 TEST PIT TERMINATED

AT 5 FT; NO GROUNDWATER

ENCOUNTERED

6 FT

6

7 FT 7

8 FT

8

9 FT

9

a V N

tl m

10 FT

10

M 0

11

MINOR

SLOUGHING

DURING

EXCAVATION,

REMAINED

OPEN

OBSERVED TEST

DURING

PIT

EXCAVATION.

LOGGED

AND

SKETCHED NORTH

WALL

OF TEST PIT

o N

2 0)

g IL


N

Q E LV E

LAT:

underground

46. 32941

PROJECT DATE:

W

TP- 06

LOGGED

Fs

122. 90096 s

SOIL

a)

E

OFT

o

color, SOIL

Moisture,

ravel

c

FEBRUARY

24, 2026

PROJECT NAME: BURMA ROAD TO TOUTLE PARK ROAD BYPASS EXCAVATION

COMPANY:

OPERATOR:

DAVE

EQUIPMENT/

BUCKET

BY:

M. CALLAN

SOIL

uRFACE:

DESCRIPTION

NAME(

litholo ,

USCS),

size,

TO DARK

GRAY,

CO DEPT OF PUBLIC

WORKS

SIZE:

CAT 305 EXCAVATOR; 24" BUCKET

SKETCH

gravel

sand

COWLITZ

E

LONG:

TEST PIT NO.

NO.: 226463. 10

size

and

a

shape,

bedding0--

ii

in

cD

1 8-

8-1

o

0

95 <

1. 9

95 <

5

0

90 <

10

Shape, contacts, sample locations, groundwater seepage

1" TOPSOIL AND ROOTS

R1.

1

FT

1

LOOSE,

DRY, GRAY

SAND(

SP);

FINE

TO MEDIUM

TRACE

ORGANICS

SAMPLE

GS- 01:

AND

SAND,

ROOTS(

POORLY

TRACE

FINE

GRADED GRAVEL,

5 1

FILL)

GS 01

2 FT

8. 1%

MC,

1. 9% FINES

2 2. GRAVEL

AND COBBLE

CONTENT

INCREASES

WITH

DEPTH

3 FT

2. 4 FT

5 FT

5

6 FT

6

BUCKET

3. LOOSE,

SCRAPING

DRY,

WITH GRAVEL(

7 FT

8 FT

COARSE

7

NOTED

AT 6 FT

GRAY,

POORLY

DARK SP);

FINE TO MEDIUM

SUBROUNDED

SUBROUNDED

GRADED SAND,

TO ROUNDED

TO ROUNDED

COBBLES(

SAND

0

75

25

3.

FINE TO

GRAVEL, FILL)

g TEST PIT TERMINATED AT 8 FT; NO GROUNDWATER ENCOUNTERED

9 FT

a

9

N N

10 FT

MI

10

0

LOGGED ANDSKETCHED MINOR SLOUGHING 11

DURING EXCAVATION,

SOU

HWES

WALL

OF TEST PIT

o

OBSERVED TEST

PIT

REMAINED OPEN DURING EXCAVATION

E

a IL


i

i

fir

•. •

ys

rf- '_:'.

tee'

w d^

WL

ta71. Nr

i y•_""i+

w' -

nt

.

:

ti•

a.

^

M

y.:

y'.-..

ham••

i' -

may'

ik,'k-'`

cr:

e

Ne

per is=^'` !} rye_"`. -

tl.:

P

•.-.,•.

bit

vt 4'.Yr.: 9 i..y` y.:

, '"

'.' - -

1

_

r

Al2 17

1;'

i

h•

f

l•,- ',

' _ .

^•

y

'

'

ram _

_ -

5

Yid

COWLITZ BURMA

COUNTY ROAD

DEPARTMENT

TO TOUTLE

64..ti

OF

PARK

i

l

.

WORKS

ROAD

i

TEST

PIT PHOTOGRAPHS1

1


S.

;,

dr

1

vie•!

ti k .

7'. _

rj-

wr

v

_'fry- -

.

' •>'`

a

31

- ..

a

tom

<.

y

y..

r

r

i

e.

i.

rl

i.

a

-

y

'

i

i 1r'

ti

i

V•.

R

•,

-

3.,

,.,

0

t yr7

N.

. Sti'

r:: Z'!+

COWLITZ

IM E LlI E

BURMA

r

7?:! ems

s.

COUNTY ROAD

DEPARTMENT

TO TOUTLE

OF PUBLIC

PARK

ROAD

WORKS

BYPASS

t -

MARCH 2026

unclL-- rgrvuncf TEST

PIT PHOTOGRAPHS

TP- 02


r'-•" fie

e!' _ }

y

;'+"

1•

'

s.

v

t.'._

d

d•'

9 {"

1

e` -,

r y

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1.

Ilk

im

1

1

v ifs

c

ii-

y

i

r

COWLITZ BURMA

COUNTY ROAD

DEPARTMENT

TO TOUTLE

OF PUBLIC

PARK

WORKS

ROAD1

i

TEST

PIT PHOTOGRAPHS1


sFvr _

- -+

va^+'

C-

ti

i

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i.., T%

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f

Mar>•

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,'':-.. S..

a.

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h. •`

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a..

.:

h rye

:''

-

".

k•

'• _.,.

s. .' .'

Y

r

r

EWA

t:

okV., r

v

gip.• :. . ,

Y

COWLITZ

Q E I..V E

BURMA

COUNTY ROAD

DEPARTMENT

TO TOUTLE

OF PUBLIC

PARK

ROAD

WORKS

BYPASS

MARCH 2026

unclergrouncl TEST

PIT PHOTOGRAPHS

TP- 04


1.`. •.

1+ — . •

S~•"'•`

e,`

y7r^. .'

z:.

.,

s'

p.•

t'

s`

r ••,

r-

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r

sf

4- 1

I..

t•`

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y".;

r1

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fir

t i-r':..

A lE

p

fir A.:;;

1.Oil

0

r

pko44. ry

COWLITZ BURMA

COUNTYOF ROAD

TO TOUTLE

TEST

PARK

ROAD1

PIT PHOTOGRAPHS1


V.

41,

fit. '

ice

•.

b"•

`'`

'

a.!

h

s;

1'

i. ..

1

z;;

4••,..

i•.

k. .¢.,

x..-'.

•

y. •

r-. r,•' ;}!,

Yr-•

S

.;

i

_

_

r.

i

fin

s:.

j'

C..:.-. ri •

1

Y..

f

i Rrr••

j1+ 16'"."

r,

ti of

1..: Y'

r

x..

yam.

F.'•_ ,},*

Ste-

F=

vr.: a. ,•.

G v.'....

C.' .:

1

ii,`.`...- •-

far ^' ..

t- S'

t.

i3Y

1r.::

by.-

IM E LII E

la.'w

BURMA

: 11 "

il.'

y

I=

4.

r

COWLITZ

yeti

COUNTY ROAD

DEPARTMENT

TO TOUTLE

I , .

Ir

-

7.

A.',.

,

OF PUBLIC

PARK

ROAD

WORKS

BYPASS

f

5rt';:

•

MARCH 2026

unclf---rgrvuncf

TEST

PIT PHOTOGRAPHS

TP- 06


DELVE underground

Appendix B

Laboratory Test Results

Final Submittal/

May 2026


FEI

LETTER O F

TISTIV INSPfCTIMINC,. Geotechnical&

TRANSMITTAL

Construction Services

Date:

March 4, 2026

2265003- 601

Project No.:

Re:

Burma Road Toutle Park Road Bypass

Delve

Delve Underground

To:

Underground

Project

No.: 226463. 10

2000 SW 1 st Ave Portland, Attn:

OR 97201

Farid Sariosseiri Ph. D., P. E.

Enclosed

are:

Q Test Results (4 Pages Total Incl. Cover)

Report

Drawings

Copy of Letter

Specifications

Other

These are transmitted

Q Q

as checked

For your use As requested

Remarks:

below:

For your review/ approval For your files

Requested

laboratory testing results attached.

Please call if you have any

questions.

Date Sampled:

02- 24- 2026

Location Tested: Tangent Laboratory Sample

No.:

1246

Copy to:

Signature:

Rachel Ray President This report and/ or enclosed test data is the confidential property of the client to whom it is addressed and pertains to the specific process and/ or material evaluated. As such, information contained herein shall not be reproduced in part or full and/ or any part thereof be disclosed without FEI Testing& Inspection, Inc.' s written authorization.

Central Laboratory- 31970 Cinema Way A- Tangent, Oregon 97389- phone( 541) 757- 4698 29540 B Airport Road- Eugene, Oregon 97402 phone( 541) 684- 3849 2256 Judson Street SE-

Salem,

Oregon 97302

phone( 971) 273- 0672


LIQUID AND PLASTIC LIMITS TEST REPORT 60

Dashed

line indicates

7

the approximate

upper limit boundary for natural soils 50

01

40

xw Z_

u 30

01

a JCL

Ott

20

10

CL- M

ML or OL

MH or OH

0 0

10

20

30

40

50

60

LIQUID

SOIL

70

80

90

100

LIMIT

DATA

NATURAL SAMPLE

DEPTH

WATER

PLASTIC

LIQUID

PLASTICITY

CONTENT

LIMIT

LIMIT

INDEX

SOURCE

USCs NO.

N

N

N

N

1246

TP- 01, GS- 01

2. 0'- 3. 0'

36. 6

23

46

23

CL

1246

TP- 02, GS- 01

5. 0'- 6. 0'

39. 6

25

42

17

CL

FEI Testing & Inspection,

Tangent,

OR

Inc.

Client: Project:

Project

Delve Underground Burma Road Toutle Park Road Bypass

No.:

2265003- 601

Figure

110


Particle Size Distribution Report ASTM C117&

C136

ci c

c

c

w

c

o

0

0

0 o

0 a

0 o

a it

JL

it

tt

g

0

100 I

I

I

I

I

I

I

I

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I I

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90

80

70

cc W

60

Z L. L

Z H

50

U W W

40

30

I

20

10

1

0 100

1

10

GRAIN

0. 1

SIZE

Gravel

Test Sieve

Results(

Coarse

Medium

Fine

12. 4

31. 6

8. 0

34. 5

13. 2

ASTM

C117&

C136) Out

Finer

Spec.*

M

(%)

of

Spec.

or

Diam.(

mm.)

Fines

Fine

Size

0. 001

mm.

Sand

Coarse

0. 0

0. 01

Silt

Clay

0. 3

Material

Description

Pct.

of Fines

100. 0

1" 3/ 4"

87. 6

1/ 2"

72. 8

3/ 8"

68. 5

1/ 4"

61. 0

44

56.56. 0

Atterberg PL=

31. 4

40

13. 5

60

4. 3

100

1. 1

200

0. 3

PI=

Coefficients

0 20

Limits

LL=

D90= D50= D10=

20. 1824 2. 3624 0. 3580

USCS=

SP

D85= 17. 8400 D30= 0. 7999 Cu= 16. 76

D60= D15= C

5. 9999 0. 4537 0. 30

Classification AASHTO= Test Remarks

no specification provided) 1246

Source

of Sample:

Sample

Number: TP- 03,

FEI

Depth: 3. 0'- 4. 0' GS- 01

Testing & Inspection,

Inc.

Sample Client: Project:

Tangent, OR

Project

Date:

02/ 24/ 26

Delve Underground Burma Road Toutle Park Road Bypass

No:

2265003- 601

Figure


FEIPercent

TESTING6INSPICTINNr" Geotechnical&

Burma Road

Toutle Park

PROJECT NUMBER

Road Bypass RECORDED

Water Content

Test

ASTM D 1140)

Construction Services

PROJECT NAME

BY

FEI SAMPLE

TW

CLIENT

Delve

WATER

Fines &

NC.

CONTENT

Underground

DIR

DIR

NUMBER

2265003-

601

1246

DATE

3/ 2/ 2026

CLIENT PROJECT NUMBER

226463. 1

DIR

DIR or AUX* TP- 04, SAMPLE

DESIGNATION

SAMPLE

DEPTH( FT)

Pan Number

GS

TP- 05,

GS

TP- 06,

GS

01

01

01

5. 0- 6. 0

4. 0- 5. 0

1. 0- 2. 0

HO14

HO16

LO21

Wt. of Wet Soil+

Pan

238. 65

269. 96

253. 27

Wt. of Dry Soil+

Pan( )

216. 12

257. 55

243. 16

Wt. of Water

22. 53

12. 41

10. 11

Wt. of Pan

O

120. 84

128. 12

117. 98

Wt. of Dry Soil

95. 28

129. 43

125. 18

Water Content(%)

1

TEST

SAMPLE

DATA

TEST

METHOD

A or B

Length

of Time

Sample

Soaked(

23. 6%

1

9. 6%

1

8. 1%

hrs)

Pan Number

HO14

HO16

LO21

Wet Wt.+

238. 65

269. 96

253. 27

117. 81

141. 84

120. 84

128. 12

117. 98

95. 28

129. 43

125. 18

Pan Number

HO14

HO16

LO21

Dry Wt.+

210. 49

243. 60

240. 72

Wt. of Pan

120. 84

128. 12

117. 98

B) Wt. of Dry Soil

89. 65

Pan O

Wet Wt. Wt. of Pan

O

Dry Soil

A

AFTER

135. 29

WASHING

Pan( g)

Total Loss

C

Total Sample)

1

No. 200)(

C= A- B)

Fines ( C/ A)

5. 63 5. 9%

1

115. 48

1

13. 95 10. 8%

1

122. 74 2. 44

1

1. 9%

DIR=Dry mass was determined directly by drying the test specimen AUX= Dry mass was determined using an auxiliary water content specimen Equipment

Used

Oven ID#

6060

Scale ID#

6376

Sieve Percent

ID# Fines&

6429 Water Content( ASTM

D

1140)

Reviewed By Rev.

11-

05- 08


DELVE underground

Appendix C

Slope Stability Analysis

Final Submittal/

May 2026


Unit

Strength

Material Name

Color

Cohesion

Type

psf)

(

lbs/ ft3) Fill

Embankment Graded

Quarry

(°)

Method

1. 60 Mohr-

1zs

Poorly

Phi

Weight

Coulomb

Sand)

0

Spalls

Name

Spencer

34

1. 62

°

GLE/

Mohr13o

Morgenstern1. 60

40

Coulomb

Min FS

Price

°

o

Native Loose

Poorly

LI

Graded Sand w/ Varying

Gravel

Mohr115

0

Coulomb

32

0

0N W W I

O

O00

OO 20

0

20

40

60

80

100

120

140

160

Project

Cowlitz

DELVEGroup underground

Drawn

Date

County - Burma Road to Toutle Park Road -

3H: 1V Fill Embankment By

Madison Callan March

2026

Slope

Connection

Road

Master Scenario

Fill Embankment Company File Name

Delve

Spanning Incised Drainage Underground

Embankment

Slope. slmd


ATTENTION

PROPERTY

OWNERS

AND CONTRACTORS

CALL BEFORE

j

YOU DIG 1- 800- 424- 5555

The Cowlitz County Utility Coordination Council is comprised of local utilities whose common is to help prevent accidents to their ONE and damages underground facilities. purpose TELEPHONE CALL, 1- 800- 424- 5555, two ( 2) working days prior to digging will relay a message to these utilities. On the next page is a listing of utilities and entities belonging to the Council. hours' notice ( excluding weekends and holidays) is requested to permit our locators to mark our facilities for you. ONE CALL answering service is available twenty- four ( 24) hours a day, seven ( 7) days a week. All calls are recorded. ( EMERGENCY LINE LOCATES ARE Forty- eight (

AVAILABLE

48)

AT ALL TIMES).

RCW 19. 122. 010, Washington Laws, 1988, Chapter 99 on Underground Utilities states that utilities shall be assigned "...

responsibilities for locating and keeping accurate records of utility locations, protecting and repairing damage to existing underground facilities, and protecting the public health and safety from interruption in utility services caused by damage to existing underground utility facilities."

Callers

are

different

asked to use

white

paint to show their proposed path of excavation.

Each locator

uses

underground

facility ( see reverse page). Digging should be done by hand 18" on either side of marking until utility is visible, before using other equipment. a

color

paint

to show

their

PLAN FOR SAFETY— CALL BEFORE YOU DIG LOCATING

SERVICES ARE FREE

Thank you,

Cowlitz County

Utility Coordination Council

Call Before Burma

Road Toutle

Park

You

Page

Dig

Road Bypass

Project

No.

1859

117


THE

FOLLOWING

LOCAL

UTILITIES,

ENTITIES

AND

OTHERS

FORM

THE

COWLITZ

COUNTY

UTILITY

COORDINATION

COUNCIL: COLOR

POWER

P. U. D. OF COWLITZ

COUNTY

GAS

CASCADE

GAS

NATURAL

NORTHWEST OLYMPIC

TELEPHONE

PIPELINE

PIPE

LINE

CODE

RED

YELLOW

CORPORATION

COMPANY

AT& T

ORANGE

GENERAL TELEPHONE KALAMA

TELEPHONE

U. S. SPRINT

COMMUNICATIONS

CENTURY

LINK

VERIZON

COMMUNICATIONS

FRONTIER

WATER

CASCADE

NETWORKS

BEACON

HILL SEWER

CITY

OF CASTLE

CITY

OF KALAMA

CITY

OF KELSO

CITY

OF LONGVIEW

CITY

OF WOODLAND

COWLITZ

COUNTY

PUBLIC

P. U. D. OF COWLITZ

SEWER

BEACON CITY

DISTRICT

BLUE

ROCK

COUNTY

HILL SEWER

OF CASTLE

WORKS

DISTRICT

GREEN

ROCK

CITY OF KALAMA CITY OF KELSO CITY OF LONGVIEW CITY OF WOODLAND COWLITZ

COUNTY

PUBLIC

WORKS

includes leachate pipeline) T. V. CABLE

COMCAST

ORANGE

WASHINGTON

STATE

DEPARTMENT

OF

TRANSPORTATION

OTHER

UTILITIES

MAY JOIN

REPORT

ALL EMERGENCIES

IN THE

FUTURE—

TO " 911".

PLEASE

ASK THE

OPERATOR)

All other damages should be reported directly to the utilities involved.

Nicks in insulation of gas, power or telephone should be reported to utilities promptly, as failure later can cause serious injuries or damages.

Call Before You Dig Burma

Road Toutle Park Road Bypass Project No. 1859

Page 118


END OF CONTRACT

Burma

Road Toutle Park Road Bypass Project No. 1859

Page 119


231414

BOCC

Consent

Agenda

Agenda

Meeting Date: 8/ 4/ 2026 2027 LEOFF 1 Retirees Medical Renewal

Submitted By: Jessica Warren, Human Resources Director Submitted For: Jessica Warren, Human Resources Director Department:

OAS-

Human

Resources

Information

Subject and Summary Statement

2026 Humana Group Medicare Advantage Plan Renewal for LEOFF 1 retirees. Staff Attendance Jessica

Warren

Department

Recommendation

Recommend the Board of County Commissioners approve the Humana Group Medicare Plan Renewal for 2027.

Form

Task

User Anonymous

User

Warren, Jessica

Agenda

Item

Department

Review

Action

Timestamp

Submission

Submit

7/ 27/ 2026

11: 05: 00 AM

Approver

Approve

7/ 27/ 2026

11: 10: 00 AM

Approve

7/ 27/ 2026

11: 28: 00 AM

Approve

7/ 27/ 2026

12: 46: 00 PM

Review Roewe, Grayson,

Shawn (

Kelly

OA)

Finance

Review

Clerk of the Board Review


Group Medicare Renewal Humana. J-

2027 Renewal Information Thank you for being a loyal Humana customer. Our commitment to providing exceptional healthcare solutions remains unwavering, and we look forward to continuing our partnership. We are pleased to deliver the 2027 Group Medicare MAPD renewal for Cowlitz County. Attached to this PDF file you will find the following information for your

review:

0

2027

Rate

Sheet

0

2027

Plan

Design

Exhibit

We consider multiple factors when determining rates, including but not limited to claims experience and trend, benefit design changes, and CMS reimbursement

updates.

For 2027, two key influences continue to shape rate development: The CMS Rate Announcement, which establishes Medicare Advantage and Part D reimbursement and funding parameters for the year, and The ongoing impacts of the Inflation Reduction Act ( IRA), including continued evolution of the Part D benefit and funding structure. 2027 CMS Rate Announcement Each year, the Centers

for Medicare&

Medicaid Services( CMS) updates Medicare Advantage

and Part D

prescription drug funding to reflect changes in healthcare costs, utilization, and federal policy. CMS finalized its 2027 Medicare Advantage and Part D payment updates in April 2026, and these changes take effect January 1, 2027. What' s Important for 2027

payment increase to Medicare Advantage plans for 2027. While the payment increase from CMS is higher, it is less than claims trends so Humana will be prepared to discuss strategies( plan design changes, formulary, etc.) and solutions. CMS paused implementing the new risk model overhaul ( CMS- HCC) and will utilize the current framework with ongoing V28 phased updates The model now calibrates differently for MA Prescription drug plans ( MAPD) and Standalone prescription drug plans ( PDP) CMS finalized regulatory changes relative to the exclusion of diagnosis from unlinked chart reviews within risk scoring This policy applies to both medical and part D 2. 48%

Y0040 GHHN29REN

C

I 1


CMS defined standard parameter changes:

vp Deductible(

If applicable)

Out- of- pocket threshold

615

700

2, 100

2, 400

Humana places tremendous value on our relationship with the Cowlitz County. We will continue to explore ways to stabilize costs while providing the value and service that Cowlitz County and its retirees expect and deserve. We appreciate the trust and confidence you have placed in Humana and look forward to our continued partnership.

Next Steps As you review the 2027 renewal, please let me know if you have any questions. If there are no questions, please sign the requested documents by 09/ 01/ 2026 and send back to me. We can then begin processing the renewal. Sincerely,

Jessica Stolberg Account

Executive

Humana Group Medicare

Y1

1 1Y

M

Yf

Y1ti M

1Y Yf Y1

M M M

Humana, Y0040_ G H H N29RE N_ C


Humana . Group Medicare

Advantaqe

COWLITZ COUNTY - PPO

7/ 2/ 2026

Date:

Humana Medicare Group Plan Plan Names:

PASSIVE PPO 079 064 with Standard Rx331 PASSIVE WAIVER 079 064 with Standard

Rx Formulary: Additional

Medication Buy- Ups:

Rx331

Group Plus Formulary - 27800 Cosmetics, Coughs and Colds, Fertility Agents, Vitamins, Weight Loss Agents Enhanced,

EDs Enhanced

Final Billed Premium Plan Year Per Member Per Month)

1/ 1/ 2027 -

12/ 31/ 2027

516. 28

PASSIVE PPO 079 064 Medical and Rx Benefit Overview In- Network Benefits match Out- of-Network Benefits) Deductible

None

Inpatient Acute Hospital

0 Copayment per Admission

Skilled Nursing Facility

0 Copayment ( Days 1- 100)

Physician Office Visits

0 Copayment

Specialist Office Visits

0 Copayment

Outpatient Surgical

0 Copayment

Ambulance

0 Copayment

Emergency

Room

0 Copayment

Medical Maximum Out of Pocket

0 Combined ( Medicare Covered Services) Rx331 $ 0/$ 0/$ 0/$ 0 from $ 0 to Catastrophic

Prescription Drugs ( Retail 30 day supply)

See attached sheet for rating

assumptions

and

stipulations.

The benefits

presented above are a high- level summary.

Please consult the Plan Design Exhibit for a more detailed list of covered services,

member cost shares, services subject to deductibles and any plan limitations.*** Proprietary and confidential. For the sole use of COWLITZ COUNTY. Not to be shared externally without

written

consent from Humana Inc.


Humana ,. Group Medicare

Advantage

COWLITZ COUNTY - PPO

Proposal Terms

The benefits

presented on the previous page are a high- level summary.

for a more detailed outline of the benefits proposed.

Please consult the Plan Design Exhibit

Final benefits may differ due to annual changes

in CMS benefit requirements.

For members with End Stage Renal Disease ( ESRD),

the Humana Group Medicare Advantage Plan is only

offered to eligible members who are diagnosed and enrolled in a manner that is consistent with applicable Medicare secondary laws, and the rules and regulations set forth by CMS.

The rates provided do not reflect any potential premium adjustments provided by Center for Medicare and Medicaid Services ( CMS) or federal regulations based on a Medicare beneficiary' s income.

Humana shall have the right to unilaterally adjust the proposed premium rates set forth in this rate sheet if: i.

a change in or clarification to Law affects Medicare Part C or D program costs or revenue;

ii.

a

natural disaster, pandemic, act of God or other cause beyond the reasonable control of Humana affects Medicare Part C or D programs costs or revenue;

iii.

highly utilized specialty or high- cost drugs are introduced, or additional indications are added to such a drug resulting in an increase in the pharmacy allowed per member per month;

iv. Humana

determines that data provided and relied upon by Humana in development of the premium rates was inaccurate,

incomplete,

biased, misleading,

For purposes of this or other similar

or otherwise contributed to Humana underestimating actual plan expenses or revenue incurred by Group.

proposal, " Law" shall mean, " any federal, state, or local law, statute, regulation, ordinance, code, rule, order,

requirement

enacted, adopted, or enforced by a government authority,

and CMS regulations and requirements, including CMS manuals,

Humana will hold the

or

including, without

limitation, Medicare laws

CMS payment methodology, and other directives.

proposed rates, assuming all of the information provided is accurate, and could be subject to change should any

of the following differ: All members are retired and enrolled in Medicare Part A and Part B.

A minimum

average

employer

contribution

A majority of members' ( 51% or more)

network service area.

level of 75% of the proposed

premium for the plan.

primary residence is in an adequate Humana Medicare Advantage

Humana will monitor network adequacy throughout the year to confirm standards are met.

Enrolled membership should not change from current,

or

differ from the information

provided, by more than 10% per year.

This proposal assumes 10 currently enrolled members. Humana' s Medicare Advantage plan is the only plan offered. coordinating with, or offered

Part D, administered management

Additionally, there is no secondary plan wrapping around,

in conjunction with this plan for all current and future Medicare eligible retirees.

by Humana Pharmacy Solutions, will utilize Humana' s Group Plus formulary and include utilization

programs such as: quantity limits, prior authorization, and step therapy.

Humana continually updates its

drug list and quantity limits, and ensures these updates are in accordance with CMS regulations. Benefits, deductibles,

maximum out of pocket accumulators, and any applicable pharmacy accumulators will be

reset on January 1 each year. We are pleased to present this Humana Group Medicare Advantage proposal to you and assume all information provided is accurate with the understanding if there is a material change from the provided information, including the offering environment, Humana has a right to revise or rescind the quote.


Humana. Group Medicom advantage

HUMANA MEDICARE EMPLOYER LPPO PLAN 2027

LPPO

for Standard

Plan

079 Option

064-

Passive

2026 In- Network:$ Extra Annual

Maximum

individual

Services and the

per

plan

Part D Pharmacy,

Annual Deductible

of Treatment

Primary

Care

Benefit

Physician

In- Network:$ 0 per individual per plan year( excludes Part D Pharmacy,

•

Extra Services

Extra Services,

Worldwide

Visit

Coverage

and the Plan Premium).

and the Plan Premium).

Combined In and Out- of-Network:$ 0 per individual per plan year( excludes Part D Pharmacy,

Extra Services,

Worldwide

Combined In and Out- of-Network: NONE

Combined In and Out- of-Network: NONE

Combined In- Network

Combined In- Network Exclusions: N/ A

Network

Office

Pharmacy,

Plan Premium).

Exclusions:

N/ A

Combined Out- of-Network Exclusions: Place

2027 Part D

excludes

year(

Combined In and Out- of-Network:$ 0 per individual per plan year( excludes •

of- Pocket

Out-

0 per

Coverage Plan

Pays(

Coverage Plan

Pays(

1):

Network

Coverage

Plan

Pays(

1):

Non- Network Coverage Plan Pays( 1):

100%

100%

100%

100%

Diagnostic Procedures and Tests

100%

100%

100%

100%

Lab Services

100%

100%

100%

100%

Surgical Procedures

100%

100%

100%

100%

100%

100%

100%

100%

Mental Health/ Substance Abuse Services 100%

100%

100%

100%

Administration of Drugs in a Physician' s

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

Lab Services

100%

100%

100%

100%

Surgical Procedures

100%

100%

100%

100%

Diagnostic

100%

100%

100%

100%

100%

100%

100%

100%

Chiropractic Services( Medicare- covered)

100%

100%

100%

100%

Cardiac

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

Therapy

100%

100%

100%

100%

Allergy Shots and Injections

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

and Injections

Shots

Allergy

and the Plan Premium).

Combined Out- of- Network Exclusions: N/ A

N/ A Non- Network

1):

Coverage

Office Medicare Specialist

Office

B Insulin

Part

Drugs

Visit

ed Imaging Services Diagnostic

Procedures

and

Tests

Colonoscopy Services(

Podiatry

covered)

Medicare-

Therapy

Supervised Exercise

SET)

Therapy(

Symptomatic Peripheral Artery Disease PAD)

Services

Pulmonary Therapy Occupational, Physical,

Therapies(

Audiology, and Speech) Radiation

Mental Health/ Substance

Opioid

Treatment

Abuse

Services

Services

Administration of Drugs in a Physician' s Office Medicare Part B Insulin Drugs

100%

100%

100%

100%

Drugs

100%

100%

100%

100%

Dental Services( Medicare- covered)

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

For eyeglasses and contacts following -

For eyeglasses and contacts following -

For eyeglasses and contacts following *

Chemotherapy

Services(

Hearing Vision

Services(

covered)

Medicare-

covered)

Medicare-

Eyewearfor Post- Cataract Surgery

cataract

Diabetic

Eye

Exam

100%

Acupuncture Services( MedicareCovered) for Chronic Your plan

Preventive

Services

•

cataract

surgery.

allows

Lower

to be

services

received

by a provider licensed to

perform

acupuncture

or

•

Back Pain

100%

100% for acupuncture for chronic low • 100% for acupuncture for chronic low•

100% for acupuncture for chronic low • 100% for acupuncture for chronic low

back pain visits up to 20 combined in

back pain visits up to 20 combined in

and out of network visit( s)

and out of network visit( s)

and out of network visit( s)

per

year.-

Benefits received

CLB309

subject

to any

maximums,

provider requirements.

exclusions.-

Screening

surgery.

100%

back pain visits up to 20 combined in

by

Aneurysm

For eyeglasses and contacts following cataract

surgery.

100%

providers meeting the Original Medicare

Abdominal Aortic

cataract

surgery.

100%

in-

per

year.

out- of- network

are

CLB309

network benefit

per

year.-

back pain visits up to 20 combined in and out of network visit(s) per year. Benefits

received

out- of- network are

subject to any in- network benefit

limitations, and/ or

maximums,

limitations, and/ or

CLB309

exclusions.-

CLB309

100%

100%

100%

Alcohol Misuse Screening and Counseling Annual

Wellness

Visit

Bone Mass Measurement Breast

Cancer

Screening

Cardiovascular Disease Behavioral

Therapy Cardiovascular Disease Screening Cervical and Vaginal Cancer Screening

Not for Member Use; Employer Use Only; For Illustrative Purposes Only

www.

humana. com/ groupmedicare

Page 1

05/ 20/ 2026


Humana. Group Medicom advantage

Colorectal Cancer

100%

Screening

100%

100%

100%

Depression Screening Diabetes

Screening

Diabetes Self- Management Training Glaucoma

Screening

Hepatitis

C Screening

HIV Screening Immunizations Kidney

Disease

Education

Services

Lung Cancer Screening Medicare

Diabetes

Prevention

Program

MDPP)

Medical

Nutrition

Therapy

Obesity Screening and Therapy Physical Exams( Routine) Prostate

Cancer

Screening

Exam

Smoking and Tobacco Use Cessation STI Screening and Counseling Welcome Inpatient

Hospital

Services

to Medicare"

Preventive

Visit

Inpatient Care( All Authorized

100% per

100% per

admission

100% per

admission

100% per admission

admission

Admissions Inpatient

Physician

Inpatient

Mental

Services Health

100%

Care/

Substance

100%

100% per

100%

admission

100%

admission

100% per

per

100%

admission

100%

admission

100% per

per

admission

100% per admission

admission

100% per admission

Abuse Services( All Authorized Admissions Inpatient

Psychiatric

Facility

Inpatient Mental Health Care/ Substance

100% per

Abuse Services( All Authorized

190 day lifetime limit in a psychiatric •

190 day lifetime limit in a psychiatric •

190 day lifetime limit in a psychiatric •

190 day lifetime limit in a psychiatric

facility.

facility.

facility.

facility.

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

Services

100%

100%

100%

100%

Nuclear Medicine Services

100%

100%

100%

100%

100%

100%

100%

100%

Lab Services

100%

100%

100%

100%

Radiation

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

Other Medicare Part B Drugs

100%

100%

100%

100%

Medicare

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

Admissions) Inpatient Abuse

Outpatient

Hospital

Mental

Health/

Physician

Substance

Services

Surgical Services Diagnostic

Colonoscopy

Advanced

Imaging

Diagnostic

and Tests

Procedures

Therapy

Cardiac Therapy Supervised Exercise Symptomatic PAD

Therapy(

Peripheral

SET)

Artery

for

Disease

Services

Pulmonary Therapy Therapies(

Occupational,

Physical,

Audiology, and Speech) Chemotherapy

Drugs

Renal Dialysis

Services

Mental

Health/

Substance

Abuse

Services

Partial Hospitalization Intensive

Outpatient

Opioid Treatment

Part

Services Services

B Insulin

Drugs

Observation Services Outpatient

Skilled Nursing

Facility

SNF)

SNF

Care(

re

uired

Physician no

3

Services

day hospital stay

is

Care

Center

Room

Ambulance

100%

-

Plan pays$ 0 after 100 days.

100% per day( days 1- 100)

Plan pays$ 0 after 100 days.

-

Plan pays$ 0 after 100 days. 100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

Emergency Room Physician Services

100%

100%

100%

100%

Ambulance Services

100% per date of service

100% per date of service

100% per date of service

Urgently

Care

Emergency

Services(

2)

Travel

Benefit

Member

covered

-

Humana

Emergency Services Needed Care Only

and Urgently

PPO

Limited to Medicare-

covered

-

transportation.

receives

services

participating

in- network

PPO

benefit

provider

service

in

N/ A

100% per date of service

covered

-

Member

Limited to Medicare- covered transportation.

receives

in- network

benefit

N/ A

when services are received from a

another

area.

N/ A

Limited to Medicaretransportation.

received from a

are

80%

after$

100

deductible per year.

Limited to emergency covered Benefit

days, Comprehensive

day( days 1- 100)

100%

US

Coverage

-

100% per

100%

Needed

when

Worldwide

100%

100%

transportation. Benefit

day( days 1- 100)

100%

Limited to Medicare-

Travel

per

100%

Lab Services Emergency

day( days 1- 100)

per

Plan pays$ 0 after 100 days.

SNF Physician Services Urgent

100%

services.$ per

year

whichever

participating

PPO provider

Humana

service

N/ A

Medicare-

25, 000 Maximum

Or 60

consecutive

is reached first.

PPO

in another

area.

80% after$ 100 deductible per year. Limited to emergency Medicarecovered

services.$

Benefit

per year Or 60 consecutive

days, whichever is reached first.

100%

100%

100%

100%

100%

100%

100%

100%

Imaging Services

100%

100%

100%

100%

Nuclear Medicine Services

300%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

Pulmonary Therapy

25, 000 Maximum

Outpatient Rehabilitation

Facility

Therapies(

Occupational, Physical,

Audiology, and Speech) Advanced

Freestanding

Radiological

Facility

Diagnostic Radiation

Procedures

and Tests

Therapy

Notfor Member Use; Employer Use Only; For Illustrative Purposes Only

www.

humana. com/ groupmedicare

Paget

05/ 20/ 2026


Humana. Group Medicom advantage

Surgical

Ambulatory

Surgical Procedures

100%

100%

100%

100%

Diagnostic

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

Center

Laboratory

Freestanding

Renal Dialysis Services

Center

Dialysis

Health

Home

Colonoscopy

Lab Services

Health

Home

Care

Excludes DME

Provider

Durable

Medical Equipment

Diabetic

Personal Home

Care.

-

Excludes

Personal Home

Care.

-

Excludes

100%

Personal Home

Care.

-

Excludes Personal Home Care.

100%

100%

100%

100%

Monitoring

Supplies

100%

100%

100%

100%

Glucose

Monitor

100%

100%

100%

100%

Medical Supply Provider

Continuous

Medical Supplies

100%

100%

100%

100%

Preferred

Diabetic

Diabetic Monitoring Supplies

100%

N/

A

100%

N/ A

Preferred

Pharmacy

Continuous Glucose Monitor

N/ A

N/

A

100%

N/ A

Prosthetics

Provider

Prosthetics

100%

100%

100%

100%

Pharmacy(

Part B

Durable Medical Equipment

100%

100%

100%

100%

Medical Supplies

100%

100%

100%

100%

Supplier

Only)

Diabetic

Monitoring

Supplies

100%

100%

100%

100%

Glucose

Monitor

Continuous

100%

100%

100%

100%

Other Medicare Part B Drugs

100%

100%

100%

100%

Medicare

Drugs

100%

100%

100%

100%

Virtual Visit

100%

N/

A

100%

N/ A

100%

N/ A

100%

N/ A

100%

N/ A

100%

N/ A

100%

N/ A

100%

N/ A

Part

B Insulin

Additional Telehealth

Primary Care Physician-

Services

Specialist-

Virtual Visit

Behavioral Health and Substance

Abuse-

Virtual Visit

Urgently Needed Care-

Virtual Visit

The benefit and discount information presented here are current as of the date of this document. If a change should occur prior to implementation, Humana will clarify any change and notify the group sponsor. Extra

Benefits(

MSB)

SilverSneakers®

Available

Available

Wellness

Coaching

Available

Available

Smoking

Cessation(

Available

Available

Available

Available

Available

Available

Post- Discharge Personal Home Care

Available

Available

Virtual Cardiac

Not

Available

Additional)

Post- Discharge Meal Program Post-

Discharge

Uniformity

Transportation

Management

Clinical

Program

Recovery

Available

Flexibility)

Transportation( Care

Services

Uniformity Flexibility)

Programs/

Disease

Management

Available

Available

Available

Available

3) Human' Behavioral

s Care

Management

Healthcare

Coordination

and Consultation Medication

Therapy

Management

Health Coaching Transplant

Management

1) All coinsurance percentages are based on the Medicare fee schedule and not billed charges. All copayments are on a' per visit' basis, unless otherwise noted. 2) Emergency room copayment waived if admitted or if hospital is outside the U. S. 3) We have provided examples of various Health Education and clinical programs. Actual programs may vary by market. Go365® by Humana is included in this plan Awellness program that rewards Medicare beneficiaries for completing eligible healthy activities that help your members establish and maintain a healthy lifestyle. As your members achieve manageable health goals, Go365 keeps them engaged and motivated by acknowledging their efforts. By completing healthy activities like walking, getting an Annual Wellness Exam, or volunteering, your members earn rewards they can redeem for gift cards in the Go365 Mall.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/ or member cost- share may change each year. Please refer to the Evidence of Coverage for additional information regarding covered services and limitations or any other contractual conditions. Certain services under the plan require authorization by network providers. For a complete description of benefits, exclusions and limitations please refer to the actual Evidence of Coverage. If a discrepancy arises between this information and the actual Evidence of Coverage, the Evidence of Coverage will prevail in all instances.

Humana is a Medicare Employer PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal.

Not for Member Use; Employer Use Only; For Illustrative Purposes Only

www.

humana. com/ groupmedicare

Page 3

05/ 20/ 2026


Humana. Group Medicare Advantage

HUMANA MEDICARE EMPLOYER Rx PLAN 2027 Rx for Standard Rx 331

Group Plus Formulary - PDG 24 With Package( s):

30 Plan/

1 ( Cosmetic), 2 ( Cough/ Cold), 3 ( Fertility), 4 ( Vitamins/ Minerals), 5 ( Weight Loss) & 7 ( Erectile Dysfunction)

day Standard Retail

from $ 0 30

to Catastrophic ( 1) Option

day Standard

Catastrophic Tier 1*

000/ 000

Tier 2

Tier 3

Tier 4

0

0

0

0

30 Plan/

Retail from part D MOOP ( 2)

to Unlimited

0

day Standard Mail Order from 0 to Catastrophic ( 1)

2, 400

30 day Standard Mail Order from Catastrophic

to

Part D MOOP ( 2)

Option Unlimited Tier 1*

000/ 000

Tier 2

Tier 3

Tier 4

0

0

0

0

0

2, 400

Note: Part D vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) for adults may be available at no cost. Tier 1:

Generic or Preferred

Tier 2: Preferred

Generic - Generic or brand drugs that are available at the lowest cost share for this plan.

Brand -

Generic or brand drugs that Humana offers at a lower cost than Tier 3 Non- Preferred Drug. Drug - Generic or brand drugs that Humana offers at a higher cost than Tier 2 Preferred Brand Tier 4: Specialty Tier- Some injectables and other higher-cost drugs.

Tier 3: Non- Preferred

Not for Member

Use; Employer

Use

Only; For Illustrative

Purposes

Only

drugs.

www.

humana.

com/

groupmedicare

Page

1

05/ 05/ 2026


Humana. Group Medicare Adviontage

100 Plan/

day Standard

Retail ( 3) from

0 to Catastrophic (

1)

100 day Standard Retail ( 3) from Catastrophic

to

Part D MOOP ( 2)

Option Unlimited Tier 1*

000/ 000

0

100

Tier 2

Tier 3

Tier 4

0

0

N/ A

Mail Order( 3)

day Standard

Plan/

0

from $ 0 to Catastrophic (

1)

2, 400

100 day Standard Mail Order 3) from Catastrophic

to

Part D MOOP ( 2)

Option Unlimited Tier 1*

000/ 000

0

Tier 2

Tier 3

Tier 4

0

0

N/ A

0

2, 400

Note: Part D vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) for adults may be available at no cost. Footnotes 1 Catastrophic: When

drug coverage claims are excluded from accrual towards the Part D MOOP), Humana then pays 100% of covered Part D Rx claims, including enhanced drug coverage. 2 Part D MOOP: When a member' s Part D Maximum Out- of- Pocket ( MOOP) cost reaches $ 2, 400 ( enhanced drug coverage claims are excluded from accrual towards the Part D MOOP), Humana then pays 100% of covered Part D Rx claims, including enhanced drug coverage. 3 Retail and Mail Order: The benefit for a 100- day supply is limited to Rx formulary Tiers 1- 2 and most drugs on Tier 3. Regardless of tier placement, Specialty drugs are limited to a 30- day supply. a member'

s

Part D Maximum

Out- of- Pocket ( MOOP)

cost

reaches $

2, 400 ( enhanced

Out of Network: Emergency Situations When a member purchases a drug at an out- of-network pharmacy in an emergency situation: a. the member will pay the same coinsurance

as would have applied at a network pharmacy, but at the out- of- network pharmacy price, and/ or,

b. the member will pay the same copayment as would have applied at a network pharmacy, plus the difference between the out- of- network pharmacy price and the network pharmacy price. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/ or member cost-share may change each year. Part D benefit parameters, regulated by the Centers for Medicare and Medicaid Services ( CMS), can impact Part D benefits on an annual basis. The formulary and pharmacy network may change at any time. The member will receive notice when necessary. Please refer to the Evidence of Coverage for additional information regarding covered services and limitations or any other contractual conditions. For a complete description of benefits, exclusions and limitations please refer to the actual Evidence of Coverage. If a discrepancy arises between this information and the actual Evidence of Coverage, the Evidence of Coverage will prevail in all instances.

Humana is a Medicare Employer Prescription Drug plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal.

Not for Member Use;

Employer

Use

Only; For Illustrative

Purposes

Only

www.

humana.

com/

groupmedicare

Page 2

05/ 05/ 2026


Humana.

Adw: ntaggee M' Adva

HUMANA GROUP MEDICARE ADVANTAGE/

PRESCRIPTION

DRUG PLAN

VALUE ADDED SERVICES Effective

Date:

01/ 01/ 2027-

12/ 31/ 2027

The benefit and discount information presented here are current as of the date of this document. If a change should occur prior to implementation, Humana will clarify any change and notify the group sponsor. The products and services described with

below are neither offered nor guaranteed

Customer

Care

by calling

the

number

on the

under our contract with the Medicare program.

back

of the member'

s Humana

membership

card.

In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services should be addressed CMS

does

not

permit

discussing

the

below

services

Not available

potential

enrollees

prior

to enrollment.

Descripti—•

Benefit

CAM Integrative Services Discount(

with

Discounts for complementary and

Tivity)

in Puerto Rico

alternative

r26

medicine

including acupuncture,

services

r 27

Available

Available

chiropractic, massage, vitamins, healthy meal plans, footwear and more. Services must be received from participating designated providers.

Dental

Discount( Florida GOIdPlus)

Available

Dental

in Florida

Discounts

on

dental

services.

Services

must

be received

from participating

dental

providers.

Available

Available

Discounts

on

dental

services.

Services

must

be received

from participating

dental

providers.

Available

Available

Discounts

on

select hearing

aids,

accessories

Available

Not Available

Discounts

on

select hearing

aids.

Services

Available

Available

Discounts

on

select medical

alert systems,

Available

Available

Available

Available

Available

Available

Available

Available

Exam, contact lens

Available

Available

of the U. S.

Available

Available

Available

Available

only

Discount( Humana Dental)

Not available in Florida or Puerto Rico

Healthy Hearing

Discount(

HearUSA)

and

hearing assistance

products.

Available in Florida only Hearing Discount( TruHearing) Not available

Personal

in Puerto

Emergency

must be received

at participating

hearing centers.

Rico

Response

System(

Lifeline°

Medical

Alert Systems)

medication

dispensers

and

emergency

response

smartwatch.

Meal

Extra Services( VAIS)

Delivery Discount(

Bill Management

Dental

Health(

Mom' s Meals)

Discounts

Silver Bills)

Discount

Service(

Truthbrush)

Discounts

on

on

on

home delivered

meals

to help support nutritional

monthly bill management

toothbrush

needs.

services.

tracking devices

that monitors

dental

routine

services

habits and performance through

the use of an app. Vision Discount(

EyeMed)

Discounts

from participating providers

on

vision

such

as:

fitting and follow- up, lenses, frames and laser vision correction. Travel Discount( international

Pet Telehealth(

Medical

Group)

Discounts on medical

Discounts

Petzey)

unlimited

and

evacuation

protection

when

travelling outside

pet telehealth visits.

Discount

on

select

laundry services.

Available

Available

Total Wellbeing Discount( SWORKIT)

Discount

on

virtual wellbeing program.

Available

Available

Prescription Medication Discount

Discounts

network pharmacy( Quantity Available

Available

Laundry

Service Discount( Poplin)

on

services

on

select non- covered prescription drugs received

from

a

limits may apply).

Humana Is a Medicare Employer plan with a Medicare contract. Enrollment In this Humana plan depends on contract renewal.

Not far Member Use, Employer Use Only, For Illustrative Purposes

Only

www.

humana.

com/

groupmedicare

2026


Humana Group Medicare

Advontoge

HUMANA GROUP MEDICARE ADVANTAGE OUT- OF- NETWORK BENEFIT ADDENDUM Plan Year01/ 01/ 2027- 12/ 31/ 2027

The benefit information presented here is current as of the date of this document and pending CMS approval. If a change should occur prior to implementation, Humana will clarify any change and notify the group sponsor.

If the member receives covered supplemental services from a provider that is not in- network, they may be eligible for reimbursement. Reimbursement is limited to the benefit maximum and allowances described. All reimbursements are subject to verification of benefits, applicable plan rules, and review of submitted documentation. Humana reserves the right to request additional information or medical records as necessary to determine eligibility. Out- of- Network

Benefit out- of- network

SilverSneakers®

5%

for

Wellness

5%

for out- of-network products/

Coaching

Coverage

received

services

and

Pays:

2026

by the

submitted

member.

2027

Not

Available

Available

services

received and submitted

by the

Not

Available

Available

services

received

by the

Not

Available

Available

Not

Available

Available

Not

Available

Available

Not

Available

Available

Not

Available

Available

member.

Smoking

Cessation(

Additional)

5%

for

out- of- network

products/

and

submitted

member.

Post-

Discharge

Meal Program

5%

for out- of-network post- discharge meals

received and submitted by the

member. Meals received out- of- network reduce the total number of meals allotted to the member per discharze event. Post-

Discharge

Transportation

Services

5%

for out- of-network post- discharge transportation

services

received and

submitted by the member. Services received out- of-network reduce the total number of rides allotted to the member per discharge event.

Supplemental

Post- Discharge

Personal

Home

Virtual Cardiac

Recovery Program(

for out- of- network received post- discharge personal home and submitted by the member. Services received out-of-network reduce

Care

5%

Benefits

care

services

the total number of services allotted to the member per discharge event. Uniformity Flexibility)

Uniformity Flexibility)

Transportation(

5%

for out- of-network services

5% for out- of-network uniform and submitted

available

on

plan)

Personal Emergency

flexibility transportation

member.

services

received

Not Available

Available

by

Not Available

Available

Not

Available

by the member.

5% for out- of- network products/ services received and submitted

Hearing Services( Routine) if

received and submitted by the

the

member.

Response

System

if available on plan)

5%

for out- of-network products/

services

received and submitted

by the

Over- the- Counter Drugs

5% for out- of- network

CenterWelP"

the member. Products received out- of-network reduce the funds allotted

if available

on

Transportation(

if available

plan) Routine)

on

plan)

Available

member. over- the- counter- drugs

received and submitted

by

Not Available

Available

Not

Available

to the member per month/ vear. 5%

for

out- of- network

routine

transportation

services

received

and

Available

submitted by the member. Services received out-of-network reduce the total

number

of rides

allotted

to the

member.

Humana is a Medicare Advantage PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal.

Notfor Member Use; Employer Use Only, Subject to CMS Approval

www.

humana. com/ groupmedicare

Y0040_ GHHB3UBEN_ 27_ M

06/ 05/ 2026


2027

1.

Plan Year

MAA Amendment

The purpose of this Amendment is to amend the Medicare Advantage Agreement currently in place with Cowlitz

County("

Agreement").

is effective January

2.

This Amendment

1, 2027 (" Amendment

3.

The Agreement is hereby amended to add the following new section( s), which shall be incorporated into

Effective

Date").

and made part of the Agreement effective as of the Amendment Effective Date: The relationship between the parties is solely one of independent contractors, and nothing in this Agreement shall be construed or deemed to create any other relationship between the parties, including one of employment, agency, partnership or joint venture. Providing incomplete, inaccurate, or untimely information may void, reduce, or increase premium, or terminate an individual' s coverage or the plan coverage. Only individuals who meet the eligibility requirements of the plan are eligible to maintain coverage. Eligibility and Enrollment Group shall offer enrollment in the Plan to Eligible Persons in compliance with all applicable Laws, including but not limited to, any applicable antidiscrimination Laws. For the avoidance of doubt, coverage

under the Plan for Enrolled

Members

will not become effective

until

enrollment is confirmed by MAO. Group shall not change the timing of its open enrollment period Group shall not change any of its eligibility requirements for the Plan without the prior written approval

of MAO.

Group shall not permit actively working employees or their dependents to enroll in the Plan. Termination by MAO If Plan Sponsor fails to pay premiums due under the Agreement within ninety( 90) calendar days

of the applicable Premium Due Date, MAO may immediately terminate this Agreement following the end of such ninety o ( 90) calendar day period upon written notice to Plan Sponsor. o MAO may terminate the Agreement for any reason effective upon the end of the current plan year( i. e., December 31) by providing at least ninety( 90) calendar days advance written notice

to Plan

Sponsor.

MAO may terminate the Agreement upon at least ninety ( 90) calendar days advance written notice to Plan Sponsor if Plan Sponsor breaches any provision of the Agreement and such breach remains uncured at the end of the notice period or if Plan Sponsor fails to comply with any applicable laws related to offering the Plans, including the requirements described in the Rating Assumptions and Stipulations below.

Dispute

Resolution

All questions as to the execution, validity, interpretation, construction and performance of this Agreement

shall be construed

is situated ( the " Situs State"),

in accordance

with the laws of the state in which the Plan Sponsor

without regard to conflict of laws or principles thereof. Except

where arbitration is required by this Agreement, Group hereby consents to the jurisdiction of the courts the Situs State.

Cowlitz County Amendment No. I PROPRIETARYAND

CONFIDENTIAL 1


All disputes arising out of this Agreement shall be submitted to binding arbitration conducted in accordance with the rules and procedures of alternative dispute resolution and arbitration established by the American Arbitration Association, except as modified hereby. Such arbitration shall be conducted before a single, mutually agreed upon arbitrator. The parties will agree to a schedule for exchange of relevant documents and discovery, and time frame for to reasonable document and discovery requests. The arbitrator shall, at least responding ninety ( 90) calendar days before the date set for the arbitration hearing, convene the parties for the purpose of identifying and narrowing the issues in dispute and confirming or setting forth the applicable procedures and time frames for discovery as required by the nature of the dispute.

Confidentiality and Nondisclosure Plan Sponsor and MAO agree to maintain the confidentiality

of Enrolled

Member identifiable

information as required by Law, including but not limited to the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations (" HIPAA"). Plan Sponsor and MAO may from time to time furnish each other with Confidential Information, written, oral or otherwise. Each party agrees it will use such Confidential Information only for the purpose of exercising its respective rights and responsibilities hereunder, and will not otherwise disclose any Confidential Information to any third party, employees,

agents or representatives

without the other party' s written consent.

Each party

will use the same degree of care, but in any event no less than a reasonable degree of care, to avoid unauthorized use or disclosure of the other party' s Confidential Information as that party uses to protect its own information of a similar nature. The confidentiality obligations set forth in this Agreement will not apply with respect to any that: ( i) the receiving party rightfully possesses at the time of disclosure by the disclosing party without a duty of confidentiality; ( ii) the receiving party receives from a third party authorized to disclose such information without requirements of confidentiality; or ( iii) that the receiving party develops independently of and without reference to the disclosing Information. party' s Confidential In addition, the receiving party may disclose Confidential information

Information of the disclosing party to the extent that the receiving party is required by any applicable governmental authority to do so; provided, however, where permitted by Law, the receiving party gives the disclosing party prompt written notice of such requirement and reasonably cooperates with the disclosing party in attempting to contest or limit such required disclosures,

as applicable.

Plan Sponsor acknowledges

and agrees that due to the unique nature of MAO' s Confidential

Information, there can be no adequate remedy at law for any breach of the Plan Sponsor' s confidentiality obligations under this Agreement, that any such breach may result in harm to MAO, and that, therefore, upon any such breach or threat thereof, MAO will be entitled to seek appropriate equitable relief including, without limitation, injunctive relief. Employer

Group Waiver Premium

Requirements

The Plan Sponsor can subsidize different premium amounts for different classes of enrollees in a plan provided: 1) such classes are reasonable and based on objective business criteria, such as years of service, date of retirement, business location, job category, and nature of compensation ( e. g., salaried vs. hourly), 2) the premium cannot vary for individuals within a given class of enrollees, and 3) the Plan Sponsor must pass through any direct subsidy payments received from CMS to reduce the amount that the beneficiary pays( or in those Cowlitz County Amendment No. I PROPRIETARYAND

CONFIDENTIAL 2


instances where the subscriber to or participant in the plan pays premiums on behalf of a Medicare eligible spouse or dependent, the amount the subscriber or participant pays). With regard to the Part D premium, different classes of enrollees cannot be based on eligibility for the Part D Low- Income Subsidy( LIS). If plan enrollees are entitled to a reduction of their premium as Part D LIS enrollees and Humana receives a Low- Income Premium Subsidy for such enrollees, Humana will pass the Low- Income Premium Subsidy( LIPS) amount through to the LIS enrollees to reduce their premiums. When Humana does not directly bill the Part D enrollees, the Plan Sponsor must directly refund the amount of the LIPS to the LIS beneficiary. Regarding the Part D premium, the Plan Sponsor cannot charge an enrollee for prescription drug coverage provided under the PDP/ MAPD plan more than the sum of his or her monthly beneficiary premium attributable to basic prescription drug coverage and 100% of the monthly beneficiary premium attributable to his or her non- Medicare Part D benefits ( if any). This Agreement may be amended only by a writing executed by both parties. This Agreement, including the Attachments and amendments hereto and the documents incorporated herein, constitutes the entire agreement between MAO and Plan Sponsor with respect to the subject

matter hereof, and it supersedes any other prior agreement, oral or written, between MAO and Group with respect to its subject matter.

Unless otherwise modified by the terms of this Amendment, the terms of the Agreement remain unchanged and in effect.

Cowlitz County Amendment No. I PROPRIETARYAND

CONFIDENTIAL 3


Humana,. Cowlitz County 312 SW 1" Kelso,

Ave

WA 98626

Group Medicare Renewal Agreement In signing this document, you are accepting the renewal, effective January 1, 2027, of the Group Medicare plan( s) submitted by your Humana Account Executive and described in the enclosed renewal package. The new rate is effective January 1, 2027, as indicated in the Rate Sheet( s). For the terms of this renewal to become effective, Humana must receive acceptance

of your renewal no later than September

1, 2026. This will ensure we meet CMS requirements

and provide on-

time delivery of member materials. The

Agreement,

Humana

by and

made

affiliates

that

offer

between

or administer

County, ( hereinafter

Cowlitz

health plans, ( collectively, "

after

referred

Humana")

to

as "

Group")

effective

on

October

and 21",

certain 2020, is

here by amended as follows: 1.

2027

Plan Year Amendment

2.

2027

Rate

sheet

3.

2027

Plan

Design

Exhibit

The attachments listed above, which are in the possession of Group and MAO, are made a part of this Amendment and incorporated by reference whether or not they are attached hereto. You, the Plan Sponsor, understand,

acknowledge,

and agree that:

You have received, and reviewed the enclosed renewal proposal, including rate sheet( s) and Plan Design Exhibit( s). You have reviewed the included Rating Assumptions and Stipulations. Terms of the rate sheet( s) are incorporated Except

as

unchanged

herein.

expressly

provided

in

this

Renewal,

all

other

terms

and

conditions

of the

Agreement

remain

and in full force and effect.

This Agreement, including the Attachments and amendments hereto and the documents incorporated herein, constitutes the entire agreement between

MAO and Plan Sponsor with respect to the subject matter hereof,

and it supersedes any other prior agreement, oral or written, between MAO and Group with respect to its subject

matter.

IN WITNESS WHEREOF, the parties hereto have caused this Renewal to be executed by their duly authorized officers or representatives

as of the date first set forth above.

HUMANA

COWLITZ COUNTY

BY:

BY:

PRINTED:

PRINTED:

TITLE:

TITLE:

DATE:

DATE:

GHHKSAMEN

THE

INFORMATION

TRANSMITTED

IS INTENDED

ONLY

FOR THE

PERSON

OR ENTITY

TO WHICH

IT IS ADDRESSED THE

SENDER

AND

AND

MAY

DELETE

OR

CONTAIN

CONFIDENTIAL

DESTROY

THE

MATERIAL/

MATERIAL. INFORMATION.

IF YOU

RECEIVE

THIS

MATERIAL/

INFORMATION

IN ERROR,

062026

PLEASE

CONTACT


231681

BOCC

Consent

Agenda

Agenda

Meeting Date: 8/ 4/ 2026 Southwest Washington Regional Airport 2025- 2026 Budget

Submitted By: Kelly Grayson, Exec Asst/ Clerk of the Board Submitted For: Kelly Grayson, Exec Asst/ Clerk of the Board Department:

Commissioners

Information

Subject and Summary Statement

Southwest Washington Regional Airport 2025- 2026 Budget. Staff Attendance

Department

Recommendation

Form

User

Task

Grayson,

Agenda

Grayson,

Kelly

Item

Department

Kelly

Review

Action

Timestamp

Submission

Submit

7/ 30/ 2026

8: 47: 00 AM

Approver

Approve

7/ 30/ 2026

8: 53: 00 AM

Approve

7/ 30/ 2026

9: 12: 00 AM

Review Grayson,

Clerk of the Board

Kelly

Review

Approved: BOARD

OF COUNTY

OF COWLITZ

COMMISSIONERS

COUNTY,

WASHINGTON

Richard R. Dahl, Chairman

Steve

Rader,

Commissioner

Steven L. Ferrell, Commissioner

Attest:

Clerk of the Board


2026 Airport U 3erating Budget 2026 Proposed

EXPENDITURES t Office Supplies 2 Professional

Services(

150, 000

Salary and benefits)

3 Professional Services( Financ elAc 4 professional Services(

6

TravellSeminarslTraining

7

Membership

40, 000

c ountinglAdmin)

10, 000

Legal)

5 Telephone, Postage, Copying, Internet( mgmt.

office)

3, 500 2, 000 500

Dues and Fees

1 State Examiner' s Charges

10, 000

9 Leasehold Taxes

10. 000

10

30, 000

Diking Assessment

11 Maintenance

Peimanent

Employee

30, 000 Posted for new hire

Wages

12 Professional Services Maintenance( City of Kelso)

25, 000

13

25, 000

Building Repairs( Hangar Roof and Door Repair, Painting)

14 Repairs

to Landing

15 Repairs

to Electrical(

1ff Repairs

to mowing

100, 000 Crack seal, Nan FAA funded tar'Aapron repairs,

Field

security fence repairs

12, 000

hangar, Bldg)

Navigational;

5, 000

Equipment

17 Vehicle Maintenance( oil, repairs,

3, 500

license tab)

Marketing materials, Project bids, and assist

18

Advertising l Promotions( Signs, promo materials,

19

Operating

20

Safety Supplies-( Decoys. Signing, Windsocks, Fire eat.)

etc.)

Supplies( Lights, paint, small ha( dware, herbicides]

21 FUEL( for airport

vehicle&

Airport

office, hangars, navigation equip)

6, 000

27 Miscellaneoustmisc..

annual BNSF easement cost)

28 Large purchases: Fuel Storage

2, 000

10, 000 Maint truck Snow plow blade attachment

Tanks( Annual Bus. Lic. Renewal;

29

ti

30

Engineering Contract: Century West

htness com

3, 500 15, 000

Management

26 Sanitation

Annual

3, 000

liance and annual CP Tes tin q

50, 000

31 Sponsor( Airport) Local match- FAA Projects

180, 000 project 6, 000, 000 FAAAIP Grant

32 20n FAA Runwayll- ighting Rehab Construction 33 2027 FAA NW Ramp lApron Rehabilitation Project- DESIGN 34 WSOOT Loan Repayment( annual) on S1. 2mOlion loan AIRPORT

TOTAL

EXPENDITURES

L161 FAA Funded Capital Project expenses in VeHow cells 37_

2, 000

35, 000

25 Garb agelWaterlStormwater

S51

4, 000

1, 00D

23 Insurances

Electricity(

5, 040 FeO with marketing airport events.

2, 000

mowing)

22 Small Tools and Equipment

24

NOTES

2, 000

Non FAA Funded

Capital Project

Expenses

in Tan ceps

300. 000 project 3. 383 20 year loan term( 2042) 7J55, 311


REVE17E 1

BeaiwmF

Fund Balance

Leasehold

Excise--

2026 Proposed

Notes

137, 843

Leasehold

excise

from State

9, 000. 00 Based offgrowth from 2024

3

IiA—

4

ILA— Fuel Svstem:

5

ILa—

6

ILA.- Fuel System: Cowhtx County,

15. 000. 00 Per ILA

7

ILA—Operating:

Citt• ofLongciew

76, 000. 00 Per ILA

8

MA— Fuel

Sy stem: City of Lonviet<

15, 000. 00 Per ILA

9

ILA- Port ofLong. iew

10

ELA— Fuel Syst=

11

Interest Income

y of Kelso

76, 000, 00 Per ILA

City of Kelso

15, 000. 00 Per ILA

Couiitx County

6, 000. 00 Per ILA

C'

eratfrt :

era":

76FOOO- 00 Per ILA

Port ofLon

15, 000. 00 Per ILA

iew

28, 000. 00 Reflective of 20251TD 5, 000, 00

12

Interest Income Reserve

13

Hangar Leases

Id

Land Leases(

15

Rentals-

16

FBO. Aeseement

17

2025 FAA Grant: Runway

lighting

18

2026 FAA Grant Runwav

Liahtina Rehab COST

19

2025 WSDOT Grant Runwa

20

2026 WSDOT Grant RunW2y/ L4ftdng Rehab CONST

173, 257. 00 ESTL%LkTED CPI increase Life Flight, Prime, Her 59, Hgr 41- 43.

etc.)

15, 952. 00

Building 40 Apartment

1. 400, 00 Rate increase 6 2027 Rehab DESIGN

j

520, 000. 00

5, 700, 000. 00 Pending Gant award

Rehab DESIGN

14, 000. 00

150. 000. 00 Pending Grant award

1 Z_

7, 155, 388. 00

TOT. kL. kN-\-- k ? AIRPORT REVENUE

3 1

25

Annual Revenue Less Capital Project Groats&

26

iDirect Operating Revenue( vrithout Enrim Subsidies)

federal Aviation Administration( WSDOT Grant

Funding

Loans

FAA) Grant Funding

of 20o

36, 936. 00 ESM.'LkTED CPI increase of 2. 6%

771, 33E 198AS


231296

BOCC

Consent

Agenda

Agenda

Meeting Date: 8/ 4/ 2026 EASEMENT- Leachate Line- Pig Station# 1 - Clark Submitted By: Emilie Cochrane, Lead Admin Assistant III Submitted For: Susan Eugenis, County Engineer Department:

Roads

Administration

Information

Subject and Summary Statement

Attached is a Perpetual Easement between Cowlitz County and Raymond and Viola Clark, landowners of parcels

61698 and 61721 for permanent access to the Pig Station# 1 leachate transmission pipeline. Said easement was recorded on June 29, 2026 under Auditor' s File Number 3792312. Cowlitz County has paid to the Clark' s

1, 400. 00 and will have a one- time placement of surface gravel as prudent and reasonable for the perpetual access to the pipeline as just compensation. Staff Attendance Susan

Eugenis

Department

Recommendation

It is the recommendation with Raymond

of the Department

of Public Works that the Board acknowledge

Form

Task

User Cochrane,

Emilie

Lunday, Anna

the Perpetual

Easement

and Viola Clark for the official record.

Agenda

Item

Preliminary

Review

Action

Timestamp

Submit

7/ 23/ 2026

3: 36: 00 PM

Review-

Submit

7/ 27/ 2026

6: 07: 00 AM

Approver

Approve

7/ 27/ 2026

8: 13: 00 AM

Approve

7/ 27/ 2026

9: 55: 00 AM

Submission

PW1 Eugenis,

Susan

Department Review

Grayson,

Kelly

Clerk of the Board Review


0

After Recording Return Document to:

Cowlitz County Dept of Public Works 1600— 13` h Avenue Kelso,

South

WA 98626- 2851

3792312 06/ 29/ 2026 Easement

03

35.

40

COWLITZ

PM

COUNTY

Cowlitz County Washington I

Pages

DEPTRRTMENT

4

OF PUBLIC

WORKS

IIIIIII IIIIII I I IIII IIIIIII IIIIII IIII IIII IIIII I I I IIIIIII III IIIII I I I IIIII I I IIII

Document Title: Easement Grantor( s): Raymond Grantee( s):

Clark and Viola Clark

Cowlitz County

Abbr. Description: King DLC 14 - 8N - 2W T- 28A EXC FEE 747863 Legal Description: Additional

Page 3

Depiction:

Page 4

Assessor' s Tax Parcel Number: 61698 and 61721 ReoeKed sEXEMPTeciset3< Ned AFFIDAVITNO. ^ _ CCMA

IJ)

C ) UNTYTREASIJRr- P

D&-

PERPETUAL ACCESS

EASEMENT Project 2941

Pig Station # 1 Leachate Line The Grantors, Raymond Clark and Viola Clark, each as their separate estate,

for and in

consideration

of TEN

AND

NO/ 100 ($ 10. 00) DOLLARS,

and

other valuable consideration, conveys and grants unto the COWLITZ COUNTY, a political subdivision of the State of Washington, and its assigns, Grantee, a nonexclusive perpetual access easement in, upon, over, under, and across the property described delineated purposes

on

on

the attached

the attached

of accessing

the pig

Exhibit " station #

Exhibit " B"

A",

and being more particularly

for the purpose of ingress and egress

1 leachate line.

It is understood and agreed that delivery of this permanent easement is hereby tendered and that the terms and obligations hereof shall not become binding upon the COWLITZ COUNTY unless and until accepted and approved hereon in

writing for the COWLITZ COUNTY, by its authorized agent.

Page 1 of 4

Parcel Number: 61698 and 61721

306 50


J601

Dated:

3

2026

GRANTORS:

B

By:

Name:

Raymond Clark

STATE

OF WASHINGTON

County of

(.

Name: Viola Clark

qu.)Ilf2-

1- 61(

J

UA 0 2026, before me personally appeared Raymond day of and Viola Clark, to me known to be the individuals described in and who executed the On this :;

foregoing instrument and acknowledged that they signed and sealed as their free and voluntary act and deed, for the uses and purposes therein mentioned.

A4 A— A-

AM

LUNDAY

Notary Public in and fort a State of Washington

Notary Public state

My commission expires

My Comm. Expires Apr 21, 2029

ACCEPTED

BOARD

1

THIS

OF COUNTY

OF COWLITZ

7- r [

2026

COMMISSIONERS

COUNTY,

WASHINGTON

Vi

GC. CIrW,

Y 1, CC- W-& l

Authorized to sign by Board per RCW 36. 32. 100)

flu, I

Kelly Grayson,

oarsOWLITZ

Clerk oft w

0

1'

71

0

217,9

1

DAY OF

S

Attested b

P

Residing at:

of Washington

Commission 11 21016124

COUNTY WASHINGTON

Cok Litz Cvu nt`l

Page 2 of 4

Wt- Gt l


EXHIBIT A

A strip of land in the Wm. King Donation Land Claim Township 8 North, Range 2 West of the W. M., 40. 0 feet in width, being 20. 0 feet on either side of the following described center line: i

Beginning at a point 0. 3 feet south and 319. 2 feet West of the Northwest Corner of Tract No. 1 of Holcomb Homes No. 2 as recorded in Volume 7, page 62, Plat Records of Cowlitz County, Washington, said point of beginning being also the Northwest corner of the Honkanen tract as said tract is described in Volume 280, at page 240 Deed Records of Cowlitz County, Washington;

Thence South 0° 03' 30" West along the Westerly line of the Honkanen tract 533. 85 feet, more or less, to the Northerly line of the Rocky Point Loop County Road and the terminus of this line.

Page 3 of 4


I I

EXHIBIT 'B'

61721

61698

20'

20'

HOLCOMB RD

PROJECT

ID:

2941

PARCEL

NUMBER:

61698&

61721

SCALE:

NTS


231447

BOCC

Consent

Agenda

Agenda

Meeting Date: 8/ 4/ 2026 Federal Energy Regulatory Commission ( FERC) letter dated 07/ 27/ 2026 regarding the Authorization for Construction,

Right Abutment Seepage Monitoring

Im

Submitted By: Pervie Nancy Reed, Administrative Assistant III Submitted For: Pervie Nancy Reed, Administrative Assistant III Department:

Commissioners

Information

Subject and Summary Statement

Federal Energy Regulatory Commission (FERC) letter dated 07/ 27/ 2026 regarding the Authorization for Construction, Right Abutment Seepage Monitoring Improvements, Swift No. 1 Projects. Staff Attendance

Department

Recommendation

Form

User

Task

Reed, Pervie

Agenda

Grayson,

Department

Kelly

Item

Review

Action

Timestamp

Submission

Submit

7/ 27/ 2026

3: 09: 00 PM

Approver

Approve

7/ 27/ 2026

3: 42: 00 PM

Approve

7/ 28/ 2026

7: 55: 00 AM

Review Grayson,

Kelly

Clerk of the Board Review


FEDERAL ENERGY REGULATORY

COMMISSION

Office of Energy Projects Division

of Dam

Safety and Inspections — Portland Regional Office July 17, 2026 In reply refer to: P- 2111

VIA Electronic Mail Mr. William

RECFNEp

Shallenberger

J( JL Z

Vice President, Renewable Resources

will. shallenberger@pacificorp. Subject:

7

2026 COMMfSSIp NERS 0 MCi

PacifiCorp com

Authorization for Construction, Right Abutment Seepage Monitoring Improvements,

Swift No. 1 Project

Dear Mr. Shallenberger:

This letter is to acknowledge your October 30, 2025 letter transmitting information

related to the proposed Right Abutment Seepage Monitoring Improvements at the Swift No. 1 Project, FERC No. 2111.

Our review did not find any significant deficiencies or errors that would affect the

safety of the project works or the adequacy of the project works to perform their intended functions. You are authorized to begin construction of the Right Abutment Seepage Monitoring Improvements.

You are reminded that prior to start of work, all necessary preconstruction license article requirements must be met. In addition, all of the necessary state, local, and federal

permits that are required must be secured. During construction, it is your responsibility to ensure that construction practices conform to the requirements of the Project License and

applicable permits, to minimize erosion and other environmental impacts. Changes During Construction

If the plans and specifications are revised during the construction process, it is

your responsibility to ensure these changes are properly coordinated between the

Engineer-of-Record, Project Manager, Chief Dam Safety Engineer, and the FERC in

advance. If any changes are made that require a change in the operation of the project, it

is your responsibility to ensure these changes are properly coordinated with the FERC.

Substantial deviations from the authorized set of plans and specifications are not except in

permitted without prior coordination

and separate

authorization

from this office,


2

response to a condition that affects the safety of project works ( as defined in 18 CFR 12. 3).

In lieu of a standalone construction report, this construction may be documented in the subsequent

annual Dam Safe

Surveillance and Monitoring Report (DSSMR).

Within 60 days after completion of the work, please provide a plan and schedule to

update the Dam Safety Surveillance and Monitoring Plan ( DSSMP) to include the additional instrumentation and the monitoring procedures and frequencies.

File your submittal using the Commission' s eFiling system at https://

www. ferc.gov/ ferc- online/ overview. When eFiling, select Hydro: Dam Safety and

Portland Regional Office from the eFiling menu. The cover page of the filing must indicate that the material was eFiled. For assistance with eFiling, contact FERC Online Support at FERCOnlineSu

art

ferc.

ov, ( 866)

208- 3676 ( toll free), or ( 202) 502- 8659

TTY).

You are also reminded that any Exhibit Drawings affected by the construction are to be updated and filed with the Secretary of the Commission ( not to the Portland Regional Office) within 90 days following the completion of construction. Thank you for your continued cooperation and interest in dam safety. If you have any questions, please contact Mr. Justin Nettle of this office at ( 503) 552- 2714. Sincerely,

ERIC

Digitally signed by ERIC KENNEDY

KENNEDY 073 04 oaoo Eric Kennedy, P. E. Regional Engineer

7


231445

BOCC

Consent

Agenda

Agenda

Meeting Date: 8/ 4/ 2026 Federal Energy Regulatory Commission ( FERC) letter dated 07/ 27/ 2026 regarding the Part 12D Inspection Plan and Independent Consultant( IC) Team Propo

Submitted By: Pervie Nancy Reed, Administrative Assistant III Submitted For: Pervie Nancy Reed, Administrative Assistant III Department:

Commissioners

Information

Subject and Summary Statement

Federal Energy Regulatory Commission (FERC) letter dated 07/ 27/ 2026 regarding the Part 12D Inspection Plan and Independent Consultant( IC) Team Proposal, Comprehensive Merwin

Hydroelectric

Assessment of the

Project.

Staff Attendance

Department

Recommendation

Form

User

Task

Reed, Pervie

Agenda

Grayson,

Kelly

Department

Kelly

Clerk of the Board

Item Submission Approver

Review

Action

Timestamp

Submit

7/ 27/ 2026

3: 06: 00 PM

Approve

7/ 27/ 2026

3: 10: 00 PM

Approve

7/ 27/ 2026

3: 42: 00 PM

Review Grayson,

Review


FEDERAL ENERGY REGULATORY COMMISSION Office of Energy Projects

Division of Dam Safety and Inspections 888 First Street, NE Routing Code:

PJ- 13

Washington, DC 20426 202) 502- 6314 Office

July 13, 2026 In reply refer to: P- 935- WA

RECEVO VIA Electronic Mail

JUL Mr. William

N11SS10NERS 0

Shallenberger

Vice President, Renewable Resources

PacifiCorp will.shallenberger@Xacificorp. com Subject:

Part 12D Inspection Plan and Independent Consultant ( IC) Team Proposal, Comprehensive Assessment of the Merwin Hydroelectric Project

Dear Mr. Shallenberger:

You filed a letter dated June 15, 2026, transmitting the Part 12D Inspection Plan Inspection Plan) for the Comprehensive Assessment ( CA) of the Merwin Hydroelectric

Project, FERC No. 935. We have reviewed the Inspection Plan and have the following comments:

1.

The resumes provided for Mr. Henrik Forsling and Mr. Joshua Paquet demonstrate that

they fulfill the requirements

of 18 CFR § 12. 31( a) and have the appropriate

experience and expertise to serve in the proposed role as IC. They are thus approved for that role. 2.

The Inspection Plan demonstrates that the supporting IC Team members and

proposed Subject Matter Experts ( SME) of Messrs. Chris Clopper, Mark Dober, Ben Meyers, Casey Robertson, Doug Yadon, and Dr. Charles Crouse meet the requirements

of 18 CFR § 12. 31( b) and have the appropriate experience and

expertise to serve as IC Team members for the project features and type of inspection identified in the Inspection Plan. They are thus approved for that role. 3.

The Inspection Plan identifies Ms. Julie Smolarek as the PFMA/ L2RA facilitator.

Her resume indicates that she has the required risk facilitator training and fulfils the requirements of Section 17- 4. 3. 3 and Section 18- 5. 3 of Chapters 17 and 18,

respectively, of our Engineering Guidelines, and is thus approved for that role. It should be noted that we are not currently enforcing

the

project risk analysis


2

experience requirements included in Section 18- 5. 3 of Chapter 18 of our

Engineering Guidelines. 4.

The Inspection Plan lists Ms. Christina Bennetts as a PFMA/ L2RA Recorder and includes her resume. Since Ms. Bennetts will not serve as a Subject Matter Expert SME) for the CA, she is considered as support staff and not a formal IC Team

member needing our approval. 5.

Your Inspection Plan indicates that a boat will be required to perform parts of the field inspection, and we note that previous inspections have required safety harnesses for observation of the spillway apron. Coordinate with all participants who will be inspecting special access areas to ensure that they will have the appropriate Personal Protective Equipment ( e. g., personal floatation devices, harnesses).

Per 18 CFR §

12. 34( a), you are required to obtain the approval of the IC Team and

the PFMA/ L2RA facilitator from the Director, Division of Dam Safety and Inspections, prior to the performance of this CA. This letter constitutes approval of the proposed IC Team comprising Messrs. Forsling and Paquet as the ICs; Messrs. Clopper, Dober, Meyers, Robertson, Yadon, and Dr. Crouse as IC Team Members; Ms. Smolarek as the

PFMA/L2RA facilitator; and the Inspection Plan by the Director, Division of Dam Safety and Inspections.

No response is required to this letter. The Pre- Inspection Preparation Report

PIPR) is the next submittal due for this CA. The PIPR must be submitted at least 30 days in advance of the first IC Team activity as described in 18 CFR § 12. 42, which makes it

due no later than 30 days before your field inspection; therefore, the due date for the

PIPR is January 9, 2027. You may submit the PIPR earlier than that, as proposed in the

Inspection Plan, but we recommend that you give your IC Team additional time to

prepare atthehttps:// CA-PIPR, if needed. File your submittal using the Commission' s eFiling system

www. ferc- gov/ferc- online/ overview. When eFiling, select: Hydro; Dam

Safety and Portland Regional Office from the eFiling menu. The cover page of the filing

must indicate that the material was eFiled. For assistance with eFiling, contact FERC Online Support at FERCOnlineSu

502- 8659 ( TTY). I•

ort

ferc.

ov, ( 866)

208- 3676 ( toll free), or( 202)


3

Thank you for your continued cooperation and interest in dam safety. If you have any general questions, contact me at ( 202) 502- 8494 or duncan. gatenbee( a),ferc. gov. For questions related to PFMA/ L2RA session and/ or facilitator, contact Mr. Calvin Barefoot at ( 678) 245- 3064 or calvin. barefoot@ferc. gov.

Sincerely,

JO HIV^ GATENBEE

Digitally signed by JOHN GATENBEE Date:;

6- 04'00'

3

J. Duncan Gatenbee, P. E., C. F. M. Civil Engineer Division of Dam Safety and Inspections


Motion

231490

BOCC

Item

Agenda

Meeting Date: 8/ 4/ 2026 BID AWARD- South Toutle Road Headwall Repair Project no. 1851- Western United Civil Group Submitted By: Averie Mejia, Administrative Assistant III Submitted For: Susan Eugenis, County Engineer Department:

Roads

Administration

Information

Subject and Summary Statement

Bids were received and opened on July 27, 2026 for the South Toutle Headwall Repair Project. The County received five bids as shown in the attached bid tabulation. Staff Attendance Susan

Eugenis

Department

Recommendation

It is the recommendation

of the Department

of Public Works that the Board move to award the South Toutle

Headwall Repair Project to the lowest responsible bidder, Western United Civil Group, LLC, at a total cost of 167, 700.

Form

Task

User Mejia,

Averie

Eugenis,

Action

Timestamp

Submit

7/ 28/ 2026

8: 51: 00 AM

Review-

Submit

7/ 28/ 2026

5: 20: 00 PM

Approver

Approve

7/ 28/ 2026

5: 21: 00 PM

Legal Review

Approve

7/ 29/ 2026

8: 45: 00 AM

Clerk of the Board

Approve

7/ 29/ 2026

8: 50: 00 AM

Agenda

Susan

Review

Item

Preliminary

Submission

PW1 Eugenis,

Susan

Department Review

Jensen,

Doug

Grayson,

Kelly

Review

Approved: BOARD

OF COUNTY

OF COWLITZ

COMMISSIONERS

COUNTY,

WASHINGTON

Richard R. Dahl, Chairman


Motion

231490

Steve

Rader,

Commissioner

Steven L. Ferrell, Commissioner

Attest:

Clerk of the Board

Item


BID TABULATION

Project Name

S Toutle Rd Headwall

Bid Opening Date

July 27, 2026

Project No.

1851

Repair

Western United Civil Group LLC PO Box 236 Yacolt, WA 98675

Engineer' s Estimate

360)

Bid Item

Item

Unit

Quantity

No.

309- 7114

Unit

Total

Unit

Total

Price

Amount

Price

Amount

1

Miscellaneous Construction

FA

1

10, 000. 00

10, 000. 00

10, 000. 00€

10, 000. 00

2

Structure Surveying

LS

1

5, 000.00

5, 000.00

15, 000. 00€

15, 000. 00

3

Mobilization

LS

1

40,000.00

40, 000.00

15, 000. 00€

15, 000. 00

4

Project Temporary Traffic Control

LS

1

16, 000. 00

16, 000.00

45, 000. 00

45, 000. 00

5

Clearing and Grubbing

LS

1

7, 500. 00

7, 500. 00

5, 000. 00

5, 000. 00

6

Erosion Control and Water Pollution Prevention

LS

1

6, 500. 00

6, 500.00

4, 500. 00

4, 500. 00

7

Potholing

EA

3

1, 500.00

4, 500.00

1, 200. 00€

3, 600. 00

8

Spiralnail

EA

48

2, 000. 00

96, 000.00

1, 100. 00

52, 800. 00

9

Facing Mat

SY

58

235. 00

13, 630. 00

100. 00€

5, 800. 00

10

Waler Beam

LS

1

2, 400. 00

2, 400. 00

6, 000. 00€

6, 000. 00

11

Timber Cribbing

LS

1

1, 200. 00

1, 200. 00

5, 000. 00€

202, 730. 00

167, 700. 00

Grand Total

202, 730. 00

167, 700. 00

Bids have been reviewed for accuracy, unbalancing of bid items, and tabulations checked.

CERTIFIED BY:

5, 000. 00

Subtotal

Tig"

Ne, Q/ a.

4-u

DATE: 07/ 27/ 2026

PRINTED NAME: Tiffany Nelson

TITLE: Accounting Specialist III

Page 1 of 3


BID TABULATION

Project Name

S Toutle Rd Headwall

Bid Opening Date

July 27, 2026

Project No.

1851

Repair

RW Lockwood

Construction

3301

Lawrence

South

Tacoma, 253)

Item

Bid Item

Unit

Quantity

No.

Inc

DeWitt Construction 10311 NE 72nd

WA 98409

Inc.

PO Box 1707

Vancouver, WA 98686

306- 2071

360)

Quigg Bros., Inc

Ave

Aberdeen,

576- 8755

360)

WA 98520

533- 1530

Unit

Total

Unit

Total

Unit

Total

Price

Amount

Price

Amount

Price

Amount

1

Miscellaneous Construction

FA

1

10, 000. 00€

10, 000. 00

10, 000. 00€

10, 000. 00

10, 000. 00€

10, 000. 00

2

Structure Surveying

LS

1

3, 902. 00€

3, 902. 00

10, 000. 00€

10, 000.00

10, 000. 00€

10, 000. 00

3

Mobilization

LS

1

3, 922. 50€

3, 922. 50

17, 400. 00€

17, 400.00

25, 000. 00€

25, 000. 00

4

Project Temporary Traffic Control

LS

1

45, 360. 00

45, 360.00

49, 000. 00

49, 000.00

33, 000. 00

33, 000. 00

5

Clearing and Grubbing

LS

1

9, 213. 75

9, 213. 75

3, 300. 00

3, 300. 00

20, 000. 00

20, 000. 00

6

Erosion Control and Water Pollution Prevention

LS

1

2, 835. 00

2, 835. 00

4, 000. 00

4, 000.00

5, 000. 00

5, 000. 00

7

Potholing

EA

3

1, 842. 75 €

5, 528. 25

1, 950.00

3, 000. 00€

9, 000. 00

8

Spiralnail

EA

48

1, 033. 59

49, 612. 32

1, 250. 00

60, 000.00

1, 600. 00

76, 800. 00

650.00€

9

Facing Mat

SY

58

610. 99€

35, 437. 42

230. 00€

13, 340. 00

300. 00€

17, 400. 00

10

Waler Beam

LS

1

3, 593. 75 €

3, 593. 75

4, 000. 00€

4, 000. 00

10, 000. 00€

10, 000. 00

11

Timber Cribbing

LS

1

3, 593. 75 €

3, 593. 75

3, 000. 00€

3, 000. 00

1, 000. 00€

1, 000. 00

Subtotal

172, 998. 74

175, 990. 00

217, 200. 00

Grand Total

172, 998. 74

175, 990. 00

217, 200. 00

Bids have been reviewed for accuracy, unbalancing of bid items, and tabulations checked.

CERTIFIED

BY:

Tig"

Ne "

u DATE: 07/ 27/ 2026 4

PRINTED NAME: Tiffany Nelson

TITLE: Accounting Specialist III

Page 2 of 3


BID TABULATION

Project Name

S Toutle Rd Headwall

Bid Opening Date

July 27, 2026

Project No.

1851

Repair

Conway Construction Company 6620 NW Whitney

Rd, Suite 100

Vancouver, WA 98665 360)

Bid Item

Item

Unit

Quantity

No.

887- 3022

Unit

Total

Price

Amount

1

Miscellaneous Construction

FA

1

10, 000. 00€

2

Structure Surveying

LS

1

5, 000. 00€

5, 000. 00

3

Mobilization

LS

1

25, 007. 99 €

25, 007. 99

10, 000. 00

4

Project Temporary Traffic Control

LS

1

60, 000. 00

60, 000. 00

5

Clearing and Grubbing

LS

1

15, 000. 00

15, 000. 00

6

Erosion Control and Water Pollution Prevention

LS

1

5, 000. 00

5, 000. 00

7

Potholing

EA

3

1, 250. 00€

3, 750. 00

8

Spiralnail

EA

48

2, 265. 00

108, 720. 00

9

Facing Mat

SY

58

250. 00€

14, 500. 00

10

Waler Beam

LS

1

3, 000. 00€

3, 000. 00

11

Timber Cribbing

LS

1

500. 00€

250,477. 99

Grand Total

250, 477. 99

Bids have been reviewed for accuracy, unbalancing of bid items, and tabulations checked.

CERTIFIED

BY:

`

500. 00

Subtotal

tffo

Aj, N

DATE: 07/ 27/ 2026

PRINTED NAME: Tiffany Nelson

TITLE: Accounting Specialist III

Page 3 of 3


231667

BOCC

Motion

Item

Agenda

Meeting Date: 8/ 4/ 2026 Dept of Social &

WA State

Health Services

Submitted By: Amanda Foshaug, Accounting Specialist II Submitted For: Gena James, HHS Deputy Director Department:

Human

Services

Dept

Information

Subject and Summary Statement

This contract with Washington State Department of Social and Health Services provides funding for the Developmental Disability Program. Cowlitz County Health& Human Services passes this funding down to qualified providers for adult employment and day services as well as services for children from birth to three years of age. Contract/ SOW Name

Current

Original

0

ITotal

Change 2, 745, 890. 00

$

ITime Period

2, 745, 890. 00

7/ 01/ 26- 6/ 30/ 27

Staff Attendance Gena

James

Department

It is the

Recommendation

recommendation

Commissioner

of the Cowlitz

County Health&

move to approve this agreement

Human Services that the Board of

with the Washington

State Department

of Social and

Health Services.

Form

User

Task

Foshaug, Amanda

Agenda

Drake,

Jamie

Preliminary

Review-

James,

Gena

Department

Approver

Item

Submission HHS

Review

Action

Timestamp

Submit

7/ 29/ 2026

4: 27: 00 PM

Approve

7/ 29/ 2026

4: 55: 00 PM

Approve

7/ 30/ 2026

8: 42: 00 AM

Review Berger, David

Legal Review

Approve

7/ 30/ 2026

8: 51: 00 AM

Grayson,

Clerk of the Board

Approve

7/ 30/ 2026

8: 53: 00 AM

Kelly

Review

Approved: BOARD

OF COUNTY

OF COWLITZ

COMMISSIONERS

COUNTY,

WASHINGTON


Motion

231667

Richard R. Dahl, Chairman

Steve

Rader,

Commissioner

Steven L. Ferrell, Commissioner

Attest:

Clerk of the Board

Item


DSHS Agreement Number

COUNTY

DSHS Department Department

2663- 69480

PROGRAM AGREEMENT

STATE

of Social

and Health Services

DDCS County Services This Program

Agreement

is

by and

between

the State of Washington

Social and Health

Administration

of

Department

Agreement

and Services ( DSHS) and the County identified conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. ADMINISTRATION

DSHS

DSHS

Disabilities

Developmental

DIVISION

Division

Admin DSHS

is issued in

below,

DSHS

of Developmental

INDEX

or Division

Number

County Agreement Number

NUMBER

DSHS

1136

CONTRACT

CODE

1769CS- 63

Disabilities CONTACT

Wendi

DSHS

NAME AND TITLE

ADDRESS

PO BOX 45315

Winchel

Regional

CONTACT

Business

Manager

Olympia, WA DSHS

CONTACT

TELEPHONE

360

725- 4264

COUNTY

NAME

Cowlitz Cowlitz

County County DDA County

COUNTY

FEDERAL

DSHS

CONTACT

360

586- 6502 COUNTY

EMPLOYER

1952 Services

98504- 5315

FAX

DSHS

CONTACT

E- MAIL

wend i. winchel@dshs. wa. gov

ADDRESS

9th Avenue

Longview, WA 98632 COUNTY

IDENTIFICATION

CONTACT

NAME

NUMBER

Sue Saxton COUNTY

360

CONTACT

COUNTY

TELEPHONE

414- 5599

IS THE COUNTY

360

A SUBRECIPIENT

FOR PURPOSES

CONTACT

COUNTY

FAX

501- 1207

OF THIS

CONTACT

saxtons@cowlitzwa.

E- MAIL

gov

ASSISTANCE LISTING NUMBERS

PROGRAM

AGREEMENT?

No PROGRAM

AGREEMENT

START

DATE

07/ 01/ 2026 EXHIBITS.

PROGRAM

AGREEMENT

END DATE

MAXIMUM

06/ 30/ 2027 The following Exhibits are attached:

PROGRAM

AGREEMENT

AMOUNT

2, 745, 890. 00 Exhibit A— Data

Security Requirements;

Exhibit

B— Budget

and

Spending Plan By their signatures below, the parties agree to the terms and conditions of this County Program Agreement and all documents incorporated by reference. No other understandings or representations, oral or otherwise, regarding the subject matter of this Program Agreement shall be deemed to exist or bind the parties. The parties signing below certify that

they are authorized

COUNTY

SIGNATURE(

to sign this Program

S)

Agree

nt. PRINTED NAME( S) AND TITLE( S)

DATE( S) SIGNED

BOARD OF COUNTY COMMISSIONERS OF COWLITZ Richard

DSHS

SIGNATURE

PRINTED

COUNTY, WASHINGTON

Dahl, Chairman

NAME

AND TITLE

DATE

SIGNED

Pagel DSHS Central Contract Services 1769CS

County Agreement(

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Special

1.

Definitions

Specific

to Program

Terms

Agreement:

and Conditions

The words and phrases listed below, as used in this

Program Agreement, shall each have the following definitions: a. "

Acuity Level" means the level of a Client' s abilities and needs as determined through the DDCS assessment.

b. "

ALTSA Web Access ( AWA)"

means a web- based portal to the Developmental

Disabilities

Community Services CARE system designed to support county services for DDCS clients. c.

"

Additional

Consumer

Services"

refers to indirect

Client service

types as follows:

1) "

Community Information and Education": Activities to inform and/ or educate the general public about developmental disabilities and related services. These may include information and referral services; activities aimed at promoting public awareness and involvement; and community consultation, capacity building and organization activities.

2) "

Training": To increase the job related skills and knowledge of staff, providers, volunteers, or interning students in the provision of services to people with developmental disabilities. Also to enhance program related skills of board or advisory board members.

3) "

Other Activities" reserved for special projects and demonstrations categorized into the following types:

a) Infrastructure projects: Projects in support of Clients ( services not easily tracked back to a specific working age Client) or that directly benefit a Client(s) but the Client is not of working Examples include planning services like generic job development e. g. " Project age. Search".

b) Start- up projects: Projects that support an agency or directly benefit the agency. Examples include equipment purchases and agency administrative support. c) Partnership Project: Collaborative partnerships with school districts, employment providers, DVR, families, employers and other community collaborators needed to provide the employment supports and services young adults with developmental

disabilities require to

become employed during the school year they turn twenty-one ( 21). d. "

Budget

and

Accounting Reporting System ( BARS)"

means

a master

classification

of balance

sheet, revenue and expenditure/ expense accounts. e. "

Client" means a person with a developmental disability as defined in chapter 388- 823 WAC who is currently eligible and active with the Developmental Disabilities Community Services or is an identified

f.

PASRR

Client.

" Competitive

Integrated Employment" means work performed by a Client on a part- time or full- time basis, within an integrated setting within the community that meets HCBS settings requirements.

The Client must be compensated

at minimum wage or higher, using the higher of the Federal,

State, or local rate, and at a rate comparable to the wage paid to non- disabled workers performing the same tasks, including receiving the same benefits and opportunities for advancement. g. "

Consumer Support" refers to direct Client service types as follows: 1) "

Community Inclusion"

or"

Cl":

means individualized services provided in integrated community

settings with other individuals without disabilities.

The activities are based on Client interests Page 2

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Special

Terms

and Conditions

and provide opportunities typically experienced by the general public of similar age in their local community, accessible by public transit or a reasonable commute from their home. The goal of the service is to support clients to participate, contribute, and develop relationships

with

community members who are not paid staff. These services may be authorized for individuals age 62 and older. These services may be authorized in addition to or instead of employment

support ( Individual Employment or Group Supported Employment) for working age individuals who have received

2) " Child

nine months

Development

Services"

of employment

or"

CDS":

support.

Birth to three services

are designed

to meet the

developmental needs of each eligible child and the needs of the family related to enhancing the child' s development. Service may include assistive technology, audiology, family training/ home visits, health services, medical services, nursing services, nutrition services, occupational therapy, physical therapy, psychological

services, sign language, social work, special

instruction, speech- language pathology, vision, and transportation. Services are provided in natural

environments

3) " Individual

Supported

employment

to the maximum

extent appropriate.

Employment"

IE":

or"

services are a part of a Client' s pathway to

and are tailored to individual needs, interests, and abilities, and promote career

development. These are individualized services necessary to help persons with developmental disabilities

obtain

and continue

integrated

employment

at or above

the state' s minimum

wage

in

the general workforce. These services may include intake, discovery, assessment, job preparation, job marketing, job supports, record keeping and support to maintain a job. 4) " Individualized

Technical Assistance" or" ITA": services are a part of a Client' s pathway to individual employment or community inclusion. This service provides assessment and

consultation to the provider to identify and address existing barriers to employment or

community inclusion. This is in addition to supports received through supported employment or community inclusion services for Clients who have not yet achieved their goal. 5) "

Group Supported Employment" or" GSE": services are a part of a Client' s pathway to integrated jobs in typical community employment. These services are intended to be short term and offer ongoing supervised employment for groups of no more than eight ( 8) workers with disabilities in the same setting. The service outcome is sustained paid employment leading to further career development

in integrated

employment

at or above

minimum

wage.

Examples

include

enclaves, mobile crews, and other business models employing small groups of workers with disabilities in integrated employment h. "

in community settings.

County" is the political subdivision of the state of Washington and the county or counties entering into this Program

Agreement.

i. "

DDCS Case Resource Manager ( CRM)" means a case manager for DDCS Clients.

j. "

County Service

k. " Developmental

Authorization (

CSA)"

means an authorization

for county services.

disabilities ( DD)"

means a disability attributable to intellectual disability, cerebral palsy, epilepsy, autism, or another neurological or other condition of an individual found by the secretary to be closely related to an intellectual disability or to require treatment similar to that required for individuals with intellectual disabilities, which disability originates before the individual attains age eighteen, which has continued or can be expected to continue indefinitely, and which constitutes

I. "

a substantial

limitation

to the individual.

Developmental Disabilities Community Services " DDCS" means a division within the Department of Page 3

DSHS Central Contract Services 1769CS

County Agreement(

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Special

Social

and

Health

DDCS Regional

m. "

Terms

and Conditions

Services.

office (

DDCS Region)"

means the regional DDCS office that supports DDCS

clients.

Division

n. "

Health

of Vocational

Rehabilitation (

DVR)"

means a division within the Department of Social and

Services

o. "

Employment Outcome Payment" means a payment to providers for transition students born between specific dates; have high acuity; are authorized for Individual employment; and student obtains a competitive integrated job within a specific timeframes. If the job is a minimum of ten hours of work per week an additional amount will be include in the payment.

p. "

General Terms and Conditions" means the contractual provisions contained within that agreement, which govern the contractual relationship between DSHS and the county.

q. "

High Acuity Client" means a DDCS Client who requires significant and intensive support in the community, often due to complex needs, as determined through the DDCS assessment.

r.

"

Medicaid Home and Community Based Services ( HCBS)" means services that occur in a Client' s home or community rather than institutions or other isolated settings. These programs serve a variety of targeted populations groups, such as people with intellectual or developmental disabilities, physical disabilities, and/ or mental illnesses

s.

"

Job Foundation Report" is a document derived from employment readiness activities performed by students who are between ages 19 through 20 that identifies actionable next step for employment. The employment service providers developing the Job Foundation report will be supporting students with employment activities on average of 35 hours.

t.

" Preadmission

Screening and Resident Review ( PASRR)" means individuals with intellectual disabilities or related conditions ( ID/ RC) who have been referred for nursing facility ( NF) care. Person Centered Service Plan or PCSP" means a document that authorizes and identifies the

u. "

DDCS

paid services

to meet

a

Client' s assessed

needs.

Formerly referred to as the Individual

Support Plan. v.

"

Quality Assurance" means an adherence to all Program Agreement requirements, including DDCS Policy 6. 13, Provider Qualifications for Employment and Day Program Services, County Guidelines and the Criteria for Evaluation, as well as a focus on reasonably expected levels of performance, quality, and practice.

2.

w.

"

Quality Improvement" means a focus on activities to improve performance above minimum standards and reasonably expected levels of performance, quality and practice.

x.

"

Service Provider" is a qualified Client service vendor who is contracted to provide Employment and Day Program services.

y.

"

Subcontractor" is the service provider contracted by the County to provide services.

Purpose:

This Program Agreement is entered into between the Developmental Disabilities Community County in accordance with chapter 71A. 14 RCW. Its purpose is to advance the state legislative policy to provide a coordinated and comprehensive state and local program of services for persons with developmental disabilities. Services and the

Page 4 DSHS Central Contract Services 1769CS

County Agreement(

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Special

3.

Terms

and Conditions

Client

Eligibility: Client eligibility and service referral are the responsibility of DDCS under chapter chapter 388- 825 WAC ( Service Rules). Only persons referred by DDCS shall be eligible for direct Client services under this Program Agreement. It is DDCS' s responsibility to determine and authorize the appropriate direct service( s) type. Direct Client services provided without a current County Service Authorization are not reimbursable under this Program Agreement. 388- 823 WAC ( Eligibility) and

4.

Credentials and Minimum Requirements: a.

Administration of the developmental disabilities County program cannot be subcontracted.

b.

Qualified DD Program Coordinator: A qualified DD program coordinator has a minimum of five years training and experience in the administration and/ or the delivery of developmental disabilities services to a community. For a county where the coordinator administers more than one program Health, Developmental area ( e. g. Chemical Dependency, Mental Disabilities), training and experience in administration and/ or a related Human or Social service may be considered.

c.

Administration Responsibility: The County must demonstrate the ability to administer the program agreement including contract oversight and monitoring, community outreach and education activities, and regular communication with the DDCS Regional Office ( DDCS region) and contracted providers.

d.

Fiscal Responsibility: The County must demonstrate the ability to safeguard public funds including maintaining books, records, documents and other materials relevant to the provision of goods and services.

e.

Sufficient

Policies

and Procedures

for establishment

and maintenance

of adequate

internal

control

systems: The County will maintain written policy procedural manuals for information systems, personnel, and accounting/ finance in sufficient detail such that operations can continue should staffing change or absences occur. Policies shall be dated and include dates when updated. f.

Background/ Criminal History Check: A background/ criminal history clearance is required every three years for all employees ( including DD program County staff), subcontractors, and/ or volunteers who may have unsupervised access to vulnerable DSHS Clients, in accordance with RCW 43. 43. 830- 845, RCW 74. 15. 030, and chapter 388 WAC. If the entity reviewing the application

elects to hire or retain an individual after receiving notice that the applicant has a conviction for an offense that would disqualify the applicant from having unsupervised access to vulnerable adults as defined in chapter 74. 34 RCW, then DDCS shall deny payment for any subsequent services rendered by the disqualified individual provider. The DSHS Background Check Central Unit ( BCCU) must be utilized to obtain background

g.

clearance.

Qualified Advisory Board Members: A Developmental Disabilities advisory board shall include members

knowledgeable

about developmental

disabilities.

No board

member

shall

have a contract

with the County to provide Training, Community Information Activities, and Consumer Support as defined

in this Program

Agreement,

and shall

not be a board

member,

officer,

or employee

of an

agency subcontracting with the County to provide such services. h.

Qualified Service Providers: The County assures that all service providers meet qualifications as outlined in the DDCS Policy 6. 13, Program Qualifications for Employment and Day Program Providers.

i.

Home and Community Based Waiver Services Assignment of Medicaid Billing Rights: The County assures that each subcontractor has agreed to assign to DDCS its Medicaid billing rights for Page 5

DSHS Central Contract Services 1769CS

County Agreement(

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Special

Terms

and Conditions

services to DDCS Clients eligible under Title XIX programs in this Program Agreement. Written documentation shall be available to DSHS on request.

j.

Reporting Abuse and Neglect: The County staff and its subcontractors who are mandated reporters under RCW 74. 34. 020( 13) must comply with reporting requirements described in RCW 74. 34. 035, 040 and chapter 26. 44 RCW. If the County is notified by DSHS that a subcontractor staff member is cited or on the registry for a substantiated finding, then that associated staff will be prohibited from providing services under this Program Agreement.

k.

Counties

who

provide

Child

Development

Services ( birth to three early

intervention

services),

must

provide those services under the regulations implementing the Individuals with Disabilities Education Act ( IDEA), Part C, and Washington State' s Early Support for Infant and Toddler Federally Approved Plan. I.

The County staff who perform evaluations of subcontractor work sites will promptly report to DSHS per DDCS Policy 6- 08, Incident Management and Reporting Requirements for County and CountyContracted

1)

Providers,

if:

They have reasonable cause to believe that abandonment, abuse, financial exploitation or neglect ( as defined in RCW 74. 34. 020) of a person who has a developmental disability ( as defined

in RCW 71A. 10. 020) has occurred,

and,

2) If they have reason to suspect that sexual or physical assault of such a person has occurred, they shall also immediately report to the appropriate law enforcement agency. m. Counties are specifically authorized to have data storage on portable devices or media in accordance with the Data Security Requirements. n.

Order of Precedence: In the event of any inconsistency in this Program Agreement and any attached exhibits, unless otherwise provided herein, the inconsistency

shall be resolved by giving

precedence, in the following order, to:

5.

1)

County Program Agreement; and

2)

Attached

Exhibits.

Duty to Disclose: Under 42 CFR § 455. 104, the Administration must obtain certain disclosures and complete required screenings to ensure the State does not pay federal funds to excluded person or entities. The County is required to provide disclosures from managing employees, specifically the persons in the positions of Developmental Disabilities Director and Fiscal/ Budget Director, i. e. the person who authorizes expenditures. Form 27- 094, should

be submitted

A completed

Medicaid Provider Disclosure Statement, DSHS

to the Administration

to complete

the required

screenings.

Disclosures must be provided at contract renewal and within thirty-five ( 35) days whenever there is a change in the staff holding these management positions [ 42 CFR 455. 104 ( c)( 1)]. 6.

Statement of Work:

The County shall provide the services and staff, and otherwise do all things necessary for or incidental to the performance of work, as set forth below. Working collaboratively and sharing information as needed for service coordination, the parties shall administer DD services within the county as set forth below: a.

The DDCS region shall: 1)

Review subcontractors and shall immediately notify the County of any concerns with the Page 6

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Special

Terms

and Conditions

subcontractors identified by the County; 2) Inform and include the County in the discharge planning of Client' s leaving institutions and returning to the community who will need program funding; 3) Inform the County of Client' s who have had their waiver status changed; 4) Work with the County when referring Client' s for services and will withdraw referrals when authorization

is not issued;

5) Authorize new service within 5 working days and will extend existing service authorization

6)

before

expiration

Inform

Clients

date;

of service

changes

through

Planned

Action

Notice( s);

7) Work with the County to document planned services in the Client' s Person Centered Service Plan including notification of assessment dates; 8) Work with the County when terminating services; 9) Work with DDCS Head Quarters and the County on Spending Plan adjustments; and 10) Work with the County in participating in evaluation of direct service providers. b.

The County shall: 1)

Work with the DDCS for support

Region

when

Clients

are referred

for services,

authorized

services,

and/ or

modifications;

2) Work with the DDCS Region to document planned services in the Client' s Person Centered Service

Plan;

3) Assist with informing the DDCS Region of any potential service level changes not documented in the Client' s DID Assessment prior to any changes; 4) Work with the DDCS Region regarding service termination; 5) Work with the DDCS Head Quarters on Spending Plan adjustments; 6) Inform the DDCS Region of new providers to be included on the ALTSA Web Access (AWA) system;

7) Notify the DDCS Region of any intent to terminate a subcontractor who is serving a DDCS referral;

8) Provide a copy of each subcontractor' s contract upon written request from DDCS; and 9) Notify and work with the DDCS Regional Employment Specialist when performing evaluations of direct service providers. c.

Compliance with Budget and Accounting Reporting System Policies: The County shall take any necessary and reasonable steps to comply with BARS Policies. Page 7

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Special

d.

Terms

and Conditions

The County shall comply with the following referenced documents: 1)

DDCS Policy 4. 11, County Services for Working Age Adults;

2)

Chapter

WAC 388- 850, chapter

0600- 0610,

3) Criteria

1030- 1040,

2100,

388- 828 WAC, WAC 388- 845- 0001,

0030,

0210,

0215,

0220,

2110;

for Evaluation;

4) DDA Guiding Values; 5) County Guide to Achieve DDA' s Guiding Values; 6) DDA Guidelines

for Community

Assessments

within Employment

7) Disability Rights Washington ( formerly Washington

and Vocational

Programs;

and

Protection and Advocacy System) Access

Agreement.

e.

The County shall develop and submit a comprehensive plan for the County DID Services as required by WAC 388- 850- 020.

f.

Conveyance of The Estimated Number of People to be Served and Targeted Outcomes: The

County shall submit the Service Information Forms ( SIF' s) ( provided by DDCS at Internet site https:// www. dshs. wa. gov/ dda/ county- best- practices) to indicate the estimated number of people to be served, targeted outcomes, and identified goal( s) that focus on quality improvement within the categories of Training, Community Information, Direct Client Services, and Other Activities within 30 days of execution of the Program Agreement. Once approved, the SIF outcomes may be modified only by mutual agreement of the County and the DDCS Region. g.

Solicitation for Qualified Employment and Day Program Service Providers: Requests for Applications (

RFAs),

Requests

for Information (

RFI' s) and/ or Requests

for Proposals (

RFPs),

Requests for Qualifications ( RFQ' s) for direct services, excluding Child Development, will be open continuous

enrollment.

h.

Qualified Providers: A qualified provider must be a county or an individual or agency contracted with a county or DDCS.

i.

Technical

Assistance:

DDCS contracts with Technical Assistance providers that may be utilized by

Counties with prior written approval.

j.

Subcontractors: The County will pass on all applicable contractual requirements that are between DDCS and the County to the subcontractor. The County shall immediately notify the DDCS Region of the County' s intent to terminate a subcontractor who is serving a DDCS referral. Individuals or agencies contracted with a county or DDCS may not subcontract for Employment or Community Inclusion

k.

services.

The County shall provide or contract with qualified Employment and Day Program Service Providers for consumer support services that include the following program outcomes: 1)

Monthly Community Inclusion ( CI) service support hours will be based on the Client' s CI service level per WAC 388- 828- 9310 for all Clients who began receiving Cl services July 1, 2011 and forward.

Page 8 DSHS Central Contract Services 1769CS

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Special

Terms

and Conditions

a) To ensure health and safety, promote positive image and relationships in the community, increase competence and individualized skill- building, and achieve other expected benefits of Cl, services will occur individually or in a group of no more than two ( 2) or three ( 3) Client' s with similar

interests

and needs.

b) Cl services will focus on activities that are typically experienced by the general public. Support to participate in segregated activities and/ or specialized activities will not be reimbursed.

2) Clients in an employment program will be supported to work towards a living wage. A living wage is the amount needed to enable a Client to meet or exceed living expenses. Clients should be supported to average twenty ( 20) hours of community work per week or eighty- six 86) hours per month; however, each person' s preferred hours of employment should be taken into consideration. The amount of service a Client receives will be based on his/ her

demonstrated need, acuity level and work history per WAC 388- 828. 3) The Client' s DDCS PCSP is the driver for service. The AWA County Service Authorization CSA) and updated Planned Rates information will not exceed the Client' s DDCS PCSP.

Service changes will not occur until the Client has received proper notification from DDCS. 4) All Clients will have an Individualized Employment and/ or Community Inclusion plan to identify Client' s preferences. Minimum plan elements are outlined in the reference document " Criteria for an Evaluation." A copy of the Client' s individualized plan will be provided to the Client, their DDCS

Case

Resource

Manager ( CRM),

guardian and others as appropriate.

5) Six- month progress reports describing the progress made towards achieving Client' s goal will be provided by the service provider to the CRM, Client, and/ or guardian, if any, within 30 days following the six- month period. The report will summarize activities and outcomes made towards the Client' s individualized goal( s). AII Clients will be contacted by their service provider according to Client need and at least once per month.

6) All Clients will be contacted by their service provider according to Client need and at least once per month.

7) If Clients in Individual Employment or Group Supported Employment, have not obtained paid employment at minimum wage or higher within six (6) months, the County will assure the following steps are taken: a) Review the progress toward employment goals; b) Provide evidence of consultation with the Client/ guardian; and c) Develop additional strategies with the Client/ guardian, county staff, employment support staff, case manager, and others identified by the Client. Strategies may include providing technical assistance, changing to a new provider, and/ or providing additional resources as needed to support the Client' s pursuit of employment. The additional strategies will be documented for each Client and kept in the Client' s file( s). 8)

If after twelve ( 12) months

the Client

remains

unemployed,

an additional

review

will be

conducted. The provider will address steps outlined in the previous six month progress report in the next six month progress report. When requesting to participate in Cl, the Client shall communicate directly with his or her DDCS Case Manager. The DDCS Case Manager is responsible for authorizing Cl services. Page 9 DSHS Central Contract Services 1769CS

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Terms

and Conditions

9) For Individual Employment where the service provider is also the Client' s employer, long term funding will remain available to the service provider employer for six months after the employee DDCS Client' s date of hire. At the end of the six- month period, if the DDCS Client continues to need support on the job, another service provider who is not the employer of record must provide the support unless the County or DDCS issues prior written approval for the service provider to continue to provide long- term supports if needed. If the County or DDCS approves the continuation of long- term supports where the service provider is also the Client' s employer, the County or DDCS will regularly monitor these positions to assure fading efforts occur when appropriate and any potential conflict of interest is addressed. 10) Individual Employment staff hours must be attributed to the " Individual Employment and Billable Activity Phase( s)". 11)

Group Supported Employment ( GSE), Clients must have paid work. The total number of direct service staff hours provided to the group should be equal to or greater than the group' s collective amount of individual support monthly base hours. If the direct service staff hours are less than the collective amount, then the provider will be reimbursed only for the number of hours staff actually provided. For

a) The collective group' s individual hours should be the minimum staff hours delivered to support the group. b) A GSE Client must be on- site/ at work at least their base individual hours as a minimum per month. If a Client is not on- site/ at work for all of their base hours, the county should verify that the provider delivered the collective group' s individual hours to the group ( what was the

provided to the group during the month? If it was less than the collective group' s total the provider can only bill for the staff hours that were provided). number

of staff hours

c) A GSE agency may not bill for a GSE Client who does not receive services during an entire service

month.

d) A GSE agency must have a record of which staff is supporting which Clients on any given day. e) A GSE agency must have supportive documentation that provides clear evidence of support helping with specific activities as identified in the Client plan to move a Client on their pathway towards their employment goal( s). f)

Running a GSE service is a part of the business operation and not billable to Clients contract procurement, contract maintenance, or administration functions associated with GSE).

g) Individual time in the community working towards the individual employment goal, separate from the group time, must include phase information ( refer to Employment Phases and Billable

Activities -

see

Phases

1—

4 for element/

activity description).

12) Employment and day services must adhere to the Home and Community Based settings HCBS) requirements of 42 C. F. R. Section 441. 301( c)( 4), including that: a) The setting is integrated in the greater community and supports Client' s to have full access to the greater community;

b) Ensures the Client receives services in the community to the same degree of access as Page 10 DSHS Central Contract Services 1769CS

County Agreement(

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Special

Terms

and Conditions

individuals not receiving Medicaid HCBS; c) The setting provides opportunities to seek employment and work in competitive integrated settings;

and

d) The setting facilitates individual choice regarding services and supports, and who provides them.

I.

Quality Assurance and Service Evaluation: The County shall develop and have available an evaluation system to review services. The evaluation system must have both a Quality Assurance and a Quality Improvement component, and both must include objective measures. The objective measures at a minimum will include performance indicators, by acuity, that include the number of new jobs; job loss and reasons for job loss; the percentage employed earning minimum wage or better; and the average number of hours worked. The County' s service evaluation system shall serve as the method by which current providers demonstrate that they continue to be qualified

providers. A copy of description of such evaluation system shall be provided upon request to DDCS for review.

m.

Evaluation: The County shall evaluate and review services delivered to reasonably assure compliance and quality. The County shall conduct at least one visit to each subcontractor every two 2) years excluding Child Development Services subcontractors. The County shall conduct at least one visit to Child Development Services providers every three ( 3) years. The County shall maintain written documentation of all evaluations, recommendations and corrective action plans for each subcontractor. Copies of such documentation will be provided to the DDCS upon request.

n.

The County shall work with local developmental disability advisory groups to plan for and coordinate services.

o.

The County shall participate in regularly scheduled meetings between County DID staff and DDCS staff to remain updated and current including ACHS and Regional Meetings.

p.

AWA Data System: In compliance with the AWA Training Manual, the County shall use the AWA data system for all: 1)

Billing requests;

2) Service provider address and phone number maintenance; 3) Evaluation

dates;

4) Employment

outcome

information;

and

5) Monthly provide all data described in the Billing Instructions and in the Employment Outcomes Instructions, which is hereby incorporated by reference. q.

Assure the integrity of data submitted to the State. When data is submitted and rejected due to errors or an error is later identified, the County will correct and resubmit the data within thirty ( 30) days.

r.

Review and respond the AWA " Work List" items within 5 working days including Referrals and

pending Authorization. s.

Review the AWA "Ticklers" Planned Rate tab and update the planned rate within 5 working days Page 11

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after the Planned

t.

Terms

and Conditions

Rate start date.

Partnership Project. 1)

A Job Foundation students

document

are DDCS

clients

will be completed

who were

born

per guidelines

for

eligible

students.

Eligible

between:

a) For fiscal year 2026 9/ 1/ 05 through 8/ 31/ 06 b) For fiscal year 2027 9/ 1/ 06 through 8/ 31/ 07 These students currently attending school and have completed an application to participate in this Value Based Payment ( VPB) project. The VBP project application will include the following minimum

criteria

identified

in the sample

application

found

at:

https:// www. dshs. wa. gov/ sites/ default/ files/ DDA/ dda/ documents/ tion

Job% 20Foundation%

20APplica

040720% 20% 28002% 29. docx

2) Qualified providers will collaborate with School District staff to complete the Job Foundation

document and then provide a copy to the County. To be a qualified provider for the Partnership Project the Counties must require the provider to have a current contract with the Division of

Vocational Rehabilitation; a contract in good standing with the County and cannot be in provisional status; a minimum of two years' experience providing Individual Employment with demonstrated job placement skills. The Job Foundation recommendation will only have actionable

next steps towards

integrated

competitive

employment.

3) County participating in the Partnership Project must have the ability to work collaboratively with School Districts to identify DDCS students in high school, collect and track information, be proficient in electronic spreadsheets, and ability to evaluate if completed Job Foundation document( s) meet quality standards. u.

Outcome Payment. Providers, with transition students born between:

a) For fiscal year 2026 9/ 1/ 03 through 8/ 31/ 04

b) For fiscal year 2027 9/ 1/ 04 through 8/ 31/ 05 2) High acuity transition students who are authorized for Individual employment, the provider may receive one outcome payment if transition student obtains a competitive integrated job approved by the County within timeframes described in the chart in the Billing Instructions. If the County is also the service provider DDCS will provide the job approval. If the job is at a minimum of ten hours of work per week an additional amount will be include in the payment.

3) High acuity Clients who are authorized for Individual employment, provider may receive one outcome payment if client obtains a new competitive integrated job at a minimum of ten hours of work per week for a minimum of 4 out of each 6 months during the fiscal year. 4) Client who are authorized for Community Inclusion who have an acuity of F which equals 18 support hours per month or G which equals 20 support hours per month as based on the Support Intensity Scale ( SIS), provider may receive on outcome delivers

a

minimum

of 80%

of the authorized

payment per month if provider

hours.

Page 12 DSHS Central Contract Services 1769CS

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Special

Terms

and Conditions

5) A new Community Inclusion referral is defined as a Client who has a new County Service Authorization ( CSA). Incentive/ outcome payments to accept and support overall increased CSAs billed over the year may be requested from DDCS if funds are available. 6) Community Inclusion case notes and 6- month progress report summary review that scores 16 points or more with the " Community Inclusion Case Note Review Tool" when used in conjunction with a Community Inclusion plan that has scored 20+ points with the Community Inclusion plan Quality review tool, provider may receive an outcome payment. 7) All outcome payments are described in the chart in the Billing Instructions. 7.

Consideration:

a.

Fees:

1)

Approval of fees is the responsibility of the DDCS. The DDCS HQ Employment and Day Unit Manager reserves the right to approve fees/ rates for the services being provided. The County will submit a fee/ rate schedule with the initial Program Agreement. The County will submit updated fee/ rate schedules to the HQ Employment and Day Unit Manager for approval as changes occur. The rate schedule will include the following information: a) County( s) name; b) Time period for which the schedule is applicable; and c)

2)

b.

Each

contracted

direct service ( IE, GSE,

Cl, ITA, CDS)

and its associated

rate.

Fee Limitations: The Billing Instructions found on the County Best Practices site provides limitations on the Hourly Rate for each direct service. Hourly rates must be divisible by four.

Budget and Spending Plan, attached as Exhibit B: 1)

Budget amount listed in Exhibit B: The County may not exceed the state only revenue dollar amount or the total revenue

dollar amount indicated

on the Program

Budget Agreement

included in Exhibit B. The waiver revenue dollar amount may be exceeded to accommodate Clients moving from state- only employment and day services to waiver employment and day services.

2)

Spending Plan: DDCS will provide the initial spending plan / Program Agreement Budget/ Exhibit B. Funding shall be distributed under State and Medicaid in the revenue section. The planned expenditures for Consumer Support are based on authorized Clients, their acuity level and work history for a given point in time. To determine the Additional Consumer Support amount, the Consumer Support amount is multiplied by a percentage. The spending plan may only be modified by mutual agreement of the parties in writing and shall not require a program agreement

amendment.

a) Funds Designated for Additional Consumer Services: If a County provides Community Information and Education services under additional consumer services, then activities must

include outreach efforts to federally recognized local tribes. b) Funds Designated for Adult Day Care Consumers: Consumers

are available

to Clients

Funds designated for Adult Day Care

who were served

between

December

1996 and

December 2003 in Adult Day Health agencies and were subsequently determined ineligible Page 13 DSHS Central Contract Services 1769CS

County Agreement(

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Special

for Level

Terms

II or III services ( Adult

rehabilitation

and skilled

nursing

and Conditions

Day Health). services

Level

along

with

II and III services socialization.

are licensed Level

I services ( Adult

Day Care) are supervised day programs where frail and disabled adults can participate in social, educational, and recreational programs without the need for skilled nursing. These Clients may be referred to services defined in the statement of work, or to an Adult Day Care service

other

than Level II or III.

If a Client no longer needs and wants services, the funds

are available for other Clients who are not part of the group of original Clients identified between December 1996 and 2003. An Adult Day Care service shall only be provided by Adult Day Care agencies certified by the local Area Agency on Aging. Adult Day Care service

c.

is not a waiver

approved

service.

Program Agreement Amendments: A County can request an amendment at any time. An amendment for additional Client( s) may be supported when clients exceed the number used to develop the contract. An amendment for additional service hours authorized may be supported when county provides evidence.

An amendment request for expenditures

exceeding contract total

due to hourly rates paid to service provider may not be supported as the county is responsible to manage contract and rates paid to their providers. d.

Exemptions: The DDCS Assistant Secretary may approve in writing an exemption to a specific program agreement requirement.

8.

Billing and Payment: a.

Program Agreement Budget: DSHS shall pay the County all allowable costs, which are defined by DDCS as cost incurred by the program for: 1)

Administration: Costs of the County Human Services Department or similar county office, responsible for administration of the Developmental Disabilities Program. Allowable costs

include personnel and overhead costs directly related to the administration and coordination of the program, including such activities as program planning, budgeting, contracting, monitoring, and evaluation. Also included are departmental and county indirect and/ or direct administrative costs, to the extent that such costs are appropriately allocated to the program using an established

methodology consistent with grants management guidelines. For a County whose designated coordinator manages multiple programs, the County must be able to provide evidence of the time the coordinator spent working on the Developmental Disabilities program. 2)

Additional

Consumer

Services:

a) Training: i.

Staff Training: Costs incurred by the program for planned, structured activities for the purpose of providing, or improving, or enhancing job- related knowledge and skills of staff, providers, volunteers, or interning students in the provision of developmental disabilities

ii.

services.

Board Training:

Costs incurred by the program for planned, structured activities designed to provide, improve, or enhance program- related skills of board and advisory committee

members.

b) Community Information and Education: to inform and/ or educate the general public about developmental disabilities and related services. These may include information and referral services; activities aimed at promoting public awareness and involvement; and community Page 14 DSHS Central Contract Services 1769CS

County Agreement(

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Special

Terms

and Conditions

consultation, capacity building and organization activities. c) Other Activities. i.

Infrastructure

projects: Projects in support of Clients ( services not easily tracked back to

a specific working age Client) or that directly benefit a Client( s) but the Client is not of age.

working

Examples include planning services like generic job development

e. g.

Project Search." ii.

Start- up projects: Projects that support an agency or directly benefit the agency. Examples include equipment purchases and agency administrative support.

iii.

Partnership project: Collaborative partnerships with school districts, employment providers,

Division

of Vocational

Rehabilitation (

DVR), families,

employers

and other

community collaborators needed to provide the employment supports and services young adults with developmental disabilities require to become employed during the school year they turn twenty- one ( 21). Supports provided should complement and not replace

3) Consumer

what the student( s) receive

through

the Individualized

Education

Program (

IEP).

Support.

a) Adult Day Care services are available to Clients who were served between December 1996 and December 2003 in Adult Day Health agencies and were subsequently determined ineligible for Level II or III services ( Adult Day Health). Level II and III services are licensed rehabilitation

and skilled

nursing services

along with

socialization.

Level I services ( Adult

Day Care) are supervised day programs where frail and disabled adults can participate in social, educational, and recreational programs without the need for skilled nursing. b) Community Inclusion Services are individualized and provided in integrated community settings with other individuals without disabilities.

The activities are based on Client

interests and provide opportunities typically experienced by the general public of similar age in their local community, accessible by public transit or a reasonable commute from their home. The goal of the service is to support Clients to participate, contribute, and develop relationships

with community members who are not paid staff. These services may be

authorized for individuals age 62 and older. These services may be authorized in addition to or instead of employment support ( Individual Employment or Group Supported Employment) for working age individuals who have received nine months of employment support. c) Child

Development

Services

are designed

to meet the developmental

needs

of each

eligible

child and the needs of the family related to enhancing the child' s development. Service may include: assistive technology, audiology, family training/ home visits, health services, medical services, nursing services, nutrition services, occupational therapy, physical therapy, psychological services, sign language, social work, special instruction, speechlanguage pathology, vision, and transportation. Services are provided in natural environments

d)

to the maximum

extent

appropriate.

Individual Supported Employment services are a part of a Client' s pathway to employment and are tailored to individual needs, interests, and abilities to promote career development. These are individualized

services necessary to help persons with developmental

disabilities

obtain and continue integrated employment at or above the state' s minimum wage in the

general workforce. These services may include intake, discovery, assessment, job preparation, job marketing, job supports, record keeping and support to maintain a job ( per Page 15 DSHS Central Contract Services 1769CS

County Agreement(

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Special

the Individual

Employment

Terms

and Conditions

Phases &

Billable

Activities)

e) Individualized Technical Assistance services are a part of a Client' s pathway to employment or community inclusion. This service provides assessment and consultation to the provider

to identify and address existing barriers to employment or community inclusion. This is in addition to supports received through supported employment or community inclusion

services for individuals who have not yet achieved their goal. f)

Group Supported Employment services are a part of a Client' s pathway to integrated jobs in typical community employment.

These services are intended to be short term and offer

ongoing supervised employment for groups of no more than eight (8) workers with disabilities in the same setting. The service outcome is sustained paid employment leading to further career development in integrated employment at or above minimum wage.

Examples include enclaves, mobile crews, and other business models employing small

groups of workers with disabilities in integrated employment community settings. b.

Reimbursement

for the state Fiscal

Year shall

not exceed

the total amount

listed

in Exhibit

B to this

Program Agreement. However, with a Program Agreement amendment, the parties may increase or decrease the Program Agreement amount. Counties will work with DDCS HQ on amendments the Program Agreement. c.

to

Monthly Invoice with Signed Documentation: All requests for reimbursement amounts must be entered and posted into the AWA system. The County may post a combined claim of all programs/ services covered by this Program Agreement. DSHS shall make all payments due to the County for all invoices submitted pursuant to this section within forty five ( 45) days following posting of required

information.

d.

Clients will be assisted in accessing DVR services per the DDCS/ DVR MOU. Client services shall not be reimbursed under this Program Agreement when the same services are paid for under the Rehabilitation Act of 1973 by DVR, Public Law 94- 142 or any other source of public or private funding.

e.

Reimbursement of Client Services: A claim for each Client is made on the AWA system by indicating the number of service units delivered to each Client listed and the fee per unit. Units are defined

1)

as:

An " Hour" is at least fifty ( 50) minutes of direct service. Partial hour to the quarter may be recorded.

2) A " Day" is at least four ( 4) hours of direct service and will only be used in connection with Adult Day Care reimbursement. 3) A " Month" represents a minimum of at least fifty ( 50) minutes of direct service for CDS reimbursement.

f.

Program Administration: The County will provide program administration and coordination including as planning, budgeting, contracting, monitoring, and evaluation. Monthly claims for

such activities administration

can be 1/ 12 of the maximum

amount

identified

in Exhibit

B under Administration

or

for the actual costs incurred in the given month but the total Administration billed will be the lesser of the two. Administration cost reimbursement will not exceed 10% unless the Assistant Secretary of DDCS approves a request for an exception under chapter 388- 850 WAC.

g.

The Individual

Employment

Phases &

Billable

Activities

document

defines

the individual

Client Page 16

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Special

Terms

and Conditions

services that DDCS reimburses. That document is located on the DSHS DDCS County Best Practices Web site at https:// www. dshs. wa. gov/ dda/ county- best- practices. h.

The Community Inclusion Billable Activities document defines the individual Client services DDCS reimburses. That document is located on the DSHS DDCS County Best Practices Web site at https:// www. dshs. wa.gov/dda/ county- best- practices.

i.

Timeliness

of and Modification

to Billings:

All initial

invoices

with signed

documentation

must be

received by the DDCS Region within forty- five ( 45) calendar days following the last day of the month in which the service is provided. Corrected invoices and documentation including re- posted billing information will be accepted throughout the fiscal year as long as they are received within sixty (60) calendar days of the associated fiscal year unless an extension is approved by the DDCS Regional Administrator or designee. Payment will not be made on any invoice submitted past sixty 60) calendar days after the Program Agreement fiscal year. j.

Recovery of Fees: If the County bills and is paid fees for services that DSHS later finds were ( a) not delivered or ( b) not delivered in accordance with Program Agreement standards, DSHS shall

recover the fees for those services and the County shall fully cooperate during the recovery. k.

Preadmission Screening and Resident Review ( PASRR) Administration: The County may bill for in Exhibit B. Monthly claims for administration cost will be based costs as identified on the actual PASRR expenditures multiplied by 10%. administration

I.

Reimbursement for Partnership project: A claim of$ 3, 000 per student for each completed Job Foundation document that is at a satisfactory or above rating will be requested through the AWA

system as other monthly cost. m. Job Foundation report line item 95 as identified in the ADSA Web Access (AWA) billing system. A copy of the completed Job Foundation document will be sent electronically to the shared mailbox located

n.

at:

DDAJobFoundationReports( a_dshs. wa. gov

Job placement verification for transition students: The AWA Employment Output for Individual Employment will be completed and submitted with payment request to verify employer, job start

date, job type, etc. o.

Job Foundation Administration: The County may bill for administration costs as identified in Exhibit B. Monthly claims for administration cost will be based on the actual expenditures multiplied by 10%.

9.

Participating

counties will use line item 13.

Intermediate Care Facilities for Intellectual Disabilities ( ICF/ ID) Agreement. If applicable per 42 CFR 483. 410, the County shall assure that all county- operated or subcontracted programs serving persons living in ICF/ ID facilities develop a plan and coordinate their services with the facility on behalf of the ICF/ ID resident.

10.

Agency— Health Care Authority ( HCA): HCA, as the single state Medicaid Agency, has administrative authority for Title XIX coverage per 42 CFR 431. 10. DSHS is the operating agency for the Home and Community Based Waivers for services for people with developmental disabilities. The County only has responsibility for services covered in this agreement.

11.

DSHS/ DRW Access Agreement: The DRW February 27, 2001 Access Agreement with DDCS is incorporated by reference. The County assures that it and its subcontractors have reviewed the

Single

Access

State

Medicaid

Agreement.

The agreement

covers

DRW' s access

to individuals

with developmental Page 17

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Special

Terms

and Conditions

disabilities, Clients, programs and records, outreach activities, authority to investigate allegations of abuse and neglect, and other miscellaneous matters and is binding for all providers of DDCS contracted

12.

services.

Confidential

Information.

All Counties and their subcontractors must:

a.

Ensure the security of Confidential Information, and

b.

When transporting client records containing Confidential Information outside a Secure Area, one or more of the following as appropriate: 1)

Using a Trusted Network; or

2) Encrypting the Confidential Information, including: a)

Email

and/ or email

attachments

b) Confidential Information when it is stored on portable devices or media including but not limited to laptop computers and flash memory devices. 13.

Data

Security Requirements.

Exhibit A shall only apply to the County if the County possesses 150 or

more DSHS records across all programs or services throughout their organization,

or transmits more

than 5 records at one time.

14.

Supersession

of Prior Data

Security Agreement. If the Parties hereto have previously entered into a Standalone Data Security Requirements Agreement, both Parties hereby agree that upon mutual execution said Agreement shall take precedence as the sole Data security Agreement between the Parties.

Page 18 DSHS Central Contract Services 1769CS

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Special

Exhibit

1.

Terms

and Conditions

A— Data Security Requirements

Definitions. The words and phrases listed below, as used in this Exhibit, shall each have the following definitions:

AES" means the Advanced Encryption Standard, a specification of Federal Information Processing Standards Publications for the encryption of electronic data issued by the National Institute of Standards and Technology ( https:// nvlpubs. nist. gov/ nistpubs/ FIPS/ NIST. FIPS. 197- upol. pdf).

a. "

b. "

c.

"

d. "

Authorized

Users( s)"

Confidential

Information,

means

an individual

or individuals

with a business

and who has or have been authorized

need to access

DSHS

to do so.

Category 4 Data" is data that is confidential and requires special handling due to statutes or regulations that require especially strict protection of the data and from which especially serious consequences of such data. For purposes of this may arise in the event of any compromise contract, data classified as Category 4 refers to data protected by: the Health Insurance Portability and Accountability Act ( HIPAA). Cloud" means data storage on servers hosted by an entity other than the Contractor and on a network outside the control of the Contractor. Physical storage of data in the cloud typically spans multiple

servers

and

often

multiple

locations.

Cloud

storage

can be divided

between

consumer

grade storage for personal files and enterprise grade for companies and governmental entities. Examples of consumer grade storage would include iCloud, Dropbox, Box. com, and many other entities.

Enterprise

cloud vendors

include

Microsoft

Azure,

Amazon

Web Services,

0365,

and

Rackspace.

e.

"

Encrypt" means to encode Confidential Information into a format that can only be read by those a "

possessing

key"; a password, digital certificate or other mechanism available only to authorized

Encryption must use a key length of at least 128 bits ( 256 preferred) for symmetric keys, or 2048 bits for asymmetric keys. When a symmetric key is used, the Advanced Encryption Standard users.

AES) must be used if available. f.

" Hardened

Password"

means a string of at least eight characters containing at least three of the

following four character

Uppercase

classes:

characters such as an asterisk, ampersand, g. "

alphabetic,

lowercase

or exclamation

alphabetic,

numeral,

and special

point.

Mobile Device" means a computing device, typically smaller than a notebook, which runs a mobile operating system, such as iOS, Android, or Windows Phone. Mobile Devices include smart phones, most tablets, and other form factors.

h. "

Multi- factor Authentication" means controlling access to computers and other IT resources by requiring two or more pieces of evidence that the user is who they claim to be. These pieces of evidence consist of something the user knows, such as a password or PIN; something the user has such as a key card, smart card, or physical token; and something the user is, a biometric identifier such as a fingerprint,

facial

retinal

PIN" means a personal identification number, a Since PINs are typically only four to six characters, PINs are usually used in conjunction with another factor of authentication, such as a series

of numbers

scan,

which act

as

a

or

password

scan. "

for a device.

fingerprint.

i. "

Portable Device" means any computing device with a small form factor, designed to be transported from place to place. Portable devices are primarily battery powered devices with base computing resources in the form of a processor, memory, storage, and network access. Examples include, but Page 19

DSHS Central Contract Services 1769CS

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Special

are

not limited

to,

mobile

Terms

phones, tablets,

and Conditions

and laptops.

Mobile

Device

is a subset

of Portable

Device.

j. "

Portable Media" means any machine readable media that may routinely be stored or moved

independently of computing devices. Examples include magnetic tapes, optical discs ( CDs or DVDs), flash memory (thumb drive) devices, external hard drives, and internal hard drives that have been removed from a computing device. k. "

Secure Area" means an area to which only authorized representatives of the entity possessing the Confidential Information have access, and access is controlled through use of a key, card key, combination mechanism. lock, or comparable Secure Areas may include buildings, rooms or locked storage containers ( such as a filing cabinet or desk drawer) within a room, as long as access to the Confidential Information is not available to unauthorized personnel. In otherwise Secure Areas, such as an office with restricted access, the Data must be secured in such a way as to

prevent access by non- authorized staff such as janitorial or facility security staff, when authorized Contractor staff are not present to ensure that non- authorized staff cannot access it. I. "

Trusted Network" means a network operated and maintained by the Contractor, which includes security controls sufficient to protect DSHS Data on that network. Controls would include a firewall between any other networks, access control lists on networking devices such as routers and switches, and other such mechanisms which protect the confidentiality, integrity, and availability of the Data.

m. "

Unique User ID" means a string of characters that identifies a specific user and which, in conjunction with a password, passphrase or other mechanism, authenticates a user to an information

2.

system.

Authority. The security requirements described in this document reflect the applicable requirements of policies and standards of the Washington Technology Services Agency https:// watech. wa. gov/ policies? combine=& and of the DSHS Information

field

categories

target

Policy and Standards Manual.

id= 80& field

type

target

3.

Central

Contracts

Administrative

and Legal

Controls.

material

id= All),

to Security these requirements can be found here: https:// www. dshs. wa. gov/ffa/ keeping- dshs- client- informationprivate- and- secure, which is a site developed by the DSHS Information Security Office and hosted by DSHS

Reference

related

Services.

The Contractor must have the following controls in place:

a.

A documented security policy governing the secure use of its computer network and systems, and which defines sanctions that may be applied to Contractor staff for violating that policy.

b.

If the Data shared under this agreement is classified as Category 4 data, the Contractor must be aware of and compliant with the applicable legal or regulatory requirements for that Category 4 Data.

c.

If Confidential Information shared under this agreement is classified as Category 4 data, the Contractor must have a documented risk assessment for the system( s) housing the Category 4 Data.

4.

Authorization, authorized

Authentication,

staff, the Contractor

and Access.

In order to ensure that access to the Data is limited to

must:

Page 20 DSHS Central Contract Services 1769CS

County Agreement(

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Special

Terms

and Conditions

a.

Have documented policies and procedures governing access to systems with the shared Data

b.

Restrict access through administrative, physical, and technical controls to authorized staff.

c.

Ensure that user accounts are unique and that any given user account logon ID and password combination

is known

non- repudiation,

only to the one

employee

to whom

that account

is assigned.

For purposes of

it must always be possible to determine which employee performed a given action

on a system housing the Data based solely on the logon ID used to perform the action d.

Ensure that only authorized users are capable of accessing the Data.

e.

Ensure that an employee' s access to the Data is removed immediately: 1)

Upon

suspected

compromise

2)

When

their employment,

of the user credentials.

or the contract

under which

the Data is made

available

to them,

is

terminated.

3) When they no longer need access to the Data to fulfill the requirements of the contract. f.

Have a process to periodically review and verify that only authorized users have access to systems containing DSHS Confidential Information

g.

When accessing the Data from within the Contractor' s network ( the Data stays within the Contractor' s network at all times), enforce password and logon requirements for users within the Contractor' s network, including: 1)

A minimum length of 8 characters, and containing at least three of the following character classes:

uppercase

letters,

lowercase

letters,

numerals,

and special

characters

such as an

asterisk, ampersand, or exclamation point. 2) That a password does not contain a user' s name, logon ID, or any form of their full name. 3) That a password does not consist of a single dictionary word. A password may be formed as a passphrase which consists of multiple dictionary words. 4) That passwords

are

significantly

different from the previous four passwords.

Passwords that

increment by simply adding a number are not considered significantly different. h.

When accessing Confidential Information from an external location ( the Data will traverse the Internet

or otherwise

travel

outside

the Contractor'

s

network),

mitigate risk and enforce password

and logon requirements for users by employing measures including: 1)

Ensuring mitigations applied to the system don' t allow end- user modification.

2) Not allowing the use of dial- up connections. 3) Using industry standard protocols and solutions for remote access. Examples would include RADIUS and Citrix.

4) Encrypting all remote access traffic from the external workstation to Trusted Network or to a component

within the Trusted

Network.

The traffic must be encrypted

at all times while

traversing any network, including the Internet, which is not a Trusted Network. Page 21 DSHS Central Contract Services 1769CS

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Terms

and Conditions

5) Ensuring that the remote access system prompts for re-authentication or performs automated session termination after no more than 30 minutes of inactivity. 6) Ensuring use of Multi- factor Authentication to connect from the external end point to the internal end point. i.

Passwords or PIN codes may meet a lesser standard if used in conjunction with another authentication mechanism, such as a biometric ( fingerprint, face recognition, iris scan) or token hardware,

software,

1)

smart card,

etc.)

in that case:

The PIN or password must be at least 5 letters or numbers when used in conjunction with at least one other authentication

factor

2) Must not be comprised of all the same letter or number ( 11111, 22222, aaaaa, would not be acceptable)

3)

Must not contain

a " run" of three or more consecutive

numbers (

12398,

98743

would

not be

acceptable)

j.

If the contract specifically allows for the storage of Confidential Information on a Mobile Device, passcodes used on the device must: 1)

Be a minimum

of six alphanumeric

characters.

2) Contain at least three unique character classes ( upper case, lower case, letter, number).

3) Not contain more than a three consecutive character run. Passcodes consisting of 12345, or abcd12

k.

5.

Render

would

not be acceptable.

the device

unusable

after a maximum

of 10 failed

logon

attempts.

Protection

of Data. The Contractor agrees to store Data on one or more of the following media and protect the Data as described: a.

Hard disk drives.

For Data stored on local workstation

hard disks, access

to the Data will be

restricted to Authorized User( s) by requiring logon to the local workstation using a Unique User ID and Hardened Password or other authentication mechanisms, which provide equal or greater security, such as biometrics or smart cards. b.

Network

server

disks.

For Data stored

on hard disks mounted

on network

servers

and made

available through shared folders, access to the Data will be restricted to Authorized Users through

the use of access control lists which will grant access only after the Authorized User has authenticated

to the network using a Unique User ID and Hardened

Password or other

authentication mechanisms which provide equal or greater security, such as biometrics or smart cards.

Data on disks mounted to such servers must be located in an area, which is accessible only

to authorized personnel, with access controlled through use of a key, card key, combination lock, or comparable

mechanism.

For DSHS Confidential Information stored on these disks, deleting unneeded Data is sufficient as long as the disks remain in a Secure Area and otherwise meet the requirements listed in the above paragraph. Destruction of the Data, as outlined below in Section 8 Data Disposition, may be deferred

until the disks are retired,

replaced,

or otherwise

taken

out of the Secure

Area.

Page 22 DSHS Central Contract Services 1769CS

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Special

c.

Optical

discs ( CDs

in local

DVDs)

or

Terms

and Conditions

workstation

optical

disc drives.

Data provided by DSHS

on optical discs which will be used in local workstation optical disc drives and which will not be

transported out of a Secure Area. When not in use for the contracted purpose, such discs must be Stored

in a Secure

Area.

Workstations

which

access

DSHS

Data on optical

discs must be located

in an area which is accessible only to authorized personnel, with access controlled through use of a key, card key, combination lock, or comparable mechanism d.

Optical DSHS

discs ( CDs on optical

out of a Secure

discs which Area.

in drives

DVDs)

or

or

jukeboxes attached

will be attached

Access

to network

to Data on these

servers

to

servers.

and which

discs will be restricted

Data provided by will not be transported

to Authorized

Users through

the use of access control lists which will grant access only after the Authorized User has authenticated to the network using a Unique User ID and Hardened Password or other authentication

mechanisms which provide equal or greater security, such as biometrics or smart

Data on discs attached to such servers must be located in an area, which is accessible only to authorized personnel, with access controlled through use of a key, card key, combination lock, or cards.

comparable

e.

mechanism.

Paper documents. Any paper records must be protected by storing the records in a Secure Area, is only accessible to authorized personnel. When not in use, such records must be stored in

which

a Secure

f.

Area..

Remote Access. Access to and use of the Data over the State Governmental Network ( SGN) or

Secure Access Washington ( SAW) will be controlled by DSHS staff who will issue authentication credentials ( e. g. a Unique User ID and Hardened Password) to Authorized

Users on Contractor' s

staff. Contractor will notify DSHS staff immediately whenever an Authorized User in possession of such credentials is terminated or otherwise leaves the employ of the Contractor, and whenever an Authorized User' s duties change such that the Authorized User no longer requires access to

perform work for this Contract. g.

Data storage on portable devices or media. 1)

Except where otherwise specified herein, DSHS Data shall not be stored by the Contractor on portable devices or media unless specifically authorized within the terms and conditions of the Contract. If so authorized, the Data shall be given the following protections:: a)

Encrypt the Data.

b)

Control

access

to devices

with a Unique

User ID and Hardened

Password

or stronger

authentication method such as a physical token or biometrics. c) Manually lock devices whenever they are left unattended and set devices to lock after a period of inactivity, if this feature is available. automatically Maximum period of inactivity is 20 minutes. d) Apply administrative

and physical security controls to Portable Devices and Portable Media

by: i.

Keeping them in a Secure Area when not in use,

ii.

Using check- in/ check- out procedures when they are shared, and

iii.

Taking frequent inventories. Page 23

DSHS Central Contract Services 1769CS

County Agreement(

12- 26- 2025)


Special

Terms

and Conditions

2) When being transported outside of a Secure Area, Portable Devices and Portable Media with DSHS Confidential Information must be under the physical control of Contractor staff with authorization

h.

to access

the Data,

even

if the Data

is encrypted.

Data stored for backup purposes. 1)

DSHS Confidential Information may be stored on Portable Media as part of a Contractor' s existing, documented backup process for business continuity or disaster recovery purposes. Such storage is authorized until such time as that media would be reused during the course of normal backup operations. If backup media is retired while DSHS Confidential Information still exists

upon it, such

requirements

below

media will be destroyed in Section

at that time in accordance

with the disposition

8 Data Disposition.

2) Data may be stored on non- portable media ( e. g. Storage Area Network drives, virtual media, etc.) as part of a Contractor' s existing, documented backup process for business continuity or disaster recovery purposes. If so, such media will be protected as otherwise described in this exhibit.

If this media

is retired

while

DSHS

Confidential

Information

still exists

upon

it, the data

will be destroyed at that time in accordance with the disposition requirements below in Section 8 Data Disposition

i.

Cloud

DSHS Confidential Information requires protections equal to or greater than those

storage.

specified elsewhere within this exhibit. Cloud storage of Data is problematic as neither DSHS nor the Contractor

1)

has control

of the environment

in which the Data is stored.

For this reason:

DSHS Data will not be stored in any consumer grade Cloud solution, unless all of the following conditions

are met:

a) Contractor has written procedures in place governing use of the Cloud storage and Contractor attest to the contact listed in the contract and keep a copy of that attestation for your records in writing that all such procedures will be uniformly followed. b) The Data will be Encrypted

while within

the Contractor

network.

c) The Data will remain Encrypted during transmission to the Cloud. d) The Data will remain Encrypted at all times while residing within the Cloud storage solution. e) The Contractor will possess a decryption key for the Data, and the decryption key will be possessed only by the Contractor. f)

The Data will not be downloaded to non- authorized systems, meaning systems that are not on the contractor

network

g) The Data will not be decrypted until downloaded onto a computer within the control of an Authorized

2)

User and within

Data will not be stored

either the DSHS

on an Enterprise

Cloud

or Contractor' s network.

storage

solution

unless

either:

a) The Cloud storage provider is treated as any other Sub- Contractor, and agrees in writing to all of the requirements

within

this exhibit;

or,

b) The Cloud storage solution used is HIPAA compliant.

Page 24 DSHS Central Contract Services 1769CS

County Agreement(

12- 26- 2025)


Special

Terms

and Conditions

3) If the Data includes protected health information covered by the Health Insurance Portability and Accountability Act ( HIPAA), the Cloud provider must sign a Business Associate Agreement prior to Data being stored in their Cloud solution. 6.

System

Protection.

To prevent compromise of systems which contain DSHS Data or through which

that Data passes:

a. Systems containing DSHS Data must have all security patches or hotfixes applied within 3 months of being made available. b. The Contractor will have a method of ensuring that the requisite patches and hotfixes have been applied

within

the required

timeframes.

c. Systems containing DSHS Data shall have an Anti- Malware application, if available, installed. d. Anti- Malware software shall be kept up to date. The product, its anti- virus engine, and any malware database

7.

the system

uses, will be no more than one update behind

current.

Data Segregation. a.

DSHS category 4 data must be segregated or otherwise distinguishable from non- DSHS data. This is to ensure that when no longer needed by the Contractor, all DSHS Data can be identified for return or destruction. It also aids in determining whether DSHS Data has or may have been compromised in the event of a security breach. As such, one or more of the following methods will be used for data segregation

1)

DSHS Data will be kept on media ( e. g. hard disk, optical disc, tape, etc.) which will contain no non- DSHS

Data.

2) DSHS Data will be stored in a logical container on electronic media, such as a partition or folder dedicated

to DSHS

Data.

3) DSHS Data will be stored in a database which will contain no non- DSHS data. And/ or,

4) DSHS Data will be stored within a database and will be distinguishable from non- DSHS data by the value

of a specific

field or fields within

database

records.

5) When stored as physical paper documents, DSHS Data will be physically segregated from nonDSHS

b.

data in a drawer,

folder,

or other container.

When it is not feasible or practical to segregate DSHS Data from non- DSHS data, then both the DSHS Data and the non- DSHS data with which it is commingled must be protected as described in this exhibit.

8.

Data

Disposition.

needed,

except

as

When noted

the contracted above

in Section

work has been completed

or when

5. b, Data shall be returned

the Data is no longer

to DSHS

or

destroyed.

Media on

which Data may be stored and associated acceptable methods of destruction are as follows: Data stored on: Server

or workstation

hard disks,

Will be destroyed by: or

Using a " wipe" utility which will overwrite the Data at least three ( 3) times using either random or single character

data, or Page 25

DSHS Central Contract Services 1769CS

County Agreement(

12- 26- 2025)


Special

Terms

and Conditions

Removable media ( e. g. floppies, USB flash drives, hard disks) excluding

portable

optical

discs

Degaussing sufficiently to ensure that the Data cannot be reconstructed,

or

Physically destroying the disk Paper documents

with

sensitive

or

Confidential

Recycling through a contracted firm, provided the

Information

contract with the recycler assures

that the

confidentiality of Data will be protected. Paper documents

containing

Confidential

Information

On- site shredding, pulping, or incineration

requiring special handling ( e. g. protected health information

Optical

discs ( e. g. CDs

or

DVDs)

Incineration, readable

Magnetic

9.

shredding, or completely defacing the

surface with a coarse abrasive

Degaussing, incinerating or crosscut shredding

tape

Notification of Compromise or Potential Compromise. The compromise or potential compromise of DSHS shared Data must be reported to the DSHS Contact designated in the Contract within one ( 1) business

day of discovery. If no DSHS Contact is designated in the Contract, then the notification must be reported to the DSHS Privacy Officer at dshsprivacyofficer@dshs. wa. gov. Contractor must also take actions to mitigate the risk of loss and comply with any notification or other requirements imposed by law or DSHS. 10.

Data shared

with Subcontractors.

If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any

amendments,

attachments,

or exhibits

within

this Contract.

If the

Contractor cannot protect the Data as articulated within this Contract, then the contract with the subContractor must be submitted to the DSHS Contact specified for this contract for review and approval.

Page 26 DSHS Central Contract Services 1769CS

County Agreement(

12- 26- 2025)


Exhibit B

Program Agreement Budget

Original

0 Budget Revision

Budget

REVENUES Fiscal

Year

Fund

2026

Fiscal

Original

1st Revision

State only

1, 627, 450

1, 479, 700

Medicaid

1, 447, 900

1, 313, 649

Total

3, 075, 350

2, 793, 350

Year

Rev.

Fund

2027

Source

1 st Revision

Original

Source

State only

1, 457, 362

Medicaid

1, 288, 528

Total

2, 745, 890

Rev.

2nd Revision

3rd Revision

2nd Revision

3rd Revision

Job Foundation

PASRR

Funds

Funds ADMINISTRATION ( 12,

Medicaid State Funds

Funds

TOTAL

11,

13)

0

0

137, 294

112, 332

249, 626

0

0

89, 819

73, 487

163, 306

0

0

OTHER CONSUMER SUPPORTS 31, 32, 41, 92, 93, 94, 97) CONSUMER SUPPORT STATE- ONLY 62, 64, 65, 67, 69) Child Development

61

MEDICAID

CLIENTS

62, 64, 67,

69, 95

ROADS

21, 000

0

0

0

125, 440

125, 440

1, 093, 259

1, 093, 259

2, 207, 518

0

0

0

1, 445, 812

1, 279, 078

2, 745, 890

to

COMMUNITY

LIVING

62, 64, 65, 67, 69

TOTAL

21, 000

0

Page 27 DSHS Central Contract Services 1769CS

County Agreement(

12- 26- 2025)


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