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
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atechmca3
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Prepare
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Confirm
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IA
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25
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Submit
27
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1-
iry
Design
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and Coun
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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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gyp; •
7
E%HIBff G COWLITZ
I EL500. 0'
I w
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
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
6\ Amnd_ 6_ SOW_ Shadow MTN Updates. docx
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.
2 30/ 7/ 2025 5:03: 37 AM
J:\ Data\ CC\ 22- 0177\ 00 Contract\ Amendment
6\ Amnd
6 SOW_ Shadow MTN Updates. dou
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.
1 7/ 20/ 2026 9: 47: 43 AM
corp. rh2. com\
projects\ Project\ Data\ CC\ 22- 0177\ 00 Contract\ Amendment 7\ Amnd_ 7_ SOW_ Shadow MTN SDC. docx
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.
2 7/ 20/ 2026 9: 47: 43 AM
corp. rh2. com\
projects\ Project\ Data\ CC\ 22- 0177\ 00 Contract\ Amendment 7\ Amnd_ 7_ SOW_ Shadow MTN SDC. docx
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
J:\ Data\ CC\ 22- 0177\ 00 Contra ct\ Amendment 7\ Amnd
7 SOW
Shadow MTN SDC. docx
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.
2 4/ 29/ 2026 8: 35: 20 AM
1:\ Data\ CC\ 22- 0177\ 00 Contra ct\ Amendment 7\ Amnd
7 S0W
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
I Revision
Date 06/ 01/ 13
date is later.
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
6 of 17 E- Verify
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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
7 of 17 E- Verify
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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
of 17 E- Verify Moll for Employers
I Revision Date 0610 Ill 3
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
Page 9 of 17 E- Verify MOU for Employers
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y ,
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
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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
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1
I Revision
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OW01113
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
I Revision Date 06/ 01/ 13
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
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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
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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)
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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
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material of
Insurance Services Office, Inc., with its permission. 2023 Arch Insurance Group Inc.
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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
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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
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Aggregate
Amount.
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material
of
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Page
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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".
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material
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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.
05 23
Includes
Insurance
copyrighted
material
of
Services Office, Inc., with its permission. 2023
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
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making claims or bringing " suits".
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material
of
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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
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05 23
loss
adjustment
expenses"
pursuant to the Option selected under
G. below;
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material
of
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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";
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material
of
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Arch
Insurance
Group Inc.
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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
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material
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:
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of
Insurance Services Office, Inc., with its permission. 2023 Arch
Insurance
Group
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
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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
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material
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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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material
of
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Arch
Insurance
Group
Inc.
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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)
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All appeals have been exhausted or have expired; Includes
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material
of
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Arch Insurance
Group
Inc.
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
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
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
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
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
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,
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
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
Road Toutle
Park
Road Bypass
Page 56 Project
No. 1859
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
Road
Toutle
Park
Provisions Road
Bypass
Page 57 Project
No. 1859
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
Road Toutle
Park
Road Bypass
Page 58 Project
No. 1859
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
Special Provisions Burma
Road Toutle
Park
Road Bypass
Page 59 Project
No. 1859
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
Road Toutle
Park
Road Bypass
Page Project
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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
Road Toutle
Park
Road Bypass
Page 61 Project
No. 1859
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...":
Special Provisions Burma
Road Toutle
Park
Road Bypass
Page Project
No. 1859
62
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
Road Toutle
Park
Road Bypass
Page 63 Project
No. 1859
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).
Special Provisions Burma
Road Toutle
Park
Road Bypass
Page Project
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64
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.
Special Provisions Burma
Road Toutle
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Road Bypass
Page Project
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65
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.
Special Provisions Burma
Road Toutle
Park
Road Bypass
Page 66 Project
No. 1859
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
Road Toutle
Park
Road Bypass
Page 67 Project
No. 1859
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
Special Provisions Burma
Road Toutle
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68
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
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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.
Special Provisions Burma
Road Toutle
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92
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
Road Toutle
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No. 1859
93
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
"
Special Provisions Burma
Road Toutle
Park
Road Bypass
Page 94 Project
No. 1859
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
Special Provisions Burma
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Road Bypass
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Page Project
No. 1859
95
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
Special Burma
Road
Toutle
Park
Provisions Road
Bypass
Page 96 Project
No. 1859
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
Special Provisions Burma
Road Toutle
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Road Bypass
Page 97 Project
No. 1859
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.
Special Provisions Burma
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98
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
Road Toutle
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Road Bypass
Page 99 Project
No. 1859
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.
Special Provisions Burma
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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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No. 1859
101
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.
Special Provisions Burma
Road Toutle
Park
Road Bypass
Page Project
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102
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.
Special Provisions Burma
Road Toutle
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No. 1859
103
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
Special Burma
Road
Toutle
Park
Provisions Road
Bypass
Page Project
No. 1859
104
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
Road Toutle
Park
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
Road Toutle
Park
Road Bypass
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
Road Toutle
Park
Road Bypass
Page Project
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.
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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.
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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://
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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
https://
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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)
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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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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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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
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Maintenance
Ini. wa. gov/ wagelookup/
rates/ journey-
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
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Raker( group 6)
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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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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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
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Road Mixer( group 4)
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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Machine( group 5)
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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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rates
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
https://
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Ini. wa. gov/ wagelookup/
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
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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://
secure.
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://
secure.
Ini. wa. gov/ wagelookup/
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://
secure.
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://
secure.
Ini. wa. gov/ wagelookup/
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://
secure.
Ini. wa. gov/ wagelookup/
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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Ini. wa. gov/ wagelookup/
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://
secure.
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://
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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://
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Water
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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://
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Water
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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://
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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://
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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
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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://
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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://
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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://
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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
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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://
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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://
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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.
3/ 4/ 2026
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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.
3/ 4/ 2026
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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).
11
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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,
8 99,
EDGE
o`
I
OF
S W, 6
AND
TURNAROUND
1859 EASEMENT
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
GRID,
DERIVED
BASIS
FRAME:
REFERENCE
DISTANCES
AND
FROM
2
I
]
SPC
4602
WA
S)-
SEE
2011)(
DETERMINED
HOUR
MINIMUM
2010.
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US
FROM
OS
OPUS
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GPS
OBSERVATIONS THE
ON
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SURVEY
eFg
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PO
55
w
P
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l
STATIONS: LATITUDE(-)
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734'
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0121.
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P448
N46°
O6' 56. 369'
W122°
53' 33. 9]
DH4122
P690 MSH_ SRIDGEWA2005 CORS GRP
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GRP
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W122° 20' 44. 271'
DG8346
P420
CORS GRP
N46° 35' 18. 95Y
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GRAND
MOUND
KELSO
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WA2007
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THEN
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1000.
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AT CONTROL
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RECORD(
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AND
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POINT NUMBER 38, PER OPUS REPORT.
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FOUND MONUMENT TABLE
22,
217
NORTHING
POINT
pp \
230 p
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656
DESCRIPTION
POINT
ORIGIN
201
37253B.
1032586.
372
5/ 8'
REBAR
WNPC'
GERMUNSON'
202
3725MAQ
1032717.
868
N8'
REBAR
WNPC'
JOHNSON
203
372517. 365
1033243- 132
5/ 8' REBAR WNPC' COWLITZ COUNTY'
205
372504.
103362].
5/ e'
NORTHING
EASTING
ORIGIN
DESCRIPTION
7/ SPLATS73
31ROSM9
223
371640.
881
1033847.
486
5/ 8-
REBAR
10/ ROSH2
224
371847.
313
1033802.
811
W"
REBAR
22ROW7
225
371631. 695
1033748. 963
5/ 8'
REBAR WNPC* JOHNSON 1786'
12SPLATSN20
228
377384. 270
1033838. 603
5/ 8" REBAR
/
11\
95Lp
y0 y' 9. 3Y•
1'
EASTING
178V
WNPC'
PLS 34143-
NICHOLSON
12ISPLATS/ 120 222 O
ypryll', ICiry9 EDGE
OF
732
75]
WNO- NICHOLONPLS
MGM
34143'
WNPO'
ROS/ 12
10/
1786'
JOHNSON
COWLITZ
7/ SPLATS//
AF
PAVEMENT 206
3M96. 598
1033gT]. 745
SW REBAR WNO' NICHOLSON
227
37136&
207
372536. 420
1032649. 000
5/ 8' REBAR WNPC' JOHNSON 17W
UNKNOWN
228
208
3725DL.
lM243.
587
5/ 8'
REBAR
WNPC' COWLITZ COUNTY'
22/ ROS] 77
209
372673.
1033293.
306
SW
RESR
WNPO'
22/ ROSR7
34143'
PLS
12SPLATS/
120
1033752. 688
51W REBR- SENT- TIED AT BEND
12/
372299. 668
1033Z76. 866
IW REBAR W/ OPC' GRANT PLS 33129"
16/ SPLATS/
M
372193821
1032149.
9BB
1-
12'
CCPWF8185b01-
230
372153.
1032054.
8W
Y
IRON
199
0
50
100
SPLATS/ 120
77
003
LOT2 LOT2
WK260/ wKzsolooa
5090' N31°
462.
1-
2T(
E)( 6)
COWUTZ
COUNTY'
O 269
THE
W)( 6)
100'
SHOWN CONTOURS
AND
SURVEYORS(
NSPS)
ARE
THAT
FROM
DIRECT
SHOWN
ELEVATIONS
PER
CERTAIN
SOT
LINES
AT
T
INTERVALS:
FOR
ELEVATIONS
WELL
FIELD
HEREON
65'
i.
DEFINED
OBSERVATIONS.
MEETS
DOCUMENT
E), APPROVED 31122002. THOSE STANDARDS CONTOUR
THOSE
ENTITLED'
NSPS
FOLLOWS
FOR
AREAS
TUERELATNE
STANDARDS MODEL A('
VERTICAL
DEFINED
BY
STANDARDS
CONTOUR
FOR
POSITIONAL NATIONAL
THE
ACCURACY
SOCIETY
TOPOGRAPHIC
OF
211
372481.
115
1032582.
505
31V
IRON
212
372M.
654
1032679.
845
12'
REBR
W/ OO'
GRANT
PLS
33129'
16/ SPLATS/
213
372499.
793
1032624A38
12'
REBAR
W/ OPC'
GRANT
PLS
3312V
1S/ SPLATS%
214
372474.
006
1032584A(
12'
REBAR
W/ OO'
GRANT
PL.
PIE
1954-
CCPWFB
FEATURES:
UTILIZING STANDARD
GLOBAL POSITIONING SYSTEM( GPS) REAL S73-
SECOND
CONFIDENCE
DETERMINE
THAT
LEVEL
IT
MET
ON
PER
THIS
BOX
0
WSDOT
231
37131&.
1033670.
444
5/ 8'
REBARWNO'
JOHNSON
1766"
7/ SPLATS/
232
W1233.
352
1033433.
509
518"
REBR
WNO'
JOHNSON
1786"
7/ SPLATW3
4
233
371195.
613
1033507A35
51W
REBAR
WNO'
JOHNSON
1786'
7/ SPLATSR3
14
239
371125.
M
1033136.
51W
REBAR
WNO-
JOHNSON
1786-
7/ SPLATS/ 73
01-
06
10.
10'
CLOSED
KINEMATIC(
TIME
THIS
SURVEY
WACM-
130-
MEETS
M.
A
EDGE
^
SURVEYS'(
LABELED
AS
A
333129'
161SPLATS/
372492.
300
1032584.
365
3/ 4'
IRON
PIPE
216
372M.
Wl
1032358.
788
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1.
PAGE,
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COUNTY AUDITORS
C. BOYD
2.
AND
S SURVEY
COWLRZ COUNTY
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L0T1 85° OSY10' R'
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COWLITZCOUNTYAUDITOR'
6).
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SHARI HARI J.J. BOVD
PAGE, COWLITZ
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NOTE
AND
NOTES:
7/ SPLATS/] 3
CORNER RECORD BOOK AND PAGE, COWLITZ COUNTY AUDITORS
SEE
N
DESC-
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6)
-
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6)
-
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7)
-
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PER SURVEY BY RAE JOHNSON, VOL7
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FIELD
PLANS
RD
WIDTH
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40',
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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
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OF
S'
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1954- SEE CCRER
NOTES-
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1966
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GOT
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I HELD
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S
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AND
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OR
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WK2608O03
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225
DIMENSION
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INFLUENCE ON SAID UNSURVEYED
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STATE
AND
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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
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ONLY
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AS REQUESTED,
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COWLITZ COUNTY PUBLIC WORKS FIELD BOOK YEAR, NUMBER, AND PAGE
PT
=
=
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=
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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
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L.
THE
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PLS
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PER
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R
THEIR
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THE
SO
RE
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3617073&
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N1
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206,
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ERETAINEDORR
BY
ENABLE
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PROPERTY
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p,
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234 /
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212E AND
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FIT
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BE
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THE
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MARK
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IN
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THE
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OF
IN
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WITH
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OR
ON
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OF
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VOL
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1113,
PAGE
96 AND AFNS
3629811&
3468291(
COWLITZ COUNTY
AND
WAC33z-
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LINE
BY
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MONUMENTS
206
AND
226,
AS
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221,
222E AND
223
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O
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CONSTRUCTION WORK OR OTHER ACTIVITY TO PROVIDE FOR THE MONUMENTATION REQUIRED BY THIS
AT
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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
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MENTS.
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7 3. l'qL I.A131
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6/ 9/ 2026 DATE
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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:-
-`- '
ARE
LOCATIONS LETTER
REFERENCED
DESIGNATIONS:
BY
35
I
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LOCATED
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FILE:
1859-
Burma
Rd- Topo.
2025- 02, PAGES
dwg
82- 97,
v
1y
ASHING
160013TH
AVENUE SOUTH
KELSO, WASHINGTON
IN THE SOUTHEAST
ONE- QUARTER
OF SECTION
22, THE SOUTHWEST
ONE- QUARTER OF SECTION 23, THE NORTHWEST ONE- QUARTER OF SECTION 26, AND
PUBLIC WORKS
57270
BOOK( S):
104- 105
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ID: 1859
NO. :
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DATE ID:
ROAD NO. :
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PUBLIC WORKS
57270
COMPUTER
FILE 1859- Burma
FIELD
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BOOK(
104- 105
2025- 02,
Rd- Topo. dwg
PAGES
82- 97,
160013TH y
95111NGtp
KELSO,
AVENUE SOUTH
WASHINGTON
IN THE SOUTHEAST
ONE- QUARTER
OF SECTION
22, THE SOUTHWEST
ONE- QUARTER OF SECTION 23, THE NORTHWEST ONE- QUARTER OF SECTION 26, AND
98626
THE NORTHEAST
ONE- QUARTER
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6/ 9/ 2026
ROAD
NO. :
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DATE
COMPUTER
BH, CL, CWB
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.
1
Final Submittal/
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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Final Submittal/
May 2026
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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Final Submittal/
May 2026
Burma Road to Toutle Park Road— Connection
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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Final Submittal/
May 2026
Burma Road to Toutle Park Road— Connection
Road
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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Final Submittal/
May 2026
Burma Road to Toutle Park Road— Connection
Road
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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Final Submittal/
May 2026
Burma Road to Toutle Park Road— Connection
Road
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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Final Submittal/
May 2026
Burma Road to Toutle Park Road— Connection
Road
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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Final Submittal/
May 2026
Burma Road to Toutle Park Road— Connection
Road
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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Final Submittal/
May 2026
Burma Road to Toutle Park Road— Connection
Road
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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Final Submittal/
May 2026
Burma Road to Toutle Park Road— Connection
Road
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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Final Submittal/
May 2026
Burma Road to Toutle Park Road— Connection
Road
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
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COWLITZ BURMA
COUNTY ROAD
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MARCH 2026
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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
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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
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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
DSHS Central Contract Services 1769CS
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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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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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Special
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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
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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
County Agreement(
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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(
12- 26- 2025)
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(
12- 26- 2025)
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(
12- 26- 2025)
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
DSHS Central Contract Services 1769CS
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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
DSHS Central Contract Services 1769CS
County Agreement(
12- 26- 2025)
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)
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
County Agreement(
12- 26- 2025)
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
County Agreement(
12- 26- 2025)
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(
12- 26- 2025)
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
County Agreement(
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Special
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(
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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)