HomeMy WebLinkAbout100526 AGENDA PACKET
1
AGENDA
Jefferson County Board of Commissioners
Regular Meeting – Monday, October 5, 2026 at 9:00 a.m.
This is a Hybrid meeting: Virtual and In-Person Attendance at
Jefferson County Courthouse – Commissioners’ Chambers
1820 Jefferson Street, Port Townsend, WA
Heather Dudley-Nollette, District 1 | Heidi Eisenhour, District 2 | Greg Brotherton, District 3 – Chair
To view Agenda items, meeting materials and comments received, click here: www.co.jefferson.wa.us – Services
– Laserfiche Web Portal (username and password is: public)– Board of Commissioners – BOCC Agenda Packets
– 2026 Weekly Agenda Items – Month of the meeting – Day of the meeting
LINK TO MATERIALS:
https://test.co.jefferson.wa.us/WeblinkExternal/Browse.aspx?id=10545027&dbid=0&repo=Jefferson
You can join this meeting by using the following methods:
In the event of technical difficulties, at least one of the methods above will be accessible to the public. Please try
all methods first before calling 360-385-9100 to report any issues.
Individuals may provide Public Comment using the following methods:
• Video: Refer to meeting instructions above
• Audio-only: Refer to meeting instructions above
• Email: You may submit comments/correspondence to us at: jeffbocc@co.jefferson.wa.us up through
11:59 p.m. the day before the meeting.
Public Comment Periods are dedicated to listening to the public. Each person may address the Board one time
during these periods. To ensure equal opportunity for the public to comment, all comments shall be limited to 2 or
3 minutes per person, depending on the volume of public in attendance. Some Agenda items may have additional
Public Comment Periods – these comment periods are for listening to comments specific to that Agenda item. The
Chair may add additional Public Comment Periods throughout the meeting.
9:00 a.m. CALL TO ORDER
9:01 a.m. PUBLIC COMMENT PERIOD – ALL TOPICS
• Zoom Meeting: https://zoom.us/j/93777841705
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provide public comment, click on the hand icon at the bottom of the screen to “raise your hand.”
Participation will be up to the Chair and Clerk
• Audio-only: Dial: 1-253-215-8782 and use Webinar ID: 937-7784-1705#
This option will allow you to listen to the meeting live. If you wish to provide public comment, press *9
to “raise your hand.” Participation will be up to the Chair and Clerk
Access for the hearing impaired can be accommodated using Washington Relay Service at 1-800-833-6384.
If you need special accommodations, please contact our office 24 hours in advance.
• In-person: You are welcome to join this meeting in-person.
Agenda: October 5, 2026
2
No set time APPROVAL AND ADOPTION OF THE CONSENT AGENDA:
(Items listed below have been distributed to the Commissioners in advance for study and will be enacted by one motion. If
separate discussion is desired on an item, that item may be removed from the Consent Agenda and placed on the Regular
Agenda, at the request of any of the Commissioners).
1. RESOLUTION NO. ___ re: In the matter of closing the Parks Improvement Fund #175 and
transferring the balance to the Parks and Recreation Fund #174
2. FINAL SHORT PLAT APPROVAL re: The Harborview Short Plat, SUB2023-00001;
Department of Community Development; American Timber Resource LLC
3. BID AWARD re: Memorial Field infrastructure renovation project – Phase 1 (Fence
demolition), County Project No. 17521350, RCO Project #24-1768; $59,787; Public Works; NW
Construction General Contracting, Inc.
4. BID AWARD re: Memorial Field infrastructure renovation project – Phase 2 (Retaining wall
and goal posts), County Project No. 17521350, RCO Project #24-1768; $46,553.93; Public
Works; Eaglemount Excavation
5. BID AWARD re: Memorial Field infrastructure renovation project – Phase 3 (Install fence and
gates), County Project No. 17521350, RCO Project #24-1768; $156,180; Public Works; M2
Industrial
6. AGREEMENT re: Education outreach event for people with intellectual/developmental
disabilities; $7,500; Public Health; People First of Washington
7. AGREEMENT, Change Order No. 1 re: Quinault South Shore Road, MP 1.3 ER, Proejct No.
1802141, County Road No. 911607; Increase of $72,000 for a total of $397,000; Public Works;
Rognlin’s Inc.
8. AGREEMENT, Change Order No. 6 re: Olympic Discovery Trail – Anderson Lake
Connection; County Project No. 18019893, County Road No. 850200, Federal Aid Project No.
STBGR-2016(030), RCO Project No. 20-1745; Increase of $34,766.25 for a total of
$4,751,494.06; Public Works; Washington State Department of Transportation
9. AGREEMENT, Consolidated Contract No. 16 re: Various programs; Additional $118,316 for
a total of $8,327.819; Public Health; Washington State Department of Health
10. APPROVAL OF MINUTES: Regular Meeting Minutes of September 28, 2026
11. APPROVAL OF PAYROLL WARRANTS: Dated October 5, 2026 and totaling $987,885.57
REGULAR AGENDA:
No set time PROCLAMATION re: Proclaiming the Month of October, 2026 as Resilience
Awareness Month
Minnie Whalen, Director of Resilience Project
9:45 a.m. MONTHLY PUBLIC HEALTH UPDATE
Dr. Allison Berry, Public Health Officer
10:30 a.m. HEARING re: Adoption of the 2027-2032 Six-Year Transportation Improvement
Program
Eric Kuzma, Public Works Director
Monte Reinders, County Engineer
Agenda: October 5, 2026
3
11:15 a.m. PRESENTATION re: 4-H Ambassadors
Anji Scalf, 4-H Coordinator
No set time RECESS
12:00 p.m. QUARTERLY ELECTED OFFICIALS AND DEPARTMENT DIRECTORS
MEETING
• 2027 Preliminary budget summary
• Roundtable
2:00 p.m. AFTERNOON SESSION
No set time ADDITIONAL DISCUSSION ITEMS
• Climate Action Committee; debrief of recent meeting
No set time COMMISSIONERS’ BRIEFING SESSION (2:30 p.m.)
• Review of recent meetings, miscellaneous topics, and calendar
coordination
No set time ADJOURNMENT (Adjourn by 4:30 p.m.)
COMMISSIONERS MEETING SCHEDULE
The Week of October 5, 2026
A snapshot of the meetings the Commissioners will be attending this week are notated below, and are
subject to change. If you would like to get more information on these meetings, please contact the
Commissioners’ Office at 360-385-9100 or send us an email at: jeffbocc@co.jefferson.wa.us
Monday, October 5, 2026
9:00 a.m. BOCC Meeting - Board
12:00 p.m. Elected Officials and Directors Coordination Meeting - Board
Tuesday, October 6, 2026
9:00 a.m. Lower Dosewallips Flood Hazards Reduction: Site Visit #2 - Greg
2:00 p.m. Tourism Coordinating Council Meeting – Heather
5:00 p.m. South County Community Social and Candidate Forum - Heather
5:30 p.m. Marine Resources Committee Meeting - Heidi
Wednesday, October 7, 2026
1:00 p.m. Clallam County D3 Commissioners’ Candidate Forum - Heather
Thursday, October 8, 2026
10:00 a.m. Strait ERN Quarterly Meeting – Heidi
6:00 p.m. Jefferson County Fairgrounds Association Board Meeting – Heidi
Agenda: October 5, 2026
4
Friday, October 9, 2026
12:30 p.m. KPTZ Radio Show – Heather
The County has various Boards and Committees that are subject to the Open Public Meetings Act (OPMA).
Agendas for those meetings will be posted to the Jefferson County website calendar 24 hours prior to the start of
the meeting. Agendas will contain information on how to provide public comment, meeting access, and meeting
materials (if available).
For more information, go to: www.co.jefferson.wa.us and click on the Calendar tab.
COMMISSIONERS MAY ADD AND TAKE ACTION ON OTHER ITEMS NOT LISTED ON THIS AGENDA.
Americans with Disabilities Act (ADA) Accommodations Provided Upon Request
Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Josh Peters, County Administrator
From: Eric Kuzma, Public Works Director,
Agenda Date: October 5, 2026
Subject: Award of Contract, Memorial Athletic Field Infrastructure Renovation
Project, Phase 1 (Fence Demolition), County Project No. 17521350, RCO
Project # 24-1768
Statement of Issue: Award of Contract to NW Construction General Contracting, Inc
of Battleground, Washington for their bid of $59,787.00 for the above referenced
project. Phase 1 includes demolishing and disposing of the existing Memorial Field
perimeter fence and gates using lead- safe practices due to lead based paint on the
fence.
Analysis/Strategic Goals/Pro's Et Con's: The Public Works Department has completed
checking the bids and has investigated bidder qualifications per the bidder
responsibility criteria found in RCW 39.04.350. Bidder verification documentation is
attached. Public Works deemed that the low bidder for Phase 1 (fence demolition)
was ineligible. Therefore this contract is being awarded to the second lowest bidder.
Fiscal Impact/Cost Benefit Analysis: The Bid amount is $59,787.00. This project is
70% RCO funded, and 30% Jefferson County Construction and Renovation Funds.
Recommendation: Public Works recommends that the Board authorize the Award of
Contract to NW Construction General Contracting, Inc. and authorize the County
Engineer to execute necessary change orders for the project for up to 10% of the
contract amount of $5,978.70, or an aggregate total of $65,765.70, by signing the
attached document and returning it to Public Works for further processing.
Department Contact: Matthew Tyler, ext 129
Reviewed By:
C? Pre 61130 1,?‘,
Josh Peters, County Administrator Date
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Department of Public Works 623 Sheridan Street
Port Townsend,WA 98368
o4 Jefferson County, Washington 360-385-9160
DATE: September 29,2026
TO: Board of County Commissioners
FROM: Eric Kuzma,Public Works Director 4
SUBJECT: AWARD OF CONTRACT
Memorial Athletic Field Infrastructure Renovation Project,Phase 1 (Fence Demolition)
County Project No. 17521350
In the matter of awarding a construction contract for the above referenced work:
The Call for Bids was issued by the Board of County Commissioners on August 12,2026.
The MRSC Small Works Roster Process was utilized.
Five bids were received by the September 10,2026 deadline.
The Public Works Department has completed checking the bids and has investigated the qualifications
of the lowest bidder including Bidder responsibility criteria of RCW 39.04.350(1).
Bid tabs are attached for reference.
The Public Works Department recommends that the construction contract be awarded to the lowest responsive
and responsible bidder:
NW Construction General Contracting,Inc.of Battleground,Washington for their bid amount of$59,787.00
Memorial Athletic Field Infrastructure Renovation Project, Phase 1,County Project# 17521350
and, authorize the County Engineer to execute change orders for the project, due to unforeseen conditions
only,for up to 10%of the contract amount,or$5,978.70
Approved
Greg Brotherton Date
Chair,Board of County Commissioners
Attached:Bid Tabulations
Bidder Verification Summary
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Memorial Field Infrastructure Replacement Project#17521350 Bid Tabulation
Phase 1, Fence Demolition and Disposal
11-Sep-26
Bidder Bid
WestAm Construction
Savory Landscape 85,957.50
Mac Todd Inc 80,395.63
NW Dirt Works 78,018.75
Cortez Fencing 68,284.20
NW Construction GC 59,787.00
Stumpy Tree Service 47,085.00
Engineers Estimate 61,300
Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Josh Peters, County Administrator
From: Eric Kuzma, Public Works Director v
Agenda Date: October 5, 2026
Subject: Award of Contract, Memorial Athletic Field Infrastructure Renovation
Project, Phase 2 (Retaining Wall and Goal Post), County Project No.
17521350, RCO Project # 24-1768
Statement of Issue: Award of Contract to Eaglemount Excavation, of Port Townsend,
Washington for their bid of $46,553.93 for the above referenced project. Phase Two
of the project includes installing a retaining wall, installing new football goal posts,
and widening the access ramps.
Analysis/Strategic Goals/Pro's Et Con's: The Public Works Department has completed
checking the bids and has investigated the qualifications of the lowest bidder
including Bidder responsibility criteria of RCW 39.04.350. Bidder verification
documentation is attached.
Fiscal Impact/Cost Benefit Analysis: The Bid amount is $46,553.93. This project is
70% RCO funded, and 30% Jefferson County Construction and Renovation Funds.
Recommendation: Public Works recommends that the Board authorize the Award of
Contract to Eaglemount Excavation. and authorize the County Engineer to execute
necessary change orders for the project for up to 10% of the contract amount of
4,655.39, or an aggregate total of $51,209.32, by signing the attached document and
returning it to Public Works for further processing.
Department Contact: Matthew Tyler, ext 129
Reviewed By:
CVIC
Josh eters, County Administrator Date
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Department of Public Works 623 Sheridan Street
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Port Townsend,WA 98368
v Jefferson County, Washington 360-385-9160
DATE: September 29,2026
TO: Board of County Commissioners
FROM: Eric Kuzma,Public Works Director
SUBJECT: AWARD OF CONTRACT
Memorial Athletic Field Infrastructure Renovation Project,Phase 2(Retaining wall&Goal
Posts)
County Project No. 17521350
In the matter of awarding a construction contract for the above-referenced work:
The Call for Bids was issued by the Board of County Commissioners on August 12,2026.
The MRSC Small Works Roster Process was utilized.
Five bids were received by the September 3,2026 deadline.
The Public Works Department has completed checking the bids and has investigated the qualifications
of the lowest bidder including Bidder responsibility criteria of RCW 39. 04.350(1).
Bid tabs are attached for reference.
The Public Works Department recommends that the construction contract be awarded to the lowest responsive
and responsible bidder:
Eaglemount Excavation,Washington for their bid amount of$46,553.93
Memorial Athletic Field Infrastructure Renovation Project, Phase 2,County Project# 17521350
and, authorize the County Engineer to execute change orders for the project, due to unforeseen conditions
only,for up to 10%of the contract amount,or$4,655.39
Approved
Greg Brotherton Date
Chair,Board of County Commissioners
Attached:Bid Tabulations
Bidder Verification Summary
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Memorial Field Infrastructure Replacement Project#17521350 Bid Tabulation
Phase 2, Retaining Wall, Goal Posts, &Access Improvements
11-Sep-26
Bidder Bid
Nordland Const NW 119,300.25
Van Ness Const 96,734.49
SOCO Construction 70,080.00
Eaglemount Exacv. 46,553.93
Engineers Estimate 88,000.00
Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Josh Peters, County Administrator
From: Eric Kuzma, Public Works Director
Agenda Date: October 5, 2026
Subject: Award of Contract, Memorial Athletic Field Infrastructure Renovation
Project, Phase 3 (Install Fence and Gates), County Project No. 17521350,
RCO Project # 24-1768
Statement of Issue: Award of Contract to M2 Industrial General Contractors Inc., of
Ellensburg, Washington for their bid of $156, 180 for the above referenced project.
Phase 3 of the project is installation of a new Memorial Field perimeter fence and
gates.
Analysis/Strategic Goals/Pro's Et Con's: The Public Works Department has checked
the bids and investigated bidder qualifications including the bidder responsibility
criteria found in RCW 39.04.350. Bidder verification documentation is attached.
Public Works deemed that the low bidder was ineligible. Phase 3, installation of the
fence and gates at Memorial Field, is being awarded to the second lowest bidder.
Fiscal Impact/Cost Benefit Analysis: The Bid amount is $156, 180. This project is 70%
RCO funded, and 30% Jefferson County Construction and Renovation Funds.
Recommendation: Public Works recommends that the Board authorize the Award of
Contract to M2 Industrial General Contractors Inc. and authorize the County Engineer
to execute necessary change orders for the project for up to 10% of the contract
amount of $15,618, or an aggregate total of $171,798, by signing the attached
document and returning it to Public Works for further processing.
Department Contact: Matthew Tyler, ext 129
Reviewed By:
Josh eters, County Administrator Date
q/-30/ 6
Department of Public Works 623 Sheridan Street
Port Townsend,WA 98368
Jefferson County, Washington 360-385-9160
DATE: September 29,2026
TO: Board of County Commissioners
FROM: Eric Kuzma,Public Works Director•1(
SUBJECT: AWARD OF CONTRACT
Memorial Athletic Field Infrastructure Renovation Project, Phase 3 (Fence and Gate
Construction)
County Project No. 17521350
In the matter of awarding a construction contract for the above-referenced work:
The Call for Bids was issued by the Board of County Commissioners on August 12, 2026.
The MRSC Small Works Roster Process was utilized.
Five bids were received by the September 15,2026 deadline.
The Public Works Department has completed checking the bids and has investigated the qualifications
of the lowest bidder including Bidder responsibility criteria of RCW 39.04.350(1).
Bid tabs are attached for reference.
The Public Works Department recommends that the construction contract be awarded to the lowest responsive
and responsible bidder:
M2 Industrial of Ellensburg Washington for$156, 180.00
Memorial Athletic Field Infrastructure Renovation Project, Phase 3,County Project# 17521350
and, authorize the County Engineer to execute change orders for the project, due to unforeseen conditions
only,for up to 10%of the contract amount,or$15,618.00
Approved
Greg Brotherton Date
Chair,Board of County Commissioners
Attached:Bid Tabulations
Bidder Verification Summary
12
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RAFT
MINUTES
Jefferson County Board of County Commissioners
Regular Meeting — September 28, 2026, 9:00 a.m.
Jefferson County Courthouse—Commissioners' Chambers
1820 Jefferson Street, Port Townsend, WA (Hybrid)
CALL TO ORDER: Chair Greg Brotherton, Commissioner Heidi Eisenhour and
Commissioner Heather Dudley-Nollette participated in the meeting. Chair Brotherton called the meeting
to order at the appointed time and played a tune on a fiddle.
PUBLIC COMMENT PERIOD: Chair Brotherton called for public comments, and six
comments were received. The Commissioners addressed the comments.
APPROVAL AND ADOPTION OF THE CONSENT AGENDA: Commissioner
Dudley-Nollette moved to approve the Consent Agenda as presented. Commissioner Eisenhour
seconded the motion which carried by a unanimous vote.
1.HEARING NOTICE re: Notice of intent to sell surplus property; Hearing scheduled for
October 12, 2026 at 10:00 a.m. in the Commissioners Chambers located at 1820 Jefferson Street,
Port Townsend, WA 98368 (HYBRID)
2.HEARING NOTICE re: Budget Appropriations; Hearing scheduled for October 12, 2026 at
10:30 a.m. in the Commissioners Chambers located at 1820 Jefferson Street, Port Townsend,
WA 98368 (HYBRID)
3. RESOLUTION NO.47-0928-26R re: In the matter of endorsement for the Universal
Declaration of Human Rights (mod. 7-28-26)
4. RESOLUTION NO.48-0928-26R re: Amending the 2016 Jefferson County Solid Waste
Management Plan to allow for a Curbside Low-Income Discount within the East Jefferson
County UTC Service Area
5. AGREEMENT re: Noxious Weed Control; $50,720; WSU; Department of Ecology State of
Washington
6. AGREEMENT re: Community information and education activities for those with
intellectual/developmental disabilities; $7,200; Public Health; People First of Washington
7. AGREEMENT,Amendment No.2 re: Nurse Family Partnership; Additional $452,680.13 for a
total of$905,360.26; Public Health; Kitsap Public Health
8. MOTION re: Approving a motion to authorize the Central Services Director to sign an
Agreement for Granicus Operations Cloud Service; $40,8709.79
9.CONTRACT CLOSEOUT re: Energy Efficient Stock Plans Grant; F24-51701-004;
Department of Community Development; Washington State Department of Commerce
10. APPROVAL OF MINUTES: Regular Meeting Minutes of September 21, 2026 and Special
Meeting Minutes of September 18, 2026(Conservation Futures)
1
Commissioners Meeting Minutes of September 28, 2026 D R A F T
COMMISSIONERS' BRIEFING SESSION: The Commissioners discussed recent
meetings they attended, and miscellaneous topics.
The meeting was recessed at 10:27 a.m. and reconvened at 10:30 a.m. with all three
Commissioners present.
HEARING re: Informing the public of Jefferson and Clallam Counties' spending of
the 2025-2026 Community Development Block Grant(CDBG),public service funding, and the
proposed use of the July 2026-June 2027 funding: Grants Administrator Amanda Christofferson and
OlyCAP Housing Director Viola Ware were present for the hearing, and they explained the work that
has been completed over the past year with the Caswell-Brown Village project, highlighting site
staffing, housing assistance, sanitation and laundry facilities, shower access, safety training, and several
successful moves into permanent housing. The 2025-26 grant amount is $103,000, of which$88,477
was expended. OlyCAP is proposing to utilize the 2026-27 funding for the same purpose. Also
discussed were the broader eligible uses and requirements of CDBG public service, general purpose, and
housing-rehabilitation grant programs.
After discussion, Chair Brotherton called for public testimony. Hearing no testimony, he closed the
public hearing. After a brief follow-up discussion, Commissioner Eisenhour moved to authorize the
Chair to execute the 2025-26 CDBG Public Services Close Out Report,the 2026-27 CDBG Public
Services Grant Application and the Determination of Exemption and Categorical Exclusion for the
2026-27 CDBG Public Services funding. Commissioner Dudley-Nollette seconded the motion which
carried by a unanimous vote.
WORKSHOP re: South County floodplain management: Department of Community
Development(DCD) Director Jeremy Williammee, Natural Resources Program Coordinator Tami
Pokorny, South County Task Force representative Andrew Schwartz, and Brinnon Planners Group
representative Mark Rose were present for discussion. The discussion focused on Brinnon's significant
floodplain and floodway constraints, which limit development, flood-control work,habitat restoration,
and long-term community planning. County staff and community groups are exploring several paths,
including modifying land-use rules, relocating some public facilities or businesses to safer areas,
improving infrastructure such as sewer service, pursuing habitat and flood-resilience funding, and
updating the long-standing Brinnon Subarea Plan. The group emphasized that no single solution has
been chosen, that stronger community and agency coordination is still needed, and that future decisions
should balance public safety, environmental protection, economic activity, and Brinnon's rural
character.
County Administrator Josh Peters,provided some background context by noting that Brinnon's
challenges are difficult not just financially and practically, but legally. The Rural Village Center
boundaries are tied to the Growth Management Act(GMA) and are hard to change. The County may
have more flexibility through targeted code changes,possible state legislation, or even a small Urban
Growth Area(UGA), but each option carries legal and planning hurdles. He also noted that floodplain
rules largely come from federal requirements and that limited long-range planning staff has constrained
the County's ability to revisit the Brinnon Subarea Plan regularly.
2
Commissioners Meeting Minutes of September 28, 2026 A F T
PRESENTATION re: North Hood Canal Chamber of Commerce presents on
Placer a.i: North Hood Canal Chamber of Commerce Executive Director Andrew Schwartz presented
on their use of Placer.ai to support business, economic, and community development by providing
estimated foot/road traffic, visitor origins, demographics,repeat visitation, and other data that can
inform marketing, planning, grants, and government decisions. The Chambers is currently piloting free
business analysis reports with members while acknowledging limitations such as algorithmic estimates,
sparse rural cell-service data, and potential false positives from nearby roads or shared parking areas.
Director Schwartz answered questions posed by the Board.
The meeting was recessed at 12:34 p.m. and reconvened at 2:00 p.m. with all three
Commissioners present.
COMMISSIONERS' BRIEFING SESSION-Continued: The Commissioners and
County Administrator continued discussing recent meetings they attended, miscellaneous topics, and
reviewed upcoming meetings.
The meeting was recessed at 2:27 p.m. and reconvened at 2:30 p.m. with all three
Commissioners present.
WORKSHOP re: National Park Service: Olympic National Park(ONP)
Superintendent Sula Jacobs, ONP Deputy Superintendent Kevin Killian, ONP Public Affairs Specialist
Molly Pittman, and Assessor Jeff Chapman met in-person for discussion with the Commissioners.
ONP staff provided updates on the Hurricane Ridge Visitor Center rebuild, ongoing visitor-use
monitoring across Olympic National Park, reopening and continued restoration work at Staircase
following the fire, monitoring of the Mount Tom Creek fire and coordination with regional fire partners,
upcoming pavement preservation and road projects throughout the park, and continued trail and
maintenance work in the Dosewallips area.
The group also discussed the Olympic Peninsula recreation collaborative and its North Hood Canal
recreation planning effort, the Klahane Campground NEPA review, proposed trail bridge replacements,
recreation and parking options for the Dosewallips corridor, coordination with gateway communities
under Secretarial Order 3434, South Shore Road improvements and seasonal bridge access near
Quinault, long-term consideration of a permanent bridge, and the proposed National Park Service
reorganization and current organizational structure.
County Administrator Josh Peters noted that Deputy Director of Intergovernmental and External Affairs
with the United States Department of Interior Nathan Naidu met with the Commissioners recently. Chair
Brotherton opened the floor to allow for public comments, and one comment was received. After closing
remarks and other park updates,the Commissioners thanked ONP staff meeting with them.
ADDITIONAL DISCUSSION ITEMS: The Commissioners and County Administrator
reviewed the following:
Discussion re: Housing Fund Board recommendation for Jefferson County to become the
Continuum of Care(CoC) lead: Chair Brotherton and Commissioner Dudley-Nollette recapped
3
Commissioners Meeting Minutes of September 28, 2026 DRAFT
the recommendation that came from the Housing Fund Board to Commissioner Eisenhour, and
they all discussed the pros and cons of taking on this task and how much funding the County
would get to carry out those tasks. After discussion, Commissioner Dudley-Nollette moved to
direct staff, including the County Administrator, Director of Finance and Grants Administrator to
explore the technical steps to take over the Continuum of Care lead role. Commissioner
Eisenhour seconded the motion. Chair Brotherton called for public comments on the motion, and
one comment was received. After responses to the public comment, he called for a vote on the
motion. The motion carried by a unanimous vote.
Upcoming RFPs: LTAC - RFP closes September 30, 2026, and HFB - RFP closes October 16,
2026
NOTICE OF ADJOURNMENT: Chair Brotherton adjourned the meeting at 3:55 p.m.
until the next regular meeting or special meeting as properly noticed.
JEFFERSON COUNTY
BOARD OF'COMMISSIONERS
SEAL:
Greg Brotherton, Chair
ATTEST: Heidi Eisenhour, Member
Carolyn Gallaway, CMC Heather Dudley-Nollette, Member
Clerk of the Board
4
Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Josh Peters, County Administrator
From: Eric Kuzma, Public Works Directo
Agenda Date: October 5, 2026
Subject: Change Order No. 1 with Rognlin's, Inc. for Quinault South Shore Rd. MP
1.3 ER, Project No. 1802141, County Road No. 911607
Statement of Issue: Change Order No. 1 with Rognlin's, Inc. for Quinault South Shore Rd. MP
1.3 ER, Project No. 1802141, County Road No. 911607
Analysis/Strategic Goals/Pro's Et Con's: Due to late winter storms in 2024, high flow events
in the Quinault River created a 120 ft. long scour hole at Quinault South Shore Road MP 1.3,
forcing road closure. This change order adds an additional aggregate material (Jaw Run 8-in
Minus) which has less fines and larger rock and therefore, can be used in wetter environment
high groundwater and rain during construction). The Jaw Run is being placed in the volume
between the large man rocks, which are set in the river bed, and the subgrade of the road
i.e., this material is filling in the scour hole created by the high flow events). The original
aggregate (Select Borrow), also used to fill in the scour hole, may be used once the scour hole
height reaches above the ground water table.
Fiscal Impact/Cost Benefit Analysis: This change order will increase the original contract
amount by $72,000, from $325,000 to $397, 000. NOTE: Both the Select Borrow and Jaw Run
are filling the same volume, thus the financial impact to the total project cost would not be
the entire Jaw Run amount ($117,000), but the difference between what is not used of the
Select Borrow and what is used of the Jaw Run. The change order work is for the
Temporary/Emergency Repair work, therefore, FHWA will provide 100% funding.
Recommendation: The Board is requested to sign the one (1) original of Change Order No. 1
with Rognlin's Inc, and return the executed change order to Public Works.
Department Contact: Mark Thurston, P.E., Project Manager, 385-9160.
Reviewed By:
Josh' ePtersCountyAdministratorDate
et(3op6,
JEFFERSON COUNTY
Sheet 1 of 1 DEPARTMENT OF PUBLIC WORKS Change
1
Date: 9/25/2026 CHANGE ORDER Order No.
Ordered by County Engineer under terms of
X Section 1 -04.4 of the Standard Specifications
1802141ContractNo.
Change proposed by Contractor To:
Rognlin's Inc.
Endors y: Rosni Inc 321 West State Street
oirtorFTr! e Aberdeen, WA 98520 Ii
9/29/2026
Signature Date
Vice President
Title
Consent given by Surety:(when required) Project Title Quinault South Shore
Rd. MP 1.3 ER
By.
Attorney-in-fact Date
You are ordered to perform the following described work upon receipt of an approved copy of this change order:
This change order will make the following change to the contract:
Add new Bid Item 23"Jaw Run(8-inch Minus)",per Ton
At Jefferson County's request,the County is adding a new backfill material,which will be placed in the void
scour hole)left in Quinault South Shore Rd.during storm events in late 2024. The new material contains
more rock and being is used due to the presence of groundwater and rain during construction.
Bid Item 23, Jaw Run(8-inch Minus):$52/Ton x 2,250 Ton=$117,000
New Bid Item 23 is replacing a portion of existing Bid Item 2 Select Borrow. The original quantity of Select
Borrow is 1,940 CY of material. The County Is assuming that the project will use 440 CY of Select Borrow
material.
Select Borrow used= 440CY x $30/CY=$13,200
Jaw Run estimated= 1500 CY x 1.5(CY to ton conversion)=2,250 Ton x$52/Ton=$117,000
The total increase in the contract amount for this change order is:
Select Borrow Not Used=Select Borrow(subtotal)$58,200-Select Borrow(used)$13,200=$45,000
Increase Amount in Change Order 01 =Jaw Run(subtotal)$117,000-(Un-used Select Borrow)$45,000 =$72, 000
All work materials and measurement to be In accordance with the provisions of the standard specifications and
special provisions for the type of construction involved.
ORIGINAL CURRENT ESTIMATED ESTIMATED
CONTRACT CONTRACT NET CHANGE CONTRACT TOTAL
AMOUNT AMOUNT THIS ORDER AFTER CHANGE
325,000.00 325,000.00 72,000.00 397I11.00
ORIGINAL CONTRACT CURRENT CONTRACT CONTRACT TIME NEJN •• TRACT
TIME(days) TIME(days) CHANGE(Add/Del) TIM ays)
25 25 0 5
PROVAL RECOMMEN ED P 'L '-COMMENDED
I61AO 6024,
Project Manager b( ark A Date County Enginee ,r Public Works Director Date
AP ROV L RECOMMENDE
I
APPROVED
Engineering Services Manager ate Chair Jefferson County Commissioners Date
Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Josh Peters, County Administrator
From: Eric Kuzma, Public Works Director
Agenda Date: October 5, 2026
Subject: Change Order No. 6, Olympic Discovery Trail- Anderson Lake Connection
Project, County Project No. 18019893, County Road No. 850200, Federal
Aid Project No. STBGR-2016(030), RCO Project No. 20-1745
Statement of Issue: Change Order No. 6 with Seton Construction for the Olympic Discovery
Trail- Anderson Lake Connection Project, County Project No. 18019893.
Analysis/Strategic Goals/Pro's Et Con's: This project is for construction of a new
approximately 3.2 mile-long segment of the Olympic Discovery Trail between Milo Curry Road
and Anderson Lake State Park. Change Order No. 6 changes the original scope of work to add
alternative electrical conduit for a rectangular rapid flashing beacon, and advanced warning
beacon upon determination that the existing conduits were inadequate.
Fiscal Impact/Cost Benefit Analysis: This change order will increase the current contract
amount by $34,766.25 from $4,716,727.81 to $4,751,494.06 (includes 9.5% WSST on `Group 2'
items). The construction portion of this project is funded with WA State Recreation and
Conservation Office WA Wildlife and Recreation Program- Trails grant (WWRP) and Federal
Highway Administration Surface Transportation Block Grant (STBG). There are sufficient grant
funds to cover this Change Order amount.
Recommendation: Public Works recommends that the Board execute two originals of Change
Order No. 6 with Seton Construction and return one original to Public Works for further
processing.
Department Contact: John Fleming, P.E., Project Manager, 385-9217.
Reviewed By:
QM' ei 36/d
JoslY'eters, County Administrator Date
Washington State
1 Department of Transportation Change Order
Contract Number Contract Title Federal Aid Number
18019893 Olympic Discovery Trail- Anderson Lake Connection STBGR-2016(030)
Change Order Number Change Description Date
6 Work at intersection of SR20 and South Discovery Road 9/25/2026
Prime Contractor I Design-Builder
Seton Construction Inc.
Ordered by Engineer under the terms of Section 1-04.4 of the Standard Specifications
n Change proposed by Contractor/Design-Builder
Change Description
See attached.
Verbal Approval Given By Verbal Approval Date Working Days+!-
John Fleming, Jefferson County Public Works 9/25/2026 0
Original Contract Amount Current Contract Amount Est.Net Change is CID. Est.Contract Amount
3,782,268.93 4,716,727.81 34,766.25 4,751,494.06
Approval Recommended Approved Ap oved
Project Engineer Approving ority per C.A.Agreement
9/25/2026 91 L9/ 4
Date Date
Approval Recommended Other Approval As Required
ai/°By Prime Contractor Signature Date
tfZG - 26,
Date Representing
WSDOT Form 140-005 Page 1
Revised 04/2015
JEFFERSON COUNTY Contract#18019893
Sheet 2 of 2 DEPARTMENT OF PUBLIC WORKS
Change
Date: 9/25/2026 CHANGE ORDER ESTIMATE Order No. 6
NEW BID ITEMS-GROUP 1(Trail)
Bid
Item Unit Bid
No. DESCRIPTION Unit Amount Qty Unit Bid Total
GROUP 1(Trail)CO 06 New Bid Item Added Total 0.00
EXISTING BID ITEMS DELETED-GROUP 1(Trail)
Bid
Item Unit Bid
No. DESCRIPTION Unit Amount Qty Unit Bid Total
GROUP 1(Trail)CO 06 Ex.Bid Item Deleted Total 0.00
EXISTING BID ITEMS ADDED-GROUP 1(Trail)
Bid
Item Unit Bid
No. DESCRIPTION Unit Amount Qty Unit Bid Total
GROUP 1(Trail)CO 06 Ex.Bid Item Added Total 0.00
ESTIMATED NET CHANGE GROUP 1(Trail)SUBTOTAL: 0.00
NEW BID ITEMS-GROUP 2(SR-20)
Bid
Item Unit Bid
No. DESCRIPTION Unit Amount Qty Unit Bid Total
Project Temporary Traffic Control-Additional work
4C to accommodate antiquated WSDOT infrastucture LS $ 6,750.00 1 $ 6,750.00
Rectangular Flashing Beacon System-Additional
conduits for new circuits to rectangular rapid
flashing beacon due to existing conduits not having
21C adequate capacity LS $ 25,000.00 I 1 $ 25,000.00
GROUP 2(SR-20)CO 06 New Item Total $ 31,750.00
EXISTING BID ITEMS DELETED-GROUP 2(SR-20)
Bid
Item Unit Bid
No. DESCRIPTION Unit Amount Qty Unit Bid Total
GROUP 2(SR-20)CO 06 Ex.Bid Item Deleted Total 0.00
EXISTING BID ITEMS ADDED-GROUP 2(SR-20)
Bid
Item Unit Bid
No. DESCRIPTION Unit Amount Qty Unit Bid Total
GROUP 2(SR-20)CO 06 Ex.Bid Item Added Total 0.00
ESTIMATED NET CHANGE GROUP 2(SR-20)SUBTOTAL: $ 31,750.00
9.5%Sales Tax $3,016.25
ESTIMATED NET CHANGE TOTAL: $ 34,766.25
615 Sheridan Street
Port Townsend, WA 98368
6,e ehson www.JeffersonCountyPublicHealth.org
Public Healt
Consent Agenda
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Josh D. Peters, County Administrator
FROM: Apple Martine, JCPH Director
Veronica Shaw, JCPH Deputy Director
DATE: 7-67
SUBJECT: Agenda Item — Consolidated Contracts Amendment #16 with the Department
of Health; January 1, 2025 — December 31, 2027; $118,316 additional
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH) requests Board approval of Consolidated Contract Amendment #16
between JCPH and State of Washington Department of Health (DOH); January 1, 2025 — December 31, 2027;
additional funding of $118,316 for a total to date of $8,327, 819.
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
The purpose of this agreement is to provide public health services to the people of Washington State. This
amendment adds and/or amends statements of work (SOW) and funding for the following program(s):
Adds SOW for Office of Resiliency & Health Security to establish funding and tasks for Local Health
Jurisdictions to strengthen their ability to prepare, respond and recover from public health threats (adds
funding of $34,384)
Updates task table for Infectious Disease Syndemic (occurring when two or more infectious diseases or
health conditions cluster and interact within a population) Prevention Services (additional funding of
23,154).
WIC Nutrition Program — this revision adds funds within the Women, Infants, and Children Nutrition
Program (additional $60,778).
FISCAL IMPACT/COST BENEFIT ANALYSIS:
Total consideration for this Contract Amendment is $118,316. The Consolidated Contract is funded by DOH,
and comprises both Federal and State funds.
Community Health
Developmental Disabilities Environmental Public Health
360- 385-9400 360-385-9444
360-385-9401 (f) f) 360-379-4487
Always working for a safer and healthier communityCC-25-001-A 16
RECOMMENDATION:
JCPH Management recommends BoCC approval of Consolidated Contract Amendment #16 between JCPH and
DOH; January 1, 2025 — December 31, 2027; additional funding of $118,316.
REVIEWED BY:
gTh9 9/34bb
Josh D. Peters, County Administrator Date
Community Health Environmental Public Health
Developmental Disabilities 360- 385-9444
360-385-9400 Always working for a safer and healthier community f) 360-379-4487
360-385-9401 (f)
CONTRACT REVIEW FORM Clear Form
INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: State of WA Dept of Health Contract No: CC-25-001-A16
Contract For: Consolidated Contracts, Amendment 16 Term: 1/1/2025 - 12/31/2027
COUNTY DEPARTMENT: Public Health
Contact Person: Apple Martine
Contact Phone: x 443
Contact email: amartine@co.jefferson.wa us
AMOUNT: additional$118,316 for a total of$8,327,819 PROCESS:
Exempt from Bid Process
Revenue: $118,316 Cooperative Purchase
Expenditure: Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds Vendor List Bid
Fund # 127 RFP or RFQ
Munis Org/Obj 12756220 Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMPLIANCE WITH JCC 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: ! 1 N/A: Sep er 1ST ZoZto
Signature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: ! I N/A: I I 5e 1'krnber ,10 2-C°
Signature Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
Electronically approvedby Risk
STEP 5: DEPARTMENT MAKES REVISION1atiagSti&' 1712A21RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAII3ctronically approved as to form by PAO on 7-
9/21/2026.
DPA Luther reviewed and approved on 09-21-
2026.I
Page 1 of 33
JEFFERSON COUNTY PUBLIC HEALTH
2025-2027 CONSOLIDATED CONTRACT
CONTRACT NUMBER: CLH32053 AMENDMENT NUMBER: 16
PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as
DOH", and JEFFERSON COUNTY PUBLIC HEALTH, a Local Health Jurisdiction, hereinafter referred to as"LHJ",
pursuant to the Modifications/Waivers clause, and to make necessary changes within the scope of this contract and any
subsequent amendments thereto.
IT IS MUTUALLY AGREED: That the contract is hereby amended as follows:
I. Exhibit A Statements of Work, includes the following statements of work, which are incorporated by this reference
and located on the DOH Finance SharePoint site in the Upload Center at the following URL:
ILttps://stateofwa.sharepoint coin sites/doh-ofsfundingresources sitepagesrhome.aspx?=e1:9a94688da2d94d3ea80ac7fbc32e4d7c
Adds Statements of Work for the following programs:
Office of Resiliency& Health Security-PHEP- Effective July I, 2026
Amends Statements of Work for the following programs:
Infectious Disease Syndemic Prevention Services-SSP-Effective July 1, 2026
WIC Nutrition Program - Effective January 1, 2025
Deletes Statements of Work for the following programs:
2. Exhibit B-16 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-15 Allocations
as follows:
O Increase of$118,316 fora revised maximum consideration of$8,327,819.
Decrease of for a revised maximum consideration of
Li No change in the maximum consideration of
Exhibit B Allocations are attached only for informational purposes.
3. Exhibit C Federal Grant Awards Index, incorporated by this reference, and located in the ConCon, Funding& BARS
library at the URI, provided above.
Unless designated otherwise herein,the effective date of this amendment is the date of execution.
ALL.OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force
and effect.
IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof.
JEFFERSON COUNTY WASHINGTON STATE OF WASHINGTON
BOARD OF COUNTY COMMISSIONERS DEPARTMENT OF HEALTH
Greg Brotherton,Chair Date Date
APPROV 't :S T FORM ONLY:APPROVE[) AS TO FORM ONLY
4111, Assistant Attorney General
09-21-2026
JeremiaV. LuVer,er, Date
Civil Deputy Prosecuting Attorney
Page 1 of I
cc-2;.o@I-AIG
EXHIBIT B-16
Page 2 of 33
Jefferson County Public Health ALLOCATIONS Contract Number: CLH32053
Contract Term:2025-2027 Date: August 1,2026
Indirect Rate January 1,2025 through December 31,2025:27.38%Public Health
Indirect Rate January 1,2026 through December 31,2026:32.64%Public Health
DOH Use Only
BARS Statement of Work Chart of Accounts Funding Chart of
Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification#Amend#List#* Code** Start Date End Date Start Date End Date Amount SubTotal Total
FFY26 Brstfdg Peer Cn Pr Mgmt USDA 7WA700WAI Amd 15 10.557 333.10.55 10/01/25 09/ 30/ 27 10/01/25 09/30/ 28 26,770 26,770 54,286
FFY25 Brstfdg PeerCn Pr Mgmt USDA 7WA700WAI Amd 11 10.557 333.10.55 01/01/25 09/30/27 10/01/24 09/30/27 1,994 23,449
FFY25 Brstfdg PeerCn Pr Mgmt USDA 7WA700WAI Amd 9 10.557 333.10.55 01/01/25 09/30/27 10/01/24 09/ 30/27 722)
FFY25 Brstfdg Peer Cn Pr Mgmt USDA 7WA700WA1 Amd 8 10.557 333.10.55 01/01/25 09/30/27 10/01/24 09/ 30/ 27 6,061)
FFY25 Brstfdg Peer Cn Pr Mgmt USDA 7WA700WA1 Amd 4,8 10.557 333.10.55 01/01/25 09/30/27 10/01/24 09/30/27 28,238
FFY24 Brstfdg Peer Cn Pr Mgmt USDA 7WA700WA1 Amd 11 10.557 333.10.55 01/01/25 09/30/26 10/01/23 09/30/26 1,994) 4,067
FFY24 Brstfdg Peer Cn Pr Mgmt USDA 7WA700WA1 Amd 8 10.557 333.10.55 01/01/25 09/30/26 10/ 01/23 09/30/ 26 6,061
FFY24 Brstfdg Peer Cn Pr Mgmt USDA 7WA700WA1 Amd 4 10.557 333.10.55 01/01/25 09/30/26 10/ 01/23 09/30/ 26 ($28,238) 0
FFY24 Brstfdg Peer Cn Pr Mgmt USDA 7WA700WA1 Amd 2 10.557 333.10.55 01/01/25 09/30/26 10/01/23 09/ 30/ 26 28,238
FFY25 USDA WIC Client Svs Contracts 7WA700WA7 Amd 8 10.557 333.10.55 01/01/25 09/30/25 10/ 01/24 09/ 30/25 3,448) $144,669 144,669
FFY25 USDA WIC Client Svs Contracts 7WA700WA7 Amd 4 10.557 333.10.55 01/01/25 09/30/25 10/ 01/24 09/ 30/25 3,975
FFY25 USDA WIC Client Svs Contracts 7WA700WA7 Amd 2 10.557 333.10.55 01/01/25 09/30/25 10/01/24 09/ 30/25 $144, 142
FFY26 WIC Client Svs Contracts USDA 7WA700WA7 Amd 16 10.557 333.10.55 10/01/25 09/30/26 10/01/25 09/30/26 S60,778 199,871 199,871
FFY26 WIC Client Svs Contracts USDA 7WA700WA7 Amd 15 10.557 333.10.55 10/01/25 09/30/26 10/ 01/25 09/ 30/26 25,400
FFY26 WIC Client Svs Contracts USDA 7WA700WA7 Amd 13 10.557 333.10.55 10/01/25 09/30/26 10/01/25 09/ 30/ 26 62,893
FFY26 WIC Client Svs Contracts USDA 7WA700WA7 Amd 12 10.557 333.10.55 10/01/25 09/30/26 10/01/25 09/ 30/ 26 25,400
FFY26 WIC Client Svs Contracts USDA 7WA700WA7 Amd 11 10.557 333.10.55 10/01/25 09/30/26 10/01/25 09/ 30/ 26 10,837
FFY26 WIC Client Svs Contracts USDA 7WA700WA7 Amd 9 10.557 333.10.55 10/01/25 09/30/26 10/01/25 09/ 30/ 26 14,563
FFY25 Farm Mkt Ntr Prog Mgmt USDA 7WA810WA7 Amd 4 10.572 333.10.57 01/01/25 09/30/25 10/ 01/24 09/30/25 637 637 637
FFY26 Swimming Beach Act IAR(ECY) 03J18701 Amd 12 66.472 333.66. 47 03/01/26 10/31/26 07/01/25 11/30/ 26 8,000 8,000 21,500
FFY25 SWIMMING BEACH ACT IAR(ECY) 01J74301 Amd 2 66.472 333.66.47 03/01/25 10/31/25 01/ 01/25 11/30/ 25 13,500 13,500
FFY26 PHEP BP3-CDC-LHJ Partners NU90T0000055 Amd 16 93.069 333.93. 06 07/01/26 06/30/27 07/01/26 06/ 30/27 34,384 34,384 82,522
FFY25 PREP BP2-CDC-LHJ Partners NU9OTU000055 Amd 9 93.069 333.93.06 07/01/25 06/30/26 07/01/25 06/ 30/26 14,857 34,384
FFY25 PREP BP2-CDC-LHJ Partners NU9OTU000055 Amd 7 93.069 333.93.06 07/01/25 06/30/26 07/01/25 06/30/26 19,527
FFY24 PHEP BPI-CDC-LW Partners NU9OTU000055 Amd 1 93.069 333.93.06 01/ 01/25 06/30/25 07/01/24 06/ 30/ 25 13,754 13,754
FFY25 OD2A OID Prevent CDC NI117CF010218 Amd 16 93.136 333.93.13 07/01/26 08/31/26 09/01/25 08/31/26 23,154 23,154 271,498
FFY25 OD2A OID Prevent CDC NU17CE010218 Amd 13 93.136 333.93.13 09/01/25 06/30/26 09/01/25 08/31/26 30,667 128,667
FFY25 OD2A OLD Prevent CDC NU17CE010218 Amd 10,13 93.136 333.93.13 09/01/25 06/30/26 09/01/25 08/31/26 98,000
FFY24 OD2A OLD CDC Prevent NU17CE010218 Amd 10 93.136 333.93.13 07/01/25 08/31/25 09/01/24 08/31/25 21,788 38,121
FFY24 OD2A OLD CDC Prevent NU17CE010218 Amd 6 93.136 333.93.13 07/01/25 08/31/25 09/01/24 08/31/25 16,333
FFY24 OD2A OID CDC Prevent NUI7CE010218 Amd 2 93.136 333.93.13 01/ 01/25 06/30/25 09/01/24 08/31/25 32,556 81,556
FFY24 OD2A OID CDC Prevent NU17CE010218 Amd 1 93.136 333.93.13 01/01/25 06/ 30/25 09/01/24 08/31/25 49,000
Page 1 of 4
EXHIBIT B-16 Page 3 of 33
Jefferson County Public Health ALLOCATIONS Contract Number: CLH32053
Contract Term:2025-2027 Date: August 1,2026
Indirect Rate January 1,2025 through December 31,2025:27.38%Public Health
Indirect Rate January 1,2026 through December 31,2026:32. 64%Public Health
DOH Use Only
BARS Statement of Work Chart of Accounts Funding Chart of
Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification#Amend#List#* Code** Start Date End Date Start Date End Date Amount SubTotal Total
FFY26 Title X Fam Plan FPHPA YR5 FPHPA006560 Amd 15 93.217 333.93.21 04/01/26 03/31/27 04/01/26 03/31/27 25,242 25,242 80,280
FFY25 FPHPA Title X Family Plan FPHPA006560 Amd 9 93.217 333.93.21 04/01/25 03/31/26 04/01/25 03/31/26 21,049 38,072
FFY25 FPHPA Title X Family Plan FPHPA006560 Amd 5 93.217 333.93.21 04/01/25 03/31/26 04/01/25 03/31/26 17,023
FFY24 FPHPA Title X Family Plan FPHPA006560 Amd 3 93.217 333.93.21 01/01/25 03/31/25 04/01/24 03/31/25 8,345 16,966
FFY24 FPHPA Title X Family Plan FPHPA006560 Amd 21 93.217 333.93.21 01/01/25 03/31/25 04/01/24 03/31/25 8,621
FFY24 CDC PPHF Ops NH23IP922619 Amd 1 93.268 333.93.26 01/01/25 06/30/25 07/01/23 06/30/ 25 10,000 10,000 10,000
FFY20 ELC EDE LHJs CDC NU50CK000515 Amd 1,7 93.323 333.93.32 01/01/25 12/ 31/25 01/15/21 07/31/26 15,580 15,580 15,580
FFY19 ELC ED Immunizations CDC NU50CK000515 Amd 9 93.323 333.93.32 07/01/25 06/30/26 07/01/25 07/ 30/26 10,000 10,000 10,000
FFY21 CDC COVID-19 PHWFD-LHJ NU90TP922181 Amd 3 93.354 333.93.35 01/01/25 06/30/25 07/01/23 06/30/25 51,330 51,330 51,330
PH Infrastructure Comp Al-LW NE110E000053 Amd 9 93.967 333.93.96 01/01/25 11/30/ 27 12/ 01/22 11/30/ 27 $200,000 350,300 350,300
PH Infrastructure Comp Al-LHJ NE11OE000053 Amd 3 93.967 333.93.96 01/01/25 11/30/27 12/01/22 11/30/ 27 $150,300
FFY25 HRSA MCHBG LHJ Contracts B04MC54583 Amd 1 93.994 333.93.99 01/01/25 09/30/25 10/01/24 09/ 30/25 27,525 27,525 27,525
FFY25 MCHBG Special Pr HRSA 2 B04MC54583 Amd 9 93.994 333.93.99 10/ 01/25 09/30/26 10/01/25 09/30/26 3,376 3,376 3,376
FFY26 MCHBG LHJ Contracts HRSA YR1 B04MC55473 Amd 14 93.994 333.93.99 10/01/25 09/30/26 10/01/25 09/30/ 26 12,233 28,736 28,736
FFY26 MCHBG LHJ Contracts HRSA YR1 B04MC55473 Amd 13 93.994 333.93.99 10/01/25 09/30/26 10/01/25 09/ 30/ 26 7,646
FFY26 MCHBG LHJ Contracts HRSA YR1 B04MC55473 Amd 12 93.994 333.93.99 10/01/25 09/30/26 10/01/25 09/ 30/26 2,140
FFY26 MCHBG LHJ Contracts HRSA YR1 B04MC55473 Amd 11 93.994 333.93.99 10/01/25 09/30/ 26 10/01/25 09/ 30/26 6,717
FFY26 MCHBG LHJ Contracts HRSA YR1 B04MC55473 Amd 9 93.994 333.93.99 10/01/25 09/30/26 10/01/25 09/ 30/26 ($36,700) 0
FFY26 MCHBG LW Contracts HRSA YR1 B04MC55473 Amd 7 93.994 333.93.99 10/01/25 09/30/26 10/ 01/25 09/ 30/ 26 36,700
SFY25 SBHC Proviso Amd 1 N/A 334.04. 90 01/01/25 06/30/25 07/01/24 06/30/ 25 59,000 59,000 59,000
SFY27 Sch Based Hlth Cent 1225 Proviso Amd 15 N/A 334.04.90 07/01/26 06/30/27 07/01/26 06/ 30/ 27 $140,000 140,000 280,000
SFY26 Sch Based Hlth Cent 1225 Proviso Amd 7 N/A 334.04.90 07/01/25 06/30/26 07/01/25 06/ 30/ 26 $140,000 140,000
SFY25 DUH Naloxone DDO HCA IAR Amd 4 N/A 334.04.91 03/01/25 06/30/25 12/10/24 06/ 30/ 25 15,000 15,000 15,000
SFY27 Drug User Health Program Amd 15 N/A 334.04.91 07/01/26 06/30/27 07/01/26 06/30/ 27 80,500 80,500 201,250
SFY26 Drug User Health Program Amd 6 N/A 334.04.91 07/01/25 06/30/26 07/01/25 06/30/26 80,500 80,500
SFY25 Drug User Health Program Amd 1 N/A 334.04.91 01/01/25 06/30/25 07/01/24 06/30/ 25 40,250 40,250
Page 2 of 4
EXHIBIT B-16
Page 4 of 33
Jefferson County Public Health ALLOCATIONS Contract Number: CLH32053
Contract Term:2025-2027 Date: August 1,2026
Indirect Rate January 1,2025 through December 31,2025:27.38%Public Health
Indirect Rate January 1,2026 through December 31,2026:32.64%Public Health
DOH Use Only
BARS Statement of Work Chart of Accounts Funding Chart of
Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification#Amend#List#* Code** Start Date End Date Start Date End Date Amount SubTotal Total
SFY27 Sexual&Rep Hlth Cost Share Amd 15 N/A 334.04.91 07/01/26 06/30/27 07/01/26 06/ 30/ 27 38,074 38,074 175,135
SFY26 Sexual&Rep Hlth Cost Share Amd 9 N/A 334.04.91 01/01/26 06/30/26 07/01/25 06/ 30/ 26 41,664 41,664
SFY26 Sexual&Rep Hlth Cost Share Amd 7 N/A 334.04.91 07/01/25 12/31/25 07/01/25 06/ 30/ 26 47,404 47,404
SFY25 Sexual&Rep Hlth Cost Share Amd 1 N/A 334.04.91 01/01/25 06/30/25 07/01/24 06/30/ 25 47,993 47,993
SFY25 SSPS Opiod Harm Red Proviso Amd 2 N/A 334.04.91 01/ 01/25 06/30/ 25 07/01/24 06/30/ 25 8,000 8,000 8,000
SFY25 LHJ Opioid Campaign Proviso Amd 3 N/A 334.04.93 01/01/25 06/30/25 07/01/24 06/ 30/ 25 24,500 56,000 56,000
SFY25 LHJ Opioid Campaign Proviso Amd 1 N/A 334.04.93 01/01/25 06/ 30/25 07/01/24 06/30/ 25 31,500
Rec Shellfish/Biotoxin Amd 15 N/A 334.04.93 07/01/25 06/ 30/ 27 07/01/25 06/30/27 9,000 16,500 20,200
Rec Shellfish/Biotoxin Amd 6,15 N/A 334.04.93 07/01/25 06/ 30/ 27 07/01/25 06/30/27 7,500
Rec Shellfish/Biotoxin Amd 1 N/A 334.04.93 01/ 01/25 06/30/25 07/01/23 06/30/25 3,700 3,700
Small Onsite Management(ALEA) Amd 8 N/A 334.04.93 07/01/26 06/30/27 07/01/25 06/30/27 6,571 6,571 68,200
Small Onsite Management(ALEA) Amd 8 N/A 334.04.93 07/01/25 06/30/ 26 07/01/25 06/30/27 36,611 36,611
Small Onsite Management(ALEA) Amd 8 N/A 334.04.93 01/ 01/25 06/30/25 07/01/23 06/30/25 8,763)25,018
Small Onsite Management(ALEA) Amd 4 N/A 334.04.93 01/ 01/25 06/30/25 07/01/23 06/30/25 1,363
Small Onsite Management(ALEA) Amd 3 N/A 334.04.93 01/01/25 06/30/25 07/01/23 06/30/25 32,418
SFY27 Wastewater Management-GFS Amd 8 N/A 334.04.93 07/01/26 06/30/27 07/01/26 06/ 30/27 31,822 31,822 49,824
SFY25 Wastewater Management-GFS Amd 8 N/A 334.04.93 01/01/25 06/30/ 25 07/01/24 06/ 30/25 8,763 18,002
SFY25 Wastewater Management-GFS Amd 4 N/A 334.04.93 01/01/25 06/30/ 25 07/01/24 06/ 30/25 1,363)
SFY25 Wastewater Management-GFS Amd 3 N/A 334.04.93 01/01/25 06/30/25 07/01/24 06/ 30/25 10,602
SFY27 FPHS-LHJ Funds-GFS Amd 15 N/A 336.04.25 07/01/26 06/30/ 27 07/01/26 06/ 30/27 $1,572,000 $1,572,000 6,033,000
SFY26 FPHS-LHJ Funds-GFS Amd 9 N/A 336.04.25 07/01/25 06/30/26 07/01/25 06/ 30/26 ($75,000) $2,128,000
SFY26 FPHS-LHJ Funds-GFS Amd 7 N/A 336.04.25 07/01/25 06/30/26 07/01/25 06/30/26 $2,203,000
SFY25 FPHS-LHJ Funds-GFS Amd 1 N/A 336.04.25 01/01/25 06/ 30/ 25 07/01/24 06/30/25 $2,333,000 $2,333,000
YR 1 Stimulus- Local Asst(10%of 15%)SS Amd 12 N/A 346.26.64 01/01/25 12/31/27 07/01/23 06/30/28 1,800 3,850 3,850
YR1 Stimulus-Local Asst(10%of 15%)SS Amd 11 N/A 346.26.64 01/01/25 12/31/27 07/01/23 06/30/28 250
YR1 Stimulus-Local Asst(10%of 15%)SS Amd 6 N/A 346.26.64 01/01/25 12/31/27 07/01/23 06/30/28 1,800
YR 28 SRF-Local Asst(15%)SS Amd 11 N/A 346.26.64 01/01/25 12/31/27 07/01/24 06/ 30/ 29 200 200 200
YR 28 SRF-Local Asst(15%)SS Amd 6 N/A 346.26.64 01/01/25 12/31/27 07/01/24 06/ 30/29 2,200)
YR 28 SRF-Local Asst(15%)SS Amd 4 N/A 346.26.64 01/01/25 12/31/27 07/01/24 06/ 30/ 29 2,200
YR 27 SRF-Local Asst(15%)SS Amd 4 N/A 346.26.64 01/01/25 06/30/25 07/01/23 06/30/25 2,200) 0
YR 27 SRF-Local Asst(15%)SS Amd 1 N/A 346.26. 64 01/01/25 06/30/25 07/01/23 06/30/25 2,200
Page 3 of 4
EXHIBIT B-16
Page 5 of 33
Jefferson County Public Health ALLOCATIONS Contract Number: CLH32053
Contract Term:2025-2027 Date: August 1,2026
Indirect Rate January 1,2025 through December 31,2025:27.38%Public Health
Indirect Rate January 1,2026 through December 31,2026:32.64%Public Health
DOH Use Only
BARS Statement of Work Chart of Accounts Funding Chart of
Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts
Chart of Accounts Program Title Identification#Amend#List#* Code** Start Date End Date Start Date End Date Amount SubTotal Total
Sanitary Survey Fees SS-State Amd 12 N/A 346.26.65 01/01/25 12/31/27 07/01/23 12/31/27 1,800 4,050 4,050
Sanitary Survey Fees SS-State Amd 11 N/A 346.26.65 01/01/25 12/31/27 07/01/23 12/31/27 450
Sanitary Survey Fees SS-State Amd 6 N/A 346.26.65 01/01/25 12/31/27 07/01/23 12/31/27 400)
Sanitary Survey Fees SS-State Amd 1,6 N/A 346.26.65 01/01/25 12/31/27 07/01/23 12/31/27 2,200
YR 1 Stimulus- Local Asst(10%of 15%)TA Amd 12 N/A 346.26.66 01/01/25 12/31/27 07/01/23 06/ 30/28 1,000 2,000 2,000
YR1 Stimulus-Local Asst(10%of 15%)TA Amd 6 N/A 346.26.66 01/01/25 12/31/27 07/01/23 06/ 30/28 1,000
YR 28 SRF-Local Asst(15%)TA Amd 6 N/A 346.26.66 01/01/25 12/31/27 07/01/24 06/ 30/ 29 1,000) 0 0
YR 28 SRF-Local Asst(15%)TA Amd 4 N/A 346.26.66 01/01/25 12/31/27 07/01/24 06/ 30/29 1,000
YR 27 SRF-Local Asst(15%)TA Amd 4 N/A 346.26.66 01/01/25 06/30/25 07/01/23 06/ 30/ 25 1,000) 0
YR 27 SRF-Local Asst(15%)TA Amd 1 N/A 346.26. 66 01/01/25 06/30/25 07/01/23 06/ 30/ 25 1,000
TOTAL 8,327,819 $8,327,819
Total consideration: 8,209,503 GRAND TOTAL 8,327,819
118,316
GRAND TOTAL 8,327,819 Total Fed 1,352,110
Total State 6,975,709
Assistance Listing Number tka Catalog of Federal Domestic Assistance
Federal revenue codes begin with"333". State revenue codes begin with"334".
Page 4 of 4
Page 6 of 33
Exhibit A
Statement of Work
Contract Term: 2025- 2027
DOH Program Name or Title: Infectious Disease Syndemic Prevention Services- Local Health Jurisdiction Name: Jefferson County Public Health
SSP-Effective July 1,2026
Contract Number: CLH32053
SOW Type: Revision Revision #(for this SOW) 1 Funding Source Federal Compliance Type of Payment
Federal Subrecipient (check if applicable) Reimbursement
Period of Performance: July 1,2026 through June 30,2027
State FFATA(Transparency Act) Fixed Price
Other Research& Development
Statement of Work Purpose: The purpose of this statement of work(SOW)is to provide Syndemic Prevention Services for infectious diseases(HIV, STI, and Adult Viral
Hepatitis), supporting the Office of Infectious Disease(OID)within Department of Health(DOH).
Revision Purpose: To add$23,154 in FFY25 OD2A OID PREVENT CDC funds for the time period of 7/1/26-8/31/26 and update the task table;to update Section 14 of the
Program Specific Requirements.
Master Assistance BARS Allocation
LHJ Funding Period ChangeIndexListingRevenueCurrentg Total
DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation
SFY27 DRUG USER HEALTH PROGRAM 12405170 N/A 334.04.91 07/01/26 06/30/27 80,500 0 80,500
FFY25 OD2A OID PREVENT CDC 12405252 93.136 333.93.13 07/01/26 08/31/26 0 23,154 23,154
0 0 0
0 0 0
0 0 0
0 0 0
TOTALS 80,500 23,154 103,654
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
1 Syringe Services Programs: Support for Operations: SSP operations outcomes include delivering Enter deliverable data into Reimbursement of
services and tracking: the DOH/OID issued actual costs incurred,
Provide comprehensive Syringe Services Programs(SSP)to • number of sterile syringes distributed database for tracking SSP not to exceed$80,500.
people who use drugs(PWUD). This plan of action is number of naloxone kits distributed activities by the 15th of
directed to distribute syringes to communities that use drugs • number of participant encounters each month following
to prevent transmission of infectious disease. SSPs will number of referrals to health and social service.
SFY27 DRUG USER
operate during scheduled hours to provide all required harm services
HEALTH PROGRAM
reduction supplies,naloxone,and syringes to prevent
MI 12405170
transmission of disease and overdose. SSPs will offer Submit Performance Objectives and Work Submit Performance
80,500
referrals to address social determinants of health. Plan that will include: Objectives and Work Plan for 7/1/26-6/30/27
Outcomes aligned with program by September 1, 2026.
strategies and activities.
Exhibit A, Statement of Work Page 1 of 10 Contract Number CLH32053-Amendment 16
Page 7 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
Priority populations for Syringe Services Programs include • SMART objectives aligned with
people who use drugs,with a focus on: performance targets
People systemically marginalized and underserved • Activities aligned with program
due to racism—Black/African American, outcomes
Latino/Latina/Latine/Latinx, American Timeline for implementation(including
Indian/Alaska Native people and other communities staffing of the proposed program,
for whom there are documented health disparities in training, etc.)
your region. Anticipated capacity building or
People who are unhoused or unstably housed.technical assistance needs.
People engaged in sex work.
People involved in the criminal legal system. NOTE: See Special Requirements,Terms
Gender expansive/transgender individuals. and Conditions—Section 7 Performance
Gay,bi,and other men who have sex with men.Objectives& Workplans for additional
deliverable information
NOTE: See Special Requirements,Terms and Conditions
Section 4 Syringe Services Programs: Support for
Operations Program Requirements for additional task
information.
Syringe Services Programs: Clinical Services SSP Clinical services outcomes may include,
but are not limited to,delivering services and
Provide direct access to clinical services to improve the tracking:
health and well-being of people who use drugs.At Number of wound care sessions
minimum,services must include onsite, low-barrier access to • Number of infectious disease tests
wound care, infectious disease testing, STI and hepatitis C conducted(hepatitis C, HIV,gonorrhea-
treatment, and medications for opioid use disorder. chlamydia, syphilis)
Additional services can include mental health services, positive of infectious disease tests
sexual and reproductive health care,and other primary care hepatitis C, HIV,gonorrhea-chlamydia,
and psychosocial support services. syphilis)
Number of participants started on
NOTE: See Special Requirements,Terms and Conditions hepatitis C treatment
Section 6 Syringe Services Program,Clinical Services • Number of participants inducted on
Requirements for additional task information. medications for opioid use disorder
Syringe Services Programs: Harm Reduction Service Harm reduction care navigation outcomes Enter deliverable data into Reimbursement of actual
Navigation include delivering services and tracking:the DOH/OID issued costs incurred,not to
number ofparticipants enrolled in care database for tracking SSP exceed$23,154.
Provide appropriate referrals to SSP participants;facilitate navigation services activities by the 15th of
access to receive health care and medical services, social • number of care navigation sessions each month following FFY25 OD2A OID
services, behavioral health counseling and other services • number of referrals to health and social service.PREVENT CDC
including substance use treatment(including medications for services MI 12405252
opiate use disorder, or MOUD); housing; and advocacy, 23,154
including but not limited to criminal legal involvement, for 7/1/26-8/31/26
Exhibit A, Statement of Work Page 2 of 10 Contract Number CLH32053-Amendment 16
Page 8 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
medical providers, benefits navigation, and family number of linkages to care for health
reunification. and social services
number of outreach attempts per participant
NOTE:See Special Requirements, Terms and Conditions—
Section 5 Syringe Services Program,Harm Reduction Care
Navigation Requirement for additional task information
The LHJ will engage in OD2A-S evaluation activities for Quarterly submission of collected data and Enter quarterly data into
work completed using OD2A-S funds. Evaluation activities answers to qualitative questions(as it applies the DOH/OID issued
will involve: to your OD2A-S activities) on a DOH- template on thefollowing
As applicable, collecting data on CDC performance provided template dates:
measures to support DOH evaluation plan. For reporting period
o Total number of harm reduction service 6/1/26-8/31/26
encounters(e.g., in person, mail, September 1, 2026
telephone, online)
o Zip code where harm reduction services
were provided(list "unknown"when
location is unknown)
o Total number of navigators located in a
harm reduction setting or other setting
o Number of referrals to harm reduction
services for each race ethnicity
o Ifpossible, total number of hours spent by
each navigator on linkage to care or
referral efforts
o Type of organization where naloxone was
distributed(SSP,faith-based
organizations, schools, etc.)
o Zip code where naloxone was distributed
list "unknown"when unknown)
o Number of naloxone doses distributed at
each type of organization
o Number ofservice encounters involving
drug checking
o Zip code for drug checking encounters(list
unknown"when unknown)
o Number of referrals to MOUD for each
race/ethnicity
o Number of referrals to behavioral health
treatment only(without MOUD)for each
race/ethnicity
Exhibit A, Statement of Work Page 3 of 10 Contract Number CLH32053-Amendment 16
Page 9 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
o Number of other referrals, if not to MOUD
and behavioral health, with a description
of the type of referral
Providing answers to contextual performance
measures questions.
o How has access to care or treatment has
been improved, and what new/existing
community assets were leveraged?
o What are the barriers for people accessing
harm reduction services in your
jurisdiction?
o What are barriers to accessing or
receiving naloxone?
o Describe what types of navigators are
included in the data reported
o Describe methods to support navigators
Collaborating with the DOH evaluator on a
Targeted Evaluation Project(TEP)that will
provide a greater understanding of navigation
activities.
Supporting other evaluation tasks as requested, to
meet overall CDC evaluation requirements.
DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site. Questions related to this SOW,or any other
finance-related inquiry,may be sent to finance@doh.wa.gov.
Program Specific Requirements
Special Requirements,Terms and Conditions
1. Definitions
a. ANONYMOUS SERVICES-HIV Prevention services including condom distribution, outreach and light touch.
b. CAPACITY BUILDING-The process by which individuals and organizations obtain,improve, and retain the skills,knowledge,tools, equipment, and
other resources needed to do their jobs competently.
c. CONTRACTOR—For the purposes of this Statement of Work Only,the entity receiving funds directly from Washington State Department of Health
DOH)for client services to prevent or treat conditions named in the statement of work will be referred to as contractor.
d. HARM REDUCTION -Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use.
e. INTEGRATED TESTING-For the purpose of this Statement of Work, Integrated Testing includes Human Immunodeficiency Virus(HIV),Gonorrhea
GC), Chlamydia(CT), Syphilis, Hepatitis C(HCV)and Hepatitis B(HBV).
f. SOCIAL DETERMINANTS OF HEALTH -Social determinants of health(SDOH)are the conditions in the environments where people are born, live,
learn,work,play, worship,and age that affect a wide range of health,functioning,and quality-of-life outcomes and risks.
g. YOUTH-For purposes of this agreement,the term"youth"applies to persons under the age of 18.
Exhibit A, Statement of Work Page 4 of 10 Contract Number CLH32053-Amendment 16
Page 10 of 33
2. Submission of Invoice Vouchers—
a. On a monthly basis,the CONTRACTOR shall submit complete and correct A19 invoice vouchers with amounts billable to DOH under this statement of work
and the corresponding OID Expense Summary backup form.All A 19 invoice vouchers must be submitted by the 25th of the following month. Prior approval is
required for a different frequency of billing.
i. The CONTRACTOR must provide all backup documentation as required based on the assigned risk level and/or as identified by DOH program staff
to determine allowability of billed expenses. Risk assessments are completed at the beginning of a new contract for all sub-recipient contracts.
Contact your contract manager if you are unaware of your assigned risk level.
ii. DOH may ask for additional backup information to pay invoices based on the needs of the funding sources supporting the work.
b. The CONTRACTOR shall submit all final claims for payment for costs due and payable under this statement of work by July 31,2027. DOH will pay belated
claims at its discretion,contingent upon the availability of funds.
c. The CONTRACTOR will be placed on a three-month Corrective Action Plan(CAP) if invoice submissions are past due by 90 days.
3. Program Organization—CONTRACTOR must
a. The CONTRACTOR must provide a full updated organizational chart, including Board of Directors with contact information if applicable,and staffing plan
referencing positions described in the budget narrative.
b. The CONTRACTOR must provide job descriptions for any new or changed positions in the updated organizational chart.
i. Any new positions funded through the original contract funds,must have prior DOH approval.
c. The CONTRACTOR must notify their DOH contract manager within 30 days of any staff vacancies related to contracted positions and provide an updated
budget.
i. Any new fiscal staff responsible for invoicing on this contract will need to meet with the assigned OID Contract Manager within 60 days for DOH
invoice overview and training.
4. Syringe Services Program: Support for Operations Program Requirements
a. Operate for a minimum of 8 hours per week and 2 days per week.
b. Provide mobile and/or street outreach (note:programs must have a vehicle for mobile outreach.)
c. Offer safer injection supplies(see list of required safer injection supplies below).
d. Submit monthly SSP data in accordance with DOH standards.
e. Attend required capacity building/training opportunities provided by DOH.
f. Participate in annual site visits with DOH staff.
g. Demonstrate structure for receiving and incorporating participant feedback about services.
h. Partner with relevant local agencies to ensure effective outreach and service provision.(See Scope of Work narrative below for details on MOUs required.)
i. Develop and maintain a Universal Precautions and Sharps Handling policy and procedure, including clear,written policies on handling biohazardous waste,
avoiding unnecessary handling of sharps,and potential needle stick injuries to staff, volunteers,and participants. Programs should follow the universal precaution
guidelines established by the CDC and OSHA. SSPs may need to adapt those precautions to accommodate the circumstances of their work(e.g.,mobile and
outreach settings). Programs should also anticipate the potential of needlestick injury and have a"post-exposure-prophylaxis"protocol included in this document.
j. All staff and volunteers working directly with participants/clients must complete CPR certification within the first 3 months after contract start date(if not
already complete).
5. Syringe Services Program,Harm Reduction Care Navigation Requirements
a. Includes all requirements for Syringe Service Program operations(see above)
b. Attend Harm Reduction Care Navigation training provided by DOH.
c. Support participant transportation(e.g.,through the provision of bus passes,cab vouchers,or direct transportation).
d. Accompany participants to appointments or provide"warm hand-offs."
e. Full-time care navigators(1.0 FTE)shall not exceed a case load greater than 25 individuals.
f. Submit monthly outcome data in accordance with DOH standards.
Exhibit A, Statement of Work Page 5 of 10 Contract Number CLH32053-Amendment 16
Page 11 of 33
6. Syringe Services Program,Clinical Services Requirements
a. Includes all requirements for Syringe Service Program operations(see above)
b. Must have clinical staff licensed to practice in the state of Washington to provide clinical services(e.g., RN, PA,ARNP,LCSW).
c. If providing advanced level clinical services(e.g.,PA,ARNP,CNM), programs must have appropriate clinical oversight.
Note: Clinical services can be provided through sub-contractor arrangement or MOU with a Federally Qualified Health Center or other clinical partner if there is
a justification the relationship will support efforts to reach people who use drugs and provide onsite and/or mobile clinical services. Clinical services can also be
provided using telemedicine services with appropriate description of why in-person services cannot be provided and who the telemedicine partner(s)will be.
NOTE: Funds from this contract may not be used to purchase basic safer injection supplies(listed below)—Instead, DOH will provide Contractors with supplies.
Below is the list of required supplies for SSP to be provided to Contractors by DOH:
a) Syringes(1 cc 27 gauge 1/2",28 gauge 1/2", and 29 gauge 1/2"; 1 cc 30 gauge 5/16"; 3 cc 25G 1"and 1.5")
b) Alcohol pads
c) Non-latex tourniquets
d) Sterile water
e) Sterile saline
f) Cookers
g) Cottons and/or cellulose filters
h) Bandages/gauze
i) Sharps containers(1 quart and 2 gallon for distribution, 8 gallon for program use)
j) Naloxone
k) Amber bags
The exceptions to these supplies are vendor or manufacturer supply shortages. If a program expects to run out of one of these items,please contact DOH immediately.
7. Performance Objectives& Work Plan:
a. Funded Syndemic Prevention Services agencies are required to submit Performance Objectives and Work Plan that provides both a high-level overview of the
period of performance and a detailed description of the first year of the contract period. The work plan should incorporate related program strategies and
activities. Applicants should propose specific,measurable,achievable,realistic, and time-based(SMART)process and/or outcome objectives for each activity
aligned with performance outcomes. The work plan should include training, capacity building,and TA needs to support the implementation of the funded
services. Proposed work plan activities may be adjusted in collaboration with OID staff to better address the overarching goals of the funded services. OID will
provide a template that must be used in developing the work plan.
b. The applicant should address the following outline in their work plan:
i. Contract Year 3 Detailed Work Plan(For each funded service category)
ii. Program strategies and activities
iii. Outcomes aligned with program strategies and activities
iv. SMART objectives aligned with performance targets
v. Activities aligned with program outcomes
vi. Timeline for implementation(including staffing of the proposed program,training, etc.)
vii. Anticipated capacity building or technical assistance needs.
c. Performance Objectives and Work Plans should be submitted by September 1,2026.
d. OID staff are available to support in developing Performance Objectives& Work Plans in collaboration with funded agencies.
e. Performance Objectives and Work Plans will be reviewed between OID staff and funded agencies at least quarterly. Performance Objectives&Work Plans can
be adjusted throughout the period of performance.
8. Participation in program evaluation activities—The Contractor is expected to participate in program evaluation activities, including evaluation planning, and collecting
and reporting qualitative and quantitative program data,as deemed necessary by OID staff.
Exhibit A, Statement of Work Page 6 of 10 Contract Number CLH32053-Amendment 16
Page 12 of 33
9. Participation in Capacity Building and Technical Assistance Activities designed to increase efficacy of Syndemic Services
a. Opportunities for capacity building and technical assistance for contractor will be offered throughout the contract year by WA DOH and other regional or
national capacity building organizations.
b. Contractors will be expected to meet with WA DOH OID staff on an annual basis to discuss training and will work with DOH to track shared completion of
Capacity Building Needs
c. All contracted staff will be required to complete training in respect to their role. DOH staff and contracted staff will work together to track completion of required
trainings.
10. Participation in program evaluation activities—The Contractor is expected to participate in program evaluation activities, including evaluation planning, and collecting
and reporting qualitative and quantitative program data, as deemed necessary by OID staff.
11. Participation in Capacity Building and Technical Assistance Activities designed to increase efficacy of Syndemic Services
a. Opportunities for capacity building and technical assistance for contractor will be offered throughout the contract year by WA DOH and other regional or
national capacity building organizations.
b. Contractors will be expected to meet with WA DOH OID staff on an annual basis to discuss training and will work with DOH to track shared completion of
Capacity Building Needs
c. All contracted staff will be required to complete training in respect to their role. DOH staff and contracted staff will work together to track completion of required
trainings.
12. CLAS Standards—The CONTRACTOR will comply with the National Standards for Culturally and Linguistically Appropriate Services(CLAS)standards(1, 5-9).
National Standards for Culturally and Linguistically Appropriate Services(CLAS) in Health and Health Care(allianceforclas.org)
13. Participation in Program Monitoring Activities—
a. DOH will conduct semi-annual or annual performance site visits in the following areas:
i. Integrated testing
ii. Syndemic service navigation
iii. PrEP Housing
iv. Syringe Service Programs
v. Mail-order naloxone distribution program
vi. Fiscal Monitoring—To be scheduled by the DOH Fiscal Monitoring Unit
b. Corrective Action Plans—DOH may exercise the following options if the CONTRACTOR does not come into compliance or resolution with programmatic
and/or fiscal monitoring corrective action plan by the due date(s) identified in the CAP. i. §200.339 Remedies for noncompliance.
If a non-Federal entity fails to comply with the U.S. Constitution, Federal statutes,regulations or the terms and conditions of a Federal award,the Federal
awarding agency or pass-through entity may impose additional conditions, as described in §200. 208. If the Federal awarding agency or pass-through entity
determines that noncompliance cannot be remedied by imposing additional conditions,the Federal awarding agency or pass-through entity may take one or more
of the following actions, as appropriate in the circumstances:
a)Temporarily withhold cash payments pending correction of the deficiency by the non-Federal entity or more severe enforcement action by the Federal
awarding agency or pass-through entity.
b) Disallow(that is,deny both use of funds and any applicable matching credit for)all or part of the cost of the activity or action not in compliance.
c)Wholly or partly suspend or terminate the Federal award.
d)Initiate suspension or debarment proceedings as authorized under 2 CFR part 180 and Federal awarding agency regulations(or in the case of a pass-through
entity,recommend such a proceeding be initiated by a Federal awarding agency).
e)Withhold further Federal awards for the project or program.
f)Take other remedies that may be legally available
Exhibit A, Statement of Work Page 7 of 10 Contract Number CLH32053-Amendment 16
Page 13 of 33
14. Contract Management—
a. Fiscal Guidance
i. Indirect-If charging indirect costs,the CONTRACTOR must have a current federally negotiated rate or De Minimis certification of file with DOH.
DOH is not able to reimburse indirect costs without an approved indirect cost rate or De Minimis certification of file
ii. Advance Payments Prohibited—DOH funds are"cost reimbursement"funds. DOH will not make payment in advance or in anticipation of services or
supplies provided. This includes payments of"one-twelfth"of the current fiscal year's funding.
iii. Duplication of EIP Services—The CONTRACTOR shall not use contract funds to provide a parallel medication service to EIP. CONTRACTOR's
providing case management services shall make every effort to enroll clients in EIP.
iv. Federal certification,assurances, and rules included with or referenced in this contract are only applicable to the federal funds and/or Rebate dollars
included herein or added via an amendment to this contract.
v. Payment of Cash or Checks to Clients Not Allowed—Where direct provision of service is not possible or effective,vouchers or similar programs,
which may only be exchanged for a specific service(e.g.,transportation),shall be used to meet the need for such services. CONTRACTOR shall
administer gift cards voucher programs to assure that recipients cannot readily convert vouchers into cash.
1. Store gift cards that can be redeemed at one merchant or an affiliated group of merchants for specific goods or services are allowable as
incentives for eligible program participants.
2. General-use prepaid cards are considered"cash equivalent"and are therefore unallowable. Such cards generally bear the logo of a payment
network,such as Visa, MasterCard,or American Express,and are accepted by any merchant that accepts those credit or debit cards as payment.
Gift cards that are cobranded with the logo of a payment network and the logo of a merchant or affiliated group of merchants are general-use
prepaid cards,not store gift cards,and therefore are unallowable.
3. The CONTRACTOR must ensure that a policy for managing gift cards with strong internal controls is in place.
vi. Funds for Needle Exchange Programs Not Allowed with Federal Funding—CONTRACTOR shall not expend contract federal funds to support
needle exchange programs using funds from HIV Community Services Tasks.
vii. Travel—Out of staff travel requires prior approval from DOH and must follow GSA guidelines and reimbursement rates.
viii. Supervision,under DOH Community Programs contracts,will be understood as the delivery of a set of interrelated functions encompassing
administrative,educational and supportive roles that work collectively to ensure clinical staff(i.e.case managers,navigators,coordinators,assistants,
coaches)are equipped with the skills necessary to deliver competent and ethical services to clients that adhere to best practices within applicable fields
as well as all relevant Statewide Standards. Supervisors must meet the criteria set forth within the WA State HIV Case Management Standards and
provide the level of interaction and review detailed in that document.
It is the understanding of DOH that Supervision funded under the direct program portion of this contract include at minimum the provision of at least
two of the three functions detailed here:administrative,educational or supportive supervision. Supervision that encompasses only administrative
functions will not be considered billable under Direct Program. To that end,it is the expectation of DOH that those personnel identified as Supervisors
have no more than one degree of separation from direct client care.Exceptions to this rule can be presented and considered to and by DOH Contract
Management. It will fall to the requesting organization to satisfactorily demonstrate that any Supervisory positions falling within the scope of Direct
Program are meeting the expectation of provision of educational or supportive supervision with the aim of directly impacting client experiences,quality
of services,and adherence to best practices and Statewide Standards.
ix. Small and Attractive items—Each Contractor shall perform a risk assessment(both fmancial and operational)on the agency's assets to identify those
assets that are particularly at risk or vulnerable to loss. Operational risks include risks associated with data security on mobile or portable computing
devices that store or have access to state data. Assets so identified that fall below the state's capitalization policy are considered small and attractive
assets. The Contractor shall develop written internal policies for managing small and attractive assets. Internal policies should take into consideration
the WaTech IT Security Standard SEC-04,which includes SEC-04-06-S Mobile Device Security Standard and SEC-04-01-G Media Handling and Data
Disposal Best Practices-https://watech.wa.gov/policies.
The Contractor shall implement specific measures to control small and attractive assets in order to minimize identified risks. Periodically,the Contractor
should perform a follow up risk assessment to determine if the additional controls implemented are effective in managing the identified risks.
Exhibit A, Statement of Work Page 8 of 10 Contract Number CLH32053-Amendment 16
Page 14 of 33
Contractor must include,at a minimum,the following assets with unit costs of$300 or more:
1. Laptops and Notebook Computers
2. Tablets and Smart Phones
Agencies must also include the following assets with unit costs of$1,000 or more:
1. Optical Devices,Binoculars,Telescopes, Infrared Viewers,and Rangefmders
2. Cameras and Photographic Projection Equipment
3. Desktop Computers(PCs)
4. Television Sets, DVD Players, Blu-ray Players,and Video Cameras(home type)
x. Food and Refreshments—Food and refreshments are not allowable direct costs,unless provided in conjunction with allowable meetings,whose
primary purpose is the dissemination of technical information. Pre-approval is required when food and refreshments are purchased for these meetings.
A sign-in sheet with the clients' ID number from the DOH approved data system as well as an agenda is required to receive reimbursement for these
charges.
1. The CONTRACTOR shall follow Healthy Nutrition Guidelines for Meetings and Events I Washington State Department of Health
when purchasing food and refreshments for approved meetings.
2. Food for staff meetings/training is unallowable.
PLEASE NOTE: If meals/refreshments are purchased for allowable meetings,food can only be
purchased for clients at the per diem rate.Any expenses over per diem will be denied. U.S. General Services Administration Per Diem
Look Up
xi. Reimbursement of disallowed costs—The CONTRACTOR agrees to reimburse DOH for expenditures billed to the DOH for costs that are later
determined through audit or monitoring to be disallowed under the requirements of 2 CFR Part 200—Uniform Administrative Requirements,Cost
Principles,and Audit Requirements for Federal Audits.
b. Contract Modifications
i. Notice of Change in Services—The CONTRACTOR shall notify DOH program staff,within 45 days,if any situations arise that may impede
implementation of the services contained in the statement of work.DOH and the CONTRACTOR will agree to strategies for resolving any shortfalls.
DOH retains the right to withhold funds in the event of substantial noncompliance.
ii. Contract Amendments—Effective Date—The CONTRACTOR shall not begin providing services authorized by a contract amendment until the
CONTRACTOR has received a signed and fully executed copy of the contract amendment from DOH.
1. Local Health Jurisdiction(LHJ)Contractors—Request for contract amendments must be received no less than 60 days prior to the Draft Due
Date identified by the CON CON SOW Schedule on the CON CON Dashboard.
2. Non-LHJ Contractors—Request for contract amendments must be received no later than 60 days prior to the end of the Federal Fiscal Year
FFY)and 90 days prior to end of the State Fiscal Year(SFY).
a) Amendments must be signed prior to the end of the FFY or SFY end date.
EX.FFY end date is 12/ 31,contract amendment request due to contract manager by 11/1
15. Content Review and Website Disclaimer Notice
In accordance with all federal guidance,contractors receiving funds through DOH will submit all proposed written materials requiring review for HIV-related scientific or
medical accuracy including written materials,audio visual materials,and pictorials, including social marketing and advertising materials,educational materials,social
media communications(e.g.,Facebook,twitter)and other electronic communications,such as internetlwebpages to the OID Content Review Committee.CONTRACTOR
shall submit all materials to be reviewed for scientific or medical accuracy to:
Michael Barnes,Washington State Department of Health
PO Box 47841
Exhibit A, Statement of Work Page 9 of 10 Contract Number CLH32053-Amendment 16
Page 15 of 33
Olympia, WA 98504-7841
Phone: 360-810-1880
Email: Michael.Barnes@doh.wa.gov
16. Youth and Peer Outreach Workers
All programs, including CONTRACTORS,using youth(either paid or volunteer)in program activities will use caution and judgment in the venues/situations where
youth workers are placed. Agencies will give careful consideration to the age appropriateness of the activity or venue.Agencies will also ensure that organizational staff
and youth comply with all relevant laws and regulations regarding entrance into adult establishments and environments.Agencies will also maintain and implement
appropriate safety protocols that include clear explanation of the appropriate laws and curfews and clearly delineate safe and appropriate participation of youth in program
outreach activities.
17. Whistleblower
a. Whistleblower statue,41 U.S.C.&4712, applies to all employees working for CONTRACTOR, subcontractors,and subgrantees on federal grants and contracts.
The statue(41 U.S.C. &4712)states that an"employee of a CONTRACTOR, subcontractor, grantee,or subgrantee,may not be discharged,demoted, or
otherwise discriminated against as a reprisal for"whistleblowing." In addition,whistleblower protections cannot be waived by an agreement,policy, form,or
condition of employment.
b. The National Defense Authorization Act(NDAA)for Fiscal Year 2013 (Pub. L. 112-239, enacted January 2,2013)mandates a pilot program entitled"Pilot
Program for Enhancement of Contractor Employee Whistleblower Protections."This program requires all grantees,their subgrantees, and subcontractors to:
i. Inform their employees working on any federal award they are subject to the whistleblower rights and remedies of the pilot program
ii. Inform their employees in writing of employee whistleblower protections under 41 U.S.C.&4712 in the predominant native language of the
workforce; and,
iii. CONTRACTOR and grantees will include such requirements in any agreement made with a subcontractor or subgrantee.
18. Allowable Costs
All expenditures incurred and reimbursements made for performance under this statement of work shall be based on actual allowable costs. Costs can include direct labor,
direct material,and other direct costs specific to the performance of activities or achievement of deliverables under this statement of work.
For information in determining allowable costs,please reference OMB Circulars:
2 CFR200(State,Local and Indian Tribal governments)at: https://www.federalregister.gov/documents/2013/12/26/2013-30465/uniform-administrative-
requirements-cost-principles-and-audit-requirements-for-federal-awards.
Disclosure of information is governed by the Washington Administrative Code(WAC)246-101-120, 520 and 635, and the Revised Code of Washington(RCW)
70.24.080,70.24.084, and 70.24.105 regarding the exchange of medical information among health care providers related to HIV/AIDS or STI diagnosis and treatment.
Please note that CONTRACTORs fit under the definition of"health care providers"and"individuals with knowledge of a person with a reportable disease or condition"
in the WAC and RCW.
DOH statutory authority to have access to the confidential information or limited Dataset(s) identified in this agreement to the Information Recipient: RCW 43.70.050
Information Recipient's statutory authority to receive the confidential information or limited Dataset(s) identified in this Agreement:RCW 70.02.220(7)
Exhibit A, Statement of Work Page 10 of 10 Contract Number CLH32053-Amendment 16
Page 16 of 33
Exhibit A
Statement of Work
Contract Term: 2025- 2027
DOH Program Name or Title: Office of Resiliency&Health Security-PHEP- Local Health Jurisdiction Name: Jefferson County Public Health
Effective July 1,2026
Contract Number: CLH32053
SOW Type: Original Revision#(for this SOW) Funding Source Federal Compliance Type of Payment
Federal Subrecipient (check if applicable) Reimbursement
Period of Performance: July 1,2026 through June 30,2027
State FFATA(Transparency Act) Fixed Price
Other Research&Development
Statement of Work Purpose: The purpose of this statement of work is to establish funding and tasks for LHJs to strengthen their capacity and capability around the Public
Health Response Readiness Framework(CDC)to prepare for,respond to,and recover from public health threats and emergencies through a continuous cycle of planning,
organizing,training,equipping,exercising,evaluating,and implementing corrective actions as described in the Public Health Emergency Preparedness(PHEP)Cooperative
Agreement.
Revision Purpose: NA
Master Assistance BARS Allocation
LHJ Funding Period ChangeIndexListingRevenueCurrentg Total
DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation
FFY26 PHEP BP3 -CDC-LHJ PARTNERS 31602264 93.069 333.93.06 07/01/26 06/ 30/27 0 34,384 34,384
0 0 0
0 0 0
0 0 0
0 O._ 0
0 0 0
TOTALS 0 34,384 34,384
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
1 Maintain accurate and up-to-date contact information.This includes Submit information by September 1,2026 Reimbursement for actual
names,position titles,email addresses,and phone numbers of key LHJ September 1,2026,and any Within 30 days of the costs not to exceed total
staff responsible for this statement of work, including primary LW PHEP changes within 30 days of the change. funding allocation
statement of work program contact,management(PHEP contact person's change. amount.
supervisor),and accounting or financial primary contact.
Mid-and end-of-year reports on December 31,2026
template provided by DOH.June 30,2027
Note any changes or no
changes.
Exhibit A, Statement of Work Page 1 of 11 Contract Number CLH32053-Amendment 16
Page 17 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
2 Develop a budget based on LHJ plans to invest the PHEP BP3 funds Budget,on template provided September 1,2026
July 1,2026—June 30,2027.This budget may serve as your request for by DOH.
preapproval for out-of-state travel,contracting, or anything else requiring
preapproval from DOH that is included in the budget. (See Preapproval Budget will be reviewed and When preapproval is
information below.) approved by DOH. needed for a change.
Submit revised budget and request preapproval from DOH if you
want to move more than 10%of your total PHEP allocation from
one category to another(for example from staff to travel).
Submit revised budget and request preapproval from DOH if you
want to contract or purchase equipment with PHEP funds. See
also Preapproval information and definition of"equipment"
below.
Develop a budget based on LHJ plans to invest the PHEP BP4 funds March 31,2027
July 1,2027—June 30,2028
3 As requested,submit additional information to DOH to comply with Information requested by DOH. Upon request from DOH.
federal grant requirements and/or DOH requirements.
4 Submit LHJ Performance Measure Data as requested on the form provided LHJ Performance Measure June 30,2027
by DOH. Data on the form provided by
DOH.
5 Jurisdictional Risk Assessment
Implementing the preparedness cycle in any organization or jurisdiction is dependent on information about jurisdictional hazards.DOH is
providing every local health jurisdiction with access to the Health and Hazards Risk Decision Support(H2azaRDS)tool that was developed
by the University of Washington.This Jurisdictional Risk Assessment(JRA)identifies,analyzes,and prioritizes potential public health and
medical threats and hazards within the jurisdiction.
5.1 Participate in the public health disaster risk assessment tool/report Participation in training. December 31,2026
H2azaRDs tool)training,unless you participated in the training during
BP2. Mid-year reports on template
provided by DOH(note
This training will provide a foundational understanding of the tool and the participation in training).
rollout of it.
Notes:
LHJs will be notified at least 30 days in advance of the training
date.
If you participated in the H2azaRDs tool)training during BP2,
July 2025—June 2026,note that in your mid-report.
Exhibit A, Statement of Work Page 2 of 11 Contract Number CLH32053-Amendment 16
Page 18 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
The pilot group training and completing the tool counts for this
training requirement.
5. 2 Complete the H2azaRDS Tool,unless you have completed the tool Mid-year report. Note that you December 31,2026.
previously(see below). have completed or reviewed
and updated the tool.
If you completed the H2azaRDs tool previously,review and update it so
you have updated information for your participation in the Integrated
Preparedness Planning Workshop in early 2027. See Task#9.
You may opt to complete the H2azaRDS tool more than once.
6 Training
Maintaining baseline training competency is essential for a coordinated and effective public health emergency response.Ensuring staff
complete the appropriate Incident Command System(ICS)training enables them to operate within standardized response structures and
communicate effectively during emergencies.Requiring sub-awardees to verify completion through a DOH-approved training plan
promotes accountability and consistency across jurisdictions.
6.1 Ensure baseline National Incident Management System (NIMS)compliant Mid-and end-of-year reports on December 31,2026
training competency is maintained as determined by the LHJ. templates provided by DOH, June 30,2027
including titles,dates,and
PHEP funding may be used to support additional public health emergency sponsor of trainings.
response trainings identified by the LHJ.
7 Exercising
Both state and local health departments follow the Homeland Security Exercise and Evaluation Program(HSEEP)principles.Assessing the
effectiveness of our emergency response plans and the training of those who might respond to the public health impacts of disasters,is a
core component of the preparedness cycle.The act of exercising combined with the learning as demonstrated by an After-Action Report
AAR)drives future planning and training. It is DOH's responsibility to meet the exercise requirements under our CDC PHEP Cooperative
Agreement. DOH uses the Multi-Year Preparedness Activities Calendar(MYPAC)to demonstrate that sub-recipients of the PREP funding
are participating in,or leading exercises.Local Jurisdictions and Tribes may use PHEP funding for any exercise that furthers their
preparedness.
7.1 Complete the WA DOH Exercise Notification Form 30 days prior to Exercise Notification Form As soon as the LHJ is
conducting any exercise. aware of the exercise date
and details.
7.2 Conduct,or participate in,at least one operational-based exercise using Submit a Completed After-For AARs that the LHJ are
Homeland Security Exercise and Evaluation Program (HSEEP)by Action Report/Improvement responsible for,90 days
June 30,2027.Plan(AAR/IP) after exercise completion.
For others,when the AAR
LHJs should coordinate preparedness exercises with local partners, is publicly available.
including Tribes,emergency management,healthcare facilities,and first
responder agencies. Participation in exercises hosted by other
Exhibit A,Statement of Work Page 3 of 11 Contract Number CLH32053-Amendment 16
Page 19 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
organizations within the jurisdiction or geographic region is strongly
encouraged to support regional coordination and strengthen multi-agency
response capabilities.
Note:A real-world response does not meet the requirement of this task.
7.3 Attend at least one of the Exercise Community of Practice quarterly Mid-and end-of-year reports on December 31,2026
meetings throughout the performance period. template provided by DOH.June 30,2027
8 Public Health Emergency Response Planning
A core component of every public health preparedness and response program is maintaining an up-to-date and complete emergency
response plan that describes how the jurisdiction will respond to the public health impacts of the most likely threats faced by the
jurisdiction.
8.1 Annually review, update or develop sections of the LHJ's own Emergency Describe progress to date on December 31,2026
Response Plan(s)addressing: mid-and end-of-year report June 30,2027
Gaps and needs identified in an After-Action templates provided by DOH.
Report/Improvement Plan(AAR/IP),from an exercise or a real-
world response.
Align with the National Incident Management System standards.
Coordinate with community-based organizations,healthcare,and local
emergency response agencies,as appropriate.
8.2 Participate in plan review opportunities(i.e.listening sessions/seminars or Mid-and end-of-year reports on December 31,2026
provide written feedback)associated with the review and update of DOH template provided by DOH.June 30,2027
plans.
Document which plan review
opportunity you participated in.
9 Integrated Preparedness Planning
Washington values the strengths of a decentralized public health system while recognizing that PREP resources are limited.The Integrated
Preparedness Planning(IPP)process is intended to promote inter jurisdictional efficiency by aligning planning,training,and exercise
efforts across the many public health jurisdictions in the state.
9.1 Complete the Baseline Emergency Assessment of Capabilities,Outcomes BEACON Survey Response on Submit the BEACON
and Needs(BEACON)Survey. form provided by DOH. Survey Response 30 days
prior to the IPPW.
The BEACON survey is a part of the DOH Integrated Preparedness
Planning Workshop(IPPW)which will be centered on identifying
priorities and collaboration opportunities in public health response
readiness activities from 2026 to 2030.
Exhibit A,Statement of Work Page 4 of 11 Contract Number CLH32053-Amendment 16
Page 20 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
9.2 Participate in both days of the DOH Integrated Preparedness Planning Participation in IPPW(DOH DOH will provide IPPW
Workshop(IPPW),with at least one representative from your LHJ will be looking at sign in dates and location.
virtually or in person). documents).
End-of-year report on template June 30,2027
provided by DOH.
10 Emergency Information Sharing
Effective emergency communication and notification are critical for ensuring a timely,coordinated response to public health incidents.
Immediate notification and accurate situation reporting enable rapid decision-making,resource deployment,and situational awareness at
the state,tribal,and local levels.Maintaining reliable communication systems and conducting regular drills help verify readiness,
strengthen coordination,and ensure that response protocols function as intended during real-world emergencies.
10.1 For any incident that involves the implementation of emergency response Mid-and end-of-year reports on December 31,2026
plans and/or the activation of an incident command structure,notify the template provided by DOH.June 30,2027
Washington State Department of Health(DOH)Duty Officer at
360-888-0838 or via email at hanalert@doh.wa.gov.
10.2 Situation Reporting:Develop situation reports(sitreps)documenting Situation Reports Situation Reports are due
jurisdictional activities during all response incidents that extend beyond during time of emergency
two operational periods and require a written Incident Action Plan. to the DOH Duty Officer.
Situation reports may be prepared directly by the LHJ or by another
jurisdiction,provided they include input from the LHJ to ensure accuracy
and completeness.
Submit Situation Reports to DOH Duty Office(hanalert@doh.wa.gov)
during LHJ response as soon as they are available.
10.3 Maintain and verify that at least one leader identified in the Yellow Book Mid-and end-of-year reports on December 31,2026
is enrolled in and capable of receiving alerts through the Washington template provided by DOH.June 30,2027
Secure Electronic Communications,Urgent Response,and Exchange
System(WASECURES),the primary platform used by DOH to distribute
Health Alert Network(HAN)notifications.
Notes:
Registered users must log in(or respond to an alert)quarterly at a
minimum.
DOH will provide technical assistance to LHJs on using
WASECURES.
LHJ may choose to use another notification system in addition to
WASECURES to alert staff during incidents.
Exhibit A,Statement of Work Page 5 of 11 Contract Number CLH32053-Amendment 16
Page 21 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
10.4 Participate in DOH-led notification drills. Mid-and end-of-year reports on December 31,2026
template provided by DOH.June 30,2027
10.5 Conduct at least one LHJ-led drill using the jurisdictions's preferred staff Submit results of the drill on December 31,2026
notification system to ensure operational effectiveness. the mid-OR end-of-year report OR
on template provided by DOH. June 30,2027
11 Volunteer Management
Effective volunteer management is essential for ensuring timely access skilled personnel during public health emergencies,enabling local
health jurisdictions to respond quickly and maintain continuity of operations under surge conditions.While LHJs are not expected to
sustain this capability independently,they must have plans in place to access and coordinate resources through local,mutual aid,and state
systems when needed.
11.1 Identify a main point of contact who will coordinate with public health Mid-and end-of-year reports December 31,2026
volunteer registries and help with volunteer screening,credential checks, on template provided by June 30,2027
and response readiness. DOH, including identified
volunteer management point
If a Medical Reserve Corps(MRC)is housed within the LHJ,confirm of contact.
who the official point of contact is.
Updated volunteer management As changes occur.
Refer to the Administration for Strategic Preparedness and Response point of contact,as needed.
ASPR)Guide to Medical Reserve Corps Unit Leader Transitions for
more information.
12 Public Health Information and Warning
Effectively communicating with the public about health risks during emergencies is essential for reducing morbidity and mortality.When
people understand the nature of a threat and what actions they can take to stay safe,they are better equipped to protect themselves and
others.Timely,clear,and culturally appropriate messaging helps minimize confusion,supports informed decision-making,and ultimately
saves lives during public health emergencies.
12.1 If communication strategies were exercised in Budget Period(BP)2, Mid-and end-of-year reports on December 31,2026
incorporate lessons learned into planning and training. template provided by DOH.June 30,2027
If communication strategies were not exercised in BP2, include them in an
exercise.
The goal is to strengthen the LHJ's ability to manage and share accurate
information during emergencies,particularly with populations affected by
the LHJ's top public health hazards.
Note:A real-world response does not meet the requirement of this task.
Exhibit A,Statement of Work Page 6 of 11 Contract Number CLH32053-Amendment 16
Page 22 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
13 Healthcare Coalition Partnerships
Collaboration between local PHEP recipients and healthcare coalitions is essential to align public health and healthcare system
preparedness capabilities,enhance interoperable response plans,and ensure efficient allocation of critical resources during emergencies.
13.1 Participate in the Northwest Healthcare Response Network(NWHRN)Mid-and end-of-year reports on December 31,2026
monthly or the Healthcare Alliance(HCA)bi-monthly meetings,at least template provided by DOH.June 30,2027
once during each contract reporting period.
The contract reporting periods are July 1 —December 31,2026,and
January 1 —June 30,2027.
13.2 Participate in the following additional activities with the Northwest Mid-and end-of-year reports on December 31,2026
Healthcare Response Network(NWHRN)or the Healthcare Alliance template provided by DOH.June 30,2027
HCA):
Communications
Planning
Training,and/or exercises.
14 Coordination with Tribes
Tribes bring valuable cultural knowledge,governance structures,and community networks,essential for effective preparedness,response,
and recovery. Partnering with tribes enhances trust,optimizes resource use,and ensures equitable support during crises.
14.1 Seek to engage and coordinate with local tribes on preparedness activities, Mid-and end-of-year reports on December 31,2026
if you have federally recognized tribes within your LHJ.template provided by DOH.June 30,2027
Note:The jurisdictional risk assessment might be an opportunity to work
with tribes(Task#5).
15 Administrative Preparedness Plans/Procedures
Administrative preparedness is essential for LHJs to effectively fulfill their obligation to respond to public health emergencies in their
jurisdiction. Having established administrative procedures that allow your organization to implement appropriate flexibility during declared
emergencies—even in the absence of a formal plan—helps ensure rapid access to resources,contracts,staffing,and operational support
during public health emergencies.
15.1 Using the review conducted in Budget Period 2,document and validate Mid-and end-of-year reports on December 31,2026
local administrative preparedness processes that support rapid public template provided by DOH.June 30,2027
health emergency response.This can reference existing plans or policies
such as COOP,All Hazards plans,fiscal,or procurement policies)rather Plan and/or procedures
than creating a new document. Validation may include reviewing existing available upon request
procedures with relevant staff,confirming roles and responsibilities,or
referencing where these processes are captured in current plans or policies.
LHJ should work with and support administrative leadership,finance staff,
and relevant program staff to help ensure there is shared awareness of
Exhibit A,Statement of Work Page 7 of 11 Contract Number CLH32053-Amendment 16
Page 23 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
emergency administrative procedures and how they may be implemented
during a response.
Activities may include:
Document or update procedures that describe the conditions
under which expedited administrative processes can be activated.
Confirm and document staff authorized to initiate and implement
emergency administrative processes and procedures.
Identify and document processes for securing emergency funding
from local,state,or federal sources during a public health
emergency.
Document accelerated procedures for procuring resources,
including supplies,contracts,and additional staffing(temporary
or permanent).
Document criteria and processes for deactivating emergency
administrative procedures and transitioning back to normal
operations.
Share or review these procedures with relevant LHJ leadership,
finance staff,and emergency response leadership to ensure
awareness and understanding.
16 Build Highly Qualified PHEP Workforce
Maintaining a qualified PHEP workforce is essential for ensuring operational readiness and effective emergency response.Ongoing
participation in communities of practice fosters shared learning,supports the dissemination of best practices,and strengthens workforce
competencies needed to execute critical public health preparedness functions.
16.1 Engage in at least one DOH community of practice(CoP)group that Mid-and end-of-year reports on December 31,2026
identifies problems,solutions,and best practices in public health template provided by DOH.June 30,2027
emergency preparedness.This can be a community of practice in exercise,
planning or medical countermeasures(MCM).
17 Medical Countermeasures—All LHJs, including non-Cities Readiness Initiative(CRI)*LHJs,must be able to meet medical
countermeasure(MCM)capabilities to ensure timely protection of their communities during public health emergencies. Building and
maintaining this capability supports equitable access to life-saving interventions and strengthens the overall statewide response system.
Non-CRI LHJs are LHJs that do not receive Cities Readiness Initiative(CRI)funding. In Washington State,the LHJs that receive CRI
funding are Clark County Public Health,Public Health—Seattle&King County, Snohomish County Health Department,and Tacoma—
Pierce County Health Department.
17.1 Provide an updated summary of any changes made to the LHJ's MCM Mid-and end-of-year reports on December 31,2026
plan between July 1,2026 and June 30,2027. template provided by DOH.June 30,2027
Exhibit A,Statement of Work Page 8 of 11 Contract Number CLH32053-Amendment 16
Page 24 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
If no changes have occurred,report no changes. Additionally,indicate
whether the current plan accurately reflects the LHJ's present operational
readiness or if updates are needed.
DOH recommends summaries should be no longer than two paragraphs.
17.2 Demonstrate improved operational readiness to dispense and administer Documentation supporting December 31,2026
medical countermeasures through planning,organizing,equipping, increase in operational June 30,2027
training,exercising,and response activities. Evidence may include readiness for medical
updated plans,partner coordination,resource or inventory management, countermeasures.
trainings,exercises,after-action reports,or lessons learned from real-
world responses. Mid-and end-of-year reports on
template provided by DOH
DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site. Questions related to this SOW,or any other
finance-related inquiry,may be sent to finance@doh.wa.gov.
Federal Funding Accountability and Transparency Act(FFATA)(Applies to federal grant awards.)
This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act).
The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent.
To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Unique Entity Identifier(UEI)generated by SAM.gov.
Information about the LW and this statement of work will be made available on USASpending.gov by DOH as required by P.L. 109-282.
Program Specific Requirements
Special Requirements:
These requirements apply to all MI Codes in this Statement of Work
Guidance Documents-LHJs are strongly encouraged to use the following documents to inform the implementation of activities in this statement of work.
DOH will provide copies of the documents.
New Statement of Work Guidance Document(under development)
Washington State Doctrine for Enhancing Resiliency, Health Security, Response, and Recovery.
Public Health Response Readiness Framework(CDC) —2024-2028 PHEP Program Priorities—Defines Excellence in Response Operations
Public Health Emergency Preparedness and Response Capabilities:National Standards for State, Local, Tribal, and Territorial Public Health
Public Health Emergency Preparedness (PHEP) Cooperative Agreement(2024—2029 Guidance Document)
Exhibit A, Statement of Work Page 9 of 11 Contract Number CLH32053-Amendment 16
Page 25 of 33
Follow all Federal requirements for use of Federal funds:
Code of Federal Regulations(CFR),Title 2, Subtitle A,Chapter II, Part 200
Uniform Administrative Requirements,Cost Principle,and Audit Requirements for Federal Awards
CFR :: 2 CFR Part 200-- Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards
Recipients may only use funds for reasonable program purposes,including personnel,travel,supplies,and services. (PHEP Notice of Funding Opportunity: Funding Limitations
Supplemental Guidance—February 2024)
The following expenses are not allowable with these funds:
Clothing(except for vests to be worn during exercises or responses).
Salaries at a rate above Federal Executive Schedule Level II.
Vehicles(with preapproval, funds may be used to lease vehicles).
Pay or reimburse backfilling costs for staff.
Vaccines for seasonal influenza mass vaccination clinics or other routine vaccinations covered by CDC/ACIP schedules.
Influenza vaccines for the public.
Promotional items and memorabilia.
Construction or major renovations.
Preapproval from DOH is required to use these funds for:
Budget change of more than 10%- If you want to move more than 10%of your total allocation from one category to another(for example from staff to travel). Submit
revised budget with request.
Contracting. Submit revised budget with preapproval request.
Purchasing food or beverages is generally not allowable(unless employees are in travel status,then reimbursement of food and beverages is allowable).
Purchasing equipment(see definition of equipment in 2 CFR 200, link above). Submit revised budget with preapproval request.
Disposition of equipment with a current value as directed in 2 CFR 200(see link above).
Leasing vehicles.
Out of state travel.
Overtime pay for staff directly associated with this statement of work.
Purchase of caches of vaccine for public health responders and their households to ensure the health and safety of the public health workforce.
Purchase of caches of vaccine for select critical workforce groups to ensure their health and safety during an exercise testing response plans.
See also DOH A 19 Documentation Matrix for additional expenses that may require preapproval.
BILLING
Please refer to the Billing Instructions for the 2025—2027 Consolidated Contract.
All expenses on invoices must be related to the Statement of Work Tasks.
Submit invoices monthly on a signed A19 form with backup documentation appropriate for risk level. DOH will provide A19 form and risk level.
LHJs are encouraged to submit invoices monthly for the prior month's services provided(unless the related ConCon amendment has not been executed,in that case
submit invoices as soon as possible after the amendment is executed).
Please do not submit invoices until the ConCon amendment including the funds has been executed.
If invoices include indirect costs,there must be a DOH-approved indirect rate.
If there are no expenses related to this Statement of Work for a month, email the DOH Contact to let them know.
Exhibit A, Statement of Work Page 10 of 11 Contract Number CLH32053-Amendment 16
Page 26 of 33
If you are submitting a supplemental,revised,corrected,or any additional invoice for a month,please clarify your intentions in the email with the invoice.
Submit final billing within 45 days of the end of the funding period.
Exhibit A, Statement of Work Page 11 of 11 Contract Number CLH32053-Amendment 16
Page 27 of 33
Exhibit A
Statement of Work
Contract Term: 2025- 2027
DOH Program Name or Title: WIC Nutrition Program -Effective January 1,2025 Local Health Jurisdiction Name: Jefferson County Public Health
Contract Number: CLH32053
SOW Type: Revision Revision#(for this SOW) 9 Funding Source Federal Compliance Type of Payment
Federal Subrecipient (check if applicable) Reimbursement
Period of Performance: January 1,2025 through December 31,2027
State FFATA(Transparency Act) Fixed Price
E Other Research&Development
Statement of Work Purpose: To provide Women,Infants,and Children(WIC)Nutrition Program services by following WIC federal regulations,WIC state office policies and
procedures, WIC directives,and other rules. Refer to the Program Specific Requirements section of this document.
Revision Purpose: To add funds to FFY26 WIC CLIENT SVS CONTRACTS USDA.
Master Assistance BARS Allocation
LHJ Funding Period ChangeIndexListingRevenueCurrentg Total
DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation
FFY25 USDA WIC CLIENT SVS CONTRACTS 76101251 10.557 333.10.55 01/01/25 09/30/25 144,669 0 144,669
FFY24 BRSTFDG PEER CN PR MGMT USDA 7621424A 10.557 333.10.55 01/01/25 09/30/26 4,067 0 4,067
FFY25 BRSTFDG PEER CN PR MGMT USDA 76214250 10.557 333.10.55 01/01/25 09/30/27 23,449 0 23,449
FFY25 FARM MKT NTR PROG MGMT USDA 76540251 10.572 333.10.57 01/01/25 09/30/25 637 0 637
FFY26 WIC CLIENT SVS CONTRACTS USDA 76101261 10.557 333.10.55 10/01/25 09/30/26 139,093 60,778 199,871
FFY26 BRSTFDG PEER CN PR MGMT USDA 76214260 10.557 333.10.55 10/01/25 09/30/27 26,770 0 26,770_
0 0 0
TOTALS 338,685 60,778 399,463
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
See"Billing1WICNutritionProgram
Requirements" below.
1.1 Maintain authorized participating caseload at 100%based on Outcomes based on monthly participation Authorized participating
quarterly average as determined from monthly caseload data from state WIC caseload caseload for March 2025
management reports generated at state WIC office. management reports. through September 2026=
The Department of Health(Department) State WIC Nutrition 280
Program has the option of reducing authorized participating
caseload and corresponding funding when:Authorized participating
1. Unanticipated funding situations occur. caseload for March 2025
2. Reallocations are necessary to redistribute caseload through September 2026=
statewide. 300
3. Caseload declines.
Exhibit A,Statement of Work Page 1 of 7 Contract Number CLH32053-Amendment 16
Page 28 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
Authorized participating
caseload for October 2025
through September 2026=
350
1.2 Submit the annual Nutrition Services Plan for each year of the Nutrition Services Plan First year due 9/30/ 25 Payment withheld if not
contract. Second year due 9/30/26 received by due date.
Third year due 9/30/27
1.3 Submit the annual Nutrition Services Expenditure Report for Nutrition Services Expenditure Report 11/30/ 25 Payment withheld if not
each year of the contract. 11/30/26 received by due date.
11/30/27
1.4 Tell participants about other health services in the agency. If Documentation must be available for Biennial WIC Monitor
needed,develop written agreements with other health care review by WIC monitor staff
agencies and refer participants to these services.
1.5 Provide nutrition education services to participants and Documentation must be available for Biennial WIC Monitor
caregivers in accordance with federal and state requirements. review by WIC monitor staff
1.6 Issue WIC benefits while assuring adequate WIC card security Documentation must be available for Biennial WIC Monitor
and reconciliation.review by WIC monitor staff.
1.7 Collect data,maintain records,and submit reports to effectively Documentation must be available for Biennial WIC Monitor
enforce the non-discrimination laws(Refer to Civil Rights review by WIC monitor staff
Assurances below).
1.8a Submit entire WIC and Breastfeeding Peer Counseling Budget Budget Workbook First year due 9/ 30/25
Workbook for each year of the contract Second year due 9/30/26
Third year due 9/30/27
1.8b Submit Rev-Exp Report spreadsheet from the WIC Budget Revenue and Expense Report and A-19 First year due monthly
Workbook monthly with A-19 through September 30,2025
Second year due monthly
through September 30,2026
Third year due monthly
through September 30,2027
See"Billing2BreastfeedingPromotion
Requirements" below.
2.1 Provide breastfeeding promotion activities in accordance with Status report of chosen activities in First year due 11/30/25
federal and state requirements. Nutrition Services Plan.Second year due 11/30/26
Third year due 11/30/27
Documentation must be available for
review by WIC monitor staff. Biennial WIC Monitor
Exhibit A,Statement of Work Page 2 of 7 Contract Number CLH32053-Amendment 16
Page 29 of 33
Task
Activity Deliverables/Outcomes Due Date/Time Frame
Payment Information
and/or Amount
2.2 Work with community partners to improve practices that affect Status report of chosen activities in First year due 8/30/25
breastfeeding. Choose one or more of the following projects: Nutrition Services Plan.Second year due 8/30/26
Provide staff,health care providers and community partners Third year due 8/30/27
virtual breastfeeding training resources. Documentation must be available for
Work with employers who likely employ low-income review by WIC monitor staff. Biennial WIC Monitor
people to create worksite environments that support
breastfeeding.
Work with birthing hospitals to improve maternity care
practices that affect WIC participant breastfeeding rates.
Provide participants access to lactation consultants.
Other projects will need pre-approval from the State WIC Office
See"Billing3BreastfeedingPeerCounselingProgram(BFPC)
Requirements" below.
3.1 Provide Breastfeeding Peer Counseling Program activities in Breastfeeding Peer Counseling Annual First year due 12/31/25
accordance with federal and state requirements.The WIC Report and expenditures from the Second year due 12/31/26
Breastfeeding Peer Counseling Program is meant to enhance, previous federal fiscal year. Third year due 12/31/27
not replace, WIC Breastfeeding promotion and support
activities. Documentation must be available for Biennial WIC Monitor
review by WIC monitor staff.
3.2 Track Breastfeeding Peer Counseling Program expenditures and Documentation must be available for Biennial WIC Monitor
bill separately from the WIC grant. review by WIC monitor staff.
4 Farmers Market Nutrition Program (FMNP) See"Billing
Requirements" below.
4.1 Issue FMNP benefits to eligible WIC participants by September Document in a Family Alert that FMNP Biennial WIC Monitor
30 of the current year. benefits were issued. Set the end date to
Participants have until October 31 of the current year to use October 31 of the current year for the
FMNP benefits at authorized farmers markets and farm stores. alert to dismiss at the end of the season.
DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site. Questions related to this SOW,or any other
finance-related inquiry,may be sent to fnance(aidoh.wa.gov.
Federal Funding Accountability and Transparency Act(FFATA)(Applies to federal grant awards.)
This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act(FFATA or the Transparency Act).
The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent.
To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Unique Entity Identifier(UEI)generated by SAM.gov.
Information about the LHJ and this statement of work will be made available on USASpending.gov by DOH as required by P.L. 109-282.
Exhibit A, Statement of Work Page 3 of 7 Contract Number CLH32053-Amendment 16
Page 30 of 33
Program Specific Requirements
Program Manual, Handbook,Policy References:
The local agency shall be responsible for providing services according to rules,regulations and other information contained in the following:
WIC Federal Regulations, USDA,and FNS 7CFR Part 246.
Washington State WIC Nutrition Program Policy and Procedure Manual
Office of Management and Budget, Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards,2 CFR 200
Farmers Market Nutrition Program Federal Regulations, USDA, FNS 7CFR Part 248
Other directives issued during the term of the contract
Staffing Requirements:
The local agency shall:
Use Competent Professional Authority staff,as defined by WIC policy,to determine participant eligibility,prescribe an appropriate food package and offer nutrition
education based on the participants' needs.
Use a Registered Dietitian(RD)or other qualified nutritionist to provide nutrition services to high-risk participants,to include development of a high-risk care plan. The
RD is also responsible for quality assurance of WIC nutrition services. See WIC Policy for qualifications for a Registered Dietitian and other qualified nutritionist.
Assign a qualified person to be the Breastfeeding Coordinator to organize and direct local agency efforts to meet federal and state policies regarding breastfeeding
promotion and support. The Breastfeeding Coordinator must be an International Board-Certified Lactation Consultant or attend an intensive lactation management
course,or other state approved training.
Restrictions on Funds(i.e.,disallowed expenses or activities,indirect costs,etc.):
The local agency shall follow the instructions found in the Policy and Procedure Manual under WIC Allowable Costs and 2 CFR Part 200 Uniform Administrative Requirements,
Cost Principles,and Audit Requirements for Federal Awards.
Special References(i.e., RCWs,WACs,etc.):
What is the WIC program?
I. The WIC program in the state of Washington is administered by the Department of Health.
2. The WIC program is a federally funded program established in 1972 by an amendment to the Child Nutrition Act of 1966. The purpose of the program is to provide nutrition
and health assessment;nutrition education;nutritious food;breastfeeding counseling; and referral services to pregnant,breastfeeding,and postpartum women,infants,and
young children in specific risk categories.
3. Federal regulations governing the WIC program(7 CFR Part 246)require implementation of standards and procedures to guide the state's administration of the WIC program.
These regulations define the rights,responsibilities,and legal procedures of WIC employees,participants,persons acting on behalf of a participant,and retailers.They are
designed to promote:
a. High quality nutrition services;
b. Consistent application of policies and procedures for eligibility determination;
c. Consistent application of policies and procedures for food benefit issuance and delivery;and
d. WIC program compliance.
4. The WIC program implements policies and procedures stated in program manuals,handbooks,contracts, forms,and other program documents approved by the USDA Food
and Nutrition Service.
5. The WIC program may impose sanctions against WIC participants for not following WIC program rules stated on the WIC rights and responsibilities.
6. The WIC program may impose monetary penalties against persons who misuse WIC benefits or WIC food but who are not WIC participants.
Monitoring Visits(i.e.,frequency,type,etc.):
Program and fiscal monitoring are done on a biennial (every two years)basis and are conducted onsite.
The local agency must maintain on file and have available for review,audit and evaluation:
Exhibit A,Statement of Work Page 4 of 7 Contract Number CLH32053-Amendment 16
Page 31 of 33
All criteria used for certification, including information on income,nutrition risk eligibility and referrals
Program requirements
Nutrition education
All financial records
Assurances/Certifications:
1. Computer Equipment Loaned by the Department of Health WIC Nutrition Program
In order to perform WIC program activities,the Department requires computer equipment,such as computers,signature pads,document scanners,card readers and printers to
be in local WIC clinics or to be transported to mobile clinics. This equipment("Loaned Equipment")is owned by the Department and loaned to the local agency(Contractor).
The Loaned Equipment is supported by the Department. This equipment shall be used for WIC business only or according to WIC Policy and Procedures.
An inventory of Loaned Equipment is kept by the Department. Each time Loaned Equipment is changed,the parties shall complete the Equipment Transfer Form and the
Department updates the inventory. A copy of the Transfer Form will be provided to the contractor. Copies of the updated inventory list may be requested at any time.
The local agency agrees to:
a. Defend,protect and hold harmless the Department or any of its employees from any claims, suits or actions arising from the use of this Loaned Equipment.
b. Assume responsibility for any loss or damage from abnormal wear or use,or from inappropriate storage or transportation. The Department may enforce this by:
1) Requiring reimbursement from the local agency of the value of the Loaned Equipment at the time of the loss or damage.
2) Requiring the local agency to replace the Loaned Equipment with equipment of the same type,manufacturer,and capabilities(as pre-approved by the Department), or
3) Assertion of a lien against the Contractor's property.
c. Notify the Department immediately of any damage to Loaned Equipment.
d. Notify the Department prior to moving or replacing any Loaned Equipment.
The Department recommends Contractors carry insurance against possible loss or theft.
2. Civil Rights Assurance
a. The local agency shall perform all services and duties necessary to comply with federal law in accordance with the following Civil Rights Assurance.
b. "The Program applicant hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964(42 U.S.C.2000d et seq.),Title IX of the Education Amendments
of 1972(20 U.S.C. 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C.794),Age Discrimination Act of 1975 (42 U.S.C. 6101 et seq.);all provisions
required by the implementing regulations of the Department of Agriculture; Department of Justice Enforcement Guidelines,28 CFR 50.3 and 42;and FNS directives and
guidelines,to the effect that,no person shall,on the ground of race,color,national origin, sex,age or handicap, be excluded from participation in,be denied benefits of,or
otherwise be subject to discrimination under any program or activity for which the Program applicant receives Federal fmancial assistance from FNS;and hereby gives
assurance that it will immediately take measures necessary to effectuate this agreement.
c. "By accepting this assurance,the Program applicant agrees to compile data,maintain records and submit reports as required, to permit effective enforcement of the
nondiscrimination laws and permit authorized USDA personnel during normal working hours to review such records,books and accounts as needed to ascertain
compliance with the nondiscrimination laws. If there are any violations of this assurance,the Department of Agriculture, Food and Nutrition Service,shall have the right
to seek judicial enforcement of this assurance.This assurance is binding on the Program applicant, its successors,transferees,and assignees, as long as it receives
assistance or retains possession of any assistance from the Department.The person or persons whose signatures appear on the contract are authorized to sign this
assurance on behalf of the Program applicant."
3. 2CFR 200
The local agency shall comply with all the fiscal and operations requirements prescribed by the state agency as directed by Federal WIC Regulations(7CFR part 246.6),2CFR
part 200,the debarment and suspension requirements of 2CFR part 200.213,if applicable,the lobbying restrictions of 2CFR part 200.245,and FNS guidelines and instructions
and shall provide on a timely basis to the state agency all required information regarding fiscal and program information.
Exhibit A,Statement of Work Page 5 of 7 Contract Number CLH32053-Amendment 16
Page 32 of 33
Billing Requirements:
1. Definitions
Contract Period: January 1,2025—December 31,2027
Contract Budget Periods: The time periods for which the funding is budgeted.
There are four federal budget periods
January 1,2025,through September 30,2025
October 1,2025,through September 30,2026
October 1,2026,through September 30,2027
October 1,2027,through December 31,2027
2. Billing Information:
a. Billings are submitted on an A19-lA invoice. These invoices are provided by the Department in the WIC Budget Workbook and include accounting codes for different
budget categories.
b. Al9s are submitted monthly and must be received by the Department within 30 days following the close of each calendar month. Additional Al9s may be submitted at
any time but must be received within 45 days of the close of the federal budget period.
c. Funds are allocated by budget categories and by federal budget periods(refer to the budget spreadsheet).
d. Funds are encumbered or spent only during the budget period;no carry forward from previous time periods or borrowing from future time periods is allowed.
e. Payments are limited to the amounts allocated for the budget period for each budget category.
f. Billings are based on actual costs for completed activities. Advance payments are not allowed. Back-up documentation must be retained by the local agency and available
for inspection by the Department or other appropriate authorities.
g. Payments will be made only for WIC approved expenditures. Refer to the Washington State WIC Nutrition Program Policy and Procedure Manual Volume 2,Chapter 4—
Allowable Costs and 2 CFR Part 200 Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards.
h. If billing for indirect costs,a Cost Allocation Plan or Federal Indirect Cost Agreement must be submitted prior to payment.
Special Instructions:
The local agency shall:
1. Maintain complete,accurate,and current accounting of all local,state,and federal program funds received and expended.
2. Provide,as necessary,a single audit in accordance with the provisions of 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles,and Audit Requirements for
Federal Awards. This circular requires all recipients and sub-recipients of federal funds to have a single audit performed should they spend$750,000 or more of federal grants
or awards from all sources. Contractors spending less than$750,000 in federal grants or awards may also be subject to audit.
3. Use Breastfeeding Peer Counseling(BFPC) Program funds only to support the peer counseling program. Once the program is established and peer counselors are trained,the
majority of the salary costs must be paid to peer counselors to provide direct services to WIC participants. For a list of allowable costs see Volume 2,Chapter 4—Allowable
Costs. The priority use of BFPC funds is to hire and train peer counselors to provide breastfeeding peer counseling services to WIC participants.
SPECIAL REQUIREMENTS
Contract Budget Period Time Period special requirement Amount Special Requirement Description
funds are available
January 1,2025—September 30,January 2025—September 2025 2,500 For general training funds.This funding is for all WIC staff to participate in
2025 WIC-related training.Added in the USDA WIC Client Services Contracts
category to cover training registrations,travel expenses, staff time to
participate in training(salary/benefits for part time or contractor),and other
approved training expenses.
Exhibit A,Statement of Work Page 6 of 7 Contract Number CLH32053-Amendment 16
Page 33 of 33
Other:
Any program requirements that are not followed may be subject to corrective action and may result in monetary fines or repayment of funds.
Exhibit A, Statement of Work Page 7 of 7 Contract Number CLH32053-Amendment 16
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
CONSENT AGENDA REQUEST
TO: Board of County Commissioners
FROM: Lila Stanfield, Associate Planner DCD
DATE: September 29, 2026
SUBJECT: Final Short Plat Approval for The Harborview Short Plat', SUB2023-00001
STATEMENT OF ISSUE: Staff is requesting final approval and authorization for signatures on a three (3)-lot short
subdivision of Parcel No. 502152019, which is currently addressed as 309332 Hwy 101, Brinnon, WA 98320. The subject
parcel is owned by American Timber Resource LLC. Access to the proposed lots is provided via Hwy 101, and a private
driveway. The proposal has been reviewed for compliance with Chapter 18.35 of the Jefferson County Code (JCC)and
RCW 58.17.170.
ATTACHMENTS:
Type II Land Use Approval (Preliminary Short Plat)—SUB2023-00001
Final Plat Review Copy
Mylar ready for BoCC Signing (I will bring it to the BOCC Monday morning, October 5th, 2026.)
ANALYSIS:
Staff has determined that the application, as submitted on March 01, 2023, meets the applicable requirements of JCC
18.35.130, as addressed in the written Findings and Conclusions and Preliminary Plat Approval issued on May 7, 2024.
Written Findings and Conclusions are required pursuant to RCW 58. 17.195, which provides, in part, that a county shall
make formal written findings of fact that the proposed subdivision or short subdivision conforms to applicable zoning
ordinances and other applicable land use controls.
ALTERNATIVES:
The requested action is mandatory per RCW 57.17.170 and Chapter 18.35 JCC.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
There is no identifiable fiscal impact related to this request for final plat approval. New tax parcels will generate property
tax revenue for the County.
RECOMMENDATION:
Per Jefferson County Ordinance and State Law, DCD requests that the BoCC grant final short plat approval by signing the
final Plat mylar.
REVIEWED BY:
cl/w/94.
Josh CountyAdministrator Date
45ON co(
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street I Port Townsend, WA 98368
9SUi*4c;co 360-379-4450 I email: planning@co.lefferson.wa.us
https://www.co.jefferson.wa.us/260/Community-Development
PRELIMINARY SHORT PLAT
APPLICATION No. SUB2023-00001
Pleasant View Short Plat
Date: May 7, 2024
Expiration: May 7, 2027
Applicant: American Timber Resource LLC
Attn: Sam Boling
P.O. Box 810
Brinnon, WA 98320
Summary of Proposal:
The application requests preliminary short plat approval to divide approximately 18.94 acres of
Rural Residential 1:5 zoned property into three (3) parcels for residential use. Potable water is
proposed by a Group B water system. Sewage disposal would be provided by individual on-site
septic system. Access to Lots 1, 2, and 3 will be provided off of Mt. Jupiter Road at the
Southeastern corner of the property where it comes off of Highway 101.
Property Location: Parcel Number 502152019, in Section 15, Township 25N, Range 2W, WM,
having a site address of 309332 Highway 101, Brinnon, WA 98320.
Site Description:The parcel is mostly undeveloped and forested, with the exception of an
existing septic system in the central portion of the property and a gravel
driveway on the southern portion of the property. It is located on the
uphill (western)side of Highway 101. Mount Jupiter Road touches the
Western boundary of the parcel and loops around to connect at the
southeastern corner of the parcel right at the corner to Highway 101. The
site slopes up from Highway 101, with a ridge of more compressed
intermediate slope around the middle of the parcel. There is a Type Ns
non-fish seasonal stream to the North meandering through the proposed
two (2) 5-acre parcels. The surrounding parcels to the North and South are
zoned Rural Residential 1:5. The eastern boundary of the parcel is Highway
101 but on the opposite side of the road is the proposed Pleasant Harbor
Master Plan. The western boundary abuts to a parcel zoned Commercial
Forest CF-80.
Findings of Fact:
Based on the information on file, available mapped information, applicable local and state
policies and regulations, and available records maintained by Jefferson County, the
Administrator finds as follows:
1. A short plat application (SUB2023-00001) was deemed substantially complete on
December 8, 2023. The purpose of this short plat is to create three (3) single-family
residential lots.
2. The short plat is subject to review under the State Environmental Policy. The optional
DNS process of WAC 197-11-355 is being used. The SEPA Responsible Official issued a
Final Determination of Non-Significance (DNS) on May 7 2024.
3. A Notice of Type II Application and SEPA Optional DNS was published in the Port
Townsend Jefferson County Leader newspaper on January 24, 2024. The Notice was
posted on the property on January 24, 2024. The applicant, agencies, and all property
owners within 300 feet were notified by mail on January 24, 2024.
4. Testimony: No verbal or written testimony was received from the adjacent properties or
interested parties.
5. Agency Responses:
a. County Public Works Department: Written comments dated December 26, 2023,
January 25, 2024 and May 2, 2024 are hereby incorporated by reference.
b. Environmental Public Health Department: Written comments dated March, 1,
2024, and December 26, 2023 are hereby incorporated by reference.
c. Jefferson County Assessor's Office: Written comments dated October 25, 2023,
and March 26, 2024, are hereby incorporated by reference.
d. Brinnon Fire Department: Written comments dated March 15, 2023 by Tim Manly
are hereby incorporated by reference.
e. One response dated February 6, 2024 was received from the Department of Fish
and Wildlife (WDFW) with potential concerns regarding the Parcel being a critical
winter range habitat for Roosevelt Elk. The staff also recommended field review
of the watercourses and potential fish habitat.
f. Department of Natural Resources: Levi Puksta confirmed via an email on
February 12, 2024 that the stream as shown on the Forest Practice Map was a
non-fish seasonal Type Ns water.
g. WSDOT: Written comments dated April 23, 2024 are hereby incorporated by
reference.
6. Pursuant to JCC 18.35.140, an application for preliminary short plat approval must
demonstrate consistency with all the provisions of JCC 18.35.130.
h. The proposed subdivision conforms to all applicable county, state and federal
zoning, land use, environmental and health regulations and plans, including but
not limited to the Jefferson County Comprehensive Plan and the provisions of
this code, including any incorporated standards;
Staff Comment: The Comprehensive P/an designation for this property is Rural Residential.
The zoning designation for this property is Rural Residential 1:5, requiring a minimum density of
5 acre per lot. The proposed short subdivision is subject to the policies of the Jefferson County
Comprehensive Plan. The applicable policies are discussed below. The following goals and
1,Asant View Short Plat SUC2023-0000,
policies of the Comprehensive Plan apply to the project, which relate to land use compatibility,
transportation, and environmental quality:
Land use: The parcel is 18.94-acres and zoned Rural Residential one dwelling per
five acres (Rural Residential 1:5). The lots will be served by individual on-site septic
systems and a Group B well. The proposal is consistent with the Comprehensive
Plan Policies LU P-1.9, LU P-6.1, LU P-10.1, and LU P-15.1.
Transportation: Jefferson Transit currently does not have a transit stop near the
subject parcel. Children housed within the Brinnon School District will be bussed to
the school campus. The proposal is consistent with the Comprehensive Plan Policies
TR-P-1.5, TR-P-2.5, TR-P-4.2 and TR-P-4.9.
Environmental Quality: The proposed short plat has identified a couple of critical
areas, geohazard and Fish and Wildlife Habitat Conservation Areas (FWHCAs) and
their respective buffers/setbacks. Slight/moderate landslide hazard area identified
on the property. A"Ns"— Non-fish bearing Stream is present on the northern
portion of the parcel, included in proposed Lot 1 and 2, current and future property
owners of this short plat shall maintain applicable buffers from the ordinary high
watermarks (OHWM) on each side of the stream in accordance with the Jefferson
County Critical Areas Ordinance. An approved Group B water system and an
individual on-site septic system would serve each lot. Stormwater will be reviewed
with any road work and at the time of development for each individual parcel. The
proposal is consistent with the Comprehensive Plan Policies EN-P-1. 1 and EN-P-2. 2
Utilities and other public services necessary to serve the needs of the proposed
subdivision shall be made available, including open spaces, drainage ways, roads,
streets and other public ways, potable water, transit facilities, sewage disposal,
parks, playgrounds, schools, sidewalks and other improvements to assure safe
walking conditions for students who walk to and from school;
Staff Comment: The lots will be served by a Group B water system. Water quality and quantity
information on the potable water must be submitted, reviewed, and approved by Environmental
Health prior to final approval. An On-site Sewage Disposal Permit was issued on December 7,
2006 for the central lot 2 on the parcel. The Environmental Health sanitarian had no additional
comment on the proposal. Jefferson Transit currently does not have a transit stop at this
location. The proposal would require children to be bussed to and from school due to the
distance to the nearest school, therefore sidewalks are not required. The parcel is located on
the uphill(western)side of Highway 101. Access to Lots 1, 2, and 3 will be provided off of Mt.
Jupiter Road at the Southeastern corner of the property where it comes off of Highway 101.
i. Approving the proposed short subdivision will serve the public use and interest
and adequate provision has been made for the public health, safety and general
welfare.
Staff Comment: Approving this short p/at will serve the public use and interest as each lot is
now going to be developed providing one additional housing unit in Jefferson County and meets
Pleasant View Short Plat SUC2023 0000'.
the Comprehensive Plan Density of Rural Residential 1:S. Public health, safety and general
welfare will not be compromised as a result of this short p/at. Each lot will be fully developed
with the construction of a single-family residences, using a group B water system, and installed,
approved, and finaled septic systems. Hwy 101 provides main route to the private road, Mt
Jupiter Rd. Jefferson Transit currently does not serve the site and children attending the
nearest school will be bused to and from school. The proposal meets this criterion.
j. Notwithstanding the approval criteria set forth in this section, in accordance with
RCW 58.17.120, as now adopted and hereafter amended, a proposed subdivision
may be denied because of flood, inundation or swamp conditions. Where any
portion of the proposed short subdivision lies within both a flood control zone, as
specified by Chapter 86.16 RCW, and either the 100-year floodplain or the
regulatory floodway, the county shall not approve the preliminary short plat.
Staff Comment: The proposed short plat is not located within a flood plain, flood way, wetland
or any associated buffers. The proposal meets this criterion.
Action Taken:
Based on the preceding findings, the application as proposed has satisfied the above criteria.
Staff recommends Approval with Conditions of the Type II Short Plat application. SUB2023-
00001 is hereby preliminarily approved with the following conditions to be addressed prior to
final approval.
Conditions of Approval:
Main Condition: This preliminary approval is for a Three Lot Short Plat only. Final approval is
subject to all conditions and review by County Commissioners. Any future permits on this site
are subject to review for consistency with applicable codes and ordinances and does not
preclude review and conditions which may be placed on future permits.
Assessor's Office
1. Please add the Property Legal Description on one of the pages.
2. Please add the sub-number in the upper right-hand corner of both pages.
3. Please remove all Parcel number references from the survey.
4. Under Department of Community Development Administrator's Certificate please update
wording where it says"inn" it should be in.
5. Please add signature lines under the "Director of Public Works"and the "Department of
Community Development Administrator's Certificate"sections.
6. Please add owner of real estate contract to page 2 of survey, adding another
Declaration and Dedication for"Kim K. Mishko, as Successor Trustee under a trust
agreement dated November 30, 1993 and titled Boling Family Trust".
7. Please fix typo of"undersigned ownerd" under Declaration and Dedication section on
page 2 of survey.
GIS Department
8. Remove the Parcel number and "and the NW1/4 of the SW 1" in the title block on page
1 and 2.
Environmental Health Department(Water)
9. For the proposed public water supply, the Utility Service Review Procedure shall be
completed - this procedure is found in the Coordinated Water System Plan.
10.The proposed public water system (the Group B well) must be approved for connection
by the Department of Health Office of Drinking Water.
11.The well to serve as a public water supply must be labeled with the public water system
name and water system ID# on the Survey map.
12. The sanitary control area of the existing well shall be established by covenant and must
be recorded with the AFN referenced on the plat per JCC 8.15.105 (4)(h)(ii).
13. The plat must show how the water supply will be provided to each lot, this includes
water meter locations, water line locations, easement locations, and AFNs for easement.
14.The existing well located on Lot 3 requires the water utility easement to be labeled
10.00' Water Easement for the benefit of Lots 1 and 2". This easement location shall
correspond with where the water line is actually installed as required for final approval.
Please consider that as the easement is currently depicted, the configuration will result
in a water line/ sewer line crossing which will result in further requirements.
15. The water line from the well must be installed to the property boundary of Lot 1 per JCC
18.35.130 (1)(b). The water line shall be capped and sealed to prevent contamination
and should be placed within an adequately sized valve box for future connection. An
inspection with a fee will be required to verify the water line installation.
Environmental Health Department(Septic)
16. Please remove the words "Possible Drainfield and Reserve Area" and the box drawn
showing the two (2) areas on the final survey. This applies to the north and south
parcels, middle parcel is fine.
Department of Public Works
17. Based on requirements of Jefferson County Code (JCC) 12.05, a road approach permit
for the shared road that accesses Lots 1, 2, and 3 off of Mt. Jupiter Road shall be
secured from the Department of Public Works prior to final plat approval.
18. Based on the requirements of JCC 18.30.080 (1) (I), the applicant shall convey to
Jefferson County, by statutory warranty deed, a right-of-way 30 feet in width from the
surveyed centerline of Mt. Jupiter Road. The Auditor's File Number (AFN) of the
statutory warranty deed shall be shown on the face of the plat. As an alternative, the
applicant may reference the FEE SIMPLE dedication of right-of-way to the County using
the following language: DEDICATION: KNOW ALL PERSONS BY THESE PRESENTS that
we, the undersigned owners of the land herein described, declare this plat to be created
by our own free will and consent, hereby declare this plat to be the graphic
representation of the subdivision made hereby and, for and in consideration of the
approval of this plat, hereby convey and warrant to Jefferson County that portion of the
southeast corner of the land herein described as shown on the face of this plat as Mt.
Jupiter Road (County Road #242009) right-of-way, and also dedicate to Jefferson
County the right to make all necessary slopes for cuts and fills upon the lots shown
Pleasant Virw Short Plat 5UB2023 00001
thereon in the original reasonable grading of said road. We also grant to the lot owners
within this plat the right to use the private roads and utility easements as platted for the
uses and purposes shown.
19. Based on the requirements of JCC18.30.080 (1) (p), an agreement for the continued
maintenance of private roads shall be established either by recording of a separate
instrument and referencing said instrument on the plat, or by establishment of said
agreement by declaration on the plat.
20. Based on requirements of JCC 18.30.80 (1) (a), to accommodate the anticipated traffic
and provide adequate fire and emergency vehicle access, the private shared access road
shall be constructed in compliance with Jefferson County Road Standard Type #1, a
Rural Access Road which is appropriate for up to 4 residences. It shall have a minimum
14 feet unobstructed, drivable width, with intervisible turnouts. It shall be constructed
with a minimum 4 inches crushed surfacing base course over compacted subgrade for a
14 feet wide traveled way constructed with a minimum 2 inches compacted crushed
surfacing top course. The turnouts shall have a width of 20 feet for a length of 50 feet
with 25 feet long tapers at each end. Public Works recommends that shared road grades
exceeding 12% should be paved. Shared road sections that exceed 15% are generally
not acceptable to Public Works. In absence of meeting these conditions, the shared road
surface and steepness shall require review and approval by the Brinnon Fire
Department.
21.Access that has been inspected and approved by the Brinnon Fire department, email
received on March 15, 2024 is from the Southeastern corner of the property, (Lot 3),
rolling through Lot 3 up to the Western side of the parcel and extending into Lot 2, and
Lot 1.
22. Based on requirements of JCC 18.30.070 (4) (f), a stormwater management permit shall
be secured from the Department of Community Development prior to land disturbance,
or the development of new impervious surfaces.
23. As required by JCC 18.30.080 (1) (f), clearing, grading, and construction of roads,
bridges, utilities, and stormwater management facilities shall be inspected by the
Department of Public Works. In order to enable the Department to conduct inspections
in a timely manner, the applicant shall notify the Department in a timely manner
regarding the project construction schedule, by email at pubworks@co.jefferson.wa.us
or phone 360-385-9160.
i. Typical Inspections:
ii. Installation of temporary erosion and sediment control measures;
iii. Clearing (and Grading) and road subgrade preparation;
iv. Placing roadway gravel base;
v. Placing roadway crushed surfacing top course;
vi. Placing improved roadway surface (chip seal or asphalt concrete);
vii. Construction of stormwater management facilities;
viii. Final plat review.
ix. (Additional inspections may be deemed necessary as project progresses.)
24. JCC 18.30.080(1)(u) authorizes the Department of Public Works to assess fees in
accordance with the Jefferson County Fee Schedule Ordinance for development review
activities including application and plan review, inspections, meetings, hearings, and
final review. Prior to Department of Community Development project approval, the
proponent shall pay all costs related to the Public Works'application review, plan review,
inspections, and preparation of the Stormwater Management Facility Maintenance
PIeasenl View Short Nat SUC202 3-0000 1
Agreement. In accordance with the Jefferson County Public Works Department Fee
Schedule, the Department's hourly development review fee is $104 per hour for 2024.
In the event that approval for the proposal is denied by Jefferson County or the proposal
is not completed, the proponent shall still be responsible for paying the Department's
fee.
25. No direct access is allowed from Highway 101, per email received on April 23, 2024 from
Washington State Department of Transportation (WSDOT).
Department of Community Development
26. Based on requirements of Chapter 18.35 JCC Final Short Plat, the final mylar shall be
prepared in accordance with the final short plat checklist located in JCC 18.35.
27. An accurate vicinity map shall be graphically portrayed on the face of the final plat.
28. The final blueline shall depict the name of the subdivision "Pleasant View"and the
county assigned number of SUB2023-00001 on all sheets of the mylar.
29. An updated plat certificate or supplement shall be submitted with the final blueline and
shall be 30 days current.
30. Submit the lot closure information with the final bluelines and updated plat certificate.
31.Arrangements shall be made by the applicant to install underground utility lines for
electricity and telephone service to all lots prior to final plat approval. All easements of
record shall be graphically portrayed on the final plat with the Auditor's File Number
AFN) of the easement(s) also referenced on the face of the plat.
32. All graphics shall meet the recording requirements for legibility.
33. Consistent with RCW 84.56.345, current year and, if applicable, all delinquent property
taxes including compensating tax from open space program shall be paid in full prior to
the Treasurer signing the mylar and paper copies of the short plat.
34. The applicant must submit a reproducible copy (11"x 17") the proposed final short plat
to the Department of Community Development. The proposed final short plat shall
contain elements as described in Chapter 18.35.120 JCC and shall include certifications
and other requirements as provided in Chapter 18.35.190 JCC and 18.35.370 JCC.
35. All signatures and seals shall be in black ink on Mylar.
36. Proponent may enter into a surety agreement with the Department of Public Works prior
to final plat approval as an alternative to completing installation of required
improvements. Surety shall not be accepted for development of water supply facilities,
other than distribution facilities. Surety shall be for an amount equal to 200 percent of
the cost of required improvements, shall not exceed a period of one year, and must be
in a form acceptable to Jefferson County. Acceptable forms of surety include bonds,
open account agreements, and irrevocable letters of credit. Surety must be
accompanied by an estimate of the cost of all improvements prepared by a licensed
engineer. The estimate shall be approved by the Public Works Department prior to
acceptance.
37.The following shall be placed under"Notice to Potential Purchasers":
The lots within this plat are legally created pursuant to JCC 18.35 and RCW
58.17, and are equivalent in size to the density of the zoning district in which it is
located. The lots are considered as legal lots of record pursuant to JCC 18.12,
and are eligible for development under JCC 18.40. The lots are not subject to
additional Site Development Review (SDR)/ Legal Lot of Record Determination
LLOR)."
Any further subdivision of the lots within this plat will be subject to the densities
permitted in the Jefferson County Ordinances and Codes in effect at time of such
application. These lots may or may not be further subdivided in the future."
Approval of this subdivision does not constitute approval of building or sewage
disposal permits on each lot. Permit approval will be subject to building lot
plans, type of use, contours, and soils on individual lots. Permits will be
reviewed in accordance with site conditions and regulations existing on the date
the permits are applied for."
The lots, parcels, or tracts contained within this subdivision were based upon
design standards and regulatory requirements in effect at the time of final
approval. Complete sewage disposal systems have not been approved for the
lots, parcels or tracts contained within the subdivision. On-site sewage disposal
systems shall meet design standards and regulatory requirements in effect at
the time of application for a sewage disposal permit. Purchaser should contact
the Jefferson County Health Department for procedures concerning permit
applications. "Any removal of or major disturbance of soil within the proposed
drainfield areas may create site conditions that are unacceptable of the
installation of sewage disposal systems."
Jefferson County has determined that the use of real property for agricultural
and forestry operations is a high priority and favored use in the county. The
county will not consider to be a nuisance those inconveniences or discomforts
arising from such operations, if such operations are consistent with commonly
accepted best management practices in compliance with local, state, and federal
laws. If your real property includes or is within five hundred (500) feet of real
property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural
Commercial, Agriculture, or Forestry, you may be subject to inconveniences or
discomforts arising from such farming and forestry operations, including but not
limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of
farm and forestry machinery during any 24-hour period, the storage and disposal
of manure, and the application of permitted fertilizers and permitted pesticides.
One or more of these inconveniences may occur as a result of agricultural and
forestry operations which are in conformance with existing laws and regulations."
38. Unless future development will occur entirely within the building envelopes, please
remove all "Possible Building Envelope"on the face of the final survey.
39.The "20.00 Access Easement Serving Lots 1 and 2" along 101 shall be removed from the
survey map.
PUBLIC HEARING: Type II administrative decisions shall become final subject to the
following: an applicant or party of record may appeal the decision to the hearing examiner for
an open record hearing, as further set forth in JCC Section 18.40.330 &JCC Section 18.40.280.
A public hearing will only be held if the administrator's decision is appealed consistent with JCC
18.40.330(5) within 14 calendar days after the notice of decision is issued.
NOTICE: The sale of lots prior to final short plat approval is unlawful.
EXPIRATION: Preliminary approval will expire on May 7, 2027. The Department of
Community Development shall not be responsible for notifying the applicant of impending
preliminary short plat expiration.
SUBMISSION: It is the responsibility of the applicant or authorized representative to ensure
the final short plat is submitted in accordance with the conditions of preliminary approval. This
includes paying all property taxes, submitting the recording fee for the final plat and supplying
an updated plat certificate (dated within 30 days of submittal). Requirements are outlined in the
final short plat checklist.
Preliminary Approval of SUB2023-00001:
Decided this 7_day of M Ct y 2024.
S1 10Al):,24/utc)\ 4_,4.4/d\
Greg Ballard, UDC Code Administrator
Pleasant View Short Plat SUB2023.00001 Page 9 of 9
Final Plat Submittal SUB2023-00001
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SURVEYORS CERTIFICATE
AUDITOR'S CERTIFICATE I,FREDERIC C.FORD,REGISTERED AS A PROFESSIONAL LAND
SURVEYOR BY THE STATE OF WASHINGTON,CERTIFY THAT THIS
SHORT PLATSESCRIBD
IS BASED ON AN ACTUAL SURVEY OF THE LAND
4 l A Ford Engineering, Inc.Filed for record this_ day of __ DESCRIBED HERIN.CONDUCTED BY ME OR UNDER MY 1G Q wSUPERNS10V.DURING THE PERIOD O"FTBRUARY 2023.TIiAI FOR
20__ Ot_____ _M in Book___ ME DISTANCES COURSES AND ANGLES ARE SHOWN HERON R.•
CORRECTLY:AND THAT LOT CORNERS HAVE BEEN STAKED ON IL . Q% AMERICAN TIMBER Civil Engineering & Land Surveying
of____Ot page_____at the request of THE GROUND AS DEPICTED ON INF SUBDIVISION. IN THE SW 1/4 OF THE NW 1/4
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Frederic C. Ford 491w SEC. 15, T.25N., R.2W., W.M. fr
AYE a JEFFERSON COUNTY, WASHINGTON
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CERTIFICATE NUMBER:40/94
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Deputy County Auditor u,
FREDERIC C.FORD.PLS/40194 OATE S/21/2026 fcfOfordeng.con,
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SUB2023-0000I
DECLARATION AND DEDICATION:NOTICE TO POTENTIAL PURCHASERS:
KNOW ALL PERSONS BY THESE PRESENTS THAT ME,AMERICAN TIMBER RESOURCES.LLC, The lots within this plot ore legally created pursuant to JCC 18.35 and RCW 58.17, and ore equivalent in
A WASHINGTON LIMITED LIABILITY CORPORATICN THE UNDERSIGNED DOWER OF THE LAND site to the density of the zoning district in which it Is located. The lots ore considered as legal lots of
THE HA RB OR VI E WHEREINREINDESCRIBED,AND KIM K MISIRKO,SUCCESSOR TRUSTEE OF THE BOLING FAMILY record pursuant to JCC I8.I2, and are eligible for development under JCC 18.40. The lots are not subject
TRUST DECLARE THIS PLAT TO BE CREATED BY OUR OMN FREE MILL AND CONSENT to additional Site Development Review )/ gHEREBYDECLARETHISPLATTOBETHEGRAPHICREPRESENTATIONOFTHETHEopenSCRLegal Lot of Record Determination LLOR.
SUBDIVISION MADE HEREBY AND,FOR AND IN CONSIDERATION OF ME APPROVAL O MIS SHORT PLATPLATHEREBYCONYETANDWARRANTTOJEFFERSONCOUNTYTHATPORTIONOFTHEMyfurthersubdivisionofthelotswithinthisplotwillbesubjecttothedensitiespermittedinthe
SOUTHEAST CORNER OF ME LAND HEREIN DESCRIBES AS 5110MN ON THE FACE Or THIS Jefferson County Ordinances and Codes in effect at time of such application. These lots may or may
PLAT AS MT MINTER ROAD(COUNTY ROAD 9242009)RIGHT-OE-WAY.AND ALSO not be further subdivided in the future.
DEDICATE TO JEFFERSON COUNTY THE RIGHT TO MAKE ALL NECESSARY SLOPES FOR CUTS
AND FILLS UPON THE LOTS SHORN THEREON IN THE ORIGINAL REASONABLE GRADING OF Approval of this subdivision does not constitute approval of building or sewage disposal permits on each Final Plat SubmittalSAIDROAD. ME ALSO GRANT TO THE LOT OWNERS WITHIN THIS PLAT THE RIGHT TO USE
lot. Permit approval will be subject to building lotp111EPRIVATEROADSANDUTILITYEASEMENTSASPLATTEDFOR711EUSESANDPURPOSESPPrleg Ions, type of use, contours, and
existing
on individual
7T 7I}M,/'L 7p 7L1}7y2T Tqq'AS SHOWN. lots. Permits will be reviewed in accordance with site conditions and regulations existing on the date the 3CITIE'It.')permits are applied lax. uUL+"+`71
Maintenance of all private roads within this plot shall be the responsibility
of the owners of the Lots thereon. Each Lot owner shall be liable for on The lots,parcels, or tracts contained within this subdivision were bused upon design standards and 8- 2-2 26
equal portion of the costs necessary to maintain the private roads. regulatory requirements in effect at the time of renal approval.Approval of this Subdivision is no
JEFFERSON COUNTY DUMaintenanceoftheprivateroadsshallincludebutnotlimitedtotheassurancethattheexistingon-site septic system will be adequate for future proposals, uses, or
filling of potholes,regrading, ditching, and placement of gravel as improvements. Complete sewage disposal systems ham not been approved for all of the lots,parcels or
necessary. The road maintenance costs shall be assessed against a Lot tracts contained within the subdivision. On-site sewage disposal systems shall meet design standards and
whether or not the Lot has a residence constructed on It. In the event regulatory requirements In effect at the time of application for a sewage disposal permit. PurchaserthatanyLotownercausesanyextraordinarydamagetotheroadway, the should contact the Jefferson County Health Deportment for procedures concerning permit applications.
repair of such damage shall be paid solely by the Lot owner that caused Any removal of or major disturbance of soil within the existing drain field area or soil test pit areas maytheit.
create site conditions that are un acceptable for the use or installation of sewage disposal systems
Any removal of or major disturbance of soil within the proposed drainReld areas may create site
OKIMK.MISHIT°,SUCCESSOR TRUSTEE,BING FAMILY TRUST conditions that are unacceptable of the installation of sewage disposal systems.
Jefferson County hos determined that the use of real property for agricultural and forestry operations is
O high priority and favored use i n the county. The county TI not consider to be a nuisance thoseMICHAELSAMBOUND,MEMBER.AMERICAN TIMBER RESOURCES,LLC inconveniences or discomforts arising from such operations,If such operations are consistent with
commonly occepted best management practices in compliance with local, state, and federal If your red
property includes or is within five hundred(500) feet of real property designated as Rural Residential 1:10
or I:20,Rural Industrial, Rural Commercial,Agriculture, or Forestry,you may be subject to inconveniences
JtrrtNSON COUNTY PUBLIC HEALTH DIRECTOR CERTIFICATE:
ACKNOWLEDGEMENT: removal,
discomforts arising from such farming and forestry operations, including but not limited to noise, tree
removal, odors, flies, fumes, dust, smoke, the operation of form and forestry mochinery during any APPROVED BY THE ENVIRONMENTAL PUBLIC HEALTH DEPARTMENT ON
STATE OF WASHINGTON ) 24-hour period, the storage and disposal of manure, and the application of permitted fertilizers and DNS____DAY OF—__.2026
SS permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and
COUNTY Of JEFFERSON ) forestry operations which are in conformance with existing lows and regulations.
DIRECTOR„ElfORSON COUNTY PUBLIC HEALTH DEPARTMENT.
THIS IS TO CERTIFY THAT ON THIS DAY OF p_, Lots served by Pleasant public water system ID*AE427
BEFORE ME.ME UNDERSIGNED.A NOTARY PUBLIC IN AND FOR THE STATE OF BOARD OF COMMISSIONERS
WASHINGTON,OILY COMMISSIONED AND SWORN,PERSONALLY APPEARED KIM K.MISNKO.
SUCCESSOR TRUSTEE.BOING FAMILY TRUST AND TO ME KNOWN TO BE THE INDIVIDUAL APPROVED BY THE.Er,EsSON COUNTY BOARD OF COMMISSIONERS ON
MHO EXECUTED THIS INSTRUMENT.AND ON AN OATH STATED THAT IT WAS THEIR FREE THIS_DAY OF 2026
AND VOLUNTARY ACT AND DEED FOR THE USES AND PURPOSES HEREIN STATED.
DIRECTOR OF PUBLIC WORKS CERTIFICATE:
MITHESS MY HAND AND OFFICIAL SEAL MIS DAY AND YEAR FIRST ABOVE WRITTEN. CHAIRMAN,,EFFERSLW COUNTY BOARD OF COMMISSIONERS
I HEREBY CERTIFY TO THE BEST OF MY KNDMtEDGE THAT THIS FINAL
PLAT IS IN COMPLIANCE NM THE CERTIFICATE OF IMPROVEMENTS
NOTARY PUBLIC IN AND FOR 111E STATE OF WASHINGTON ISSUED PURSUANT TO ME JEFFERSON COUNTY UNIFIED DEVELOPMENT
COOE AND IS CONSISTENT YAM ALL APPLICABLE COUNTY IMPROVEMENT ATTEST:CLERK OF.EFFERSON COUNTY BOARD OF COMMISSIONERS
RESIDING AT STANDARDS AND REQUIREMENTS IN FORCE ON THE DATE O
PRELIMINARY PLAT APPROVAL,THIS_DAY OF_______
MY APPOINTMENT EXPIRES 2026
TREASURERS CERTIFICATE
ACKNOWLEDGEMENT:
DIRECTOR.JEFFERSON COUNTY DEPARTMENT OF PUBUO wORKS ALL TAXESY AND/OR ASSESSMENTS E ARE Pup IN FULL ON THIS
STATE OF WASHINGTON
SS trrubUN COUNTY TREASURER
COUNTY OF.EFFERSON )
DEPARTMENT OF COMMUNITY DEVELOPMENT ADMINISTRATOR'S
THIS IS TO CERTIFY MAT ON THIS_____DAY OF_____ 2I _ CERTIFICATE: ASSESSORS APPROVAL
BEFORE ME. ME UNDERSIGNED.A NOTARY PUBLIC IN AND FOR THE STATE OF
WASHINGTON.DULY COMMISSIONED AND SWORN,PERSONALLY APPEARED MICHAEL SAM I HEREBY CERTIFY THAT ON THIS_DAY OF 2026, EXAMINED AND APPROVED THIS_DAY SE 2026
GOING,MEMOIR O AMERICAN IIMBER RESOURCES,LLC A WASHINGTON LIMITED LIABILITY THAT THIS FINAL PLAT IS IN SUBSTANTIAL CONFORMANCE WITH THE
COMPANY AND TO ME KNOWN TO BE ME INDIVIDUAL IRO EXECUTED MIS INSTRUMENT. PRELIMINARY PLAT AND ANY CONDITIONS ATTACHED THERETO,MICH
AND ON AN OATH STATED THAT IT WAS THEIR FREE AND VOLUNTARY ACT AND DEED FOR PRELIMINARY PUT WAS APPROVED BY JEFFERSON COUNTY ON THE ETFERSO/COUNTY ASSESSOR
THE USES AND PURPOSES HEREIN STATED. DAY OF -2026
RMESS MY HAND AND OFFICIAL SEAL MIS DAY AND YEAR FIRST ABOVE WRITTEN. ATTEST
NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON AOMNIS7RATOR,JEFFERSON COUNTY DEPUTY JEFFERSON COUNTY ASSESSOR
COMMUNITY DEVELOPMENT DEPARTMENT
RESIDING AT
MY APPOINTMENT EXPIRES
g I
SHORT PLAT Ford Engineering, Inc.
LEGAL DESCRIPTION: A
That portion of the southwest 1/4 of the Northwest 1/4 ate: 'o FOR
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Civil Engineering & Land Surveying
of Section 15, Township 25 North,Range 2 West, W.M.,AMERICAN TIMBER
Jefferson County, Washington; lying Westerly of State 12205 lake Wby NW Phan.(360) 568-2124
Highway 101 as conveyed to the State of Washington by
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deed recorded June 25, 1933 under Auditor's File Na. F\.. "
e#!I SEC. 15, T.25N., R.2W., W.M. lT70653,records of Jefferson County, Washington. aw JEFFERSON COUNTY, WASHINGTON
EXuate in therefrom State Highway State101.Situate in the County of Jefferson, State of Washington. akkmesszatIF of
FREDERIC C.FORD.YES 00194 DATE 8/21/2026 fcfOfordeng.com
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615 Sheridan Street
Port Townsend, WA 98368
dell Orson www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Josh D. Peters, County Administrator
FROM: Apple Martine, Jefferson County Public Health Director
Bonnie Obremski, Intellectual and Developmental Disabilities (IDD) Coordinator
DATE:
SUBJECT: Agenda item —Professional Services Agreement between the County of Jefferson
and People First of Washington State for the provision of an intellectual/
developmental disabilities educational project; August 1, 2026 — December 31,
2026, $7,500.
STATEMENT OF ISSUE:
The Jefferson County Intellectual and Developmental Disabilities program requests Board approval of an
agreement with People First of Washington, which fosters a Jefferson County Chapter. The agreement
provides Jefferson County Chapter members access to educational experiences at the Annual People
First Convention in Bremerton, WA in October.
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
This education allows Chapter members to keep informing Jefferson County community members at a
high level regarding access services for people with intellectual/developmental disabilities.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
Funding from this agreement would draw from an existing County fund reserved for educational
projects.
RECOMMENDATION:
JCPH management recommends approval of this agreement.
REVIEWED BY:
Igt1/34;
Josh D. Peters, County Administrator Date
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
DD-26-060
CONTRACT REVIEW FORM Clear Form I
INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: People First of Washington Contract No: DD-26-060
Contract For: Education Project Term: August 1, 2026- December 31, 2026
COUNTY DEPARTMENT: Public Health
Contact Person: Bonnie Obremski
Contact Phone: x 410
Contact email: BonnieO@co.jefferson.wa.us
AMOUNT: $7500 PROCESS:
Exempt from Bid Process
Revenue: Cooperative Purchase
Expenditure: $7500 Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds Vendor List Bid
Fund # PH fund#127 RFP or RFQ
Munis Org/Obj DD#12768040 Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMP /NCE WIT C 55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: f — I N/A:f G— Aug. 6, 2026
Glenn Gilbert Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBA D BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: FIT] N/A: t l G Aug. 6, 2026y
Glenn Gilbert Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 9/1/2026.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 8/31/2026.
DPA Luther reviewed and approved on 8-31-26.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
PROFESSIONAL SERVICES AGREEMENT FOR
INTELLECTUAL/DEVELOPMENTAL DISABILITES EDUCATIONAL PROJECT
THIS PROFESSIONAL SERVICES AGREEMENT("this Agreement")is entered into between
the County of Jefferson, a municipal corporation("the County"), and People First of Washington
the Contractor"), in consideration of the mutual benefits,terms, and conditions specified
below.
1. Project Designation. The Contractor is retained by the County to perform the
following Project: Provide educational experiences to residents with intellectual
and/or developmental disabilities by providing services that facilitate their attendance
at the 2026 Annual People First of Washington Convention.
2. Scope of Services. Contractor agrees to perform the services identified on Exhibit
A"attached hereto including the provision of all labor.
3. Time for Performance. This Agreement shall commence on August 1, 2026 and
continue through December 31, 2026. Work performed consistent with this
Agreement during its term,but prior to the adoption of this Agreement, is hereby
ratified. The Contractor shall perform all services pursuant to this Agreement as
outlined on Exhibit"A". Time is of the essence in the performance of this
Agreement.
4. Payment. The Contractor shall be paid by the County for completed work and for
services rendered under this Agreement as follows:
a. Payment for the work provided by Contractor shall be made as provided on
Exhibit"B" attached hereto,provided that the total amount of payment to
Contractor shall not exceed$7,500 without express written modification of the
Agreement signed by the County.
b. Invoices must be submitted by the 10th of the month for the previous month's
expenses. Such invoices will be checked by the County, and upon approval
thereof,payment will be made to the Contractor in the amount approved. Failure
to submit timely invoices and reports pursuant to Exhibit B of the Agreement may
result in a denial of reimbursement. Invoices not submitted within 60 days may
be denied.
c. Invoices shall be submitted to publichealthap@co.jefferson.wa.us.
d. Final payment of any balance due the Contractor of the total contract price earned
will be made promptly upon its ascertainment and verification by the County after
the completion of the work and submittal of reports under this Agreement and its
acceptance by the County.
e. Consultant shall provide invoices and necessary backup documentation for all
services including timesheets and statements(specifying the services provided).
Professional Services Agreement, JCPH, Version 4, PAO Approved 5/5/2026 Page 1 of 14
DD-26-060
Charges for per diem fees for lodging, meals and mileage shall comply with
General Services Administration(GSA) Per Diem Rates in Washington State (see
https://www.gsa.gov/travel/plan-book/per-diem-rates, updated annually). In no
circumstance will the County pay amounts above the GSA established rate. This
restriction will also apply to any charges invoiced by subcontractors. Any indirect
charges require the submittal of an indirect cost plan with methodology using
2 C.F.R. Part 255 and 2 C.F.R. Part 230 and must be approved by the County.
f. The Contractor's records and accounts pertaining to this Agreement are to be kept
available for inspection by representatives of the County and state for a period of
six (6) years after final payments. Copies shall be made available upon request.
5. Ownership and Use of Documents. All non-confidential or de-identified documents,
drawings, specifications, and other materials produced by the Contractor in
connection with the services rendered under this Agreement shall be the property of
the County whether the project for which they are made is executed or not. The
Contractor shall be permitted to retain copies, including reproducible copies, of
drawings and specifications for information, reference and use in connection with
Contractor's endeavors. Contractor shall not be held liable for reuse of documents or
modifications thereof, including electronic data, by County or its representatives for
any purpose other than the intent of this Agreement.
6. Compliance with Laws. Contractor shall, in performing the services contemplated by
this Agreement, faithfully observe and comply with all federal, state, and local laws,
ordinances and regulations, applicable to the services to be rendered under this
Agreement.
7. Audit. An audit will be submitted to the County upon request. Upon request,
Contractor will submit the most recent financial audit within 30 days.
a. Upon request the County shall have the option of performing an onsite review of
all records, statements, and documentation.
b. If the County finds indications of potential non-compliance during the monitoring
process, the County shall notify Contractor within ten (10) days. County and
Contractor shall meet to discuss areas of contention in an attempt to resolve
issues.
c. Audit will provide statements consistent with the guidelines of Reporting for
Other Non-Profit Organizations AICPA SOP 78-10, and is performed in
accordance with generally accepted auditing standards and with Federal Standards
for Audit of Governmental Organizations, Programs, Activities and Functions,
and meeting all requirements of 2 C.F.R. Part 200, as applicable.
8. Indemnification. The Contractor shall defend, indemnify and hold the County, its
officers, officials, employees, agents and volunteers (and their marital communities)
harmless from any claims, injuries, damages, losses or suits, including attorney's fees,
arising out of or resulting from the acts, errors or omissions of the Contractor in
performance of this Agreement, except for injuries and damages caused by the sole
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 2 of 14
negligence of the County. Should a court of competent jurisdiction determine this
Agreement is subject to RCW 4.24.1 15 if liability for damages occurs arising out of
bodily injury to persons or damages to property caused by or resulting from the
concurrent negligence of the Contractor and the County, its officers, officials,
employees, agents and volunteers (and their marital communities) the Contractor's
liability, including the duty and cost to defend, shall be only for the Contractor's
negligence. It is further specifically understood that the indemnification provided
constitutes the Contractor's waiver of immunity under Industrial Insurance, Title 51
RCW, solely for the purposes of this indemnification. This waiver has been mutually
negotiated by the parties. This section shall survive the expiration or termination of
this Agreement.
9. Insurance. Prior to commencing work, the Contractor shall obtain at its own cost and
expense the following insurance coverage specified below and shall keep such
coverage in force during the terms of the Agreement.
a. Commercial Automobile Liability Insurance providing bodily injury and property
damage liability coverage for all owned and non-owned vehicles assigned to or
used in the performance of the work for a combined single limit of not less than
500,000 each occurrence with the County named as an additional insured in
connection with the Contractor's performance of this Agreement. This insurance
shall indicate on the certificate of insurance the following coverage: (a) Owned
automobiles; (b) Hired automobiles; and, (c) Non-owned automobiles.
b. Commercial General Liability Insurance in an amount not less than a single limit
of one million dollars ($1,000, 000) per occurrence and an aggregate of not less
than two (2) times the occurrence amount ($2,000,000.00 minimum) for bodily
injury, including death and property damage, unless a greater amount is specified
in the contract specifications. The insurance coverage shall contain no limitations
on the scope of the protection provided and include the following minimum
coverage:
i. Broad Form Property Damage, with no employee exclusion;
ii. Personal Injury Liability, including extended bodily injury;
iii. Broad Form Contractual/Commercial Liability—including coverage for
products and completed operations;
iv. Premises—Operations Liability(M&C);
v. Independent Contractors and subcontractors;
vi. Blanket Contractual Liability.
c. Professional Liability Insurance. The Contractor shall maintain professional
liability insurance against legal liability arising out of activity related to the
performance of this Agreement, on a form acceptable to Jefferson County Risk
Management in the amounts of not less than $1,000, 000 Each Claim and
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 3 of 14
2,000,000 Aggregate. The professional liability insurance policy should be on
an"occurrence" form. If the professional liability policy is "claims made," then
an extended reporting periods coverage (tail coverage) shall be purchased for
three (3) years after the end of this Agreement, at the Contractor's sole expense.
The Contractor agrees the Contractor's insurance obligation to provide
professional liability insurance shall survive the completion or termination of this
Agreement for a minimum period of three (3) years.
d. The County shall be named as an "additional named insured" under all insurance
policies required by this Agreement, except Professional Liability Insurance when
not allowed by the insurer.
e. Such insurance coverage shall be evidenced by one of the following methods:
a) Certificate of Insurance; or, (b) Self-insurance through an irrevocable Letter of
Credit from a qualified financial institution.
f. The Contractor shall furnish the County with properly executed certificates of
insurance that, at a minimum, shall include: (a) The limits of overage; (b) The
project name to which it applies; (c) The certificate holder as Jefferson County,
Washington and its elected officials, officers, and employees with the address of
Jefferson County Public Health 615 Sheridan Street, Port Townsend, WA 98368,
and, (d) A statement that the insurance policy shall not be canceled or allowed to
expire except on thirty(30) days prior written notice to the County. If the proof
of insurance or certificate indicating the County is an "additional insured" to a
policy obtained by the Contractor refers to an endorsement(by number or name)
but does not provide the full text of that endorsement, then it shall be the
obligation of the Contractor to obtain the full text of that endorsement and
forward that full text to the County. Certificates of coverage as required by this
section shall be delivered to the County within fifteen (15) days of execution of
this Agreement.
g. Failure of the Contractor to take out or maintain any required insurance shall not
relieve the Contractor from any liability under this Agreement, nor shall the
insurance requirements be construed to conflict with or otherwise limit the
obligations concerning indemnification of the County.
h. The Contractor's insurers shall have no right of recovery or subrogation against
the County(including its employees and other agents and agencies), it being the
intention of the parties that the insurance policies, with the exception of
Professional Liability Insurance, so affected shall protect both parties and be
primary coverage for all losses covered by the above described insurance.
i. Insurance companies issuing the policy or policies shall have no recourse against
the County (including its employees and other agents and agencies) for payment
of any premiums or for assessments under any form of policy.
j. All deductibles in the above described insurance policies shall be assumed by and
be at the sole risk of the Contractor.
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 4 of 14
k. Any deductibles or self-insured retention shall be declared to and approved by the
County prior to the approval of this Agreement by the County. At the option of
the County, the insurer shall reduce or eliminate deductibles or self-insured
retention, or the Contractor shall procure a bond guaranteeing payment of losses
and related investigations, claim administration and defense expenses.
1. Any judgments for which the County may be liable, in excess of insured amounts
required by this Agreement, or any portion thereof, may be withheld from
payment due, or to become due, to the Contractor until the Contractor shall
furnish additional security covering such judgment as may be determined by the
County.
m. Any coverage for third party liability claims provided to the County by a"Risk
Pool" created pursuant to Ch. 48.62 RCW shall be non-contributory with respect
to any policy of insurance the Contractor must provide in order to comply with
this Agreement.
n. The County may, upon the Contractor's failure to comply with all provisions of
this Agreement relating to insurance, withhold payment or compensation that
would otherwise be due to the Contractor.
o. The Contractor's liability insurance provisions shall be primary and
noncontributory with respect to any insurance or self-insurance programs
covering the County, its elected and appointed officers, officials, employees, and
agents.
p. Any failure to comply with reporting provisions of the insurance policies shall not
affect coverage provided to the County, its officers, officials, employees, or
agents.
q. The Contractor's insurance shall apply separately to each insured against whom
claim is made or suit is brought, except with respect to the limits of the insurer's
liability.
r. The Contractor shall include all subcontractors as insured under its insurance
policies or shall furnish separate certificates and endorsements for each
subcontractor. All insurance provisions for subcontractors shall be subject to all
the requirements stated herein.
s. The insurance limits mandated for any insurance coverage required by this
Agreement are not intended to be an indication of exposure nor are they
limitations on indemnification.
t. The Contractor shall maintain all required insurance policies in force from the
time services commence until services are completed. Certificates, insurance
policies, and endorsements expiring before completion of services shall be
promptly replaced. All the insurance policies required by this Agreement shall
provide that thirty (30) days prior to cancellation, suspension, reduction or
material change in the policy, notice of same shall be given to the Jefferson
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 5 of 14
County Public Health Contracts Manager by registered mail, return receipt
requested.
u. The Contractor shall place insurance with insurers licensed to do business in the
State of Washington and having A.M. Best Company ratings of no less than A-,
with the exception that excess and umbrella coverage used to meet the
requirements for limits of liability or gaps in coverage need not be placed with
insurers or re-insurers licensed in the State of Washington.
v. The County reserves the right to request additional insurance on an individual
basis for extra hazardous contracts and specific service agreements.
10. Worker's Compensation (Industrial Insurance).
a. If and only if the Contractor employs any person(s) in the status of employee or
employees separate from or in addition to any equity owners, sole proprietor,
partners, owners or shareholders of the Contractor, the Contractor shall maintain
workers' compensation insurance at its own expense, as required by Title 51
RCW, for the term of this Agreement and shall provide evidence of coverage to
Jefferson County Public Health, upon request.
b. Worker's compensation insurance covering all employees with limits meeting all
applicable state and federal laws. This coverage shall include Employer's
Liability with limits meeting all applicable state and federal laws.
c. This coverage shall extend to any subcontractor that does not have their own
worker's compensation and employer's liability insurance.
d. The Contractor expressly waives by mutual negotiation all immunity and
limitations on liability, with respect to the County, under any industrial insurance
act, disability benefit act, or other employee benefit act of any jurisdiction which
would otherwise be applicable in the case of such claim.
e. If the County incurs any costs to enforce the provisions of this subsection, all cost
and fees shall be recoverable from the Contractor.
11. Independent Contractor. The Contractor and the County agree that the Contractor is
an independent contractor with respect to the services provided pursuant to this
Agreement. The Contractor specifically has the right to direct and control
Contractor's own activities, and the activities of its subcontractors, employees,
agents, and representatives, in providing the agreed services in accordance with the
specifications set out in this Agreement. Nothing in this Agreement shall be
considered to create the relationship of employer and employee between the parties.
Neither Contractor nor any employee of Contractor shall be entitled to any benefits
accorded County employees by virtue of the services provided under this Agreement,
including, but not limited to: retirement, vacation pay; holiday pay; sick leave pay;
medical, dental, or other insurance benefits; fringe benefits; or any other rights or
privileges afforded to Jefferson County employees. The County shall not be
responsible for withholding or otherwise deducting federal income tax or social
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 6 of 14
security or for contributing to the state industrial insurance program, otherwise
assuming the duties of an employer with respect to Contractor, or any employee of
Contractor.
12. Subcontracting Requirements.
a. The Contractor is responsible for meeting all terms and conditions of this
Agreement including standards of service, quality of materials and workmanship,
costs, and schedules. Failure of a subcontractor to perform is no defense to a
breach of this Agreement. The Contractor assumes responsibility for and all
liability for the actions and quality of services performed by any subcontractor.
b. Every subcontractor must agree in writing to follow every term of this
Agreement. The Contractor must provide every subcontractor's written
agreement to follow every term of this Agreement before the subcontractor can
perform any services under this Agreement. The Public Health Director or their
designee must approve any proposed subcontractors in writing.
c. Any dispute arising between the Contractor and any subcontractors or between
subcontractors must be resolved without involvement of any kind on the part of
the County and without detrimental impact on the Contractor's performance
required by this Agreement.
13. Covenant Against Contingent Fees. The Contractor warrants that he has not
employed or retained any company or person, other than a bona fide employee
working solely for the Contractor, to solicit or secure this Agreement, and that he has
not paid or agreed to pay any company or person, other than a bona fide employee
working solely for the Contractor, any fee, commission, percentage, brokerage fee,
gifts, or any other consideration contingent upon or resulting from the award or
making of this Agreement. For breach or violation of this warranty, the County shall
have the right to annul this Agreement without liability or, in its discretion to deduct
from the contract price or consideration, or otherwise recover, the full amount of such
fee, commission, percentage, brokerage fee, gift, or contingent fee.
14. Discrimination Prohibited. The Contractor, with regard to the work performed by it
under this Agreement, will not discriminate on the grounds of race, color, national
origin, religion, creed, age, gender, sexual orientation, material status, sex, or the
presence of any physical or sensory handicap in the selection and retention of
employees or procurement of materials or supplies.
15. No Assignment. The Contractor shall not sublet or assign any of the services covered
by this Agreement without the express written consent of the County. Assignment
does not include printing or other customary reimbursable expenses that may be
provided in an agreement.
16. Non-Waiver. Waiver by the County of any provision of this Agreement or any time
limitation provided for in this Agreement shall not constitute a waiver of any other
provision.
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 7 of 14
17. Termination.
a. The County reserves the right to terminate this Agreement at any time by giving
ten(10) days written notice to the Contractor.
b. In the event of the death of a member, partner, or officer of the Contractor, or any
of its supervisory personnel assigned to the project, the surviving members of the
Contractor hereby agree to complete the work under the terms of this Agreement,
if requested to do so by the County. This section shall not be a bar to
renegotiations of this Agreement between surviving members of the Contractor
and the County, if the County so chooses.
c. The County reserves the right to terminate this contract in whole or in part, with
10 days' notice, in the event that expected or actual funding from any funding
source is withdrawn, reduced, or limited in any way after the effective date of this
agreement. In the event of termination under this clause, the County shall be
liable for only payment for services rendered prior to the effective date of
termination.
18. Notices. All notices or other communications which any party desires or is required
to give shall be given in writing and shall be deemed to have been given if hand-
delivered, sent by facsimile, email, or mailed by depositing in the United States mail,
prepaid to the party at the address listed below or such other address as a party may
designate in writing from time to time. Notices to the County shall be sent to the
following address:
Jefferson County Public Health Department
615 Sheridan Street
Port Townsend, WA 98368
Notices to Contractor shall be sent to the following address:
Kendra Wolf, Program Administrator
People First of Washington
4702 West Crosby Court
Spokane, WA, 99208-6715
kendra((pfow.org
253-999-7222
19. Integrated Agreement. This Agreement together with attachments or addenda
represents the entire and integrated Agreement between the County and the
Contractor and supersedes all prior negotiations, representations, or agreements
written or oral. No representation or promise not expressly contained in this
Agreement has been made. This Agreement supersedes all prior or simultaneous
representations, discussions, negotiations, and agreements, whether written or oral, by
the County within the scope of this Agreement. The Contractor ratifies and adopts all
statements, representations, warranties, covenants, and agreements contained in its
proposal, and the supporting material submitted by the Contractor, accepts this
Agreement and agrees to all of the terms and conditions of this Agreement.
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 8 of 14
20. Modification of this Agreement. This Agreement may be amended only by written
instrument signed by both County and Contractor.
21. Disputes. The parties agree to use their best efforts to prevent and resolve disputes
before they escalate into claims or legal actions. Any disputed issue not resolved
pursuant to the terms of this Agreement shall be submitted in writing within 10 days
to the County Risk Manager, whose decision in the matter shall be final, but shall be
subject to judicial review. If either party deem it necessary to institute legal action or
proceeding to enforce any right or obligation under this Agreement, each party in
such action shall bear the cost of its own attorney's fees and court costs. Any legal
action shall be initiated in the Superior Court of the State of Washington for Jefferson
County. The parties agree that all questions shall be resolved by application of
Washington law and that the parties have the right of appeal from such decisions of
the Superior Court in accordance with the laws of the State of Washington. The
Contractor hereby consents to the personal jurisdiction of the Superior Court of the
State of Washington for Jefferson County.
22. Section Headings. The headings of the sections of this Agreement are for
convenience of reference only and are not intended to restrict, affect, or be of any
weight in the interpretation or construction of the provisions of the sections or this
Agreement.
23. Limits of Any Waiver of Default. No consent by either party to, or waiver of, a
breach by either party, whether express or implied, shall constitute a consent to,
waiver of, or excuse of any other, different, or subsequent breach by either party.
24. No Oral Waiver. No term or provision of this Agreement will be considered waived
by either party, and no breach excused by either party, unless such waiver or consent
is in writing signed on behalf of the party against whom the waiver is asserted.
Failure of a party to declare any breach or default immediately upon the occurrence
thereof, or delay in taking any action in connection with, shall not waive such breach
or default.
25. Severability. Provided it does not result in a material change in the terms of this
Agreement, if any provision of this Agreement or the application of this Agreement to
any person or circumstance shall be invalid, illegal, or unenforceable to any extent,
the remainder of this Agreement and the application this Agreement shall not be
affected and shall be enforceable to the fullest extent permitted by law.
26. Binding on Successors, Heirs and Assigns. This Agreement shall be binding upon
and inure to the benefit of the parties' successors in interest, heirs, and assigns.
27. No Assignment. The Contractor shall not sell, assign, or transfer any of rights
obtained by this Agreement without the express written consent of the County.
28. No Third-party Beneficiaries. The parties do not intend, and nothing in this
Agreement shall be construed to mean, that any provision in this Agreement is for the
benefit of any person or entity who is not a party.
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 9 of 14
29. Signature in Counterparts. The parties agree that separate copies of this Agreement
may be signed by each of the parties and this Agreement shall have the same force
and effect as if all the parties had signed the original.
30. Facsimile and Electronic Signatures. The parties agree that facsimile and electronic
signatures shall have the same force and effect as original signatures.
31. Arms-Length Negotiations. The parties agree that this Agreement has been
negotiated at arms-length, with the assistance and advice of competent, independent
legal counsel.
32. Public Records Act. Notwithstanding the provisions of this Agreement to the
contrary, to the extent any record, including any electronic, audio, paper or other
media, is required to be kept or indexed as a public record in accordance with the
Washington Public Records Act, Chapter 42.56 RCW, as may hereafter be amended,
the Contractor agrees to maintain all records constituting public records and to
produce or assist the County in producing such records, within the time frames and
parameters set forth in state law. The Contractor further agrees that upon receipt of
any written public record request, Contractor shall, within two business days, notify
the County by providing a copy of the request per the notice provisions of this
Agreement.
33. Confidentiality. With respect to all information relating to County that is confidential
and clearly so designated, as required by the Health Insurance Portability and
Accountability Act(HIPAA) and any other applicable privacy laws, the Contractor
agrees to keep such information confidential. The Contractor shall not disclose,
transfer, or sell any such information to any party, except as provided by law or, in
the case of personal information, with the prior written consent of the person to whom
the personal information pertains. The Contractor shall maintain the confidentiality
of all personal information and other information gained by reason of this Agreement,
and shall return or certify the destruction of such information if requested in writing
by Jefferson County. This Agreement, once executed, will be a"public record"
subject to production to a third party if same is requested pursuant to• the Washington
Public Records Act, Chapter 42.56 RCW, as may hereafter be amended.
34. Criminal History/Background Check. Each of the Contractor's employees, the
employees of any of the Contractor's approved subcontractor, or volunteers used by
the Contractor shall submit to a Washington State Patrol fingerprint identity and
criminal history check before they are authorized to perform services for the Project.
The County agrees to bear all reasonable costs incurred in the performance of this
fingerprint identity and criminal history check. Contractors who may or will have
regular access or limited access to any juveniles shall also:
a. Require that each of the Contractor's employees, the employees of any of the
Contractor's approved subcontractor, or volunteers used by the Contractor
undergo not less often than once every three(3) years another Jefferson County
approved criminal history and background check;
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 10 of 14
b. Ensure all employees, subcontractors, or volunteers are knowledgeable about the
requirements of RCW 13.40.570 and of the new crimes included in RCW 9A.44,
Sexual Offense;
c. Sign the Contractor Requirements for Responding to Situation of Sexual
Misconduct Form, and shall submit to Jefferson County with signed Agreement.
APPROVED AND ADOPTED this day of 2026.
SIGNATURES FOLLOW ON THE NEXT PAGE)
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 11 of 14
SIGNATURE PAGE
JEFFERSON COUNTY WASHINGTON PEOPLE FIRST OF WASHINGTON
Board of County Commissioners
Jefferson County, Washington
By: 411-01All-A
Greg$rotherton, Chair Signature
By: Name: y/r11 Y 19 A)
Heather Dudley-Nollette, Commissioner
Title: rU 0` 1 (
By: Date:
Heidi Eisenhour, Commissioner 1
SEAL:
ATTEST:
Carolyn Gallaway,d
Clerk of the Board
Approved as to form only:
ei 08-31-2026
Jeremy B.' ther,Date
Civil Deputy Prosecuting Attorney
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 12 of 14
EXHIBIT A
Intellectual/Developmental Disabilities Educational Project Services
1. Convention Registration: As budget allows, provide registration for the 2026 Annual People
First of Washington Convention to individuals who meet all the following criteria:
Jefferson County residents
Members, advisors, or volunteers of the Jefferson County Chapter of People First of
Washington
Registration backup documentation must clearly show the following:
Exactly what resident receives by registering(convention access, lodging, meals, etc.)
Number of registrations
Cost of each registration
Total cost of all registrations
2. Convention Transportation/Access: Provide a transportation option and other reasonable
accommodations to facilitate registrant access to the annual convention.
Transportation backup documentation must contain the following:
Clearly legible, itemized receipts showing:
Vendor
Dates of purchase
Each item purchased with line-item cost
Total cost of purchase
When applicable, a legible note on the receipt clarifying how the purchase is related to
convention transportation/convention access
3. Indirect Activities: Provide one, single invoice for all billable expenses with all backup
documentation attached.
Invoice should:
Include detailed line items for each expense
List line-item amounts that exactly match numbers contained in backup documentation
Include a grand total of all documented line-item expenses
Be complete and accurate and sent to the County no later than December 10, 2026
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 13 of 14
EXHIBIT B
Payment
Services Total Funding Allocated
1. Convention Registration 7,500
2. Convention Transportation/Access
3. Indirect costs billed as needed at a rate up to
but not exceeding the federal de minimis
Professional Services Agreement, JCPH, Version 3, PAO Approved 7/12/2021 Page 14 of 14
SON CO
G2
zzJ
10:11*y
ACCOUNTS PAYABLE WARRANT REPORT
WARRANT DATE: 10-05-2026
TOTAL: $987, 885.57
RECORDS OF ALL CLAIMS SUBMITTED FOR PAYMENT ALONG WITH VOUCHERS APPROVED BY THE BOARD
OF JEFFERSON COUNTY COMMISSIONERS ARE RETAINED BY THE JEFFERSON COUNTY AUDITOR AND
PUBLIC WORKS DEPARTMENT.
I THE UNDERSIGNED BOARD OF COUNTY COMMISSIONERS DO HEREBY CERTIFY UNDER PENALTY OF
PERJURY THAT THE MATERIALS HAVE BEEN FURNISHED, THE SERVICES RENDERED OR THE LABOR
PERFORMED AS DESCRIBED HEREIN,THAT ANY ADVANCE PAYMENT IS DUE AND PAYABLE PURSUANT TO
A CONTRACT OR IS AVAILABLE AS AN OPTION FOR FULL OR PARTIAL FULFILLMENT OF A CONTRACTUAL
OBLIGATION, AND THAT THE CLAIM IS A JUST, DUE AND UNPAID OBLIGATION AGAINST JEFFERSON
COUNTY AND THAT I AM AUTHORIZED TO AUTHENTICATE AND CERTIFY TO SAID CLAIM.
CHAIRPERSON, COMMISSIONER
COMMISSIONER, MEMBER
COMMISSIONER, MEMBER
FUND SUMMARY
CHECK RUN DATE 10-5-2026
Row Labels Sum of AMOUNT
108 6513.34
109 937.06
125 66941
127 28340.75
128 1827. 06
134 169.99
143 9173.64
148 14536.81
149 27000
150 1599.6
155 2080.97
174 21992.33
175 3769.3
180 82716.57
301 2629.37
304 1276.42
401 30003.23
405 197480.72
406 2674.68
501 81492.27
502 2371.11
505 183
506 10312.87
507 39417.77
001 352445.71
blank)
Grand Total 987885.57
Department of Public Works
O Consent
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Josh Peters, County Administrator
From: Eric Kuzma, Public Works Director S-
Agenda Date: October 5, 2026
Subject: Resolution closing the Parks Improvement Fund #175 and transferring
assets to the Parks and Recreation Fund #174.
Statement of Issue:
This resolution formally closes the Parks Improvement Fund (#175) and transfers all remaining
cash balances, receivables, and obligations to the Parks Et Recreation Fund (#174). The
resolution also directs the County Treasurer to complete the necessary accounting actions and
deactivate Fund #175 once transfers are finalized.
Analysis/Strategic Goals/Pro's Et Con's:
Maintaining Fund #175 and Fund #174 for similar Parks and Recreation purposes is inefficient.
Consolidating these funds will: (1) streamline departmental budgeting; (2) increase the
amount of fund balance available for capital projects utilizing reimbursable grants; (3)
improve financial transparency; (4) reduce administrative burden; and (5) create a unified
structure for Parks 8 Recreation revenues and expenditures.
Fiscal Impact/Cost Benefit Analysis:
Closing Fund #175 and transferring its assets to Fund #174: (1) simplifies the County's
financial structure and reduced staff time spent managing two separate funds; (2) eliminates
an outdated special revenue fund; (3) requires no new expenditures; and (4) improves the
ability of parks and recreation to finance capital projects using reimbursable grants.
Recommendation:
Adopt the resolution closing Fund #175 and transfer its balance to Fund #174.
Department Contact:
Matt Tyler. 385-9129
Reviewed By:
1-3.0/d
Jos eters, County Administrator Date
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the Matter of Closing the Parks Improvement
Fund #175 and Transferring the Balance to the RESOLUTION NO:
Parks and Recreation Fund#174
WHEREAS, the Board of County Commissioners established the County Park Fund
under Revenue Account No. 1270 through Resolution No. 67-83, adopted July 19, 1983,
directing that fees collected from specified county parks be deposited into a dedicated fund for
park expenses and,
WHEREAS, the County Park Fund#1270 was renamed the County Parks Improvement
Fund in 1988, and was subsequently renamed Fund#175; and
WHEREAS, the Board of County Commissioners removed Parks and Recreation from
the General Fund and created the Parks & Recreation Fund#174 as a Special Revenue Fund in
the 2003 Budget; and
WHEREAS, through Resolution No. 73-02, adopted December 2, 2002, the Board
authorized the County Treasurer to establish the fund's cash balance; and
WHEREAS, Fund #175 and Fund#174 both serve park and recreation-related purposes,
and maintaining two separate funds for similar operational uses is not efficient; and,
WHEREAS, consolidating Fund#175 into Fund#174 will increase fund balance
necessary to finance capital projects that utilize reimbursable grants, streamline departmental
budgeting, improve transparency, reduce administrative burden, and ensure a unified structure
for Parks and Recreation revenues and expenditures; and,
WHEREAS, Dollars in Fund#175 are not subject to repayment to any other fund and
may be transferred wholly to Fund#174; and,
WHEREAS, closure of Fund#175 requires the Board of County Commissioners to
formally authorize the County Treasurer to transfer any remaining balances, receivables, and
obligations into Fund#174, and to deactivate Fund #175 thereafter; and
NOW,THEREFORE,THE BOARD OF COUNTY COMMISSIONERS OF JEFFERSON
COUNTY,WASHINGTON, HEREBY RESOLVES as follows:
Section 1. Whereas Clauses are Findings of Fact. The Jefferson County Board of Commissioners
hereby adopts the above "Whereas" clauses as Findings of Fact.
Page 1 of 2
Section 2. Purpose.The purpose of this resolution is to close the Parks Improvement Fund( Fund
175) and combine it with the Parks and Recreation Fund( Fund#174)
Section 3.All remaining cash balances,receivables, and obligations of Fund#175 shall be
transferred to the Parks& Recreation Fund(Fund#174).
Section 4. The County Treasurer and the County Auditor are hereby directed to carry out all
necessary accounting entries to consolidate Fund#175 into Fund#174 and to formally deactivate
Fund#175 upon completion of all transfers.
Section 5. Severability. If any section, subsection, sentence, clause, phrase or section of this
Resolution or its application to any person or circumstance is held invalid, the remainder of this
Resolution or its application to other persons or circumstances shall be fully valid and shall not be
affected.
Section 6. SEPA Categorical Exemption. This Resolution is categorically exempt from the State
Environmental Policy Act under WAC 197-11-800 (19).
Section 7. Effective Date. This Resolution shall take effect on December 31, 2026
APPROVED AND ADOPTED this day of 2026.
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
ATTEST:
Greg Brotherton, Chair
Heidi Eisenhour, Commissioner
Heather Dudley-Nollette, Commissioner Carolyn Gallaway, CMC
Clerk of the Board
Page 2 of 2
Department of Public Works
O Regular Agenda: •
Page 1 of 1
Jefferson County Board of Commissioners
Agenda Request
To: Board of Commissioners
Josh Peters, County Administrator
From: Eric Kuzma, Public Works Director a--
Agenda Date: October 5, 2026
Subject: Adoption of the 2027-2032 Six-Year
Transportation Improvement Program
Statement of Issue:
Conduct a public hearing for the purpose of receiving public testimony concerning adoption of
the 2027-2032 Jefferson County Six-Year Transportation Improvement Program (TIP.)
Analysis / Strategic Goals / Pros Et Cons:
RCW 36.81.121 requires the annual adoption of a 6-Year TIP after holding a public hearing.
The purpose of the law is to, "assure that each county shall perpetually have available
advanced plans looking to the future for not less than six years as a guide in carrying out a
coordinated transportation program" (RCW 36.81.121(1)).
Fiscal Impact / Cost-Benefit Analysis:
The TIP is a planning document and identifies the likely availability of outside grant and
program funding from the State and Federal government and local revenues. Fiscal impact is
evaluated through the ensuing 6-yr Road Fund Projections and the county budgeting process
including adoption of an Annual Road Program.
Recommendation:
After considering public testimony, approve by Resolution the 2027-2032 Six-Year
Transportation Improvement Program. Return a signed copy of the resolution to Public Works
for further processing.
Department Contact:
Monte Reinders x242
Reviewed By:
913o(as-Josh'i County Administrator Date
NOTICE OF PUBLIC HEARING
Jefferson County 2027-2032 Six-Year Transportation Improvement Program
NOTICE IS HEREBY GIVEN that a public hearing is scheduled by the Jefferson County Board of
Commissioners for MONDAY, October 5, 2026, at 10:30 a.m. in the Commissioners' Chambers,
County Courthouse, 1820 Jefferson Street, Port Townsend, WA 98368 (HYBRID). Notice of said hearing
is to be published twice in the official newspaper of Jefferson County.
This hearing is for the purpose of receiving written and verbal testimony about the adoption of the draft
Jefferson County 2027-2032 Six-Year Transportation Improvement Program (TIP). "Each county shall
perpetually have available advanced plans looking to the future for not less than six years as a guide in
carrying out a coordinated transportation program, RCW 36.81.121(1)."
The information is available for viewing at the Commissioners' office(open 8:30 a.m.-4:30 p.m.), the
Jefferson County Public Works office, 623 Sheridan Street, Port Townsend (open 8:00 a.m.-5:00 p.m.),
and on the Jefferson County website by navigating to: www.co.jefferson.wa.us/444/6-Yr-TIP
Jefferson County ensures full compliance with Title VI of the Civil Rights Act of 1964 by prohibiting
discrimination against any person on the basis of race, color, or national origin in the provision of benefits
and services resulting from its federally assisted programs & activities. The meeting site is ADA
accessible. Accommodations for people with disabilities can be arranged with advance notice by calling
360-385-9100.
You are welcome to participate in this hearing. You will need to join the meeting by 10:30 a.m. using the
following methods: VIRTUALLY: Via the following Zoom, link: https://zoom.us/j/93777841705,
PHONE: Dial 1-253- 215-8782 and enter access code: 937-7784-1705# and press *9 to"raise your hand"
to be called upon. Access for the hearing impaired can be accommodated using Washington Relay Service at
1-800-833-6384,or IN-PERSON
In addition, written testimony is also invited beginning on September 23, 2026, and ending on October 5,
2026, at the end of the Public Hearing, unless extended by the Board of County Commissioners. Written
public testimony may be submitted by Email to:jeffbocc@cojefferson.wa.us You may view documents and
testimony received by visiting: www.co.jefferson.wa.us and following this pathway — Services— Laserfiche
Web Portal (username and password is: public) — Board of Commissioners— BOCC Agenda Packets—
2026 Weekly Agenda Items— 10 October 2026 — 100526
You can also Mail your testimony to: Jefferson County Commissioners' Office; P.O. Box 1220, Port
Townsend, WA 98368. Written testimony must be received by the Board of County Commissioners by the end
of the hearing testimony period.
Signed thi I21 st day of September 2026,
1011111
JEF RAN COUNTY BOARD OF COMMISSIONERS
Greg Brotherton, Chair
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the Matter of Jefferson County's Adoption
of the 2027-2032 Six-Year Transportation RESOLUTION NO.
Improvement Program (TIP)
WHEREAS, State law obligates the legislative authority of each county to adopt on an annual
basis a Six-Year Transportation Improvement Program (TIP), holding a public hearing prior to
adoption,the purpose of which is to,"assure that each county shall perpetually have available advanced
plans looking to the future for not less than six years as a guide in carrying out a coordinated
transportation program" (RCW 36.81.121(1)); and,
WHEREAS,a priority array as required by WAC 136-15-050 was available and was consulted
during the development of the Six-Year Transportation Improvement Program and,
WHEREAS,an analysis of the Road Fund was prepared covering the six-year program period
using the County's best estimate of future revenues and expenditures in accordance with WAC 136-
15-030; and,
WHEREAS, the Board of County Commissioners, Jefferson County, State of Washington,
has reviewed the Bridge Condition Report as prepared by the Department of Public Works per WAC
136-20-060, and
WHEREAS,the Board of County Commissioners,Jefferson County, State of Washington has
conducted a public hearing on the corresponding proposed Six-Year Transportation Improvement
Program;
NOW, THEREFORE, THE BOARD OF COUNTY COMMISSIONERS OF
JEFFERSON COUNTY, WASHINGTON, HEREBY RESOLVE AS FOLLOWS:
Section 1. Whereas Clauses are Findings of Fact. The Jefferson County Board of Commissioners
hereby adopts the above "Whereas" clauses as Findings of Fact.
Section 2. Purpose. The purpose of this Resolution is to adopt a Six-Year Transportation
Improvement Program (TIP) for Jefferson County, Washington.
Section 3. Adoption of TIP. Jefferson County Board of Commissioners hereby approves and adopts
the Six-Year Transportation Improvement Program for the years 2027 through 2032 in accordance
with WAC 136-15.
Section 4. Severability. If any section, subsection, sentence, clause, phrase or section of this
Resolution or its application to any person or circumstance is held invalid, the remainder of this
Resolution or its application to other persons or circumstances shall be fully valid and shall not be
affected.
Page 1 of 2
Section 5. SEPA Categorical Exemption. This Resolution is categorically exempt from the State
Environmental Policy Act under WAC 197-11-800 (19).
Section 6. Effective Date. This Resolution shall take effect and be in full force immediately upon
passage by the Board of County Commissioners.
ADOPTED and APPROVED this day of October 5, 2026.
SEAL: JEFFERSON COUNTY BOARD OF
COUNTY COMMISSIONERS
Greg Brotherton, Chair
Heidi Eisenhour, Member
Heather Dudley-Nollette, Member
APPROVED AS TO FORM:
ATTEST:
C September 18, 2026
Carolyn Gallaway, CMC Date Philip C. Hunsucker,Date
Clerk of the Board Chief Civil Deputy Prosecuting Attorney
Page 2 of 2
Agency:Jefferson County DRAFT SIX-YEAR Hearing Date: XX/ XX/2026
County No. 16 TRANSPORTATION IMPROVEMENT PROGRAM Adoption Date: XX/ XX/2026
2027 2032
Resolution No.XX-XXXX-26R
on PROJECT COSTS IN DOLLARS
w etFUNDING SOURCE INFORMATION EXPENDITURE SCHEDULE
w CO) u'FEDERAL FUNDS STATE FUNDS
En a rn y
Q F tn Q O
u PROJECT IDENTIFICATION j. a O F
rn
CO -
Road Log Number/Bridge Number w < w l7 0 =
cL < j O
i w -Road Namclsl8 Beginning/End Milepost w '~° m J i Q w LL O w
OTHER
ROAD YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 YEAR 6 TOTAL
O C7 z r O F w O in REVENUE TOTAL
F O •Project Number O z O = w =a et ¢¢ w W
t
S
FUND 2027 2028 2029 2030 2031 2032 2027- 2032
a •Description of Work a i > w O z z 0 a o a <a <a
a •Total Cost(incl.prior/future)&Fund Source f LE w u E a f E U>- Lot'm s->- m m
34230 MP 1.6 18020850)
Lords Lake Loop Road-Slide Repair PE 6/22 FEMA FEMAm 8,000 8,000 8,000 8,000
09 1 An approx.300 ft.long,11-12 ft.vide road realignment to repair 04 SIP I T-5 0.1 R/W 8/24 FEMA FEMArn 0 0
an embankment slide that occurred during a 2021 storm event. CN 10/26 FEMA LRP 723,346 34,506 757,852 757.852 757,852
Total CN=$723, 346(FEMA) Total 0 723,346 0 42,506 765,852 765.852 0 0 0 0 0 765,852
50360 MP 3.74 to MP 6.00 TBD)
Paradise Bay Road Overlay PE 1/26 RAP 75,600 8,400 84,000 60,000 24,000 84,000
08 2 2R overlay of Paradise Bay Road from Andy Cooper Road 05 S E T-0 2.26 RAN 0 0
to SR104 at the Hood Canal Bridge. CN 5/27 RAP 1.215, 900 135,100 1,351,000 1,351,000 1,351,000
Total=$1,435,000 Total 0 1.291,500 0 143,500 1,435,000 60.000 1,375,000 0 0 0 0 1,435,000
91420 MP 0.00 to MP 12.04 18020560)
Upper Hoh Road Pavement Preservation-FLAP Project
06
PE 1/17 FLAP RAP 2,000 2,000 2,000 2.000
07 3 Pavement preservation&safety improvements along Upper Hoh Rd.to S E T-4 12.04 R/W 0 0
Hoh Rain Forest/ONP boundary performed by FHWA,WFL division
21
CN 6/27 RAP 404, 400 404,400 404.400 404.400
Total=$4 400,000(FLAP)+$408,400(RAP) Total 0 406.400 0 0 406,400 406.400 0 0 0 0 0 406,400
50540 MP 0.84 18020890) ARPA
Shine Road-Slide Repair PE 6/22 FEMA 100,000 FEMAm 12.500 12,500 125,000 125, 000 125,000
09 4 Shift 800ft.2 of road away from bluff as a corrective measure following 04 S/P I T-0 0.75 R/W 10/22 FEMA 50,000 FEMAm 6,250 6,250 62,500 62,500 62,500
2021 storm damage.Project also includes potential work to repair riprap. CN 8/26 FEMA 398,200 FEMAm 22.000 100,000 520,200 520,200 520,200
Total 7$448,000 incl.$100k(FEMA+$100k ARPA) Total 548,200 40.750 100,000 18,750 707,700 187, 500 520,200 0 0 0 0 707,700
93150 Center Road MP 14.55 to MP 14. 70 (18020970)
Little Ouilcene River Bridge Replacement PE 1/22 BRR 0 0 0
07 5 Replacement of a 1955.64-ft concrete badge with structural 11 S/P I T-3 0.5 R/W 1/25 BRR 0 0 0
deficiencies.through a FHWA Local Bridge Program grant. CN 9/26 BRR 8.481,631 0 8.481.631 4,240.816 4,240, 816 8,481,631
Total=$9482,087 design,ROW and CN(FHWA) Total 8.481,631 0 0 0 8,481,631 4.240,816 4,240,816 0 0 0 0 8.481, 631
US 101&County Roads MP 294.6 to MP 295.0 (18019330) PIF
Ouilcene Complete Streets-Phase 1 PE 1/13 10,000 10,000 10,000 10,000
03 6 Publicly driven ped/bike improvements Involving:US 101.traffic calming. 28 S E T-3 0.50 RAN 3/20 0 0
sidewalk,crosswalk&lighting improvements with a focus on connecting CN 9/27 PBP 695. 350 302,767 998.117 998.117 998. 117
to the school campus. Total=$1.186.932(WSDOT+$302,767 PIF) Total 0 695.350 302.767 10,000 1.008,117 10,000 998.117 0 0 0 0 1.008, 117
13430 MP 8.50 to MP 10.98 18020840)
Oil City Road Engineering Assessment-FLAP Project PE 1/21 FLAP 1,000 1,000 1,000 1,000
09 7 Local funds for Infrastructure protection.planning project performed 18 S E T-5 2.48 R/W 0 0
by FHWA Western Federal Lands division.thru FLAP program. CN 0 0
Total FLAP=$250,000(uses toll credits) Total 0 0 0 1,000 1,000 1,000 0 0 0 0 0 1,000
SR19 MP 9.56 to MP 10.1 18020760)
Rhody Drive Ped-Bike Improvements-North Segment PE 8/21 TAP 0 0
04 8 Pedestrian 8 bicycle facilities along SR19 connecting Hi Carroll Park/ 28 S E T-3 0.45 ROW 8/24 0 0
Rick Tollefson Trail to existing facilities at Chimacum Schools Campus. CN 9/26 TAP 474, 987 474,987 237,493 237,493 474.987
Total PE grant=$109,907(FHWA) Total CN grant=$712 480(TAP) Total 474.987 0 0 0 474,987 237,493 237. 493 0 0 0 0 474.987
Page 1 2027-2032
TIP
Agency:Jefferson County DRAFT SIX-YEAR Hearing Date: XX/XX/2026
County No.16 TRANSPORTATION IMPROVEMENT PROGRAM Adoption Date: XX/XX/2026
2027 2032 Resolution No.XX-XXXX-26R
a y PROJECT COSTS IN DOLLARS
in
w
a FUNDING SOURCE INFORMATION EXPENDITURE SCHEDULE
N a y h FEDERAL FUNDS STATE FUNDS
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PROJECT IDENTIFICATION x G 8 F Q K
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FUND 2027 2028 2029 2030 2031 2032 2027-2032
z a •Description of Work a D >
w r - O z
0 o a D a a s Q a
LL F •Total Cost(incl.prior/future)8 Fund Source f LL w LL E a f LL LL LL m w r w m
SR19 MP 8.94 to MP 9.56 18020950)
Rhody Drive Ped-Bike Improvements-South Segment PE 7/22 TAP SWCC 316, 225 316. 225 237, 169 79.056 316.225
04 9 Pedestrian&bicycle facilities along SR19 connecting the Chimacum 28 S/ P E T-3 0.62 R/W 11/25 SWCC 128,601 128,601 64,300 64,300 128,601
School Campus to the Chimacum Crossroads commercial corridor. CN 9/27 __PBP/SRTS 1,978.658 1.978,658 1,978. 658 1,978,658
Total PE grants=$1,776, 500(FHWA 8 WSDOT) Total 0 2,423,484 0 0 2,423,484 301,469 143,357 1,978, 658 0 0 0 2,423,484
85020 Olympic Discovery Trail-PS2P Project (18021300)
Planning 8 Design for 3 segments of the ODT. PE 10/26 RAISE 630,000 630,000 100. 000 150,000 150,000 150,000 80,000 630,000
N/A 10 1.Disco.Bay-Seg.B(Planning);Fairmount to Eaglemount(Planning); 28 S I N/A N/A R/W 6/32 RAISE 100.000 100,000 50.000 50,000 100,000
and Eaglemount to ALSP(Planning)CN 6/33 RAISE 8,000, 000 8,000,000 8,000,000 8,000, 000
Planning Total:$630,000-part of RAISE$2,080, 000 Total 8,730, 000 0 0 0 8,730,000 100,000 150,000 150,000 200,000 130,000 8,000, 000 8,730, 000
85020 Olympic Discovery Trail-PS2P Project TBD)
Old Gardiner Road to Broders Road Old Hwy 9 PE 10/26 RAISE 1,200,000 1,200,000 100,000 350,000 350.000 350,000 50.000 1,200.000
N/A 11 Design 8 construction of a 1.5-mile segment of the ODT from Old 28 P I N/A 1.50 R/W 1/29 RAISE 45,000 45,000 45,000 45,000
Gardiner Rd.,just south of Contractors Creek Bridge,to Broders Rd CN 6/30 RAISE 5,821,000 5,821,000 5,821,000 5,821,000
Total=$6,251,000(FHWA)PE pan of RAISE$2,080,00 Total 7.066, 000 0 0 0 7.066.000 100. 000 350,000 350, 000 395.000 5,871.000 0 7,066.000
85020 PS2P-Olympic Discovery Trail-PS2P Project (TBD)
STO(West Sound to Olympics)to ODT PE 10/26 RAISE 250.000 250,000 100, 000 100,000 50,000 250,000
N/A 12 Planning&Design for 1 segment of the ODT:This segment is 28 P I N/A 1.50 R/W 1/33 RAISE 0 0
STO to ODT(Planning).CN 6/34 RAISE 0 0
Planning Total:$250.000-part of RAISE$2,080, 000 Total 250.000 0 0 0 250.000 100. 000 100.000 50.000 0 0 0 250,000
601507/ 625309/698619/SR19 18021480)
03 Port Townsend Gateway Project PE 1/25 SS4A 395,000 12.500 407.500 10.500 2.000 130. 000 130.000 130,000 5.000 407.500
07 13 Jowl City,County,WSDOT intersection safely improvement project 21 S/ P I T-3 0.33 R/W 3/27 SS4A 50,000 50,000 25, 000 25,000 50,000
09 including South Discovery Rd.,Jacob Miller Rd.,Mill Rd.,and SR20. CN 6/33 SS4A 3.880,000 3,880.000 3,880, 000 3,880.000
Total=$225,000 SS4A Planning$9,550. 000 SS4A Implementation Total 4.325,000 0 0 12.500 4,337, 500 10,500 2,000 130. 000 155.000 155. 000 3.885.000 4.337, 500
91420 MP 3.5-3. 8,4.0-4.4, 7.5-7. 8 18019411)
Upper Hoh Road-Dolosse Monitoring PE 3/24 FLAP 0 0
07 14 Project to monitor FLAP-Phase 2 funded dollosse installation at three 44 S E T-4 1 R/W 0 0
locations along the Upper Hoh Rd.Monitoring Is required for 15 years. CN 10/24 FLAP 10,000 29,000 39.000 10,000 9,000 1,000 13,000 1.000 5.000 39.000
Total=$319,900(WFL)Total 10.000 0 0 29.000 39.000 10.000 9.000 1.000 13.000 1,000 5.000 39.000
62750 8 62810 MP 0.00 to 0.75 8 MP 0.00 to 0.81 (TBD)
Middlepoint Rd./E.Middlepoint Rd.-Bituminous Surface Treatment PE 0 0
9 15 Project vnll convert existing gravel road surface to BST(bituminous 05 P E T-0 1.79 RAN 0 0
surface treatment).Work will be completed by county road crew CN STBG(FFE) 228,819 35,712 264,531 264,531 264.531
Total=$264,531(STBG-Fed Fund Exchange)Total 0 228,819 0 35,712 264,531 0 264,531 0 0 0 0 264,531
91420 MP 8.0 18020381)
Upper Hall Road-ER Mitigation PE 1/20 ER 12,975 2.025 15.000 15.000 15.000
07 16 Environmental mitigation/Permanent repair project in response 20 S/P S T-4 0.1 R/W 0 0
to 2020 emergency repairs. CN 6/27 ER 216.250 33.750 250. 000 250,000 250.000
Total=$293,160(FHWA) Total 229,225 0 0 35,775 265,000 15,000 250,000 0 0 0 0 265,000
Page 2 2027-2032
TIP
Agency:Jefferson County DRAFT SIX-YEAR Hearing Date: XX/XX/2026
County No, 16 TRANSPORTATION IMPROVEMENT PROGRAM Adoption Date: XX/XX/2026
2027 -2032 Resolution No.XX-XXXX-26R
re y PROJECT COSTS IN DOLLARS
w a FUNDING SOURCE INFORMATION EXPENDITURE SCHEDULE
iuNa w w FEDERAL FUNDS STATE FUNDS
u 4, PROJECT IDENTIFICATION
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2 w •eoad Name(sl 8 Beginning/End Milepost w in m m w ar >.Q u
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ROAD YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 YEAR 6 TOTALO
Z
z I u ti u! LL u! REVENUE TOTAL
U O •Project Number p z 0 < w a
w w= S
FUND 2027 2028 2029 2030 2031 2032 2027-2032
z a •Description of Work C j w - o z
w w w a r w r-a
LT_ F •Total Cost(incl.prior/future)8 Fund Source f LL w a ,C2 E
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LL w w m in> w m
91420 MP 9. 7 to MP 9.8 18019880)
Upper Hoh Road Spruce Creek ER Mitigation PE 11118 ER 12,975 2,025 15,000 15,000 15.000
07 17 Environmental mitigation/Permanent repairs project in response 20 S/P S T-4 0.1 R/W 0 0
to 2015 emergency repairs. CN 6/27 ER 216,250 33.750 250.000 250.000 250,000
Total=$293,160(FHWA) Total 229,225 0 0 35,775 265,000 15,000 250,000 0 0 0 0 265,000
10750 MP 1.35 18021220)
Donkey Creek Tributary Culvert Replacement,Clearwater Road PE 1/24 NOAA 1.500 1,500 1,500 1.500
08 18 A Trout Unlimited project to replace an existing PCC fish barrier culvert 44 5 I T-5 N/A RIW 8/24 NOAA 4.000 4.000 4,000 4,000
with an aluminum pipe arch culvert CN 6/26 NOAA 11,000 11.000 11,000 11,000
Total=$569, 722(RCO8 NOAA) Total 16,500 0 0 0 16,500 16,500 0 0 0 0 0 16,500
13430 MP 5.96 18021460)
Oil City Road•Six Mile Creek Culvert Replacement PE 6/25 NOAA 3.500 3.500 2,500 1.000 3.500
09 19 A Trout Unlimited project to replace an existing large baffled fish barrier 44 S I T-5 N/A ROW 1/26 26.000 26.000 26,000 26,000
culvert with a bridge. CN 6/27 NOAA 5.000 5,000 5,000 5,000
Total CN= $5,852, 030(PEPrivate Grant 8 CN.NOAA) Total 34.500 0 0 0 34.500 28.500 6.000 0 0 0 0 34,500
91420 MP 7.9 to MP 8. 2 18021170)
Upper Hoh Road Bank Stabilization-FLAP Project-PE&ROW Only 06
PE 1/24 FLAP 2.000 2.000 2,000 2.000
07 20 Approximate location of next critical area of scour along Upper Hoh Rd.
11
SIP 5 Tit 0.3 R/W 1/25 FLAP 45.000 45,000 45.000 45,000
To Hoh Rain ForesVONP boundary.performed by FHWA,WFL division. CN 0 0
Total FLAP=$1,086,000(uses toll credits) Total 0 0 0 47,000 47,000 47.000 0 0 0 0 0 47.000
93150 MP 3.23 18020990)
Center Road Culvert Replacement-Chimacum Creek PE 8/24 NFPP 29,100 FBRB 164,900 194.000 155.000 39,000 194.000
07 21 Replace non-conforming Chimacum Creek curved with fish passable structu 11 S/ P I T-3 N/A R/W 1/26 NFPP 1,800 FBRB 10,200 12,000 12,000 12,000
Total grants=$5,944,789(RCO.USFWS,FHWA) CN 1/29 Culvert AOP 4,216,966 FBRB 1.054.242 5,271,208 2,635,604 2.635,604 5,271.208
2026 CN USDOT Culvert AOP$5,271,208(80%4,216,966/20%1,054,242) Total 4.247,866 1.229.342 0 0 5.477.208 167.000 39,000 2.635. 604 2,635.604 0 0 5.477,208
514109 MP 0.00 to 0.21 TBD)
West Valley Road Safe Routes to School Project PE 10/ 26 SRTS 197, 000 197,000 95,000 95,000 7,000 197. 000
09 22 Design and construction of a multi-use trail along West Valley Road to 28 S E T-0 0.21 R/W 6/27 SRTS 35.000 35.000 35,000 35.000
connect more neighborhoods to the 2015 SRTS sidewalk project CN 10/27 SRTS 741.000 741.000 741,000 741,000
Total=$998, 000(WSDOT) Total 0 973.000 0 0 973,000 130,000 95,000 748.000 0 0 0 973,000
US 101 MP 309.88- 310.50 18021260)
Duckabush Estuary Restoration-Realignment Project PE 1/24 2.000 2,000 1,500 500 2,000
03 23 Project will replace US101 causeway with a bridge.Will also add 10 S/P S T-3 0.62 RN,/ 0 0
a US101 turn lane and realign a segment of Duckabush Road CN 4/28 2.000 2.000 1.000 1,000 2.000
Total=$126 million(WDFW/USACE/WSDOT) Total 0 0 0 4,000 4,000 1,500 1,500 1,000 0 0 0 4,000
91420 MP 2.74 18021250)
Snell Creek Culvert Replacement,Upper Hoh Road PE 1/24 NOAA 6.000 6.000 1.000 4,000 1,000 6.000
07 24 A Trout Unlimited protect to replace an existing PCC fish barrier culvert 44 S/P I T-4 N/A R/W 1/26 NOAA 30,000 30.000 30.000 30.000
with a budge. CN 6/28 NOAA 5.500 5.500 5,500 5.500
Total= $1,946,124(NOAA) Total 41.500 0 0 0 41,500 1,000 34,000 6,500 0 0 0 41,500
Pace 3 2027 2032
TIP
Agency:Jefferson County DRAFT SIX-YEAR Hearing Date: XX/XX/2026
County No. 16 TRANSPORTATION IMPROVEMENT PROGRAM Adoption Date: XX/XX/2026
2027 -2032
Resolution No.XX- XXXX-26R
iny PROJECT COSTS IN DOLLARS
totoQ FUNDING SOURCE INFORMATION EXPENDITURE SCHEDULE
i'
w to O FEDERAL FUNDS STATE FUNDS
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z y OTHER
ROAD YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 YEAR 6 TOTAL
O •Pro ect Number z p = U QJ QJQ n LL y REVENUE TOTAL
u s / O C O a w F to K K i w w= S
FUND 2027 2028 2029 2030 2031 2032 2027-2032
z a •Description of Work a i 5 w -- O z i o a o a a s a s
LT. F •Total Cost(incl.prior/future)8 Fund Source f LL w ,r2 E
a f LL LL a>- w 5- w'm
85010 8 52710/ 93250 18019560)
Rick Tollefson Trail-Ballfield Connection PE 1/19 PBP 122,800 1,000 123,800 1,000 12,800 80.000 30,000 123,800
07
25 Old Hadlock Road and Chimacum Road intersection realignment with
04
P E
T 0
0.30 R/W 1/25 PBP 37.400 37,400 37,400 37,400
09
multi-use trail connecting the Rick Tollefson Trail to Bob Bales Fields.
28 7-3
CN 6/29 PBP 567,500 567.500 567.500 567,500
Total =$728,700(WSDOT) Total 0 727,700 0 1.000 728.700 1,000 50.200 80.000 597,500 0 0 728.700
40390 MP 1.15 8 MP 1.23 TBD)
Tarboo Creek Culverts Replacement Project PE 1/26 FBRB 8.500 1,500 10,000 5,000 5,000 10,000
08 26 A Northwest Watershed Institute project to replace 44 SIP S T-5 N/A RIW 1/27 FBRB 4,250 750 5,000 5,000 5,000
two fish barriers on the east fork of Tarbox Creek.CN 0 0
Total PE-$980,000(RCO) Total 0 12.750 0 2.250 15,000 5,000 10,000 0 0 0 0 15,000
13430 MP 8.76 TBD)
Oil City Road-Ruby Creek Culvert Replacement PE 1/26 1.500 1,500 1.000 500 1,500
09 27 A Hoh Tribe project to replace a 2021 ER project culvert 44 S/P S T-5 N/A R/W 0 0
on a creek later determined to be fish passable. CN 0 0
Total=$195,000(Planning/Preliminary Design)(RCO) Total 0 0 0 1,500 1,500 1,000 500 0 0 0 0 1,500
13430 MP 8.810 MP 8.9 TBO)
Oil City Road MP 8.8-8.9 Permanent Repair PE 1/26 FEMA 150,000 FEMAm 25,000 26,000 201,000 1.000 95,000 100,000 5,000 201.000
09 28 Environmental mitigation I Permanent repairs project in response 20 P S T-5 0.10 R/W 1/28 FEMA 7,500 FEMAm 1,250 1,250 10,000 10,000 10.000
to 2015-2016 emergency repairs. CN 6/29 FEMA 487,500 FEMAm 81,250 81,250 650.000 650,000 650,000
Total=861,000(FEMA)Total 645,000 107,500 0 108,500 861,000 1.000 105,000 100, 000 655, 000 0 0 861,000
93150 MP 3.39 to 3.49 TBD)
Yarr Bridge Replacement PE 1/28 FMSIB 700.000 700.000 140, 000 300,000 250. 000 10,000 700.000
07 29 Replacement of a 1955,25- ft concrete bridge on Center Road with 11 P S T-3 0.10 R/W 6/29 FMSIB 105. 000 105.000 45.000 60.000 105.000
structural deficiencies,through a FHWA local bridge program grant. CN 6/31 FMSIB 4,920.000 4,920. 000 4.920. 000 4.920.000
Total=$5,725, 000(FMSIB) Total 0 5,725. 000 0 0 5,725,000 0 0 140,000 345,000 310.000 4.930,000 5.725.000
US 101 8 County Roads MP 294.54 to MP 295.03 (TBD)
Ouilcene Complete Streets-Phase 2 PE 6/28 PBP 370.000 370,000 100,000 260,000 10.000 370.000
03 30 Phase 2 project implementing plan to provide sidewalks.crosswalks.& 28 P E T-3 0.05 R/W 0 0
bicycle lanes to connect school.community center&local businesses. CN 6/30 PBP 1.716.000 1.716,000 1.716.000 1.716.000
Total=52,086,000(WSDOT) Total 0 2.086.000 0 0 2,086,000 0 0 100, 000 260,000 1,726.000 0 2.086,000
TBD) TBD)
Elsie Lopeman Trail Extension PE 6/29 PBP 175.000 175,000 50,000 120,000 5.000 175,000
N/A 31 A 0.45 mile trail extension through the County Sewer Treatment plant 28 P I N/A 0.45 RNy 0 0
property Project is a link in the Tn-Area Active Trans.Network. CN 6/31 PBP 650.000 650.000 650,000 650.000
Total=$743, 200(WSDOT) Total 0 825. 000 0 0 825,000 0 0 0 50,000 120.000 655.000 825,000
50360 MP 1.52 to MP 3.74 TBD)
Paradise Bay Road Overlay-Phase 2 PE 1/28 RAP 164,700 18,300 183.000 100, 000 83,000 183,000
08 32 2R(Resurface&Restore)overlay of Paradise Bay Road 05 P E T-0 2.22 R/W 0 0
from Andy Cooper Road to Teal Lake Road. CN 5/29 RAP 2,693.700 299,300 2,993.000 2,993,000 2.993.000
Total=$3,176,000(CRAB) Total 0 2.858.400 0 317. 600 3.176,000 0 0 100, 000 3.076,000 0 0 3,176.000
Page 4 2027 2032
TIP
Agency:Jefferson County DRAFT SIX-YEAR Hearing Date: XX/XX/2026
County No.16 TRANSPORTATION IMPROVEMENT PROGRAM Adoption Date: XX/XX/2026
2027 -2032 Resolution No.XX- XXXX-26R
y "t PROJECT COSTS IN DOLLARS
w FUNDING SOURCE INFORMATION EXPENDITURE SCHEDULE
rn m of FEDERAL FUNDS STATE FUNDS
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ROAD YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 YEAR 6 TOTAL
O w (2 z v -r a
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w w
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FUND 2027 2028 2029 2030 2031 2032 2027-2032
Z a •Description of Work wa. i > w
a
O z
C o a Wa a R 0 G a
LL : •Total Cost(incl.prior/future)8 Fund Source f LL w ¢ 0 E o_ f LL LL F LL m y ti w m
n
Countywide Safety Improvements PE 1/28 HSIP 90,000 10,000 100,000 50,000 50,000 100,000
N/A 33 Systemic safely countermeasures applied to county network identified 21 P E N/A N/A RAN 0 0 0
n a local plan and funded thru a bienmel WSDOT federal grant program CN 6/29 HSIP 850,000 0 850,000 850,000 850,000
Total HSIP=$950,000(FHWA)(10%Local match for PE only) Total 940,000 0 0 10,000 950,000 0 0 50,000 850,000 0 50,000 950.000
0
Countywide Bridge Heavy Maintenance Program PE 1/26 BRR 48,000 22.000 70,000 10.000 30,000 30.000 70,000
N/A 34 Protection of primary bridge components,seismic retrofits,etc.through 48 P E N/A N/A R/W 0 0
a bienniel WSDOT administered federal grant program. CN 6/27 BRR 280,000 70,000 350, 000 50.000 150.000 150,000 350,000
Total=$420,000 Total 328,000 0 0 92,000 420,000 10,000 50,000 30,000 150,000 30,000 150,000 420.000
Countywide Various Road Improvements 0
Venous projects countywide involving lighting.signage,intersection PE 1/26 60,000 60.000 10.000 10,000 10.000 10.000 10,000 10,000 60,000
N/A 35 control,culvert replacement/rehabilitation,drainage,surfacing upgrades, N/A P E N/A N/A R/W 1/26 30,000 30,000 5,000 5.000 5.000 5,000 5,000 5,000 30,000
pedestrian and bicycle facilities,or other improvements. CN 1/26 150,000 150,000 25,000 25,000 25,000 25.000 25.000 25,000 150,000
Total=$240, 000 Total 0 0 0 240.000 240, 000 40,000 40,000 40,000 40.000 40.000 40,000 240.000
36,597,634 20.354.341 402,767 1,188,368 58.543, 110 7.010, 530 9,321,713 6,690.762 9,422,104 8,383,000 17,715,000 58,543, 110
PE 2.929, 050 2.334,225 0 200,750 5.464.025 1.070. 169 967, 856 1.298,000 1,368.000 680,000 80,000 5,464,025
RAN 314,300 327.951 0 83,250 725.501 253.800 151,700 5.000 170,000 140,000 5.000 725,501
CN 33.354.284 17,692,165 402.767 904.368 52.353, 584 5.686.561 8,202, 157 5,387,762 7,884, 104 7,563,000 17,630.000 52.353.584
Total 36.597.634 20.354,341 402,767 1,188,368 58,543, 110 7.010, 530 9,321.713 6,690,762 9,422,104 8,383,000 17,715,000 58,543,110
Page 5 2027-2032
TIP
Jefferson County,WA tt
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Transportation 15
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2027- 2032
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Funding Secured 1 1"a"- i
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Planned(unfunded) 1 \, L.
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Rehr to 2027-2032 6-Year TIP Projxt List for detailed information 3.
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71 I/
https.kwww.co.jefferson.wa.us/444/6-Tr-TIP 4 (-
11 1.••
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1.Lords Lake Loop Road Slide Repair 11 f ^ az`I
1.Paradise Bay Road Overtax 4a T
3.Upper Hon Road Pavement Preservation-FLAP Project t,J A 1 {, \ ) 11f
a.Shine Road-Slide Repair e = - `
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5.Little Ouilcene River Bridge Replacement
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6.Oudune Complete Streets-Phase 1
1 `'722 't31 __ ti
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7 Oil Cdy Road Engineering Assessment
8.Rbody Drive Fed Rite Improvements-North Segment
9 Rhody Drive Ped-Bite Improvements•South Segment
ti _ w/ y1(}' :
10.Olympic Discovery Trail•PS2P Project 8'i;i5 A
11.Olympic Discovery Trail(ODT)•West(TBD) l la'
12.PSIP STO(West Sound to Olympiu)to ODT(TOD) 1
13.Port Townsend Gateway Project 9
14.Upper Hob Road Doles,.Monitoring tliI _\15.Middlepolnt Road/East M ddlepo t Road Bituminous Surface Treatment(BST)2
16.Upper Hob Road MP 8 0-Emergency Repair Mitigation
17.Upper Non Road MP 9.8-Spruce Creak Emergency Repair Mitigation her,eh,Magi
19 Donkey Creek Tributary Culvert Replacement.Clearwater Road 'End Map)
1 0 ti /
19.Oil City Road MP 5.%•Sr.Mile Creek Culvert Replacement(Well End Men)
1
29`' ,,
21
20.Upper Hob Bank Stabilization-FLAP Project -- ;-Map)r
21 Center Road Culvert Replacement-Cf,mecum Creek 41)
22.West Valley Sale Routes to School Project j
23 Duckabusb Estuary Restoration•Realignment Project
24.Snell Creek Culvert Replacement.Upper Hob Road ,t(.nil Map) I -- ww --I..
25.Rick Tollefson Trail-Ballbeld Connection
e
S 1 `
26 Tarboo Creek Culverts Replacement ProjectIPIr el27OtlCMRoad-Ruby Creek Culvert Replacement(Wool End Mepl j
28.Oil Lay Road MP 8.8.8.9 Permanent Repair '.-.i End Map)
1. f 1
29.Tarr Bridge Replacement j
30.Ouilcene Complete Streets-Phase 2 a.r`
31.Elsie Lopemen Trail Extension 1 I-I,t
32.Paradise Bay Road Overlay•Phase 2 I
33.Countywide Safety Improvement 1ocal not shown on map)
3-a Countywide Bridge Heavy Maintenance multiple locations ml dawn on mnpl J Il w
35 Countywide Various Road Improvement.(multiple Iota/,ona.not slaws on men.
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2027-2032 Six-Year County Road Fund Projection
6,000,000
5,000,000
4,000,000
3,000,000
2,000,000
1,000,000
0
1,000, 000
2,000, 000 ENDING FUND BALANCE
CASH RESERVE GOAL(25%)
3,000, 000
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032
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JEFFERSON COUNTY
2026 ANNUAL BRIDGE CONDITION
REPORT
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Approved by:
Monte Reinders, P. E.
County Engineer
Prepared by: 8 —2¢-Z(o
Mark Thurston, P. E.
Lead Bridge Inspector
As required by WAC 136-20-060, "Each county INTRODUCTION
engineer shall furnish the county legislative authority
with a written report of the findings of the bridge
inspection effort. This report shall be made available
to said authority and shall be consulted during the
preparation of the proposed six-year transportation
program revision. The report shall include the county
engineer's recommendations as to replacement, repair
or load restriction for each deficient bridge. The
resolution of adoption of the six-year transportation
program shall include assurances to the effect that the
county engineer's report with respect to deficient
bridges was available to said authority during the
preparation of the program. It is highly recommended
that deficient short span bridges, drainage structures,
and large culverts be included in said report."
Jefferson County Public Works has 38 active bridges— BRIDGE INVENTORY
see the attached Master Bridge List (Appendix A) for a
listing of the county bridges. Of these, 36 bridges meet
the federal definition of a bridge and are subject to the
National Bridge Inspections Standards. Two of the
bridges do not meet the federal bridge definition, one
because it is a
pedestrian bridge, Types of Bridges in Jefferson County
and one because it
has less than a
is
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twenty-foot span; io
nevertheless, these 8
two bridges are on 6
Jefferson County's z I Ibiennialbridge0im
inspection program. a 4, e e<
Jefferson County
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2026 Bridge Condition Report - 3 -
The National Bridge Inspection Standards (NBIS) and BRIDGE INSPECTIONS
WAC 1 36-20-030 mandate that public agencies inspect
and report on all bridges at least once every two years
routine inspection).Jefferson County staff performs all
routine inspections. Special inspections are required for
bridges that cannot be inspected adequately from the
ground. For these bridges an Under-Bridge Inspection
Truck (UBIT) is required. Steel bridges with fracture
critical members may also require special inspections
with the UBIT and/or other special equipment.
Jefferson County has two bridges which require the
UBIT inspection and one bridge which requires both
the UBIT and the fracture critical inspection (identified
in the attached Master Bridge List). Jefferson County
currently has a contract with the Washington State
Department of Transportation (WSDOT) to perform
these inspections.
Jefferson County Public Works has split up the bridge
inspections so that East Jefferson County bridges are
inspected in odd-numbered years and West Jefferson
County bridges are inspected in even-numbered years.
In conformance with that schedule, Jefferson County
completed the biennial inspections for all West
Jefferson County bridges in 2026. The completed
inspection reports were submitted to WSDOT, which
verifies compliance
with the NBIS and Bridge Age by Decade
reports to the Federal
to
Highway 9
Administration
8
FHWA).
7
In July 2026
6
WSDOT/FHWA 5
performed a routine
a
audit of Jefferson 3
County's bridge 2
inspection process
1
and files, and Public °
Works is awaiting the
1950-1959 1960-19691970-1979 1980-1989 1990- 1999 2000-2009 2010-2019 2020-2029
results.
2026 Bridge Condition Report - 4 -
For the past twenty-plus years, all bridges were
DEFICIENT BRIDGES
assigned a sufficiency rating (SR), which was a
calculated score based on numbers assigned to all of
the bridge elements reviewed by the bridge inspector.
The SR was a number from 0 to 100, with 100 being
an entirely sufficient bridge, and 0 being an entirely
insufficient bridge. The sufficiency rating was used to
determine if a bridge was eligible for federal re-
habilitation or replacement funding. WSDOT has
phased out the Sufficiency Rating. Two other bridge
condition designations, "structurally deficient" and
functionally obsolete" have also been phased out.
WSDOT is now using the overall condition codes for
deck, superstructure, and substructure, as well as the
inventory rating factor, and the waterway adequacy
rating to compare bridges for funding eligibility.
Currently, the county has one bridge that is considered
to be deficient. This is the Little Quilcene River Bridge
on Center Road, which was funded in 2021 and design
is underway.
POSTED BRIDGES
All bridges are required to
have a "Load Rating" A • ' '-',.___,-
calculation. The Load Rating
establishes how much weight 1! 1
the bridge can carry for
several standard r
configurations of vehicle axle "-
loads. If the load rating
calculation shows that a y 5' ..•
bridge cannot safely carry one
or more of the legal vehicle , Y• -' - r
axle load configurations, then t, , ; ,
the bridge must be posted Yarr Bridge
with the appropriate load
limits. Jefferson County currently has five bridges that
are load posted, Little Quilcene Bridge on Center Road,
Yarr Bridge on Center Road, Meyers Bridge on Belfrage
Road, Hemphill Creek Bridge on Dowans Creek Road,
2026 Bridge Condition Report - 5 -
and Fletcher Creek Bridge on Quinault South Shore
Road.
In 2019 Public Works developed a new form and OVERWEIGHT/
process for evaluating and issuing overweight/ OVERSIZE VEHICLE
oversize vehicle permits. A policy was written to help PERMITTING PROCESS
ensure that consistent procedures are used in
processing permits, and a new, more detailed
application form was developed. The new application
form, along with associated webpage updates, was
deployed in 2019 and has been used successfully to
issue permits. In 2024-2025, the responsibility for
handling and processing overweight/oversize permits
was transferred from the Road Maintenance Dept. to
the Engineering Dept.
The Old Little Quilcene River Bridge and the Maple OBSOLETE BRIDGES
Creek Bridge have been placed in obsolete status and
removed from the Master Bridge List. Both are
permanently closed to vehicular traffic. This action
removed the requirement for biennial bridge
inspection.
Routine maintenance of the county's bridges is MAINTENANCE
conducted by the road maintenance department. ACTIVITIES
Typical routine maintenance consists of deck cleaning,
brush clearing, and minor miscellaneous repairs.
In Spring of 2026, the County Road Maintenance Dept.
replaced a collision-damaged bridge rail terminal at
Old Tarboo Bridge. Old Tarboo Bridge also had a long-
standing maintenance issue associated with beaver
dam construction underneath the bridge. The beaver
dam was removed over a year ago and has not
returned, so the problem appears to resolved for now.
In April 201 9, the County applied for $90,830 through
the WSDOT/FHWA federal bridge replace-
2026 Bridge Condition Report - 6 -
ment/rehabilitation program for a preventative
maintenance project on the Hurst Creek Bridge,
Clearwater Road milepost 2.66. The Hurst Creek
Bridge has concrete girders with steel diaphragms
between the girders at mid-span. The steel
diaphragms are in need of repainting or replacement.
In September 2019 we learned the project is not
eligible for funding. An alternative funding source has
not been found yet.
The asphalt surface on Contractor's Creek Bridge at
Old Gardiner Road was fog sealed during the summer
of 2025. This helps seal the surface and prevent water
damage to the underlying wood superstructure.
No emergency repairs or inspections were performed EMERGENCY REPAIRS
in 2025-2026 as of the time of this report. AND INSPECTIONS
1 4-y
COMPLETED
s ., '-
PROJECTS
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Big Quilcene River Twana Bridge nearing completion in March 2026
The Jamestown S'Klallam Tribe secured a 25 million
dollar RAISE grant and combined it with $ 14 million
2026 Bridge Condition Report - 7 -
from the Tribal Bridge Program, and is working with
the Hood Canal Salmon Enhancement Group to replace
the Linger Longer Bridge with a new 1 ,140 foot long
bridge over the Big Quilcene River, named the Big
Quilcene River Twana Bridge. Construction of this
project started in May 2025, and the bridge was
substantially complete and opened to the public in
June 2026.
Current projects include the following: CURRENT
PROJECTS
Two projects are being
constructed during the summer
f
of 2026 on Oil City Road, both raft.
of which are large concrete box
culverts that do not quite meet N "
h
s `
the span requirement to be
federally defined as a bridge. 1
The Two Trout Creek Culvert
Replacement at Oil City Road
MP 0.5 will be an 18 ft. span, 4-
sided box culvert, which will t€ y'ys~
correct a fish passage barrier y J_
and will finally provide a vY.
permanent repair to a 1 999
washout and emergency repair, ,z
which has had ongoing 4
t Aarmaintenanceissuesformany
years due to the undersized Heavy maintenance required at Two Trout Creek in March 2025
culverts. The Oil City Road MP 6.73 Culvert
Replacement, being managed and funded by Trout
Unlimited will correct a fish passage barrier and
replace a rusted-out culvert, thereby providing both
environmental and transportation benefits. The new
structure will be a 15 ft. span 4-sided box culvert.
2026 Bridge Condition Report - 8 -
The Little Quilcene River a A
Bridge Replacement t•1'
project on Center RoadF
was funded in 2021 for i• w++ t WEIGHT LIMTI REDUCED
design and construction SINGLE UNIT VEHICLES
w 3 OR LESS AXLES 231
through the WSDOT/ A 4AXLES5 AXLES
25T
FHWA federal bridge 6AXLES 32T
yam• a 7 AXLES 36T
replacement program.
The Little Quilcene River
Bridge is structurally
deficient, and is load
posted. The project is
currently in the final
design, permitting and
right of way phase. The
proposed new structure
will be a 128.5 ft. span
concrete girder bridge. Current Little Quilcene River Bridge
Construction was originally
scheduled for 2025, but due to permitting delays
construction is now planned for 2027.
Trout Unlimited has secured funding through NOAA,
including design and construction, to replace multiple
fish-barrier culverts in West Jefferson County. These
projects include culvert replacements at Upper Hoh
Road milepost 1 .24 (completed in 2025), Oil City Road
MP 6.73 (2026 construction), Clearwater Road MP 1 .35
2027 planned construction), and Oil City Road MP
5.96 (2027 planned construction). Of these new
structures, only Oil City Road MP 5.96 will meet the
minimum span to be federally classified as a bridge.
The others will be short span box culverts. Two
additional fish-barrier culvert sites that Trout
Unlimited was working on, Snell Creek and Lindner
Creek on Upper Hoh Road, have been indefinitely put
on hold, due to budget and right-of-way challenges.
Public Works is planning to replace the culvert at
Center Road milepost 3.26 (Chimacum Creek) with a
2026 Bridge Condition Report - 9 -
new 80 ft. long concrete bridge, in order to remove a
fish passage barrier. Public Works secured 100%
funding in 2024 through the Fish Barrier Removal
Board (FBRB) and the National Fish Passage Program to
fund the design phase of this project. Public Works
has hired a consultant and is proceeding towards a
60% design. In July 2026, Public Works applied to the
federal USDOT AOP (Aquatic Organism Passage) grant
program for construction funding, and is awaiting a
response. Construction is planned for 2028, assuming
construction funding can be secured.
The Northwest Watershed Institute (NWI) is planning to
replace two culverts on Tarboo Creek, at Coyle Road
milepost 1 .1 5 and milepost 1 .23. NWI secured design
funding through the FBRB, hired a consultant in early
2026, and is proceeding through the design phase.
NWI also applied to the USDOT AOP grant program for
construction funding, and hopes to construct in 2028.
As part of the Rhody Drive Ped-Bike Improvements
project planned for construction in 2027, a new
pedestrian bridge will be constructed over Chimacum
Creek.
In addition to Current Projects, the following bridge PROGRAMMED
projects will be programmed in the 2026-2031 PROJECTS
Transportation Improvement Program (TIP):
Public Works is pursuing bridge replacement as a
remedy for the load restrictions at Yarr Bridge. In 2024
Public Works applied to the Washington State Freight
Mobility Strategic Investment Board for bridge
replacement grant, but was not selected. In 2025 and
2026, Public Works determined that based on the
current funding criteria, the Yarr Bridge was not
eligible for the WSDOT Local Bridge Program Call for
Projects for federal bridge replacement funding.
Public Works will continue to seek funding sources for
bridge replacement, or other remedies for the load
posting.
2026 Bridge Condition Report - 10 -
Two or more heavy maintenance projects are RECOMMENDED
anticipated during the period 2026-2031 , and are PROJECTS
identified as Countywide Bridge Improvements in the
TIP. With 38 bridges in its inventory, and half of them
around 50 years old, the county has to plan and
budget for ongoing maintenance, in addition to capital
projects. Potential maintenance projects include pile
bracing/stiffening at Contractor's Creek Bridge,
repainting of the steel girders at Cassel Creek Bridge,
and Hurst Creek Bridge steel diaphragm repainting/
replacement, as described under maintenance
activities.
2026 Bridge Condition Report - 11 -
Jefferson County Public Works
Master Bridge List
LAST UPDATED: 7/20/26
Total number of open,active bridges: 38
Total number of West Jefferson County bridges: 21 NBI reportable bridges
1 short-span(non NBI)bridge
Total number of East Jefferson County Bridges 15 NBI-reportable bridges
1 pedestrian(non NBI)bridge
Permanently closed bridges: Old Little Quilcene River Bridge(East Jefferson Co.)
Maple Creek Bridge(West Jefferson Co.)
Jefferson County Public Works
Master Bridge List
Last Updated: 7/20/2026 East Jefferson County
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7996700 15E Hunts 634509 Hunt Rd. 0.15 27 Reinforced Conc. Conc.Abutment w/ 1971 4/24/25 F 24
Slab C.I.P.conc.piles
8165100 16E Little 931507 Center Rd. 14.6 64 Reinforced Conc. Conc.Pile cap, 1955 4/17/25 F 24 Bridge replacement funded in
Quilcene Slab,Conc.Girder Prestress.Conc. X 2021.
River piles
8464900 17E Yarr 931507 Center Rd. 3.44 25 Conc.Multiple Conc.Abutment w/ 1955 4/17/25 F 24
Web Girder Prestress.Conc. X
piles
8381400 24E Rocky Brook 250008 Dosewallip 3.01 47 Prestress.Conc. Conc.Abutment w/ 1964 4/17/25 F 24
s Rd. Bulb-T Girder Conc.Spread
footing
8229900 25E Meyers 503409 Belfrage 0.12 30 Timber Timber abutment, 1977
X
6/30/21 F 24
Rd. timber piles
8488200 26E West Uncas 500209 West Uncas 1.89 61 Reinf.Conc.Slab Conc.Abutment, 1964 4/17/25 1 24
Rd. Conc.column over
C.I.P.conc.pile
8 116900 28E Leland Creek 344009 Rice Lake 0.33 32 Prestress.Conc. Conc.Abutment, 1987 4/17/25 G 24
Rd. Slab Conc.spread
footing
8660000 29E Contractors 501409 Old 3.56 294 Timber Deck, Conc.Pile cap, 2000 7/10/24 G 24 UBIT EVERY 4 YEARS--
Creek Gardiner Timber Girders steel piles LAST UBIT 7/10/2024
Rd.
8754000 31E Shine Creek 447608 South Point 0.25 70 Prestress.Conc. Conc.Abutment w/ 2005 4/17/25 G 24
Rd. Slab Conc.Pile
8753900 32E Donovan 327508 E Quilcene 0.77 70 Prestress.Conc. Conc.Abutment w/ 2006 4/17/25 G 24
Creek Rd. Slab Conc.Pile
8753800 33E Old Tarboo 357509 Old Tarboo 0.88 42 Prestress.Conc. Conc.Abutment w/ 2005 4/17/25 G 24
Rd. Slab steel piles
8753800 38E Andrews 352909 Snow 3.78 24 Conc.3-sided Box Conc.Spread 2014 4/17/25 G 24
Creek Creek Rd. Culvert Footing
Page 1 of 2
Jefferson County Public Works
Master Bridge List
Last Updated: 7/20/2026
East Jefferson County
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8898600 4 1 E RTMT 352909 Rick 0.17 80 Steel Thru Truss Conc.Spread 2017 4/24/25 G 24 Pedestrian bridge-not
Pedestrian Tollefson Footing reported to NBI
Mem.Trail
8902400 42E Wally 500209 West Uncas 0.81 80 Prestress.Conc. Conc.Abutment w/ 2018 4/17/25 G 24
Bowman Rd. Bulb-T Girder Conc.Pile
8934300 44E Thomdyke 418708 Thorndyke 4.71 35 Prestress.Conc. Conc.Spread 2022 4/17/25 G 24
Creek Rd. Slab Footing
XMCME 46E Big Quilcene 301309 Linger 0.34 1140 Prestress.Conc. Drilled shafts 2026 7/22/26 G 24 This bridge replaced Linger
Y17 River Twana Longer Rd. Girder Longer Bridge(23E)
Bridge
Page 2 of 2
Jefferson County Public Works
Master Bridge List
Last Updated: 7/20/2026 West Jefferson County
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8451600 01W Fletcher 911607 Quinault S. 1.19 78 Prestress.Conc. Conc.Abutment w/ 1974 5/ 5/26 G 24
Creek Shore Rd.Bulb-T Girder C.I.P.conc.pile X
8258500 02W Barlow 134309 Oil City 9.75 64 Prestress.Conc. Conc.Abutment w/ 2005 5/ 5/26 G 24
Rd. Slab C.I.P.Conc.Pile
8145800 03W Anderson 134309 Oil City 4.44 87 Prestress.Conc. Conc.Abutment w/ 1974 5/5/26 F 24
Creek Rd. Bulb-T Girder C.I.P.conc.pile
8280100 04W Hell Roaring 914207 Upper Hoh 0.16 120 Prestress.Conc. Conc.Abutment w/ 1982 7/7/26 G 24
Creek Rd. Girder steel H pile
8298800 05W Alder Creek 914207 Upper Hoh 2.07 67 Prestress.Conc. Conc.Abutment w/ 1972 7'7/26 G 24
Rd. Bulb-T Girder C.I.P.conc.pile
8383600 06W Rock Creek 914207 Upper Hoh 6.49 83 Prestress.Conc. Conc.Abutment w/ 1973 5/6/26 F 24
Rd. Bulb-T Girder C.I.P.conc.pile
8934200 07W Tower Creek 914207 Upper Hoh 7.5 120 Prestress.Conc. Open-ended steel 2022 5/6/26 G 24 Bridge replaced in 2022
Rd. Bulb-T Girder pipe piling
8391000 08W Queets River 107509 Clearwater 0.6 844 Steel Plate Girder, Conc.Piers,Conc. 1988 7/7/26 G 24 UBIT EVERY 4 YEARS--
Rd. C.I.P.conc.deck Abutment w/steel H LAST UBIT 7/9/2024
pile
8047800 09W Hemphill 146809 Dowans 2.3 31 Timber Deck,Timber abutment, 1977 5/6/26 F 24
Creek Creek Rd.Timber Girders timber piles
Page 1 of 3
Jefferson County Public Works
Master Bridge List
Last Updated: 7/20/2026 West Jefferson County
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7966600 lOW Dowans 146809 Dowans 0.52 81 Prestress.Conc. Conc.Abutment w/ 1974 5/6/26 F 24
Creek Creek Rd.Bulb-T Girder C.I.P.conc.pile
8475700 11W Owl Creek 135109 Maple 1.29 69 Prestress.Conc. Conc.Abutment w/ 1989 5/5/26 G 24
Creek Rd.Slab steel H piles
8253600 13W Hurst Creek 107509 Clearwater 2.66 67 Prestress.Conc. Conc.Abutment, 1969 5/5/26 F 24
Rd. Bulb-T Girder Conc.column,
Conc.footing
8339400 27W Willoughby 914207 Upper Hoh 3.52 60 Prestress.Conc. Conc.Pile cap w/ 1962 5/6/26 G 24
Creek Rd. Bulb-T Girder Prestress.Conc.
piles
8659900 30W Cassel Creek 134309 Oil City 3.59 154 Steel Girder Conc.Pile cap,steel 2000 7 8/26 G 24 Fracture Critical Special Inspection-.
Rd. piles X WSDOT performs inspection with
IJBIT biennially
8829800 34W Pole Creek 914207 Upper Hoh 8.3 37 Conc.3-sided Box Conc.Spread 2(11(1 5/6/26 G 24
Rd. Culvert Footing
8845600 35W Dismal Creek 914207 Upper Hoh 9.19 22 Conc.3-sided Box Conc.Spread 2011 5/6/26 G 24
Rd. Culvert Footing
8853500 36W Spruce Creek 914207 Upper Hoh 9.7 22 Conc.3-sided Box Conc.Spread 2012 5/6/26 G 24
Rd. Culvert Footing
8863300 37W Alder Creek 914207 Upper Hoh 2.15 25 Conc.3-sided Box Conc.Spread 2013 7/7/26 G 24
Tributary Rd. Culvert Footing
Page 2 of 3
Jefferson County Public Works
Master Bridge List
Last Updated: 7/20/2026 West Jefferson County
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8886600 39W Upper Hoh 914207 Upper Hoh 6.95 21 Conc.3-sided Box Conc.Spread 2016 5/6/26 G 24
Rd.MP 6.95 Rd. Culvert Footing
8903500 40W Donkey 107509 Clearwater 1.29 17 Conc.3-sided Box Open-ended steel 2015 5/5/26 G 24 Short span bridge-not
Creek Rd. Culvert pipe piling reported to NBl
8924800 43W Canyon 914207 Upper Hoh 10.2 120 Prestress.Conc. Open-ended steel 2021 5/6/26 G 24
Creek Rd. Bulb-T Girder pipe piling
8950500 45W Upper Hoh 914207 Upper Hoh 4.38 20 Conc.3-sided Box Conc.Spread 2023 5/6/26 G 24
Rd.MP 4.38 Rd. Culvert Footing
Page 3 of 3
2026 Collectors and Local Access Roads with 1,000 ADT or Higher
5-Yr Acc. PVT Total
Road#Road Name Notes FCC BMP EMP Lgth Acc. Rate Rating ADT Rating
Million
93350 IRONDALE RD Project done in 2001.07 _ 0.000 0.790 0.79 11 1.41 70 5407 73.59
93250 CHIMACUM RD Trail on TIP.Consider pavement preservation 07 0.640 1.570 0.93 5 0.64 97 4611 73.25
60150 S DISCOVERY RD intersection w/Jacob Miller planned 07 0.070 0.420 0.35 22 8. 81 95 3908 72.70
93250 CHIMACUM RD consider pavement preservation 07 0.000 0.640 0.64 3 0 47 86 5521 69.38
93350 IRONDALE RD consider pavement preservation 07 0.790 1.930 1.14 14 1.31 86 5143 67.50
50360 PARADISE BAY RD On TIP.2026 RAP application. Surface flushing. Needs shoulders 08 1.530 2.920 1.39 4 0. 61 100 2570 66.42
50360 PARADISE BAY RD On TIP.2026 RAP application. Surface flushing. Needs shoulders 08 2.920 3.810 0.89 3 0.72 100 2570 66.42
50360 PARADISE BAY RD Funded. 2028/29 RAP. 08 3.810 6.000 2.19 9 0. 81 100 2786 66.21
91420 UPPER HOH RD Road failing at MP 9.7-9.8. Deep seated landslide. 07 7.500 9.719 2.22 4 1.13 88 877 62.46
52340 ANDERSON LAKE RD Needs shoulders to connect to ODT/State Park 08 1.550 2.770 1.22 8 1 95 99 1845 58.92
93150 CENTER RD Project completed 2018. Bridge on TIP. 07 14.610 15.010 0.40 1 0.54 84 2550 58.88
56990 OAK BAY RD Near Port Ludlow Village. 08 8.410 9.500 1.09 5 0.73 78 3445 58.65
62930 COOK AVE EXTENSION Very narrow. Increasing traffic. STBG eligible. 07 0.000 0.620 0.62 0 0.00 96 1052 58.58
52340 ANDERSON LAKE RD Needs shoulders to connect to ODT/State Park 08 0.000 1.550 1.55 4 1 12 98 1266 55.50
56990 OAK BAY RD Intersection re-striped 5 years ago. 08 9.500 10.800 1.30 6 1.55 88 1634 54.90
51410 W VALLEY RD On TIP. Sidewalk project 09 0.200 1.030 0.83 3 1.98 80 1000 54.61
91420 UPPER HOH RD On TIP. FLAP Pavement Preservatio. Canyon Cr Bridge done. 07 9.719 11.830 2.11 2 0.59 87 877 54.13
50360 PARADISE BAY RD Project completed 2015. 08 0.390 1.530 1.14 3 0.43 100 3345 53.90
93150 CENTER RD Fish barrier bridge and Yarr bridge on TIP. 07 2.250 4.500 2.25 11 0.86 83 3100 53.88
62530 S JACOB MILLER RD intersection w/Jacob Miller planned 09 1.760 2.000 0.24 22 21.83 74 2301 53.50
63710 CEDAR AV Project completed about 2020. Mason St.development. Sidewalks. 09 0.000 0.580 0.58 0 0.00 91 1844 53.38
93150 CENTER RD Overlay completed 2019 07 0.000 2.250 2.25 17 1.33 91 3111 53.13
91420 UPPER HOH RD On TIP. FLAP Pavement Preservation. Bank stabilization completed. 07 1.800 4.000 2.20 7 1.84 95 950 52.84
62530 S JACOB MILLER RD Needs to be widened 09 0.000 1.760 1.76 25 5.26 97 1479 52.29
60120 FOUR CORNERS RD ODT connection completed 2026. Chip seal 2026. 08 0.000 1.290 1.29 4 0 64 85 2641 51.86
56990 OAK BAY RD 08 7.150 8.410 1.26 6 0.97 98 2682 51.78
60150 S DISCOVERY RD 07 0.420 0.680 0.26 3 1.67 96 3789 51.62
91420 UPPER HOH RD 07 5.750 7.500 1.75 1 0.36 92 877 51.29
91420 UPPER HOH RD FLAP pavement preservation.07 4.000 5.750 1.75 0 0 00 95 950 51.17
93150 CENTER RD 07 6.860 9.000 2.14 10 0.83 83 3100 50.54
93150 CENTER RD 07 9.000 11.250 2.25 11 0.86 83 3100 50.54
93150 CENTER RD 07 11.250 14.610 3.36 18 0 95 83 3100 50.54
51410 W VALLEY RD On TIP. Sidewalk project 09 0.000 0.200 0.20 0 0.00 80 2983 50.49
50360 PARADISE BAY RD 2015 project 08 0.000 0.390 0.39 6 2.52 94 3345 49.10
93150 CENTER RD 07 4.500 6.860 2.36 7 0.52 83 3100 48. 88
56990 OAK BAY RD 08 4.500 7.150 2.65 18 1.05 100 3559 46.65
Page 1 of 3
Revised: 9/16/2026
2026 Collectors and Local Access Roads with 1,000 ADT or Higher
5-Yr Acc. PVT Total
Road#Road Name Notes FCC BMP EMP Lgth Acc. Rate Rating ADT Rating
Million
60150 S DISCOVERY RD Needs shoulders.Chip seal flushing. 08 1.040 3.380 2.34 9 1.43 98 1470 45.37
51400 SWANSONVILLE RD 09 1.500 3.210 1.71 4 1 19 94 1080 43.53
51410 W VALLEY RD narrow. Poor ride. 09 2.300 3.960 1.66 3 1.98 80 500 43.48
60150 S DISCOVERY RD RAP 2R project in 2018 08 3.380 4.550 1.17 4 0 71 70 2656 43.12
56990 OAK BAY RD 08 0.860 2.230 1.37 6 0 67 100 3559 42.99
56990 OAK BAY RD 08 2.230 4.500 2.27 8 0 54 100 3559 42.99
62280 CAPE GEORGE RD 08 2.170 2.740 0.57 3 1.41 92 2048 42.04
40390 COYLE RD narrow.Poor culvert.08 14.240 14.970 0.73 0 0.00 77 40 40.88
60150 S DISCOVERY RD Parallel trail completed 2026. 08 4.550 4.840 0.29 1 0.71 87 2656 40.67
91420 UPPER HOH RD 07 0.000 1.800 1.80 0 0.00 95 950 39.79
32750 E QUILCENE RD 08 0.000 0.788 0.79 0 0.00 99 568 38.00
62280 CAPE GEORGE RD 08 0.000 2.170 2.17 9 0.98 94 2312 37.33
25000 DOSEWALLIPS RD 08 0.000 0.550 0.55 1 1.53 89 650 37.25
51410 W VALLEY RD 09 1.030 2.300 1.27 0 0.00 80 500 36.98
60150 S DISCOVERY RD Project completed 20 years ago 08 0.680 1.040 0.36 4 4.14 90 1470 36.25
51400 SWANSONVILLE RD 09 0.000 1.500 1.50 3 1.01 94 1080 36.03
62280 CAPE GEORGE RD 08 2.740 4.820 2.08 1 0.32 96 834 34.87
32750 E QUILCENE RD 08 2.550 4.430 1.88 1 4.22 84 69 34.04
40390 COYLE RD 08 3.830 5.000 1.17 2 2.10 97 447 33.87
24520 BRINNON LN 09 0.000 0.050 0.05 0 0.00 53 1002 33.83
41870 THORNDYKE RD 08 0.000 2.000 2.00 4 1.40 98 780 33.54
62280 CAPE GEORGE RD 08 4.820 7.575 2.76 5 0.69 89 1431 33.50
91160 QUINAULT-S SHORE RD washed out. Searching for project funding. 07 0.000 4.110 4.11 0 0 00 0 100 33.36
51410 W VALLEY RD 09 3.960 5.560 1.60 1 0.68 80 500 32.90
40390 COYLE RD 08 12.380 14.240 1.86 2 2.35 97 251 32.50
52760 ELKINS RD 09 0.000 0.150 0.15 0 0.00 95 1167 31.40
34880 DABOB RD 08 0.000 2.660 2.66 3 1.18 100 524 31.37
69100 HASTINGS AVE W 07 1.600 2.100 0.50 0 0.00 97 2537 31.33
34880 DABOB RD 08 2.660 3.170 0.51 0 0.00 100 474 30.54
50530 TEAL LAKE RD 09 0.000 0.145 0.15 0 0.00 79 1479 30.28
69100 HASTINGS AVE W 08 3.800 4.400 0.60 4 3.64 96 1003 30.04
40390 COYLE RD 08 7.940 12.380 4.44 4 1.06 99 466 29.50
41870 THORNDYKE RD 08 2.000 5.000 3.00 3 1 38 100 397 28.34
69100 HASTINGS AVE W 08 2.100 2.710 0.61 2 1.14 98 1581 28.33
62370 CAPE GEORGE WYE 08 0.000 0.230 0.23 0 0.00 88 679 27.82
25000 DOSEWALLIPS RD 08 0.550 1.610 1.06 2 1.67 91 618 27. 59
Page 2 of 3
Revised: 9/16/2026
2026 Collectors and Local Access Roads with 1,000 ADT or Higher
5-Yr Acc. PVT Total
Road#Road Name Notes FCC BMP EMP Lgth Acc. Rate Rating ADT Rating
Million
41870 THORNDYKE RD 08 5.000 8 520 3.52 1 0.44 100 351 27.51
51050 EAGLEMOUNT RD 08 0 000 2.500 2.50 0 0.00 100 606 27.21
51050 EAGLEMOUNT RD 08 2.500 5.340 2.84 1 0.32 100 606 27.21
32750 E QUILCENE RD 08 0.788 2.550 1.76 1 0.55 95 568 26.87
40390 COYLE RD Two NWI fish barrier projects on TIP 08 0 000 3.830 3 83 2 0.64 96 447 26. 54
25000 DOSEWALLIPS RD 08 1 610 3.500 1.89 3 1 41 91 618 26.05
44760 S POINT RD 08 0 000 1.560 1.56 2 0.66 98 1070 25.92
62600 CO LANDFILL RD 09 0 000 0.550 0 52 0 0 00 77 1090 25.42
25000 DOSEWALLIPS RD 08 3 500 5 000 1.50 2 1.18 91 618 25.10
69100 HASTINGS AVE W 08 2 710 3.800 1.09 3 0.95 100 1581 24.67
40390 COYLE RD 08 5 000 7 940 2.94 1 0.47 96 393 23.13
64760 MATHESON ST 09 0 000 0 120 0.12 0 0.00 74 1095 23.05
51010 OSPREY RIDGE DR 09 0.000 0.580 0.58 0 0.00 94 1080 22.17
25000 DOSEWALLIPS RD 08 5 000 6 810 1.81 0 0.00 84 164 21.27
34880 DABOB RD 08 3 170 5 230 2 06 1 0.82 100 326 20.46
66910 5TH AV 09 0 000 0.150 0.14 0 0.00 90 1104 20.38
22740 DUCKABUSH RD 08 0.000 0.450 0.45 0 0.00 100 415 20.10
50300 LARSON LAKE RD 08 2 648 4.060 1.41 1 1.86 100 209 19.96
68060 PROSPECT AV 09 0 000 1.020 0.95 2 0.40 99 2879 19.90
27340 BEE MILL RD 08 0.000 1 630 1.63 0 0.00 95 313 18.53
50300 LARSON LAKE RD 08 0.000 2.648 2.65 1 0.75 100 275 16.29
22740 DUCKABUSH RD 08 0.450 1.700 1.25 0 0.00 100 289 16.14
22740 DUCKABUSH RD 08 1 700 2 370 0 67 0 0.00 100 289 16.14
30390 PENNY CREEK RD 08 1 460 4.560 3 10 0 0.00 0 11 16.06
67910 KALA POINT DR 09 0 000 0 250 0 25 1 1.12 98 1958 16.04
42530 DABOB POST OFFICE RD 08 0.000 0.440 0.44 0 0.00 100 589 15.69
22740 DUCKABUSH RD 08 2 370 3.660 1.29 0 0.00 96 60 14.47
10750 CLEARWATER RD 08 0 850 4 130 3.28 0 0.00 93 42 12.20
40800 HAZEL POINT RD 08 1.050 1.650 0.60 0 0.00 0 132 11.77
40800 HAZEL POINT RD 08 0.000 0 650 0 65 0 0 00 91 182 11.72
10750 CLEARWATER RD 08 0.000 0.850 0 85 0 0 00 69 156 10.66
27590 POINT WHITNEY RD 08 0.000 0.830 0.83 0 0.00 96 121 9.72
30390 PENNY CREEK RD 08 0 000 0 390 0.39 0 0 00 88 288 8.14
30390 PENNY CREEK RD 08 0 390 1 460 1.07 0 0.00 95 53 8.14
40800 HAZEL POINT RD 08 0.650 1.050 0 40 0 0.00 95 132 6.22
Page 3 of 3
Revised: 9/16/2026
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO:Board of County Commissioners
Josh Peters, County Administrator
FROM: Anji Scalf,Jefferson County Extension —4-H
DATE: 10/5/2026
SUBJECT: Presentation from 4-H Ambassadors
STATEMENT OF ISSUE:
4 youth have been selected by their peers in the 4-H program to represent and present what they learned in
the 2024-2025 4-H Year. A summary of 4-H impacts will also be provided, along with the County
Coordinator who will answer any questions that emerge.
ANALYSIS:
N/A
FISCAL IMPACT:
N/A
RECOMMENDATION:
Listen to the presentation and participate in discussion.
REVIEWED BY:
CountyAdministratorJoshaers
Date
mow
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
CONSENT AGENDA REQUEST
TO:Board of County Commissioners
FROM: Minnie Whalen,Director of Resilience Project
DATE: October 5, 2026
SUBJECT:PROCLAMATION re: Proclaiming the month of October 2026 as Resilience
Awareness Month
STATEMENT OF ISSUE:
Resilience Awareness Month 2026: a declaration fostering community resilience requires a common
language and shared understanding rooted in both science and lived experience,recognizing that everyone
regardless of background has a role in nurturing healing and connection. The Board of County
Commissioner's public recognition would help to expand and promote this common language and shared
understanding
ANALYSIS:
Local Jefferson County research includes the CHA from 2019 highlighting the need for trauma informed
care education and the County Strategic Plan 24-28 ,which highlighted community resilience.
Cumulative research on Adverse Childhood Experiences(ACEs) and the science of hope, resilience, and
trauma-informed care show that healing and prevention are possible through early intervention and
protective factors like strong social connections, and environments that foster safety,belonging, and
empowerment.
FISCAL IMPACT:
No fiscal impact.
RECOMMENDATION:
Board of Jefferson County Commissioners acknowledges the importance of coordinating events,
educational opportunities, and healing-centered spaces throughout this month and do hereby proclaim the
month of October 2026 to be Resilience Awareness Month and urge all residents to learn about hope and
work to help create a community that promotes healing and wellness. (see attached calendar of events)
REVIEWED BY:
Josh . Peters, County Administrator Date
Resilience Month 2026 Event Schedule
You are invited to join events across the Olympic Peninsula and pay a role in creating positiveexperiences,wellbeing, and connection
Dia de Culturas TANF Fair Brain Injury, Mental Health, &
5ept26 Forks High School- in person OCT 8 Akalat Center, La Push- in person OCT23 Emotional Regulation- virtual Proclamations
4:00-8:00 pm
10:00 am-2:00 pm 9:00 am-12: 0 pm Elected OfficialsOIC
Spoken Open on FridayScreens ers * Community Dinner Health Fair Port Angeles Senior Center Declare Resilience Month
2 p OCT2 3g RAINFOREST
OCT The Nest in Port Townsend Rooseve t School- in person OCT Distributin Resiliency Kits
5:30 (sign ups) 6:00 pm -in person
5:00 pm 10:00 am-72:00 pm- in person CiEF711.4)FoRKs CITY COUNCIL
Charlie Albright
UIM CITY COUNCIL Null*Von*
OCT 3Public Safety Fair OCT 9 Field Arts &vents Hall- in person OC723
Karaoke/Open-Mic Night SED28 Q
11101
Carrie Blake Park- in person The Nest in Port Townsend7:00 pm9:00 am-4:00 pm 5:00 pm - in person JEFFERSON BOARD OF
OCT 5 iCOUNTY
Costume Swap Try the Y Day Cult Classic Movie- Beetlejuice COMMISSIONERS FIELD
OCT 3g OCT I 0 All 3 local YMCA branches OCT23NOLS-Port Angeles in person NOLS- Clallam Bay- in person (OCTQC7 5 PORT TOWNSEND J
10:30 am-12:0 pm
See calendar for classes & times 6:00-8:00 pm
CITY COUNCIL HI i j 06
Connections Kick-Off CLALLAM COUNTY
Bagels with The Benji Project I O OCT2L National Prescription Medicine OCT13 BOARD OF fNTS
OC OCT Field Arts & Events Hall COMMISSIONERS3PoTownsend- in person Take Back Day, Forks- in person HALL11:00 am-2:00 m
10:00 am-I:00 pm- in person PORT ANOELEs
p CT20 CITY COUNCIL
Book Discussion Group Halloween Bash
Heritage Days Book Discussion NOLS- Sequim- inperson OCT24 Boys&Girls Club in Sequim
OCT 3 y I O q
5:00-8:00pm -in person
BOY'`&GInLSC1.U65 Vll l_
NOLS Forks in person 3:00-4:00 pm p
5606:00-7:00 pm Indigenous Peoples Day Poetry Spooktacular Celebration Bm*MY,f W.u,Gas o•M•r'•.
The Space Between the Notes OC1 12 lark ustonawtx' House of Learning
OCT 27 NOLS & Concerned Citizens in Forks MEMORIAL TRUST
OC- 3 Field Arts & Events Hall- in person Peninsula College Longhouse 5:00-7:00 pm- in person Y
7:30 pm 5:30-7:30 pm- in person & virtual Family Fun Spooky Carnival 410farFirst Step Family 01••
Free Jazz 1 3
First Step Winter Coat Event OCT2 First Step in Port Angeles '' . Support Center FORKS COMMUNITY
e,r 4 Sunday,family friendly Off'Forks FamilyResource Center 4:00-6:00 pm -in person coaLITION
Field Arts & Events Hall- in person
12:00-2:00 pm
1:00-3:00 pm -in person Book Discussion Group i ;
KEYNOTE: Intro to Positive Experiences
Positive Childhood Experiences Wknd OCT2 8 NOLS- Port Angeles- in
person41111)
Nr
OCT rJ OCT Rainforest Arts Center- in person 6:00-7:00 pm
HOPE Nat'l Resource Center (Tufts) 16_18 Distributin Resiliency Kits Positive Childhood Experiences in Action12:00-1.00 pm virtual
See calendar for classes OCT29 Peninsula College's Studium Generale P RTA J
First Step Winter Coat Event 12:35pm- in person &virtual NOESFallShadowsFestivalOCTrj' First Step- in Port Angeles PAEF
3:00-5:00 pm -in person
OCT 17 Webster Woods- in person Crescent School Halloween Carnival
v • ..,,,"
5:00-8:30 pm OCT3 Crescent School Gym `
y OIyCAP
OCT
Open Mic with Clallam Mosaic
Autumn Seed Swap 5:00-8:00 pm -in person '
1
PENINSULA COL LEc:F5FieldArts & Events Hall- in person
20 f
6:00 pm OCT NOLS- Forks- in person
31
Spooky Carnival for Families QLYMI'I( L Poi tAn cles
5:00-6:30 pm- in person OCT NOLS- Port Angeles- in person • Food Bank
Olympic Peninsula Resource Co-Op 10:30-11:30 am aDuck Duck Boot 1 vin,
OCT 6 NOES Forks in person
OCT First Step- in Port Angeles Thank you to Resilience Month's
ELKS %
1,` Ca Ita*....-11:30 am-2:30 pm 2 I sponsors& partners.c
11:30 am-I:00 pm -in person We aregrateful foryour support. -%;T%- Q . HomeschooI Han Out PP 1., .6 NOLS- Port Angeles in person PURPLE DAY:Wear purple to show support wwW.clallamresilienceproject.org
1:00-2:00 pm OCT2 2 for survivors,those affected by domestic
violence, and healthy relationships Email?s to
Teen Tuesday:After-School Hangout clallamresilience@gmail.com , ' b` o0o DSHS
Domestic Violence Awareness WalkOC' 6 NOLS- Port Angeles- in person OCT22 Klallam Heritage Center FOR MORE DETAILS & Y l4:00-5:00 pm 3:30 pm- in person SUBJECT TO CHANGE ... H•P E the
r
PROCLAMATION
RESILIENCE AWARENESS MONTH
WHEREAS, communities thrive when individuals of all ages and backgrounds are supported in
building resilience, well-being, and a strong sense of hope; and
WHEREAS, research on Adverse Childhood Experiences(ACEs) demonstrates that adversity
can have lasting impacts on the health and development of children and families and that Positive
Childhood Experiences(PCEs), including nurturing relationships, meaningful activities and skill-
building, can counteract those effects, and it is never too late to begin healing; and
WHEREAS, the Science of Hope grounded in the belief that the future can be better and that
every person has a role to play in pursuing that future offers a proven framework built on setting
meaningful goals, developing pathways to achieve them, and sustaining the motivation to keep going,
even in the face of barriers; and
WHEREAS, fostering community resilience requires a shared language and common
understanding rooted in both science and lived experience, recognizing that everyone, regardless of
background has a role in nurturing healing, connection, and hope; and
WHEREAS, whether as an auntie, grandparent,mentor, teacher, coach, or neighbor, every
person in our community can play a role in creating Positive Childhood Experiences and nurturing
hope in the young people around them;
NOW, THEREFORE,the Board of Jefferson County Commissioners recognizes the
importance of coordinating events, educational opportunities, and healing-centered spaces throughout
this month and does hereby proclaim the month of October 2026;
RESILIENCE AWARENESS MONTH
BE IT FURTHER PROCLAIMED, that the Board of Jefferson County Commissioners
encourages all residents to learn about hope and the science of Positive Childhood Experiences, and to
work together to create a community where every person can see a future worth working toward and
where organizations and neighbors alike are allies in getting them there.
PROCLAIMED this 5`h day of October, 2026.
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
SEAL:
Greg Brotherton, Chair
ATTEST: Heidi Eisenhour, Member
Carolyn Gallaway, CMC, Clerk of the Board Heather Dudley-Nollette, Member