HomeMy WebLinkAbout040620_ca04 el 615 Sheridan Street
' Port Townsend, WA 98368
� Bison www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Hecefiugi March 11, 2020
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Pinky Mingo, Interim Environmental Public Health Director
Tami Pokorny, Natural Resources Program Coordinator
DATE:
SUBJECT: Agenda Item — Project Agreement with Advanced Environmental; Upon
Signature — May 15, 2020; for $46,000 + tax of $4,140 for a total of $50,140
STATEMENT OF ISSUE:
Jefferson County Public Health requests approval of Project Agreement with Advanced Environmental; Upon
Signature — May 15, 2020; for $46,000 + tax of $4,140 for a total of$50,140.
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
Advanced Environmental is retained by the County to remove and property dispose of all asbestos-
containing materials (ACM) from the house located at 151 Fremont Ave. in Quilcene, WA that were
identified in inspection reports by NWA Northwest Environmental, including siding, dry wall, windows, and
some flooring. After the house is cleared of ACM, Advanced Environmental is also retained by the County to
demolish what remains of it and the other improvements, properly dispose of all materials, and to replant
the site.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
Funding for the Project Agreement is provided by RCO #16-1480, Lower Big Quilcene Acquisitoins
project matched with Department of Ecology Terry Husseman Funds (SEATHA-VER3-JeCoPH-00037).
There is no impact to the Jefferson County General Fund for this agreement.
RECOMMENDATION:
JCPH Management recommends BOCC signature of the Project Agreement with Advanced Environmental;
Upon Signature — May 15, 2020; for $46,000 + tax of $4,140 for a total of $50,140.
REVT,FWFD BY:
flip Morle, ,'Cour 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
CONTRACT
JEFFERSON COUNTY,WASHINGTON
THIS AGREEMENT entered into this_day of 2020,by and between Jefferson County,a
political subdivision and municipal corporation of the State of Washington,hereinafter referred to as
"Jefferson County,"and Advanced Environmental,Inc. of Olympia,WA,hereinafter referred to as
"Contractor;"in mutual desire of the parties hereto that Contractor should undertake and complete a
certain Public Works Project on behalf of the Jefferson County,described as follows:
Work Order: "151 Fremont Ave.Asbestos Abatement and Demolition Project",JCPH#2020-0206
1. Project Designation.Contractor shall undertake the performance of the said Public Works Project in
Jefferson County, Washington.The Contractor shall provide all equipment and personnel necessary
to A)undertake the work as contemplated by this Agreement and B)complete same in the time frame
contemplated by this Agreement.
2. Scope of Services. Contractor agrees to perform the scope of work identified on Exhibit A, attached
hereto, including the provision of all labor,materials,equipment, and supplies.
3. Time of Performance. Contractor shall commence the work as contemplated by this agreement upon
Notice to Proceed and shall pursue the work diligently and continuously until the project is
completed.All work must be completed no later than May 15,2020.
4. Manner of Performing Work. Contractor has examined the site of work and has decided the manner
for performing all necessary labor. Contractor is aware that the work vicinity is a residential
neighborhood and care must be taken to prevent unreasonable disturbance.
5. Character of Materials.Contractor has examined the site of work and has recognized and determined
the character of the materials to be encountered,demolished and removed.
6. Permits.Contractor shall pay for,obtain,and satisfy all necessary permits to undertake the work as
contemplated by this Agreement unless specified otherwise in the bid documents.
7. Agency Notifications. Contractor shall give appropriate notification to all necessary governmental
agencies of its intention to undertake the work contemplated by this Agreement,which notifications
shall be in addition to any other requirements of other said agencies. Contractor shall provide a copy
of such notices to Environmental Public Health.
8. Contract Price. The Contractor shall be paid by the County for completed work and for services
rendered under this agreement as follows:
a. The Contractor will be reimbursed for all work performed under the terms of this contract.
Payment for the work provided by the Contractor shall not exceed$46,000 plus$4,140
Washington State Sales Tax,for the completion of this project without express written
amendment signed by both parties to this Agreement.
b. Funding for this contract will be provided by Recreation and Conservation Office and
Department of Ecology Terry Husseman grant. If funding is withdrawn,reduced,or limited in
any way after the effective date of this agreement,this contract may be renegotiated or terminated
as provided herein.
c. The Contractor may submit invoices to the County not more than once per month,but not less
than quarterly,during the progress of the work for work completed to date. Such invoices will be
checked by the County, and upon approval thereof,payment will be made to the Contractor in the
amount approved.
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
under this agreement and its acceptance by the County.
e. Payment as provided in this section shall be full compensation for work performed, services
rendered and for all materials, supplies,equipment and incidentals necessary to complete the
work.
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.
9. Ownership and Use of Documents.All 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.
10. 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.
11. Indemnification. Contractor shall indemnify and hold harmless the County, its officers,and
employees,from and against all claims, losses or liability,or any portion thereof, including
reasonable attorney's fees and costs,arising from injury or death to persons, including injuries,
sickness, disease or death to Contractor's own employees,or damage to property occasioned by a
negligent act,omission or failure of the Contractor. Contractor shall be liable only to the extent of
Contractor's proportional negligence. The Contractor specifically assumes potential liability for
actions brought against the County by Contractor's employees,including all other persons engaged in
the performance of any work or service required of the Contractor under this Agreement and, solely
for the purpose of this indemnification and defense,the Contractor specifically waives any immunity
under the state industrial insurance law,Title 51 R.C.W. The Contractor recognizes that this waiver
was specifically entered into pursuant to provisions of R.C.W.4.24.115 and was subject of mutual
negotiation.
12. Insurance. Prior to commencing work,the Contractor shall obtain at its own cost and expense the
following insurance from companies licensed in the State with a Best's rating of no less than A:VII.
The Contractor shall provide to the County Risk Manager certificates of insurance with original
endorsements affecting insurance required by this clause prior to the commencement of work to be
performed.
The insurance policies required 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 County
Risk Manager by registered mail, return receipt requested, for all of the following stated insurance
policies.
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If any of the insurance requirements are not complied with at the renewal date of the insurance
policy, payments to the Contractor shall be withheld until all such requirements have been met, or at
the option of the County, the County may pay the renewal premium and withhold such payments
from the moneys due The Contractor.
All notices shall name the Contractor and identify the agreement by contract number or some
other form of identification necessary to inform the County of the particular contract affected.
A. Workers Compensation and Employers Liability Insurance. The Contractor shall procure and
maintain for the life of the contract, Workers Compensation Insurance, including Employers
Liability Coverage, in accordance with the laws of the State of Washington.
B. General Liability(1) - with a minimum limit per occurrence of one million dollars ($1,000,000)
and an aggregate of not less than two million dollars ($2,000,000) for bodily injury, death and
property damage unless otherwise specified in the contract specifications. This insurance coverage
shall contain no limitations on the scope of the protection provided and indicate on the certificate of
insurance the following coverage:
1. Broad Form Property Damage with no employee exclusion;
2. Personal Injury Liability, including extended bodily injury;
3.Broad Form Contractual/Commercial Liability including completed operations
(contractors only);
4. Premises-Operations Liability(M&C);
5. Independent Contractors and Subcontractors;and
6. Blanket Contractual Liability.
(1)Note: The County shall be named as an additional insured party under this
policy.
C. Automobile(2) -with a minimum limit per occurrence of$1,000,000 for bodily injury, death and
property damage unless otherwise specified in the contract specifications. This insurance shall
indicate on the certificate of insurance the following coverage:
1. Owned automobiles;
2. Hired automobiles; and,
3. Non-owned automobiles.
(2) Note: The County shall be named as an additional insured party under this
policy.
Any deductibles or self-insured retention shall be declared to and approved by the County
prior to the approval of the contract 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.
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 of the requirements stated herein.
Failure of The Contractor to take out and/or maintain any required insurance shall not relieve The
Contractor from any liability under the Agreement, nor shall the insurance requirements be
construed to conflict with or otherwise limit the obligations concerning indemnification.
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It is agreed by the parties that 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 so affected shall protect both parties and be primary coverage for any and
all losses covered by the above described insurance. It is further agreed by the parties that 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. It is further agreed by the parties that any and all deductibles in the above
described insurance policies shall be assumed by and be at the sole risk of The Contractor.
Vehicle and equipment parking on-site during the project is at the owner's own risk.
It is agreed by the parties that judgments for which the County may be liable, in excess of insured
amounts provided herein, or any portion thereof, may be withheld from payment due, or to become
due, to the Contractor until such time as the Contractor shall furnish additional security covering
such judgment as may be determined by the County.
The County reserves the right to request additional insurance on an individual basis for extra
hazardous contracts and specific service agreements.
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.
If the proof of insurance or certificate of coverage 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 within 30 days of the
execution of this Agreement.
The County may,upon the Contractor's failure to comply with all provisions of this contract
relating to insurance,withhold payment or compensation that would otherwise be due to the
Contractor.
13. Prevailing Wage. It is the sole responsibility of Contractor and subcontractors to assign the
appropriate classifications to all laborers,workmen or mechanics performing any work pursuant to
any Public Works Contract and to ascertain the applicable prevailing wage rates and fringe benefits
for each such classification.Current prevailing wage data can be obtained by Contractor from the
Industrial Statistician of the Department of Labor and Industries,Prevailing Wage Office,P.O.Box
44540, Olympia,Washington 98504-4540, (360)902-5335, or go to their website at
https://lni.wa.gov/licensing-permits/public-works-projects/contractors-employers.
14. Performance Bond and Labor&Material Payment Bonds.Prior to execution of the contract,
Contractor shall furnish Performance and Labor&Material Payment Bonds covering the faithful
performance of the contract and the payment of all obligations arising thereunder in such form
approved by the Owner and in the amount of one hundred percent(100%)of the contract. The bidder
shall require the attorney-of-fact who executes the required bonds on behalf of the surety to affix
thereto a certified and current copy of this power-of-attorney indicating the monetary limit of such
power.
For contracts under$35,000(including sales tax), in lieu of a performance bond,Contractor may
provide written and signed request to have Jefferson County retain 50%of the contract price for 30
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days following completion of all work or receipt of all necessary releases from the Department of
Revenue,the Department of Labor and Industries,and settlement of any liens filed under chapter
60.28 RCW,whichever is later.
For work that has no subcontractors and is$2,499.99 or less(including WSST),Jefferson County will
file a combined Intent/Affidavit form signed by Contractor following completion of the work(this
eliminates the$80.00 filing fee).Payment will be made in a single payment following completion of
the work to Jefferson County's satisfaction and receipt of the signed combined Intent/Affidavit form.
15. 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.Nothing in this agreement
shall be considered to create the relationship of employer and employee between the parties hereto.
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.The County shall not be
responsible for withholding or otherwise deducting federal income tax or social security or for
contributing to the state industrial insurance program, or otherwise assuming the duties of an
employer with respect to Contractor, or any employee of Contractor.
16. Assignment and Subcontracting. Contractor shall not assign this Agreement or any interest therein
nor subcontract the whole or any portion of the work contemplated by this Agreement,nor may any
interest hereunder be assigned or transferable by operation of law,or by any process or proceedings
of any court or otherwise,without the prior written consent of Jefferson County.Contractor shall,
when intending to use subcontractors,provide Jefferson County with a Payment Bond as well as the
list of the proposed subcontractors to be used to Jefferson County for approval prior to any
subcontracting.
17. Subcontractor Responsibility.
A. Contractor shall include the language of this section and the provisions of Section 14 above in
each of its first-tier subcontracts, and shall require each of its subcontractors to include the same
language of this section in each of their subcontracts,adjusting only as necessary the terms used for
the contracting parties.Upon request, Contractor shall promptly provide documentation to
Environmental Health demonstrating that the subcontractor meets the subcontractor responsibility
criteria below and the insurance requirements imposed on the Contractor by Section 14 above.The
requirements of this section apply to all subcontractors,regardless of tier.
B.At the time of subcontract execution,the Contractor shall verify that each of its first tier
subcontractors meets the following bidder responsibility criteria:
a. Have a current certificate of registration as a contractor in compliance with chapter 18.27
RCW,which must have been in effect at the time of bid submittal;
b.Have a current Washington Unified Business Identifier(UBI)number;
c. If applicable:
i. Have Industrial Insurance coverage(workers' compensation)
coverage for the bidder's employees working in Washington
as required in Title 51 RCW;
ii. Have a Washington Employment Security Department
number as required in Title 50 RCW; and
iii. Have a Washington Department of Revenue state excise tax
registration number as required in Title 82 RCW;
iv. An electrical contractor license, if required by Chapter 19.28
RCW;
v. An elevator contractor license, if required by Chapter 70.87
5
RCW.
vi. Not be disqualified from bidding on any public works contract under RCW
39.06.010 or 39.12.065(3);
18. Non-Waiver of Breach. Failure of Jefferson County to insist upon the strict performance of any of the
covenants of this Agreement or failure to exercise any option herein conferred in any one or more
instances shall not be construed to be a waiver or relinquishment of any other covenant of this
Agreement or any subsequent default of same covenant or condition.
19. Insolvency.If Contractor shall file a petition in bankruptcy,or if the Contractor shall be adjudged
bankrupt or insolvent by any court,or if a receiver of the property of Contractor shall be appointed in
any proceeding brought by or against Contractor,or if Contractor shall make an assignment form
benefit of creditors,Jefferson County may, at its option,terminate this Agreement at any time.
20. Termination for Default. Time is of the essence of this Agreement. In the event Contractor shall fail
to keep and perform any of the covenants or conditions of this Agreement contained,or should
Contractor for any reason be unwilling or unable to carry out said Agreement,then Jefferson County
may cancel this Agreement upon giving Contractor ten(10)days' notice in writing.
21. Notices.Notices to the County of Jefferson shall be sent to the following address:
Tami Pokorny,Project Manager
Jefferson County Environmental Public Health
615 Sheridan Street
Port Townsend,WA 98368
Ph: 360/379-4498
Email: tpokorny@co.jefferson.wa.us
Notices to Consultant shall be sent to the following address:
Brittany Johnson,Office Manager
Advance Environmental,Inc.
3620 49th Ave. SW
Olympia,WA 98512
Ph: 360-357-5666
Email: advanceenvironmental@comcast.net
22. Attorney Fees for Breach.In the event of a breach of the contract by either party,the breaching party
shall be liable to the non-breaching party for all damages sustained as a result thereof, including
consequential damages,reasonable legal expenses incurred,expert witness fees and any costs of suit.
23. 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,
sex, or the presence of any physical or sensory handicap in the selection and retention of employees
or procurement of materials or supplies.
24. Integrated Agreement. This Agreement represent the entire and integrated agreement between the
County and the Contractor and supersedes all prior negotiations,representations,or agreements
written or oral. This agreement may be amended only by written instrument signed by both the
County and Contractor.
25. Authority to Execute Agreement.Contractor has authorized the person signing this Contract on its
behalf to sign this Agreement and to bind the Contractor to all the terms and conditions listed herein.
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SIGNATURE PAGE
IN WITNESS WHEREOF, the Contractor has executed this instrument on the day and year first
below written, and the Board of County Commissioners has caused this instrument to be
executed by and in the name of said County of Jefferson the day and year first above written.
Executed by the Contractor ,2020
Contractor:
Advanced Environmental,Inc.
(Please print)
By:
Brittany Johnson,Office Manager
(Signature)
State of Washington,Asbestos Abatement Contractor Certification
#ABCN00001317
Exp. 08/22/2020
COUNTY OF JEFFERSON
BOARD OF COMMISSIONERS
Greg Brotherton, Chair
Kate Dean, Member
David W. Sullivan,Member
Approved as to form only:
Ok,iIIg— $/4 to
Philip C.Hunsucker Date
Chief Civil Deputy Prosecutor
7
Exhibit A
Scope of Work
Asbestos Abatement:
Remove and properly dispose of all asbestos-containing materials from the 950 square-foot house located
at 151 Fremont Ave. in Quilcene, WA that were identified in the lab reports from Eurofins dated
September 30 and October 17,2019 and January 30,2020 and the inspection reports by NWA Northwest
Environmental dated October 2,2019 and February 4,2020.
Materials and approximate quantities to be removed are as follows: 3,296 SF of drywall and wallboard
with 2%or greater asbestos-containing mud, 10 windows, 60 SF of sheet vinyl and 1,598 SF of exterior
Cement Asbestos Board(CAB).Disposal of asbestos containing materials must be at Kitsap County
Olympic View Transfer Station,Columbia Ridge Landfill, or Roosevelt Regional Landfill by direct haul
via rail or truck by an approved carrier. Disposal and transport must meet all applicable requirements for
asbestos containing materials. Contractor shall provide receipts as proof that all materials have been
disposed of in an acceptable manner.
Thoroughly clean up all areas affected by the work. The certified abatement contractor shall comply with
all federal, state and local regulations when performing any work under the resulting contract.
Demolition and Replanting:
After the house is cleared of asbestos-containing-materials,demolish,remove,and haul to an approved
waste site,all manmade structures,materials, debris and on-site system,not including the drinking water
well itself,located on the site, scarify driveways and other compacted areas,overlay native topsoil,and
re-seed,re-plant and mulch while protecting the site from erosion such that:
• Safe access is established.Vehicle,pedestrian and nearby property owner safety is assured. Roads
are restored to original condition after work is completed.
• The corners of the parcel are located.
• Any necessary permits and authorizations from Jefferson County Public Works and utility
providers are obtained. (Demolition permit and ORCAA notification will be applied for by Public
Health.)
• All existing utility connections are safely located,discontinued,disconnected and removed.
• All buried utilities are protected from damage.
• Remains of all structures,household waste and all litter,and fencing within the parcel boundaries
are removed and disposed of properly.
• A certified septic system pumper has pumped out any sewage or wastewater in the tank. The tank
and distribution components,but not the gravel,are removed and the Certification of Tank
Decommissioning is completed and certified by the contractor while Environmental Public
Health staff is present.(Fees will be paid by Public Health.)
• Any and all roadside culverts, surface drains,and driveway entrances are removed and the ground
re-contoured to match the existing ditches.
• Any spoils from the roadside ditches are used to bring the existing grades under the demolished
buildings to be level with the adjacent present grades.
• Existing trees are protected from damage to the extent feasible.
• There is no trespassing onto adjacent properties.
• Driveways,parking areas,and other areas devoid of vegetation are ripped to a depth of at least
twelve inches and overlain with adjacent topsoil to a depth of at least six inches.
• All disturbed areas are finely graded or raked in preparation for seeding,planting and mulching.
• All disturbed areas are hand-seeded and overlain with generous quantities of clean straw. (Seed to
be provided by Public Health).
• The site is replanted on 16' centers with bare root seedlings or plugs and protected with tubes
staked to the ground.(Seedlings,plugs,tubes and stakes to be provided by Public Health).
• The final project site is clean and free of litter and manmade materials,matches existing contours,
is seeded,planted,the plants are protected and disturbed areas are controlled for erosion.
Disposal of asbestos-free demolition materials must be at the Jefferson County Transfer Station,Kitsap
County Olympic View Transfer Station, Columbia Ridge Landfill,or Roosevelt Regional Landfill.
Disposal and transport must meet all applicable requirements for asbestos containing materials.
Contractor shall provide receipts as proof that all materials have been disposed of in an acceptable
manner.
The Contractor shall provide all labor,materials,tools,equipment,transportation and services and shall
perform all work required for executing the Contract in a satisfactory and professional manner to provide
a complete project. Care shall be taken to minimize disturbance to nearby property owners while work is
in progress. Work schedules and access shall be coordinated through Jefferson County Environmental
Public Health.Work may be suspended by the County at any time due to rain or adverse soil conditions.
Vehicle and equipment parking on-site during the project is at the owner's own risk.Potable water and
electrical power are not available onsite for use by the Contractor.
EXHIBIT B
CERTIFICATION REGARDING
DEBARMENT,SUSPENSION,INELIGIBILITY,AND VOLUNTARY EXCLUSION
The Contractor certifies to the best of its knowledge and belief,that it and its principals:
(1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal department or agency;
(2) Have not within a 3-year period preceding this proposal been convicted of or had a civil judgment
rendered against them for commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or
contract under a public transaction; violation of Federal or State antitrust statutes or commission
of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false
statements,or receiving stolen property;
(3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity
(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (2) of
this certification;and
(4) Have not within a 3-year period preceding this contract had one or more public transactions
(Federal, State,or local)terminated for cause or default.
Where the Contractor is unable to certify to any of the statements in this certification, such Contractor
shall attach an explanation.
Name of Contractor(Please print)
Name and Title of Authorized Representative(Please print)
Signature of Authorize Representative
I am unable to certify to the above statement. An explanation is attached.
EXHIBIT C
CERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES
The bidder hereby certifies that, within the three-year period immediately preceding the bid solicitation
date( ), the bidder is not a"willful"violator, as defined in R.C.W 49.48.082, of any provision of
chapters 49.46, 49.48, or 49.52 R.C.W, as determined by a final and binding citation and notice of
assessment issued by the Department of Labor and Industries or through a civil judgment entered by a
court of limited or general jurisdiction.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and
correct.
Bidder's Business Name
Signature of Authorized Official*
Printed Name
Title
Date City State
Check One:
Sole Proprietorship n Partnership n Joint Venture n Corporation n
State of Incorporation, or if not a corporation, State where business entity was formed:
If a co-partnership, give firm name under which business is transacted:
* If a corporation, proposal must be executed in the corporate name by the president or vice-president
(or any other corporate officer accompanied by evidence of authority to sign). If a co-partnership,
proposal must be executed by a partner.
EXHIBIT D
CONTRACT BOND
JEFFERSON COUNTY,WASHINGTON
KNOW ALL MEN BY THESE PRESENTS:
That ,of
as Principal,and ,as Surety,are jointly and severally held and bound unto the
COUNTY OF JEFFERSON,the penal sum of Dollars($), for the payment of
which we jointly and severally bind ourselves,or heirs,executors,administrators,and assigns,and successors and
assigns,firmly by these presents.
The condition of this bond is such that WHEREAS,on the day of ,A.D.,2009,_the said
,Principal herein,executed a certain contract with the County of Jefferson,by
the terms,conditions and provisions of which contract the said Principal herewith,
agrees to furnish all materials and do certain work,to-wit: That the said Principal herein will undertake and complete
the following described work:
in Jefferson County,
Washington, as per maps, plans and specifications made a part of said contract, which contract as so executed, is
hereunto attached,and is now referred to and by this reference is incorporated herein and made a part hereof as full for
all purposes as if here set forth at length.
NOW THEREFORE, if the Principal herein shall faithfully and truly observe and comply with the terms,
conditions and provisions of said contract, in all respects and shall well and truly and fully do and perform all matters
and things by the said Principal undertaken to be performed under said contract,upon the terms proposed therein, and
within the time prescribed therein,and until the same is accepted,and shall pay all laborers,mechanics, subcontractors
and materialmen, and all persons who shall supply such contractor or subcontractor with provisions and supplies for
the carrying on of such work, and shall in all respects faithfully perform said contract according to law, then this
obligation to be void,otherwise to remain in full force and effect.
WITNESS our hands this day of ,200_.
PRINCIPAL SURETY COMPANY
By: By:
By:
Attorney-in-fact
APPROVED AS TO FORM ONLY this
day of ,200_. Address of local office and agent
of surety company:
Prosecuting Attorney
EXHIBIT E
CONTRACTOR'S DECLARATION OF OPTION FOR CONTRACTS FOR LESS THAN $150,000
A. A Contract Bond will be provided as required.
Date Signed
B. In lieu of providing a Contract Bond,the County will withhold 10%of the Contract amount.
Date Signed
EXHIBIT F
CONTRACTOR'S DECLARATION OF OPTION FOR MANAGEMENT OF
STATUTORY RETAINED PERCENTAGE
A. I hereby elect to have the retained percentage of this contract held in a fund by the Owner until
(30)days following final acceptance of the work.
Date Signed
B. I hereby elect to have the Owner deposit the retained percentage of this contract in an interest
bearing account,not subject to withdrawal until after final acceptance of the work.
Date Signed
C. I hereby elect to have the Owner invest the retained percentage of this contract from time to time
as such retained percentage accrues.
I hereby designate as the repository for the escrow of
said funds.
I hereby further agree to be fully responsible for payment of all costs or fees incurred as a result of
placing said retained percentage in escrow and investing it as authorized by statute. The Owner shall not
be liable in any way for any costs or fees in connection therewith.
Date Signed
D. I hereby elect to provide a Retainage Bond in accordance with R.C.W 60.28.011.
Date Signed
miliw
EXHIBIT G
PLAN AND PROCEDURES FOR THE UNANTICIPATED DISCOVERY OF CULTURAL
RESOURCES AND HUMAN SKELETAL REMAINS
Page I1
PLAN AND PROCEDURES FOR THE UNANTICIPATED DISCOVERY OF CULTURAL RESOURCES AND
HUMAN SKELETAL REMAINS
1.INTRODUCTION
The following Unanticipated Discovery Plan (UPD) outlines procedures to follow, in accordance with
state and federal laws, if archaeological materials or human remains are discovered. It is the
responsibility of the grant recipient (Sponsor)to ensure all staff(and subcontracted entities)working on
the project is familiar with this plan.
2. RECOGNIZING CULTURAL RESOURCES
A cultural resource discovery could be prehistoric or historic. Examples include:
• accumulation of shell, burned rocks, or other food related materials,
• bones or small pieces of bone,
• area of charcoal or very dark stained soil with artifacts,
• stone tools or waste flakes (i.e. an arrowhead, or stone chips),
• clusters of tin cans or bottles, logging or agricultural equipment that appears to be older than
50 years,
• buried railroad tracks, decking, or other industrial materials.When in doubt, assume the material
is a cultural resource.
3.ON-SITE RESPONSIBILITIES
STEP 1:STOP WORK.If an employee, contractor, subcontractor or volunteer believes that he or
she has uncovered a cultural resource at any point in the project, all work in the immediate area
of the discovery must stop (typically a 10 foot radius, but depends on site conditions). The
discovery location should be secured at all times.
STEP 2: NOTIFY MONITOR. If there is an archaeological monitor for the project, notify that
person. If there is a monitoring plan in place,the monitor will follow its provisions.
STEP 3: NOTIFY PROJECT MANAGEMENT. Contact the RCO Grants Manager and sponsoring
entity's Project Manager.
Recreation and Conservation Office
RCO Grants Manager
(360)-902-3000
If you can't reach the Grants Manager, contact the project's alternate point of contact or RCO's
Cultural Resources Coordinator
Sarah Thirtyacre
(360) 902-0243
sarah.thirtyacre@irco.wa.gov
The Grants Manager or their designated Alternate Contact will make all other calls and notifications.
Plans Procedures for the Unanticipated Discovery of Cultural Resources or Human Skeletal Remains 2015
Page 12
If human remains are encountered, treat them with dignity and respect at all times. Cover the remains
with a tarp or other materials (not soil or rocks) for temporary protection in place and shield them from
being photographed. Do not call or speak with the media about the remains specifically.
4. FURTHER CONTACTS AND CONSULTATION
A. Project Manager's Responsibilities:
• Protect Find:The grant sponsor's Project Manager is responsible for taking appropriate steps to
protect the discovery site.All work will stop in an area adequate for the total security,
protection, and integrity of the resource.Vehicles, equipment, and unauthorized personnel will
not be permitted to traverse the discovery site.Work in the immediate area will not resume until
treatment of the discovery has been completed following provisions for treating
archaeological/cultural material as set forth in this document.
• Direct Construction Elsewhere On-site: The grant sponsor's Project Manager may direct
construction away from cultural resources to work in other areas prior to contacting the
concerned parties.
• Contact the Department of Archaeology and Historic Preservation (DAHP): If the DAHP has not
yet been contacted;the RCO Grants Manager will do so.
• Identify Find: The grant sponsor's Project Manager and RCO will ensure that a qualified
professional archaeologist examines the find to determine if it is archaeological.This will either
be an archaeological consultant hired by the Project or staff from DAHP.
• If the discovery is determined not archaeological,work may proceed with no
further delay.
• If the discovery is determined to be archaeological, the Project Manager will
continue with notification.
• If the discovery is human remains or funerary objects, the Project Manager will
ensure that the DAHP State Physical Anthropologist examines the find. If the
discovery is determined to be human remains, the procedure described in
Section 5 will be followed.
• Notify DAHP: The grant sponsor's Project Manager and RCO will contact the involved federal or
permitting agencies (if any) and the Department of Archaeology and Historic Preservation
(DAHP).
Department of Archaeology and Historic Preservation:
Robert G.Whitlam, Ph.D. Dr. Guy Tasa
State Archaeologist State Physical Anthropologist
(360) 586-3080 (360) 586-3534
rob.whitlam@dahp.wa.gov guy.tasa@dahp.wa.gov
The RCO will contact the interested and affected Tribes.
Plans Procedures for the Unanticipated Discovery of Cultural Resources or Human Skeletal Remains 2015
Page 13
B. Further Activities
• Archaeological discoveries will be documented as described in Section 6.
• Construction in the discovery area may resume as described in Section 7.
5. SPECIAL PROCEDURES FOR THE DISCOVERY OF HUMAN SKELETAL MATERIAL
Any human skeletal remains, regardless of antiquity or ethnic origin,will at all times be treated with
dignity and respect.
• If the project occurs on federal lands (e.g., national forest or park, military reservation) or Indian
lands (e.g., reservations, allotments, communities)the provisions of the Native American Graves
Protection and Repatriation Act of 1990 apply, and the responsible federal agency will follow its
provisions. Note that state highways that cross federal and Indian lands are on easements and
are not owned by the state.
• If the project occurs on non-federal lands, it will comply with applicable state laws, and the
following procedure:
A. Notify Law Enforcement Agency or Coroner's Office:
• In addition to the actions described in Sections 3 and 4,the Project Manager will
immediately notify the local law enforcement agency or coroner's office.
• The coroner(with assistance of law enforcement personnel) will determine if the
remains are human,whether the discovery site constitutes a crime scene, and
will notify DAHP.
B. Participate in Consultation:
• Per RCW 27.44.055, RCW 68.50, and RCW 68.60, DAHP will have jurisdiction over
non-forensic human remains.
C. Further Activities:
• Documentation of human skeletal remains and funerary objects will be agreed
upon through the consultation process described in RCW 27.44.055, RCW 68.50,
and RCW 68.60.
• When consultation and documentation activities are complete, construction in
the discovery area may resume as described in Section 7.
6. DOCUMENTATION OF ARCHAEOLOGICAL MATERIALS
Archaeological deposits discovered during construction will be assumed eligible for inclusion in the
National Register of Historic Places under Criterion D per 36CFR800.13(c) until a formal Determination
of Eligibility is made. If the project does not have a federal nexus/compliance requirement, contact the
Project Manager or DAHP regarding the possible need for an Emergency Excavation Permit per RCW
27.53. In general, expect that:
• All prehistoric and historic cultural material discovered during project construction will be
recorded by a professional archaeologist on State of Washington cultural resource site or isolate
form using standard techniques. Site overviews,feature, and artifacts will be photographed;
stratigraphic profiles and soil/sediment descriptions will be prepared for subsurface exposures.
Discovery locations will be documented on scaled site plans and site location maps.
Plans Procedures for the Unanticipated Discovery of Cultural Resources or Human Skeletal Remains 2015
Page 14
• Cultural features, horizons and artifacts detected in buried sediments may require further
evaluation using hand-dug test units. Units may be dug in controlled fashion to expose
features, collect samples from undisturbed contexts, or interpret complex stratigraphy. A test
excavation unit or small trench might also be used to determine if an intact occupation surface
is present. Test units will be used only when necessary to gather information on the nature,
extent and integrity of subsurface cultural deposits to evaluate the site's significance.
Excavations will be conducted using state-of-the-art techniques for controlling provenience.
• Spatial information, depth of excavation levels, natural and cultural stratigraphy, presence or
absence of cultural material, and depth to sterile soil, regolith, or bedrock will be recorded for
each probe on a standard form. Test excavation units will be recorded on unit-level forms,
which include plan maps for each excavated level, and material type, number, and vertical
provenience (depth below surface and stratum association where applicable) for all artifacts
recovered from the level. A stratigraphic profile will be drawn for at least one wall of each test
excavation unit.
• Sediments excavated for purposes of cultural resources investigation will be screened through
1/8-inch mesh, unless soil conditions warrant 1/4-inch mesh.
• All prehistoric and historic artifacts collected from the surface and from probes and excavation
units will be analyzed, catalogued, and temporarily curated. Ultimate disposition of cultural
materials will be determined in consultation with the federal agencies (if any), DAHP, and the
affected tribes.
If assessment activity exposes human remains (burials, isolated teeth, or bones), the process described
in Section 5 above will be followed.
7. PROCEEDING WITH CONSTRUCTION
Project construction outside the discovery location may continue while documentation and assessment
of the cultural resources proceed. A Cultural Resources Specialist (either from DAHP, a consulting Tribe,
or a professional consultant) must determine the boundaries of the discovery location. In consultation
with DAHP and affected tribes,the RCO and the grants sponsor will determine the appropriate level of
documentation and treatment of the resource. If federal agencies are involved,the agencies will make
the final determinations about treatment and documentation.
Construction may continue at the discovery location only after the process outlined in this plan is
followed and DAHP (and the federal agencies, if any) determine that compliance with state and federal
laws is complete.
Plans Procedures for the Unanticipated Discovery of Cultural Resources or Human Skeletal Remains 2015
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EXHIBIT H
ASBESTOS INSPECTION AND LAB REPORTS
NWA
ENVIRONMENTAL
Surveys. Inspections. Sampling
AHERA Building Inspector/Mgmt Planner
EPA Certification AHERA1016201580
97 Fir Circle Port Hadlock WA 98339
chadwitheridge@gmail.com
(360)531-4636
Date: 10/2/2019
Job location: 151 Freemont St Quilcene WA
Owner: Jefferson County Public Health
Subject: Inspection for Demolition
Inspector: Chad Witheridge
EPA AHERA -Building Inspector
#1016201580
Expires- 10/20/2019
Asbestos Bulk Sample Data
NWA ENVIRONMENTAL
Surveys. Inspections. Sampling
AHERA Building Inspector/Mgmt Planner
EPA Certification AHERA1016201580
EPA Certification WAMOA-0042
97 Circle Port Hadlock WA 98339
chadwitheridge@gmail.com
(360)531-4636
Samples were sent to EMLAB P&K
Dates: 9/25/2019
Job location: 151 Freemont St Quilcene WA
Owner: Jefferson County Public Health
Subject: Inspection for Demolition
Samples
51: Living Room Floor
S2: Dining Room Floor
S3: Dining Room Top Layer
S4: Kitchen Drywall
S5: Bedroom Vinyl
S6: Bedroom Drywall
S7: Living Room Drywall
S8: Utility Room Vinyl
S9: Window Glazing
S10: Window Glazing
S11: Home Siding
Inspector: Chad Witheridge
EPA AHERA -Building Inspector
#1016201580
Expires- 10/20/2019
Scope of Work:
1) Good faith inspection for asbestos containing building material (ACBM).
2) Survey, sample and record suspect materials of requested area only.
3) Report to Jefferson County Public Health with results.
Inspection Report:
600 square foot single level residential home. Cement asbestos board siding, composition
roof,wood windows. Inside wood and vinyl flooring, drywall throughout,drywall in
living room and kitchen multiple patched material. Utility room is about 60 square feet of
vinyl material. All materials in good condition and identified.
U
NWA
ENVIRONMENTAL
Surveys. Inspections. Sampling
AHERA Building Inspector/Mgmt Planner
EPA Certification AHERA 1016201580
EPA Certification WAMOA-0042
97 Fir Circle Port Hadlock WA 98339
chadwitheridge@gmail.com
(360)531-4636
Date: 10/2/2019
Job location: 151 Freemont St Quilcene WA
Owner: Jefferson County Public Health
Subject: Inspection for Demolition
Inspector: Chad Witheridge
EPA AHERA -Building Inspector
#1016201580
Expires- 10/20/2019
Summary: ND=No Asbestos Detected
Sl: Living Room Floor ND
S2: Dining Room Floor ND
S3: Dining Room Top Layer ND
S4: Kitchen Drywall ND
S5: Bedroom Vinyl ND
S6: Bedroom Drywall ND
S7: Living Room Drywall
Off-white compound 2%Chrysotile
S8: Utility Room Vinyl 20%Chrysotile
S9: Window Glazing 2%Chrysotile
S10: Window Glazing ND
S11: Home Siding 15%Chrysotile
All asbestos containing building materials with a reading greater than 1%is considered a
hazardous material if disturbed.
If removed the owner or certified abatement contractor must follow the rules of the EPA
and governed by Olympic Region Clean Air Agency.
During renovation it is possible that additional suspect ACBM may be found. Should
such suspect material be discovered an AHERA certified inspector will have to sample
and test the material to prove it is of non asbestos.
Northwest Asbestos Environmental is not responsible for identification of hidden
materials that are not identifiable with reasonable diligence.
Thank you,
Chad Witheridge Building Inspector EPA Certification AHERA10162015
NWA
ENVIRONMENTAL
Surveys. Inspections. Sampling
AHERA Building Inspector/Mgmt Planner
EPA Certification AHERA1016201580
97 Fir Circle Port Hadlock WA 98339
chadwitheridge@gmail.com
(360)531-4636
Date: 2/4/2020
Job location: 151 Freemont St Quilcene, WA
Owner: Jefferson County Public Health
Subject: Inspection for Demolition
Inspector: Chad Witheridge
EPA AHERA -Building Inspector
#1016201580
Expires- 10/20/2020
Asbestos Bulk Sample Data
NWA ENVIRONMENTAL
Surveys. Inspections. Sampling
AHERA Building Inspector/Mgmt Planner
EPA Certification AHERA1016201580
EPA Certification WAMOA-0042
97 Circle Port Hadlock WA 98339
chadwitheridge@gmail.com
(360)531-4636
Samples were sent to EMLAB P&K
Dates: 1/27/2020
Job location: 151 Freemont St Quilcene, WA
Owner: Jefferson County Public Health
Subject: Inspection for Demolition
Samples
S1: Bedroom Drywall
S2: Living Room Drywall
Inspector: Chad Witheridge
EPA AHERA -Building Inspector
#1016201580
Expires- 10/20/2020
Scope of Work:
1) Good faith inspection for asbestos containing building material(ACBM).
2) Survey, sample and record suspect materials of requested area only.
3) Report to Jefferson County Public Health with results.
Inspection Report:
Initial inspection came back at 2%Chrysotile Asbestos in Joint compound. Point count
samples were taken to prove of its positive result. Results did prove in the joint
compound only there is a positive result.
NWA
ENVIRONMENTAL
Surveys. Inspections. Sampling
AHERA Building Inspector/Mgmt Planner
EPA Certification AHERA1016201580
EPA Certification WAMOA-0042
97 Fir Circle Port Hadlock WA 98339
chadwitheridge@gmail.com
(360)531-4636
Date: 2/4/2020
Job location: 151 Freemont St Quilcene, WA
Owner: Jefferson County Public Health
Subject: Inspection for Demolition
Inspector: Chad Witheridge
EPA AHERA -Building Inspector
#1016201580
Expires- 10/20/2020
Summary: ND=No Asbestos Detected
S 1: Bedroom Drywall 2%Chrysotile
S2: Living Room Drywall 2%Chrysotile
All asbestos containing building materials with a reading greater than 1%is considered a
hazardous material if disturbed.
If removed the owner or certified abatement contractor must follow the rules of the EPA
and governed by Olympic Region Clean Air Agency.
During renovation it is possible that additional suspect ACBM may be found. Should
such suspect material be discovered an AHERA certified inspector will have to sample
and test the material to prove it is of non asbestos.
Northwest Asbestos Environmental is not responsible for identification of hidden
materials that are not identifiable with reasonable diligence.
Thank you,
Chad Witheridge Building Inspector EPA Certification AHERA 10162015
%*: eurofins
EMLab P&K
Report for:
Chad Witheridge
NW Asbestos
97 fir circle
Port Hadlock, WA 98339
Regarding: Project: 151 Freeamart
EML ID: 2274695
Approved by: Dates of Analysis:
Asbestos PLM: 10-16-2019
Approved Signatory
Noah Lazarte
Service SOPs:Asbestos PLM (EPA 40CFR App E to Sub E of Part 763&EPA METHOD 600/R-93-116,SOP EM-AS-S-1267)
All samples were received in acceptable condition unless noted in the Report Comments portion in the body of the report.The
results relate only to the samples as received.The results include an inherent uncertainty of measurement associated with
estimating percentages by polarized light microscopy. Measurement uncertainty data for sample results with>1%asbestos
concentration can be provided when requested.
Eurofins EMLab P&K("the Company")shall have no liability to the client or the client's customer with respect to decisions or
recommendations made,actions taken or courses of conduct implemented by either the client or the client's customer as a result
of or based upon the Test Results. In no event shall the Company be liable to the client with respect to the Test Results except for
the Company's own willful misconduct or gross negligence nor shall the Company be liable for incidental or consequential
damages or lost profits or revenues to the fullest extent such liability may be disclaimed by law,even if the Company has been
advised of the possibility of such damages, lost profits or lost revenues. In no event shall the Company's liability with respect to the
Test Results exceed the amount paid to the Company by the client therefor.
EMLab P&K,LLC EMLab ID:2274695, Page 1 of 2
Eurofins EMLab P&K
4955 Yarrow Street, Arvada, CO 80002
(800) 651-4802 Fax(623) 780-7695 www.emlab.com
Client: NW Asbestos
C/O: Chad Witheridge Date of Receipt: 10-14-2019
Re: 151 Freeamart Date of Report: 10-17-2019
ASBESTOS PLM REPORT
Total Samples Submitted: 2
Total Samples Analyzed: 2
Total Samples with Layer Asbestos Content>1%: 2
Location: Sl,Bedroom Drywall Lab 1D-Version$:10815381-1
Sample Layers Asbestos Content
White Drywall with Brown Paper ND
Off-White Compound with Paint 2%Chrysotile
Composite Non-Asbestos Content: 10%Cellulose
Sample Composite Homogeneity: Moderate
Location: S2,Living Room Drywall Lab ID-Version$: 10815382-1
Sample Layers Asbestos Content
White Drywall with Brown Paper ND
Off-White Compound with Paint 2%Chrysotile
Composite Non-Asbestos Content: 10%Cellulose
Sample Composite Homogeneity: Moderate
The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to
claim product certification,approval,or endorsement by any agency of the federal government.Eurofins EMLab P&K reserves the right to
dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.When
detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor tile samples may contain large
amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection
limit and to aid in asbestos identification.
$A"Version"indicated by-"x"after the Lab ID#with a value greater than 1 indicates a sample with amended data. The revision number is
reflected by the value of"x".
EMLab P&K,LLC EMLab ID:2274695,Page 2 of 2
••
%:4 eurofins
EMLab PFAK
Report for:
Chad Witheridge
NW Asbestos
97 fir circle
Port Hadlock, WA 98339
Regarding: Project: 151 Freemont St Quilcene
EML ID: 2341638
Approved by: Dates of Analysis:
Asbestos PLM:01-30-2020
0\dek-
Approved Signatory
Amber Rutter
Service SOPs:Asbestos PLM(EPA 40CFR App E to Sub E of Part 763&EPA METHOD 600/R-93-116,SOP EM-AS-S-1267)
NVLAP Lab Code 500053-0
All samples were received in acceptable condition unless noted in the Report Comments portion in the body of the report.The
results relate only to the samples as received.The results include an inherent uncertainty of measurement associated with
estimating percentages by polarized light microscopy. Measurement uncertainty data for sample results with>1%asbestos
concentration can be provided when requested.
Eurofins EMLab P&K("the Company")shall have no liability to the client or the client's customer with respect to decisions or
recommendations made,actions taken or courses of conduct implemented by either the client or the client's customer as a result
of or based upon the Test Results. In no event shall the Company be liable to the client with respect to the Test Results except for
the Company's own willful misconduct or gross negligence nor shall the Company be liable for incidental or consequential
damages or lost profits or revenues to the fullest extent such liability may be disclaimed by law,even if the Company has been
advised of the possibility of such damages,lost profits or lost revenues. In no event shall the Company's liability with respect to the
Test Results exceed the amount paid to the Company by the client therefor.
EMLab P&K,LLC EMLab ID:2341638, Page 1 of 2
Eurofins EMLab P&K
4955 Yarrow Street,Arvada, CO 80002
(800) 651-4802 Fax(623)780-7695 www.emlab.com
Client: NW Asbestos
C/O: Chad Witheridge Date of Receipt: 01-27-2020
Re: 151 Freemont St Quilcene Date of Report: 01-30-2020
ASBESTOS PLM REPORT
Total Samples Submitted: 2
Total Samples Analyzed: 2
Total Samples with Layer Asbestos Content> 1%: 2
Location: Si,Bedroom Drywall Lab ID-Version$:11149995-1
Sample Layers Asbestos Content
White Drywall with Brown Paper ND
Off-White Compound with Paint 2%Chrysotile
Composite Non-Asbestos Content: 10%Cellulose
Sample Composite Homogeneity: Moderate
Location: S2,Living Rm Drywall Lab ID-Version$:11149997-1
Sample Layers Asbestos Content
White Drywall with Brown Paper ND
Off-White Compound with Paint 2%Chrysotile
Composite Non-Asbestos Content: 10%Cellulose
Sample Composite Homogeneity: Moderate
The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to
claim product certification,approval,or endorsement by any agency of the federal government.Eurofins EMLab P&K reserves the right to
dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.When
detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor tile samples may contain large
amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection
limit and to aid in asbestos identification.
$A"Version"indicated by-"x"after the Lab ID#with a value greater than 1 indicates a sample with amended data. The revision number is
reflected by the value of"x".
EMLab P&K,LLC EMLab ID:2341638,Page 2 of 2
tiaeurofins
EMLab P&K
Report for:
Chad Witheridge
NW Asbestos
97 fir circle
Port Hadlock, WA 98339
Regarding: Project: 151 Freemont St Quilcene
EML ID: 2341638
Approved by: Dates of Analysis:
Asbestos-EPA 400 point count:01-30-2020
Approved Signatory
Amber Rutter
Service SOPs:Asbestos-EPA 400 point count(EPA 40CFR App E to Sub E of Part 763&EPA METHOD 600/R-93-116, SOP EM-
AS-S-1262)
NVLAP Lab Code 500053-0
All samples were received in acceptable condition unless noted in the Report Comments portion in the body of the report. Due to
the nature of the analyses performed,field blank correction of results is not applied.The results relate only to the samples as
received.
Eurofins EMLab P&K("the Company")shall have no liability to the client or the client's customer with respect to decisions or
recommendations made,actions taken or courses of conduct implemented by either the client or the client's customer as a result
of or based upon the Test Results. In no event shall the Company be liable to the client with respect to the Test Results except for
the Company's own willful misconduct or gross negligence nor shall the Company be liable for incidental or consequential
damages or lost profits or revenues to the fullest extent such liability may be disclaimed by law,even if the Company has been
advised of the possibility of such damages, lost profits or lost revenues. In no event shall the Company's liability with respect to the
Test Results exceed the amount paid to the Company by the client therefor.
EMLab P&K,LLC EMLab ID:2341638, Page 1 of 2
Eurofins EMLab P&K
4955 Yarrow Street,Arvada, CO 80002
(800)651-4802 Fax(623) 780-7695 www.emlab.com
Client:NW Asbestos
C/O: Chad Witheridge Date of Receipt: 01-27-2020
Re: 151 Freemont St Quilcene Date of Report: 01-30-2020
ASBESTOS POINT COUNT REPORT
Location: SI
Bedroom Drywall
Total Points Counted: 400
Lab ID-Version$: 11149996-1
Sample Layers Asbestos Type Asbestos Points Asbestos
Counted Concentration (%)
Off-White Compound Chrysotile 8 2
Layer Totals: 8 2
Location: S2
Living Rm Drywall
Total Points Counted: 400
Lab ID-Version$: 11149998-1
Sample Layers Asbestos Type Asbestos Points Asbestos
Counted Concentration (%)
Off-White Compound Chrysotile 9 2.25
Layer Totals: 9 2.25
The analytical sensitivity is 1 asbestos point.The limit of detection is 1 asbestos point divided by the total number of points counted and
multiplied by 100.
The results relate only to the items tested.Interpretation is left to the company and/or persons who conducted the field work.The test report
shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to claim product
certification,approval,or endorsement by any agency of the federal government.
All samples were received in acceptable condition unless otherwise noted.Eurofins EMLab P&K reserves the right to dispose of all samples
after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified.
Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point
count analysis to lower the detection limit and to aid in asbestos identification.
$A"Version"indicated by-"x"after the Lab ID#with a value greater than 1 indicates a sample with amended data. The revision number is
reflected by the value of"x".
EMLab P&K,LLC EMLab ID:2341638,Page 2 of 2
ti;. eurofins
EMLab P&K
Report for:
Chad Witheridge
NW Asbestos
97 fir circle
Port Hadlock, WA 98339
Regarding: Project: 151 Freemont St Quilcene WA
EML ID: 2260881
Approved by: Dates of Analysis:
Asbestos PLM:09-25-2019
Approved Signatory
Noah Lazarte
Service SOPs:Asbestos PLM (EPA 40CFR App E to Sub E of Part 763&EPA METHOD 600/R-93-116,SOP EM-AS-S-1267)
All samples were received in acceptable condition unless noted in the Report Comments portion in the body of the report.The
results relate only to the samples as received.The results include an inherent uncertainty of measurement associated with
estimating percentages by polarized light microscopy. Measurement uncertainty data for sample results with>1%asbestos
concentration can be provided when requested.
Eurofins EMLab P&K("the Company")shall have no liability to the client or the client's customer with respect to decisions or
recommendations made,actions taken or courses of conduct implemented by either the client or the client's customer as a result
of or based upon the Test Results. In no event shall the Company be liable to the client with respect to the Test Results except for
the Company's own willful misconduct or gross negligence nor shall the Company be liable for incidental or consequential
damages or lost profits or revenues to the fullest extent such liability may be disclaimed by law,even if the Company has been
advised of the possibility of such damages,lost profits or lost revenues. In no event shall the Company's liability with respect to the
Test Results exceed the amount paid to the Company by the client therefor.
EMLab P&K,LLC EMLab ID:2260881, Page 1 of 4
Eurofins EMLab P&K
4955 Yarrow Street,Arvada, CO 80002
(800) 651-4802 Fax(623) 780-7695 www.emlab.com
Client: NW Asbestos
C/O: Chad Witheridge Date of Receipt: 09-25-2019
Re: 151 Freemont St Quilcene WA Date of Report: 09-30-2019
ASBESTOS PLM REPORT
Total Samples Submitted: 11
Total Samples Analyzed: 11
Total Samples with Layer Asbestos Content> 1%: 4
Location: Sl,Living Rm Floor Lab ID-Version$:10750688-1
Sample Layers Asbestos Content
Brown Sheet Flooring with Fibrous Backing ND
Composite Non-Asbestos Content: 20%Synthetic Fibers
10%Cellulose
Sample Composite Homogeneity: Good
Location: S2,Dining Rm Floor Lab 1D-Version$:10750689-1
Sample Layers Asbestos Content
Multicolored Sheet Flooring with Fibrous Backing ND
Composite Non-Asbestos Content: 20%Synthetic Fibers
10%Cellulose
Sample Composite Homogeneity: Good
Location: S3,Dining Rm Top Layer Lab ID-Version$:10750690-1
Sample Layers Asbestos Content
Off-White Sheet Flooring ND
Semi-Transparent Mastic ND
Tan Sheet Flooring ND
Sample Composite Homogeneity: Poor
Location: S4,Kitchen Drywall Lab 1D-Version$:10750691-1
Sample Layers Asbestos Content
White Drywall with Brown Paper and Paint ND
Composite Non-Asbestos Content: 10%Cellulose
Sample Composite Homogeneity: Good
The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to
claim product certification,approval,or endorsement by any agency of the federal government.Eurofins EMLab P&K reserves the right to
dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.When
detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor tile samples may contain large
amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection
limit and to aid in asbestos identification.
$A"Version"indicated by-"x"after the Lab ID#with a value greater than 1 indicates a sample with amended data. The revision number is
reflected by the value of"x".
EMLab P&K,LLC EMLab ID:2260881,Page 2 of 4
Eurofins EMLab P&K
4955 Yarrow Street,Arvada, CO 80002
(800)651-4802 Fax(623) 780-7695 www.emlab.com
Client: NW Asbestos
C/O: Chad Witheridge Date of Receipt: 09-25-2019
Re: 151 Freemont St Quilcene WA Date of Report: 09-30-2019
ASBESTOS PLM REPORT
Location: S5,Bedroom Vinyl Lab ID-Version$:10750692-1
Sample Layers Asbestos Content
Beige Sheet Flooring ND
Semi-Transparent Mastic ND
Sample Composite Homogeneity: Moderate
Location: S6,Bedroom Drywall Lab ID-Version$:10750693-1
Sample Layers Asbestos Content
White Drywall with Brown Paper and Paint ND
Composite Non-Asbestos Content: 10%Cellulose
Sample Composite Homogeneity: Good
Location: S7,Living Rm Drywall Lab ID-Version$:10750694-1
Sample Layers Asbestos Content
White Drywall with Brown Paper ND
Off-White Compound with Paint 2%Chrysotile
Composite Non-Asbestos Content: 10%Cellulose
Sample Composite Homogeneity: Moderate
Location: S8,Utility Rin Vinyl Lab ID-Version$:10750695-1
Sample Layers Asbestos Content
Multicolored Sheet Flooring with Fibrous Backing 20%Chrysotile
Brown Wood ND
Composite Non-Asbestos Content: 15%Cellulose
Sample Composite Homogeneity: Poor
The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to
claim product certification,approval,or endorsement by any agency of the federal government.Eurofins EMLab P&K reserves the right to
dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.When
detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor tile samples may contain large
amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection
limit and to aid in asbestos identification.
$A"Version"indicated by-"x"after the Lab ID#with a value greater than 1 indicates a sample with amended data. The revision number is
reflected by the value of"x".
EMLab P&K,LLC EMLab ID:2260881,Page 3 of 4
Eurofins EMLab P&K
4955 Yarrow Street,Arvada, CO 80002
(800)651-4802 Fax(623) 780-7695 www.emlab.com
Client: NW Asbestos
C/O: Chad Witheridge Date of Receipt: 09-25-2019
Re: 151 Freemont St Quilcene WA Date of Report: 09-30-2019
ASBESTOS PLM REPORT
Location: S9,Window Glazing Lab ID-Version$: 10750696-1
Sample Layers Asbestos Content
Beige Window Glazing with Paint 2%Chrysotile
Sample Composite Homogeneity: Good
Location: S10,Window Glazing Lab ID-Version$: 10750697-1
Sample Layers Asbestos Content
White Window Putty with Paint ND
Sample Composite Homogeneity: Good
Location: S11,Home Siding Lab ID-Version$: 10750698-1
Sample Layers Asbestos Content
Gray Transite with Paint 15%Chrysotile
Sample Composite Homogeneity: Good
The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to
claim product certification,approval,or endorsement by any agency of the federal government.Eurofins EMLab P&K reserves the right to
dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.When
detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor tile samples may contain large
amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection
limit and to aid in asbestos identification.
$A"Version"indicated by-"x"after the Lab ID#with a value greater than 1 indicates a sample with amended data. The revision number is
reflected by the value of"x".
EMLab P&K,LLC EMLab ID:2260881,Page 4 of 4