HomeMy WebLinkAboutJefferson Land Trust, Winona Basin-Bloedel - 111411JEFFERSON COUNTY CONSERVATION FUTURES PROGRAM
PROJECT AGREEMENT
Project Sponsor: Jefferson Land Trust
Project Title: Winona Basin - Bloedel Project
Project Number: 2011JLTWin
Approval: Resolution No. 27-11 on June 27, 2011
A. Parties to the Agreement
This Project Grant Agreement (Agreement) is entered into between County of Jefferson (County), PO
Box 1220, Port Townsend, Washington 98368 and Jefferson Land Trust (Sponsor), 1033 Lawrence
Street, Port Townsend, WA 98368, and shall be binding upon the agents and all persons acting by or
through the parties.
B. Purpose of the Agreement
This Agreement sets out the terms and conditions by which a grant is made through the Jefferson
County Conservation Futures Fund. The grant is administered by Jefferson County Environmental
Health for the Sponsor for the project named above.
C. Description of Project
The subject Project is described in the attached 2011 Conservation Project Application for the
Winona Basin - Bloedel Project. Conservation Futures Fund ("CFF") from Jefferson County in an
amount not to exceed $42,100 will be used towards fee simple acquisition of the real property known
in the records of the Jefferson County Assessor as APN 951-902-402 and $600 to reimburse for
operations and maintenance expenses incurred before June 27, 2021.
D. Term of Agreement
The Project Sponsor's on -going obligation for the above project funded by this Agreement is to
provide maintenance of the site or facility to serve the purpose for which it was intended in perpetuity
unless otherwise identified in this Agreement.
E. Period of Performance
The Project reimbursement period for acquisition expenses shall begin on June 27, 2011. The Project
reimbursement period for acquisition expenses will end on June 27, 2014 unless proof of match is
provided prior to this date. No expenditure made before June 27, 2011 is eligible for reimbursement
unless incorporated by written amendment into this Agreement.
F. Project Funding
The total grant award provided by the Conservation Futures Fund (CFF) for the Project shall not
exceed $42,700 and Jefferson County CFF shall not pay any amount beyond that approved herein for
funding of the Project. The Sponsor shall be responsible for all total costs for the Project that exceeds
$100,800. In no event will the CFF funds expended for this purchase exceed forty-two percent (42%)
of the overall acquisition cost of APN 951-902-402. This Project is eligible for reimbursement of
capital project and operations and maintenance expenditures as described in the Jefferson County
Conservation Futures Program Manual for the 2011 Funding Cycle.
The contribution by the Sponsor toward work on the Project at a minimum shall be as indicated
below. The contribution by the County toward work on the Project is described immediately above
and in "C" above.
Acquisition
Percentage
Dollar Amount
Conservation Futures — Winona Basin - Bloedel
42%
$42,100
Project Sponsor
58%
$57,500
(42,100 banked
land value +
$15,400 cash)
Total Project Contribution Cost
100%
$99,600
Operations and Maintenance
Percentage
Dollar Amount
Conservation Futures — Winona. Basin - Bloedel
50%
$600
Project Sponsor
50%
$600
Total Operations and Maintenance Cost
100%
$1,200
G. Unexpended Project Allocations
Should unexpected Project allocations, including, but not limited to project completion at less than
the estimated cost or, alternatively, the abandonment of the Project occur, then the Sponsor shall
notify the County.
H. Rights and Obligations
All rights and obligations of the parties to this Agreement are subject to this Agreement and its
attachments, including the Sponsor's Application and Jefferson County Conservation Futures
Program Manual for the 2011 Funding Cycle, all of which are attached hereto and incorporated
herein.
Except as provided herein, no alteration of any of the terms or conditions of this Agreement will be
effective unless provided in writing. All such alterations, except those concerning the period of
performance, must be signed by both parties. Period of performance extensions need only be signed
by Jefferson Board of County Commissioners.
I. Indemnification
Sponsor shall indemnify, defend and hold harmless the County, its officers, agents and
employees, from and against any and all claims, losses or liability, or any portion thereof,
including attorneys fees and costs, arising from injury or death to persons, including injuries,
sickness, disease or death to Sponsor's own employees, or damage to property occasioned by
a negligent act, omission or failure of the Sponsor.
J. Insurance
The Sponsor shall secure and maintain in force throughout the duration of this contract:
1. Worker's compensation and employer's liability insurance as required by the
State of Washington.
2. Comprehensive general liability insurance with a minimum coverage of
$1,000,000 per occurrence and $2,000,000 aggregate in connection with the
Sponsor's performance of this Agreement.
3. Commercial Automobile Liability Insurance providing bodily injury and property
damage liability converge 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.
4. Sponsor shall provide all required proofs of insurance to the County in care of,
Contracts Manager at Jefferson County Public Health, 615 Sheridan St. Port
Townsend, WA 98368 prior to fee simple acquisition of APN 951-902-402.
K. Ownership and Use of Documents
All documents, drawings, specifications and other materials produced by the Sponsor in
connection with the services rendered under this agreement shall be the property of the
Sponsor whether the project for which they are made is executed or not. The County shall be
permitted to retain copies, including reproducible copies, of drawings and specifications for
information, reference, and use in connection with the Sponsor's endeavors.
L. Compliance with Applicable Statutes, Rules, and Jefferson County Policies
This Agreement is governed by, and the Sponsor shall comply with, all applicable state and federal
laws and regulations, including RCW 84.34.210, and published agency policies, which are
incorporated herein by this reference as if fully set forth.
M. Sponsor's Accounting Books and Records
The Sponsor shall maintain complete financial records relating to this contract and the
services rendered including all books, records, documents, receipts, invoices, and all other
evidence of accounting procedures and practices which sufficiently and properly reflect all
direct and indirect cost of any nature expended in the performance of this contract. The
Sponsor'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 the
date of the final payment to Sponsor. Copies shall be made available upon request.
N. Licensing, Accreditation and Registration
The Sponsor shall comply with all applicable local, state and federal licensing, accreditation,
permitting, and registration requirement/standards necessary for the performance of this
contract.
O. Disputes
Except as otherwise provided in this contract, when a bona fide dispute arises between
Jefferson County and the Sponsor and it cannot be resolved, either party may request a
dispute hearing with a mediator assigned by or associated with Jefferson County District
Court. Either party's request for a dispute hearing must be in writing and clearly state:
a. the disputed issue(s),
b. the relative positions of the parties, and
c. the Sponsor's name, address and Agency contact number
These requests must be mailed to the Project Manager, Jefferson County Environmental
Health Department, 615 Sheridan St., Port Townsend, WA 98368, within fifteen (15) days
after either party received notice of the disputed issue(s). The parties agree that this dispute
process shall precede any action in a judicial or quasi-judicial tribunal. The parties will split
evenly the cost of mediation or whatever form of dispute resolution is used.
P. Termination for funding
Jefferson County may unilaterally terminate this contract in the event funding from state,
federal, or other sources are withdrawn, reduced, or limited in any way after the effective date
of this contract.
Q. Termination for Convenience
The County reserves the right to terminate this agreement at any time by giving ten (10) days
written notice to the Sponsor.
R. Assignment
The Sponsor shall not sublet or assign any interest in this Agreement, and shall not transfer
any interest in this agreement without the express written consent of the County.
S. 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.
T. County Does Not Assume Additional Duties
The County does not assume any obligation or duty, except as required by federal or state
law, to determine if Sponsor is complying with all applicable statutes, rules, codes ordinances
or permits.
U. Agreement Representatives
All written communications sent to the Sponsor under this Agreement will be addressed and delivered
to:
Sponsor Contact
Sarah Spaeth, Executive Director
Jefferson Land Trust
1033 Lawrence St.
Port Townsend, WA 98368
Conservation Futures Program Contact
Jefferson County Environmental
Health — Conservation Futures
615 Sheridan Street
Port Townsend, WA 98368
These addresses shall be effective until receipt by one party from the other of a written notice of any
change.
V. Entire Agreement/Severability
This agreement, along with all attachments, constitutes the entire agreement of the parties. No other
understandings, oral or otherwise, regarding this Agreement shall exist or bind any of the parties. If
any part of this Agreement is ruled or adjudicated to be unlawful or void, all other sections of this
Agreement shall continue to have full force and effect.
W. Effective Date
This agreement, for the Salmon Creek Riparian Acquisition shall be effective upon signing by all
parties.
X. Venue:
Venue for any litigation arising from this Project Agreement shall be only in the Superior Court In
and for Jefferson County. Each party to this agreement shall be responsible for their litigation costs,
including attorney's fees.
DATED this +1
day of c J ,'&1, ') Q_:V' 2011.
By l
John ustin, Chair
Jeffe on Board of County Commissioners
By l>w.�-Pow s .y—\�,
Owen Fairbank
Jefferson Land Trust
.,Attested ,
roveas to r-)
David Alvarez, Chief Civdf"IPA
s 2011 Jefferson County Conservation Futures Program
w `n; — Property Acquisition and/or
-C
3,
IN GOperations and Maintenance Project Application
'fSH 1 �° _ .
Please complete the following application.in its entirety. Unless directed otherwise, use as much space
as needed to answer each question. Incomplete applications will not be accepted for consideration.
1. Project Title: Winona Basin - Bloedel
2. Conservation Futures Acquisition Request: $42,100.00
3. Conservation Futures O&M Request: $600.00
4. Please indicate the type of interest contemplated in the acquisition process.
X Warranty Deed Easement _ Other (Please describe below.)
In whose name will the property title be held after acquisition?
City of Port Townsend
5. Applicant Information:
Name of Applicant or Organization: City of Port Townsend
Contact: Rick Sepler
Title: Director of Development Services
Address: 250 Madison Street, Port Townsend, WA 98368
Phone: (360) 379-5081, ext. Fax: (360) 344-4619, ext. _
Email: rsepler@cityofpt.us
6. Sponsor Information: (if different than applicant)
Organization Name: Jefferson Land Trust
Contact: Sarah Spaeth
Title: Executive Director
Address: 1033 Lawrence Street, Port Townsend, WA 98368
Phone: (360) 379-9501, ext. 101 Fax: (360) 379-9897
Email: sspaeth@saveland.org
This application was approved by the sponsor's legally responsible body (e.g., board, council, etc.)
in public meeting on February 15, 2011.
http://www.co.j efferson.wa. us/commissioners/Con servation/conservation.asp
7. Site Location
Street Address or Description of Location:
Seven lots in Fowler's Park Addition Section of Quimper Wildlife Corridor will be acquired with CFF and
community funding. These are adjacent to parcels acquired with 2009 CFF funding that contains
banked match value.
Driving Directions from Port Townsend:
Drive north on San Juan Avenue. Turn left as it joins 49th Street, continue past the county fairgrounds
and turn left on Cook Avenue at the 53rd St. and Cook intersection. Properties are located on the east
side of Cook Avenue, south of Peary Avenue.
Section: 33 Township: 31 N Range: 1 W
Assessor's Parcel Number(s): 951 902 402
8. EXISTING CONDITIONS
New Site: Yes No X Number of Parcels: 7 50x 100 ft lots
Addition to Existing Site: Yes X No Acres to Be Acquired: approx 1
Total Project Acreage (if different):
Existing Structures/Facilities: none
Current Zoning: vacant land
Any current covenants, easements or restrictions on land use: none
Current Use: vacant wetland buffer and wildlife habitat, mature forest
Waterfront (name of body of water): n/a
Shoreline (linear feet): n/a
Owner Tidelands/Shorelands: n/a
9. Current Property Owner X is _is not a willing seller.
10. In one-half page or less, provide a summary description of the project, the match, overarching
goal, and three top objectives.
The City of Port Townsend, Jefferson Land Trust and Jefferson County have been working with the
community since the mid 1990's to protect a ribbon of green across the Quimper Peninsula,
connecting a series of wetlands, forests and floodplains that provide habitat for over 200 bird
species, amphibians and mammals. The Winona Basin area has high diversity of habitat and
wildlife species and qualifies as a priority habitat under the Washington Department of Fish and
Wildlife Priority Habitat and Species Program. Most of this area of the City was platted into. 50 x
100 lots in the 1880's and development pressures in the area are high. Purchase of the floodplain,
forest and upland parcels in the Winona Basin will protect the high quality habitat and further the
efforts to connect this area with other important habitat areas that extend from the City into
Jefferson County and across the Quimper Peninsula.
http://www.co.jefferson.wa.us/commissioners/Conservation/conservation.asp 3
This project will allow project partners to build on the most recent habitat protection accomplished in
2009 with CFF and community funding. With this current effort we hope to acquire remaining critical
floodplain and upland habitat in the Winona Basin area that has been identified as Tier 11 priority in
the Quimper Wildlife Corridor concept. A landowner of Tier II parcels has been negotiating with JLT
for years and the lots available for acquisition for this grant cycle include Lots 11 -17 in Block 24,
Fowler's Park Plat. Remaining lots in Block 24 and other adjacent parcels, including Lots 3 — 8 and
23, 24 in Block 18 were acquired in 2009 by the City of Port Townsend. Match for this application
includes community cash contributions and additional donated land value for lots in Block 18 above
the estimated value from the 2009 QWC CFF application that qualifies as match under the CFF
Ordinance.
The three top objectives for this project are:
1) Acquire high priority threatened properties from the willing seller.
2) Permanently protect the properties as wild open space.
3) Leverage community funds through Conservation Futures Funding and utilize banked match.
from the 2009 QWC Winona Basin proposal.
11. Estimate the total site acquisition costs below, including the cost for the entire property or
property right, even if Conservation Futures funds will only cover a portion of that total cost.
In the case of projects involving multiple acquisitions, please breakout appraisals and
estimated acquisition costs by parcel.
Total Estimated Acquisition Cost: $94,600 (includes $52,500 appraised value of lots to be
acquired AND $42,100 in value of banked land match)
Total Estimated Acquisition -related Cost (see Eligibility Checklist): $5,000
Total Operation'and Maintenance Cost: $1,200
Total Project Acquisition Cost: $99,600
Basis for Estimate (include general description of operation and maintenance work to be
performed, task list with itemized budget, and anticipated schedule for completion of work):
An appraisal for the seven lots to be purchased in 2011 was conducted by Ralph Ericksen of
Consultants NW Arbdol, INC on February 25th, 2011. These lots are valued at $52,500.
Block 18 lots gifted to the City of Port Townsend in 2009 exceeded the estimated value of $40,000
listed in the 2009 CFF application by $49,000 at the time of the gift (total value of $89,000).
Estimated current value of these lots is $93,500.
Operations.and Maintenance costs include hard costs associated with Jefferson Land Trust's
annual monitoring of the protected property. The estimated time involved is 3 hours of on -site visit
and data update in office on an annual basis in perpetuity. This is in accordance with the
recommendation by Land Trust Alliance for annual monitoring of properties, since the property
would be owned outright and development completely prohibited. For the purposes of O&M budget
for this grant, we are only considering 8 years of monitoring.
O&M Budget: 3 hours@ $50 per hour annually for 8 years = $1,200
Jefferson Land Trust will be contributing $600.00 for O&M costs.
http://www,co.jeff'erson.wa.us/commissioners/Conservation/conservation.asp 4
O & M fees would be invoiced on an annual basis up to the allowable amount.
12a. Sponsor or other organizations X will will not contribute to acquisition of proposed site.
b. If applicable, please describe below how contributions from groups or agencies will reduce the need
to use Conservation Futures program funds.
Jefferson Land Trust will be providing matching dollars to this project. In addition Jefferson Land Trust
is requesting use of additional banked match from the 2009 QWC CFF grant, according to the CFF
Ordinance and guidelines. This match comes from the excess value of donated properties that
exceeded the values anticipated in the 2009 grant application. According to the CFF code for match
requirements `other open spaces acquired within the previous two years that is situated either directly
adjacent to or could, in the sole discretion of the county, be directly linked to the property under
application."
c. Matching Fund Estimate
Amount
Percentage
Conservation Futures Funds Requested
$42,100 acq +
$600 O&M
42
Matching Funds/Resources
$42,100 banked land value + 16,000 cash
58 %
Total Project Acquisition Cost,
$99,600 + 1,200 O&M
100%
d. Source of matching
Amount of
Contribution
If not,
Contribution If not,
funds/resources
contribution
approved?
when?
available now? when?
Banked land value-2009 QWC project
$42,100 Yes No
Yes No
JLT cash -acq
$15,400 _
Yes No
Spring 2011
Yes No
Spring 2011
JLT Cash — O&M
600
Yes No
Spring 2011
Yes No
Spring 2011
$
Yes No
Yes No
NOTE: Matching funds are strongly recommended and a higher rating will be assigned to those
projects that can guarantee additional resources for acquisition. Donation of property or a property
right will be considered as a matching resource. Donation of resources for on -going maintenance
or stewardship will not be considered as a match.
13a.Sponsoring agency X is _is not prepared to provide long-term stewardship (maintenance,
up -keep, etc.) for the proposed project site.
The City and Jefferson Land Trust anticipate a stewardship program of annual monitoring to insure
that the properties remain forever wild, that no building or development has occurred, that no trash
has accumulated, and that no noxious weeds have invaded the property.' Jefferson Land Trust
Staff and trained community volunteers will conduct monitoring, maintenance and restoration efforts
and are already monitoring adjacent properties. The Land Trust relies on trained professionals,
including habitat biologists, foresters and others as appropriate.
http://www.co. jefferson. wa.us/commissioners/Conservation/conservation.asp
b. Describe any existing programs or future plans for stewardship of the property, including the
nature and extent of the commitment of resources to carry out the stewardship plan.
The Land Trust will conduct stewardship, monitoring and maintenance of the properties along with
the rest of the Quimper Wildlife Corridor according to the Quimper Wildlife Corridor Management
Plan (City of Port Townsend Ordinance 2976). The Land Trust's stewardship program includes
annual monitoring (at least) of protected properties and easements, upkeep and maintenance (trash
removal, signage, invasive plant control) and restoration efforts (tree planting, trail building, etc.)
Jefferson Land Trust currently stewards over 9800 acres in Jefferson County.
Jefferson Land Trust received private foundation funds for development of a docent program and
developing a "Friends of the Corridor" group for stewardship activities. Friends of the Corridor and
community volunteers have in the past been involved in Scotch broom removal and are available to
help with other stewardship activities.
14. Describe the sponsoring agency's previous or on -going stewardship experience.
The Land Trust is the only local organization or agency that. has a monitoring and. stewardship
program for conservation easements and preserved properties, developed with the guidance of The
Land Trust Alliance and utilized effectively for 21 years.
15. Has the sponsor and/or applicant of this project been involved in other projects previously
approved for Conservation Futures funding?
a. No, neither the sponsor nor applicant has been involved in a project previously approved
for Conservation Futures funds.
b. X _Yes, the sponsor and/or applicant for this project has been involved in a project previously
approved for Conservation Futures funds. Please provide details:
Jefferson Land Trust has sponsored numerous applications that have received Conservation
Futures funds. These projects include: Sunfield Farm, 2003; Quimper Wildlife Corridor, 2004; East
Tarboo Creek Conservation Project, 2005; Tamanowas Rock Phase 1, 2006; the Winona Buffer
Project, 2006; Glendale Farm, 2007, and Finnriver Farm, 2008, Quimper Wildlife Corridor and
Brown Dairy 2009, Tamanowas Rock and Salmon Creek, 2010.
16a. Property X can _cannot feasibly be acquired in a timely fashion with available resources.
b. Necessary commitments and agreements X are —are not in place.
c. All parties X are are not in agreement on the cost of acquisition.
If "not" to any of the above, please explain below.
Landowner is a willing seller. Matching resources will be available this spring for purchase of the
seven lots proposed for acquisition.
17. The proposed acquisition _X is specifically identified in an adopted open space, conservation;
or resource preservation program or plan, or community conservation effort. Please describe
below, including the site's importance to the plan. Please provide. a copy of the plan with the
application.
http://www.co.jefferson.wa.us/commissioners/Conservation/conservation.aso 16
_complements an adopted open space or conservation plan, but is not specifically identified.
Please describe below, and describe how the proposed acquisition is consistent with the plan.
_is a stand-alone project.
The properties in the Winona basin identified as Tier I and Tier II for acquisition were indicated in
the Quimper Wildlife Corridor Management Plan that was adopted by the City of Port Townsend on
May 19, 2008, Ordinance 2967. This management plan is available at the City's website,
hftO://www.citvofpt.us/dsd/planning.asp.
The entire Quimper Wildlife Corridor lies in the area recognized in Jefferson County's
Comprehensive Plan map as Parks, Recreation Areas, Conservation Easements and Areas for
Future Cooperative Preservation Efforts. It is also recognized in the City of Port Townsend
Comprehensive Plan, and the Parks and Open Space Plan. The Land Trust, the City of Port
Townsend, Jefferson County, state agencies, the local Audubon and Native Plant Society Chapter,
and US Fish & Wildlife have been partnering on -the project since the mid 1990's. These parcels
have been identified in the acquisition priorities of the project since the beginning due to the
wetland, floodplain, buffer and upland forest values,
http://www.co.jefferson.wa.us/idms/pdfs/p-arks99.r)df
Jefferson Land Trust's newly adopted Conservation Plan for Jefferson County, prepared with the
input of many community members, specifically identifies the Quimper Wildlife Corridor. The plan is
located on the JLT website at www.saveland.org.
18. List the important milestones for this project.
Milestones include securing CFF funding and community contributions in Spring of 2011.
Acquisition of the land will take place after funding is secured
19. Conservation Opportunity or Threat:
a. The proposed acquisition site X does _does not provide a conservation or preservation
opportunity which would otherwise be lost or threatened.
b. If applicable, please carefully describe the nature and immediacy of the opportunity or threat,
and any unique qualities about the site.
Landowner has been negotiating with JLT for 14 years and has finally agreed to sell her lots in
Fowlers Park Addition. She owns an additional 22 lots in the area and is interested in selling these
parcels as well when the funding becomes available. JLT and the City of Port Townsend applied to
the State Urban Wildlife Habitat grant program in 2009 for acquisition of these parcels and others
nearby and funding for the proposal is unlikely due to the State budget situation.
20. Describe the physical characteristics of the site that is proposed for acquisition with
Conservation Futures Program funds including: vegetation, topography, surrounding land
use, and relationship to parks,.trails, and open space.
As with our 2009 application, the City and Jefferson Land Trust are currently focusing acquisition
efforts in the highest -priority portion of the QWC that extends east from Cook Avenue into the
http://www.co jefferson.wa.us/commissioners/Conservation/conservation.asp 7
Winona Wetland basin (see work -site area map). The Winona Basin of the corridor contains 4 .
category II and III wetlands and mixed mature native forest with some of the.largest fir.trees on the
North Quimper Peninsula.Most of the project area is in low lying bottom land, though the
topography drops steeply from Cook Avenue down to the east into the basin. The Tier II parcels
proposed for acquisition with this application contain additional wetland buffer and forest habitat,
provide a buffer from encroaching development and help provide links between protected
properties. This Winona Basin area was identified in the QWC Management Plan as having some
of the highest habitat values in all of the QWC. This area has the longest contiguous stretch of
habitat, with no road or highway interruptions.
The Winona Basin is considered a vital component of the Quimper Wildlife Corridor due to the
diversity of wetland, mature forest, snags and floodplain providing habitat for multiple species. The
majority of Winona and TeePee Wetland lots and 100-year floodplain parcels between them are
permanently protected through City and Land Trust ownership. Remaining wetland, wetland buffers
and floodplain forest connections between Winona Wetland and the Quaking Aspen Wetland to the
east and additional mature forest in the basin is considered Tier I and Tier 11 properties for
protection. All of the area was platted in the 1880's into 50 X 100 ft lots, and residential
development is continuing just to the north and east of the area and will continue to threaten the
Winona Basin until critical parcels are acquired.
Numerous trails crisscross the Winona Basin and are part of the larger network known as Cappy's
Trails. Several are recognized in the City's Non- Motorized Transportation Plan. Residents and
visitors alike utilize the area for passive recreational opportunities like hiking,. bird watching and bike
riding.
21. The proposed acquisition
X provides habitat for State of Washington Priority Habitat and/or State or Federal Threatened,
Endangered or Sensitive species.
X provides habitat for a variety of native flora or fauna species.
X contributes to an existing or future wildlife corridor or migration route.
If affirmative in any of the above, please describe below, and cite or provide documentation of
species' use.
The QWC provides critical habitat in an area of looming urban development and is home to a wide
variety of flora and fauna, from the humble rough -skinned newt and Calypso orchid to nearly 200
bird species and numerous small and large mammals. Protection Island, located just offshore of the
.western end of the corridor, is a National Wildlife Refuge and home to nearly seventy percent of the
seabirds that nest and breed in all of Puget Sound. Washington Department of Wildlife and the local
Audubon Society have identified several state priority species in the QWC that are sensitive,
threatened or listed. These include: Bald eagle, Peregrine Falcon, Wood duck, Great Blue Heron,
Pileated Woodpecker, Band -Tailed Pigeon, Merlin, Olive Sided Flycatcher, black tailed deer, and
bob cat. The corridor will allow these species and others the safety of cover to move between
wetland and forest ecosystems,
22a. Describe the extent and nature of current and planned agricultural use of the proposed
acquisition, including any anticipated changes to that use once the property, or property right,
is acquired with Conservation Futures funds.
None planned
http://www.co jefferson.wa.us/commissioners/Conservation/conservation.asp
b. Describe any participation by current property owner in any other agricultural land
conservation programs, including the program and nature of the involvement.
Not applicable
23. Describe the use planned for the site, any development plans after acquisition; characteristics
of the site which demonstrate that it is well -suited to the proposed use, and plans for any
habitable buildings currently on the site.
None planned
24a. Proposed acquisition site. and any subsequent planned passive development
(as described above) X is _is not part of a larger project. .
b. If applicable, describe how the site relates to the larger project, and whether the project has a
plan, schedule and funding dedicated to its completion.
This project is part of the City of Port Townsend and Jefferson Land Trust's effort to protect
valuable forest, wetland and floodplain habitat in the QWC. The parcels include wetland and buffer
habitat in the connective portion, of the corridor between Cook Avenue on the west and the City
owned Quaking Aspen Wetland on the east.
The QWC is an ambitious project spearheaded by Jefferson Land Trust and the City since the mid
1990's. The QWC is a series of wetlands, floodplains, and forested connections located on the
North Quimper Peninsula in East Jefferson County, Washington. This 3.5-mile drainage course
stretches from the Middlepoint Land Conservancy near Protection Island on the west side of the
Quimper Peninsula to Chinese Gardens Wetland near Fort Worden State Park. The wildlife
corridor links six major wildlife habitat areas, including four critical and high -priority wetlands. The
wildlife corridor also contains areas of significant habitat value within the connections between the
major habitat areas. In addition to protecting diverse forest habitat, wetland and buffer habitat for
over 120 species of birds, migrating amphibians, small mammals and (occasionally large ones), the
corridor provides protection of the City's largest drainage basin for stormwater treatment and flood
control.
The City of Port Townsend, Jefferson County, Jefferson Land Trust, Washington Department of
Natural Resources, the U.S. Fish and Wildlife Service, the local Audubon Chapter, several private
foundations and many community members have been working to.accomplish the goals of the
project. To date, the City has utilized grant funds to acquire approximately 42 acres of wetland and
forested habitat in the corridor. Jefferson Land Trust has raised over $700,000 for additional
acquisitions and stewardship of properties acquired. Over 300 platted lots are protected through
Land. Trust, City and County ownership. Project partners will continue to seek willing sellers of
identified priority properties and will raise grant and community funds to protect these parcels. In
addition, the 45-acre Middlepoint Land Conservancy, an 80-acre Department of Natural Resources
forestland parcel being managed for old growth characteristics, privately owned Tibbal's Lake and
Chinese Gardens Wetland all provide wildlife habitat and recreational opportunities.
25. Describe how the proposed acquisition benefits primarily a X local area _broad county area
including the area served, the nature of the benefit, the jurisdictions involved, and the
populations served.
http://wwW.co jeffer§on.wa.us/commissioners/Conservation/conservation.asp 9
Protection of the wetland, buffer and floodplain habitats of the QWC provides particular benefits to
local residents in that it provides storm -water filtration and floodplain retention.. In general, however,
protection of the QWC habitats. provides benefits not only to residents of Port Townsend and
surrounding county areas, but also to the many visitors to our area. The corridor is used extensively
for passive recreation by the community and visitors who enjoy walking the trails, bike riding and
horseback riding. The wetlands and forests of the corridor provide education opportunities for all,
and have been field classrooms for the Native Plant Society, Audubon members conducting annual
Christmas bird counts, and Mountain View, Blue Heron and High School Students. Realtors from
all over the region taking continuing educational courses at WSU have participated in corridor field
trips to Understand wetland ecology. The bike trails of the corridor were identified in a national
mountain bike magazine. The Land Trust has conducted numerous tours to various parts of the
corridor over the last several years as part of. our ongoing community outreach efforts. The project
is bound to receive additional recognition as the Port Townsend area continues to grow.
26. Describe the educational or interpretive opportunities that exist for providing public access,
educational or interpretive displays (signage, kiosks, etc.) on the proposed site, including any
plans to provide those improvements and any plans for public accessibility.
QWC continues to be utilized by numerous community groups for educational purposes, including
school programs, Native Plant Society walks, and Audubon walks. Forty community members have
completed a two -month QWC docent training held annually since 2008 through Jefferson Land
Trust. The trained docents have provided monthly walks on existing trails since June 2008 for the
public and school children, with attendance averaging 25 participants each month. Docents and
other community members help with stewardship activities in the corridor as well. Land Trust
volunteers are creating interpretive displays that will provide visitors to the corridor an
understanding of the function of the corridor, as well directing people away from the more sensitive
habitat areas.
27. The proposed acquisition includes historic or culturally significant resources) and
_ is registered with the National Register of Historic Places, or an equivalent program.
_ is recognized locally has having historic or cultural resources.
_ is adjacent to and provides a buffer for a historic or cultural site.
If affirmative in any of the above, please describe below, and cite or provide documentation of the
historical or cultural resources.
Not applicable
28a. Describe the extent and nature of current and planned silvicultural use of the proposed
acquisition. Please cite or provide documentation of existing or planned silvicultural activities
including forest management plan(s).
None planned
` Cultural resources means archeological and historic sites and artifacts, and traditional religious ceremonial and
social uses and activities of affected Indian Tribes and mandatory protections of resources under chapters 27.44
and 27.53 RCW.
http://www.co.jefferson.wa.us/commissioners/Conservation/conservation.asp 10
b. Describe any participation by current property owner in silviculture conservation programs,
including the program and nature of the involvement.
None planned
29. Sponsors of applications that are approved for funding by the Board of County
Commissioners are required to submit a brief progress report by October 30 every year for
three years after the award is approved, or three years after the acquisition funds are
disbursed to the applicant, whichever is later. The progress report must address any changes
in the project focus or purpose, progress in obtaining matching funding, and stewardship and
maintenance. Sponsors receiving O&M funds will also submit an annual report for each year
that O&M funds are expended. The Committee will use the information to develop a project
"report card" that will be submitted annually to the Board of County Commissioners.
If this application is approved for funding, I understand the sponsor is required to submit
progress reports for three years and for any year in which O&M funds are expended.
Initials Z 7. Date
30. If, three years after the date funding is approved by the Board of County Commissioners, the
applicants have not obtained the required matching funds, the Committee may request the
Board of County Commissioners to nullify their approval of funds, and may require the
project to re -apply.
If this application -is approved for funding, I understand that we may be required to re -submit
the application if the project sponsor does not obtain the necessary matching funding within
three years. ss Initials Z ZS } rDate
31. Are there any critical dates, e.g, grant deadlines, for your project that the Committee should
know about? Please list the dates and explain their importance.
Land owner is ready to sell and JLT donors are willing to contribute if grant funding is available
through the CFF Program.
http://www.co. j efferson.wa.us/commissioners/Conservation/conservation.asp
February 24, 2011
Sarah Spaeth
Executive Director
Jefferson Land Trust
1033 Lawrence Street
Port Townsend, WA 98368
Dear Sarah,
This letter is to indicate my interest in selling the following parcels of land for protection
purposes: .
Tax Parcel Number: 951 902 402, Fowler's Park Addition, Block 24, Lots 11 - 17.
We also understand that this sale is contingent on funding from the Jefferson County
Conservation Futures Program.
Signed,
Aei�diloeOel
PO Box 1564
Port Townsend, WA 98368
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INTERNAL REVENUE SERVICE
DISTRICT DIRECTOR,
2 CUPANIA CIRCLE
MONTEREY PARK, CA 91755-7406
Date: MAY Q 3 1994
JEFFERSON LAND TRUST'
C/O DOUG MASON PRES
PO BOX 1610
PORT TOWNSEND, WA 98368-0109
Dear Applicant:
DEPARTMENT OF THE TREASURY
Employer Identification Number:
91-1465078
Case Number:
954109002
Contact Person:
TYRONE THOMAS
Contact Telephone Number:
(213) 894-2289
Our Letter Dated:
May 08, 1990
Addendum Applies:
No
This modifies our letter of the above date in which we stated that you
would be treated as an organization that is not a private foundation until the
expiration of your advance ruling period.
Your exempt status under section 501(a) of the Internal Revenue Code as an
organization described in.section 5,01(c)(3) is still in effect. Based on the
information you submitted, we have determined that you are not a private
foundation within the meaning of section 509(a) of the Code because you are an
organization of the type described in section 509(a)(1) and 170(b)(1)(A)(vi).
Grantors and contributors may rely on this determination unless the
Internal Revenue Service publishes notice to the contrary. However, if you
_lose your section 509(a).(1) status,.a grantor or contributor.may not rely on
this determination if he or she was in part responsible for, or was aware of,
the act or failure to act, or the substantial or material change on the part of
the organization that resulted in your loss of such status, or if he or she
acquired knowledge that the Internal Revenue Service had given notice that you
would no longer be classified as a section 509(a)(1) organization.
If we have indicated in the heading of this letter that an addendum
applies, the addendum enclosed is.an integral part of this letter.
Because this letter could help resolve any questions about your private
foundation status, please keep it in your permanent records.
If you have any questions, please contact the person whose name and
telephone number are shown above.
Sincerely-_ yours,
4
Richard R. OrOsc0 �
District Director
Letter 1050 (DO/CG)
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Jefferson Land Trust
2011 Board of Directors
Owen Fairbank, President
Ginny Chamberlin, Vice -President
Joanne Tyler, Treasurer
Kathryn Lamka, Secretary
Gary Keister
Suzanne Learned
Glenda Hultman
Steve Moore
Rodger Schmitt
JEFFERSONLAND TRUST
AND SUBSIDIARY
Consolidated Financial Statements and
Independent Accountants' Review Report
December 31, 2008
Table of Contents
Independent Accountants' Review Report
Consolidated Financial Statements:
Consolidated Statement of Financial Position
Consolidated Statement of Activities
Consolidated Statement of Cash Flows
Notes to Consolidated Financial Statements
Supplemental Information:
Consolidated Statement of Functional Expenses
Page
1
2
3
4
5-12
13
Independent Accountants' Review Report
Board of Directors
Jefferson Land Trust and Subsidiary
Port Townsend, Washington
We have reviewed the accompanying consolidated statement of financial position of Jefferson
Land Trust and Subsidiary (collectively, JLT, a nonprofit organization) as of December 31,
2008, and the related consolidated statements of activities and cash flows for the year then
ended, in accordance with Statements on Standards for Accounting and Review Services issued
by the American Institute of Certified Public Accountants. All information included in these
consolidated financial statements is the representation of the management of JLT.
A review consists principally of inquiries of JLT personnel and analytical procedures applied to
financial data. It is substantially less in scope than an audit in accordance with auditing standards
generally accepted in the United States of America, the objective of which is the expression of an
opinion regarding the financial statements taken as a whole. Accordingly, we do not express such
an opinion.
Based on our review, we are not aware of any material modifications that should be made to the
accompanying consolidated financial statements in order for them to be in conformity with
accounting principles generally accepted in the United States of America.
Our review was made for the purpose of expressing limited assurance that there are no material
modifications that should be made to the financial statements in order for them to be in
conformity with. generally accepted accounting principles. The information included in the
accompanying statement of functional expenses on page 13 is presented only for supplementary
an
purposes. Such information has been subjected to the inquiry and analytical procedures
applied in the review of the basic financial statements, and we are not aware of any material
modifications that should be made thereto.
61ap s
Certified Public Accountants
Bellevue, Washington
June 12, 2009
JEFFERSONLAND TRUSTAND SUBSIDIARY
Consolidated Statement of Financial Position
December 31, 2008
Assets:
Cash and equivalents $ 559,515
Investments (Note 2) 240,345
Accounts receivable 123,737
Pledges receivable (Note 3) 468,328
Prepaid 30,000
Land, conservation easements, and purchase options:
Habitat land 388,303
Working land 325,432
Open space land 167,093
Conservation easements 35
Land purchase option 30,000
Total land, conservation easements, and purchase options (Note 4) 910,863
Furniture and equipment, net of depreciation of $7,856 5,351
Total Assets $ 2,338,139
Liabilities and Net Assets:
Accounts payable
$ 13,798
Accrued expenses and deferred revenue
30,136
Long-term debt (Note 5)
223,061
Total Liabilities
266,995
Net Assets:
Unrestricted (Note 7):
Undesignated
270,369
Board designated
841,933
Total unrestricted net assets
1,112,302
Temporarily restricted (Note 8) 958,842
Total Net Assets 2,071,144
Total Liabilities and Net Assets $ 2,338,139
See accompanying notes and accountants'report.
-2-
JEFFERSONLAND TRUSTAND SUBSIDIARY
Consolidated Statement of Activities
For the Year Ended December 31, 2008
Revenue, Gains and Losses:
Gifts and contributions
Fair value of easement acquistions
Grants and contracts
Special events income, net of expenses of $17,427
Net loss on investments
Gain on sale of habitat land property
Rental income
Release from purpose restriction
Total Revenue, Gains and Losses
Expensesz:
Program
General and administrative
Fundraising
Total Expenses
Change in Net Assets
Beginning of year net assets,
as adjusted (Note 9)
End of Year Net Assets
See accompanying notes and accountants report.
Temporarily
Unrestricted Restricted Total
$ 346,227 $ 594,436
$ 940,663
1,198, 820
1,198,820
160,336
160,336
851*369
85,359
(54,106)
(54,106)
94,182
94,182
21,615
21,615
30,941 (30,941)
1,883,374 563,495
2,446,869
1,604, 890
1,604,890
121,282
121,282
46,341
46,341
1,772,513
1,772,513
110,861
563,495 674,356
1,001,441
395,347 1,396,788
$ 1,112,302
$ 958,842 $ 2,071,144
-3-
JEFFERSON LAND TR UST AND SUBSIDIARY
Consolidated Statement of Cash Flows
For the Year Ended December 31, 2008
Cash Flows from Operating Activities:
Change in net assets
$ 674,356.
Adjustments to reconcile change in net assets to
net cash provided by operating activities:
Depreciation and amortization
1,720
Donated land and easements
(38,930)
Realized and unrealized loss on investments
71,294
Gain on sale of land
(95,362)
Changes in assets and liabilities:
Accounts receivable
(64,822)
Pledges receivable
(159,340)
Accounts payable
11,414
Accrued expenses
13,256
Net Cash Provided by Operating Activities
413,586
Cash Flows from Investing Activities:
Purchases of investments
(7,838)
Proceeds from sale of investments
5,245
Purchases of land and land purchase option
(161,426)
Proceeds from sale of land
126,180
Purchases of furniture and equipment
(823)
Net Cash Used by Investing Activities
(38,662)
Cash Flows from Financing Activities:
Payments on long term debt (3,049)
Net Cash Used by Financing Activities (3,049)
Net Change in Cash and Cash Equivalents 371,875
Cash balance, beginning of year 187,640
Cash Balance, End of Year $ 559,515
Supplemental Disclosure of Cash Flow Information:
Cash paid for interest $ 18,566
See accompanying notes and accountants' report.
M
JEFFERSON LAND TRUST AND SUBSIDIARY
Notes to Consolidated Financial Statements
Note I - Organization and Summary of Significant Accounting Policies
Organization - Jefferson Land Trust (the Land Trust) is a Washington nonprofit corporation, formed on April
7, 1989. The Land Trust's purpose is to acquire, preserve and manage open space lands and easements for
land conservation purposes benefitting the public. The Land Trust also provides information and materials to
the public on land conservation issues. The Land Trust serves Jefferson County on the Olympic Peninsula in
Washington. The Land Trust has been accredited by the national Land Trust Alliance as of August 5, 2009.
On September 5; 2007, JLT Resources, LLC was formed with Jefferson Land Trust as its only member. JLT
Resources, LLC was formed for.the purpose of purchasing and holding land for conservation purposes.
Summary of Significant Accounting Policies:
Principles of Consolidation - These financial statements consolidate the statements of Jefferson Land Trust
and JLT Resources, LLC (collectively, "JLT"). Inter -organization balances and transactions have been
eliminated in. consolidation.
Basis of Accounting - The financial statements of JLT have been prepared on the accrual basis of
accounting.
Basis of Presentation - Net assets and revenues, expenses, gains and losses are classified based on the
existence or absence of donor -imposed restrictions. Accordingly, the net assets of JLT and changes therein
are classified and reported as follows:
Unrestricted Net Assets - Include all net assets on which there are no donor -imposed restrictions for
use, or on which donor -imposed restrictions were temporary and have expired.
Temporarily Restricted Net Assets - Include all net assets subject to donor -imposed restrictions that
will be met either by actions of JLT or the passage of time.
Permanently Restricted Net Assets Include all net assets received by donations wherein the donors
impose a permanent restriction on the use of the gift. The donors require the gift to be invested and
only the income from such investments may be used to support the intended. cause. JLT had no
permanently. restricted net assets as of December 31, 2008_
All donor -restricted support is reported as increases in temporarily or permanently restricted net assets,
depending on the nature of the restriction. When restrictions expire (that is, when a stipulated time restriction
ends or purpose restriction is accomplished), temporarily restricted net assets are reclassified to unrestricted
net assets and reported in the statement of activities as net assets released from restriction. Gifts of
equipment are reported as unrestricted support unless explicit donor stipulations specify how the donated
assets must be used. Gifts of long-lived assets with explicit restrictions that specify how the assets are to be
used and gifts of cash or other assets that must be used to acquire long-lived assets are reported as
restricted support. Absent explicit donor stipulations about how long those long-lived _ assets must be
maintained, expirations of donor restrictions are reported when the donated or acquired long-lived assets are
placed in service.
-5-
JEFFERSONLAND TRUSTAND SUBSIDIARY
Notes to Consolidated Financial Statements
Note I - Continued
Use of Estimates - The preparation of financial statements in conformity with accounting principles generally
accepted in the United States. of America requires management to make estimates and assumptions that
affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the
date of the financial statements, and the reported amounts of revenues and expenses during the reporting
period. Actual results could differ from those estimates.
Cash. and Cash Equivalents - For reporting purposes, JILT considers all unrestricted highly liquid
investments with a purchased maturity of three months or less to be cash equivalents.
Concentrations - JLT maintains its cash in bank deposit accounts with one financial institution. JLT's cash
balances may, at times, exceed federally insured limits.
One donor's pledge represented approximately 43% of pledges receivable at December 31, 2008.
Investments - Investments in marketable securities with readily determinable fair values and all investments
in debt securities are valued 'at their fair values in the statement of financial position. The carrying amount of
the investment held in trust is determined by the trustee holding the securities. Unrealized gains and losses
are included in the change in net assets.
JLT has established a designated fund at Jefferson County Community Foundation. As JILT has designated
itself as the beneficiary of the fund, the fund balance and activity are reported in the financial statements of
JLT as required by generally accepted accounting principles.
Accou nts. Receivable - Accounts receivable are stated at the amount management expects to collect from
outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings
and a credit to a valuation allowance based on its assessment of the current status of individual accounts.
Balances still outstanding after management has used reasonable collection efforts are written off through a
charge to. the valuation .allowance and a credit to trade accounts receivable. Changes in the valuation have
not been material to the financial statements.
Grants and Contracts - JLT receives grants and contracts from federal, state, and local agencies, as well as
from private organizations, to be used for .specific programs or land purchases. The excess of grants
receivable over reimbursable expenditures to -date is recorded as deferred revenue.
Furniture and Equipment - Furniture and equipment are capitalized at cost if. purchased, or, if donated, at
the approximate fair value at the date of donation. When retired or otherwise disposed of, the related carrying
value and accumulated depreciation are removed from the respective accounts and the net difference, less
any amount realized from disposition, is reflected in earnings., Maintenance and repairs are charged to
expenses as incurred. Costs of significant improvements are capitalized. JLT provides for depreciation using
the straight-line method over the estimated useful lives of the assets of five to ten years.
JEFFERSON LAND TRUST AND SUBSIDIARY
Notes to Consolidated Financial Statements
Note 1- Continued
Land and Easements - JLT records acquisitions of land at cost if purchased. Land acquired through
donation is recorded at fair value, with fair values generally based on independent professional appraisals.
These assets fall into two primary categories:
Conservation lands - Real property with significantecological value for habitat, open space, or
working lands. Stewardship programs of JILT manage these properties to protect the natural
biological diversity of the property. JLT manages its working timberland as a Forest Stewardship
Council — Certified, managed forest..
Conservation easements - Voluntary legal agreements between a landowner and a land trust or
government agency to permanently. protect the identified natural features and conservation values of
the property. These easements may be sold or transferred to others so long as the assignee agrees
to carry out, in perpetuity, the conservation purposes intended by the original grantor. Conservation
.easements owned by JILT protect habitat, open space and working lands, such as family farms,
through its stewardship programs.
Easements acquired represent numerous restrictions over the use and development of land not
owned by JLT. Since the benefits of such easements accrue to the public upon acquisition, the fair
market value of easements acquired is shown in the year of acquisition as an addition to net assets to
record the donation of the easement, and unless conveyed to a public agency for consideration,
shown as a reduction in net assets to record the value of the public's benefit and to recognize that
these easements have no marketable value once severed from the land and held by JILT. Easements
held by JLT are carried on the statement of financial position at $1 each for tracking and accounting
purposes. Easements valued at $1,198,820 were donated to JLT during the year ended December
31, 2008. Accordingly, $1,198,820 of contribution revenue and $1,198,815 of related write down
expense have been reported on the statement of activities for the year ended December 31, 2008.
Federal Income Taxes - The Internal Revenue Service has determined Jefferson Land Trust and JLT
Resources, LLC (a disregarded entity) to be exempt from federal income taxes under Internal Revenue
Code Section 501(c)(3). Contributions to the organizations are deductible as allowed under Section
170(b)(1)(A)(vi) of the Code.
Functional Allocation of Expenses - The costs of providing the various programs and other activities have
been summarized on a functional basis in the statement of activities. Accordingly, certain costs have been
allocated among the programs and supporting services benefited.
Note 2 - Fair Value Measurements
In September 2006, the Financial Accounting Standards Board ("FASB") issued FASB Statement ("SFAS")
No. 157, Fair Value Measurements. SFAS 157 defines fair value, establishes a framework for measuring fair
value in generally accepted accounting principles, and expands disclosures about fair value measurements.
To increase consistency and comparability in fair value measurements,. SFAS 157 uses a fair. value hierarchy
that prioritizes the inputs to valuation approaches into three broad levels. The hierarchy gives the highest
priority to quoted prices in active markets (Level 1) and the lowest priority to unobservable inputs (Level 3).
- 7-
JEFFERSON LAND TR UST AND SUBSIDIARY
Notes to Consolidated Financial Statements
Note 2 - Continued
Valuation Techniques - Financial assets and liabilities valued using Level 1 inputs are based on unadjusted
quoted market prices within active markets. Financial assets and liabilities valued using Level 2 inputs are
based primarily on quoted prices for similar assets or liabilities in active or inactive markets. Financial assets
and liabilities using Level 3 inputs were primarily valued using management's assumptions about the
assumptions market participants would utilize in pricing the asset or liability. Valuation techniques utilized to
determine fair value are consistently applied.
Fair Values Measured on a Recurring Basis - Fair values of investments measured on a recurring basis at
December 31, 2008 were as follows:
Fair Value Measurements at December 31, 2008
Quoted Prices
Significant
In Active
Other
Significant
Markets for
Observable
Unobservable
Identical Assets
Inputs
Inputs
aevel 1)
(Level 2)
(Level 3) Total
Certificates of deposit $
Funds held at Jefferson County
Community Foundation _
- $ 91,449 $ - $ 91,449
148,896 148,896
A reconciliation of the beginning and ending balances for fair value measurements made using significant
unobservable inputs (Level 3) follows:
Beginning balance at January 1, 2008 $ 221,686
Total losses (realized/unrealized) (67,545)
Withdrawals (5,245)
Ending Balance at December 31, 2008 $ 148,896
Investment return for the year ended December 31, 2008 consisted of the following:
Interest income $ 17,188
Realized/unrealized loss (71,294)
ME
JEFFERSON LAND TR UST AND SUBSIDMRY
Notes to Consolidated Financial Statements
Note 3 - Pledges Receivable
At December 31, 2008; JLT had $468,328 in pledges receivable, which are to be received over a period of
five years. Expected future receipts for the next five years are as follows:
Years Ending December 31,
2009
$ 143,307
2010
131,916
2011
104,840
2012
82,765
2013
5,500
468,=
$
A present value discount on pledges receivable has been determined to not be material to the financial
statements. No allowance for doubtful accounts was deemed necessary by management for the promises to
give based on historic experience.
Note 4 - Land, Conservation Easements, and Purchase Options
Land, conservation easements,. and purchase options at December 31, 2008 are summarized as follows:
Land:
Red Dog Farm $ 333,760
Quimper Wildlife Corridor 243,804
Bulis 125,240
Chimacum Creek 139,094
Kilham Corner 38,930
Conservation easements 35
Land purchase option 30,000
$ 918.863
M
JEFFERSON LAND TRUST AND SUBSIDIARY
Notes to Consolidated Financial Statements
Note S - Long-term Debt
On December 18, 2007, JLT entered into a loan agreement"with a commercial lender in the amount of
$226,110. The loan bears interest at 8.5%, and is due in 60 monthly payments of principal and interest
totaling $1,965, and a final .principal payment of $202,753 on January 10, 2013. The loan is secured by the
Red Dog Farm property and an Assignment of Rents from the lease described in Note 6.
Principal payments on the loan are as follows:
Years Ending December 31,
2009
$ 4,451
2010
4,845
2011
5,273
2012
5,739
2013
202,753
Note 6 - Lease Agreements `
JLT has entered into an operating lease as lessee for its administrative office in Port Townsend, Washington.
The lease expires in June 2010. Rent expense totaled $17,627 for the year ended December 31, 2008.
Minimum lease payments for 2009 and 2010 are $16,950 and $8,475, respectively.
On December 20, 2007, JLT Resources, LLC entered into a lease agreement as lessor for the Red Dog Farm
property. The lease term is five years, and monthly lease payments are $1,965. The lease requires the lessee
to pay all taxes and assessments relating to the property. The lease also requires -the lessee to comply with a
land use plan, and provides a purchase option to the lessee during the lease term.
Sublease rentals to be received are as follows:
Years Ending December 31,
2009 $ 23,580
2010 23,580
2011 23,580
2012 23,580
-10-
JEFFERSON LAND TRUST AND SUBSIDIARY
Notes to Consolidated Financial Statements
Note 7 - Unrestricted Net Assets
Unrestricted net assets consisted of the following at December 31, 2008:.
Designated - Red Dog Farm land $ 333,760
Designated - Quimper Wildlife Corridor land 243,804
Designated - Bulis 125,240
Designated - Chimacum Creek 139,094
Conservation easements 35
Total designated 841,933
Undesignated 270,369
$ 1,112,302
Note 8 Temporarily Restricted Net Assets
Temporarily restricted net assets consisted of the following at December 31, 2008:
Purpose restriction:
To purchase Glendale Farm easement $ 300,000
To purchase Gateway land 100,000
For stewardship of Bulis property 90,514
490,514
Time restriction:
Outstanding pledges 468.328
$ 958,842
Note 9 - Adjustments to Beginning Net Assets
During the year ended December 31, 2007, JLT entered into an agreement with. the Jefferson County
Community Foundation (JCCF), whereby the Jefferson Land Trust Stewardship Fund (the Fund) was
established. JLT transferred a total of $215,260 to the Fund. Per the terms of a Memorandum of
Understanding, distributions from the Fund will be made for stewardship and legal defense of easements held
by JLT. This transaction had been recognized as an expense in a prior year. It was determined during the
year ended December 31, 2008 that, under the terms of the fund agreement, JLT maintains control over the
fund assets and any distributions of earnings from the Fund. Therefore, an adjustment was recorded to
reverse the expense and record the value of the fund and related investment earnings at December 31, 2007.
As a result, beginning net assets were increased by $221,686,
During the year ended December 31, 2008, JLT determined that temporarily restricted funds held by JLT from
previous year donations had originally been recorded as unrestricted. The temporary restriction has been
recorded as. of December 31, 2007. As a result, beginning temporarily restricted net assets were increased by
$395,347, and beginning unrestricted net assets were decreased by $395,347.
-11-
JEFFERSON LAND TR UST AND SUBSIDIARY
Notes to Consolidated Financial Statements
Note 9 - Continued
During the year ended December 31, 2008, JLT determined that unrestricted funds held by JLT from a
previous year donation had originally been recorded as temporarily restricted. The temporary restriction has
been reversed as of December 31, 200T As a result, beginning unrestricted net assets were increased by
$37,084, and beginning temporarily restricted net assets were decreased by $37,084.
During the year ended December 31, 2008, JLT determined that a portion of land held had been transferred
to an outside party in a prior year, but had not been reflected as such in the accounting records. The land has
been removed from the records as of December 31, 2007. As a result, beginning unrestricted net assets were
decreased by $7,500.
During the year ended December 31, 2008, JLT determined that a portion of land had been acquired in a
previous year, but had not been reflected as such in the accounting records. The land has been included in
the records as of December 31, 2007. As a result, beginning unrestricted net assets were increased by
$9,650.
The following table sets forth the effects of these adjustments at December 31, 2007:
As Previously
Reported Adjustments As Ad'u1 steel
Consolidated Statement of Financial Position:
Unrestricted net assets $ 1,135,867 $ (134,426) $ 1,001,441
Temporarily restricted net assets 37,084 358,263 395,347
Total Net Assets $ 1,172951 ,$ 223837 13 9�6.788
Note 10 - Subsequent Events
In the months following year end, JLT, along with the markets in general, has experienced significant
fluctuations in its investment balances. JLT is aware there are significant pressures in the current global
financial markets. JILT is vigilantly monitoring the developments in the markets and believes that it is
positioned to deal with these developments should the unfavorable market conditions persist. Policy dictates
maintaining the asset allocation through all markets rather than attempting market timing.
-12-
SUPPLEMENTAL INFORMATION
JEFFERSON LAND TRUST AND SUBSIDIARY
Consolidated Statement of Functional Expenses
For the Year Ended December 31, 2008
General and
Program
Administrative
Fundraising
Total
Salaries
$ 149,260
$ 61,217
$ 31,536 $
242,013
Payroll taxes
15,121
6,097
3,170
24,388
Employee benefits
22,253
8,973
4,666
35,892
Total salaries and benefits expense
186,634
76,287
39,372
302,293
Land and stewardship expenses
130,717
136
130,853
Fair value of easement donations written down
1,198,815
1,198,816
Donation to Nordland Garden Club
6,284
6,284
Professional fees
28,045
28,045
Public awareness
12,395
12,395
Rent
10,871
4,459
811
1.6,141
Postage and printing
11,708
584
2,267
14,559
Travel and seminars
7,937
2,081
1,067
11,085
Office supplies
6,406
1,973
867
9,246
Insurance
2,443
2,465
4,908
Web design and maintenance
867
867
1,734
Telephone
2,181
894
461
.3,536
Utilities
1,275
523
269
2,067
Dues and subscriptions
1,561
1,561
3,122
Depreciation
1,061
435
224
1,720
Bank fees
453
453
Interest
18,566
18,566
Other expenses
5,169
1,522
6,691
Total Expenses $
1,604,890 $
121,282 $
46,341
$ 1,772,513
See accountants'report.
- 13 -
3:38 PM Jefferson Land Trust Preliminary Financial Stmnt:
02/24/11 Audited Financial Stmts
Accrual Basis Profit & Loss Available May 2011
January through December 2010
Jan - Dec 10
Ordinary income/Expense
Income
4000 • Unrestricted L&S income
4020 - Unrestricted Capital Campaigns
4021 - Opportunity Fund 2,075.00
Total 4020 - Unrestricted Capital Campaigns 2,075.00
4040 - Unrestricted Stewardship
4041 - New Contributions 10,475.00
4042 - Interest/Dividend income 2,463.62
4043 - Unrestricted Unreal Gains/Loss 16,537.47
4040 - Unrestricted Stewardship - Other 5,000.00
Total 4040 - Unrestricted Stewardship 34,476.09
4050 - Value of Consery Ease Received 44,001.00
Total 4000 - Unrestricted L&S Income 80,552.09
4500 - Restricted L&S Income
4510 - Restricted Land Acquis Grants
4511 - Conservation Futures
5,020.01
4512 - State Grant Salmon Habitat
197,412.70
4513 - State Grant Farm Land
183.75
4514 - State Grant
719.74
4516 - Federal Grant
89,681.75
Total 4510 - Restricted Land Acquis Grants
293,017.95
4520 • Restricted Capital Campaigns
4521 - Campaign Contributions 2,700.00
.4524. Quimper Wildlife Corridor 1,025.00
Total 4520 - Restricted Capital Campaigns 3,725.00
4540 - Restricted Stewardship Funds
4542 - Interest Income
0.00
Total 4540 - Restricted Stewardship Funds
0.00
4550 - Restricted Non -government Grant
4551 - Foundation Grants
8,0.00.00
Total 4550 - Restricted Non-govemment Grant
8,000.00
Total 4500 - Restricted L&S Income
304,742.95
5000. Operations Income.
5100 • Individual Annual Contributions
5102 . Annual Membership - $0-$49
1,822.00
5103 • Annual Membership - $50-$99
4,980.00
5164 - Annual Membership - $1004249
9,553.60
5105 • Annual Membership - $2504499
3,300.00
5106 • Annual Membership - $500-$99.9
4,250.00
5107 • Annual Membership - $1000+
9,000.00
5108. Misc Individual Donations
25,833.70
Page 1 of 5
3:38 PM Jefferson Land Trust Preliminary Financial Stmnt:
02/24/11 Audited Financial Stmts
Accrual Basis Profit & LOSS Available May 2011
January. through December 2010
Jan - Dec 10
5109 • Stewardship Operations Contr. 25,000.00
5113 • Workplace giving (corp matches) 1,399.96
5116 • Membership Pledges 2,279.92
Total 5100 • Individual Annual Contributions 87,419.18
5120 • Individual Multi -Year Contrbtns
5121 • Per year Amount - $0-$49
2,225.00
5122 • Per year Amount - $50-$99
1,240.00
5123 • Per year Amount - $100-$249
8,125.06
5124 • Per year Amount - $2504499
8,720.00
5125 - Per year Amount - $500-$999
5,430.00
5126 • Per year Amount - $1000+
214,320.00
Total 5120 - Individual Multi -Year Contrbtns
240,060.00
5300 • Capital Campaign Operations Sup
.5301 • Opportunity Fund 150.00
Total 5300 • Capital Campaign Operations Sup 156.00
5400 • Events Income
5410 • Sales/Admission
0.00
5411 • Sales
54,158.40
5412 • Admission
7,337.38
5420 - Sponsorships
5422 • Rainfest
5,350.00
Total 5420 • Sponsorships
5,350.00
5430 • Fund a Need 59,850.00
5431 • Special Events Donations 1,250.00
5440 - In -Kind Contribution 718.22
Total 5400 • Events Income 128,664.00
5500 • Fee for Service Income
5501 • Grant Admin/Baseline 41,503.87
5503 • Stewardship 4,117.00
5505 - Educational Seminar Programs 3,067.95
Total 5500. • Fee for Service Income 48,688.82
5800. Operations Interest/Dividend
9,724.39
5840 - Securities -Unrealized Gain/Loss
-3,124.77
5900. Other
5906 • In -Kind Donations - Operations
2,000.00
5910. Other
10,015.94
5920. Other Sponsorships
2,200.00
Total 5900. Other
14,215.94
Total 5000 • Operations Income
525,797.56
Total Income
911,092,60
Cost of Goods Sold
Page 2 of 5
3:38 PM Jefferson Land Trust
Preliminary Financial Stmnt:
02/24/11
Audited. Financial Stmts
Accrual Basis Profit & Loss
Available May 2011
January through December 2010
Jan - Dec 10
6100 • Program Expenses
6101 . Advertising
930.00
6103 • Facility Rental
2,618.60
6104. Food/Beverages/Entertainment
13,269.89
6106 - Postage and Shipping
2,008.35
6107 • Printing and Duplicating
9,363.65
6108,- Travel
1,750.81
6109 • Supplies
1,205.43
6110. Other Expenses
2,382.25
Total 6100 • Program Expenses
33,528.98
6200 • Land and Stewardship Expenses
6210 • Acquisition and conveyance
6211 - Closing Fees 379.40
6213 • Property/Easement Purch Price 0.00
6214 • Title Insurance 108.40
6215 • Recording fees 428.00
6210 • Acquisition and conveyance - Other 284.00
Total 6210 • Acquisition and conveyance 1,199.80
6230 • Land/Easement Holding Expenses
6232 • Fee Simple Fire protection fees
73.04
6233 • Fee Simple Property Taxes
1,272.68
6234 • Fee Simple Stewardship
120.00
6235 • Easement Stewardship
62,940.39
6237.Other
45.00
6238 • JLT Land/Stewardship Expenses
11,237.44 '
6239 • Value of Consery Eas Wrttn Dwn
43,999.00
Total 6230 • Land/Easement Holding Expenses
119,687.55
Total 6200 • Land and Stewardship Expenses
120,887.35
6300 . Professional services
6303 • Appraisals
35,501.36
6304 • Environmental Assessments
4,000.00
6305 • Land Consulting
51,710.05
6306 • Legal
-100.00
6307 • Mapping
2,100.00
6308 • Surveys
2,104.00
6310.Other Professional
51,015.65
6311 • LandWorks Consulting
2,000.00
Total 6300 • Professional services
148,331.06
Total COGS
302,747.39
Gross Profit
608,345.21
Expense
7000. Operations Expense
7100 • Admin Office Expenses
Page 3 of 5
3:38 PM Jefferson Land Trust
Preliminary Financial Stmnt:
02/24/11
Audited Financial Stmts
Accrual Basis Profit & Loss
Available May 2011
January through December 2010
Jan - Dec 10
7101 - Accounting/Bookeeping Services
16,455.00
7102 • Advertising
361.75
7103 . Bank Service Charges
439.10
7104 • Insurance
2,619.00
7105 - Internet
847.50
7108 - Credit Card fees - Nova
3,282.32
7109 - Depreciation
1,339.03
7110 • Equipment/furniture purchase
1,002.21
7111 • Equipment/furniture maintenance
489.88
7113 - Donor Data Base
3,937.95
7114. Office Supplies
1,118.35
7115 - Postage and shipping
708.73
7116 - Printing and duplicating
1,463.14
7117 - Rent
17,357.90
7118. Telephone
2,082.99
7119 - Travel
84.00
7120 • Utilities
1,760.27
7122 • Web Design/Maintenance
1,695.40
7123 -Other
1,060.31
7125 • Dues & Subscriptions
3,293.55
7126 • Food & Entertainment
77.13
7128 - Pay Pal Fee
210.78
7129 - Management Fee
46.03
7130 - Donations
25.00
7131 . Finance Charges/Late Fees
109.59
7190 • Unfulfilled Pledges
19,685.72
Total 7100. Adihin Office Expenses
81,552.63 '
7200 - Training
7203.Off site Training 5,884.77
Total 7200 . Training 5,884.77
7300 • Salary, PR tax, benefits
7301 - Salary - Executive Director
51,845.71
7303 - Salary - Stewardship Director
42,075.19
7306 - Salary - Exec Dir - Vacation
3,206.53
7308 - Salary - Stwrdshp Dir-Vacation
2,029.38
7311 - Salary - Exec Dir - Sick
1,482.34
7313 - Salary - Stwrdshp Dir - Sick
1,611.88,
7316 • Salary - Exec Dir - Holiday
1,871.61
7318 - Salary - Stwrdshp Dir- Holiday
1,5.17.23
7321 - Salary - year end accrual
5,381.88
7326 - Salary - Admin Assistant
3,168.00
1327 - Salary - Admin Asst - Vacation
0.00
7328. Salary - Admin Asst - Sick
0.00
7329 - Salary - Admin Asst - Holiday
96.00
7334 - Salary - Outreach Manager
24,920.49
7335 - Salary - Outreach Mngr - Vactn
1,210.32
7336 - Salary - Outreach Mngr - Sick
1,302.78
7337 - Salary - Outreach Mnger - Hlday
910.22
7338 - Salary - Conservation Assistant
12,480.52
Page 4 of 5
3:38 PM Jefferson Land Trust Preliminary Financial Stmnt:
02124/11
Audited Financial Stmts
Accrual Basis Profit & Loss
Available May 2011
January through December 2010
Jan - Dec 10
7339 Salary - Cnsrvtn Asst - Vactn
529.34
7340 • Salary - Cnsrvtn Asst - Sick
184.91
7341 - Salary - Cnsrvtn Asst - Hlday
419.66
7342 • Salary - Development Director
22,215.85
7343 - Salary - Devip Dir : Vacation
2,678.05
7344 - Salary - Devip Dir - Sick
0.00
7345 • Salary - Devip Dir - Holiday
1,351.19
7346 • Salary- Finance Director
25,248.70
7347 - Salary - Finance Dir - Vacation
388.95
7348 • Salary - Finance Dir - Sick
0.00
7349 - Salary - Finance Dir - Holiday
607.48
7350 • Salary- Internship
1,671.54
7351 - Salary - Senior Admin Spcist
25,768.24
7352 . Salary - Senior Admin Spt - Vac
257.80
7353. Salary - Senior Admin Spt - Sck
1,981.00
7354 - Salary - Senior Admin Spt - Hol
981.76
7359 - Bonus
3,156.00
7360 • Health Insurance
33,290.91
7361 • Health Insurance - YE Accrual
807.28
7364 • SEP-IRA Employer Contribution
4,934.34
7370 - Payroll Taxes
7371 • Payroll Taxes - Soc Sec/Med
20,558.24
7373 • Payroll Taxes - L&I
4,615.78
7374 • Payroll Taxes - Suta
2,145.27
7375 • Payroll Tax - Year End Accrual
-2,572.66
Total 7370 • Payroll Taxes
24,746.63
Total 7300 • Salary, PR tax, benefits
306,329.75
Total 7000. Operations Expense
393,767.15
Total Expense
393,767.15
Net Ordinary Income
214,578.06
Net Income
214,578.06
Page 5 of 5
Jefferson Land Trust .
RESOLUTION
February 25, 2011
WHEREAS, Jefferson Land Trust is an applicant or sponsor for more than one Conservation
Futures Funding application, and Conservation Futures Funding Application process requires
that Jefferson Land Trust prioritize its projects, and
WHEREAS, Jefferson Land Trust has been working since 1995 in partnership with Jefferson
County, the City of Port Townsend, Washington Department of Natural Resources, the
community and the U.S. Fish and Wildlife Service to acquire land lot by lot to preserve a 3.5-
mile greenbelt and natural stormwater drainageway called the Quimper Wildlife Corridor, and
WHEREAS, professional naturalists and scientists have recommended that this corridor be
expanded to provide further benefit for wildlife species, especially migrating birds, and to
provide additional wetland buffers, and
WHEREAS, acquisition of high -priority identified lots in the Quimper Wildlife Corridor area
from willing sellers would provide such wildlife and wetland protection, and
WHEREAS, this important community asset will require stewardship in perpetuity, to include.
annual monitoring, maintenance, and management, as spelled out in the City -adopted Quimper
Wildlife Corridor Management Plan, Resolution, and
WHEREAS, Jefferson Land Trust has been working since 2000 in partnership with Jefferson
County Conservation District, Jefferson County, Washington Department of Fish and Wildlife,
North Olympic Salmon Coalition, the Hood Canal Coordinating Council, the Jamestown
S'Klallam Tribe and WSU Cooperative Extension to acquire and restore critical salmon
spawning, rearing and migratory habitat in the Chimacum Estuary and lower mainstem reach,
and
WHEREAS, professional naturalists and scientists have recommended that Chimacum Creek
habitat protection be expanded to provide further benefits for migrating salmonids. and other
species, and
WHEREAS, acquisition of high -priority identified parcels in the Chimacum Creek Estuary area
from willing sellers would provide such habitat protection, and
WHEREAS, this important community asset will require stewardship in perpetuity, to include
annual monitoring, maintenance, and management, according to the 2008 Lower Chimacum
Creek Fish and Wildlife Management flan,
BE IT HEREBY RESOLVED that Jefferson Land Trust agreed at its February 15, 2011 Board of
Directors meeting to sponsor an application by the City of Port Townsend for Conservation
Futures Funding for both land purchase and stewardship funds for this expansion of the Quimper
Wildlife Corridor, and agreed that Quimper Wildlife Corridor is the highest priority for 2011
Conservation Futures Funding. The next highest priority is funding for the Chimacum Creek
project because it would provide a vital connectivity to the Chimacum Creek project area and it
represents a collaborative effort with community members and our Chumsortium partner
organizations as they work to preserve this significant salmon habitat.
Signed this 25th day of February, 2011.
Owen Fairbanki, President, Board o Directors
Jefferson Land Trust
Consent Agenda
-fgHING�p.
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street • Port Townsend • Washington • 98368
www.jeffersoncountypublichealth.org
October 7, 2011
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Phillip Morley, County Administrator
FROM: Stuart Whitford, Environmental Health Director
Tami Pokorny, Environmental Health Specialist
DATE: (•JIVE- i 31- P— I q- , ao I I
SUBJECT: Agenda Request: Conservation Futures Project Agreement with
Jefferson Land Trust for the Winona Basin — Bloedel Project; June
27, 2011 — June 27, 2014; $42,700
STATEMENT OF ISSUE:
On June 27, 2011, the BoCC granted an award from the Conservation Futures Fund to the Winona Basin
— Bloedel Project (Resolution No. 27-11). Staff requests approval of an agreement with the sponsor, the
Jefferson Land Trust (JLT), regarding the implementation of this project.
ANALYSIS/STRATEGIC GOALS:
Resolution 27-11 authorizes the use of up to $42,100 in conservation futures funds for acquisition expenses
and $600 to reimburse operations and maintenance activities (a total of $42,700). In the application for
funding, the sponsor committed to a matching contribution of 58% ($58,100). The match is to consist of a
total of $16,000 cash and $42,100 in unused ("banked' land value from a nearby property donated initially
as match for the 2009 Quimper Wildlife Corridor Project (see JCC 3.08.030(5)d).
The Winona Basin — Bloedel project seeks to add seven lots to the Quimper Wildlife Corridor. Title to the
property would be held by the City of Port Townsend. The Winona Basin area has a high diversity of
habitat and wildlife species and is considered a key element in the Corridor's system of wetlands, forests
and floodplains across the Quimper Peninsula.
FISCAL IMPACT:
The explicit purpose of the Conservation Futures Program is to fund acquisition projects to support a
system of public open spaces. There is no impact to the General Fund for this effort.
COMMUNITY HEALTH HEALTHENVIRONMENTAL HEALTH
DEVELOPMENTAL DISABILITIES WATER QUALITY
MAIN: (360) 385-9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360) 385-9444
FAX: (360) 385-9401 HEALTHIER COMMUNITY FAX: (360) 379-4487
Consent Agenda
RECOMMENDATION:
JCPH Management recommends that the BOCC approve the project agreement for the Winona Basin —
Bloedel Project; June 27, 2011 — June 27, 2014; $42,700
REVIEWED
6'f �P
tPhif$ Morley, o yty Administrator Date
Z o
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street • Port Townsend • Washington • 98368
www.jeffersoncountypublichealth.org v
r�
WQ-11-105
CONTRACT REVIEW FORM
CONTRACT WITH: Jefferson Land Trust
CONTRACT FOR: Winona Basin-Bloedel Acquisition —
APN #951-902-402
TERM:li'1;V-y,' n J�1rie � , `�"�4
' .t a
COUNTY DEPARTMENT: Jefferson County Public Health
For More Information Contact: Tami Pokorny
Contact Phone #: X498
RETURN TO: Cathy Avery RETURN BY: ASAP
AMOUNT:
Revenue:
Expenditure: $42,700
Matching Funds Required:
Source(s) of Matching Funds
Step 1
APPROVED FORM
Comments:
$16,000 + banked land
value
Jefferson Land Trust
REVIEW BY RISK
Review by:
Date Reviewed:
Step 2: REVIEW BY PRO
Review by:
Date Reviewed:
APPROVED AS TO FORM
Commen
PROCESS: ❑ Exempt from Bid Process
❑ Consultant Selection Process
❑ Cooperative Purchase
❑ Competitive Sealed Bid
❑ Small Work Roster
❑ Vendor List Bid
❑ RFP or RFQ
❑Other:
for revision (See Comments)
TING ATT�RN�'\..l(,�
4A G'F 2 ;'
.tJ\ FZeturned-for revision (See Comments)°
(This form to stay with contract throughout the contract review process) -tQ V,
COMMUNITY HEALTH LT ENVIRONMENTAL HEALTH
PUBLIC
DEVELOPMENTAL DISABILITIES WATER QUALITY
MAIN: (360) 385-9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360) 385-9444
FAX: (360) 385-9401 HEALTHIER COMMUNITY FAX: (360) 379-4487