HomeMy WebLinkAboutPublic Works Board Construction Loan Contract - 082924 Docusign Envelope ID:60F330CC-AA91-412E-859D-D51B96831A1F
AMENDMENT FACE SHEET
Contract Number: PC22-96103-047
PROJECT COMPLETION AMENDMENT - X
PUBLIC WORKS BOARD
CONSTRUCTION CONTRACT
1.Contractor i 2. Contractor Doing Business As(optional)
Jefferson County N/A
623 Sheridan St.
Port Townsend,WA 98368
3.Contractor Representative 4. Public Works Board Representative
Mark Thurston Max Wedding
5. Original Contract Amount 6. De-Obligation 7. Final Contract Amount
$500,000.00 $343,516.59 $156,483.41
8. Amendment Funding Source 9.Amendment Start Date 10.Amendment End Date
Federal: ❑ State: RI Other: ❑ N/A: ❑ Amendment Execution Date June 1, 2041
11. Federal Funds(as applicable): Federal Agency CFDA
N/A N/A N/A
12.Tax ID# 13. SWV# 14. UBI# 15. UEI#
N/A 0002430-06 161-001-169 N/A
16. Amendment Purpose
The purpose of this Amendment is to certify the project completion for this Washington State Public Works
Board (Board) Contract(Contract).
The Board and Contractor acknowledge and accept the terms of this Amendment, along with the original
Contract, all documents incorporated into the original Contract, and those incorporated into this Amendment.
The parties execute this Amendment on the date signed below to start as of the date and year referenced
above. The rights and obligations of both parties are governed by the Contract, as amended herein, and the
following other documents incorporated by reference: Attachment I: Certified Project Completion Report. A
copy of this Amendment shall be attached to and made a part of the original Contract between the Board and
the Contractor. Any reference in the original Contract to the"Agreement" or the"Contract"shall mean this
"Agreement as Amended"or"Contract as Amended," respectively.
FOR THE CONTRACTOR FOR PUBLIC WORKS BOARD
CDocusigned by: Signed by
r _/\_/--- l
Si9 nature'''' Kathryn i . "a`r'aow°Public Works Board Chair
Kate Dean 9/4/2024 I 5:48 PM PDT
Print Name Date
Chaff r, BOCC APPROVED AS TO FORM ONLY
Title
9/4/2024 I 3:47 PM PDT Signature on File
Dawn C. Cortez
Date Assistant Attorney General
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AMENDMENT DECLARATIONS
Amendment Title Completion Amendment
Amendment Number Amendment X
-----------------------
CLIENT INFORMATION
Legal Name Jefferson County
Contract Number PC22-96103-047
PROJECT INFORMATION
Title Snow Creek Road Milepost 0.84 Culvert Replacement
Project City Port Townsend
Project State Washington
Project Zip 98368
Contract TERMS and CONDITIONS
Contract Amount $500,000.00
Loan Amount $500,000.00
Grant Amount $0.00
De-obligation $343,516.59
Loan Forgiveness 5%/S7,824.17
Final Loan Amount $148,659.24
Final Grant Amount $0.00
Loan Term - Original 20 years
Loan Term - Revised 20 years
Current Interest Rate 0.47%
Final Interest Rate 0.25%
Earliest Date for Cost Reimbursement August 6, 2021
Payment Month June 1
SPECIAL TERMS AND CONDITIONS GOVERNING THIS CONTRACT
n/a
LOAN SECURITY CONDITION GOVERNING THIS CONTRACT
This loan is a general obligation of the LOCAL GOVERNMENT.
SCOPE OF WORK
The Snow Creek Road Milepost 0.84 Culvert Replacement project removes and replaces an existing culvert and road
embankment.
The project costs may include but are not limited to: engineering, cultural and historical resources, environmental
documentation, review, permits, public involvement, bid documents and construction. The project needs to meet all
applicable Local, State, and/or Federal standards.
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AMENDMENT TERMS AND CONDITIONS
Contract Number: PC22-96103-047
PUBLIC WORKS BOARD
PROJECT COMPLETION AMENDMENT
CONSTRUCTION CONTRACTS
The purpose of this Amendment is to acknowledge the project has been certified as complete and the final Contract
amount and any interest rate and loan term on the above referenced Contract have been adjusted, if necessary, as
reflected below.
The amount of the Contract shall be the Final Contract Amount as identified on the Declarations Page. The interest rate
shall be the Final Interest Rate as identified on the Declarations Page, per annum on the outstanding balance. The term of
the Contract shall be the Loan Term— Revised as identified on the Declarations Page.
Page 1
8/7/2024
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ATTACHMENT I: CERTIFIED PROJECT COMPLETION REPORT
PUBLIC WORKS BOARD - CONSTRUCTION CONTRACTS
Contract Number: PC22-96103-047 Contractor: Jefferson County
Project Name: Snow Creek Road Milepost 0.84 Culvert Address: 623 Sheridan St.
Replacement Port Townsend, WA 98368
Original or Extended Project Completion Date: 11/5/2026
Chief Executive Officer Certification
The Chief Executive Officer of the Contractor certifies that:
• To the best of their knowledge, the financial information and data provided in this report is true and
correct as of the signature date indicated below and no project costs listed in this report were incurred
prior to the Earliest Date for Cost Reimbursement as stated on the Declarations Page; and
• Records supporting the information provided in this report are on file and will be made available by the
Contractor upon request.
S nature of Chief Exe fficer Title
Print Name Date of Signature
Project Engineer or Consultant Certification
The Project Engineer or Consultant of the Contractor certifies that:
• To the best of his/her knowledge, the data provided in this report is true and correct as of the signature
date indicated below;
• The project was completed in accordance with the Contract's Scope of Work; and
• The loan term is 20 years. If the client is eligible for and selected a performance incentive to extend the
term, the engineer agrees the life of the asset is at least as long as the term of the loan.
• The project was completed on /cif 9 2-0 2 3
(Actual Date of Project Completion)
Pre} /4cc4 9 e1-
Signature of Project Engineer or Consultant Title
Mark Thurston gh Z/
Print Name Date of Signature
8/7/2024
Docusign Envelope ID:60F330CC-AA91-412E-859D-D51B96831A1F
ATTACHMENT I: CERTIFIED PROJECT COMPLETION REPORT
PUBLIC WORKS BOARD - CONSTRUCTION CONTRACTS
Contract Number: PC22-96103-047 Contractor: Jefferson County
Project Name: Snow Creek Road Milepost 0.84 Culvert Address: 623 Sheridan St.
Replacement Port Townsend, WA 98368
Original or Extended Project Completion Date: 11/5/2026
Chief Executive Officer Certification
The Chief Executive Officer of the Contractor certifies that:
• To the best of their knowledge, the financial information and data provided in this report is true and
correct as of the signature date indicated below and no project costs listed in this report were incurred
prior to the Earliest Date for Cost Reimbursement as stated on the Declarations Page; and
• Records supporting the information provided in this report are on file and will be made available by the
Contractor upon request.
,-DocuSigned by:
chair, BOCC
bree58-
re 0#erilee�
Signs uf Executive Officer Title
Kate Dean 9/4/2024 I 3:47 PM PDT
Print Name Date of Signature
Project Engineer or Consultant Certification
The Project Engineer or Consultant of the Contractor certifies that:
• To the best of his/her knowledge, the data provided in this report is true and correct as of the signature
date indicated below;
• The project was completed in accordance with the Contract's Scope of Work; and
• The loan term is 20 years. If the client is eligible for and selected a performance incentive to extend the
term, the engineer agrees the life of the asset is at least as long as the term of the loan.
• The project was completed on 10/19/2023
(Actual Date of Project Completion)
Signed by:
kart ikurstm, Project Engineer
Sign`af7a88 $1gct Engineer or Consultant Title
Mark Thurston 9/4/2024 I 3:21 PM PDT
Print Name Date of Signature
8/7/2024
Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Mark McCauley, County Administrator
From: Monte Reinders, P.E., Public Works Director/County Engineer
Agenda Date: August 29, 2024
Subject: Public Works Board Construction Loan Contract Amendment for
Snow Creek Road MP 0.84 Culvert Replacement
County Project Number 18020310
Statement of Issue: Execution of the attached Public Works Board Construction Loan
Contract Amendment is necessary to amend the loan amount for the Snow Creek Road
MP 0.84 Culvert Replacement project.
Analysis/Strategic Goals/Pro's Et Con's: The culvert at Snow Creek Road Milepost 0.84
was replaced in 2023 using funding from a FEMA Hazard Mitigation Grant and a Public
Works Board Construction Loan. The original maximum amount of the loan was
$500,000, but Jefferson County only needed $156,483 to complete the project. This
contract amendment is necessary to amend the final loan amount and transition into the
loan payment phase.
Fiscal Impact/Cost Benefit Analysis: The total amount of the Public Works Board
Construction Loan is $156,483.41 . This will be paid back from the County Road Fund
over a 20-year term at 0.25% interest.
Recommendation: The Board is requested to authorize the Chair of the Board to
Docusign the Public Works Board Construction Loan Contract Amendment. The
document will be routed to the Chair of the Board via DocuSign following Board
approval.
Department Contact: Mark Thurston, Project Manager, 385-9210.
Reviewed By:
7412
l e0////
Mark
a k McCain , County Admimstrat Dat
CONTRACT REVIEW FORM
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Public Works Board PC22-96103-047
(Name of Contractor/Consultant) Contract No.
COUNTY DEPARTMENT: Public Works
Contact Person: Mark Thurston
Contact Phone: ext. 210
Contact email: Return to: Chris Spall, ext. 208
AMOUNT: ssoo,000 PROCESS: Exempt from Bid Process
Revenue: 333.20.22 Cooperative Purchase
=Expenditure: 595 Competitive Sealed Bid
Matching Funds Required: Yes Small Works Roster
Sources(s) of Matching Funds FEMA,PWB Loan Vendor List Bid
RFP or RFQ
Other: PWe Construclion Loan Contract
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMPLIANCE WITH JCC 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: n
Signature ate
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: n N/A: ✓ 17,% 2-_/2 4t
Signature Date
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfichc):
Electronically approved by Risk Management on 8/14/2024.
State agreement - cannot change.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
/ Electronically approved as to form by PAO on 8/15/2024.
V Amendment to State Contract.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
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