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Home My WebLink AboutReel_0067A i I~ I"",f.".":.,, F .)J. .~\ 'iF I I <')lliaofduv Cftf~~ COUNTY OF JEFFERSON STATE OF WASHINGTON The papers and documents appearing on this roll of film were photographed by Jefferson County Department of Public Works and said pape~s and documents are true and correct copies of the originals thereof as the same appeared on record in the custody or Jefferson County Department of Public Works, The microfilming of the papers and documents as aforesaid was done in the pursuance of, and in conformance wi~h, provisions of the statutes in these cases made and provided for as they appear in Title 40, of the Revised Code of Washington. I, the undersigned, do hereby certify, under penalty of perjury, that the above statement is true and correct. ,,,;?NA _'4!r-'~ "SignatUI'e/ tJ--t-,/ Jefferson County Department aMI ~!j /1~1 J Date of Public Works ..- A - - ~--.r'''''''''rMfilIIII~.._ Li_ ",. '-"~::..";' '.'.'. " ,..'. .''.0' '.::':' ." ~ ~ :t~ : ~~~~: j~ ~;:.' :} :::l . S\, .~'.. .~":. .:. : .~~.~... FORM OF ORDER AND TRANSMrrIAL BY AGENCY HA VINe SINGLE HEAD Slate or WashiD~ton DEPM{'Il1EHT OF ECOLOGY (agcw.::r 11l1me) Admi.nistrntire Order No. FlR-41 deputy ~ dir-,::tor of (1)1. Fred olson, Dep.r:rl:mer.t of EC:l.)lolv do prap1l.ll&atc aCid .do,~ ~t \.;'a5h lrl2ton Oen3t'tlllent tot lc:olo2V Lac:ev. VA (pl...) the annacd Nics rcl..tlnlto: AlI1'lnding WAC J?J-IS8-IOO - Flooljphin Kan.;gelllenc t Local ::::.>lApliolnc:c Schedule to a11o\l extl;ns~on~ of time co cOlnply with the requi.rclSlcnts of WAC 17J-158-060( I). ....< :..:- (2) ALTERN.A nVE A. Uk oni)' ret AdQlptlOQ or Peronsl1C'Dt Rwes. "'fbi, actton is ta\:.c:.l\ pursl,lint to Notice: No. iUd' .....ith In:- code rc:vis-:r on . Thac rules di~U l~\:c eITecl.: o thirt)' di)'1 a(ler the)' arc filed with the code reviser punu~nt to RCW 34.0<4.040(2). o at a latcr date, such dJte being .... "'.~' ", (2) ALTERNATIVE B. Use only tor Adopdoa or EmcrEtRC1 Rul,=,. I. Fred 01 son . fil\d th,t an emers,:ncy exisLs and tnat lhis order is nc:cwu)' tor the prcse;"\';1lion ct t!'lc public haith, S<lotcty, or gcneral welrare al\d that observance ot (he rc;.quiremenU ot notice: and opp.:ttunit)' 10 present views'':" till; proposed action \l'Ql.ltd be contrary to public lntercst. ^ sU\cmen\ o! \he f,~u corudlutin& Ihe cmergcncyl.s: The curren I: rule: requires that c:olllDlunitie5 adopt their lo;al ordinanc:e:' to mee:: all t.he requiretllent., o! Chillpt.et 173-158 WAC by December 3. 1988. .A n-evduation. is bei.ng made of the rt!...uirell1ents in WAC 17J.-ISa-060(1) which wi.ll not be comp1e~ed by Pp.cember "3. 196&. :'" Thee rules arc thc:re(orc adopted as emergency rules to l1ke errc~c:l upon filing wilh tbe code: reviser: (3) PUr1uant to the rc;.quircmc:nu or RCW 34.04.0261 th~t 'cvery 'agenc)' sh:111 inccrporate the me,t speeific. but !" ~~.t:asc omit .n, or the; rollgwinll~n&u.agc ahernativc.s when adopting or amending rulcs' SUIn .statcmcnt (a), (b). or (c) as appropriate:: . o (a) This rule is promulgated pursuant to RCW and is intended to ~dminutrativcty lmttement that sta(l,Il.e; ro (b) This nde is promulgated pursuant to RCW 41 2 1 ^ wbich dirc.cts th::'1 the: De03rr:1M"n~ of Ec:oto"v (lgef1~Y)' has authority to implcmc:n~ the: prcvisiolU cr Chapter 86.16 RC..... (name or act ar RCW cil:l.tion) Cl (c) This rule l.s promul@::\ted under thc general rule-making authority or the (agenc)') u authori.tc.d in RCW ("') The undcnisncd hereby dcc:larc:.s 1f1.at the jr,Scncy h~s complied with the provisions or the Opcn Public Meetings Ad (eh2.pter 42.30 RCW), the Al!mtnutn.Li.vc Proc.cdure Aet (chaplet 34.04 RCW) and the State Register ACt. (cbapter 34.08 RCW) in the :uloplion or thac rulc.:ll. (S) nis order. .sCtcr bcillg fint recorded in the "rcler register or this ..iency, is herewith transmitted to the Ccxlc STATE~'WAor 611nl punu.nt '0 chopt" )'.0' RCW .nd ch.P'" 1-11 WAC. ' FI",,?~~~G[g~ND ADOPTED October 11. 19~_. , OCT 1 'l.1988 Dy ~tp)(': CODE REVISER'S OFFICE IVSR ?"F-;-;;a/ 6J:r? AMEl'DATORY SECTION (Amending Order 88-6, filed 5/4/88) VAC 173.,158-100 !ll Local compl1...mce schedule. Communicies will have silt monchs from che effective daCe of chis chapter to adopt or amend their local flood damage reduction ordinances to incorporate the requirements of chapter 86.16 ROW and chis chapeer. The deoar'tmenc of ecoloe:v tuav ~ant: B'Q ~~e en): f.nclfl.qion of the ~eau!r~~f ~AC 173~158~060(1J Into loc41-2rdlnance~ uno" written r,eo"est from the cQaml'.nLl:.L. ill ((Such)) Qrdin.ances or amendments under suhsp-ceion (l) of chis section shall cake effece thirty days from filing with the departmene unless the departmene disapproves such ordinance or amendmene, in wrieing wiehin that time p~riod. The departmene may disapprove any ordinance or amendmene which does noe comply wieh ehe requiremenes of the NFIP, WAC 173-158-070. [Seatutory Auehority: Chapeer 86.16 RCW. 88.10-058 (Order 88-6), ! 173- 158,100, filed 5/4/88.] POSITION PAPER GHAPTER 173-158 IlAC FLOODPLAIN MANAGEMENT I" i. ' i I '--~:,' ; Authori tx i i.' .,,', i I I Chapter 173-158 IlAC was adopted pursuant to Chapter 86.16 RCIl which was amended during the 1987 legislative session. Chapter 86.16 RCIl gives Ecology broad authority in floodp1ain management including establishment of minimum state requirements for floodplain management and authority for disapprovul of local ordinances not meeting state and federal requirements. Background Chapter 173-158 WAC WIiS adopted on May 3, 1988 with an effective da.te of June 3, 1988. Public hearing" wptP hpld during March in Yakima, Redmond and Olympia. Several comments were made on the proposed rules during the public hearings and in writing prior to April 7. Letters were sent to local officials March 7 announcing the public hearings, and May 13 s~~arizing the major issues and changes made to the !,roposed rules. Since the rule~ were adopted) we have only received feedbac~ on two issues. One is general in nature, which is the timing for adoption or amendment of local ordinances to comply with the new state requirements. This was established in our rules as six months from the effective date of the rules l<hichwill be December 3, 1988. The issue which we have received the most feedback on, will be addressed in the remainder of this paper. This issue is the prohibieion of new or substantially improved construction in coastal high hazard areas (VaZone~), alo~g the Pacific Ocean. The majority of the response is from property owners in Grays Harbor County in the Moclips-Pacific Beach area and ext~nding to the Ocean Shores area. Another specific case involving a proposed development between Tokeland and North Cove in Pacific County has also been brought to our attention. Grays Harbor County conuucted a public meeting the evening of September 14 which was attended by approximately 100 citizens. The meeting was held in response to the concerns expressed by the citizens regarding ~he state V-Zone requirements. Representatives of the Federal Emergency Management Agency (FEMA) and Ecology participated in the meeting at the reque"t of Commissioner Bob Paylor. The federal and state floodplain management programs were explained followed by a question and answer session. As a follow-up to the meeting, there have been numerous telephone calls and letters directed to federal, state and local officials all requesting that the state V-Zone requirements be repealed. One of these letter was from the Grays Harbor County Commissioners to the Director of Ecology. Position Paper - Chapter 173-158 WAC 1 of 3 ~----""...~-~"'~"'. V~Zone Reguirel1\::!nts WAC 173_158_060.includes the foJ.lowing: (1) Communities with aesignated cons tal high hazard areas (V-Zones) from Cape Disappointment to Cape Flattery along the Pacifi~.Ocean shall: (a) Prohibit neW' or substantially improved construction in the above designa.ted V~Zor.cs; exc"eptions are for needed water d~p€:ndt:lul:. st-ructures or structures that facilitate public recreation accesS to the shore." This section of ~h.e regulation prohibits construction of most np.:~ structures as well as "substantial improvemencn to existing structures. Substantial improvement is defined as fifty percent of market value. There are also some exclusions to the substantial i,mprovement criteria. For purposes of administration of chese rules, it has b~en determined chat an existing structure may be replaced or rebuilt in its entirety provided certain criteria is followed in the rec.;Jn~truction. In effect, the impact of this regulation is only on land currently vacane and located in a coastal V~Zone. The areas designated as V-Zonf~S are shown on the Flood Insurance Rate Maps developed for the Federal Emergency Management Agency. Puroose of V-Zone Reauirement This additional state requirement was included in Chapter 173-158 WAC in an effort to comply with the legislative intent of RCW 66.16.010 as follows: "The Legislature finds that the alleviation of recurring flood damages to public and private property and to the public health and saf.ty is a matter of public concern." It waS determined chat the type of flooding and resulting damages that can OCC\lr with open coast flooding in the designated V~Zones is so significant that a prohibition for health and safety purposes was justified. In addition, in si.tuations where damages are such that a federal disaster is declared, there is a significant expenditure of federal and state funds as well as impacCs on the National Flood Insurance ProgrAm (NFl?). The continued increasing potential of additional coastal flooding due to sea level rise was also considered in this determinaticn. Position Paper . Chapter 173-158 WAC 2 of 3 Imol.ications of Noe AdoDtin~ V-Zona R~auirements Grays Harbor County is presently =onsidering not including the V-Zone r~quiremen~s in~their lncal flood ordinance due to the obj~ctions being raised by the property owners. If the county choose5 not to.adopt this requi~emenC or any of the other current state and federal require~ents by IJecember 3, 1988, the F"dural Emergency Management Agency will initiate action to suspend the county from the NFIP. If the county is suspended from the NFIP, flood insurance policies can no longer be renewed or obtained anywhere in the county. In areas designated on the NFIP maps as being within the one hund~'d year froquency floodplain, which includes rivers as well as coastal areas, flood insurance is a pre- requisite to securing any federally financed or federally secured loan for a st~ueture. This would mean that, for all practical purposes, an individual could not get a loan for building or buying a house within any identified one hundred year floodplain in any of the unincorporated areas in Grays Harbor County. There are other sanctioIls that would also apply if the county was not participating in the NFlP. Federal assistance would not be av~ilable for flood damage to residential or nonresidential structures following a disascer declaration. Funds from the Department of Ecology's Flood Control Assistance Account Program will also not be available to Grays Harbor County. Prooosal for resolution of V-Zone issue. The Department of Ecology has adopted an emergency rule effective October 12, 1988, which provides an opportunity for local governments to receive an extension of time to incorporate the additional state V-Zone requirements into their local flood ordinance. The December 3, 1988 date will still apply for incorporation of the remaining state a~d federal requirements into local ordinances. During this time period, which is expected to be a maximum of six rnonths, ,a reevaluation of the state V~Zone requirements will be made by Ecology with assiscance from affected local governments, interest groups and private citizens. Any proposed changes to the existing state V~Zone requirements which are developed through this process will then be considered as proposed rule amendments. The public hearing and public review process will then follow. Public hearings will be scheduled in coastal communities and be widely advertised so all interested parcies can participate. Ecology will then review the comments received on the proposed rules and make a decision regarding adoption of the rules. Position Paper - Chapter 173-158 WAC 3 of 3 ~-J]J~l .lItlr....~--..--~ -~-, IT" \ r'- ~ j .-.. ....f Jefferson County BOARD OF COUNTY COMMISSIONERS Port Townsend. Weshlngton 98368 . Phone (206) 305.9100 'I .'.. JEFFERSON COUNTY COURTHOUSE N....TION....L I"lISTORIC SITE f>ORT i OWNSEND. W....SHINGTON LARRY W. OENNISO"~. DISTRICT 1 B.G. BROWN, OIS nUCT 2 GEORGE C. "BROWN, DiStRICT 3 December 2, 1988 lA~CEPJEO Mr. Ernest Geissler County Road Administration Board 206 20th Avenue S.E. Olympia, Wa. 98501 RE: Road Jurisdiction Committee Phase I Report DEe n 1988 JEFFERSON COUNTY PI,IBLlC WORI<S DEPT Dear Ernie, Thank you for the opportunity to comment on the Phase I report. We feel that the criteria selected are appropriate for classifing what should be a state highway and what should be a county road. An issue not addressed as part of this study that concerns Jefferson County, is the problems of putting rcoources, whether County or Statc, in the best geographic location. As you know we have isloated roads in the west end of the county that arc c>cpensivc to maintain. We would like to see a cooperative effort between the State and counties to work on these problems. Although this is not related to RJC, it is a conccrn to us and may be a concern of other counties as well. Sincerely, JEFFERSON COUNTY BOARD OF COMMISSIONERS LJi:1&::~ B, G. Brown, Chairman ,,'.P"- ."---';'C_ . a~A~~.7.";~~ Lar~W. DCIlnison, Member /p ".',,? 4~-~ ,'M' I..f.-. l:1.--td-t., ,;'-'-"-' Geor'ge Q) Brown, 'Member Bocc/ld cc: Gary Rowe CALL FOR BIDS Notice is hereby given that the Board of County Commissioners of Jefferson County, State of Washington, will receive sealed bids up until the hour ot liJlfl.D/lI-1A.M" Monday' ::2. /' ff//J_,-<!A- ,1969, at the office of the County Corn~issioners, courthouse, Port Townsend, Washington, 96366, to be opened and read at that date and time for furnishing the Jefferson County Department of Public Works with: ONE (l)RAILROAD FLATCAR Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where copies may be obtained. Each bid shall be accomp~nied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be ' forfeited to Jefferson County by the successful bidder if he fails to enter into a contract and file an acceptable surety bond in the amount of 100% of the contract price within ten (10) days of the awal'd. The board of County Commic.S.1oners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. APPROVED THIS t DAY OF '7...// cu~-Il , 1969. BOARD OF JEFFERSON COUNTY COMMISSIONERS /~ ' /fZ '/tfA.~f^-- r!.--(/~_~ Geo ge C. Brown, Chairman ,~--' ~>.~-_.~"."""'~""--- \ .'~" '~q ~""'~'0~._-:"'/1 \~.rQ'l';~.;:: , ,:;~:;L .,g~ ~-,~'!:r7' r! 17..;<!<~-":~ ~~ /.~ ... J"" ~:;..~. ',j;ih.;;' ~ 6't<-1<--: /"2{ft.) yd). 71' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 J.if.l5on Street P,O, Box 1220 Porl Townsend, WI'. 98368 , (206) 38~-9160 Gary A. Rowe, P,E., DI,~ctor Rebert G. Nesbitt, P,E., Countyengifleer t,lEMORANDUM TO: Board of County Commissioners FROM: Robert Nesbitt, County Engineer ~ DATE: February 27, 1989 SUBJECT: 1 Ton Truck for County Parks The Public Works Department has reviewed the bid form Glen Grant Chevrolet for the 1 ton truck. Public Works Department recommends that the Board of County Commissioners accept the bid. 100% Recycled paper "ji ~~" , t~ - ,; .. I), ," ,:, ..: " , ,,' '..'c, , ~... ( .':~ , ','" ~ _,,, _,_ I- ,-- I ';:l...m'" :Jm mm;:~I, . ,3 7 \.j :~ . m m ~ t ["'..~ 0 > -1::. C.H~RRY. _;)HU .... ~ilE&E.)I:. u_ ~ . . \"...'" .~;'.,6 F" a- ,....:, . ; IV 1 ~ ~ , , , -", -,-,- ,9 2 ! 1-, -. ,,- -,--- "'- : ' BJr.,r;0 "'- G: 1...-0'"': ~ '(C".~ 1------.---, ;" ..f:: ~1;:~' , 7 \ C,~u", VI: -)("...J"') : '. 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PROJECT LIST AND ANT:CIPATED REQUIRED SERVICES PROJECT D~SCRIPTION SCOPE OF: :.iORK Upper Hoh Rd. M.P. 0.32-1.46 (,v- . Construction Staking, Administration, Material Inspection & Testing Portage Canal Bridge ~18E, Replace Fenders Construction Material Inspection ~ Testing Point Whitney Rd. M.P. 0.00-1.06 Construction Staking, Material Ins~ection ~ Testing ~ak Bay-Flagler Rds. Intersection Constl"L\ction Staking, Material Inspection & Testing Owl Creek Bridge ~llW Replacement Con~truction Staking, Materia! Inspection & Teliting Beaver Valley Rd. M.P. 6.50-7.60 Land Surveying, Civil Engin2erin9, Construction Staking~ Material Inspectlon ~ Teliting Oak Bay Rd. M.P. 8.39-8.6b Civil Engineering, Construction Staking, Material Inspection & Testing Glen Cove Transportation Plan Tra~fic Engineeringl Planning. Rocky arook Rd. M.P. 0.00-0.37 Land Surveying Paradise Bay Trans- portation Plan Traffic Engineering/ Planning Fir Ave. Extension M.P. 0.06-0.12 Construction Staking, Materials In5pection & Testing Bridge and Approact, Rails Structural Engineering Swanscnville - Beaver Valley Rd. Intersection Improvement Construction St_king, Materials Inspection & Testing 3ro Street Improvement M.P. 0.44 - 0.55 Land Surveying, C~vil Engineering, Ccn&truction Staking, Material Inspection ~ Testing Old Hadlock Rd. Traffic Circulation Plan Traffic Engineeringl Planning Four Cornr-rs / Rhody Dr'. Airport Cut-off Rd. Int, Land SurveyinOf Construction Staking, Material Inspection & Testing Services other than those listed for each project may be required and selections fer all services, as determined by the County ~or the 1989 calendar year and the various phases of the project, will be from the submitted Statements and Requests. SUBMITTALS: Stat~ments of Dualifi~atlons ~ Requests to be Considered for Award of Contracts for services must be submitted to the Jefferson C~unty Department of Public Works, P.D, Box 1220, Port. Townsend, WdshJngtcn, 98368, Attention Robart G. Nesbitt,P.E., County EngIneer, Phone No. (206) 385-9160, no later than January 13, 1989. c~: . , , --"-'-..._"---, i 1ft' 4'1/L ' L~-.lOF';L.l-:1 \2l;SI-\,C.9? :11 " !' .', !1t.-LC.1J ~ ~D. 1-101 "",G>JC'1:> \ (,,'f\ 108 (:;>0 7.2.% I~;'O ~ (PO) 100 <:.!?- )() 0(0 -:; 2.600~' S$."deD Lo~- '!' \:) ~ ~i lOX NOT c:u terN'1 ~, \ '-~ 2. 3'-/, So G"')../-rr::;il ?r ) ~{:";, ~1 ~rr~, , L...o G.t:'~ ,N c. ~ &0/ 'l00, 00 \ I C> /" , S; 0,/" f'b ,I ~ F I '-11-1 en IT '516o-1J C1) 1, <.I l., 4'l_'.{., 00 11.(..:5 % p. ~NA'r"- /0% -: zoco- t<ltfr ClJ.J ,.-= /-"; sg,,,, bO ~ , : a-.- J-.L ~ i , - - H~ Il-lSnr\..MC1/1 CJ2.-A11 A't "' 1':>120.'" $ SOOo. 00' L <'I) iz ,(03'1 e;? ,,'('t-lt."'t> ..J' ...- 4~ t'.4,,,,~ ~Jt:- ,i ':1 '! it /1) Z'l.l.'50 o~ H om,IWI~C< 70% . 'So I i,.,f'J n::> il ~ !I Ct1)Q-(..Lf)/r-C ! " . -1 r-~ No"! 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DESCRiPTIO'I- LO-+!::> C>~ ri-1t-R.F>,Il-t;:;.~ /"/t-..:" i9.e~/V ON R \ w . , DVI vVlP-e i) 5 e.~ """'-T-.'() N R~v\e,<'T 6 _z.f>,-8 9 , An ACI ~ MAP CIR SKETOt REFER TO- --1ii,q-R 1-. RESF"CND BV- RESPONSE ~ -~,r"" - f __"';..ot& c/a:,- / tJ ('f.l (~ /....,..,[ - f CV/// -- -)'Cu'/// , /'\ 11>1: €'--,,v { //:dCl ~i:-Lf/:t'2. ;-7 ,0 / (/lA-,~", v. I /__)0 A-.;</.{ IREVIES'ED BY. DATE. CXIN"i'AC'1'E!> HEQUEST~R 0 IN PE~ 0 BY P't<<JNfl: 0 B.... LETTER o::'lNTACTEO BY. REClCIMtoENDAT t a.- PREPARE ESTIMATE. FOR. ROUrE TO. INITiAL 0 DIREcTOR -- 0 ~TRUCTla-I ENG. - 0 ACCOLNT MIT 0 ASSISTNIT' DIR. - 0 PP..ANr'\IING ENGINEER_ 0 0 ROAD RUl"€RV1 SCR - 0 A.DMIN, ASSISTANT - 0 '" , '. i," , I;, ,'...., , ,.,." ,:,: ", " " ',I ",:" ,'. ;'..", ..,. .. ,'. :' .;"::::;::;::;;.:.:; : '" , "', ..,'" " ," .'''' , "...' , " ., ": ,,' ,','.' ',..'.. ,,' ", ,',' ..". , , " '". , '" .. '"., ' . 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DESCHIPrICN. 4~&'Z~~_ ~""5?,e;~ / ~~;r' ~~. /.:-';:;'~'-:d-C__~"~ .... / .' ...-:-,.,-.h ~/~~~A~~"'--" J ~'f'1-.,d.~."7<.. ,e"'A-C~.e.~-..-:"" .I. ?'d*-~ ~:~ c::<:.<:.-r /&J'1? ,,<i;';'Jvn/ .4."'?4/ .'PC ;:rr<=-?G-u/ ~~ u~ - ..a/CL--f~ L / ~/.' ~ Cfi..c.r;I",,4, c<'7.:-?q..c~ ~-t!'..~ 7 .?7'c.v c'-"C?ce...___ ..~~/.. -'--;?~ 4" /,'~~"'d...e , ATrACH MAP al' SKETOf REFER TO- <~~_ /c/...u::e; RESPO"U) BY. m::SPClNSE - /77t1vd (,..r/f SS" REVIEWED BY- ~.::../ DATE- c:::cNTACTED REQUESTER D~N PERSON 0 GY PHONE 0 BY' LETTER CON,'ACTEO BY- PREPARE EST I t.M.TK. f"QI. RIOln'E: To. o D.RECTCf> D ASSIf!1TN4T DIR. o AClAD ~ISClR INITIAL o C'ClNSTRUCT,ON ENG. _ 0 ACCXJlI"ITAa..rT o PLA......NG ENGINEER _ 0 o ADM.N, ASS.STANT _ 0 --,...._,...~_.._~"'".....,.,.-"'-_....---- ',C " '..,. " ,':, >' ...... i r:, C' " ' " , ," ,:',' '; , : ,', ' '..".'.' ,,\, " r I :' ...' , , " >. ' , .', .. " ,,: ".. , ,,' ; ..." , " ~,;,.. ' , ,,' .. ..,". ,'." " '..".','.' I:."'. " "" I, ',',,:' :":,:' ',::. ',',:, '" , I' , , ,'.,'"',,.' ., , " , ,'" , , I:' .' ". ",' I; .: ," I' ;'" " , , , I. "..", , " : I; ", 1';--": '.,' " c I' , , .";: ,','.,', ',' .. " ,.' ',':.' , " . ;',," ' , :,':,,;: , ,:' , " ,;": , I" :,'"L :' :',' .. "", :', ,,": '.. ." " ':, .: , ,', :,. , ',..,." ,."".', " :',: .- ' ;c .. " ' " " ,'" " ,.." ~... ~EFFERsON COUNTY FILE Ot::PAHTNENT OF PU9L I C WORl(S I\.CTI ON REQUEST REQUE"'rED ..y- -:[;,,v /Yll/I?R/+Y "ATE:. ^"""",ss- 0/40 P',?orPE<:.'T' PHONE NO, ' __&&. --J'owr./.f'E/\/J ALT. PH. NO.- NATWIE ~ rlEQl.EST. 0 IN PERSO'i r,s!:l BY Pl-ta'iE 0 BY LETTER Tr.i~."" BY. ~f7: FPEPrl#'vt.:,I1/J1i PERTAIN I:':;' TO. 0 OFFICE 0 Er-iG/SUR'VEY 0 ROAD MAINT. 0 EQUIP. MAINT. (s:J SOL.ID \tASTE REQOEST /'OR- jJj('k'- 1/ f' LClCATICN- AaADNAIoE ':lJIJtO/JESN& (,/o:~h9 :1C-~- O..3(oq ROAD NLMCII:::;R M.P. PRO.JEcr- PACUECT TITLE RROJECT NLNBER. DESCRIPTION- ..:..... '7 ~ L;;"tf,I}I- /)1/1Y1/' '/)~ .;....d "=~ ~ dt<<>l-- ~. /)V'"'r /, J:- eft, ~ f ~ A )[1 {) (:p /~(~"/,, I ATrACH NAP OR SKETa-t REFER TO. RESP'aiD DY. RESPCWSE - REVIEWED BY- DATE- CClNTACTED REQlESTER 0 IN PE~ 0 BY PH"J'o,lE 0 BY LETTER CXJNTACTEO BY. RECOIr~TI"". AJo~rl<t PCt ( )/'~;r t. f.. , . /-U& ;-1--4-[-/,(/ % 7r/a.-l PREPAnE: EST I MAn. F"al . i ROUTE TO.. INITIAL 0 DIRECTOR - 0 C:ONSTRUCT ION EttG. - 0 ACc:x;)U'oJTANT -- 0 ASS I STAHl' DIR. - 0 PLANNING ~INEER - 0 - 0 A:lAD Sl.PERV1 SOH - 0 ADMIN. ASSISTNlT - 0 - ~.Jr.l;li,!~'~~J\>'''f1':~f~---:----. 1- ill ',~- ";~: , " I':":' , 'I: , " .. .,>~ . I ,/ , ',", , '.' .,': ',. , , ' , , ' '.." ,', .-, ,:.. , : '" , " i' , , '" .,", , ",:,:,'..:,. , :, ",' :" " ", ,',," ,., '" ,:. ", .." ," ':' , ,',":' , ' ",;' " :< .,:' , ., ';, ,i . , .- ": " " , ;; ": I I 9 I I I , , '" , " ., , ", , " , ,'.. ,;",.,. " ',,": .' ,".,::> ", ','., I,:. ':, .' " ':,,:, ,.... ," , ' ',c " .' ,'.','. .'...', '. " :.. ,', ',:' "Y'<, , ",,',:' , " '.. .'", /':,' ~. '>: " , , " .,'. ",. '.,": , ", " " ""':;:'.'~ . , ',:, , """',." :,';, -' ',,' .j-. i J, Specifications and Proposal for Two (2) Used Passenger Vehicles NOTICE TO BIDDER The office to administer this contract is the Department of Public Works, P.O Bo" 1220 Port Townsend, Wa. 98368 Telephone (206) 385-9160 CALL FOR BIDS Notice is hereby given that the Board of County Commissioners of .Jefferson County, state of Washington, will receive se3.1ed bids up until the hour of IC:;{t' a.m., Monday, J~o->'< ( .~, 1989, at the office of the County commissioners, Conrthou~e, 1220 Jefferson street, Port Townsend, WA 98368, to be opened and read at that date and time for furnishing Jefferson county Public Works Department with: Two (2) used passenger vehicles, 1987 or newer. Bids shall be submitted in accordance with the specifications on file at the office of the Director of Public Works, Courthouse, P.O. Box 1220, Port Townsend, WA 98368, where copies may be obtained. The Board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. JEFFERSON COUNTY BOARD OF COMMISSIONERS _4..-('~~jJA'.- (I... ;J3..c;..t.'-~-t----'" George C.' Brown, Chairman JEFFERSON COUNTY DEPARTMENT OF PUBLIC,WORKS SPECIFICATIONS FOR TWO USED PASSENGER VEHICLES 1967 MODEL YEAR OR NEWER Bid call for furnishing the 3efferson County Department cf Public Works, Equipment Rental Division, with Two (2) used passenger vehicles. GENERAL SPECIFICATIONS It is the intent of these 9pecifications to describe a passenger vehicle in sufficient detail to secure bids on comparable vehicles. All parts not specifically mentioned, which arc necessary to provide a complete vehicle, shall be included in the necessary to provide a complete vehicle, shall b8 included in the bid and shall conform in strength and quality of material and workmanship to what is usually provided to the trade in general. The vehicles shall be a 1967 model year or newer. Any units not conforming to these specifications will be rejected. It is the responsibility of th9 bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. PICKUP AND DEI,IVERY The bidder shall indicate on the prcposal the time for pickup or delivery after award of the contract. The time indicated shall be a factor in determining the successful biddcr. The bidder shall indicate where the county can take possession of the vehicles or whether the vehicles will be delivered to the county maintenance facility in Hadlock, Washington. ", ' , ..(;'" ' .,:' ''. , I,. lilt:" .Z. , j" 4, ,> .. " , ..'.. : ,,:,' ! i I; ", , , , .:,:: ," ',"., , " ' ',' " , ;.:.' 't ::, .' '> ':: ':'.:' "', ' ," " I ~ ' .' ' !,'.",::,;\~::;,!:!1:: I:, ...:' .' ; '.. .':'1' ',', '.", , ..' ,,' ::' , , " ", .".. , "< " :' " :':. '..',....'. ' , I ,',' . I " '" .' ',..,:, ,'.... ',',:: I . ~ ' ':: ' II ,',,':, ~"- . JEFFERSON COUNTY - USED VEHICLE BID SPEC~FICATIOHS REQUIRED MINIMUM SPECIFICATIONS FOR VEHICLES 1. ENGINE: (al 3.8 liter, 5 cylinder minimum 2. DRIVE: (al Front wheel drive, preferred. 3. TRANSMISSION: (al Automatic. SEATING: (al Front bucket-type seat~ preferred. (bl Rear Bench-type seat. 5. MILEAGE: (al Total miles on 1987 model year vehicles shall not e,<ceed 35,000 miles on anyone vehicle proposed with the average for all four vehicles not to exceed 32,500 miles. Lower mileage is preferred. (bl Total miles on 1988 model year vehicles shall not exceed 30,000 miles on anyone vehicle proposed with the average for all four vehicles not to exceed 27,500 miles. Lower mileage is preferred. 6, WARRANTY: (al The bid proposal shall indicate the type of warranty proposed and 'the duration thereof. 7, CONDITION (al Vehicles will be acceptable with normal wear and tear. Total cumulative damage to the vehicle body and interior shall not exceed $1,000.00. Jefferson County reserves the right to inspect vehicles and obtain export opinions from third party individuals as to the condition of the vehicles, inclusive of all mechanical parts. 2 ] , ",.',.,.:,".J/"l . '.. ". f " .. , :, .' " ,",',..,..' " ''': ,:,,' , . ' ",",', ' " '.", , ',' "..' , " ,', I I .. ....., ,'.,. :' , : .. ',.:, [', "'" , " ",':'\ " L. ' , ,:u:" ' , ' '" , , ' ,'" "'. ,. " " '., "',': " "..,,;.,:.' ",," ',':"'" , , '"," ',',: .', .'.' ' , ,.'" .",' , ',,' "," '" , ".." ' " .' .- '., ' ., .- ", ',I", :~","'" '. , , ' ',' " : ":,: ,':, " ' .. " , " ."", ',.:..:': , ..;.-':- 'a' " ':,', , ,'" '..',' , -.J'.' J 'JEFFERSON COUNTY - USED VEHICLE BID SPECI~'rCATIONS (bl The bidder shall provide maintenance history on vehicles upon request of the county. a, COLORS: (a) Bidder shall state color on proposal. Jefferson County reserves the right to reject vehicles based on color alone. 9. TYPES OF VEHICLES: (a) The proposal shall be for two vehicles of the same make and model. Al ternati ves for di fferent vehicles may be proposed but must be for Two vehicles of the same make, model, and year. 10, OPTIONS: (a) Bidders shall submit an itemized listing of the vehicle options included with each vehicle bid. (b) Substitutions: Bidder may, at his options, substitute vehicles that exceed the specifications of the units bid provided that no increase in the bid price will be allowed. Substitutions shall be approved by the county. 11. SALES TAX: (a) The bid is subject to Washington State Sales Tax. 12. ACCEPTANCE: (a) Jefferson Cou~ty reserves the right to inspect all vehicles and accept or reject the vehicles upon inspection. (b) The bidder may make such repairs or modifications as deemed necessary in order to make the vehicles acceptable to the county. 3 dlli;' " ',,",... >.' I',.,..,., '," ,;~,' JEFFERSON COUNTY - USED VEHICLE BID SPECIFICA'rrONS PROPOSAL Altornute No. To: Board of Jefferson County CommissionerG Courthouse Port Townsend, WA 98368 Commissioners: The undersigned 'hereby certifies that he hus read and understands the specifications, and offers to furnish Jefferson County with: TWO (2) USED PASSENGER VEHICLES, 1987 OR NEWER as speciried for bid. Any deviation form the specifications is shown on a separate sheet and is made part of the bid. Make Model Year (Please attach specifications and options included on a separate sheet. ) Warranty period Total price $ Sales Tax $ GRAND TOTAL PRICE $ [____J Vehicles to be picked up by Jefferson County at the following location within _____ days after award of contract: [____J Delivery to Jefferson County within _____ days after award of contract. ,COMPM1Y NAME ADDRESS Signature of Authorized Official Title Dated this ______ day of 1989. 4 JEFFERSON COUNTY - USE~ VEHICLE B!D SPECIFICATIONS VEHICLE OPTIONS INCLUDED IN BID: 5 l ef;,y -- -DR-A..Fr-~v{L- - , -" I'i#k' ~',~' ~7 r,--"'.o (~;J-~-"""'--- .". - "--- .............!:.~~\'"""~-~ -~, ----- C!4..:..~r-X:;~~~'~ JEFFERSON COUNTY BOARD OF CuMKISSION~ I I J District No. 1 cummissioner: District No. 2 Commissioner: District No. 3 Commissioner: La~ry w. Dennison, Member B.G. Drown, Member George C. Brown, Chairman Clerk of the Public works Board: Lorna L. Director: Ga:x A. ~~~~ ~{-v. ~_- ---?1 '1-,---' Delaney Ruwe - :fo'J: I NUT E S WEEK OF JULY 24, 1989 The meeting was called to order by Chairman George C. Brown in the presence of Commissioner B. G. Brown and commissioner Larry W. Dennison. ~ois s~ith. Director. Juvenile and Familv court Services and Mik~ EYq(!, Juvenile Probation Officer re: Juvenile services Proorams: Juvenile and Family Court Services Director, Lois Smith, reviewed the refusal skills program presented to the public schools by Mike Ryan, Juvenile Probation Officer. In the next five to ten years the demands for juvenile services will peak because of the increasing number of children. Refusal skills are taught to help reduce the number of children who become involved with the Juvenile Court system. In the past year this program has been presented to all 6th grade classes in Port Townsend, Chimacum, Quilcene, Brinnon and Queets/Clearwater. Fifth grade classes in Quilcene and port Townsend and well as seventh grade in Chimacum and seventh and eighth grade classes in Brinnon have received this instruction. A total ,of 465 students have ,participated in this training: 21 from Brinnon, 254 from Port Townsend, 18 Queets/Clearwater, and 38 from Quilcene. A video camera is used to show the students what they look like when they practice the skills they are taught. Mike Ryan presented a video of one of his sessions. Each student is given five hours of instruction, which includes spending time discussing refusal skills for situations that include stealing, lying, malicious lnischief as well as drugs and alcohol. Individual and group situations are also discuss03d. Lois smith stated that this cirriculum will be expanded this fall to cover a 15 to 18 week span, which it is hoped will increase the childs ability to transfer what they've learned into real life situations. The goal is to provide this program to 4th, 5th and 6th grade students. BUSINESS FROM COUNTY DEPARTMENTS PUBLIC WORltS con for Rids, CR0l73R Oak flav/Flagl,Iu.:..RO.ML.Int.e.rs.Q.Q.ti,onJ~ ~: Commissioner Dennison moved to approve the call for bids and set the bid opening for thi,s project to improve the Oak Bay/Flagler Road Intersection on August 14, 1989 at 11:45 a.m. cOlUlnissioner D. G. Brown soconded the motion which carried b~' a unanimous vote. ~",,~',"f>~"""'''__-' ."" Commissioners' Meeting Minutes: Week of July 24, 1~89 Page: 2 Request to Change Name of Hadlock to Port Hadlock on Official Documents and Sians. etc. :. East Jefferson County Business Club: Dian~ Griffith representing the East Jefferson Business Club, She reported that Port Hadlock is the name of record on the plat filed in 1897. The East Jefferson Business Club is requesting that the name of Port Hadlock be used o!'! any future maps, plats, official documents and road signs. 'I'he Hadlcck business community feels this will enhance the business climate. Mrs. Giffith stated that the Post Master advised that the,re is no problem wi'th this name change for the Postal Service and they will deliver the mail no matter i.f it says Hadlock or Port Hadlock. Commissioner B, G. Brown stated 'that one of the main thrusts of this request is to change the road signs and the maps. People that choose not to use the name on their addresses will still be able to receive their mail. Mrs. Griffith noted that there are some businesses that currently use Port Hadlock as their address. There is no record of why the "Port" was dropped from the name for Hadlock. Commissioner B, G. Brown suggested that the intention to change the name be posted and advertised to let the public know what is being considered so that they can comment. The notice would include the date that the Board will consider this request on their agenda. The Board directed the Public Works Department to publish and post this intent. 'pUBT.I~QTI.QF,: Intell.~t.Q... Releafll'! Funds for the Port TC'\wnsend ~~unitv Center: state Department of Communitv Develonment: This public notice is required before the State Department of Community Development will release the funds for the Port Townsend communi.ty Center renovation project, Carter Breskin reported. This notice will be published. COlnmissioner B.G. Brown moved to approve the public notice and have the Chairman sign it. commissioner Dennison seconded the motion. The motion carried by a unanimous vote, R~auest to Hava Boiler RoC''!!! and Laudry at Multi-Servic-es Builgj.,ng Transferred to the Hosnital and Renairs Needed to the chimnev: Frank Gifford reported ,that it will cost approximately $18,000 to repair the chimney in the boiler room at the Multi-Services Building. The motar has corne loose at the top of the chimney from water seeping into it. When the repairs are made to the chimney, the height would be reduced and concrete will be placed around the top of it. This would elminate all of the problem areas. The chimney does not have to be the height it is now because the type of wastes that are disposed of have changed over the years. This repair work should be done within the next year. Carter Breskin r€ported that the Hospital contacted her last week and asked that the County give the boiler room and laundry room back to them. commissioner B.G. Brown reported that when the Catholic Church sold the hospital to the Hospital District they did not have enough money to buy the the whole facility, so the County purchased the boiler room, laudry room and the portion now known as the Mult-Service Building. He added that this is not a good time to con~ider this request. Carter Breskin reported that she is doing a needs assessmant for the Multi-Services Building which will be finished in the near futuro. AGREEMENT 190-IUT-010" ra: Interlocal Purch~sina and Cooneratiue Lease: CO~Duter Eauinment: Washinaton state Denartmcnt of Information Services: This agreement will allow the County purchase computer equipment off of the State contract, Carter Braskin reported. Commissioner B, G. Brown I I I I II,I.'" f ~ I,', , . ~,": '<,,\;r':~;~?i~~;:,:~-~;;:-::::::,,~'"I;t;::~,/',;~, - ,-,,-.~-.-," ;:::;.._''''."....''''=:..,I.;'''l',<...,.;r_".>;,,'.~,.. , j I :. I ." ;,j 'j ,:1 PI "," ',I -, ,;L;.....--- ,';'i.:" , ',- ';-'.j -';:~_;~~:i:-:':':,:' , ':':'( commissioners' Meeting Minutes: Week of July 24, 1989 P-'.je: moved t~ sign the agre..rnent with the state Department of Information Services as sllbmitted. commissioner Dennison seconded the motion which carried by a unanunoUS vote. !!!lil!ling Permit F'ee for the Renair 2L.Jitairs at the Brinnon Senio"- J:;~ The matter of tile building permit fee for the repairs to the stairs of the Brinnon Senior Center was referred to the Board. Removal of the gj un in the parkina ~pt at the Brinnon Senior ~ The sign in the front parking lot of the Brinnon senior Center should be removed, Car.ter Breskin reported to provide more space in the par:king lot. Frank Gifford suggested that the sign could be relocated to a place on the side of the motel office. commissioner B. G. Brown stated that the residents of Brinnon do not want this sign removed. He asked that Frank Gifford develop some alternatives for relocation of the sign. Access to the Back of the pj oneer-Illi:iJJti..ns.... The problem with the the access to the rear of the pioneer Building (1020 Water street) has not been resolved, Carter Breskin reported. Les Skogman, owner of the adjacGnt building) has blocked access to the rear of the building over the past weekend. The garbage truck ran the barricade down to pick up the ~arage from the rear of the building, but the problem still remains. The owner of the parking lot at the rear of the building is Bill Swenson and I1r. skogman leases the parking lot from him. Mr. Swenson is not willing to give the County access to the back of the buildinq because he feels it would create a problem for him in the future. - Carter Breskin stated that the County has are two alternatives with regard to this situation: 1) the County can attempt to prove in court that they have a right to this access by adverse possession or, 2) the County can make an agreement with Mr. Swenson to pay for access to the back of the building. A meeting will be arranged between Mr. Swenson, the prcsecuting Attorney and the Board to discuss this issue. HUMAN SERVICES ~~:TRACT #65~0-75~15 re:.Interaqen~y Aareement: Jefferson ?ounty ~Serv1 s to Prov1de D aanost1c Evaluat10ns of Nurs1na Home ReS1dents j;~ Det:c~ine Need for Active Treatment Or Other Mental Health services: w shin on state Denartment of social and Health Services: The agreement with the State Department of Socil11 and Health ,Services is for the Human Services Department to provide funding for diagnostic evaluations of nursing home residents to determine need for mental health services, was approved by motion of Commissioner Dennison, seconded by commissioner B. G. Brown. The motion carried by a unanimous vote. Rlla Sandvia. Coordinator. Human services Denartment re:~i2Y~ Issues: Ella Sandvig, Coordinator for the Human Services Department reported that the State Department of Soclal and Health Services has not been able to provide transport seL'vices to one of their cl ients, and the Human Services Department has agreed to do this transport on an emergency basis. The County's liability was discussed and Ella Sandvig reported she will no longer do this transport afte:c the first of August. Ella Sanvig will ask the prosecuting Attorney about this matter and the County's liability. Request for I\pnronriatJon for Mental Health Services: The Mental Health Advisory Board recommends, Ella Sandvig reported, that the Department ask the county for $11,000 to allow the department to continue serving their mental '''e''''-,''__''''_'R, "-" .- L -"'~'I~a~~Hn~,llIrrrnnmnBJIIW0[7_~~n..",.". 3 commissioners' Me8ting Minutes: Week of July 24, 1989 Page: 4 health clients at the same level for the balance of the Y7ar. The Board concurred that this appropriation request be included ~n the hearing scheduled on August 7, 1989. A letter will be written to the City of Port Townsend asking them to participate in thi~ expense. HEALTH DEPAR'i'HENT 1989 Budaet Transfer.: Health Denartme...n:!;: Commissioner Dennison moved to approve Resolution No. ~ authorizing the 1989 budget transfers as requested by the Health Department. Commissioner B. G. Brown seconded the motion which carried by a u~animous vote. PLANNING AND BUILDING Shoreline Substantial Development Permit "89-005: Construct six (6) Detached single Familv Condominiums with Access 'Road And utilities: Kala point Ad;oining Kuhn Snit Laqoon: L"aoon Associates: Renata Wheeler representing Lagoon Associates was present when hssociate Planner Jim Pearson reviewed the findings on this project to construct six detached single family condominium units at Kala Point adjoining Kuhn spit Lagoon on a 1.8 acre parcel. Each residence will have a septic tank which will have the effluent pumped to an off-site comnlunity drainfield located outside the shoreline jurisdiction. This area has a dual shoreline designation: from ordinary high water to a point 50 feet landward from the top of bluff is "conservancy" and the remainder of the shoreline area being desigated as "suburban". All of the building is being done in the suburban designation. Jim Pearson then reviewed an agreement that was made between the Kala Point Development and the Snohomish Tribe which governs development below the 50 foot elevation on the site. This agreement is still in effect. He then reviewed the testimoney received and the recommended mitigating conditions for this project. Jim Pearson then reviewed the Shoreline Commission recommendation on the project which is that the project be approved with the conditions as revised. moved to approve the Shoreline Substantial the conditions as amended by thc Shoreline Dennison seconded the motion which carried by a commissioner B. G. Brown Development Permit with commission. commissioner unanimous vote. state Environmental Policv Act Review: Shoreline Permit Exemotion: Test Underwater Cable Layinq ,Machine: Discovery Bay. North of Fairmonnt: Jacobson Brothers. Inc.: Brian Jacobson of Jacobson Brothers was present when Jim Pearson reviewed the environmental checklist for this project to test an underwater cable laying machine in Discovery Bay, north of Fairmoun.t, a llJinimum of 1,000 feet offshore. This machine would be on a 3,000 to 5,000 foot track, in waters greater than 30 feet deep. The machine uses water jets to excavate a trench, the cable is laid in the trench and then covered by the excavated material which is blown out the back of the maChine. The material excavated will stay suspended in the water for a period of time. Approval has been given to use the sub-tidal lands from the State Department of Ecology. An Army Corps of li:ngineers permit is also required for this project. The increase in turbidity in the water column is, a concern, Jim Pearson reported and he suggested that water quality monitoring be done. The state Department of Fisheries will require monitoring during the project and ,j r :1 I I l , l'i!'~~~'il~W&.'il:"'l',:~n:;:IJ)[t,:',::l,~:!.'i';P?':~ '.(:::''''''''{'';:''';'''~''~~''';'' ~: ,;-;',,::, ~ r,';,',. <;~,"r ,,~_":,:," ','" ,':' .: . ", "T"~ "."~'3i" ;'. Y~I'. T""'~"J--ffj ~ .. . ~f "~~"' , ~ J 1:.\\~~_, n-~"", :.~?:r:':?~ ,", J:;t\~\.Jf, "H",X1t.",t~;I};:~ ~i' ii.;.<":; ',., l' /..,'''{", iI1h',lI'~"f;7:!>.t t~"'!1.\lJIi~;x:lt~.}{,,~ .. ~",.. '-"'"1 ".. '~I_\''''::':.~'mf'0~~j(I'''''Nlm'''I'''~~~~,Mf'~ .....~~".,-~.-"'""""'Lrnl I,_a I ....atl. .l::JIL -~- I I , I I I I I I: \~":t> \.-'1""",':":,: :- ';::' ;:<;':-,~~i::' ',.,,','1 '-,,'.1' ""l'\ ,,':,;-:'i;:':: r","" ""d""'" ":,...-,,":"".,", ",'"",:, ,___',." ,_,I':". :<".., ..alE: ~l Page: 5 commissioners' Meeting Minutes: Week of July 24, 1989 compensation for any resources that are lost (crab, geoduck, clams, etc.). There is a gradual slope to the bottom of the Bay in the area proposed for this test. The substrate is primarily silt and sand. It is estimated that there will be one cubic yard of excavati.on for every three lineal feet of cable laid. Jim Pearson then reviewed the suggested mitigating conditions for this project and the comments he received over the phone from Reed Gunstone. Mr. Gunstone no'tad concerns about: 1) Impacts from siltation on adjoining beaches, 2) chemical composition of the substrate, 3) monitoring while the project is in progress, 4) mar~ing of the project site; 5) why was Discovery Bay and Jefferson County was choosen for this test, and 6) why a shoreline substantial development permit is not being required? Kay Goodhue also expressed concerns by phone on increased turbidity and its' impact on adjacent shellfish beds, Jim Pearson reported. Jim Pearson added that he had spoken with a habitat manager for the state Department of Fisheries, who is familiar with the Jacobson operation. He stated that he does not expect suspended sediments to reach intertidal shellfish beds. The Department of Ecology was contacted and Russ McMillen stated that a permit is required from the Army Corps of Engineers whi.ch may require the Departmen~ of Ecology to do a water quality certificaticn on the project. This certification would allow the project to degrade the water quality standards for turbidity and dissolved oxygen within a specific area around the project. Jim Pearson suggested that the County require that this water quality certification be required, for this project as well as monitoring. Similar projects that have been issued shoreline per.mi t exemptions were then discussed. Chairman George Brown asked how many trenches would be dug? Mr. Jacobson stated that he expects to be at this site for approximately five days. Three of four trenches, 500 to 600 feet in length, would complete the test. The depth of the trench is five feet. This site was choosen because of the soft material reported to be on the bottom. This machine is being developed as an alternative to a conventional dredge operation which does quite a bit of harm to the environment. This machine is designed to minimize the amount of turbidity in the water column. Hr. Jacobson stated that if turbidity becomes a problem they can stop the test until a more f?vorable tide. Chairman George Brown stated that Discovery Bay is a popular place for people to go crabbing. Mr. Jacobson added that the contours on each side of the trench are very minimal after one or two tides. No analysis was done of the substrate in this area. Commissioner Dennison stated that he would like to see an analysis done of the sediment on the bottom of the bay. He added that he is uncomfortable with the amount of information available and with the tight timeframe required by this project. Mr. Jacobson stated that he has a hydraulic permit approval issued just recently by the Department of Fisheries which covers most of the concerns expressed by the County. Commissioner Dennison noted that the Department of Fisheries is concerned with very specific items to do with the geoduck and crab, while the County has broader concerns, such as the composition of the substrate and the turbidity of the water created by this process. Jim Pearson suggested that a zone be established around the project site and if the water quality deteriorated beyond that zone then the project ~Iould be stopped. This would require some kind of monitoring to determine. The Department of Fisheries has a list of consulting firms that do bottom surveys and monitoring. A condition could be added that monitoring be =,equired outside of a 100 foot t'adius of the project site to a,ssure that water quality is not being impacted. commissioners' Meeting Minutes: Week of JUly 24, 1989 Page: 6 Mr. Jacobson added tllat the first application for, this test was made to the Army Corps of Engineers in January. They are trying to minimize any impact to the environment. The contract that these machines will be used for is in Long Island New York. Charles Broders asked what happens if the sediment is upset by the wind and the tides and then lands on the clam beds in the area? Commissioner Dennison stated that if the monitoring is limited to the time that this project is operating, there would be no information on problems that could occur later. possibly the monitoring should be continued for a period of time after the project is completed. Jim Pearson suggested that additional conditions be added as follows: "The proponent shall employ a consultant approved by the washing- ton state Department of Fisheries, to monitor water quality conditions during the period of testing actiti.vites. If Washington state turbidity standards are violated at a distance exceeding 100 feet from the cable laying machine, operations shall cease until such time that operations can be conducted without violating turbidity stalldards." "Prior to commencing testing operations, the proponent shall conduct a survey of bottom sediments from the proposal site and provide a particle size and chemical analysis report to the Jefferson county Planning and Building Department." "The proponent shall mark the corners and boundary line of the proposal site by buoys at minimum intervals of 500 feet. The buoys shall be visible at a minimum distance of 500 feet." Commissioner B., G. Brown moved to issue a mitigative determination of non- significance with the additional measures worked out today. Commissioner Dennison seconded the motion which carried by a unanimous vote. state Environmental policv Act Review: shoreline Permit Exemotion: Renair and Replace Pilinqs. stairwavs. Deckina. Debris Walls and Fuel Oil Line on Existing Docks at Mill: Port Townsend paoer Comnanv: Jim Pearson reviewed this proposai by the Port Townsend Paper Company for repair work at the mill site. Thor Thorenson, representing Port Townsend Paper Company was present. This work is strictly for repair and replacement of existing docks. There are no new docks proposed. A Department of Fisheries hydraul- ics permit is required for this project, as well as an Army Corps of Engineers permit. All of this work will be performed over water. The substrate is primarily silt, wood chips and sand. Jim Pearson then reviewed the environmental checklist, and suggested mitigating conditions for this project. Commissioner B. G. Brown moved to issue a mitigated determination of ncn- significance as proposed. Commissioner Dennison seconded the motion which carried by a unanimous vote. Ei.n!lJ. Bindina site Plan: R & R Entemrilie.s R. V. Park: North Side of the UDner Hoh Road: Norm Robin~: Jerry Smith, Assistant Planner, explained that the preliminary binding site plan was approved in 1985. The project is on 2.8 acres and includes nine recreational vehicle sites as well as four 20 by 22 foot cabins and a 24 by 36 foot s'tore and cafe. All conditions required on the preliminary site plan have been completed. The Planning Commission reviewed the project and recommends approval of the final binding site plan. commissioners' Meeting Minutes: Week of July 24, 1989 Page: 7 commissioner B. G. Brown moved to grant final approval to the final binding site plan for the R & R Enterprises Recreational Vehicle Park. Commissioner Dennison seconded the motion whiGh carried by a unanimous vote. AUDITOR Mary Gabourv. Auditor re: 1990 Budqet Process: Audi tor Mary Gaboury came before the Board to discuss the 1990 budget process. She reported that the narrative format used last year has been updated as well as the capital outlay form, which it is hoped will make the process easier. * * * Hearina Notice re: ProDOsed Budaet Anoronriations/Extensions; VarIous county DeDartments: commissioner Dennison moved to approve Resolu- tion No. 61-89 setting a public hearing for August 7, 1989 at 10:00 a.m. in the Comnlissioners' Chambers to take testimoney regarding the proposed budget appropriations/extensions requested by the Sheriff, Human Services and Health Departments. Commissioner B. G. Brown seconded the motion which carried by a unanimous v~te. b~ent of Trustee for Jefferson County Librarv District ~1: Commissioner B. G. Brown moved to appoint Edward Markusen to serve an unexpired term on the Jefferson County Library District Board of Trustees. Commissioner Dennison seconded the motion which carried by a unanimous vote. Mr. Markusen's term will expire April 1, 1990. ' Applications for Assistance from the Soldiers' and Sailors' Re1ie..f. ~ Commissioner Dennison moved to approve the following applications for assistance from the Soldier's and Sailors' Relief Fund: Kenneth Mossholder $363; Paul Anderson $50; Herschel Atkinson $254.38. commissioner B. G. Brown seconded the motion. The motion carried by a unanimous vote. Aonointments to the Communitv Health Nursina Advisorv Board: Grac.e Cha.7es and Homer C. Todd were each appointed to a two year term on the Community Health Nursing Advisory Board by motion of Commissioner B. G.' Brown, seconded by Commissioner Dennison. Each of their terms will expire July 23, 1991. MEETING ADJOURNED JEFFERSON COUNTY BOARD OF COMMISSIONERS George C. Brown, Chairman SEAL: B. G. Brown, Member ATTEST Larry W. Dennison, Member Lorna L. Delaney, Clerk of the Board ~ ..78 '-, ~ C e ~ \[," '!f::' :r, " '1l! ;;;;J ~ ,,' f.t. . \:Vashiil9101l State Oepartinent or Transportation OHlca or Olslrict Administralor 5720 Capilol Blvd.. KT'll TUnlwalCtr, WiJshm~l(ln P,O. 80x 8327 Olympia, Washington 98')()4 9327 MAR . '/ 1989 ;EFFERSON COUI"T': /8l/C WORKS DE"'" I~\ v~J' Dutlot: Bu(cntson, S'~Cfl]lary March 6, 1~89 Gary Rowe, P.E. Director of Public Works Jefferson County Courthouse Port Townsend, WA 98368 RE: SR 101 CS 1608 " Clearwater Road Intersection Jefferson County Agreement GC-8346 Dear Mr. Rowe: Attached for review and execution by the County are two original agreements for the subject project. This agreement covers the County participation amount for the State's project that includes the relocation and channelization at the Clearwater Road Intersection with SR 101. The project also includes construction of approximately 2000 feet of Clear~later Road. We are anticipating May 1989 Ad date for this project. Please have both copies of the agreement signed by your approving authority and return them to me for further processing. Do not fill in the date on page 1 of the agreement, as it will be done following execution by the State. A fully executed copy will be returned for your files, ~~~/!~~ _RQBERT E! HOLCOMB, P. E. __..~,_,~-'-';:~-ic.t-.)State Aid Engineer /'" REH: sir 4" RL / Ll)?/I,IA.J ---!fJ WS1JOT , Attachments ~____~_27;j~t....,,~~,,~..,__...r'" --..-._~--,,~"1t' The herein described right of way contains 1.YU acres, more or less, in the NE~E~; 1.92 acres, more or less, in the NW~SE~; 1.94 acres, morc or less, in Lot 1, and 2..34 acres I more or less, in Lot 2. I't is unde~'stood and agreed that all minerals, coal, oil, ores, and gases below the surface of the lands conveyed by this instrument and hereinbefore described are hereby reserved unto Rayonier Incorporated, its successors and assigns, except- ing, however, that in the explo:Lation, development, excavations, mining or removing of same, the surface of said lands shall not be occupied or used, the exercise of said rights shall not injure or damage in any manner the highway or highways to be built thereon, increase the cost of maintenance thereof, or interfere with the primary use of said lands and rights of way by Jefferson County, its successors or assigns for road purposes. In the event the use of the above described property by Jefferson County for road use purposes shall cease for a period of three successive years, the lands conveyed by this instrument and hereinabove described shall revert to and become the property of Rayonier Incorporated, its successors and assigns without further action. Jefferson County ag~ees in such event upon the request of Rayonier Incorporated, its successors and assigns, to execute and deliver an instrument in form suitable for recording, quitclaiming all interest in such property to Rayonier Incorporated, its successors and assigns. DATED this r/~' day of 7\' 1'./ / . /l'-fn'I'~1 "..'l" I r', 196~. RAYONIER INCORPORATED Wl 172 r~~r 582 "',..,-;',"~'T't" " .....' 0('" t f .~~-+.'......~ to- " r c., C1rl~t;:;., M :. -J:(t; t . : a: ~ ",' -";."." t ('I) ':'" " "".- ~ I ,."~" ......-::/ i~; ~ / ,P'// 1'-) BY3.c_~~&.if . 1-~""~:;:'ic?6d~ Its Secretary () By Its 3. JEFFERS ON COUNTY. WASHING'rO~; '.'(;::;::: Q ;6-CJ',. '\ By l..>-J l>-C Q ('" , .... . t""-...L....I.;...-- ~~....o...::- Its (' BY'I ~ "" ....:. .!' j) ~ ~~<t --, A.~.4 Its C D Cc>,...-;.-rd f r!.~ 1- I~t/.-Iv)( State of New York ss. County of New York . "7H dt-,...,_ ,., / On th:LS L!:...!:::..- day of .~~<,,~~ ,196~, before me personally appeared J. T. SHEEHY and ROBERT L. LINGELBACH, to ~e known to be the Executive vice President and Secretary, re- spectively, of RAYONIER INCORPORATED, the corporation that executed the within and foregoing instrument, and acknowlp.dged said instrument to be the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and on oath stated that they were authorized to execute said instrument and that the seal affixed is the corporate oeal of said corporation. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year first above written. . ",~;. "II"""" ......;;'0.1: 1I/~' ' '-'0(.;' ........., 4r :'~ ,.'.,.." ,,'('" . , q;./':~". , ' oJ .1' C, .. ',1: ~ ", ,,' ,<.> I' II" ~",...'" F<!lrm 'A~proved: rl).f.P.,I?~C- '~~j'.dp;~ ~ ,fdV" ! _/ i '">V! a A..~, '---r,. ~,-.-<..~-'^- Notary publ~c in and for the State of New York, residing at New York MAnY E, O'UnlEH Notary Public. Z!:o.111 M r~ew York: N,j, :; '-31 iO::J5 QU:lllficd hI Nuv \'tll'k County Cflmml:ision I:xVil'cs March 30, 10GB 4. WL 172 fA:r583 \ ~. ';1i.?Ji!1",.:, ePtEr ),'?rf '-""f:il r f -; ~L.l",';'"~ '- . / '-."-',~- ;~ ~- ~-1"" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Streel P,O, Box 1220 Port Townsend, WA 98:J68 (206) 385-9160 Gary A. Rowe. P.E., Director Rober' G. Nesbitt. p, E. County Eng{neer March 14. 1989 Sahlberg Equipment, Inc 5950 4th Ave. South Seattle, WA 98108 Gentlemen: The Board of Jefferson County Commissioners has awarded you the enclosed contract: Enclosed are three sets of each contract for your execution. Please execute, and return to this office for further processing, all three copies of the contract and contract bond on the forms provided. If you have any questions, do not hesitate to contact me. Sincerely, G?~P~ Georgia Murphy Secretary 100% Recycled ,Paper SPECIFICATIONS FOR PROVIDING ONE (1) TILT TRAILER FOR JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO PLANHOLDER The office to administer this contract is the Department of Public Works, P.O Box 1220 Port Townsend, WA 96368 Telephone (206) 365-9160 " ".", " "," , "'~"':" ,',.,' .. . . , ' , " " ',:" , ,. '< " ; .... " :' " . ',",'. , ". \ , " , " ': ','" ",,', ,,,' , ' ';',' .' :,'. '. , >: ',':"-'- ',' , ". ' " , , "', , ,:' " " , '0 , ':, ." "': ,',' ,''' :: ' " ", ,0' " ," ''','', , ' 1 '" ,", ",,'" I' _...,'".... : .. . ti"; l ," ':.,." , , \ :,,',,: i :: :: :: CALL FOR BIDS Notice is hereby given that the Board of County Commissioners of 3efferson County, State of Washington, will receive scaled bids up until the hour of 10:30 A.M., Monday March 13, , 1989, at the office of the County Commissioners, Courthouse, Port Townsend, Washington, 98368, to be opened and read at that date and time for furnishing the 3efferson County Department of Public Works with: ONE (1) TILT TRAILER Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where copies may be obtained. Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Treasurer of 3efferson County in the sum of 5% of the bid amount, to be forfeited to 3efferson County by the successful bidder if he fails to enter into a contract and file an acceptable surety bond in the amount of 100% of the contract price within ten (10) days of the award. The board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to 3efferson County and to waive all informalities in tl!e bidding. AI'r'ROVED THIS .d / ,d- DAY OF" qI~ , 1989. BOARD OF 3EFFERSON COUNTY COMMISSIONERS .~~~ a-6-f~ Georg C: Brown, Chairman ,.." ~"~.~<..""....,-""'.,-~'-""""..._-~ . , " :.'- ... ,:: ,:::-.:: '.,.. i..~...;, I' ,"",' , ',' [. .".'.,) ,', ,,' ",'> ':' ' - . '. , '; ,: : .,< . " "..' :' .' ':,,' ,,:,", ,:., I . I.'::'. "" ',,' " " , ,:,'. ,,' ,: , '.' ,"",' ",' ',',:' ''', ",' , ,,,'....:" ":: , ,,:"'..'.,: :,", ,', " ":' " " '.- ',:' '. ," " , ,,' " ,,'. . , " ,'" "'J ,,:,,; , .,~':;.".:,:" ',':, . ',' ";" ',' ...,..,/ . ....'...'... " .' , I'~ .': " ", ".' ,', y': ,.,' I',,:'.' --" ',. ,,'.,, ',', :. ," J JEFF~KSON COUNTY DEPARTMENT OF PUBLIC WORKS TILT TRAILOR Bid call for Monday. /'fare! h ~, 1989, for furnishing the Jefferson County Department of Public Works, Road Department. with ONE (1), TILT TRAILOR GENERAL SPECIFICATIONS It is the intent of these specifications to describe a tjlt trailor in sufficient detail to secure bids on comparable equipment. All parts not specifically mentioned, which are necessary to provide a complete tilt trailer, shall be included in the bid and shall conform in strength and quality of material and workmanship to what ls usually provided to the trade in general. The tilt trailer shall be a standard production model by the manufacturer. Any units not conforming to thece specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. DELIVERY TIME Jefferson County expects prompt delivery of the tilt trailer. The bidder shall indicate on the proposal the time for dolivery after award of the contract. The time indicated shall be a factor in determining the successful bldder. If the actual delivery date o>:ceeds that set by the successful bidder a penalty of $100.00 per day for each working day thereafter will be deducted from the final payment. .. ~-,---.,...-.......,.,............--...,~..,..,.". REQUIRED MINIMUM SPECIFICATIONS FOR TILT TRAILER 40,000 Ibs. payload at 55 M.P.H. with adequate hitch load 1 . !&lliIT!! 24' - 0 2 . HI!IT!i 9611 3 . !illlillIT 36", (Loaded) 4. CONSTRUCTION Lightweight, high strength design, fabricated of minimum 80,000 P.S.I. yield material 5. OUTSIDE RAILS Formed channel, high tensile steel section modules 6. CROSS MEMBERS Formed channel, high tensile steel 7. DECKING Two inch minimum hard wood length wise attached to cross members and at intermediate locations. 8. WHEEL DECK Covers - All wheels will be covered. Whenever wheels are not covered by standard deck material, they must be constructed of a minimum 3/16" safety plate. 9. OPERATION Tilting portion'of trailer shall tilt both ways with less that 175 lbs. Maximum loading angle shall not exceed 12 degree". 10, CUSHION CYLINDERS Two hydraulic cylinders at 3 1/2 >< 16 will be installed to cushion the opening and closing of the platform. 11. PLATFORM LOCK Lock - Positive constant pressure over center lock with a steel handle and inserted safety pin. Safety pin will have a Ghain uttachcd to prevent loss. 12, REAR APPROACH PLATE Appr0ximately 611 x 10 1/211 X 9611 tapered, Gh~ll rise and lower mechanically to expose lights when in transport, and cover lights when loading. It will also serve as a rear safety bumper. 13. HEAD BOARD Minimum 4" safety head board shall be installed across the front. 14. LASHING RINGS Six, heavy duty, forged steel safety rings shall be equally spaced on outside rails of load bed. 15. SUSPENSION 1Y2g - 1 - 44,000 lb. capacity, tandem axle, spring suspension for through axles. 16. ~ Two 20,000 lb. through type, minimum,S" dial with at least 49'1 axle spacing. 17. TIRES Eight - lOR x 17.5 or 8.25 x 15, 14 ply tires. to be minimum 4410 lbs. each at 60 M,P.H, Tire rating 18 . WHEELS Eight - 6,75 x 17.5 or 8.25 x 15. 8 or 10 hole budd style. 19. WHEEL OIL SEALS Oil bath bearings and see through jnspection caps. 20. MUD FLAPS 2 - legnl s.ize 21 . BRAKES Full air - cam type, slack adjuster. Four 12 1/4 x 7 1/2 drums, air emergency safety brake system. 22, ELECTRICAL All circuits wired through circuit breakers. All electrical per D.O. T.I I.C.C. standards. 23. TONGUE STYLE Straight through design - attached directly to the tongue (main frame) and not to load the platform. 24, MAIN FRAME Minimum 10" x 5" MF80 I-beam, High tensile steel. 25 . LENGTH 66" minimum from front of load deck to center of pintle eye. 26. HITCH Heavy duty pint Ie eye, inside diameter 3" must adjust from 1B" to 30" above ground when loaded. 27. SAFETY CHAINS Three 1/2" grade, 70 or better plated chains, 48" long. Chains strength to hold entire G.V.W. Chains to not be attached to trailer. Laching rings to be stronger than chains, 28. TONGUE STAND Tongue jack to be no less than 12000 lb lift capacity. Manual crank style with drip in pin. Stand capable of holding fully loaded trailer. ~-~.--........._-- 29. COLOR Trailer will be painted "Omaha Orange" with black stripe down each side approximately 1 1/2" wlde. 30. INSURANCE Company will have product ',reliability insurance. PRO P 0 S A L To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA. 98368 Gentlemen: The undersigned hereby certifies that he has road and understands the specifications, and offers to furnish Jefferson County with: ONE, (1), Tilt trailer as specified for bid. Any deviation from the specifications is shown on a separate sheet and is made a part of the bid. Make Model Year (Please atta~manufacturer'S-specifications) Warranty Period (indicate mo. or yrs.) Trailer Total Price Sales Tax @~_.."..- TOTAL PRICE Delivery to Jefferson County within contract. days after award of 5% Bid Bond is enclosed in the amount of Company Name Address Signature of Authorized Official Dated this day of , 1989. , ." ".::.' ...., ) ..., ,/ ,'.. / .: :' CtJ/t/Lti:GIJZLL. PROPOSAL To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA, 98368 Gentlemen: Ii ., I' I'..,., :). ."".,'.",',.,,',.,..,.,'..'.. ~,' ,. L," , The undersigned hereby certifies that he has read and understands the specifications~ and offers to fu~nish Jefferson County with: ONE, (1), RAILROAD FLATCAR as specified for bid. Any deviation from the specifications is shown on a separate sheet and is made a part of the bid. Manufacturer ~~n/ls;HBV\ S-V~.t;D11-I ~~~ Year ManUfactured(MAkJot) lq~h"'T<?a (u.T) 17'&::oY'A~T/"t... k>COD {Please attach manuract~r's specific on~J ~'. !if, " Ttltal Price " 7,?Z 5. All f,.I&1-DEG><. 7'37'0, T'Ma.,'Al... Sales Tax @7.2>% c:bc..<7-5 /' ?7~ 8e., fJ t 8' .39/. 4-5' t '0 7'44.8(;, TOTA::' PRICE ==t:1:::f..~ ~-tD ~I'i 'F ~,,:-M..5 }1>~"L- l>e'? (eN l7TJoIER01~G (I I I Delivery to Jefferson County within contract. ~ "',M%- "'" 4,8,/"" ~ B~d Bond is enclosed in the amount of p~. 7.5 et(,f/l ::r;. ~__f-! tJ.. t!--t 10 days after award of (/{;"f Ii' Company Name ~L<{? C:::H\5~~ ~M~ _.1:f<b"'",oD llAL~ ~ AU"6".0.0",.,., . .. .,~ · , 19: day of H~ , 1989. I~. y, I I ! Signature of Address Dated this t. : ,::.: "'''''' ~ Re- G~lf{CA.\\oN -Ii 2...) 85' Fc..A~RS N2-E c...!NSTRUGTED A, CoHi3,NA::TlvN .oF OHS wm-( .2. -.3 Po CoWeR AN!) H-16f(~97~t-( ~L.. - c:>F i' ,: .' '" . " '. ,:.' " ,'" ,,', ...'.. . ....,., , ,,'''':, " .' .,:... :.. :.,' " '. :,,' F: ..:: :...' ",' ..,.,. .,:' .......".,.. ...,.. ." ,", "', ,: "", " ~- ',: ',' :', ' ':, ' " ,',' ~ .;'~!:~~c:, .' ~"." .,\{.i,,(<.........". .." .' 0;' ',' ':,: ': .",,:, 1:1< ','---" , ) " .' :. , '" " " ,", ,,,=;- - ',,':' ',.' . ..:' '" ,'. .. I ': . :"" "" ,;'.' "~. , ,. '....' ',':. '. " , " .," ''- i, ...., "."." , ,.> .::' " I,,', i " " '" """ ,I , " .." ,...' " ,," I II I I II I , .., , :, ~ '/)a:.< , ". ,;, I' "'" , :", , ! :' :..... H II I .,.., ..': I , '" ',"" , ,'''" .' ..':. ..'...'. '"... i"': .,'. :',',' ,,.', ,." , :,' :' ;" '.', .:. . ,.... .." , , ,. '. ,'" ,,',"":: , .. '.',... . .,' ., ... , , ' ... .';: " ... .'.,;: , ,:', ',", :'" . ',;.: ,;' ..". ":: ".", ," , -:...1,', ".' , . "...'.:,.. ' ". '.', ..: ., :' " ' ". .. "..I . ~J . " '''':':,: .. ',: .-1' ",' '.',' :;' J PRO P 0 S A L To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA. 98368 Gentlemen: The undersigned hereby certifies that he has read and understands the specifications~ and offers to furnish Jefferson County with: ONE, (1), RAILROAD FLATCAR as specified for bid. Any deviatlon from the specifications is shown on a separur.e sheet and is made a part ot the bid. ~lanufacturer' LS; ~S\[EEL. SoTl.l ~~~ Year Manufactured M I2c lq0~ {/O<:::-Tll'lW'?A1Z..,'T"iA!.. t..)ct>D JPlease attach manufact~ er's specific~on~ Total Price ccp77i..5ALL.~.:::I.fjgI...D~ ~7:3'7o'PM..T'^,l.. ~ ~M Ft.-A1CA\2.,S }\)GN1k"'-\.... j)e?leN ~"""'~G Sales Tax @____% PRICE f777~_ 10 17370 (I TOTAL Delivery to Jefferson County withln contract. days after award of 5% B~d Bond is enclosed in the amount of r:> '?:PR . 7.E: Company Name ~ v< 17 G 1\3~(:\ -~~& _~k'-!?_JlAL~~ Authorized Offi:ial './y ~__ 1>1: day of Hkf..-.c..;f , 1989. ' . Address Signature of Dated this -.t R:e: <3~lflcA..'\CN -# 2...) 85' 'Ft.A"t.l\RS ~~ C,J.NSTRuqE!) &+: A' u)HB,NfI<:,IDN OP otiS WITH ,,2 -, ~ ~ CoWeg., A~ r+16H. 9rl2.eN:::s"'Tl-( ~"""L. SKIP GiBBS Post Office Box 686 Redwood VaIlGY. CA 95470 (707) 463-3777 ?~ /&1,,~ : ~ ~CAA'~ ~ ~ ~ S~oJ fA~~~ 4/v~ ~. ~f4~ \ ~~ 1'( <<JiA ~~ ~t~ d6 cui ~,,'.~ .~" ,t- ,?~, ~ ttJe U~~~Ft {-rt .,~ ~ ~ ~ ~ ~"- ~I ~j. ~~\L~ U ~(~fG1JS / ,,;../ PROPOSAT, To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA. 98368 Gentlemen: The undersigned hereby certifies that he has read and understands the specifications, and offers to furnish Jefferson County with: Compact Utility Tractor (8) aa specified for bid. Any deviation from the speCifications is shown on a separate GtJcet and Ju made a part of the bJd. Make --.M.Lt1illhlshl Tractor-Haban Mower Model MT 180 HMI) Year 1989 (Please attach manUfacturer's speciflcntTOnsr----- Warranty Period 2 YRS. THacto!" (indicatem~ryrs. ) Tractor Total Price $10,750.00 Sales Tax @~8% $838.50 TOTAL,PRICE $11,588,50 Delivery to Jefferson County within ,.__.~ days after "ward of contract. 6% Bid Bond 1s enclosed in the amount of 4>~7Q .,1:-\ Company Name D&K Rentals Address 108 River Hd. Scquim,fta. 98382 Signature of Authorized Officia~~_~~~~ Dated this 25 th day of March _, 1989. REQUIRED M1NIMUM SPECIFICATIONS FOR COMPACT UTILITY TRACTORS 1. ENGINE: Minlmum-2{'}-HrP. 18.5 Ill' Diesel Minimum 3 cylinder H.D. Battery 2. TRANSMISSION: 2 range hydrostatic 2 pedal operation Dlfferentlal lock Oil cooler 3. POWER TAKEOFF: -&~~e-~ndependen~ (mid & rear) 4. HYDRAULIC SYSTEM: Gpert-een:1:el"'-t-ype Live Hydraulic RystcJII Pump cap"city --lh6-g"prm. :1.'1 G.P.II. 5. 3 POINT HITCH: Category 1 Lift capacity 840 lbs. (24 in. behind link ends) 1103 lbs. At Link Ends 6. BRAKES: We\;-di-se- Watcrj>roof Internnl expansion Drum-Typo 7. FINAL DRIVE: P xanetary- Spur Gear 8. STEERING: Power- n~ll]. Screw 9. FUEL TANK: 6-gallon 4,75 Gallon 10. OPERATING WEIGHT: Minimum 1690 lbs. 11. ~ Front - 23-x-8~50--12- Rear - 31-x-12~eO---15 20.S X 800-10 31 X 15.50-15 ADDITIONAL EQUIPMENT: a) Electric fuel gauge b) Tachometer c) Hour meter d) Headlights and flashers "'~~--'/': e) Oil pressure indicator f) Alternator indicator g) Glow plug light h) R.O.P.S. roll guard with approved seat belt i) Duel selective control valves w/single lever j) k) 1 ) Included With Front Londer Auxiliary hydraulic kit p.T.a. engagement indicator light None Mid rock shaft hydraulic cylinder I,lower Lifted By 3PT. Hitch m) 60 inch mid mount mower n) Manual Dump flydTau3~~ dump material collection svstem 0) Front loader ~u~ket & sv~tem p) Mechanical front wheel drive. q) Balast In Tires Front & rear weights Both tractors will have the additional equipment with exception of Tractor (B) which will not be equipped with items n, and o. Tractor (Al will be bid with items n, 0, priced separately with the option to accept or reject any or all of these items. r- r- L L L I __J '''''''.~....~'-...........---.;:-' ^ _I '-l j ~ I I I 'I I, I I ,I ~; I ~ OSHA-APPROVED ROPS PROTECTION twO-POST ROPS FOR MY MODELS 160,180, 180H, 372, 210, 250, 300(Pl~~~UB~:e~~ER) CUSTOM 300 CAB FITS MT210 AND MT250 ~ ~ ~i~-;.~.f:~=;'~~~ ~';3~~7~~~ ~':~'~::.'~j~:~~~=\:~~~~~:f~~:::C'~~ L L L .--.----..--.." t .~--~ ~ ~ '~ "';"r'7.~4;~~~~~~~~ ROPS 'Of rncx.iels 18 hp and oolOw mounts 10 IKlclo.lrofTlo undo, Ine seal and around tho lilting arms Imlollollon Is I:XWi and 011 mounting hardware is inclwad. Will nol inter/mc wilh o!ll'lch. mar.t~. including lXlCldlCO One'PIU(;Q mour>tll1o fOf MI210. 250 cnd Ji)J mO,j03ls r-(-,ll~dirocllylolroCI()f l,on)(J, Ono mooul (~huYlfl) filS MUDD Anolhor rnOdel Ills M121CJ ond M1200 interchongeaLly Custom 300 cob muunts 10 lloclor "orne. integral 1011-0"''01 Sh~lCllJlf) l~n. sures operota. prOI&Cllon, Cab !.eals IIghlly 10f oll.weolher optJrotor (";orn'ort. S'Ning.out lOOf window allows easy occess 10 ft1Uf ollachrn.;;r.ls ~ (:f/.: __~ ROPS TESTED ~41 ~ Cozy Cab's roll WIS and Custom JOO cob hove bOon ROPS losred In our In. plant Io~sllr.g focilllias to moo! OSHA ~Ielyslondard 1928.51 (b)(1). rosting procedures measure IrnpOl.:t resistance, oollection ond stfuctUlal durahihly lu OS:>UfO lull operotor pfolce1lan a....',' - ,/ !:' /1 :: ',' ! ' - + ...- .,~""",.~,.~ -':.1I!l... _0 No one <;:(Nors !he Mif5ubishi line like Custom Producls, Both roll bars and cobs ore designed and tested 10 meet OSHA standards lor roll-over protec- tion, Styled and pointed to match Mitsublshllroctors, The torrnod,tublng dssion of the 2-post ROPS odds protection and styling to your tractor. PJI RGPS are designed to fit with backhoes, The CuStO!1l JOO Cozy CCJb fits snu(Jly to your 1vi1210 or M1250 troctor to provide protection for cold weather operaflons. Doors and rear window remove for warm weather use, f,OPS proteclion for operator sofely and large, tinted safely glass windows for cleor visibility ore standard, Cob fits with Schwartz and KMW looders, I~OPS FL^.HJ!?ES . ROPS-protection = Seat belt . Continuous tube construction CAB fEATUllES . All-steel construction .. ROPS-protection . Shipped fully ossembled . Seat belt . Tractor matched colors . Lifting ears . Tinted safely gloss windows go Swing-out rear window . Removable doors . Vinyl podded Interior . Rubber floor mat CAll OI'lIONS . Electric windshield wiper . Defroster fan .. Roof-mounted flasher . Hot-water heater . Locking door handles . Loader adapter kit (required to fit with ioader) SP(ClnCATIOI~S Custom 160,180, 210, 250 300 300 180H, ROPS ROPS Cab 372 ROPS Height-overall 57" 6"" 73" 68" Length~ma)(imum 55" N/A N/l\ N/A Width-maximum 36" 34" 35" 35" Weight opprox, 4751bs 135tbs, 1801b" 1751bs, ~'..,- .d.L J.. _,1.. I I I I .i i I I J 'j , I i HAGAN MODEL MTM60-MP MID-MOUNT MOWEH FOH MITSUSISHi MT180HM & MT180HMD TRACTOr~S The HASAN MTM60-MP Finishing Cut Mower was designed specifically for the MT180HM and MT180HMD Mitsubishi tractors. HASAN "MTM" mowers leoture 0 free floating suspension, plus front anti-scalp turf rollers, ond four adjustable gauge wheels to allow the mower to follow ground contours easily. Three heat treated high lift blades provide suction to stand the gross up so that your lawn grass is cut smoothly and evenly. The heavy duty, deep deck design, with its extra deep wind tunnel discharge, spreads the c.ut material in a broad pattern, through the side discharge chute, giving you a smooth finished cut lawn. The mower is easily raised and lowered hydraulically with the tractor three-point lift control. You can quickly change height of cut without tools by adjusting the gouge wheels in 1/2" (12.7 mm) increments. The HABAi'1 MTM60-MP Mower is driven by the tractor Mid PTO drive shaft, delivering smooth PTO power directly to the mower. Eosier to install and remove. MT180HM and MT180HMD tractors require Mitsubishi Mid PTO Kit 1!l987-5800-0CO to install the MTM60-MP Mower. HASAN "MTM" Series Mid-Mount Mowers are approved by Mitsubishi and carry the Mltsublshi label. HASAN quality and performance have quickly mode "MTM" mowers a leader -- our competitors are now starting to soy -- our mowers are os ~ood as IIHaban". Now, the frosting on the cake -- every 60" Mid-Molmt Mower made by Hoban lor Mitsublshi tractors gives you over 4" clearance under the mower, even with the 31 x 15.5 low profile, tires. SPECIFICATIONS HABAN MODEL MTM60-MP MOWER 1. I' .,.. I I Mower fits both 2-wheel and 4-wheeJ drlve Mitsublshl tractors, with 0 variety of turf tire options including wide tread turf tires. NUMBER OF BLADE SPINDLES: THREE. Heat treated spindles, rotating in precision ground ball bearings, for long life. Regreasable. BLADE OVERLAP: 1" (25.4 mm) to ovoid skipping, heat treated blades - high lift design, enclosed In deck housing. BLADE TIP SPEED: Hoban "MTM" Mowers for Mltsublshi tractors are designed to operate at best efficiency from 15,000 to 17,500 FPM blade tip speed at engine speeds of 2450 RPM to a maximum of 2850 RPM. MOWER DECK: 7 gouge (3/16" thick) steel decks used on MTM60-MP mower decks. CUTTING HEIGHT & GROUND CLEARANCE: Cutting height easily adjusted without tools in 1/2" (12.7 mm) Increments from 1-1/4" (31.88 mm) to 3-3/4" (95.25 mm). i i I.. Ground clearance In transport position ranges from 4" (101.6 mm) to 5-1/2" (140 mm) depending on tractor models and tire options. GEAR BOX: Runs In grease - 7/8" diameter shafts. Precision ground boll bearings. i 1 I I I DRIVE LINE: Telescoping PTO shaft drive. MOWER BLADE DRIVE: Single "B" Section Kevelar cord premium v-belt. Drive Is spring lauded - requires no adjustment. SHIPPING WEIGHT: 405 Ibs. (183.5 kilo) COLOR: Pointed Mltsublshl Blue WARRANTY: 12 Month Limited Warranty All Specifications Subject to Change WUh",ut Notice. 16529 (4.1.86) t [:'.:.' I.,'.'. 1 I' I, "1-'::::"'< ",~- -- _J8I". -~ ..d:J ",":""<,- -:-'",:'.\"-:-, --.J"",..."", . . ,.... " ',.' . .... ~ "-,'-,,"-:,-':,' ., -,"" . ,,"-: ", ':,: ': -".i1I PRO P 0 S A L To: Board of Jefferson County Commissjoners Courthouse Port Townsend, WA. 98368 GentlcJuen: The undersigned hereby certifies that he has read and understands the specifications. and offers to furnish Jeffd~son County with: Compact Utility Tractor (AI as speclfied for bid. Any deviation fr.om the specifications is shown on a separate sheet and js modo a part of tile bJd. Make fo.,,'i tfHlbish.i Trnctor-lIaiHlll fl.IOWC1' 19f19 Model Wi' 180 mm Year (Plea::>&:! attach milnufactu.ret=lSspec1ficationsr--- Warranty Period 2 YP.S. TRactor ( i nd i ca t'e m;;~oryrs . ) Tractor Total Price $10,750.00 Sales Tax @~8% $838.50 TOTAL PRICE $11,588.50 Delivery to Jefferson County within contract. 45 days after award of 5% Bid Bond is enclosed in the amount of ,>'\7Q 43 Company Name D&.K Hcntnls Address 108 River Rd. Sequim,Wa. 98382 Signature of Authorized Of.fiCial~~~ Dated this 25 tl1 .day of _~Aar~.__, 1989. 1) !C.M.W. Model K-90 Fran t LOader wi '18" Bucket $2325.00 181.35 $2506.35 $20195.00 $194.61 $2689.61 1) E-Z Ralw Model 85 VilC\ltlm Collection Systcnl ~'''''-'''~.-'''''1''''~~!_'''' Tux Tax REQUIRED MINIMUM SPECIFICATION~FOR COMPACT UTILITY TRACTORS 1. ~... Minimum-2-0--HrP.. Ifl.5 III' Diesel Minlmum 3 cylinder H.D. Battery 2. T~~NSMISSION: 2 range hydrostatic 2 p~dQl operation Differential lock Oil cooler 3. POWER TAKEOFF: -&~e-~ndependen~ (mid & rear) 4. HYDRAULIC SYSTEM: apeft eeft~e". ~ype Live Hydraulic Hystem Pump capacity --l>rG-!Jrprm. 3..1 G.P./1. 5. 3 POINT HITCH: Category 1 Llft capacity (24 in. behind link ends) 840 lbs. 1103 lbs. At Link Ends 6 . BRAKES: We-~-ciige- Waterproof Internal expansion Drum-Typo 7 . FINAL DRIVE: P1:anetary- Spur Gear 8. STEERING: Power- Ball Screw 9. FUEL TANK: 6-gallon 4.75 Gallon 10. OPERATING WEIGHT: Minimum 1690 lbs. 11. ~ Front - 23-x-675e--~2- Rear - 3t-x-t27ee---15 20.5 X 800-10 31 X 15.50-15 ADDITIONAL EQUIPMENT: a) Electric fuel gauge b) Tachometer c) Hour meter d) Headlights and flashers e) Oil pressure indicator f) Al ternator indi cator g) Glow plug light h) R.O.P.S. roll guard with approved seat belt i) Duel selective control valves w/single lever j) Auxiliary hydraulic kit Included With Front Loader k) 1 ) P.T.O. engagement indicator light None Mid rock shaft hydraulic cylinder 1.10II'e,> Lifted By JPT. /litell rn} 60 inch mid mount mower n) t1yn-rmr.l"1"C dump m."terial collecti<<!! system Manual Dump 0) Front loader bucket 5< svstem p) Mechanical front wheel drive. q) Front 5< rear weights Balast In Tires Both tractors will have the additional equipment with exception of Tractor (B) which will not be equipped with items n, and o. Tractor (A) will be bid with items n, 0, priced separately with the option to accept or reject any or all of these items. MITSUBISlil TRACTOR MODEL l____ ----' L.._ L__ 'I J , -~ R. I I ~' I -~ ~ I L L_ L _J __J ~ '" -'.': , ',,' " :," H,:' , '" ' ,,', " d;~i~~;/' ,'" , ,:': ' , .' ",-" ": ' ,: , ' ";' ",': r ..,:,.,.1 ,.~~- "" ","' , ~:' ,,' , ", .. ,:' " ; ;""" " , , ',:"," " " .' :' " , , ' '",-..- ' " ' ." , , ' ,': "", :, " ' '" ',', : , ,. :;,:" ,:' ,: : -; , '::,,':', "',:', .:,.,' , ':,' , .. "" "" , , " ", , '; ',:' " . ~!::,:'~:<c ,. , , " , i: , ":e" " ':,:;'" ';" "';"', ' "" ',,:','" " I ",' ':, .' ,- , :,' ' , " ,', , " ; I- Ii' i eo; :.: '" ;' " " ," "" " I""""..",,... L "', , ' ", " ",'" """ , "".., ,.',' " ',;" ,',: , ,":';" ' L ,,' " ,the ~asy may to pickup... ;~[n~m~ffi~~t '~rr.,7;:~" ItUWi',~IUJe1 ~---r ~,' ~~~i;i Ii' -,,-.< ~';~ ;~ II!I!I!!I ti"":o ._.~ (,' " f ! [ .{1.vt.... -' .,:.0--.:;....,. 'f'..J/. ! I LBfEIT7 VACUUM MODEL B5 is a superb piece of equipment for the lawn care 'pro' and all large lawn maintenance operations, Rugged all-In-one construction. Singte pin quick hitch, extra large cart and extension, and 8 h,p, engine are but a few of its professional features, Capacity: 37-40 bushels, ,-.-~':~ \::.~- .,;.",. J h { ~:!I~.' ~ ~-;~~_=\V . comes complete wilh cart, vinyl cart cover and extension . super cart--33" ^ 57" inside dimensions . whecls-6:50-a wide rim tires. sturdy axle Ciluick-dump feature Finger-tip lever and Guick hose release allow filled cart to till easily for quick dumping of load. Fast. simple slide-in tailgate facilitates dumping. Extra Heavy Duty Construction - E-Z Rake Manufactured Carts Ideal Vacuum for the Lawn Care Professional! -- 4 ", I J ../ . , . -::./ . ... ......., ,',. : ", :" ': :" . .: ,.,.... : ,'-C .. ,c' .' .. , ' , " ... ..' " " " ,,", " i :..,' .,"'. .' ,,', '.'. ...,:... , .' '.' >'i I I :.>:' ',,' " " , ' ... .. : I. ',. ,.... I . ,'.' l' " i.,. ..',.. f .-,":'.. !. ," j, ....,'... I. :. , " ,", , " , , .' ' ,": ~ , ,: ',' '''',,', , , ": ':" :,' ",; " ,.......'...,' .. . " :.' , , " ",":- " ' '-'" .'",' ,,!' . ':' , ,", :;", , '",' :', ,,' , 'I I' :.: ---.l '., .. .'..... : j....: .! PRO P 0 S A L To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA. 98368 Gentlemen: 'l'he undersigned hereby certifies that he lias read and understands the specifications, and offers to furnish Jefferson County .,ith: Compact Utility Tractor (A) as specified for bid. Any deviation .from the specifications is shown on a separate sheet and is made a part of the bid. Make John Deere Model 755 Year 1988 (Please attach manufact;:;;;er;sspecif ications) Warranty Period 24 months (indicate mo. or yrs.) Tractor Total Price $ Sales 'fax @~% 14,775.00 1.152.45 TOTAL PRICE $ 15,927.45 Delivery to Jefferson County within contract. 30 days after award of 5% Bid Bond is enclosed in the amount: of $ 796.37 Company Name Sunset Wire Rope Company Address 518 Marine Drive Port Anqeles, WA 98362 Signature of Authorized Official _~~<.~ J.Q,.,g " ( - -"------ Dated this 17th day of _~_,__, 1989. Item (N) @ 2,223.00 Item (0) @ 1,440.00 PRO P 0 S A L To: Board of Jefferson County Commi~sioners Courthouse Port Townsend, WA. 98368 Gentlemen: The ,mdersigned hereby certifies that he has read and understands the specifications. and offers to furnish Jefferson County with: Compact Utility Tractor (5) as specified for bid. Any deviation from the speclfications is shown on a separate sheet and is made a part of the bid. Make John Deere Model 755 Year 1988 (Please attach manufacturer's specifications) Warranty Period 24 months (iridicate mo. or y~s.) Tractor Total Price $ 10,946.00 Sales Tax @~% 853.79 TOTAL PRICE $ 11.799.79 Delivery to Jefferson County within contract. 30 days after award of 5% Bid Bond is enclosed in the amount of $ 589.99 Company Name Sunset Wire Rope Company Address 518 Mar i ne Dr i ve Signature of Port Anqeles, WA 98362 Authorized Official ?:'J:), :~. \ Q~-" , 0 ~- Dated this 17th day of March.,__, 1989. " ',",,' , ' ", ',':-, ,:' ;: ," , ::,; . ':':H _", .:...:.. ,':. ",':":'" ' "" , ,',,' , .. : " " ,I ",,:1 " " ' ...., " : "", ,,',',' ': :,:> I,,',' ~, . '.;. " , ~. ~' :.' ',:'....'< " , , ',' . , , :::'.':, :: " , " , , , "':.. :':', .,.....,.:,.:. ...,.'.....' ",': ,',,', ':', , ,,':, ' ,,' . ' , ' ,.,.',. .', , , ',' I:: ~' ". : " " " ; ,ml",/i , . , , r I; " : , " " " ',:, ': j .' "" '. ", " ,. , , ",.,. . .- ,,"'; " , ,," "', :,.,,' " '" ,..,,: ,,::'., ::"'" ,': ",:' , " ,'" " '.....',.,.' ".', " j "'-,,, , ,",,':" ";: ,..:.... :', :"':: ' :' , I ":, L_ Ii i I I I I I LIMITED WARRAt..!'rV FOR NEW JOHN OEERE CONSUMER PRODUCTS (U.S. Only) ,~ JOtlNDU:R[ A. GENERAL PROVISIONS. During the warranty period, John Deere Comf'lony ("Jalln D~ere") WIU repair or replace. 85 It eJects, any part that. as delivered to the original retail purchaser, is defective in material or ....'orkrnansh1p. This warranty apphe.<; only to purchases lrom John Deere or 8litl1orized Jc..h:l Deere dealers find extends only to the original retail purchaser of the product. Performance of this wammty will he free of charge to tile original relail purchaser lor parts and labor, excepl as otherwise ~tr~led in Section D below. 9. PERIOD OF WARRANTY. The wal ranty period begins upon delivery 01 tile product to tile original retail purchaser .:md ends alter the number of months as specified 24 Months: . Products used for residential (personr.l.l) use. . Compact Utility Tractors (residential am.; commercial). 12 Months: . All products used commercially. . Implements. Flail and sickle mowers, rotary cutters, 600 series snow blowers. !o8der~, backhoes. planters, plows. disks. cultivators, po~t drivers. post hole diggers:. fertilizer spreaders, lrailers and rOlery disk mowers. C.ITEMS WARRANTED SEPARATELY. This warranty does not apply to UK: follOWing IternS, ..vhlch 3rfJ covered by separate warranties: 1. Baltel ie5, radios, 2nd Ii res. D. ITEMS NOT COVERED. John Deere is not responsible for the following: 1. Premiums charged lor overtime labor requested by the purchaser. 2. Transportation to and from the dealership or service calls made by the dealer, 3. Used producls. 4 Any product that has been altered or modified in If.'O-Y: not approved by John Deere. 5. Depreciation or damage cCiused by normal wear, lack 01 reasonabl~ and proper maintenance. failure to follow operating instructions, misuse, lack of proper protection during stor::Jge, or accident. 6. Nor mal maintenance parts and service. E. PARTS REPLACED UNDER WARRANTY. Only n(:w or remanufactured parts or components. furnl!5hed or approved by John Deere. will be lJsed if John Deere elects to repair the product. F. SECURING WARRANTY SERV!CE. To obtain performance of this warranty, the original retail purchaser must request warranty service during the warranty period from i1 John Deere dealer authorized to sell the product to be serviced. When making such a request. the purchaser must pre~ent evidence of tho product's delivery date, rnai<e the product available at the dealer's place of business. and inform the dealer in what way the purchaser believes the product to be defective. G, LIMITATION OF IMPLIED WARRANTIES AND PURCHASER'S REMEDIES, To the extent permltted by law, neither John Deere nor any company affiliated with it makos any warranties. representations or promises as 10 the Quality. performance or Ireedom Irom delect 01 Ihe products covered by Ihis warranty, IMPLIED WARRANTIES OF MERCHANT ABILITY AND FITNESS FOR A PARTICULAR PURPOSE, TO THE EXTENT APPLICABLE, SHALL BE LIMITED IN DURATION TO THE APPLICABLE PERIOD OF WARRANTY SET FORTH ON THIS PAGE THE PURCHASER'S ONLY REMEDIES IN CONNECTION WITH THE BREACH OR PERFORMANCE OF ANY WARRANTY ON THE JOHN DEERE PRODUCTS LISTED IN SECTION B ABOVE ARE THOSE SET FORTH ON THIS PAGE, IN NO EVENT WILL THE DEALER, JOHN DEERE OR ANY COMPA:,Y AFFILIATED WITH JOHN DEERE SE LIABLE FOR INCIDENTAL OR CONSEOUENTIAL DAMAGES, (Note, Some states do nol allow limitalions on t)ow long an implied warranty las~s or the exclusion or limitation of incidental or consequential damages so the above limitations and exclusions may not apply to you.) This warranty gives you specific legal rights. and you may also have other rights which vary from state to state. The selling dealer m<Jkes no warranty of its own on any item warranted by John Deere. and makes no warranty on any other ilem unless it deiivers 1.0 the purchaser a separate written warranty ce:tificale specifically warranting the item. THE DEALER HAS NO AUTHORITY TO MAKE ANY REPRESENTATION OR PROMISE ON BEHALF OF JOHN DEERE, OR TO MODIFY THE TERMS OR LIMITATIONS OF THIS WARRANTY IN ANY WAY, I l, .. H. If further Information Is deslrl!d, contact your selling dealer or the nearest branch office of JOHN DEERE COMPANY: 2001 Deere Drive. Conyers, GA 30208 701 .Georgesvclle Road. Columbus, OH 43228 10650 Hines Boulevard. Dallas, TX 75220.2635 3210 EaslB5th Slreet. S,,E, Slalion "ansas City, MO 1;4132,2586 2001 West 94th Street. BloomingfOi';, MN 55431.231' (lI; "r,o ,,:>,,,,,. Ocl "" 1>,,",.., '" U" A \ r~"'1'''' r):1Q,.... "MII , ," . :;;ij .,,','. .' 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': :, c L, L L ! ;:i ;:.1 1 ; '1 '] .3 ,', " ~~ 1 i \ j 1 ! i j 'l j 1 i i I j 1 I \ \ \ . , ~ CALL FOR aWl Notice is hereby given thor Ihe Boord of County Commj$Sion~rs of JeHer:on County, State of Washington, will receive sealed bids up until the hour of 10:45 a.m., Mondoy, M\JY 15, 1989, at the, office of, the Counl)' Commissioners, Courthouse', Yort Townsend, Y./Q5~in9ton, 98368, fa be' opened cnd read at thot date and time for rurni5hing the Jefferson Counly Deportmonr of Public Works with: On. III N.w Ba,kh.. Bid shall be sumitted in accordance with Iht!;> pions and specifications on file at, the oHica of the Driector of Public V/orks, Courfhouso, Port Townsend, ,Washington, where copiQS filay be obtained. E:::Jch bid sholl be accompo'nied by c surety bond,' 'postal money order, cosh, cashiers c~eck or certified check payable to the Treo:surer of Jefferson county in, 'he sum of, 5% of the bid amount, to be forfeited fa Jefferson County by the '4ucceliSful bidder if he fails to enter into 0, contract and file en acceptable surety bond in Ihe amount of 100% of the contract price within ten ,(10) days of the aword, The board of County Commissioners reserves the right.to reject' any and all bids, and to accept tho bid deem- ed most advanlageous to Jefferson County and fa waive all informalities in the bidding. APPROVED THIS 24th DAY OF APRil, 1989. BOARD OF JEFFERSON COUNTY COMMISSIONERS George C. Brown, Chairman 17535.10 Affidavit, of Publication ::,rArE Of WA5HlnGIOtJJ COUNIY Of JEfff~SONI HI ,li. N 1". IN, G/\Rf!fD. t:.,,,,,,y I.."",. HJfl f...." ,;,~ rJ\.lI,;,II"" 0;' Ih... f>c.t! T"_nll",dfJ..f!...r~<;." COVM, l..adl.tr, " .."".'t n""'lpC;J!l.tf _h"h ho~ bl.tl"l fHIObhlhlld, pvblilh"d ,n ,1,,, i."'-f:'I" :.J'~~<J<:l(lll ond (I'(VIOltld (on!""oov~lf 'l\ 'l w...,~11 n""~pap'" in 10" lo..n 01 Pon Townl~'nd, ,II Sq,J (oVnfl ond S'ote, ()'1<1 Iv' g.ttll'.ul (,,(vIOl,on In ~o,d (0..."1.... I.... mo,,, 111<.1'1 \1.. (61 ""o"lh~ prior 10 Ihll d<.lhl of the flr~t flubl,(ol,cn of Ihll NOllell h~'lIlo cl. loehOlJ, oud thCll Ih" ~uld Po.' l"..n~ll"d/JufhHlon COV'l', luodl'r wm on Ihtf 27!h do.... 01 June 1941, opp,o"ud 01 <:I 1..",.1 "IJ',,-spul'er bYlhl' Supefle. Cov.! of loid )+JII"qcn ((~<J"lf. c,.d ,1,0' onr,,,...d is "1.1" (OPt 01 Ih.. Call for Bids One new backhoe o~" apptlorlld in Inti regulof oud cnfi'tI iu~e uf ~o;d poper !lIell und not In 0 ~upplam"M ,he't/o! fOf c perIOd of two 'onsc'v'i~e wceb, beginning on the 3rd doy 01 ,~,?y. . __ 19..8.!!.. and ending on t~H._l q :tt''tlay Qf.._~1~y_ 19, _~8_,~~__, and thaI ~ojd newspaper wa~ fegulorly distribuled 10 ;'llubscribers during 011 or Ihi~ period. Tho' the lull OrYlOunl 01 S_6.P..~_O_O.____ho~ been paid on full, 01 the role of 55.50 P"<OI"~~':'~l;;;;~w,~_. SubHribed and ~"'Nn 10:1 bt!lar~ me Ihis __~_9_1:J~y 01 ,M_ay_ .__ , 19..8..~ ,C' ..L,.J~Je.....j~ . _~: ---(r~ N.~loryj)ubJi(m~~Slaleof , W,'"hington, ''''sidlng 01 Hadlock _~~~~~.._n'~,....."__ '~ , " " ' " -1 -; , I,,' . , ',.... ' '. '.',,",:"'.,: ','" .' " ,,< " ," ,': '. ' :', .,~' '., ",'..c, , ,', ",: ; '. ,'-, " ','-,' ", ":", '.." :: '.: ,:' " ':,,' ",:, ',,".' ... '. , "..-.,' , , " , . . ',i. . , , :,' 'I ~ I n , ..,,::, . " ..,' . .,.. ',..' '. .. ......,....,. ," .".. ,,:',' " ',"',.: .. .,.... ....,......'.. ." '"",, '.' " ... ' :--, .' , ,. , --.1 I ...........;~I " "" '" , , , , .....u .... " ",.' " ',' ;::i :~:.,:':::'... '; ',,:: ,';.) <: '>;':,~~~:, ~ '" " " , ''':-'''; " .', ,,',': ','.." , , ,-"" ";':' , " ,.': '; " , ',::" , <'" ", JI --.1 I .. ..2J , .. J , SPECIFICATIONS FOR PROVIDING ONE (1) NEW BACKHOE FOR JEF~ERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO PLANHOLDER The office to administer, this contract is the Department of Public Works, P.O Box 1220 Port Townsend, WA 98368 Telephone (206) 385-9160 CALL FOR BIDS Notice is hereby given that the Board of County Commissioners of Jefferson County, State of Washington, will receive sealed bids up until the hour of ..l!if./.5. A.M.. Monday ___.:2':;1 (L't;fu I r::; . 1989, at the office of the County Commissioners, Courth se, Port Townsend, Washington, 98368, to be opened and read at that date and time for furnishlng the Jefferson County Department of Public Works with: ONE (1) NEW BACKHOE Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Waahington, where copies may be obtained. Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract and file an acceptable surety bond in the amount of 100% of the contract price within ten (10) days of the awal'd. The board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. APPROVED THIS ,( '!h., ,;]"1 -- DAY OF ,/1 ' /1 Hf'~'l~'( , 1989. , BOARD OF JEFFERSON COUNTY COMMISSIONERS Ar-f-'-t:.~--". r'__ & .........~>-.---<- - . Geot,ge C. Brown, Chairman ",. '''''''''~'''''_~..r''___~'''':::',~;':",<\,,,, JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS NZW BACKHOE Bid call for Monday, , 1989, for furnishing the Jefferson County Department of Public Works, Rdad Department, with ONE (1), BACKHOE GENERAL SPECIFICATIONS It is the intent of these specifications to describe a backhoe in sufficient detail to secure bids on comparable 8qulpment. All parts not specifically mentioned, which are necessary to provide a com;;olete backhoe, shall be included in the bid and shall conform in strength and quality of material and workmansllip to what is usually provided to the tl'ade Ll general. The buckhoe shall be a standard production model by the manufacturer. Any units not conforming to these spe~ifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basiL> of the exception. BID AND PERFORMANCE BONDS: Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check, or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract. The successful bidder shall also provide a performance bond in the amount at the guaranteed repurchase price guaranteeing the repurchace obligation. This bond will be submitted to the county at the time of delivery of the equipment. DELIVERY TIME j,~dKk~~ Jefferson County expects prompt delivery of the ~'~~>>c~lcJ:' ~ibtato_~ ~_ller. The bidder shall indicate on the proposal the time for delivery after award of the contract. The time indicated shall be a factor in determining the successful bidder. If the actual delivery date exceeds that set by the successful bidder a reduction in the unit price of One Hundred and NO/lOa Dollars ($100.00) per working day for each and every day as liquidated damages and not as a penalty for forfeiture ~or breach of agreement to cOlnplete delivery by the successful bidder on or before the time specified in the Bid Proposal: Should the successful bidder be obstructed or delayed in completing delivery by any default, act. or omission of the County, O~ by strikc~, fires, actG of God, or by the inability to obtain materials, equipment or labor due to Federal government restriction, then the tJme of completion shall be extended tor such periods as may be agreed upon the County and the successful bidder. Should there be insufficient time to grant such extensions prior to completion date of the contract, the County may, at the time ot acceptance of the equipment, waive liquidated damages which may have accrued for failure to complete the work on time, due to any of the above, after he~ring evidence as to the reasons for such delay and maktng a finding as to the cause of same. In the event that the successful bidder 1s on strike at tIle time of the award of the bid, the County reserves the option to accept the first acceptable bid trom a manuracT.urer that is not on strike. INTENT OF CONTR~CT is to !,urnish to Jefferson County a-o.,k~d'(Z J?J?g~ellGa ~ .:.........Q.l.....,1, y ""J;-o~ meeting or exceeding the sto.te:d specifications. Bid price shall include the costs of the new unit, plus guaranteed scheduled maintenance COSt3, based on 6,000 hou~ or .2. y'?ar.~ contract time: ER~iad, whlc.;hevey, COlliES first.. New or used models will be considered in the award. AWARD OF BID: Award of contract by the Board of County Commissioners will be based upon the least life-cycle cost bid submitted (Total Ownership Costs' from the Bid Propusal sheet). Consideration will also be given to delivery date, parts and service facilities, analysis, and comparison of equipment specification details, and past e~perience with similar or related equipment. The Board of County Commis~ionerG also reserves the right to reject any or all bids for cause and to waive any informalities. ACCEPTANCE/WARRANTY: No part or parts defective in construction or deficient in any of the requirements of these specifications will be considered as being accepted in consequencc of the failure ef any employee of Jefferson County to point out said defects prior to acceptance of the equipment by Bidder shall include in the bid price the following guarantees and warranties: a) The succesGful bidder hereby warrants that for a period of one (1) year from the date of final acceptance, he will at his own e><pense and without ccst to the County, replace all defective parts and make any repairs that may be required or made necessary by reason of,defective materials or workmanship. The County reserves the right to require actual field demonstration of the equipmcnt purchased of up to tive ~ working days before final acceptance. b) Bidders shall submit with their bids a detailed comprehensive statement of warranty for the equipment and 2 ", - --- its various componcntn; i.e., engine, tranomission, battery, etc. c) EXTENDED WARRANTY PROVISIONS: If there are any extended warranties available on the unit, the same shall he listed where indicated ill the "SPECIFICATIONS", along with cost of said extended warranty, and a complete description of said warranty shall be included with the bid package. d) Warranty work when poosible shall be completed in Jefferson County, parts. time and trovel expenses shall be paid/borne by the successful bidder when warranty work is necessary. (NO DEVIATION FROM THIS WARRANTY REQUIREMEN'l' SHALL BE ALLOWED. DEVIATION FROM SAID REQUIREMENT SHALL BE DEEMED SUFFICIENT CAUSE FOR REJECTING ENTIRE BID.) e) Jefferson County may avail itself of the bidder's standard warranty if mere beneficial to the County. f) Warranty Repair Cost: Siddel' shall supply JeffersoIl County with "no charge invoices" for CJ.l1 'trlork performed under warranty. Each invoice sha.ll itemize parts used an.d show labor charges. PARTS 6\ SERVICE: a) Service Capability: Bidder shall have fucilitien, skilled personnel, equipment and parts available to completely service, maintain, overhaul and repair the equipment offered within the local area (i.e., within a radius of 100 miles, including Bellingham, Seattle, areas). Bidder shall be able to provide technical assistance in the person of a service representative within a maximum of 48 ho~rs after a request is made to the bidder. Bidder shall be satisfactory from the standpoint of experience, reliability and demonstrateti ability to manufacture equipment comparable to the size and type required by the specifications. b) Parts Availability: The vendor shall main~ain an adequate stock at normal replacement parts and shall make deliveries within 2 working days when requested. c) Pricing: The manufacturer and bidder shall guarantee that parts' prices will be as low as such parts which are sold to any other tiGer; and if, at any time, the prices are reduced or increased to the general trade, it is understood that Jefferson County shall not pay a higher price than any other user, effective with the date of such price reduction or increase to the general trade. d) Post-Delivery Inspection: Bidder shall include in the price the cost of a post-delivery inspection service of the 3 equipment. approximately thirty (30) days after ~c is pl~cen in servicG. The inspection service shall include the following: (1) Check all operating systems for proper operation and adjustment. (2) Check equipment visually for leaks Bnd materials defects. e) The Board of County Commissioners res,"rves tho r~(Jh" to reject bids of bidders who cannot produce satisfactory evidence that they can furnish promptly all spare parts needed for ordinary service and repair of equipment herein specified. DEVIATION: Deviations from the following specifications "ill be considered to permit manufacturers to follow their standard manufacturing processes. Such dcviat:ons will be npprovcd, however, only at the sole discretion of the Board of Commissioners, and only if, in their opinion, such deviations do not adversely affect the operation, maintenance, strength, efficiency, effectiveness or life of the item bid Qr any of its port~. (This allowance for deviation does liOT apply tw warranty requ,"lrements as stat'3d under Acceptance/Warranty section above; a:nd bidder shall still meet or e~ceed all minimum specifications) . All proposed deviations, with full details, shall be listed on a separate sheet, which shall be attached to the bidder's Bid Proposal. The listing of such deviations will indicate that the bid may be accepted only with such doviations. SILENCE OF THE SPECIFICATIONS: The apparent silence of the specifications as to any details, or the omission from them of a detailed description concerning any point, shall be interpretp.d as meaning that only the best commercial practices are to prevail and that only materials of first quality and correct type, size and design are to be used. All workmanship is to be first quality. All interpretations of the sp~cificatians shall be made on the oasis of this statement. MANUFACTURER'S STATEMENT OF ORIGIN & SIGNED APPLICATION FOR TITLE Forms shall be delivered with the equipment. Delivery shall not be considered complete until both of these items have been received. EQUIPMENT TRAINING: The successful bidder agrees to provide an appropriate training program for three (3) employees at the delivery location to assure efficient and oconomical pcrformQ~ce and maintenance of the equipment when requested. 4 ';,': " ' I l , I I i!~ .j~, ~; ; i " "'" , "':; '.' :',:,::, ; "" " ': ", , .. ",,, ~, ';', r : :' i' " , , ,::, " ., ,.',' ; ,..., '.' , .". '" ".::. :, ,,',,; ...., . ) ":",: ',"", ',,' " . ort~{i:~; i: ~, .:':;'~'";: '/:,:';,{:" .', , , " ',.' >". ',' ;"L,c ',', "" " <'}'.,': ,": ,:.'",', , :",,' , ,,' ,J ",,": ,:' :, ," , : ,'.', ,'.'" " "." '. , ,:.', . " ',-,-"',' ','; ,," , , , ":: " " ',''-!'" " ,'" '" , " '..< ,:' ',' , ,,' I' ' \ :, COOPERATIVE PURCHASES: The Washington State Interlocal Cooperative Act, RCW 39.34, provides that other governmental agencies may purchase goods and services on this solicitQ~ion or contract in accordance with the terms and prices indicated therein if all parties are willing. GENERAL CONDITIONS LiFE-CYCLE COST BID "Life-Cycle COGt BidJJjs a purchasing method whereby, through competitive bidding, a governmental customer can buy equipment and get guurantcco that selected owning and operating costs will not e:{cecd specified ma::.rimum dollar amounts. IILife-Cycle Cost Bid" consists of purchase price and one or more of the fOllowing guaranties: A) MAXIMUM REPAIR PARTS COST: (See Pg. 1 ) following) Bidder guar.antees parts costs will po~ exceed a specified ~mount over a certain period of tilne. With the customer keeping his awn accurate, accessible, cost records, if repair costs exceed the guaranteed maximum amount, bidder pays customer the difference. Customer can choose to (subject to provisions of #4 under IIGuaranteed Maximum Repairs, pg. 1. ): - Perform his own ropair work; - Hire outside party to perform repait' work, B) MAXIMUM SCHEDULED MAINTENANCE COSTS, (See Schedule 'A' attached, pg.13-14 ) Covers costs of periodic (daily, weekly, monthly) scheduled maintenance requirements (lubrication, oil/filter, changes, etc.) . Using the manufacturer's lubrication and maintenance manuals as authoritative reference, bidder guarantees periodic lubrication and maintenance costs will not exceed u specified amount over a certain period of time. If a customer's records show costs exceeded guaranteed maximum, bidder ~ customer the difference, C) GUARANTEED MINIMUM REPURCHASE: (See pg. ~ ) following) 5 , " , ".. , ,'::, " ,,' C" ,',0:" .... ..il , ' :',' ; '.... . ., ..,,':, : " " , II I "'. , , <..: , ',:.:,,;.. :' ,."",,',, II I B I ).. ': " .. " ; ':" "" ,. " .> ! ' , '" .;' . " , ' , .. ,: " ".'" " ,:' .....; .. ..' "',' :'" ,'> ::'" '..... ... .. , ':' , " : , ' , , ..'." '.'. : ',': ". ,,"', "',,,:' ',:' ""'" " ' " '," .' .. ...'/ ..'. :', .. .: ,.." , ,- '" "C'. .~"': " , , > c.. ", ".. , J. 6 - ...:. .b. Bidder guarantees he will repurchase equipment a~ upecificd value at time of contract expiration. The customer is under no oblig~tjon to sell it back to the dealer. The customer can choose to: - Retain machine for future UDe; Sell ~achinc (acJf auctinn[ conGignment, etc.); - Sell machine back to dealer, CONDITIONS: 1) The equipl!ll.nt .Jill be operated by the County in road maintenance, and other purposes for which it was de:.;dgned. 2) The County will maintain the equipment in accordance with the manufacturer1s specifications. 3) The County will keep accurate and current cost records. 4) Bidder reserves the right to examine the County's cos~ records en the equipment at any reasonable time. At the ~nd of each year's operation, bidder will have 180 days to qup-stion the preceding year's repair parts and labor cost. If no action is taken by the bidder iv the l80-day period, the records of that year will be considered acceptable to both parties. 5) Bidder retains the right to inspect the equipment at any reasonable time and make recommenda..tions for repairs, improved maintenance, etc., which shall be complied with by the County to the best of its ability within a reasonable time -- not to exceed thirty (30) days. 6) The County will assume responsibility for all repair costs resulting from damage due to fire, windstorm, flood and rising water, lightning, and other acts of God, theft and pilferage, vandalism, accidents and operator1s and mechanic's negligence. Cost of repairs due to above circrtmstances will not be included in guaranteed maximum rep~irs covered in this bid. 7) The County will aGsume the e:~pense of expendable day-'to-day supplies, par~s und components, such as lubricating oil, filters, grense, fuel, antifreeze. cutting edges, batteries, headlights, glass, tires/undercarriage, cleaning and painting. 8) The County has the right at any time to sell, lease, loan, trade or otherwise dispose of tile equipment at its discretion. Such action shall make this contract null and void. '~~~'" .....- .- GUARANTEED MAXIMUM RE~AIRS 1) Bidder shall guarantee maximum total cost of repairs (parts only) for a period of 6,000 hours of operation as recorded by engine hour meter or fiv~ (5) years from date of delivery, whichever occurs first. Repair costs are to be paid for by Jefferson County only if, or as, incurred. Bidder will pay to the County the costs of repair in excess of bid figure. 2) Bidder shall pay for all repairs (including parts and labor) to the equipment covered by warranty, and these costs shall not be included in the total cost of repairs. 3) All repair parts are to be purchased from the Manufacturer's authorized ,dc"'ler and will be charged against the equipmen1: at the same prICe shown an deale~ls invoice. 4) Bidder will be notified by the County in advance of any contemplated repair work in excess of $1.000.00 total cost (parts and labor), and the details of all such work to be done. At bidder's option, ~he repairs will be done in the bidder's service department and billed to the County at bidder's prevailing rates. Regardless of where such repairs are performed, the cost thereof shall not exceed the cost estimate as stated in the bid. If the repair work is done in any shop other than the bidder's he will be notified promptly of the amount to apply as part of the guaranteed total cost of repairs. All repair costs under this clause are to be come a part of the guaranteed total cost of repairs (parts only). All repair costs (parts only) will be substantiated by detailed invoiceG. Should the delivery of repair parts not be made within two (2) normal working days to the County from the date the order has been placed with the dealer, a daily char.ge of Fifty and nO/100 Dollars ($50.00) per day shall be added to the cumulative cost of repair parts for each working day over two (2) that the part is not delivered. (1) On the bidder's presentation in writing on verifiable information tO,the County that ttle parts are not available to the dealer from his manufacturer by reason of str.ike, natural disaster, or national emergency, the daily charge shall not be made. (2) 'i'he bidder 'may avoid the penalty for non"'dclivery of parts by making available to the County at no cost a unit of: similar size and capacity until such time as the parts are delivered. (3) Bidde~ is not obligated for the daily charge provided he furnishes the parts ordered on a "no charge II basis to the County. 7 GUARANTEED MINIMUM REPURCHASE 1) If the County elects to s,dl the equipmei,t back to t:he bidder at the end of the repurchase guarantee term, or earlier, the bidder shall pay the amount guaranteed (as shown on the Bid Propccal) in cash, within thirty (301 days after written notification of the County's desire to sell the equipment and may elec~ ~o retain it or dispose of it at its own discretion. 2) In the event that the equipment, subject to the Repurchase Agreement, while in possession of the County, i::; either totally destroyed or partially dGiilaged to the extent that the damage is b~yond economical repair, and is considered a total loss beca~se the COGt of repair exceede the guaranteed repurchase price, then the bidder is released from his obligation relating to the guaranteed repurchase. 3) The location of the equipment at tiffie of guaranteed repurchase shall be the same as the original delivery location. 4) Repurchase price shall be guaranteed by a separate performance bond, per , page 1, of the General Provisions. 8 REQPIRED MINIMUM SPECIFICATIONS FOR,BACKHOE 1 . ENGINE Minimum 70 H.P. Net, DioGo], minimum, Cy. 240. c.r. displacement. 35 gallon minimum fuel tank. Dry type air cloaner. 12v, H.D. Alte!'natoJ:' and battery. Manual prime fuel pump system. 2. TRANSMISSION 4 speed; torque converter, powerGhift - reverser. in reverse, 4 speeds in forward. 4 speeds 3. TP~VEL SPEED o to 20 M.P.H. HYDRAULIC SYSTEM Closed center, radial piston, pressure oil screen. Minimum 35 G.P.M - retur~ oil filter. 5. LOADER OPR. SPECS Minimum 1 cu. yd. loader bucket, breakout bucket 8000 lbs. minimum, lift 5400 Ibs. mini~um. 6. BACKHOE OPERATING SPECS a) Liftinq - Minimum 4000 lbs. b) Qigginq F~ - Crowd minimum 6500 lbs. c) Bucket Power~ - Minimum 11,000 Ibs. ,d) RO;"!E.h - ~1inimum 18' 3" from swing pit e) Operatinq Weiqht - Minimum 14000 lbs. f) Bucket Rotation - Minimum la5 degrees 7 . TIRES M.F.W.D. - 1200 x 16.5 front 8 ply. 21L x 24.0 rcar 10 ply. 9 8. ADDITIONAL EQUIPMENT a} Mechanical front wheel drive b) Loader multi-purpose bucket c} Extra ditch cleaning bucket for backhoe d) Thumb attachment e} Street pads f) Pressurized cab w/he<<ter/Ga~~ belts and R.O.P.S. protection g) 3rd valve to rear w/quick coupler h) Vandal Protection locks i) H.D. bQttery j) Parking brake k) Loader bucket level indicator 1) Gauqes for Alt. I water, oil, torque converter temp. m) Parking brake indicator n} Driving light~, workinG lights, tail and brake lights, 0) Turn signals,' ~nd hazard lights p} Horn, key start switch, and fuel gauge q) Tachometer and hour meter gauges r) Differential lock s) Oil cooler for hydraulic system t} Oil cooler for torque converter v) Swivel seat, fully adjustable x) All operators and parts manuals 10 9. ~ Hydraulic applied w/separate pedals. Hydraulically equalized when both pedals applied - self adjusting. 10. BOOM Shall have a hydraulic operated e><tendable boom for the backhoe. 11 ~ ,:' ,: : ','"" ','~ ..., ','" .: " I: ;, , ,,~ I :. f: i.,: l' '",', ; :,' ;.,.' .'~. " " ~.' 1) :", .. ' , ' ," ' ~ -, " , ....' ",..'. ',' '" :", ~"~ ", ., ", ,...~' ,', , ':: ' . ..., .' ~ , ' :, < ,'.. ': ;,' .' :, . ", '. , . ~ , . " " " ,,,: ~' , ':"',:,: 'I, '.,' , L-- "" : ': ,". . .' ,> " " " . l 'Co , h I ~ :, '., .':::, :~; p" .' I,:' ., " " I:, ~'. ' I., I. I".' . ,: " , ,- , "" , ;:. ' . >"~ , ~' ~. '" ',"", .: "'" , " , ---. ',',,;, .' ", : ',', ,', ,', , .. ': , '. .' '...: ;'.' .','...,<'.' ..'. ," , -"", '" " , ",', ",,':: ,'.. ' ", -", '", : " :. . .', ' ~ ' '; ',' ~ . . ~ .. "" "" " ,,:.,',,::.' " , , " ~,'.. ',___I' " , ',.,' -: , ,; I " --"'" - BID PROPOSAL - BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON Gentlemen: The undersigned hereby certifies that he: a) Has read and thoroughly understands the foregoing requirements and specifications; b} Agrees to the Maximum Repair Cost Agreement the Future Repurchase Agreement contained herein (pages respectively), and proposes as follows to meet or exceed said specifications for furnishing Jefferson County with One or more Backhoe: DELIVERY DATE: MAKE & MODEL OF UNITS QUOTED: ____________ 'BASIC BID: (1) Backhoe, complete ao specified................... $____....__.. LESS: Trade-in Eqt. #6 - 1964 Ford Backhoe (Diesel) ..... ... $________ SUB-TOTAL.. .... .....$ Wash. State Sales Tax (Fed. exempt) (Rate:_______% ..,. $" NET TOTJ'.L TO JEFFERSON COUNTY (Uoe this total in computing "TOTAL OWNERSHIP COSTS" below.,..... ... ........ $ COMPUTE TOTAL OWNERSHIP COST: a) NET TOTAL TO JEFFERSON COUNTY ("BASIC BID" total)... $ b) ADD: Guaranteed Maximum 6,000 hr/5 yr. Repair Parts Cost. per pages ("Guaranteed Maximum Repair") & ("General Condi tionsll) of tb.'(.) Genera] ProvlGions);.. $__ c ) T.ESS: Total Guaranteed Maximum 6,000 hr./5 yr. Repurchase Price (per page "Guaranteed Minimum Repurchaso" of the General Provisions); ..................... $ d) ADD: Estilllated Maintenance Costs (from "Schedule A" e.ttached hereto) ..........,.........,.... $._______ 12 , " , "', al.ld , " , ~. ..", ';' , ,', , '", " I " ' ',' , , , ,,':- , " ~ , , :', , " ',''''.,, I', ',,' ;:' I il D New ;':: '. :' " , '. ~ , > ; J Five Percent (5%) Bid Bond attached, payable to the Jefferson County Treasurer, in form of (IX' one): _Surety Bond __Certified Check CD.shierlG Check ATTACHED: 1) Manufavturer' s warrant:ies, incl. extended warranties_,_ 2) Manufacture~ls recommended lubrication & maintenance guide for uni ts quoted __ 3) Complete data & specifications for the units ____' 4) Attachment "A" - Scheduled Maintenance Calculation Formll THIS PROPOSAL DATED this __ day of _~___,_.~~_, '.. ..,__, 1989 FIRM NAME: _______,_~,__~,_.~_ ~_"___..________~_.. ADDRESS: (Illail,ing) __,.. (location) BY: (Authorized Rep.) /s/ (Please print/type Name & Title) PHONE: 13 ATTACHMENT "A" SCHEDtH.ED MAINTENANCE CAr,CULATION FORM Jefferson County believes that scheduled maintenance is a significant part of the overall cost of operating equipment, and is therefore aGking for its inclusion as part of the total cost of the unit bid. Instructions: The intent of this form is to determine the total scheduled maintenance costs that can be expected during the first 6,000 hours of ownership. Service intervals, number of grease fittings, and capacities should be taken 9~rectly from the manufacturerls lubri.cation and maintenan~e manual. Unit costs given are equal for all bidders. Although there may be a slight variance due to refill capacities, these total Gosts arc made up of labor, overhead, lost production, gaskets, lubricant, filters ~nd supervjsory time. The comparison examines the service interv&ls for the various unit3 bid and assumes that the manufacturer's recommendations, if followed exactly, will allow the costs that are to be incurred on each unit to be calculated with reasonable accuracy. 1) GREASE FITTINGS: Total Hours of Ope!'~tions Service No. of Fittings Interval x @ P.~ch Interval Cost per x Fitting = TOTA~COS~ 6,000 10 Hrs. x --- 6,000 50 Hrs. x 6.000 100 Hrs. x 6,000 200 HrG. x 6,000 250 Hrs. x -- 6,000 500 Hrs. ~ ----- 6,000 :1000 Hrs. ~ ---- TOTAL x $0.75 x $0.75 x $0.75 x $0.75 x $0.75 x $0.75 x $0.75 ^ $=--====: $ $ $ $ $ $_____ (1) Determine number of fittings at each interval, insert each number as indicated (if none, write Inane'), perform calculations and total last column. 2) ENGINE OrL & FILTER: Number of gallons x 4.04/gal. r.urrent cost of filterG Fixed Cost COST PER CHANGE* $ $ $___0.'_ $ ---~---- Total Hours of OperationG Service Interval x Cost per Chanqe* 1.QTA~ COST 14 6,000 HrG. x = $__.__,.__ (2) From manufacturer's maintenance manual, determine cr~n~case drain and ref .1 interval. Insert this hourly number and perform the calcula~ion to arrive at the total cost for an enq:ne oil change. 3) TRANSMISSION OIL: Total Hours Operations Service Interval l{ Trnnsm. Sys. Cost per Capaci tv (qa] s.) l{ Gagon_ = TOTAL 6,000 .Hrs . }{ x 4.56 From manufacturer's maintenance manual, determine tr~nsmission drain and refill interval. Insert this hourly number and perform the calculation to arrive at the total cost for a transmission oil change. 4) OTHER FLUID OR OIL CHANGES: Total Hours of Operations Service HydraUlic System interval l{ Capacity (qals.) Cost per l{ Qallon ~ 6,000 _Hrs. x l{ $3.90 From the manufacturer's maintenance manual, determine the service interval for draining and filling the hydraulic system. Insert this hourly number, insert the total capacity (in gallons) and perform the calculation as indicated. TIITM&.:.. Listed below are each of the categories just calculated. Insert the total number for each category and add the column. The total figure should be entered on the Bid Proposal form, where indicated: 1 ) 2) 3) 4) Grease Fittings: Engine Oil & Filter: Transmission Oil: Other Fluid or Oil Changes $---- $ $-- $ TOTAL: $ (Enter this figure on the Bid Proposal, Pg 12, where indicated. ) 15 Jefferson County Pfan:i::: Building oepartmeln P,O. Box 1220 Port Townsend, Washington 98368 J (206) 385-9140 .:5' (l Q../Y;7-- TO 87.J'J"f=A/~/T -..o.v.&:lr', WtJPl::S ,J)Ep/. FROM V"'~V 91 ITt7 DATE ./rAvE Ith, /Q.<=19 COMMENTS I?e: ,.f>(K' F'N/","pPP/.,pc, ,e V. ?41?r P"-eme eeJ//el1{ u/U,U/>;VT Pt?e .PT/./.~J. ,4,.o,e'.tfJ21/~, 'T'/hs / T/";';t.-/ I~ <'-=/,Ir.?JI.JL. /'=7, ne ?LA/6, ~L/.<-/, p/..ljAl.L 0-<,) tr- ~ QX!LJ) VClI.) ~ru../L/C";U7 e y' la -2/ :;> ::.ni..dA.JK=.... , ~ I v-cr ' L L L ~ E,:'ii;;;; . ,"" " .. ' - ,,, ' , ,'" ' ,", ,,', ',' , ,,,' " ", ,>,;. ,', "~. "" ,', ',,' .,,~'"'' '", '''', I I" I I' " : i I ." 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' '",' ,,,', ' " ,"" ":"" " , '" ,p "I I: <- lL (\ ,~ JEfFFRSON COUNTY DEPARTMENT OF PUBLIC WORKS PROJECT/WORK AUTHORJZATION AREA 114.e./t'tlS ,,_ AREA CODE: PRuJECT NAME U?-t..l11f1f-1 /?;tU"f~YJr#/ni~LPROJECT NO:~ 000820 TYPE OF WORK m~rd-l";'U4-r--~ ~/Ld ,_ ,St'6/J4i:& BREAKDOWN OF "ORK IT8~S: SU8MITTED BY: ROUTE TO: c==J ASSISTANT DIRECTOR ,C==J ROAD SUPERINTENDENT I~ CONSTRUCTION ENGINEER L COST ESTJrAIITE: J;>S; oao, t1-0 TOTAL: 198_ APPROVED: t# - /S--N /4~vyajJ~ DIRECTOR OF PUBLIC WORKS 198_ BY: INITIAL [~( m -- ACCOUNTJ NG - 0 BOARD OF COUNTY COMMISSIONERS - - D - - I I -~,,,~,' -"", , "" : '" ,-, "',,' ,,! "",'. ,,' ".:" "'illll ~"" ," "I " "",,,,,,,,,) , " " ',,' ''', " ",' ,,' """,: "",, 1< ,"" . ' ",' , ",' " , '" !. " " :"'."..",."".".'",,.',,:. , "-, "" "',,, , '.""', '" .", ;' ", i , ", ":",,,,, " '. " ,'" , ,,' i "," i "', :" '> " "" "; " '," ", "",' :" .';,,, :" '"''''''''..''''' ",,' " ,,", :" ",'" " " " , ',',', ',:' , ",,"'> "" "", ',,",;'" ';, , " , " , "",' i , _J ",' ,,",., :".,,,,,,,,,,, ,', "''', .' ,"",,"; ,,'''''''.''.' " : ,: ,'""," " '" ,': , :;,: ,', ",::' ,:, ;'" ": "." ," ,':' ',,' " "I ", """'''''",' ~"'""":",,,,",,. " .. "" "," " 1:) J /.., ' ,. T'::, '>': ';;.:y:; .0 ..... ..' '.,.. y ",' ,,:'. ..', . .J. ,'''' k .... '.' ,,', :':.'1<'. .' :':;:~C,:c;:'''' .... '. .' ...,' .' ./. - .... , " ,,<:,;,,;<,..,.:, ;'.' ;:L;.:: ....~.;- , " ~~:'" ,', ; , , ",:'." .. ....'," ,.... " .. ;.::":.:" , ,.., ,', /.', :':,,',,' , , :, ,'.' .. ,'. ''', ".','" ',' ,.i .... ' ',;'.,.; ::, . ...".,'.' ' . '" " , ",' ,'. ""'" "', " , ',' ", ',' I ..'> . ,".. '. L\, ,....: ,',', " , I: '" ...",. ..', , .,....,. 1\ . ". ....' ....,.. . I ,', '.,', , ..., ,'. , " '.. " ,I.. '" :" .. I. '" Ii ,,' . " . I, : "",'" , " .' ':,. , ,; I;, :, , :' '., : . ,,, " .. ..:.. , ..'.', <, .... , "'; " ',', I" ,":' , ";', " ; ", ,'; I L L I . :"". '. ......--.."-- ,.,':'.'.....,,:......, ':',' :', " .' : '. ";,"':,'" : ,,' ,,;:' , ...:...,'" ,"":,.. ,," "',':,'" ". ,." :. '. '" .,' .':'" "'" " .. ,,' .'." '..i , " '..';" , .' r: ('-, , -""'..'.,:., I' ' .. , 1 . '. , l . " JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS : PROJECT/WORK AUTHORIZATION .. , , ",' , : i.,' , 'CO: i ' :'." ".,'" : ," i ,,', ".', , " ,',' ! i.,,',..,.. I .' I' '., AREA_ -:B....'nl'lc>t AREA CODE: PROJECT NAME~oVl-0"''''M ~J"" ?1-",t~~PROJECr NO:[TI TYPE OF WORK '12P'P""V' JO,.~...b"bl~h.1L~..L-. 000823" !SIC( BREJlKOOWN OF WORK ITEMS: ....:R""".", kv''''rl..~ L-l-~"th "'-'VIA ""<7"tJ,. ~~ p\,,:W h-b.,o"w",!C, ~ _~ ht.I"'~ COST ESTlr-<l\TE: "'.11!?&o$,ff;;, I I' , TOTAL: -:?!?tV ~ i.' .""', :', :"', ''', i '. I, ,'... , ...', SUBMITTED~ '3 I 8y:~....l (;...(p--A I p,":i /(j ( ( APPROVED: / 7-3/ BY: /""7: aJ<&~ DIRECTOR OF PUBLIC WORKS 198~ I " ! ..: ," ROUTE TO: r==J ASSISTANT DIRECTOR c==J ROAD SUPERINTENDENT 1:=1 CONS1RUCTlON ENGII~EER INITIAL ~ - ~ ACCOUNTI NG -- 0 BOARD OF COUNTY COMMISSIONERS - - 0 - " -: ....'.,",: :.: ,"" ',:: i :: ',',": I ' ,,' , ," :,:' '", I t '~--- l_ .~ -' .. ,":, ,,' , : ~,~S ...: :" " ':" ,,' "', ~ ",'.':";':.. - " , '::,; , , .J " ", ~ ~~ :j l 1 1 ] j , 1 ~ '">t, I ! L L L (."';(71 57~, Or/,.. 81::,. &~ 5"":. n_~(~t6iVSUL'J?~.vT ,,- ~~~ tLJl Parametrix, Inc. 4970 Auto Center 'I'd! Bfemerton, WA 98312 2Q6.J71-oot4 ~183G 1111-2,'; 1CiRQ ,iEFr':EFt;:.:,up,; CuUp..!TY r~Ui3Llf:; 1/.IDF~VS Dl:7,PT. l~ Mr. Aubrey Palmer Jefferson County P.O. Box 1220 Port Townsend, WA 98368 July 21, 1989 13.1820-01 Re: Traffic Studies - Port Ludlow Area Dear Aubrey: As we discussed at our meeting on Wednesday, July 19, 1989, traffic count data will be developed for a four-day period instead of a two-day period as originally agreed upon and as priced in our Agreement and Scope of Services. We have secured a firm quote from Bert Hughes to perform four-day counts for an additional $400. I have allocated this lump sum amount to the four projects based on the number of counters per project as follows: CR 579 CR 811 CR 812 CR 813 $ 61.54 61.54 215.38 61.54 We will attempt to perform these additional services within the original budget if possible. However, if this cannot be done we would request an. additional $400, or a portion thereof, at project completion as compensation for this Ex,ra Work. If this is agreeable to you, please sign below and return a copy for our files. Sincerely, &f~~"i ~obert, P. Franklin, PE Project Manager ~ ~~# "'Robert Nesbitt, PE Jefferson County Engineer ~ ~ ~ -.J _<i1 C;:!{)5Z 6 (J)/?,Rf:S JUL-25-'89 TUE 15:47 10: WDF 902 EAST UI-lJOI-I TEL 1'10:206-586-6550 ~211 POl ,-, {,tilt. 7er ~ 9/?~- : ".: : ,; ',\':' ~:-",,,..:":', . '. DE?.:..RT,',-,IE\:T Of ?:Sr:E::::::~ ..:s C'U'r.~r.;i <ltC.~;r.I'HrJr;an ~wiic;'n3 . C,''vrr-=IM. WotSflIn1j'rcn --d!'.:'; . (.1'.~1 .jJ..,,,../) . tSC;,,'-J .!.;'~"",:,;t;a :::O::t~~:A.!~lG D:V:S:O~I i'a:c -:.J..~nQn. (:lea; =a6-~3!Q fA^ TRANs~rSS~ON COV~R & ~CG DATE. 7/~A!S'" TO; 'I1.~J'..-':J:> LdG.~ ~L .~-' - rROH...l2~ ,~~~ SCBJli:C'r, #<~- ~~~( ?i?...../" ~/ k~~",,,L~/ 1I!55Al;E . ,C?rj"'~ ~,'//'~ ~);/ ~ N~~.~ o~ p.qa. (1nctud1n~ cover ~&qo) 3 %~ =-~.r1&t 1s uftrQ&dab18 Qr 1ncom~lQt. ptQ4Se call: (%06) 15J-6610 :; --Z-I '" ,:",. _. . .'_1I-."~-' .BJ' .':]:"-' :_\:c, _ , I ... .- Ill!IIII --- - -- ...:J.. --,---- JUL-25-'89 TUE 15:48 ID: WDF 902 EAST UI'1l01'j TEL IIO:206-586-6~50 ~211 P02 STATE OF WASHINGTON DEPARTMENT OF FISHERIES 115 GenorJ' Administration Building 0 Olympia. W.,hington 9B504 0 (206) 753'6600 . (SCAN) 234-66""() Gary A. Rowe, P.E. Director Jefferson County Oepartment ot Public Works 1820 Jefferson street Port Townsend, WA 96368 )OStPH R. BlUM Director July 25, 19B9 Mr. Rowe: RE: Pt. Whitney-Bee Mill Road Termination The washington Department of Fisheries (WD~) tentatively agreed to grant right-of-way to the County for' the construction of a turnaround at the end of the Pt. Whitney Road and the entrance onto the WDF driveway (Mr. Richard Costello, WOF, letter to Gary Rowe, dated 13 July 1989). After further considerations, the WDF would like to modify cur nriginal propo9al a~ stated below: WOF will grant right-ot-way to the County for a parcel of land of length and width as required to oonstruct a taper-transition from the County road onto the WDF driveway. The right-of-way easement will also be large 6>>ough to accomodate relocation/reconstruction of the guardrail to the County's standard level of service including end transition. The County will legally survey the psrcel and write the easement/agreement documents for WOF signature. Please send the property easement documents to me for review and routing to Mr. Costello, WOF Lands and Reoreation Manager. ~f~':J JUL-25-'89 TUE 15:49 ID: WDF 902 EAST UtJIOI,l TEL t'IO:206-586-f:;,550 "211 P03 Gary A. Rowe July 25, 1989 Page 2 The County will design and construct the road tarmination and guardrails. Any quo..tione ooncerning t,hilJ matter I:"n be addressed to Mr. 'Tom Boyer or myself at 753-6610. Sincerely, dl;f~vf~ Donald R. Bartlett, P.R. Chief Engine",., Engineering Division eel Richard Co~tello, Land & Recreation Judith Freeman, Asst. Direotor, Shellfish DRB:TBllll ."..~ ~-~ niL -II, _~!dI F .- I I " i H I I DRA"FT eefS- ;{~ ( C / I I . I I I I I j ~#" ~~S"'\.PA<:-, '..c.i~~~~ ~ " <;"C~ ", )<'~C..n~O~ERii I I "."".__"." ,n.. ._-,-_._'.,-....;...-"'-._......,-~._...- I I j I ~, H I HUT E S WEEK OF JULY 17, 1989 The meeting w&s called to order bv Chairman George C, Brown in the presence of Commissioner Larry W. Dennison. . Commissioner B. G. Brown was not present. BUSINESS FROM COUNTY DEPARTMEtJTS PUBLIC WORKS HEARING NOTICE reo Petition to Vacate RV0818; A Portion of Irondale Street in Morissey's Addition, Hadlock; Cindy Nordbera, Petitioner: Commissioner Dennison moved to hold a public hearing on Monday, August 14, 1989 at 10:30 a.m, in the Commissioner's Chambers on the petition to vacation County road right-of-way submitted by Cindy Nordberg, Chairman George Brown seconded the ffiotion which passed by a unanimous vote. HEARING NOTICE reo Pet-ition to Vacate RV0814: Pea bod V Wav in Traills End Homesite. Shine: Art~~~ficld5, Petitioner: Commissioner Dennison moved to hold a public hearing on the petition to vacate County road right- of-way submitted by Arthur Fields on Monday, August 14. 1989 at 11:00 a.m. in th" Commissioner's Chambers. Chairman George Brown seconded the motion which passed by a unanimous vote. Request that Name of Port Hadlock Be Used on Official County Documents and Siqns: (See also Minutes of June 12, 1989) Public Works Director, Gary Rowe, discussed the request from the Tri Area Business Club of Basl; Jefferson County that Hadlock be designated as "Port Hadlock" on official County documents and road signs. It was determined that a meeting should be held with those interested in the name change before a public meeting is scheduled in the Hadlock area. AGREEMEtlT reo Improvements to South Bay Lan",; Pope Resources, peveloper: David Cunn~ngham ot Pope Resources was present when Public Works Director, Gary Rowe, reviewed the agreement which stipulates that the County agrees to pay 50 percent of the cost of improvements including engineering and construction proposed for South Bay Lane. The County will be responsible for the cost of improvements to South Eay Lane from milepost 0.32 to Milepost 0,40 as well as for the continuing ownership and maintenance of the roads and drainage systems within the County right-Of-way. The County also retains the right to approve plans, review bids and inspect the developer's work, Pope Resources is responsible for 50 percent of the cost of improvements and they are responsible for all wOl:'k directed by the County in accordance with vari ous speci ficat'ions. They are also responsible for obtaining all the necessary permits. H; !f,:t:: iJ I{Y f2 D JUL 2l 1989 JEFFE.h0U!'C ,~uul\lTY PUBLiC "JORI<S DEPT, Commissioners' Meeting Minutes: Week of July 17, 1989 'Page: 2 Commissioner Dennison moved to approve tho AGreement with Pope Resources for the improvements to South Bay Lane. Chairman GeorGe Ilrown seconded the motion which passed by a unanimous vote. FACILITIES MANAGEMENT Authorization for Emerqencv Stair Repair: Brinnon Bavshore Motel: Frank Gi fford, Architectural Project Coordinator, was present to answer questions when Carter Breskin, Planning and Programing Manager. reported that the stairs at the Bayshore Motel in Brinnon (Brinnon Senior Center) are rotten and in need of immediate repair, The repair is necessary to protect the County from potential liability. The problem was not dealt with when it first occurred due to a lack of funding, and since that time, the stairs have deteriorated taster than anticipated. It is estimated the repairs will cost $5,000.00 which includes putting in a hand rail, weather-treated wood, treads and anti-skid surfaces on both the northern and southern stairs. Commissioner Dennison moved to aut:hor.ize the repair work on the stairs at the Bayshore Motel/Brinnon Senior Center. Chairman Georae Brown seconded the motion which passed by a unanimous vote. Authorization for Emerqencv Chimney Repair: Multi-Services Buildinq ~ Carter Breskin reported that the chimney at the Multi-Services Building is in need of repair. The top 12 to 14 feet of it need to be removed. Part of the expense will be scaffoldinG and shorteninG of the lightning rod. Due to the severe deterioration, the estimated cost of repair is $18,000.00, Carter Breskin stated that since the request was put on the Board's agenda, the Hospital called to request that the County consider giving them the laundry r,:>om, chimney and boiler room back, If the County decides to do this, they would not be responsible for these chimney repairs. This matter .Iill be brouaht ur for discussion when Commissioner B. G. Brown is present. PLANNING State Environmental Policy Act Review: Shoreline Manaqement Proqram Exemntion: Test Underwater Cable Lavinq Machine; South End of Discoverv Bav: Jacobson Brothers: Jim Pearson, Associate Planner, reviewed the environmental ~ist for this project to test an underwater cable layina machine, This machine embeds cable underwater in the substrate. At this time they are seekina a permit to test their machine for 10 days in the south end of Discovery Bay. Discovery Bay was chosen due to the formation of the Bay's substrate~ In the future they will be choosing other areas for testing the machines capabilities on different types of substrate. Jim Pearson noted that if the Board approves this application, the Planning Department will post notification in the newspaper to ensure that the people of Jefferson County know what is going on and to let them know that if they have questions, they should call the Planning Department. If this permit is approved, Commissioner Dennison expressed an interest in the County's obtaining the results of the test data collected. Commissioner Dennison moved to table action on this SEPA threshold determina- r,.:..',..,',' tion until July 24, 1989. Chairman George Brown seconded the motion which passed by a unanimous vote. HUMAN SERVICES QQHTRACT re: Personal Services: Menta1 Health and Develonmental Dj sabi I i tjes Prollrams, Human Servjces Department: Kathleen I. Kennewea: Commissioner Oannison moved to approve the per$on~l ~ervices contract with Kathleen I. Kenneweg to provide counseljng services to the Human Services Department. Chairman George Brown seconded the motion which pa::::ed by a unanimous vote. . . . -- -"--'''''-'''~,';l,J'''\Ii;'~''>." ,,,,...., "'", , -- 1 ~ ....- 1'. ! l' ~ \".,:: ..\.,., , ' I' I r I <..;:: ";') , ',- - 1 -:~~'~:~ 'J,,,, Commissioners' Meeting Minutes: Week of July 17, 1989 Page: 3 1989 Budqet Transfers; Auditor, Elections and Juvenile and Familv Court Departments: Commissioner Dennison moved to "'pprove and sian Resol:ution No. 59-89 authorizing the 1989 budget transfers requested by the Auditor, Elections and Juvenile and Family Court Services department. Chairman George Brown seconded the motion which passed by a unanimous vote. Warren Steurer, Director of Recreation Deoartment re: Relocation of Recreation Department Offices and Improvements to Memorial Field: Recreation Director, Warren Steurer, discussed the possibility of renting a 10 x 16 foot trailer for $125.00 a month to be placed at Memorial Field as a temporary office for the Recreation Department. The current office is housed in the Community Center, which is undergoing renovation, Although the public access is not as good at Memorial Field, it is still adequate. The trailer will be insulated, heatable, properly equipped and set up as an office. The date that the trailer could be set up by and the office moved by would be in mid-September. Warren reported that he's working with Facilities Management on improvements to Memorial Field. One of the necessary improvements is the asphalt in front of the stadium. It is in such a state of dis-repair that it is considered a walking hazard which should be repaired as soon as possible. The asphalt should be replaced with concrete. It is estimated that the removal of the asphalt and replacing it with concrete will cost approximately $2,700.00. The money is in the budget as a capital improvement to the facility. Warren would like to see the job done by September, before the football season. He also noted that a phone line is being installed at Memorial Field. Applications for Assistance from the Soldiers' and Sailors' Relief Fund: Commissioner Dennison moved ~o app~ove the applications for Soldiers' and Sailors' Relief Funds submitted for Fred W. Dutton, Jr, 's in the amount of $500 and AmVets Post #6 the amount of $240 as presented. Chairman George Brown seconded the motion which passed by a unanimous vote. Request for Pavrnent of Third Quarter Hotel/Motel Fund Allocation; Jefferson Countv Historical Socie~ Commissioner Dennison moved to approve the payment of the third quarter Hotel/Motel Fund Allocation to the .Jefferson County Historical Society as requested. Chairman George Brown seconded the motion which passed by a unanimous vote. Rentals: suspended Jakeway. guilcene Conllllunltv Ceiiter; New Record Keeoinq System for Center After reviewing the proposed record keeping system, the Board further discussion until they had a chance to speak with Al APPROVAL OF MINUTES: The Minutes of June 12 and 19, 1989 were approved as written by motion of Commissioner Larry W. Dennison. The motion was seconded by Chairman George C. Brown. The motion carried by unanimous vote. MEETING ADJOURNED JEFFERSON COUN1'Y BOARD OF COMMISSIONERS SEAL: George C. Brown, Chairman ATTEST: B. G, Brown, Member Lorna L. Delaney, Clerk of the Board Larry W. Dennison, Member rw u , , ' ,'<, ,,', ,: ' ',,', " :.... :,' ",: , ,:; , ;", , I',;'.,.,..,",'.",'" ": , I:,! , " " " ',,' , , 1!. . " .'" ,'..' :" " . " ;:, ,,:, ,,':' ,...'."".,.' ',' .' ',' " ; " , " '.' I~,.: '\t,/,!:,::~:.,:.. ...', ," ,', " I;::: F ,.'. I( .' I' " ',,,,' -:- ,;' .'" ,:" '" .",' . ',,: ' ",(' " ' '" ,; I;; I, I !, '..., I} , ,'. :. ';'J": .'. .: ", ".'" : ' ':" '.-,:',' ,':,'::',- , I' ' :' ..' "'. I,," , I,.', . "," :.' / . ':, .'," '....." ", '.' i' . , ":,,' ,', L' " ,,:,::-,<,_.,' \ ~\"C-J~;:;""~'~' <~~'.-,a-~1~..-- ~~t;~~" r!~"",-_'\:"-' " .-) JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P,O, 80x 1220 Port Townsend, WA 98368 (206) 385-9160 GclfY A. ROWfi, P.E., Director Rohert G. Nesbitl, P.E., County Englnef.'f July 26, 1989 Hr. Donald R, Bartlett, P,E, Washington Department of Fisheries Engineering Division 115 General Administration Bldg, Olympia, WA 98504 He: Point Whitney Road Termination Dear Mr, Bartlett: After our phone conversations on July 25, 1989, and reviewing your lette.~' 'to Mr. Rowe, and after ,reviewing the design al ternatives for terminating the Point Whitney Road Projec't, it has been determined by Jefferson County that the most economical and practical termination of the road is to proceed with the original design (no turn around and ending at the Fisheries Property), with the addition of replacing the guardrail on the Fisheries portion of the road, I have enclosed a preliminary revised plan of the proposed termination that includes the placement of the guardrail. In order to proceed with the guardrail replacement, Jefferson County will need to obtain a temporary easement from Fisheries allowing the County to enter on Fisheries property to perform the work, After the work is completed, the easement will expire, and Fisheries will retain control, ownership, and maintenance of its' portion of the roadway, If this is acceptable, please notify me so that work on the temporary easement and the guardrail design can be completed, As soon as the we have received notification, we will proceed with forwarding the necessary documents for Fisheries execution for the easement. If you have any questions, do not hesitate to contact me. .:;:erelY '-~ . ~,~ Construction Engineer Enclose, :,'. x~:,":'-",CR052'8'~' '-Co'rre's '00(1/(1 RecyCled Paper .--_.~~-...--_.'-' .-. ._......-ilJ,~-----:"" , " , 1 , , ,',: ' .,c, : <,..' . .. '", . '" " , "', . , ' "",' , ", , Ii .- '. . Ii If U U I ,'" . '.' ",' , ;.. ",...~.... , 'c' " ,', '; ., , ; .'... : . , ;", :: ,.....'.... .': ., ,'.' ." l .': ,,', .: ." ": i : .,."::; .'" .....'. , I " c,:', " I' '..'". ..... , ".,' ..,-.:; . ,.... .... , " :', ' .. : , "': . , '" ' , " ' ",' ':, ", ,', I , , " ',:'" ,', " , . .. .., .,.:;:,>?,;~~: :;j~)~: . ',. " . .'. ,.' ',.: ,::':,~~':::: " ',', ", " ,': " "',:,: ,', ' , '.' , ,,'.'..;':':.- . ,. J ...' ,,:.". ".' , ":' ' .: _:J.' ',,'. J ((:::~~, Mr. Gary Rowe July 18, 1989 Page 2 Upon award of the contract, please provide your District state Aid Engineer with the following: 1. one copy of the Tabulation of Bids, which includes the Engineer's Estimate. 2. One copy of the award letter to the contractor; 3. The estimated completion date, or number of working days, for the contract. 4. DjWBE participation information. Please refer to Chapter v, Division 1B of the Local Agency Guidelines for the necessary construction project administration information. J::::~ ~O~ HENRY C. BASH, P.E. operations Engineer state Aid organization HCB:kas LRRjP18 cc: Bob Holcomb, Dist. 3 "~" JOSEPH I{, BLUM lllrt.'c\{J. STATE Of WASHING ION DEPARTMENT OF nSJ-IERIES 115 Ct'nw,)1 Admlfli.,lr.JllOfl Hallding . Ol.vmpld, 1'1/.J~hinlilr...;: Y85().J c (!f.'6) 7r;.1'6IJ{X) . (SeA,".,') .n.J-6(/(,(J July 25, 1989 JL:L ')' '1'339 Gary A. Rowe, P.E. Director Jefferson Count.y D~partment of Pllhti,~ WorkR 1820 Jefferson stre~t Port 'l'owr.s..nd, >JA 98368 1':_'" , ; I \ \ ~ ~ 1., ;' ;--]; ,~~\.jl.il\JTV .,/,'. r~::~:J-r ," -,' --'-' - RE: Pt. Whitney-Bee Mill Road Termination Mr. Rowe: The Washington Department of Fisheries (WDP) tentatively agreed to grant right-of-way to the County for the construction of a turnaround at the end of the Pt. Whitney Road and the entrance onto the WDF driveway (Mr. Richard Co~tello, WDF, letter to Gary Rowe, dated 13 July 1989). After further consider" t i0nR, the I"DP woul d 1 ike to modify our original proposal as stated below: WOF will grant right-of-way to the County for a parcel of land of length and width as reguired to construct a taper-transition from the County road onto the WDP driveway. The right-of-way easement will also be large enough tn accomodate relocation/reconstruct~ion of the guardrail to the County's wtandard level of service including end transition. The County will legally survey the parcel and write the easement/agreement documents for WOF signature. Please send the property easement doculuents to me for review and routing to Mr. Costello, WDF Lands and Recreation Manager. ,....:':~.;:...'" 1 Gary A. Howe ,July 25, 1909 Page 2 The Cuunty will d~ei.Gn und construct the road t.ermilla tion and gua rd ~.u i 1 s. Any questi0ns concerning this matter can i:-le ..jH1dress(~d to Mr. Tom Boyer or myself at 753-6610. Sincerely, ri)o:52ef t:f~- Donald R. Bartlett, P.E. Chief Engineer Engin~ering Division cc: Richard Costello, LRnd & Recreation Judith Freeman, Asst. Director, Shellfish DRB:TB:ls , ~--- ".. , ",:'.....' '.'. .":'. ,:J:;F ' . " ,....'-' - ", , , , ' ,,", I ~: '..:, '.' r., .. i :. :< ' ,.. I.' ,; .: " I I': ',' , 1"- , .' .,' : :- i;.' , ': ';':':.::".. ~;~ . :, , i' ., ", .- ';.: ,,", .: ..:' " ,'... II; :.', : .'..::..' , , . .. .,:....'..,',.' j: , " ". :~ ,'; . " .' , ' ',: ", ,;' ',' : ',", , . ',' ., . .', ,...., ~,:c, ',.:., '..'. ( . .,', ,; ;. .: '",' , " ': ,:;. ': ':,". . :.'. ;.. ,..,.. .... ) .'. ...'.., ,.', ...' .. i, ',':: ' " :.. , ' ", ...'..' " ,:' ,'; " ",', , :: ,'","':',,," ;,,' ','..,': , ';,:.,',:'.' . ":. '''''' "',,' .. '.,' ,.', "",:' , '.': . "'.. ":..,, ", " ,.,.'" ! ',', , " I. "", , "'., ' I. . ,. .' I." . '.'..', I I I, ' " r I I L L -=- ,r) ..~ Waahlng.onsWEEKLyl'r'iniTATEMENT " '...', o OF' WORKING ';">:'",:;,:;''- ~ DAYS CONTRACTOR " .~, /' . '.rF?l-t ,","', _/: ~ Ig':::J."(_'~ :./??'7d.L:...~~_I.:..._..._.._,_.._..__...,.__..._._.._._.._._.___.______ A~:E:S ~"""I. e'ti'51111:>pr Code) , I / '/ ../ /1 ..< \ ,/ _ / ~"" ,:;'-' .~/ " _, 'c6~:c;-;o. ~~~JL(2F~~b::;;~o r:~~{NO/"r/ I ~~~'~ ;/0"; ~~;t>~--r;r~T7M~~' NO -. ~.-;.[...~~t~TE<::' (!R:.-;.."t/-J' I L,:');'~~]~-,;..,.~(/,.<,'.;~,....,/. /;,~/ .'~ 1);:!<./ 7/;;;;9 ~, -' fliE fOLLOWING STATEMENT SHOWS TIlE NUMBER Of WORKING DAYS CHARGED TO YOUR CONmACT fOR !HE WEEK ENDING: ~~ , ! ,-, WORKABLE UNWORf:\A!ltE ":"':">':,,', ,,;c' DATE DAY WEATlIER CONDITION,' DAVS DAYS REASON -'FOR UNWORKABLE DAYS ,:>:;"~",_ I.. , , , r;;~/~/.~,:;c'''>; /;: 1/ .'~ I .J1'!1!.:Z err Sunday ~l,j it/ ~3, S/' Monday Tuesday , /(:-{" 'C" I ~~'~ f ". I ,-.::;,.' ,~j tl {II ~/J :~):; Jllll/6 [','/ I Wednesday I 1:-7/<.: /,' ~/,_.( Th day _.1/1 /.., ~.~-.. urs I ,- ~ '-." , Friday (...',<-: ,. .,~;: Satulday , (~i/,..." __/~,/ . ( - -L":j:' I ,-,t. ! rJ (;;, -;) E ': /} I "'- / ~ \11" ,~', Sef DAYS THIS WEEK ,.., '? NOTE: ~~~~fS:L~ ~:::. TO THE I DA VS PREVIOUSLY REPOnTED :? L.'t TOTAL DAY~ TO DATE Z 7 .,..' CURRE"T STATUS WO!=l'K~NG DA VS SPECIFIED IN CONTRACT . APPROVED EXTENSION OF TIME '7.!/ TOTAL AUTHORIZED TIME OF CONTRACT -o- f- ---=---' ---- 7./7 27 LESS WORKABLE DAYS CHAilGED .. WORKING DA VS REMAINING .::.1. f5 SUMMARY OF WEEK'S ACTIVITIES (!/~:;., -,,' //"7 ,S / .' I t::".?- ,r-/.I'".i;JL) //.. 9' / j, .lndll:lltll(:hllngeo,dernumtlllrordlllflotHnadqulIrtllll hlllllrllrantmllllmllUlcn.ion,(ahQwonlvonlhllt".1 Italmllnllhllllh..e.!f'ne,onllllimnllrcporlfldJ ... UI.. ""Ilat'vc '0'111. '0 llhow"Vllrrun In tlmll r_~~.~,J~)T ~N)Gt~7Erc -,::,^ / ,/ . --. ~~ /~ /. ''\ lJl"~,,,~,,..{ ,:Z~ (~/ <A'..._Y., ---7 NOTE' The contractor will be allowed 10 days from date of this report in which to protest in writing the . correctness of this statement, otherwise it shall be deemed to have been accepted as correct. DOT fORM <l~2'022 (R"vllfld 6/HIl) .111.:1" '0.0-':1 PINK-DISTRICT ENGINEER GOLDENROD-PROJECT ENGINEER DISTRIBUTION: WHITE-CONTRACTOR CANARY-HQ CONSTRUCTION I L_ - . , , ,'.' . ; .' .... I-e - .. ...',. t~ 1.,' ",. '.':' " '"::,,. ,,: " . ........' , .," :i'<\", ,...,' :,c" ., . .' ..." " ,'. i, " .: , ' "', ! " .,' ". ., '. ' ,.,. ..' , ,".,,". '.... . -' .." .,:.' ., " , , , . ' ... '" .'....., .", ,,;', I ' ' , I ,',..'..',. ..' .'., I" .,...,<. .... .' / ..: "'," ,.",,',," '" " i.."... '.." I ,. : .' ".,'.':, " ' ,.. , '-': -', ' ',' '::, II ,I II I Ii .. " '., ,; ':, . ". ,',' , '..'.'. " "',;' '.., ' ,:.. :' ',: ,. "., ".' '" ,....., ' ,.,' , , ',', , ", . . ..., .. , 'II ", . ; ~ " " ",' ,',,'", , . ";. ,': ,:'.., ,,:i " . ......... . ,,' .' , " ' , .' " '- , .: );: : ~....:..'.,: , , J " ',' " '''', , ,"" , , .. , " , leje :J:~!~ ';' e~e"'e, II' u ~, " . " . j" ,'" ,'" ;", , ' ','"-x, ': ' " ::, ,!,,", ,', " eO"'- 'rr, '. ;,,", ", "" , ',' , '.' " ~' " " ",.,.,: , . .' ..:, " ," ',,' , ' " , ,', ;' I' I; ! I;. ',',' , " ' . : :':'", " , ",' : , .", ' " " I., ; ...'.'::.> , , ,,,' " , ,,', .:. "'.' " " , " , ' , " '" ' , ", '," ':, , \ "', ' ::,;",', ' .' ..' .'.' . , , ,', " ',' "',, " :':':" : '.,,', ' " ,,' ",. "',.' " ',; '.',,', ';: " ~ " " , ,'. , .: ',,, " , \ \, ,':', .", '" , ' , : . , , , , L , .......0 ::?: Waahlngton Slate Department o'~an~ y~ WEEKLY STATEMENT OF , , , '0 ';,':', '. /-/~ ~ .t; I(~.:;',' ..t) ,.~~ DAYS CONTRACTOR L / R I r:J /', ;' ,;' J-'~/' .. b_.~_.':-;; /)......' /f"'" ((? ~7':'- T ._____ ADDRESS (Stletll C11V Sllll';. ZIP Colle) / ' ,. 2.7QI-/~~/;/~/,'1I,--,"(')/ ,-{./ /~/~,r J-/:;,".~/;;'$ }.1/~S/; ~/t:-~....3 UJZ- CONTRACT NO ' I FF.nF.RAL.,AIO J>ROJe(,;~~HWAVNOOR 90UNTY"'"j -7--;I'STAl{MENi-NO~ (IAn: ~I P' /'//9 1!/;,~,,,,......."-L.'.lA-~'/,,,,,'A;;! /? ,lr/'"//2 :3(.' .-::}9 WEATHER CONDITION .' ,:', WORKABLE UNWORKABLE DAYS OAVS THE FOLLOWING STATEMENT SHOWS THE NUMBER Of WORKING DAYS CHARGED TO YOUR CONTRACT fOR THE WEEK ENDING: REASON FOR UNWORKABLE DAYS " I . DATE I DAY cI" ",,- z~:,1 Sunday -!lJ;J/ l(. (c _~IMl)ndaY -i" 1'1 L' ~. 1 ,~- >" Tu~sday r/q, c ~'H FI'I Wednesday rf t' ~j ( ~?!:,'I Thursday ("", 3, ,..1 f"day J J fj ~'I Saturday " jj)J' /, / ((fI,17 ..4.),.,"',....... '--u ~ I / / I :~ .5- i /9 eel t!./~ ~, r/-j.. /),' (/ c.. /r" ~, r({J" /< /... -'<~ ,...oJ O.AYS THIS WEEI( DAYS PREVIOU$l Y REPORTED TOTAL DAYS TO DATE , ,:,',', CU'RRENT STATUS WORKING DAYS SPECIFIED IN CONTRACT 75' _-:- <7 ::- -2~'1 24 5/ . APPROVED EXTENSION OF TIME TOTAL AUTHORIZED TIME OF CONTRACT LESS WORKABLE DAYS CHARGED .. WORKING DAYS REMAINING SUMMARY OF WEEK'S ACTIVITIES /1 / ,.., i ~ (:'-" i/ iv' ~ e ~ (!/r-:ar/Hl ':if &/'/."k-'L)//~,"? r -' I - , NOTE: ~~X~~S~L~ ~~~. TO THE -i , . lodlcllte Chll~OIlOfdllr nu",bnrol dlllft ofHlIlldq~llflulll 1"llllrlJ'~oh"01,mflfl.tlln.lon, (ahowonlvonlhflhrar .Iatmflnl'Ill1llholl.lonaloooltimfllllfflporllld) .. Uae 1I1l08tlVIl lotol. to 8how OVflHun in lime I ,~J,~5T EN~INEE~ / / O~ t) /A,.,.',;{',4 ::;.((/./-/.../,,[1' / DOT FORM "2~.022 (Rllvlnllrl 6Jllfl) '~'3 DISTRIBUTION: WHITF.-CON1RACTOR CANARV-HQ CONSTRUCTION ---7 NOTE' The contractor will be allowed 10 days from date of this report in which to protest in writing the . correctness of this statement, otherwise it shall be deemed to have been accepted as correct. PINK-DISTRICT ENGINEER GOLDENROD-PROJECT ENGINEER --...._----~...""(# L [[lid. , .' , I ,'1:":. ' ---:-) ,', '. 'I '. ,"" , . " , , ,',', ': ,,,," ," I ,,' I.., I . ." ':", - ,:. , ,',', '''"",' :'., , . :.,.,.,.. .'...: . , " ",': ,',.>':' . ':' , ,':',', " ,': " '" :"-:,' , ,", " " , " ,", " ,":: ,"', ' :. , , ....,.",.. " :, " . " .,,' ! :'.' ,', .' "', ", "" i.',.....' ,,' '".: ,,:',',: , ,',,:" "..,,' ", .':" ;:,:';:/f~\:~'.~:'11 .', ,....: '.:~~>T.':,:;~ii :':' :: ',":"" :, "''', :,';':' >', , ",,:, ", :: ,', ":" . "', , , ,,',,, , '", , ,,"-: ,',,, ," 2~; ': :,' , '." ,:.,i . .' ,,' . , ',,', J "",',," ""', :'.. ": '~:,,'. 'i;:g ...J _J , ,.'" , ",'" , ';" ',"" ,...'.." ",,':,', ,",' ,,' , ,":' '.' ' , ," ", ',' , ", . .' '" ..J ~. .J I! ",' I , I 1'-.' " "', " I I, ";;,, " , 'I I, ,,",' .:':': ','.. , , : Ii ,', ,.,' , , .'. "" I i' .",',"., '/1 I: " , ',',"',: ' I. ','.., '," L It::''~',':':/, ,,:':,::;',"';":':'~"':::;" DOT FOAM ..~~ 022 lRnvlwnd Ii/fllll " ,::., ,"'", , ,':;",,"::'" -,,-.............. , ,'.,.,' "':"" ::: ",',: "" :':, , ,,:'" " ,,' , " ", ' ' , , ," " " ' ','; ".' " ',', " ' ': .- I;"',, .',' ,:, ",' '..,. Ii"",'". I, ' ','.' : c"i~t!'."""'" , ,,", ' '" ,,', ',' " ,": ,', ','" " , :i", ,",--, ,', ~- , , ' ' .. .- ': ," ',...' ' , " .. ':" , , , , "'" , ",' , " " ':' ,', ',":cq;;tI, i' " ': ',", , .. ,~'\;' ~J:7 ". I["} "~ '~'~~;,,- I::' "., .' ,,', ,,', " ' , , " " " , L " L L ," ,,' ,', , ,,<' "I"'i"".,l,''''.......''''f'....'... " , ,6. , :-:"'/:'~c",~~- .... O. ' , " YlI ,Y ~IHI II OF WORKING DAYS CONTRA~~j :'._ _~ J /') / -----.C.2.J.- (I (~ /L, ......,;. .J-:> .C~L c. /-1 ~!.s _ _ ADDRESS (St"...... Clt~ 5';111, Zl; Code) , J ' / ;:'7 / ,? /. '/',/.? C" :2 I ,-7 -:z._~ft:L,,~" / 'to::u / / 0; ).'1, n r /-i ,'22.';:: /e 5--.!:1:.~ "r,', ,> " "': . c, OIHRACT NO. FEDERAL AID pnOJECT NO I HIGHWAY, NO. OR COlJtHY_ r-r'irATEMF:"IT NO. I DAft /: A? 7~/9' li/J/i"r';'"h?/';//;::...y./;::r/ / ",/urJr"'; 23 &';/' THE fOLLOWING STATEMENT SHOWS THE NUMBER Of WORKING DAYS CHARGED TO YOUR CONrRACT fOR THE WEEK ENOlliG: DATE,. DAY 'I; WEATHER CONDITJOld -/t. "6j8/~ SunddY I J ..'" ICi 5'9 Monday I {./ !t,r f ",1./ /,./a, ~'-" r 111.:- 'I /, / , _Z('P,'Tuesd'y I r;,;",/Iy CJ,,,< 'I ~...J i1 II '. I ". rJ t.l tit 2_')D j Wednesday CJ I ~,.' II r;:/ --J l' II t Z Z/....:- Thursday () .I.." c., /.- ~J L' ~l~ :::; Ei~ Friday {~ J e (/ r- ..J U 11:: Z i/ 8 ( Saturday WORKABLE UNWORKABLE DAYS DAYS --.0 - REASON FOR UNWOAKADl..E DAYS:': '1/ .. ,'. r ", /\1.'= ) I ) .r -- u-- DAYS THIS WeEK ,,') /4 /9 NOTE: ~~~~~S~L~ ~~,;, TO THE DA VS PREVIOUSLY REPORTED TOTAL DA VS TO DATE . CURRENT STATUS lNORKING DAYS SPECIFIED IN CONTRACT . APPROVED EXTENSION OF TIME ~r/A ..L...=~ -cJ - '/'5 ~ 50 TOTAL AUTHORIZED riME OF CONTRACT LESS WORKABLE DA VS CHARGED .... WORKING DAYS REMAINING SUMMARY OF WEEK'S ACTIVITIES ;7'; ,/ ,/'" ,?,~ ~/f-''ri;-I//:/ ? L_'7"P/"O:/_o;;.~;/ /(Iee~ *lntlual111ChHngoordornumberordaleolHnlldQuorlnr8 11l11Q/gran,ingumOfl"llnllon,(lIho,""onlvonlhnllfSI alSlr>1f1nlthllllhao"llns.onnlhmlllsrnporl11dJ I PAOJ~C) ENGIN~EA . II" d/( t7( ,.'~ ,.,,~~...I/ ,'~~7/_,/,/A,/' i / .. Use n""lIli~1I 10lalo 10 Rho,"" o~nrrun in Ilmll, ~ NOTE' The contractor will be allowed 10 days from date of this report in which to protest in writing the ---, . correctness of this statement, otherwise it shall be deemed to have been accepted as correct. .1152. .o4".i).t., DISTRIBUTION: WllITE-CONTRACTon CANARY -HO CONSTRUCTION PINK-DISTRICT ENGINEER GOLDENROD-PROJECT ENGINEER I .~~~ -' 1 'I:";/i,:, ,:' ."..;::,. I....~,:~< : , . "':",' ',: ' "..... .',' , "'" ,>;:.. I ,;", ".;''', ,::, .. ' , '''.','' ,; , ":' 'I;"~ ", ' ' ," ,'; ,", "", , '.',:',:." 'i' ,'. " ..,.. '.'..,.,'.. '" ,,, ," , , , ",,, .':,' ;" "', '", ' " I">' " ,': . , ". :: ," ,':, ""'" " " ",', ' ,,', ":' " ", ',i ,,:' , ,':.:> I ',' / : ... I . "." ,,": ,. ,.,,' , 'i'.., : " ,:; "" , .',' '" ,:' " , "" '.. " , ,:' , ',: " " , ,:' ': "',: ..,: ,,":, ,;,',' , , , "",,> ' " ',: ":'.", ' " ",: " ','" ;:,,' ,,:; " ,::. , ,". ',,' ", , " ,I, ,'",,''' ':: '''' ',- ", ,. ':, ',,",.. \ .,.', ., " ": '" . " , II I II , , ",'i'" ,\. ~ ~ J r;.,~..<,., '..,...'. .' I ..~" ".' ", , . .' . ,~- ",", " , ::,' :,:, ' I ;",..yL ,:.. '.., , ", /::. " ~.' ' , "" y: ,: ~ ~' :" :':, """.' ' " ....'.: '. . "",.' ;',' ". I .'::'i..'" '" : : ','., . " "'..... " ~ -:',' ", .. , "", '. .,.. ~. ',' " , I .' I I ,... " i .' ;'. I :C",~, ,.' ~, " ,.' ',' ",' , :p ',,,,,:' , ':, , " ,.':< " .'...'.'." .' , '. """ ~ ::' :' '",,:' :' .'. . ,', . 11.,'~~::' . '..' '; I':;~~'<" .". " ," ' 1:". .."".' I " . . . I' ',;. "'. .' '\ I: ' .. . I, , .' ,',. , Ii .,..,;~.' '."~ . I I' " '.:, " , ,:.., ! ,I;: .,'. ...".... '.' '. . I' " "'. i '. .,.., . , , ..' . ~ ' ,::,.,' .., . , ,"" ",:,. ' ,'.', :''.'-' , ,:', "'.', :C" " , '..',. '.' . , .'....,... .' ; ""::'" ' , :,,' I L L _.',;,,' . .1'.' . ..' :'; . .: , '~' , ' < ,'..:. .' ' , " ;"', ',' ,'.: .. " , " , '. ' . ,.'. ,...' ',..' . ..~ ' .'.: ,":: ':,', ," " " '" ,.,"....' . '. . ',' ". ," ,,', ',. ',' ' , ': ,:" ':'." .' , ' :.', . '.. ':, " I :'~' . , ' '. :,-',', '. .' ' " ~:' " " , " ' '. . ". .', ~ :., I ' "".,,:. ,',' , '," , ,I" ": · . ...'".~ .' ....;. "'.,: , " , " "" ," " "\ . ... . ..,".', ---" NOTE' The contractor will be allowed 1 0 days from date of thill report in which to protest in writing the, .' ' , " -----, . correctness of this statement, otherwise it shall be deemed to have been accepted as correct. -=:::""~". ':v~~~, '.'.. ',.' '. ..', " ,',,, , ',. " , ' " ",', ""'" ' " , '"', ' , .: " ' " ": .;,.... .' ' " , '. ',: , '.: I , , ~, ,'. ;.. :. , . " ': ~ ,', , .!' ~::i .' ''''/'', '~~'." ~bO YhIJ Wash,ngtonsWlriK'LyT.onSTATEMENT OF WORKING DAYS '.1:1:"" OO",",OWA /J' ~ ~Rf"'/'. -< '/f?( 8,1-//(-: (/~;,/ " AODRE::$S (SII""I, Clly. ~I?, ZIP ~OChJ' ";.n ---;--;-'-----;-7..-;-< ,;.~ _, _ Z2~-:;;; Lh"/.,,)nu /()/ 1,,/ -1r'~L.L ')'/Nr.-'p4, /.,,1/"-/{'7 7",' .3'6 ~._ CONTRACT NO I~ FEDERAL AID-PAOJECT NO I HIGHWAY NO, OR .90UNTY'/ ~ J STATEMENT NO -T OATE (, I? /7 z) 9 i/,c~"~/, L,;;;. ,.{,{.;;~",,. ,{2,/1 4 I it, III / ':/ 89 , TIlE fOLLOWING STATEMENT SHOWS THE NUMBeR Of WORKING DAYS CHARGED TO YOUR CONr~ACT fOR THE WEEK ENDING: i "DATE' DAY ,,~j fA 11 I? ,8C? Sunday J/I);.I10-,;1(/ Mtlnday I , .J;l.':; 1/ 5'1 Tuesday rf q I:, /2. B; Wednesday ,.iIlJ;,' 13/81 Thursday r" ly /41 ~r Friday J u III IS 57 Saturday WEATHER' CONDITION WORKABLE UNWOR"~SLE DAYS DAYS REASON FOR UNWORKABLE DAYS .:,'i' ,.:.;: , ,/ /J / ~L' .' .- .1.) (' /tf.,-{(. . "1 -, ' ..;-? ). /' 17 ' nv~<x(J Ij<>,~^, 'r /~,/. ,", ~.L?; ;-,'._,~ /':1: i ,.\'.l I I ""I / I I ) 'J'j,'i,> ,hi ~_' y C.;.'v DAYS THIS WEEK ..5 :?1 3{2; NOTE: ~~~~~S~L~ ~;::. TO THE DAYS PREVIOUSLY REPORTED I . . TOTAL DAYS TO DATE ~,-:' CURRENT S;~TUS WORKING DAYS SPECIFIED IN CONTRACT 7_? . APPROVED EXTENSION OF TIME -~~-=~g-=--_.. 7~ TOTAL AUTHORIZED TIME OF CONTRACT LESS WORKABLE DAYS CHARGED 3~ .. WORKING DAYS REMAINING .::1 3 SUMMARY OF WEEK'S ACTIVITIES C,-t"'-r"":( ."..; c:; , &/~ ,-t~,,:,b <//p . i. -J"1..-c.(': _:)' c"./ 5., ,(::....;?'<~ / ' 5-~1"r1',,<(r' ,.. '......-. /, ,.. (' ;:;/', *IIld<celecllllngoClldolnumbe.o,dIlIIlClIHltedqullflerll IlIl1erp'llll1I1lQtlmllflxl"nelon (stlowonlvonltllll".1 .1Dlm""1Ih.llhllll~llln.lono'llmOISfllporllldl I ;"OJ~CTE~GI~; '/ >-/. I "'i'S-,i.t" Ii ,'-, /, .r ,Sf,t 0../' / .. Uell nflll81ivIllolIIIs 10 show OYllfrUIl in time, L 'II 1 r g I I .. ~ ~. J ~, 1(,,:\ ,..,. :,::;/ <ii '. .,. , :.c'~~~.;;" .".... ,'''''''''' ',' " , " Ii .,' : '.' .' ' ':':" 't:~~;5 " .',"" i :;~;r ',' ;' 'r L >,,' , I " ,,1 .. ' ''ii.,' ::,' , ....'.. '" ' : ' > .'. ' ",' .... " ..:..,.' ,', ,.,,',. . " :. C /2'.6 74..,~.l- C.-(:"Y'''<:~.I'(' /'-'.~".~ ~ e ENTRANCO ENGINEERS, INC. LETTER OF ~RAHSMITTAL 0 MEMORANDUM ~KE WASHINGTON PARK BUILDING (200) 821-1300 5808 LAKE WASHINGTON BOULEVARD N,e FAX {206) 827.7338 KIRKLAND, WASHINGTON 9B<J33 (J 516SE^nLF.-~IRST NATIONAL BANK BUILDING (2061258.6202 To: M.r Rr->r ~ L^..dJJ:'L".--='='O~9~:::. 7-6' ge1 ~ ;::.p, ,~~,,~ (en ~'r";L..clH.bl~lil:J 1 0' (<;(\~J::::' 0 prOjectNo:.__R9u'Zc--)f) -, ""/ +- <('~~wtL-Yl1:S6 8. Title:_ Attention: _ Re: ,ATlACHED c UNDER SEPARATE covEtl l'J DRICHNALS r:J PnlNTS ~FORMAT10N/USE c OTHER o AS REQUESTED a OTHER FOR YOUR: OUR ACTION: ~~~~e6vi~ ..l'G1PPROVAL c REVIEW 8. COMMENT n NOT APPROVED c seE REMARKS c OTHER AEQUeST!:O ACTION: C MAKE CORRECTIONS NOTED C REVISE la RESUBMIT 0 OTHER NO. OF DRAWING c~ ---1'.Y!ill!!__ --. ~1( DESCHll"rlON G r d,1 ro ...::fET-........'- fi::.{f ~ (.:"_r~,"_B-J\B pm D <J ~ ~'_ '<,,7 IT-, ~ ,1I11...-.l-{) 1989 JEP;=E~f::;UN COUNTY .EUBUG-Wer.I(S DEr>T, ,.~:s{) ~~r ~;::2,~C~~'I~ ~~r~. ~~r;\ f'O+:- (l)::i-::r~ _o~~t- '?~:ll . ",of+. ~~~ ( By: ~______d @r.A4----/~~ cc: DISTnlBtJTlON: Whllo 10 ^ddrll~'lIu _ Cllnllry 10 Pmjlle. FilII' Pink 10 DIIV Fill! A 02.(2~89) ~~r.~'&'.;s";~~ _J --II': '. ,.; -.'y.,',.'..., ,..:- I"":",, ," ..; " ,,', ,''', " "',', ":':, ':. , :',',;' ::' , , " .:.. ,,", ':'. '. ,: ,;,'" " ': .:. , ,'. "", ", " ,'", .:, '.',' ." ".,.'. . . , ",.. ... ','.: . ,.. " . :,': :' . /~ ,',; ": . :..'" '. , " ", ",,": ,', '. :. ...,. " ".e. , ,,'.. '." ...."...... .' '" ",:' ',,, , :: , ,,", ':".." , ""," " , :' ".:". , ;:, , ..' :" ' . ',' ,: ;. , ,',' ....', , ,.. , ',:', " :,' ".., .",;"',: ,,::.,'S' .'.... .'. '/,:.,::f'/.' . ',' ..:': :.:< : , ' ' ,,: c','. ,','. .'.'.,...,.. " V ".' H!ll , "" ,c' " " I . _1 . .'.'. " ' , ..... _I , . I ,: j r;...,;..,...'. " "", JF".;:" · ,.., ...., - ',"." "" " , _:"" " ' ' ' . .;'. ,'" '..: ' ,;: ",' " ,.i!~{{{V__, " ' , .' .'. I; , "".. ':, .,.,.,"". ;', ' ',:. ' ,,".' " .,.', ", :,' '" ' ".':, ' " ',' , ',', :. ,'.' , '.", .'. 11 " ...., ...,.' ' ',' . , ':,', . :.", " ' "',' ",',. . " ' >', '.' ',' ,:'" , ,', ,. :,::'," , ,:' '",'. , ,,,' " """I ',.' ,: '" ". '. I . I , I I: ,'''. I ~ I: . Ii ," [,' , I, I, ',,, I; , . . I' I' '", " .' " '.':' "" "':" ,,,,, ": " ".',:.... , " , ,',,, , ,::'-, '"," ':, , ,,' '",,- ; " " " " ", , ,", " " :' ", ' , ...'.'...."..'.. ; . ':'.":' . , :,,":'," ,".,: ': '::','."',,:: ' ..,'..., , ,'. I,," , """" J L__ " I L- , ,.' , I' ' L f"""1 ~ AREA CI-!;rYlt1C.Vfrv] AREA CODE :~. PROJECT NAME ANDER",,,,,, LAkE PD, :r:mf"lr..r ;;vALw1r,'"d PROJECT r,o:IGflO I 000819 TYPE OF WORK rR.4FF;"- %"",p"Icrs JiY.rlLw'r;of'./ f'",;c j:;eue/oPM.tNr.s 5#3 I BREAKDOWN OF WORK ITEMS: r'-"p/l-C ., /11'/ /'1 L '1 -0; " <; t=N,9/^,eeR,"'} ~ /D ':b SUBMITTED T<.AA/E. 6 BY: .../), ~ )(/g~ ROUTE TO: c==J ASSISTANT DIRECTOR o ROAD SUPERINTE~IDENT I~ CONSTRUCTION ENGINEER JEFFEP,SON COUNTY DEPARTMENT OF PUALIC WORKS PROJECT/WORK AUTHORIZATlnN COST ESTIMATE: 350 "0 3 o)Q~oo _,_ J TOTAL: :f 3,850.00 , . ." , .' ".' ,', :: I' "",', .,' '" ' ": ", , " " ",: :, '.. ',' , ",' ,,," "'."::" .' ',,": ' " "," "'" ",'''''' "', , ", "'.:.< ".' , ',', ': .': I" ." '. ,,',' I . " ,:'.'; i ,..",...,"" ,.'..,.'i":<,:"~~ ! '" " ",."', . ._~--.__.-----~~:' " , , ' '" , , , ',"'" ': 19R2.. APPROVED: 6, -I Z- BY: ;g~ap~ DIRECTOR F PUBLIC WORKS INITIAL c6 o D BOARD OF COUNTY COMMISSIONERS ACCOUNTING 1937 fK ,--r I" ': '" ::"-,'- ,', '" , ___ "1 ." ,'I ',,' " "", "",,," , '.'. .,.. " , "", :,,', .,;, ,:,,:' ", .::< ,,' ,", '" ,", " ,', : . , '. ''''''',,', '", . ." ,... .'." " ,:., " , , ,", ':'-' ", "" , ,,'.": ,,' .,': ~ .': , " , ' ',,' :",' ',' "" ";.'..'~.)',.:i" " " . i:.'; "', ,.' '," ''''L'~,;)" ":,.','; ::;, "" ", . ' :: ' .',; . , ." . .:' ,,', , ',',,', . :, ' , ' " I :" " , ';: ; I '., , "", , ", -.J ' ~ J ~; If'-,G%~:;;::?:: ;,;i ~ , .. , '" "C", '. , " . ,,' : ",: . - ~, Transportalion and TliJflic fngin;' i PlANNING.DfS/lJN n RECEiVED The Transp-o GroUp MAY 2 3 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT. Ie , ,!,..,'.."...".,',...."., L", ,<,:'. ,,' , .:' ",.'" .".'c.' :::, :, 'e' " , '" , ;' :> ;; -. ;'. Dear Scott, May 22. !Za9 TG: 89286,00 Mr. Scott Kllmer Jefferson County Department of Public Works 1820 Jelferson Street P.O. Box 1220 Port Townsend, WA 98368 SUBJECf: ANDERSON u.KE ROAD-PROPOSAL FOR 'ffiAFFIC 1MPACT ANALYSIS ':, " ",', ,"": ,:' '",. ,'" > :',' ,.- , ' ,....."....' .......'.'.. , ',' "':", :' I,' .' .". ....:. E " .' '...' .'... li ......,.. ..., 11 ' ',' '. I, "!;l(!~j~ . . . 11.t:'i"'?'>:.: '.'.. ',' , jt:~~F"1 .. ','.. .'. . " ", ,'."":, :, . ,:'.....', ' " :,.:' '" " .', " Ii.:"..,.. ,.: ; . ,', '," Thank you for asking The TRANSPO Group to prepare a proposal for the s1le traffic Impact evaluation for the proposed Anderson Lake Road development. This letter presenls a brief introduction of our qualifications and experience; a description of the project; and our pro- posal which Includes scope, staffing, budget, and schedule. The proposal becomes an agreement when Authori7.atJon to Proceed Is completed. i Qualifications and Relevant Experience TRANSPO speclallzes In transportation planning, traIDc cperatlons analyses, and traffic signal design. Our staff of transportation engineers and planners provide a full range of professional services In traffic operations analyses, travel forecasting, traffic Impact analy- ses. parking and parking facUlty planning, and traffic signal design. Over the past 14 years, TRANSPO has completed traffic analyses for over 1,200 developments throughout the Puget Sound regIon, Washington, Oregon, and Alaska. TRANSPO has prepared traffic Impact analyses for several industrial parks and recreation facUlties, Examples Include: The Park at Woocllnvllle (Industrial business park). Puyallup Science Park, Lacey Industrial Park, Point Defiance Zoo In Tacoma, and Marymoor Park. Project Description Jefferson County has recently received requests for binding site pla.."lS for three develop- ments along Anderson Lake Road just norih of Chtmacum. The locations of the de- drk:~~ , INITIAL FAX:206/747-368B 206/641-3881 The TRANSPO Group, 100, 14715 Bel,Aed Aoad, Suile 100 Bellevue, Washington 96007 , I; ., I. i:: .' <', I " .".., '. I," ' ,: '," ' Ii ' 1....'........,.,..': ,':' :," ' I: ".' ,", i.....,.. ~ .' . ..' . '1 ;. I'. '. I ' I L " " .' (' ..' . " ;', ,'," "'I ' ',,:. ,:" .-~':;;- L) .:,~;<< \:;.":: ~ ,I ' " oJ " , , ' , r ,,' ',:', ,'", '. .,....; '.' "':.:. .....,' "", , :', ' i t ' ,.... , , ,",:;:". t " " , : ,..'.,' , , r I,. >", i',; .....' :" ' ~ I I J I~ .1 :,: ' , :,: ; : ,',: ':: , ,~ , ,c, ,,' ":,,,: ..,:: , ,,: .:'., '.'''' ,"", ..' .."., " ,". ", :"" " "'. '.".; '.' " ' , , ,:':, . ",' ,.' '" '. " " ,'. "..... : ,''', :::; ,", "." -<' , , ,,", ' ..' , , ' . "',' .,.;- " ',':' , ',:'> ,':, " , '''': ",' :,' ;.,' :" ,"-"".': , ".',,' , ' '," ' ",,', "":' ,':" " ,:', ":"'" :',' ',' " : '''''', ",", ' ': '0,: ',.' .', .'" . ,,' " :, , ",' ",'.:'., .-J' .' " " , 'I ,'. .' iJ -' .J -- :-:",:,' , '. ~ , ","i',"", , ":", ' "';, '"',,,: ::'- ',', : , , .-, I; , I. " ' :,' ' " ,"'. ,," , " ,."" , 1 : , ',. , , " :,,',,: ,',', ': :,\ " ,,:: :" ", , " .- ,~' ..,.", ,,: , , ,:.-', .-' , ' ........, , ,,' " ,,--: '" '..... " ,', , ,', .:. ..' ',', ''': " " .,',: "'.' ';~ , , ' " ,', "', " \ :. I: '. I. ," .,', . ,'" I;' ;:I~:;! '" . " " , , I" ",,,::' , .,' ,,.' ~' ,.' ",'. ,,:::' ,',' ", ' ': ,," ',,' , ;, :, ,: " "": :.-:'" .', " '. ,:', ,', ,"': ",,: ',,' , .", ":,, . , " ", ' , ""',1 f,: ' " "'.': \...-- I:L ~\ n Mr. Scott Kllmer May 22, 1989 Page 2 The Transp-~ Group velopments are shown on the attached map and Include: 1. Tamanus Rock Recreational Vehicle Park - a lOO-unit pubUc recreational vehi- cle park with an 800 square foot (sO bulldlng for laundry, shower, and restroom facilities. 2. Evergreen Coho Escape Relreat Camper Club - a 186-unlt prtvate recreational vehicle park with an 8,000 sf club house. a 1.000 sf laundry building. and a facility for showers and restrooms. 3. Rhody Industrial Park - a 13-acre Industrial park contalnlng up to 125,000 sf of building space. The proposed development would be phased with the initial development consisting of a single 5,000 sf building. For the purpose of this analysIs, we have assumed a bulldout of this site by 1995. We understand that the Jefferson County Commissioners have requested more information regarding transportation Issues prior to approving the developments. Specific Issues Include the need for Improvements to Anderson Lake Road and the need for a left-tum lane at the intersection of Rhody Drive and Anderson Lake Road. Due to the nature of trafP.c associated with the recreational vehicle parks, we wUl analyze typical summertime traffic conditions. Based on our previous discussions and review of the materials you sent to me last week, we offcr the following scope of services. Scope of Services 1. Existing CondItions A. Conduct field reconnaissance of study area road system, documenting road geometry, shoulder conditions, pavement conditions, and any sight distance restrictions. n. B. Document existing dally and peak hour traffic volumes within the study area. Jefferson County has provided new dally "tube" counts along Anderson Lake Road and Rhody Drtve, Jefferson County will also provide new AM and PM peak hour turning movement counts at the Intersection of Anderson l.,ake Road and Rhody Drtve. We will adjust the recent traffic counts to reflect typical sununertime traffic volumes. Sununertime volumes are typically higher In the project vicinity, reflecting Increased recreational use. C. Document and analyze traffic accident records along Anderson Lake Road and the intersection of Anderson Lake Road/Rhody Drive as suppUed by Jefferson Country. Future Conditions A. Estimate 1995 traffic volume forecasts without the proposed developments, The "future without project" forecasts will refiect summer conditions and will be based on historical trends of traffic volumes, B. Estimate typlcaI'summertime weekday traffic generation for each the three proposed developments. Our traffic generation estimates will assume buUdout 4k4~".. i! :: ; 11~.L , - ,:' :,' , ",~".,:, " , ,:' "', , ',' ,',: .' , ,," , ,.:,': , ,""::, .',: " , , ,'" ,,' :, "-:,,"., ':'- '. , ,", ; " ': " ' ':' " ...., ' 11 , :, /, I:: .. , , i i " " , i I' .,: I.' " , ":", ..' ,..c'. , " ,; , . . ... , , ,:,' , . '.. '... , ,,' ' , ' . - ,..'. '" ,', ,.,'...< , " " ",' '," ", , " ",'" ", ,"" ,', ',,, '" ""'" ,,:""'.<': ': ,',::' , .'. I . ", ..: .'.:. , ,"" , , "".' '. , " " '" ''',': . '.':. ',' ',,: ::'. ,j '"" ;, '''', : -- '.. ' . ..,.: ' '. , ;',' ,. , :':.", " ..'. . ' ..' ,.." ,:-< , .. -: . " " , '" ", ,. >' ~~: : ,,' ,,,' " ,,' " ' ,,,,," ,<' ";"',: ...' ..,,,,-,, ", , ,," '''' ',"',,, :,',; ,,, ":,,.- " :.::; ," ,; ,,' .. , ': ,~ ',:': .',' , "",' '" ":",,, ,,' " .", ,', . ., '''., , ,',' I ::' """,'. ;" ,'..,. '," :"i ii?k~r; "<' ,,'.'.' ,,' " .," .'. ," . (, " ,.:.' " . r.. ,>' L ", :,", '" '.' , :',:':,''''',,' ,: , ,', ","" :'. ;~;~;' .... , ;<; '''' ,,',' ',., ",..."...",.. .::"",' (, ~ ," , ' , .1 ,.'. ,'. ,L. p, Mr, Scott KlImer May 22, 1989 Page 3 The Tran~p-o GroUp of the sites. We will also develop estimates of peak weekend traffic volumes for the recreaUonal vehicles park projects. C. Develop a traffic dlstrtbutlon for each of the three project sites and assign total weekday and AM and PM peak hour traffic to the study area road sy;;tem. m. Impact Analysis A. Conduct weekday AM and PM peak hour Ie.'el-of-servlce (WS) analyses at the Intersection of Rhody Drtve and Anderson Lake Road. WS analyses will be completed fer exisllng, future wllhout project, and future with project traffle volumes. B. Assess the need for potential improvements to the intersection of Rhody Drive and Anderson Lake Road. The need for a left-turn lane on Rhody Drive will be t:valuated using WSDOT and nal10nal design criteria. C. Assess any potential sight distance or safety problems at the proposed driveways/access roads to the projects. D. Identlfy any potenllallmprovements to Anderson Lake Road which may be needed to accommodate traffic from the development. E. Evaluate the needs for the recommended transportation improvement assumtng one or more of the projects Is not buUt. This analysis w1lllnclude an evaluaUon of phasing the Rhody Industrtal Park project. This analysis w1l1 help tdentlfy when the road Improvement will need to be In place. F. Identify options and recommendations for financing all or part of the Improvements by the project developers. IV. Report and Meetings A. Document the analysis and recommendations In a brief report wtth appropriate tables and graphics. Following review by Jefferson County staff, we w1l1 finalize the report for dlstrlbutlon. B. The work scope provides for one meeting with Jefferson County staff, or the property owners, ,as directed by county staff. Stamn~ I will serve as project manager and wUl be responsible for the major portion of !.he analysis and day-to-day coordination of project work. Jeffrey Webber, P.E., will serve as TRANSPO'.. prlnclpalln charge of the project, ensuring quality control of our work. I w1l1 be assisted by other TRANSPO staE members as necessary to meet the project requirements. -4&4.. 1f~!ll/\L " , , , .,-~ ,,,, .'. ,", ' , ,'-, . .,.., ;',::, i; .'. ,." ,""" ,,'. '" , ,." : "" ',,, ,', ," ," """, "", ,,', " : , ", :' , ,: ;,' ;' II I I , ' :',". :, ", '.. ,.....":".; '''', ':' , ,: ."'. " :, ,,, " .', , " , ..",."....:,,,. ,:' , ',,- . ..". "','" " ,.... 'i' ":' " ',:' ::., ' ,,' ,," ,:, ' ";" :.; . ':" " '". , .." '....".. ." '." . " " . "..' . ....., ': '" ' "",", " , ,...',"..', -1:.'.. : ',', '., .,:' ,,' , ',,. ,'. ""',.. '.": I I -,"" ,,'." :". :. ',.., ',' J " ".,:' ',,' ." :,<' "', '" >.' ..'. :." .". ,,~ ,. ~~-', :" :,: ",,' :." ',' , ..,... .. :',.' :. , , ;', '.... , ~-- '. I, I:: """: . , , .. .>> .' :, , "",.' ' , ,,' ".. ,....' , . ". :....,, , ' ", : . ''''::,., ,':,: ,,," ",': ".':. ,.' "': ! "., ' , ':', .",:,:': ..' , .' ..,.". , :. . ,', :f~fj;~--;,.: .:',:'.' . l '.," ,'" , '.' :,,' " ,:' :' ',':,",' " '.,' . ," , ,,: , ,',' "', ':, ',:':', ',' , :, ,,' ",,',., ",'" ", """'., " ,', '';.., .' .:,' ,: ':'.,' ',," " '. "",." :.... " ': " " , " , , , ,,', ," , ", "', ' "'.L " """" l'L j " "; .' L , .'".' , :.:', , ," .' ,'. , . ,': ..'.. , , ,:"" .' ':', ,:. ."..'.,. I' " '" I' ;, , .:," I I', .'- I ' " I . ....... " [ ! ':" , ,~, ',:" , , :;" ': "" "'i .': ;', " ,', ''',' '.., ,,,' '" ," ') . '.,: '" , .' ': ", ,:' , , " ,", ',' , , ',. ,', , ,: " ',," ," :: ,',,' '..; '.: ..,., " ,..: " . I' ", I --' '. , "",,- ',""" _I " ~ ~, J~' Mr. Scott KIlmer May 22. 1989 Page 4 The Trans~o Group Budget We propose to work on a Ume-and-mater1als basts. Our costs for providing the outlined scope cf services are esUmated at $3,500, which we suggest :,.ou establish as our budget. We have estimated our role as accurately as possible according to our pre\lmlnary discus- sion and our past e'<perlence from other project work. TIlerefore, the budget allows for only those Items ouUlned In thIS scope of services, We will assISt you In adjusting our scope and budget should changes occur; If work outside the scepe Is required. we will not proceed wlthoul your authorization. TRANSPO wl!1lnvolce you monthly. Schedule These analyses typically take frcm two to four weeks from our official authorization to pro- ceed. In order to keep costs for the study down, we propose to complete our field recog- nlzance for this project on one of our trips scheduled for the Glen Cove Transportation Study project. For pre\1mlnaJy scheduling purposes. we suggest allowing three weeks to complete the analysts and deliver a draft report followtng our field \1stt. We anticipate our field visit will take place durtng tile first week of June, followtng the pubJlc meeting for the Glen Cove study. This scl1edule Is, of course, dependent upon our receipt of manual tumtng movement counts and receipt of our contracting documents. Authorization to Proceed If the above scope of services and budget meet with your appr.>val, please Initial each page of this proposal; complete and sign the attached Agreement for Services, and return all documents to our office. In order to meet the schedule outUned. we w1ll need to receive the completed contracting documents by the first week of June. Receipt of these documents will constitute our notice to proceed. We could use Jefferson County's agreement for con- sultants, provided It Is revised to reflect the changes agreed upon In the Glen Cave agreement. Thank you again for the opportunity to provide you with a scope of services for the Anderson Lake Road development. We look fOIWard to working with you on this project. If you have any questions regarding this proposal. or If you need further Information, please call me. Sincerely, The TRAN~O ~JoI1>, Inc. ~~. C/"Tf;f". w. ToedtJI, P.E. TI7msportation Engineer LWf/mlc Attachments cc: Gary Rowe, Director, Jefferson Counly Department of Public Works .-:~tf:,.~4,._ 1',"1/-,1_ n .,~ , : , , " , '" ' ., I ,',. ',' ' F ,":' '~i t · < " !. ", :..:;" " .:' i " ..,..'.,,, , " ,:, ' r ...'.'.'.. ":', , ," ".:,,'- , '. ,.' .' " ,,' , " :': , ,',' , " " ',' , ',' , / .,',. II """,'.:,'0,':"" I D I) n ,",II :> " , _J lif;. , .. "" ., ," ': ", '." r,~~~~r}'" .,.. .'., " .. ',,: ',', , " " - I .: ':". I . ,,', ..' ".';,' I ,':, , ,,' "lI. I ,."'::":';:',' " " I:;, ,;":,-':;,,;,,,;' " .. , : :,.".,,: ,,', '., " " I: , , , :. ' :" '.. '.', ':'-',':' , , ',,0 "; :'" .. :' ',:'-;:'" ';, ' " " ' ," ' " ,',- ", ':' " ' ". "" '. , , :.... ",' ':' ,"', ','" :',,', ' '" . '. . '.,' , ,'," ",,' '.', I' ' :"'," ;, ... " , ',<,:, ' ':-"':." .." I:.->'C.)~' ',', ,: .",. , , ",,,'., .' "':""" ',: ' ;' .- " :.."; '-. '.,' ",,', ': ' ',: "" ,:"', " .'"," '.,' " ::' ',,'" ,: , " I I;, I', " " : , , ~: L .' " , ' "', ' :' , ',. r---, AGREEMENT FOR SERVICES The Transp-o Group Client's Name: Jefferson County Proposed Project Name: Anderson Lake Road TRANSPO Proposal Letter dated: Mav 22. 1989 Th1s Agreement between The TRANSPO Group. lnc. (TRANSPO) and the Client listed above for the project Incorporates the scope of services, time and budget estbnates, sta1llng, and under- standing ofTRANSPO's Involvement as stated In the TRANSPO proposal attached to and Ineer. porated herein. For this contract to remain valid. this completed agreement form and cOp'i of proposallettcr must be returned to our office within 30 days from date of proposal letter. Work Is to be performed for property legally descnbed as: (to be filled in by Client or attached hereto) .Actual owners of property and thetr addresses. as "';prosented by Client, are: (to be ruled III by Cllent) TRANSPO will perform the proposed scope of services on a time-and-mater1als basis. Esti- mated or not-te-exceed budgets are part of the agreement, but the total amount(s) billed may not reach the budgeted l1mIt. Progress reports and/or copies of Incurred direct expenses are p.-ovlded only upon request; Client agrees to pay an extr-d fee for the costs of preparation. un- less specifically included In the proposed budget proposal. The Client may make ~anges to Its project which affects the onglnal scope of services. or pub- lic agency review staff may require scoplng changes; these changes to the scope or services are accompllshed by wrttten amendment or by verbal authorization subsequently confumed In wrtUng. Wntten or verbal authorization for changes means the client accepts charges which may exceed the proposed budget and which may delny the completion ofTRANSPO's involve- ment. The p.:rson(s) authorized to amend the scope of services are to be listed here: (to be filled In by Cllent) Invoices are due and payable upon receipt by the Client algnlng the agreement, Payment Is not to be dependent upon Um1ng of construction financing. Payment may be requested upon delivery of product or TRANSPO may stop work untU payment Is current. Relalners may be re- quested from new cllents. invoices for services Include all labor and direct costs Incurred dur- Ing the previous month(s) and are maJIed the first week of the month. TRANSPO InlUates collection procedures 30 days aner non-payment for services perfonned. A llen for engineering services may be med within 90 days of completion of work wlth the appro- pi1ate county office. NoUce of Intent to rue a lien for Identified services on Involved property will be sent registered mall to all known owners or all reputed owners of said property. Cllents are responsible for costs associated with late payment, including a late payment service charge of one and one-half percent (1.5%) of the invoice amount per month from date of invoice. admin- IstraUve. direct costs and attorney's fees and costs. I hav~d, understood and agree to the terms of this Agreement. ~-Z4-~ t2. ~A-?~'-' t}eOR<te ~. BRotON cllcid's Authorized Agent N"iii\ie - PrInted :::sa.,nc I) /9"6'1 Date ' lnvolces will be sent to the addressee on the proposal!etter unless otherwise indicated here: By: ~rs(lrf'~;' UJJ ^1thOrlzed Agent 5/1&'69 . PrIncipal T&MR.110 --'~~__"""":::':"';:~';;;;;';';';:""""''''...;u~'I"__'''';:;:~~::~~~~----~-'--~-._~-------- , -I " .' , "" ': . I.... '. ..... , ::, .'" ,: ' "',' """ ' , ,."., '.. '" ' ....' ~;i~ _.J ',': ", ',':' "~I, ',' , " .',.-' " :'.:' ',', " ," ,'c,'..,: , ,,' ' ," , ; [' .'> , ' i ", I ".',," [ .' ',' :' " \,'...'.',...,.' i.: I.,' ,'.." I'. "'.c;,:, .' "'., .'<: I '. . I' " , " .' I . ',' : " ". ... .; .;il;.~S'~:\ ..' ",..,. ,..':;':'i'f;ii!: " ."" . ".,'...' ":';'<'i:" .' . . .... "",,< " " ':' ':.:, \ ,",',".', " . ,.,'" ,,' ',,' " ,"': ',", ! .'. ,..1:" '. ..' ," "',.:;:<, ,', ' , " , ,'.' , . ,:,", ': ", ;, :'.':, " , ".,,'; , ':;.:. , ".',. , ",'".'.,". " '...,. ..., , I " -.J ..'~ ,,,:',, ! -,~.~-j ~ J r', r--, ............ \ '""--- \.- - ---- - - - ..-.... - 't'" ~ ~ ~ti~ ~~ ~ ~ J, ~ -.......... '- II I I I 1/ I , ("I ~ <:. ~ ,.~"rr r!'.ro "'s. \ ~\,~,(j ,:j{~t"~{':=tJ n"~~t,( !?1.(,,~~~, ... ., 'J. JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson SIreet P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 MEMORANDUM Gary A. Rowe, P.E., Director Robert G. Nesbitt. P.E., County Engineer ill rc: n \~n ~ \II \Q) \E.~~\l~ &. Jdj 11\\ 'l" "'80 U U n "v 0 {j V 11l~1 Nf' J ~ H EI~Sc6\~t~?~"\Oil f.RS \301.,,0 Or ' TO: Board of County Commissioners /ZIP;VL-' Public Works Department ~ FROM: DATE: May 17, 1989 SUB3ECT: Purchase of New Backhoe After reviewing all submitted bids, the recommendation is to accept Case Power and Equipment's net bid total of $43,668.62. i\.... ':'{ . ",' ~ ," . RECEDVED A~ e--- 60:-(..1.....1.- Ulo'L, MAY 251989 JEFFERSON COUNTY PUBLIC WORKS DEPT. 100% Recycled Paper f., . SPECIFICATIONS FOR PROVIDING ONE (1) NEW BACKHOE FOR JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TO,mSEND, WASHINGTON NOTICE TO PLANHOLDER The office to administer~this contract is the Department of 'Public Works, P.O Box 1220 Port Townsend, WA 98368 Telephone (206) 385-9160 -"'- ;._,..",-..~..-,,,,,..,.,.------.... CALL FOR BIDS Notice is hereby givoiln that the Board of Coun'ty Commissioners of Jefferson County, State of Washington, will receive sealed bids up until the hour of .J.D','("i A.M., Monday ??1 (C~ f S ,1989, at the office of the County Commissioners, Courth se, Port Townsend, Washington, 98368, to be opened and read at thut date and time for furnishing the Jefferson County Department of Public Works with: ONE (1) NEW BACKHOE Bids shall be submitted in a~cordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where copies may be obtained. Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Treasurer of Jefferson County in the sum of 5% of ~he bid amount, to be forfeited to Jefferson County by the succe~Gful bidder if he fails to enter into a contract and f i1e an acceptable surety bond in '.;he- amount of 100% of the contract price within ten (10) days of the award. The board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most' advantageous to Jefferson County and to waive all informalities in the bidding. APPROVED THIS ,~t.('b- DAY OF 14r~() , 1989. BOARD OF JEFFERSON COUNTY COMMISSIONERS -d....,~--1' (i__ &",.,....,., u-.--<- Geo~e C. Brown, Chairman ~' " '. :e" ' : , ;.> ,,' :" ..:, " ,: ':' -:' r. ;;:, $,',:" Ji' I~", . :~' ,;', ,t-, t; :, "" " I I .: :' 'i' "', ~ 11 ',- , .- , " ii.): , ~ : ;;..,'''' i.., ..; i...... .' :, " " '. j ':,,', " e,' " ' ':', " , .' , , :: , , ,,',: .:,/r\;';,;:',:"" .':',' :-,::,;:":f,::~~:.; .".... .'.. ..' '. :' '" ,', ,":,',;, ,,', (" ",'",' '.', "',"" " " '" :', ":'", ',',:'" , .,' ,,',:, '.,: ," '," , "",:' '"'' .,' '. " ;: ':,' " '" ...... . ,,;,,1 ..'..,. ";, .' ' , ,,: ': '" ,L" ,I '. . I ',. i 1lI~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS NEW BACKHOE Bid call for Monday, 1989, for furnishing the Jefferson County Department of Public Works, Road Department, with ONE (1), BACKHOE GENERAL SPECIFICATIONS It is the intent of these specifications to describe a backhoe in sufficient detail to secure bids on comparable equipment. All parts not specifically mentioned, which are ne=CSGary to provide a complete backhoe. shall be included in the bid and shall conform in strength and quality of material and workmanship to what is usually provided to the trade in general. The backhoe shall be a standard production model by the manufacturer. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidde~ and acceptance made on the basis of the exception. BID AND PERFORMANCE BONDS: Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check, or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract. The succes~ful bidder shall also provide a performance bond in the amount at the guaranteed repurchase price guaranteeing the repurchase obligation. This bond will be submitted to the county at the time of delivery of the equipment. DELIVERY TIME Jefferson County expects prompt delivery of the 9clf p16P~11gd ~ ~ieralo.y ful~. The bidder shall indicate on the proposal the time for delivery after award of the contract. The time indicated shall be a factor in determining the successful bidder. If the actual delivery date exceeds th~t set by the successful bidder a reduction in the unit price of One Hundred and NO/lOO Dollars ($100.00) per working day for each and every day as liquidated damages and not as a penalty for forfeiture for breach of agreement to complete delivery by the successful bidder on or before the time specified in the Bid Proposal. 1 , , I I I I " II I"..' ... ,," I t'. "., I' , I.: :, " " , " , .',.", , " "',' .. "" ',:" . '.':, ' ~.,,'.! ,; .'..... ;,' ...' ,'. ',:;' : ". ;", ' ,. :' ...'." ,: .' , ",' ':',., .'. , , " '.,' ,',', " , , "':. ~: ,',I "," .',' "', I, '.'., ", ' " , , """", , ," . " , ," I':' .' : , .', :' '" ' , "I" , '~ ',: J its various componentsi i.e., engine, transmission, battery, etc. c) EXTENDED WARRANTY,PROVISIONS: If there are any extended warranties available on the unit, the same shall be listed where indicated in the "SPECIFICATIONS", along with cost of said extended warranty, and a complete description of said warranty shall be included with the bid package. d) Warranty work when posslble shall be completed in Jefferson County, parts, time and travel expenses shall be paid/borne by the successful bidder when warranty work is necessary. (NO DEVIATION FROM THIS WARRANTY REQUIREMENT SHALL BE ALLOWED. DEVIATION FROM SAID REQUIREMENT SHALL BE PEEMED SUFFICIENT CAUSE FOR REJECTING ENTIRE BID,) e) Jefferson County may avail itself of the bidder's standard warranty if more beneficial to the County. f) Warranty Repair Cost: Bidder shall supply Jefferson County with "no charge invoices" for all work performed under warranty. Each invoice shall itemize parts used and show labo:r' l:haryt;;'s. PARTS 6i SERVICE: a) Service Capability: Bidder shall have facilities, skilled personnel. equipment and parts available to completely service, maintain, overhaul and repair the equipment offered within the local area (i.e., within a radius of 100 miles, including Bellingham, Seattle, areas). Bidder shall be able to provide technical assistance in the person of a service representative within a maximum of 48 hours after a request is made to the bidder. Bidder shall be satisfactory from the standpoint of experience, reliability and demonstrated ability to manufacture equipment comparable to the size and type required by the specifications, b} Parts Availability: The vendor shall maintain an adequate stock of normal replacement parts and shall make deliveries within 2 working days when requested. c) Pricing: The manufacturer and bidder shall guarantee that parts' prices will be as low as such parts which are sold to any other user; and if, at any time, the prices are reduced or increased to the general trade, it is understood that Jefferson County shall not pay a higher price than any other user, effective with the date of such price reduction or increase to the general trade. d) Post-Pelivery Inspection: Bidder shall include in the price the cost of a post-delivery inspection service of the 3 I.~ - .....0 _ f , I. I [ I I ,., ! .. I', ',". :: ~<': ", i:" ~'".::::';~ ~. r' ~ i. ..', ~ .'. '. " ! ~ r ( t'.,. . t: ," r I . ! L f.. [' i ,.,', L f r I I I ~;': ;,i " <',,>,~iiP~' ~'~1;r~~;~1 .~ , ',.",:' . " , '" " ;", ;..,.' ,- '" ;: '',- :' , ,,', ,: ,.' ' I.~ iliiii~ iiiI!il'; !f?' I iill!!iII II~b t:. t I I',,",.',' >, (., I " ': ".. I: .' . ,:' ;: , ::,'" ..',' ., ',". :,..:...... ,;,,:,'. ,: ""::':::'" " I': '::, ,:', I. .', ;: ~.~~~::,; ~, . , .'.... ; , ,::.: ' " ", :'" ',' ":,," ',',',' , , , ' , , , ' " " ,,' ,,.,' ,', ".' , ' " , ',""'" I.' " I ,,' :-,' ",,:',',' ; .-,:' ',',c' " ,,:' , .'," ",'.' .' ,,: ''',' :, :, ,: ' '. : ",.' .',' , ",'" , :', ':' ", , "':,-:'" " , , ""."" ", 'i '; , Should the successful bidder be obstructed or delayed in completing delivery by any default. act, or omission of tho County, or by strikes, fires, acts of God, or by ,the inability tu obtain materials, equipment or labor due to Federal government restriction, then the time of completion shall be ex~ended for such periods 0.3 ma.y be agreed ul?on lh~ COi.lnty a.nd the successful bidder. Should there be insufficient time to grant such extensions prior to completion date of the contract, the County may, a~ the time of acceptance of the equipment, waive liquida~ed damages which ~ay have accrued for failure to complete the work on time, due to any of the above, after h&aring evidence as to the reasons for such delay and making a finding as to the cause of same. In tho event that the successful bidder is on strike at the time af the award of the bid, the County reserves the option to accept the first acceptable bid from a manufacturer that is not on strike. INTEN'r OF CONTRACT is to furnish to Jefferson County a ~-~ pr......p....." 9&1. uie!!'ts.'_ .. F":"'~ JSN" meeting or exceeding the stated speclfications. Bid price shall include the cos~s ot ~ha new unit, plus guaranteed scheduled maintenance costs, based on 6,000 hours or ~ vears contract time period, whichever comes first. New or used models will be considered in the award. AWARD OF BID: Award of contract by the Board of County Commissioners will be based upon the least life-cycle cost bid submitted (Total Ownership Costs' from the Bid Proposal sheet). Consideration will also be given to delivery date, parts and service facilities, analysis, and comparison of equipment specification details, and past experience with similar or related equipment. The Board of County Commissioners also reserves the right to reject any or all bids for cause and to waive any informalities. ACCEPTANCE/WARRANTY: No part or parts defective in construction or deficient in any o~ the requirements of these specifications will be considered'.as being accepted in consequence of the failure of any employee of Jefferson County to point out said defects prior to acceptance of the equipment by Bidder shall include in the bid price the following guarantees and warranties: a) The successful bidder hereby warrants that for a period of one (1) year from the date of final acceptance, he will at his own expense and without cost to the County, replace all defective parts and make any repairs that may be required or made necessary by reason of defective materials or workmanship. The County reserves the right to require actual field demonstration of the equipment purchased of up to five llU. working days before final acceptance, b) Bidders shall submit with their bids a detailed comprehensive statement of warranty for the equipment and 2 .~~---=----- ~l ' . '" ' . 1:," ',: ,;",,:,,"',;, ill , '" , ,'" j ;. .~ Iil'" IFI ~ Ji[1! ~ Ii U II e:i "'"e,:",," "'II ,,',' ,. .- "', ' ,,,,,,' , . '.' ',' ":, "".',:. [ '.:', ",.,,:"'" , " ,,' > ,; ',;" f, , . " : I I ". , " , , ," ,,' . ,::,' , , , ,.' I ,:,' ,,' :, .," ,.:", . " " " ,.', ,."'.. '",' , "" ,:. , .:, ". ,', .', ...', , ; .:., , .... , ",:: ' " '",' ,",; ,..., ,', "", , ", ",' ,"" " ," " ',', , " ,", " , '",' ",""e'''''' ,:: , '.",; , ", ", """ ,", ',,' ':', :.; '.' .,., '\', .' , I' "" \' .' -:--', ':' , " , " " "~."."':"~.'. ", ': i; ~ J I I. 11\ I',,',',.,','..,' " 'f - = I I.",'..,.,".. l' I. " . ". .''''' .: ' , ,," ", '. ;"',,, :< ", l' ,,' '. , , , , ," . ,: " , i:.,' '.-,' ',' " c; ::, ,:: , ", j;: .","'.'"',,,., ~.' c'_ ~<" -, ':',:--,-, f u I; I' , ',': ;,' ',,,,, " " ,', ' :' " , ,;".. ; ,', ,." ',", ',' '"'",, ',-, " ".' ,','" ',,' .'" " , ", '" ",:: ' , " ,', , , ...... L c..':.,...,'... - i ,"',,, :::"", ',... ...., ;, ''',,'',' '." ",', " . ',,; ,: ,,,, ",:' '~, ,/ ," ',"" .- .1 .' I'L " ' ;' '. i?~1~~ ;. , '", , "', I -'__oIl~~ equipment, approxima~ely thirty (30) days after it is placed in service. The inspection service shall include the following: (1) Check all operating systems for proper operation and adjustment. (2) Check equipmen~ visually for leaks dnd materials defects. e) The Board of County Commissioners rCGcrvcs th~ right to reject bids of bidders who cannot produce satisfactory evidence that they can furnish promptly all spare parts needed for ordinary service and repair of equjpmen~ herein specified. DEVIATION: Deviations from the following specifications will be considered to permit manufacturers to follow their standard manufacturing processe$. Such deviations will be approved, however, only at the 60Je discretion of the Board of Commissioners, and only if, in their opinion, such deviations do not adversely affect the operation, maintenance, strength, efficiency, effectiveness O~ lite of ~he item bid or any of its parts. (This allowance for deviation does NOT apply to warranty requirements as stated under Acceptancc/W~rranty section above; and bidder shall still meet or exceed all minimum specifications). All proposed deviations, with full details, shall be listed on a separate sheet, which shall be attached to the bidder's Bid Proposal. The listing of such deviations will indicate that the bid may be accepted only with such deviations. SILENCE OF THE SPECIFICATIONS: The apparent silence of the specifications as to any details, or the omission from them of a detailed description concerning any point, shall be interpreted as meaning that only the best commercial practices are to prevail and that only materials of first quality and correct type, size and design are to be used. All workmanship is to be first quality. All interpretations of the specifications shall be made on the basis of this statement. MANUFACTURER'S STATEMENT OF ORIGIN << SIGNF.D APPLICATION FOR TITLE Forms shall be delivered with the equipmen\. Delivery shall not be considered complete until both of these items have been received. EOUIPMENT TRAINING: The successful bidder agrees to provide an appropria~e training program for three (3) employees at the delivery location to assure efficient and economical performance and maintenance of the equipment when requested. 4 , ---, " ,:. I':";..,, '.. , I " '<:'... .,.,1.,.,.,' . ..,. , ,'. , . '.. .,.. , ";" ! .', ~" '.' I .' ':..... I . i"" , ',,' " ,,', " ",' .., ' " '. '. :'.:: l ".:' I (! d !I I i , ...., ..,' , , " .;. ,',',",: ! ;.:', :' '. i. " i i: i :,' .... : .,.,.., '., i '... ..,.. '." i':' i. , i ",:' '. "..,. !. ", :'" , ,," '. ,'," ," " ,':, . ' " ,', ", ' , ',' ", , ,,", ',,";, ,', ,,', ':,' :', ",' " ',' '.., " ',; , ",' " " .. , " ,', " . :', ' ,.,'.... .. " " .' ," ' ...' .. '. ,,", , "",", .. :"::: ,", '", ~.' " ',,' " " , ',,' ': ,': , . ~;"".i' '. '.. . } I...' I J .D....~llrl~u!;n:_ll1H_.._--::~~~...~~,,__= l!t'J!~~ I 5 COOPERP.TIVE PURCHASES: The Washington State Interlocal Cooperative Act, RCW 39.34, provides that other governmental agencies may purchase goods and services on this solicitation or contract in aCcordance with the terms and prices indicated therein if all parties are willing. GENERAL CONDITIONS LIFE-CYCLE COST BID "Life-Cycle Cost Bid"is a purchasing method whereby, through competitive bidding, il governmental customer can buy equipment and get guarantees that selected owning and operating costs will not .exceed specified ma;:~imum dollar amounts. A) MAXIMUM REPAIR PARTS COST: IILife-Cycle Cost Bid" consists of purchase price and one or more of the following guaranties: (See Pg. 1 following) Bidder guarantees parts costs will not exceed a specified amount over a certain period of time. With the customer keeping his own accurate, accessible, cost records, if repair costs exceed the guaranteed maximum amount, bidder ~ customer the difference. - Perform his own repair work; Customer can choose to (subject to provisions of #4 under "Guaranteed Maximum Repairs, pg. 1 ): Hire outside party to perform repair work. B) MAXIMUM SCHEDULED MAINTENANCE COSTS: pg.13-14 ) Covers costs of periodic (daily, weekly, monthly) scheduled maintenance requirements (lubrication, oil/filter, changes, etc.). Using the manufacturer's lubrication and maintenance manuals as authoritative reference, bidder guarantees periodic lubrication and maintenance costs .:ill nP-1 exceed a specified amount over a certain period of time. (See Schedule 'A' attached, C) GUARANTEED MINIMUM REPURCHASE: If a customer's records show costs exceeded guaranteed maximum, bidder ~ customer the difference. (See pg. g ) following) _.~ ~..<~._,,..".,...,,-,,,,,,,.-..._~ ~ ',,' , .' " :,' : ,'.' '"" ..,..,... '"."""',' .. " " : .... ~":" >. " }, .'... -r ,: ..,. ,.'... " .'... , " I" :.., '. '.: '-:'.' , " ,::, , , ' '" , ':' :', ; ..... , ,:,:' :;:.. ' . . .::::' ",""" '<:. '" '" ,', ' \ .. / ".,:<. l~~~t~"., ',",".' '." .:, " , :;" "'" ':,. :" ; '" ::: ",' ','.'" , .' ' :,', , ',' ", ,'; , ,,' ", " ..' L ;, " '.,,'.. . ' '..' . '.,''',.' : ,:" "; ,'C,' :", .':' , ':' :", '. ,: , ", .....,',' : .'" ':---, ' : '. ,;L:",'..' Bidder guarantees he will Iepurchase equipment at specified value at time of contract expiration. The customer is under no obligation ~o sell it back ~o the dealer. The customer can choose to: - Retain machine for future use; - Sell machine (self auction, consignment, etc.); - Sell machine back to dealer. CONDITIONS: 1) The equipment will be operated by the County in road maintenance. and other purposes for which it was designed. 2) The County will maintain the equipment in accordance with ~he manufacturer's specifications. 3) The County will keep accurate and current cost records. 4) Bidder reserves the right to examine the County's cost records on the equipment at any reasonable time. At the end of each year's operation, bidder will have 180 days to question the preceding year's repair parts and labor cost. If no action is taken by the bidder in the l80-day period, the records of that year will be considered acceptable to both parties. 5) Bidder retains the right to inspect the equipment a~ any reasonable time and make recommendations for repairs, improved maintenance, etc., which shall be complied with by the County to the best of its ability within a reasonable time -- not to exceed thirty (30) days. 6) The County will assume responsibility for all repair costs resulting from damage due to fire, windstorm, flood and rising water, lightning, and other acts of God, theft and pilferage, vandalism, accidents and operator's and mechanic's negligence. Cost of repairs due to above circumstances will not be included in guaranteed maximum repairs covered in this bid. 7) The County will assume the expense of expendable day-to-day supplies, parts and components, such as lubricating oil, filters, grease, fuel, antifreeze, cutting edges, batteries, headlights, glass, tires/undercarriage, cleaning and painting. 8) The County has the right at any time to sell, lease, loan, trade or otherwise dispose of the equipment at its discretion. Such action shall make this contract null and void. 6 "--"'-N_"I'i' ,:. ," ,; , "" , " , .... " ,'-.. '" '., "::,'." , , " " " " ",.',: .,,':';" , .....:, ,',': .... .. ','. Ii' ..'. II Ii I,.," u n g 11 I n I I I "" ....', i.., I ,: ", . . ,,,, , ,""', -'" I '.... " , :; ,':: :'. . ',.. :',', ., :' .. ..' I '.,..'.. .. ... , .,.. ...' -,. .. ..:'. . ..,.. , . ., ":':.'. ", '.', " ',".." '.,", '",',:: , .:' ',<", ,,': ,...' ,.:: ," :..' .',,'" :,:" '" ",' -. ",',': .,' ,'", , ,II:',' " '- :':': ,',:" '.-, ,:' .,': ,," , , ,.:", '.;', , ",' , " ,".. ,,', " "', " '" ;--1.' .j,.':,': , ',',.., I " " J '. '.: c:'" ,~,. ' .':" .. ", l' .,'. .IX - I I iIIlI .. " ,'- :-: . : , .." :... . if ,; , ,', " . '. . , , '. " ,. ',';, .", ',' ...... . ',,'.' , ,'.; . c' ~'-" ',,' ,c. ',' .",.. "'. .':, ,,' . , ' " " ',.', '. ..".: ',," "'., '. '" ,,',' . " :", .,. .'. ,'." '.' '" . : .: .,..., ,', ":," .'.'. ",. I' ,," ,". . ' . '.' '. .,.' ... : ,,' ,'.,':', ' ,. . .,:,' ': '.. .',', L""':'" I:' ." ", ' \ " . , GUARANTEED MAXIMUM REPAIRS 1) Bidder shall guarantee maximum total cost of repairs (parts only) for a period of 6,000 hours of operation as recorded by engine hour meter 'or five (5) years from date of delivery, whichever occurs first. Repair costs are to be paid for by Jefferson County only if, or as, incurred. Bidder will pay to the County the costs of r'epair in ~ of bid figure. 2) Bidder shall pay for all repairs (including parts and labor) to the equipment covered by warranty, and these costs shall not be included in tbe total cost of repair". 3) All repair parts are to be purchased from the Manufacturer's authorized dealer and will b~ charged against the equipment at the same price shown on dealer1s invoice. 4) Bidder will be notified by the County in advance of any contemplated repair work in excess of $1,000.00 total cost (parts and lsbor), and the details of all such work to be done. At bidder's option, ,he repairs will be done in the bidder's service department and billed to the County a~. bidder's prevailing rates. Regardless of where such repairs are performed, the cost thereof shall not exceed ,he cost estimate as stated in the bid. If the repair work is done in any shop other than the bidder's he will be notified promptly of the amount to apply as part of the guaranteed total cost of repairs. All repair C.9sts under this clause are to be come a part of the guaranteed total cost of repairs (parts Dnly). All repair CDStS (parts Dnly) will be substantiated by detailed invDices. Should the delivery Df repair parts not be made within tWD (2) normal working days to the CDunty frDm the date the order has been placed with the dealer, a daily charge of Fifty and nO/100 Dollars ($50.00) per day shall be added to the cumulative cost of repair parts for each wDrking day over two (2) that the part is not delivered. (1) On the bidder's presentation in writing on verifiable informatiDn to the County that the parts are not available to the dealer frDm his manufacturer by reaSDn of strike, natural disaster, or national emergency, the daily charge shall not be made. (2) The bidder may aVDid the penalty fDr nDn-delivery of parts by making available to the County at no cost a unit of similar size and capacity until such time as the parts are delivered. (3) Bidder is not obligated for the daily charge provided he furnishes the parts ordered on a "no charge II basis to the County. 7 , ,. " , .' " " .' . . '.:,,'." ,.. " .,,1 '",' , :,' . .',.' ,.,. , ," ',,, ':,'" .,:: ".' " .' ",' !. ': . ,:. : . '.' ..." :"'." .," ',,::. ,;:, i: n I I Itll ",:' " . .: I Ii ',' ..,'" " " " "':'"u, .', " " ' .,,', .:':, '. .u. " , , " ',:. ',','. ',: . '. .. . .." ' ,,' '.' , ':, '.' ,:< :' ..' ,",': '. . . ': ::,.. . ,. , ".',',:" , . , .. '.'. ': ", ,', '.' . ,c< " .' ,',' . '. , . . ":'i' . . I .' I,,:;', "";', "',:':"" ~ J GUARANTEED MINIMUM REPURCHASE 1) If the County elects to sell the equipment back to the bidder at the end or the repurcha"e guarantee term, or earlier, the bidder shall pay the amount guaranteed (as shown on the Bid Proposal) in cash, within thirty (30) days after written notification of the County's desire to sell the equipment and may elect to retain it or dispose of it at its own discretion. 2) In the event that the equipment, subject to the Repurchase Agreement. while in possession of the County, is either totally destroyad or partially damaged to the extent that the damage is beyond economical repair, and is considered a total loss because the cost of repair exceeds the guaranteed repurchase price, then the bidder is released from his obligation relating to the guaranteed repurchase. 3) The location of the equipment at time of guaranteed repurchase shall be the same as the original delivery location. 4) Repurchase price shall be guaranteed by a separate performance bond, per ,page 1, of the General Provisions. 8 REQUIRED MINIMUM SPECIFICATIONS FOR BACKHOE 1. ENGINE Minimum 70 H.P. Net, Diesel, minimum, Cy. 240, C.I. displacement. 35 gallon minimum fuel tank. Dry type air cleaner. 12v, H.D. Alternator and battery. Manual prime fuel pump system. 2. TRANSMISSION 4 speed, torque converter, powershift - reverser. 4 speeds in reverse, 4 speeds in forward. 3. TRAVEL SPEED o to 20 M.P.H. 4. HYDRAULIC SYSTEM Closed center, radial piston, pressure oil screen. Minimum 35 G.P.M - return oil filter. 5. LOADER OPR. SPECS Minimum 1 cu. yd. loader bucket, breakout bucket 8000 Ibs. minimum, lift 5400 Ibs. minimum. 6. BACKHOE OPERATING SPECS a) Liftinq - Minimum 4000 Ibs. b) g~ggina Force - Crowd minimum 6500 Ibs. c) Bucket Power Diq - Minimum 11,000 Ibs. d) Reach - Minimum 18' 3" from swing pit e) Operatinq Weiqht - Minimum 14000 Ibs. f) Bucket Rotation - Minimum 195 degrees 7 . TIRES M.F.W.D. - 1200 x 16.5 front 8 ply. 21L x 24.0 rear 10 ply. 9 8. ADDITIONAL EQUIPMENT IYJ e dltUl /c-q ( d) e) ou,cIt" ",<,,~/~) :>) ,71",'1 a) Mechanical front wheel drive b) Loader - multi-purpose bucket c) Extra ditch cleaning bucket for backhoe Thumb attachment, ~ street pads f) Pressurized cab w/heater/seat belts and R.O.P.S. protection ~Ive "Co rear w/y,u.ll,.,h. -c~ J)~ g) h) i) j) k) Vandal Protection locks H.D. battery Parking brake Loader bucket level indicator Gauaes for Alt., water, oil, torque convert2r temp. m) Parking brake indicator n} Driving lights, working lights, tail and brake lights, 0) Turn signals, and hazard lights p) Horn, key start switch, and fuel gauge q) Tachometer and hour meter gauges r) Differential lock s) Oil cooler for hydraulic system t) Oil cooler for torque converter v) Swivel seat, fully adjustable x) All operators and parts manuals 10 9. ~ Hydraulic appli~d w/separate pedals. Hydraulically equalized when both pedals applied - self adjusting. 10 . !!QQM Shall have a hydraulic operated extendable boom for the backhoe. 11 - BID PROPOSAL - BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON Gentlemen: The undersigned hcreby certifies that he: a) Has read and thoroughly understands the foregoing requirements and specifications; b) Agrees to the Maximum Repair Cost Agreemcnt and the Future Repurchase Agreement contained herein (pages respectively); and proposes as follows to meet or exceed said specifications for furnishing Jefferson County with One or more New Backhoe: DELIVERY DATE: 60 Days form Award of Bid MAKE &. MODEL OF UNITS QUOTED: John Deere 410C "BASIC BID: (1) Backhoe, complete as specified ....... ............ $ 61,140.00 LESS: Trade-in Eqt. #6 - 1964 Ford Backhoe (Diesel)........ $ 2,500.00 SUB-TOTAL.... .......$ 58,640.00 Wash. State Sales Tax (Fed~ exempt) (Rate:~% ;... $ 4,573.92 NET TOTAL TO JEFFERSON COUNTY (Use this total in computing "TOTAL OWNERSHIP COSTS" below.. ... ....... ...... $ 63,213.92 COMPUTE TOTAL OWNERSHIP COST: a) NET TOTAL TO JEFFERSON COUNTY ("BASIC BID" total)... $ 63,213.92 b) ADD: Guaranteed Maximum 6,000 hr/5 yr. Repair Parts Cost, per pages ("Guaranteed Maximum Repair") &. (,~'General Condi tions") of the General Provisions);.. $ See Attached Note on Se=ed Warranty. Total Guaranteed Maximum 6,000 hr./5 yr. Repurchase Price (per page "Guaranteed Minimull'. Repurchase" of the General Provisions); . ... ... ...... ........ $ 17.600.00 c) LESS: d) ADD: Estimated Maintenance Costs (from "Schedule A" attached hereto) . ...... ...... .... ........ $ 22.007.10 12 Five Percent (5%) Bid Bond attached, payable to the Jefferson County Treacurer, in form of (IX' one): _Surety Bond _Certified Check ~Cashier's Check ATTACHED: 1) Manufacturer's warranties, incl. extended warranties__ 2) Manufacturer's recommended lubrication & maintenance guide for units quoted _ 3) Complete data & specifications for the units _ 4) Attachment "A" - Scheduled Maintenance Calculation Formll THIS PROPOSAL DATED this (s-r~ day of M"':L___' 1989 FIRM NAME: Smith Tractor & Equioment Com~ ADDRESS: (mailing) 3607 - 20th Street East (location) /:;c~~;z)/~ Terrv Purdy, Sales Manaaer (Please print/type Name & Title) BY: (Authorized Rep.) PHONE: (206) 922-8718 \'> 13 ,"': ...' . .. , ,,;, ... ...... . .. , , , ,:..:', , :,~ " '" -:->'" .I, .;:;' ',., ~ : .,. >, '. : :. ..'...... " ,,' ,"" ,', '., .', , ., < ",'': ': ....,......... .... . . ", ; .." , . , ". '. ,.,' ."', , ':"" . :. .,'.'. ,<" . f .' " :. \ :.' '. , . .. '. ':. .,::>:; ':. .', .. ;,:,:::>, "........ .." '.' ..." "'.L . ':.'. .,' . I,: '" .. ,. '" , ',' ,.,'., .: , . ',' " ',' l" .,'.. ":.' , ' - , ' ) " .. ATTACHMENT "A" SCHEDULED MAINTENANCE CALCULATION FORM Jefferson County believes that scheduled maintenance is a significant part of the overall cost of operating equipment, and is therefore asking for its inclusion as part of the total cost of the unit bid. Instructions: The intent of this form is to determine the total scheduled maintenance costs that can be expected during the first 6,000 hours of ownership. Service intervals, number of grease fittings, and capacities should be taken directly from the manufacturer's lubrication and maintenance manual. Unit costs given are equal for all bidders. Although there may be a slight variance due to refill capacities, these total costs are made up of labor, overhead, lost production, gaskets, lubricant, filters and supervisory time. The comparison examines the service intervals for the various units bid and assumes that the manufacturerls r~commendations, if followed exactly. will allow the costs that are to be incurred on each unit to be calculated with reasonable accuracy. 1) GREASE FITTINGS: Total Hours Service No. of Fittings Cost per of Operations Interval x @ Each Interval x Fitting = TOTAL COST 6,000 : 10 Hrs. x 46 x SO.75 = S20.700.00 6,000 : 50 Hrs. x 7 x $0.75 = S630.00 6.000 : 100 Hrs. x none x $0.75 = S 6,000 : 200 Hrs. x none X SO.75 = $ 5,000 : 250 Hrs. x none x $0.75 = S 6,000 : 500 Hrs. x 4 x $0.75 = S36.00 6,000 :1000 Hrs. x none X $0.75 = S " TOTAL - S21. 366.00 (1 ) Determine number of fittings at each interval, insert each number as indicated (if none, write tnonel), perform calculations and total last column. 2) ENGINE OIL & FILTER: Number of gallons 2 2S x 4.04/gal. Current cost of filters Fixed Cost COST PER CHANGE. = $9 09 = $2 99 = $ = S12~ Total Hours of Operations : Service Interval x = TOTAL COST Cost per Chanqe* 14 . . ':. ".r: ',' ' --.:, .... .'. . --.- , . :t .. .:....... . ": ,I ," " '" " " " ' " . ....'....'.: , " . , . ":.":,. '':' , .. '., J I.... : I, , ! ,,' I.,..... i , , II ~..' . . , "". . ,...., i: ' " I., I." ::,. , .. ... I'" I ........ " I: ..' I <" 1 ..., ! '. . ----:---:-'.. ' , , ..'. " " . .' . " .....:.. .'. .....'.. .' , .- ", . .', , , '.. ...', '. ...., ..... . .. .... " ..,.. .'. . " .",' ,: ' . ,", .', ,'.'", ".: ,':"." '. ..' '" :., :,', .' .( :: ::.' ': ".":, _J "., ... ,\ .. I -:~ " , ',', ;. . ..,.7'" ,. .'- ..,.,... " 11' < , ".' ",' ,,:' " , . ,: ".,. ,:. , ," " . \ r' { _i; .. .' ". <:~' . ' " " .,' ,,' " , ":: ., ... . ' , ;",", . , ...... . ,. . '. '. '" ,> " , ,'.' , I: , , I . I "'" :,,- :... " , ";',. ,:. ' .' . , '" ,;,.. .' . " . : '. . I. ' ..... I, ',... ..... 1..L..... I I; . ;,:., " : '..', , .';.':~,..'~,,',: 6,000 -L~QHrs . ^ 12.08 ~ $289.92 (2) From manufacturer's maintenance manual, determine crankcase drain and refill interval. Insert this hourly number and perform the calculation to arrive at the total cost for an engine oil change. 3 ) TRANSMISSION OIL: Total Hours Service Transm. Sys. Cost per Operations : Interval x Capacity (qals. ) x Gullon = TOTAL 6,000 : JJlP9.... Hrs. x _",,;L..___ x 4.56 = ~8 From manufacturerls maintenance manual, determine transmission drain and refill interval. Insert this hourly number and perform the calculation to arrive at the total cost for a transmission oil change. 4) OTHER FLUID OR OIL CHANGES: Total Hours Service Hydraulic System Cost per of Operations : interval x Capacity (qals. ) ~: Gallon = TOTAL 6,000 : lQQ.QHrs . x 11.5 ^ $3.90 = 269.10 From the manufacturer's maintenance manual, determine the service interval for draining and filling the hydraulic system. Insert this hourly number, insert the total capacity (in gallons) and perform the calculation as indicated. TOTALS: Listed below are each of the categories just calculated. Insert the total number for each category and add the column. The total figure should be entered on the Bid Proposal form, where indicated: 1 ) 2 ) 3) 4 ) Grease Fittings: Engine Oil & Filter: Transmission Oil: Other Fluid or Oil Changes $21, 366.00 $289.92 $82.08 $ 2 6 9. UL..-.. TOTAL: $~,007,10(Enter this figure on the Bid Proposal, Pg 12, where indicated.) 15 . ., .. . ;,; .'.,..',lu:;} il , . ~ X I: I .. ....... , I i. ,. ,.'. i",. ,', I , :," ", .' , ,,' I ... , " '. I '.":,, ,', c.' '. . . , .:' .. I , .', .'. ;'. '. " , ' ;':. ' :', :.: ..' .':. ." ". . .',' '.. . ". .: .'. ,,' , '. ,I n l~ I It I ; In Lieu of a maximum repair cost guarantee Smith Tractor >Iill provide a 5 year 6000 hour secure warranty program that will cover all repairs for parts and labor subject to a $200.00 deductible and exclusive of wear parts. .-r2 L1FE&CASUALTY PERFORMANCE AND PAYMENT BOND THE lUNA CASUALTY AND SURETY COMPANY Hartford, Conni:lctlcut 06115 BOND NO. 61S3]221 ReA 268 Q 89 KNOW ALL MEN BY THESE PRESENTS. THAT, J. I. C^SE COMPANY DH^ C^SE POHER & EQUIPME:-JT LTD., ^UflURN, H^ {hereinafter called the Principall,as Principal, and THE A.:TNA CASUALTY AND SURETY COMPANY, a corporation organized and existing under the laws of the State of Connecticut with its princip~l office in the City of Hartford. Connecticut (hereinafter called the Surety), as S'Jrew. are held and firmly bound unto JEFFERSON COUNTY DEP^RTNENT OF PUBLIC \WIUZS (hereinafter called t~~I~fw~~9r:r~~~rtRafl ~~r~~lrff2~60ftrnish labor or material directly fa the Principal for use in the prosecu- tion of the work hereinafter named, in the just and full sum of TWENTY-S EVEN 'l1fOUSA-"JD FIVE HUNDRED DOLLARS lIND 00/100 ($27,500.00) Oollars. to the payment of which sum, well and truly to be made, the said Principal and Surety bind themselves, and their respective heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has entered into a certain written contract with the Owner, dated the 15ch Hay .1989 . to THE 15th D^Y OF Mi\Y 1994 which contract is hereby referred to and rTlDde a part hereof as fully and to the same extent as if copied at length hp-rein. NOW. THEREFORE. THE CONDITION OF THIS OBLIGATION IS SUCH. that If the said Principal shall fully indemnify the Owner from and against any failure on his part faithfully to perform the obligations imposed upon him under the terms of said contract free clOd clear of all liens arising out of claims for labor and material entering into the work, and if the said Principal shall pay all persons who shall have furnished labor or material directly to the Principal tor use in the prosecution of the aforesaid work, each of which said persons shall have a direct right: of action on this instrument in his own name and for his own benefit, subject, however, to the Owner's priority, than this obligation to be void, otherwise to remain in full force and effect. PROVIDED, HOWEVER, that no action, suit or proceeding shall be had or maintained against the Surety on this instrument unless the same be brought or instituted and process served upon the Surety within two years after completion of the work mentioned in said contract, whether such work be completed by the Principal, Surety or Owner; but if there is any main- enance periOd provided in the contract for which said Surety is liable, an action for maintenance may be brought witt,in two years from the expiration of the maintenance period, but not afterwards. IN WITNESS \NHEREOF. the said Principal and Surety have signed and sealed this instrument thIS 22nd Hay . 19 89 . .J. I", C^SE CONI'ANY DB^ /'--r..^~f." Pot.7F.R In F-f)IITP'f\.-IFN'l' (SEAL) /uI( . ) ,;;. ! C',!! ih c" v;' -{ ........'1 / j-~,,-t>...<.,./t-Il5tALl / . . (SEAL) THE ~TNA CASUALTY ANO SURETY COMPANY By \~(.........Qd \'2:, 'J).~~ AttorneY-ln.Fact day of day of ~"i~ UFE &.CASUAI..TY lliE A:TNA CASUAL TV AND SURC:TY COMPANY Hartford. Connecticut 06115 POWER OF ATTORNEY AND CERTIfiCATE OF AUTHORITY OF ATTORNEYISI,IN.FACT KNOW All. MEN DYTHESE PRESENTS, TIiATTHE AITNA CASUAL TV AND SURE1"1' COMf'ANY, . CQrporation duly orllinlZelJ under Iho 1.....5 OllhG Stalll of Conn~iCl.ll. and having i'lI princlpal offico In tho City 01 Hanford. Counry 01 HamouI. SUits of Con,'1c~lcUI. natll mild!!, conStltuled .fld .ppointud, and dOll. by thnll prc""nUI makll. con&lllulo and appoint Kona Id B. Thumpson - - of Portland OrcJ'on "Ita UUIIIlnd la....iuIA"ornlty(ll.in.Fa~. with lull powar,lInd lulhollf'V n",,"oy ,onlc"." to &1,", a...ecula God acknowllld~e. Ii' inv plac. wIthin \tIv Unitlid SUI h.', ct, i! !h~ '-:;I!')....H'l:J Un" l:l.a filled in, ....If\i(. In" oIlU tr,lI(' C:lI~lliln;tGC: . thlll following lnatrumll,..tta): !:V hl;lh~r lOolD ;!gnlll:Jr. Dnd lIId. Iny and III bonds. recQ~f\lune.a. contrlclli otlndllmniry, dnd elhlH writing_ oblig"o/y in tnll "iltur. oj.. bond, rDcogni.rllnc.. 01 culUJiuan.1 ul1lJor1aldnv, and .ny and all conunlllnddont Ihor'IO on behal f of J. 1. Cage CumpallY and wholly owned subsidiaries of Tcnneco~ Inc. ~ where the amount does not exceed ONE KlLLION ($l~OOO~OOO.OO) DOLI.AR..<; - and to bind THE .ETNA CASUALT"1' AND SURETY COMPANY. lhereby I' fl,llly and 10 the ..me IIJIltenl a. I' In. 101m I w.r. signlld 0'1' In... ouly luUlorilod oHlc:.r. of mE iETUA CASUALTY ANO SURElY COMPANY. Ind all 1110 acta ot uld Allorneyl_Hn-faa, pUfl:ullnt to the .utnorl~ fltr.in gi."en, 1r0 herot,. rlltlfhltl And contiflttod. Thl. appeinunonll. made und.r and by lulhority ot Iha loll owing Standing Relolullons of s.aid Comp.ny whiUl P...solulions ilt. now in lull rorco and .Hect: VOTED: Thai each efthe feUowing oHlcera: Chalrmln, Vleo Chalrman. Praidont,Any EucutlvD 'Jice Presidont, Any Senior Vi,o Prltlldlllnt,AAy Vice Presldant,AslyAu;latanl Vlc.ePriMldanl,Any Secretary, Ally Aul5tant Sec:rauuy,may flom time to lima appoint R..~idllnl Viee PrllSidllnl~, Aa5idllnl ~15tNlt SocrOu.rflltl,Anorn""..ln.F.d, .ndAgantl to ad tOl .nd on bohlllfoftheO:lmp.ny and may givo any sul;h liPpointee such .:!utt.otily iU hi$ conlllcala of llulhority may pteKtlbe Ie lign with tho Company'. nama and ...1 with the Com[lany'I seal bondl. rllCognizancllS, canlracu ot Inuamnity,lInd om.r writinQ' obllgill!ery In thl naturoof e bond, tllCOQnizance, or candltlonal undenakJng. end anv of said olTlcars or U'la 20.ro 0' DlroQol'I may at any time remove Iny IUch appointee and r.....oke tha power Ind .uthorlty given him. VOTED: Th..l ~rfbond. tllCOijnlunCl, =ntracto' Indemnity, orwritlng obligatory In the nGlura 0' a bond, recagnizlnca, llf condition!lll,lndllnill.in~ shall be .".lid and binding upon the Cl:Imp'ny when lei Ilgnod by ttl. Ch.lrm:m, the VIce Chairm.n, the Pre.idont. an exocullv" Vlco Prnl"::ent. a Senior V/CII Pr..ident, I Vice Pre.ldent, In AI.I.Tanl Vice Pn.ldent or by II Ruldllnl Vlco Prllld.nl, pUButnlto thl power prlllcslb.d in tnl coninCllloot authority of Mien Rofldoanl Vlco Prnldant. .nd duly .nuted Ind ...1.0 with theComplny'llul by a 5eerataryor AuilOimt SeC:llt./y 01 by e Re.ldant AuI.tlnl SltCfeury. pUf1Iu.nllO the powlr prNCrlbed In thl cartltlcat. of al,lthority 01 .uen Rli.ldenl AI,iltanl Secrell"'; or j bl duly ..ecut." (under la.l,If requlrla) by on. 01 more Anom......ln-F.d purs.uonl to the POWlt pr"-cribed in hit or Ihell c,nllic:lle or cott.lr.~Ut ot IUthOrity. Thl. Power of Anomey .nd Certlncatb of Authority l.slgnod :rind ..aleel by facsimile unOlWf and by al,lthor;ty of 11'10 follc..!ng Slanoing Resolution vOled by tM Board of Diro~ors 0' THE AITNA CASUALTY AIJD SURETY COMPANY .....hich ABloluuon is now in full loreo .:rnd uttlld: VOTED: Thai the Ilgn.tur. 0' ..ch of thCl following office,,: Chalrm_n. Vice Olalrm.r., Pralldonl, Any Ell:CIel.Itiva Vice Presidanl, Any S.nior Vice Presldanl,AslyVlce Preliaenl,Any AIIi.tanl Vice Preaid.nl.Asly Sac:l'etary,Any AuI.lanISec:tallu'V, and lhesul 01 tha Company may t1e.tfixlld bv tacslmile 10 .ny POWIt of attolnay or to any cenltlcato ralallng t.~:~C!O appolndnQ Residanl Vice Presidantl. Rasidant Anislant Secrcnarilll or Anornlya-in-Faa forpurposat only of executing and auasdng bends and undanaJdngaand olhorwritingl obligatory in the natura theraof. oiInd any such power ef anornllY orc.ertlficata baaring auen facslmila signature arfacsimila aul shall be valid .nd binding upon tha Company .and Iny luen pawer so executed and canitlad by 'l,Il;h facsImile 5ignillUro and facsimilo soal shell be valid and binding upon UlIt Company in the fulUra with ralSpect to any bend or undenaklng 10 whll;h il ia i1nached. IN WITNESS WHEREOF, 'THE AITNA CASUALlY ANO SURETY COMPANY hIS Cl!ut&d this Instrumenlle bl ,igned by ilS Assis tact da~!Fe pre~;ent ,19 88 ,and its corporala SOil to ba herelO affind this l2t.h ",=":;:" ~ i(".=..'~" U5l'V AN 3URFTY COMPANY . .;-.-",/' 11" ((. ~HlfL-- ,J l!ph . Kiernan Assistant Vlel! President S181. of Connactlcut I ...Hantord Caunly of Hartford Onthll 12th clay at May ,19 88 ,bototemepef1lonllllvClme .JOSEPH P. KIERNAN . ta m. known. who. being by m. duly sworn, dId depo.a Ind uy: that he/dla I. Assist.lnt VtCl! Prl!sident ot THe AITNA CASUALTY AND SURETY COMPANY, the corporation dll.lcribed in and which executad tha a/;lova initrumer.t; that ha/sho knOWI thll se.1 at tald carpor.lion: that tho tell affixed to tho laid Instrumonllaauch c.urporale leal; and that ha/she axecuted the ,aid insul,Iment on bah..lf of lha corporalion by authority of hla/hlt office undar the Standing AOlolutJon. tharaof. C;;;~7:>"J .~ ~~"':.'. "'.~'" ~::-,~:":"~~ ~" t'2. .z:;::;?__, (1..,.~ M'f'comml n..ll'r.'Mor~'PuOIiC Ceorgl! A. Perry, Jr. CERTIFICATE ~::t: ~7~~~~ge:I~~I. DO SH~~~:i~:lTIN lhlltth. foregoing Bnd :~:::'~:P~~;:,sA~~;~y~~~ ~~~~;~f~~~tl~'~i'~ ~~::i~~~~~~~t~~~c~t ;~~ ha'nol beenr.lloked: IInd furthetlnore. !hlll Ihe StandIng Rlllclullonl o'the Doaraot DireCIOrt," .01 fonh In the Caf1llic;lteof Authority. ara now In ferca. 510'" .n. 5..,,,, " th. HO~;90111" of 'h. Comp.ny. In ;~:~.nfo,'. 51010 ~. -,.j) .IS.192l-ElIMI:J.19 ..:::........:... dlyof PAINTED IN U,S.A. - BID PROPOSAL - BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON Gentlemen: The undersigned hereby certifies that he: a) Has read and thoroughly understands the foregoing requirements and specifications; b} Agrees to the Maximum Repair Cost Agreement and the Future Repurchase Agreement contained herein (pages respectively); and proposes as follows to meat or exceed said specifications for furnishing Jefferson County with One or more New Backhoe: DELIVERY DATE: 60 days ARO MAKE & MODEL OF UNITS QUOTED: CAGE SUOk Cab, 4 wheel drive, extendahoe, 4-1 bucket, hydraulic thumb. -BASIC BID: (1) Backhoe, complete as specified ....... ..... ....... $42,ll5.00 LESS: Trade-in Eqt. #6 - 1964 Ford Backhoe (Diesel). ....... $ 1,700.00 SUB-TOTAL...........$ 40,415.00 Wash. State Sales Tax (Fed. exempt) (Rate:~% .... $ 3,273.62 NET TOTAL TO JEFFERSON COUNTY (Use this total in computin~ "TOTAL OWNERSHIP COSTS" below.................. $ ,~6B. 62 1Y?':!. t;88,6L COMPUTE TOTAL OWNERSHIP COST: ~ ~J ~II. '7'2 a) NET TOTAL TO JEFFERSON COUNTY ("BASIC BID" total)... $~8. ~2 b) ADD: Guaranteed Maximum 6,000 hr/5 yr. Repair Parts Cost, per pages ("Guaranteed Maximum Repair") 0< ("General Conditions") of the General Provisions);.. $ 1750.00 c) LESS: Total Guaranteed Maximum 6,000 hr./5 yr. Repurchase Price (per page "Guaranteed Minimum Repurchase" of the General Provisions); ........... .......... $ 27,500.00- d) ADD: Estimated Maintenance Costs (from "Schedule An attached hereto) .. .......... ............. $ 5,493.36 12 Five Percent (5%) Bid Bond attached, payable to the Jefferson County Treasurer, in form of ('x' one): _lili-Surety Bond ____Certified Check ____cashier's Check ATTACHED: 1) Manufacturer's warranties, incl. extended warranties~ 2) Manufacturer's recommended lubrication ~ maintenance guide for units quoted Yaa- 3) Complete data & specifications for the units ~ 4) Attachment "A" - Scheduled Maintenance Calculation Form" THIS PROPOSAL DATED this 11th day of May --.---' 1989 FIRM NAME: Case Power & Equipment BY: 2702 W. Valley Hwy. No. Auburn, WA ~ /-;;~, ~-;~ ~ --"~ Don Grant, Sales REpresentative (Please print/type Name & Title) (206) 735-2702 ADDRESS: (mailing) (location) (Authorized Rep.) PHONE: * 82" long lip general purpose bucket I.L.O. 4-in-l, bucket deduct $1,500.00 $3,400.00 Hydraulic thumb deduct EXCEPTION: 1. 4. 67 HP 239 CI 25 Gal. fuel 33 gal. per minute, front mtd. positive displacement gear type pump. 180 degree 17.5L X 24 10 ply 6f. 7. 13 ATTACHMENT "A" SCHEDULED MAINTENANCE CALCULATION FORM Jefferson County believes that scheduled maintenance is a significant part of the overall cost of operating equipment. and is therefore asking for its iuclusion as part of the total cost of the unit bid. Instructions: The intent of this form is to determine the total scheduled maintenance costs that can be expected during the first 6,000 hours or ownership. Service intervals, number of grease fittings, and capacities should be taken directly from the manufacturer's lubrication and maintenance manual. Unit costs given are equal for all bidders. Although there may be a slight variance due to refill capacities, these total costs are made up of labor, overhead, lost production, gaskets, lubricant, filters and supervisory time. The comparison examines the service intervals for the various units bid and assumes that the manufacturer's recommendations, if followed exactly, will allow the costs that are to be incurred on each unit to be calculated with reasonable accuracy. 1) GREASE FITTINGS: Total Hours of Operations Service No. of Fittings Interval x @ Each Interval Cost per x Fitting ; TOTAL COST 6,000 10 Hrs. x (6 x $0.75 $ (6 6,000 50 Hrs. x 47 x $0.75 $ 4, 23i1.lJO 6.000 100 Hrs. x 6 x $0.75 $ 270.00 6,000 200 Hrs. x (6 x $0.75 $ 0 6,000 250 Hrs. x (6 x $0.75 $ 0 6,000 500 Hrs. x 6 x $0.75 $ 54.00 6,000 : 1000 Hrs. x (6 x $0,75 $ 0 TOTAL $ 4,554.00 (1 ) Determine number of fittings at each interval, insert each number as indicated (if none, write 'none'), perform calculations and total last column. 2) ENGINE OIL & FILTER: Number of gallons x 4.04/gal. Current cost of filters Fixed Cost COST PER CHANGEc $ 12.l2 $ 3.29 $ 15.41 $ 15.41- Total Hours of Operations Service Interval x Cost per Chanqe* TOTAL COST 14 - c.~, ,-;..~,.."~.' """-r;... 6,000 ~~.Q..Hrs . x ,..15"",,41 _ c - v 3.9,9&9 (2) From manufacturer's maintenance manual, determine crankcase dr~in and refill interval. Insert this hourly number and perform the calculation to arrive at the total cost for an engine oil change. 3) TRANSMISSION OIL: Total Hours Oper~ Service Interval x Transm. Sys. Cost per Capacity (qals.) x Gallon TOTAL 6,000 J.O.OQ,Hrs. x _".Lg<!1,~... x 4.56 ..5..Ln From manufacturer's hlaintenance manual, determine transmission drain and refill interval. Insert this hourly number and perform the calculation to arrive at the total cost for a transmiasion oil change. 4) OTHER FLUID OR OIL CHANGES: 'rotal Houra of Operations Service Hydraulic System interval x Capacity (qals.) Cost per x Gallon = TOTAL 6,000 1000 Hrs. x 22 Qa1s. x $3.90 =514.80 From ~he manufacturer's maintenance manu~l, determine the Gcrvicc interval for draining and filling the hydraulic system. Insert this hourly number, insert the total capacity (in gallons) and perform the calculation as indicated. TOTALS: Listed below are each of the categories just calculated. Insert the total number for each category and add the column. The total figure should be entered on the Bid Proposal form, where indicated: 1 } 2 ) 3) 4 ) Grease Fittings: Engine Oil & Filter: Transmission Oil: Other Fluid or Oil Changes $4,554.00 $ 369.84 $ 54.72 $ 514.80 TCTAI. : $~~ (Enter this figure on the Bid Proposal, Pg 12, .,here indicated. ) 15 . -\ - .. ~ SPECIFICATIONS POR PROVIDING ONE (1) NEW BACKHOE :FOR 3EFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON '., " NOTICE TO PLANHOLDER The office to administer: this contract is the Department of ~ublic Works, 1'.0 Box 1220 Port Tc~~send, WA 98368 Telephone (206) 385-9160 ,;:r/:,';, ., Irr: .:'~~:< '-, ',',,", '" '. '-- ,," ~-"- .- ".."",.,..",,-,,,,-:,":,,,,,, ,I', -" -', i:;', ';'", '.',.~ ..". , _. <;.. -'''',-'-''-<--'".-,'," ,', ,,,',',,-"-,,':):.'<' ':~, -,,,'::_^, ~_ _:i.:t:t:-::,:;';';~L;:'~:Y;:\ , " , "~':": ";' .f , , ',,' >". Ii, .' , i', ' . .' ., . iT " , ; '/;:,;{:(;};'i, < ..',...,.,' ~ ;;~;!',\:;: ,~".".. .,'.. : ' .,' ..', , " ," .' ',:' " ,j . ' ,', , ; ",':.i" ".:;,::" ,. . :,:.:; '..,i.;:; ; "'...:,, , ' ;. ,,' , , iT (I .' .," ,.,.' .'... (~! ". ',". '" :,.""......, '". .. , .-' ,'..' .' . '. . > >'::' .. " I,." I ' :. -. L'. , " I , .' ".,' .' .- ~,"..'...', ".' . ~ ..,1..'. " I ",..'.'..." .',.,,' . . ,: ' ;,,,,, " , .c -:; ,;~~Y>j::~X,,; , ,,', ' - -......: 9. BRAKES Hydraulic applied w/ocp~r~tc pCdDlb. liydrau11cal1y equalized when both pcd~lG applied - uclf Ddjuotlng. 10. BOOM Shall have a hydraulic opcrated extcndablc boom tor the backhoe. "':, >J;;:: , : ' ".' " ...,.:',.. 11 '".. " ,'.,. .'.... '.. ':". , ".' , .,' ,.... ". .', ." . :,. . . . '''" ',,, . , . '., .. . :. .,: .'. ..:, " .. ,'. " . ..' , ". " '. ,. . ,..,' """:~i. , ,,":'~:,h,;!;;::i' '.., . ,., '.' , . '.. .~. :"':'''':'~~)~~l:' < ",...., .'., .' ,',' ., '':''',.. ", , " "',,' ." .', . '. ,.0'" ',', ',,;':. , "':" .', .', " '"" '," ". .' ',: ,', .. " .. , " ., , ", .,' : ',': >: , . .::'. '" " ' ',". ": ",: ",,' . ," ": ',,', ::, ." ,', , , '.. . :':"'>;;'. .; "', " ',' "'," .,,;'; ,', ",:'.,".:. " ".../ ' " ,,:,,",',;". ',' ::", ","', ,." . '...... ,.', . "::" , ,:.., '''. ",."" . .', :' . ':,:.. , . '.'., ',':, , . '.: ,', " .'.',', ' .." "'. . " '::, '.' ";::, .,' '.. ,. "~""'."J I" '..0, " ...J ',.' ,. 'j . ~~: ~ .I , .'. .' ;" , ':"" '. . . "'::," .' ," ,:- (AU fOR BID5 Notice is heroby given Illof the lioard of County Commission"rs of Jefferson County I State of Woshington, will receive sealed bids up until the hour of 10:30 a,m., Monday, May 15, 1989, at the' office of the County Commiuioners, Courthouse, Port Towmend, W<;uhington, 983611, to be opened and reod at that d"te and time for furnishing the' Jefferson Couniy Department of Public Works with: One (1) small, wide track tractor Bids shall be submitted in accordance with the pIons and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where ~opies may ba obtained. ElJch bid shall be accompanied by u surety bond, postal money order, cosh, cashien check or certified check payable to the' Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into o.contract. The board of. County Commissioners reserves the right to reject ony and 011 bids, end to eccepl the bid deem~ ed ,mQst edventugeous to Jefferson County end to waive all informalities in the bidding. ~~c~~ved Ihi,' 24th day 01 April, BOARD OF JEFFERSON COUNTY COMMISSIONERS George C. Brown, Chairmen , 17525,10 L_ L Affidavit of Publication 5TATf Of WA5HINGION) COUNT':' Of JEf~UI~UN) fRANI' W GARREO. l,,;m'9 ~WO'f1. Hlf~ f,,, I~ Ih.. puc,I.\r.<t' "I Ih" f'(,rl TQ""rI\l:!rld/Jefhll~vn C'lUMy lead"" Q ....,,,,i, rltlWl.pUJlllr ,...f,i(h t".ll bt>un t'~lobl.~ht>d, pub1i\h..d In Ine (n91o\>" lon9\.oo9" and (i,u.loled (onrl/'luou\l., a~ <l ...."I~df nt>w~pop'" orl I/-... In""n of Port Towrllund, In \<,l;d Counr)' ond 51011'. 'JrH:I fe, 9""..rol ,.;r((;I(II"-", orl \"ir! r!,>unlr ff)' "''''oJ II,0n I;' (6) ..,,,,,,,In pfior 10 'htl JOltl ollhll I"~I publ,tor'Qn of Ihtl r~ol".. h..r"'t> 01. lutht>d, and that Ihe loid POri Town\undIJt!fft!f\on Counrf leadcf wa\ on the 27th dOt of J\lntl I?~ 1, opp,o."d a~ a I"gol nt!w1paper bt rhl! 5UP'HlQI (ourl 01 HlId Juflt!f1on Countt, and that annc.<cd i~ tlue ccp,' c..1 rhl! Call for Bids one small wide track tractor os it appeafcd in the ftlgulor arid "nlllll i~WOl al,old pOpt!f ita.11 ond not in (I wpplemenl Ih"rOlot lor 0 pt!riod 01 tyvO _ . . .(\)nlll(uli~e wee~l, bt!ginrlillQ on Ihe ,:lr,cL dOt oL ~.?lY_ _ , 19 ~~ and ending on the.!.g.!=.!:\iot of,. ."~.~.Y ___..~_ 1 Q. ..~ ,~_., , ond 'hol wid newspoper W01 regulorly d!$lribuled ro ih lub~(rlben during 011 of 'hi, period, Thor Ihe lull omounl 01 s.6_0._,5,O_____ho$ been poid in lull, at pef (olumn in(?jO(h inserrion. ~{'Ut~. Sub,uibed ond bl'fortl nH! rh;~._.~g_~Jfuy of Hay, ,198_9 ~_d~x?d /f NnlartPubl;rin~ ""al~,m~ro", ft,~idlng or Hodloc~. ~ \ \'""".\:-,;_..:;..~,./ ,.......,/~~.Y:.w:..;. '. .&~~~!f.';~ r(}~'(~$:':>"~"'. l" r JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P,G, 80x 1220 Port Townsend, WA 98368 (206) 385,9160 MEMORANDUM G.,ry A Rov.e, P.E., D/ff:ctor ~ Robert G. Nesb"'. PE, ~~rit.~~e~ ~ \~ ~ \W \Ii t;\p..'{ \ G "\9'2,'0, ~GU\{i" lEH\CRSOH \\"qO\'1ERS " Gr C()\i\\" ,,~ \,_O~Rv TO: Board of County Commissioners FROM: Public Works Department I'IIJ-i- DATE: May 17, 1989 SUBJECT: PurchaGe of Small, Wide Track Tractor After reviewing all bids the recommcndation is to accept N.. C. Machinery Company's net bid of $44,885.28 for the D4C. The reason for not accepting the D3B at $34,075.28 is that it does not meet the minimum specification and thcre is only a 50% parts and labor warranty for 60 days. The new D4C would have a 100% 12 month warranty. al"", ;::It-tvt-;te-- ~ ~,t<-t:."-'?c RECEIVED MAY 2 5 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT. 100% Recycled Paper ~ SPECIFICATIONS FOR PROVIDING ONE (1) SMALL, WIDE TRACK TRACTOR NEW OR USED, LOW HOURS WITH A WARRANTY IN TRADE FOR D-7F CAT OWNED BY JEFFERSON COUNTY FOR JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO PLANHOLDER The office to adminiGter this contract is the Dopartment of Public Works, P.O Box 1220 Port Townsend, WA 98368 Telephone (206) 385-~160 r;.. ';:' ,'0; ,.,' : ,':.. .'... '.' ", """, ''', ' ,'.' '."".", ,;: , '. " . . . " , . :' , :: : :. ',' ' ""',, '.. I II..'.'.....:.'.......,.:' 1-.' ~", I~; ........'..'....:',.'.. J .b, :'. I..,~....:.. ,. ; ," ", " '.' ",' ':, ",', .. ..:. .: '. :"., ',: " ,.: , " , , " ' ': ..'~'."."., ' " ,'.' , ",,' :' , '. . ..'; ..'." ',,: ", Ic " . , i' 1\ .. i ';" '. """ .".'''' , " , , ,'" : , , . ' :,, ',..' : :':?~;:n;:~"r:' ,............. ,'.e."';.',, '.' . ,'" , ,I'. < ,"', .:.,' "':"'. ~: ,,' ", '. .' j , '., "." , '!' , .: ' ,'..' ,','. , "" , ;",' " .'., . ..... ',' , . " . 11J' ..' \ , ~ioM~ /.1-.1,/ CAT.L FOR BIDS Notice is hereby given that the Board of County Commissioners of Jefferson County, State of Washington, will receive sealed bids up until the hour of ~ A.M., Monday -'22J'~"(a I c:; 1989, at the of~ice of the Countv Commissioners, Courth use, Port Townsend, Washington, 98368. to be opened and read at that ,date and time for furnishing the Jefferson County Department of Public Works with: ONE (1) SMALL, WIDE TRACK TRACTOR Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, whero copies may be obtained. Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract. The board of County Commissioners reserves the right to reject any and all hids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. APPROVED 'X'HIS a'/~ ,x1:.. DAY OF , 1989. /l.fJl,; 0 BOARD OF JEFFERSON COUNTY COMMISSIONERS /4~~~-.{:-- (lj ,6".."", ~~ Ge ge C. Brown, Chairman ,......-:-~-,. . . . ,.-:-j:~. . '., '..' . - . ..:, '. .,'., , '."': ,: .',':..' .'... :",,'. ... .'.' ". .1 11 J~ II I f\ I II D>! .: ',' , , ,', .'. .': " I.'::',:' '.' : ,', '" ..,.. ,: ":", ," ': ' :, ' .... :;., . :', , . ':' " ','" .' . . . ..' , '.. " ' ': I,' " . "',,', . " '.. .';', I" ... I '.'" " ',':' , " , ' '.., ',," , ''':':', ":',,.:'''' ,:, : 1 : , ,,,.,," ;,. , ,'I,,' ~:;, J,_ ," "." ," JE:FFERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR ONE (1), SMALL, WIDE TRACK TRACTOR Bid call for Monday,________, 1989, for furnishing the Jefferson County Deportment of Public Works, Road Deportment, with one (1), Small, Wide Track Tractor It is the intent of tllcse specifications to dCGcribe Q small, wide track tractor in sufficient detail to secure bids on comparoble equipment. All ports not specifically mentioned, which are necessary to provide a complete small, wide track tractor, shall be included in the bid and shall conform in Gtrength and quality of material and workmanship to wnat is usually provided to the trade in general. The small, wide trock tractor sholl be 0 standard production model by the manufacturer. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been spccificully cited by the bidder and acceptance made on the basis of the exception. Eoch bid shall be accompanied by a surety bond, postal money order, cash, coshiers check, or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract. The successful bidder shall also provide a performance bond in the amount at the guaranteed repurChase price guaranteeing the repurchase obligation. GENERAL SPECIFICATIONS BID AND PERFORMANCE BONDS: DELIVERY TIME This bond will be submitted to the county ot the time of delivery of the equipment. s.....//-w..eA n.u,k JefferGon County expects prompt delivery of the~lf-=prop~ ~~~~~. The bidder shall indicate on the proposal the time for delivery after award of the controct. The time indica,ed shall be a factor in determining the successful bidder. If the actual delivery date exceeds thot set by the successful bidder a rcduction in the unit pricc of One Hundred and NO/lOO Dollars ($100.00) per working day for each and evcry day aG liquidated damages and not aG a penalty for forfeiture for breach of \ :' ,..::,,' .' '" " ,. :,.... . '"", " ',' "" .',:....,., .'" .. " . :. .' ',' ..: '.'" " ': "', ' · ';il~ ""," ; ." I ...,,'..! I "'.' [!; ;, .: t;" r !I '" ': c,' " ' ,. ,:...., , , ." , }" ..... ". ::. .... . ", . " , " ':, , , " .' '''''', .', ,,': ", ...... ."". ; ."... "..' ':.:, . " ''',''." i' ," .:: :. '..',' ":"" ' ....L: , "', , :' :,'," '. . " '.' " . :' ...: , '." , " :'C", 'l' · ..' .' " ' , , . ; ; " , " '" ., ",'.' , , . , , agreement to COlllplete del ivory by the successful bidder on or before the time specified in the Bid Proposal" Should the successful bidder be obstructed or delayed in completing deJ.ivery by ~ny default, act, or omission of the County, or by strikc3, fires, acts of God, or by the inability to obtain materials, equipment or labor due to Federal government restriction, then the time of completion shall be extended for such periods as may be agreed upon the County and the Guccessful bidder. Should there be insufficient time to grant such extensions prior to completion date of the contract, the County may, at the time of acceptance of the equipment, waive liquidated damages "hich may have accrued for failure to complete the 'IOrk on time, due to any of the above, after hearing evidence as to the reasons for such delay and making a finding as to the cause of same. In the event that the successful bidder is on strike at the t~me of the award of the bid, the County reserves the option to accept the first acceptable bid from a manufacturer that is not on strike. S...,,//.w/h r",,,'/( INTENT OF CONTRACT is to furnish to Jef ferson County a ~.. -r;,.".,;I...__ p'''BI'e-i'h''.. ~::'.a"ory-roller meeting or exceeding the stated specifications. Bid price shall include the costs of the new unit, plus guaranteed scheduled maintenance costs, based on 6,000 ~ or ~ years contract time period, whichever comes first. Naw or used models will be considered in the award. AWARD OF BID: Award of contract by the Board of County Commissioners will be based upon the least life-cycle cost bid submitted (Total Ownership Costsl from the Bid Proposal sheet). Consideration will also be given to delivery d~~e, parts and service facilities, analysis, and comparison of equipment specification details, and past experience with similar or related equipment. The Board of County Commissioners also re3crves the right to reject any or ~ll bids for cause and to waive any informalities. ACCEPTANCE/WARRANTY: No part or parts defcctive in construction or deficient in any of the requirements of thcGe specifications will be considered ~s beiug ~ccepted in consequence of the failure of any employee of Jefferson County to point out said defects prior to acceptance of thc equipment by Bidder shall include in the bid price the following guarantees and warranties: a) The successful biddcr hereby warrants that for a period of one (1) year from the date of final acceptance, he will at his own expense and without cost to the County, replacc all defective parts and make any repairs that may be requircd or made neceGsary by reason of defective materials or workmanship. The County reserves the right to require 2 - , , """ ~ ':,' .' ,," 'J' . " " , .1 .1 " .~' . . " . ',' ,,' : ,,',,,. 1 ,,.' ,.'.:', ". .'... .' "c '.'.. '. '. , , "':, ':. , , .. , '''.,' . .~ .,.,. , ..' , ..,: , .' .. ,:'. ..... :: ': .<' ; . : "'" :......: , '''. " 'i , ' .', :". '.' :'::i' "',, ',:, I, ;. , '. ',": '" , , ..........,: .' .." ',' , ' " " ,': .. '", .:,' ,:", " " " " . . ,,' ,'" ' .' ."; " ...,... ........" . '.' . , ." , "',,', . ,'. , ...., ",,' . ., i~:-', ~,',"" , . ":":" ( ] '" , ',' .~ . .I actual field demonstration of the equipment purchased of up to five ~ working daY3 before final acceptance. b) Bidders shall submit with their bids a detailed comprehensivG statement of warranty for the equipmetlt and its various components; i.e., engine, transmission, batterYI etc. c) EXTENDED WARRANTY PROVISIONS: If there are any c>,tended warrant.ies .:lvQ;:lablc .on. the unit, the <:;jamE: ~hcl.ll l:.u listed. wherf: indicated in the "SPECIFICATIONSrr, along with cost of sQ.':...;l. e}{tended warranty, and a complete description of said w8rranty shall oe included with the bid package. d) Warranty work when p03sible shall be completed in Jefferson County, parts, time and travel expenses shall be paid/borne by the successful bidder when warranty work is necessary. (NO DEVI^TION FROM THIS WARRANTY REQUIREMENT SHALL BE ALLOWED. DEVIATION FROM SAID REQUIREMENT SHALL BE DEEMED StJFFIC,IENT CAUSE FOR REJECTING ,ENTIRE BID.) e) Jefferson County may avail itself of the bidder's standard warranty if more beneficial to the County. f) Warranty Repair C03t: Bidder shall supply Jefferson County with "no charge invoicesll for all work performed under warranty. Each invoice shall itemize parts used and show labor charges. PARTS << SERVICE: a) Service Capability: Bidder 3hall have facilitics, skilled personnel, equipment and parts available to completely service, maintain, overhaul and repair the equipment offered within the local area (i.e., within a radius of 100 miles, including Bellingham, Seattle, ~rcas), Bidder shall be able to provide technical assistance in the person of a service representative within a maximum of 48 hours after a request is made to the bidder. Bidder shall be satisfactory from the standpoint of experience, reliability and demonstrated ability to manufacture equipmcnt comparable to the size and type required by the specifications. b) Part3 Availability: The vendor shall maintain an adequate stock of normal replacement par~s and 3hall make deliveries within 2 working days when requcsted. 3 c) Pricing: The manufacturer and bidder shall guarantee that parts' prices will be as low as such parts which arc sold to any other user; and if, at any time, the prices are reduced or increased to the general trade, it is understood that Jefferson County shall not pay a higher price than any other user, effccti.e with the date of such pricc reduction or increase to the general trade. d) Post-Delivery Inspection: Bidder shall include in the price the cost of a post-delivery inspection service of the equipment, approximately thirty (30) days after it is placcd in se~vice. The inspection service shall include the following: (1) Check all operating systems for proper opcration and adjustment. (2) Check cquipmcnc visually for leaks and materials defccts. e) The Board of County Commissioners reserves the right to reject bids of bidders who CH'llnot; produce sat isfactory evidence that they can furniGh promptly all spare parts needed for ordinary service and repair of equipment herein specified. DEVIATION: Deviations from the following spccifications will be considered to pcrmit manufacturers to follow their standard manufacturing processes. Such deviations will be approved, however, only at the sole discretion of the Board of Commissioners, and only if, in their opinion, such deviations do not adversely affect the operation, maintenance, strength, efficiency, effectiveness or life of the item bid or any of its parts. (This allowance for deviation does NOT apply to warranty requirements as stated under Acceptance/Warranty section above; and bidder shall still mect or exceed all minimum specifications). All proposed deviations, with full details, shall be listcd on a separate sheet, which shall be attached to the bidder's Bid Proposal. The listing of such deviations will indicate that thc bid may be accepted only with such deviations. SILENCE OF THE SPECIFICATIONS: The apparcnt silcnce of the specifications as to any details, or the omission from them of a detailed description concerning any point, shall be interpreted as meaning that only the best commercial practiccs are to prevail and that only materials of first quality and corrcct type, size and design are to be used. All workmanship is to be first quality. All intcrpretations of the spccifications shall bc made on the basis of this statement. 4 MANUFACTURER'S STATEMENT OF ORIGIN & SIGNED APPLICATION FOR TITLE Forms shall be delivered with the equipment. ---- Delivery Ghall not be considered complete until both of theGe items have been received. ~IPMENT TRAINING: The successful bidder ~grees to provide an appropriate training program for three (3) employees at the delivery location to aSGure efficient and economical perform~ncc and maintenance of the ~quipment when requested. COOPERATIVE PURCHASES: The Washington State Interlocal Cooperative Act, RCW 39.34, provides that other governmental agencies may purchas8 goods and services on this solicitation or contract in accordance with the terms and priccG indicated thereitl if all parties are willing, 5 GENERAL CONDITIONS LIFE-CYCLE COST BID II Li fe-Cyt;lc Cost Bid" is a purchasing method whereby. through competitive bidding, a govornmontal customor can buy equipmont and get guarantees that selected owning and o~erating costs will not exceed specified maximum dollar amcunts. IILife-Cycle Cost Bid'! consists of purchase price and one or more of the following guaranties: A) MAXIMUM REPAIR PARTS COST: (Seo Pg. 1 ) following) Bidder guarantees parts costs will not exceed cl specified amount ov~r a certain period of time. With the customer keeping his own accurate, acce~sible, cost records, if repair costs ~xceed the guaranteed maximum amount, bidder ~~ customer the difference. Customer can choose to (subject to provisions of #4 under "Guaranteed Maximum RfJpairs, pg. 1 ): - Perform his own repair work; Hire outside party to perform repair work. B) MAXIMUM SCHEDULED MAINTENANCE COSTS: pg. 14 ) (See Schedule 'A' attachod, Covers costs of periodic (daily, weekly, monthly) scheduled maintenance requirements (lUbrication. oil/filter, changes, otc.) . Using the manufacturer's lubrication and maintenance manuals as authoritative reference, bidder guarantees periodic lubrication and maintenance costs will not e~cced a specifjed amount over a certain period of time. If a customer's records show costs exceeded guaranteed maximum, biddor E-a~ customer the difference. 6 ",'" , ' . ':,' . , ,', ' -", " .:::.: ....", ,," , '.' ...'.,..,..... ,'" ,'" " """", . .." <' 7'" ."~ .'. ,''', :", I '" , ,.'i, ,".. f: :.' " ',::. , .,.... ',.' ' .,.' " ,', ','," '.' " C,,: , . , ,",.' . ..," " .. .".. ',.' ....,.,, . ,'" ',:'. .'., < " " . .'.. ..........'.'.~.".. '. , "" " " ,".'. ' :" :, '. . .', ,,' .' . '. ..... : " " , ',. :' , .' ....,'... ," .' ,,,' . . . ....""1 '" ,'.....'...L ;", .. . " .' ' ", ::, '.' ", ' " , .... ..' .'.., . .: ',..3:::'1'....',., ". ',' . ., . ."" . ,:. , , ,,' ,: .,' '." , ' ,:';' "-.--:-' ,,' "', .' <, "" I' , " , ':. "': ',", ;' ", 1\ ,,',, , '";,, " ::' ~ . ;,. C) GUARANTEED MINIMUM REPURCHASE: (See pg. ~ ) following) Bidder guarantec3 he will reourchasc equipment at specified value at time of contract expiration. The customer is under no obligation to sell it back to the dealer. The customer cun choose to: - Retain machine for future use; - Sell machine (self auction, con~ignment, etc.); - Sell machine back to dealer. CONDITIONS: 1) The equipmen~ will be operated by the County in road maintenance, and other purposes for which it was designed. 2) The County will maintain the equipment in accordance with the manufacturer's specifications. 3) The County will keep accurate and current cost ~ecordG. 4) Bidder reserves the right to examine the County's cost records on the equipment at any re~sonable time. At the end of each year's operation, bidder will have 180 days to question the preceding year's repair parts and labor cast. If no action is taken by the bidder in the 180-day period, the records of that year will be considered acceptable to both parties. 5) Bidder retains the right to inspect the equipment at any reasonable time and make recommendations far repairs, improved maintenance, etc., which shall be complied with by the County to the best of its ability within a reasonable time -- not to exceed thirty (30) days. 6) The County will assume responsibility for all repair costs resulting from damage due to fire, windstorm, flood and rising water, lightning, and other acts of God, theft and pilferage, vandalism, accidents and operator's and mechanic's negligence. Cost of repairs due to above circumstances will not be includen in guaranteed maximum repairs covered in this bid. 7) Th<l County will assume the expense of expendable day--to-day supplies, parts and components, such as lubricating oil. filters, grease, fuel, antifreeze, cutting edges, batteries, headlights, glass, tires/undercarriage, cleaning and painting. 8) The County has the right at any time to sell, lease, loan, trade or otherwise dispose of the equipment at its discretion. Such action shall make this contract null and void. 7 , ,.' , ,....'..,..... t.. ." "" ':'~ .: .......... ..,.. 'I ' , ,,', . ,.... ' ," ,'.' , ._:.... I "'-:-:.',1 ",.,', . J t . J , ,;..",'. ,:,,,:/: , .' :. '. .... ". '.... ',!'; , " ,.... ~.. , " '. ...,. , " , . I ','.'.' ..': I"d .-\ . .: " ': I III ":: '" '.: " '.',,' '...., ; .....' , , , . " " ; -~-- ',' , "" ':', ,. ", , " :' :.", ' " ",",:.': ..'. 'I: .... '.:.. : '.'; :',' ....'., ',' '. .' ;.' . :',' ,":. , .........,/'.,:. , '..\', . .......... <; .".,: .', ....;. .,. ,~...",,!.:.. ", ," ' ; . .....J.....': '"'7" .I , , ,...: "~';'H ..... , ',,':, " ..' .... , . ',', ,", , ' ,: .'..,.,,",: ; "'.;" ' .. , . '" :r~1 " ,," ,,:,: ;,,\ , , , " .,', , ,: .;/ , ~ , :' .\ ~ :','. ,:', ,,,",.::' , ,,' '," , .'. ,,, .,' , ", ,'::;", ,. . . '...' :" , : ,:' ," .' .' :, .;, ..,::'; ',,' " . '" " ' ,"': ',.'.,..'. ..... ,.., .'.....L "", ',' " ", " ," ,,' ,"'.":""":',, ,.' , ';.'. .',', : :..:,....: "':. ....., ,.' .' ." ;1' .:' ,.... .' ...... 1'1 '." .' l'- :;',i i , , ' ,") .'. ',.' ,,' '",: " GUARANTEED MAXIMUM REPAIRS 1) Bidder shall guarantee maximum total cost of repairs (parts only) for a period of 6,000 hours of operation as recorded oy engine hour meter or five (5) years from date of delivery, whichever occurs first. Repair costs are to be paid for by Jefferson County only if, or as, incurred. Bidder will pay to the County the costs of repair in ~ of bid figure. 2) Bidder shall pay for all repairs (including parts and labor) to the equipment covered by warranty, and these costs shall not be included in the total cost of repairs. 3) All repair parts 2~e to be purchased from the Manufacturer's authorized dealer and will be charged against the equipment at the same price shown on dealer's invoice. 4) Bidder will be notified by the County in advance of any contemplated repair work in excess of $1,000.00 total cost (parts and labor), and the details of all such work to be done. At bidder's option, the repairs will be done in the bidder's service department and billed to the County at bidder's prevailing rates. Regardless of where such repairs are performed, the cost thereof shall not exceed the cost estimate as stated in the bid. If the repair work is done in any shop other than the bidder's he will be notified promptly of the amount to apply as part of the 'guaranteed total cost of repairs. All repair costs under this clause are to be come a part of the guaranteed total cost of repairs (parts only). All repair costs (parts only) will be substantiated by detailed invoices. Should the delivery of repair parts not be made within two (2) normal working days to the County from the date the order has been placed with the dealer, a daily charge of Fifty and nO/l00 Dollars ($50.00) per day shall be added to the cumulative cost of repair parts for each working day over two (2) that the part is not delivered. (1) On the bidder's presentation in writing on verifiable information to the County that the parts are not available to the dealer frotn his manufacturer by reason of strike, natural disaster, or national emergency, the daily charge shall not be made. (2) The bidder may avoid the penalty for non-delivery of parts by making available to the County at no cost a unit of similar size and capacity until such time as the parts are delivered. 8 , . ..':>: ;" .1 ' . ','. :' ,.,', . '. " . "', .,'. ; ..' ,".' "" I , "'. I, , '.' , I ,. . ,', '.. ' .', ,,' ",' ,'..".,' .,' ',.',' ':', ....,.". , II It ':.: ,> :,,: '" , , "'.. ",," , i. ',:' ". : . ".,;', .,..... ",. " .' ,:':., .' " ., , " :. . " ,,,.....,' ", ": ' ." . ,,', ,", " ...' '. " .:' .' '.'''>'''.''' :" " ..' " . '" , .' '.1,,'" ',..."" . .'..' "':',; "',' :', .', . , , ,-, ",'" '. ; ,,'", --I' '. . ." "'.".~':' 1 (3) Bidder is not obligated for the daily charge provided he furnishes the parts ordered an a "no charge" basis to the County. GUARANTEED MINIMUM REPURCHASE 1) If the County elects to sell the equipment back to the bidder at the end of the repurchase guarantee term, or curlier, Lhe bidder shall pay the amount guaranteed (as shown on the Bid Proposal) in cush, within thirty (30) days after written notification of the County's desire to sell the equipment and may elect to retain it or disposa of it at its own discretion. 2) In the event that the equipment. subject to the Repurchase Agreement, while in possession of the County, is either totally destroyed or partially damaged to the extent that the damage is beyond economical repair, and is considered a total loss because the cost of repair exceeds the guaranteed repurchase price, then the bidder is released from his obligation relating to the guaranteed repurchase. 3) The location of the equipment at time of guaranteed repurchase shall be the same as the original delivery looation. 4) Repurchase price shall be guaranteed by a separate performance bond, per , page 1, of the General Provisions. 9 - - .,' '.. , .. . , " ,.. "" .... ,'.' , "':, '~ , 1. " .", 2. '.' : --';';;' 2~1' to 30 minimum , :: ..':' . " ,.:"'" , " ... ,"'" !. .....,.:) , :,', ',;,' I:~" ,.,'. . ", :' , " :.. I IIU 'I REQUIRED MINIMUM SPECIFICATIONS FOR SMALL, WIDE TRACK MACHINE, NEW OR USED-WITH LOW HOURS AND WARRANTY ENGINE Minimum 80 H.P. diesel. 40 gallon fuel capacity. TRACK WIDTH 3. BLADE ~lIDTH 9' 6" over aend bits maximum 4. WEIGHT 17,000 lbs. minimum Features a) 6 way tilt blade (power tilt) (power anglej !EIii b) Power winch (factory approved to the tractor) '.;, '1/ ~'- u-;' "'. '. I I c) Power shift d) R.O.P.S. canopy e) Semi - U blade (optional if posGible) c. " .' ":: ' :',:' ." " " '0.,.,. " " ,,', ! ':, .',,'.:' ." .. " ' ,'. . ,'.c,: ',' . "'" 10 " :::: ". :' " - -: " . ". " ... .,<, .:,:',,: ',', >,,>:' ,,',',: " , :',",',::,. . ., " , . , ' ~, I..:.........'... " \. '~ Ii .. ~.." , ' , '" . ' . ' , ,.,.. , , ......'. ,', "., " ' .. I .",:":i' :' i .- -:', , ",,' ',' "'" . " ..' "', ,', ,,' " , , ,....'.. . ,.., . .' ,,' '..' '.: , ,,' , ' . ,,' , .,., ":'::' -~". ",,: ,: " :,'; .... .." . ..' ,: <: ......... ..' .' " :" . " ;.....::, .,. .. " . .'. .;..; '..,,' , ~- .:' .. , , >: : 1 \. 1'::~.:,_:.:,~:!,:_:,;.;;),:.r- ii, :' ',; .', 'I. l:,L- . - BID PROPOSAL - BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON Gentlemen: The undersigned hereby certifies that he: a) HaG read and thoroughly understands the foregoing requirements and specificationG; b) Agrees to the Maximum Repair Cost Agreement and the Future Repurchase Agreement contained herein (pages respectively); and proposes as follows to meet or exceed said specificationo for furnishing Jeftzrson County with One or more New or Used small, wide track tractor: DELIVERY DATE: MAKE & MODEL OF UNITS QUOTED: *BASIC BID: (1) Small, wide Track Tractor, complete as specified. $ LESS: Trade-in: Eqt. #60 - 1974 Caterpillar D-7 .. .......... $ SUB-TOTAL ......... $ Wash. State Sales Tax (Fed. exempt) (Rate: % ..., $ NET TOTAL TO JEFFERSON COUNTY (Use this total in computing "TOTAL OWNERSHIP COSTS" below. ... ........... ,.. $ COMPUTE TOTAL OWNERSHIP COST: a) NET TOTAL TO JEFFERSON 00UNTY ("BASIC BID" total)... $ b) ADD: Guaranteed Maximum 6,000 hr/5 yr. Repair Parts Coot, per pages ("Guaranteed Maximum Repair") & (IlGeneral Conditions") of the General Provisions);.. $ c) LESS: Total Guaranteed Maximum 6,000 hr./5 yr. Repurchase Price (per page "Guaranteed Minimum Repurchase" of the General Provision3); eo. .........0. '..0.0. $ d) ADD: Estimated Maintenance Costs (from "Schedule All attached hereto) ....................... $__ 11 Five Percent (5%) Bid Bond attached, puyublc to the JefferGon County Treasurer, in form of ('x' one): _.''''Surety Bond Certified Check Cushier's Check ATTACHED: 1) Manufacturer I s warranties t i DC.1. (?xtend99. warrnntics_~ 2) Manufacturer's recommended lubrication ~ maintenance guide for units qucted 3) Complete data & specifications for th,,-'uni ts _____ 4} Attachment IIAII - Scheduled Maintenance Calculation Forml! THIS PROPOSAL DATED this ____ day of _____,,,,___,,,,,,,,,_,, 1989 FIRM NAME: ADDRESS: (muilingl __",,,,__________,,,,,,,,_'____'_ (location) BY: (Authorized Rep_ l /s/__,________________,__,_____, (pleuse-"print/type Nume & Title) PHON~: 12 If , ,_ ..... 'i , '. L ',' ',': .... :' ,'. , , . ' : .:. ,,' ,,: I~ .'... '.' , ", , ," ':' : , i '. :. I~~ ',,: '" .., ,'''' ' ", ( " :. . , , , "5;, .' I -i ~::; , " ',' .: . ,. :: , , ':,' , " , ''', ',' " ,.' ,. l "" "'. ': ,,' :', ' '" '. " ",' . .,,: ' .' . " ,.,',' . , ' ,,"." " "':"-: ' ,", : .'~~~;i(~;;, ' . ,', ::, ." , . ' , ' .'. ,," ,'" , , :""" : ,(, ,,:"". ' .. . . ; " .. " ."" ','. '----' , . :",.:., "" ". .:. , .,:, ,'. " : ":.. ;-:',':', : ': ,: ,"'.', , >':'. ,':. " , , :"" . , ,'. ", '" ' " .;' ": :"",'. ,',L:'" ,\ .' )":~<'f;"',~"":i;: .,' ATTACHMENT "A" SCHEDULED MAINTENANCE CALCULATION FORM Jefferson County believes that scheduled maintenance is a significant part of the overall cost of operating equipment, and is therefore asking for its inclusion as part of the total cost ot the unit bid. Instructions: The intent of this form is to determine the total scheduled maintenance costs that can be expected during the first 6,000 hours of ownership. Service intervals, number of grease fittingG, and capacities Ghould be taken directly from the manufacturer's lubrication and maintenance manual. Unit costs given are equal for all bidders. Although there may be a slight variance due to refill capacities, these to~al costs are made up of labor, overhead, lost production, gasketG, lubricant, filters and supervisory time. The comparison ex~mines the service intervals for the various units bid and ~scumes that the manufacturer's recommendations, if followed exactly, will allow the costs that are to be incurred on each unit to be calculated with rcnsonable accur~cy. 1) GREASE ~ITTINGS: Total Hours : Service No. of Fittings Cost per of Operations Interval x @ Each Interval x Fitting = TOTAL COST 6,000 : 10 Hrs. ~ --- x $0.75 = $ --.---- 6,000 : 50 HrG. x ---~----- x $0.75 = $ -- 6.000 : 100 Hrs. x --- ~ $0.75 = $ 6,000 : 200 Hr's. x -- ~ $0.75 = $ --- 6,000 : 250 Hrs, ^ --- x $0.75 = $-,-- 6,000 : 500 Hrs. x --, x $0.75 = $--,- 6,000 : 1000 Hrs. x ----- x $0.75 = $ TOTAL = $---- (1 ) Determine number of fittings at each interval, insert each number as indicated (if none, write 'none'), perform calculations and total last column. 2) ENGINE OIL 6< FILTER: Number of gallons x 4.04/gal. Current cost of filters Fixed Cost COST E'ER CHANGE* = $ = $=--== - $ = $------ 13 , . - -Is~ '. ~. ,: " .1 , .: :', . -,- . '" ,,' , ,'., j . . ... ..' . . ': .', '.' : "< . J :', .,. '" "'':':'''' " ~..:',,' :' .,',": , la! i: . , , '\ I n I .. , .", ',,> " " "'''''.' . I " ",' .. ,',.. ," "~I " ,',,' .: " ,.,' "" .; " " , . ": " " ',,:,' '.", ".' ' . '. .,', ... " " ".'.',' " . . " , " ',,' ",,, .. ':' ", , ,,',.. ".' ,;" "', , ',.:." , ' ,', '.: " :,: ':': '.)' " > ..,.,'" '-: . .... ..1 ....... I', ''', ' '.,;; , I :..:..;..J.'. ' J 1 ) 2 ) 3 ) 4) Grease Fittings: Engine Oil & Filter: TranamiG3ion Oil: Other Fluid or Oil Changes $-- $---,-..---- $ $---- x Cost per Gallon TOTAL ! f':"',.' k,.",. I.,. I !....... ,'.<;; Ii ,-' " r I · ,'T1":', "" ~ "" "~~I g D n I Total Hours Q.egrations Service Intcrval 'rOTAL ..~ Total Hours of Operations Service Interval x Cost per Q..I}!'!P q e . TOTAL COST 6,000 ____Hrs. J{ $ _____._" (2) b"rom manufacturer I G matntenancc manual, determine crankcase drain and refill interval. Insert this hourly number and perform the calculation to arrive at the total cost tor an enginc oil change. x Transm. Sys. Cost per Capacity (qals.) x Gallon I' !. L'. 3) TRANSMISSION OIL: 6,000 "_. ~Hr:3. }{ 4.56 t' From manufacturer's maintenance manual, determine transmission drain and refill intcrval. Inscrt this hourly number and perform the calculation to arrive at the total cost for a transmission oil change. 4) OTHER FLUID OR OIL CHANGES: Total Hours 2L-QP.era tions Service interval Hydraulic System ~ Cap_aci ty (qals.) 6,000 _Hrs. x x $3.90 From the manufacturer's rnaintennnce manual, determine the service interval for draining and filling the hydraulic system. Insert this hourly number, insert the total capacity (in gallons) and perform the calculation as indicated. TOTALS: Listed below are each of the categories just calculated. Insert the total number for each category and add the column. The total figure should be entered on the Bid Proposal form, where indicated: TOTAL: $,,'...____ (Enter this figure on the Bid Proposal, Pg 12, where indicated. ) 14 - BID PROPOSAL - BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNT~. WASHINGTON Gentlemen: The undersigned hereby certifies that he: a) Has read and thoroughly understands the foregoing requIr~ments and specifications; b) Agrees to the Maximum Repair Cost Agreement and the Future Repurchase Agreement contained herein (pages respectively); and proposes as folloWG to meet or exceed said specifications tor furnishing .Jefferson County wIth One or more New or Used small, wide track tractor: DELIVERY DATE: 120 Oays MAKE & MODE!, OF UNITS QUOTED: Caterpillar D4C Low Ground Pressure Tractor with Cat Winch, 6 Way Dozer, Power Shift and Raps Canopy .BASIC BID: (ll Small, wide Track Tractor, complete as specified. $ 52,522.00 LESS: Trade-in: Eqt. .60 - 1974 Caterpillar D-7 ............ $ 11,000.00 SUB-TOTAL ......... $ 41,522.00 Wash. State Sales Tax (Fed. exemptl (Rate:~~ .... $ 3,363.28 NET TOTAL TO .JEFFERSON'COUNTY (Use this total in computing "TOTAL OWNERSHIP COSTS" below.................. $ 44,885.28 COMPUTE TOTAL O~NERSHIP COST: al NET ,TOTAL TO JEFFERSON COUNTY ("BASIC BID" total)... $ 13,928.46 b) ADD: Guaranteed Maximum 6,000 hr/5 yr. Repair Parts Cost, per pages ("Guaranteed Maximum Repair") & ("General Conditions") of the General Provisions);.. $ 3,000.00 c) LESS: Total Guaranteed Maximum 6,000 hr./5 yr. Repurchase Price (per page "Guaranteed Minimum Repurchase" of the General Provisions I; ..................... $ 35,000.00 d) ADD: Estimated Maintenance Costs (from "Schedule A" attached hereto) ~.... .... ................ $ 1.043.18 11 Five Percent (5~) Bid Bond attached, payable to the Jefferson County Treasurer, in form of ('x' one): ~Surety Bond ____Certified Check ____Cashier's Check ATTACHED: 1) Manufacturer's warranties, incl. extended warranties__ 2) Manufacturer's recommended lubrication & maintenance guide for units quoted ____ 3) Complete data & specifications for the units ____ 4) Attachment "A" - Scheduled Mainten.ance Calculation Form" TUIS PROPOSAL DA'I;.ED th.il' 15TH day QI May ,IURTHERN CtlMMBlCIAL l.Or'iPAr~ " DBA N C M~CHINERY CO. , lSB!) FIRM NAME: (loc"tion) PO BOX 88786 Seattle ,~ ~8138-2786 /~- , /s/ (j)/Y~'1W,7fk;;/:?M Darren L. Venters ~nvprnw~ntAl ~~l~~ ~~n~~~r (Please print/type Name << Title) 206-251-5800 ADDRESS: (mailing) _ BY: (Authorized Rep.) PHONE: 12 '''V~''_'.''_'_''''''"~''''-_'''''''-''''-~_... --- ~:-~;~lJ~\i~~~~~~ ATTACHMENT "An .. e~'" I c,~ I'"' I :~l: [ J ,j , ~j ~'~~],i:':'- -:~','~' VI 5<,':,:"" : "\ , ,-". I',: ~j SCHEDULED ~~INTENAJICE CALCULATION ~O~~ Jefferson County believes that scheduled maintenance is a significant part of the overall cost of operating equipment, and is therefore asking for its inclusion as part of the total cost of the unit bid. Instructions: The intent of this form is to determine the total scheduled maintenance costs that can be expected during the first 6,000 hours of ownership. Service intervals, number of gr.ease fittings, and capacities should be taken directly from the manufacturerls lubrjcat10n and ma1nten~nce manual. Unit costs given are equal for all bidders. Although there ma.,' be a slight variance due to refill capacities, these total costs are made up of labor, overhead, lost production, gaskets, lubricant. filters and supervisory time. The comparison examines the service intervals for the various units bid and assumes that the manufacturer's recommendations, if followed exactly, will allow the costs that are to be incurred on, each unit to be calculated with reasonable accuracy. 1) GREASE FITTINGS: Total Hours of Operations Service No. of Fittings Interval x ~ Each Interval Cost per x FittinC/ ~ TOTAL COST 6,000 10 Hrs. x x $0.75 $ 6,000 50 Hrs. x x $0.75 $ 6.000 100 Hrs. x x $0.75 $--"=-- 6,000 200 Hrs. x X $0.75 $ 6.000 250 Hrs. x x $0.75 $ 6,000 500 Hrs. x 3 x $0.75 $ Z/.UU 6,000 : 1000 Hrs. x x $0.75 $ TOTAL $ 27.00 (1 ) Determine number of. fittings at each interval, insert each number as indicated (if none, write 'none'), perform calculations and total last column. 2) ENGINE OIL & PILTER: Number of gallons x 4.04/gal. Current cost of filters Fixed Cost COST PER CHANGE" 3.2 = $ $ $ = $ 12.93 6.35 19.28 13 :J :'-:1 . l.. '"."c" ';,'" '.,....i""i .'..; '~~r.;'::?~_:,~,:;~;- It, ..~ fJ !It II 'II II II I I i I I :,'t~ ,~.'... "",;",'." -_.",,:.;-'-. i'::';" f~i" ' i'Ij~ t:~;t: 1~;JI ,"']' -;/~'\ CJ ','c,>:l ': ,cl , :"1 ;,~, 11 ' f.~i iII' , B;i. .' 1'1, ("'I " ;'-, ',,., I~I ' fl" ~:{l.' ~,r 1:4'" t":,<jl ~lf~.::'" !:,/,k ::--'.. ~( :;::"fL.: ~;~~': ';:,,:,; r :;;~'l ?:!'~ :,':-: ,,(,", ,,. '~~{: ~', :.\t>:,:'~'::!{; I ':';:, ," C,', .. _,',., ,_ ',' .' -- -". " '_ _' , _, _ , ,'. .. . .. -"., ',', "';'~j,~"1l1!~'~I~~.~ti:_JL1' (~ c' CALL POR BIDS ,","':,'<";',' -=1, "1- co,.:'.,;",'; " ;::-. '.":~' '.., ", Notice is hereby given that the Board ,of County Commission~rs of Jefferson County, State of Washington. will receive sealed bids up until the hour of ~ A.M., Monday '/:n/l"g ,Z:; ,1989. at the office of the County Commissioners, Courth use, Port Townsend, Washington, 9636B, to be opened and read at that.date and time for furnishing the Jefferson County Department of Public Works with: ^,/,';' onE (1), SMJ.LL. WIDE TRACK TRACTOR Bids shall be submitted in accordance with the plans and spec1fications on f11e at the off1ce of the Director of Publi~ Works. Courthouse, Port Townsend, Washington, where copies may be obta1ned. ~ Each b1d shall be accompanied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Treasurer of Jefferson County 1n the sum of 5~ of the bid amount, to be forfeited to Jefferson, County by the successful bidder 1f he fails to enter into a contract. The board of County Commiss1oners reserves the right to reject any and 311 bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidd1ng. APPROVED THIS ,;;{~> DAY OF /JIi:v1A'~ { , 1969. BOARD OF JEFFERSON COUNTY COMMISSIONERS 4..e~A--- (1___ $:..<'-e~ Ge ge C. Brown, Chairman SPECIFICATIONS FOR PROVIDING ONE (1) SMALL, "IDE ~RACK TN\CTOR NEW OR USED, LOW HOURS WITH A WARRANTY XN TRADE FOR D-7F CAT OWNED BY 3EFFERSON COUNTY FOR 3EFFERSON COUNTY QEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO PLANHOLDER The office to administer this contract is the Department of Public Works, P.O Box 1220 ' Port Townsend, WA 98368 Telephone (206) 385-9~60 '. ,,;,' . ') .'. .... i '~;';t,~:1 ". .' : ~iPz? , , ' :_: . ", ''','" , , , , ,'i,.',~ , "';1;:',""1 , Jr'~'1 I~' ':. t I, I.' :" '.' I~ If I' ~. ' ,< ..; " ' , " ,r I: .. I,; I; .';:, '. c " ,: , " " " ..." :,"C:',,', :'.': ::. ',.. " .', ' ;, ~q;:i'i '. 1 ' . ,,',', " '" "'. , ':' .., ,;',". " " ":".,':,'.' :,'>' ,.', ", }, '. ,/: ,'.:, '''', ,," ,,: I . '--- i " :"" " , " ' , .JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR ONE (1). SMALL. WIDE TRACK TRACTOR Bid call for Monday, . 1989, for furnishing the Jefferson County Department of Public Works, Road Department, with one (1), Small, Wide Track Tractor GENERAL SPECIFICATIONS It is the intent of these specifications to describe a small. wide track tractor in sufficient detail to secure bids on comparable equipment. All parts not specifically mentioned, which are necessary to provide a complete small, wide track tractor, shall be included in the bid and shall conform in strength and quality at material and workmanship to what is usually provided to the trade in general. The small, wide t~ack tractor shall be a standard production model by the manufacturer. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. BID AND PERFORMANCE BONDS: Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check, or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract. The successful bidder shall also provide a performance bond in the amount at the guaranteed repurchase price guaranteeing the repurchase obligation. This bond will be submitted to the county at the time of delivery of the, equipment. DELIVERY TIME ~ Jefferson County expects prompt delivery of the self-propelled , vibratory roller. The bidder shall indicate on the proposal the time for delivery after award of the contract. The time indicated shall be a factor in determining the successful bidder. If the actual deli,very date exceeds that set by the successful bidder a reduction in the unit price of One Hundred and NO/l00 Dollars ($100:00) per working day for each ;:md every day as liquidated damages and not as a penalty for forfeiture for breach of .' " , '.':, """ "" , '--1 " " ',,' , ,,:" .' . I '," " , '. " - ",'.: , , ': " '. ',', ,,.. ':.,' ' ',: '.' ,.', ",' ,:,,', . ','" '. .'.", " ." ',' . .' " ,', "" ,,;: ':'" ,,' i..... "". .'" ',,':' :'; '. fj I II , . :. "'..." ,> , :' I I' ,", ' :, I: '," ! . . : I" ,', . , .' " I'. .: . ,:,:, ...,..,.'.. " I .' :.,', I " . :, l' ." '" ' , ',;' , .'" ' >, .,." ",,:" ',. ""':" .,., "'. ,',. ,.,' "", ' ," , ", ", ,'.i',;,;,,~:<' ..... , "'.,"'.,:,:;;;/i:~, , ". ' .'" " ',' .' " , '. '. ' . ,,;'.' " ---l.., ' " ,',",':', J "','r;...........--w , ..., d "','", . '. 7:"~ .. .) , . ," ;"'> .,,:',.1: . ~:., .' ' ,.'. ~;: .j~ 'If I ~... . ,n :::' agreement to complete delivery by the successful bidder on or before the time specified in the Bid Proposal. Should the successful bidder be obstructed or delayed in completing delivery by any default, act, or omission at the County, or by strikes, fires, acts of God, or by the inability to obtain materials, equipment or labor due to Federal government restriction, then the time of completion shall be extended for such periods as may be agreed upon the County and the successful bidder. Sh~uld there be insufficient time to grant such extensions prior to completion date of the contract, the County may, at the time of acceptance of the equipment, waive liquidated damages which may have accrued for failure to complete the work on time, due to any of the above, after hearing evidence as to the reasons for such delay and making a finding as to the cause of same. ~ ': I, ,,,', i I', \ , ,~.. ;, I~;:: 11';"< In the event that the successful bidder is on strike at the time of the award of the bid, the County reserves the option to accept the first acceptable bid from a manufacturer that is not on strike. INTENT OF CONTRACT is to furnish to Jefferson County a selt- t propelled vibratory roller meeting or exceeding the stated specifications. Bid price shall include the costs of the new unit, plus guaranteed scheduled maintenance costs, based on 6,000 hours or ~ years contract time period, whichever comes first. New or used models will be considered in the award. J I ,<-j AWARD OF BID: Award of contract by the Board of County Commissioners will be based upon the least life-cycle cost bid submi tted (Total Ownership Costs I from the Bid Proposal sheet). '.' Consideration will also be given to delivery date, parts and service facilities, analysis, and comparison of equipment specification details, and past experience with similar or related equipment. , , ';." "": 'co'),', "The Board of County Commissioners also reserves the right to reject any or all bids for cause and to waive any informalities. ACCEPTANCE/WARRANTY: No part or parts defective in construction or deficient in any of the requirements of these specifications will be considered as being accepted in consequence of the failure of any employee of Jefferson County to point out said defects prior to acceptance of the equipment by Bidder shall include in the bid price the following guarantees and warranties: a) The successful bidder hereby warrants that for a period of one (1) year from the date of final acceptance, he will at his own expense and without cost to the County, replace all defective parts and make any repairs that may be required or made necessary by reason of defective materials or workmanship. The County reserves the right to require .' , ," ,:,:: ,', , " .'" ,,' 2 r I; '<:::~/:':r .... I"!,, ,C~;,~'>"':.,~,:. I,. ; .. "'.:",:0", " " ': : , ,I,: l\ ': , , ..;,' , ;,;~0"{'\ ' ' I; .,." ...., 1 .,: ... ; :'/ ......: " ". ,.. :: ,'.: I " i, " ,: , , ' ',' ,."" "', , ,', " ,", '.'", ' . ". " ':".' .' ",,', !. 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UfJl.." 1. ;'J7,!,.I~ IlL._'.JJl\, :. ,t:I.(4 j , ~"~.~~~~\;\~\~ ~~~~~!~~1~U.Q, rf~~;Ji~~J!!t1t~: J[ ,t;~,...._~:. ,~.::\~ ,..,../ l'-~I',..:;':(._~{,~ ~:~!~~~t\ \r:~ \ ~ ~ pq lit 1 t {;~,;~~" H:r!:ii;; !~i:t,l;~;:~},j' '~'.~:iX;:,:~'.'>/.; . ,:;.':~r ;::1 \...."'\l..~ r.,J.~\.rlq.",~ OU".MI.~ /. ....l,ry <.. rr.ll"l,J-::.t( (.....Jc'...l,l...,_" ~~f ~.o..;._t~ -~~;~; ~~ ~'.~n1 fr ~ ~H~ ~ l4 ", rftf/ 1~: h J 1~.~1 t~. >a : r/} (.l,'" ,'t.tl!j'~ )~f~..t-:~ '~~i'"'~' ' , ' ,': ~~ \ t~ ;~t~i~ ~ ~ti~t~ ~ ~ ~~:~~ Ili(t~;'~G~;~;tf,;F,:if.fB::;~Y~*~~~.'~ !~~~~~~,:!{~2;~:):;~; ; ;~~ ~~ ~ ~ l~ :rf qn . F!h.i,.f llrJ? ~/l.):'.r<r~.t!J7 f~f.'~~L~/? F~':,~'~!.~J<j' .~Yl'),-~: ,..,L:Y .! tri~~VE~: /.1!!,l::EUitI + tKf!'f;~!J!:Ej; ~~/'~~npfl':9.:W; ,?;F'j.~;. ,~~'.f,;~L!' ,;l ~i.;~:;j,;r..'~~~i i:J...j9~.I,J..y Jih,i,y i."'1J,~~ ~ r ~.).?~)l :';J; ~'h~; J\,;);:;;;,~,},I:...,-" ~'}.7)tF-~~Jrf: ~;~ff~r~~'.y';; ~"L,'~i... i/t;:;:j1-.:I)).)~~ J!.J ~.}:.-~-" h!....;~;/.-.~"i fI :~!:.~;:;:A_t. ~.r+~f~, n~~~:~f tt:;,1;;';1n~~'i~~':EH ~~:r[~r:8~;t~:~.:'! ~ ~,~19F ,,:JI.~l,:"'~,1.,'~ 'F'/.'W/ls"-9, .fi'X';','YlSl,: ~j) g:tfJtili:1~~i.;~~s;~~Et~;~f~Ef::!;~:;t~~f!$t~~;;;~H ..i~;'~-:"';'.t.,'~,l ~~~ ,: ~ ~.~ .;.~1,~.,,~. :A." ,,[~.'; .:.,,~ :: -F-r:; .~.,.; t: ~:--~ ~":~:~~:,~;~~I~-~ ~_.~l'fi-l;j.,!-. e: ~~~~" ;. ~;.~_ ~ ~~' ~ :.~ :~~~; l'~:; "~~:.;~~;~: 't.l ~:'-l::'~~,,~ ..;~32~fu:1~~~;.f~z~~gI:I;~~E::f;-;f~~~~~'t;;.;~:~:~:>-~1~~ !.~! " ~... .).,/!.J...~ (>,1 j~,..J;t..;:.. J...;.....:;;,..>,2..,,";J)~)..;.....:I ..~.l~. :I~~:..;;~4: ,...~j,,*;.,:) ~:.~:::;~~: ~~J:. ~.~: ~:,~~~':"F J'~~:;;: .~~]'~,~ ~~ :' ;:.~~~~~~J;:~ ~ j!.-.:....~~".>.~:,~1. ..."iI. ~...Q,~~~~~~;~~~~,!': 1.1.......t...,..' ;!...'~.r:"'t: &-;~..J ,:. :/~t:J .:,!--,~~ c) Pricing: The manufacturer and bidder shall guarantee that parts' prices will be as low aG Guch pnrtG which arc Gold to any other user; and if, at any time, the prices are reduced or increased to the general trade, it is understood that Jefferson County shall not pay a higher price than any other user, effective with the date of such price reduction or increase to the general trade. I. ": '.:' I, I" " ! , i, : ./' " .:: ' ., ; d) Post-Delivery Inspection: Bidder shall include in the price the cost of a post-delivery inspection service of the equipment, approximately thirty (30) days after it is placed in service. The inspection service shall include the following: (1) Check all operating systems for proper operation and adjustment. (2) Check equipment visually for leaks and materials defects. :!.'. ",:, , '" ",' e) The Board of County Commissioners reserves the right to reject bids of bidders who cannot produce satisfactory evidence that they can furnish promptly all spare parts needed for ordinary service and repair of equipment herein specified. DEVIATION: Deviations from the following specifications will be considered to permit manufacturers to follow their standard manufacturing processes. Such deviations will be approved, however, only at the sole discretion of the Board of Commissioners, and only if, in their opinion, such deviations do not adversely affect the operation, maintenance, strength, efficiency, e~fectiveness or life of the item bid or any of its parts. (This allowance for deviation does NOT apply to warranty requirements as stated under Acceptance/Warranty section above; and bidder shall still meet or exceed all minimum specifications). , " ': , . '?.. :, . .., ,': ':." :' , ' All proposed deviations, with full details, shall be listed on a separate sheet, which shall be attached to the bidder's Bid Proposal. The listing of such deviations will indicate that the bid may be accepted only with such deviations. , " , '.: ' ", . ':':'" . '. : '" , 1'':''': . "'I~~~ ., .....', '::,', ""'. ,., . ': .' !~ , I; .'.,;:.:', ...., , I! ' ,.', . I :.' ".'. .. ' I: :':<, " " ,:.'. . ,.... . , p .' ,,' ,',' : , , :: ',': " , .,..'. ...... Ii I' :" '. , I; ,,' , If I ; :.... ." , , , , :'" I:, " . ", " . '''77''' :,' SILENCE OF THE SPECIFICATIONS: The apparent silence of the specifications as to any details, or the omission from them of a detailed description concerning any point, shall be interpreted as meaning that only the best commercial practices are to prevail and that only materials of first quality and correct type, size and design arc to be used. All workmanship is to be first quality. All interpretations of the specifications shall be made on the basis of this statement. 4 "21~;~~;~lt~~i~:~S'i " ',", .:'" .,' "". \,,,":, " " ,. ,,' , ;;:',:C.,:':' ". /",'.: ..' ,...'. " ::" ,. ".' ;,' '" ,::,:: :; ;,,'~ , ' ," '.;. ',e.. ,." ',,, :,'. i, ,: '. " "',' ",.'. ',:" , .. " . : " "'.1 ..' [\ ,.... ,L' ... .:.'.' :~ , ',' . , .< '. ,'., I " " : ,"',," , "';j~.','. . J "'1 , \. I "'" "', .,'. , Hi ':.,,; "', ':, ,', ,.;" , :. i..... .. '" ....e,: ....... ,,,', I:',] ".. .' .' ..,.,,; , . .: '" ,', ',; ..'. ;" !. I , "" '.'.' :,:, . '.'" ''',',,', ," '. "," ", ,,' " ' \,,:' . " '....." ',.,' ,: :,' ''', ' " ," " ", " ,: ',. '.;'e" ""',' '. ',,,',' , :. '.' . " ',', , . , , ,'. "', ... "'''',: . , J' ,"',:,e . ',. ',":'. ,.': ' - ..': ,::,:',:', ". ;., ' . _I '. J -,;~ ""'", , . " ,. . " 1:'11. .' II: I ' " , , , ; , I , , ':" .' I>:: n'" , " '. ,'" i; ....'. :,.'.: . '.' " ;.:'" I ". ~ . '...; .' ..' '.'. '.... , ' I, .... ...... . ; .......,.. "".. ...'., i.,.... '." r ",,' ,,' ) '....:. " : " ". ':",',' ., . '.",." ' ',,' I', "':" ' ,. ."."', '.'" '1' ..., ..... ::, " , ' ',."":" . , .... ,,' ...... . "':,. '.....: '., '" ,::" " , "', " ,:.:' . ,...'. . .'.. , ,',,' , ".' :' . :.', ' . :'.', .' . ..'...., . ',' " " ' , " '. ".' ".'" ..'."'........., '. . ..:.' , ' " "'" ,", "L L' , , ,:': "L C) Q1!A!!~~']'~lf!?_._'1.I.NJ.l1!:!!"1 HEPU!tCILASE: (Seu PO. !! ) tol1ot-llno) UJddt..!I' UI1.:.&I~u.lllcuu he \I-/J11 r~l?~U:~-!H!.!!~ U(~u1pmtUIt. o:.t opec1t1ud value ul L1me or COJjl.'a.ct ux.pJriAt1ou. 'J'ht! Cl1tifOIlH':J' 1u undul' no obllUuttou to (.iull it b.:...ck to lhv dcu,h.:n., The cuutOHlc,' 'Ci:;n C!iOC)lHJ to: -" Retain mach1ne tor tuture lHiCj - Sell JnuchJII~ (tiLdt tiUct1on, cons1gnment, i:tc.); - Sell machine back to dealer. CONDITIONS: 1) The equipment will be operated by the Coun~y in road maintenance, and other purposes tor which it was designed. 2) The County will maintain the equipment in accordance with the manutactureE's specifications. 3) The County will keep accurate and current cos~ recorda. 4) Bidder reserves the right to examine the County's coat recorda on the equipment at any reasonable time. At the cod at each year's operation, bidder will have J80 days to question the preceding year's repair parts and labor cost. It no action is taken by the bidder in the 180-day period, the records of that year will be considered acceptable to both parties. 5) Bidder retains the right to Inspect the equipment at any reasonable time and make recommendations for repairs, improved maintenance, etc., which ~hall be complied witn by the County to the best ot its ability wjthin a reasonable time -- not to exceed thjrty (30) days. 6) The County will a9SUrne responsjbjljty tor all repair costs resultjng, trom damage due to tire, windstorm, flood and rising water, lightning, and other acts of God, thett and pilferage, vandalism, accidents and operator's and mechanic's negligence. Cost ot repairs due to above circuffistances wjll not be included in guaranteed maximum repairs covered in thjs bid. 7) The County will assume the expense of expendable day-to-day suppljes, parts and components, such as lubrjcating oil, tilters, grease, fuel, antifreeze, cutting edges, batteries, headlights, glass, tires/undercarrjage, cleaning and painting. 8) The County has the rjght at any time to sell, lease, loan, trade or otherwise djspose ot the equipment at its djscretion. Such actjon shall make this contract null and vojd. 7 , ' " ,," . '" .", . .' ' , " "," ,', "",::'."""., ", :' ~.. i: :' "', " '.' ..,' ','" .:' , "" " ", ': ,', " ,,', " ,:'. ':,':. '>,:, '.,' ,'" :',:''', ':,,' ,', '.':'. ':. ,'" ': ' .~ . .; :'.' .'; '" ':, '.: :,', , ,,:, ", " " ." ' '/:. '. :',:"" ", ':",', ' ,,': ".'" ,;,': ' , >...'~:<, ",,';','.,',.- ",:, :,':,':"'.' ," .- ,:,' , "':' '.,'..,',.. ",", ','" ':. ,'''','. , '.', .'.'.... :i:.,,:,.:. ,'.',' .' .,: .... ': :,: ,," ,:.'.,,":'.. ' ,'... ,',:,;../ ~~~~"i~ ""::1:" :' ",' ::.; . ,.', .i ,:' " , " ' ::':, '''', ", "', ',' " .,:' , "':'" ":, ," ,','" :". " :" " '.','.,', ". ',....' ',' 2J .' I t. \ -l , ,'..'.:. " . . '::,:" ':'. :',.' '. .' "',,,' '. ',: .:: ..'i,...' ."', ,,: ,: ' , :<,' ,: . . . ...,.'..... ":.. > ,'. : ;,",' ,.' t. , >' :~ >,', , ',' .' '. .,..., '. ",':' '.. " '..', .C ".' ....... .......:. . .. '.' ", '. ',,' " '.' , "",' '.' '. ..... ..::......'., . " ,,"," ',' . '.'.' , " ""'. ," " ..',' " '.' ':" '. . '. . " ",:: . '" ,...: ...', . ""<<j;~r . .. <); . ""'",' . , .' ".: '.: ',' ;:: .:: .....,...... : " "',::' '" "'. ........ .....'...:,.' '. , ..: '.', ",'..' :', '.: I I ~ " .... , , . '.,' ""', ", ", ",.! ,:,"" . ',. ' , '~' , , . ,," ':, , " :', , , , . '." ,..: '," '.. ..... "',. ;, '> '. ~; _J J, ">' '":1""'" ,<' "; ..' -\ .....' . ',... , . , " ,:. " :: , ',. , .." '>", . I ,~ .,... ;' ,/~ ) . , , . .: , ',.' ," ' 'i. .' I I , I i ! i i GUARANTEED MAXIMUM RY.PAIRS 1) Bidder Gh~Jl guaraJltcc ma):Jmum total coot of rPIJQlrG (portG only) for ~ period of 6,000 hours of opcration as rccordcd by cnginc hour meter or fJve (5) ycarG from date of delivery, wh1chever occurs first. Rcpair costa arc to bc paid for by Jcffcroon County only if, or as, incurrcd. Biddcr will pay to thc County thc costs of rcpair in exceso of bid figure. 2) Bidder shall pay for all rcpairs (including parts and labor) to the equipmcnt covered by warranty, and theDc casto sh~ll not be included in thc total cost of rcpairs. 3) All repair parts arc to be purchased from thc Manufacturer's authorized dealer and will be chargcd against thc equipment at the same price shown on dealer's invoice. 4) Bidder will be notified by the County in advancc of any contemplated repair work in exceos of $1,000.00 total cost (parts and labor), and thc details of all ouch work to be done. At bidaer'o option. the rcpoiro will be done in thc bidder's servicc department and billed to the County at bidder's prevailing rates. Regardless of wherc such repairs are performed, the cost thereof shall not exceed the cost estimate as stated in the bid. If the repair work is don~ in any shop other than thc bidder's he will be notified promptly of thc amount to apply as part of the .guaranteed total cost of repairs. All repair costs under this clause arc to be come a part of the guaranteed total cost of repairs (parto only). All rcpair costs (parts only) will be substantiated by detailed invoices. Should the delivery of repair parts not be made within two (2) normal working days to the County from the datc thc ordcr has becn placed with the dealer, a daily chargc of Fifty and nO/l00 Dollars ($50.00) per day shall bc added to the cumulative cost of repair parts for each working day over two (2) that the part is not delivered. i: '.' ........,':. '! .~ . . .' 11. .', , . . .~' .' :' .. . .'. '.' . ~ '. , .' .'. ", .' . , " " ....... .', .... " .'. .' '., .:." ':,.' \ :..':. ." ,:.' , , .,' ",' <' " :' ,.". " , " ,': ,,:' ,',' .' .'..... i:: .,' , , :'..' '.,' " ,.:.... '. ' ." ,'., ::';"" , ' , ",.......',..........,. '. "', , " ,::'" ": " , . , " ; ". ."".' .: .'. , ,'.' :' ", ":L (1) On the bidder's prcscntation in writing on verifiablc information to the County that thc parts arc not available to the dcalcr from his manufacturcr by reason of Gtrlkc, natural disaster, or national emergency, the daily chargc shall not be made. (2) The biddcr may avoid thc pcnalty for non-delivery of parts by making available to the County at no cost a unit of similar size and capacity until such time as the parts arc delivered. " 8 ,":,,;,,'. ,.:' ' ",,' ' ",: ' , ..". '. , ' ".::' . '''.' ,..':'. ,.' " ,,,. :, .,..., :,: " " :'," ,.,..,', .'....,. "".', '...', ", :; ': ::." 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"'~' " ' .i,. :,', .', "..... , .... . :,:',' ','" ,. :,;:".:':'; ..::,: :' ,.' ," .. ,'", '; ",;,' -'~'" , : REOUIRED MINIMUM SPECIFICATIONS FOR SMALL, WIDE TRACK MACHINE, NEW OR USED WITH LOW HOURS AND WARRANTY ENGINE Mjnjmum eo H.P. diesel. 40 gallon fuel capacitYi 81 Gross HP 30.0 U Ga 11 ons TRACK WIDTH !- 22" to 30 mjnjmum 25" BLADE WIDTH 9' 6" ovel' aend bi ts maximum 10' 2" WEIGHT 17,000 lbs. minimum Excess of 18.500 LBS Features a) 6 way tilt blade (power tilt) (power angle) Installed b) Power winch (factory approved to the tractor) Caterpillar c) Power shjft d) R.O.P.S. canopy e) Semi - U blade (optjonal jf possjble) Recomm~nded Factory Installed Options 8Y1213 653864 Lighting System Front Pull Hook $200.00 92.00 10 ':"~.~./,'~,~:~ ::! ,;. 'h', ." ',' ,,:' , "'.' ,.: ':,.', ;, .:" : ,',' '~;fr~\' .. .,'" . > . ,} '," .,,'.,' ,".: ''',.' . " ""i ," " ",'. ,,',"., .;, '" '. ".,' . ",.,' ..... ..'. ,<:: ,,: :".': .' Standard Installed Not Available I ',' J ,I ".,,'.'1' ,,', i 1.,,-'- . '?I' ""'''1 '..(', , , ":,: '.";, . ,'. :,:;. '. ' ,"', " :' ". ".; , .: " ',; ~. , .' "," ,,':,..,. ,i..' " , :." . " :', ,. :....: .~ .,,', " o ,,' , " !,,: ...,.,",; >:. ''':', , ,"'. I I . ". ",. : ,'; ".':' .: .' '. ' .- , i" ; , ;' ,..' I. . .,'. , , "..". " " . ',', . ..'.: . ,.:,':' ,'i' . ", ," '.',' . ..... " '''" .' .": . .... ..... " '.' ',' , '. " " " . ,.'.," ,,'. :.': ' . . i1J ',. .... , , ,':. ,', :,', .' :1 .'... i' J, '<" L L ,j I c :o"~ g:g :51L~ ~ -g e :5 ;; ~"E~ i6~ 5~1-, g 0 ~ ~~ ~ o~l:fii-=16.8 -ri'S; ~~~ ~ 'g ~~::"O -:;:E g 'E ~:.c""..E ~~ ~ ~~~~ a~.~.~:~ 8o~'ao'~:::o ~G)5~ ~ a ~ E E i ~ E ~;- ~ ~'a .D 0.."'5 I- ~.... a .S' & m ~ c $; :g 00"' 5 ~ Jl ~ ~ ~ LI .~ ~ ~~ ~~ g, ~ ;;j~ ;.5.E E~o-:5 g og:g ~ ~;..:g ~g" ~.2"E ~ ~..~ t~ u Q .... >-.:::1 0 :::I .... 0 QJ..Q :::I..c S ~ S &.8 g(j]~ ~=a-g8.E 5- <0: ~ " M g~ E r:] ~u ~.g f ~.~~ ::~u ~ ~~ o " 0 " 0 Gl ",uel a >- o 'tl !:: 1: > o ' -0- a.", a.o- <0:- ~'g?j ~p-o..t~.ci-g ~-2 ~ ~ g15 ~ ~ ~ J c" ~ ~ 8 Do. ~.. ~ J ~ :j .g g .2 Do. ~ ~~.E-=~llli~..g~.~ ~ 8''E~~ o:o.~~ >--:: gO'- '0 Q)::g ,0 ~~c g g- ~ -= 5 -5i ;..g 'O"'€ c"-= -= tL g: .5 'g 0),-= m--o AQ !ii :5 ~ g. g Cl 5 & 0 '0 u:.. 0::: -g e- -= 5.5.~ ac:>._>...;:Euuc""C(3)- ....Iw= ......c3..cc f2.s,.;;......~ f;E ..:.c g~ i w~'E-g 0 jjj; ::I >- E O..c ::" 0 .. 0 ....~ E en O..c 0 e .. 3: c \S 18 ~] ~ ~ ~?; 1 J &. -~;; ~ ~ ~ .. ~ ~~~~~'o.~j~~~ ~~~~~3:~~ .e5~~o ...~~lii.E~ <.,g~:v2:~ ~~~.~:~~!~~~~~~~~:~~.~ Zou...O-UI-~.u~O>~~~D..l-f 7m~~~lfJ~~~->d Affidavit of Publication SIAlE 01 WA5HING'Or~j COUN1"t Of JEFfEflSO~'l) FRANK W. GAR RED, bll,n<J ~",Oll', ~ul~ hll'~ 11,.. p...I.JI,~I"" ", Ih.. P"II T",...nu,ndIJlllhHU:'''' C.ounl, lllod'H. " "'11".1, 11I1....~pop..r ... hie" hu ~ b....n ..~.ot..l, ~h..d, putlh~I,..d ,r. lto.. t "\l,,~I, lon\luogtl ond ,,,,ulall'd 'onIU\\i"\i~ly o~ Cl .......1, ".....~~'''I'.,.' In Ih.. 10....0 01 PorI To...n~uf\d, ,n ~u,d C.O..."'{ o"d 511.110'. u'al t", gun.,rul ".,,,Iot.on III ~o,d (OUllll 10' more: rholl I'. (0) ft,(""l,~ ~~~~~~~ t:~:~~uo~t .'~~.. II'~:~P~~~','O;~O~ n~~~~Ol, ;:I~~~;o~,e:~,~~,~', Luod..r ....o~ onlh0l271h do{ 01 Jun.. 1941, appro...d UI 1.1 I..yul nOlw~pop'" by .hOl Sup..,."r ("ulI "I la,d J"If..I~on (o..."t,. \H,d tho' annU.OId I~ ""'.. ((.>;>1' 01 Ihe: Cilll for bids one self-propelled vibratory I' roller f a~ il apptl'ortl'd in tOil rugular and "ntlft! in..... 0/ 10'0 pop..r ,n."; and nOI in a ~uppl"fTlen1 thOlrllot tal 0 perlon 01 two _ ___, ___._ (oo~e,u"ve ...eOll.i, bOlglllnlllg on 1r... 19th April ,1989 doy a/ andendin9anlhL~_~t~Oyol APl:".il I I ,10Q i~~~b~~~'j~;r~ 1~~:i~;i~I~~f~~i~ppe:.:~~ (Tllhga~I~~~ 1~;~I~'~~~"n~ t I i I 01 s. 6 6.. .0 0 ._ ..ho~ been paid in tull, at')hc 'Ole 0/ $.5 .50 per column inch )o'h,e en inHH~~n. 1/ ( _/ I/, V') \71 / ,<-4'''"' (j, / IJ,I/U/,~, -------.-r."~--.....--'- ..."...~../ - ~I SlJb~cribed ond I" b..lo." me Ihi~2_6 thdoy 01 April , 1989 . ~~~P:f:~, WCih,ng'o", flli,d,ng 01 Hodlod '-'~~""~''''==::::JY'l:;. ""\jlil''''~~~ f , :~: :',L':-;. ,>;',:': ~\,;:; .. ',:<','~.;,"., '::,~~>~.":: ~Y-(, ::>~:,:' :;,1. .l ,'i'; ~.; .:: ,I; ,':::;-: ~ ~ SE'E:CIFICATIONS FOR PROVIDING ONE (I) SELF-PROPELLED VIBRATORY ROLLER NEW OR USED, LOW HOURS WITH A WARRANTY FOR JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO E'LANHOLDER The office to adminiGter this contract is the Department of Public Works, P.O Box 1220 Port Townsend, WA 98368 Telephone (206) 385-9160 ~.. I[:.:(';},;~i;;:,,~' " 'lr:; . ;1 ,; ..' ~ ,,' , '" . :,. '. :,', ',: " .' ': ' .' . ; . .; .',' '.'" " ....... .: , ,', , .. ',.';" : ,'. , ,,' : . ". : " " ': .:. , .' .' .' :', , I;, 1 Ii ',':. ........., ,.:' :', " , ,'." ....'.,.... . ,..'.... ;.,., :...., . '. ,.' ".' ':' " . :",: ,: I" '" ., . , ! " :. 1 " " .,. , . , .. ....." , . ',:',. , "'" . ,",,' "", ':' :' " ..,' '. .".' ',' ,". , . . ",' " . .'. .'1 ..... .. I. . '. .L..-. ," ' . '. , .' '. .,:'. , '. '" ,', ',' " . " I i:fr:~:; ,:: :-. , .. '1,' " ',... - CALL FOR BIDS Notice is hereby given that the Board of County Commissioners of Jefferson County, State of Washington, will receive sealed bids up until the hour of lo:t!!5 A.M., Monday /J7,...7<i 1 1969, at the office of the County Commissioners, Courthouse, Port Townsend, Washington, 96366, to be opened and read at that date and time for furnishing the Jefferson County Department of Public Works with: ONE (1) SELF-PROPELLED VIBRATORY ROLLER Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where copies may be obtained. Each bid shall be accompanied by a surety bond, posta) money order, cash, cashiers check or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract. The board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. APPROVED THIS / '7~o DAY OF . <() r'.l, .fl?---,:- {, V 1969. BOARD OF JEFFERSON COUNTY COMMISSIONERS ,~i.{'-'Z~/(/ {!- .1':3-?".......~-"'- Geo e C. Brown, Chairman '. , " , . . ." , ' .' ":,"." . ,: ". ',:' " '! , ",: , . ..,', " "". ",' ,,: 1 . ,'" 1 .' I." , ' (I I u u U i '.: .......' '.; .. .; . : :" '. ....:,', ",> ',!., , ',.: " ' . . "::" "": . ",', ,:, I"> ,'" ',."; .:' , , .' .' " :" " , " .> ,,', ""'. ..'.... , , '" .' " ..' ': ',' " '" .',...', .',' .... '".",,', '.: i, " ,'; , . . ,." '., . '. ''', I . .. --l . ", , " .' ,,' . , , '.' , , ", . . >,' . ", :" ,', ",", ' ,:.:: -, , ,,' : . ',.., ',' .. ~ ,~ I';';~ 11''1" '... ~ ~ I~, -'" .~,. " , " ...' , . , ,', . ...: ,',',,,,, " " .' ,: " , . , ,". ,'" : ,', "'. , , ','::'.': . I"~ ". ., " .,' , ",.' . , , . '. ,',' .::".' , , "" " , ,"':" " . , ,.". . " ..... . , ," I'., , ' '. " ," '. .....1' , , " ,,': ' " .'..... ...' '.. . . .. " ' ,,"" ' ",,,: - ." I .... ":.' , 1:1 , -. i: ."","" " , j;~2~~:L ., , \, :.'..',,'.' ~/:~i,!;:\ " " , .:',: '::..,.. ". , :" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR ONE (1), SELF-PROPELLED VIBRATORY ROLLER Bid call for Monday, 1989, for furnishing the Jefferson County Department of Public Works, Road Department, with one (1), Self"Propelled Vibratory Roller. GENERAL SPECIFICATIONS It is the intent of theBe specifications to describe a self- propelled vibratory roller in sufficient detail to secure bids on comparable equipment. All parts not specifically mentioned, which are necessary to provide a complete self-propelled vibratory roller, shall be included in the bid and shall conform in strength and quality of material and workmanship to what is usually provided to the trade in general. The self-propelled vibratory roller shall be a standard production model by the manufacturer. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basiG of the exception. BID AND PERFORMANCE BONDS: Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check, or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amounc, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract. The successful bidder shall also prOVide a performance bond in the amount at the guaranteed repurchase price guaranteeing the repurchaoe obligation. This bond will be submitted to the county at the time of delivery of the equipment. DELIVERY TIME Jcfferson County expects prompt delivery of the self-propelled vibratory roller. The bidder shall indicate on the proposal the time for delivery after award of the contract. The time indicatcd shall be a factor in determining the successful bidder. If the actual delivery date exceeds that set by tho successful biddcr a reduction in the unit price of One Hundrod and NO/100 Dollars ($100.00) per working day for each and every day as liquidatcd .......... , ' ..'. , ,'. . ". '.,' ,', . ".' ! ,... "...> , .,'. ,.". .: . '''" I .' ". ..' . :.',',," n,., .,.......'. .. " , " , " , I. ,.."" .'.... .~;.. " ' "" , ~ ,;,: , .:: "', " , '. ,,', ',' I' f"" fC" e" .' ..'. ....,. ; ., , '.". '. .'", . ,,:.:. .' '. I I , .. "" , .' . , " " .: , . .......'.. .' '," "'..:, .' :'.. " ,,' ,,' ,', , " : ", " "',." ". ".' '" ,".:', :' ,"'\ ' . , ",','" ",' '. I '.' .", , . . ..... ,'. ..,........ : .,... ..... ': :, <. . "', " '.1 . . '.-:..:. ". " " , "2- '. .J " . .;. :" II , , '" '.....',.......- ",., ".' , . ,.: ",.' ' ' :' ., """ )' , I,. I: ' '. , ',; '" ''', . '. :' , ..'. .',' .... .... . ' ., ,,'~' '.:, .<;. .." Ii ;, i.. ;,- .' ~. ; , :,' .,:..., " ".';' "" .. ; '. , . ;. ~' ' ", .:i, . .', ' ;.." :./ " '.... ....... . " , , '<.-- '>,.':';':,'., ..' .' .j.;\;.~' .. .' ..',,:. " ", I';; , '.' '... ". ". !; . I: ..":;,',:;~\:<;:,,, ,',". ',' Ir:,:.:',.';:<.';,., ...... .:'. I;';;~:;':'/\< .,.,( I> ':,' .,,', I '. '. '. "',' L...:. i,<' ..', .... .". . . '..' '. ~~ !.l': ~' ,", I ~ I: Ii ", I} I , ,.'., ' ,: I; .-,'.. ~' 'i -~.-J damages and not as a penalty for forfeiture for breach of agreemcnt to completc dclivery by the successful bidder on or before the time specified in the Bid Proposal. Should the succcssful bidder be obstructed or delaycd in completing delivery by any default, act, or omission of the County, or by strikes, fires, acts of God, or by the inability to obtain materials, equipment or labor du~ to Federal government restriction, than the time of completion shall be extended for such periods as may be agread upon the County and the successful bidder. Should thcre be insufficient time to grant such extensions prior ~o completion date of the contract, the County may, at the time of acceptance of the equipment, waive liquidated damages which may have accrued for failure to complete the work on time, due to any of the above, after hearing evidence as to the reasons for such delay and making a finding as to the cause of same. In the event that the successful bidder is on strike at the time of the award of the bid, the County reserveG the option to accept the first acceptable bid from a manufacturer that.is not on strike. INTENT OF CONTRACT is to furnish to Jefferson County a self- propelled vibratory roller meeting or exceeding the stated specifications. Bid price shall include the costG of the new unit, plus guaranteed scheduled maintenance costs, based on .!i..t.OOO hpurs or ~ years contract time period, whichever comes f~rGt. New or used models will be considered in the award. AWARD OF BID: Award of contract by the Board of County Commissioners will be based upon the least life-cycle cost bid submitted (Total Ownership CostG' from the Bid Proposal sheet). Consideration will also be given to delivery date, parts and service facilities, analysis, and comparison of equipment specification details, and past experience with similar or related equipment. The Board of County Commissioners also reserves the right to reject any or all bids for cause and to waive any informalities. ACCEPTANCE/WARRANTY: No part or parts defective in construction or deficient in any of the requirements of these specifications will be considered as being accepted in consequence of the failure of any employee of Jefferson County to point out said defects prior to acceptance of the equipment by Bidder shall include in the bid price the following guaranteeG and warranties: a) The successful bidder hereby warrants that for a period of one (1) year from the date of final acceptance, he will at his own expense and without cost to the County, replace all defective parts and make any repairs that may be required or made necessary by reason of defective matcrjols or 2 ~' , , " , ':1,":,:' , .--- '" I. : :..,' i.' ,,' "'''''' ... ~ ' ',,,' , ",' ";" , ,: . ." .,:".: . '::,.' . ",.':,i:,', " ''''''.: , ,'" a~:a ~ 1:.1 I II , ',' , " :. .'" : ,', . " " ", .:, i ',:, !'.... ...., .' .,.. .,' I I ". '.' .. . ........ I ..... . : i " i . ... " ,,', '.' ' , . ", ' " " :" :, " , , ",'. ...:: .,.. .'. ,..... ','" " " , " . ", ".i' .'. ': ',' " I, ...... .. :.' . ". .,', "." .' '. ,', ' :. . :"" '. ... , ",,'. ,. ',,::. ......: I ..,-".........:,:;: ~:, I .: ~...J '...' '" '..' " , " " ". ' ."" ,'.. "" ':':.. ,"',', ',;" ,": 1-. " . ": .' q b) '.: . .;" .,...,.' c) .' , ,,' ~: d) I,' 1-" '....'........ (-., , i ~ I;.; ii' I.....'..'.,.... r v' , t: 't, . <, .',.... ,. "" , .:',,, . ':', " ~-'" :. ..... .,. ,... , " ','" , "',", " .' " ,"" < ,.', '.", , ',,' '" , ", ' , ", ,,','.' ',.', ,t :" ',' ":..:.' ,.'.,.' " '. ;' .....'.' ," '.' : , , I, , 1_",,,. '.', ",' ",' , '" " .' , I ',: ""',' :' IV~;1;lf[: " '" , I' , ." , "', . ,.-' , ',,'. 1,1 ""',"",.,.,:' .," liL " ,': l \ I' I i :', i: ',' ." I:,., ':,," workmanship. The County reserves the right to require actual field demonstration of the equipment purchased of up to fivc ~l working days bcfore final acceptance. Bidder3 3hall submit with thcir bids a detailed comprehensive statement af warranty for the equipment and its various components; i.e., engine, transmisaion, battery, etc. EXTENDED WARRANTY PROVISIONS, If thcrc arc any e,,,ended warranties available on the unit, the same shall be listed where indicated in the I'SPECIFICATIONS", along with cost of said extended warranty, and a completc description of said warranty shall be included with the bid package. Warranty work when possible 3hall be completed in Jefferson County, parts, time and travel expenses shall be paid/borne by the successful bidder when warranty work is necessary. (NO DEVIATION FROM THIS WARRANTY REQUIREMENT SHALL BE ALLO~EiJ. DE.\I":;:AT:::O~: Pr"Ot1 Sf.!!:) ~'::QU!~EM:::NT SHALL BE DEEMED SUFFICIENT CAUSE FOR REJECTING ENTIRE BID.) e) Jefferson County may avail itself of the bidder'G standard warranty if more bencficial to the County. f) Warranty Repair Cost: Bidder shall supply Jefferson County with IIno charge invoiccsll for all work performed under warranty. Each invoice shall itemize parts used and shaw labor charges. PARTS & SERVICE, a) Service Capability: Bidder shall have facilities, 3killed personnel, equipment and parts available to completely service, maintain, overhaul and repair the equipment offered within the local area (i.e., within a radius of 100 miles, including Bellingham, Seattle, areas). Bidder shall be able to provide technical assistance in the person of a service representative within a maximum of 48 hours after a request 18 made to the bidder. Bidder 3hall be sa,isfactory from the standpoint of experience, rcliability and demon?truted ability to manufacture equipment comparable to the size and type required by the specifications. b) Parts AvailabIlity: The vendor shall maintain an adequate 3tock of normal rcplacement parts and shall make dcliveries within 2 working days whcn requested. 3 , . .... -:-;-:- .',. " ,":; ~....'.'" .' "'. ~ ..... .' . ',' I... I " . ',", ""', ',:" ,..,. . '.' .' f " ) ", I ....... ." ~. '. . . .,. , ". t., i., ,. .' , J ;J ... ~ IJ ~ ~ ~J D a I II It I I " : ,,' , i' c' ", .',,', I : .' :~' i '~' i " :: ..,. " ..... I.'. " .,' , t ' [, "". ... . " , ," '. , . ...'.'<. .... ': " ...' ..... ..:,', :. " ,,' ',' . " ,..:"" , "', ,,' '" , .'. ,: ." ,~:': "': ..,. . '. : ":' " :.:',;"."", . : '. I , -- , " ,':.' r:~."'i J "" " ': .', -:';:</~:,~: . ',)'.'.,':, . ""':' ...' , " "" , , " " ". ',....'.. i, . , ' '. ':":' , ,..,;::.' , :'.', ,~~'" ,., . ," '.' , : ,,'. . . ~., ..., ,,-'. , ~ ' ::.", ., ,n, > ',: ' ":, , , ''': ....', , \~'~~t::~:: . .::.. ..' , . '" ' \ " " " .:. ',. .".'. '.' .' ." ! ,..' " . ',...,,' ',,,' .,. ", :;, " ,,' '"",, ...,.:, ". : . , 1 .,;;'1":'.' ,","'"';; ; " ." "',.,' . ,. .", ,'.... :" ';' , ,', .' ' i' ,,;,..C,.'.,.,..',. . :,' ...: I,'" ' '.':,.,: ".", ' i/ , ", " , , . , ' " :,:. : ':',; ,,"", , :" '..','" ,', " : I: ",' ,,: , ". '--,' ':"', ' ,',,,.,, " "',"" : I.' '. I' c) Pricing: The manufacturer and bidder shall guarantee tha, parts' prices will be as low QG such parts which are sold to any other user; and if, at any time, the prices are reduced or increased to the general trade, it is understood that Jefferson County shall not pay a higher price than any other user, effective wi~h the date of such price reduction or increase to the general trade. d) Post-Delivery Inspection: Bidder shall include in the price the cost of a post-delivery inspection service af the equipment, approximately thirty (30) daY3 after it is placed in service. The inspection service shall include the following: (1) Check all operating systems for proper operation and adjustment. (2) Check equipment visually for leaks and mater'j,als defects. e) The Board of County Commissioners reserves the right to reject bids of bidder3 who cannot produce sati3factory evidence that they can furnish promptly all spare parts needed for ordinary service and repair of equipment herein specified. DEVIATION: Deviations from the following specification3 will be considered to permit manufacturers to follow their standard manUfacturing processes. Such deviations will be approved, however, only at the sole discretion of the Board of Commissioners, and only if, in their opinion, such deviationa do not adversely affect the operation, maintenance, strength, efficiency, effectiveness or life of the item bid or any of its purts. (This allowance far deviation does NO! apply to warranty requirements as stated under Acceptance/Warranty section above; and bidder shall still meet or exceed all minimum specifications). All proposed deviations, with full details, shall be listed on a separate sheet, which shall be attached to the bidder's Bid Proposal. The listing of such deviations will indicate that the bid may be accepted only with such deviations. SILENCE OF THE SPECIFICATIONS: The apparent silence of the specifications as to any details, or the omission from them of a detailed description conccrning any point, shall be interpretcd as meaning that only the best commercial practices are to prevail and that only materials of first quality and corrcct typc, 3ize and design are to be used. All workmanship is to be fir3t quality. All interpretations of the specifications shall be made on the basi3 of thi3 3tatement. MANUFACTURER'S STATEMENT OF ORIGIN << SIGNED APPLICATION FOR TITLE 4 , .-' .~I . .,... , ,'. ,., ,; .' ",' ", :, . .': ',,:' . .'. ." , ", " ; ''''''. ~ '. .' .....~ . '. .'. :' '" .' .'.. ..... . .... ' , . .', ,.' " ':' " , ,:.~: ' " " "..... ..,., ,: ..'. . ; " , : " ,". ',' ...........:..'.... .' .'; B I Ii " ..'. '.: ,,/,",., , C,,:. . '.....: . , ,: '. ' ,'. ...,..........,...',: ',' . -.: ,.'...,. '," .,' '.' " ..: ..,...... " ,:':', " ',' " '('" . ',' " " ,.'.'" :", "... ".: ',;' ..' " '. ','.. ""',,,,' ...... ". ". ':.. : . .' ...'.. , " :',', ':", ,.'",,' ",' , , '.'., ,,: " . . "" d ..., , " .~ .',' . " ' . '. '. ~. J Forms shall be delivered with the equipment. Delivery shall not be considered complete until both of these items have been r8ceiv~d. EQUIPMENT TRAINING: The successful bidder agrees to prOVide an appropriate training program for three (3) employees at the delivery location to assure efficient and economical performance and maintenance of the equipment when requested. COOPERATIVE PURCHASES: The WQshington State IntcrlocQl Cooperative Act, ROW 30.34, provides that other governmental agencies may purchase goods and services on this solicitation or contract in accordance with the terms and prices indicated therein if all parties arc willing. 5 : 'f''::' r:,~~',~:~I"'" , ,',,,c. ;t"~'''''' 5IiiM ~.: _1.:, III;:;, iiiii.:,. I~ I; ]f I' I' ,~ . j ! I GENERAL CONDITIONS LIFE-CYCLE COST BID "Life-Cycle COGt Bid"is a purchasing method whereby, through competitive bidding, a governmental cuntomer can buy equipment E:nd get guarantees that selected owninq and operating costs will not exceeq specified ma,timum dollar amounts. "Life-Cycle Cost Bid" consists of purchase price and one or more of the fallowing guaranties: A) MAXIMUM REPAIR PARTS COST: (See Pg. 1 follo'Iling) Bidder guarantees parts costs will not exce~ a specified amount over a certain period of time. With the customer keeping his own accurate, accessible, cost records, if repair costs ~cecd the guaranteed maximum amQunt, bidder ~ customer the difference. Customer can choose to (subject to provisions of #4 under "Guaranteed Maximum Repairs, pg. 1 ): - Perform his own repair work; Hire outside party to perforJ" repair work. B) MAXIMUM SGHEDULED MAINTENANCE COSTS: pg. II ) (See Schedule 'A' attached, Covers costs of periodic (daily, weekly, monthly) scheduled maintenance requirements (lubrication, oil/filter, changes, etc.) . USing the manufacturer's lubrication and maintenance manuals as authoritative reference, bidder guarantees periodic lubrication and maintenance costs will not exceed a specified amount over a certain period of time. If a customer's records show costs exceeded guaranteed maximum, bidder pays customer the difference. C) GUARANTEED MINIMUM REPURCHASE: (See pg. ~ ) following) Bidder guarantees he will repurchase equipment at specified value at time of contract expiration. The customer is under no obligation to sell it back to the dealer. The customer cnn choose to: 6 - Retain Inachine for future use; - Sell machine (self auction, consignment, etc.); - Sell machine back to dealer. CONDITIONS: 1) The equipment will be operated by the County in road maintenance, and other purposes for which it was dCGigned. 2) The County will maintain the equipment in accordance with the manufacturer's specifications. 3) The County will kecp accurate and current cost records. 4) Bidder reserves the right to e~amine the Countyls cost records on the equipment at any reason<Jiblc time. At the end of each year's operation, bidder will have 180 d~y~ to qucGtion the preceding year's repair parts and labor cost. If no ac'tioIl is taken by the bidder in the ISO-day period, the recordG of that year will be considered acceptable to both parties. 5) Bidder retains the right to inspec, the equipment at any reasonable time and make recommendations fOI" repairs, improved maintenance, etc., which shall be complied with by the County to the best of its ability within a reasonable time -- not to exceed thirty (30) days. 6) The County will assume responsibility for all repair costs resulting from damage due to fire, windstorm, flood and rising water, lightning, and other acts of God, theft and pilferage, vandalism, accidents and operator's and mechanic's negligence. Cost of repairs due to above circumstances will not be included in guaranteed maximum repairs covered in this bid. 7) The County will assume the expense of expendable day-to"day supplies, parts and components, such as lubricating oil, filters, grease, fuel, antifreeze, cutting edges, batteries, headlights, glass, tires/undercarriage, cleaning and painting. S} The County has the right at any time to sell. lease, loan, trade or otherwise dispose of the equipment at its discretion. Such action shall make this contract null and void. 7 .'........ ., . .... ......,.. "" " ,',' " ",'. "'." '" "". " .' i; ., '.. " " ;... '. ...'., '. .,','" , .: '. ",'" '" ,," .>...."L ., ..... :.' . ,:, "", ',' '.:.',,'. "';':" ' , ";>, ," ,"'::' ' >. :,,",,: .',:,::..:,' """":'.'." .: ',:"', ""..' " ,': ,;;', , "\' ,,::,' ',.' L" I' : ~ '. ~ :' .,:" 1'.....1 , IIf . ;~':;.(,." ,;,o,.~"N; i~::~. I....:........., r r %:i,,'::. ,t. { ;, : " ; I. ~ '" " 1 ,..:' , , .' ",." ;. ", " .: . ' .' . ,.'.;;" . . .. , " .",' . ',. ",.' ' " , '", i', ',1 't., , , , I, I..,:,::',.:." ,'" '. ' .:,. ..., ,,:'. , :.': , ", , , ....,' , ;,' , ' ": '.' , GUARANTEED MAXIMUM REPAIRS 1) Bidder shall guarantce maximum total COGt of repairs (parts only) for a period of 6,000 hours of opcration as recorded by enginc hour metcr or five (5) years from date of dclivery, whichever occurs first. Repair costs are to be paid for by Jefferson County only if, or as, incurred. Bidder will pay ~o the county the costs of repair in ~ of bid figure. 2) Bidder shall pny for all repairs (including parts and labor) to the equipment covered by warranty, and these costs shall not be included in the total cost af rcpairs. 3) All repair parts are to be purchased from the Manufacturerls authorized dealer and will be charged against thp. equipment at the same price shown on dealer's invoice. 4) Bidder will be notified by the County in advance of any contemplated repair work in excess of $1,000.00 total cos~ (parts and labor), ~nd the details of all such work to be donc. At bidder's option, the repairs will be done in the bidder's service dapartmcnt and billed to the County at biddcrlG prcvuiling ra~es. Regardless of where such repairs are performed, the COGt thereof shall not exceed the cost estimate as stated in the bid. If the repair work is done in any shop other than the bidde~'G he will be notified promptly of the amount to apply as part of the guaranteed total cost of repairs. All repair costs under this clause are to be come a part of the guaranteed totaJ cost of repairs (parts only). All repair costs (parts only) will be substantiated by detailed invoices. Should the delivery of repair parts not be made within two (2) normal working days to the County from the date the ordcr has been placed with the dealer, a daily charge of Fifty and no/100 Dollars ($50.00) per day shall be added to the cumu~ative cost of repair parts for each working day over two (2) that the part is not delivered. (1 ) On thc bidder's prcsentation in writing on verifiable information to the County that the parts are not available to the d~aler from his manufacturer by rcason of strike, natural disaster, or national emergency, the daily charge shall not be made. (2 ) The biddcr may avoid the penalty for non-delivery of parts by making available to the County at no cost a unit of similar size and capacity until such time as the parts are delivered. 8 , . . ' :,"', , " .... ..,..'..' ..-.... . .'. .:' ......"... .' ' ... .. '.. "., , :.', ", " . ,:' . , ' . .;. '.' ~ . > ' , . ',' " ,..... II II I i I II .... ,,: , "., " ',', '.' .' .' <, ..,-: ... . . " , . , , , ":'", ,,i, :"""",:,. . ;~ ',;e , "- ",',' ',:",' :.',.., ',' ,., , "., ,.... ..t " ;:,,, ." '., """'" .'.',' .'" , ',:"':,': ..:" , .' ,', , ". ," i.: . , . ' .,...,....' ~,.,',:.i,.',::: . ' ..' , , . ' :' , :,' , ........ ...., . . ". .'. ....: '.' ..'.1 -' (3) Biddcr is not obligatcd for'thc daily chargc providcd he furnishes the parts ordered on a Ilno charge" basis to the Count,'. I..................... c iI "",. I'" I,,::, r lilIii; .... c !I:'.Il' GUARANTEED MINIMUM REPURCHASE 1) If the County elects to sell the equipmcnt back to the bidder at the end of the rcpurcha8e guarantee term, or earlier, the bidder shall pay the amount guaranteed (as shown on thc Bid Proposal) in cash, within thirty (30) days ufter written notification of the County's desire to sell the equipment and may elect to rctain it or dispose of it at its own discretion. 2) In the event that the equipment. sUbjcct to the Repurchase Agreement, while in possession of the County, is either totally destroyed or partially damaged to the cxtont that the damage is beyond economical repyir, and is considered a total loss because the cost of repair exceeds the guaranteed repurchase price, then the biqder is released from his obligation relating to the guaranteed repurchase. 3) The location of the equipment at time of guaranteed rcpurchase shall be the same as the original delivery location. 4) Repurchase price shall be guaranteed by a separate performance bond, per ,page 1, of the General Provisions. s REQUIRED MINIMUM SPECIFICATIONS FOR SELF-PROPELLED VIBRATORY ROLLER 1 . ~NGINE Minimum diesel H.D. battet.y. cleaner. 70 H.P. 4 cylinder, 220 C.u. 12 volt system. Minimum 3ti gallon fuel capacity. dry air 2. WEIGHT Minimum opcrating weight 130:JQ" lbs,,- Minimum dynamic forcc 5500 to 22,200 Ibs. 3. PROPULSION Hydrostatic - 2 speed. Minimum speed forward and reverse 10.0 M.P.H. to o. 4. STEERING Articulated full hydrostatic power turning radius. Maximum 131 inside diameter. 5. COMPACTION ROLLER Drum minimum 4811 x: 7211. Minimum drum thickness 5/811. 6 . BRAKES Hydrostatic. Mechanical parking brake. 7. VIBRATION Minimum frequency 0 to 2000 V.P.M. 6. HYDRAUr,IC TANK Minimum 18.5 gallon reservoir 9. SPRINKLER S"!!,STEM 10 Minimum 135 gallon water tank. MUGt have clean ou~ doorsl shut off valves and internally coated to prevent rust and corrosion. Must have presGure to drum and wheels. Must have drum scrappers, wheel scrappers. diesel wetting system to rCQr tjrcs. 10. TIRES Minimum 1300 x 24, 6 ply tires. Two sets of tires and wheels. One set smooth for asphalt, one set with tread for soil. 11. ADDITIONAL EQUIPMENT R.O.P.S. canopy. Lockable fuel tanks, hydraulic tank, instruments panel, hood, and radiator cab. Two lights both front and rear. Stop lights. Push button horn. Cushioned, adjustable seat. Tow hooks both front and rear. Fuel gauge, hour meter, engine, water temp. gauge, oil pressure gauge, alternator change gauge, vibration meter gauge, frequency meter gauge and neutral starting. 11 " . ;' , . " ;."'," I~I ..... ", ", .,... .' '. I , ~" " ." ::. " , " r: ',.' : .,,' , I; : . ". ',7"l! ",;. ,'" ii' 'i'-,i,::-, ,-.-\ I: " ~!:' .{.;~ j',':." ;;:.'" .' , : ? ... '.', .. ,. .;. ,," .; ': ::: ' ,<) " , .... " , " " . " .... ,> . . '.' , " ",' " " .. ": .::,'", ',: , , "'.. ..', " . ,'. ' :'.. '. , '.,' " : , .' ,':;;:';;P~:; ,'" .' L " ,,':':; "', ..... ~. , ' ,; " . " , i ' " ,,' ',:. . :',' ." :"'.' "'"'' ",::;' , " ':\ ' ", > --~', " ,. l'-~' . , ' I; I ~ , " J'. I ,:, , ,,: . ----:, , ,,,'., ,', .,-' , . " '. ,':'" ,',' " ,,' . . ".." '. ", . " ',,',, .,:' i' ,,' , ' ..' , ' ,,' ,: , ....,.. '.' .,.. ) , ',,:,,' :. " ." ':,"; ....,.' ',',: : , " ! I ". , I , I . .: ,;: . , .' '" .......:' ':" ,":, : " , " :': .' . ,,":'.,,'. . ,', , ::" \ ,. :, '.'. ' ." - BID PROPOSAL - BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON Gentlemen: The undersigned hereby certifies that he: a) Has read and thoroughly understandG the foregoing requirements ane specifications; b) Agrees to the Maximum Repair Cost Agreement and the Future Repurchase Agreement contained herein (pages respectively); and proposes as follows to meet or exceed said specifications for furnishing Jefferson County with One or more New or Used self-propelled vibratory roller: DELIVERY DATE: MAKE & MODEL OF UNITS QUOTED: _,,____,_______ *BASIC BID: (1) Roller, complete as specified. ... .,. ....... ... $___________ Wash. State Sales Tax (Fed. exempt) (Rate: __._}... $ NET TOTAL TO JEFFERSON COUNTY (Use this total in computing "TOTAL OWNERSHIP COSTS: below) ............... $ COMPUTE TOTAL OWNERSHIP COST: a) NET TOTAL TO .JEFFERSON COUNTY ("BASIC BID" total)... $___ b) ADD: Guaranteed Maximum 6,000 hr/5 yr. Repair Parts Cost, per pages ("Guaranteed Maximum Repair") & ("General Conditions") of the General Provisions);.. $____ c) LESS: Total Guaranteed Maximum 6,000 hr./5 yr. Repurchase Price (per page IIG11aranteed Minimum Repurchase" of the General Provisions); ...................... $__ Estimated Maintenance Cost::; (from "Schedule All attached hereto) ......................... $",,_,,____ Fivep-ercent-i5-%)Bld--Bonda-t-ta'ched';-'payable to the Jefferson County Treasurer, in form of ('x' one): d) ADD: _Surety Bond _.._,_Certificd Check ___Cashier I sCheck 12 " ,: . .... .,,: , , . . , , ""''', :, ,.,::" :' , ",.:,',-,,: '. . . i '. I..:' ..... "," '. '...... . ,i '. .........,.. . '_2 , ~ , , " ", , .:.- .: .~ ATTACHED: 1) Manufacturcr'G warr~ntics, incl. extended warranties 2) Nanufacturerls recommended lubricat-ion~-&- - maintenance guide for units quoted 3) Complete data & specifications for the units ____ 4) Attachment "A" - Scheduled Maintenance Calculation Form" THIS PROPOSAL DATED thiG _ day of _,___, _, _____, 1969 FIRM NAME: ADDRESS: (mailing) (location) BY: (Authorj~ed Rep.) /s/ (Please print/type Name & Title) PHONE: 13 ~ "\ ,;'-' ,~"" ..,'.. ",' " ' '. .' ... ,'.~ '<# , . '" , ,: " .' , .. :' : ,,' , , '.\: ~ , I :, : ? , ~, :':'.:, ,:; I'.....'..'...'....'.. l' , " " . . .' '"c .:,: .; ': , . . ,.: '" .. :.' ...... '..:' " , "..."," , ..', ",.'. . . , , " . i:': .'. . , ,'" : . .. . ~ i ", ,', .",,' ,. < ;' '~~f~1,;':? "',' " ,. , " ',,. .," " I '. , ' ',' .. , ~,' ,",' I,' ,..' .'. "",'.: " "" ' :," ..' . ::', ,,' ./; .~ ~ " ," . ,! .,' ,,' :.' "'1 " ..... :"" . ' " , ' i.." , '., ,,"'. IL" ','.' l ',,,', '" <, i '; . L -,' ATTACHMENT "A" SCHEDULED MAINTENANCE CALCULATION FORM Jeffer30n County believes that scheduled maintenance is a significant part of the overall cost of operating equipment, and is therefore asking for its inclusion as part of ~hc total cost of the unit bid. Instructions: The intent of this form 16 to determine the total scheduled maintenance COGts that can be e~pected during thc first 6,000 hours of ownership. Service intervals, number of groase fittings, and capacities should be taken directly from the manufacturerls lubric~jon and maintcnanqe manual. Unit costs given are equal for all bidders. Although thcrc may be a slight variance due to refill capacities, these total costs are made up of labor, overhead, lost production, gaskets, lubricant, filters and supervisory time. The comparison eJ~amines the service intervals for the various units bid and assumes that the manufacturer's recommendations, if followed exactly, will allow the costs that arc to be incurred on each unit to be calculatcd with reasonablc accuracy. 1) GREASE FITTINGS: Total Hours : Service No. of Fittings Cost per of Operations Interval x @ Each Interval x Fittinq = TOTAL COST 6,000 : 10 Ilrs. x x $0.75 = $ 6,000 : 50 Hrs. x --- ~ $0.75 = $---- 6.000 : 100 Hrs. x -- ~ $0.75 = $ 6,000 : 200 Hl"s. X ----- x $0.75 = $ ---.--- 6,000 : 250 Hrs. ~ -----_.- ~ $0.75 = $ 6,000 : 500 Hrs. x ----- x $0.75 = $-- 6,000 :1000 Hrs. x x $0.75 = $ TOTAL = $ ( 1 ) Determine number of fittings at each interval, insert each number as indicated (if none, write 'none'), perform calculations and to~al last column. 2) ENGINE OIL & FILTER: Number of gallons x 4.04/gal. Current cost of filters Fixed Cost COST PER CHANGE" = $ = $--- =:. $ = $~== 14 >',' . . , ~ . ~ 'i . ',,' ':,' -,.' , .. . " . ~"', . ,.' ,.:. . , ,': d":" " 1 ' , :,.,'.'.'" . : . .', , , .::' . 'i. ,.,.,'> ',:', :. , ,.'" , :', , : ~ ':.:': ;. , , .: :. .' , . ~ " !'." .' ."" I ,', ".> ': ':' ,. '.,' : ...... ,',', " .I",. '" , ",' ',' ": i, .:, ",' , "., ,,'.; " " " " ,,' " ": :'.' . .' ',' "" '., <, ," .',. """". '" :" . ,",' :",..'. , ,':,' "; , '." , , "." ". I. ',..'. ~'d>"" .... '.'..,. , ' , ,. , ..' ':'. ':, ..",.. , ',' .-=-1,:; .J < '" '. , .:. ,,", " " ,. '"',,, "" :, ' .... ;, .., '. ". ... ..... . : ':,..'",':,': " . , .: ',. " :: ' ", .. ..: :.. .,.... , :.', > . ,,' .-....." , ..... I, , ,:~:~':7:"' '" ,-". '/ J {. ..".. " , . ",' ," '.':., , " I:, ;.. " I> "", ii' . .'. "" " '. :': . ..... "",,' , :'. . . .: :'. ,. ' j. ..... , ',:', ' . , .:. " ;'.' . """:'i ", ': ,..' ',:' ." . , ' ,", , '",' '. ',' ... .'., :::' , ,', ,'" . , " ".' . , ,"" ., :': ' ", - : " , . "', ". ,c. . ...:..' ..' I:. ,.."..".,. I:' I".. '. I::,..,,,, ',' ": ',",'.' .... '. : " :. . , i, .. Total Hours Service Cost per of O.2.Q.:r..qj:ions : Intcrval x .9..h.~...nqe~ ; TOTAL COST 6,000 : 0-_,_- Hrs. x ----..-.--,--- ; $----- (2 ) From manufacturer's maintenance manual, determine crankcuse drain and rcfill interval. Inscrt this hourly number and pcrform thc calculation to arrive at thc total COGt for an cnginc oil change. 3) TRANSMISSION OIL: Total Hours Service Transm. SYG. Cost per Operations : Intcrval x Capac}_~al:3 . ) x Gallon ; TOTAL 6,000 : _.~--,---- Hrs. ~ _."~----~~-- x 4.56 '" -.- From manufacturer's maintenance manual, determine transmission drain and refill interval. Insert this hourly numbcr and perform the calculation to arrive at the total cost for a transmission oil change. '. ....., l " ,,'. .. '> . , ',:, ". '..' " . . " . ",', " ,,', '., " , ',,':" .' 1. ' : .' .... ' ......". ". . " ~ " .' 4) OTHER FLUID OR OIL CHANGES: St", Total Hours Service Hydraulic System Cost per of Operations : interval x Capacity (QalG. ) x Gallon = TOTAL ,:) :' 6,000 : - Hrs. x --- x $3.90 = -- From the manufacturer1s mainTenance manual, determine the service interval fo~ draining and filling the hydraulic system. Insert this hourly number, insert the total capacity (in gallons) and pe~form the calculation as indicated. TOTALS: Listed below are each of the categories just calculated. Insert the total number for each category and add the column. The total figure should be entered on the Bid Proposal form, whcre indicated: 1 ) 2 ) 3 ) ~ ) Grease FittingG: Engine Oil & Filter: Transmission Oil: Other Fluid or Oil Changes $ $- ,-,-,-,.- $ $==== TOTAL: $ (Enter this figure on the Bid Proposal, Pg 12, where indicated. ) 15 I,..' , .. I .. [:" .... .., (":",..",,.', .' :.. . :,' .'i'" " '. . , '.... .: ... " " S' '.:' '" " . ., " ' " '. ': " :'. ... ; . " " ',,.:' ,:' '" " ",;: , '" ", :' '.',' " .:. ' .",: '.': " ' '. , ,,'...' " Ii .', I.',' '" ,": ---' ,,",' ',: , .:,;::'. . . ,".' '" , ':," . ::, ' ,. " ,; - " .....,. ... ',,', "', , ',', . ...:...- j ~ 1fG"~"'~-n-"T-' \ , ----S..;.\,-fJ~. \.;;;.-" ),.,;1"/.;:::;; ,I, '\.-"IJi~"""~-:a. / ~;A~1:'~ ri/~~'~S. L'~' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street p,O, 80x 12,0 Port Townsend. WA 98368 (206) 385-9160 G8ry A. Rowe, P.E., Director Robert G. Nf:sbltt, P,E., County Engineer MEMORANDUM TO: Board of County Commissioners -- FRO~l: Public Works Department p)l DATE: May 2, 1989 SUBJECT: Bid' For Self-Propelled Vibratory Roller All bids were reviewed and the low bid was Sahlberg Equipment at $57,027.07. This price is about $6,000 higher than 'the original estimate, but I do not feel we will receive a lower bid by re-advcrtising. I recommend that the award for the Self-Propelled Vibratory Roller be given to Sahlberg Equipment. 100% Recycled Paper - BID PROPOSAL - BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON Gentlemen: The undersigned hereby certifies that he: a) Has read and thoroughly understands the foregoing requirements and specifications; b) Agrees to the Maximum Repair Cost Agreement and the Future Repurchase Agreement contained herein (pages respectively); and proposes as follows to meet or exceed said specifications for furnishing Jefferson County with One or more New or Used self-propelled vibratory roller: DELIVERY DATE: 60 Days A~O MAKE & MODEL OF UNITS QUOTED: Rex Model SP700 -BASIC BID: (1) Roller, complete as specified................. $ 52,754.00 # Wash. State Sales Tax (Fed. exempt) (Rate: ~)... $ 4.273.07 NET TOTAL TO JEFFERSON COUNTY (Use this total in computing "TOTAL OWNERSHIP COSTS: below) ............... $ 57,027.07 COMPUTE TOTAL OWNERSHIP COST: a) NET TOTAL TO JEFFERSON COUNTY ("BASIC BID" total)... $52.027.07 b) ADD: c) LESS: Guaranteed Maximum 6,000 hr/5 yr. Repair Parts Cost, per pages ("Guaranteed Maximum Repair") & ("General Conditions") of the General Provisions);.. $2.500.00 Total Guaranteed Maximum 6,000 hr./5 yr. Repurchase Price (per page "Guaranteed Minimum Repurchase" of the General Provisions); ..................... $ 17 .500. 00 d) ADD: Estimated Maintenance Costs (from "Schedule A" attached hereto) ..... ... ... ....... ....... $ 2,661,60 Five Percent (5%) Bid Bond attached, payable to the Jefferson County Treasurer, in form of ('x' one): ---L-.surety Bond ____Certified Check ____Cashier's Check 12 --.." ATTACHED: 1) Manufacturer's warranties, incl. extended warranties 2) Manufacturer's recommended lubrjcation << -- maintenance guide for units quoted ____ 3) Complete data & specifications for the units ~ 4) Attachment "A" - Scheduled M<lintenance Calculation Form" THIS PROPOSAL DATED this 28th day of April , 1989 FIRM NAME: Sahlber~ Equipment, Inc. ADDRESS: (mailing) 5950 4th Ave. South BY: (location) c~' A 9~108 (Authorized Rep.) S/I tfj j 11. I Jo F. Sahlberq, Vice President Sales ~e print/type Name << Title) PHONE: 206/762-8080 13 ATTACHMENT "A" SCHEDULED MAINTENANCE CALCULATION FORM Jefferson County believes that scheduled maintenance is a significant part of the overall cost of operating equipment, and is therefore asking for its inclusion as p~rt of the total cost of the unit bid. Instructions: The intent of this form is to determine the total scheduled maintenance costs that can be expected during the first 6,000 hours of ownership. Service intervals, number of grease fittings, and capacities should be taken directly from the manufacturer's lubrication and majntenance m~nual. Unit costs given are equal for all bidders. Although there may be a slight variance due to refill capacities, these total costs are made up of labor, overhead, lost production, gaskets, lubricant, filters and supervisory time. The comparison examines the service intervals for the various units bid and assumes that the manufacturer's recommendations, if followed exactly, will allow the costs that are to be incurred on each unit to be calculated with reasonable accuracy. 1) GREASE FITTINGS: Total Hours of Operations Service No. of Fittings Interval x @ Each Interval Cost per x Fittinq = TOTAL COST 6,000 10 Hrs. x -O- x $0.75 $ -0- 6,000 50 Hrs. x 3 x $0.75 $ 2.2b 6.000 100 Hrs. x 3 x $0.75 $ 2.25 6,000 200 Hrs. x B x $0.75 $ 6.00 6,000 250 Hrs. x 6 x $0.75 $ 4.50 6,000 500 Hrs. x 8 x $0.75 $ 6.00 6,000 : 1000 Hrs. x 16 x $0.75 $ 12.00 TOTAL $ 33.00 (1 ) Determine number of fittings at each interval, insert each number as indicated (if none, write 'none'), perform calculations and total last column. 2) ENGINE OIL &< FILTER: Number of gallons x 4.04/gal. Current cost of filters Fixed Cost COST PER CHANGE. 3.18 $ 12.84 $ 7.73 $ 20.57 $ 20.57 14 Total Hours of Operations Service Interval x Cost per Chancre * TOTAL COST 6,000 ~Hrs. " $20.57 60 x $..L.234.20 (2) From manufacturer's maintenance manual, determine crankcase drain and refill interval. Insert this hourly number and perform the calculation to arrive at the total cost for an engine oil change. 3) TRANSMISSION OIL: Total Hours Operations Service Interval x Transm. Sys. Cost per Capacitv (qals.) x Gallon = TOTAL 6,000 l.Jlll.Q..Hr s . " 1!5 Ga 1 4.56 x = $~'UL From manufacturer's maintenance manual, determine transmission drain and refill interval. Insert this hourly number and perform the calculation to arrive at the total cost for a transmission oil change. 4) OTHER FLUID OR OIL CHANGES: Total Hours of Operations Service Hydraulic System interval x Capacity (qals.) Cost per x Gallon =~ 6,000 l..llilllHrs. x 34 x $3.90 ~ $l....3Zfi...0 0 From the manufacturer's maintenance manual, dete~rnjne the service interval for draining and filling the hydraulic system. Insert this hourly number, insert the total capacity (in gallons) and perform the calculation as indicated. TOTALS: Listed below are each of the categories just calculated. Insert the total number for each category and add the column. The total figure should be entered on the Bid Proposal form, where indicated: 1 ) 2 ) 3} 4) Grease Fittings: Engine Oil << Filter: Transmission Oil: Other Fluid or Oil Changes $ 33 00 Sl...2."M-2!L_ $ fiR 4n $] ,1?fi nn TOTAL: $? lifil lin (Enter this figure on the Bid Proposal, Pg 12, where indicated. ) 15 t.'!t~_ OF~E:"SAF'ECO'PLAZA ' SEATTLE, WASHINGTON 98185 BID BOND KNOW ALL or THESE I'RI::SENTS. That we, Sahlberq Eauiment, Inc. of Rp..Rttle Washi..rQton (hcreinafler called the Plincipal), as Principal, and SAFECO INSURANCE COMPANY OF AMERICA (hereinafter called the Surely), as Surety. are held and firmly bound unto (hereinafter called the Obligee) in the penal sum of ---E.br.e......Ee:r:cPnt ()r AnY1l1nt of Bid Doll", ($ 5~ of Bid Allo}l11t for the payment of which the Principal and the Surely bind themselves. their heirs, executors, administrators. successors "nd assigns,joinlly and severally, firmly by these presents. THE CONDITION OF THIS OBUCA TION IS SUCH, That WHEREAS, the Principal has submitted or is about to submit a proposal to the Obligee on a contract for -Sel.f.!P~l.J,ed-V'ib=tm:y Roller NOW, THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond. if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract, then this obligation shall be void; otherwise to remain in full force and effect. Signed and se'alcd this 26th day of .April '.J9~, ~?~J~ Witness , , : (Seal) , Principal \, .. TItle SAFECO INSURANCE COMPANY OF AMERICA By llz.7L -;;:!J1 ri{~~riZ. ,.- ~ ( Attorney-in-Fact Betty L. M:: Carter -'''-'''-"''''-~'----''''''''''-, ~ SAFECO ~ ===r~~~4r"-lil~ .~--~~~~~.,>t#Ml17"-"""'''''U.'Mr_T~ w.firx LIMITED POWER $AHCO INSURANCE COMPANY OF AMERICA .,:":~:"-' GENERAL INSURANCE CQMPMH OF AM(RIC.to 1;:,":.',,',',',:1 OF ATTORNEY HOME OFFiCE SAFECO PLAZA ",'it SEAlTLE. WASH:i-.jGTON 98185 .:'.:;';.1 ;,,'j. No. 5621 KNOW ALL BY THESE PRESENTS: That SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA. each a Washington corporation, does hereby appoint -----------KEITH DEGGINGER; BETTY L. McCARTER; MICHAEL RUCKER, Mercer Island, Washington------------------------------------------------------------------- its true and lawful attorney(s)-in-facl. with full authority to execute on its behalf fidelity and surety bonds or undertakings and other documents of a similar character issued by the company In the course 01 its business, and to bind the respectl....e company the.eby in amounts or penalties nOI exceeding the sum of TWO HUNDRED FIFTY THOUSAND AND NO/lOO:--- DOLLARS (S 250,000,00 IN WITNESS WHEREOF. SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA have each executed and attested these presents this 4th day of August 88 ,19_, CERTIFICATE Extract from lhe Bv,Laws of SAFECO INSURANCE COMPANY OF AMERICA ."d of GENERAL INSURANCE COMPANY OF AMERICA: "Article V. Section 13. - FIDELITY AND SURETY BONOS. . . the Preside"L any Vice President, the Secretary, and any Assistant Vice President appointed for that purpC's~ by the officer in charge of surety operatIons. shall each have authorit',' 10 appoint individuals as attorneys-in-fact or under other appropriate titles with authority (0 execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business. .. On any instrument making or evidencing such appointment, the signatures may be affixed by faGsimile, On any Instrument conftHr'il)9 Such autt"loritv or on iHlV bond or undenaking of the company. the seal, or a faCSimile thereof, may be impressed or affixed or in any other manner reproduced; provided. however. that the seal Shall not be necessary to the validity ot any such instrument or undertaking," Extract from a Resolution of the Board of Directors of SAFECO INSURANCE COMPANY OF AMERICA anr! of GENERAL INSURA,NCE COMPANY OF AMERICA adopted July 28, 1970, "On a'ny certificate executed by the Secretary or an assistant secretary of the Company setting out. (i) The provisions of Article V, Section 13 of the By-Laws. and (ii) A copy of the power-ot-attorney appointment, executed pursuant thereto. and (iii) Certifying that said power-of-attorney appointment is in full force and effect, the signature of the certifying officer may be by facsimile, and th~ seal of the Company may be a facsimile thereof." I, Boh A, Dickey. Secrelary of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By-Laws and of a Resolution of the Board of Directors of these corporations. and of a Power of Attorney issued pursuan1lhereto, are true and correct. and that both Ihe By-Laws, the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF. I have hereunto set my hand and affixed the faCSimile seal 01 said corporatlons this day of ,19_, , i:o: CALL FOR BIDS Notice in hereby given that the Board of County Commissioners of Jefferson County, State of Washington, will receive sealed bids up until the hour of ~ A.M., Monday /11rl1f, 1 , 1989, at the office of the County Commissioners, Courth use, Port Townsend, Washington, 98368, to be opened and read at that date and time for furnishing the Jefferson County Department of Public Works with: ONE (1) SELF-PROPELLED VIBRATORY ROLLER Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where copies may be obtained. Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Treasurer of jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract. The board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. APPROVED THIS / '7",{. DAY OF '() r1{.z--lo { , ' , 1989. BOARD OF JEFFERSON COUNTY COMMISSIONERS .~t::<,,-z~_c 0- c/3.-c.<<-<-o.-.---- Geo e C. Brown, Chairman SAHLBERG SEAirLL SPECIFICATIONS FOR PROVIDING ONE (1) SELF-PROPELLED VIBRATORY ROLLER NEW OR USED, LOW HOURS WITH A WARRANTY FOR JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO PLANHOLDER The office to administer this contract is the Department of Public Works, P.O Box 1220 Port Townsend, WA 98368 Telephone (206) 385-9160 I ' , I i;' " r I~'" I ,i i' t '.: 1- I"~ t"-". :<. .:'- "'. .' :i"" . .,... ',:'" , ':' , [, 1- ..'..., I, :':'i . .'.. ...... . I',', ' ," .. " '" I;. I, " .... JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR ONE (1), SELF-PROPELLED VIBRATORY ROLLER Bid call for Monday, 1989, for furnishing the Jefferson County Department of Public Works, Road Department, with one (1), Self-Propelled Vibratory Roller. GENERAL SPECIFICATIONS It is the intent of these specifications to describe a self- propelled vibratory roller in sufficient detail to secure bids on comparable equipment. All parts not specifically mentioned. which are necessary to provide a complete self-propelled vibratory roller, shall be included in the bid and shall conform in strength and quality of material and workmanship to what is usually provided to the trade in general. The self-propelled vibratory roller shall be a standard production model by the manufacturer. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. BID AND PERFORMANCE BONDS: Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check, or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract. The successful bidder shall also provide a performance bond in the amount at the guaranteed repurchase price guaranteeing the repurchase obligation, This bond will be submitted to the county at the time of delivery of the equipment. DELIVERY TIME Jefferson County expects prompt delivery of the self-propelled vibratory roller. The bidder shall indicate on the proposal the time for delivery after award of the contract. The time indicated shall be a factor in determining the successful bidder. If the actual delivery date exceeds that set by the successful bidder a reduction in the unit price of One Hundred and NO/I00 Dollars ($100.00) per working day for each and every day as liquidated ~,~:22,'~;,,' . ..' ...', ~Wtl... "'.! . . ' . ..' '.' , '" ..' ;':;', '.... '':'',,;';; . " . ;;/~,,~': ',: . "" '.: ,,,::,'. ,'.'.'" ::' ,.' ,,', '" , .' " ": ',iC ',' ,', ..... " fA" ~;:'f '," , ,', 1 In t.! llIl ltll I _{II ..... .' ..... . , I' :. B i... . I , . , " : " ' .. ! . .,". i...... .; I......, ". ,", , '" I'. ' .', I: ,:' .,', ,', I'" ". . ".' , I . ': " , .' I I', ",,' :'. ...... ..'... i: ',:" . . :', .', ,'.':: ,'. ...'.....,.<.. .....1 --I.' , , ..'.' I. --:..J ' .J ~ " i .~ I ; ',,/, ", .. I" ~, -r l;~' I. I i' : '.,;; ',. ....~~g "::;' " :" , . . ~ " ...,...: " ., \ :' , ': "':"',; , ,; " '~{;!f~.(~; .'. , , " ',' ":,'. '. . . ... "'.' ,: , , , " " ,"',. :'. .' '. '''" ' ., '.' . " ,>, :~ " . ' "'1.," . ,I ". .'. .' ",'" :.'. .': -, , 1:1' . :.,' .., l'L-" damagcs and not aG a penalty for forfciture for breach of agrccmcnt to complete delivery by the successful bidder on or before the time specified in the Bid Proposal. Should thc successful bidder be obstructed or delayed in completing delivery by any default, act, or omission of the County, or by strikes, fires, acts of God, or by the inability to obtain materials, equipment or labor due to Federal government restriction, then the time of completion shall be extendcd for such periods as may be agreed upon the County and the successful biddcr. Should there be insufficient time to grant Guch extensions prior to completion date of the contract, the County may, at the time of acceptance of the equipment, waive liquidated damages which may have accrlled for failure to complete the work on time, due to any of the above, after hearing evidence as to the reasons for such delay and making a finding as to the cause of same. In the event that the successful bidder is on strike at the time of the award of the bid, the County reserves'Ll~ option to accept the first acceptable bid from a manufacturer that is not on strike. INTENT OF CONTRACT is to furnish to Jefferson County a self- propelled vibratory roller meeting or exceeding the stated specifications. Bid price shall include the costs of the new unit, plus guaranteed scheduled maintenance cos~s, based on 6,000 hours or Q years contract time period, whichever comes first. New or used models will be considered in the award. AWARD OF BID: Award of contract by the Board of County Commissioners will be based upon the least life-cycle cost bid submitted (Total Ownership Costs' from the Bid Proposal sheet). Consideration will also be 'given to delivery date, parts and service facilities, analysis, and comparison of equipment specification details, and past experience with similar or related equipment. The Board of County Commissioners also reserves the right to reject any or all bids for cause and to waive any informaliti~s. ACCEPTANCE/WARRANTY: No part or parts defective in construction or deficient in any of the requirements of these specifications will be considered as being accepted in consequence of the failure of any employee of Jefferson County to point out said defects prior to acceptance of the equipment by Bidder shall include in the bid price the following guarantees and warranties: al The successful bidder hereby warrants that for a period of one (1) year from the date of final acceptance, he will at his own expense and without cost to the County, replace all defective parts and make any repairs that may be required or made necessary by reason of defective materials or 2 , ,,,,"':, ':', '. ,"," ,:, ,,':," " ':'~'<,' ., '"" :,' "':,', :;>':,..... ',. ';:'.:.:';"'c:, ",;., ':>',: ...'..::'.,.. " " ". .,',: :,,,. . ',,,' :: "", .,,'.,,, " . ',,: " . , ,: ,-'- " "., -' ,~ .. . '. :" ;' --I ", ' : ' ,'..., . . ,',: ... , '.' , . "',,'" I "" :", "', ',' . I . ':,., ',,' ,.'," , ," " . ' [,\ ! ..' "'..' , >".' , , ';> , "',.' I' ",' , <.,'. . ;'. .' '.... . , , '" '" . :. '" " " ,"',." ' :, .' , .:, ','. ,: " , ",..' '.:' ..:.','..'.: .... ".... ....;' . :', " , ", ", ,':,.,,' " , ' :. ," . '. . . .. ;:: .........:' ".' " ." ,;'. " . ': '" ::. . ',. ",: .J Forms shall be dclivcred with the equipmcnt. Delivery shall not be considercd complete until both of theGc items have been received. EQUIPMENT TRAINING: The successful bidder agrees to provide an appropriate training program for three (3) employees at the delivery location to assure efficient and economical performancc and maintenance of the equipment when requested. COOPERATIVE PURCHASES: The Washington State Interlocal Cooperative Act, RCW 39.34, provides that other governmental agencies may purchase goods and services on this solicitation or contract in accordance with the terms and prices indicated therein if all parties are willing. 5 I' ~; !!!; .. ....., i-',,,'__,"";'< ":""-"'-: . \1,: . Ii..... I.' Ii j'". }.);:.,,- \ I'. ~, '. 'i' , j, i '. ','" ','" : I. ' :. ,", .... " ,', \ , r I,: Ii Ii:' .. , : , " I " " ':. ',', " ',' .'" ',.', " .. .... ..... ". ...'. . "..' ' " :...., " " ' ..... ...... 1,_- , ',. ,':, [\ !' I, I. :. ''',' 'L ~~' "'.' :",. . ',' ".''',.' 'GENERAL CONDITIONS LIFE-CYCLE COST BID IILife-Cycle Cost Bid"is a purchasing method whereby, ~hrough competitive bidding, a governmental customer can buy equipment and get guarantees that selected owning and operating costs will not exceed specified maximum dollar amounts. IILife-Cycle Cost Bid'l conHists of purchase price and one or more of the following guaranties: A) MAXIMUM REPAIR PARTS COST: (See Pg. 1 ) following) Bidder guarantees parts costs will pot ~ed a specified amount over a certain period of time. With the customer keeping his own accurate, accessible, cost records, if repair costs ~ the guaranteed maximum amount, bidder ~ customer the difference. Customer can choose to (subject to provisions of #4 under "Guaranteed Maximum Repairs, pg. 1 ): - Perform his own repair work; - Hire outside party to perform repair work. B) MAXIMUM SCHEDULED MAINTENANCE COSTS: (See Schedule 'A' attached, pg. II ) Covers costs of periodic (daily, weekly, monthly) scheduled maintenance requirements (lubrication, oil/filter, changes, etc.) . Using the manufacturer's lubrication and maintenance manuals as authoritative reference, bidder guarantees periodic lubrication and maintenance costs will not exceed a specified amount over a certain period of time. If a customer's records show costs exceeded guaranteed maximum, bidder ~ customer the difference. .' C) GUARANTEED MINIMUM REPURCHASE: (See pg. ~ ) follOWing) Bidder guarantees he will repurchase equipment at specified value at time of contract expiration. The customer is under no obligation to sell it back to the dealer. The customer can choose to: 6 " :'. , ,', " ,,"'. '. .' ',,' ": ': .'.." ....": ,. .,', , : ':,:' :,'.: " :""':". , '.' " , " .,:'.",,:'.' , ..;:..., ..'. " . .' ;,:" : ,", ."" . ". . :' ' ':; ..,...: " :', :',' .. ' ''', " ... ,. . ;. '. .,:, ::,:. I': ': '" ..., .' ; '. .:; ,-... ~ . . .'. " I '" .' ",' I :', ,'..: ,. II I '. " t ". ,,.. " " " I ......... , .' 1 ..,.. : . '. I , "~,I ; I.. ....... I i ., '.' ",", '" :.' ,- .", ...... ", " !. .' ,:,'. .:,,: I.... '.' : .....' , : '.' .... i , ':,' "',:, '. :... , " '. '. " " .' , ..... " ,.',' , " ...........'....... :.' ....... '. .' : . . ," ".:'.' ,:.' ... . ..,.': :,.. :: ',', ~ . .... .' :- ,.' .:'. '. ,.' ....,' . ,.' ,:' : " " ." '1: . . I /:\ .': ."';'. " ; '( , \. , .! .. ", ," . !\'. ' ': : .' . " I; . '. ":,,'" ': ,:/~X;'" ..:.... ,;:'.::' .: .'.,. ....- :,:,,:'. ': '. .,:'. ',; ,..': C, ". .!' ,>'.: . "". I, , :::'" ....,: " ,','.', \,: .' ..: " ., " , " I; I,..,.' " "';'-';;.\, 'r .: "~>"_. " 1",,-.-:,.:.,.-.:"';' .., ,:'~';, " .: - " ."'<~ Ii: " ~";~ Ifm, It' I' I: I ,',', I; ':" I:'.::, . i, ".!, ' " . :""",,,::';"" ;, ", . ,', '", " , .:",::." ", ". '. .', : .,' "~c. " ' ',.'.,., , ' . ,I . '" .,,' '.' " """ '." ' .",' , " , I, ." - Retain machine for future UGC; - Sell m~chjnc (se}f auction, consignment. etc.); - Sell machine back to dealer. CONDITIONS: 1) The equipment will be operated by the County in road maintenance, and other purposes for which it was designed. 2) The County will maintain the equipment in accordance with the manufacturer's specifications. 3) The County will keep accurate and current cost records. 4) Bidder reserves the right to examine the County's cost records on the equipment at any reasonable time. At the end of each year's operation, bidder will have 180 days to question the preceding year's repair parts and labor cost. If no action is taken by the bidder in the 180-day period, the records of that year will be considered acceptable to both parties. 5) Bidder retains the right to inspect the equipment at any reasonable time and make recommendations for repairs, improved maintenance, etc., which shall be complied with by the County to the best of its ability within a reasonable time -- not to exceed thirty (30) days. 6) The County will assume responsibility for all repair costs resulting from damage due to fire, windstorm, flood and rising water. lightning, and other actG of God, theft and pilferage, vandalism, accidents and operator's and mechanic's negligence. Cost of repairs due to above circumstances will not be included in guaranteed maximum repairs covered in this bid. 7) The County will assume the expense of expendable day-to-day supplies, parts and components, such as lubricating oil, filters, grease, fuel, antifreeze, cutting edges, batteries. headlights, glass, tires/undercarriage, cleaning and painting. 8) The County has the right at any time to sell, lease, loan, trade or otherwise dispose of the equipment at its discretion. Such action shall make this contract null and void. 7 " .'. "',, ""~T~,,, , , "", ,:", , ': , ".' ",':' .-; c'.." "":." ,",::, ' ,'" ',"; :.. :"c': ,I.,: ," "',' " i.': ' ' '. . ,:' '.: ,:.:, ':, ' " ' " ", .' ,'..' "" ":," "".; '" ',' '.:; . ",: . .'>.' "" ..'.. '",' ,:" ,; , :.': ; .:: " :,,': ::' ": :::' " .,: ", ,.,.:.. '" . ' : :'.;,.," " ': -,. .' " ---.;.:. ': ".; : ,:" , ' I:,,,, . '1 , ,> , ';, , . . , ,., " , ':,.',,:','.,;" ; ,I,' , " '"." " ::. .. '; . ".': :. ,', ::': "" ....'.....,.. ','." 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", .', ' : ' ': " . '.' . ,'" ' " I. '.':' ',:' , , '.;, l:L..... ~UIRED MINIMUM SP~CIFICATIONS FOR SELF-~ROP.ELL~ Y_IBR_ATOrY HOLLER 1 . !lliQ11'L1; Minimum diesel 70 H.P. 4 cylinder, 220 C.u. 12 volt oyotem. H.D. buttcry. Minimum 35 gallon fuel capacity. dry air clcancr, 2. ~ Minimum opcrating wcight 13000 lbo. Minimum dynamic forcc 5500 to 22,200 Ibs. PROPULSION Hydrostatic -. 2 spccd. Minimum spccd forward and rcvcrsc 10.0 M.P.H. to O. STEERING Articulated full hydrostatic power turning radiuo. Maximum 13' inside diameter. COMPACTION ROLLER Drum minimum 48" x 72'1. Minimum drum thickness 5/8". 6. BRAKES Hydrostatic. Mechanical purking brakc. 7. VIBRATION Minimum frequency 0 to 2000 V.P.M. 8. HYDRAULIC TANK Minimum 18.5 gallon reservoir 9. SPRINKLER SYSTEM 10 , ',' ,,",:',,'.', ,',. ',,', '. " ' , ' " . ", .,:' : , ,;" , ,." "" '.,' ,I. "':'" ,,:,',:',,':, r~;::~ I" ,.'..' . .;, . ' ':' ,'" " ',' ,'. ;.'1, " "." ' ";. '," , ,,' , I,', "',';' :'. .... ':' ,",' ',,: ...., .:. ',' '. " ".' , ,'. :. "., ,.,', , ";,:, ;':'1';"", ":'::,:.-,:, ,'I ",':".""'.:.. '....,',' ""i',,,: '0 " :, , -""": , ,..,,1,. '" ' ':; ..." " .'. I'.;d' '::.:: , . ....' ,':.' ',.' " "'''. .". :::;i, . : ..... ' " ." '" :~ .,,: '.. , ;'1, '!.. ,', '" , " ~ '. .;. '.' ,,0 ;. I.\! '. ,.... r .....,. ',' , ". .;. ''''.' :': ','" ",' .' . : "" . , ". .' ,':. .,' . ., ,', I'. .d.'. ."," '. ",: ... :.,;'. ' .... ...... .... . ,..... '. ".;. I'. ..... . .'.:' . . '.' .... , '. ", "," ......,... ....;.,.;,t~i!l; . ' ." "",,' ,.1' j ..:.....'... ... . ,', "J" - ':, j , :. " . .. , '.' , " .,: .'''' .' I;:~ , , , , , 1: i ( I~ L\ ) ; 'I ; , Minimum 135 gallon water tank. Must have clean out doors, shut off valves and internally coated to preven~ rust and corrosion. Must have pressure to drum and wheels. Must have drum scrappers, wheel scrappers. diesel wetting system to rear tires. 10. ~ Minimum 1300 x 24, 6 ply tires, Two sets of tires and wheels. One set smooth for asphalt, one set with tread for soil. 11. ADDITIONAL EQUIPMENT R.O.P.S. canopy. Lockable fuel tanks, hydraulic tank, instruments panel, hood, and radiator cab. Two lights both front and rear. Stop lights. Push button horn. Cushioned, adjustable seat. Tow hooks both front and rear. Fuel gauge, hour meter, engine, water temp. gauge, oil pressure gauge, alternator change gauge, vibration meter gauge, frequency meter gauge and neutral starting. , ',' 11 " ...' ,. "'; ,,,,-" ,;" ',",I., " ,",,;, :< ',:;[;,Y ,'.',''... '" :"" "'.., , ,: ' ,', ",,:", ...' " : ..., , , ':",' "',,'" ',,:.1 ".... :' ,.:',',.,' "; ,< '.' "':"', " " ":' :,'. " " " '.; "', ',', '" ;:'/' '. ' ,,,', ,:" "':".' , , ...,' : ':: '" '''', " ..' ""'" ,> ,.' :: .' :' ";' !'., : '. : ' I: I ' ..: :..' : ;l " ". I', ::" ,~ .: ,\ ~~~~. : ", . :' .... ,'. ", " " ' , :: , , '" , . :, ", . ,...., ','., ,."". " '. ' ;. " ' . /, .':,' . ., 1'/ , ;0 ",',., I ' .' , I til ',' . ' " ,,' '. :. :':, , . '," , , ','.: . " " ,,' (, : , " " ,:", i....: ! ", ,," ,', ",' .',' , : :~: ' .'" :. " .. " ,: " :' ..'....... . , ','. " . ;: (., , , , , '" ' , "., .::;: , " " '," -:-:: , . ....' .......... '. - .1' ~'~'- '-~~'~~1~,~~~u~_n, CONSTRUCTION EQUIPMENT AND SAFETY SUPPLIES SEATTLE. SPOKANE. ANCHORAGE. POIl1LAND SEATTLE S9S04th ""VE. SOUTH ~EATTLE.WAOO108 (206)162-8080 FAX (2061167-5981) ANCHORAGE 1702 SHIP AVENUE ANCHORAOE, AK99!'.Ol'ltlIl2 (9071276-50494 FAX (907) 278.0998 SPOKANE. EAST31071RENT fJ>OKANE, WA. ltI9202 l009)!>34'1592 FAXlt..Cl9)53&-607J ...ORTlAND 1:1591 H,E. 'NI~nMEH WAY PORTlAND. OR i7230 t503)25<5.1767 FAY-(5OJ12;.1-d!>45 John F. Sahlborg VIl;eP,oS'donISalus April 28, 1989 J~fferson County Dept. of Public Works Port Townsend, WA 98368 TO WHOM IT MAY GONCERN: We, at Sahlberg Equipment, Inc., ar~ pleased to quote the Rex Model SP700 Roll~r. We hav~ done our best to comply with all your speeifications and, in fact, do comply with one exc~ption. We are not able to supply a 2-Speed Roller, but are infinitely variable in our sp~ed seleetion. W~ ean offer an extended warranty on th~ John Deere engine for $527.00. we ean be of any assistance. Thank you for the JFS:la Enclosures ~~ (i) "WE SERVICE WHA T WE SELL" FROM FOUR LOCATIONS tnt~, t~ ~,-," ~ - BID PROPOSAL - , -I' . ,'. ">"J,. .. ,.,. ',:, -- ,'.. "",1 ~;f~~ . ...'. , ." I .:,...':. ,: "",,"":;,: .: ,:";;:~: ' L , '..', .' .,.'....'.:... . "', : and I", .,',.... New <,' '. " ..' ..' . . '..'.' .I. I "'" , :," .,.. . ;.. , . .. ',. "', . ,,' it~""~'~ .;.,:: " . ....,..," ....". ','''' ":: '"." , ", , : BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY. WASHINGTON Gentlemen: " , ': , ...' The undersigned hereby certifies that he: a) Has read and thoroughly understands the foregoing requirements and specifications; b) Agrees to the Maximum Repair Cost Agreement the Future Repurchase Agreement contained herein (pages respectively); and proposes as follows to meet or exceed said specifications for furnishing Jefferson County with One or more or Used self-propelled vibratory roller: " ':: ,'; :: , ., " DELIVERY DATE: 60 Days MO :', ..,., . " .' '. '. MAKE 6< MODEL OF UNITS QUOTED: Rex Model SP700 '" (1) Roller, complete as specified................. $ 52,754.00 {o Wash. State Sales Tax (Fed. exempt) (Rate: ~)... $ 4.273.07 NET TOTAL TO JEFFERSON COUNTY (Use this total in computing "TOTAL OWNERSHIP COSTS: below) ............... $ 57,027.07 ',: .' '.','. ," .BASIC BID: \ ; I , --'. ,,' ' . ':, : : . .'..: ,,' ". ': " ,,' . " . '::'.' .'. :..'.'..,. .'... ,': .',' i ,,' .',,' 1.....,....:,. I. ',' , '. I 1< !'. " ... : I..' .':. I I. .... !. '. '.' .' ' I ". ,"" , ,::' :,. ",' . .' '. " '. . ,': '. . '" " " , " ',":', " '. ',,, .." : :" , . .i- i. " " " ", .... :. .:' , ,,' ',' " ,:' , , ,. :' " "". " " , ,,', , COMPUTE TOTAL OWNERSHIP COST: a) NET TOTAL TO .JEFFERSON COUNTY ("BASIC BID" total)... $52.027.07 b) ADD: Guaranteed Maximum 6,000 hr/5 yr. Repair Parts Cost, per pages ("Guaranteed Maximum Repair") &. ("General Condi tions") of the General Provisions);.. $ 2,500.00 c) LESS: Total Guaranteed Maximum 6,000 hr./5 yr. Repurchase Price (per page "Guaranteed Minimum Repurchase" of the General Provisions); ..................... $17.500.00 d) ADD: Estimated Maintenance Costs (from "Schedule A" attached hereto) ......................... $ 2.661.60 Five Percent (5%) Bid Bond attached, payable to the Jefferson County Treasurer, in form of ('x' one): ~Surety Bond ____Certified Check ____Cashier's Check !' 12 " ',", . , " " " .:: ' .,'. ":.."L" :'" " . ,"'." ':".' " ," " ",' , ...': . .' . , ,."'''. : .-J "....':".';' .' .' ',' " , ".: '.' .,' " .: " ; " ';ii.' ,:'.' I,';:::. '.' '.', L '" " ",' i' , " ' " . ", ' I'. '" ': " I..... ":';-- . ' I:. . \ , " : . .. . , " : ~ " " .... "J' I , . t - J .. ..,.t_ - l . ATTACHED: 1) Manufacturer's warranties, incl. extended warranties 2} Manufacturer's recommended lubrication & -- maintenance guide for units quoted ____ 3) Complete data & specifications for the units _~ 4) Attachment "A" - Scheduled Maintenance Calculation Form" THIS PROPOSAL DATED this ~ day of _, Apri 1 , 1969 FIRM NAME: Sahlberq Equipment, lnc, ADDRESS: (mailing) 5950 4th Ave. South (location) BY: (Authorized Rep.) PHONE: 206/762-8080 13 r:~ ',,' " 1',1 .' " . '>. I. '. . . :.': iJ':firr::' .': .' '.' , ' ".' .. 1~}':J":~R':"?(1 ' [' ,'" , I: , ,.... ': ',,' ,':",' : '.., :": , ::,' , '. . . > . J ~ ' . , .. ',' :' " . , .' . :. ,:' ,:',' .. '. """ , ' "', . :'"."".' " ,'..' , .'. ' ' ".. I, .' . ...., !\ " '<'. ; . 'r~1~:~;> >', ". I,' . ,::,<', 1\ . '. ":" ....., .," ',' ..:.,'. , ':" , ":> .".',,' " '. ,'.,,' " , .'. ."'.' ""'''''''1 ,.', " :', , '.<' ..., " ":", ' '.",:'. ,,: ,,,', ,,' , :' " " '. ',\' '. :": .' ,.,:" ' , .' ' "", ' : . ,", , , .' l'L::'" I' I:, I:, I' , I; . I ~ I I' .', I:, 'I"~ " .' :' .'. . ATTACHMENT "A" SCHEDULED MAINTENANCE CALCULATION FORM Jefferson County believes that scheduled maintenance is a significant part of the overall cost of operating equipment, and is therefore asking for its inclusion as part of the total cost of the unit bid. Instructions: The intent of this form is to determine the total scheduled maintenance costs that can be expected during the first 6,000 hours of ownership. Service intervals, number of grease fittings, and capacities should be taken directly from the manufacturer's lub~icat1on and maintenance manual. Unit costs given are equal for all bidders. Although there may be a slight variance due to refill capacities, these total costs are made up of labor, overhead, lost production, gaskets, lubricant, filters and supervisory time. The comparison examines the service intervals for the various units bid and assumes that the manufacturer's recommendations, if followed exactly, will allow the costs that are to be incurred on each unit to be calculated with reasonable accuracy. 1) GREASE FITTINGS: Total Hours : Service No, of Fittings of Operations Interval x @ Each Interval Cost per x Fittinq = TOTAL COST x $0.75 = $ -O- x $0.75 = $ 2.20 x $0.75 = $ 2,25 x $0.75 = $ 6.00 x $0,75 = $~,50 x $0.75 = $ 6,00 x $0,75 = $ 12.00 = $ 33,00 (1 ) 6,000 : 10 Hrs. x -0- 6,000 : 50 Hrs. x 3 6.000 : 100 Hrs. x 3 6,000 : 200 Hrs. x 8 , 6,000 : 250 Hrs. x 6 6,000 : 500 Hrs. x 8 6,000 : 1000 Hrs. x 16 TOTAL Determine number of fittings at each interval, insert each number as indicated (if none, write 'none'), perform calculations and total last column. 2) ENGINE OIL & FILTER: 3.18 Number of gallons x 4.04/gal. Current cost of filters Fixed Cost COST PER CHANGE* =$12.84 = $ 7.73 =$20.57 = $ 20.57 __ 14 , , " :"::: ..~ ',,\.,..'. .' ',". I" ., " ' " j' ..: ' . ,:'. .: '. .,," >"". , ....',.. , , .,:':" , ., " , , . '.: .. ,:', " /'.. " ..,:,'< .'....:. , " :....., " ...... .'. '.. , "" :, ,'': '.' '.' ". ':' '" ':, .' '. ,'. : '" ." '.:..'.:, ':. " .'.' ," ...... :, '.' :. ',' '.' , " '... ........ ...' ", '," .... ....:: .' .... .' .",' '.' '., , "'" '. .'..... ..,..,. .' . ..' .'. . .,....:, ',' " , ,:. ,:,: ~,.. :" ..'; ~ .' , ", '.' ',' .J. m ;' , ,r ',,' , '.', ' :' "',". ';: ~.'...'" .' ...... . ': " ..' '. ',:' ' . " '.' . .: ' I " .': , '.' , ". ..' :....., ,.,: :'. '", ",,' ~: ' , .' .' '," .' , '. , 'C". ". . : .. ".". '. '.' .,: .' ..' ',: : . ,:, '.:;. . ",.... :','. ,". .' ",:'.'; " ',.:' " .....,' " "',: " .'.',::'. "':: ' ',: : .' " '.:':' ",. .',' , " ,; . ..'....."... . ".. '''.,:'" '.. . ,",,, ,.',.. '. , , .,::, ,,,:: ':,' , ,': ',,' " > "'.':, . '. .' "., '.. " .......,." I.::,'L : '.:: . ' "'..', ,...' I' .,:, :'. '-,. ',. ":,"" ' , .. ."" '., "':', ,'. .." " :. '.: ,: " '., ., ' I'L:"'" ,', " .":: i; i. , I; : . ;' . : Total Hours of Operations : Service Interval x Cost per Chanqe* = TOTAL COST 6,000 .!..QLHrs. x $20.57 60 x = $ l. 234.20 (2) From manufacturer's maintenance manual, determine crankcase drain and refill interval. Insert this hourly number and perform the calculation to arrive at the total cost for an engine oil change. 3) TRANSMISSION OIL: Total Hours Service Operations : Interval Transm. Sys. Cost per Capacity (qals.) x Gallon = TOTAL x 6,000 : lJllKLHrs. x ~~ x 4.56 = $.Q!l.....1lL From manufacturerls maintenance manual, determine transmission drain and refill interval. Insert this hourly number and perform the calculation to arrive at the total' cost for a transmission oil change. 4) OTHER FLUID OR OIL CHANGES: Total Hours Service Hydraulic System Cost per of Operations: interval x ~apacity (qals.) x Gallon = TOTAL 6,000 : l.JlO.QHrs. x 34 x $3.90 = SWZll..-OO From the manufacturer's maintenance manual, determine the service interval for draining and filling the hydraulic system. Insert this hourly number, insert the total capacity (in gallons) and perform the calculation as indicated. TOTALS: Listed below are each of the categories just calculated. Insert the total number for each category and add the column. The total figure should be entered on the Bid Proposal form, where indicated: 1 ) 2 ) 3) 4) Grease Fittings: Engine Oil & Filter: Transmission Oil: Other Fluid o'r Oil Changes $ 33 00 $L.234...2D...- $, hR 4n $1 1?i1 nn TOTAL: $~nD...- (Enter this figure on the Bid Proposal, Pg 12, where indicated. ) 15 -. '. - . .-;:- . "" ,.' . ...: II " ~..i.. .' " '~. --:1 t .' " , /:,: ...", "."'" , . , :.".' . .':' ",: " " '. ".':. ',' . ".,'... ....:., . .... .'. ;.... ....;. " .. "i i.... '.., ' '''' , .' ..',' ~., ,,> .;. ". .' , '" ," .'.' ..', " '; i . " ,', < ,,' i' '. .. . " .... " ',:' '.. ".,' , , . .:'",'. , "',' :..::" ,.,,'.,'. '. ,: ., .,' , , ."":,' i;. , " ......;' ". ':,',; , . .....'.' 'i:' .': ,",: . . .:. . ....' . .: . '. .:.. ' . " . . . ......,,; ,': ' '. " ':' .'. ,:. '" , '" , ',' ",'" ;,. , , ',': I'.., ! ~'....',,' , '. ,i' ,: "', " .., __" I J , . .... " ~: .' '. " ~ : '.c', "c'" . . .': ,::. I : \. :. I " :,.' ,,' \ Ii, . ';; !i , i , " ,'. , , :' : i .' <'.' " .'. ...... , , '. ;:.' :.-.., .'i'.', ..' ,,: .....,. " ; ': '. ," " . '.'., , :: ';'. . .' ';. ,'. ,: ".. I; " '''''.' ,,,:,.:. ", ,'. "',', ...'....... . ,." .,' '..:. ....: " ' , ..... ...., . . .:;. " '. , " ", , " :"', , : ....:. ',' :::"(:i\, ' ,.'",.:, .' . ...' ' .' ". '. l '.' .... ' . .:.......:... ..,.' .' , , "':.- ,> "c.. ", '... , .' " . , :. .' .....:.:...:;,. , '.' , "',' ::; , . ::: . . ':, ,'.. ...... .... ','" m SAFECD SAFECO INSURANCt; COMPANY OF AMEQ1CA GENERAL INSURANCE COMPANY OF AMERICA FIRST NATIONAL INSURANCE COMPANY Of. AMERICA HOME OFFICI:: SAFEeo PLAZA SEATTLE, WASHINGTON 98185 BID BOND KNOIV AU, Ill' TilliS!: I'RE~I:'N":~, That we._:;;2h~~~nt/.....!.f!~_.,,____ of ----5ea:ttle-l~ashing:t;.Qn-__-----u---(hcn:inaf(cr called the Principal), as Principal, and SAFECO INSURANCE COf\.'IPANY OF AMERICA (hereinafter c:lllcd the Surety), as Surety, arc held and firmly bound unto (hereinafter called the Obligee) ill the pCII>!1 slim of --Ei.v.ELEerc~LAmount....0f..--I3.id _.. _ Dolbrs ($ 5% of Bid ArroJlI1t for the payment of which the Principal and the Surety bint.! th~ms~lvcs, thcir heirs, executors. administrators, successors and assigns, jointly and severally, firmly by these presents. TilE CONDITION OF TillS OBUG,1 TION IS SUClI, That IVIIERE.4S, I he Principal has submitted or is about to submit a proposal to the Obligce on a contract for ..Sel.p.p.:rope.Ued-Vibratoq-Roller NOW, THEREFORE, If the said Contract be timcly awarded to the Principal and the Principal shall, within such time as may he specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract, then this obligation shall be void; otherwise to remain in full force and effect. Signed and se"aled this 26th April ~--jJ-JL 89 v~71I~ _____.19_, !r ( (Seal) -t~ahlberg Fqui;::'~, Inc. PrincIpal VP / day of '0~~J) ~, Witness SAFECO INSURANCE COMPANY OF AMERICA IS .--7"',1 -./ /}1i1f:.J ~ Ily,,~ 2-/'-<:..--, ..A.-" 11-<-- ,,' ( AttOi'ncy-in-Fact Betty L. Me Carter 5-53 R8 11175 . , Title PRINTED IN U.S.A. '" " .', .' / . ,":,. :', -'. ." . .,' ,.... ..'. ,.., '. . " . ,....' - ': . .': ' .'., " , .' ' ",'," . ,'....,!, < " I ,.,,,,' .. ..,.' '. . " ' . . ',' ". . , . .:,.' :' . .... :' '.,' :!.' '", . ":,, ,', "',:.,,:, . '. '::' .', ". .. .....".. ",',' ". ".;: ~ '...... '.. . . ". . '.' ..), .... ~...:-I... .,' .. '. .... " ..,:'. ,.',.', , .::. ',',:',," , '. .',':, '.' .' I:,' , " '. ..' .' ..... " .....' . : .: ! '" J ~.... ;:I'~, ,', ...., ".'.'., " .. '.". " :', " II " I:" ,. "[ ,', "', , ~. I 1(, ':'8> I , ... I :': '.' ''','. ".' " ',' . . .; '." ',:', .' ....' \ ",,' ,'.,.' I, '.' ,', , ".'. ,,', :', ... , " .! " .: ~;~, . Ji' '" . " .:.: . ' , ' "". .... {; :., .',' I ". II p, '. . ,- I . ., I ~' :..,.... ,',.' , ..' , '.' . .': ',' , i ". '.. "', " :'" .' ' , " >" .'. I,; . :,,' ,': , :" Ii :' . .' ',". ' . I; '. , It, , I' ';," "',',, " , if;; . ... I,::;' ,,' .' ", '.... " , I " ," .:' .',' . " ," I' .' .....',' '.,':, " .' , , ,,";,,." l.L:' ~ SAFECO LIMITED POWER OF ATTORNEY SAFECO INSUf~ANCE C.OMPANY Ot:= AMERICA GENERAL lNSURANCE COMPANY OF AMERICA HOME OFfiCE. SAFEeD PLAZA SEATTLE, WASHINGTON 98185 No. 5621 KNOW ALL BY THESE PRESENTS: That SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA. each a Washington corporation. does hereby appoint -----------KEITH DEGGINGER; BETTY L. MoCARTER; MICf~EL RUCKER, Mercer Island, Washington------------------------------------------------------------------- its true and lawful attorney(s)-in-fact. wIth full authority to execute on its behalf fidelity and surety bonds or undertakings and other documents of a similar character issued by the company In the course of its bUSIness. and 10 bind Ihe respectIve company thereby in amounts or penalties nOI exceeding the sum of TWO HUNDRED FIFTY THOUSAND AND NO/l00--- DOLLARS (S 250,000.00 IN WITNESS WHEREOF. SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA have each executed and attested these presents this 4th August .19~. day of CERTIFICATE Extract from the By-Laws of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA: "Article V, Section 13. -:- FIDELITY AND SURETY BONDS. . . the President, any Vice President, the Secretary, and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations, shall each have authority to appoint individuals as attorneys.in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company In the course of its business. .. On any instrument making or evidencing such appointment, the signatures may be affixed by faosimlle. On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of SAFECO INSURANCE COMPANY OF AMERICA ann of GENERAL INSURANCE COMPANY OF AMERICA adopted July 2B. 1970. "On a~1V certificate executed by the Secretary or an assistant secretary of the Company setting out, (i) The provisions of Article V, Section 13 of the By-Laws, and (ii) A copy of the power-of-attorney appointment, executed pursuant thereto, and (iii) Certifying that said power-of.attorney appointment is in full force and effect, the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof. I, Boh A. Dickey, Secretary of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA. do hereby certify that the foregoing extracts of the By-Laws and of a Resolullon of the Board of Directors of these corporations, and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By-Laws, the Resolution and the Power of Anorney are still in full force and effect. IN WI,TN~SS,W,HEREOF, I hav~ hereunto set my hand and affixed the facsimile seal of said corporations this day of .19_. S.975 R9 4/Rll PRI"ITED IN USA 'I "0 ..... ............ " ", , :. ':.' .' ...... . '.. . ". , ". ...........> " '.... , ". '" ! ", I ." ....... ! " '... ',' '" ......,... . ........ ." . .".,' ....".,'. .:. .. .. ..... ........ ',{ i I '''' '.'.:' .... ,..... . .'. " ....... ".' ' , ' ~ : , . .., '.:, .' , . ..... ....:.. . , . .,,, :1' , , '..." ',' .. " . " " .: ',:, ..,........ .. ... , ""'., , .'.. , .: . .. .. .:'. , , ," ,: . . . .', ", ., " , "."" . .. i: '. -:-~ :' " ........ :' '.' . ......1... . J .,'. . , ,",' .. .'. '" , ',. .,,' " ",' ',' .: " , .' ......... "",';' .::. ':., -~. , . ", ,. . . ' ....'. ....., . . '.' ' ," 'I"~ .: ;,' l ::" ' ,,' . .'. :'''''''':'", ""' ,':~': ., '. '.' :: '. , :,," ;' ',' ,','0'.: . .:.... . '.,'. : .,.. ,.,', " " ....l!~ ". , .' : :; :: ...::" ,,:i' ",.... > , , '. ,: , ;. ',', "''': " J I I " :"., '.,: .,.':....., ;; " .', "'.,' ',''', , ", ' , "'" '..,' :,' ,'. ,'; ",' .', .:' '," . ....... . .."." ',' ." ". "', .: ... .' ,,' ," " . ':':;,," ': ' " ". : ',;,;.' ,,',' :. ,': ',. "" ", :.......' , .' .....' :"L, ,) . ~ " ,: " ','" ;" Gene H. Unger, PE, Director Clallam County Public Works Department Courthouse, 223 E Fourth Pt. Angeles, WA 98362 Peter Ringsrud, PE, Director Douglas County Public Works Department 110-3rd Street NE East Wenatchee, WA 98802 Roy Allen, PE Island County Engineer P.O. Box 5000 Coupeville, WA 98239 Robert Nesbitt, PE Jefferson County Engineer 1820 Jefferson Street Pt. Townsend, WA 98368 ." . :. , , Felix Kwakwa Issaquah Public Wrks Dept. 130 E Summit Way Issaquah, WA 98027 ;, Bab Say Acting Direct.or Kittitas County Dept. of Public Works 5th & Main Ellensburg, WA 98926 " George Stillman, FE, Director Clark County Dept. of Public Services P.O. Box 5000 1400 Franklin Street Vancouver, wA 98668 Michael Murray. PE, Director Grant County Dept. of Fublic Works P.O. Box 37 Ephrata, WA 98823 Bette L. Coyne, Mayor Town of Coupeville 4 Seventh Street Coupeville, WA 98239 Jim Kramer, Manager Surface Wt~ Mgmt Division King County Public Works Dept 701 Dexter Horton Building 710 Second Avenue Seattle, WA 98104 Rick Watson, PE City of Bellevue Strm & Surface Wtr Utility P.O. Box 90012 Bellevue, WA 98009-9012 Thomas J. Chini, Director City of Ellensburg Dept.of Public Works 420 North Pearl Street Ellensburg, WA 98926 1989-91 ProjectlPlon Gronte,,/Applicont- " Kenneth Stone, PE Cowlitz County Engineer Dept. of Public Works 207 Fourth Avenue North Kclso, WA 98626 Russell Esses, PE Grays Harbor County Engineer P.O. Box 511 Montesano, WA 98563 Gary Rowe, PE, Director Jefferson County Dept. of Public Works 1820 Jefferson Pt. Townsend, WA 9836e Larry Waters, Director Normandy Park Public Works Department 19900 - 4th Avenue SW Normandy Park, WA 98166 Don Wickstrom, Director Ci ty of Kent Public Works Department 220 - 4th Avenue South Kent, WA 98032-5985 Ed Hoyle, PEt Director Klickitat County Public Works Department 205 S Columbia Goldendale, WA 98620 .' ".',. ".,,', '.: ..', ',.... , - 0.1 . '. . '. . ~'" .'. ., 'c i" ...... "'.' C .." """ I . " . ," : , ", :, ,: .,,' I '. I . .... ," ,:'; " ... ...., .',". ... ..3 1 ; J " 1 .~ t f 'II lEI :1 ; . . i i,. [, .' I '" ,,' , :,' g I ....... , , -, . ':"','" "': ;":. , . ' ................. .., .'. .... '", , ,';' , " . ,'.. ,,' '. ','.; " ~., .,: . '..: ,." , ',' .. ......... " ,', ,"."." " .,.", , _:,1 ' .~ ". ,,: "- " ....'..1 :':V:, I~III ,)1 .' ..... .... :: .. .. ~ ",. '" ,.," . ,'. .:. ':". ;.... .' . '. ... :": ... '; ..... ;";,' " "",..' '..':'. " '. .......; . '. ", . ... ...... . " . , '. "''';'':', ':... . .," " i..,......... '.. :,:. . "0, ....' '. > .'. '., ',,:, :.,', .' "i' .,', .{,,: ... " ; i , .'.. " .... ...... ,', ,', ',..,", ',:,,' ',' "," I" / ,--...:. , , .. " ,", . :". '" . ',': ",', ',' ..- ..... ': '. " Ii I;" I,~, ,'.. , : ," , " "ii, , '. ': , .' . ,:,', '. ": "'.' " I .1 ... David Kunz, Director Klickitat County Planning Department Courthouse Annex. 228 West Main Goldendale, WA 98620 Patrick Morrissey, PE County Engineer Pacific County Public Works Department P.O. Box 66 South Bend, WA 98586 ,.,' ":: John O. Trent, PE County Engineer Pierce County Public Works Department 240l S 35th Strcet Tacoma, WA 98409 ,.;: ;" ..' .. .... .. . " ,". , ...... Donald E. Nelson Flood Control Engineer Skagit County Room 203, Co. Admin. Bldg. 2nd & Kincaid Streets Mt. Vernon, WA 98273 Bob Donohoe, Supervisor City of Stanwood Public Works Department 10220 - 270th Street NW Stanwood, WA 98292 Barney Bagwell Snohomish County Diking District #1 55l8-4lst Drive SE Everett, WA 98205 -;>" ~ - . Don Johnstone, PEILS Director Lewis County Public Works Department P.O. Box 899 Chehalis, WA 98532 Charles A. Mikkola Senior Engineer Pacific County Department of Public Works P.O. Box 66 South Bend, WA 98586 Tim Ramsaur, FE River Systems Manager Pierc~.l County River Improvement 219 North Levee Road Puyallup, WA 9837l Gerald E. Weed, PE Director Snohomish County Public Works Department Sno. Co. Admin. Bldg. 5th Floor Everett, WA 98201 Ward Lawler Snohomish County Drainage Improvement District #4 l3603-l36th Avenue SE Snohomish, WA 98290 Jerry Hauth Ci ty of Edmonds Engineering Division 250-5th Aveneue N Edmonds, WA 98020 u Homer 'Waltrip Lewis County Public ~orks Department P.O. Box 899 Chehalis, WA 98532 Rebecca Chaffee City Engineer 230 Second Street Raymond, WA 98571 W. Eugene Samply, PE Skagit County Engineer Room 203, Co. Admin. Bldg. 2nd & Kincaid Streets Mt. Vernon, WA 98273 Archie Brown, Supervisor Brier Public Wks. Dept. 290l-228th Street SW Brier, WA 98036 Ried Carleton Snohomish County Diking District #2 830 S Sunnyside Blvd. Everett, WA 98205 Loren Sand City of Lynnwood Public Works Department i9l00-44th Avenue W Lynnwood, WA 98036 ~...,. .' .... i', . . ....... . .--"<:, .,',. ""' '. " ,'. ...., .......... ,; ;. .. I .. .. . ',' , . '. . , , ".., .......... ,.', '. ,: . .. '. I '" ." "... .". .... .. .... .. ;, .' .," . . ,,' .. , ,', .'. i ..: :i> . ......... .... ; .... ./: . '.' .. .:.... . :'.' :,' ',':.',:.: " ::, ".' " ' ," . ,', : . .. '., :: , .' ",". ;' "'. " '" ..', .:", " ," ,..'.>... . ...... 0:,< "":",,."... , . ',' '," .' .' ..... < : :. ',..',' ,', .',."', .,. : ,,', {, -,-:- " ,'.'/ .' .. , .- - J Tom Clingman Thurston County Public Works 2000 Lakeridge Drive SW Olyrepia, WA 98502 Edwin R. Henken, PE County Engineer Whatcom County Public Works Department 311 Grand Avenue Bellingham, WA 98225 Tom Rosenberg Bellingham City Engineer Dept. of Public Works 210 Lottie Street Bellingham, WA 98225 Ronald S. Peterson Ferndale Public Works P.O. Box 936 Ferndale, WA 98248 Lon Pedersen, Director Whitman County Public Works Department P.O. Box 4311 Colfax, WA 99111 -, - ~~-~ ~.,~~u T-.' U I Ii "':,~',-~ . I ,J' ""'i "" I I I 1 '.1 . ,.~"'.1 ....1 ~~J !~I~ :: N N ~ ~ .. G C G :!. ~ !?! " ~~~~~~ ~;!~~:! ,.,N........ .. .. .. sSis:;;e ~";:; ci~";;r." ..... IN;t "" ~f@~~iC ~.. g:'" r;::"..."-a'" ~;C""~ i . .... ~ N ~.. ..0 0 ... 0 0 8...~..::tg..q, 6t~~~~ .. .. .. C G " ~ lio- i .~ _..~~-f.72 ; il: i5 ';; -<ti! ~ ~ " " ::l " " " " " ;g ;, M ::l " " ~ ~ " " $ .. " " .. " " .. ~ .. " .. " " ~ " M N '" " i N ., N ~ N ~ :i fi '" M 00' N ::; - '" N ~ .. ~ .. .. N .. .. .. ~ !j ! ] j 0 ~ 2 . i " " " " " " ~ " ; N " ::l " " " " ~ " " i. Ii " .. .. .. .. .. '" .. .. .. " .. .. " N N " N I ~ ~ ~ " ~' ~ '" ;; ;; .. " N C .. .. G .. " 2 " ;!: g 0 2 ~ i ] " " " " " " N " 00 N " " " " .... " " " " ~ " .. .. .. ~ .. ;.. .. ~ '" .. .. .. .. ., .. ~' ~ .. g " N N ~' I '" .. M .. i ~ c .. .. .. .. ::I .. .. " 0 ~ 2 I", I t t I r I L+: I o ~ ~ !!i ~ .. j " " " " ! Ii " .... .. .. ~ ~ " ! .... ~.. N N 00 C .. .. .. << " ~ 0 N - ~ U W 2 " ~ .. j W ] " " " " " U " " ~ .. .. i ~ ~ I .... ~.. N C .. ~ .. " 0 N - ~ 2 ~ ~ ~ .! H . " G ~ ~ } A' ~ G .. ~ C . ~ U U " " " " ~ " " " " " IC, .... :z " IC ~, .. .. .. ~ .. .. .. .. " " ~ " " ~ ~. " .,. ~ ~. N ~' 1a, " ~ .. N N ;; N .. .. .. .. ;! '" ;! '" ~ ~ ':; ~ ~ < ~ < Z s: ~ ~~.. ~ ;X oeooo .. "" M ~..:.. ~;t ;..~ ~;l " iC N " ~ ~ N ~. N .. ~ ;e ~ << ~ " ':; :2 ::~ ~ -;: I :: .~i~~j a]~~~ ! ~ a j~~!g .. ~]~jj ;C" " , ".... ";', ..:, " , ,'~ ", , c f' " """ "" . , .',,'.. ;""..',.' :,.'i,.:", . ,;' . '. ;~.:.: ,~ ,', ..., : ", ,,". , ' , , I' II: : I' , ,.' , ," I,,, '.. , ' " }.. . ':c .., , ..: ,~ " L'.., ", ,,' , " ,':' " , '..' \'." ,.': .' " .:. ", ..'.",,: ','. ,.,,'. '.;"", .. .:' ':" ,c. '.' ',',' " I', ',' . I ~:' ' I, c', ""',' ",', , ',,'.', ( ,. '.... ' :,' i.'),'" " '",'..',:': : '..'" I',',:,:,,,.,:,:::, ' I " ' '," ',II' " I .," ",. ,,,','," I" I' '" '"".,1 I,:;, ",','".,.',' ," I: "'., ,,',' ;::,' ,'" " " .. ' r:::,i; ," .', ,,'" ;"'/) .,".',",".' . ,,\ . r, ':.',.' " , ':, 1'1' ',., '" 'L i: ' 1- washington Department of Ecology Shore lands and Coastal. Zone Management Pl::ogram Floodplain Management Section May 8, 1989 FINAL PRIORITY LIST for Allocation of 1989-1991 Biennium Grant Funrts Flood Control Assistance Account Program (FCAAP) Clallam County *) Dungeness River comprehensive Flood Control Management plan (continuation of Grant #G00890070) - Eligible project cost of $12,871 to be funded at the maximum 75% rate of $9563. 2) Comprehensive Flood Control Management Plan for Hoko, Clallam, Solduc, Bogachiel, Calawah, and Quillayute Rivers - Eligible project cost of $220,000 to be funded at maximum 75% rate of $165,000. 1) Dungeness River Gravel Removal - Eligible project cost of $240,000 to be funded at maximum 50% rate of $120,000. 3) Hoko-Cowan Bank Rehabilitation - Eligible project cost of $15,000 to be funded at maximum 50% rate of $7500. Clark County *) Salmon Creek Water Resources Master Plan (continuation of Grant #G0089021) - Eligible project cost of $191,100 to be funded at the 34% rate of $64,974. 1) 1990 Burnt Bridge Creek Basin Improvements - Eligible project cost of $418,950 to be funded at maximum 50% rate of $209,475. The eligible project cost was reduced from a requested amount of $529,000 by deleting $74,250 from estimated excavation expenses as not being strictly for flood control and therefor ineligible for FCAAP funding and by deleting $35,800 estimated for '-'contingency". Washington state regulations specifically prohibit FCAAP funding for nonspecific contingencies. Cowlitz County 1) South Fork McCorkle Creek Restoration 1990 - Eligible project cost of $14,300 to be funded at maximum 50% rate of $7150. 2) Westover Creek Restoration - Eligible project cost of $6600 to be funded at maximum 50% rate of $3300. 1 of 11 -. . , " ,', ,", ,:,", ': , ,,', . '.'" ' i ,',', ,""" '..,.' , ,';, I . . " ,', I ..',' ',' i ""':"":'.:: ..,.., " , ", "".,' , , in !, I ,:', I.' ' f I I II I,. " " ',,'.: ,.".. ., .... , ',,-'. .,..., "'.:,, , ":':, , i "" , ",' I ' ': .- :.'" ", ':'" I "" ,.', ',:': ' ' " , :,i ',',':: ,- ," :, , .. ,,: , ',' " ,',: , '. ,"',' '.", :' . "', ." '." ", '. ',:: ,,' ,', ", '.' ',' :' ..,..";,,,',..., . a ,'"'' .,:" ", ',.',.'" , , , , " , ",'i " I ~ "",,' , " " 'i " ' " .. , - ': " J . " ", ' " ," ..;. , ',' ", ' " '" ',' " 3) ,', , be " I.. I'..'....'....' ,. " , r I .. .. , ',." .. "';,',' ,.,~,;r,~ ,";c, :, , > - ,,' , .', , " " ',: .." ': , If} alt, t " , ,'r .' .". .': . ".>" ," :.', c', . " "', '. ~; . )'",. . . ",".' ': :, ,," '....' , " " ." :', . :. " . 1 '7--' <",::::;,1< l -j'> " ;,"~ . """ ,,~~ t ,.., ! , - ~-: ,:,' ,-' .;, \'.::':!:,';;:.;,: ) ->"'1:,.;.'-'" :1. '. " '. : :i~ , , , ," " , ':"" , ,', " " ,,',' , .. ......,. , ,',' " :c. , . ,.." I "'" ': '--- '> ." h' " '" I" .' ~> I ',\, I . .' , """ "',': L". }, ;,,' Ostrander Creek Cleaning - Eligible project cost of $15,000 to funded at the maximum 50% rate of $7500. 4) willow Grove Drainage Channel Improvement: 1989-90 - Eligible project cost of $27,900 to be funded at the maximum 50% rate of $13,950. 5) Burris Creek Channel Restoration - Eligible project cost of $48,900 to be funded at the maximum 50% rate of $24,450. 6) Whittle Creek Cleaning - Eligible project cost of $10,000 to be funded at the maximum 50% rate of $5000. 7) Baker Way Pump station Ditch Cleanout - Eligible project cost of $36,600 has been funded at the maximum 50% rate of $17,800. (This project was funded with 1987-89 FCAAP funds and will be com- pleted before the end of the current biennium.) 8) Indian Creek (36th Avenue) Cleaning and Riprap - Eligible project cost of $12,000 to be funded at the maximum 50% rate of $6000. 9) Fish Pond Road Protection (Owl Creek) - Eligible project cost of $56,000 to be funded at the maximum 50% rate of $28,000. 10) Delameter Creek (Road protection) - Eligible project cost of $20,000 to be funded at the maximum 50% rate of $10,000. 11) Allender Road Protection (stillwater Creek) - Eligible project cost of $5000 to be funded at the maximum 50% rate of $2500. 12) Kalama River Road Protection - Eligible project cost of $50,000 to be funded at the maximum 50~ rate of $25,000. *) South Toutle Road Protection - Eligible project cost of $120,000 to be funded at the maximum 50% rate of $60,000. The first phase of this project was completed during the 1987-89 bien- nium under an emergency FCAAP grant. Doualas County *) Douglas County Comprehensive Flood Control Management Plan (continuation) - Remaining eligible project cost of $30,000 will be funded at the maximum 75% rate of $22,500. This planning effort was begun in May of 1989 in order to help provide for a coordi- nated response to the flooding events that occured during March of 1989 and to prevent similar flood-related damage in the future. Grant Countv 1) Moses Lake Bank Erosion Control Plan - Eligible project cost of $19,000 to be funded at the maximum 75% rate of $14,250. 2 of 11 , , , . ,.:'-, :: ,"' ",'",", ":',', , .' ',' "', ,; ,':" . " "'" '.......,.., l ,:, J '"'C ., :', '>, .': ':'. .; i' . :' ' , " : : ",. ,,' ' '. :; . ,: " i : " ,':, , ';, ',,",'. I .... .,".: , ',' , ..'. , , .., ..'.,;, . . '., , " , " .', ,"." i ,,'. '...:.,. I, ..,'. .. ,'. : ," '. .' . ',' . "' ,',""" , ',.' ',' ","'" " ' ',' '" ,,:,,;, " i ".[ ...11 :1 ~ I ..,C ,; ;" "', , .. , , , ',",,' ,:" , ",':, '", '" ,.: ':". , .' ,:;,:"' .' " '~':,<;,.".'," :' ,:" , ,". ' , "':" , '", ~.>.. 'f~~ .~':;t J ,:' R '- .':;L , E' , , , _:~,/ I.' .:' ; , " " t' ',' '" It I I; :( . r , : .--"....~,.."-.,,--,."~ ',', , , , " '" ,', ','.... ',;,', ;',' , " '" '. ' " .':, , :, ,', ',',"" "', ,':, ,,;, ',' " "',_c,," . .' ,., ' "",' '.. ,"", ' , .,"'. , " , , :,< , :.' ' , " ;,-., ",' ':, "." , .'. " .' :", ' '.: :'. ", ,," " "..' ' Gravs Harbor coun~ *) Grays Harbor County Comprehensive Flood Control Ho.llo.gemant Plan (continuation of Grant #G0088079) - Eligible project cost of $24,000 to be funded at the maximum 75% rate of $18,000. Island County 1) Coupeville Shoreline stabilization Program Plan - Eligible project cost of $15,563 to be funded at the maximum 75% rate of $11,672. Although the application was submitted as a request for funding as a maintenance project to be funded at a rate of 50%, the project was approved as a planning effort eligible for funding at a rate of 75%. Jefferson County *) Jefferson county Comprehensive Flood Control Management Plan for the Big Quilcene River and the Dosewallips River (continuation of Grant #0088160) - Eligible project cost of $16,000 to be funded at maximum 75% rate of $12,000. Kina countv 1) King County Comprehensive Flood Control Management Plan (con- tinuation of Grant #G0088090) - Eligible project cost of $354,000 to be funded at the maximum 75% rate of $265,500. 2) City of Normandy park/Normandy Creek Drainage Basin Comprehen- sive Flood Control Management Plan - Eligible project cost of $75,959 to be funded at the maximum 75% rate of $56,969. 3) city of Issaquah Comprehensive Flood Control Management Plan - Eligible project cost of $130,000 to be funded at the maximum 75% rate of $97,500 pending the adoption by the Department of Ecology of the City of Issaquah Shoreline Master Program which is esti- mated to be adopted in early 1990. The project cost as proposed was reduced by $30,000 to reflect the ineligibility for FCAAP funding of the project element to develop a storm drainage plan. This project element was not seen to be specifically for flood control. 4) Nelson Revetment - Eligible project cost of $7084 to be funded at the maximum 50% rate of $3542. 5) Dutchman Road (Lower) Revetment, Snoqualmie River - Eligible project cost of $1298 to be funded at the maximum 50% rate of $649. 6) Christensen Road Revetment, Green River - Eligible project cost of $15,428 to be funded at the maximum 50% rate of $7714. 3 of 11 . .- - ~- - -,'. ,', " , " ;,', ": ' . '1, , , ,'" . .:' ,,' ''.'''''' " ;.. , .'.:'... "E~~~: ': ,'::'"'' ",::. .', ,', 1 .,.'...>:, '. ," . ", : . " , " ,"., ',' '. :- , ' .' ," ,)1 '. ..,' ." J .' ,'... ' i'" .,,:' ',: , "'" .... U ... I ,': l.', " " , . ; '.' '; .' , , . ,: .' <, I: ..".... '."."., ',.. , ',: , ':' ".. "',:: " "'" , ,. . ...."... "'- ",,, " '. ,', ". ",,:: ':. ':, ",.." ',':'., ,:' , '. "'" ," ' ,,,', ,,' ",': '. "'. .':," ." , ,,"\"::' :' , : ",'" " ," ',' ': ,,' ::',:' . " ,;::" ... 'C... ,... : 21,':.,\~r.;;:!::;:::,~ " '..,. .,,'.< j,.,j ',:" . J ::,,:' ..,. , , ,..:..'. .", ,', . ", . ,"" ~"'" , .: .. ..', ',' , ," .. ! " ", .-, I, I ~, .. . '. .". r i; ',' ...:1 " .~. " ':': '. : :, ' ',.' '" , ", ,..'i, ;',' ",', ": '.'. " :.,' ...'... ,', ' ,',', ;, ,~.... ,.'. ': '.' ," ':, ,.,'... ' '.' ....,"'..'.., . '"',:,, ", ' ' , L....,>: ...' " .' ;;:,;<'; .,.,.', , I; .,',... , "". ." " "'" "", ';"', ' " i ~lfr~iS't' "',,,, " " ,,",' ' , ;,". "..,... ..,. ;: '. ,:', '., t ' " . ; , .. : .," I,: . .'".':. , ", Ii . I:' .... " . !i. ..' l , ",,", . ''.,','', ',: " " "': ,,:,," l' "",:. "", :" -' I:: "... '. I.' ,,,' ,.,," ' , " ' '. , ',' .. '," ,'.': ',,:: :.' ":,.. : , .. ,,,;-0. '.': " . , '" ,''.' ,'.' :,' ;: : ".. 7) Pleasant Hill Road Protection Revetment, snoqualmie River - Eligible project cost of $6200 to be funded at the maximum 50% rate of $3~00. 8) Garcia Upper Revetment, South Fork snoqualmie River - Eligible project cost of $5855 was funded with 1987-89 biennium FCAAP grant funds at the maximum 50% rate of $2927. The project is to be com- pleted before the end of the current biennium. 9) Kelsey Creek Channel Improvement, city of Bellevue - Eligible project cost of $~~5,690 to be funded at maximum 50% rate of $57,845. Deleted from the project cost of $127,000 as applied for was a $11,310 item identified as "contingency". washington state Regulations specifically prohibit FCAAP funding of nonspecific contingencies. ~1) Preston-Fall city Road Revetment, Raging River - Eligible project cost of $1305 to be funded at the maximum 50% rate of $652. 12) Bridge-to-Bridge Levee, Raging River - Eligible project cost of $~1,906 to be funded at the maximum 50% rate of $5953. NOTE: Some projects in King County discussed below may be deemed eligible for FCAAP grant funds. However, none may be proposed for funding at this time since the maximum amount allowable for FCAAP non-emergency funding per County by Washington state Regulations is $500,000. 10) Green River Levee Bank stabilization, city of Kent - Eligible project cost of $306,190 cannot be proposed for funding at the maximum 50% rate at this time. The eligible project cost was re- duced from a requested amount of $329,855 by deleting $23,746 es- timated for "contingency". Washington State regulations spe- cifically prohibit FCAAP funding for nonspecific contingencies. 13) Mouth-to-Bridge Levee, Raging River - Eligible project cost of $24,289 cannot be proposed for 50% FCAAP participation at this time. 14) Aldair Revetment, snoqualmie River - Eligible project cost of $30,636 cannot be proposed for 50% FCAAP participation at this time. 15) McKnight Bank stabilization, South Fork skykomish River - Eligible project cost of $121,922 cannot be proposed for 50% FCAAP participation at this time. 16) McElhoe/Pearson Levee, snoqualmie River - Eligible project cost of $50,722 cannot be proposed for 50% FCAAP participation at this time. 4 of 11 " - ", . , "r .. '.' ," " ' .,.."... I"",,: ."'...,' .': :' , , '.""'; , ", ' '" " " " , ",.. ',":'. '. , " '. , , ' '" " II I ...., ."'" :, ' " . : ',' ,', , '.,' , " : " '/: ":, " ' ",','::': , ,.., :', :, '.. ~ .. " . ' , " ',' ",' '.' <' '..., ' """, " " " '"",:',,:, ','.... . ,:': '" \ , " , '" '" ,: " . '.' ,,"., '.' ",', " ',' ,,,' :',' .. . ';'..! ': " : ' " ", ...:',.' ,....',:" "" '" ::: :::' :. ":.',: , :',' ,; ,,' ': , ",':" , '" "'.".' :: ' I . .... .. , ' ' '" ,:, . ", ,,' '.,' ,. " ..'., :.,. , , j< .I +'. ,:" .:' , : """, , '",c.''', ': " >' : '. " , , , , ,'" ,.' ','I ..",:~.I , . ;< .,,' .",.... , " "": , .' " , , " .~:" ; , I! r {, I;; , ',"; .. '.. '.., ',', :'(< , ," " ,'" ' " ' . : , '.. " ," " ",:, " , ." : ',..' ' ,', :,.." " Co', .. ,:,.. ': ",,',', :, .'. .'.' I, .' , , "," " .,< .: ~ .' " ,', .." :'" " ..,... . '.... . ,.'.'.'..L .' , ',,: .. \', " I, ~ , ! : '", ,", ;..':~:t;:~ , .',; , I. ' \ " ;' . , .' , , ' " ' ,: .".........,, , ".:.'. C,," ..... ". . : - "":' " ."""..' , .:' ';' " ~7) Rupard Revetment, snoqualmie River - Eligible project cost of $6092 cannot be proposed for 50% FCAAP participa'tion at, this time. ~8) Ward Roney Revetment, Snoqualmie River - Eligible project cost of $16,~92 cannot be proposed for 50% FCAAP participation at this time ~9) Baer Revetment, Snoqualmie River - Eligible project cost of $8432 cannot be proposed for 50% FCAAP participation at this time. 20) Ross Bank stabilization, Green River - Eligible project cost of $26,351 was funded with 1987-89 biennium FCAAP grant funds at the maximum 50% rate of $13,175. The project is to be completed before the end of the current biennium. 21) Cherry Creek Confluence Revetment, snoqualmie River - Eligible project cost $22,694 cannot be proposed for 50% FCAAP participa- tion at this time. Kittitas Countv ~) (City of) Ellensburg Comprehensive Flood Control Management Plan - Eligible project cost of $72,350 to be funded at the maximum 75% rate of $54,262. Klickitat *) Klickitat County Comprehensive Flood Control Management Plan (continuation of Grant #G0088053) - Eligible project cost of $29,342 to be funded at the maximum 75% rate of $22,006. Lewis County *) Lewis County Comprehensive Flood Control Management Plan (con- tinuation of Grant #G0089084) - Eligible project cost of $4~,000 to be funded at the maximum 75% rate of $30,750. Pacific County *) Long Beach Peninsula comprehensive Flood Control Management Plan (continuation of Grant #G0089043) - Eligible project cost of $83,~08 to be funded at the maximum 75% rate of $62,331. pierce County (Inter-County River Improvement) 1) Lower Puyallup and White River vegetation Contr.ol - Eligible project cost of $200,000 to be funded at maximum 50% rate of $100,000. 5 of 11 ..'. '. , ' ~-< ,: . ',' , " ,:,", ,,' ,>.' :'", .' ...' . '...., ',1. ::::':":~;:, .' "., ,.'.. " , ' . ' ,., ' ," ,',.: I.' '" I ", ,'" "... ",.,,",':0:, '. ,~ ''<, , .. ,,' ,:," " .: , '" i.' , , .'...' , " : ,', , : ..',." : ::". " , :, '.. ",' ,"', , , '" ' , , .'" , '.', .' , <" . :,' ':':; ,'. '.'" , .. " " :' .<' .'.. " '" ,:" . ,'" ':< " ' ., ,'.. , ' . , , :":" , ':" ,",,' , , .: .'.,":: \' , ,:' , , , ' ..'.... .,' " "'''': .' . I; , >,' .' : > . "': '., '.' _i J ~0 ,"":' ,'''1 " ' :~'~E;1 .... . n- , ., ;., " , ",' ,:>,,> ", ,.', ' ".' " .' " , ' '. r ,I " ., .' ,:,', ",'.:, ' ,'. " , ' " :, "-: , I. It I: I~ " "" " ...'., , ; ",,,,,'., ':" " " ,,' ',' .". , " ..'.,. ':'., ,.,,',,", " ,"'"....',:",.. . . " ,.' ',', , '.'" , ,," " .' ". ,"', ' , " " '." ,.. ;, "::;:;~ " ...,',.'...'," .' \~; ~, ' , "lt~~.f ." '....".' '.' ,'. "'" ',' "": ; , ,,' '.'" ",,' ' " ..,: " "'" ',:r ':': '.." . .' '... : ;'";~,~},,',.,' ' " ' ',',' ,',: '::,:: ,'.. .. ,,".. " ,,' , , "', " ',.' :',: ' ,,' ',", ", .' i;,: , " ,,", :' ','" '" "',, . .,..'.. " :,'"" '..,.': ,; "c. ""':, :':', ,.,,'''' ',., , " ",L'.::,' " ,: .. " : , L 2) Dike District #1 Dike Improvement (Maintenance) Project #2 - Eligible project cost of $45,818 to be funded at the maximum 50% rate of $22,908. 3) Dike District #17 project #1 Dike Improvement (Maintenance) - Eligible project cost of $40,206 to be funded at the maximum 50% rate of $20,103. 4) Swinomish Channel Dike Improvement (Maintenance) project #1 - Eligible project cost of $33,776 to be funded at the maximum 50% rate of $16,883. 5) Dike District #17, Project #2, Dike Improvement (Maintenance) _ Eligible project cost of $36,287 to be funded at the maximum 50% rate of $18,141. 6) Swinomish Channel Dike Improvement (Maintenance) Project #2 - Eligible project cost of $40,662 to be funded at the maximum 50% rate of $20,331. 7) Dike District #1 Dike Improvement (Maintenance) Project #1 - Eligible project cost of $40,948 to be funded at the maximum 50% rate of $20,474. 8) Dike District #1 Dike Improvement (Maintenance) project #3 - Eligible project cost of $49,252 to be funded at the maximum 50% rate of $24,626. 9) Nookachamps Creek Dike Improvement (Maintenance) - Eligible project cost of $35,040 to be funded at tQe maximum 50% rate of $17,520. 10) Drainage District #16 Pump station - This project is consid- ered to be ineligible for FCAAP grant participation because the scope of work involves the construction of a new facility for flood control rather than the maintenance of an existing flood control facility. It has been determined that the guidelines for the administration of FCAAP grant funds restrict the eligible por- tion of a project to those elements which are strictly for the maintenance of existing facilities. 11) Steelhead Park River Bank Repair - Eligible project cost of $20,000 to be funded at the maximum 50% rate of $10,000. Snohomish Countv *) Lower Snohomish River Comprehensive Flood Control Management Plan (continuation of Grant #G0088089) - Eligible project cost of $103,300 to be funded at the 75% maximum rate of $77,475 12) Meadowdale and Edmonds Way Basin studies (Comprehensive Flood Control Management Plan) - Eligible project cost of $92,860 to be funded at the 75% maximum rate of $69,645. 7 of 11 .." .. . -7 < ,",'",. ' , " " , .1 ,.;'~:::." ," "'",,,,'" , :' , "':,,' , ':,',,; '... '.." ,,' '. :,., , ':' ,: ,': "., , " 'j. , ' , ";.: i'" ::- i ,". 1 I ! .',: , ",' .. , . ',' " " ,: :' , ' ,;': ',. ,.,' : ',I, ,,' i ,', .",. I.' , I ' " .. .,;,' ~!. I" ", ' , , ,'" , ';:: , ' ". ,.: " -', ,:. " '.; ,." '....." ,,,' '",' ,;' " " ";''',' ",:', '.... ." , " ," ,..,"":, .:. " ,,':' .'" ,', , .' ," ',",.''' "",',' . " . I' "',.'''' ',' ,:" ,". ,.",:", ",," , ,':' 'i'. '" .,:'" , " ,', , "" ,,:" . ',.':,:' --1 ':'.... '; , ,: ,. .': '-j"'"'' J - '" ",., ".. . , , '. " ' , ' ' '"" H, I :: '.'. I ,'" ' i '': ::." ' , i .. .., ;, I : :: , '.." C. I '. ,,' I , ' I '''' I ."....' .,'...,',, "";".' , ,'" , " , " '.'...' " I," i '"": ~~'..' ~.. < . ) ~ ,:," ;:, ',' , ,': '.. ...'..., ':, ",'" ,',: 'I ',', ,,' .:.. :, I IU : ..... I I;' ':, '.. i ,".. '..1 J '. j I; <:.. ':. ...., .,... ,.. : i .' " " .' '.. \." ..~.;,: ,'.' .'.' ..,. (...:; . ' : ".:'.' . . ; ""';,, ": '..', , ; I:: ~ ;~ it< " .. .~ " " '.', ' :' . "", ' ',:' ;, ',..' '.'.":, , , .', , '" " "'.' 'I""'''' " ':,',..:"....,..,.,'..L , ," ,: 'i, .,. .'... ".',', ," i' ;" . '" '.., . ,!" "'" h' ",' .' <' " . ,';' ,,',' "" ' , \ ,1... . ,. .,... .. ',,' .... ' II ,. ' L" I 14) stanwood comprehensive Flood Control Management Plan - Eligible project cost of $10,700 to be funded at the 75% maximum rate of $8025. *) Skykomish River Comprehensive Flood Control Management Plan - Eligible project cost of $257,100 will be reduced to $160,000 in order to reflect the FCAAP eligibility for only that portion of the planning effort which will be done during the 1989-91 bien- nium. The 1989-91 portion of the project funded at the 75% rate of $120,000. Additional work on this planning project may be eligible for continued funding during the 1991-93 biennium. *) Lynnwood City-Wide Flood Control and Drainage Management Plan - An eligible portion of the total project cost of $122,000 to be funded at the 75% maximum rate, not to exceed a total FCAAP par- ticipation of $61,000 for the 1989-91 biennium. 1) City of Brier, Culvert on Scriber Creek at Poplar Way - The eligible project cost is reduced from $48,106 to $38,056 and is to be funded at the maximum rate 50% rate of $19,028. It has been determined that the guidelines for the administration of FCAP.P grant funds restrict the eligible portion of a flood control main- tenance project to the in-kind replacement of an existing facil- ity. The reduction is based upon an estimate of the additional cost of the project as proposed which is attributable to the in- crease in size of the replacement culvert. 2) Rehabilitation of French Slough Drainage Channel - Eligible project cost of $37,319 to be funded at the maximum 50% rate of $18,659. Eligible project cost was reduced from the $42,187 ap- plied for because Washington State Regulations specifically pro- hibit FCAAP participation in items identified as "contingencies". 3) Ebey Slough Tide Tube, Gate, Bulkhead Repair; and Design and Construction of Supplementary ~~mping station (Diking District #2) - The eligible project cost is reduced from $31,801 to $11,703 and is to be funded at the maximum 50% rate of $5851. That portion of the project which is for the maintenance of the existing tide gate system is fully eligible for FCAAP participation. The guidelines for the administration of FCAAP grant funds restrict the eligible portion of a project strictly to the maintenance of existing flood control facilities. That portion of the project which is for the design and construction of the supplemental pumping station is considered ineligible for FCAAP participation. 4) Steamboat Slough Dike Improvements (Diking District #1) - Eligible project cost of $52,800 to be funded at the maximum 50% rate of $26,400. 6) (City of Edmonds) Shell Creek Canyon Restoration - Eligible project cost of $341,316 will be funded at a rate of 25% for a to- tal FCAAP participation of $85,329 during the 1989-91 biennium. 8 of 11 --- ,.--~~~-~~ "N.W 1IA~111~~:llihllillllll.ltQ)lm:.T~IV~=1111'l , '.' " .. " :' ~.,., 'i/'ri{ '~ " ..:.. ' ,. ...., .. . , :.' . ,', ,,' ':..; .' ,; . , " , '., .. ....,; " ' , ' ',,' , '.' ',' ., . ,',,:: . ,.' , , :: ,',: " '." .' .~ " , .' ',' :' .:' . ,.'.. ,..',": I ,'''' ",,', " ,,' " ;'> " :..". .' >" ,.: I I, I . .'.. ,. I "',.. '.." ',.'" :,::: ..,.'.,......... " ' . ' ,.,..', ,..,.,... ;, -~ ", ,'" "..' : ,I I '.. " '.. ,., .' . ."'." , ' ',,' ';".. " "","; "" , ..', ( I ~. '.: '::, , ",'. ..:/.(~':' .--1 " '",,: '",,': , , .. " '"' ' ',( ,":-':C ;"::':::'.i":'-:' , , . "; ': , , .'. , ' ,. ,... i".. ,.. ..,> .".11' ~'..':..'."..:'. ; ...~.....;" ~ '.' ,.. J m" ': ~ ' .' ," , ,"'.. , . t,., , .' ',:, ': "," , " ,. ,. "",.'. " ~ " ' '''', . '. " :. ' ""', ' .. '. """,.:, " ,...' . .... ' ",' . ': :< , >.. , ' "'" "; . ".'..'.' , .. "';." ' ,", ':,:' '. , , , .,: ".: ...,'. 'J '. " '" ,,: ,::, , '.,.' I:. . :",: , ' .....' .. ...' ,'..' " .': , ". ,"', ,'. " .' , :' ' :' " ,;". ',',' , " , , , "":, ' '",' ,<:'" ".' ":'-::'" -,,', , ,. .,,', ""': ' ., i; '.. ." . '", ,'" ,," 1,:';:." . ' " IL.,,:,,: ...... . I: \.', .'" ... h:'.. . ,: I; . I ,:,'. . , .....,,: I : " . .... i, L...-- .','.'.... ,'.. I " ';', :" :'" I', '':,. ,'" "" ". I' ' :'~:~; I~ I,: ( I , . ":' , .:. .. ",. . " , " 9) Ebey Slough Dike Reinforcement p~nject (Diking Distric'~ #1) - Eligible project cost of $'.6,752 to be funded at the maximum 50% rate of $8376. NOTE: The projects in Snohomish County discusc~d below are consid- ered ineligible for FCAAP grant funds. Additionaly, none could have been proposed for funding at this time since the maximum amount allowable for FCAAP non-emergency funding per County by Washington state Regulations is $500,000. 5) Local Floodfng complaint, pittsenbarger (Alderwood Drainage Improvements #1) - Project is considered to be for resolution of a local storm water drainage problem and the estimated project cost of $23,407 is not strictly eligible for FCAAP grant participation at the approximate 50% rate of $11,700 as requested. FCAAP par- ticipation is limited to maintenance of existing flood control fa- cilities. 7) Local Flooding Complaint, Gerald Fitterer (Alde~'ood Drainage Improvements #2) - project is considered to be for resolution of a local stormwater drainage problem and the estimated project cost of $8760 is not strictly eligible for FCAAP grant participation at the approximate 50% rate of $4350 as requested. FCAAP participa- tion is limited to maintenance of existing flood control fa- cilities. 8) Local Flooding complaint, Quilceda Meadows (Drainage Improve- ments) - project is considered to be for resolution of a local stormwater drainage problem and the estimated project cost of $72,545 is not strictly eligible for FCAAP grant participation at at the approximate 50% rate of $37,200 as requested. FCAAP par- ticipation is limited to maintenance of existing flood control fa- cilities. 10) Local Flooding Relief project, Jeff Dahl (Martin's Addition Drainage Improvement) - project is considered to be for resolution of a local stormwater drainaga problem and the estimated project cost of $13,479 is not strictly eligible for FCAAP grant par- ticipation at the approximate 50% rate of $6740 as requested. FCAAP participation is limited to maintenance of existing flood control facilities. 11) Local Flooding Complaint, Rolling Green (Drainage Improve- ments) - project is considered to be for resolution of a local stormwater drainage problem and the estimated project cost of $68,040 is not strictly eligible for FCAAP grant participation at the 50% rate of $34,020 as requested. FCAAP participation is lim- ited to maintenance of existing flood control facilities. 13) Local Flooding Complaint, Alpine Industries (Silver Creek Drainage Improvements) - Project is considered to be for resolu- tion of a local stormwater drainage problem and the estimated 9 of 11 , , . " 'I: ' '.,' '" .. ...:', ' .. " .:'. . ..' "',, '," ".' .:. . ....,..: '. .' , "" ,'" I ,'",.:' .,' ,',>' ", , . , , .' ..,.'..,.,'..'.,.,,' ,: -,". , , ,..', , ..' '. ,...,,' .. ',' ',' ,:' , I .' ;,',.." ". I:. " I,.,,'.' ,.. , ", :, :' ,,',:', .< ',,: .' '." .,.' i' :, . " ' : ,,"'- I " '. I",. i, .,., ",.,... , .", '::' , \:.' .' ~ , ..'.,:" '"", > " ." ; " .:::', , " "'"" .:' "',,', :"" :".,... . C. ..' .;.,', .', >.. .', '. .'",,' " ,'., " ,,' " " I., ':, ' '.. '..;",:' .,. ,', , .. ' ,...,,'.. ", '.,:: j'C ". '.. ....: '. I . ~.';..l J ,,, ;' ""'" " , '" S",', ,',:'. ,',~ ',' ...." , ' ",': .,' ' ",' " ", :',', ': ", , , " , ,".':"" ',: ..' , , " ,,' " '. " ' .. ,', , i , , , ,,' ,", , it, " ':" ' '.; . ,', " ' , , :: ,', , :', , . ,',,' '.", ",',. :"', .'", ''''', , J " , :: c,', .- ',., , ' ,'". .' ;,','., ' ,: ,', " . ','. ',",", :." ,,' I ):,:, ,. :, ". ,:./,' ',',' " ", ". ,'.' , L ,'.. :, I:' , ,,",', '" ,." ". I:.'" '. '., LJ~~~ ': ',', ': I , "" ' Ii, .... ," I:; ,:,'>. " " I: :,::>:::,~<",," ' ',' L 1~:>.~;:?'7/" ,,',".' " I, "'" I: I,' , " " I,." ;~", ,"" ' 1;"'.'.,,7 ,; , \L-' project cost of $8596 is not strictly eligible for FCAAP grant participation at the 50% rate of $4298 as requested. FCAAP participation is limited to maintenance of existing flood control facilities. *) Lynnwood City-Wide Flood Control and Drainage Management Pro- gram - this project is considered to be implementation of the City-Wide Flood Control and Drainage Management Plan and is con- sidered to be ineligible for FCAAP grant participation which is limited by washington state Regulations to participation in com- prehensive flood control planning and maintenance of existing flood control facilities. Estimate project cost is $106,000 and the requested grant amount is for funding at a 50% rate of $53,000. Thurston Countv *) North Thurston County Comprehensive Flood Control Management Plan, Woodland Creek and Wcodard Creek Watersheds (continuation of Grant #G0088081) - FCAAP'participation under the terms of the ex- isting grant not to exceed $53,341. Whatcom County *) Whatcom County Comprehensive Flood Control Management Plan for the Nooksack River, the Sumas River, and Lake Whatcom brainage Ba- sins (continuation of grant #G0088095) - Eligible project cost of $4000 to be funded at the 75% maximum rate of $3000. 1P) Squalicum Creek Flood Plain Management Plan (City of Bellingham) - Eligible project cost of $60,000 to be funded at the maximum 75% rate of $45,000. 2P) City of Ferndale comprehensive Flood Control Management Plan - Eligible project cost of $40,000 to be funded at the maximum 75% rate of $30,000. 1) Nooksack River Levee Maintenance (Station 110 to 340) - Eligible project cost of $100,000 to be funded at the 50% maximum rate of $50,000. 2) Nooksack River Levee Maintenance (Station 108+75 to 363) - Eligible project cost of $125,000 proposed to be funded at the 50% maximum rate of $62,500. 3) Nooksack River Levee Maintenance (Station 0+00 to 108+75) - Eligible project cost of $100,000 to be funded at the'SO% maximum rate of $50,000. 4) Nooksack River Levee Maintenance (Station 107 to 113+50) - Eligible project cost of $35,000 to be funded at the 50% maximum rate of $17,500. 10 of 11 , ' " - , ;"' I> tl , .,,' /',:'~,;,'fl ""'/';;}";~~ I , ,':' " ,',', ", '. , " ".",' ,," ,',...,.'.., ", I, " ,::: "',,',': ' , ." , , ": ,,'. ",' '" , .'" , '.,: '," ,": , " ., .,','.' ( .'; ,.', ':: ',,' I: ~' "..... ,'.' ',. ,::: , " I, " ',', [, , ,,: ) J r:~'" . ~'p" ..,.'.'.' ',.. .. " " , . "", .: .' '. ,", ..... ". ~.I .', .,.' ", I ,.". " , , .. ,} ',' " '... ..' , . " :. ',,' " :" :r " . . ':'..:," :::.' ',' '..'.' ,',.' ....': , .....,... ',:,.'.' , " .. ...... " ' ", ,:.; " " ' ;. ' . "..... .. .,' . ..... '...' "":' I: .:. ..',.. '.....: :>. ,....",'...' ", I,." '.'::::':/::' ..', .. ,::"<:; ',.........'.,,'."-- ",' ,:. ,.' '.,. .. ,.,':, , ,',' " " ,,': ':, ", "', ".:, ' :" " ." ,'i .. I' .. ::,' 'L' :~, ',' ", ' (, I l' I. 5) Nooksack River Dike Maintenance (Station 270 to 290) - Eligible project cost of $27,500 to be funded at the 50% maximum rate of $13,750. 6) Dike Maintenance, Flood gate/Outlet Repair (Diking District #1) - Eligible project cost of $12,500 to be funded at the 50% maximum rate of $6250. 7) Nooksack River Levee Maintenance Tree and Brush Removal - Eligible project cost of $50,000 to be funded at the 50% maximum rate of $25,000. 8) Swift Creek Channel Cleaning - Eligible project cost of $20,000 to be funded at the 50% maximum rate of $10,000. 9) Macauley Creek Channel Maintenance - Eligible project cost of $10,000 to be funded at the 50% maximum rate of $5000. 10) Nooksack River Gravel Removal - Eligible project cost of $25,000 to be funded at the 50% maximum rate of $12,500. 11) Nooksack Slide Analysis - Washington State Regulations limit FCAAP grant participation to comprehensive flood control manage- ment plans or maintenance of existing flood control facilities. The scope of work proDosed in this application would qualify as an element or task of a comprehensive flood control management plan and could be an amendment to an ongoing planning effort. In that context the eligible project cost of $15,000 would be funded at the maximum 75% rate of $11,250. Whitman Countv 1) Elberton Flood Control Project, Palouse River Levee (Mainte- nance) - Eligible project cost of $13,500 to be funded at the 50% maximum rate of $6750. ### NOTE: The project numbers reflect the priority assigned to the projects by each of the counties, (*) indicates that no specific priority was assigned by the county. 11 of 11 ..' , ~ '.',' , ' , " '.. .' . , ' .. , " '.' '. ..' .... : I ',',' /;; ,... . ," ":':""'" " .. ..'.. '.\ . '.. ,'.; i ' . ,', l ,... ., I , I, i: " i , ie' .. : , " " .,: , . " " , :,: : ' " , :.' I, , I",' :", " ",' !:. ,; , I' ,.'. '.,' ,'...; " .. ", .( " ..',:, . - '. ..... '. ,..,., " .. , ", , '.. ,""'.. ,', . .' ':.. .' " "', ,;' .... , "", :' , ,'!," "," " ./ <.. ,,'( ',,' ",', """ --1 " .... "'::' ,.' .,;. ;. '.: " .'..'::.. "'" I" .."::,::'.,., -.I'.',.' . :.. ':' , ' .: .. '....-.J. J, If I , .......',... '," : :,' ." ..."'" .' .;,: ,'. ," ",' " ',' , ",' I" j" , ' .., ''',', " i, .! .~ ~} " /, ,,: :', .. :' ::,,, .- , " '! ., .. , /21 45(5 /r~7 j". .. JOS{PIlI{, BLUM J)itt.'(lur "'" '".~ ..,," SfAlf. or WA.SlllNCTON DEPARTMENT OF FISHERIES 1/5 Cent'rJI Arlmilli~I"Jli()fl !Jut/din!; _ O/p1Jpi,t W.J.~hmgl()n l)IJ.'j().J . {.!I)(,} 75.J-bf,()(} . (SCAN) ],J.J-bM)() May 10, 1989 RECEIVED Jefferson County Public Works Department ATI'ENTION: Gary Rowe County Courthouse, P.O. Box l220 Port Townsend, Washington 98368 MAY 11 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT $UBJEcr: Fish Passage Improvement Needs on Tarboo Creek, WRIA# 17. Ol29 Dear Mr. Rowe: The Washington State Department of Fisheries has inspected a culvert owned by Jefferson County on Tarboo Creek as part of a statewide survey to identify potential salmon blockages. Our investigation has found that the culvert under the Chimacum-Center Road (Southeast l/4 of Section 17, Township 28 North, Range 1 West) blocks the free and unobstructed migration of salmon. The blockage of fish migration violates the State of Washington ];'isheries Code RCW 75.20.060 (enclosed) which requires that an obstruction across or in a stream be provided with a durable and efficient fishway. We request that you infonn us of your plans for fish passage improvement at the above described site (vicinity map enclosed) once you have had an opportunity to make a review. If you desire further information or an on-site inspection of this culvert with our personnel prior to improving fish passage, contact either Mr. Dick Allen (206) 753-3628 or Mr. Larry Cowan (206) 753-4626. ..Ie would be pleased to \\''Ork with you to establish fish passage improvement on Tarboo Creek. Sincerely, L~ _ <Z-f~ Duane E. phinney, Chief ,...j Habitat Management Division DEP:TB:br Enclosures " '. '. :",,' , ",,""", ',' '.. ':'. ,"., ,', ' ". .'...': ,., ,,' " ',,' :', ". , " " " I ' " " I .' /,' """',": ,,", , ,; , " " .: ':; ',' : ';.:,; , ,,::.' , ,'" , ',' ,:,,: .', "" " ",~'.~-::, " ",..','.. '," ,'. ,'" :,: ""',', ,,', .. ,', I .." '.' '" . ' " , ,"", .' , , .. " , ' : .. ': ,,: '. ,',',','" ..'.. '".',; '" .' " :, " ",', "", " " '. :;',:", " ',,' " . , "" " :', , ':', , " " " ..' , " '"., '. ,'. "'.... "...:,. ' I . -,'.',;, .' , " I " I " ", , .. " ',', ' . .'."...>'.....,' ,"'.', ....., ,.' ','.. ,',' . , ,.". ,', " ,..,':.~ " .', ' '., '..' '''', " " ,0 t ..,... . " '.' .' ;:<> .,..' " ,<, ',,'... ,.....'.1 '. ,.',.' - ,<,,'::'" . .... ","',;,'.'.:', " ,:::, ",,', : ,..:: ~:,.' , . 1-.- ,..' 1,,: ,,"":' '. "-,-'.,, ' I. .' I: I: ~ i .' RCII 75.20.060 Fiahvays required 1n dBJlls, obstructions-Penalties, remedies for failure. A dam or other obs truc tion across or in a stream ahall be provided with a durable and efficient fishway approved by the director. Plans and specifications shall be provided to the department prior to the director's approval. The fishway shall be maintained in an effective condition and continuously supplied with sufficient water to freely pass fish. It is unlawful for the owner, manager, agent, or person in charge of the dam or obstruction to fail to comply with this section. If a person fails to construct and maintain a fishway or to remove the dam or obstruction in a manner satisfactol'Y to the director, then wi thin thirty days after written notice to comply has been served upon the owner, his agent, or the person in charge, the director may construct a fishway or remove the dam or obstruction. Expenses incurred by the department consti- tute the value of a lien upon the dam and upon the personal property of the person owning the dam. Notice of the lien shall be filed and recorded in the office of the county auditor of the county in which the dam or obstruc- tion is situated. The lien may be foreclosed in an action brought in the name of the state. If, within thirty days after notice to construct a fishway or remove a dam or obstruction, the owner, his agent, or the person in charge fails to do so, the dam or obstruction is a public nuisance and the director may take possession of the dam or obstruction and destroy it. No liability shall attach for the destruction. [1983 1st ex.s. c 46 ~ 72; 1955 c 12 ~ 75.20.060. Prior: 1949 c 112 ~ 47; Rem. Supp. 1949 ~ 5780-321.] .:)0 7///3 {I";;,.,,.~ A;/....~ )11:;;i,/;;;/ /"7 /11.5";::- /$ (l",rJv&re~ ~4h..-- )""t:?"v ;7S-:'.,2t1..o6 / 5~V, /) j~d'5 A~ I L ~ -- f., ,': ":,, .. "'-"""," , : ' ,'/', ',<,. '",., ,'. ',' " ' .- .::,.,'.' . ", ", :' .,.,',::', ' :' ' "','0, ' . "..' . r , 1 . <i!~, ". :', : , '.... " ll//w "iklff I~:. ~:.. ; I, ,'oj, ~~.; ''l~~7:jt > :.' .,... :, ': , ,', "" : ". .:' ':, ' , ',:, . ;', , ",',. , , . . ". . .,.., ,'. ~' Il;"}~q{ ..~. .i';.'.. , 7 CC' .'. I;, ',",: I:',. '. I! " I. " , : . ,.:.,:' '. I ; lj, ; .,' ~ 'l 'I LOCAL OFFICES, ',.. ., ." '!' I , . ,....." '--_n.._ \:~~;f~5 "::", '---.. '., .,.:, ..',' I , ..' .',' , " ;; :';., :;, i, i'.""""'" 'i :~)1~";::; ..:. , '" ",." ":, ' "',, ;: :' ';"',,', ' , :' :" " "" ''',', , I,' ,,:':, .' ..,..','.. ,.,...'. ...,..',.,., :' ':':. ',"" , : .,>.;, : , "',:"'.J,","', "'::'L' ".<- L' ':-;' .' ~~." :' ','.".' "," (, L \-~. northwest services council RD5 or.,.20.0<j APR 26 1989 ONE HUNDRED AND ONE PROSPECT STRC:ET.:;U:rE TEN (P.O. BOx 2CX1t1j BElUNGHAM, WA 516227 (2015) 1571.1000 (2Dllj 3Ol> 1828 MBMORANDUN or AGBBBHBNT Autborized uader the ~ob Tr.inia. P.rtner.hip 97-300), .nd by the Northwe.t Service. Council. Act (JTPA, PL JEFFERSON COUNTY PUBLIC W)RKS herein..fter referred to... Ihe--aOSr--AGBNCV:-s;;u;es""snd-"ce;rlfies the NORTBWBST SBRVICES COUNCIL. herein..fter ref~rred to .. the SPONSOR, th..t: 7h. HOST AGBNCY ...ke.. the following ....ur.ac.. and certification.: c. It will comply with Title VI of th~ Civil Riihts Act of 1964 (42 USC 2000dl. It will not in any way discri.inate against, deny benef~ts to. deny e.ployment to, 01- exclude fro& pBrticip&tiQn ftilY person. on the grounds of racp.. color, national origin, reliaion, ale, sex. handic"p or political affili..tion or belief. The work activity does nnt involve political activity. P..rticipsnts in the proar...' will not be employed on the construction, ()peralian or maintenanc~ of that part of aDY f.cility which is used for reliaiou. in..tructioa or wor.hip. Appropri.te standard.. for health and safety in work .nd trainin, situ..tions will be .aintained and all Feder.l and Wbahia,ton State Re,ul..tions ,overning the e.ploy.ent of Minor. will be obaerved. THB PROORAM WILL NOT RBSULT IN THE DISPLACBNBNT or INPLOTED WORKBRS OR IMPAIR EXISTING CONTRACTS FOR SERVICES OR RESULT IN THE SUBSTITUTIONS or FEDERAL FUNDS FOR OTHBR rUNDS IN CONNECTION WITH WORK THAT WOULD OTHBRWISE BE PBRFORMBD. It will aub.it repurts ftS required by the Sponsor and will report to the Sponsor. as required, th~ ti.e worked aad the work aaaes..ent of participanls. and shall k~ep copiea of all t i.e records. b. c. d. e. f. The PARTICIPANT(S) asai,ned by the Sponsor to the Host Aaency: a. Are not in any sense to be conaidered Federal, State. County, or City eeployeea within the .eaning or the law ..d.inietered by the U.S., St.te or City Civil Service Commission ana will not bava recourae to the Federal Tort Clal.s Act when e.ployed by a Fedar.l A,ency or acting on behalf of the Host in the official capacity, Sb.ll, within the rang. of duties and hours of work fixed aad/or approved by the Sponsor, be assigned duties by'th. Ho.t A.ency ..nd .hall be required to perfor. the dutie. in the ..nner .pecified by the Ro.t A.ency. Shall have the followin, provided by the Ho.t A!ency: 1. On-aite tr.inin,. technical direction end superviaion. 2. Office space, ..upplies. equip.enl Rnd other workin, tool. and facilities neces.ary for the perform..nce of their a8si,n.ent, if not otherwise provided. b. c. d.ily 107 E 8TH PORT ANGELES, WA 98362 .$2.e202 1002 LAWRENCE PORT TOWNSEND. Will 98368 38$.$$7" FORKS, WA 37'-685.e EMPLOYMENT /I. TRAINING PROGRAMS ~gii' - ~, ~., . ' .> :' '" '" " I,.'.~: ',,' "'.' :', " ,'".. .... ,,'" , . ..,.'. . ,,', " . ',: " .',:, ", '.', " .' ',.,,"', cO,":'" , ' , .' " < < " ...,... " " "" .' ", ' , ..,...... ..... " ", " ...", ' : ',' . ".':', ", ': '. " " :' ,': I",..,'.... I , " " .','.'...... ' :;' " , ':."" ii",: "" ",..,:,,':':".:' " ", , ',", ! .. '...".'.,.... ',)', '.' , ',.'"',, , . "" , 1 ,', ,,:'.,," .', '. ...,... ' '. . ,'..,.:..: :, ',', "'" ":,,' ", ",'," ,'::. :' . ,',';,i:'\.::': '.:,,.:.' , ".. ' ',,' " ,,':.,; ," " :", '.' ' ," ,,' '::', ,:' ," ,"" ': '.'.', .' , ',"" , "..',..;.:.. ',' .' . .'. ". .', ,,' , ," ,;: '" ,'. '.'. .'> '.. , ',' , 7):,;1' .' ,..: . I '. . ~'" ,'t' --,',-,':,':', ~ , ~ ....-J J .. ' 3. Reimburseme: for transportation for duties performed in their work ~~;si~nment, if nct otherwise provi~ed. 4. Work release time for participation in other" approved training activities. including ~mploY8bility developaent training and job search activities. d. Shall meet Host Agency standards as to qualification to operate its equipMent. The Host Agency shall be the sole judge of the qualifications of the participant in this respect. e. Supplies, equipment and other working tools and facilities provided by the Host Agency for the purpose of this agreemp.nt shall not be the responsibility of the Sponsor and the Sponsor will not be responsible for damage or loss resulting from any cause. f. On request of the Hoat Agency, the Sponsor will reassign or terminate the assignment of parti=ipant(s) provided by the Sponsor. In the event that a dispute arises between the Host Agency and the participant, the Sponsor should be notified by either party. The Sponsor will attempt to arbitrate the dispute before any formal appeal process is initiated. If the situstion. covered by JTPA Lsw or regulstions, is Dot settled to the satisfsction of both pal ties, and Host A~encf i~itiatcs or continues the dispute against the participant, the participant may initiate the JTPA appeal process with the Grant Recipient/Administrative Ent~ty. The Host Agency assures and certifies that, if upon written notification from the Sponsoring Agency of noncompliance with ani of the above assurances or certifications. it will take necessary action within ten (10) days to correct the nonco~pliance or cease participation in the agreement per the written notification. The duration of employment for participants is limited to the duration of their current program. This agreement shall be valid for the placement of participants until June 30, 1990. The obligation of any party hereto may be terminated by the party upon ten (lO) days notice in writing to the other party. said notice to be computed from date of mailing. HOST AGENCY:____~E~U_~~LIC~BES_________________________ Name of Organization _ __ __'p~Q~.JlOX_l22D_,___rolIT._~SEND~...wA.__ ________.9B31ill. _ __ __ Address City Zip Code ~~~~~t~~e~i~~;d-R;pr;gent8ti~;-------- (;CQrge c. "Brown ~!:li!!.BMN:! L _JNEl;;13S91LOllJmX.JlQf,BILQf_ ~SIQN\'J1S_ _ _ 1: ~ 1.: [1_ __ Title Date SPONSORING A:::::~__::::::~:~~::~~___________________ SignRture of Authorized Representative Gay Dubigk, Executive Director , -~t?w-'~~""r' I::l..~ - '~n~s 0 G,. 20. O<{ northwest services council ONE, HUNDRED AND ONE PROSPECT STREET, SUITE TEN tP,O, BOX 2009) BELLINGHAM. WA 9/:227 RECeH/ED (206) 67','660 1206) 39&182ll DATE: 1989 'AFR 2 i' 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT Sua=er. TO: :::l:::::::::::::,::: ::::::~~"o,..., .." APPROVED JOB DESCRIPTION(S)/PROJECT DESCRIPTIONS FROM: SUBJECT: This is to notify you that the Job Description(s)/Project Descriptions sub~itted by your agency for summer youth workers has been approved. If a suitable applicant is available for your job description, a staff member will be contacting the work site supervisor to implement the referral process. We will provide your agency and the direct supervisor with an orientation. Our Memorandum of Agreement review. Participants may not Agreement has been signed. If please sign the enclosed copy earliest possible date. If you enclosed Agreement, the copy is is enclosed for begin work until you have not done and return it at have already signed for your files. your the so, the the Once you have interviewed a youth and feel he/she will be able to fulfill your job description PLEASE CONTACT OUR OFFICE. Youth may begin work once a mutually agreeable start date is determined. Should you need further information or as~i~taDce, please contact your local Northwest Services Council office. We are looking forward to your cooperation for e productive Summer Program. LOCAL OFFICES: 107 E 8TH PORT A.NCELES. WA 98362 452-6202 1002 LAWRENCE POAT TOWNSENO. WA 98368 385.5578 FORKS, Wit. 374-6858 EMPLOYMENT & TRAINING PROGRAMS 'ff. 'R OL) A P R 2 4 1989 ~~ JOB DESCRIPTION JOB'TITLE: Summer Public Works Department Labor WORK SITE: Jefferson County HOST AGENCY: Jefferson County Public Works # JTPA PARTICIPANTS TO BE EMPLOYED: 4 ADDRESS: P.O. Box 1220, Port Townsend, WA 98368 WAGE: $5.20/hr 40 hrs/week SUPERVISOR: Earl Wells, Operations Supervisor SCHEDULE: 5 days/week 7:00-4:00; June-Aug. ALTERNATE SUPERVISOR: William Arey, Foreman PHONE NO.: 385-0890 . .~ I. SUMMARY OF JOB A. GENERAL Work consists of vegetation management along Jefferson County roadways, using manual and mechanical techniques; bridge cleaning and painting; culvert cleaning and marking; parks improvement work. II. PERFORMANCE REQUIREMENTS A. OCCUPATIONAL JOB SKILLS 1. INITIALLY REQUIRED using hand tools, including weed eaters, for vegetation management along roadsides: cutting, thinning, chipping removing vegetation. Bridge work requiring wirebrushing, scraping and broorning, painting. Culvert cleaning requiring use of shovels, machetes, rakes and. weedeaters. Parks work will consist of using general gardening ,tools. 2. "'-~'WILL BE LEARNED '. ."~.. ,:~'r?r":'" Participants will learn landscaping techniques and'.' '" , will develop an awareness of landscaping , '. : ,,,;:::.:::;,,maintenance and design including erosion ,control..:~",,,.-,,,, ,_ :..Th:,y .will learn ba~ic carpentry techniques.-.,,:-:tn ',:.'.":3:-:::::';~: ,!.:::,!'.r:Ldge wO,rk they wJ.ll learn techniques to ,~' '., ;:';~..~~~D;::; .,~. ., recognize and control rust and corrosion. In culvert cleaning they will learn basic inspection with techniques for controlling culvert deterioration and prevention of flooding. B. WORK MATURITY SKILLS 1. INITIALLY REQUIRED participants are ~xpected tc be interested in working out of doors, be able to work under supervision, and work with others. 2. WILL BE LEARNED participants will learn to cooperate and express their ideas under sometimes strenuous conditions. They will, learn how to better take and give criticism. Independent work skills will'be learned, and some participants will learn leadership techniques. All participants will learn basic safety requirements for working with hand and power tools, and traffic control. III. TRAINING PROVIDED A. ON-SITE TRAINING and FORMAL TRAINING All participants will be taught pla~ species recognition. Education in sight distance requirements for intersections and traffic control and signing, and erosion control, techniques. Basic cleaning and paint preparation and carpentry techniques will be taught. B. EQUIPMENT, TOOL, OR MACHINERY TRAINING Basic hand gardening tools, including weedeaters and chippers; power sanders, and wirebrushes, basic painting tools. All participants will be thoroughly taught the use of all equipment, and the safety required for all use. ~$d- signaeure of Direct supervisor ~-/r- rr Date APR 2 4 j9S9 -~W ';~~;.~";.""" The project will focus upon several maintenance tasks, including park grounds maintenance, culvert cleaning and maintenance, bridge cleaning and painting and vegetation management along county roads. The purpose is to upgrade the county parks by additional landscaping and some trail __,construction. '..The vegetation management projec!, is a,',.",.,", '., (,continuation of our previous efforts to improve intersection - erosion control and remove undesirable vegetation 'along our rights-of-way. Bridge and culvert inspection and cleaning will increase the efficiency of our county road crews by removing from them the additional burden of cleaning and .',inspection. It will 'also increase the life and effectiveness of these elements. By performing these tasks the public will be served by an improved parks atmosphere, cleaner and more accessible :.parks, by better usage of public monies by using more cost _'..., ,_:':'c:effective laborers,' and by continuation of a program that .' " '...., ""'CO"7tYha. been co_itted to foe..ny yeaea" .. . .... .,. . ... .... , ' " ,.' :,' ~ , " , ..) " , ..', ',' ' .' ",., ..1 I I ; '. : ,.'. ,I ....1 , , ,\' ...,.. , ,:, " i '; " . : . ~~: .'~ {i.; ~ , , .' : ,', , :'(' , ,.,,' , .... "', ,: ," , , '(..' , ...~:r.:.5.!,. '::'..T~'! 1;' , 1 I~ !. . ::,' .':.; If " ." " -',''' .:".', " " ." .,.. > :. ...i.' ':'.''',', , " . ',... " " ,,'::, " ....' ... , " " : . " .' .",", " , , , " : ",..,,: ,,',, '",,'., . .. :" ,.," . I: ': .. I' " ,l':~;:..:~ ".' '... ' .. ,... .. : ,",' "..' .., , ' ..I ' ltL:> .' , . , ,J . 'Pz:l2- u./ APR 24 1989 ~LOYKEHT PROGRAH ;rOB DESCRIPl'IOK JOB' TITLE: Summer Public Works Department Labor WORK SITE: County Jefferson iiOST AGENCY: Jefferson County Public Works Department P.O. Box 1220, Port Townsend, WA 98368 I JTPA PARTICIPANTS TO BE EMPLOYED: 4 ADDRESS: WAGE: $5.20/hr 40 hrs/week SUPERVISO!'l-: Earl Wells, operations SuperJisor SCHEDULE: 5 days/week 7:00 - 4:00; June-Aug. ALTERNATE SUPERVISOR: William Arey PHONE NO.: 385-0890 EMPLOYMENT PROGRAM JOB DESCRIPTION I A. L ~ .. " " .. " - '~ ",'.. ~ :,,:. '" '. :" .' , ,', , ." '. . I:, ',.. ",.... ,'... .....,.,'.' " .. , :, '" I . : . ,', , " , ". ' ; ,',:" " :' " " .. ',', ':, .< '., ..... ' ..'" -,. ",:,:' " " ,', .... "::" '. I: I I:. ,.,i ,:'", ': ,:,,.' ' , ',' ,..':........ ,:'" ,.., ..'.. .' ---d '.' i ., ,,'{i"':' ,.'/. '...' i ''', " , '..,' , .' .'. ',:. , : ..,' ..... .". ...,.' '. . ..':,. ..,'.,.,. ',." ,,; ;",: , , .. " ",' , , ,', :' ,: '~ . '.'....:'.,: ,'. ' .:.".' , " ' , . '", . " .: , , .J'.... , , ' , .. ' .' : I;." ,;,' "I ,...' .~,'" J~ .,~~,.,. . '.. ..... "" " ,.., ,: ," " . , , /: '" '" , " .1 ", 2. Bridge cleaning and painting will focus on identification of bridges in need of painting and cleaning due to rust and corrosion. Work will be done from bridge to bridge and will be scheduled according to the efficiency of the crew. Culvert cleaning and marking will continue a program that marks on the road the location of each culvert to enable the county road crew to spot culverts to prevent culvert damage when they are doing their normal grading and ditching. Cleaning of culverts will allow water to flow freely and prevent ditch clogging and flooding. ' 3. 4. vegetation management continues our program of manual and mechanical control a~ong roadsides. This is a program that has been in place for nine years, and has always employed youths in the summer. Better sight distance, safer intersections and safer signing i.s a goal. (: (,,' II A. 1- copy from Job Description section # II A 1- .. 2. copy from Job Description section # II A 2. III A. .: B. C. , ,'. ~ ..~ )i: 'f' t'f :' ., :, " :. , , ': , ::':, : "; '..', "." ;".;'>.' ',: , " :,' ,,' " " , :,', '." , : ,". ..' .' . '!, " " , '; , ",. ,:':, :" ", .' .. ,,' ',: ' , .. :' , ";.'...,, ',. ..' ' I{'i+t' "':"', '\ .'. ..i ,),. >,..' '. 1:1 .: " " ...... ',.". 1'1 ,,":, ~ I \ ( ~. , '. :" j I,' '. ~-;....-~'" B. Employees will be required to keep accurate time schedule and will need to be able to perform basic math, read and write. They will need to be able to listen well, as most instructions will be verbal. C. 1. copy from Job Description section II B 1. 2. copy from Job Description section II B 2. The county will provide all equipment, tools and safety equipment, including gloves. Participants must provide heavy work clothE3, boots and (possibly) rain gear. copy from Job Description III B. Vans and pickups will carry employees to and from job to job. Due to the distances of various jobs, some round trip mileage will be as great as 60 or 80 miles, others may be 10 to 20 miles ,.... .' -,:..',..: '" I.".':':: :,',.,:' -',. :"':', " , , '...'. '," '" ,..,..'", ',:', , ' ',', , I : , I i I. " ! .'.;: :, :,. ".' II , , I I _.-- Only very high winds or severe rain will hamper production on this project. Should these conditions exist various . ..,..,,~"'tasks may be completed at various county facilities, such as -::;, ,';county shop, courthouse or community centers. ,...."'..,.'.-.,"c-~,"";i\''it~ , .", , :.:" '. '. " ,".' .. .. ...' ;""':2~Z:}!!~7~~~ .~-".,,-. . D. , ' " ,', '.' ' . ,'. " ,: ,',..' '.,:,:. ::: , ': ','.; ",' . ,..:. . .,,' , , ,it ,', , ',< , "," ..'.,".. '''', .' ' ,:, " . ,: " :,". '.::, ',' ",' , ,",' ,'. ,,' ", . ":, ", "'" ..' ." I'..' " ';. ., :"" .,',"'..'1'..',.' . '",."; . ,: : .", .'" -:J ',', " "i . . .', <:' 'i', , " .J " E. Copy from Job Description IlIA. F. All safety or protective gear will be provided by the county and will include vests, hard hats 919"~~. goggles. Work boots and work clothing are to be provided by participants. Flagging cards will be required of some participants; the county will send these persons to flagging school. Si~n~~ ~~uperVisor Date //-/~- gr .~ ~.tr;:..c'I\ .,;;''':-.''-... --.: Affidavit of Publication SIAn 01 WA~HING10N) COUNTY 01 JEfF!::RSON) CAll fOR BIDS Notice is hereby given that the BOOid of County Com~issioners of Jefferson COlJnty, State of Woshington~ will receive sealed bids up until the hour of " 0:30 a.m., Monday, May 8, 1989, at the office of the, County Commissioners, Courthouse, Port Townsend, Washington, 98368, to be opened and read at thot dale and time for furnishing, the Jefferson County Department of Public Works with: ONE (1) HORIZONTAL BALER WITH FEED CONVEYOR AND FLUFFER Bids sholl be submitted in accordance wi_l~ the. pions o'nd ,specifications on file at the office ot the Director of PubliC"~ Works, Courthouse, . Port Townsend, Washington, where copies may be obtained. Each bid sholl be accompanied by a surety bond, postal mon~r ordar, cash, cash,iars chee~ _or (,ertlfled check payable to the Treasurer of Jeffer$~n County in, the sum of 5% of the bId a'mount, t,o b~ ro~eited to Jeffarson County by the- successful bidde'r i~ .he fails to, en~er, into _ a, ~ontract, lhe board "of., ,_County .Com~bsi~:mars reserves the right to reject any and all bids, and to Deepet the bid deem~ ad most" adva'ntageous, 11",) Jefferson County and t~ waiv_e' 011 informalities in the bidding. Approved this 17 day of April, 1989. Boord of Jefferson County Commissioners .Geo~ge C. Bro.wn, C~airma~ 464 5~3 fRANJ<, vi, GARRED. t.t1'''Q ~"'\)"'. \Qy\ hI: ,\ ,htl p",bl,\.".r d lhl' Pc" TOWfHtlIIJ/J"flUlic,,<l Coun.)' ltlod"f, !J ",,,,,,.1, "uw~pafJ'" ",h,(h h(l~ bt!..n U\'ob!.\~1t!d, pllbl,\h..d or, rh.. [ng"H' 10l\9"ogtl ond ".tuIQ't1d co""nuo",~I.,. 01 0 w.,..~lf ".....\1>01"" !I' rhl;' .o...n 01 POll Town\und, ", \o,d CO"''''I ond Srol", oraJ fOl 9unfHoI C1HUloho" in \o,d (ounlt fo. mo'" .ho" \.. ((.I) mo",t,\ proor to .htl dor" of thu 1,,\1 publ'Ull,on 01 rh", t-.lor.c" tlt"tllO 0" lach...d, and tha. 'he \oid POf' Townll!nd/J..lfo'\on (<'>1.)"'f luad... ...0\ on lh., 27rh dOl 01 Junu 1941, appfo.ad tll 0 1"'901 nflW\pope. by Ih(' 5vp'Trior CO....I of la,d J",He'lo" CO"'''!r. tlnd lhor a""e"ud ,~ ..ve cop)' 01 rh", Call for Bids one horizontal baler with feed conveyor and fluffer a~;1 appeo.ed in 'he ...gula. and enl..... 'Hue of laid POP'!! ill",il ond nol in a tuppltlmen. rhe.eof fo. 0 ptlliod of two con~e(u.i~e weeh. bllg,nning on lhe 89 April 26th '9 doy 01 ond ending on ,he 3__~~c:1.do)' 01 Ma):' IQ B 9 _ '. ond thaI. said np'w5p,ape. wo~ regularly dilr.ibu.ed '0 il\ \Ub~cnb(H\ dU'lng 011 of ,h,s period. Tkot .he full omoun. of 5...6_6__..9.0__ __ho~ been paid in /ull, a. P" ""m, "o~..' .ooh """'0'.0,. . u{~_ 5ub\c.ibed ond DI<lo.e nlP. lh;\.~r~,do)' of ~ay , ,,j39 ~~-+P'bdi!,~{/ WGShmglf.ln. re\idmg at Hadlock ;"~~".!:.i"~-,...-.....,~, ~. '; I I I -------~ ~ 'I I' --.l "" Jefferson County nak...~.ypment Bid Date. May 8 CALL FOK BIDS NotIce is hereby given that the Board of County Commis- sioners of Jefferson County, Stale of Washington. will re- ~~~~ ~fa:g~30biX~ ~. UM~~~d~hy~ May 8, l!:Hi'd. at the orncc of tho;: County Commissioners.. Court- house, Porl Townsend. Wash- ~~~~O~t ~t3:t8d~~~i~ECt~~c nlb~ furnishing the Jefferson Coun- ty Department of Public Works with: ONE (I) HORIZONTAL BALER WITH ~'EED CON. VEYORAND~'LUFFER. . Bids. shall be submitted in accordance with the plans and specifications on file at the of- €lee of the Director of Public Works Courthouse, Port Town- ~~db~6~~~18~~~1 where copies gch bid shall be accom- panied by a surety bond. postal money order. cash. cashier's ~~~~eor.fi~~~~:r ct;,1c~ ~t~~~ri County in the sum of 5% of the ~~~f:~ggn&o~~t~e ~~rfte~~e~u~~ cess CuI bidder if he fails to enter into a contract. The board of County. Commissioners re. serves the right to reject any and aU bids, and to accept the bid deemed most advantageous ~ai~:f~llsY;;fo~~~ri\1esar~ t~~ bi~~~OVEDTHIS 17TH DAY OF APRIL, 1989, BOARD OF JEFFERSON COUNTY COMMISSIONERS. GEORGE C. BROWN, Chairman. Dates of publi~t~n in the Seattle Dail~-.rournal' of Com- merce, Apr1l28 and Ma{l47~95~9. ..",,,I "I L ~ L -l "I ~ SPECIFICATIONS FOR PROVIDING ONE (1) HORIZONTAL BALER, WITH FEED CONVEYOR AND FLUFFER FOR JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO PLANHOLDER The office to administer this contract is the Department of pubTTc Works, P.O Box 1220 Port Townsend, WA 98368 Telephone (206) 385-9160 ': ,," >' ,": " ,;;' ,:':,.. ',: ;'," '.." " , " ',:' "," " , : ''',' , .., .....',I;;~-:~~-,. :,... '........ .. '.. .': ' ~' 't><',:::\,/:":\;/:,,. :':<'i', [' f~~;J"};~.' ., ,'. .',,' · ',,' " ,", ' ,.... .... ,,;'.. ' , ' :~:',~;; '. ," I .... ::", , ":' I..,.. '... '::, : "", , ,,':,., ",', '~tr'.; ,'...' ," ,,',,, , """", :' ," ',' ',.. ..'::' ........ 1:1 ',...... . ,d' ',,' " ",'" " ','.. ,', ' ; ," '.,:,' .. ; . I .> .....' ...... ,,':' '":",, , , , :.. ,,' .. ' .. ' , " "', ... ,: ," ,..:', " :; f , : : :":' , "" '... !:' t ; j: L r ,'", '..', ", ~; ;, CALL FOR BIDS Notice is hereby given that the Board of County Commissioners of Jefferson County. State of Washington. will receive sealed bids up until the hour of ~ A.M., Monday 711 ~ ~ ,1989. at the office of the County Commissioners. Courthous , Port Townsend, Washington, 98368. to be opened and read at that date anti time for furnishing the Jefferson County Department of Public Works with: ONE (1) HORIZONTAL BALER WITH FEED CONVEYOR AND FLUFFER Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse. Port Townsend. Washington. where copies may be obtained. Each bid shall be accompanied by a surety bond, postal money order. cash. cashiers check or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract. The board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. APPROVED THIS C,;r-rA--P . 1989. BOARD OF JEFFERSON COUNTY COMMISSIONERS ../"(!!:-c..v<-^ d___ _ (l-~-tf'-z.~ Geo~ge C. Brown, Chairman / 7 ~ DAY OF lWiC'~~ c -' ..,,: : '..' /~ i....I':.. f<,\,\;'/,:..,- :;'-',:':'-;"f:) ~,:.:>-,':>:: "'}:!_';' " " I, ' I ' ., ,,' l "';;:: ! ..'".. .." rr , , .. ..,,'.., ," , " , , ,,', , ....., ... , ; ..", : i .' :, i' , , " ,'.:, , " ....... , , , .. ':, ......: ' ,,'....,. ..'..,., ..~;, " .", :.' " : "':. : ,.' '.. ,,: , :.. ,..,.....,...... ....' ,.' ",,' '",', .. ,'.. ' ",' ........ ", ,:.. '.. '. ...... ..""..,.. , C . , :,'..' , , , ',," , ,'"," I ......, ,......... , .. " ':." : , ' , ,'" .. '....I I , " , ...:',..':', ' ....: '.......',I....;.',! . -:- .... j ,.',\' " " "",:,',, , , ", ' '. .- ...' , :: . .'..', . , ,:.. .'" " , , , , ',' '. ::,'.., , .' ......,'.'., ,,". , ,.''' i..' , ..,' ::, I' '" '" , < :' . '..' " , ' " , , :".' I ~ '.". ,i:., ' .., ','" ,:' ..::'..,:. " . ." . " , , , , :',:' , , , , ',,' ',.' " ': .. ::.,: .' , ' .", " ,: I; : :~~;t "i',,{.:;~'.~..".. { ," ", .' :",' \"'.',, ~:~"tY"'k!: ,,; "',,, ," ,.' " '" ',' ,'" ", , , "" '.'.' ':..' '" I I;" ',.,.'\ .,......,. . ".:,: " .. '... '. .' ..' '.':" Ii' " . "'.:. " .' I, .. ',. :, I,.. ..... , 1 I... '...'. It,1 ...' - , , JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR ONE (1), HORIZONTAL BALER WITH FEED CONVEYOR AND FLUFFER Bid call for Monday, May 8 1989, for furnishing the Jefferson County Department of Public Wor~s, Solid Waste Department, with one (1), Horizonal Baler with feed conveyor and fluffer. GENERAL SPECIFICATIONS It is the intent of these specifications to describe a Horizontal Baler with Feed Conveyor and Fluffer in sufficient detail to secure bids on comparable equipment. All parts not specifically mentioned, which are necessary to provide a complete operating package, shall be included in the bid and shall conform in strength and quality of material and workmanship to what is usually provided to the trade in general. The baler, conveyor and fluffer shall be bid as a unit and must be compatible with each other. The fluffer shall be on a lIswing out" assembly. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. DELIVERY TIME Jefferson County expects prompt delivery of the Horizontal Baler, Feed Conveyor and Fluffer The bidder shall indicate on the proposal the time for delivery after award of the contract. The time indicated shall be a facto~ in determining the successful bidder. If the actual delivery date exceeds that set by the successful bidder a penalty of $100.00 per day for each working day thereafter will be deducted from the final payment. INSTALLATION The bid shall include delivery, installation and operator training, all at the Jefferson Recycling Center, 301 County Landfill Road, Port Townsend, WA 98368. Electrical connections shall be made to the power supply provided by Jefferson County Department of Public Works at the Jefferson Recycling Center. Installation shall not be deemed complete until the horizontal baler, feed conveyor and fluffer are accepted as fully operational by Jefferson County Public Works Department. i.... -h,l " )'.,'. .1 . ~ ',.'\; . .. .. '., .1 ': .. ' , . I~ ." .. , , ,',,:\',' , ,', ''',' , ':>.. '. i.,..'..... ,.".. ': " ',,: ' "'" " . .".' ,..'.". ...".,,' ...,',. " , ':.. ",,,' ..' .' " ,:' '" ':.": ii' .', i n " .. I , I ..... > "." ,'....'.. I" " . . ,.., ::' r. ," " ~.. ..,. " '. 'i,. ,.'. " ::;::.. ,:' :,' ,,' . ". ," ' :, '-, ' '''''' , " ! ' , , " " ".,,' . . :.... ....'...,: ,." ,....., < ',,'.... " ..... ,.,..,. , : ',: " '" ,." ' .' ", '.. '.- '," , ,", i',.' " ': " . . :....: ." " "'.,..,.,:': ,'" ...i:'" , '" ..:..;..J, . ..'. ." .', , '. ...,'...",.. " , - J , ' ..J ~ ',"" " ' , " .."...., <: .,' , ,"" , ,'...".", ,,,,",' , , .'".,. :,,':, " .) .,' . .' ',: . , ". ,'"...,', , , ' '" ,:,'. , :' < , ... :;:~- .. " , " ;c ~, . ',,' ',' , " ,c' ..;....r,::...., ..: ,::' , , ,:" , . ,;, , " I, I'" ",'" " .":.', I':~~j~ ' ' ,,'. I: '.' . I, . ..,. :"'1 I::'~iil " ..~ ,,', ; .,'. ': ;..... , '" ; .,:':',~:;;; ".' . . ::,:>1:?";:"?: ' ',. ~ .... ....,'" :. ,', ;. .': > " " ,', ,'; ,:' ..,' I . :" ., .,. .. ""',, , ' :":,' ,: " , .: ,,' ; ." "'.' '. , ,': " ,: '" ,,: : "" ','.': "" ' ,,' .. :.' .", ' . .. ,,", ,,' .1 ;" ,.,' iL '. ..,:',..,", .:, , ",:, ,', .' ',,' " , : .: , :, ':: ~: . " '.' .. ':' , " if '. ,. "'..".'..,.;... ,', "" , " , ..,,': '., ':' .' ,:,'" , , , .,.' '.'.' , " " .' ' .' J:' , , ",' ," ,','::,:': :. .'..',' , ",:" ' , " , ,'", ,:,... ".'", , , ,", " " ' , . ",: ',,:': d...",:...., - :;.' ',", , : ',: ,.,-" REQUIRED MINIMUM SPECIFICATIONS FOR HORIZONTAL BALER HITH FEED CONVEYOR AND FLUFFER 1) BALER The baler shall be a horizontal, cloned end, manual tie baler with a feed opening of 40" x 50" minimum. It shall'produce export quality bules with an O.C.C. baled density of 25 Ibs/cubic foot minimum. The rated throughput capacity shall be a minimum of 2 tons/hour of O.C.C. The minimum bale size shall be 40" x 30" X 601,. may be acceptable. Larger bale sizes The baler shall have an inlet shear blade or be self-shearing by design so that bale cycling does not require manual assistance. The baler shall have a windowed feed chute door with control circuit interrupter. The hydraulic system shall include a pressure gauge, a temperature gauge and a replaceable cartridge type filter. The baler shall automatically adjust for the different feed materials and shall not require manual assistance until the bale is complete, ready to tie and remove from the baler. The baler motor shall be 25 H.P. minimum, 400-480 volt 3 phase 60 hertz, totally enclosed and fan cooled with starter and disconnect switch. It shall be sized to adequately meet the required throughput capacity. 2) FEED CONVEYOR The conveyor shall be a slider bed type or similar and shall be provided with a photo-eye control switch at the inlet of the baler to start and stop the conveyor. The conveyor belt shall have steel cleats staggered at 4' on center, and shall have side walls to contain the paper on the belt. The belt shall be no less that 48" in width and shall have an angle of incline no greater than 25 degrees. A drop chute shall be provided to enclose the discharge and provide a transition to the fluffer and the baler inlet. The tail pulley end shall include a stacking hopper to hold about 6 cubic yards of volume and shall have an adjustable brake plate to vary the belt loading depth between 26" and 48". The conveyor and associated fabrication shall be made of minimum 3/16" steel plate and shall be shop painted and touched up after installation. 3) FLUFFER A paddle type fluffer shall be furnished and installed to precondition and separate news and high grade paper grades. The fluffer shall be sized to be compatible with the conveyor speed and the baler throughput capacity. The fluffer shall be installed on a swing out assembly and shall be made to fit into the feed chute on the conveyor assembly. The motor shall be minimum 10 horsepower, 400-480 volt, 3 phase. 60 hertz. 2 ~~..... --:-: I. , ,: ill ;,' , '.' " 1;1 , " ' , I ""', """:i I . '. ".~ ,~c~~ ~ i ,':. ,',,: :1 ':, ' ",'.. ' ,> ,'. ""1 , , .... '.: J , .',:.- , ' ;, ",: " , ' :' , "', ,:,,; " " , '" :'" ", , ".' " " ", , ' : , :' I' j MANUFACTURERS DATA Specification Units BALER Feed opening 'Baled density O.C.C. Nominal bale size " weight O.C.C. Throughput capacity O.C.C. Horsepower Voltage 3 0 60 hertz Cycling time Ram face pressure Cylinder diameter inches Ibs/cubic ft. inches lbs Tons/hour Bales/hour H.P. Volts P.S. I. inches Will this equipment bale P.E.T. containers? HOPE ? COM.~ENTS? CONVEYOR Specification Units Bed type Belt width Angle of incline Fabricated steel plate thickness Height of side walls Cleat size Voltage Horsepower inches degrees inches inches inches volts H.P. Ii'LUFFER Horsepower Voltage 3 0 60 hertz H.P. volts Description 3 DIAGRAM SHOWING BALER, CONVEYOR AND FLUFFER ARRANGEMENT AND DIMENSIONS 4 PRO P 0 S A L To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA. 98368 Gentlemen: The undersigned hereby certifies that he has read and understands the specifications, and offers to furnish Jefferson County with: ONE, (1), HORIZONTAL BALER as specified for bid. Any deviation from the specifications is shown on a separate sheet and is made a part of the bid. Make Model Year (Please attach manufacturer's specifications) Warranty Period (indicate mo. or yrs.) Total Price Sales Tax @____% TOTAL PRICE ONE, (1), FEED CONVEYOR as specified for bid. Any deviation from the specifications is shown on a separate sheet and is made a part of the bid. Make Model Year (Please attach manufacturer's specifications) Warranty Period (indicate mo. or yrs.) Total Price Sales Tax @____% TOTAL PRICE 5 ONE, (1), FLUFFER as specified for bid. Any deviation from the specifications is shown on a separate sheet and is made a part of the bid. Make Model Year (Please attach manufacturer's specifications)----- Warranty Period (indicate mo. or yrs.) Total Price Sales Tax @____% TOTAL PRICE Additional charges (Specify) Total price of horizontal baler, feed conveyor and fluffer including delivery, installation and ope~ator training Delivery to Jefferson County within contract. days after award of 5% Bid Bond is enclosed in the amount of Company Name Address Signature of Authorized Official Dated this day of , 1989. 6 NOTla OFPUBUC HEARING NOTICE IS HEREBY GIVEN that Jefferson C9unty, in accordance with RCW 36.34.030, wi!! conduct a public hearing' on a proposal to sell timber on portions of Lots 3,4,7,8,9 and, 1 0, Block 6 'of Iroodole Orchard Tracls, in' S~ction 1 0, Township 29 North, Range 1 West, W.M., and thot said hearing. will be '-held on Mondoy, April 24, 19B9, at the hour of 10:45 a.m. in the Jefferson County Board of Commissioners Chambers, 1820 Jef. ferson:,' Street~' Port. .-Townsend, Washington. ., : Datedthis 10day of April, 1989. ! Jefferson County " Board of Commissioners . George C. Brown, Chairman 12044-19 SIAl[ Of .....A~HI'lG'OrJJ (OU," t Of JUfERSONi Affidavit of Publication FRAN'" W GARRED. b"'''9 h.CH", la,~ /'It! ,II"", ....Lh.,..., ,.! :,hllu...~;~~u, ~ah7{~~h~~I~:~~t"\~:b*,~~:~: ~J,,~~~t:"~ -,n l~,t! ;I~~'I:::' lan9voq.. and c,rCvltll~d cOtol,nu""II, UI U .....,~I, ""_I""JI'''' ,n I~... lo....n oj POll T OwnUjI,d, 01' ,uFd (o"nr I tlrllJ SHlI.., U'''J f". g",n.,rol cHevlol'OIl on \C,lld CO""', f", "''''ll I~Un..~ It/) "''''''ll,. pllOllO Ihu dOlo' 01 tl1ll f"1I (.I"lIl.tol,on of th.. No",,, h",'..I.. <)1 lath"d, ond lhat the ~o,d POll TOWJI.Il"dIJ..fltlflOfI C...~",. leudur wo. On tho 271h do, 01 J"n.. 19:" I, o~f"O...d CH 0 I,,'J~' newlj'Joptlr by the S",p""or (<.l""t of lo,d J"'f"')o'l CO""", u,,[j that onn"~lId ,~ II",.. tOP, 01 t"u Notice of public hearing to sell timber 0) il oppeoftld in tho rll9",lor and Ilmire iu"" of ~o,d paptH ill"tf and not in 0 lupplllment Ihereof lor 0 ptrriod 01 two . _"._,collloculi"o weel.,~, bllginnlng on Ih", 12th April 89 19.. ~__,,_ day oL and ending on lhe .~1_~_:t:J6't of _..~P!J.!__.. _~_ lJ3.!____. and IhollOid newlpOptlr wo~ regularly diuribulf'd 10 itl lublctibers during all of Ihi, period. ThaI lha lull amounl of 5,3..0. ..2 5. _.. __ ho!bllOn paid in lull, ot,lh" rOltl of S~.50 per corumn inch fO(...aoC1inuHlion, .'1 ___,__+tdiJ;).lJ~vv/ SublCriblld and swam II,) be/o,,, mil th;,~!.~..!:.lJa)' of April " 1989 ~~'1~ ' 0 NOlor)' P~i;- on~ for lhe Stale 01 Wo,h,nglon, re'lding 01 Hadlod -----......~...'.rtt'..~~~... SPECIFICATIONS FOR PROVIDING ONE (1) RAILROAD FLATCAR FOR JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO PLANHOLDER The office to administer this contract is the Department of Public Works, P.O Box 1220 Port Townsend, WA 98368 Telephone (206) 385-9160 ,u~ "- ... ,-,- -..~" , ; .(. ,'. : ' '~,',' .,' , ',': ".... " " 0'/ ". " ", ,,' " , " , ' , , .' , , :' ".". '.'.... : , , , '~ , :" "", , , "'" ":, -,' " " , : .' I .. I,. I" !i ",.. " ....'.,','.' i; ,'." ;. " " '.""". '" '" "" \'.' . :.'.'.',..,..,.,. !, ,', ....' :: .: .> "'.'" (' "".., , , , , .' ... ,.,.., :' "" ':', ' ,:' ,,' ',,, \,,',,,,.,,:;,, ,'.'.: , ";:"" :, '." . ,':, ' ',.,..:r~~I,~{,,'.,;;~;: " ... L. :, :' "~ , "," , " , ...,', ' ' , " :~,' ," ,.,:' " " :,1 .'. , .',": i,;:L-.. " , ,', " CALL FOR B,IDS Notice is hereby given that the Board of County Commissioners of Jefferson County, State of Washington, will receive sealod bids up until the hour of _, A.M., Mond<lY _______, 1989, <It the office of the County Commissioners, Courthouse, Port Townsend, Washington, 98368, to be opened <lnd read at that date and time for furnishing the Jefferson County Department of Public Works with: ONE (l)RAILROAD FLATCAR Bids shall be submitted in accordance with the plana and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where copicG may be obtained. Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check o~ certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract and file an acceptable surety bond in the amount of 100% of the contract price within ten (10) days of the award. The board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. APPROVED THIS DAY OF , 1989. BOARD OF JEFFERSON COUNTY COMMISSIONERS George C. Brown, Chairman -, ':"'" " " , " J ' .. '",' ,,':: , " ,"" "'" , 'I' ". " , ;"' ',',', ' .".'.,,'. , ,',', ,', ,. ',' , ...' , .,' ':',<'" '.' ,: .' ,', , ",,' :' , , ' " , ", '" , ,':, ..' ," , '" ."" '" , " ' " ", ,:, , , ,,' " ," ',,," :' :'..., , , , " , , , " "" ",." , : " ." , ," .'.',',',,' ..,',' ..,." . ", ".,.': ',,: , " """':,.,>' " '. :'..:.": ,.' "\": ," ,::' "",: "",,, ' : "',:, ."," .",' ,','.' ", ",:, ' " , ,"" " '."'q' "~I'"",, " , ',,' "..' .' "',"',,' , , : ' "'" ,,~, . :, ,". .'1 : ., J ~'. .,';j;'::i'. :. ':", :'," ..... , '.',.... .' ':"." , ' , " i :.. ,:,,' ',' """ " ';", ". 'i;,.' ': ", ' ;, I "" " ! f .; Ii .... ; ,"'" ',I , "', ,. , .' .. ' ;',,', , " '. ,.... ' .. ;': : :", i' '.: '.:' "',, :' .' " ", , :, .:, , " , , .~' .) F. , . , .. .. ,',:, '..: i',' ',' " '", , " ,I: ", .'; '. , ,', , .. "",' , ' , , : ",:>, ;",i' ;~",;" , " " " ", , .. , .:' ...... .". 1\ " ":',.' . . " '. I, .... . '. " ,:' ; ~'~ ,:/~ i ..,'.';',i 1 : ": . ,', ,:' .:.. , ' \; ;'. ..". .,,','.....:', ',: , ''''i''',;",:' ,: ..' I .,'. ..'.,1. . I..,.. ..,....,:.,:.L- I;, ' , ..',': i,"",'. .." '.: ' \,.:> " :, ..', i ,., ""..,,': ;., .. , ",,, ' ll--" ' ;; l1 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR ONE (1), FLATCAR BRIDGE Bid call for Monday,__,_,__, 1989, for furnishing the Jefferson County Department of Public Works, Road Department, with one (1), Railroad Flatcar. GENERAL SPECIFICATIONS It is the intent of these specifications to describe a railroad flatcar to be used as a temporary bridge in sufficient detail to secure bids on comparable equipment. All items not specifically mentioned, which are necessary to provide a complete flatcar for a temporary bridge, shall be included in the bid and shall conform in strength and quality of material and workmanship to what is usually provided to the trade in general. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. DELIVERY LOCATION Place of delivery will be at the Owl Creek Bridge site located in Section 35 T27N RllW W.M. near the Hoh River. Direction may be obtained from Jefferson County Department of Public Works. DELIVERY TIME Jefferson County wishes to take delivery approximately between the dates of June 15 and July 1, 1989. Delivery time will be coordinated between Jefferson County Department of Public Works and the successful bidder. If the actual delivery date that has been agreed to between the successful bidder and Jefferson County is exceeded a penalty of $100.00 per day for each working day thereafter will be deducted from the final payment. . .. ..,', , <..,'; - ,.':' , ",.', ',,', ", '. ......", ' i" . :..: I .i ;'. '.. . . ," ';' '...' ,', '.' " ;' . i "; " , ,,',:: ...',. . . ,..'.. I.".., " i' . '. .'; . ,',",' , ,'; ,"'," , I. ,.', : ". " " ,,: .' ' ,;", , , .. ,..,' " ::" , /",,: : . ,',.'.. ;. : ", '" : ....,.....,.'..., . ..; ,'; , ,- ,: "'.::',': 'I, , . ,';: ',' ' ',,', ; ".. " " '. ,.." ....' '.' ",' '...',,' ,,', , " ,':'..,,' ,", " ". "".'.'. ':,.',' " " , : " ::' co.' . . .,;', '" ", ~..':;"'" .,' :, , '..,' :, ,'." "'" , ,.,. .',' , ,.':' ,.' -:-1,,,, '<.. .,:' - J_ REQUIRED MINIMUM SPECIFICATION FOR RAILROAD FLATCAR 1. Load Ratinq - Minimum 130,000# capacity at design span of 62 feet. 2. Construction - Must be conatructed of high-streng~h steel, as per ASTM A572 Or 50, welded throughout. 3. Deck - Must be in good condition and may be constructed of steel or wood. 4. ~ - Minimum width 98" 5. Lenqth - Minimum total length 85 feet with a minimum design span of 62 feet. PRO P 0 S A L To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA. 98368 Gentlemen: The undersigned hereby certifies that he has read and understands the specifications, and offers to furnish Jeffer30n County with: ONE, (1), RAILROAD FLATCAR as specified for bid. Any deviation from the specifications is shown on a separate sheet and is made a part of the bid. Manufacturer Year Manufactured (Please attach manufacturer's specifications) Total Price Sales Tax @_% TOTAL PRICE Delivery to Jefferson County within contract. days after award of 5% Bid Bond is enclosed in the amount of Company Name Address Signature of Authorized Official Dated this day of , 1989. j I j ~1 '1 '1 '~ CAll FOR BIOS oi&ill Notice is hereby give_" _th~t_ th~'tII& of count. y. C. .0mmISS'.'o. n. ers of JO.~'~ County, -Stote of Washington, receive sealed bids up until the of 10:40 o.m., Monday, March 1989, 01 tho offico of the Cou Commissioners, Courthouse, P Tawnsond,' Washin9tan. 98369, i\ be opened and read at the date ana time: _ for. f.Jrnishing the 'Jeffer~on County Department of Public Works with: ONE (1) RAILROAD FLATCAR Bids shaJJ be submitted in acco;dance with the plans' Qild specification's on file ,at the'oFfice of the' Director of Public Works,,' Courthouse, Port Townsend,' Washington, where copies may be obtained. Each bid sholl bo accompaniod by a surety, bond, postal money order, cash, cashiers check or certified check' 'payable to the Treasurer of Jefferson Caunty,inlhosum 015% of the bid amount,. to' be' forfeited to Jefferson County by tho succo..fulblddor if ho, fails to, enter into a contract and file an . a~ce'ptable'- surety' bond in, the amou~t .o~, 1 00% of the contract price within ton (10) day. of tho award. The, Board, of County Commissioners reserves the right to reject any and 011 bid., and to accept tho bid doom- ed "most advantageous to' Jefferson Cou~ty and to waive all informalitites' in the bidding.. , , Approvod 'this. 6th day' of March, 1989. Board of Jefferson Cou'nty Commis'sioners' George C. Brown,' chairman i 324 3.22 Affidavit of Publication STM[ Of WASHINGTON) COUNTY Of JEHERSON) fRANK W, GARRfD. btlin9 \....0''', ~O)'\ he I~ thtt pvbh.ht-f_ vi th.. Pc.rl TownsundlJefl..nan Coun'y lttode., a .....,...1'( l1uw~PQpe' which ho~ b",en u\l.(Jb!.~h..d. pl.lbl,\hltd In 'hl! Eng)'\~' languogtl cnd ci"ulalud co.1II,nuou\l)' a~ 0 w",,,,~I, n......\!}o...'" in Iht;: lo....n of Parr T o....mt!nd. In saId Covnl, C1nd 510''''. O"d to' guntlral circulatkw in ~oid count,Y for mortllhan \~A (6} montM p,io. 10 !hu dOl'" 01 lnt;! f'HI publlc;a!lon 01 th" NOllct! ht"lllu 0'- !oc.ntld. and Ihol Iht! ~oid Po.' Town\tlndIJt'lfe'\on Covn., leadttl wa~ on .n.. 271h doy of Jvnll 1941, oPPlo"l:Id 0\ 0 It'gol ntlw\popllr b)' liH. Syp,orior Coun of \oid Jlllfenon C"Unlt. and .ho. onnu..",d i\ I.uo c.opy of Iht! Call for Bid,,; one railroad car >' J:' ~.' rY'~ Ir....~ C; .. iJ r~ ") ~"Ii L'=> '(>d1 e~ ~ 'if s:. ~ APR 2, i98S JEFFERSON COUNTY PUBLIC WORKS DEPT o~ j, oppoored in Ihe ,egulor and eo!ir" i~we 01 ~oid popor ;I~elf and not in 0 ~upplcmenllherool for 0 period of two c;on~ecutiv" wee~~, beginning on the 15th March 89 . 19___. ____day of_ and ending on Ihe_~_~_~oy of __...~~,E~~~__,________" 19 ~_~__,_, and thaI \oid newspaper wos regularly dislributed 10 its !oyb~crib"rs dyring 011 of Ihi~ period. Thol Ihe full amounl of s_J? .~~....Q..9_..,___.ho~ been paid in lull, 01 .'he fale of $5.50 pO' ,o',m" '"~~O'h ,""n,o",. I). - ?(;) ~ ,./ ______n_ ~~~t.#\__. -_.._--'--''::~~~'1-~-~ Subscribed and ~worn 10 before me Ihis_.3..~_~~y of March "~, ,_,.",__.., 19~9~_ ~"'.- ~,.~~ Nolary Pvf1~ r~nd fc.r the S'~le of Washington. residing 01 Hodloc;k. .\if~~~~~;U~1'~1\W.~~~~fJt100'~~Ii~i~~"~~~~.:~T~a~~.:~: ~ To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA. 96368 Gentlemen: The undersigned hereby certifies 1:hat he ha& read and understands the specificationsf and offers to furnish Jefferson County with: ONE, (1), RAILROAD FLATCAR as specified for bid. Any deviation from the specifications is shown on a separate sheet and is made a part of the bid. Manufacturer St:.so ~ erl~hspecific~~ 11'W?AIZ...T/'\1.. WO:>D ~'. ~ f Total Price 777.&JALLf,'TfEl-DEGJ-<. 7'37~''i'M..Tl'''L. _.. . ... J Sales Tax @ 7,'5"":1; r::oc..t7-5" /" ~7<t. 8(" f-, t 5'.391. 45 t -;::. ?44. 8~ 'tOTAL pRICE '? 1 r::;=- ~ ~,.J Fl-A~I2-S I~~M... t>~teN ~""\~G' Delivery to Jefferson County within ILJ contract. """ 01-.(,1% "^' 4.87/0 ~ B~d Bond is enclosed in the amount of P~.7~ days after award of Company Name SiAl? C?5 1)3~~ 7m<. ~tQ _~~W)~t>D \)A..LlS2Y ~ m~ Authorized Official ~ 1>1: day of H~ ' 1969. Address Signature of Dated this ~ R~ S'?Ez.IFICJ\i\cN ~ 2., 85' FLA'l:A.RS NtE C-lNS'1RuqE:{) l)~ A . ~HI3IN"'''I1)N t?F oflS t<JmI .2. -. g g ~Wat. AN~ H-16+l- 9r12EN3'Tt..{ ~L-. II CALL FOR BIDS Notice is hereby given that the Board ,of County Commissioners of Jefferson County, State of Washington, will receive sealed bids up until the hour of ItlJiJDI'",A.M., Monday C).. 7 md.........,A.- ,1989, at the office of the County Commissioners, Courthouse, ~ort Townsend, Washington, 98368, to be opened and read at that date and time for furnishing the 3efferson County Department of Public Works with: ONE (lIRAILROAD FLATCAR Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where copies may be obtained. Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Treasurer of 3efferson County in the Gum of 5% of the bid amount, to be forfeited to 3efferson County by the successful bidder if he fails to enter into a contract and file an acceptable surety bond in 'the amount of 100% of the contract price within ten (101 days of the award. The board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to 3efferson County and to waive all informalities in the bidding. APPROVED THIS I "7-1'/ ~J . , 1989. DAY OF BOARD OF JEFFERSON COUNTY COMMISSIONERS 4~c~~an SPECIFICATIONS FOR PROVIDING ONE (1) RAILROAD FLATCAR FOR JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO PLANHOLDER The office to administer this contract is the Department of Public Works, P.O Box 1220 Port Townsend, WA 98368 Telephone (206) 385-9160 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR ONE (1). FLATCAR BRIDGE Bid call for Monday, 3-.j? , 1989, for furnishing the Jefferson County Department of Public Works, Road Department, with one (1), Railroad Flatcar. GENERAL SPECIFICATIONS It is the intent of these specifications to describe a railroad flatcar to be used as a temporary bridge in sufficient detail to secure bids on comparable eguipment. All items not specifically mentioned, which are necessary to provide a complete flatcar for a temporary bridge, shall be included in the bid and shall conform in strength and quality of material and workmanship to what is usually provided to the trade in general. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the reguirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. DELIVERY LOCATION Place of delivery will be at the Owl Creek Bridge site lo~ated in Section 35 T27N RllW W.M. near the Hoh River. Direction may be obtained from Jefferson County Department of Public Works. DELIVERY TIME Jefferson County wishes to take delivery approximately between the dates of June 15 and July 1, 1989. Delivery time will be coordinated between Jefferson County Departnlent of Public Works and the successful bidder. If the actual delivery date that has been agreed to between the successful bidder and Jefferson County is exceeded a penalty of $100.00 per day for each working day thereafter will be deducted from the final payment. ,~ .- REQUIRED MINIMUM SPECIFICATION FOR RAILROAD FLATCAR 1. Load Ra~inq - Minimum 130,000# capacity at design span of 62 feet. 2. Construction - Must be constructed of high-strength steel, as per ASTM A572 Gr 50, welded throughout. 3. Deck - Must be in good condition and may be constructed of steel or wood. 4. Width - Minimum width 98" 5. Lenqth - Minimum total length 85 feet with a minimum design span of 62 feet. _..~.....,.-~~ "- i ':, . n_'--,jEF-FERS6N'c6uN'f'r"-- -,-- ENC2INEERS OF;=ICE' . FEB 29 1988 I r-.' ,i":/ i i-~--;"---'TT-'--'T---' ".'..~ .''.-._ 1---..----f,\!V\---'~~ .--...--..' ,-.- t'~=~=~-~;-~~~_~__~~~",.:_., _ '__I ~'~+;:-~:~~t~-I~-,-~it~-~----~ll r-I...+n~;'i'i.~+f ,. 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" " ,:;; ',' (",: i, '..," "" , "..' ,,' , "" '," ,<::,,:, , ,:,,:: ", .',< , .: " " " ,': ,': : " ,,' , i';"""" t "..: '; i " ,"" :;', ',' '. ,';'" " , ' " ': . .. ,',' .,,,~,:;..:', . , ,'! '<" ~'b' . . ." .,'.',,: .: , ' . ::, ' ',,',' ' :' ,,:', : : ",.;.' , -=' .JI "" L L CALL FOR BIDS Notice is hereby given that the Boord of County Commissioners of Jefforson County, State of' Washington, will receive sealed bids up, until the hour of 10:45 a.m.~ Monday, March 27, 1989, at the office of .the County CommiS5ioners~ Courthouse, Port Townsend, Washington' 98368, to be oeened and read at the date and .iine" for furnishing the Jefferson County Dep'ortment of Public Works with: ' TWO (2) COMPACT UTILITY TRACTORS Bids shall be submitted in accordance with the pkms and specifications on file at ,he' office 'of the Director of Public Works, Courthouse,' Por! Townsend, :Washington, where copies may be obt~ined. Eoch bid shall be accompanied hy a 'surety, ,boR,d,' ,postal money - order, cash, cashiers check ~r certified check payable to the ~reosurer, <:,f Jeffers~n 'Caunty in the sum of 5% of the bid amount, to be forfeited to 'Jefferson Caunty by the successful bidder if he feUs to enter into a contract and file an' acceptable surety - bond in the amount of 100% of the contract price 'within ten (10) days of the award. The Boord of County Commissioners 'reserves the right to reject any ,and all bids, and to accopt the bid deem~ ed mos,t, advantageous to Jefferson County andto waive,aU informalitite~ in the bidding. - - :. Approved this, 6th, day of. March, '1989." .'J "",' ". , 80ardof., ,,', '.' " , Jefferson County Commissioners G90rg8 ,C" Brown, c~airma~26 3~22 r I' 1 ( ~i:MJA\"'~-"Ilr.ol!m...,mta'.''''"'C'"'''IlV''"'''.1I Affidavit of Publication StAlE Of WASHI~~Gl0NI COUNty Of JEfFl:R50t--Jj fRANK W GAR~ED. btling \""0'''. \oy\ 1'1....\ lh... pulJl,~".., "I lhe P<:-,r lo..."\cndlJ...II,,,'\on (o..,nly Lcorl...,. (l ....,....1,. nti"'\pop...r which lun bti..n ..~t(lb1i\hcd, p..,bl,\hed ,n !hl! ln91,~" lon9..,og... ond circL!IQltld conrinuolJ\ly en a .....tI~11 n",wlf'Of't" in rhti lown of Po,r r own\tind, ;11 laid Ca..,nrt r:lnd 5roll1. a,.tJ h.H gUlltlrol ciltulolfon in Hlld (OUory fa, morl! rhon \U (6) monrh\ prior ro rhe dOlt! ollh.. fiBt publicol,on of rlu:I NOljCtl 1'1,,,,,10 or rOChlld, and rhat .nt! la,d Porr To...n~endlJtlfll:lr\on COV"lt Ltiodllr ...0\ On thll27rh do)' of Junu 1941, aPFIO~t<d 01 0 1"901 ntl""lpaptlr b)' rt'lI ~uptlrior CovII 0/ \oid J..Ht!r\on COV"')'. ono 11'101 anno~t1d i\ !ruo top)' of rhe Call for bids 2 compact utility tractors ";,Fi~O JEfrt:h,.)vl" VUUI~ I \ PUBLIC WOliKS DEPl as il apptlorcd in rhe regulor and en!ireluvo of said paper l!u:!1l and nal in 0 supplem(lnt thereof for 0 period of two consaturi"e ....eob, beginning on rhe 15th March . 19 day of. 22nd and ending On thc__ _.___ _day of__ March 89 19_______. and Iho! \oid newspaper was regularly di~lfibuled to ;rs subltribers during 011 0/ rhis period. Thor the full omoun! of $ ~~~._~,~_.~hos been paid i.n fun,. ~r t rote 0' $5.50 per tolumn inth '/jth in5eflion. ~ ----::t~Mij;J-~..;~- Subscribed end 10 before mt! lhi~m.~"~~'~y of March _,_____. 198.9_ ~-~-tfJ. ,. , N010r)' Pvbl,t in ond for Ihe Sial of, Woshington, re\iding at Hadlock -.......".T.,..'~~~.~ 89 I I , ! ! I ! I I I f ~. I i t \' !. ~ ! I I ~ PRO pas A L To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA. 98360 Gentlemen: The undersigned hereby certifies that he has read and understands the specifications, and offers to furnish Jefferson County with: Compact Utility Tractor (Al as specified for bid. Any deviation from the specifications is shown on a separate sheet and is made a part of the bid. Joh,../ VNfI...Q.. Model 75:;: (Please attach Make Year 1989 manufactu!er's specifications) Warranty Period C). 0>1l.e~ (II'/.. /':;0,:' lIt!'.:, (indicate mo. or yrs.) Tractor Total Price 171 /tJtJ.Cf:) Sales Tax @~% ~~,IO TOTAL PRICE /5:2'/;('/0 Delivery to .1eff<;>I'son County within :2 0 contract. days after award of 5% Bid Bond is enclosed in the amount of 7t-<..11 Address illALuw Lnw.... d tJ~~ 3 oS" &'33-0~70 Company Name tu /77/9-7 AI Signature of ~t?;U uVA. -9FP&'/ AJ. , Authorized Official ~~ / .-fVe>..s ' Dated this ,;:) d-... day of 1J7 )c}f2t:.-d , 1989. '.u;b";oj.i1f~~~'~'~~~'-'fliil:~'Y '.,f)' PRO pas A L To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA. 98368 Gentlemen: The undersigned hereby certifies that he has read and understands the specifications, and offers to furnish Jefferson County with: Compact Utility Tractor (B) as specified for bid. Any deviation from the specifications is shown on a separate sheet and is made a part of the bid. ~il )EC~L: Model 755 . Year 19ff9 (Please attach manufacturer's specifications) Warranty Period ;< )lpl//ZS c'l /$tx2 IIf!.S (indicate mo. or yrs.) Tractor Total Price /0, ;'OCJ ~ Sales Tax ij~% <g- ,;It" 20 Make TOTAL PRICE / /0;), (,.., ,:A 0 Delivery to Jefferson County within ~O contract. days after award of 5% Bid Bond is enclosed in the amount of 55/. :3/ Company Name Ilu La u L AI $ t::mvJ.J _~CJ;r u.J /JuLl2v 'i33-0ff'70 Address /J1tC}1iJ Signature of Authorized Official $,,- .y]?o t? / 1/.:bT~d- /~J Dated this ~9... day of mIJ;2C/j . 1989. ~'lSilr CALL FOR BIDS Notice is hereby given that the Board of County Commissioners of Jefferson County, State of Washington, will receive sealed bids up until the hour of /C.''<!;A'Y! Monday :J7.li, ~,~~~.4'_ ,1989, at the office of the County Commissioners, Courthouse, Port Townsend, Washington, 98368, to be opened and read st that date and time for furnishing the 3efferson County Department of Public Works with: TWO (2) COMPACT UTILITY TRACTORS Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Wash1ngton, where copies may be obtained. Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Treasurer of Jefferson County in the sum of 5~ of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract and file an acceptable surety bond in the amount of 100~ of the contract price within ten (10) days of the award. The board of County Commissioners reserves the right to reject any and all b1ds, and to accept the bid deemed most advantageous to 3efferson County and to waive all informalities in the bidding. APPROVED THIS fo~ DAY OF 111 a~~ , 1989. BOARD OF JEFFERSON COUNTY COMMISSIONERS ~~ rt-tt:L-.-.~_ Ge ge C. Brown, Chairman 1~~m.."""""",_...,,'~~~~~~'Jf -M,w'-.li~~"'~~_~~~ rTl SPECIFICATIONS FOR PROVIDING TWO (2) COMPACT UTILITY TRACTORS FOR 3EFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO PLANHOLDER The office to administer this contract is the Department of Public Works, P.O Box 1220 Port Townsend, WA 98368 Telephone (206) 385-9160 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR TWO (2), COMPACT UTILITY TRACTORS Bid call for MOnday,.t71'''- H..,.,.i- ,1969, for furnishing the Jefferson County Department of Public Works, Road Department, with two (2), Compact Utility Tractors. GENERAL SPECIFICATIONS It is the intent of th~se specifications to describe a compact utility tractor in. sufficient detail to secure bids on comparable equipment. All parts not specifically mentioned, which are necessary to provide a complete compact utility tractor, shall be included in the bid and shall conform in strength and quality of material and workmanship to what is usually provided to the trade in general. The compact utility tractor shall be a standard production model by the manufacturer. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. DELIVERY TIME ~efferson County expects prompt delivery of the compact utility tractor. The bidder shall indicate on the proposal the time for delivery after award of the contract. The time indicated shall be a factor in determining the successful bidder. If the actual delivery date exceeds that set by the successful bidder a penalty of $100.00 per day for each working day thereafter will be deducted from the final payment. REQUIRED MINIMUM SPECIFICATIONS FOR COMPACT UTILITY TRACTORS 1. ENGINE: Minimum 20 H.P. Diesel Minimum 3 cylinder H.D. Battery 2. TRANSMISSION: 2 range hydrostatic 2 pedal operation Differential lock Oil cooler 3. POWER TAKEOFF: Live independent (mid & rear) ". HYDRAULIC SYSTEM: Open center type Pump capacity - 5.6 g.p.m. 6. 3 POINT HITCH: Category 1 Lift capacity (24 in. behind link ends) 840 Ibs. 6. BRAKES: Wet disc 7. FINAL DRIVE: Planetary' 8 . STEERING: Power 9. l'UEL TANK: 6 gallon 10. OPERATING WEIGHT: Minimum 1690 lbs. 11. TIRES: Front - 23 X 8.50 -12 Rear - 31 X 12.00 - 15 ADDITIONAL EOUIPMENT: a) Electric fuel gauge b) Tachometer c) Hour meter d) Headlights and flashers e) Oil pressure indicator f) Alternator indicator g) Glow plug light h) R.O.P.S. roll guar6 with approved seat belt i) Duel selective control valves w/single lever j) Auxiliary hydraulic kit k) P.T.O. engagement indicator light 1) Mid rock shaft hydraulic cylinder m) 60 inch mid mount mower n) Hydraulic dump material collection system 0) Front loader bucket & system p) Mechanical front wheel drive. q) Front & rear weights Both tractors will have the additional equipment with exception of Tractor (B) which will not be equipped with items n, and o. Tractor (A) will be bid with items n, 0, priced separately with the option to accept or reject any or all of these items. ,v-::- ~V...&' o~ , /5"pP - -, .' , .: :' " ~ c ::: . .... , '" '~, ' " ,',,', . , "" , ';'11' , ;': . , > .. : It , ' :' ',: , ',.;" :: :', " ,'" Specifications and Proposal for Two (2) Used Passenger Vehicles NOTICE TO BIDDER The office to administer this contract is the Department of Public Works, P.O Box 1220 Port Townsend, Wa. 96368 Telephone (206) 385-9160 : -, " , ': ", ,:', , ,'" :,',' , ' '" ..',. " ::. "., , ,., . \.', . , " " , ':': ......::: ' :" ":",,,,' ::', '.' '. '.,.. .'.'. :", . "', " : ..',. '::~:":;:';:. . "., . - :, '::."';:. . '.' ..:' >:':\::;:/<:",::'.i ;,. '.,' :}~:;~':~"" " " ' , I. ",'."'.'.:, 1 ' ,', ' I",': ,. ',', ':"', It>.. ' ~: " ,[ '\, : ; " - .' , ,", I ".. , ", ': "", ", ',:,,1' ,'".,:',' , : ' ,,',' ", .'- , ',' " , " " , , ' , '.,'.', ':, " , :: I ".' , .' ' f.... ~ :', " '.' .; "'.',', ':' '" ::, :- ",' " , ; : ,:' ".. 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'.:'" ,':, ":,,, ::,i:, :, .': " I,:. :. , :, -, " 1:1.", . - ' ',' , , CALL FOR BIDS Notice is hereby given that the Board of County Commissioners, Jefferson County, washington, will receive sealed bids up until the hour of 10:30 a.m. on June 19, 1989 at the office of the County Commissioners, Jefferson County Courthouse, Port Townsend, WA 98368, to be opened and publicly read at a meeting of the County Commissioners to be held on that date, for TWO (2) USED PASSENGER VEHICLES, 1987 OR NEWER. Bids shall be submitted in accordance with the specifications on file at the office of the Director of Public Works, Jefferson County Courthouse, 1820 Jefferson Street, Port Townsend, washington, 98368, (206) 385-9160, where copies may be obtained. The Board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. Board of County Commissioners ~ ' > ii:~ ..- _I ,..,r9-7::::-r-.........-c..... George C. rown, Cliairman ,.." ",,' " .,'., .':, ,: " :': :. ,," ,.", :. ,",' >, , ' " " ,'. , ',:: '", ",' ,: " ... :':', " , .."", ,.".... '" , " , ,: .. :1 ", <'. : ,,'.,.. , ",,' ',.: " " , .' ,.. ',: .'.':' [' ,: " ,', ".. ' ',' : " :2,' ,,' ,,' ."'.,: ':.. . .,.".... , .' ,",' ': " , ',' .. '."" """ ':" ..." " , " , '.. "':' .', ,I ..'.' , " ',. " ',', , ':,' "', '.. :,,: ::' , , , --:..1 "', ;, '.:'" .'.... " '," ,,':<', "'c' :' c , '" :"C ,: -: . .. . , "' .' ,i '~<l J ''', ,:,'" "," ',~ ..' ,:",," , "',' ,"', "" , : '," , " ' ", " , " "",,' i ", ' .,' ,'.'.' I ':, " ", n , " " :,,' II : '.. ",,' ,"~il'l ' , '" ',', ".,'""" ',', , ,.'"'", ,I I ,;' ',.." .' ,', " ,I i " " '",.:, I :.' i", '. ,j ',.' '.', ",: ",',.. , :",,','. ..'. ',..,""..,. , .'. ' ' " ..,'. ~,' "', ' " .'", . '., ',ic', ", ," ".. " ,<,,", ' """ ' ,',,,,, ':, ',' ',', ",','" ' , , , ".'" ",,'.", " ,,' ,.', " " .'\:>.' ,'" , .. ,," ": , , ,:, ,:':':'", ' ': ". ," ,;: ,,'. ,.,', "',,' " ,': ::' ' '" ,,:.',,',' ','" ; "", ',' , , '", "';'" ",' " :> " ", ", ,<' ',,:."" '" ." , " " " ,,' .,,': ,,:'" , ' : , ":,', '," ' '" ';, .'.., ," ' ,'" " " " """',,, , ,,': " : """""L:',, "",' :'"",,1 ' ;' ,,',," ',"" L.', "," I.L..,:' 'I,' , ',: ." I ' , i " " ), " ,) . ',,' ::" I: ' i , ',"','. , i i I i \ ,'-- , ',.' , " I , ""<Ii:', I:' ' ,:~" ,i; \, " "," , ", ,) " .. , ,," L JEPFERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR TWO USED PASSENGER VEHICLES 1987 MODEL YEAR OR NEWER Bid call for furnishing the Jefferson County Department of Public Works, Equipment Rental Division, with Two (2) used passenger vehicles. GENERAL SPECIFICATIONS It is the intent of these specifications to describe a passenger vehicle in sufficient detail to secure bids on comparable vehicles. All parts not specifically mentioned, which are necessary to provide a complete vehicle, shall be included in the necessary to provide a complete vehicle, shall be included in the bid and shall conform in strength and quality of material and workmanship to what is usually provided to the trade in general. The vehicles shall be a 1987 model year or newer. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. PICKUP AND DELIVERY The bidder shall indicate on the proposal the time for pickup or delivery after award of the contract. The time indicated shall be a factor in determining the successful bidder. The bidder shall indicate where the county can take possession of the vehicles or whether the vehicles will be delivered to the county maintenance facility in Hadlock, Washington. 1 ': '. i I I I I I I ,~,',.", " I ' ~' " ' '. ",',' ,"" , ,', : " '" , " ,',,',.' " . ,'c,/'" ,.", .",' ': '; ,'~, ' " " ,',' " .',' , .. <, ' " ,': " ',,', , ' " '" , ", ",' .":,:,';' .' '" ',..:,: ::, ~' , '" ' ," .' i " I ,',','" "'" ' " , " " < ',';' ,,','.',,:.,' ,,' ,".. ': :' ',' ',.' , . ". "'" ':,,"" ,', '., I "," " ,"" , ':'..',' , ,': , "',"',....' " ' ;,' " , -,.". ' I """ , ,-' ":::," ','" ',,',", , , ",',.'",' ',',':' ;: , :,', ':,,: " , ':' "., , .. ,,'.',',... "', ,':,"', ',',,,"'" " ' '" ,'.. '"<:'r:;,':",,, ';, , ': ',..,;:', ';':::.",,", ~ ' '.",,: :\' .,~:~"r<'. "" ..,',: ' , ".' " , " .,'. , ", ,'" <:, ", , . ',,'.,. IIII -.J"'II.' , ",..' , :',,", "I']""'" ---.J I J ' .": ':,'" ",' " " i:)i , ~:;;;:;;":<;,, ,..' .'..' , '. '" .> ' , , '':'- ,'<. " ". . ,:': " '. .', . I ::. ,..,. '..', ' ',', ',' '" , ,,:, .,.. . ' ::, .. " ,', ' . ,,.'" I ' , , ...,: ',' , I :. , " ,",' I' : . " ' ' I; , " , " ) ;, :'-' r ~.' \ ,,:' '.",." . '.,",.'.. " .,'..'....' '. "'" ,'", ' ,'.'. .' ';. ..'..."...:, '.,'. "" . ", "'" ,,..' :'. .', '.' ",..'..',' ,", " ;,> '., . "" '" ,,' ,," ' , ',' "...,'.': :', ";,, ;', . '. :"", ": " ',""', " ",." " " ",' : " , '.. '... , .....,. , ' I :"":,' ''', ':.1 ' . ,> " " .., .." , ' ,.' " " ' J. ',. ,,1 ',,' ",: " ,'. '.':;::;,;";~~::': '. ',>.... , ,,' ;'. ';'-:,' , " ',..' ': .,<:<', .':: "." 1'( : 'L-"':' I' " , '., JEFFERSON COUNTY - USED VEHICLE BID SPECIFICATIONS REQUIRED MINIMUM SPECIFICATIONS FOR VEHICLES 1. ENGINE: (a) 3.3 liter, 6 cylinder minimum 2. DRIVE: (a) Front wheel drive, preferred. 3. TRANSMISSION: (a) Automatic. 4. SEATING: (a) Front bucket-type seats preferred. (b) Rear Bench-type seat. 5. MILEAGE: (a) Total miles on 1987 model year vehicles shall not exceed 35,000 miles on anyone vehicle proposed with the average for all four vehicles not to exceed 32,500 miles. Lower mileage is preferred. (b) Total miles on 1988 model year vehicles shall not exceed 30,000 miles on anyone vehicle proposed with the average for all four vehicles not to exceed 27,500 miles. Lower mileage is preferred. 6. WARRANTY: (a) The bid proposal shall indicate the type of warranty proposed and the duration thereof. 7. CONDITION (a) Vehicles will be acceptable with normal wear and tear. Total cumulative damage to the vehicle body and interior shall not exceed $1,000.00. Jefferson County reserves the right to inspect vehicles and obtain expert opinions from third party individuals as to the condition of the vehicles, inclusive of all ~echanical parts. 2 , , " ~ ---, , , :', , :: " ,I ,: '.:: ':' .:, " '.', " ; , ":, ,r,: ~ ", .. . ' ':, .. . . ( " . :"..' " : ,.,..,' .' " '. ," , ,', '" .' , . ' ", ',', ,'" " ,'. ',.:'.. ".':..:.. < , '" " ,", " , ",'" " ,~.~ "," ';' " , :"."',', '.,.... . , , '.,:.....~ :' .. ' " , "', , . ..: ":,":'.' " ,,' ,',"',', , '.' ,.,' :: " ;"," " ... ' , .... '. .': < , ," ' " ,', ,"" ,:, ':..',' .,', , '., : .,J., ,':':i .','.: . ...'. , " "::"" , ' . ',." ,::', , ',':, , ',' , ',,' : ',', "" , , " "';" ",,' ',' , " ,'. ~'i'.I , . '. . 1;. " ...,." ;' ',' '",'", r--c:-:- <. " , '.... . ': "' "" , " :,,:, .': ' :" , " " :;, ':. " I:: , .,...... " !. . , '" , '" "'" , ' :,'" " '; , , ," " " << ,.' ., ", . .. " ':' ;,,': ' . , y~ , ,:', I .,,' :,',: , " : ,', .', ::.:',,':.,:", . .':,:.' ':. " . ':;;;":,: , , ",'.' ':'.' ,.... :,' .,.. ','..,,' ',' " " : ' .' ;'1 . I:" . . ,', ' ii' "," ..' '. .., I:",;:" ...,...L_ 1;",\:;'< ...... .: : l,q:,:,i ...' . . . " t;:'::,::, \:,'1-.:: '.. ..,. " . ;{:'~'..' .... . ,...\!' " , , ..... , .' .' '" ';. .~ " I JEFFERSON COUNTY - USED VEHICLE BID SPECIFICATIONS (b) The bidder shall provide maintenance history on vehicles upon request of the county. B. COLORS: (a) Bidder shall state color on proposal. Jefferson County reserves the right to reject vehicles based on color alone. 9. TYPES OF VEHICLES: (al The proposal shall be for two vehicles of the same make and model. Alternatives for different vehicles may be proposed but must be for Two vehicles of the same make, model, and year. 10. OPTIONS: (a) Bidders shall submit an itemized listing of the vehicle options included with each vehicle bid. (b) Substitutions: Bidder may, at his options, substitute vehicles that exceed the specifications of the units bid provided that no increase in the bid price will be allowed. Substitutions shall be approved by the county. 11. SALES TAX: (a) The bid is subject to Washington State Sales Tax. 12. ACCEPTANCE: (al Jefferson County reserves the right to inspect all vehicles and accept or reject the vehicles upon inspection. (b) The bidder may make such repairs or modifications as deemed necessary in order to make the vehicles acceptable to the county. 3 . ' .,:" ~ ,.', ,'" ;' .. "', " "", : . ,'.'.', ':, .,: . . ,.".:. L~;;j,~~"~"S\ , , , ", '." , . ..,'. .,'. " .,' ," : , ' :....,.'.,.." ' " ,," ".'." , ,:".::'" , ',,"",. , " ,', ',.'" " ", , :.",:, , :'" < ",'..,.',:' ';',' , "'" ,"',...." "':;:, ;'. , . :. , .' :'i: .:",' . ,::",,' '. .' ,', " '.. ,'. '.,'.,,'.. , ' ',: "" ' ' , . , ',., '",.,:' . :.:."....,,' ' , ':., ,,,,, ", " ,'''--,-. .',' ',",'", ";'" ./' '. ", ';':, " ,,: '" ',' ',' ,,,," ,.: " "'," , '. :,' .:: ,...' co,;' '". 'i: .. ..... I ,..,'", . .', 'I , "",, ". ,:, :",,, ' '.'" : I I: , ' "'1: ~.". ,'...., "''', :,: .' . J f:c' ,,, ' " : ;,1;' '. ' "... '., "" i .,.<.. ". '. I I:r\ ", ", I , ,,".' :', :1 , ' , ;'" '... " ..... ,', . " ! " . ' .,..', ," 1 .,':.~~~ , .. " . " '1 ;,"///;c".' ,...,1 II!I ',' , " " ,;';:,;:.... ;, '. " , . ,.'.., , :" ; ." .', ',.', ,', ,':'" ,'.... .', '. ;", . .... '.' ,; , .,,', ;;', " """ ' ,"' ,,' ':.., , :. ' , ' ".. " """ > ' > i :,' :... II Ii " I I, " " ,,' I'; , : :",: ,"', " ..,'... , " "', ,,:, Ii, ' ' . I" " ,,: ,,::,'" I.' ,,: "<,'" Ijt);{7:~ i~ '; , p:' .,', '," , I ,'." ." I "'" "" I, ',':',:", L I. " ", ",.'....::'" , I' ", ,. ,,',. " ...' ,... , ,.> ',' I '.. ,,' ,,' ,:',,1, . '.:, I" ", I. ,',. " ' I'L."""""'.,' JEFFERSON COUNTY - USED VEHICLE BID SPECIFICATIONS PROPOSAL Alternate No. To: Board of Jefferson County Commissioners Courthous.. Port Townsend, WA 98368 Commissioners: The undersigned hereby certifies that he has read and understands the specifications, and offers to furnish Jefferson County with: TWO (2) USED PASSENGER VEHICLES, 1987 OR NEWER as specified for bid. Any deviation form the specifications is shown on a separate sheet and is made part of the bid. Make Model Year (Please attach specifications and options included on a separate sheet. ) Warranty period Total price $ Sales Tax $ GRAND TOTAL PRICE $ [____J Vehicles to be picked up by Jefferson County at the following location within _____ days after award of contract: [____J Delivery to Jefferson County within _____ days after award of contract. COMPANY NAME ADDRESS Signature of Authorized Official Title Dated this day of ________, 1989. -, r-=-fIl~~iiU>>i~-'~. -gI1W~ , '. . --1. t , , ""'.' ,; ~:" ;, i , ." ',', ,,', .." .'. ,.," .'>{.". '..':'l, '::"; ;1 " . "', ; , "," " ' , ,,' " " ,:", ,', , J ' .' ,"';.,' ','" ", '" ',.' ' , ,.'. "', : , '.,.'., ,. I ',,' ".,' "",' ,":. ' ~. I. ,'.'," ~ I " : ,:,,:,:. I. ,''' , '.. I ,," ' " " I .' ...,. I. '",,', ' , " 1< > I,'.,. I::, I ' " '" I" """,, , ',," i, i' ,,,' ',,; , , ':i". I ",'", : , "", '; "', "" , :', :,..' , , : '.','",: : ':' ''', ,: ,< , , ' " " , " :' , ,',' ",,,,',,, , ", ,',' "":"":;"."rj"','':.;'s~i! '.. ' " ' ;, , ',' ' ":"" , " ,,' ." . ","'. " ": ': '.".' ",':", ' .. ',",', ';~: ,': ...",;' ',,, '" " '" . '.' '. ' , ' '.' 'I"~':'"~ , ..,,:.. .,',' ':' , ~ ,', ',', ,,', "~',:, ' ... "'" '," >./ .., 1 ,J' ,r _:~ " .. .J FJi' ~ I' ' ., , ;. " '., ,,;' '" ..'.' ' ,..\, " ' :, " " " ", " " "; .".~_I : .'~'" ....... :,,', " , "",1 . , ',,,:', : .', ..,',. ,: !IIi!lI .. :,~' , " ,:, ;. :.~ , '., , .. 1\ r' " ." .,' ~'" ' ", . ,., .:' , : ,:',:: ...' ,', :'::", ',','. " .: , ; .'..... . '; .. , ' " , ' . , ,". .. , ',C ";, " ". ,":' , ":..':, ,', ,'; '..' "", '. , ," ':, ,',' :.'".': .' ,. ,.., '..,; "''' .'" ;::::~":~ ....., ..,..<1.. I: ,.. . .'.. , "",,' ;.. '.': ". .... , i ~ .. ',' ' ..IL>< ' :. . . i,L, ' .. .:' ',' , I' . .",', JEFFERSON COUNTY - USED VEHICLE BID SPECIFICATIONS "', i.'...',.. I': I " I .' : I ' I..,..'..' . . I ", ': ' , ',', ,', ".'.' I,," ,', '". !. "." ,.'. I '.' ..., ! ' , . , ",' , "':: 'I VEHICLE OPTIONS INCLUDED IN BID: '" " " .', " I : I .;, .,: . I" I, ", I..". .,.; I ; I ' .. I.,' ,..,' "'. , I','.'.' ,.,.' , ..'.:. i.':, , ''',',(, "'; , . :.' : , " : '..' - -~---- "...... " , " " , " , ':" ,,:. . , " " ,;';,.. . ...,'.'..,:.., '. , ,.' ,. " ' . ",,':; ., . ''': ': '.,.: "..,,, ", '.,' ',. :. " ,.,.. ,,,' . ': J: , ::': '.' "., ': ' ':.': ." : . . . ." , ',' ", , ." '," .:;:", ' ',', ',;',.' '..~>: , J. " . . i" :' ; I: ~: , , .c' i/..',::'..'.',' , 7, , , c, ," i I"~. .' , : >,;', :; 'C. ,:, .'.'... '" :'. ,: :,'. ; '., ' ":'" " ", ' , ' ' ',',' .' , ...: ". " , .. , " ',..,.,',...", " .":,' : : :.: 'q' " '.' ",ii' "':':" .. :~,:~t:Sf,:.,', ....,' ," .'.',:" , I' 'i' , "",:,'" " "".'i,:",',,:"', ," " '" i",i ,: ",:, ,', ,: , ,i'." ",'" , I :,',' ,'..':"';".', ..", :.""":,",."'::..':'1"/'" ',,' , ' ,'. , ' ," , ",',', ' : :' :',) . ,': :...., , ' , :1 ,'/, 1'- " ..."... , ,\ JEFFERSON COUNTY - USED VEHICLE BID SPECIFICATIONS PROPOSAL Alternate No. To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA 98368 Commissioners: The undersigned hereby certifies that he has read and understands the specifications, and offers to furnish Jefferson County with: TWO (2) USED PASSENGER VEHICLES, 1987 OR NEWER as specified for bid. Any deviation form the specifications is shown on a separate sheet and is made part of the bid. Make Model Year (Please attach specifications and options included on a separate sheet. ) Warranty period Total price $ Sales Tax $ GRAND TOTAL PRICE $ [____1 Vehicles to be picked up by Jefferson County at the following location within _____ days after award of contract: [____1 Delivery to Jefferson County within _____ days after award of contract. COMPANY NAME__ ADDRESS Signature of Authorized Official Title Dated this ______ day of , 1989. 4 ----. " ,: , "-" " 1, " " ',' i, '.,', ", ".',<",.,') '; ',,':' :.. . , ,': ' .":, " ,'" ", '" ,<" , " ".' .',' ',' " ! ',: . i" , ' ,"'," , " " :', , ,.' .:, " ". \" " '.. ", , ,,: ,:,',,' " : ".' ", I : ,.., ,,"'.'.. .. ' ". " , ',' "':"" ,,' : , .. ! "" , " ......' ",', ',' :', .' ',' ;:', " ./ " , >" " '" '", ", "", " , , , '" ',,. ,', " ,,' . ,,' : '.", '. ' .... ,''", , "~, " ' ','.. '.., ,.. ,', ::," , .. " ,'" ,,',:,, : , ',.' ,'," ,,;" ," '::' , '.""" >:' ", , .',,: 'I , , ", ..,.:'.' , ' ,I, ~:.I '~ E'~ ::, ','. , :: , ',.. . i , , ." "," '" : "',, ';~:Si'< . .- ''',:' , , " '; }b;, ; : ' , ' :. ' ." , ,..', ." , ".' :', ,,',.,','., ,. ,,-,,, .' ' ", ',c " , ,: '..,. ",:,,: .' .. ;,'. .' ...' ,: " ,';', :,' , .",'.. : ,', '. " " ", ' ': . ' '.:.: .,' ,,",':' " , " ' '.... ...." ,:"",'" ',' , ',: '. ','.,:',..'.. , :, : ' "', , .' ...' .' , ."" , " ':,' ."":" ~ ~'~":"l"':~:' ", ,." " , ."," "', /' < "':J': ' , .' .", ::,., ~ '...' ,:.," ,', ", '" " " .',. I"" '.' .. , , :. ,... . .,:.",' ",:, ,', ",." " '.. " :' '., '. ,,'.. \ """, ,. ,,' , . ..,:,." ", .1 ....:, ... , -', ~~' ~1 '.; i i. ."\ JEFFERSON COUNTY - USED VEHICLE BID SPECIFICATIONS VEHICLE OPTIONS INCLUDED IN BID: , " , -~ '.: . .1> , :...."'.,: :",' , " ,-""" , , :' : " .:..."'.. . '.".: , ,,', ,,:,:, "" ',:,', ,; " , :: ,.':,<\ ',; .,: ,,'. :.< , , ",,: ,.'." J, ,,; . .,' .' :, :',' , ',", ", '" " "",' ..' ." .,',: '." . , ,: .: . ,...'. i, i..,.:. .,.' :. I". '.. .,. " " I .:. ., ..' .. "., '" ..,..:.'.,.,'>'.', " ,",: ',:' ' :. '. : ,~' , , .. , ,'. ..,'. , .....'.,'. ..' "., . .',; .,' ", I ,....', .. ':, . ,,/ .' '. , " ! ....:,' ---':,.,: "', ,.."..... , ~'II INTERCOUNTY COOPERATIVE PURCHASING AGREEMENT ~t~ . / This agreement is made this /.1- day of )))6.../>--01l.-" 1989 between Franklin County and Jefferson County, hereinafter collectively referred to as "the counties." WHERE~S, the counties desire to enter into this reciprocal agreement pursuant to the Interlocal Cooperation Act, RCW 39.34.080 (hereinafter referred to as "agreement"), whereby the counties may make purchases of goods and services for one another; and WHEREAS, it is believed by the counties that this agreement will make possible combined purchases in larger number, resulting in lower prices and reduced purchasing costs; and I'.'HEREAS, this agreement will operate for the mutual advantage of each of the counties; NOW, THEREFORE, the counties in consideration of their mutual promises do hereby agree as follows: 1. Duration of Aqreement: This agreement shall commence and be effective on February 1, 1989, and shall terminate on February 1, 1990. This agreement shall automatically be renewed on a calendar year basis unless written notice of termination is given by either party by the preceding November 1 of any such year. Failure of either party to notify the other of such termination on or before November 1 of any year shall cause this agreement to automatically be renewed for the next calendar year. This agreement may be terminated by either party by providing at least 30 days advance written notice to the other party. 2. Purpose of Aqreement: To permit one county (hereinafter referred to as the "purchasing county"), when authorized in wri ting by the other county to make purchases of goods and services by contract, negotiation, or bidding on behalf of the other county. 3. purchasina Procedures: Each purchasing county agrees to make purchases by contract, negotiation, or bidding on behalf of the other county for those items agreed upon in writing in advance. A letter of request from one or more counties signed by the purchasing county shall be adequate written agreement. Agreement may be made (a) for a single purchase or (b) for a specified category of goods or services throughout the duration of this agreement. 4. Financinq of Joint Purchase: Each county shall finance and budget the purchase of goods and services for its use. The purchasing county shall not have the responsibility to make payment or perform contracts for the other county other than to receive payment fro, those counties and remit it to the vendor. _'~::> '''~'~Ji~,,~._.t!lI''''''-~''''--'l.:if''''''''''''flr.='- . - ."..n'-~ ...............'llC r 5. Liabilitv: Each county shall hold harmless and indemnify the purchasing county against all costs, expenses, loss or damage, including attorney fees, which result from the purchase of goods or services for its use. The purchasing county shall assume responsibility for compliance with all laws and regUlations governing the purchase of the other county and agrees to hold harmless and indemnify the other county against all costs, expenses, loss or damage, including attorney fees, which result from the purchasing county I s failure to comply with such laws and regulations. 6. Reservation of purchase Riahts: Except as agreed in writing pursuant to paragraph No.3, each county reserves the right to contract independentlY for any particular purchase of goods or services, without notice to the other county. Adopted this / 3 day of mtl-4-"J?' , 1989. BOARD OF COUNTY COMMISSIONERS Franklin County, Washington BOARD OF COUNTY COMMISSIONERS Jefferson county, Washington ~r;<--t:<U (7.~~'^""--- George G1 Brown, Chairman /~ ~--- Ken Miller, e er ~L e a J. r, Member - ~ ..3-/~-'?7 B.G. Brown, Member La~~~~~e Attest: ~ (jJJK2 (/;f Jik, ClerV tf:t Board Atte,st: f\"., . \ 1/ 11)/ ~ ~ IVI/H c:( .' a;..1~ ~~ Clerk of the Board ' Ii ~ ,.:J-~ 71'} FRANKLIN COUNTY EQUIPMENT BID PROPOSAL SELF-PROPELLED (HYDROSTATICALLY DRIVEN) SWEEPER To the Board of Commissioners Franklin County, washington Gentlemen: The undersigned hereby certifies that he/she has and specifications governing the equipment warranty requirements, thoroughly understands proposes to furnish to Franklin County: re~d the requirements specified, including the same, and hereby Make: Broce Model: on or before April l4, 1989 RJ- 300 Delivery Date: unit Complete as Specified: $ 25,398.00 Plus WA state Sales Tax: $ l,981.04 Net Total. Bid: $ 27,379.04 option: Trade-in of Pull Broom, 1 ess trade all owance with tax ..... (-2,425.50) include sales tax credit.~trade (includes tax)... $24,953.54 Bidder shall submit detailed /~~4 specifications and information By: (signature) sheets showing specific r/ -, /..-. _. __ rr2- --,~_.n ~c:;?.e, equipment bid on. ~'-'T-rrw-e ~rr==:z.:r /'/< , Title / (6t7J ) .s .3'/- / S"7 2- Sahlberg Equipment, Inc. Company Bidding Phone E. 3107 Trent Address ~e city Washington State SPECIFICATIONS These specifications are for one (1) each, new, production, model sweeper, hydrostatically driven, specifications. latest, current conforming to Complete unit to be performance, warranty, All integr.al parts and .balanced unit. supplied by one compa~y responsible for the parts supply, and serv J.ce as specified herein. components shall work together as a complete and MINIMUM SPECIFICA'l'IONS The exact specification column must be filled out by bidder for bid to qualify, EXACT SPECIFICATIONS 1. New Self Propelled Sweeper That meets all OSHA and WISHA standards, even if not specified herein. MAKE: MODEL: YEAR: Yes/No 2. GENERAL a. operating Weight (Equipped as specified herein, including operating fluids. Minimum total weight 4,000 lbs. Yes 3. DIMENSIONS a. Minimum length 168" Yes b. Overall height 100" Yes c. Overall width max. 96" Yes 4. ENGINE a. Diesel Powered - 4 cylinder, Yes 4-Stroke cycle b. Min. of 76 H.P., 239 CID Yes Liquid Cooled Yes c. d. Variable speed governor Yes tl.roce RJ-300 1989 SPECIFY MODIFICATION 4500 pounds as speci fi ed as specifi ed as speci fied John Deere quoted but Cummins available if desired: as specified as specified as specified ~-:'>~.--~~~~1.Z(tltt~..l.~&' riM"~r"ur.ijJl.lj_illll e. Dry-type air cleaner with . turbo-type cleaner, extend1ng Yes to just above cab roof. as specified Exception - 2l gallon f. No 25 gal. fuel tank, minimum. g. 12-volt starter (key igni tion start). Yes ass pec ifi ed 5. TRANSMISSION Hydrostatic - infinitely variable to 30 mph, either direction with good visibility for operator. 6. STEERING 7. AXLES a, Yes 35 /I.P.H. b. 29% gradibility - neutral shift for towing. Must be capable of towing speeds up to 55 MPH for a minimum of 50 miles without stopping. Direct drive hydraulic pump and motor. Yes as s peci fi ed Yes 401 gradibility. With 3.speed . . transmission neutral sh,ft posltlon, unit is capable of towing at 55 M.P.H. without stopping to any J;;) Lal,....~. c. d. Operating pressures to 5000 PSI with 10 micron filter with replaceable element. Yes as specified a. Automotive type power steering system. Minimum 16' turning radius. No Yes as speci fied Exception - 19' b. a. Front axle heavy duty, full oscillating. Rear axle Dana Truck type, 1/2 ton capacity. Yes Yes as specified b. as specified B . BRAKES a. 4-wheel, dual hydraulic. Yes as specified b. Manually operated, mechan- ically engaged parking brake. Yes as speci fied 9. WHEELS AND TIRES 10. BROOM a. P20575R15 - 4 ply. Yes as specified a. Broom Core assembly steel, 8' X 32" wire and 1/2 Polypropylene wafer type Yes (sweeping surface 7' 6"). as specifi ed b. Broom power hydraulic, independent of travel, direct drive motors enclosed in broom core. Yes as specified c. Sweeping angle - full 45' power angling left or right. Yes Water Spray System - 135 gallon (minimum) water tank, water pump and 7' spray bar to help control dust. Yes as specified (137 gal.) as specified d. 11. OPERATOR CONTROL a. 3-spool control valve to control broom rotation, broom angle. as specified Yes To raise, lower, lock, or float broom in any position. c. Hood over broom shall be a minimum as follows: b. Yes as specified starting at rear of broom, hood will commence no higher than a horizontal line drawn through axle center and end no shorter than a vertical plumb line with front of bristles of a new broom, i.e. hood shall be such that aggregate will be propelled forward and not upward any Yes higher than broom itself. as speci fi ed 12. CAB 13. LIGHTING d. ~~~~~_~~.~~<n."''''''''''''_N'';''W.~V' .....,... Instrumentation - Must be equipped with t.he following: oil Pressure Gauge, ammeter, tachometer, hour meter, speedometer with odometer, and fuel gauge. a. OSHA Approved Certified enclosed ROPS cab. b. Pressurized cab with safety glass and air conditioning. c. Cab heater with defroster fan. d. Electric windshield wipers. Inside wide angle rear view mirrc:.r. e. a. Two forward cab mounted headlights. b. Cab mounted directional signals. c. Tail mounted stop and directional lights. Federal standard and Washington state standard including reflectors, clearance, and identifi- cation lights. d. e. Four-way flashing lights. Wiring to be in conduit. f. 14, HYDRAULIC CONTROLS a. Full hydraulic controls. b. The complete hydraulic system for the sweeper unit, which includes all No speedometer wi th odometer not avai 1. Yes as specified -~~ as speci fi ed ~ Yes as specifi ed as specified Yes as specified Yes as specified Yes as specified Yes as specifi ed Yes as specified Yes as specified Yes as spec ifi ed Yes as specified ~~~'~"':f,n_i~--'''''_'-'- c. hydraulics, shall be of - proper size in design to operate under 110' weather under full power in a continuing 10-hour work day operation without over- heating. Yes Readily accessible hydraulic valves. as speci fi ed as spec ifi ed as speci fied as specified as spec ifi ed as specified as spec ifi ed Omaha Orange Yes d. Shut off valve at tank outlet. Yes e. Replaceable 10 micron filter element. Yes 15. MISC. EQUIPMENT a. Backup alarm. Yes b. Two exterior rear view mirrors. Yes c. Rotating beacon - top of cab. Yes d. Equipment color shall be Safety Yellow or Omaha Orange. Yes 16. THE MODEL BID SHALL BE: 17. MANUALS a. Manufacturers standard production unit and has been on the market successfully for at least three (3) years to assure reliability. as specified Yes b, Sweeper is to be delivered on or before April 14, 1989. as specified Yes a. Two (2) manufacturer's parts and service, manuals. as specified ~. b. Three (3) operator's manualz for the sweeper unit. as specified Yes ~'W..1lIlIJt 18. All equipment that is standard for this model sweeper unit that has not been specified is to be provided. The bidder is to include information and/or illustration sheets showing the stundard equipment. 19. The Bidder is to provide a list of optional equipment or accessories that would be included as part of this bid. In addition, the bid is to provide a list of hand tools (their prices and Source) required for the operator to perform routine maintenance work on the sweeper unit. 20. The unit is to be completed serviced and ready for use when delivered to the County Shop, Hadlock, Washington. Delivery will be made during normal business hours only. 21. Optional item to be considered separately as part of the bid package: CALL fOR BIDS Notice is hereby givon that the Board of County Commission:;m. of Jefferson County" Stote of Washington, will r~ceive sealed bids up until the hour of ,10:30 ".m., Monday Feb. 27, 1989, at the office of the County Commissioners, Courthouse, Port Townsend, ,Woshington 98368, to be opened and reod at that date and time for furnishing the Jefferson County De'partment of Public Works with: One (1) One Ton Truck. Bids shall be submitted in accordance with the pIons and specifications on file at the office of. tho' Director of Publk Works,,' Courthouse; Port Townsend, '-Washington, where copies may be obtained. Each bid sholl be accompanied by " surety ,~ond;': postal ,~onoy order, cos,h,-cashiers chec~ ~,r certified check payable to the Treo"surer of'Jefforosn County in the sum of 5% of the bid amoimt,'- to bo forfeifed to)effcrsori County by the successful bidder if he fails to enter into a contract and file and acceptable surety bond in' the amouf'!fof 100% of the, contract price within twn (10) days of the award. The bOQr~d of County Commissioners reserve~, th~ ri9~t )0, reject any and all bids, ,and to a~cept the_ bid deem. ad most' advantageous to Jefferson County and to :waive all informalities in the bidding:'"'" 'Approved this 6 day of Feb., 1989. Board of JeH:erson County Commissioners ,George C. - Brown; Chairman 24252-15 ,,'DiWZll,&Wil~i'iiil'~lt:*jl.:ll;!ilrM'lf~~~tt-"V""-'~ ....~' ..~~ ~ A1.' Affidavit of Publication ~fAIt Of WA~~mJGfOn) COIJN! t Qf JlffER50Nj fRAt-H. W. GARREU, t..t:."g '''''U</'. H.If\ h.. 'I.h.. p"bl"".., d Ihe 10'",. lu..-numdIJ..fI""uIl CUU/ll~ ll'od~". (I ""c,..I/ ".,""\POptH whi(h 110\ btle" .,uubl;~h"d. pu\JI,\I-,.,d '" ,I-,,, fngl'I" lunguuyu ond {,,(vl<..,.,d {ollt;n","u\ly 0\ (> ...-".,1.1)' ".....-\!-'of'{.' in lh.. lo...-n of Pori To...."wnd, in \uod County (lnd 5Iuh.. u..d fur 90I\..rul (ir("lot,(.on in \o,d (O""ly for mOl" Ihon \" (6) NlCI1,h priof'o rhtt do.tI of .1'1" fi,\r put..l;co.,on of thtt No,;tll h..,,,to ut- IOdll,d, o..d .hat Ihl.' \o.d Pon I own~"ndIJI.'H"l\on CO",,! I l"ud", ...-0\ on Ih" 27th day 01 J"n" 1941, opplo."d 0\ ul"901 nt.'w~I'Up'" b~ Ihe 5"P"f'Of COUft 01 \o,d Jt'If.,r~on COUllt)'. ond .har Ul\fllUtld j\ .",,, (OpY of tn... Call for Bids one - 1 ton truck a~ il appeared in Ihe regular and ""tilt: iHUlI 01 ~oid pope. ,r~",lf a"d no. in 0 \upplemonl the,eof for 0 period of two co,,~ecutive w<:leb, beginning on rhe 8th doy of. Feb~'uary, lQ~~,9_,,_, 15th February day of,. ._.____. and ending on ,he 89 1 Q _ ~_ __. and Ihat ~aid new~paper wa\ r.,gularly di~tribuled 10 it~ ~ub~Cfibef$ during all of thi; period. Thol ,he lull amounl of 5 ?_~__~.o 9___ ___no\ been paid in full, 01 the role of 55.50 P."o'"m";O'"1;:~'0,~_ S"b~cribed ond ~w(jrn to belOle me lhi\ _~_?J:;Jaoy 01 Fe_b:;-uar.'f ".)39.. ~~~~ d. . ,_/I U N('ltoryrubljCI"~ Wa~h;f\glor', 'e~iding 01 Hodlock ~ 1:'0; .,. .',... ~",...,. ........ 'b ,,' ,,< ,',:::,' , -, "',':: ' ",; ,: ;' " ,:.... i ,... : '"..";...1 " ' '... , ,'.,.~ ", . I II. :, . ';, ; , " ,.'.: ',: ;';' ,': ' > ,.' ..., .. ", ',' " '" " ' : . "" \ ,,' , ,", ' ,', '." ";:,, , ," ;. ," ..J.....: ,:;,,, "" " '" , ,: ; .... ','" , , i '. ':' ..": ::.' ",,;::', , ,,'.'.',' ','., '.:', , .. ,",,:', . ',; . " ' ':".. ,\ :,..,.. .:. , .... , ,. .', 'I" "", :,y ,I" "..' '" "':,"..: , ; ,.'..,' . '.'.,..' ,...., '.' ..' >.., ....' ',.' :' . ........ ' .' .. :'1 ,,'.,' :'.':,:,. :.' ;I .....:.,'" ," i'L I " :t '" ; \ . " " I : ',.: " i...' ",., ", f";: " , , ,I " CALL FOR BIDS Notice is hereby given that the Board of County Commissioners of Jefferson County, State of Washington, will receive sealed bids up until the hour of lO:30a.,fl'Monday ~~_, 1989, at the office of the County Commissioners, Courthouse, Port Townsend, Washington, 98368, to be opened and read at that date and time for furnishing the Jefferson County Department of Public Works with: ONE (1) ONE TON TRUCK Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where copies may be obtained. Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract and file an acceptable surety bond in the amount of 100% of the contract price within ten (10) days of the award. The board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. APPROVED THIS {.~ -7S4'. 1989. DAY OF BOARD OF JEFFERSON COUNTY COMMISSIONERS ~~~>-<--4~ rL-~~ George C. Brown, Chairman ',', , . , , --:- :> '.. , ',:"", " ----. ',,' . 'I ,.' ,,,,I,,,,>,, , :",' ',,' '," " " :', , , " .', ,'. ,',' ,....., , , , " ',' : " ' ;>: I '. , . ',', :, ,,' i I. , I' .',.. " , : ".', <. .,' ":," I...".,..' ..'... I," i.:'..' ,-' ," .)L ',".", ',,', , ..": ,',' " .,.'. , ' ' ,':, , '.' , . .'. '. I.,.,:. ,.,,' ~'...' ,"," " ":.',.>' ',,' , ' ,,: ,', . , ", '~'.,'" '.' ,', ..,...,' - J - " ,''''", ,',' 'i', Ii,' r::::- '.',.' , ' I , ", ,'.' " "'., ' '. , :" ' I' ,,', '" ' '.' r I, 7*: " I .,' i '! ': " 'i, ~~ r. '!'-' 1;. t" ,~ - " f'. t ;.: ~. '. , :: "'.' .. .' '.:- :' , :',' . '..' " " !";, I; :' , " " " , ' , ,,' , ,.;".. ' : '.... , " ,', ,: :', ',' ,', 1\. Ii I; I' ';::~~;;'"~ I.' ; ~ ":'; ".,.,.....', ::',>:<', ,: " '. :,',' ,: ,':', " ',' " " ' l..' ,',,". :,.., ' ,.., "", ',.', , ",:' , ',',", , :' ,,", I" .. ".." ' L...., CONTRACT JEFFERSON COUNTY, WASHINGTON THIS AGREEMENT, made and entered into this-A.~~_day of__7J/(J~J.c/L-__' 19~~_., between the COUrHY OF JEffERSON, acting through the Jef(e-rson County Com- missioners and the Directol- of Public Works under and by virtue of Title 36, HCW, as arnendedand_ ~lpn ~"':'lnr r.np"rnlpt' of~p.qt"t"lP. WA hereinafter called the Vendor. WI TNESSETH: That in consideration of the terms and conditions contained her-ein and attached and made a part of this agreement, the parties hereto covenant and agree as follows: I. The Vendor agrees to furni sh ONE (l) New R30 One-ton 5a jR.. -17'( (') {':j-e?':; :/a. Flatbed G(/l e ./,'f'/' Truck (1 QRQ r.hr->urn 1 ~t-) in accordance with and as described in the attached specil reference incorporated herein and made a part hereof. lis The Vendor shall provine and be at the expense of ai Ibor of any sort whatsoever that may be required for furnishing the goods ana equljirn~t described and completing the work provided for in this contract and every part there- of, except such as are mentioned in the specifications to be furnished by the County of Jefferson. II. The County of Jefferson hereby promises and agrees with the Vendor to employ, and does pp.lploy the Vendor to furnish the goods and equipment described and to furnish the same according to the attached specifications and the tenns and con- ditions herein contained, and hereby contracts to pay for the same according to the attached specifications and the schedule of unit or itemized prices hereto attached, at the time and in the manner and upon the conditions provided for in this contract. The County further agrees to employ the Vendor to perform any alterations in or additions to the goods and equipment provided for in this contract that may be or- dered and to pay for the same under the tenns of this contract and the attached specifications. III. The Vendor for himself, and for his heirs, executors, administrators, successors, and assigns, does hereby agree to the full perfonnance of all the cove- nants herein contained upon the part of the Vendor. IV. It is further provided that no liability shall attach to the County by reason of entering into this contract, except as expressly provided herein. IN WITNESS WHEREOF, the Vendor has executed this instrument on the day and year first below written, and the Board of County Commissioners has caused this instrument to be executed by and in the name of said County of Jefferson the day and year first above written. Executed by the Vendor .3 /..J' ?1~ Vendor 0'" /, /) By:./ ~.. ,~f;:13~ . Attorney-in-Fact 19~ Foregoing Contract Approved and Ratified 19_ COUNTY OF JEfFERSON BOARD OF COMMISSIONERS SEAL A, ~ ~~~ 1~<'-<-"A1 / Member Approved as to form this (o-.J--... day of fV"'z~,t,- .19 ~'l ~"-O" L-i...-..:^""" /)"'_ -;'\;;,~ _ p. () P'rofecutTn"gfifto"mey--V- =o--~", Form 158'0 , .~,.,"..:' , ,"',.. ',' " ',' , , . '," , :.: ", " ;" , ' , ,.....' ...", , " ":, ,,' ';,', ' , , ,'; . ',.,. '''. I' . I " I', .' , I: ... . "" .' "c" "':,;' '...' :' " I, I , ":".:,': ..',. I. t '. I " .' ,': '. r ';' " ;":" , " I. '., ,', ':' ..',; .'..... '" , ,,'" l: '.'.. '.', r. .,'. ~C' .... flIC'C, '", r": , , ,":,' .. ,q I, , ,.',:, , ..' " " ...,.".:. " : ," " '---,. , " .'.'.' ,'I .' -~ J ~ In:- ~' <',,' ,; .' ,', '''' '... .'.'.'.. '" ", " ;":i~~F'j;;;;:, " ::. . I : ,,: '" , . ; ..,':.' "'" ' 'I\'. ,', ,," , ..',' ..",,:..'.' :....',' ' ,.... I . '': ,: ,', , " : " , , :: , I ' :.:' , "...,'. '.; ,..,.. ':',:", " ",' " " '..>' '.' " '," 'i, .. ""',,, ......'.1 ,'" " ,'.'~, ....... "" ....,. , ,," ..."',.." , ,: i I; I' i ~ I p. ~ ' , : .",' ,', ',' ;,", '" "'",., ,,::' , I, ,,', I..,,:,' ,:',,; !;, !, ..,.... I ',' ,,:<...)..: '. ',. .. I; " ': I. ,,'.. """" I..'" ,..'.< I, " ' , '. ....' . .. ',:, "', , .,.' .,'.'.. .," ".;' ,:' ',...,', :: " I ' : .. ' 1:1'" " . .', .... I i:~ ~; 'I '.' . ," "", " " '.', . " '~, " , I,,' " , .....,' , ,," , , , .' :,:, , .".:', ", '" , ,." ',' , '''' ',,'I', , .. ", ...., ,', :'" i ,',,', ',: ,:,',..: , .' ',.'.' , ,':: , , ," : ....'.....,'.. : '....' , , ",' , ..'. ,', , " " ,." ;: i : I: '. Co.,any Na.. {.', \ e..> ~I 0..1" ~'" l-u'v r~, I' Addres~IlH/O'O J'V:')4.....JL.; ~D' t! ',', <. r /)..., J..l1 Le...-I .A )/.1 <k ~ ~It.a ~ . f: .' . ' ........ ./:. '- /' /:J .L !.: i " ",' 4 'r- ~~~/X'/ -,., ~ -"'~f: ,,' Signature of Authorized Official ,r. . C ..., d <:"ft-UVll !' .'. ':, _;;7 t7 . ~~l Dated this 1<;;;,T""'"day of FeJ.5t..-tO.l'l ,1989, t i'. ": : .,.,. l' : ., ::', !i l.. ':,: I I..' . , ',. ',' .. , ':" " :'.' , ", ',,' " ,', ,',', ,',,' , .. ...,.', '.. ',:", " ,,',,:" .' ; "," , ' , ,I,: ",,','., .. ,:' ,;>, > , ""... "'" , :, ',... ,'''' ; ", ~;':'';.:'' ~ PRO P 0 S A L To: Board of Jefferson County Commissioners Courthouse Port Townsend. Wa 98368 Gentlemen: The undersigned hereby certifies that he has read and understands the speCifications. and offers to furnish Jefferson County with: l ONE (1) NEW FLAT BED TRUCK as specified for bid. Any deviation from the specifications is shown on a separate sheet and io made a part of the bid. 14ake (l ~^ ~ "No \ (J)q MOdel \1iD' \ T~ ~f'.k Year <t,q (Please attach m~nufact~rerls .SP~Ci~.iC~r.~,on,,:). Warranty periOd,'\~ ,}:[[ta (\ ~, ,', ' .. .'., (indicate mo. 0'" yrs.) , ..,' , ',' 0' '..,' "" .. , ' ." Tr'~cJdT-';'t~'.i' Phipe' # 1?G:,;.7GJi~ ' Sales Tax @-kL'" "'?~ ' TOTAL PRICE~/'~~~'~.2 1 : .... . ~-'~ :_,\ I \ (, ~. :. ......J... ". . .'''. I'.; '.'... '... Delivery to Jefferson County within of contract. days after award 5% Bid Bond is enclosed in the amount of 5 ',. :: " ',,',' ",' , . ," ,,": ,', "', ",' " '. .':: :, ..,., , , .. ,'.. ',:,',' ,'; , . ....... :: '.. " ,..,>; , :," " , ,J "'i"" '.':, --"c;' r'r--. ~ I. ".,,'....',r- 1:.1 .. . ' " " ,: ." .' I ; I . ,.,..,. . I I.. ' "" ',' ., -.".' , I. , , , " ,< "', :,,' :, :",: : "".... " '.... ",;,', ,','. ' '.' ":'" ',' ,'" '.", ," , .. '. " ..', ,,' ' i\ ":'. ; , " ",..' ' " '",' ",' , ' . .., "" '.. ,:",,;'," ' , .; ,',' ,', , ,,: ' " ,.>, .',',' ",' ", " I,' " ',..,.... I' '.. ',' '..' ' '\, ,.." t: .. : .,< ' 1\'. ... I: '.' .' I; ,......... ..', ". ;:,. " :.i' '.. .', ..'....., !.. .. " : ' , ." ' '...... .. '. .":,,,',',' I' '..,'.....:, I ,'" I '. g'n"i~7U1JItf ikJ~ ~~~' . CVSTOItilEIf IS ICING" Dot' I i's-/~* Fleet Mgr. -JJJ () t!-k:~, -;; 14400 FIRST AVENUE SOUTH" SEATTLE, WASHINGTON 98168 " (206) 243.5800 L ~q I' I.;;::;~~ ~ J .1 ;ik'~~~ToJ;~~l~~ c:or ~ I Trim RPO Equipment ltC::.3 A~~J;~ A)~ IdF+ q)4~t~Fra ~J =ia f /o.!!d TiG. (..c.ItlbC j)€(U.<.., ...,;'a::<f J.< (:Zc...l~" - 1)( ,'~Ji ~ - "-0',~ ,U. ^ 'r=;{'~ r,J j.Q->J-h<;+~/IJ.JpArlt.. A r '( .J..d < J.~~ /,~ ~ I . ".'\;1. ll.Q~ - 1 ~"""'- ," 7.P.~ I" _ ~<: II ,.... . ~''fl Price '2P..J...n r:JIJ.tA I';; I nn Ii. I 17,,_ I ;;J. "VI ~X7\ I=~~ ~ ".. .:>... I ,'.. A I ^ -v.:JJ<~ ~ Jl\ tRJ!2."~' S ~ ~ I')) [;;.g J2.. '10""1 '0./ ,y;;:.l ~ . k: A ./ J ......- V..I.. 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Phone I-.~ <{~ - D~ <=t 0 " RPO Base Unit Price ~~ *A /a, 7.. f../ ~S'V)J/'X 1:7f;:J; ~~-....L'~';...---1I:-N:>...."; ~ '~-td '. /,O~ ' r )(1, ~-",~-/~'........:I..T;.?I, . ~~~~ ..; ",4't::~ ~ a' ,"I~ /. ~ l4-l'I ~ .- _"-C'\ -J f') lOw.. ~ /':. T<.,- ,,' L?~ KNu ~)O ~ "'~ 11M'" I J(.'l? I II. n~ 1< X De:- ~;"'~II 1"'\ H-.._~ ~ ~,q...-v 9 DL- ~) _ J/. '..1--<, (/l?Q,-~ .:;2-\ I ::"";"I,'d ~'/' oJ. 1/1,' J.JJ" ~(U :" J"...r- kl!.(~ - i'>: '/oM J~r {'~, J'J:TJ~ I.~ e;)l.{..o L,~ / J'~/\,,,,,C" 1 '.>~ '1L\ wla... "ru1.VYa-t-"S }J.:)... J4~ r- ~...... J ,<- IV a~ :-rr Ji Wk..a.e I VI m h-u. JB c t4:l:7 '-1 ,q o~ l:jfr J"\ I ... -1 , .... .....' ::/ , ":....:.. , ,',", ::' .. ...' , .'. , ", ...', '" ,', ...,.'.." ( ,,' .. " ,;, . '.\ ',' ,.....' . ':', '" ,,'. ' '" ,:,: " " " .'" : ' , ' , ';'" , '. I ~j J '" , "",'" " fer : :.'. ',I~~ ," ',,' I, , .' ' , "" ..' ' , ' ,',".'.,..' " ,,', ."' .. ," ','" , , :. ' , , c, ',' , i I' "',' ,,' ..,.,. I I '" '..,"" I !, . ,. > '...' ,'., .', I' ,', ,'..',.'...,".' II ; u :": , , Ii ' " , ,'.. '. ,'.' ,',' ," ',' , .,' ".':', ' ,', , 'r ." ":"",, ", · :," """ 't, · " ' : " ,:':', ':, " ',", , , " :,,' "c' ,', ' I;: ','" ," " ":, :, ;," . :...' :,," '. '< " I, ",". ,",'. "J' " ;, :..',',' :, ..'.,' ...' , ,.,' , ',: .', ".. " ", , ,," , , " ",:,' .'.' , ,," , ,"." " .'... . " ,." ..,'..,."..: ,... t ,". .', , , , , L , IL "" g. ~~1ll111lt ~ "WHER~ CVSTO".UR IS KING" Dale r?/; {)'i~ Fleet Mgr. -JJJ Lo t!.-t~ 14400 FIRST AVENUE SOUTH. SEATTLE, WASHINGTON 98168 . (206) 243.5800 o ~tory Order I 'pa~ I 01 Bid Sheet I ~ ' Customer's Name :::Je~e.rs~ &""~~~f .;O~ ;t?j~ /:(1 L",W: I I ~d-O .:::rP~fC~ ST' Jl?O-MY':1<-IJ~_ Zip H Ph Vj)~"--.)~~d ~- '7iJ-G . one B. Phone I-,~ <(~ - O~ 9. C) <6'1/1 O:ih-lo )4y.Ul JZ~~~T~;~,0l~<:;or I Trim ~ RPO Equipment Price ttC:.3 ;q ~ ~d ;~ AJ)N"'-J Id-Ff qf1-Sf~l Ff'4 ~_ J Freight I C;::la f /oed TIG (..cJt:.bC I ,I)~~ .t:.72i; 7. ~ ~S~ /::r~r; I ,,;'i:Vfj. '6!t!..{~ "OCl(:c.:~ ~""^'-, L.J<"./)~'r-A~.<' / D') (l ,~- 'J2(?S;/Ptldr~ '~-tcl // - I . I/}I./,., . I ':;r/J"() './.... ^ r-d rou, ,,J~ -;, 0<:zJ ') ~~=Ir-r,,,,,,,,,,'1 ,J;.~. T /.o...~..):;"c:::: h II J. i;;!;d h ."'3' , ..;: ~ '/ ~ v,4t:. ~ \ <I/,/.,d <; '=.1>-/ /_-, J a to ,,\~ "i::u-.h ./k ",Ai)" i}.Q~Ll""""" 1",...1 ~ ILL" (.;'<".. vo..-...sz.iW../.;'_ -< .pR~__ ..J. -/~o.I-L =";r :-J f) 'V1., . 1.(;"" ^ /) C 'I.-s::. + / T<> J ,,' ,~~ K.fvlJ> ~/t"\ <! if.;;;; ,,[tt . ('f' i. '),<" I ,/0/1 'VI J 1I. />..'~ ~ IL I' A..~ ....,:. r:.. 75/:: ,....-i\- IJA j) ~........... A w~ P,q", -v 7 1". f.,. i "... :~.J. ;':', ..'lfli l~t).J/-:""'~ .L..Jr--~ i}~~. ;:),9-/ .~ ...,.~ ,,/I -~k~ . ::;J.~./ / ~/.'d n ,I' J. . /.:'x-7'\ ',., 1R!:2. ,~ I/l I JJ.. ~;j11: '" .J"...r- .__ :-t::: I ')) ~ J.2. ,~ .... . KDZ~ ) :...a. n--:r7-,...::J.(-r FC-I J .':--.~~ ::I'IUl . (lGJ I ItiJ~ J:~ Ie., .rlT U n' \S~ ,t;.:,qw/, 1-. ,. :r;S [';)I..J.. L.....)., i ~:./\/J..... f< 1;1 "2 -;,-' .' J u 'J J. I)': :;.-.::: ."...) W/C! 7U1;1/(~ ,. i-;...,.. ..... 'C:!...P . ;n'~ oe...1'2) f1/ rl- 14kA1 (.~.J -;;,,~),- I\.~,} I <J ,/ 1\../3~ Ii H t...v/.uu? I -V 7 .. , t..IBI ~';-Be f/:lj I,... . ./?s:u5ID~~;"'r__7 ...,3;1 O,q lc;trl'/ls/r.'>,e.7 ~F ~;6~ i 5+d li~~ Il-,~'~~...-!-~,..:U> / APifoved by ! ~ Model Year I xc:; (} l< '>1 #of 02 '7, ,,J, RPO Base Unit Price ~~ ~ I~~W~ L -.J ._~'-"-"~-'---"'-""",-",!, .. ' , I"..., " :", ' -l . .,', ' : ,",'" , ' '.'.: : ......'.., , :' , ",' , .' :'",' . ,:'c"" : ',' , "',' ..'...."....'., , , ' ',<,: ':', , , ..:,.. , ,,"":: ... . . ," ,.,' ,.; .'.,.. " " " " " ,'", ' "', , . . ...'..,.. '.' ,:',' "',:'.., ! " '"... , '" ; ," ", ,..,.. "":',' ",."""',, , ."... , ,,", '", , ' ", : , ': , ' ' ',"", ", :, '",' ..,.. , " ,', '...',."" '..: , ,'".. ,", ,', " ',' ",,', ,::'" ,', ." , .. " :" ',. ' , ',::,,', , " " , ," , ,,', ,': '..' ",', '..'., ..J , " . , '.,. . ',. ,:, ,,',':, ' ',:' ' '. / l ,""". ! I .' " -.J J 14400 FIRST AVENUE SOUTH. SEATTLE, WASHINGTON 96166 . (206) 243,5600 o I Factory Order I ,otrl~ d- W1 Bid Sheet I Customer's Na~ ~~ ,P.r<;:. .6'IJ 1b.:.vL /)fJP-!-&:: ;t?., h~,'r.. '_>>-r:As -L~dO ,le~~ s..T -J!!Q)~, ~ Zip 9..(j3~<g H. Phone (~v+ Jav<-y..) s:"",.,d &Vd$7,... , ',' , " .' '.., '.'. ;.r :1--:- .', , " ' :',",', .' '.. '" " .."""i~ .' ' ...., '. . " ',. '.', ' ...'. '.......... ....., ' , .. r .'.' '.. ..,;"",1 :'..;.;:'....: ,', 1,"", ,..' I' ,.'< I, ".. ," ..,,' I ," ,'" ',", I '. " ~i .:', ,',.' ", RPO i" . .'..",...,'; ," "., . '. ' , Base Unit Price ) ".' :,:, ' , : , ' . Freight I .' "'... " .' I' " . **' Y 11A1I,jO, &'p~)f 0) ~ ,', .,' , ',', / f i...-U1? LeN <.... LJ.,. ~J ". ", ~ ry~l)"'Dx.."v..u:' -/~d.'-~ . ", ,.." Lfj), ,-J.A J::;lV""'lv,.rll;;.J",~ '/)Zt" .,,' , Sl.drl /, t.~ J...Hvlf /)~ . .:' . ,: ",", .' ';f I iI",s~ 'T"" <:'~ la-l,e-r/ . " :c- ~~,.'ft,-rj....~<:'P ,..) ': ", L-" Dl'l, V'\,^ ;w.......... '., , c 7M 1V1~f I ~ ' ." . .J.. <. -.J,p"'l' D.c l//rc/./. l.tt~ , " . 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L L_ L I Trim . , ~ J SPECIFICATIONS FOR PROVIDING ONE (1) NEW ONE-TON FLATBED TRUCK FOR 3EFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PORT TOWNSEND, WASHINGTON NOTICE TO PLANHOLDER The office to administer this contract is the Department of Public Works, Courthouse, Port Townsend, Wa.,98368 Telephone (206) 385-9159 ~" ~" ","', , "'" : '... " ,.' '.,: " '.".,.", ,',' ',.' ',':, , ",,', " '...... ',' " ..... ' .' , , , " ' " :, ~h :,:..".., "', '," "'" '," 'r' '", :.:L,."...,.., . ':;',;<:'...'...,. . , ' : . .' . . , .' Y, (.' " " : ,', , I ,.. I :. I;. ,'" " ? : :': ',e' ,': .,.' . ,......1 ,ie', , , . ":..,', . '" ., ,~ ,,' ". ' j "I I , <. . ,". , :; , ',;,'<: ", :" ':,: ':' ,,' ,,:,',',' : '. '.. ',..., '" " '.' : " ..' ,'.,. '. ,,':," ," " ':, ,".' . , ',' " :'::",,' ", .',', ',..'''. .,.., ,.,..,...L '", ,,' ',.."', ,'" " ..': ".,.'...,::', :.", ", :" '" ":' .. ,; " , . I' ..," '.," '.. ' ,..- ", :, , .. ,:' , I i. ;. " I, . I' ' ': ~':< I : " ,',,", ,.. " i, CALL FOR BIDS Notice is hereby given that the Board of County Commissioners of Jefferson County, State of Washington, will receive sealed bids up until the hour of lO:30a'J!l'Monday Feb. 27, 1989, at the office of the County Commissioners, Courthouse, Port Townsend, Washington, 98368, to be opened and read at that date and time for furnishing the Jefferson County Department of Public Works with: ONE (1) ONE TON TRUCK Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where copies may be obtained. Each bid shall be accompanied by a surety bond, postal money order, cash, cashiers check or certified check payable to the Tr.easurer of Jefferson County in the sum of 5% of the bid amount, to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract and file an acceptable surety bond in the amount of 100% of the contract price within ten (10) days of the award. The board of County Commissioners reserves the right to reject any and all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. APPROVED THIS b , 1989. T ....c4, DAY OF BOARD O~ JEFFERSON COUNTY COMMISSIONERS 4 --r' r!-c/~ ~e C. Brown, Chairman FOR PUBLjr'ATIO~ '? v lC ~" DATES ~ F, A svP,/f. tfL,I,'" ,;~!" .. ..' RR ------....-1"""~ ' " "C- .,,' , , " ". ,", ',-;-1, ,. ..,' ".., ," :".. . :, ..... .' " :", ',.." " ..,'. ,. " " ",,:...... ." ,...... ".' '\, ,"',: . :',;, " .".,' " ',. ',', ',' : ' ,': ,:" i . I i ! ,'.', ". 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I I " ,..:" " " ,,' .-;-;' , ',.' ,,,"'" ,,' lL' ,',C" \ ~;, I; TABLE OF CONTENTS PAGE NUMBER GENERAL SPECIFICATIONS.........". . . . . . . . . . . . . . . . . . . . . . . . . 1 WARRANTY WORK... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 DELIVERY TIME... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 REQUIRED MINIMUM SPECIFICATIONS............. ........... 2-6 GVW.................................................... 2 C.A. DIMENSION......................................... 2 ENGINE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 EXHAUST. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 CLUTCH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 TRANSMISSION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 REAR AXLES...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 FRONT AXLES..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 BRAKES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 COMPRESSOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 HUBS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 POWER STEERING.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 HOOD AND FENDER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4 FUEL TANK.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . 4- ELECTRICAL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 LIGHTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 BUMPER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 RADIATOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 TIRES AND WHEELS....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 SEATS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 INSTRUMENTATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5 PAINT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 MISCELLANEOUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6 CONTRACT PROPOSAL.......................... . . . . . . . . . . . . . . . 7 CONTRACT (SAMPLE)......................................... 6 , 7l", ",., I .,: -,,''',, '" ',", , , " : , ' , ':' , , ,':',' ,',", "" " " :. ,".',: "'::' < "', " ",'",. .', .. '...., : " ::'".... :, ',' ,"." " ',,:', '.. , ',:' , '.',".' . "'.'.':' i ': , ',::' , " 'b' ~>:}"j";: .. " ,.,' " ! i , . i: ;,' i ',',. ! ! '..,. it ' , I ' ,'..... I ." " :,,' "',:' I " ,'., ' I, " ,,',' ,,',,' ", . . ,\ ":'" , ,:", " . ','" , , """,: " , , , "" '.' " ,..,' , '" ",", ,', "',',",, " ',' , " '" .",,'., ," '.", " , '. '\' ',,;",' \ , ',,'", ,',.,' " ,,"" , ' " , , . ,:,: ;" "",., :' ,I, " ," ,'::' '\ , :..- .:.', , ,',' .':, ,':,'" '; " " "'" " .J ..,," , .... ,.' :' ",' " i """~ t;" \:., ',..': ,..' " ~', ' ' .. ',", ", . ," .' ;.' ;'. ", " .. , '''';,~;c:(.' ". ' i,:, :;...." ; '."... . " . .':",:, , .;'o' ',i,: ' !\ ...,: ,i" " ' '," , " ", .. "." , , ' :<':' , , ,', .. ..'., .. "'i" ''','' ,,:".' .. , ,".:, ..,',", "I ',:..1 '.; ,',', " ,",',', " . :.. ,'" ','" , .' .' .. , ' " .,'..' '..'".. :',: J,,: : ",." .... ' : ")..:)."}<"".,,,, '.. . ~'5{c;,~,;, ' , " ',' ", , ' ' \//::",.')". .. ,'.' ..'.' .' 1:"::::;\'::" .', '.:', " i,' .. " , ",' ' '.- , ' "::,, ' :" , .,...... '.,. ,.'.,." 'i, '" /:, " : : ,',", ,':" " ' . :q' ..0: '... .'.. ...L '.,.' :.', .., ,'," "',', ',' , ". '," ' ",'\,'; :',,:1..'., j, .', ,:.':' I " ,,',,: :L :.. . , , I" I- ! ~ !: '" ; :;"" JEF~ERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR ONE (1) NEW FLAT BED TRUCK FOR USE BY PARKS DEPARTMENT. Bid call for MondaY'~'J ..:?7_,. 1989, /t?:.:JCJ A.M.. for furnishing the Jefferson County~epartment of Public Works, Road Department, with One (1) New Flat bed Truck. GENERAL SPECIFICATIONS It is the intent of these specifications to describe a truck in sufficient detail to secure bids on comparable equipment. All parts not specifically mentioned, which are necessary to provide a complete truck, shall be included in the bid and shall conform in strength and quality of material and workmanship to what is usually provided to the trade in general. The truck shall be a current model under standard production by the manufacturer. Any units not conforming to these specifications will be rejected. It is the responsibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. WARRANTY WORK All required warranty work shall be performed at the Jefferson County shop or at Dealer's shop at no cost to Jefferson County. DELIVERY TIME Jefferson County expects prompt delivery of the truck. The bidder shall indicate on the proposal the time for delivery after award of the contract. The time indicated shall be a factor in determining the successful bidder. If the actual delivery date exceeds that set by the successful bidder a penalty of $100.00 per day for each working day thereafter will be deducted from the final payment. .__._~ . J ~ :.".,'% ..~~~:~ ,.".'.;. 1 n,' .' ..,' :, .' ,: " . ".' .' ....,.,' ' ~ " " ..:J ", ':,'" ". .. " ,,' . " ,','. 'j'l! ! ': " ',: '>" [, ,,' .. .." , ,', , ' " : ,...".. ,>:, : <.'.,'.. ,. " , .', .,' ,.'. ':' , " , :.. , " '", ", .'..' , , ... , , " ',' ." .. , ": ':"" ;. ,..' ..,' I. ',' \. .",' .' ,',... " .',"" " " : " <"'::' ,'" , '.., " " , ,', '" '. ,. ,,' .';, . ..., .,..'; .' ..' "....,. :" :"" " :.. ' , :"', , ," ','" '.," , " . ,.' ". ..... ..( .' '. "',, ..~ ,.' :..., , , " ''., . . :':,:. , "',' " o': ,,' \' ,,', :'. ,... , ..,.. .'. .",":', ',:' " ~":.i '.: .,-.J: , J ,,' ; .'",',' :,',.',",',,,,, : i', ~, ". " .'...: ". ,,,,' '. '",.',: " , ,'..'" . :! " .. " ":' .'...,' ,/ ,; . , " :', :.': :: .:.,:. "'. ,': I , " :' ,,:. j~ '. ;;r ':. ': " , " " :",,'.,..' ".: I " , ", " , " ",,' '/., .... . "'. , L' " " .':' ....,".". ,... .'., , ,'. i", , " . , ',' " ' ':", "'" ':' " ;::,:,;' , ",: '.' ,: ,,'H,'.:', ~ ': " .", :"", : '" , ,,:, "',,', ".,,' :1 '.', .,' : ,: I' ,I'," ",.' " ">' ',,' ' , .';,' ,: " " " l' , ':, I'; F . REQUIRED MINIMUM SPECIFICATIONS FOR TRUCK .' . ~~~lO '.... ,'. .', , . ' " , . .' ;' , ",' ' '. ,':, ,.'.,.: I ." '" "',' '.' " ;" , : ',' " ,. ,:': ',':',' ..," '.. r', '''; i' ',." 1. GVW: 14,500 Ibs Minimum 2. C.A. DIMENSION: Back of Cab to center of rear axle 84" , ' ,',: 3. ENGINE: Gas 5.9 Liter or larger (a) Air cleaner - Dry Type 4. CLUTCH: Heavy duty commercial single .. 5. TRANSMISSION: I.....", 4 speed manual 6. REAR AXLES: 11,000 lb. rating or higher " (a) Ratioed for 60 to 64 top speed. .' (b) Full set of heavy duty shock absorbers, front and .,' rear ' 7. FRONT AXLE: 3,800 Ibs. 8. BRAKES: Disk brakes on front and drum in rear (a) stop lever to activate parking brake i 9. POWER STEERING: frame mounted 2 '::' , , , , -- '.' ,'........ '. ",'. , ';,",' : '. :'..' , ' '...' . ' , :',: ...,. ': ...',. . ".. ',,.,'.':,,'.' , "::. .',:' '. , " .,; " ,,: '.. '" , ':":"',"', .' I ' , I .. , .' 'J' ,', ' " .,.' "" , '...., .. , .' ",'. . ,.," ..'... ',: " ,,' , ',' ..' "":,~ ", , ~- " ' J ..... 10. FUEL TANK: 20 gals. Minimum capacity 11. ELECTRICAL: One 12 volt Maintenance Free batteries. 12. LIGHTS: Must conform to Washington State Law and have an amber Model 800 Whelen Junior Strobe, 360 degree flasher mounted on forward edge of cab. 13. RADIATOR: Soldered radiator with deaeration tank. 14. TIRES AND WHEELS: All season radial 235/85R-16 or comparable 15. SEATS: Bench type with seat belts. 16. INSTRUMENTATION: (a) Speedometer (b) Oil pressure gauge (c) Collant temperature gauge (d) Fuel gauge (e) Ammeter with voltmeter (f) All gauges to be easily viewed from drives seat 17. MISCELLANEOUS: (a) Heavy duty fresh air type heating and defrosting unit (b) West Coast type mirrors, 6 x 16 inch minimum (e) Sun Visors 3 ~" i"'" ,', ~ I ',,'" I, " " ,:: '..., .... r:;:::7"'., " .. . , " , :,' ,:;:' , :,', ,: '; : .,..:".. I ',' . , " ... ," , " " T-. :1~; , " :..: ." ., (d) Window washers, electric type (e) Cigar lighter and ash tray (f) Dual, electric operated windshield wipers with variable speed control. Wiper controls to be mounted within 24 inches from center of steering wheel. Arms to be non- glare. (g) Mud flaps rear of tires (h) Cab is to be fully heated and noise insulated (i) Interior noise to be 88 dba maximum (j) Lights must meet all state and I.C.C. regulations (k) Square tube rear bumper and trailer hitch. Will be wired for trailer lights. (1) Complete set of Manuals: 1. Parts, engine and chassis 2. Repair, engine and chassis 3. Service 4. Two operator manuals 18. FLATBED BODY ~ . ;~ '.., :' ), : ' '.. , :', :': " ,,' ,:.' :' ':' , . .. " ,0 ',.'...." .". "'.' ;,:",,,'., , , :,', ,""," , .. ,,'...' """ ' ",', " ' " ,.'1 ",' 'l" ,,' i, ' ' ','~, ",:", ',:' i':.,i"';',' .' ',,' ,,' .,," k'::,(:t,:;" .~., ',,- ,":,'" :,' ""'.' '; ': ,,' ", " ' I il ':,: ','" ",> l: '.. (a) Must be at least 10 feet long outside dimensions (b) Bed floor to be constructed at 6 ga. steel (c) Bed must be dumping type activated by a hydraulic hoist. Hydraulic hoist may be electric over hydraulic. (d) Bulkhead at cab end of bed must be constructed of at least 10 ga. steel . ,,' " ' ,', " ~ ",' ',,,' ",.''',',::" 1"0"',': , ,"': ,": ,: ... W': .,,:', : ", ' , , ' , " , , ',: ,: , ':" :", l' ,:."," ": ,'.' '.:': .,':,', ,'..' , , " ;', ".,:.'::" :, " D , 4 : ' , ,,-,~,'-'- , " ',', , " '. '''.. " .,'" I , .,.'.' ,," ,'" ,,' '.,.' ':'" '.,',', ., : .. ,', . ,:- ..""',,,,". " '.'.".". , " " ::,:', " I, .'.,.. --', ,'," "" . ',"" '."';' ".... :,,;. "", ' ,,' .., " ',,', "" ":' ;" ,';, " ': -:-" :', "" :' .' 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',,' .'.. ..' ""'",. '1 . - . " 09379 - I, " [.,.," i. I..' ',:;, ',': .. ',. I." . ,.'. . ',' ',.' '. . " ". '. ... .'. ..... .'"... . " REGION 10 UST/LUST PROGRAM STAFF (9/19/88) EPA REGIONAL OFFICE .r-~ Joan Cabreza (Pro9ram Manager) (206) 442-0344 I FTS: ~8) 399-0344 ,) Denise Baker (206) 442-2115/ FTS: (8) 399-2115 ~_____' Vlckey Stansberry (206) 442-1086 / FTS: (8) 399-1086 '-JoAFJ f}/sJ?C<.(' t...... '-I 'Y.Z-t) 34'~ EPA Reglon/10 / 1200 Sixth Avenue. M/S ~D-139 Seattle, Washington 98101 ALASKA OPERATIONS OFFICE (Anchoraqe) Kevin Keeler (907) 271-3206 EPA Alaska Operations Office E551 Federal Building 701 C Street, Box 19 Anchorage, Alaska 99513 IDAHO OPERATIONS OFFICE John Anderson (208) 334-9121 / FTS: (8) 554-9121 EPA Idaho Operations OffIce 422 ~est Washington Street Boise, Idaho 83702 OREGON OPERATIONS OFFICE Chris Wohlers (503) 221-6363 / FTS: (8) 423-6363 EPA Oregon Opera Hons Offl ce Executive BuIlding, Third Floor 811 SW SIxth Avenue Portland. Oregon 97204 WASHINGTON OPERATIONS OFFICE Robert Cutler (206) 753-9543 / FTS: (8) 434-9543 EPA Washington Operations Office c/o Department of Ecology Mall Stop PV-ll Olympia. Washington 98504 ,: ';. -:- --c- .....:, : i . ,"'. ..... ".. . . .',' . " '. ',; 'c, .' ..." . . i: ':". ., ....... '. .' . '; '.. . " '.' . . " . ',i. :- I':" .... ,. .... " Ii '. . .... . c. . .> '. '.,...... '. .. ". .' '..", ": . ",'; " . :. ,i. : , '(' '. ,': ... ',',. , ....: .; .; I'.' ..l . ..' ; ',,'.'.,,'....' . "',' , , '.' " '. -- ..', , ., ',.. '.' '.' "." ,':' . k..,':."" . ,~".. .J , ,.. . .. , . ; :.' : ,:: ,", , . '~ '. :,7:" .; ,.( .':. ." . .: . .. .' .,'. . " ,: :.'..' '.1 ': '....'.. ..~".' ,i ' . ". '.:' :: , , ,: .; ,". .,....,....., .' . ,:: . . 'r :"", ;.' .. .'; : ' ," ~. :.", . ::.' .'.' . .. .::. . , .. . . '." ... . ' .' .' . "', . ...... ." ' .,....." - . ' 'j "'. ,;,;,.' . , '.:...,:.' :.... " ;';'::"j .' ",,' :: ,., , , , ':.' . . " .";' ,. , ' .,.,': .,', .' ":"'. s" .""x j', ,:. '.... '.; , " " .. " " j:. . ,':1,'.,; , ", " :...: :'1.": . ~. \ -:; l : , .. ' Finanical Responsibility - Overview Petroleum Either the owner or operator is required to demonstrate financial responsibility, however, both parties are liable in event of noncompliance. The required coverage amounts do not in any way limit the liability of the owner or operator. Amount Required (excludes legal defense costs): A. Corrective action and third party liability per occurrence: 1. Petroleum marketing facilities or facilities handling an average of 10,000 gallons per month = $l-million. 2. All others = 5500,000 ~ /,0_ B. Corrective action and third party liability in annual ~qreqate: 1. For 1-100 tanks = 51-million 2. For 101 or more tanks = 52-million Compliance dates: A. All petroleum marketing firms owning 1,000 or more USTs and all other UST owners with a tangible net worth of $20-million or more: January 24, 19B9. B. All petroleum marketing f~rms owning 100-999 USTs: October 26, 19B9. C. Acceptable mechanisms: O. All others, including Indian tribes and local governments: 26, 1990. I rv..A ,-,,,,' J i!.-.r ~ October . All petroleum marketing firms owning 13-99 USTs at more than one facility: April 26, 1990. A. B. C. D. E. F. G. H. Financial test of self-insurance ($10-million minimum tangible net worth); Guarantee (by entity that meets financial test of self-assurance); Insurance or risk retention group coverage; Surety bond; Letter of. credi t; State required mechanism; State fund or other state assurance; or Trust fund. The owner or operator must maintain evidence of financial assurance at the UST site or place of business. , . .... 11 '. .':.-, '. ,", :, . . 1 ') . '.' , .... ..... \~-' ..' .... :. '. . : . . . ~ ,:'J ,,'< 'J4 '. :,' , " ., " . :.' '"" 'I ':'..'" ' '. .'. .. . . ..... " : " ..;: "', - ":~'J:,,:'i:;-;:,-:: '. ':'. " " :c" . 'c. , . ; . ...... . .. .;, .' . ,'~. '. i.........; :':' ,', ,.. ..... .: ..,....:., , ".< "', ...,': .' '.' . ......... 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L : , L L_ "?>' ..JEFFf:RSai c::c:M..IiTY DEPAR'TNENT OF PUBL I C WORKS FlU: ACTI ON REQUEST REQUESTED BY- :5rAt-Jt..eI KA-OE$t-I- DATE _ 5\ S) 8'1 t+ I -M>S-re2.. l.PrN~ PH:NE NO. ' '+31 - z.s"l5 ~Ol2::r L0 DLCvJ) uJrJ ALL PH. NO,- NATLRE OF REQt..EST-l2lIN PERSa'4 0 BY P't-tC:NE 0 BY LETTER TN<EN BY- AJl. PEffTAININa"lO. DOFFJa: OENG/SURVEY o ROAD MAINT. t2lEQUIP. NAINT. DSOL.ID WASTE REQlEST I'OR- 12a>A1lL I-\<>LES - ASI'~A1-:\ ~A-f;:> LOC:ATIa'<- RQAD NAME: f;s-rEl2- CI'<rtJE RO.c.D NLNBER ADDREss - "'.P. PRO.JEc.1" - PftO.JECT T JTLE DESCRIP'T'Ia'<_ ICe(hJ8S-rs RDA-!:> o c: .As. p~ RROJECT Nl6IoWER- ~~~ rJ~ 'SvR.FAL.e, 120 oz.a.J 1'01 HoLES ~A-S Y'A'fCHeI) I !-I-ouJeJE'R.. Me- 'BAG:.., ATTAai MAP OR SKETOt ~ REFER TO- ~.J01'~ f 1~1:-rn::-" S " RESPOND BY- RESPCNSE- F,,~reR- LA! or 2</ .5'-1 wH:e# hits 111? 1~/1 r ,"C; ~ 43{., Rrrr,',JQ 1-.1 ( f"lAJ ""'!.AlL ,.,..../2- pr<.ioil.;-I-~ /...-;-<, .., A1>-r; c:"..-;' 'Z.o -( ;;'~\Jel.. 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J .JEfl'F~ CCU4TY DEPARTNENT OF PUBLJC WORKS FlU: ACTION REQUEST S~02/g~ PHClI'lE NO, - K"1?) - ~3;;L / DATE- ADORESS - ALT. PH. NO. NAT~ OF REQlEST. []J IN PERSOi BY Pt<<:lNE~y LEifER TN<EN BY, PERTAINING 1'0. OFFICE 0 E....G/SUR'VEY (2Sl ~ MAINT. 0 EQUIP. MAINT. 0 SOLID REQUEST FOR- ~..,J - J',,, U " -I. aU,J.,I LOCATI04.. ROAD N.AM:: ~/'lPAJr.~re P,..../. ROAD NLIlomER M.P. PHO.JECT. PRO.JECJ' TITLE PRO'-'ECT NI.NBER. l\ JV /{ DESCRIPTION- ~C ~et(]c:.'<;-I-:. rCJ""" , rih)'J ~ ,,(0 -:/ ..., ../),!/ ~ ~;~/;/lU~(1J ) / WASTE I ATTACi MAP CR...-SKETOi , REFER TO- ?/I,e / "" /)OAl / 1,(/,4/.:-d RESPClNO BY. flfi-./t! RESPONSE - / ,{/,J-S ~,i; REVIEWED DY. <XlNTACTED REQlESTER 0 IN PERSO'I 0 BY PHONE DATE. RECXJMMENDAT 10'\1.. l PREPARE EST'NATE FeR- ROlJTE TO- O D.REC1"OR o ASSISTNIT DIR. o ROAD &t.PDr.,. SClR INITIAL o CONSTRUCTIQ"II aK;. _ 0 AC~TN-4T o P~ING ENGINEER _ 0 o ADMIN. ASSISTANT _ 0 ", ,'.'. ."':--"'. "", " r )__ , . '.""':' ,,~ ','." "'; . ,> '.1. ~'. " ',,' I , . 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MAINT. o SOLID WASTE REQUEST FOR- ~/ ~.A~_/.-;'___ ~ ~~l;}~ - ~-.4~~zf LOCATIOi. RO.AD ~~ Z5.~AD;;r&.u;{R"7~-90:2- M.P. .5" /11 / -c; 9 7<'57-9555" :Z;~;;Cf'~~{~h~ <f5 ATI'ACH MAP OR SKETQ-I nEf"ER TO. KarL u)t?tJ~ RESPOND BY. / ,deJ I - 1M /J () / i!,i . RESPCNSE . /1 :I~ /,1 01 ^ (fII' A:4..,VM' \ Tnf 7 II' ~.U REVIEWED BY- I DATE. c::x:HTACTED REQl.ESTER 0 IN PERSa'i 0 BY ~E 0 BY LETTER CClNTACTEO BY. AECCII.NENDAT I ai... .?- J - '07 PREPARE ESTIMA"..FCR.. ROU1'E To- INITIAL 0 DIREC'I"'OR - 0 CX)N5TRUCT 101'\1 ENG. - 0 ACCX)t.l'lTAl'4T -- 0 ASS I 'STANT' DI R. - 0 PL...AI'-WING ENGINEER_ 0 - 0 RC'IAD SlFER'V I SCR - 0 ADMIN. ASSISTANT - 0 - L ~ .. "" ',: , -:j .' " " , '.': .' ..' .,..." ,.. ' , . .,.'......' ... . '. ".... .. .' ' ., " '.. ' '.'. ..,.;nJi . , '. i',; .' :~" ";':0 · .' .' .'> : . ,.", -c . ' , .'... . "" " , " '.. '. ,: ,'. .'. , :,';.- '.' " .,'..,..,-,. ':. " , " ."... .,.....,. ":,.: '. ',',:": .' ". ,'.... .... ......,. .,.., I . , , , ''', '.:.' "':. " , , .. ' " ... ,'. '" ".'..,.,,'. :': '.'.' ' .. .....' "...: . ",.",',::, " .' ,', :,"'" ': . ..., ',' , , " ' , , " . " '. ..,. " :' " . ,',', " , , ,. " ~<:>" i , ,': '. '1 ~ ! i l ! i ! I ! I I : ~ J \ ~).tj,./:J} rf:!~?~ " MEMORANDUM JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P,O. Box 1220 Port Townsend, WA 9836B (206) 385-9160 Gary A. Rowe. P.E., Director Robert G. Nesbitt, P.E., County Engineer TO: 3efferson County BOurd of Cammisoioncro FROM: Robert Nesbi tt, County Engineer ,&/I'L DATE: January 9, 1989 SUBJECT: One-ton Flatbed Truck I recommend the Jefferson County Board of Commissioners accept the bid of Pacific COQGt Truck Center, in tho amount of $25,218.73 plus $377.30 for a total of $25,596.03 (tax included) for the One-ton Flatbed Truck. Included in this award is the addition of optional equipment item No. 5 as attached. Optional Equipment. As needed 1. AM/FM digital radio 2. Air suspen.ion with 291' frame height and 3'1 bed lo~ering dump valve. 3. Tinted Illa.. 4. Cuatom interior package PTO driven hoist 6. 12' bed length 7. 5 year/60,000 mile engine and major component warranty. 100~ part. and labor. 100% Recycled Paper Cost Sales TAW Total . 199.00 . 15.52 . 214.52 .1292.00 .100.77 .1392.77 . 30.00 . 2.34 . 32.34 . 228.00 . 17.78 . 245.78 . 350.00 . 27.3lZl " 377.30~ " 100.00 " 7.80 . 107.80 " 555.00 " 43.29 . 598.29 \ 1:f'.r...~nJ> ~~J:J rt-::r JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer August 16, 1989 Mr. Larry Gard 301 Dennis Blvd. Port Townsend, Wa 98368 Dear Mr. Gard: In regard to your request for $90.90 as reimbursement for garbage you cleaned up, the County can not go back and pay you for this amount. In the future, if you see garbage dumped at this location please call the Public Works Department and we will look at the area before it is hauled. We can then allow free dumping at the landfill. If you have any further questions, please feel free to contact me. Sincerely, fi-Y-e4~ Robert G. Nesbitt Bounty Engineer .:,"'.>,,'," ' , '..,. " <,," :"" ;' '..:" ',,': , ", ,....... ,-~-: ", ".. ,'.;' . ''', :. ';:'" '," ,:'.,.. ' '. ", ", ". '",',' , " , . "", ,; . '.., ;'. .,..,.. . :; :" ,', ,', "'" " '.' ,......, ...'.,. .. '. ,I', ", <L . .' :.' ~,:" :.' '. , :, ,,::'., , ". "i' ,'. . ',' .:. ". . , , "" .,' Lj'>'.' '. ,:' , :" I " ~]~ji I, ,'; :: I: , ':.' . c, , : . ", " t f;t- " i . I. 1',<: ,..; It ,~\ :. ..,.,' .:. ,'" " ,', '. :,,' ,.""', , " '.... ;' .'.' ,', ", " :, , , " . ;,>' :.,'.::'>_~".r :. ..:~' .:\:', ,".., . .:,. . , : ' < ," ' , .:.. .....:,'... '. . , ,'. . . , " <c',; PROJEcT a PRO.JE~ TITLE PROJECT NLI'o1BER- DESCRIPTIOl-~. //;;/.,',//f) Ilk;) A .I '-A7~.L.._.~" ') h~. ai/mod 71f?Jj), q/J), --TAl) ~ IJJA/J iI/la/l/111 //1/ ,,~ //7//1" ~"7 /' JJ I'u" J /l // I Y'/J/{ , /Ju', /? f~ /0 ,;!h /:1v,,,f /,,) I -f/r" '///i-r,""'- ,://U/l1,.;J'V- /X?;"'J-rr Ph'''} Aff /fr v/J/d '//fj,lj .) /4/1c! 7>try) it//-'?/- /iff-' /3fd PI?I/! 1. ".Mrf il;W] h -/' -. J "7 e:/ tilt //0({rf tfXtfl'J" (j / ('-ff' ~ ?1 /!/l7/...dJ -!fJ"" /., _7JL' II 1/'/)/1 /J ,," . 1",.1 ~ ~/;, /..-r/"n ft,' -qr 1;~'" llv'1t. /,1/7// -I7"77 - '" ?,,! IA3, ) /N At/A'''l-;;;;'''';" 7?'i;,4 /il'.4b/' /):'/:1 ~'L ,J: /J'7-1d(. 1-/1i..11/J-Y//. ,~U'ttI ATTACH MAP .;..'~ /'2. I REFER TO- 'Y..-J A,~ 41/r71 / RESPQ<D BY, /7 -- RESPONSE _ d./", d."..U /.. ~.~ r:h /7". /J "If' - . t1 ,L /..1 h.... ~ u"'" O-a_C<._/F -,PL /?A ~ ~9c?'~ / / JEFF&RSON COUNTY FILE DEP.A.RTNENT OF PUBL I C WORKS REQ'-"STED BY- ~-''i?f; ~~ION REQUEST DATE. ~-~-)f1 ADaOESS- .;!JIII?;;;;;;: I( ;iv~-r;;~~~ :;E :':.0.. .,7 / 0/:' Pj L/-71 NATLRE OF REQUEST- 0 IN PERSC1'4 0 BY PHC:I'<E 0 BY LElTER TAKEN BYD.r-~~ If (-II <1 PERTAINING TO- DOFFICE DENG/sURVEY DReAD MAINT. o EQUIP, MAINT.--QSOLID wkTE REQLEST FOR. L..OCAT I a... ROAD NAIoE ROAD NLNBER M.P. REVIEWED BY- p~~~ . DATE. fi"-/tf-1f9 CONTACTED REQ4..ESTER 0 IN PERSO'i 0 BY P1-IONE l2l-av LETTER CONTACTED BY, ~~~ RE~TIQ"II. PREPARE ESTIMATK.FOO- . ROlII'E TO- INITIAL ASSI~1tHT DIR. o CONSTRUCTION ENG. _ 0 o PLANN!NG ENGINEER _ 0 o ADMIN. ASSISTAI"T _ 0 ACCOL.NTANT o DIRECTCR o o ROAD SlFERVI ~ , . , , " , , ! ....i:. ! '. I' . ,..' " :". " ',' , . '... " ; , '.."..'. ,','. " I '.' .'...:' , " ,..:' . 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'" .'., "", ;,: " ' ' " ' ' ',- ' ", ". '. .' ' ',' ' ,':.,.' ',' " ," , "'. : ',", ",,'" ...,:. :.:" '. " . /:, ' . '; .' '.'. ': ". "', "::',,, '" '..:: ' :', . "'"",.' .,,': ,."" ", .. ::",,' ," '/ ,,',' ,': :', :',:, :'-", , ' " ' . " ".' ". ' .' . ."""",:,,':',:'.,, , , ;it;) Jefferson County Hazardous Waste Planning Project Sponsoring Agency: ~ ~ k 'J.. "J .:",,.; ~ :;'~':_~, I'<( ~ - , <: -1~IIINc.<<'O Paul S. Running & Associates P.O. Box 99369 Seattle, Washington 98199 (206) 285-5563 Project EngIneer: Jefferson County Department 01 Public Works P.O. Box 1220 Port Townsend, Washington 98368 (206) 385-9160 May 23, 1989 Dear Jefferson County Business: Paul S. Running & Associates is assisting the Jefferson County Department of Public Works develop a local hazardous waste management plan. The plan is intended to satisfy Jefferson County's responsibilities under Chapter 70.105 of the Revised Code of Washington to develop a management program for small quantities of hazardous waste generated within its jurisdiction. The City of Port Townsend is participating in the study. Hazardous wastes are liquid or solid materials with certain properties that could pose danger to human health and the environment after being thrown away. A hazardous waste may be a material specifically designated in state and federal regulations, or it may be a material which meets one of the four basic characteristics of hazardous waste: ignitability, corrosivity, reactivity or toxicity. Because of the potential danger of 'these wastes, they must be carefully managed. Your business probably generates hazardous waste if you use: o Solvents or cleaning fluids, o Acids and alkalis, o Pesticides, o Paints, thinners, or dyes, o oils or other petroleum products, (Over) c:; ';' '; . .' ., . ,,,. , ,..,'': , ',,' '. I,:." '" ... , I> ." ~ ., I ,jw ~" r.. f, ,. /-t\ t t r )., , . r " " " . ''', ",' ,,~ .', ',' " .,' ,: " - ,','. " ': " : Jefferson County Businesses May 23, 1989 Page Two o Lead-acid batteries, o Materials that burn or itch on contact with skin, 1 Ie o Materials that dissolve metals, wood, paper or clothing, o Flammable materials, o Materials that bubble or fume upon contact with water, and/or o Products delivered with a shipping label indicating that the product is hazardous. We are conducting a survey to determine the types, quantities, and current disposal practices of hazardous wastes generated in Jefferson County. The enclosed survey is intended to develop this information. It will be used to develop management policies and programs for small quantities of hazardous waste generated within the County. We would appreciate you taking a few minutes to complete the form and return it in the enclosed pre-addressed, stamped envelope. To assist you with the survey, we have also attached a summary of, the types of hazardous waste frequently associated with different businesses. Your participation will enable us to consider your waste management needs before developing a management program for Jefferson County. Thank you very much for your participation. If you have any questions or wish additional information, please call Mr. Robert Birkner at 285-5563. Very truly yours, PAUL S. RUNNING & ASSOCIATES ~, Paul S. Running, P.E. PSR:drd Enclosure ','. ", ,',.',',. "::':,"":'f .,,' ',:,> ," ..'....,'.,. ,.,. ':'.."......, " ,'..'.' ,.' ..,...', ,. '.', . .,' ..., ',. . , '",' ;',:,-.' '",' " , , " .' ", ... ,'.,' .', '''. ..', ,".:' '.: ." 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JEFFERSON COUNTY HAZARDOUS WASTE SURVEY Business Name Address Type of Business Service I Product I., Telephone Contact Number of Employees _,___ SIC Classification Waste Type c CD E rn ~ t- $ Quantity US Gallons Produced C: Per Month 0 How do YOll dispose of this waste? l (Check the appropriate box) ~ '0 CD CD Q; OJ 0. $ '2: (J) OJ 'S Ul CD '6 CD 'C ro ~(J) Ul :::J J: -'" c ro c ro CD CD c --' CD ca .2 ~ ~ 2 Cl ~ US ro 00 13 Q; ,S,1 ~ .0 CD CD 'S: E. 'S CD C: CO 0.- .s;: (J) 0 CD CD ro 6 0 CD () (J) en J: ~,' 1" }'~- I Cleaning Solvents Oil Based Paint, Stain, Resin, etc... Acids and Alkalis Pesticides , Heavv Metal Wastes Used Motor Oil Lead Acid Batteries Infectious Wastes Other (Soecilv) Other Do you want a project representative to contact you to discuss your waste handling practices? YES 0 NO 0 .. 5, t , '" y,' ,. \ .f .I,'. I. \l Use back side to provide comments regarding a Jefferson County program for managing smali quantities of hazardous waste. ,"" ,: '. 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I ;{ ,- t <.:> I :~ "- I rJ ~ " \ \~ J, '5 0(.10 \ ~".~,;.,.y'" "" ,:b'Y,iI;j'." .Jt';t~!~ :--'-'~~~ f r:'. <,~~... .. JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P,C., Director Robert G. Nesbitt, P.C.. County Engineer January 27, 1989 Mr. Chuck O'Connor 90 Bayview Lane Port Townsend, WA 98368 RE: Solid Waste Rates Dear Chuck, As you are aware, the Board of County Commissioners tabled action on the proposed solid waste rate increase, The Board also referred this matter to the Solid Waste Advisory Committee for their review and recommendation. At the next meeting of the S.W,A.C. I will present the same information that was presented to the Board of County Commissioners. As you stated at the hearing, the S.W.A.C. feels that the Solid Waste Management Plan should be updated, I would like to see an interim update of the plan as it relates to the landfill cell. Although it is unlikely that the statutory deadline can be met, we need to proceed because of the limited capacity we have in our existing operating area. In order to facilitate this process, I would like to meet with you and the Solid Waste Management Plan subcommittee to outline the policy issues that need to be resolved and a schedule to follow. Additionally, this would be a good time to outline other policy issues that need consideration. Please be assured that the Public Works staff will work with you and the committee to develop the best policies for Jefferson County's solid waste system. Please call me to schedule a meeting. Sincerely, ~ tUy a, P______ Gary A. Rowe, P.E. 100% Recycled Paper <;;J " \;~ {. j' f, ~\ 1 l <, .('"j .u \ J' }~ r ! '( I ~' \ I .<1"\, I ~ ., ~ t,' t I' ". ; j,. I , " ~",' . .. ,:.'..,'" ".-c"'" ,}..' ,.'. .' ... ~ " " .. " '.. : :,: ~",.-'r,~'" ,~~..(}y, Vi' k1!~fi'~', \ December 27, 1988 Paul S. Running And AS30ciates P.O. Box 99369 Seattle, WA 98199 Attn, Paul S, Running ,I Dear Paul, JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 9B368 (206) 385,9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer Thank you for your revised cost estimate for our Hazardous Waste Management Plan. We felt a contingency of 10% would be more in line with the Washington State Department of Ecology guidelines and have included that percentage while keeping the overall project cost about the same. Adjustments were therefore made in the Direct Salary Costs. Please review the enclosed cost estimate and call me if you have any questions. Si]jy, Jeff Frettingham Solid Waste Coordinator cc: SW0755./' Gary A. Rowe Robert G. Nesbit , .' , ,,:)..' . ,;' .:, ,,' " . .' '. ' "', , , '" " :'.,', " '" ' ':::., ':", ':,:. .... ,.'. ,':: ,', . " ,.' ' '".:''' '.'''', "', . :.... '.......' .'. ',.'>. .' ,........ '" ." "', .,...:', ",.' , . '" . "", ': '. .". . ..'. . .'.: ,.' ..'.,-: . .'.' :' ", , '. ' :.," . :, "',' ,.:, , .', ,:,' ;' ,'. ' :. i . . . >: '.... . '. ~ . : ",:' ., .', "', ' , .: , c... ::. . :'. .;, ,c.:. I, f"','. .' ': " ,,- , . ..' ... ':" , .' :" , , ", : ' .,... " " , ;..,:' , :,'- , 'r L i 'P'" I ~ " rJ ~ " ~~ J DIRECT SALARY COSTS: ~nel Days Rate/Day Estimated Costs Principal Analyst/Engineer Secretary/Tech, 37 77 16 $256,00 $134.40 $107,20 $9,472.00 10,348.80 1,715.20 Total 21,536,00 DIRECT NON SALARY COSTS: Per Diem, 10 days @ $65/day Travel Reproduction Communications 650.00 1,250.00 2,400.00 700.00 Total $5,000,00 SUMMARY OF FEE FOR ENGINEERING SERVICES Direct Salary Cost Overhead (123%) Net Fee Direct Non-Salary Costs 21,536.00 26,489,28 3,530.00 5,000.00 Total Cost Estimate Contingency (10%) 56,555.28 5,655.53 Total 62,210.B1 t <;) " r.l I:> IJ \ JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS , ~, --::. '))~Ki'. ./o' >'iz.'-/t-. ...10''"''..7....'' I P-'" ~,..tt:~ . :' : ~ ....:-- lo 1820 Jellerson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe. P,E,. Director Robert G. Nesbitt. P,E., County Engineer December 22, 10S8 Independent Paper Stock Company 9747 Martin Luther King Way South Seattle, WA 98118 Attn. John DeLong, Plant Controller Dear Mr. DeLong, In reference to your letter of October 14, 1988 to Bayshore Enterprises Inc. regarding Certificate of Insurance for public liability and property damage. As you probably know, as of November 1, 1988 Jefferson County has assumed ownership of all vehicles and equipment operated by Bayshore Enterprises Inc. at the Jefferson Recycling Center. Enclosed is a copy of the Certificate of Insurance you requested, showing Independent Paper Stock Company as the Certificate holder, S~, Jeff Frettingham Solid Waste Coordinator SW 06.10 100% Recycled Paper '" '- rJ ~ " \ \\ ~ \ ,,~Gi:, ~ ".- / ~iff!lh,'~<{'" ~~;q JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E., Director Rober' G. Nesbitt, P.E., County Engineer July 28, 1989 The Honorable Brent Shirley, Mayor City of Port Townsend Ci ty Hall Port Townsend, WA 98368 Dear Mayor Shirley: Recently, Ms. Karen Chang, B representative member of the Solid Waste Advisory Committee from the city council, resigned her membership. It is essential that the City and the County maintain their active relationship in Solid Waste planning. and vital that the City reappoint a council member to attend and contribute to the process. The S.W.A.C, is currently reviewing the draft Solid Waste Management Plan. and city input at this time is particularly necessary. I urge you to appoint the position by our August 17 meeting. Thank you for your attention in this matter. Sincerely, ~ e-c.....-.r Charles O'Connor, Chairman Solid Waste Advisory Committee 0;:, " ~ ~ " \~ , ,,' " , ,: " :)d,( t7 <:.... /?J . " ',..," ~~ g t PUGET POIVER RECE~'JED June 15, 1989 JUN 19 1989 JEFFER;;>Uh GUul'lTY PIIR', Ir. \Mn""l'~ nFPT Mr. Robert G. Nesbitt, P.E. Jefferson County Dept. of Public Works Post Office Box 1220 Port Townsend, WA 98368-1220 SUBJECT: RECYCLE CENTER EXPANSION ~ Dear Mr. Nesbitt, This is to acknowledge receipt and thank you for your letter of May 16, 1989 in which you outlined the new load that you anti- cipate adding to the recycle center. It is my understanding that construction will begin in July 1989 with service by mid September 1989. Currently there is only single phase power serving your facility. It will be necessary to reconstruct our single phase line to three phase along the Jacob-Miller Road for your facility. It is estimated that it will take approximately two and one half months for puget to complete the necessary work in order to provide three phase power to your facility. This time is nec- essary in order to engineer the job and to construct it in a manner that will not create outages for all of the existing customers served from the single phase line along the Jacob-Miller Road. This means that construction and upgrade of the overhead electrical facilities will occur while the line is fully energized. ~" Due to the number and size of the various motors it will be necessary for your .electrical engineer and electrical contractor to design and install reduced voltage starting on all motors 20 H.P. and larger. In addition, your contractor and engineer should contact our Service Center relative to the requirements for metering and secondary service to our primary facilities. It will be the contractors responsibility to provide underground secondary service to our overhead facilities including the facilities up the pole. puget will supply 277/480 volt three phase power as you have requested. It is my understanding that the present electrical service to your existing building will be converted over and served from the new facilities that are to be installed. Your contractor should consider the voltage and load presently supplied to your existing facilities in the service calculations as well as the service voltage required. For further information relative to actual service details please feel free to contact Joe Rempe at our Service Center at 385-4352. The Energy Starts Here Pugel Sound Power & Light Company 1208 Waler Street P,O, Box 555 Port Townsend, WA 98368 (206) 385-1004 or Toll Free: 1-800-562-6422, Ext 7722 ~~'-. 1:- ..,; ':: ,.,' ' ;" ,',.,., "": ',^ ';";: "'. , ':'. :",:'" "': :",':-: '" ... ... .... . ......'.. " ' ',' ".' " "':." .' ',' .,: " ..' . '.' "",. , ..,.'.' :" '.' , . .'.,.,'..' >' ",' '. . ,",...,," ' . ,: ." '.' ',,' ,.... ,',: .', ';'.. ,....'..." '. ,...:, " '. .' "',' ,:",:'. ,.' ,", ".... .,:",,;: . : .." " ,..',;"" .' "..',..'., '" ',!., , . ' ': , . ,:": .," '....': :,';"" : '. ,.' ",:"" .":-: ,Oi',,:',,: \, ,',' :" · '" '~', ':" ' ':. '" .' "', ::', ',' " . .', '. ", ,.",. "',' .' ,.,.. ,.',' :" .,' " .' ". ,,:;, '." .,' " ':' . ':",,', "",.':;" " ',' "" , .'...' "" , ' ' :. ,'. '., " " ": " .:' " -: ' , ' ....: ":;: .....: :,>'..'." ",.:,.' '.", :.',:, " ':" . '.. ",: """ .'. J If , '.." .. ' " ; , ,,:':: '. , ' : ; ',',.'..' .. '. " ..:' 'i/ "'.,:' ",",',i. '.. ( , " '.' , . :.; :'. ' i . .., " ..'" ." ,.' .' - :: '.' '" ,: ",'; :'. , . "'.', "',:: \, , , '~ l \ \ ~ , , ,":',,' ::-;- -,:~ ~ - t J PAGE 2 The total estimated cost of this project is $49,636.00 of'which puget will contribute $42,624.00 leaving a remaining balance for a County contribution to this project in the amount of $8,683.00. Puget's contribution is based on the total load outlined in your May 1989 letter being phased in over six months from September 1989. Should the load not be installed as out- lined, then the County will be responsible for an additional share of the total project cost. If this proposal meets with your acceptance please submit a Letter of Authorization to the undersigned, authorizing puget to proceed with construction and the County accepting the responsibility for $8,683.00 towards the cost of the project. Upon receipt we will release this job for construction and when construction is completed we will invoice the County for your portion of the project cost in the amount of $8,683.00. Should you have any further questions relative to this proposal or if we can be of any further assistance in the regard, please do not hesitate to contact the undersigned or Joe Rempe at our Service Center at 385-4352. cc: Gary Gowe John Klontz Joe Rempe file \ .. ....\ . fJ,,, 1'. ")r;.;:/:,p~; , " ".;:'.'.;1;"",,-, ~~~.j:~<l,\ f/.~*-$ "''-"", >')' JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS 1820 Jelferson Streel P,O, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer July 24, 1989 F. Byron Swigart puget Sound Power & Light Co. 1208 Water Street Port Townsend, Wa 983GB Dear Byron: Jefferson County has agreed to all the terms stated in your letter dated June 15, 1989. Jefferson County wishes you to proceed with the design and construction of the three phase power line to serve the equipment at our Landfill and Recycle Center. If you need any additional information please feel free to contact me at any time. Sincerely, ~~~ Robert G. Nesbitt P.E. County Engineer xC:Sol 02.10 100% Recycled Paper ~ BAYSHORE ENTERPRISES, INC. MEMORANDUM To: Gary Rowe, Director of Public Works From: Charles M. Adams, Executive Director Date: June 30, 1989 Subject: Salary rate change - Susan Bishop, Recycling Manager On November 1, 1988 subject was promoted to the position of Recycling Manager, and salary was increased 3.7% from $1,350 to $1,400 per month; with the provision that this increase was for a probationary period, and would be reviewed for the period beginning July 1, 19B9. have evaluated the individual and merits compensation at mid-p0int of lished for this position at Bayshore. grade is $1,520 per month. conclude that performance the salary range estab- Mid-point for this salary I recommend subject's salary be effective July 1, 19B9; with annually at July 1, changed to $1,500 succeeding reviews per month, being made Your approval is requested. ~ectfullY' submitted, ~~ Charles M. Adams APPROVED: #'~ Gary A. Rowe Date 1-10 -8f' \ ~.J"_~S?'/I ~,,!j0~*-.~ ~;.cz.,,, _, ~f" '~~,..f;q~ W'-0t"'-" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Streel p,O, Box 1220 Port Townsend, WA 9S368 (206) 385-9160 Gary A. Rowo, P.E., Director Robert G. Nesbitt, P,E., County EngIneer June 19, 1989 Weyerhaeuser Paper Co. 19621 77th Ave. S. Kent, Washington 98032 Attn: Doris Zacker Dear Doris, Enclosed are the conveyor blueprints approved by the County Engineer, and the signed contract. We want the bale to be extruded from the left end of the baler and the door to be hinged on the left. Ba~8 length should be 60". As I mentioned previously we would like the billing to be for the equipment and freight only. We will pay the sales tax ourselves within the Jefferson County departments. Please use our tax number C 161-01169, I would like to thank you and the other Weyerhaeuser staff who have been so helpful in the selection of the equipment. We are looking forward to seeing it installed and operating. Sincerely, Jeff Frettingham Solid Waste Coordinator SWO 791 100% Recycled Paper \ ~-.~>~ 'W>i "',--;''-/rl.!'Kilt: ~.~~~~~'. ff,-' ~~,-::~~ ,;' " J' ' JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Englneel June 5, 19B9 Larry Brooks Project Manager Bartells Materials Management P.O. Box 997 Renton, WA 9B057 Dear Larry, Thank you for your proposal for Asbestos Abatement at the Port Townsend Community Center. Jefferson County would like to proceed with the project as proposed and to pay for the asbestos removal wi th four purchase orders as described below: (1) Remove and dispose of asbestos pipe covering in crawl space under gymnasium - 125 feet. $2,142.50 Reinsulate abated pipe in crawl space - 125 feet. 514.50 Remove and dispose, of the asbestos pipe covering on the outside exterior wall - 25 feet. 328.00 Reinsulate abated pipe on the outside exterior wall - 25 feet. 247.00 Sub-Total Sales Tax 7.8% Total $3,232.00 252.10 $3,484.10 (2) Remove and dispose of asbestos pipe covering in crawl space under gymnasium - 125 feet. Reinsulate abated pipe in crawl space - 125 feet. $2,142.50 514.50 Construct staging area for securing abated materials and equipment. 300.00 $2,957.00 230.65 $3,187.65 Sub-Total Sales Tax 7.8 % Total 100% Rl}cycled Paper ~fb . ".,0",'> 4;-fb ... 'bO .....""..... . C' (3) Remove and dispose of 500 S.F. of C.A.B. soffit material. $2,249.50 Construct scaffolding for removal of C.A.B. 912.00 Construct staging area for securing abated materials and equipment. 300.00 Sub-Total Sales Tax 7.8% Total $3,461. 50 270.00 $3,731. 50 (4) Remove and dispose of 500 S.F. of C.A.B. $2,249.50 Construct scaffolding for removal of C.A.B. 912.00 Construct staging area for securing abated materials and equipment. 281. 00 Sub-Total Sales Tax 7.8% Total $3,442.50 268.52 $3,711.02 This letter authorizes Bartel to proceed with the asbestos removal as described in items (1) and (2) above in the month of June with the items (3) and (4) to be scheduled in conjunction with the upcoming remodeling of the Port Townsend Community Center. All work to be performed will comply with existing local, state and federal codes and regulations for removal and disposal of the asbestos containing material. Please contact Al Scalf or myself if you have any questions. Sincerely, {}tAlzr- ~I<.-. Carter B.'eskin Planning and Programs Manager :" '" ' , ' . .",' 1 ' .. '. . "'... ' "" i .". ". . -'. :", '.....'. . ":,' .- ",' ", /;', , > .,.. Ii I! I , :, : , 1\ I I :: . I" I ': ,! { ; " ", '. "., :,'.. . ':,' '. ,,' ,,'" ',.\, ":", :'.:', . "",,', " :1 :' ..,. 11":"''' fir<' .::0.) () /. (" Q . . ", . , , '" '." . .1 ...,.', ", " .' ':' ",.', '. :." , '. ," ", " ": notICE TO THE PUbLIC PURSUANT TO JEFFERSON COUNTY RESOLUTION NO. 2-76, regarding purchases between $1,000.00 and $3,500.00, :, ' : ',', ", ...,..... Bidder: Address: NQ]ICE IS H~R~ijY 9~VE~ that the office of the Jefferson County , JJppi: fd I-1J1rt.:... fV~ intends to purchase the L following' materials, ~uip:nenhor ser,yices fro!!J the lowest respon,slble . /J ~7, bidder. /V'~fZ'.{" ~~ ' D",,'P. /:><.:>' : .4~ k ~ I<.'J4 '~u.d- HI.-3 /y?~U...A4t .r~. &"" ,;l. ~ ~'h -~~~ 5f~t~:~c~ ~" '" -'" J fiit~;';:'>k ~ ~ 4-: A0-M= "'"- c=JTelephone ~ Written Quotation(s) ~/were received from the IAl following: Amount: Bidder: Address: " ::, Amount: Bidder: Address: Amount: Bidder: Address: Amount: ," I' . i: " .- "" ---: ~ - J. Lid ~~~;~~7i~~o~"D~ MN ~-l}!:C. V7~ c.;:;~~oq:~~~~ wA, 1l~~~t~-, ~ A/r-Z" n.. +-T"",", ~U:- ~'o.I'!>o'~.. ~:z: I7?c. a.~ +1""" (1o~4~~oo-) .,~ ~:~:,<) I AFTER THREe DAYS FROM THIS POSTING THE BID WILL BE AWARDED TO THE FOLLOWING BIDDER FOR THE LOWEST MOST RESPONSIBLE BID: Bidder: c,,,.......t. ~.,.. -F:.t. C Attach as separate sheet explanation of basis of selection of bidder if less than three~quotations are received. , ~.77~ j POSTED~S v ---- DAY OF ___.J'...,-?..P~ .~ /98'1 BY ,f ~J;J~~~, tDepartment~ad or Responsible Official)' i , ...' .', :. , '.- "', :. '" ',. ,>;,'-:' , "..' ...; ..'.,.. :,.'.;.. : : "', ',',.:, .:,: .. .'. ,..'. ,;., '," ( ,.' .' , :"",, :', ,", . .: ,'.. ...... .... '. ,,-: ". .,' ..,.. '. . '. ". /"" . '.. " ' . " ...' ", . . .., - ''', ':". . . , , ~~ '. : '. ',:' .. .- -:;.: "r ,;' /, '.,' . L, '..' .. ',': " ..' ,.' " '.:, ,',': ,:" , '''- "" , ,..' ; : '.- "',...' .,." . .:,,:.' , .' . " . ":::: ,:' ,: :,' ",:,' -,.'" " ' ,,' :', '. ",', , , ' ..,. ", ,;" , , ::.' , ,; -', ,',"'. ' , ' ':,,',' . ::," ' , '~, ' '. . ,. J ". 2. ~O.ICE TO THE PUo~IC PURSUANT TO JEFFEHSON COUNTY RESO~UTION NO. 2-78, regarding purchases between $1.000.00 and $3.500.00; that the office of the Jefferson County intends to purchase the or services from the lowest responsible /-I- ~ cJ .J~ 4'1t..../-,j Af-'l~/)~ ~. Amount. C8J Written Quotation(s) was/were received from the following. !J;~E~~-'=4 ~-r^" tJ.e /I~ tJ,: ~:;-:: r.;~ ,,?, ~ ~~_ 1={)(.l i/~ IJII +-r-:;;" I7~~tL ~ NJ;'~ ~~~ i!r ~~ MN -f- ~~ o Telephone Bidderl Address. Amountl Bidderl Addreslu Amountl Bidder. Addressl Bidderl Addressl Amount. AFTER THRE~ DAYS FROM THIS POSTING THE BID WIL~ BE AwARDED TO THE FO~LOWING BIDDER FOR THE LOWEST MOST RESPONSIBLE BID: Bidderl L~ j, ~.r-.-r:::.t. c., Attach as separate sheet explanation of basis of selection of bidder if less than three quotations are received. POSTED THIS .s-..$~-VU OF J -<-c-~~--- ,~ 19'8'1 . ~ (j/ .~-~ Head or Responsible Official ~~ juJ () /. 10 STATE OF WASHINGTON COUNTY OF JEFFERSON In the matter of x ORDINANCE NO. 1-89 An Ordinance Establishing x Fees for the Solid Waste x Division x SECTION I. PURPOSE AND SCOPE: The purpose of this ordinance is to establish a fee schedule for the Solid Waste Division of the Jefferson County Department of Public Works. This schedule shall apply to all fees required by the Solid Waste Division. SECTION II. FEE SCHEDULE: MILLER ROAD LANDFILL A. COMMERCIAL AND NON-COMMERCIAL RATES: 1. General Disposal Rate PER TON...............$45.00 a. Minimum charge........ ~ . . . . . . . . . . . . . . . . . 1.50 2. Septic Waste PER GALLON............ . . . . . . . . . 0.06 3. Asbestos (properly contained only) PER TON.. 75.00 In the event the weight scales are inoperative, the rates for transfer stations listed in SECTION III shall apply. EXCEPT' that compacted waste shall be charged at the rate of $8.75 per cubic yard. SECTION III. TRANSFER STATIONS 1. 2. One 32-gallon container................$ Loose garbage: load up to one c.y...... a. Each additional ~ c.y.............. One 55 gallon container................ Automobile tires.....:................. Truck tires............................ Off road tires (loaders, skidders)..... Furniture............................. . Whi te goods............................ 1.50 9.00 4.50 3.00 1.50 2.00 5.00 5.00 5.00 3. 4. 5. 6. 7. 8. SECTION IV. REVOCATIONS AND AMENDMENTS: The establishment of a fee schedule revokes the following: 1. Ordinance 1-86. Establishing Solid Waste Fees. SECTION V. SEVERABILITY: If any section, subsection, sentence, clause, phrase, or figure of this ordinance or its application to any person or circumstances is held invalid, the remainder of the ordinance or the application to other persons or circumstances) shall not be affected. ~~.. ~~ " <:l '" III iii'. " , . .,'.~. , " ,.' ~ . ',.,"''''' , , ,:~. ,.: Ordinance Establishing Solid Waste Fees, Con~inued PASSED AND ADOPTED THIS 5th DAY OF June , 1989. , ,': .,' .'" '" ': ,-.: . . ,.., ':; , ':, !' .,< ',' " ,:'.' " "," ' '" \: .. Ie ;1 SECTION VI. EFFECTIVE DATE: This ordinance shall become effective the tt-- day of ''', 1989. :...., ** The effective date for all fees except the r.('.,pr:.tl 1)1 c:pnq:'ll RRt"e-..p.e~ton is July 1, 1989. J A':::? - (!-~'->~ The effective date for George Crown, Chajrman the General Disposal rate per ton (Section II,A,l) ~ is August l' 1989. ,/'P'- ..,. Larry . Denn son. Member ./. .:;"~'" C, '<I~/, . ;((~~\4~ ":~" . .~4!1;;J,!, , ~ ~'\\f.J-i~", ." ;;' ; AP_;d/PROVED A1~ g,T/.,iO" FO M: .l!~t,,:' v''- . ,;" ~ ' ~ \. ,.. ~ ..: t;. j _,' AT'll~~"r\--~ . ;.... .. ~, - ~S;~ ~';/o PnM n. yRaymanJ'}!::l'secutingllttorney -0 JEFFERSON COUNTY BOARD OF COMMISSIONERS , II JLorna Delaney Clerk of the Board ~. r' .~; f' J ,. t . I i' ~,' k:. (' 'j., t.. .c, r ,"' .:. '.. '...' :' " ,..':.,', c, ", ,', ',:' ,', ,:',.:",' ",' . :, ':,', " " . ,.-;,:, ,-,',', , '.. . ' ", , . ',: .""..., ',: " :',.', ;", '. '...,'...', ' : ",'" '... ',.:.' . ': :" ' , ",,:'. ' i.,; ':: ',' ..,'." ' "'.' : ' ,. ;, ,-,.,,' '.'.,.... ,;' , ' . ,:, ' .''',' ".:," " . ,,' " . ,:'.' " ',' " , '" :' ',-,..., '" " . ,,'..., .,': " <,' . " , .; , ::"'...,> . .,' , , .': " , . , .- " , '. , ,,'. :'.' : :'.,' :.., ...'. ',,' " ,,"', "/ .',,:; ',: . ,,', '. '. ,', :,' ".'.!',.. , :\ " ," :.: ' <' '. , '. .:'. , . '.' ',','..,, ,.: . "',. r .,:' ,..".". " "..'::.." ,',. " "...".: ,'.' " '>, i..: . ,: .", ',': , , ':':.' -, '"..'..,"....',...,...'. ~: .. .,' " .'.,,'.:, '> - ..,. , '.' ','," / :".. :: . ': ,,'.:-;, ',' ,', ,., ,1 ~ : !. ' " ... '"..' ".' ,'; ~ :~:--. . '. .' .'... ".'.:>. I ~ ' , .' i "'. ".' ,~g .' .' .'. ~ ..a , ", '" . 'oJ " , ~=.. 2. , l , \., t i:: .' j-I t,., { i" , .' '...". ,.' ..: '... . -,:, ':, " , "':",' " - , r~._ . I~ r: ..' . " I.."., , " '" , I: '.,. '. , , ,..' ,,:, " ' .,' ,'" ,',' ,:,'e::' .:-,,',,',.:::',,' ",j-,' .. " ",' 'p. , ',' ,.... " ".... ..,,' ".'" ',' ',' .~. ::. :.. . '.' ,',' D!!!' " " , ' . . :. .., , .. ' , :'. " ',',,' .... I I' I:, " I. , , .. :: ..'....','..' '., I, , '. ;'. , . .. , .... ..,.,..... , ' 1, ! ,:, ., : . ,..',.. i. " " ,. ..,. ",: "...,. .,,'.".. "',: : '" ..',...' , ' . .:'..'.. , .' ,.,'.. '. ,.:.,::> .' . ". i",. ."..,. , '.:. ..'. ...,., .' " . , , "\, ":"', ; .' . :" ":' ,,' , "" ','. , . :,:." ' I ':', .',::',: .':," '" , '. ',:' .,.., , ',:. I . .', 1_. " , . " .. " ,": " ,:' : I " l '; ': , l ...:st:J~ 07.,0 ~e \ S_". Edwo"', & As;""""",. "". ) B 0 R I N G LOG PROJECT Jefferson Countv Landfill - Water Supply Well PageL of ~ "" Location South of Landfill Entrance Gate Boring No. PTL-WSW Surface Elevation Total Depth 300' Date Completed 7/14/87 WELL DETAILS .---- PENE.. TIM TI ON TIME! RATE NO. TYPE DEPTH (FEET! SAMPLE 1 utti gs ... ,-, " 0 10 No amp1 Vl ~ U . ... 2 utti gs .. " III ., " 20 3 0 .. '" " c ... ., In '" 4 c u f .-l ~ QI UI.--< QI '" 30 5 II) -" u '" .-l 6 '" .c u c ... 40 7 I '" 8 50 9 10 60 11 12 , 70 13 , ,.' :. Drilling Method Air Rotary Drilled By Stoican Drilling Logged By Barbara A. Butler PERME- ABILITY. SYMBOL TESTING J LITHOLOGIC DESCAIPTlor~ WATER QUALITY 0-8' Sandy GRAVELl Gravelly SAND, yellowish GW/SW brown, fine to coarse sand, moderate sub- I\angular gravels and .1 \srnall cobbles, dry. 8-60' Gravelly SAND, medium gray, fine to SW coarse sand, moderate 1/211 - 111 subangular gravels, some silt 8-20', decreasing to trace at 25', dry. ---sand coarsening downwards. SP 60-90' Gravelly SANDI ~, olive brown, medium to coarse sand, some 1/2" - 1" subangular gravels decreasing with depth, dry. SEA-300-02a .. 'I . ~:~ .,'. ,.". JII .~'.'"1 , ........."...." ".,. .':' "".- "."". ':,:'.,:',' '. ' Ii .." ,', ", .; i .,.." i " I^" II . '. .. !i " . .'. ." " I' · '.' , ' ii i ,:, ",',,' ': , /i'I, ,I, " .' I! >- :.'" ' ,,' ,...'., ' .", / .'., ,". . 1'( ::" ",,' " ,.' .. " ..."'.. .,.., , : ',' ",:- .':, ,.... . .1> :!' ," ," II .'... ,. :. .,., 1,1 .;' : '..,' I " . 'j "', i.:" ': ',', , ;, '.') '. ..... ," ." . '.' .::: " ", ': " " :'. : ".' .::, , ',.., ,,;' "":':',: ,: .,.. , " ", "': .', " . . ':.,'" .'. '"".,.., : , "',,- , '. "', " It' ..': '.' . .,' ,..... , ,.,' .,...'.. ','...".,,/ . .' '.,,( ': ". , '~e . L ~ J . ~ . - .- ~ r\ \l ~ ,(\ ') I .'-~ ,', " " ' '" ""'. :',' '<," " I";" ',' ,> ~ , ',' ,'"" .. ,', ' : ' , '. " '," ., ,;'. , ..,. " ". " " "'"., :, . :".' :, ..... ,: '. ' .. ',: ': . ',' , I r ,..' '" .,'."<>,. " ," 'j ,,' :' .', . "" >1 .. ,:,< , ,". ;:\.'; , ", ..',.. .', ..,.. ;. :- ;.. .,' ...... ,': !;'" ":,: ; , " i ,,' ': " '.. , " : ," :,' " ' , " ......:, " " , \ , , ' " ::';!,: .-, ',,' . ,: " I ""'. , .. " ,,' , . .- ' , " .. , " , : '" ': " ' ", ,\ ... ' , . ,,' -'.' , , '. ,"'.: .. I, '" ;,. '. '..;".."',. :,' '. ".'.'",'.'., , ' ' . .. ," ". . : '.,' , ." ", ",1 ::."" . ' :-,.., , :', " "', .: I '... l ... ~ \ S~". Ed_, & __....I~.) PROJECT Jefferson County Landfill WELL DETAilS PENE- TRA TI ON TIMEI RATE NO. TYPE DEPTH (FEET) SAMPLE 70 14 80 15 16 90 17 18 '" " .., 100 19 '" .. U .-< OJ 20 OJ .... '" .>< u 110 21 .. .-< OJ .<: u 22 " 0" I '" 120 23 24 130 25 26 140 27 28 m, . PERME- ABILITY SYMBOL TESTING Cutti gs BORING LOG Boring No. page..L of..i- , PTL-WSW LITHOLOGIC DESCRIPTION WATER QUALITY SP Gravelly SAND/SAND (cont. ) 90-1051 Gravelly SAND, olive gray, medium to SP coarse sand, moderate 1/2" - 2" subangular gravels, dry. SP 105-185' Gravelly SANDI ~, olive gray, medium to coarse sand, trace to some 1/4" - 1" sub- angular gravels, damp. ---sand size decreasing SEA-300-02b " -1'" .' ...',; ", .' <,' ,Y'; : ,'.> :. , ," ... .......H.. . ." ." ,)' , : ";"": , ", ,i , .. '". '.' ..' , , " "" ; .. " ", , " ',..<.;, , ::' :', ,': ,',', ',' :" : '. . .' ': , .;' " .: >' ,... . , .. .:.".,.,. ',.' ' , ' ,-'.,:" '> .: '. ' . ',' , " " " ' ! ",: . ',' ! ':,' ,...,... , ,: ",.. I ..'.'... , , I ..: ":.,..:. --:- """" ,:.'. :' .,,' " ; '" , ...,' ,'. ,..", :, ,', ,:.' ,::, .... '... ,.:..,., ,', ' ", " . , " " . ,,', ' ',', .,... .' ".>: ::. : '.':, .-Jr': . <i.,' 'r , " ," , , ,- .' " .' i I t ~ <i! r\ '- Il i ~ ~ ') ..... ';;;, .I "\',: f.. ","",' , "'r. I: I,:'.' . "," I~:" , . ' " I: : .'."'" .. I ',' ,', ."....' I." '''.',' .',. I ""',' """" '. , "'" I ":.'. """, ".:,' , I '." '" , .. :.~ I: ,.,.",' ...... .. , ',: ,'" . "'.' I' ,.' "...,. ", I '. ..', '. ,.'.'" .', I:: ":','".. ." ,', .': ,.... I : ': ':".' '. ." ",.. : '; ','-' ,:'" '~. , '.' , '..' . , ' ", '," '\':', " ' . , ,;" ~. - f!i!\1" ~ \ s_". Edw,"" & AssOOa"". I~. ) , PROJECT Jefferson County Landfill i: " ' !. :, '. ; ..>,'" : .;: .: "... " " ' .... , f :: , ....,:1 "',. .;',: , . " ,','... ;' I: .' : '... I, ", '.. : . ,'.., '" : ,..",'.. . ,,' .'. .... .- '. .,...':, ' ',' h " " '...,' .'. 1\' ".:;'. ,"" '. .'. " I ,', ".,: ',' '.. " ,-., ,,," .'.:, : " I '..,: '..', "< ! ..,'. ',;c ,.,,, ," ' I:' ".,", I '. " .. ,'..,.. I ~:,', , I' .:., I.., ...,',.;.;.' ....'. I,':,' , I. , ,,',', .', :' ,; :::,'''''' . I.,::: ..., ,... r "'; >1' : I:.. ""," , , l:L' . L WELL DETAILS PENE... TRATION TIMEI RATE NO. TYPE SAMPLE PERME- ABILITY TESTING DEPTH (FEET) 150 29 Cutti 95 30 160 31 32 170 33 34 '" c p80 35 '0; In e .-< 36 Q) Q) .... Ul .., u 190 37 .. .-< '" .c 38 u c '0; I '" 200 39 40 1-210 4l 42 220 43 44 , BORING LOG Boring No. PTL-WSW SYMBOL LITHOLOGIC DESCRIPTION ---gravels increasing 150 - 160'. SP 160-185' SAND, olive gray, med~to coarse sand, trace subangular gravels, damp. --sand becoming finer (medium fine to medium) with depth. --trace silt 180 - 185'. 185-195' Silty SANO, olive brown, fine to SM medium sand, some to moderate silt, damp. Silt increasing with depth. Sand fining f\downwards. ML 195-205' Sandy SILT olive gray, some very fine to fine sand, damp. ML 205-245' SILT, olive gray, trace-tine sand, trace clay, sticky, damp. ---fine sand increasing at 225'. Page2- of-L. WATER OUALlTY ~ SWL=220' SEA-300-02b " , , - . .'.' '.' I " ., . .'...' ',' . , ,,,' .' "., . ~<,., .:!.~. .:7~ ; , , ,,':::' ' , ' , '" ',', '. .. ' .' , ,,"', " " -j' '," '. ,"" .,', '..,'... ',., >, , :1 ! ' I . ',' .'.. : ... .' ' . : " " " ""', !..., ..,. . .' '" .., , :' : . '.." .: , '.," ,', i.,...:,,': ',: , "" '. '.. .. ' .'. "',, ,:,. ", 1....,....., . .. :' , ,,,, " ':.' '. . , ,., .. ", , ' , ' , .. . " ":, !." ...., .. ',:,' I'. .':....', :. ',':'!, ',', _I, ..,....'.':......" " ,;', ' : ," '. ' ',' '.: :.' ... ., .': "'" ,," " , ''',' '. '" " ," :', "~' '?':~y,~l; " ',' ,> ": '..,., , ..,,:..... ...'".,..,."....." ' , ,.,. ;'..,...".'.. I , . ': .: "': ,"'.' . " " ':' :..:; , " : /;'i:,', , "".","j . .. tit ' r: , ~ -r ~ ':L 8J( ~ " I;) '>l 0;} ') ,\ ,,' ,.-' ',', ,., li':r~" .~~- , I .". ','., ~f!) ... In~' '\ ." i I ~2\ Sweet, Edwards & Associates, ~ .' . .,.' ',' It , ',<' I-~' ' I PROJECT Jefferson Countv Landfill Page-4- of~ , ~ "'. ". .. BO"ng No. ~~"" ~, .' . ': .. ,,: ,I WELL DETAILS T~~~~O-N DEPTH SAMPLE :~~L~i; SYMBOl. LITHOLOGIC DESCRIPTION '., ,', " .,.. ': I1:'r"/ (FEET) TESTING 'I: '., .:....'..". / ~ I' " .,..".. ',.... '.,_ III Iii ,'.. ..... '. '., , . '. '."'<'ii. . . " .'" , '. . ..' .,' ,. I',' ,,' "', 'e' t' " '. " ':. :,: ,', "" :,' ",.,,' , :'...-, ',. I . , } ,': .'. ;, , , ' '~ ,;:, ,'" j:~;X '. " Ir'~H8?;' i, "':., n ~;:,:(:-:">>~:;:': . . I:'" ' ... ,... " " ,.': " , , " ''''';' " :, I:':." ' "'. :! . . ....'. . :; 'tei,. ....,.::.....,.'.',:.. , \ii,::,'.::: ',....' .,...... , " '.. .,' ''''. ", ,';:' .. ,",' , ' ", ',' , ,i,. ,',,' ". ',",,'i' ' q '.,- ; .: ".,... :':' ;':':'< ,..':' : .".',., :. i '.,:". .... .. .' ,'.... .... '" .., '".. '" ,",' 'i . . ':Ci',', ': '" lL ," , ;: .. , I; . ,"; I; . L '" c .~ II) '" U .-< " " ... '" .... c u " '" " .-< 1-0 '" U '" .c c u .-< " C J """ '~, a." 1-0 -o-i 4J U W ll. tf) U) 1-011)'-< "II) " ~ 11)"" .~...-l o4..l "'c", .~ g ~ a ~ Q) ... .-< :z t1J4JC o .~ = f""'I ra OJ",... ~ '" "'''' --.i: '" -.J 8.0.5.-298 BORING LOG NO, TYPE 230 45 46 240 47 48 250 49 50 260 51 52 270 53 54 280 55 56 290 57 58 300 59 ---clay increasing to some at 235 I. ML 245-255' Sandy SlLT, olive gray, trace to some fine sand, in- creasing downwards, trace clay and sub- angular gravels, wet. SM 255-268' Silty SAND, olive gray, medium fine to medium sand, coarsens downward, some silt, saturated. SP 268-278' SAND, olive gray, medium fine sand, trace silt decreasing with depth, saturated. SP 278-284' Gravelly SAND, olive gray, medium sand, some to moderate gravels, trace wood chips, sat- \urated. SP 284-300' SAND, olive gray to gray, medium to coarse sand, coarsens do~~wards, trace wood chips and mica flakes, saturated. Bottom of boring = 300' WATER QUALITY , ~ , :' ~.,.'. I. : "" ... , I ...,.; , ..' , . '. ,........ .... ""'" . ,; ,,'. '.. ". . " ",' . ..' .'., .' : ..,.:; ',' ' . ,'..'..... .,......... , . '''.. "..' . ,,: ,:." '. , f.'.. '. t< r,' . (,' :,'.' 'e' , , , . , , " ! . ...'... .. ,,' , '.. , , I..:. ,... .' .,' I ,. ".' '.'. <,.,' . . ..,'" ,..\ I> "...., I'" II' .,. !. ' ': ..', " ,', ::' '--C--.-', ,',," " : :, ':', < .".::. . : ,', , .. ':, " ',' ",', ,':,':, ..: ".., .,' , " ,:. ': . '. .', ",' .' ',",', . .',':-' " . ...' , , ';.....:.'.'.= '.~~ - ( SEA-300-02b ~r . J~~.,~~ ~ " \;;\ ~ -' ,I SIiI\(',,1 \\: Isl Iii 19l' III I ), 'I ~ Irtlll' 'Ill "' Ii ojog" ~' \W IJEPARTIll'!IT I1F ECOLOGY Ground Hater Bulletin No.1 (Rev. Nov. 1967) ACCESS PI1RTS FI1R \'TATER LF.VF.L HF.ASURP.!E!ITS The installation of access ports for measur1n~ the depth to water in non- flowing wells or the pressure in arteaian wells is reouired on all wells authorized by permit and is hi~hly recommended for other existin~ wells. Determination of the level of the water surface in a well may be desirable for the follow1n~ reasons: a. If pump f~ils to deliver water, the owner may wish to determine whether or not the water level in the well is below the suction pipe or pump bowls. b. To enable a well owner to determine the effectiveness of his pump by means of comparing water levels with pump output. c. Access to well casin~s is essential to state ~round water studies to obtain information on water levels during different seasons of the year and durin~ pump tests when interference between two or more wells is measurerl. These studies are made principallv for the purpose of safe~uardin~ the continued supply of ~round water. The access ports sketched on the following pages show several '-lays of ~ainin~ entrance to (A) wells open above, (E) pump-covered wells. (C) ex- ternal pipe entry to well casings in pump-covered wells and (n) artesian flowing wells. ':..)UlhWP.51 Washmqlon Reglon"l HcaOQunrlers OlymPIa, Wast'lInglon 98504 TtJleOhono 12061 753.2:353 '.. " ",' ,;_...., "" , ::, ,".' , . , ' .. "i~ J, 'i', '~'.' of .W .;1: 't.' -. 1 I. f L f ~ ~.,':" " , ,,'. SKETCHES Of"A(CESS PORTS 10 WATERWELlS A. 'WELL~ OPEN ABCNc fT rt j,o "' _ -,7 314 OR I INCH ~, Iol'PP~1! CEMENT[D ~~Op~~""c.w: ....1010 ___ .", - a.. FEET ~OR MA~ONR,( \HrUS '518-'3I~ '"CHTA,P O~ '-"'~_l!." A NO THJIlE....OEO [ ~ "'O'-~ \104 c."p OR 1M .--- IjIOi. 0...(......' NG ~ ~ ~ lQPUMP , D II FOR "STEEL-c.a....i0 WELLS 8. PUMP-COVERED WELLS TUli:.'1I1 C.ENTRlI(U'AL ~MP J ~~ e: NT1Il" -~~ ,'.' : ..".'..' .... '., ','. ,'; ':",," '. ',.. .' ',.,' " ", . , .' "" , '.' . ,: , . ,.,.':. ,.': ~ , "",':, : ..'..' "", '. ,"',':'". "',',' ,'" -" :':' ,"', ..,..'.. ...'.,... ..... ,..,'.' ...'.,.'.' ,..., .... '.' ...' : :. '. ..: ., " .}. '.: " .' ,. ,,',,', . .," . : , ,,',', :'..' --: " . I ;.v I I' ....!..---~-I I 1\ I:.....'......... I 1\ .,:. a.'.~.6, ....; I~:\~'{;:'~:'';';:'': :~ ..:~.:.~~.~::.f.:a.f 1 :~ "IML.~CIlNtIlEL I I pOIn'TO""11.1. 1 I OUTlilDa pv,", p I I CO~U"'1l BUII-T-IN IE~TIIlA~C~ iO WATER IMW;!.\. , ,,': ' " ','.":. 2 \ ..~-~ \, : ,! J[ : '\ ( I I 1, : : '\'''''4-IHCU T...... Olt LA~" AND THI\'....DI!D NOLK WIT'" Pl.." IN "DE 0" CA~I"G ENTR'C snow MIGH-!lS:T PU""" ) J[ " , , ,~ "': ,,::,-:C,C" ", ",::,:-, . ',': J . " .',,' " .' " ",,' .. .. , ". .'.. ,., '...',....., . " ",-. '..., ': ',' '", :. ...., , '". :' , ;','. ,: '" '." ", ' " " , '.:'. " . , ,,:',', " :'. " :, ":, . .,.".. .. ",.,..,;." ":. J '. .' , ,", ' ..,....,.' .,' ':,"" ,;';, , ',' :';;-" " '",,.'." , '" . .- .,.', ..' '; " .' " ' '.- : ' :, " ::, . , :' '.' "..:.. I,~ . '. ." ''',: J , " . " ," .. "",.: ( ~ ....".'., ~ .., , ...:",' 1 ' ;:.. . :: .l " STATE OF WASIIINGTON DEPARTMENT OF ECOLOGY REPORT OF EXAMINATION TO APPROPRIATE PUBLIC WATERS OF THE STATE OF WASHINGTON o Su dace Water ~~s~ne3~~"atL:sC~h~r"::~~ ~jdl\~~llr~{I:~V~~~~f~~~~I~:ig~~e~f 't1~' ~:;a5r~r:,~~s~;r~~~;~:;;r.I'917. ilnd [i] Ground Water ~~scu,;3~~;tc$c~h~rae~~; :~ht~I~llr~re~v~~~~~~~I~t7g~~c~?t~~'6::asr~~~~s~;n~~6ro~~~1'945. and PRIORITV DATE ,January 22, 1988 PERMIT NUMBER CERTIFICATE NUMBER APPLICATION NUMBER G 2-27267 :>.lAME Jefferson County 1~o2ROSSJ~Sff~~son Street W~mNn9ton ifS3'6'80El ''j!bV.t Townsend PUBLIC WATERS TO BE APPROPRIATED SOURCE A well THIBUTARV OF !IF 5UfiFACE WA.TERSI MAXIMUM CUBIC FEET PER SECOND MAXIMUM ACRE.fEET PER YEAR MAXIMUM GALLONS PER MINUTE 100 2 QUANTITY, TYPE'OF USE, PERIOD OF USE 2 acre-feet oer vear Group domestic sIIpp1v Year rOIJnd as nppdpd LOCATION OF DIVERSION/WITHDRAWAL APPROXIMATE LOCATION OF DIVERSION WITHORAWAL 1200 feet North and 1100 feet West from the Southeast Corner of Section 8. LOCATED WITHIN (SMALLEST LEGAL SUBDIVISION) SEaSE! W.R.I.A. COUNTY 17 Jefferson ~OT BLOCK LEGAL DESCRIPTION OF PROPERTY ON WHICH WATER IS TO BE USED The SiSE! and the SiSW! of Section 8, T. 30 N" R., 1 W.W.M., and the NiNW! of Section 17, L 30 N., R. 1 W.W.M. REPORT OF EXAMINATION - h...to.. DESCRIPTION OF PROPOSED WORKS A 6 lnch well 272 feet deep supp11es water to 2 county buildings and a warehouse. No well l~~iS on file. BEGIN PROJECT BY THIS CArE: December I, 1987 DEVELOPMENT SCHEDULE COMPLETE PROJECT BY THIS DATE: WATER PUT TO FULL USE BY lHIS DATE: December I, 1989 December I, 1990 REPORT BACKGROUNO: On January 22, 1988, Jefferson County filed for a permit under the prOV1Slon of Chapters 90.03 and 90.44, Revised Code of Washington (RCW) to appropriate publ ic ground water from a well in the amount of 100 gallons per minute (GPM) for group domestic supply. The application was accepted for processing and assigned Application No. G 2-27267. The priority date of this application is January 22, 1988. A legal notic~ of the applicant's proposed appropriation was prepared by department staff and transmitted to the applicant together with publication instructions on March 7, 1988. Public notice appeared in the "Port Townsend/Jefferson County Leader" of Port Townsend, Washington on March 23 and 30, 1988. No objections were received as a result of the public notice. INVESTIGATIONS: In consideration of this application, Walter Bergstrom, since retired, conducted a field investigation on April 1, 1988. The applicant was not present during the site visit. Other investigations included a review of pertinent state records and evaluating information submitted with the application. As a result of these investigations, the fOllowing is reported. The project site is located in rural Jefferson County approximately mile Southwest of Port Townsend, Washington. The area is flat and forested. The nearest well lies within I mile of this project site. The well spacing and small withdrawal rate requested should not result in interference. The normal water requirement for a group domestic supply of this nature is 2 acre-feet per year. CONCLUSIONS: In accordance with Chapters 90.03 and 90.44 RCW, I find there is water available for appropri ati on from the source in question and the appropri ati on as recommended is a beneficial use and will not impair existing rights or be detrimental to the public welfare. Therefore, permit should issue. subject to eXisting rights and indicated provisions, RECOMMENDATIONS: I recomnend approval of this application and issuance of a permit to allow appropriation of 100 GPM from a well for group domestic supply for 2 county buildings and a warehouse. The period of use shall be as needed year round. The total withdrawal shall not exceed 2 acre-feet. Approval shall be subject to the following provisions. Installation and maintenance of an access port as described in Ground Water Bulletin No, 1 is required. An air line and gauge may be installed in addition to the access port. Use of the waters to be appropriated under this application will be for a public water supply. State Board of Health rules require every owner of a public water supply to obtain written approval from the Water Supply and Waste Section, Department of Social and Health Services, Mail Stop LO 11, Building 4, Olympia, Washington 98504, prior to any new construction or alterations of a public water supply. When and if the chloride concentration at the well head exceeds 250 mg/L, the withdrawal rate shall be reduced or the pump setting raised to reduce the chloride level to below 250 mg/L. A well log of the completed well shall be submitted by the driller to the Department of Ecology within thirty (30) days of completion of this well. This well log shall be com- plete and all information concerning the static water level in the completed well, in addition to any pump test data, shall be submitted as it is obtained. The Water Resources Act of 1971 specifies certain criteria regarding utilization and management of the waters of the State in the best public interest. Favorable consideration of this application has been based on sufficient waters available, at least during portions of the year. However, it is pointed out to the applicant that his use of the water may be subject to regulation at certain times, based on the necessity to maintain water quantities sufficient for preservation of the natural environment, .. In accordance with WAC 173-160-205 wells shall not be located within certain rnlnlmUm distances of potential sources of contamination. These minimum distances shall comply with local health regulations as appropriate. In general. wells shall be located at least 100 feet from a sewer, septic tank privy. or other source of contamination. Wells shall not be located witl1.~J1.000 feet of a solid waste landfill. REPORTED BY: /lh,J jt;..K..- f;r Ch", Kr",,,,, DATE: May 18, 1989 The statutory permit fee for this application is $20.00. '"" ,:' ". .,...'. .' 1;< r-- ':'" "" '. ;.,> I ' ",::, ~ ,.'.' I I. ..... ...' 1 . , , 1\ ',", ,'.. ..... I '" I I ' 1 ..' ,- . , ,- j ; ,...,. ' .- , I, .. ,:,,%n ", " I; . ""',., ", ,','. ,,: ,-' .: ""', :', .,' , , , ' . ,> ( I ' " '. ..,':, " " '(}"~ :, .':.' '.; , '., ' , .' . . , '... ! ' '..',' , '.' .: , , ',' ... ...., " : .. ,:''.-:, .' . f :. t.' ;','.'" ... , >' ; ". ' . ,..',.,..: " '. .. ",.' . " ,:,' , ., ,', .. . : , '''' .. : ,."" '" ! f ,\, . ". " ,'-;'. " '..,...., " . .,.......:..--' " ,,,,"',:""': :.' ..', ' ,:'. ':'; <" ",: ",',' , . ,':. .',.;' ,~ ":' ' I "'", I:;" . ".'.'. ....',..'... ..' .. I,:., ,.,., '. . > "', .'. .' ,..' i', ': ,.'" ,'., I," " :',:: ,',:.:; .'. ,,' .' 11;""/'.''': ...,..',..,........! ; '. ..: :., ' " ;, .<.:. ".: ". , " ,,,.', I"'.'t__ :.,-, ",,', '-, , '",',.,: ", ',.', iL:' t ,.' '., L , :. " ,'" i',." ',' ,', .' , i,'; , t2r '~', ..' 1 ." . . COpES I 1,.1,-;-,. I ,,~, I ,~, I 4 I S I.~, ~t ,', ' 50< I loCI blAIU~ .,,,..1......., r,..\~ 1"'15111 I 'J(ClI~""h 1 F IS;:l.1 2 /.~ 14' 'T . '. 5Cr,y,"J~ f1'/0'-\ 0 AM-8 0 i,;;~.rl 0 ~!:~, ~ ...10. 0 ~'i'.,\. / ~, . ," n1 1"7" / 2. I / 2.. I '1' , ~W~VJ~ '1'01,' O.u.\f1 0 ~~~'~I 0 r:"~'H 0 :t:~ 0 :-:'';;,'''~' ..1"1 1. I .. I ;: :i~~'~;"v.c.., O"';("D'::;",O~:, [J~~:", :'" 'o''ysa;'.''lo'~oi'"I('''''''''~''' I'~I p." , . :, ., "",.", I' "00"" V,5'JI.?~1 (~ :s' 51 87 "':', ': ' "~",,,:,-, ':" '.,:: , ',.,;'..:,.... '": " " .. " "', .'., '. : .: '.'., :". ",:',' :':,'" " , " ". .'.:,' " ....,.' ~ STATE OF WASHINGTON :'O( I O<! N F-:- ~ POLICE TRAFFIC COLLISION REPORT ~ t"'AFFICWAY 1'OI-~;c:OMI'\AIN'NUMfl('" I / ,. 0 PRIVATE WAY DAti (;' ':Ol(1 I, DAf O' ':O~11~iO'" , II I'Mf liC:Ou~"~ 7f~ _ IcltYroO I rr-;-. hi:; ,'Ii, ;7 '" .,,, '"", Q'"'' " '''II '(/1/':;'5 11-1-_ n,' ,/ l../ I tl.. I "",g~~~ g~, - '''.o''ow, ION/'O#"'OC:';'~:';:" it:' 10",'1 'T;:;'~~ I' _ ",,,,,,,.w,W"" "'(('0"0", I:~:;~:;":::O~~ """ _<"_ ,C -SJ_ ""'" roo' 1M'''"",' \ 00 '( O'~!ANO&~::':;!! NI"O~"'UI"'fN' C:/lO~~~IIIH!O"r,IAIII~!Mlltl>O~ ACCIDfNT IlAMP IDI...C.II-'Mt.lAT... ( M~I::~ (!, r=., ~ ~ 01 Le.vr...."?? ~~I'J M~~~~f I (O\ll~ION"UOIVED !'.{VU",,, 0 UH 0 "'''l~'''' INH"II~:~ 1 ,l{1lC.I~N " T~IW( If"A,;:::IlIlOAOOR'lIi.RtNU " ~O~t~t~3s [2] ~~t~~~!~~~yIlLD- 0 ~~i~~l~~ O;~~~~~t~ ")~D~IO'~~ 1)// I CL$ 1(IlO$SST"'ct~1 $D 9 OBJ((l Sfl/UO 1"'M't Of ClIlJECI SI/lUel< ANDO,,",NIIISNAMI) 1$ ESt DAMAG! ~CtAl COOING USE I /tJ. ?:J/>/ "",,,,,,,,,..-, ?n?647 '''A Ir11 I~':;'....P 1~~RA.l I/OV~;~e;" UN'T~::<. "";:;/ rf':~.':! S,';"H(QE 0 ';;~fST.'AN 0 PE~-:;2;CllST I / "'"''0''''' ' '",.''''' I ~ L3 ,7.7R-Y' [ENrE~.." It>D ,"coo. I,"ON,"O D '" '- "." "000 IPHON[NO '!.. ~lr#//)l4CO/?" IJ/J!:J qp..3;;Z '" 1'7.;>,,;? -./-./62 R '- I / DRrV{R'~UC["'~NO T SIAn 1"'0: IIoJDA[O'BI~.lH I DliIVE,II'STICINSfNO, I "'""''' I~' I D"'1fOJ 8111,IH -:: r-lInl'V\,cJlnh9.3k''> LVII rn 1cJ~~~;;;L;/v "- NO!"':" ., . ~ ~~="'X 1 "~"(-:~~:;"' NO ~~~$~~ ~ OCCU,^"ON r'M"" '"ON' NO I ('" '''''''",/,,'0"' lL o CHECK (~) . \I!HIc:~:~~'Z~.e."~~~(f ~r.:.~::/t;HEIlIAI 0 CHECK (,I) If VfHIC~E A WN [MP;~YH ~}..'tt::fft':r1.'Al ..o'O,,('(L1'~ 0;1 C.?~ES" ... I J ~~~~~" 4 ~~~W~,..t q 5 (JI(..QN I 0 r...~:~.I/{"..nl C?~ES ~ + J ~~i~~' I "* ""\~~~,.., 15 IIIC"O" 0 ~A"f. f,~1 L INJUIII/su, INJU~ '" ~ ~m?t~:9f~"" 0 .......au~......C1 0 t'i~CI 0 rl:lPlI. 0 ~~:.::~:: 0 :-:'9.:"~~ m1~1~~'"o''' 0 .......""1.."(1 0 t~~, 0 t~~lI. 0 ::::~,: 0 ~1~!.J' , "";9A7 liM"~:;~' I MOO''A(NOVA, l"n~;;N" E '",,^' I"'" (~~","'v, IMO"'~N'''AJ I "'<,C',Co..VI ~~";~k IO/;;;;;;;L I"^;YIJ I"A""~O I"A:- ~ V'","'O' I"""" ''''NO I"" r\:'~A( I"" I'i"i'7"" VEMlen IDENTIfiCATION NO V[I1ICI! IDENTIFICAtiON NO "- I'~ IIF'T!€IF:/ISilll8'!II'.KLli'.6!~1216i 7 ~ 1 I I ! I i I ! :'-1 II! ~ "'!GIST(~NER. LASI fIRST MIOOU I PHONE NO 0 IIE"ISTt~toOWNEIi' lASt rl~ST MIDDU XHONENO IL- , '\4 ~---- I w I "- [2.. AOO"""'9w"" ~ 'OO"""'OWN" f7 N~;~;:~UIIANC(;A~<AGENT /Zr ~}l)C~~ R ,~~ A IN U AN (w ~A N }L- p~~albl~EA. I gp:.~h~:f~l c~::~rN ., , ~ 11'!~T~,gO"'C.1 1-1... U< CHARGr 1':'/!I~L.~.T_O!..-:1!> (SIDAMAGt ~Ol1lVfN D'HMAINED oORIVEN 1/ '~_jl01l0no~- s~on 0 ri{~BY O~~';':.,tJ'BY AWAY DI1AGRAM OF COLLISION: _, ~--r~M~~12t~~\_ _t~O~~""IJ..~WTH DESCRIPTION OF C01L1SI~N: _ _._ {USI.:lJPP..:.~M~NTAI ~H~~T If Nt~.~~IIYI. . .. "0..._ _ u__ . /~ ,: I : ..~_ ., · :1 ,I _1, e -; ,L)"';>/vcc-€ ..f"CCA:V2 reO ;:>ff-S>T #~..8(4c,f'e~ =;,<. i :_. ; , , I : J.. J Y, '/ (?--r. #e ..s;;,;I) A1:: C;;"IL) dE71'Zd8t./~ _, __ C · " -I;;',".p ',/ GCI/-.J Nt:?T ConJT#CL UI#o:"JT #,,?PPl?IV~ hl1I :', [if,.: L ~ ' 'If> _ ,,:.;. . . I; , .. lL:J (2 rz LZ ~ ~1 '" ~ . "'-.7 I n'~'~"'!I<,,~t I ~AM'1~[P I~EA , ~ I ~ ~f~'~~": /.J.J D"M'"'' I;" "MAO( I(}.o~.;.~~' 2 ~:- -; ,~M!',. , ".. ,.., 'ButT 'tJilw~ : NAME, ADDRESS & INJURIES OF PERSONS INVOLVED OCCUPANTS I WITNESSES Wi: ~~~~:llcr~~II~(AS:U: N'''' I/o () Ot=<f! fiA,iCI3/9tVl .-9 :"I,oN' 7J.-< <;/0.' z A{1l1lo'f..!-_.....:;~-,....;;...~~t., -0;.... ::.A!~~I~-:" _ JZ ""' b'/e?Zt( ,PeTc:~ hi ';;;'" ~~~~r<~ .C;-:751if t:l=Nre-7? R'-l.. ;~;~I,~;f,~)' 1I["'~r~~ ;.I:j~:~~l.:' X 1"'V?A'o'/".?;;~# 1'~~:ci'lT;~ 0 'II~ - 1/ ---~-~ ;7Hl1J11~li' "ll~JII. L , o ,-','..," " " "'... "" ". ,~;, ", ',: " ", 'I" ..., ,..,.. .'... . . , ..."i . :":,,' ,.",'; ", " " ...." . .,'".".. ".' ,'... " , ". ;', .. ,,', ' ," . , " " " , ","'; .' "," :, ,,', , . .... ' ,',. .. ,', .," "; .. . .", ;, ....'....., "., : ,,', .' '. i '. ,'. , " ..,.' :' ''-': ',' .',,, " ' : .- 1J- ~ .- .' '." , ,". >: .'.' '.', " ,',". .''' : , ':: ~ ..... .".' , ' , .,'... .,.. , " '.."',' .', ',': <." ,,". ,,'.' " ", , , . ' , ,', ,':'.: .;,:; ! " .J{,f~"'Fi'l: _,.,,1 ',: '. .. .'.', ' , 'I .' ..'.J. , .J ',' n,:" -'- :, .' ',', '. ,.'. .. '.' , ,',- , .\', " . , '.. " I... .....,...,. , ,', "i . '.. 'I i , . .' '..... : ' '" .,'. "', ..'... ....'f. . ,'... ,i., '. ,'..... , -.... ~'x .:)':Cc. i ::< j .' ,..,",.,."... I :. . ':" ;:,.,'." '.,', , . ": .,' '",',' ,',' ..,.:,. ,.,.. . .~; ,'.".". , . "',, , " . ',',. ,:' ; ,',,' ,,' , , " :, ' , .:'. '.' ',..'.. ",.,' ,", ,'" "':'" , : , '~~1L:.'..:'...,... :'.. ,,' . :. ," . ,:' , .' ',: .,...' ." r:. , .';<,>. I ',' ':,' '.'.','.., '\ ',', t, ' ',: : , " ,'.:'. .... .. ,,'. I (~:;;;:; :~ '. "";~~1:; .' ..... '. . :-.; . . .. ' ' in'"" ;. ~~:;~?"..' .. i.,., ...,.... ....,.. .",. ;," " .'..., i...',,' '" I;':' ',",.:' .,.' '. '..< ., ,.". ". " ',n ,n , "", ,", ',,' ",.., "", ',>:. . " " , ' :', ,,"'. .,... ',., , , ," .', '.:'''': ,',' l, ,.': '.'. . .,...:..,' .". " " /:...',: .... ,,',:.,';- :, . ". ,', .' '. .L '. ,:," , " !, llClN!ot NO'\. I !ol....1l I ~lt I NO OA'lOC:' 8'1O'~. ~ OCCUPATION T'Il:~ & PHONE NO TlYl!oTWEIGt'HfH:IGHf ~ o CHECK (,I) VIHIClE 5"'NEMP:OYff~""~~III""1 ';o;~ CODES" + 3 tii,{~Y I\. -~~~'.;~..., 5 IJtChO.. I 00 ~~.lJ('~u S- INJ ~~~[..Of '\ ~~~~?'wo'" 0 ......avl..." 0 ~Cl 0 ~~". 0 :::.(,: 0 ;-:'~"'!ol' J.eON E "[liVE...... IMAI(l( G(.CH[VI l~lO"'lltNOV"') I~TYU(20 _CO"V) 7 VIHCOlQIl: I liLt l !O.... ~ IL TAr r V[HICU IDENflFl~"'lION'>IO '\. M' '\ I' ,.., '\. \.. ':', " , ""," '" 1028 '-;:"'0:;/:', =;; i :' ~ 'i ,.'...: ~ ," lij' r, " ~' L" I nl~t..~'NC; I o....a~[A r--= ~':,c~'t?~ 1 ) . _ 3J:'~':"':,:i.,;-~: o DlO'lVlN DlIlMA'NfO If~1 O_AGi/,r.r--! _..'_T_C."'S'i~ ==:: <:.:.', D~~V:;~Bl' I&.WM 5 I'~{io.crio~' --2l . \':::(-,? '0:,: DESCRIPTION OF COlltS!ON: (U!.f SUPPlfMlNTI&.l SHffl_lf -,"CfS!>l&.Ill') "o.,....2s .; ," >:.:> .':.' \';<:: t/d/./ ~. /"'-"f'-5 5C'./?77" C'.)".) C'~~~-C_~ c::::,,; ~~. -V"v.:;v"",<c- ~~~ /P$/~6'/= ~ ;. .,...,',...:;.,',.,. ,?<"-.!'-/".Jc'- c-"",..v?~/:&C. ..,~ y~~ v n ',.,..,.,' t~// /C"'~;:c-- e<"__z:.,~............ />" /;.rr- I-=J ".,.. ',... /r/?//,/- .:;"/.- ,,-/~.-.--<:,- 7;7.& -r.:>"-~"-h ~~~~c' ~~~ ""'..."-v_,,..-.....,? "-<-::--h"'~ . > ' ',' ,7 C/ /h1-.c~. ~____.7"O ,.' ~-> ~~",.z::: " ",",' i' , ,,',' c' ' , ,'., ", " ',';' ,':.' " ,.' " ,:', , ',.,. :', , "..,:' ")' .... ~',,,, "",:,:, ..' '.' '......'",,::..,..,.,: : ... -'..':, ." . .'i " :; . .. .. '.' "'i." , ,;,." '..,; :,', ;', '.: . , '. :" .,' , . ,', " ',:' . .', ',.' " . :.,'''" " > .' '..: NAME, ADDRESS & INJURIES OF PERSONS INVOLVED OCCUPANTS / WITNESSES IfUJ: ~~~~~6~Z~I~...~UI' PHOM .., "'PP~1 ~< ~".!~~J,Cl. ~ "" ~",l~~"f/l. x' ;;~;" "." ..0 "Ill"" ~~~'~"l,.r t~~VII~I 1.'''' O">J.l\ D"~~'. O~':.:';: o;-.r~~," 1",,1" '''''''('.'''./ .."YI.II..... Jh":,C.l(,W "'(01',. V~"O~. r.',.I;:.;;-p"Tr..l.c1PO.,c.!....""......JT' n"T1')I..~~2..I...P:~~vtOfn....[)~ 0...11 X 7.;""::.) /..:r 9kv~~1 ?:;;a~/ /~,,~-;/..~ t72; C;-:;:72'-1 C~;;"~[; ~~4.:'1 8.(..~~ 7/(:.. ~~ ,... "" ~ STATE OF WASHINGTON "0' / 0' / ~ ~ POLICE TRAFFIC COLLISION REPORT ;g1 TRAfFICWAY ~ 0 PRIVATE WAY ~ 7DATl C'~c;.ll:';:; j~,.... ...~~ ~:,: u:~o~~~.\ ~., ~.l H (US! ~AOl~i nC~~~r1 ",'" ,'" ..........~. n /("t" 01' IX - .11 O;.r-..;x...- II .--,~,/--'--~~'_C.--..J '" St. Of 0'''' CIl1011fOWN I NANI&NOO'~!lltlIOlll>1'C...~...1 ..3 .m 0' o. iiJoo~_,uC/ "'"~~ ION C<:::"---,T='l'l' ~D IN111l!.lC,;IINC. WlI" S11I1I1011 IIUAD 1""01',1 INIlII~f(1'ON IBtTWllN;;; ~ZJ....A""=.""::; ~lll[ll & --v....;8':?.l3 ~11l1l1 I~ D,~IA,NCf /I. D~IC.IION IIIO>J.IlHflllNCl C"o:,~:,!IlElIOIl MA~I:,IMI(II'(.':'T I ACCIDfNT ~.:;> H ~~:s ;, ~ :-, ;., 0' - Mg6~C.( COlLl~~r~::~OI'lIOC2l ~g'f.~::;O_NO INJUlllO---L.. 0 ~~~"'C.l 0 :,'~IlI~U"l I ~;"'D~oi..~ O'l''''CUS OPIlOPflll'lOAMAC.ION('1 OJ/'l:'U(I~O O'lI"'ClI I - '9 OIlJ[CI:"IlUCj(INAMIOfOB~IlUC.""""OOWNlIISNAMI)./ -I I~IOI&.MAGI 1..- ~""'~./ ~-?;.~5r'7__/.c..Al',"'~...-7 15- UNl1 NO I UNIT NO 2 r~ OIl(VfIlS":;_f /l.I&..!.1 _~ fill:" M't> Il O'~II'~N_l fi'/C//"J/~,~ C/f'",Ct!. --r-,~,4,J \. IUnAOOlll:.:. SIIIH1~t:.:-. ~. //3/ 6-14.--15 ffV<-;;! \. .......... CI,vrf:{; SlAT' ~IPCOOl P"ONfNO D Ill' T7. .~ ~ J I./.! ;:"7 ...",,? 7-J'-:5!~7'" R ~ /.J> ",,,,,-:,c"7";;;:"'-. ,,.,. ..;....." __ .J..- ~ _ T /,i> _ OIlIV!Il'SIlCfN~~ -.. /.:f"J STA,l( I fx O...ItOl Ill" I ~c."e-,.J/C1:>..5,~-CJI t.4'-L-;r,' ;. 3:: ,,';'- V r OCCUPA1~ ;:rFIII~~E&P"'O~fNO .s~~~~= ~~ ~~~'l~' E ;2. :!,..f/-"""e"'I//'-p/", //Jc:'-. "<:.I~p R '- 0 CHECK (....) I 'IE"IC~I AS'Z'N [M~~~~Ci'~Cr~WAL ~I ~~D;;!." , ~~:~;' '7 . :~\~~"..::z' I 5 ''''''~ / I. ::s:?,~'''' ~/:"'.:C "",~.,L"Pc--'"Z_ o "'MlIUl"'NCI 0 ~~CI 0 ~8;'l/~ 0 :i:.v,~i: 0 i'8:"~. ~o /.9~3 IMI&.~fI7;:;') I ;;;:a~A) ISIJ~l;;/z ~ VEH:~ fTjC~N~PLAnNU ...ISTAll ITIl,o,'tEllf\I&.nNO I STAn C7//4./ W#/2:? s-91 1,,4 - - fi"i"""":' "'E,..I.CLf IIlCNTIFI,CATION NO (p S:-..=:..y I, 0 C> ,.3 f'iT"':" IltGt511IlEOOWNfll lASt FillS' MIOOLE PHONE NO L= .::J€..-r-'z'c::'" -cl::-J::-4s c:: VN/ 0 P3 I&.OOllfSS Of OWNUl ~ A Oll(~ a OWNfll L - P3;'2,7 h"", 8""'C'D - 6'_~~ E E NA.Ml & "'001lf5S Of INSUIlANCf ~O OQ AGfNT N '~ NC'/J CE R PI&.MAGJfCAAt....~IA(N ~. F5 kr;:::?1TI'TC~_ 0 CHAIlGf: P\lY ~. 10..:;I!> fSI 0 OIlI'lEN DllfMAINEO 1010"0111 S c.~t:) ii~~8'1 5~...J"t>v/"=;:'. E DIAGJlAM OF COLLIS! N' (UU :'VPPlEMEN!"'1 NOICATf N~T.. 6 _f' ~ .. ('7 __ l SHUllf NfCESS,ul') (ll'I&."'1l0W _ r.-" 7>"".,_" ~ ~ ~c p;- ~- ~ ~~,~<S:", c: _ ~~~___ ~ ~~~- ~ I~ Il( IsnllEOOWNfll I&. '''t:.:.UtINUA l-f!l<(~TTr~"If-- ~ ~_.. " L No. 7-' /ti..,3:f.o7,'w,"" ..,,, 2[)1~66 I,,',~:' t2 I.',' I~:: /. I ~CII()t-.I : ~r ~, t o 7~~'''m 0 ~~~"" 31 '3 f, ~ ! I'CI,,(;( COM".......I NVMbl~ CQVN11NQ CI11'.0 I 1'_ f..?S 1~C:o.,S' P..HI~ l"OU~CoIl fll'H1Coo( Ic' :",1 1 7'3/6"0 ".., 1'0 I."'''''' //. 70 1l...".,P rl...GIII&.Mo.a.r.... ''''''lN01fTll.~O I:N 1I:,lIIN!3SIIItHOiCIQI&.006/ll[fllllNC.1 :;r I ClS ICIIO~~t$lf"o :-'PfCII&.ICODINC.USf o VEHICLE "''' '\ I I'''''''''''' ,'tOO< + CODES I I ,1._:..1 .~, I~, 1 · I 5 I.e, ~ sfl(~I,o,C.f btAH.!> "'('I'II'O'! c'''l~IIlfS''1 fJfCll;...",. I !>Cf~VJ~ 110"," 0 AMI! 0 ~~(t 0 "";". 0:;';." I I 0:"8;..... ~~./~~ I~O"" 0 ......11 I o~'" 0"" 0 ~'. <n tn.!li- .,.. D~'l~~. .2J., l ~ ~",. ,', ' ~,..,.., ...' ,;,' '.. '.' '. '::' " ." ',', ,',., . ..< .', ., : ' , ' '",.... '.. , .', ' .,.. ',' " ' '" " ',', , .)' ." "," '," .' ,'.' c , ..,'. x : ,'1 ::'," , '. '>.", 'I' --.1 ,. ': ' ",' --3' J " '.: , " , .~ , -:-r-/ /) , :;b ..tJ/w,'"'''''' ,~, 2 ({ 'r ;) I 4 ~ STATE OF WASHINGTON ;;:" / 0' / No, r ~ POLICE TRAFFIC COLLISION REPORT ,rc..:::..tTRAFFICWAV ~l'CltOM........"r..u....~rli' I I 0 PR'VATE WAY O"'I(OI(OHI~ N_ :., O....O'C.OI~.~'O~. ," ""'1 IICOlJNft COUN'j''fNCl IClIYNO I r:-; '/.z.:. X'I" "~ ..", ""5<" '''1I/~~5~'' II -7&~;r",/~_--.J (.c, I LL Or. ~l 0'1. --c:'~-fo....r.j I NAM/"NOOI!..llItl!OIl~.4""""V~ IClC\~ 11;'''''<..1:'1 '",lOl l'OU110Jll I !..VL "7 M"" & Ow 8'0' ?:.'~d'PC"''''';P'' IONS9':-.F.V S'/Ak' / ,,(,-: ',I ;So,l. "fo INTH5tCHNGWIIH $Tl<IIl011 llO"U lNONIN1tIl~C.Y'N ",.. ,/-/;,/7,$~J PlIlfl, !IC- IMIU~1 IllfTWIvt"~",./ /c.V 511111'" ./,4//~~ 5TIIHI I I /. /, I D'S, ...N(I ~{~~.t\'.";':-'Il<OM 1/ HIIINU (1105:'5.1111(1011 NYIiIS.I Mill 1'0501 I ACCIDENT g".,..." rOIAG5I"'IY'DoO-fA .,. "/' f'f~';:!. {;.( ~ :-, ~ 01 /....4.. 1./ ,/.::> ~ Mtl6~f COlll!.IQNINVQlV[Q !.tllt~'h ...? 0 U( 0 I "'"I~'" IN rl~"IX5lDI~N_I!~~_<:'!!N(j!.'~lf.~51I1QADQ6t'llft'1.....c1 ~O~~~,~~!. 2J NO ~P'~~~~:~l~~:IO~ 0 ~~~~~~~ O~~~~~;UN ~~,..~ I'V I CI~ 1'~~$;1101l/~~ 10 06JIC1SfllllClIN.........IOf06~DOWN!515NAM./ I l!oIDANI"'G! 5f1tCI"'lC:Ol.l'NGlhl I / ~,/?/ ~~d#~~_;",~J.~~I$- UNIT NO, I UNIT NO.2 $ DIlIIl15lSN~, tA51 # flll~ __ MID ({ .-. .O~Il'5N........t ~u"1:'V'C'''''.) y~:l/jJfC#/6/ ~/".;;.>"~~. "- !.TIlUl...OO5lt!.5 _ -9'/' .;I';. ~._L 'M"'~fS5 ~ .s--5'/ .? df~~' .$" C;:-.; //-:.?-Z ,7--" W "- 3 CIlY / ./ $T..." .--,. Z'PCODl I~QNlNO 0 11..- ,n_ E A/.-11O/c'c~- ;'0,/# "?'S"'539 17.3':.2' i/.::'/g R "- 05lIVIIl$LIC~ T $T....I(.' ~~ I ~A' ~~~' TH I 1Vtll'511 IN$(NO, /.../c70/64'6..12,?/"; 4' ,!./~ l.r- I:?,/ ~ V "- 8 OCCUPATION ~AM( &~H~NO _ J_, ~";; I~_ICHT Hf.CHT E OCCUP....TION Ifll<M'\.AMI" PHONt NO .:< S'M6:vJ ?,;--%:"""'/C"-"",,,, /,./.'.5' ~QAS <s::.-- R I "- I...- 0 CHECK (......) ;~PHIC~~~~~N\e.~'S~fE &....~Simi'A( 0 CHECK (....1 I WHICL $"'''1 tM~6vlf Of...N01HHI....1 r:: CODES.... + 3 ~~~~~' /:.,.-, .. :~\Il~:.:." e,.y 5 IJIC"OO'</ 16 ~~f::=.n' CODES'" + 3 ~~~~. Ix ~~\',~:"'" 5 IltCI.o.. t;( INJU~'I$ S.c $:-'/172 4-<:; ~z::;:;i1 ~ //d....Jh<': ~~;~~l..O' '\ I.....-.. ~~mIlA~'~.... 0 .....IM....CI 0 ~~CI 0 ~gp'I' 0 ~j::',~:: S<t",8.1..~p ~~~1~I.o"" 0 ......&u(...CI 0 ~~CI 0 ~8:"'. 0 :~~,: 0 :\'i......... VEH "'I~~ '-" j'MAll(OODGf'CHtV) I MODH(DAlll:NOV....) ?1$1Yll~~~V) V ... YI...II IMA" t "l..H!V) ~Hlo...llr.NOv..) !$TYU\:;>OIl .COl'N) f'/ ./?.?' ~/~ c&""e~.el rJ E I '\. I ~ VlHCOlOI< JLlClN!.lPLAnN~~I!.'AlE , I TII...IHIl Pl...ll NO I$T....n H VEHCOl~ 11.1"1 l...nNO !.ATE'\j =1 ~;;(,,&,:~^L~t.5.50../- / y4 - - ~ VlH"""'."""" . "- '3 C"G'roLJ6/f:'-. B-'3? /,0 l "- " fTI=' IlIGI$TEllfOOWNIIl lA!.T /'/' H~! MIDDLf PHONfNO 0 IHG1$1lIlEDOWNEII LA$! ~11l5T MI~ I''''''''''''' L- .(J.~u/~ C:;-/0~,7 /fJ .5~.-;"~ w "- 113r AOOIII$$OfOWNIIl AO~Il($$OFOWf'oj!1I '\. 1'-' --5"--4'..-?7' 6' ~ "- NA..MI&AOOlll~$OfIN!.UIIANg.;<'tl 0Il"G!N1 N INSU..N ,........ .. "I '\. r:= p.,J../L R '\. I...- OA..M-'GIOA,l!IA I.e.:;~..~:c.' I~A IN ~' ~2 ,3'0". I R~~~f~'~~t~ CHAIlGE , _... $lf!.l O.........A&.1D.?1I1VfN DIlIMAINED ~ I $3t~ l~l~e}B'" O.;....;-J~"z- fi'6""""" DIAGRAM OF COLLISION' (USE SUPPl.[MfNI"l NOI~INOIlTH ~ " ~HU11' NEClSSA,aYI BV~1l0W E c= , , , 1.-.'ct':N IlYt~vu1. " ""'" ' )f K I: I t o "D;:-;~:CllST ~ ] I t t "':etl... o VEHiClE "'" o ?EDESTRJAN tIP,-..... I I "'I! 'I !.lll I ....,o...TloO:/"Il~. l€Yt$r.C..-n"'ICoH1~ T . ....o'O"'.CII 2t YlOlr. "i " .. I , , . ", " , . . ,', ....'.'....' , , , 1 ^ ~ I X.~,!o,fo":,~ I D~~i~u. I-=: IU~C'ION... 2 IoUlp...AolII. ,..zJ 'n~~,,~, i,t:1...~~,L- o DIlIV!N DllfMA'NIO Il$T DAM",c;l II ....-- - ~~ o ~c;.",:.:> a... "'WAV S I. IOI:TlO . I Y DESCRIPTION ..oF COlliSION: (lJ$1 $UPPU.....fNT..l SHIEl If NlClS$AIIVI , / _ ..25 I/C?// t......~.E. S->v,T/ C>__ .!.-:4.-~ ...s/~~ ==i; ~ #~':D ~-,..!/;r~c::.... ~ C,;~i!.F ,;:-c.. ~ ,/~ /CF~;:r-- - //6'#.:$ ,~&-S 6<'~-;"iJ C,r.:'..)c:;-~- .;'~...> .?-...~.s~ S~e-<bc-/Z. .==j -z>,;:z~~l'_. ,.,-~..-J/<:"./~ /~a::;,-Jc:===. c::"..,.,..-J7~ ~ ~ c P"6'~ .--c:rf ~-,;;;:j?~ V'/"'? =:I ~.-;:;?U~~~ _ .--....-:s<'....-,S,.-vc. ,t/~..."-- 70", ~.,;-I""7:;1 d~ /TS .:;rc:'? CH...IlGE ~ 'Q~ ~~\ <G:l $.-;".-JV;/ "r-s4.C"<:;: ;;- NAME, ADDRESS & INJURIES OF PERSONS INVOlVED "CODES I 1 I - I 2 I 3 I 4 I 5 6 OCCUPANTS I WITNESSES (I~ ~~~i~~~~L'~A~;.n: $fl 1 ACf k''''1u$1 ,....'6..1 !ol.,~ I (7:.\~ IRfSTll IlllCl ~~~:. ~I:;::":';):.:? ~~,;:::zS- /..: I/~ 1:< 1""'-:-__ I L/ "7 ~""~~lsOI~'A;.".J"Z'~.s $CINf\lJ~ 0 .......a O~~{I O~;... 0::: --sa ,-,, ~ I I :--"',:~~I,n. ~~VJ~IIIO"" 0.......11 Oi~~'-l D~;II. O:~ Oi:.~'..~, ",'" ." ~^,:~~~v,r ~~~IIp.~1 u"'" O......1l O~'~'. O~g~,.. ~: Oi:.(;'w I'''',';); '......":/"'/""''''}'''.. I'."'" ,e< ."p, , I ,." O' T'" ~'''.''"'cr''''':'! ^':)'" 1 ~.:' ')""7.' J ."'0"":1/1 0." XJ7/:";~ /' J" &4l!vk [~5Y /J~F ~'9~~' ,It?.:..~(:. I/?%~ 17/CyF .,/ ?~h / 'I J ~. '.M' /-~dH .4-~c:;,..J'/."",..J / "'NWI\" ~-VC' ~~;"'-r~_;?_ -:K -r"/~...~~~'"'''''''''' ~::~:,' C......~I ",",",," I I T~~--~- ~v L ~',:. '" =<} , ",',., . . ", ~ ~ /:2 -5' " ' " , " " '.','.." , " ',,' , ,>~,' ."... ,I , . , " ,:, '.,: " . .',. ~., , , ,',.: , '," ,:'.. ,; , , ".": " I " 1 ,I '!L '>', .'..: "',' ' ,\ '" 5;:.,'..'... ~ . ",'.'.".'..,. c: ''-'',::' LiJ " :,..... , ' , " . , . " ',C, ,,' " :'., " , ' :"",,::' ," . ' i'.' , ' ',', ,(:., ' ," .'. . I. '. -;J ; '.'., ': ' '.:' ... 'I': ' ,', I ,,: " ", ", : I:":', " '.i , ", .. " , ," ,': , ': ' ". , :'," .' , . :': " " ' ,: ....".' , '.' '. ',.: " .."'.. .: '.': ,,':i' . : .", " " :. '," ..' "- .' , "..., :. .' . .... ,.' '. " ,', ,," '." '.. ',,' , ~.."..,..,.,.,..: . " . ,...... .... . , .' I. ,. ..:.-J ," . ': .:, .,' ,~ J '" ",,~;,.c,'-:'," ,,"" ,,': d'r, ,'I, " I::' ' ",."",.p. " ,,' ,'..'. .' :'" . ,", ":, , " ,'. ,'" i , .. .... I " ,".', rl ; . "'," ,,' ., "', ' '" :, ,"., ''''IT..- ", i ",.' , I.: '.'.,."'.' '. """,',,',' .." " I';,': ,..,"', ,',' " , ',' '" ,"<"',.., .. ,," .'.; ',;' i " ':''-',:i ..' "",::: , " '",' , "":" ,..,. ,,',.'.', '.. , , ' '" , , ',,' ",,"', ' "'".:,.""" .. ".",", " ',' , '. ,:>,',' :", ,. .'. ." '.'.' ,', .' " . " " , ..?':.,~(,'...,i". ", ," ". ;, :!" :', '. ,:, " "', ,",:, i ':,' " . ,,: ',' ,'.:': . , .' ,,'. " .' ' , ", ',,', ' ":: ",' '", " . ",' '.,' .' ',', " , ',:.' , I, . \ . .' " ~ ' " , . .', ':".' ,,'. ': , : I, ,,:,' "',',.', .' '.,':- 'I' ' i. .'. ,',. ',', :,:1:'.:" :,' ' .' . , . ' " .,.,' , " . ": .',-,:',','. .','.,' , ' . :, ,'.' '..".""',,..', ' ". " " ; , ',,:', , ' , . ' 1 .~ 1 ' , ",' I' 'L L_ "" 7J' ~ STATE OF WASHINGTON ,.", / 0' / r-:- ~ POLICE TRAFFIC COLLISION REPORT I2'l1TRAFflCWAY I J 0 PQIVAT[ WAY (lAltO'COlll~.Il~ 0"-" [,t',ION ,IIIJ~fll'MI ,"<OUNT'f r;- '7 27 ,';'91" "'co "" 0" x' " ,.. H/Q3S""' /I ..:JcJFCi'.S OIV ~ ON Of DIN ClllOlIlQWN I N~('NO O'!ollllllOIl..,c;.HWA" 2 3 .m ~ O. caoo C?A''''''<"CdY' ION (!O'lU3 Rd INlIII~fCIIN(;WI!H ~'IIII'Ol.'I.'QA[) 1NONIN't~CIION II J' 6ffWII,f J'nmP ~U1"'IIf[J, -' ~r':l~nn A 0':~;f I DI.,rA,"'CI4(~~}'Ot~IIIOMIIHIIIIN I (IIO.,.,.,IIIH'OI< NIAIo'I:" Mill PO,>' T ACCIDlNl ..Sql'1~~:" ;;OO;-';;Q$/J?J/-.'/JOST /7 M~~~[ COUl~~~i~~OIVID ~g.~~~::O_NO INJUIIID~ q ~!l"GI 0 :I'~AI~UN I o<<.J':.'~~'l,~1 OIVI'iICll~ ill .PIIOPlQIVO,o..M"GtONIV UIII~Ul'lD OVI..I(II 12.5'1 (q O"'""'""''I......,O,''''''''''"oe.'''oo..",....,, 1$ l>~"""v' . , ~: II ~ ,.".... , I ,'. ., '., ~I < ," . .. II '. . ..,. '...': , .;: '.. . ,':"" '.';" ... <. ;, " ';; , ",. ,', '," .': ,:' ,,'., " .. ,... '. . .: ", " .. ..",: ..',." ., ... . , T 10.30.01 2 I) , 6 0 'No. 9 f~~~:: ~ ~: I~<'IIV'" , ~I ~)II<.1CQ.Y.",""".lNU""Il.fP '''"'}''b 1''''0.0 T fCIC~~ I~c;.:'l~" 1.IIIOUlt~~It1"COOi f? I _) I I 'Yo.'?7o PIIIII,ll. I'U IMllIPO~1 ,--s-d I I /Z. ""MP r)l"c.II.......0A1A ON 1'7' '''0' ';NIII/~(;I;~': IIH,'.~II5IQA.DOIlRlf(III""-;1 IN'T CI~ CIID:>~~llIflf 11110"-0 '/260 ~PlClAi CODING W f' \ UNIT NO I UNIT NO 2 0 VEHICLE 0 PEDESTRIAN 0 PfDAlCYCLlST 1\'0' 17 0"''''"'''~7;;~SON ;;;f''( ;r' 0"""''''''' IA" .." ~ / ~ r;;- '''H''OU2~o #, fflc/?7ec. De, """'''''''''' A rp ..."...',... [ZlL. e'27""f'& &<",oeGe "ItA ';;;d:h71_?t;~?'/''' ~ "" "'",," 1'7 1\" 'I DQIV[li ~ lIClNSf NO I ~!"f( I l( _..:',1,11 Of BIII!H I lVIII' II IN~ NO I "., I ~l( I kDAIlCC:' Illlll~. ~ 0::. PC7c:-eGA5Y/KA It<.r-J 11>1 ~I r' i1,- v Y. yo !Z: OC.f'CU"".k~,.v.I~IQM""AMI&I'l-lONfN9-'_8CX)~.<;v. ~'([S.WGH~HI E OCCUPATION TIQMNAMlAPHONINO /'1 (Y1~r""TI"(IGH' \ Z /M/en:<6'NI /Brh~7 Pouee ""-v!''t.P% R 1--, o CHECI( (J") I V(~IC~I ,,~'Z~~Wf&(2~~III"'l 0 CHECI( (r') I VIHIClf AS "N [Mri'g~~'Jfi"'''" '7-- CODES..... :J ~~l~~' C) I. mw::'" =< 5 fJlChON I 6 ~:~'<;;.L- CODES" oJ. 3 ~l~~' r. ~\~:'''''' I !lrIlClI0N 6 ~~~."C'''I '3" " 2 IN~U~~[~( 94,>" A/."....I'.. ..,p~ ~JJ_ /.-...rI"~-k-...., l~~~~~!<'o' /:'.'\ ,,":,:' ~ m"m"OM rg'M'"'O'" 0 ('/~" 0 tHi", 0 ::~;:: 0 ~.'l\.~ :<m~1"OM 0 ~~...," 0 ~~," L'J tW". 0 ::~;:: 0 ~~\.~>'";>,( [0 iF8S- Iz~;;:~>J "?;::;"., 13:;:'~~::\'\ E "M r 10000"""> /7"'"0<0''' I'" " ,> $ ".{," f VHCQ,OIl 11';l,NSlPL"IN l~l"U I'QAIHIII\"T1NO ISf"'E,. H V1HCOlOll ~ L A~" II Iltl/ "'tNC. TfIlA71 ~",.(,;:':,/_ YCUow ILX7"7"S8 w4 I - !.' I cl / I I ~.. ~ VlHICLfIDfNllfIC"1I0NNO L VIHIClllOlNTlfl "II~NO- 7 ~':'d:--';:'\:-;:": I' ~ I 1-1 7 ,L 0 V XL' (;;. I Pi II ,AI ! 2 I 9 :0 ,6' l/ Ii': , Iii ' , , , , ^"'-,i); ri17 1I1C>ISll.llfDO~ LA~I ~~I MIDOLl IPHONlNO II(GI~llll(DOWNIII v.sy flll~1 MID(lj,f II Po. "fO ~ ,,:.:"_:::: :'.,f LL /'t//-:"c-;r /-!JU/,c-;:<, I ~$0:3S'? ~ / , ',......, OJ, ^,O"",,"OW'" '0\"'''''"'''"'''' / 11J"i'<".";,' Z i:i - ~wce ~..Ij,...,,,,. 6E/,tf,vv,c-7'8:zJ? ~ /' , ,. r7 """'''.oo'''s~.;co 7':'sve~.o R ""7"" ""'0 Au," ~ 'i;i,i'/' ~- " ~s~o"' ''''''I"'' 1 ~",~.c., I ,.rn, !;. -I~AMAGEOAA(A, "'~""""'G.....~'l- - InOl~I;'''G. O""",AGlO'",,[,, .......-:::: IZ~ 2 . I .., :'~:J;';) HAIIGI C.....IIG I H ~~f:'~':;; l ) . 1'..33:,,\' '~'lD ~;.::~ o "M.,.IO . 'DwtO D~:;::: o".'ON[O 11S'D~"vl l'tJ;~~.::;;j'~:./,.,> , 1$7Q/4dl~w,t,yBVcelceso,IfJs 0'AWAY8Y Is I' . . ~ ti.i,'i ~ DIAGRAM OF COlUSION' ~uUI~,~f~~~~~~~~J. ! U. ~~;(J1~'H DESCRIPTION OF COLLISION: l~l ~UPPl.fM.!N1"'L SIoIl.{f " NfC[~~"IIYI ~. '":,,. LL. '~:,., C!aYc~ R.!l, ' ", .~. !/c,h/;ccc- d ( SC!V"TH c;l1'U ~ """>>)' ~ < ,,.. " , . , ! C i (!OVc.E;.i?c! _ ~ ' .,:/:,;,.; r'7 , : ' ,\., , /l L)Ece C,v7ceFo THe- ~ .'..,; 1L- "> ~ "'" '- ' , , , ., : i.\.' i?~/90t</,q"" ~ '.'. . ,'..'., " ,: '" y &-.'/c C- c- S U/cet/t:/;=' 717 .P7/S.5, ~'" :'. ,'.. " j,.,.~. :,' .4.vO ~.vF/V7 C1 f-l eQ4,o 0"-' ~" .,.,...,., ":, >' ii., " ,';".,~ . 7.4C" ?c/Cs7 S48v<oc-C,:.\Y'::., ~C'70e ON, ' ~, : '," ":':""",'i,<': .&.;<:1<:: of IRv<k'/l . . : I , ! , SJ . . ...'.: NAME, ADDRESS & INJURIES O~ P~R;O~S INVOLVED 'COOES I I I I 2 /3 I . I 5 I 6,'::, " OCCUPANTS I WITNESSES '''~ ~::~,l'~::'I'~'~':'I:: '''''I Avl b",",I'':.~-1 ~~,: <"~',, I",,, i '"" I,~,;;, " -,:'..:" ""AMI r ~NI t" ~. :, ::/ ADfll/l~" -, ~A'~~,l,o') !>CfNIIl'f OAMIl O~~'~' O~.;". O=r:: ON~., :":..'::_"" :..."': lL NAMI /. ~N /" +......v :: :':",';;\ .' '" ^',,'" -.::> ..'U~!,OO J ' :!ml'.~"OM Do.. o;~~" 0;-;;:", o::-~ 0"" 1'\'"1 . '. ':: "MI ~'O.~' T f"" I \.1 ,vi, 0"'"'" ~ ~~L'l':[,O' "7 :fml'W''''''-o,., 0;-:;" O;g:", 0:1; 0 :;~~"<"""" ' Ilf.'}~Tlc.A""'c.ol'irll> ~ .,........, , 1110.""0 jflAOC.IOIl AG'NC,.. UNII O~ r'OIltl DI~~A'CHIOI POl'CI AII~IVl.DrOAII O'IIIPOII! I-A"P!'Vf~ I :IO""I ;.;:, t /,:::::"C' x IL/?'l.&6/~ "7Ro"pC'e 1~"''1 t<./5P fn:" I /f.-;::i. I/~~:r. I ?-c':::-b'91 Vro.; "i." 'J(9 . .i'.:: ,,-. u-'.~~D'&O_..' ,_~r-' "/i';):'/.,:< .' .."/..,:: ,...'.> ',yi, .,\/. ":',' '.:" ..'::;~ ":7i< ',..,. .'.";,,.. , ...: ",.:<"" ;.. .'>/": :: , 'i,i":., .,..., 'ii".' 'i. "....' ;'...'.....'.;{ ....!'{ 'i,/,ii ':i.f , .'. ,::;":111 ~), Fe: '1 ,;; . "1 ,........ . . ..'.2]"......<..1, :' ',: , . rz: - L{ ~\l[~~I!"""- L :, '<::.. , '" ,...';.", --1 " ~ J JII~ ,', , "". ,:'''' \:r,..'. I, I.', , ,.' I,,:r- . I: ,', "~I " ..,'.'.', I: "'.' ..,..'. ; '., I'; . i, ."..,. '.: ',... " ,',' . ,'. " ., .".... ,...',..' ':, ' " " ',' '." , I .: ,.', ';,' :, ':'",', ",,' ",,,. I . '. ,." < ' :' ':', " ' , , ..'.., ...",...."," ". .'..... ,', ',. " ,,' , ,:, ,., ......" "."'. " '" " "",.' ;" ' ,',' " " ' ..' ',:" " ":, ' " ''',' ".' ,: ' :,"..', "'", ':""'." "". ,,"" :. ". '. ' , " , , , ,: : ::, ..'...,", "', ~.. Tiz,J,' c.... , .,i',,'," .' , ,,' ...", ''', ' '.',.'" ' :..,,: ::'" , , ,," ,',,' . .. -: '.' , . ' , :' '", . .:' " .. , '. :, ' , /" , :. ',',' "," " ,: , ; , ':" '. I? " '" I' "', I . . I; , " ...' : " , . ' ", , "'. " , .,', " .. '. ,.' " ..,...:.,.. ,..'.:,,',., ,', ;" ,,,; ':','":",': ':' , '" "',' , ' . :',:' ,,' . : " :",' :' , ,,', ,':: ,". ,,' ,I ,:"L' Ii' ," ' '< ", , L ", " .' , ' I ',' r, , ; P ',. :;),~( i ' , :. \ "" T to,::30. () I w~....~ l~'" f ~ STATE OF WASHINGTON "0' I 0' I N 2 /j I 6 I 7 " r ~ POLICE TRAFFIC COLLISION REPORT ~IRAFFlCWAY POt~;COMI'I""""NIWN" :!1" .1/ 0 PR!VATE WAY [ C 7"zo"i~i" .'" ~,~ 0,,0:1, ~., ,,, ~ 'of 30 !!~ he ^ 7't'; r'''o I ~'~~" I C2 ON ~l DiN /"') Cl,r~O~10""'N I NJfllt'/~~J~O~':)8HWAV J1 ' Cl~ 1"- "~(".lIIiWltOllIIlt..:.~........ I"" I OM"" 0" O. i9.oo n ION '/)/1 '""- . u'T7,uf/ U,/~ I c3~rFo = i INltlo'~ICtINC.WIIH !,llll(TOIlIlf),I,O INON'NI!~'t"i'O~. L:J /J ./'J ~111,ol II I'MILll'O:ol I I rl IIHfWHN >18TUu:J ^4{'~IfT I; ~ rl ~TI/Hl I /.. J&o .t--' i 13 / OI~I"'N(I & O:'I~"ON 'I/OM IItIII/IN;1 CIlO~~~''''1I1..... -J"'~l~')IJlf)'O~1 ACCID(Nl "'AMP IOI...GIIA.... CA.lA !' Va ,,2. f1 ~'::~ ~ n n n 01 /L1 r {o M~L6~GE I ~: COltl~IONI...IIOl"IO . .~~"II/IIY "I 0 UI 0 &11 ..."'~,... li'oIl'''I.';i'1'iPlll'''Olt 1I::.1....~':~yllll'OllllQA.OCWNllflll...c1 (- f ~O~f~I~R~ (ZJ ND~:~~~~~g,:~:fO-- 0 ~r~~;~~~~ D~~~,~~UN ~.:::"~ ,:x I Cl~ l'Il~HI::;'.z'9o ~'1 OeJlCI~IIlUCI<IN""""'IOIOOJICI~!IIUCI<AN~tl/~NANf) 1$ I~I~AG( ~PlCl"'lCOO'NGUSr ~'" I,:,.:.., UNIT NO I UNIT NO.2 0 VEHICLE 0 PEDES1RIAN 0 PfOAlCVCUSl --r . f- OI/I"tll~N""""'Y aM! ~ ~ OI<I"III'~NAMt lA.~1 "I/~T ~IIIUI"'OO~ O. ~)\, 3 ~f.o ~TllIlI.-.oOIII~~ J I'2"w,_ '.I. J"""" .,r}"co~ ~o"'''o D"" 'A" .._~ I"~'~ n ~ /' I' /N~ 96'370 r /65 '3'.7z.bl I C: "'~:eN~~~t63U1 I thlM I-i "/.;;:; ~ """"_"'""0 '" I'" IX' t ~OA';:.'''~. J 2. occu~ I flIlM:: &PHON[ NO 0' LJ;1~ Ii;;' 5~tl ~ OCCUPAIION rlllM N.........I I; ~t NO /I m~ r~T'{IGHI ~ o CHECK(....' !I~~lc~I'is'Z~'t.i'fj~rt~I.};'~~~lii...l. 0 CHECK(") "IHIClfA.~"'N ~OYH~"~~~WAl .~ <;I CODES........ I J ~~~~~' S .. :~~'~~,..., / 5 IJ""oo../ 16 ~:~.Ul;.C'1 CODES.... -+- J ~i~~~' ,.. :~W..." ./ ~ I.WIO" 6 ~~~'Cll '0/1 I IN~U~II~ "./"1.6.1-, rAAA~ tN ~~~t\u, X / ~~~\i~~'QO'" m ....~~'A..C1 0 ~~(l ~ll~'IQ 0 ~:;:,~:: 0 :"81,..~p ~i"'.;j';~'QO'" 0 .......8v!A"'CI 0.' ~.l ISJ ~~~'U 0 "':.::,: 0 :-Q~:"Y __ 10 1I!'7(q r~:.:lr I 11I.:.n 10AQrNO"A) I ~')UR CON" l ~ v ,.. ytAQ 1......It'I..........,l....7 MODllICA",VAI 1"",....1.............'" J l02fl i Cl ""~.o I~"'~'" ""0 .I"'/J~J,.''''::.:'O I"'~ 7 ""ee'"'' 1""7" "'''' I \ r A '"3 "'S i':;:'rAow c. 811 <J If / _ ~ """" '~""". A)-i " : ",. '\.. ~ ll'IGI~nQf~~ flll'SI MIOOlf IPHONtNO 0 RfGI~nll'lOO'NN!ll' LAST fIll~1 MIOOlI I'\'l........ 13/ AOOQr!.~ 01 O'NN!ll' ~ AOD..r~~..... OWNEll' E " E NAME~A(i!N' R ,~ lr'bU .A.N...,...~ ACOIN 32 t1\A.M'"'f!!JP~l'" I ~~';':'.;..-~.!---1~A,I..,...,:,(Q56 '9~ I O.~'loA-""':,..G I O~OIAAlA ~ I~ l . IR~t::.t~, AQGI ~6. i:J'-<'IV/NLn -- CHARGf lR=;'g~ 1 ),..----7J ~1li:o~~lr_~:::.AG( IO~;:;~ hJ..~I~.A.I~D ___ O~~~!vN o RIM...INfO 11~10""""""'GII'~O~~'~;J~l::liJ ISI///AL I~AWAV8y.\YrN1~ -/'f1lA~ D~~"":vollv $.-- -. l--J __ DIAGRAM OF COlLISION- IlJ~1 SUPhtMfN1M (folo.ICATt NOIIIH DESSR'7;IOJ!?~ S2.LlIS~~N~ .. 1~~~"ITAl,!'~(lI~IC(~!.A1IV1 /\ / _I' ~I t:: . . < : . ~H~lllf NlCl~SAII.Y) v ev;s:w {/.R..Y~ 1'/ ~CJ1Jt:j/hc.V O>? ,L.1.t1L()-t)-(,r -oJ 'i1"' 'rl <.:.:-.. ' ' , > /I -'-- . /J ;,.,IA "..A.A~' fl' , '" ~ I" .-c:r- - - - /t.-Vl-U-{,1 (/""~~ & ~/~" ::::ill q '> -/, , tv'l2. "'" >.. -b, ~r~ ~t ~z:- -l E ----..:..-:- ' . .e9' ') ~aJrLj:) ~ ~ti;L0YU1 " =:t ~MtJd ;A'v-;' "/J lPJ1io ~/btc4 'u,. ,</j'..~7; ~ ~ _ NAME, ADDRESS & INJURIES OF PERSONS INVOLVED . COOES I 1 I - I 2 13 I . I S I 6 -.J OCCUPANTS I WITNESSES W.~ 1~~~~lr6~~"~~A;;.n,1 SIll I "(if b1A1u~I'"",~" I ~:,: rl,';'j~~ Illfm I (JICT I~~~~. 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"', iL "" .'.,"" 'H T /tJ,8er,~r""~' 8, (\ /T;1/.) STATE OF WAS INGTON "0, / 0'/ No, 01503 ;7o?:2 9 "C":i.' {~itrt''!f1/!: POLICE TRAFFIC COLLISION REPORT r;8l TRAFFICWAY l~oQ">""W",.UM'" '} c;;, f" ,V 3J ~,' \ IJI' 0 PRIVATE WAY _('7\ 0../ 1 I/)-D_ " 01.. ,,' , .....,'.. ).' '- OAJO'.~~l!~"," i-.... .~_!,~.-:~V~.:.:;~~._.l. -Ill,!ll flM( JlcOUNTY _4_ ~ty?V IC'TY....... I '_A..3 ~< __ "., r;- 7l:: -~ '",''''1'"''1''';(''' t'" """HOU", II 7e/~~ \ II/? , I ' u _ iB..'::' L " '.':, ',.,'........... ~ 0.0' 0'" ~"""ow. Ie ......NOO..'''''O'HOCHW.. er,.. J-~'I-''''I''''"'' I x,,~ [;',;<, ,.~,,,:~':,!2,:,,,~oo~,o, 1~':o,;:.C ONh4l?:;~ R}., ...". ,_ r"""~O/ZO ~ tii<:., ,- '"",u'<5'/::?'a:J "'I". :L:-,h/o v""" o. ~ I.=J 1',<. ,." 'i,. ..,..... ll~ OI~IANCt.&~,:I~~'1I0"MlI( III '~.,C;~~I..... Nf"'III~I"""ltru~1 / ACCIDENT 8......... lu~_poo.l'" ~;:,;"_,,, (" ~:J tf~::S 0 0 ~ iJ o'.l5'...e...ao M~'6~' 1 Iii '0"~~;;':"'.e2 ~~:;~,!'~,~~."'~ g~~:~~: g~i~l;u. ~':::::;7., '""'IYI~~s' 1~~O;'j:~:~i:"oo"'''~ n 1"<; "'7 O""''''U<;''.''''",'''''''''''U'~WN''S'''''''' I. "'.::"" ""...,eo'''''\6( igJ . "i, i' UNIT NO. I NITN I/fH . ~-i'i" .....'.'.. "'1 /Zi.~a,e~ 4'';/ g";:J~12 -:;:::;;;4'C;~..J MneC/c' "";ttd _ . ".. , """""'" I I i.. i'<J'j;,'~'j~""wlil!il:: . ~'L> 3'=P;/ ',t&N ~-s;::-- / ~;">?/ se.-J ~<3/y'.:<' "':!>> CrT.,. !,'.....n 11"'00( I~HONEr..o 0 I.,. AU ..:~,:t..'^ \ 1'_""'" rr- ;;;>T:';7;;:;.L.J~~ ~ ~Y~d ~.s:::::.n/~ R o~&.~,,;J J.v..4 ~-l' ~ y'u-.J-oC I ~ /Z;:;;d~*,/-o 1;':;'1.,'; ~~:k'~ 0 ~;;d-:;'A-~~ X:)I~.3 ~;;:'i3 "::"c"i<(',....'..:.:..'.. ra- OCCU.....TION I f1IlMNAMt & PHONf NO IJ,.:;; t;!~TI~GHT E OCCUPATION ... rMN"'lII~~fN(:> L.J..~I/~Tl~~ _ " 13? "I.",.&re ~_.5;a..) cU4 ",0::,) r-...; r 'b-t-'-,;:> R v,.v/~/ I 1-6<.....,-\<::::' r"$,-(' ~r"2- c-=-.: .' >"...;, ", .' L...-,;." 0 CHECK If"") I VfHICtfAS 'Z''HM~~Yff ~ ,,~bt~W"( 0 CHECK Y> HI If"'U fH,,,tciyu OF "l<.lOfHf~ I ...... . .~ '::', ~ CODES ~. 3 ;:i:(;' '7 . ::\~~" ~I '''K''~/ 6 ~';~.""'" CODES ~ + I~ ::;l'~' ":Y' ,,,m~~" / " '''''0. 'Y . ':::.'I:':::! ,-;., '- ";i : ....... ." ,( ~~""c 5"'-"''''-''''.#'65 E~"'--e.~ \s .4~ ...-.J'7'~~5 '/ :! . 0 ,-",." 0 ~t" 0 19;,,, 0 ::~,~:: g;:a.~ ~"'\;Bl-~'''', O~" 0 Win,' 0 ::~:J ~~\.,. ,c. '?'''' VI: , IMAltf (OOOGf.CHE" I I MOO~'.NOV") I Slnf (201l.CONV I ~ l-r~"""1A,ot...."'fv 1 I~l 1q.tJl"NUv"" I I"':J) t' ':,'.:i:'<,:,,: ":;':':':"'.':",.>, rz /7'7.2.1 72:iJX--a;;: r: U, I fl "D-,'Z E /.97~I...cofi?u> I' ~""To I ~l"-" ,_ 3! rr:..r. 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" IL "" r 10.56.61""""'''' No. 08-03-9-0660 "''''c:OO'~O,;'9~0660 c1(nl:-:1~1 h"'l ' c7i. ') 1~"yO"', . ~ ~ (~ STATE OF WASHINGTON 'AO, 1 00 2 f1?"; U' POLICE TRAFFIC COLLISION REPORT Q loAFflCWAY n I ~ ~ ..-. 0 PRIVATE WAY ~!-""'ro';;':" .f; ~f,;,,.'I';~"'''''9,''c ,I'M' gCOU." , ~ hD~' :'~Q 1i:~P'" \'YII :*10 f...J'ljiJ;-lu1 I l;giSURI 8 JEFFERSON 1 . DIN 0' D'N C,"'0lI10WN -r N:,""",,!&NO Qf!.llllllOIIHlGH.....,t,Y KTCU .AI)iI4Q.:i , h M'''' D' D" n.o. nlJil~OnO ION k~!~nfL Valley lN1f~SlC',NG....,I.. ~'l/H'Ol1l1O"'O INONINTllIrefand Vall e ____ l&tTWlIN ~~.:.~~~ SIt-II" I nro'ic: I ~IlA~'m' 1 015 ANCI&O;;tr;,'c?' II! 11 ("05551"UI04I MAlliS! MILl PO!.' ACCIO(NT ,.MIoI IOIA.CiR"""'" ,... 136 ~~1~~5 ;, ~ n ~ M;lonn~+ A M~~~E I conl$IONINVOlI/IC IVElll::l_ 1._~ -1. 0 t o ><11" "UN ...",~." lNT(1I1~~.lil..o I'!':'.!!:":.';;~~:'~'. 1l11OAo00001llHllItO ~O~~~t~a5 GJ 0 K:~~~.v..(~~:!D 0 ~~l;~~ D~'{~+m .....:'~h.1 JIX I ell I'sA':"i~n cJYdSa . 08JIC15TIIUCI;;!N.......EOJ06JIC15TIIUCKN>lOOWN(IISNAMIJ I E51 DAMAGE Sl'tCIAl.COOIl'oICtl.6l 9 Tree - Jefferson County s -- / UNIl NO. I UNIT NO.2 0 VEHICLE 0 PEDESTRIAN 0 P{OAlCYCLlST MONROE MARK JAMES O~N_' u"', ;~,. I 51I1HT"'ODIl(~ 151"UT~!.S.; \ \ r l r 3990 Leland Valley Road '\. . 1\ / . "'\' , L..3.. Ill' !.,....u liP COOl IPHON1NO 0 I Y ^ I \~l"'\l \ l'rp.jU./''' _ n"n ~pne WA 98376 765-3992 R ,.." \ ,( " / I' _ 000."'""""'''0 I ".., I~A I """"""" I '~.'\~N~7' \l), \ I ".. I ~'f I'':'" "". L.:. Mn.,DOM'351NP WA M 80, 1'7; 65 v \l I 1'<'\ ',"" : ~. !" . OCCUPATION I fIIlMNA.ME&PHO""ENQ I I'!'tS ~IGH' ~IGHT E OCCU'ATIONA IFIII~&Pl-lQN7NO . \ '- IhU fM-,.....'ltCIGI-1T1 = 2 Wood- SeJ1"'\ IJrn 1185 5-9 R \ I ''\. ' I I - '- .,. CAfeK (,I') Hle~f $ ~N (Mpt~~ff &C~~WAL 0 CHECK (....l Hleu AN (MPt YH Of IHf~Al f ~ CODES" + 3 ....~..'J 4 II. JrUTJrjo.'''' 5 11<"""" ::llo ..aTote.t.1 - CODES'" + I 3 ... ". '\ I N'~'u,,,' 5 'A("O" 0 ~~~.-c.c~ 2~' Ma~ITve/head";'njUr1es" ,.." ~ '\U 1 ""'\,j , I ' 110M 0 ,,-"~""(I 0 ~~ct iJ ~~ffl" 0 ~:~,~:l 0 \"8.'..? 110'" Ert-....,...o.C1 n~~' O~. 0 ",::~:,I ~ 0 i"8,lw V'( I.......~f tOOOGE.CMEV I I MUOH10ART.NOVAI ISTYlE 1201l.cONv I V IMAKE I~'CHW I . MO~IOAJIT.NOV"') Y I I ~ 1976 I Honda Ci vi c 2DR E I ',.{ /, t1 ,: / ;; '" 5 ... C~~ l'uaNSTPLAlE NO I STAn I TRAilER P\....n NO ISIAlt H v1.. COlON I '\ ' I ~ L .' ~ ':>'''' Blue BXK981 I WA -- -- ~ ,,\ 'i-... /,J ,/ I __ v1HICU100NlIflCAlIONNO. . l VE..IClEl[l(MII... I N ;\ ~ ,,~ / 1"3SIGIA1210 031218'9' Iii " I I I I i [,II :\I'(! ! 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I'I,g IMll(~1 7. 7- _ ~ [<' DA&A /=:tJ, 1!lTwtlN - ~llIllI.. - ~111!l' '~ ~ I OI~f"NCl'Onl~:.~' 1 ""IIIHIIINCl,CIIO~~!>'IILfrQQN["lIf~IMlltPO~ I ACCIDENT tAMP 101"''''IIAMo..,,," l~; - M~":~s ~ ~ ;., ;, 01 - M~~~E I CO lISION INIIDIII{O tllflllr~ ':2 U ( I '."'I~'" It, I I 'UO.II.....lIl1:.fCItNCi IItt I II AtoOQ IlIffllfNCI ~ L lOI"INO NO llillO_NO tNJUllfO~ 0 ~Ill.."'t 0 :l"~"(~U'" "''''~DT''~ X iWfll m CIU;;rS'~';;:':'OIlIlOAD J ~ OV(H'Cl!~ J3I 0 PIIOPflll~OAM"'GIONlY 0 ~1I~UlHO OVlHICU -&- . ~~(r Yo r q OIlJlCISIIIUCkINA.MIO'oeJ~AN;311)S"""""'11 I, Ir..;~ :'PfCI,,"IC001~W I UNIT NO, I UNIT NO.2 VEHIClE 0 PfDESTIilIAN 0 PEDAlCVCUST J"l' ,f...;'...' 'q ""v"~~v~. SrnAJ~ LJ~ '" o"v"h;(.L. "p;.6~' /1Gh-;'c;'::::- ~ ~ IE """ADD"" <I ~ VJ ''''':3,;}'') F: tPtl""'L~~ /46 f?s- ...... . CO" 'ZL' 71,.1/lL1~ ~')50&-. _~'NO IS '" "A" Zi';t; "~J~. 1" i ~ t2H-//'J? r; tk? 4?, "U'-4. '1 d"::I Zr/_'3'Z - o;/3~ 14 tp tV..... t. () 6Ve: -?U.4. ...,/37'61 /.bS:: 3/j9. 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INlrR r~:rrll.IID~:>Twtrroll~...o06/wtHltt""l In ~O~~~,~f:$ L:SJ NO k:~~~:, ~~:[O_ ~ ~~J~~~~ 0 ~~~~~;UN I ~rM~ 11NlU I CI$ ICIl~BllltllOIlIOAl)::, ,,/' .q O6JIC1$llIUC~INAAI[Of(z;;;:r:D#.311JN4MI) Is (~...;~ !tPlCIAICOOIr~l.& "::,\j:,:,!,>~;~: F- . ''''::m, .4 ~u;::;:;;';"<.u .7>;:;;;'.." .::::::~,' ~:'"~' 0 "....~ 0 "'~7'" J ~i A'i:,\, ro= "'''''D5~O.i_ '7 h ....(; ",,>DO,," / I ""I i,' ,.... .'.,' ~ CITY ~ $''''11 l:~Ot PI"IONI r-.tO 0 I Y SfMI ---ri~0Cl(/l ~HONINtO 1"2 "-::"'. E D"'''''''I"~"D ~ ~~. ~-:1.~ .~ J D.:t---:i;;-.k. ~ M"''''"~NO I .-.IE ~"I ., .',," -" " .,.<' ...,,'... I?1An tIE. .r-7S-~S1-fv;/.11?1 "'l ZS- zJ: V /1 ~ ,.. .. ~'</.. 8Z 7,;;~lJ;'RMN;e;~~.G? {e lZi~'~+~) ~ OCCUPAIION FIRMNMlt&PHOMNO 7 1lYU1M'c.M'l.-.IGHT _ ;L.',:.-:.,:,,:,::,>::<,: o CHECK(I"') IVlHIC1fAS'ZN(M~'SW~\.~t'b1HIIII"l 0 CHECK("') I VfHIClfA5....NtMP~~~!i~;cr=~....1 "?":~',':<:.':- ',:: , COD'S.' 3 ~~:~:' h . ::\\;~"' I,tj ,,,,,,,~I . ~:?~""- COD'S. . 13 ~:~:' . ::\~~':i' I , ..,,~. . 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I~~~~'g.::t; C..AAGt ~ CHAIlOf 11=I6~C:= .)'O,.~. == " ",_:',i' .n,~.'.o:.-::-J, I '" D~'O'.I2I D'''''" O"~NID 0 DOl"'" O"~'"ID Is'" D_ACCI,K-l, ,ou":'"--O;;,' =;:::5" <I: '...'i...'..... ",;:, ;i; - ~o.O"~ I s/KOD!ltJ l~}lIY I 0 ~c;.~~ BY AWAY I ~ ~ ~ r.__,:,,: r= DIAGRAM OF COLLISION: rvSI SVPf'lt.',U"l'AL INDICAn NOIll"1 DESCRIPTION OF COLLISION: tU!o( SI,JPPUM{NfAt Sl-i(fT If N1CH.S",,"y) l~ : j i !!otI~11't1':US~RYI;, 8Y&3'OW , ";"1'1:,' r;: I ~I ,~/~ :,..,~lf4~~ #/ ..~ I'..ii<)'::' r . '-j 'IT-f~ -yv 7""'.4 . :::::Ji> t:. ";i~iI..i..~.t~jl .. .. , ,_ j.." ,L.:.._, +._:. .. .,...,. .../ I " : : i j 'I.jj . ,. ~ :. I, I 'I , " . , -I 'F '>",'>; NAME, ADDRESS & INJURIES OF PERSONS INVOlVED 'CODES l,1 1..:;,1 .~. I,~, I · I 5 I.e, .=J "i'>,., OCCUPANTS I WITNESSES ~~ ~~::t~~~~iA~m ~f.l: IAC( '.,u"I'..o ,1. \" {,U\ IlIt$lll fJ(CT i:..".::,:';;\', :i:; :.0"1 -" ," .., ,,' ~.:~1~0' ___ $CfNfIlY DAMIl Ot-l~UO~;".D';;:." 0\"8'..\1' ",:,;<__:<;'i:;"", ::;:;01 II ~"'i~'1I0M 0,1.....8 O~~U O~~'U 0 ';;:." O~~'...v 4O]1__,,,,:'i:\/-;":\: "'Ii " I I "T." {/\ .'..i. ~ALU:'hO' S~fN!\I~~ 110.... 0,1......11 Or..:~(1 O~g;.,u D~:." 0 ~~'..~. '-:,:'>:'i;--:,' ,:',;::,:::.'::'.' '~li rol~~'"'DI tiz~rl~)T'"O''''' I ~'" _i,,'i~ iii, ~ ....-" ..- .....; ..."..( .'.... ')i;,~ .....' .C' ,(\' "L "'/"', "/ ,':',.;g. ".;'./ ,.,> , ',/' i' "'. ........... .,...... ,.,.'..\:,,<i... i/.J ,..... . ,i'.i.;:- '.....,...........: . .......'..... .... < ',",.:!>; :'<' " ...,...:,.. i/ .,.\....", .:i.." ,. ..;.. .... ...' 'D, .. }/ 'i/ /, 'jill..".. '.;':',' .' '",i' .sjT!";' tl fl-i",," ...3:[J IRf~~:: ~ , , , . .' . . '.:, "':, , "OOIl!S', ~"'M' 70 "OOIlF$!. "'''....1 "flOIlI$S r"'...t~l'C.Al't.jc.(lr.'rl'..NAMI'IIAN. IIlADC.IOIl ""INC' X ro'!.;T, -UWL~~We4.r1 :ti'?! -;'~ 5- " L jill . '<> ;: '" J .. '. < ) ",'., ", ': , ;,,',.;:...-- ' .... I'..'. '>', . ;. :', . '" ':',' ." ", , .- , ',,: : ',;' I '..' ...'....' ," . '~>I' ;' "',: , " "', , ,.::.", ' , :,.' '." ',,'. ' ["', .... ..'... .' I" '.,:, '.'. Ii.'. ,.< ...,. .. ,...,j i 1.1 '.., ' .: '.., .' " " , '.' , "". ":,": '~ . ','" '. "" ' '. ""..,."... ." " ", " .:' ~0~:\;;~ 'r '~"~',,~>,~"" ,', \. .,,'.. .. ," " ,: " " ';, '. ," '" " " '.': ':,' ':.' '".., " ';',' .. ". !, " .'.., ! , " :. (, .: ' i . ',-~, 'I ii?:/~",i: ,:, ' " .. :;" ',:' " ": ~;" .'..: .', .: :'..' i.' .,.... " , " ".... ,:;,,:;,' . " ( ':,":, ", " , ,;. .: "':; :"'. ," ,','" ,'", : ' ,:.' ", ,':'.' ",: { .. '. " .'..' '. :' ,"", . ;' ," ' " ," 'L " ": . . l,L. . . . : '. " , , ..., ~' ' ; " ') .... .' fiY,.,..", STATE OF WASHINGTON '<'" 00 No. T IS'sr~,~1 4 7"''"7'''''.. ~.:., r ' ItJ"r TRAFFICWAY ~" ",:,', ',.',' ','.:'::..: E,,~ ';'..~~,~~..,,~~ [~~:::,:~:~;~~::~~~.:LI:S'~~:;:~u:~~WU~ 0 P"'VAl[ WAY :7":~~"';:'~:' I In':;,"U;;"~ ~ r "0]' '. :;i':..: " I>/' I>' ~ I X 11,..,,30 II ..J1!1"'.~erJ' ~- 0 I 10*;, _ I ',', ',' ":,.i.' "7\ I ON Dl DIN CITYOIlIOWrj 1 NAMI./l.NOOI:'I~[I!OkHlc.HNAY ,/lC/.:; I M..,....."I l'IIIOUIlO~ ""'.......... I ''''', ;;:C....,.'.... . , /;:1. Mm [21' Ow [il'o' I'.x~-1JvNsr~.; ION '1'II"',^, p..s s:r- .d::.? I I 6" S/ [;d' ,i,':.. ," ;. ,'i;; ;<;.; INIlll:'!CIINGWlIH SIlII!10l/lfQAD INONINI!Il51CIION f'l(lfl.o:.'-r rMI~EPO~T 0, .A 7 ' 16HW[(NI"';/ I J<l STIlUT & W'" J(A;4~ STill!! 1 '"" I OIS ANCI&On/"11 IIIOMIlt/UI!N L CRO!.!.SIRlI I 011 N!AIoIE!.IMlltI'O,,1 I ';;'C~O~~D\;,iT IlAMP I"IACRI<MlN\TA ~; ,.~~,,:,:>, /5'0 pj~~~S ~ 0 n [] Of M / II ~ ~""'::'" COLLISION INVOlV{O !.(VIIIIIY...D.- ~ 0 \;I,t.L. 0 HIT &IlUN 1 .O.}~:~~~~~..~ 1",ltl( IINt:i 11~~.o 1~":.I~;>t.I;~I~';i:~IIUIOltliOADOIll<1HII(r..a J n ~ :,/>.'-:',;:,::,.""':: :._':,:.;~;,\~~,,' . ~O~~~I~PrS OJ NO K~~~~IlT1DAM~~l~~~:lO 0 ~~l~~~~ 0 %~Im IIX 1 CL:; ICIlO:;S;;f'9~7 / ~ ~~ '<:"':":''''~_ cr 06J!OS;U;;;",!:ll3:C;Ilk..CKANOOWNHC'!.NAM!1 Is EOAMAG[ ~CLAlCODII~GUS{ - I~ii;;;i' :.. ''''''''3::i(,v';~,J UNIT;:'r'l: O/,f"./M;':'.".... ~'~~~( S,~EHICLE O';;~EST.'AN OPED~~;CrLlST I=~II~" .......,...i.. ,/; ;':;. ro::- ""'6';:) tlu.! ro r/ f'L. "'" 'A"'" ; , 'i ". ..i L2... CI111"\ SlATE ZIPCOOE I PHONE NO 0 ITY "'" STAt( If>COUt I PHUNE NO t ~ . -"',;:,::":."',:,-,,,,,,:,:J: ~ !~r f +, '-' u r"'.......,J t..J1l. 7&' Jet' 1:?J'r -17'7' R" I .,'. .'" C "';:';::: J: <. .2..r7/'1 A: I::;; I~' 1.;.;< A~"':;~ 0 "",.."',"'"0 '" I ".., I "'< ~."'o';'."~~.' ~ < i', .'.. 6 OCCUPATION 1 flllM NAME & PHON[ NO. 1 EYE:; IWlIGHT HtIGHT E OCCUPATION I FIIIM N~ PHONE NO (Y(~ 1;;IGl-IIII-<<:IGHT _= ~::">":":-:i):;i(--i,i ;'i:',) ,';, :2. ,fu,lc~f/ I ~ro</ [1)'15-// R I '\ /1 I -- 0 CHECK(J-"') "~'t1lc~;'is'Zff'~~r~~!~~:-~~&i~f~'AL 0 CHECK(t") I Vh--lltFA:; NEM":0~f1&1.~:1;i~EIIIA.L / >':::' [CODES'" + 3 tii~~' ~ 4 mW:':"H 5 UtCllON 16 ~~~~lICYCII CODES'" + 3 ~~i"!.~~ 4 ~i::."'H 5 IJtCI<O"C'''' 16 ~;~~1IC'1.'1 '~~ .':',::,:>~:) ,:::,~'/ - ;2, ~ r'.. ' ~, u r. ~~~~:I,u' 0 '".,,"', 0 ,~"", / '0 I ;>)'.,;' ~M D.AMt\I.lL...Ncl 0 ~~CI 0 ~,!j~,,~ 0 C~~,t:: Ii?!' :18.'..~P ~~r:tI":~'~OM .......... ~..... ...~., 0 ~IU'II. 0 c:':.".t:: 0 \",,~....1>l' :',",::"; ):':': I vol-! YEAII IMAK( (DODGE.CHEV.) I MOOH\DAIIT.NOVA) 1 S11U pDII._CONV.} V H HAil I........... IlJVl.>I.>E-Cl'l V.) INO~D7!.NOVAI 1 ~IYLt {HIJ,i,........ V I '~CN . .'::' ::;':;"':" [k: (~(, ~ I r"orJ r:cIt vr I 1'f Ie. ^' E I I /\. I '010':,.:.... 6;; VtH. COLOII Il'CEN5E PlATl NO I STAlE 1 TIIAIlEII ptATE NO. 1 STAT{ H VEH COLOR III N l N l)'" "l"" Il ....Il NO I T.... E:,:.....C,'::':' Ye/lo Lv 1lY1,.f5'>(.) I IV,.,. I - I - I /1 I'\. =;;; \..i> .i '.....,'. "i"r::"""" VEHIClEIOENTIFtCATIONNO C VEI"lIClEIDENIIFIC...IIONNQ /" :':":',' ",:{:,:,:: '3 Ii/ ;",:J~ ':L' 0 oC y, ~ " ,.~ ," .....' rr=- 1I!c,lsnRlDOWNE!. lAST flllST MIDDLE IPI-lON[NO IIlGISTEIlEOOWNllI 71 FIIIST MIDDU 'f...:'1"I'-""lNO .=J :',"';,:J,/-i,::: //(. iSotlivS.A.I t=t/l.:,.J~ f) 1;:lj";"I7, '10,/ 1"- ~ w ~[ .... 13 ADDIlESS OF OWNER NE ADOlllSS Ot OW7 "- ---L.J'" - ..' ;t. ,(",1/'1' /oj n~' VN<: ,/ "- .,>.:'(-! ~ NAME&ADDIlE:;SOtIt.SUIlANC(CO OllAGENT R N ~ IN UR...N...<.......,'-'"'A"'.r "J) , >'::",': ':::. I~ p /J.1f/'l ~ r-i ' .J v If "A/~ e- /- " .. 7' ~ OAMA!3EOAA{A IIHD~-'~N"cr' I~AI N oS--Z:c. ". ,. ~ O~~~bl~(A ~, E~ : 9\0". I H6~~;J'~~": CHAIIG{ eJ ~.~ .IL ~ ~~ 60 .,1:1- Co ~HAIIC,! 1 ) .-::':/;,,:'~},~ Ilt]~,i10"o~~I(ST.OAM.AC,E 10 ~~~lyN OIlEMAINlO D~~~E1N OIlEM~INED I~~~ -=;,' ~"':>:,:,,,,':', :,:::: IsJ~oo 1~1~tA\06Y. #:lfrc'Se-_'f .J.o4-v' O~~~e1. S 11'.....:::1 ;:,::{,,>',::::, :,,:' r= DIAGRAM OF COLUSION' (U!.E SUPPUM!Nl~( INOICAT( NORTH DESCRIPTION OF COLLIStON' (U5( SUPPlfM[N1A( 5HEU IF MCESSAIl11 ..:2_J~l ;,;".,: :':;-.0::: -"," '~ j;~' "'"'''"',Cf''''''' '"~ ::J""r,vS..,v N,tS 0.-.' t<<"".,,4.1' St, /vl(t...- =3i1 i'<, '. I"" ~. I = 1(( (":f</ J,' Nc',-f:tl-rr- r'k c-",rv~ ...d;J,i./,' ...' l:: ~ I --____ 11..,; t(,f /Xd /Jt>~/t. ~ :</ ..',.... .0- - - _ - ~ :. ,..",.. I --e::- - - ~(i.", po- ~.,St-:----- '/. L:::. fi ,... '/. / '/..i: / -i L:t.NI "".'.sf ] ....!/ NAME, ADDRESS & INJURIES OF PE~SONS INVOLVED + CO,DES bl1 J""::,, I.,~, 1 ,,~, 4, I 5,L",6" -ii.. "'. OCCUPANTS I WITNESSES (,~!~~PD~,,',,'f..~r:,T~~ASM""!" ... ~ ~'" - "":"",,,::',:;,.."'-": NAM( ....... "'" ....'... ..... ~O..l Sf)' AGE TMUS NC' I .:;;. I W.o.!. IIESIII EJECT ~"'''h . :::':r";.:d~; ,:":')> [ ~':::" l~~:"O' "r~V.~ ,"uM 0 'M' 0 ~I" ~.." ,O;:~ 0 ~"~'"",<)iy; 20 "'DOlIlSS ~:'\~~J:!~O' ~mVJ~fIlOM OAMII D~~" DC~~TU D~;: O;",.t.;'W .0":/",>,:,<,;,,,>,' NAoMI N'bUM I -,,_:',:"'::::,:.,,:', '. #oClOIIFSS ~~l:i~l!:.or ~~rs~~~,fWUM 0 "1,16 0 ~~(1 0 C:;~lI. 0 t.\'~ 0 ~pc..;,'...V ,'-'..::: IIN?111c-....IING~Ctll'S N........' &11..."" I!MOG' OIlIAGINCY 1 01~'''' N r'~I~OISP""CHlDl f'OLICf "'III1IVlOI o...n OIIlEPOIIT 1"??fJ1) I OAlf"";;::;:" X U;~ --#,. P<My rl()~ AJ I '} ':l l,r,(:, r, c' b'rJ"'" 1",,;;30, I OP.OO't"~: 107-lh"~ ~ 7 1 7 ~i >'iii, , .~'ii/>F', .,'\'(' 'ii. " ..,..,.,:.,..,:..,....' ../};:t;!X'; ...... ? .','i"...:"."", " , ".:\ 'i "/I . ~"'1lsI L '" " " ," " :' ' ",' '," ,",:. , ",' ,:" '\ "" " 'I,:; .', :, " ,!- .' " " " '.....,.,.:: , . ~ ,""," .':'..,." , . ''',' , ':" ':':", .'. ~L ..,. " , :'..'. "~".i J ~,,::";". I:r- _: . I "o:'",'~ _ I' I . I' ...,."'..,.'r- , ..,.1 '. . I, '''', ' 'H "",".' ': ".'" ," , ":" ,:' ' ',' , '. " " " : .. , r '~Jj.. ., .' " .':" ' ;; '; ':' .'" ' ',' ',;' , ". ... ; V ( ~, I I'~ . I: : II ' ..,. ''''', ',' . , ,,', < i ,": , " .' . , " ' ", .' " ".., '."... " . ',. '.,." ,.,'.' :, : " ,'",' ,', ..", , :' .':, ';".', , ,;".: "',',',, ',': ." ...,\',- ,": " . ..,... " ". :. '1 , " """ I ",' ..":"" " . . "~' . " . " ;. .' . ;'; . '" , .:': '. ,."" ....' .', .. : . , ", , , .. , , ""', ',,' , ',' ,; , , -:,',,' , ,',' . :.> .i ., ," "..,.. ,." :: '.' '.. i'." ..'.. ,,',., " ' " ", :,,', ",.' . " ' , , .:' '" ' . "',' .,,'., , ",' ,', ,', , " . . .. ..' '. ..". :' :, , : .",.' , , .. , '," " . : L . IL ..... 'T 10 , f3 I'Oi'CIC""",,I'LA'NTUUMbf' .30.01 ....$Pl~l~t\/,~bOA J 2i09~-:L"_' ::fo] Irlf~~ LLJ ~~UIl.t.J. 11' ~ STATE OF WASHINGTON ,.", / 0'; . r ~ POLICE TRAFFIC COLLISION REPORT 0 lRAfflCWAY I I 0 PRlVA1E WAY U ;to,f~:~H,1 :;'.~~Iw~ ..()~ l~t~?I':f,~~(J;~~~.I:'~., \'1.1IlU~!~~~~OU~1 IlCOut~:. ; CCXJU:yt I'ClIYNO I "I/')5<J1 'Xii/loWS- II -I',' 1:7 I ...., ON Of DIN Cll10~lUM. I NA.Mt NO'OI~111([10~HIG"h."A1 Ifc;1CY, 1~~Cl51 >1IH1J<'!l'tOUll0Q5UtUfOOO( -I $.tCIIOI ___ M"" rg', Ow 121'0' CLlA/?I</A-r/IZ.IONcLfA~I~/A.r.c/2 RP. I~? I I /t:)7So 1 INlllI:.tCIINC. WIlli !.Ulll! OIlIlOAD INOIl 'NItIl~I(110" Pllt /I. IHJ r.....lll PCJ:,T IIlIIWHN ~- 3cOO $1IIElI & I.(.S. Ie / ~I~I(I /. J 2- OI!.IANCl /l. OMIC1ION 1110.... ~IIIIIINC( C~O~:.!.I~tt' O~ NtAIIl~1 MI,f ~o!:. I ACCID(NT U.M~ 101AC.IlAM o,t..lA I .2.#0 ~,~I~:!. ;; ~ ~ ~ 01 Q-30CC ~f), M~~~rE COlll~IONltlllO""(D ~IVl"IIV, 0 --1-- 0 Ul O..II/l.IlUN I ...."OIrlOh.~ r 1,r;::;ilIX.J:O I~ ~l>tffOiliOji;OOI'.!uttlo:<<:J. ~o~~~I~~5 IT] NO ~~~~~~:~(:~yllfD 0 ~~~~~~ O~'I~I~~l ~"I~'''IX Cl~ ICIl~!.W{!fllOAD"e J ~ OB)ICI ~I"UC~ (NAMI 01 OIlJlCl !.lIlU(~ ANDO....MII!.NAMI f 1$ 1!.10........Ar..t $ptCLAL COOINO lAI UNIT NO. I UNIT NO. '" 0 VEHloe 111I!.1 MIDDlI DIIIVt~!.N""""l LA~l No. ~ =:!! 12 ~ o PEDES TRtAN "'" o PEOAlCYCllST M' , 61.!3S0,N H";/?7~;(' ION6 ro::;- "~~~'~OL' "lFrL, [s.,- /r.'o, 80>< M75" ~c:;qREtCPEEAJ /..v;~1( ?sr.;;:~ 1;;;:07.51 ~ Ilv 1'_ D~IVIII'!.IlCIN5tNO I !.1All I ". l~gAIl~~~jll,lI';v~ I IVIII!.t1C1N!.INO L=-. G.1!35oHJ<~/OI?13 WIJ m I "7!;z,?'Vc, v e 'I~~HON If'RMNAMI & Pt10N[ NO ItYI!. IMIOH11..10I.;T E OCCUPAHON ;;Z -r"u"''''f/C /I1,K,G.(BS"'</ Lx; 7eu~,(Ir4.C,f! 113c15"~ R '-- 0 CHECK (V) ! VI Hit, A~~N{M~:~~r ~ A::~1Htr<IAl 0 CHECK (-"I I "IH'CII A~AN E.Mp~"'dr;~'1tf:S/AI CODES'" 't- 3 t;:t~. I.. m~~~'" 1 5 IIICTI"'" 6 ;:?:~.lIC'CU CODES..... 3 ~~~~~. ... m'~~''''l 5 1./l(TlO.. 2. ~N'~~;I,v' S<7i<!r. L < pT ~flouLP€.' ;eA' ,",,:;0:1,0> I 0 ""'~Ul""'C' 0 ~~tl 0 rmll~ ~ ~:~,~:I 01\\~ol>. ttr:.i-:~'~C'''' 0 _kl'....'1 0 ~5!'~'1 0 z~~,,~ 0 :::.<:: 0 ii.1'",y F:" 7~C/7~ IWH~;;'~H~I ;;;;.r<T.NOVAl 1~~1;;~~7';{~ E H YlAII 'I~l (LQ~I.C~fV J lMOWL(OA~U.o~~l r1YU (20~.. N I ~ ~ ~~;~ I;';;Z;;':;" 1';:'/1 1;;:;3:;.€I';:',-'f' ~ "HWO' I" r 1""""0- 1".' "(~ICLf IWNTlftCA1!ON NO L VI~ICLf IDlNIIIICATION NO ~\'(:OINIAIH!J-I1/171),l131'i'IOI31 I I I I. I I I I 1 1'1 III 1 III "::" IIfOI!.llREDOWNfll lA!.1 flll~l MIOOlI I Pi"ONE NO III l~nl/fDOWNlll. lAST :.::. (;.'5 SoN H0/11 ~~ 1"-".<-0 7S-1 ~ ' 1:J ADOlIl~50fOWNfll AODJ<f.!.:'G1I" 0........11/ 2.. f?o,I5M PI 75" /'r13f/2b;:~.d If/A 'jS'.o;--ZtJ' ~ ' ..- "'_f&"DOllf5~UIN5U~At>lClCO ORAGIN~ . R ,A.Mf&AODf/I!.5QfIN5UIIANCICO-OC,i."Gp"1 :i21 t:o' ,:- JU.LE/6.H. .'+l':"W~L.L. -SI"A7IL" ' -I. I, ~ OAMAGEDAAfA I';:~ I r. '/lJlI ~ I M'~"""::'~G 1 OA.M'loEDt~u. ~ f,"':>' 'pT- 2 ,\o-"_~ CHArlG! ;V CHAIlOE -1~6~f~~~~ n .\op~ ~ L= ,~~. $/;:;'~~f~&".:ffipMA'p~.fSEL D:';.~~" O:::~'," D"M""tOI;"O~.GlI'~';;;"~'~ i. ~ DIAGRAM O,F COllISION: _~.._J::atl!.UPPUMI_~_^l INOICAT! NOIlTH OESCRIP.TION OF COlliSION: (V!.I!.UPPLEMINTAL !.HfIllf N[C1!.!>AIl'l'j J~ " ~r '1"-1 ~~"~"cl "mow " _ J-l- ,1_1 I 5! !.-'--J-.' e.1'r J!/{Jl'L~_~<Olt5c:u^".R....o...'_.LL.unel,~~~~~ =i E~L ., I . " , ,I~ j . m79T_IiE:JlE~JJ:~A/~--A.sJ7-L_13/1JJ:'U:E.I>_ = rc . ,'?..- '--i-J+-l.--t-j-1.j-i-++hYD L 1d.~Yd&_Cktel!i:I/:aa-L~tttc7:o..-C~.!5.!J.!'i.~;z:j C;/!;; ~_+.~.-L-l ~ '. 1" Tt:I.HI('f-_T~~.J.E./L---r.:g_J&Lt-_C'tJ.!71:>.-1~-2.!~_ _-'+-t--1 ,_j_L.LL~~ .J-ft-i-l,-I- ~1jJ_FM,K'~_jY.;JP.U710tfi",f-S..._.Eo#~..iU!L~.i(Ul/ --;;'l r _!.-4'. _ -1--1.+ J_ll. "I' I, Swp.u;,..::r/7CI(_I.fk'o.KJ.,..!"...sc E.A-!&..,_~tt~y!-.m~._, =l c -1-3~t~~tn1fPHt:. ~'!.t/!:. :..~u=~__:~:=~_:!/,~=~-=~~ I......, ;[~mT~r~Til,Fl+lT1+ j :--.. _d_ ,.",." ,.... _d___ -...---.-----.-- '9 " NAME. ADDRESS 1\ INJURIES OF PERSONS INVOLVED -- OCCUPANTS / ,WITNESSES ~~ }.gri;l~ci~~~~\,,~n; NAM! ~HO"'I ~~~~m '{:~::, ~;:-'. I/(! :'~!P:'T:':=1=':: ,... ~::~~t~O' ~ i -F"-' .::.t'L.~.:'~:" ._}:jOLI'-~ NO iI:I NAM! --. . . ,. N, :~~,,'':'''O' _ A\'lOI1'~~ , . NAMI ~cr" I I t A(}(!l1n$ ~"~:J~~lf~or ~~r~"~~1 u... OA...8 0 ~~~'u O~g~lI. O~: 0 :'.';,IW , IINVI!.II"""'N"OIIICI~ '> NAy! &~:'';'" IbAOC,1 "~[AC,lt~CY I"'" ;,; [POIICI D'<~~l(>~l(' PO~1 A~~JVlD[ (lldl O' I/IPOI1T I ArrIlO"IObY I 0"11 X I n oj/;'O"<<rv I '0)/ ISe'i'" '''f:.{/ I /f.q:{' 1:;>,~1., 1K:-,II-tCJI " I $IAII ',,'coo, 1 ''''''''NO I IAl1 I~' I OAT[OI11'~IH ~ I ,.. i" 1 I1(SlWlj~T""oH' -= 6 ~:~~.....:..:u '7;7 .~ 1 I~ =ji 5 ~l \~f?f~~i - tT2TJ '....~~.., ~~,i--I-;I~l~I~~;I. f}ClI ~~~v ~ I I I MU' S'='lNlllY M 0 AM8 0 (';:~'u o~~~'" 0 ~~ T TI O~'-;,~v ~rr5)\~~' FWOM 0 "Mll 0 ~1~~lll o~~~". 0 ~~ O\".~l,,,. "'I l ,~_.l.A. ...._~U,f;~~~, ---.&l: L ~ .. I . ~:.""'."'," , " : ',- '.. . ' ~ . ;"', " ...,' '. ' ",'. .' ".' ,<', ' . ....... , '" " , ""', '.' (', , " , ..".. , . ~ , : " I I ii~ . '.' ",,';' "", ", " '. : , . . .. . i c:';" '" '; .','.'...'. ':','..': '. :", ".' , ' '. "",,", . "..'.. , " '.. ",' "" " ".. ,. , '" "", :: , ',': ',' .',:"','. ' ."," . ," . ,..",'..,.", " '" .,' , i., . , ,,'. '...',,: .,' ':", "',',. ", .:.:, ,: ',~ '; ".' . 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T. 10, :30" 01 I 9 () I 7 7.......~"'1i t~'" , ~ STATE OF WASHINGTON '.0' 10' / N 1"1/ ~ POLICE TRAFFIC COLLISION REPORT ~lRAfflCWAY ""'~;WM'''''''U"''' I I 0 PRIVATE WAY 0",1( 01 OI\I....'ON ...L,J ,'" Olll~ TIU'>l: "MI, nCOu,,'y . COVt", NO, . !ClfT toO [L 5' '/' 8'-llX .,. '"" ." ,~"" -" 'h;'3OCi II T~/G,6;a.-.J I (p I I r.i 0""010'," ~~t" N........I~..P'&I-O..H'GHW...y 'C1Cl'lI...D...~1 '~IIIOVll0"TlIlllCOlA I"' J',?-M''''~; oW ~'" %t u,!,b-P ON &?~~- J2!:::, 1",\ ')1 I ~ .?2lJo ';:t;7<JY-:~';::i3~,:", _ l~pgo~:G =-.,-~.;; ,."" I'" I""'''''' "/-~.Rt='" e;&:<~~&;6 1~llwllN ""2/..2,.uG ~lIlHl~..-4-'".::M.'llll1 I I Z. S D ]J I OI::.'..NU~&~..',:ONf~OM 'II (Nel CIlO~~~lllll'Oll N(....IlI~lMILI..O::. I ACCIOENT "A""P IOIAC.li,o.Mo.o.l... l~ "S-1=t~('~~S d ~ ;., M 01 ~/// 6" ~~ &Z. M~~';;E I COUlSIONINIIOWID SIV,Il'In ~ 0 l 0 I I ....'u'''' INJIIl I ;;.n'j~ I)l, I/O I~. 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'2 l:sB'5/3S/ R '\, 1'_ OIHVUI!t IICIN~ NO L Sl...ll ,I ~ll .0"11 Of ~'1/1H I IIV(I lIC!P~!.l NO '\. =- .s::rd8'pc.:::?sY/DZ 4/# 1/7,1 3.9 ;;:!::? v \. ~ OCCU.....TION I!'~~~;;~,j......'e: !).~S 1~I-iTII-I:I9-l-il E QCCUP...IION flAM'x.M\I & pliQN(,..o l;L ~n,;;:..7f;':d'~5? .;"'_) ~~ i'~r-Ge:6-2 R \. ! 0 CHECK (v) Ir~rt~i~~:~~rt~~,,~C~:t~"I~''''l 0 CHECK(") . vtHICl S"'NIMPIO~IlOf"'NOTHt~I"'l " ~1~~D~,s~ - , ;::(;' e, . :~\\:~"_~II , """"" / 6 ~:\':''''' Ir~;I:~~' I, ;::~:' f\t ~\~~'" ,..,,~ ./ ~/ -4-r.;:;/'~S"'eJ.-J.c.: "\. ~o... 0 ........BU~...."'Ct 0 r-l~C1 0 ~~~llP -a ~;~,~:: 0 ;'8'..101> 'I~O'" 0 ...........,......Cl 0 '\'Cl 0 ~~IU 0 "",:':1: 0 t.~"'.... ro:- A7?1~~~;r-15~;;i:~IS"~~ I~ l'" r I (-.HIVf 1~ID"'T,'fjV~) ISITUl V):-ie LL v%u F;J;E:;:5:21 ST~# I IRAllI::1 NO .1 ST~ ~ V(I-i ~~ -r l ~ "'-.1 Il'" I SWI f'i"i':OO'i~'CllIDlNTlfIC"'TIONNg,; l \/!HIClIlDt:NT1'ICAIIONNO '\. 1'~I'<".o;:',~,7iJ/17~13i/ .sIO~L5' I I I I I I : , I I \. I ! I I i rcr::::- R!QISIlAIOOWNIIl ~T IIIlSI ~ ~ M100l~ Pt-lONlNO 0 ISTUI WN!1l lASI flllST Ml~ '-- .s;T'6J6,ELt6 -;;>nv/ ~~WE ' ~-'/E-- W '\, I~,? "'OOIl!SS or OWNIIO' N ... lilt:.:. u OWNIIl '\. "" ~"d ...."',? ~ E \. ~ NA,M(&"'OOflISSOIINSU~""'CI;O O6IAGINl IN U"'''' '...... N '\. I'~ -""'-"''''''-.)~ R \. '--- D~"'(>I0AAI'" I~~....~",""C:' l~ArmN. loD.!o.oto"":,...Co I O~~."H"" 35 IS 2 ) .. I H~~(~.~:t; (MAllO( CHAllGl I ~ ~..f;'g:Z 2 ) .. :-Ct.~J'I~~~B ri~L ~;""'O ?/Ti/" o~c;.,::~" m:::.-," o "M.'"'O I;" 0_0' I'~ r.o~~~~' 5" t:: DIAGRAM OF COlliSION (USl5IJPPl!M(NTAI NOICAI( ~~H DE5CRWPTIO OF COlliSION (1J515uPPLfMlNT"'L S"OIl NlCl~Il'1 3)1 16 t !oHHllf NIC1.55"'UI_ BY...III/0W -- - =.J _ , . , " , " 'I: .1 _ -i- ~ . . "j/e:. 4&S 4/p'';;;-,<''-.J _Cd?&'" _d;;';';'~="" 51 E i 1 .j:' 1 . :! 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I I "'ODI/m//Dif ~:It"';;/~ _~:G~_l""~ ~"T~~I~OI'-.#Uo.".#O;:;;F- !'(1"lr...~~t"V"'O"MIl D~~l' Doll';", ~~;.:' O~...\.O' ~".., .;0" 1 I 1 ;po "O[lIlI~S ,.""uOIOI ---- ~o\\OV(O'1I0M OAMIl 01'0>0(.1 D"'ll 0 ,,".y 0"0' ...0 '.M' ~""~' ~'M'" t' '0'" T '"'''' - "'Oflms ~~0'{~lsor ~- - fllUN' 0 "Mil 0 ~~ll 0 ~g:.'lJ ~: 0 ;-.c;,'..\. r 1"~vt~_'~C.AII"'QOI'.7~'''' ~~g~c?rll"'''('''''' U"'1I0~ r'Ol.t"lo.se~ICH(tJ o"~~Il(~'..I"'~P.IlOVJOo// I -p~I~ ,,_ X ~~ ~.:T:: ~'.4~ le~Oyl AJs;71 ~]:~' I~~';:s':;;~ 2'OOHll~ S77N"IL~#JJ/~A'~ I~~".. ;a.2J U~IlA'. RU""I ,~J o PEDESTRIAN o PEOAlCVCLlST """'" T I""""~ I ".,,"~' OIIODA 10....."" 11 .1 hn j"o'llG.l111I-l:iGHT ==- 6 OIIO'O~'~LI :J:, \.O{" lO? 1 , ,I 1 _\ i 1\l~~i1"r L :J1l ~ j:. 1 _ I - I --,; /2 -50 6 ~ S ~ ~ .. --:-1, I .' .,.."., , ,..",.' ~....,.'.'..'" . ' '. .<. , . '... '. , , ,'.'. .. .. ,.; --.:, ," . , ".." i' ' ," -," "'".:." ,,' .' :". ',' ..:: , . ".., ' ,,,,,:;."}J .' ",. c,.\;,:j , " '. " . 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',...' , :' ",' , , ' . , , .., ",,:,:i' " ' """ ',C ':'..: : ,.,.,..: , , ,": ',' ':, ! , '" , '. ,', . .' ',: " ' "',..,. " " " ,:, '. ~. ,,;~ ~;'S ~ I; \ I. , ' "<, ,;. :., ...". . '" ,," :'.. ' '. ,', \. .."'. :.., ',','! l:;'.L"'.'..:,'.....,"" ,,:' " . , .' .. ..., '--'- " . ".":,:1" :..i @ STATE OF WASHINGTON "0' l G! I T 10.30. 0) ,.''''',''''~,: rr;;- ~ POLICE TRAFFIC COLLISION REPORT ~'AfF'CWAY ~~;,,,,,"^,","~,, 2 ') c; Qt-.. "'''if..i}i, 11 0 'RIVAl[ WAY Z31 "'--':',":: .,...... :':2:;; . "'''0",'',,,,,,,,, I.", ".. 'co.,,;,v'. ,n ",,:1~\"0V' II"'''"'' 'OU"I'?'... I'''''''' I I,,',':"" -".,: ' IT (.;:, L(" ~1 I')(' '" '"" ., .",,, ,.' II 'U"n"5Z:C;' II ~(!"'i:::'~"~.,J / L?' I Ig~:: -:' I" 0" 0' O'N """O",OW"1 N~""OC<'''''''O'"'O"w., "'f}'~,I~"'~' WI". "0'''::''''5''''/'''7C'''''o I~""'" j ,'" ['li' '~?~ '-I N"" M, ow ,,"0' .,'~",n ION ~Gfl7Yf'F r 01..-/ I / -= ! INII.',f<;;l...<.Wllt1 ~llIlll01l1l~lI,D IN('I',lINIl~~IClI01; PlIlfl)O; I'Q l''''l<f~l c?'\. 9/ ..J.. .....' ,,' - - ItnlwHNThP.ft~ ~1~1I' & A.RDlf\J ')1'<[11 I c-'~ ..:::::J' !"o';" I J I D'')!'''~(t & (),;d~110" '110"'" "llllllNCl CJ,lO~~ ~TIIIII 011 MA"I'j,1 Mill 1'051 I ACCIDENT RIW\P IOIAC.I1....M DATA I ~:,:i;,>:'::':'~'?:J:,'.,. I' ..::J,...., ..rt1~';:S .:.x 0 :.., ~ 01 A .r...:Po~ M~~6r( I :',.'<'::..:-' COl\lS,ONINYOIYtD ~IVElIlh~~: I 0 Ul 0 II/ I ""Il~", IN ~~I)I;.fl.l).I~N1~~91~:~lIt.t.~lIOA.OOQlllffl/f.NC1 tn ,,"':/.\.,.,',....,. ...... IOlAlNO rtl NO "'Uto NO INJUWLO--1..- ~~~;lAC;t ~,tOlI\I,~N'~ I CLS CIl~~~nlU,IO~5/OAD \,:,.._~,~, ~ {}IVII.unl!. L&.J OPIlO~Il(OAMAC.[O...l'( OlllSUl1lD OVII;ICli r,d""-ZO I''f m"m"tm~~m""~~~:~t (0 Is ':;e;~ ""C~'CO~"GUS' 'J:," ,J" UNIT NO. I UNIT NO, 2 0 VEHIOE 0 PEDESTRIAN 0 PEDAL CYCLIST ~ '-:':',X-;":,:.::,-,_?;::",: 'J',-:,~' I=--- ."''''"~k.h.\~'~ M';~)JAef to.:! """'''~. ,,"', "'" "'PP,' / l=t 1,>/ ~ "''''..00.''\ i WI.J05H,P [)t<. '"''''000''' / I r.:-,; "/',',.,., /(. ~ en. POIl\ Il':t..rN~'D \;VA "~;,g 13i5: 4:>3 ~ "" ,,.,, "'001 YJN'~ 1-0-. ,i'" L:: o"'''H\(~"~11l-ML lj8~3S I ~ T ~ I I.F';g"l~z ~ 'V"T,,""~"O T"'" 17 ~o;",';',''':':. ~:i r'), 1;-C:, I "O:~;:"' "of)/>l >>~I';::JI7~~Z ~ 0""""0" T"M "~" ,""", "0 / m, I""OT'O"' -= :: i) . . o CHECK ("'-) ~~N EM~'8~rr ~ ...~t:HrlllAl 0 CHECK (tI) I V!HI/"Ll A~~'N lMP~Of/I[~{:gI~!QIAl I ',:,,:::,':,:,,;;"::;->:~ r::l CODES'" 3 '""" r-;::: ,""'"'' 5 ,,",w., 0 ~w~"" COOES ... 3 ,",,0, '-, ::\,,:~" 7 5 """0" . r;;;~.K"" :;i.:y. ~ ~~~~."l.~~~ '::: mg,,,. 0 ::~,~:I '.~':'8'"'' I '~;;;;::OM ": _",..." 0 t~,/ DIg;". 0 ::~~:I 0 :\~~,..: , ~ I""'\I~~'~EM I I MOOSD:J""MA' I 'm:;l.o~(", 'E'" .,,, I""" ,00OO',""EM, /I MOO" "'" NOMA' I"'" '''','''"'' I:;' ',' "':i" [,~, I'~;;;"~~" 1"\Iw, I'''''''"~"O I''''~ 7 MI",,"O' owm>"'7 ;. I'"'' ~.,"O I"'" ~ )',/. r? 1i7x~'\";'~'~1\0! I !~ ! I i 5'iJl I:.. ill i,,) I "llI'l'):'8 ~ MI"'~'''~"''''~''0~"71 ! I I I I i I I I ~ r.:., E IltGI~],UI:O\<~~$1 ~, MIDDLE r~~2D3c;.; 0 /(Iuls.n~(OOWNlll /A$I flll$T MIDOl[ I'HOMNO L.J'" .,:>:'., l~ .OO">>"'~ I'b A \'(}Je. ~ .00""''''7 !tJ L,/< ~ "~"'~o~~fu,,~c~^~:', ~o R "~'.7 '" u-.r"" ." ~ I;;}: L- oA1:.'.:.~%I~(A 1r.i....7S,o,b""'G 1~!!.!.lIOP t=' I I~ u..Ja r;;f;,f:Ill:~~! O.......A,GfOlUlEA, --:;:;,,":,;:,\0;.<, 1$ 2 3 .. I J;1~~-~f~'g~t~ CHARGE I C~( 1 C ~~f:'g~;; 2 11 J IN .. ~ r K-T.~_T.O.P.~~ l~~AM.A~]ITDIlIVlN QlllMAINEO 001111/(1'.1 OllfM.lINED 1m OAMAt;;E ,~o~~o~?~~:::;:; 1- '~p6eoTto~:r $~.fV\1-.,eL:.I~r€~~e... ~ u..S h~c;.W:.f8'" .AWA'f' $ ~ 7 ~ -- E DIAGRAM OF COtLlSIOM: (U$[ S.UPPltMlN .Al INO'CAT( NDRT,", DESCI;:1 ION OF S~tUSION (U$f $UPPL(MENTAl $HHT If NlC!$$,I../(Y J ~ 16 -', I f.ol T : i--i "l1KU.ljr,NtCU'~~Yj IlV~OW ~\\W\ -SW f\,--~!,\\", "..-...a::-.-~ tr-" "---..::= " ..;!~. ,,,,", , ,,&p __~P'IJC' _ e){. L.veJlNuJ _ =;;;) I^' ',' , i, " T)k. Ld''l \Z> l'vo.O J'\ ~ ~ l]J.z.. =.'" '" Hl~i C~ " , ! S lJ,..><, \'€11,<.tD STru~ nk';J/a . =-'.'.: L .5\,8 ){,: . .q::i , .. ,'\C~ W)Jete IT ~ '(l>',,"s,-. -;::.;; f" ' ., " ' ~: I, 1-'-'-: B-- :./ I N\0 . r-.,'; '<\'<;, , rvtx!rI'" ;, f--,;,<.. , V~.'- L '"I'" I" NAME, ADD"ESS & INJURIES OF PERSONS INVOLVED . COOES 1 1 J 1 2 13 . I 5 I 6 I -r ,.':, t- OCCUPANTS I WITNESSES \~~~::I'~~~,'::.;;n' ",Ji.o, "'..U, ":.~.I ~:,: i,~'" "'" I "'" I,.,',;;, 1--','.;' ";'" NA" ,\fuJG;T ::''1,o"',:~~S- 10:2') 1C' 3C 1 '_I --1-1') ""'- IiC ~~':::"-i'O::::::Jn,n, (cu 'Jl~~"". ~ '(j, D lAM ~~6b ~:~?'~' 1- rm'NO',,~M 0 ~ 0 r;~ :;:: 0 ~'i~" , ,i.......'......... L": ~~':;,,.' ~;~~::. '''.; ~~~'I~ "ON O.N" 0 :::" m~;,,, 0 :~~ 0 ~';"'" I-+- '..'.,........'" ~ ~"'~::~,~l,c,' t~r~:I/~;I~L."" c.~.~ O~'~~/! O~~,~" O~:.: D~'~;...:,.:',.':'.:':",:', ,i~}it;! I X I"'U'<L'::"G~~"'" '~'l I"QO'l~.t:~p ccli 1""r;7~'""1 '\li;?'I'&'y7;~ I':'~c"'f~ ~ :1?/\/ .__ _, 1,'1',.) )- --" '--___A ........,.. :'... .....1",,' .'(1: < ,''', . " ""i.;:.." " :..', .< .','.' :':':"".,. . " ";'., i,i:.'. I. .'. . .'.i ii', .i,'.' 'rii, 'li.,">' i,' .......' "" ,ie' ,\',' "':';' ..i;, '.: ., 'ii,'''''' ....:.zJ ..,..,,):. i i<...............!.;E Ut'; " ..':.., ..\ >..; .....>: /1' :"7;:ii;.: n iii>.\ 1" '" ...... ,: ;: , :.', L .... ,-- ".,', . "'" I: ,. " i,:' ,i, " :~:';': :,:,;:,:i,/,:::'} I I "r " i I I ..' I I ',' ". .'Jl '. .,..". .. .,.... . I "", 'I ' ,,' : .,/',' " ~ , '".',' ..",. I' . ':':: '., .' , ,,:: '... ",:: " ;.. .', ... ." ,'; , I: ",': ....' '.: ,,:;:: ':, '. ',: ,': ',',.', ... "" >~' ;';\ ....~~ '. ":'''':~ ,,' ,." ',' '. ( ... ..,.'. '1' , " " :'1 ." ','" ; .:.. ,.,.... . -:: '. '".. ,:,',<('~ ;.> ~ ' ,'.. :' . " ." " ; h. l;/ . , ';' ,. I) . l- i , . .'... " . ; , . ", ':' , ','..'. '... , , ',' ,',:.' '".: ..."..' '..' ',''-: , " / '; " ,." "- . , .," " : ,,: . '" ;---,' ,., ';: '. . I~ ..;',: I: " ,~ ..'., . ...,. I j ,. , 17' ,', ':, " . ':,,' . :' ......',.' : ...," . '" ".' "', " ' : ' .. <. " ~ .. .' "..'.. ... ,... . i.. ;,',." ',. ' . " ,,', : ",':, " , ... .'..,' ,..', ' '. ,.... .'.,: .,:,.."..., L :, ../ ':'c,": '. , ..., ..: ,"':: ",,:, " ",..'. ') .' ': '. ,:.. ' " ,"':,,; ':, . . . , .,'. ....,.,, '->~:: l,L,.,.. . "((';1 0]::/' 0'.:' STATE OF WASHINGTON '^", / 0' I 7' /t>, ?:1,o/ .".,,,,,,,., ,;,', .,....... "'" No,? n ? (, 4 7 ".':(' .::: ......,'.; r-;- . '., ..". ' POLICE TRAFFIC COLLISION REPORT "'" lRA'FlCWAY ~" f;:o;) 7]' I / ' 0 '"'VAT> WAY ....'.~''')oo'V.."'N'_oo~' . I~~A !~~ ,', ': .', " : ",,:' . (JA1tfHCOll",'(Jr, "AV l!C l(' 'UN , II r."'1 IIcou~;r, 70<.'~ ICi!l'NO I...... r-- ' " ~IP,"~ .&'j i'l ,,, .co' '.n ~","'" '''II ';/'//'))'5 II-r=- L/ u::: ,.' 'ii> ~ ON Ill' O'N C""O"OWN I "~""O "'.""'0' "'Go<W" 'CI",:' 171,,"1 ~ I, IR~~~~~::~ l:.t~ll""" 2J <':>;'('(';.':",','" ' /"mO'OWoo'r~~,...~." IONI ,/v_19,,, ./ 1 ',d I-,,~-=>~,'),', IN1U; lCT"'G 'M1H ~lIlttIO.Q 11011.0 IN<'''';'Nlll;'~fCl'ON "'-' Pl1lfJ~ r'~' rMIL(~' \ ~ 0 '. ...,_~""_,-::_,,,.;!__:,,-;;.-: IBfTW(H/~"--J' ~lI./UI~" \.)",. SA~ '-","'_' ( OI~lANCr & tJ~:~}.";';- ~ROM IIf~HIN f C.QO~~ ~Tlltl1 01./ t.1 11.10'1:,1 Mill ~O~l ACCIDENT Il.&.MP r'Ac.IIAM 0A1... :;''-'' _ ':>", ::"::~::',' ( ~';:~ (; 0 ~ [] Of Ce-.vr_A? .l?1L1) Mtt6~rE NC1 jJ::":;" .".)',<_i::: (DlIl~IONI,.JOI"tO I"(I./IIY 0 UL O"'II',IIUN M'<I~". IN -11';jl;RI~/(O I~N(Ii:.E~~:trJ!I/!(1 IIRQADOfIIIlftl/t ",:','::. ~O~:~1~3s [2J N~~~:~f ~~:lCi_ 0 IT~J~~~~ 0 W2"~'I~ ""'O.IO"'~ 1);/ CLS (RIY..SS"ct:~ADI s () :',;::_,.:',<.-,,: _':<' 9 OBJtCI SIRUO (NAN! OF OBJICT ST"UC~ ANDOWNfll S NAMl) 1$ l51 DAMA.GI SPt:CIAICO()INGUS( ";.>: UNIT NO. I UNIT NO.2 0 VEHIQE 0 PEDESTRIAN 0 PEDAlC'fCLlST ~ .,:::,_:, ,:,~.<: :':::'ii'i /I 'iI~;~ep~" ~::<. "0' ,""~'~" '"'' "'""" ..',..>>>.. , ,.., .~';;;:; L€NrEP A'n """'\:" I ~ '" ",S ,y ;:; rU.'.I.1l40-'/n !./;~ q;;;51;;~N;'46~ ~ ," " "A" "c 1 '",,"'NO I: ><>. Y-17~~~~~S[:;n ~92 k'~ I C:;~ I';; b~_~rE;~';Yi ~ O_IYE~SIICENS[NO" I SIATf I S[~ I ~o~nD~.eli:l~, n,:,;:: ',"",c.:-,: '2..~;=",x I"'OO(-:~~:;NINO l€f~;~s~~ ~ X'"''''ON I"''','"ON'NO 1""IWl'''"r'G"'L iiii. '>i? ,>> .',..,... .',;' o CHECK(....) 1.~~tC~f'i.~'Z~,e,,,:~~ff~FA~B1~[iIAI 0 CHECK (,I) 1.~:t~f~,.7m~m~tf~At%"iI~~IAI '"I: ;;';",,",: ,c" ~CODES"". 13 ~ii~~" 4 mw~"" ~ I 5 fJI(I'(JN 'I b ~B;?W:.C~1 ~~~~F: ~ -I- J ~:~~~' 41l.:~M S IIIC"O" 6 ~;~.o.:'m ~rf/ l!':': '_,:"_,::~:_:):,.; ,:,:::-:,::;\, o AM8UlANCl 0 ~~(I 0 ~H~lfQ 0 ~:~::: 0 :-'8'..~. ~~m"~~IQO'" 0 ......llvlllNCI 0 t~.:, 0 ~g~ll~ 0 ~::~,: 0 ~'il",~ lP0 t,-::~:':~_:):,:':;/': rw: if7 INA~[~;~) I MOOEF~fNOVAI rml8;;NYI E VHYfAW rM((~~E'CHtYl IMODt'~NOYA) ISTnfI1D~'C~YI I( ~'->,,:,;",::;::':::.,.; ~ Z~~k 19;;:;;~ L I"A~ A I "A""~O 1 "A:- t'" co.o, I''''N' I '^ r\:' "<NO I"" "7;1'.>i I"l""l"""- V[liIClfIOENTlfICATIONNO l \ifHICIElOtNII~ICA1IUNNu, " .-e::::"":\"i )i:;: ''.3 (IF!(IE'iFi/IS;II:r'II'I<I.l3'.6:r;12161 7 E ! i I I I I : i i ! I :"-i I I ! -, ..., IZ "G"nGN"'~,;" "'" 00'"'' I'"ON'NO 0 "G"",<DOWN"~" '"'' 00"0<1 !\:'NO ~.;i/::j 13.. AOO~[SSOF9WNfi W AODIIESSOFOWN[~ " 4"1 :":',,-:;,,,: L. ~ " -+-J,(, i,: f7 N^,GA;:;':~~~ANCl;~AG'", ~r -r . /Vi) R N~,..OO"""'"" AN AN '\, 170',' ,y:- OAMAGYb'Z1EA I ~p~~~;;~..:tl I~A 1 N . , I ,-ll1~t~ll'":.NG 1 om'1GEol~EA ....,;,.':._:.:'.'::.:';_!.,/,~:: rrI . ,JyOp' 11'i;r.';f:'~~: CHA~Gt CHA~Gf I H~~~:'~~ n.;f.O.P~:j r~ ::,-:,::,-:::":/~:!':::': ',:',"- [Llt]o;onoJ' ~:;';;'o' ~ ri~~" o "OO"N'O o~c;,';.~" m~~',N O"""NIO I;" '~AG' I'~' 'j.(' rr- DIAGR~M OF C~.tlISIC:>N lU5t1SUPPlEMfNTAI 'NO~('l!J~'60IlfH DESCRIPTION OF COLLISION (~fSUPP((MENlAl 5HHl If NlCESSAiY~ :. ~':'_'.< I" / ,: j!: " 'l'~-''''' "'"'~"':'''j' '@ ~ " LJ/?///~-e ;.peA>A?r.io 77I"~T-)lE' .(Jt",c,f'c'?) 71, ... I,L ~. : , : J. I I ,-' ,M7~, /7'e -5;:?;,-, /e COulL> dC77'2 &/-,1- _ _ f-i(,.',. l2 . ::. -Ii; ;11', " c,u/I.J /V~T CC>nlT,1"PL CO//o/lT /,(..p,oPGNe(J ~.i':i, "; i :h' , I; , ,;' , .., rl '(i( ~ ' - - - , ,I __ '--' ".') ,----- ~~ , :; d: zr ii';:'( ';9" , ! _Gllll (jil';~>?>)< I"J NAME, ADDRESS & INJURIES OF PERSONS INVOLVED 'CODES I 1 J - I 2 1 3 I 4 1 5.1. 6 ..i,", i):" V OCCUPANTS I WITNESSES lf~J i~~~;~O~~l'~,It,~,,;.n; 51)(-- f "Gl I!.wus '~~\"I ,;!.~.: I r',~'~~ liES11I [ fJEC.! ';A',1;,,"_,; NAM' _VOOOt::<!? -<"fAR.,<3/7/Z.4 /l ~'1i'N'7..l..< 9'"0..'2. F IS;;!. .L 113 II.." , 'i..'... ':1"'."'.> )2 ~.&1;~'7'~e;';~ /9. ~:~~",,, '~'I'''''' "02A"' O"'~~O";;,! ~S-ff /;,..i.....,......."i .i.' " ~~~~'" ,~7$,'</ ~/'':b..J':'_~' ~:;, ;;:,;:;'.'" ~W<:'W'O" OA"' 0;'::" O~:;", 0 ::, m';',." /" ,~,C?: M"~r\~ ~~~~'~~l/" ~~r~"~~III'.'''' DAM" o~,.~~'(' 0::-::;'1. O~:.: D:t~'.,,, ',' :"..,J.',:~; i-~', XI'Vd'O/";'~-LL 1':,;::ci'''I~('';o ", "WsC;'""IO'90'/"I"""''''''''''' I'~I "'" Ii "!",,';,,, ," n ~_ .. l'I(" /I"'f.J::fc~."," I ).~'"" t7S'J/-.!"lI L~ S 31 &'1J~~"\':,.. "i . ,_. '-~i.~".(:/ ., , ',' ""..1,,'<,",',.'.." . , . . . :?> , . '?', "'ii, ....... .,.,C' ",i .':. ". , , -- " " ','" ',,: !, .', ',:, " :'" ',' ". .' "":, ,";, " ' 'i,:"::,',: ", " , .' >:' '. I .."..:" .,..:: ~,"'.'....., " .'.'. :,."'" . " "", , ,;, .,,', , '.. ". . , '; ,.",',." " ',' " i ~J.' . ."...'.:... -D , :', : ,J ~ STATE OF WASHINGTON "',' / 0' / ~ POLICE TRAFFIC COLLISION REPORT ,RJ' "A'"eWAY ... 0 PRiVATE WAY 7' /tJ.:?4,rJl"'''"'Y ,~, 2':JI~66 No, I1.:h'Cl cc....."".,..l NI;.....!l.l~' ~ """","DR~':"" '0.''''''',''"0''''''''0'"''''''.''''0'' I AJ~;~'c,~' "M' 10"0''-'''' ~.>'<...':;; co,,':~;;:~:,o~::' p, ~~,,~b, ;; 0' NO eN,"'" i 0 ~:N'o' 0 ~:;:,~UN I KJ~~~~~ INlIW 1''('.1.' I~~f 1~~~~T~Y~~O'..o.'2I1' """''''' ""Of"'" -1' I ":':'" ; OVI>1'CL[!> CZI 0 P~OPlIIT~O"'M....c;.IONIV 0 IIl!>UlIID o...,..,(U /\ I uTa'" I I '.; <>::,:,:,~::"::::~<L :;':;( ~. ;;;~:~~:,:~~~:;;;- ,~;;' ;::::- 0 ~~",-' 0 ~:C'ru.. :: 'If 000 0 "",,, i:;' '{,r,?:, [g ,:://3/ ~-;4:"f d-;;;~; '"ON'NO D :':" ~"C"'N".''''NO "" "." 'oc~ I'~'~ I ~.) ";,-.,,,.,:,:-.: ;.:>....,..,.:':".'-;-... '.'.';,."."... !i':,Oti~ >1,< ~ s~~"v~<-..) h,,~ %3/.::.:!- 373?;7J R" I"', '...'.'. IIlvun UCEN~ ~ /~ $1"11 I III l .::'" E ':.'~ 81 IH I I.... I $"'" I~' 1 PA t 0111111 H I-...-: P\ ~ "?/'c.,,e'.<-i/ c:Z:>S,'7.LJI ,...4-11""" ::z i; t-';'- v "" . ,.. "I...!' I",:..... '"<',,, , 8 OCCUPAT~ ..[~III":N:f'"['PHONtNO ~~~,:'4.~ kf&$ ~J;'HI~M' E OCCUPATION I'flliM~l&PI1ONINO l(vt$IWldGi-iTHEIG....II~.. '. :'",_":",,>:,:-<:,,:,,,~ .-' " :f2. //."/'>&,,,e'I/:/--.p/v -'.Nc:'_, 1'<-> I~-.l'..j :s- R " I ,- '..... L...-- 0 CHECK (....) 1>~,'t~t~~'Z~.e;:~~:na?~~:"wAL 0 CHECK (JI'j I ....'HICLf HNEM~C:~rf~ANOTHf":At '7" >c;.'......;...'.;..;iji;.!",.":.:-::....':.::":' ;[';'::',"'.:',' '.',.'. ~CODES" -I- 3 ~~:..~~. '? .c ~~~W:.:"l~ 5 !JIC"OO< / 16 ;:'B:?flCY~ C?~ES" + 3 ~i:"~~' Ixm,;~''''' 5 1.ll{ll(lN 6 ~~~."IOC'I ~ t~,'>~ _:':';. '.' c::;J ~.....~..:.<= ...>~...L.,..,..:-...-z_ IN 1i11~"U' '\. ~OM 0 "MIIUl"'''(f 0 ~\lCI 0 ~n~ll~ 0 ~~:..-:~:: 0 ;<8\..,!.l> ~6"'~1~'~O'" 0 ......llUL....CI 0 C _0 0 rt:~u 0 :;;:::,: 0 ~~'..!iI' .~ r" ". '_ I'MAnl~'CHlV.) I MOOEl(O..Rl.NQIIA) 1 SInf 120il.CONII I E IIHl'[AII IM,lV:.t(.......V\~I.I..HEIII ~U'D...1I1NQIIAI I"'yl.l(".... '''VIII" ," ~ /7';:""'; I/,;J. /.::!o.J2J:> 1 ",,&f2v/C. 1 "I ,'.',.'.' ~ litH ~~ Il~YPlAl[N ,ISIAH I nlAIlUl PLAU NO I STAlE 7111HCOl.Oll 1I l SA "I"l II:)IAII~" ;"::-':::':':"":.,':;.,:,':i::",,;::,,!:;: w//4./ 1I"d'/G?:r91 /..,.4 - I - 'I --..,' :i,. __ II[HICH Ig{NTlflCA110N NO C VEHICLE IDENT! I AIIUN NU '\. ~ :.";;-' :;",: rr;- '--', / L , '-"- ,,; "" '~.J ~'l 10" ,3 ' _"'~ I' ="I ".', ri ",.' [iC I!EG~ID_O~EIl LAST flllST . MIDOll PI-iONE NO IlEGrSTlIlED OWNEIl lA5T fIIlSI... I NO .=..J ,?"." .-J~.'/"'r""~~S ~o.i",I"".s C!3' "-,,,vA<"" 0 , ' " ."",,'" OWN" W. "'''',",OWN'' "'1'1 I::"'" - ~3;::2.7 h-:" 8,..,.,C'~ - 6-___~~ ~ " ~,:.' rrr- NAME & ADDIlESS OIINSUIIANC( CO OQ AGENT ,. IN U "'N..<..v ' N ""':'2 . "..:",~':-O' ';::.c (_ ~,-7/..J c.~ R " '--- OA.MA.GEDAAIA ~c;;;,..;t,'N"gl I~A"UN I n'~;,::t::ti.e... I ~~~[A. J:j i':::!('-\"':',::~':',':':;,"~' E' ~2 ,\op", IH~~~f~'g~; CHAIlGE CHAIlGE O''''U>MC.1 D!,s:i =- ~.:,",:'::',:': 10' ono.. s I ESI OAM~O ~~'iEyN DIIEMAINfO 0 ~~~El'N OIlEMAINIO IIS' DAMAGt 1 'kr.oi~."o~ ~ ::F ~;-',.:-:,.~ I $ C~.c~) ~lra.'1~OBl' S..?'....rt:>-y/$ 0 ~~v;.r~ 81' $ 1 ~ ' '.".e' E: DIAGRAM OF COlllSI N' (USE :loUPPUM(NlA\ NDrC"H NOIlTH DESCRIPTION OF COLLISION: (lISE :louPPlEMfNTAl SHEP_'f-'C(~Il"'l' . \..-;Ls F;""":;'-:::'::':'~:': '~ FJ::pI-z>~,~~ . I SHlETI'NECESSA.llfl B~W t/d//~' /",,~_.; 5'~I./;;:-~ C.J........J c~~-e.5 1,:,,_":":':~:',:':;i: ~< ~"i->, -V~v"""e...-?/"'2~ A'5/6'G/"= _ fi,i.'.' 1" 1<-,- ':: ~~..;:-~~--..-~ /,"'$/--,,,,- c-"''':'ZJ::?.,-.c:'. .,,~ y--/ .v 3 i> L:. - _ t~// /~...=/-:- ~....?:>:v~ 7<" ?;.;r..-= = i,) ~<'........- "...,~ /<'/? ///- :;"/;;e;//.__'?- 'T7~ <:>,,4"- -oil ,.,,>.".. 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':, ":':'" , " .',' " , ", ,..;" :" ~ " ,....,,: ".. , ,. .:' . '" ",', ':. ..,.. . ",' " ',," " ',,', , " ' ;; , . ,..." ,':' '. , '''" " : .'.' '..'" ...' ". " " ' ~ ", ;', -=:J ;,'" . ",' , ", ,-),1 I': " ,; '-: .LJ ,'"," , ' ':, ',..', ". ,', ",', '. ,'" ".', , " '.'., , :. " ""::" ,..' " .: ":":':': . ", ,.' :<' :", '. :, ..;..",..." :" ,:. .. ' '. "', :, " , "', , ,';, :' ,," ':',:' ,: :: " " ,- ',' .,'" " , , ..' , ' "" ,:,: . ".' . ',;; , " ," '" "', ',:' "> ,':' . "',' "'" , -:-r//). i70 ,pl.""""'''''.'' ra STATE OF WASHINGTON '.0. / 0' / N 2 fo) r :,) I 4 q '@JI POLICE TRAFFIC COLLISION REPORT ,.E;l TRAFFICWAY ""'~; 'ON" "'NUM'" ~ [ / . 0 PRrVAl[ WAY I::; J ! O""IOI(Onl~oQN..:< D"YU''-\,.lljl~' '" H (u~l 111011 -nCOuNlt COI./N'''"", (111t.o I I,,',HNA ~ ~ LL '/> z: (J;'~("'~ ~(j~ 'uf', "ID)< .., ~.' II ~~~5;;~' II -7~;;~;r~/6~ / (.-:J l/iit~::~ a I 0" ~I. 0"1 C:'?TOWto I N:;t"NOOI~!~((IO~~;:J!'AY~ 'C1c~!.IIAlj.MOSI Pltl'1J l"Ot.HIOfl Uti I I ; j. "7 Mm At< Ow go. c:'~,,.,:f'<!,,,,,.-',/,,, IONQ;?~ s/Ak' ,L ::> &. "; I I :S-oz. "To td i IN't~!:.fCftNt.W"H !>lIjf('OPI/OAD INONINIIP~~ N /~;,/7~qJ Plilflll I'!I~ lM'l'~r i IBIIWIv/"~~.~~ /"'~ !>MP" /...4//c.~ !>IIlHI I /. /7 I I' I D'S "'NO ~~JiION '1l0MPIIIPINCI (IlOSSSIPlll 010' ~~lSIMll! PO!.l". I ACCiOENT PAMP DIAGIo'A.... o.o<lA ~ I .". '/' ff~';:S ~ A ~ ';, Of /,..4... / / e' ..../ M~l6~GE f COlllSIONINIIOIVlD 5Ivl"'''' ...:-:: ~ 0"' D' ! "",I~'" IN I 'I' ", I:NI!!;-t.'-.~!.~.STlIIlT Io'.IlQAOOJII<<III11f'.IC1 ~ i lOIAlNO --rT1 NO"lHID_"-IOINJUII!D~ SP'llAGI HIIl.Ill)N """0"'0"'5 II~! ClS (1l~5STl1l1rOIlIlO...o _~ ,I ClIV'HI(l!!> LJ o PIlOPllllY CAMAGI ONLY o:J"lullID D~~~~\t';\ : - IX~;;;'_'~/;'9 ~ la OBJ(Cl!>IIlIJC"INA,M.IOI08~DOWNf~SNAM>> ./ _I lSI D~C( SPlCIAl 0 "oGlhl t I / --=~/?/ ~~/..b'#~~_;?~J/ -I' UNIT NO. I UNIT NO.2 0 VEHICLE 0 PEDESTRIAN 0 PfDAlCYClIST ~ IS OIlIVI,"5 NAMI ~ LA!>1 4 flll~ Miblhl ~IO"SN..-..MI LAST flllST MIOUtI_ 1-Y."1:'.~.) 4JW/c:#~;:r- E//.i/>"k.o:b-- '\ l>1IlH1ADClltSS ,..,. ~ -r !:o'ItH'~t~S - ~'? ~/ .;:/&~""5C;;-J//~3 /'5<:P '\ -= .:.:> CI~,( / ./ STAll IIPCODl I P_HONI NO 0 IIY '\. STAll 'P I ., E P.40/c'c;"-z'_ /v# 95559 17,3'.::,7:0;:'/g R '\ /2 lNINEIl'l>IIC~ . I STAH,I ~~I~A c..1 H I IVEIl'l>L'lN!.I:NO\. I STAll I'" 1__DATl_o:'llllll':' .....::; /...k7(.?/~6/>X/:,..jA' .t..l~~ I~'/ ~ v\....o 0'" .. _:: [8 OCCU~ ~lAMI&~~NO ".)c.o U:[_~I~IGHTI~HT E OCCUPA1ION IfIIlM,\.......,f & PHONl NO I ''''TGol-iT I-IIGl-lT,_ ~ S/<-W6:i/1 ~...?::_/c",_ ./,...-,j ~~~'s:.- R '\ ~ ~ 0 CHfCqo'1 '"'H"~r..Z~.;;'.:~;;;~'~~t1".'" 0 CHECK!"I '''H"7l'f,ZN,,,,':';',.''o,'~~..i.' '7 [gj ~?o;.s ~ + 3 ~~:~:. /:.; . ::\\:~" <'Y' """'~/ . ~:~.K"" CODES ~ + , ~~:~:. 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'4rs:50 /..1 LJ4 I - - I '\I 1 r:=;; rr;::;- fHIClE lotNTlFICAllQN NO . ./ C "'II'iIC~E IDlNTlf'CAIION NO '\. 1'3 C"Grol.J6..-e:. 8'':7 7/,CJ I~ '\ I E IlEGISn"ECOWNEIl lAST /'7 .F'7' MIDOLE IPHONfNO 0 lIt ll>nlO'lOOWNEIl LAST FIIlST MI~ I'~'~ t"<.I,,,v/a;J C/I/.?hi'/4 # 1..5'/"".-r'~ '\ I'J,.r- AODl/f!>SOfOWNEIO' 'Z ADC~fl>l>OfOWNfll \. t:... ->~.-='" cE' E '\ rr- NAME & ADOl/E!>l> Of IN!>Ul/AN~ OIlAGENl A IN U A"'l;.Il..U Aut"'l '\ I'~ p".J/L R '\ L-- ZDA,M.AG:DA.Il(A.~';J(.,AI N I~~,~"':...~II o....a';,W.IZMLA --:;: [; CI'iAllGE CI'iAl/Gf 11.01 ':UO<CftO!oo... 1~""""'K.. .,.JJ I' ~~ 0"'10 In OIo,"C""'::;1 f.O_~~ -:-- -'~"O"o;:;J' ~~"" Dri~tg:::;;.-Z- D~c;,~~,. m:~'.N D"M.'Hm 1;"o~.o'I'~.r.o~,;"O~'~ r=1'- DIAGRAM OF COLLISION' (USf5UPPU...[NlAl NDI~INOIllH DESCRIPTlO/,FCOLL1SION; (lJr.fSuPPUMENlAISI'i!(T,fN!([!..l>AIlV) ~ _" SHEH If NlCESSARY! BY l/OW J/ V~?/ tJ/~:S S?vT...-Y .:""..-..1 $.....?-..-~y sA. ~ ==i, ~ #...~ <1'f"x"T"""G- .-? c..~/,p' ,?-C.- -= I'C'-' /,T>; , /~./-',;;r- - ....."""",h"" ~ , ~ &.---5 6<,;;--,;j L ~ ~~ C'/-'J"'~- .-';.J .?:-"':!'~ .s-"""'e-"bC'"/"2. ==:l '-.! -=.k'/.<s:,,t.- ?..-k..i/C/4-:-z:, /..c,a::,,.-c;.. C....'"',~-", c:" ~ ~ C ,IY$M P/d'Lf/' .:>~~ b"/"= ,,= 6"~.c;;.~~..--;;. - ..--...-->'"'...S~-'c.. "y'=,,.'/ TO 5--:"~/'" $~~O::;: ~ \0 ..e;,?,.-~ <"'.-.J /7S~? ' '., ~~~p~~~:~S~~~~~~~~E1~~~~~g~.~!tOl VED . ,~.O~~~. IT.~U.I "~" I...~: I ,~\, I..~.I "~,, ,.i t;J --= /?-~ I ." I/~ "-/ / !>C"m....i~INOM 0 AMB Dr:."" D~';". 0:;':: j;i ,8~Y' ~ 1"- N..' /-~.6h' "#/d<'';,,,J~~.$.''....) / "'N""l~', c:"''7~~ t:""...-:::;....,-~/? ~ ("""".....~...~'....~...,....... E;;~;'" ~~'=:;Y'r"".l"'" ,"""""'.1""'''' IXW;~/:I -&;'~r:vk I~YI/...l!;'? , ~l~:,:< -1/_~.;:;zs ~"I"~t!>OI9..''';;:':'.)'? ~.s ~'" ~A,;~~l,f"l' Ilf""OVIOIgO..... 0....1\ o ""l'll 0001" 0 ",~ 0"0' .0 ",'0"'''< : 'N'81~~ (..~ cnp", ..,.. 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" , " ' ,,' ',:' .; : ' .' ", ':"',,'.i'" '.' " . .;.:,..' .'. ,:., .., ,":" ',' ,'.,' , : ",""., '" .,':, , , " " ','. : " " .' '.' '> .,.,' , . ,',.,'/ ' " ", ,,:',' , '.. ,"i, "'.',:'" .'" ': ':'.' .':' '.L"'" , .'..,1" " '" , ,": . L' '. I;, . " . )" \ o PfDESTRIA~~ 0 PfD,,~,YCllS /1 ~. , ::' . '" ,- < " zoo I '~rA ~" ':, em 1 \. . ' '.., ,:' I ." I~' 0"'o..'~. rvo .' '.' '. "" /I'm r'''"T'''H' j, "'. ~:o~'''' 'i :' . o ~"Jfh ';)21;.. ::', ),;: '(""'," ". "'), , '.', ' " " =:; '. ,,'.' .,' ",.'. ~ ,",...', , SJ ,.," '., .' II" " ,".' :'. 1J " '.'.' ': ill ..', "" ,"'.': -;; , " ~ ':," :s.. ,", " s: . ,'.',' : ~ ,; " ':.. ~ ",," ~: .'...'.'""",: " " : ", " . , ,':' ,,' ,', . , '.,' :. .' ", .'. ':" , - .. ':' ':.,". .'. '_DRr':::" ' .":"'.' '.-'-"" ',' ,""", .: . ' ' ,:,: .' ,.'. . -<. 7) ~ STATE OF WASHINGTON '0", / 0' / r:- ~ POLICE TRAFFIC COLLISION REPORT I2Q 'OM. '(WAY I J 0 PR,VAT[ WAY vAll Of (Olll~ r~ L D..... ) C.OIl>"5"iQN , I rLJSI 7"MI IICOUI.1r - r;- '7 27 9.'91"' .'~ "" ." X' " ~'II}qS5"" /I .Jc FFCc.s OIV ~ ON 0' D'N ""OIlIOW'" I NAM'&NO O'51111110I1Hlv"W"'V 2 3 .,,,, jiO" O. [>lo, C!/;''''-'T(!CdYl ION COy",!: R 2 IN1111~CIINGw,r... $TlHIIO~IiO...tl INONINIIII;:CIION . Dt I IllI1wu./;"m,o ~lJ'1wi1I1111 &~. ~""~N1A $,~~;f I O,~I.6.NCI &O~~.1I0NfI<OMI/IIIIIIN 1 CII0$$$IIII11011 Nl"III$IMltIKl$1 1 ACCIDENT .:5'qt9'~'::$ ;:, ~ ;.., ;, 01 /J? ,}"'''''05, / 7 M~\5~E COlll$IONINYOlVtD ~g'~~:::o NO INJUl<ttl I 0 ~ft\"C;! O""I&IIUN 1..,;.'i:Ji~i ~ c!.0~t~,~3$ OJ .PIIOpt~"G(ONIV - O~6/~UllIO D~~~l~~ /2.S"tJ "q OBJtCI$II<UC~INA..MIO'O!IJICISIIIUC~""'OOWNlIISNAM() Is IS~AM.-.c1 fel h r:=) ; I 111_ roo';";.~~7~o~ I $lCI~; """T" 1"''''''/,2, .."5'"-;/ U.M r"'" IIA"'OAIIIo '" /1:7' I"D' 1:INH"YCl"I~'!"CS'IIt1TCII;IIO"""OlIIi1lIIIil~1 IN} CIS (110::.$$111((1 1<I1O.o.D '/2-60 $I>I:CIAI CODING ~ T 10,30.01 .>>'.. '" ~_ 2131609 ::}:~:~.".;~,::,:: I I 'H.. Sj / l.;.7 I I~~~::~ UNIT NO. I UNIT NO 2 0 VEHICLE II DIII\'IIISNAM~7~;~50N ~~Pf.( /;0\1 DIIIVII<'SNf<.M1 LASI LZ:: ''''''ODD2~o #. fflc/7?e~ De, ''''''''''0'''' f'7 CI27~f'€" b~oeGe SI"t<A 1;;d:SS71385~/t}I~ ~ I v LL op;';;Sl;~5~ I p:t I ~l I~ I s-"! 1 J.~' t~" ~ IVlmlClNSl NO B oc,CU".f'4~~"<"'-.I~II<"'~NAMt&PHONf"'9'-80c)-S;Z-G'Ia~vtS 1i:'GHI~GHI E OCCUP"fION 1fIIlMN"^,,I& PHONI NO Z //A/e"""-"IVI /BI""'-vl <:iot-'% R '-- 0 CHECK(""") , ''''lIIlAI 0 CHECKl....) ~r~'Z'~OV(iOl'IIoNO"U;II'''1 ~2 CODES" -+ 13 ~~i~~' _S- IJICIlON I b ~:~.fIC.t.U- CODES....... 3 ~~~~~' 4 ~;!.:':.'.., I 0...cI>0.. i! #1':1...... I' I, ~A./,~A_ /.....rr~k..., ~j~~~!~Of / r~J~'110'" !'Sir ....6UI....tI 0 ~~" 0 ~~~"g 0 ~~::l 0 \"8\..\111 rc~'1~'~o'" 0 ......au...." 0 ~~o r ct:;~~ 0 :::~1I 0 :-.~..."'" 'fl"1< 1........lll00DC;f.CHfY J 1 MOl.IHIDlIollf.NOV"'j ISIVU (1051 C~Iof,)I...... '!. H 'fllloll I~ ( 'c.Gf.CI1 V I 1/tIO~(D"I<'.NOV") ISIVLfI1011 .l:.oP -., J [D / '1 85 :;Z;'17C'e,v:<l7t:o).. ?~p 130/ cool -, E I / I I V"'C(>(OIl 1";E~~[PI"INO IS'"'' TTll"'ttRJ\"'lfNO ISI...IE, H YIHCOlOR ~ AS 110 1 IL 'l"L"IlNO 1:.'''1 YCUo,u 1/ )(417"5'8 04 - ,I I I / I I"i"i::;"'" YIHlelE IDlNmICjI,f!QN NO C V!...ICU IDlNIIfIC-...riCjj;iNo- / 1'':5 11-I7,L'Dc//.X C~iF!fI,,.q!219:0Ig,,/ ~ . I ; I ,/, rrr7 I<IGISnllfOO~ lASt ~ MIDOII [PHONENO liE ISnllfOO'NN[1< lA.5,/ LL ,r-t//.:.c-r .LI'W.c-fi, ~~S-;: 0 / 13. "OOI<ISSOfOWN!1I W IIoOOll($$~OWN!1< / 2.15., H,...vc€:.~' //'/7<,/ 4/,,{,,,v,<' '7't::co9' ~ / IT7'7 NAAlI&.6.00IlHS(lf,NSUI<"NCICO QllIIoG!NI t&"~~lIll>~ IN U ~N 1'/ SC2,c 7/VsL/e~~ R / ~1~~'i.c[OIlo,llIA ~,:.-...",~. Ji9t1 N - 1~;.t.";,~~1 1 D.J:~b'tl" rJ . ~~~'~~) 'KHAIIGf - CH"~iW ~~f;~~ 2 ) . IL . . 'r7>;Zd1~~*"g,~'~o^,S p(~~~~" O~~~. 0".""'" I:"DAM.O'I'~;~~';;;~' [i67 DIAGRAM OF COLUSION: lU~( ~UPPIl,..rNIA,l ; NOl~.~ "'l"J; NORIH DESCRIPTION OF COLLISION' IUS( SLPPUMlN'''1 5>*:[1 If NIC(SS"IIVl lL. .~.~ eoyt~Rd.mlfNl~S~~RYII.:~OW VC#/Cc.C- d. ( ScJU7H cJ;'V rz,~<,.. .' i'!C! 9J7'Uf;JEfi'C/t/7~eco 7H~ ) '> ~ ~ ~' :!:;;'\ P"440IAN7"f' , , , , ; '"' y b<'/C C. C S &(/cev~<;:> 7<' ,#7/S.5, !Z' ~, : : ".,'~.' i: ~.-vO_ 1~7_ Clf-i .e=-o 0"-' · , , ~~, /,de- ~ (' S4vc OC--C '"7Rr-I(!70e ON '~ &ek of: 7i<'-'ck;.?1 , . : i: i ~ 'l'9'" ' . I. t I" / NAME, ADDRESS & INJURIES OF PERSONS INVOlVED . CODES L I J I 2 /3 I . I 5 I 6 V OCCUPANTS / WITNESSES W~ ~~~~t~Zt'~(...S~n~ Slx"":1 "ca lllolUS ,....;..1 ~.,: r',~~~ 1"'$11/ IIJICII~~~;. /"" PHONI t" ..., ;:I~~lor ') !>((Nlvf\v D"~II Drt~'\1 Ocij~,. D:i:: D\'8~... '" (', ~,~~~f~o' -; - ~reV~~fIlOM o "Mil D~~'U O~~Tf' D:;~ D;-'~'..v 1"\1 [~~:t~l!oDt '7 ~bNl~~T;fll"M D_M8 ~1~~<1 D~~~". D~~ 0 {,~~w UN" OR ro"CI OI!oP.'(~llPOl'CI ""IIMOI Olloli 0' Il'POil'-T"pp~t~'~f( ,. ...... 0"11 ,L'J B~~~lI I /~:;:M% /~~:~ I ?-Z~'b'91 V~ ~ - " ~ , MIDDU I'HQNI NO "'Ol'lRI..'> [2: ..., XI "ODl![!o~ "'IIoAM lIo[lflll! ~'> x r2~;;?d:.lb/~1.7Jjo'JPC=~ 1~~~l!I~~p .; '/ ~lIU:W1lV' - .~,~~ '---' L A~...... :SJ c;;' ~,:: , ',' .:. .,:..,. ' ---, ". '. ,.' I ,..,.' '.' , '.,' "'" ",': : , '..'... '... , , , ... , ie, '~ ." ~ . '. ' . ,,'. ....'., ... . \',\< . .. ,'.' . "," , , . , ,., ',: , . ':',"':.' , : ..,:.;, , .,.. ,: ", , '. "",':,:. ,,". .. , " ,,',' ": , : " , " " '.' I. 2iJ :11 , J ,.... -,' LO 30. C I ." '" .,'..:'. t~ STATE OF WASHINGTON "CO / 0' I No, 2 lJ I 6 I 7 I r ~ POLICE TRAFFIC COLLISION REPORT ~'RAfFlCWAY "",,,co..,,...,,""",,, ~ ...........'.,;... II OPRIVAl[WAY f, ~,'" , ' ,.i f'7 '::77Cti'l" ., :.,~v:~ ;:~'~' '" n7:~ol~ ,h. ^ 7Z; 1<""00 I lJii::::" 1'.'/<1 'j' L 4? ON Ie' 0",' ~ Ci:~OIlIOW" I 7f~'''''''J:~I~~IOfl;;g~W''V/J :~C"ICl!. I'~:!-U.: ''''ltO\,JII~~T~t~...VIA I~(.''''''''~ ~ . " o "m O' OW i9-c.(U, ION 'l4nuv {" 1'-> I c55"'rPo -"".i.. INlI~~tCIINC. w,,~ ~WI[fOIlIdJAD INON .NIllI,V'"ON L) /J ./1 "11111)( 1(0 IMlll ~I I'.' ,', . lellwlIN> 8rltU:J fL4{wltl & )..I r l 0 ~1~11l I I /. ~o -1-:':_':':".";"':",:,:''::',.i:: . jJ J OI~IAN.5)&D':;:',~~~IIIO:/lI'~..(r.~( C~SS~1111110 t~('i.'JJl[Jml A,;~:~~N,' .-. I'....... i., . 1/.0 # L- f1fHI ~ n n n 01 .Iv! r ( n COOl I io' "'<', ,',', COUI~ION(NVO(\I{O _~~Vtlllh -~---7-- 0 U l 0 "'"I~". IN' L':X:; I Jt Po 1:~.T.!~'i.l 11~~_~!lIfllO~QQ,t"O(wlll'lIU1-1C.f IJ :",',::>::,::',:/ ~O~t~I~Rs CZJ NO~pl~~~~~~I~~~;[Q-L- 0 tr~~~T~: O;~~~~;~N >4J:::"~ (X I Ct'i. 1(II~SS':;Z'9o ,::,;,::::,,/:' ,,' :'~",i' <r '9 o""""u<""~'o'om""uc.~~".WoM" 1$ "'~'o, '''<''''00'''''"'' .". '(i); ,,~_I UNIT NO I UNIT NO, , 0 VEHICLE [J PEDESTRIAN 0 PWAlCYClI'T ~ '.c:; i,/;)>','. "'!- t- ~::::::o:=~,t?/.l oCA/]" /1- ~~;; 7J :':,:',':::: CA" ,.." '~'I J/'i. .,.,...' ,i;'i'" ~ <'Ii ',;, ~:!! "C;;3~:r I7065'37Z~ '" '"'' ""'" I,~,~?i .~/;: I '/i:.i/x,t../ t:: DO~:~tR~Jl'Jb3LA I t0LM I i"~Tjlj ~ '" "'"""0'", I "." I ~, l ~o'''~.'''~. J .'.... ".ii", .ie< 2. OCW~ I "'''::''HO","0 3'J~" IIJ~' 5:;' ~ <xcu,.",," ".".~..""'"O /1 ,n. 1"'<>r'GH' - . <"ir, :"'_::':,::::"':;,:,,,:::,,;,;::.:,......,,;,:.-: 0 CHECK (,....) V!HIC~f AS'ZN !M~'S~fE Sr A:tl1iHlrl'A( 0 CHECK (,...) , V!Hlm ASAN ~oY!r ~Cp~.:!~+Al :5 ",~'~,:,,::::;;,,:_,,':', ,:_;~:::, ..".' '>':.'. f CODE, .. + ,~~:;:' S /- ::\',:~.' I 5 """...1 . ::::l:~.' "" CODE> .. + ,~~:~:' I - ::\~X /1, ..,,~ ,. ;:>;j',""'" ::;':i,'.i, , :;:;,:--:," ;;::-/(:{,':\: J 1- ~:::~~~~ ' rk<JY 1'0"(' .." '~I "01 IN ~~!.U X / ; ~~,<,:,,','.i,':',:','::: ,'; I C" -:-'-':'\,':: , _;",_:'" ...... ' I ~(t"l ti. · ....~UI...CI 0,... 0 ~~.!t.. 0 'o',..,e.1 0 '1l1l"~. ~ti":lt-:~,.o", 0 ....&ul..." 0" ~.I 'KI ~g~lfo 0 ::::~l: 0 ;-R~"'Y '.,.' .....'.'. ',' '", ., . ';/:;/;,:,;:,';:;. ::- -'c." .0 vt"7;r~ 1M.A.~oc.[."'IV) 11lJOH (DA~,T.NO""A) IS'Y~('Orl CONV) E.... '1 Y AI/ I' ~ ()Uuc.E.~HEV y MODf.L (OA,\"IOVA) 1:r.IYLt 1/"'..'-'-"'....) ::-:::-:'.,(;-,,<':;:: I:,.,;,,:' .....'... ' IT V'"iOI~~Vq:.]I"/~J:AJ"",,~/jl"~ 7 V,"<<<"' II' /' /' ,. ~ \ I r" ~ ~,>(i:;< ,;. ::t.i> I "37ii':;'rf1'wC8i7~1 -r _ f V'"'<'''~'''''~''~HO, '\: ~ ,./.,> , -'-<::"':',~/<,'<:\':":';' r:r:: rltGI~nIHI10:;:::lt:..,.IVV7~ fl~S' MIOOll I Pi'<ON[ NO 0 IUGI~nrl[OOWNErI lAST fIRST MlOOt( 1'1'\."""'" NO c:J ~\:':, ,:':/:.,:;:::'i" IJ~r'l~~l;ii..... "/ AOO""~?f;."u<-- ~ A ">~O_,, I " S " i,': ;,( . . ii',: E "~, ~ AOO","/!,'"'U'A"<' <0 0"0'"' R '" U .. . " H 11/<... :;':~'::: ~:,'i'.:'.':'.>":':<,:; L.....-m"i!JfAA[A, ~AII\.!N~~5~'9J- IrJ'~,loA'":'~ I D~'.l~h'ZRtA b:J :.:::,:::_; :'::':':.',:/} :\.':':':'.,:/:;:::::<',;:::,-.-:,;;- r;~ I" AI1Gt 1::6. &)jQ.'VINo, Cl-iArlGE 1 Q~..;;~~ l ) ,,~ ~>";'" j _ . ~ 0 :;::1 @ ~lMAltjD TOWlO 0 ~~~!I'N DrllMAINEO I E~T OAMAGt I'~ ~ El ',< I. ."",...".,.' ','...,.." $~L. .WA..._ )tl/J1d'.LA '7F1u, o AW'. ,. $ I, . ~ ...,(i.,..,' Ii '/ ~ 0.'AGRAMOFCOlll5l0N ;:~l",:'~l',~:~~;, (tD";]!}~'H OEV~~~~~'.ik.w ~ ti/i!X; ,i, ~ /n<'..:'\ ~._~ ~~ ~t!L~/~ 1=1, /{7>;" .'. I '--' '>. - ! 'v 'Il.. "'- >.. -6" ~e-p: h-J ~t ~t:' 1-1,.< """," ": po- , .,. ,(57' ') /1; '/iuICL.tYI "A'/- /?1A/'nw?tiJ /J/JA~. C:t"""'." C, .,i..'., . t:: -----,. - , ?~t-U /'"" {/~ C/'~'-U'", (/ .L-'-<./rl~/'" <.' ~Mtut J v-;' ;'/It?J1to 7tp/.@t~'~.d'~~7.: ,.,,-". NAME, ADDRESS & INJURIES OF PERSONS INVOLVED . CODES l ; J - I 2 13 I . I 5 I 6 tJ i\).<. OCCUPANTS I WITNESSES If~ ;g~~~~~~Z~~(,,~~;.n~ Sf): -I .AG( lA1U~ '.....~" I ~:,: ('.";"U 1~~TrI II.lre1 I~~~i. ~J. ,."::""::;",-::;":,:';::,:,:,,,. ",A""I ~OONl I I I I .,' Ar-Dm'. - ~AI~~I~OI SClNl....~~ Ii' 0 """6 0 ~~'" orC:;'q o:;-~ 0 :'8'-.y ~ ,_:."~:-i":/:-,,::'::,;',,:\::i,: . =- "M' ":;""' I I I I ;~: '.~\ .i,.: 1:>0_ "tI[lOIV, ~A,!~~I.nl ~tr~V~~ '~Oli' 0 A""" 0 ~~'(' o;~;.'" 0 ~~ 0 ~~'..v ..0 , >,:i.",', ,>'i-: L "., '"' , I I I ',", ',,'. - ~~ru~ro' II11""O'o'I':;""U'" 0 0.')'"10''''' 0.,1, 0"0' ;:':' ,":':':".':::~ "'NI~I~~ ''''JlI~lf~ !.CINI ~I' """1'1 'u rOl'''' ..,.. ,....~. ',:";,,,',"':'<,:'i"::',:"':i,',: X 1"'?'J''1''''t'''''''''X'.'' /,':: ,__ I'~';u" r'c~"'~ ~'~1), I'Cb:.!.7~'9""" ;?:1'E':yo'"l '1,w ~..~~ I "".;>pn-/ 1 --:> ''')' ^.', "',. ':".,,' '" '1~~~_q!,UIUI'l4.14/r1I.1/~~~_;H".1 . U?6'JI&"~"'..4-'I-::P ~): . '.,:(., ';":,";' ." .,.- . ~ "ii' '/>,(';. . "ii';""" .,.,.',." ,":""c'." ".'..';';;.' ":i'.,(', '.,; , ',' .': .,.. , '... ,.." .',' >;,' 'ii .' : ..., . .,..'.>";/,,..., " ., 'i. .,'.;"" :,' ii. . ..' , \) '-">""'.'. ,""/' : I ' .,.r-- " , ",:: .", : ..,r .' .; ,I ' ,'.,' j . ,.... ,...,. :: :.. ,,' . '.' '".' . "..' .' .'... . .' ' . .,'..... , ,.,. ",', : " I.". Ii I I: .,'" , ".'" ,', I~ < I' , .:' , ':". : ,'. . , , . . ' i:"',, , ' '. ,- .' " ' , i ',' ! '.:' i , ", I ", ,.... ..,.... , ., .:: ..... :,"', .'. i" ':u ' ; ..'," . ,".., ,,',~' '.. ':. ' ' : : ,,\' ,'. ': ..', ,'" , : i:." !,. :"", '.' ; .... ,..'., ,..' '. .' , ,;'" ' " '\'" ,'.... ...'. ..'. '.' " ", .' ": ..', '". , ,.',., ,'<' . " '", '... , : ,'. ", . ,,' ,....,.,...L '. : IL "'" L '.~ ,. I ", "...1:,>; ; " .'1 ",,:,,;,> " ~. '. , ,'. .: < ' ': ,'. . , ", : ~ ~~ '1" ~ J -.-; ..' '" , ' Ir- :",' ' ",'. ',.......'..'..,' , ; ", '," , , : ''''.. , ,.,'.."..,....... , .'..:,...'. ..< : . '. " ';: , ',' ,:' .' ,'" :"""', ,," I;:'!',,: ....' ',' I ,.'".. ,'. ,', ': .' :., , ,,,'. ' " .. ,., , " " ',., ' ' , ' " , :' ,'; .. " , . ' ":, '.. . .. , ,'" ,'. '," , " ,.':.,', I; .' '. '.: . .,., . . I" ' .,' " :,': ,,:' \' . > " " ,', . ,.',' ...' ; '. '..'. ..,. .. : ':, , ,. ""'" '., :'.' \ '.":,,: . ., '. ..., .'. ..' t ..,....'.,.. " ,,'. :i,".., ' ." '.' '.... .....".., ; ,:,,"":,:","', ,.,.. , ," ,'" , " : " ,.' .. ,-" , .' .' , " . ',' I ". > 1(' I' ;, l'L ."'..... .'.," T 1t),8tr,~r"'" ~ r\ i~) STATE OF WASHINGTON ...... 1 0,1 No, CJ'603 '7o~:2 9 :: \ ~ ,~ ,po. L1c. ETR,AFFIC. COlLlSICNREPORT g::~:':::1 I~~""""""'"""'" ~5 / !;.77-r 7'1 fi i:. ~ Q"'JO_'COlll~IQN__ n_ ,__ ,P.....L<?~..(O_I_ll~ION._ _ _1'M! IICOVNT1' .A _ lX,)l.,JN;'t'~ rClTYhoO I ,-... ~ .' :,:,::',,:',.:, Li 7'Z; $7 I.' "'''!'"''i'''.)'(''' ;~" ,"""".0'" J&~~L::S<::k\ /1,,' ".., ~ i 71 . I ON 01 D'N JIYOflIOWN I N........U"lOOf~llIll'OIl...G..W...y I....'l".~ ....ul l'lltOUl 1!J:<'ro.:::::":';:" 3 ."" 0' ~ 00' //~o~ lo~.,eC~Rs..<?h 1 I ~o/z.o ~n }; ...............>, ';; INlI~>ICflNC. WITH 5f~llf 0111/0"0 INO'" INHII!.lCTION ./1 ., J PVnUI '.....IlII'O:.' _ " ',';:':~, j~;'; . _ IIIHWlIV...e ~ 51111l1" ~#~.;2 t/ 5TII1lI I cP.. ~ ~~ X:: IJ Oi5fANC(..~,1.I'?!'fNO:MlIlUtl~t.C~~'VW"'l"IIIS MILIPOS'--/ ACCIDENT fll4M>' IU~I1""""OA'" ~,;.:, :':.;'.:" I ~ ..::J ff~I~~$ ;; F, ~ ;, 0' ~l5' /2 b20 Mg6~E It; COUISIQNIN\lOlIIEO (VIII ::r:L LJo _ -51 0 l ~ "'In'''' IN'IIf 11~~....I.u0 1~11..";t"~~1~1~"~,.~ao.<.oOflWUl:1NCl .....JJ t:,...,. ~O~t~I~S ~ 0 ~:~~~"'C.I:~:IO~ g~5~~~~~ 0 ;~~t;~'" ~'~~ II X I CU ICfl0$5$E.';/.flO~ 0 I f 'r": ~:'~'~I.":'"-~:'~:=;.:- ~~' . I."::'~' :.::-~., ,," I ;i.cr;' . I /M j"",,",~ A?",",.7/ ~/_a-J~W ---;;;4/CSo..J ?~"iJeC/C /9'/ld _'l. "ii.. ~ ''3';:;''- 'G" ~-S~ ./ ~ __ / .5 G-oJ A? O./~'::<: / b ..ii ...," r;;l ?T7,;4.l~-:?:> ~ %~;~J;;:;;..,(?/~ ~':/..,.~t.." ~,/;;;''' ~}.9 C......-,-c' ~i: ~ /,4~;;;/7t"o/;>pO 1A:,:;f [;; ;;T:E"~ ~'C:A'd:~,4y?M J::)IA 30~~"i3t>< r, i..< r:; '?;~ I':;;::~;:)'"~__ro,,"-, J8 p~p,,';' ~ oc':.:/c:;r."T~E;'1c RP;;'r;~i"'i 1'- 0 CHECqP") 1.~IC~f~:'~t"~'g,.f1~..~::OH-iUI"l 0 CHECK y) I'll [f"'U ~O'l'f[Of"NO'.....: l'. '1:: ,:,;,.",,>,':'~'::> ~c ~ 3 ~~~. "7 .. mr,;:,....' ~I 5 IiIC!lON/ 0 ~~?:C"\L.. CODES.... + . ~u' L.y ~~\l~~"" J I s IIlCTOON 4/ O~O;:C'(lJ ':;',.",,.,;: Se",..crl~ S?:..J&./..'c:::.#65 1~~~~~:':'S..:!"'~o;.. /.J..~ "",,_I~~~$ "7 ::"/ ... O..MaUI.....'. Ot'i~(l O~g~'IIR 0 ~::i~:: 8Wl'..? U:..~'1~'ItO... '~_tu\....cl om'l O~lI' 0:::.(.1 --[];','i'.o",,:::~"'?:':':: (~C~;:j I,"",UlDOOOf:.CHEVI I MOO~'.NOV'" 5Tnl\201l.CQN"'j 1'1," I' \A~l .............111 rMOOlllll>'R1. ......) 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"'s"'~,;';..~,e~fl 01 M>lO'HfJil """O~'1;OJ- 0 CHEC: ({l '..,up: ~H,(.i~...~~.?;'fi Or"';:NoI..;'I~" ~ ~Z~ CODES" J nA~~ 7 4 ~Y\11'" '2- 5 wc"oo. I I ~ ~AOl" CODES" > I J (I.\~ ~ I .. ~..~"... 4 Is UCI,O.. 0 ~~~...:.t" II~ 14 INJUloll15 t'lJ:JA~Jktt::'~~: P&'~C'.~/M INJ~~:~u'~: L"7":" ~J~ I-....,} W';.1":~'~O'" ~ A"'bu,.,,(1 0 ~~tl 0 ~h'~'l& 0 ~~~::: 0 i'8~\.. tt~~~'.O'" 0 _Ik,/IA"CI 0 ~~Cl 0 ~h'~", 0 :~::: B:i.~'..Y' I VlH~6"t/' r kllW!:;;) I ~V;P"'1 $lYll:J;0) I E H~?9 1~'l~L3V' I~~J%~"''''' r,rf&OZ''''1 I~ [!: '6w. 1"'?I)';;2d"A;'~,I""'~'HO I"A" ~"~ 1"";:;;)/7zzl"~""~~ I"A" 15 ~ d'/J7':3'sO q tY 2- sf 3 q t).s ,~ 'Cj''3-'2''7v q I / 1.3 5 1.3 ~ ~ JilG'5ltIlIOOWNfJil~~ FIIl$! M.ODU IPttOMNO 0 Ilf,",'!oltJilWOWNfJil~e FIIl!oI M'POlf 1.._fNU ~ LZ-. "'DDI?I~~OlOWNIJiI 'Z ... DIII$5~OWNIJiI ~ E .~N~I&AOOIl~JC::"'GfNl R ~;;;:~W- ~~J'W~.Prtll '-- OM\..:.c.~h'ASlI'" IK~7\A:.':c.l ~AI A.JJ'A./E" ~JAA.~ IO:;;'!l.A~'NG I OAMAGlD''ulA I---;; E I j "rH~,;,..:f:'g.:t: CH...Il(,( (H...IlGf ""'("o...~ I I , " 3J I 1((-1. ~.~ ~ I [!oj D...........G~JO OII.VIN 0 IlIMA,lNfO ~~:':.'~N ORl........,NfO 1m '=~: 11~L.~.l.O... ::-j ~ Fi; ~~ 1$7t)o~l8Ir~*8~ ez}~ D~c;..~~llv SIJ"./.Jblrtt--J~!.ono~r~ F"" DIAGRAM OF CO. lllSION- IU~h~fl ....u..'...\(f NO,C""(NOIIlH DESCRIPTIONOFCOLLISIONo 1us.(5l.JP9\lMfNl...t$Hl[!lFNl((~RY) I ~ C:~,. .,,'" ~A", .....ow 7!!atr/1{~~/-I/;ot.,{j..kz:o/~.,-.zt.!/oe:!/../~~. b . ~ '~_ ftV/7Z1L./J.Pt'~/V".f'.<-A'..v;J;r~..&.&.awf7'?,,(//k.<; t= E' &..., '. .y.--~-;. /,', A/,45 ~alE -no t::!.<~.e b1 ~~.. -QJuu,A4, ,'. ~ / ./1. 7/~a~3-~ t!~~,P;t'=7rJ~""I'. p --. " . / ~~tllJ ~//a::>. ~h=:> """.h:<'~ 7?/5V "'~T.9t'~ Ia,., E' -- -~...-: ~ ,~.-9P ~,<"""",~, &q-""'~.s'.e:2'~e.s=---Ad~) p ~. '::1 =. .' '~-, ~~-r,re"---. I ~,~, #34b?~;~~h'A'~..r=,<!1w;: . --- --~~):o-<' , # I' ;,V ..e/..e dJ?..GV~ A , .' . - '-'-' ' 'V~<?~Z-.s~HdK~"'IAS""//~Z',g~~ ---- " -J__;. L I~, " . n_L "'",~, u::;!'1 ",~..er...J?~ ~;.v, ,M?,Cl,I ,<<.J 8 - ~ I I ,t:! ~A;i~ (. ..,:;~.N--e. I" NAME, ADDRESS & INJURIES OF PERSONS INVOLVED . CODES I 1 I I 2 13 I . I 5 6 - OCCUPANTS / WITNESSES (.~ ~~~~~~~:~l,.:~n; 5''';-1- "'Cof ~!"'Tusl '...."J..I ~:.: C~~~\ i...Hllil i (JfCT :..~C~. HAM" ,c, ~"' 76S-36U I "rt I~I S "'0011(<,', ~"""A ?.?.-:J/7JU~L,'1~F /P""-?.?6 ~""'~~I,.O' P~.t:JC SC''''IV~~'''''''''' O........1l o~~tt O~l::~, 0::." IS 'Il.&..... E HAM'T,t!bn,;?-S:: F:; ,!,"',L;';V..,tp,;o..) 0.) ;;oUH PS:;;;-Y'o"6( nJ IZO I lD "'DOllm "/.5A/'A4h..dh' ~~(,-lJ;!?~~~) ,"'T~~IOI ~r~VJ~'1l0MOAAAA QI'OI'(10~1",. o:~ O~~~\. ~l "'.M(A4V/~ ;tL.J~LJ . _, _"""'..._ N~~~HOt7L..s-':"'ov/~ J:'\I~~'" po, """., "I" ..~,~ "0' -I J,N'~I!oS /,t:>~'t.~L,I/J-7.J'7..:ih/.//~"J(?~t:?'..F3f"'. luN~ !oci~'fl""'-u"O D... Oro"'I',.QJ~.. 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" " ., ."" , ':,' , . . ; ,.':, " . :.' ....".. ....,..'.' " "':'.' ", . .' ,", :' "" " ' " I ' :' ,.' , , . :" 1,1,"'" ',.,. !'. ,',.' ":, , , , " '" ' I' ".,', If '. .' ' " ' 'c I; < " .'. ",' ': i:",~;',~< ': , I,~. ' ',.' '" ..' :,:\ > ' , " ". ; .,:Y ,." ,..' II : '. . :., I: '," , 11' ",.'. . " Ii' :...' .,' :': ':",:,: :: .,' " . " , ,'.,. .', .. , .'. ,:. ',' ' . , ',': " ': " ": ' " , " ", '. " , ':'" ,: '.. ' ,< ,'.. : ' , ,<,' \ : .:." " ':",', ',' ,:'''' , '" -'.- ", ,:' ," ,-' " , , . ':u..,', ',", , , " . : ) " : :,::,>:. -,.' ", ,\ 'i,",' .. ':: ' " :',,', ". ,: '." ,;'. ' ::.,". '..,. "'," " """::,,,,", : '.., , ,'. , ", ...' .,'.. . ":":1' ,,,' , ,"1' , - :L' I' . . '<. -1" 10,30,01 NU.." '... STATEOFWASHINGTON "0,7_0,2- No, 19 1042 :..:,...:.,., FV'1'.AF"CWAY " f:'.':':"'::.::.::'.: POLICE TRAFFIC COLLISION REPORT ~ W)ll(.t COMI'\""HNUMBl~ '_~ .< o PRIVATE WAY z..:::t; OAnO'(OILI~tO,. .1. OAVOI COlll!.'('~ I I 15fP~MI IlCOUNTV C~TTt,jQ ICIT1'oO I I,...,.,H....... ~::;:,::, 5 ft g;q I~")( ""." ,~" ", ~'I '8';;'~' II ~E~AJ I I~~:::' i;;: 7 7 fiN 01 D'N a~tl~~IO~N AJ~.11 ~I~NO C>>SllnIl~HIC"'WAY H:lC~~ J.ADMQ~ I ""l. .laoullOll~'l/l.tTCOOl 1!oll".I,,:;,>, :':;:: , M"" 'Kl' Ow 100' l:'C77Mrru-vlJA' ION I 1 -;;1 , .....' 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"'.C'.' ~"" ~~..;.;;:/ "'~#:~hjl"ON9~(,_~~ " ." /1'''''''''''' '12 ~;.\,) ~,,~<~::I~f I 1'_ DW'VlliI'SU((NSolNO ... 1_ SI"U .1 51" ,~"'''O' 8' 1... ~' lVE~'5UCtN~ NO 1 51A11 V'" I 0" (0181111.. ~-"'::,;":',;>',--:::: ';, L- mA7Z(.IET'"7s-MSI"'(.~IJ'}1 "'1ZS-zS- V /I ~ ''" ": 'z CX7;;~L="rMN;e;;;A,0'.:? ;.~ ~~~'~~} ~ oceu..nON T"M.....'. '''''''0 / I m, \""0><,\,"'''' _ >, o CHECK(""") IIIIHIC~:~:~~~~~P?::/:i"'IIlIA( 0 CHECK I.....) I vt"'CU"'S"NLW"l'g:;it'o,...::tfi':t~'''1 '~ C CODES.... T 3 ~~~~~. h .. ~\\:::"" LA 5 1/",,0>01 6 ~:~y'-':'~ CODES" T 3 ;:~~~. .. ~~~:.'" s 111(100.. 6 ~,,~~:c.t.. '~:':;'.':_:-<:'}::;,,: .<'i',>"';'~ ~ ~N~:~~~:)... ,;s'a,;/ /') A./-::~~....~..!J...e ) n'~"'1 ..01 IN ~~!.Of / .::) :;",:_::/:",::,.J: ,:\:;-; ~:":; F'O :!~"":rl 1~~j;~;tT-:p~~;'::',,? 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I", "':' I ' ' ..'.". I '. i . <, ,"" h ' .', " . . I ; .,'.."..,.'.,. ..", r :,..', ;...,...,... .... . ,..,,,,. , ",' ,.... " ." : .' ' ..,,', " ",' " :. ":',' "'", ,:' '::, . .'. "...'., " .. , , ", ',,'.' ,': i. I ",'" ';,' .. ,.' " ' " , , , "" , '.' ".... . , , "" i'.. :' :, .. " : -: .: , , I , I ','.: '" .1 '.. .,.".,! ','. . I :.' " I"~, ' ,: I ..... j '.": i " 'I -- I '. '".; " i ,,' .i .:f ,[ I ..., I ., .' I " ' .'.;,' ,'" ",'." , , , ,; >;;i; ".' Ii, .", " ,.",',.,:": .1':'; . . 'S#;' I:, '.' , ,. '. .' '.' I~ ." .' .'., . i' ,'. > ;' I;"':: ;'.' ..,.,.., " ,:.', ' I; ,....'u.:,..., ,', ". I ~' : ' , ,i. >, ' : ',': I, .'.' ...,.',......,. '. I ,.:. I.., ':<.', ''-''';' , >'"" , , " ,:," .::. ' , '. '. ",..'., I;~ ; ,{~~ ~ o TRAFfICWAY o PRIVATE WAY 0'" lOI ~OUI~1 N I, ...~ '<..ULlI I ~j ,XI II. IIMI ,IICOUNTY E MI) 0'" .~ ~.. "0" lUll "It! I~u.~ '0' ' I IU~12"OOHOUllJ < 0'1 17' Ii'} I,.., 5'30 .Je:I'.'-'eI.J' ~ .,~ I,. ON Of DIN CtTYO~TOWN I t-;AMl,I!.NOOI5JIIIIIOIIHIGHWAY /{t MIll!. ~S OW (2'0. f?:,f.,J- -r;,VA./!(....-.J ION IJ(,;)1"1 ,1.'_( S"I- lNItIl5lCTlt~G WllH 5111([1011 ROAD INON lNHRSlCTION IBETWHNI1,'/ll'<l SlIlHT& Jv"fkA~,J STRUT 1'/ OIS ANel & O~[I~:I: N fROM (FEkINCI. CIIOSS!.T!?lEI all r.IAlltsr MIl! I'O~ I ACCIDENT I, 1)0 ~~~:~ ~ A ~ [; OF 1"1/ II n I M~l~~rE COtll~IONINVOl.V[O [VHWY. I 0 l 0 I MIIl~IN . J,oJ~'~I~~~ OJ NO :1~~~-eo.w~~E~~~Y~lO-+- 0 ~~K~~~ 0 ~~~~;~t~ >tJ"D~IDl~S Cf' 06JECT MIHJCI( ,NAMt OF 0II;[C1 STIlUCK ANOOWNEII'!> NAM[) I [ST DAMAGE ( /J~t?'T/ !3.f>.Nh $ 0 UNIT NO, 1 UNIT NO.2 0 VEHIQE 5 OIlIVEII's NAME LAST flllsT MID l l.ASI - J:>J(;.,/SON E((J:I( r:t/~"t..l; A.,.,.-, ~ snm6o;:) IIv.J rO,J rt. ~ CITY"" . !"oIATE ZIP CODE 1 PHONlNO D E d"':>rf -t-,'-./" r~,A/,J /.vA- '7t'JOr 1:?J'r -17'7' R IIIV[II'slIClN5( NO. I 51 All I [X I A (?' 61 H I IVU/'slI EN~( NO ::rOt{ "".s C. <. !l _,.., If /.v;' 111 I';; 1~'7~ V 8 OCCUPATION I flllMNAME & PHONE NO ]EYES IWlIGHT HEIGHI E OCCUPATION ;( s:-r. ,.1.c__>" r.r.v 11)"15-(/ R o CHECK (....) I VEHIC~f AS 'ZN fMPi't;~I'f ~;-~~~t..f~IAl 0 CHECK (I"') If VEHICll AS N fM..\b~f1~ ~'A::iii~Al ~ CODES'" + 3 ~i~~~Y t:.. 14 mi~:"Nl 5 IJfCltON 6 ;;~~:?y"IXlJ CODES" + I 3 ~ii~~' " ~W::"" 5 IJfClIO"i/ ;:1..1""" ' AJ..... r,. ~~r!t~!sl,)f / o AMIlUl""Cl 0 rl~CI 0 ~H~,,~ 0 ~~:~,~:: &'J ;<8.T,,~p ~~r:?t~5"~OM 0 ......IkIL....Ct 0 ~N 0 ~W',,~ 0 ~~,~:: 0 :"~9.',,~ (All IMAKIIDOOGE.CIotIV) I MOOH (DAlll.NOVA) IsTYll (2DIl.CONV I V H HAil I~ I(E (DODGE.CHEV) lMOD~~"NOVAl II !"oTnt (2CH/..CONY l rro:- l"lU 1 J:;,r.J. I f':C/t v/' 1 1.:, I. /V E I I /\, Lk. "" 'ow, I ""N" "'" N I Sf A" I "^"""^" NO I Sf A" H "" "'0' I" '" "A NU %" I(AO ~A" NO I "A" ~ (,~'{~O:::':"A!..~-::O.f5'~(S' IV;' - - f "''''''O'N'''''''' NN / "'- '3 r / :'" J'I? :t '7 0 0 eYE . "'- ~ IlfGISTEIIEDOWNEIl: LAST fllIST MIDDlE I'PHON( NO 0 IItGlsTlIlIDOWN(1l ~f flllsT MIODH 'tP....ONt NO -=::: ;:[,tI'NSa/J ~t/l.:,v( /) 3J>,'I7'?'./ 1"'- 13 ADOllfSSOfOWNEII ~E IADOIlEs~OfOW7 .1:: X:A/'H LJ n'-'VOt: ./ F NAME&ADOIIESSor-tNSURANCECO. 011 AGENT ~_ "7 IN U ANCECO, OliAGlNl t::.}"A""I'1~r.J .'A/.Jv,eA,v.-e R,/_ 'pAA'AGlb'~[A.. 1~~~S.:s.%~~L I~A I N/O%" , 5 1 Q g'~rQ OMGf CHAIlQl ~h~ J ,,-.~ r. A ~ ~""" 6... ",s!!- Co ,(HARGI r ,&--C!-,.o..".::is. rsJ. DAMAGE I~ 'OIlIVEN O"tMAINEO '~1I0tJo:.1' AWAY $/:"'00 l~v:..~BV t: If t:CSc:-~' { ..J.o.......... 0 ~~~f"D BY r= DIAGRAM OF COlliSION' (U~I ~UP~.[MEN AL INOICAII NOIlTIot DESCRIPTION OF COlliSION' ,. '1 . SHEHlfNEct~IIYl BVAIlROW . - ,) k , ' 0-7 :;",(,vS~-Ai N,IS 0-' t><,"/'1,4.1 ->/' /vl(c-<-- r= ,,- I = h, (".r,J f.' ",,~,',-f,t<r;: f'1c, c.~rv~ 11~""" _ t1-",,,~ '7:;1 t:J:rl' IJ/J--/t - "- / <? --~--,- - ~------- ~ I _ ~;;;;:;--Jt-:----- ~// ,. .>/ t.'/:J-It NAME, ADDRESS & INJURIES OF PERSONS INVOLVED OCCUPANTS / WITNESSES (f~ ~~~~~t~~IT~L-"~E[~: PIotON[ NO ADOllrS~ ~AT~~II~or r:::;--- N~[ HUN I~ ADOllfSS ~~~~f 01 L NAME ~~N "'DDIlE~S ~~~~~hOf ~tr~VJ~'''U' DA.MS D:';~t.:f D~:;~,,~ O~~ , IINP111""IINGOYC!~'!>NAMt &II"'.~ IBIIOGIOIITAGINCY U'..l n. F'OI.ICf D,sr...TCHlOI r'OtlCE A.IlRIVIOI DAlI Of Ii'fPOIlT 1"??/J1'\ I X LJ)... ~.-. ~A.,;" rIO.....LI ;::' I r.c" r,\.' l_;pJll>1l I ,,~~~S I O~OO't'H~: I07'/r.n ~ ? ". (i)"'''', ;@i; fi "...,,-' POLICE TRAFFIC COLLISION REPORT STATE OF WASHINGTON PAC,I T 10,30,01 No, 2 6 2 4 7 7 POICI CoY-Pl."I'" I'o;UMt>f'( I r1"~.' Iv'1 I~~~:~' p I ""~. :;J 7(; 1"""0 I I~ClS 1~~Q~1 "11101: IIIOI.J1fO;(SIIlIIICODl A 1 -;;r 1 I 6" Sf PIo/HI....T rltPO!>' 0." 7 IIAMP IDIACIlAM [MIA """ 111';iifi I x RD I'!'!.'~~C~I.':';'. Ilt[ 011 ROADOIlII('IIt[NC.I. 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" " ! ..'......'.. ..,.. , ...'.,....... , . ,.,:: .'. ,', ..... \ ',;, ..", .'...,., , . ,'," I , '. ,", I " , i i , - L "'" -~r- JO,3l...').ol "'Yl~("!",~l>)~_. I (J 2 I 0 9 ~ -:'<'..J l'OuCf CQi>i.p'..Ar';1 '~uMhf" 1~ f'i!SA STATE OF WASHINGTON '.G' / 0' I r ~ POLICE TRAFFIC COLLISION REPORT ~ TRAff'CWAY I I 0 PRIVATE WAY u....'O!(OUl ":' I~ ,oj"", O,ll' '0'. ,.n 1....[ IIcau",,'!' CCXJNll' IClt1NO I Ir-t,~"""" U ':/-. Ji' :~f?I~~."0~ 'Yl."i"'~i)(.'" '\"11 T/J;?U" I II ....~/./. ):7 I l)oi~::: ( ON 0' DIN CIIVOII1QWN I NAN.l NOQf!lIllU1Qrll-I'C,H........V IfI..ley' :;';'-1.:11 '....,...I'ItOUTlV"'~IO'tl'.......lA I--'~' ;Z M'''' g, OW (ZOC c.Lfl9/ZWA-TcIZIONr.-Lt/it<,<).4TC/< r-P. 1,-, "'7 I /~7S-o INTIII~IC"Nc. WllH :'111111 o~' IIOAO r,or; ';;ltlt~ICllV!, P~l... la IMIU ~1 11!.!TWHN Q- 3000 !.111111 & (--I,s./e / !.U,(ll I /. J 2- I', OI~IAr-.ct.. 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'DC'. or I 9 () I 7 7'i>'$..1><li I~~ ~'\ STATE OF WASHINGTON:..; 10' / No, ["\ ~ POLICE TRAFFIC COLLISION REPORT lC::i lRAffl(WA'f 1Quu w..._"....".'N<.J...b!~ I 1 0 PRIVATE WAY D'<"l01 (OH'S' ,. _l...J [lA'l.>'COIIIS'O'" ,~ IUll."MI IlCOU',jl'1 _ ~~ CQ\Jt.IYNO IClfYt.o r.- 5' '-;; 8'71X "0' '"", ." ..,,, " '" II ~;;30o II ..-J~/G~a,.J J (p I ~ .... D.N 01 D'N ~>~ "'.........I~~P&K)~HIC..........V fC1CI'lIM,)""~1 I' IkC..JllQllS!~H'(oDf 3'/-M"" ~', 0" 5(0' ?0~ ,~"J> ON ~~~. J2'r:::, &11 "11 1 b .:'2);'0 '')Jo/'~w'';:;t3~- J:~7gON~~:!G c:..".~ """ 1'0 I."'''''' r /-%.RE c:;~~.z'&;6: af!W!lN "Z:/.,.2,~~- !ioTIIUT ~;(' ~~llIlll Ie. So 13 J O'~TANC.I_&O~":! '~fIlO""lIl"IIIN i (1I0!io~!iollllllQQ NlAlIl~l""l\ll'O:' I ACCIDENT JlAM!> 101...C,1I...""(l.t.'''' It/' ... S--1=1~';~S ~ 0 0 k. OI./?';?//6' ~~ P. M~l6~(j( I COlll!.l()NINIJOIVlD !.1"11!1'~, ~ 0 ( 0 1.....'~'.. 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J ~~~~. r... ~\'~:;'" 5 Ut'",", 117./ IN~Il,~'I!. ..I ~? -""'S~eJ-.J c;; IN u~~.I~O "- m";~;\"'~~I~O'" 0 ..MllU'....CI 0 r~~'tl 0 ~1-;,", ~::~,~:: 0 :'8.'..~. tl:~1~'~o,y. 0 _ll<Jl....CI 0 c:.>,'CI 0 ~'n. 0 :~::: 0 ~.~'..", ro:-i:;~j:;?I~;;;;;'-:';rl5i:;:~I!.nfl~ E HVl"lI I~( I.CHIII) 1~IO"l.NOV") rVUI201.COVI ~2s LL V~ I;J;;;5-~rl~,# rll..llI::t NO 1-!.1~ 7 IIlH-ec.OQ rLlN~r\ ~ !... ~I .... I C ~L~ICLflo(Nl.'IC"'ION~, VltiIClIl[)(N111..,I.......Nv" 1'~K-"?fti71i/'7~:3:/ ~io~,,3 l I , I I I I I I '\. I I I i C 1I1GISn1l100WN(1I ~T fill!.! /./ ~100t~ I>HONlNQ ,!.n to _(II lAS! flll!.1 ""'!~ I ' .s:7'6o..>/<",..,-Z,.;; -prJ,J/ Yn4...4e- c,-~-"/.e:: ~ '\. 13~ "OOllt!.!.OlOWNIII N .. OWT-IIII '\. ~ -~,.,"',;?~ E '\. ~ NAoMI & "OOllf!'!' ()I ,N!.UII..NCI CO QIl..C;(N1 IN:.U .."I..... LU ...... '" "" 32 L::: o~;...,' 8' :~.. . R I.;'~~':~o I ~~~:""" ~ I~ ..2 ).. CHAIIGt !:H..IIC;I ~f;'g.::t: I J.=J l::]~j' wszv Bri-f~,,~;"N'O~/.r./ D~c;,,,:.",, m~~,. D"M"'" 1;"O_G'I't}..~~~.E"l r= o. '.AGRAM or COlUSION: ClJ~' ~lJPP~IM'''''1 'NOIC"TI..'t..~ H DESCRD/PTIO OF COLLISION: (jJ!>f SuPPlIMtNl..I !.Hff11' NtCf!.S.l.R", 1....2~1 I~ -j i '1'" ~ i' ,~.s.ti~nJ'INl~~!."'~11_ -'I 8vfiioW '"j'/~''' - "d - --'----J' ..:,:..- '"\ "C"';;~_' /-.,~-_...,~ ~---~ "1 ; !, " 1 i :'.1 c-n~ir.!R ,~n:'k .4?"..;v:,:::;::::;:r.;' ~,,~"""....<;-c.:::..15"1 I"" 1'", ! 11 ' ; ;:'''T1TI ~~.:;;:,~:':'~~~3,'~Zz:~:~~~~ t.::.!_(-;".-9(j '~ti~4;"'fi""Z? 1-~~ +...E::7 i .~::#,h"-::F-~~":D ."'P~~-~._,/7~.-/- ~=-.J ....;_____.. _ _.._..__..__,... //~...-,Q-,....._7"4/.2"'___G. ___=_$/. ~~c_._ " I r:=- 5>;1 ";;al;~,:=2:!'_;-;~;-!Tf:~~~=~~";-~:':::=~~~~~~:~~~':~ - I ,~rTT:rr~~~(~~::~~~~~I~~~~~-E:- .- ; C~::S:l'i~:'J,=',-=-I':: L:~"":;::"I:J:"::: ;J I OCCUPANTS I WITNESSES l,~ ~~Po"''''OM'~~'''N'''MH,',',' ----"", - ," ---. '~Vl''1 lou" '110,0- - ,- H' - - "'T(" ........... ..... SOl I ..C;f l..TU!> ....0 I ""\" Cl.~\ II1S111 lJfCT U'I" '.M~.;"-.....!.. L.' ~~?/./}~~ " ~N' .NC::--:!.~, .P'/I/'(.I~ I,) ~ 1'"711..1 "DDllr!>~-;;'t:/";5I" ~4-t...:f;/~ _"Pr~_l"';~ ~"1~~(O' _....."I~'ti!VJ~fIlOMO..M8 Ot'A''' O....;.,I~~ 0\"81,..... ~~,..Mr . ~ I I I I I 1 "OORm i""'~~IOf ..--. '~m_ ~~~"~~fIlOM 0...0.18 O~I~I O~~~". O:rZ O;-.~...,.. ~ "'''MI "10-"1 I I I I - ~ooms ~~L~l!>or ~-.. 0...0.111 O~~~IO~g~ll. -,~~ D;'.~'...\.. ';~VI~"C.AlIAc.Olflr~..' ~~~"O~C.t:~III~ "C>I"'C~. UNI10~ r:Cll,qO'!.~"'{l-410 D"llQl~(PO' I"PPIIO"~Dal/ 1 O"~',.frj X "'0 ~1.\'&D(1 .;:2~ c""q~ ~./ :;,a.r ..AAJ/ /~ !_ . '"~'M:~-./'___.-4'4,." ' _~: ~S.? ,.,.~=...:....?::>:,~:?~W .~' .,r,,1 I~'~;;:"~ i 1P1 ~UU,L I"'" ld I ~ I o ~,"" 8 1 ~ '::? ~O."o':,"':. r::' o PEDESTRIAN "". I I'''''''' NO I ".U I ., IlYU r"'1'c.<iTl'tlGl'i!:=::... . 1000'0.... ~C\I ::5:1 ~~T' '7 5 ~ :f] L ~ .. ,," , .. , . '.'- , ..".' ." , . " ",,', " ,:,:,:", '. ,', .' ,', '" " , ,", . ", '. ..', ,." ' . . ",,' " ." . .". , :':' ',,' '-',,' '.: . '.',... ,.,,' ':.;. '(Z(:", " '.. .,,', '-'. \ '" 'i: ,,', , ' ' , .. '" : ' , :' : ". " .,.'.. '. .':, , ' : ' " ..c ',' " . ' ".'; , ...., ,.., " ',' ".' ," :, ,', " , .' , :,"', ,:. ',: i',': ",,', ..., ...'..;.. . ::\.>;~i~~~1 ", '.':. . ," : , ,,',' "> ".. "..,i:'>.. ; . '.',' ":;;i" . ':'; .' :. ,: : , . :"..., .'" " ,'"," : " .", , " ':',' , , . , ':.". .', ,: :,: , . ..'.. ":: ',:, '; ',' . ,'. I',"~ f :. ' .' ,> " .'. " ~"I . ---n , ~: ---1 J ~ ;,'" . I,.: '. "'. .'.. '" ' ~. r--;"' . , ".". ", ;; .,..'." . .. . . .'. ..'..". ....,. .. ,.', 'j) , ( ...."..' i.. . , .,.,,:. ' > ',. ..,. j " . '., ,." , " ,,' 01 ",' .,.... .'.. _.",11 , ,.' . . I ' '",,' ,I , . I .'" . " " ", :;.' ' ',,' (, ' , '." '<, .. --".. .'" '" ': " ,'" ',' ." , , -;' , ,,',,',.:, " >,,' '. i '::"::'~i'~' ;.".': .', ""'. .'. :)):"" ,..:.',", '. '< .," ',.. L .' ,.,' ,\"..; .',:, ' " . "" :.', ',: ,,' ,', , : ' '!, " '."..,..'.......,.'.. ,'I. " ''-,:'L', . ." ::', , L' , .' I,', ... , I:' ' :'i' I".' ", "~I, ...' '.'., :' "". ,.', ' 11 ' ", , , ;!I~:~J:r .\ , .." :i:, \. " .: ..' , .,' ",', ,,", , ,." .',':, . ." ',. .. :". ,,' ", ',',; " , , "'.:, . ,. ,..,j ! , " . ' O~':,"", STATF.OFWASHINGTON "" l 0>1 T IO.30,Cl "'''>,,.,.,. '?D,.!ii) No, 2 2 ? 5 q (.,:.'1.' r-:::-.. POLICE TRAFFIC COLLISION REPORT ~RAFFICWAY ~""NrNuM&I~ ' ',:-,i\:\;/;'-' :,,::,,' .' 11 0 PRIVATE WAY Z31"'" :-,.:,:,:,:,::/,~", - '''''''''''''''"'' L...., ,,..,, V,,,,,,"" II "'" II wu" " ''''''Y>~, I"""" I I,,';"'" I G"7J " ..."":". IT ~4 Lf'~,,,,~~g~"~'~:'~:~,I::~::tNII A~~~;~" i~r:31 """I'OUts'>?; i~~::: = ,i",,;.,,/tij 'i: INTI....I("r,c......'I.. ~"'Hl0~'~QA[J N()NI""I"510'0', PIIHII "(0 IMll[~1 ~. 0/ --l. ! :',-:i,\,:::,'::',:;:"~::':,\_'r_-:}," __ - !'.tlWIIN ~~ 51J.>ElT & A I~/'IT 511lU1 I '--""" 7, =--.J "-","";:i/, I J I 1,>051101>1(1 II Ci~;,:"m; fkO.....10'1 f!1I!N ( (1I0!>!,STIiU1QR MAWl!>l MIll ~O~, I ACCID(NT RAMP lo''''ell........ OAI... @"/ '/)~',:.:.{:,:."" I' .':J", ~~';:$ ~ 0 :-, ;; Of A,r....po~ M~l6~rl \ .....,,>.';'_~'~;' .' CO(('5'ONIIWOlVLO !>I\i!""'~~: I u, 0 I ..,,,,,~,,, IN.t... ~TIt'RO' I~NIIIl:.t.Clll..u~TlUflOJlIi!QA,DOQl5:fHI,(NC1 .qn ,','....,..", 10lAl NO NO ~llltD NO INJUJ.>tO--1- 0 !>PILIAGI ""T Il.l/~t; "J"DJ.>!D"'~ I C1S CII~r.$'rIlHioR IlOAD "<:::;:,_:::;""( ._ III (_VIHI(L(!> OJ DpIIOI1Il'OAMAC(ON~Y O~~J.>~Ul!1O D~~~J~, - -A'J_~'20,<::,:;?::'::<,;:. i 0""""'t'XR'i+""""~~~;;:~"" (0 1$ ~ ,K"., CO","" US, ~ >",?/ UNlT NO. I UNIT NO.2 0 VEHIOE 0 PEDESTRIAN 0 PiOALCYClIST 14'::_:t.~,::.:,_,.<\.;;: ': ,;.~: -::,~-- .s O~IIJII<~Nlo,Mk~;)~ MW;~JJA.e' LMIODU D~n'UI!>NAM[ LA~' Iw~, MI,,,,{ / l~ "<~:_::,:;,~.-i~'>; :_\\. '''''' AOO"'\ "''''AOO'''' / I P' ".. iii' "" [2 "" PO~ ~~h p ~~ 13iS~ d>3' ~ ''', "A" "000' YON'NO ~ ,iii' E 0"'''''\(:''~ll+f-'\L<j8~:rs I LW I ~I ti'i";~'T~z ~ "" "'''',",0 I .." V' ~oi",';',''':':. t:i .i... ':L (';:C" Ifl~Q~:~~:MNOn,:r ~fTkl~1i7~~g ~ OCCUPATION rl<MNAME& PMONINO / lYf~ I'NllGH'I~ICMI ~ ":::: ':':":~'..' :'<, L-- 0 CHECK (v) I Vn"IIC~F M.'ZtHZ.~'8~[f ~ A~m~[IIIAl 0 CHECK (,I) I. ~,~~[~~ Z~~wP:B~'r'1 m,~g;':f'i:"( I" ,;:, ;'i:"::::,:'{2, ::,-:':, Q CODES"" J "HU~' r..., 4 ~t~l~""N' I 5 1)10'0/'\ 6 MQIO"C'Cll CODES...... 3 ~~:.~~' 4 ~~~'r~~''''' / 5 IIIClIO'o:.'~'l '~";1 :l. ~JI,'i,r~~""~ ~{, "",. '^"" ,~,"~;,\"' '5' " t~rSt;~?,~,JI" ~MbU~......ct 0 ~~ct 0 C'~~Il~ 0 ~i::,~a 0 :-:a'N~P ~,y,Q"lD'l<OM 0 ......BUI.......':l 0 (9 " 0 ~W'l~ 0 ~;:."~:: 0 it~IN..,.<':,;:",'.:,'<':<,~';'-', "<, [1 yHtY~~'lI~\J~~.~EYl I MODs~NOYAJ ISIYl~D~~NVI I~ VtHHA~ 11M~ I DG['CHfVI/1M:)DH(DA~INOVAJ r'YL[l~~P'~~VJ ~ ,::,':,:<'::/','-"?::'?'.i , '~. 1 'O?:Lt~~/I nNA I "M" "~NO 1 ',.'~ ~ "" [['0' I''''N'' ""7 I ", I "..... "A '" IAn ,<i ":?lv;~x7N\";'R'~AO! I Q.' I 151J1 K ILl I,.') I ,,! '6' 1 1 ''8 I ~ ""'~''''~'''''';''o~NU;/1 ! II! I I I I I I ~T<:/!{/ ~ ~fOIHtRD\<~~Sl ~, MIDDlE r'~;203C. ~ ~!GISllI<EDOWNIP /AST fl~ST MIDDlI I HON!NO ~ ::':,':- ',,", Aoo.m co OWN" "0"""" OW")' 11 "I LX ~ ~ ~ A hOJe., ,~/ ::!-J ~ ""'["OO~r"N'it1~N' (0 R N"" '7"'~ONU"""W~AU'N' ~ ,..'ii" L- l~ "",...", II;:~A I Nt::; t '~c..J.JG'. ".. "'M'" o".~'1".I[ot'~"'A T." l~AMAC:DAPt~ 1'R~U~,:(bl";;;:"'1 ~":?ARCf I ri'~~r,'6~..... AMAGrn.... ~ II) I';---r 910";j. Dl....OMr;' I CH OE I Ho,..,.Ow:.l ~'o, 'ii' 11M. 1--.. .--- !> ES~A.MAG~:.IO DI<I\(N QRIMA.IN(D ODRNEN OI1EMAINED I'" '~A9' , ' _.'_...... ~ 1- ~ 'M\'OBOnOM $~{')J\l)OQIt)t fi~~flY ~,u..s ~ 1~~~ llY AWAY $~. ...:......J E DIAGRAM OF COLLISION!: lUSI}>U'PLEMENlAl,' ,NDIC. An.NOl1lH DESCRI ION OF 50_lUSION- (U!.l $UPPLEMEN1AL SHEE11! ""C(S~~Yl I-..::t.- ':": ,. -:; 'I ["i"r": i"i'-i~'":''''C''!''' I "".:"ow '''%"W1-:5ll3'''P.,-;'Jo;;'"''C---:1iE'i'f'-V -- '--1--' I, ><: ro;-'^ ; " i Ck':'-i~, : ;: ,~ ; -S ru...~~1f~!"-;r~-~~!B~~~g;.:i/i' L 310 . . , '\1,' i t. . ; : I'\C~ W)JW.IT ~ 'fl>k~, _ .' I---J':X' l!'" ~ ,., ,<IJ ' ,- t-=;;]:. <".. E N \\7 ~ . ~;z:Y: ; : i : !-- P-/i/!C! ,~ i ' n .,'ii; NAME, ADDRESS & INJURIES OF PERSONS INVOlVED 'COOES I 1 I I 2 13 . I 5 I 6 P OCCUPANTS / WITNESSES V~iJ ~~6~i~cr~~ll~As,;n; 5(. - f AG! J.,1Alusl '\~~"I ~,~.: (',~J~~ "'E~iR I fJfCl I.;..~~:.;,'}::""" "'AMf ~"~T ::ic?N:r~~5- J'-l2~ ~ 3~ll~ ~I A[l()~fs.,-f"D~ f ~ ~hlfT lb.. ~ 0 \At\.\. ~6b ~,~~;:~f.,~" --- 1;:~~Jl"i~ '''uY 0 "Me 0 ('.:~ ~r~ 0 ~<:;"W<:':-'::'<":'~:,;,:":} . " E ;;;", ~f;,:':'.''' ~~r.5l'Jr'""" 0.." 0/,::" o;g;..~ 0 ::i o~~"" I "I 1<./ ,:>'-; ,'-'::'~.~', .', "",' ',.~~,',:-I,~,r.o', I~ I--t--:",,:.-,,'. .;',,:-:.<1.,:.,. ,.-,::..~ ,_'v D . '0 . ~~;"~;VJ~ <;v O..~'" C:'..'~'"I O::~;~,. C~~.: 0;-'-;..",'", "'I:\~:.::'_:':' xl"'~'<b"G~';~~ I'~:~'(,~p 7;h 1'''f1Z?'"''I''\JIflr;.;YMV:;;~ ~ ~l.n?X'. -,,1 .c::r:;. ...~.... "i,.,..... > .,..... '..,c .,>..,,;': i.Y.,', ' ,','2\: j,;;';!'.......... ,'.i!f. . '/'." . 2J~.!i!!ii:;.; .i',.. ...'. ,.,iX..: ',' "'i":)." 'i',: "':.' .,'... 1:.,\ '.i"., \ .d',>" ' ',i '.' \, :', > ,,'/.i' ..2....Jin: I " ,'.. , '; - f:: --~" " . J Ei1":'- ~----- ~- "',,.,, , ,_._, ~.~._~, ..~_....._,_.. __ eN"o'UN" ;;T.PA 10.3)...""". I ,.\ I;'"",, ",., " I.~J uorOll VEHICLE COLLISION ~EPORn 9NO 0 fl X"~" 1 ....', .' ,"<.:\ ;5y:'~;r~~I,"NI.o'f~F~~r:;;~i"" I '" ~))tt';'~~:;;r ~ l:fe-E"r ..t""R.>aH No, I ~ 4 2 I 1::.....<"..' :<>' j :-~e:E 0.. D~ 0,,, C'I'OHT~ C;)"~"I&.W!.-Of~II""~O,"'''(;'''''''n I!;.ICU. ..tMc.~"-I-;"H'Tk~I~V"_~I"l~IOC;()O:_It.l(;l :", '"''0''' '" 0 r.UD ,.-;',-"c4G ON I"'Pc~,CE'o 1:<Of/> L,,'>Ji' .'; ><,;',_, 1 occLi,.,:,:,o r._ ""~l~ ~ ~ 01 r/? 'Z7 r.....-1.' J ~ ' I. ,>i5i I '~';;~'l\'!::':~'"~~ ' 1'0"""""""' ~~ ~,,,. 1'0 I."'~".:>. 7'/ ',',' . ',.'. ,'.,.. . '. 'I r ~--;("e:-..e-~. r> ",.. i,),,,"'" """,.. ..."" <:;, 7" , "'n it .<. I ",Jj l@lIJl I 1.:::~"~;~:,~.~"'~,~:;~~,',~',\J,,:;:;;~,~..~::~;~,:'.'""'" ''''~'' ,~. 10"""'."'" ,> . :",'.-"':' ~:'lR~lCI'O'" IHI I rn ffi] lv, I J':, <.".. I O'Ull 0 I" 1,11AlM0000llIlUoTUI'Al.S81.'NQIR>>lW>OflU.D "'01< 1'''0 I!NllH~IC""Ct.JHlll()R"a"'DaH ',:,':': ' ! l~t~~~f:wo;,:~u ,;{ i 0 :':~~~:~~, 0 ~r~~(~l~ I B ;.',:'~.~".:'.'" ~~';:"~"A' B ~:;~~,~::i~ B ;;~I'J:;:'~~~II.I ,}2,::;~'.~" '1?J "0' Cl~ IHLHH2c~ C~~70Hl Oil Ha"':,:,,:;::<,:'::,:::>>~<T~' '11><Xi :::), ,/." ""f.:".?'/i ..', OBJECT STRUCK r,.-- ,_ R::~'~~''<?~";\'LS ,%"::'2:,:-;;; 75E AN;:?~:I,?J~'b, ~'" ''"0'""' _'__ "ii. ". ... .. ' ....,...'.. ...... .".m..."'''.'''....,,,,..,,''. ",M~~'~::::N Mia,'WII..."'''.....,...''.'..,''I. ,'Si'::;~~.;~,. '~'" D~IVE~.SJ"'J:ls1; NAME fiRST NAME MIDDLE WllllINva~W..l,J DAIVER'S LAST NAME FIRST NAME "'UDDLE ::::."." Y/}. X./ nCoooer lJ;I(I~ 'DeCLY) ..~~;~:,;;i~~;;o G.ro-V<'S ~+--.<r --:J ,'> Iii.,'.... ;'i,,:'::"~)"':~">:"';", .._ I',":.:,'] STREET AbORESS , ROUTE NO AND UOI!. NO I "IIlSON:> Wlh( STREET ADDRESS . I ROUTE NO AND BO,I( NO . .",,::::/,,': .::'~i ",:;:\'; " "". .... J ;1-30-17;<<., "tu.<.,l-t- LD' "~~;~~~;,' ^ 1-/-0 (j)L.LQ-e}.s (? [ i,:, ' ,'.. ..,.1" """';-"?-i :;' 1 ~ STATE ZIP CODe jORIVEHS OCCUPATION COUISION CITY STATE ZIP COD~~.lDRIVE.RS OCCUPATION <<,:" ,,"'~.' : ii;"":/' ' 1-6N'" -r;;;1.<-'Yi~d, qr??", Q' R<.f-, ~L ":~~~. IbC'rT -r.::;-u_nt < e.l<LIJ)1l '7:?%.r re-h Ve.d.i'/" , , ;":':>:':, ',;:,''.",:':':, '0:',>',<:,::.': DRIVER'S LICENSE NO. ~ I $TATE I ,;fX I DATIE OF,8!IATH I AGE CRIVER S LICENSE Nf?-I..t?:t.O" I STATE I ,:~~, I D~iE Of ~IRTH I AGt ,,' ,"':':\;,;.,::':'<\.:'\ Iii. :,..i, ,'.,...".: u:>oue WD 7&'J. PJJ-I wA I;}I' I j" I :;::'--I;l:'.J..! bG" ~-; f(';< .,Ie PR ~ 1"1' I ':; I '~ 1-2', kk' , ,',,:.. ';,' i~~:ji..'!c' , '''::''(':',:::::;.,::::~, VEHICLE YR,I MAKE'ICHEV, DODGE) MODEL (NOVA.DART) I BODY SjYLE 12 DR) VEHICLE V~I'.4AKE (CHEll, DODGE) MODEL (NOV....DART) I ~ODV STYL~ :2~J1?J,:.<:.':"<'::"'" <..:;':.i; i.'..,>','.., I q 7 {, 16mC 3/4 -rc, n I P.cJc.- '-'-', /11iY I Dtd<;;l",~ I b ;7/0,u,k ~./ ,',;,'" '"',, ,':':, LICENSE PLATE NO I STATE I TRAILERf>LATENO I STATE I ~E.NSEPL.AT:,!:!O'I STATE !lR...ILERPLATE1\O. I STATE \ ,~:."':>:"::':"'::';">:"'~:: J; ~ ""'i;' Ps 7S'" 25 ().J1'r I I:'J.1. "i;y I">,> 'i :./,.,,,:, ",::::': ::",,c: :'o:,;,.,::;t:~ .O::-:;(.,::'.:,,:;i:'~:', VEHICLE IDENTlFICA"rION NO. ' VEHICLE IDENTlFIC...TlON NO, ,.:::,.,,' \.. ,'." ,., 'i>C TC-L ;J..L/.blbD'!J7)-Cf7 :. ..'i. "," .::.{::',\'>:,'::, , ','" REGISTERED OWNEf (~ST'FIAS!.MIDDLE NAME) IDAIIIER'S LICENSE NO REGISTERED OWNER (LAST-FIRST-MIDDLE NAME) 1 DAlliER'S LICENSE NO I :'".' eo~r U111110-/lllA DeLl..V)IC.oObeWD"7&,-P5"1 ~"..>"" . ,,'" r'<,\:::'<'. OWNER'~ ADDRESS tSTREET'JCITY AND STATEI I P"7TIE,,~~ ~IRTH OWNERS ADDRESS iSTRE.ET. clrr AND STATE) I D~TIE OF, [J,IRTH'.,:,', ',":": ,," ,",' .>"., "1;30 Li) ',,^<, ".!+- J....J?' R -r: 11)J.~ i.!l1~''':-1 '7;l- MO 1 0", I " 'i<<><; , , : ":;,.,,' i P"'RTS OF IIEHICLE DAMAGED , I ~n:t'.t~i~I~~l' TO PARTS OF VEHICLE DAMAGED I ~kJ.~~~\.~~~I .10::,:,"'::"0':;,'.:' :,.:,:: ';,"'.,.' - e.- Is /-,1-1, ,\:."..,-.".. ,~ck.... J rico.- Is .r......" LIABILITY INSURANCE INFORMATION-VEHICLE NO. 1~ WAS THERE AUTOMOBilE LIABILITY INSURANCE ~ YES 0 NO ,. "," ,\)',,'>':'" ::::? ,./hi.;' N~E ANO!,CCRESS OF LlA6ILlTY 'NSURANCE PCLOCY HO,CER CO"RAGE 'N ""CT FOR TH,.'AWDENT CN :~~: ~;:lA6ILOTY 'NSURAHCE COMPANY I. :..,.'.,."... ,'i ,... ic";' W'j!IICLA-v>. 1), GX) ",,' 105~g'C;), ' ".L..l'~' In. '() T.':'1'" n ql?=;r;;g ~",--fec-C1 I' NAME AND ADDRESS OF LlABILlTY"NSURANCE AGENT CIT'I' 4 s,....lE ZIP LIABILITY POLICY NUMBER . ::,?':<':';o.>;:,,:o::: ) ,\>i.i' -HM1e.r cSi-h ,'tJr, 804 u)f+-..r< v 5+, 1-? T L;:f:l cl,YO 3 {,S' H 7.G g~ '3 cl . ...'.'..'..... ,.,/t.:.~,,': 1ST 'NJURY YL ~ ""- AGE ~ 2NC 'NJURY 'u" ""Rm ,..OR' '0' 'O",HO". '''UR'''' AGE ::,:;.~: ">.:_.!:','.:::;:::' NAME .J~'tflo NAME y\ 0 Y\ -e.. ;:':,"<,,~\:,:;,:;::,,'.:;':,."':! .'...'.,,: . .]..,.,.~ ADCRESS MSE~ ~ ACDRES' ~EAFq'ii<%,<i( 'f;:':/"':,,:,/:,:' c' DO U ~:I~~.f~~PNJUR'ES DO ';::-";:',:"",:': ..". ,.., 0 DOCTOR S DID lNJlJRIES Rf()IJlR[ rJ II DOCTOR S f,,':,:,:::.::':i .;,;):t,~" '.-',:"'-,: R? ~" NAMl t..AMIN"TI(m bY" UOCTOtP ~ ~ NAMl ~<,.~',;/::':': ;',':_'>:,:: .i'i.;:' 0 CO"" I'N V;'CLEJI ' I" u~;;~:IRS'Tl ON~~,;;~;,~:'P [LIES "~..~~~~l 0 D~~;~US OF BI~~UIIRE~CLE I ' I ~~~;;~RST lON:u~,~;~~~,::LLlES P~~~~;l ~...::":;'.":"'::":~::':;:~(:::":;\ ',..." '.. 0 ,"'"." NO ""ED ,"''''' ,.>N.'" ,,"0.""'" 0 ...."",, NO ""EO ..,,,,,,, '.'""'" ""0....." " B~~,~~~~,RI'~;'I" 0 50 60 O';A'cf' 8"IP'~T.~I~," 0 50 60 o';"'[jCl k,':'::':'. ".' ',~":" ,".' '",),.. ',., ::':-:,,',>"::,;'::: MOTORCYCLE SAFETY; 0 HELMET USED 0 HELMET NOT USED MOTORCYCLE SAFETY: 0 HELMET USED 0 ItELMET NOT USEO . ":":'0.:::,,,:, ,'.",.> ....' "" .....'..' .:: ..:\'>i S"CW;:::~~i~~r=,:::" ~ "cat- ";tl'''~;;;''~"^':i'PENE~'~~r~-h~~~~74?~':::-J~'ft,: ,< ..,.: ::'.':< "",','::' !~ID::~~S'~':o~~ANfl.=~~':a6~ \J..I ~;~RC C;Olr ~:3 c::.:..:.>-n-1e - . _~,"'-T:-O_.. ~~,:Lti?:-., ,..,;,:;';'\:::,,:"',,":'<'.,,; :;.'\';".;':',::::'::,,:':,::':' tl ~~':~~~0~~~1A~~~I;~~""A~"o:HOW fb0" _ ~~, ~ f h9-.L5;" . ~ t,,+- of-duST; ,,::,">><<:':::":::', ":..' :'i _~ CTI- ~.. .;;:;;;;::... c::.d:..r.tf I-><--~L{.e..<"d ...,+e"-S<:'C.'fI''''<f' Yto1'- .;." ".; ".;':....:: .. '._", ' ~(, .. _ 5e~u1.1 car jc/=.;l,-." ." 'i"c);, "" .... " .,.' -'---', ~\~'-\-E:D -- --," "',j'.. '" ... ...,.".. ~nr<1 , Q. -- ,,' ( :'." ',; .)".~....h \ ~ _ ',,' .' ~; ..... ~".".." ,~{ '.']i...t),'; ,! VE~'CLES POSITIONS BEFORE COLLISION NOO"""I """'" 'I ",","" 'I """"O'''OI'NYESTlGATECBY ,.....,;'i. ': ',..'..,.'.......:..... IIEHICLF. N S E ~'l;~ ON STAEET OR HIGHWAY NAME OR NO lI::'t~~'~N U:;~U.SU:~',.,n l(f~~t1H'....N...ciO Vl:;~~f OCC':~lI) 0 ~~~~~I 0 ~6:',~1 ..t:-','r~,.::',":;-'<.:j:,-/; ....,..,... .....'.', ~ ::::, g ~ g ~I~;::~ ~~~, ~~ 0': g ~ g B g g B:::':,:, m:i:1;'~'''II. "i.' , , ~:,<;>,' :<\ ';:,' ~ PtDl!llRI"'" 0 0 0 0 I ALONdI CflOl"'HC1 FROM TO ".;,:.':::i::':;:.-,__>~'~:':::>::':,,:><,,>, ',.:(,; ,::'",..",:,,:"",: PE PEO 0 0 0 DU~Il.ID DU""'.Il",1l 0 o 01 HICll<I.Tl 0 0 'i'i\:<,"'" .:;,,: ',:-"';:!<: .":',' DESTAIAN/ AL CVCLIST WAS USING: I ~ll1l""~"\ I ............u ] hllOUI('IH. C"O~"""I.' CIlOIlH.....~..( l> 011.(11 , lIl~f Iloun I flO.nw"~ I ;,' \'>.,';.;:,:'.',::;,',: "';:'::i?>',,: ;'), :/' ", :'. PEDESTRIAN/PEDAL CVCLIST CLOTHING COl.OR 1 0 /l~"~ ~ O. ",," 1 0 ...", I) . 0 III 'An Itf Iii Ct'WI b 0 ~,l,~:~ 1:!..III~,~r'~~:T'1:'I'~"'l "::':':';:"::':.,i'!",,::i:--:'>'< ::.".i' ',.;, ROAD SURFACE WtA,THEA LIGHT CONDITIONS TRAFFIC CONTROL TYPE OF AOAD DRIVERIVEt-UCI.E "'CTIONS ' ,::,::,::,""'r~\,:/,:',:i :;".',:' ':,,><,::,',:,:;;,,': ~lH,~7~'~CI( ONII 1 ~ O"'VLIGHT WI "ICII ,e"l c. 01<11 1<1'1 W,~"'ll~O ~ ~':'~~~fINl NO "':HICllNO I IC"IC" O".~ 011 "'Of'(l'<~> .'~ :':';';}'\";>::-:::":~:':"':::';-':'<:"'.':' ,:,' NO I ~ 1 Ogt?~:.I:~~A ~ 0 DAWN 0' 1 0 SIGNALS 0 ' OON[W...V 0 1 0 GOINGSm...IOHTAHE...D; :' ',\,:;:,;:'::"i,:":, I :;.~.'."'~"~:!Ti:' ..< & ; ~ :;~ : g :::~~:o : g ~,~~~~]j~" ~: ~ ::,~: :,:: ~ : ~ ~~;o:.::" B : B ~:::~:';~Q:~~~::"ONG .)"( ..;::tJ:>,....;..,..,~":i"::>:;{':::t,.',\'..::. Ii- i/,i, /:';.:.,>"-' ',.' '. ,;' ::,:~~ 0 J o SNOW .OFOO " 0 PI~HIV~g}lrl:T 0 . 0 n"'SfHNOAEO 0 . 0 1~6~~~~:~gE O. 0 M...KINQ\ErTTURN : /\.:::: "~'::'.i",::)':' ii' "'ii'..' 0 . 0 'CE . "" CfN~ER . 0 D"'~'NQ 0 0 0 0 mEY DOG TU' ; . l" .';i'~ ';:,!', ii",':; 0 0 OTHER ..:...la (Sr> CIF't'1 SlR,tET llOHTS 5 n...StHNG AMBEA 6 " M...KIN U. N I:,' ,',;',_:" f to SPECIFV \..Jv...S 7 Df~rJ:,7v 0 ft 0 RRSIGN"'L 0 f\ gtr~tC~N 0 II 0 SLOW'NG ~':'~:" :,'::,..: I./i. , ;~;;p,~~;~~W^~~of.:r:I.~ p ~~^::::"'b~Er.:,::, g: ~ ~;:~;,n;:'~~~F:AN 0 :Q'~S;';~~:r:~N B : B i;'~i;;;;'~~,::~:'C .'; 'i ".' ',..'>.:"': ',,:,::,:.r:;,;, I ~"'.'!,::,:': ",,::::,:/;< :"':': :O!:~~~:I:~:AI: l&1t~~":~":1 ~I~"'.".w~ 0\0,-"'" ~+,.., Tu.1"'V\ L"-''r'le' 0, OOIIlIOW 0 fI 0 SlO",'CDINROAOWAV ,: (::, -:",'::~: i 1",.~:",:;':", . 0 ~"l~~;~~' . 8 ;~:~:t'. 0 ,0 ~~;:::,~::". RJt:.:'~:'...~ 0 (l 0 NO TRMIIC 0 3 0 UNOIVIOfD 0 10 0 ~~:rn~~~~f:"': ,',;" '::':"/:;:,::":C,': <t,;'::::'>;) '. ,;,::'~.: ~-.:}::;::;:~.:" '" ~i 'i t ,AEA80N 50R NOT BEf.IN~ ~~9E.,.R...,-,V I ,CONTIIOL g YNEOS 0 II 0 ~l~~I~?cmWt)N r ,. .:,.~,." :.... .,'... ..,,:: ", )(iii; :::::' VL1.SSlt\..-\C' """r :i{,T77':'~7:' LJ 11 1"1...",.) ....J..;/, p~C~~~I~Ii1~l~~'i~~:.N,,~EBNSTAUCTION 0 012 0 M[lh:;'NO,I:NWIINQ U .:,:':::;:. ;::;'.':,'/:.: :',..;:','};""', r,,:;';::: ,',',:,': :~'T:, ",::1:";,,,,: " t '. W\"rMS!I NA~~-t.,..t~:''f,:r.. 1:'''_ ,.."'.': ~~o~ts!l ,-, . ' 4 .-. -. !II!X. '-Aoe-'" 0 II> 0 ;t;~~~~;~ + ' "'i'>' ..'. , \iv,1'\~' '," , 0 D~?~.5'oWAy.i I "i>':",..: :'.i'.. , 0 0 ~i:rJ'~Yi.i... ': ' ,.....",i',,',... ,.' '," : "',' ;.............' '..., I ,j... ...:'<,/i-;,: . ':" 0 ~~~~~i ~~I~~~~~~R:r ~~jl~~O"'T~~:MtnCI"'l ;:I'~l~ ::II;):'~;~I~:~~~I~~:~'~~ II~\"'/I'~~:::~~~f 1Sf'~171~~~;ICfl '~r~~'I~tl~~~~~I~ I~'~ ~:f~~~~:: /\~i T,I~11T~I~I~~1;.:::::::'. ',. .....;':.1,-''''''''.' "".'" .'.., SIGNATlFjE J,F ~'~N ~DMflLtTlNa:fC1lAT /7 "'ODlU"!i!; ,I DAlL or fIIiPOI'lT :':'::";":':':-":'.:'" .. ,:',...'ii..,.."....., ,j;i/~ I it .. ... '-~~~~~_(f!;.c;r~__.;z8a.~q/.\VfNLT-1.-f'_U_Lf'_I1':5'J~~ ," >;' nlSTl'llOUTION ~Hrll NO I WA~,It.lNr.l0N SlAl[ ""WOI, ~~'.;> MM~N W,,"Y. Ol.YMPIA, WA 91l!,o<l SHill N():l TO tOCA\. lAW [NrOnCI MJ:Nl ...Ul:NCY WII(:RC I ::/ I"",~,:<-:".:::" I Of COPI[li SHHT NO ~ ~rli~~~~!iI?t:L~~~I:~~~~~~~I~lr6~1P~O'T.~~~;~i SHU.l NO. ~gtt~~R~'NT OCcunfH:D we""",,., .'" i . Ih.:>. . L-i. -- '''''., liJ\;:", I .'......<<i./..,... , \ ..'L 'i.. iJ,i I' ; . If, I ~ I; I: I.; .... , ': , ' ,. ' 1\. \ l! ~ . I, " , , 1". , ' J eo: ':, """L: ; 1)'1,.: '<< 4ntf~~o~:~~:,t~~~f9i~t:~~,TF~f'~'g~;'~' ~:~ reHRSOtJY ::~" {I ~ J;.-; ;'"'' j ,.:>..i".".:,.,.: ' ~'" 0 0 0, """',,., I ;:,..."~"''''o."..o,,... \ '" ,,'I '~':;'~; 1'~""~.oZ'.~:::~o.-T'i" " ,.." ;r~l::o (. .,,,,0: iii:O:.P.r.r;;;u.,."I:Ni'IONrA.:>t:r-.,:"''''r.E tE1A-.D U ---"I Ill< o~ I I"'i' ",: "'Z;;:;'6;;;':;;:~ .::::L;?f;;;/"G"vr,erl/vC& "T!f:rf&67...." "'''" I'" 1""":;. 7 <I Ii', ",,::!. :.:..,...,, ~~::"no, ,...1 ~ ~ "' ~;~~~;,:;,~',,~~:~."~,:'..;,~\:,',7,',\:,:;;';::,..;~~;~,;....,,'" "....0' ,_.. I"'~'_O'" If O'L'H 0"'" II.....' OOU:i.....T[lll.lll.SUUHQT~H'[O 'm' ,,"0" 1'"0 1:"llIl~l(;I''''C.~II<I(:l-U~. .:- :;,:.:>.':::/':':, n' ~",,~,t,(.1 B B !J ,.. ", 1"011" C~!i 1l['U'.!-"C..:Ot.ft~:'~"U.10""O'" , >""<:':~:,:,.):,:..-,:>,: 1~~fr~~~f:VO~lO ...-(.., 0 :'~~l"li(. 0 ::~~~\~ R ~~~~,~~,:~.I ~:'1~',1.',,,, ~::~~~::l" ~:'~:~;~~\"l M""lI~~::~" L ./ '? "/ V' 1::-':.".: :i.\ "-:";,,:>:>,"::>:::1::/',:;,,;. ,.-c",) ~BJEC! STRUCK 1.....t.lI:'Ot OWlCI SIHUCIII OWNE.n_OF OBJECTS N_AM_E ANO ADOR_E'_S I ~~'~~~~}_Ro.C.8tb :'''lC COOL U!>l ,,:,;,::/>,;:,,:':L ;,::,-"-:"'\:":~-<':':':':":''-:: ,:.:::, _~l-;:H~~;tm...".III:.'" ';1. -- _1!__ -- .;-'-_':::':::':, ",:':" -_..~.._.._.. --... . ..-- ..- IIIM~~'~~l't", _'l:;t:II.-j~:tI:I.,......(t":I:;t.."':I. MIDDl.E I't'i . it .' i)>. \.. . r O:::':~;;~E ~~N~E MIDDl.E "'l"lIN~Ol~LO DAIVEASlASTNAME FIRST NAME ),.i::'." "T"'~JVS-;...;J rCfP~ K. M~~~~:~:~~~~O ~~.6 If!.. u.J1L.t.../~ ]). ,. ~ :":: ':'C:-\:':"':';'/::'::<:"':.:;.'::,:', " STREET AOORESS ROUTE NO, AND BO)( NO. I l'lll~ON~ wuu; STREET ADDRESS ROUTE NO. ANO eox NO ,.' ",:,':-::':~:,.',:::>i':> "~." ..;to r1'Jt/6H.s ;CJ..L~c ""~~.f~~~~~:'" ~Eo ~~/'('/HL-Y- ~,o "X' ':,:::"'1:::'::.>:":'\::<>':';:';',:""" C~Y L STATE ZIP CODE I DRIVERS OCCUPATION COlLISION CllY STATE ZIP CODE I DRIVERS OCCUPATION ...,.,'<. rr-r;;;;J;JS607\ tU~ "783681 tf!'br/,e""..i:> ':~,~:' fJr.WwAJ.s6N1\ 11/A- q8368 I /.?Grlr26.u ~;:":'"':">.;'~';,:',,:.:'::":,;;ij::':"'-':':": ',- DRIVERS L.ICENSE NO I STATEI:f~ I DATIE OF BIIRTt1T AGl IO~IVER'S LICENSE NO I STATE I ~~~ I O~~E OF BIRTH AGE :':".I<:r.eA-V.Gf'Kt.9.:.11lc. 1,^,A-I;<.i'I.3ol:;'~lj" 58 '<;.'''PE....'''7~).PS wlrl;(I'I)OI1S-L,a tt ,:'>,'::-";:::" "-:<:,:::.,:';::::,,:-,_,'::, VEHICLE VR'I MAKE ICHEV DODGE) MODEl. (NOVA-OARTI I BODY STYl.E (2 OR I VEHICLE YRIMAK~ICHEV, OODGEI MO.OE)lNOVAoDARTlI BOOY STYLE (2 DR I :,..'f,,<,,': 1'177 I f)frfSi,,0 O.:?,IO I/f'Ff(-o:;/f,!,ffCIC /47", 1 ">Me.. 3./>f r I Pt<. ;;~~::,>;:,:':,,:,':':{<:"::::,>:',"" l.ICENSE Pl.ATENO I STATE I TRAILER Pl.ATE NO. I STATE LICENse PLATE NO'1 STAT-E" I THAILEfl PLAIE; NO. I STAlE ,.'.. .., ", ::reI' Z),</s WA P5> 7-':>68 i.<Jt't- ",., ;':'I\,{: :\~::,~["'~,,:-:;:O::';-:'\:"'-::";::::"~;""" VEHICL.E IDENTIFICATION NO. VEHICl.E IDENT.FICAIION NO. ", .." .,'/" :,;~; :,': ',.-::,:;';::';,:,,':,:,-',:::.:', I R~tS~ERED OWNE~ (L~T.fIAST-MIODLE NAME) IDRIVER'S LICENSE NO REGISTEREO OWNE::A (LAST-FIRST-MIDDLE NAME) I ORiVERS LICENSE NO ; C.,., i.'..' I CI-/hn/6> r~ ;:::, /J:5 ;,j;&J//1!E. I I~' ':-:<::"', ",-:,:,:::.,-': ". O.....NER'~ODRESS ISTREer/J~ITY AND STATE I -T- O.~\E,O~ ?I~TH OWNER'S ADDRESS (STREET, CITY AND STATE) I D~TIE Of BIIRTH I " .'.........."..,.,.' ~'" tJ.Jt/6~ fJ/, n-::-r;;;." cli' Wfl.1 ~ 1:S-1,3", ns r.J-r=//6: .0 I 0" I " :'c.'::_,;'- :-:' PAAT~OF VEHICl.E DAMAGED l1~~""":~~l~:b~l' 10 PARTS OF VEHICLE DAMAGEO 1 ~~::-';~\.~I'tY~' '0 :":,'.. 1>A!II/US [).",,. t: Lf:.4~ h:,vi)~-d 1$ ~ NOA/.f 1$ :'/i,:,: :"'(.':;} ;-"':_':":::":':~: LIABILITY INSURANCE INFORMATION-VEHICLE NO. 1- ~~~ETR1Ec"ll~UETF~~gp~\~RL~~~kL~~~~OSEUNHt~~';.oun CAR ~YES 0 NO " NAME AND AODRESS Of j.IABILITY INSURANCE POl.ICY HOl.DER NAME OF liABILITY INSURANCE COMPANY ,;:/::,' i NAME AQQRlSS CIH ~l",l( l'f' IfP;A Alu'tUfl IAJ5. C!o ::.:i:,:,:';'/ '-,:::,-/' ~ NAME AND AODRESS OF l.IABILITY INSURANCE AGENT CITY ST""l ZIP l.IABIl.ITY POLICY NUMBEA ,,, ; ~y;{€_!~~I!_(JFt:It';' . ;;1to lUST ~g,_p~v.(l., ~v/r '11'!/'S"~ ,- ';</O'f ,>,::., T 1ST, 1~~~A.~ , ' AGE BiMllI/lW 2NO INJURY (USE SlPMI""E tI[PORT fOtI...OOITiON... IN.URIIOS) ..',:':',:,,-, NAME .~fJR"Elo NAME > ;~',:).:..'<, ADDRESS I'V 0 A..J ..c:. MS~ ~ ADDRESS .A.J 0 .A __ ':::-, >, ~E:T 0 ---- DO U ~N~~ib'~PNJU~'IES -------= :::~./:>:,,))',':"_'.. ~~9. Y Cl0R' B [J 22BloR's ~j~,~~~~~:~t;.Fi;~O~JI~CCT0I1" G Q B~5JOAS -:),' OF REO ]1, I MARK FIRS lONE THAT ....PlPL.1ES ST^TUS OF INJURED D I MARK fiRST ,ONE THAT APPL"f" :,::. OOIlIV[1l 'IN VEHICLE I 0'1':.~~~~r. "O"I::~;':'.~"'NG ..~~~'~~t OOHlvlf< 'IN \lEH1CLE11 0',~~0~~G "O"I::~~';.~.'NG P~~~~~t ~!p~!"!i'~i!~jj ; ''-''':::,:,: .',0 PASSE..O[1l NO KILLED ISh'[fl[) ,t.I'..OI1, 01 t COMPLAIN' O"ASSt",C,Efl I NO II KILLED tSH(Hll I.."..OR) ,I E CO.....",..l :.:~:",:),,: OPE0E51flIAN 0 OIP"'''lIC, O"tl)l~""A" 0 (JfP...'''tTCI :,'e- 0 "'" " , ., 5 0 60 7 0 0 I sO 60 7 0 \>/ ..':"y i" MOTORCYCLE SAFETY: 0 HfeMET USED 0 HHMET 'DT USED MOTORCYCLE SAFETY: 0 HfeMET U'ED 0 H"MET NOT useD SHOW N:;:~: O:R1R>l~IW=:CLE <D __ ~~ O~~E aE~':.s~<~.~~,E.~,.:~:ZE;~.V=~B:;JU.W,~~!..,..,.. 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VEI~IClES POSITIONS BE;FjORE COLLISION '",:'o~',''' '"'''~':':\~'"'"o'I''"::'~'~;:''''' 1',':"~::':J~~~;:00 I jo",~~;;~moD .~n.."'; ,.,:.. ..' ..,..... ,.-, . i'., VEHiCLE N 5 E W ON STREET OR HIGliWAY NAME OH NO />IAICIIO.. n~ "0 nil ..0 ,u NO PA'IlO~ ro C~ ~ :-:",; ;':' ,,',",-' ~ l'OUlIi DODD 0 0 0 0 0 0 O~ti~CE 1i}ri~~!~5h ,:.'<,':,.':"." ,~',<:,\:;'i,;;,,'_~.':!..> '.,....> ><;"0"'''' 0000 0 0 0 0 0 0 0""..", .' ,.>.i'r..., " . , ':~'::\'.:)::,':' ':< ' Pfomlll,uj 0 0 0 0 Al.ONG &~OIlIIKl FROM TO ..:,~i',::,'.":::,:.'~.,,:(< '. .,~~;':i:;';',:'" J PEDESTRIAN/PEDAL CYCLIST WAS USI"'IG' . 0 IIlhrWAI K ? 0 "'AI"WA' 1 0 ~"Ol"Il'" ~ D ~li~:~~AlI' ~ D g~~:~~~~1I . D 01..(11 , 0 ~~~~~"o':J,ltO . 0 flOAOWAY ; :',;,::,:,..:_!;::.>>,:'~:';~ .. ) ::</",; ",-': PEDESTRIAN/PEDAl. CYCLIST CLOTHING COLOR 0 0 0 . 0 fH "IO'''Hlf(:H~' ~ 0 ~l':;:~ ':,WJ,~1'~~~ l"("A"t~:,:::'::':':-,;: .',,:< 1" ,'L," .': ';i, "., ROAD 'URFACE WEATH'R LIGHT CO~01T00~9 "".. 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ANDOWNIII S NAME) I $ lS~"GI SPt:CIAl COOING U5(",;,.>:,_~''''; :-::,', UNIT NO, I UNIT NO, 2 n VEHIOE 0 Pl'OESTRIAN 0 PEDAlCYC[iST cp.:<:>Y::.< 'cr O"Y"'"Th~~ R~;A"J 'S'" """"'~, Gr;:~\A"'" C;,-,.JP ;"" c,,;<,<? .....' ~''''''AOO:3:(.,;?,\ CAPe: &>unGe.. ''''''AO''''~O') TRe^^,,"- I -;:;: ,....:.,.,.'>xii. ~c'" ~T iUJ,,&~'^n \,I,r.."C;W'lZ 1~5'l'f151 ~ c", P<,>"''ibl<J~~: ~'M q)(1?;;r ~~:;3" ~.,..iF r:::- Oll'VtllSLlClNSlNO I ~TAH I tx I >;;;A ( f51 'H I ,VI1I5llCLN5lNO I 51Alt I~U 0~UOF8'W}H ~ ,.-,,:,',:,'.': ,:,,:,;,...{ U;;.!.. ~flB5"3\::Kb! lvA- MI(-r!~!Q; V G(1,f>,t1FC.o~\qCl ~ tvl 5-il'l i'L.,9bl ....,.'.". 5T~~';~ T"r;~;~:~'N~v\.),Ilm.cW I~ I~~I~~~:, ~ OCCU'~ '''MN~'P"ON'NO_ ~~.',lj~T;:~;' = ....','/ < ~ 0 CHECK ll"l I~WJ,~~:~~'Z~Z~:'8~Eq~Ci>~~~WAI 0 CHECK ("') '~,'l:~fA~AN(M,,:~~~i1~At~~fIlIAl ,~:.>,),,;,{'::\". 'i>' l21~~D;,St' ,~~:;~' . :~\',:~"' n 5 """~ . r~:?,~"~ CODES ~ - ,;::~;'''' IA :~\',:~'" UI, ''''''',,3 . :;:;:?:<"~ 'u,i'.', 0< tI. V\,.."e. " ^t..' j:~Ju~,1 f Krou....... I '~r _ I,> .',;-:,.-:': 9f.~"" 0 .......aul.....C! 0 ~~u 0 ~gPlf. 0 :~~~~~ _iMa.,.'l'....\.1) ~~J~~'.~... R.......IlU'..."CI 0 ~<ti'<.l 0 C:O'Plfll 0 ~:~~:: O~~~.? .',i:;-":,': \...,..,..', ;,.:,-:. , ,qiD I...-:;~oo;i;;y' I MO~::,^I I'"''~J:''' ~ 'I~~o I"""~~~:" I",,"~;::AI I'''~lcc'''' ~i.n 13 YR~";' ri~;15 T'~ I"A"''':::"O I"A~ ~ ""B~: I"c;::~;'i<\d. 1'lvA-1 '" "::0 I:' ~ii .<' ~ y''''''''''",'''''''''NND l ""'''''''"''';CA''ON J ~ /iiii: .....,.. " 1"<I.:l!F:d:~11 ;;l.:~141'3' ' , I' E N'C!CbJ::Ji\;(JJ:bll!(,8'1 ! -;-r--;-I """i'i;i. B:: "G"'Th::'K ~" ~~"w<. ~'" I,"ON'~ ~ "G"n"oo~~f\~"( m "~I.lJ<,I M""" 3i;-3311 ~ <i'i<C. ';-., ADO""'H'';;'''o,.,. N AD""''''O_"'' ~i'i,,' ';'". ~ ro" ""'" \-\AD La.K 4~~ E 'S~ rTs D'U ANelCO OO<A,'N ::t""'. ,.y.,. ~ Nc"~!j I~~' "&:;..., .... R..- X n, _ , "" ..~ ..\~~9"Niiijf.. OAMAGfOAAEA ;... "..... -.l"'r.....; I nO'!.oOo8~'NG OAMAGEDARfA ~"" ~..-_::",; ',;', E' er.~ ...~ CIo4A"'GE-~ O....JI.){,oo Tbo (!c"l)eJ..) CHA~c.t,),.... Mil' ~{).JtlS ...,'T" ~"::::f~'~~ :~'T> .:j'::3 ii , .~.'_~P...h (;5\'(-,. DAM,' ~;A~"'...t~ OllfMA'NfD . OIl''''IN O"I,....'''l1O rEST OA.MAC~~" _!.'.O:_.. ~ 3 ......'.' -----..:....oeono,;..j Q;:.. TOWEO ........TOWlO ..."--7.AWAY.:.~ '2.- 0' 1080no..",'''',:_.'_< _L-- $ "WAV8Y l'2S."WAY 5V ,~~ C.lV $ ~(). . >< E DIAGRAM., O.FCOLlIS"fON: :1 'U'.' ~UPP(EM. ~N Al I.NDICAH NOli,'''' DE~RIPTION OF COLLISION- (US(~~PlfMEN1Al ~IolHl" NICE:!.!>AQY) -=~I \"... ..":::"" .. '-,- ','-'-- '..-- ......""N'C[""".f,_,o:!'~'ow ... e lflt~n'."\'r,;^C-'''-rl' '.~<J.2..- =')", '.",!! ,; ; t.: ; '- '_, J ~ L.: : 'ClS_, . II: ' .,/,-, B'-"'t"-~_KO,..~, .... =iii, .,....'.... "'.'.. g:- .; .j -L.;u : ..! __ ,..1. L i ,.i :.( j l.i .. . 1\ 'i-< \, _ ,L T L,)I\..J W:\a ALDR Ic..i-l ~O .1 ")__ :=:1:< C ,: ~ :i..-i. '. ,~::i.: ; , ,itthlt~. nk,U2Pl S,O<- <>F.,~'f_<.~.:: ~ ,<:<;?; -, " ..' hl~' '-'1:"" , .' I . -" -=>el., E::;--;- - ,---,."~:~: ~ ' .=::t,. " . ,~2-IY :. ,,' -.. 'ii.,-. if: Ir .. I ! i ~,~ ; ="I...,:.... ~, tNAME, ADDRESS & INJURIES OF PERSONS INVOLVED I I I I I I ~... r- \OCCUPANTS I WITNESSES I"" 'U""M'N'^' '"'" 'COpES I. 1. ,I''':'.I.,,~' ,~. 4 5 I.~~. :,-:'. ,..AY-f H:\"t:'~, fv),,^.J-~ fOil ADO'l,o~.o,~ NAMt~b('M '~;~'S~ I ~Cj'~ ~... I~) ~T:l.U5 '.C' U (,.~\ 11';11 (JICT 1'3" <' '_,:> _'::':.':>:.i,,: .Ant)j;lm'~~ k' rt!\lJe!2. 'f\ ;-:".o,:r~~I,(1r.--:-L.:p ~cr~r~~'~0M06.M5 O~(N- D~g;.,~r'2',~:.: D:tf~l..\~ >:';-,:'.,",:>:':'::,: c="^"' 1't\!>.L\\~ LelN:!) ,'OW",' ~lSI:;.''-f16 'M :>r,l':J. WIt.-. 1U1'~ I" .'; 10 "'ON"I",' ~ r..,....~ 'rn~l,}t" "' ~.o,;\~lp,'iTll:^'1 ~y. IA'i'" ....,Vlll.110... 0.0,...11 0"'"'' 0"1" O.~V-~::;~" 4 "'AM' ~(~,.t I fNIIl' '"" C".,,~ .t.. -l-~-""" '"'t :'::>;':'::: I "6.".~r~,' ~1,..."..II.i!~I....'" en."..., 0"'" 0 "'J' ' ,::,:',:<;, '~T(.)T ''''\'?''~I;'"''~~l,=:;S;~'I~~'" 'i':~:.'i:~ I' 10""""." i~"I"~ '~:'~';:(:',I'~;;?:i/1 "" """..x:. ," ~\.2....L6..-U. -+"{I~ 1\.)1 I ~ n I ".,~~ """?,, I ski / i? I / "7Y/7JI'I"I;-:Po1 Ae.-./C!,! - ---' - -~;"i~ii;i~11 , <i.i.:<? .<,," ......./i'.. ,) i' ,'.", , " .,...>),;; . 'i.i) ....( ..,...,....,'.,...., ~II ...,)'i":,.i. I " >UI ,Xi'. 'i.i" I' .,..;,i.!.:. . '/_,'?' I iJ,t':i;1 .'.,.. ......i... 'lJ'. ; i .j i! 1 ' j \ I -'n.1 '. ' ,', ' II <';:'; " L ~ J , , "': : .," '",'," ," :." 1:- r '. '-:" . I ..,.. " ',,'.. ' ., " " , "" , . ,.....",' ":":"" ',': ..'. ' , : , ' , ',.' '. I' . '.'. II '. . ',' ", I'> " ...'.. :,.. .,:" .. ,,',', .- :,:: " .,' I; '. '. I,: "" I ,'>" , ": ' ", ',," I' ,,:"'.. :- " '>, ' " : ;'-:':,. "": <' ' . .<,..',~:,::.',: '\. ',: ;.'" ',' , " . .,,'.. ,'..., , .;~ti:.. . ,: i' " It, ',.:, " .' : : ",.. '. '... ) .. ":," '..' " . "'. " " ',.....,'.: . ",', '.' . ',., 'c' " , '.' .., '. ';', . ". ,', . " " ," . ." .'. ....' .'. '. I "',:" , ", .': "::' :',: "".''',:, , ',', "', "j . ", ,., . ,..... : ',' '",'- ,,', :' " . './'.' '.', '. .' . ',>.,'..;, .,' , , ',' ,: , .""" " >', .', " H " .:'" ,", .',: .,' ,',', .'. ',: , " , '", , " ;> ; L .'.'''' :," . I ' " , " " ,:" I, STATE OF WASHINGTON No, - 10,30 I?I n Q 0 A '^(,' / 0' I [2?J TRAffiCWAY o PRIVATE WAY 0.0.11 01 COlll~ION I DAY 01 COlli:" '" , 11 l1M( IICOUNTY [ ,,~?,4 ~ Ir ""' "" ." ,~" ... '''II 'l'b.'j""?" n5r.r/e!C'Jo'-/ I ".., ON 01 DIN Cl!vOIlIQWN I NAM(jj,NOOf!>1~11101lf1'C.H""AY ~ M"" II!J' Ow orJ O' I!"t- r:;. w.....f-....J'ON ^;r POI f' C'~,~;':: IN1EII~C1INC; WITH !.TIl[tl 011 ROAD INON IN1[IIS(C110N IIlITWIIN1 r'C:41'c=' I'C. /C.J.~ 5111((1 & {>rp..J/'cr;,;,:li 5UI[[1 / OI!.lANCI & OriCl1 f'" M RUUIINCL CliO!.!. sTllU T 011 NIAIIIl;! Mill 1'051 ACCIDENT I/~-b !I:i~I~~5 {;s i& f., 0 Of M~ I M~6~rE COLLI~~~~~~OlVIO ~~~rlO~NO INJUI!ED~ 0 ~~~lAGE OHIIUUN :.:.~'t.~~~'t..~ . OfV(HICt(~ m '1iif~PROptIlT" DAMAG(ONl'J 0 t~II~(Ul1fD 0 ~~;:',~t;i . '"1 CJ 0 q OIlJECl ~lRp E?-~ DeJECT ::"IIUC'" ANDOWNEII'~ NAMEf E~T DAMAG[ UNIT NO.1 UNIT NO.2 ~ DRIV[II~R~o~;:V D-,,-~di~ l~-O,~ID;( '~'~NAM( ro-:;;- ~II1EEf7g~( rteL.)r-/ p~ t,1f /Cd ~lREII~:' ~ CII" , SlATE liP CODE I ~HON(NO 0 ITY ." . ~ /J -4-J/o de fN,4- Cj8"3:J'7 l?e.r- "SV, R \ C Da;~(:;:.rD6 73 ~NB I:;E hEx I~MjA~~~11I;7 ~ IVWHICl~5tNO"" I OCCUPATION jfIIlMNAM[&PHONENO I.E,YES 1~IGHT HEIGl'll E OCCUPATION I'fIIlM~AME&PHONlNO J... Rf!'.. J..:rf:j. 1----:--:- DII'VIN A M IAL W,ftz I/Ib f.ft R \ '- 0 CHECK (I"') VlHdE~'S AN [MPlO~(rU"'~~OTHfll 0 CHECK (,I) I VlHICII,f AS AN EM~d~ff~r~AI. ~ CODES"+ 3 ::i~~~' I A ~~~W~Nl i../ 5 IJI("ON/ 6 ~:~,lIC;'SJL- CODES'" + 3 ~ii~~' ~-A ~~\;:~,...! ~ IIIC"O'" 16 ~;~.:c'Cll 1_ INJ~llS '"' I n ~1:~~:SOf" / ~~~fVl~fIlOM 0 "'MBUl"'N~r 0 ~~Cf 0 ~g~Tfll 0 ~~,~:! 251 \"8.!N~ ~~r:;lirlllC>'" 0 _!lUl"".Ci 0 ~Cl / 0 C'g~!l1I 0 ~:::,~:: 0 ~i.~TN!>P IIE;"(R r".,A.1~~:rCl-1EV.) I ,,~OAR~;VA) r;:l:2S6NV'1 E VEH YEAII IMA"ElOODGE'CHEV,) tA:LIOAJH,NOVAl nIC" II, 'V,l [ ,", co;o. I "cw,,,,,,, NO I "A" 11l1AIlll1 PlATE NO I~TATE H VlH. COl.OII III N ~A / ~,. "'" I'lL A t NO 1f'1A' lJtu Ifc:Jao 1/-J,4 - - ~ I 'I rs- itC;'Of.;'f!'J-"o~o [) 0 0 l( 6 '( ~ V(HICLEIOENTlfICAIIONNO /- ~ 'i'2"""" IlEGISTEIIE~WNEIl, LAST flllST MIDDll "HO_NENO 0 IHGI~1EllEDOWNEII 71\5T flllSl MIDDLI = -';,4.1-1 c!' AJ /?~t:UE x: 13 ADDIlESSQfOWNEII ~ ADOll(S~OfOWNfll / 2 S~Me E / NAM A ,.IWl:'Y IN URANCl R / ' "" rrO POLICE TRAFFIC COLLISION REPORT ,~^ ~ ~~:~ - I~C'~ ~ COUI~TY71oICI'Yr.;o - c~l II.,[)Me-~1 f'!lffl}!' I ltOUlt 011 ST; ncoo 1,,1 3/1 I 7'5/717 MttflX r rMltl~1 /,00 IIAMI' rIAGI1A.Mo.o.,... l,NTER II~TX.llD-nN (~lNGl.HunOllllOAD()Q WEld:NCl I'YI C~ IO:~6lf;~O SPECiAl COOING ~E , o VEHIOE "" o PEDESTRIAN " -----ZWCOOf.- , I ~IA![ I Sflt 7 E NAME & AODIlESS or INSI..:RANC( CO OR AGENT ~ l<el'1/?~\ 'A DAA'la~bIAAEA ~A11 N J! 3. CHAIlGf, _' IS I _~.'.O!_n ~ OlllVlN R F I==t;~ ""',,'~_ ~ AWM 0 'M"N," 1-- ~ t?i-- i.t; 0 l~"t..fyDev, r:= DIAGRAM OF COLLISION' (U~l ~UPPI.!M!NlAL INDICATE NOIITH 16 'SHHTlrNlClS!.AII'T') eV...1I110W ~ 0-7 rrr::: t::: L- . --..----------.~ E' ~~~ ~-:-- .:..-;~- --<; -. ~ ;; -=:,- -} ~~ -=. ---~--,._-- ,.--.::-:-:'- I ~'f~~j.~~~ o PEDAl CYCLIST M' , PH~/~O .(OATlOf Bill H /'" ,., " EYES-1Wt'G+-/TIHliGHl ~ "i~HONf NO '" \' DAM'l'(.%I.a.Rf.A ~ ,tJ,;-~,,= 1080no... ~ . , . o ~~~;.N DIIEMA!NEO I$ES1 DAMAC>! lr7l'l~~EJ'eY DESCRIPTION OF COLLISION: I~E SUPPLEMENTAL SHHllf NlCl~SAll'T') p~:Ue"r: S,B, C<.-' /rtrl'or-r C'~r""Fr "',. I'1r /. /Jeer.: ::JvA/,<:-.l "vI' ;...., !PI',,..J I--~y. pvo:. Iv ~'^"c~'.-"~ fro /,1' /', c ,or.; U'" IC Co-/ -I A.P",1" /'-\.;.!'J Of-?~~. /)te."c..,l?/C Mof t9-r r/?L.'(7".. /~ ;=1 'd T3'c - - F- NAME, ADDRESS & INJURIES OF PERSONS INVOlVED OCCUPANTS I WITNESSES W:~ ~~}~~~~IT~lA~:t~~ +,;,OF~~, l.Al,J".:~.1 ~~: I "~'" ,,~.I "~CT I~~I, ~ ....., '131-7, I' I I~ t "- I ~1Nf""l\Y M 0 ....MI 0 ....)~C. 0 "1\1 0.... 0 ~'il..."" I~ I'IU VI" "AMI' !31r:oloV,../ ( pvlJc,I'+3 T. '!J3'f oo,,,,:'-R-j'/ f'~<,J'M LF. ",-" lhJ/"cJ< /-FA, E;;'''' AllDJlf!.!. IINAS11C.""''''C>OIf'C~/'M!'\ ~A'.. IOAD"IOIlIAC.lNCY X I) j.~, ~_ 711..~"'4J I It; LrCJ~ ~0"'3J'> -co!i'T5 ~AT~~r...of N,:J~ /: " " NO ~~A,!!i.~I...Of ~~:rl~N~,fIlOM 0 "Me O~~CI O~g~Tl~ D:r~ 0 ;t.~...~. ~'OOt. I I I r;..~1'i~fsO' ~Hi?vl~fIlOM 0 AMO 0 ~~tl 0 ~g~T" 0 ~,: 0 ;t'~""<. u...', ". 1"OI,el DISPATCHiD[ POllCl AlllllVEDI DATI or llEI'OII! I ~ I DAn ~;;'j'''' I/U"f. I /~t" Idt:.-'-.f"IL~ . t:. 5 l?" '. ~~~~ L l" -I' I I ..'.. ",' -1' ,', , . .. . ".. ,', " " ,: ", . 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I: ....,., ...., i: "'. .',..', , I ~ ' .',. ...,.' ',.,'.'.. , I ,,: :. I' ,',,", " ,,' ..'," .,.. ",,' ! ; '" I ,', ", , " " ,',,' " . , ':':, .'" '" , ',. " ',' "'" " , ..... .",., , '.', ':" '.',,:,.' ; "': ' ",',::- ';, , ':.'.,.... :, , ':. ,.. . . .' ....', , L , " ~ ,- [0,30 ~"A"" ~ STATE OF WASHINGTON '"0' I 0' I N 2 7 I U 2 0 f"'j"""" ~ POLICE TRAFFIC COLLISION REPORT /&J TRAffiCWAY 1'01~;C:OM""""..rl"U""~I~ I t 0 PRIVATE WAY UA!I()'(Olll~'V" I. Ll"'fU'(Ulll~1 .. T ~ !'M! _ Ilcour.!~ _ /I COVYYf'''O ICllf'.o I r;- '7 ,'A.M I'.' "" y'" '~" " ,.. II 'n'~z~ II ::TCf-~A.J /C" 1 U_" ON 01 DIN (IlV Ol: lOW'. I NAMI&NOOI~T~1l'OIlH'0~W"'v CICl~ 1;....:iU.~1 I~ IrlOUlt~~I"lIICODl 'h M"" p;n, 171.120' ONG;t'&v /"cVC= /?;- /. /) I I G?rJt./ tN11I/!oIC"NuWIlH ~1l11l10j;J/QAO INONIN''A'i~OK." t::'" ~tl= PlllflJl r'l,j r...lll~1 - IBIIWH~oLL~llllll & ~ ZaUl I 0.. 2. ? 13, O,..,ANC( ~~~IOr~'1I0Mllfllllt"'~t CIIO~~~fllfllQl1 ;!:~~f~ltl'O~1 1 ACC'O[NT II"MP 1'1..."11....""'0.0.'.... 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I I x I "",,0" IQ~.fl''''~. 8 OCCUP...1ION I fIIlMNA.M1 & PHONlNO IIYI:'/WEIGHT f<<IGI..n ~ OCCUP"'1', IflllM N.ol..MI & PHONI NO 111'l:'IVrttCoHr I't:GHI ~ 0 CHECK (,...) t'~tC~f'i:!.:'ri1~f.i~~f'f~"'~~~~r'Il'AI _CHECk:X) I VfMtCll...S....Nl.....~6...H~...~NO"(~II.....L [I ~~D;;: + 3 ;::~:' . :~\~~"' 'w,"~ ,- ::l:~,~"" OD'S'" + 13 ~~:~:' . ::\~~"' I' '"",0' _ ::'"~t"" .. 0 ....8<.1....." 0 ~~tl 0 ~l:i~II" 0 :::.t~ 0 t'8.'..!.l> 0 _ikII.....tl 0 ~tt 0 ::,g~ru 0 ::::'c,1 0 ;-','i'..y 10 IMAl<.tlOOoc.l'C~ I MOOIlCO....IlI.NO...A,I-1\'\lt.(201l.CON7 E IMAK (""""",,<.CH!V) l""OOUID....IlT.NOV....) I~ .......C ......... V) [VH "w. lue'N"'''(NOJI''An~k''''",nN'' f''(j ~ V1"e~"" I'" I"'''' I'"''''"~'''~ j"A" ~ V!HtCIlIO[NllfICAltON NO V /It?' / (""""\ l\ _ IIv l VIHtClE IDlNWtC....'I'-"" Nu : ' 'V/ ''I ! \, I, IY V: I IF I:, I ' . I , I ~ IlIGI~nllfOOWNlll LA:" \'\.(1 Mroou ~I"\"NO 0 IltGISnl!tOoWNIIl LMl ft"'~1 Mt00\.1 II'MUNI NU 13 "'-OOIl[:'~()fOWNIIl \ ~ 'Z "'-0 Ill=OfOWN(1I E R I NAMI&A,OOIlI:':'QftN~UI1"""~CfCO OIlAG!NI ~ """"'''C,I lA' N O_AGIDAAI'" I' Qi:.'~"'''''''G I';;K{ [~ 2 ) . I H;'~~ft~~t.: CMA,I1G( ,K-L.~.T_O."~.. 'I'S1 DA.MAGI 110 O'1I'o'IN OlilMAtN!D ~oeo"o~ AW..., S 0 l~w,.I.P8' L DIAGRAM OF COLUSION' IU~( ~UPPU"I>lI"'l 10' :'Hjllf NI~U1R'J ! ; c= ,] [ IN U A,N.... Au," I n'~,s,..t.";,~(' I O""",~btAA['" L---" 1~'Ut<t1o()..... 2 J . I ~ '" O'"'''~'' K-L o.~ o ~:;~,N DI1IM...,NED 11:'1 O.............GI I'~o~~.,.;~~fi o ~~~.,.o 8'" S I ---.-, . DESCRIPTION OF COLLISION: lUSl SlJPf'lIM!NTA,t S"lllf NICI::.s....llvJ 3~ NOIC...HN0II1.... .. 8'&iOW ! i ; '" i j : , ; I ! I , ! ! ,.,-_--il~IItt~lll" ~~-_.. i >MO, ]' IR'~~::" I ~"~, , I" -'~."'.. .:<,,', '.', ,~'..'. :" , '",' <,...,,">>" ..' '. ....::,,1,;;:" , , . ,,:," ".' ."11:, " ,,','. "'I' " ,.', :" " ' , , '. " ,. ',,',".' " ," '" '..... 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LfJ.,(ti: ~,~ 1 6.8<5 I J I ~(l &~I~!'ON'"0M/lPllllt; I c.I<O.........'"111~ Nl...f.lI'..I.o,\lllJ>CI"" P;~CIO(NT UMP IDI....GII...-"'\(l,AI... ~'<,>}<ii ~ ~~~l:'" ;; ~ n n (I' G.thMAOt-tM M~'6~[ I l' COll''''ION INVOlVED '..lvllI"y 0 U I 0 ""Ll~".. ,-..rwll,%\';;' III IlD I;'~ 1~?l.S!lt..o<. ~'"H10"ho"'[)0ll1llIlllt""-f /....1:..'. 'i:'/;; c'.-O~f~,~~... OJ ; ~pl~~~~~~ ~~~yIlID_ 0 ~~:~~~~ 0 ~~~~~~t "~"P/lIOh.~ I X I Cl'" [(IIO'.....s;'"~~a I~a OI!JIC1",fIlUO IN.<WI 01 06Jltl SIIIUO .....j(jOWNl~... NAMII I IS10.........Gl "'P(CI"l COOLt,,(; \.hI ':'<;',',:;;i,~,'> ::,j: I I. /Jh"W II -i!9-- . i UNll NO 1 UNIT NO. '2 0 VEHICLE 0 PfOESTRIAN 0 PEDAlCYCllST ,.2:.1.":"i:>:' r'-- ''''"''~/(~..;.v" ?n~"'" cr"';;;;e:s OO'~"'N~' "'" "'" ,,~, ~ ..,' f07 "''''A'9';hs A/6 ~. K,I,v/...!n7A.1.R4 "''''''''00''' ",{ T:! 1.< .., iii'!j\.tS1f ~ en, K1AJ,5~'rcJ,,(./ .;0;1/, q 'J'~~ 21'1-S'.?" l~ '" "A" "'~ '/ \L ,>>) L '''~;~1??;7"~~7q>~';;; I M ,r"f/6"~ ~ """""N~ NO , ,.." I ~'Y"'";:",,,~. ~ ~ii< · ~ oc,,,,..,'" d."N~iI~~ ~12'/~~i~ OCW.."", ,I'''"N~I''MQNINO 7 "'T'''''I~'G"'~/' o CHECI<(.....) I VI~IC~I......'ZN"'i~~'S~~I1II1'....l 0 CHECK(,,) VII1ICII...S...NEMP;OYllOf...Nt: Hlrl 'l~ :"':";':~":"':'" :,i;<: r~ CODES" + J ~~~~~. I .. ~~~~:':"" z.. 5 lltcr,~-I 6 ~:~:C'C'I CODES.... + I J ~~~~~. .. m~::'" 1A'1.II(1'0.. 16 ~Oli?,e<:'<u '917:,';::'<<,.:,_ : Z ::'A,~~~i<o N"A/E: ,~~:~:I,o' / ~ .' .:", ~ .... 0'" 0 ."'~W'''CI 0 ~~: :':::. :,:, '" """'';7 ~I~'~';':"I" I ~'NC"AI ""V'''''' I ~ "~.. I~' 1 ""I,eH" 1 j.7'",.""'NAI "" C~ ~ 1 ;;.'iii >ii, '~'""Vez.T'~';'~"A"HO :I'~~I"A""",""O I'"'' ~,"""AO' I ''''N , "/'1" I ~ I"" :::::;;"'" ',L.i? F.3 V;;'Z';'''U')? 6 7' I CJ tJ 5 "'79 l ,""'''I 'O<H"'''A''ONNO / ~i;i E "G"~~:N~ '- "''' 37P.&./d~DP" I'H~.v ~ " 'm",o~" 7 "'" M'""I 'He -:i,>,( ~ AOO''''''O~e ~ A' "'''07 ~ Liii"'" ~~ NA.MI&AOO;t)~~CICO OQ"GfNI R "'7 ~"""'N U ""'~C:CLO .... N ~ !'i :/;,..,..<<,.~"".",:,. ":'\'.: <.:: le~~ ~.,' OC> ",~ , ~"'~ ',')., ,;,.,,' DAM,o,c,tDAAf'" O'~.B""'<> Ii:. - I MD."",..,..." OA.MJl.G!OJl.R,.... ~ ',"',", "'..:',-:,."' Es ~J~ ~~:::f~'~~t.,' CI1...IIG1 CI1....gGf 1~~C:~.:t: I J . ~ "." ,';',',,"::;.,: 1- ,~!!f';51' rIG:;~ 10 :;::~ 0 "-;;: r~ _.) '0'" 0 ~:;~~N O'lMAOH'" II" "....G, ,t].:~.~;J' -,;,'i>i i;".':.:;. :;~,:',::':: :';-';:". I~"';' 1i57i "'WM/I'/' ~ 0 A"."", 8'/' Is. , . =:J :,",:,!,; ,:,', ~- DJAG~, F COlliSION: IUs[ ~UPPlf"'(Nl"'l NOIC"lI NOI.'TH DESCRIPTIONOF COlliSION: (U!.! SuPPlEMEN'AI Sl1ffflTNECfs.s"II'/') ~ .::.:,':'F,.: c::;~I;!)) &_J~~"'''N''''''''', ~ ~aLE,IjI/- ~.o",v~V~U.:k ~<,\<>,i f"~_~l..""I ' ~~ III/.b~~;' ~~~. A_ = 'i t:::::. " _. -' .. s~: ZJj Ab/J/.!fZ7 pp<$Ol!'~QO ~ ...,.... .,..... - - -- t -- e2'J.tI~ J/e;+e ..6~ PPt:::e 4V~ At'/pa:hi1 ..' ......'..i.i.. - - - - . - :..--- ~/r'~ #~",ev6.Z1 TZ! Q~~ P . >"i' /: bJ~ /AJ '?WE ~. 'iC: i'......... .,.i.,Ci'.... ,. ".'/yi,'(C " "i,i!(>:l:\ <01 'I . .....,.,.. , " ~ I~ *'&"'.<:B!l tW.5"7I35'5~/ :6c;,e.. 'Ti' ~"e'M -, NAME, ADDRESS & INJURIES Of PERSONS INVOl VED . CODES L I I - 1 2 T 3 . I 5 I 6 --=J OCCUPANTS I WITNESSES w;~ ~~;~~~Zl'~l,,~~,,:,' Sl_ 1- "Gf TATUd '....'6..1 ~:.: C"':.'~\ I!fSll1 fACl I ~~~i. .......... AJ~,eI€ ~O"'l I I I I "'1.{,III',' ~"',~~~i,,(lI sc~\y O......e O~\"I D~;"fO~~ O~...... r;; ;;;;, , :~~"/" ~~~I~"u. 0'." O~,~" 0;:;;.. o::~ D:~~"" .l'I'~" ':t:I;,;~~,r,t'1 ~~r~,~~~' ... O......e 0 ~."; , 0 ~~~". ';;'.: 0 ~(;~~. X I'~'~ .. ,. "'Y'~MG'L1AJ-~.J'~I01%1Q3..o~--:t:ml4'7J?;~:~~- ... J ~~..~~...~~'-'..~~~" '. ___ ~ ' ','. ,:-? , . . .... ,\ ", ',:, '" ."/' .. " ., ",.' , " :,;,/" ',:.': , ",' ,.",.,,'. ".:, , ,:,:,;':?;;:i: ,:.:" ' . ' ..', , ., '." ,; '. , ". ' '., '" ,'.'. . ..'.:', , " ~. , , I.; -:J ,", ;,! , ' ,: I"" . I . I L ~ J '" , " "" "" " :~,. l,:", I <{:,i::'::,:':~-: . J' '. , ,,:,r- "r,; 1 : , " i : ',,".. : " .':' :",' :.', '" J1 i'<, " , . 1 :: .... ""."" ' n ::.',:,~):,""i;.,";""",:., "'''1ih. i , ',"....", 1 " ".,., ..,. ,,' f , ,> " I ".,:,..;..",,: ,..' ,.': ",' I ." ' ',' ". I '.' .' " "'1 " ' -":" , ! ',' ':,' ,: , ", ',' , '.", : :' . .' '.., . . :'. ".".d '.' , ';,'.:;':. ' ',' ..',;,.'.. :, ': , .' '. "i'." , " :" , ' ' ,",.,".: , :, .", .:, ,,' ":,..':'...:, " :;' "": "" .;:' ..,. ',:" ,: ',' ' ',' "':" ':". ,:,,' :' " " ,...', ..,. I I: . .. ; , i; , , :, ,,: :,::':",' , ":.",,.'. . '. :,.',.' , " :!': ,: " \, . ';',' ' :" :,', . i'", : '.:::,.:....'.'.,.... ," . 'ii,"; ""<> " " .' .', .'. ,-':< .,' , '.: : : ,.", , ,>:,:::..,,' >!" L " '; " :;..' , '. I; . i ", : I . " ' I: I; I' I' ; 'j ; ". ; , I. 1:-::. " :,:; ': ',. . ',:':"',:'L....:,': , ': :..,. .' , ': i. :'., :,' :.:. . .L UNIT NO. I UNIT NO.2 VEHICLE 0 PEDESTRIAN 0 PEDALCYClIST ~ i '9 "''';::'''''' A .:' /J~':: Ly:;;: ""'~'=,_,~" ku,,'-~:_ I ~ M'," 7' E ""~AO~~ " ,,~- .-. A i? '~D:~ ' r~ A'J or r,.".,,~ 7' "or:"'? 2' 7 I -,. I ~LS"~ ... ,,::' <;i~';c;"'Q ":;'d.~r ~ ";;""r /<",,_. ',^" ,.,~ ~;~;~ 1;:':~":2CS~ /Z 2... DIII\ltll~~IClN~NO I ~T,l\a I :.Ell DA.HOfal~rH I ~EH.:'tlNO I ~i\ol{ I $Lo. _DAHOIBII/,'" ____ _, A.JO' ,r - IF ;9~ ~'i v " .,"-' I/~ 1.10- I-1g/;' 70 " ! . OCCU""ON I "MN""""'ON'NO ~?::<I;~o~'~;;' ; OCC~/; T"'~~~~'O",NO k;;C:'~;;' ~ & g--:-::;CK (.') , :'::."~'Z.:ta::'S~R ~c~.:'t.t.~\,'" 0 CHECK (.-1 "~~i~W~~:;'S~.:m\:,~" 7: ~CODES ~... 13 'NIU.' / 14 .I~T."''''' ~ 5 tJlel,,,,,, J 0 ,",a,o",vc'L- CODES ~... 3 ."'''''.. I .IST.~ ", 4 [5 / 6 ~;?:-:.~" 27 2... --i}-6~1.:=; h~T1"" S...'" 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CO"'O""'<<'N - C..AIlG! 11-I6~i:'~..:t: iI (1) -J3 ,'_ ::-:,,'~':::_;j"<,>:.,;-: ~ ~o ,~_I'~' "'"..... . 0 IlfMAINEO ODIlIVIN Ol!fMAINfO IISl DAMAG;..I.rr L~~uO:'.~ ~ ,'"';::<; ','.:,:: - . lOBOTlO,," $ 5;-/'D~' r~~1BV I~~";.(';>BV A;AV 'A.,.i,,' $~"'4 ~\t08~TTO~ .....;.1 '"C'''i:'.':'O:' Eo D~I:AG:RAt-^ ~~ <;;O~_l:I,SI,?,~ '1'UT~.J::~11W=t~t~t\...-_~.No8SArfl!~Wt.. DESCR1PT~N OF CO!USION _ (US! SU~PLf~~~AI S~~T If N(::S~I!l) _ _ _ ---:::::J - :" "",:;":;,";' ';.; iLl !\, ,L~ 1.j; :1 f,c,f/>: .~' <.liP' ;2 5LOwE:J) /J"";.o 5/c;,...;?"1.,O..7D_ ::::ii :i'i//""".< .,'.', ~~ ' .':' ,i :' ;?7/1/r~ /T h€/-:r- rw.-e-J . -=-., __ _ ....::J , . ,,/':; P!:" ; =, _ ",:,.,; .,~! j)t'(".I~/-" d,c ?JE"y#-/ L<><:V'rEQ /CCU-,,-<?O ~ ... L .f -': I' 6E,HtIfl. ~..!..~o~ /Cn;>.$ /;J~~/P-"? SE/:7.T" /'y..-.-a; S;.2Rt.<'<'~ =- --=:i','\. .~ ..,..,.,; ., '~ -: , L~~ ?//#'..:2 /".} AF.-4/C'. ' ',- 3 :.,.,.........,,'.',.'.......'.'...' ).',' i'.....'""... ~ 1____ ,---... _, _ I : I: __, ""If... I'.' 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Il~O""" u.'.... r-- ..i;: _ J / ~ ~/t!<// / /-v'/'$ S;h"Z;>"Jc- 0'...../ $,;,.."'~;;;"'(;::<t:::i:: i.< 11"ItL- .5'-,-;:;~':;"'/6J/ ,Pz}, -p~,/ 7<-'-""/ /'?"s ..J.;...;;- 0....<- -7/ ~ ' '.. p;- ~ ~ ,;--"* /'C'?"'''7:..-v: "/6/-/ bYht-9/4?";';',&i-;-;;] .'; , C c::::2l....c=:-->i ..;::,L:;:..!l' '--1::r .5//"'>/~C; V''''''/~~./~/....'''''.~v $, /~~tL-J".. r, '<-<" I "'.2,-:-,Y /;;q-"" ,;;'?~..,,>/ 7//'~ A,-// ~.- n' ',:':' 1':'_' =-.-J ?;?;.-.-/,.,.,.-~v C/.'.5,~? .M:<:::"..... /2, frhJ p......":.,, i :,., L .5"J"'c:..~;%.?;::> ,/~-7' C'"...J,~C' /?y S>z=-",:,(,> ~ I""',".:;,,, "'I'>,.' ',;.O~:~. l..1,J .~~"! .~.: I "~'" ~~. ! ,,~J::~:,~' ." .."'~;i/<, .!~'W'OM 0 'M' or.~" o~.~, O~, O'/;'w .".,.>.../<7 '... ' ,.. ." ,./> ,.i , \"",' "' .....!.. )}/.;,':. ,_, '....ii.'\> i ...'....'. ,,~....,i. ..'.....!........., . ,', .ii::;.i,::.; ..i:....;,::.,.. . '..'... 'i; ,'.,.,,;', ,..."..'.,'....;..., ,,"'; . " ..,\X'/<i;iC':,!:')V{':? .,......,'.:..,' , .... ".,'.,'. . .. .""";,.: ' "i/:. . 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' " """ ": ,,' " 'i', >, " , ",'.,' 1(: -,'" " ' " ". I: ,'. I,' 'i\ '.:" I ~ ' " I""" : .' , ': '\ ' . ' I;', " ..,'., ; ,"." . '. I, ',' ," ' I' "',., '", " ."...".,.' ,,'. :' ',' ,.'; , ,i.' " " .. '.,.., . "', "',, I" '. ' .: ',: ,'; , , .",. ':':::',':",' , " ,," , ' ,:; . " , ." : . ,,,' , " "," " ',..., ..',. . " " :, . .;: ,,:', . ':'. -', ','. , , "-', :'C ." . ,',". , . , L . '<:i: Q -r It). 5'0 ..".." :A STATE OF WASHINGTON "" I '" I No, 2 () I :; 6 9 i II'~ POLICE TRAFFIC COLLISION REPORT ~;:~:~W::y """"'0."",,,,,.,,, ~ : --sl.-'",.',,':._:","'_ t'''''IOIC(Jll~'J'. i 0'" '~'..Jl""'(.)" H ''''I ]]COU"I, ~,J (O\J'.I~'j0 1'(111..0 I I nit........ ":":-'::'<-1 r.- :, };' 14 ".. " .' '~" "II '1~2,< II J,qf-h..-.tH ",1 Ilili::::~ !. Ll MII~ g: g~ ~~: jfA~o7;~ TON N"'MU:70:;P110WH'~"M' CTCl~ I'" ;~~I l"~ I~~;~~;;~ I ~("~' ]-111 ":,-"':"""'; '''''l~~Cl'NG''''''I.. ~"'II'O~IK)"O r"ONIN'III!.lC"ON..-J ,/' f"'t'r~ 110 l""r(l~'>..":,':'-' ,- I'''W''N ?71f '"''', 7tI~,e. """ I I "". o~ I:,: <. '1 DI~'ANCf' OM'" "ON ....0... 11111 IIl"CI ("OS~S'"(fl 011 NlAIIl!.' ""'1I1'O~1 I ACCIDENT IIA.Mr IDIA.~II"''' 0.01.0_ 1;:-'"::';';:;':;>" - H ~'::!. (; 0 ~ [] 01 - M~L6~G[ I /'~':'; :,,:,:,::,,:.: '-;:-~;, ~>,,::':::';,: COI(rS'ONINIIOtvlO Sf"lllll~ _ 1 0 ~~r. 0 II I "",l~'" ':~/" I~"''', 1..0 1~"!'~,i:';i\'''''''''O''''.O'''~'''''~1 . ./ 'q -,~:.::?:_!;:",~,:::.::=:::;:~ 0 "'~: 0;;';, ..::;;: ~,.,:!: ,.-:z.;>;tO 0 I,.;);::: UNIT NO. I UNlTNO 2 0 VEHICLE 0 PEDESTRIAN M PfDAlCVClIST uO I' ,..,. ....'LL; ,,' I'z., """>N~' F~(j.s-/ J"~IV,.(.l..,....v::&e O"''''N~A:e CtlaJ, :d-S/l1A1I (!~ I .).,..."...,i: ~' """'06"// (?~-4P. #:zz '''''''''''}?t?6 ~/.R / I ~ ,i/Yii), '. ~ "" /MLJ~ac; ;;J/I. 9J3'3.q l3P~/4..P, ~" IIAGJUJd2' "UHf. 3g.~~Iq' I :',X'; ~"";O-';;'~;t'55/'d;;:AI / jiirr~~ ~ """""N~NO A/H \+~'+~ :~rf7'''h~:'''li': ;ix :, 'z. 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"'".', , . ,,'.;, ':', j I ! ~ STATE OF WASHINGTON ;;:' I 0: I No, 1'1 ~ POLICE TRAFFIC COUISION REPORT ~ TRAffiCWAY !'Opel COMh.....'..'..u...e'.. ~ ' I I 0 PRIVATE WAY DAqOICOU':"()f' ,. ,.'V' 01(':".":"" ft '.MI lI,ou.H' COlftHTfK) I'ClTft.o I In':::' \ '1 1 ~,' '. ',' PI "7 '5 8'11'" ." 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I UNIT NO 2 0 VEHIClE 0 PEDESTRIAN 0 PEDALCVCUST tJ" ;,,' ~'-'~:,;~::::,;:::\:. ~,DflIVIiV""'~NS;)t.TN MA'({IAN MIVIJ~, '~R.t.N.......t l"~' '111:'1 MIUl./II . .':::::,",:",:y::,: "";"yOy"; I ~cPb~LX ReD '"'''''\''' I r>l " '..' i.i.' , ~"" ,,,,,,' ''''000 1'"0""'" D '" \. "... I'~'~ J" ',.'>,,>.:: HAJ)i-.0c:.K v"/'. 9'Es oS"! i'lc,NL R \. I Ie.., ".,' ," i,,: C~::/AlIC~5(~OM"2..qV6fl s~'~IF'I.lo~'''tJ:...~1 H7", ~1l)t/1Ift"'SllCIN5(N' I S''''l 1"'llK)o"E;:/,lfI~. -,0, . :;':', ~"1 u -I v \. " 'i'.;: '.;..'.ij'<<, 8 CX:CUP""ON I "11M NAM(&PHONI NO I,EYlS IwtlGHT t-(IGHl E OCCUP..TlQN l'''il'-NAMt&PHONlNO I ""T'''"TI'f:IGH'_ -. l:'~':",..,-" 2. DK I J)i-<. 1\'WLlIOP fJ,(,. R \. , " , '---- 0 CHECK (V') 1>~,'tr;~~:NEM~'8~u~..~trHrfl'''l 0 CHECK("",) I VIHl ..S.....,W.P~ri...If~..N01Hl~"l 7 . '::":/:::,,:' ','. ',);' ,;:":::",.;,, v,2. ~~"~~,: ~ + 13 :i:;~, ~ . ~\\:~.'.3 """~ I · ~:~,~.'" I ~~~~,~u~ + 3 ~~:~:' l.,::\":~" , '''"'0'' . :'i'~;':''''' :~' . '.i'", ,::"i,'.',\' ,i(<::\, ir: L-- ~~mV:~'RO'" 0 ""'!lVl""''' 0 ~~C1 0 ~W'". ~. ::~~:: 0 \"8....~ ~~';~lltOM D.......lkJl......cl POI'O 0 ~~~n. 0 ::::11 0 ;:'~"'y .~ ,.' ~o Vl\Hq77 IMAl(~~:(~H;1 I MODA~~NOVAl jSTVU;:Jl10NVI ~ IVtHHM! l~t(UUU\"ot'''HIVI l~llO""'1l1I>/OV""'! 1:.1YU(..V.......""vl 1078 ::':::'::, to \I H CQlOII IlICfNS( Pl..... EN I STAll 111lAlUIl Pl.....TE NO 1~1""'1( H VEH COlQfl III l ~ "', I' Il A....... I' ,...'.' &l2A Y I \'\J..B ~fDO I \"'f' - - I \.1 =:;;;'fl;' r;;:::- VIH elE 100Nlt',C..1I0N NO ,f V(HICl( IOfN"'.C" I N I~ .~,:,>,): <:)"" ,:";::~., ~~ S iY E 2. Co I 7 't 7'2, - -.- ,- ,- ,-' - '\ -='"I'.>,"',,"., TC "O"""OOW"" "''' ..." .'00<1 1"""'"0 "O"""OO~" ,." "'" M'O~ I'~'NO ;., "":,1'. '- croWO.5N:: KE.T.4 E. 1S'i5-'(,-~CI 0 " I ~ '/(>,' '. 13 ..oomSOfOWN(1l W .....vuIlE:,:,OIOWNIJl Lf'l:",:~,i:;,:,'::~:::_'?t:>: ',::,:~ 2. POD6X 14Y t-:lORDJ-A'.JD -v'A N ""--!.J, ~ NAME&"'OOIlI~~()fINSUl!"'NC(CO OQ.....GENl E ..... IN U .....N.......u .........N '32:":'>>'-;" I~ NOt~L R \. ...i...... OAM"~ AA(A rl)1:{,~~~~.:" I 1~""IUN .J:; 7 I ." ( I n'~.~~,~'G' I O......a~:-REA -:nT ",.:,::,,:,/:;:,::,:-,,\' E!l ~~~. IH~~~~~g::t.: CH.....IIOf f',)'" 1:Jt...\ . CH"IIG( ~':f~'g~ 2 ) ..=J .,'i::,:,::i;',\::<',:"',:, '~;;Sll~~;;';' I~fii~... E~~'~L~:';_( -'0'.0 D~';..":~" m:::.'," o "M....'O I;" O~.O, I'~--;J;~~'~~' ~i... ~ DIAGRAM OF COLLISION' (U~l ~UPPU"'I""""'l P'IfO:~~~'H DESCRIPTION OF COlliSION' rU5f SlJP"lEM!N1Al SOil (I "NtC(SS..Il..., -1.Sj :::::.. ,;-,r; ~ ..~ !.H[[II''''leE~W'Il'''I' 8YQv w V€.~IC.l.[ "" i u.)~~ EAst Bl"H~D Cot';' fLAC~i-J.:;:" ~ ,,',.-:,:,:,:)'t l!P ,. RMj)., amu.![) Po t:.iC.~I-I"- i-lA1~D c.,,1:.\lL, wUST .=,., ."",' EE:: ~lC.'<...r;~' ~;fu: . ,-~~.. .." '"'<> &~, "nq, -""CO" 0'''- ~"r. ~;; r ~'~ ~0~ /...') :'V~' ~~~:' .>,'c', " ('CDI ~ ,. , S :: NAME,ADDRESS&INJURIESOFPERSONSINVOlVED + CODES I 1 I - I 2 I J I' 15 I 6' "" - OCCUPANTS / WITNESSES W~ ~~li~~~I~~S:nll $Ill" I "Gl klATu~i '...."~..I ~....: r~':J~~ il'(s,~ (.lfClI :'..',1~. ',';:',,' "'w '-'/tJ..o rY\, l:~,~DI. ::.?" ~1',5 'L~'S".l. F- <-3 '2.. I .. 71 I I -i:.: ' 'or",,' I ?'~: &:A.::.i\' DR- /V~R.'1l~,m ,,\t, ~',:~~',.'''?."" N. t<P.lU> ,,;;t,W ..0'.' 0:;;\" 0""~.1Il!:;~ 0;'8'..... ....' ". r,;- ..AMI ~~~. n. I .' " '" -":-:: 1- "llt'~I" '" .",. ~mV~~IIIO'" O........t'. D~':~" D~~". O:;':l' o;;~~\. to "':~;,', i'; c:: .......1 ~~T':;~r c->r I - '~,,;,'.: /:;":::,:':,0";';': "1'1,101',' ,...",II'I~ ~~t::il"'~~I"U'" O.....t'. O~;~" D~~,,~~': 0;",(;'..\, :',,:, .1""'" ":/) .''',,. ,....''!::I'.. \ I':~""'"I'O''''' u."o, -J""'~''''"''I'''''''' "'''''T' d."''''''''", 1'~"::"O'''f:/1 d... ., ,.". XI"T,'1-t' Kf:....,l,...C( .J:d:......c.-~"- r7,~) I \~,:;p ~{.~~. 2.~:;} J ~:;;2,f- 7-~.+'t'i V~ 7 7J'9 "..J'< ~GrfiV'}~~~~!llm1'Ir. - :q1'I~ :""'" _>""::"':'\",'"" · .., . ,'- ' '- '/' 'i':,- Ii ...... .'..Y, :, ,.. , .,' ',.';",'i, ',.'....,.,i.f;'! " ...i."?"".":';'i' ...,... ......../ "":,,,"',:.:, . ,.i. .i.,' ." ..>:.'> \"..<<, .. (.:, . ,',ii.' ".,.."ii .r.; .' .......'...... '. ..) ..)..<..'....'./,.: 2.:J '. 'i}:>,:! .................'......'...........:.'\: ..." .u,.:.' ir!lf,/1.JI. .i:, ""'.' '. ,'.....'C... ...... ,d.,' 'I:"'" . ,,>;' ,;' , ..(".; : ..J"...'. ',' Ii ;',> . " '. t 'i' . J , !:, ('. ,: .:' ". ., .,' ',,"" ,,', ': ,'. : ',',: : , :" , ......, ",.' '.'..... . ...' ' .. ,'. . '. , .. ". " ;Bi:~;t1i; '.'1 ' . ".' I. ,-" '., , " " , ' ';:, "': ":>:' .' ,'::'.': ,,',:; ; :':",' , >"';' 1\/ ~""7 .;' '.. . I:L: .,.. ..... '" ,,' . ,": ',,;, . ..:...... "',, " '. ,: I I: I " '" :', . :', , i' , "}/'Y' : .','," I '. . . . . .' ,..,.",; .,.'..q '... I;,. '. ,,' ", . ',: I I '. ,., '.: ... 'I I ~' "'.'~;' ";9' I: ~,'. '; :.0 '.... ; " ' . .. ,", ::",:: , ' , . : " l ~ t .:' !" I - , " , ;: '. ...,' '" " '. ',,' , , t ;, , ,.:' I. , \ " Ie Ii . I: ,', .. ': ......'..' 00 ',;': ' i ,..,.: '.,.'. :"'.. ,,;. ,: "/, ',: .'" ':. ,:. ... ", ,.' '.' ',''', " ' :' .:: , '" .' .',., .', ','.' :':'.;'. '" ,"', " ", ' . '" ' ~.......:..;.'. , ',,';, : .", ", "'.' ,.".' '. .', , " - " . :! .,;..,~ MOTOR VEHICLE COLLISION R~~ -r .LIL ":1Il ~~u",' I.... ~~' , (),rt D. COl"~'O" I: 0"'''' 01 COLL,~,(l" .,.L.j'ILll""l,4lOf COl\'S,Ur. ICOU"'!' "" .~-I-q'i9~d"I."'[M'T''';I'''U'rxl~'~ 'g : '3'0" ~:: J'ef'krson ~~~!~lD M'L[~ B: B~ 8=, c~'~;:;:~\JY'h I ON V~~o :r;~;~:'~;'n 'C't, "OW 5IP~HI.I"~;~COOt 'I"C' 'N!Ul5lCI'NCi""'.. SHI([! Oil HO"O :~l:~::":;~"~f u..JQ.~+ q~~f~~'~ ....d. 511'lil~' ""HI" to r.....E:;. oil- 'I rw 1Tl: I M'O'" :.IAf'lS! It;ll,H~,lCI'NU Slllllr "!fl,,,,,,,, "OUSl I'oUMIU,. U'''lltol "",up 1f,/lAQ,.,.", OAIIl ~,"O' L.::J C:.J RA'LHOAO r;1l0:;SING ""I\I'OSI OIlIOlNI'f ',"0 l...ND......H~ 'NIHI5rCI,ON f[ET m ~ Of OflJH 0"'1' 1l<....I:...RDOUSM...I(HI...~5 tlEtNO THM~5POIITEO ~ I NO~ I ,HO I :NllH\ICI,,.O 5IHEf' OHHOAO 0+1 !~~~~I~~,;~~:~;VlO, 0 tf:~~;~~o oer?~l.,~ 8~~~~~~:!1 ~~~~'::,., B~~~~,~:::l~ B~:'l'):.':':"/'''' ...r~,:',';:' ~ "C{ I '~H I ClS I M(f:;';~/~~S 5UI((' Qflllc..o.O OBJECT STRUCK ,N'M' 0' o",'e, sI.ue" OW"E" OFOOJECTS NAME ANa AOORESS I ;',m:Ro;,~tb '"" co,.' U" __, _.j;:f:Il"'iIllll::.W....+~;~;~;';...:;.;.:.~ --+- - -. - m..n -"'r- .,.. .. u .'..=t:IIIJ1I111J=tI:H....(.U:I=I:..,'a_ IflCW Ot:F ,Nil ION Of A COMM(lh;,Al. V("l1,Cl(!S AN~ VUUClE THE' f'll'r~CW"'l U5[ OF ......,Cl"' IS TH[ 'A"",~, PQfllATlON or CuMMUDITl[~. MlHOlANDISl, f'IiODuCE, f"[IGIiT ANlM"'lS 011 PAS5ENGUIS fOR HIAE I MIDDL.E I, DRIVER'S lAST NAME FIRST NAME MIDDLE Da~__ ,.,16. (j I o U <J o ~~~,~~i"'AJSI~~~~~~Ay~~~il~~O~~~RMMEACIAL. DRIVER:;; lAST NAME FIRST NAME ryC.NAr:R IOny STREET ADDRESS ROUTE NO, AND SOX NO. 'I~O~ADLOLK A,\j- 1'.0 ~Ox. l'<OI ~~A Dux-K. ~; 9 ~I;C~D~ I D~~~dc~P~'+N DNc~~7:EAoi Z 74:r I~ ~AI irl;~Tt;1:Br~~=t ;b Vl:CgE YA.I ~KWHEV- DODGE, I 5~l ::;:VA-DARTI 1 BODY STYLE 12 DR.) l~~~EPA~P ~~A TRAtlERPlATENO, I STATE T If MOHE TH...N tWOC...RS WEHE !NVOlVEO !N tHIS STREET ADDRESS COlliSION DR ...Ofl[ T~'AN IWO PERSONS WHIE CITY INJUUEOUSE ... SCPAR...TE COll,S!ON DRIVER'S LICENSE NO REPOU' fORM STATE ROUTE NO AND BOX NO , liP CODE I ,DRIVERS OCCUPAnON I STATE I ~~~ I DA~E OFSIRTH AOE I M I ~ I MO I O~~ I ~Il V~.HICLE YRl MAKE (CHEV DODGE) I MODEL (NOVA-DARTI I BOO" STYLE 12 DR) liCENSE PLATE NO J STATE I TAAILER PLATE NO I STATE vEHICLE IDENTIFICATION NO. ,', VEHICLE IDENTJFICATlON NO \\<1<17&'''-'10 REGISTERED OWNER (LAST. FIRST-MIDDLE NAME) I DRIVER'S LICENSE NO. IC.OK~K (,ATl->,E~:r:Nff E IIOOi<-EC-c1-5Cj",^ OWNER'S ADDRESS lSTREET. CITY AND STATE) I DATE~: ~'RTH II..C HA DI.Ou,' All" 14At>lO'-.K. WA O~I 0,'51 SCj PARTS OF VEHICLE DAMAGED (AlT"'CI1 COPY Of n~E EST!Mil,TEI I ;P""H ~El<'CLE pARTS OF VEHICLE DAMAGED ."'lTACH COPY Of THE ESTIMATE I REGISTERED OWNER (LAST.FIRST.MIDDLE NAME I I DRrVER'S LICENSE NO OWNER'S ADDRESS lSTAHT. C,TY AND STATE, I ,OA~E OFB ,IRTH 1"'0 I D"~ yq l~j>~vt...cu- LIABILITY INSURANCE INFORMATION-VEHICLE NO.1 NARO;;'N;U';;A~E~O;;:;Y $ TA T E i=A K>U. POLICY NUMBER LIABILITY INSURANCE INFORMATION-VEHICLE NO.2 ):CAME.OF INSURANCE COMPANY :Y POLICY NUMBER I S2Q 1 ST INJURY /77/-eoq-.q7 2ND INJU-RY 1 !JJL'tio NAME SEX ,/ M F .. V_ADDRESS 00 r......J.... , ~:i~~f ~~~JURIES L::..J ~~~~~~~'I~~RJyO~~gCTOR" GJ EJ ~~~~OR'S DS:;;~S OF IN~ I 0 I ~~~;;IRST I' O:"~~;~~~~~PlllES "?~~':;( ~~:~:~:,~: INo---.----11 KilLED ,SEVEREI ,.....011, "J.;~:i:t,' /0"""""." I 0 50 60 70 (USE SEP"'RA TE REPORT fOR ...ODITlONAl !NJUR,ESl ~~6CTOR' EI EI ~~~fORS STATUS OF '-'N~JURED I ' 'I MARK FIRST r ONE THAT APfJ'llIES ~~:~:EM,.r.!R INVEHICL.E KillED 7~t;~~~ "D~'5~~~r,.a ('EI't~~:~:,~, gPWE_S,I.;~~" ,.,N 0 50 612!:- Of;.'Cr' MOTORCYCLE SAFETV. o HELMET USED MOTORCVCLE SAFETV. o HEL.MET NOT USED _ ,.. o HELMET USED o HELMET NOT USED SIIOW NORTH BY ...RROW IN CIRCLE INDICAIE ON THIS D,...QR"'''' WhAT HAPPENED TIl~C[ T"E OUTl'NE T.."t qEfLt.CIS ~~*:[E~Il~bl~S'~'~I~~~~E N~~~'~Q 6= 1 S,~rg~,~~~~HT~:~~~l:y""7.~J~OW 0\ \ I \ \1 ~'CD CD- \ ,l "" VAN r~o.rAN-~ r-- ~.> - - - f--. - .. _._.__.._...-.,..~-_., /// /J /,,/ /' / .. .._, ------,,-- ." ..,----..,- -'-"''1 '00''''''1 '''''C'' r "....", '1"'''''''U''''/lN.,"''O'''""' ., ,,.ONE 1,(,,,,,y~I.""'''O IIC;.,~YP.II.!'O ~fH'Cll,OCCUP'fO O"U'I 001HI.. '" [>"'1(:1'0" yr~ ..0 YI~ ',0 "s ..n """_,, ..",Il_1 ::L 0 0 0 0 0 0 O~~~:,,, O:~;.:,~" o 0 0 0 0 o 1 Iii:']",,",.. 0' CHOfl61NO FROM TO PEOESTRIAN/PEDAL CYCl.IST WAS USING ,D~'n'....... ID....Al.w.~ PEDESTRIAN/PEDAL CYCLIST CLOTHING COLOR ,On.". ROAD SURFACE WEATHER I.IGHT CONDITIONS IIh':~:':C. 0"1) , 0 0"'YlIOI11 'JO 1 NO ~ 1 tltit~~g:S~R 2 0 P...WN 0, 0 PIlY 2 0 R...,NING :I (S.,OUSK o 2 0 WET :I 0 SNDWING 4 0 PI~.r:..KTSS6~fr.r 0:1 0 "NOW . 0 FDa ~ 0 PI~1r:..Kis"6~lf[T O. 0 lef II 0 ~~rJWy II 0 ~~hltf.TNrlaHTIl II'it1 ~ .., OTrJ.~... 0 01li[A I"ft'-...ti! .1'.'(~I..""l 7 fWe'lfY .1~<1 ,R,,9,~OWAY Su~r~;,~ lYPE :Bg:~", 0'0'"'''''''' 0.'0"'....".' '__,"-::- r-l;onlll.,..IfW_ O\O-",~,_ __'._...._,_"".. I 0 ~"'"'' 111'1 . 0 ~,~,':~~~... ~ 0 ~~:-:~:~t.~. ~Do,,)r" I 0 ~,~~~~~,','fO .0 II".!'...... '_ 0 ~:,:~: ~ ~!::J :;,I:~~ :(~."~~I l "0"",,, ,O...",r, .0",,,,,,",,,,,,.,, TRAFfiC CONTROL VI "'C~T ICI'fCIl O"I_! NO' NO ~ 0' 0 SIGNALS o 2 0 STOP StGN o :I 0 YIElD fllaN o 4 0 fL...StiINQ fl[O o ~ 0 fLASI11NO AMOfA 0110 "ASIONAl o 7 0 OI"flcr:A1n....OM...N 01\001111'11 ,.,.rcrry TYPE OF ROAD II' IlIC~t ,Cltfell ON' NO I NO ~ 011 ...01111 D100NEWAV l8 2 0 TWDW...y o :I 0 ~&~rDAStf1Ui o 4 0 W6b~9~:~gE o It 0 ;~6~AV. o II 0 t~~1:JunN 070 !1rllVI'W",V ROAD SEPARATION n ~ n nllllnrn DRIVER/VEHICLE ACTIONS ~tlt'Clf ICHICK ONI OR "'ORf, NO I 'Jet t (g.. , 0 GOING STRAIGHT AHE...O o 2 Cl OVERTAKING AND PASSING o :I 0 MAKINO RIGHT TURN o 4 0 MAKINO L(FT TURN o !l 0 M...KINO U.TURN o f\ 0 51. OWING o 1 0 flTOPf'[['l fOR TIlMflC o " 0 mll'~'n~ ~1~IQN"'1 n II n 1;rrll','rn'N -, -:-::-:- I' , ,; ,,',' ;" , '" ", ' '. -:-:-:- '; , .. ,-":: , ". .,'. . . ' .', . ,,' ,: ,',' .',< " I. I, ,'; .." ,'" ,'...,' ,..,'". :' , ,,',: , '''' ::: ". .', f r '.'. ." ..' ",: '.., , ' ii ,:;, ! f' ! , ",,' " ,': SEX M F 00 i ,. :,. l:i; f':: : ,: "", " , , J, <, ~ , . " '~ I.'...;.~ I .,......,." ! :,< " j !", i,'. .'...,." I :i::'?,'::":':""<:.i,:;;,:;::::". ' ~ . " .' ..' " .'. . I ::" .....,.. .'.' n' , , ' , ~ II' ,': ", ''''''l ~ , .':'.' ", , I ,>,'. I .' . '..., . ','. I ". " .. ',.' , ,.i , . " '~ , . ',' ". . .,.. ,'. .... 1 ." ' " . '1 }" . .. I "'i,. . ,: :,.' .1~ , ' ,', ,', '.,' , , ".. .', ~ <', . ~ , .' ." '. ~ .,.....'. . 'I' , " , " ..:, . ...'.,'....,..'.,..' I . j " i ,.' 1 , " i. ;,' " ;',..': , ... )' .. ; '..'.~>.; (::'" ;'. ",.'. .. ,.." .: ' , :. :' ':: .' . " '.." ", " ,.'.' :", "".. " '.< " \ I " " , " ,,' '--.., .. ,:,' ". ...., . ,. l' <' . , " .,.".'.' ,"', , , ..' ,,' <' ,:, : " , . " , " ..' ""',:: ,- ,:': .,'''" '. . "'" ',. ','.. ,.,.. , " ", :' ,..', "',' ',"; '" ", '"... .'.,'.. ,..., " ,;':-""', " "" , ..'. . :', '. ...,... " '., I ..,.. ". :' '.", ..' :..~L' L " l . UNIl NO 1 ~ UNIT NO 2 VEHICLE 0 PfOESTRIAN 0 PEDALCYCtlST ~ I~a DIIIVU1'~NAME LA~l flll~l M~ O!;,IV[II'$r.~~ LA~I I/,,= 1 / ~ //%/6--'--0 ~#,;;;;-;{-~--Ie:, $'IIH1....ODlll~5 I ~ ~5111I11ADD:t6 ~//-;;:;,,~~d L~ I ;; ~ (I ~ / ,S~~r t;P~vOf PMONEI-lO 0 'IV' Sl,a,lt IP'-u..... rr- l/,~/...) / R &.-JIC..",'-> Lv# Q}?oSS - 1:.:2 DRIVlrnLlCtN~Nv ~ . J II I STAT( I~[X A M I '\I[}i; "'~NO 1 "'If I l( ....oOjloltQfe'lll~. ~ ~ ~ /' . "'0 0.. V ~Ze,.J-",,,-, ~S-7"'.?/)? ~ /$' I~ ;0 9 ~t5> .n ilL') OCCUP~ IFI5IM,..~E&PMONt,..O IE'f(~ 1Wf:'GM' IoEIGIolT E ~P::"~ IFI~MN"""'t & P""ONE, NO b'f(~I~(;,HTI~oG"T ~ CA. ~ I R ~<'E..:LX=-X 7),.5 //5 ~-'I"b P"'- o CHECK j..-) . ,Jf~'Ci!'l~ 'Z~~~I~:( t,,":r~8i'''f'riAl 0 CHEC~ (..-1 '..,u~l: ~:C~f~S :~:'I~iE'r ~"'i,~:;~jIo( ...'HO.,-'" '"7;7 .00".' " "". ,. ,,~.. _ "".-- . ~~"'. I P&~ '... " ....' ~ ""._, ...."' . .-12 I .A. .J"'-:: .A::. Vt::>,e......o'.....u .--)a....-.JtZ. / '" 0 .......a"l..NCI 0 tx~'1 0 ~h'~I' t:ir::~,~:1 0 ;<8.....~. IU"M 0 ......aul...." 0 ~?~'tl 0 ~~,,,. 0 ~::~:: O;-'~""!.> '1>,.1" [[ V;rl/~ l~~td;~t I c~}7;~ I~T:~O;;::Z ~ /1~8 r ;;,&~/~ I:~~/ Yl ~;;~?' -\ ) \I H "UI.~'l _ IlICtN~[ PlATt NO I STATE 1'11A'((1l P,....IE NO I~T""t H IIEI1 eO\ol! 11I..t,?",:Tt '::.,U I 5 "'I rrW"'ltN ..,.AIt No;) I ~,... l 2 .!-v//,oicl U,N,/t! I tv/P - - 'y/,G'/ 1...<',/2'L?211 ?./~ - 1 - 2 II(MIClf IOfN1IFIC"TION NO ______ C 1I(..,ell ;""~'I""'"=,N N~ :......::.. ______ I ~ V:; L 3,;26 ? 03 ? / ,::2 ~+- II SZEOO....,."Ell lAST./,/' FIRSII/"" MIDDlt IP~[....o _~ ~ L - .5A"..~ -:/,:,,;z. ~G-Mc.: J::2..-* ,~"52 " ..",...IIE~S 'uWNEII ~ ~I ~ V~/ ~'D ~,~ J"w -;C 6-;-;;;;:; 5205.3' ---l , '"";;'"" CO 0""'"' -:-1J1 R 1",;)f"SS,.#C'h{J ~ 6S~ /..-vj)"",~ ,Tv ';7' 1 I n'~,~":,~Ci I" O.......';.c;EO \..,IIt... --= .....'''0..... 1 J .. :13 c""" o."'''~, ,~I 0 ~~j._ ~~tyN DRtM...INEO If~I o~...~~ 'k (il.'.\;-~!t-::F' o ~o...~~ BY / V.9t:"'":' 1010 0 .. ..::.. DESCRIPTION OF COLLISION- (USE ~U"'ltMf"'!"'L S":,llf N1CESS...IlYl )~ ":,::"("':, r~..r/.I ~ ~.s /v'~~~;,o-> ..........""':::. ~ . i," ~O,~~<p,~. ./'-0 ...-::> r ,/.c-E'e:':D .0:;./. -=- '!', y<,;//4/ N/,'.> 5:-9:./~....-' .r-'/-'::"""" 21'}ii,i c&-.':---:"'~.K'_~ :::-o~-p /9-/;;.:e-?,>...~:2::> _~, ?; ~ .r-....~/ ~/~:-,..,.; c::::.-~/?.. /~7i'-~~...:::..J . ,::}., I F"q,// .v,/ /-#c-~ .!_/~ ,,?,E S'<,~--.c='/'i '\8 (' fUf/,?;>y S~..-/~ <'1-' e:/.,f__.-/;:;".......-? ;r.i /:/./"J,N",,,, ~I' "D~' ~-<1 Fd-~ ~h .:.<~-;~-- 3'0 ~/ ""l,'i" NAME, ADDRESS & INJURIES q~,PERSONS INVOLVED 'CODES I 1 1 - 1 2 I 3 · I 5 I 6 =.J ..,'.'. OCCUPANTS / WITNESSES ~~ ~;~i~d~Zll~lA!o:W m: I A'".I bU,TU~i '....~..I."..~ i ('t:'J\~ ,!/(~TR EJECT i~~~:.:'..., ;:0>;' r.', "AM' ?-1,,-,R,,, ,t .;.JE/~s.::-;-, ,), ~ ::r.~..!S- .ff~.....,,,,. /- ,......' ;: I "~,,; :.. ""~," 10",,' "'DDlI[~~~""'.-6 t""Jf.I/&.u~,'2r# ~ -/E.-.~ 'NRJ;I'b~I\'" ......"...~........- SCfNleT 0"M8 Otn O~... 0...." ~~.:,'_:'.: <,;i.,<,:: [ "M' ^,"/'h6.4'.t./ A T/rf,,,,,,:s . / .;ou, 7./',p--,/?;;;y' I I IY, 0'0_ "t)DlIr~-~ .~...~~ ~.e'_/~J- '~j.:..;/ ""'.//,.......r/. .:L"'~D'O. -:.....E ~r~r.,J~JDO...04"'& O~~'~IO~~~.,. 0:1: D:-.~'..\O <IO_,!,;'::V":::::ii::i,:: .........., /'~... I I I - ,,:-:;',':::-'::-/i,:.:.:' "oor.>m ~"L~~hC.t s~r"'I"'-~~' .IY 0 ""'6 0 ~~u Ocg~,.. ...... 0 :-'~'w to"~ .';'::>'.-:',',:"-,:"',_,; , 1''''~A'''''c:. ~cr"'''2''''"' 1 64:>G'OOD J"GI"'e> l>~:.'! '6~, II:', (~~"":.s:,.!DI JIO;'~41111~...-.L~ c....,[ ol}'fl'02 J "~~DOv~D,Y I D"'[:, :,',:-:.",,:, \,:,;." X 9.2;:."" .L' _-J: a-,~",u,',~ IS8'o/1 I~.t? ~ 3 I <,~--;,/ I" ;:;";'. I~W5Id-f.!7))' I/;"" g/J9'!i '----.~"1~~i> , . ,'), ,(. ':i' " " :""':' " ".,( '... 'i'",: ", , ').' ::.",. ",/( v. ':>,~ 'i " ,'\;i, it i')). i:'<.> ',' ;:, 'i' . ',. :,/ ,',' ,".\ 'H, "",..i! " "'" ~) STATE OF WASHINGTON -AO' 1 0'/ ~;"'ljJ POLICE TRAFFIC COLLISION R~PORT ~ lRAfF,CWAY o PRIVATE WAY 0"'1 ',ICOll'S' N i" .... n'~'o'" X~ "M[ [[COUNTY Jg: or- ...A....t, cZ.b ~. ,,~.. 'ViI "'I~ '''''II '.' ,.., (USE ~.:'OLtIlI _ _ __ ....::___ ,,;) ...../ ,J/ /~-<,,, -:re;,,;"~. r:5<'>,-, ON 01 ~:N ,L~'>ODIOWN ..........t.NOOI~IIIU101l~'~14. M"" 0' OW Do' /,?p.r;/&-<,,-'C"...., ON /lJr-. <;.' eeL",..;;-;! IN11~.?c:.wm.. ~TllHICIIIIO"D lNON'NIID~~/ ~/~':;;e.......,C /LG~7::> ..s;- 1&EIWEfN..7./'"""-'J:4..,tt'~ STDHl& /~d"C' ~I/lUI 01 lANCE .. D~';;'I~'t~ wu.~ DE ...~., C~O~5 5111[[ 01/ Nt...~t~T ""U PO~T I ACCIDENT ) H ~I~~~ ;, ~ n n Of M~l6~E eOuISIONINIIOl\I(O _5E..\I[~IIY ~ 0 U I f':1(.,., 1 ..."I~"" ~O~~~I~~~ .~ "'0 "~~~~~:I ~~:(O-==- 0 ~~~~~~~ '0 ti~~~N ..=o,..~ I~ OllllCT SIDUClIN"""'f Of OIIJICI StDUCl .....0 OWN[l/ ~ NAME! 1$ ESI ~"Gl -r1020 I) No,c ~ ~O;:-~- I ~ ,....,... Ig~::: r~" 2 6 3 C:.- 3~1 , ," COUNI1"it) jCIHt..o / C> 1 (;...17~' I " I'w;, O<~ ~"o~ PI!lIIl( rei IMIUI'O:>I, . O:l- RAMP rl...,,51.......,O'O"IA N'lW II~ I ~~f 1~~~~~.1~~ ~~ ~PlCIAI ,-OD'...c:.lJ51 Il(lflH.""'l ~ ~ IIEGISll11fOOWNfR ;I "'OODI~~OI-OWNfR . JIJ~ )1 y' ~ N~SUR"'NCtCO ODAGENT -c........::. O"""'AGED ,\SIf'" ~~..':;'7'':c. I*,' N ......... rr- In.!~'.O.'.~'lfSIO~;!~:!: I~~~~IIEN o RfM",INfO 1- ~io.ono~. I s~t ro fi~~[lY l:::~,I~;:~1 ~JD,cr' rr ~',y~n..~t!r "- <:..?] ,~ ..., )'IR~1 ) M~ t.J~ fi!:"" OIAGRAM Of COLLISION: ;1 L....:. ~', ,..lESS' III Vi r-::: Ce,tZ-Gf Z ~ ~ E L::> ~ - "WiX~"'\iiIIi~~'8zmr~_. L P1 ~ "~'."'" :, " , ' ,', ,: , . . ,'.' --:-l' .,' , . . I';:' >. :' /'.' , , , ...' .,,',..'., " " , , ':\;: " " " ... ," ,..' , ' ~",<" '" : .,:" ,', :'..'.:',,' ' , "" " ,', "" "'.' ." . ;..., , ,';, ',.:, " ,:,-:',..'; .,: ,: ',-;' , '" , ," ' ",' ';, , .' ',' i w .. ~ ,. .'..... ,,' ',,: :.\ ., ..~:.'....:...., ','~' ~... J '.', 1_'" ' h"P-" .. . ": ... . - r--- ;.; , .' ."'. I,,: ....,... . "':" " '" 'i, ':', ,','.". " ,'. .' , r', ',',.,; ". '. "".;", . " , .".." ",', :, '. '. . " ' "','.' , }', ',' '" ,,' ; :'" ,', ,.'., " ! I;:"; /2')'~<>~:; c'. ,,', , ,::r',;, __ __' :. " , " "; ',..", " ir)~>i~ i >~} ; ':.. I ~. ,.'. '. .' '" , ",: ,,", :':,' ,';, . "" ',: " '" ' " ' ,': " .. '"'' '. : < ,<', ' , ' ' ,: :' ." ;, " , , " ;. : .:'; ',' . ': ,,:':' , .: ,,:,':" :: ;. 'i , , ' "..'. .' .",' " " ,: , '...', . ',:: :,' '. : " "," :,,' , .', '.,' , "'- ' . :,.'..;, " ',' , > ': .',.> ","., i"'; " . :", ,/,,'. " : " ,'.. .', " . '," " ':',: : ,; :,. ...., ' , . <, I"~ ': "".' '."" " ,.':, .' ..,.' \ ";'L- " ,', .'" :L ~ " :i,:~i ';';:'\.,;;" "",:,; :< ' ,':, ' .: ,'" " , :'; .....:.,f",...,rll1.i I 11.1' '''" ~ STATE OF WASHINGTON "0' / 0'/ N 7/0'10 [) r ~ POLICE TRAFFIC COLLISION REPORT .!81 TRAF"CWAV ~;C""'"',.,.""'." () I I / 0 PRIVATE WAY 0"'0"0'" ".:' "'0""'''' ,I "M' lI'ou." ""1"',.., I''''NO I IT ~ ~ ,sr9I\oJ~ X Ivt~ *fl1 ,...,.\ ..< ~I I ~f/~H~QI II ~~~.c~ZS~~ / &.? I ) OND' DIN ~~. I "A.M(~"'OOI~lQtl'OIl~""WAY....-:>~O!.II~_"'1 'liOIJllQll~TR{(I~ODl .5.8' M'''' 5i', Ow iilio' ~'.:;-:.<.~ lONe;,.;. Pe: ~44c -<J l- I ~I I b <. <- 8D INltll~CIINC. WITH 5111(( 1 OIlIlO"'D INON "'.ntll~CHON .4 / t"? "Hut \"Ia. I"Mll PCr.oI - IMl'Wf(N.....o/'?Dlucr"T" S'lItll&'"P...5CCi-.(if~T/lHT I 'I . ~ q C'SIANCI&~'M',', N IlOMIIHrll(NCICIIO$$$IRl['()ll""IARt$'M~~' I/ACCIDfNT AMP 10lA IIAMClA'A ~ ~ I ~~I~~$ (; i.f f., ;, 01 ~LD/;C;4--~ ~ I Mg6~E I C.Olll$>ONINVQ(lItO~t_vllIl". J 0 ~~.\ 0 I I ...."f~". ( I~~ I ~!".I.llc~'.!:'?t.~~. Q(JAtlOU1HlntolCl ~O~t~I~;::~ [lJ NO k~~~~~:1 :~vlltO- 0 ~~~~~~ 0 ~f~~t;~N I "'::D'''~ I' y 1 cu (I~~~~( 0 "Q OflJtC'$'II~NMUO'06J[C'~'IIUCI(MlOOWN[II"~/ I [$10.a.MAc;.1 $PlCIA!.COOIN(O\,(,( I' /~&5 -~6-4C~~~C;--J /""oo/,J/I/ .- UNIl NO 1 UNIT NO, 2 0 VEHICLE "''' 2 q ..... r7'l lfi~~w. ~ o UllaAH ",,', .Vll.... :e.., " I i I 1 I n '~l!. Ii :""'" o ';';~~ST.,AN 0 PEDAlCVCLlST J 1 -n I' /::? I ,,.,, I '" 1 ~O"';:"'''~. ::' I 1'I'(!.rl~TII'fI(f~'~ ~I 6 >>~~~.t'l ';1 ~ OIlI~N.a.M1 ~1 fIIl:;'T,,-:J MIOOII OIl~II'~N"""'{ Do/a€. ~N;:"C//'/ A't/.~N " ~rllfnAOO (Ss 4 -' H1fllA~f~S [';? /-/;::3 //P'-';C~c.c:= #? " L:::::: ;~, ____ ~TA1I lIP coot I ~~NINO 0 lIV '\. ~V"';:- /c?'.-JS6-V!..bl 9%5/.Jl 15g5~; R " 1'_ OIlIVIIISlICfN~~ I STA'AI III pAU0' f1II1TM I IVIIISU IN~tNO '\. '- Z"Y6.L..J;? ~S/.Pc:=' /,j/r I~~ S- S::, v " e OCCUPATION '1IIMN.4..'o\(&P~ON[NO ~~~S..i3'C' ~ ~~H'~~' E OCCUPA1ION 'III~(' Pf1QNI NO G:2 SAlL6$ Co ",c.'-/65./ ~~ I' "0 1 "'s-j- c:: R "- o CHECK(....) 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(', /.s- ~ -/ S- b .s-.3 ~ ""'''' 'OI",,""''''''NO ~ IIIGI$llRIDOWNEI1 ~, '111$1 MIODlI I'HON[NO I1fGISTfIlIDOWN[1I lAST I~ Ce>J/77"6s, ~/O/--n "'~C- ~9/~7= 0 II~ ACOII(SSOfOWNfl1 ,/ ~ "'PDIII~!oCfOWNIIl ~;;::bE S',!-? x.vt..sZo l",.4 :783;70 E ~ N.......{"...OOIlE!o..OfIN~UI1ANClCO OI1AGI~ I~ tl.-v,,)G./f'.,;.,,,.c: 1'_,""<-Xw,Z:~/<""s -.5-~.4E:. R -- PAMAG:O AIlE I r:!.!!' I N 5 '''7/3,2 .s:'- _. E ,r---1_ "o"'{ 0'." 'H"'" /. , M.' ' '1f-jloito",;.oi.o '>1 I!lT o~~ 0 ~"':'~VN 0 1I1,~(0 1*"5,:"'.-0 F;?f 1~...o8Y G z,c,/c{>c-.J E'" DIAGRAM OF COLLISION lUSt '>Uf'l'UMlNl"'l NOICATI N0I11>l C '"In" ~ "'''1 ,.:&w EI~~JllY ,c.'..I;;:? ~ - OC!J('~ 0 <= ~ , 00<,,-_ ./:. c7>::'~I~ E C-AP"", c;:;""~ P>-. 6' .", ~~ ,," ~ ~ 2J 1] .3] I ';';,"".0 I o....~[;',-.. ~ ~~f:'~~ 1 'l.'t''\.''t.<'.. ~ DOIIIVIN DIIE........INfO !1$TO.w.Ac;.! 1'~IOi~-~~'>5 o ~r;.~~o 11'0' AW"'V S I'~ (io ro~' DESCR'PT~N OF COLUSION: IU!lE ~Pl(.w.NTAl ~l1(IT If NfCI!I:SAR"1 ~ ...,1) t/fi.,1I' t"'If.S .s.r,,~/7'(' a-J c.<?.E' ~a,/~<6 ~~ f4...z:, //~;':<5 /c:. -.:;?___ L~ ;;Q?'/~-'6 .... ~ .=. ~ ~,,// __--'?-' ~ .5~-=F6:> - J,/':;;// ~-~~ .r>if-.n /"" /:A _oC' F? ~"'IZ':_7? /7:$ 4<;~;:-=,Io.-/o"F-' =:J ~.c,n./&'f" &,~-..5-, C"e...v"..:-;;;--;t~ ~.;:::- ~~.,At/ - t-/5/,-/. -::3i1 .5/";'!~;.J"" C"v./ c-Y- c-"''"'~.-' ?E'k--;?;" j7P"", .::-J ~~)7M~' TC' r~ ~,<// ,S,?;:?/r6 5<%~,-<;~~ 5...--A'-/0<, r/~-&..s 8~,-?;"" ,f/C,..;;?'''''';v IN U AN iCO t;;*"'ulN "" M'O~I' , '" '\. 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(Z ;'~~~~~~~I:~:(O_ 0 ~~l~~~~ rr~~~~;~N ","D~D'"~ '%1 Cl:' IC/i1~:'s:;~~ --ti!f OBJICISIIIUC~ INANot Of Dell I Slll'U(l ANDOWN(II !.NAMI) I S 1ST O,,^^ACI :'1'1(1"1 CODING U'iol UNIl NO I UNIl NO , V'HIClE 0 PED"TOIAN 0 PEDMCYClI" f'j' . ;,'...,., '8 0"'''' N~' '^" /1 '"'' /'" " O",""N:<-- ~,t7e, ~;., /'7 -r;, J ;;'j _~ . '.;;, .. ,i '!(i; ; ro- '"'''''''''' ./ '.",""O/5/'UI. .t3.9/?r~, "'I' ...,.... ....'.' ..i\? ;/; .'., · L""w, "'" 7"'<00( I'HO"''''' ~ '''/f:.,lup~-a;A.'~A''~ J::.';/3"'7"""'''; ..,...'. ...i..,.'..,..).>.. ~ "OV"'''''N~NO ./ 1 "'" I ".I.g"';,".~"'H.. ~'k~,lJk.J"Zq/~ ~~ -ii'f.l/'37) f' . ,.".'..;..>.. ~ 'W'^"ON 1 '''M7HON'NO I"" I"'OH' ,..OH' ~ ocz,;;;'L I "'z;;..' 'NO r r.:w7s9.' _,i;'; o CHE:' ('I~": VOH'~' ^'~~~~~:" ~ ,~t.~i'" ~'OK"" 0 CHfC: (,) '",,:, YOH'''' ^' .:'If,~,,,.. ~'OK'''' '~L;' r CODE5" +..,n: "..~~ ,. ~V~'l'" 5 IJIC!+QN b ~.."'. ~CODES .. 3 CI"~~ I 4 ~. "... . S 111(."0" 6 v.'fh "ii'::;"'~',>,~,:<,: I "7 ,,:,.Ji,~[8V >>",I//<=:.,Y'<, ~ ~~~f;'uo" 0 .....IIVI.....CI 0 ~~Cl 0 ~;'Il~ 0 ~;~,~:: 0 ;-8.~!oO' O.....IIVl.....CI 0 t'i'~r.l 0 C'~'"e 0 ~::~:: Xi ;"''i''4!o'' i,'--> , VOH-n 1"'''~:eD''' I """':':::"""'" I""prao,,,, E 'I 1-'t'ZOSVl I""'~'" 1""t1)l , 'J ..... Xi.'i ...',..,.,..'.,./ ['''f!;M. I"X:r5ou6/1"~Al"..".."nNo I"'" ~ YO":mAl I'ZlI;e'7t?-;F'~~'':'- I"'" F:; i< ";"\;. ~ :r."j'0(~''iJ''''ii:1I~ / 12.3.3 I l ''iJ''l:~Z)'^7'l1 11m 5 tJ 5'2 5 7 ~ i;' ".i ~ "o,~-~o.o~" ~A '" ,,""PA-u (.M'oe" ~3.2:~,lr11? "o''"''~w;J~ e=zi::VAeO M~' I 'NO c;>;,!/i 'z. "oo;;4,o:;U~e:s' ~"'/ h A. . N AOo7;:X;3~ If: @,.t?4Ud" ~- ?~6s"P f .........,',k; ~ N........f&ADOIl~IN~URANCfCO QR,-,C;lNl C/.~~r- R -=. U "NClCO ()II....CEN ~ ~. ,\,,':;-,'{; 'z.. /7~,., N c4':>~ ~ ,,:;;'. o~.o'o"" I d~,...".o !>"" . "P7/f557 Il 1 n'~;'.-:,"o ~~""o'.... -" ,.;";,.';:' :.'. ~' l,t'1,;" ~., ~~~f~'g~~,' ICMAIl(;f C~"'IlC 'bAF; JJ:.ri,'r.:f;= :10"~J. - .:<;,::;;:'~./::,:,(;:,::: I .~..o.p_. !I'r~s~ O:;AM'''Gf~lfo OlllVEN ("\lllfMAINfD 1\7IDIlIVEN DIlEM"'NlD rE:> OAM"C.IJ!L .....-.. 'lo . 'ii/ ,"', , lOlono_ At) 'JP" lOWED )I"'.r "W/>,Y lo.ono_ q : "','...::':-' IV 0 r;.z\OIlY 0 />,W'" IlY . . '::'::'" ;.:i:,;' r= DIAGRAM OF COlliSION- ,11.IU~1.I.~hl"lEI'lI.(. '.NO,C;~ f~NOIO'IH DESCRIPTlONOf'COll~sl N' (lbf:;uPPlEMfNT"":;HHllfNlC{~"'IlYl .,:", ."...\i... 16 1/. .. _~UtIlNECUS,O:yl IlY!lOW ' A ... ;", r<'''M~ CA ~:, l:Jl . , -r/e:z.I-:/-)::~ ""#...&,.,.~~ /A/ ....-" . 13 ...'...,..: ,i; ~ ~_, , ,.(2lJW.pH > './ (7/ # alA..ots" &-""',." .A!3?,i/ ~ - - 'u "'.-._~~::::;;-.i,.-r ! ' , ,/ -tI~.#-z- ~CZ)""'#.?~~.P'.4U~~ TI,''!' " , . ~~~t"?t. :, /l-rexttes;s/..vE"~~1 un-~&:-.&! ':::Jil. ......, ~' -.::~ Ul?'~." ,.' '. 'J/rU ". '.. I ~:f:~.:.I;tJ~) /k7.1. i6J./ /..v~~ .... .=:Ii,.,.'..;;! _ *' " 1: '1' tle:7I .... ~..fICU!?Z/6'" 77je;;r/~~~;;:' ,.".,"" I/q""/~~. ,; ; "y'~r. SNP,~77I~e:?IA-eiteFf,llU6d~~:S .i,',. ~h;(./J'-:..bL)/l7>'/7:': :),}1' ,f;t!'()~,*A./~~ ,..t'.t~l5"t-W~., f'd'l \",.i.i.:j'g: " NAME.ADDRESS&INJURIESOFPERSONSlt-l~,tv'Pl'l" -... 1 1"1 -"1.' I',)' "I" "'" ~ <" :'.i,' [}:!i~~j OCCUPANTS I WITNESSES l,~ ~:':~~~~('~/>,!I:nY.,.ii 57/35'2:7 1 Sf'" I ...GI 1.s'.lU~I,,,,,~"1 ~~,: I r',~~\ IlIS'~ I fJICT ~',~~.->::'>' : ','.'\::;::., N' -.tV. ~~~ '.2N7!~.s:: Z/9d' iW 11"7 2- '2- '3 ... 1 J 1_'';', />'r'!'''I'>' ~7'~ ,~~I,~I J'ttS"J~"OM 0 ....8 0 ~~'(I 0"";"'. D~;:' ,........:",:',;-:,::::.;".,.:' ~_ - I I '... ",;:'; ,''',',',0' """'VIP ",0" 0 0 "",,' O~" 0 .'. 0 .0' ''''1 · . 'i'" !~JG~~~; r- ~~;:"'" ",,'" '.OM r.v ......1\ "" I C(l'''. .,.. I'u"v -+ .'> :;<'.:;;:':~::f L-- .I'I'''I~ ~~:~~t~C1r ~~~...~~ u"" O.....P O~."o"l o~~". !"""\~;: 0:-"::..\.',.',:,_::>".,:/),,:,\,::: . 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"., ,,' ",,,, ' , ','" ,','" ; . ',"'<' ,.,. ,..' , '.;.,'. ,,'..' , , ' ..' ,,':, '. , '. . , ' ", . . .:. ' "',.' " . ....Q '; ". "" : IL r ': . I: , I: ',; i .' ", ;', ;,'> , :,. I' , : .' :, ,', ; " f " , " , " , .'. ",:'PI~lprJ I to;;; ----, " , I ,', . '.: , ~ <;' 'I '. ,:," '. ',' , .,,' .':' .' ' , ,,', .,',': , ' ". " ',' ',' ' , '" . oj". ;, '. 'ie\ { "" /" /0 '?6 STATE OF WASHINGTON "" I 0' IN') - IRI 0, I:! I 9 t.. ..... TRAfFICWAY 7'1j ',',' POl'U COMPV-INI NUMJl.l1l o PRIVATE WAY ,.~. I ~ Ull.lfO'(OUl~'U1. L. DAYQ!(OIl'~'O'j ,l! "Ml lICOwrol. COIJN"~I -rc'IYt.oO I 1r"1',........ ~ 'C p-;- nt..~'o g'<iIC' ",' '"' . '-.' )('''11 ';'';,''.5s'n:::JcF"FG>lS<',y' I \pI II'*~::: i ~ ON Ot ~I'. (IIVQR10M. I NANt fl, NO O'5T~It!OR."G,",WA' 'C1Cl~1 AJ:JM3\0:;1 F'iEJilC IROIJ~,,;T~ I::.lClIDN- tzJ .~,'.,': .m 0' O' OO',#///;NCtlhl ION J?/v',f..-1,e /,,)1 I "oJ INlIIl~IC1'MJN'IH ~111l1101l1lOAD INON'~~IIII~[C1ION - , PII[f1J J1"CJ IMlLlp(y"~/.. /6 r-;' 1",.""/b,,uRSC.>J lK "."..l11ts 7 (Ie., 1/1.1 '''''' 1 7. 1. 'I O'~lANc.I 6 D~I~TION IIIOMIIIIIIlIN I CIlO!o~~llllll 00/ NIAlI151 ""'l[ ~O!o1 I ACCIOENT RAMP ID1AGlIAMOAlA f I 9t} 0 J~"~'~~!' ~ i-L ;..., n Of IlNtJa<.5t:JAl t. K.. kJu M~~~[ I ~ , , I ....~ INHII'II1"1."'I~~.!!~~~~~IlU._l_'!lIIlOA.OOQl4.HIl'I g" ;,:, COlll~~1~:~~l"'IOUJ N:;-t'~:I;O_NO INJUlItD_ 0 ~~~\AC.I O~l'~^'t:U~' ....:[,lOj;;:.., I' Cl~ ClI~!>~lR~~~/O ! C>>v[>1ICLl5 '~-PIIOItRI~OAMAC.IONIY 0 ~!>UlllO OV[..'(ll tJ /#""5 y~ I 4a OHCl 51IlUCo.INAH" or DeJICl 5111UO "}f0"'N111 !>NAi'/.(I,.VO TIP/t:-o /'1",)'0 I t510MlAGI !>PlCIAJ, COO".Ki ~I I rW~.E'T !-'OWC71.. n/,;: 'AJ-Spcc.r..-() 13," /?f>. I. - ""- "''' ~ , """ "" , 0 ~Q' 0 """'''M 0 ~"'=" III :.'..,,' l/ 0'8~:~/lo: A:'.c-x, ~7' "'N~' '''' "." ." U ~j ro;; ~"~~;"12. tu)..~&< 70,.; (,Jfl v '''''''~~''l ~ ' ' </ ~ )3Rt:I7J.-=:mN h~ '1la';~ j;";';~</.., ~." ""- ".., ","~ I 1-' ../r. I' / OIl'IVUI'!>lIC[N!.INO I 5TAlt I IX I"" AIOf IlH I IV[OO'~IICIN5[NO" I 1"'11 I~' I o...TtOf 1l11l11'l =; ./ L.,L F .s.s03roC:> '1In Io'~' /:3 ~'5 V '\. ~ I ". I" ".,.'. 8 I^~U~"'~ ~'."~"'"ON'NO t:,SN M_~;r;;~I;~8 ~ oo,,""ON I"'."~'NO"'"O I"" IW"o.<'I'''O"' t- !i.ii':! ~ 0 CHECK(t"') 1 &C~~~~WAI 0 CHECK(tI) It~HIC~(i~~~tMV'ld~i:~(.'i.::mE,!:/~~"'~ '~r ,.'::,::;':.,,:::..,,:( '2" ~DES'" + 3 ~~~:" ,'~, """~ II. ~:?"'''' I ~~D;~o~ + 3 ~~:~;' ,-W~' , "",0_ . ~~?""" '''5' ii;"': ~ M O.."'M....CI O~~CI O~g~lIQ 0 ~~~,~:: O~8....~p ... 0""''''1'''<(1 ot'i~r'''D~g~1u o:~~,~:: D~~"''' - :-:,;:.': '-' F/1185 IMA~;:;~"'" I C;;'';~~AII'',"~'~~VI i~ .. I'^""OOO", '"'VI I """,'""NOV" r '""D.'"'' ;:;Z'<' LL 'W:,Ok I~~~';';~T I"Wt9 I"^,,~"O I'~ ~ V'"'O<O' 1 ""N>< , I ,." I~M""O I'" ~ ~jiii;< =- V,",''' ,",""""noN NO l ""'''' '0,""""" "N '\. ':!!..;;)! I~ I :m€lf3iPI7!qtli 8.F,ri6'OI'f.O ;:1.''1 . I" i:: l'\.i i I I Zl' ..<>' 12 "S:;;;"G- "''' "'" .'00" 1'"0"'"0 0 "O"""OOW"" ,." "'" M'O"" !,:'NO '----e ~'.... .i, .ii; "~ AOO''''OOO_'' 'Z .,O""OOOW"" "" ~ ~< ," '.,:i C:', ~ ~,..uum, u ,"'U '""'0 ." " h1 ii :i,C!i ?AComA "I I I ::.'. I n';,!...";,.." I O.......~%I~I... [? f '\" CHAIIGE I H ~""'ChO"'" 2 l" ['iT . .. O'''fRQoKol ~.~.1.0.I':-:-j \_?",:: .~',\ o :~(~ Il~ 0 ~~~f~ DIlIM-'INEO I ~H OAMAGI I'~ ~ LL f:.',i.j,,\,., ~"',::. DESCRIPllON OF r;:OLlIS~ON: . IU!>! ~U~PlIM~Nl"'l !.H!(,1If~!.:15_5A~YI_ _.. ___. ._. _. ~ r',,:' ,,:.'_' 1);?IVc:'J'Z. If cP07Z Te-r.J ,7"'d-"9T, ,#<r..._., I" ..,'..: /,:.\ ,FtRL ,AsL&'c-,o. ,(/e/'/I'- L.e: t: cT.?.. - 7":.',., '.,:' /'fta';'VA)" /9N <:J .H' r A<<"=7Z. ~/,: rZf [i < - iZ'J ';&~)' . CODES 11 I-I 213J4 15160'", ,i/,i, !.1.....I...Gllsl...'l!~I...."'...I~.~; ,',';~., 511511l1111C1:,~a:;:. 1:-,.':' ,>:i:::' .,," "0 0'"'' 0"" Oh, o"..i: .,.. I'jlll' ......11, a~ r' .N.. ,... '....... ':,:,::",": ."'<>', -, I"" ~~:':~i''''''W c"", 0';:' 0':.;,,, 0 ::,: m;"," 1/1:' ::>.\ · .'..,',. '>,i,Y,:: .,... , . ..,,; .'."....,:.' ,i'."":":"', .'it. ...... i "...i::s>': ,./;,..,..)\:: .',: '," .<:'...,. ..'..,..,i...,./"'...i..;. ',' :i,<" G'~':~." f1" . 'I '".. POLICE TRAFFIC COLLISION REPORT ~ NAM!&A~OIl155.OfIN5UIl,f.NClCO OQ"'G1NT " HAI"NC'A~ ~'m,vl-ro/ /A.lS ~~'i.i:.~b'AJI.fA I~A I IS 1 "Op. ~ ICHA~Gl l'/lrl._____~~ m I~DIlIV[N DIl!MA'NfO '\'--- \iOIlO"O~ AWAV $/ t)OCJ l~w,.~Dllv €~/c&.SO~.s :z DIAGRAM OF COLLISION (U~~.~U~PI!MIN Al NOICAH NOllll-l 16 - -. /I~~Ulr,~~ -I IlY@O~ ,1 1) : \ ~' 17 I i '7 i 1'3' ~"'. ;:J.~' 1_ 1 f'7f- -~ =- ~:::.LL.:. !!.: ~ -+-;:2 J. ~ lL ; I I I'/.hfJOY tJRltJe - "J I . }Z ::~,.~ y>.'. i>'c'~' j ".. ,. .... . :~ X !~..cy,", r::-r /",~ . I 'C: ITC c.rl NAME, ADDRESS & INJU,(IES OF PERSONS INVOLVED OCCUPANTS I WITNESSES 'I~~~ ~g~~~~~~~,'~l...'',;'n: - ~..(J~ ,\ ~t~::~. ,'. ,I ~~ ',' ':"'\1,1 ~1;1..+,~;;f.,J.. :JA"~' ~':'~.' lJ ,',.,~, ,....,...", : 'G"jsS"!")Yss'I^" "";';I"~ I/. "^', I ~.' ,,_..V?"".~I7. In_'?''!,.__, L', . ' " ,"': ': ',.' ....., :.': ", ':' (' . '..,...."., '.... ,',,', ,.' '.",.:,; r . ,,: .,..'; '< , ,,' :,' " ,:., " ..J '. -.J ..J j giiilll'lF~lJ1ljm B:llI!llIllI1U--f;'t STATE OF WASHINGTON "01./ 0'./ N T /6. fXi rvr o. 2 ~ n 0 2 0 J.C.I TRAFFICWAY .JlOl.ICtCOMI'\AIN'NUMIlf~ ~ ~," o PRIVATE WAY ; ~ 1'1 ....:t 01 CO\4l~IUN+ ~....Y .. '-\"Ill' IN, ~ IIM( ,~COUNTl' COUNTY)"" I IClT'ii<iO lli:-.... ~ t ")II llI2. ~ w" ..Q' 'ul\ ..!~ '':."9 ..' \., [U~f~J"OUII, - _ _ f';? j '" . VII.....",~, {r....-, P 0 ,";><. ./ .....)'<:""'..0 ---1e~:t::~_i!' SC;..... UIIAl I, J .J 0 N 0 lOIN Cln OlllOWN I NMlt & NO 0' ~rllUl 011 I-<IOMW"''' ,c~ I ':2: ~ 11I~'1 0;;'-;':';0 II """'" .y M''''!;(' -fii'w i2-0. ?4f'/ t"Z>!""'JION ~~~/z: ;4t/5,/ f....!./ I '/t//~ I ~_n ,. IN [IIMeIINGW,'''' !,lI<HIOlIllQoloO INQNINllll!.lC1ION _" / _~fl)o; If 0 I'MIUl'O$o,,70 __ t- 18ITWUNtC"V?.,/~AuUT' /C'':::/ mmT 'I- 0 i :>I~I"N .~7' N MIIH_llIlNl:I.CIIO!o~!>1I1U1011 M,,?STMII po~ I ACCIDENT AM 'IDIA U.MOATA i' " ~/ r1 ~'~:'J ~ ~ i-, ;., 0' //t. ~./ /d ~/ M~L6~E I ~, ~; CO(ll~~~~~~;W"fD r7l ~:;[.~:~;D_NO INJUrt<O' E9- 0 ~~.~iACI 0 ~:~I:UN I ~.-::~~~~..~ r, ,1111 'I ~ I ~ff 1~'i~rs~~J~~I~())IUIO.:oOll: RVllllNC! t: r:lVI",'CIIS LLJ oPIIOPlllT'fOAMAvIONIV OIlfSUlTfO O\lI"'Clf - '.IXl I 1- -"')P //j~ I OIlJICl SlllUCK INM'I[ OF OBJECT SlPUCK ANO OWNfll-S NAM.9-" I 1ST OM'lAGI $"CIAl COOING USI , . 1 -p ,;7-::-- ~~--,/L -<p.,..r~ $ ./ UNIT NO.1 UNIT NO, 2 0 VEHICLE 0 PEDESTRIAN 0 PEDALCVCUST tJ-:. i."....." ',:-,,:<>::;,"-:: Olll\lf~~/~:- #,;;~ 7:~~ OIl~NM\1 V.ST MIDDlI f. :,:"':"';':,,:',:,,,':'j',::::::: """AD"'" '''''~'ss ~ I.',.", 'r /;::::'07 ,(~ ,)c..G/~8 L/1-Je #'? '\. '---" 1".:<. I y STAff liP COOl: I P"'ONI NO 0 ICITY '\. SlAll +P COOl 'H()f 1 NO I . ~~ :":/ .,-:,.",:,- <>G..;;!:>.", A/~...ED ,?3g"y'lb&oy"V"::>'" R " ",,:.? <<.....: I\lEIf'SUC[NSofNO I S~Tt I SE~_I"'OATI~~~I "'V. I 1\1 UINSIN'\. I STAT! ISlll A~~el H ~o ~ S?9 ?~ ;::V?3 lLL:> [....C 1/~.::<..:2 A~ V \. MO J-:' t;:-:"::..):",::,,:','(i;_" CUPATlQN . I IIIfMN"""'1 & PHONE NO I ;,V;; I~':HTJ~HT E OCCUPATION FIIIM'\M\1 & Pl'lONI NO [YlS fwt:1~T t-llvHT - j:....._ " ,,';-,,:;<:_;\. ~E'"....,,-r- .k/.S.J p".jr->(::,-.:: R '\. I = ......... o CHECK (<") 'VI"'"'~<~",M':~~II~.i:'B:",,''' 0 CHECq<,,) 'VI"'" "'IM':~'"""~\:'~" " "!!'i .....~. CEOO'S~. '::;~~J-..J~,m'~~""J ,.",,,~ 'r.~:?K"" ~~~'~O~. 3o:~:' I'I.:~\~~" """.N ,~~?:"'" I:;; .ii..... o .......<1,...." 0 ~~'l 0 Ch';118 0 :~:.:-,~:: 50 i'8'",v ~~m'.w80'" 0 ......""...." 0 I; ," 0 Ch';I1' 0 ~::~,: 0 ;-'~\..y ..00,. '_:",,'/,::,:::_' :~:',<'i,::,,: :';:.' Gr / I~J~~I I :;;.1~;:; I ~TnI~?J E \It.. V A r lDODGI. H \I) ~(OAIfT.NOVAJ Y t \1):-28 '::-:','-:F\-': ;,,"<~', ;dZJ 114~;?/I'I-:z:, I'''''''~'O I"~ ~ ""<0<0' I'" ~rNO 1""1 ~i \,ic\/\;))it? fHlelf IOfNTiJlCATiQN NO \I!,..IClE I()INTI~jCAIION NO '\. ... ~ ",:':::'-'. ::';,~{ fGI:t/:WN1 Z~ 9 ~sT7 13 OMIO~ " I?!'o,f.:'o r - L ",0""'" """ ''''' '"'' M~ I"" ~\i.>.":i ~.:::-'&-~ /Z'><?L'.T,A/,... -L $d.n;"""" ~ "~'>.. "'<0:> ADDIU~S OF 0'M>l11f N ADOIIHS f OWNlli '\.,'''': ..5/9/~~ E '\.i\., .h:;~'N'g:_:P;'o;' s/-;?./4--.Je=' R . CA' "''' :\{i') ....pA.MAGIDAIlt... IJOP.f,~~:::;:~1 ~~TIUN I ~~o"'-~."f',::g~,' ~M\"-Gf~LA. ~ ":,:'-'.>,';. I J . n:l ~~~f:'g~;i CHAIIGl C,..All(il ...... ..:: _ .>::::~':,:: .[ h;~o'~o;,J'I~;;'~~I~ri~t~'e::A.../J D~~':,'" m::~I,' D"M"'IO 1;"'_'01 '~~~~~ii" DIAGRAM OF COLLISION' IUSI SUPPW"-[Nl.., NDICAH NOIlTH DESC~IP. TlO. N OF COLLISION' lu!>E SuPPLEMENTAl Sl-f[fT II NICfS!.A.If'l'1 J!l I .\i:. . , SI1UTIINECUSARY) e.:&w //~"" ~/ S':;'_.T~~.-..J B~~~~_ ~ ,,;,:,:.<,'; Y/1'C<~ /t':;;, - -="~",,c<<'...c.. ".",.~ .ro I-- ..... .,./ ...=/~:z::; 4 ~4P ~~d_? ~Y""...l-_ n. <' "'[>...72'......,.......- ~~~ ~./::= ~;'lo4~/ ?c.:s...."""'c .......:?c..P-.J;r;b:;.LI=J "".',-,;_;':'.::',,: --=..J <=:J o;,.c:- ;/6!'/"/ - __// ~.-,p-...-;."'- /4""7:>/~ b .................,< _ _ _ _ _ _ _ TO ...e:'''''4/"...- ~~.#?----- -c>,7?-~ l:=J i....(> ...... "i" ............7,'< i.' .i' ';J','} co;"~ ,<i....i............... ........ ..,. ........i;. .ii: .........;j\;.0:)ii~"fr~;I..~f. .0", "'; '.',. ........:' .....'.... '<.\\i?. ..................,.,-.i::..: ................i.i.,.,. if>:,' .......:.. .......)\\:.,i.... i<"...., .,,,:,i,; ................. "'t '.\ .;."..'. ........."..' >. ......, '. ::": ----1.... ..... :. W?I~I.lV 1_110) G ~ POLICE TRAFFIC COLLISION REPORT ~//."...:::. ./.4.h' '"' ~ /~ . ,;,OF;~I l..;J ,...:.. I.~,: ! .'~, ,,~,! "~,, ~~;. B rY.71,~ .2. / " I ~ I SCf.... ev DAMe Ot'l~tl O~;... o:~ s;l,,8.'..\.O NAME, ADDRESS & INJURIES OF PERSONS INVOLVED OCCUPANTS I WITNESSES tf~ .ll:~~~~~~\T~As~n; "MI c:/c'~'<' ..::r- .h'/C'::?"d'?,1'~../ :;00" J,,/,;',? l:J~7.c. AODQf!.~/~?.-:J.c>.--r- .5'1.{ ..,J'/J/.J{,~/": - ~:..."""'-..G~;;'~~~!~O' 0 ~ NAMI " ,,:oON AOOQr!.s :--AT~~f 01 ~~\lJ~ IlI0M 0 A/oIe 0 ~I'tl O~:'I'(. O:rZ 0 :-'~1,.~. ....AMI N'OO"C.ll'1u~ j"Gl":' II u"",, O. r?' (I c,v,,'c..,r; PO~ICl ""Q,~t~ OA'I oJ~~AP~~\lloel/ I JOAlt X~j-~~.J~/<<<,~4' 18g0~1 J....J~~ 18'_31' /Zr::.~-?- ,/~ !?/V".T.... ~-3.R9 .... '. ....- ---. - -. ._1 ~ '.~".. "0, ,,: " .:\ ' .. . .... ....' '. . .. '.' . .. ,"''''\ . <! .. .... '." '.. '" ~ J ". '.. 'J-- . I"P- . ,:!,., ': ; ....,.. '.,"'.', i:; .c , !: ,', ...' . ','.' 1..< ... .,' ' .".'.... .'," .... ...:'...;....1 " ...," " ," .,:' , : .:' .: " . .' ,c.:" .::' ',.' . '.' . ;, . "..': Ii. \ .. . : . ",' .... ."',........'.'.,. ':C, . ':.. ',', r " ' I'; ,:" . "" r .....,..', "," Ii ' ..,.", ".... . ,..' ",', I; '.." " :.... ',' I; ".". ". '. ,: ',' , ". ....... ; ':,..:.,'., . I;,' '.,' '. "', I" ': .'.:' ',' > '.'. i" ". .' : '..' :... " , ....... . "'.' ; . ,; . '. , ,'" !.:' . ; .."..... .".. , "" "" I' "', ! .. i: ' . . , .' '::" ".""'L' " '. .' .' , I,L ~ N.lWt & ,/l,DDIIE~S a INSUR....NCE co OQ AGENT 32 l.=. DAMAGED ARI.... Ili l.l~,:" I I ~A I N I O.~,!.A":,..c. h Es ~~)lfS!~~~~j::' I~ARD':IVIN OIlIMAINEO CHAIIGE DDlllIIlN 0111........'''110 117,~fJ~ .:;~:'.~.;,;::; ~ 1~IIS!il~~~llY ~;;UI~.YucJ O:~~~eY AW,.y S ~o.O"~ L=: ~ DIAGRAM OF COlliSION- IUSE SUPPUM. (NUl N01CA1I NOIITH DESCRIPTION OF COLLIS. ION' lU5fSUPPl[M(NTAl Sl"I(ll,f NEC(~"'"YI ]5 '6 SHHllfNECHS....RYI aY..,J.>I1CW ~ . /'.. - - ~ .' ..3- Ve'H/dLG. /-~~ Cidf'JIE',I},A4. P;/I8~ r= ~ ::"-:e>", ~-:;:;:::::, ';AJ-::"".;; 77 Ne.6...>?4?z; ~r d!tY.RPG' - ~d.t::'A-; I- '~""'.>-~-~Id>I..Eil~ 1J1-ro~. ~J>7"vH&;Z7/,V~H-P~ t:Pi -..~__ _ _ --"",!:~~ "# &far:~,b~,8eA?..e~J'}";e/#M/~ FJ .:.'.' ~~ ___~;:..:....--:-'. .4Fr.:i'Q/I~A/A.l.9".&""'",p~ n:J~ /,;,L:77A"~ t-;oJ.. ""'. E' I --...... -::::.::.-,...-.----.-,; .aUJtU:/.u~ ~M.uE; / P , ..-. O()l{(..lP,Rt;/d> ,. : r-+t/~"OiGA"~OP#~/.v..~~ ';'6 . . .;] i Yf.ilr7>7~//,;I~'Y"~,.e7"'~ Z>>11.Au..Uhv.:;;1- NAME. ADDRESS & INJURIES OF PERSONS INVOlVED . CODES 1 1 I I 2 13 . I 5 I 6 1 ~I OCCUPANTS / WITNESSES (,~ ~~~~~cr~~I'~A~W S(.ll - 1- ACf ~l,uu~1 '....'2H I ~:,: r',~j\~ ,"Sill I tJfClI\~~~~. ~ "'......1 ~M I .;.' IIoClD~m ~""T~~I~O' ~~"~~ '''''''''' 0 AMB 0 ~tt 0 ~~;., ~ 0:;::' 0 ;<8'0;\01' ~"'''Ml ~ I ~ 40flllm 1~~::t,~I,OI ~~"~~'110MO"'MB D~~t'D~~". 0':::- O:-.~~~, ~ L"'......f ~ I I ''(It'lo'f~~ NATUllrC\~ ~IMOIIIP'''I.W 0......8 000"00"'" 0'." 0..0. X ~':T.';~M;;esdtl8'~~JJ; 1~~~'N:;~1! l'I?~'""17EDIDs~~:~~i~'q"'!oD'9 "~~ "<. ':~.. ~'''' - 'l.:::: DII'VIII'5tICIN!J.NO 8-z. OC:C.UPATlQN I fl"V~~PHONtNO o CHECK Jf1 If ~~,~~:'l~:-N LM~'2~H ~ A:::mHfIlIAL ~Q CODES'" Y'13 ~~~~~. .. m~:::"" .5 111(1,01'. 6 ~W.J/(..C'I ~OM 0 ..Mb"'\......CI 0 ~~Cl 0 ~g~ll. 0 ~:::',~:: 0 :"8.'",~p ~ Y?3 I~Kto;;;;;,t I MODCiii;;JLISTYL'(~D~ir) ~ 11&; lia~qf61~A, 1'~AIl{~NO l$lAT{ ~ ra''''3':'7'7''f.3k 5 U 7,IJ ,7:LJ-' ! rc I/fC;l~flll1DOWNEII WI ~11l5' MlDOLl I'l-iOMNO c.::: .:nhW~..",) Ln:u.. ~. ~ ADO"""09;~ #/(1 /7/ 1? k7;, (Yl$lwt1CioH'II-I""d - " I i I I '1- ~ ~_o\\~~r L ~ . , . . ',. t ...., .... . '" , ..:. .', . . ". , . ... ' . '. . " ......... : '.: ,. . '" , .' . ....:...... ". 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",'00;' .', .' ,,', '..' ".'," , '. .. '}. ..', ..... !'" " '. .. ....., . ,";'.".. " . . .".'.' . ''''.."., ' ..... : .... , '. , ".." ,: .. c.... ........:. . : .' . ,,':', .. '. :.. .', ,. .. ,.... :, . '..' '. ,i.: , '. . " 1:, Ii ." . ,. ;. , I I ~ ". I'. . \ , , '. : i . ~ .. . :..' : "'. ; '.., .' ; .... ".. . '. .:.,' :, . :. .". :.....,.:.... I' '. ..... I:", ,...." ...... ......... : '. ", ':". I ."i> ,.' ," ....: .' : ". ... . I,..., '. ,,' :" , ,', ", " , ", '.' . .: . ,"':. '.' ,: ,,)',L I.L ...., , ~. _..."LE COLLISION REPORT .... -r- /6. ~/\ J""l ,Of ::>~~'~':::'Nr ..I.. O"'l',~~ C~~~I:.~r'HI II T Il~l Of COllIS'U"8:I /caU,." :2. I jo::,l ill} II>U," IWONI'UfS,WlD """"I$(' I ~"l t10UII,: 5'0(:' o:~ JE:lfU~--:;;o^, :~~~NI ~ 0.. 0 lO,N ~ C!lY OLQWN J ..:;t. NO 01 Sl"~ OH H'~~~"'p_ OCC....O '."" E, r&l. 00, 10,,-r ..,p,-<" ON IJ"'AVE:~ 'ALJ-E.'1 "-0, INI(R5fCT,NQ Willi 5111HI 011 ROAD NO..,NIUISlCTtON IIlIWUN&I(.-rLtJPl..O..,J7U.e>>d~,nHI& Hi,v\././o,/- CI IJ ~ Cl~1 ~m I "9~~~~ COOl '&eCI ""Em ro I",u..o;f I "70 ;;0""" I ~ ..t'1_ Nt;; ~ I U U 7 .....1. .0 ..~.r ~1I'!l1 .",NOI C "7......-. -;- 'Q 0 I 5~'OW NL~Ul:;1 'I\lnHSU;"..O SIH~Ll HI"..... Y ..OU~l "'Lll.AtllH IIUIU(.,.. R,o./otP I OlAQ6<Al.lO"'A ,NfUIS[CflON -:J"-~E11~ ~ IOF lJWL/A';;;":';'CI10S';;'''O ...'lU.QSfQIlIOUH'f...'NOl...NI".....Ill< DlulL 0 'ii' & P AlARDQU:ilolATHllAlS 1l[INQ TAANSPOAno "0":.1 11 1010 I :"fl..:acl""o. ""CfT OM ROAD QfO ~~~:l:~o~~:~o~vrD J- 0 ~~~~~~:o Der~~J,~ 18~~~,~:~~,L ~~~~"~Al 8~:':~~:::l5 8~:'~'~;':~:\'VI "'.r~'~ll~"" '0'" iiiJ I CLIO I "l:~LNcr~CHO" -~C:;.;; fO(MO ." (NAME OF OBJECT SHlue""l ~~;/~ Ob~~E;f-~t/~~e~~~~OR~SS \61A't~..OJ~ _ Sf'I:.C COOf USE ~~:~;snG~/C... pl{'..t:..J!.f ---1/~' .~,"'rr:~'(.. '''''/r!' '~n P,--C. LL-.~(? ...'~::I:I(~.:8.:'(......I.I:..,.'a. I~ MOIIC Ill....N / .1=t:I[.-jIl::ll~I.....l.af:I=I:..,':11II FIRST NAME. _ MIDDLE W[~~~N~~~~EO DAlliER'S LAST NAoMI' , FIRST NAME JN HilS M~~~L~~~: ~w~ ~7-::' ( KAPE.-5 POISONS WOlf STREET ADDRESS tNJS~R:ADR~;:" 'f,h3 A/e:.'5'5€."5 (!C';'-=Ale;/.-:_ C~;;';~~N Cl~Y ~_ 5T A Tf FORM ~/APl ()(-r_ WA IVERS LICENSE NO_ KADM\ 339 Be, VEHICLE YRTMAK. E ICHEV. DODGE) 197f-~ I Ft....;E:..v L1CENSEPLATE~O'1 STATE 13Sf1?..J W'" V;~~~~~:0~':~::I~N NO '-." _ "~~R/E::W;~ZS;~;DLE NAMEI I DRIVER'S LICENSE NO. OWNER'S ADDRESS 'ATREET, CITY ,AND STATE) I OAT rE OF rBIRTH 81,-3 ;JC>'S~?(b? '_" u,Ptu:" 1.:- QIf'PJ7 .0 0" .. E..YlTS_Of; VEHI~~~DJ!td~GE(L. I;':""'.:t':.i.~ DRIVER'S LAST N~ME Ko ~UiE:. G O~OC7lJ T. STRE~DORESS .. -~. . . FlOU.TE NO. AND BOX""O I ' _r:- o..l5oy- :;37"2- CITY '" ; STATE ~ZIPCODE_I ORIVERSOCCUPATlON f:-IA~;"O'c..",,- /.1tA qp,-'3"lq I€QJi~ OPR.. DRIIIEA'13 LICENSE NO. I STATE I .~~x I DAT,E~:~BlR~~ [ AGE Row"- GJ: '1'13 NH WA 1)1' Mc!:l. I 'P: 1-=:;'.1"'1.2- VEHICLE VA., MAKE {CHEll. DODGE); _~OPEL (NOVA.DARTj I BODY STYLE (2 OR.I 1177 I GMc... Fjc..t:.., 1)1'" LICENSE PLATE NO I STATE TRAILER PLATE NO. I STATE X'-i'51J"5 ~ - Iv'" Vri<E~EN;'~C;TI;51' 'i 72- REGISTERED OWNE~ {LAST .FIRST -MIDDLE NAME) _ _: I DRIVER'S LICENSE NO.. SCTON (!CN<"-R."'c..-rIOH J/-Ic.. I OWNER'SADDRESS ",' ,(STREET,CITY AND STATE!? .,;;, -,"-I'A, OATEO~~tRTH 4Li./o 5. Dr:>c..c'l/E;ft:.-. /CD. rc;Z?:r,;c.('.~t~"1 1.40 I DAY I 'fA PAR8~;HliR~0; k!'AlD;/A./" ...'........,.. I$'''~'::':'' AN 01./ AOUTE NO. AND BOX NO ZIP CODE' DRIVERS OCCUPATION 9P,~'~ '7 I T:,TATE I.~~~ I OA~E OF BIRTH AGE IWA L.t:IF "'0 I DAY I 't'JO MODEL (NOVA-DARTI I aODY STYLE {2 DR I rJ(...J:- ,-JF' I TA.AllER PLATE NO. I STATE LIABILITY INSURANCE INFOAMATlON~VEHICLE NO. ,_ j(VES 0 NO WAS THERE AUTOMOBilE LIABILITY INSURANCE COVERAGE IN EFFECT FDA THIS ACCIDENT ON YOUR CAR NAME AND ADDRE::iS OF LJ~8ILlTY INSURANCE POLlCY. HOLDER. . ..., _ NAME OF LIABILITY INSURANCe COMPANY .s~JJ (1rJ:~'?iJG:JiP.,J t./bt;;,~J.A~I;..-~~RI""'7C7t.lh/N-Su.)/') l~j~E n...}I;c! SrA7J:: .c;.q/2...n-? NAME AND ADDRESS OF LIABILITY INSi:1'RANCEAGENt .~, . .". '. CITY..), . , ..'...._. STATE, .:." t . lIP LIABILITY POLICY NUMBER ~iJR/CJoI5A~'5 .1/7'1.5irn::;I.Lk,'1 ~/C..,.1O,.'Al5cdP N/r 9a-;u; i F4-c 01!ZZ-. D";2,. '17 1ST INJUAY AGE 2ND INJURY luse SEPARATE REPORT FOR "'DD\TIO~AL INJURIESI NAME I:,.,:-..J. -r- -:--:;:.? ~} ..~ IJ.ffTti'o NAME PA.........&'~iL.,fe- ADDRESS V,C). J::>... -<,~.=, ~, I "-. V "\{ ~E)(F ~~AOORESS SEX ~E:T (I + -- L ,I.- _C!-;..L.,..j IlilOW ""~" Ie..r. I~D ~~D OR' g [3 ~2~~OR'S kL' ,Ie."> A"''A TOR? EJ ~ fJf:~IbH 5 Ji' '/ MAFlKFI.~s:rrNE'THATAf>prLlE5~ ,:_;....: -~I'~.'---'h'lr....MARKFIR~TTrNETHATAPf>1.lES )itDfllVER '~lljlCL.E1 I"';:;~~ _~~~~l'NO ~~~I~E OORlVER INyEHIq.E Dl::'~~':' -~~e;1HG I"O~~[ o KILLED 15EvEIIlI 1"'..01'11 l'E COMp....',..T ~'"SS[NG[R .,.2. KILLED 1st:V[JlEI '''il'OOR) l't cowp.....,.,,, j~g~~~;F1:tlf,..N -. 0 50 6~ Of;MoOCI 8~~~.S:H:~,'t".NO_.- 0 50 60 Of;~C' MOTORCYCLE SAFETY: o HELMET USED MOTORCYCLE SAFETY: o HELMET NOT USED o HELMET USED o HELMET NOT USED S-q~rii~i~~~~;;;Jt @\\ 2 NUMIIEHUCH VEt<lCLE ,"ND SHOW OI11tCTlONOf TRAVEL O'f'AIIIIOW -~ CIJ- - -- .-.... -.-.-----,- ~ ~ ..:.:..:.....::~:;.;,{..~";,~'!!'tSJ!!:i2!.~T_~~.e:.,.~~.T21.~IClESat~..!!6~ I __U.J~....hi_C-\.~._~_-l.__~c~e.Ji..~_ : ~ _llO.,.L.H___A_+___-P.-_pp..~.,;lQ___ a s ~'"P-.-l=l~ --1J..):b..~~-._-- , ~noflH,oHW"Y ___J.A.:lj:?r'~:t__\f.:\..~_+__..~CO'_~_b~b_\_r:'\ d._..___.... ,~~-.. . --~. -lJi~b.'c:...\~. -~:8--.,...--. ,~ :::. ~,..I:::ft.U.~'-L"'.~__m__"'O V. .r-.... ~..,..-'~__._. _... ..____ -------. ---'-'-r-;, I J ~-- _._-~ p.p-c.o.~~_~O_~~J>~_Y.c__.__ --ti~ 'I:~ . f .~=~__:----_.-.....--H--_~~---._-~= -- / -.-/.-- --' , ~ .h- STflf['OAltlG,~I~~~ ..' I ___.__._..__._______.~._.__.._h___. - -..----.--...-.-----.---."1:, ~ ~ ~ . .' VEHICLES POSITIONS BE~~~; COLLISION NO ,~.fo~~rjffi Il[a"~l~'f'H~c,l..tNO'~O' InO..V~l';'';::RHlVl':''~~~~JC~:.~lO ILi;;:~:(iA'j;DB:'.'lA ~pHICt~~URI 0 rir 0 O~~TREETORHI_~;WAYI~t:EOfl%j OlH~~ItO~ O. ~ C:i &l D ~ D~:~ D~I~5T' 'f 'O<HI" 0 Ili:I 0 0 -K" "..." 1 k' ..\ I 0 @ 0 ~ 0 .Q 0.."".. ~:5TRIAN 0 ODD ALON~ g~O.IING FnOM TO PEDESTRIAN/PEDAL CYCLIST WAS USING' ,Da,olwAlll' Ow.,.....w ,0 .""NIUlI\ 4 D~~~;~~AI" ~ Dg~~~~:/~? . Do"..,,' ,D~,I.~IO':l~,ITlllI . DADAo~~ PEDESTRIAN/PEDAL CYCLIST CLOTHING COLOR 101>"". 1 D'>fl'" ~ 0,,1,10 . 0", Ifl""ltll("l,~r ~ O~,~;:~~I~:U,~/~Vlr:'~pA"ll FlO",D SURFACE ., WEATHER,.." ,..LIGHT CONDITIONS" \If.HIC~f.RAf'FIC ~~H~~~~~EI" \lEHIC~YPE Of R~~~CIl 'ONE \I[HICl~RIVEA/VEHIC~~H~~:I~H~SOA MOflCI V[H:~~:CK 0"1(1 1 0 DAYLIGHT NO 1 Nt)' NO' NO 2 Oil MORfl NO' Nr" HO I NO' 1 0 gt~~'hfl~n 2 ~ DAWN 0 1 0 SIGNALS 0 1 0 ONE WAY a 1 J8( aOING STRAIGHT AHEAD o I 0 DAY ~ 0 RAINING 3 0 DU8K 0 ~ 0 STOP SIGN S ~ t}g, TWO WAY 0 ~ 0 OVERTAKING AND PASSINO o ~ .0 WET 3 r8!.SNOWING -4 0 p'~~KT'SS6~"[T 0 3 0 YIELD SIGN 0 3 tl ~~~lglSIDlE 0 3 0 MAKINO mOHT TUAN 2' 3 ~ SNOW t 0 fOG & 0 rl~~Ki88~w~n 0 t 0 FLASHING REO 0 -4 0 :~6~r:..?ti::;gE 0 t 0 MAKING LEfT TUAN o 4 0 ICE Ii 0 DrtiER 0 OARK.NO 0 Ii 0 FlASHINO AMOER 0 & 0 ~L;:'AV' 0 Ii 0 MAKINO U.TURN OliO ~,rrJ,?y SPECIFY: 0 ~~i~~Tv LIGHTS 0 II 0 RR SIGNAL 0 8 0 t~~HU"N 0 1\ 0 IILOWINQ ROAOWAY CHARACTER ROADWAV SURfACE TVPE 0 T 0 OfFICER/fLAGMAN 0 7 0 nfll\lEwAY 0 ' 0 STOPf'EO FOR TRAme \. lDf''''m~' ~sDitt~'tfH o:o'coNcAmO'."'DoII,"vn 0 II 0 OTHEA,S"EClfY .~OAD8ep.ARATION 0 a 0 ~10:-r~~:lb~IONAL ,D:l::~~' . fU~.t:'Ol I;;. 0 0 0 0 :~;!IU.~H',"l cUIIlru ljN~".'"'.,',"Oo"' D:D~I:,:rll 'DIIIIOED 0 II 0 BTOf'f'EOIN nOAOWAY :nit~~ll,::,n I f~br" O~OWnnll"IC'tl'_~~n'JN~,..nw" KJ ~'.'IliJ-'.~g~iTnnAJrle -..- I Rl ~ IR1 UNOIVIOcn 0 10 0 ~~~~n~~~~E -......_~ -,.......~. ,..., ~,..., SlMnIN(l fROM .~""",^",.".".""~,,,,":"".i.f,0.;,.;k;);~~;.w''l:~;'''''.....I C' ~ " .- u. MIDDLE I I I i ..... ~:,.. .'.' ..... . . ", . ' . .:;'. . " ,;',', ",;. '.,.... " .:......,...,. '. ." , ..:' .'. .,' . , y '. . "',:' , ". '. ", :'. '!'. "':, . . . '" ~ .' i : i AGE ... '.',"- . . : . t " .... l' " ". . I .........:: ........... :'.. .':'. ',) ...' ... . ....< ..' '.' .........> ".' ': ", ..::.... '... ...' "," :,.' , i .'. ,"'; i . I....: : ,;. I. '.! ...: . ..', ...,': . :.. , .;.... """:' .' '.,:' . ...... '., .'. ~..' . '.. :'. .......... ........ ......' : < . ":. .. ....i:... . ....' ..'. " , . .... .'. '. . ..',. '." ..' :' : :< :": . .' . . " " .: . .',' .'.' ,;,'... . " ':, . "...... ' ':' ',;" I ...... ..:....J '. ." ,:. ..... '1 : ~"'I J :'.",: ..-,.'..",, I I'~-" " . ~: ! :r-' 1 <>>.." .' .,) ".i. .", . j .> .; < ,I 1'1 , ..... " n I'''{ '. ; .' Ii , ""' . "~'I ; ..:. ','.' ..... . I I". ...; '. ' '.... 11 .", . ,,'. .' .. '.' ....... ' , ., ..: k" .:': :'" '\"'.. ..... .. ...... ", ;,.' , . I,' .," "'. .... , I. ", ...;. ' I: ' . '.' . I, ," ..' '., ,i :..' .,>",y,. ...:, I . "..: ..,.", ,.. '. '. .. .' , . ~:~':~i'f"~ .,..... " : .,..,.',....,....:.'. , ". .. ' ! ....,..' ..: .' .', :., .' '. :; !,. ",'. ", .," ; .',' ,...., . ".',. , .,' : ' , .;,' , . ...' ; '. '. '. i,",'" ....', ,I .'. '., ': , ' .' . ,:' "r:... , "'.'. .i' , : . ":'. " .:' :'" '. .... . .;", " .., ~> :)... , .,....... .... '.' ': .". , .. .'" ,'.,' '..:',,' ,..' ,I .,': . ". " ' '. . ..' n . . .' . \ ": :,.':: . . '" ,', , '.' '... .'. '. , ", '., "., ',:' ; '. ,:"i, ..: ", .,,' '. . '.: ":., ".," .,:,". . I". .....',. ' "" :,' .: ;, . ,C'."..:,', ", . " ,,,' '. .'. .. ..' ... '. :. . L - L l L ..... ^~,,o,,. 7]:: ' I':-J ~...,:,.......;,! STATE OF VYASHINGTON ;;"'R:fflC:~Y ( ,. ..,- IO{~4' u ;~ lJ 2 1]' . "'" :i...",'. ,~ I I ~ POLICE TRAFFIC l.._dISION REPORT ~ "',,,ICOM,,,.,W,UM"" I -:.':.,'" 'I OAIlOfCOlll~lur~ I A,(U'\""'II'~IU~~, II liME II COUNTY 0 PRIVAH WAY COUNT1)':O(",101fNO Ifi;>fNA /~' 11 01""':':'i>::-':\' [1 _""'J ,p~' H \IJ.. ..o~ 'Uf~ "W.' '''U-,\ '.1' ~A! (U!.f ~~OOHOU~) K u~~. 'ii' i'... 'I VA'. ",t P<; )( I '1.:3v J ~."~'" J.> ../ "" .'.' J ON DE DIN CIIYDIlIDWN I NAMEIl.NOO;!.I~ItIOIlHIGH"'AY fCtC1.) IAOMo.=.1 '1ltfl,l'kOVIfOk$llIftlCODt r ;EC~ t . . '""":::.:,:::.::;,, :::':";":':,';,:';d' ~ M"" Ii<l' Ow Do. (0, I 7..:> k,,v.k.JION /l:, 1'" ~ C~1.,j<-/-" /....1.31 I 'is I 70 ~' I. ".'. ...'...:..... .....".:.......',', IN!til!.ECTINGWllH 5HI(EIOl<ilOAD INONINH515EC110N PkEro: 1(0 IMllEPO'$I.-., 97 ...'., .- I&EtWElN.s~ jo 5HlHT&/J.:I',hlr $lilHl 1 t...-'" O;IS';.NCI &O,!;E~IILE~ liI~~.IIH~IIIN~E C~$SSIIIIEIOII N::"U$I MilE J POST I A';I~~~~I Il.a.MP \DI...CilAM 0.0..1... ! ,',",>":':.,:~ :::<,:::': ~.J ~ 'tEl oQ 0 n 0 Of F\ r CODr I:.._>_::.':,::::},"o_~:_,~~:::_. , COUl~;;'T~:~~lV[O []] ~;i~~r;D....c2.-No INJUII[D~ 0 ~~lliAGE 0 ,H:~8.'~jur. 1 '.J~'~~~:"~ IN ll~(i, I ~~tT~f~S~~R::nOll ~,mrtNO I1J ,~;, a-VEHIClE!. ~PIlOP(IlTYDAMAG[ONlY OilfSUlIIO DvtJ:i\cu 1)( I I' 6".X'...:1c.---V - :;,-' OBJECT,STIIUCK (NAMf 0' ObjECt $TIIUCK ANOOWN[Il'$ NAME) I E~I DAMAGE 5PEClA1 COOINGUS( - l ::'i",:::'::.,.i.. ,:.:_:,,: ::,;", T,f~1.: -r1(4-f lell ,'.-vI, ;<'",,A.J t...-,d V $ -ii. if UNIT NO. 1 UNITNO.2 o VEHIClE 0 PEDESTRIAN 0 PEDAtCYCLiST .-3":.,>>""...,'<(" "'.' '1 1'_ "";~:;'llp;' "3<>1{ ~'" t .,~ : ;'00" O'",,\~I CA" "" ;0<' =- g. ..,:;>..... rc;;;- $TRH~DI7,.S L.t........J /J C/ ~ ~ '--'" loW AD~ / I -...l t~~ " .:: -.;":'-~'~,~,: (r~,'\) ':,J L!:.. CIIY $IATE liP CODE I PHONE NO 0 CIlY " .. $lAlt l~ OlE -PHONENQ -;;:,:::'; ~ rf, L~)la '-' 'f-.J,4 '7S-3cf 1-/]7-:1.15"5' R "-.......- " <,:, l:::: "k~;'::~ JL 67 I;:'" I~~ I;; I;;^':;{;; ~ """","''''0 ~ .......-/] ""I I '" ~D''',O:.''''~. ~ ,- ':.-./':::-;'~ ,;:\::,: 'OJ:; rU OCCUPAtiON IFIIIMNAME&PHONENO I [YES IWEIGHl HEIGH: E OCCUPATION I'fIIlMNAM~Nf NO EY($!WlIG"'1H:IGHT __ (~ ,.';:' ":,,;:;':i ~':~:'::", :',:;,.' 1"lsftlo"..,.... J-JII../(Y 0,<1/. lI(.4zIG"",IGJR .......- "'- I ".><>,'.:i ~ 0 CHECK(t1 jVfHIC~i~~'f~~,;.r~~~('f~;-};'~l1HH/Al 0 CHECK(~Y IvrHIClFA$"NEMPl Nf~A:tt:THr~''''~ ''''(7 (.':;, "".}.-.:./:,::iJi> _ 'c., [ CODES",+ 3 ~i~~~' 4 :~t~~~N1,/ 5 IJIC1'ON I 6 :;'~:?,"'='Cl! CODES ...../'13 t:':'':,~' . m',::,'''' , S IIfChr)", -10 ~~:r::-"'l 'OS I,::": "', '!'::r":";"~:;:;'j" ~ IN'JU~IES I~~)~ ".<':', :, :ml.'d1"O" 0 '""""" 0 tl~" 0 tH,,,. 0 ::~,~:: ~ ~1'". ~;~'J~""M 0 ~'''^"'' 0 ~\'I" 0 tg,,,.'-D :;~~~ 0 ~1'N~ ';.' ,.( . [ V';'1AR 1~~[~:~':[Vl I M;;;l~AR;NOVA)I~r~~:"CON"1 E Vlti,y",,- I~E!DOPC;f.cHev) IIv'000l(DAIII'NO\lAI 1$lm(1D~'''1 10; ;':'.\:>:'. ) . <_:,::,}\,-: . :2. V[H. 011 ILlCEN5[PlAHNO I$TATE ITIlA'lEIlPlATENO l$lAH H VI"'COlO~ "Ill N.. I A I AIj.~f'lAIE~.9-" I AlE _ P/;'-'k. 10K?on!-vA - !-- ~ "l. / =;',i/ .'. '....:r. f3 ':t'Po';,",;;'o'p 5".:? 13 3 e h 5' 0 } "I > 2. ~ ".'''''''''''''''''~ ./ ~ ....:).'. ~ IIfGISlI51E:r:;E: cLAst HQ!.T MIDDli IPHO= 0 ~IGI$mLDOWNEIl l~ ;/ MIDDlE PH ENO ~ :_;:::.\,:/.:',':; 1'3 ADDIIE55OFOWN[1l W ADDIlE$$o-OWNEIl X ~ ",>,>:',_' ::':(: L.;1. .5.-1/1 e ~./ "-'i. .' r= NAME&AOOllfSSOFIN~SUIIANCECO OlIAGENt ~I('. ;7:!;JZ R I.AM A INy., CE A N~ Jl>. ,':",>::;~: ~ NM;~'" .....:Je . ;.J.E. I? 1" ,,"vG T"rf L",,v, ./ "- _'..... '.;.1:,.. O~'lC;(DAIlEA .. I~AlIUN ., ~1;'~A'":'~Gt ..H~l?ty. ~;,' .>;'," ~ ~' > ~. , CHAIle;{ CHAIlGE 'h'!~f:tg.:'c':: ~""""'AG[P AAEA. ,.-il . .:~:::::.~:.::":' -'.:;: ::~';:} 1 un____) I[B OIUMAIN(O o DRIVEN OIlEMAlNfD 1:$1 MAGE ,~~)== . ::~.:,,:: l~ 'O:~~OM ~,^. 0; 10 t~~::BY 0 ~~w,,~ BV AWAY ~ ~~ ~ ,::_\'.: ~6 DIAGRAMOFCOLUSION: ~~~~lW~i~~~~\ 'ND~~""lEll~~TH DESCRIPTlONOFCOlllSION: (US!$UPPL!M(NIALSHHTtFNECE$!'.APYl -= '~',>~ :i~ :.:,<:/: ~ 1Jr.. :"'11. >U.-;-'f p....~,J ".-J -1:.. /"'" ~ I.i/.....,....,.., C~t' ..1'1' I"1f' I _ /....-I('A/ fr <,f.f<(C ...:::;:.....,..,. ~ ,.C0. ,4./ J "r? t nC f'e,f( 1/"1- /5...,,,,.) '-',,<// -m_. "....'.',i i.; c:. ~ ~ OlafC. """ 13-1''( {,./V~J. Pr:.. ...."'-'1 -=::::I'.,..,..,"", f,--'-::'---='-=-- . ~--=---=---~------ t//.e M' CU,1.,...,U .:>1' I! {n;J:.--c '" 'i"')"'" ~ 1:==-.::> ~ tK~ ('. 0/1.: ~t!'/l /</.:>1 ~." r,Av II. -=:J ".... > " L -~----- 7 h~{'" .....:,../I...f>.'. "'l.. "..:". NAME. ADDRESS & INJURIES OF PERSONS INVOLVED + CODES I 1 I "':. I .~, I ,~, 4 I S I.~. -=:J OCCUPANTS I WITNESSES W5J ~6~~~~~~ll~LA$~U: !.(l( "I....GE kt"TUs.IIINC'l -I. ,. rIA~~ IU$11l IIJ(ct 5A"" ; . "-'-::"";'::}".>S . . ~7,ONl I I I I ' "':;:":/,,.,,::, :,: '" .' ~NAT\b~lt~1 SC~NfVeY "110 "Mr< 0 ~~lt D"g~lI~ D:\'.:- 0 :l~!"~f ' ~;~f,O' ~!r.s:'w'OMI O'M' 0;-;:" mg;". 0 ~~ m1~.. "'I r.i,> ::rd" I I l ~~LU:.t<Of n.rtSN~IIIO'" D....Me D~~'" O~g:"'l~ O~~ O;-..~~.~. J':-;:':: ' o.'~~~(~;, r6l~I33A1C~rpl/~C!/,Il~v(OIO""ltOfIlIPOPI I"./~VID;;'. I DATI r',-:::,"~"_",:,. O,.~ 11"",,, I :i:J,h Id,~~'J'" C6 Z'l ej "'T . -~: \ijt/ .:'" << ,.CO,!,:, ",". :;,. ".'..'}: .' '.' .'(ct:). /I~i'}'!<~ : :./i,..'" ',i., ....,... .....;.\!' ........~ .i,.'i.i' .\<,}, \~, .,' ..... , " '.. . .i .'i/ , J' ..,." '.' '...38.'. . "....<\{;t. "..,i II ., '..' . .'i/i:'>. ' , ..,.. ':i' .1Jt;;>1 I /; ~ N....MI ~ AODPISS~ L; "AMI ,/ 70 "'DOIII!>!'. / ,~. ,/". "'MiltS!> ./' IINVI~"TINC.OIIICllr;.~:E lI.IIANr IfI~g"~o"lo' 1"'C,fNCY X I U",.. ~- -t-I{"."1".r IIi(" l.r<.s" .-J :... ..... ...... t J : ,~,,:' '. ..' , j'.' "', ! .... I I ',' ':'. . I' ..... ........... I, .. 1 ......... I ,.':,. .' I. .......... .... .'. I I: ...., '. ':' ',.: .', '" , ,", . I' '., .'. !'... '.' '.. .:..... '" ':. . .. . .,' ..," ,...... :,. , ',' . '.. ," ...'. :.., ..... :\ ..........: .......... '. ' . .:. '. . ,:. .'. '. ,: .' .' '.. . I .... ....... \ ',' '.. . ,". . .' ..': ::" ,',.' " ' , '. . . ':'."'.' '. I;. . '.' ........... . Ii........... !' . ".:" . '.' I: .. ".':'. .... . . ,,.. .,. . .' :'. ...':. . .: . ".. I ..... '.': .......: c. :,." .' ". ;'::'. : ! ~ .' '. .".. .,," " .: ":, .' ..'.: \ . . . ....: .: ': . .' . , , ".', ",',. '. .' . \ ", :,'.::' ....' , ' .. .,' " ., . ..' ...... u , .' . ,i. , . ..," .. "', .',' I , . '.' . . I ~ i 1 ..:L L." < : '.' "0 (is;r STATE OF WASHINGTON "e, I 0' I No7/j.i0-4 f) 2 9."4'" .....'.....','......1 ":i'...........'.:..,. rr:-, ~ POLICE TRAFFIC COLLISION REPORT ~ 1~:AfFICWAY K;liIC(CCM".Mm~UoY,bH. ~ . I ' 0 PRIVATE WAY Ir~ "'''o'''''''''~~ 1 '''U "'" N .11 "M' II'"u'," COUN""JO 1_1''''''0 I In':uK,..~.. C' , il. ......<'........:.'.::.'....) [117't:. 2'~ ,,;..,1"'.... ",", ." ..",.. '" II .u/~OO iI7e;'::~<::7?r>'" N Jo? lilii; -."-; . I 0" 0' 0'" ,"'o"ow.. r ..~"..uu""'''O'":<;::,... ~'''} I' ~I "I'OU'';~/' ,,() I~"'~ bill,(',. ",,'., '. / M"" 121' O. Ii<lo' CII/In/lc~- ION rell/T77>? k".., "I --'I I /.:> v,.' IMfll~l(llt~G WllH ~1II111 CJ~ 1I0A:) I~Ot.f."IR:;tClI0N PI(If';lI Ita IMlll 1'0:)',':_ "co"::')".:: IS'Wfft$"eA'C=L.S'bN ~llo'l!1&&/'.LX. !>HIUI I -I /1 ~O "';-" :,:::::' I D'~;,A/([ &O~','ONI OMI/lftlolINCf CIlO!>~I'Ol/ MAIII!>IMIII~O:;l \wi I ACCIDENT RAMP jDI....C'........O'O"'..... .:rq I"i,,::' ;:, ~r'-, ;;'0' 7O)t2.Keo7..S0N 120 MN,~rl I I ':;~"I co,,~~;;;:"o [l] ~~'~~~~~:,~~."'-- ~ t~t~~ ~~\~:l:t I .~~~r:", 'N '1'1'fc~~ I~~~~ff;lo~""".,.""""" L!t liiiy,>, ' 1'1 o"""~"N.Mlo'om"':~~TM~:~NI">;AM" ~N::':::o' ~~::::NG'"I 0 PEDESTRIAN 0 PEDAlCYCLlST ~k;t I. iCi:"""i<:1 1/ "m;';;v/JJf~' l\",,/;~ n ) "''''6':::C(': "',"""~, "'" '" .j(< ,it . , !>lR([TADIJIII!>!> I !>IlItll AODII155 I' ..,: "i /530 f'H..c,cov(:'7t-./ Ro. /6 &~t;y T'f' if i< " '-""/., C:;fl. ",,?.33<?l'NO.....0 ~'" ""I "'~ I'NO"I~ ~ ...,.....<.'....., / 011/\/[11 5L1CI"'s./: NO I SiAlE I "EX I , A EOlelll,lH I IV!Jrsu lNSINO I ::"....1[ I "I DAHOfelRHi ~_:'."]';,;,:',_::>:"'?:: I- mill/NAN.. L/q7 Je5 0.4 1_ I,:; :;5 ;si v ~ : ~, I" I Ji.i/ e OCCUI' liON If'IlMNAM~&PHON[NO 7..32Y~/"'1 EYESoIM,CoH! H(IC.HI E OCCUPATION IFIIlMNA,f,I,(&PHONtNO Ilns.I~lc;H'It-t.IC.HI~"':,,";"::,:>,:,>-i_;>,.:, "'2.1i/.. Ol'{,~ IW-NeR'C Tocl fiJ/t.: 113/uIJ.:l& Sod. R I I I ~ 'Ai'" - 0 CHECK (,I) '~~~,c~I~r;'Z~,e.;:'8~~tf~~3i:..::VIl.l- 0 CHECKf") I \lfHIC~I"S.I'>.NLM~~"ri~r.~~f~~IAt ':5:" ,".' ~~ ~?,D;.\~' "~:~;" . ::;:;~" 4>' I 5 ''''''0_'' 6 ~:~:""" C~~ES ~ "I' ,~:~;' . ::\';~'" 5 ''''','' 6 ~:7.~"" '0,//;".' IIJJ::i~/..OI I ,,:-,';::-./:<:,::;<:" ~o" 0 "M!\UI"NCI 0 ~~<-l 0 ~~~IfU D ~~~,~i: 0 Wl'''l~O ~t;n"~~'UOY 0 .......ll<J'......CI 0 ~~...., 0 ~gM'u 0 ~~;;.,~:: 0 i'.':.'...... ,~("..' .... . '_',,':'>:\~/""'~Y -,';,;:? . ~9 IMAn(~~~! I MOOp'~T~VA) Is.TnE~O~C;V) E V(I1'nA,1l IMAJ.lDOOC.t.CHhl) IMOOUIOAIo'INOVAJ r'HfI21<........-Wj ;rf"'" ,"" .<' ,.:.,-'> [ '';; ';"0' 1 LlCENSoEPlAn NO. 1'''''1 I ,.."" ~." NO I"." H "" ""0' I" N>< ". I ."" I".""~" NO I"" ; ..<;'j',.y<;, ........ L"WiF /7</Ct..4 ?Jt'}- I - I - ~ 1 I 1 I ~ ;,>...// I'i'r.:"'" 'VEHICLE to[NllFlCAIION NO. L IItl-llClE 'OtN1IFICATI "" N ~ ;::::::, .;../~:: 1'.:.3I'iFiA:PiPlql,}:qI3K'uJ:3it7L&:"".<'.~loj'E .. 'I! Ii: i I I I i I I 117. >....),. rz";;;:;;:'JC"'~o/:"/J,/_- MOO"" 1:;;':;t/67~~ "G"""'OWN" "" "'" M'OO" I'. I"" '- .,/"; '~'P'~SS"'I3I~ "1,s.<; ~ "0" WOw.." .iJ \/< ..., FJ NAM~~;;:;;SU~Il~NC[CO ;:;A.Gt."l1 /],p __ ~~-,vJ? R N A. IN:'UIIANClCO A("oW 7 ;.":;.:.':"'i":-i:"0,:::,.:..:',::,: 7L- D~'lb1bl~[A .. I" ~A IN. I rJ'~'~".;;~GI I o........'.:.cNb(~EA. -,: ',.,';:;_ >,::",:::,,:,_ :',:' [7 2 3" CHAIlGt Cl-lMG! I R,'.....'''O..... 1 J . r.. ,',.,:". t:; I.~( 9~~ O"'IH}W:-.l ~_~.T_O."~j ~ 1'\1... ~"<,i>J' S$(!JO of- B f~$" ~"M"NIO [j~c;,...'i'" D~:;~~N D"M"NIO I;" '~'G.' I'~' ~,,: '", DIAGRAM OF COLLISION: lu~t SUPPLIM(N!Al INDICAlIlINOfITH DESCRIPTI0~';O~ r:OllISION: (U5[!.UPPlEMENTAl Sl-llEllf NfCH.SAIlY) IL .'. ..... ',' :" ~ .. ~~fA-'~ ':'7""';r":"'j "e~ ~1:::6~i:4/l9fs<<~~~!?s~ii:~./;i: .-- --, 1'-<< "., or;-;,' 'It.'f,,;<::O~7{'.'.:i' ';$.-9/0 #c--~~"';:OON:';""70----~'ii'ii ~ ,:. -:-........., ;. a~J(,JT ~ N~~ .. -€4KJro q.w4 ___ ~ >.'. ~ - - -:.7" '"" ,~.- -:- ; -... ~,..,(/()l?' OF7#'c-..i...eoa d. . - ... \7'i I .. Ct:Nr~1e ,(UJ. tle/t'C'E Af!1,.,; Oven.. S';n""q/ r- l.'i :e.' oloc-7Z- ~~~ ~"Ue/ ~"ev.sH H [iyi/i.... ~~~0p~~~:~s0~~~~~~~E1~~r~~~~.~,ltOl VED . ,~,of~~1 1..~u,1 ''.~" 1 ~~: I..~:.I,,~,I ";,, II:~;.' t1'>i;2; ~:;;:",,, "r.;+. u~ 0";' o~" 0;::;,,; o:;~ O~';'w ;1..., ." ...<.,i:. ~A.;:~~f,"'" IIfMovm I~O'" 0 ......11 0 ~"..,t O"t<. 0 "" 0 ..(,' I 1)1' :<.":""',-"_,' .;;(., "''''', I I I'" '0'"'; "" ";''''1/ I : ..i,.....,i: :, ...,. "^'".f~' I/!YIJ",IW' <.;y n o~",' 0"1" ........, 0"'" ';.-,->, ,:'i';;:<i',: ..,~ ~ 1'%q:,~'~"1 ~%i4:'t16~~~;;;r~ I ~ ''ih''~i, ;i: -.. ..'-~, ..', <i',iii',,'-'" <i'i. ".';';; .'.i'" ,'/!' :i i:, ,ii'; ,:': i,.;,.::i;i ( .i".' ....i..i;:i;Ji~J;~ . " .,,<,,';.,'Xi:' 1 ...', ..)",./ 'ef' ."ici::)~~~i ~.., ...'.:. ...':.....i!iff.:;~1j I '. Ly,}'" ,. . ---'---I('./i::/)!> '1 .....,.......,... .... ", :i I ..........J: J ", 'i' ' -)2 - V ! NAMI ~ ;;;".. Af,(,"f<,., X~'~~4- 1':';~r'Ii:~_r1 . . '/11111 - "".1l'€r;"T-tMUi',.__~~", L ~. ,:.'.' ." .'. .' '.: ...... I:'~ . " ," . "',,\r-. : ::.. '. ,',' ; .' .' . .' . '. f. :...... .'. ...,.:: :. ....... .': .'. .' : ,} ....: i'.. .. . , "':'.'.:' : "'..' ',. '. . ,', ': .... ",' "'" . ':., ;..' " . :.: . . .' '::'" "":". "", . . ", . ','" ' .' ,< . .... 1 ::. . '.' . ."",.'" .' : , .'....' ,.. '. .., : :............:'.... ri<t).....:.:......'..... .. . '. . . , . .... .'" ,.>.... ... ~ .'.' , ' , :': ". ' 'C. '. .: .' "',11 ; " .. .... ..; ';"', '. ',. .: . '. :C' ':', . .......':.:.' It ". ;'" " :' ,'< .:.,:.p;'."'. .: ,'. , " ","."" ...... .. ... "" ,\ .,,c.: . .:...' . ,:'. "'. ., ..:' . . . '....... ..: ' ;,::..: ' : .,', ; ,.:, . > . .. . ',::,:,,-,;., ::" ..,:, i '. , :.' :.'.',:.',. .." ~. '.," .,' , ",. '. '. "". '.:, ' " :". ,i' ..' " ,,".. ..',.. '. :' '... ". '.. . 'I.i .' 'lL , .. " IL "" ~1ItI MOTOR VEHICLE COU..ISION REPORT D,\lt Of COI.I.151<:'~ I! ..1101 ..f;"'V,~'~ C!t~~,'5:::il I I I """l at COlLl(.,O"'x-! ~(t7-fe\l~u..I..O..I'ulyX("'..(~ ~II "OV'7 : O~ 0-;: ~l"~Afl DI'l D( D'N rrc'):~c;"'C-'L =::::.0 I M'lU ~L OW Ow <:."rA--rt:... PA't ~ -r I /J . ">() ~~""" /I p ~~. f<t........ No. ~ Ll I ~ J "l J~'::;=C: I-'( )c~...J ON .-= <-AGLr"L froA~ c'ca .~~ IPKt".19':;;f7~COOt riel fI1W'. to I"WO"7. ';5 ,,~.r 111T'I'oHN P....I/C,...rr: r?d !.lIttl,,, /-/v"""'rJ Y l;IIUlr If NOT I li:IlTI StlOW "'tAIlISI ,..llIlSlC"Nv STAtU IlJUt<W"f, "OlJH ..Ul,l1111< UN,DOl ......""" I DulGIlAW OA'A ~rl[IlS[ClION ""-0Cl fUl/1]] ~ Of M VMJ yAllRI2U;~r.!NO I,4llu'osrOHIO(NllfYINOlANLJIIlAJl.. C.OLlISIOOl 'N\lOl\lUI D lUll DIM. I ~IAlAMUOUS IIlAl[kIAlS lILINlJ lllANSPOIIILP ""0"",1 ~ Mil I ,,,"UIlSI,Cll,,,G SIMlEr 010< kOAlI OM ~~I:E\:C~ES ~ I 0 ~~'~~~~t~ Oer~~l~l~. iI5~~"~~~~:ll ~~~~'I~'" Et:~~~l':'~ 8~:'~~:'~:\l\l1 "''''~'~Ll~oItl Itet '& [ elS "UES~6f160'''ltl 0" flOA{) OBJECTDR~~,.y~ INAME OfO~EC~~'~.~CKI.._ O~_~~~"OFO~=NAMEA~DAOO~~~SJ_~~~_~"D~~~~, ~~:EC eouE.~s,~__ ...._.." _ _...~:II.,.=-~I._.".III:..,JlI. If l":..u;~~~I;N ..,..;;t:I[~I!;8~[.""'l.}":I;;t:."':11lI ORIVER'SV,ST NAME . _;,'u,f.IRS-':.NAME ~,.. MIDDLE WlRlIN\lOl\110 DRIVER'S LAST N-'ME flRST NAME d Ic/L'SCH ;1L.dC--~-'- .EJJt0A~..DM~~~~~~;~E~:o STREET ADDRESS . " .' ROUTE NO. AND BOX NO. I PERSONS WUlt.: STREET ADDRESS FO;(I FLA&L.t'J\.. S7>trc ~J[V( IN~~~~~~A CITV " STATE ZIPCODE IORIVERSOCCUPAT10N,., COWSION CITV AJ<iIZOc.i\ND 'A- <it-SSM fMi( ~-1-'--tr<'- ';~~~' DRIVEA'S LICENSE NO. STATE I ,;r~ I OATtEOFB:R~,~ I AGE G,>" ItSftt:: en /J '-^. [u.4-lxt' "';> 1.'5/1 <71.,-/ VEHICLE.YA'I MAKE (CHEV. DoaOE,I MODEL (NOVA-DART) I BODY STYLE (20A, <'3 I I /7....,i C- II-)'/'-')I,. STA, L Jv. LICENse PLATE NO. STATE TRAILER PLATE NO. I STATE :rl~ K Ih', (..~4- V~H";iE;;ifr"Z';z.. )8w ')3 1/c.5H REGISTERED OWNER (LAST-FIRST-MIDDlE NAME) 1 DRIVER'S LICENSE NO. C. 11:;'1(.5<:. ft !tL1.s"r-t.T i"ci.AiI-Il SA,..,€", OWNER'S ADDRESS (STREET. CITV AND STATE) I ",~A1~ O~?~ OWNER'S ADDRESS SA"', '+5 tI!Gvc::.-- "7I'3'JI-""/ ROUTE NO. ANO eOl( NO. STATE ZIP CODE ,. DRlVERSDCCUPATION I STATE I.;~J( I DA~E Of TB'RTH AGE 11,41 f 1,40 I OM y~ MODEL (NOVA-DARTI 1 aooy STYLE (2 OR ) I TRAILEAPLATENO I STATE I I DRIVt.R'S LICENSE NO VEHICLE VA.l MAI<~ (CHEV DODGE) LlCENSE PLATE NO I STATE VEHICLE IDENTIFICATION NO. REOlSTERED OWNER (LAST-fIRST-MIDDLE NAMEI IORIVER 5 LICENSE NO I DA1~ OF ~IATH 1,40 IOAY I YR I;~V(~U (STREET.cnv AND STATE) PARTS OF VEHICLE DAMAGED T't-"" .P-tV'", A...dl1( /fwJ 1-)("", 1;'.9;& - PARTS OF VEHICLE DAMAGED LIABILITY INSURANCE INFORMATION-VEHICLE NO. 1- WAS THERE AUTOMOBILE LIABILITY INSURANCE COVERAGE IN EfFECT FOR THIS ACCIDENT ON YOUR CAR scp A.4.JI(.p~;;lE~ f'EJ?"~~'~ ;~M,-~OF~IA:.INSUAANCECOMPANV CITY STA'" ZIP LIABILITV POLlCV NUMBER o YES 0 NO NAME A!:'Jl ADDRESS OF LIABILITV INSURANCE POLICV HOLDER NAME",-'~4;-G c;,e'1JcJJ AOORtpr A.Ac..~., NAME ANO ADDRE.SS OF LIABILlTV INSURANCE AGENT U,vI7'lAL 5t:';(.vt C-d A<-77 A.r 5" c.c 1ST INJURV s ~ .41"7'7#1., 7?t~\ 7~ Zl:b oG./40aBL( 7/01 I 2ND INJURV IJ.ftJ:fo I NAME SE'~ ADDRESS M F ADDRESS ~: DO r 01 AND DID 17"1 r=1 DOCTOR'S L...=J r::7I r.""1 DOCTOR'S EXA OR? ct:J ~ NAME CTOR? C!.J L::J NAME ~'~~I' MARK FIRST ONE THAT APPLIES '~I MARK FIRST ONE THAT APf>LIES 8::~:'~.. IN VEHICLE KIllED I ~;;:~~;: . i "'~:;~;l:'"a r '" 7~E:::", 8::;:;~." lN VEHICLE KI"EO I ~E&~;: r "".EE;!~ T'" 'E-~:,", B~~T~~.5~A::,.""N 0 I sO I 60 Of;""ct B~I~~,5:,":~~" .,NO 0 1 sO I 60 Of;A'DCI AGE NAME ,AO)J C-- MOTORCYCLE SAFETY: o HELMET USED o HELMET USED o HELMET NOT USEO o HELMET NOT USED MOTORCYCLE SAFETY: "~~::':~~~~=:~T'~fft.~~~S'" ~ \ \ s,,~~~~~~~~~~~~~~~~~;~ ~ ~i'''~"O';''''Qj:- ~crV1.~~~ I-'----'; >< . . ~..fPr';:-' iZ~;:';~7-'/'1 ~ r--:-.--:, ,// ~ //'//1 r--- / ./ r--- lilAUT on >!,w";:: ../ VEHIc;LcS PuSI luN:; BEFORE COLLISION VEHICLE N S E ~ ~N STRfE r IjR HIGHWAV NAME OR NO ~? lYOUR/ 0 0 0 01 "? 10"""' 0 0 0 01 PEDESTRIAN 0 0 0 0 I ALONG ..;....._^...;t~. J.._O,~l!'~~.\!!~,~~~9~~ ~,1;. ~~~~; .'REf~!'l TO \lE~I~I.E~. ~V.~~~B~l'4' .<.... ! ._._P_~,c/C._._.._ IlIt-d-.-Ed--7.n .~<:,c:.z::...._..>:U)_L.. [' _p.P- ,___i.'Lcd(L(.o!&'._..u~-9Z: ~ z;-.c~-_V..c'-i5~ _72-q_~-tJ:::r;....,--7::? __,A~_.~1f..L~_ STIl[C' on I-lICiHWAr _"____._____, ____..._ _____,._._ ._. _" _ __~ __._. ___ _ _~_"_~._,_ ..---- 1-.-.--.-.---- -----.--~ ---...----.--.---.- ___.______._.__",.___,~"__.,"._ n_.. "__ _.._.__ ''"____'_'_ ; ._~:-- -,-- ....-...-.--...-...-.....-....--.. ..-.-....--...-.......,....... ..--...---- , ~ ~ ~.,=~-'- .=~=~===-..-:::==-_.=..~:...-:: .:::.::.:..::==-:-.:.:.-:-.:::: ~ !-K 1--_.... .- .~ NO ,~jo~~NtII 11IClA~lt;,~r.;,~:"m'NlJ l'ta:cl~IWIl"'tDltl~I~~:"~C~~.,E' ID;l~;:aA EOB:""A ~ O,HlCTION 0 [] 0 0 0 0 D~~T',H()~ ~I~~UII o 0 0 0 0 0 0:::::. .,,~ TG 0' CAO!SIHO PEDESTRIAN/PEDAL CVCLIST WAS USING 10 M11"'''l-K I OW..,..W.." 1 0 5110Ulfl1H . D~I~~~.~~~IK ,Ol~:~::~'.? (lOm"'R PEDESTRIAN/PEDAL CYCLIST CLOTHING COLOR ,Ono"" 1 0,,(,101 \0"''''(1 .DuIIIHlfllfl'rT!III ROAD SURFACE WEATHER LIQ~ CONDITIONS TRAFFIC CONTROL TYPE OF HOAD (CHfCK O"1!1 [B'o, \lrUIClf Ic"rCII ONII v{tt!c~r CCt!ICM ON[ V[HIC~E CHAR 1 OAYLIQHT ,,"0 I NO ~ NO I NO ~ Oil l,lOAEI NO, NO ~ I 0 Cl~~gZ,,~A ~ 0 DAWN 0 1 0 SIGNALS 0/ 0 ONE WAY 0, 0 OR' , rn-t1...0 ,0 0""' 0 ' 0 "OP SlO. lB' ' 0 'WO WAY u;:r~ 0 WET :I 0 SNOWING ~ 0 e~':.:<T8S~~lET 0 :I 0 YI[lD SIGN 0 3 0 ~~~[l)nSIOLE 0:1 0 SNOW . 0 FOG r. 0 g~~KT8S~~fEl 0 ~ 0 FLASHING AJ:D 0 . 0 :~6fJ:.?:;::J,~f. O. 0 ICE r. 0 f~~~,~y e 0 80P~r:H:E'R'~8Q1"T8 0 r. 0 fLASHING AMIlER 0 II 0 ~~:'A\I' o r. 0 ?~rJl~Y 1 0 fiPr:Clry 0 6 0 llA atONAL 0 6 0 t~~HunN ~Pl~A~,WAV CHARBACJuEA~f ~;;j~n 1~9,A,OWAV 8U~~~~ .TYPE 0 1 0 on leCAII LAOMAN 0 1 0 OfllVrWAY , r ~f\l~' " IHfl. D'j2) cm,.r.Allf 0" 0 Clfl.~U 0 H DOTtiER speClry ROAD SIiPAAATlON I '!;~~,~~~; H . t~:r~n:, i2J1'o PllmHlP o_OOIAI 0 ~ 0 olvmr.o I ) "'H~"n' 'O"'ll~"IUl l".r..n" 0-0 Dl"fll ~_/ NO TnArnC 0 1:,~~~..tO~"::'':~''T .C1f;:J~n\ OlDwooomn('DDO~"H'rrw" ill 0 0 CONTROL 0 ~ UNOI\,IO[O L~~<~~~gt~~;i~~::0~~!I:,I~~,~")"fl~tr~;~iri>!~~',...,,.,..'_.. ... ,. "'l! ~"~""'I;-I<...T ~\, 1'>'4~-'1~__- FROM , 0 ~,I.~I(~';,~,llIID ~ 0 fI,,"o.....y ~ 0 ~,~~;:: ,:::,I(~'~'I'~\I11 ~!~.",!fI. DRIVER/VEHICLE ACTIONS \lOUClI IClite. ONI! all MaRL I ,.~ 0' aOING STRAIGHT AHEAD o ? DOVE-AT AI<ING AND f"ASStNG o :I 0 MAI<ING AIG~tT TURN o . 0 MAKING ltrT TURN o r. 0 MAKING U.TURN o fI 0 SlOWING o 1 0 fiTO"f'[O Fan TRAFfIC o 1!I 0 ~~o:r~~ :11~tONAL o II 0 fiTOf"r>[D IN ROAOWAV 0, _'.D_ 0 ~~~~n~~~~1; -~'"'t;":.~,(('i<~;:,;,~(,::~m\';:~j~:~,~~~~ I .~ MtODlE '. ~. I .'. '" . .'.. '. ~. .' . .1' . ..' .....' . ............... . : , .' . .',.' ,',:- ,.' ::, , . '.,' ...... . .":',:: .'. .,.... .....; ", ..' '/: :.. . ...,. ..... '...:\; , -.:.,' , '., .'. , i i . > AGE I:. . .... .. '. .,' ! ". ",' !. . .' .' .' " . .'.... ", ....... . .", . '. '. ..,.' '. " . .......... "::" '. . . .. . ..' ......' ", '. .: .' \ ..',....,' . '. ......'... , .." '.. .' ....... . '. ..'. ;.' .. " .,,,.. ...' .. .'..,'.....:..: .'" . ' ',; "...:,'. :-. .',' .",,: . . ,"'. :. .': '.' , " ......:...: .' "..... . .... '" . '. ", . [' . ". . : ..'~ . .' .... : . '. ., .:,: ":.. ".:"'., , . ,:.... , . , , ' . '.". " .'.: . ,.... "': ~........:..... . "'.: "~'" .':. :,..c. , SEX M F DO '.... ;.' " : i . J ,_.cc'-....... r--...... .... '.. "",.'. I ......'.. ... I . I. .'.' I. '. k '. : ....... '. .... . ;. .' ,. '.: Ii.:....,. . '.... .... .'."" !, . . . . ... ',,' ...... ". " . .... '."....... ..:," ..... .' .' .... . . .. . . "'. . , d. ." ..'....... . .... .", .' '... ' .': .... c.'. '.j '. :, ...,' .. ':;. ..... .:. ,'.' ,;, , "'" <. ," ." >:'::'::":_,:."_.':.< NAME. AND ADDRESS OF \..IABILITY INSURANCE AGENT ""'" .".',.':" '/ ; ...,.'...: . '.' '.. ....,'.. " ,':'. :':("';':'~:"f:_:";: '\; -1 MOTORCYCLE SAFETV: 0 HELMET USED D HELMET NOT useD ...... \ ~w NORTH BY ARROW IN CIRCLE " ." ..... . . '..~".:...~:.w.~~":'~" r::i\ . ....... . 'lr&:~~~'~7;:h~~~~F!~:\fJ~ \:!/ ..: .....; I, ~1~\:~~\'~"~'~ffi::: \~ fill""'" O""'O,~~' -,,:'/,:," - ~- .... .....,.' . -----: 'i' -- ..= :'. . . ---' i -., - . . q' = /:~ ~.'~., .., ' .. . - I I [ -' ,',,' , .... ":' " '.. . ~,~~~~LES PO:;~;~~~'~~~ORE ~~;';;TI~"NHI~~AV N'M' OR NO -:':,:r~::c \ ,,;:';,",';:;~I:~.o I"~i,"~';~',::,~o I ',':ii:;';lg'~:H 'D~!;;~ATED;.:~. ".'; . ~ 1'''''''' 1&1 DD~I 1"\,.,,1.. \l..-. Wr\ \ 0 0 10 0 I 0 0 IF"" 0'::.:"" .... ....... .' :~u;~::"'\\,~ g ~ ~ g ALOr;:r\. \Vi,- 1./",\ g;o..:"" 0 0 0 ~OM 0 0 O;~::' 0'''0'; ,,",", i' .1 PEDESTRIANJPEDA~ CYCLIST WAS USING: I 0 l;,orW"'~K i Dw""~w",, 3 0 ~'lnUlOI~ . 0 ~,ig:~~"'l~ ~ 0 ~~~:~~~?Ol ft DOlu11l , 0 ~:KMt:~i111Io . 0 ~O......W..., ,~',:<<i,> 'J PEDESTRIAN/PEDAl. CYCliST Cl.OTHING COI-OR: , 0 /I....." ~ 011<..11 J 0 o,ll'I 0 .0 III 1110 11111 rCTlvI ~ 0 ~,1,;~: ~ I~':,'[.~tl~V~""A''''''Il~~ >>:,<,~::,~" I ROAD SURFACE WEATHER LIGHT CONDITIONS TAAFt=IC CONTAOL TYPE OF ROAD DRIVtRIVEHICLE ACTIONS .: :'.' I VtHI~~~'U:1I0Nll I 0 D.....YLIGHT NOv,hllrl~o, ICHICIIONtl VflUc,r ICUICOlO,..' VI'lIC~I IClOrcllo..LonuOHLI :":::.:.";:::i>;;::,',::,~;:: ]"'0 1 NO ~ 1 ti3 gUJ~g~~~H 2 0 O.....WN 0 I 0 SIGN.....LS 0 I 1 0' ONE W:~ IolUIlLt ~ I I 'Da GOING STR.....,GHT AttE.....O ,'''i'~:.:;:>_:, {ill CE. DRY 2 0 R.....,N,NG 3 o DU!iK 0 2 0 STOfl SIGN C(I 2 r:;ig "WO W.....Y 0 2 0 OVERT.....KING AND PASSINO ,"',:,:.':,':_, ' 0 2 0 WH 3 0 SNOWING . 0 o.....nK STREET 0 3 0 YILLO SIGN 0 3 0 nr:vrRStllLE 0 3 0 M.....KINO RIGHT TUHN ,",;,:,0"," >",: 0 3 0 SNOW " 0 FOG ~ 0 ~:ii\i~/tT 0 . 0 FL.....SHINO m,p 0 . 0 :~~g~7~t.~WiF. 0" 0 M.....K'NO LEfT TURN ,_:.,.-.,\.-ii:':\':':'::':';" I 0" DICE r. DPsVf~~,y) II ~ ~~~tE~~IClHTS 0 b 0 FI.....SHINO.....MBER 0 Ii 0 .....LlfY 0 Ii 0 M.....I<INGU.TURN """ .. .'. ~ . I 0 $ D~I;~~I~'t' 1 0 PJt~t:Y 0 fI 0 nASION.....L 0 II 0 lrr~'r~riN 0 II 0 SLOWING ::- I '" L.....NtS ,,, I ROAOWAV CHAA"'CTfR z,~ ROAOWAY SURMCE TYPE - 0' 0 Off ICH\/n .....GM.....N 0 1 0 ORIVEWAY 0 1 0 SlOP'" 0 FOfllf\^,' Ie C' .. '~:'.~~r."1 'D~':~~L o\81wHr:U:1I O'.l:Jn~MI' 0 1\ 0 OTHfR SPECIFY ROA06EPARAoTlON 0 II 0 sTOror.ro.....TflIClNAL : : ::'~~~:~:I::., .D::~~~~I,~t ~<~~t.r.lfw D~O~h" 0 ~ DpIVlor.O 0 Q 0 ~:OSro~~~~~c.~.....PW""'Y :>T::,:-',:::: I ""l'''111 O"t"~11 I"'.."" O.Du"'~1I fodt NotHAtllC . . ' ~:I;"" ,1.1'1')'}"!"',~","",rrl~ql" '1~lrlH ,. P,~r,J'ljl!l._-o...q---"""'liryn.", ~ \!r~~.~'';,'"17''''' r'.lm<<'~"'''I<'-' jJi1 , 00 II...n'llll'llfl __ n lU_OJ.~""'fltl':ln IN L 'I!>>t~'r.if',.-,_tfj,';'i,' "I~ V..r. ,)..,,\lI!:'KtlW4~I4'..."I~ ' ~ , . " ~",.. I'i'"" 'I<'_ "'''''I$1i~~1"I~i'''- .... .., 'j,. I. , ., ,~ ,',' I; Ii. '. . \ .' I' \ l , i I' ( ;.....';,::r . " -' -~ ',: \ i I; ..... : " ;' .' :, " " " '..... t .... . . , I; .".. ." ...."'.'.L....' '~" '.' . IL.... ,( ""I ~oo~~,~OR-VEHi~~~,:.?~~~SIONREPOR::M""''''~ '''''''' ~/, ,-;,/),.:," . "~' .M"=~ :;;'1""[;;0. h(I"O.I;""I'''I'''''~I''''I''''TT''i' : '1:\,5" ~:: f~.f~c ov\ No 21 I 9441 . ~l~~ro 7"",,~: 8: ~:, ,'('0;';'''(', ION ;:;;,:~oo~~'''~;\' '''br:('''T"T']~';;';-~~l ,,""'"''.o~i''!\''''' 0""0'" :~::::"'"'''' ',,,,,,,, '-' '."" " M'" 1"-1;""'7. 00 I 11..01 I lEl [] I ~~~';:S'~6~~:~j~~~~t:'t:,.t'~I~~'~~r~~7,t"U'l~~~'::::U\:'{:~~~'7~J""Bl-M 1>",1-",1 "".... I'M."'..""''"ua ,"TL"~L(;l'"'' .11,1 ~ 1m ll.ll r.(lLl-'~'O""NVO.VfU 0 lUll. 0 ,,"I. I ,HAZAAOOUS'''"''U:HI......:iitILl,.Olf1A101iPOAllO NO" 1'1011 !;,.II "~rr.T,Nc. ~l"ll' {JIj HO"'O (jH "': ~~I~~~'~r~1 ~ Ill- ," 0 !.i:;~~::;\J 0 ~r~~(~'L~ 18 :~~:~,~)~.~~Il ~~U,':'.\',Al R ~~~:~~:;l~ lj ;.L:':'~:'~;\'I M;'.!'~:.::'~" ''0'' '~' I.V. 1"t! s5o"lf6'''LLI 01< "uJ-li . ': OBJECT STRUCK I"...ML Of OUJlCI SIhUC"'1 OWNER OF OUJECTS NAME AND AODRESS [WI'~~lM'J.'.~ib '.J'H. c:.QUl u~1 ~~..s~_ _ .., ' lJl\.~;;)Y\.___,______ $... ,-,------- ~:4:II.-j..=lI~(.,...L.lll:.ef.~a. It ~2~~~:,':'. _.j~:I[ttojll~~[.JI'..(.~~:I;;I:.~ 'ilB ORIVER'S LAST NAME FIRST NAME MIDDLE "'1.111 INvU,vLU DRIVEH'S LAST NAME FIRST NAME r."'\ \ _ ~ CO~~I;I~~ 01< " Jc fen J.-,.e.", MOI<[TI1AN''''O SlREET ADOA~SS . I -""""" AO~NO, AND BOX NO. I "(I<~ONSWllH STREET ADDRESS 'Mu.."""o<r \\p.o:;...::,p\ .\ 'I \hoe.'\ 'rc....-.,^,,- INJS~~~~~~ElA CITY STATE ZI CODE DRIVERS OCCU~A.TlON COlliSION CITY Q.,..\<.,^^ ffir~\",^ \;'\0.. Ir^,"'MPrc:".\\'i""'r ":~:;~' DRIVER'S LICENSE NO~ ^_ \ STATE l~'r~ .?~TIE ,~! B1IRTH I AUE \1L1.t.\'C)L~'J..."'\'..\.\ 1J)e,.. 1)(.1' o"e-IK~ Ib~ 1<Lrl V~~~~R'IM.(:E,I~;;: DODGE) C:~~\:01-:~rfT BrY~~~LE (:t DR.) VEHICLE YH.1MAI'>e (CHEV. DOOGE) I \L~~S~~A~ NO:-'Il ~~T;,TE Tf\A~A &LATE NO, I ~..tl~Tt: LlClN5l f'L.ATENO I STATE VEALID\.N;;I\A';Or~ 1. ~ VEHICLE IDENTIFICATION NO. ~i\,:~\:\::WN'n~::':ST'Mlk~AME) l~rL1. (1BL~.?-3 \\\\ REOISTEREOOWNER ,"SHIRST.M'OOLE NAME, 1 OR"ER' COCEN" NO ,~WNER'S ADDRESS r... ,(STREET, CITY ANOSTATE), " ' I e~T1EcO~ T'~JH OWNER'S ADDRESS ISTREET, CITY AND STATE) IDATIE OF "j'IR'lH \\-"f'\\r'~\ ~~~ \ I ~\D::."a\eo.M ~Oh\o:.'h" 1N'v..{'\'i\{J M O"'Y 1<'3 1ol0 I O"'V vI< PARTS OF VEH1C?LE DAMA.GED J. I ~~.I'''''''HD COST TO PARTS OF VEHICLE DAMAGED - 1 ~i~:::,:-~\.~[(;O~T TO W=.t\: f""" <S\~Ni, ~"~,.A(!:,1h>r.,fr,,d,aI. ~h~1 s"'7"i':)() ---~-~ LIABILITY INSURANCE INFORMATION-VEHICLE NO.1- -g~~E~HA~EEJ~uEtf~~gTB~LgRL!fAH~~~Jd~D'jEUNRTA~~EYOUHCAH 0 YES 0 NO NAME AND ADORESS OF I-IABILITY INSURANCE POLICY HOLDER NAME OF LIABILITY INSURANce COMPANY NAl.lE. ADDRESS CITY STAlE ZII' ,. . : MIDDLE .~J \J \. r:>td...... RoutE NO. AND flOX NO STATE ZIP COClll DRI....f,RS OCCUPATION ISTATq-$E~ I OA~E OF rlATH AGl I'~ II I ...0 I U..... fl. MOOt:L CNOVA-OART I I BOOT:=" T't'LE 12 OR I I TAAILlR PlATt. NO I STATE ... . ORIV[H S LICENSE. NO .". ....' "S!.....TE LIABILITY POLICY NUMBER (USE SEPAA...H. REPORT FOI< ...D011l0".... INJURieS) ,ST INJURY AGE ~ 2ND INJURV NAME . A. ~t"!'l'"'. INJUREO NAME ~~~:~~SAND . ~"'^D'" \"'\'^\c......^'.A'.... __ MSE~ ~ ADDRESS EXTENT OF INJURIES 00 W ~:J€'~-f S~PNJUAIES ~~r;~~~'"t.~:6~ ~f?k"~6cTOA7 ~ g ~~S~OR SrI., \ 'o\~ r,.... f'\ DID I INATI~~ BY A 00 TOR? B g ~~~~OA 5 ~TAT~JS OF~NJUREOI. MARK FIRSTT1' NE THAl APpprlES STATUS OF,,~NJUREO I MARK FIRST 1'NE THAT APPLIES If; IN lCLE I W,~~~~;~G "D"'~~~,~"NC. l'::'~~;:~~l 0 D~IVEI< INV HICLE I Dt,~~I~'I;~'" "O",:;~~';]:""" l"~"~J~~;E o PASS! KILLEO ISLVLHf, :,~~NOIl, oil CU"'f'l.-";~~ 0 I''''SSENQU' NO \ I<ILLED ,~lV[!'b ,""NU,"" "E CU...f'l....'..' ~ "~~~p TIT 'I 5 IT 1110 'l'i Jl:(j I no ~'o:;..- ] ~~:~;:,:':.' ,,' 0 5 0 6 Illl 0' ~'D" MOTORCYCLE SAFETY; 0 HELMET USED o I~ELMET NOT useD .::=~.I_~._~~~:~~~_W~::-;~~~::~\~~~~F~R T~~~E~S a~ N~lo4,a~\ u u .. ~,'" \\C\. I>:l"~ .~ (.I'{"\'-o f(j.i\. ,Rr~'rJ,.:"'\e "'Q~cG\ :.j 6'>\.\,O~ I)....~ u %' \"'0 Ilti\>\,,,- "- J..: ,w\\w".:).\h<! Rfc.~\ k\.\; ~c:.<<.~ o.~ door, : . I , ,'" ..'",," L . :':~,;; '..' d./. ' .... .... .- . ' ,.. '.' ,':, ': .... . . . '. .. .'. :.': . " ,.' , ...... ... . ...... . '.' ..' , '.' '" I ... ........... I' .,', ; . :.' AGE , . . '. .' , .' ".. . . , '/...' ""'.' ... SEX M F DO '0; '. .:' ;'.; '. .. .... .' .,. .: :. .." , .... i....' \.. ....... '.' . ", ,.'" ''''.,.. ..' ,.":- ..... .',. . ..." . ','. . '. '..: . .....' '. :" .." , '. ' ':.' ,'~." . ,,' '.::,",:", , ... . " '. ..: 'u .: :...., : '. .... .'. > ;.. : ". .',::'. Ii ':.... I,' ".,' ", .', "', " .~ ' ~i~~l!"",'.'.."'~." . .,'. . . '" . , / .. , .. ":, ..." ",..' . ., . .: ~'. ". ".. '; .'. ..: .. ..... .':; .'~ .': :. , ":, .. " '- ~ J , . ",' ",' ',.: ,......> , '.' ,'. .'. ..' '. ......, "".' '.' ' ; ....,...... < .... . .' .'.' . ,.': . ". ..' , . ;',,'.', t.!' ..:", "'. . ..'..'......'.. 'W" \t\~>'~ '. . . '. i ... ... ,. '. . . .. '. '. '. r...."..... . 'I '.... . ',.. .'.' "" 1 ." .1 I, . .' .....1 ! J I:'>:i~': ...' . :" . . "" .' '" ..' I " :.:< .~~. , :. ':. ,. .".' I '. .. :'. :' , .~ , : , .', \ " . .." <, . ...... . " ". .. : I:,' It I :~ 11 " " " ~... : .,: ': .', '. ." ...: . ..:( 1 " , ~ :" :', ", i.' " .. ~L ':. ..- \ 1'>0,;;;,"'1 ~~!:lr.Y,fl,'l'::""'> :;ii!f;ft..d~ v~}fjjJl-;r~). .y '\,t JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P,O, Box 1220 Port Townsend. WA 98368 (206) 385.9160 Gary A. Rowe, P.E" Director Robert G. Nesbitt, P.E., County Engineer August 14, 1989 Tom Thompson Teamsters Local #589 416 E. First street Port Angeles, Wa 98362 Re: Roger Risley Dear Tom: I requested information from payroll (copy enclosed) to verify Roger Risley'S pay rates over the past 2 1/2 years. As you can see, his pay has been based on a uniform pay rate and no higher rate has been paid when using equipment. I talked to Paul Walters who previously held the Parks Maintenance position and confirmed that he received the same pay rate whether he used equipment or not. The only time the Parks Maintenance employee has received a higher rate was when working specifically on road maintenance activities. Please call if you need more information. Sincerely, 4tM1 a 1?~ Gary A. Rowe, P.E. Director xc: personnel file Bob Nesbitt 100% Recycled Paper . -:- '.,J " '. "":' .-1' . ). " ' ',.,'. ..' '.,'. . .'. .... .... , ..... ....... "..'. . . ,',,' , ", . ,:c: . '. c . . .' '.' ;.. '.:." . ..... }c. i " '. ,.'" ,:< " " :',: ", ", :":':' '... '.' .:' :: . . '" "', - ,.-TO f; !!y MESSAGElREPL Y FROM Jefferson County Auditor 1820 Jefferson Street P. O. Box 563 Port Townsend, WA 98368 (206) 385.2l61 71 ;;Lj:) 6 . Date 8 / '/ ! 8 , ~W ~ I ~ ~::(,:; ~r 'J; ~uei:+pd L .€+ p 1 '~J ) . Vr , ,p ~ a )A. \ v-eJ i t~o Ir-~;/-i Olr--.- REPLY vfpr JV/ ~)"I 7Ur.j J"'uA vfV.6' Jep Oc::r- f~OV I)eG (' ';) Signed In -(J Ar1 \ SEtJD PARTS 1 AND 3 WITH CARBON INTACT. PART 3 WilL BE RETURNED WITH REPLY Signed Date / / 12J^'Jj IS07'3J [W'{'34 1:l;J.. +0 0 IJ~4,OO IJ;tLj-.Of) IJSS' X{) (JSS-.d-O (J.)-S,~ /'7(; l68 I "do fs1 [(08 I '7 {jJ /70 tf,B fB4- r...e.h-o d~-f~ "rrt r"lejv,.~ S-O!' pe...^",. IfF{~r6 A<' , r 1I'~..t. ;/'''J'' '-00 F''''p~~i((( I N.v ou::..LIT!~. /l.{Po- i NG re:trtJ f.3-)4 .~ - ;faG u,- K i J/-e y , WA Gel 198a.~;i;>rN )( /$09'4-f 1I~ .________ F-edJ I 4-'-10 ' { ro __J1lfJ.J......IV/fj'Y- .I46:J....cfO (fln- Ny J" . 9 ry ,.)/IltY I 4"J--Y'0) ,-:FwJ t411 '/3 (.'O~'J~I lr...S'7.s-f ..JHJb fS"),Jp . for ,;:ep l'f<;j(. (OB ,c;cr 1360.fO . NO 1/ l4-dS~O .Be..G {t.f J.S. 6 0 ffo /l.r- J /30 L68 181- I "7 '7 f'1g'5 1'f(P '8'J.J UO/- 1'76.j 108 1'1~ /"1 ~ - If j9t'f vrnJ /()J~'JJ /i(P ,feb I;),J?.- -33 [(120 .fill d-i'-- (;U;Z'33 17(0 Jrpr IDd-,.'3j 11& JI'1 ;le! IS"O 7'33 [68 'Ju,J (Q{)'7.3+ l'Iw J~I I J...;I., 4. () 0 ( 6 '-I. Jlv.6 IJJ..4.00 [roB Jep /JJ-Lt.Of) /'7(;; ocr IJ5!;;-';ro 17&; NOV (35S-. d-O [~B {)e,G IJSS,o?-O (81 ',l( I . (-e,// ~I./s.^/& LLuOP . - ". .': . .irl.c./uclv ..Jf'lb tu::fro ;"Ie /01-) '{. air iNC' M1J d/r /-4.C' lI- 9.3 air JtJ.C~..-etI1J= /08.'11 f air", Iff)) I.><c... ,J6' 'I.)d/, iA/c. ~ ,08 0 IT "'''71'/'''''' J:e(, tAlC.. ~c,LfP",uo i NC /:;..102.A...o. .. I:.e..h-o du.e.:Te> "oT '''lei..'-';] ~~. pe..."". Ift'~<:r6 ""', . ;j" "'., ,.- 'P,l . pe...,-u( I ^-Ie K:etrv ~. 00 0..186- iN. c... N2::t 1m i3 :J 4 ,',,'.'" ,:,,''; ", " --=-.' :I: " ""' I, '.. I" ': , , ,". . " .,.,.. . ,,-;<,,', ' "" . ,.".' , ", ',', , '.. , . '.:"', , ,i. """'1 .,',' ;;, . :',':', "'II: I ',. " "', ,," .',..'.,.." ":, ,:', :;'." i., '. , ':. , ':" " ..,., -", ....' " . ',., " , ,'. '. " , " "" , '.','" .'> " " ,,', " ',',: , ..'.'".; :,' , : ,',,',:....' ,," . ';""" ' , . , , .>" . '<; : .,:.. '.' " .' , . . '" ..:::::.:.~.,.;;,., .',' .. . ;' ,.',',.,' ',;' ::.' " " . """ i ," , .' " 1. ,:,' ",': ,', ' , ".. '" . .. , I".. ' "', . .... " , ,', liL.,.... ."..,., . . .. !, '. ~ . .. .. ' " \ ~;;..,w;: ",".' "~,"'/~.'.y .' "'. "~~"F'!~::a..... ",_"":i1..f'? .=...., ~.~~l(4'l fr~/h _...t":.~,, V ~-~;~:' -'lr. ;-,"'-':.J'" July 18, 1989 Ms. Ella sandvig Director, Human Services 802 Sheridan Port Townsend, WA. 98368 Re: Safety Inspection Dear Ella: P 63,~() JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, 80x 1220 Port Townsend, WA 98366 (206) 365.9160 Gary A. Rowe, P.E.. Director Robert G. Nesbitt, P.E., County Engineer As per your request, I was able to conduct a safety Inspection of your contractor, Skookum Jump Rope, on July 14. I found no major discrepancies at their facility. All applicable items on the attached checklist you will notice were satisfactory. If you have any questions or if I may be of any further assistance, please feel free to contact me. Sincerely, 1:!:~:rt:-7 Risk/Safety Coordinator , . 10011/Cl Recycled Paper , . : , ' " " .'"."",", ~' ' -;-----:- , ","', L< , "", '. ',' ..:" "" , ", ..' ',' . I : . ' ".".', : . ','. " , .', ,'.: '. I:' " , 'I"~ " ':"" " .:. " . /:, , " ",' ."'" '. ':" , ,,: . " .' , ,i '. '",.: , , :': j: ,':. " , . , " :.".' " ", . .. ."".:'",' '....<.: , '. "..'.. ' ,; .,..... '",..,'.. "",.""" , .." ",;. ..'; . I; "', . .', '.. . ',' : :'. , ,.',i':, .. .' ., ". ,< :' :' . '" " " '..,. """" "-.J J \ ---.i~_ ~~;.?;W'<' ~,..,..'!i.i", ' "\., .......~.~ ...~~. .-- ~ifN:t:-'Z ( j/ ~~'? ..-..~ ~! "-:)" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P,O, Box 1220 Port Townsend, WA 9836B (206) 385.9160 Gary A. Rowe. P.E., Director Robert G. Nesbitt, P.E.. County Engineer FACIL !TIES SAFETY INSPECTION CHECKLI ST n~t-~ i/.,~" /y Tnc:p,:l.("'+nY" ,J(, .etMr~~F"dl ity .5,1!.~"l;:",-- 74'_1' L..,.,..t.. First Aid au Fire Extinguishel S U File ProlectiDn S U Elit IdenlilLcation S U Computers au ,. f,ISl Ala Kit ....- 10. M,r,'mum ReQml ~- 20. pnone tJo ,/ 30, [.,lS ,c_ 40, Spllrj~lelS H4. 2. Tfillnea Person ;;(:' 11. Area Coverage .... 21. Alarm CerlllieCl j(~ 31. hilS Mar~ea ,.....- ", S""o~t DelecllOn !!'~ 3. f ~ Cerlilicatf' 8", 12.SepalallOrl :;,...~ 22. Spr>nklel Cet! <tit 32. Doors Clear /- ", CO; Oelet10rs "'4, ... fA Slalion A'A 13. Breal..room d.!! 23 Systems In Serv "'~ 33. PaIr,s Cleal /- <J, ~o Smo~mQ #~ 5.Phys,clan NA 14. Along E~II f_ 24. Sy~l Super....l~ell t!!"- 34. D,scna!ge Cleal ~ <<, COfTlbuShble SIO f_ 6. Ambulance Phone L _ '!5. l1ung Up f_ 25. R,~er Acces~ t!!~ 35. Na E~11 Mar~ed .., flocrTocls B<f 7. Emer Rm loc ~'L 16. Eas, Access ./- 26. Sprinkler CltnCe dl/ 36 [lh'aIDt Signs dll ,", fIOOIOpe'llni;s "'~ B.Olher 11. Clear V,I.'''' .L 27. Smoke/Heal Del L_ 37. [mergerlcy llghls.K4 <7, Door~ Closell It'd g, 1.. Servlcell .......:.. 28. Fire Doors Et.!! 3B. TlavelDlslance /- ,", Trash Cans f_ 19.01her 29.01her 39.01llE:t " Omf! Emergencv Plans SU Smoking SU Housekeeping SU Flammable liquid S U Molor Fuels SU 50. Floor Plan 60. No SmOke Areas -- 70. Trash Cleatlup "... 10. SIClrage Cabinet 90, Ma. Capaclly 51. Evae Plan 61. NCI Smake Signs 71. Spills Cleanup Z 11.Properlylocaled -- 91, Sa1etyCClnlall'\er 52, WarllenslD 62. Sllltable Ashlrays __ 72. TraS'lCar!s L_ B2. Properly Maml gz, Ma' Slorage 53. Drills 63. Exling Tlasheans__ 73. Tlas" Emptied L_ 83. Properly Usea -- 93, Type I D 54. Alen List 74. All Filler Cmll H~ U.PropefS,gnage -- 94, Adfcuale Sep 55. GOvllrlSP Proe 75.SnO...lce ""''''- liS. Ploper Labelmg gs, IgMlonSlgnage 56. ConMgency Plan :: 76. [,'er,or Clean f_ " Proper Conla,ne's _ _ gs, fila Smo~lnQ 57. Emergency Team __ 77. Vleeo COrllrol _L 17. SpillS Handlec 97, r,rfhlongu'snel ~, TeamOr,lIs 78.D,s'nfecled .L_ BB. Ploper Disposal 98, 5pllS Handled 59, Dmer /'1.4 79.01r>e' 89 gg, OlnelAl"" CuhinglWelding S U Caustic/Corrosive S U Electrical SU Machine Guarding S U Storage/Handling S U 100. li1l1ksSecu!ed 110, Eyewash Station 120.100 Bart Wues ,L 130 Con~e)o' Dr'ves ,,, fQulp Ma,r,tllC 101. Proptr Storage 111. Localell PlOP 121, Covers Secure .,.. 131. ROllt' Guaras 141. Nor l.lool1.e::: 102. Valves Closed 112,S:gnage 122, G'oun~lng Z 132. Bonom Pan~ 142. Prt1up 103. FueEIMg 113.0Ptlallonal 123. hlen&lon Corll~ /- 133. Gellrt Guara.ng 143. Prop Slac~ea 104. Fire WalCh 114, ACla Slorage 124 Sw'lC~es tablll ~. 134.01he! 144. Ilac~s Seell!ell 105. PefsonalProt 115. No Smoklllg 12S,fuseBo.el:. 135. Grlnd.n~ Vineel 145. Sl:'lsrn,c P'oleCl 106. ProperS'Ilr.age 116,Ome! '" ClealArea Z 135. Guara,ng '" Floortoa:Mgs 107, Proper Permits 127. H,;~ VOllaOe ff. 137, he Sn,ela 14'.7 Ll11i~,; Posters 108 Ceft OpelatOr '" Gfl Insl~lIeC .I"'f 138 S'Ilf'\a~; '" ProPt'L,",ng 109. Othel ", Ol~t' ", 0,"" NA 1H Ot"'t! WalkIWClrk Surface S U Elevator/Boller SU Environmenl S U Personal PloleclionsS U Salely Records SU ", SmoothSurlace 160 CapaCII~ Poslell 170 Ve~lla~,(HI / 18' Hea:l 19' P.:lSltl ,/, 151, NOIlShD flOor 161. Currenl Cerl 171 lo..:\'en\llaholl ;;..;; lB1. E ~e~ 191. IlIlLlr, log .,,- '" Slarr!> NOrl St!p 162. Pfoperl~ MoM! 1721e"1;.Conllol /, '" (ar~ ", 1r.IUr)ln.eShO ..... '" Regh Rise/Run 163. fire Wafl1l1lg 173 Hum'C,I)' Conlrl 1t!. '" Hallds 193 Sfollln~?fctlon "'~ ". Hallll1alf(sl 16.&. Access Keys 174.0"""'1111 Waltl 114. r~OscfM(Julh ,,, Co!rr~PC\nC('ne(' ,.,,, '55 Pla:10rfl, GrCea 165. Other 175 HC'!'COlll V.'aler ...... 186 Amls'ltllsrlorso 195 S~lrl, Cnmlt) /I". 156 A'sle~ ell'ar 166. BO,I!:'rCetl,t.calt 176 Sna;1..,ISIMj1rOI ,/ '" PI/Ilee! Cloth '" 51', Io;'.~,pnps~ "... 157, W~I''',a) lli~m 167. Serv,ee Contracl 177 Tnt"'u:'mrrel ~, m FH~ 197. rfllt.t~ PI~lll 11'-9 ,.. L,l(l~e's '" Su:>c!v,sea Oprl 178 L '~"',ng '" lo~'. '" I.al Rr~u:!~ ...... '" Ot',(, A!. ". 01"" 11"-9 179 0:',\' '" 01"1' #.t'/' ", 01"" . . ,,,;.,,.' "',, ': ,,' :':':SELF INsPEcrltjN' CHECKLIST ,.- ::. .:" '~.:d::, ~.' ,',' t . . i(. l . II " ." '. ',' , Refer to the S~lf Inspection Ch~cklist explanations in Ih~ Safety Manual, Prior to conducting the Inspecllon r~fer to the most recent reoport form end note .ny items marked unsatisfaclory. Circle these items on Iheo current form, Pay special el1ention to Iheseo items during tfle Inspection. Mark nch item eitheor S. Salisfactory or U. Unsatisfactory or NA. Not Applicable, Items marked "U" musl be explained on Ihl' olher side of this lorm, S t,~. (:J !~, '-10 'Washington State Association of Counties TELEPHONE (206) 753.1866 seA N 234.1886 206 TENTH AVE.. S,E, OLYMPIA, WASHINGTON 96501 Date: July 19, 1989 ~,'; [0 (~f:~: ~ \1' E 0 JUL 20 1989 To: WSAC Retrospective Rating Gro~Er,:E~:::Oi\! COUNTY PtJL:JUC '80R:<8 DEPT From: Ga Re: n , August 17, Ellensburg The next meeting of the WSAC Retrospective Rating Group will be held in Ellensburg August 17 at the Ellensburg Best Western Motel on Canyon Road, just north of the main Ellensburg 1-90 exit. This is a date change from that announced in the June 29 memo which accompanied the latest composite claims report. Minutes of the last meeting are enclosed. While a formal agenda is yet to be developed, it will include the following: A report from Washington Cities Insurance Authority Director, Lewis Leigh, on the Retrospective Rating Group they have formed, it's experience, and the safety program inter-connections with their older risk and liability operation. A report from John Crawford of the Washington Counties Risk Pool on their safety program and opportunities for the WSAC Industrial Insurance Committee to have some joint safety program with the Pool. Jim Rumpeltes and Marge Upham of clallam County, the smallest county which is entirely self-insured for industrial insurance, will discuss their claims management process and its philosophical foundation. Rose Elway and one other staff member from Grays Harbor County will discuss their developing safety program and how it inter-ties with the industrial insurance program. Labor and Industries staff Ken Mettler and Denise Houser will lead a round-table discussion on claims management. Bring your questions and examples. The business meeting will include a discussion of safety programs, the creation of a safety committee of the WSAC July 19, 1989 Page Two Industrial Insurance Committee, a review of the claims experience to date, final adoption of a budget and allocation of budget shares. The ability to allocate budget shares on the most recent four quarters of worker hours reported to L&I is doomed, as some counties' reports show great deviation for the most recent quarter. The four quarters of 1988 may be the best available. A number of the member counties still have not returned signed contracts for participation in the WSAC retrospective program. Please do so as soon as possible. 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''':- Minutes of the Washington State Association of counties Industrial Insurance committee Meeting April 28, 1989 Ellensburg c, ~ Ji I.F~ [1 ~..~. rk Attendance: ,JUL ,'~(l 1939 Dean Judd, Adams County Commissioner Rose Elway, Director, Grays Harbor County JE,:. '''. ,j", "".Jui\lTY Management Services/Insurance and Risk Managemen\f>UUI,": '/'fDFiK,c, DEPT, Doug corliss, San Juan County commissioner si Stephens, San Juan County Auditor Matt Warner, Douglas County Commissioner John Carlson, Garfield County Auditor Vern Emerson, Garfield County Commissioner Jim Mitchell, Director, Douglas Co. Parks and Recreation Margaret McGreevy, Whitman County Commissioner Loren C. Moos, Lincoln County Commissioner Lois Sautter, Lincoln County Deputy Auditor Gary A. Rowe, Director, Jefferson County Public Works B. G. Brown, Jefferson County Commissioner George Wood, Columbia County Commissioner Gary W. Kohler, Ferry County Commissioner Billy L. Morris, Adams County Commissioner Bill Wills, Adams County Commissioner Bill Vogler, Grays Harbor County Commissioner Norm Skiles, Asslt Director, Walla Walla County Public Works Jean Bradley, Payroll Technician, Walla Walla County Bob Peterson, Walla Walla County Commissioner Steve Stanton, Director, Walla Walla County Public Works Janice Jager, Chief Examiner/Secretary, Civil Service Pend Oreille County Joan Patterson, Douglas County Commissioner Ken Mettler, Group Insurance Coordinator, Division of Industrial Insurance, Department of Labor and Industries Barbara Stevens, Office Manager, WSAC Gary Lowe, Ass't Exec Director, WSAC The meeting began at 10:00 AM. Election of Officers: The first order of business was the election of officers: Dean Judd, Adams County Commissioner was nominated and elected chair. Rose Elway, Director, Grays Harbor County Management Services/Insurance and Risk Management was nominated and elected vice chair. Retrospective Ratinq Aqreement: The chair led the committee through a detailed discussion of the proposed Retrospective Rating Agreement which was drafted from similar agreements of two other associations and an earlier WSAC retrospective effort. III ~',.., -,- ,I '.. . " :;: _:. ", "', "" ..:. ,! '. . "....': i i ',', , " '.. ! > ,'... ' .., ',',,' , , ::', ': ." "... .' ". . . '.. '. ."'.' :,' .. '. , . ,; ,.', ..: ,',,' '''!'' I,'...'.:.:: .. J. , ',' .... ";, ,., , ,:",!' ". :"" ."', '. '.., ., :. '..". '.' .: '., '." ..'., " .' . '., " . .,',... .,..'..,. .....' . ,".. ..,.. , ", .'. .' ";'. '.' ' ;"'" '" ".1". , > ".: '. P.;, ,'. Ii . .'. . f,~:c\;\. ;',..'. .,' . . I. ',' . :..', , , I' I":.. ,'. '.' :"" , . ,. ..... ..,' '., .' I."'.: " ::.': ' .L-o-".. , i., '. +' ',' , " ',.. " "" """ .. ,', ','" '.' I;:, , .. " ,.,.. ,',' '. ';":': " ',:.'.... . , " .', :: , ' .... . ..,.., , '.. ...'.. ;, . ,:' ". ,. ", '" , .: , ", " .... ", ' :, ... . ; " ,', , ' .:., '; .' ...~ ,: '. .' , ' '" ',,' ..., , . .,.. ' :'. '..: ,r ',"',' '"", ,'.. , ',' , .:r ,',." " '. '..: , .: ,.,..,,' .... !, . . . ':, " ", ..'. --I," '.. ", , ',..', .,.... '." , . ' .. .'. '. . . . ,: .: , ':":":,. , '...,....'. : ''',: ,:,: . .. .' ..I Several decisions made in the course of the discussion of the Retrospective Rating Agreement will shape the structure and operation of the Association retrospective rating program. Name: First, a name was selected. Because the Revised Code of Washington requires an Association umbrella for any retrospective group, it was decided to name this group the Washington State Association of Counties Industrial Insurance Committee. The Comnittee will manage the retrospective program using an agreed portion of WSAC staff, resources of the Department of Labor and Industries, and county officials and staff. Decisions required of the Association will be made on the advice of the WSAC Industrial Insurance Committee. Budget Shares: Second, a means of assessing budget shares was determined. The Industrial Insurance Committee will annually approve a budget. Each county will be responsible for a pro rata share of the budget equal to the county's percentage of the total hours reported by all counties in the program to the Department of Labor and Industries for the previous year. WSAC Retaining of Refunds: Third, a Retaining of refunds to the Association. Because the retrospective program would not be possible without the Associationls sponsorship, the Retrospective Rating Agreement will allow the Association to retain two percent of any refund made under the program. Penalty Fund: Fourth, creation of a penalty fund was rejected. Some Associations create a penalty fund from which to pay any retrospective premium assessed by the Department. A penalty fund may be pre-funded by advance payments or funded by retaining refunds until an amount jUdged sufficient to cover a retrospective premium assessment has been accumulated. It was decided that such a fund would be of advantage only if the retrospective program could become self- insured, eventually. Current law does not allow a group of counties or other local governments to be self-insured for industrial insurance. Agreement Approval: The proposed Retrospective Rating Agreement was amended and approved. Each county will receive two final copies of the agreement signed by the Executive Director of the Association. After signature of both copies by the county commission, one will be returned to the Association office, the other will be kept by the county. Questions on other matters: New Counties: Questions were raised concerning entry of additional counties. Counties wishing to join will be able to during the period prior to , '. , ---:. , ' .. :; ~ :,::) , . '" ' ':,: .': , :: . ..: " > '.'" " , I, '. '.., i': .. I .,', ,.'.' , " '.... :.' , .. i" ::,", .', : '. . ,",,'; c' , ".' , ',' ., , " . ;,:: .'..,...'......'....: ,,: ,.: : ".: "., " p ,... ...'. ", .... , ,:.:,' " , '., ,"'!',, .': .,'. i " .', .,',.. ,.....'. . . :- ' : ",':,' . , , .. : ",' , ..' .... '. .-:: .,' ",' .. , . " ,'" , :'; , ,,'.,,;: .. ~,. II i~t,"'::\~; .... ",' '1[." .'.. . "," .'. : :;, r: :' ", , .... . '. -.: .,.':! . .' :: '. . .. ..' ,"" .' " '. .',' . ,.' ',", '.. " . . ".: ' ...',.,., r ~~l . I ',;' .' .. " ,:,:, " :,;' .: ! ; . ' ".',' ,< ':.,.. .. ':. "'. . .,.,.. :~..:i '.': " \.., l'\ \ :< " i ;': :," t.:,~:I:\..;::in:j.'.. .' , I '. . , '.... ' " ..! . ," " ," ',.,' '. ,.; , ,.': "':. .,' ..... ltL?! i :, \ . ',! ,':: .' '.: ~', '. " ',' ,:' .,';: , '. "":, .., ': ...':. .'..." '.' , . :. ..... . ". . ........'.. .c"; ,'. ',i"., .' .' '..... ," ,o' " .. " ,.' . "':. ..., . .', . " .' ..,!.' , ',.', '. ...,' ',', .." ," '.' ". '.' ,,/ ' :', ,'. ..:, ::. ," ' ,'" . '. ,'. " .,' ,: " .,< :." - J the anniversary of the program, April 1. There will be no standards for entry as the larger the group, the better the total risk is spread. However, the Industrial Insurance committee could deny admission, if it determined such action would benefit the group. County reserve for retrospective premium assessment: Another question was raised about requiring each county to reserve an amount which would cover the maximum retrospective premium which might be assessed in a year of terrible losses. It was decided that the amount, 15 percent of premium, was not large enough to need permanent reserving. Individual county premium setting: A question about the setting of a county's premium in future years was answered by Mr. Mettler. Each county will continue to be experience-rated on previous yearsl performance; belonging to a retrospective rating group will net change how premiums are set. If the over-all experience of the group is consistently good, the premiums will fall but, for any county, according to its experience. Budqet: A draft budget was presented and adopted. It has a percentage of two WSAC staff positions, 15 percent of the Office Managerls time and 3 percent of the Ass't Executive Director, amounts for rent, telephone, postage, meetings, and supplies. The total adopted for the year April 1, 1989 to March 31, 1990 is $11,485.00. Proposed Memorandum of U~derstandinq: The final discussion concerned a memorandum of understanding for the WSAC Industrial Insurance Committee. Association staff were asked to draft a memorandum which would cover the following items: 1) Meetings, semi-annual and at call of Chair; 2) Meetings relating to claims administration, as needed; 3) Voting, one per county; 4) Voting, voting representative, contact person (both identified on the Agreement), or other as designated; 5) Officers, complete list and election process and date; 6) Process to review safety program and county performance; 7) New members, open to all counties on program anniversary. Next Meetinq: The next meeting is quarterly report on Department of Labor scheduled for July, following receipt of the the first three months of the program from the and Industries. .', . .- , , . , . , ", ; '. .....1.,<, , :::: ." .1 " . . '.. \ '.' ," ,', ',' , '.'.'., ",' ...'.', ":" '.. ' . i .,,.' , . " " . ': '.. , , .' ".. '. .' " E ,... ,;" ,,', ',.',.'.' .',. , .. , '.,' : , , ~Ji 1 I .' .'.. '. I Ir'~'.:):;,:~,::~,~..~:. . I , , ,.. .'1 . ,;, :. '. ' :,.' . , ,'. '.. ,', ,'; " .:" ',', .'., ,..' ,,' .,~ .,: :' . ' ,,,.., ! .... ..'. ..'. I ':~, ;'; .' . , ,.'. i :.,:>.:' . " .', , ....',.. ,..,. .. :'.. .':., " '. >...., '", .'i.,., '....' , i '..' .. , ., '.':" :' ' ", .','.. :, ," ,~ " ' ,..,", ': ," , .,' >, , ,.". .,....,.,',.'..-::- .." "", ",,, ".'.::.,' .., '. ,.... .' ',c. ", ", .. '.., .."..' ":, .'.;.'.,..',.. " . " " ':. '. :!:. . ,.' ,..' , ,.:,::'.. . .. .. .., , I';'. ' /' ".,.' L' :;/'. ,::~:h ~':"" .', I . ,..: ,,:..' , . ;' ", ".. ". . ... :', ',::. ' ',' '. .:,.... '.: '.' ,.', .' :1' ..,.. '.. .' ,.- l .. .,! \ . ,j, \ ~" V7~ ,-",;:(i:l>...."i};(~l ~~T~;;:1j }.,:;!.~,'<.{ rt~f><--~ yo,,!? JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Rober' G, Nesbitt, P.E" County Engineer MEMORANDUM TO: Tom Butler, Risk Manager FROM: Bob Henderson, Jefferson County Risk Safety Coordinator DATE: June 21, 1989 SUBJECT: Needs Assessment Survey Attached you will find the completed survey, I apologize for its lateness and trust its in the format you wanted. The Sheriff completed his portion thus the duplication of some numbers. Regarding the survey for county or pool responsibility I have designated those areas I feel we should work on together. I believe some direction from the pool in those areas of greater liability would benefit both the individual counties and the entire pool. Tom, I would like to emphasize the pool's inclusion of the Emergency Management field in its program. This is mandatory by State RCW (38.52) and has recently been discovered by attorneys across the nation. If you would like more information regarding this contact Joel Aggergaard at the State Dept. of Emergency Management at 4220 E. Martin Way, Olympia, SCAN 234-5255. Again I apologize for the lateness of the survey and if I can be of any further assistance, please call. 100% Recycled Paper ..,' , . ~I'" .', ... 'I ," ',. ! ,',. ~i':~{,"J~1 : ! "," . I ", '.',:," '.' f.. '.', ','" · , " , ' , .' .." . ',' .. ...." ". ,..,..., ' :.,' ..,... : : "".: '.. ".,':'" . ,.' '.' . " ' :.;:,. ; ,.'.'.,.....' ,.,. , :.' .,'.... :;" 1 . : i.., . ... , f:.... ; " ' :'., , :. " , , ;..'..' r. ,'.. ,.' 11. i .', ..... ..: .<' :':-: , ~: --~:~":, ',; '<.'.... """., .." '" , ,. : , : '.'." '...., . "" ," . ' . ". '".....;, .... ' "", , ",',." ;;:. ...., ",,;.' " '.: .., .. " .. ..'.. '.:.., . '''. ", ~ .,',...".,.: :; ,.:,:' " . '::' . ,;". ';', , ,.,' '::.',..: . ,..,..'. ,,;,,' ,..-.J... ...' .. ,.... " "...';'. '-"-- J .v':: :, ",,' ,.' ..': .' , ::,," , '" -'. ,:',' , i , .',,' : " ; ,',.t.., :' .... . " . . .,' ,". .<.. .' r '.,. .....".'> ", ...::..1: . ;:i: "'.' '... j .'..'. " '.' ", f .. '.,'. f I\i;':" ",' '.'. ...', , I. :, ,.,. <: ..,' ! .' ',.'... r :., , ,,' ., '..:"'..' ,: ..'..,. .,. '.' . .- .::' '.,', '... ',",'" : ..,", '.... ". ",:",' ,'... ....',., d. '. ." '., .'. ,." " ," , " ,\ ,.,' ..' .. ',', . I:' ...,'L .," ,'... :'" " , :.' " ,... "",' . ", .." ... .'.'. ','..' '. '" " '. ['I, ,.' ' l:L. i I..,. I .," ; , ".- . : !' I! \ ('~tV~} ~ ......,'..,..:. :.' , ;'.':;;'\",. ,I,::' .' ,", ':' '''' ::, .' .. .'., I :. r r '" ' " I ,'. I ( j' I ',:, ' .. I , : p, ':",'. t ~ , ...' " r :" ( ,," i 0 " ,', '.... WASHINGTON COUNTIES RISK POOL QUESTIONNAIRE I NEEDS ASSESSMENT QUESTIONNAIRE , " .1 ' :: <I '.'.. ' ~-- .... ... '..'~ "'.'-;':: ,'.; l ". t I'" ..,.. ' " . , ',.',' ! . i l' ,....,. '.':, ,': " ".,' , , ',' ..'. '. ': . ..'. ,co' '., .".: : The following is an non-comprehensive list of possible areas where the Pool might be of assistance to the member counties in developing their loss control/risk management efforts. Please indicate a number next to the issue in the order of importance ( i.e. #1 would be the most pressing issue you see as requiring attention, #2 the second most pressing, etc.). If you have a subject that we have overlooked, ,please list it and provide a weighting or number to that subject. We will then tabulate the results and set "Pool" priorities based on the preferences outlined in Questionnaire II. ~ Safe Driver or Instructor Training (D. D.C., Smith System, 3.D Driving, etc.) t._.~, Juvenile Detention Facilities ,'..: 4~a Jail Inspections ...1L Sheriffs Office Supervisor Training ....lL Sheriffs Office Accreditation ~ Public Works Training ~ Road Department Incident/Accident Reporting Procedures 13 _ Road Design - Documentation 14 _ Road Signs/Striping 15 _ Flagging ~ Individual County Risk Management Program Structure/Development ~ Safety Accident/Incident/Close Call Investigation ~ Individual County Supervisor Training ~ Motor Vehicle Record Checks ~ Accident Review Committees ~ Driver Recognition/ Award Programs ~ Fairground/Parks. User Contracts ~ Personnel Manuals/Assistance ~ Parks Department Equipment Inspection/Checklists ~ Other (please specify): Emergency Management ,'..' .. , . , :.,. ,....' ,: , :. . .:. , " .' .,'.'. : ... ,': " . '," , ' . .. " , ,..,~....'.. .. ':"; ... .', " ': "':" ':, ' '. :. ,c'. . ," ,. .': .... : '. . .' .': ' ': ..'..., '. ,"',:. ..' '... .: .,...'.".::.. ':.' ,'., .-.J . :. '" '. . ".. . .' '., .. '. . ;, . "':, , ',..- .:.... '; . '" ' .: I '. I '-.J"'J' .L 1r'~7 'II . , " " "" '. " " . ',' ,..', . 'e , . ,.".,e, ,', ..'".~ .e .~ ':'. :", ,".'.. ,'", "'.' i': ,,': ,', ",:' " " '., . I '. '., ...,. ':,' ".,' ,: ' .', I, "":" .: :. .' .',' '. , <,: '.!'. . '.. e,:, . ,: ;...., , "..." . ""'. <, ",,:.. : ,"'.; .. ", '''. e:'" .1:.,.', ..., e ,C ,.., ,,' '. ..: c'. ," . '.. ." '-:-,..,. ". e'..... '., " " . ' , . . .... '.,:, '. ,,' i, ,'" .0' :'" . ;. ,., " ' . " :' ~ "":"" 'e il ,'. , .I . ',' Ia I'~ I: I '~ I' 1 " WASHINGTON COUNTIES RISK POOL QUESTIONNAIRE II INDIVIDUAL COUNTY OR POOL SPONSORSHIP For the following contract services/training assistance, please indicate if you believe that those are best handled on (P) Pool basis or (C) individual county basis: PorC ~ Safe Driver or Instructor Trairung (D.D.C., Smith System, 3.D Driving, etc.) -L- JuveruIe Detention Facilities -L- Jaillnspections -L Sheriffs Office Supervisor Training --L- Sheriffs Office Accreditation ~ Public Works Trairung ~ Road Department Incident/Accident/Reporting Procedures ~ Road Design. Documentation ~ Road Signs/Striping ~ Flagging ~ Individual County Risk Management Program Structure/Development ~ Safety Accident/Incident/Close Call Investigation ~ Individual County Supervisor Training ~ Motor Vehicle Record Checks ~ Accident Review Committees ~ Driver Recognition/Award Programs ~ Fairground/Parks. User Contracts ~~ Personnel ,Manuals/Assistance ~ Parks Department Equipment Inspection/Checklists ~ Other (please specify): . " . II . " . .., . ".,. " .. :i" , '..e~" " ..', " "'" ','.,,' , ..,' , e, ,', i ., ,.....: "', , , '>':,., ".:;, ; I', I,' ., . " " I I,... I 'f I i'..., .,.,'.} ':'.' ",:' ,i : .e;. '. " ..e .'.'ee,1 c', ..,' . , ,'. .: ..,:' , ',;' 'e...: e: .' '" ,':, e, '" . " " ......: ,':, ',r :.. :.', . ! ........'..' ...:.:',:,:e;,..e..,,' , '. : . ,I ". " ,'.. .. .' , :," ;\; . .',,' , ", ..., ;"'1 ....<1 '-, J.. ~ -;~':_:] .,..".':' .'.".. ,"'. ", "'. " :" ":,,."" , . ", ,'. : .:'.,' :,,:1 '. ;' I :; " :> .. ., , ,:,! :: . " ':'r , .~:I , .,".iO;.. .,.: ,.(' :,'.. , . .'. , :',.' :. ", , , ;' !, i" . : . .... , , .:.,...'. " .'.', " " ':.."'" ,'~' . ,.: '.: . ...',..,: ".... :"',', 'i' '" " ',. :..' .,.. . ;,:'. '" ,,: ,...'..,.' " ",: ":"" '. . '. ,', .'..l~ .... ", ;"<:,.t::, '.. " .. '," ','.. ':;.{~.;':J'i'l ':, " , ; :. ,..,. ...., , "i. ' .',' '..... .,' ',' ,'... '- -'. .,.'. ,I,.....'..... ". . l:L-'" .,........' ~. '~ \ I': I, I ~ I: I;, I \ ~';\~/jl-W";.7, ~,,~?J.~.,~~~f: ~~*,"-'Ci' r(?''''''~~-'' 13<)\'" --.,. " r40Z- JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P,O, 80x 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E.. Director Robert G. Nesbitt, P.E., County Engineer August 21, 1989 Mr. Bob Holcomb state Aid Engineer Dept. of Transportation Dist. #3 5720 capitol Blvd. Tumwater, Wa 98504 Re: Intersection of SR20 and Airport Cut-Off Road Dear Bob: We would like to proceed with design of intersection improvements at the above referenced intersection. We have a consultant working for us at this time so it would be timely for design work to proceed. We will work with Brian Ziegler on the actual layout of the improvement, unless you would rather it be someone else. I am committing the County to proceed with this work assuming that the costs will be applied to the County's share of the project total. Thank you for your assistance. Sincerely, L/t2<7 a I?~. Gary A. Rowe, P.E. Director '00% Recycled Paper . '"""" . - ": ,": , :', , " ,'..,.. ,".' . '. "''':, . '" ! .', :,..,:' ,... " I .,' ": .' ',:~ I .': " I 'C\" , ! ':,','. . .', ' ... , ", , ," ." . ,'" .' , .' . "',.'. ..,. . , .' ',':'" ..'. c. .. "/ .. , . :',: :,:. '.':, . , " , " ," f': . .' ,., ,'" '-" ,".. ...,,: ,,:: ..". . ' . ":'" . ",:::- ..,' ", :' ,'. "': .... , ":', " , ..' '. I', , ",.-, ~:', .' .. ,', , .. , " ..... ..' .1 -, "'::,' ":. ' T..'.: ','. -j:.'.. , J \ 3;;;-~ ~-,ilJ,~~"", /, ,..3fA"n'''''--, fF'f!j),<< (;;,~,~" tt-.C;J'" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1 820 Jeflerson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 365-9160 Gary A. Rowe, P./E., Director Robert G. Nesbitt, P.E., County Engineer August 21, 1989 Mari Phillips, Vice President Quilcene community Fair 450 Penny Creek Road Quilcene, Wa 98376 Dear Mrs. Phillips: Per your request, Jefferson County Public Works will provide a drop box for free disposal on August 26th. We will put our open top box at the Quilcene drop box site for the Quilcene Community Fair group to use. You will need to provide the people in your group with a copy of the attached authorization so that the attendants on duty will know who's dumping free. The intent of the free disposal is to minimize the cost to volunteers who will be cleaning up the community for the fair. People who are dumping their regular household trash will need to use the regular drop box. If you have any question, please call. Sincerely, ~a.<JQ J?~ Gary A. Rowe, P.E. Director xc: Bob Nesbit Joe Such. 1\02 100% Recycled Paper L Jr.~ ~~~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Slreel P.O. 80x 1220 Port Townsend, WA 98368 (206) 385-9100 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer LETTER OF AUTHORIZATION is permitted to dump refuse at no charge at the Quilcene drop box site on August 26, 1989 in conjunction with Quilcene Fair Associations "Fix It Up _ Clean It Up" day. ~J~ a. KtkA- Gary A. Rowe, P.E. Director 100% Recycled Paper I C,,:, r," {f;: " fL) I;, Lf\\ [' i'fi r " I, i /',1', lJ August 3, 1989 :.! 1 ~:....' ~', .I Dear Oounty Commissioners, The Quilcene Fair is ~lickly approaching and we would like to tidy up a bit befor.e company comes to callI! We have tentativly set the date of August 26, 1989 as our"fix it up- clean it up" project date, and would like to have a free dump day that Saturday if it could be arranged. After talking with Commissioner Dennison we understand that no toxic material and no commercial dumping would be allowed. We are pretty excited about this project and am anxious to hear from you. See you at the fair. Yours with broom in hand, ~D:,/ 'j Mari Philli~ Vice President Quilcene Community Fair. -;;J \:) J' ~ ~ ~ ~... t\\ i... '/\ ':l ~ :l;: ''<:;t ~ ~ ~ Q.. ~ t ~~ (~~~~e," . , .,., ...,;1 .' '; " " " " , '...' .. , :'.. " ., ' , ; ,', '. . ,.' :, .." .' ~. ' , ~,"', . ~, " " , ' ,.' , ' ,,' ".., ',','" : ''"'''. ' .." ,..,.:: ,', " " .,....".... .. , " ,': ': ';:, ': L ..:-..: ',; :,' .', ,,", ',' : ,,"'..' , ':.,' I: " , : ,: ", ,: '..' : ",.'" " '. . '.....:::.... . "'. ' r:, I , , , ; : .,'. ", '.. I':;' '.::' \' ! ; i , I' /'. , ! \ \ :, t ." 1:,[' I' L '~, $ VvJA IJ4, I{) ,0) . .;', " ,::: ' '..,'". :', ' , " - I ',' , ': " ',,' ""'" ." .. , ..',.'.... " . '" ,. , . :;.~ '" , ::,', ," " , .. , '..'. '. ",:' , , ~",._~".,fJ..7i ',,) 1!' '" ", >{),~,j;'; , '< '\:,,["'nf'J/=-.o. :gt;:~orit.~(~ rrz.J&',~'-"~ 1/'\11 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS \ 1820 Jefferson Street P,O, 80x 1220 Port Townsend, WA 98368 (206) 385,9160 ,. , ,.,"' , " I . ..', , " ", . ',', " , , ., .', ,..' ".", , , "", " " i. , , .' ; , : . I," ,..' , " .. .. ;,': ,,' >:;, Gary A. Rowe, P.E., Director Robert G. NesbItt, P.E., County Engineer MEMORANDUM TO: Water Quality FROM: Robert Nesbitt, County Engineer plAA-- DATE: August 16, 1989 SUBJECT: Big Quilcene Flood Problem ': The Department of Public Works has contracted Dr. Donald R. Reichmuth at Geomax to study the problems of flooding on the Big Quilcene River and the Dosewa1lips River. This contract is part of the Department of Ecology's FCAAP program. Geomax has finished all the field work and the contract is close to schedule. , I ~ Don Reichmuth's plan is to develop gravel traps and mine the gravel to reduce river bad load. This will help reduce flooding and allow the rivers to become stable. t , : -::" .'.'. .::" , , , , ','..' . ... ,:"" : '. ,:' .' ',i,' " . ,. .. , " .", ,,', "'. ".,..',.... ':,"''', ,:",,':.. ':, !,,:,,',",',",, ,.' ,,',',,' . " ": '.' ',",:' ,.." ,:', --1,... ':,' , ",' , .,' . ," ,; ..~ , " ,.'/;.: , .',., ,"..': ,.,." " - j . '00% Recycled Papor '. ';'" ::.c.. It .. , , '1~;~' .. " ; " ,", i' ""', : '/ :.,i\<,' \,:':} ;. ;,. I~ I 1,\ ( v i Ii Ii I.., ; \ (, ,', " \ ; ,', >" '.. ,'..:" ,', " , ,.' ,", ",' ,~'.~ 1 :J 'I '!1 J ., ;j I t ~ ":~."''' J ,',' ", ' ....'. " . " ".'" , ,'.." , , ,'..,' !:' } """ ,:'. , , ' " ,'. , " : . '" ' '.. " ! , ,", ,',': '," , .' .. , ,"", :' ',:" ..< ',' ''', . ",' , "":" " ,. '>,' " ." > , " :\'" "..., :', .,':',., .:,~,~, ,', ," ',' ' ", " ',,.!,, "." '. " :..,' ,'" . , ',' " ,,' , . " ,I". ,,} ",': , > : , , . ,':, " , '.' ':'. ,'" 'i' ,: ,:' "..,.', ""':'" " ," . , ':"',L "".; . '::' ", ': ",' J':" :",' ,.. : '::' ,',', ,. , '... ,:'. ' ,.,.., ..,.:" ,', !., ,,,. ,... " ' . ., "', :' ",,::,,'" I' ' ',,' . . ,: , ", ............. " ' ~ ' ' !',,'" " I' ,} I: , , " : ' . ' I, " I'.i,: ''.' .. I., 'i: . " :> ", ,'.:.:, ,'" ,. , ,'.;: ". ~~ "''':..' , ",. '.", ,':', , ':, ",',',,',. " '" '" ',ii, " "': ." " " :"',:,: " '." : '.: : '" 1 .} ;ZW?4- eftl, ffd ~d'/' otdV ~y 5/<,!.!51l RECEIVED ...... ill r;:;~~::'':~t ~~a;~an~portation OffIce 01 Dlstnct AdminIstrator 5720 Capitol Blvd. KT.11 Tumwaler. Washington P.O. Box 9327 Olympia. Washington 98504.9327 MAR 2 2 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT. Duane Bercolson, Secretary March 21, 1989 Gary Rowe Public Works Director Jefferson County 1820 Jefferson Street Port Townsend, WA 98368 SR 101 XL0032 Vicinity Brinnon Shop Road To Jorstad Creek Bridge Dear Sir: The Department of Transportation is currently preparing plans for the improvement of 11.96 miles of SR 101 in Mason County and Jefferson County, Vicinity of Brinnon Shop Road to Jorstad Creek Bridge, by drainage improvements, pavement repair excavation, crack sealing, bridge deck repair, membrane waterproofing (Deck Seal), paving with asphalt concrete pavement Class B, constructing beam guardrail, replacing guardrail on McDonald Creek Bridge with concrete barrier, pavement markings, permanent signing and other work. This project is currently scheduled for advertising in May 1989. The State is requesting this letter represent authority from Jefferson County for the State and its Contractor to enter on County right of way as necessary to perforn, such work as deemed necessary. Jefferson County, by countersigning in the space acknowledges and grants permission to construct the requested by the State. provided below, improvements as This permission to construct shall be effective beginning on the date of approval indicated below, and shall terminate upon completion of the Statels project and acceptance of the work by Jefferson County. We are transmitting the original and one (1) copy of Please sign if satisfactory and return the original. cooperation in this matter. APPROVE4~A' r!.-~P-e<"".. ut~. ATTEST r0"~r?/j'1 c< -..f. /).J> f~/H c'L__ DATED 'z.J::~ 7/''7 9 &' I 7 the correspondence. Thank you for your Sincerely, ATS/da DWF/DAA Attachments cc: M. Leitch D. Freeman ARTHUR T. SMELSER, P.E. District Administrator I)I;~) Jc~NW- BY: D. W. FREEMAN District Plans Engineer R. Horton G. Wright (KF-Ol) -"-~~'1'r-""'P'"l" i I ~ if ! I , '" ';' -".,".: . " h> , .' .',' , ,I ' '" . I,:;' .' . ':........ " ,.,' . ",,'...'. , .':< f' '."., , .',. " ". '. .. , " ." ,.',;,:'. , , "" . ,.,' ..". ,".' " " , '..,..'.:. , , ", I ',., '.' . ' I.,.... '. I' ' I..' " ',\ ~ ':, " ..; '", ,'", ' ',,'" "", " .... ", ,:'. '":./,,, , , , .. '. ~ , "',' ".. ',' ':" '" ,:'.," ,,\ L , ---.J I , --' " , , ."".:. .. , ,1 J E./ :' ,,'I" " ". :,," ,(;I.~ > ."" ;;,;~; i ", " i: " , , ' " .. .' " ;', ! , ,', ..',. ..,. " ,.' ,.: .. :; ,.,' ;" . '. " " ' '.. . ,. " ' ..'''...". , : , i ",' , \, t ; , ': " )i '.. , " }: ! ' ,',' , '~ '..' ,: " , ',' " , , , " "..,., ': ' ":.' :e, ,',;.. "" , " ' ' '.' ,,:, , : ',': ",: ' ", ',' ,': .' ' , : " '. " , ' , :, ' ,.',',' '" ';, , ' ....'" ":" . .< --- "i ,'.", (:C, , ,,(,',.1 '," .,,"',' " ; ",::' ' -'e ' ' I':' , ,:." I ; L..::..: ,. : l, If I 1\ r 11 :';..:..' " '::: ": , ,,': ,', :", :, i: , ,,: ',':' ':, .. , " ~..... \ 1'"tt ~:,'[.li.,~~,...g.~ 11" ~~ ' /~.~ \1' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P,O, Box 1220 Port Townsend, WA 9B36B (206) 385.9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer MEMORANDUM TO: Board of County Commissioners FROM: Gary A. Rowe ~ DATE: August 2, 1989 SUBJECT: Gardiner Beach Road We have received complaints from Gardiner residents over the increased traffic on the Gardiner Beach Road. Apparently tourist have been observed traveling the one way street the wrong way. Additionally, horse drawn buggy rides are using the road. Copies of letters are attached describing the situation. The signage in the area was recently reviewed. We are planning to install an additional "One-Way Traffic/DO Not Enter" sign and an arrow marking on the pavement. The matter of wrong way traffic has been referred to the sheriff for enforcement. We are contacting the residents and property owners along the road to get input on further restrictions to the traffic on the road. We will have a recommendation before the Board on August 14. xc: Dave Goldsmith Mel Mefford A02 100% Recycled Paper "'~.......~ ".. ~- ~vq:"dllI:'~~(9"~'i1"j(;j[>-' , - , " '...'.'; " ( " : ,: . . .,.,..- ,; , . " ' .,':' ", " .',.', ..'. .., I '," :, ',' ' ;' " 1 I t ~ J J " , ", , ' " ,',' " ,:' , ,';, , ,",' '.. " ...', '..:, ,:' , ,,: ".', '.....' '.'.'.. , ",' ,..' : , : " . ',' " : , '4~',:"'" ,,' .',:',' " . .." " " , '.,..' '.,. ',...,.',':,..." , ' , " ' ' " ' .. "::.",; '. ,:<,: ,,'. , , ' ,1....,'" ,,' ---:, ".',., ,.' ,", ,', ".' ',,' .', ," ," ',,', e' ':, ," ", , " '" '" ", '.. .. ;::, , , ,J .'::: . :" I L L "."~.:.'-.',..." L ~ ~O[jiJCID [X]l7@]O'@](\l]OOCS lm@]O'OIJUCY @][jiJ@] lm@]cs[)Qow@ July 31, 1989 TO: Mr. Dave Rowe, Director Jefferson County Public Works Department SUBJECT: Traffic on Gardiner Beach Road We wish to express our concern over the ever-increasing traffic on Gardiner Beach Road -- particularly on the narrow one way section that runs west from the boat ramp to the top of the hill where it meets Rondelay Road and "Troll Haven." For the past few years we have experienced construction workers and their many suppliers driving up and down all day long, when most could take the shorter route on Rondelay or make use of the two lanes available on the west end of Gardiner Beach Road. With the addition of more carvings, the purple "castle," and horse-drawn buggy rides this past year, the out-of-town traffic has now reached gigantic proportions. Vehicles slow down as the first, fence post carvings come into view, or they stop suddenly and back down for a better look. Many pull into our driveways for a turnaround and/or to ask questions and directions. One driver operated a movie camera while his passenger 'steered the car (photo enclosed), and many stand, up through thei,r sunroofs. One car went into the ditch last week. We have recorded some of the vehicles on video tape. On Saturday, July 22, there were 80 vehicles during one 3-hour period, and 75 in 2-~ hours on Sunday, July 23. Multiply that by the daylight hours, all summer long, and you can see what we are facing here. We ,are enclosing photos of a greyhound-size tour bus,Totem Coaches, letting out its passengers to walk around with other cars moving up and down the roadway. Sherwood Manor of Sequim; Janssen's Charters, Port Orchard; Olympics West Retirement Inn, Tumwater; and other busses ,~ make regular visits to this area. The ultimate solution, if only during the summer months, would be to somehow dead end this section of the road -- west of the boat ramp and Henshaws' residence, 'up to a point to be determined but including the Movius and Warner properties. Immediate action in the form of more one way signs posted, and "up" arrows painted on the road once again, would certainly help until a more permanent solution can be found. We respectfully request~ur help to resolve this annoying and very dangerous p~o~em. ((JJ~)j, ~ :~zerelY~ r! ~ Wayne G. nd P~J1lK'1ng ~ Louise E. King ~ 751 Gard ner Beach Road 781 Gardiner Beach Road cc: u~~rerson ~~~~oners Jef1.':'cf.ll~lh9r.~J;'rlli~.x, J'hm'.?~9~ G~:a~~r'b~~'1Hl~8d, S8qulm. WA 96332. (206) 797-7491 ~,~~~~~'IW I I l n [I I " ! i' t t ~ ~ ~ July 27, 1989 Dave Rowe Director of Public Works Jefforson County Court House Port Townsend, We.. 98~68 Dear Sir: Ws want to exprsss to you our concsrn about the tranendous ","ount of traffic that uses the road in front of our property just to gawk at Mr. Bandy I s properties. these curious onlookers etop in the middle of the road to take pictures. Although this io a one way road, they drive in both directions. the almost steady stream of traffic, especially on weeksnds, is very annoying. 1here has also been "Greyhound" size tour buses bringing peopls out hsre. Ws heard that it was advertised in Tacoma and in various plac'es. This has always been a quiet residential area, 'but since Mr. Bandy has buil t, and continues to build curios to attract the attention of eighteeers, we are very disturbed. Mr. Bandy himeelf is seldom here, but he has caused our quist and peaceful neighborhood to be a most annoying placs to live. We have lived here for ,5 years and we feel as though we should have some priority as to whst goes on around here. 1his si tua~ion is getting unbearable (which is probably one of his' tact1cs.) Clould you do arvthing to help us in this situation, and stop this nuisance that Mr. Bandy is causing us? Is there any reason why the traf'f'ic to Mr. Bandy's properties cannot use the RandelBY' Rd., which is mUCh shorter and goes directly to the Bandy property? A sign could be put up at,the Gardiner Beach Rd. and RondelBY' Rd. corner., and then close Gardiner Beach Rd. off west of the boat ramp and dead end it at Bandy's property. Very Sincerely, Mr. &, Mrs. Harry Henshaw 7;t:J Gardiner Beach Rd. Sequim, We.. 98,82 m~d0'?~Lvr-- &:' , /' 7/ -7f~ f7-~ fZ~~~ '," ,"f " Ie;" lif"" :., .;:-;~ '? id ~~ Kjr r,u::; 2 i989 clt:FI:EH:':;UI', GOUNTY l"Ui3L!C \,VOFH(S DEPT, \ \ ~'$;,~,,~;, ~,~.~..,.~~~a,. .,;::t)$i......_,- ~~;:~\ \!' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P,E., Director Rober' G. Nesbitt, P.E., County Engineer August 2, 1989 Louise E. King 781 Gardiner Beach Road sequim, Wa 98382 Re: Gardiner Beach Road Traffic Dear Ms. King: Your concerns over traffic on Gardiner Beach Road were recently passed on to me by the Planning Director, Dave Goldsmith. subsequently, I received your letter today providing more detail on the traffic problems in the area. A copy of my memo to the Board of Commissioners is attached. In the memo I've stated that we plan to correspond with the residents along the road regarding further restrictions to traffic. If you want to add further information to your comments, please do. Letters will. be sent out this week and we plan to present a recommendation to the Board on August 14. Sincerely, 4fAPJa.K~ Gary A. Rowe, P.E. Director xc: Board of Commissioners 100% Recycled Paper , .... .'. " :. , ,'" ..',..' ::.. . . :," " ,: ;", " ,.'> .; , ' , ' ," " : , , ,,> ,',. .:" ;:, . ,..,..; .',' ..'.;. . '.',' ..'.. , '." :.',' .,,' : ,i< ,).,'". "",." '...,. ;" , '. '.. , . '''', ,', ..', ' '::'. ,: '. , , , , '.' I,' :." ": ". ' 1;,1,,,,',:'\'.<:,: ,'.",'",L-' : ' ':'" ':;" ' ',.' ;, \' ,,:: '.. ' '" ': "';" . '[ '." ,:::" , ,.', ,.. '.,,', .' .' " .,'; ',.'; '" ll_~.' f:'; : , , " :~ :}iJ"!l';~/ : ' ',"'"..'... , -.... :" " -',' .", ,'. ".':.,'... '," ,'.,', ":,,,'; :', ',,' , :' .. "',' . ',.',"., ,'.., , '," '" ;' ',' ";-:':: ..,' , .. \ .....",..\,'\~ '~'2W! ~')rl!, >K~;'fiY ~~:~ 11('7," ~, '::::~ '3:"" '''- t.' \, \'" VI JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P,O, 80x 1220 Port Townsend. WA 98368 (206) 385.3160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer August 2, 1989 Mr. & Mrs. Harry Henshaw 781 Gardiner Beach Road Sequim, Wa 98382 Re: Gardiner Beach Road Traffic Dear Mr. & Mrs. Henshaw: Your concerns over traffic on Gardiner Beach Road were recently passed on to me by the Planning Director, Dave Goldsmith. Subsequently, I received your letter today providing more detail on the traffic problems in the area. A copy of my memo to the Board of Commissioners is attached. In the memo I've stated that we plan to correspond with the residents along the road regarding further restrictions to traffic. If you want to add further information to your comments, please do. Letters will be sent out this week and we plan to present a recommendation to the Board on August 14. Sincerely, ~fWJa,K~ Gary A. Rowe, P.E. Director KC: Board of Commissioners 100% Recycled Paper '.~.w""'V"'" ~~'1~_~, . -' .',,' , : , .'. ",.' ,,', " .',", " "',,., ,.' " ," .', , ,',.' , ';.. ,"', ' ,:; '". : , ' , ' ,'; I ';" :', : ," , , . I" ' '.. ;." <, '. " ", ",.. ! ',.... ,>:,.., . : ,'" , t ,:.i: I I I I ' i/ , : ", :.. " "': -"...,,': . ': '.. ",'" ',:' .,: :, : ":,, , " ,... " : '" ," , ',', :-' " J '; ,:.. '. ' ,. " ' '.~ . , ; " ,'... ..' . ':. " i,: '.', " ' ," : :'" .""," :.... " . ':' ': ",' , , : ".,,'::, ' ': ,',. . ',' ,,' :,', , ::, '" ".~' " '. , :. .' ' " I:' <.:. , . : " , ' ", ,', . ", ' ,':'" '.,...,', , .. ,." , ' ' " ..',,'.. " , :'" ' ',: " ,I , ' " '" '; " " "'" :'" ",'" ',.:" .. .', : , .. ", '" I~' ,',., ',' , , ...'. 1;-'; ";" .I. -L " "'.,' ,,' '; .".. .. "..',';, , ,: .. " \ ' " '; , " '. ", ',,: . , '. , , " I' " ,',' 0" , .' ,', .' '.' ," , : ,',' :', > ' ...'" '." ), ,,",' ' IlL . I " , .' "'" . l'''- :' ' '~ \ .c,,\~;n;::;;t}-1 )',r, ?f'f,tJ!:" ~'/:t.'P4'=-;; ;.....,~;--::r (' :J '",,$,""'- ~ f<:jr-'" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P,O. Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P,E" Ditector Rober' G. Nesbitt, P,E., County Engineer August 2, 1989 Wayne G. and Peggy King 751 Gardiner Beach Road sequim, Wa 98382 Re: Gardiner Beach Road Traffic Dear Mr. and Mrs. King: Your concerns over traffic on Gardiner Beach Road were recently passed on to me by the Planning Director, Dave Goldsmith. subsequently, I received your letter today providing more detail on the traffic problems in the area. A copy of my memo to the Board of Commissioners is attached. In the memo I've stated that we plan to correspond with the residents along the road regarding further restrictions to traffic. If you want to add further information to your comments, please do. Letters will be sent out this week and we plan to present a recommendation to the Board on August 14. Sincerely, ~cwt a.~..-- Gary A. Rowe, P.E. Director xc: Board of Commissioners 100% Recycled J'l'aper .. -~ U"'JUlsl~ ;' . ,"-- - , :" ,_',', '. t .', ,; , ;..' " " , , ",.' ',,:' , ,', ':> . ' , "., , ',,' "'.' . '" ' , ," "" ' : ,'.:, " , ". ,( , ,,' , : : " ,,.. , " . ;, " .'.,... '. "', " ' ,,'.:',., ';'.' , ':,:, .',:.' ;, : .. .. '.'" . '':' , ': ":", " ;..' ," " ....... " "" " ,', .' :,.'. ' . ',,;', .." ",....,., ":,,, ..,', .',.': :', ' ,:" " . '::' , '" , ,'. :", , .,.':'.",. i.." .' ,', .', ':, ,',. " " .':.. " ...' ,.,., . " , , ':,' 'I,,' ", '_I,'" ,', " , ',,' .., " "'.. ,.., ',' " ," :", '. , .', '" :: ':,' ' , ,.; .....J';; : J ',,/'"'' ''',,':, $1 ',' .. , ' , :' " ", , " ,.,..,,'" ", ;, '.. ,,' , , ~i~~ ! '..: ,:,," ", , " " " ',' , " -., '.' ,: " " ':" ,', , , : ,'.i' .,.. , :, , I;, ;: ,," : It : '" ,,,: " ' , :'i\ . . ...."., " : I ~ I'; :",', , ''':., .. :'..' ~ ", , '. . " ".,.,' .,., .., ",' ':. ',', , , , '... , , " , . . ,," ';,' " ; ~'i I I. .'.',.' ,," I ~ .' "", . . , '.,,", ,'I" I ,.':: ' ", :',., ,'. " (, .'....','.'.,'..,",'."., ',' ; ',', :,.:::: .' :" i: ,i,' ".'.,' ~ ' ,,'. : ' '. "', , :::,,:," .',', '",,: ',... ,..,. . ',. 'I,.,L:".'." '.. ',:' ',' ' " '~. ",' ". ',:,:" ,'. : ': " ' '.,,'..""?'" ',' .. ,',,. "', : '. i'::' ", . '" ',' , '" \ t~tJ0 ~''i.:;,~g,.''i~~:::. _ ~.~~t..::l '/~/~~;.-....., Jl/~~~ ~ ,P"J' , JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, 80x 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E.. Director Robert G. Nesbitt. P.E., County Engineer August 4, 1989 Mr. & Mrs. Martin 831 Gardiner Beach Road Sequim, Wa 98382 Re: Gardiner Beach Road Traffic Dear Mr. & Mrs. Martin: I received your letter today regarding your concerns over traffic on Gardiner Beach Road. I am enclosing a copy of my memo to the Board of Commissioners in response to your concerns. In the memo I've stated that we plan to correspond with the residents along the road regarding further restrictions to traffic. If you want to add further information to your comments, please do. Letters will be sent out this week and we plan to present a recommendation to the Board on August 14. Sincerely, kJ~ a.Kn Gary A. Rowe, P.E. Director xc: Board of Commissioners 100% Recyclod Paper , :' .-~ , , ..:; . c~ .. ',' . " : , . > , , ' ':'..', " ,',', ,,:" , " '..':" ," 1 " ,'," , [I ". " ',:' ." , , , ; ~ ) J ,. i: i " .. ,:' ':' '..' , ','" , :, ..' " ' , , . '.,.'". " ,," : " " ..' , : :, ."," " , , " '"'' , ,,' : . ,,',;, ..:: ", " ,', !< " ,,' .- ,," I ,', '" -", , , , ' ,: , " ,.', , ':' , " , ',. " , :" '", , , : ;/1 II .!II j ~ ....i," , l>J, ,"'.:> '" '\;~f'"'''''' " . . ~.., :;, ..,"..:..','"..", " '..'.' "..' ',:' .'" ' ' :"'" ',< ,<,' :" ,: ,", , ",'.- ",,, ........ .. " ..: : ,',' . i.'" , ' ':. ' '" ': , ,'~:~:~ t " .',; : ',,":. "" ! ',' ".,.', " I. ", : ; : It I: '.........., \ August 4, 1989 ':\:'-C,,-,/ ~ ~~{~!';:~,lJ{ ~~J;'(, 'rz,'&,~:r-. l~~' "J~ . ~, Mr. & Mrs. Warner 831 Gardiner Beach Road Sequim, Wa 98382 Re: Gardiner Beach Road Traffic Dear Mr. & Mrs. Warner: JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P.O, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E., Director Rober' G. Nesbitt, P.E., County Engineer I received your letter today regarding your concerns over traffic on Gardiner Beach Road. I am enclosing a copy of my memo to the Board of Commissioners in response to your concerns. In the memo I've stated that we plan to correspond with the residents along the road regarding further restrictions to traffic. If you want to add further information to your comments, please do. Letters will be sent out this week and we plan to present a recommendation to the Board on August 14. Sincerely, AJfUJa.J?- Gary A. Rowe, P.E. Director xc: Board of Commissioners 100% Recycled Paper , \ , , " " ',; .,:: '.', ",.' , ,: " , " ,,' :-'" :.': ',' ' :: .: " .', < " ':,', " :;, ,':',;,, ;, ,,' ' ': ..,,:, "',:,,', ..,' " ..', "':, '.., /, "',',::, " ,', ,', ",: " ,', ", , ,',' I"',' 1;','/ . 'L ! ,', < '. ",.. ':,' .. ..',,'., Ii:' , ' , ,,' ",:, , .. ,: , ,. , .,', '.', " .' ' I>' . ."" ' , , ' :' .' ,.,,' ~~L 'II , I "'",',,..' l ! .', ',' '., ,'... : I I ' '..',' I I-~ ..' I 5.,' , I' ',',,'.' '.." n ".,,'.......':",..'." II, " , , , " " '. .'.','," '. ,,'.'.', ' .' "'.. ,'" '..,.. ,: ;..".'.:." ", '.. 0" ',;, "~I:,'"~ ":', , :', ,: '. ::.. ' .. ,,',.' ,': " . " . ";' '.. , ' " , , ,:;', ", , " ' ',', " i', . , ':',. :'", ,', ,;',' , ,:', ":"', '," '.. .,' ,. ,', " ,:'," ", ,> " , .. ,."" " ': " 'J'" ">:'; :..; ...., ", , , ,';: '...;' :', " ."., ' ':'1 , ""'1 "'" :', ',". :1 , --:-:- J .' ,'.'. "',. "'.' >(~:,;<r: '--' " ~. :c, " .': "., '. , ' ; ,,'.'.. ,,' :' " ,..,..., , '.' :" ',' ' , : , r . ,"~ , .' '....: , .- .. " :' 'f: , ':. . ",':. : I': I. .' , .. '. I:' . .. ) , ,:' '. : : :: . ".,' '.'.',' , :.":: .' "... '." , ' ,','. ...,.,.. ','. ' . ': "..., ,',",' , ",' :' " .' , ' , , ,;'. ,": .',,' ,,' ',..,." ", " '\ ::' ",} ',I ':", ".,: ,I. " " ,'. .. , " ::, ': " ;.' ..','...,'.., . " ,:";:ci ..:' .'.,.. ,.,'j': ,,", ' " , ':>.',', ."..,..' , '.. .."..,., ,'L ,." l' .~ \ ----',-, <~'/ "'" "?1:.'-TP' ,~:;,,~~.-::-. ~~~~J',":~-. rr //.J':-~ ,,~- '.... j \)~' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Streel P,O, 80x 1220 Port Townsend. WA 98368 (206) 385-9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt. P,E.. County Engineer August 3, 1989 Fire Protection District 5 2000 Old Gardiner Road sequim, Wa 98382 Re: Traffic Problems on Gardiner Beach Road Gentlemen: Recently we have received complaints over traffic problems on the Gardiner Beach Road. The complaints pertain to motorists and tour buses traveling the wrong way on the one-way section of the road, and increased tourist traffic in the area. We would like your input to develop a proposal to further restrict traffic on the road. A recommendation by this department could range from leave it as is to blocking the road off. We will present a recommendation to the Board of Commissioners on August 14. We appreciate your input on the matter. Sincerely, -LJ~ I~ Scott Kilmer Transportation Planner xc: A02 100% RecyCled Paper , 1>,....1lWW1J~~...~ - ".., ,,; , , ", " "7l .'.' ;"., t ."',.,... :", '.. ,'. ,', '.' ..' : " l' ! I .' f '..' :. " ,., '. , ' , '..' ',', ..' ',' .. >, ,', :,' '.;.:: '..' .' :', . .' .. ' :.,'."',, , " ',' ," '.'.."". " ;. , , ! , . .. " , , . ' " :; ",', , --- ,: , , ' .", " ", , " ,', ",'.,. ":', .. .. .... .,.,.,'" ; '-: ,",,' '" ': , : " '. . ',.','" ' .'.., ',' ';: 'o", ..'...".. , .' , " ',::.': . ,""..' I,,,, , I... . --:- , 'o' " ,,'.. ":: :' ..' ".."'.',,.', ':', "" " , ' , ':,', ,I .. ' " ~,'>: ,..,..,",:" '.. " . I,' , ' J .. \ ~.\: - 0:PW~'; ,>,rQ;~~~.,_ "~M-~(" rr I',:~;;: .r~ ',. ,-:! ,,)~... JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jetferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe. P.E.. Directol Robert G. Nesbitt, P.E., County Engineer August 3, 1989 postmaster Sequim, Wa 98382 Re: Traffic Problems on Gardiner Beach Road Gentlemen: Recently we have received complaints over traffic problems on the Gardiner Beach Road. The complaints pertain to motorists and tour buses traveling the wrong way on the one-way section of the road, and increased tourist traffic in the area. We would like your input to develop a proposal to further restrict traffic on the road. A recommendation by this department could range from leave it as is to blocking the road off. We will present a recommendation to the Board of Commissioners on August 14. We appreciate your input on the matter. sincerely, ..<J~ ~ scott Kilmer Transportation Planner xc: A02 100% Recycled Paper ~...,:,;~" ""',;:':::iT::;;' '., ,", " ..~ :?;'\ .;... .. '. .:."",'[':...", "",,, ' <i : i:;f;~ .. , " '.'..: '.' , , '.. ,', ':,' ..,.., ,': ", :"', ....' , ''', ,::;,: ,'...... , ", '..' ," , I ,,', " ( .. I; I:", .:.' ",' ".. ,] ~; .. :~" " ':" , ' ",:,' ',', :', ".. ,:,,: ", .'... '"..' . " .. " , '.', ".. ,. ",,' , . '; . ,:, ,,'..' :" " :" ',' :'.", '" , <:, . ','...... "', '," .. 'I" ',., , ,.,.,'...- .. " ,'" ", , ,.., ", ' '...,.' '::,.-" ,', ..".. ,'" ., ,,': ..:~ '.- - .',' ',',.:, I. "..' , ~., ~ : '~ \ ""\',,,1: .,;j'4i'i:~if f{" s.~~j",~:f .r(~"'-f-:). ..- ~ :~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Slreet P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P. Eo, County Engineer August 3, 1989 Emergency Services council 9th & Sheridan Streets Port Townsend, Wa 98368 Re: Traffic Problems on Gardiner Beach Road Dear Council: Recently we have received complaints over traffic problems on the Gardiner Beach Road. The complaints pertain to motorists and tour buses traveling the wrong way on the one-way section of the road, and increased tourist traffic in the area. We would like your input to develop a proposal to further restrict traffic on the road. A recommendation by this department could range from leave it as is to blocking the road off. We will present a recommendation to the Board of Commissioners on August 14. We appreciate your input on the matte~. Sincerely, ..<)~;(~ Scott Kilmer Transportation Planner xc: A02 'OO~'o Recycled Paper , 1tl1l1'lU1l1'll.IllIt.1Il'R"- . III , , .:' ~Cl' .. . ',: . L:/ , ., " :....:' ' .- ,',..','.:.: ., , :".., '..:, ,'" '",: ,:":' .' '" ; " I ' , ' ~;'....' ,I', .:.', " " ":,'" ", ' , ' L: ',..', .. i' > .- , " ,.. ",. .. i , , ,j' . : , .; "':: :, ",.:'" " ,,', ',', ' , "', ..',' .... . ' .', ":.. ".;' : , , , ' , I '...: / ,. ,,' ,'" " "'.., ,':' ,', ,I:',"~: .., " , ".'r. , ,'.'. ,o'o' 'I' I 'o'o'" ", . , ,',', i " .' '....:.........J ... I , , ": ,-," ,J .. \ 'f,\i'?G},J:'".J'J \,~"~,~.ii,'/ , " :~:7 .._~..... I;;j~';::~~ if, ,{~..~' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,D, 80x 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe. P.E., Director Robert G, Nesbitt, P.E" COUfi1f Engineer August 7, 1989 Mr. A. D. simpkins 221 Z Evans Road sequim, Wa 98382 Dear Mr. simpkins: The railroad signals that you inquired about have been removed by Port Townsend Paper corporation. It was determined that they owned the signals and they were no longer needed. If you have any further questions, please feel free to contact me. Sincerely, ~~ Robert G. Nesbitt, P.E. county Engineer xc : AD 2 -.: .:~ /,,~-'~>: \.,.,'.:.',: ..<.':; ;':'~''''.'..,,;-~><!~::'<.', >~:"'::. "~"'rS;~~D -"," :~j '~"'/,~:,;' " ()Z- JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Courthouse PORT TOWNSEND, WA 98368 (206) ~ 9/~0 DATE , _._. __r9=1/:.E!3.f._______.. _" SU8JECT.__G4.e.J)1.v~!?::..&r1CI.l RollP TO __.RGR__tfJ/,LlAl.JClAlPS__________.,__.__ ___/LCl.li____.~t2___._. ____._______. __CJ/y"2jEJ_!L_NtL.!l.?~_________, =---.J}-~L..Y-P~...1"tlL_~k_~~-2P_WAy~--~-..L~-J.L,v6--L?----.= ..rpa.a;#..J>-,___4J.e....JVIU--.PJUiSM'LJl_KG,Ct:l.mm 6f4/AA.r./q,#__~t!::~?D____,__ -'2F ~dl..L~::LP-~~S---./l7'-LY...u~Cl..pJJ_?p-I'r.X.O".)_......PA.LA~~r~Zj7'f3~.___, ---_._------_._----~'----~ ~a.~_ 51 NED Reorder Item" F380 ~ Wh&eler Group lllc. 1982 FOld A' (-) To FIl Grayarc 2Nlew Enyelope _ EW90W "- - ,,' :,: .,: , , , ,," .~. ,,' " ',',' , ',,' ,,' 1 ~~\i:~:;;' .'. ~ . : '~1'Z .'. ..' · '. , ' " I. ';.' , .'. -~. .: ' I', """ I ", :'~ " '.. ; ":, 1':1 "', I II Ii I ~, , '",": " :' , ,":" 'i:, ",: ":, ", i ".. , : , ' : , .' " ':' " " ,,",'. :'," , ; ":, ' ,.' " , ,", , ,', '.'" , " " ;, , " ':.. , ", ,':", " <, ' , , , \: :, :,: """"L:,,: : I~' ',' " ' , ',:" , ':.', ',' , " , , ,', "'" ", "::" ',:., ,:." "" " ':., " , ,', ~ "" ~ ',. ' ':,' ,', l- "~ , , ; , ';' A .. :', :,,:' ", :.: : , " \ August 4, 1989 The computer store 1032 N.E. 65th Seattle, Wa 98115 Dear Sirs: -=J.,\\..,<'0/[.jfi}, ",-1 ~,~~\~..:..... ~~i:t:q- rti1<-;~>-c..;. ,~ '-J JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O. Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E.. County Engineer Recently I purchased a F140SE hard drive and had your company install it in my Macintosh II. When I got the machine back, I noticed that I did not have the installation or utilities disks that I needed to partition or reformat my disk. I phoned you and was informed that I could get this information if I send some blank disks. Please find enclosed 2 empty diskettes for the software that is normally included with the hard disk. If you have any questions, I can be reached at 385-9160 during business ours. Since~e , Frank ord Archi ural project Coordinator Encl: Two 3 1/2 empty diskettes xc: A02 100% Recycled Paper ~-,. "~~::;:l ' ' ',:'. ,:,'" , ", : , ," .0 .,::, .. ' , ,"', '" :,' '; . " . ',' :.' " ',", < "', " " , ": " :' . ::' , , ," ".' " :':' ,,' : l f :' '. i , : :", , ,", ';', :,' ',: '.' , , ,:. ',: ,.',': " " :.. ' ':,"., > " : ", ", ,,: , " , 0", , '.' -',.:,\>";-, \) ," "', ,'" ' <. ' ,,' , " --,-I ,."", ',' .. , "', '.' .. ';';,' ,: , "; " " ; ..,':', ,'.'. -:.." ,I?~~ \ i~."~ ~::rq,~},f:Jf ~~I );Z''''''''~O '","'O'- ..... -'~)'" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe. P.E., Director Robert G. Nesbitt. P.E., County Engineer August 3, 1989 Mr. William E. Matheson, Jr. 2971 Rhody Drive Hadlock, Wa 98339 Dear Bill: The current union agreement provides for written warnings to be removed from employee personnel files after a two year period, provided there has been no further disciplinary action for similar cause. The enclosed letters have been removed from your file. Sincerely, Gary A. Rowe, P.E. Director xc: A02 100% Recycled Paper , '." ,; ::' , .. ",.... ,,:', .,: . . , ' '..', ;' >", '" " , .. ", .' <' ,0' ',",..".' ::'::' ,'., " :':, ".:.., .,",' " : ".,.. ;' .,,,, , !' ,'.. " ' ,i ,,',. ,'. ,',',..' ." <' I", ',I, :':'1"" , " "',\' .', . ,.,' L...:- " ': ," ' : ' '.' i : .. ",:', , i , ".', ,':")::',1 .',: '::", i ,',';1 7""":,'" :' :L..,,:', ,'''', " , r'}~1 :" .. ~ ,'.'.' ; ,';. " , ',: \ \, ..' , : .......- ','".,. ,.. ;. " .',.."" ..... ;, '" ' " ,', . ,': "', ' , , :, ,', ", , , ,. ''- ,'.,' ", ',,' ',. : .,.' ',: :'.. " ,.:,;,<~~ I '.',' ' ....., ':,: ,', " '" ::',." '" " ' , ' ,,' 'i,:'.: , .'...' '.. ',., .'. ',': .- ,': " '. .'..: '..., ,', '" .", , '.':' ;, . ,.'". \ \'\, ~ ti ~~J .~ 'y. 0' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Je1ferson Street P.O, 80x 1220 Port Townsend, WA 98368 (2061 385.9160 Gary A. Rowe, P.E., Director Robert G. Nesblll, P,E.. County Engineer August 3, 1989 Mr. Craig Jones Craig L. Jones, P.S. 3500 Anderson Hill Road Silverda1e, Wa 98383 Re: Pope Resources Dear Mr. Jones: I have reviewed the language contained in the covenants with John Raymond, our County Prosecutor. The language is acceptable, however we will need to have a license issued to the association(s) by the County. I have enclosed a sample license for your review. Please call if you have any questions. Sincerely, 4a-; Q. k_ Gary A. Rowe, P.E. Director xc: A02 '00% Recycled Paper , , . .,- " ' " ,: .. ,." --= .'. I' " ,: ,i', " : ' "......, .' ,':' ,... , ..' ':: .'. ,:, .,'...,,:: .. , .. ,',...' ., .' .,..". ,.' , , : "'. ,., ,:'., , "', !, ,.,'.' ;" '! ..", ..,."" , , .:' " : " ." ", , . , " ' ".';, ..'. : /': .. ,..,...' I..' ,': '. ',',' 'o. , .' , .' ,"'.' :" '.., .' ,'.', ,.,.. '. , . ';' ',,::,:,"', , ""," ..'" , ','. ",:' , " ':,,:" '.,., .' ,;"" ,:': '. ': , ' ',: . " . '" .'... .", , .. :", . " ....' '... ,',' ." .' LJ ' , .J ~. If~~...")' :>" '. ' ".i ..'..,' c.' ..... I ~ ' I .' I I,. j "",; ":: ','j".'" I, ~ ,,' , " ,', ,"..., I , " I v. i .." " i , " ,I '" ."~"~i .,...' , '. i , , .,.' ': ..' " ., .. ' '.' " .'". ,," : ":' : ' ,': , :, :',' ',: , , ." ..' :'" , ' i . " , " , :. " I . ,.,.,',. ':.., ,: I '.' " ,', '...' " ;;: , ' . .' ',".... ,., " :'. '..,,'.' , , ," . ",..,.. ., , .. '.' ' . ...,.,..,'.",.,.'. ',." :(''' ' .' ,', , ',', .... ," " ," , ',: .! <.;: '" ',' ',' , ", ',' '... .:,:: .: " ," :' '..,' ,', ", ,', l .. " , .'.. . , ' '~ ,'. ' . '... ,:'.",', " :: "", ': \ " ,.,' ',,' ":, ..'.. , .. , '''''' ': ,'" " '.' \"..:" :":', , ,,'::: ",: ',...... .' ':' " .. ': . '.' .' . " .. '.:'." , , 'C "', ,!', :,,'...' ',,' IJ__' . '~ L B 2066926492 C e&....oz-s'? 12124 F-.01 Association may carry forward from year to year 5uch surplus as the Board in its discretion may determine to be desirable. ARTICLE 10 MAINTENANCE Section 10.1. Master Association Land, Common Areas, Recreat~onal l-'ac1lities and Portions 01 Publ~c Rights-Of-Way', {The Ma5ter AS5oc~at10n shall maintain or provide for the ~aintenQnce of the Master A55ociation Land. Common Areas.' Jlecreational Facilities, including the trail system, and ..11 \andscaping located within Public Rights-Ot-Way within, or' tlontiguous to, the Master Association Land, Common Areas and r ~ecreational Facilities including, (but not limited to, land- ~capin~ and trees adjacent to streets and within cul-dc-sacs_ Section 10,2 Assessment Of Certain Coata Of Maintenance And Reuair Of Master Assoc1ation Land, Common Areas And Recrea- t10na !,'ac ties. Tn the event tnat th-e neea ror ma~ntenance or repair 1S caused through the willful or negligent act or umh,,,, ion of any Owner, Resident or Occupant, their guests or lnvitees, of a Lot, the cost of such maintenance or repair may, in the diScretion of the Board, be charged directly to the Owner of the Lot and shall be payable in accordance wi th the time period established by the Board" An Assessment Lien shall secure repayment and be enforceable in the same manner as other Assessments provided for herein, ARTICLE 11 ARCHITECTURAL REVIEW COMMITTEE Section 11.1,. Establishment', The Declarant shall estab- lish an Architectural Review Committee to perform the functions set forth in this Declaration and shall adopt procedural rules and regulations for the performance of such duties, including procedures for the preparation, 5ubmission and determination of the application for any approvals required by this Declaratibn, The ArChitectural Review Committee shall consist of not less than three (3) nor more than five (5) members. Initially, the ArChitectural Review Committee shall consiet of five (5) members, Declarant shall have the right to appoint the roembers of the Architectural Review Committee until ninety percent (90%) of contemplated Lots in South Bay, including those in recorded subdivisions as we'll as those subdivisions to be completed in the future, have been sold; prOviding, however, that Declarant or any other member of the Archi tectura 1 Rev iew Commi t tee, by written notification to the Board, may resign from the Architec- tural Review Committee at any time: Moreover, the Declarnnt shall have the right at nny timp.. by written notification to the Board, to delenate the right of selection at the Architectural Review Committee to the Board. Upon termination of Declarant's - 32 - ~"I\~~"" . - ,'..,' " :,' ": " , ' , ", ' ,'... ~.I' '.,' .',"" ".., ":. " ':', . "..". ...'..,.,"... , ,'".. ".',' ,', , . ,',' , ",., :, ' , " .. i'" , if ,/, ' ' . ' ,",', ' . ,', "":', ""'."</ , , ..': > I I I I ! I ~ ,'.... '" ',',i , :.,.' " f.e' , ~ .' I: ; " , ~ ,.,..',.",., ~ ',' .,: ,', , " . .. ......,'... ,., , .. ".'" , , !:'" . .~ ..'.,'., .' , . . ..".,. ~: .' : '. "'. ..." ,.:, ,: ',':.. ,":, " '.. --.lIt",' ',,', '.' " , ',' ::," ': '" ",:. ".,...,' ,'." .., " .... " ',,' ,. " " ,... .' <i ': :".'," ",., '., ,':, : , ,,' , " .' ,: .' , ...., , ' " '. d ,,' , "':, ...,., '.' ;.;: , ,:"., " : ,',: '" .". : " ,', .'."" " , " . .", '," '."':' .., Ii.'", .. ': . '" ,i :.' :,'., .~\ ..""..'1 ',.~.' J 8: 20c;.692b492 oe/(12/89 ::::::~ AflTICLE 10 1M I NTENANCE Section 10.1. Lots Bayview Village Association Land, Limited Common Areas and Portlons of Public R1ghts-Of-Way. fI'he' ~ayv1ew V111agB Assoclat10n shall maintalll or provide r-or the lJlaintenanee of the Bayview Village Association Land, Limited Common Areas and all landscaping located within Publ ie fli&htR-Of-Wl\y within, or contiguous to, tho Bayvlew Villa~e ll\ssociation Land and Limited Common Areas including, but not limited to, landscapin~ and trees adjacent to streets and within tcul-de-sacs. In addition, the Bayviaw Village Association shall maintain thf! landscaping and lawn maintenance of each Lot and the exterior appearanco of each Dwelling Unit within Bayview Village, which maintenance shall be limited to (1) painting, (2) roof repair and replacement, (3) siding repair and replacement, ('3) court yards and private driveways, and (5) storm water and sewer systems on Lots. Notwithstanding anything to the contrary herein, each (lwner Shall be responSible for maintaining and keeping in good order and repair the interior of his residence, exterior glass, and interior court yard and/or patio, if applicable. Section 10.2 Assessment Of Certain Costs Of Repair Of view Vllla~c ARSOc18tlon Land, LImIted Common Areas And Lots. n t " event t at t e need for maintenance or repa r S cause through the willful or negligent act or omission of the Owner, Resident or Occupa nt. thoir guests or i nvi tees. of a Lot. the cost of such maintenance or repair may, in the discretion of the Board, be Charged directly to tho Owner of the Lot and shall be payable in accordance with the time pori ad established by the Board, ^ lien shall secure repayment and be enforceable in the sarno manner as other Assessments provided herein. In addition, damage caused by fire, storm, flood, earthquake, riot, vandalism or other abnormal wear from use and the elements shall be the responsibility of each Owner and not included in the maintenance provided by the Bayview Village Association. Section 10.3. Improper Ha intena nee And Use of Lot s. In the event Bny portion at any Lot, 1S used or mainta1ned so as to present 8 public or private nUl!;ance, or as to Gubstantially detract from the appearance or quality of the surrounding Lots, or in the event any portion of a Lot is beinR used in a manner which violates the Master Declaration or this Supplemental Declaration applicable thereto, or in the event the Owner of any Lot is failing to pel'form any of its obli[l8tions under the Master DeclaratIon or this Supplemental Decll\ration, the Board may by resolution make a finding to sucb e!fect, specifying the particular conditions which exist. and giving notice to the offending Owner that unless corrective action is taken within fO\lrteen (14) da)'s, the Board may take such action at said Owner's cost, which cost>; Bnd expcnses shall be immediately charf.~ed to the Owner and "hall be payable in accordance with tile - 24 - F.02 " ' ",',,",' : , .- , , """, ,'.' '.,.., ,', ;2;::~ :,:; ::~;i:.!'.,< ".,": ":.," " ;: ,"','" ,'." ',.", " '", "",:,:":,',:'",-,~,-~-- ," ' ...,,' :"" "" ' " ';.. "", '. ,:,' .': '''fd~:~'''~:!:>''~'.,';: ,', '", ,,": , ,,: ",', .' " (, ::< ',"";:f" · \: ';,:, , r,c ',':' ,..'" , ' < ".. " . LI ' " ' ' ,. ,I" ,': ,....","" "'i , ;;".."" ! " " '\ ~" " . ' " I r::",,}.' ,"'1 :',.. '",.. ' '..' " ':', .", ' ", ,'~t!. " , . ' '. " .: ' ,:. ",:: .' ",''., : '.. ' o " .. , ':', ,?(';" : , " '. :' , ," ., , " \, " " , ,'. ,...,'" '" .,,' ,'.,,'. ',' " ....., ..'. ' ';', , , ~: " ~, ;' ;', " ," ": " , '; ", ' ,; ..,', ,'" "., ':.' ,,', '.v::" ' ";' "';1 ;'..., , """..' , ','<,1 ,". " """'" .. ,'.. ,L >~.. , , , '; '.,: 1 .,,},\':>>' .'" ' -~\.' , ", '..',,':, .': " .. " ,'", " ' ",.,':.. , ,',' ':,': , ' ." , ....,', :' :' '" ',:., "', ,,":;" ", ..,' '>. ", ,': ;', ::' , '. ' " , .' ': "," :'.... ' ~","",'.<, ;" ", '".,"..,' , " ,:",' .. , 'jJi STATE OF WASHINGTON COUNTY OF JEFFERSON In the matter of x LICENSE NO. A License to Use and Maintain County Road Right of Way x x x x This agreement is between JEFFERSON COUNTY, acting by the Board of County commissioners, hereinafter referred to as the "COUNTY", and PORT TOWNSEND CHEVY CHASE GOLF CLUB, hereinafter referred to as the "GOLF CLUB". WHEREAS, the GOLF CLUB is the owner of Lots 11 and 12 of Block 4 of Tukeys Plat, as recorded in Volume 2, Page 20 of Plats, records of the Jefferson County Auditor, and WHEREAS, the GOLF CLUB previously was granted by Licence No. L-4-87 use of a portion of Mamie st. for a golf cart shed, the GOLF CLUB wishes to construct an additional golf cart shed 24' x 10' upon the right of way of platted Mamie Street, more descriptively shown as attached Exhibit "A" which by this reference is incorporated herein, and WHEREAS, the GOLF is on COUNTY rights requires protection of THEREFORE, CLUB acknowledges that the golf cart shed of way and recognizes that the COUNTY its interest in the rights of way; NOW IT IS AGREED: (1) LICENSE. the GOLF CLUB shall have a license to use, operate and maintain the golf cart shed on the 60 foot right of way of Mamie Street, as shown on attached Exhibit "A" for the purpose of a golf cart shed and for that purpose only. (2) COSTS AND EXPENSES. The GOLF CLUB shall pay all costs and expenses related to the use, operation and maintenance of the golf shed and golf shed area. (3) INDEMNIFICATION. The GOLF CLUB shall be responsible for the safe and proper maintenance of the golf shed and golf shed area. The GOLF CLUB shall, further, defend and hold the COUNTY harmless from all liability or expense of litigation in connection with any item of actual or alleged injury or damage related to the GOLF CULB'S' use and maintenance of the golf shed and golf shed area. (4) TERMINATION. This license may be terminated by the COUNTY on ninety (90) days notice. On termination, the GOLF CLUB will remove any and all appurtenances from the right of way, and the right of way restored to a neat and orderly condition, subject to the approval of the COUNTY. All costs incurred in restoring the right of way to a neat and orderly condition shall be paid by the GOLF CLUB. (5) TRANSFER OF LICENSE. This license shall not be transferrable by GOLF CLUB without the written consent of the COUNTY specifically referring to this document. ')'l1.:.1IW~ , . '... . " ,'..'., '., .." '.. ",.." "',: : , .. , " ','.. : ""', '. ...'.',:'. ," ;1 i ' ," I "', ;'. ~ ','"'..:',, '" .' "", ','. " , " ,," ,:, ,',.' ; f " " , "'., , " .,.',! : ," " " .. , " ," . '. .." " . : '..'. ;', ..,. ",.': , :',' " .' ,::', '..', , , : '.'".," . , ".,' '~ J (6) COUl>'TY APPROVAL FOR WORK TO BE PERFORMED. The GOLF CLUB shall perform no work within COUNTY right of way without first having presented his plans in writing to the Jefferson County Director of Public Works, and having received approval of the Director of Public Works, and having received his approval. DATED THIS______DAY OF APPLICANT: ,1988. BOARD OF COUNTY COMMISSIONERS Larry W. Dennison, Chairman Peter K. Graves, Treas. Chevy Chase Golf Club B. G. Brown, Member George C. Brown, Member John F. Raymond Prosecuting Attorney p:. ~r :;-: ,'.' '" , . ,,': ,:', , . ,./;: , " ",., i,' , ': I: Il ; .. i, , ," ~. '.." '; ". , ::". '~ "'''h', ' '" ... , , , , ': ." '..".". . ."', .',.., , " '. . .',-.~. '.,... '.>-- , .',' '::,' ,',' " . "'~P' " ", .. ,:: , ," " :, ',' .. .. ", '..' '" <. .. " ,'" . " " , : ..." ,) JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS f[)Z- \ ~.\. -,;-./~,</ "', i'i'h~~i!' Jp"'tW,::=-' :. ~'!l ~;}(t,:l ~ /'{ f\-'::;~ , -- ~ ,! "r August 2, 1989 Mr. Thomas E. Robinson Forest Practices Program Manager Forest Regulation & Assistance Division Department of Natural Resources 1007 S. Washington EL-03 Olympia, Wa 98504 Re: Forest Land Conversion Dear Torn: 1820 Jefferson Slreet P,O, 80x 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E,. Director Robert G. Nesbitt, P.E., County Engineer Thank you for corning to Port Townsend to present the current proposals regarding forest land conversion. Jefferson County is concerned about the loss of forest production property. Our Planning Director, Dave Goldsmith, will continue to work on this issue and will be in contact with you to keep abreast of any proposed rule changes. Thank you for your help. Sincerely, A!;cry a k,,~ Gary A. Rowe, P.E. Director xc: Board of Commissioners David Goldsmith 'OO~'c Recycled Paper ,', " -I'.."'.' ", '.:: ' c "" ' -",:.".., ,TI,: ,', " " .. ,,'," ," " :, '", , I _-,', , ,.." , ',' .' ',', '" "':, , '" " ,'" , " ;, " .' " ".. ,',," ',' '..' , .. ",."..,:" ,," :' ,:, : : ,"y ': " . ' : ' I ! .', !' :, f, i I,' . I ::, ',:.' " , '" ',' .. .. ':,:' ',' "., "; , ,', " ',. ", ': ':',,"'. " ' :'c, "', ":", , ' ':', ',', I,,,. ',' ".,..' ,,: ':' ': , , ": :" ,: , ,..',,', : , ", ':,( :,' ,> .' " ---1 ,',', t' ,-, .. .J .), : :," .. , :. ' ':,,:......;:.',...,',..,.",~ ,: ,:'''''' " ... ' " ,'. " '," "', ", , , '" " " .', ,,', >, " ,',,' : ''I., ':,,' .~ , , , ""," ,',.. : ,O' :,',' ,',:.'..,. .. ',:;:,ii":'.: , ',' \!,-' ',: ' " ' ,:1':: '., ",:", l'L_ ' ",:""" "', ',';', ...-- ;, ,: '; (, I I'; ", " I: ',:, " I:; ;': .. I .>" ",: ,: ",,' ,: : '..., " ,', .... , " ' , " , ".,:, ,,',: ",' , ; , ", , ' '" " ,. , _.' ".',',." .' ,'; ,-'" ',,, :",' ,:, :', :' ' ,': ' r ","'.'; ",' I,' ,,'," ',',,' ',: ':' " ":" , ' t ;': ", , , ~ " :'.' ! l' "",.,',. '.'" ';', JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS ~~\""~~1}7j ~~lg:,~~~_, ~~q l'b:~~--~ .--.J 1~ \ 1820 Jeflerson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Dilector Robert G. Nesbitt, P.E., County Engineer MEMORANDUM TO: Dave Goldsmith FROM: Gary A. Rowe, Director ~ DATE: July 31, 1989 '",;' :, ... ',,', , , '",' . ." .' ". :' SUBJE~': Meeting with D.N.R. Regarding Conversions I'm going to assume that you will continue to work on this issue with the Board. We will take a back seat and wait till you need input from Public Works. ;', , xc: A02 .. " .: ,.',',:; ',.' " , ",', : " ; .. ",' c; '>" :,.", ,'...'" ':'" " ,,"i' .,' ' , t,:,:.,", , " ,:,' ',' ;.', ".' '"," , " ,,", ", "" ':.... ,: " ,":', ,',:", I """ , u' ,'" ,; 1,:0''' ,<C ,;" I;:"';:;>::: ,', ',,',,' I ," ,; ,,': ,,",; II' , "', " I",": ' r " '.', I ',:,' " ' 1:/, ,,',' l'L' , " ,', ;'. I; I~ I' i ~, :; \ I; 100% Recycled Paper ....~Nl'IlI.......l:> 111''''- " " , '::' "" , < " ,'.".. , ':'f: , ' , ." ",: ,"" ., " ." , ,: :: ,', ' ,';, " '..: :'::' , I ',,' ," --I,', , ' .' ,," , ',,', ,',",' ': ,; "" '.. "',' :,,' ','; , ,;:' "',' ,".., ", ~ .J .~... " ..'.. '..", " " " ", . ,"., ,'<0 ,',: " " ./i> . ," ',: :,.' , .' :,:'" ", "'" ' .> ..,.. .: , , I; ..' ,'_ '; ..;' . "'r , . .', " Q~ , ,(~..)~,~:,~~ "..~ '.'.', , .. ',' " ,.', .. ,..., "',' ,:, " ". " ' , , .,' ., ". ; , ": , . ' .' .'..,.. .,. '.. ',' .' '.... ','" , :..', .' '.'.,',. I': ',,""', ',' ...,.. .' " ,'.'.,.., ., " , : ' ."" ......' '.., , ",..' " ....:.. ,"..,' ." i'. . .. ;" ," ; : ' " ;. '.. ',,) " , " ',... '...'" "'" ,:,' ...,.,',,'.,.'. ,..... .,:..'..: .' "," .,..,,:..'>: ,.' .,...',.: ,... ' ". ,..,':." ", " ;" , , " , ' , . ,', :, .','. '.i" , i"".. ,';.", ,',: .',:.<, /:,'" ': .'<i1:,' " " :" ,,' ,':' <,i"",:',' ,,', Ii ,.,'.,. { I~ I I, , i : ';" ;;' ~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS \ ~~0~ ~~1<"fjJ(,-~~ ~~k~ '( ;;''''"$;-"' //./&.$,,''0 .. "" {/ 'y. , July 31, 19B9 Dennis M. Scott, P.E. Ch., Professional Development Committee Spokane County North B11 Jefferson street Spokane, Wa 992260-01BO Re: Meeting of August 9, 19B9 Dear Dennis: 1820 Jefferson Street P.D, Box 1220 Port Townsend. WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Rober' G. Nesbitt, P.E.. County Engineer unfortunately, I will not be able to attend because of Boy Scout Camp (that's fortunate). As far as program ideas, I would like to see work on developing employees. For instance, employee involvement programs, quality circles, etc... Another interest would be an outdoor type program. sincerely, ~'1 a~-- Gary A. Rowe, P.E. Director xc: A02 100% Recycled Paper .~ ~- .: -:I ,,' " "" : , ' ' 'l " " , "",, .. , , ,'.. ::"",..",', . "'..,' ! .," ".' , ." i," ,'. " ' " '...,: ,"', !" , : '. ,. :,' " , , . ,',' < ' ,', , ';. ',. t " "<. " . ".,.,..',' " , ,."", ;,:" , .. . :,' '... i : , , ".'" ; " ..,'."., ",'-: , ' " ",:, ." ',"',", ";:"'..' , ':.',' ::." , , ,!,'.'..',',' .., ,..' '. ,'., ' .. '" ".., . .,' ,,' :, ,,: .' :.'. '.,,', ':, ,'..' , ',",' , " , ,I," .' "_I" "... " ..' " ".... . ,,:', " ", ,:,; ., . "',, '.'. ':,",'J'... ...; " --: ','" . ,; ';, r ':<' :: ------ ' ,Y ,', . \ ,,' r0~ \ '. ~, .-- .~ ~'.' - v-: .,<,':.e / '~~tf( ~,1/"',~'" ... ~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P. E., Director Robert G. Nesbitt, P.E.. County Engineer MEMORANDUM TO: utility companies FROM: -Scott--Ki'lmer, Jefferson County Public Works ~ DATE: July 26, 1989 SUBJECT:1990 to 1995 Road Program Attached you will find a copy of our recently adopted six year road program and the annual road program. Please forward a copy of this to whom ever in your company needs one. If you have any questions regarding these programs, please call me at 385-9164. 100% Recycled Papor \ ~ --~~: '.." ~!.~\\~:~c :.f!?~t?~l"-~ _ rr/~ ;J. 'K:} ",-. :.. , '1' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1620 Jefferson Street P.O, Box 1220 Port Townsend, WA 96366 (206) 365.9160 Gary A. Rowe, P.E.. Director Robert G. Nesbitt, P.E.. County Engineer MEMORANDUM TO: Board of County Commissioners FROM: Public Works DATE: July 25, 1989 SUBJECT:Application to open Right of Way-9th Ave and Horton st. Irondale Application for permit has been made by William Marlow to construct a road to county standards on 9th Ave. from W. Kinkaid st. to Horton st. and on Horton st. from 9th Ave. 450' to the west. Reason for opening streets is to provide access to approximately four building sites in block's 75 and 82 in Irondale. Following are the Public Works Department comments and recommendations. COMMENTS 1. The terrain is flat along Horton Street for 475', then drops at 2:1 rate for a considerable distance. It is not feasible for this street to continue past 450' west of 9th Ave. 2. The Right of Way has previously been logged (5 to 10 years ago), however there are a few small cedars left on the Right of Way. 3. The Right of Way of 9th Ave. from W. Kinkaid to Horton st. is presently maintained as a private 10' wide road. 4. There are no existing roadway ditches in this area. Ground appears to be very sandy and drains well. 5. There will be approximately 40 trips per day generated onto Horton Street, with no more traffic anticipated on this street. 9th Ave. has existing traffic of 10 trips per day with more traffic possible. 6. The property will be surveyed so street Right of Ways will be located. 100% Recycled Paper ~ i' ,;'- '; , , ,<; ^~.' k- J' ~' \ \,' I' I' , ),. I ) t ~ ' ~'" '" , J, ~,~ '" i ( , ,.; ,-.. '........... ,.. " , " ','^," , ,', ,,~, '...." : ',,' ,'.., , "," " , , " :..' " :,' ',: ,: , , '.J' RECOMMENDATIONS 1. Recommend approval of the up-grade of 9th Ave. from private road to County road, a minimum of 24' in width with standard road way, 6" of gravel ditch, base and 2" of top course, from W. Kinkaid st. to Horton st. 2. Recommend approval of construction of Horton st. from 9th Ave. 450' to the west to county road 24' in width, with standard roadway ditch, 6 " gravel base and 2" of top course. An approved turn around will be required at the end of Horton st. i , : :,'" ',' " ,,' ,..'..' ' ',' ' " , .. ',' ' ,',' ",': ",", : '" ',;, " ": ," '::"", ,.. ,,' ".... ,.... ",', , ,',,',' ", ;,' ,;,", , , :,,"" " ," ':,' ",', ',',:'" ,':, '" , , ;' '.':,,' ,,; I";:, ' ' ::, .. ::, ,,", " """,:, " '.. :' ,':' : , '''',' , ,'^ , ", .' ,', .. ",'.., ",' ,,' , , , .. ..', " :,' .,' " "'" " .', .. ,'" ..' ": ''^ ',", . ,'" ,",:' ' ',' :' :",'^ ",', ',," '. ,', ' " ",' , '::'''''''' , .',' ',:, ,', ," " : , ," , , , ,'.. ",' ','", " ",' ,',' ,,/, , """ , ,: , , ,':,..' ",', .. '.': " '::,': : ,,' "', ,J ' r7 ,';.. r ,'... " '.', , ,,' , " ' , ' ., '}' '~i~<\;:;: ' ',., : ," :'.. " ' , ; ',.' " " ,,'."" , '", "..'., , ':,:::: ;.!' " I /;:~';; .""~ , , ," , " " , ':",';' '., " , ' '.. .':"" !.' ,," ,':"'''', ',' ... ,': ; ",: ,', " '" ;,,' , ",,' ," "......' ' . , " '<:, ", ".., , " " , ", ", ': :,. , ' ':,' "';: '., '.,"'" ,.' .. ".' ,'." ,...,'.,,, ,,', ; " JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS ;:~'\ "'- /?~ ~. "' ';--v '/);r.l!. I '\~,':r~~~'"..::: ~.~J]~J_ ,: r(;/~~\~~.X~ ,~. .<~~ \ 1820 Jeflerson Street P.Q, Box 1220 Port Townsend, WA 98368 (206) 385,9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer July 19, 1989 John craig Electric P.O. Box 1184 Port Townsend, WA 98368 RE: Maintenance Electrical Service Dear John: ""',, ::' I met with John Rempe July 19, 1989. He gave me a list of requirements for the Maintenance Facility Electrical service, which I a enclosing if you have any questions please phone me. Since~ Fr nk . ford Arch' ~, .cojoct. C..co'notoc , ' I, '; " \: ;' " :": ," >:, ,.., .... :,;" ',.'.'. :;' :. , ,,' ! (,: , " -:p w f't. 02. 'i' , .. , .. I', ! '.' i~ , i ' i., ,," : :',,' - "'. " ,','. ... , ',:".,> ", ", , ',:.;' :.: , , ';' ,,' .. " . ,'., '. , ,', '''', , ", , ....' ",',';,: ",' I' ';: ,', .'!.. ': .- ,.' , ""...",..,.,' . , . .,;.'., ...' ,. , " ",", " " " ,.., I,:" .: ; .' " :,,' ;',,,.:,.,'..'.,"'.:'.:.,, '. " " ,<.. '" " " .." "., " ,.', ' ' ': "':, ,', ,:,. : " ' ' ," '," ',: "'..' .','.:.,'.'., ,',' " " . ", ' "",.' ,: ,'. '. ,,':' '--- , '..,.' ' , ' :'..' : ' .'. .,' "I ': .: ,:>. . ' I '.,',' .', ..,....., '. , " .' ~,:L',. 100% ReCYCled Paper , \ : ,1 , , ',' ",' , " : ,'.:: ,:', '\, :;'.:', ' :', i " " '=""".... J, " , ' . .. " , .' , ,:..' '..., " .. ..., i,,' :. '", . , /'" " " ',. ", .,.' " , " ,', . r ; , '. ." .~,I " , "'," ' , . .. , . ;" ,,' ." ..: ' ',,: , .. ',"."" . ...'.,'," , " ':' :,' ':",' .:.". , .' " '1." ",1 ,i:'" ",' , :.' , , .' ":', , I.' " "" ,", "":', I"~ ",,' ", ..... , '..', "" :":., " : " .' ,.'.,'.' " ..",' " .. i:, , '.' '.::" , '. ,".. '. ,"','. i , ';, , , .,. ;: ",.'... .. ".'. '. ' : ." . ,..,. ..' ..' '. . ',.." " , , ':' ,." '. , "':, ",", , , "" """:l " ," - "'" ',', ': '.' .', "',.,.'... ' ; ,", "..,'.. , ' ,'.; .,'. .......,' " 1 ' . ' ,'.. " ' ;:-: . " , ' .. '" \ " ; " .: .. . : ~ '. , ' " '~ " \ ~:,,-,;~:JWF: -:-...: ,!1,~.,\! . :.Jjf~~ .f:~ .....,. ~~J:(, rr/.:-"'\:;;""--:. /~ "":)~' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend. WA 9836B (206) 385.9160 Gary A. Rowe, P.E" Director Rohert G. Nesbitt, P.E., County Englnee~ July 12, 1989 Ms. Joan Hansler 6533 Seaview Ave. N.W.,Unit 604A Seattle, Wa 98117 Re: Tidelands at Broad spit Dear Ms. Hansler: Enclosed is information sent to me from the bepartment of Natural Resources on tidelands. The map shows tideland and oyster bed leases in the area. This shows the oyster beds easterly of the Workman property leased to Broad spit oyster Company. The representative of the company is Jeff Delia, 1321 Dabob Post Office Road, Quilcene, Wa. The county tidelands are between the uplands owned by Workman and the oyster bed lease. For more information on the leases, please contact Rich Phipps at the D.N,R. at 586-6386. If we can assist you further, please call. Sincerely, /J~ a.~- Gary A. Rowe, P.E. Director xc: Rich Phipps Enclosure A02 '00% Recycled Paper , -." I ,.: ,,',;, : , , ,", ",: ", ~ ---:-. ' .,..,:,'.'.'. " ' " ' ' . , , :'" , " ..", 1 , '.,.., .,' '., " i, ". :, ' .:'".. , ;", : ! ,..:'.". ~ ' " '. . .:; "', ,', , . .. .", :,' : ' , , j , :, " ,', ',:; ',,' ,':'; " ',' ,,' :" :", : !'", .,~ .'...' ' " , ',,: ,':'::" " ,:,':', , " :,'.', ,', ,.'..: ,,' , ..,.., ':' . "',, ';" "'. " ,',' "..'. . .". " " "," , " , , ' " , ,'1'<"'::' , .-:..J '. ,," . .'; ".. , , .'.... " ',' " '"" ",', , ' '" , " .. " " .'! I. , ,'" ',' ..' ...--J ,'. ' .J :,: ',', :1 ..,-;- .:1 " .. " ! ' I: '" , ': .'" ",.' " " ", ',' " '" " : :',' I. : " : " , : ' , ',:> ,,' ,;': , , """"" .. ,:', ,: :.. .', ,",' ." " "',, , ,',.' '3':: ~2~~~:[ : .' : ~, .. " [, .,,: ' I~ :' ''''', , i ',' \ " " ' , ,i, " '..:", , . ...' , " , "", i ":,, I; 11 .." '...' ': "', ' .. , ,:' .",.,' " :' ,:,:' , , ,', '.:, "'" ':" '. ", ,: ",:' ,::",,:,:' ",: , , .' .' \ " I :' I' ,,-, " LL"',,,'., , ' I ' I.. ," k,': ; , ':. " ............. \ 'iZ"i;;;Zr!Y -Z~~~itr1)( M'/,~v.r.~~ ,-;>: '<)' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Pori Townsend, WA 98368 (206) 385,9160 Gary A. Rowe. P.E., Director Robert G. Nesbitt, P,E., County Engineer July 11, 1989 Mr. John Crawford Executive Director Washington Counties Risk Pool 200 Hottman Building 101 N. capital Way Olympia, WA. 98501 Re: County Loss History Dear John: Enclosed you will find the latest information I have received from the Prosecuting Attorneys Office and Homer Smith Insurance Agency. As you will note the insurance agency included quite a bit more information than you have on your loss run, therefore, I have enclosed it in their format in case you need that also. I have also noted any descriptions I thought necessary to clarify their abbreviations. I hope this gives you the final information you need for our history and if I can be of any further assistance just call. Sincerely, ~ ~~~~t?=>( K. Robert Henderson Risk/Safety Coordinator A02 100% Recycled Paper , :' , --. " .. , "I' ,'>, .'. '," ',.' : I ' " ,", ': , ,':.:." ,,'. ':'.., , ',' " , ' ..' ' : ' ' ':, " ',' , ' ",.,,' , i' " ':, :' '::, , '.'" "," " '" ',' , .. ":", :' : .",,',' ',' ','" ,,', , ".. , ' , ,'" .. .., >: ,.':;:, " ," " i' " .. " ,,',': , ,:':': ' '.', ,',:::" ,,' .' ' ',: .. -~....' ,. " ' ' :T'~" " : ',,' , , ',', ,',.,' ,',', , ::.", . , " "."',,',', ,';: ,:,,' ,', " .' ,',: " ',' " ,.., " ",';'",:!' I, ,',' ::" ',..' ',: ' , :, , ,,:, '.' ,,' ,,' .: .." ':': , "': ' - ," ,'" " " ' .' I,',. ----' ",': t _1- im~ " '..".'," :,1 .'., ..,. .".1 ,.' ....' , . , .." .. : . 'I )~2~A...'. "", .. ' ,', ,',',' , " ',.,', I .. .1 , ,', ;'. '..... ! '.'.:':".".., ' .':' '", , '." C. ....' .,.." " " ". , ' ,',,' ,,:':, ',,~ , , ":, ':' : '\, .i:' , ..: . ". .,",' :i , ;:: " '" '., ' :':'" , ,,. '. " ,'" ',' ,,:', .:", . '.. ,,': ""'" ; '.' '. .,..,,',' I' I ,',. " ' , ; ': " ..','..' '. I: .' ,.' "',:,,' I: I; ~f~~?t" ,,',' ,,:', ,', ':: ,:,' ':', ' , ..'.,.. :" , ,,', :'... ". , ' ,<,' " ",' . ";:, " , ' I,::"., ", ...".:,'. _ I'.,,' '. , ',', I"'.' .: ':' ' I; , : .',.'. '..', I- ',"'" I.' " .,.. ' " ,.,' .', ,',' , ' :.' ... "', ' l'~;'~' 1\ I:' It , ""'::,,- \ ~,,- '-'W'?,' ,.. , " v '1:/0 ' ~<!.l~)\~.::. . :4;rZi~l.;~- r( / '.\\.;",' - ;-- "4 .~! " 'J' July 10, 1989 Agnes Walker Olympic Disposal 901 A Woodlock Rd. Sequim, Wa 98382 Re: Contract For Services JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P,O, 80x 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E., OJ/ector Robe,t G. Nesbitt, P.E., County Engineer Dear Agness: I have been reviewing the new law SHB1568 that outlines procedures for awarding Solid Waste Handling Contracts. I am not sure, but it looks like we may have to follow some specific procedures to negotiate contract with you. I am having our Prosecutor look over the law to advise me on this. If we can negotiate as we had previously discussed, I would like to work out an agreement on hauling drop boxes for the county. I would also like to talk about hauling recyclables. Sincerely, I'll drop you a note after I hear back from the Prosecutor. Gary A. Rowe, P.E. Director xc : BOCC John Raymond A02 100% Recycled Paper - , ,":',' ,.. , ' , I ." " I " " I. .' " i" . " " ,', ". ',' , " ' ,', ,",,', ,; , " ,': ','" , ,'.. " ',.., ' ": I ' .:.' " : ,...'.'..,', '.. , , '.,":, ,"..,' ',:": ", , :' , " " ',: "',' , , .' , , :' " :! : F [,," ~, ..: I" ' :' i ,.,. ': :, , , , ':1 4 I J . J i , ',.".'. ',' , ,"" :' , t , . "!ill , " , . ,: ::. , " . ..' ',", ..,' , ' " ',' .",., , " .:' " :, '. :" 1. .,'.';, " ' " '/:, , ',,' i , , ", ,",' ", " ,', , , :: .' ".' 1,-': . -...:- \ " ' : :,' .;, , ,',.. J .,..,;c;..,.:' "it> ",'.'.',".,', , "..' , :' ,'" , ;~'! ,'''''' ; ,'", , , "" " " ',' ',',,'" " ' :', " ',' " , " . , , ': " .. . .,,'.~; ',',' ,,' "'" , ", , .. " '. , :' ,.. " ",:' , , ,., I ", : , .,., '" :.', :",' , " , ", " k .'","';' ','," : "". ", ,,': ',,".':.. " " , ' ( , , '..,.', " ::,'., ': .'.' ,'" :"'" :,,' ',,' :":,,:,,, '.. " , :' " ' ' " ~ ~ ,', , ," ..' :' ,'" , ' , :, ' '" ' ,,', '., ",:' ", I,""" L ", ,,' - .. ," , '/: ' '," ' , ,':," " :, ,.,'.,' l,L"."" " , .. -""- "('::, 11 I /,,: " :.. ;; " ;, . \ ---!,',",'-- /,?w',,, "'~,',:.h~.~P~ '\. ,......-:::.. 'w~.'?;'4;;...; ::i1.'#t..h'.t rr,,;~,~,,,,;<'. /.- ,) JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P,O, Box 1220 Port Townsend, WA 98366 (206) 385.9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.C., County Engineer July 11', 1989 Mr. David Criley 124 Hillcrest Ave. Kentfield, Ca 94904 Dear Mr. Criley: In regards to your request of July 6, 1989, the Department of PUblic Works only maintains accident records which effect Jefferson County roads. To obtain the information you desire you will need to write to the following address: washington state Patrol 4242 Martin Way PS-11 Olympia, Wa 98504-7911 If I may be of any other assistance please contact me. Sincerely, (5C (ff~ r:r::>~~ K. Robert Henderson Risk/Safety Coordinator xc: A02 100% Recycled Paper ~ ~1Ol . , " ,'\', , "",,-' :' ,,", " " ,:,' I "', ,'. , ,," , , " ' ,: i.', " , ""',: ,'., '" " , .. .., ': ;,' : , , , , , J , ~ , ' ,'" " , ,,' '",' , , ! ,,', ", " , " ' : " :',' , , "" ,,',":'.'" " ,', , \ " ", ' " ~ ','.:..' , '" '",'.. , ,', '.. ,:' ", ,', .. ",' " '.. ' "',"" "," , : " '.. ",I, >, ':, .". , '",' " ,; ,'.. ': :..', . ',;, , " I ',' :,' .. : ',' . ..,..,.,,: , ',,', "..',' '" ',: " ,', " ,: .. , ", !".,,";' ...-J ";:',::, ' J \ \ ----5'.;: ---w'-~ "\-- "'" V'. <,";c<' "'".?;".~~ .::.. ~.:!#'n.( rl/~~ ;-<. ,(, '.) JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P.O, Box 1220 Part Townsend, WA 98368 (206) 385.9160 Gary A. Rowe. P.E., Director Robert G, Nesbitt. P.E., County Engineer July II, 19B9 Mr. Scott Cassill 621 Harvard Ave. #4 Seattle, Wa 98102 Dear Mr. Cassill: Enclosed are the accident records intersection of S. Discovery Rd. and S. only enclosed those that we have in our will notice go back to 1984. If I may be of any further assistance please don't hesitate to contact me. you requested for the Jacob Miller Rd. I have current fili,ng, which you Sincerely, ~o!~Ju~( Risk/Safety Coordinator xc: A02 R60l508 100%1 Recycled Paper .. , " ,:\' , '.,' ,'.' ,',.' ',' " , " \ ',", '.."..,': ....' ,',.' "'" : ;, ' .,' " " ,,"', .. , ..' " , .' , ',' ' , i; , ' : " . I .. " ' " , .' , I ~ Ii ,.: .; , " I) I,;, ; :,......, , ' " :'" ',.. '",.' , , ,", : ,'" ";, ,: " , , .. .'.'.' " " : ",...' , ' . '. .. " i' .. ',"', , . , ' : .', "',' i, " ,..,. ,.' , , '::, "'. .',,".',," "'::""L :' ':,'....'..'..,,' , .. ',' .', :',,':, .. ' >I" '" ..' , I " .' : ::~i::: " ,,' ' ,: ,: ", .' I ,: ,..,'.., ;, :." . I ' :,' ::', . ' , >~ ftt.J'A ()Z.. 124 Hillcresl Ave I<enlfield. Ca 94904 6 July 1989 Dear Sirs, An accident teok place on Highway 101 in Jefferson County at the curve just north of Ruby Beach and 25 miles south of Forks in late March or early April, 1989 in which a logging truck turned over and spilles diesel fuel on the highway. 'VitI you please let n1e know the date of that accident. I have enclosed a self addressed and stamped envelope for your reply, Thanks for your help, f!;Z~ \ -- T:, ~ , ' '".,'.' ,', , ,',: :" "" " , , ..','.,.'" ~ ,",/ }' :' " " < ", .', , ' , . ,',', .'. ,"". ",.'", '." , , ': , I" .' ,', :' " , ", ~ .:' I '" " I'. , ',' ,'. ,. " ,'".. ," ,.: ( " """'" )" . .." , :':,', ". ""'" ,',",' , "', .,,:, , ( .. , ,',' , '" '.."; " ....'" "'-I""': , ",.','.. '.. ," :' ',' ", ':. ,'.'.', ", t ~-.- ,,' "';:':,, ..:'. , .:'~, r ----' '," J ":,:;,:" r " " , ' ,'" :';, , ' ,,' '" , ' '... " :~""~{ . " , ,; "'.d : "',,," ;'.,",'", , ,", I: ", ,,', '~~. [: ' ',' , I, ,'. '" " II., '".,.,.', ,,: ~., , " , ", , , ", ,.' "" ,'" " ': ...,'.,',' "', ',' ,':o', , , ! ," .. ,; , ."','", ,:,' ", , ., :.:" " ,', ..'," .' '. , 'o',,' , ',,:,', "" "',',. :, .. :;,' ",' , , ,'...," ','n '<, ,':, " ".,'" , , ," ,'" , ", :, " ", ':,'" ", ", " :,', . ",' , ',..',,' " '.'"'r:~)'~~ ,",' "~~ .' " 1 .. i'1~~~i /~/ / /3,: .9.~ cJ..:f STATE OF WASHINGTON COUNTY OF JEFFERSON In the matter of: " Reimbursable Request No.!~J7~S15' A Request for Reimbursable Work " " To the Director of Public Works: Pursuant to terms of an agreement between Jefferson County and __Q~t~_QfY2~~_~o~2~~d~_~~~in~~o~____________________________________ adopted and approved on_____________________________________. the undersigned hereby requests the county to perform the work listed beloH at a time and in a manner convenient to the county. The undersigned further requests that the work be completed no later than___L~2&2~~~E_~~2__________________ and hereby guarantees reimbursement to the county +or all work done up to a maximum of $___2]~~~~_________. 1. Pre-level and seal coat 2.25 miles of Port Townsend streets and inter- sections. F Street: San Juan to Tyler Street Cherry Street: Blaine Street to F Street 10th Street: Sims Way to Sheridan Street 14th Street: Sheridan Street to L3.ndes Street Kuhn Street: 49th Street to 59th Street All terms of said agreement shall apply with the following exceptions: Date___~~~~:~~_____ Signature~a~~ (Agency Representative) Ti tl e_C~~...d~__.l://2.~__~LL::::::. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TO THE BOARD OF COUNTY COMMISSIONERS: Date:_l:1_~~1_______ I have examined recommendations: the above request and make the following __A~--(1-~---_----------- Director of Public Works Project Work Authorization No,_____ ,-:- " ':, ','. '.' .. ~:',..' ..., . ,.', , ".. ",':, I ' " '."" I' "...',..." .......,.. " .,", '..,. " " l . ,...', f ,< ... i' ,,: " .,' " " i , .,'.., " , " ';. : , " " ":, ',' .". ,../c':", " ',.'...,'.,."::..:. . .', --.."" ,,'" : ,',' '.."', ,", " " > ' :' ' ":',,.. :" ,', ",,",: ':"". :,' ....., "".. ,: .,. ,., .', ,.' ',,: " ~.".:'...."..';',; ,,' , ':C '. "::.' ,,\ , .,.,."..,..,..' ,,' :,: :, '. ,', , ", , , "', ' '.'...d,.....', , 'd '" J. " " .. ,,' '" ,"',." " .. .. ' .' " :,,: ,,; . " , ::."" ' ,'" ',' '" " >- ::,:' , t ; " ,.'.'..', , .,.':', '.. " '.- 0">1. ,', :",', "..... " :,,'.. ,'.., . ,,':' , ',' >'," , ':" " ""F': ", '..' .. . ' ! '.'" ",' ' i . ", i, ," , " ',,', , :" :,',:, ':: ['...,' ',".' , " , i ,', " I, ," f :" t .,'" r: '",. ; '." ,,', " " ' Datei:.-?".-i? .:3 - /9 f?' 9- U / ACTION OF THE BOARD OF THE COUNTY COMMISSIONERS: BOARD OF COUNTY COMllISSIONERS ~ /K _ \ '~~ _ (/----0-,t"-c)~---, George C.' , Chairman a(~~ Larry, . Denn~son, Member ~) ',' B.G. Brown, Member SEAL: Ad:n ~ f) 0 On AI 0" P CJ lJ;)rna Delaney Clerk of the Board '~\- f1 );' ~,~ , '.. 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