HomeMy WebLinkAboutCONSENT Amendment No 1 Van Aller SurveyingDepartment of Public Works
C Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Mark McCauley, County Administrator
From: Monte Reinders, P.E., Public Works Director/County Engineer
Agenda Date: April 28, 2025 f
Subject: Supplemental Agreement Number 1 with Van Aller Surveying, Inc. for Phase 3 —
Low Pressure Sewer Collection System for Port Hadlock UGA Construction
Surveying, Project No. 40521140, Commerce Project No. 22-96515-02, Ecology
Agreement No WQC_2024—JCoPWE-00034
Statement of Issue: Execution of Supplemental Agreement Number 1 with Van Aller Surveying, Inc. for
Phase 3 — Low Pressure Sewer Collection System for Port Hadlock UGA Construction Surveying, Project
No. 40521140, Commerce Project No. 22-96515-02, Ecology Agreement No WQC-2024_JCoPWE-00034.
Analysis/Strategic Goals/Pro's & Con's: This Supplemental Agreement Number 1 is to provide
construction surveying services during construction of Phase 4—Stages 1 & 2 On -site Grinder Pump
Installation for the Port Hadlock Urban Growth Area (PHUGA) and insertion the Department of Ecology
State Revolving Fund Requirements. The original budget is unchanged as the construction staking for
Phase 3 — Low Pressure Sewer Collection System came in under budget. The supplemental agreement
will also extend the contract completion date to December 31, 2025.
Fiscal Impact/Cost Benefit Analysis: The maximum amount payable under this agreement is $49,870
(original agreement amount). There is no cost change within this supplemental agreement, however,
the supplemental scope will be funded through Department of Ecology Combined Funding.
Recommendation: Public Works recommends that the Board execute all two (2) originals of
Supplemental Agreement Number 1 with Van Aller Surveying, Inc., and return one (1) original to Public
Works for further processing.
Department Contact: Samantha Harper, P.E., Wastewater Project Manager, ext. 175.
Reviewed By:
Mark McCauie aunty Administrator } Date
CONTRACT REVIEW FORM
(INSTRUCTIONS ARE ON THE NEXT PAGE)
Clear Form::]
CONTRACT WITH: Van Aller Surveying
Contract For: Construction Surveying PH Sewer
COUNTY DEPARTMENT: Public Works
Contact Person: Samantha Harper
Contact Phone: 360.385-9175
Contact email: sharper@co.jeffemonma.us
AMOUNT: so
Revenue:
Expenditure:
Matching Funds Required:
Sources(s) of Matching Funds
Fund #
Munis Org/Obj
APPROVAL STEPS:
Ecology
Ecology
N/A
N/A
405
Term:
Contract No: re'� e' ''f -63j
PROCESS: Exempt from Bid Process
Cooperative Purchase
Competitive Sealed Bid
Small Works Roster
Vendor List Bid
RFP or RFQ
✓ Other: Supplement Agreement 01
STEP 1: DEPARTMENT CERTIFIES COMPLIANCE WITH ]CC 3.55.080 AND CHAPTER 42.23 RCW.
�,.b.�r7,�.a�.H.,
Samantha Harper, P.E. `max �"�P"'�"ea��`
CERTIFIED: ■ N/A: 3/26/2025
o.K aea5 e� 1a.9ySc9�m
Signature Date
STEP 2:
COUNTY
AGENCY.
DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
(CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
CERTIFIED: F N/A:
Dig",iWO by eamarft Harper, PE
pn taus. E.1r-.:: xc+.•�rvwaus,
Samantha Harper, P.E. 3/26/2025
41= �a ivv n
Niel. 2035 03 N 1355.'03 O?W
Signature
Date
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfiche):
% Electronically approved by Risk Management on 4/3/2025.
VSupplemental agreement.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
i
Electronically approved as to form by PAO on 4/3/2025.
Pre -approved form. No PAO signature required.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
Supplemental Agreement Number:
Organization, Address, and Phone:
1
Van Aller Surveying
PO Box 757
Carlsborg, WA 98324
Agreement Number:
N/A
Project Number
Execution Date:
Completion Date:
405-2114-1 and 405-2127-0
03/25/2024
12/31/2025
Project Title
New Maximum Amount Payable:
Construction Survey for Port Hadlock
Sewer
Description of Work:
Construction survey for Port Hadlock Sewer Project, Phase 3 LPS Collection System and Phase 4
On -site Grinder Pump Installation
SUPPLEMENTAL AGREEMENT
The Local Agency of Jefferson County Public Works hereby amends the agreement with Van Aller
Surveying ("the Agreement"), executed on March 25, 2024 (and later amended through
Supplemental Agreement(s) N/A, executed on N/A ("this Supplemental Agreement").)
All provisions in the Agreement remain in effect, except as expressly modified by this
Supplemental Agreement.
The changes to the Agreement are described as follows:
I.
The scope will be amended to include construction survey for Phase 4 — Stages 1 & 2 On -site
Grinder Pump Installation for Port Hadlock UGA and the insertion of the Department of Ecology
State Revolving Fund Requirements, attached to this supplement.
II.
The completion dated is amended to be completed December 31, 2025.
There is no budget change as there is budget remaining from the previous scope of work for Phase 3
— Low Pressure Sewer Collection System for PHUGA, as the construction survey work can in under
the contract amount.
Supplemental Agreement (to A & B) Contract C, Version 1, Risk Legal Review Date 04/30/2018 Page 1 of2
This Supplemental Agreement shall be effective upon execution by both parties. Work performed
consistent with the Agreement prior to execution of this Supplemental Agreement is hereby ratified.
In witness whereof, the parties hereto have executed this Supplemental Agreement Number 1 as
shown below.
VAN ALLER SURVEYING
R i 4/ V4.zl A cc,-,
Consultant's Name (Please Print)
A/?,: ed-e,
Consultant's Signature
Y - %" Z-')'
Date
Approved as to form only:
PRE -APPROVED CONTRACT FORM
Philip C. Hunsucker Date
Chi Deputy Prosecuting Attorney
Mo"n a einders, P.E. Date
Public Works Director/County Engineer
COUNTY OF JEFFERSON
BOARD OF COMMISSIONERS
Heather Dudley Nollette, District 1 Date
Heidi Eisenhour, District 2 Date
Greg Brotherton, District 3
Date
Supplemental Agreement (to A & B) Contract C, Version 1, Risk Legal Review Date 04/30/2018 Page 2 of 2
WASHINGTON STATE DEPARTMENT OF ECOLOGY
WATER POLLUTION CONTROL REVOLVING FUND
DEPARTMENT OF ENGINEERING SERVICES INSERT
ECOLOGY Revised 10/24/ 14
State of Washington
The following clauses will be incorporated into contracts for engineering services receiving
financial assistance from the Washington State Department of Ecology Water Pollution Control
Revolving Fund. In the event of conflict within the contract these clauses shall take precedence
Compliance with State and Local Laws
The engineering services provider (CONTRACTOR) shall assure compliance with all applicable
federal, state, and local laws, requirements, and ordinances as they pertain to the design,
implementation, and administration of the approved project.
State Interest Exclusion
Partial funding of this project is being provided through the Washington State Department of
Ecology Water Pollution Control Revolving Fund. Neither the State of Washington nor any of
its departments or employees are, or shall be, a party to this contract or any subcontract.
Third Party Beneficiary
Partial funding of this project is being provided through the Washington State Department of
Ecology Water Pollution Control Revolving Fund. All parties agree that the State of Washington
shall be, and is hereby, named as an express third -party beneficiary of this contract, with full
rights as such.
Cost Basis of Contract
No contract may be written for "cost -plus -a -percentage -of -cost" or "percentage of construction
cost." The cost basis for this contract must be cost -reimbursement, unit price, fixed -price, time
and materials, or any combination of these four methods.
Funding Recognition
Documents produced under this agreement shall inform the public that the project received
financial assistance from the Washington State Water Pollution Control Revolving Fund.
Washington State Department of Ecology's and the EPA's logomust be on all signs and
documents. Logos will be provided as needed.
Access to the work site and to records
The CONTRACTOR shall provide for access to their records by Washington State Department
of Ecology and Environmental Protection Agency (EPA) personnel.
SRF Specification Insert 1 Revised 10/24/2014
The CONTRACTOR shall maintain accurate records and accounts to facilitate the Owner's audit
requirements and shall ensure that all subcontractors maintain auditable records. These records
shall be separate and distinct from the CONTRACTOR's other records and accounts.
All such records shall be available to the Owner and to Washington State Department of Ecology
and EPA personnel for examination. All records pertinent to this project shall be retained by the
CONTRACTOR for a period of three (3) years after the final audit.
Certification Regarding Suspension, Debarment Ineli ibili Or Voluntary
Exclusion
1. The CONTRACTOR, by signing this agreement, certifies that it is not suspended,
debarred, proposed for debarment, declared ineligible or otherwise excluded from
contracting with the federal government, or from receiving contracts paid for with federal
funds. If the CONTRACTOR is unable to certify to the statements contained in the
certification, they must provide an explanation as to why they cannot.
2. The CONTRACTOR shall provide immediate written notice to the Washington State
Department of Ecology if at any time the CONTRACTOR learns that its certification was
erroneous when submitted or had become erroneous by reason of changed circumstances.
The terms covered transaction, debarred, suspended, ineligible, lower tier covered
transaction, participant, person, primary covered transaction, principal, proposal, and
voluntarily excluded, as used in this clause, have the meaning set out in the Definitions
and Coverage sections of rules implementing Executive Order 12549. You may contact
the Washington State Department of Ecology for assistance in obtaining a copy of the
regulations.
4. The CONTRACTOR agrees it shall not knowingly enter into any lower tier covered
transaction with a person who is proposed for debarment under the applicable Code of
Federal Regulations, debarred, suspended, declared ineligible, or voluntarily excluded
from participation in this covered transaction.
5. The CONTRACTOR further agrees by signing this agreement, that it will include this
clause titled "Certification Regarding Suspension, Debarment, Ineligibility Or Voluntary
Exclusion" without modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
6. Pursuant to 2CFR180.330, the CONTRACTOR is responsible for ensuring that any lower
tier covered transaction complies with certification of suspension and debarment
requirements.
7. The CONTRACTOR acknowledges that failing to disclose the information required in
the Code of Federal Regulations may result in the delay or negation of this funding
agreement, or pursuance of legal remedies, including suspension and debarment.
8. The CONTRACTOR agrees to keep proof in its agreement file that it and all lower tier
SRF Specification Insert 2 Revised 10/24/2014
recipients or contractors are not suspended or debarred and will make this proof available
to the Washington State Department of Ecology upon request. The
RECIPIENT/CONTRACTOR must run a search in htip://www.sarn.and print a copy
of completed searches to document proof of compliance.
This term and condition supersedes EPA Form 5700-49, "Certification Regarding Debarment,
Suspension, and Other Responsibility Matters."
Disadvantaged Business Enterprises
General Compliance (40 CFR Part 33).
The CONTRACTOR shall comply with the requirements of the Environmental Protection
Agency's Program for Participation By Disadvantaged Business Enterprises (DBE) 40 CFR Part
33.
Non-discrimination Provision (40CFR Appendix A to Part 33).
The CONTRACTOR shall not discriminate on the basis of race, color, national origin or sex in
the performance of this contract. The CONTRACTOR shall carry out applicable requirements of
40 CFR part 33 in the award and administration of contracts awarded under EPA financial
assistance agreements. Failure by the CONTRACTOR to carry out these requirements is a
material breach of this contract which may result in the termination of this contract or other
legally available remedies.
Six Good Faith Efforts (40 CFR Part 33 Subpart C).
The CONTRACTOR agrees to make the following good faith efforts whenever procuring
subcontracts, equipment, services and supplies. The CONTRACTOR shall retain records
documenting compliance with the following six good faith efforts.
1. Ensuring Disadvantaged Business Enterprises are made aware of contracting
opportunities to the fullest extent practicable through outreach and recruitment activities.
For Indian Tribal, State and Local and Government recipients, this will include placing
Disadvantaged Business Enterprises on solicitation lists and soliciting them whenever
they are potential sources. Qualified Women and Minority business enterprises may be
found on the Internet at wtivw.omwbe.wa.goy or by contacting the Washington State
Office of Minority and Women's Enterprises at (866) 208-1064.
2. Making information on forthcoming opportunities available to Disadvantaged Business
Enterprises and arrange time frames for contracts and establish delivery schedules, where
the requirements permit, in a way that encourages and facilitates participation by
Disadvantaged Business Enterprises in the competitive process. This includes, whenever
possible, posting solicitations for bids or proposals for a minimum of thirty (30) calendar
days before the bid or proposal closing date.
3. Considering in the contracting process whether firms competing for large contracts could
subcontract with Disadvantaged Business Enterprises. For Indian Tribal, State and local
Government recipients, this will include dividing total requirements when economically
feasible into smaller tasks or quantities to permit maximum participation by
Disadvantaged Business Enterprises in the competitive process.
4. Encourage contracting with a consortium of Disadvantaged Business Enterprises when a
SRF Specification Insert 3 Revised 10/24/2014
contract is too large for one of these firms to handle individually.
5. Using services and assistance of the Small Business Administration and the Minority
Business Development Agency of the Department of Commerce.
6. If the prime contractor awards subcontracts, requiring the subcontractors to take the six
good faith efforts in paragraphs 1 through 5 above.
SRF Specification Insert 4 Revised 10/24/2014