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HomeMy WebLinkAboutSWP270000 CONTRACT CHECKLIST STAFF NAME & EXTENSION NUMBER: R i t e v) Q k o n,1 k 7 a� J DIVISION/DEPARTMENT: itre_S J p/ /12k, CONTRACT NUMBER: TASK ORDER NUMBER (if applicable): CONTRACTOR: St SQJ yf 16M5 ,Zt4C, PURPOSE OF CONTRACT: --�ft1�t'�(� AA 05 lift;hrl6li 641 Gnll.►wt ilf 1. LEGAL REVIEW: (Attach letter from City Attorney) e a 3126l pc( Y'1e vj 2. RISK MANAGEMENT REVIEW FOR INSURANCE: (Attach letter) /OK m eywU Sc � l 3. RESPONSE TO LEGAL OR RISK MGMT CQNC/ERNS: (Explain in writing how concerns have been met.) 4. INSURANCE CERTIFIC T AND/OR POLICY: (Attach original) I r c(vW, _ 5. CITY BUSINESS LICENSE NUMBER: y (Call Finance Dept.) 6. ACCOUNTS PAYABLE W-9 VENDOR FORM: (If not already on file with the Finance Dept.,make sure the contractor completes a vendor form and submits it to the Finance Dept.) 7. ATTACHED CONTRACTS ARE SIGNED BY CONTRACTOR/CONSULTANT: (If not,provide explanation) 8. FISCAL IMPACT: A. AMOUNT BUDGETED: (LINE ITEM) (See 9.b)* B. EXPENDITURE REQUIRED: 9. COUNCIL APPROVAL REQUIRED: (Prepare Agenda Bill): (See Policy and Procedure 250-02) A. CONTRACT OR TASK ORDER IS $50,000 OR OVER: (Refer to Council committee for initial contract approval;place subsequent task orders on Council agenda for concurrence.) B. *FUND TRANSFER REQUIRED IF CONTRACT EXPENDITURE EXCEEDS AMOUNT BUDGETED. (Refer to Council committee.) C. SOLE SOURCE CONTRACTS. (Over$20,000 refer to Council committee) 10. DATE OF COUNCIL APPROVAL (if applicable): t 11. RESOLUTION NUMBER (If applicable): 1J A 12. KEY WORDS FOR CITY CLERK'S INDEX: A. �A&ivd(fl J ► Pest S0/(,h'' '5. Z►^c- B. P(-t qer (rr-ek— WetLP,4 C. 6 e.Q;,"112211i"C"Ir DC/forms/city/contracts/cklist.doc/TP Rev:3/02 "R CITY OF RENTON Office of the City Attorney KathyKeolker-Wheeler,Mayor Lawrence J.Warren Assistant City Attorneys Mark Barber Zanetta L.Fontes Russell S. Wilson Ann S. Nielsen Sasha P. Alessi MEMORANDUM RECEIVE TO: Allen Quynn MAR 2 9 2004 FM: Zanetta L. Fontes CITY OF RENTON Ass't City Attorney UTILITY SYSTEMS RE: 2004 Mosquito Abatement Contract DT: 26 March 2004 I have had an opportunity to review the proposed contract. There were two typographical errors on page 2 of the contract. In the second paragraph of Paragraph III (Items To Be Furnished To The Consultant By The City), in the fourth line: the word "Consultants" should be singular possessive. It should be "Consultant's." The phrase should read: "... all data in City's possession relating to Consultant's services...." In Paragraph V (Time Of Beginning And Completion), in the second line of the first paragraph: the word"then" should be comparative rather than temporal. It should be "than." The phrase should read: " ... Consultant no later than December 31, 2004..." With those changes,the contract is approved as to legal form. cc: Jay Covington Gregg Zimmerman ' Lawrence J. Warren Post Office Box 626-Renton,Washington 98057-(425)255-8678/FAX(425)255-5474 R E N T O N eThis paper contains 50%recycled material,30%post consumer AHEAD OF THE CURVE City of Renton Human Resources & Risk Management Memorandum DATE: April 8, 2004 TO: Allen P uynn, Utility Systems FROM: A& R. Webby, HR&RM Administrator SUBJECT: Insurance Review/ Whitworth Pest Solutions, Inc. Mosquito Abatement Program 2004 - 2005 I have reviewed the Certificate of Insurance for the above-mentioned contract. The insurance coverage, provided for this contract, meets the City's risk management requirements R*Yao, AFFIDAVIT OF COMPLIANCE Lt�l�i WC r{ puu Sd IUt I c k4 hereby confirms and declares that (Name of contractor/subcontractor/consultant/supplier) 1. It is (j Q0 r (L 1 eV Q AQ policy to offer equal (Name of contractor/subcontractor/consultant/supplier) opportunity to all qualified employees and applicants for employment without regard to the race, creed, color, sex,national origin, age, disability or veteran status. II. W [, ,1 W 0 r+k_ hta complies with all applicable federal, (Name of contractor/subcontractor/consultant/supplier) state and local laws governing non-discrimination in employment. H. When applicable, Uhl Le � l of( will seek out and (Name of contractor/subcontractor/consultant/supplier) negotiate with minority and women contractors for the award of subcontracts. Print Agent/Representative's Name and Title -fVVu,11 tzLt—�—) Agent/Represe ive's Signature Instructions: This document MUST be completed by each contractor, subcontractor, consultant and/or supplier. Include or attach this document(s)with the contract. \\Server-1\Data\Terry\My Documents\affidavit.doc\msoffice 2 Piazza/Data—Center/Forms/City/Contracts /2000_Consultant.doc bb 04/06/2004 09: 14 5032248319 USI NORTHWEST PAGE Ul/U.3 'GORE- CERTIFICATE OF LIABILITY INSURANCEF04106/04fMMIDD!YYYY) DATE D;TE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI Northwest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 7D0 NE Multnomah, Suite 1300 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Portland, OR 97232 503 224-8390 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Lexington Insurance Company Whitworth Pest Solutions, Inc. INSURER 15; 2533 Inter Ave. INSURER C', Puyallup,WA 98372 INSURER D! INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR NSR TYPE OF INSURANCE POLICY NUMBLR POLL IDD/YYE vDATE EXPIRATION LIMITS A GENERAL LIABILITY PC6440709 12/01/03 12/01104 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S50.000 CLAIMS MAOF. 7OCCUR MED EXP(Any one pemon) g5 000 X PD Ded:2,500 PERSONAL A AOV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER! PRODUCTS-COMPIOP AGG s2,000000 POLICY 7 PET 71 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Es scUdenq ALL OWNED AUTOS BODILY INJURY S (Per pgmon) SCI•IEDULED AUTOS HIRED AUTOS BODILY INJURY S NON-0wNED AUTOS (Per accident) PROPERTY DAMAGE S (Per scclden I) GARAGE LIABILITY AUTO ONLY-FA ACCIDENT 3 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESSIUMBRELLALIABILITY EACHOCCURRENCE 2 OCCUR EI CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION S S RYLWORKERS COMPENSATION AND WC STATU� OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT ANY PROPRIETOR/PARTNERIEXECLMVE S OFFICENMEMBER F,XCLUDED7 E.L.DISEASE•EA EMPLOYE. S It yes,describe under SPECIAL PROVISIONS bolo. F_,L,DISEASE•POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPFCIAL PROVISIONS All operations of the Named Insured subject to the policy terms,con ditlons and exclusions. Certificate holder is an additional Insured as respects general liability arising out of the ongoing operations of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Renton DATE THEREOF,THE ISSUING INSURER WILL JtXXWMXR MAIL I_ DAYS WRrrTEN Plan nl n g/BI dglPu bl i c Works NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,jbjtlC&gQ1[kR7i1Jp1Dj�1D}G�t�j�( Attn Allen Quynn 31=111= RxarocNXXx1aoau7*iexorx=xxlau7®elo X"xxX 1055 South Grady Way J�ItA!lF16JtDCEtI[�1Jt�7c Renton,WA 98055 AUTHORIZED REPRESENTATIV ACORD 25(2001108) 1 Of 2 #S120582/M107863 11 L o ACORD CORPORATION 19a8 04/06/2004 09: 14 5032249319 USI NORTHWEST PAGE 02/03 IMPORTANT If the certificate holder is an ADDITIONAL_ INSURED,the policy(iss) must be endorsed. A statement on this certificate does not confer rlghts to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(2001108) 2 of 2 #S120562/M107863 CG2010 03/97 POLICY NUMBER: PC6440709 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED—OWNERS, LESSEES OR CONTRACTORS- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization required to be named as an additional insured and evidenced by certificate of insurance on file with the company. (If no name appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS INSURED (Section 11)is amended to include as an insured the person or Organization shown in the Schedule,but only with respect to liability arising out of your Ongoing operations performed for that insured. Excluded Parties List System Page 1 of 1 ME W"I 's ! 1 ° 1 rr Search Menu - '*`FAQ Current Exclusions ► Name 'Reports Menu 10 Multiple Names ► Lists Report 1' DUNS Supplemental Report 10 Agency Agency Report State/Country Supplemental Agency 10 Action Dates Report 10 Termination Dates State/Country Report ► Exact Name and ► Lists Data Report SSN/TIN F Supplemental Data Search Results for Parties Excluded Report Archive Menu- Cause and Past Exclusions by Partial Name : Whitworth Pest Treatment Code Name Solutions 10 Multiple Names *View Cause and Treatment Code SDN and Blocked As of 09-Apr r-2004 Descriptions i Persons List-Terrorist Reciprocal Codes &Drug Trafficking ► Procurement Codes No records were found matching this criteria. 10Nonprocurement Codes *Bureau of Industry and Security-BIS *Contact Information 10 Denied Persons List ► Email:support@epis.gov Entity List ► Phone: 1-866-GSA-EPLS (1-866-472-3757) View Agency Contacts Related Links ► Debar Maintenance Administration Upload Login AAA i http://epls.amet.gov/servlet/EPLSGetInputSearch 4/9/2004 CITY OF RENTON PLANNING/BUILDING/PUBLIC WORKS MEMORANDUM DATE: April 7,2004 TO: Allen Quynn FROM: Mike Webby SUBJECT: 2004 Mosquito Abatement Program—Insurance review Please review the enclosed insurance certificate and verify it meets the City's insurance requirements. To assist in your review, I've also included the contract scope of work. The contract amount is$18,278.40. Please call me at ext. 7247 if you have any questions. Thanks cc: file Documen0cor ENGINEERING ANNUAL CONSULTANT AGREEMENT THIS AGREEMENT, made and entered into on this , day of , 20 , by and between the CITY OF RENTON, WASHINGTON, A MUNICIPAL CORPORATION HEREINAFTER CALLED THE "City," and Whitworth Pest Solutions,Incorporated whose address is 2533 Inter Avenue,Puyallup, WA 98372-3428, at which work will be available for inspection, hereinafter called the "CONSULTANT." PROJECT NAME: 2004 MOSQUITO ABATEMENT PROGRAM WHEREAS, the City desires to accomplish this project which requires the services of an Entomologist/Pest Control agent,and WHEREAS, the City has not sufficient qualified employees to perform the necessary Mosquito Abatement Program Entomologist/Pest Control Agent Services and the City deems it advisable and is desirous of engaging the professional services and assistance of a qualified professional consulting to do the necessary consultant work for the project to perform the Mosquito Abatement Program Entomologist/Pest Control Agent Services,and WHEREAS, the Consultant has represented and by entering into this Agreement now represents, that it is in full compliance with the statutes of the State of Washington for registration as a commercial pesticide applicator and that all personnel to be assigned to the work required under this Agreement are fully qualified to perform the work to which they will be assigned in a competent and professional manner, and that sufficient qualified personnel are on staff or readily available to Consultant to staff this Agreement. WHEREAS, the Consultant has indicated that it desires to do the work set forth in the Agreement upon the terms and conditions set forth below. NOW THEREFORE, in consideration of the terms, conditions, covenants and performances contained herein below, the parties hereto agree as follows: I SCOPE OF WORK The Consultant shall furnish, and hereby warrants that it has, the necessary equipment, materials, and professionally trained and experienced personnel to facilitate completion of the work described in Exhibit A, Scope of Work, which is attached hereto and incorporated into this Agreement as though fully set forth herein. The Consultant shall perform all work described in this Agreement in accordance with the latest edition and amendments to local and state regulations, guidelines and policies. The Consultant shall prepare such information and studies as it may deem pertinent and necessary, in order to pass judgment in a sound manner on the features of the work. The Consultant shall make such minor changes, amendments or revisions in the detail of the work as may be required by the City. This item does not constitute an "Extra Work" item as related in Section VIII of the Agreement. The work shall be verified for accuracy by a complete check by the Consultant. The Consultant will be held responsible for the accuracy of the work,even though the work has been accepted by the City. H:Tile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contract1.doc\AQ\cor II DESIGN CRITERIA The City will designate the basic premises and criteria for the work needed. The Entomologist/Pest Control Agent Services shall provide as a standard professional service that which is normally provided by said professionals. All work shall be done in accordance with the license requirements of a professional pest control agent. All chemical applications and other services shall be done in accordance with Federal and State laws,the chemical manufacturer's label requirements and the City of Renton environmental Determination for File No. LUA-00-025,ECF. III ITEMS TO BE FURNISHED TO THE CONSULTANT BY THE CITY The City will furnish the Consultant copies of documents which are available to the City that will facilitate the preparation of the plans, studies, specifications, and estimates within the limits of the assigned work. All other records needed for the study must be obtained by the Consultant. The Consultant will coordinate with other available sources to obtain data or records available to those agencies. The Consultant shall be responsible for this and any other data collection to the extent provided for in the Scope of Work. City will provide to Consultant all data in City's possession relating to Consultant's services on the project. Consultant will reasonably rely upon the accuracy, timeliness, and completeness of the information provided by the City. Should field studies be needed, the Consultant will perform such work to the extent provided for in the Scope of Work. The City will not be obligated to perform any such field studies. IV OWNERSHIP OF PRODUCTS AND DOCUMENTS TO BE FURNISHED BY THE CONSULTANT Documents, exhibits or other presentations for the work covered by this Agreement shall be furnished by the Consultant to the City upon completion of the various phases of the work. All such material, including working documents, notes, maps, drawings, photo, photographic negatives, etc. used in the project, shall become and remain the property of the City and may be used by it without restriction. Any use of such documents by the City not directly related to the project pursuant to which the documents were prepared by the Consultant shall be without any liability whatsoever to the Consultant. All written documents and products shall be printed on recycled paper when practicable. U'se of the chasing-arrow symbol identifying the recycled content of the paper shall be used whenever practicable. All documents will be printed on both sides of the recycled paper, as feasible. V TIME OF BEGINNING AND COMPLETION It is agreed that all the Consultant's services are to be completed and all products shall be delivered by the Consultant no later than December 31, 2004 unless there are delays due to factors that are beyond the control of the Consultant. The Consultant shall not begin work under the terms of this Agreement until authorized in writing by the City. If, after receiving Notice to Proceed,the Consultant is delayed in the performance of its services by factors H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contractl.doc\AQ\cor that are beyond its control, the Consultant shall notify the City of the delay and shall prepare a revised estimate of the time and cost needed to complete the Project and submit the revision to the City for its approval. Time schedules are subject to mutual agreement for any revision unless specifically described as otherwise herein. Delays attributable to or caused by one of the parties hereto amounting to 30 days or more affecting the completion of the work may be considered a cause for renegotiation or termination of this Agreement by the other party. VI PAYMENT The Consultant shall be paid by the City for completed work for services rendered under this Agreement as provided hereinafter as specified in Exhibit B, Cost Estimate. Such payment shall be full compensation for work performed or services rendered and for all labor, materials, supplies, equipment, and incidentals necessary to complete the work. The cost estimate in Exhibit B includes all direct salary cost, overhead, direct non-salary cost and net fee for completion of the Scope of Work. All billings for compensation for work performed under this Agreement will list actual time (days and/or hours) and dates during which the work was performed. Payment for services rendered in 2004 shall not exceed $18,278.40 without a written amendment to this contract,agreed to and signed by both parties. Progress payments may be claimed monthly for direct costs actually incurred to date as supported by detailed statements. Final payment of any balance due the Consultant of the gross amount earned will be made promptly upon its verification by the City after completion and acceptance by the City of the work under this Agreement. Acceptance, by the Consultant of final payment shall constitute full and final satisfaction of all amounts due or claimed to be due. Payment for extra work performed under this Agreement shall be paid as agreed to by the parties hereto in writing at the time extra work is authorized. (Section VIII "EXTRA WORK"). A short narrative progress report shall accompany each voucher for progress payment. The report shall include discussion of any problems and potential causes for delay. To provide a means of verifying the invoiced salary costs for consultant employees, the City may conduct employee interviews. Acceptance of such final payment by the Consultant shall constitute a release of all claims of any nature, related to this Agreement, which the Consultant may have against the City unless such claims are specifically reserved in writing and transmitted to the City by the Consultant prior to its acceptance. Said final payment shall not,however, be a bar to any claims that the City may have against the Consultant or to any remedies the City may pursue with respect to such claims. The Consultant and its subconsultants shall keep available for inspection, by the City, for a period of three years after final payment, the cost records and accounts pertaining to this Agreement and all items related to, or bearing upon, these records. If any litigation, claim or audit is started before the expiration of the three-year retention period, the records shall be retained until all litigation, claims or audit findings involving the records have been resolved. The three-year retention period starts when the Consultant receives final payment. VH CHANGES IN WORK The Consultant shall make all such revisions and changes in the completed work of this Agreement as are necessary to correct errors appearing therein,when required to do so by the City,without additional compensation. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contract l.doc\AQ\cor Should the City find it desirable for its own purposes to have previously satisfactorily completed work or parts thereof revised, the Consultant shall make such revisions, if requested and as directed by the City in writing. This work shall be considered as Extra Work and will be paid for as provided in Section VIII. VIII EXTRA WORK The City may desire to have the Consultant perform work or render services in connection with the Project in addition to or other than work provided for by the expressed intent of the Scope of Work. Such work will be considered as Extra Work and will be specified in a written supplement which will set forth the nature and scope thereof. Work under a supplement shall not proceed until authorized in writing by the City. Any dispute as to whether work is Extra Work or work already covered under this Agreement shall be resolved before the work is undertaken. Performance of the work by the Consultant prior to resolution of any such dispute shall waive any claim by the Consultant for compensation as Extra Work. IX EMPLOYMENT The Consultant warrants that it has not employed or retained any company or person, other than a bona fide employee working solely for the Consultant, to solicit or secure this contract and that he has not paid or agreed to pay any company or person, other than a bona fide employee working solely for the Consultant, any fee, commission,percentage,brokerage fee, gifts or any other consideration, contingent upon or resulting from the award or making of this contract. For breach or violation of this warranty, the City shall have the right to annul this Agreement without liability, or in its discretion to deduct from the Agreement price or consideration or otherwise recover,the full amount of such fee, commission,percentage, brokerage fee, gift or contingent fee. Any and all employees of the Consultant, while engaged in the performance of any work or services required by the Consultant under this Agreement, shall be considered employees of the Consultant only and not of the City and any and all claims that may or might arise under the Workman's Compensation Act on behalf of said employees,while so engaged and any and all claims made by a third party as a consequence of any negligent act or omission on the part of the Consultant's employees,while so engaged on any of the work or services provided to be rendered herein, shall be the sole obligation and responsibility of the Consultant. The Consultant shall not engage, on a full or part-time basis, or other basis, during the period of the contract, any professional or technical personnel who are, or have been at any time during the period of this contract, in the employ of the City except regularly retired employees,without written consent of the City. If during the time period of this Agreement, the Consultant finds it necessary to increase its professional, technical, or clerical staff as a result of this work, the Consultant will actively solicit minorities through their advertisement and interview process. X NONDISCRIMINATION The Consultant agrees not to discriminate against any client, employee or applicant for employment or for services because of race, creed, color,national origin,marital status, sex, age or handicap except for a bona fide occupational qualification with regard to, but not limited to the following: employment upgrading; demotion or transfer; recruitment or any recruitment advertising; layoff or termination's; rates of pay or other forms of compensation; selection for training; rendition of services. The Consultant understands and agrees that if it violates this Non- Discrimination provision, this Agreement may be terminated by the City and further that the Consultant shall be barred from performing any services for the City now or in the future, unless a showing is made satisfactory to the City that discriminatory practices have terminated and that recurrence of such action is unlikely. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contract1.doc\AQ\cor XI TERMINATION OF AGREEMENT A. The City reserves the right to terminate this Agreement at any time upon not less than ten (10) days written notice to the Consultant, subject to the City's obligation to pay Consultant in accordance with subparagraphs C and D below. B. In the event of the death of a member, partner or officer of the Consultant, or any of its supervisory personnel assigned to the project, the surviving members of the Consultant hereby agree to complete the work under the terms of this Agreement, if requested to do so by the City. This section shall not be a bar to renegotiations of this Agreement between surviving members of the Consultant and the City, if the City so chooses. In the event of the death of any of the parties listed in the previous paragraph, should the surviving members of the Consultant, with the City's concurrence, desire to terminate this Agreement, payment shall be made as set forth in Subsection C of this section. C. In the event this Agreement is terminated by the City other than for fault on the part of the Consultant, a final payment shall be made to the Consultant for actual cost for the work complete at the time of termination of the Agreement, plus the following described portion of the net fee. The portion of the net fee for which the Consultant shall be paid shall be the same ratio to the total net fee as the work complete is to the total work required by the Agreement. In addition, the Consultant shall be paid on the same basis as above for any authorized extra work completed. No payment shall be made for any work completed after ten (10) days following receipt by the Consultant of the Notice to Terminate. If the accumulated payment made to the Consultant prior to Notice of Termination exceeds the total amount that would be due as set forth herein above, then no final payment shall be due and the Consultant shall immediately reimburse the City for any excess paid. D. In the event the services of the Consultant are terminated by the City for fault on the part of the Consultant, the above stated formula for payment shall not apply. In such an event the amount to be paid shall be determined by the City with consideration given to the actual costs incurred by the Consultant in performing the work to the date of termination, the amount of work originally required which was satisfactorily completed to date of termination, whether that work is in a form or of a type which is usable to the City at the time of termination, the cost to the City of employing another firm to complete the work required and the time which may be required to do so, and other factors which affect the value to the City of the work performed at the time of termination. Under no circumstances shall payment made under this subsection exceed the amount which would have been made if the formula set forth in subsection C above had been applied. E. In the event this Agreement is terminated prior to completion of the work, the original copies of all Engineering plans, reports and documents prepared by the Consultant prior to termination shall become the property of the City for its use without restriction. Such unrestricted use not occurring as a part of this project, shall be without liability or legal exposure to the Consultant. F. Payment for any part of the work by the City shall not constitute a waiver by the City of any remedies of any type it may have against the Consultant for any breach of this Agreement by the Consultant, or for failure of the Consultant to perform work required of it by the City. Forbearance of any rights under the Agreement will not constitute waiver of entitlement to exercise those rights with respect to any future act or omission by the Consultant. G. If the work under this contract is determined to be a potential `take' under the Endangered Species Act and the City cannot obtain an `incidental take' permit or other federal government approval for the work, then the City,at its sole discretion,may terminate this contract. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contractl.doc\AQ\cor XII DISPUTES Any dispute concerning questions of facts in connection with work not disposed of by agreement between the Consultant and the City shall be referred for determination to the Director of Planning/ Building/Public Works or his/her successors and delegees, whose decision in the matter shall be final and conclusive on the parties to this Agreement. In the event that either party is required to institute legal action or proceedings to enforce any of its rights in this Agreement, both parties agree that any such action shall be brought in the Superior Court of the State of Washington, situated in King County. XIII LEGAL RELATIONS The Consultant shall comply with all Federal Government, State and local laws and ordinances applicable to the work to be done under this Agreement. This contract shall be interpreted and construed in accordance with the laws of Washington. The Consultant agrees to indemnify, defend and hold the City and its officers and employees harmless from and shall process and defend at its own expense all claims, demands or suits at law or equity arising in whole or part from the Consultant's errors, omissions, or negligent acts under this Agreement provided that nothing herein shall require the Consultant to indemnify the City against and hold harmless the City from claims, demands or suits based upon the conduct of the City, its officers or employees and provided further that if the claims or suits are caused by or result from the concurrent negligence of(a) the Consultant's agents or employees and (b) the City, its agents, officers and employees, this provision with respect to claims or suits based upon such concurrent negligence shall be valid and enforceable only to the extent of the Consultant's negligence or the negligence of the Consultant's agents or employees except as limited below. The Consultant shall secure general liability, property damage, auto liability, and professional liability coverage in the amount of$1.0 million, with a General Aggregate in the amount of$2 million, unless waived or reduced by the City. The Consultant shall submit a completed City of Renton Insurance Information Form, and the Standard Acord Certification Form prior to the execution of the contract. The City of Renton shall be named as an "additional insured" on all contracts/projects. The Consultant shall also submit copies of the declarations pages of relevant insurance policies to the City within 30 days of contract acceptance if requested. The Certification and Declaration page(s) shall be in a form as approved by the City. If the City's Risk Manager has the Declaration page(s) on file from a previous contract and no changes in insurance coverage has occurred, only the Certification Form will be required. The limits of said insurance shall not,however, limit the liability of Consultant hereunder. All coverages provided by the Consultant shall be in a form, and underwritten by a company acceptable to the City. The City will normally require carriers to have minimum A.M. Best rating of A XII. The Consultant shall keep all required coverages in full force and effect during the life of this project, and a minimum of forty five days' notice shall be given to the City prior to the cancellation of any policy. The Consultant shall verify, when submitting first payment invoice and annually thereafter, possession of a current City of Renton business license while conducting work for the City. The Consultant shall require, and provide verification upon request, that all subconsultants participating in a City project possess a current City of Renton business license. The Consultant shall provide, and obtain City approval of, a traffic control plan prior to conducting work in City right-of-way. The Consultant's relation to the City shall be at all times as an independent contractor. H:Tile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contractl.doc\AQ\cor XIV SUBLETTING OR ASSIGNING OF CONTRACTS The Consultant shall not sublet or assign any of the work covered by this Agreement without the express consent of the City. XV COMPLETE AGREEMENT This document and referenced attachments contain all covenants, stipulations, and provisions agreed upon by the parties. Any supplements to this Agreement will be in writing and executed and will become part of this Agreement. No agent, or representative of either party has authority to make, and the parties shall not be bound by or be liable for, any statement, representation, promise, or agreement not set forth herein. No changes, amendments, or modifications of the terms hereof shall be valid unless reduced to writing and signed by the parties as an amendment to this Agreement. The invalidity or unenforceability of any provision in this Agreement shall not affect the other provisions hereof, and this Agreement shall be construed in all respects as if such invalid or unenforceable provision were omitted. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contractl.doc\AQ\cor XVI EXECUTION AND ACCEPTANCE This Agreement may be simultaneously executed in several counterparts, each of which shall be deemed to be an original having identical legal effect. The Consultant does hereby ratify and adopt all statements, representations, warranties, covenants, and agreements contained in the Request for Qualifications, and the supporting materials submitted by the Consultant, and does hereby accept the Agreement and agrees to all of the terms and conditions thereof. IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year first above written. CONSULTANT CITY OF RENTON 3�-L,3 Signa Date Gregg Zimmerman, Administrator Date PB/PW type or print name EdttOrnC7�t� Uic�l Title \\Server-1\Data\Terry\My Documents\Scopeofwork\whitworthContractl.doc\AQ\msoffice 8 EXHIBIT A SCOPE OF WORK 2004 MOSQUITO ABATEMENT PROGRAM TASK NO. 1: LAND TREATMENT FOR ABATEMENT OF MOSQUITOES Treatment Methods and Materials. Land treatment applications of an ultra low volume (ULV), Environmental Protection Agency registered, insecticide will be applied to brush and other upland vegetation using a gasoline-powered, backpack-mounted, portable fogger. Treatment will be conducted in upland areas away from water or wetland areas as weather conditions allow and in accordance with the product label and other federal and state regulations. Treatment must also be conducted in accordance with the conditions of the Determination of Non-Significance-Mitigated for the program made by the City of Renton Environmental Review Committee on March 14, 2000, and included as Exhibit C of the this contract. All necessary licenses and permits shall be the responsibility of the consultant to ensure their issuance prior to treatment. The synthetic pyrethroid insecticide product to be used is Permanone or other products containing similar formulations. Area of Treatment. The treatment area, shown in Exhibit D, is adjacent to and upland of the eastern edge of the Panther Creek Wetland generally located between SR-167 on the west and Lake Avenue South/Talbot Road South on the east and extending from SW 39th Street on the south to I-405 on the north,within the City of Renton, Washington. The project area covers approximately 60 acres to the east of the approximately 65-acre Panther Creek Wetland complex. Prior to treatment,the City will provide a highlighted copy of the map included in Exhibit D of this contract to indicate the properties within the project area for which authorization and release for access and treatment has been granted by the property owner or the owner's legal representative. The treatment application will be performed from foot trails through the project area used in the previous Mosquito Abatement Program treatment applications. The cost per treatment shall include all necessary work for clearing of the trails to allow the treatment to be applied. Frequency of Treatment. Fogging will be conducted in coordination with and at the request of the City at a maximum frequency of twice per week during the months of April through August when mosquito populations are typically higher. The project budget assumes a maximum number of 21 treatment applications. Coordination. Following each treatment, the consultant shall provide to the City a brief summary of the area treated and the type of chemical used, weather conditions during the treatment application,the time during which treatment was conducted, an estimate of the relative abundance and distribution of mosquitoes, and a recommendation on the scope and timing of subsequent treatment. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Scope ofwork.docWQ\tb EXHIBIT B COST ESTIMATE 2004 MOSQUITO ABATEMENT PROGRAM Task 1. The estimated total cost of Task 1 including Washington States sales tax is $18,278.40. The cost shall include all necessary work for clearing of the trails to allow the treatment to be applied. Work conducted in performance of Task 1 will be billed at the following rates: For 12 or more total treatments: $800/treatment For 6 to I 1 total treatments: $850/treatment For 1 to 5 total treatments: $950/treatment The billing rates include state sales tax. Subtotal Contract Cost: $16,800.00 State Sales Tax(8.8%) $1,478.40 Estimated Total Contract Cost: $18,278.40 H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Scope of work.doc\AQ\tb CITY OF RF,NTON Plannin uildin blicWorks ..0 � � Department Kathy Keolker-Wheeler, Mayor Gregg Zimmerman P.E.,Administrator April 16, 2004 Terry Whitworth Whitworth Pest Control, Inc. 2533 Inter Avenue Puyallup, WA '98372-3428 SUBJECT: MOSQUITO ABATEMENT PROGRAM CONTRACT (CAG-04-046)NOTICE TO PROCEED Dear Terry: Enclosed please find for your records one (I.)original, signed 2004 Mosquito Abatement Contract. You are hereby authorized to begin treatments-as set forth in the approved contract scope of work and budget. As we discussed over the phone,the first treatment will begin on April 22nd. I'm preparing the treatment area map and will forward you a copy early next week. I look forward to working with you on another successful Mosquito Abatement Program season: Please call me if you have any questions at 425-430-7247. Sincerely, Allen Quynn, E. City of Rento S ace Water Utility Enclosure cc: file H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\NTP.doc\AQ\tb R E N T O N 1055 South Grady Way-Renton, Washington 98055 ®This papercontains 50%recycled material,30%post consumer AHEAD OF T H.E CURVE l .� CITY OF RENTON Planning/Building/PublicWorks Department Kathy Keolker-Wheeler, Mayor Gregg Zimmerman P.E.,Administrator March 30, 2004 SUBJECT: CITY OF RENTON 2004 MOSQUITO ABATEMENT PROGRAM AUTHORIZATION AND RELEASE REQUEST Dear Resident/Property Owner: The City of Renton is preparing to conduct its annual Mosquito Abatement Program. The program's purpose is to control mosquito populations in the area adjacent to and upland of the eastern edge of the Panther Creek Wetland(generally located between SR-167 on the west,and Lake Avenue South/Talbot Road South on the east,and extending from SW 39th Street on the south to I-405 on the north,within the City of Renton, WA). The project area covers approximately 60 acres to the east of the approximately 65-acre Panther Creek Wetland complex (Exhibit A). Mosquito control for the area consists of land treatment applications of an ultra low volume (ULV)Environmental Protection Agency registered insecticide spray. Applications to upland vegetation will be accomplished using a gasoline-powered, backpack-mounted, portable fogger. The fogging will be conducted at a maximum frequency of twice per week,during the months of April through August,when mosquito populations are typically higher. Treatment will be conducted in upland areas away from water or wetland areas, as conditions allow, and in accordance with the product label and other state/federal requirements and by a licensed applicator/entomologist who specializes in pest control. Treatment will also be conducted in accordance with the conditions of the enclosed Determination of Non-S ignificance-Mitigated (Exhibit B)for the program made by the City of Renton Environmental Review Committee on March 14, 2000. To allow access for treatment,we are requesting that you sign the enclosed Authorization and Release(Exhibit C). This will allow the program applicator/entomologist to access the project area through your property, if needed, and apply treatment. Please return the completed Authorization and Release form, using the business reply envelope provided,by April 13, 2004. If you do not wish to grant authorization and release for treatment of your property,you are not required to return the form and your property will not be accessed or treated. A description of the insecticide products to be used in the program is included in Exhibit D,as well as information on actions that may be taken to repel or abate mosquitoes on private property. Thank you for your cooperation. If you have any questions,or wish to have more information about the Mosquito Abatement Program and/or future actions for mosquito abatement,please contact me at 425430-7247. Sincerely, Allen Quynn, roje Manager Surface Wate Utility Enclosures HAFile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27 2000 Mosquito Abateme ogram\2004 PregramU004 Release R@4yest4)QC;A1�\tb E N T O N 1055 South Grady Way-Renton,Washington 98055 0 This paper contains 50%recycled material,30%post consumer AHEAD OF THE CURVE EXHIBIT A Neighborhood Detail Map/Site Map SW I 16th [S" Proje t Li ts o � ® S t t t 167 S 19 t h � D `n SW 21 st in o � Y • J J SW 23rd S v ST SW 27th St ON O V`r 3 a> N S 29 St `L 0 w 30t St 1st P1 co t67 a w th t SW 39th S _ Notes TREATMENT WILL NOT BE APPLIED WITHIN 100' OF WATER. TREATMENTS WILL NOT BE PERFORMED NEAR HOMES. TREATMENT WILL ONLY BE DONE ON THE UPLAND AREA BETWEEN �000 0 1000 THE WETLAND EASTERN EDGE AND THE RESIDENTIAL AREAS. PROPERTY OWNER APPROVAL REQUIRED PRIOR TO TREATMENT ON PRIVATE PROPERTY. Score n Feet Mosquito Abatement Program (2000-2004) EXHIBIT B CITY OF RENTON MEMORANDUM Date: April 4, 2000 To: Allen Quynn/Utilities RECEIVED From: Peter Rosen/Development Plannin6s, APR - 5 2000 CITY OF REN roN Subject: Mosquito Abatement UTILITY SYSTEMS Project No. LUA-00-025,ECF This letter is to inform you that the comment and appeal periods have ended for the Environmental Review Committee's (ERC) Determination of Non-Significance-Mitigated for the above-referenced project. No appeals were filed. This decision is final and application for the appropriately required permits may proceed. The applicant must comply with all ERC Mitigation Measures. If you have any questions, please contact me at 430-7219. finalmm low DETERMINATION OF NON-SIGNIFICANCE (MITIGATED) MITIGATION MEASURES APPLICATION NO(S): LUA-00-025,ECF APPLICANT: City of Renton PROJECT NAME: Mosquito Abatement Program 2000-2004 DESCRIPTION OF PROPOSAL: The City of Renton proposes to conduct a mosquito abatement program annually from April through September over a five-year period from 2000 to 2004 for the control of mosquitoes in the Talbot Hill area adjacent to and upland of the eastern edge of the Panther Creek Wetland. The program consists of land treatment applications of an Environmental Protection Agency (EPA)approved synthetic insecticide spray applied to brush and other upland vegetation using a gasoline- powered, backpack-mounted portable blower. The spraying will be conducted in upland areas away from water areas by a licensed applicator/entomologist at a maximum frequency of twice per week in accordance with EPA and Department of Agriculture approved application requirements. LOCATION OF PROPOSAL: East of SR-1 67/ anther Creek Wetland,West of Tbot R South/Lake Avenue South, South of 1-405, North of SW 43"gd Street MITIGATION MEASURES: 1. To ensure public health and safety, prior to the start of treatment the applicant will: 1) provide written information which fully describes the proposed abatement program and schedule to all property owners within the proposed project area; 2) conduct the program only on City property and on those privately-owned parcels for which authorization has been received from the property owner or the owner's legal representative; and 3) post a description and schedule of the program in the vicinity of the project area. The information will include the name and telephone number of the applicant's representative who can provide further information about the program to interested parties. 2. To prevent excess drift of the proposed insecticide sprays and potential drift into the Panther Creek Wetland, application may only be made as conditions permit in accordance with EPA and Department of Agriculture approved application requirements, e.g., restrictions on the maximum wind speed above which treatment may not be conducted. Wind speeds determined by the applicator at the time of treatment must be 10 miles per hour or less and must be blowing in an easterly direction away from the Panther Creek Wetland or the treatment may not be conducted. 3. To minimize the potential for insecticides to enter surface or ground water, equipment washdown water is to be disposed of off-site in accordance with EPA and Department of Agriculture requirements. 4. To minimize potential impacts to aquatic organisms, accidental spills are,to be reported immediately . by the applicator to the City of Renton Surface Water Utility, the State Department of Health, the Department of Agriculture, and the Department of Ecology (spills in water). Only small quantities of the proposed insecticides (9 gallons of diluted concentrate or less) will be on the project site and will be stored, handled, and disposed of in accordance with EPA and Department of Agriculture requirements. In the event of a spill, appropriate measures are to be immediately implemented by the applicator to first contain and then to clean up the spill in accordance with.Department of Agriculture and/or other applicable agency requirements_ ! Mosquito Abatement Program 2000-2004 LUA-00-025,ECF Mitigation Measures(continued) Page 2 of 2 5. To minimize the potential for insecticides inadvertently entering surface or ground water, the insecticide spraying must be conducted in upland areas away from water by a licensed applicator in accordance with Environmental Protection Agency (Federal Insecticide, Fungicide and Rodenticide Act or FIFRA) and Department of Agriculture (WAC-16-228) approved application requirements. Biomist®is not to be applied within 100 feet from water. 6. To ensure that potential impacts to animals are minimized, the applicator will immediately notify the City of Renton Surface Water Utility and stop treatment if any animals are killed in association with the abatement program. No animal kill is expected because BiOMISTO, when used according to the manufacture's instructions as approved by EPA, is reported to have low toxicity to animals. CITY OF RENTON DETERMINATION OF NON-SIGNIFICANCE (MITIGATED) ADVISORY NOTES APPLICATION NO(S): LUA-00-025,ECF APPLICANT: City of Renton PROJECT NAME: Mosquito Abatement Program 2000-2004 DESCRIPTION OF PROPOSAL: The City of Renton proposes to conduct a mosquito abatement program annually from April through September over a five-year period from 2000 to 2004 for the control of mosquitoes in the Talbot Hill area adjacent to and upland of the eastern edge of the Panther Creek Wetland. The program consists of land treatment applications of an Environmental Protection Agency (EPA)approved synthetic insecticide spray applied to brush and other upland vegetation using a gasoline- powered, backpack-mounted portable blower. The spraying will be conducted in upland areas away from water areas by a licensed applicator/entomologist at a maximum frequency of twice per week in accordance with EPA and Department of Agriculture approved application requirements. LOCATION OF PROPOSAL: East of SR-167/Panther Creek Wetland,West of Talbot Rosd South/Lake Avenue South, South of 1-405, North of SW 43 Street Advisory Notes to Applicant: The following notes are supplemental information provided in conjunction with the environmental determination. Because these notes are provided as information only, they are not subject to the appeal process for environmental determinations. 1. Normal hours during which work may be conducted are between 6:00 AM and 7:00 PM, Monday through Friday. Permission to work other hours and times must be obtained from the City Development Services Division and may be subject to other conditions. 2. The mitigation measures included in this determination are proposed by the applicant in the project application documents. It is the responsibility of the applicant to ensure that all mitigation is implemented as proposed,and that any additional information requiring review is submitted and approved prior to starting work. EXHIBIT C RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE 30230591 06 YAN Telephone No. PO BO 27470 -Sfi�T E WA 98125 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope R\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (C[P)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Fxh C.DOC\AQ\tb EXHIBIT D Description of Insecticide Products. The insecticide pyrethroid product proposed for application is described following. Products with formulations similar to the described product may also be used. Permanone°31-66 is a product that was also used in previous programs and is proposed again for inclusion in this year's program. Permanone 31-66, currently sold under the trade name BioMist®, is the brand name of an insecticide containing a synthetic version of permethrin as its active ingredient. The insecticide is formulated for dilution with oil products, such as mineral oil, and is to be applied at a rate between 0.0035 and 0.0070 pounds of permethrin per acre. Permanone is degraded in soil and may last for several days. BioMist®is not to be applied within 100 feet from water or wetland areas. Actions That May Be Taken to Repel or Abate Mosquitoes on Private Property. There are several actions that may be taken on private property that can serve to minimize the frequency and need for large-scale application of insecticides through a City-funded program. These actions are described as follows: The elimination of mosquito breeding places on private property. Removal of mosquito breeding places is accomplished through elimination of areas of stagnant water. Mosquitoes may breed in unusual areas where water may accumulate, such as ornamental pools and birdbaths. Methods for elimination of these and other potential breeding sites are listed in the attached Extension Bulletin No. 1066 by the Washington State University Cooperative Extension titled "Pest Management for Prevention and Control of Mosquitoes". The encouragement of natural predators. Predators that feed on mosquitoes include animals such as bats, swallows, frogs, and fish. A permit is required from the Washington State Department of Fish and Wildlife in order to stock mosquito fish and three-spine stickleback fish. Other animals can only be attracted to a specific area through the construction of cavity type houses and habitat enhancement with the hope that it will increase the desired predator population. More information on attracting natural predators, such as instructions for constructing and locating bat houses, may be obtained from the State Department of Fish and Wildlife. The use of mosquito repellent devices such as bug lights, mosquito repellents, and netting. It is important to recognize that, even with the large-scale application of insecticides, not all mosquitoes will be eliminated. Therefore, it is recommended to expect some of the pests and to take appropriate precautions to repel them. This can be accomplished using methods such as the following: ♦ Wearing clothes that reduce the area of exposed skin; ♦ Installation of screens or netting over open patios or windows; ♦ Applying repellents, especially those containing the ingredient diethyltoluamide, to exposed skin areas,unless allergies or other reason prevents the use of repellents. Bug lights eliminate some mosquitoes. However, studies show that mosquitoes may only be a small portion of the catch, which instead may be comprised mostly of non-pest or beneficial insects. Furthermore, the most aggressive of mosquito species found in the Talbot Hill area, Aedes, are not attracted to light and the noise emitted by the bug lights may annoy some neighbors. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2003 Description Exhibit D.DOC\AQ\tb s. Extension Bulletin 1066 _ insect answers PEST MANAGEMENT FOR PREVENTION AND CONTROL OF MOSQUITOES Mosquitoes are important pests.They annoy and bite which by definition utilizes as all reasonable methods humans and animals. Also, they may transmit to achieve pest reduction in a way that has the least disease-causing organisms such as malaria and en- negative impact on the environment. cephalitis. While human malaria does not occur in Washington,outbreaks of encephalitis and mosquito On the farm be sure to: transmission thereof do occur from lime to time. I. Remove standing water by drainage or filling with Life Cycle earth- 2. Check irrigation and drainage ditches for leaks of Mosquitoes are always located near water since water seepage and maintain free flow of water. is essential for growth of the immature stages, thus 3. Fill or drain seepage ponds and puddles. the presence of water is crucial in control programs. 4. Grade newly developed land to prevent standing The advice provided here concerns mosquito con- water. trol on your own property—extensive areas of corn- S. Provide drainage away from premises for excess trot are handled by city governments or county mos- irrigation water, or collect in storage sump and quito abatement districts_ reuse on land_ Control To eliminate breeding places at home: Prevent mosquitoes from breeding by altering their 1. Destroy, flatten,or dispose of tin cats or any other natural habitat.This is the best means of control and artificial water containers. the logical first step in integrated pest management 2. Drain gutters and water from under homes- 3- Change water in bird baths at least twice a week _ and stock ornamental pools with predacious fish '`= I (goldfish work nicely)- 4- Fill or drain puddles and ditches near the home: remove weedy vegetation surrounding theme areas: -� S. Fill tree holes with sand or mortar, or develop •_ ,.ti drainhole so water cannot accumulate. 6. Old tires used as planters should have drainholes drilled in bottom. • - i -. ;_ 7_ Pay particular attention to such gardening aids as sheets of discarded, crumpled polyethylene film (often used as plastic mulch). Since these catch water easily, they provide an excellent almost her manent breeding site- They shield against evalx?ra Figure 1_ Adult mosquito taking blood meal. lion, even help moisiure condense. r tf, .r Pesticides registered for Mosquito Control Bacillus thuringiencis var_ israefensis (Skee(all&, Teknar'2�, Mosquito Attack®, Bactimos®, etc_) If the problem cannot be solved with cultural methods DDVP (Vapona) such as habitat alteration, then judicious use of Dursban pesticides may be the final alternative. Malathion *011, Light Paraffinic Base (e.g., Golden Beam Pesticides used in mosquito control are designated basically as `Adulticides" and "Larvicides." Adultieides Adulticides are available as "Liquid Concentrates" Baygon primarily designed for use in"Ultra-low Volume" DDVP (Vapona) sprayers,either by aerial applications or by ground- Dursban based equipment; and-Emulsifiable Concentrates" Malathion primarily designed to be suspended in water and used Methoxychlor in relatively coarse sprays. Both forms of concen- *Naled (Dibrom) trates can be diluted with oil and used in thermal fog Pyrethrum (Pyrethrins and Synergist) (piperonyi generators. -butoxide) Permethrin Larvicides are available as "Liquid Concentrates.- -Emulsifiable- Concentrates: as described in the Repellents, especially those containing diethyltolua= r.- . .::rb�:zSrsph,W* as"`r*r��r��l.c"Granule-are mice,prevent mosquito bites for at least several hours prepared from clay with the pesticide mixed into" up to a full day. Examples include: Deet,Cutters,etc_ or as sand granules coated with the pesticide and can be distributed by aerial application or ground-based For more specific instructions as to the formulation, equipment. They are best used in aquatic areas with dosage, and application of these insecticides, con- heavy vegetation canopies and as prehatch applications tact your nearest mosquito control district person. in flood water situations_ There are also light paraf- Your county agent may also be able to help you han- finic based oils for use as larvicides as well as some dle specific problems. Your local health department specialty items which release chemicals slowly into the may also be helpful in answering questions on mos- water_ quito control in local situations_ Due to the many formulations, labels, and label Mosquito Control by Municipal Corporations changes, it is impractical to list specific recom- mendations other than basic pesticides for mosquito Frequently mosquito control by an individual or a control. small group of individuals is impractical because the problem is too extensive. With respect to the following list-of pesitcides used in mosquito control,the following two items cannot. Under these conditions,a more extensive control pro- be overstressed: gram may be organized by the formation of a.vec- _ Always follow label directions. for control district or a mosquito abatement district, 2. Always be aware of precautions regarding or by having a program instituted through the local fishbearing waters,wildlife,nontarget aquatic life, health department. Whether the county administra- and beneficial insects, such as honey bees_ lion institutes such a program or a formal district is formed will depend upon the wishes of the taxpayers Larvicides and voters of the area involved. *Abate Allosid XR Briquets (Methoprene) • Commercial use only- The First step in organizing a formal program of nos- For this type of action, legal counsel should be quito control is a survey to establish the severity of obtained- the problem,the major mosquito producing sources. _ and the area involved_ Assistance from the local Technical consultation and advice on mosquito health department or appropriate office of the respon prevention and control may be obtained from the ap- sibfe slate health departments available_The infor- propriate state health departments or from Extension mation acquired from this survey should be correlated off ices_ with a feasibility study-This study should report on the need for a program,methods of organizing a for- mal control program, specific recommendations on - methods of control, and economic ramifications - resulting from control activities. if the report recommends a control program ad- ministered by county authorities(usually local health s department),concerned citizens should then petition the governing body of the county to institute such ► a program, with financing to be provided through . the appropriate county budget- it if the report recommends a control pro- > _ grain e�:i�duded by a forntaliy orgarktzed dist&;,a1err, - - - appropriate action as prescribed by the applicable date law or laws must be taken-This usually involves Figure 2-Aquatic larval form of mosquito taking preparation of a petition, hearings,and an election_ in air at surface of water. By Arthur U. Antonclli, Extension Entomologist, WSU Puyallup_ CoUcge of Agriculture and Home Economics. Pullman,"Washington' A Warning.Use pesticides with care_Apply them only to plants,animals,or situ listed on the label_ When mixing and aMlying pesticides,follow all label Precautions to protact yourself and others around you. 11 is a violation of the law to disregard label dircc- e clothing and wash skin Thoroughly-Stoic pesticide in lions_ if pcstkide_s arc spilled on skin or clothing,rcnxov their original con - lions_ and keep them out of the reach of children, pens, and livestock- Issued by Washington Stale University Cooperative Extension, [_airy G_ Jamcs, Interim Director, and the U-S_ Dcf>a rtnxnt of Agriculture in furtherance of the Acts of May 8 and Junc 30, 1914- Cooperative Extension programs and policies are disab lity. with fcdcra)and state taws and regulations on nondiscrimination regarding race,color,national origin-religion,gender,age- 1993_ and gender preference- Trade names have be s been used to s m simplify inforation- No endorsem ent is rntcrulcd Revis m ed Febnrary Subject Code 670- A F1t1066 EXHIBIT RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone No. COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb March 30,2004 SUBJECT: CITY OF RENTON 2004 MOSQUITO ABATEMENT PROGRAM AUTHORIZATION AND RELEASE REQUEST Dear Resident/Property Owner: The City of Renton is preparing to conduct its annual Mosquito Abatement Program. The program's purpose is to control mosquito populations in the area adjacent to and upland of the eastern edge of the Panther Creek Wetland(generally located between SR-167 on the west,and Lake Avenue South/Talbot Road South on the east, and extending from SW 39th Street on the south to I-405 on the north,within the City of Renton, WA). The project area covers approximately 60 acres to the east of the approximately 65-acre Panther Creek Wetland complex (Exhibit A). Mosquito control for the area consists of land treatment applications of an ultra low volume (ULV)Environmental Protection Agency registered insecticide spray. Applications to upland vegetation will be accomplished using a gasoline-powered,backpack-mounted, portable fogger. The fogging will be conducted at a maximum frequency of twice per week, during the months of April through August,when mosquito populations are typically higher. Treatment will be conducted in upland areas away from water or wetland areas, as conditions allow,and in accordance with the product label and other state/federal requirements and by a licensed applicator/entomologist who specializes in pest control. Treatment will also be conducted in accordance with the conditions of the on- ignl itigated (Exhibit B)for the program made by the City of Renton Environmental Review Committee on March 14,2000. To allow access for treatment,we are requesting that you sign the enclosed Authorization and Release(Exhibit C). This will allow the program applicator/entomologist to access the project area through your property, if needed, and apply treatment. Please return the completed Authorization and Release form,using the business reply envelope provided,by April 13,2004. If you do not wish to grant authorization and release for treatment of your property,you are not required to return the form and your property will not be accessed or treated. A description of the insecticide products to be used in the program is included in Exhibit D,as well as information on actions that may be taken to repel or abate mosquitoes on private property. Thank you for your cooperation. If you have any questions,or wish to have more information about the Mosquito Abatement Program and/or future actions for mosquito abatement,please contact me at 425-430-7247. Sincerely,9XV-11, Allen Quynn, roj Manager Surface Wate Utility Enclosures H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27 2000 Mosquito Abatement Program\2004 Program\2004 Release Request.DOC\4Q\tb CONTRACT CHECKLIST STAFF NAME & EXTENSION NUMBER: A 11{v, a( N n) k 79 q ) DIVISION/DEPARTMENT: (i(f i (fI'cS "l P /&) CONTRACT NUMBER: TASK ORDER NUMBER (if applicable): CONTRACTOR: (�G)� fiwu.{� rest PURPOSE OF CONTRACT: N 65 q;J {D 4z {=, US '31f 6'40' /G t 1. LEGAL REVIEW: (Attach letter from City Attorney) e 4 3/a4/()tf Y�►�✓►^v 2. RISK MANAGEMENT REVIEW FOR INSURANCE: (Attach letter), ..Sec Ij�k�f 3. RESPONSE TO LEGAL OR RISK MGMT CONCERNS: (Explain in writing how concerns have been met.) Lcg,:j jt c b2,,,j e.5>V 4. INSURANCE CERTIFIC, tTT AND/OR POLICY: (Attach original) i r'c( 5. CITY BUSINESS LICENSE NUMBER: y (Call Finance Dept.) 6. ACCOUNTS PAYABLE W-9 VENDOR FORM: (If not already on file with the Finance Dept., make sure the contractor completes a vendor form and submits it to the Finance Dept.) 7. ATTACHED CONTRACTS ARE SIGNED BY CONTRACTOR/CONSULTANT: (If not,provide explanation) 8. FISCAL IMPACT: A. AMOUNT BUDGETED: (LINE ITEM) (See 9.b)* B. EXPENDITURE REQUIRED: /7, 2,7$.`f p 9. COUNCIL APPROVAL REQUIRED: (Prepare Agenda Bill): (See Policy and Procedure 250-02) A. CONTRACT OR TASK ORDER IS $50,000 OR OVER: (Refer to Council committee for initial contract approval;place subsequent task orders on Council agenda for concurrence.) B. *FUND TRANSFER REQUIRED IF CONTRACT EXPENDITURE EXCEEDS AMOUNT BUDGETED. (Refer to Council committee.) C. SOLE SOURCE CONTRACTS. (Over$20,000 refer to Council committee) 10. DATE OF COUNCIL APPROVAL (if applicable): j ji A 11. RESOLUTION NUMBER(If applicable): A/I A 12. KEY WORDS FOR CITY CLERK'S INDEX: A. Ohl+w©f f�► Pest Sdj(.,�I'(90 5 Z 1^-e_ B. PA v 4r Cf7'4— W dL-k lc DC/forms/city/contracts/cklist.doc/TP Rev:3/02 CITY OF RENTON PLANNING/BUILDING/PUBLIC WORKS MEMORANDUM DATE: April 13, 2004 TO: Gregg Zimmerman FROM: Ron Straka, v STAFF CONTACT: Allen Quynn, x7247 SUBJECT: 2004 MOSQUITO ABATEMENT PROGRAM CONTRACT WHITWORTH PEST SOLUTIONS, INC. Please find attached for your signature two originals of the 2004 Mosquito Abatement Program Contract with Whitworth Pest Solutions, Inc. (Whitworth). The Mayor approved using Whitworth as a sole-source provider on April 13,2004. The expenditure required for the 2004 pest control services contract is $18,278.40. In accordance with City Policy 250-02, the Department Administrator may execute contracts that are less than $20,000,provided that the Mayor approves the sole-source service provider. Funding for the 2004 contract work is proposed from the approved 2004 Surface Water Utility's Mosquito Abatement Program capital improvement account budget of$50,000. Once signed, please send the two contract originals and the other attachments to the City Clerk for further processing. If you have any questions,please call Allen. Attachments cc: Lys Hornsby H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27 2000 Mosquito Abatement Program\2004 Program\contract memo.doc\TP ENGINEERING ANNUAL CONSULTANT AGREEMENT THIS AGREEMENT, made and entered into on this , day of , 20 , by and between the CITY OF RENTON, WASHINGTON, A MUNICIPAL CORPORATION HEREINAFTER CALLED THE "City," and Whitworth Pest Solutions,Incorporated whose address is 2533 Inter Avenue,Puyallup WA 98372-3428, at which work will be available for inspection,hereinafter called the "CONSULTANT." PROJECT NAME: 2004 MOSQUITO ABATEMENT PROGRAM WHEREAS, the City desires to accomplish this project which requires the services of an Entomologist/Pest Control agent,and WHEREAS,the City has not sufficient qualified employees to perform the necessary Mosquito Abatement Program Entomologist/Pest Control Agent Services and the City deems it advisable and is desirous of engaging the professional services and assistance of a qualified professional consulting to do the necessary consultant work for the project to perform the Mosquito Abatement Program Entomologist/Pest Control Agent Services, and WHEREAS, the Consultant has represented and by entering into this Agreement now represents, that it is in full compliance with the statutes of the State of Washington for registration as a commercial pesticide applicator and that all personnel to be assigned to the work required under this Agreement are fully qualified to perform the work to which they will be assigned in a competent and professional manner, and that sufficient qualified personnel are on staff or readily available to Consultant to staff this Agreement. WHEREAS, the Consultant has indicated that it desires to do the work set forth in the Agreement upon the terms and conditions set forth below. NOW THEREFORE, in consideration of the terms, conditions, covenants and performances contained herein below, the parties hereto agree as follows: I SCOPE OF WORK The Consultant shall furnish, and hereby warrants that it has, the necessary equipment,materials, and professionally trained and experienced personnel to facilitate completion of the work described in Exhibit A, Scope of Work, which is attached hereto and incorporated into this Agreement as though fully set forth herein. The Consultant shall perform all work described in this Agreement in accordance with the latest edition and amendments to local and state regulations,guidelines and policies. The Consultant shall prepare such information and studies as it may deem pertinent and necessary, in order to pass judgment in a sound manner on the features of the work. The Consultant shall make such minor changes, amendments or revisions in the detail of the work as may be required by the City. This item does not constitute an "Extra Work" item as related in Section VIII of the Agreement. The work shall be verified for accuracy by a complete check by the Consultant. The Consultant will be held responsible for the accuracy of the work, even though the work has been accepted by the City. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contract l.doc\AQ\cor H DESIGN CRITERIA The City will designate the basic premises and criteria for the work needed. The Entomologist/Pest Control Agent Services shall provide as a standard professional service that which is normally provided by said professionals. All work shall be done in accordance with the license requirements of a professional pest control agent. All chemical applications and other services shall be done in accordance with Federal and State laws,the chemical manufacturer's label requirements and the City of Renton environmental Determination for File No.LUA-00-025,ECF. III ITEMS TO BE FURNISHED TO THE CONSULTANT BY THE CITY The City will furnish the Consultant copies of documents which are available to the City that will facilitate the preparation of the plans,studies, specifications, and estimates within the limits of the assigned work. All other records needed for the study must be obtained by the Consultant. The Consultant will coordinate with other available sources to obtain data or records available to those agencies. The Consultant shall be responsible for this and any other data collection to the extent provided for in the Scope of Work. City will provide to Consultant all data in City's possession relating to Consultant's services on the project. Consultant will reasonably rely upon the accuracy,timeliness, and completeness of the information provided by the City. Should field studies be needed, the Consultant will perform such work to the extent provided for in the Scope of Work. The City will not be obligated to perform any such field studies. IV OWNERSHIP OF PRODUCTS AND DOCUMENTS TO BE FURNISHED BY THE CONSULTANT Documents, exhibits or other presentations for the work covered by this Agreement shall be furnished by the Consultant to the City upon completion of the various phases of the work. All such material, including working documents, notes, maps, drawings, photo, photographic negatives, etc. used in the project, shall become and remain the property of the City and may be used by it without restriction. Any use of such documents by the City not directly related to the project pursuant to which the documents were prepared by the Consultant shall be without any liability whatsoever to the Consultant. All written documents and products shall be printed on recycled paper when practicable. Use of the chasing-arrow symbol identifying the recycled content of the paper shall be used whenever practicable. All documents will be printed on both sides of the recycled paper, as feasible. V TMIE OF BEGINNING AND COMPLETION It is agreed that all the Consultant's services are to be completed and all products shall be delivered by the Consultant no later than December 31, 2004 unless there are delays due to factors that are beyond the control of the Consultant. The Consultant shall not begin work under the terms of this Agreement until authorized in writing by the City. If, after receiving Notice to Proceed,the Consultant is delayed in the performance of its services by factors HAFile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contractl.doc\AQ\cor that are beyond its control, the Consultant shall notify the City of the delay and shall prepare a revised estimate of the time and cost needed to complete the Project and submit the revision to the City for its approval. Time schedules are subject to mutual agreement for any revision unless specifically described as otherwise herein. Delays attributable to or caused by one of the parties hereto amounting to 30 days or more affecting the completion of the work may be considered a cause for renegotiation or termination of this Agreement by the other party. VI PAYMENT The Consultant shall be paid by the City for completed work for services rendered under this Agreement as provided hereinafter as specified in Exhibit B, Cost Estimate. Such payment shall be full compensation for work performed or services rendered and for all labor, materials, supplies, equipment, and incidentals necessary to complete the work. The cost estimate in Exhibit B includes all direct salary cost, overhead, direct non-salary cost and net fee for completion of the Scope of Work. All billings for compensation for work performed under this Agreement will list actual time (days and/or hours) and dates during which the work was performed. Payment for services rendered in 2004 shall not exceed$18,278.40 without a written amendment to this contract, agreed to and signed by both parties. Progress payments may be claimed monthly for direct costs actually incurred to date as supported by detailed statements. Final payment of any balance due the Consultant of the gross amount earned will be made promptly upon its verification by the City after completion and acceptance by the City of the work under this Agreement. Acceptance, by the Consultant of final payment shall constitute full and final satisfaction of all amounts due or claimed to be due. Payment for extra work performed under this Agreement shall be paid as agreed to by the parties hereto_ in writing at the time extra work is authorized. (Section VIII "EXTRA WORK"). A short narrative progress report shall accompany each voucher for progress payment. The report shall include discussion of any problems and potential causes for delay. To provide a means of verifying the invoiced salary costs for consultant employees,the City may conduct employee interviews. Acceptance of such final payment by the Consultant shall constitute a release of all claims of any nature, related to this Agreement, which the Consultant may have against the City unless such claims are specifically reserved in writing and transmitted to the City by the Consultant prior to its acceptance. Said final payment shall not, however, be a bar to any claims that the City may have against the Consultant or to any remedies the City may pursue with respect to such claims. The Consultant and its subconsultants shall keep available for inspection, by the City, for a period of three years after final payment, the cost records and accounts pertaining to this Agreement and all items related to, or bearing upon, these records. If any litigation, claim or audit is started before the expiration of the three-year retention period, the records shall be retained until all litigation, claims or audit findings involving the records have been resolved. The three-year retention period starts when the Consultant receives final payment. VH CHANGES IN WORK The Consultant shall make all such revisions and changes in the completed work of this Agreement as are necessary to correct errors appearing therein,when required to do so by the City,without additional compensation. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contractl.doc\AQ\cor Should the City find it desirable for its own purposes to have previously satisfactorily completed work or parts thereof revised, the Consultant shall make such revisions, if requested and as directed by the City in writing. This work shall be considered as Extra Work and will be paid for as provided in Section VIII. VIII EXTRA WORK The City may desire to have the Consultant perform work or render services in connection with the Project in addition to or other than work provided for by the expressed intent of the Scope of Work. Such work will be considered as Extra Work and will be specified in a written supplement which will set forth the nature and scope thereof. Work under a supplement shall not proceed until authorized in writing by the City. Any dispute as to whether work is Extra Work or work already covered under this Agreement shall be resolved before the work is undertaken. Performance of the work by the Consultant prior to resolution of any such dispute shall waive any claim by the Consultant for compensation as Extra Work. IX EMPLOYMENT The Consultant warrants that it has not employed or retained any company or person, other than a bona fide employee working solely for the Consultant, to solicit or secure this contract and that he has not paid or agreed to pay any company or person, other than a bona fide employee working solely for the Consultant, any fee, commission, percentage, brokerage fee, gifts or any other consideration, contingent upon or resulting from the award or making of this contract. For breach or violation of this warranty, the City shall have the right to annul this Agreement without liability, or in its discretion to deduct from the Agreement price or consideration or otherwise recover,the full amount of such fee, commission,percentage,brokerage fee, gift or contingent fee. Any and all employees of the Consultant, while engaged in the performance of any work or services required by the Consultant under this Agreement, shall be considered employees of the Consultant only and not of the City and any and all claims that may or might arise under the Workman's Compensation Act on behalf of said employees,while so engaged and any and all claims made by a third party as a consequence of any negligent act or omission on the part of the Consultant's employees,while so engaged on any of the work or services provided to be rendered herein, shall be the sole obligation and responsibility of the Consultant. The Consultant shall not engage, on a full or part-time basis, or other basis, during the period of the contract, any professional or technical personnel who are, or have been at any time during the period of this contract, in the employ of the City except regularly retired employees,without written consent of the City. If during the time period of this Agreement,the Consultant finds it necessary to increase its professional, technical, or clerical staff as a result of this work, the Consultant will actively solicit minorities through their advertisement and interview process. X NONDISCRIMINATION The Consultant agrees not to discriminate against any client, employee or applicant for employment or for services because of race, creed,color, national origin, marital status, sex, age or handicap except for a bona fide occupational qualification with regard to, but not limited to the following: employment upgrading; demotion or transfer; recruitment or any recruitment advertising; layoff or termination's; rates of pay or other forms of compensation; selection for training; rendition of services. The Consultant understands and agrees that if it violates this Non- Discrimination provision, this Agreement may be terminated by the City and further that the Consultant shall be barred from performing any services for the City now or in the future, unless a showing is made satisfactory to the City that discriminatory practices have terminated and that recurrence of such action is unlikely. HAFile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contract1.doc\AQ\cor XI TERMINATION OF AGREEMENT A. The City reserves the right to terminate this Agreement at any time upon not less than ten (10) days written notice to the Consultant, subject to the City's obligation to pay Consultant in accordance with subparagraphs C and D below. B. In the event of the death of a member, partner or officer of the Consultant, or any of its supervisory personnel assigned to the project, the surviving members of the Consultant hereby agree to complete the work under the terms of this Agreement, if requested to do so by the City. This section shall not be a bar to renegotiations of this Agreement between surviving members of the Consultant and the City, if the City so chooses. In the event of the death of any of the parties listed in the previous paragraph, should the surviving members of the Consultant, with the City's concurrence, desire to terminate this Agreement, payment shall be made as set forth in Subsection C of this section. C. In the event this Agreement is terminated by the City other than for fault on the part of the Consultant, a final payment shall be made to the Consultant for actual cost for the work complete at the time of termination of the Agreement, plus the following described portion of the net fee. The portion of the net fee for which the Consultant shall be paid shall be the same ratio to the total net fee as the work complete is to the total work required by the Agreement. In addition, the Consultant shall be paid on the same basis as above for any authorized extra work completed. No payment shall be made for any work completed after ten (10) days following receipt by the Consultant of the Notice to Terminate. If the accumulated payment made to the Consultant prior to Notice of Termination exceeds the total amount that would be due as set forth herein above, then no final payment shall be due and the Consultant shall immediately reimburse the City for any excess paid. D. In the event the services of the Consultant are terminated by the City for fault on the part of the Consultant,the above stated formula for payment shall not apply. In such an event the amount to be paid shall be determined by the City with consideration given to the actual costs incurred by the Consultant in performing the work to the date of termination, the amount of work originally required which was satisfactorily completed to date of termination, whether that work is in a form or of a type which is usable to the City at the time of termination, the cost to the City of employing another firm to complete the work required and the time which may be required to do so, and other factors which affect the value to the City of the work performed at the time of termination. Under no circumstances shall payment made under this subsection exceed the amount which would have been made if the formula set forth in subsection C above had been applied. E. In the event this Agreement is terminated prior to completion of the work, the original copies of all Engineering plans, reports and documents prepared by the Consultant prior to termination shall become the property of the City for its use without restriction. Such unrestricted use not occurring as a part of this project, shall be without liability or legal exposure to the Consultant. F. Payment for any part of the work by the City shall not constitute a waiver by the City of any remedies of any type it may have against the Consultant for any breach of this Agreement by the Consultant, or for failure of the Consultant to perform work required of it by the City. Forbearance of any rights under the Agreement will not constitute waiver of entitlement to exercise those rights with respect to any future act or omission by the Consultant. G. If the work under this contract is determined to be a potential `take' under the Endangered Species Act and the City cannot obtain an `incidental take' permit or other federal government approval for the work, then the City,at its sole discretion,may terminate this contract. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contractl.doc\AQ\cor XII DISPUTES Any dispute concerning questions of facts in connection with work not disposed of by agreement between the Consultant and the City shall be referred for determination to the Director of Planning/ Building/Public Works or his/her successors and delegees, whose decision in the matter shall be final and conclusive on the parties to this Agreement. In the event that either party is required to institute legal action or proceedings to enforce any of its rights in this Agreement, both parties agree that any such action shall be brought in the Superior Court of the State of Washington, situated in King County. XIII LEGAL RELATIONS The Consultant shall comply with all Federal Government, State and local laws and ordinances applicable to the work to be done under this Agreement. This contract shall be interpreted and construed in accordance with the laws of Washington. The Consultant agrees to indemnify, defend and hold the City and its officers and employees harmless from and shall process and defend at its own expense all claims, demands or suits at law or equity arising in whole or part from the Consultant's errors, omissions, or negligent acts under this Agreement provided that nothing herein shall require the Consultant to indemnify the City against and hold harmless the City from claims,demands or suits based upon the conduct of the City, its officers or employees and provided further that if the claims or suits are caused by or result from the concurrent negligence of(a) the Consultant's agents or employees and (b) the City, its agents, officers and employees,this provision with respect to claims or suits based upon such concurrent negligence shall be valid and enforceable only to the extent of the Consultant's negligence or the negligence of the Consultant's agents or employees except as limited below. The Consultant shall secure general liability, property damage, auto liability, and professional liability coverage in the amount of$1.0 million, with a General Aggregate in the amount of$2 million, unless waived or reduced by the City. The Consultant shall submit a completed City of Renton Insurance Information Form, and the Standard Acord Certification Form prior to the execution of the contract. The City of Renton shall be named as an "additional insured" on all contracts/projects. The Consultant shall also submit copies of the declarations pages of relevant insurance policies to the City within 30 days of contract acceptance if requested. The Certification and Declaration page(s) shall be in a form as approved by the City. If the City's Risk Manager has the Declaration page(s) on file from a previous contract and no changes in insurance coverage has occurred, only the Certification Form will be required. The limits of said insurance shall not,however, limit the liability of Consultant hereunder. All coverages provided by the Consultant shall be in a form, and underwritten by a company acceptable to the City. The City will normally require carriers to have minimum A.M. Best rating of A XII. The Consultant shall keep all required coverages in full force and effect during the life of this project, and a minimum of forty five days' notice shall be given to the City prior to the cancellation of any policy. The Consultant shall verify, when submitting first payment invoice and annually thereafter, possession of a current City of Renton business license while conducting work for the City. The Consultant shall require, and provide verification upon request, that all subconsultants participating in a City project possess a current City of Renton business license. The Consultant shall provide, and obtain City approval of, a traffic control plan prior to conducting work in City right-of-way. The Consultant's relation to the City shall be at all times as an independent contractor. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contractl.doc\AQ\cor XIV SUBLETTING OR ASSIGNING OF CONTRACTS The Consultant shall not sublet or assign any of the work covered by this Agreement without the express consent of the City. XV COMPLETE AGREEMENT This document and referenced attachments contain all covenants, stipulations, and provisions agreed upon by the parties. Any supplements to this Agreement will be in writing and executed and will become part of this Agreement. No agent, or representative of either party has authority to make, and the parties shall not be bound by or be liable for, any statement, representation, promise, or agreement not set forth herein. No changes, amendments, or modifications of the terms hereof shall be valid unless reduced to writing and signed by the parties as an amendment to this Agreement. The invalidity or unenforceability of any provision in this Agreement shall not affect the other provisions hereof, and this Agreement shall be construed in all respects as if such invalid or unenforceable provision were omitted. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Whitworth Contract1.doc\AQ\cor XVI EXECUTION AND ACCEPTANCE This Agreement may be simultaneously executed in several counterparts, each of which shall be deemed to be an original having identical legal effect. The Consultant does hereby ratify and adopt all statements, representations, warranties, covenants, and agreements contained in the Request for Qualifications, and the supporting materials submitted by the Consultant, and does hereby accept the Agreement and agrees to all of the terms and conditions thereof. IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year first above written. CONSULTANT CITY OF REN ON Z3 f D C' Signatu Date 4GreggjtnjMa'n,'Administrator date /e r r Y WAiftdot PBrn type or print name ,n 1�7n:fo^olo,9 is`fJ Title \\Server-1\Data\Terry\My Documents\Scopeofwork\WhitworthContractl.doc\AQ\msoffice 8 EXHIBIT A SCOPE OF WORK 2004 MOSQUITO ABATEMENT PROGRAM TASK NO. 1: LAND TREATMENT FOR ABATEMENT OF MOSQUITOES Treatment Methods and Materials. Land treatment applications of an ultra low volume (ULV), Environmental Protection Agency registered, insecticide will be applied to brush and other upland vegetation using a gasoline-powered, backpack-mounted, portable fogger. Treatment will be conducted in upland areas away from water or wetland areas as weather conditions allow and in accordance with the product label and other federal and state regulations. Treatment must also be conducted in accordance with the conditions of the Determination of Non-Significance-Mitigated for the program made by the City of Renton Environmental Review Committee on March 14, 2000, and included as Exhibit C of the this contract. All necessary licenses and permits shall be the responsibility of the consultant to ensure their issuance prior to treatment. The synthetic pyrethroid insecticide product to be used is Permanone or other products containing similar formulations. Area of Treatment. The treatment area, shown in Exhibit D, is adjacent to and upland of the eastern edge of the Panther Creek Wetland generally located between SR-167 on the west and Lake Avenue South/Talbot Road South on the east and extending from SW 39th Street on the south to I-405 on the north,within the City of Renton,Washington. The project area covers approximately 60 acres to the east of the approximately 65-acre Panther Creek Wetland complex. Prior to treatment,the City will provide a highlighted copy of the map included in Exhibit D of this contract to indicate the properties within the project area for which authorization and release for access and treatment has been granted by the property owner or the owner's legal representative. The treatment application will be performed from foot trails through the project area used in the previous Mosquito Abatement Program treatment applications. The cost per treatment shall include all necessary work for clearing of the trails to allow the treatment to be applied. Frequency of Treatment. Fogging will be conducted in coordination with and at the request of the City at a maximum frequency of twice per week during the months of April through August when mosquito populations are typically higher. The project budget assumes a maximum number of 21 treatment applications. Coordination. Following each treatment,the consultant shall provide to the City a brief summary of the area treated and the type of chemical used,weather conditions during the treatment application, the time during which treatment was conducted, an estimate of the relative abundance and distribution of mosquitoes, and a recommendation on the scope and timing of subsequent treatment. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\.Scope of work.doc\AQ\tb EXHIBIT B COST ESTIMATE 2004 MOSQUITO ABATEMENT PROGRAM Task 1. The estimated total cost of Task I including Washington States sales tax is $18,278.40. The cost shall include all necessary work for clearing of the trails to allow the treatment to be applied. Work conducted in performance of Task l will be billed at the following rates: For 12 or more total treatments: $800/treatment For 6 to I I total treatments: $850/treatment For I to 5 total treatments: $950/treatment The billing rates include state sales tax. Subtotal Contract Cost: $16,800.00 State Sales Tax(8.8%) $1,478.40 Estimated Total Contract Cost: $18,278.40 H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\Scope of work.docWQ\tb AFFIDAVIT OF COMPLIANCE Lt��i`f WC f� Vt S8�Ut 6 'k4 hereby confirms and declares that (Name of contractor/subcontractor/c onsultant/supplier) I. It is L)�d w f�k f ctV _�s 1.-)(Q AeQ policy to offer equal (Name of contractor/subcontractor/consultant/supplier) opportunity to all qualified employees and applicants for employment without regard to the race, creed, color, sex,national origin, age, disability or veteran status. H. (, ) u W n [+k_ rul sJ Ud 1 o vA complies with all applicable federal, (Name of contractor/subcontractor/consultant/supplier) state and local laws governing non-discrimination in employment. II. When applicable, kj_ � Ee 41U-jI B will seek out and (Name of contractor/subcontractor/consultant/supplier) negotiate with minority and women contractors for the award of subcontracts. Print Agent/Representative's Name and Title Agent/Represe ve's Signature Instructions: This document MUST be completed by each contractor, subcontractor, consultant and/or supplier. Include or attach this document(s)with the contract. \\Server-1\Data\Terry\My Documents\affidavit.doc\msoffice 2 Piazza/Data—Center/Forms/City/Contracts /2000_Consultant.doc bh CITY OF RE N TON tROffice of the City Attorney Lawrence J.Warren Kathy Keolker-Wheeler,Mayor Assistant City Attorneys Mark Barber Zanetta L.Fontes Russell S. Wilson Ann S. Nielsen Sasha P. Alessi MEMORANDUM CIS ; TO: Allen Quynn IMAR 2 9 7004 FM: Zanetta L. Fontes Cif Y OF RENTON Ass't City Attorney UTILITY s`rsTEMS RE: 2004 Mosquito Abatement Contract DT: 26 March 2004 I have had an opportunity to review the proposed contract. There were two typographical errors on page 2 of the contract. In the second paragraph of Paragraph III (Items To Be Furnished To The Consultant By The City), in the fourth line: the word"Consultants" should be singular possessive. It should be "Consultant's." The phrase should read: "... all data in City's possession relating to Consultant's services...." In Paragraph V (Time Of Beginning And Completion), in the second line of the first paragraph: the word"then" should be comparative rather than temporal. It should be "than." The phrase should read: " ... Consultant no later than December 31, 2004..." With those changes,the contract is approved as to legal form. cc: Jay Covington Gregg Zimmerman w Lawrence J. Warren Post Qffice Box 626-Renton,Washington 98057-(425)255-8678/FAX(425)255-5474 R E N T O N ®This paper contains 50%recycled material,30°/post consumer AHEAD OF THE CURVE City of Renton Human Resources & Risk Management Memorandum DATE: April 8, 2004 TO: Allen uynn, Utility Systems rr_ FROM: l R. Webby, BR&RM Administrator SUBJECT: Insurance Review/ Whitworth Pest Solutions, Inc. Mosquito Abatement Program 2004 - 2005 I have reviewed the Certificate of Insurance for the above-mentioned contract. The insurance coverage,provided for this contract,meets the City's risk management requirements 04/06/2004 09: 14 5032249319 USI NORTHWEST rapt elfe� ACORD- CERTIFICATE OF LIABILITY INSURANCE 0DATE 4106104Drvvvv) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI Northwest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 NE Multnomah, Suite 1300 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Portland, OR 97232 503 224-8390 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Lexington Insurance Company Whitworth Pest Solutions, Inc. INSURER B: 2533 Inter Ave. INSURER C! Puyallup,WA 98372 INSURER Dr INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITI.ISTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR NSR TYPE OF INSURANCE POLICY NUMBER PDLIP IDDIYYE PDATE E M?DDIYY N LIMITS A GENERAL LIABILITY PC6440709 12/01/03 12/01/04 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGES(RENTED s50 000 CLAIMS MADE- 7OCCUR M.ED EXP(Any one PC". n) g$000 X PD Ded:2,500 PERSONAL A AOV INJURY S1 000 000 GENERAL AGGREGATE s2,000,000 GEMLAGGREGATE LIMIT APPLIESPER'. PRODUCTS-COMPIOPAGG s2,000000 POLICY jE,?r7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea sccidenn $ ALL OWNED AUTOS BODILY INJURY ' SCHEDULED AUTOS (Per"mon) HIRED AUTOS BODILY INJURY S NON-OWNED ALITOS (Per accldenn PROPERTY DAMAGE S (Per scdden 1) GARAGELIASIUTY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC AUTO ONLY: A00 F EXCESWUMBRELLALIABILrY EACHOCCURRENCE a OCCUR CLAIMS MADE AGGREGATE 3 g DEDUCTIBLE S RETENTION A S WC STATIJ OTH- WORKERS COMPENSATION AND C IER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT S ANY PROP RIETORJPARTNERIEXECUTIVE OFFICERWEMBER EXCLUDE07 E L.DISEASE-EA EMPLOYEE s It ye;,descnbe under S PECIAL PROVISIONS bMow E,I„DISEASE•POLICY LIMIT A OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT ISPFCIAL PROVISIONS All operations of the Named Insured subject to the policy terms,conditions and exclusions. Certificate holder is an additional Insured as respects general liability arising out of the ongoing operations of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DFSCRI92D POLICIES BE CANCELLED BEFORF-THIS EXPIRATION City of Renton DATE THEREOF,THE(BSUING INSURER WILL JtX30M==MAIL 10_ DAYS WRT17EN Planning/BIdglPublic Works NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,3G1fT9mckve7[10A> tbOC Attn Allen Quynn �me�cneRxfR7GlelaA4lDUaxDu1¢QxttRxDtticalxOUaRoa�Obexxxx�exx7L�A®el�RloRxxx 1055 South Grady Way XXN)Mecv0=3tx Renton,WA 98055 AUTHORIZED REPRF-SENTA71V 4CORD 25(2091/08) 1 of 2 #S120582/M107863 11 L O ACORD CORPORATION 1988 04/06/2004 09: 14 5032249319 USI NORTHWEST PAGE 02/U3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). i If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). i DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. ACORD 25-S(2DO1108) 2 of 2 #S120582/M107863 04/06/2004 09: 14 503224e319 USI NORTHWEST PAGE 03/03 CG2010 03/97 POLICY NUMBER: PC6440709 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED—OWNERS, LESSEES OR CONTRACTORS- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization required to be named as an additional insured and evidenced by certificate of insurance on file with the company. (If no name appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS INSURED (Section II) is amended to include as an insured the person or Organization shown in the Schedule, but only with respect to liability ansing out of your Ongoing operations performed for that insured. b Excluded Parties List System Page 1 of 1 �.f Search Menu- *FAQ Current Exclusions ► Name *Reports Menu ► Multiple Names ► Lists Report ► DUNS ► Supplemental Report ► Agency ► Agency Report ► State/Country ► Supplemental Agency ► Action Dates Report ► Termination Dates ► State/Country Report ► Exact Name and ► Lists Data Report SSN/TIN ► Supplemental Data Search Results for Parties Excluded Report Archive Menu- ► Cause and Past Exclusions by Partial Name : Whitworth Pest Treatment Code ► Name Solutions Multiple Names *View Cause and Treatment Code SDN and Blocked As of 09-Apr r-2004 Descriptions Persons List-Terrorist 1' Reciprocal Codes &Drug Trafficking ► Procurement Codes No records were found matching this criteria. ► Nonprocurement Codes *Bureau of Industry and Security-BIS *Contact Information ► Denied Persons List ► Email:support@epls.gov Entity List ► Phone: 1-866-GSA-EPLS (1-866-472-3757) View Agency Contacts Related Links ► Debar Maintenance ► Administration ► Upload Login AA . http://epls.amet.gov/servlet/EPLSGetInputSearch 4/9/2004 CITY OF RENTON PLANNING/BUILDING/PUBLIC WORKS MEMORANDUM DATE: April 13, 2004 co, � E LE DATE: TO: Gregg Zimmerman NAME I ITI ATE FROM: Ron Straka !� STAFF CONTACT: Allen Quynn,x7247 SUBJECT: 2004 MOSQUITO ABATE GRANT C'ONT " WHITWORTH PEST SOLUTIONS,INC. Please find attached for your signature two originals of the 2004 Mosquito Abatement Program Contract with Whitworth Pest Solutions, Inc. (Whitworth). The Mayor approved using Whitworth as a sole-source provider on April 13,2004. The expenditure required for the 2004 pest control services contract is $18,278.40. In accordance with City Policy 250-02, the Department Administrator may execute contracts that are less than $20,000,provided that the Mayor approves the sole-source service provider. Funding for the 2004 contract work is proposed from the approved 2004 Surface Water Utility's Mosquito Abatement Program capital improvement account budget of$50,000. Once signed, please send the two contract originals and the other attachments to the City Clerk for further processing. If you have any questions, please call Allen. Attachments cc: Lys Hornsby H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27 2000 Mosquito Abatement Program\2004 Program\contract memo.doc\TP r CITY OF RENTON PLANNING/BUILDINGIPUBLIC WORKS MEMORANDUM DATE: April 1, 2004 TO: Kathy Keolker-Wheeler, Mayor FROM: Gregg Zimmerman�Administrator Planning/Building/Public Works Department STAFF CONTACT: Ron Straka, Supervisor, Surface Water Utility, (X-7248) Allen Quynn, Project Manger, Surface Water Utility,(X-7247) SUBJECT: 2004 MOSQUITO ABATEMENT PROGRAM—WHITWORTH PEST SOLUTIONS,INC.,AS SOLE-SOURCE PROVIDER OF ENTOMOLOGIST/PEST CONTROL SERVICES ISSUE: Surface Water Utility recommends the Mayor approve Whitworth Pest Solutions, Inc., (Whitworth) as a sole-source provider of the 2004 Mosquito Abatement Program pest control consulting services for the control of mosquito populations in the areas upland and east of the Panther Creek Wetlands (i.e., Talbot Hill Area). RECOMMENDATION: Approve using Whitworth as a sole-source provider of pest control services for the 2004 Mosquito Abatement Program. The expenditure required for the 2004 pest control services contract is $18,278.40. In accordance with City Policy 250-02, the Department Administrator may execute contracts that are less than $20,000, provided that the Mayor approves the sole-source service provider. BACKGROUND: The Surface Water Utility,which has administered the Mosquito Abatement Program since 1990, submits the 2004 Mosquito Abatement Program pest control consultant services contract for execution by the Department Administrator. A sole-source contract with Whitworth is proposed to ensure the continued treatment of mosquitoes as they present a nuisance to residents living in the area upland of Panther Creek Wetlands. These wetlands are large and provide ideal mosquito breeding habitat. City Policy 250-02, Section 5.14.3, requires the Mayor to approve the use of a sole-source contractor. In accordance with City policy, the Surface Water Utility requests the Mayor's approval to use Whitworth as a sole-source provider for the pest control consultant services contract. April 1, 2004 Page 2 Whitworth has been the sole-source provider of the pest control consultant services for the City of Renton mosquito abatement efforts since 1990. Whitworth is the only known qualified provider of this type of service and is extremely familiar with the overall project area, including the areas where mosquitoes tend to congregate, access trails, wetlands, springs, and adjacent residences. Whitworth also has an experienced entomologist on staff to provide assistance in responding to public inquiries of a technical nature. Under the pest control consultant services contract, Whitworth will perform land treatment applications, of an Environmental Protection Agency (EPA) registered insecticide spray, to brush and other upland vegetation using a gasoline-powered, backpack-mounted, portable fogger. The applications will be conducted at a maximum frequency of twice per week during the months of April through August, when mosquito populations are typically higher. Treatment will be conducted in upland areas, away from water or wetland areas, as weather conditions allow, and in accordance with the product label and other local, state,and federal requirements. The expenditure required for the Mosquito Abatement Program pest control consultant services contract for 2004 is$18,278.40. Funding for the 2004 contract work is proposed from the approved 2004 Surface Water Utility's Mosquito Abatement Program capital improvement account budget of$50,000. H:\File Sys\SWP-Surface Water Projects\.SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\issue paper.doc\AQ\tb r , CITY OF RENTON PLANNINGBUILDING/PUBLIC WORKS MEMORANDUM � 0 DATE DATE: April 1,2004 NAME �N�T� 0 ATE � TO: Kathy Keolker-Wheeler, Mayor o U FROM: Gregg Zimmerman,Administrator f Planning/Building/Public Works Depa STAFF CONTACT: Ron Straka, Supervisor, Surface Water Utility,(X-7248) Allen Quynn,Project Manger, Surface Water Utility, (X-7247) SUBJECT: 2004 MOSQUITO ABATEMENT PROGRAM—WHITWORTH PEST SOLUTIONS,INC.,AS SOLE-SOURCE PROVIDER OF ENTOMOLOGIST/PEST CONTROL SERVICES ISSUE: Surface Water Utility Staff recommends the Mayor approve Whitworth Pest Solutions, Inc., (Whitworth) as a sole-source provider of the 2004 Mosquito Abatement Program pest control consulting services for the control of mosquito populations in the areas upland and east of the Panther Creek Wetlands (i.e., Talbot Hill Area). RECOMMENDATION: Approve using Whitworth as a sole-source provider of pest control services for the 2004 Mosquito Abatement Program. The expenditure required for the 2004 pest control services contract is $18,278.40. In accordance with City Policy 250-02, the Department Administrator may execute contracts that are less than $20,000, provided that the Mayor approves the sole-source service provider. BACKGROUND: The Surface Water Utility, which has administered the Mosquito Abatement Program since 1990, submits the 2004 Mosquito Abatement Program pest control consultant services contract for execution by the Department Administrator. A sole-source contract with Whitworth is proposed to ensure the continued treatment of mosquitoes as they present a nuisance to residents living in the area upland of Panther Creek Wetlands. These wetlands are large and provide ideal mosquito breeding habitat. n accordance with City polJf6the e Surface Water Utility requests the Mayor's approval to use Whitworth as a sole-source provider pest control consultant4ervices contract. e, April 1, 2004 Page 2 Whitworth has been the sole-source provider of the pest control consultant services for the City of Renton mosquito abatement efforts since 1990. Whitworth is the only known qualified provider of this type of service and is extremely familiar with the overall project area, including the areas where mosquitoes tend to congregate, access trails, wetlands, springs, and adjacent residences. Whitworth also has an experienced entomologist on staff to provide assistance in responding to public inquiries of a technical nature. Under the pest control consultant services contract, Whitworth will perform land treatment applications, of an Environmental Protection Agency (EPA) registered insecticide spray, to brush and other upland vegetation using a gasoline-powered, backpack-mounted, portable fogger. The applications will be conducted at a maximum frequency of twice per week during the months of April through August, when mosquito populations are typically higher. Treatment will be conducted in upland areas,away from water or wetland areas, as weather conditions allow, and in accordance with the product label and other local, state,and federal requirements. The expenditure required for the Mosquito Abatement Program pest control consultant services contract for 2004 is $18,278.40. Funding for the 2004 contract work is proposed from the approved 2004 Surface Water Utility's Mosquito Abatement Program capital improvement account budget of$50,000. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2004 Program\issue paper.doc WQ\tb CITY OF RENTON Planning/Building/PublicWorks Department Kathy Keolker-Wheeler, Mayor Gregg Zimmerman P.E.,Administrator November 1, 2004 Ben Hamilton,Health Services Consultant Zoonotic Disease Program WA State Department of Health PO Box 47825 Olympia, WA 98504 SUBJECT: 2004 AQUATIC MOSQUITO CONTROL NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM GENERAL PERMIT ANNUAL REPORT Dear Mr. Hamilton: The City of Renton has not treated any of its publicly owned stormwater facilities with larvicide in 2004. Due to the absence of the virus in Washington State this year,it was felt that larviciding was unnecessary. If you have any questions or require further information,please call me at 425-430-7247. Sincerely, Allen Quyn , P ject Manager Surface W ter tility cc: file H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(C[P)\27-2000 Mosquito Abatement RT7 Nile Vime\?0(ld permit repnrrino If, Pr rt c\A tp T O N 1055 South Grady Way-Renton,Washington 98055 ®This paper contains 50%recycled material,30%post consumer AHEAD OF THE CURVE Page 1 1 e*,;e CITY OF RENTON 1055 S. GRADY WAY DATE PO NUMBER RENTON, WA 98055 4/20/04 18/0000563 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special Inst: Quantity Unit Descriptions Unit Price Ext.Price,, CAG 04-047, 2004 Mosquito Abatement 18,278.40 Program, u: IUTAL I v,Gi v.'rvl E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 Authorize Signature Authorized Signature Whitworth Pest Solutions, Inc. INVOICE 2533 Inter Ave. Puyallup, WA 98372 USA Invoice No. 19389 Telephone:253-845-1818 Customer No: RENTOI Warehouse:MAIN .= .$illTo .:.:', _" ,:. -- < . .. " Shy ":'��'• ,.,��. .e,., City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn son Payment due upon receipt Brett,Jose Shi`'Dafe Ord'erDate S r er d.B P~ # " Re ale 09/01/04 09/01/04 MOSQUITO CONTROL t)rder Shipped° Item Number Unit Extended Tax .„ k nanti uantir :.:�.. item Descri t<on' Face �Prrce= 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control CHARTER 116, LAWS OF 1965 f CITY OF RENTON CERTIFICATION SEp - �, 2004 I.TF E UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF F ERJURY,THAT THE MAI ERIALS HAVE BEEN FURNISHED, CITY OF RENTON THE SERVICES REND RED R THE LABOR PERFORMED AS t1TIL_ITY sYSTEms DESCRIBED HEREIN, ND T AT THE CLAIM IS JUST,DUE AND UNPAID OQLIGATION kGAIN 3T THE CITY OF RENTON,AND THAI I AM AUTHORIZE TO UTHENTICAT IFY TO SAID CLAIM ;f SIGN D/'�� i . CONCURRSNU DATE N E I TIA D TE I 71710 Pnn Date y 09/02/04 0.00 b bal 800.00 i> �Iirne 03:43:56 PM E ` I!a 1 Balance Due; 870.40 a 80000% % x 70.40 ,,.�.. El Printed By:Diana Moore Invo ' oal' 870.40 /7 Aty4L Whitworth Pest Solutions, Inc. RECEIVED INVOICE 2533 Inter Ave. Puyallup,WA 98372 SEP 1 3 2004 Iuvoxce 1•To 19610 USA CITY OF RENTON Telephone:253-845-1818 UTILITY SYST EMS 'Customer.hiu, RENTOI Warehouse:MAIN _< ,��. �� City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn Payment due upon receipt Brett,Jose ►1-. .a r er. a �. � r ere Y � � : �.. esa, ..�_ . 09/09/04 09/09/04 MOSQUITOS Qrder hipped y xr�� r tem till ear Z�.t �: .. : ';Ffttfid�,ted * . 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control CONCU a AC C AR ER 116,LAWS OF 1965 DATE T1 D E CITY OF ENTON CERTIFICATION NAME I.THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY 5 OF PERJUR ,THA THE MATERIALS HAVE BEEN FURNISHED, THE SERVIC ES RE NDERED OR THE LABOR PERFORMED AS DESCRIBED HERE N,AND THAT THE CLAIM IS JUST,DUE AND UNPAID OB IGATI N AGAINST THE CITY OF RENT ON,AND THAT I AMA j 0 IZED TO AUTHENTICAWAND IFY TO SAID rD,� SIGN " 0.00 800.00 09/10/04 m 11:57:59 AM 0.00 1 nt 870.40 0 f o� 70.40 Printed By:Diana Moore 870.40 • r Whitworth Pest Solutions, Inc Whitworth Pest Solutions, Inc. 2533 Inter Ave. 2533 Inter Ave. Puyallup,WA 98372 �'EI Puyallup,WA 98372 t 253-845-1818 206-248-2222k 1.4 . 2,53-845 1818 206-248-2222 r'- E To: l.�it. C C S Work at: � Work at: _ t ��^ y� We performed the following services today: We performed the following services today: Date: / Time p.m. Date: i ❑ Please avoid contact with treated area until spray ❑ Please avoid contact with treated area until spray 3 is dry ❑ No restrictions on re-entry is dry ❑ No restrictions on re-entry j F' ❑ Rodents ❑ Follow-up 1 ❑ Rodents ❑ Follow-up t :. ❑ Yellow Jackets ❑ Wasps ❑ Yellow Jackets ❑Wasps ❑ Fleas ❑ Roaches ❑ Fleas ❑ Roaches Y ❑ Odorus House Ants ❑ Moisture Apts ❑ Odorus House Ants ❑ Moisture Ants .. ❑ Other Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Termite Full Treat ❑ Spot Treat ' ❑ Odor Control ❑ Odor Control { C Other g 1 Job Cost $ s . Job Cost $y �- Tax $ Tax $ ---► ( _ PLEASE PAY THIS AMOUNT —►$ ?o.R PLEASE PAY THIS AMOUNT $ . I Tax and Discounts Included(if Applicable) Tax and Discounts Included(If Applicable) Thank You! 4 Thank You! Comments Comments Whitworth Pest Solutions, Inc. 7"— '�j i<X( 2533 Inter Ave. Puyallup,WA 98372 2§3-845]1818 • 206-248-2222 To: l., T d 1� '�r�`7'7 rA Work at: a- Azf gt We performed the following services today: Date: Time -ar-a . P.M. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control ' Other` u�. Job Cost $ " Tax $ PLEASE PAY THIS AMOUNT --►$ Tax and Discounts Included(If Applicable) Thank You! Comments Whitworth Pest Solutions, Inc. 2533 1 me r Ave. Puyallup,WA 98372 • r253-845-1818 206-248-2222 To: Work at: We performed the following services today: Date: `' Time ' ` m. P.M. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas Cl Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control GY-Other ,� v Job Cost Tax $ PLEASE PAY THIS AMOUNT —►$ 7y Tax and Discounts Included(If Applicable) Thank You! Comments Sep 02 04 03: 45p Pat 253-845-1133 p• 1 a"°&V'Aq" D.p.rmrR a Aytp�I6Xe PESTICIDE APPLICATION RECORD (Version 4) O Tva.WU""V—BaSor NOTE: ThIs form must be completed same day as fhe application and h must be retained for 7 years(Ref, RCW 17.21) A. Date of Application-Year:...`Q../......... Month: ..........Day: ........1........................................................................ B. Firm Name: ....nitworth Pest Control,•._Inc...,,,•„•,..... ......Telephone No. ...253-845-1818 .•. Commercial Applicator's Name:'.. t .......... License No......374 .............................................. Street Address:...2533 Inter Ave.......................................... City:_.�,Y l P........................State: . 98372 P ( ) PP P 4�'`1 ..... C�...,... .a 8> Q,... .a..It�. c .••......... C. Name of person(s)s who lied the esticide: ..... ...... .... ••••-••••••••••••••••••.• License ...................................... D. Pesticide Information (please list all information for each pesticide in the tank mix): Concentration Amount-(Lbs., Qts.,etc.)of brand per 100 gallons Product Name EPA Beg. No. of tank mix Amount and untt must be soecified T A - 4 z a cry E. Application crop or site: ....o.S� .-' ...G047.10.1.... F, Apparatus License Plate No.3.4.1.77--....#.g••.•.•••••. G. Record the following information for the specific conditions during each application: CUSTOMER AMOUNT APPLIED AREA TREATED TIME .TEMP WIND a) tull name (b) location of application-street address (gals.of mix) (sq..-ftt., etc.) F' DIR VEL(rroh) 1. a) b) k 2�oZ7 2. a) b) 3_ a) _ b) 4, a) b) 5. a) b) 6. a) c(( P S ? ve Q-OzA b) 7. a) b) Post-it'Fax Note 7671 Date pages 8. a) To I rl1 L 1 I From Phone# Phone 9. a) Fax - b) _ AGR 4Z4(Rw.AM) Page 1 1 4_' O CITY OF RENTON ♦ j1 ♦ 1055 S. GRADY WAY �4/20/04 FPo NUMsER RENTON, WA 98055 18/0000563 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del.Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special Inst: CAG 04-047,2004 Mosquito Abatement 18,278.40 IVIHL I �v,L�V.YVI o Order Function Nimbe o n IF E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 Authorized Signature Authorized Signature Whitworth Pest Solutions, Inc. RE FIVE ' INVOICE 2533 Inter Ave. 111(7. 17 2004 Puyallup, WA 98372 Invoice No. 18738 C;I'fY OF RE=N1"ON USA UTILITY SYSTEMS Telephone:253-845-1818 Customer No. RENTOI Warehouse:MAIN Bill To: Ship To: City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:mien QuynL Ship Via F.O.B Terms Salesperson Payment due upon receipt Brett,Jose Ship Date Order Date SO# Ordered By PO# Resale# 08/12/04 08/12/04 MOSQUITO CONTROL Order Shipped Tax Item Number Unit Extended Quantity uantity Item Description Price Price 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control CONCURRE CE t`'Atr Ch'',°,RfER T16 . `� � LAWS OF ? 5 DATE i CITY OF RENTON CERTIFICATION THE UNDERSIGNED DO HEREBY CERTIFY UND R PENALTY OF PERJURY,THAT THE MATERIALS HAVE BEENF-)9 URNISHED, THE SERVICES RENDERED OR THE LABOR PER ®° DESCRIBED"HEREIN AND THAT THE CLAIM IS ORMED AS JU ,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RE TON,AND M THAT I AM AUTHORIZED TO AUTHENTIC SAID CLAIM. NO I ERTI TO LE SIG e I �� Print Date 08/13/04 Total Paid 0.00 Subtotal 800.00 Print Time 01:21:46 PM Freight 0.00 Page# 1 Balance Due 870.40 8.80000%Sales Tag. 70.40 Printed By: Diana Moore _ Invoice Total 870.40 t \ r Whitworth Pest Solutions,Inc. INVOICE 2533 Inter Ave. Puyallup,WA 98372 �` USA �00 2� v,aieeNo 18964 _ �� � �_ CITYPIE 0 Telephone:253-845-1818 UT� TyF�El�rO Csi � lTo RENT01 Warehouse:MAIN SYS"EMS r x I O - City of Renton/Dept.of�Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn -w S ip .,1•,,X 1 .,.4,. Payment due upon receipt Brett,Jose ip a eM r er ate �. T r eire ? . _ m �... z _,. . �., . 08/19/04 08/19/04 MOSQUITOS Order- �htpped ti n �� tir R . a to rVr� t�qn Quantity : Quanti P 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control Ci�"•:Yi �4 S�d ��•xr<vsxv+K CHARTER 116, LAWS C' 1965 DATE' ry - ITY OF R N ON CERTIFICATION E K11 < <1 ;0J"", -E I, HE UNDERSIGN D DO EREBY CERTIFY UNDER PENALTY , 0 PERJURY,THAT HE 1 TERIALS HAVE BEEN FURNISHED, V41 "�` T E SERVICES RE DER D OR THE LABOR PERFORMED AS D SCRIBED HEREI ,AN THAT THE CLAIM IS,UST,DUE AND U PAID OBLIGATI N AG.INST THE CITY OF RENTON,AND r - - T AT I AM AUT l D 0 AUTHENTICATE AND CERTIFY TO W ID CLAI IGNE . xiri ate 08/20/04ota 0.00 to 800.00 01:30:10 PM ' 0.00 1 aaa 870.40 0 0 . 70.40 Printed By:Diana Moore 870.40 c, ���n�� � Whitworth Pest Solutions, Inc. INVOICE 2533 Inter Ave. Puyallup, WA 98372 USA : Invoice Na 19199 Telephone:253-845-1818 Custome, RENT01 Warehouse:MAIN 'Ship�o F City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 EIS AUG2 2 2004 Telephone: 1-425-430-7247 CITY Or FiENTO1 Contact:Allen Quynn UT!LIT''SYSTEMS z, �= 'hill Payment due upon receipt Brett,Jose hi D i"r Da rder' B ' 08/26/04 1 08/26/04 MOSQUITO CONTROL t� der� Shippedtem"Numbe ��, t fed uantl aalitl TagItem Deseri"°t o n Price 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control HARTER 1 6, WS OF 1965 ® ,,a �,.. . CIT OF RENT ERTIFICATION I.THE UN ERSIGNED DO REB CERTIFY UNDER PENALTY DATE' OF PERJ RY,THAT THEM ERI,4 S HAVE BEEN FURNISHED, THE SERI fICES RENDEREE OR T E LABOR PERFORMED AS N ME 1 T ID 'E DESCRIBED HEREIN,AND I HAT T iE CLAIM IS JUST,DUE AND 27 C UNPAID (BLIGATION AGAI ST TIE CITY OF RENTON,AND - d THATIAN AUTHQRIZEDTC AUTHENTICATE AND CERTIFY TO SAID CLA . �®._.�. SIGNED: pulp Date 08/26/04 �otal paid. 0.00 x� Subto III 800.00 I'1C77� ITIe 01:43:25 PM � 9 r r AFI`eillt 0.00 Pag . q',,: 1 BaI cldue; 870.40 8 80000 /oSaleTag 70.40 Printed By:Diana Moore h z ram " 870.40 Whitworth Pest Solutions, Inc. Mnr '`' 2533 Inter Ave. i X� ' uyallup,WA 98372 253-84571818 • 206-248-2222 f. To: r G x` Work at: A ti C/l/ We performed the following services today: Date: 'v' Time .7 i a m.p.m. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control Other U_S Job Cost $ X6V- Tax $ PLEASE PAY THIS AMOUNT -4$ g'170 Tax and Discounts Included(If Applicable) Thank You! Comments Whitworth Pest Solutions, Inc. 2533 Inter Ave. uyallup,WA 98372 253-8�1818 • 206-248-2222 To: 1 Work at: J G 2-1±6 We performed the following services today: Date: Time D -jeft P.M. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control Job Cost $ Sep .----o Tax $ PLEASE PAY THIS AMOUNT —►$ 7Q, Tax and Discounts Included(If Applicable) Thank You! Comments Whitworth Pest Solutions, Inc. 2533 1 nter Ave. plqq Puyallup,WA 9837 253-845-1818 206-248-2222 To: Work at: We performed the following services today: Date: - Z Time 7. m. .rr P.M. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control Other �� u t41 Job Cost $ Tax $ PLEASE PAY THIS AMOUNT - +$ S 70 Tax and Discounts Included(If Applicable) Thank You! Comments nug 26 04 01 : 45p Pat 253-845-1133 p. 1 DaDarnwx.._."� orAGn: PESTICIDE APPLICATION RECORD (Version 4) C—rVA.W=r-VMn 96504 NOTE: This form must be completed same day as the application and h must be retained for 7 years(Rat, RCW 1721) A. Date of Application-Year:...L ................. Month: ...........0................... Day: ........7k............................................................ ....... . B. Firm Name: Whitworth...........Pest...Control............... s Inc., ........................Telephone No. 253-845-1818,.•„.................................. Term'..Whitworth .License No. 374 ...............I....... ... Commercial Applicator's Name' """""" ..................... 2533 Inter Ave- City, ..Pu�'allu ........................State: .WA..... zip: ..9837........ Street Address: ..............................................I.................... .................. C. Name of person(s)who applied the pesticide: ....3 7CA..... o A., c t7 license No(s):.... �. -.�. .,...�4. 7..#?.' ...................................... D, Pesticide Information (please list all information for each pesticide in the tank mix): Concentration Amount - (lbs.,Qts., etc.) of brand per 100 gallons Product Name EPA Reg.No. of tank mix Amount and unit must be soetified. 4 550- l g 4- 4 o Z a cry E. Application crop or site: S�c�.c- -D <•r�Ji'piT� 1 ••• F. Apparatus License Plate No. .. 41• �••-•••• g. .. ..- G. Record the following information for the specific conditions during each application: CUSTOMER AMOUNT APPLIED AREA TREATED TIME TEMP WIND a) full name (b) location of appllcation-street address (gals-of mix) (sq. ft, etc.) F' DIR VEL t,roni 1 a) i 2. a) b) 3. a) — b) 4, a) r- b) 5 a) - ---r- b) 6. a) Date ' 7 7671 page s a) Post-it"Fax Note _ From b} To I :.1) L 111' C b Co./ ..i1 tt 8. a) Phone �- Phone# b) Fax# Fax#j_ 9. a) b) AGR vs•Ia..u59) Rug 24 04 11 . 22a Pat 253-845- 1133 P. 1 =_:d.�.�... PESTICIDE APPLICATION RECORV,l ersion .4) c '0&V* *.ao•Mod NOTZ This corm nvid tm /y� 1d`.'..,.�;� c YM. W w.+YdRy.&J.Vw.appiicttlon and It mint be rrUkad for 7 yean,(94F}CW'i2.Y1) A- -Year. 094 pp gaze of AppticaLiotl ....... ....... Month:........r1.....................:Oay!....M.�... ..............................»................................... g. Firm Name: Whitworth Pest solutions, inc. Telept�or�eNo. 253-845-1818 ...wwww.w.w.w.MMwe................................I.......I................. ....wM.NN.M..w._..._ww..w............................... GocrVnerda)Appkator'a.'ttium Terri Whitworth L}oer< 374. ..www • ......M........w.............w........... MM.....M.�M.M..MN....•M....w..w........................ sumac Addra=....9.5_U.T►TM.v.1...AXt.e................................. ....... .... Stats: ..):?A... zlp:..?8 3 7 2,. C. Name ofpenmNs)who applied the pestkdde. Brett Hansen w................................... UcenseNo(s):.....4028'3' C.3..7.6..�........................................ �.. .... ... Q Pestbd Woraidw(please kq aU Inforrmtion for each pestictde in the tank mix): ; Cor►oentratfon Affo t•tt.bs.Ots.,ela.)d bmnd W tOQ VLAOM Product NaMll EPA^.No. #1 Biomist 8329-34 4oz.%acre #2 Rontroi 4-4 (same ingredients 550-194 . 4oz./acne as iom s _ E. Appkatw crop orslte: ....MMcpuito...control............� Apparatus l.kerm Plate No......3417....................................... G_ Record time follo�Wommbon for the spooft ow4tlom during each application: CUSTOMER AMOUNT APPLIED AREA TREATED TUM TUP WLND N lull mm (b)bmSon-d appkadon.sz W address (gslt d m6Q (sq.tt.'eta.) p DLR VEL pw 2 a) ■ b) a � b) 4. 4) �T b) 5. sa 5• D S U��- �S ems„ b) ....................... b) Post }-it"Fax Note 7671 Date pages 1,- 7. TO {�I Cif i i From b) Coy Phone N / Phone f ,5_ 1. 1� `}5 Fax HI` -7.�4� b) b) Ms. Stephenie Gollier y Pm 1�! 2709 Talbot Rd. S ,, '�• Renton,WA 98055 05 APR R 'vCO USA First-Class R cAp 0 6 2OOy V / it£I!£lil i{ ££££1!i!£I!1£I£i1£££1£1Ilii£££1II£i£1!!t£1!£III A Ms. Stephenie Gollier 1 � 2709 Talbot Rd. S Renton, WA 98055 o �a V x r W r u z1a w7-4� y ILI ZI / 'Viewpoint®Kirsty Wither 2002.Co rtesy of Portland Gallery,London�i l 7 Design Copyright:The Art Group Lim ed.Made i A42n KEA 6(?e��/rT}tE5 SNe 'E Be'V�.2�002' s� ��� Aug 13 04 01 : 25p Pat 253-845- 1133 P. 1 PESTICIDE APPLICATIC,N. .R.E.C,ORD,..(Ver-sio,n .4) 0"%1J&%6_*V_vmra tjaM. This Jorm must be on; atad UM.at. arb It rrAA b4 rsmkwd for ................. 0 w ....el - .8 . A. Dais of AppU=5W-yew,-24........ . . ......... ......................_ Inc. ................ 253845-181 Whitworth Pest Solutions, ..• .. ..... N .. a. Frm Name: ....37 ................................. Terry Whitworth.................. ...... .......... ucia"INO. CornffvxdaJApP5CatOrV.Na=; ........................ ..WA... ....... �. ............... ............. .....-- pasttc�de .. Srw Addra= ............................... a (X5<C-1.Brett Hansn....C. Nwne ot POMCCO)WhO 8POW tl'e : .7........ ........... 83 ........... Lkmrza No(s):...... ...................................... CL pes Ww7idm(*am list all Lnjormaton for eao pes.ddde In the tank mix): comwautson AM=U-(tb,,,,ats,S=)of bwd W 10Q QAAQm k KA IDLEA021I toz./acre J1 Biomist 8329-34 #2 Kontrol 4-4 (Same ingredients 550-194 40z./a' cre --------........... as Titom.............................................. Ghs: ito control .F. Appar"L-k;Dnw Plato No_.....3417....................................... E. Appkat�on crOP v .... .................I..............ml udng each appUcaton; G. Womzbw1or the spKft=4to � . wum CUSTOMER "OUNT APPLIED AREA TREATED TEMP TUJI DLR VIEL PwN 4 U rwra (b)bmWn d&X6=Wn-sU""m" Wall.01 W14 (14. . ..... ...... "44vy,_ 5=7 b) I EI) b) 4, a) b) 5. a) b) 6. 7671 Date pages b) post-it, Fax Note To I From 7. Q n c.. o" Phone b) rr� Phone# Fax# b) ------ b) _'— Aug OG 04 08: 25a Pat 253-845- 1133 p. �r d. .... PESTICIDE APPLICATION ,REC.ORD .(Verslon .4) NOTE: ThW loan mtW be=%pWtad wn:.dq.a�.'m.:app�csiisan and k must be nta3nW for 7 Y 'FiGW.17.Y1) A- Dais a Appkabon-Yesr:..2.-... Month: 5 , DaY 20 0 t ................................................. ........ ...... .................... . . . Whitworth-Pest .Solutions.....................................inc. .T y . ...253-845-Z818. CommerdalAgZ=tcesN&W:. Terrx..Wh3twarth.................:Uce(tse.No.-.....,374.. StrBes Addrss� . .fix....:►} i ... vP.1................................City...:.R..1:�t1 �r 2 ....... S28te:-..W?�... 21p:.. .....7 2.... C. Tlarne of persons)who applied the pesticide: B=ett Hansen ..�!.asP.../_..... ................................................. License No(s):......4 0 2 8 3 „............................................................... i? Pevkkd e Information(please list all Worrnatlon for each pesticide In the tank MIX): Conoentrszion ArrWunt-(Lbs..Qb-,sec,)of brand W IOQ Irv #1 Biomist 8329-34 4'oz.%acre #2 Kontrol 4-4 (same ingredients 550-194 . 4oz./acr.e as 10m s U E. A.ppkarion crw or slier ..,,Mos�uito..control..............F Apparai U0011se Plate No......3417..................... ................. G. Reccrd t)e foliowtnq information for the spedft cond�during each aQpUCation: CUSTOUEA AMOUNT APPLIED AREA TREATED TIME TEMP WL40 a)U nwra (b)ioca .d appkaton• W"adchu (Dais of rrg (Sq. IL:saa.) F' DLH VEL PvN b) b) 3 8) b) - b) . . r _ b) U 6. a) - - ------ - b) Post-it" Fax Note 7671 Dale pages To ri1 L From 7 i 1 b) Phone N Phone 8 4) Fax k '7 `� (•�.4 Fax I b) b) .rs o-v s wa Jul 30 04 01 : 27p Pat 253-845- 1133 p• 1c _.�.w. PESTICIDE APPLICATION ,RECORD,(Version .4) or rir+pc�resew NOTLr T"Jwm=;A to ourq Wd LartM`dq,Li.t W `^' nn,�4' and R ff"be r W-4d for 7 ytwVV,4t"", '17,21) A- Data d AppOcation-Year:.. 2 .(_)4......... m=tu ..........�..............................Oay l.....�:�........ ..... :............,....................................._.... 253-84 —-�� � 5 181 8. Firm Name:_..Whitworth .Pest Solutions. Inc' .TelepttoneNo. ................ ....... . ............. ................. ............... 374. ` Terre Whitworth ............................... Corrvnerc�ai App5Cato('s,Ka=:. .. ..... ... ................ 8 3 7 2 Soeat Addrssx.... . . ...: ► .'c ... !X�. ................................City:....pU.j tX.l�1P... . ...........5tate: ..ti?A.... Zlp: ..� . C. Mane of persons)who apoUW the pesticide: Brett Hansen es. ?................................................... ucae No(s):.. .... . 2'6.3 .....3,.. ru ............................................ a Pes5cide lr wn a ion(please Ust aU lnfor=ton for each posUcide in the tank mlx): Conowtratson Mount-(Lbs. ai..%W�Of tx"W AOR VLWw Pr4dyct�me EPA.S�. #1 Biomist 8329-34 4oz.%acre #2 Kontrol 4-4 (same ingredients 550-194 . 40z./acne as iom s U . . E « Mosquito control ApPam�Ucerae Plate No 3417 ............. ............................................ . G- Record titre touowtnq Wormation for the speclfio=xlr�during each application: CUSTOMER AMOUNT APPLIED AREA TREATED T E TEUP WWD U rwna (b)bmtwo of Lppkalim-9"W Lddrsss (flats.of mb4 (ape) F9o!R YEL avu b) `i'cr r� 4 fN 'ai S �T. 2 EQ b) 3 EQ b) 4. a) ------ b) b) 6. a) b) Post-it'Fax Note 7671 Date pages #of 7. s) To G�1 L 11 From C - b) Phone# Phone _)-�f 1 r'_ Fax#I- h r 7 -7, Fax# � b) s. b) Jul 23 04 11 : 44a Pat 253-845- 1133 p. l drop•» PESTICIDE APPUCATION ,RE.C.ORD;.(Verslon A) NOM Ms tam more b4 axn94W Unw.day;ar�:ttwl:appUcati�on �y and k rr d be MW14d for 7 yua;(R4-RCW.'17.z1) A- Date of App(Jcation-Year?�0�31 MMh. .. . 1 Z ..... ................................. ............. .................w...........w...................... e. Firm Na - Whitwor--- th Pest Solutions, Inc 253_845-1818 ---•~ Tetephww No CamrnercWAAp %NWM.-�. Terr NWhitWarth................. No... ....374:......:...' w..., ..............._ m.♦.............................. w .w..ww. ........... ................ ...�i3?.�C�,... Y ..,..............................:. Ctty:...:.�Kl'.�i�..l?rIP.. .. .....State- WA.... ap:..?8 3 7 2 C. Name of persor►(s)who gpUsd the pestc1de: ....Brett Hansen o P .t:. .r`..y.::: ...w..................................... Ucer�:a 4 0 2'8 3- ....C..3.?b.�...,................................�...... ...... . a Pestksde trdorm lsw(DI6&v tlst alt Informaz on for each pest tide In,the tank mbc): 4.1'•.Ots,stai of brand►'^ IOQ 4AOM Product Name EPA Rea.No. - of tank #1 Biomist 6329--34 4"oz./acre #2 Rontrol 4--4 (same ingredients 550-194 . 4oz./acne as Biomlstj E Appo= atop or stte: Mosquito control P F�ta No 3 417 G. RwO(d me fauowLW Wwnat on for the spec fio cor4dor4 during each appkation: CUOT0YER ALOUNT ApPt= AREA TREATED T= TELtP WWD U U ruma (b)location.d appiicadon.rrtrW addrsu fga�of ag.4 (q. EL.•or.) F' Dw VEL avv - - - _ z '•6�X'a cry 2- b) . 3 � b) 4. b) b 6. - b) pages Post-it cat Fax Note 7671 # e � . "l To �'� ' �, From Co J C b) �:,," Phone# Phone Fax#l j j ?r l q/ Fax# b) I T / �1 ( 1 b) PESTICIDE APPLICATION �RECQRD_ ersion .4) 1� NOM TNs Jam muss be o=04tad s nwday.ad.V*Appilca$an and k must be ntalr»d for 7 ysara(jib(;RGYl.17.Y1) A Dale of Ap*mtc on-Year...?.0 a ........ Monlh: ....7................. .............................................. S. FirmNarne: .wWhitwor h Peat solutions, T i e 253-845-1818..........................._..__ .......... Pe . ... Terr Whitworth 374. ComrnacdaJAppbcs2ots.Platne............FY.........._................................Lke(Lse:No.............._.. ...............,............................... Sweat Adclresx....,. .. .... ► ? ...'tX .t................................ CV.......1�1�Y. i�i11�P.. ....:...S28te: ..W.A.... 71p:..� 2.... C. Narne of persorgs)who appiled the pesticide; . Brett Hansen . .............................................. 1.83. ...... . ..... .. rk..:...........................—.............�,. a Pesbc3de wwnat w(please list au Information for each wlVdde In the tank mix): Cortioaraltion rs,ocxa•(Lbw,CLL.saaJ d brand W iQR tip #1 Biomist 8329-34 toz.%acre #2 Kontrol 4-4 ( same ingredients 550-194 . 4oz./acr.e as iout s E. AppCration crop of site: ....Mo s c u i to con..ro 1............. Apparatus Ucerisa Plate f�o......3 .......................... ............. G. Record tt)e toiiowinq Information for the spedft cor4torq during each a3ppllcattort: ctisrouER AMOUNT APPt.1ED AREA TFXATW Tuts TEMP VOW U ram,. (p)bcation-of appkason-at"addcsu (Dala.d W0 (aa.a.•.ta) F• out VU PVN ep 2 a) b) a a) o) 4, a) b) / 6. E) b) 7 a) Post-it` Fax Note 7671 Date pag°es� To (1 Hen uQoIA From a) Phone N Phone b) Fax q l` i7. 7 !•A�f Fax N b) .ro rni RL.T •d d9E : E0 b0 91 TIC Jul 09 04 03: 38p Whitworth Pest Solutions 253-845- 1133 P. 1 PESTICIDE APPLICATION iRE'CORD...(Version .4) NOM- M"tome mLO bo='016Wd WN, and k mW W mWW 1W 17 Y"M'V.WL'-"I'M A- Dais 01 Appllcaiion-Year ........ Pvwh .......... ................... ..................................................... s. FLrm Whitworth...Pest solutions, inc. 253-845-1818.1............................... Narne:_ ..7............... ....... ....... TWhitworth erry ................. .......................................... Cbrnrn&rCWAppkabft.Na=:....... ...................... SDvpa(Addlr= ..................................c1ty.. 7'... Brett H .. ............. .........................Hansen.... aofe Ahl'q .:; ­6 ........ C. Nwne of pw=�s)whoappled the pestclde. .......................a............... .. ............................... LbxwNo(3). 3.11.......................................................I..... . CL PSZCide WWnBSM(pj6aWL Ua&U infW=ton for each p6slucide in the tank m1* conowarawn QtL.0i)d trend W IN 9990M pmductham AW trJl=be MC�= 11 Biomist 8329-34 4oz./acre #2 Kontrol 4-4 (same ingredients 550-194 . 4oz./acr-e as blomisr-) - E_ Appkabw cropor ob: .... jj IF�R� ��to control ApparatusUmm Plate No..... ......... .............. ........ ....................................... G. Paccxd vw louowvg WornvLton ior the spocft=x4boM during each applicatlon, CMOLIER AMOUNT APPUED ARIA TREATED TULI TEUP WWD a)U naaw (b)ioca .cl appkabon-ib"addms (g&IL d mW (v4 IL stag p DLR VEL Z2- Avy_�� ell e15 5-- a) b) Ck Z_ IQ b) 4. it) b) 5, iQ 16C 'e, d v b) 6� a) ....... b) Post-46 Fax Note 7671 Date 7. a) , I �n 11� L n From page b) Co. L CT_�11. , .A,-J L I. Phone# Phone Fax#) b) Fax# 9. b) Jul OV 04 09 : 19a Whitworth Pest Solutions 253-845- 1133 P. 1 Ji PESTICIDE APPLICATION RF.,C.ORD,,(Version .4) NOTE: MU arm rry,;4 be wrQWW ww' and k mug be rvulnW tot 7 yWv-(fiAKW'17M) k Dais o1AW3=k)n-Year:__?2q.j........ monttu .........7 ........................... ...... Whitwb"rih Pest Solutions, Inc. 253-845-1818 B. Firm Name:...- ............................................. . ....... ................................... NaM.. Terr Whitworth "No. 374. .................................... Tr ...............I..................... , _..,: -, , -. .. 2 .. . Zip: ... .. .............................. . ................._S;tate - ............................... C Name of person(3)who the pesticide: .................Brett...Hansen................ ...... . . .................................. 4 0 2'8.3' 63_76� License No(3):...... J..... . .. . ................................................ a Pesticide Vftmabw(*m iW au infomiadon for each pesUdde in the tank mU): knowl-ps..Qtg,ow d U"W 1CR PAOM EPA RU.No. at tgnk �i.Amm ind Lng rmist be macftd #1 Biomist 8329-34 4oz./acre #2 Kontrol 4-4 (same ingredients 550-194 4oz./acre as Biomist) - E_ Application aW or WW: .... ............. Apparatw Uowwe Plate No......3 ......t-..8......................... ...... ....... G. Record tNe loauking WomuLbon for the specifto cuxbonA during each zppltmtbn- CUUOMER AMOUNT APPLIED AMA TREATED TIMI TEILP WL&W &)Urum NbcLbon,otowks -sbUaddrau (WL Of MW (4 IL OW p DLR VEL ppv R-D b) 2- 8) b) - a it) b) 4, a) b) 5 a) AAAh b) t v 6. 8) pages I.- Post-it'Fax Note 7671 Date Pages b) To From 7. Phone# I Fax Al�- 43 7,_A q I Fax# b) 9. b) Jun 25 04 09 : 42a Whitworth Pest Solutions 253-845- 1133 PESTICIDE APPLICATION ,REGORD...(Verston .4) NOM' Yhlv kum MW b4=Ostid and k MW bs rftl for r YUM'vWL,",17,11) A- D=ot w4atton•year...-uA ................... B. Firm Name:... Whitworth. Pest Solutions, Inc. 3-845-1818 .................................. No. .................................... Terry Whitworth 374. -Name:. ................................................. .............................. Street Ad&= ............................. city Ewil'up.. _Stale. WA... Zjp:'.?.!�.2.... C. Narne of P"S*s)who atoll the pestldkie: .....Brett....Hansen I -7­5....................cs�.................................................. M .......... ...... 0 ' ' C-(: UCW"s):......4.... 2 8'3 ......... .....7.................................................... . 11 Pasbcide Worm bon(plom UM a Infomiaton for each pesticide In the tank Mtx): nbluon Pt,QtL.04 dbmM w 10Q Pw- ProductNamp EPA Reg.No. Of utnk nft.Mmum&W uM n-al be amchW- #1 BiomiSt 8329-34 toz./acre #2 Kontrol 4-4 (same ingredients 550-194 4oz./acr-e as blomist) E_ Appkabon crop"site: ...,MRF5u.4p...c.o.nt.rol.............V. 4plaxabAuoerm Plate No....::?t� .. .. ........... ...................................... G. Record tw following Wommlion for the spodk oondWorA during each appLkabon: CUSTOUM "OUNT APPUW AW TREATED TUIZ TEUP WL40 C U mu 0)bcdon.d tppkmSm-atrwt addmu (OLIL d MW IL.*at-0 p DLR VEL aav b) -7 2- a) b) a a) b) 4. a) b) b) 6. a) b) Post-V Fax Note 7671, D; so,, 7 a) From go b) Co. �; L�W(A el(l Phone I Phone ,� 5- 1 b) Faxa 43D-7LAW .Fax# b) Jun 17 04 03 : 12p Whitworth Pest Solutions 253-845- 1133 p. 1 PESTICIDE APPLICATION iREC.ORD .(Version .4) �.rd�plaamot NIGM' Tali forff►ff"d be=rpleW u",dry_vd.ew application snd k frw M be nir>a *d for 7 yws'V.W.t,'fCW'/7.Yt) 200 1 A. Qata of Appilcaitort•Yesr:........... Moriih 1 8. FUnNanw... Whitwor'th..Pest ,Solutions, Inc. .::Te tw�neNo 253-845-1818 ..............I.. ....... . ...._.. --... CorrunerdaJ Whitworth ............... .....374;.......................... . ....... ..... ApplSc�or`a NErte ......Terr.......�' ................... . Lkense:No.. S�eet Acidrt x....,. . .. i? ...# X .t................................Ctty..... Y.j4j.?:.�P... ....... Statsi WA... ap:..� . 8,372 C. Name of aPp pest dde: Brett Hansen ?ose e� psrso�n(s)who the ........................................1........................ lE:�rri...................................................... !Scene No(3):......4 0 2..8...3....., :3.��.6............................................. pia ll Pesbdde ld madon(please Ust all Informaton for each pesticdde In the tank mix): : Cor4ordratlon ProductNjme of tank mbf.&=and rA.+' .� #1 Biomist 8329-34 4oz.%acre #2 Kontrol 4-4 (same ingredients 550-194 4oz./acr.e as iom s U . E Appbcation crop or she: ....M9Tquito...control............. Appamb,;*Uowwe Plate No..... .......................... G. Record the toUov&g Wormabon for the apeddttcc cwxWdom during each applIcatlon: WUOYER AUOUHT APPLIED AREA TREATED TULZ TEUP M/IHD a)U nuns 0))k--- rf.d•pplkatl6n-s"d addna Wa d atbo (54 1L.'W4 F' DIR VEL pvV e., b) � YS 9 _ cr-r� st_r_ 2 a) b) a $) b) 4. a) b) b) 6. e) b) �- Post its fax Note 7671 Date pages 7' From b) To �� zl� � L E1 Co./ a Phone# Phone ,_. b) Fax#i i_ L�j I 41 Fax# .Q. b) Jun 11 04 09: 19a Whitworth Pest Solutions 253-845- 1133 P. 1, PESTICIDE APPLICATION,RECQRD,-,(VersIon .4) NOTE TNI$Qffn=4 be=Tos .y bf MMInW W 17 yw*-(R*L'RQW*721) Data of AppUr�tbn y6ar. 0.I...., ...2 0..... ... Monh. ........(�................... Y'- .................. ............................................. 6. RrmName-_ Whitworth Pest Solutions, Inc. �,T �................. ............. ....... ............................ CQMM0rUWAppkaboev Nam T : er..r X..Whitworth 374. ....................... ....................................... SUW Addre=_;�. .................................. c1tr.....?-U.t ... . ...... .... Name of pen;oNa) who apoodftpes�: .. Brett Hansen . .............................. ........... .. ...... 0283' ................... .................................... I Pes'd hVmaaon(P-15w LLq d 1nfwwV0fl for each PolUdde In the tank mix): Corneentra#� EM�Uct Name Mum,-PG..Cb,qba)aw"pIr 1QQ paxu =k m�Y.-AffpLryl v-d uM be XM=2d #1 Biomist 8329-34 4oz./acre 12 Kontrol 4-4 (same ingredients 550-194 4oz./acre as tjomist)- ------------------ scvito 3417 Apocaton aW or SU: ....M0' ............�. APParatA UQ@n9e Rate No...... ........................................ rw f0aw4)g Worniatw fo P400rd r the SPOCft OW4torA during each application: CMOUER AUOUNT APPLIED Aw TREATED Tw TEmp su"addmu U&dug WIND 4 (4 it.,air-) p DLR Va 7�7 7-77, b) Lt- Mra�Z—r b) b) 10 b) b) U E� b) Post-its'Fax Note 7671 LL Date 110,TO From pag. Co., b) Phone st Phone f Sju-fi Fax#) P�--L4 Fax# &q b) b) —1-6- Jun 07 04 11 : 30a Whitworth Pest Solutions 253-845- 1133 P. 1 ,,,�, rtSTtClDE APPLICATION,RE:C1.ORD; to mroj uid k rtwa bg ro for Ik d&Y-p(:t -&pp=lo,� r Y�+�[iiit,'FiCW'17.Ytj a Dale of Ap��-Year:Z.0 0, . .:-•. ....................I.......... ��•8. FirmNarne: whitworib Peet . +.1...._...................:......... •...............................Solutions•....Inc:......, ............,..,.............................. Corrvr"CWA .a' Telephone No. ...?5..-845-18I8 tie: Term:..W-bitwO th ................».......................... SUW A &wm ............................L'400 e'No. 37d. _ Marne of ...........�t...........: tty,. ..R.4IY.�l;�1.kP•.. .................. s e. Bi a n •, State: WA...ap:..,?.8,2 7 2 Parson( ?who - ....... t_fcense No(s):....,4 0�$3 ��G ' - .... ....t..,H.,...8 e n.... ..... . S P... °�?5.� ................ odewomb �• ........ ....... .............................. ............................ 1""U Ilst al Infomiadon for each pesticJde In theAmouM tank mbc '{�,.Qta.,saQ,j d band W 10Q QaA0n„ #1 9iomist B329-34 4oz./acre #2 Rontrol 4-4 (same ingredients as iom $ 550-194 . 40z./acne U _ ADpbcabon crop ofSU:,...Mosquito control ........................................ Apparatus I. 3 417 Re=,me to lowN 1 =VWon for I'll BPW&oond(tlon�during each eppkabon: late No CUSTOMER . U U WA Ib)bcWiM d kppk&Wn-SUM addmu AMOUNT�AREA 1REATFD M.W. TFjtp W= . gip"WJ F- .�.�� oLq VELeau N ---: ,. a) ccyf-n b) b) b) Post-it"Fax Note 7671 Date - #.of ' �— o' pages `Y To All (� ._ _I 6� ` �� � Fro, .. .: .. ......... Phone#f- Phone b 7 - F,ax# ) Jun 01 04 09: 57a Whitworth Pest Solutions 253-845- 1133 P. 1 PESTICIDE APPLICATION,RECORD-(Vorslon .4) NMt- ThW lam MA be=Oetmd&Lr4 d1W d to:. and t mAA be rstikW W 7 ywv,(F!A'-PIQVITM) 200 -2- k Dale 01 App4�-Year.. ....... ................................My. ................................. .......................................... ........ MWft 6, FLrmN=w._ Whitworth Pest Solutions, Inc. 253-845-1818 ................ ........................................Telephone NO. ApBC8b , T Whitworth � 374.Ccmnwcw = .............I...............� Nm .................................. " ... ... SUW Addre=.-Z-U—jD1,VX...AY.V.i.................................C V. T ....... WA Zjp:jft-�2 2 Brett Hansen dame of person(a)who appU J ed the pe3tdde'. ......................................... —JL�." ................................................... Lkww No(s):......4 0 2'8 3.. .....6....37'ib........ ..................................... I Pesdcs Irdornzbw(phase Ust aU inform Uon for each pesddde In the tank mlx): Amowt-(Lbs,0M,eta.)of bwd Pof I OQ ULAOrs EPA Reg.No. &-t&nk mbf.Amami and ZA nst W wec6ad� 11 BiomiSt 8329-34 4oz./acre #2 Kontrol 4-4 (same ingredients 550-194 4oz./acr-e as blomist) Mosquito control 417 Appkat�on aW or WU. ............. ....................... AppambA Uosrme Kate No...... .............................................. Remit tw falo%i WwrAton for the speoft ov4tonA duMg each appUcatlon, ULWOMER AMOUNT APPLIED AREA TREATED T10 TEMP WLND as U narns (b)bc0m.d oppan -wu"addrau WAIL d MW (n k:elm) Fo DLR VEL �5- b) Ct a) b) b) b) Gl� VIA b) Post-it`'Fax Note 7671 Date #of S:. To page Co.. b) C Phone# Phone Fax# 4qs-I F 3 b) b) May 21 04 02 : 13p Whitworth Pest Solutions 253-845- 1133 p. l , PESTICIDE APPLICATION,RECORD.(Version .4) prat v�++V�u�9fSo+ �.::..•w.F. N07t, TNs loan c:wa3 be=P1aW twi;"i a!t!>•:apptScat{son and k moat be rst irn for 7 yw '(R'.RQW 1y.21) A. Date -Y ? Q.1. Month: .,.N Da ...... ear. ....... ...................... y.f ...'..................�................................................. � Whitworth Pest Solutions, Inc. 253-845-1818 B. _.....».......»........»....................N......................................TB{ephOne No. ............................,..................................... CQ7a"CWqPpA=D['eNu Terry Whitworth 374. _ .. •••.•NN••N•N-.•.•......•..•..•••••.•.N••Y..VM MV .w..w.• .... SZ>secAddresx. .�. . .: i� @ ...AXE..................................City ..... .41Xi� t .............State".WA.... Z1p:.. 8.37.?.... Name of person($)who ppiled the pesbckle: Bratt.. Hans en 3 L Se...r? IQSw..............N..... ... ... f bensallo(s):......40283 • .,37(-G.............................................. I Pesddde W m Bbm CD18ase list d Informadon for each pestUcide In the tank mix): . Conowtrai on Mtio"-(Lba,04-.s 4 d brand Par IQQ vaCao PToduct Name �PA� 0, of tank mt4 Anoum tM urX mum be sflec!W_ 11 Biomist 8329-34 4oz./acre 12 Rontrol 4-4 ( same ingredients 550-194 . 4oz./acr-e as iom s Appkarbn amp or afte: ....Mos.Juito„control ...... Apparatus Ucer�se Ptate No.....: ::.. .�'�......................... �. Record to following Wwniation for to spedflc ow4tsom during each appik;atS ; cusTOYf:A AUDUNT APPUED ARFJ►TPEATED TWE TEUP wow a)U Warn. (b)bms M d appkatson-stem addrw WAIL d MW (34.ft,,sta) F• t)fR VEt b bj b) i b) L a.n jit f _�COOJ;= 4LV4e b) 7671 Date pages ` a) Post-it,Fax Note From To Co-/ C j I, Phone M Phone I--A b) Fax#, 5—�� /� � Fax D) Mai 14 04 10: 35a Whitworth Pest Solutions 253-845- 1133 P. 1 PESTICIDE APPLICATION ,RE.C.ORD-(Vorslon .4) NMt* Tt4 I==4 be aw0eWd WN.W,Li Lid k MAM bo NtWW 1W 7 yum'(W KW 17M) A. Daze 0tApqkab0fl.Year, 200.1........ mwttr .................... .. ................................ .......Z. .............. ............................ Whitw"kih Pest Solutions, Inc. 253-845-1818 B. Firm N&M'..- 0 ... ................................ ........... .........I...... 7.7. T Whitworth 37C Corru"CW Appk="KUM U*W WA... Zjp- ...........I...............I......C I rf.. 2m km 2..................State. ....... Btett Hansen ,-q-'Y'C' /Vc)(0-j'Cz� Name of per=�B)who epped flue pe3t1cide: ........ ..................S....................................................... ............ Licanse No(s):...... ...ELZ 6.P............................................ I Peaidde Lrdumathn(please W aU infomidon for each pesdc1de In the W*mlx): Conow=uUon Moan pg,Otg,�d bmM W 10Q awn product Name EPA R" of tink mbL&=vid uM rnzi be zmdfad- #1 Biomist 8329-34 4oz./acre #2 Kontrol 4-4 (same ingredients 550-194 4oz./acr-e as Biomisf) App�cazisan crop ar efts control .............................r. Apparatus Llcertise Rate No... . ............................. Ra=d tw foUo*tQ Wo=aon for the speQft oondtdvA during each appUcation; CUSTOMER AMOUNT APPUED AREA TFXATED TULE TEILP WIND a)U Hama (b)ba m of appkatm-a"addmu (p&IL d mbO ($C.ft-.•st:J F* DIR VIEL oroN a� 5s- b) b) a) b) b) a) Cprnr'Qc�-:�> (4z e5 c-re I b) U b) Post-RO Fax Note 7671 Dale #of p, 1pages T0611C1� '; LMM From Phone 9 L30l�Phonc� Fax A-- / Fax#b) b) Mai 10 04 05: 03p Whitworth Pest Solutions 253-845-1133 P. 3 PESTICIDE APPLICATION ,REC.ORD..(Verslon .4) **UWVV"U&M Name~ M4 WM mug b*worroeWd sari..*.'S :" pow^ .nd k rrwa b.rsWnsd to 7 Yam; 'Fcw.l7.Zt) k Date a AMucanor,-Yam;. 2 0 0. ........Mor�a�: ......:arr.................. :oay:!........�P................. ...................... ............,............... Inc 253-845-1818 B. wrrrhiarr�e . Whitworth'.1?est Solutions �neNo. ..... . ...-.»......... .................. . . ....._ ........._..... ..................»•-,...„................................T a Terror. Whitworth ......... �gpNp 374. ........ CarrvneaCW APP5Mt0ft Nsme:. .. WA..............837.2 . ...837,2 . ... . . .. h3i ...AXe.�.. Ctty:. : �tX1.41P. .. ...........State:.. Dp:..9. Name persons)who applied the pestjWde:.,..Brett Ka n s e n...}..... 05 e.... o �Mf C o................................... ...... .... lJaertiseNOW.......4 0 2 8 3 ..0.7S6.... ...................................... 1 Pestjade Wombat w(plww 99 all information for each pesWde In the tank MIX): Concwumtlon Mww�• nb...tay d Wind W taQ ULWu be wacMad. tl Biomist 8329-34 40z./acre f2 Rontrol 4-4 (same ingredients _ 550-194 . 4oz./acne as some cxop or site: Mosquito control ', Apparatus Won"Plate No... ...... `� .. . - aDpc . ...,. ..... ;. Record the touowvQ Wormation for the specft=4t"A duMQ each applkmtion: AMOuNT APPLIED AREA TREATED TWE TW WWD CUSTOMER_ p• DIA VEZ PvQ U U rwm Cb)b=gw.wr appOcsibn-Wad addns {pall.d t a) - - - b) CtM a) b) ! .,• a) C0mr1rQrt- b) f Post-it®Fax Note 7671 Date pages -. From b) To Al eA � w n - , . ��; s Co./ �..:r i� 1 Jib Z..� 1p) �1 Phone# Phone .� S O ,� '..... � w b) Fax# Fax#� ` _3 -7. 4� _ b) Apr 30 04 12: 56p Whitworth Pest Solutions 253-845- 1133 P- 1 - , , PESTICIDE APPLICATION ,RECORD. (Verslon ,4) N.M. Th"I=mutt be=rpLeW um.a Y"fl V#V PGW 17M) A. Dale of . Otm -Year.. _ 60.1o ........ MWttL .... aMN WhitWorthTest Solutions, Inc. -Ta No. 2...5..3..-845-1818 . ....... ........ ... ....... Aye _Ter_rx Whitworth 37C........ ................. ......................... . .................................... . State; ..Wa... 23p:J U.7 2 Harris of parson(s)Who ApOW te peStidde: Brett....Hansen Lkv%5eNo(3):. 402t3 ................................... ................................................. Z;.*.............. PesiJdde vd=labOn VO&M U9 aU Information for each peskide In the tank mlx): conoffaration MwUrd-(Lbs..QtL,etm)91 brand W 10Q WLIkxv prodwC1 Nine Of jok MtL&=Ird UM mug be macMad #1 Biomist 8329-34 4oz./acre 12 Kontrol 4-4 (same ingredients 550-194 4oz./acre as Blomist) AWxabw aW or IOW: .... t.o—control..............F. APW"UMM Plate No...... 1. .. *....­­........ ...417,.............................. ........ 3. Record tl*fo4o,*tQ WvTnatlon for the SPOC&=10�during each appLtca�: C-MOMER AMOUNT APPULD AREA TREATED TUZ TELLp WIKD 11)U N" 0)bc&bm of amcdon-SU"&ddM" (Da of wb* (14 L.,aim) F' OLR YEL a) b) Ce a-7 b) b) b) r b) I,, b) Post-it'Fax Note 7671 Date T. From Phone# ( Phone b) Fax 1)-HZVS-43D-7,�q/ Fax# b) Apr 23 04 11 : 07a Whitworth Pest Solutions 253-845- 1133 p. 1 , ,,, ftwo PESTICIDE APPLICATION RECOPD,(Version .4) NOTE: Thy Joan muq bs comp4tid�`d�iy t�pttcadon .nd k mwt a MW*d for r Y�+n W!�•`aGSN'17.Yt) a Dale 0 Apocauon-Year,w?0 01........ ......... .... Month;, ... .........:oa 2Z-..................................8. HrmName:- _„Whit�rortli Peet solutions Tnc Y .. .. •»........................ ...w..........I..................:.......Te�ephar�e No... 2 5 3-8 4 5-18I8 :l'... f' ......... ... .w . ...........,........I.........._ Canr' WAAD3o�iN81i18:. Terr�!..WhitWorth No.. .374: - .w...................................tsc�tise:._ . .. . »-... ..-.ww.....w............................................ . . . . ..:$►i} 4 ...AXIV.t.........................•......Cfty;. .. 'dY..4;�,�::kP.. .........State: WA. 8 7 Name d persor►(s)wt�papp4w the pesUclde. H=att Hansen • ..... .. ... 71p:..� 3 2 L &'Ge No(s):.....402�1 , ^^ ++ !! .......... ..................................................... z Pesticide Wortnat w 01 30 Ust aU Int=vdon for each psstldde In the tank mtx): . Pr tst s EpgRefl.No. ank MIX- a�AMOVS W4 a bMW W 10Q c� 1 Biomist 8329-34 4oz./acre #2 Rontrol 4-4 (Same ingredients 550-194 . . 4oz./acne as iom S U App =c On crop or&U: ... Mosquito control 3417 ..... . ............................. Apparatus Ucertse Plats No...................w...................... ............ i. Record the foalO k*V lnfor MUM for the specific con4tjonA duMg each appucaWn: CUSTOMER AMOUNT ARP=Am TREATED T= TELLP U U rw w (b)bcatlon.d opp(k dm-gag KZMU (Pala d at Wuw (p.tt„'� F' OIA vft p,,,, 70 b) ---- ------- p) 41 b) - i J r�r o 5- Gc f b) Ne �- b) _.._._ Po.stt-ilt°Fax Note 7671 Date �or �— t 11 ��1 ges, To � pa L 0 From b) Co.. q , l Phone# C k Phone b) Fax N T 3 1 7 Ct<( Fax# a) b) _ Page 1 1 CITY OF RENTON ♦ �'' DATE PO NUMBER + 1055 S. GRADY WAY ""� RENTON, WA 98055 4/20/04 18/0000563 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE copy PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special Inst: Quantity Unit Description Unit Price Ext.Price CAG 04-047, 2004 Mosquito Abatement 18,278.40 Program TkE „ WAR ,� -� �", , ow �2­46WOM to -� wl�MR JffJx, / J J v. TIT', O j ` r 3 SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 -, Account Number Work Order Function Number`"; Amount E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 Authorized Signature Authorized Signature Whitworth Pest Solutions, Inc. K' * INVOICE >EC 2533 Inter Ave. Puyallup, WA 98372 AUG 0 9 2004 CITY O— Invoice No. 18483 USA o; RENTON Telephone:253-845-1818 1,1TiLITY SYSTLMS Customer No. RENTOI Warehouse:MAIN Bill To: Ship To City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn ShipVia F. .B. Terms Salesperson 1E- Payment due upon receipt Brett,Jose Ship Date Orden Date SO# Ordered By PO'# . . h, Resale# 08/05/04 08/05/04 MOSQUITO CONTROL Order ' Shipped Tax Item Number Unit Extended Quantityuantit` Item Description Price Price 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control HARTER 116, LAWS OF 1965 C TY OF RENTON CERTIFICATION CO NC I TH UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY ®ATE: f __LILL— OFF RJU Y,THAT THE MATERIALS HAVE BEEN FURNISHED, ITS 0 �� E THE ERV ES RENDERED OR THE LABOR PERFORMED AS ME DESCRIBE HEREIN,AND THAT THE CLAIM IS JUST,DUE AND UNPAID OBLIGATION AGAINST T�4- CITY OF RENTON,AND SA THA CI AM LAI UTHOR+ED TO AUTHENTICATENt1t;ERT+�. ��-- SIGNED:— ) Print Date 08/06/04 Total Paid 0.00ubt 800.00 Print Time 08:23:37 AM Freight 0.00 Page# 1 Balance Due 870.40 8.80000%Sales Tax 70.40 Printed By: Diana Moore Invoice Total 870.40 6-7 Whitworth Pest Solutions, Inc. INVOICE 2533 Inter Ave. Puyallup, WA 98372 Invoices 18268 USA Telephone:253-845-1818 CustomerNo.', RENTOI Warehouse:MAIN Sh o:z City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn RECEIVED Panther Creek W an s CON RR Renton,WA 98055 Renton,WA 980f 5 DATE 1 AUG 2 - 2004 E I ITI ATE CITY OF RENTON ` 9 Q Telephone: 1-425-430-7247 UTILITY SYSTEK4S `�� Contact:Allen Quynn ae_ y Payment due upon receipt Brett,Jose Shi Da'e O r,ll ,, Ur ere' B �z 07/29/04 1 07/29/04 1 1 MOSQUITO CONTROL �Qrder. Shipped` Tax �h �. ...It DescriY on,:. ...: ', ..,,,,. ,;Pr►ce E g�ide uanti uanti ce 1.00 1.00 Y 700 800.00 800.00 J/Panther Creek Wetlands/Mosquito Control OF 1965 CNARjER TON CERTIFICATIO CITY OF REN HEREBY CERTIFY UNDERPE i,THE UNDERSIGNED DO TERITHE LABOR PERFpRNIS I OF PERJURY,THAT THE MA T THE CLAIM IS 3UST, THE SERVICES RENDERED of RERJON AND DESCRIBED HEREIN,AND THA TE AND CERSI TO UNPAID OBLIGATI01 0 TO AUTHEN ANSTIHEC F THAT I AM AUT SAID CLAIM SIGNED' L 1 e 07/30/04 taf Paid 0.00 800.00 01:26:34 PM a ; Freihf 0.00 870.40 8 80000% 70.40 y � By:Diana Moore f s r )CnvQ�ce 'ofal 870.40 Whitworth Pest Solutions, Inc. 25331nterAve. " f Puyallup,WA 9837� 2531818 9 206-248-2222 To: Work at: We performed the following services today: Date: Time P.M. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets Cl Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control ❑ Other Job Cost $ Tax $ PLEASE PAY THIS AMOUNT —►$ Tax and Discounts Included(If Applicable) Thank You! Comments Whitworth Pest Solutions, Inc. K(i Rk2533 Inter Ave. i i Puyallup,WA 98372 25 45-1818 • 206-248-2222 To: Work at: We performed the following services today: Date: "7 ^ Z- 9 Time -7: P.M. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control Other VA 0! yA, ,4-be S Job Cost $ Tax $ PLEASE PAY THIS AMOUNT --►$ Tax and Discounts Included(If Applicable) Thank You! Comments Page 1 1 ®rv,voo; CITY OF RENTON 1055 S. GRADY WAY1 � �¢ pt?:NUMBER RENTON, WA 98055 4/20104 18/0000563 VENDOR: 091710 SHIP TO: Copy WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del.Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special lnst: CAG 04-047,2004 Mosquito Abatement 18,278.40 / a -z Qs, .mot 70 I t Via. — 2 AM 7 6 goon ) y -� ,` •": fin -�.9 8�. 3 . SUBTOTAL 18,278.40 ILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 Account Number Work Order Function Number Amount E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 Whitworth Pest Solutions, Inc. INVOICE 2533 Inter Ave. Puyallup, WA 98372 Invoice No: 18043 USA Telephone:253-845-1818 Customer No. RENT01 Warehouse:MAIN INW40 A . s 3 ;� .ram»rm; � __,; ,_ _i phi To. City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 RECEIVES, Telephone: 1-425-430-7247 JUL i 6 2004 Contact:Allen Quynn CITY OF RENTON Shi Via B. Term Salesperson Payment due upon receipt Brett,Jose Ship Date Order Date SO# Ordered By PO# Resale# 07/22/04 07/22/04 MOSQUITO CONTROL Order Shipped Tax Item Number Unit Extended QuantityQuantity Tax Description--.,,,— Price Price 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control CHARTER 116, LAWS OF 1965 _ CITY OF RENTON CERTIFICATIO 1.THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENA CoNqYR �� E OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISH L THE SERVICES RENDERED OR THE LABOR PERFORMED DATE 1 ITI U AT DESCRIBED HEREIN,AND THAT THE CLAIM IS JUST,DUE A E UNPAID OBLIGATION AGAINST THc CITY OF RENTON,AN �� G THAT I AM AU SAID CLAD ORIZED�O AUTHEN ICATE AND CERTIFY T r' 2 ✓ SIGNa Print Date 07/23/04 Total Paid 0.00 Subtotal 800.00 Print Time 11:41:37 AM Freight 0.00 Page# 1 Balance Due 870.40 8.80000 %Sales Tax 70.40 �rinted By: Diana Moore Invoice Total 870.40 (-,;�3 Whitworth Pest Solutions, Inc. INVOICE 2533 Inter Ave. RECEIVED Puyallup, WA 98372 JUL 2 D 2004 ON 17681 USA . . .. CITY OF RENTON Telephone:253-845-1818 UTILITY SYSTEMS ?` u:'. RENT01 Warehouse:MAIN ,,, .,^sif.• 's,.. ,,, o .-' �.� .., ,. -3na _ Sy"k'y44 .,, wr'_ !,+ City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-43 0-7247 Contact:Allen Quynn �s3 y Payment due upon receipt Brett,Jose 07/15/04 07/15/04 MOSQUITO CONTR .df lxa .y�.r s3 x d Order Sh3 Cd ` r� �.� x °'�'- � 3lterr►N'umber .:; PP uanti uanti „ ' ' ..:,. tip' Item Descia tii�n „_ .- Prm , Pi, s . 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control CHARTER 116,LAWS OF 1965 DATE I �� CI Y OF RENTON CERTIFICATION ! , I THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PE RJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, THE SERVICES RENDERED THOART THE RMED AS CLAIM IS JUSTTHE LABOR O DUE D DESC RIBED HND _ �..a UNP ID OB ATI AGAINST THE CITY OF RE ON TO THA I A UTH IZED TO HENTICATE SAID C IM. �� u SIG ED:' Print Date,: 07/16/04 Total Paid; 0.00 Subtotal 800.00 Piraut Tine 03:30:45 PM Freight 0.00 Page# , 1 " Balance Due 870.40 8.80000%Sales Tax 70.40 Printed By: Diana Moore Invoice Total 870.40 Whitworth Pest Solutions, Inc. 2533 Inter Ave. I Puyallup,WA 98372 253-845-1818 • 206-248-2222 To: Work at: We performed the following services today: Date: Time f a.m.,p.m. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control �a Other p U r RT Job Cost $ Tax $ PLEASE PAY THIS AMOUNT --►$ Tax and Discounts Included(If Applicable) Thank You! Comments .Whitworth Pest Solutions, Inc. 2533 Inter Ave. i Puyallup,WA 98372 !! 253->845-181 - 206-248-2222 To: 0-� G.. `L Work at: Pa " e-e (k. I )e-i,[ /a- a� We performed the following services today: Date: 7 - Z-`7— Time 77, rT- p.m. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control Other D S;e -r S Job Cost $ Tax $ PLEASE PAY THIS AMOUNT -♦$ 76-c76- Tax and Discounts Included(If Applicable) Thank You! Comments Page 1 1 Y CITY OF RENTON I"♦ '' ♦ 1055 S. GRADY WAY PO NUMBER RENTON, WA 98055 [E4/720/04�] 18/0000563 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 C 0 Irmo*v FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special Inst: Unit Description Unit Price Ext.Price 0 CAG 04-047, 2004 Mosquito Abatement 18,278.40 Program 70 MAm { ^ u � i I cQ- q - � F 7 `-�1�/ ) x a r) r � t I �1 k �w& k G -; r SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 Account Number Work Order Function Number Amount E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 Authorized Signature Authorized Signature Whitworth Pest Solutions,Inc. RECEIVED INVOICE 2533 Inter Ave. 2004 Puyallup, WA 98372 JUL a s USA CITY OF RENTON Invoke No. 17179 UTILITY SYSTEMS Telephone:253-845-1818 'Custbnivi�i. RENTOI Warehouse:MAIN City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Alien Quynn tTer Payment due upon receipt Brett,Jose hi Date" p' i✓Da SU#` E}rd r:, P =#N.. e ale"#, yr' 07/01/04 07/01/04 1 MOSQUITO CONTROL Qrder Shipped '' Item I+funitler IIu►t" Extended Tax 'Ouantityuantt " Tte "D+scri"#tong .,. pJbtc „:. Eric+e; 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control CHART R 1 6, LAWS Oi= 1965 COA1 U RE[�ICE, ITY OF R N N CERTIFlCK ION DATE l c !. E UNDERSIGN E DO EREBY CERTIFY UNDER PENALTYA E I ITI . DATE fl PERJURY,THAT HE TERIALS HAVE BEEN FURNISHED, �C TH SERVICES RE ERE OR THE LABOR PFRFGRMED AS D HEREI ,AND HAT THE CLAIM IS J iST,DUE AND O U AID OQLIGATIO 4 AGAINST THE CITY OF RENTON,AND T T I AM ORI D T AUTHENTIG'ATE AND CERTIFY TO ID CLAP / St NEY' k'rent Date 07/06/04 Tota�Paict 0.00ubtr�fal 800.00 P'r JO T,�me 01:34:57 PM 0.00 Fade# 1 Balance Due 870.40 8.80000%�� a� 70.40 � _ k Printed By:Diana Moore of- 870.40 RECEIVED I .R _ Whitworth Pest Solutions, Inc. 13 2004 INVOICE 2533 Inter Ave. CITY OF RENTON UTILITY SYSTEMS Puyallup, WA 98372 USA Inyo>wce No: 17408 Telephone:253-845-1818 �CustflriierNo:� RENT01 Warehouse:MAIN 3, NxB,all. o: Shi �To: City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-43 0-7247 Contact:Allen Quynn i „y Payment due upon receipt Brett,Jose ,ShipDa e" " ';:, er" ; ,'; # ;. ' e .. .";g ,h p. ... 07/08/04 07/08/04 MOSQUITO CONTROL t rnt1llei �a r de Orden Sh><ppccP n ricet � y e� uantit iianti ItmDesc>t r tco '.x, c 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control CHARTER 11 , LAWS OF 1965 CI Y OF RE T CERTIFICATION CONC RRE CE I,TH UNDERSIGNED HE BY CERTIFY UNDER PENALTY DATE l OF P RJURY,THAT TH MA RIALS HAVE BEEN FURNISHED, THE ERVICES REND ED R THE LABOR PERFORMED AS ME WITIALMATE D IBED HEREIN,A D TH T THE CLAIM IS JUST,DUE AND r� ? /3 UN P D OQLIG ON GAIM T THE CITY OF RENTON,AND 2; THAT AM H RIZE TO A UTHENTICATE AN ERTIFY TO 7 SAIDff SIGN Pr>tnt Dane 07/09/04 Total Paid;; 0.00 Subt tat- 800.00 Print Tone ' 03:25:42 PM h � 1►t 0.00 1'aye# 1 $alnce Due 870.40 8 80000 ax 70.40 x Printed By: Diana Moore �Invu�e'I`ota ' 870.40 Whitworth Pest Solutions_, Inc. 2533 Inter Ave. Puyallup,WA 98372 253-845-1818 • 206-248-2222 To: Q Work at: We performed the following services today: Date: % Time !* a.m. p.m. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control Other Job Cost $ goo. Tax $ PLEASE PAY THIS AMOUNT -4$ Tax and Discounts Included(If Applicable) Thank You! Comments Whitworth Pest Solutions, Inc. cc 2533 Inter Ave. L 'Puyallup,WA 98372 /253-8455--1818 06 248-2222 Work at: We performed the following services today: Date: — Time � '`u .m. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Con r I Other d S G( 1�1 Job Cost $ -' Tax $ PLEASE PAY THIS AMOUNT —►$ s F C Tax and Discounts Included(If Applicable) Thank You! Comments Page 1 1 n*7R U � CITY OF RENTON♦ . 1055 S. GRADY WAYPo NItMBERRENTON, WA 98055 4/20/018/0000563 - VENDOR: 091710 SHIP TO: RTH PEST SOLUTIONS I WHITWO NCCOPY 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req. Del. Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special Inst: �uantity Unit -- _, Unit Price Ext Price CAG 04-047, 2004 Mosquito Abatement 18,278.40 vat, Program mom, lny ` b�, ��6 7a t r r I , t in 67 : -1 MIT P1 17- \ `1 a, SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 Account Number Work Order Function Number Amount E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 Authorized Signature Authorized Signature � w Whitworth Pest Solutions, Inc. Er 0VE INVOICE 2533 Inter Ave. Puyallup,WA 98372 Invoice No. 16890 USA C1YY OF RENTON Telephone:253-845-1818 UTILITY SYSTEMS Customer No. RENTOI Warehouse:MAIN :Bill Tw.�.r Ship To: City of Renton/Dept-of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn ShiV Via F.O.B. ETerms Sales erson`. Payment due upon receipt Brett,Jose Strip Date'Shipped Order Date SO# Ordered B"' PO# Resale# 06/24/04 06/24/04 MOSQUITO CONTROL Order Item Number Unit Extended Quantity Taa Item Description �tion Price Price aanti 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek/Mosquito Control CHkRTER 116,LAWS OF 1965 FCj ON , RR C lTY OF RENTON CERTIFICATION Y� E UNDERSIGNED D, HEREBY CERTIFY UNDER PENALTY INI I D f�TE0 PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, T SERVICES RENDERED OR THE LABOR PERFORMED AS UST,DUE AND AT THE CLAIM DE SCRIBOEBL AT AGA NST THE CITY OF IS JRENTON, AND 1 U PAID D CERTI T AT I AM A ORI D To AU E I S ID CLAI 6 S GNE Print Date 06/25/04 Total Paid 0.00 Subtotal 800.00 Print Time 09:40:02 AM Freight 0.00 Page# 1 Balance Due 870.40 8.80000%Sales Tax 70.40 Printed By: Diana Moore Invoice Total 870.40 yy.. G~ � CITY OF RENTON 0jSa___1_ Page 1 1 �3 ♦ 1 . 1055 S. GRADY WAY DATE F18,0000563 QNUMBER , RENTON, WA 98055 4/20/04 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC Copy2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del.Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: No Special Inst: Qudnt{tyz< Unit Descriptionx,,,; Unit Price Ext Pnce -- CAG 04-047, 2004 Mosquito Abatement 18,278.40 Program Al ,�» 1 v b 749 Qt_3 .'NEW 1 NLl Vas � �- � = �� � fi iv AM fflas A cJi /0 v. /5- `7 8 5 2 INS Kg � z TWOA�? ow .._.. w. _ > .1 SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTALI 18,278.4 ._. ........__...... . AfiCblll IbNtnn _. .,�. E 421.000600.018.5960-0038.65.065020 5020/5160 18,278.40 Authorized Signature Authorized Signature Whitworth Pest Solutions,Inc. INVOICE 2533 Inter Ave. RECEIVE® Puyallup,WA M31 USA JUN 2 f ?_C Invoice No. 16562 Telephone:253-845-1818 CITY OF PENTON Customer No. RENT01 P Warehouse:MAIN UTILITY SYSTEMS Bill To: Ship To: City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact-Allen Quynn Ship Via' F.O.B. Terms ales ers ,a Payment due upon receipt Brettjose Ship Date Order Date SO# Ordered B PO# Re ale# 06/16/04 1 06/16/04 MOSQUITO CONTROL Order Ship,Ped Tax Item Number Unit Eziended QuantityQuantity Item Description Price Price 1.00 1.00 Y 700 800.00 800.00 H/Panther Creek Wetlands/Mosquito Control CHART R 1 6, UVS Or" i�65 �Q ITY OF R ENTON C'ERTIRCA ION I. E UNDERSIGNE DO EREBY CERTIFY UNDER PENALTY "-'L=� �}P��� AT 0 PERJURY,THAT ;E?A TERIALS HAVE BEEN FURNISHED, TH SERVICES RE ERE OR THE LABOR PERFORMED AS a c DE 3CRIBED HEREIN,AND HAT THE CLAIM IS JUST,DUE AND UP RAID OQLIGATIOI I AGA NST THE CITY OF RENTON. AND ---- T T I AN1 AU ORi ED 7 ;AoTi'EN T iCAL- � `-Y TO S UiI SIN Print Date 06/17/04 Total Paid 0.00 800.00 Print Time 03:10:50 PM Freight, 0.00 Page# 1 Balance Due 870.40 8.80000%Sales Tax 70.40 Printed By: Diana Moore Invoice Total 870.40 XAWhitworth Pest Solutions, Inc. VW14b.! , �,. 2533 Inter Ave. /� /� t uyallup,WA 98372/t-'5 t5;-; 253-845-1818 • 206-248-2222 CAW r Work at: Ta h41 e, r We performed the following services today: Date: G - (ro Time - � P.M. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control f Other 0 S Job Cost U $ _ Tax $ PLEASE PAY THIS AMOUNT $Z70 t Tax and Discounts Included(If Applicable) Thank You! Comments Whitworth Pest Solutions, Inc. 2533 Inter Ave. Puyallup,WA 98372 25)Z45-18]8 206-248-2222 Work at: Gt,h 4 f-r CK J t4 14.",j C We performed the following services today: Date: '° 2 4 Time 6• ['z rn. P.M. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control Other PaL( t eS Job Cost Cost $�"---- Tax $ PLEASE PAY THIS AMOUNT —�$ vo . tO Tax and Discounts Included(If Applicable) Thank You! Comments Page 1 1 Y O;e, CITY OF RENTON ♦ 'y ♦ 1055 S. GRADY WAY DATE _ PO NUIwsER RENTON, WA 98055 4/20/04 18/0000563 ��NTO VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del.Date: "�•., Contact: PHELAN, TERESA `a Pre-Assigned PO#?: NO Special Inst: Quantity Unit Description Unit Price Ext Price CAG 04-047, 2004 Mosquito Abatement 18,278.40 Program f v 70 �14 wM \ i R a 1 �y j t r aw t > r ! r �a % �i 1 � a, x _3�•`t`,a?.:- L.s", �A�.- _ 'Yj.' ""as.- c_... "t �r,- �•:, -c`qa s s ^v?Es ... .C. i.. t 'a+^t.,. ¢. b .. ..'i'., `... Now e,� �. i e.........v� s. �' .,....e -... .. ., aL r a ? .�,,'==e ._ °'._ `_.- _ _:.� .� •.x- :� SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 AccobnNumber, , ; Work Orden Function Number E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 slit --- �7- .e �gnature Authorized Signature Whitworth Pest Solutions, Inc. RECEIVED INVOICE 2533 Inter Ave. � Q� Puyallup,WA 98372 - ," OVTY Or HE- N 10! Invoice No. 16311 USA L)TILATv SYST 0AS Telephone:253-845-1818 Custoine>rNo. RENT01 Warehouse:MAIN Bil f City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn Payment due upon receipt Brett,Jose hi"at ; ,r erlla .'` . O"#: M-y '" der dzB P ,, 06/10/04 06/10/04 MOSQUITO CONTROL Ulyder Snlppe(I f �c tCCll 11�i1 Cl �Vu egj ,. uanf' ti uanti _.-4—: _item Weserf ton ,�'e,.. . ��p `' � a.._'�. _...� . Pr�ce_:�; 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control CONCORRIENCEf CHAF TER 116, LAWS Or lu'c:v oAT =jL�' CITY OF E TON CERTIFICAT K' Ar,,� IT AL DATE 41 I.THE UAAUT ED 0 HEREBY CERTIFY UNDER PL:!A� �� ( D OF PERT TH MATERIALS HAVE BEEN FURNISHF FORMED THE SEND RDED OR THAT THE THE CLAIM IS J�BOR RST,DUE ANC DESCRIN, UNPAIDON GAINST THE CITY OF ON, Av`- THAT I RIZ TOAUTHENTiCAT NDCERTIFrT(. SAID CSIGNE, i To �a d 3 Subtotal 800.00 itt 06/11/04 0.00 ". 3� e 09:18:21 AM til< 1�+`reight 0.00 870.40 8„80000% � fig; 70.40 sX2 Printed By:Diana Moore oxc 870.40 Whitworth Pest Solutions, Inc. �J-7 V� 2533 lnterAve. Puyallup,WA 98372 253-845-1818 • 206-248-2222 To: 1 yl Work at: We performed the following services today: Date: — Time —*7 ev, p.m. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Cont of Other 3 s a r v!•..- L ob Cost $ Tax $ PLEASE PAY THIS AMOUNT —4$ Tax and Discounts Included(If Applicable) Thank You! Comments Page 1 1 (1� CITY OF RENTONithAe 1055 S. GRADY WAY ® DATE PO NUMBER AAN RENTON, WA 98055 4/20/04 18/0000 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del.Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special Inst: Quantity ' Description Unit Price Ext.Price CAG 04-047, 2004 Mosquito Abatement 18,278.40 Program :•. Ar Pro9 RIF Pam , l�r�. Ia�, �� 701 2ww I : ,u'�NNW Mg a.�-x. _ _ .gym-... .. a....,"BMW.. SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 Account Number Work Order Function Number Amount E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 Authorized Signature Authorized Signature �r�S SS Whitworth Pest Solutions, Inc. ` INVOICE 2533 Inter Ave. RECEIvEr, g7 j� d Puyallup, WA 98372 tJ USA JUN 8 2004 16088 �s Telephone:253-845-1818 CITY OF RENTOIV Cus Amer o RENTOI Warehouse:MAIN UTIt.ITY SYSTEMS 3s; '' City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn L Ill ; t erm ;? a Payment due upon receipt Brett,Jose 06/03/04 06/03/04 MOSQUITO CONTROL I eamNu> 3 �. ,, nxtc extended x6 ed nie s .,.t�d� ._ Y aunt cant► �.: �� �<,� aa,__ Ttembescr� n �..,��,. ,..x �. r rice `r` ._.r..'...Price;, 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control CONCU N E DATE CHARTER 116 LAWS OF 1965 AME INITIAL/DE T CI Y OF RE TO CERTIFICATION I THE NDERSIGNED HE BY CERTIFY UNDER PENALTY OF PE JURY,THAT THE MATE IALS HAVE BEEN FURNISHED, Y , THE S:RVICES RENDEF ED 0 t THE LABOR PERFORMED AS DESCF IBED HEREIN,AN D TH THE CLAIM IS JUST,DUE AND UNPAI OBLIGA A AINS THE CITY OF RENTON,AND THAT I AM OR ED TO AL THENTICAT IFY TO SAID SIGN?)::: Pin date 06/07/04 Total Paid 0.00 Subtotals 800.00 IPrinf Time 11:29:30 AM 'Freight 0.00 PageBalance Due 870.40 8.80000%Sates Tax'; 70.40 Printed By:Diana Moore Invoice Total 870.40 Whitworth Pest Solutions, Inc. ry ) V ! uyallup,WA 98372 25 845-1818 • 206-248-2222 rk at: ` We performed the following services today: Date: Time = 'V .e.w. P.M. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Contr I Other bs N l Job Cost $ Tax $ PLEASE PAY THIS AMOUNT —'►$ 7n U Tax and Discounts Included(If Applicable) Thank You! Comments 'SY Ile^ Page 1 1 CITY OF RENTON, ♦ �� + 1055 S. GRADY WAY DATE, PO�NUMBERRENTON, WA 98055 4/20/04 18 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req. Del. Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: No Special Inst: Quantity Unit Description " Unit Price Ext.Price CAG 04-047, 2004 Mosquito Abatement 18,278.40 Program x 4 I , 76 I YS 1 ( z_ _'�, - . ��z• _ 3 ss44 "e.i. Mw w,.� >,. 3.. :did�... t .,mrov z e SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 [ Account Nd' berg ;�-- E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 Authorized Signature Authorized Signature Whitworth Pest Solutions,Inc. n � C) INVOICE 2533 Inter Ave. RECEIVED Puyallup,WA 98372 S�I C40 USA JUN 2 - 200 Invoice No. 15878 Telephone:253-845-1818 CITY OF REIV- O�, Customer No. RENTOI Warehouse:MAIN UTILITY SYSTEMS Bill To:., :.,, Ship To City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn y`,.. .• � ,,,',.� �",. F.O.B. Terms Sales erson Payment due upon receipt Brett,Jose Shi Date Order Date SO# Ordered By PO# Resale# 05/28/04 05/28/04 MOSQUITO CONTROL Order Shipped Tax Item Number Unit Extended Quantity Quantity, Item Description Price Price 1.00 1.00 Y 700 S00.00 800.00 J/Panther Creek Wetlands/Mosquito Control COPICu EPIC DATE NAME 1t IT1A D TE CHARTE R 11 , LAWS Or 1gd5 C TY OF RE TC N CERTIFICATION I THE UNDERSIGNED 0 HE REBY CERTIFY UNDER PENALTY OF P:RJURY,THAT TH EE MAT RIALS HAVE BEEN FURNISHED, THE ERVICES REND RED R THE LABOR PERFORMED AS DES RIBED HEREIN,A D 7 T THE CLAIM IS JUST,DUE AND UNP D OBLIGATION GAIN T THE CITY OF RENTON,AND THAT I A HO 1ZE TO. THENTI D TIFY TO SAID IM. SIG D7 Print Date 05/31/04 0.00 Subtotal 800.00 Print Time 09:51:46 AM hreight. 0.00 Page# 1 Btt a 870.40 8.80000%Sales Tax 70A0 Printed By:Diana Moore Invoice Total 870.40 Page 1 1 �Y 6 CITY OF RENTON ♦ ""� ♦ 1055 S. GRADY WAY "" „ ► PO NUMBER RENTON, WA 98055 4/20/04 18/0000563 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE . No.: FOB Point: PUYALLUP, WA 98372 Re C q Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del-Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special Inst: Quantity tilt r N,> x C CAG 04-047,2004 Mosquito Abatement 18,278.40 ( Cs � L - - .._ a _ Pam : � - �• _ ,, - WIN -� a2=: #`_, l .v;." y-__s_, .a., x" f_ . �x'i_c' Ytr4+ ,�§-'� .. ,:..>R2 ,e 1'•. x .Ztv.. r „ v ^ ..�E _ w Owl-*10n_ , vex ,. .. IN ME SIMMONSa d av __ rA �u0 Noma ukp"-;-- �"u-�F'.': __ � _ _ �'��"__ - x � -` ;_,� &ate' 3 A.�..��.�+�" •emu_, ,:�3��"a-..,��:�:'. SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 i�ccoernt Nub► a Work Order Function Number E 421.000600-018.5960.0038.65.065020 5020/5160 18,278.40 Authorized Signature Authorized Signature Whitworth Pest Solutions, Inc. INVOICE 2533 Inter Ave. RECEIVED Puyallup, WA 98372 4! USA MAY 2 4 2004 Invoice No. 15592 Telephone: 253-845-1818 CITY OF REN T ON Customer No. RENTOI Warehouse:MAIN UTILITY SYSTEMS Bill To: Ship To: City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn Ship Via F.O.B. Terms Salesperson Payment due upon receipt Brett,Jose Ship Date Order Date SO# Ordered By PO# Resale#' 05/20/04 05/20/04 MOSQUITO CONTROL Order Shipped T Item Number Unit Extended QuantityQuantityTax Items Description Price Price 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control C a NCU , 4�' r E J �Ijj INITI L/ ATE CHiRTE R 116,LAWS OF 1965 CITY OT R NTON CERTIFICATION I THE UNDER IGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY,THAT 1 HE MATERIALS HAVE BEEN FURNISHED, THE SERVICE REN ERED OR THE LABOR PERFORMED AS DESCRIBED H REIN AND THAT THE CLAIM IS JUST,DUE AND UNPAID OBLI(;qIOI I AGAINST THE CITY OF RENTON,AND THAT I AM'W RI ED TO AUTHENTICATE AND CITIFY TO SAID C 27 SIG D: i L_ Print Date 05/21/04 offal Paid, 0.00 ;`= Subtotal 800.00 Print Time 02:09:42 PM °���'�� 0.00 Page# 1 Ba, ce i3uie 870.40 8.8000 70.40 Printed By: Diana Moore 870.40 Whitworth Pest Solutions, Inc. \\ 2533 Inter Ave. Puyallup,WA 98372 r. 25 -845-1818 • 206-248-2222 To: 6414, a Work at: We performed the following services today: Date: S ` 7-0 Time 4 = '7 a.n:'fir ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control Other Vow'4 Job Cost $ � Tax $ PLEASE PAY THIS AMOUNT —►$ 970 Tax and Discounts Included(If Applicable) Thank You! Comments Page 1 1 **1 ('3e,"�; CITY OF RENTON 1055 S. GRADY WAY RENTON, WA 98055 4/20/04 18/0000563 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del.Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special Inst: i"'=`-=fie ,-r.• .._ $ p p' CAG 04-047, 2004 Mosquito Abatement 18,278.40 v b 6 749 . � � . ism IN WIN R - r xt s -.. AROM' h Iwaijg - ,v` HIM= Wall AN SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 .y �p y TOTAL 18,278.40 �i4 0 �IYi i" y 3. a. i i-i0 B E 421.000600.018.5960.0038.65.065020 5020/516018,278.40 Authorized Signature Authorized Signature I (� �� j �5 RECEIVE Whitworth Pest Solutions, Inc. MAY 17 2004 INVOICE 2533 Inter Ave. CITY OF RENTON J Puyallup,WA 98372 UTILITY SYSTEMS USA ;�; Invcr+�>�l�To 15345 Telephone:253-845-1818 ustomer to RENT01 Warehouse:MAIN 77 City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn 04 tt I a - Payment due upon receipt Brett,Jose 05/13/04 0511314 MOSQUITO Svc i r �y cIl)lppe lk / S ct8llllle s� �J t as Fr ~ 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek/Mosquito Contr 7'. DAT 1�13wE INITIAUD E =m 5 5 CHARTER 116, LAWS OF 1965 ITY OF RENTON CERTIFICATI1-1 CN I, HE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY 0 PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, T E SERVICES RENDERED OR THE LABOR PERFORMED AS D SCRIBED HEREIN,AND THAT THE CLAIM IS JUST,UUE AND U PAID O¢LIGATION AGAINST THE CITY OF RENTON,AND T AT I AM A ORIZED TO AUTHENT{ TEJk ERTiFY TO S ID CLA►.. SI NEIJ: PIn rs 05/14/04a 0.00 800.00 a P gas �r 10:32:02 AMA i 0.00 y 1 [a 870.40 8.80000°/ 70.40 Printed By:Diana Moore 870.40 Whitworth Pest Solutions, Inc. icam A �(� 2533 Inter Ave. �, 1 �" yallup,WA 98372)630 2 -845-1 18 206-248-2222 To: -- e-11 Workat: We performed the following services today: Date: Time �� -`" . p.m. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control Other 10(4 P 5 Job Cost $ Tax $ PLEASE PAY THIS AMOUNT —►$ 70 -40 Tax and Discounts Included(If Applicable) Thank You! Comments Pagel 1 •Y CITY OF RENTON ♦ . Y ♦ 1055 S. GRADY WAY DATE PO NUMBER RENTON, WA 98055 4/20/04 18/0000563 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE " PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req. Del. Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special Inst: Quantity Unit Description U, ` •EsCe Ext Price CAG 04-047, 2004 Mosquito Abatement 18,278.40 �r Program f 1- wt � :m m 1 r��-� � j�,Z � a ,��� 70Em s� �.`.,"M, ., a. .,,ter. ,�:. _.�� '�,• -,. "_.3. - .. �..-,�---.x �<...<_, m �;�s 2= SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 Account Number ,Yfl� } t t tlo Mfs � �� Y E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 Authorized Signature Authorized Signature Whitworth Pest Solutions,Inc. INVOICE 2533 Inter Ave. Puyallup,WA 98372 USA a Invoice No. 15112 Telephone:253-845-1818 Customer No. RENT01 Warehouse:MAIN Bill"Tat Ship To: City of Renton/Dept.of Public Works City of Rent 1055 South Grady Way/Allen Quynn Panther Cret k Wetlands CON C R EN Renton,WA 98055 Renton,WA DATES INITI L/DATE S Iz oaf Telephone: 1-425-430-7247 7�7 0 Contact:Allen Quynn Shin Vi F.O.B. Terms -)crqun Payment due upon receipt Brett,Jose Ship Date Order Date SO# .Ordered B" PO 4 Resale# 05/06/04 1 05/06/04 MOSQUITO CONTROL Order Shipped Tax Item Number Unit Extended uantit uantity IternTescri tion Price Price 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands/Mosquito Control rFYf Z me �04 � '�RENTON IW—SySTEMS CHHRTER 11 E,LAWS Or 1965 CITY OF RENT N CERTIFICAT ON i THE UNDERSIGNED DO HE REBY CERTIFY UNDER P NALTY OF PERJURY,THAT THE MAT RIALS HAVE BEEN FURI IISHED, THE SERVICES RENDERED I R THE LABOR PERFOR AED AS DESCRIBED HEREIN,AND T T THE CLAIM IS JUST,I JE AND UNPAID OBLIGATION AGAIN T THE CITY OF RENT ,AND THAT I AM AUT IZED TO UTHENTICATE D C TO SAID CLAIM , SIGNED f� a �� 10/04 Total Paid 0.00 Subtotal 800.00 ;y 05:02:13 PM Freight 0.00 §° s 1 Balance Due 870.40 8.80000%Sales Tax 70.40 Printed By: Diana Moore n � j -,To" 1 870.40 X,A. Whitworth Pest Solutions, Inc. +ti'�/i �`(,� 2533 Inter Ave. J. f,(l rX1 Puyallup,WA 98372 3-845-1818 - 206-248-2222 To: L I O,ti r� Work at: A! e We performed the following services today: Date: Time ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat ❑ Odor Control � Other 0 S U( P Job ost $ Tax $ PLEASE PAY THIS AMOUNT --►$ ?70 40 Tax and Discounts Included(If Applicable) Thank You! Comments Page 1 1 CITY OF RENTON 0**1; 1055 S. GRADY WAY DATE PO NUMBER RENTON, WA 98055 4/20/04 18/0000563 -- VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req. Del.Date: contact: PHELAN, TERESA Pre-Assigned PO#?: No Special Inst: y ' sty Unit CAG 04-047, 2004 Mosquito Abatement 18,278.40 nMI ., Program : . #n, 3 t NNE- . N x MGM Kamm f ; r ....,.ffi x YOM ARM Aaw y. a•.. S ..>._ '.'. . .sue:=: ^ �S'_ ca'u6x sA yid a^Sv --- s r SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 Account Number Work Order Function Number Amount E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40'i I Authorized Signature Authorized Signature K,. Whitworth Pest Solutions, Inc. RECEIVE® INVOICE 2533 Inter Ave. Puyallup,WA 98372 MAY 3 — 2004 14806 USA CITY OF RENTON Telephone:253-845-1818 UTILITY SYSTEMS ,., RENOOI Warehouse:MAIN City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 COPY Contact: Allen Quynn y. . -Shi Via ,, F.O.B. Terms _ Sales erson�,�, Payment due upon receipt I Brettjose :Shc :Date Order Date SO# Ordered By PO# Resale* 04/29/04 1 04/29/04 MOSQUITO CONTROL Order Shipped :Tax Item Number Unit Extended .. uaif i uaritf Item Descri tton w. ..: Price Price 1.00 1.00 Y 700 800.00 800.00 HJ/Panther Creek Wetlands Mosquito Control CONC MENCE DATE NAME I ITIA D TE CHARTER 116, LAWS OF 1965 CITY OF RENTON CERTIFICATION I.THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN,AND THAT THE CLAIM IS JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON,AND THAT I AM/�NTFIpRIZED T AUTHENTIC A AND C TO SAID CLAI �/ SIGNEQ: Print Date 04/30/04 Total Paid 0.00 Subtotal 800.00 Print Time 12:56:22 PM Freight 0.00 Page# 1 Balance Due 870.40 8.80000 %Sales Tax 70.40 Printed By: Diana Moore Invoice Total`` 870.40 Page 1 1 U~ CITY OF RENTON ♦ ♦ 1055 S. GRADY WAY "Po NUMBER. N� RENTON, WA 98055 4/20/04 18/0000563 !!l VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC Cop,, 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del.Date: Contact: PHELAN, TERESA Pre-Assigned PO#?: NO Special Inst: CAG 04-047, 2004 Mosquito Abatement 18,278.40 ISBN a _ {s _ �'. �` _ v H d 40, IN W-191M WINDS 3 gam '-,eNXIM .. _ r -c���D. ..NI _. .e'a:re�3e�a e _ £ =,.r.'. . -m __; 1 ...ice _ 11 10, _ir _ _ d, 4r; - a SUBTOTAL 18,278.40 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 18,278.40 E 421.000600.018.5960.0038.65.065020 5020/5160 18,278.40 Authorized Signature Authorized Signature C� RECEIVED '71S-7 Whitworth Pest Solutions, Inc. 2 6 2004 INVOICE 2533 Inter Ave. CITY OF RENTON Puyallup,W UTILITY SYSTEMS Invoice No. 14552 S" Telephone:253-845-1818 Customer No. RENTOI Warehouse:MAIN Ship To: City of Renton/Dept.of Public Works City of Renton/Dept.of Public Works 1055 South Grady Way/Allen Quynn Panther Creek Wetlands Renton,WA 98055 Renton,WA 98055 Telephone: 1-425-430-7247 Contact:Allen Quynn Ship Via Terms Salesperson Payment due upon receipt Brett,Levon, Jose Ship Date Order Date SO ft Ordered By PO# Regale 04/22/04 04/22/04 MOSQUITO CONTROL Order Item Number Unit Item Description Quantity --im, Price I 1.00 1.00 Y 700 800.00 800.00 - ffVJ/Panther Creek/Mosquito Control —'�Nlj(tt)RRE C!= ­: L�PAT'"E- D TT�E q.'/ 71 FATE CHAF TER 116, LAWS OF 1965 CITY OF RENTON CERTIFICATION THE UNDERSlG iED D)HEREBY CERTIFY UNDER PENALTY )F PERJURY,TH THE MATERIALS HAVE BEEN FURNISHED, IHE SERVICES R:NDEF ED OR THE LABOR PERFORMED AS ESCRIBED HERE IN,AND THAT THE CLAIM IS JUST,DUE AND NPAID OBLIGATION AGAINST THE CITY OF RENTON,AND HAT I AM AUT IZED TO AU,HENTICATE A IFY TO AID CLAI ;IGNED 7f7l Print Date 04/23/04 0.00 Subtotal 800.00 ,Print Time :' 11:05:48AM Freight 0.00 Page# ' 1 870.40 8.80000%S 70.40 Printed By:Diana Moore 870.40 lii�2 Whitworth Pest Solutions, Inc. 2533 Inter Ave. ill "lipuyallup,WA 98372 r f3- 1818 - 206-248-2222 To: !r T-_ d K. Work at: *O of We performed the following services today: Date: " ? Time Ca.iii. p.m. ❑ Please avoid contact with treated area until spray is dry ❑ No restrictions on re-entry ❑ Rodents ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Odorus House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite Full Treat ❑ Spot Treat . ❑ Odor Control Other 0s u Job Cost $ Tax $ PLEASE PAY THIS AMOUNT --►$ 7D , Tax and Discounts Included(If Applicable) Thank You! Comments List of 35 Pesticides That Require Protective Buffers due to Potential Risk to Salmon Page 1 of 1 Print Pace List of 35 Pesticides That Require Protective Buffers due to Potential Risk to Salmon May 26, 2004 Below are the pesticides subject to the court order putting no-spray buffers in place. The order applies to pesticides that EPA has determined are Likely to Adversely Affect salmon, and those pesticides covered by our lawsuit but for which no determination has yet been made. Thus, the list may change as EPA makes additional determinations. azinphos-methyl fenbutatin-oxide bensulide lindane bromoxynil malathion* captan methidathion carbaryl* methomyl carbofuran methyl parathion chlorothalonil metolachlor chlorpyrifos metribuzin coumaphos naled 2,4-D* oxyfluorafen diazinon* pendimethalin (-rye ' 1,3-dichloropropene phorate diflubenzuron prometryn 3 42,v - (, 75-ZO dimethoate propargite disulfoton tebuthiuron diuron* triclopyr BEE* ethoprop trifluralin* fenamiphos * Also require urban educational materials due to frequent detections in urban streams. Washington Toxics Coalition 4649 Sunnyside Ave N Suite 540 Seattle, WA 98103 phone: 206.632.1545 fax: 206.632.8661 email: info@watoxics.org http://www.watoxics.org/pages/genpopup.aspx?xsl=publications&xml=../content/C W S/CVO... 8/23/2004 MOSQUITO ABATEMENT PROGRAM TREATMENT AREA Neighborhood Detail Map / Site Map The shaded areas are authorized for access and treatment. a i 00 � 3 Qgg �f l� pMa J� ,BII Ir �P8 altos l Pd 4a11DA 3 PN Aallo 3 � s N M= " y Pu!l c any P 1 S any Pu!l Pr 'ect L r its Note: TREATEMENT WILL NOT BE APPLIED TO WATER OR WETLAND AREAS. MOSQUITO CONTROL METHODS Upland Treatment: BIOMIST® insecticide, or similar formulations, for the control of adult mosquitos that emerge from the Panther Creek Wetland or other sources. A person will apply the insecticide with a backpack fogger and no insecticide will be applied to water bodies. Date of Application: May - August 2004 on an as-needed basis The treatment program will be performed in accordance with the conditions of the program's Environmental Determination of Non-Significance (Mitigated), label requirements, and other state and federal requirements. CONTACTS: Application - Withworth Pest Solutions, Inc. - (206) 248-2222 City of Renton - Allen Quynn - (425)430 7247 2004posting.dwg From: Teresa Phelan To: Quynn, Allen Date: 4/20/2004 8:48:46AM Subject: 2004 Mosquito Abatement PO number Hi Allen, The PO number for the CAGU4-O47. Whitworth Pest Solutions, 20O4 Mosquito Abatement Program ia 18/0000563. Thanks, Teresa RECEIVE[ APR 2 6 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DA E SIGNATURE 855700026005 - 2 7� TONSGARD PATRICIA L Telephone No. 2515 TALBOT CREST DR RENTON,WA 98055 -Do nal- �a dtcc, COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb EXHIBIT C 1�L RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT q op Fi�F Below please find an"AUTHORIZATION AND RELEASE"that, when signed by you,will authqwtO� the City of Renton or its representative to inspect, analyze, and treat your property for the purpose mosquito abatement. sy �O,y S AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. G DATE SIGNATU 88605b011008 MAI JOANNE Telephone No. 2011 DAVIS AV S RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 212004 EXHIBIT C CITY OF RENTON UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold hafmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 4171o� __ Aay.17_,� DA E SIG RE 4�5_ - a "7 7-0D(a Telephone No. 507000001002 AGOO SILVER D+GRACE T 3621 SHATTUCK AV S RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 2 7 2004 EXHIBIT C CITY OF RENTON UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNIKTURE 886050013004 WONG HINH Telephone No. 2023 DAVIS AV S RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 2 12004 EXHIBIT C CITY OF RENTON UTILITY Sysl-EMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE 886050009002 /THOENNES NICHOLAS A ��S /j 3 7 200 S 20TH PL elephone No. RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb EXHIBIT C RECEIVED RENTON PLANNING /BUILDING/PUBLIC WORKS DEPARTMENT APR 19 2004 Below lease find an"AUTHORIZATION AND RELEASE"that when signed b you, will authogITY OF RENTON p y y iTY SYSTEMS the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE 334040117205 VANVLEET ALENA J+CHAVEZ KATHRYN G Telephone No. 1607 LAKE AVENUE S RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (C[P)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb EXHIBIT C APR FO RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT QrT , 2 8?DDy Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize T�M��I/ the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. Z aa. 92 0V DATE SIGNATUVff 855700022004 PICKREIGN CYNTHIA J 2413 TALBOT CREST DR S Telephone No. RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb Neighborhood Detail Map/Site Map PROJECT L ITS l� Lj ,a r Note:TREATMENT WILL NOT BE APPLIED WITHIN 100' OF WATER. TREATMENTS WILL NOT 0 1000 2000 BE PERFORMED NEAR HOMES.TREATMENT WILL ONLY BE DONE ON THE UPLAND AREA BETWEEN THE WETLAND EASTERN EDGE AND THE RESIDENTIAL AREAS.PROPERTY OWNER APPROVAL REQUIRED PRIOR TO TREATMENT ON PRIVATE PROPERTY. 1 : 12000 Mosquito Abatement Program (2004) �W 16th 75 — SN 1 th S LIJ SW 21 st St 21 st— > PROJECT LIMITS SW 23rd t v _ a 2CD SW 27th St - - -- SW 2 th SW Oth St - - - - - - W 4th St c _ 5 - SW 39th St ,L, - nth = _ Note:TREATMENT WILL NOT BE APPLIED WITHIN 100' OF WATER. TREATMENTS WILL NOT 0 1000 200( BE PERFORMED NEAR HOMES.TREATMENT WILL ONLY BE DONE ON THE UPLAND AREA BETWEEN THE WETLAND EASTERN EDGE AND THE RESIDENTIAL AREAS.PROPERTY OWNER APPROVAL REQUIRED PRIOR TO TREATMENT ON PRIVATE PROPERTY. 1 : 12000 Mosquito Abatement Program (2004) Y CITY CLERK DIVISION RECEIVED ' APR 15 2004 MEMORANDUM CITY OF RENTON UTILITY SYSTEMS DATE: April 15, 2004 TO: Allen Quynn, Utilities/PBPW FROM: Debbie Evans, 425-430-6513 SUBJECT: Whitworth Pest Solutions, Inc. — CAG-04-047 Mosquito Treatment in the Talbot Hills Neighborhood Upland of Panther Creek Wetlands The attached original document has been fully executed and is being returned to you. Please transmit the original to the consultant and retain a copy for your file. The City Clerk has retained an original document. Thank you. Attachment PROJECT REQUEST FORM PLANNING/BUILDING/PUBLIC WORKS SOME SECTIONS APPLY TO CIP AND SOME APPLY TO DEVELOPER PROJECTS DATE: 3/ CONTACT: 7v, LA WO# u FILE STATUS :' EXISTING ,OR NEW r FILE CODE(PRI-xx-xxxx): UUv(, LOCATION M Work S ace: File Bay Shelf#: Other: PROJECT NAME: !don ""Jr' ����rn. ( �iJ� �; .�t� , (label line one) (70 characters max)' a Allowable Folder Title(CIP ONLY): SEE ATTATCHED ALLOWABLE FOLDER CHECKLIST pg.2 (label line two) DESCRIPTION OF PROJECT: n d- ed nooD g 74,,K4 ADDRESS/STREET NAME(S): DEV/CNTR/OWN/CNSLT: OTHER ALIASES: Circle Size of Waterlline: 8" 10" 12" Circle One: New/Replace/Extension Circle Size of Sewerline: 8" 10" 12" Circle One: New/Replace/Extension Circle Size of Stormline: 12" 18" 24" Circle One New/Replace/Extension CHECK EACH DISCIPLINE INVOLVED IN PROJECT Ltr Drwg #of sheets TED (roadway/drainage) (off site improvements) (include TESL) TRO (Signalization, Channelization, Lighting) WWP(wastewater) (sanitary sewer main) WTR(water) (Mains,Valves,Hydrants) (inc.composite&HorizontalCtrl) ( SWP(sur--face water imp.) P6�>n �ker- 6 -e (— �--�� (CIP onlyxinclude basin name) PLR(plan review) (Neccessary for developer files) __ (letter only) PLEASE CHECK TIM DI� _ ','_( SIB ARS: X K WATER WASTEWATER SURFAG : , ,�,, TRANSPORTATION FIRE FOR FILE MAINTAINANCE USE ONLY File Codes: Date Entered and Labels Made: RgtformNEWPROJ.doc CIP PRQJECT F,1LE P1C}4LIST .. uriLITtEs BILE l ITLE - ,: . ....FtLDER5IZE* QtiANTITY. CORRESPONDENCE................................................................. General............................................................................. Consultant......................................................................... City........................ ....................................................... OtherAgencies.................................................................. Contractor......................................................................... Grants/Loans..................................................................... DESIGN/PLANNING................................................................... Design............................................................................... Consultant Selection.......................................................... Contracts........................................................................... Reports/Studies/Calculations (Geotech, Surveying, etc).... Consultant Payments......................................................... AGREEMENTS (Interlocal, Cost Sharing, MOA's, etc)................ SE PA.......................................................................................... PERMITS/PLAN REVIEW........................................................... EASEMENTS/DEEDS................................................................. CONSTRUCTION....................................................................... Bid Info (Bid Tab,Agenda Bill, Committee Reports).......... Insurance & Legal Review................................................. Contract Document(inc. Specs, Contract& Bid docs)....... Submittals......................................................................... Materials Shop Drawings Schedules Traffic Control Plan PayEstimates................................................................... Prevailing Wages ChangeOrders................................................................... Inspection/Progress Reports.............................................. Photos, Site Condition Reports Construction Management Services (Consultant).............. Contract Invoices Operations& Maintainance................................................ General Information Manual As-built/Survey Notes LITIGATION................................................................................ LID.............................................................................................. Public Notification.............................................................. PublicMeetings................................................................. Final Assessment Roll....................................................... Miscellaneous.................................................................... SAD............................................................................................ Public Notification.............................................................. PublicMeetings................................................................. Final Assessment Roll....................................................... Miscellaneous.................................................................... 'FOLDER SIZE CHOICES: _1",2",or 4"side tab for shelf storage(1S,2S,or 4S). 1"top&side tab for files kept at desks/file cabinets prior to shelves(ITS). RgtformUTLT.doc a y CIP FILE OUTLINE 1000 CORRESPONDENCE 1001 General Correspondence 1002 Consultant Correspondence 1003 City Correspondence 1004 Other Agencies Correspondence 1005 Contractor Correspondence 1006 Grants/Loans-Correspondence 1100 DESIGN/PLANNING 1101 Design 1j�onsultant Selection /je J �5fi l�� p� -J/-5, C/-t 1103 ontracts ,- x vc"fi 1104 Reports/Studies/Calculations 1105 Consultant Payments 1200 AGREEMENTS 1300 SEPA 1400 PERMITS/PLAN REVIEW 1500 EASEMENTS/DEEDS 1600 CONSTRUCTION 1601 Construction Bid Information 1602 Construction Contract Insurance & Legal Review 1603 Construction Contract Document 1604 Construction Submittals Materials Shop Drawings Schedules Traffic Control Plan 1605 Construction Pay Estimates Prevailing Wages 1606 Construction Change Orders 1607 Construction Inspection/Progress Reports Photos, Site Condition Reports 1609 Construction Management Services(Consultant) Contract Invoices 1610 Operations & Maintenance General Information Manual As-Built/Survey Notes 1700 LITIGATION 1800 LID 1801 LID Public Notification 1802 LID Public Meetings 1803 LID Final Assessment Roll 1804 LID Miscellaneous 1900 SAD 1901 SAD Public Notification 1902 SAD Public Meetings 1903 SAD Final Assessment Roll 1904 SAD Miscellaneous H/DMUTIL/RLEOTLA.DOCIf • Public Health Seattle & King County HEALTHY PEOPLE. HEALTHY COMMUNITIES. RECEIVED Alonzo L. Plough, Ph.D., MPH,Director and Health Officer MAR 2 4 2004 CITY OF RENTON March 18, 2004 UTILITY SYSTEMS Alan Quynn City of Renton 1055 S Grady Way Renton, WA 98055 Dear Mr.Quynn: As we begin 2004, I would like to take this opportunity to thank you for your participation last year in the effort to minimize the threat of West Nile virus in our King County communities. West Nile virus, carried by mosquitoes, is preventable—but it takes communities as well as individuals working together to reduce mosquitoes and minimize personal risk. Though Washington State and King County were fortunate not to see West Nile virus here during the 2003 season,the enclosed map should indicate to you that it is very likely we will see the virus here this year. Therefore, our plans at King County are to build on our successes of last season so that we can be even better prepared this year. I urge you once again to be involved as much as possible. King County,through the department of Public Health—Seattle&King County,will continue to: 1) Serve as the designated lead agency for West Nile virus response planning in King County and coordinate the efforts of all participating jurisdictions within the County; 2) Conduct active surveillance by monitoring and mapping bird deaths(especially crows, which are very susceptible to West Nile virus)and testing a sample of dead crows for the virus, as well as monitoring for human or animal cases; 3) Educate all King County residents about prevention techniques which include mosquito habitat reduction and personal protection from mosquito bites; 4) Coordinate local jurisdiction training and assist with planning; 5) Respond to complaints about mosquitoes; and, 6) Work with partner King County agencies to control mosquito habitat and mosquito larvae on King County properties,where appropriate and within the scope of the King County West Nile Virus Response Plan. As a partner with King County, it is our hope that the City of Renton will: Environmental Health Services Division 999 Third Avenue,Suite 700 • Seattle,WA 98104-4039 Is City of Seattle ® King County T(206)205-4394(V/TDD)F(206)296-0189 • www.metrokc.gov/health Gregory J.Nickels,Mayor Ron Sims,Executive Printed on Recycled Paper. 1) Develop and/or update a response plan that describes how your city will respond to citizen inquiries and mosquito nuisance complaints, conduct surveillance for mosquito larvae, eliminate mosquito habitat when possible and larvicide where necessary on properties owned by the city, and educate residents about ways to reduce their risk of being bitten by mosquitoes; 2) Attend trainings and/or meetings offered by the County and State health departments; 3) Know where to turn if you have questions or concerns about West Nile virus; and, 4) Be prepared to manage calls your staff will likely receive if/when you have human or animal cases of West Nile in your city. We have found it to be most effective to have a"point person"assigned to coordinate West Nile virus activities in your city, and to have that person communicate to top management about needs and concerns related to this issue. I am requesting that you identify such a point person for the City of Renton and have that person contact Kimberly Moore in Public Health— Seattle & King County at(206) 296-3998. West Nile virus is placing a burden on all of us, and we appreciate your efforts very much. Reducing mosquitoes by eliminating their habitat and larvae where appropriate will remain a local issue, but one that we are ready to assist you with in any way we can. Mosquito control work and public education efforts are most effective when they occur during peak mosquito season, which is April through mid-October. Public Health—Seattle & King County is the designated lead agency in King County for West Nile response. Please do not hesitate to contact our West Nile lead, Dr. Sharon Hopkins, at (206) 205-4394 or by e-mail at sharon.hopkinskmetrokc.gov if you have any questions that she may answer regarding the information discussed above. You may also contact Dr. Hopkins to provide feedback on West Nile response and activities during the 2003 season. To assist with your planning, included with this letter are Public Health's West Nile Virus Phased Response Guidelines for King County and a template that you may find helpful in preparing or updating your city's West Nile virus response plan. Thank you for joining with Public Health to minimize the threat of West Nile virus in our communities. Sincerely, 014W,4e�� Dr. Alonzo Plough Director and Health Officer Enclosure cc: Ngozi T. Oleru, Ph.D, Division Director, Environmental Health Services, Public Health— Seattle &King County, (PHSKC) Dr. Sharon Hopkins, Public Health Veterinarian, PHSKC Kimberly Moore, Health& Environmental Investigator, PHSKC CDC: West Nile Virus-Surveillance and Control of West Nile Virus-CDC Division of Vector-Borne Infectious Diseases(DVBID) West Nile Virus in the United States as of December 17,2003* ®Indicates human disease case(s). '' Avian, animal, or mosquito infections. WAVT �, r OR e NHEJ \ ' � N-1 A �,RI CT . N] DE i •� f A K MDM DC El•-L t WV HI *Currently,WNV maps are updated regularly to reflect surveillance reports released by state and local health departments to the CDC Arbonet system for public distribution.The next update will be posted in early January 2004.Map shows the distribution of avian,animal,or mosquito infection during 2003 with number of human cases if any,by state. If West Nile virus infection is reported to CDC Arbonet in any area of a state,that entire state is shaded accordingly. Data table: Indicates cases reported to CDC Arbonet for public distribution of avian,animal or mosquito infection reported as of December 17,2003 include:Alabama,Arizona,Arkansas,California,Colorado,Connecticut,Delaware,District of Columbia,Florida,Georgia,Illinois,Indiana,Iowa,Kansas,Kentucky,Louisiana,Maine,Maryland.Massachusetts, Michigan,Minnesota,Mississippi,Missouri,Montana,Nebraska,New Hampshire,New Jersey,New Mexico,New York, North Carolina,North Dakota,Ohio,Oklahoma,Pennsylvania,Rhode Island,South Carolina, South Dakota,Tennessee, Texas,Utah,Vermont,Virginia,West Virginia,Wisconsin and Wyoming. Human disease cases have been reported in Alabama,Arizona,Arkansas,California,Colorado,Connecticut,Delaware,District of Columbia.Florida,Georgia,Idaho, Illinois,Indiana,Iowa,Kansas,Kentucky,Louisiana,Maryland,Massachusetts,Michigan,Minnesota,Mississippi, Missouri,Montana,Nebraska,Nevada,New Hampshire,New Jersey,New Mexico,New York,North Carolina,North Dakota,Ohio,Oklahoma,Pennsylvania,Rhode Island, South Carolina,South Dakota,Tennessee,Texas,Utah,Vermont, Virginia,West Virginia,Wisconsin and Wyoming. Template for West Nile Virus Response Plan Resources: - Do people who are handling WNV know whom to contact if they need educational materials(i.e. WNV video,fact sheets&brochures),or training and/or technical assistance with WNV surveillance, education,or control? Contact person: Kim Moore,Public Health—Seattle&King County, Environmental Health Division(206)296-3998 or kimberly.moore ,metrokc.gov - Do people who are handling WNV know whom to contact at Public Health in the event of positive surveillance findings? Contacts: Sharon Hopkins(206)205-4394 or Kim Moore(206)296-3998 Media relations/PIO: Hilary Karasz-Dominguez(206)296-4767 Outreach and Education: - Designated staff person to handle media inquiries about WNV in my jurisdiction is: Phone number:. - Designated person to handle public inquiries about WNV activities in my jurisdiction is: Phone number: - Is there a mechanism in place to disseminate educational materials to the residents of the jurisdiction? - Do the residents of your jurisdiction know where and how to report dead bird sightings? Public Health—Seattle&King Coun1y-Environmental Health Division(206)205-4394 - Do the residents of your jurisdiction know whom to ask health aspects West Nile virus questions? All questions go to Public Health—Seattle&King County,Environmental Health Division(206) 205-4394. Surveillance: - Staff person coordinating surveillance: Phone: - Is there a map of potential mosquito habitat for the jurisdiction. Potential mosquito habitat includes stormwater ponds,catchbasins,swamps,parks,and other structures,etc. - Are staffs routinely surveying possible mosquito habitat areas or mosquito problem areas for mosquito larvae or adult mosquitoes? Control: - Person coordinating mosquito control activities: Phone: - Is there a staff person(s)in place to field mosquito complaints from residents of your jurisdiction? - Does the jurisdiction have a NPDES permit(Aquatic Mosquito Control National Pollutant Discharge Elimination System(NPDES)Waste Discharge General Permit)? Do appropriate city staff have Pest Control Operator(PCO)licenses in the event larviciding is necessary? Have staff in place who do mechanical methods of mosquito control(ex: cleaning roof gutters, reducing standing water on properties owned or maintained by the jurisdiction, screens on windows, etc.). Designated staff persons to do mosquito control work in your jurisdiction if necessary? Contacts: Phone number: Phone number: Phone number: Phone number: West Nile Virus Phased Response Guidelines for King County Public Health—Seattle & King County September 2, 2003 Alert Definition Surveillance Response Education Response Control Response Level No positive -Inventory&map mosquito habitat -Educate health care providers as to recognition, -Consider use of larvacides at specific sources 1 surveillance findings diagnosis, lab testing&infection reporting identified as having potential mosquito vector or cases in humans or -Conduct mosquito surveillance to monitor species and where larval counts meet or exceed horses indicating presence in a variety of habitat types; -Provide public education as to mosquito-borne an established level epizootic arbovirus in collaborate with UW researchers conducting diseases emphasizing importance of mosquito current calendar year related work habitat source reduction -Prepare plans for control response to higher Alert Levels including application for larvaciding permits -Conduct surveillance for vector mosquitoes Examples of public outreach include: by species identification of adults obtained by -Participate in discussions of the feasibility of trapping or growing larva to adult stage -Web site with fact sheets about mosquito control, forming mosquito control districts in King County FAQs,signs and symptoms, links to other info -Determine associations between known -Recorded WNV hotline in English and Spanish -Monitor the availability of federal or state funds mosquito vectors and habitat type -30 minute WNV video,duplicated and sent to for mosquito control activities multiple government stations -Establish and maintain reporting system for -1.2 minute Habitat Reduction PSA duplicated and dead bird sightings mailed to government stations -40 second personal protection PSA -Collaborate with UW research groups -Fact sheet translated into 8 languages, posted studying crow ecology and mosquito biology in on web site and delivered to communities via the Seattle area Health Officers and other community contacts -Two press conferences and one habitat reduction Map mosquito and bird surveillance data photo opportunity -Article prepared for Housing Newsletter and sent Conduct passive surveillance for human and information to senior centers and other senior horse cases communities via Senior Services of King County -Created and printed Habitat Reduction flyer -Design and maintain database of county- wide larvaciding activities -Encourage public to report dead bird sightings& mosquito activity -Establish collaboration between Public Health and other government agencies,counties,cities, and private business to prepare education and control plans -Activate the Public Health Incident Command system for the period of time necessary to assure rapid implementation of the WNV Response Plan -Establish call center/surge capacity to handle increased public inquiries when cases occur Alert' Definition Surveillance Response Education Response Control Response Level Areas with confirmed -Conduct surveillance in areas of positive -Notify jurisdiction(s)with positive surveillance -Expand larval control and habitat reduction in 2 arbovirus activity in findings to identify possible sources& findings areas with positive findings and adjacent areas wild birds and/or mosquito species mosquito pools(if -Notify WNV Interagency Work Group and WNV -Develop plans and criteria for adult mosquito testing of mosquitoes -Expand surveillance in areas adjacent to city contact list members control should this control step become necessary is used as a those with positive surveillance findings surveillance tool) -Conduct press conference and issue press -Conducted live mosquito trapping and release intensified larval surveillance in areas with positive surveillance findings -Provide surveillance data and regular updates to health care providers -Encourage increased vigilance by providers for human cases;provide information on case definition and interpretation of lab test results -Encourage providers to do lab testing for non- WNV causes of aseptic meningitis(e.g., enteroviruses, HSV)to reduce WNV testing on cases with other diseases -Increase public education emphasizing personal protection, particularly for persons over 50 Prepare or update news articles for use by senior-oriented newsletters or other publications -Send letter from PH Director to suburban city mayors and WNV contacts recommending intensified control and public education efforts -Post weekly update of surveillance data on the WNV PH website -Step up PH outreach via district sites including having staff deliver WNV educational materials while doing their routine work -Implement call center if volume of public inquiries exceeds routine capacity Alert Definition Surveillance Response Education Response Control Response Level Initial confirmation of Investigate human and equine cases to -Provide regular updates to health care providers -Intensity larval control and habitat reduction in 3 horse or human cases determine locations where exposure may have regarding arbovirus activity and human cases areas with positive findings and adjacent areas and/or multiple occurred positive birds -Encourage vigilance for cases in persons who -Review and coordinate appropriate control -Expand surveillance,including live trappings may have received or donated blood products or responses by all agencies with mosquito habitat to determine potential vector species, as organs under their authority indicated by case investigations -Expand public information to include TV, radio -Review criteria and plans for potential adult and newspaper emphasizing personal protection, mosquito control efforts should the Alert Level particularly for persons over 50, as resources increase to Level 4 allow -Increase frequency of Interagency Work Group meetings to provide more regular and in-depth updates and coordination of messaging -Post updated human case numbers on the web site daily Monday-Friday; update other surveillance data at least weekly -Contact cities or jurisdictions where bird and mammalian cases are located and offer technical assistance for education and control efforts -Conduct press conference and issue press releases Implement call center if volume of public inquiries exceeds routine capacity Alert Definition Surveillance Response Education Response Control Response Level Surveillance indicates Consider active surveillance for human cases Continue public information focused on personal -Continue intense larval control and habitat 4 an escalating epi- of encephalitis and/or aseptic meningitis protection and persons over 50 reduction zootic in horses& birds and multiple -Conduct active surveillance for equine cases -Provide regular updates to health care providers -Consider adult mosquito control targeted at human cases likely to by contacting equine veterinarians to regarding arbovirus activity and human cases areas of potential human risk if surveillance have been acquired encourage testing and reporting of suspect indicates the risk is likely to increase and vector locally;abundant cases and reporting of confirmed cases -Post updated human case numbers on the web species are abundant adult vectors;cond- site daily Monday-Friday; update other itions favoring surveillance data at least weekly -In conjunction with state agencies,monitor continued trans- effectiveness of spraying on target mosquito mission to humans -Consider activation of Public Health Emergency populations if adult spraying is done Operations Center -Provide readily-available interviews,surveillance data, and other materials to support media coverage Smooth Feed SheetsTM" Use template for 51600 192305901600 302305900201 3 900300 CI RENTON CIT T CITY OF 1055 S G 1055 Y -- 1055 S G WA 98055 RENTON,WA 98055 RWrON,WA 98055 302305900409 302305902603 30230 906208 C CITY NTON CITY O TON 1055 D 1055 S 1055 S GRAD RENTON,WA 98055 RE ON,WA 98055 RE WA 98055 2 05 7602 3021305911901 30230 912404 30 3 CITY OF CIT F RENTO CITY O 1055 S WY 1055 S G 1055 S G RENTON,WA 98055 RE ON,WA 98055 N,WA 98055 302305912503 302305912602 33 40099502 CITY OF RENTON CITY OF RENTON CITY NT 1055 -S 6 a4 1055 S GRADY WY 1 RENT A 98055 RENTON,WA 98055 RENTON,WA 98055 334040101001 334A 04Q 2 3 106505 CITY RENTON CITY OF CITY O NTON 1055 S G 1055 S GRA 1055 S G RENT A REN ,WA 98055 Tq TON,WA 98055 334040107503 334040107602 334040118500 CITY OF RENTO CITY O&ZENTON CITY N 1055 S 1055 S GR 1055 S GR WY RENTON A ,WA RENT ,WA OAVERW Address Labels Laser 51600 Smooth Feed SheetsTM Use template for 51600 r 334040119508 STATE OF WASHINGTON No address in KC PID MAVERYO Address Labels Laser 5160M 507000001002 989920004003 334040116009 AGOO SILVER D+GRACE T BALDRIDGE BRUCE T BELL RAYMOND L 3621 SHATTUCK AV S 3422 SHATTUCK AV S 16425 8TH AV S RENTON WA 98055 RENTON WA 98055 SEATTLE WA 98148 302305911505 334040112503 507000005003 BERRY PAUL BJORNHOLM MARK A BOSTICK HARRY G 3129 TALBOT RD S 1801 LAKE AV S 3527 SHATTUCK AV S RENTON WA 98055 RENTON WA 98055 RENTON WA 98055 334040114509 334040112008 507000008007 BROWN WAYNE ARTHUR JR BRYANTON EUNICE W CAMERINI DONALD A+CARMEL D 1711 LAKE AV S 1803 LAKE AV S 3503 SHATTUCK AV S RENTON WA 98055 RENTON WA 98055 RENTON WA 98055 886050006008 886050012006 302305910606 CHAVIS ELROY CHINN MARCUS CHINN MARY JEAN 302 S 20TH PL 2017 DAVIS AV S 2715 TALBOT RD S RENTON WA 98055 RENTON WA 98055 RENTON WA 98055 192305901600 302305900201 302305900300 CITY OF RENTON CITY OF RENTON CITY OF RENTON 1055 S GRADY WY 1055 S GRADY WY 1055 S GRADY WY RENTON WA 98055 RENTON WA 98055 RENTON WA 98055 302305900409 302305902603 302305906208 CITY OF RENTON CITY OF RENTON CITY OF RENTON 1055 S GRADY WY 1055 S GRADY WY 1055 S GRADY WY RENTON WA 98055 RENTON WA 98055 RENTON WA 98055 302305907602 302305911901 302305912404 CITY OF RENTON CITY OF RENTON CITY OF RENTON 1055 S GRADY WY 1055 S GRADY WY 1055 S GRADY WY RENTON WA 98055 RENTON WA 98055 RENTON WA 98055 302305912503 302305912602 334040099502 CITY OF RENTON CITY OF RENTON CITY OF RENTON 1055 S GRADY WY 1055 S GRADY WY 1055 S GRADY WY RENTON WA 98055 RENTON WA 98055 RENTON WA 98055 334040101001 334040102009 334040106505 CITY OF RENTON CITY OF RENTON CITY OF RENTON 1055 S GRADY WY 1055 S GRADY WY 1055 S GRADY WY RENTON WA 98055 RENTON WA 98055 RENTON WA 98055 334040107503 334040107602 334040118500 CITY OF RENTON CITY OF RENTON CITY OF RENTON 1055 S GRADY WY 1055 S GRADY WY 1055 S GRADY WY RENTON WA 98055 RENTON WA 98055 RENTON WA 98055 .� �� 2 w� I 9 ��Y QomwNO POSTAGE „ rl,!4)� F L -NECESSARYRE M T IF M4tk NT IN THE Alp IF BUSINESS REPLY MAIL _ FIRST-CLASS MAIL PERMIT NO. 646 RENTON, WA POSTAGE WILL BE PAID BY ADDRESSEE UTILITY SYSTEMS DIVISION Attn: Allen Quynn CITY OF RENTON 1055 S GRADY WAY RENTON WA 98055-9808 RECEIVE® APR 0 5 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE I SIGNATURE 334040115001 ;,? — 7 DELLA ROSSA EDWIN Telephone No. 1625 LAKE AV S RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 15 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 4_/��- DATE SIGNATURE 855700023002 ESPEY DIANE Telephone No. 2419 TALBOT CREST DR S p RENTON, WA 98055 -� COMMENTS: G���� =� PLEASE RETURN THE ABOVE INFO ATI N TO: Allen Quynn In the enclosed Business Reply Envelope H:AFile Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)A27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Fxh C.DOC\AQ\tb RECEIVE® APP G G 2004 EXHIBIT C CITY OF RENTON UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. G v A rZ DATE SIGNATURE 507000002000 GILLILAN ANNE LIVING TRUST Telephone No. 3615 SHATTUCK AV S RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVE® APR 0 9 2004 EXHIBIT C CITY OF RENTON UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIG1,JATURE 302305908105 � ' 77 � 7T SCHNEIDER KATHLEEN E Telephone No. 3037 TALBOT RD S p RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVE® APR 0 6 2004 EXHIBIT C CITY OF RENTON UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE 855700029009 L",,2 f TRAUTMANN JOHN F Telephone No. 2601 TALBOT CREST DR S p RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVE® APR i 4 2004 EXHIBIT C CITY OF RENTON UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. O DATE SIGN RE 302305905002 �� S � C,'� ? Is HAWKINS JACK M+JANE I Telephone No. 2825 TALBOT RD S RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb EXHIBIT C A�Q RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT 'O p - ���® Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will auth OF the City of Renton or its representative to inspect, analyze, and treat your property for the purpose ofT� s0 mosquito abatement. s AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. / a 64- DATE I NATURE 507000007009 /Z-Zx MOSS CHARLES D+ THERIivE E Telephone No. 3509 SHATTUCK AV S RENTON, WA 9g055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb EXHIBIT C APR � � 200y L� RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT AP OF UTILITY Shy,EMS OI Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE S NATU 886050019001 Telephone No. KING ALBERT WONG+LYNN WING 2115 DAVIS AV S RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVE® APR 0 7 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property, DATE SIGN URE �( 302305901209 NAKANISHI RUTH Y Telephone No, 3315 TALBOT RD S RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 EXHIBIT C RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE/ 886050005000 /' l CURTIS JEREMY E+JENNIFER Telephone No. SMART-CURTIS 308 S 20TH PL RENTON, WA 98055 RECEIVED APR 12 2004 COMMENTS: CITY OF RENTON UTILITY SYSTEMS PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb EXHIBIT RECEIVED APR 12 2004 RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT CITY OF RENTON UTILITY SYSTEMS Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my Ifferty. Oy-05-4�f DATE SIGNATURE 886050014002 KIAZIMOV ALE -1 2101 DAVIS AV N Telephone No. RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVE® APR 0 7 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioneI—i d methods a chemicals in its efforts to effect mosquito control on my property. A151oq DA E SI 302305911604 FULLER NATHAN C 3113 TALBOT RD S Telephone No. RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 0 7 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DA E —SIGNATURE 334040114004 VILLA CHARLES A+CONSTANCE M Telephone No. 1717 LAKE AVE S RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 0 7 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATIE S GNATURE 334040116504 POZZOBON TERESA&EDA Telephone No. 1615 LAKE AV S RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 0 7 2004 CITY OF RENTON EXHIBIT C UTILITY SYS 1 EMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 4140�- 000;,,* DATE ;NATUfo 334040117007 42_6'--X3-- J DOMINGCIL MARYANN Telephone No. 1521 LAKE AV S RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CtP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 0 7 2004 CITY OF RENTON EXHIBIT C UTILITY SYS 1 EMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. + '5�- b 6_�Vw X-01 �6x Lm DATE SIGNAT RE 855700028001 HOLZBOOG DAVID S+AMY L I;L 5_'a, S S 9 IoOS 2527 TALBOT CREST DR S Telephone No. RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVE® APR 0 6 2004 EXHIBIT C CITY OF RENTON UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 0 4- �2,0 0 4 1 a-,Ii� DATE SIGN T RE 302305903601 '5Za J`—a s`5- / / 7 GOLLIER N STEPHENIE+ E Telephone No. 2709 TALBOT RD S RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION . Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (C[P)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 0 6 2004 EXHIBIT C CITY OF RENTON UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an "AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE 302305910705 .9w 6-- 03,G KREBS FREDERICK D 2703 TALBOT RD S Telephone No. RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (C[P)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED E . , 0 9 2W4 CITY'(*RENTON EXHIBIT C '��40"N SYSTEMS RENTON PLANNING /BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIG ATURE 989920001009 Y�3✓` 12 2, y 9 FAST JOHN L Telephone No. 3431 SHATTUCK AV S RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 0 5 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE 886050006008 CHAVIS ELROY Telephone No. 302 S 20TH PL RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope RkFile Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED a.Pp 0 5 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNAT 722200051109 '/()_5-" / 7 GREGORIS ERMO Telephone No. 223 S 19TH ST RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (C[P)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED 0 5 2004 CITY OF RENTON EXHIBIT C UTM..M SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIG A RE -- 334040115100 S~ )'S-�J\ TOBACCO JANA A �t 1701 LAKE AV S telephone No. - `}(v - 7 — RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVE® APR 0 5 2004 EXHIBIT C CITY OF RENTON UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATU 507000005003 BOSTICK HARRY G Telephone No. 3527 SHATTUCK AV S RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 0 5 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. ,141Zo a-AtQ m DATE SIGNATURE 855700027003 'fj�o� a & - -7 70 7 NESS ROSEMARY 2521 TALBOT CREST DR S Telephone No. RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 0 5 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. D SIGNATURE 722200041001 Telephone No. FORD GLEN 1925 SHATTUCK AV S RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED V? 0 5 2004 CITY OF RENTON UTILITY SYSTEMS EXHIBIT C RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE 507000008007 t� CAMERINI DONALD A+CARMEL D 3503 SHATTUCK AV S Telephone o. RENTON, WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 0 5 2004 CITY OF RENTON EXHIBIT C UTILITY SYSTEMS RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 41 ( �_l DATE SIGN/Ytt&\A 886050020009 Telephone No. L H I INVESTMENTS INC L L C P0 BOX 26116 FEDERAL WAY, WA 98093 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb RECEIVED APR 0 5 2004 CITILITOY s SNT N EXHIBIT C RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below please find an"AUTHORIZATION AND RELEASE"that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton or its representatives to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals. For the same consideration, I also release and agree to hold harmless the City of Renton and its officers and representatives in their official or individual capacities for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE �6a..e �Q►- woc�3/3-a/3G 855700018002 F,470 MAGNO LILY O Telephone No. 2331 TALBOT CREST DR S RENTON,WA 98055 COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn In the enclosed Business Reply Envelope H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2004 Program\2004 Signature Authorization Exh C.DOC\AQ\tb l Springbr k Creek < T it � �I Lind Ave _ Lind AVE S ,� / Lind Ave � fi T a J _ C-) E Valley Rd ' I ---rValley allc � Rd � J — - --- ■ ^.......... ..........——----------------------------------- ......... Lake St � / eek W tT" tlands , T -- - 7T Panther T AL jTr F11 T -�-� 010 aat � r I _� 0 m A � e S 11- �jv o 0 r IVI r -4� ram _ � L � r ; �� ir, �> ` v - - cf) o � l