HomeMy WebLinkAboutContract II. RESPONSIBILITIES OF THE PARTIES
The responsibilities of the Parties to this Agreement shall be as follows:
A. The City
1. Funds provided to the City by the County pursuant to this Agreement shall be used to provide
waste reduction and recycling programs and/or services as outlined in Exhibit A. The total
amount of funds available from this grant in 2019 and 2020 shall not exceed S199,990.
2. This Agreement provides for distribution of 2019 and 2020 grant funds to the City. However,
grant funds are not available until January 1, 2019.
3. During this two-year grant program, the City will submit a minimum of two (2), but no more than
eight (8), progress reports to the County in a form approved by the County. Reports must be
signed by a City official. These reports will include:
a. a description of each activity accomplished pertaining to the scope of work; and
b. reimbursement requests with both a Budget Summary Report Form, which is attached
hereto as Exhibit D and incorporated herein by reference, and an Expense Summary Form,
which is attached hereto as Exhibit E and incorporated herein by reference, unless the City
has a spreadsheet similar to the Expense Summary Form already in use, in which case the
City is free to use that spreadsheet instead of the Expense Summary Form. The City will
submit the form or similar spreadsheet and not submit backup documentation for grant
expenses. If backup documentation is submitted, SWD will not retain it. The City shall
maintain this documentation in its records.
If the City chooses to submit up to the maximum of eight (8)progress reports and requests for
reimbursement during the two-year grant program,they shall be due to the County on the last day
of the month following the end of each quarter (April 30, July 30, October 31, January 31) except
for the final progress report and request for reimbursement, which shall be due by March 31,
2021.
If the City chooses to submit the minimum of two progress reports and requests for
reimbursement during the two-year grant program, they shall be due to the County by January 31,
2020 and March 31, 2021.
Regardless of the number of progress reports the City chooses to submit, in order to secure
reimbursement, the City must provide in writing to the County by the 5th working day of January
2020 and January 2021, the dollar amount of outstanding expenditures for which the City has not
yet submitted a reimbursement request.
4. The City shall submit a final report to the County which summarizes the work completed under
the grant program and evaluates the effectiveness of the projects for which grant funds were
utilized, according to the evaluation methods specified in the scope of work. The final report is
due within six (6) months of completion of the project(s) outlined in the scope of work, but no
later than June 30, 2021.
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5. If the City accepts funding through this grant program for the provision of waste reduction and
recycling programs and projects for other incorporated areas of King County, the City shall
explain the relationship with the affected adjacent city or cities that allows for acceptance of this
funding and the specifics of the proposed programs and projects within the scope of work
document related thereto.
6. The City shall be responsible for following all applicable Federal, state, and local laws,
ordinances, rules, and regulations in the performance of work described herein. The City assures
that its procedures are consistent with laws relating to public contract bidding procedures, and the
County neither incurs nor assumes any responsibility for the City's bid, award, or contracting
process.
7. During the performance of this Agreement, neither the City nor any Party subcontracting under
the authority of this Agreement shall discriminate on the basis of race, color, sex, religion,
nationality, creed, marital status, sexual orientation, age, or presence of any sensory, mental, or
physical handicap in the employment or application for employment or in the administration or
delivery of or access to services or any other benefits under this Agreement as defined by King
County Code, Chapter 12.16.
8. During the performance of this Agreement, neither the City nor any Party subcontracting under
the authority of this Agreement shall engage in unfair employment practices as defined by King
County Code, Chapter 12.18. The City shall comply fully with all applicable federal, state, and
local laws, ordinances, executive orders and regulations that prohibit such discrimination. These
laws include, but are not limited to, RCW Chapter 49.60 and Titles VI and VII of the Civil Rights
Act of 1964.
9. The City shall use recycled paper for the production of all printed and photocopied documents
related to the fulfillment of this Agreement. The City shall use both sides of paper sheets for
copying and printing and shall use recycled/recyclable products wherever practical.
10. The City shall maintain accounts and records, including personnel, financial, and programmatic
records, and other such records as may be deemed necessary by the County, to ensure proper
accounting for all project funds and compliance with this Agreement. All such records shall
sufficiently and properly reflect all direct and indirect costs of any nature expended and service
provided in the performance of this Agreement.
These records shall be maintained for a period of six (6) years after termination hereof unless
permission to destroy them is granted by the Office of the State Archivist in accordance with
RCW Chapter 40.14. These accounts shall be subject to inspection, review, or audit by the
County and/or by federal or state officials as so authorized by law.
11. The City shall maintain a record of the use of any equipment that costs more than $1,000 and is
purchased with grant funds from King County for a total period of three (3) years. The records
shall be compiled into a yearly evaluation report, a copy of which shall be submitted to King
County by March 31 of each year through the year 2023.
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12. The City agrees to credit King County on all printed materials provided by the County, which the
City is duplicating, for distribution. Either King County's name and logo must appear on King
County materials (including fact sheets, case studies, etc.), or, at a minimum, the City will credit
King County for artwork or text provided by the County as follows: "artwork provided courtesy
of King County Solid Waste Division" and/or"text provided courtesy of King County Solid
Waste Division."
13. The City agrees to submit to the County copies of all written materials which it produces and/or
duplicates for local waste reduction and recycling projects which have been funded through the
waste reduction and recycling grant program. Upon request, the City agrees to provide the
County with a reproducible copy of any such written materials and authorizes the County to
duplicate and distribute any written materials so produced, provided that the County credits the
City for the materials.
14. The City will provide the King County Project Manager with the date and location of each
Recycling Collection Event provided by the City, as well as copies of any printed materials used
to publicize each event, as soon as they are available but no later than thirty (30) days prior to the
event. If there is any change in the date or the location of an event, the City will notify the
County a minimum of thirty (30) days prior to the event. If the event brochure is required for
admission to the City's event, the City is exempt from having to provide the brochure to King
County.
15. If the City accepts funding through this grant program for the provision of recycling collection
events for adjacent areas of unincorporated King County, the City shall send announcements of
the events to all residences listed in the agreed upon areas listed in Exhibit A. The
announcements and all other printed materials related to these events shall acknowledge King
County as the funding source.
16. This project shall be administered by Linda Knight, Solid Waste Coordinator, or designee.
B. The County:
1. The County shall administer funding for the waste reduction and recycling grant program.
Funding is designated by the city and is subject to the King County Council's budget approval
process. Provided that the funds are allocated through the King County Council's budget
approval process, grant funding to the City will include a base allocation of$10,000 per year with
the balance of funds to be allocated according to the City's percentage of King County's
residential and employment population. However, if this population based allocation formula
calculation would result in a city receiving less than $10,000 per year, that city shall receive an
additional allocation that would raise their total grant funding to $10,000 per year.
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2. The City of Renton's budgeted grant funds for 2019-2020 are $199,990. This includes $25,381
per year for providing Recycling Collection Events to residents of the agreed upon areas of
unincorporated King County as listed in Exhibit A.
3. Within forty-five (45) days of receiving a request for reimbursement from the City, the County
shall either notify the City of any exceptions to the request which have been identified or shall
process the request for payment. If any exceptions to the request are made, this shall be done by
written notification to the City providing the reason for such exception. The County will not
authorize payment for activities and/or expenditures which are not included in the scope of work
and budget attached as Exhibit A, unless the scope has been amended according to Section V of
this Agreement. King County retains the right to withhold all or partial payment if the City's
report(s) and reimbursement request(s) are incomplete (i.e., do not include proper documentation
of expenditures and/or adequate description of each activity described in the scope of work for
which reimbursement is being requested), and/or are not consistent with the scope of work and
budget attached as Exhibit A.
4. The County agrees to credit the City on all printed materials provided by the City to the County,
which the County duplicates, for distribution. Either the City's name and logo will appear on
such materials (including fact sheets, case studies, etc.), or, at a minimum, the County will credit
the City for artwork or text provided by the City as follows: "artwork provided courtesy of the
City of Renton" and/or "text provided courtesy of the City of Renton."
5. The County retains the right to share the written material(s) produced by the City which have
been funded through this program with other King County cities for them to duplicate and
distribute. In so doing, the County will encourage other cities to credit the City on any pieces-that
were produced by the City.
6. The waste reduction and recycling grant program shall be administered by Lucy Auster, Project
Manager, King County Solid Waste Division, or designee.
III. DURATION OF AGREEMENT
This Agreement shall become effective on either January 1, 2019 or the date of execution of the
Agreement by both the County and the City, if executed after January 1, 2019, and shall terminate on
June 30, 2021. The City shall not incur any new charges after December 31, 2020. However, if
execution by either Party does not occur until after January 1, 2019, this Agreement allows for
disbursement of grant funds to the City for County-approved programs initiated between January 1, 2019
and the later execution of the Agreement provided that the City complies with the reporting requirements
of Section II.A of the Agreement.
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IV. TERMINATION
A. This Agreement may be terminated by King County, in whole or in part, for convenience without
cause prior to the termination date specified in Section III, upon thirty (30) days advance written
notice.
B. This Agreement may be terminated by either Party, in whole or in part, for cause prior to the
termination date specified in Section III, upon thirty(30) days advance written notice. Reasons for
termination for cause may include but not be limited to: nonperformance; misuse of funds; and/or
failure to provide grant related reports/invoices/statements as specified in Section ILA.3. and Section
II.A.4.
C. If the Agreement is terminated as provided in this section: (1) the County will be liable only for
payment in accordance with the terms of this Agreement for services rendered prior to the effective
date of termination; and (2)the City shall be released from any obligation to provide further services
pursuant to this Agreement.
D. Nothing herein shall limit, waive, or extinguish any right or remedy provided by this Agreement or
law that either Party may have in the event that the obligations, terms and conditions set forth in this
Agreement are breached by the other Party.
V. AMENDMENTS
This Agreement may be amended only by written agreement of both Parties. Amendments to scopes of
work will only be approved if the proposed amendment is consistent with the most recently adopted King
County Comprehensive Solid Waste Management Plan. Funds may be moved between tasks in the scope
of work, attached as Exhibit A, only upon written request by the City and written approval by King
County. Such requests will only be approved if the proposed change(s) is (are) consistent with and/or
achieves the goals stated in the scope and falls within the activities described in the scope.
VI. HOLD HARMLESS AND INDEMNIFICATION
The City shall protect, indemnify, and hold harmless the County, its officers, agents, and employees from
and against any and all claims, costs, and/or issues whatsoever occurring from actions by the City and/or
its subcontractors pursuant to this Agreement. The City shall defend at its own expense any and all
claims, demands, suits, penalties, losses, damages, or costs of any kind whatsoever(hereinafter "claims")
brought against the County arising out of or incident to the City's execution of, performance of, or failure
to perform this Agreement. Claims shall include but not be limited to assertions that the use or transfer
of any software, book, document, report, film, tape, or sound reproduction or material of any kind,
delivered hereunder, constitutes an infringement of any copyright, patent, trademark, trade name, and/or
otherwise results in unfair trade practice.
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VII. INSURANCE
A. The City, at its own cost, shall procure by the date of execution of this Agreement and maintain for
the duration of the Agreement, insurance against claims for injuries to persons or damages to
property which may arise from or in connection with performance of work pursuant to this
Agreement by the City, its agents, representatives, employees, and/or subcontractors. The minimum
limits of this insurance shall be $1,000,000 general liability insurance combined single limit per
occurrence for bodily injury, personal injury, and property damage. If the policy has an aggregate
limit, a$2,000,000 aggregate shall apply. Any deductible or self-insured retentions shall be the sole
responsibility of the City. Such insurance shall cover the County, its officers, officials, employees,
and agents as additional insureds against liability arising out of activities performed by or on behalf
of the City pursuant to this Agreement. A valid Certificate of Insurance and additional insured
endorsement is attached to this Agreement as Exhibit C, unless Section VILB. applies.
B. If the Agency is a Municipal Corporation or an agency of the State of Washington and is self-insured
for any of the above insurance requirements, a written acknowledgement of self-insurance is attached
to this Agreement as Exhibit C.
C. If the Agency is a Municipal Corporation or an agency of the State of Washington and is a member of
the Washington Cities Insurance Authority (WCIA), a written acknowledgement/certification of
current membership is attached to this Agreement as Exhibit C.
VIII. ENTIRE CONTRACT/WAIVER OF DEFAULT
This Agreement is the complete expression of the agreement of the County and City hereto, and any oral
or written representations or understandings not incorporated herein are excluded. Waiver of any default
shall not be deemed to be a waiver of any subsequent default. Waiver of breach of any provision of this
Agreement shall not be deemed to be waiver of any other or subsequent breach and shall not be
construed to be a modification of the terms of this Agreement unless stated to be such through written
approval by the County, which shall be attached to the original Agreement.
IX. TIME IS OF THE ESSENCE
The County and City recognize that time is of the essence in the performance of this Agreement.
X. SEVERABILITY
If any section, subsection, sentence, clause or phrase of this Agreement is, for any reason, found to be
unconstitutional or otherwise invalid by a court of competent jurisdiction, such decision shall not affect
the validity of the remaining portions.
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Exhibit A
King County Solid Waste WRR Grant
SCOPE OF WORK 2019-2020
APPLICANT
Renton Solid Waste Utility
1055 S. Grady Way
Renton, WA 98057
PROGRAM
WRR GRANT
PROJECT MANAGERS
Linda Knight Julie PurseII Jina Kim Meara Heubach
425.430.7397 425.430.7396 425.430.7391 425.430.7390
Iknight@rentonwa.gov jpursell@rentonwa.gov jkim@rentonwa.gov mheubach@rentonwa.gov
Fax 425.430.7241 Fax 425.430.7241 Fax 425.430.7241 Fax 425.430.7241
FUNDING REQUESTED $149,228 City Allocation
$ 50,762* *(RCE Funds)
$199,990 Total
PROJECTS & FUNDING
SUMMARY
• SRE $52,500
• Renton Reuse $74,000
Event
• Waste Prevention $73,490
& Recycling
Education
Outreach
Scope of Work
Task 1 Recycling Collection Event
Project Manager Julie Pursell, Solid Waste Education Specialist
Schedule January 2019—December 2020
Budget $52,500
Goal
Prevent disposal of recyclable materials not collected at curbside.
Description
Renton will implement a minimum of 3 Secial Recycling Events during the grant period. Each event will
collect recyclable materials not collected at the curbside. Events are available to all residential households
from the greater Renton community including, but not limited to unincorporated areas in the Skyway, May
Valley, and East Renton Plateau. All events will be held at the Renton Technical College and will be open
to the public between the hours of 9:00 a.m. and 3:00 p.m. While most items are free to the public to
recycle, certain items may require a fee paid to the vendor to cover additional vendor costs. Businesses are
not eligible to participate.
Event Dates
Spring 2019—May 11
Fall 2019—September 21
Spring 2020—TBD
Fall 2020-TBD
Event Staffing
City staff, vendor staff and volunteers will be utilized in the operations for each event. Julie Pursell will
manage the event and experienced volunteers will greet the public, screen materials, direct traffic
through the site, and distribute educational materials. A City of Renton Police Officer will be in charge
of traffic control. Staff working the event will be scheduled between 7:30 a.m. and 5:00 p.m. Because
we require all staff to remain on-site for the duration of the event, the City will supply lunch and liquid
refreshments
Event Promotion
The public will be notified about the events through direct mail, utility bill inserts, the City's website
cable channel, and City newsletter.
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Materials Collected
Scrap metal, appliances, concrete, bulky yard waste (greater than 4' long and 3" in diameter), clean
wood waste, used motor oil, used antifreeze, used oil filters, automotive batteries, alkaline and Ni-cad
batteries, cell phones, reusable household items, unusable textiles, Styrofoam, plastic bags, bubble
wrap, mattresses, and cardboard will be collected and reused or recycled. Items may be added/or
removed dependent upon viable recyclable markets.
Evaluation
Each event will be evaluated based on the number of vehicles served and the weight of recyclable material
collected.
Deliverables
Number of Vehicles Served:
Budget Detail
Staff $21,000
Contract/Vendors $10,500
Supplies $ 2,500
Printing/Distribution $18,500
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Task 2 Renton Reuse Event
Project Manager Julie Pursell, Solid Waste Education Specialist
Schedule January 2019—December 2020
Budget $74,000
Goal
To divert materials from the landfill by providing an opportunity for residents to swap materials that still
have a useable life
Description
The City recognizes that waste prevention & recycling are the top waste management strategies in the
solid waste hierarchy. Under this task staff will plan and implement a one-day reuse event. Scheduled and
held at the Renton Memorial Stadium Saturday, June 1, 2019 and TBD for 2020, this event will provide an
opportunity for residents of the greater Renton community including unincorporated King County
residents to exchange materials that still have useful life, but are no longer of value to the original owner.
Residents will be able to drop off furniture,toys, household goods, sports equipment, doors, windows, and
other materials approved by Renton staff. Residents may also come to the event to take home materials
others have dropped off. Materials not claimed by the end of the event will be recycled or land filled.
Residents will be notified of this event through a direct mail campaign (using the same mail list as the
Special Recycling events), ads placed in the local newspaper, and the City's website. Volunteers and city
staff will staff the event.
Evaluation/Deliverables
• Estimate of volume of materials diverted from landfill
• Estimate of participants
• Compare residual disposal current year to prior year
Budget Detail
Staff $ 13,000
Contract/Vendors $ 2,000
Supplies $ 1,000
Printing/Distribution $ 56,000
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Task 3 Waste Prevention & Recycling-Strategic Plan
Project Manager Linda Knight, Solid Waste Coordinator
Schedule January 2017—December 2018
Budget $10,000
Goal
Complete and adopt a strategic plan that lays a successful waste prevention and recycling program
roadmap for the City to implement for the next 10 years.
Description
For the past 26 years the City of Renton has implemented myriad programs that increased knowledge,
skills, and motivation of its residential and business sectors to divert waste from landfill. These programs
ranged from backyard compost workshops to business waste prevention technical outreach to our current
EOW curbside collection program. While the City currently experiences 69%waste diversion from landfill
for its curbside residential sector, there is still a great deal of work to accomplish to meet and exceed the
region's 70% diversion goal by 2020.
The City will complete and adopt the waste prevention and recycling strategic plan (Plan) whose
development was initiated in 2018 and that intends to lay the groundwork for future residential and
business waste prevention and recycling projects. The City will identify current barriers to waste
prevention and recycling by its residential and commercial sectors, research successful waste prevention
programs in the nation that hold promise in the Pacific Northwest and develop a roadmap with options for
program implementation to meet and exceed the goals of 70% diversion by 2025. Staff will work with City
Administration and elected officials to achieve commitment to the Plan's goals and programs as well as
develop a funding model to sustain the work identified.
Evaluation/Deliverables
• Waste Prevention & Recycling Strategic Plan
• City Council approval or adoption of the Strategic Plan
Budget Detail
Professional Services $10,000
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Task 4 Waste Prevention & Recycling- Multifamily
Project Manager Meara Heubach
Schedule January 2019—December 2020
Budget $40,000
Goal
Increase recycling & waste prevention performance of the multifamily sector
Description
Based on results of a multifamily outreach pilot the City implemented in 2018, the City will provide
outreach and technical assistance to its multifamily properties that focus on strategies to improve overall
waste prevention and recycling performance. Strategies will be consistent with community-based social
marketing (aka behavior-change model) and may include:
• Infrastructure improvements, such as right-sizing containers and collection schedule, accessible
containers, color-coded waste containers, etc.
• Site visits with property owners, managers, and/or tenants
• Distribution of education materials including recycling guidelines, move-in/move-out resource
guides, etc.
• Incentives such as recycling tote bags.
Evaluation/Deliverables
Evaluate success of strategies implemented utilizing container audits, surveys, resident commitments and
other tools.
Budget Detail
Staff $15,000
Printing/Distribution $20,000
Supplies $5,000
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Task 4 Waste Prevention & Recycling- General
Project Manager Jina Kim
Schedule January 2019—December 2020
Budget $23,490
Goal
Increase waste prevention knowledge and practice by residents and businesses
Description
Using a variety of strategies including policy development, education & outreach, and creative events,
increase resident and business knowledge and practice of waste prevention in the community. Staff may
build on the work to date to implement a plastic bag ban in the city, Ecofilm series topics, community
events that include kid-friendly reuse activities.
Evaluation/Deliverables
Based on strategies implemented, evaluate the outcome using tools such as surveys, personal
commitments, adoption of policies, etc.
Budget Detail
Contract/Vendors $10,000
Printing/Distribution $8,490
Supplies $5,000
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Exhibit B
2019-2020 Grant Guidelines
Program Eligibility:
The King County Solid Waste Division (SWD) has prepared a Recycling Case Studies document with
a number of innovative projects recently implemented by King County and several cities aimed at
influencing waste prevention and recycling consistent with the King County Comprehensive Solid
Waste Management Plan (Comp Plan) and the County's goals. SWD encourages consideration of these
case study ideas in the development of grant proposals. Furthermore, in an effort to encourage
collaboration, leveraging, and potential joint projects between cities and other partners, the Case
Studies and the WRR application information has been shared with selected regional environmental
firms.
Grant funds may be used for a variety of Waste Reduction& Recycling (WRR) related programs
consistent with the Comp Plan. Cities are encouraged to work together to leverage funds and have a
greater influence on waste prevention and recycling. Cities may choose to use their funding on one
program or a combination of programs. For WRR program ideas, please refer to the Case Studies
document (Attachment 4), which includes the topics below.
Examples of innovative projects:
• King County SWD: Multicultural Recycling Outreach - Recicla Mas! Es Fascilisimo.
• City of Bellevue: Multifamily Organics Recycling Technical Assistance.
• City of Issaquah Recycling Outreach: Waste Wise Multifamily Outreach.
• City of Bothell: Recycling Vouchers/Special Items Recycling Event.
• Cedar Grove Composting, Inc.: Increasing Food Waste Diversion in Diverse Communities.
• City of Redmond: Redmond Commercial Organics Collection.
• Olympia School District: Purchase of Bulk Milk Containers for Schools.
• Cities of Kirkland, Bellevue, Redmond, and Bothell: City Partnership - Eco Lunch Eastside
Initiative/Reusable Lunch Kits.
• King County SWD: EcoConsumer Program Repair Events.
Please contact Lucy Auster at 206-477-5268 or lucv.auster(a kingcounty.gov if you have questions
about specific program eligibility, consistency with the Comp Plan, and/or are interested in
obtaining a list of the environmental firms that SWD has provided notice to regarding this grant
program.
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The following are not eligible for funding:
• Collection of garbage, except for residual garbage related to the collection of recyclables.
• Collection of any household hazardous waste items including, but not limited to:
>treated wood,
>paint,
> lead acid batteries,
> oil, gasoline, and antifreeze,
> fluorescent lights.
• Household Hazardous Waste (HHW) education programs.
Cities should pursue funding for HHW collection or education programs through the King County
Local Hazardous Waste Management Program (LHWMP) or the Washington State Department of
Ecology Local Solid Waste Financial Assistance (LSWFA) Program.
Grant Administration
Requests for Reimbursement:
Cities may submit one request for reimbursement per year during the funding cycle, due no later than
March 19, 2019 and March 17, 2020. However, cities may submit requests for reimbursement as
frequently as quarterly. A Budget Summary Report Form and an Expense Summary Report Form must
be used when submitting requests for reimbursement and will be provided to Cities when the grant
agreements are executed.
Accrual Reporting:
By the 5th working days of January 2019 and January 2020, cities must notify SWD of the amount of
their total expenditures for work that has been completed but for which a request for reimbursement
has not yet been submitted.
Progress and Final Reports
Progress reports describing program activities, accomplishments, and evaluation results must
accompany each request for reimbursement. A final report describing the outcome of grant-funded
activities is due with the final request for reimbursement. If, however, the city does not have the results
of its program evaluation by the end of the grant cycle, the final narrative report may be submitted no
later than six months after the end of the grant cycle (June 30, 2019). (Note: The final request for
reimbursement would still need to be submitted by March 17, 2020.) All progress and final reports
must be signed by a city official. Signed reports may be scanned and emailed.
Amendments
Formal amendments to grant Interagency Agreements (IAAs) are unnecessary unless the city wishes to
significantly change its scope of work and/or budget. In general, a significant change would be one in
which the city wishes to add or delete a task from their scope of work. A minor change, such as
moving dollars between tasks, would only require written notification, which may be submitted via e-
mail. However, the city should contact SWD when considering changes to their scopes and budgets to
determine if a formal amendment is needed.
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AC 3 o CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYYI
9/6/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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).
PRODUCER NCONT
AMEACT Cathy Fleck
Leavitt Group Northwest iPHONE I 800)725-8771 aXc
!A'C,No,Ext
PO Box 65770 E-MAIL cathy-fleck@leavitt.com
ADDRESS.
INSURER(S)AFFORDING COVERAGE NAIC
University Place WA 9E464
INSURER Travelers Indemnity Company of 25666
INSURED INSURERS Travelers Casualty E. Surety 25658
City of Redmond INSURERc:Navigators Specialty Insurance 36056
I PC Box 97010 INSURERD-
Attn: Irene BanschbachI NSL'RERE.
Redmond WA 98073-9710I NSURER F
COVERAGES CERTIFICATE NUMBER:CL189621622 REVISION NUMBER:
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A (Mandatory�r NH. hs:5� - _. C
B :time 25 3C_
C Excess Gr."rreila sa_y. - - -- _
DESCRIPTION OF OPERATIONS'LOCATIONS VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached if more space is required)
RE: Operations of Named Insured in respects tc 2019/2020 WR/R Grant Contract #5902865 - Endorsement CG D4
EC 02 OS and UM 04 76 07 0E attached
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
King County Solid Waste Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn: Lucy Austen ACCORDANCE WITH THE POLICY PROVISIONS.
201 South Jackson St - Suite 7
Seattle, WA 9 810 4-9 8 5 5 AUTHORIZED REPRESENTATIVE
�i4rJ C2s ,-
1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014i01) The ACORD name and logo are registered marks of ACORD
INS025 2r4c-
Exhibit D
BUDGET SUMMARY REPORT FORM
2019-2020 Waste Reduction & Recycling Grant Program
City: Date:
Address: Phone:
Invoice#:
Report Period:
Preparer's Name: Contract #:
Total amount requested this period:
Total amount previously invoiced:
Original interlocal amount:
Total amount charged to date: $ -
Amount remaining for completion of interlocal: $ -
Scope of Work Current Amount
Task Description Budget Quarter Previously Remaining
(Task/title) Costs Invoiced Balance
1 $ -
2 $ -
3 $ -
4 $ -
5 $ -
6 $ -
7 $ -
TOTALS
For King County Use
Contract# 0
Project 1126942 Org 720122 Exp.Account 54150 Task 22.000'
Purchase Order# Requisition# Receipt
Supplier# Supplier Pay Site Invoice# Payment Type
Total charges this period are approved for payment: $
Project Manager: Date
ort
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