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DEPARTMENT: Suooort Services I DATE: August 4, Correspondence 4.1.1 The Liquor Control Board sent a special occasion application for Habitat for Humanity and North Mason Resources and a list of businesses with liquor and marijuana licenses due to expire in 90 days. 4.1.2 The Department of Ecology sent a letter announcing Rustlewood Wastewater Treatment Plant is receiving the 2014 Wastewater Treatment Plant Outstanding Performance award. 1.3 City Commissioner Olsen sent a letter regarding recycling and solid waste. 1 Darin Barry resigned from the Lodging Advisory Committee. Background: Correspondence received in the Commissioners' office. Recommended Action: None Attachments: Originals on file with the Clerk of the Board. 08-04-201 Cover Sheet.doc
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Page 1: DEPARTMENT: Suooort Services ;~15 · PDF file4.1.1 The Liquor Control Board sent a ... specific pl ace. ... 711 for Washington Relay Service • Persons with a speech disability can

DEPARTMENT: Suooort Services

I DATE: August 4, ;~15 Correspondence

4.1.1 The Liquor Control Board sent a special occasion application for Habitat for Humanity and North Mason Resources and a list of businesses with liquor and marijuana licenses due to expire in 90 days.

4.1.2 The Department of Ecology sent a letter announcing Rustlewood Wastewater Treatment Plant is receiving the 2014 Wastewater Treatment Plant Outstanding Performance award.

1.3 City Commissioner Olsen sent a letter regarding recycling and solid waste. 1 Darin Barry resigned from the Lodging Advisory Committee.

Background: Correspondence received in the Commissioners' office.

Recommended Action: None

Attachments: Originals on file with the Clerk of the Board.

08-04-201 Cover Sheet.doc

Page 2: DEPARTMENT: Suooort Services ;~15 · PDF file4.1.1 The Liquor Control Board sent a ... specific pl ace. ... 711 for Washington Relay Service • Persons with a speech disability can

cc: CM MRS Neatherlin, Sheldon & Jeff Clerk .... JM Al_/ •1 ,,., •"'' reys

MI \ll .I. IA/II N.Utl v-...- -d. v• -r

WASHINGTON STATE LIQUOR CONTROL BOARD - License Services 3000 Pacific Ave SE - P 0 Box 43075

Olympia WA 98504-3075

TO : MASON COUNTY COMMI SS I ONERS JULY 23, 201 5

SPECIAL OCCASION #: 09 7477

HABI TAT FOR HUMANI TY OF MASON COUNTY 1826 OLYMPIC HWY N

~&©&UW&lii1 JUL 2 7 2015 &

MASON COUNTY COMMISSIONERS

SHELTON WA 98584

DATE: SEPTEMBER 12, 20 15 TIME: 9 AM TO 6 PM

PLACE : SANDERSON FIELD AIRPORT(ENCLOSED AREA ) - PORT OF SHELTON , SHELTON

CONTACT: DEANNA FROS T 360 - 426 - 81 34

SPECIAL OCCASION LICENSES

* Licenses to sel l b eer on a specif i e d date fo r con sumpt ion at a specifi c place .

* Licen se to sell wine on a specific date for consumption at a specific p l ace .

* Beer/Wine/Spiri ts in unopened bottle or package in limited quantity f o r off premise consumption .

* Spirituous liquor by the individual glass for consumption at a spec i f i c p l ace .

I f return o f th i s notice is not received in this office within 20 days f rom the above date , we wil l assume you have no objections to t he i ssuance of the license . I f addit i onal time is required please advise .

1 . Do you approve of app l icant? 2 . Do you approve of locat i on? 3. If you disapprove and the Board contempl ates issuing a l icense, do you want a hear i ng before f i nal action is ta ken?

OPTIONAL CHECK LIST EXPLANATION LAW ENFORCEMENT HEALTH & SANITATION FIRE, BUI LDING, ZONING OTHER :

YES YES

YES

YES YES YES YES YES

I f you have indicated disapproval o f the applicant , l ocation or both , please submit a statement o f all facts upon which s uch obj e ctions are based .

NO NO

NO

NO NO NO NO NO

DATE SIGNATURE OF MAYOR , CITY MANAGER, COUNTY COMMISSIONERS OR DESIGNEE

Page 3: DEPARTMENT: Suooort Services ;~15 · PDF file4.1.1 The Liquor Control Board sent a ... specific pl ace. ... 711 for Washington Relay Service • Persons with a speech disability can

cc: CM MRS Neatherlin, Sheldon & Jeffreys

Clerk --e_, ~ ~U"-f

WASHINGTON STATE LIQUOR CONTROL BOARD - License Services 3000 Pacific Ave SE - P 0 Box 43075

TO: MASON COUNTY COMMISSIONERS

SPECIAL OCCASION #: 097465

NORTH MASON RESOURCES 14 0 NE STATE ROUTE 300 BELFAIR WA 98528

DATE: AUGUS T 15, 2015

Olympia WA 98504-3075

July 21, 2015

TIME: 3 PM TO 9 PM

PLACE : PRIVATE RESIDENCE(ENCLOSED AREA ) - 131 MCKNIGHT RD, BELFAIR

CONTACT: CAT ROSS 360-552-2303

SPECIAL OCCASION LICENSES * Licenses to sell beer on a specified date for consumption at a

specific place .

* Licens e to sell wine on a specific date for consumption at a specific place.

* Beer/Wine/Spirits in unopened bottle or package in limited quantity for off premise consumption.

* Spirituous liquor by the individual glass for consumpt i on at a specific p l ace.

If return of this notice is not received in this office within 20 days from the above date, we will assume you have no objections t o the issuance of the license . If additional time is required please advise.

1. Do you approve of app l icant? 2 . Do you approve o f l ocation? 3. If you disapprove and the Boar d contemplates i ssuing a l i cense , do you want a hearing before final action is taken?

OPTIONAL CHECK LIST EXPLANATION LAW ENFORCEMENT HEALTH & SANITATION FIRE, BUILDING, ZONING OTHER:

YES YES

YES

YES YES YES YES YES

If you have indicated d isapproval of the applicant, location or both, pl e ase submit a statement of a ll facts upon which such objections are based.

NO NO

NO

NO NO NO NO NO

DATE SIGNATURE OF MAYOR, CI TY MANAGER , COUNTY COMMISSIONERS OR DESIGNEE

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cc: CM MRS Neatherlin, Sheldon & Jeffreys. -

Clerk errM ~tr1i,..u.NLLY

STATE OF WASHINGTON

DEPARTMENT OF ECOLOGY PO Box 47600 •Olympia, WA 98504-7600 • 360-407-6000

711 for Washington Relay Service • Persons with a speech disability can call 877-833-6341

July 21 , 2015

The Honorable Randy Neatherlin The Honorable Terri Jeffreys The Honorable Tim Sheldon Mason County Board of Commissioners 411N5th St. Shelton, WA 98584

Dear Commissioners:

@@rcj@DW@@ JUL 2 7 2015 /3

MASON COUNTY COMMISSIONERS

Congratulations! The Rustlewood Wastewater Treatment Plant is receiving the 2014 "Wastewater Treatment Plant Outstanding Performance" award. Of approximately 300 wastewater treatment plants statewide, yours is one of 127 that achieved full compliance with its National Pollutant Discharge Elimination System (NPDES) permit in 20 14.

My staff evaluated wastewater treatment plants in Washington for compliance with the effluent limits, monitoring and reporting requirements, spill prevention planning, pretreatment, and overall operational demands of the NPDES permit.

It takes diligent operators and a strong management team, working effectively together, to achieve this high level of compliance. It is not easy to operate a wastewater treatment plant 24 hours a day, 365 days a year, without violations. The Washington State Department of Ecology (Ecology) appreciates the extraordinary level of effort your plant operators demonstrated throughout 2014. Talented and proficient operators are critical to successful plant operations and protecting the health of Washington's waters. This is the second consecutive year the Rustlewood Wastewater Treatment Plant received this award. Your excellent record is a credit to the dedicated operators who are responsible for operating this award-winning plant.

Ecology will issue a news release recognizing the 2014 award recipients including the Rustlewood Wastewater Treatment Plant.

Please call Pat Bailey at 360-407-6281 if you have any questions or comments about your award.

Thank you for the excellent service you provide. Congratulations!

Heather R. Bartlett Water Quality Program Manager

cc: Tom Moore, Deputy Director/Public Works & Utilities

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Washiogton State Liquor Control Board

cc: CM MRS Neatherlin, Sheldon & Jeffreys

Clerk -e_,~ ~ -

rm r§ © rn o w lli: ~1 IJU JUL 2 It 20\5 -'

MASON COUNTY COMMISSIONERS

PO Bo x 43098, 3000 Pacific Ave. SE, Olympia WA 9850 4-3 098, (360) 664-1600

MASON COUNTY COMMISSIONERS 411 N STH ST SHELTON, WA 98584 -3 466

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July 09, 2015

Dear Local Authority:

Washington State liquor Control Board PO Box 43098, 3000 Pacific Ave. SE, Olympia

www.liq.wa.gov WA 98504-3098, (360) 664-1600 Fax #: (360) 753-2710

RE: Liquor License Renewal Applications in Your Jurisdiction - Your Objection Opportunity

Enclosed please find a list of liquor-licensed premises in your jurisdiction whose liquor licenses will expire in about 90 days. This is your opportunity to object to these license renewal requests as authorized by RCW 66.24.010 (8).

1) Objection to License Renewal

To object to a liquor license renewal: fax or mail a letter to tl1e Washington State Liquor Control Board (WSLCB) Licensing Division. This letter must:

Detail the reason(s) for your objection, including a statement of all the facts upon which your objection or objections are based. You may include attachments and supporting documents which contain or confirm the facts upon which your objections are based.

Please note that whether a hearing will be granted or not is within the Board's discretion per RCW 66.24.010 (8) (d).

Your letter or fax of objection must be received by the Board's Licensing Division at least 30 days prior to the license expiration date. If you need additional time you must request that in writing. Please be aware, however, that it is within the Board's discretion to grant or deny any requests for extension of time to submit objections. Your request for extension will be granted or denied in writing. If objections are not timely received, they will not be considered as part of the renewal process.

A copy of your objection and any attachments and supporting materials will be made available to the licensee, therefore, it is the Local Authority's responsibility to redact any confidential or non-disclosable information (see RCW 42.56) prior to submission to the WSLCB.

2) Status of License While Objection Pending

During the time an objection to a renewal is pending, the permanent liquor license is placed on hold. However, temporary licenses are regularly issued to the licensee until a final decision is made by the Board.

3) Procedure Following Licensing Division Receipt of Objection

A ter we receive your objection, our licensing staff will prepare a report for review by the Licensing Director. The report w 11 include your letter of objection, as well as any attachments and supporting documents you send. The Licensing Director w 11 then decide to renew the liquor license, or to proceed with non-renewal.

4) Procedure if Board Does Not Renew License

If the Board decides not to renew a license, we will notify the licensee in writing, stating the reason for this decision. The licensee also has the right to request a hearing to contest non-renewal of their liquor license. RCW 66.24.010 (8) (d). If the licensee makes a timely request for a hearing, we will notify you.

The Board's Licensing Division will be required to present evidence at the hearing before an administrative law judge to support the non-renewal recommendation. You may present evidence in support of your objection or objections. The administrative law judge will consider all of the evidence and issue an initial order for the Board's review. The Board members have final authority to renew the liquor license and will enter a final order announcing their decision.

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5) Procedure if Board Renews License Over Your Objection

If the Board decides to renew the license over your objection, you will be notified in writing. At that time, you may be given an opportunity to request a hearing. An opportunity for a hearing is offered at the Board's discretion. If a hearing is held 1 you will be responsible for presenting evidence before an Administrative Law Judge in support of your objection to license renewal. The Board's Licensing Division will present evidence in support of license renewal. The Licensee may also participate and present evidence if the licensee desires. The administrative law judge will consider all of the evidence, and issue an initial order for the Board's review. The Board members have final authority to renew the liquor license and will enter a final order announcing their decision.

For questions about this process, contact the WSLCB Licensing Division at (360) 664-1600 or email us at [email protected].

Sincerely,

Rebecca Sm.U:h

Rebecca Smith, Director 1

Licensing and Regulation Division

LI a 864 07 I 1 o

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C091080-2 WASHINGTON STATE LIQUOR CONTROL BOARD DATE: 07/09/2015

LICENSED ESTABLISHMENTS IN UNINCORPORATED AREAS COUNTY OF MASON (BY ZIP CODE) FOR EXPIRATION DATE OF 20151031

LICENSE LICENSEE BUSINESS NAME AND ADDRESS NUMBER PRIVILEGES

ALLEN, SEAN HENRY DEE ALLEN'S BILLIARDS AllD MORE 403839 SNACK BAR 23692 llE STATE RT 3 BELFAIR WA 98528 0000

2 . SAFEWAY INC. SAFEWAY STORE #1571 082115 SPIRITS RETAILER 23961 NE STATE ·RT 3 BELFAIR WA 98528 0000

3. HD'S TAVERN, LLC HD'S TAVERN 072049 TAVERN - BEER/WINE 24131 NE STATE ROUTE 3 OFF PREMISES BELFAIR WA 98528 9626

4 . HOODS PORT WINERY, INC. HOODSPORT WINERY 354432 DOMESTIC WINERY < 250,000 LITERS N 23501 HWY 101 BEER/WINE SPECIALTY SHOP HOODS PORT WA 98548 9731 FARMER'S MARKET WINE SALES

5 . KIM, YONG KOO DAYTON STORE 352895 GROCERY STORE - BEER/WINE W7480 SHELTON-MATLOCK RD SHELTON WA 98584 0000

6 . UNION SQUARE DELI, LLC UNION SQUARE DELI 087370 SPIRITS/BR/WI! REST LOUNGE + 310 E DALBY RD STE 100 OFF-PREMISES SALE WINE UNION WA 98592 9611

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Washington State Liquor Control Board

cc: CM MRS Neatherlin: Sheldon & Jeffreys

Clerk ~·~~

~~

~&©~U-~@@ JUL 1. " ,:.i15

PO Box 43098, 3000 Pacifi c Ave. SE, Olympia WA 98504-3098, (360) 664-1600

MASON COUNTY COMMISSIONERS

MASON COUNTY COMMISSIONERS 411 N 5TH ST SHELTON, WA 98584 -3466

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July 09, 2015

Dear Local Authority:

Washington State liquor Control Board PO Box 43098, 3000 Pacific Ave. SE, Olympia

www.liq.wa.gov WA 98504-3098, ( 360) 664-1600 Fax #: (360) 753-2710

RE: Marijuana License Renewal Applications in Your Jurisdiction - Your Objection Opportunity

Enclosed please find a list of marijuana licensed premises :Ln your jurisdiction whose marijuana licenses will expire in abount 90 days. This is your opportunity to object to these license renewal requests as authorized by RCW 69.50.331 (7).

i) Objection to License Renewal

To object to a marijuana license rnewal: fax or mail a letter to the Washington State Liquor Control Board (WSLCB) Licensing Division. This letter must:

Detail the reason(s) for your objection, including a statement of all the facts upon which your objection or objections are based. You may include attachments and supporting documents which contain or confirm the facts upon which your objections are based.

Please note that whether a hearing will be granted or not is within the Board's discretion per RCW 69.50.331 (7) (c).

Your letter of objection must be received by the Board's Licensing Division at least 30 days prior to the license expiration date (WAC 314-55-165). If you need additional time you must request that in writing. Please be aware, however, that it is within the Board's discretion to grant or deny any requests for extension of time to submiti objections. Your request for extension will be granted or denied in writing. If the objection is received within thirty days of the expiration date or the licensee has already renewed the license, the objection will be considered as a complaint and possible license revocation may be pursued by the enforcement division.

A copy of your objection and any attachments and supporting materials will be made available to the licensee, therefore, it is the Local Authority's responsibility to redact any confidential or non-disclosable information (see RCW 42.56) prior to submission to the WSLCB.

2) Status of License While Objection Pending

During the time an objection to a renewal is pending, the permanent marijuana license is placed on hold.

3) Procedure Following Licensing Division Receipt of Objection

After we receive your objection, our licensing staff will prepare a report for review by the Licensing Director. The report will include your letter of objection, as well as any attachments and supporting documents you send. The Licensing Director will then decide to renew the marijuana license, or to proceed with non-renewal.

4) Procedure if Board Does Not Renew License (WAC 314-55-165 (2) (b))

If the Board decides not to renew a license, we will notify the licensee in writing, stating the reason for this decision. The licensee also has the right to request a hearing to contest non-renewal of their marijuana license. If the licensee makes timely request for a hearing, we will notify you. The Board's Licensing Division will be required to present evidence at the at the hearing before an administrative law judge to support the non-renewal recommendation. You may present evidence in support of your objection or objections. The administrative law judge will consider all of the evidence and issue an initial order for the Board's review. The Board members have final authority to renew the marijuana license and will enter a final order announcing their decision.

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5) Procedure if Board Renews License Over Your Objection (WAC 314-55-165 (2)(a))

If the Board decides to renew the license over your objection, you will be notified in writing. At that time, you may be given an opportunity to request a hearing. An opportunity ·for a hearing is offered at the Board's discretion. If a hearing is held, you will be responsible for presenting evidence before an Administrative Law Judge in support of your objection to license renewal. The Board's Licensing Division will present evidence in support of license renewal. The Licensee may also participate and present evidence if the licensee desires. The administrative law judge will consider all of the evidence, and issue an initial order for the Board's review. The Board members have final authority to renew the marijuana license and will enter a final order announcing their decision.

For questions about this process, contact the WSLCB Licensing Division at (360) 664-1600 or email us at [email protected].

Sincerely,

Rebec.c.a, Sm.U:h

Rebecca Smith, Director, Licensing and Regulation Division

LIQ 864 07/10

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C092080-2 WASHINGTON STATE LIQUOR CONTROL BOARD DATE: 07/09/2015

LICENSED ESTABLISHMENTS IN UNINCORPORATED AREAS COUNTY OF MASON

LICENSEE

1 . BROWNE, NICHOLAS RYAN

(BY ZIP CODE) FOR EXPIRATION DATE OF 20151130

BUSINESS NAME AND ADDRESS

HIGHWATER FARMS 2400 W SKOKOMISH VALLEY RD SHELTON WA 98584 7402

LICENSE NUMBER

412223

PRIVILEGES

MARIJUANA PRODUCER TIER 2

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Washington State Liquor Control Board

cc: CM MRS Neatherlin, Sheldon & Jeffreys

Clerk ~. !J1 (/_,..) CJ (lilt/) 0lt ·Pi[~

PO Box 43098, 3000 Pacific Ave . SE, Ol ympia WA 98504 - 3098, (360) 664 - 1600 ~~j~~.u;j~ ~

MASON COUNTY COMMISSIONERS 411 N 5TH ST SHELTON, WA 98584-3466

MASON COUNT' coMMISSIO~Ji=~ ~

'

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July 09, 2015

Dear Local Authority:

Washington State liquor Control Board PO Box 43098, 3000 Pacific Ave. SE, Olympia

www.liq.wa.£1oV WA 98504-3098, ( 360) 664-1600 Fax #: (360) 753-2710

RE: Marijuana License Renewal Applications in Your Jurisdiction - Your Objection Opportunity

Enclosed please find a list of marijuana licensed premises in your jurisdiction whose marijuana licenses will expire in abount 90 days. This is your opportunity to object to these license renewal requests as authorized by RCW 69.50.331 (7).

1) Objection to License Renewal

To object to a marijuana license rnewal: fax or mail a letter to the Washington State Liquor Control Board (WSLCB) Licensing Division. This letter must:

Detail the reason(s) for your objection, including a statement of all the facts upon which your objection or objections are based. You may include attachments and supporting documents which contain or confirm the facts upon which your objections are based.

Please note that whether a hearing will be granted or not is within the Board's discretion per RCW 69.50.331 (7)(c).

Your letter of objection must be received by the Board's Licensing Division at least 30 days prior to the license expiration date (WAC 314-55-165). If you need additional time you must request that in writing. Please be aware, however, that it is within the Board's di~cretion to grant or deny any requests for extension of time to submiti objections. Your request for extension will be granted or denied in writing. If the objection is received within thirty days of the expiration date or the licensee has already renewed the license, the objection will be considered as a complaint and possible license revocation may be pursued by the enforcement division.

A copy of your objection and any attachments and supporting materials will be made available to the licensee, therefore, it is the Local Authority's responsibility to redact any confidential or non-disclosable information (see RCW 42.56) prior to submission to the WSLCB.

2) Status of License While Objection Pending

During the time an objection to a renewal is pending, the permanent marijuana license is placed on hold.

3) Procedure Following Licensing Division Receipt of Objection

After we receive your objection, our licensing staff will prepare a report for review by the Licensing Director. The report will include your letter of objection, as well as any attachments and supporting documents you send. The Licensing Director will then decide to renew the marijuana license, or to proceed with non-renewal.

4) Procedure if Board Does Not Renew License (WAC 314-55-165 (2) (b))

If the Board decides not to renew a license, we will notify the licensee in writing, stating the reason for this decision. The licensee also has the right to request a hearing to contest non-renewal of their marijuana license. If the licensee makes timely request for a hearing, we will notify you. The Board's Licensing Division will be required to present evidence at the at the hearing before an administrative law judge to support the non-renewal recommendation. You may present evidence in support of your objection or objections. The administrative law judge will consider all of the evidence and issue an initial order for the Board's review. The Board members have final authority to renew the marijuana license and will enter a final order announcing their decision.

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5) Procedure if Board Renews License Over Your Objection (WAC 314-55-165 (2) (a))

If the Board decides to renew the license over your objection, you will be notified in writing. At that time, you may be given an opportunity to request a hearing. An opportunity for a hearing is offered at the Board's discretion. If a hearing is held, you will be responsible for presenting evidence before an Administrative Law Judge in support of your objection to license renewal. The Board's Licensing Division will present evidence in support of license renewal. The Licensee may also participate and present evidence if the licensee desires. The administrative law judge will consider all of the evidence, and issue an initial order for the Board 1 s review. The Board members have final authority to renew the marijuana license and will enter a final order announcing their decision.

For questions about this process, ·contact the WSLCB Licensing Division at (360) 664-1600 or email us at [email protected].

Sincerely,

Rebe.cc.a .Sm.Lth

Rebecca Smith, Director, Licensing and Regulation Division

LIQ 864 07 /1 O

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C092080-2 WASHINGTON STATE LIQUOR CONTROL BOARD DATE: 07/09/2015

LICENSED ESTABLISHMENTS IN UNINCORPORATED AREAS COUNTY OF MASON

LICENSEE

I . OG FARMS INCORPORATED

(BY ZIP CODE) FOR EXPIRATION DATE OF 20151130

BUSINESS NAME AND ADDRESS

OG FARMS 4340 SE BLOOMFIELD RD STE B SHELTON WA 98584 0000

LICENSE NUMBER

412687

PRIVILEGES

MARIJUANA PRODUCER TIER 3

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Washington State Liquor Control Board

cc: CM MRS Neatherlin, Sheldon & Jeffreys

Clerk ......e,~~

~~

PO Box 43098, 3000 Pacific Ave. SE, Olympia WA 98504 -3 098, (360) 664-1600 rrurn©rnow~ ~ ~ JUL 2 1 2015 '-

MASON COUNTY COMMISSIONERS 411 N 5TH ST SHELTON, WA 98584-3466

MASON COUNTY COMMISSIONERS

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J11ly 09, 2015

Dear Local Authority:

Washington State liquor Control Board PO Box 43098, 3000 Pacific Ave. SE, Olympia

www.liq.wa.gov WA 98504 · 3098, ( 360) 664 -1600 Fax #: (360) 753-2710

RE: Marijuana License Renewal Applications in Your Jurisdiction · Your Objection Opportunity

Enclosed please find a list of marijuana licensed premises in your jurisdiction whose marijuana licenses will expire in abount 90 days. This is your opportunity to object to these license renewal requests as authorized by RCW 69.50.331 (7).

1) Objection to License Renewal

To object to a marijuana license rnewal: fax or mail a letter to the Washington State Liquor Control Board (WSLCB) Licensing Division. This letter must:

Detail the reason(s) for your objection, including a statement of all the facts upon which your objection or objections are based. You may include attachments and supporting documents which contain or confirm the facts upon which your objections are based.

Please note that whether a hearing will be granted or not is within the Board's discretion per RCW 69.50.331 (7)(c).

Your letter of objection must be received by the Board's Licensing Division at least 30 days prior to the license expiration date (WAC 314-55-165). If you need additional time you must request that in writing. Please be aware, however, that it is within the Board's discretion to grant or deny any requests for extension of time to submiti objections. Your request for extension will be granted or denied in writing. If the objection is received within thirty days of the expiration date or the licensee has already renewed the license, the objection will be considered as a complaint and possible license revocation may be pursued by the enforcement division.

A copy of your objection and any attachments and supporting materials will be made available to the licensee, therefore, it is the Local Authority's responsibility to redact any confidential or non-disclosable information (see RCW 42.56) prior to submission to the WSLCB.

2) Status of License While Objection Pending

During the time an objection to a renewal is pending, the permanent marijuana license is placed on hold.

3) Procedure Following Licensing Division Receipt of Objection

After we receive your objection, our licensing staff will prepare a report for review by the Licensing Director. The report will include your letter of objection, as well as any attachments and supporting documents you send. The Licensing Director will then decide to renew the marijuana license, or to proceed with non-renewal.

4) Procedure if Board Does Not Renew License (WAC 314-55-165 (2) (b))

If the Board decides not to renew a license, we will notify the licensee in writing, stating the reason for this decision. The licensee also has the right to request a hearing to contest non-renewal of their marijuana license. If the licensee makes timely request for a hearing, we will notify you. The Board's Licensing Division will be required to present evidence at the at the hearing before an administrative law judge to support the non-renewal recommendation. You may present evidence in support of your objection or objections. The administrative law judge will consider all of the evidence and issue an initial order for the Board's review. The Board members have final authority to renew the marijuana license and will enter a final order announcing their decision.

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5) Procedure if Board Renews License Over Your Objection (WAC 314-55-165 (2)(a))

If the Board decides to renew the license over your objection, you will be notified in writing. At that time, you may be given an opportunity to request a hearing. An opportunity for a hearing is offered at the Board's discretion. If a hearing is held, you will be responsible for presenting evidence before an Administrative Law Judge in support of your objection to license renewal. The Board's Licensing Division will present evidence in support of license renewal. The Licensee may also participate and present evidence if the licensee desires. The administrative law judge will consider all of the evidence, and issue an initial order for the Board's review. The Board members have final authority to renew the marijuana license and will enter a final order announcing their decision.

For questions about this process, contact the WSLCB Licensing Division at (360) 664-1600 or email us at [email protected].

Sincerely,

Rebec.c.a. Sm.l.th

Rebecca Smith, Director, Licensing and Regulation Division

LIQ 864 07/10

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l.

C092080-2 WASHINGTON STATE LIQUOR CONTROL BOARD DATE: 07/09/2015

LICENSED ESTABLISHMENTS IN UNINCORPORATED AREAS COUNTY OF MASON

LICENSEE

SEATTLE INCEPTIVE GROUP LLC

(BY ZIP CODE) FOR EXPIRATION DATE OF 20151130

BUS I NESS ~IAME AND ADDRESS

SUSPENDED BRANDS 860 NE OLD BELFAIR HWY BELFAIR WA 98528 0000

LICENSE NUMBER

412132

PRIVILEGES

MARIJUANA PRODUCER TIER 3 MARIJUANA PROCESSOR

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Washington State Liquor Control Board

cc: CM MRS Neatherlin,, Sheldon & Jeffreys Clerk ~~~

f.£~

mrn©~ow~m JUL 2; W15 u

MASON COUNTY COMMISSIONERS

PO Box 43098, 300 0 Pacific Ave. SE , Ol ympia WA 98504 -3 098, (360) 664-1600

MASON COUNTY COMMISSIONERS 411 N 5TH ST SHELTON, WA 98584-3466

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July 09, 2015

Dear Local Authority:

Washington State liquor Control Board PO Box 43098, 3000 Pacific Ave. SE, Olympia

www.liq.wa.gov WA 98504-3098, (360) 664-1600 Fax #: (360) 753·2710

RE: Marijuana License Renewal Applications in Your Jurisdiction - Your Objection Opportunity

Enclosed please find a list of marijuana licensed premises i_n your jurisdiction whose marijuana licenses will expire in abount 90 days. This is your opportunity to object to these license renewal requests as authorized by RCW 69.50.331 (7).

1) Objection to License Renewal

To object to a marijuana license rnewal: fax or mail a letter to the Washington State Liquor Control Board (WSLCB) Licensing Division. This letter must:

Detail the reason(s) for your objection, including a statement of all the facts upon which your objection or objections are based. You may include attachments and supporting documents which contain or confirm the facts upon which your objections are based.

Please note that whether a hearing will be granted or not is within the Board's discretion per RCW 69.50.331 (7)(c).

Your letter of objection must be received by the Board's Licensing Division at least 30 days prior to the license expiration date (WAC 314-55-165). If you need additional time you must request that in writing. Please be aware, however, that it is within the Board's discretion to grant or deny any requests for extension of time to submiti objections. Your request for extension will be granted or denied in writing. If the objection is received within thirty days of the expiration date or the licensee has already renewed the license, the objection will be considered as a complaint and possible license revocation may be pursued by the enforcement division.

A copy of your objection and any attachments and supporting materials will be made available to the licensee, therefore, it is the Local Authority's responsibility to redact any confidential or non-disclosable information (see RCW 42.56) prior to submission to the WSLCB.

2) Status of License While Objection Pending

During the time an objection to a renewal is pending, the permanent marijuana license is placed on hold.

3) Procedure Following Licensing Division Receipt of Objection

After we receive your objection, our licensing staff will prepare a report for review by the Licensing Director. The report will include your letter of objection, as well as any attachments and supporting documents you send. The Licensing Director will then decide to renew the marijuana license, or to proceed with non~renewal.

4) Procedure if Board Does Not Renew License (WAC 314-55-165 (2) (b))

If the Board decides not to renew a license, we will notify the licensee in writing, stating the reason for this decision. The licensee also has the right to request a hearing to contest non-renewal of their marijuana license. If the licensee makes timely request for a hearing, we will notify you. The Board's Licensing Division will be required to present evidence at the at the hearing before an administrative law judge to support the non-renewal recommendation. You may present evidence in support of your objection or objections. The administrative law judge will consider all of the evidence and issue an initial order for the Board's review. The Board members have final authority to renew the marijuana license and will enter a final order announcing their decision.

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5) Procedure if Board Renews License Over Your Objection (WAC 314-55-165 (2)(a))

If the Board decides to renew the license over your objection, you will be notified in writing. At that time, you may be given an opportunity to request a hearing. An opportunity for a hearing is offered at the Board's discretion. If a hearing is held, you will be responsible for presenting evidence before an Administrative Law Judge in support of your objection to license renewal. The Board's Licensing Division will present evidence in support of license renewal. The Licensee may also participate and present evidence if the licensee desires. The administrative law judge will consider all of the evidence, and issue an initial order for the Board's review. The Board members have final authority to renew the marijuana license and will enter a final order announcing their decision.

For questions about this process, contact the WSLCB Licensing Division at (360) 664-1600 or email us at [email protected].

Sincerely;

Rebecca Sm.l.th

Rebecca Smith, Director 1

Licensing and Regulation Division

LIQ 864 07/10

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C092080-2 WASHINGTON STATE LIQUOR CONTROL BOARD DATE: 07/09/2015

LICENSED ESTABLISHMENTS IN UNINCORPORATED AREAS COUNTY OF MASON

LICENSEE

1 . ANTHONY BILLY INVESTMENT MANAG

(BY ZIP CODE) FOR EXPIRATION DATE OF 20151130

BUSINESS NAME AND ADDRESS

NORTHWESTPEARL 340 E MILLWRIGHT RD BLDG A SHELTON WA 98584 8253

LICENSE NUMBER

413097

PRIVILEGES

MARIJUANA PRODUCER TIER 2 MARIJUANA PROCESSOR

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From: To: Date:

<[email protected]> 7/29/201511:07 AM solid waste comment

I would like to comment on the issue of recycling and solid waste, an

cc: CM MRS Neatherlin, Sheldon & Jeffreys Clerk

issue in conjunction with Wilson Recycling. While recycling is a desirable industry that we need in Mason County, I believe an operation of that size and if they also want to include solid waste collection they should not be allowed within the UGA. Mike Olsen City of Shelton Commissioner

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cc: CMMRS Ne h . Clerk at erlln, Sheldon & Jeffreys

Co-i,f~r/ -

(_ovt-,f.r ~ l--cv~/~

<;) (_ Lu,,,_ .e'-1-J ]> .... <- "'( ~ eaoCt

f (vf 't t- tov 1 .

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11 ~ "2-0 'i1 ,.

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- fb. ?..~!. -

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TO: KMAS, KRXY, SHEL TON-MASON COUNTY JOURNAL, THE OLYMPIAN, SHEL TON CHAMBER OF COMMERCE, NORTH MASON CHAMBER OF COMMERCE, CITY OF SHEL TON, ECONOMIC DEVELOPMENT COUNCIL, THE SUN

RE: Mason County Lodging Tax Advisory Committee Generator Position

Mason County is seeking an individual to serve on the Mason County Lodging Tax Advisory Committee who represents a business that is required to collect lodging tax (generator). This person will fill a vacated position with the term ending May 2016.

The Committee consists of at least five members and is appointed by the Board of Mason County Commissioners. The committee shall include at least two representatives of businesses that are required to collect lodging tax (generators) and at least two members who are persons involved in activities that are authorized to be funded by lodging tax revenue (spenders). The number of generator members on the committee shall equal the number of spender members, with a County Commissioner serving as Chair of the committee.

The committee reviews requests for lodging tax funding and makes recommendations to the Commissioners regarding the use of lodging tax moneys. The committee meets during regular business hours, usually not more than once a month.

For an application, please contact the Mason County Commissioners office at 427-9670, ext. 4 I 9 or visit our website at www.co.mason.wa.us. Completed applications should be turned in to the Commissioners' office by August 28, 2015. Applications will be accepted until the position is filled.

BOARD OF MASON COUNTY COMMISSIONERS

Randy Neatherlin Chair

Tim Sheldon Commissioner

Terri Jeffreys Commissioner

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ITEM: - 6 and 13, 2015 briefing minutes.

Attachment(s): Minutes

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BOARD OF MASON COUNTY COMMISSIONERS' BRIEFING MINUTES Mason County Commission Chambers, 411 North 5th Shelton, WA

Week of 13, 2015

Monday, July 13, 2015 9:00 AM. Closed Session - RCW 42.30.140 (4) Labor Discussion

Commissioners Neatherlin, Jeffreys and Sheldon met in Closed Session from 9:00 a.m. to 9:30 a.m. with Bill Kenny and Frank Pinter for a labor discussion.

9:30 AM. Support Services-Bill Kenny Commissioners Neatherlin, Jeffreys and Sheldon were in attendance.

" Frank provided the status of State Auditor Finding on ER&R inequity. He has had discussions with the State Auditor, CRAB and Public Works and expects to have a conclusion in the next two to three weeks.

" Frank asked for any edits to the 2016 Budget Guidelines and there were none so he will distribute the Guidelines later this morning to departments.

" Ross requested stated the Emergency Declaration is on the July 14 agenda. Bill provided an overview for grants and explained the complexities to not only pursuing grants but then managing them.

" Dawn brought up Risk Pool coverage for the comihouse for reproduction as a historic building. This coverage was declined in 2010 and needs to be updated. The Board asked Dawn to check on any grant obligations and what the premium amount is.

10:00 AM. Sheriffs Office - UndersheriffBanett Commissioners Neatherlin, Jeffreys and Sheldon were in attendance.

" Jail update - some repairs have been completed and they are at a 74 bed capacity. The population increases in summer and they are at 89 inmates today. Jeff Vrabel expects a punch list for the jail remodel by the end of the month, they will then work with the contractor to make sure everything is satisfactory so probably two months before final. He will be contacting ECS for the videoconferencing. The Sheriffs office has hired new staff and training is required. They expect to continue outsourcing at least 30 irnnates until the end of the year. The jail will have room for 24 females, but cmTently have 26 female inmates at Nisqually. UndersheriffBanett reminded the C01mnissioners there are a number of people who are waiting to serve their jail sentence. There was a discussion of inmates with mental health issues and how they can obtain treatment.

" Transportation van will be included in their 2015 budget amendment request. <> Request of a reclassification of an open CSO position to a financial assistant position. Needed for

the jail financial, back up when the other two financial assistants are gone, manage the personnel files, and manage the training for the accreditation. Civil Service is ok with reclassification. The third CSO is not needed as much as a financial assistant. The financial assistant costs $800 more annually then a CSO. Cmmr. Jeffreys questioned ifthe CSO position is needed to run the litter crew, Banett said the litter crew will continue without this 3rd CSO position. If this reclassification is approved, they will need to go through testing, hiring process. Cm1m. Neatherlin asked ifthere will be a request for additional personnel in 2016 budget or will this satisfy the need? UndersheriffBarrett stated they will not be requesting an additional CSO. Undersheriff stated that once the open positions are filled and this position is reclassified, and they are trained, they can do what they need to do for 2016. Cmmr. Neatherlin asked that Undersheriff confirm with the Sheriff and brief next week.

" Cmmr. Neatherlin brought up jail interior painting work by the inmates. Cmmr. Sheldon wants Jeff to evaluate the work and bring back a recommendation. Undersheriffwill work with Jeff to come up with a plan, trustees can only do ce1iain work.

@ Undersheriff Barrett provided crime stats which are on a downward trend for the period of January - June 2014 vs. 2015. Discussion of new software.

10 30 10 50 A.iv!. BREAK

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Mason County Commissioners' Briefing Meeting Minutes July 13, 2015

11:00 A.M. 2016 Budget Guidelines-Frank Pinter Commissioners Neatherlin, Jeffreys and Sheldon were in attendance. Frank Pinter reviewed the 2016 budget guidelines, which he will email along with the spreadsheet to departments. Preliminary budgets are due to the Auditor no later than August 10, 2015. There was discussion of the "baseline plus" process. The nanative and other requested information is due to the Budget Manager September 1. Cmmr. Sheldon left the briefing at 11: 10 a.m.

11:30 A.M. Public Works - Brian Matthews & Melissa McFadden Utilities & Waste Management - Brian Matthews/Erika Schwender C01runissioners Neatherlin and Jeffreys were in attendance. Commissioner Sheldon was absent.

,. Road closure on Clifton Lane for the Taste of Hood Canal on August 8 was approved for the agenda. Letter to Department of Navy for an easement agreement for Mason Benson Road railroad crossing will be placed on the agenda.

" Erika explained the Labor & Industries "On-the-Job-Training" program to allow the placement of up to two Operators in training. Bill Kenny noted there are some concerns if it is a bargaining unit position they need to talk to the unions and the training does impact existing staff. After discussion, the Board approved moving forward to explore the program. Request to hire replacement staff at the sign shop. The Board approved the request.

Commissioner Discussion Co1runissioners Neatherlin and Jeffreys were in atiendance. C01runissioner Sheldon was absent.

" Crnmr. Jeffreys stated she has talked to the Farm Bureau and for the buildings exempt from pennits, it was suggested to allow a wall height of 14 feet. Cmrnr. Neatherlin brought up parcel size. The Board asked Diane to schedule a briefing with Barbara Adkins this afternoon.

" C1rum. Neatherlin asked Cmmr. Jeffreys if she met with SAO regarding the Belfair Sewer financial plan. She responded that yes, she had sh01i meeting. Cmmr. Jeffreys suggested creating a narrative that states the rates could be increased, if necessary. There was discussion of how to proceed to implement the proposed plan. Diane stated there would need to be code changes.

BREAK-NOON

2:00 P.M. Public Health & Human Services-Vicki Kirkpatrick Casey Bingham/Lydia Bucheit C01runissioners Neatherlin and Jeffreys were in attendance. Commissioner Sheldon was absent.

" Request to place Amendment 2 for the Public Health Emergency Response Planner/Trainer Professional Services contract to extend the contract for an additional year. The Board approved placing the amendment on the agenda.

2:30 P.M. Auditor-Karen Herr C01runissioners Neatherlin and Jeffreys were in attendance. Commissioner Sheldon was absent.

" Auditor Herr requested approval to pay an extra amount to the Chief Finance Officer due to a PEBB interpretation. This employee had previously been in a PEBB medical plan and his PEBB medical premium is higher than anticipated. Cm1m. Neatherlin does not supp01i retroactive pay but will support from July to end of year and from Auditor's existing budget. Karen explained the changes she is making so she has the funding available. She created a special pay request to make up this difference and wants the employee to be totally reimbursed. Cmmr. Neatherlin stated Human Resources recommended this be paid as a Y-rate and approved by the Commissioners. Bill Kenny joined the briefing at 2:28 p.m. He recapped the situation and stated departments need to be made aware of this PEBB rule for any new hires. He clarified that the Board is good with paying $520 a month from July to end of year.

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Mason County Commissioners' Briefing Meeting Minutes July 13, 2015

Capital Asset management discussion. Karen says that is a Cotrunissioner job and the Chief Finance Officer had to prepare it.

3:00 P.M. Community Development Commissioners Neatherlin and Jeffreys were in a11endance. Commissioner Sheldon was absent. Cm1m. Jeffreys stated she has information from the Fann Bureau who suggested the permit exemption allow up to 14 feet building height. Discussion of potential code changes. everything but residential at 14 feet. residential will stay at 10 feet if under 10 acres.

" Discussion of random rural commercial zones and 3 walled structures built from ecology blocks and if a permit would be required. Barbara will have to check on that.

" Comp Plan update discussion; public participation and discussion of industrial lands Discussion of the public comment time on the July 28 agenda regarding solid waste facilities. Diane will schedule a briefing next Monday and invite Utilities, Community Development, Public Health and Tim Whitehead.

Commissioner Discussion - there was no discussion.

Respectfolly submitted,

Diane Zoren, Administrative Services Manager

BOARD OF MASON COUNTY COMMISSIONERS

Randy Neatherlin Chair

Tim Sheldon Cotrunissioner

Terri Jeffreys Commissioner

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BOARD OF MASON COUNTY COMMISSIONERS' BRIEFING MINUTES Mason County Commission Chambers, 411 North 5th Street, Shelton, WA

Week of July 6, 2015

Monday, July 6, 2015 9:00 A.M. Closed Session - RCW 42.30.140 (4) Labor Discussion

Commissioners Neatherlin, Jeffreys and Sheldon met in Closed Session from 9:00 a.m. to 9:20 a.m. with Bill Kenny and Frank Pinter for a labor discussion.

9:20 A.M. Support Services - Bill Kenny Commissioners Neatherlin, Jeffreys and Sheldon were in attendance.

® Bill Kenny introduced Jeff Vrabel new Parks Manager. Mr. Vrabel previously worked at the City of Tumwater. Mr. Vrabel thanl<ed the Board for the opportunity to serve his community. C1mm. Sheldon confirmed that Jeff Vrabel will report to Support Services.

" Surplus Property. Bill said they will continue to process surplus property through Franl('s office. Cmmr. Neatherlin said he thinks someone should go out and physically inspect the property. Three prope1iies to be sold and there is buyer interest. Crmm. Neatherlin said this is not the proper way to list property and he would rather put these out for the public in the open market. Cmmr. Neatherlin/Jeffreys agreed to table this until next week. Franl< added that the Deer View Circle there has been a counter offer. $27,500 would be the highest and best offer.

® Frank Pinter spoke on Public Health's agenda item tentatively scheduled for tom01Tow's agenda pe1iaining to the Multi-Systemic Therapy program. He wanted to clarify that the mental health dollars are already budgeted. They are asking for authorization to enter into a contract.

" Emergency Declaration: Ross McDowell said there is no need for an extension as the risk has decreased. C1mnr. Neatherlin said if something else comes up they can do another declaration.

" Homeless Coalition: Bill explained the statute regarding the Homeless Coalition. Mason County did a Homeless Plan and it was submitted to Dept. of Commerce. The Resolution, adopted by a previous Board, said that the BOCC will consider rec01mnendations from the Homeless Coalition. Vicki Kirkpatrick said there is no specific term listed by statute. Mr. Kenny said the Plan should probably be updated since it was written in 2007. Vicki said some updates took place in 2013 and it is being updated now. C1mm. Neatherlin asked for a copy. He said he would like to see a Plan. Vicki will get the Board of copy of the original Plan and updated Plan. She said the Board is always welcome to attend the coalition meetings as well. Cmmr. Neatherlin said they will brief this soon. C1mm. Sheldon said it would also help ifthe fmancial data was added.

" MACECOM 2016 Budget: Cm1nr. Jeffreys spoke about a possible increase in service fees by 2%. There will also be a personnel change. The Board is suppo1iive.

10:00 A.M. Public Health & Human Services - Vicki Kirkpatrick Commissioners Neatherlin, Jeffreys and Sheldon were in attendance.

" Vicki Kirkpatrick and the Board had a discussion about the Housing Authority Board. Cmmr. Neatherlin asked if a new Housing Authority can be created. Patty Sells said yes, although they still won't receive vouchers and cunently there are 143 active vouchers in Mason County. She also clarified that the Mason County Housing Authority only oversees the low income housing. Cm1nr. Jeffreys mentioned that some people do not want to rent out their properties because the renters may ruin it and this contributes to the lack ofrental prope1iy. Cmmr. Jeffreys also asked for a job description of what Patty Sells current position. Cmmr. Sheldon suggested having a housing summit to include everyone affiliated with this subject.

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Board of Mason County Commissioners' Briefing Meeting Minutes July 6, 2015

11:05 A.M.

" Vicki Kirkpatrick spoke about the tentative item for the agenda tomorrow regarding the multi­systemic therapy program contract to be paid with mental health dollars. She said this is an evidence based treatment program. It would cost $52,300 and would service four families and four youth. Cmrnr. Sheldon asked what exactly these services entail. Vicki said it would be substance abuse, mental health, and behavioral services. She said some people have had to be turned down due to not being Medicaid eligible. Cmmr. Jeffreys suggested putting the $35,000 into Guardian Ad Litem program and the rest back into the fund. Vicki said perhaps consideration should be taken in regards to if we even need an advisory committee. Cmmr. Neatherlin said there is always a reason why they don't vote for something. He would like to see something. Vicki Kirkpatrick said it was as thought out as any other proposal brought to the advisory c01mnittee. Cmmr. Sheldon said he didn't vote for the mental health tax to begin with. He said since over a million dollars have been collected, the tax payers have a right to know how many people have been served and what it's costing. C1mnr. Neatherlin stated that those are some of the questions they have and it was unclear last week so that's why it was taken off the agenda and more information was requested. The Board feels uncomfortable allocating money with so many unknowns. Cmrnr. Neatherlin said Thurston County Cmmnissioner Cathy Wolfe would like to have a joint meeting regarding this topic. Cmmr. Sheldon and Jeffreys agree and Cm1m. Neatherlin will take initiative to make the first contact.

" Early Intervention: moves forward " Consolidated contract C 17118 amendment 3: moves forward

Public Works - Brian Matthews & Melissa McFadden, Katherine Bennett and Loretta Swanson. Commissioners Neatherlin, Jeffreys and Sheldon were in attendance.

" Road Vacation 3 91: This is approved for agenda. " Public Hearing set for July 7, 2015: This is approved to proceed. .. Sand Hill School speed limit: This is approved for agenda

Utilities & Waste Management - Brian Matthews/Erika Schwender: '" Erika spoke about the re-cycling contract.

C1mnr. Sheldon left the meeting

11 :00 A.M. Auditor - Karen Herr - Postponed until next week.

11: 15 A.M. Depaitment of Co1mnunity Development - Barbara Adkins " Planning permit fees: Cm1m·s. Neatherlin and Jeffreys reviewed planning permit fees with

Barbara Adkins. Cmmrs. Neatherlin and Jeffreys agree that there is no way they can compare to exactly what everyone else is doing. Cmmr. Neatherlin recmmnends tabling this for another week to seek information from other Counties pe1taining to what is included in their fees. He asked Barbara to call a few of them with the biggest differences and get some details.

@ Amendments to Title 14 Building & Construction: The amendment adds a new section called "Work Exempt from Permits". Barbara will look into adding language and providing a check list and charge a minimal fee. The hearing will be scheduled.

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Board of Mason County Commissioners' Briefing Meeting Minutes July 6, 2015

Commissioner Discussion - as needed Commissioners Neatherlin and Jeffreys were in attendance. Commissioner Sheldon was absent. Pac Mountain work force nomination was discussed.

Adjourned: 12: 05 p.m.

Respectfully submitted,

Julie Almanzor, Clerk of the Board

BOARD OF MASON COUNTY COMMISSIONERS

Randy N eatherlin Chair

Tim Sheldon Commissioner

Terri Jeffreys Cmmnissioner

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MASON COUNTY AGENDA ITEM SUMMARY FORM

TO: BOARD OF MASON COUNTY COMMISSIONERS

From: Frank Pinter Action Agenda _ X_ Public Hearing Other

DEPARTMENT: Commissioners EXT: -- / I

COMMISSION MEETING DATE: 08-04-15 Agenda Item # ~ , (Commissioner staff to com~

BRIEFING DATE: 7-20-15

BRIEFING PRESENTED BY: Frank Pinter

[ ] ITEM WAS NOT PREVIOUSLY BRIEFED WITH THE BOARD Please provide explanation of urgency

ITEM: Extension of the Professional Services Agreement with Richard Beckman Realty Group

Background: Richard Beckman Reality Group has been providing marketing services of surplus property to Mason County for over two years. The professional services agreement will expire on September 30, 2015. The agreement allows for an extension by one year to 2016.

RECOMMENDED ACTION: Move to approve the extension of the Professional Services Agreement with Richard Beckman.

Attachment: Extension to Agreement for Professional Services

H:\Action Agenda Beckman Agreement 080415.docx

etel

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Whereas an agreement was entered into by between Mason County and Richard Real Estate on September 2, 2014;

Whereas, the original agreement has provided benefits for Mason with increased marketing real estate and increased sales surplus property; and

Whereas, the original agreement began on September 2, 2014 and shall terminate on September 30, 2015 with the option to extend the agreement by one year to 2016 (article .2).

Whereas, the parties desire to extend the original agreement at the same terms to September 30, 2016.

parties as follows:

The terms and conditions of the existing agreement the same. The parties agree that except as specifically provided in this extension, the terms and conditions of the existing agreement continue in full force and effect.

IN WITNESS WHEREOF, the parties have executed this Extension to Agreement for Professional Services this __ day of 2015.

MASON COUNTY RICHARD BECKMAN REAL ESTATE GROUP

Randy Neatherlin, Chairperson Richard Beckman

Terri Jeffreys, Commissioner

Tim Sheldon, Commissioner

ATTEST:

Julie Almanzar, Clerk of the Board

Approved as to Form:

Whitehead, Chief Deputy Prosecuting

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ITEM: Washington Early learning fund Thrive Five Independent Contractor Agreement for the Nurse Family Partnership Program

BACKGROUND: This agreement is a renewal of the Nurse Family Partnership (NFP) grant agreement with the Washington Early Learning Fund d/b/a Thrive by Five Washington for Cohort 1 NFP program in Mason County. This agreement is for $100,846.00 for the period of July 1, 2015 - June 30, 2016.

The Nurse-Family Partnership program began in Mason County in 2001 and serves low­income mothers who are pregnant for the first time. The NFP produces significant benefits for children and their parents, and over time will return between two and four times the cost of the program. Cost savings accrue in the welfare system, the criminal justice system, health care, schools and through taxes paid by employed parents.

BUDGET IMPACTS: The revenue and workload requirements of this agreement were budgeted in the 2015 budget and there are no County match requirements.

RECOMMENDED ACTION: Partnership agreement for

Approve the period of

renewal the Nurse 2015 through June 30,

Family

ATTACHMENTS: Independent Contractor Agreement for the period of July 1 2015 - June 30, 2016

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INDEPENDENT AGREEMENT

Washington Early Leaming Fund, d/b/a Thrive Washington ("Thrive") and Mason County Public Health & Human Services ("Contractor") hereby enter into this Agreement as of 1, 2015 (the "Effective Date").

Maximum Contract ID: Contract Term: Tax ID Number: DUNS#: Project Lead: Purpose:

$100,000 358 July 1, 2015 to June 30, 2016 916001354 069580751 Mrs. Lydia Buchheit Home Visiting Services Account

1. Services. Contractor shall perform all services listed in the approved proposal and budget (referred to herein as the "Project"), and for which excerpts (Implementation Plan and Budget) have been incorporated as Schedule A.

2. Thrive will reimburse Contractor for actual expenditures incurred each month, according to the terms provided in Schedule B, provided that Contractor performs the services. Monthly expenditures will be reported using the online reporting system. Payment is based on the assumption that state and private funds are available to Thrive for disbursement to the Contractor and have been expended and Project requirements met, or earlier in the event of non-compliance. In the event that state funds are not available to Thrive, Thrive reserves the right to amend the payment terms and the amount of the Maximum Contract Total. The term of this Agreement ("Term") begins on the Effective Date, and the Contractor agrees to not incur any expenses on the Project using Thrive funding prior to the Effective Date. The Term end date is June 30, 2016 or earlier in the event of non-compliance.

3. Payment Information. Contractor agrees to provide Thrive with all information necessary to correctly issue such payments, including but not limited to bank name, routing number, account number, and account type. If Contractor fails to provide such information in response to Thrive's written request, then Thrive may withhold payments to Contractor until Contractor provides such information.

4. Independent Contractor. In executing the Project, Contractor will act as an independent contractor and not as an employee or agent of Thrive. This Agreement does not create an agency, partnership, joint venture, franchise, or employment relationship between the parties. Contractor has no authority to obligate Thrive. Thrive will not be liable for any of Contractor's expenses, except as expressly stated in Schedule B. Thrive will not make deductions from any amounts payable to Contractor for taxes. Contractor will be responsible for and will pay all taxes related to the receipt of payments from Thrive.

1. Budget. Contractor further agrees that funds provided under this Agreement will be expended as specifically itemized line by line in the Budget provided in Schedule A, and that transfers within expense categories of the budget in excess of 10% of the award amount will not be made unless approved by Thrive.

2. Reporting and Other Contract Requirements. Contractor agrees to submit Project and expense reports, as well as perform all other requirements outlined in Schedule B, on or before the dates indicated therein. Thrive reserves the right to aggregate, disaggregate, analyze, reproduce, and/or disseminate the data provided in Project Reports, Financial Activity Reports, or any other reports

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submitted to Thrive with respect to the Project. Collection Thrive will conduct research and evaluation regarding the

projects funded through its home visiting program. Contractor agrees to participate these evaluation efforts and will the data collection and reporting requirements specified Schedule C, Data Collection and Evaluation Requirements. It be the obligation of Thrive representatives, Contractor, and other contractors to provide protections and assurances regarding the confidentiality of data, samples of work (in any media format) and/or interview comments provided by participants. Contractor also agrees to provide Thrive with the results of any independent or self-directed evaluation or research undertaken with respect to the Project. Subcontracting. Neither the Contractor nor any Subcontractor shall enter into subcontracts for any of the work contemplated under this Contract without obtaining prior written approval of Thrive and DEL. All subcontracts must be in writing and in effect before Subcontractor services begin. "Subcontractor" shall mean one who is not employed by the Contractor, but who is performing all or part of those services under this Contract under a separate contract with the Contractor. The terms "Subcontractor" and "Subcontractors" mean Subcontractors in any tier. In no event shall the existence of the subcontract operate to release or reduce the liability of the Contractor to Thrive and DEL fQr any breach in the performance of the Contractor's duties. The Contractor is responsible to Thrive and DEL for the performance and monitoring of. the Subcontractor to ensure compliance with the terms, conditions, assurances, and certifications of this Contract. This clause does not include contracts of employment between the Contractor and personnel assigned to work under this Contract.

5. Recordkeeping. Contractor agrees to keep records in an easily read form sufficient to account for all receipts and expenditures of contract funds. These records, as well as supporting documentation, will be archived by Contractor's office for at least six ( 6) years after the end of the Term. Contractor agrees to make such books, records, and supporting documentation available to Thrive for inspection, if requested.

6. Confidentiality. Contractor will hold in strictest confidence any non-public information that Thrive designates as being confidential during the term of this Agreement and for six (6) years thereafter. Contractor will not disclose confidential information to any third party, and will not use any confidential information other than as necessary for Contractor to perform its obligations under this Agreement. This Section will not apply to information (a) that was known to Contractor before Thrive's disclosure, or information that becomes publicly available through no fault of Contractor; or (b) that Contractor can demonstrate was independently developed or received by Contractor with no breach of any duty owed by a third party to Thrive independent of this Agre~ment. Contractor may disclose confidential information as required by applicable law, legal process or any order of a court or other governmental authority, but Contractor will give Thrive ,notice reasonably sufficient to allow Thrive to have an opportunity to object to such disclosure in advance, unless providing such notice would violate applicable law.

7. Intellectual Property. Contractor shall retain all copyrights and other intellectual property rights to written work produced as a result of this award, including but not limited to work product listed in Schedule B. Contractor grants to Thrive a nonexclusive, irrevocable, perpetual, and royalty-free license to access, reproduce, publish, copy, alter or otherwise use such written work, for any purpose consistent with Thrive' s continuing status as an organization described in Section 501({))(3) Bf the ~ooe. Prnjoot materials may be reproduced (but not morphed, ~mended, xevised, or redesigned) by any other party, on a worldwide, non-exclusive basis and without fee in connection with their own educational or program purposes, but may not be used in connection with sales or distribution for profit. The owner must approve any use of project materials not

and writing. As appropriate, all materials

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shall contain an attribution of ownership. 8. Rights. Contractor warrants that written work product produced under the terms of

this Agreement will not infringe, misappropriate, or violate the rights of any third party, or incorporate or be derived from the intellectual property of any third party, without Thrive' s prior written consent.

9. Monitoring Non-Compliance. Throughout the course of the Term, Thrive will monitor compliance with contract requirements (Schedule B), progress toward completion of the Implementation Plan (Schedule A), and performance as outlined in Schedule D. If Thrive (a) encounters non-compliance with the terms outlined in the Agreement on the part of Contractor, or (b) is not satisfied, in its sole discretion, with the quality of Contractor's work, Thrive will follow to make a reasonable attempt to assist Contractor with technical assistance to resolve issues that impede quality and compliance. In the event that compliance and/or quality issues are not resolved through standard technical assistance, Contractor will be engaged in corrective action through Implementation Improvement processes, as outlined in Schedule D. Failure to meet the corrective actions can result in Non-Compliance Courses of Action, as outlined in Schedule D.

10. Early Termination. Thrive may terminate the contract prior to the end of the Term if satisfactory compliance is not reached after reasonable efforts have been made to restore compliance, as outlined in Schedule D. In the case of such early termination, Contractor is required to immediately repay the full amount of any funds which Contractor did not spend as of the date of the notice of termination, and Thrive shall have no further obligation to distribute any funds to Contractor. Change in Key Personnel. The success of the approved Project is largely contingent on the Project Lead(s) identified in the proposal. Should there be any material change in job description, level of authority, or employment status of Project Lead(s) during the Term, Thrive requires that Contractor notify Thrive staff within 30 days of the change.

12. Equipment Purchase, Maintenance, and Ownership. The Contractor agrees that any depreciable equipment purchased, in whole or in part, with Contract funds at a cost of $1,000 per item or more, is upon its purchase, the property of Thrive and will be used only for the Project. The Contractor agrees to establish and maintain transaction documents (purchase requisitions, packing slips, invoices, receipts) and maintenance records of equipment purchased with Contract funds. The Contractor shall be responsible for any loss or damage to property of Thrive that results from the negligence of the Contractor or that results from the failure on the part of the Contractor to maintain and administer that property in accordance with sound management practices. In the case of Early Termination, the Contractor agrees that all such equipment will be returned to Thrive unless otherwise agreed upon in writing by the Contractor and Thrive.

13. Nondiscrimination. Contractor must maintain non-discriminatory policies with regard to race, color, age, gender, marital status, sexual orientation, political ideology, age, creed, religion, heritage, ancestry, national origin or sensory, mental, or physical ability throughout the Term.

14. Warranties. Contractor warrants that Contractor has full power and authority to enter into this Agreement and has the right to perform the Project in accordance with this Agreement.

15. Indemnification. As a condition to this Agreement, Contractor agrees to indemnify, defend and hold Thrive harmless and against any and all liability, loss, and expense (including reasonable attorneys' fees) or claims for injury or damages arising out or resulting from, or that are alleged to arise out of or result from, negligent actions or omissions by Contractor or any of Contractor's officers, agents, employees, subcontractors, contractors, or grantees with respect to this Agreement. Further, no provision of this Agreement shall inure in any way to the benefit of any third party so as to constitute such party as a third-party beneficiary of the Agreement or any one

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or more of tem1s hereof or otherwise give rise to any cause of action in any person or entity not a party hereto. Project Announcements, Reports Thrive Thrive and the may include information on this Project in their periodic public reports and may make information about this Project public at any time in their web pages and as part of press releases, public reports, speeches, newsletters, and other public documents related to the Project. If Contractor wishes to issue a press release or public report announcing this Agreement, or otherwise use Thrive's, name or logo for purposes related to the Project, Contractor must contact Thrive's Director of Grants and Program Innovation at least two weeks before the desired announcement or publication date to obtain advanced approval. Contractor should also include the name and logo of DEL in such media related to the Project and shall be responsible for obtaining advanced approval from DEL. Thrive requests an opportunity to review and comment on subsequent press releases or reports that are directly related to this Agreement and the Project.

17. Insurance. Contractor will obtain, and provide proof of, insurance coverage as set out in this section. The intent of the required insurance is to protect Thrive should there be any claims, suits, actions, costs, damages or expenses arising from any negligent or intentional act or omission of Contractor, or agents, subcontractors, or grantees thereof, in carrying out the Project. Contractor will obtain insurance coverage, which will be maintained full force and effect throughout the Term, as follows: a. Commercial General Liability Insurance. Obtain a Cornmercial General Liability Insurance

Policy, including contractual liability, in adequate quantity to protect against legal liability arising out of Project-related activities but no less than $1,000,000 per occurrence.

b. Automobile Liability. In the event that Project-related activities involve the use of vehicles, whether or not owned by Contractor, automobile liability insurance will be required. The minimum limit for automobile liability is $1,000,000 per occurrence, using a Combined Single Limit for bodily injury and property damage. The parties agree and acknowledge that a non­owned and hired policy is acceptable if Contractor has no vehicles in its possession.

c. Maintenance of Insurance. Contractor will maintain the coverage described in Section 21 (a) and (b) above through either (i) its participation in a self-insurance program established pursuant to RCW 48.62, or (ii) an insurance company/ies authorized to do business within the State of Washington, and will name Thrive, its agents and employees as additional insureds under the insurance policy lies. All policies must be primary to any other valid and collectible insurance. Contractor will instruct the insurers or self-insurance program to give Thrive thirty (30) calendar days' advance notice of any insurance cancellation.

d. Certificate of Insurance. Contractor will submit to Thrive within forty five ( 45) calendar days of the Effective Date a certificate of insurance that reflects the coverage and limits described in Section 21 (a) and (b ). Contractor will provide a renewal certificate as necessary to document compliance with this Section 21 during the Term.

e. Industrial Insurance Coverage. To the extent required by law, Contractor will comply with the provisions of Title 51 RCW, Industrial Insurance.

18. Compliance with Laws. Contractor will comply with all applicable federal, state, and local laws, rules, and regulations (including, without limitation, the Americans with Disabilities Act (ADA) of 1990, codified at 28 CFR Part 35, nondiscrimination laws and regulations, and licensing, aecn::di-Ieitiurr -and 1-c;g-i$trati-un requirements ar-rd -stttndar<lg) in ~rrying Dut the Praject~

19. Conflict of Interest. Notwithstanding any determination by the Executive Ethics Board or other tribunal, Thrive may, in its sole discretion, by written notice to Contractor terminate this Agreement if it is found after due notice and examination by Thrive that there is a violation of the

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Ethics in Public Service Act, Chapter 42.52 RCW or any similar statute involving Contractor or any activities performed pursuant to the Agreement.

20. Disputes. Except as otherwise provided in this Agreement, when a bona fide dispute arises between the parties and it cannot be resolved through discussion and negotiation, either party may request a dispute hearing. The parties will select a dispute resolution team to resolve the dispute. The team will consist of a representative appointed by Thrive, a representative appointed by Contractor, and a third party agreed to be appointed by both parties. The team will attempt, by majority vote, to resolve the dispute. This dispute process will precede any action in a judicial or quasi-judicial tribunal. In the event of a lawsuit involving this Agreement, venue will be proper only in King County, Washington. Contractor acknowledges the jurisdiction of the courts of the State of Washington in this matter.

21. Waiver Default. Waiver of any default shall not be deemed to be a waiver of any subsequent default by Thrive. Waiver or breach of any provision of the Agreement shall not be deemed to be a waiver of any other or subsequent breach and shall not be construed to be a modification of the terms of the Agreement unless stated to be such in writing, signed by an authorized representative of Thrive and attached to the original Agreement.

22. Amendment; Assignment. This Agreement may be amended or modified only by a mutual written agreement of the parties. Neither this Agreement, nor any claim arising under this Agreement, may be transferred or assigned by Thrive or Contractor without prior written consent of the other party.

23. Unilateral Contract Changes. The Contractor acknowledges that Thrive may correct typographic errors, numbering errors or other minor grammar or punctuation error without the need to amend the agreement. The Contractor shall be notified when any correction take place and will be provided with a corrected copy of the contract.

24. Entire Agreement; Governing Law; Severability. This Agreement constitutes the entire agreement and supersedes any prior oral or written agreements or communications between the parties regarding its subject matter. The laws of Washington State shall govern this Agreement. The provisions of this Agreement are severable so that if any term or provision is found for any reason to be invalid, illegal, or unenforceable, such finding shall not affect the validity, construction, or enforceability of any remaining term or provision.

25. Review by Thrive. Contractor will permit representatives of Thrive to visit Contractor's premises and review Contractor's activities with respect to the Project, and will permit Thrive, at its own expense, to conduct an independent financial and/or programmatic audit of the expenditures related to this Agreement.

26. Subgrants and Subcontracts. Your organization has been selected to participate in the Project through the formal HVSA review process. You may not make any statement or otherwise imply to donors, investors, media, or the general public that you are a direct grantee of the Bill & Melinda Gates Foundation. You may state that Thrive Washington is the Bill & Melinda Gates Foundation's grantee and that you are a subgrantee of Washington Early Leaming Fund for the Project.

27. Notices. All legal notices under this Agreement shall be addressed as follows:

Thrive: Priti Mody-Pan, Director of Grants and Program Innovation Thrive Washington 1111 Third Avenue, Suite 210 Seattle, WA 98101

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Contractor:

Ms. Vicki Kirkpatrick, Director Mason County Public

Box 1666 Shelton, 98584

Services

This Agreement must be signed by an authorized officer of Contractor prior to any payment of funds under this Agreement. Contractor may keep a copy of this Agreement as signed for its records.

WASHINGTON EARLY LEARNING FUND d/b/a THRIVE WASHINGTON

By: Sam Whiting Title: President and CEO Date:

Mason County Public Health & Human Services

By: Ms. Vicki Kirkpatrick Title: Director Date:

BOARD OF MASON COUNTY COMMISSIONERS

Terri Jeffreys Chair

Tim Sheldon Commissioner

Randy N eatherlin Cormmss10ner

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IMPLEMENTATION AND

1. a. STAFFING

1) PLAN: Contractor agrees to hire and maintain staffing appropriate to serve the proposed number of children and families, as outlined in the plan below:

A 0.7500 FTE Home Visitor A 0.2000 FTE Supervisor A 0.0000 FTE Administrative Support Staff A 0.1500 FTE Data Support Staff A 0.0000 FTE Additional Management Staff In addition, 0.0000 FTE Direct Service Staff will provide additional services to families.

2) MODEL FIDELITY: Contractor agrees that staff will be hired in fidelity to Nurse­Family Partnership (NFP) model requirements as outlined below:

o Supervisors are registered nurses with a minimum of a Bachelor's degree in nursing.

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b. Contractor agrees that home visitor staff are trained

according to model requirements.

MODEL FIDELITY: Contractor agrees that training will be completed in fidelity to Nurse-Family Partnership (NFP) model requirements as outlined below:

a) Supervisors complete core educational requirements and additional supervisory units on an annual basis.

b) Nurse Horne Visitors complete core educational sessions required by NFP NSO.

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c. AND ENROLLMENT PLAN: Contractor agrees to:

Recruit families from the following prioritized communities: i. Rural

American Indian/Alaskan Native Non-Hispanic b) Reach and maintain enrollment of 18 Proposed Families Served. c) Ensure respective staff build and maintain the caseloads in accordance to model

requirements.

2) MODEL FIDELITY: Contractor agrees that enrollment will be maintained in fidelity to Nurse-Family Partnership (NFP) model requirements as outlined below: a) A full-time Nurse Home Visitor will carry a caseload of no more than 25 active

clients.

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VISITS PLAN: Contractor agrees to administer an average of a) 2 home visits per month to enrolled families, for a total of between 324 and 432 annually. MODEL FIDELITY: Contractor agrees that home visits will be administered in fidelity to the Nurse-Family Partnership (NFP) model requirements as outlined below: · a) Client is visited throughout her pregnancy and the first 2 years of her child's life.

e. SUPERVISION 1) PLAN: Contractor agrees that:

a) Supervisor will provide 4 hours of supervision to each home visitor per month. b) Supervisor will administer 4 hours case conferencing, group supervision, or staff

meetings per month. 2) MODEL FIDELITY: Contractor agrees that supervision will be administered in

fidelity to the Nurse-Family Partnership (NFP) model requirements as outlined below:

a) A full-time nurse supervisor provides supervision to no more than 8 individual home visitors and one hour ofreflective supervision per week per home visitor.

f. SCREENINGS 1) PLAN: Contractor agrees to administer screenings with the frequency outlined

below:

Demographic: Intake Within 2 months of 1st visit Maternal Health Assessment Within 2 months of 1st visit Use of Government & Community Services Within 2 months of: 1st Visit;l2 months; 18

months Health Habits Within 2 months of: 3rd-4th visit; 36 weeks

pregnant Relationship Assessment: Pregnancy Within 2 months of: 3rd-4th visit; 36 weeks

pregnant Edinbourgh Postnatal Depression Scale or Patient Within 2 months of: 36 weeks pregnant; 1-8 Health Questionnaire - 9 weeks post-partum; 12 months Infant Birth Within 2 months of:lst postpartum visit ASQ (ASQ-3) Within 2 months of: 4 months; 14 months ASQ-SE Within 2 months of: 6 months; 18 months Infant Health Care Within 1 month of: 6 months; 12 months; 18

months Demographic: Updates Within 2 months of: 12 months; 18 months Relationship Assessment: Infancy Within 2 months of: 12 months

2) MODEL FIDELITY: Contractor agrees that screenings will be administered in :fidelity to the Nurse-Family Partnership (NFP) model requirements as outlined below:

Screenings are completed within the first 4 home visits.

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1.

Mason 1nty

ORGANIZATION TYPE: NFP C1

71112015 -Period: 6/30/2016

Award for

Mason

County Public

Line Item Health NFP Comments/Justification lines below line Item

(list individual positions, types of expenses on lines below each llne heading. Formulas item) automatically total up

A. Personnel $87,933.00 Salaries and Wages {Salaries and Wages for(individual

classifications, benefits and taxes, etc.)

AJblic Health Nurse .25 FTE salary $15,264, L&l,FICA,Retirerrent,Medical .25 FTE Public Health Nurse $21,349.00 Benefits, and unerrployrrent $6,085

AJblic Health Nurse .25 FTE salary $14,642, L&l,FICA,Retirerrent,Medical .25 FTE Public Health Nurse $20,623.00 Benefits, and unerrployrrent $5,981

AJblic Health Nurse .25 FTEsalary $14,092, L&l,FICA,Retirerrent,Medical .25 FTE Public Health Nurse $19,980.00 Benefits, and unerrployrrent $5,811.

AJblic Health Nurse Supervisor .2 FTEsalary $13,407, L&I, FICA, . 2 FTE Public Health Nurse Super;iisor $17,422.00 Retirerrent,Medical Benefits, and unerrployrrent $5,888 .

Oerical support .15 FTEsalary $5,515 L&l,FICA,Retirerrent,Medical .15 FTE Clerical Support $8,559.00 Benefits, and unerrployrrent $3,044.

B. Staff Recruitment, Trainina, Retention, etc. $0.00

c. Travel $0.00

D. Equipment (Purchase, rent, maintenance) $1,200.00 Cell phones & win for tablets $1,200.00 1 cell phone@ $60/rro and 1 w ifi for tablet@ $40/rronth for 12 rronths

E. Supplies (Postaoe, Printina, Publication, etc.) $0.00

F. Occupancy (Rent, utilities, etc.) $0.00

Contracted/Professional Services

G. <Subcontracts, Consultino, Printina, etc.l $565.00 NFP Technical Assistance/program support $565.00 part of the NFP program fees

H. Evaluation Stipend* $0.00

I. Travel Stioend - Thrive mandatory traininas $0.00

J. Indirect Charaes if not included above $10,302.00

County Indirect Rate $10,302.00

K. TOTAL $100,000.00

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B:

L Contractor Requirements a. Individualized Assessments. Contractor will administer individualized assessments of

participant families, and services will be provided in accordance with those individual assessments.

b. Voluntary Services. Services will be provided to clients only on a voluntary basis. c. Priority Participants. Priority will be given to address the needs of families to

alleviate the effect on child development of factors such as: e Poverty, e Single parenthood, Ill Parental unemployment or underemployment, Ill Parental disability, or • Parental lack of high school diploma • Family engagement in child welfare

Capacity Assessment. Contractor will develop and submit an Annual Capacity Assessment detailing community and organizational readiness and capacity for implementation of home visiting services with fidelity (prior to the Term). Materials provided in the Annual Capacity Assessment will be used to inform the Agreement.

e. Implementation Plan. Contractor will develop an Implementation Plan to guide Project implementation (prior to the Term).

f. Annual Orientation Webinar. Contractor will participate in an annual orientation webinar providing any updates on requirements associated with HVSA funding. The webinar will be held on July 22, 2015 at 2:00pm.

g. HVSA Trainings. Contractor will participate in two full-day trainings about HVSA contractual and reporting requirements on the following dates:

h. HVSA Training 1: November 5, 2015 i. HVSA Training 2: April 14, 2016 j. Technical Assistance and Coaching Calls. Contractor will participate in monthly

one-hour Technical Assistance and coaching calls with Thrive Implementation Hub, and if requested DEL staff for continuous quality improvement and quality assurance.

k. Site Visits. Contractor will cooperate with up to eight (8) scheduled site visits conducted for contract compliance, reporting requirements, organizational due diligence, HVSA evaluation, quality implementation technical assistance, and continuous quality improvement.

l. Monthly Financial Line Item Reports. Contractor will submit monthly Financial Line Item Reports online no later than the dates outlined below in the Payment Schedule. Monthly Financial Line Item Reports will include actual expenditures incurred for the month for each expense category in the proposed budget. Contractor wm be reimbursed for the expenses reported in the Monthly Financial Line Item Report unless otherwise approved.

m. Quarterly Project Reports. Contractor will submit four (4) Project reports online no later than the dates outlined below in the Payment Schedule. Reports shall include,

are not limited to: L

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2. Implementation Progress 3. Implementation Reflection 4. Select Fidelity Measures

n. Monthly Enrollment Numbers. Contractor will submit monthly Enrollment Numbers Reports online no later than the dates outlined below in the Payment Schedule. Monthly Enrollment Reports will include the number of children, female and male parents/caregivers, and families enrolled for the previously completed month, the number of new family enrollments during the month, the number of families that completed the program; the number of families that exited the program; and the number of home visits administered.

o. One Month Transaction Detail (General Ledger Activity) Upon request, Contractor will provide one month of General Ledger detail for Substantiation Testing.

p. Quarterly Financial Activity Reports. Contractor will submit four ( 4) Financial Activity Reports online no later than the dates outlined below in the Payment Schedule. Financial Activity Reports will include cumulative expenditures incurred for the quarter compared to line items identified in the budget in Schedule A, section 2.

q. Standing. All contractors must retain affiliate in good standing status and/ or active, ready to implement status, throughout the entire Term as described in Schedule D. Contract Monitoring, Implementation Improvement Status, Non-Compliant Status, and Non-Compliant Courses of Action. 1. Contract Monitoring. b. Model Standing for Evidence-Based Home Visiting Projects.

r. Additional Requirements. Contractor will maintain and make available to Thrive, if requested, documentation demonstrating accomplishments of the Agreement. Such documentation may include, but is not limited to:

11 Services Provided, Service Dates, and Number of Service Hours • Data Collection and Assessments by Participants • Attendance Sheets • Service Logs • Demographic Information of Participants

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2, Reporting The Payment Schedule below is based on the assumption that state and private revenue commitments to been maintained, and that such funds are available to for disbursement to the Contractor. the event that revenue commitments are not available to Thrive, Thrive reserves the right to amend the payment tenns and the amount of the Contract Total.

Requirement Due Date Reporting Period Payment Date Amount

Technical Assistance Monthly NA NA NA

Coaching Calls Site Visits TBD NA NA NA

HVSA Orientation July 22, 2015 NA

Signed Agreement August 1, 2015 NA

Proof of Insurance and SAM August 1, 2015

Registration NA September 4, 2015

Monthly Enrollment Numbers and Line Item August 21, 2015 July 1-31, 2015 Report Monthly Enrollment Numbers and Line Item September 21, 2015 August 1-31, 2015 October 5, 2015 Report

Monthly Enrollment Numbers and Line Item October 21, 2015 September 1-30, 2015 November 4, 2015 Report

Project Report and October 31, 2015

July I-September 30, Expense Report #1 2015

HVSA Training 1 November 5, 2015 NA December 8, 2015 Monthly Enrollment

Monthly Numbers and Line Item November 21, 2015 October 1-31, 2015 Report Reimbursement

Monthly Enrollment Numbers and Line Item December 21, 2015 November 1-30, 2015 January 6, 2016 Report Monthly Enrollment Numbers and Line Item January 21, 2016 December 1-31, 2015 February 4, 2015 Report Project Report and

January 31, 2016 October 1-Decernber

Expense Report #2 31,2015 Monthly Enrollment March 4, 2015 Numbers and Line Item February 21, 2016 January 1-31, 2016 Report Monthly Enrollment Numbers and Line Item March 21, 2016 February 1-29, 2015 April 1, 2016 Report HVSA Training 2 April 14, 2016 NA Monthiy Enroiiment Jl.J ___ ___e ".l.fl]_L

Numbers and Line Item April 21, 2016 March 1-31, 2015 Nl<I)' J, LUlU

Report Project Report and

April 30, 2016 January I-March 31,

June 1, 2016 Expense Report #3 2016

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Requirement Due Date Reporting Period Payment Date Arn

Monthly Emollment Numbers and Line Item May 21, 2016 April 1-30, 2016 Report Monthly Emol!ment Numbers and Line Item June 21, 2016 May 1-31, 2016 July 1, 2016 Report Monthly Emollment Numbers and Line Item July 21, 2016 June 1-30, 2016 August 4, 2016 Report Program Report and

July 31, 2016 1-June 30, 2016 September 2, 2016 Expense Report #4

MAXIMUM CONTRACT $100,000

.. TOTAL

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SCHEDULE C: COLLECTION

1. Background As a recipient of Home Visiting Services Account funding for the Project, the Contractor is required to collect data at the client and program level required by home visiting program models. The Washington State Department of Early Leaming (DEL) has established contractual agreements with Data Keepers Technology, LLC (Visit Tracker) for Parents as Teachers (PAT) programs, and Nurse-Family Partnership (NFP) National Service office, for NFP programs, to send the Contractors de-identified client and program level PAT and NFP Project data directly to e Washington State Department of Health (DOH), the DEL-specified Project Data Lead. DEL anticipates entering into contractual agreement with Parents as Teachers National Office for data associated with the Athena Penelope data system. DO sh a 11 be responsible for the receipt, secure storage and processing of the de-identified client and program level data. D 0 H will provide de-identified data sets to DEL for quality assurance and systems level Continuous Quality Improvement (CQI) purposes. Additionally, DOH will provide Thrive program level summary/aggregated data reports to be used collaboratively with national and state model leads in developing continuous quality improvement plans. No individual, client-level data is released for this purpose. Project related data will be retained for three years after completion of the Project for reporting purposes only and then destroyed. For Project auditing purposes and with data sharing agreements, DOH may share de-identified client and program level data with the Department of Early Leaming.

2. Data Management: Contractor shall fully participate in timely and accurate data collection, data entry, and data maintenance efforts related to entering client and program level data required by home visiting program model.

3. Quality Assurance and Continuous Quality Improvement: The Contractor is required to participate in CQI and Quality Assurance processes with Thrive, DEL and DOH: a. For data quality assurance purposes, the Contractor shall maintain a data sharing agreement with DOH. b. The Contractor shall participate in ongoing training associated with the data management offered by Thrive, DEL and/or DOH. c. The Contractor shall work with staff from Thrive in establishing local CQI teams and processes in support of CQI activities related to Project data.

4. Data Storage and Safe Guards: DOH shall ensure the client and program level data shall be fully protected and compliant under HIP AA regulations. DOH shall ensure data will be maintained on secure servers and computers requiring password access for staff whose duties specifically require access to the data in the performance of their assigned duties. DOH is required to protect data from unauthorized physical and electronic access by adopting and implementing effective protection measures and safeguards for hard disk drives, network server disks, optical disks, paper documents, remote access to workstations, portable devices. All data transfers with confidential information to/from DOH shall be made via Secure File Transfer Protocol (SFTP) with login and hardened password security.

6

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SCHEDULE CONTRACT MONITORING, IMPLEMENTATION IMPROVEMENT STATUS, NON-COMPLIANT STATUS NON-COMPLIANT COURSES OF ACTION.

1. Contract Monitoring. Thrive will monitor Contractor compliance with the general terms and conditions of this contract, contract requirements, model standing, implementation progress, enrollment performance and financial activity through review of the following, though not limited to; Contractor monthly financial and enrollment reports, general ledger transaction detail, quarterly financial and Implementation Plan progress reports, meetings with Contractor, and site visit(s) with Contractor. a. Compliance with Contract Requirements. The Contractor will ensure all Contractor

Requirements, as outlined in Schedule B, section 1, are met and submitted. Failure to comply with, or submit timely and complete materials related to Contract Requirements may resuit in withheld or delayed payments as described and indicated in the Schedule B, Section 2. Payment Schedule. Model Standing for Home Visiting Programs. All Contractors funded to implement a home visiting must retain affiliate in good standing and/or active ready to implement status throughout the Term of the contract. If the home visiting model developer withdraws or revokes the Contractors affiliate in good standing and/or active ready to implement status, prior to the contract Term end date, Thrive in coordination with DEL will conduct a joint due diligence review of the loss of the Contractor's affiliate in good standing and/or active ready to implement status, and then Thrive may, upon written notification to the Contractor, terminate this Contract in whole or in part.

c. Implementation Progress. Thrive will review quarterly progress toward completion of the Contractor's Implementation Plan and conduct quarterly budget monitoring activities outlined in Schedule A. Implementation Plan and Budget, (Schedule A.). Plan and Model Fidelity progress will be reviewed with respect to the following Schedule A. 1. Implementation Plan categories: a. Staffing, b. Training, c. Recruitment and Enrollment, d. Home Visits, e. Supervision, f. Screenings, and financial activity related to 2. Budget. Delay in meeting two or more Schedule A. 1. category areas and/or non-compliance related to financial activity during a quarter, will result in Contractor's transition to Implementation Improvement Status

d. Enrollment Performance 1) Thrive will review Contractor enrollment performance for the following measure:

Percentage of Families Enrolled to Proposed Families Served. For purposes of this section only: minimally, Percentage of Families enrollment is defined as an enrolled family receiving at least one home visit, or other home visiting model developer approved contact, by an approved home visitor, during a calendar month. This definition does not supersede or relieve the Contractor from complying with specific home visiting model developer guidelines, standards and/or fidelity measures set for enrollment and/or Schedule A. 1. c. Recruitment and Enrollment, and d. Home Visits categories Plan and/or Model fidelity areas specified in Schedule A.

2) The Contractor shall maintain at least 80% enrollment of the Proposed Families Served in Schedule A. 1. c. Recruitment and Enrollment, during the term of the contract. Enrollment numbers will be reviewed on a monthly basis.

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If the Contractor's enrollment of Proposed Families Served and Enrollment, is between 70%-79%, for two or more Contractor will receive written notification of their

. c. Recruitment months, the

enrollment status and a follow-up call to discuss barriers and strategies for increasing enrollment. Contractors that maintain an enrollment of less than 79% of Proposed Families Served for an additional two months after receiving written notification of their low enrollmenf status, and follow-up call, will be transitioned to Implementation Improvement Status for additional contract monitoring focused on supporting improvement in Contractors enrollment.

b) If the Contractor's enrollment of Proposed Families Served in A. 1. c. Recruitment and Enrollment, is below 70%, for two or more consecutive months, the Contractor will be transitioned to Implementation Improvement Status for additional contract monitoring focused on supporting improvement in Contractors enrollment.

2. Implemellltation Improvement Status. Contractors transitioned to Implementation Improvement Status are required to participate in the steps outlined in a.-c. below within 30 days of written notification by Thrive, or within an extended, alternate timeline approved by Thrive: a. Completion of Self-Assessment: Contractor will complete a Self-Assessment provided by

Thrive which may address, though is not limited to the following: compliance with contract requirements, model fidelity, implementation progress, financial activity, and/or enrollment performance in need of improvement. Participation in Implementation Improvement Meeting: Contractor will participate in an Implementation Improvement meeting with Thrive staff The purpose of the meeting is discuss the Self-Assessment; gather information and feedback from the Contractor; share and review Thrive data; other available program data; and other information related to areas in need of improvement which may be used to inform the development of an Implementation Improvement Plan. The Contractor shall participate in additional meetings in collaboration with Thrive to develop the Contractors Implementation Improvement Plan.

c. Development of an Implementation Improvement Plan: Thrive shall issue a written Implementation Improvement Plan (Plan) to the Contractor within 30 days of the last Implementation Improvement Meeting. The Plan shall: 1) cite and describe the Contractor's specific area( s) in need of improvement, including,

though not limited to: compliance with contract requirements, model fidelity, implementation progress, financial activity, and/or enrollment performance in need of improvement. For the specified area(s) in need of improvement, the Plan shall provide metrics or benchmarks to serve as indicators of satisfactory improvement.

2) identify corrective action items and/or steps the Contractor shall comply with to address cited areas in need of improvement. The plan shall also identify technical assistance and/or other supports designated to be made available to the Contractor by Thrive to assist the Contractor in achieving satisfactory improvement.

3) outline a time line for the completion of the Implementation Improvement Plan by the Contractor.

d. satisfactory improvement in the specific area(s) indicated in Plan is met by the Contractor, within the tirneline for completion of the Plan, the Contractor shall be transitioned out of Implementation Improvement Status. Thrive will provide . the <

0 ()

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Contractor written notice of this transition once it has determined satisfactory improvement has been met following the time line for completion of the Plan.

e. satisfactory improvement the specific area(s) indicated in Plan, within the timeline for completion of the Plan, is not met by the Contractor, the Contractor shall be transitioned out of Implementation Improvement Status to Non-Compliant Status. Thrive will provide the Contractor written notice of this transition once it has determined satisfactory improvement has not been met following the time line for the completion of the Plan.

3. Non-Compliant Status: Contractors transitioned to Non-Compliant Status are required to participate in the steps outlined in a. and b. below, within 14 days of written notification from Thrive, or within an extended, alternate timeline, approved by Thrive: a. The Contractor shall participate in a Non-Compliant Status meeting with Thrive staff to:

1) review the Contractor's Implementation Improvement Plan and discuss progress that was made and barriers that were encountered during the Plan's implementation, including technical assistance and/or other supports designated to be made available to the Contractor by Thrive.

2) identify and review Contractor's contractual requirements and areas of contractual non-compliance

3) discuss Non-Compliant Courses of Action After completing the Non-Compliant Status meeting, and any additional Non-Compliant Status follow-up meetings with the Contractor to gather information or feedback, Thrive, in coordination with DEL, and DSHS, will issue the Contractor a written Non-Compliant Course(s) of Action within 14 days of the last Non-Compliant Status meeting date.

4. Non-Compliant Course(s) of Action. The written Non-Compliant Course(s) of Action issued by Thrive shall include one or more of the four Non-Compliant Course(s) of action below: a. Continuation of Implementation Improvement Plan. Thrive may propose to modify

and/or extend the Contractor's Implementation Improvement Plan for up to an additional 3 month period to meet specific area(s) cited in need of improvement.

b. Suspension of Payment: Thrive may suspend payment of all or part of Contract funds until satisfactory contract compliance is met.

c. Reduction in Maximum Contract Total. Thrive may amend this contract to reduce the Contractor's maximum contract total: 1) to reflect the amended Implementation Plan scope negotiated between Thrive and the

Contractor based on Contractor's cost per family served and other related factors, and, 2) if feasible and in compliance with funding requirements, contractual requirements, and

approval processes, including Home Visiting Model Developer program requirements. d. Early Contract Termination. Thrive may terminate this contract prior to the end of the

Term if satisfactory contract compliance is not met by the Contractor in the implementation of the Contractor's Implementation Improvement Plan, and/or if the Contractor is not able to, or is not cooperative in development and implementation of the Implementation Improvement Plan.

e. Notice. The written Non-Compliant Course(s) of Action shall become effective a minimum of 30 days after the delivery of the written Non-Compliant Course(s) of Action to the Contractor, except as identified in I .a., 1.b. 4.b., 4.cii., and 4.d., of this schedule and as provided for elsewhere in the Independent Contractor Agreement boilerplate and/or other schedules attached to this contract.

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ClerK ~ MASO~\! COlH\IT\f

AGENDA JIT!EM SL!JMMAIRY IFORJ•~

TO: BOARD Of MP.SON COUNTY COMMILSSEOQ\!fER§

From: Becky Rogens

DEPARTMENT: Support Services

P<ctitl:w~ ffe.gen1dai _)§_ IP~fJ1ic [~eafi-~ITTJg __ Ot~eu·

E}l'lr: 419 ,,,..., .......

DATE: 8/4/2015 J.i~gerildai Iten"J1 if: )f , D (Commissioner staff to complet e)

BRIEFING DATE: N/ A BRIEFING PRESENT!ED BY:

[ X] ITIEM WAS NOT PREVEOUSl Y BRIEflED V~XTM l l"b"l!E B0~1~J) Please provide e.xplairDation of urgency

ITEM: Approval of Veterans Assistance Fund applications for: Necessity Items $350.00; Utilities $1,332.76 and Housing $1 ,170.00 for a total of $2,852.76.

Background: The Veteran Service Team reviews veteran applications to determine eligibility for assistance at the following two locations : (1) Memorial Hall - 210 W. Franklin, Shelton; Monday- Wednesday from 9 am- 4 pm and by appt. (360) 426-4546 and also at (2) N01ih Mason Veterans Service Center- 140 NE State Route 300, Belfair; Mon - Thurs from 9:00 am - 4:00 pm; (360) 552-2303. Listed are applications recommended for approval by the Veterans Service Team.

RECOMMENDED ACTION: Move to approve the Veterans Assistance Fund applications for: Necessity Items $350.00; Utilities $1 ,332.76 and Housing $1,170.00 for a total of $2,852.76 as recommended by the Veterans Service Office.

Attaclunent(s) : Applications on file with Clerk of the Board.

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[ ] ITEM Please explanation

accordance with the Revised Codes Washington, Public Works Projects need to be formally accepted by the local governing body in order to start the process to close out the project and release retainage.

RECOMMENDED OR REQUESTED ACTION Recommend that the Mason County Board of County Commissioners formally accept the Belfair Water Reclamation System, Water Reclamation Facility Project and authorize the Public Works Director to take the necessary steps to close out the project and complete the necessary paper work required by law prior to the release of the project retainage to the contractor.

Attachment: Sample Letter accepting the project.

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PUBLIC WORKS DEPARTMENT 100 W PUBLIC WORKS DRIVE

SHELTON, WASHINGTON 98584

INTER-DEPARTMENTAL COMMUNICATION

24,2015

TO:

FROM:

SUBJ:

Jenny Johnson, Account Tech

Kelle Medcalf, Office Manager

CHANGES to the 2015 Washington DC Skokomish River Restoration Project

- Civil Works Review Board

The Civil Works Review Board meeting for the Skokomish Ecosystem Restoration Project in Washington DC was rescheduled. Melissa McFadden and Loretta Swanson travel arrangements have been rescheduled to August 21, 2015 to August 26, 2015. The expense of this trip is to be funded through the Skokomish Flood Control Zone District Fund (Fund #192).

The following is updated information.

Airline Information: A visa charge for travel arrangements made through United Airlines was charged to the Public Works visa in the amount of $1,438.40

An additional visa charge of $400.00 was made to United Airlines for date/flight changes (United Airlines Confirmation letters attached).

Accommodations: NO CHANGE TO VOUCHER AMOUNT A voucher in the amount of $1,112.94 made payable to:

Monaco Washington DC 700 F Street NW Washington, DC 20004 Ph: (800)649-1202 Fax: (202) 628-7277

Confinnation and Travel Expense Vouchers attached.

Hotel stay for Friday, August 21st through August 22nd will be paid by employees.

Per Diem: A per diem will apply for meals purchase from Sunday, August 23rd through Wednesday, August 26th if an itemized detailed receipts (purchase, and taxes) and per diem request form is turned in by the attendees.

Thank you.

Kelle Medcalf Office HH•HUF,V•

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Public Works

ITEM: Supplemental Agreement with

Background: On June 25, 2013, Public Works was authorized to use the Consultant Roster to select and enter into an agreement for design consultant services for the Evers Bridge rehabilitation/preservation project on Shelton Matlock Road.

Public Works selected Integrity Structural Engineering and enter into agreement with a maximum amount payable not to exceed $70,862.66.

Supplemental Agreement No. 1: Time extension contract completion date moved from December 31, 2014 to December 31, 2015.

At this time, Public Works would like authorization for the County Engineer to execute Supplement Agreement Number 2 that allows Integrity to perform construction engineering support

Supplemental Agreement No. 2: will add an additional $13,696.23, with a maximum payable amount not to exceed $84,558.89.

The project is federally funded 100 percent, with no required local matching .

.::..======-=....:::..::==·Recommend the Board authorize the Deputy Director/County Engineer to execute Supplemental Agreement No. 2 to Local Agency Standard Consultant Agreement with Integrity Structural Engineers for

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MASON COUNTY COMMISSIONERS

Public Works

2015

Melissa McFadden

[ ] ···· - - - ---- -Please provide explanation

Submitted herein for action of the Board is a Reimbursable Agreement for Mason County Public Works Department to provide maintenance services (equipment, labor and materials) for the abatement of environmental hazards requested by Washington State Department of Ecology.

The cost of the described work will not exceed the actual cost and the agreement will remain in effect until either party wishes to terminate the agreement.

Recommended Action: Recommend the Board execute the Reimbursable Agreement for Mason County Public Works Department to provide maintenance services (equipment, labor and materials) for the abatement of environmental hazards requested by Washington State Department of Ecology.

Attachment(s): Agreement

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INTERGOVERNMENTAL REQUEST & AGREEMENT FOR

REIMBURSABLE WORK BY MASON COUNTY PUBLIC WORKS

To the County Engineer: The undersigned hereby requests that the following described work be performed by the Public

Works Department for the agency or department shown.

It is understood that this work will be done at the convenience of the Public Works Department.

Description of work or services requested: Maintenance services (equipment, labor and materials) for the abatement of environmental hazards.

Termination Date: Upon Request of either party Total cost not to exceed: $Actual Costs

The undersigned certifies that sufficient budgeted funds are available to cover the cost of the requested work or services, and that payment to the Public Works Department will be made promptly unless otherwise modified in this agreement.

Agency or Dept.: Washington State Department of Ecology Signed: ___________ _

Date: Title:

******************************************************************************** To the Board of County Commissioners: Date: ----------

I have examined the above request and make the following recommendation: I recommend the Board approve the above, as presented.

County Engineer ******************************************************************************** Action of the Board of County Commissioners: Date: ______ _

_ The Engineer's recommendation is hereby approved.

_ The Engineer's recommendation is disapproved or modified as follows:

ATTEST:

JULIE

BOARD OF COMMISSIONERS MASON COUNTY, WASHINGTON

RANDY NEATHERLIN, Chair

TERRI JEFFREYS, Vice Chair

TIM Commissioner

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DCD

8/4/15

MacSems

[·]ITEM WAS NOT PREVIOUSLY BRIEFED Please provide explanation of urgency

ITEM:

Action Agenda -~~-~ Public Other

BOARD

Approve of two Summer 2015 Heritage Grant applications totaling $6,600.

BACKGROUND:

RCW 36.22.170 created a surcharge on documents recorded with the County Auditor, one dollar of which is dedicated for County historic preservation purposes.

The Mason County Historic Preservation Commission wishes to channel some of these funds to organizations engaged in the collection, preservation and interpretation of Mason County's heritage. In pursuit of that goal, the Mason County established a Heritage Grant program in 2011 that provides reimbursement grants for up to $5,000 for qualified projects and applicants. This is a reimbursement grant, so no public money is spent until contracted grant work is complete.

The Summer 2015 marks the County's ninth HG cycle. Two applications were received this cycle, both of which the Historic Preservation Commission found to be good projects that qualified for County support under the Heritage Grant program.

are as

Action Grants 4.doc

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District , ,600 to buy and install a 48" x 36" directory sign (graphic panel with clear-plex cover). A kiosk will be added later and is beyond the scope of this grant.

Mason Historical $5,000 towards the estimated $11,000 cost of updating the museum's lighting system to UV rated lights which will add additional protection to the artifacts in the museum.

BUDGET IMPACTS: The Historic Preservation Commission budgeted $20,000 for fiscal year 2015, but awarded no grants for the Winter Cycle, leaving the full amount (Less $5,000 carried over from a 2014 grant that received an extension) available to the summer 2015 grant cycle. If approved by the BOCC, this grant cycle will cost $6,600.

RECOMMENDED OR REQUESTED ACTION:

Approval of the two Summer 2015 Mason County Heritage Grants, as discussed above, for a total amount of $6,600, on the Action Agenda for the August 4th BOCC meeting.

APPROVAL TO:

Sign contracts with the above referenced organizations for the afore described projects.

ATTACHMENTS:

Copies of the grant proposals from all four applicants, Mason County Heritage Grant Program Guidelines, Comments about Contract from Tim Whitehead, Draft Contracts.

Action Item Form Grants

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Mason County Heritage Grant Program Guidelines Mission: The Mason County Heritage Grant Program provides resources to assist in the collection, preservation, and interpretation of Mason County's heritage. About the Program: On behalf of the Board of County Commissioners, the Mason County Historic Preservation Commission (MCHPC) administers the Mason County Heritage Grant Program (HGP) to assist projects that promote the public's access to County history. The program is funded with a portion of document recording fees collected by the Mason County Auditor. The allocation of these fees for projects that "promote historical preservation or historical programs, which may include preservation of historic documents" is authorized under RCW 36.22.170. The revenues accrue to a dedicated fund and may not be used for any purposes other than those stipulated in the statute. The program is operated in such a way that revenues accruing to the fund in one year are allocated in the following year, ensuring that project awards will be available regardless of prevailing economic conditions. Eligibility: 1. Who can apply: Non-profit organizations currently registered with the Washington Secretary of State or 501 ( c )(3 ), government entities, including tribes, are eligible for consideration as long as they have a clear focus on heritage within Mason County. Projects sponsored by individuals are not eligible. 2. Project Categories: To qualify for assistance, projects must fall into one of the following categories:

• Professional Development • Public Education • Small Capital Projects • Collections Management • Heritage Investigations • Historic Preservation

3. Project Ranking Criteria: The evaluation of the grant proposals will be based on the following criteria. (Points in parentheses):

• Promotes heritage, preservation and history in Mason County (25 pts. maximum) • Public benefit, shows public need and scope, and will increase public understanding,

exposure and experience of Mason County history (20 pts. maximum) 111 Applicant has the capacity to complete the project using professional standards (15

pts. maximum) • Immediate need or opportunity and relates to applicants mission and/or goals (15

pts. maximum) • Measurable outcomes (10 pts. maximum) • Well defined budget as well as effectively leveraged funding and support from other

sources (total project costs, i.e. grant amount plus hard and soft match; enhancing historic visibility) (10 pts. maximum)

• Economic benefit to Mason County (5 pts. maximum)

Mason County Heritage Grant Program Guidelines December 14, 2014 Page 1

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Note - Ongoing operational costs (staff, utilities, rent, etc.) are not eligible for HGP funding.

Available Funds: Grant proposals may be requested up to $5,000. Total funding level for the Mason County Heritage Grant Program will be determined by the number and quality of the proposals.

P:roposal Process: The program operates on a calendar year budget with two proposal periods during the calendar year. The proposal deadlines for each calendar year are June 30th for the first period by 5 :00 p.m. and December 30th for the second period by 5 :00 p.m. Projects for both periods are to be completed within 6 months of grant award. Grant recipients can request a one time six-month extension. Extension requests must be in writing and be submitted to the Mason County Historic Preservation Commission for approval no later than 5 :00 p.m. four months from date of award. Applicants are allowed to submit one proposal per granting period. If a six-month time extension has been granted for a previously approved grant, the grant recipient will not be eligible to request grant funding until completion of the participants current grant. Grant recipients not completing projects within the initial six month period and do not have an approved time extension will not be eligible for grant funding for one year from the date of the completed grant. Only an authorized official for the organization is allowed to sign the proposal (i.e. city official, organization president, etc.). The application must also be signed by the organization's financial officer.

1. Submittal/Review: • Develop grant proposals addressing each element in the order identified under

Project Ranking Criteria. • Complete the grant proposal and submit one original signed proposal, one set of support

materials (optional), and five additional copies of all materials to the Mason County Historical Preservation Commission, Mason County DCD, P.O. Box 279 Shelton, WA 98584. Proposals which are mailed to the above address must be postmarked by the deadline dates established for each period. Hand delivered proposals must be received no later than by 5 :00 p.m. for the deadline dates established for each period. If proposal deadline dates fall on a non-county business day, proposals are due by 5:00 p.m. the next business day. Late or incomplete proposals will not be accepted.

• Proposals will be reviewed for completeness by staff. After the proposal deadline closes, staff will forward completed proposals to the MCHPC Subcommittee for review and ranking using the MCHPC approved ranking criteria. The Subcommittee will forward a ranking report to the MCHPC for endorsement by a majority of the MCHPC. A recommendation will then be forwarded to the Board of County Commissioners (BOCC). The BOCC will make all final funding and approval decisions.

2. Contract/Scope of Work: Approved grant proposals recipients will sign a contract with Mason County, and will provide a scope of work. The scope of work will be an attachment to the contract.

Mason County Heritage Grant Program Guidelines December 14, 2014 Page 2

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3.Reimbursement: The HGP is a reimbursement program. The grantee will complete their projects and invoice the County for reimbursement of the approved expenditures. Grantees will allow at least 30 days for reimbursement after the invoice has been received by the County. A progress report and documentation of expenditures will be required for the advance of funds before the completion of a project.

4. Final Report: Upon completion of the granted project, a final report shall be submitted by the grantee to the MCHPC. The final report should briefly report the completion and the outcome of the granted project and shall be submitted to the Mason County Historical Preservation Commission, Mason County DCD, P.O. Box 279 Shelton, WA 98584 within 10 calendar days of the authorized grant completion date.

5. Special Notice: Properties listed on the Mason County Register of Historic Places must have a Certificate of Appropriateness submitted with the application package if the project meets the review requirements of the Mason County Historic Preservation Ordinance Chapter 17.40.150. Mason County Heritage Grants will not be approved for projects that would result in the disqualification of properties on federal, state or county historic registers.

ADDITIONAL INFORMATION: Project Categories: The following are examples of activities which are meant to illustrate the types of potentially eligible projects. The examples listed below are not meant to be exclusive. Applicants unsure of a potential project's eligibility should contact the Mason County Historical Preservation Commission, at Mason County DCD, P.O. Box 279 Shelton, WA 98584, 360-427-9670 for a determination. Projects may fall under more than one category.

• Professional Development: This category provides support for activities, which enhance the capabilities of the board, staff and volunteers of non-profit organizations to collect, preserve and interpret history in Mason County. Examples:

o Development or sponsorship of programs for the professional training of nonprofit staff and volunteers related to historical preservation.

o Provide capacity-building training for the boards and staff of non­profit heritage organizations.

e Public Education: This category provides support for activities that incorporate Mason County history into the educational infrastructure and the general public discourse. Examples:

o Research, design, production, installation and promotion of permanent and semi-permanent exhibits, both on-site and off-site.

o Research, design, production and management of traveling exhibits for schools.

o Original research that will result in publication, exhibit, public event, or some other product that places the outcome of the research before the public on a not for profit basis.

o Production and distribution costs for books, articles, videos, oral history tapes, DVDs, etc., on a not for profit basis which address some aspect of Mason County hi story.

Mason County Heritage Grant Program Guidelines December 14, 2014 Page 3

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e Small Capital Projects: This category provides support for historical preservation projects that assist an organization in meeting health, safety and welfare needs that preserve its facility assets and enhance service to the public. If a small capital project is located within a local historic preservation jurisdiction, evidence of review and approval by the local jurisdiction that the project meets the U.S. Secretary of the Interior Standards is required.

o Design and installation of modifications to meet ADA requirements. o Exterior maintenance (roofing, painting, relevant landscaping, etc.) of

substantive value/nature, i.e., more than routine and periodic maintenance expected of a prudent owner or tenant if such maintenance is necessary to protect historic archival exhibits.

o Substantial interior projects that preserve the structural and/or signature design integrity of heritage facilities.

o Acquisition of technology hardware with a projected useful life of three or more years that is used in direct support of the applicant's project.

111 Collections Management: This category provides support for projects that assist nonprofit organizations to effectively execute their stewardship obligations for their collections. Examples:

o Acquisition of significant additions to the collections of non-profit heritage or historical organizations.

o Professional services related to conservation of key items in the collections of nonprofit heritage agencies.

o Acquisition of software to computerize collections management (For technology hardware, refer to Small Capital Projects).

o Provision of a portion of the local share of the cost for an operational assessment by a qualified professional or an accredited institutional program (e.g., the Museum Assessment Program).

• Heritage Investigations: This category provides support for activities that involve recovery, recording and reporting/presentations of Mason County heritage materials. Examples:

o Archaeological surveys, excavations and reporting of heritage sites and artifacts, in consultation with local Indian Tribes, within Mason County.

o Archival investigations and reporting of documents involving the heritage of Mason County.

o Recording and reporting ancient and historic artifact collections in public and private ownership from Mason County. Artifacts in this category can vary in scale, e.g., from barns/buildings down to projectile points and oxen shoes.

• Historic Preservation: This category provides support for activities that directly result in the identification, evaluation and and protection of significant heritage resources. Examples:

o Survey efforts. o Historic designation. o Site condition analysis or evaluation.

Mason County Heritage Grant Program Guidelines December 14, 2014 Page 4

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o Research/documentation efforts. o Completion of preservation planning documents. o Other efforts that result in the protection of Mason County

heritage. !:::.!:!.!!Qlll!J.:g:J~":J§J.fillQ!1J.Q!..!.!.'E:§...!2.'Qg!.f!:!.t!:l. RCW 36.22.170: The Revised Code of Washington can be viewed online at: http://apps.leg.wa.gov/rcw/.

Professional Standards Guidelines for Applicants: If the core of the grant project is historic preservation, it shall be carried out in compliance with the US. Secretary of the Interior Standards for such projects and other applicable codes and regulations at the federal, state and local levels. Please see link below. American Association of Museums Best Practices: http://www.aam-us.org/aboutmuseums/standards/stbp.cfm

American Association of Museums Code of Ethics:

http://www.curcom.org/docs/08COE draft web.htm Secretary of the Interior Standards for Rehabilitating, Restoring, and Reconstructing Historic Buildings: http://www.nps.gov/hps/tps/standguide/ Oral History Standards: http://www.oralhistory.org/?s=Standards Americans with Disabilities Act Guidelines: http://www.ada.gov/ Digital Project Standards Resources: http://content.lib.washington.edu/cmpweb/project/proj-resources.html Mason County Historical Preservation Commission http://www.co.mason.wa.us/historic/index.php

Mason County Heritage Grant Program Guidelines December 14, 2014 Page S

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From:

To:

Date:

Michael,

Tim Whitehead

Michael MacSems

7 /13/2015 1:47 PM

Re: MCCD 1 Heritage Grant contract

I reviewed the two contracts and approve them as to form. Thanks

Tim

> > > Michael MacSems 7 /13/2015 10:53 AM > > >

Tim,

Here is the corrected version of that contract. Thank you.

Michael

Page 1of1

15

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1

Mason

P.O.

Shelton

MCHPC:

5

98584

Mason County Cemetery District 1 is the only currently recognized

m Belfair. We are governed a person elected nsmg

and declining revenue is jeopardizing the long-term integrity of the grounds. We are embarking on a phased series of capital improvements. We are asking for a grant to build and install a kiosk containing an onsite map of the cemetery and a history of the cemetery. We believe such a kiosk would help vLsitors locate specific sections of the ,, .

cemetery and inform them of the history of the grounds. There are five defined sections to the cemetery donated and purchased through the years. A county road runs through the cemetery the middle of the cemetery. We understand~his is a reimbursable grant.

D Promotes heritage, preservation and history in Mason County (25 pts. maximum)

We believe that cemeteries are not for the dead - they are for the living. Certainly cemeteries honor the memory of those interred in them, but they also preserve the heritage of the communities they serve. Many of the pioneers of the North Mason area are buried in Twin Firs and it has been through several of those pioneer families generosity of land donations that the Cemetery got its start and has expanded over the years. Mason County Cemetery District 1 was formed resolution of the County Commissioners

a 1 1

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D shows increase public understanding, Mason

(20 pts. maximum)

Like other cemeteries, we have historically financially supported people buying up burial space, but in recent decades more and more people are choosing to be cremated. We are considered a junior taxing

our operating funds sales of plots. Board and 1

maintenance and business planning ensure Firs Cemetery pays respect to the community it serves. In 1965 Cemetery commissioners gave a 60 foot right of way to the County for the now Sand road which runs through the middle of the cemetery. Daily traffic counts on Sand Hill road currently exceed 1 000 vehicles a day with 2025 forecast of over 18,000 vehicles a day. The kiosk will increase public exposure to Mason County history and help visitors find specific grave sites by providing a link to our website and grave locations.

o Applicant has the capacity to complete the project using professional standards (15 pts.maximum) We have the funds available to complete the project. We have sought a bid from a local sign builder.

o Immediate need or opportunity and relates to applicants mission and/or goals ( 15 pts. maximum) The goal of the cemetery district is to preserve the heritage of the community by preserving and maintaining the cemetery to a high standard. There is a need to define specific sections of the cemetery and provide assistance

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o defined budget as as effectively funding support from sources (total project costs, grant amount plus

and soft match; enhancing historic visibility) (10 pts.

0 benefit to Mason County (5 pts. maximum)

We have sought a bid from a local sign builder. This improvement will make the cemetery more visible and efficient to the public it serves.

you for consideration.

~~~03 Hankins~erk of B~ard and Financial Officer

at~-:~ I ~--~ ~

Paula Grande, Assistant Clerk

f1 3~ t, /], (1/l ~ {_)~Lto~ Cheri Pruitt, Commissioner

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La

the

deeded the cou a tract

Larson a

cemetery purposes.

March 1952 Lucy Foster gave one square acre the for cemetery

purposes, as the SW corner of the acre contained a graves of

family and friends.

March 14, 1955 Cemetery District #1 was formed Resolution of the County

Commissioners, after an election was held. First commissioners were William

DeMiero, Alice Pope and Vance Shephard. ries were established as those

r.

September 30, 1955 Henry Larson deeded to the cemetery district an additional

tract of land.

September 22, 1965 Cemetery District commissioners gave a 60' wide right of

way to the county for road purposes. (Sand Hill Road)

December 16, 1983 Walter Allison and his sister, Anita Petterson, gave a quit

claim deed to a strip of land that gave the cemetery district the entrance driveway

on the east side of Sand Hill Road.

May 11, 1984 Cemetery District purchased from the State of Washington tract of

land on west side of Sand Hill Road.

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From: To: Sent:

"Ken VanBuskirk" <[email protected]> "Joe Berg" <[email protected]> Tuesday, June 30, 20151:47 PM Re: Tentative shelter and panel designs, panel costs

Thanks Joe. I will submit with application and keep you posted. Ken ----- Original Message ----­From: "Joe Berg" To: Sent: Tuesday, 30, 2015 1:08 PM Subject: Tentative shelter and panel designs, panel costs

Ken,

Attached please find designs for the shelter and sign panel. The shelter shows a little more substance than I originally planned, and will therefore take more help to build; but I'm sure you'll agree that it would be nice if this were a substantial contribution to the overall amiability of the park I don't think we want a shed-like feature to tangle up the view.

Another consideration is that the current shelter is oriented almost directly Northwest, as is the road. We're going to look odd if we cant our building over to face directly North; better to follow the existing flow. I think we can still orient our art at square North to the structure without throwing people off We'll talk about this later.

Pardon me if either of these designs are not exactly what you envision. Just look at this as a starting place. I didn't do the arial view of the cemetery, for instance, because I hoped to keep the look cleaner and more fresh-looking by generating everything. You can tell me whether or not this works. Additionally, I'm showing an anecdotal history panel; this panel balances the land acquisition panel graphically, and provides space for some more relatable, engaging historical info.

Costs for the shelter will depend on the amount of time and materials you can provide me. Cost for the graphics panel and clear plex cover will be about $1500, installed. It will measure about 4811 wide by 36" high, with a vinyl graphic which will fade less quickly than other print options.

Please let me know any ideas you have, or anything I may have overlooked.

And thanks MUCH for your patience!

1 1

5

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VI n

"' ro

"' IJ1

11'

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-z

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HERITAGE GRANT CONTRACT

This Heritage Grant Contract (this "Contract") is entered into as of August ___ 2015, by and between Mason County (the "County"), and the Mason County Cemetery District #1, (the "Grantee").

Mason County Cemetery District #1 P.O. Box 795

Mason County Historic Preservation Commission 426 West Cedar St

Belfair, WA 98528 Shelton, WA 98584 (360) 275-2461 Attn: Michael MacSems

RECITALS

AGREEMENT

(360) 427-9670 ext. 571

I.The Grantee has applied for a grant in the amount of $1,600 to cover the cost of a directory sign (creation and installation) to serve the Twin Firs Cemetery.

2.The County is granting the $1,600 requested for this project on a reimbursement basis. All persons performing the work on this sign shall act as an independent contractor(s), and not as an employee(s), on the terms and conditions set forth herein. The money for this grant comes from fees collected by the Mason County Auditor as authorized by RCW 36.22.170, which established a dedicated fund for support local historic preservation.

In consideration of the foregoing and of the mutual promises set forth herein, and intending to be legally bound, the parties herein agree as follows:

2.Term.

(a) The County hereby agrees to reimburse the Grantee up to the full amount of the grant based on an invoice and frnal report for the signage project, which shall be performed by an independent contractor.

(b) The Grantee hereby accepts the engagement to have said work performed, to present an invoice and a frnal report for reimbursement and agree to an inspection of the frnal product prior to receiving payment under the terms and conditions set forth herein.

(a) This contract will commence on the date first written above, and unless modified by the mutual written agreement of the parties, shall continue

until six months from that date. The Grantee can request a one-time six­month extension. Extension request must be in writing and be submitted to the Mason County Historic Preservation Commission for approval no later then 5:00 p.m. four months from the date of the award.

3.Grantee's Obligations

(a) The Grantee shall provide a Scope of Work, consistent with the grant application, which shall be attached to this contract as Exhibit A.

(b) Upon completion of the project the Grantee shall provide the County with an invoice for reimbursement of the approved expenditures. Grantees will allows at least 60-days for reimbursement after the invoice has been received by the County. A progress report and documentation of

Heritage Grant Contract 7.doc

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Grant Contract 7.doc

expenditures will be required for the consideration of any advance of funds prior the completion of the project.

(c) Upon completion of the granted project, a final report shall be submitted by the Grantee to the Mason County Historic Preservation Commission. The final report should briefly report the completion and outcome of the granted project and shall be submitted to the Mason County Historic Preservation Commission, c/o 426 West Cedar St, Shelton, WA 98584 within 10 calendar days of the authorized grant completion date.

Chair, Mason County Board of County Commissioners Date

Chair, Mason County Historic Preservation Commission Date

Authorized Representative of the Grantee Date

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Post

Belfair,

20, 2015

Scope of Work for Cemetery District 1 grant request.

Mason County Cemetery District 1

PO Box 795 BelfairWa. 98528

Sharon Hankinson derk360-275~2461

Paula Grande assistant clerk 360-801-9049

Email :[email protected]

Deliverables:

ice Box 795

shington 9

Provide and ,install {1) 4'wide (or greater) X3'high sign panel of%" MDO sign board.

I

8

Provide and install printed graphics for the above sign, laminated for UV resistance. Final

graphics configuration to be determined, but will include a site map plus historical information.

Provide and install a clear acrylic weather and vandal shield for the above graphics panel.

On-site placement of posts to carry this signage.

Above work to be completed by Mr. Berg of Berg Architectural Signage.

Completion date: 12/30/15

1

,. ~r rl '' Ll1~~~ L.[(,t1J./

: Commissioner Cheri Pruitt Clerk Sharon Hankinson

~~ Assistant Clerk Paula Grande

Commissioner Ken Van Buskirk

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Owner Signattllre {if olfferent): ___________________ _

Foir Office Use OnDy:

Date Application Received by County:. ____________ _

Public Hearing

County Action Taken:

Board of Ccnmty Commission: _________________ _

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The Mason County Historical Society (MCHS) is applying for a $5,000.00 Grant to assist in upgrading our

light fixtures for UV protection. Our goal is to protect the valuable artifacts that have been entrusted to

our care.

We are registered as a 501(c)3 corporation with the State of Washington.

We believe our lighting fixture upgrade falls into the categories of Public Education, Collections

Management, Heritage Investigations, and Historic Preservation.

Promotes heritage, preservation, and history in Mason County

We currently display historic artifacts, pictures, artwork, and furniture that has been donated to us over

the years. A quick trip to our Museum on 427 W. Railroad would allow the visitor to see and experience

some of the many artifacts and historic items. We need to protect these irreplaceable artifacts from

harmful UV rays which fade and damage them.

Public benefit, shows public need and scope, and will increase public understanding, exposure and

experience of Mason County History

We are open 5 days a week to the public, and regularly host walk-ins as well as groups of school

children. We field requests for pictures, old newspaper articles, and documentation of current and past

residents. We also have a budding Book Sales function which brings in additional revenue. We put on

public programs throughout the County at least every other month to promote our History and

Heritage.

Applicant has the capacity to complete the project using professional standards

The MCHS has formed a building committee and one of the first orders of business is to replace our

aging lighting systems. We are already in the process of installing UV blinds on all of the windows. The

current lighting is of the fluorescent variety and does not protect the artifacts, because the bulbs are not

UV rated. We would like to upgrade to LED lights that are designed for UV protection for multiple

reasons. First, they are more energy efficient, and secondly they last much longer. We would hire a

licensed electrician to complete the project. While our first choice is to replace the fluorescent fixtures

with LED's, the investment is significant, estimated to be in the $10,000.00 to $11,000.00 range. A less

expensive option is to replace the bulbs and ballasts with UV bulbs which is more affordable. However,

we will investigate with the City (owners of the building) to see if there is a willingness to cost share in

this investment. We will also investigate with Mason County PUD3 to see if there are any Grants or

Rebates available through them. We expect an answer within 60 days to determine which path we will

take.

Immediate need or opportunity and relates to applicant's mission and/or goals

The artifacts are now exposed to non-UV lighting which is causing them to fade and deteriorate. We

need to move ahead with this project as soon as possible to protect our historic collection. Also, we

understand there is a rebate program offered by PUD3 which we may be able to take advantage of. This

program will not be offered indefinitely.

8:25 AM MCHS Grant

1 2

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H

In conjunction with our UV blinds being installed this week, this Grant will assist us by providing full UV

lighting to protect our current and future collection.

Well defined budget as well as effectively leveraged funding and support from other sources

We expect the project to cost between $7,000 if we choose the UV Bulb Replacement option and an

estimated $11,000 if we chose the LED replacement option. See bids attached from Jay's Electric. There

will be an administrative fee of $500 for either option which is included in our estimates.

We currently have over $19,694.29 in our Downtown Remodel Fund which is sufficient to complete this

project. However, we have other projects in mind for these funds. On Tuesday, June 30, we will deposit

$8,529.00 from the proceeds of our Car Show this past weekend. This will bring the total in our Deposit

Accounts to $84,622.40, backed up by our Investment Accounts which total $76,093.40. Please see the

attached Summary of our accounts at Our Community Credit Union which substantiates these amounts.

If we can convince the City of Shelton and Mason County PUD3 to participate in this project we hope to

reduce our total out of pocket expense for the LED solution to between $2,000 and $3,000 which is well

within our budget. If we cannot count on them for support, we will choose the UV fluorescent option,

which will still fall within our $2,000 to $3,000 budget range when taking into consideration this Grant

request.

Economic benefit to Mason County

Our Annual Car Show fund raiser brings in well over $10,000 to the community, $11,005 this year. It is

attended by and enjoyed by between 2,000 and 3,000 people. We regularly see between 50 and 100

visitors each month to our Museum. Visitors come from within Mason County, as well as from across the

country. Each visitor contributes funds directly to the economic benefit of Shelton, and Mason County.

In addition to this, the reduced consumption of power benefits us all, if we move ahead with the LED

solution.

Thank you for your consideration.

David P. Dally, Treasurer

Mason County Historical Society

PO Box 1336

Shelton, WA 98584

8:25 AM

'fl 1- 7

MCHS Grant 6-26-15.doc

2 2

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Our

12. ·:

Account ID

Credit Union

Description

S7 SUStNESS SAVINGS

S7.1 NfY'LfllJ.[IQt~!Q.f:IJ.NQ

S7.2 ENDOWMENT

S7.3 DOWNTOWN REMODEL FUND

S7.4 IQlJJE

S7.5 E. RUBLIN'S ESTATE

S7.6 StGN F'ROJECT

S7.7 GA.80.HQV:~Nl_l:\RI

S50 QJl(~ANLZATiON CKtNG

Total Deposit Assets

Account ID Description

.........................

12. 1 2YR CERT

12.2 2YR CERT

Total Investment Assets

Pagel of 1

Our Credit Union Print Date 06-30-2015 • 08:19:13

Cii'c'lnl''" f-!arn,c, · MASON CNTY HISTORICAL SOCIETY

Accounts

Balance Avail. Balance

$150.79 $149.79

$1,678.83 $1,678.83

$3,183.62 $3, 183.62

$19,694.29 $19,694.29

$34,103.99 $34, 103.99

$0.00 $0.00

$318.64 $318.64

$2,476.63 $2,476.63

$15, 125.02 $15,125.02

$76,731.81 $76,730.81

Investment Accounts

Maturity Date

12/07/2015

03/26/2016

Balance Avail. Balance

$54, 135.63 $0.00

Quick Transfer

$21,957.77

$76,093.40

From Account S7 - BUSINESS SAVINGS$ 149.79

To t1ccow1t S7.1 -NEW BUILDING FUND$ 1,678.83

Amount :

©Our Community Credit Union 2015

$0.00

$0.00

6/30/2015

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Bid

Jay's Electric, lie.

P.O. Box 1933

Shelton, Wa 98584

Code:

Customer:

Billing Address:

Site address:

Phone:

Office: (360) 426-9799

Fax: (360) 427-5016

Mason County

Mason County Historical Society

PO Box 1336, Shelton, WA 98584

427 W. Railroad

426-1020

JOB DESCRIPTION: Option 1, UV Bulbs and Ballasts

Electrical installation of LED UV Rated conversion for (36) 2' by 4' flourescent fixtures.

MATERIALS:

(144) 4' LED lamps

(36) rapid start ballasts for LED lamps

Total Materials:

Total Labor:

JOB DESCRIPTION: OPTION 2, LED Lights and Controls (Estimate)

Remove existing light fixtures

Electrical installation of 36 LED 4' Light Strips and necessary controllers

Required building permuts and electrical inspection

MATERIALS:

36 4' LED UV Rated lamp strips

Total Materials:

Total Labor:

$5,040.00

$1,380.00

$6,000.00

$4,000.00

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HERITAGE GRANT CONTRACT

This Heritage Grant Contract (this "Contract") is entered into as of August ___ 2015, by and between Mason County (the "County"), and the Mason County Historical Society, (the "Grantee").

Mason County Historical Society P.O. Box 1336

Mason County Historic Preservation Commission 426 West Cedar Street

Shelton, WA 98584 Shelton, WA 98584 (360) 427-7686 Attn: Michael MacSems

RECITALS

AGREEMENT

(360) 427-9670 ext. 571

l.The Grantee has applied for a grant in the amount of$5,000 towards the cost of installing a UV rated LED lighting system for the museum.

2.The County is granting the $5,000 requested for this project on a reimbursement basis. All persons performing the work associated with this grant shall act as an independent contractor(s), and not as an employee(s), on the terms and conditions set forth herein. The money for this grant comes from fees collected by the Mason County Auditor as authorized by RCW 36.22.170, which established a dedicated fund for support local historic preservation.

In consideration of the foregoing and of the mutual promises set forth herein, and intending to be legally bound, the parties herein agree as follows:

l. Engagement

2.Term.

(a) The County hereby agrees to reimburse the Grantee up to the full amount of the grant based on an invoice and final report of the installation of a UV rated lighting system in the museum, which shall be performed by independent contractor( s).

(b) The Grantee hereby accepts the engagement to have said work performed, to present an invoice and a final report for reimbursement and agree to an inspection of the final product prior to receiving payment under the terms and conditions set forth herein.

(a) This contract will commence on the date first written above, and unless modified by the mutual written agreement of the parties, shall continue

until six months from that date. The Grantee can request a one-time six­month extension. Extension request must be in writing and be submitted to the Mason County Historic Preservation Commission for approval no later then 5:00 p.m. four months from the date ofthe award.

3.Grantee's Obligations

(a) The Grantee shall provide a Scope of Work, consistent with the grant application, which shall be attached to this contract as Exhibit A.

(b) Upon completion of the project the Grantee shall provide the County with an invoice for reimbursement of the approved expenditures. Grantees

Grant Contract 8.doc

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Grant Contract 8.doc

will allows at least 60-days for reimbursement after the invoice has been received by the County. A progress report and documentation of expenditures will be required for the consideration of any advance of funds prior the completion of the project.

( c) Upon completion of the granted project, a final report shall be submitted by the Grantee to the Mason County Historic Preservation Commission. The final report should briefly report the completion and outcome of the granted project and shall be submitted to the Mason County Historic Preservation Commission, c/o West 426 Cedar St, Shelton, WA 98584 within 10 calendar days of the authorized grant completion date.

Chair, Mason County Board of County Commissioners Date

Chair, Mason County Historic Preservation Commission Date

Authorized Representative of the Grantee Date

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u

Following is the Scope of Work for the LED lighting project for the Mason County Historical Society's

Museum at 427 W. Railroad Ave.

Applicant: The Mason County Historical Society

PO Box 1339

427 W. Railroad Ave

Shelton, WA 98584

Contact: David Dally, Treasurer

360-427-7686

David D _ [email protected]

Deliverables: Functioning UV rated LED lighting system installed in the museum, including:

Interior:

Replace 42 X 4 Fluorescent bulbs with 42 X 2 LED 22W UV Rated Bulbs

Remove all ballasts

Rewire fixtures

Properly dispose of fluorescent bulbs

Exterior:

Replace 3 MH 175 W Magnetic Ballast with 3 LED New Fixtures

Installer:

Installed by a licensed Electrician

Date of Completion:

Completed on or before 12/31/15

Thank you for your consideration.

David P. Dally, Treasurer


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