AG 24-071 - TROY BROWNRETURN TO: PW ADMIN EXT: 2700 ID #UM i J 4
CITY OF FEDERAL WAY LAW DEPARTMENT" ROUTING FORM
1. ORIGINATING DEPT/DIY: PUBLIC WORKS / Deputy Director
:2. ORIGINATING STAFF PERSON: Desiree Winkler EXT: 2711 3. DATE REQ. BY:
.3. TYPE OF DOCUMENT (CHECK ONE):
p CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL
0 OTHER Reimbursement Agreement for Sidewalk Repairs
4. PROJECT NAME: Sidewalk Repairs - 32834 39th Ave SW
5. NAME OF CONTRACTOR: Troy Brown
ADDRESS: 32834 39th Ave SW Federal Way WA 98023 TELEPHONE:
E-MAIL: FAX:
SIGNATURE NAME: TITLE:
6. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER
REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
CFW LICENSE # BL, EXP. 112/31/ UBI #_ _. EXP. —/_/_
7. TERM: COMMENCEMENT DATE; MM q 1 ZZ �"�y COMPLETION DATE: Upon Completion
8. TOTAL COMPENSATION: $ 446.00 (They Pay us) (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 13 YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED: d YES ❑ NO IF YES, $ PAID BY: Cl CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
0 PURCHASING: PLEASE CHARGE T0:
9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
❑ PROJECT MANAGER
❑ DIVISION MANAGER
d DEPUTY DIRECTOR DSW 4/12/24
6 DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
d LAW DEPT
10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
11. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC' D: i4k 14L4
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(INCLUDE DEPT. SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.)
INITIAL / DATE SIGNED
❑ FINANCE DEPARTMENT
❑ LAW DEPT
11 SIGNATORY .(MAYOR OR DIRE )
CITY CLERK
AssiGNEp AG # TDAT:
7�=
❑ SIGNED COPY RETURNED T:
COMMENTS:
EXECUTE " " ORIGINALS
IIFOX01
CITY OF
Am
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
�vww cityoffederalway com
REIMBURSEMENT AGREEMENT
FOR
SIDEWALK REPAIRS
This Reimbursement Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and the individual or entity identified below ("Responsible Person") (collectively "Parties").
RECITALS
A. Federal Way Revised Code ("FWRC") 4.40.020 places responsibility for sidewalk maintenance, repair,
reconstruction, -and/or construction upon the abutting property owner or occupant when damage to the sidewalk is
caused by the abutting property owner's act, error, or omission.
B. The City has determined that the Responsible Person is responsible for repair, reconstruction and/or construction of
sidewalk under FWRC 4.40, and the Responsible Person has requested the City undertake the necessary work at
the expense of the Responsible Person.
C. The City has determined that it shall undertake the required work under FWRC 4.40.025, and has prepared this
Agreement to govern reimbursement of the costs associated with the required sidewalk repair, reconstruction
and/or construction by the Responsible Person.
AGREEMENT
1. SCOPE OF PROJECT-, WORK TO BE PERFORMED. The location and scope of the sidewalk repair,
reconstruction and/or construction is specifically described in Exhibit A ("Sidewalk Work"), attached hereto and
incorporated by this reference. The City shall perform the Sidewalk Work with the City's own employees, or with a
contractor(s) of the City's choosing. The City is authorized to engage contractors at its sole discretion.
2. TIMING. City shall perform the Sidewalk Work within a reasonable time, as resources permit. Any project
schedule is an estimate only and subject to change with respect to both commencement and completion.
3. ENGINEERING AND CONSTRUCTION COSTS. The Responsible Person shall be responsible for the cost of
the Sidewalk Work in its entirety ("Engineering and Construction Costs"), and shall reimburse the City for the Engineering
and Construction Costs as provided in Section 4 below. The estimated Engineering and Construction Costs are Four
Hundred Forty -Six Dollars and no cents ($446.00). The estimated Engineering and Construction Costs identified in this
section are an estimate only, and subject to change. The Responsible Person shall be responsible for the full Engineering
and Construction Costs even if all estimates are exceeded. The City waives and shall not collect any applicable Street Use
Permit fees.
4. REIMBURSEMENT.
4.1 Payment. Following completion of the Sidewalk Work, the City shall submit an invoice to the Responsible
Person containing an itemized list of Engineering and Construction Costs for the Sidewalk Work. The Responsible Person
shall tender payment for the full amount of the invoice to the City within thirty (30) days after receipt of the invoice, unless
the Responsible Person elects to pay in monthly installments as provided in Section 4.2.
4.2 Failure to Pax; Collection Procedures. Should the Responsible Person fail to timely pay the invoice, or fail
to timely pay an installment payment, the City may utilize any collection method to recover the full Engineering and
Construction Costs.
SIDEWALK REIMBURSEMENT AGREEMENT - 1 - Rev. 9/2022
CITY OF
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederahvay com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
/Z ,z/
E.J. alsh, Public Works Director
DATE: t- � �JLZ k `l
Troy Brown
32834 391h Ave SW
Federal Way, WA 98023
By:
Printed Name: f 0
Title: DM-2 e-�'
DATE: I S 1 L
SIDEWALK REIMBURSEMENT AGREEMENT - 2 - Rev. 9/2022
CITY OF CITY HALL
V 33325 8th Avenue South
Federal Way
Federal Way, WA 98003-6325
(253) 835-7000
www cityofiederalway com
EXHIBIT A
SIDEWALK WORK
1. Location of Sidewalk Work: 32834 391h Ave SW, Federal Way, WA 98023
2. Scope of Sidewalk Work: Beveling /Grinding sidewalk for one grind, 2 inches by 4 feet.
Sidewalk Beveling (grinding): concrete sidewalk will be ground flush with maximum slopes
meeting current ADA standards for localized trip -hazard repair. Work includes: dust control,
debris clean-up, and pedestrian traffic control.
PROFESSIONAL SERVICES AGREEMENT - 3 - Rev. 7/2021