AG 24-070 - RONALD FORDRETURN TO: PW ADMIN EXT: 2700 ID #: 4465
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT/DIV: PUBLIC WORKS / Deputy Director
2. ORIGINATING STAFF PERSON: Desiree Winkler EXT: 2711 3. DATE REQ. BY:
3. TYPE OF DOCUMENT (CHECK ONE):
❑ 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
EI OTHER Reimbursement Agreement for Sidewalk Repairs
a. PROJECT NAME: Sidewalk Repairs - 4911 SW 330th St
5. NAME OFCONTRACTOx: Ronald Ford
ADDRESS: 4911 SW 330th St Federal Way WA 98023 TELEPHONE:
E-MAIL' FAX:
SIGNATURENAME: Ronald Ford TITLE; ORE
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. 12/311 UBI # , EXP. / /
7. TERM: COMMENCEMENT DA-rF.: u 2j.-( COMPLETION DATE: Upon Completion
8. TOTAL COMPENSATION: $ 278.58 (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: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED: ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
O PURCHASING: PLEASE CHARGE TO: .
9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
❑ PROJECT MANAGER
❑ DIVISION MANAGER
8 DEPUTY DIRECTOR DSW 4/12/24
d DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
6 LAW DEPT
10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
11. CONTRACT SIGNATURE ROUTING
❑ SENTTO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:'°
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I 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 SIGNE❑
❑ FINANCE DEPARTMENT
❑ LAW DEPT
8 SIGNATORY (MAYOR OR DIRECTOR
❑ CITY CLERK
❑ ASSIGNED AG # AG# 10-to
❑ SIGNED COPY RETURNED DATE SENT:
COMMENTS: dr
EXECUTE' 'ORIGINALS
1/2020
'S CITY OF
,�� Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederatway 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 Two
Hundred Seventy -Eight Dollars and 58 cents ($278.58). 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 Pay: 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 CITY HALL
�� Feder Avenue South
Federall Way, WA 98o
03-6325
Fe d e ra I�y
(253) 835-7000
www cityofiederalway com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
E.J. alsh, Public Works Director
DATE: ; el —A f /-, � �2: � �
Ronald Ford
4911 SW 330" St
Federal Way, WA 98023
By: `
Printed Name: `FZe�JA4—tom I, 'F�—fz?
Title:41
l��r'��1%z-
DATE:
SIDEWALK REIMBURSEMENT AGREEMENT - 2 - Rev. 9/2022
CITY OF CITY HALL
Federal Way Feder l Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
EXHIBIT A
SIDEWALK WORK
1. Location of Sidewalk Work: 4911 SW 330'' St., Federal Way, WA 98023
2. Scope of Sidewalk Work: Beveling /Grinding sidewalk for one grind, 1 inch by 5 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