AG 19-155 - State of Washington, Department of Corrections, Western Washington Workcrew RETURN TO: EXT:
AUTUMN GRESSETT 6914
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: PRCS/PAEC
2. ORIGINATING STAFF PERSON: AUTUMN GRESSETT EXT: µ6914 3. DATE REQ.BY:ASAP
4. 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
❑ OTHER WA DEPARTMENT OF CORRECTIONS MASTER AGREEMENT-CLASS V COMMUNITY RESTITUTION PROGRAMS
5. PROJECT NAME: CLASS V COMMUNITY RESTITUTION PROGRAMS
6. NAME OF CONTRACTOR: STATE OF WASHINGTON,DEPARTMENT OF CORRECTIONS,WESTERN WASHINGTON WORKCREW
ADDRESS: 851 POPLAR PLACE SOUTH-MS:T13-76,SEATTLE,WA 98144 TELEPHONE 206-726-6719
.........................................................................................
E-MAIL:RJVERTZ@D OC1.WA.GOV FAX.206-720-3425
SIGNATURE NAME: TITLE
7. EXHIBITS AND ATTACHMENTS:W SCOPE,WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: UPON SIGNATURE COMPLETION DATE: JULY 31,2022
9. TOTAL COMPENSATION$ (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 CONTRAC
T) OR ❑RETAINAGE BOND PROVIDED
❑ PURCHASING: PLEASE CHARGE TO:
10. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED
9 PROJECT MANAGER AG 06/18/2019
.................................................................................................................................................................
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
mm......_ �'.
❑ LAW ER 6/19/2019
11. IL APPROVAL(IF APPLICABLE) SCHEDULED CONMUTTEE DATE: COMMITTEE APPROVAL DATE:
SCBEDULEDCOUNCILATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
❑ 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
❑ LAW DEPARTMENT
❑ SIGNATORY(MAYOR OR DIRECTOR) „
❑ CITY CLERK
❑ ASSIGNED AG# AG#
❑ SIGNED COPY RETURNED DATE SENT:
COMMENTS:
*needs council approval.Please send agenda bill and staff report to law for review when drafted.-nnp
w.� w
tlf�CI1R
RETURN TO: EXT:
AUTUMN GRESSETT - 8914
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV. PRCS/PAEC
2. ORIGINATING STAFF PERSON: AUTUMN GRESSETT EXT: 6914 3. DATE REQ.BY:ASAP
4. 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
O CONTRACT AMENDMENT(AG#):19-055 ❑INTERLOCAL
❑ OTHER
S. PROJECT NAME: CLASS V COMMUNITY RESTITUTION PROGRAMS-ATTACHMENT#AMENDMENTS
6. NAME OF CONTRACTOR: ASHINGTON WORKCREW
STATE OF WASHINGTON,DEPARTMENT OF CORRECTIONS WESTERN W
ADDRESS: B- TELEPHONE 0. -6719
851 POPLAR PLACE SOUTH MST 76,SEATTLE,WA 98144 206 726
E-MAIL:RJVERTZ@DOC1.WA.GOV FAX:206 720-3425
SIGNATURE ._�...� ..m. .... ... ....
NAME: TITLE
7. EXHIBITS AND ATTACHMENTS:o SCOPE,WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: COMPLETION DATE: 022
UPON SIGNATURE MAY 31,
9. TOTAL COMPENSATION$NOT TO EXCEED$13,000 (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
❑ PURCHASING: PLEASE CHARGE TO:
10. DOCUMENT/CONTRACT REVIEW INITIAL/µDATE REVIEWED INITIAL/DATE APPROVED
R PROJECT MANAGER AG JG 7/12/2022
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
❑ LAW
11. COUNCIL APPROVAL(IF APPLICABLE) SCHEDULED COMMTTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: .µ �mmmm _ DATE REC'D:
❑ 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
❑ LAW DEPARTMENT
❑ SIGNATORY(MAYOR OR DIRECTOR)
❑ CITY CLERK _
❑ ASSIGNED AG# AG#
❑ SIGNED COPY RETURNED DATE SENT:
COMMENTS:
1/201R
ATTACHMENT A
WASHINGTON STATE DEPARTMENT OF CORRECTIONS
Community Corrections and Reentry
CLASS V Work Project Description
Contract Number: K12080
Recipient:City of Federal Way Parks Department
Recipient is: ®Government Entity ❑State Agency ❑Public Benefit Nonprofit
Recipient Contact: Jason Gerwen Phone: 253-835-8962 Email: Jason.gerwen@cityoffederalway.com
Department Contact: ,Rene ertz Phone: 2-06-786-3273 Email: r"vertz@docLwa.Zov
DOC Workcrew workers will:Provide litter pick-ups, illegal dumping site clean-ups,and general labor
on property owned by the City of Federal Way as outlined in the Statement of Work attached
(Attachment B).Workers will not perform any work listed in the Prohibited Work document(Attachment
C).
Number of offenders on crew:Minimum of 2
Project Location:Various worksites in the City of Federal Way
Project Period(One year maximum): lung 1 2021 throw h Ma 31 2022.,
Projected Total Number of Crew Hours: To be determined,number of workers per day will vary.
Approximate Work Hours: Arrive at 8:30 a.m. Depart at 2:30 p.m.
Special Payment Terms. Recipient will pay DOC:
1. Service Maximum:City of Federal Way will pay DOC a maximum of "''1,000 for services provided
per year.
2. Invoice:DOC will invoice city of Federal Way for offender worker services at the rate of 25 da
12er_ ep r�sca'n (workers+supervisors).Each dated and itemized invoice to City of Federal Way will
include:Agreement#KI20$0, dates and hours of services provided, description of the work,and
the amount of payment due.
3. Administrative and program overhead at 10%of the actual monthly billing which will cover the
cost of miscellaneous expenditures needed for the specified contract work with the City of
Federal Way.Expenditures include,but are not limited to,office supplies,hand tools, shovels,
rakes,litter pickers,garbage bags, sharps containers, gloves and boots.
4. Vehicle operation costs for assigned time on City of Federal Way's contracts work;
reimbursement at the current privately owned vehicle mileage rate(as determined by OFM).The
current rate can be located at bt :z
5. L&I Premiums:Reimbursement for worker L&I premiums at the current DOC L&I rate.The rate
for 2021 is w'0.3669 per,worker er I�or.'e-r.(This rate potentially changes every year on January 15t,
so Work Project Descriptions that overlap years may have changes to this rate on our invoices
starting January 1-t.We will make a note of any changes to the rate in your January billing
statement).
State of Washington Attachment A Page 1 of 1
Department of Corrections K12080
PPE,Tools and Equipment Provided by:
Recipient: Will provide any specialty equipment needed to complete specific projects.Will pay for waste
disposal either through providing waste receptacles at the work sites, or at City landfill or transfer
station;dump cards or account information for waste disposal will be provided to DOC Workcrew for
use on City of Federal Way projects if necessary.
DOC: Will provide Personal Protective Equipment(PPE)and tools and supplies for general litter pick-
up,removal of illegally dumped materials and brush removal, including but not limited to:gloves,
boots rain gear,hard hats,hearing and eye protection, shovels,rakes,trash bags,pickers,etc.
Hazard Assessment and PPE Selection Worksheet attached? ®Y ❑N
Recipient will provide the DOC contract manager with a written Hazard Assessment/PPE Form or Job
Safety Analysis form for each type of service prior to any work taking place(Attachment D). The Hazard
Assessment/PPE or Job Safety Analysis form remains valid for the length of the project period. The types
of services provided by offender workers include 1)Illegal dump site clean-up,2)Litter clean up.
Additional Terms:
DOC will send a monthly activity report,photo documentation(before and after)of services performed,
and dumpsite invoices(if required)along with the billing statement as requested by the recipient.
City of Federal Way DEPARTMENT OF CORRECTIONS
A
i
Signature Signature of Field Administrator
._._.IT.. ........ Section 5 CCD
Section/Facility
Date Date
11 a e ernaa l a copy of this Work Project Daaaacriptjoru tro Cla.rn tra cls S-4 I ega Af faia'
'Mff6ril Iwo(2) days afl a Vt Vs s�gJ!rla"d by tlii °awe&'"o1l"Itd of bo'thi pr,4G"fi.e s.
Thank you.
State of Washington Attachment A Page 1 of 1
Department of Corrections K12080
ATTACHMENT A
WASHINGTON STATE DEPARTMENT OF CORRECTIONS
Community Corrections and Reentry
CLASS V Work Project Description
Contract Number: K12080
Recipient:C Lj.tv of FedeLal "Tly_L"arks xmln- lt
_
Recipient is:0 Government Entity ❑ State Agency El Public Benefit Nonprofit
Recipient Contact: Jason Gerwen Phone: 253-835-8962 Email: jason.gerwen@cityoffederalway.com
Department Contact: LZeil,? ler[7, Phone: 2(16-7,96-_i233 Email: 4y(::
DOC Workcrew workers will:Provide litter pick-ups,illegal dumping site clean-ups,and general labor
on property owned by the City of Federal Way as outlined in the Statement of Work attached
(Attachment B).Workers will not perform any work listed in the Prohibited Work document(Attachment
C).
Number of offenders on crew:Minimum of 2
Project Location:Various worksites in the City of Federal Way
Project Period (one year maximum): June 1 _2021 tkauf Z.
Projected Total Number of Crew Hours: To be determined,number of workers per day will vary.
Approximate Work Hours: Arrive at 8:30 a.m. Depart at 2:30 p.m.
Special Payment Terms. Recipient will pay DOC:
1. Service Maximum:City of Federal Way will pay DOC a maximum of S].301)0 for services provided
per year.
2. Invoice:DOC will invoice city of Federal Way for offender worker services at the rate of$25/day
(workers+supervisors).Each dated and itemized invoice to City of Federal Way will
include:Agreement KI 2 .dates and hours of services provided, description of the work,and
the amount of payment due.
3. Administrative and program overhead at 10% of the actual monthly billing which will cover the
cost of miscellaneous expenditures needed for the specified contract work with the City of
Federal Way.Expenditures include,but are not limited to, office supplies, hand tools, shovels,
rakes,litter pickers, garbage bags, sharps containers, gloves and boots.
4. Vehicle operation costs for assigned time on City of Federal Way's contracts work;
reimbursement at the current privately owned vehicle mileage rate(as determined by OFM).The
current rate can be located at h Li i Nka!� ',
Les
5. L&I Premiums:Reimbursement for worker L&I premiums at the current DOC L&I rate.The rate
for 2021 is �0366 p
1]ou r. (This rate potentially changes every year on January
so Work Project Descriptions that overlap years may have changes to this rate on our invoices
starting January Is.We will make a note of any changes to the rate in your January billing
statement).
State of Washington Attachment A Page 1 of I
Department of Corrections K12080
PPE,Tools and Equipment Provided by:
Recipient: Will provide any specialty equipment needed to complete specific projects.Will pay for waste
disposal either through providing waste receptacles at the work sites, or at City landfill or transfer
station,dump cards or account information for waste disposal will be provided to DOC Workcrew for
use on City of Federal Way projects if necessary.
DOC: Will provide Personal Protective Equipment(PPE)and tools and supplies for general litter pick-
up,removal of illegally dumped materials and brush removal, including but not limited to:gloves,
boots rain gear,hard hats,hearing and eye protection, shovels,rakes,trash bags, pickers, etc.
Hazard Assessment and PYE Selection Worksheet attached? ®Y N
Recipient will provide the DOC contract manager with a written Hazard Assessment/PPE Form or Job
Safety Analysis form for each type of service prior to any work taking place(Attachment D). The Hazard
Assessment/PPE or Job Safety Analysis form remains valid for the length of the project period. The types
of services provided by offender workers include 1)Illegal dump site clean-up,2)Litter clean up.
Additional Terms:
DOC will send a monthly activity report,photo documentation(before and after)of services performed,
and dumpsite invoices(if required)along with the billing statement as requested by the recipient.
City of Federal Way DEPARTMENT OF CORRECTIONS
signature Signature of Field Administr or
�.o u m Section 5 CCD
Section/Facility
7/16/2021
Date Date
Please email a copy of this Work Project Description to Contracts &Legal Affairs,
within two (2) days after it is signed by the second of both parties_
Thank you.
State of Washington Attachment A Page 1 of 1
Department of Corrections K12080
......................
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RETURN TO: EXT:
AUTUMN GRESSETT 6919
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: PRCS/PAEC
2. ORIGINATING STAFF PERSON: AUTUMN GRESSETT EXT: 6914 3. DATE REQ.BY:ASAP
4. TYPE OF DOCUMENT(CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT(E.G.,RFB,RFP,RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALLOR 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
❑O OTHER WA DEPARTMENT OF CORRECTIONS MASTER AGREEMENT-CLASS V COMMUNITY RESTITUTION PROGRAMS
S. PROJECT NAME: CLASS V COMMUNITY RESTITUTION PROGRAMS
6. NAME OF CONTRACTOR: STATE OF WASHINGTON,DEPARTMENT OF CORRECTIONS,WESTERN WASHINGTON WORKCREW
ADDRESS: 851 POPLAR PLACE SOUTH-MS:TB-76,SEATTLE,WA 98144 TELEPHONE 206-726-6719
E-MAIL:RJVERTZ@DOC1 WA,GOV � FAX:206-720-3425
SIGNATURE NAME: TITLE
7. EXHIBITS AND ATTACHMENTS:R SCOPE,WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: -AvDy� s1 - 1, 2y lg? COMPLETION DATE: JUNE 30,2022
9. TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX,IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE-ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE:❑YES ONO 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
❑ PURCHASING: PLEASE CHARGE TO:
10. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED
O PROJECT MANAGER AG 06/18/2019
❑ DIRECTOR
❑ RISKMANAGEMENT (IFAPPLICABLE)
* LAW ER 6/19/2019
11. COUNCIL APPROVAL(IF APPLICABLE) SCHEDULED COMMITTEE DATE: / l / COMMITTEE APPRO\'ALDATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: I
12. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE RECD:
❑ 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
I_ EPARTMENT 9 g
SIGNATORY(MAYOR OR DIRECTOR)
❑ CITY CLERK
❑ ASSIGNED AG# AG# k$5
❑ SIGNED COPY RETURNED DATE SENT: j
COMMENTS:
'needs council approval Please send agenda bill and staff report to law for review when drafted -mp
1/2018
Class V Restitution,Work Release, and Community Supervision or Custody
Master Agreement
Between
THE WASHINGTON STATE DEPARTMENT OF CORRECTIONS
And
THE CITY OF FEDERAL WAY
This Master Contract Agreement is entered into by and between the Washington State Department of
Corrections, hereinafter referred to as "DOC," and, the City of Federal Way located at 33325 81h Ave S,
Federal Way WA 98003 hereinafter referred to as the "RECIPIENT OF THE SERVICES" or "RECIPIENT."
Legal authority for this Master Contract Agreement is pursuant to RCW 72.09.100 and Chapter 137-80 WAC.
Individuals who provide services under this Master Agreement reside in the community. For the provision of
services under this Master Agreement,all individuals are under Department,City,and/or County jurisdiction.
1. PURPOSE
The purpose of this Agreement is to provide the master terms and conditions between the parties for offenders
to provide work crew services to the RECIPIENT. To be eligible to receive offender services, the RECIPIENT
must be an agency of Washington State government, a local government or federally recognized Indian tribe
within Washington State or a public benefit nonprofit as defined by the IRS; a 501(c)(3) Charitable
Organization or a 501(c)(4) Social Welfare Organization. No public employees will be displaced as a result of
this Agreement.
On January 1, 2016, the terms and conditions contained in this Master Agreement will replace and terminate
any previous Work Crew Agreement and Work Project Descriptions between the Parties. For this Master
Agreement to be valid it must be signed by the DOC Contracts Administrator or designee on behalf of DOC.
2. WORK PROJECT DESCRIPTIONS
Offender work crew projects are limited to those that can be properly supervised as determined by the DOC
Field Administrator,Work Release and Residential Program Administrator, or designee and the RECIPIENT's
Contract Manager. Each project is subject to careful review for security requirements. Each distinct project
requires a separate Work Project Description that is signed by both parties to this Agreement. [See Attachment
A] The Work Project Description will detail the work to be done by offenders, the cost to the RECIPIENT and
other specifics of the particular project.
A Field Administrator or Work Release and Residential Program Administrator is authorized to sign Work
Project Descriptions on behalf of DOC. A Work Project Description may be valid for up to one year but must
end prior to, or on the same date as,this Master Contract Agreement. All services provided under each signed
Work Project Description shall be performed pursuant to the terms of this Master Agreement.
3. TERM
The term of this Master Contract Agreement shall begin August 1, 2019 and continue through July 31, 2022,
unless terminated sooner as provided for herein.
4. BILLING and PAYMENT
In consideration of the services provided hereunder,payment to DOC will be as follows:
State of Washington K12080 Page 1 of 6
Department of Corrections 198629
A. DOC will invoice the RECIPIENT for payment by the 20th of the month following each month in
which offender services were provided. Invoices for payment will include all direct and indirect
charges payable to DOC by the RECIPIENT that were negotiated between the Parties, except that
payment for offender L&I insurance coverage will be paid directly to L&I by the RECIPIENT and will
not appear on DOC invoices.
B. Payment by the RECIPIENT, will be due to the DOC address indicated below within 30 calendar days
of the date of the invoice. This DOC Master Agreement number and the location of the project for
which payment is made must be included with each payment.
C. DOC requires the RECIPIENT of offender services to provide workers'compensation insurance for the
offenders who provide services to the RECIPIENT under the terms of this Agreement.Therefore,
RECIPIENT will:
1) Prior to contract execution, complete and submit to L&I, the Application for Elective Coverage of
Excluded Employments, (L&I Form F213-112-000) to authorize the addition of offender L&I Risk
Classification 7203 to the RECIPIENT's L&I Account;
2) Provide DOC with a copy of the Rate Notice received from L&I that confirms the addition of Risk
Classification 7203 to the RECIPIENT's L&I Account. DOC advises the RECIPIENT to include the
L&I Rate Notice when returning this partially executed Agreement to DOC for final signature.
3) Each quarter, for offender services provided to the RECIPIENT during the previous quarter,
report to L&I the total number of offender hours worked and pay the total cost due for workers'
compensation coverage directly to L&I for those offender hours.
D. Addresses to use for Billing and Payment.
1) Billing-Invoices for payment will be mailed to the address provided by the RECIPIENT:
CITY OF FEDERAL WAY
Attn: Autumn Gressett,Parks Department
33325 81h Avenue S
Federal Way WA 98003
2) Payment
a. RECIPIENT-will send payment to the address provided by the DOC Community
Corrections location from which services were provided.
5. TERMINATION
When in its own best interest, either party may terminate this Agreement, in whole or in part, upon 30 days'
written notice to the other party,beginning on the second day after mailing such notice.If this Agreement is so
terminated each of the parties shall be liable only in accordance with the terms of this Agreement for services
rendered prior to the effective date of termination.
6. HAZARD ASSESSMENT AND MITIGATION
A. In accordance with the DOC Office of Risk Management, work generally considered to be dangerous
or hazardous may not be performed by offenders.
B. Before DOC offenders may provide services at any new and distinct project location,the RECIPIENT will
assess the location for hazardous conditions and/or materials.
State of Washington K12080 Page 2 of 6
Department of Corrections 198629
C. The RECIPIENT's assessment must be performed in accordance with WAC 296-800-160 and provided to
DOC using DOC Form 03-247 or other similar hazard assessment and PPE selection worksheet. The
RECIPIENT will inform DOC promptly,in writing,if hazardous conditions or materials are found at the
new project site.
D. Once notified,DOC at its own discretion,may a)identify,with the RECIPIENT,the protective
equipment or clothing that is needed for offenders and correctional officers to mitigate the effects of the
on-site hazard(s);or b)request that the RECIPIENT remove or otherwise mitigate the hazard before
offenders perform the contracted work crew services at that site;or c)withdraw from the project.
E. If hazardous conditions or materials are discovered while offenders are working at RECIPIENT's site,
then offender work will be suspended immediately and RECIPIENT will make appropriate regulatory
notifications and request further assessment.
7. TOOLS,EQUIPMENT AND SUPPLIES
A. In General
1) DOC will provide offenders with basic work attire, such as boots, gloves, goggles and rain gear,
that may be needed for any project;
2) If the Parties to this Agreement do not negotiate otherwise, the RECIPIENT will provide any
additional tools, equipment and supplies that offenders need to accomplish the RECIPIENT's
specific work project. This will include any Personal Protective Equipment(PPE)e.g.bump hats,
specialized goggles or gloves, hearing and eye protective devices, etc. and any specialized safety
equipment (SSE) necessary to protect offenders and correctional officers from hazards at the
project site.
3) The specific tools, equipment and supplies necessary for each project, and the party to the
Agreement responsible for providing each item, will be designated in the Work Project
Description for that project.
8. TRAINING
A. The RECIPIENT will train offenders regarding the work to perform as well as any safety requirements
specific to the project site and the use of any specialized equipment.
B. The RECIPIENT will ensure that all safety training is in compliance with all applicable laws and
regulations including, but not limited to, Division of Occupational Safety and Health (DOSH)
regulations and the Washington Industrial Safety and Health Act(WISHA).
9. CONTRACT MANAGEMENT
The contract manager(s)for each of the parties shall be responsible for and shall be the contact person(s)for all
communications regarding the performance of this Agreement. Either party may, with written notice to the
other,designate different contact persons.
RECIPIENT: Jason Gerwen,253-835-6962,jason.gerwen@cityoffederalway.com
DOC: Rene Vertz,206-726-6719,rjvertz@docl.wa.gov
10. SUPERVISION
A. The Work: RECIPIENT will supervise the work performed by offenders and maintain daily oversight
of the project until completed. RECIPIENT will provide adequate worksite instruction and direction
to all offenders,to ensure safe work performance and proper project outcome.
State of Washington K12080 Page 3 of 6
Department of Corrections 198629
B. Security A first aid qualified Correctional Officer will supervise offenders at all times. Such DOC
supervision shall only be for the security and custody of the offenders and the safety of the public at
large.
C. Correctional Officers may not supervise the work performed by offenders or be responsible for project
outcomes.
D. On-Site Illness/Accidents- In the event of offender illness or injury,DOC will provide the appropriate
first aid. If necessary,emergency medical assistance will be called,or the offender will be transported
to the nearest medical facility for treatment.
1) Expenses:
a) Illness. DOC will pay all expenses related to treatment of offender illness.
b)Iniury. The cost of treatment provided to offenders beyond first aid for any and all work
related injuries will be paid in accordance with Title 51 RCW.
c) The RECIPIENT's L&I Account Number, 574,570-00 ,will be the account number used by
offenders,DOC and medical providers when reporting offender work related injury.
11.PUBLIC INFORMATION
Neither party shall arrange for news media coverage without the consent of the other party, nor shall either
party release information to the news media without the consent of the other party.
12. WORK PRODUCT and PERFORMANCE
A. Washington State and DOC,including its agents and/or employees:
1) Are not responsible for, and do not guarantee,the quality of the work performed or products
produced by offenders on work crews;
2) Shall not be required to pay other workers to re-do or repair the work performed by the
offenders;and
3) Are not responsible for damages to third parties resulting from the work performed or
products produced by offenders on work crews.
13.INDEMNIFICATION
A. RECIPIENT,its agents,and/or employees:
1) Are responsible for any damages resulting from the negligence of the RECIPIENT, its agents,
and/or employees; and
2) Do indemnify, defend, and hold harmless DOC for claims arising from the negligent acts or
omissions of the RECIPIENT,its agents, and/or employees.
B. DOC,its agents,and/or employees:
1) Are responsible for damages that arise out of DOC, its agents, and/or employees' negligent
security supervision of offenders.
C. In accordance with the laws of the state of Washington and to the extent permitted by law, if both
parties to this Agreement are negligent and jointly liable, each party will assume responsibility for
its own negligent acts or omissions.
State of Washington K12080 Page 4 of 6
Department of Corrections 198629
14. TRANSPORTATION
DOC has sole responsibility to transport offenders to and from the work project site.
15. DISPUTES
Should the parties hereto be unable to informally resolve any dispute concerning the terms of this Agreement,
the dispute will be settled in binding arbitration by an arbitrator chosen by consent of both parties.
16. INSURANCE
RECIPIENT will provide DOC with proof of current general liability insurance coverage when signing and
returning this Agreement for final signature by DOC. RECIPIENT must maintain its policy of general liability
insurance throughout the term of this Agreement and provide renewed proof of such coverage to DOC
annually with each new Work Project Description.
RECIPIENT'S liability insurance coverage must have a limit of not less than $1,000,000 per each occurrence
with an aggregate limit of at least$2,000,000.
17. PUBLIC BENEFIT NON-PROFIT
In order to utilize offender work crew services, RECIPIENTS that are non-profits, must be public benefit non-
profits,as defined by the federal Internal Revenue Service(IRS). Those that are public benefit non-profits must
provide proof to DOC of official IRS designation as a (501(c)(3) Charitable Organization or a (501(c)(4) Social
Welfare Organization.
The RECIPIENT must provide DOC with proof of its IRS public benefit non-profit designation,with this
partially signed Agreement when returning this partially signed Agreement to DOC Contracts and Legal
Affairs for the final signature by DOC.
18. CHANGES AND MODIFICATIONS
Changes or modifications to this Agreement shall not be binding unless agreed to in writing by the parties
hereto prior to such change or modification. Only the DOC Secretary or designee has the authority to alter,
amend,modify,or waive any clause or condition of this Agreement for DOC.
19. WAIVER
Waiver of any breach or default on any occasion shall not be deemed to be a waiver of any subsequent breach or
default.Any waiver shall not be construed to be a modification of the terms and conditions of this Agreement.
20. SEVERABILITY
If any term or condition of this Agreement is held invalid by any court,such invalidity shall not affect the validity
of the other terms and conditions of this Agreement.
21. INTEGRATION
This Agreement contains all the terms and conditions agreed upon by the parties. No understandings or
otherwise regarding the subject matter of this Agreement shall be deemed to exist or to bind either of the
parties hereto. As used herein,reference to the Agreement shall include this Master Agreement, fully executed
amendments to this Agreement,and any Work Project Descriptions executed and attached hereto.
State of Washington K12080 Page 5 of 6
Department of Corrections 198629
THIS AGREEMENT, consisting of six (6) pages and one (1) attachment, is executed by the persons signing
below who warrant that they have the authority to execute the Agreement.
CITY 0 FEDERAL WAY MAYOR FEDERAL WAY CITY ATTORNEY
'foJ. N a
(Si<na r. (Signature)
klr'
y-1c �jlaalet
Y 'an-gI (Printed Name)
fraan9t.a.�h ,✓� /Q-fJ1`S�'.avt� .�`� ..�'"�" drM�
(1 a tle) (Title)
(Bate) (Date)
FEDERAL WAY CITY CLERK DEPARTMENT OF CORRECTIONS
(gy Cu cif (Signature)
Debra J E t,(,e'a
�m
Name) (Printed Name)
Administrator
........��.._ ,...�....�. Contracts A����.... ._ �
(1°N a (Title)
(Date) (Date)
Appjq)edY a,to F^onn,:By Tim Lang,Sr.Assistant Attornev General.
December 8,2015
"state or W2r.Hiu gtOrr K12080 Page 6 of 6
Dep,—..irtrAVC:?'ni�.of Correc.fions 198629
THIS AGREEMENT, consisting of six (6) pages and one (1) attachment, is executed by the persons signing
below who warrant that they have the authority to execute the Agreement.
CITY OF FEDERAL WAY MAYOR FEDERAL WAY CITY ATTORNEY p
or Cad
(Signature)
�.i _moi o `
�trt c Rltos�er
( rirtrd 1Laeu�i (PEinleel Name)
re ArllS� Cj}y 13rod►May
iTi:Sr j (Title)
GL 9 Avg 2019
(Date) (Date)
FEDERAL WA
Y
CITY CLERK DEPARTMENT OF CORRECTIONS
�fiUI4& —
(S; a to ) (Signature)
st&&nie '(,ourfn N Debra J.Eisen
(Pri�Name) (Printed Name)
& 4 W Contracts Administrator
(TidL,) (Title)
(Date) (Date)
Approyed fvs to Form:By Tim Lang,Sr.Assistant Attorney General,
December 8,2015
State of Washington K12080 Page 6 of 6
Department of Corrections 198629
ATTACHMENT A
WASHINGTON STATE DEPARTMENT OF CORRECTIONS
Community Corrections and Reentry
CLASS V Work Project Description
Contract Number: K12080 Recipient L&I Account Number: 574 570-„0,0,,,,,,,,,,,,,,,,,,,
Recipient:L)of F d1,xa sty FLll mDgmrtment
Recipient is:®Government Entity ❑ State Agency ❑ Public Benefit Nonprofit
Recipient Contact: Jason Gerwen Phone: 253-835-8962 Email: Jason.gerwen@cityoffederalway.com
Department Contact: ,Fetie Vertz Phone: 206-786-3273 Email: i-livertz@df,)cl.wzi.gov
DOC offenders will:Provide litter pick-ups,illegal dumping site clean-ups, and general labor on
property owned by the City of Federal Way as outlined in the Statement of Work attached(Attachment
B).
Number of offenders on crew:Minimum of 2
Project Location:Various worksites in the City of Federal Way
Project Period (One year maximum): 08/01/2019 throu h 17/31/20 „ ,.
Projected Total Number of Crew Hours: To be determined,number of workers per day will vary.
Approximate Work Hours: Arrive at 8:30 a.m. Depart at 2:30 p.m.
Special Payment Terms. Recipient will pay DOC:
1. Service Maximum:City of Federal Way will pay DOC a maximum of 3 000 for services provided
per year.
2. Invoice:DOC will invoice city of Federal Way for offender worker services at the rate of 25 da
per pe r on (workers+supervisors).Each dated and itemized invoice to City of Federal Way will
include:Agreement# ,1 0(, dates and hours of services provided, description of the work,and
the amount of payment due.
3. Administrative and program overhead at 10%of the actual monthly billing which will cover the
cost of miscellaneous expenditures needed for the specified contract work with the City of
Federal Way. Expenditures include,but are not limited to, office supplies,hand tools, shovels,
rakes, litter pickers, garbage bags, sharps containers,gloves and boots.
4. Vehicle operation costs for assigned time on City of Federal Way's contracts work;
reimbursement at the current privately owned vehicle mileage rate(as determined by OFM).The
current rate can be located at &:�d.��mt. /m,'f ".Li_, ��,�g ;� o�rdila;tearr9ttip
ttw5QiI DLLs tratreW.
PPE,Tools and Equipment Provided by:
Recipient: Will provide any specialty equipment needed to complete specific projects.Will pay for waste
disposal either through providing waste receptacles at the work sites, or at City landfill or transfer
station;dump cards or'account information for waste disposal will be provided to DOC Workcrew for
use on City of Federal Way projects if necessary.
State of Washington Attachment A Page 1 of 1
Department of Corrections K12080
DOC: Will provide Personal Protective Equipment(PPE)and tools and supplies for general litter pick-
up,removal of illegally dumped materials and brush removal, including but not limited to:gloves,
boots rain gear,hard hats,hearing and eye protection, shovels, rakes,trash bags, pickers, etc.
Hazard Assessment and PPE Selection Worksheet attached? ®Y ❑ N
Recipient will provide the DOC contract manager with a written Hazard Assessment/PPE Form or Job
Safety Analysis form for each type of service prior to any work taking place(Attachment C). The Hazard
Assessment/PPE or Job Safety Analysis form remains valid for the length of the project period. The types
of services provided by offender workers include 1)Illegal dump site clean-up,2)Litter clean up.
Additional Terms:
DOC will send a monthly activity report,photo documentation(before and after) of services performed,
and dumpsite invoices(if required)along with the billing statement as requested by the recipient.
City of Federal Way DEPARTMENT OF CORRECTIONS
`"tlriw�„vita Signature of Fick] AclTt•inis,ti to r
Section 5 CCD
Section/Facility
Date bate
Please email a copy of this Work Project Description to Contracts &Legal Affairs,
within two (2) days after it is signed by the second of both parties,
Thank you.
State of Washington Attachment A Page 1 of 1
Department of Corrections K12080
ATTACHMENT B
STATEMENT OF WORK
I. SERVICES
a. DOC offenders and other workers referred to DOC work crews by local and Federal jurisdictions,
collectively `workers' will provide community restitution services in one or more of the categories
below as directed by the City of Federal Way (`recipient').
b. Categories of offender work (see Attachment C - Job Safety Analysis sheets):
1) Illegal Dump Site Cleanup:
Workers will collect illegally dumped materials from locations within the City of Federal
Way, then contain and deliver them to waste disposal locations or containers designated by
the recipient. Workers will collect dumped items within three working days of notification
from the recipient unless additional specified project work limits crew availability.
2) Litter Cleanup:
Workers will clean up litter by hand, using hand tools when necessary, in the City of Federal Way.
Frequency and priority of area cleanups will be deternimed by the recipient in consultation.with
DOC. Upon instruction by the recipient, workers will collect bags of trash and other materials
resulting from persistent/nuisance location complaints within three business days of
notification.
3) General Labor Services:
Upon instruction by the recipient, workers will complete additional general labor services
including but not limited to: brush removal, mowing, weeding, landscaping, tree planting, trail
construction, wood chipping, carpentry/construction and other project work.
c. Workers will not touch or remove any hazardous materials or items that are too large, too heavy
or otherwise too dangerous to be safely handled by workers. DOC will notify the recipient of
the locations of all such materials so that the recipient can arrange for alternative means of
removal.
d. The City of Federal Way will direct all offender work performed under this Agreement, in
accordance with the terms and conditions of K12080.
II EQUIPMENT
a. DOC will provide and maintain the basic tools, equipment and supplies, including operating
vehicles, necessary for workers to provide the services required under this Agreement.
b. The provision of specialized tools, equipment, and supplies, for any specialized or unusual tasks
and general labor activities requested by the recipient shall be negotiated between the parties.
Washington State K12080 Page 1 of 2
Department of Corrections Attachment B
III DISPOSAL
a. DOC will deliver all garbage, recyclables, and yard waste to disposal containers provided by the
recipient or to the City's Recycling and Disposal Transfer Stations or other disposal location
designated by the recipient. The recipient will absorb or otherwise pay the cost for disposal of all
material collected by workers and will not charge DOC for disposal of materials under the terms of
this Agreement.
b. DOC will record the dates on which therecipient notifies DOC of locations requiring 1)removal of
illegally dumped materials; 2) removal of bags of trash and other materials from community
cleanup activities including discoverable litter; and the dates that such materials were actually
removed or the general labor activity work was completed.
IV DOCUMENTATION
a. DOC will retain all sign-in sheets and daily activity logs for all work completed per Washington
State Records Retention Policies.
b. DOC will provide a detailed activity report of all work completed for the recipient with each
monthly invoice and will provide additional necessary reports upon request.
Washington State K12080 Page 2 of 2
Department of Corrections Attachment B
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COUNCIL MEETING DATE: July 161h, 2019 ITEM#: 6�1-11-
CITY OF FEDERAL WAY
CITY COUNCIL
AGENDA BILL
SUBJECT: WA State Department of Corrections Master Agreement—Class V Community
Restitution Programs
.. ..........
POLICY QUESTION: Should Council approve the WA State Department of Corrections Master
Agreement for Class V Community Restitution Programs and authorize the Mayor to execute the
agreement?
COMMITTEE: Parks, Recreation, Human Services&Public Safety MEETING DATE: July 91h 2019
CATEGORY:
Consent ❑ Ordinance ❑ Public Hearing
❑ City Council Business F1 Resolution ❑ Other—Information
Only
STAFF REPORT BY: John Hutton,Parks Director DEPT: Parks
Attachments: 1. BACKGROUND MEMO
2.MASTER AGREEMENT
Options Considered:
1. Approve the WA State Department of Corrections Master Agreement for Class V Community
Restitution Programs and authorize the Mayor to execute the agreement.
2. Do not approve the Master Agreement, and provide direction to staff.
3.
MAYOR'S RECOMMENDATION: Option I
MAYOR APPROVAL: DIRECTOR APPROVAL:
comrnittee Council Inkiaul)"'It-
initial/Date Initial/Date
COMMITTEE RECOMMENDATION: I move to,forward the proposed Agreement to the July 16th, 2019 consent
agenda.
LAI(
nin i i lice Chair Commiattee N/lember C01111 Member,
PROPOSED COUNCIL MOTION: "I move approval of the WA State Department of Corrections Master
Agreement for Class V Community Restitution Programs and authorize the Mayor to sign said agreement.
...........
(BELOW TO BE COMPLETED BY CITY CLERKS
AM'ROVI �tt COUNCIL BILL#
DI INIED First reading
TABLED/DEFERRED/NO ACTION Enactment reading
MOVED TO SECOND READING(ordinances only) ORDINANCE#
REVISED- 4/2019 RESOLUTION#
ITT OF
Federal Way
,i
Parks Department
Date: July 2 d, 2019
To: Parks, Recreation, Human Services & Public Safety Council Committee
Via: Mayor Jim Ferrell
From: John Hutton, Parks Director
Subject: WA State Department of Corrections Master Agreement— Class V Community
Restitution Programs
Background:
The Parks Department has been researching alternative methods for the cleanup of
homeless encampments throughout the City of Federal Way. Through that research,
Parks Staff discovered that WA State Department of Corrections offers a program that
could help with not only the homeless encampment cleanup, but additional needs across
multiple city departments.
Examples of additional services provided by WA State DOC include but are not limited to:
stream enhancement & restoration, carpentry/construction, salmon restoration, tree
planting, wood chipping, sand bagging, cleaning retention ponds, landscaping,
sanding/salting, etc.
At this time, staff is requesting approval of the WA State Department of Corrections
Master Agreement, which would be valid until June 30, 2022. Under this Master
Agreement, each city department would complete Attachment A on an annual basis to
determine specific Work Project Descriptions and contract budget, (See Master
Agreement, Page 1, Section 2, Work Project Descriptions). Each Attachment A
completed annually will be brought before PRHSPS Council Committee for approval.
Recommendation:
City Council to Approve the WA State Department of Corrections Master Agreement for
Class V Community Restitution Programs and authorize the Mayor to execute the
agreement.
Class V-Community Restitution Programs
Master Agreement
Between
THE WASHINGTON STATE DEPARTMENT OF CORRECTIONS
And
CITY OF FEDERAL WAY
This Master Contract Agreement is entered into by and between the Washington State Department of
Corrections, hereinafter referred to as DOC, and, the CITY OF FEDERALWAY hereinafter
referred to as the 'Recipient of the Services' or 'Recipient.' Individually referred to as party and
collectively as parties. Legal authority for this Master Contract Agreement is pursuant to RCW 39.34,
Z?,.L)and Q-igpter 1"7-8r)WAC.
Individuals who provide services under this Master Agreement reside in the community. For the
provision of services under this Master Agreement, all individuals are under Department, City, and/or
County jurisdiction.
1. PURPOSE
The purpose of this Agreement is to provide the master terms and conditions between the Parties for
individuals under the jurisdiction of a governmental entity to provide work crew services to the
Recipient. To be eligible to receive services, the Recipient must be a federal agency, an agency of
Washington State, a local government federally recognized Indian tribe within Washington State, a
public benefit nonprofit as defined by the IRS; a 501(c)(3) Charitable Organization or a 501(c)(4) Social
Welfare Organization.
No public employees will be displaced as a result of this Agreement.
On January 1, 2016, the terms and conditions contained in this Master Agreement replaced and
terminated any previous oral and written work crew agreements and work project descriptions between
the Parties. For this Master Agreement to be valid it must be signed by the Secretary of DOC or the DOC
Contracts Administrator on behalf of DOC.
2. WORK PROJECT DESCRIPTIONS
Offender work crew projects are limited to those that can be properly supervised as determined by the
DOC Field Administrator, Work Release and Residential Program Administrator, or designee and the
Recipient's Contract Manager. Each project is subject to careful review for security requirements. Each
distinct project requires a separate Work Project Description that is signed by both Parties to this
Agreement. [See Attachment A] The Work Project Description will detail the work to be done by
individuals,the cost to the Recipient and other specifics of the particular project.
A Field Administrator or Work Release and Residential Program Administrator is authorized to sign
Work Project Descriptions on behalf of DOC. A Work Project Description may be valid for up to one year
but must end prior to, or on the same date as, this Master Contract Agreement. All services provided
under each signed Work Project Description shall be performed pursuant to the terms of this Master
Agreement.
State of WaEbingkon Page I of 6
Department of Corrections 1.98362/64
3. TERM
The terin of this Master Contract Agreement shall begin upon final signature and continue through June
30,2022,unless terminated sooner as provided for herein.
4. BILLING and PAYMENT
In consideration of the services provided hereunder,payment to DOC will be as follows:
A. DOC will invoice the Recipient for payment by the 20th of the month following each month in
which individuals services were provided. Invoices for payment will include all direct and
indirect charges payable to DOC by the Recipient that were negotiated between the Parties,
except that payment for individuals L&I insurance coverage will be paid directly to L&I by the
Recipient and will not appear on DOC invoices.
B. Payment by the Recipient, will be due to the DOC address indicated below within 30 calendar
days of the date of the invoice. This DOC Master Agreement number and the location of the
project for which payment is made must be included with each payment.
C. DOC requires the Recipient of individuals'services to provide workers'compensation insurance
for the individuals who provide services to the Recipient under the terms of this Agreement.
Therefore,Recipient will:
1) Prior to contract execution, complete and submit to L&I,the Application for Elective Coverage of
Excluded Employine-nts, (L&I Form F213-112-000) to authorize the addition of individuals L&I
Risk Classification 7203 to the Recipient's L&I Account;
2) Provide DOC with a copy of the Rate Notice received from L&I that confirms the addition of
Risk Classification 7203 to the Recipient's L&I Account. DOC advises the Recipient to
include the L&I Rate Notice when returning this partially executed Agreement to DOC for
final signature.
3) Each quarter, for individuals'services provided to the Recipient during the previous quarter,
report to L&I the total number of individuals' hours worked and pay the total cost due for
workers'compensation coverage directly to L&I for those individuals'hours.
CITY OF FEDERAL WAY
D. Addresses to use for Billing and Payment. ATTN: PARKS DEPT, JASON GERWEN
33325 8th AVENUE SOUTH
1) Billing-Invoices for payment will be submitted to—FEDERAL WAY, WA 98003-6325
Payment—recipient will send payment to the address provided by the DOC Community
Corrections location from which services were provided.
5. TERMINATION
When in its own best interest, either Party may terminate this Agreement, in whole or in part, upon 30
days' written notice to the other Party, beginning on the second day after mailing such notice. If this
Agreement is so terminated each of the Parties shall be liable only in accordance with the terms of this
Agreement for services rendered prior to the effective date of termination.
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6. HAZARD ASSESSMENT AND MITIGATION
A. In accordance with the DOC Office of Risk Management, work generally considered to be
dangerous or hazardous may not be performed by individuals.
B. Before DOC individuals may provide services at any new and distinct project location, the
Recipient will assess the location for hazardous conditions and/or materials.
C. The Recipient's assessment must be performed in accordance with WAG 296-800-160 and provided
to DOC using DOC Form 03-247 or other similar hazard assessment and PPE selection TAForkSheet.
The Recipient will inform DOC promptly,in writing,if hazardous conditions or materials are found
at the new project site.
D. Once notified,DOC at its own discretion, may a)identify, with the Recipient,the protective
equipment or clothing that is needed for individuals and correctional officers to mitigate the effects
of the on-site hazard(s);or b)request that the Recipient remove or otherwise mitigate the hazard
before individuals perform the contracted work crew services at that site;or c)withdraw from the
project.
E. If hazardous conditions or materials are discovered while individuals are working at Recipient's
site,then individuals work will be suspended immediately and Recipient will make appropriate
regulatory notifications and request further assessment.
7. TOOLS,EQUIPMENT AND SUPPLIES
In General
1) DOC will provide individuals with basic work attire, such as boots, -loves, goggles and rain
gear, that may be needed for any project;
2) If the Parties to this Agreement do not negotiate otherwise, the Recipient will provide any
additional tools, equipment and supplies that individuals need to accomplish the Recipient's
specific work project. This will include any Personal Protective Equipment (PPE) e.g. bump
hats, specialized goggles or gloves, hearing and eye protective devices, etc. and any
specialized safety equipment(SSE) necessary to protect individuals and correctional officers
from hazards at the project site.
3) The specific tools, equipment and supplies necessary for each project, and the Party to the
Agreement responsible for providing each item, will be designated in the Work Project
Description for that project.
8. TRAINING
A The Recipient will train individuals regarding the work to perform as well as any safety
requirements specific to the project site and the use of any specialized equipment.
B. The Recipient will ensure that all safety training is in compliance with all applicable laws and
regulations including, but not limited to, Division of Occupational Safety and Health (DOSH)
regulations and the Washington Industrial Safety and Health Act(WISHA).
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9. CONTRACT MANAGEMENT
The contract manager(s) for each of the Parties shall be responsible for and shall be the contact person(s)
for all communications regarding the performance of this Agreement. Either Party may, with written
notice to the other,designate different contact persons.
LICKI-12LQ ut
Name: JASON GERWEN, PARK & FACILITIES MANAGER
Phone: DESK- 253-835-6962 CELL: 253-261-3941
Email: JASON.GERWEN@CITYOFFEDERALWAY.COM
DOC:
Nanie,,, %ian,�g_Eetw
Phone 253-786-3276
10. SUPERVISION
A. The Wcirk Recipient will supervise the work performed by individuals and maintain daily
oversight of the project until completed. Recipient will provide adequate worksite instruction
and direction to all individuals,to ensure safe work performance and proper project outcome.
B. Eecurily,. A first aid qualified Correctional Officer will supervise individuals at all times. Such
DOC supervision shall only be for the security and custody of the individuals and the safety of
the public at large,
C. Correctional Officers may not supervise the work performed by individuals or be responsible for
project outcomes.
D. On-Sile In the event of individuals' illness or injury, DOC will provide the
appropriate first aid. If necessary,emergency medical assistance will be called,or the individuals
will be transported to the nearest medical facility for treatment.
1)
a) Illness. DOC will pay all expenses related to treatment of individual's illness.
b) In . The cost of treatment provided to individuals beyond first aid for any and all
work related injuries will be paid in accordance with Title 51 RCW.
c) The Recipient's L&I Account Number, 510- will be the account number used by
individuals, DOC and medical providers when reporting an individual's work related
injury.
11.PUBLIC INFORMATION
Neither Party shall arrange for news media coverage without the consent of the other Party, nor shall
either Party release information to the news media without the consent of the other Party,unless required
by law.
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12. WORK PRODUCT and PERFORMANCE
A. Washington State and DOC,including its agents and/or employees:
1) Are not responsible for, and do not guarantee, the quality of the work performed or
products produced by individuals on work crews;
2) Shall not be required to pay other workers to re-do or repair the work performed by the
individuals;and
3) Are not responsible for damages to third Parties resulting from the work performed or
products produced by individuals on work crews.
13.INDEMNIFICATION
A. Recipient,its agents,and/or employees:
1) Are responsible for any damages resulting from the negligence of the Recipient, its
agents,and/or employees; and
2) Do indemnify,defend, and hold harmless DOC for claims arising from the negligent acts
or omissions of the Recipient,its agents,and/or employees.
B. DOC,its agents,and/or employees:
1) Are responsible for damages that arise out of DOC, its agents, and/or employees'
negligent security,supervision of individuals.
C. In accordance with the laws of the state of Washington and to the extent permitted by law, if
both Parties to this Agreement are negligent and jointly liable, each Party will assume
responsibility for its own negligent acts or omissions.
14. TRANSPORTATION
DOC has sole responsibility to transport individuals to and from the work project site,
15. DISPUTES
Should the Parties hereto be unable to informally resolve any dispute concerning the terms of this
Agreement, the dispute will be settled in binding arbitration by an arbitrator chosen by consent of both
Parties.
16. INSURANCE
Recipient will provide DOC with proof of current general liability insurance coverage when signing and
returning this Agreement.for final signature by DOC. Recipient must maintain its policy of general
liability insurance throughout the term of this Agreement and provide renewed proof of such coverage to
DOC annually with each new Work Project Description
Recipient's liability insurance coverage must have a limit of not less than$1,000,000 per each occurrence
with an aggregate limit of at least$2,000,000.
17. PUBLIC BENEFIT NON-PROFIT
In order to utilize individuals work crew services, Recipients that are non-profits,must be public benefit
non-profits, as defined by the federal Internal Revenue Service (IRS). Those that are public benefit non-
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Depaftxneka of C.orrections 198362/64
profits must provide proof to DOC of official IRS designation as a (501(c)(3) Charitable Organization or a
(501(c)(4)Social Welfare Organization.
The Recipient must provide DOC with proof of its IRS public benefit non-profit designation,with this
partially signed Agreement when returning this partially signed Agreement to DOC Contracts and Legal
Affairs for the final signature by DOC.
18. CHANGES AND MODIFICATIONS
Changes or modifications to this Agreement shall not be binding unless agreed to in writing by the
Parties hereto prior to such change or modification.Only the DOC Secretary or designee has the authority
to alter,amend,modify,or waive any clause or condition of this Agreement for DOC.
19. WAIVER
Waiver of any breach or default on any occasion shall not be deemed to be a waiver of any subsequent
breach or default.Any waiver shall not be construed to be a modification of the terms and conditions of this
Agreement.
20. SEVERABILITY
If any term or condition of this Agreement is held invalid by any court, such invalidity shall not affect the
validity of the other terms and conditions of this Agreement.
21. INTEGRATION
This Agreement contains all the terms and conditions agreed upon by the Parties.No understandings or
otherwise regarding the subject matter of this Agreement shall be deemed to exist or to bind either of the
Parties hereto. As used herein, reference to the Agreement shall include this Master Agreement, fully
executed amendments to this Agreement, and any Work Project Descriptions executed and attached
hereto.
THIS Agreement, consisting of six (6) pages and one (1) attachment, is executed by the persons signing
below who warrant that they have the authority to execute the Agreement.
CITY OFFEDERAL WAY DEPARTMENT OF CORRECTIONS
(Sxgnatufe)
(Prbr ed Nime) T.'Tin�ed Narne)
(..'.onn-icts AdMh-115trator
.............
(TJ tie)
.........................
(Do I e)
2 1�2 0 1
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