AG 20-044.003 - LAKEHAVEN WATER & SEWER DISTRICTRETURN TO: PW ADMIN EXT: 2700 ID #: 4042
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT/Div: PUBLIC W.ORKSI Capital Projects
2. ORIGINATING STAFF PERSON: John Cole EXT: 2718 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#): 20-044 ❑ INTERLOCAL
m OTHER Task Order #003
4. PROJECT NAME: 2020 Asphalt Overlay Project
5. NAMEOFCONTRACTOR: Lakehaven Water & Sewer District
ADDRESS: TELEPHONE:
E-MAIL: ibowmanalakehaven_ora FAX:.
SIGNATURENAME: John Bowman TITLE: General Manager
G. 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. 12/31/ UBI # . EXP.
7. TERM: COMMENCEMENT DATE: 1 1 /30/21 COMPLETION DATE: Upon Completion
8. TOTAL COMPENSATION: $ 53 440.60 -They a 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
❑ PURCHASING: PLEASE CHARGE TO:
9. DOCUMENT / CONTRACT REVIEW
❑ PROJECT MANAGER
❑ DIVISION MANAGER
❑ DEPUTY DIRECTOR
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
❑ LAW DEPT
10. COUNCIL APPROVAL (IF APPLICABLE)
11. CONTRACT SIGNATURE ROUTING
INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
SCHEDULED COMMITTEE DATE:
SCHEDULED COUNCIL DATE:
COMMITTEE APPROVAL DATE:
COUNCIL APPROVAL DATE:
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: 10/20/21 DATE REC' D: 12/20/21
❑ 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
05 LAW DEPT
A SIGNATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK
❑ ASSIGNED AG #
❑ SIGNED COPY RETURNED
COMMENTS:
EXECUTE " 2 " ORIGINALS
l '7rd7rZ
11$i2aLZ
AG# D
DATE SENT: JUL
1/2020
SERVICES AGREEMENT
BETWEEN THE CITY OF FEDERAL WAY AND LAKEHAVEN WATER AND SEWER DISTRICT
FOR, SERVICES, COSTS AND CONSTRUCTION RELATED TO
Task Order M--9B •2.0 - 00,6
Project Title: City of Federal Way 2020 Asphalt Overlay Protect
This Task Order is issued under the Inter Local Agreement between the City of Federal Way and
Lakehaven Water and Sewer District. This Task Order establishes the scope, schedule, and budget for
the CitV of Federal Way 2020 Asphalt Overlay Pro'ect. The Parties agree to perform the Services in the
manner set forth in this Task Order.
The effective date of this Task order is November 30, 2021
Project Description. General Description of the work to be performed.
Attachment 1. Cost Impact Due to LWSD Delay
The authorized representatives of the parties have agreed to the terms of this Task Order by signing
below.
For the City
Signature
I-Vb \--3 o ring : ctc,'br
Title
Sk-?-0z2.
Date
Approved as to Form:
&9 Li -
Name, City Attorney
Signature
Title
Date
Approv d s to For
Name, akehaven Legal Counsel
Attachment 1
Cost impact due to L4'VSD Delay
Miles Resources — Schedule C
$24,731-25
Remove and replace 15t Ave S and S 294ffi PI ADA ramp
$24,274.1i0
City lnspoction, Project Management & Administration —
Schedule C
$21,251.81
SUB TOTAL
$70,257.16
Payment for Schedule A delays
-$16,816.56
TOTAL
1 $53,440.60
Christine Tollefson
From: John Bowman <J Bowman@ lakehaven.org >
Sent: Wednesday, January 12, 2022 2:44 PM
To: Christine Tollefson
Subject: RE: Task Order for 2020 Asphalt Overlay Project
Categories: In -Office
[EXTERNAL EMAIL WARNING]
This email originated from outside of the City of Federal Way and may not be trustworthy. Please use caution
when clicking links, opening attachments, or replying to requests for information. If you have any doubts about
the validity of this email please contact IT Help Desk at x2555.
Hi Christine,
Go ahead and correct the number. I don't have a problem with that.
To make sure we are tracking the task numbers in the future the same as the city, it might be worth a meeting to review
tracking systems. I would like to make sure that our records match your records. Are you the one assigning the task
numbers? If not, who is maintaining the master list?
Thanks,
John Bowman
General Manager
�Lakethaven
31627 1 st Ave S
Federal Way, Washington 98003
253-946-5401
wwwlakehaven.org
From: Christine Tollefson <Christine.Tollefson@cityoffederalway.com>
Sent: Wednesday, January 12, 2022 10:19 AM
To: John Bowman <JBowman@lakehaven.org>
Subject: Task Order for 2020 Asphalt Overlay Project
Hello John,
We recently received the signed task order for the 2020 Asphalt Overlay Project (attached for reference). We noticed
there was an error as follows:
1
1. The appropriate number for this task order should be as follows:'20-003' (This is the 3rd Task order for the 2020
Overlay). It was incorrectly noted as task order 21-005.
I just need an email confirmation from you that it is ok to correct this on the Task Order document after you have
already signed.
Thank you,
Christy Tollefson
Administrative Assistant 2
City of Federal Way
Public Works Department
33325 8th Avenue S
Federal Way, WA 98003-6325
Phone: 253-835-2701
The contents of this email may be determined to be a public record and subject to disclosure pursuant to RCW 42.56
regardless of any expectations or claims of confidentiality or privilege asserted.