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HomeMy WebLinkAboutExecuted Amendment #3 with Ecology 2018-00117AMENDMENT NO. 3 TO AGREEMENT NO. WQC-2018-BremPW-00117 BETWEEN THE STATE OF WASHINGTON DEPARTMENT OF ECOLOGY AND City of Bremerton PURPOSE: To amend the above-referenced agreement (AGREEMENT) between the state of Washington Department of Ecology (ECOLOGY) and City of Bremerton (RECIPIENT) for the Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 (PROJECT). This amendment is needed to officially closeout Loan EL180442 and establish the final loan repayment schedule. 1) The scope of work remains the same. 2) The Initiation of Operation and Completion Dates of April 30, 2023, remain the same. Based on this date loan repayment is scheduled to begin no later than April 30, 2024. 3) The loan is reduced by $2,037.92, from $7,000,419, to $6,998,381.08. In addition, $181,456.97, of accrued interest is added for a total loan amount of $7,179,838.05. 4) Estimated Loan Repayment Schedule Number 638, created on February 27, 2023, is replaced with Final Loan Repayment Schedule Number 746, created on November 20, 2023. IT IS MUTUALLY AGREED that the AGREEMENT is amended as follows: Total Eligible Cost: Original: 7,000,419.00 Amended: 6,998,381.08 CHANGES TO THE BUDGET Funding Distribution EL180442 Funding Title:SRF Loan Title:FY18 SRF (State) Funding Effective Date: Funding Source: Funding Expiration Date:06/30/2018 04/30/2023 Funding Type:Loan Template Version 10/30/2015 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Page 2 of 10State of Washington Department of Ecology City of Bremerton Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 Project Agreement No. WQC-2018-BremPW-00117 Type:State 100% The Clean Water Act (CWA) (33 U.S.C 1251-1387) established the State Revolving Fund (SRF) low interest loans program (40. C.F.R. Part 31, 35 Sub Part K). Washington State administers the program under Chapter 173-98 WAC. The portion of this project funded with this funding distribution comes from non-federal source and are not subject to Federal Funding Accountability and Transparency Act (FFATA) and Single Audit Act (SAA). However, this project is subject to the federal requirements outlined in Section 4 and 5 of agreement terms and conditions. Funding Source %: Description: FD0727Fund: Approved Indirect Costs Rate: Recipient Match %: InKind Interlocal Allowed: InKind Other Allowed: Is this Funding Distribution used to match a federal grant? Approved State Indirect: 30% 0% No No No Effective Interest Rate: 1.5% Interest Rate: 0.5% Admin Charge: 1% Terms:20 years Project Start Date: 06/30/2018 Project Completion Date: 04/30/2023 Estimated Initiation of Operation date: Loan Security: Final Accrued Interest: Final Loan Amount: Repayment Schedule Number: 04/30/2023 Revenue Secure Lien Obligation of the Recipient $181,456.97 $7,179,838.05 746 SRF Loan Task Total Project Administration/Management $50,066.81 Permitting & Design $859,985.18 Construction Management $477,988.87 Construction $5,279,163.75 Change Order Allowance $269,471.77 Cultural Resource Management/Monitoring $61,704.70 Total: 6,998,381.08$ CHANGES TO SCOPE OF WORK Template Version 10/30/2015 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Page 3 of 10State of Washington Department of Ecology City of Bremerton Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 Project Agreement No. WQC-2018-BremPW-00117 Task Number:1 Task Cost: $50,066.81 Task Title:Project Administration/Management Task Description: A. The RECIPIENT shall carry out all work necessary to meet ECOLOGY grant or loan administration requirements. Responsibilities include, but are not limited to: maintenance of project records; submittal of requests for reimbursement and corresponding backup documentation; progress reports; and a recipient closeout report (including photos). B. The RECIPIENT shall maintain documentation demonstrating compliance with applicable procurement, contracting, and interlocal agreement requirements; application for, receipt of, and compliance with all required permits, licenses, easements, or property rights necessary for the project; and submittal of required performance items. C. The RECIPIENT shall manage the project. Efforts include, but are not limited to: conducting, coordinating, and scheduling project activities and assuring quality control. Every effort will be made to maintain effective communication with the RECIPIENT's designees; ECOLOGY; all affected local, state, or federal jurisdictions; and any interested individuals or groups. The RECIPIENT shall carry out this project in accordance with any completion dates outlined in this agreement. Task Goal Statement: Properly managed and fully documented project that meets ECOLOGY’s grant or loan administrative requirements. Task Expected Outcome: * Timely and complete submittal of requests for reimbursement, quarterly progress reports, and RECIPIENT closeout report. * Properly maintained project documentation Recipient Task Coordinator: Linda Fulton Deliverables Due DateDescriptionNumber 1.1 Quarterly Progress Reports 1.2 Recipient Closeout Report 1.3 Project Outcome Summary Report CHANGES TO SCOPE OF WORK Task Number:2 Task Cost: $859,985.18 Task Title:Permitting & Design Task Description: A. The RECIPIENT shall obtain necessary permits required for the project. Template Version 10/30/2015 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Page 4 of 10State of Washington Department of Ecology City of Bremerton Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 Project Agreement No. WQC-2018-BremPW-00117 B. The RECIPIENT shall procure engineering services in accordance with state law. The RECIPIENT must include ECOLOGY’s specification insert in the contract documents for design. The RECIPIENT shall submit all contracts for engineering services before ECOLOGY shall provide reimbursement for work performed under this task. The engineering consultant firm shall complete the final design and permitting for the project under the management and oversight of the RECIPIENT. C. The RECIPIENT shall design the grinder pumps and conveyance pipelines. Plans and specifications developed by the RECIPIENT shall be consistent with the requirements of Chapter 173-240 WAC. D. The plans and specifications, construction contract documents, and addenda shall be approved by the RECIPIENT prior to submittal for ECOLOGY review. All construction plans submitted to ECOLOGY for review and approval shall be reduced to no larger than 11" x 17" in size. All reduced drawings shall be completely legible. The project manager may request plans be submitted in either PDF or AutoCAD electronic format, and specifications in a searchable PDF or Microsoft Word electronic file. A current construction cost estimate shall be submitted along with each plan/specification submittal. The project manager may request a spreadsheet of the costs in electronic file format. E. The RECIPIENT shall complete the facility design within 24 months after the execution of this AGREEMENT. The RECIPIENT has requested an additional 12 month extension to the standard 12 month design completion requirement for Step 4 design construct projects due to the size and difficulty of a project of this kind. Ecology will review progress after 12 months to ensure sufficient progress has been made. If it is determined that sufficient progress has not been made toward the completion of design, this agreement may be amended to include design only, de-obligating construction funding for use on other projects. F. Investment Grade Efficiency Audit. The RECIPIENT shall procure a third party analysis of potential energy and water efficiency measures for incorporation into the design of any wastewater facilities. The analysis shall identify potential efficiency measures, provide cost estimates, and evaluate their cost effectiveness. If the RECIPIENT has obtained either a preliminary or investment grade energy audit of the utility in the last 5 years, documentation of that audit can be submitted instead. G. The RECIPIENT's construction management staff shall provide a constructability review and quality assurance check of the project drawing and specification package, and general requirements of the construction bid documents at the 60 percent and 90 percent stages. Task Goal Statement: See Overall Goal. Task Expected Outcome: See Overall Goal. Recipient Task Coordinator: Bill Davis Deliverables Due DateDescriptionNumber Template Version 10/30/2015 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Page 5 of 10State of Washington Department of Ecology City of Bremerton Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 Project Agreement No. WQC-2018-BremPW-00117 2.1 Documentation of local, state and federal permitting. 2.2 Executed contracts for engineering services and affidavit of publication. 2.3 Documentation of the RECIPIENT’s process for procuring engineering services, and affidavit of publications. 2.4 Documentation of opinions of probable construction costs for the pumps and conveyance system improvements. 2.5 Final bid documents for the RECIPIENT's use in soliciting bids from Contractors to construct the improvements. 2.6 Documentation of quality assurance and quality control reviews throughout the design phase. 2.7 Two copies of the final design with detailed cost estimate and specifications. 2.8 Investment Grade Efficiency Audit documentation. CHANGES TO SCOPE OF WORK Task Number:3 Task Cost: $477,988.87 Task Title:Construction Management Task Description: A. The RECIPIENT will provide adequate and competent construction management and inspection for the Project. This may involve procuring the professional services. If professional services are procured, the RECIPIENT will procure them in accordance with state law. The RECIPIENT will include ECOLOGY’s specification insert in the contract documents. The RECIPIENT must submit all contracts for construction management services before ECOLOGY will provide reimbursement for work performed under this task. B. The RECIPIENT will develop a detailed Construction Quality Assurance Plan (WAC 173-240-075) and submit it to ECOLOGY for approval. This plan must describe the activities which the RECIPIENT will undertake to achieve adequate and competent oversight of all construction work. C. Upon completion of this construction, the RECIPIENT shall submit the Declaration of Construction Completion form to ECOLOGY in accordance with WAC 173-240-090 and a set of "as-built" plans of the construction contract i.e., record construction drawings which reflect changes, modifications, or other revisions made to the project during construction. The form, when signed by a professional engineer, indicates that the project was completed in accordance with the plans and specifications and major change orders approved by ECOLOGY, and is accurately shown on the as-built plans. D. The RECIPIENT will provide a plan of interim operation for the facility while under construction. E. The RECIPIENT will ensure construction progresses according to a timely schedule developed to meet completion dates Template Version 10/30/2015 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Page 6 of 10State of Washington Department of Ecology City of Bremerton Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 Project Agreement No. WQC-2018-BremPW-00117 indicated in the construction contract. The RECIPIENT will revise or update the schedule whenever major changes occur and resubmit to ECOLOGY. In the absence of any major changes, the RECIPIENT will describe progress of the construction in the quarterly progress reports. F. As a condition of receiving this funding, the RECIPIENT will prepare an asset management program (fiscal sustainability plan). The RECIPIENT will certify that a plan that contains at least the minimum required elements listed above has been developed and is being implemented. The plan must include the following elements: 1. An inventory of critical assets that belong to the utility. 2. An evaluation of the condition and performance of the critical assets. 3. A plan to maintain, repair, and replace the critical assets and to fund those activities. 4. A process to evaluate and implement water and energy conservation efforts as part of the plan. Task Goal Statement: See Overall Goal. Task Expected Outcome: See Overall Goal. Recipient Task Coordinator: William Davis Deliverables Due DateDescriptionNumber 3.1 Executed contract for construction management services. 3.2 Documentation of the RECIPIENT’s process for procuring engineering services. 3.3 Construction Quality Assurance Plan. 3.4 Plan of interim operation of the facility while under construction. 3.5 Declaration of Construction completion (paper copy) and one electronic copy of the Record Drawings. Submit the electronic copy in searchable PDF format at minimum resolution of 300 dpi. CHANGES TO SCOPE OF WORK Task Number:4 Task Cost: $5,279,163.75 Task Title:Construction Task Description: A. The RECIPIENT shall include ECOLOGY’s specification insert in the bid documents. The RECIPIENT shall execute a Template Version 10/30/2015 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Page 7 of 10State of Washington Department of Ecology City of Bremerton Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 Project Agreement No. WQC-2018-BremPW-00117 contract with the lowest responsive responsible bidder to construct the PROJECT. The RECIPIENT shall submit Bid Tabs, the Notice of Award, and a copy of the executed contract before ECOLOGY shall provide reimbursement for work performed under this task. B. The RECIPIENT shall complete construction of the grinder pumps, pipelines, an upland 3 inch low pressure sewer (LPS) main and an upland large diameter force main (12 inch diameter) in accordance with the plans and specifications approved by ECOLOGY. In addition, the RECIPIENT will install two pumps and a control panel at the Oyster Bay Inn. C. The RECIPIENT shall conduct a pre-construction conference and invite ECOLOGY staff. Task Goal Statement: See Overall Goal. Task Expected Outcome: See Overall Goal. Recipient Task Coordinator: William Davis Deliverables Due DateDescriptionNumber 4.1 Copy of the advertisement for bids with affidavit of publication, bid tabs in Excel format, notice of award, notice to proceed, and a copy of the executed construction contract. 4.2 Minutes of the pre-construction meeting. 4.3 Certification that the Financial Sustainability Plan has been developed and is being implemented. CHANGES TO SCOPE OF WORK Task Number:5 Task Cost: $269,471.77 Task Title:Change Order Allowance Task Description: A. The RECIPIENT shall negotiate all change orders to the construction contract necessary for successful completion of the project. B. The RECIPIENT shall submit the change orders to ECOLOGY for approval. Change orders that are a significant deviation from the approved plans/specifications must be submitted for approval, prior to execution. All other change orders must be submitted within 30 days after execution. Template Version 10/30/2015 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Page 8 of 10State of Washington Department of Ecology City of Bremerton Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 Project Agreement No. WQC-2018-BremPW-00117 Task Goal Statement: See Overall Goal. Task Expected Outcome: See Overall Goal. Recipient Task Coordinator: William Davis Deliverables Due DateDescriptionNumber 5.1 Change Order Justifications if needed. 5.2 Executed change orders with backup documentation and professional engineer seal and signature. CHANGES TO SCOPE OF WORK Task Number:6 Task Cost: $61,704.70 Task Title:Cultural Resource Management/Monitoring Task Description: A. The RECIPIENT will negotiate all change orders to the construction contract necessary for successful completion of the project. B. The RECIPIENT will submit the change orders to ECOLOGY for approval. Change orders that are a significant deviation from the approved plans/specifications will be submitted for approval, prior to execution. All other change orders will be submitted within 30 days after execution. Task Goal Statement: See Overall Goals. Task Expected Outcome: See Overall Goals. Deliverables Due DateDescriptionNumber 6.1 A copy of all change orders Template Version 10/30/2015 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Page 9 of 10State of Washington Department of Ecology City of Bremerton Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 Project Agreement No. WQC-2018-BremPW-00117 Funding Distribution Summary Recipient / Ecology Share Funding Distribution Name Recipient Match %Recipient Share Ecology Share Total SRF Loan 0 %$$$0.00 6,998,381.08 6,998,381.08 Total 0.00 6,998,381.08 6,998,381.08$$$ Template Version 10/30/2015 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Page 10 of 10State of Washington Department of Ecology City of Bremerton Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 Project Agreement No. WQC-2018-BremPW-00117 Washington State Department of Ecology Date Date Water Quality Vincent McGowan, P.E.Greg Wheeler City of Bremerton AUTHORIZING SIGNATURES All other terms and conditions of the original Agreement including any Amendments remain in full force and effect, except as expressly provided by this Amendment. The signatories to this Amendment represent that they have the authority to execute this Amendment and bind their respective organizations to this Amendment. This amendment will be effective 04/30/2023. IN WITNESS WHEREOF: the parties hereto, having read this Amendment in its entirety, including all attachments, do agree in each and every particular and have thus set their hands hereunto. Mayor By:By: Program Manager Template Approved to Form by Attorney General's Office Template Version 10/30/2015 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 1/25/20241/26/2024 230474 12/12/23DOE Amendment #3 - Oyster Bay Beach Sewer Upgrades - OB-2 to OB-1 New Total - $6,998,381.086/30/18 - 4/30/23 Noreen/Engineering X2323 X MRR 12.14.23 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 ________________________________________________________________________________ Public Works & Utilities │ 345 6th Street, Suite 100, Bremerton, WA 98337 * Phone (360) 473-5270 * Fax (360) 473-5398 Working for and with our residents to establish Bremerton as Puget Sound’s most beautiful and livable waterfront city! Executive Correspondence Routing Memo Requires City Council Approval? Yes ☐ No ☒ Greensheet No. : 230474 Date: December 15, 2023 Subject: Amendment No. 3 – Oyster Bay Beach Sewer Upgrades (OB-2 to OB-1) Description: With the completion of the project, this modification to the loan agreement with the Department of Ecology revises the total loan amount to match the total project expenditures that were able to be reimbursed under the loan and adds accrued interest. There is no change in the scope of work. The loan is reduced by $2,037.92, from the total of $7,000,419 to $6,998,381.08. Additionally, the accrued interest of $181,456.97 is incorporated into the loan amount, resulting in a new total of $7,179,838.05. The commencement of loan repayment is scheduled to begin no later than April 30, 2024, as detailed in the attached final amortization schedule. Fiscal Impact: The loan amount, which includes accrued interest, is increased from $7,000,419 to $7,179,838.05. Action Requested: Review and signature, return to Noreen Bolo. Approval / Recommendation: Managing Engineer: Initials/date _______________ City Engineer: Initials/date _______________ Public Works Director: Initials/date _______________ Contract Administrator: LASERFICHE Finance: LASERFICHE City Attorney: LASERFICHE Mayor: DOCUSIGN (as initiated by Department of Ecology) Department of Ecology: DOCUSIGN Please advise Noreen Bolo / Bill Davis when executed. Thank you! 1/10/24 1/11/2024 Tom Knuckey Digitally signed by Tom Knuckey Date: 2024.01.12 15:27:29 -08'00' DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Final loan repayment schedule Loan number:EL180442 Agreement #:WQC-2018-BremPW- 00117 Recipient name:BREMERTON CITY OF Amortization method:Compound-365 D/Y Initiation of Operations:4/30/2023 Project Completion:4/30/2023 Schedule number:AS-000000746 Loan amount:$7,179,838.05 Term of loan:20 Years Effective interest rate:1.500% Interest compounded:Monthly Loan date:11/21/2023 Schedule creation date:11/20/2023 Payment number Due date Payment amount Principal amount Interest amount Admin amount Balance amount 1 4/30/2024 208,342.52 160,709.92 15,877.53 31,755.07 7,019,128.13 Subtotal FY 2024 208,342.52 160,709.92 15,877.53 31,755.07 7,019,128.13 2 10/30/2024 208,342.52 155,534.27 17,602.75 35,205.50 6,863,593.86 3 4/30/2025 208,342.52 156,704.43 17,212.70 34,425.39 6,706,889.43 Subtotal FY 2025 416,685.04 312,238.70 34,815.45 69,630.89 6,706,889.43 4 10/30/2025 208,342.52 157,883.39 16,819.71 33,639.42 6,549,006.04 5 4/30/2026 208,342.52 159,071.23 16,423.76 32,847.53 6,389,934.81 Subtotal FY 2026 416,685.04 316,954.62 33,243.47 66,486.95 6,389,934.81 6 10/30/2026 208,342.52 160,267.99 16,024.84 32,049.69 6,229,666.82 7 4/30/2027 208,342.52 161,473.77 15,622.92 31,245.83 6,068,193.05 Subtotal FY 2027 416,685.04 321,741.76 31,647.76 63,295.52 6,068,193.05 8 10/30/2027 208,342.52 162,688.61 15,217.97 30,435.94 5,905,504.44 9 4/30/2028 208,342.52 163,912.60 14,809.97 29,619.95 5,741,591.84 Subtotal FY 2028 416,685.04 326,601.21 30,027.94 60,055.89 5,741,591.84 10 10/30/2028 208,342.52 165,145.79 14,398.91 28,797.82 5,576,446.05 11 4/30/2029 208,342.52 166,388.26 13,984.75 27,969.51 5,410,057.79 Subtotal FY 2029 416,685.04 331,534.05 28,383.66 56,767.33 5,410,057.79 12 10/30/2029 208,342.52 167,640.08 13,567.48 27,134.96 5,242,417.71 13 4/30/2030 208,342.52 168,901.31 13,147.07 26,294.14 5,073,516.40 Subtotal FY 2030 416,685.04 336,541.39 26,714.55 53,429.10 5,073,516.40 14 10/30/2030 208,342.52 170,172.04 12,723.49 25,446.99 4,903,344.36 15 4/30/2031 208,342.52 171,452.32 12,296.73 24,593.47 4,731,892.04 Subtotal FY 2031 416,685.04 341,624.36 25,020.22 50,040.46 4,731,892.04 16 10/30/2031 208,342.52 172,742.24 11,866.76 23,733.52 4,559,149.80 17 4/30/2032 208,342.52 174,041.86 11,433.55 22,867.11 4,385,107.94 Subtotal FY 2032 416,685.04 346,784.10 23,300.31 46,600.63 4,385,107.94 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Payment number Due date Payment amount Principal amount Interest amount Admin amount Balance amount 18 10/30/2032 208,342.52 175,351.26 10,997.09 21,994.17 4,209,756.68 19 4/30/2033 208,342.52 176,670.51 10,557.34 21,114.67 4,033,086.17 Subtotal FY 2033 416,685.04 352,021.77 21,554.43 43,108.84 4,033,086.17 20 10/30/2033 208,342.52 177,999.69 10,114.28 20,228.55 3,855,086.48 21 4/30/2034 208,342.52 179,338.87 9,667.88 19,335.77 3,675,747.61 Subtotal FY 2034 416,685.04 357,338.56 19,782.16 39,564.32 3,675,747.61 22 10/30/2034 208,342.52 180,688.12 9,218.13 18,436.27 3,495,059.49 23 4/30/2035 208,342.52 182,047.52 8,765.00 17,530.00 3,313,011.97 Subtotal FY 2035 416,685.04 362,735.64 17,983.13 35,966.27 3,313,011.97 24 10/30/2035 208,342.52 183,417.15 8,308.46 16,616.91 3,129,594.82 25 4/30/2036 208,342.52 184,797.09 7,848.48 15,696.95 2,944,797.73 Subtotal FY 2036 416,685.04 368,214.24 16,156.94 32,313.86 2,944,797.73 26 10/30/2036 208,342.52 186,187.40 7,385.04 14,770.08 2,758,610.33 27 4/30/2037 208,342.52 187,588.18 6,918.11 13,836.23 2,571,022.15 Subtotal FY 2037 416,685.04 373,775.58 14,303.15 28,606.31 2,571,022.15 28 10/30/2037 208,342.52 188,999.50 6,447.67 12,895.35 2,382,022.65 29 4/30/2038 208,342.52 190,421.43 5,973.70 11,947.39 2,191,601.22 Subtotal FY 2038 416,685.04 379,420.93 12,421.37 24,842.74 2,191,601.22 30 10/30/2038 208,342.52 191,854.06 5,496.15 10,992.31 1,999,747.16 31 4/30/2039 208,342.52 193,297.47 5,015.02 10,030.03 1,806,449.69 Subtotal FY 2039 416,685.04 385,151.53 10,511.17 21,022.34 1,806,449.69 32 10/30/2039 208,342.52 194,751.74 4,530.26 9,060.52 1,611,697.95 33 4/30/2040 208,342.52 196,216.95 4,041.86 8,083.71 1,415,481.00 Subtotal FY 2040 416,685.04 390,968.69 8,572.12 17,144.23 1,415,481.00 34 10/30/2040 208,342.52 197,693.18 3,549.78 7,099.56 1,217,787.82 35 4/30/2041 208,342.52 199,180.52 3,054.00 6,108.00 1,018,607.30 Subtotal FY 2041 416,685.04 396,873.70 6,603.78 13,207.56 1,018,607.30 36 10/30/2041 208,342.52 200,679.05 2,554.49 5,108.98 817,928.25 37 4/30/2042 208,342.52 202,188.86 2,051.22 4,102.44 615,739.39 Subtotal FY 2042 416,685.04 402,867.91 4,605.71 9,211.42 615,739.39 38 10/30/2042 208,342.52 203,710.02 1,544.17 3,088.33 412,029.37 39 4/30/2043 208,342.52 205,242.63 1,033.30 2,066.59 206,786.74 Subtotal FY 2043 416,685.04 408,952.65 2,577.47 5,154.92 206,786.74 40 10/30/2043 208,342.50 206,786.74 518.59 1,037.17 0.00 Subtotal FY 2044 208,342.50 206,786.74 518.59 1,037.17 0.00 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Grand total 8,333,700.78 7,179,838.05 384,620.91 769,241.82 0.00 DocuSign Envelope ID: 8F1CC09F-42EF-4CFD-917C-BBCA15192EB7 Certificate Of Completion Envelope Id: 8F1CC09F42EF4CFD917CBBCA15192EB7 Status: Completed Subject: Amendment for Signature Source Envelope: Document Pages: 18 Signatures: 2 Envelope Originator: Certificate Pages: 5 Initials: 0 Tammie McClure AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) P.O. Box 47600 Olympia, WA 98504 tmcc461@ECY.WA.GOV IP Address: 147.55.7.168 Record Tracking Status: Original 1/25/2024 9:17:42 AM Holder: Tammie McClure tmcc461@ECY.WA.GOV Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Washington State Department of Ecology Location: DocuSign Signer Events Signature Timestamp Greg Wheeler greg.wheeler@ci.bremerton.wa.us Mayor Bremerton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 73.97.42.90 Sent: 1/25/2024 9:37:09 AM Viewed: 1/25/2024 10:25:10 AM Signed: 1/25/2024 10:26:51 AM Electronic Record and Signature Disclosure: Accepted: 1/25/2024 10:25:10 AM ID: d38540a1-934e-49fc-9839-dd7758f08ad8 David Giglio dgig461@ecy.wa.gov Security Level: Email, Account Authentication (None) Signature Adoption: Uploaded Signature Image Using IP Address: 147.55.7.168 Sent: 1/25/2024 12:27:44 PM Viewed: 1/26/2024 2:41:09 PM Signed: 1/26/2024 2:42:05 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Tammie McClure tmcc461@ecy.wa.gov Washington State Department of Ecology Security Level: Email, Account Authentication (None)Using IP Address: 147.55.7.168 Sent: 1/25/2024 10:26:54 AM Viewed: 1/25/2024 12:27:02 PM Completed: 1/25/2024 12:27:42 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Carbon Copy Events Status Timestamp Melinda Monroe melinda.monroe@ci.bremerton.wa.us Security Level: Email, Account Authentication (None) Sent: 1/25/2024 9:37:10 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Elaine Markham elma461@ecy.wa.gov Security Level: Email, Account Authentication (None) Sent: 1/25/2024 12:27:43 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Kimberly Adams kjun461@ecy.wa.gov Security Level: Email, Account Authentication (None) Sent: 1/25/2024 12:27:43 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Elaine Markham elma461@ecy.wa.gov Security Level: Email, Account Authentication (None) Sent: 1/26/2024 2:42:07 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Kimberly Adams kjun461@ecy.wa.gov Security Level: Email, Account Authentication (None) Sent: 1/26/2024 2:42:07 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 1/25/2024 9:37:10 AM Certified Delivered Security Checked 1/26/2024 2:41:09 PM Signing Complete Security Checked 1/26/2024 2:42:05 PM Completed Security Checked 1/26/2024 2:42:07 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Carahsoft OBO Washington State Department of Ecology - Toxics Cleanup Program (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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