The URL can be used to link to this page

Home My WebLink AboutRequest to Purchase - Public Works (002)f..*-*.'RANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) " REQUESTING DEPARTMENT- '--'j BLIC WORKS REQUEST SUBMITTED BY:SHILO NELLIS CONTACT PERSON ATTENDING ROUNDTABLE. ANDY BOOTH CONFIDENTIAL INFORMATION: EIYES NO DATE. 11/25/24 PHONE:509-754-6082 A ElAgreement / Contract 17AP Vouchers DAppointment / Reappointment DARPA Related El Bids / RFPs / Quotes Award E]Bid Opening Scheduled 0 Boards / Committees ElBudget 17 Computer Related I E]County Code 0 Emergency Purchase 'LJ Employee Rel, ,DFacilities Related 0 Financial 1-1 Funds El Hearing FlInvoices / Purchase Orders 10 Grants - Fed/State/County ElLeases 0MOA / MOU I ,0Minutes []Ordinances 11-lOut of State Travel 17 Petty Cash El Policies ElProclamations *Request for Purchase F!Resolution :1 Recommendation _� FProfessional Serv/Consultant []Support Letter E]Surplus Req. .DTax Levies DThank You's DTax Title Property 17WSLCB $ U 0 G at, M1 PO -- - ------ -------- --------- - REPLACE A 2019 AUTOMATED FLAGGER DEVICE THAT WAS DAMAGED AND DECLARED A TOTAL LOSS If necessary, was this document reviewed by accounting? 0 YES EGAL REVIEW: If this document requiresleglal review, route to legal for review prior, If necessary, was this document reviewed by legal? 11 YES 1:1 NJ DATE OF ACTION: 12,131-2, ;5? 1 / APPROVE: DENIED ABSTAIN D1: D2: D1 4/23/24 FJ NO I* N/A DEFERRED OR CONTINUED TO: � N/A R NOV 26 2024 A Grant Coupty.► Department of Public Works IL24 Enterprise St. S.Es Ephrata, WA 98823 publicworkrantcountywa.gov _ . ``-�;/ MEMO'Serial, No. 24.107 DATE: November 25th,2024 TO: Honorable Board of County Commissioners FROM: John Spiess Public Works Central Shop/Fleet Manager SUBJECT: Purchasing Equipment Not on the 2024 Budget On July 1 s', 2024, unit #0083, a 2019 Automated Flagger Assistance Device (AFAR) was damaged in an accident and declared a total loss. The insurance payout was $16,750 minus $10,000 for deductible for a total of $6,750. Public Works is seeking authorization to purchase a replacement unit from Coral Sales Co. for the price of $16,750 including freight. Coral Sales Co. has a unit in stock and can deliver upon receiving a PO#. The remaining funds will come from Roads 101. Thank you for your consideration in this matter. Respectfully, John Spiess Central Shop/Fleet Manager ""I'o meet current and future needs,, serving together with public and private entities, while fostering a respectful and successful work environment." John Brissey, Supervisor Dist. No. I ...... I ........ Ext. 3540 Information ................................... (509) 754-6082 Andy Booth, Deputy Public Works Director....... Ext. 3519 Mike DeTrollo, Supervisor Dist. No. 2 .......(509) 765-4172 FAX ................................................. (509) 754-6087 Bob Bersanti, Construction Engineer ................ Ext. 3503 Rusty Soelter, Supervisor Dist. No. 3 ........(509) 787-2321 Dave Bren, PE, County Road Engineer... Ext. 3502 Rod Follett, Supervisor Sign Shop ..................... Ext. 3579 John Spiess, Supervisor Central Shop ..... (509) 754-6086 Jajaira Perez, Finance Manager ............. Ext. 3555 Jason Collings, Supervisor Solid Waste...... (509) 754-4319 Tim Massey, Supervisor Bridge Crew .............. Ext. 3535 Grant County Employee Safety Incident Report Form Employee.- This entire form needs to be completed by you andlor your supervisor. This form must be submitted to Human Resources within 24 hours of the incident. Attention: This form --ontainsin(brimationrelating toempbyee heath and must be tised 'n a monner t.at protects the coniderliallity of ern playem to the extent possible while the information is be ng used for spa ma safety and health puWes. Records Retention: per 29CFR1904, this form rruzl, re roan fre for 5 years following theyear to who it pertairs Revised: 5MOM16, PORE! C SHINGT N RURAL COUNTIES INSURANCE PROGRAM AUTOMOBILE LOSS NOTICE .d4 Grant County Commissioners Tod yy s Date; commissione s Fent o n . o and Date & time of loss, Shane Heston mipm shaneg�tr s i su e,c m DEPARTMENT. - Person Contact's Phone �� e, Department's Email: -ocation of Accident,, Lo,v,4N Description of ='. P C-v e- e � S M � 5 1-- ---------- INSURED VEHICLE: Vehicle N, Year, Make, ModelVehicle Identification Number Owner's Name, Ad 3 e , & Phone'. er'�'a�ame i�-moo y Qfea a i dress: _ iuci .gj Business Phone: � . � Residence hone: � „�11 i , . Estimate Amount, DescribeDamage: INJURED: Name & Address Witnesses Passengers:4-61it .......... joc� Was EMS / Fire Notified: Insurance Name-, Police Number.* ContactPhone: Phone ! of Was Law Enforcement Notified; t C-1 /3 4 FORM C VEHICLE COLLISION DESCRIPTION DIAGRAM Show male of highways, points of compass (N/S/E/W), and direction of travel of the vehicles involved. � � 1 � � 1 1 l 1 I � North u ROAD CHARACTER ROAD SURFACE ROAD DEFECTS TRAFFIC CONTROL ❑ Straight Road Dry ❑ Defective Shoulder ❑ Stop Sign jk Curare ❑'met ❑ Holes, Ruts, Sumps ❑ Strip & Go Signal ❑ Level ❑ Muddy ❑ Loose Material ❑ FlagmanlOf icer ❑ On Grade ❑ Snowy 0 Other (Describe) El Other (Describe) ❑ Crest of Bill ❑ Icy , No Defects ❑ No Traffic Control LIGHTING WEATHER NOTES ;5 Daylight 4 Clear KYes ❑ No Photos Taken ❑ Dusk ❑ Raining ❑ Dawn ❑ Snowing ❑ Dark — with Streetlight ❑ Fog ❑ Dark —no Streetlight ❑ Other (Describe) C-2l3 FORM C [DRIVER'S STATEMENT lot i-Jf �g6 £y m s je;> t- tj 3 G VIL- b - ------------ - ------ - ---- -------------�A r_ =� - - ----��c� ---------- --------------------- ------------------------------------- A4 + �3 i �e�*,� hk i' i%f�.'�'S%��`f//.C�s/�ssA.f.�£�N6f9- �9/�KlfY.ddf//NfY%..Y�S�il�Sc�7.?19.✓9.GY _ ?.lG%tJL.�iX6£'s��i.r�yJ�'--/Lr�/.El� fJ 9+ P/31 'a Signatures .54`l ft:�*j<> Date: �" I ! I z� Phone:_a 01 3 t' 2 o b t 0 C-3/3 FORM A WASHINGTON RURAL COUNTIES INSURANCE PROGRAM GENERAL LIABILITY LOSS NOTICE Grant County Commissioners Today's Date: commissioners@q-rantcountywa.g v and Date & time of loss: *f\� Shane Heston n� % ,o am/PM itaneCa) 0 ,traskinsurance.com DEPARTMENT: (n Person to Contact: .460* _v cil Contact's Phone Number:,,.__1__2L'(..TNJ &G, Department Fmail: LOSS: ,T�h� �'`�`� . � q3 Location of Loss: Yuc-y e <_ M M BODILY INJURYIPROPERTY DAMAGED: Name & Address: Name & Address: Phone Number: Age Sex Occupation: Describe Injurylinjuries: Phone Number: Age Sex Occupation: Where taken/or damaged? Describe Property: Estimate Amount-, WITNESSES: Name & Addreris Cell Phone Business Phone rwc fF-0m Aas �OLL- Remarks: Reported by:.-:SE..)V,%� Phone: 10 Grant County Employee Safety Incident Report Form Employee: This entire form needs to be completed by you andlor your superilisor. This form must be submitted to Human Resources within 24 hours of the incident I IN f-'T W, 20 2 Attention: This form contains infbrmationrelating toempbyee heath ar-d must be used h a mnner that protects the confidert ality of emplayees to the extent possitle while the. info miation is being used fol, occupadcrel saf ety and health puirpmes, Records Retention: per 29CF:R1 904, this form mLst remain on file for 5 years following the year to which it perta rr>, ORPROWEDPWR ra-us Myj WASHINGTON RURAL COUNTIES INSURANCE PROGRAM AUTOMOBILE LOSS NOTICE �'' 4GrantCounty Commissioners Today's Date:-- - commissionersO,-qrantcountvwa.-Qov and Date & time of loss: Shane Heston am/pm shane@traskinsurance.com DEPARTMENT:P00) d i #6, 3 Person to Contact,_ ------------ ----- Department's Email: Contact's Phone Numbpy*"l LOSS: Location of Accideft Description of Accidents - ---------- — - -- - - - - -- - - - - - -------------------- ------------ --------- - -- ------------ - INSURED VEHICLE:AtJP?Xv&e Vehicle No. Year, Make, Wdel Owner's Name, Address, & Phone: Vehicle Identification Number Driver's Na e & Address: Q LIM— ............. 7A Business Phone: Residence Phone: 5al, j_-ia 7,Z D.0.13,,&�,, Estimate Amount: Describe Damage: PROPERTY DAMAGED: Describe Property: Owner's, Name & Address: Other Driver's Name & Address: Describe Damage: Estimate Amount:. INJURED: Name & Address Witnesses or Passengers: Was EMS / Fire Notified: Phone No. Insurance Name: Policy Number: Contact Phone: Business Phone: Residence Phone: Extent of Injury Was Law Enforcement Notified: C-1/3 r1cv-kritel VEHICLE COLLISION DESCRIPTION DIAGRAM Show name of highways, points of compass (NISIE/W), and direction of travel of the 5 i2 vencies involved, A North ROAD CHARACTER ROAD SURFACE ROAD DEFECTS TRAFFIC CONTROL V trai ht Road N_(Dry 13 Defective Shoulder 0 to Sign 0 Curve 0 Wet 0 Holes, Ruts, Bumps 0 Stop & Go Signal 0 Level 0 Muddy C1 Loose Material C1 Flagman/Officer El On Grade 11 Snowy 11 Other (Describe) 0 Other (Describe) 0 Crest of Hill 0 icy 3( No Defects 0 No Traffic Control LIGHTING WEATHER NOTES R� Daylight Clear E]Yes DNo Photos Taken 0 Dusk C1 Raining 0 Dawn 0 Snowing 0 Dark - with Streetlight 11 Fog 0 Dark -no Streetlight 0 Other (Describe) C-2/3 �;Uol V DRIVER'S STATEMENT ......................... P 4ma wl0a F 1. 1 — aw W, w few" 44 Signature:,. ffir, sw lop, Phone: c*W3 Date: 71, 112 4 A �For Washington Counties, By Washington Counties Washington Counties Risk Group October 28, 2024 Brittany Lutz, Deputy Clerk Grant County PO Box 37 Ephrata, WA 98823 RE: Insured: Claim #: Date of Loss: Equipment: Serial #: Dear Brittany Lutz: Grant County W 1670 July 1, 2024 Remote Flagman 2F9TSA1 AXKP084602 Clear Risk Solutions is the claims administrator for Washington Counties Risk Group (WCRG), of which Grant County is a member. In that capacity, your claim for damages has been assigned to our office for handling. The cost of repairs to your AFAD trailer exceeds the Actual Cash Value of $16,000.00; therefore, your vehicle is a total loss. We have determined the value as follows: Actual Cash Value $167000.00 Freight $750.00 Less Deductible-$107000.00 Less Vehicle Salvage -$0.00 Full and Final Payment $63750.00 Enclosed is a check from WCRG for $6,750.00, in accordance with our agreed settlement. With the issuance of this check, we will consider this matter closed. We are pleased to have been of assistance to you on this matter. If you have any further questions, please contact our office. Sincerely, Bria ordan Cla ms Adjuster /kes Enclosure cc: Acrisure Insurance Company (By email) (w/o enclosure) 159 Basin Street SW, PMB #206 1 Ephrata, WA 98823 1 office (509) 754.2027 1 toll -free 800.407.2027 I fax (509) 754.3406 1 www.wrcip.us Program Administrator. Clear Risk Solutions I >Coral Sales C'. o >'Highway Safety Solutions PO Box 22395 Portland, OR97269-2385 Main ,: . 3 Toll Free 800.538.7245 Fax503..657.9649 -ww.c r l Sa s.co Quote To: Grant County Public Works/WA John Spiess 124 Enterprise Street SE Ephrata , WA 98823 Phone: 509-754-6082 Fax: 509-754-6016 Customer ID: CUST-813 FOB: Destination Terms: NET 30 Bid Item # Description Traffic Control Material. (1) Pair of AFAD Trailers AFAD Pair AFAD, RCF 2.4 Remote Control Flagman, Matched sn: FRT Freight Estimate only. Project Details: Salesperson: E-Mail: Phone No: SALES QUOTE: QT-26240 Page: 1 Bid No: Bid Date: 11 /20/2024 Project #: KEITH JOHNSON keith@coralsales.com 503-344-1781 Quantity Unit Unit Price Ext. Price 1.00 EA 16,000.00 $16,000.00 1.00 EA 750.00 $750.00 Subtotal: $16,750.00 Shipping & Handling: $0.00 Total: $16,750.00 Sales tax is NOT included. Material Only - Installation is not included. Quote is for a acceptance within 30 days unless otherwise stated; applies only to project specified. No bond included. Please refer to Coral Sales Company standard terms and conditions for complete details. Accepted by: Date: