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HomeMy WebLinkAboutRequest to Purchase - Public Works (002)('RANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: PUBLIC WORKS REQUEST SUBMITTED BY: SHILO NELLIS CONTACT PERSON ATTENDING ROUNDTABLE: DAVE BREN CONFIDENTIAL INFORMATION: ❑YES ❑■ NO DATE: OZI27/Z5 PHONE: 509-754-6082 ,TYPE(S) OF DOCUMENTS SUBMITTED: (CHECK ALL THAT APPLY) ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders [--]Grants — Fed/State/County ❑ Leases ❑ MOA / MOU []Minutes ❑Ordinances El Out of State Travel El Petty Cash ❑ Policies ❑ Proclamations © Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Serv/Consultant ❑ Support Letter ❑ Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB SUGGESTED WORDING FOR AGENDA: Who, What, When, Why, Term, cost, etc. REQUEST TO PURCHASE ROW FOR MAPLE AND GRAPE DRIVE RECONSTRUCTION PROJECT PARCEL #10 If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? Y E SZ71, ❑ NO ❑ N/A DATE OF ACTION: APPROVE: DENIED ABSTAIN D2: D3: �. DEFERRED OR CONTINUED TO: RECEIVED FEB 2 8 2025 GRANT COUNTY COMMISSIONERS 4/23/24 TRANSMITTAL UNIVERSAL FIELD SERVICES, INC. I I I MAIN STREET SUITE 105 EDMONDS, WA 98020 Tel: (206-550-3221) kbutterfield@ufsrw.com RECEIVED N�-. � - i AN 14 2025 DATE: January 13, 2025 N UV FLM T C 0' 'Pf P U 2 L I C Y 0 Pa TO: Bob Bersanti, Grant County Design Engi eer FROM: Kristin Butterfield, Acquisition Agent RE: Grant County Maple and Grape Drive Reconstruction Project Project Parcel # 10 Jerry & Gayle Hendrickson — signed documents transmittal 1) Please find attached original signed documents: Public Roadway Easement Real Estate Excise Tax Affidavit with Exhibit B Real Property Voucher Construction Memorandum of Understanding IRS W-9 Request for Taxpayer Identification *see NOTE below 2) Please coordinate the County's signature(s) on: Public Roadway Easement, on Page 3 Real Property Estate Excise Tax Affidavit, in "Signature of Grantee" block Real Voucher, at bottom of page DO NOT forward payment to property owner until document has been recorded 3) Recording and Release of Payment: Take the Public Roadway Easement and Real Estate Excise Tax Affidavit to the County Courthouse for recording, along with a check to Grant County Treasurer in the amount of $10.00 and a check to Grant County Auditor in the amount of $307.50. When you have the recording numbers, you may remit the owner's check by certified mail to: Jerry and Gayle Hendrickson 3820 W Lakeshore Drive Moses Lake, WA 98837 4) Please email copies of the fully signed Construction MOU and recorded Easement and a copy of the owner's check to me to me at kbutterfield@ufsrw.com. Please do not hesitate to contact me if you have any questions. *NOTE: Please retain the original W-9; it contains Private Personal Information and the original is provided for your Accounting Department records. For security purposes, we shred Me copies of the W-9 upon confirmation of payment. A copy of the W-9 will not be included in the final paper or electronic acquisition folder. After Recording Mail to: GRANT COUNTY DEPARTMENT OF PUBLIC WORKS P.O. Box 37 Ephrata, WA 98823 Document Title: Public Roadway Easement Grantors: Jerry Hendrickson and Gayle Hendrickson, each as their interest may appear Grantee: Grant County, a political subdivision of the State of Washington Abbreviated Legal: PTN NW114 of the SE114, STR 10-19-28E, WM.., Grant Count WA 9 Y; Additional Legal Description is on Exhibit B Assessor's Tax Parcel Number: 17-0337-000 Project: Maple and Grape Drive Reconstruction Project Project Parcel Number: 10 Public Roadway Easement The Grantors, Jerry Hendrickson and Gayle Hendrickson, each as their interest may appear, for and in consideration of Ten and No/100ths Dollars, ($10.00) and other good and valuable consideration, receipt of which is hereby acknowledged, convey and grant to Grant County, a political subdivision of the State of Washington and its assigns, Grantee, a non-exclusive perpetual easement for public roadway purposes, including but not limited to construction, maintenance, and repair of all transportation and sidewalk facilities, over, upon and across the following property situated in Grant County, Washington, to the same extent and purpose as of the rights herein granted had been acquired under Eminent Domain statute of the State of Washington: As depicted in Exhibit A and described in Exhibit B, both attached hereto and made a part hereof by this reference. This conveyance shall include all such rights in the above -described land as shall be necessary for Grantee's Easement purposes, including the rights of ingress and egress. Any and all of Grantor's access rights, whether existing or future, shall be established by, governed by and subject to RCW 36-75.130, or as hereafter may be amended, and applicable County Policy. This grant of easement is a covenant running with the land and shall be binding upon the heirs, personal representatives, successors and assigns of both parties. 1 of 5 It is understood and agreed that delivery of this easement document is hereby tendered and that the terms and obligations hereof shall not become binding upon Grant County, Washington unless and until accpted and approved hereon in writing. 00-�icon,-husband of Gayle Hendrickson Die W6007 Gayle 4ndrickson, wife of JerHendrickson 1 4 � Date State of Washington ss. County of Grant On this day of A4YV 2 , , before me personally appeared Jerry Hendrickson and Gayle Hendrickson, husband and wife, to me known to be the individuals described in and who executed the within and foregoing instrument, and acknowledged that they signed the same as their free and voluntary act and deed, for the uses and purposes therein me� ggI %IV � BUT 0 W .. ,.� ��00 V40TAR Y Mrr PUSL%G NOTARY PU IC iK and Mhy State f Washington Residing at 1171� , WpAl!ho go 0000 My Commission Expires: 5��,�� ;4**;4 �j O-F WP 2 of 5 Accepted by Grant County Printed 4as,, Title:, Chair Date: Approved as to form: s3 By: q�� Prin e Name: wlGyk- e Title: Counly Att Date: �-���� 3 of 5 EXHIBIT A 4 of 5 EXHIBIT B The North 30 feet of the Northwest quarter of the Southeast quarter of Section 10, Township 19 North, Range 28 E.W.M., Grant County, Washington lying South of the Right of Way; EXCEPT That portion of the Northwest quarter of the Southeast quarter of Section 10, Township 19 North, Range 28 E.W.M., Grant County, Washington, described as follows: Beginning at a U.S.B.R. brass cap monument marking the South quarter corner of said Section 10, said brass cap bears North 89020'24" West, 2677.70 feet from a U.S. B. R. brass cap monument marking the Southeast corner of said Section 10; thence North 00031'09" East following the North -South mid -section line of said section, 1325.52 feet to the Southwest corner of the Northwest quarter of the Southeast quarter of said Section 10 and the TRUE POINT OF BEGINNING, said ' point being marked by a 1/2 inch rebar with surveyor's cap; thence continuing North 00031'09" East, 337.97 feet to a 1/2 inch rebar with Surveyor's cap; thence South 89033'08" East, parallel to the South boundary of said subdivision, 344.1 1feet to a 1/2 inch rebar with Surveyor's cap; thence South 00026'52" West, 337.87 feet to an intersection with the South boundary of said Subdivision, said point being marked by a 1/2 inch rebar with Surveyor's cap; thence North 89'33'08" West, following said South boundary, 344.42 feet to the TRUE POINT OF BEGINNING; ALSO EXCEPT the East 30.00 feet of the aforementioned aliquot part lying Southwesterly of the United States Government Railroad, as recorded June 22, 19447 under Auditor's File Number 106828. Situate in the County of Grant, State of Washington Grant County Tax Parcel No. 17-0337-000 5 of 5 EXHIBIT B The North 30 feet of the Northwest quarter of the Southeast quarter of Section 10, Township 19 North, Range 28 E.W.M., Grant County, Washington lying South of the Right of Way; EXCEPT That portion of the Northwest quarter of the Southeast quarter of Section 10, Township 19 North, Range 28 E.W.M., Grant County, Washington, described as follows: Beginning at a U.S.B.R. brass cap monument marking the South quarter corner of said Section 10, said brass cap bears North 89'20'24" West, 2677.70 feet from a U.S.B.R. brass cap monument marking the Southeast corner of said Section 10; thence North 00'31'09" East following the North -South mid -section line of said section, 1325.52 feet to the Southwest corner of the Northwest quarter of the Southeast quarter of said Section 10 and the TRUE POINT OF BEGINNING, said point being marked by a 1/2 inch rebar with surveyor's cap; thence continuing North 00'31'09" East, 337.97 feet to a 1/2 inch rebar with Surveyor's cap; thence South 89033'08" East, parallel to the South boundary of said subdivision, 344.11feet to a 1/2 inch rebar with Surveyor's cap; thence South 00026'52" West, 337.87 feet to an intersection with the South boundary of said Subdivision, said point being marked by a 1/2 inch rebar with Surveyor's cap; thence North 89033'08" West, following said South boundary, 344.42 feet to the TRUE POINT OF BEGINNING; ALSO EXCEPT the East 30.00 feet of the aforementioned aliquot part lying Southwesterly of the United States Government Railroad, as recorded June 22, 1944, under Auditor's File Number 106828. Situate in the County of Grant, State of Washington Grant County Tax Parcel No. 17-0337-000 REAL PROPERTY VOUCHER AGENCY NAME Grant County P.O. Box 37 Ephrata, WA 98823 I hereby certify under penalty of perjury that the items and amounts listed herein are proper charges against the Agency, that the same or any part thereof has not been paid, and that I am authorized to sign for the claimant. SIGNATU (IN INK) FOR EACH CLAIMANT DATED �. ��i -w - X r� GRANTOR OR CLAIMANT (NAME, ADDRESS) TIN/SSN: Jerry and Gayle Hendrickson 3820 W Lakeshore Drive Moses Lake, WA 98837 e PROJECT NO. AND TITLE Maple and Grape Drive Reconstruction Project FEDERAL AID NO. N/A PARCEL NO. 10 In full, complete and final payment and settlement for the title or interest conveyed or released, as fully set forth in: Public Roadway Easement DATED $ AMOUNT LAND: 17,453 SF in public roadway easement + $8,953.39 IMPROVEMENTS: + $0.00 DAMAGES: Cost to Cure + Proximity + Other + $0.00 $0.00 $0.00 $0.00 SPECIAL BENEFITS JC (Just Compensation) Amount $99000.00 (R ) REMAINDER: Uneconomic Remnant + Excess Acquisition + $0.00 $0.00 DEDUCTIONS: Amount Previously Paid Performance Bond Salvage Amount Pre Paid Rent Other $0.00 $0.00 $0.00 $0.00 $0.00 ADMINISTRATIVE SETTLEMENT + $9,000.00 (R ) STATUTORY EVALUATION ALLOWANCE + $0.00 ESCROW FEE + $0.00 REAL ESTATE EXCISE TAX + $0.00 OTHER: $0.00 ACQUI IONAOE T DATE Voucher No. TOTAL AMOUNT PAID $18,000.00 ( R } &0 " T FOR AGE CY Rob Jones, Chair DATE 3