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HomeMy WebLinkAboutReimbursable Work Request - Public WorksGRANT 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:Victoria 5811'Yl CONTACT PERSON ATTENDING ROUNDTABLE: J011ll BfISS@y CONFIDENTIAL INFORMATION: DYES ❑■ NO DATE: O9. 1 6.2025 PHONE: 509-754-6082 Lv- MONO WAU 0u] ©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 ❑Out of State Travel ❑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 y. OG/� c h heft`errn, pasts etc. �§ U G Request for approval of reimbursable work agreement between Grant County Adams County, for Asphalt Plant Inspection for Schoonover Rd. Project #1 CRP-180, to be completed no later than approximately 09.29.2025 - 10.17.2025 with 6 days for inspection and up to a maximum of $8,000. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO Fw-] N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION: F.&DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D1: � 1 D2: D3: WITHDRAWN: RECEIVED SEP 11 2025 4/23/24 GRANT COUNTY COMMISSIONERS GRANT COUNTY REQUEST To THE COUNTY ROAD DEPARTMENT FOR REIMBURSABLE WORK To The County Engineer / Public Works Director: Pursuant to terms of an agreement between the County and Adams County (Marne of Requesting Agency) Adopted and approved on ul 30, 2012 the undersigned hereby requests the County to perform the work listed below at a time and in a manner convenient to the County. The undersigned further requests that the work be completed no later than Approximately September 29 to October 17 2025 with a total of 6 days of inspection and hereby guarantees reimbursement to the County for all work done up to a maximum of $8000.00. All terms of said agreement shall apply with the following exceptions: DATED: 9 2025 Work Requested. SINATUR Asphalt Plant Inspection (Agency R resentative) for Schoonover Rd Project #1 CRP-10 TITLE Adams County Engineer To the Board of County Commissioners: DATE --- I have examined the above request and made the following recommendations: The request is approved 11 The request is disapproved or modified as follows: Action of the Board of County Commissioners: county Engineer j Public Works Director DATE C�96he Engineer's i Director's recommendation is hereby approved. 0 The Engineer's / Director's recommendations is disapproved or modified as follows: Attest: BOARD of COUNTY COMMISSIONS of GRANT COUNTY, '1l1fASHINGTON ler of the Bear VV Recommended for use with Section 2 of Form: CRAB #101 and wAC 136-32-030 Revised 10/19