HomeMy WebLinkAboutOut of State Travel Request - Public Works (002)GRANT 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 Seim
CONTACT PERSON ATTENDING ROUNDTABLE: JOI1tl BI'ISS@y
CONFIDENTIAL INFORMATION: DYES X NO
DATE: 02.12.2026
PHONE: 509-754-6082
❑Agreement / Contract
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® Out of State Travel
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[]Tax Title Property
❑WSLCB
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Out of state travel request for Tires Massey and John Goggin to travel to Seaside,
Oregon, from April 14-16, 2026, for a Bridge Maintenance Conference. The cost is
estimated at $694 each, for a total of $1,388.00.
If necessary, was this document reviewed by accounting? ❑ YES
•
❑NO ON/A
If necessary, was this document reviewed by legal? ❑YES ❑ NO
DATE OF ACTION: c-0 - I1�-Zfo DEFERRED OR CONTINUED TO:
WITHDRAWN:
APPROVE: DENIED ABSTAIN
D 1. ," ,
D2-:
D3:
W N/A
RECEIVED
4/23/24
GRANT COUNTY COMMISSIONERS
u tad l Approval Request
�
p33pJ
USER INSTRUCTIONS
Form Purr se: Use this form to submit out of state travel request for approval.
How to Complete this rim: Fill out this farm on-line and then print it. Alter print this form and complete it by hand.
Horn, to Submit this Form—. ;submit a herd copy of this form,
Where to Send this Form: Send completed form to your department head/elected official and then to the Board of County Commissioners.
Attach signed copy with all AP batches that -Include any travel Charges.
Deadline: This form must be received and approved in advance of incurring the requested expenditures,
Add tionai Information: Out of state travel must be preapproved by the Board of County Commissioners before incurring Cost.
Request should include deviled information on air travel, hotel, car rental and funding source. Including attaching the "Airline Comparison Tool",
EMPLOYEE INFORMATION
Name: Tim Massey Date / 10/ 02
FUNDING: (Grants,. specific funds)
Funding Source; 101
TRAVEL DETAILS
Destination: Seaside Oregon Date:4/14/26-4/16126
Purpose of travellhow does this contribute to the achievement of the County and your
department? This request is for the Bridge Maintenance Conference which is held biannually.
We have attended this in the past and have gained valuable insights and acquired practical
tools that significantly enhanced. oui Capabilities in performing our duties. This experience will
enhance our Knowledge, improve. efficiency and contribute to the overall excellence of our
bridge maintenance efforts.
PROJECTED EXPENDITURES:
AMOUNT
.Registration
�
Dodging
22
Ai rfa re
o
Car Rental
$0
Personal Vehicle Mileage:
0
Deals
137
Other (please specify)
$0
*If cost exceeds total amount approved, additional Total Request for out of state travel 694
approval from_BoCC is required*
A PI QVAL
Elected Official, Department bead, or Desi . nee signature: Date:
Print or type name:
Commissioner:
Commissioner:
Chairman BOCC Gate:
�s
f ?Uut of StateTravel Approval
USER INSTRUCTIONS
Form P'ulr se» Use this form to submit out of state travel request for approval.
How to Co fete this Form: Fill out this form on-line and then print it. Aber print this form and complete it by hand.
How to Submit this Form: Submit a hard copy of this form.
Where to Send this Form: Send completed farm to your department head/elected +Vidal and then to the Board of County Commissioners,
Attach signed copy with all AP batches that include any travel charges,
Deadline: This form must be received and approved in advance of Incurring the requested expenditure(s).
Additional Informations Out of state travel must be preapproved by the Board of County Commissioners before incurring cast.
Request should include detailed information on air travel, hotel, ear rental and funding source.. Including attaching the "Airline Comparison Tool".
EMPLOYEE INFORMATION
Name: John Goggin Date: /10/20 6
FUNDING: (Grants, specific funds)
FundinSource.- 101
TRAVEL DETAILS
Destination: Bedside Oregon Dates):4/14126-4/16/26
Purpose a travel/how does this contribute to the achievement of the County and your
department? This request is for the Bridge Maintenance Conference which is held biannually.
We have attended this in the past and have gained valuable insights and acquired: practical
tools that significantly enhanced our capabilities in performing our duties, This experience will
enhance our Knowledge, improve efficiency and contribute to the overall excellence of our
bridge maintenance efforts;
PROJECTED EXPENDITURES:
AMOUNT
Registration
2
Lodging
$2,82
Airfare
0
Car Rental
$0
Personal vehicle Mileage:
0
Meals
1 7
Other (please specify)
0
*If cost exceeds total amount approved, additional 'Total Request t for out of state travel 694
approval from BocC is reaulred*
APPROVAL,
Elected Official, Departmen head, or Desi e signature: Date:
Print or type name:
Commissioner:
Commissioner:
Chairman BOCC Date:
TRAINING REQUEST FORM
EMPLOYEE'S NAME: Tim Massey,,_"
MEETING/SEMINAR: _PNW Bridge Maintenance Conference
LOCATION: Seaside Oregon
DATE: April 14-16 2026
COSTS:
REGISTRATION FEE: $275.00 This is Early bird pricing, must be registered by Tuesday, February 17, 2026
LODGING: $282.00 $141,00 PER DAY 2 TOTAL DAYS
MEALS: $124.50 PER DIEM: $137.00 (FROM WORKSHEET BELOW)
INCIDENTALS., $12,50 ADVANCE TRAVEL:
TRANSPORTAIONI- VEHICLE USED FOR TRAVEL:
TOTAL: $694.00
RECEIPTS ARE REQUIRED FOR ALL FORMS OF PAYMENT.
DATE OF REQUEST: February 10, 2026 SIGNED,
RECEIVED BY:
SUPERVISOR:
DIRECTOR:
-7 - - - - ------------------
PER DIEM WORKSHEET:
DATE:
DATE:
DATE
BREAKFAST
LUNCH.
DINNER
--------
INCIDENTAL EXPENSES
... o_
TOTAL
April,14, 2026
$17.25
$27.00
$3.75
$48,00
ARM 15, 2026
Provided
Provided
$36.00
$5,00
$41.00
April 16, 2026
Provided
$17.25
$27.00
$3.75
$48.00
b4bAA-
-A -w-WA ----
------- -- - -
$137.00
Revised Jan 2018
TRAINING REQUEST FORM
EMPLOYEE'S NAME: John Go2gin
MEETING/SEMINAR: -PI` W Bridge Maintenance Conference
LOCATION: Seaside Oregon
DATE: April 14-16 2026
COSTS:
REGISTRATION FEE: $275,00 This is Early bird pricing, must be registered by Tuesday, February 17, 2026
LODGING* $282.00 $141.00 PER DAY 2 TOTAL DAYS
MEALS. $124,50 PER DIEM: $137,00 (FROM WORKSHEET BELOW)
INCIDENTALS: $12.50 ADVANCE TRAVEL:
TRANSPORTAION, VEHICLE USED FOR TRAVEL:
TOTAL: $694.00
RECEIPTS ARE REQUIRED FOR ALL FORMS OF PAYMENT.
DATE OF REQUEST: February 10, 2026 SIGNED:
RECEIVED BY:
SUPERVISOR: DATE:
DIRECTOR., DATE:
PER DIEM WORKSHEET:
DATE
BREAKFAST
LUNCH
DINNER
INCIDENTAL EXPENSES
TOTAL
April 14, 2026
$17.25
$27.00
$3.75
$48.00
April 15, 2026
Provided
Provided
$36.00
$5.00
$41-00
April 16, 2026,
Provided
$17.25
$27.00
$3.75
$48,00
$137.00
Revised Jan. 2018