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Agreements/Contracts - Public Works (004)
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:,JOhn BriSSey CONFIDENTIAL INFORMATION: ❑YES X NO DATE:10.05.2026 PHONE: 509-754-6082 Pro All ©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 DRequest for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Serv/Consultant [:]Support Letter ❑ Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB 1 -A /� .� .54-1-1 0 Wo F = WIN F Eli M1h I Reimbursable work agreement between Grant County Public Works and Grant County Port District #9, for Grant County to complete crack filling and delineators for the Port no later than November 1, 2026, and for no more than $9,054.06. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION: <a y APPROVE: DENIED ABSTAIN D1: D2- D3: DEFERRED OR CONTINUED TO: WITHDRAWN: 4/23/24 K26-193 GRANT COUNTY REQUEST TO THE COUNTY ROAD DEPARTMENT FOR REIMBURSABLE WORK To The County Engineer: Pursuant to terms of an agreement between the County and (Name of Requesting Agency) adopted and approved on Ei 1 the undersigned hereby requests the County to perforrn, the -work listed below at a orne and in a manner convenient to the County. The undersigned furtherrequests that the wo6- be %completed no later than - - ----- and hereby guarantees reimbursement to the County for all work done up to a maximum of % Work to be Completed.- Crack Filling and Delineators DATED: (Agencv`rrepresentative) TITLE A NMNMM� To The Board of County Commissioners: DATE 1 have examined the above request and made the Mowing fi wing recommendations: ,p1l; Approved -------- Aounty Road Engineer/Director of PublicWorks Denied Action of the Board of County Commissioners: DATE The Engineer's recommendation is hereby approved. The Engineer"s recommendations is disapproved or modified as fo, llows: A ��®�`�N .............. Clerk of the Board <) W • :cn= SE,4 L *11 coks� 0, N Recommended for use with Section �sylNGi®� S\\\L\_N\ of Fo=-: CRAB #10 1 arid WAC 10yal"Amm BOARD OF COUNTY COMMISSIONERS OF COUNTY, WASHENGTON