HomeMy WebLinkAboutReimbursable Work Request - Public WorksGRANT 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
(Name of Requesting Agency)
Adopted and approved on July 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 June 16" to July 21, 2020 with a total of 13 days of inspection
and hereby guarantees reimbursement to the
Ov
County for all work done up to a maximum of $
All terms of said agreement shall apply with the following exceptions:
DATED: 5/28/2020
Work Requested: SIGNATURE-''
Asphalt Plant Inspection (Agencypre�ve)
for Deal Rd Proj Phase #2
CRP -189 TITLE �� _��„ G-�g'�e✓
To the Board of County Commissioners:
DATE b / 44 12-41 'Lv
I have examined the above request and made the following recommendations:
0 -The request is approved ❑ The request is disapproved or modified as follows:
4,-- -- 1 L!/>'lc`
County Engine r / Public Works Director
Action of the Board of County Commissioners:
DATE (O - 9 -,�Oao
*The Engineer's / Director's recommendation is hereby approved.
❑ The Engineer's / Director's recommendations is disapproved or modified as follows:
Recommended for use with Section 2 of Form:
CRAB #101 and WAC 136-32-030 Revised 10/19
BOARD OF COUNTY COMMISSIONERS OF GRA , WASHINGTON
Lam ---p
INTERLOCAL AGREEMENT
This agreement made and entered into this -00 day of 20 / 2
by and between Adams County, Washington, a political subdivisi n of the State of
Washington and Grant County, Washington, a political subdivision of the State of
Washington.
WITNESSETH: It is hereby covenanted and agreed as follows:
WHEREAS, the Interlocal Cooperation Act, as amended, and codified in Chapter 39.34
of the Revised Code of Washington provides for interlocal cooperation between
governmental agencies; and
WHEREAS, the parties also wish to utilize each other's services where it is in their
mutual interest;
NOW THEREFORE, the parties agree as follows:
1. For each project or work request to be performed under this agreement the
Requesting County will make written application on the form supplied by the
Performing County. The Performing County reserves the right to deny or
approve each application of Requesting County on an individual basis.
2. The Performing County shall provide the necessary labor, equipment rental,
material, administration, clerical and engineering services necessary for the
execution of the project or work requested by the Requesting County.
3. The Requesting County hereby agrees to reimburse the Performing County for
the full cost of the work performed by the County. The Performing County
costs shall be based on the actual cost of labor, equipment rental, material,
administration, clerical and engineering services used on maintenance and
construction activities or projects plus all cost for fringe benefits to labor
including but not limited to, Social Security, retirement, industrial and
medical aid costs, prorated sick leave, Holidays, vacation time, and group
medical insurance.
4. The Requesting County further agrees to defend, indemnify and save harmless
the Performing County, it's appointed and elected officers and employees
from and against any and all liability, loss, cost, damage and expense,
including costs and attorney's fees and defense thereof, because of actions,
claims, lawsuits for damages resulting from personal or bodily injury,
including death at any time resulting therefrom, sustained or alleged to have
been sustained by any person or persons and on account of any damage to
property including loss of use thereof, asserted or arising or alleged to have
arisen directly or indirectly out of or in consequence of the performance of
this agreement, whether such injuries to persons or damage to property is due
to negligence of the Requesting County contractors, subcontractors, or agents
of the Performing County, its' appointed officers, employees or their agents.
5. It is understood and agreed between parties that this agreement cannot be
assigned, transferred or any portion subcontracted hereunder by the
Performing County without prior written permission of the Requesting
County.
6. The terms of this agreement can be terminated by a ninety (90) day written
notice, by either party. Any notice required to be given by either party to the
other shall be deposited in the United States mail, postage prepaid, addressed
to Grant County at the Grant County Commissioner's Office, P.O. Box 37,
Ephrata, WA 98823 or the County of Adams at the County Commissioner's
Office, 210 West Broadway, Ritzville, WA 99169.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and
year first above written
Attest:
`Clery of theoard of County
Comn rs
ADAM C WASHINGTON
By
Chai an
Co issigner
Comm ssioner
GRA OUNTY, WASHINGTON
By
�jl
Cfthe Bo d of unty Commissioner
ission
Commissioner