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Home My WebLink About028-24 - WA State Public Works Board - Contract Amendment 1Docusign Envelope ID: 89FD4AAB-FBF2-8BE1-83A9-A5732416821 D CONTRACT FACE SHEET Contract Number: PR24-96103-006 Amendment Number: A PUBLIC WORKS BOARD PRE -CONSTRUCTION FUNDING AGREEMENT 1. Contractor 2. Contractor Doing Business As (optional) City of Port Orchard N/A 214 Prospect St Port Orchard, WA, 98366 3. Contractor Representative 4. Public Works Board Representative Scott Wolf, swolf@portorchardwa.gov Max Wedding, max.wedding@commerce.wa.gov 5. Agreement Amount 6. Funding Source 7. Contract Start Date 8. Contract End Date $1,000,000.00 Federal: ❑ State: 0 Contract Execution Date June 1, 2029 Other: ❑ N/A: ❑ 9. Federal Funds (as applicable) Federal Agency CFDA Number N/A N/A N/A 10. Tax ID# 11. SWV# 12. UBI# 13. UEI# N/A 0025665-00 182-000-005 N/A 14. Contract Purpose The purpose of this amendment is to extend the project completion date of the Agreement. The Board, defined as the Washington State Public Works Board and Borrower/Contractor acknowledge and accept the terms of this Agreement/Contract As Amended and have executed this Agreement/Contract Amendment on the date below to start as of the date and year referenced above. The rights and obligations of both parties to this Agreement/Contract As Amended are governed by this Agreement/Contract Amendment and the following other documents incorporated by reference: Amendment Terms and Conditions. A copy of this Agreement/Contract Amendment shall be attached to and made a part of the original Agreement/Contract between the Board and the Borrower/Contractor. Any reference in the original Agreement/Contract to the "Agreement" or the "Contract" shall mean the "Agreement As Amended" or "Contract As Amended," respectively. FOR THE CONTRACTOR FOR PUBLIC WORKS BOARD DocuSigned by:( —Signed by: �t,lildS �G1.Ll. f`�� IMA.A,I/LSItiU. ,.—Signed by: l VIVu(,�.vU �'�-G[�oU/AAiI. Signature E Vincen c owan, PE, Public Works Board Chair Denis Ryan Rob Putaansuu 3/5/2026 1 9:32 AM PST Print Name Date Denis Ryan Mayor APPROVED AS TO FORM ONLY Title 3/5/2026 1 9:03 AM PST Signature on File Date Dawn C. Cortez Assistant Attorney General Docusign Envelope ID: 89FD4AAB-FBF2-8BE1-83A9-A5732416821 D DECLARATIONS CONTRACTOR INFORMATION Legal Name: Contract Number: Amendment Number: PROJECT INFORMATION Project Title: Project City: Project State: Project Zip Code: CONTRACT INFORMATION LOAN FUNDING: Loan Amount: Loan Term: Interest Rate: Payment Month: GRANT FUNDING: Grant Amount: % of Funding as Grant: PROJECT TOTALS: Total Estimated Cost: Total Project Funding: Earliest Date for Cost Reimbursement: Original Project Completion Date Revised Project Completion Date City of Port Orchard PR24-96103-006 A Bay Street Lift Station Replacement Port Orchard Washington 98366 $850,000.00 5 years 0.69% June 1St $150,000.00 15% $1,000,000.00 $1,000,000.00 August 4, 2023 March 24, 2026 November 24, 2026 SPECIAL TERMS AND CONDITIONS GOVERNING THIS CONTRACT N/A LOAN SECURITY CONDITION GOVERNING THIS CONTRACT This loan is a revenue obligation of the CONTRACTOR payable solely from the net revenue of the Sanitary Sewer (Wastewater) system. Payments shall be made from the net revenue of the utility after the payment of the principal and interest on any revenue bonds, notes, warrants or other obligations of the utility having a lien on that net revenue. As used here, "net revenue" means gross revenue minus expenses of maintenance and operations. The BOARD grants the CONTRACTOR the right to issue future bonds and notes that constitute a lien and charge on net revenue superior to the lien and charge of this loan agreement. SCOPE OF WORK This project will complete the Preliminary Engineering Report and begin 100% design engineering to replace and re -site the existing Bay Street Lift Station away from Blackjack Creek, which may include the acquisition of property. The project costs may include but are not limited to: engineering, cultural and historical resources, environmental documentation, review, permits, public involvement, and bid documents. The project needs to meet all applicable Local, State, and/or Federal standards. 2 Docusign Envelope ID: 89FD4AAB-FBF2-8BE1-83A9-A5732416821 D AMENDMENT TERMS AND CONDITIONS Washington State Department of Commerce PUBLIC WORKS BOARD PRE -CONSTRUCTION FUNDING AGREEMENT Contractor: City of Port Orchard Contract Number: PR24-96103-006 Amendment Number: A The purpose of this amendment is to extend the project completion date of the Public Works Board Loan Agreement/Contract Number PR24-96103-006 from 03/24/2026 to a new date of 11/24/2026. The Public Works Board (or its successors), a department of the State of Washington, (hereafter referred to as the "Board") and the Contractor, listed above and on the attached Face Sheet, agree to amend the declared loan as described below. Section 1.18 Time of Performance, (first paragraph) is amended to read as follows: The contractor shall begin the activities identified within the declared Scope of Work no later than 30 days after Contract execution. The Contractor must reach project completion no later than the Revised Project Completion Date stated on the Declarations page. 3 Docusign Envelope ID: 89FD4AAB-FBF2-8BE1-83A9-A5732416821 D 0 docusign. Certificate Of Completion Envelope Id: AABFF8AC-E4EF-4592-AEE8-0165411D3492 Subject: Complete with Docusign: PR24-96103-006 AmdA Extension.pdf Division: Local Government Program: Public Works Board ContractNumber: PR24-96103-006 DocumentType: Contract Amendment Source Envelope: Document Pages: 3 Signatures: 2 Certificate Pages: 5 Initials: 0 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) Record Tracking Status: Original 3/3/2026 10:47:16 AM Security Appliance Status: Connected Storage Appliance Status: Connected Signer Events Geoffrey Bracken geoffrey.bracken@commerce.wa.gov Security Level: Email, Account Authentication (None), Login with SSO Electronic Record and Signature Disclosure: Not Offered via Docusign Denis Ryan dryan@portorchardwa.gov Denis Ryan Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 3/5/2026 9:02:25 AM ID: 53084aac-e696-4753-8a23-6f79c0d55f6e Vincent McGowan Vince.McGowan@cityoflacey.org Chair Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 3/5/2026 9:31:39 AM ID:46957f10-68bb-41df-a019-483541418e85 In Person Signer Events Holder: Max Wedding max.wedding@commerce.wa.gov Pool: StateLocal Pool: Washington State Department of Commerce Signature Completed Using IP Address: 198.239.10.221 ED—Sil"Id by: 2D55D8BCCACI4EE... Signature Adoption: Pre -selected Style Using IP Address: 152.44.129.230 Signed by: l' W ow— E n 1CD.,D6814,3,36C246E.. Signature Adoption: Pre -selected Style Using IP Address: 50.232.235.42 Signature Status: Completed Envelope Originator: Max Wedding 1011 Plum Street SE MS 42525 Olympia, WA 98504-2525 max.wedding@commerce.wa.gov IP Address: 198.239.106.230 Location: DocuSign Location: Docusign Timestamp Sent: 3/3/2026 10:51:41 AM Viewed: 3/4/2026 1:28:56 PM Signed: 3/4/2026 1:29:18 PM Sent: 3/4/2026 1:29:20 PM Viewed: 3/5/2026 9:02:25 AM Signed: 3/5/2026 9:03:06 AM Sent: 3/5/2026 9:03:07 AM Viewed: 3/5/2026 9:31:39 AM Signed: 3/5/2026 9:32:00 AM Timestamp Editor Delivery Events Status Timestamp Docusign Envelope ID: 89FD4AAB-FBF2-8BE1-83A9-A5732416821 D Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Scott Wolf Sent: 3/5/2026 9:32:02 AM swolf@portorchardwa.gov COPIED Viewed: 3/5/2026 12:17:25 PM Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Kathy Cain Sent: 3/5/2026 9:32:03 AM kcain@portorchardwa.gov COPIED Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/3/2026 10:51:41 AM Certified Delivered Security Checked 3/5/2026 9:31:39 AM Signing Complete Security Checked 3/5/2026 9:32:00 AM Completed Security Checked 3/5/2026 9:32:03 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Docusign Envelope ID: 89FD4AAB-FBF2-8BE1 -83A9-A573241 6821 D 2 PM Parties agreed to: Denis Ryan, Vincent McGowan ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Washington State Department of Commerce (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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All notices and disclosures will be sent to you electronically Docusign Envelope ID: 89FD4AAB-FBF2-8BE1 -83A9-A573241 6821 D Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. 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