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HomeMy WebLinkAboutCouncil Workshop Packet 03.13.2018AGENDA COUNCILCITY OF LAUREL CITY !, '! P TUESDAY, ! rt 1 P.M. 2. Public Input: Citizens may address the Council regarding any item of City business that is not on tonight's agenda. The duration for an individual speaking under Public Input is limited to three minutes. rile all comments are welcome, the Council will not take action on any item not on the agenda. If a citizen would like to speak or comment regarding an item that is on tonight's agenda, we ask that you wait until the agenda item is presented to the Council by the Mayor- and the public is asked to comment by the Mayor. Once again, each speaker is limited to three minutes. 2. General items • Appointment of Heidi Sparks to the Human Relations Committee. 3. Executive Review • Resolution — Transportation coordination plan Laurel transit • Resolution — Maintenance MOA for manholes. • Resolution — Planning Services by Forrest Sanderson with KLJ • Council Issues: o Update on 2011 Yellowstone River flooding event o Committee List Review 4. Other items 5. Review of draft Council Agenda for March 20, 2018 6. Attendance at the March 20, 2018 Council meeting 7. Announcements 8. Recognition of Employees • Jason Wells 20 years on March 18`h Police • Christopher Erb 9 years on March 11 ch Library The City makes reasonable accommodations for any known disability that may interfere with a person's ability to participate in this meeting. Persons needing accommodation must notify the City Clerk's Office to make needed arrangements. To make your request known, please call 406-628-7431, Ext. 2, or write to Bethany Keeler, PO Box 10, Laurel, MT 59044, or present your request at City Hall, 115 West First Street, Laurel, Montana. NOTE: This meeting is open to the public. This meeting is for information and discussion of the Council for the listed workshop agenda items. Heidi Sparks Ward 1- Council Member 310 Yellowstone Ave Laurel, MT 59044 Mayor Nelson, In reviewing the current Committee List, I see we still need a council member -at - large for the Human Relation Committee. I am interested in filling this council member position and would appreciate your consideration. Sincerely, 0� Heidi Sparks Ward I LIF Bethany Keeler, Clerk/Treasurer Scheduled for City Council Adoption: March 20, 2018 11Paoe Montana Coordination Plan Outline Adoption 6wTransportation Advisory Committee: The relevant transportation providers and agencies are described in more detail. Laurel Transit: Laurel Transit (also referred to as transit system) is working to provide a successful on -demand service for public transportation within the City limits of Laurel while offering regular service to Billings. Laurel Transit is looking to contract with as many agencies in the area as possible to provide expanded service. |tiscurrently not feasible for Laurel tohave afixed route system; however accommodations for such a system are being discussed such as bus benches and signs within the City. Laurel Transit Schedules: Laurel Transit operates Monday -Friday 10:00 AM — 4 PM. The Billings service route begins at 7:30 and in -town service begins at 10 am, with the RSS route temporarily suspended due to too few available seats. Agencies Involved: 0 Adult Resource Alliance of Yellowstone County-- ARAYC has partnered with the City of Laurel toprovide the driver for the bus and the cell phone. ARAYCpreviously operated the senior bus in Laurel, which was absorbed with the formation of Laurel Transit. The City works very closely with ARAYC to ensure the level of service delivered through the senior bus program iscontinued inLaurel Transit. 0 Residential Support Services — In November 2012 Laurel Transit entered into a contractual agreement with Residential Support Services to provide regular service to Billings Monday thru Friday. The daily service to Billings has experienced much success and is anticipated to grow with the opening of the RSS group home located in the Laurel 2|Paee City Limits. The RSS partnership still exists although the daily trips to Billings have stopped due a lack in sufficient seats for Laurel citizens. ® Tender Nest Assisted Living—Contact with Randy Swenson has been made and the facility has contracted with the City for vouchers. O COR – Recently the City of Laurel has entered into an agreement with COR to provide transit services for Laurel Residents as a part of the newly implemented Billings route. Riverstone Health – The transit system is working to contract for demand/response service for Riverstone Health patients. ® Laurel Senior Center – The Sprinter bus is currently stored in a garage at the Senior Center. Frequent trips are taken to the senior center for rider visits. 0 Laurel Health and Rehab- agreed to use the bus service for transportation purposes for their clients and residents. ® MET- contact with MET in Billings will be made in order for the Laurel Transit system to grow and gain new ideas. The Transportation Advisory Committee meets quarterly. Meetings notices are published in the Laurel Outlook and the City of Laurel website. Meetings are open to the general public. In order for more participation at TAC meetings more community outreach will be done to involve public participation. Private Sector: The City of Laurel does not have any private transportation system available. Needs Assessment and Plan to Increase Ridership: The Laurel Transit will be starting focus groups this fiscal year in order to determine the needs of the community and their transit provider. The focus groups will include current riding members, City staff, other transportation providers, healthcare employers, and other members from the community. The focus groups will hone in on the current challenges the transit faces and get a better idea of how to improve the system. In order to increase ridership a 17 passenger bus must be obtained. It is recommended that after the focus groups create an idea of the services they want, a capital grant application for a new bus will be submitted. 31 Q .ge The Laurel Transit System has stepped upits advertising strategies budesigning anddbthbuting flyers with route information and publishing that flyer in the Laurel Outlook on a regular basis. Transportation Advisory Committee (TAC)Meetings: The Laurel TAC meets onaquarterly basis. The TAC bcomprised of City staff, community interested members and representatives from Residential Support Services, the Adult Resource Alliance ofYellowstone County and other interested parties. |norder for more participation at TAC meetings more community outreach will be done to involve public participation. 4|Pag e 1 i COUNCIL i °• , A Council Workshop was held in the Council Chambers and called to order by Mayor Tom Nelson at 6:30 p.m. on February 27, 2018. COUNCIL MEMBERS PRESENT: _x Emelie Eaton Heidi Sparks _ Bruce McGee _x x Richard Herr x Scot Stokes x Iry Wilke x Richard Klose x Bill Mountsier OTHERS PRESENT: None Public Input Jason Summers, 304 #3 Cedar Avenue, stated that he had a family member who needed an ambulance at approximately five in the morning. They were unable to find staffing for an ambulance, and the police took his family member to the hospital. His family member remained on a respirator for approximately two weeks. After this incident, he did some research and found that this has been an issue for quite some time. He questioned why the City does not have a full-time staff. He stated that from his research other communities raised their property taxes approximately $25 per year to fund a full-time ambulance service. He stated that he is unsure of how to fix this problem, but that it does need to be addressed. General Items There were none. Executive Review • Motion — Laurel Rod and Gun Club final turkey shoot for the year May 5, 2018 Emelie clarified that the motion should state that this is the membership application shoot. Herb Stoick, Interim President of the Laurel Rod and Gun Club, stated that this is the appreciation party for their membership. They have a raffle, dinner, and turkey shoot. The Laurel Rod and Gun Club are asking for permission to hold the event this year. The event will be May 5, 2018, from 9:00 a.m, to 6:00 p.m. Emelie asked if this will be the last shoot. Herb stated that is correct; this is the last event of the year. The contract allows for four shoots each year. • Council Issues: o Update on the 2011 Yellowstone River flooding event There was no update. Council Workshop Minutes of March 6, 2018 o Extended absences from the City Reminder Emelie reminded Council that if they are absent from the City more than 10 days Council Members need to request permission from Council. Other Items There were none. Review of Draft Council Agenda for March 6, 2018 Budget/Finance Committee will be meeting at 5:00 p.m. in the Council Conference Room. City/County Planning Board has tentatively been moved to March 8th, once the date has been finalized Council will be notified. Richard Herr stated that Cemetery Commission has canceled their March and April meetings and will meet next in May. Attendance at the March 6, 2018, Council Meeting Bill will not be in attendance at the next meeting. Announcements Richard Herr clarified that the Outlook had printed that the City will spend up to $30,000 per month on On -Call Engineering services. This is an error; Council approved up to $3,000 per month. Scot stated that there would be a Park Board meeting on Thursday, March 1St at 5:00 p.m. in Council Chambers. The council workshop adjourned at 6:41 p.m. Respectfully submitted, Brittney Moorman Administrative Assistant NOTE: This meeting is open to the public. This meeting is for information and discussion of the Council for the listed workshop agenda items. This Memorandum of Agreement (Agreement) is made and entered into by and between the city of Laurel ("the City"), a self-governing municipality operating pursuant to its Charter and the laws of the State of Montana, 115 West 1St Street, Laurel, MT 59044 and the Montana Department of Transportation ("MDT" ), a.department of the State of Montana, P.O. Box 201001, Helena MT 59620-1001 together referred to.as "the Parties". The Purpose of this Agreement is to set forth the respective responsibilities and duties of the City associated with the manhole rehabilitation project proposed at along Old Highway 10 (N-4) a State Highway under the Transportation Commission jurisdiction on the Primary Highway System as defined in 60-2-125; MCA. This;Agreement sets forth the terms necessary for the City to perform the rehab ilitation`work proposed on S manholes along Old Highway 10 (N-4) located�between mile p6st"55 and 56 shown in Attachment B. WHEREAS, MDT is responsible for planning, designing, constructing and maintaining State Highways and roadways, and associated'transportation facilities,., including associated pull - offs, parking areas, and rest areas for the use and benefit of the traveling public, in a safe and efficient manner and in accordance with Title 23 United States Code (U.S.C) and Title 60 Montana Code Annotated (MCA) and has jurisdiction for Old Highway 10 (N-4); and WHEREAS, Old -Highway 10'(N-4} is on the.Highway System within the State of Montana and is eligible to receive I Federal Highway Funds; and WHEREAS, in accordance with the State's agreement with the Federal Highway Administration (FHWA) of the. U.S. Department of Transportation, MDT must ensure that certain requirements are met iri,order for MDT to fulfill its obligations to the FHWA and for Old Highway 10'(N-4) to be eligible for federal funds; and WHEREAS, The City hereby, concurs with the Highway System designation of the highway that was designated under Section 60-2-110, MCA, NOW, THEREFORE, in consideration of the following mutual promises, the parties agree as follows: ARTICLE 1. OBLIGATIONS OF THE CITY - MAINTENANCE A. Old Highway 10 (N-4) "Manhole" Maintenance 1. The City agrees to assume full responsibility for and control of the maintenance for the proposed manholes along Old Highway 10 (N-4) located between mile post 55 and 56 shown in Attachment B. a) For the purposes of this Agreement, "manhole maintenance" means: snow, water and debris removal and/or repair of the manholes, their immediate components including the sub -base and surfacing of old Highway 10 (N-4) either directly modified or impacted in the rehabilitation process shown in Attachment B due to any cause including but not limited to normal wear from use, frost, snow, landscaping (tree roots), structural failures attributable to materials used or work performed in the rehabilitation process,`or'other encroachments. 2. The City agrees that the maintenance term of this agreement until the man' unless otherwise agreed to in writing A. Term - This Agreement shall contini review the Agreement for updateso' effect until the new Agreement is in Old Highway 10 (N-4) located between have been removed from Old Highway �6nsibility will re facilities are reco he Parties. in effect for the cted or removed, ten (10) years at which time the parties may .ifications. This Agreement will remain in or untit all five (5) manhole facilities along Je post 55 and 56'shown in Attachment B The City shall protect, defend, Indemnify, and hold MDT, its elected and appointed officials, agents; and employees, while acting within their duties as such, harmless from and against all claims, liabilities, demands, causes of action, and judgements (include the cost of defense and reasonable attorney fees) arising in favor of or asserted by the City's employees or third parties on account of damage to property, bodily or personal injury, or death arising out of any services performed, act or omission that in any way results from `the acts or omissions of the City, or their agents, or subcontractors, under this Agreement, except the'negligence of MDT under this Agreement. C. Insurance -The City is a member of the Montana Municipal Interlocal Authority's (MMIA) Liability Program. The City will maintain for the duration of the Agreement at its own cost and expense liability coverage against claims for injuries to persons or damages to property which may arise from or in connection with any act or omission by the City and its agents, employees, representative, assigns or subcontractors during the term of this Agreement. Except as may be excluded from coverage under the applicable MMIA Memorandum of Liability Coverage, this coverage shall cover such claims as may be caused by any intentional or negligent act or omission. Coverage amounts shall be 21 Page , no less than $750,000 per claim and $1,500,000 per occurrence. The City must provide MDT proof of its MMIA coverage before beginning any activities under this Agreement. The City must notify the State immediately of any change in liability coverage during the term of this Agreement. 1. Additional insured status: The State, MDT, its officers, officials, employees, and volunteers are to be covered and listed as additional insureds arising out of the activities performed by or on behalf of the City, including the insured's general supervision of any Contractor; products, and completed operations; premises owned, leased, occupied or used. 2. Additional covered party endorsement: The City must obtain an additional covered party endorsement listing the State, MDT, its officers, officials, employees are to be covered and listed as additional covered parties for claims arising out of the activities performed by or on behalf of the City. 3. Workers' Compensation Insurance: The City provides its employees workers compensation coverage through the MM IA. Tl compensation insurance and require its conte subcontractors to carry their own workers co performing work within MDT right-of-way in Montana Code annotated. Neither the contra( of MDT. This insurance/exemption must be v `must maintain wo actor and its contractor's mp6nsation coverage while accordance with §39-71-401/405, :tor nor its employees are employees alid for the entire Agreement period. D. Public Safety -It is agreed thatif any repairs to any of the five (5) manhole facilities along Old Highway 10 (N-4) located between mile post 55 and 56 shown in Attachment B must be performed to address or prevent a public hazard, the City will immediately protect the area from public access, contact MDT Billings District Office, and make reasonable and timelv effort to correct or repair the hazard. E. Invoicing. and Indirect Cost (IDCI - If MDT incurs any costs as a result of a public emergency, as a result of the City not meeting the requirements in this Agreement which necessitates action on MDT's part concerning the maintenance, removal, or repair of any of the five (5)'manhole facilities along Old Highway 10 (N-4) located between mile postS'S and 56 shown in Attachment B, MDT shall be entitled to be compensated for such costs by the City and the City shall pay the same within thirty (30) days of its receipt of such invoices. Section 17-1-106, MCA, requires any state agency, including MDT, which receives non - general funds to identify and recover its indirect costs (IDC). These costs are in addition to direct project costs. MDT's IDC rate is determined annually as a percentage of the project's direct costs to cover the project's share of MDT's IDC as defined by 2 CFR Part 200, Appendix VII. MDT's current IDC rate is 10.96% for fiscal year 2018 (July 1, 2017 to June 30, 2018). If the work occurs or extends into fiscal year 2019 or beyond the IDC 31P-Iga rate will be charged at the rate agreed to by MDT and the Federal Highway Administration (FHWA). 1. Invoices will be sent to: City of Laurel 115 West 1St Street Laurel, MT 59044 2. Payments shall be made to: Montana Department of Transportation Attention: Collections 2701 Prospect Avenue PO Box 201001 Helena, MT 59620-1001 F. Choice of Law and Venue - This Agreement The parties agree that any litigation concern First Judicial District Court, in and for the Cc and each party shall pay its own costs and al terms and conditions of this Agreement and of the State of Montana shall cc G. Binding Effect -- The benefits and ob binding upon, and inure to the bene and assigns of the Parties. H. Relationship of Parties -- Nothing co construed (either by the p of principal and agent or c between the Parties. I. Non -Discrimination - The arising out of this Agreem with all applicable non -di: attached hereto and made [all be governed by, the laws of Montana ig this Agreement must be brought in the my of Lewis and Clark, State of Montana, )rnev fees. In case of conflict between the State of Montana, the laws itions set forth in this Agreement shall be f, their respective successors, administrators lined in this Agreement shall be deemed or or by any third party) to create the relationship Inership joint venture or other association City will require that during the performance of any work ,nt the City, for itself, assignees, and successors shall comply crimination regulations, as set forth in Attachment "A" of this Agreement. Additionally, MDT requires that any construction resulting from this Agreement must include appropriate pedestrian facilities that meet or exceed current MDT standards for accessibility as set forth in the U.S. Architectural & Transportation Barrier Board, Americans with Disabilities Act Accessibility Guidelines (ADAAG) and MDT's detailed drawings, 608 series. J. Audit- The City grants to the Legislative Auditor and the Legislative Fiscal Analysts the right, without prior notice and during normal business hours, to audit, at their own costs and expense, all records, reports, and other documents, the City maintains in connection with this Agreement. 4 1 Pa K. Amendment and Modification -- This Agreement may be modified or amended only by written Addendum signed by the parties. In addition to the terms and conditions contained herein, the provisions of any Addendum may be incorporated and made a part hereof by this reference in the terms of the amendment so provided. In the event of any conflict between the terms and conditions hereof and the provisions of any Addendum, the provision of the Addendum shall control, unless the provisions thereof are prohibited by law. L. Representatives - 1. City's Representative: The City's Representative shall be the Laurel City Administrator or designee; shall designate in writing. Whenever appy communication or submission to City is re communication or submission shall be dir approvals or authorizations shall be issue( however, that in exigent circumstances:wf MDT may direct its communication or sub personnel or agents. 2. MDT's Representative: The MDT Repres Agreement shall be Billings District Adi shall designate in writing. Whenever d required by thi MDT's Represe MDT's Represe gement, such is not avai h [e purpose of this Agreement -h other individual as City rization from or J by this Agreement, such to the is Representative and only by such Repre en City's Represent nission to other des tative; provided, e is not available, ated City �ntative for the purpose of this strator or such other individual as MDT Lion to or communication with MDT is or communication shall be directed to that in exigent circumstances when may direct its direction or communication or submission tol other designated MDT personnel or agents. M. Counterpart Execution - This Agreement may be executed in two or more counterparts, each of which shall be deemed an original but all of which together shall constitute one and the same Agreement. The counterparts of this Agreement may be executed and delivered by facsimile or other electronic signature by any of the parties to any other party and the receiving party may rely on the receipt of such document so executed and delivered by facsimile or other electronic means as if the original had been received. SI Pa g e IN WITNESS WHEREOF, the Department's authorized representative has hereunto signed on behalf of the State of Montana, and the City Administrator of the City of Laurel, on behalf of the City, has signed and affixed hereto the seal of the City. 2018 Montana Department of Transportation Approved for Legal Content Approved for Civil Rights CITY OF LAUREL 61 P a g e 7 1 P a g e P a Rev. 01/2018 MDT NONDISCRIMINATION AND DISABILITY ACCOMMODATION NOTICE Montana DepartmentofTransportation ("K8DT^ kscommitted &oconducting all ofits business inon environment free from discrimination, harassment, and retaliation. In accordance with State and Federal law MDT prohibits any and all discrimination and protections are all inclusive (hereafter "protactedc|aaaes"\byitsennp|oyeemormnyonewithvvhornK8OTdoeabuoinasm: Federal protected classes Race, color, national origin, sex, sexual orientation, gender identity, age, disability, 0iLimited English Proficiency State protected classes Race, color, national origin,parentel/nnarita|status, pregnancy, childbirth, ormedical conditions related topregnancy orchildbirth, religion/ creed, social origin orcondition, genetic information, sex, sexual orientation, gender identification or expression, national origin, ancestry, age, disability mental orphysical, political or religious affiliations or ideas, military service or veteran status For the duration ufthis remnx*nt.the PARTY agrees aofollows: (1) Compliance with Regulations: The PARTY (hereinafter includes consultant) will comply with all Acts and Regulations of the United States and the State of Montana relative to Non - Discrimination in Federally and State -assisted programs of the U.S. Department of Transportation and the State of Montana, as they may be amended from time to time, which are herein incorporated bvreference and made apart ofthis contract. /2\ Nom+discrinmi nation: a. The PARTY, with regard tothe work performed by it during the contract, will not discriminate, directly orindirectly, onthe grounds ofany ofthe protected classes inthe selection and retention of subcontractors, including procurements of materials and leases of equipment, employment, and all other activities being performed under this contract/agreement. b. PARTY will provide notice toits employees and the members mfthe public that it serves that will include the following: L Statement that PARTY does not discriminate on the grounds of any protected 000aeo. ii Statement that PARTY will provide employees and members ofthe public that it serves with reasonable accommodations for any known disability, upon request, pursuant tothe Americans with Disabilities Act aeAmended (ADA). iii. Contact information for PARTY's representative tasked with handling non- discrimination complaints and providing reasonable accommodations under the ADA. Page 1of4 Rev. 01/2018 iv. Information on how bn request information in alternative accessible formats. o. In accordance with K4ord. Code Ann. §49-3-207. PARTY will include a provioion, in all of its hiring/subcontracting notinea, that all hiring/subcontracting will be on the basis of merit and qualifications and that PARTY does not discriminate on the grounds of any protected class. 2A Participation by Disadvantaged Business Enterprises (DBEs): a. If the PARTY receives federal financial assistance as part of this contract/agreement, the PARTY will make all reasonable efforts to utilize DBE firms certified by MDT for its subcontracting services. The list of all currently certified DBE firms is located on the MDT website ut mndt.rnLgov/buminega/contnaotinQ/civi|/dbe.mhtrn| b. Bysigning thinegneernentthaPAF|TYaeauraathat: The contractor, sub recipient or shall not discriminate onthe basis ofrace, color, national origin,' orsex in the performanceofthis contract. The contractor shall carryout applicable requirements of4RCFR part 26 in the award and administration of DO T -assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result /nthe termination ufthis contract orsuch other remedy aathe recipient deems appropriate. o. PARTY must include the above assurance in each contract/agreement the PARTY enters. (4) Solicitation for Subcontracts, Including Procurement of Materials and Equipment: In all solicitations, either by competitive bidding, or negotiation, made by the PARTY for work to be performed under a subcontract, including procurements of materials, or leases of equipment, each potential subcontractor or supplier will be notified by the PARTY of the PARTY's obligation under this contract/agreement and all Acts and Regulations of the United States and the State mf Montana related to Non -Discrimination. (5)Information and Reports: The PARTY will provide all information and reports required by the Acts, Regulations, and directives issued pursuant thereto and will permit access to its books, records, accounts, other sources of information and its facilities as may be determined by MDT or relevant UQ DOT Administration to be pertinent to esmadmin compliance with such Acts. Regulations, and instructions. Where any information required mfacontractor ie inthe exclusive possession of another who fails or refuses to furnish the information, the PARTY will so certify to MDT or relevant US DOT Administration, as appropriate, and will set forth what efforts it has made toobtain the information. (6) Sanctions for Noncompliance: In the event of a PARTY's noncompliance with the Non- discrimination provisionsofUlke reonment,MDT will impose such sanctions amitVrthe relevant UG DOT Administration may determine to be apppopriate, including, but not limited to: a. Withholding payments to the PARTY under the contract/agreement until the PARTY complies; and/or Page 2 of 4 Rev. 01/2018 (7) PertieemtyJom~Discrimmimaton Authorities: During the performance of this contract/agreement, the PARTY, for itself, its assignees,and successor in inten*st, egnmnn to comply with the following non-discrimination statues and authorities; including but not limited to: Fade/a/ - Title V|ofthe Civil Rights Act of1904/42U.S.C.§2OOOdeta*q..78stat. 252\.(prohibits discrimination on the basis of race, color, national origin); and 49 CFR Part 21; ' The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. § 4601), (prohibits unfair treatment of persons displaced or whose property has been acquired because ofFederal mrFederal-aid programs and projects); - Federal -Aid Highway Act of1973, (23 U.G.C. § 324 e/a*q.). (prohibits discrimination on the basis ofemx)' '. - Section 504 of the Rehabilitation Act of 1973, C29 U.S.{}. § 794 etaeq.\. as amended, (prohibits discrimination onthe basis ofdieobi|dW'mnd49<�FRPod27'. ~'. - The Age Discrimination Act of 1075, as amended, /42 U.S.C. G 6101 otaaq.\. (prohibits discrimination onthe basis ofoge\; - Airport and Airways Improvement Act of 1982. /49 U.S.C. § 471. Section 47123\' as amended. (prohibits discrimination based on naoe, oreed, oo|or, national origin. or sex); - The Civil Rights Restoration Act of 1807. (P[ 100-209)' (broadened the mcnpe, onvenage, and applicability ofTitle V|ofthe Civil Rights /ctof1984.TheAoeDiuohmninationAotof1S75.end Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the tanne "programs o[activities" 10 include all of the programs oractivities ofthe Federal -aid recipiento, sub -recipients, and contractors, whether such programs or activities are Federally funded or not);'. - Titles || and ||| of the /\nlehoona with Disabilities Act, vvhkzh prohibits discrimination on the basis of disability in the operation of public entities, public and private transportation mveterno, places of public aocommudution, and certain testing entities /42 U.S.C. @§ 12151-12189\ as implemented by Department ofTransportation regulations at 49 CFR poda 37 and 38; - The Federal Aviation Administration's Non -Discrimination statute (4S U.S.C. §47123)(prohibits discrimination on the basis of race, ooior, national origin, and sex); ' Executive Order 12898. Federal Actions toAddress Environmental Justice in Minority Populations and Low-income Popu|otionm, which prevents discrimination against minority populations by discouraging pnognamne, po|ioiee, and activities with disproportionately high and adverse human health or environmental effects on minority and low-income populations; Page 3 of 4 Rev. 01/2018 - Executive Order 13166, Improving Access to Services for Persons with Limited English Pn]ficienCy, and resulting agency guidance, national origin distrmminationinoludeudiscrnnina1ion because of Limited English Proficiency (LEP). To ensure compliance with Title VI, you must take reasonable steps to ensure that LEP persons have meaningful access to your programs (7UFed. Reg. at740870m741UO); - Title |}(ofthe Education Amendments of 1S72.00amended, which prohibits you from discriminating because of sex in education programs or activities (20 U.S.C. §1U81 etoeq). - Executive Order 13672 prohibits discrimination in the civilian federal workforce on the basis of gender identity and inhiring by federal contractors onthe basis of both sexual orientation and gender identity. - Mont. Code Ann. §4S-3-2O5Governmental services; - Mont. Code Ann. §49-3-208Distribution ofgovernmental funds; - KAord.CodaAnn.Q48-3-2O7NondisornninationpnovhuioninaUpuNiocon1naoto. (8) Incorporation of Provisions: The PARTY will include the provisions of paragraph one through seven in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Acts, the Regulations and/or directives issued pursuant thereto. The PARTY will take action with respect to any subcontract or procurement as MDT or the relevant US DOT Administration may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided, that if the PARTY becomes involved in, or is threatened with litigation by a subcontractor, or supplier because of such direction, the PARTY may request MDT to enter into any litigation to protect the interests of MDT. In addition, the PARTY may request the United States toenter into the litigation toprotect the interests ofthe United States. Page 4 of 4 A— Yg"'4 egg OR,, ' M0 MIDT-ROWUTL-970 05/17 Montane Department of Transportation Utility Encroachment Application Print Form Completed, 4y Montana Deparb-nent of Transportation i Date Received: UPNL� Ma intenance No-, Highway Projep, No,: Agreement No,: Designation: Applicant Name: City of Laurel Date Submitted: 2116,12018 Address: 3I5 0lest 1 at Street Applicant Work Order Number, City: 1 aural State: Montane ZIP, 59044 Telephone- t 628-3456 Email: chyme oLQIauLeI:rnt.gov Prepared by (if different than Applicant) Kurt fvlarkegard_________ Email: kmarkegard@IaureI.mt.gov I elephone: +1 (406) 628-4796 Egqft-Q�� 1) Overhead Facilities: Size: Type: 2) Underground Facilities: Size: .5 Sewer Manholes 4' across Type: Concrete 3) Other'. Concrete will be placed around manhole covers to make for a level road surface -manholes will be lined with epoxy Hichway Number: 310 West / Old Highway 10 --7- Section: 10 Township: — 2 South Range:_ Longitudinal: 24 feet from N S 10 from milepost (station) 55+3,425' Centerline crossing(s) at milepost(s) (station): County: Yellowstone 24 East P.M1 fines W 0 to milepost fstation) 55+4,664' Do,vunguys not in parallel with the roadway at milepost(s): APPLICANT IS REQUIRED TO: I , Submit One (1) copy (electronic version preferred) of this application and attach the following: a, Construction Prints. (Hightay prints preferred.) Distances from R/W line, centerline and existing utilities, to the proposed installation. b. Environmental Checklist (MOT -ENV-( 06) 2. Complete MDT Environmental Checklist (link above) and obtain all other necessary permits from other agencies affected by this work. Attach verification of necessary permits. 3, Notify District Utility Engineering Specialist or designee of any work done under this agreement at least 48 hours in advance, 4. Upon completion of worK done, Applicant must submit the Certification and Inspection form (MD T-ROWLITIL-968) attached, for MDT approval. 5. Waive Applicants dhts, to any reimbursement for relocation under Mont. Code Ann. 60-4-403 resulting from future state highway projects, w1gethen or not it is considered to be a utility at the time of relocation. 6. Comply with Montane Administrative Rules (ARM) 18.7201 - 18.7.232, MD7s Right -of -Way Utilities Manual and Manual on Uniform Traffic Control Devices, 7. Comply with all terms and conditions shown on page 2. plicant Signaturec�--� Print Name: Print Title: /—A-'Uo2-r mate: 7 Montane Department of Transportation �ignature: Title: Date Approved:— 1. APPLICABILITY, The teras and conditions herein apply .a the APPLICANT" and any agent employee, representative, assign, contractor or subcontractor conducting any installation or maintenance work described in this applications. All the parties conducting vrork within the highway right of way shall read and be able to produce upon request a fully executed copy of this permit, 2. NOTIFICATION. Notify District Utility Engineering Specialist of any work done under this agreement at least 48 ?tours in advance. No installation work or utility maintenance work shall be commenced until APPLICANT notifies the District Utility Engineering Specialist or designee the date the APPLICANT proposes to commence work. Notification is required each time the APPLICANT proposes to conduct utility maintenance work within the highway right of way for the facility described on page one of this application. In case of emergencies notification is as prsacticable, but emergency Work May Commence. 3. TERM, This permit shall be in tali force and effect from the date hereof unitf revoked as herein provided. 4, REVOCATION. This permit may be revoked by STATE upon giving 45 days notice to APPLICANT by ordinary mail, sent to the address shown herein. However, the STATE may revoke this permit without notice if APPLICANT violates any of its conditions or terms. 6. CHANGES IN HIGHWAY, If State highway changes necessitate changes irt structures or installations installed under this permit, APPLICANT will make necessary changes without expense to STATE. 6. STATE SAVED HARMLESS FROM CLAIMS, As a consideration of being issued this permit; the APPLICANT, its successors or assigns: agrees to protect the STATE and save it harmless from all claims, actions or damage of ever/ kind and description which may accrue to, or be suffered by, an person or persons, corporations or property by reason of the performance of any such work, character of materials used, or manner of Instal lations, maintenance and operation, or by the improper occupancy of highway right-of-way, and in case any suit or action is brought against the STATE and arising out of, or by reason of, any of the above causes, the ,APPLICANT, its successors or assigns, will, upon notice to them of the commencement of such action, defence the same at its sole cost and expense and satisfy any judgment which may be rendered against the STAT E in any such suit or action. 7. PROTECTION OF TRAFFIC. The APPLICANT shall protect the work area with traffic control devices that comply with the ratan tall f tSriforLn_Trfo ssrtrol ?evices. The APPLICANT may be required to submit a traffic control plan to the District utility Engineering Specialist for approval prior to starting work. During work, the District Utility Engineering Specialist or designee may require the APLICANT to use additional traffic control devices to protect tragic or the work area. No road closure shall occur without prior approval from the District Adrrtinistrator. All workers within MDIs richt-of-way who are exposed either to traffic (vehicles using the highway for purposes of travel) or to construction equipment shall sear high -visibility class 2 or 3 safety apparel. For nighttime activity, the flagger(s) shall arrear class 3 safety apparel. APPLICANT shall provide flagger(s) who are currently certified by the Montana fiagger training program; the ATSSA nagger program; or the Idaho, Oregon, or Washington state nagger training programs. £s. HIGHWAY AND DRAINAGE. APPLICANT shall at the APPLICANrs expense install and maintain Fest Management Practices (BMP) as necessary to minimize damage to the highway and ad* cent properties and abate pollution of surface and around water sources. If the work done under this permit interferes in any way with (BI P) devices installed by others and/or the drainage of the State highway, APPLICANT shall, at the APPLICANT's expense, make such provisions as the STATE may direct to remedy the interference. 9. RUBBISH AND DEBRIS, Upon completion of work contemplated under this permit, all rubbish and debris shall be immediately removed and the roadway and roadside left in a neat and presentable condition satisfactory to the S TATE. 10. INSPECTION. The installation authorized by this permit shall be in compliance ,with the attached plant and the conditions of this permit. The APPLICANT may be requires;/ to remove or revise the installation, at sole expense of APPLICANT, if the installation does not conform with the requirements of this permit or the attached plat;. 11. STATE'S RIGHT NOT TO BE INTERFERED WITH. Ali chart es, reconstruction or relocation shall be deme by APPLICANT so as to cause the least interference with any of the aTATE's work, and the STATE shall not be liable for any damage to the APPLICANT by reason of any such work by the STATE, its agents, contractors or representatives, or by the exercise of any rights by the ST ATE upon the highways by the installations or structures placed under this permit, 12. REMOVAL OF INSTALLATIONS OR STRUCTURES. Unless waived by the STATE, upon termination of this permit, the APPLICANT shall reweave the installations or structures installed under this permit at no cost to the STAT E and restore the premises to the prior existing condition, reasonable and ordinary wear and tear and damage by the elements, or by circumstances over which the APPLICANT has no control, excepted. 13. MAINTENANCE AT EXPENSE OF PERMITTEE. APPLICANT shall maintain, at its sole expense, the installations and structures for which this permit is granted, in a condition satisfactory to the STATE. Notification must be made according to paragraph 2 above. 14. STATE NOT LIABLE FOR DAMAGE TO INSTALLATIONS. In accepting this permit, the APPLICANT agrees that any damage or injury done to Installations or structures by a contractor working for the STATE, or by any STATE employyee engaged in construction, alteration, repair, maintenance or improvement of the State highway, shall be at the sole expense of the APPLICANT. 15. STATE TO BE REIMBURSED 7 FOR REPAIRING ROADWAY. Upon being billed, APPLICANT agrees to promptly reimburse STATE for any expense incurred in repairing surface of roadway due to settlement at installation, or for any other damage to roadway as a result of the work performed under this permit. 16. DI CHARGE_ The APPLICANT shall not dischara or cause discharge of any process wastewater, hazardous or solid waste by the installation or operation of the facility :within State flight -of -flay. 17. TOPSOIURESEED. The APPLICANT will salvage topsoil, re -seed, and control noxious weeds within the disturbed installation area for two (2) Years. 18. SURVEYOR. In accordance with Mont. Code Ann. § 76-3-4€73(2), APPLICANT shall, at APPLICANT's expense, employ the services of a Montana Licensed Professional Land Surveyor to re-establish all existing survey monuments disturbed by work contemplated under this permit. 1. EXPLOSIVES. The use of explosives is prohibited for the installation. 20. NO WAIVER. Any condition of this permit shall not be waived without written approval of the appropriate District Administrator. 21. FEE. The process fee for issuance of this agreement is 22. OTHER CONDITIONS AND/OR REMARKS: AMontana Department of Transportation . , H Prlrit Form MOT-ROIJVUTL•970 05117 Utility Encroachment Application Page 2of2 "r, ac RdJ rr1:. 1. APPLICABILITY, The teras and conditions herein apply .a the APPLICANT" and any agent employee, representative, assign, contractor or subcontractor conducting any installation or maintenance work described in this applications. All the parties conducting vrork within the highway right of way shall read and be able to produce upon request a fully executed copy of this permit, 2. NOTIFICATION. Notify District Utility Engineering Specialist of any work done under this agreement at least 48 ?tours in advance. No installation work or utility maintenance work shall be commenced until APPLICANT notifies the District Utility Engineering Specialist or designee the date the APPLICANT proposes to commence work. Notification is required each time the APPLICANT proposes to conduct utility maintenance work within the highway right of way for the facility described on page one of this application. In case of emergencies notification is as prsacticable, but emergency Work May Commence. 3. TERM, This permit shall be in tali force and effect from the date hereof unitf revoked as herein provided. 4, REVOCATION. This permit may be revoked by STATE upon giving 45 days notice to APPLICANT by ordinary mail, sent to the address shown herein. However, the STATE may revoke this permit without notice if APPLICANT violates any of its conditions or terms. 6. CHANGES IN HIGHWAY, If State highway changes necessitate changes irt structures or installations installed under this permit, APPLICANT will make necessary changes without expense to STATE. 6. STATE SAVED HARMLESS FROM CLAIMS, As a consideration of being issued this permit; the APPLICANT, its successors or assigns: agrees to protect the STATE and save it harmless from all claims, actions or damage of ever/ kind and description which may accrue to, or be suffered by, an person or persons, corporations or property by reason of the performance of any such work, character of materials used, or manner of Instal lations, maintenance and operation, or by the improper occupancy of highway right-of-way, and in case any suit or action is brought against the STATE and arising out of, or by reason of, any of the above causes, the ,APPLICANT, its successors or assigns, will, upon notice to them of the commencement of such action, defence the same at its sole cost and expense and satisfy any judgment which may be rendered against the STAT E in any such suit or action. 7. PROTECTION OF TRAFFIC. The APPLICANT shall protect the work area with traffic control devices that comply with the ratan tall f tSriforLn_Trfo ssrtrol ?evices. The APPLICANT may be required to submit a traffic control plan to the District utility Engineering Specialist for approval prior to starting work. During work, the District Utility Engineering Specialist or designee may require the APLICANT to use additional traffic control devices to protect tragic or the work area. No road closure shall occur without prior approval from the District Adrrtinistrator. All workers within MDIs richt-of-way who are exposed either to traffic (vehicles using the highway for purposes of travel) or to construction equipment shall sear high -visibility class 2 or 3 safety apparel. For nighttime activity, the flagger(s) shall arrear class 3 safety apparel. APPLICANT shall provide flagger(s) who are currently certified by the Montana fiagger training program; the ATSSA nagger program; or the Idaho, Oregon, or Washington state nagger training programs. £s. HIGHWAY AND DRAINAGE. APPLICANT shall at the APPLICANrs expense install and maintain Fest Management Practices (BMP) as necessary to minimize damage to the highway and ad* cent properties and abate pollution of surface and around water sources. If the work done under this permit interferes in any way with (BI P) devices installed by others and/or the drainage of the State highway, APPLICANT shall, at the APPLICANT's expense, make such provisions as the STATE may direct to remedy the interference. 9. RUBBISH AND DEBRIS, Upon completion of work contemplated under this permit, all rubbish and debris shall be immediately removed and the roadway and roadside left in a neat and presentable condition satisfactory to the S TATE. 10. INSPECTION. The installation authorized by this permit shall be in compliance ,with the attached plant and the conditions of this permit. The APPLICANT may be requires;/ to remove or revise the installation, at sole expense of APPLICANT, if the installation does not conform with the requirements of this permit or the attached plat;. 11. STATE'S RIGHT NOT TO BE INTERFERED WITH. Ali chart es, reconstruction or relocation shall be deme by APPLICANT so as to cause the least interference with any of the aTATE's work, and the STATE shall not be liable for any damage to the APPLICANT by reason of any such work by the STATE, its agents, contractors or representatives, or by the exercise of any rights by the ST ATE upon the highways by the installations or structures placed under this permit, 12. REMOVAL OF INSTALLATIONS OR STRUCTURES. Unless waived by the STATE, upon termination of this permit, the APPLICANT shall reweave the installations or structures installed under this permit at no cost to the STAT E and restore the premises to the prior existing condition, reasonable and ordinary wear and tear and damage by the elements, or by circumstances over which the APPLICANT has no control, excepted. 13. MAINTENANCE AT EXPENSE OF PERMITTEE. APPLICANT shall maintain, at its sole expense, the installations and structures for which this permit is granted, in a condition satisfactory to the STATE. Notification must be made according to paragraph 2 above. 14. STATE NOT LIABLE FOR DAMAGE TO INSTALLATIONS. In accepting this permit, the APPLICANT agrees that any damage or injury done to Installations or structures by a contractor working for the STATE, or by any STATE employyee engaged in construction, alteration, repair, maintenance or improvement of the State highway, shall be at the sole expense of the APPLICANT. 15. STATE TO BE REIMBURSED 7 FOR REPAIRING ROADWAY. Upon being billed, APPLICANT agrees to promptly reimburse STATE for any expense incurred in repairing surface of roadway due to settlement at installation, or for any other damage to roadway as a result of the work performed under this permit. 16. DI CHARGE_ The APPLICANT shall not dischara or cause discharge of any process wastewater, hazardous or solid waste by the installation or operation of the facility :within State flight -of -flay. 17. TOPSOIURESEED. The APPLICANT will salvage topsoil, re -seed, and control noxious weeds within the disturbed installation area for two (2) Years. 18. SURVEYOR. In accordance with Mont. Code Ann. § 76-3-4€73(2), APPLICANT shall, at APPLICANT's expense, employ the services of a Montana Licensed Professional Land Surveyor to re-establish all existing survey monuments disturbed by work contemplated under this permit. 1. EXPLOSIVES. The use of explosives is prohibited for the installation. 20. NO WAIVER. Any condition of this permit shall not be waived without written approval of the appropriate District Administrator. 21. FEE. The process fee for issuance of this agreement is 22. OTHER CONDITIONS AND/OR REMARKS: M 2701 Prospect Avenue PO Box 201001 MV7* Montana Department of Transportation Helena, MT 59620-1001 '406) 44 Phone: i A-7228 MDT -ENV-006 04117 Environmental Checklist Fax (4�6) 444-7245 Page I of 2 ITY- (406) 444-7696 FO 90, MA Encroachment/Occupancy (incooing utifty) top =:a,, .r{. ,_;,"3'„"-,.:ex.:.=.,t.^`�'a„"rti.ui, i`,ti f "'...,-i`✓a ':'r.'"'�x„-„,.,'az....�av,+, ,�x, , ,t'52'.. :"'c.€az .w-%' 0 - ontana Environmental Checklist Help Guide (click button to view) � _ Guide IrrapactCaae tions _... __ _ _ ____.,._ _..____ . .___._. _. _ _.__ _ ___ _......_ Comment, Exist, and/or__ _ _ Actions that qualify for Categorical Exclusion under MrEPA and/or NEPA (See ARM 11 &2,261 and 23 CFR 771.117) Information Source (Attach (See ARM 18.2.261 and 23 CFR 771.1171 supporting information, as necessary.) 1 Will the proposed action impact any known historical or archaeoiog ca site(s)? Yes C. No Will the proposed action impact any pub ie€Y owned parkland(s), recreation areas), wildlife or %vat terfowl Yes No refuge(s)? ifVill the proposed action impact prime farmlands? (If yes, attach a completed Farmland Conversion Impact Yes o RatingAd-1 006.) a. lth the proposed action have an impact on the human environment that may resuit from relocations of C Yes o personas or businesses, changes in traffic patterns, chasages in grace, or other types of changes? b. Has the proposed action received any preliminary or final approval from the local land use authority? C-” Yes C` No DOT has been contacted 5 For the proposed action, is there documented controversy on environmental grounds? (For example, has C" Yes (-- No the applicant received a letter of petition from an environmental organization?) 6 Will the proposed action require work in. across or adjacent to a listed or proposed VYAld or Scenic River? r Yes (3, No 7 Will the proposed action require work in a Class I Airy Sheri or nonattain ent area? r- Yes t'*` No Will the proposed action impact air duality or increase noise, even temporarily? a. Is the proposed project a riS4 .Area? b. Will the proposed action have potential to affect water quality, wetlands, streams or other water bodies? If YES, an environment-reiated permit or authorization may be required. 0 Are solid or hazardous wastes or petroleum products likely to be encountered? (Far example, Project occurs in or adjacent to Superfund sites, known spill areas, understorage tanks, or abandoned Haines.) 11 a. Are there any listed or candidate threatened or endangered species, or critical habitat in the vicinity of the proposed action? b. Will the proposed action adversely affect listed or candidate threatened or endangered species, or adversely modify critical habitat? 12 Will the: proposed action require an environmental related permit or authorization? If the answer its "yes," please list the specific Permits or authorizations. 13 Is the proposed action within designated sage grouse habitat (https.(tsagegrouse.rnt.gov/projects). (if yes, a consultation letter issued from the Montana Sage: Grouse Habitat Conservation Program is required.) 14 a. Is the proposed action on or within approximately 1 Haile of an Indian Reservation? b. If "Yes", will a Tribal Water Permit be required? C Yes C No Installation of sewer manhole liners and asphalt removal Yes " No f Yes No C' Yes C No r'" Yes £ No (' Yes leo C Yes (o leo C Yes ;i No C Yes No (- Yes No 6 N/A 15 Nihil the proposed action result in increased traffic volumes, increased wait or delays on state highways, or (w Yes r No have adverse impacts on other forms of transportation (rail, transit or air movements)? Is the proposed action part of a project that may require other governmental permits, licenses or ' — No 16 easemirts? If"Yes', describe the full extent of the project and any other permits, licenses or easements CaYes ( DOT enomachrnent Permit that may be necessary for the applicant to acquire. 17 Attach a brief description of the work to be peftrmeed, including any subsurface work. Description Attached 18 Attach representative photos of the site(s) where the proposed action would be implemented, Photos are Photos Ata -chest is inchide any structures, streams, irrigation canals, and/or potential Avetlands in the project area. 19 Attach map(s) showing the location(s) of the proposed action(sl: Section, Township, Range: highway or Maps Attached route number and approximate route posi(s). Checklist properer. Title: Date Kurt Markegard iPublic Works Director Feb 20, 2018 W38MMEE33MMEEMEM Checklist Approved by: -Environmental Services Bureau Title (tAlhen any of the items I through 16 are checked "Yes"' Tri*-6—r—ta—vo—n-Is linning �--aisle -- (When any of tbeiterns 15 or 16 are checked 'Yes") A. The applicant is not authorized to proceed with the proposed work until the checklist has been reviewed and approved, as necessary, and any requested conditions of approval have been Incorporated. B, Complete the checklist items I through 16, indicating "Yes' or "No" for each item. Include com nrits, explanations, information sources, and a description of the magnitude/importance of potential impacts in the right hand column. Attach additional and supporting information as needed. Ensure that information required for items 17, 18, and 19, is attached. The checklist precarer, by signing, certifies the accuracy of the information provided, C, If 'Yes' is Indicated on any of theitems, the Applicant must explain the impacts as applicable. Appropriate mitigation measures that will betaken to avoid, minimize, and/or mitigate adverse impacts must also be described. Any proposed mitigation measures will become a condition of approval. Use attachments if necessary. If the applicant checks'No' and the Dstrict concludes there may in fact be potential impacts, the Environmental Checklist must be forwarded to Transportation Planning for review and approval - D. If "Yes' is indicated in item 11 a, (threatened or endangered species), the Applicant should provide information naming the particular species and the expected location, distribution and habitat use in the proposed action area, i.e, within the immediate area a' the p, oposed action; or, in the general area on occasion (seasonally passes through) but does not nest, den or occupy the area for more than a few days. E, If the applicant checks "Yes" for any item, the approach permit, occupancy agreement or permit, along ' with the checklist and supporting information, including the Applicant's mitigation proposal, documentation, evaluation and/or permits must be submitted to Transportation Planning. Electronic format is preferred. F. When the applicant checks 'Yes' to any item, the Applicant cannot be authorized to proceed with the proposed work until the MDT Environmental Services Bureau and/or Transportation Planning, as appropriate, reviews the information and signs the checklist. G. Applicant must obtain all necessary permits of authorizations from other entities with jurisdiction prior to beginning the proposed action or activity. The Applicant is solely responsible for any environmental impacts incurred as a result of the project; obtaining any necessary environmental permits, notifications, and/or clearances; and ensuring compliance with environmental laws and regutalJons. 2701, Prospect Avenue PO Box 201001 Montana Department of Transportation Helena, MT 59620- 1001 "Will# Phone: (496) 444-7228 MD T-ENNI-ON 04/17 Environmental Checklist Fax (406) 444-7245 TTY(406) 444-7696 Page 2 of 2 Is the proposed action part of a project that may require other governmental permits, licenses or ' — No 16 easemirts? If"Yes', describe the full extent of the project and any other permits, licenses or easements CaYes ( DOT enomachrnent Permit that may be necessary for the applicant to acquire. 17 Attach a brief description of the work to be peftrmeed, including any subsurface work. Description Attached 18 Attach representative photos of the site(s) where the proposed action would be implemented, Photos are Photos Ata -chest is inchide any structures, streams, irrigation canals, and/or potential Avetlands in the project area. 19 Attach map(s) showing the location(s) of the proposed action(sl: Section, Township, Range: highway or Maps Attached route number and approximate route posi(s). Checklist properer. Title: Date Kurt Markegard iPublic Works Director Feb 20, 2018 W38MMEE33MMEEMEM Checklist Approved by: -Environmental Services Bureau Title (tAlhen any of the items I through 16 are checked "Yes"' Tri*-6—r—ta—vo—n-Is linning �--aisle -- (When any of tbeiterns 15 or 16 are checked 'Yes") A. The applicant is not authorized to proceed with the proposed work until the checklist has been reviewed and approved, as necessary, and any requested conditions of approval have been Incorporated. B, Complete the checklist items I through 16, indicating "Yes' or "No" for each item. Include com nrits, explanations, information sources, and a description of the magnitude/importance of potential impacts in the right hand column. Attach additional and supporting information as needed. Ensure that information required for items 17, 18, and 19, is attached. The checklist precarer, by signing, certifies the accuracy of the information provided, C, If 'Yes' is Indicated on any of theitems, the Applicant must explain the impacts as applicable. Appropriate mitigation measures that will betaken to avoid, minimize, and/or mitigate adverse impacts must also be described. Any proposed mitigation measures will become a condition of approval. Use attachments if necessary. If the applicant checks'No' and the Dstrict concludes there may in fact be potential impacts, the Environmental Checklist must be forwarded to Transportation Planning for review and approval - D. If "Yes' is indicated in item 11 a, (threatened or endangered species), the Applicant should provide information naming the particular species and the expected location, distribution and habitat use in the proposed action area, i.e, within the immediate area a' the p, oposed action; or, in the general area on occasion (seasonally passes through) but does not nest, den or occupy the area for more than a few days. E, If the applicant checks "Yes" for any item, the approach permit, occupancy agreement or permit, along ' with the checklist and supporting information, including the Applicant's mitigation proposal, documentation, evaluation and/or permits must be submitted to Transportation Planning. Electronic format is preferred. F. When the applicant checks 'Yes' to any item, the Applicant cannot be authorized to proceed with the proposed work until the MDT Environmental Services Bureau and/or Transportation Planning, as appropriate, reviews the information and signs the checklist. G. Applicant must obtain all necessary permits of authorizations from other entities with jurisdiction prior to beginning the proposed action or activity. The Applicant is solely responsible for any environmental impacts incurred as a result of the project; obtaining any necessary environmental permits, notifications, and/or clearances; and ensuring compliance with environmental laws and regutalJons. CITY HALL H 5 W. 1ST ST Cifty Of Laurel PUB. WORKS: 628-479( ) WA*1rER OFC.: 628-7431 COURT': 628-1964 11.0. Box 10 1.'A -X 628-2241 Laurel, Montana 59044 February 20, 2018 Tammy Said ivar Utilities Engineering Specialist I Montana Department of Transportation. Re: Laurel sewer manhole linmo and leveling. offive Gf the Director of Vu bfic Works The City of Laurel would like to do some maintenance of sewer manholes that are in the !Montana 1391'r right of way. The location of these sewer manholes are in Highway 3 10 (East Main Street) in Laurel Montana. The manhole locations are bemeen mile marker 55 and 56 and are located 24 feel, south of the north right of way line (west bound driving lane). The sewer manholes will be cleaned to remove loose concrete material and then epoxy lined in order to keep the concrete in the manholes sealed and protected from waste water exposure. The sewer manhole rings and covers will be removed and then leveled in order to provide for a smooth road surface. Concrete will be placed around the manholes rings to secure them in place. The epoxy liner is extended up into the interior of the sewer manhole rings. I have attached pictures to this letter that were taken after other sewer manholes in Laurel had this same procedure completed. I have filled out the environmental checklist, submitted the encroachment permit signed by the Mayor, and we will follow the traffic control plan that was submitted for Stan Jonutis which will include Stan's recommended changes to use barrels instead of traffic candies on the exit side of the lane shift. If there is anything else you need from mg please let me know. Rex,rds, A Kurt Markegard Public Works Director Manhole #1 15(Y Manhole #3 1.50' vvest of Juniper West of Locust Ave Ave These manhole locations are depicted on the attached map on page 3 of this letter. Ln to 0 0 0 1 ( IH R—REWP fl- Ln i` l �N Lf) C) Nt Ln Lf) flt 6R 0 LtF Pia �W cc 00 to 0 a 0 z -q V -i ". z z z CV Ln 0 ut tn w L X MOO i45 PO 9MM \-"� i , --,Z�Vl -z:, --- CIP Construction Technologies, Inc. 134 IAve W Kalispell, MT 59901 Phone (406) 291-8017 Fax (406) 752-463# Bilflq�P"= (40 6) 257-3938 E-nzaik supertec@rexf0rddv1net Website. www.cipinanholexam December 11, 2017 Faxed & Emailed City of Laurel Laurel, MT Phone 406-860-3139 Email: mwfieeler@.IauraLm.gov Pages: 2 Attn: Matt Wheeler and Guy l?,ollins PROJECT- City of Laurel Manhole Rehabilitation SCOPE: Line interior of five sewer manholes with cured -in-place fiberglass liner by authorized licensd installer CIP Construction Technologies, Inc. and rebuild chimney sections via lite r. Manhole process. ITEM DESQIRTION DIMENSIONS' PRICE Ia. Line ran in Hwy 10 between Locust & Juniper 6.17 x 8.33 14,370.00 Use Series 11600 liner (5 layers of fiberglass & PVC) — our heaviest liner lb. Mr. Manhole leveling system 1395.00 lc, Supply and install new frame and cover 365.,141,0 2a. Line mh in Hwy 10 in intersection at Juniper 4.33 x 8.0 5,000.00 Use Series 6800 liner (3 layers off berglass & PVC) — our standard heavy liner 2b. Mr. Manhole leveling system 1395.00 2c- Supply and install new frame and cover 365.00 3a. Line mh in Hwy 10 at Ridge Motel 4.5 x 10.08 7,7KOO Use Series 9200 liner (4 layers of fiberglass & PVC) — our 21 heaviest liner 3b. Mr. Manhole leveling system 1395,00 3c. Supply and install new ftame and cover 365,00 4a. Line mh in Hwy 10 150 ft east of Fir Ave 4.5 x 12.25 7,656,00 Use Series 6800 liner (3 layers of fiberglass & PVC) — our standard heavy liner 4b. W. Manhole leveling system 1395.00 4c. Supply and install new frame and cover 365.00 5a. Line mh in Hwy 10 a, lift station 4.33 x 14.67 9,169,411 Use Series 6800 liner (3 layers off berglass & PVC) — our standard heavy liner 5b. Mr, Manhole leveling system 1395.00 Sc. Supply and install new frame and cover 365.00 6. M2hilL=tiim* N(I TOTAL S49,704.00 projects with the City 6f Red Lodge and the Twvn of Roberts. M_anU&c_turer's Warranty: To stop infiltration and further deterioration — Five Years Labor, Twenty Yews Materials. It is agreed that the City of Laurel in all instances and at its expense, including but not limited to installation, repair., or warranty service, will provide CIP with the fbIlowing: adequate access to structure(s), a source of water supply, traffic control, assistance as needed to coordinate and control se flow, a location for garbage disposal access to dumpster); hydrovac assistance. CIP will provide the normal preparatory work and equipment necessary to install the liner system which includes pressure cleaning @ 3500 p.si., and step removal. We expect that our process will eliminate further deterioration and greatly increase the life of the structure(s). Independent lab tests predict a 50 - 100 year life span for our liner in a sanitary sewer environment. Thank you for the opportunity to assist you and the City in solving these infrastructure problems. 'Afe look forward to working with you on this prGjwt and others in the future. Best regards, jC+WSWaZ+V Jim Swain President Saldivar, Tam From: Tierney, Michael Sent: Wednesday, February 21, 2018 10:01 AM To: SaIdivar, Tammv Subject: RE: Laurel manhole agreement Attachments: RE: Lining sanitaiy sewer manholes in East Main Street Tammy — I have attached MDT review comments. Hydraulics had no comment. However, Jim Combs noted that if a chimney rebuild implies a supporting member that has to support traffic, we need sorne verification of the structural integrity and capacity of the proposed design. This information should be included in any permit request that is made. As for the agreement, It's in the works. Also, has Laurel submitted a permit yet? Finally, ! have no emails on the development on Laurel Ave and Parkway Larne in Billings. Mike From: Saldivar, Tammy Sent: Wednesday, February 21, 2018 8:43 AM To: Tierney, Michael <mtierney@mt,gov> Subject: Laurel manhole agreement Hi Mike, Can you tell me where we are with the maintenance agreement with Laurel for the manhole linings? Also did Stan send to you an inquiry for a new development on Laurel Ave and Parkway Lane in Billings') It would have come since yesterday. ra*mny sa4iivap- M-07-13 au ngk -0 &S -on,_ -t Ut:'a,(rLe_41 E 4?-r'/A* SpeC�_a� 406 -657-0239 Saldivar, Tam From: Tierney, Michael Sent: Thursday, February 15, 2018 2:30 PM To: Hedstrom, David; Combs, James Subject: RE.- Lining sanitary sewer manholes in East Main Street Based on both of your comments - I'll let the District now that MDT's comment on the process is limited to Jim's comment on structural integrity of the chimney rebuild. Also, the District did request an agreement be struck with the City for maintenance. Thanks again. sm From: Hedstrom, David Sent: Thursday, February 15, 2018 12.31 PM To: Tierney, Michael; Combs, James Subject: RE: Lining sanitary sewer manholes in East Main Street From: Tierney, Michael Sent: Wednesday, February 14, 2018 7y:48 AM To: Combs, Jamesh e rk rc' ru -,-'V> >; edstrom, David Subject: RE: Lining sanitary sewer manholes in cast Main Street Hello Dave and Jim — I needed to follow up with both to see if the manhole rehab process proposed is acceptable to MDT in order to allow in it our r/w, thoughts? 9M To: Hedstrom, David <dhedstron-IC5,',rnt2,,v> Cc: Tierney, Michael Subject: FW: Lining sanitary sewer manholes in East Main Street Hello Dave, Please see the e-mails below and the attachments. Do you have any comments about what the City of Laurel is proposing? My comments are below: 1, 1 will defer to Hydraulics but the fiberglass liner seems fine so long as this is a City manhole. 2. My biggest concern is the "chimney rebuild". I'm unclear what constitutes a "chimney rebuild"? Is this a precast or cast in place concrete section? I will defer to Dave if he has comment but if a chimney rebuild implies a supporting member that has to support traffic, we need some verification of the structural integrity and capacity of the proposed design. 3. The District needs to approve whatever is proposed and may wish to enter into an agreement. I will defer to the District, but I would recommend they provide a traffic control plan and schedule if the design is agreeable. Please contact me if I may be of assistance. Thanks and have a great day! JC James A. Combs, P.E. Jq�qhvi,,ays Design Engineer I Highways Montana Department of Transportation, 2701 Prospect Avenue PO Box 201001 Helena MT 5,96-20-,001 406.-444-6244 1 torn QOV Wnr 900 00M) From: Tierney, Michael Sent: Thursday, February 01., 2018 1:21 PM To: Combs, James Subject: FW: Lining sanitary sewer rnanholes in East Main Street From: Saldivar, Tammy Sent: Thursday, February 01, 2018 12:53 PM To: Tierney, Michael <r"".SLY ft e2,'� >; Priebe, Gabe <gt r_q 15, v Subject: FW: Lining sanitary sewer manholes in East Main Street From: Kurt Markegard fnpaiitol Sent: Wednesday, January 24, 2018 9:12 AM To: Saldivar, Tammy Cc: Guy Rolison <gLilEb std E Lse, ler""&)Ia eL f�� gov>; Matt Wheeler <rnw' ee UV t OV> Subject: Lining sanitary sewer manholes in East Main Street Tammy, I wanted to share our upcoming project with you that I spoke to you about last month. The City will be epoxy lining five sewer manholes and will also be leveling the manhole Ws so that they are flush or slightly below the pavement grade. The life expectancy of the liner is estimated at fifty years and will prevent concrete deterioration of the sanitary sewer manholes. I am hopeful to get the state permit submitted in the next few weeks if the City Council approves of the work at their Feb. 611i Council meeting. The Laurel Public Works Committee voted to recommend to City Council to proceed with the project. We will be putting together a traffic control plan and at this time I do not anticipate any road closures as the sewer manholes are dead center of the west bound lane. West bound traffic will be directed into the center turn lane. As we get closer to submitting the permit to you, we will get in touch with the contractor performing the manhole fining and make sure what traffic control is needed for them to perform their work. Let me know if you have any comments or concerns. Kurt Markegard Public Works Director City of Laurel e611 G51A*.d BdIhVs.a/e102-1329 4vo,4s,"9 March 7,2O18 KurtK4aJxegpnJ Public Works Director City o(Laurel @vemai|:kcnari<eOaodp|aureixt.gov Re: City of Laurel Planning Services Dear Kurt: The draft task order for City ofLaurel Planning services benclosed for Your review and comment. Please take your time to read through the details and iet Lis know il you have any questions or corrections. The scopeofuenjcesa|iCnswithourunderstandinCofyou/cooveoadonwithForres1Sande/son|ustFriday, March 2nd. The master services agreement (ACneement)that was executed on December 5, 2Ol7applies to all task orders, UrIless indicated otherwise in each specific task order. For example, Exhibit A ir) the Agreernent was replaced by the Exhibit A attached to this task order; however, Exhibit B along with other exhibits attached to the Agreement are incorporated by reference. DUe to the uniqUe nature of the requested planning services' we made a revision to Exhibit [,which is noted on the task order. Once again, thank you very much for this opportunity. We look forward to providing these services to the City ofLaure|. Sincere/y. KU m FonestSanderson, A|[P,CFM Project Manager Endouure(d: as noted cc: file EwC|Nccn|wc' Rc|mAC|Nco This is a Task Order for KU Project No. 1804-00554, consisting of four (4) pages, plus attachments. Task Order: City of Laurel Planning Services In accordance with Paragraph 1.01 of the Agreement Between Owner and Engineer for Professional Services – Task Order Edition, dated December 5, 2017 ("Agreement"), Owner and Engineer agree as follows: 1. Background Data A. Effective Date of Task Order: March 20, 2018 B. Owner: C. Engineer: D. Specific Project (title): E. Specific Project (description): 2. Services of Engineer City of Laurel Kadrmas, Lee & Jackson, ®) i, zoning, development, and other related work A. The specific services to be provided or *niSbed"gineer under this Task Order are: Set forth in Part 1-13asicrvices f ExhitA, "Engineer's Services for Task Order," modified for this specific Task Order, ani attached atJd irtrporated as part of this Task Order. B. Resident ProJept r sent ) ,p (RPR) Services –Not Used C. Designmgtp Constructirtii Cost"Limit–Not Used D. Other Services E. All of the services included above comprise Basic Services for purposes of Engineer's compensation under this Task Order. 3. Additional Services A. Additional Services that may be authorized or necessary under this Task Order are: Set forth in Part 2—Additional Services of Exhibit A, "Engineer's Services for Task Order," modified for this specific Task Order, and attached to and incorporated as part of this Task Order. 4. Owner's Responsibilities Owner shall have those responsibilities set forth in Article 2 of the Agreement and in Exhibit B. Task Order Form —City of laurel Planning Services EJCDC® E-505, Agreement Between Owner and Engineer for Professional Services — Task Order Edition. Copyright © 2014 National society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 1 S. Task Order Schedule Planning services shall be completed within the timelines found in the applicable local regulations or Montana Law. It is anticipated that services will be provided "on-call" throughout the duration of the Agreement, upon request of Owner. 6. Payments to Engineer A. Owner shall pay Engineer for services rendered under this Task Order as follows: Description of Service Amount Basis of Compensation 1. Basic Services (Part 1) $ (tbd) Direct Labor 2. Additional Services (Part 2) $ (tbd) Direct Labor The terms of payment are set forth provisions of Exhibit C. 7. Consultants retained as of 8. Other Modifications Agreement Exhibit ( modified as follows. Agreement and in the applicable governing for Services and Reimbursable Expenses" Article 2, Part C2.02 is Agreement Exhibit C remain unchanged. For the specified category of services, Owner shall pay Engineer an amount equal to Engineer's Direct Labor Costs times a factor of 3.4 for the services of Engineer's employees engaged on the Specific Project. Direct Labor Costs means salaries and wages paid to employees but does not include payroll -related costs or benefits. Under this method, Engineer shall also be entitled to reimbursement from Owner for the expenses identified in Paragraph C2.03 below, and Appendix 1. 2. Engineer's Reimbursable Expenses Schedule is attached to this Exhibit as Appendix 1. Tasl�Brde The scope of Engineer's services related to the Task Order is difficult to quantify, and total estimated compensation is indeterminable; therefore, Owner shall pay Engineer on Task Order Form — City of Laurel Planning Services E1CDC® E-505, Agreement Between Owner and Engineer for Professional Services — Task Order Edition. Copyright Q 2014 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 2 an hourly (time and materials) basis for services related to the Task Order. Upon request by Owner. Engineer shall provide estimated fees for specific tasks prior to beginning such tasks identified as Basic Services (Part 1) or Additional Services (Part 2). This `etal estimate, compensation incorporates all labor, overhead, profit, and reimbursable expenses (including Consultant's charges, if any). 4. The amounts billed will be based on the applicable Direct Labor Costs for the cumulative hours charged to the specified category of services on the Specific Project during the billing period times the above -designated factor, plus reimbursable expenses (including Consultant's charges, if any). 5. The Direct Labor Costs and the factor applied to Direct Labor Costs will be adjusted annually (as of January 1) to reflect equitable changes in the compensation payable to Engineer. 9. Attachments: Exhibit A— Engineer's Services for Task Order 10. Other Documents Incorporated by Reference: December 5, 2017 Agreement between Owner and E 11. Terms and Conditions Execution of this Task Order by Owner and Erg) Agreement (as modified above), which Agree to begin performance upon its receipcopy The Effective Date of this Task Order is OWNER: C By: Print Nam Title: DESIGNATED REPRESENTATIVE FOR TASK ORDER: Name: Kurt Markegard rs for Profession}Services, Task Order Edition subject to the terms and conditions of the I by this reference. Engineer is authorized Task Order signed by Owner. ENGINEER: Kadrmas, Lee & Jackson, Inc. M Print Name: Title: Engineer License or Firm's Certificate No. (if required): State of: PEL-EF-LIC-37 Montana DESIGNATED REPRESENTATIVE FOR TASK ORDER: Name: Forrest Sanderson, AICP, CFM Task Order Form — City of Laurel Planning Services EJCDC® E-505, Agreement Between Owner and Engineer for Professional Services — Task Order Edition. Copyright © 2014 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 3 Title: Director of Public Works Title: PO Box 10 Address: Laurel, MT 59044 Address: E -Mail E -Mail Address: kmarkegard@laurel.mt.gov Address: Phone: 406-628-4796 Phone: Planner PO Box 80303 Billings, MT 59108 forrest.sanderson@kljeng.com 406-245-5499 Task Order Form — City of Laurel Planning Services EJCDC® E-505, Agreement Between Owner and Engineer for Professional Services — Task Order Edition. Copyright d 2014 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 4 fs. Task Order Form — City of Laurel Planning Services EJCDC® E-505, Agreement Between Owner and Engineer for Professional Services — Task Order Edition. Copyright d 2014 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 4 This is EXHIBIT A, consisting of three (3) pages, referred to in and part of the Task Order dated March 20, 2018. Engineer's Services for Task Order: City of laurel Planning Services PART 1—BASIC SERVICES A1.01 Planning Services A. As Basic Services and upon request by Owner, Engineer shall: 1. Consult with Owner to define and clarify Owner's requirements, including objectives and constraints, space, capacity and performance requirements, flexibility, expandability, and any budgetary limitations, and identify available data, information, reports, facilities plans, and site evaluations. AMM1 2. Conduct site visits to review existing conditions andttaes, unless such visits are not necessary or applicable., 3. Advise Owner of any need for Owner to obta furnl5h, or otheiise make available to Engineer additional relevant data and information, for ngitaee's use in providing planning services. 4. After consultation with Owner, roqmmend to Qwner the solution(s) which in Engineer's judgment meet Owner's requirements ' 5. Identify, consult with, an0 ateSze req�"rnents of applicable governmental authorities or other stakeholders on a case.# case iasis. 6. Advise Owner of any n�d�f4 ru wn6M' 4r''gaI counsel to review and approve Engineer's evaluations and recommensf; � q , a`ho*pview such matters with Owner's legal counsel. 7. Advise Ow', r of any nee for Ownerto provide data orservices of the types described in Exhibit B. 8. Provide on-c4tti,,lannirtg and related technical support services (engineering, surveying, etc.) related to the folfejl a. Capital improvement plan reviews b. Subdivision reviews c. Annexation requests d. Zoning reviews e. Special reviews, conditional uses, and similar requests f. Variance requests g. Site plan reviews Exhibit A — Engineer's Services — City of laurel Planning Services EJCDC® E-505, Agreement Between Owner and Engineer for Professional Services —Task Order Edition. Copyright O 2014 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 1 h. Development application reviews L Impact fee assessments j. Floodplain reviews and administration k. Permit reviews as submitted by an outside applicant I. Review and recommend updates, revisions or amendments to local regulations, codes, standards, etc. m. Other planning -related tasks requested by Owner 9. Prepare staff reports and recommendations to Owner. 10. Attend and/or facilitate public hearings, City Council meetings, workshops, board/committee meetings, etc. B. Engineer's services shall be completed within the timelines founfl;,.in the applicable local regulations or Montana Law. It is anticipated that services will be provided "sin -call" throughout the duration of the Agreement, upon request of Owner. PART 2—ADDITIONAL SERVICES A2.01 Additional Services Requiring an Amendment to A. Advance Written Authorization Required DuTing perfortance under a Task Order, Owner may authorize Engineer in writing to furnish or obtain from 6W1,.Addiff I Services of the types listed below. Unless expressly indicated above or in the specific' Task O r=to be included Basic Services, the following services are not included as partofsic Sees and will be paid for by Owner as Additional Services, using the basis of compensates for 4 ition-ervices, as indicated in the specific Task Order. 1. Preparing updates, revio� or""arrie�icfents to local regulations, codes, standards, etc. listed below, and proy i,,n dra flf such documents to Owner's legal counsel for review and approval by Owner: �� a. Subdivision regulatobs b. Zoning regltaorts or maps c. Floodplain regulations d. City code updates e. Growth policy preparation or update to existing f. Design standards for public and private infrastructure g. Standard specifications for construction of public and private infrastructure h. Capital Improvement plan and updates Exhibit A — Engineer's Services — City of laurel Planning Services EJCDC® E-505, Agreement Between Owner and Engineer for Professional Services —Task Order Edition. Copyright © 2014 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 2 2. Preparation of applications and supporting documents (in addition to those furnished under Basic Services) for private or governmental grants, loans, or advances in connection with a specific project; and preparation or review of environmental assessments and impact statements, or other environmental -related field work and permitting tasks. 3. Services to make measured drawings of existing conditions or facilities, to conduct tests or investigations of existing conditions or facilities, or to verify the accuracy of drawings or other information furnished by Owner or others. 4. Assistance to Owner in training Owner's staff. S. Services required as a result of Owner's providing incomplete or incorrect information to Engineer. 6. Providing renderings or 3-D (artistic) models for Owner's use. 7. Furnishing services of Consultants for other than Basic Services. 8. Providing data or services of the types described in Exftl6it B, when Owner retains Engineer to provide such data or services instead of Owner furnifrngie same. 9. Services during out-of-town travel required of engineer, upon request of Owner, necessary to complete Basic Services.'" 10. Preparing to serve or serving as a consultant `6J mediation, lien or bond claim, or othel«k`legal or a 11. Overtime work requiring higher than 12. Provide assistance in resp ondmo the in compliance with 64 n Lanr^a.R ness for Owner in any litigation, arbitration, lstrative proceeding. of any Constituent of Concern at any project site, 13. The nature ofetical su rt (engineering, surveying, etc.) described in A1.01.A.8 above is to assist with tinning rs ices. Providing engineering and surveying related to preliminary engineerrri;,lesign,bideg, construction and post -construction phase services is not included. 14. Other additiona%eryicos performed or furnished by Engineer not otherwise provided for in this Agreement Advance Written Authorization Not Required: Engineer shall advise Owner in advance that Engineer will immediately commence to perform or furnish the Additional Services of the types listed below. For such Additional Services, Engineer need not request or obtain specific advance written authorization from Owner. Engineer shall cease performing or furnishing such Additional Services upon receipt of written notice from Owner. Unless expressly indicated above or in the specific Task Order to be included Basic Services, the following services are not included as part of Basic Services and will be paid for by Owner as Additional Services, using the basis of compensation for Additional Services, as indicated in the specific Task Order. 1. None Exhibit A— Engineer's Services—City of Laurel Planning Services E1CDC6 E-505, Agreement Between Owner and Engineer for Professional Services —Task Order Edition. Copyright © 2014 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 3 * Advisory members only Approved July 20, 1999; Updated February 20, 2018 Budget/Finance Committee (LMC 2.08.240; Tuesday - day of Council meetings; 5:30 p.m.; Council Conference Room) Name Title Address Phone Number EmneUeEeton Chair 3ODWest Avenue 628-2164 Bruce McGee 31OFoundation Avenue 321-0329 Scot Stokes 113S9th Avenue 861-2015 Richard Klose Sl1Cottonwood Avenue 671-1814 Tom Nelson Mayor City Hall 628-0456 *Bethany Keeler Clerk/Treasurer City Hall 628-7431 Emergency Services Committee (LMC 2.08.240; Monday after 2nd council meeting each month; 5:30 p.m.; Council Chambers) Name Title Address Phone Number Richard Klose 5I1Cottonwood Avenue 671-1814 Iry Wilke 1O177th Avenue 670-6268 Bruce McGee 31UFoundation Avenue 321-0329 8i||K4ountder 901Pennsylvania Avenue 628-4962 Pat Kim met 2130Saddleback Drive 628-8550 C|eteKnaub 1S01Cherry Hills Drive 628-2468 Richard Dawes 415West Avenue 855'37-25 *Rich Musson Po|iceChief/DE3 Police Department 628-8737 *Brent Peters Fire Chief Fire Department 528-2164 Human Relation Committee (LMC I.OA.240;Aaneeded) Name Title Address Phone Number Tom Nelson Mayor City Hall 628-8456 Enoe!ieEaton Council President 3ODWest Avenue 628-2164 Bruce McGee Council Vice President 31OFoundation Avenue 321-0329 Council `K8enm6er_at'La^�,o` Public Works Committee (LMC 2.O8.Z4O;3rd Monday nfeach month; 6:ODp.nm.;Council Chambers) Name Title Address Phone Number Enoe|ieEaton Chair 308West Avenue 628-2164 8i||Mountsier Co -Chair 9O1Pennsylvania Avenue 628-4962 Richard Herr SO17th Avenue 628-8074 Heidi Sparks 31OYellowstone Avenue 671'0911 Marvin Carter 3O76th Avneue 628-6113 Dan Koch 3ZDColorado Avenue 628-7772 8rianRoat 14158eartoothDrive 633-4277 Vacant Airport Authority Board (Resolution No. 1848; 4th Tuesday at 7:00 p.m.; Airport Pilot's Lounge; 5 -year terms) Name Title Address Phone Number Doug Myers Brock Williams Shane Linse John Smith Chair Randy Hand 1915 Waterwood Drive 5285 River Road P.O. Box 80193, Billings 59108 600 Roundhouse Drive Apt. 103 12235 Peaceful Plateau Trail Shepherd 59079 Board of Appeals (As needed; 2 -year terms; LMC 14.04) 633-5299 690-3911 671-6105 628-4595 259-7659 Term 6/30/2018 6/30/2019 6/30/2020 6/30/2021 6/30/2022 Name Title Address Phone Number Term Vacant 6/30/2018 Vacant 6/30/2018 Vacant 6/30/2018 Vacant 6/30/2019 Vacant 6/30/2019 Cemetery Commission (2nd Tuesday/month; 5:00 p.m.; Council Conference Room; 2 -year terms; Ordinance No. 007-02; LMC 2.84) Name Title Address Phone Number Term Richard Klose 511 Cottonwood Avenue 671-1814 6/30/2019 Richard Herr 5017th Avenue 628-8074 6/30/2018 David Gauslow 815 West 4th Street 794-8734 6/30/2019 Kenneth E. Olson, Jr. 1702 Groshelle Blvd. 860-8138 6/30/2019 Wallace Hall 10061st Avenue 628-8158 6/30/2018 Chuck Rodgers 626 West 13th Street 628-7153 6/30/2018 Tom Nelson Mayor City Hall 628-8456 *Kurth Markegard City Advisors for inforr City Hall *Bruce Lefler City Advisors for inforr; City Hall Laurel Urban Renewal Agency (4 -year terms; Ordinance No. 008-09; LMC 20.02; 1st/3rd Mondays — Summer Schedule; 3rd Monday — Winter Schedule; 11:00 a.m.; Laurel Library) Name Title Address Phone Number Term Judy Goldsby Chair 2741 Alpine View Drive 855-0053 12/31/2021 Mardie Spalinger 1075 West 14th Street 208-116 12/31/2018 Don Smarsh 2016 First Avenue 208-5358 12/31/2019 Daniel Kelin (A Haus of Realty) 1101 West 12th Street 855-9528 12/31/2020 Dean Rankin Co -Chair 1310 Fifth Avenue 628-8050 12/31/2020 LURA Advisory Members (4 -year terms; Ordinance No. 008-09) Name Title Address Phone Number Term Steve Solberg 500 SE 4th Street 860-4004 12/31/2021 Janice Lehman SED P.O.Box 69 628-7711 12/31/2018 UndaFhcke| 861'2015 P.(].Box 1092 860-3976 12/31/2018 670'5268 12/31/7018 Z22N.32ndStreet, Suite 200 5O17th Avenue 628-8074 Katy Easton BSEDA Rep Billings, MT5901O1 256-6871 12/31/2020 LuAnneEngh Co -[hair l4O5Willow Drive UbrarV Board 12/31/2018 Phy||is8nonn8ovd 21GYellowstone Avenue (ZndTuesday at6:OOp.m.;Laurel Library; S-yearterms; LMC 2.8U) Ken Gomer Name Title Address Phone Number Term Dixie Feller City Rep./Counci|Appr21l4th Avenue 52ODate Avenue 628-4716 6/30/2018 Clair Killebrew 628-7772 P.O.Box O6,Park City 59063 633-3081 6/30/2019 ArthurVuge|e 6/30/2018 52ODate Avenue 701-403-9110 6/30/2020 Bill Hanson Co -Chair 1USE.Main Street, Apt. G 839-8802 6/30/2021 Samantha Barnhart County Rep. 39OOYard Office Road 12 3rd Avenue #4 690-5550 6/30/2022 Park Board /1stThursday at5:3Op.mn.;Council Chambers; 4'yearterms; Ordinance No. O06'08;LIVIC12.2D> Name Title Address Phone Number Term Scot Stokes Chair 113S9th Avenue 861'2015 12/31/2020 Iry Wilke 1017 7th Avenue 670'5268 12/31/7018 Richard Herr 5O17th Avenue 628-8074 12/31/2820 Amy Pollock 9146th Avenue 628-2944 12/31/2018 LuAnneEngh Co -[hair l4O5Willow Drive 698-0121 12/31/2018 Phy||is8nonn8ovd 21GYellowstone Avenue 628-6288 12/31/2020 Ken Gomer 204 Foundation Avenue 702-5919 12/31/2018 Police Commission (As needed; 3 -year terms; LMC 2.60) Name Title Address Phone Number Term Wallace Hall 1OOG1st Avenue 628-8158 12/31/2020 TnnyKrumheuer 1414Willow Drive 530-4008 22/31/2018 K4ikeKimchennnann 1112Cherry Hills Drive 638-6847 12/31/2019 City-CountV Planning Board (1st Thursday of each month; 10:00 a.m.; Council Chambers; 2 -year terms; LIVIC 2.72) Name Title Address Phone Number Term Ken Gomer City Rep./K4ayorAppoi2O4Foundation Avenue 702'5919 6/30/2019 Vacant City Rep./K4a~rAppoint �'/, ''^'�'���'�''\./�;'\``'^��/.����`.�'i'/�./.��.�'���./`�'�����'�. ` 6/3O/2n1Q Roger Giese City Rep./Counci|Appr21l4th Avenue 647'5927 6/30/2019 Dan Koch City Rep./Counci|Appc32OColorado 628-7772 6/30/2018 Lee Richardson County Rep 115East 1]thStreet 628-8122 6/30/2018 ]udyGo|dsby, CnuntyRep-Choir 2741Alpine View Drive 855'0053 6/30/2018 Ron Benner County Rep. 14O8East Maryland Lane 628-8668 6/30/2019 ]onathenK|asna County Rep. 39OOYard Office Road 850'6541 6/30/2019 Jerry Williams Ye||ovvstoneyCounty {39O4Retreat Drive, Laurel 698-4549 6/30/2018 *Noel Eaton City Planner City Hall 628-7496 Tree Board (3rd Thursday at 9:00 a.m.; PWD Conference Room; 3 -year terms; Ordinance No. 005-01; LMC Name Title Address Phone Number Term Walter Widdis 609 6th Avenue 208-3796 6/30/2018 Aaron Christiansen 11317th Avenue 325-3594 6/30/2018 Dale Ahrens 1518 West 9th Street 628-5773 6/30/2019 LuAnne Engh 1405 Willow Drive 698-0121 6/30/2020 Richard Herr CAO City Hall 6/30/2020 Phyllis Bromgard 216 Yellowstone Avenue 628-6288 6/30/2019 Other CommitteesfAppointments Health Insurance Committee (As needed once every quarter) Name Title Address Phone Number Fred Gregory Local 303 Rep Police Department 628-8737 Vacant Local 303 Rep Police Department 628-8737 - Monica Salo Local 316 Rep City Court 628-1964 Roy Voss Local 316 Rep City Shop 628-4773 Vacant CAO City Hall 6285-4796 Kelly Strecker Yellowstone Historic Preservation Board City Hall 628-74731 Bruce McGee City Council 310 Foundation Avenue 321-0329 Heidi Sparks City Council 310 Yellowstone Avenue 671-0911 *Bethany Keeler Clerk/Treasurer City Hall 628-7431 Big Sky Economic Development Authorit (5 -year term) Name Title Address Phone Number Term Vacant City Rep. - Ex Officio City Hall 12/31/2018 Board of Health (3 -year term) Name Title Address Phone Number Term Norma Cleveland P.O. Box 201 628-8416 12/31/2018 Yellowstone Historic Preservation Board (2 -year term) Name Title Address Phone Number Term Gloria Wester Nominating Committee 1540 West 9th 628-4412 Vacant 12/31/2019 Beartooth RUD (2 -year term) Name Title Address Phone Number Marvin Carter 307 6th Avenue 628-6113