2021/09/01 Council Agenda Packet

ATTACHMENT A PPE, Tools and Equipment Provided by: Recipient: Will pay for waste disposal at City landfill or transfer station; dump cards or account information for waste disposal will be provided to DOC Workcrew for use on City of Everett projects unless disposal receptacles are provided. Specialty PPE, Tools and Equipment Training Provided by Recipient? ❑ DOC: Will provide Personal Protective Equipment (PPE) and tools and supplies for general litter pick- up, removal of illegally dumped materials and vegetation cleanup and removal, including but not limited to: gloves, boots rain gear, hard hats, hearing and eye protection, face masks, shovels, rakes, trash bags, pickers, small electrical or gas -powered machinery, etc. JSA Worksheet completed and attached? DOC contract manager provided a written Job Safety Analysis form (Attachment D) for each type of service identified in this contract that was reviewed and approved by the recipient Contract Manager. Job Safety Analysis form remains valid for the length of the project period. The types of services provided by workers include 1) Illegal Dumpsite Cleanups, 2) Litter Pickups, 3) Vegetation Cleanups. Additional Terms: The recipient will contact Workcrew Sergeant Rick Mroos (or Program Manager if he is not available) via phone 206-786-5945 or email rwmroos@DOCI.WA.GOV to schedule work at least 24 hours in advance unless prior arrangements have been made with Workcrew Sergeant. CITY OF EVERETT DEPARTMENT OF CORRECTIONS Signature Signature of Field Administrator or Work Release and Residential Program Coordinator Section 5/CCD Printed Name & Title Section/Facility Date Date Please email a copy of this Work Project Description to docclacontractassist@DOC1. WA. GOV within two (2) calendar days after• it is signed by the second of both Parties. THANK -YOU State of Washington Department of Corrections K12110 Page 12