HomeMy WebLinkAboutSKM_C654e18041216350KI'TTITAS COUNTY
April 12, 2018
Mr. Christopher Horner
Deputy Prosecuting Attorney
205 West Fifth, Room 213
Ellensburg, WA 98926-3129
KITTITAIS COUNTY
DEPARTMENT OF PUBLIC WORKS
Mark R. Cook, PE Director
RE: Claim No.: 201803080044
Dear Mr. Horner:
Public Works has reviewed the claim for damage (EXHIBIT 1) submitted by Kittitas County
PUD No 1 dated 03/08/2018. I have verified that our Public Works Maintenance staff struck and
damaged PUD power pole #46-04-020 as claimed. The damage occurred in December while we
were performing ditch clearing operations.
I recommend that the claim for damages be paid by the Board of County Commissioners for the
requested amount of: $6,211.75.
Respectfully,
X40-AaI=
Mark R. Cook
Director
Attachments: Exhibit 1 Claim No. 201803080044
C: Lisa Young, Risk Manager
411 N. Ruby St, Suite #1 TEL (509) 962-7523
Ellensburg, WA 98926 FAX (509) 962-7663
Dept. of Public Works
Page 2
Exhibit 1: Claim No. 201803080044
411 N. Ruby St, Suite #1 TEL (509) 962-7523
Ellensburg, WA 98926 FAX (509) 962-7663
GREGORY L. ZEMPEL
Our Mission:
Seeking Justice, Serving Victims and
Holding Offenders Accountable
March 22, 2018
Sent Via Email
Mark Cook, Director
Kittitas County Public Works
411 N Ruby Street, Suite 1
Ellensburg, WA 98926
Re: Claim of Kittitas County PUD No. 1
Claim No. 101803080044
Dear Mark:
205 W 5th AVE Suite 213
Ellensburg WA 98926
509-962-7520
prosecutor@co.kittitas. wo. us
The County received a claim for damages and it appears your department was involved. A copy of the
claim is attached to this letter in case you have not already seen it.
Please contact me at your earliest convenience to discuss what happened and any recommendations
you have as to the resolution of the claim. Also, please provide me with copies of any records relevant
to the incident at issue.
Thank you in advance for your assistance in this matter,
in erely,
C IST0PHER E. HORNER
Deputy Prosecuting Attorney
(509) 962-7661
Enclosure as noted
cc: Washington Counties Risk Pool
Kittitas County Board of Commissioners
Judy Pless, Fiscal Manager
Lisa Young, HR Director/Risk Manager
Candie Leader, Administrative Assistant, Public Works
03/08/2018 03:12:32 PM 201803080044
-i1 SU 0Q Paged of 7
Clams Against Countylrlsi�wc KC?ROS
1 Ki tltl 'alslCo MAUtll tor�
KITTITAS COUNTY CLAIM FOR DAMAGES
Return to:
County Auditor
205 W 5'I' Ave, Suite 105
Ellensburg, WA 96926
509-962-7504
Instructions:
Please read the entire form before completion. Fill out each question as completely as possible,
to the best of your ability. Do not hesitate to use the back side of this form if you need more than
the space provided. An incomplete response may delay the processing of your claim.
Name (Including spouse, if married):
Kittitas County PUD NO, 1
2. Phone (Home): { ) (Work): ( 509-933-7200
3. Address (include former address if at present address for less than 6 months):
1400 VANTAGE HWY, ELLENSBURG WA 98926
Ph%slcal
SAME AS ABOVE
Ma'b"-,
4. Date of Birth:
5. Date and Time of Incident:
DECEMBER 18. 2017 AT OR AROUND 16.00
6. Location of Incident:
LOWER GREEN CANYON ROAD, 1.6 MILES SOUTH OF SMITHSON ROAD
1 of 3
Hnrnis Cm:n:e UU,I , ioi' Dan',ag,, Form
R era ..I 112012
Describe in detail the defect which caused the injury:
COUNTY ROAD DEPARTMENT (DITCH CLEANING CREW) HIT AND DAMAGED
PUD POWER POLE #46-04-020
8. Describe in narrative form and in detail exactly how the incident occurred:
SEE #7
9. List the names of all persons involved and contact information, if known.
HANS SPOELSTRA (PUD LINEMAN) RYAN BERGE (ROAD FOREMAN)
10. Was claim investigated by a police officer? NO
Sheriff State Patrol City Police
11. Description of claimant's vehicle: NA Make NA Year
Model: PUD POWER POLE License No.
12. Describe what you did after the accident occurred:
CONTACTED RYAN BERGE AT KITTITAS COUNTY
13. Describe the conversations you had, if any, with County personnel during or after the
incident occurred:
CALLED TO INFORM RYAN BERGE THAT CREW HAD STRUCK A POWER POLE
2 of 3
Kiaitas County Claim for Damages Form
Revised 9/2012
14. Describe the damages or injuries which you sustained as a result of the incident:
DAMAGE TO POWER POLE #46-04-020, HAD TO BE REPLACED
15. What is the amount of damages claimed'? (Include estimates and bills, if available):
56.211.75
16. How did you identify the County as the party responsible for your damage?
COUNTY CREW CONTACTED PUD
17, List the names and addresses of all witnesses to the incident:
HANS SPOELSTRA, RYAN BERGE KELEY DORMAIER ?
I& Are you covered by insurance'? YES 11 -yes, who is your insurance agent. earner?
FEDERATEDINSURANCE
Dated this 5TH Day of MARCH .20 18
MATT BOAST, GENERAL MANAGER
Signature of Claimant
Subscribed and sworn (affirmed) to before me this 5TH day of MARCH ?p 18,
seal .v wiutrti
Ful-SO�h,� Notary Public in and for the State of Washington
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Kittitas County
PUBLIC UTILITY DISTRICT NO. 1
SPUD Providing Safeand Reli2131a Elect
Commissioner/oe O'Leary
February 6, 2018
Kittitas County Public Works
411 North Ruby Street, Suite 1
Ellensburg, WA 98926
RE., Invoice for damage to PUD pole
To whom it may concern:
S �rsice
Commissioner
On December 18, 2017 the county road crew damaged a Kittitas PUD power pole while cleaning the
ditches along Lower Green Canyon Road. The PUD dispatched lineman to assess the damage. The lineman
were able to secure the pole from failing that night, but the damage was significant enough that the pole
had to be replaced the next day.
The total cost including labor, equipment and materials to complete the repairs was $6,211.75 . I have
attached a copy of the invoice for your reference. Please contact our office and make arrangements for
payment.
If you have any other questions or concerns, please give us a call or email.
Regards,
Matt Boast, General Manager
(509) 933-7200 extension 804
matt. boa stPkittitasoud com
Rogers
PUD #1 of Kittitas County
1400 Vantage Highway
Ellensburg, WA 98926
(509) 933-7200
Sold To:
KITTITAS COUNTY PUBLIC
WORKS
411 N RUBY ST, STE 1
ELLENSBURG WA 98926
Customer ID :
KCPW01
Customer Account # :
105
Invoice # :
1982
Invoice Terms:
Due Upon Receipt
Invoice Date:
02/02/2018
Invoice Due Date :
02/02/2018
Ship to:
KITTITAS COUNTY PUBLIC WORKS
41 IN RUBY ST, STE I
ELLENSBURG WA 98926
KITTITAS COUNTY PUBLIC WORKS KITTITAS CO ROAD DEPT - POLE DAMAGE
Type Item # Description Tar Qty Price Amount
Sale _ POLE DAMAGE - LOWER GRN CANYON No 1.00 6,211.75 6,2 (1.75
Item Total $6,211.75
Shipping Charges 0.00
Miscellaneous Charges 0.00
Sales Tax
Total Invoice Due $6,211.75
ksmattb WO-Cateao Summa & Staking Page 1 of 1
PUD # I of Kittitas County b � 1/23/2018 9 43 20PM
Work Order Status
Assembi
10586 - Damaged Pole Replacement - Lower Green 0
SLIT'
Sector 00 - Default
A6 - DOUBLE DEADEND
107.200 - CONSTRUCTION WORK IN PROGRESS
ateoory
1.00
NIA - MATERIAL
Net Amount
1,007.50
OH - OVERHEAD
690.99
PR - PAYROLL
1,134.85
PRA - PAYROLL ALLOCATIONS
790.00
STO - STORES ALLOCATION
636.40
TR - TRANSPORTATION
1,125.00
GL Acct ID Order Total
$5,384.74
108.800 - RETIREMENT WORK IN PROGRESS
1.00
Catevory
Net Amount
PR - PAYROLL
274.50
PRA - PAYROLL ALLOCATIONS
202.51
TR - TRANSPORTATION
350.00
GL Acct ID Order Total
$827.01
Sector Total
$6,211.75
Work Order Total $6,211.75
-------.....
---- --- --------- ---------....... _-------- ....------------ -- -----------------
Start Date
12/18/2017
T e
Assembi
Sub CPR
SLIT'
Install
A6 - DOUBLE DEADEND
1 - DISTRIBUTION
1.00
Install
POLE40-3 - POLE 40' CLASS 3
I - DISTRIBUTION
1.00
Install
S1.01 - 100A CUTOUT/ARRESTOR COMBO
1 - DISTRIBUTION
1.00
Retire
A6 - DOUBLE DEADEND
I - DISTRIBUTION
1.00
Retire
POLE 35 - POLE, 35'
1 - DISTRIBUTION
1.00
Retire
S 1.01 - 100A CUTOUT/ARRESTOR COMBO
I - DISTRIBUTION
1.00
Report Total
$6,211.75
Database: Live Database 2eport:D:\Program Files\PCS\Insight Accounting\InstalledReports\WO-Category
Parameters: ((WOMaint.WOID) ='10586') Last Mod irudrd i!WM&kin
rpt
Form No. 4479
Reported By: Fa, rp'."t
❑ Planned Outage
Location: I ower f.tin r_ i . en �o
❑ Unplanned Outage
'6 t fir"
X Equipment/Property Damage
Feeder: S L
❑ Customer Problem
❑ Power Quality/Service Issue
Fill out all blocks and be specific as possible.
Include drawings, photos, additional narrative as
0 Other:
needed.
INCIDENT REPORT AND POWER INTERRUPTION FORM
. .-
First Responder
Na
Name: Date: WO#
s � �
Date of Incident:
Time Power Off:
Time Power On:
Time Reported:
# of Customers affected
Customer Hrs Off:
12-7$-Lol
L/,00
Nature of,jDama%]e and Immediate Action Taken: (attach /Spare sheet if needed) ,}
Ly --0tru.( zo Wks j-'; t 0 -IC R(n Mcje/1 F✓uM C_0 � ' 1 t, Gltl.nl`r�,
Pole,P _'4 Ly
PO 6
Follow -Up Work Required: X Yes ❑ No (If yes, explain below)
ThwG l; y s/�tc®' FQP or* of pole tIN!-u'-1-uta I'6k
InterruptionCause of
Law EnforcemenUFire Investigation Report:
❑ Yes ❑ No If Yes, Agency: Officer: Contact #:
❑ Trees ❑ Fire
❑ Wildlife ❑ Flooding
PUD Vehicles Used: 13 6 LENTnI,f .4
Q� Vehicle ❑ Natural
4 t
— sez, 64ctctlu.il W. 0.7 T—
/Lk Dig up/Construction Equipment ❑ Other:
Outside Crew Used: ❑ Yes IX No
PUD Employees Called Out: r�
.$'f 0rp.. If -5:30 Hrs: I',ZZ Meals:
Company Name:
i44—e-r4e—r 54'— Hrs: -7 Meals:
l }use kfi-r S YLI/`I Hrs: '_ Meals:
No. of Employees: Hrs Worked:
KJC' t CL7 1411 Hrs::— Meals:
Hrs: Meals:
Reimbursable: K Yes ❑ No'r`tilr
t r 14:00-S,00
V"i?'W I Z I b 4f -00
Liable Party at Fault
Con act Informat on of Rlsponsible Party:
K��;}�� c.�n roa cr,—,
Witness(s): C1 Yes ❑ No (If yes, insert information below)
y
First Responder Signature:
Date:
M nag Signature:
Date:
12-)5_Z,l7
IZ i
WAD - Kittitas PUD Shared DrivelForm Template Incident -Power Interruption Form 2015.docx