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HomeMy WebLinkAboutclaim denial PSEKITTITAS COUNTY Board of County Commissioners AGENDA STAFF REPORT AGENDA DATE: May 17,2016 ACTION REQUESTED: Deny Claim ofPuget Sound Energy. BACKGROUND: The claimant, Puget Sound Energy ("PSE"), submitted a claim for damages allegedly caused by the Kittitas County PUD. Kittitas County Claim #201605040003. INTERACTION: None. The Kittitas County PUD is not a part of the Kittitas County government. As such, Kittitas County is not responsible for any damages allegedly caused by the Kittitas County PUD. RECOMMENDATION: Deny Kittitas County Claim #201605040003. HANDLING: Original-Clerk of the Board Copy -Auditor Copy -Prosecutor ATTACHMENTS: Claim ofPuget Sound Energy LEAD STAFF: Christopher Horner, Deputy Prosecuting Attorney / 05/04/2016 11:09:49 AM 201605040003 $0.00 . Page:1 o f 12 Claims Rgainst County /rls/mlsc KCPROS Kittitas County Ruditor 11111 m IIIII11I II I~' 11I1 mn mmll W lll~ n 1111 mti mm PItISiUtfOR((Z .!b 2-;3 ~10~. DEPAJn'MENT .. P_IP_~ INSURANCB -..;;..H ___ _ KITmAS COUNTY CLAIM FOR DAMAGES Return to: County Auditor 205 W 5th Ave, Suite 105 Ellensburg, W A 98926 "" 2-~~\ 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 riot 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 . 1. Name (Including spouse, ifmarried): 2. 3. 4. 5. 6. Phone (Home): ...... ( ____ --.r.)(Work): (t;2.'~ 1~ -(,]2 ., Date of Birth: -------------------- Date and Tilt of Incident: t\ \"h."'t~ 1 24lb ~··cru 10f3 Kittitas County Claim for Damages Form Revised 9120 J 2 Filed for Record 05/04/201611 :09 :49 AM -Kittitas County , WA Auditor -201605040003 Page 2 of 12 7. Describe in detail the defect which caused the injury: V ~ dfd 8.. rrative fonn and in detail exactly how the incident occurred: 9. List the names of all persons involved and contact infonnation, if known. 10. Was claim investigated by a police officer? ___ l?-,-~Q,,-__ ~ Sheriff ___ State Patrol ___ City Police 11. Description of claimant's vehic1e: ______ -Make.-----Year Model: __________ _ License No. _____ _ 12. Describe what you did after the accident occurred: . 13. Describe the conversations you had, if any, with County personnel during or after the incident occurred: 20f3 Kittitas County Claim for Damages Form Revised 912012 .. Filed for Record 05/04/2016 11 :09 :49 AM -Kittitas County , WA Auditor -201605040003 Page 3 of 12 14. Describe the damages or injuries which you sustained as a result of the incident: ~~ 11 rS E 'i> €; \"""'-'1 ~kc-t.-it2 jJ ~ 15. ount of damages claimed? (Include estimates and bills, if available): . 'S22..~ 16. 17. ~st the names and addresses of all witnesses to the incide~ /" S2tM F~n. I 253 ~( -tfJ; £0 S2 18. Are you covered by insurance? _____ If yes, who is your insurance agent/carrier? SeRf {Y'-'i~ Subscribed and sworn (affhmed) to before me this c:?38 day of v'Y\QJ\ch ,2olfL. Seal Notary PiiCiIlaIld for the State of Washington Residing at ~Y\..~f1UMl..sb, lA.Ai (J.,yn%Io, 5. Le<;N1 30f3 Kittitas County Claim for Damages FornI Revised 912012 Filed for Record 0510412016 11 :09:49 AM -Kittitas County, WA Auditor -201605040003 Page 4 of 12 +PUGET SOUND ENERGY 0> Important Inf~rmation ,,'pse.com If'» •• V 1m \$ IBi KlnITA~" COUNTRY PUD Account Name: 16-20-65968 DAMAGE CLA1M How to reach us e Email: custdmercare@pse.com '\. Custo~~r Service: 1~888-225-5i73 I TIY:.1-800-962-9498 Hours. 7.30 a.m. -6.30 p.m. M - F TRS. 1-866-831-5161 Puget Sound Energy: P.O. Box 91269. Bellevue . WA 98009 24 Hour Emergency and Outag'e line: 1-888-225-5773 Page 1 of2 ( Y~ur A~co~nt s~m'~ary ,,'l ., Prev.jou~ Charges: .. . .. 'I' . . :1 : t>;inount ofYour:Last Bill $. .0.00 I Total Previous Charge;;; . $ .:: 0.00 ! I 'I Current Charges: .' . . ',: i ., O . ,Other Charges.or Credits ' .' :' $ . .1.,522.78 . I ! Total Current Charges $ . ,1:,522.78 " .I rot~'includescumntand~td~ec~s .: .. Total $'::.' 1,522.78 : I r -~a~~-~~~:;~:i-~~~~:~~~~:~;~:;;~~~~r~~~~;'-;~;'~-~~"~~~;---"1 1 due charge , if any. and. amol:lnt~ unpaid more than :10 business days I II after the statement due date. Amounts will ,be considered ,delinque,nt if . p.ayment ~ no~ received ono~~efore the :<We date. ; ';.; " , • I ---------------------.,..--;.-------.-- • POGET SOUND ENERGY ....... II • I want to donate $,'""__'--_-:--_ ... to the Warm Home Fund m pse;com to pay" online or to find pa~ station locations • Mail this coupon and make check payable to Puget Sound Energy 008931 , , 121;4 1 MB 0.4 16 COOl h 1111111111111111111111111111111111111111111111111111111111111II ' KITTITAS COUNTRY PUD . cio COUNTY AUDITOR 205 W 5TH AVE STE 105 ELLENSB.URG WA 98926-2891 ==0~'¥~~~J~i¥'~1_o ~<ER~~. ©1J~ :D5D@ ~~ '~ ~,OJJ0 ~L~l., ~12T~ . @~ ~m,Ym Puget Sound Energy P.O. BOX 91269 Bellevue, WA 98009-9269 20250000102215 0001 01 00500000360072 000000000000 000000·152278 Filed for Record 05/04/2016 11 :09:49 AM - Kittitas County , WA Auditor -201605040003 Page 5 of 12 (J . Other Cflargesor Credits t Description of Charges ,; Reference #: 160009671 Damage Claims Equipmf!nt PSE Labor ' Material Company and Constr Overheads Job Order #186565968 Subtotal Damage Claims Total Reference #160009671 Total Charges CLAIM NO 16-20-65968 ',; This bill is for damage to electric : equipment ;j't 801 Manatash RD,:, Ellensburg, WA on 03/0612016 For further details concerning this claim please calf Jay Jared senior claims agent at 425.748.6327. Emergency or Power Outage DiaI1-888.2~5-5773 . · To report a natural gas elr elt!ctric emergency or a power, putage, 24·hours a day, call1-888-225-Sn3 Para informar sobre emergenciaseledricas, de gas 0 apagones 24 homs al dla,lIame aI1-888-225-Sn3 · ~HtUifr~~.Jt •• ~H.iI!' , it1f •• ~ , 4i~ 24 'N~iSjiiJlt S1-888-225-5n3 ' . 4T06b1 cooGl4I1Tb 06 aDapl.Ut, CBl'l3aHHor:i c npl>1pOAHblM ra30M I>1nl>1 3neKTp03Heprner:i, I>1nl>1 0 n~pePblBe B nQAa'le 3neKTpo:uleprl>1l>1, · 3BOHIolTe B J1IoGoe BpeMl'l cyTolf no HOMepy 1~8-225.;s"173 We can translate for other languages. Gall 1-888-225-5773. , Page 2 of2 Amotintl 256.89 778.44 77 .85 409.60 $ 1,522.78 $ 1,522.78 .' $ 1J5~2.78 .,------,----,...-- Keeping our wOrd.' YQU will receive a $50 credit on your P$E ,bill if we do not keep a set appointment to 1nstall new or reconnect existing service or ii1spect natural gas equipment. Exceptions apply during major storms or Significant events beyond our control. You deserve excellent service. Every day we aim to give you clear, understandable answers . to your queStions about bills, credits,' deposits and your energy service. If you have a complaint or dispute with your bill or service, please call.us at 1-888':225-5773, If you are not satisfied with the respon~, ask to speak with a supervisor. If you are still not satisfied, you may contact the Consumer Affairs section of the Utilmes and Transportation 'Commission at 1-888'-333-WUTC(9882) or complete an .' online complaint form at www.utc.wa.gov. ~ WIl . @ This biD inecyclable. Filed for Record 05/04/2016 11 :09:49 AM -Kittitas County, WA Auditor -201605040003 Page 6 of 12 PSE Production Client Bellevue Order: 186565~68 9999E999 Work Order Detail report (Cumulative periods) Status : RBL PTBL KANC KKAT PRC SETC SVCC BLLD Time 14:50:35 ZTBO /KJARED Pate 05/02/2016 Page 1 Cost Element Description BiJatAn~. Actual Oty Actual Allocation I DC _BQIPMNT I I I 84200010 TranSpoI'tation " OH I DC -EQII'KNT Damage Claim Bquipmen I DC LABOR I PERSONNEL I NAME I 00004661 I Donald L Finn 00021206 William H Dellinger 843309002 FR-E IBEW OT2 DC -LABOR. Damage Cl.aim Labor Bi DC_KATR.IAL ! I I I I 84200005 I Material . i DC_MATRIAL Damage Claim Material I PC_OHDS I I 84100002 -,I Construction Overhead I 84200006 Miscellaneous Expense I 84200013 I Outside Services Othe I I 84200074 I Phone Expense Assessm I I I I DC ORDS Pamage Claim Overhead I Total costs DC BILLING 68047000 DC BILLING Difference Select-options Damage Claim Billing Damage Claim Billing Cost Element Groups <Initial value> Cost Blements <Initial value> Period <Initial value> Parameters Damage Claim display = X Order • 000186565968 Plan to Actuals = <Initial value> Actuala Only <Initial value> 256 .8~ 256 .89 256.119 389.22 389.22 778 .44 778.44 77.85 77 .85 77.85 59.31 59.31 54.49 54.49 31. 13 31.13 15 .57 15 .57 7.78 409.60 ~~i7:811l 1,522.78- 1,522.78- 1,522.78 - o . a a I I I 0.000 0.000 0.000 3.000 H 3. 000 H 6 .000 6.000 0.000 0.000 0.000 0 .00 a O. a a 0 0 .000 0.000 0.000 0 .000 0.000 0 .000 0.000 0.000 0 .000 0.000 0.000 4-EA 4.000- 4.000 - I I I I I I 192.08 192.08 192.08 291.03 291.03 582.06 582. 06 58.21 58 .21 58.21 44.35 44.35 40 .74 40.74 23.28 23.28 11.64 11.64 5.82 5.82 180.44 180.44 306.27 1,138.62 1,'522.78- 1,522 .78- l,522.78 - I 64.81 64.81 64.81 98.19 98.19 196.38 196.38 19.64 19.64 19.64 14.96 14.96 13.75 13.75 7.85 7.85 3.93 3.93 1.96 1. 96 60.88 60.88 103.33 384.16 0.00 0.00 0.00 I I I I I -I , Filed 10r Record 05/04/2016 11 :09:49 AM -KittiREe~~A Auditor -201605040003 Page 7 of 12 • PUGET SOUND ENERGY MAR 18 1.0\6 ORDERNO.~~ ~~ (~ ~ . DAMAGE CLAIM N°'~_(rk -=----.V~ REPORT OF DA~fiSOOEeL.ECTRIC FACILITIES CONFIDENTIAL PREPARED AT THE DIRECTION OF LEGAL COUNSEL DATE OF INCIDENT ,) ~ (P -I Lr TIME ::6 (")(,)0 AM DATE OF REPORT '3 -7 -! 0 REPORTED BY -f=P::....l,;;(v;J-1 *D~.------_______ INVESTIGATED BY 1-1 AlA I LOCATION OF INCIDENT: STREET CITY G( Lfi;NJ(]Ug~OUNTY 1(,/ T 1\!TI:-tlS TYPE OF INCIDENT DAMAGING PARTY INVESTIGATING AGENCY IF AUTOMOBILE OR TRUCK IFAPOLE IS INVOLVED WITNESSES COMPANY EMPLOYEES OR SERVICE PROVIDER AT SCENE OF INCIDENT 2308 10112 o POLE HIT o TREE IN LINE ~VERHEAD DAMAGE o PERSONAL INJURY (DESCRIBE BELOW) o UNDERGROUND DAMAGE (J OTHER (DESCRiBE) ACCIDENT INVESTIGATED? 0 YES 0 NO o CITY OF o STATE PATROL o OTHER o SHERIFF o CASENO. NAME AND BADGE NO. OF INVESTIGATING OFFICER(S) MAKE MODEL YEAR LICENSE NO . NAME STREET CITY ZIP DRIVER'S LICENSE NO. D.O.B. STATE NAME ADDRESS CITY STATE ZIP INSURED? 0 YES AGENT FIELD GRID BUTT GAIN DATE ON POLE TRANSFORMER ON POLE 0 YES 0 NO IF YES, TRANSFORMER 10 STREET CITY STATE ZIP PHONE NO. NAME STREET CITY STATE ZIP PHONE NO. NAME STREET CITY STATE ZIP PHONE NO. NAME HEADQUARTERS NAME HEADQUARTERS NAME HEADQUARTERS PAGE10F2 Filed for Record 05/04/2016 11 :09:49 AM -Kittitas County , WA Auditor -201605040003 Page 8 of 12 IF UNDERGROUND DAMAGE -------- ------------------------- -- RIGHT-OF·WAYWHERE EVENT OCCURRED (CHOOSE ONE) o CITY STREET 0 STATE HIGHWAY 0 COUNTY ROAD o INTERSTATE HIGHWAY 0 PUBLIC -OTHER o UNKNOWN/OTHER o PRIVATE BUSINESS 0 PRIVATE LAND OWNER 0 PRIVATE EASEMENT o PIPELINE 0 RAILROAD o FEDERAL LAND o POWERfTRANSMISSION LINE o DEDICATED PUBLIC UTILITY EASEMENT o DATA NOT COLLECTED AFFECTED FACIUTY INFORMATION WHAT TYPE OF FACILITY WAS AFFECTED? (CHOOSE ONE) ~ISTRIBUTION 0 SERVICE 0 TRANSMISSION o UNKNOWN/OTHER EXCAVATION INFORMATION TYPE OF EXCAVATOR (CHOOSE ONE) o CONTRACTOR o OCCUPANT o COUNTY o DEVELOPER o FARMER o MUNICIPALITY o RAILROAD o STATE o UTILITY o DATA NOT COLLECTED 0 UNKNOWN/OTHER TYPE OF EXCAVATION EQUIPMENT (CHOOSE ONE) o AUGER o BACKHOEfTRACKHOE o BORING o DRILLING o DIRECTIONAL DRILLING o EXPLOSIVES o FARM EQUIPMENT o GARDEN/SCRAPER o HAND TOOLS o MIlLING EQUIPMENT o PROBING DEVICE o TRENCHER o VACUUM EQUIPMENT o DATA NOT COLlECTED o UNKNOWN/OTHER TYPE OF WORK PERFORMED (CHOOSE ONE) o AGRICULTURE o CABLE TELEVISION o CURB/SIDEWALK o BLDG. CONSTRUCTION o BLDG . DEMOLITION o DRAINAGE o DRIVEWAY o ELECTRIC o ENGINEERING/SURVEY o FENCING o GRADING o IRRIGATION [] LANDSCAPING o LIQUID PIPELINE o MlLLING o NATURAl GAs o POLE INSTALl.ATION o PUBLIC TRANSITAUTH . o RAILROAD MAINT. o ROADWORK o SEWER (SANISTORM) o SITE DEVELOPMENT o STEAM o STORM DRAIN/CULVERT o STREET LIGHT o TELECOMMUNICATION o TRAFFIC SIGNAL o TRAFFIC SIGN o WATER o WATERWAY IMPROVEMENT o DATA NOT COLLECTED 0 UNKNOWN/OTHER ONE CALL DID EXCAVATOR CAlL FOR LOCATES? 0 YES 0 NO IF YES, WHEN LOCATE NO .• WAS FACILITY PLATTED? 0 YES 0 NO YEAR PLATTED WAS IT LOCATABLE? 0 YES 0 NO IF NO. WHY? WERE MARKS CORRECT? 0 YES 0 NO IF NO. HOW FAR OFF? WAS FAClUlY MARKED? 0 YES 0 NO WERE MARKS MAINTAINED? 0 YES 0 NO L OCATION OF MARKS I 1 YPE OF MARKS WAS FACIUlY EXPOSED BY HAND? 0 YES 0 NO DEPTH AT TIME OF DIG·IN WAS LOCATOR ON SITE? 0 YES 0 NO EXCAVATOR DOWNTIME VeRIFICATION DID EXCAVATOR INCUR DOWNTIME? 0 YES 0 NO o PAVEMENT 0 GRASS o OTHER o DIRT o CURB NAME OF LOCATOR REPRESENTATIVE DID THE DAMAGE CAUSE AN INTERRUPTION OF SERVICE? 0 YES oNO o DATA NOT COLLECTED COMPLETED BY (PLEASE PRINT) TITLE SIGNATURE , o PAINT o OFFSET o STAKE o OTHER o UNKNOWNIOTHER DATE 14 R.Al\f FL '/ 1))& PAGE2OF2 Filed {or Record 05/04/2016 1"1 :09:49 AM -Kittitas County, WA Auditor -201605040003 Page 9 of 12 ' Puget Sound Electric ' Operator Log -All List -Central King ~ Kittitas SC Between 03/06/20160000 and 03/06/20162359 -Page 3 of 4 Time Log Entry 271363-1 03106/161959 THO-13 -IS Trouble Arcing Electrical Equipment Cause: Outside Utility Source Subcause: Power On Interface 031061161959 ORDER COMMENTS: DC# 186565968 D-FINN FOUND C, PH OF KX127 BLOWN. . FOUND THAT@ 751 flMNASHTASH RD LlNE FROM THE PUD CONTACTED AND WELDED ITSELF TO OUR LINE. LINE THEN BURNED ITSELF IN THE CLEAR. SERVlCE CLEARED THE , LINE AND REFUSED KX127 RESTORING CUSTOMERS. PL,JD JUMPER CONTACTED PSE PRIMARY OPENING C PHASE AT KX 127 03/06116 2113 Arrived: FINN Power dn Interface 03/061162113 Customers de-energized: 10 Total customers out 10 Power On Interface 03106/162120 FINN Closed C Phase at 40T OH Fuse KX127 (C) RIVERBOT)'"OM RD #PUMP ,ELLENSBURG WAYNE WILLIAMSON -Power On Interface 03/06/162139 Completion Report Submitted. Power On Interface F=iled for Record 0510412016 11 :09 :49 AM _ Kittitas county, WA Auditor -201605040003 Page 10 of 12 -. , 106 / :~,:~:~:-;;;::,------,'-----" ---" ,--, '':-'-. -'" -"" -.-,' ,w .. ~ OL6L6L-g916~ , I \ lOOl .. ( Filed for Record 05/04/2016 11 :09:49 AM -Kittitas County , WA Auditor -201605040003 Page 11 of 12 INDIVIDUAL DAilY TIME REPORT -ELECTRIC FIRST RESPONSE ou<....--.... "..-,_~ • ..,......,.. EMPLOYEE NAME PERSONNEL COST CENTER TIME REPORTING DATE NUMBER • ' ' PUGET , ,.; , 'SOUND Bill Dellinger 21206 3090 03-06-2016 - CIR#& 1# EVENT/CLXJ. ADDRESS , WORK PERFORMED SAP WORK , ACT JIC ML liMe HRS FROM TO WIRE WIRE FOOTAGE NOTlF# ORDER $ TYPE TYPE SIZE USED 271345 6121 thrall rd md rprs refused 583049094 $ OT2 -4 .00 16:00 20 :00 751 manashtash pud switch refuse 186565968 dam $ OT2 3.00 20:00 23:00 I I I I I -i : - : - . '. .' OTREASON: REG HOURS OTHOURS 7 .00 EMPLOYEE OTHER SIGNATURE: Bill Dellinger ' APPROVAL: , HOURS Email to: E~ ___ ~\r~" < ,,"-»,., '? " '~~~~. TOTAL 7.00 (tip to 3) IS 'tiiir " ~f.i.,"" ,', ~ :, ~tJi ·",· ~ ,,", "';~ !l'.t., . -,~:., .,..~'N!~" ~ I-Inll~!': :ev nl'n Sal m ;.. ,.: " " 'c. ,.,,.:; ; ~_'" ,1!',;,:£I!.j Filed for Record 05/04/2016 11 :09:49 AM -Kittitas County, \[VA Auditor -201605040003 Page 12 of 12 INDIVIDUAL DAilY TIME REPORT·ElECTRIC FIRST RESPONSE -.... _--.--.- EMPLOYEE NAME PERSONNEL' COST CENTER TIME REPORTING DATE NUMBER Don Finn 4661 3090 03-06-2016 CIR# & f# EVENTCLXI ADDRESS ' WORK. PERFORMED SAP WORK ACT JIC • NOTtF# ORDER 271181 1020 WOODHOUSE RD OUTAGE 583049094 271197 7340 COOKE CANYON RD TREE IN LINES 593049513 27q45 6121 THRALL RD OUTAGE sg c./ 271363 801 MANASTASH RD OI)TAGE OTREASON: EMPLOYEE SIGNATURE: Don Finn ' APPROVAL: Email 10: ~ :'" ~~~~~;;P_~iiJ~~Ir<~~1l1~lf~;t:~~'~;~~~;~~i¥:!;&,,?·~t~~~:;1"~;~:~f~~I~;f~Y~f~fo/0~ .%i ~w "(up,IO 3) ~_I ___ "~ 1!!.U1l;;Ji!:.~ tIli", ill.~ ,tiJlL-:.illtr.l~,~~.=>1l ~~~~J.ljVl~·::l'~'1(iS',~. __ ~~~..k " '!...oW'.,. $ • ' PlJCET ~, SOUND HRS FROM TO OT2 1.00 0:00 1:00 OT2 '1.50 1:00 2:30 OT2 3.25 16:15 19:30 OT2 3.00 19:30 22:30 . 8.75 8.75 WIRE WIRE FOOTAGE TYPE SIZE USED KITTITAS COUNTY Board of County Commissioners AGENDA STAFF REPORT AGENDA DATE: May 17,2016 ACTION REQUESTED: Deny Claim ofPuget Sound Energy. BACKGROUND: The claimant, Puget Sound Energy ("PSE"), submitted a claim for damages allegedly caused by the Kittitas County PUD. Kittitas County Claim #201605040003. INTERACTION: None. The Kittitas County PUD is not a part of the Kittitas County government. As such, Kittitas County is not responsible for any damages allegedly caused by the Kittitas County PUD. RECOMMENDATION: Deny Kittitas County Claim #201605040003. HANDLING: Original-Clerk ofthe Board Copy -Auditor Copy -Prosecutor ATTACHMENTS: Claim ofPuget Sound Energy LEAD STAFF: Christopher Homer, Deputy Prosecuting Attorney