HomeMy WebLinkAbout07-05-2011_Council Meeting Packet
Arlington City Council
*Tuesday - July 5, 2011 – 7 PM
City Council Chambers
110 E. Third
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CALL TO ORDER / PLEDGE OF ALLEGIANCE/ROLL CALL
APPROVAL OF THE AGENDA
INTRODUCTION OF SPECIAL GUESTS AND PRESENTATIONS
PUBLIC COMMENT For members of the public to speak to the Council regarding matters NOT on the agenda.
Please limit remarks to three minutes
CONSENT AGENDA
1. Minutes of the June 20 & 27, 2011 meetings ATTACHMENT A
2. Accounts Payable
3. Ratification of Collective Bargaining Agreement with IAFF Local 3728 ATTACHMENT B
PUBLIC HEARING
UNFINISHED BUSINESS
NEW BUSINESS
1. 2011 AC Water Main Replacement Bid Award ATTACHMENT C
2. Collection on Unpaid (Delinquent) Billings ATTACHMENT D
DISCUSSION ITEMS
INFORMATION
ADMINISTRATOR & STAFF REPORTS
MAYOR’S REPORT
COUNCIL MEMBER REPORTS – OPTIONAL
EXECUTIVE SESSION
RECONVENE
ADJOURNMENT
To download all attachments, click here
DRAFT
Page 1 of 3
Council Chambers
110 East Third
June 20, 2011
City Council Members Present by Roll Call: Dick Butner, Sally Lien, Scott Solla (via
telephone), Marilyn Oertle, Chris Raezer, Linda Byrnes, and Steve Baker
Council Members Absent: There were no Council members absent.
City Staff Present: Mayor Larson, Allen Johnson, Kristin Banfield, Paul Ellis, Jim Chase, Rob
Putnam, David Kuhl, Cristy Brubaker, Sherri Phelps, Jan Bauer, and Steve Peiffle – City
Attorney
Also Known to be Present: Neil Knutson, Mike Hopson, Ken Klein and Kari Ilonummi
Mayor Larson called the meeting to order at 7:00PM, and the pledge of allegiance to the flag
followed.
APPROVAL OF THE AGENDA
Steve Baker moved to approve the Agenda. Marilyn Oertle seconded the motion which passed
with a unanimous vote.
INTRODUCTION OF SPECIAL GUESTS AND PRESENTATIONS
Chuck Morrison, Red Cross
Mr. Morrison was not available; however Mayor Larson gave a brief report.
PUBLIC COMMENT
There was no one in the audience who wished to speak to matters not on the Agenda.
CONSENT AGENDA
Steve Baker moved and Marilyn Oertle seconded the motion to approve the Consent Agenda
which was unanimously carried to approve the following Consent Agenda items:
1. Minutes of the June 6 and 13, 2011 meetings
2. Accounts Payable
Electronic Payments and Claims Checks #73743 through #73904 dated June 7, 2011
through June 20, 2011 in the amount of $489,172.08
3. Ordinance effecting the Thompson Annexation effective on July 8, 2011
4. Ordinance effecting the Hilltop Sports Annexation effective on July 8, 2011
PUBLIC HEARING
Ordinance Adopting New Sections in AMC 20.96 Regarding the Process for Adopting an
Annual Comprehensive Plan Docket by the City
Community Development Director David Kuhl reviewed the Ordinance. He noted that this has
been approved by the Planning Commission.
Minutes of the Arlington
City Council Meeting
Minutes of the City of Arlington City Council Meeting DRAFT June 20, 2011
Page 2 of 3
At 7:05PM the Public Hearing was opened and with no one wishing to speak, the Public Hearing
was immediately closed.
Steve Baker moved to adopt the ordinance approving the amendments to AMC 20.96
Amendments (PLN20110023) as presented by Community Development staff and
recommended for approval by the Planning Commission. Marilyn Oertle seconded the motion
that passed with a unanimous vote.
UNFINISHED BUSINESS
There was no Unfinished Business.
NEW BUSINESS
Approval of Contract for 2011 Airport Roofing Projects
Airport Manager Rob Putnam gave a brief description of the building needing to be roofed. He
also addressed the bids which had been received. Mr. Putnam asked for Council approval and
then answered Council questions.
Linda Byrnes moved to approve a total project amount not to exceed $73,172 for the 2011
Airport Roofing Project to include an initial contract with OK Roofing, Inc. for the amount of
$69,687.54. Dick Butner seconded the motion that passed with a unanimous vote.
Authorizing the Mayor to Sign an MOU with the Employee Representation Board
City Administrator Allen Johnson spoke to the Memorandum of Understanding with the
Employee Representation Board. He asked for Council approval.
Steve Baker moved to authorize the Mayor to sign the Memorandum of Understanding with the
Employee Representation Board. Sally Lien seconded the motion that passed with a unanimous
vote.
Ordinance - Revisions to Various Sections of AMC Title 9 as Requested by City
Prosecutor
Assistant City Administrator Kristin Banfield gave a brief history of the Ordinance and then
asked for Council approval.
Sally Lien moved to approve the proposed Ordinance amending AMC Title 9 as requested by
the City’s prosecutor. Marilyn Oertle seconded the motion that passed with a unanimous vote.
Ordinance - Adding a New Chapter to AMC Title 2 – Volunteer Firefighters’ and Reserve
Police Officers’ Relief and Compensation Fund
Kristin Banfield addressed the slightly revised Ordinance distributed this evening. She then
answered Council questions.
Sally Lien moved to approve the proposed Ordinance adding a new Chapter 2.108 to the
Arlington Municipal Code to form a local Board of Volunteer Firefighters and Reserve Officers.
Marilyn Oertle seconded the motion that passed with a unanimous vote.
Ordinance – Adding a New Chapter to AMC Title 2 -- Public Records Index
Ms. Banfield briefly described the new AMC Chapter. She then addressed Council questions.
Steve Baker moved to approve the proposed ordinance adding a new Chapter 2.112 to the
Arlington Municipal Code to declare the development and maintenance of an index of all city
Minutes of the City of Arlington City Council Meeting DRAFT June 20, 2011
Page 3 of 3
records as unduly burdensome. Marilyn Oertle seconded the motion that passed with a
unanimous vote.
Ordinance Amending AMC Chapter 8.17 Regarding Chicken & Bee Keeping Regulations Ms. Banfield noted some of the amendments that have been made to the existing regulations.
She then answered Council questions and discussion followed.
Linda Byrnes moved to table Ordinance Amending AMC Chapter 8.17 to the next Council
Workshop. Sally Lien seconded the motion which passed with a unanimous vote.
INFORMATION
Allen Johnson reminded Council of the mini-retreat this Friday at 1:00PM.
MAYOR’S REPORT
Mayor Larson gave a brief report of her recent activities.
COUNCIL MEMBER REPORTS – OPTIONAL
Dick Butner, Sally Lien, Marilyn Oertle, Chris Raezer, Linda Byrnes, and Steve Baker gave brief
reports, while Scott Solla had nothing to report at this time.
EXECUTIVE SESSION
City Attorney Steve Peiffle announced that there would be no need for an Executive Session.
He also noted that the Council will again address meeting attendance via phone.
ADJOURNMENT
With no further business to come before the Council, the meeting was adjourned at 7:41PM.
____________________________
Margaret Larson, Mayor
DRAFT
Page 1 of 2
Council Chambers
110 East Third Street
June 27, 2011
Dick Butner, Sally Lien, Scott Solla, Marilyn Oertle, Chris Raezer, Linda Byrnes, Steve Baker, Mayor
Larson, Allen Johnson, Kristin Banfield, Jim Chase, Jim Kelly, Eric Scott, Cristy Brubaker, Paul Ellis, Jan
Bauer, and Steve Peiffle – City Attorney
Council Members Absent: There were no Council members absent.
Also Known to be Present: Neil Knutson, Jim Rankin, Ken Klein, and Sarah Arney – North County
Outlook
Mayor Larson called the meeting to order at 7:00PM, and she stated that there would be a 30 minute
Executive Session at the conclusion of the workshop with no action to be taken during or after the
Session. The pledge of allegiance to the flag followed.
Steve Baker moved to approve the Agenda, and Sally Lien seconded the motion, which passed with a
unanimous vote approving the Workshop Agenda.
WORKSHOP ITEMS ~ NO FINAL ACTION WAS TAKEN
AMC 12.52 – Grading Permits (Ordinance) & Grading Fees (Fee Resolution)
Public Works Director Jim Kelly discussed the revision of the Grading Ordinance and issues that Council
had expressed at a previous review time, and he then answered Council questions.
Mr. Kelly asked to have the Ordinance move forward and that he return with additional grading fees
information. Additional discussion followed where Mr. Kelly answered Council questions.
Washington – Lenore Waterline Bid Results
Mr. Kelly distributed the bid results for the Lenore Waterline, and he then addressed aspects of the
project, also answering Council questions throughout.
67th Ave Amenities
With the use of a power point presentation Mr. Kelly spoke to the 5 block options for colors and shapes
available for the proposed 67th Avenue retaining wall. Throughout the presentation Mr. Kelly addressed
Council questions and concerns. A Council choice is required for the final construction block package
decision, and the Council was asked to observe area retaining walls; also samples can be made available
by Mr. Kelly for Council consideration at an upcoming Workshop meeting.
EMS Fee Write-Offs and Collections
Finance Director Jim Chase addressed the uncollected EMS transport fees. He asked that Council
approve the pursuit of a services agreement with a collection agency for the collection of outstanding
amounts which are due to the City. Mr. Chase then answered Council questions, and discussion
followed.
AMC 8.17.010 – Other Livestock
Assistant City Administrator Kristin Banfield addressed ‘other livestock’. Councilman Baker voiced
concern with this action in regards to keeping livestock. Applying a grandfathering provision for the
Minutes of the Arlington
City Council Workshop
Minutes of the City of Arlington City Council Meeting DRAFT June 27, 2004
Page 2 of 2
property land use was suggested and discussed. City Attorney Steve Peiffle also spoke to the issues of
grandfathering. Discussion and clarification followed. This will again be discussed by the Council at a
future Workshop.
Results of 2011 WCIA Audit
City Administrator Allen Johnson spoke to the results from the recent 2011 WCIA Audit reviewing
particular items with the Council.
Miscellaneous Council items
A Cities and Towns meeting on July 21 in Marysville will include the speaker Mr. Washburn who has quite
an extensive aerospace background. Mr. Johnson urged Council members to attend.
Executive Session
At 8:18PM the Council adjourned into a 30-minute executive session with a 5 minute break beforehand
for the purpose of pending or potential litigation [RCW 42.30.110(1)(i) and to review collective bargaining
negotiations, grievances, or discussions regarding the interpretation or application of a labor agreement
[RCW 42.30.140(4)], with no action to be taken during or after the Session.
RECONVENE AND ADJOURNMENT
The Council reconvened at 8:42PM and with no further action to be taken, the meeting was immediately
adjourned.
____________________________
Margaret Larson, Mayor
City of Arlington
Council Agenda Bill
AGENDA ITEM:
Consent Agenda #3
ATTACHMENT B
COUNCIL MEETING DATE:
July 5, 2011
SUBJECT:
Authorize the Mayor to sign the 2011-2013
Collective Bargaining Agreement with IAFF
Local No. 3728
DEPARTMENT OF ORIGIN:
Executive
ATTACHMENTS:
Collective Bargaining Agreement with IAFF Local No. 3728 (strikeout and clean)
EXPENDITURES REQUESTED: -0-
BUDGET CATEGORY: N/A
LEGAL REVIEW: City Attorney reviewed Collective Bargaining
Agreement
DESCRIPTION:
Council is requested to authorize the Mayor to sign the 2011-2013 Collective Bargaining
Agreement with IAFF Local No. 3728, representing uniformed Firefighters of the City of
Arlington.
HISTORY:
The City and the IAFF Local No. 3728 began negotiations on a successor Collective Bargaining
Agreement in August 2010. Negotiations concluded in April 2011 with the attached Tentative
Agreement.
ALTERNATIVES:
Do not authorize the Mayor to sign the 2011-2013 Collective Bargaining Agreement with IAFF
Local No. 3728 and direct staff to return to the bargaining table for further negotiations.
RECOMMENDED MOTION:
I move Council authorize the Mayor to sign the 2011-2013 Collective Bargaining Agreement
with IAFF Local No. 3728.
City of Arlington
Council Agenda Bill
AGENDA ITEM:
New Business #1
ATTACHMENT C
COUNCIL MEETING DATE:
July 05, 2011
SUBJECT: 2011 AC Water Main Replacement
Project Bid Award
DEPARTMENT OF ORIGIN:
Public Works – Utilities Division
James Kelly
ATTACHMENTS:
• Bid Tab
EXPENDITURES REQUESTED: $361,986.80
BUDGET CATEGORY: Water Capital Fund 405
LEGAL REVIEW: Pending final approval by City Attorney
DESCRIPTION: Bid Tabulation showing all received bids for the 2011 AC Water Main
Replacement Project authorization to award contract to the low bidder, Welch Brothers
Construction, LLC.
HISTORY: The Arlington water Utility is engaged in a program to replace asbestos concrete water
mains; the 2011 AC Water Main Replacement project identified water mains to be replaced on
Washington Ave, Lenore Ave, 1st St and Stillaguamish Ave.
The City prepared plans and specifications for the 2011 AC Water Main Replacement project,
advertised the project, and is now ready to award the project to the lowest responsible bidder,
Welch Brothers Construction, LLC.
ALTERNATIVES:
- Do not award the bid
RECOMMENDED ACTION:
Recommend that Council award the 2011 AC Water Main Replacement Project construction
contract to Welch Brothers Construction, LLC, and authorize the mayor to sign the contract,
pending final approval by the City Attorney.
1
City of Arlington 186th Waterline Project
Bid Tab June 12, 2007
Item
No.Description QTY Unit Unit Price Total Price Total Price Unit Price Total Price Unit Price Total Price
PREPARATION
1 MOBILIZATION 1 L.S.$9,000.00 $9,000.00 $8,226.00 $10,277.96 $10,277.96 $450.00 $450.00
2
REMOVAL OF STRUCTURE AND
OBSTRUCTION 1 L.S.$6,000.00 $6,000.00 $5,484.00 $5,216.81 $5,216.81 $800.00 $800.00
3 REMOVING CEMENT CONC. SIDEWALK 53 S.Y.$40.00 $2,120.00 $1,937.68 $17.44 $924.32 $175.00 $9,275.00
4 REMOVING ASPHALT CONC. PAVEMENT 1000 S.Y.$5.00 $5,000.00 $4,570.00 $4.60 $4,600.00 $4.00 $4,000.00
5 SAWCUT EXISITNG PAVEMENT 5350 L.F.$2.40 $12,840.00 $11,735.76 $0.71 $3,798.50 $1.45 $7,757.50
WATER
6 HYDRANT ASSEMBLY 3 EACH $3,900.00 $11,700.00 $10,693.80 $4,090.37 $12,271.11 $3,599.00 $10,797.00
7
DUCTILE IRON PIPE FOR WATER MAIN 6 IN.
DIAM 71 L.F.$60.00 $4,260.00 $3,893.64 $40.27 $2,859.17 $43.80 $3,109.80
8
DUCTILE IRON PIPE FOR WATER MAIN 8 IN.
DIAM 1860 L.F.$65.00 $120,900.00 $110,502.60 $40.84 $75,962.40 $48.00 $89,280.00
9 GATE VALVE 8 IN.16 EACH $1,300.00 $20,800.00 $19,011.20 $1,308.29 $20,932.64 $981.00 $15,696.00
10 SERVICE RE-CONNECTION 1 IN. DIAM.6 EACH $500.00 $3,000.00 $2,742.00 $428.47 $2,570.82 $625.00 $3,750.00
11 SERVICE RE-CONNECTION 1 IN. DIAM. (>30')15 EACH $1,600.00 $24,000.00 $21,936.00 $806.60 $12,099.00 $675.00 $10,125.00
12 SERVICE RE-CONNECTION 1 IN. DIAM. (<30')10 EACH $1,400.00 $14,000.00 $12,796.00 $815.18 $8,151.80 $725.00 $7,250.00
13 SERVICE RE-CONNECTION 1.5 IN. DIAM.1 EACH $1,600.00 $1,600.00 $1,462.40 $2,111.54 $2,111.54 $1,396.00 $1,396.00
14 3/4 IN. PRESSURE REDUCING VALVE (PRV)2 EACH $500.00 $1,000.00 $914.00 $469.02 $938.04 $225.00 $450.00
SURFACING
15 CRUSHED SURFACING BASE COURSE 5.4 TON $32.00 $172.80 $157.94 $20.04 $108.22 $18.00 $97.20
HOT MIX ASPHALT
16 COMMERCIAL HMA 171 TON $120.00 $20,520.00 $18,755.28 $128.51 $21,975.21 $140.00 $23,940.00
EROSION CONTROL AND PLANTING
17 LANDSCAPRE RESTORATION 81 S.Y.$15.00 $1,215.00 $1,110.51 $49.09 $3,976.29 $5.50 $445.50
18 INLET PROTECTION 12 EACH $70.00 $840.00 $767.76 $73.27 $879.24 $50.00 $600.00
TRAFFIC
19 PROJECT TEMPORARY TRAFFIC CONTROL 1 L.S.$3,600.00 $3,600.00 $3,290.40 $19,083.17 $19,083.17 $18,500.00 $18,500.00
20 CEMENT CONC. SIDEWALK 53 S.Y.$35.00 $1,855.00 $1,695.47 $30.62 $1,622.86 $100.80 $5,342.40
21 TRIMMING AND CLEANUP 1 L.S.$1,100.00 $1,100.00 $1,005.40 $3,893.97 $3,893.97 $1,000.00 $1,000.00
22 FORCE ACCOUNT 1 EST.$5,000.00 $5,000.00 $4,570.00 $5,000.00 $5,000.00 $5,000.00 $5,000.00
23
REIMBURSEMENT FOR THIRD PARTY
DAMAGES 1 EST.$500.00 $500.00 $457.00 $500.00 $500.00 $500.00 $500.00
24 SPCC PLAN 1 L.S.$750.00 $750.00 $685.50 $546.80 $546.80 $500.00 $500.00
25 CONTRACT BOND EXTENSION 1 L.S.$500.00 $500.00 $457.00 $4,400.76 $4,400.76 $8,362.86 $8,362.86
Subtotal $272,272.80 $248,857.34 $224,700.63 $228,424.26
Sales Tax (8.6%)$21,401.73 $19,324.25 $19,644.49
Total $272,272.80 $270,259.07 $244,024.88 $248,068.75
ADD ALTERNATE #1
PREPARATION
1 MOBILIZATION 1 L.S.$1,000.00 $1,000.00 $914.00 $4,827.34 $4,827.34 $100.00 $100.00
2
REMOVAL OF STRUCTURE AND
OBSTRUCTION 1 L.S.$1,000.00 $1,000.00 $914.00 $5,216.81 $5,216.81 $600.00 $600.00
3 REMOVING CEMENT CONC. SIDEWALK 53 S.Y.$40.00 $2,120.00 $1,937.68 $17.95 $951.35 $175.00 $9,275.00
4 REMOVING ASPHALT CONC. PAVEMENT 490 S.Y.$5.00 $2,450.00 $2,239.30 $4.60 $2,254.00 $4.00 $1,960.00
5 SAWCUT EXISITNG PAVEMENT 2880 L.F.$2.40 $6,912.00 $6,317.57 $0.71 $2,044.80 $1.45 $4,176.00
WATER
6 HYDRANT ASSEMBLY 1 EACH $3,900.00 $3,900.00 $3,564.60 $4,094.09 $4,094.09 $3,599.00 $3,599.00
7
DUCTILE IRON PIPE FOR WATER MAIN 6 IN.
DIAM 17 L.F.$60.00 $1,020.00 $932.28 $44.30 $753.10 $43.80 $744.60
8
DUCTILE IRON PIPE FOR WATER MAIN 8 IN.
DIAM 852 L.F.$65.00 $55,380.00 $50,617.32 $40.21 $34,258.92 $49.00 $41,748.00
9 GATE VALVE 8 IN.5 EACH $1,300.00 $6,500.00 $5,941.00 $1,306.91 $6,534.55 $981.00 $4,905.00
10 SERVICE RE-CONNECTION 1 IN. DIAM.3 EACH $500.00 $1,500.00 $1,371.00 $460.11 $1,380.33 $625.00 $1,875.00
11 SERVICE RE-CONNECTION 1 IN. DIAM. (>30')9 EACH $1,600.00 $14,400.00 $13,161.60 $827.08 $7,443.72 $675.00 $6,075.00
12 SERVICE RE-CONNECTION 1 IN. DIAM. (<30')10 EACH $1,400.00 $14,000.00 $12,796.00 $815.18 $8,151.80 $725.00 $7,250.00
14 3/4 IN. PRESSURE REDUCING VALVE (PRV)5 EACH $500.00 $2,500.00 $2,285.00 $469.01 $2,345.05 $250.00 $1,250.00
SURFACING
15 CRUSHED SURFACING BASE COURSE 5.4 TON $32.00 $172.80 $157.94 $20.04 $108.22 $18.00 $97.20
HOT MIX ASPHALT
16 COMMERCIAL HMA 84 TON $120.00 $10,080.00 $9,213.12 $128.60 $10,802.40 $140.00 $11,760.00
EROSION CONTROL AND PLANTING
17 LANDSCAPRE RESTORATION 81 S.Y.$15.00 $1,215.00 $1,110.51 $49.09 $3,976.29 $5.50 $445.50
18 INLET PROTECTION 5 EACH $70.00 $350.00 $319.90 $73.27 $366.35 $50.00 $250.00
TRAFFIC
19
PROJECT TEMPORARY TRAFFIC
CONTROL 1 L.S.$1,000.00 $1,000.00 $914.00 $9,541.59 $9,541.59 $12,500.00 $12,500.00
20 CEMENT CONC. SIDEWALK 53 S.Y.$35.00 $1,855.00 $1,695.47 $30.62 $1,622.86 $100.80 $5,342.40
21 TRIMMING AND CLEANUP 1 L.S.$1,100.00 $1,100.00 $1,005.40 $1,946.99 $1,946.99 $500.00 $500.00
Subtotal $128,454.80 $117,407.69 $108,620.56 $114,452.70
Sales Tax (8.6%)$10,097.06 $9,341.37 $9,842.93
Total $128,454.80 $127,504.75 $117,961.92 $124,295.63
Overall Total $400,727.60 $397,763.82 $361,986.80 $372,364.38
E & D Excavating
P.O. Box 434
Arlington, WA 98223
Estimate with
Sales Tax
Adjustment
AC Water Main Replacement Project
Prepared June 23, 2011 by LPeterson Original Engineer's Estimate
P.O. Box 818
Anacortes, WA 98221
Welch Brothers Construction,
LLC
2
City of Arlington 186th Waterline Project
Bid Tab June 12, 2007
Item
No.Description QTY Unit
PREPARATION
1 MOBILIZATION 1 L.S.
2
REMOVAL OF STRUCTURE AND
OBSTRUCTION 1 L.S.
3 REMOVING CEMENT CONC. SIDEWALK 53 S.Y.
4 REMOVING ASPHALT CONC. PAVEMENT 1000 S.Y.
5 SAWCUT EXISITNG PAVEMENT 5350 L.F.
WATER
6 HYDRANT ASSEMBLY 3 EACH
7
DUCTILE IRON PIPE FOR WATER MAIN 6 IN.
DIAM 71 L.F.
8
DUCTILE IRON PIPE FOR WATER MAIN 8 IN.
DIAM 1860 L.F.
9 GATE VALVE 8 IN.16 EACH
10 SERVICE RE-CONNECTION 1 IN. DIAM.6 EACH
11 SERVICE RE-CONNECTION 1 IN. DIAM. (>30')15 EACH
12 SERVICE RE-CONNECTION 1 IN. DIAM. (<30')10 EACH
13 SERVICE RE-CONNECTION 1.5 IN. DIAM.1 EACH
14 3/4 IN. PRESSURE REDUCING VALVE (PRV)2 EACH
SURFACING
15 CRUSHED SURFACING BASE COURSE 5.4 TON
HOT MIX ASPHALT
16 COMMERCIAL HMA 171 TON
EROSION CONTROL AND PLANTING
17 LANDSCAPRE RESTORATION 81 S.Y.
18 INLET PROTECTION 12 EACH
TRAFFIC
19 PROJECT TEMPORARY TRAFFIC CONTROL 1 L.S.
20 CEMENT CONC. SIDEWALK 53 S.Y.
21 TRIMMING AND CLEANUP 1 L.S.
22 FORCE ACCOUNT 1 EST.
23
REIMBURSEMENT FOR THIRD PARTY
DAMAGES 1 EST.
24 SPCC PLAN 1 L.S.
25 CONTRACT BOND EXTENSION 1 L.S.
Subtotal
Sales Tax (8.6%)
Total
ADD ALTERNATE #1
PREPARATION
1 MOBILIZATION 1 L.S.
2
REMOVAL OF STRUCTURE AND
OBSTRUCTION 1 L.S.
3 REMOVING CEMENT CONC. SIDEWALK 53 S.Y.
4 REMOVING ASPHALT CONC. PAVEMENT 490 S.Y.
5 SAWCUT EXISITNG PAVEMENT 2880 L.F.
WATER
6 HYDRANT ASSEMBLY 1 EACH
7
DUCTILE IRON PIPE FOR WATER MAIN 6 IN.
DIAM 17 L.F.
8
DUCTILE IRON PIPE FOR WATER MAIN 8 IN.
DIAM 852 L.F.
9 GATE VALVE 8 IN.5 EACH
10 SERVICE RE-CONNECTION 1 IN. DIAM.3 EACH
11 SERVICE RE-CONNECTION 1 IN. DIAM. (>30')9 EACH
12 SERVICE RE-CONNECTION 1 IN. DIAM. (<30')10 EACH
14 3/4 IN. PRESSURE REDUCING VALVE (PRV)5 EACH
SURFACING
15 CRUSHED SURFACING BASE COURSE 5.4 TON
HOT MIX ASPHALT
16 COMMERCIAL HMA 84 TON
EROSION CONTROL AND PLANTING
17 LANDSCAPRE RESTORATION 81 S.Y.
18 INLET PROTECTION 5 EACH
TRAFFIC
19
PROJECT TEMPORARY TRAFFIC
CONTROL 1 L.S.
20 CEMENT CONC. SIDEWALK 53 S.Y.
21 TRIMMING AND CLEANUP 1 L.S.
Subtotal
Sales Tax (8.6%)
Total
Overall Total
AC Water Main Replacement Project
Prepared June 23, 2011 by LPeterson
Unit Price Total Price Unit Price Total Price Unit Price Total Price Unit Price
$20,000.00 $20,000.00 $13,545.00 $13,545.00 $30,000.00 $30,000.00 $25,000.00
$500.00 $500.00 $1,000.00 $1,000.00 $5,000.00 $5,000.00 $5,000.00
$28.30 $1,499.90 $5.00 $265.00 $20.00 $1,060.00 $80.00
$9.00 $9,000.00 $5.00 $5,000.00 $10.00 $10,000.00 $20.00
$3.00 $16,050.00 $1.50 $8,025.00 $1.00 $5,350.00 $1.00
$4,000.00 $12,000.00 $4,230.00 $12,690.00 $4,500.00 $13,500.00 $4,200.00
$50.00 $3,550.00 $65.89 $4,678.19 $65.00 $4,615.00 $60.00
$69.00 $128,340.00 $65.89 $122,555.40 $70.00 $130,200.00 $65.00
$1,200.00 $19,200.00 $1,068.00 $17,088.00 $1,000.00 $16,000.00 $1,400.00
$1,000.00 $6,000.00 $385.00 $2,310.00 $1,200.00 $7,200.00 $550.00
$1,100.00 $16,500.00 $660.00 $9,900.00 $1,200.00 $18,000.00 $880.00
$1,100.00 $11,000.00 $660.00 $6,600.00 $1,500.00 $15,000.00 $660.00
$2,400.00 $2,400.00 $2,200.00 $2,200.00 $1,000.00 $1,000.00 $1,100.00
$850.00 $1,700.00 $250.00 $500.00 $400.00 $800.00 $220.00
$30.00 $162.00 $22.00 $118.80 $50.00 $270.00 $70.00
$130.00 $22,230.00 $158.00 $27,018.00 $120.00 $20,520.00 $165.00
$40.00 $3,240.00 $2.00 $162.00 $15.00 $1,215.00 $50.00
$75.00 $900.00 $25.00 $300.00 $50.00 $600.00 $110.00
$7,000.00 $7,000.00 $2,500.00 $2,500.00 $10,000.00 $10,000.00 $16,500.00
$50.00 $2,650.00 $10.00 $530.00 $100.00 $5,300.00 $110.00
$1,000.00 $1,000.00 $7,300.00 $7,300.00 $3,000.00 $3,000.00 $3,800.00
$5,000.00 $5,000.00 $5,000.00 $5,000.00 $5,000.00 $5,000.00 $5,000.00
$500.00 $500.00 $500.00 $500.00 $500.00 $500.00 $500.00
$1,000.00 $1,000.00 $1,000.00 $1,000.00 $1,500.00 $1,500.00 $10,000.00
$5,500.00 $5,500.00 $1,500.00 $1,500.00 $1,500.00 $1,500.00 $500.00
$296,921.90 $252,285.39 $307,130.00
$25,535.28 $21,696.54 $26,413.18
$322,457.18 $273,981.93 $333,543.18
$7,000.00 $7,000.00 $5,500.00 $5,500.00 $5,000.00 $5,000.00 $25,000.00
$500.00 $500.00 $1,000.00 $1,000.00 $5,000.00 $5,000.00 $5,000.00
$28.30 $1,499.90 $5.00 $265.00 $20.00 $1,060.00 $80.00
$9.00 $4,410.00 $5.00 $2,450.00 $10.00 $4,900.00 $20.00
$3.00 $8,640.00 $1.50 $4,320.00 $1.00 $2,880.00 $1.00
$4,000.00 $4,000.00 $4,260.00 $4,260.00 $4,500.00 $4,500.00 $4,200.00
$50.00 $850.00 $65.89 $1,120.13 $65.00 $1,105.00 $60.00
$69.00 $58,788.00 $65.89 $56,138.28 $70.00 $59,640.00 $65.00
$1,200.00 $6,000.00 $1,068.00 $5,340.00 $1,000.00 $5,000.00 $1,400.00
$1,000.00 $3,000.00 $400.00 $1,200.00 $1,200.00 $3,600.00 $550.00
$1,100.00 $9,900.00 $660.00 $5,940.00 $1,200.00 $10,800.00 $880.00
$1,100.00 $11,000.00 $660.00 $6,600.00 $1,500.00 $15,000.00 $660.00
$1,100.00 $5,500.00 $250.00 $1,250.00 $400.00 $2,000.00 $220.00
$30.00 $162.00 $22.00 $118.80 $50.00 $270.00 $70.00
$130.00 $10,920.00 $158.00 $13,272.00 $120.00 $10,080.00 $165.00
$40.00 $3,240.00 $10.00 $810.00 $15.00 $1,215.00 $50.00
$75.00 $375.00 $25.00 $125.00 $50.00 $250.00 $110.00
$5,000.00 $5,000.00 $1,000.00 $1,000.00 $5,000.00 $5,000.00 $13,000.00
$50.00 $2,650.00 $10.00 $530.00 $100.00 $5,300.00 $110.00
$1,000.00 $1,000.00 $2,500.00 $2,500.00 $3,000.00 $3,000.00 $3,800.00
$144,434.90 $113,739.21 $145,600.00
$12,421.40 $9,781.57 $12,521.60
$156,856.30 $123,520.78 $158,121.60
$479,313.48 $397,502.72 $491,664.78
B & L Utility, Inc.
7101 Sexton Road
Snohomish, WA 98290
D & G Backhoe, Inc.
P.O. Box 836 Lake
Stevens, WA 98258
Laser Underground &
Earthworks, Inc.
20417 87th Avenue SE
Snohomish, WA 98296
MJD Develop
M&M Ea
9570 SW Ba
311, Portlan
3
City of Arlington 186th Waterline Project
Bid Tab June 12, 2007
Item
No.Description QTY Unit
PREPARATION
1 MOBILIZATION 1 L.S.
2
REMOVAL OF STRUCTURE AND
OBSTRUCTION 1 L.S.
3 REMOVING CEMENT CONC. SIDEWALK 53 S.Y.
4 REMOVING ASPHALT CONC. PAVEMENT 1000 S.Y.
5 SAWCUT EXISITNG PAVEMENT 5350 L.F.
WATER
6 HYDRANT ASSEMBLY 3 EACH
7
DUCTILE IRON PIPE FOR WATER MAIN 6 IN.
DIAM 71 L.F.
8
DUCTILE IRON PIPE FOR WATER MAIN 8 IN.
DIAM 1860 L.F.
9 GATE VALVE 8 IN.16 EACH
10 SERVICE RE-CONNECTION 1 IN. DIAM.6 EACH
11 SERVICE RE-CONNECTION 1 IN. DIAM. (>30')15 EACH
12 SERVICE RE-CONNECTION 1 IN. DIAM. (<30')10 EACH
13 SERVICE RE-CONNECTION 1.5 IN. DIAM.1 EACH
14 3/4 IN. PRESSURE REDUCING VALVE (PRV)2 EACH
SURFACING
15 CRUSHED SURFACING BASE COURSE 5.4 TON
HOT MIX ASPHALT
16 COMMERCIAL HMA 171 TON
EROSION CONTROL AND PLANTING
17 LANDSCAPRE RESTORATION 81 S.Y.
18 INLET PROTECTION 12 EACH
TRAFFIC
19 PROJECT TEMPORARY TRAFFIC CONTROL 1 L.S.
20 CEMENT CONC. SIDEWALK 53 S.Y.
21 TRIMMING AND CLEANUP 1 L.S.
22 FORCE ACCOUNT 1 EST.
23
REIMBURSEMENT FOR THIRD PARTY
DAMAGES 1 EST.
24 SPCC PLAN 1 L.S.
25 CONTRACT BOND EXTENSION 1 L.S.
Subtotal
Sales Tax (8.6%)
Total
ADD ALTERNATE #1
PREPARATION
1 MOBILIZATION 1 L.S.
2
REMOVAL OF STRUCTURE AND
OBSTRUCTION 1 L.S.
3 REMOVING CEMENT CONC. SIDEWALK 53 S.Y.
4 REMOVING ASPHALT CONC. PAVEMENT 490 S.Y.
5 SAWCUT EXISITNG PAVEMENT 2880 L.F.
WATER
6 HYDRANT ASSEMBLY 1 EACH
7
DUCTILE IRON PIPE FOR WATER MAIN 6 IN.
DIAM 17 L.F.
8
DUCTILE IRON PIPE FOR WATER MAIN 8 IN.
DIAM 852 L.F.
9 GATE VALVE 8 IN.5 EACH
10 SERVICE RE-CONNECTION 1 IN. DIAM.3 EACH
11 SERVICE RE-CONNECTION 1 IN. DIAM. (>30')9 EACH
12 SERVICE RE-CONNECTION 1 IN. DIAM. (<30')10 EACH
14 3/4 IN. PRESSURE REDUCING VALVE (PRV)5 EACH
SURFACING
15 CRUSHED SURFACING BASE COURSE 5.4 TON
HOT MIX ASPHALT
16 COMMERCIAL HMA 84 TON
EROSION CONTROL AND PLANTING
17 LANDSCAPRE RESTORATION 81 S.Y.
18 INLET PROTECTION 5 EACH
TRAFFIC
19
PROJECT TEMPORARY TRAFFIC
CONTROL 1 L.S.
20 CEMENT CONC. SIDEWALK 53 S.Y.
21 TRIMMING AND CLEANUP 1 L.S.
Subtotal
Sales Tax (8.6%)
Total
Overall Total
AC Water Main Replacement Project
Prepared June 23, 2011 by LPeterson
Total Price Unit Price Total Price Unit Price Total Price Unit Price Total Price
$25,000.00 $8,650.00 $8,650.00 $17,600.00 $17,600.00 $1,500.00 $1,500.00
$5,000.00 $500.00 $500.00 $3,500.00 $3,500.00 $100.00 $100.00
$4,240.00 $25.00 $1,325.00 $20.00 $1,060.00 $16.00 $848.00
$20,000.00 $1.75 $1,750.00 $6.00 $6,000.00 $1.50 $1,500.00
$5,350.00 $2.10 $11,235.00 $1.80 $9,630.00 $1.73 $9,255.50
$12,600.00 $3,800.00 $11,400.00 $3,650.00 $10,950.00 $3,920.00 $11,760.00
$4,260.00 $70.65 $5,016.15 $102.00 $7,242.00 $29.60 $2,101.60
$120,900.00 $60.00 $111,600.00 $65.75 $122,295.00 $68.68 $127,744.80
$22,400.00 $850.00 $13,600.00 $1,145.00 $18,320.00 $973.94 $15,583.04
$3,300.00 $775.00 $4,650.00 $387.00 $2,322.00 $414.17 $2,485.02
$13,200.00 $1,000.00 $15,000.00 $1,125.00 $16,875.00 $1,020.73 $15,310.95
$6,600.00 $1,000.00 $10,000.00 $1,770.00 $17,700.00 $955.90 $9,559.00
$1,100.00 $2,500.00 $2,500.00 $2,660.00 $2,660.00 $2,006.00 $2,006.00
$440.00 $450.00 $900.00 $140.00 $280.00 $278.50 $557.00
$378.00 $31.50 $170.10 $98.00 $529.20 $11.57 $62.48
$28,215.00 $100.00 $17,100.00 $129.00 $22,059.00 $136.25 $23,298.75
$4,050.00 $50.00 $4,050.00 $18.00 $1,458.00 $7.00 $567.00
$1,320.00 $100.00 $1,200.00 $66.00 $792.00 $58.75 $705.00
$16,500.00 $2,000.00 $2,000.00 $17,500.00 $17,500.00 $10,002.00 $10,002.00
$5,830.00 $135.00 $7,155.00 $64.00 $3,392.00 $88.47 $4,688.91
$3,800.00 $500.00 $500.00 $3,750.00 $3,750.00 $10,860.00 $10,860.00
$5,000.00 $5,000.00 $5,000.00 $5,000.00 $5,000.00 $5,000.00 $5,000.00
$500.00 $500.00 $500.00 $500.00 $500.00 $500.00 $500.00
$10,000.00 $200.00 $200.00 $300.00 $300.00 $100.00 $100.00
$500.00 $500.00 $500.00 $1.00 $1.00 $15,141.00 $15,141.00
$320,483.00 $236,501.25 $291,715.20 $271,236.05
$27,561.54 $20,339.11 $25,087.51 $23,326.30
$348,044.54 $256,840.36 $316,802.71 $294,562.35
$25,000.00 $6,000.00 $6,000.00 $3,000.00 $3,000.00 $500.00 $500.00
$5,000.00 $500.00 $500.00 $1,700.00 $1,700.00 $100.00 $100.00
$4,240.00 $25.00 $1,325.00 $11.25 $596.25 $16.00 $848.00
$9,800.00 $1.75 $857.50 $6.00 $2,940.00 $2.11 $1,033.90
$2,880.00 $2.10 $6,048.00 $1.80 $5,184.00 $1.73 $4,982.40
$4,200.00 $3,800.00 $3,800.00 $3,800.00 $3,800.00 $4,557.00 $4,557.00
$1,020.00 $70.65 $1,201.05 $106.00 $1,802.00 $33.76 $573.92
$55,380.00 $60.00 $51,120.00 $64.00 $54,528.00 $46.95 $40,001.40
$7,000.00 $850.00 $4,250.00 $1,150.00 $5,750.00 $976.20 $4,881.00
$1,650.00 $775.00 $2,325.00 $425.00 $1,275.00 $300.00 $900.00
$7,920.00 $1,000.00 $9,000.00 $1,600.00 $14,400.00 $1,002.33 $9,020.97
$6,600.00 $1,000.00 $10,000.00 $1,770.00 $17,700.00 $950.50 $9,505.00
$1,100.00 $450.00 $2,250.00 $150.00 $750.00 $183.20 $916.00
$378.00 $31.50 $170.10 $98.00 $529.20 $11.57 $62.48
$13,860.00 $100.00 $8,400.00 $129.00 $10,836.00 $136.25 $11,445.00
$4,050.00 $50.00 $4,050.00 $18.00 $1,458.00 $7.00 $567.00
$550.00 $100.00 $500.00 $66.00 $330.00 $58.80 $294.00
$13,000.00 $2,000.00 $2,000.00 $12,000.00 $12,000.00 $5,390.00 $5,390.00
$5,830.00 $135.00 $7,155.00 $64.00 $3,392.00 $88.47 $4,688.91
$3,800.00 $500.00 $500.00 $1,750.00 $1,750.00 $7,200.00 $7,200.00
$173,258.00 $121,451.65 $143,720.45 $107,466.98
$14,900.19 $10,444.84 $12,359.96 $9,242.16
$188,158.19 $131,896.49 $156,080.41 $116,709.14
$536,202.73 $388,736.85 $472,883.12 $411,271.49
Carman's Construciton, LLC.
20 W. Troxell Road Oak
Harbor, WA 98277
pment, Inc. dba
arthworks
arber Blvd, Ste
nd, OR 97219
Reece Trucking &
Excavating, Inc.
P.O. Box 1531
Marysville, WA 98270
SRV Construction, Inc.
P.O. Bxo 481 Oak
Harbor, WA 98277
City of Arlington
Council Agenda Bill
AGENDA ITEM:
New Business #2
ATTACHMENT D
COUNCIL MEETING DATE:
June 27, 2011
SUBJECT:
Collection on Unpaid (Delinquent) EMS
Billings
DEPARTMENT OF ORIGIN:
Contact
Jim Chase, Finance Department 403-3422
ATTACHMENTS:
Annual EMS Collection Statistics and Explanation of Categories
RCW 19.16.500 for collecting Public Debt
Current Application for Financial Assistance
2011 Poverty Level chart
EXPENDITURES REQUESTED: N/A
BUDGET CATEGORY: N/A
LEGAL REVIEW:
N/A
DESCRIPTION:
Contract with Collection Agency to further pursue outstanding amounts owed to the City.
HISTORY:
The City Receives payment for a variety of services and goods. Some who receive a bill for
goods (Utility related) and services (EMS related) fail to pay. We owe it to our taxpayers to try
to formally collect those amounts owing.
COMMITTEE REVIEW AND ACTION:
Enter into a contract with a Collection Agency to collect delinquent amounts owing.
ALTERNATIVES:
Do nothing.
RECOMMENDED MOTION:
Authorize the Mayor (or designee: Finance Director) to enter into a contract with a Collection
Agency to pursue collection of delinquent amounts owing to the City.
MEMORANDUM
Date: June 3, 2011
To: Margaret Larson, Mayor
Allen Johnson, City Administrator
City Council
From: Jim Chase, Finance Director
Re: Collection of unpaid amounts due to the City
Attached is the Annual Collection Statistics report from System Design, the company the City uses to bill
for Ambulance calls.
From the report you can see that we have “Charges” $1,381,879 for the past 12 months for Ambulance
Transport Fees. From those billings, we have received $694,532 in “Payments”. Insurance companies,
Medicare and Medicaid have not paid or “Disallowed” $445,610. That leaves $40,652 left “Uncollected”
and there is $201,083 in the “Pending” or unpaid column.
A portion of the amount in the “Uncollected” column also includes billing amounts we have agreed to
waive due to the patient claiming poverty and providing us with requested documents to substantiate
that claim.
The billing of transports and collecting from insurance companies and from other sources (Medicare and
Medicaid) takes more time than as one might expect. On the report you can see the “Uncollected”
amounts from the months in 2010 is higher than the months in 2011. It simply takes a while for the
insurance companies and the government agencies to process all the claims. In the grand scheme of
things, our eventual write offs look to be much greater than the $40,652 indicated in the Uncollected
column. That number is only about 2.94% of total charges. We are still trying to collect on those
pending amounts. But as you can see from May through August of 2010, “Uncollected” amounts range
from 4 to 9% when those charges are actually written off. I suspect that when all is said and done, the
$40,652 figure will probably more likely be about $150,000 per year. The year end 2010 number for
uncollected write-offs was $144,800. Collecting any portion of that would be beneficial to the EMS
Fund.
I have attached a description of the various columns on the report, provided by System Design.
System Design is not a collection company. They are a billing company. They send and resend
delinquent bills and try to make telephone contact with the patients until they determine their efforts
are not cost effective. They also send poverty waiver application forms to the patients who request that
assistance. Those applications are reviewed and approved by our Medical Services Administrator (Doug
Schmidt). In 2010 those write-offs totaled $9,744.
When System Design determines an account to be uncollectible, we would refer those for formal
collection. The faster we can get the delinquent accounts to a collection company, the better the results
will be. Some people have probably come to realize that there have been no consequences in not
paying these delinquent amounts.
When the accounts are formally given to a collection company to proceed, we will be required to send a
“Pre-Collection” letter, instructing the patient the account will be turned over to collection and they
have 30 days to pay the amount due without further “collection” charges added to the bill.
The Revised Code of Washington (RCW) 19.16.500 (also attached) authorizes collection companies to
add their fee on top of our charge for collection purposes.
I would also like to send to collection, any utility bills that remain owing after a customer moves out and
after our own efforts to collect are unsuccessful. Prior to turning the water on for a “new” owner or
tenant, we require the owner to pay any amounts owing for that location. Any amounts collected
through formal collection can then be refunded to those “new” customers who paid the delinquent
amounts. This would make our current rental home owners and new customers to the City much
happier that we would be pursuing collection of those amounts.
Month Charges Payments Disallowed Uncollected Pending %%%%
ANNUAL COLLECTION STATISTICS
City of Arlington Fire Dept6/3/2011 Page 1 of 1
Provider All Providers
Location All Locations
Transaction Dates 5/1/2010-4/30/2011
105,858.00 5%55,715.04 35,698.23May 10 9,232.84 5,211.899%34%53%
97,059.00 6%53,956.11 30,829.27Jun 10 6,926.91 5,346.717%32%56%
126,732.00 3%69,402.78 41,985.35Jul 10 11,481.31 3,862.569%33%55%
122,663.00 7%65,358.43 43,928.69Aug 10 4,841.70 8,534.184%36%53%
116,132.00 12%57,716.79 40,083.94Sep 10 3,872.70 14,458.573%35%50%
99,179.00 16%57,091.47 25,532.90Oct 10 257.80 16,296.830%26%58%
132,741.00 14%67,435.38 44,439.18Nov 10 1,739.90 19,126.541%33%51%
129,523.00 11%72,226.34 43,109.62Dec 10 524.00 13,663.040%33%56%
124,012.00 15%61,574.48 43,771.16Jan 11 398.05 18,268.310%35%50%
98,466.20 19%45,849.93 33,656.62Feb 11 503.20 18,456.451%34%47%
119,934.80 24%53,997.30 35,854.11Mar 11 873.80 29,209.591%30%45%
109,579.00 44%34,207.99 26,721.84Apr 11 0.00 48,649.170%24%31%
1,381,879.00 694,532.04 445,610.91 40,652.21 201,083.84
Charges Pay ments Ins uranc e Dis allow ed Pr iv ate Unc ollec ted
A pr 11Mar 11Feb 11Jan 11Dec 10Nov 10Oct 10Sep 10Aug 10Jul 10Jun 10May 10
130,000
120,000
110,000
100,000
90,000
80,000
70,000
60,000
50,000
40,000
30,000
20,000
10,000
0
All amounts shown relate directly to each month's charges. They will not reconcile to monthly deposit reports.
2011 Federal Poverty Level
The benefit levels of many low-income assistance programs are based on these poverty guidelines. Find your family
size and monthly or yearly income below to determine your FPL percentage category. Note: Pregnant women count
as two people for the purpose of this chart.
48 Contiguous States and the District of Columbia
% Gross Yearly Income
Family
Size 25%50%75%81%100%133%175%200%250%300%
1 $2,723 $5,445 $8,168 $8,821 $10,890 $14,484 $19,058 $21,780 $27,225 $32,670
2 $3,678 $7,355 $11,033 $11,915 $14,710 $19,564 $25,743 $29,420 $36,775 $44,130
3 $4,633 $9,265 $13,898 $15,009 $18,530 $24,645 $32,428 $37,060 $46,325 $55,590
4 $5,588 $11,175 $16,763 $18,104 $22,350 $29,726 $39,113 $44,700 $55,875 $67,050
5 $6,543 $13,085 $19,628 $21,198 $26,170 $34,806 $45,798 $52,340 $65,425 $78,510
6 $7,498 $14,995 $22,493 $24,292 $29,990 $39,887 $52,483 $59,980 $74,975 $89,970
7 $8,453 $16,905 $25,358 $27,386 $33,810 $44,967 $59,168 $67,620 $84,525 $101,430
8 $9,408 $18,815 $28,223 $30,480 $37,630 $50,048 $65,853 $75,260 $94,075 $112,890
% Gross Monthly Income
Family
Size 25%50%75%81%100%133%175%200%250%300%
1 $227 $454 $681 $735 $908 $1,207 $1,588 $1,815 $2,269 $2,723
2 $306 $613 $919 $993 $1,226 $1,630 $2,145 $2,452 $3,065 $3,678
3 $386 $772 $1,158 $1,251 $1,544 $2,054 $2,702 $3,088 $3,860 $4,633
4 $466 $931 $1,397 $1,509 $1,863 $2,477 $3,259 $3,725 $4,656 $5,588
5 $545 $1,090 $1,636 $1,766 $2,181 $2,901 $3,816 $4,362 $5,452 $6,543
6 $625 $1,250 $1,874 $2,024 $2,499 $3,324 $4,374 $4,998 $6,248 $7,498
7 $704 $1,409 $2,113 $2,282 $2,818 $3,747 $4,931 $5,635 $7,044 $8,453
8 $784 $1,568 $2,352 $2,540 $3,136 $4,171 $5,488 $6,272 $7,840 $9,048
FHCEF-005 2/11
Alaska
% Gross Yearly Income
Family Size 25%50%75%81%100%133%175%200%250%300%
1 $3,400 $6800 $10,200 $11,016 $13,600 $18,088 $23,800 $27,200 $34,000 $40,800
2 $4,595 $9,190 $13,785 $14,888 $18,380 $24,445 $32,165 $36,760 $45,950 $55,140
3 $5,790 $11,580 $17,370 $18,760 $23,160 $30,803 $40,530 $46,320 $57,900 $69,480
4 $6,985 $13,970 $20,955 $22,631 $27,940 $37,160 $48,895 $55,880 $69,850 $83,820
5 $8,180 $16,360 $24,540 $26,503 $32,720 $43,518 $57,260 $65,440 $81,800 $98,160
6 $9,375 $18,750 $28,125 $30,375 $37,500 $49,875 $65,625 $75,000 $93,750 $112,500
7 $10,570 $21,140 $31,710 $34,247 $42,280 $56,232 $73,990 $84,560 $105,700 $126,840
8 $11,765 $23,530 $35,295 $38,119 $47,060 $62,590 $82,355 $94,120 $117,650 $141,180
% Gross Monthly Income
Family Size 25%50%75%81%100%133%175%200%250%300%
1 $283 $567 $850 $918 $1,133 $1,507 $1,983 $2,267 $2,833 $3,400
2 $383 $766 $1,149 $1,241 $1,532 $2,037 $2,680 $3,063 $3,829 $4,595
3 $483 $965 $1,448 $1,563 $1,930 $2,567 $3,378 $3,860 $4,825 $5,790
4 $582 $1,164 $1,746 $1,886 $2,328 $3,097 $4,075 $4,657 $5,821 $6,985
5 $682 $1,363 $2,045 $2,209 $2,727 $3,626 $4,772 $5,453 $6,817 $8,180
6 $781 $1,563 $2,344 $2,531 $3,125 $4,156 $5,469 $6,250 $7,813 $9,375
7 $881 $1,762 $2,643 $2,854 $3,523 $4,686 $6,166 $7,047 $8,808 $10,570
8 $980 $1,961 $2,941 $3,177 $3,922 $5,216 $6,863 $7,843 $9,804 $11,765
Hawaii
% Gross Yearly Income
Family Size 25%50%75%81%100%133%175%200%250%300%
1 $3,135 $6,270 $9,405 $10,157 $12,540 $16,678 $21,945 $25,080 $31,350 $37,620
2 $4,233 $8,465 $12,698 $13,713 $16,930 $22,517 $29,628 $33,860 $42,325 $50,790
3 $5,330 $10,660 $15,990 $17,269 $21,320 $28,356 $37,910 $42,640 $53,300 $63,960
4 $6,428 $12,855 $19,283 $20,825 $25,710 $34,194 $44,993 $51,420 $64,275 $77,130
5 $7,525 $15,050 $22,575 $24,381 $30,100 $40,033 $52,675 $60,200 $75,250 $90,300
6 $8,623 $17,245 $25,868 $27,937 $34,490 $45,872 $60,358 $68,980 $86,225 $103,470
7 $9,720 $19,440 $29,160 $31,493 $38,880 $51,710 $68,040 $77,760 $97,200 $116,640
8 $10,818 $21,635 $32,453 $35,049 $43,270 $57,549 $75,723 $86,540 $108,175 $129,810
% Gross Monthly Income
Family
Size 25%50%75%81%100%133%175%200%250%300%
1 $261 $523 $784 $846 $1,045 $1,390 $1,829 $2,090 $2,613 $3,135
2 $353 $705 $1,058 $1,143 $1,411 $1,876 $2,469 $2,822 $3,527 $4,233
3 $444 $888 $1,333 $1,439 $1,777 $2,363 $3,109 $3,553 $4,442 $5,330
4 $536 $1,071 $1,607 $1,735 $2,143 $2,850 $3,749 $4,285 $5,356 $6,428
5 $627 $1,254 $1,881 $2,032 $2,508 $3,336 $4,390 $5,017 $6,271 $7,525
6 $719 $1,437 $2,156 $2,328 $2,874 $3,823 $5,030 $5,748 $7,185 $8,623
7 $810 $1,620 $2,430 $2,624 $3,240 $4,309 $5,670 $6,480 $8,100 $9,720
8 $901 $1,803 $2,704 $2,921 $3,606 $4,796 $6,310 $7,212 $9,015 $10,818
Source: Federal Register Vol. 76, No. 13, January 20, 2011, pp. 3637–3638. Monthly percentage data calculated by FHCE and rounded to the nearest dollar.
The Annual Collection Statistics Report is a snapshot summary of the activity on the most recent 12
months of charges. The data is organized by month based on date of service. The columns are as
follows:
• Charges include the total amount of all charges entered into the billing application as of the date
the report was run.
• Payments are the total of all payments received for each month’s charges to date. The
percentage represents the payment amount divided by the charges for that month.
• Levy Those clients who have a Levy program in place which covers resident taxpayer’s out of
pocket costs will have this column included on their report. Balances which have been posted
as “Paid by Levy” are credited here. The percentage shows what portion of each month’s
charges have been paid in this way, to date.
• Disallowed represents the amounts of each month’s charges that have been adjusted off as
contractual write offs related to payments received from Federal and State agencies like
Medicare and Medicaid.
• Uncollected shows the amounts of private balances that have been adjusted off our books
because the patient was not responding to billing efforts, at a dead end due to return mail, or
waived at the client’s direction. Depending on the client’s policies, these balances may have
been sent to a collection agency, or simply returned to the client as bad debt. The details about
these balances are available in the Transaction Journal report.
• Pending represents the balances remaining for each month’s charges that are still being worked
and which remain on the Accounts Receivable. It should be noted that the total amount shown
as pending only represents the 12 month span of the report and is not the total A/R.
In summary, this report is best used to show general trends in collections, and because it does not show
patient data, is suitable for public Board meeting use. When determining the overall collections rate, it
is important to keep in mind that the percentages shown are only complete if the pending amount is
close to zero. Those months with significant amounts pending should not be entered into any
calculations for overall trends. Also, since the report is a snapshot in time, the data changes daily and
should not be used to reconcile month end balances. The Month End Summary and Transaction
Journal are designed for that type of use.