Skip to form

City of Bonney Lake

permit@cobl.us

9002 Main Street E. - Suite 300 Bonney Lake, WA 98391

253-447-4356

COVID-19 EXPOSURE CONTROL, MITIGATION AND RECOVERY PLAN SUBMITTAL FORM

PROJECT INFORMATION

Site Address:

Contact Name:

COVID-19 SITE SUPERVISOR

Name:

Is the COVID-19 Exposure Control, Mitigation, and Recovery Plan Posted at Job Site?

Upload the COVID -19 Exposure Control,Mitigation, and Recovery Plan:

Click Here to Upload

NOTICE:CITY ACCEPTANCE: Contractor certifies that the plan submitted with this form complies with the requirements for a comprehensive COVID-19 exposure control, mitigation, and recovery plan in accordance with Governor Inslee’s Proclamation 20-25 and as described in the Phase 2 Construction Restart COVID-19 Job Site Requirements. Contractor agrees that it, and all of its subcontractors will adhere to the plan and the Phase 2 Construction Restart COVID-19 Job Site Requirements. Contractor acknowledges that the City of Bonney Lake is not responsible for reviewing, verifying, or approving the Contractor’s plan. The Contractor bears all risk and responsibility for the plan and its implementation. The City of Bonney Lake is not making a determination that the contractor’s plan complies with the requirements and the city’s decision whether to issue permit(s) or authorization for a construction project to commence should not be construed as a determination that the plan and the construction work is compliant with the Phase 2 Construction Restart COVID-19 Job Site Requirements. Contractor acknowledges that the City of Bonney Lake may issue a stop work order if the Contractor is not in compliance with the plan but that the City of Bonney Lake has no responsibility to do so.

Sign Here

Choose how to sign