1. Presentation
Internal Audit Department
Financial Stewardship Accountability Transparency Port of Seattle Audit Committee Internal Audit Update Glenn Fernandes - Director, Internal Audit September 19, 2024 P69 Commission Chambers 10:00 AM - 12:00 PM Operational Excellence Governance Department Overview Item #4 Internal Audit, through an annual audit plan, provides assurance that the Port's controls are effective and efficient. The department facilitates four public Audit Committee meetings per year and non-public Audit Committee meetings as needed. The department facilitates RCW required Independent Audits on General Contractor/Construction Manager (GC/CM) Projects and periodically performs or reviews the results of the required third-party Payment Card Industry Audits. The department provides advisory services to the Port, to the extent that it does not compromise the department's independence. The department maintains its independence and objectivity by reporting functionally to the Audit Committee and administratively to the Executive Director. 2 2025 Major Departmental Initiatives Item #4 Develop an Information Technology Audit Plan that focuses on Incident Response, Disaster Recovery, Configuration & Security Management, Compliance with the newly adopted IT Security Architecture, and Operational Technologies. Implement the Internal Audit Outreach Program: • Increase awareness and understanding of the Internal Audit process and the importance of internal controls and risk mitigation through targeted external outreach and education efforts. • Offer educational support to small business entities that partner with the Port, especially those that do not have sufficient resources to train and educate their staff on internal controls and risk management. 3 Internal Audit Organization Structure Glenn Fernandes Director Saylor Nygaard Sr. Administrative Assistant Manager Internal Audit Spencer Bright Manager Internal Audit - Capital Ritika Marwaha Nicole Uy Kerem Onat Brent Layman Sr. Internal Auditor Sr. Internal Auditor Sr. IT Auditor Derek Dewar Nikita Goyal Concession Auditor Sr. Internal Auditor Dan Chase Item #4 Manager Internal Audit - IT Vacant Sr. Internal Auditor 4 (Capitalized) Outside Services Item #5 GC/CM Audit Costs (Outside Services) are directly capitalized to each Project and are not reflected in the expense budget. Below is a summary of GC/CM spending for informational purposes. Project Post IAF Airline Realignment C Concourse Expansion Project Main Terminal Low Voltage Project South Concourse Evolution Primary Fire Station (Eastside) Industrial Wastewater Treatment PlantHeavy Civil GC/CM1 Baggage Optimization 3 Concourse HVAC Improvement Renewal/Replacement Program (CHIRRP) Terminal 25 South Restoration (Heavy Civil GC/CM) Main Terminal Improvement Program1 Terminal 46 North Berth Reconstruction (Heavy Civil GC/CM) Concourse Low Voltage Upgrades Total 2024 Costto-Date Total Cost-toDate Est. Audit Spend over Life of Project Project Life 52,468 16,280 - 79,124 37,581 - $ 222,445 304,000 73,555 635,000 21,805 118,500 In Process, expected completion 2027 In Process, expected completion 2026 In Process, expected completion 2026 In Process, expected completion 2032 In Process, expected completion 2026 In Process, expected completion 2029 - - 270,000 180,000 In Process, expected completion 2027 Expected timeline 2025 - 2031 - - - - - Expected timeline 2025 - 2028 Construction and audit budgets not established 499,200 In Process, expected completion 2034 47,000 Timeline not established - - 27,195 $ 68,748 $ 116,705 $ 2.39MM In Process, expected completion 2026 1. Audit services starting in 2026. 5 Item #5 New Budget Requests Item # Short Description 1 Increase in Employee Travel / Trainings - IT Training / a large part is the cost to obtain PCI ISA certification for 2026 Total Full Year 2025 O&M Amount Cash including Request Type No. of FTEs Priority (H/M/L) Capital $ 8,525 $ 8,525 $ 8,525 $ 8,525 Limited Term 2 0 Medium 0 6 2025 Budget Overview Internal Audit 2280 Line Account Description 1 Salaries and Benefits $ 2 Equipment Expense 3 Supplies & Stock 4 Outside Services 5 Travel & Other Employee Expense 6 Promotional Expenses 7 General Expenses 8 Other Expenses 9 Total Charges To Capital Non Payroll Subtotal $ Total $ 2023 Actual 1,763,560 $ 6,846 1,466 73,675 40,230 0 237,932 7,727 0 367,876 $ 2,131,436 $ 2024 2025 Budget Budget 2,118,896 $ 2,193,568 563 563 1,000 1,000 42,095 2,095 52,287 60,812 0 0 505 505 8,397 8,004 0 0 104,847 $ 72,979 2,223,743 $ 2,266,547 Item #5 2025 Bud to 2024 2025 Bud to 2024 Bud Change $ Bud Var % $ 74,672 3.5% 0 0 (40,000) (95.0%) 8,525 16.3% 0 0 (393) (4.7%) 0 $ (31,868) -30.39% $ 42,804 1.92% 7 Item #6 2024 AUDIT PLAN STATUS Audit Title Fire Department - PFAS Use, Storage, and Phase-out Performance Time Approval Controls Performance Delegation of Authority Performance Equity Policy Directive Compliance Performance Utility Management - Port-wide Performance Partner in Employment 3 Type Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Performance Concourse A Building Expansion for Lounges/DELTA TRA 1 Performance - Capital T-117 Sites 23-25 Restoration Project GC/CM Closeout Performance - Capital TSE - Phase 2 Bollards and ADA Ramps Performance - Capital Parking Garage Elevator Modernization Performance - Capital Application Software Security Jan 4 IT Network Infrastructure Management (ICT) IT TSA Cybersecurity IT Stellar Bambuza SEA, LLC Contract Compliance Seattle Food Partners, LLC Contract Compliance 1915 KCHouse Concepts - SEATAC, LLC Contract Compliance Pallino SeaTac, LLC Contract Compliance Seattle Chocolate Company, LLC 2 Contract Compliance Complete 1. This audit was started in the Fourth Quarter of 2023 and completed in the First Quarter of 2024. 2. Added from the 2024 Contingency Audit Plan. 3. This audit was added to the 2024 Plan to assess the impact of fraud allegations. 4. Due to the recent Cybersecurity incident, the Audit Report is expected to be issued in November. KEY In Process Not Started Defer to 2025 8 Internal Audit Capital GC/CM Continuous Audits Item #6 RCW 39.10.385 requires an independent audit, paid for by the public body, to confirm the proper accrual of costs. We procure the independent auditor, provide oversight of work performed, and assist in fieldwork as needed. The independent auditor will provide the Audit Committee with annual updates and final reports upon completion of each project. Capital GC/CM Continuous Audits Main Terminal Low Voltage System Upgrade Under Contract Post IAF Airline Realignment Under Contract C Concourse Expansion Project Under Contract Eastside Fire Station Under Contract Baggage Optimization Phase 3 Under Contract Concourse Low Voltage Upgrade Under Contract South Concourse Evolution Under Contract 9 Approved 2024 Audit Plan Item #6 Limited Contract Compliance Performance Information Technology • Stellar Bambuza SEA, LLC • Seattle Food Partners, LLC • 1915 KCHouse Concepts - SEATAC, LLC • Pallino SeaTac, LLC • Seattle Chocolate Company, LLC2 Performance • Fire Department - PFAS Use, Storage, and Phase-out • Time Approval Controls • Delegation of Authority • Equity Policy Directive Compliance • Utility Management - Port-wide • Partner in Employment3 • Application Software Security • Network Infrastructure Management (ICT)4 • TSA Cybersecurity5 Capital • Concourse A Building Expansion for Lounges/Delta TRA1 • T-117 Sites 23-25 Restoration Project GC/CM Closeout • TSE- Phase 2 Bollards and ADA Ramps • Parking Garage Elevator Modernization 1. This audit was started in the Fourth Quarter of 2023 and completed in the First Quarter of 2024. 2. Added from the 2024 Contingency Audit Plan. 3. This audit was added to the 2024 Plan to assess the impact of fraud allegations. 4. Defer to the 2025 Audit Plan. 5. Any work related to the TSA assessment to be deferred to 2025. 10 Audits Completed in Third Quarter - 2024 Items # 7-9 1) Aqueous Film Forming Foam (AFFF) Transition (Item #7) 2) TSE Phase 2 Bollards and ADA Ramps Project (Item #8) 3) Seattle Food Partners, LLC 1 (Item #9) 1 Limited Contract Compliance Audits without any issues will not be presented, however, the final reports are made available. 11 Aqueous Film Forming Foam (AFFF) Transition Item #7 Audit Scope through August 15, 2024. Includes the Fire Department and airport facilities that use AFFF. Evaluated: Measures to mitigate risks related to exposure to AFFF. Transition to Per- and Polyfluoroalkyl Substances (PFAS)-free alternatives. Reviewed: Handling and storage of AFFF at tenant locations. Plans for transitioning to PFAS-free alternatives. 12 Aqueous Film Forming Foam (AFFF) Transition Item #7 POSFD transitioned to PFAS-Free Firefighting Foam (F3), with decontamination of Aircraft Rescue and Fire Fighting (ARFF) vehicles in August 2024. Consolidated Rental Car Facility (CRCF): Early stages of transitioning to water sprinkler systems. Delta Airlines: Exploring water sprinkler systems for their hangar. Alaska hangar, PACCAR hangar, Seattle Airport Fuel Farm - No definitive transition plans provided. 13 Aqueous Film Forming Foam (AFFF) Transition Item #7 Washington State Senate Bill 6413: July 1, 2018 - Prohibits the discharge or use of Class B Firefighting Foam containing intentionally added PFAS chemicals for training purposes. Imposes limitations on the production, sale, and distribution of Class B Firefighting Foam containing PFAS chemicals; exemptions are granted to airport facilities. September 2025 - eliminates all exemptions for the purchase of AFFF. Federal Aviation Administration (FAA): The FAA has approved the use of F3 that meets the new Military Specification (MIL-SPEC) set by the Department of Defense (DoD). 14 Item #7 1) Rating: Medium A lack of AFFF Disposal Planning by the POSFD and Aviation Environment (AV-Env) posed Potential Storage Challenges after transition to PFAS-free foam. POSFD lacked a comprehensive disposal plan. AFFF stored in Intermediate Bulk Container (IBC) totes outside the POSFD building while awaiting a proper disposal strategy. Discussions include potentially using a hazardous waste facility for AFFF disposal. The Port also needs to manage the disposal of approximately 1,000 gallons of AFFF at the Consolidated Rental Car Facility (CRCF). 15 Recommendations Item #7 The POSFD, working with AV-Env, should promptly finalize a storage and disposal plan for AFFF. Assure all storage containers are clearly labeled and regularly inspected for leaks and damages. The Aviation Project Management Group (AVPMG) and Aviation Commercial Management should work closely with AV-Env to develop a disposal plan for AFFF for the Rental Car Facility project. 16 2) Rating: Medium Item #7 ARFF vehicle valves were actuated and were found to operate as intended with the new F3 foam. However, the POSFD had not yet decided, if and when, to test the valves on ARFF vehicles on an ongoing basis. Failure to test the valves can pose a risk of valves malfunctioning due to prolonged inactivity. ARFF vehicles utilize a valve-controlled system to mix AFFF and water for fire suppression. To prohibit discharge of AFFF, POSFD implemented an Ecological Foam machine in 2020. Mimics blending the AFFF concentrate with water without discharging it. Concerns raised about valve corrosion from prolonged inactivity. POSFD considering whether to adopt AFFF safety protocols for F3 foam. 17 Recommendations Item #7 Going forward, the POSFD should establish Standard Operating Procedures (in conjunction with the AV-Env) to identify a process for valve functionality testing in ARFF vehicles to mitigate the risk of malfunctioning due to corrosion or prolonged inactivity. 18 Item #7 3) Rating: Medium Internal Audit identified challenges in the maintenance of AFFF Fire Suppression Systems at tenant locations. Additionally, the audit revealed potential operational safety risks associated with delayed transitions to PFAS-free foam alternatives. PFAS Transition: Washington state exemption that prohibits the manufacture, sale, or distribution of class B Firefighting Foam containing PFAS chemicals for airports facilities, will expire on September 18, 2025. AFFF Supply Risks: Limited AFFF supplies due to the ban and accidental discharge could affect fire suppression. Compliance Deadlines: The Port will no longer grant fire code waivers for non-compliance after September 2025, potentially requiring tenants to upgrade systems to meet Authority Having Jurisdiction (AHJ) standards. 19 Item #7 Maintenance Issues: Leaks and spills at tenant facilities and recurring faults in aging fire suppression systems despite regular maintenance; multiple accidental discharges reported. Environmental Impact: Continued use of PFAS foam poses environmental and reputational risks. Leak History - Summary Organization Date Swissport - SeaTac's Fuel Farm 2020 Delta Airline's Hangar AFFF Discharge Amount Unknown Foam valve failure 1/12/2024 2,000 gallons Sensor failure 4/27/2022 1,200 gallons Short circuit in the fire panel N/A - None reported as of 2021 Alaska Airline's Hangar PACCAR's Hangar Consolidated Rental Car Facility (CRCF) Nature 12/27/2021 2,000 gallons of water/foam mixture Dry sprinkler head failure 1/17/2024 1,000 gallons of water/foam mixture The AFFF system pipes ruptured due to freezing and thawing at low points near the drum. 11/7/2023 Unknown Leak within the AFFF system control room. 1/2/2022 1,800 gallons of water/foam mixture The AFFF system pipes ruptured due to freezing and thawing at low points near the drum. 20 Item #7 Consolidated Rental Car Facility Leaks of unidentified fluid which could possibly be AFFF Alaska Hangar Leaks of unidentified fluid, as per AV-Env, it was likely Hydraulic Fluid 21 Recommendations Item #7 Enhance the Port's existing inspection protocols by incorporating AFFF storage areas into regular facility assessments. Establish a definitive deadline for tenants to submit their transition plans to the Port. Continue and potentially expand technical assistance to tenants for PFAS-free alternative implementation. 22 4) Rating: Medium Item #7 The 1995 E-One 5190 120 was inadvertently omitted during the compilation of AFFF Inventory list. Vehicle contained 30 gallons of AFFF. This older vehicle requires a different AFFF removal approach than the newer ARFF vehicles. A specific plan for managing the AFFF in this vehicle is still pending. 23 Recommendations Item #7 The POSFD, in collaboration with AV-Env, should update the AFFF inventory list to include this vehicle, and develop a documented plan for managing its AFFF that aligns with overall phase-out timelines and safety standards. 24 5) Rating: Medium Item #7 There are inadequate policies, procedures, and training documentation for AFFF handling at POSFD. Policy No. 316 is outdated and includes discontinued practices; no policies exist for the new PFAS-free foam introduced in June 2024. AFFF is currently classified as hazardous by AV-Env, though not required by law, and is covered under the Spill Prevention, Control, and Countermeasure (SPCC) plan, which lacks specific mention of AFFF. AFFF training is held annually, but Vector Solutions, the tracking tool, is infrequently updated, leading to incomplete training records. Some training sessions are verbal and not documented. 25 Recommendations Item #7 Update Policy and Procedure No. 316 to reflect current practices and remove references to discontinued practices, such as annual discharge of AFFF for FAA compliance. Develop and implement policies for the new PFAS -free foam introduced in June 2024. Update the SPCC plan to explicitly mention AFFF as one of the hazardous substances managed under the plan. Improve documentation of safety trainings sessions for both AFFF and PFAS-free foam. 26 Management Response - Issue 1 Item #7 All AFFF at the POSFD is stored in labeled, secure containers with secondary spill containment, following material handling laws, the Stormwater Pollution Prevention Plan (SWPPP), and the SPCC plan. While there is no written comprehensive disposal plan due to evolving requirements, the Port-Env and POSFD are evaluating options and will finalize the removal process by the end of the year. The CRCF Fire Suppression System Capital Improvement project, which began in August 2024, includes handling and disposing of AFFF, with coordination among relevant departments. DUE DATE: 10/31/2024 Management will discuss in detail. (Full response in Audit Report No. 2024-13) 27 Management Response - Issue 2 Item #7 Foam valves in ARFF vehicles were tested and found operational, but testing involves foam discharge, which risks firefighter exposures and environmental impact. To minimize the risks, valve actuation and foam discharge are currently restricted. The degree of PFAS rebounding into the new F3 foam from residual AFFF is unknown. Rebound testing was planned and started in mid-August 2024 to assess PFAS concentration. Based on rebound testing results, the POSFD will update policies and procedures related to vehicle maintenance and foam discharge to address the new conditions and ensure safety. DUE DATE: 03/31/2025 Management will discuss in detail. (Full response in Audit Report No. 2024-13) 28 Management Response - Issue 3 Item #7 The Port committed to supporting tenant transitions to non-PFAS systems, but it cannot mandate these changes due to the absence of specific regulations banning AFFF use; the current state only affects purchase and distribution, not use. Port-Env. will request AFFF transition plans from tenants, including schedules for planned transitions, by September 25, 2024. Port-Env and the Fire Department will continue to offer technical support to tenants for transition planning, while avoiding actions that could expose the Port to legal risks. Current efforts include frequent briefings and support but will not extend to decision-making or enforcement. DUE DATE: 09/25/2024 Management will discuss in detail. (Full response in Audit Report No. 2024-13) 29 Management Response - Issue 4 Item #7 Port Fire Department and Port-Env appreciate identification of this inventory oversight. The AFFF has already been removed from the onboard tank of the E-One 120. Port Fire Department mechanics will disconnect the piping and place a blank plate over the foam switches inside the rig. The vehicle can no longer discharge AFFF. The vehicle has been equipped with a stand-alone mobile tank of NovaCool, a PFAS-free firefighting foam, consistent with the other two engine vehicles in the fleet that were drained of AFFF and converted to NovaCool in 2020. Completion of the piping isolation and switch plate cover will be completed before the end of the year. DUE DATE: 12/31/2024 Management will discuss in detail. (Full response in Audit Report No. 2024-13) 30 Management Response - Issue 5 Item #7 The Port's ARFF fleet transitioned to F3 on August 6, 2024. Policy No. 316 has been updated to include practices for F3 foam and is under review until September 4, 2024. Port-Env. will update the SPCC Plan and SWPP to align with handling AFFF as if it were a hazardous substance, reflecting any necessary changes in the fiveyear updates and annual revisions. Firefighter training related to F3 foam and AFFF would be updated and documented in Vector Solutions, ensuring all safety discussions and trainings are accurately recorded and future sessions are included. DUE DATE: 12/31/2024 Management will discuss in detail. (Full response in Audit Report No. 2024-13) 31 TSE Phase 2 Bollards and ADA Ramps Item #8 TSE Phase 2 Bollards and ADA Ramps project enhances accessibility and safety in: • Main terminal arrivals • Departures curbsides • The main garage at the pedestrian sky bridge entrances • Courtesy vehicle plaza Project installed bollards and ADA access improvements. Arrivals curbside has a zero-curb environment. Design-Build method was used for this project between Hoffman and the Port. 32 Example of Bollards by a pedestrian Sky Bridge: Item #8 33 Example of Bollards and ADA Ramp by Departures curbside: Item #8 34 Item #8 TSE Phase 2 Bollards and ADA Ramps The total of the original contract was $13.8MM. As of July 2024, contract was at $13.9MM because of approximately $101K in Change Orders. There is $111K in Open Trends, which projects the final contract to total $14MM (1.5% increase). Schedule (per July 2024, Trend Log) Original Contractual Substantial Completion Date Change Orders (+days) Adjusted Contractual Completion Date Trend 16 (+days)[1] 7/3/2023 80 9/21/2023 50 Adjusted Contractual Completion Date 11/10/2023 Actual Substantial Completion Date 11/13/2023 Contractual Phys. Completion 1/12/2024 Anticipated Project Completion 9/30/2024 Project is anticipated to be completed by September 30, 2024. 35 Project Delay Timeline 80 days 50 days Item #8 3 days 60 days 262 days 36 1) Rating: Medium Item #8 The failure to verify all required insurance coverages before project commencement risked non-compliance with contractual terms, potentially leading to disputes, delays, or increased costs. Contractor was required to obtain Errors & Omissions insurance within 10 days of Notice (Oct 15, 2021). CPO did not verify all insurance coverage. Insurance was met, but endorsements for stop gap, pollution, and liability were missing. Combined Pollution and Professional Liability policy risks exhausting coverage. Lack of insurance verification could lead to disputes, claims, delays, or higher costs. 37 Item #8 Recommendations Existing SOP (3_Contract Award_3_4_3_Bonds and Insurance) should be followed to ascertain that all insurance documentation is obtained prior to project commencement. 38 2) Rating: Low Item #8 The Port did not create a change order for additional joint sealant work prior to work starting. Joint sealant requirements were not defined during design. New sealant option initial proposal was up to $250K. The Port and the Contractor disagreed on cost. Not-to-exceed change order was not issued. The Port directed the work on Force Account basis. Ultimately, new sealant work cost $111K and project was extended by 50 days. Overall, the Port did not comply with Construction Management Procedure 40.01. • Risk: Potential financial overruns, contractual disputes, etc. 39 Item #8 Recommendations Existing Standard Operating Procedures (SOP) should be followed to ensure that no additional work commences without an approved not-to-exceed change order in place. 40 Item #8 Management Response - Issue 1 CPO agrees with the recommendation and continues staff training for compliance. Annual training received from Risk Management on reviewing insurance certificates and endorsements. CPO consults with Risk Management when endorsements are unclear or hard to interpret. CPO uses an Insurance Matrix co-created with Risk Management to reduce reliance on external review. CPO and Risk Management collaborate on self-insured policies, contractorcontrolled programs, or non-standard endorsements. DUE DATE: N/A Management will discuss in detail. (Full response in Audit Report No. 2024-12) 41 Management Response - Issue 2 Item #8 Engineering Construction Management agrees with the recommendation and will continue to train staff to improve compliance with these existing requirements. DUE DATE: N/A Management will discuss in detail. (Full response in Audit Report No. 2024-12) 42 Seattle Food Partners, LLC Item #9 This is a Limited Contract Compliance Audit without any issues and will not be presented during this meeting. However, the final reports are made available. 43 Questions/Committee Comments Items #11-12 44
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