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Department of Transportation Agreement for SR 99 Illumination from 2200th St SW to 212th St SW Phase 3 Supplement 1
A!1111111111111111k� MMbehingtm State / Dop■rtment of TrmsportzOm Local Agency Agreement Supplement Agency Supplement Number City of Edmonds 1 Federal Aid Project Number Agreement Number HSIP-0099(124) LA-7830 CFDA No. 20.205 The Local Agency desires to supplement the agreement entered into and executed on 12/7/2012 All provisions in the basic agreement remain in effect except as expressly modified by this supplement. The changes to the agreement are described as follows: Project Description Name SR 99 Illumination from 220th St. SW to 212th St. SW (Phase 3) Length 0.5 mile Termini 220th St. SW to 212th St. SW Description of Work ® No Change Reason for Supplement Obligate construction funds. The ad date is February 2, 2015. Does this change require additional Right of Way or Easements? ❑ Yes © No Type of Work Estimate of Funding (1) PREVIOUS AGREEMENT/ SUPPLEMENT (2) SUPPLEMENT (3) ESTIMATED TOTAL PROJECT FUNDS (4) ESTIMATED AGENCYFUNDS (5) ESTIMATED FEDERALFUNDS P.E. a. Agency: (HSIP 100%) 100% b. Other Consultant (HSIP/t00%) Federal Aid c. Other Participation d. Other Ratio for Design e. State f. Total PE Cost Est. (a thru e) $13,000 $13,000 $13,000 $117.000 -$36.873 $80.127 $80,127 $130,000 ($36,873) $93,127 $0 $93,127 Right of Way g Agency % h Other Federal Aid i Other Participation j Other Ratio for RW k State I Total RM Cost Est. (g thru k) $0 $0 $0 $0 $0 Construction m Contract In Other (Consultant) o Other 1001140 p Other Federal Aid q Agency Participation r State Ratio for cN s Total Const. Cost Est. (m thru r) $507,873 $507,873 $507,873 $48,000 $48.000 $48.000 $34,000 $34,000 $34,000 $1,000 $1,000 $1,000 $0 $590,873 $590,873 $0 $590,873 r.Total Project Cost Estimate (e+j+q) $130,000 $554,000 $684,000 $0 $684,000 The local agency further stipulates that pursuant to said Title 23, regulations and policies and procedures, and as a condition to payment of the Federal funds obligated, it accepts and will comply with the applicable provisions. AGENCY OFFICIAL Washington State Department of Transportation r By r By r , Title Mayor I BC V� E .R.Ji A/IJ Director of Highways and Local Programs Date Executed M N cc t a_ U) N 0 N N T CY) N i N 0 (6 � � U Vi � LLJ N +' Q .s; � RS CD N CO W O 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o O 6 0 0 0 0 6 6 0 0 0 o O Co Ct 0 C 0 C 0 o 0 cc 0 O 0 o 0 o 0 In 0 O 0 o p o u� aS (D co w fA o iO N M O p N} dT ff) Uf) U} 61) ff) fR f l) 613 ffi t+ O O o O O 6 O O 0 O O o O O LO O O o O O 0 O O 0 O O 0 O O 0 O O 0 Q V O O O O N O O co O U7 O O O O i M Cl) fA Ef} ff} E!T H3 E!-} dJ fH ff} to d7 laL J J J = 0 W w W J LL O O O O fM cI O N O N N a 0 0 LO ET Y N C O 41 0 U w — 3 N c a U c m~ N C U U m N E 0) o �_ C U � O N a O T o �CO �_ � N U 0 � O o E O o U O a c _ Y N U) d U c ID CDJ U co 0 c v o' LL N� .7 _� o 0 a N 0) o E O U a�i u) .� wN+ O O U 6 N N m rn W O 'm aa> O O r O O O O O N O N O 00 V m O N cp O N 00 O N 00 UZ(5 N Cl) Lo (O f— 00 O O O O O O O O O o o O 1-1 1-1 Ui o C1 CV CV M M V) LO (O O (O (i (h t- Ln O r (0 � m