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Department of Transportation for 220th St Overlay Agreement Supplement 1Of EDIto. CONTRACT ROUTING FORM ill on Z i Originator: Rob English Routed by: O Department/Division: Engineering - Public Works Date: (City Clerk Use Only) Megan Luttrell 06/08/2015 IL 2 Name of Consultant/Contractor: WSDOT L) CONTRACT TITLE: 0 220th St. Overlay - Local Agency Agreement Supp 1 &Project Prospectus Type of Contract: (GR) Grants (1) Intergovernmental Agreement (L) Lease Agreement Z Z (S) Purchase of Services (W) Public Works ❑ (0) Other w Z Bid/RFP Number: O U Effective Date: Completion Date-. U Has the original City contract boilerplate language been modified? OYes Q No If yes, specify which sections have been modified: � Description V of services: The Mayor has already signed these but WSDOT asked that they be updated. Ed Sibrel or Rob English, should be able to answer any questions. Total Amount of Contract: Budget # Amount J Budget # Amount w 0 d Budget # Amount: U ZAre there sufficient funds in the current budget to cover this contract? Yes O No Z Remarks: f Authorization Level: Mayor w 1. Project Manager 2. Risk Management/Budget Z 3. City Attorney 0 4. Consultant/Contractor V5 5. Other 6. City Council Approval Date (if applicable} 0 7. Mayor ❑ 8. City Clerk Adw Washington State V. Department of Transportation Local Agency Agreement Supplement Agency City Of Edmonds Supplement Number 1 Federal Aid Project Number Agreement Number CFDA No. 20.205 STPUL-2506(004) LA-8530 (Catalog of Federal Domestic Assistance The Local Agency requests to supplement the agreement entered into and executed on 1 /29/2015 All provisions in the basic agreement remain in effect except as modified by this supplement. The changes to the agreement are as follows: Project Description Name 220th St SW Overlay from 76th Ave W to 84th Ave W Length •75 mile Termini 76th Ave W to 84th Ave W Description of Work 0 No Change Reason for Supplement Obligate Construction Funding Are you claiming indirect cost rate? ❑ Yes 0 No Does this change require additional Right of Way or Easements? Project Agreement End Date 12/31/2017 ❑ Yes ❑■ No Advertisement Date: 6/22/2015 Type of Work Estimate of Funding (1) (2) (3) Previous Supplement Estimated Total A reement/Suppl. Project Funds (4) Estimated Agency Funds (5) Estimated Federal Funds PE a. Agency 1 Q QQQ $10,000 $1,350 $8,650 86.5 % b. Other Consultant - Design $75,705 $75,705 $10,220 $65,485 c. Other Agency - Non -Participating Federal Aid d. State Participation Ratio for PE e. Total PE Cost Estimate (a+b+c+d) $13,295 $13,295 $13,295 -()- $1,000 $1,000 $135 865 $100,000 $100,000 $25,000 $75,000 Right of Way f. Agency .Other Federal Aid h. Other Participation Ratio for RW i. State j. Total RNV Cost Estimate (f+g+h+i) Construction k. Contract $670,029 $670,029 $90,454 $579,575 I. Other Consultant - CM $85,000 $85,000 $11,475 $73,525 86.5 % m. OtherConsultant - Matls Testing $15,000 $15,000 $2,025 $12,975 Federal Aid n. OthefCoritract-Nan-Participating$124,971 Participation o. A ency Ratio forCN p.State q. Total CN Cost Estimate (k+l+m+n+o+p) $124,971 $124,971 -Q- $43,500 $43,500 $5,872 $37,628 $1,500 $1,500 $203 $1,297 $940,000 1 $940,000 $235,000 $705,000 r. Total Project Cost Estimate fe+j+q) $100,000 940,000 1 $1,040,000 $260,000 $780,000 The Local Agency further stipulates that pursuant to said Title 23, regulations and policies and procedures, and as a condition to paymei f the Federal funds obligated, it accepts and will comply with the applicable provisions. Agency ❑f icial l`j n Washington State Department of Transportation j 10_ By ZA V1 By Title Director, Local Programs Date Executed DOT Form 140-041 Revised 04/2015 Pagel Agency Supplement Number City of Edmonds 1 Federal Aid Project Number Agreement Number CFDA No. 20.205 STPUL-2506 004 LA-8530 (Catalog of Federal Domestic Assistance) VI. Payment and Partial Reimbursement The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid by the Agency and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation Act, as amended, 2 CFR Part 200. The State shall not be ultimately responsible for any of the costs of the project. The Agency shall be ultimately responsible for all costs associated with the project which are not reimbursed by the Federal Government. Nothing in this agreement shall be construed as a promise by the State as to the amount or nature of federal participation in this project. The Agency shall bill the state for federal aid project costs incurred in conformity with applicable federal and state laws. The agency shall minimize the time elapsed between receipt of federal aid funds and subsequent payment of incurred costs. Expenditures by the Local Agency for maintenance, general administration, supervision, and other overhead shall not be eligible for federal participation unless a current indirect cost plan has been prepared in accordance with the regulations outlined in 2 CFR Part 200 - Uniform Admin Requirements, Cost Principles and Audit Requirements for Federal Awards, and retained for audit. The State will pay for State incurred costs on the project. Following payment, the State shall bill the Federal Government for reimbursement of those costs eligible for federal participation to the extent that such costs are attributable and properly allocable to this project. The State shall bill the Agency for that portion of State costs which were not reimbursed by the Federal Government (see Section IX). VII. Audit of Federal Consultant Contracts The Agency, if services of a consultant are required, shall be responsible for audit of the consultant's records to determine eligible federal aid costs on the project. The report of said audit shall be in the Agency's files and made available to the State and the Federal Government. An audit shall be conducted by the WSDOT Internal Audit Office in accordance with generally accepted governmental auditing standards as issued by the United States General Accounting Office by the Comptroller General of the United States; WSDOT Manual M 27-50, Consultant Authorization, Selection, and Agreement Administration; memoranda of understanding between WSDOT and FHWA; and 2 CFR Part 200.501 - Audit Requirements. If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occurred, the Agency shall reimburse the State for the amount of such overpayment or excess participation. Vill. Single Audit Act The Agency, as a subrecipient of federal funds, shall adhere to the federal regulations outlined in 2 CFR Part 200.501 as well as all applicable federal and state statutes and regulations. A subrecipient who expends $750,000 or more in federal awards from all sources during a given fiscal year shall have a single or program -specific audit performed for that year in accordance with the provisions of 2 CFR Part 200.501. Upon conclusion of the audit, the Agency shall be responsible for ensuring that a copy of the report is transmitted promptly to the State. IX. Payment of Billing The Agency agrees that if payment or arrangement for payment of any of the State's billing relative to the project (e.g., State force work, project cancellation, overpayment, cost ineligible for federal participation, etc.) is not made to the State within 45 days after the Agency has been billed, the State shall effect reimbursement of the total sum due from the regular monthly fuel tax allotments to the Agency from the Motor Vehicle Fund. No additional Federal project funding will be approved until full payment is received unless otherwise directed by the Director of Local Programs. Project Agreement End Date - This date is based on your projects Period of Performance (2 CFR Part 200.309). Any costs incurred after the Project Agreement End Date are NOT eligible for federal reimbursement. All eligible costs incurred prior to the Project Agreement End Date must be submitted for reimbursement within 90 days after the Project Agreement End Date or they become ineligible for federal reimbursement. XVII. Assurances Local Agencies receiving Federal funding from the USDOT or its operating administrations (i.e., Federal Highway Administration, Federal Transit Administration, Federal Aviation Administration) are required to submit a written policy statement, signed by the Agency Executive and addressed to the State, documenting that all programs, activities and services will be conducted in compliance with Section 504 and the Americans with Disabilities Act (ADA). DOT Form 140-041 Page 2 Revised 04/2015 City of Edmonds 220th St SW Overlay Item No. Section Item Description Unit Quantity Unit Price Total 1 1-03 Contract Bond Extension LS 1 $ 2.000 $ 2,000 2 1-04 Owner Directed Work DOL CALC CALC $ 15,000 3 1-05 IRoadway Surveying LS 1 $ 15.000 $ 15,000 4 1-05 IRecord Drawings LS 1 $ 2,000 $ 2,000 5 1-07 'SPCC Plan LS 1 $ 2,500 $ 2,500 6 1-09 Mobilization 1 $ 46.600 $ 46,600 7 1-10 Portable Changeable Message Sign 9 $ 1,000 $ 9.000 8 1-10 Project Temporary Traffic Control 4DOL,..IG 1 $ 52,400 $ 52,400 9 2-02 Removal of Structure and Obstruction 1 $ 5,540 $ 5,540 10 2-02 Edge modification of ExL Signal foundation CALC $ 1.000 11 2-03 Sawcul6ng LF 3,500 S 1.5 $ 5,250 12 2-03 Roadway Excavation Incl. Haul CY 410 $ 25 $ 10,250 13 4-04 Crushed Surfacing Base Course I TN 300 $ 120 $ 36,000 14 5-04 I Planing Bituminous Pavement SY 12.570 $ 4 $ 50.280 15 5-04 HMA Cl, 1f2"PG 64-22 TN 1,750 $ 102 $ 176,500 16 5-04 rAdjust Sewer Manhole Each 27 $ 550 $ 14,850 17 5-04 ,Adjust Catch Basin Each 2 $ 500 $ 1.000 18 5-04 ,Adjust Water Valve Box Each 11 $ 325 $ 3.575 19 5-04 IReplace Catch Basin Grate Each 18 $ 100 $ 1,800 20 8-01 iInlet Protection EA 30 $ 85 $ 2,550 21 8-01 'Eroslory Water Pollution Control LS 1 $ 5,000 $ 5,000 22 8-02 Site Restoration LS 1 $ 10.000 $ 10,000 23 8-04 Cement Conc. Traffic Curb & Gutter LF 335 $ 60 $ 20,100 24 8-14 Cement Conc. Curb Ramp SY 195 $ 175 $ 34,125 25 8-14 Cement Conc. Side walk SY 120 $ 90 $ 10,800 26 8-21 Permanent Signing LS 1 $ 21,000 $ 21,000 27 8-22 Paint Wide Lane Una LF 4,680 $ 1 $ 4,680 28 8-22 Paint White Edge Line LF 340 $ 1 $ 340 29 8-22 Plastic Wide Lane Line LF 580 $ 4 $ 2,320 30 8-22 Plastic Una LF 200 $ 2 $ 400 31 8-22 profiled Plastic Lane Una LF 2,930 $ 3 $ 8,790 32 8-22 Plastic Slop Una LF 130 $ 15 $ 1,950 33 8-22 plastic Crosswalk Une SF 1.030 $ 8 $ 8.240 34 8-22 IPlastic Traffic Anow EACH 12 $ 200 $ 2,400 35 8-22 Plastic Bicycle Lane Symbol EACH 12 $ 200 $ 2,400 36 8-22 IPlastic Bike Shanow EACH 3 $ 250 $ 750 3 28-23 intersection Work - 76th & 220th EACH 1 $ 10,000 $ 10,000 38 8-24 Extra Digouts- Rutting Roadway EACH 1 $ 35,000 $ 35,000 Sub -Total $ 633,390 Design allowance Contract Total Construction Administration Construction Contingency 15% Construction Material Testing $ 56,000 $ 691,390 $ 130,000 $ 103,709 $ 15.000 Estimated Project Construction Total $ 940.099 Consufiant Design Fee + City Staff Time $ 100.000 Estimated Project Total Cost $ 1,040,099 Cost Estimate 90% Design A11111102k Washington State Department of Transportation Local Agency Federal Aid Project Prospectus Date 5/28/2015 Prefix Route ( ) DUNS Number 040172827 Federal Aid STPUL-2506(004) Project Number Local Agency E4CD / c462 WSDOT (Use onsy} Federal Employer Tax ID Number 906001244 Project Number Agency CA Agency Federal Program Title City of Edmonds Yes ❑ No ® 20.205 ❑ Other Project Title Start Latitude N47.799591 Start Longitude W-122.3464 220th St Wverlay from 76th Ave W to 84th Ave W End Latitude N 47.799605 End Longitude W-122.3355 Project Termini From -To Nearest City Name Project Zip Code (+ 4) 76th Ave W to 84th Ave W _ Edmonds 98020 Begin Mile Post End Mile Post Length of Project Award Type NA NA 1 3/4 mile KI Local ❑ Local Forces ❑ State ❑ Railroad Route ID Begin Mile Point End Mile Point �ity�lumber Co unty Number County Name Snohomish bb�� 2506 431 WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number N4 NW 21 1 Total Local Agency Federal Funds Phase Start Date Phase Estimated Cost (Nearest Hundred Dollar) Funding (Nearest Hundred Dollar) (Nearest Hundred Dollar) Month Year P.E. $100,000 $25,000 $75,000 01/15 R/W Const. $940,000 $235,000 $705,000 Total $1,040,000 $260,000 $780,000 06/15 Description of Existing Facility (Existing Design and Present Condition) Roadway Width Number of Lanes 40' 2 +Parking A 1/2 mile stretch of minor arterial providing one of the main access routes to the Edmonds Downtown area. Last overlain in the mid-90s, the roadway has several failed sections with longitudinal cracks and rutting. Utility patches from past projects have also contributed to the current pavement condition of Proposed Work .Description Description of Proposed Work (Attach additional sheet(s) if necessary) The project consists of a full -width grind and asphalt overlay along 220th St SW from 84th Ave. W to 76th Ave. W. The project also consists in upgrading all non -compliant ADA curb ramps and the potential addition of bike lanes on both sides of the stretch. Local Agency Contact Person Title Phone Ed Sibrel Capital Projects Manager 425.771.0220 Mailing Address City State Zip Code 1215th Ave N Edmonds WA 98020 By Project Prospectus Approval Approving Authority Title N 6 rNeex_ Date 8 11,5 DOT Form 140-101 ♦ Previous Editions Obsolete ♦ Page 1 Revised 04/2015 AdIbk Washington State V. Department of Transportation Local Agency Federal Aid Project Prospectus Date 5/28/2015 Prefix Route ( ) DUNS Number 040172827 Federal Aid STPUL-2506(004) Project Number Local Agency E4CD / c462 WSDOT (use Only} Federal Employer Tax ID Number 906001244 Project Number Agency CA Agency Federal Program Title City of Edmonds Yes ❑ No ® 20.205 ❑ Other Project Title Start Latitude N47.799591 Start Longitude W-122.3464 220th St Wverlay from 76th Ave W to 84th Ave W End Latitude N 47.799605 End Longitude W-122.3355 Project Termini From - To Nearest City Name Project Zip Code (+ 4) 76th Ave W to 84th Ave W I Edmonds _ 98020 Begin Mile Post End Mile Post Length of Project Award Type NA NA 1 1/2 mile [a Local ❑ Local Forces ❑ State ❑ Railroad Route ID Begin, Mile Point End Mile Point �itvlalumber County Number County Name Snohomish 44bb�� 31 WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number 1 N4 NW 21 1 Total Local Agency Federal Funds Phase Start Date Phase Estimated Cost (Nearest Hundred Dollar) Funding (Nearest Hundred Dollar) (Nearest Hundred Dollar) i Month Year P.E. $100,000 $25,000 $75,000 01 / 15 06/15 R/W Const. $940,000 $235,000 $705,000 Total $1,040,000 $260,000 $780,000 Description of Existing Facility (Existing Design and Present Condition) Roadway Width 40' Number of Lanes 2 +Parking A 1/2 mile stretch of minor arterial providing one of the main access routes to the Edmonds Downtown area. Last overlain in the mid-90s, the roadway has several failed sections with longitudinal cracks and rutting. Utility patches from past projects have also contributed to the current pavement condition Description of Proposed Work Description of Proposed Work (Attach additional sheet(s) if necessary) A full -width grind and 2" overlay will be completed, The project also consists in upgrading all non- compliant ADA curb ramps and the potential addition of bike lanes on both sides of the stretch. Local Agency Contact Person Title Phone Ed Sibrel Capital Projects Manager 425.771.0220 Mailing Address City State Zip Code 121 5th Ave N Ed WA 98020 By —26 Project Prospectus Approval Approving Authority Title r,7,/ EN 6r(Jet__A - Date 6 �,5 DOT Form 140-101 ♦ Previous Editions Obsolete ♦ Page 1 Revised 04/2015 Agency Project Title Date City of Edmonds 220th St SW Overlay from 76th Ave W to 84th 5/20/2015 Type of Proposed Work Project Type (Check all that Apply) Roadway Width Number of Lanes ❑ New Construction ❑ Path / Trail ❑ 3-R 40' i'N Reconstruction El Pedestrian / Facilities [I2-R 2 +parking ❑ Railroad ❑ Parking ❑ Other ❑ Bridge Geometric Design Data Description Through Route Crossroad Federal Functional Classification ® Urban ❑ Rural ❑NHS ❑ Principal Arterial Minor Arterial ❑ Collector ❑ Major Collector ❑ Minor Collector ❑ Local Access ❑ Urban ❑Rural El NHS ❑ Principal Arterial ❑ Minor Arterial ❑ Collector ❑ Major Collector ❑ Minor Collector ® Local Access Terrain ® Flat ❑ Roll ❑ Mountain El Flat [:]Roll ❑ Mountain Posted Speed 30 mi2h 25 m h Design Speed 35 m h 25 mph Existing ADT I I nno unknown Design Year ADT unknown unknown Design Year uDknown unknown Design Hourly Volume (DHV) unknown unknown Performance of Work Preliminary Engineering Will Be Performed By Others Agency Consultant (Tetra Tech). and City of Edmonds 86 % 14 % Construction Will Be Performed By Contract Agency Contractor (TBD) and City of Edmonds 90 % 10 % Environmental Classification ❑ Class I - Environmental Impact Statement (EIS) ❑ Project Involves NEPA/SEPA Section 404 Interagency Agreement ❑ Class III - Environmental Assessment (EA) ❑ Project Involves NEPA/SEPA Section 404 Interagency Agreement ® Class II - Categorically Excluded (CE) ❑ Projects Requiring Documentation (Documented CE) DOT Form 140-101 Revised 04/2015 ♦Previous Editions Obsolete Page 2 Agency Project Title Date City of Edmonds 220th St SW Overlay from 76th Ave W to 84th 1 5/20/2015 Type of Proposed Work Project Type (Check all that Apply) Roadway Width Number of Lanes ❑ New Construction ❑ Path / Trail ❑ 3-R 40' ❑ Reconstruction ❑ Pedestrian / Facilities ❑ 2-R 2 + parking ❑ Railroad ❑ Parking ❑ Other ❑ Bridge I Geometric Design Data Description Through Route Crossroad Federal Functional Classification ® Urban ❑ Rural ❑ NHS ❑ Principal Arterial [N Minor>Airterial ❑ Collector ❑ Major Collector ❑ Minor Collector ❑ Local Access ® Urban ❑ Rural El NHS ❑ Principal Arterial ❑ Minor Arterial ❑ Collector ❑ Major Collector ❑ Minor Collector [X Local Access Terrain ® Flat ❑ Roll ❑ Mountain ElFlat ❑ Roll ❑ Mountain Posted Speed 30 M12h 35 m h 25 mph 25 m h Design Speed Existing ADT un own _ Design Year ADT unknown unknown Design Year Design Hourly Volume (DHV) I unknown unknown Performance of Work Preliminary Engineering Will Be Performed By Others Agency Consultant (Tetra Tech) and City of Edmonds 86 % Contract 14 % Agency Construction Will Be Performed By Contractor (TBD) and City of Edmonds 90 % 10 % Environmental Classification ❑ Class I - Environmental Impact Statement (EIS) ® Class II - Categorically Excluded (CE) ❑ Project Involves NEPA/SEPA Section 404 ❑ Projects Requiring Documentation Interagency Agreement (Documented CE) ❑ Class III - Environmental Assessment (EA) ❑ Project Involves NEPA/SEPA Section 404 Interagency Agreement I Environmental Considerations CE documentation per 23 CFR 771.113(d) approved 4/30/15. UU I t-Orm 14U-1 U1 Page 2 Revised 04/2015 ♦ Previous Editions Obsolete i 9 Agency City of Edmonds Project Title 220th St SW Overly from 76th Ave W to 84th Date 5/20/15 Right of Way ® No Right of Way Needed ❑ Right of Way Needed ' All construction required by the ❑ No Relocation ❑ Relocation Required contract can be accomplished within the existing right of way. Utilities Railroad ❑ No utility work required ® No railroad work required ❑ All utility work will be completed prior to the start of the ❑ All railroad work will be completed prior to the start of the construction contract construction contract ® All utility work will be completed in coordination with the ❑ All railroad work will be completed in coordination with the construction contract construction contract Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project No major structures in area. Adjustments are expected to be limited to utility lids and grates. FAA Involvement Is any airport located within 3.2 kilometers (2 miles) of the proposed project? ❑ Yes M No Remarks This project has been reviewed by the legislative body of the administration agency or agencies, or it's designee, and is not inconsistent with the agency's comprehensive plan for community development. Agen Date C - p - (� By DOT Form 140-101 EF Revised 04/2015 0 Previous Editions Obsolete ♦ Page 3 Agency Project Title Date City of Edmonds 220th St SW Overlay from 76th Ave W to 84th 5/20/15 Right of Way ® No Right of Way Needed ❑ Right of Way Needed All construction required by the ❑ No Relocation ❑ Relocation Required contract can be accomplished within the existing right of way. Utilities Railroad ❑ No utility work required 0 No railroad work required ❑ All utility work will be completed prior to the start of the ❑ All railroad work will be completed prior to the start of the construction contract construction contract ® All utility work will be completed in coordination with the ❑ All railroad work will be completed in coordination with the construction contract i construction contract Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project No major structures in area. Adjustments are expected to be limited to utility lids and grates. FAA Involvement Is any airport located within 3.2 kilometers (2 miles) of the proposed project? ❑ Yes M No Remarks This project has been reviewed by the legislative body of the administration agency or agencies, or it's designee, and is not inconsistent with the agency's comprehensive plan for community development. Agency A n Cyr --A/ O-P Date & - �) - � J g By Mayor/Chairperson DOT Form 140-101 EF Revised 04/2015 ♦ Previous Editions Obsolete ♦ Page 3 No. CONTRACT ROUTING FORM Z I Originator: Rob English Routed by 0 1 Department/Division: z Engineering - Public Works Date: a Name of Consultant/Contractor: ZWSDOT ai CONTRACT TITLE: (City Clerk Use Only) Megan Luttrell 05/29/2015 o 220th St. Overlay - Local Agency Agreement Supp 1&Project Prospectus Type of Contract: IV(] (GR) Grants (1) Intergovernmental Agreement Z Z O (S) Purchase of Services 21'(W) Public Works w Z Bid/RFP Number: O 0 Effective Date: Completion Date: QHas the original City contract boilerplate language been modified? OYes No ~C If yes, specify which sections have been modified: pDescription U of Services Total Amount of Contract: Budget # Amount: iJ Budget # Amount: w 0 QBudget # Amount: 0 Z Are there sufficient funds in the current budget to cover this contract? Q Yes O No Q Z Remarks: Authorization Level: Mayor w 1. Project Manager Q 2. Risk Management/Budget Z 3. City Attorney 0 4. Consultant/Contractor U 5. Other ❑ 6. City Council Approval Date (it applrcabfe) ❑✓ 7. Mayor 8. City Clerk (L) Lease Agreement (0) Other A91W Washington State �. Department of Transportation Local Agency Agreement Agency City of Edmonds Address 121 5th Ave. N Edmonds, WA 98020 CFDA No. 20.205 (Catalog of Federal Domestic Assistance) Project No. Agreement No. WSDOT Use On The Local Agency having complied, or hereby agreeing to comply, with the terms and conditions set forth in (1) Title 23, U.S. Code Highways, (2) the regulations issued pursuant thereto, (3) 2 CFR 225, (4) Office of Management and Budget Circulars A-102, and A-133, (5) the policies and procedures promulgated by the Washington State Department of Transportation, and (6) the federal aid project agreement entered into between the State and Federal Government, relative to the above project, the Washington State Department of Transportation will authorize the Local Agency to proceed on the project by a separate notification. Federal funds which are to be obligated for the project may not exceed the amount shown herein on line r, column 3, without written authority by the State, subject to the approval of the Federal Highway Administration. All project costs not reimbursed by the Federal Government shall be the responsibility of the Local Agency. Project Description Name 220th St. SW Overlay Length 0.5 mile Termini 84th Ave. W to 76th Ave. W Description of Work The project consists of a full -width grind and 2" overlay along a minor arterial (220th St. SW) from 84th Ave. W to 76tb Ave. W. The project also includes upgrading all non -compliant ADA curb ramps and the potential addition of bike lanes on both sides of the stretch. Proposed Advertisement Date: 04/15 Type of Work (1) Estimated Total Project Funds Estimate of Funding (2) (3) Estimated Agency Estimated Funds Federal Funds PE a. Agency 10,000.00 1,350.00 8,650.00 86.5 % Other Consultant 75 705.00 10,220.00 65,485.00 c. Other Consult.+Agency(non- artici 13 295.00 13 295.00 Federal Aid d. State Participation 1,000.00 135.00 865.00 Ratio for PE e. Total PE Cost Estimate (a+b+c+d) 100,000.00 25 000.00 75 000.00 Right of Way f. Agent % g.Other h. Other _ Federal Aid Participation I. State Ratio for RW j. Total R/W Cost Estimate f+ +h+i Construction k. Contract I. Other m. Other n. Other % o. A enc Federal Aid Participation D• State Ratio for CN q. Total CN Cost Estimate (k+l+m+n+o+ ) r. Total Project Cost Estimate a+'+) 1 100,000.00 25,000.00 75,000.00 Agency O i ial By Title Washington State Department of Transportation By Director of Local Programs e!lt;y c-F 7 Date Executed dr^�'6y ► 7 DOT Form 10 1 7 /5 Revisedd 03/23/2014 �� Construction Method of Financing (Check Method Selected) State Ad and Award ❑ Method A - Advance Payment - Agency Share of total construction cost (based on contract award) ❑ Method B - Withhold from qas tax the Aqencv's share of total construction cost (line 4, column 2) in the amount of $ at $ Local Force or Local Ad and Award ® Method C - Aoencv cost incurred with Dartial reimbursement Provisions per month for months. 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 set forth below. Adopted by official action on , Resolution/Ordinance No. I. Scope of Work The Agency shall provide all the work, labor, materials, and services necessary to perform the project which is described and set forth in detail in the "Project Description" and "Type of Work." When the State acts for and on behalf of the Agency, the State shall be deemed an agent of the Agency and shall perform the services described and indicated in "Type of Work" on the face of this agreement, in accordance with plans and specifications as proposed by the Agency and approved by the State and the Federal Highway Administration. When the State acts for the Agency but is not subject to the right of control by the Agency, the State shall have the right to perform the work subject to the ordinary procedures of the State and Federal Highway Administration. II. Delegation of Authority The State is willing to fulfill the responsibilities to the Federal Government by the administration of this project. The Agency agrees that the State shall have the full authority to carry out this administration. The State shall review, process, and approve documents required for federal aid reimbursement in accordance with federal requirements. If the State advertises and awards the contract, the State will further act for the Agency in all matters concerning the project as requested by the Agency. If the Local Agency advertises and awards the project, the State shall review the work to ensure conformity with the approved plans and specifications. III. Project Administration Certain types of work and services shall be provided by the State on this project as requested by the Agency and described in the Type of Work above. In addition, the State will furnish qualified personnel for the supervision and inspection of the work in progress. On Local Agency advertised and awarded projects, the supervision and inspection shall be ljmited to ensuring all work is in conformance with approved plans, specifications, and federal aid requirements. The salary of such engineer or other supervisor and all other salaries and costs incurred by State forces upon the project will be considered a cost thereof. All costs related to this project incurred by employees of the State in the customary manner on highway payrolls and vouchers shall be charged as costs of the project. IV. Availability of Records All project records in support of all costs incurred and actual expenditures kept by the Agency are to be maintained in accordance with local government accounting procedures prescribed by the Washington State Auditor's Office, the U.S. Department of Transportation, and the Washington State Department of Transportation. The records shall be open to inspection by the State and Federal Government at all reasonable times and shall be retained and made available for such inspection for a period of not less than three years from the final payment of any federal aid funds to the Agency. Copies of said records shall be furnished to the State and/or Federal Government upon request. V. Compliance with Provisions The Agency shall not incur any federal aid participation costs on any classification of work on this project until authorized in writing by the State for each classification. The classifications of work for projects are: 1. Preliminary engineering. 2. Right of way acquisition. 3. Project construction. Once written authorization is given, the Agency agrees to show continuous progress through monthly billings. Failure to show continuous progress may result the Agency's project becoming inactive, as described in 23 CFR 630, and subject to de -obligation of federal aid funds and/or agreement closure. If right of way acquisition, or actual construction of the road for which preliminary engineering is undertaken is not started by the close of the tenth fiscal year following the fiscal year in which preliminary engineering phase was authorized, the Agency will repay to the State the sum or sums of federal funds paid to the Agency under the,terms of this agreement (see Section IX). If actual construction of the road for which right of way has been purchased is not started by the close of the tenth fiscal year following the fiscal year in which the right of way phase was authorized, the Agency will repay to the State the sum or sums of federal funds paid to the Agency under the terms of this agreement (see Section IX). DOT Form 140-039 EF 2 Revised 03/2014 The Agency agrees that all stages of construction necessary to provide the initially planned complete facility within the limits of this project will conform to at least the minimum values set by approved statewide design standards applicable to this class of highways, even though such additional work is financed without federal aid participation. The Agency agrees that on federal aid highway construction projects, the current federal aid regulations which apply to liquidated damages relative to the basis of federal participation in the project cost shall be applicable in the event the contractor fails to complete the contract within the contract time. VI. Payment and Partial Reimbursement The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid by the Agency and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation Act, as amended, 2 CFR 225 and Office of Management and Budget circulars A-102 and A-133. The State shall not be ultimately responsible for any of the costs of the project. The Agency shall be ultimately responsible for all costs associated with the project which are not reimbursed by the Federal Government. Nothing in this agreement shall be construed as a promise by the State as to the amount or nature of federal participation in this project. The Agency shall bill the state for federal aid project costs incurred in conformity with applicable federal and state laws. The agency shall minimize the time elapsed between receipt of federal.aid funds and subsequent payment of incurred costs. Expenditures by the Local Agency for maintenance, general administration, supervision, and other overhead shall not be eligible for federal participation unless a current indirect cost plan has been prepared in accordance with the regulations outlined in 2 CFR 225 - Cost Principles for State, Local, and Indian Tribal Government, and retained for audit. The State will pay for State incurred costs on the project. Following payment, the State shall bill the Federal Government for reimbursement of those costs eligible for federal participation to the extent that such costs are attributable and properly allocable to this project. The State shall bill the Agency for that portion of State costs which were not reimbursed by the Federal Government (see Section IX). 1. Project Construction Costs Project construction financing will be accomplished by one of the three methods as indicated in this agreement. Method A — The Agency will place with the State, within (20) days after the execution of the construction contract, an advance in the amount of the Agency's share of the total construction cost based on the contract award. The State will notify the Agency of the exact amount to be deposited with the State. The State will pay all costs incurred under the contract upon presentation of progress billings from the contractor. Following such payments, the State will submit a billing to the Federal Government for the federal aid participation share of the cost. When the project is substantially completed and final actual costs of the project can be determined, the State will present the Agency with a final billing showing the amount due the State or the amount due the Agency. This billing will be cleared by either a payment from the Agency to the State or by a refund from the State to the Agency. Method B — The Agency's share of the total construction cost as shown on the face of this agreement shall be withheld from its monthly fuel tax allotments. The face of this agreement establishes the months in which the withholding shall take place and the exact amount to be withheld each month. The extent of withholding will be confirmed by letter from the State at the time of contract award. Upon receipt of progress billings from the contractor, the State will submit such billings to the Federal Government for payment of its participating portion of such billings. Method C — The Agency may submit vouchers to the State in the format prescribed by the State, in duplicate, not more than once per month for those costs eligible for Federal participation to the extent that such costs are directly attributable and properly allocable to this project. Expenditures by the Local Agency for maintenance, general administration, supervision, and other overhead shall not be eligible for Federal participation unless claimed under a previously approved indirect cost plan. The State shall reimburse the Agency for the Federal share of eligible project costs up to the amount shown on the face of this agreement. At the time of audit, the Agency will provide documentation of all costs incurred on the project. The State shall bill the Agency for all costs incurred by the State relative to the project. The State shall also bill the Agency for the federal funds paid by the State to the Agency for project costs which are subsequently determined to be ineligible for federal participation (see Section IX). VII. Audit of Federal Consultant Contracts The Agency, if services of a consultant are required, shall be responsible for audit of the consultant's records to determine eligible federal aid costs on the project. The report of said audit shall be in the Agency's files and made available to the State and the Federal Government. An audit shall be conducted by the WSDOT Internal Audit Office in accordance with generally accepted governmental auditing standards as issued by the United States General Accounting Office by the Comptroller General of the United States; WSDOT Manual M 27-50, Consultant Authorization, Selection, and Agreement Administration; memoranda of understanding between WSDOT and FHWA; and Office of Management and Budget Circular A-133. If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occurred, the Agency shall reimburse the State for the amount of such overpayment or excess participation (see Section IX). Vill. Single Audit Act The Agency, as a subrecipient of federal funds, shall adhere to the federal Office of Management and Budget (OMB) Circular A-133 as well as all applicable federal and state statutes and regulations. A subrecipient who expends $500,000 or more in federal awards from all sources during a given fiscal year shall have a single or program -specific audit performed for that year in accordance with the provisions of OMB Circular A-133. Upon conclusion of the A-133 audit, the Agency shall be responsible for ensuring that a copy of the report is transmitted promptly to the State. IX. Payment of Billing The Agency agrees that if payment or arrangement for payment of any of the State's billing relative to the project (e.g., State force work, project cancellation, overpayment, cost ineligible for federal participation, etc.) is not made to the State within 45 days after the Agency has been billed, the State shall effect reimbursement of the total sum due from the regular monthly fuel tax allotments to the Agency from the Motor Vehicle Fund. No additional Federal project funding will be approved until full payment is received unless otherwise directed by the Director of Local Programs. DOT Form 140-039 EF Revised 03/2014 3 X. Traffic Control, Signing, Marking, and Roadway Maintenance The Agency will not permit any changes to be made in the provisions for parking regulations and traffic control on this project without prior approval of the State and Federal Highway Administration. The Agency will not install or permit to be installed any signs, signals, or markings not in conformance with the standards approved by the Federal Highway Administration and MUTCD. The Agency will, at its own expense, maintain the improvement covered by this agreement. XI. Indemnity The Agency shall hold the Federal Government and the State harmless from and shall process and defend at its own expense all claims, demands, or suits, whether at law or equity brought against the Agency, State, or Federal Government, arising from the Agency's execution, performance, or failure to perform any of the provisions of this agreement, or of any other agreement or contract connected with this agreement, or arising by reason of the participation of the State or Federal Government in the project, PROVIDED, nothing herein shall require the Agency to reimburse the State or the Federal Government for damages arising out of bodily injury to persons or damage to property caused by or resulting from the sole negligence of the Federal Government or the State. XII. Nondiscrimination Provision No liability shall attach to the State or Federal Government except as expressly provided herein. The Agency shall not discriminate on the basis of race, color, national origin, or sex in the award and performance of any USDOT-assisted contract and/or agreement or in the administration of its DBE program or the requirements of 49 CFR Part 26. The Agency shall take all necessary and reasonable steps under 49 CFR Part 26 to ensure nondiscrimination in the award and administration of USDOT-assisted contracts and agreements. The WSDOT's DBE program, as required by 49 CFR Part 26 and as approved by USDOT, is incorporated by reference in this agreement. Implementation of this program is a legal obligation and failure to carry out its terms shall be treated as a violation of this agreement. Upon notification to the Agency of its failure to carry out its approved program, the Department may impose sanctions as provided for under Part 26 and may, in appropriate cases, refer the matter for enforcement under 18 U.S.C. 1001 and/or the Program Fraud Civil Remedies Act of 1986 (31 U. S.C. 3801 et seq.). The Agency hereby agrees that it will incorporate or cause to be incorporated into any contract for construction work, or modification thereof, as defined in the rules and regulations of the Secretary of Labor in 41 CFR Chapter 60, which is paid for in whole or in part with funds obtained from the Federal Government or borrowed on the credit of the Federal Government pursuant to a grant, contract, loan, insurance, or guarantee or understanding pursuant to any federal program involving such grant, contract, loan, insurance, or guarantee, the required contract provisions for Federal -Aid Contracts (FHWA 1273), located in Chapter 44 of the Local Agency Guidelines. The Agency further agrees that it will be bound by the above equal opportunity clause with respect to its own employment practices when it participates in federally assisted construction work: Provided, that if the applicant so participating is a State or Local Government, the above equal opportunity clause is not applicable to any agency, instrumentality, or subdivision of such government which does not participate in work on or under the contract. The Agency also agrees: (1) To assist and cooperate actively with the State in obtaining the compliance of contractors and subcontractors with the equal opportunity clause and rules, regulations, and relevant orders of the Secretary of Labor. (2) To furnish the State such information as it may require for the supervision of such compliance and that it will otherwise assist the State in the discharge of its primary responsibility for securing compliance. (3) To refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with a contractor debarred from, or who has not demonstrated eligibility for, government contracts and federally assisted construction contracts pursuant to the Executive Order: (4) To carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors and subcontractors by the State, Federal Highway Administration, or the Secretary of Labor pursuant to Part 1I, subpart D of the Executive Order. In addition, the Agency agrees that if it fails or refuses to comply with these undertakings, the State may take any or all of the following actions: (a) Cancel, terminate, or suspend this agreement in whole or in part; (b) Refrain from extending any further assistance to the Agency under the program with respect to which the failure or refusal occurred until satisfactory assurance of future compliance has been received from the Agency; and (c) Refer the case to the Department of Justice for appropriate legal proceedings. XIII. Liquidated Damages The Agency hereby agrees that the liquidated damages provisions of 23 CFR Part 635, Subpart 127, as supplemented, relative to the amount of Federal participation in the project cost, shall be applicable in the event the contractor fails to complete the contract within the contract time. Failure to include liquidated damages provision will not relieve the Agency from reduction of federal participation in accordance with this paragraph. DOT Form 140-039 EF Revised 03/2014 XIV. Termination for Public Convenience The Secretary of the Washington State Department of Transportation may terminate the contract in whole, or from time to time in part, whenever: (1) The requisite federal funding becomes unavailable through failure of appropriation or otherwise. (2) The contractor is prevented from proceeding with the work as a direct result of an Executive Order of the President with respect to the prosecution of war or in the interest of national defense, or an Executive Order of the President or Governor of the State with respect to the preservation of energy resources. (3) . The contractor is prevented from proceeding with the work by reason of a preliminary, special, or permanent restraining order of a court of competent jurisdiction where the issuance of such order is primarily caused by the acts or omissions of persons or agencies other than the contractor. (4) The Secretary is notified by the Federal Highway Administration that the project is inactive. (5) The Secretary determines that such termination is in the best interests of the State. XV. Venue for Claims and/or Causes of Action For the convenience of the parties to this contract, it is agreed that any claims and/or causes of action which the Local Agency has against the State of Washington, growing out of this contract or the project with which it is concerned, shall be brought only in the Superior Court for Thurston County. XVI. Certification Regarding the Restrictions of the Use of Federal Funds for Lobbying The approving authority certifies, to the best of his or her knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any federal agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of any fcderal contract, the malting of any fcderal grant, the making of any federal loan, the .entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any federal agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit the Standard Form - LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all suba►vards at all tiers (including subgrants, and contracts and subcontracts under grants, subgrants, loans, and cooperative agreements) which exceed $100,000, and that all such subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification as a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Additional Provisions DOT Form 140-039 EF b Revised 03/2014 Adw wrWashington State o Department of Transportation Local Agency Federal Aid Project Prospectus Date 12/16/2014 Prefix Route DUNS Number 040172827 Federal Aid Project Number Local Agency WSDOT Federal Employer Project Number E4CD/c462 (Use Only/ Tax ID Number 916001244 Agency CA Agency Federal Program Title Edmonds ® Yes ❑ No ® 20.205 ❑ Other Project Title Start Latitude N 47.799591 Start Longitude W-122.3464 220th St. SW Overlay from 76th Ave. W to 84th Ave. W End Latitude N 47.799605 End Longitude W-122.3355 Project Termini From - To Nearest City Name Project Zip Code (+ 4) 198020 76th Ave W 84th Ave. W Edmonds From To Length of Project Award Type NA NA 0.5 miles ® Local ❑ Local Forces ❑ State ❑ Railroad Federal Agency City Number County Number County Name WSDOT Region 1 ® FHWA ❑ Others 0465 31 Northwest Region Congressional District Legislative Districts Urban Area Number 1 , 21 N4 Total Local Agency Federal Funds Phase Start Phase Estimated Cost Funding Date Nearest Hundred Dollar) (Nearest Hundred Dollar (Nearest Hundred Dollar) Month Year P.E. $100 000 $25 000 $75 000 01115 $705 000 R/W $940 000 $235,000 05/15 Const. $780,000 Total $1 040,000 $260.000 Description of Existing Facile(Existing Design and Present Condition Roadway Width Number of Lanes 1 40' 2 + Parkin A 1/2 mile stretch of minor arterial providing one of the main access routes to the the Edmonds' Downtown area. Last overlaid in the mid-90's, the roadway has several failed sections with longitudinal cracks and rutting. Utility patches from past projects have also contributed to the current pavement condition. Description of Proposed Work Description of Proposed Work (Attach additional sheet(s) if necessary) A full -width roadway grind and 2" overlay will be completed. The project also consists in upgrading all non -compliant ADA curb ramps and the potential addition of bike lanes on both sides of the stretch. Local Agency Contact Person Title Phone Bertrand Hauss Transportation Engineer 425-771-0220 Mailing Addressy City State Zip Code bertrand.hauss@edmondswa.gov Edmonds WA 98020 iAJ.��W By - - Project Prospectus Approval Approving Authority Title City Engineer Date & DOT Form 140-101 EF Page 1 of 3 ♦ Previous Editions Obsolete Revised 04/2014 Agency Project Title Date Edmonds 220th St. SW Overlay from 76th Ave. W to 84th 12/16/2014 Right of Way ` ® No Right of Way Required I ❑ Right of Way Required All construction required by the ❑ No Relocation ❑ Relocation Required contract can be accomplished within the existina riaht of way. Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project No major structures in the area. Adjustments are expected to be limited to utility lids and grates. FAA Involvement Is any airport located within 3.2 kilometers (2 miles) of the proposed project? ❑ Yes ® No Remarks This project has been reviewed by the legislative body of the administration agency or agencies, or it's designee, and is not inconsistent with the agency's comprehensive plan for community development. Agen Date 1 S By DOT Form 140-101 EF Revised 04/2014 Page 3 of 3 ♦ Previous Editions Obsolete f