HomeMy WebLinkAboutAdden 1 • - � ���#����� CAG-15-007, Adden #1-16
� � Washington State
. vf/ Department of Transportation Local Agency Agreement Supplement
Agency ' Supplement Number
Ci of Renton 1
Federal Aid Project Number Agreement Number CFDA No. 20.2�5
CM-1193 003 LA 8535 Catalo ofFederalDomesticAssistance
The Local Agency requests to supplement the agreement entered into and executed on
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 1 16th Ave SE Sidewalk Length 0.2 mi
Termini SE Petrovitsky Rd to SE 172nd Ln(ext)
Description of Work � No Change
Reason for Supplement
Adding connecting Washington State funds,part of the 2015 Safe Route to School Program.
Are you claiming indirect cost rate? ❑Yes � No Project Agreement End Date 12/31/2018
Does this change require additional Right of Way or Easements? ❑Yes ❑ No Advertisement Date: �'J ( � µ�
Estimate of Funding
Type of Work ��� �2> �3� �4� �5�
Previous Supplement Estimated Total Estimated Agency Estimated
A reemenUSu I. Pro�ect Funds Funds Federal Funds
PE a.A enc
86.5 % b.Other
c.Other
Federal Aid d.State
Participation
Ratio for PE e.Total PE Cost Estimate(a+b+c+d)
Right of Way f.A enc
% Other
Federal Aid h. Other
Participation
Ratio for RW i.State
j.Total R/W Cost Estimate(f+g+h+i)
Construction k.Contract
I. Other
o�o m.Other
Federal Aid n.Other
Participation o.A enc
Ratio for CN State
Total CN Cost Estimate k+l+m+n+o
r.Total Pro'ect Cost Estimate e+'+
The Local A enc further sti ulates that ursuant Title 23, re ulations and olicies and rocedures, and as a condition
9 Y P P ��������/�� 9 P P
to payment of the Federal funds obligated, i omply with the applicable provisions.
Agency Officia� ;��°;��lo oi1;��,� Washi ton State ep rtment of Tra portation
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By � r,>�" �By
Title Den' Law, M8y T' �1 �Director,Local Programs
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Attest: , " r, '� ? ,;Cr !7 � �n�;r�
JaJ on Seth, City , 1� �. ����� Date Executed �`�,r�
DOT Form 140-0 ''�i�,,, S� �����
TED ��, Page 1
Revised 04 015 ��'��1'����,
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- - - --- ---- - -
- ------- --
A enc - ------- - ---
• - -- ----- -
9 Y Supplement Number
City of Renton 1
- - ---- - - - -- -- - - —
Federal Aid Project Number Agreement Number CFDA No. 20.205
CM-ll 93(003) LA 8535 (Catalog of Federal DomesticAssistance)
- - -- - - ---- ----- ---
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, generai 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 O�ce 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, ConsultantAuthorization, Selection, and AgreementAdministration; 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.
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, 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.
VIII. 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.
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 05/2015
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Federal Aid Number: CM-1193(003)
Agreement Number: LA 8535
Project Title: 116th Ave SE Sidewaik
Supplement Number: 1
Estimate of Funding
Type of Work (1) (2) (3) (4) (5) (6)
rrccviv�a SUPPLEMENT
AGREEMENT/ ESTIMATED TOTAL ESTIMATED ESTIMATED ESTIMATED
SUPPLEMENT PROJECT FUNDS AGENCY FUNDS STATE FUNDS FEDERAL FUNDS
P.E. a. Agency: $15,000 $15,000 $2,025 $12,975
86.5% b. Other_Consultant $97,920 $97,920 $13,220 $84,700
Federal Aid c. Other_Consultant(CNW state funds)_ $80 $80 $80
d State $5,000 $5,000 $675 $4,325
e Total PE Cost Est.(a thru e) $118,000 $0 $118,000 $16,000 $102,000
Right of W�f Agency
% g Other
Federal Aid h Othef
Participation i St2t2
Ratio for RW j Total R/W Cost Est.(f thru j) $0 $0 $0 $0 $0 $0
Constructic k Contract $558,000 $558,000 $75,330 $482,670
I Contract-(State Fund)
m Conract_Non-Participate
86.5 % n Other _Consultant $117,000 $ll 7,000 $15,795 $101,205
Federal Aid n1. Other_Consultant(State Fund) $8,000 $8,000 $8,000
Participation o Agency ^�22,422 $22,422 $3,027 $19,395
Ratio for CN o1. Agency-(State Fund) $8,578 $8,578 $8,578 �
02. Other Non-Participate �
p State $Q
p1. State-(State Fund) $2,000 $2,000 $270 $1,730
q Total Const.Cost Est.(k thru p) $0 $716,000 $716,000 $0 $111,000 $605,000
r.Total Project Cost Estimate(e+j+q) $118,000 $716,000 $834,000 $16,000 $111,000 $707,000
•� �"` `"'� �w
� ��n� Local Agen�L�3��=�`ederal Aid
-�` ����� Project Prospectus
Date 3/9/2016
Prefix Route
Federal Aid DUNS Number 092278894
Pro'ect Number CM-1193(003)
Local Agency ( WSDOT 1 Federal Employer
Pro'ect Number 8535 �use on�yJ Tax ID Number 916001271
Agency CA Agency Federal Program Title
City of Renton �Yes ❑No � 20.205 ❑ Other
Project Title Start Latitude N 47°26'43" Start Longitude W 122°11'10"
116th Ave SE Sidewalk
End Latitude N 47°26'S5" End Longitude W 122°I1'10"
Project Termini From-To Nearest City Name Project Zip Code(+4)
SE Petrovits Rd SE 172nd Ln ext Renton 98058
Begin Mile Post End Mile Post Length of Project Award Type
N/A N/A 0.2 mi � Local ❑ Local Forces ❑ State ❑ Railroad
Route ID Begin Mile Point End Mile Point City Number County Number County Name
N/A N/A N/A 1070 17 Kin
WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number
Northwest Re ion 11 9 1
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. _$118 000 $16 000 $102 000 03/2015
R/V1l
Const. $716 000 $111 000 $605 000 04/2016
Total $834 000 $127 000 $707 000
DesCri tion of Existin FaCilit Existin Desi n and Present Condition
Roadway Width Number of Lanes
Varies-30-42 at intersection 2lanes
ll6th Ave SE is a minor arterial with 2 lanes of traffic and daily volume of 12,000 vehicles.
Descri tion of Pro osed Work
Description of Proposed Work(Attach additional sheet(s)if necessary)
The project will design and construct a missing link 5-foot sidewalk on the east side of 116th Ave SE.The project includes a
vegetated buffer separating the sidewalk from the traveled roadway.
Local Agency Contact Person Title Phone
Juliana Fries Pro ram Develo ment Coordinator 425-430-7232
Mailing Address City State Zip Code
1055 S Grad Wa Renton WA 98057
By
Project Prospectus Approval l' , Approving Authority
Title/ � Date � �
DOT Form 140-101 ♦ Previous Editions Obsolete ♦
Revised 04/2015 Page 1
� �
Agency Project Title Date
City of Renton 116th Ave SE Sidewalk 3/9/2016
T e of Pro osed Work
Project Type(Check all that Apply) Roadway Width Number of Lanes
❑ New Construction ❑ Path/Trail ❑3-R
� Reconstruction ❑ Pedestrian 1 Facilities �Z_R 48 to 66 4 -5
❑ Railroad ❑ Parking ❑ Other
❑ Bridge
Geometric Design Data
Descri tion Throu h Route Crossroad
❑ Principal Arterial ❑ Principal Arterial
Federal � Urban � Minor Arterial ❑ Urban ❑ Minor Arterial
Functional ❑ Rural ❑ Collector ❑ Rural ❑ Collector
❑ NHS � Major Collector � NHS � Major Coilector
Classification ❑ Minor Collector ❑ Minor Collector
❑ Local Access ❑ Local Access
Terrain ❑ Flat � Roll ❑Mountain ❑ Flat ❑ Roll ❑Mountain
Posted S eed 30 m h
Desi n S eed N/A
Existin ADT 12000
Desi n Year ADT N/A
Desi n Year N/A
Design Hourly Volume(DHV) N/A
Performance of Work
Preliminary Engineering Will Be Performed By Others Agency
Consultant 99 % 1 %
Construction Will Be Performed By Contract Agency
Contract 100 % %
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
Environmental Considerations
Environmental CE approved on 2/26/2016.
DOT Form 140-101 Page 2
Revised 04/2015 ♦ Previous Editions Obsolete♦
� �
Agency Project Title Date
City of Renton 116th Ave SE Sidewalk 3/9/2016
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 wiil be completed prior to the start of the ❑ All railroad work wiil be completed prior to the start of the
construction contract construction contract
�Ail 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
Minor utility work needed to accommodate stonn water conveyance system.
FAA Involvement
�s 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 iYs designee, and
is not inconsistent with the agency's comprehensive plan for community development.
Agency ty of Renton
Date � ,�� ZC�/(�' By �
Denis Law, ayor
DOT Form 140-101 EF
Revised 04/2015 ♦ Previous Editions Obsolete ♦ Page 3