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Home My WebLink AboutAdden 1 Public Works Board Public Voks Trust Fund o ( _ Construction Loan Program CAG-02-079 Adden #1-04 Project Close-Out Report Loan Agreement Number: PW-02-691-045 NOTE::This report shal t serve as a contract AMENDMENT for determining the final4loan amount;:. interest rate,and local share and shall be attached and incorporate..d into the loan agreement The report accounts for funds associated with the.Pubhc Works:Trust Fund Loan Agreement's Scope;.:,. Of Work. 'Costs outside of the Scope of Work are not accounted for by this report. - City of Renton 1055 South Grady Way kalfliy K lker-Wheeler Renton WA 98055 Mayor i ATTEST: , nn e # n r NOTE: This document_is to certify that the protect,as describe mlie Publc or�csfiusun oan Agreement's Scope of work,�s complete and has been designed and constructed to current standards_ .. SECTION 1: Estimated and Actual Project Expenditures by Cost Category. COSTCATEGORY ESTIMATED ACTUAL Preliminary Engineering A. N. $ I Environmental Review B. 3,500.00 O. $3,087.81 Design Engineering I C. $ 105,037.00 P. $109,812.40 Land/ROW Acquisition I D. Q. Sales or Use Taxes E. R. Other Fees I F. 838.00 S. $0.00 Construction Inspection I G. 10,000.00 T. $37,641.46 Start-Up Costs I H. U. Relocation Costs I I. V. Financing Costs J. W. Contingency K. 77,300.00 X. Construction L. 773,000.00 Y. $894,753.55 TOTAL PROJECT COST M $ 969,675.00 Z. $1,045,295.22 SECTION 2: Attachment • If applicable,a signed A-19 voucher for the final loan draw. Please note:copies of clearance documents from the Department of Revenue and the Department of Labor and Industries are no longer required for close out. However, borrowers are still required to comply with all state regulations regarding public works contracts. SECTION 3: Certification The chief executive officer of the jurisdiction certifies that: • To the best of his/her knowledge,the data provided in this report is true and correct as of the date indicated below; • Records supporting the information provided in this report are on file and will be made available by the juri sdiction upon request; and • There are no outstanding liens against this project IZ mo Z00� ature of Project Engineer or Consultant Date Joh D.Wilson,Project Engineer Signature f Chief Executive Officer Date —�� Kathy Keolker-Wheeler,Mayor ` ATTEST: State of WASHINGTON Bonnie I. Walton.,.,. ,City Clerk County of KING On this 20th day of May ,20 04, Kathy Keolker-Wheeler personally appeared before me, X who is/are known to me, whose identity I verified on the bases of , whose identity I verified on the oath/affirmation of a credible witness, to be the signer/s of the b document, and he4phey acknowledged that h she they signed it. ,r 17-u-za# D. L—om--E-ard Notary Public (Seal or Stam My Commission Expires: 9/9/2005 C:\Data Files\Projects\CT Detention Pipeline\PWTF Loan\Final Report\Renton pw-02-045.doc Return this worksheet with CIOSAWit Report WORKSHEET FOR CALCULATING THE FINAL DRAW &LOCAL MATCH Unlike the first two vouchers,the Public Works Board staff is unable to calculate the amount of the final draw. Two variables essential to the calculation are known only by the jurisdiction, i.e.,the actual total eligible project cost and the interest earned on the PWTF funds. The worksheet provided here is designed to assist the jurisdiction in calculating the amount of the final draw. Worksheet: Step 1. Identify the Actual total eligible project cost fr m Section 1(Z). 1. 1,045,295.2 Step 2. PWTF contract's face amount. 2. 814,527.00 Step 3. Identify the Actual local funds used as match*Eligible costs may be considered local 3. 230,768.22 share from: May 14,2001 Step 4. Identify other federal or state grants used for project costs. 4. 0.00 Step 5. Balance of eligible project cost(subtract line 4 from line 1). 5. 1,045,295.22 Step 6. Multiply Line 5 by 85%, 90%,or 95%, as defined in the"Disbursement of Loan Proceeds" 85°r section of the loan agreement. 6. 888,500.94 Step 7. Identify interest earned on PWTF funds. 7. 1,526.14 Step 8. Subtract line from line 7 from line 6. 8. 886,974.8( Step 9. Enter the lesser of line 2 or line 8 (or a local option of an elective amount less than both line 2 and line 8). 9. 814,527.0( Step 10. Amount drawn from the project's PWTF allocation to date. 10. 522,180.0( Step 11. To calculate the final draw amount for the project, subtract line 10 from line 9 (If this is a negative amount,this is the amount needed to refund to the Public Works Board 11. 292,347.0( within 30 days) Step 12. Percent of local share(divide line 3 by the sum of lines 3 & 9). 12. 22.08 0r ..M11i� .,� Local Funds Included: • Loans(state,federal,and local) • Locally generated revenue Local Funds Excluded. • Interest earned on PWTFfunds • All grants • PWTFPre-Construction loan CAData Files\Projects\CT Detention Pipeline\PWTF Loan\Final Report\Renton pw-02-045.doc AdIlk -FORM STATE ASHINGTON AGENCY USE ONLY A19=1 A AGENCY NO. CONTRACT NO.OR GA AUTH.NO. INVOICE VOUCHER 103 PW-02-691-045 AGENCY NAME INSTRUCTIONS TO VENDOR OR CLAIMANT: Public Works Board In the absence of a detailed invoice,submit this form to claim payment for materials, Evergreen Plaza Building merchandise or services. Show complete detail for each item. Vendor's Certificate: 711 Capital Way, Suite 102 1 hereby certify under penalty of perjury that the items and totals listed herein are PO Box 48319 proper charges for materials,merchandise or services furnished Olympia,WA 98504-8319 VENDOR OR CLAIMANT(warrant is to be payable to) to the State of Washington,and that all goods furnished and/or services Cityf Renton rendered have been provided without discrimination because of age,sex,marital y o status,race,creed,color,national origin,handicap,religion,or Vietnam era or Utility Systems Division 5`h Floor disabled veteran status. 1055 South Grady Way Renton, WA 98055 By (Sign in ink) (Title) (Date) FEDERAL I.D.NO.OR SOCIAL SECURITY NO. RECEIVED BY DATE RECEIVED DATE DESCRIPTION QUANTITY UNIT PRICE AMOUNT PW-02-691-045 Final Voucher Loan Amount 814,527.00 Previous Draws 522,180.00 Balance 292,347.00 Total Final Voucher $ 292,347.00 PREPARED BY(Fiscal) DATE SERVICE AREA APPROVAL DATE DOC DATE CURRENT DOC NO REF DOC NO VENDOR NUMBER VENDOR MESSAGE M SUB TRANS O APPN PROGRAM SUB SUB INVOICE GENERAL SUF CODE D FUND INDEX INDEX OBJ I OBJ CNTY CITY PROJECT AMOUNT NUMBER LEDGER APPROVED FOR PAYMENT BY FISCAL DATE WARRANT TOTAL C:\Data Files\Projects\CT Detention Pipeline\PWTF Loan\Final Report\Renton pw-02-045.doc Washington State City Of Re Public Works Board ® Renton Post Office Box 48319 CT 11200? Olympia,Washington 98504-8319 �I1C� October 9, 2007 /CITYOFRENTON -~ NOV 0 8 200; Mr. Michael Bailey RECEIVED City Of Renton CITY CLERKS OFTICt' 1055 S Grady Way Renton, WA 98058 Regarding: Public Works Trust Fund Loan Agreements elprOp.o65 • PW-5-92-280-033 • PW-5-93-280-040 CAA - 93-05(o CA4-q3_o55. PW-5-93-280-041 PW-5-94-784-032 r-.a4- aN- 0y45 CAq_ qS-058• PW-5-95-791-032 PW-5-95-791-033 CAIN- q5- o5,7 09- q6- 076 • PW-5-96-791-044 PW-5-96-791-045 CAG- y6 -n,79 'eA} _9,7 -/30• PW-97-791-028 P W-01-691-PRE-117 l A.0- 01- 1-7.5 C44- 02-079 • PW-02-691-045 Dear Mr. Bailey: Enclosed are fully executed originals of amendments to your Public Works Trust Fund Loan Agreements (see precise loan numbers above). These amendments remove the acceleration clause in the above referenced loans. Please keep this original with other local records related to your approved Public Works Trust Fund Loan Agreements. If you have any questions please call, Isaac Huang, your Client Services Representative, at (360) 586-4129 or you may call me at(360) 586-4135. Sincerely; Cathy Brockmann Contract Specialist CLB:ac Enclosure Administrative services provided by the Department of Community,Trade and Economic Development (360)586-4120 Fax(360)664-3029 Web site: www.pwb.wa.gov