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Home My WebLink AboutCONSENT Supplement 2 SR 19 Rhody Drive Ped-Bike Department of Public Works O Consent Agenda Page 1 of 1 Jefferson County Board of Commissioners Agenda Request To: Board of Commissioners Josh Peters, County Administrator From: Eric Kuzma, Public Works Director Agenda Date: April, 2026 Subject: WSDOT Local Agency Agreement LA-10459 Supplement # 2 and Local Agency Federal Aid Project Prospectus for SR19 Rhody Drive Ped-Bike Improvements - South Segments County Project No. 18020950, WSDOT Project No.TAP-0019(008) Statement of Issue: Approve and sign the WSDOT Local Agency Agreement LA-10459 Supplement #2 and the Local Agency Federal Aid Project Prospectus (Prospectus) for SR19 Rhody Drive Ped-Bike Improvements - South Segment, County Project No. 18020950, WSDOT Project No. TAP-0019(008). Analysis/Strategic Goals/Pro's Et Con's: The SR19 Rhody Drive Ped.-Bike Improvements - South Segment project is included in the adopted 2026-2031 Transportation Improvement Plan (TIP) as Item No. 7. This project will provide pedestrian and bicycle facilities along SR19 in Chimacum, from Chimcum High/Middle/Elementary Schools to 800-ft east of the 4 way intersection with SR-19, Chimacum Road and Center Road. The project also includes ADA accessible sidewalks, crosswalks, a bicycle lane, and a pedestrian bridge across Chimacum Creek. Execution of Supplemental #2 will provide additional funds for the preliminary engineering (PE) phase of this project, with construction advertisement scheduled for early 2027. Due to WSDOT operational delays, this is the third time the BoCC is being asked to re- sign these documents. Fiscal Impact/Cost Benefit Analysis: In 2022, the County was awarded Transportation Alternatives Program (TAP) funding from WSDOT for preliminary engineering (PE) in the amount of $175,830, the amount includes a 13.5% match requirement. In March 2024, WSDOT's Connecting Communities Pilot Program (CCPP) grant (100% grant) was awarded to the County for PE and right-of- way (ROW) in the amount of $260,000 ($218,800 for PE and $41,200 for ROW). In January 2025, an additional CCPP grant (100% grant) was awarded to the County for PE in the amount of $141,300. Therefore, the total PE funding is $535,930 and the total ROW funding is $41,200. Supplement #2 is intended to obligate the 2025 CCPP grant Department of Public Works O Consent Agenda Page 2 of 2 amount of $141,300 for the PE Phase of the SR19 Rhody Drive Ped-Bike Improvements - South Segment. Recommendation: Public Works recommends that the Board approve and sign the WSDOT Local Agency Agreement LA-10459 Supplement #2 and the Local Agency Federal Aid Project Prospectus (Prospectus) for SR19 Rhody Drive Ped-Bike Improvements - South Segment, County Project No. 18020950, WSDOT Project No. TAP-0019(008) and return all the documents to Public Works for further processing. Department Contact: Bruce Patterson, P.E., Project Manager, 385-9169. Reviewed By: Josh eters, County Administrator Date CONTRACT REVIEW FORM Clear Form (INSTRUCTIONS ARE ON THE NEXT PAGE) Pvo — CONTRACT WITH: Washington DOT Contract No: Contract For: SR 19 Rtrody Drive Pea-Bare Improvements-South Segment(18020950) Term: 12/31/29 COUNTY DEPARTMENT: Public Works Contact Person: Bruce Patterson Contact Phone: 360-385-9169 Contact email: bpatterson@co.jefferson.wa.us AMOUNT: $141,300.00 PROCESS: — Exempt from Bid Process Revenue: WSDOT C.C.P.P. (100%) Cooperative Purchase .___ Expenditure: 18000010.595.410000 Competitive Sealed Bid Matching Funds Required: No Small Works Roster Sources(s)of Matching Funds Vendor List Bid Fund # 180 ._, RFP or RFQ Munis Org/Obj 18033403.334061.20950 ✓ Other: LAA Supplemental#2 APPROVAL STEPS: STEP 1: DEPARTMENT CERTIFIES COMPLI E WITH JCC 3.55.080 AND CHAPTER 42.23 RCW. CERTIFIED: n N/A:Ei li...42. 3,�j Zci=7. ignature jDDate STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL AGENCY. 2 CERTIFIED: ElN/A: Q (" __ �rz( p Signature Date iST P 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche): Electronically approved by Risk Management on 4/6/2026. STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche): Electronically approved as to form by PAO on 4/2/2026. Reviewed and approved by jbl on 04/02/2026 STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND PROSECUTING ATTORNEY(IF REQUIRED). STEP 6: CONTRACTOR SIGNS STEP 7: SUBMIT TO BOCC FOR APPROVAL 1 Washington state ir Agency Local Federal Aid Department of Transportation Local Prospectus Prefix Route ( ) Date 101/12/2026 Federal Aid TAP-HLP 0019 008 DUNS Number( 179278197 Project Number Local Agency 1 Federal Employer ( wsooi )LA-1045991-6001322 oer Use Only Tax ID Number Agency CA Agency Federal Program Title Jefferson County LI Yes 0 No ❑20.205 0 Other Project Title SR-19 Rhody Dr.Ped/Bike Improvements South Start Latitude N 48.010265 Start Longitude W 122.765952 End Latitude N 48.012938 ,End Longitude W 122.776680 Project Termini From-To Nearest City Name I Project Zip Code(+4)' Center Rd W.Valley Rd I Chimacum 98325-8702 Begin Mile Post I End Mile Post Length of Project Award Type 8.94 9.56 0.62 ✓❑Local❑Local Forces❑State['Railroad Route ID Begin Mile Point End Mile Point I City Number County Number County Name SR-19 8.94 i 9.56 16 Jefferson WSDOT Region 1 Legislative District(s) 1 Congressional District(s) Urban Area Number Olympic Region 1 24 ' 6 t ii Total I Local Agency 1 Federal Funds Phase Start Phase Estimated Cost j Funding Date (Nearest Hundred Dollar) (Nearest Hundred Dollar) (Nearest Hundred Dollar) Month Year P.E. $535,900 $383,800 I$152,100 June 2022 R/W $60,000 $60,000 June 2026 Const. $1,421,000 $1,421,000 January ' . 2027 Total $2,016,900 $1,864,800 $152,100 Description of Existing Facility (Existing Design and Present Condition) Roadway Width 1 Number of Lanes 40 ft(12ft lanes, 8ft shoulders) I2 The existing facility is a state highway(SR-19) and the adjacent highway right of way, with the exception of the proposed pedestrian bridge right of way. Description of Proposed Work Description of Proposed Work(Attach additional sheet(s)if necessary) Design and construct pedestrian and bicycle facilities to serve Safe Routes to Schools and the commercial corridor on a state highway. This includes new infrastructure for a pedestrian stream crossing, bus stop and pedestrian intersection crossings. Local Agency Contact Person Title Phone Bruce Patterson Project Manager (360)385-9169 Mailing Address City State Zip Code 623 Sheridan Street - Port Townsend WA 98368 By - -`� Public Works Director _-_._. Approving Authority _� Project Prospectus pp g Title Date �, j�___ DOT Form 140-101 Page 1 Revised 01/2022 Previous Editions Obsolete Agency Project Title Date Jefferson County SR-19 Rhody Dr. Ped/Bike Improvements Si i 01/12/2026 Type of Proposed Work Project Type(Check all that Apply) Roadway Width Number of Lanes ✓� New Construction ❑Path /Trail ❑3-R ❑Reconstruction Pedestrian/ Facilities ❑2-R ❑Railroad ❑Parking ❑Other ❑Bridge Geometric Design Data Description Through Route Crossroad C Principal Arterial ❑Principal Arterial Federal ❑Minor Arterial ❑Minor Arterial Urban Functional ❑R ❑Collector Urban ❑Collector VIu Rural ✓ Rural Classification ❑NHS Major Collector ❑NHS Major Collector ❑Minor Collector ❑Minor Collector ❑Local Access ❑ Local Access Terrain I✓I Flat ❑Roll ❑Mountain It Flat ❑Roll ❑Mountain Posted Speed 35 MPH 35 MPH Design Speed 45 MPH 45 MPH Existing ADT 8000 8000 Design Year ADT N/A N/A Design Year IN/A N/A Design Hourly Volume (DHV) N/A N/A Performance of Work Preliminary Engineering Will Be Performed By i Others Agency Agency and Consultant 70 % 30 Construction Will Be Performed By Contract j Agency Contractor 100 % 0 Environmental Classification ❑Class I - Environmental Impact Statement(EIS) ✓ Class II - Categorically Excluded (CE) ❑Project Involves NEPA/SEPA Section 404 111 Projects Requiring Documentation Interagency Agreement (Documented CE) ❑Class III - Environmental Assessment (EA) ❑ Project Involves NEPA/SEPA Section 404 Interagency Agreements Environmental Considerations This project will mainly be constructed withing the existing road shoulder and right of way along SR19/The proposed design includes placement of a prefabricated pedestrian bridge alongside an existing bridge and will require purchase of right of way. This design will limit impacts to Chimacum Creek during construction. T Form 140-101 Page Revised 01/2022 Previous Editions Obsolete Date Agency Project Title Jefferson County SR-19 Rhody Dr. Ped/Bike Improvements S( 01/12/2026 Right of Way ❑ No Right of Way Needed it Right of Way Needed All construction required by the WI No Relocation ❑ Relocation Required contract can be accomplished within the existing right of way. j Utilities Railroad ❑ No utility work required [L No railroad work required ❑All utility work will be completed prior to the start r]All railroad work will be completed prior to the start of of the construction contract the construction contract ✓�All utility work will be completed in coordination ❑All the railroad work will be completed in coordination with the construction contract with the construction contract Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project Minor utility work is anticipated due to excavations. FAA Involvement Is any airport located within 3.2 kilometers (2 miles) of the proposed project?❑Yes ✓1 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 Jefferson County Board of County Commissioners Date By -- Mayor/Chairperson DOT Form 140-101 Page 3 Revised 01/2022 Previous Editions Obsolete OmWashington State Department of Transportation Local Agency Agreement Supplement Agency Supplement Number Jefferson County 2 Project Number Agreement Number ALN. 20.205-Highway Planning TAP-HLP-0019(008) LA-10459 and Construction Federal Highway Administration(FHWA) All provisions in the basic agreement remain in effect except as modified by this supplement. The Local Agency certifies that it is not excluded from receiving Federal funds by a Federal suspension or debarment (2 CFR Part 180).Additional changes to the agreement are as follows: Project Description Name SR-19 Rhody Drive Pd-Bike Improvements-South Length 0.62 mi Termini SR-19 MP 8.94 to SR-19 MP 9.56 Description of Work I No Change Reason for Supplement Obligate additional funds for PE phase, and extend Project Agreement End Date Indirect Cost Rate Yes No Project Agreement End Date 12/31/2029 Advertisement Date Estimate of Funding Type of Work (1) (2) (3) (4) (5) Previous Supplement Estimated Total Estimated Agency Estimated Federal Agreement/Suppl. Project Funds Funds Funds PE a.Agency 0.00 86.5 % •• Federal Aid b.Other SEE Ex: o' I E3 I T A Participation 0.00 Ratio(s)for PE d.State Services e.Total PE Cost Estimate 0.00 0.00 0.00 0.00 0.00 RW f.Agency 0.00 g.Other 0.00 Federal Aid 0.00 Participation h.Other Ratio(s)for RW i.State Services 0.00 i.Total R/W Cost Estimate 0.00 0.00 0.00 0.00 0.00 CN k.Contract 0.00 I.Other 0.00 Federal Aid m. Other 0.00 Participation n.Other 0.00 Ratio(s)for CN o.Agency 0.00 p.State Services 0.00 q.Total CN Cost Estimate 0.00 0.00 0.00 0.00 0.00 r.Total Project Cost Estimate 0.00 0.00 0.00 0.00 0.00 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 By By Title Jefferson County BoCC Chair Approved as to form only: Director, Local Programs Agency Date Date Executed 04/02/2026 DOT Form 140-041 LP Revised 09/2025 Je rah .Luther, Date Page 1 •Previous Versions Obsolete• Deputy Prosecuting Attorney Agency Supplement Number Jefferson County 2 Project Number Agreement Number ALN 20.205-Highway Planning TAP-HLP-0019(008) LA-10459 and Construction Federal Highway Administration(FHWA) 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. 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$1,000,000 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 LP Revised 09/2025 Page 2 •Previous Versions Obsolete• Exhibit A Jefferson County SR 19 Rhody Drive Ped-Bike Improvements-South Segment TAP-00109(008) Local Agency Agreement: LA-10459 Supplement#2 VERS 3 2/14/2025 (1) (2) (3) (4) (5) (6) Previous Supplement Estimated Total Estimated Agency Estimated State Estimated Federal Type of Work Agree/Suppl Project Funds Fund Funds PE a Agency(Fed.TAP) $ 80,850.00 $ - $ 80,850.00 $ 10,915.00 $ - $ 69,935.00 86.5% b Other(Consultant)(Fed.TAP) $ 89,980.00 $ 89,980.00 $ 12,147.00 $ - $ 77,833.00 Federal Aid d Other(Agency)(State CCPP) $ 21,553.00 $ - $ 21,553.00 $ 21,553.00 $ - Participation e Other(Consultant)(State CCPP) $ 197,247.00 $ 141,300.00 $ 338,547.00 $ - $ 338,547.00 $ - Ratio for PE, f State Services $ 5,000.00 $ - $ 5,000.00 $ 675.00 $ - $ 4,325.00 100%State Aid g Total PE Cost Estimate $ 394,630.00 $ 141,300.00 $ 535,930.00 $ 23,737.00 $ 360,100.00 $ 152,093.00 Right of Way h Agency $ - $ - 100.0% i Other(Consultant) $ - Federal Aid j Other $ - $ - $ - $ - Participation k State Services $ - $ - $ - $ - Ratio for R/W I Total R/W Cost Estimate $ $ - $ - $ - $ - $ - r Construction Y m Contract CWA $ - $ - $ - $ - 86.5% Y n Contract Local $ - $ - $ - $ - Federal Aid N o Contract STP $ - $ - $ - $ - Participation p Agency $ - $ - $ - $ - Ratio for CN Y q Agency Local $ - $ - $ - $ - N r Agency STP $ - $ - $ - $ - Y s Agency CWA $ - $ - $ - $ - Y State Local $ - $ - $ - $ - Y t State Services CWA] $ - $ - $ - $ - u Total CN Cost Estimate $ - $ - $ - $ - $ - $ - v Total Project Cost Estimate $ 394,630.00 $ 141,300.00 $ 535,930.00 $ 23,737.00 $ 360,100.00 $ 152,093.00 1 :i , ril u 6 ty IOW Washington State VI Oapartinent of Transportation Local Agency Agreement Supplement JEFF t KSON CUUN I Y t Iede'al Aid Protect N,mtte' 'Arire�men Vrrrrit e' 'CFDA No 20.20 -n seirav Pa,-m) TAP-0013(00e) LA 10459 and Co' ln.eror Alt provisions in the beslc agreement reorder in effect except as modified by I•trt aupplenie't —he Loci,Agency ceA.hes that d le nol excl.,ded Gore receiving Fedora)tures by a Federal suspension or debarment {2 CFR Part 180) Add+bonal changes to the agreement ere Its/alums Protect Description Name SR 19 RHODY OR Vr PED-BIKE MPROVE .IN'S-SUIJ I SEGMENT Length 0 d2 111005 Ternirni SAtla 944 P A 84(CENTER ROAD',TO SR 19 M P 9 SA WE.T VAL.F'l ROAD) Description of Work it No(mange Reatean ter Supplement Ob gene now PE Seale Funds(Cf eP)&Strut esistrip rederei Funds 1:1A/';'roe*.I't Ayer-y Islam a never PE Cu+rs.,ltant line i Are you c a,ming indirect cost rate' Yes No Pro act Aq•eer"ent End nate Durant tier 31 202A Advenlstlnrrnt Date I. Estimate of Fundin8 Type of Work (1) '1' '4t is) Previot.s "I Est rnated'olal Esvrs'edAgency E&'mated=:Cora _4greerre":3l.cp, 'c�c erertl Prier ..:Ms Fvids force -F 3 a4t"YY Aso .. SEE EXHIBIT A "' ,-edarat A A (.o aatrcvatror• . Gt''er Ralok:rPE :.-,51ale O* OM . 1 e a TptalPECarE, +lase t'', '11p,i 1 t,on Ir.I+ boll _ .. gsr.of W ._ ,cy t p tX1 gild Federal Axt ' CAM 1 Part pal xi ' Oder r)te1 , Aat W 4 rcr R f-State Se ti a on S,•1,3 Oifil#Cca$EBrrdle tr,7' ) t'Ill ,I Q{) — 1I;MKI 11@I it(WI Cb+tsruttIOn )4 G9f!.Vact C 1M) ' 1^e' i'rat rr CPC' 'i(IC j barb P;Werealma+ '^ Colter (',(Kt 1 Rat:to(.›, i�JYt'nCi tKI ` 1 Stige 5entces 'Ki .7 TOO24C431ESalta1 1..4. '-^•rri tr M• IrtSI I/IKI It 1++ Ir.11 ;' TOW tirCted COILEl6IIIrtRunJ'4L.. (I.!K' 1)t51 it AI II III ll tKl The Local Agency further stipulates that pursuant to sad Title i3,rcgu a.arts and pcbcles and procedures and as a condition to payment nt the Federal IJnee Obligated.it acceots and via cOrnp y veitn the alp rLdble provisions Agency Official ' Washington State Department of Transportation By By Digitally signed by ,ye . Stephanie Stephanie Tax " i Director. _ocal Program Agency Date ;vl t)ate c xnarle d Tax Date 2024A7.3 t 180143 01.00' x� F,rtn rao-t4 J,rly 4 2024 Rwrrwa aKr027 Phi r.y�1 • Agency Supplement Number JEFFERSON COUNTY 1 Federal Aid Project Number !Agreement Number CFDA No. 20.205•Highway Planning TAP-0019(008) LA 10459 and Corstruction 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 Pnnciples 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 Federa 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. 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 Penod 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 j services will be conducted in compliance with Section 504 and the Americans with Disabilities Act(ADA). 1 DOT Finn 140-041 Page 2 Revised 04t2022 Exhibit A - Jefferson County SR 19 Rhody Drive Ped-Bike Improvements-South Segment TAP-00109(008) Local Agency Agreement: LA-10459 Supplement ill N o�f 6/28/2024 (1) _ (2) (3) (4) j (5) (6) Previous Supplement Estimated Total Estimated Agency Estimated State Estimated Federal Type of Work i Agree/Suppl Project Funds Fund cunds PE a Agency $ 170,830.00 $ (89,980.00) $ 80,850.00 S 10,915.00 $ 64,935 00 86 5% b Other(Consultant) $ 89,980.00 $ 89,980.00 $ 12,147.00 $ 2/.833.00 Federal Aid p Othe•(Agency) $ 21,553.00 5 21,553.00 $ 21553.00 Participation a Other(Consritart) S 197,247.00 $ 197;247.00 $ 197,247.00 , Ratio for PE f State Services 5 5,000.00 5 5,000.00 $ 6/5 00 ! $ 4,325,00 g Iola)PE Cost Estimate i $ 175,830.00 $ 218,800.00 5 394,630.00 5 23,737 00 S 218,800,00 5 152,093.00 i Hight of Way h Agency $ $ - i 11{ 100.0% i Other(Consultant) $ - Federal Aid j Other $ - $ +$ - $ - Participation k State Services $ - $ - $ - $ Ratio for R/W I Tota:R/W Cost Estimate $ - S - $ - $ - _$ - $ - r Construction V m Contract CWA 5 - 5 - $ 5 - 86 5% Y n Contract Local 5 - 5 $ - $ - federai Aid N o Contract STP $ - 5 - 5 - $ Participation p Agency S - $ $ - $ Ratio for CN Y q Agency loca 5 - $ 5 - $ N r Agency STP 5 • $ 5 $ Y s Agency CWA S - 5 • $ - _$ F Y State Local 5 - $ - 5 - $ - Y t State Services CWA] S - r$ - $ - $ L. Iota)CN Cost Estimate 5 $ - $ - 5 - 5 - $ ✓ Total Project Cost Estimate $ 175,830.00 $ 218,800.00 5 394,630.00 1 $ 23,737.001$ 218,800.00 _ $ 152,093.00 A 4116. Washington State •/ Department of Transportation Local Agency Agreement A7rncy Jefferson C.nrnri CFDA No 20.205-highway Ptenning and Constru don (Catalog of Fatal Domestic Asetstartpel Adams 623 Shehdan Street TAP-0019(008) Port Townsend WA 98366 Project No Agreement No. LA IC 4151 For WSDOT Use Only The Local Aaency hiving complied or hereby agreeing to comply,with the terms anti conditions set forth in(1)Tele 23,U S Code Highways.(2r the regwabons issued pursuant thereto (3)2 CFR Part 200,(4)2 CFR Part 1eo—cierttrymng thin Olelost agency a,or, excluded from receiving Federal fords by a Federal suspension or debarment (51 the uohciee and Crooedt.res prorriLlgeted by the Wtasrungton State Department of Transportation,and(61 the federal aid protect agreement entered into between the State a-id Federal Goverrtmeni,renew to the above protect the Washington State Department of Transportation Wall authorve the,oca•Agency to proceed on eta protect by a separate rwtercatron Feoe-at Rawls whrrn are to toe mitigates:for Me protect may nut e■ceed tree ar"ounl ehdwtt Mifflin on Woe r t701wn't 3 without widen autetodiy by the State st,olect 0 Vie epprova+of the Frae•ai highway Admvastrat,on Al project oasts not raenb,,raad by the Fede,al Government shall to the resooru Way of the Lacer Agercy Project Description Name SR 19 Rhoty Unite Ped-Hire Improvements-South Length 0 62 Tomlin Center Road MP 8 94 to West Valley Road MP 9 58 Description of Wore Desgn and conatrud peoestrun bicycle Noddies to serve sate•outes to spool unQ:xnune'aal corridor or a slate highway(SR 19) (ncladea new tn"ragructure tora pedestrian strew'crossing and pedeestr s^interlert3n e-ocs rgs ' d roteAgreement End Date December 31 2326 Claming ird red Coat Rate t Yes r/ No 'roposeo Advertisement Date ___ _ t P_st►rriate etFutt (h (2t ;3t Type of Work Urinated Total Estimated Agency Est+naWO Feces! Wgpo Funds Funds Funds PE it,Agency 10,630 00 t 23.062 00 147,760 0o federal Ad comer -14 - 5,000 00 875 00 t. 4,325 00 Re d Stag Simms I TS.M30.00 23,73�W 152.093 Of) _ , _____ . 7.4:4, e TQta1 r0 K'� of Wag t Agency Id_91Le' .. _ Federal Aid h Other Ratio jot Rot ' State Semces L OM:nx.E57a-yk nv�,l 0.00 0 0(1 0.00 aeslrtrcAor t lartif Lett_ tit;trig IFederal Ail n Dttte, PaROpabon _ Ratio forCN O--82tr - _._----- _ -- - _.—_ --- H opal CN C•ostEEstime a.. .o to 000 000 000 3Pes. szsii St"aielt�� 73N3000 2373700 1s OViO Agency Offic at Washington Stab Department of Transportation By �L YL� � By Stephanie 0 aly .9n dby t ter:M nie- Y Tile ,,,K-x , t cf-2(airfoil t S)( y^ Director local Programs Tax Date:2022-09.15 Agency Date Date Executed 1615.0s 3:00 Approved as to T r DOT Fo{m 140-339 y 8126f22 for Pose 1 Revised 04107a . PMap C hun$udke Chief Chit Deputy P'oseaning Attorney Constriction Method of Financing (Check Method Selected) State Ad and Award Method A-Advance Payment -Agency Snare of total construction cost(based on contract award) Method B- Withhokt from gas tax the Agency's share of total constructer coast (kne 5,column 2) in tie amount of $ at$ per month for months Local Force or Local Ad and Award Method C-Agency cost incurred with partial reimbursement —he 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 ob'igated, it accepts and will comply with the applicable provisions set forth below Adopted by official action on January 6 , 2003 Resolution/Ordinance No.Certification Acceptance Qua tfication Agreement Provisions I.Scope of Work The Agency shal provide c i the work,labor materiais.and services necessary to perform the protect wh ch is described aro set forth in detail it the'Protect Cescnption'and"Type of Work.' Whist pie State ails for and on behalf of the Agency the State shall be deemed an agent of the Agency and shaft perform the services described and indicatic in'Type of Work'or the face of th a agreement,in accordance with piens and specoftcabcns as proposed by the Agency and approved by the State and the Fedora H gheay Administration When the State acts for the Agency but is not subsea to the r grit of control by the Agency the Stare shalt rave the ngnt to perform the work subject to:he Ord•nary procedures of the State and Federal Highway Adm nistratio'l II.Delegation of Authority -he State is wiling to fulfill the responsibilities to tie Federal Gover"^tertt by trte admamstraaen of this protect The Agency agrees that the State shaf have pie hilt authority to carry cut this administration The State snag review,process,and approve documents required for federal aid rermoursemerl in accordance with federal-eq,nrements If pie Stale advertises and awards the connect the State will further act tor the Agency in ail matters concerning the protect as requested by the Agercy If the Local Agency advertises and awards the trisect lie State shaf rev ew the work to ensure conformity w th the approved plans arc speof cations III.Protect Administration Certain types of work and services shall be prov ded by the State on the protect as'equested by the Agency and descr bed in the Type o'Work above In addition,the State will furnish quaitied personnel for the suoervlsron and rspect on of the worth in progress On Local Agency advertised and awarded pro ects.the supervision and inspection stall be limited to ensuing all work,s in conformance with approved plans,spedficat ors and federal a.d-equirements The salary of such engineer or other sapervsor and all other salaries and costs incurec by State forces upon the protect wll be considered a cost thereof At costs re ated to this proved incurred Cy employees of the Staten the customary manner on highway payrolls and vouchers shall be charges as costs of'he protect IV.Availability of Records Ail project records r support of all costs incurrec and actual eapendinnes+rept by the Agency are to be maintained in accordance with local government accounting procedures prescribed by the Washington Stale Auditor's Cffice :re U S.Det:arenert of Transportation,and the Washington State Department of Transportation The records snag be open to inspection by trio State and Federal Government at all reasonable Imes ant steal;be retained and made available for such inspection'or a period of rot less than tn•ee years from the final payment o'any federal a d funds to the Agency Copes of said receres shalt be furnished ro the State anc'or Federal Government upon request V.Compliance with Provisions t ne Agency shall not incur any federal aid part cipation gists on any classr'icat,or 34 work on tins protect,nbl autnonzeo;n writing by the State for slice classification The eland cations of work for protects are I Pretim,nary engmeenng 2 Right of way acoutsiton 3 Prc ea:onstrudior Once written authorization is given,the Agency agrees to snow ccrbnucus progress through riontnly Wings Fai.ure to show continuous progress may result the Agency's project becoming inset ve as descnbec n 23 CFR 630 and Subject to de-obligation of federal ad funds andror agreernern closure If right of way acquisition or actua construction of the road'or which ore in'rary engineering a undelake'is net started by ire close of the tenth$seal year following the fiscal year in which prelim nary engineering phase was eutnonzed the Agency will recay to the State the sum or sums of federai funds paid to the Agency under the temps of this agreement(see Section I)(t If actual conetrjction of the road for which rgnt of way nas teen purchased a lot started oy the close of the tenth fiscal year following the fecal year in write,the right of way phase was ai.thorited,the Agency will repay to the State the sum or sums of facers! cc rcrm 140-039 Page fleviseu 044022 T G funds cad to the Agency under the terms of this agreemert(see Secton IX) The Agency agrees that al stages of construction necessary to provide the in to ly panned co mpiete feat ty within the limits of this project will conform to at least tee minimum values set by speroveo seeew de des g-'Mandates applicable to this class of highways, even Plough such additional wait is financed w thout federal aid participation The Agency agrees that on federal aid highway construction propels the current federal eel regulations which apply to hqudatad damages relative to the basis of federal participation in the project cost snag be apo testae in the event the contractor fails to complete trot contract within the contract lime VL Payment and Partial Reimbursement The tote oast cf the project inciuoiag all review and ert;ineer ig costs arc other expenses of the State is to be paid try the Agency and by the Federal Government Federal tunding snail be in accordance wet'the Federal Trarspc'tahor Act as arnendea 2 CFR Part 200 The State eta I not DO uttrha ey responsible for any of the oasts of the project The Agency snag be ultimately resocnsible'Cr all costs associated with the project which are rot reimbursed by the Federal Government Nothing it this agreement stall oe corstnied as a promise by the State as to the amount or nature of feceral participation in this project The Agency snail 3,11 the state for federal aid protect costs incurred in conformity with applicable feders arc state awe The agency shad minrrnae the time elapsed between receipt of fade-al aid funds and subsequent payment of incured costs Expenditures by the Local Agency for maintenance,genera sdm,nistratron,supervis an and other overhead snag not be el Bible for federa participation unless a current ndirect cost plan has been prepared in accordance with tie regulations outirrmed rn 2 CFR Part 200-Uniform Admir Requirements,Coat Prncipies and Audit Requirements for FederalAwaros and retained for audit The State will pay for State incurred costs on tie project. Following payment,the State shall brit the Federal Government for reimbursement of hose costs eligible for federal participation to the extent that such costs are attributable and prapery allocable'c tits protect, The State shall tall the Agency for that portion o'State costs wheat were not rerribursec by the Federal Government(see Section IX) 1 Project Construction Costs Project aertatrutltor financing will be accomptshee by one or the three methods as indicated in mis agreement Method A-The Agency*ill place with the State,w thin(20)days after the execution of the construction contract,an advance in the amount of the Agency's ghats 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 cats incurred under tie contract upon presentation of progress bill rigs from the contractor Foi owing suet payments the State will submit a billing to the Federal Government'or t•ra'sclera a;c participation share of the cast.When the project is substantially completed and ti^at actual costs of the protect car oe determined,the State we present the Agency with a rirtat bring shuveng the amount due Me State or the amount due tie Agency Tnis berg will be ciearec Cy either a payment fmm the Agency to the State or by a refund from me State to the Agency Method B-The Agency's share of tie total construction cost as shown on the face of this agreement shall be wrthneld from its monthly fuel tax aliotmanta.The face of this agreement esteobshss the months in which tee withholding shall take place and the exact amount to be withnele each month The extent of withholding will be tonfirrod by letter from the State at the time of contract awed Upon receipt of progress Winos from the contractor the State will submit such billings to the Federal Government for payment of its participating portion of such birtngs Method C-The Agency may storm vouchers to the State in the format presatbed by the State.it dupe cate not more than once ter morth for those costs reig,ole for Faders participation to tie extent that such costs are directly attrbutable and properly a locable to this pealed Expenditures by tee Local Agency for maintenance,general administration,supervision,and other overhead shall not be etgmb e for Federal pe'hopetion unities daunted under a previously approved indirect cost plan. The State shall rernourse the Agency for the Federal share of ebg,ble protect coats up to the amount shown on the face of this agreement At the time 0'audit,the Agency will Craride docurenta:ioi of al costs npurred on trio c-o ect The State snits WI the Agency'or a costs incurred by the State relative to the protect The State seat also bill trio Agency for tie faders funds paid by the State to the Agency for project costs which are subsequently deterr^ired to ae ineligic a kr federal participation(see Section IX). VII.Audit of Federal Consultant Contracts The Agency if services of a consultart are required.shall be responsible for audit of the consultant s records to determine eligible federal aid costs on the protect.The report of said audit shall be r'he Agency s files and made available tc the State and the Federal Government An audit snail be conducted by the WSOOT Internal Audit Office in accordance Anal gerereIy accepted goverrmental*unlitny standards as issued Cy fie United States General Accoutring Office oy tie Comptroier General of the United States.NUSOO-Manual K 27-50 Consultant Authontattoi.Select on.and Agreement Administration,memoranda of understanding between WSOOT and FHWA,and 2 CFR Pan 200.50' -Audit Requirements It upon quart it is loud that overpayment or participator of federal money;n ineligible bins of cost has octxarec the Agency snail reamburaa the State for the amount of sue,overpayment or excess participation(see Section IX) VNt.Single Audit Act The Agency.as a subrecipteit c'federal funds.shag adhere tc he teoeral regulators palmed it,2 CFR 'art 200 5C' as we as a I applicable federal and state statutes and regu aborts A subrecicient woo expends$750,000 or more n federal awards nem a I sources during a given fiscal year seal nave a single or program-specific audit t:erformed for that year in accordance with the provisions of 2 CFR Part 200 50' Upon conclusion of tie audit,tie Agency shale be responsible for ensuring that a copy of the rector,is t ansmdted L)OT Fort 140-039 rage 3 Revised 04r2022 f3'.r•ctiy to the State IX.Payment of Billing The Agency agrees mat.f payment or arrangement for payment of any of me Slates billing relative to the project(e.g,State force wort protect cancelatron overpayment,cost inetigfbe for federal participation.etc)is not made to'he State within 45 days after the Agency rise beer oiled the State snail effect rs+mbursement of the total sum due from the regu er monthly feet tax allotments to the Agency from the Motor Vehicle Fund No aodit oval Federal prated funding will be epproveo until full paymert is received unless otherwise directed by the Directo',local Programs Protect Agreement End Cate-This cote s paste on your projects period of Performance(2 CFR Part 200 309) Arty costs Maumee after the Prole=Agreement End Date are NOT ei gibie for federal re.nibursennent All dig ore costs incurred pno• to the Protect Agreement crio Date Thirst be suornetrd for reimbursement within 60 says after the Project Agreement Eno Date or they become inergrb le for federal reimbursement. X.Traffic Control,Signing,Marking,and Roadway Maintenance The Agency will not permit any changes to be reads in the prov eons for parking regulations and trafric centre on the pro;ec' without prior approval of the State and Federe -iignway Administration The Agency wnil not install or permit to ee instated any signs signals.or markings not in conformance with the sterderds approved by the Federal Highway Adntnistration and MUTCD. The Agency wi I at its cwr expense maintain the improvement covered oy ma agreement. Xl.Indemnity The Agency shall hold the Federal Government end the Slate harm ess from and shali process end defend at is own expense all claims,demands,or suds,whether at aw or equity brought against tie Agency, State or Federal Government,arming from the Agency's executor,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 pertroparon of the State or Federal Government in the project,PROVIDED_ nothing herein snarl require the Agency to re rnburse ire Stale or the Feoerai government far damages arising out of bodily injury to persons or carnage to property caused Ly or'esulang from the sole neglgence of tee Federal Government or tine State Xt.Nondiscrimination Provision No!ability shall attach to the State oi Federal Goverment except as expressly provded herein Tie Agency via I not Oiicnmrnate on me bass or race.color.rat Ora=ong_n,or sex in me award and performance of any USDOT- ass Stec contract arcio•agreement o- r me aom,n stration of it DBE program or the requirements of 49 CFR part 25 The Agency she'take all necessary and reasonable steps under 49 CFR Part 26 to ensure nondiscrimination in the award aria administration of USDOT ass'sted contacts and agreements The WSDOT's DBE program as required by 49 CFR Part 26 and as approved by LSDOT s ncorporaleo by reference,n the agreement implementation of this program a a legal obiigaton and failure to carry out is terms aria I be treated as a violater of this agreen ern Jpon notification to the Agency of its failure to carry out its approved program Inc Decartmert may entices sanctions as provides for order Part 26 and Tay .n appropriate oases refer the matter for enforcement under 18 U S C toot incite the Program Fraud Crvii Ramer/ea Act of 1986(31 L S C 3601 et see) Ire Agency hereby agrees that it will ircarporate or cause to be ncorporated into any contract for coretrnCtior work,or modficat•or tr•erect as cefined in the vies and regulations of the Secretary of Labor in 41 DFR Chapter 60,which is paid for in wrnoe or in part vwth funds obtained from the Federal Government or borrowed or tee credit of lie Federal Government pursuant to a grant,contract,ludo, insurance,or guarantee or understaiding pursuant to any.federal program irivoivrog sucn grant contract,loan, insurance or guarantee. the required centred provisions for Federe-Aid Cortfaaa(FHWA 12/3: tocatee in Chapter 44 of the Local Agency Guidelines t he Agency further agrees that rt veil be bound by the above aqua opportunity clause with respect to its own employment practices when it pamopates in federally assisted construction work Provided.chat 4 the applicant so partiapeting is a State or Local Government,the above equal opportunity clause is not epplicab a to any agency. irstrumentatly or subdivision of such government which does not participate in wore on or under tho contract The Agency also agrees? (t)To assist arid cooperate actively wet. he State in obtain rig tie compliance of contractors and subccrxrsoors with the equal oppondnty clause and rules reguietens and relevant orders of the Secretay of Labor (2)To'urrrsh the State such information as it may requ re for me supervision of such compliance and that it wit otherwise assist the State in the discharge of is primary responsibility for securing compliance (3)To refrain from entering into any contract or contract modification subtect to Executive Order 11246 of September 24, 1965 with a contractor debarred from or who has not ierrionstrated e+gb lity tor.goverrnmert contracts any federally assisted cortatr,orion contracts pursuant to the Executive Oroer (4)To carry out sutxn sanctions and perishes for violation of the equal opportunity clause as may be imported upon contractors and subcontractors by the State.Federal Higrway Administration or the Secretary of Labor pursuanl le Part I) subpart D et the Executive Oder in additor,toe Agency agrees that if it fails or refuses to compiy with these ur-dertea,ngs tie State may take any or all of the following act ons (a)Cancel,terminate or suspend this agreement in whole or n Dart; (b)Refrar 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 naa been received from the Agency anc 00-Form 40.03g "age 4 Rev sod rA12022 • fc)Refer tee case to the Departmert of Justice for apoop^a!e egal proceedings XIII.Liquidated Damages The Agency hereby agrees feat the liquidated damages provisions of 23 CFR Part 835 Suoosrt 127,as supptemerted relative to the amount 0'Federa'.par'.ropaton in the preset wet seal be applicaoie in the evert tee contractor fails to come ete the reread wider the ontract time Failure to tic ude loutated damages prov lion will not relieve the Agency from reduc or of federal participat on in accordance with this paragraph XIV.Termination for Public Convenience Pie Secretary cf tee Washingtor State Departs-ere of Transportaton'nay tern:nate the contract r,emote.or from time to time n part wherever '?;The requisite federal fend rig becomes t.rava,able through failure of appropriation or otherw se (2)The contract°,is prevented from proceeding wit,tee wort as a d rec result of an Fxecetwe Orde•of the Pres,de It with respell to the prosecution Of Ha!or ie tee Interest of national defense or an Executive Order of the President or Governor of the State with respell to the preservation of energy resources 3i Tee contractor s prevented from proceeding with tee work by reason of a pe,l,mrnary specs'.or pe:rearent restrav'ng order of a rerun of competent•ursd Mon where the issuance of such orders pnmardy caused by the acts or omissions of persons or agencies other than the contractor 14:Tne Secretary is notified by tee Federal Highway Administration that the protect is'...nacr.ve ;5;Tire Secretary detem res teat such'ermetatt,on s e the best interests o'the State • XV Venue for Clams and/or Causes of Action • • Frrr're wr+Verience of the pares to this cort-act it*agreed lea'any cairns erdlor fuses of action whet"tee..oca.Agency "'as against the State o'Washington growing out°f this contract or the project*M which it is concerned shall be brought only in me Superior Coe?'or Tee stcn County XVI.Certification Regarding the Restrictions of the Use of Federal Funds for Lobbying Tee*Kirov rig aumo+rty;er•ifines.to ire best of es o.'el wrowtedge arc lore r' that I1;No federal appropriated tunes have beer paid or will be paid ny or u+i behalf of the undersigned to arty person for influencing or attemo^ng to influence or officer or employee of any'ederal agency a member of Congress an officer or employee of Congress or ar employee of a member of Congress:n cort•tect on with tee award rg of any federe contract the making of ary'edema grant tee making of any federal loan.the entering into of any cooperative agreement.and tee extension.ccrti'r ation renewal amendment er modification of any federal contract,grant lean or cooperative agreement 2i I'any funds other than tedere.approprated funds have been paid or will be paid to pry person for in%er.ong or atterrptieg to nfluence or officer cr employee of any federal agency.a member o'Congress dr officer o'employee of Congress or an e'noioyee Of a member of Congress n connection with this federal contract,grant,roar,or cooperat ve agreement,the undersgned shall complete and submit tie Standard Form-LLL. 'Disclosure Form to Report Lobby rg' r accordance with its rstruct ohs i3)Tne undersigned stall require that the language 3I this certificatioe be echcec ih tee aware documents'or ati suoawa'cs at at t ers(nUuding suogrants.and contracts and sebcortracts uncle,grants subgran•s oans and cooperative agreements;which exceed S100,OCO,and that a I such subrecipients sea I cart fy aria d,sclose accoraingly Tt'is eel fiction S a material represer'at or of'ace loon which reliance was paced wrier this ea-savior was mace or entered Ito Suter so on of mis certification as a p'eregu ste'or rrat;^q or entering into this trarsact'cn 'mposed cy Section 1352. title 3' J S Code Any persor who fats to file the required cent ficaton shot be suo;ect to a civil peratty of not less thee$13 000 and no'more than S CC 000'Or each such fa lure XViI.Assurances Local agenc es rece s rig Federal funding from the JSDOT or is aperateig adorn%tratrons e eederal Highway Admin strewn Federal Transit Admmisf•ebon Fetters.Asiatic,Administratior a-e re:iered tc submit a written policy statement signed by'ne Age-cy Executive and addressed to iee State.documenting that all programs act v ties and services wit''be conducted ^Como farce with Senor 5C4 aed the Americans with D sabi'itea Act(ADM Additional Provisions �;Ot*ion '40-C39 Prye 5 fie asec 04'2022