HomeMy WebLinkAboutCONSENT Little Quil Bridge Amend 3 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: August 24, 2026
Subject: Local Agency Agreement Supplement No. 3 for the Washington State Dept.
of Transportation (WSDOT), Little Quilcene River Bridge Replacement,
Project No. 18020970, County Road No. 931507, Federal Aid No. BRS-
Q161(010)
Statement of Issue: The attached Local Agency Agreement Supplement is necessary in order to
obligate funding for the construction phase and authorize additional funding for the preliminary
engineering phase for the Little Quilcene River Bridge Replacement.
Analysis/Strategic Goals/Pro's a Con's: The Little Quilcene River Bridge, located at Center Road
MP 14.62, is classified as structurally deficient, functionally obsolete, and has load restrictions for
single unit trucks. Replacement of this bridge is of high importance because Center Road is
Jefferson County's main north-south route for freight mobility and the travelling public. The
project is funded by the Federal Bridge Replacement and Rehabilitation (BRR) Program. This
supplement will obligate the construction funding. Construction is planned for 2027. This
supplement will also authorize additional preliminary engineering funding for a re-design of the
bridge foundation, which is necessary in order to avoid right of way conflicts, and to allow the
project to proceed to construction.
Fiscal Impact/Cost Benefit Analysis: The Supplement amount is $8,623,611 ($141,980 PE and
$8,481,631 Construction). The preliminary engineering and construction phase are funded at
100% by the BRR.
Recommendation: The Board is requested to sign the one original of the Local Agency
Agreement Supplement No. 3 and the Project Prospectus, and return to Public Works.
Department Contact: Mark Thurston, P.E. Project Manager, 385-9210.
Reviewed By:
?°A6s
Josh eters, County Administrator Date
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE) Q/�y� h •r
CONTRACT WITH: Washington State Dept.of Transportation Contract No: - V gV A(P G'qv
Contract For: Little Quilcene River Bridge Replacement Term: end date December 31,2029
COUNTY DEPARTMENT: Public Works
Contact Person: Mark Thurston/Chris Spat
Contact Phone: Ext.210/Ext.200
Contact email: mthurston@co.jefferson.wa us/cspall@co.jefferson.we.us
AMOUNT: 88,623,611.00 PROCESS: — Exempt from Bid Process
Revenue: 180000010.33320.23.0000 Cooperative Purchase
Expenditure: 595 - Competitive Sealed Bid
Matching Funds Required: Yes - Small Works Roster
Sources(s) of Matching Funds Federal BRR — Vendor List Bid
Fund# - RFP or RFQ
Munis Org/Obj ✓ Other: Local Agency Agreement Supplement
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES CO�yIPLIANCE WITH JCC 3.55.080 AND CHAPTE 42.23 RCW.
CERTIFIED: ❑ N/A:n
Signs a Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROP SED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY. � ,
CERTIFIED: ❑ N/A: a �- /I 8 2- 7
Signature Date
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfiche):
Electronically approved by Risk Management on 8/19/2026.
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 8/19/2026.
DPA Luther reviewed and approved on 8-19-2026.
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
Ilik
� Washington State
�I/ Department of Transportation Local Agency Agreement Supplement
Agency Supplement Number
Jefferson County 3
Project Number Agreement Number ALN. 20.205-Highway Planning
BRS-Q161(010) LA10280 and Construction
Federal Highway Administration(FHWAI___
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 Little Quilcene Bridge Replacement Length 0.15
Termini Center Road milepost 14.55 to 14.70
Description of Work No Change
See attached Exhibit A
Reason for Supplement
Authorization of construction funding.
Indirect Cost Rate Yes t/ No Project Agreement End Date December 31, 2029
Advertisement Date October 28, 2026
Estimate of Funding
(3
Type of Work Previous (2) Estimate)d Total EstimatedAgency Estimated)Federal
AgreemenUSupPl. Supplement Project Funds Funds Funds
PE a.Agency 111,934.00 5,000.00 116,934.00 116,934.00
100 %
b.Other Consultant 610,654.00 136,980.00 747,634.00 747,634.00
Federal Aid c.Other 0.00
Participation 10,000.00 10,000.00 10,000.00
Ratio(s)for PE d.State Services
e.Total PE Cost Estimate 732,588.00 141,980.00 874,568.00 0.00 874,568.00
RW f.Agency - 124,888.00 124,888.00 0.00 124,888.00
100 %
g.Other - 0.00
Federal Aid
h.Other 0.00
Participation 1,000.00 1,000.00 1,000.00
Ratio(s)for RW i.State Services
i.Total RIW Cost Estimate 125,888.00 0.00 125,888.00 0.00 125,888.00
CN k.Contract 7,906,109.00 7,906,109.00 7,906,109.00
100 % I. Other Consultant 272,761.00 272,761.00 272,761.00
Federal Aid m. Other 0.00
Participation n.Other
0.00
Ratio(s)for CN 272,761.00 272,761.00 272,761.00
o.Agency __. _
p.State Services _ - 30,000.00 30,000.00 30,000.00
q Total CN Cost Estimate 0.00 8,481,631.00 8,481,631.00 0.00 8,481,631.00
r.Total Project Cost Estimate 858,476.00 8,623,611.00 9,482,087.00 0.00 9,482,087.00
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 Approved as to lorm only: Director, Local Programs
Agency Date Date Executed
-1
DOT Form 140-041 LP Revised 09/2025 Jeremiah_ usher, Date Page 1
•Previous Versions Obsolete• Civil Deputy Prosecuting Attorney
Agency Supplement Number
Jefferson County 3
Project Number Agreement Number ALN 20.205-Highway Planning
BRS-Q161(010) LA10280 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•
Washington State Local A enc Federal Aid
iii; Department of Transportation g y
Project Prospectus
Prefix Route ( ) Date 8/11/2026
Federal Aid BRS Q161(O10) DUNS Number 179278197
Project Number
Local Agency LA10280 ( wsDol. ) Federal Employer 91-60001322
Project Number Use Only Tax ID Number
Agency CAAgency Federal Program Title
Jefferson County ✓ Yes ❑No n 20.205 ❑Other
Project Title Start Latitude N 47.830833 Start Longitude W 122.873889
Little Quilcene Bridge Replacement End Latitude N 47.828889 End Longitude W 122.875278
Project Termini From-To Nearest City Name Project Zip Code(+4)
Milepost 14.55 Milepost 14.70 Quilcene 98376-7506
Begin Mile Post End Mile Post Length of Project Award Type
14.55 14.70 0.15 I✓I Local❑Local Forces❑State❑Railroad
Route ID Begin Mile Point End Mile Point City Number County Number County Name
Center Rd. 14.55 14.70 n/a 16 Jefferson
WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number
Olympic Region 24 6 n/a
Total Local Agency Phase Start
Federal Funds
Phase Estimated Cost Funding Date
(Nearest Hundred Dollar) (Nearest Hundred Dollar) (Nearest Hundred Dollar) Month _ Year
P.E. $874,600 $0 $874,600 4 2022
R/W $125,900 $0 $125,900 1 2026
Const. $8,481,600 $0 $8,481,600 _ 10 _ 2026
Total $9,482,100 $0 $9,482,100
Description of Existing Facility (Existing Design and Present Condition)
Roadway Width Number of Lanes
38 ft 2
The existing facility is a 64 ft. long, single span concrete bridge located at milepost 14.62 on Center Road.
The bridge is classified as structurally deficient and is load posted for single unit vehicles.
Description of Proposed Work
Description of Proposed Work(Attach additional sheet(s)if necessary)
The proposed work is to replace the existing bridge with a 128 ft. long single span concrete girder bridge. The
bridge width will be 38 ft. curb-to-curb to match the existing roadway. Other work will include a temporary
bypass road,reconstruction of bridge approaches, guardrail, and paving.
Local Agency Contact Person Title Phone
Mark Thurston Project Manager/Engineer 4 360-385-9210
Mailing Address City State Zip Code
623 Sheridan Street Townsend WA 98368
By
Project Prospectus Approving Authority
Title Public Works Director Dater ,
DOT Form 140-101 Page 1
Revised 01/2022 Previous Editions Obsolete
Agency Project Title Date
Jefferson County Little Quilcene Bridge Replacement 8/11/2026
Type of Proposed Work
Project Type(Check all that Apply) Roadway Width Number of Lanes
❑ New Construction El Path / Trail ❑ 3-R 38 2
✓ Reconstruction El Pedestrian / Facilities ❑ 2-R
❑ Railroad ❑ Parking ❑ Other
❑ Bridge
Geometric Design Data
Description Through Route Crossroad
❑ Principal Arterial ❑ Principal Arterial
Federal ❑ Urban
ElMinor Arterial
❑ Urban ❑ Minor Arterial
Functional L✓ Rural ❑ Collector ❑ Rural ❑ Collector
✓ Major Collector ❑ Major Collector
Classification El NHS ❑ Minor Collector El NHS ❑ Minor Collector
❑Local Access ❑Local Access
Terrain ✓ Flat ❑ Roll El Mountain ❑ Flat ❑Roll ❑Mountain
Posted Speed 35
Design Speed 40
Existing ADT 2676
Design Year ADT 4133
Design Year 2037
Design Hourly Volume (DHV)
Performance of Work
Preliminary Engineering Will Be Performed By Others Agency
80 % 20 %
Construction Will Be Performed By Contract Agency
Contractor 100 %
Environmental Classification
El Class I - Environmental Impact Statement (EIS) Class II - Categorically Excluded (CE)
❑ Project Involves NEPA/SEPA Section 404 Ill Projects Requiring Documentation
Interagency Agreement (Documented CE)
❑ Class III - Environmental Assessment (EA)
❑ Project Involves NEPA/SEPA Section 404
Interagency Agreements
Environmental Considerations
DOT Form 140-101 Page 2
Revised 01/2022 Previous Editions Obsolete
Agency Project Title Date
Jefferson County Little Quilcene Bridge Replacement 8/11/2026
Right of Way
❑ No Right of Way Needed ✓ Right of Way Needed
*All construction required by the ✓ No Relocation n 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 ❑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
There is overhead power(PUD#1 of Jefferson County)and phone(Lumen/Century Link) at the site, which
will which will require some temporary relocation.
FAA Involvement
Is any airport located within 3.2 kilometers (2 miles) of the proposed project? n Yes i✓I 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
Date By
Mayor/Chairperson
DOT Form 140-101 Page 3
Revised 01/2022 Previous Editions Obsolete
Documented Cost Estimate for Construction Funding
Local Agency Agreement Supplement No. 3
Little Quilcene River Bridge Replacement
Prepared by: Jefferson County and Sargent Engineers
Date: 8/18/2026
CONSTRUCTION ADMIN/OBSERVATION/PROJECT MANAGEMENT
Agency:
Construction Engineering (3% of construction cost, based on past projects) $237,183
Contingency (15%) $35,577
CN Agency Total $272,761
Consultant:
Construction Engineering (3% of construction cost, based on past projects) $237,183
Contingency(15%) $35,577
CN Consultant Total $272,761
CN State Services (including fabrication inspection) $30,000
CONSTRUCTION CONTRACT
Construction Contract Cost (from Sargent Engineers estimate) $7,906,109
CN Contract Total $7,906,109
CN Total $8,481,631
Documented Cost Estimate for Preliminary Engineering supplement
Local Agency Agreement Supplement No. 3
Little Quilcene River Bridge Replacement
Prepared by: Jefferson County and Sargent Engineers
Date: 8/18/2026
PRELIMINARY ENGINEERING
Agency:
Design review of re-designed bridge foundation $3,000
PE Agency Total $5,000
Consultant:
Re-design bridge foundation to avoid need for easement(based on consultant fee estimate) $50,000
PE Consultant Total $136,980
Total PE Supplement $141,980
SARGENT SEI #A22154.00 File: QuantEst16_90%_Secant Piles.xlsx
Sargent e y, e� Project: Little Quilcene Bridge Date: 8/17/2026
320 Ronlee Are'iv', Designed By: JSS Page 1
uymna wa yap:::
Tel 360-867-9284
CONSTRUCTION COST ESTIMATE
ITEM
ITEM DESCRIPTION SECTION UNIT QTY UNIT COST COST
NO. PREPARATION
0001 MOBILIZATION 2-01.5 LUMP SUM 1 $ 625,000.00 $ 625,000
0025 CLEARING AND GRUBBING 3-01.5 ACRE 1.2 $ 15,000.00 $ 18,000
0071 REMOVING EXISTING BRIDGE 3-02.5 LUMP SUM 1 $ 117,780.00 $ 117,780
0256 REMOVING SHAFT OBSTRUCTIONS 6-19.5 ESTIMATED 1 $ 80,000.00 $ 80,000
GRADING
0310 ROADWAY EXCAVATION INCL.HAUL 3-03.5 CU.YD. 438 $ 45.00 $ 19,710
0408 2434 CLPFD, 0 6 35.00 $--
0421 GRAVEL BORROW INCL.HAUL 3-03.5 CU.YD. 1460 $ 45.00 $ 65,700
0470 EMBANKMENT COMPACTION 3-03.5 CU.YD. 1460 $ 10.00 $ 14,600
---- TEMPORARY BYPASS ROAD 1-08.7 LUMP SUM 1 $ 220,000.00 $ 220,000
DRAINAGE
- STREAMBED MIX SPECIAL CU.YD. 470 $ 610.00 $ 286,700
0928 BOULDER ANCHOR(DOUBLE) SPECIAL EACH 5 $ 2,000.00 $ 10,000
0928 BOULDER ANCHOR(SINGLE) SPECIAL EACH 6 $ 1,500.00 $ 9,000
0917 SLASH SPECIAL CU.YD. 28 $ 120.00 $ 3,360
0919 LARGE WOODY MATERIAL-LOG WITH ROOTWAD DIA 18-IN SPECIAL EACH 4 $ 1,500.00 $ 6,000
0919 LARGE WOODY MATERIAL-LOG WITH ROOTWAD DIA 34-IN SPECIAL EACH 1 $ 1,500.00 $ 1,500
0919 LARGE WOODY MATERIAL-LOG WITH ROOTWAD DIA 48-IN SPECIAL EACH 1 $ 1,500.00 $ 1,500
0824 84076 6d-YD. 0 5---- 130M $
1040 CHANNEL EXCAVATION INCL.HAUL 3-03.5 CU.YD. 1400 $ 55.00 $ 77,000
---- TEMPORARY ISOLATION SYSTEM SPECIAL 8-32 LUMP SUM 1 $ 25,000.00 $ 25,000
3077 FISH EXCLUSION ASSISTANCE 8-31.5 ESTIMATED 1 $ 5,000.00 $ 5,000
3078 FISH BLOCK NET MAINTENANCE 8-31.5 ESTIMATED 1 $ 5,000.00 $ 5,000
3091 CATCH BASIN TYPE 1 7-05.5 EACH 5 $ 3,000.00 $ 15,000
3100 ADJUST CATCH BASIN TYPE 1 TO FINAL GRADE SPECIAL 7-05 EACH 5 $ 1,500.00 $ 7,500
3100 ADJUST CATCH BASIN TYPE 2 TO FINAL GRADE SPECIAL 7-05 EACH 14 $ 2,000.00 $ 28,000
3105 CATCH BASIN TYPE 2 48 IN. DIAM. 7-05.5 EACH 5 $ 6,000.00 $ 30,000
3106 CATCH BASIN TYPE 2 54 IN. DIAM. 7-05.5 EACH 4 $ 7,500.00 $ 30,000
3106 CATCH BASIN TYPE 2 54 IN. DIAM.W/OVERFLOW 7-05.5 EACH 5 $ 10,000.00 $ 50,000
3541 SCHEDULE A STORM SEWER PIPE 12 IN. DIAM. 7-04.5 LIN.FT. 610 $ 120.00 $ 73,200
3815 BANK RUN GRAVEL FOR TRENCH BACKFILL 7-09.5 CU.YD. 120 $ 55.00 $ 6,600
---- ADJUST STORMFILTER TO FINAL GRADE SPECIAL 7-05 EACH 8 $ 1,500.00 $ 12,000
---- CONC.STORMFILTER 1 -18"CARTRIDGE SPECIAL 7-20 EACH 4 $ 12,750.00 $ 51,000
---- CONC.STORMFILTER 1 -27"CARTRIDGE SPECIAL 7-20 EACH 1 $ 15,750.00 $ 15,750
---- CONC.STORMFILTER 2-27"CARTRIDGE SPECIAL 7-20 EACH 3 $ 18,750.00 $ 56,250
CMP INFILTRATION TRENCH SYSTEM-CMP#1 SPECIAL 7-21 LUMP SUM 1 $ 60,730.00 $ 60,730
CMP INFILTRATION TRENCH SYSTEM-CMP#2 SPECIAL 7-21 LUMP SUM 1 $ 24,530.00 $ 24,530
CMP INFILTRATION TRENCH SYSTEM-CMP#3 SPECIAL 7-21 LUMP SUM 1 $ 34,260.00 $ 34,260
CMP INFILTRATION TRENCH SYSTEM-CMP#4 SPECIAL 7-21 LUMP SUM 1 $ 23,280.00 $ 23,280
CMP INFILTRATION TRENCH SYSTEM-CMP#5 SPECIAL 7-21 LUMP SUM 1 $ 72,200.00 $ 72,200
CMP INFILTRATION TRENCH SYSTEM-CMP#6 SPECIAL 7-21 LUMP SUM 1 $ 61,120.00 $ 61,120
CMP INFILTRATION TRENCH SYSTEM-CMP#7 SPECIAL 7-21 LUMP SUM 1 $ 29,150.00 $ 29,150
REMOVED-ITEM
ADDED ITEM LEGEND
REDUCED ITEM
SARGENT SEI #A22154.00 File: QuantEst16_90%_Secant Piles.xlsx
Sargent Engineers Project: Little Quilcene Bridge Date: 8/17/2026
320 Ronlee lane Nit"1 Designed By: JSS Page 2
Olympia.WA 98502
T.i.4n(L4-Q2a4
CONSTRUCTION COST ESTIMATE
ITEM
NO. ITEM DESCRIPTION SECTION UNIT QTY UNIT COST COST
STRUCTURE
4006 STRUCTURE EXCAVATION CLASS A INCL. HAUL 3-07.5 CU.YD. 600 $ 60.00 $ 36,000
4009 ROCK EXCAVATION FOR SHAFT INCLUDING HAUL 6-19.5 LIN. FT. 400 $ 900.00 $ 360,000
4013 SHORING OR EXTRA EXCAVATION CL.A 6-19.5 LUMP SUM 1 $ 77,500.00 $ 77,500
4025 GRAVEL BACKFILL FOR WALL 6-02.5 CU.YD. 50 $ 65.00 $ 3,250
41085 FURNISHING AND DRIVING STEEL TEST PILE 6 05.5 EACH 0 $- 1-&,000.00 $
4000 6 05.5 UN. FT. 0 $ 80.00 $
/1095 DRIVING ST. PILE 6-85-5 EACH 9 $--3,000.09 $
--- SECANT PILE WALL SPECIAL L.S. 1 $1,638,000.00 $1,638,000
4160 QA SHAFT TEST 6-19.5 EACH 20 $ 1,000.00 $ 20,000
4300 SUPERSTRUCTURE 6-02.5 LUMP SUM 1 $1,038,000.00 $1,038,000
4322 CONC.CLASS 4000 FOR BRIDGE 6-10.5 CU.YD. 75 $ 1,200.00 $ 90,000
4219 DEFICIENT STRENGTH CONC.PRICE ADJUSTMENT 6-02.5 CALC 1 $ 1.00 $ 1
4149 ST.REINF. BAR FOR BRIDGE 6-02.5 POUND 10000 $ 2.00 $ 20,000
4410 BRIDGE RAILING TYPE 6-06.5 LIN. FT. 383 $ 250.00 $ 95,750
4415 TRAFFIC BARRIER 6-10.5 LIN. FT. 383 $ 400.00 $ 153,200
7169 STRUCTURAL EARTH WALL 6-13.5 SQ.FT. 2193 $ 60.00 $ 131,580
5656 BRIDGE APPROACH SLAB 6-02.5 SQ.YD. 257 $ 600.00 $ 154,200
SURFACING
5100 CRUSHED SURFACING BASE COURSE 4-05.5 TON 1450 $ 60.00 $ 87,000
5120 CRUSHED SURFACING TOP COURSE 4-05.5 TON 400 $ 50.00 $ 20,000
HOT MIXED ASPHALT
5767 HMA CL. 1/2 IN.PG 64H-28 SPECIAL TON 732 $ 200.00 $ 146,400
5837 ASPHALT COST PRICE ADJUSTMENT SPECIAL CALC 1 $ 1.00 $ 1
6511 HMA JOINT SEAL AT BRIDGE END 5-03.4 LIN.FT. 74 $ 75.00 $ 5,550
EROSION CONTROL AND PLANTING
6488 EROSION CONTROL AND WATER POLLUTION PREVENTIO 8-01.5(1) LUMP SUM 1 $ 50,000.00 $ 50,000
6429 SEEDING AND FERTILIZING 8-02.5 SQ.YD. 1396 $ 5.00 $ 6,980
6552 PSIPE-DOUGLAS FIR 2GAL 8-02.5 EACH 45 $ 60.00 $ 2,700
6552 PSIPE-W.HEMLOCK 2GAL 8-02.5 EACH 8 $ 60.00 $ 480
6552 PSIPE-W.RED CEDAR 2GAL 8-02.5 EACH 10 $ 60.00 $ 600
6552 PSIPE-RED ALDER 2GAL 8-02.5 EACH 12 $ 40.00 $ 480
6552 PSIPE-VINE MAPLE 2GAL 8-02.5 EACH 195 $ 40.00 $ 7,800
6552 PSIPE-SALMONBERRY 1GAL 8-02.5 EACH 506 $ 30.00 $ 15,180
6552 PSIPE-SNOWBERRY 1GAL 8-02.5 EACH 705 $ 30.00 $ 21,150
6552 PSIPE-DOUGLAS SPIREA 1GAL 8-02.5 EACH 195 $ 30.00 $ 5,850
6552 PSIPE-SALAL 1GAL 8-02.5 EACH 512 $ 30.00 $ 15,360
6552 PSIPE-CLUSTER ROSE 1GAL 8-02.5 EACH 200 $ 30.00 $ 6,000
6552 PSIPE-SWORD FERN 1GAL 8-02.5 EACH 200 $ 30.00 $ 6,000
6552 PSIPE-PACIFIC WILLOW STAKE 8-02.5 EACH 75 $ 20.00 $ 1,500
6552 PSIPE-SITKA WILLOW STAKE 8-02.5 EACH 75 $ 20.00 $ 1,500
SARGEIVT SEI #A22154.00 File: QuantEst16_90%_Secant Piles.xlsx
saryentEngfreers.Inc
. Project: Little Quilcene Bridge Date: 8/17/2026
320 Ronk*Lane NW Designed By: JSS Page 3
0lympa.WA 98502 99
Tel 360-867.9284
CONSTRUCTION COST ESTIMATE
ITEM
ITEM DESCRIPTION SECTION UNIT QTY UNIT COST COST
NO. TRAFFIC
6719 BEAM GUARDRAIL TYPE 31 NON-FLARED TERMINAL 8-11.5 EACH 3 $ 5,000.00 $ 15,000
6757 BEAM GUARDRAIL TYPE 31 8-11.5 LIN. FT. 228 $ 75.00 $ 17,100
6760 BEAM GUARDRAIL TRANSITION SECTION TYPE 8-11.5 EACH 4 $ 4,000.00 $ 16,000
6786 BEAM GUARDRAIL ANCHOR TYPE 11 8-11.5 EACH 1 $ 3,000.00 $ 3,000
6806 PAINT LINE 8-22.5 LIN. FT. 3490 $ 2.50 $ 8,725
6913 PORTABLE TEMPORARY TRAFFIC CONTROL SIGNAL 2-04.5(2) LUMP SUM 1 $ 25,000.00 $ 25,000
6843 TEMPORARY STOP LINE-LONG DURATION 8-23.5 LIN.FT. 40 $ 20.00 $ 800
6858 PAINTED STOP LINE 8-22.5 LIN.FT. 68 $ 20.00 $ 1,360
6973 OTHER TEMPORARY TRAFFIC CONTROL DEVICES 2-04.5(2) LUMP SUM 1 $ 10,000.00 $ 10,000
6974 TRAFFIC CONTROL SUPERVISOR SPECIAL LUMP SUM 1 $ 20,000.00 $ 20,000
7572 WORK ZONE SAFETY CONTINGENCY SPECIAL ESTIMATED 1 $ 50,000.00 $ 50,000
6982 CONSTRUCTION SIGNS CLASS A 2-04.5(2) SQ. FT. 266 $ 50.00 $ 13,300
6993 PORTABLE CHANGEABLE MESSAGE SIGN 2-04.5(2) HOUR 12960 $ 5.00 $ 64,800
OTHER
7006 STRUCTURE EXCAVATION CLASS B INCL.HAUL 3-07.5 CU.YD. 470 $ 40.00 $ 18,800
7008 SHORING OR EXTRA EXCAVATION CLASS B 3-07.5 SQ.FT. 5160 $ 1.00 $ 5,160
7017 GRAVEL BACKFILL FOR PIPE ZONE BEDDING 7-08.5 CU.YD. 140 $ 55.00 $ 7,700
7037 STRUCTURE SURVEYING 6-08.5 LUMP SUM 1 $ 15,000.00 $ 15,000
7038 ROADWAY SURVEYING SPECIAL LUMP SUM 1 $ 20,000.00 $ 20,000
7145 ACCESS CONTROL GATE 8-12.5 EACH 2 $ 7,500.00 $ 15,000
7530 CONSTRUCTION GEOTEXTILE FOR SEPARATION 3-09.5 SQ.YD. 62 $ 10.00 $ 620
7567 GRAVEL BORROW FOR STRUCTURAL EARTH WALL INCL. 6-13.5 CU.YD. 477 $ 40.00 $ 19,080
7480 ROADSIDE CLEANUP 3-01.5 ESTIMATED 1 $ 10,000.00 $ 10,000
7490 TRIMMING AND CLEANUP 3-08.5 LUMP SUM 1 $ 25,000.00 $ 25,000
7736 SPCC PLAN 1-07.15(1) LUMP SUM 1 $ 4,000.00 $ 4,000
SUBTOTAL $6,874,877
--- CONTINGENCY(10%) EST. 10% --- $ 687,488
--- INFLATION FACTOR(5%PER YEAR) YEAR 1 --- $ 343,744
TOTAL $7,906,109
SARGEN1r SEI #A22154.00 File: QuantEst16_90%_Secant Piles.xlsx
sargenl Engi,eers lnt Project: Little Quilcene Bridge Date: 8/17/2026
320 Ronlee Lane NW Designed By: JSS Page 4
Olympia.WA 98501
Tel 360-867-9264
CONSTRUCTION COST ESTIMATE
ITEM
ITEM DESCRIPTION SECTION UNIT QTY UNIT COST COST
NO. BREAKDOWN OF LUMP SUM ITEMS
0071 REMOVING EXISTING BRIDGE 3-02.5 1 $ 117,780.00 $ 117,780
3-SPAN CONCRETE BRIDGE 1963 $ 60.00 $ 117,780
---- TEMPORARY BYPASS ROAD 8-01 1 $ 223,095 $ 223,095
0025 CLEARING AND GRUBBING 3-01.5 ACRE 1 $ 40,000.00 $ 20,000
0310 ROADWAY EXCAVATION INCL. HAUL 3-03.5 CU.YD. 5 $ 500.00 $ 2,530
0405 COMMON BORROW INCL.HAUL 3-03.5 CU.YD. 464 $ 35.00 $ 16,240
4001 TEMPORARY BRIDGE SPECIAL LUMP SUM 1 $ 100,000.00 $ 100,000
4322 CONC.CLASS 4000 FOR BRIDGE 6-10.5 CU.YD. 28 $ 1,200.00 $ 33,000
5100 CRUSHED SURFACING BASE COURSE 4-05.5 TON 89 $ 100.00 $ 8,900
5767 HMA CL. 1/2 IN.PG 64H-28 SPECIAL TON 84 $ 250.00 $ 21,000
6789 PRECAST CONC.BARRIER TYPE F ANCHORED 6-10.5 LIN.FT. 80 $ 200.00 $ 16,000
7530 CONSTRUCTION GEOTEXTILE FOR SEPARATION 3-09.5 SQ.YD. 1085 $ 5.00 $ 5,425
4013 SHORING OR EXTRA EXCAVATION CL.A 6-19.5 3100 $ 25.00 $ 77,500
4300 SUPERSTRUCTURE 6-02.5 1 $ 1,037,535 $1,037,535
4380 CONC.CLASS 4000D FOR BRIDGE 6-02.5 CU.YD. 147 $ 2,000.00 $ 294,000
4322 CONC.CLASS 4000 FOR BRIDGE 6-10.5 CU.YD. 31 $ 1,500.00 $ 46,500
4148 EPDXY-COATED ST.REINF.BAR FOR BRIDGE 6-02.5 POUND 22197 $ 3.00 $ 66,590
4149 ST.REINF. BAR FOR BRIDGE 6-02.5 POUND 2248 $ 2.00 $ 4,495
4269 PRESTRESSED CONC.GIRDER 6-02.5 LIN.FT. 883 $ 650.00 $ 573,950
4306 ELASTOMERIC PAD-SUPERSTR. SPECIAL EACH 14 $ 2,000.00 $ 28,000
4319 TRANSVERSE STOP BEARING SPECIAL EACH 28 $ 500.00 $ 14,000
MISC 1 $ 10,000.00 $ 10,000
---- SECANT PILE WALL L.S. $1,638,000
PRIMARY SHAFTS L.F. 900 $ 1,500.00 $1,350,000
SECONDARY SHAFTS L.F. 320 $ 900.00 $ 288,000
Wrima
Washington State
Department of Transportation Local Agency Agreement Supplement
Agency Supplement Number
Jefferson County 2
Project Number Agreement Number ALN. 20.205-Highway Planning
BRS-Q161(010) LA10280 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 Little Quilcene Bridge Replacement Length 0.15
Termini Center Road milepost 14.55 to 14.70
Description of Work No Change
See attached Exhibit A
Reason for Supplement
PE Agency funding is depleted due to project delay associated with long permitting timelines. Re-design of the stormwater facilities is
necessary to comply with recently updated SWMMWW. Authorization of RW funds.
Indirect Cost Rate Yes I No Project Agreement End Date December 31,2029
Advertisement Date
Estimate of Funding
(3) (4)
)
Type of Work Prevlious (2) Estimated Total Estimated Agency Estimated)Federal
Agreement/Suppl. Supplement Project Funds Funds Funds
PE a.Agency 64,500.00 47,434.00 111,934.00 111,934.00
% C
b.OtherConsultant 522,314.00 88,340.00 610,654.00 610,654.00
Federal Aid c.Other 0.00
Participation 10,000.00 10,000.00 10,000.00
Ratio(s)for PE d•State Services .
e.Total PE Cost Estimate 596,814.00 135,774.00 732,588.00 0.00 732,588.00
RW f.Agency 124,888.00 124,888.00 0.00 124,888.00
% g.Other 0.00
Federal Aid h.Other 0,00
Participation
Ratio(s)for RW i.State Services 1,000.00 1,000.00 1,000.00
j.Total R/W Cost Estimate 0.00 125,888.00 125,888.00 0.00 125,888.00
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
g.Total CN Cost Estimate 0.00 0.00 0.00 0.00 0.00
r.Total Project Cost Estimate 596,814.00 261,662.00 858,476.00 0.00 858,476.00
The Local Agency further stipulates that pursuant to said Title 23, regulations and policies and procedures, and as a
condition to •- 1 : of the Federal funds obligated, it accepts and will comply with the applicable provisions.
Agency. .` Washington State Department of Transportation
, !Film _
By
Title M Director, Local Programs
Agency late i ' Date Executed
07-16-2026
DOT Form 140 041 LP Revised 09/2025 Page 1
.Previous Versions Obsolete• Approved as to loinl only: Jeremia B. Luther Date
Agency (Supplement Number
Jefferson County 2
!Project Number Agreement Number ALN 20.205-Highway Planning
BRS-Q161(010) LA10280 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
Description of Work
The proposed work is to replace the existing bridge with a 128 ft. long single-span concrete girder bridge
on a driven pile foundation. The bridge width will be 38 ft. curb-to-curb to match the existing roadway.
The predecessor to the current bridge, a concrete arch bridge located 150 ft. upstream, will be used for
a detour during construction. This supplement is needed for additional PE funds and for RW fund
authorization.
111.V.)t/f.LI
1
1,71 Washington State AgencyAgreement Local Supplement
Department of Transportation 9 pP
Agency Supplement ftum3er
Jefferson County 1
Federal Aid Pro eci l�bar_ Agreem nt to umber
CFDA No. �•Highway Planning
BRS-0181(010) LA10280 and Construction
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 Little Quitcene Bridge Replacement Length 0.15
Termini Center Road milepost 14.55 to 14.70
Description of Work / No Change
Reason for Supplement
The consultant fee proposal for project design and permrtt.ng exceeds the Agency's estimate by$300,000,largely due to permitting
and stormwater changes related to PGIS requirements,which occurred subsequent to the grant award. See attachment for details
Are you claiming indirect cost rate? i _Yes ✓ No Project Agreement End Date December 31,2026
Advertisement Date
Estimate of Funding_
Type of Work (1) [Z) /3) - (4) (5)
Previous Estimated Total Estimated Agency Estimated Federal
Supplement g y
AgreemenUSuopl. Project Funds Funds Funds
PE
"/0 8,Attract_ 64,500.00 64,500.00 64,500.00
- - — -
b,Other Consultant 292,000.00 230,314.00 322,314.00 522,314.00
FederaiAia r - 0.00
•Participation - -- - - -
Ratio for PE ' a4�59reg 10,000.00 10,000.00 - 10,000.00
T'tal PE Cost Estimate fr.b+c. 1 366,500.00 230,314.00 596,814.00 0.00 596,814.00
hipfifoiWay -- ------- --
A.egy 0.00
- ---
,Other 0.00 -
ed� eral Aid -- 0.00
Participation 1 °.file! -. - _-
Ratio for RW .StJte Services 0•00 _
�1�13/W Cost�flilmate U!q+A•11 0.00 0.00 0.00 0.00 0.00
Construction• S8IIlII4t 0.00
/o Other 0.00 --
m.Other _.._ - 0.00
- eCeial-Aid- 0.00
Participation
°.Other
--- — —
RatioforCN ' A'e '1 _. _ __ __ — -- 0.00 —`_-
. ;St'-LvlcJ!— —— — 0.00
,I N Cost Estimetp(or+rn.n+y s) 0.00 0.00 0.00 0.00 0.00
_ r,T, :I Pr'ject Cost Estimate(ons) 366,500.00 230,314.0(1 596,814.00 0.00 596,814.00
Local Agency further stipulates that pursuant to said Title 23, regulations and policies and procedures,and as a
conditlo o payment of the Federal funds obligated,it accepts and will comply with the applicable provisions.
Agency 0 cial Washington State Department of Transportation
y F ByStephanie
Di itall signed
B Ste hanie g y g by
Title Heidi Eisen our,Chair Board of County Commissioners Director, Local Program p Stephanie Tax
Agency Date Approved alto form only: Date Executed Tax Date:2 - '
g�r` i C 13:34:28 07 8.12 07'00
I jr4""`a"` July 30.2022
DOT Form 140-041 Philip C.Hunsucker, Date Pepe 1
Revised 04/2022
Chief Civil Deputy Prosecuting Attorney
Agency Supplement Number
.,eferso-County 1
Federal Aid Project Number 'Agreement Number CFDANo 20.205.H gh.va,+Planning
BRS-Q161(010) :LA10280 and Construction
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 ultmately responsible for any of the costs of the project. The
Agency snal; be ultimately responsible for ail costs associated with the project which are not reimbursed by the Federal
Government. Nothing le this agreement shall be construed as a promise by the State as to the amount or nature of federal
participation in tn's project.
The Agency shall bill the state fur federal aid protect 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- Unform 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 reimoursement of those costs eligible for federal partic+patio^ to the extent that such costs are attributable and properly
allocable to this proect. The State shall bill the Agency for that portion of State costs which were not re mbursed 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 WSDOI Internal Audit Office in accordance with generally accepted governmental
auditing standards as .ssued by the United States General Accounting Office by the Comptroller General of the United
States, WSDOT Manua M 27-50,Consultant Authorizat on, 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 n 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 b,lied,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 wit 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 Per od of Performance (2 CFR Part 200 309).
Any costs incurred after the Project Agreement End Date are NOT eligible for federal reimoursement All eligible costs
incurred prior to the Project Agreement End Date must be submitted for reimbursement within 9C days after the Project
Agreement End Date or they become ineligible for federal reimbursement
VIII. Single Audit Act
The Agency,as a subrecip ent of federal funds, sha l adhere to the federal regulations outlined in 2 CFR Part 200 501 as
well as all applicable federal and state statutes and regulations A subrecip,ent who expends$750,000 or more in federal
awards from ai sources during a given fiscal year shall have a single or program-specific audit performed for that year n
accordance with the provisions of 2 CFR Part 200.501 Upon conclusion of the and t, 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 USUOT or its operating administrations(i.e., Federal Highway
Administration Federa Transit Administration, Federal Aviation Administration)are required to submit a written pot cy
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 534 and the Americans with Disabil,ties Act(ADA)
DO'Form 140-C41 Page 2
Rev,sed 04i2022
ORIGINAL
40.
Washington State
V' Department of Transportation Local Agency Agreement
Agency Jefferson County CFDA No. 20.205
(Catalog or Feierte Domestic Assistance)
Address 623 Sheridan Street
Port Townsend, WA 98368 Project No. BRS-Q l 61(010)
Agreement No. Lit- to 9,16
For OSC VWSDOT Use Only
The Local Agency having compiled, or hereby agreeing to comply,with the terms and conditions set forth in(1)Title 23, U S Code
H.ghways. (2)the regulations issued pursuant thereto, (3)2 CFR Part 200, (4)2 CFR Part 180-certifying that the local agency is not
excluded frorr receiving Federal funds by a Federal suspension or debarment,(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 Slate 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 Little Quilcene Bridge Replacement Length 0.15
Termini Center Road milepost 14.55 to milepost 14.70
Description of Work
The proposed wont is to replace the existing bridge with an estimated 120 ft. long multi-span concrete slab bridge on drilled shafts.
The bridge width will be 38 ft curb-to-curb to match the existing roadway The predecessor to the current budge,a concrete arch
bridge located 150 ft. upstream,wilt be used for a detour during construction, and then demolished
Project Agreement End Date December 31, 2026 Claiming Indirect Cost Rate
i
Proposed Advertisement Date i Yes ✓ No
Estimate of Funding
Type of Work tt) (2) (3)
Estimated Total I Estimated Agency f Estimated Federal
Project Funds ; Funds Funds
PE ►00'; r a.Agency 64,500.00 fi '64,500.00
''0 b Other Consultant 292,000 Co f 292.000.00
Federal Aid c.Other
.Participation d.State 10,000.00 i 10,000 00
;Ratio far PE e'Total PE Cost Esiim (t}ta•btoe -_ .366.500`00 10.00 1366,500.00
Right o ay
(.Agency •
g.Other — —
II
i
Federal Aid h Other
Participation — .- . -
Ratio for R;'V 1,State i
L T [.BM'- l EiIiliale r.1.4_h.1__._ ;0.00 0.00 10.00
Constructioc k.Contractr
• r
).Other
i
iFederat Aid m.Other _—_ __... _
n.Other
P — —__. _."
articipation
Ratio for CN o-Agency
p,State I
---__St.Total CN Cost Estimate tt l•m•rt•9•el —_ 0.00 _ 0.00 i 0.00
r.Total Project Cost Estimate(eeel) 366.500.00 0.00 1366,500.00 _--
Agency Official j Washington State
By__ 17_01 ' -341/IL- Department of Transportation Stephanie
By Director, Local Program °7hM4.yra uy straeanw fn.
Heidi ti,er'rha •- 9 Tax
°u1u7;uiv.r�,sisuxn
Title 1 n Date Executed
( btpi►� jeileico C'at..kr1.7 gam
DOT Form 140-039
Revised 1212020 Page I
Construction Method of Financing (Check Method Selected)
State Ad and Award
Method A-Advance Paymert -Agency Share of total construct on cost (based on contract award)
Method B -Withhold from gas tax the Agency's share of total construction coast (line 5, column 2)in the amount of
$ at$ per month for months.
Local Force or Local Ad and Award
,/ Method C -Agency cost incurred with partial reimbursement
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
January 22 , 2003 , Resolution/Ordinance No
Provisions
I. Scope of Work
The Agency shall provide all the work,labor, materials, and services necessary to perform the project wnich 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 specificatons as
proposed by the Agency and approved by the State and the Federal Ilighway Administration.
When the Stale 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 respons.bilities to the Federal Government by the administration of this project. The Agency agrees
that the State shell have the full authonty to carry out this administration. The State shall review,process, ano approve documents
required for federal aid reimbursement in accordance with federal requirements. If the State advertises and awards tee 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 worn to ensure conformity with the approved plans and specifications
Ill. Project Administration
Certain types of work and services shall be provides by the State on this project as requested by the Agency and described in the
Type of Work above In addit.on, the State will furnish qualified personnel for the supervision ana inspection of the work in progress On
Local Agency advertised and awarded projects,the supervision and inspection shall be limited 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 protect 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 Copes 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 Pret minary 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 830,and subject to de-obligation of
federal aid funds and/or agreement closure.
If right of way acquisition,cr actual construction of the road for which preliminary engineering is undertaken is not started by the
close of the tenth fiscal year following the fscai 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 Page 2
Revised 12/2020
The Agency agrees that at 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 rclatve to the basis of federal participation in the project cost shall be applicable in the event the contractor fails to compete
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 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 Agercy slat 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 casts. Expenditures by the
Local Agency for maintenance, general administration,supervision, and otner 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 CPR Part 200 -Uniform Admin
Requirements. Cost Principles and Audit Requirements for Federal Awards,and retained for audit.
The State will pay for Stale incurred costs on the project Following payment, the State shall bill the Federal Government for
reimbursement of those costs e.igible for federal participation to the extent that such costs are attributable and properly allocable to
this project The State shall nit the Agency for that portion of State costs which were not reimbursed by the ederal 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 wilt 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 delermineo, 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 proscribed by the State,In duplicate,not mere than once
per month for those costs et gible 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 snail reimourse 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, tie Agency will provide documentation of all costs incurred on the project The State snail 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 ebigihie
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 snail
reimburse the State for the amount of such overpayment or excess participation (see Section IX).
VIII. Single Audit Act
The Agency,as a subreciplent 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 S750,000 or more In federal awards from at 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 transm tted
promptly to the Stale
DOT Form 140.039 Page 3
Revised 170020
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(or 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 duo from the regular monthly fuel tax allotments to
the Agency from the Motor Vehicle Fund.No additional Federal project funding will be approved until lull payment is received unless
otherwise directed by the Director, Local Programs.
Project Agreement End Date-This date is cased 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 suomitted for reimbursement with n 60 days after the Project Agreement End Date or they
become ineligible for federal reimbursement.
X.Traffic Control, Signing, Marking, and Roadway Maintenance
Toe 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, al its own expense, maintain the improvement covered by this agreement
Xl. 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 particpatinn 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 trio State or Federal Government except as expressly provided herein
The Agency shall not dischrninate on the basis of race, color,national prig n,or sex in the award and performance of any USDOT-
assisted contract and/or agreement or in the administration of Its DBE program cr 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 es approved by USDOT,
is incorporated by reference in tn's agreement Implementation of this program is a legal obligation and failure to carry out its terms
shall be treated as a vioation 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 Guideiirles.
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 ass st 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 prmary 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 rot demonstrated eligibility(or,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 II, subpart D of the
Executive Order.
In addition, the Agency agrees that if it faits or refuses to comply with these undertakings, the State may lake any or all of the
following actions.
(a)Cancel,terminate, or suspend this agreement in whole or in part,
(b) Refrain (corn 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
DOT Form 140.039 Page 4
Revised 120020
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 bo applicable in the event the contractor falls 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.
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 preservet"on 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's 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 clams 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 nis or her knowledge and belief,that.
(1)Nlo 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 errployee of a member of Congress in connection with the awarding of any federal contract, the making of any federa'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 wit 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 subawards at
all tiers(including suogrants, and contracts and subcontracts under grants,subgrants, loans, and cooperative agreements)which
exceed $100 000, and that ail 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 bo subject to a civil penalty of not less than 610,000 and not more than
$100.000 for each such failure
XVII.Assurances
Local agencies receiving Federal funding from the USDOT or its operating administrations(le , Federal Highway Administration,
Federal Transit Adm':.nistration, 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 Disabi ities Act(ADA).
Additional Provisions
DOT Form 140.039 Page 5
Revisal 12/7020