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O Consent Agenda
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Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Philip Morley, County Administrator
From: Frank Gifford, Public Works Director `~~
Agenda Date: March 4, 2013
Subject: Local Agency Agreement Supplement #1 with the Washington State Department
of Transportation -Run Off Road and Intersection Safety Project, Project No.
X01886
Statement of Issue: A Local Agency Agreement Supplement with the Washington State Department
of Transportation is necessary in order to obligate construction funds for the Run Off Road and
Intersection Safety Project.
Analysis/Strategic Goals/Pro's 8 Con's: This project includes repair of existing guardrail and
installation of new guardrail; traffic sign upgrades; installation and replacement of traffic
lane markings; installation of rumble strips.
Fiscal Impact/Cost Benefit Analysis: The construction phase estimated at $825,000, and is funded
at 100% by the Federal Highway Administration.
Recommendation: The Board is requested to sign the three original Local Agency Agreement
Supplements. One fully executed original will be returned to the Board after execution by the
Washington State Department of Transportation.
Department Contact: Jon Watson P.E., Engineering Services Manager, 385-9168.
Review
P ' Orley' C my Administr for
~f~7~.~
Date
Wasl~ngton State
~~ Department of Transportation Local Agency Agreement Supplement
Agency Supplement Number
Jefferson Coun Public Works 1
Federal Aid Project Number Agreement Number CFDA No. 20.205
HSIP-000S 259 LA 7412 Catal of Federal Domestic Assistance
The Local Agency requests to supplement the agreement entered into and executed on May 1 1, 2011
All provisions in the basic agreement remain in effect except as modified by this supplement.
The changes to the agreement are as follows:
Project Description
Name Jefferson County Run-Off Road & Intersection Safety Project Length Countywide
Termini Various roads countywide
Description of Work ®No Change
Safety Project consists of upgrading traffic signs, adding/replacing guardrails and end treatments, adding recessed pavement
markers and installing transverse rumble strips, consistent with the County Road Safety Program. Work will occur on various rural
Reason for Supplement
Obligate construction funds
Does this change require additional Right of Way or Easements? ^ Yes ®No
Appre~v~d as ~® form Qnl~:
~9 1~
Jefferson ~a. i~cl~eu~~~ ~ff~~e
E stimate of Fundi ng
T e of Work
yp (~)
Previous
A reement/Su I. (2)
Supplement (3)
Estimated Total
Project Funds (4)
Estimated Agency
Funds (5)
Estimated
Federal Funds
FE a. A ency 98,000.00 98,000.00 98,000.OU
100 % b. Other
c. Other
Federal Aid d. State
P
rti
i
ti 2,000.00 2,000.00 2,000.00
a
c
pa
on
Ratio for PE e. Total PE Cost Estimate (a+b+c+d)
100 000.(!0
100,000.00
100,000.40
Right of Way f. A enc
% .Other
Federal Aid h. Other
Participation
Ratio for RW i. State
j. Total RNV Cost Estimate (f+g+h+i)
Construction k. Contract 678,894.00 678,894.00 678,894.00
I. Other
100 % m. Other
l Aid n. Other
F
d
era
e
Participation o. A enc 136,106.00 136,106.00 136,106.00
Ratio for CN .State 10,000.00 10,000.00 10,000.00
. Total CN Cost Estimate k+l+m+n+o 825 000.00 825 000.00 825 000.00
r. Total Project Cost Estimate e
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
By
Title
Washington State Department of Transportation
sy
Director of Highways and Local Programs
Date Executed
DOT Form 140-041 EF
Revised 03/2011
Washing#on State
~,~ Department of '1~ansportation Local Agency Agreement Supplement
Agency Supplement Number
Jefferson Coun Public Works 1
Federal Aid Project Number Agreement Number CFDA No. ZQ.ZQS
HSIP-0005 259 LA 7412 Catal of Federal Domestic Assistance
The Local Agency requests to supplement the agreement entered into and executed on May 11, 2011
All provisions in the basic agreement remain in effect except as modified by this supplement.
The changes to the agreement are as follows:
Project Description
Name Jefferson County Run-Off Road & Intersection Safety Project Length Countywide
Termini Various roads countywide
Description of Work ®No Change
Safety Project consists of upgrading traffic signs, adding/replacing guardrails and end treatments, adding recessed pavement
markers and installing transverse rumble strips, consistent with the County Road Safety Program. Work will occur on various rural
Reason for Supplement A roved as ~o forte. on1
Obligate construction funds Pp
Does this change require additional Right of Wav or Easements?
j~
r~ff~r~orl Co, ~ros~c~ ~ ~f~ee
^ Yes ®No
E stimate of Fundi ng
T e of Work
yp (~~
Previous
A reement/Su 1. (2)
Supplement (3~
Estimated Total
Project Funds (4>
Estimated Agency
Funds (s>
Estimated
Federal Funds
PE a. A ency 98,000.00 9$,000.00 98,000.00
100 % b. Other
c. Other
Federal Aid d. State
Partici
ation 2,000.00 2,000.00 2,000.00
p
Ratio for PE e. Total PE Cost Estimate (a+b+c+d) 100 000.00 100,000.00 100,000.00
Right of Way f. A enc
% .Other
Federal Aid h. Other
Participation
Ratio for RW i. State
j. Total R/VV Cost Estimate (f+g+h+i)
Construction k. Contract 678,894.00 678,894.00 678,894.00
I. Other
100 % m. Other
Federal Aid n. Other
Participation o. A enc 136,106.00 136,106.00 136,106.00
Ratio for CN .State 10,000.00 10 000.00 10,000.00
. Total CN Cost Estimate k+l+m+n+o 825 000.00 825 000.00 825 000.00
r. Total Project Cost Estimate e '
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
Title
By
Director of Highways and Local Programs
Date Executed
DOT Form 140-041 EF
Revised 03/2011
Wash~gton State
Depar#ment of Transportation Local A enc A reement S u lenient
g Y g pp
Agency Supplement Number
Jefferson Coun Public Works 1
Federal Aid Project Number Agreement Number CFDA No. 2~.2~5
HSIP-000S 259 LA 7412 Catal of Federal Domestic Assistance
The Local Agency requests to supplement the agreement entered into and executed on May 11, 2011
All provisions in the basic agreement remain in effect except as modified by this supplement.
The changes to the agreement are as follows:
Project Description
Name Jefferson County Run-Off Road & Intersection Safety Project Length Countywide
Termini Various roads countywide
Description of Work ®No Change
Safety Project consists of upgrading traffic signs, adding/replacing guardrails and end treatments, adding recessed pavement
markers and installing transverse rumble strips, consistent with the County Road Safety Program. Work will occur on various rural
Reason for Supplement
Obligate construction funds ~,pp~o~ed as ~ form only:
~- ~9 1 ~
Does this change require additional Right of Way or Easements? ^ Yes ®No ~~.ffersc3fl ~~' ~~ ~f~ee
E stimate of Fundi ng
Type of Work (~)
Previous
A reement/S I. (2)
Supplement (3>
Estimated Total
Pro'ect Funds (4)
Estimated Agency
Funds (5)
Estimated
Federal Funds
PE a. Agency 98,000.00 98,000.00 98,000.00
100 % b. Other
c. Other
Federal Aid d. State
Partici
ation 2,000.00 2,000.00 2,000.00
p
Ratio for PE e. Total PE Cost Estimate (a+b+c+d) 100000.00 100,000.00 100,000.00
Right of Way f. A enc
% .Other
Federal Aid h. Other
Participation
Ratio for RW i. State
j. Total R/W Cost Estimate (f+g+h+i)
Construction k. Contract 678,894.00 678,894.00 678,894.00
I. Other
100 % m. Other
Federal Aid n. Other
Participation o. A enc 136,106.00 136,106.00 136,106.00
Ratio for CN ,State 10,000.00 10,000.00 10,000.00
. Total CN Cost Estimate k+l+m+n+o 825 000.00 825 000.00 825 000.00
r. Total Project Cost Estimate e '
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
By
Title
Washington State Department of Transportation
By
Director of Highways and Local Programs
Date Executed
DOT Form 140-041 EF
Revised 03/2011