HomeMy WebLinkAboutWashington State, Department of Transportation - 122115s.
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Local Agency Agreent upplem nt
Agency Supplement Number
Jefferson County 4
Federal Aid Project Number Agreement Number CFDA No. 20.205
PLH-A 160 001 LA -7591 (Cataloo of Federal Domestic Assistance)
The Local Agency requests to supplement the agreement entered into and executed on September 23, 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 Access Preservation: Hoh Rainforest, Olympic National Park Length 3.7
Termini Upper Hoh Road MP 3.2 to MP 6.9
Description of Work ® No Change Approvcd *-; to for TZ 0I� �ZReplace failing or substandard culverts at Upper Hoh Rd. MP 3.3, 4.3, and 6.9 in three phase
Reason for Supplement
Jefferson Co. Proses 's Office
Obligate CN for phase two MP 6.95. David Alvarez, Chief Civil DPA
Are you claiming indirect cost rate? ❑ Yes ® No Project Agreement End Date September 23, 2021
Does this chance reauire additional Riaht of Wav or Easements? n Yec M Mn nr\/orticomont nnto' Tannary 70 701 A
The Local Agency further stipulz
to payment of the Federal fu s
Agency Official '
By
Title I-AlLI &WAI"
DOT Form 140-041
Revised 04/2015
that pursuant to said Title 23, regulations and policies and procedures, and as a condition
gate it accepts and will comply with the applicable provisions.
Washington S eepartme2ofransportation
By
r— Director, Local Programs
Date Executed FEB 16 2016
Page 1
Type of Work
Estimate of Funding
(1) (2) (3) (4)
Previous Supplement Estimated Total Estimated Agency
Agreement/Su I. Pro'ect Funds Funds
(5)
Estimated
Federal Funds
PE
a. Agency
675,799.00
675,799.00
675,799.00
100 %
b. Other
c. Other
Federal Aid
Participation
d. State
15,000.00
15 000.00
15,000.00
Ratio for PE
e. Total PE Cost Estimate (a+b+c+d)
690 799.00
690,799.00
690,799.00
Right of Way f. Agency
.Other
Federal Aid
Participation
h. Other
Ratio for RW
i. State
j. Total R/W Cost Estimate (f+g+h+i)
Construction k. Contract
I. Other Contract MP 3.3
650,827.00
650,827.00
650,827.00
100 %
m. Other Contract MP 6.95
882,753.00
882,753.00
882,753.00
Federal Aid
n. Other
Participation
o. Agency
72,738.00
88,590.00
161,328.00
161,328.00
Ratio for CN
. State
10 000.00
10,000.00
20,000.00
20,000.00
q. Total CN Cost Estimate k+l+m+n+o
733 565.00
981 343.00
1,714,908.00
1 714 908.00
r. Total Project Cost Estimate(e+j+q) J
1,424-364,001
981-343.00
2.405.707,001
2-405-707.00
The Local Agency further stipulz
to payment of the Federal fu s
Agency Official '
By
Title I-AlLI &WAI"
DOT Form 140-041
Revised 04/2015
that pursuant to said Title 23, regulations and policies and procedures, and as a condition
gate it accepts and will comply with the applicable provisions.
Washington S eepartme2ofransportation
By
r— Director, Local Programs
Date Executed FEB 16 2016
Page 1
Agency
Supplement Number
Federal Aid Project Number Agreement Number CFDA No. 20.205
1 9
PLH-A 160 001 LA-7591(Catal000fFederal Domestic Assistance)
Vl. 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, shalt 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.
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.
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 of 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.
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
Revised 04/2015 Page 2
Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Philip Morley, County Administrator
From: Monte Reinders, Public Works Director/County Engineer 1VV
Agenda Date: December 21, 2015
Subject: Local Agency Agreement Supplement with the Washington State
Dept. of Transportation (WSDOT), Access Preservation: Upper Hoh
Road MP 6.95, Olympic National Park, CR1896, Federal Aid Project
No. PLH-A160(001)
Statement of Issue: The attached Local Agency Agreement Supplement with WSDOT
is necessary in order to proceed with construction of the Access Preservation: Upper
Hoh Road MP 6.95 Culvert Replacement.
Analysis/Strategic Goals/Pro's £t Con's: Jefferson County has been awarded Federal
funding through the Public Lands Highways Discretionary (PLHD) Program. The
proposed culvert replacement project at Upper Hoh Road MP 6.95 is necessary to
maintain reliable access for resident, business and Olympic National Park visitor use.
This agreement is for construction and construction engineering for the culvert
replacement. The culvert will be replaced with a 20 ft. span three -sided concrete
box culvert. Work will also include raising and reconstructing 800 lineal feet of the
roadway over the new culvert.
Fiscal Impact/Cost Benefit Analysis: This agreement will authorize $981,343 for the
construction funding, for the construction contract and construction engineering.
This will be funded at 100% by the Federal Highway Administration.
Recommendation: The Board is requested to sign the three originals of the Local
Agency Agreement, and return to Public Works.
Department Contact: Mark Thurston, P.E., Project Manager, 385-9160.
Byt
-- lip Mor ey, ounty Admirn rator Date
corrrxAcT xsvIEw Foxes
�0
CONTRACT WITH: Washington State Department of Transportation
(Contractor/Consultant)
CONTRACT FOR: Hoh Rain Forest Access Preservation MP 6.95 TERM:
COUNTY DEPARTMENT:
For More Information Contact:
Contact Phone #:
RETURN TO: Mark
in
Public Works
Mark Thurston
(360)385-9210°
RETURN B
AMOUNT: $981,343 PROCESS: Exempt from Bid Process
Consultant Selection Process
Revenue: 180000010.333.20.22 Cooperative Purchase
Expenditure: 180000010.595.00.65 Competitive Sealed Bid
Matching Funds Required: yes Small Works Roster
Sources(s) of Matching Funds 100% FHWA Vendor List Bid
RFP or RFQ
X Other
Step 1: REVIEW BY NT
Review by: / ! P
Date Reviewed:
k
APPROVED FORM Returned for revision (See Comments)
mments
Step 2: REVIEW BY
Review by:
Date Reviewed:
I APPROVED AS TO FORM
ATTORNEY
Returned for revision (See Comments)
Step 3: (If required) DEPARTMENT MAKES REVISIONS AND RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY —
Step 4: CONTRACTOR(CONSULTANT SIGNS APPROPRIATE NUMBER OF
Step 5: SUBMIT TO BOCC FOR APPROVAL
Submit originals and 6 copies of Contract and Review Form with Agenda Bill to BOCC Office.
Place "Sign Here" markers on all places the BOCC needs to sign.
MUST be in BOCC Office by 4:30 p.m. TUESDAY for the following Monday's agenda.
(This form is to stay with the contract throughout the contract review process and accompany the
David Alvarez
DEC 08 2015
JEFFERSON COUNTY
a u;P 2SECUTING AT,