HomeMy WebLinkAboutWashington State, Department of Transportation (WSDOT), Supplement No. 5 - 062617M#4
• AGENCY
`Washington State
Department of iransp %m
Local Agency Agreement Supplement
Agency
Supplement Number
Jefferson County
5
Federal Aid Project Number
Agreement Number
CFDA No. 20.205
PLH-A 160(001)
LA -7591
(Catalog of Federal Domestic Assistance)
The Local Agency requests to supplement the agreement entered into and executed on GJI�3/Z0f1
All provisions in the basic agreement remain in effect except as modified by this supplement.
The change to the agreement are as follows:
Project Description
Name Access Preservation: Hoh Rain Forest, Olympic National Park
Termini Upper Hoh Road MP 3.2 to MP 6.9
Description of Work ✓ No Change
Reason for Supplement
De -obligate unused funds.
Length 3.7
Are you claiming indirect cost rate? ❑ Yes / No Project Agreement End Date September 23, 2021
Does this change require additional Right of Way or Easements? n Yes ✓ No Advertisement Date: n/a
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 Washingtoq'Stap Departme of Transportation
By By
Title Director, Local rogram
l�Vl i�D�C Date Executed AUG 1 g 2017
DOT Form 140-041 Page 1
Revised 05/2015
Estimate of Fundin
Type of Work
(le
)
)
Previous
Supplement
Estimated Total
Estimated Agency
EstimatedFederal
A reemenUSu I.
Project Funds
Funds
Funds
PE
100 % a. A enc
675,799.00
-28,400.89
647,398.11
647,398.11
b. Other
0.00
Federal Aid
c. Other
0.00
Participation
Ratio for PE d. State
15,000.00
-2,333.50
12,666.50
12,666.50
e. Total PE Cost Estimate a+b+c+d
690,799.00
-30,734.39
660,064.61
0.00
660,064.61
Right of Way
f. Agency
0.00
q. Other
0.00
Federal Aid
. Other
0.00
Participationh
Ratio for RW i. State
0.00
i. Total R/W Cost Estimate t +h+i
0.00
0.00
0.00
0.00
0.00
Construction
% k. Contract
0.00
100
I. Other Contract MP 3.33
650,827.00
-45,018.43
605,808.57
605,808.57
m. Other Contract MP 6.95
882,753.00
-101,028.86
781,724.14
781724.14
Federal Aid n. Other
0.00
Participation
Ratio for CN o.Agency
161,328.00
13,061.61
174,389.61
174,389.61
p. State
20,000.00
-19,711.00
289.00
289.00
q. Total CN Cost Estimate(k-H+ +n+o
1,714,908.00
-152,696.68
1,562,211.32
0.00
1,562,211.32
r. Total Pro'ect Cost Estimate e+
2,405,707.00
-183,431.07
2,222,275.93
0.00
2,222,275.93
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 Washingtoq'Stap Departme of Transportation
By By
Title Director, Local rogram
l�Vl i�D�C Date Executed AUG 1 g 2017
DOT Form 140-041 Page 1
Revised 05/2015
.r
in dwlh�
Agency upplement Number
Jefferson County 5
Federal Aid Project Number Agreement Number CFDA No. 20.205
PLH-A 160(001) LA -7591 (Catalog of Federal Domestic Assistance)
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 $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
services will be conducted in compliance with Section 504 and the Americans with Disabilities Act (ADA).
DOT Form 140-041
Revised 05/2015
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 Engineerp2/
Agenda Date: June 26, 2017
Subject: Local Agency Agreement Supplement with the Washington State
Dept. of Transportation (WSDOT), Access Preservation: Hoh
Rainforest, Olympic National Park, Federal Aid Project No. PLH-
A160(001)
Statement of Issue: The attached Local Agency Agreement Supplement with WSDOT
is necessary in order to de -obligate unused funding from the Access Preservation: Hoh
Rainforest project.
Analysis/Strategic Goals/Pro's Et Con's: In 2011 Jefferson County was awarded
Federal funding through the Public Lands Highways Discretionary (PLHD) Program for
Upper Hoh Road. The funding was used to complete two culvert replacements, one at
milepost 3.338 in 2015 and one at milepost 6.95 in 2016. There is a remainder of
$183,431.07 in PLHD funding. This funding can only be used by Jefferson County at
Upper Hoh Road between milepost 3.2 and milepost 6.95. The Federal Highway
Administration (FHWA) Western Federal Lands Division is currently planning a culvert
replacement and bank protection project in this vicinity of Upper Hoh Road.
Jefferson County desires to transfer the funding to the FHWA for use on that project.
Fiscal Impact/Cost Benefit Analysis: This agreement will de -obligate the remaining
$183,431.07 of Jefferson County PLHD funding.
Recommendation: The Board is requested to sign the three originals of the Local
Agency Agreement Supplement, and return to Public Works.
Department Contact: Mark Thurston, P.E., Project Manager, 385-9160.
Revi
P slip Morley, Cou ty Administrator
Date
CONTRACT REVIEW FORM
CONTRACT WITH: Washington State Department of Transportation
(Contractor/Consultant)
CONTRACT FOR: Hoh Rain Forest Access Preservation TERM:
COUNTY DEPARTMENT: Public Works
Mark Thurston Z � 1
For More Information Contact:
Contact Phone #: (360) 385-9210
RETURN TO: Mark RETURN BY: 6/16/17
(Person in Department)
AMOUNT: -$183,431.07 PROCESS:
Revenue:
Expenditure:
Matching Funds Required:
Sources(s) of Matching Funds
Step 1:
APPROVED FORM
Comments
180000010.333.20.22
180000010.595.00.65
n/a
REVIEW
Review by:
Date Reviewed:
Step 2: REVIEW BY
Review by:
Date Reviewed:
APPROVED AS TO FORM
Comments
Exempt from Bid Process
Consultant Selection Process
Cooperative Purchase
Competitive Sealed Bid
Small Works Roster
Vendor List Bid
RFP or RFQ
X Other
Returned for revision (See Comments)
'ECU I G TTORNEY
C7t��=
' Philip Hunsucker
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 ORIGINALS
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 Agenda Bill.)
•
Aft
Washington State
wo Department of Transportation
August 23, 2017
Mr. Monte Reinders, PE
Public Works Director/Co. Engineer
Jefferson County
623 Sheridan Street
Port Townsend, Washington 98368
Transportation Building
310 Maple Park Avenue S.E.
P.O. Box 47300
Olympia, WA 98504-7300
360-705-7000
TTY-. 1-800-833-6388
www.wsdot.wa.gov
Jefferson County
Hoh Rain Forest — Access Preservation
PLH-A160(001)
FUND AUTHORIZATION
Dear Mr. Reinders:
Enclosed for your information and file is a copy of Supplement Number 5 to Local
Agency Agreement LA -7591 for the above project between WSDOT and your agency.
This supplement modifies the funding for this project to the amounts shown below:
PHASE TOTAL FEDERALSHARE
Preliminary Engineering $660,064.61 $660,064.61
Construction $1,562,211.32 $1,562,211.32
All costs exceeding those shown on this agreement are the sole responsibility of your
agency.
As a condition of authorization you must show continuous project progress through
monthly billings, until your project is complete. Failure to show continuous progress
may result in your project becoming inactive per 23 CFR 630.106(a) (5) and subject to
de -obligation of all federal funds and agreement closure.
You may proceed with the administration of this project in accordance with your
WSDOT approved Certification Acceptance agreement.
Sineel ,
Stephanie Tax
Interim Director
Local Programs
ST:tm:ac
Enclosure
cc: Neal Campbell, Olympic Region Local Programs Engineer, MS 47440