HomeMy WebLinkAbout082420_ca04 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
Agenda Date: August 24, 2020
Subject: Federal Lands Access Program Project Memorandum of Agreement
with the Federal Highway Administration, Western Federal Lands
Highway Division (FHWA-WFL) for the Undi Road Bypass
Improvements Project, Project No. 1802046, Co. Rd. No. 151009.
Statement of Issue: Jefferson County executed a Federal Lands Access Program
Match Agreement on October 31, 2019 with the Federal Highway Administration,
Western Federal Lands Highway Division (FHWA-WFL), which authorized this project
as eligible for federal participation. Execution of a Federal Lands Access Program
Project Memorandum of Agreement (MOA) with FHWA-WFL is now necessary to
obligate Federal Lands Access program funds and to document the terms of the match
for both parties.
Analysis/Strategic Goals/Pro's Et Con's: This project is included in the 2020-2025
Transportation Improvement Program and the 2020 Annual Construction Program as
Item No. 6. The purpose of this project is to improve 3 locations along the Undi Road
Bypass route; the work is to be accomplished by Western Federal Lands staff.
Fiscal Impact/Cost Benefit Analysis: The MOA will obligate $2,001,815 (86.50%)
Federal Lands Access Funds and $312,422 (13.50%) Local Matching Share (Jefferson
County from WSDOT Toll Credits) for a Total Projected Cost of $2,314,237 (100%).
Recommendation: The Board is requested to execute the three (3) originals of the
MOA and return all three (3) signed original documents to Public Works (attn. John
Wayand). One fully executed original MOA document will be returned to the Board
after execution by the Western Federal Lands Highway Division.
Department Contact: John Wayand, Project Manager
Reviewed By:
55/7
ilip M rley, ountY "dminist for Date
1
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 1 of 34 July 23, 2020
Federal Lands Access Program
Project Memorandum of Agreement
Project / Facility Name: WA JEFF 150009(1) / Undi Road Bypass Improvements
Project Route: Undi Road Bypass, County Road Number 151009
State: Washington
County: Jefferson County
Owner of Federal Lands to which the Project Provides Access: United States Forest Service
Entity with Title or Maintenance Responsibility for Facility: Jefferson County and Clallam County
Type of Work: The project is to include:
• Preliminary Engineering including environmental studies to support an environmental
decision
• Construction Engineering / Contract Administration
• Construction of road improvements
This Agreement does not obligate (commit to) the expenditure of Federal funds nor does it commit
the parties to complete the project. Rather, this agreement sets forth the respective responsibilities
as the project proceeds through the project development process and construction.
This agreement replaces Federal Lands Access Program Match Agreement dated: 10/31/2019
between FHWA-WFL and Jefferson County, Washington.
Parties to this Agreement: Jefferson County and Federal Highway Administration, the Western
Federal Lands Highway Division (FHWA-WFL).
The Program Decision Committee originally approved this project on 09/23/2016. The revised
project scope was approved on 12/20/2019.
AGREED:
Commissioner, Jefferson County Date
Daniel Donovan, Director of Program Administration Date
Western Federal Lands Highway Division, FHWA-WFL
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 2 of 34 July 23, 2020
A. PURPOSE OF THIS AGREEMENT:
This agreement documents the intent of the parties and sets forth the anticipated
responsibilities of each party in the development, construction, and continued maintenance of
the subject project. The purpose of the agreement is to identify and assign responsibilities for
Project Development, Contract Advertisement, and Construction Administration as appropriate
for this project, and to ensure continued maintenance of the facility for public use if
improvements are made. The parties understand that any final decision as to design or
construction will not be made until after the environmental analysis required under the National
Environmental Policy Act (NEPA) is completed (this does not prevent the parties from assigning
proposed design criteria to be studied in the NEPA process.) Any decision to proceed with the
design and construction of the project will depend on the availability of appropriations at the
time of obligation and other factors such as issues raised during the NEPA process, a natural
disaster that changes the need for the project, a change in Congressional direction, or other
relevant factors.
If Federal Lands Access Program (FLAP) funds are used for the development or construction
of this project, the Jefferson County agrees to provide a matching share equal to 13.5% of
the total cost of the project, as detailed more fully in Section J below. When agency(cies)
other than FHWA-WFL will be expending FLAP funds, the parties agree to execute a separate
obligating document. No reimbursement will be made for expenses incurred prior to
execution of the obligating document.
B. AUTHORITY:
This Agreement is entered into between the signatory parties pursuant to the provisions of 23
U.S.C. 204 and Jefferson County, Washington.
C. JURISDICTION AND MAINTENANCE COMMITMENT:
Jefferson County, Washington has jurisdictional authority to operate and maintain the existing
facility and will operate and maintain the completed project at its expense.
D. FEDERAL LAND MANAGEMENT AGENCY COORDINATION:
Jefferson County, Washington has coordinated project development with the United States
Forest Service and National Park Service. The United States Forest Service and National Park
Service support of the project is documented in the Project Proposal by endorsing the proposal.
Each party to this agreement who has a primary role in NEPA, design or construction should
coordinate their activities with the Federal Land Management Agency.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 3 of 34 July 23, 2020
E. PROJECT BACKGROUND / SCOPE:
Background:
Undi Road accesses Olympic National Forest and the Bogachiel River Trail which is a significant
access point for Olympic National Park. This road is also part of the Pacific Northwest National
Scenic Trail, which was designated by Congress in 2009. In addition, there are several county
residents that live along this road.
Undi Road crossed through an area of chronic slope instability. Constant movement of the
roadway created significant safety problems for road users. Large cracks and holes would
appear overnight and require constant maintenance by County road crews.
In 2015/2016, a landslide occurred due to high flows and erosion caused by the Bogachiel River.
The road was determined to be unstable and an alternative route around the landslide area was
needed to maintain access to Olympic National Forest, Olympic National Park and local
residences.
In 2017, Jefferson County designed and constructed the missing link of the Undi Road Bypass to
maintain access to these areas. After construction, 3 locations were identified that needed
further improvements.
Scope:
o Site 1 (Jefferson County/ Clallam County): Improve intersection. Based on existing
conditions, the primary access to federal lands appears to be on old Undi Road (to the right).
The project will reconfigure the intersection to make the primary route, Undi Road
Bypass. This work includes signing, minor re-alignment, paving of the primary route, etc.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 4 of 34 July 23, 2020
o Site 2 (Clallam County): Realignment. Improve the steep curve at the top of the first hill. This
corner has site distance deficiencies and is very difficult for horse trailers to navigate. The
project will improve the alignment which may include vertical and horizontal modifications.
o Site 3 (Jefferson County): Improve intersection. The existing T-intersection has steep gravel
road approaches. The project will improve this intersection with signing, paving, striping or
other solution to get a better intersection.
o Other Work: including spot improvements such as vehicle turnouts, subgrade failures,
signing, guardrail improvements, grading, aggregate surfacing, etc. These can be approved
on a case by case basis within the project budget.
General:
The proposed project along Undi Road Bypass, beginning at approximate Milepost (MP) 0.0 and
would end at approximate MP 2.0. This project is located at approximate coordinates
47°52'53.42"N, 124°20'23.40"W.
F. PROJECT BUDGET:
This is the anticipated budget for the project based on information developed to date. Federal
Lands Access Program funds in conjunction with matching funds provided by Jefferson County
will fund this project as detailed in Section K.
Item Total Comments
Preliminary Engineering including
scoping and NEPA (PE)
$222,424 Verify at preliminary phase
and update as needed.
Construction (CN) $1,482,825 Verify at preliminary phase
and update as needed.
Construction Engineering (CE) $148,283 Verify at preliminary phase
and update as needed.
Construction Modifications (CM)
Contingency
$148,283 Reserved for construction
phase.
TOTAL BUDGET $2,001,815 Does not include Toll Credits
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 5 of 34 July 23, 2020
G. ROLES AND RESPONIBILITIES:
Jefferson County
• Will be responsible for project activities identified in Section P.
• Will appoint a representative who will be the primary contact for FHWA-WFL’s Project
Manager
• Will provide appropriate match to all FLAP funds expended on the project even if the
project is terminated prior to completion
• Will be responsible for the acquisition of any rights-of-way and / or easements necessary
to complete the project.
• Will complete all local permitting and planning processes necessary for construction, if
necessary.
• Will complete public outreach with property owners in the project area. The DNR and
USFS should provide notice to trail users of the project.
• Upon completion of construction, a final inspection will be convened by FHWA-WFL with
attendees from Jefferson County and if it is determined the project has been constructed
in substantial conformity with approved plans and specifications, Jefferson County will
provide written confirmation of its acceptance of the constructed project.
FHWA-WFL
• Perform the planning, design, acquisitions and construction duties noted in Section P.
Note: Engineering and land surveying documents prepared by FHWA-WFL internal staff
will not be stamped and sealed by a registered Professional Engineer/Land Surveyor.
• FHWA-WFL will be responsible for FHWA decisions that may be not be delegated. These
decisions are identified in Section P.
H. ROLES AND RESPONSIBILITIES – MILESTONE SCHEDULE:
Responsible
Lead
Product/Service Schedule Start/Finish
FHWA-WFL 30% Design September 2020/ December 2020
FHWA-WFL NEPA documentation September 2020/ June 2021
FHWA-WFL NEPA Decision 30 days after complete &
satisfactory documentation is
provided
FHWA-WFL 70% PS&E December 2020/ March 2021
FHWA-WFL 95% PS&E April 2021/ July 2021
Jefferson County Right of Way Acquisition March 2021/ March 2022
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 6 of 34 July 23, 2020
Responsible
Lead
Product/Service Schedule Start/Finish
FHWA-WFL, Advertise/Award April 2022/ May 2022
FHWA-WFL Construction June 2022/ October 2022
I. PROPOSED DESIGN STANDARDS:
Preferred design alternatives will be determined through the NEPA process.
Criteria Comments
Standard AASHTO – Guidelines for Geometric
Design of Low-Volume Roads
Roadway Design Manual
AASHTO – A Policy on Geometric
Design
Functional Classification Rural Local Road
Design Vehicle Passenger car pulling boat and
other trailers (horse trailer)
Surface Type Pavement (Site 1)
Aggregate (Site 2 & 3)
Design Volume 113 ADT 20-year projection
Design exceptions to standards, will be documented and sent to the Jefferson County and
Clallam County for concurrence.
J. FUNDING:
The project is funded by the Federal Lands Access Program administered by FHWA-WFL, with
matching funds provided by the Jefferson County.
Funding Source Amount % Comments
Federal Lands Access
Funds
$2,001,815
86.50%
Local Matching Share
(Jefferson County)
$312,422 13.50% Toll Credits. Toll credits don’t
contribute to total budget in Section F
Total Projected Costs $2,314,237 100%
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 7 of 34 July 23, 2020
K. MATCHING SHARE REQUIREMENTS:
The purpose of this section is to document the intent of Jefferson County to meet its match
requirement for the subject project as authorized under section 23 USC 201(b)(7)(B).
All FLAP expenditures associated with this project will need to be matched by a Non- Federal
source, by other Federal funds other than those made available under Titles 23 and 49 of the
United States Code, or by funds made available under 23 U.S.C. 202 and 203. The matching
requirement under the FAST Act will be met by Jefferson County.
Jefferson County has committed to the project. The forms of match shall be those consistent
with the 'Federal-Aid Guidance Non-Federal Matching Requirements' and as approved by
FHWA-WFL. In the state of Washington, 13.5% of the total project cost.
This project is authorized to use a Tapered Match. Under this approach, the non-Federal match
is imposed over the entire project rather than individual progress payments. Timing of all fund
transfers are specified in the Funding Plan. Tapered Match is authorized because it will result in
an earlier completion date.
Estimated costs and fiscal year (FY) for the funding are based on the best budgeting and
scheduling information known at the time. The final match will be determined based on actual
expenditures at the conclusion of project work. Matching cash funds in FHWA-WFL receipt may
need to be supplemented, or returned, once actual expenditures are determined. As noted
under Modifications, if costs increase over the amount within this agreement, FHWA-WFL will
consult with Jefferson County to ensure availability and commitment of additional match
requirements.
Maintain all project records, including source documentation for all expenditures and in-kind
contributions, for a period of three (3) years from the date of final acceptance. If any litigation
claim, negotiation, or audit has been started before expiration of the three-year period, the
records shall be retained until completion of the action and resolution of all issues that arise
from it.
The following agencies have agreed to contribute the amounts shown which will reduce the
federal share by the same amount. The Funding Plan is as follows:
Agency Phase Form Due Value Comments
Jefferson
County PE Toll
Credits
No later than the Project
construction advertisement
date.
$31,242
Jefferson
County CN Toll
Credits
No later than construction
final acceptance $281,180
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 8 of 34 July 23, 2020
L. PROJECT TEAM MEMBERS – POINT OF CONTACT:
The following table provides the points of contact for this project. They are to be the first
persons to deal with any issues or questions that arise over the implementation of each party’s
role and responsibility for this agreement.
Name / Title Organization Telephone No. / e-mail
John Wayand,
Project Manager
Jefferson County 360.385.9377
jwayand@co.jefferson.wa.us
Joe Donisi, Asst. County
Engineer
Clallam County 360.417.2404
JDonisi@clallam.wa.us
Shannon R. Henriquez,
Acting Forest Engineer
United States Forest Service 360.956.2264
shannon.henriquez@usda.gov
Lisa Turecek,
Chief Facility Management
Olympic National Park 360.565.3150
Lisa_Turecek@nps.gov
John Davis,
Project Manager
Federal Highway Administration-
Western Federal Lands Highway
Division
360.619.7939,
john.davis@dot.gov
Brent Coe,
Project Management
Branch Chief
Federal Highway Administration-
Western Federal Lands Highway
Division
360.619.7744,
brent.coe@dot.gov
M. CHANGES / AMENDMENTS / ADDENDUMS:
The agreement may be modified, amended, or have addendums added by mutual agreement
of all parties. The change, amendment, or addendum must be in writing and executed by all of
the parties.
The types of changes envisioned include, but are not limited to, changes that significantly impact
scope, schedule, or budget; changes to the local match, either in type or responsibility; change
that alter the level of effort or responsibilities of a party. The parties commit to consider
suggested changes in good faith. Failure to reach agreement on changes may be cause for
termination of this agreement.
A change in composition of the project team members does not require the agreement to be
amended.
It is the responsibility of the project team members to recognize when changes are needed and
to make timely notifications to their management in order to avoid project delivery delays.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 9 of 34 July 23, 2020
N. ISSUE RESOLUTION PROCEDURES MATRIX:
Issues should be resolved at the lowest level possible. The issue should be clearly defined in
writing and understood by all parties. Escalating to the next level can be requested by any party.
When an issue is resolved, the decision will be communicated to all levels below.
Jefferson County FHWA-WFL Time
John Wayand,
Project Manager
John Davis,
Project Manager
15 Days
Monte Reinders,
Public Works Director and County Engineer
Brent Coe,
Project Management Branch Chief
15 Days
O. TERMINATION:
This agreement may be terminated by mutual written consent of all parties. This agreement
may also be terminated if either the NEPA process or funding availability requires a change and
the parties are not able to agree to the change. Any termination of this agreement shall not
prejudice any rights or obligations accrued to the parties prior to termination. If Federal access
funds have been expended prior to termination, the party responsible for the match agrees to
provide a match in the applicable percentage of the total amount expended on the project prior
to the termination.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 10 of 34 July 23, 2020
P. PROJECT and STEWARDSHIP & OVERSIGHT ACTIVITIES:
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 11 of 34 July 23, 2020
Phase Activity Jefferson County FHWA-WFL
Planning &
Programming
Evidence of funding allocation Signed Project Agreement Signed Project
Agreement
Planning &
Programming
Project agreement with scope, schedule, & budget Signed Project Agreement Signed Project
Agreement
Environment Determine Lead Federal agency Concur Identified as FHWA-WFL
Environment Draft Environmental Resource Documents/ Studies Review/ Concur Provide
Environment Non FHWA environmental decisions Provide available related
decisions
File copy
Environment Evidence of local permits Provide File copy
Environment Public Outreach and meetings Notify local property owners
in the project area
Attend as determined by
FHWA-WFL
Environment FHWA NEPA decision Comply Provide
Design Procure A/E Consultant as needed Concur Provide
Design Topographic and Right of Way Surveying and Base
mapping / DTM
Review Provide
Design Review 30% PS&E Review and Concur Provide
Design Design standards and exceptions Review and Concur Provide
Design Prepare Right of Way plans, exhibits, descriptions Review and Concur Provide
Design Right of Way/ Easement appraisals, acquisition and
Certification
Provide Review
Design Utility coordination and relocation plans, if necessary Review and Concur Provide
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 12 of 34 July 23, 2020
Design Review 95% PS&E Review and Concur Provide
Design Utility Agreements Review Provide
Acquisitions Approval of proprietary products Provide Approve
Acquisitions Contract package for required clauses (Civil Rights,
Davis-Bacon, Buy America/American,…)
Review Provide
Acquisitions Copy of award package File copy Provide
Acquisitions Review or approve contract modifications Review Approve
Construction Attend Pre-Construction meeting Attend Attend as determined by
FHWA-WFL
Construction Mid-construction Project Inspections Attend Attend as determined by
FHWA-WFL
Construction Final Project Inspections Attend Attend as determined by
FHWA-WFL
Construction Copy of As-builts File copy Provide
Construction Materials Testing QA/QC Plan File copy Provide
Construction Copy of final voucher File copy Provide
Construction Contract Dispute (Claim) Notify and fund Review/Approve
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 13 of 34 July 23, 2020
ATTACHMENT 1
2 CFR 200 Common Rule Requirements and other legal requirements
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 14 of 34 July 23, 2020
A. GENERAL TERMS AND CONDITIONS
Background. To promote accelerated and efficient delivery of projects that benefit Federal Land
Management Agencies, the Secretary has exercised his discretion under 23 U.S.C. § 201(a) and § 204(a)(3)
to apply Title 23 U.S.C. Chapter 1 requirements (Federal Aid requirements) to Federal Lands Access Projects
delivered by State Departments of Transportation (DOTs) and local public agencies that are evaluated and
certified by State DOTs to deliver Federal Aid projects. In instances where a local public agenc y is not certified
to deliver Federal-aid projects and Federal Lands Access projects are delivered by the local public agency
cooperatively with Federal Lands Highway Division office oversight, the government-wide Common Rule (2
CFR 200) will be applied. This cooperative relationship will enable the FLH to identify any federal law issues
in cooperation with the local public agenc y which may arise in the project development and delivery process.
1. The Agreement provides funds on a reimbursable basis to the Servicing Agency for the project
described in the Access Program Project Memorandum of Agreement.
2. The Government’s liability to make payments to the Servicing Agency under the Agreement is
limited to those funds obligated by the Government under the Agreement as indicated herein and by any
subsequent amendments agreed to in writing by all parties.
3. The Servicing Agency agrees to abide by and comply with all terms and conditions of the Agreement
and to abide by, and comply with, all requirements of applicable law, including those specified in this
Attachment, which are considered as an integral part of the Agreement.
4. In the case of any inconsistency or conflict between the specific provisions of the Agreement and
this Attachment, such inconsistency or conflict shall be resolved by giving preference to the Agreement.
5. The Servicing Agency shall be responsible for ensuring that the Project is designed and/or
constructed in accordance with the Agreement, and all applicable Federal laws, regulations and policies of
the Federal Highway Administration (“FHWA” also referred to herein as the “Government”).
6. Reimbursement of costs incurred pursuant to the Agreement will be made pursuant to and in
accordance with 2 CFR Part 200 and the provisions of such regulations and procedures as the Government
may prescribe. Determination of allowable costs incurred by the Servicing Agenc y under the Agreement
shall be made in accordance with applicable government-wide cost principles under 2 CFR 200. Closeout of
the Agreement shall be based upon a determination that all applicable administrative actions and all required
work of the Agreement have been completed in accordance with 2 CFR Part 200. Upon the Government’s
review of all financial, performance, and other reports required as a condition of the Agreement, the
Government may make any upward or downward adjustments to the allowable costs in accordance with 2
CFR 200.
7. The Servicing Agency agrees to carry out and complete the Project without undue delays and in
accordance with the terms of the Agreement, including the Project Schedule set out in the Agreement, or in
the Access Program Project Memorandum of Agreement if no Schedule is included in this Agreement, and
comply with such regulations and procedures as the Government may prescribe.
8. The Servicing Agency agrees to retain all documents relevant to the Project for a period of three
years from completion of the Project and receipt of final reimbursement from the Government. The
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 15 of 34 July 23, 2020
Servicing Agency agrees to furnish the Government, upon request, all documents and records pertaining to
the Project.
9. The Government is subject to the Freedom of Information Act (FOIA). The Servicing Agency should
therefore be aware that all materials submitted by the Servicing Agency related to the Agreement will
become agency records and thus are subject to FOIA and to public release through individual FOIA requests.
10. The Government shall not be responsible or liable for any damage to property or any injury to
persons that may arise from, or be incident to, performance or compliance with this the Servicing Agency’s
work under the Agreement. The Government will be responsible for damages or injuries caused by the
negligence of its own employees, to the extent permitted under the Federal Tort Claims Act, 28 U.S.C. 2671-
2680.
11. To the extent that the State has not already enacted legislation regarding texting while driving, the
Government encourages the Servicing Agency to adopt and enforce workplace safety policies to decrease
crashes caused by distracted drivers including policies that bar text messaging while driving company-owned
or rented vehicles, or government-owned, leased, or rented vehicles or privately-owned vehicles when on
official government business or when performing any work for or on behalf of the Government. See
Executive Order 13513 “Federal Leadership on Reducing Text Messaging While Driving”, Oct. 1, 2009
(available at http://edocket.access.gpo.gov/2009/E9-24203.htm ) and DOT Order 3902.10 “Text Messaging
While Driving”, Dec. 30, 2009, as implemented by Financial Assistance Policy Letter (No. FAP-2010-01, Feb.
2, 2010, available at http://www.dot.gov/sites/dot.dev/files/docs/FAPL_2010-01.pdf)This includes, but is
not limited to, the Servicing Agency:
a. considering new rules and programs or re-evaluating existing programs to prohibit text
messaging while driving;
b. conducting education, awareness, and other outreach for employees about the
safety risks associated with texting while driving; and
c. encouraging voluntary compliance with the agency’s text messaging policy while off duty.
The Servicing Agency is encouraged to insert the substance of this clause in all contracts and subcontracts.
B. APPLICABLE FEDERAL LAWS AND REGULATIONS
By entering into the Agreement, the Servicing Agency assures, certifies, and agrees to comply with all
applicable Federal laws, regulations, policies, guidelines, and requirements as they relate to the use of
Federal funds for this Project including, but not limited to, the following:
General Federal Legislation
• Fair Labor Standards Act - 29 U.S.C. § 201, et seq.
• Hatch Act - 5 U.S.C. §§ 1501, et seq.
• Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 Title - 42 U.S.C. §§4601,
et seq.
• National Historic Preservation Act of 1966 – 16 U.S.C. § 470, et seq.
• Archaeological Resources Protection Act – 16 U.S.C. 470aa, et seq.
• Native American Graves Protection and Repatriation Act - 25 U.S.C. § 3001, et seq.
• National Environmental Policy Act of 1969 - 42 U.S.C. §§ 4321, et seq.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 16 of 34 July 23, 2020
• Wild and Scenic Rivers Act, P.L. 90-542, as amended – 16 U.S.C. §§ 1271, et seq.
• Federal Water Pollution Control Act, as amended - 33 U.S.C. §§ 1251-1376
• Clean Air Act – 42 U.S.C. § 7401, et seq.
• Single Audit Act of 1984 - 31 U.S.C. §§ 7501, et seq.
• Americans with Disabilities Act of 1990 - 42 U.S.C. § 12101, et seq.
• Section 504 of the Rehabilitation Act of 1973, as amended - 29 U.S.C. § 794
• Title VI of the Civil Rights Act of 1964 - 42 U.S.C. §§ 2000d et seq.
• Limitation on Use of Appropriated Funds to Influence Certain Federal Contracting and Financial
Transactions – 31 U.S.C. § 1352
• Magnuson-Stevens Fishery Conservation and Management Act – 16 U.S.C. § 1855
• Farmlands Protection Policy Act of 1981 – 7 § U.S.C. 4201
• Noise Control Act of 1972 – 42 U.S.C. § 4901, et seq.
• Section 4(f) of the Department of Transportation Act of 1966, 49 U.S.C. 303 and 23 U.S.C. § 138
• Resource Conservation and Recovery Act of 1976 (RCRA), as amended --
42 U.S.C. §§ 6901, et seq.
• Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA), as
amended --42 U.S.C. §§ 9601-9657
• Safe Drinking Water Act -- 42 U.S.C. §§ 300f-300j-6
• Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act of 1976 – 42
U.S.C. § 6901, et seq.
• Migratory Bird Treaty Act 16 U.S.C. § 760c-760g
• The Federal Funding Transparency and Accountability Act of 2006, as amended (Pub. L. 109–282, as
amended by section 6202 of Public Law 110–252)
• Cargo Preference Act of 1954 – 46 U.S.C. § 55305
• Buy America Act – 23 U.S.C. § 313 (see
http://www.fhwa.dot.gov/construction/contracts/buyam_qa.cfm)
• Nondiscrimination – 23 U.S.C. § 140
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 17 of 34 July 23, 2020
General Federal Regulations
• Suspension and Debarment – 2 CFR Parts Part 180
• Non-procurement Suspension and Debarment – 2 CFR Part 1200
• External Programs – 23 CFR Part 230
• Manual on Uniform Traffic Control Devices – 23 CFR Part 655
• Environmental Impact and Related Procedures – 23 CFR Part 771
• Procedures for Abatement of Highway Traffic and Construction Noise – 23 CFR Part 772
• Procedures Implementing Section 4(f) of the Department of Transportation Act – 23 CFR Part 774
• DOT’s oversight of DOJ’s ADA regulations for non-transit programs, including the ADA
Accessibility Guidelines, required by the DOJ regulations at – 28 CFR Part 35
• Procedures for predetermination of wage rates – 29 CFR Part 1
• Contractors and subcontractors on public building or public work financed in whole or part by loans
or grants from the United States – 29 CFR Part 3
• Labor standards provisions applicable to contracts governing federally financed and assisted
construction (also labor standards provisions applicable to non-construction contracts subject to the
Contract Work Hours and Safety Standards Act) – 29 CFR Part 5
• Permitting Requirements under the National Pollutant Discharge Elimination System – 40 CFR Part
122.
• Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of
Labor (Federal and federally assisted contracting requirements) – 41 CFR Parts 60, et seq.
• Uniform administrative requirements, cost principles, and audit requirements for Federal
Awards – 2 CFR Part 200
• New Restrictions on Lobbying – 49 CFR Part 20
• Nondiscrimination in Federally Assisted Programs of the Department of Transportation –Effectuation
of Title VI of the Civil Rights Act of 1964 – 49 CFR Part 21
• Uniform relocation assistance and real property acquisition for Federal and Federally assisted
programs – 49 CFR Part 24
• Nondiscrimination on the Basis of Sex in Education Programs or Activities Receiving Federal
Financial Assistance – 49 CFR Part 25
• Participation by Disadvantaged Business Enterprises in Department of Transportation Financial
Assistance Programs – 49 CFR Part 26
• Nondiscrimination on the Basis of Handicap in Programs and Activities Receiving or Benefiting from
Federal Financial Assistance – 49 CFR Part 27
• Enforcement of Nondiscrimination on the Basis of Handicap in Programs or Activities Conducted by the
Department of Transportation – 49 CFR Part 28
• Denial of public works contracts to suppliers of goods and services of countries that deny
procurement market access to U.S. contractors – 49 CFR Part 30
• Government-wide Requirements for Drug-Free Workplace (Financial Assistance) – 49 CFR Part 32
• DOT's implementing ADA regulations for transit, including the ADA Accessibility Guidelines in Part
37, Appendix A – 49 CFR Parts 37 and 38
• Procedures for Transportation Workplace Drug and Alcohol Testing Programs – 49 CFR Part 40
• 23 C.F.R. Part 710 applies unless otherwise agreed to by FHWA
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 18 of 34 July 23, 2020
The Servicing Agency, when contracting for work to be performed under this Agreement, will include in the
prime contract the applicable provisions required under 2 CFR 200.326.
The Servicing Agency, when contracting for construction services, shall ensure that all laborers and mechanics
employed by contractors or subcontractors on the construction work shall be paid wages at rates not less
than those prevailing on the same type of work on similar construction in the immediate locality as
determined by the Secretary of Labor in accordance with sections 3141, 3146, and 3147 of title 40.
C. ASSURANCES AND CERTIFICATIONS
TITLE VI ASSURANCE
(Implementing Title VI of the Civil Rights Act of 1964, as amended)
ASSURANCE CONCERNING NONDISCRIMINATION IN FEDERALLY-ASSISTED PROGRAMS AND
ACTIVITIES RECEIVING OR BENEFITING FROM FEDERAL FINANCIAL ASSISTANCE
(Implementing the Rehabilitation Act of 1973, as amended, and the Americans With
Disabilities Act, as amended)
49 CFR Parts 21, 25, 27, 37 and 38
The United States Department of Transportation (USDOT)
Standard Title VI/Non-Discrimination Assurances
DOT Order No. 1050.2A
By entering into the Agreement, the Servicing Agency (also herein referred to as the “Recipient”), HEREBY
AGREES THAT, as a condition to receiving any Federal funds from the U.S. Department of Transportation
(DOT), through the Federal Highway Administration (FHWA), is subject to and will comply with the following:
Statutory/Regulatory Authorities
• Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits
discrimination on the basis of race, color, national origin);
• 49 CFR Part 21 (entitled Non-discrimination In Federally-Assisted Programs Of The Department Of
Transportation—Effectuation Of Title VI Of The Civil Rights Act Of 1964);
• 28 CFR section 50.3 (U.S. Department of Justice Guidelines for Enforcement of Title VI of the Civil
Rights Act of 1964);
The preceding statutory and regulatory cites hereinafter are referred to as the “Acts” and
“Regulations,” respectively.
General Assurances
In accordance with the Acts, the Regulations, and other pertinent directives, circulars, policy, memoranda,
and/or guidance, the Servicing Agency hereby gives assurance that it will promptly take any measures
necessary to ensure that:
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 19 of 34 July 23, 2020
“No person in the United States shall, on the grounds of race, color, or national origin, be excluded from
participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or
activity,” for which the Recipient receives Federal financial assistance from DOT, including the FHWA.
The Civil Rights Restoration Act of 1987 clarified the original intent of Congress, with respect to Title VI and
other Non-discrimination requirements (The Age Discrimination Act of 1975, and Section 504 of the
Rehabilitation Act of 1973), by restoring the broad, institutional-wide scope and coverage of these non-
discrimination statutes and requirements to include all programs and activities of the Servicing Agency, so
long as any portion of the program is Federally assisted.
Specific Assurances
More specifically, and without limiting the above general Assurance, the Servicing Agency agrees with and
gives the following Assurances with respect to its receipt of funds for this project:
1. The Servicing Agency agrees that each “activity,” “facility,” or “program,” as defined in
§§ 21.23 (b) and 21.23 (e) of 49 CFR § 21 will be (with regard to an “activity”) facilitated, or will be (with
regard to a “facility”) operated, or will be (with regard to a “program”) conducted in compliance with
all requirements imposed by, or pursuant to the Acts and the Regulations.
2. The Servicing Agency will insert the following notification in all solicitations for bids and requests for
proposals for work or materials, regardless of funding source:
a. “The Servicing Agency, in accordance with the provisions of Title VI of the Civil Rights
Act of 1964 (78 Stat. 252, 42 U.S.C. §§ 2000d to 2000d-4) and the Regulations,
hereby notifies all bidders that it will affirmatively ensure that any contract entered
into pursuant to this advertisement, disadvantaged business enterprises will be
afforded full and fair opportunity to submit bids in response to this invitation and
will not be discriminated against on the grounds of race, color, or national origin in
consideration for an award.”
3. The Servicing Agency will insert the clauses of Appendix A of this Assurance in every contract or
agreement subject to the Acts and the Regulations.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 20 of 34 July 23, 2020
4. The Servicing Agency will insert the clauses of Appendix B of this Assurance, as a covenant running
with the land, in any deed from the United States effecting or recording a transfer of real property,
structures, use, or improvements thereon or interest therein to a Recipient.
5. That where the Servicing Agency receives Federal financial assistance to construct a facility, or part of
a facility, the Assurance will extend to the entire facility and facilities operated in connection
therewith.
6. That where the Servicing Agency receives Federal financial assistance in the form, or for the acquisition
of real property or an interest in real property, the Assurance will extend to rights to space on, over,
or under such property.
7. That the Servicing Agency will include the clauses set forth in Appendix C and Appendix D of this
Assurance, as a covenant running with the land, in any future deeds, leases, licenses, permits, or similar
instruments entered into by the Servicing Agency with other parties:
a. for the subsequent transfer of real property acquired or improved under the applicable
activity, project, or program; and
b. for the construction or use of, or access to, space on, over, or under real property acquired or
improved under the applicable activity, project, or program.
8. That this Assurance obligates the Servicing Agency or any transferee for the longer of the following
periods:
a. the period during which the property is used for a purpose for which the Federal funds
were extended, or for another purpose involving the provision of similar services or
benefits; or
b. the period during which the Servicing Agency retains ownership or possession of the
property.
9. The Servicing Agency will provide for such methods of administration for the program as are found by
the Secretary of Transportation or the official to whom he/she delegates specific authority to give
reasonable guarantee that it, other recipients, sub-recipients, grantees, contractors, subcontractors,
consultants, transferees, successors in interest, and other parties funded in whole or part from the
funds provided under this Agreement will comply with all requirements imposed or pursuant to the
Acts, the Regulations, and this Assurance.
10. The Servicing Agenc y agrees that the United States has a right to seek judicial enforcement with
regard to any matter arising under the Acts, the Regulations, and this Assurance.
By signing the Agreement, the Servicing Agency also agrees to comply (and require any sub- recipients,
contractors, successors, transferees, and/or assignees to comply) with all applicable provisions governing the
FHWA’s access to records, accounts, documents, information, facilities, and staff. The Servicing Agency also
recognizes that it must comply with any program or compliance reviews, and/or complaint investigations
conducted by the FHWA. The Servicing Agency must keep records, reports, and submit the material for review
upon request to FHWA, or its designee in a timely, complete, and accurate way.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 21 of 34 July 23, 2020
Additionally, the Servicing Agenc y must comply with all other reporting, data collection, and evaluation
requirements, as prescribed by law or detailed in program guidance.
The Servicing Agency gives this ASSURANCE in consideration of and for obtaining any Federal funds, and/or
discounts, or other Federal-aid and Federal financial assistance extended after the date hereof to the recipients
by the U.S. Department of Transportation.
This ASSURANCE is binding on the Servicing Agency, contractors, subcontractors and their subcontractors’,
transferees, successors in interest, and any other participants in the funds provided under this Agreement.
APPENDIX A
During the performance of this contract, the contractor, for itself, its assignees, and successors in interest
(hereinafter referred to as the “contractor”) agrees as follows:
1. Compliance with Regulations: The contractor (hereinafter includes consultants) will comply with
the Acts and the Regulations relative to Non-discrimination in Federally-funded programs of the
U.S. Department of Transportation, Federal Highway Administration (FHWA), as they may be
amended from time to time, which are herein incorporated by reference and made a part of this
contract.
2. Non-discrimination: The contractor, with regard to the work performed by it during the contract,
will not discriminate on the grounds of race, color, or national origin in the selection and retention
of subcontractors, including procurements of materials and leases of equipment. The contractor will
not participate directly or indirectly in the discrimination prohibited by the Acts and the Regulations,
including employment practices when the contract covers any activity, project, or program set forth
in Appendix B of 49 CFR Part 21.
3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment: In all
solicitations, either by competitive bidding, or negotiation made by the contractor for work to be
performed under a subcontract, including procurements of materials, or leases of equipment, each
potential subcontractor or supplier will be notified by the contractor of the contractor’s obligations
under this contract and the Acts and the Regulations relative to Non-discrimination on the grounds
of race, color, or national origin.
4. Information and Reports: The contractor will provide all information and reports required by the
Acts, the Regulations, and directives issued pursuant thereto and will permit access to its books,
records, accounts, other sources of information, and its facilities as may be determined by the
Servicing Agency or the FHWA to be pertinent to ascertain compliance with such Acts, Regulations,
and instructions. Where any information required of a contractor is in the exclusive possession of
another who fails or refuses to furnish the information, the contractor will so certify to the Servicing
Agency or the FHWA, as appropriate, and will set forth what efforts it has made to obtain the
information.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 22 of 34 July 23, 2020
5. Sanctions for Noncompliance: In the event of a contractor’s noncompliance with the Non-
discrimination provisions of this contract, the Servicing Agency will impose such contract
sanctions as it or the FHWA may determine to be appropriate, including, but not limited to:
a. withholding payments to the contractor under the contract until the contractor
complies; and/or
b. cancelling, terminating, or suspending a contract, in whole or in part.
6. Incorporation of Provisions: The contractor will include the provisions of paragraphs one through six
in every subcontract, including procurements of materials and leases of equipment, unless exempt by
the Acts, the Regulations and directives issued pursuant thereto. The contractor will take action with
respect to any subcontract or procurement as the Servicing Agency or the FHWA may direct as a
means of enforcing such provisions including sanctions for noncompliance. Provided, that if the
contractor becomes involved in, or is threatened with litigation by a subcontractor, or supplier
because of such direction, the contractor may request the Servicing Agency to enter into any litigation
to protect the interests of the Servicing Agency. In addition, the contractor may request the United
States to enter into the litigation to protect the interests of the United States.
APPENDIX B
CLAUSES FOR TRANSFER OF REAL PROPERTY ACQUIRED OR IMPROVED UNDER THE ACTIVITY, FACILITY, OR
PROGRAM
The following clauses will be included in deeds, licenses, leases, permits, or similar instruments entered into
by the Servicing Agency under the terms of the Agreement:
1. The (grantee, lessee, permittee, etc. as appropriate) for himself/herself, his/her heirs, personal
representatives, successors in interest, and assigns, as a part of the consideration hereof, does hereby
covenant and agree [in the case of deeds and leases add “as a covenant running with the land”] that:
In the event facilities are constructed, maintained, or otherwise operated on the property
described in this (deed, license, lease, permit, etc.) for a purpose for which a U.S. Department
of Transportation activity, facility, or program is extended or for another purpose involving
the provision of similar services or benefits, the (grantee, licensee, lessee, permittee, etc.)
will maintain and operate such facilities and services in compliance with all requirements
imposed by the Acts and Regulations (as may be amended) such that no person on the
grounds of race, color, or national origin, will be excluded from participation in, denied the
benefits of, or be otherwise subjected to discrimination in the use of said facilities.
2. With respect to licenses, leases, permits, etc., in the event of breach of any of the above Non-
discrimination covenants, the Servicing Agency will have the right to terminate the (lease, license,
permit, etc.) and to enter, re-enter, and repossess said lands and facilities thereon, and hold the same
as if the (lease, license, permit, etc.) had never been made or issued.*
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 23 of 34 July 23, 2020
3. With respect to a deed, in the event of breach of any of the above Non-discrimination
covenants, the Servicing Agency will have the right to enter or re-enter the lands and facilities
thereon, and the above described lands and facilities will there upon revert to and vest in and
become the absolute property of the Servicing Agency and its assigns.*
(*Reverter clause and related language to be used only when it is determined that such a clause is
necessary to make clear the purpose of Title VI.)
APPENDIX C
CLAUSES FOR CONSTRUCTION/USE/ACCESS TO REAL PROPERTY ACQUIRED UNDER THE ACTIVITY,
FACILITY OR PROGRAM
The following clauses will be included in deeds, licenses, permits, or similar instruments/agreements
entered into by Servicing Agency pursuant to the provisions of this Agreement:
1. The (grantee, licensee, permittee, etc., as appropriate) for himself/herself, his/her heirs, personal
representatives, successors in interest, and assigns, as a part of the consideration hereof, does
hereby covenant and agree (in the case of deeds and leases add, “as a covenant running with the
land”) that (1) no person on the ground of race, color, or national origin, will be excluded from
participation in, denied the benefits of, or be otherwise subjected to discrimination in the use of
said facilities, (2) that in the construction of any improvements on, over, or under such land, and
the furnishing of services thereon, no person on the ground of race, color, or national origin, will
be excluded from participation in, denied the benefits of, or otherwise be subjected to
discrimination, (3) that the (grantee, licensee, lessee, permittee, etc.) will use the premises in
compliance with all other requirements imposed by or pursuant to the Acts and Regulations, as
amended, set forth in this Assurance.
2. With respect to (licenses, leases, permits, etc.), in the event of breach of any of the above Non-
discrimination covenants, the Servicing Agency will have the right to terminate the (license,
permit, etc., as appropriate) and to enter or re-enter and repossess said land and the facilities
thereon, and hold the same as if said (license, permit, etc., as appropriate) had never been made
or issued.*
3. With respect to deeds, in the event of breach of any of the above Non-discrimination
covenants, the Servicing Agency will there upon revert to and vest in and become the absolute
property of the Servicing Agency and its assigns.*
(*Reverter clause and related language to be used only when it is determined that such a clause is
necessary to make clear the purpose of Title VI.)
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 24 of 34 July 23, 2020
APPENDIX D
During the performance of this contract, the contractor, for itself, its assignees, and successors in interest
(hereinafter referred to as the “contractor”) agrees to comply with the following non-discrimination statutes
and authorities; including but not limited to:
Pertinent Non-Discrimination Authorities:
• Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits
discrimination on the basis of race, color, national origin); and 49 CFR Part 21.
• The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C.
§ 4601), (prohibits unfair treatment of persons displaced or whose property has been acquired
because of Federal or Federal-aid programs and projects);
• Federal-Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), (prohibits discrimination on the basis
of sex);
• Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as amended, (prohibits
discrimination on the basis of disability); and 49 CFR Part 27;
• The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.), (prohibits
discrimination on the basis of age);
• Airport and Airway Improvement Act of 1982, (49 USC § 471, Section 47123), as amended,
(prohibits discrimination based on race, creed, color, national origin, or sex);
• The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage and
applicability of Title VI of the Civil Rights Act of 1964, The Age Discrimination Act of 1975 and Section
504 of the Rehabilitation Act of 1973, by expanding the definition of the terms “programs or
activities” to include all of the programs or activities of the Federal-aid recipients, sub-recipients
and contractors, whether such programs or activities are Federally funded or not);
• Titles II and III of the Americans with Disabilities Act, which prohibit discrimination on the basis of
disability in the operation of public entities, public and private transportation systems, places of
public accommodation, and certain testing entities (42 U.S.C. §§ 12131 – 12189) as implemented by
Department of Transportation regulations at 49 CFR parts 37 and 38;
• The Federal Aviation Administration’s Non-discrimination statute (49 U.S.C. § 47123) (prohibits
discrimination on the basis of race, color, national origin, and sex);
• Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations
and Low-Income Populations, which ensures discrimination against minority populations by
discouraging programs, policies, and activities with disproportionately high and adverse human
health or environmental effects on minority and low-income populations;
Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency, and
resulting agency guidance, national origin discrimination includes discrimination because of limited
English proficiency (LEP). To ensure compliance with Title VI, you must take reasonable steps to
ensure that LEP persons have meaningful access to your programs (70 Fed. Reg. at 74087 to 74100);
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 25 of 37 July 23, 2020
• Title IX of the Education Amendments of 1972, as amended, which prohibits you from
discriminating because of sex in education programs or activities (20 U.S.C. 1681 et seq).
A. ASSURANCE OF DISCLOSURE OF LOBBYING ACTIVITIES
Certification for Contracts, Grants, Loans, and Agreements
The person signing this Agreement for the Servicing Agency certifies, to the best of his or her knowledge and
belief, that:
No 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 agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of
any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any
grant agreement, and the extension, continuation, renewal, amendment, or modification of any Federal
contract, grant, loan, or grant agreement.
If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing
or attempting to influence an officer or employee of any 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
grant agreement, the undersigned shall complete and submit Standard Form-LLL (Rev. 7-97), "Disclosure of
Lobbying Activities," in accordance with its instructions.
The undersigned shall require that the language of this certification be included in the award documents for
all subawards at all tiers (including subcontracts and contracts under grants, loans and grant agreements) and
that all subcontractors 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 is a prerequisite for making or entering into this
transaction imposed by 31 U.S.C. § 1352, title. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
B. CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
The Servicing Agency certifies that it will, or will continue, to provide a drug-free workplace by:
1. Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession or use of a controlled substance is prohibited in the Servicing Agency’s
workplace, and specifying the actions that will be taken against employees for violation of such
prohibition.
2. Establishing an ongoing drug-free awareness program to inform employees about:
a. The dangers of drug abuse in the workplace;
b. The Servicing Agency's policy of maintaining a drug-free workplace;
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 26 of 34 July 23, 2020
c. Any available drug counseling, rehabilitation, and employee assistance programs;
and,
d. The penalties that may be imposed upon employees for drug abuse violations occurring in
the workplace;
3. Making it a requirement that each employee to be engaged in the performance of work supported
by the Agreement be given a copy of the statement required by paragraph 1.
4. Notifying the emplo yee in the statement required by paragraph 1 that, as a condition of
employment supported by the Agreement, the employee will:
a. Abide by the terms of the statement; and
b. Notify the employer in writing of his or her conviction for a violation of a criminal drug statute
occurring in the workplace no later than five calendar days after such conviction.
5. Notifying the agenc y in writing, within ten calendar days after receiving notice under paragraph
4.b. from an employee or otherwise receiving actual notice of conviction. Employers of convicted
employees must provide notice, including position title, to FHWA. Notice shall include the order
number of the Agreement.
6. Taking one of the following actions, within 30 days of receiving notice under paragraph 4(b), with
respect to any employee who is so convicted:
a. Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended, or
b. Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State or local health, law
enforcement, or other appropriate agency.
7. Making a good faith effort to continue to maintain a drug-free workplace through implementation
of paragraphs 1, 2, 3, 4, 5, and 6.
8. The Servicing Agency may, but is not required to, provide the site for the performance of work
done in connection with the Agreement. For the provision of services pursuant to the Agreement,
workplaces include outstations, maintenance sites, headquarters office locations, training sites and
any other worksites where work is performed that is supported by the Agreement. If the Servicing
Agency does so, the Servicing Agency shall identify the Places of Performance by listing the street
address, city, county, state, zip code. Also identify if there are workplaces on file that are not identified
in this section of the Agreement.
C. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS --
PRIMARY COVERED TRANSACTIONS
2 CFR Parts 180, 1200, 48 CFR Part 9, and 49 CFR Part 32
These assurances and certifications are applicable to all construction contracts, design-build contracts,
subcontracts, lower-tier subcontracts, purchase orders, lease agreements, consultant contracts or any other
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 27 of 34 July 23, 2020
covered transaction requiring FHWA approval or that is estimated to cost $25,000 or more – as defined in
2 CFR Parts 180 and 1200, and 48 CFR Part. 9.
By entering into this Agreement the Servicing Agency is providing the assurances and certifications for
First Tier Participants and Lower Tier Participants as set out below.
1. Instructions for Certification – First Tier Participants:
a. The prospective first tier participant is providing the certification set out below.
b. The inability of a person to provide the certification set out below will not necessarily result in
denial of participation in this covered transaction. The prospective first tier participant shall submit
an explanation of why it cannot provide the certification set out below. The certification or
explanation will be considered in connection with the department or agency's determination
whether to enter into this transaction. However, failure of the prospective first tier participant to
furnish a certification or an explanation shall disqualify such a person from participation in this
transaction.
c. The certification in this clause is a material representation of fact upon which reliance was
placed when the contracting agency determined to enter into this transaction. If it is later
determined that the prospective participant knowingly rendered an erroneous certification, in
addition to other remedies available to the Federal Government, the contracting agency may
terminate this transaction for cause of default.
d. The prospective first tier participant shall provide immediate written notice to the contracting
agency to whom this proposal is submitted if any time the prospective first tier participant learns
that its certification was erroneous when submitted or has become erroneous by reason of
changed circumstances.
e. The terms "covered transaction," "debarred," "suspended," "ineligible," "participant,"
"person," "principal," and "voluntarily excluded," as used in this clause, are defined in 2 C.F.R.
Parts 180 and 1200. “First Tier Covered Transactions” refers to any covered transaction between
a recipient or subrecipient of Federal funds and a participant (such as the prime or general
contractor). “Lower Tier Covered Transactions” refers to any covered transaction under a First Tier
Covered Transaction (such as subcontracts). “First Tier Participant” refers to the participant who
has entered into a covered transaction with a recipient or subrecipient of Federal funds (such as
the prime or general contractor). “Lower Tier Participant” refers to any participant who has
entered into a covered transaction with a First Tier Participant or other Lower Tier Participants
(such as subcontractors and suppliers).
f. The prospective first tier participant agrees by submitting this proposal that, should the
proposed covered transaction be entered into, it shall not knowingly enter into any lower tier
covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily
excluded from participation in this covered transaction, unless authorized by the department or
agency entering into this transaction.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 28 of 34 July 23, 2020
g. The prospective first tier participant further agrees by submitting this proposal that it will
include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion-Lower Tier Covered Transactions," provided by the department or contracting
agency, entering into this covered transaction, without modification, in all lower tier covered
transactions and in all solicitations for lower tier covered transactions exceeding the $25,000
threshold.
h. A participant in a covered transaction may rely upon a certification of a prospective participant
in a lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily
excluded from the covered transaction, unless it knows that the certification is erroneous. A
participant is responsible for ensuring that its principals are not suspended, debarred, or otherwise
ineligible to participate in covered transactions. To verify the eligibility of its principals, as well as
the eligibility of any lower tier prospective participants, each participant may, but is not required
to, check the Excluded Parties List System website (https://www.epls.gov/), which is compiled by
the General Services Administration.
i. Nothing contained in the foregoing shall be construed to require the establishment of a system
of records in order to render in good faith the certification required by this clause. The knowledge
and information of the prospective participant is not required
to exceed that which is normally possessed by a prudent person in the ordinary course of business
dealings.
j. Except for transactions authorized under paragraph (f) of these instructions, if a participant in
a covered transaction knowingly enters into a lower tier covered transaction with a person who is
suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in
addition to other remedies available to the Federal Government, the department or agency may
terminate this transaction for cause or default.
2. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion – First
Tier Participants:
a. The prospective first tier participant certifies to the best of its knowledge and belief,
that it and its principals:
1. Are not presently debarred, suspended, proposed for debarment, declared ineligible,
or voluntarily excluded from participating in covered transactions by any Federal
department or agency;
2. Have not within a three-year period preceding this proposal been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or performing a public (Federal, State or
local) transaction or contract under a public transaction; violation of Federal or State antitrust
statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction
of records, making false statements, or receiving stolen property;
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 29 of 34 July 23, 2020
3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental
entity (Federal, State or local) with commission of any of the offenses enumerated in
paragraph a.2. of this certification; and
4. Have not within a three-year period preceding this application/proposal had one or more
public transactions (Federal, State or local) terminated for cause
or default.
b. Where the prospective participant is unable to certify to any of the statements in this
certification, such prospective participant shall attach an explanation to this proposal.
3. Instructions for Certification - Lower Tier Participants:
(Applicable to all subcontracts, purchase orders and other lower tier transactions requiring prior FHWA
approval or estimated to cost $25,000 or more - 2 C.F.R. Parts 180 and 1200)
a. The prospective lower tier participant is providing the certification set out below.
b. The certification in this clause is a material representation of fact upon which reliance was
placed when this transaction was entered into. If it is later determined that the prospective lower
tier participant knowingly rendered an erroneous certification, in addition to other remedies
available to the Federal Government, the department, or agency with which this transaction
originated may pursue available remedies, including suspension and/or debarment.
c. The prospective lower tier participant shall provide immediate written notice to the person to
which this proposal is submitted if at any time the prospective lower tier participant learns that its
certification was erroneous by reason of changed circumstances.
d. The terms "covered transaction," "debarred," "suspended," "ineligible," "participant,"
"person," "principal," and "voluntarily excluded," as used in this clause, are defined in 2 CFR Parts
180 and 1200. You may contact the person to which this proposal is submitted for assistance in
obtaining a copy of those regulations. “First Tier Covered Transactions” refers to any covered
transaction between a recipient and subrecipient of Federal funds and a participant (such as the
prime or general contract). “Lower Tier Covered Transactions” refers to any covered transaction
under a First Tier Covered Transaction (such as subcontracts). “First Tier Participant” refers to the
participant who has entered into a covered transaction with a recipient or subrecipient of Federal
funds (such as the prime or general contractor). “Lower Tier Participant” refers any participant
who has entered into a covered transaction with a First Tier Participant or other Lower Tier
Participants (such as subcontractors and suppliers).
e. The prospective lower tier participant agrees by submitting this proposal that, should the
proposed covered transaction be entered into, it shall not knowingly enter into any lower tier
covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily
excluded from participation in this covered transaction, unless authorized by the department or
agency with which this transaction originated.
f. The prospective lower tier participant further agrees by submitting this proposal that it will
include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 30 of 34 July 23, 2020
Voluntary Exclusion-Lower Tier Covered Transaction," without modification, in all lower tier
covered transactions and in all solicitations for lower tier covered transactions exceeding the
$25,000 threshold.
g. A participant in a covered transaction may rely upon a certification of a prospective participant
in a lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily
excluded from the covered transaction, unless it knows that the certification is erroneous. A
participant is responsible for ensuring that its principals are not suspended, debarred, or otherwise
ineligible to participate in covered transactions. To verify the eligibility of its principals, as well as
the eligibility of any lower tier prospective participants, each participant may, but is not required
to, check the Excluded Parties List System website (https://www.epls.gov/), which is compiled by
the General Services Administration.
h. Nothing contained in the foregoing shall be construed to require establishment of a system of
records in order to render in good faith the certification required by this clause. The knowledge
and information of participant is not required to exceed that which is normally possessed by a
prudent person in the ordinary course of business dealings.
i. Except for transactions authorized under paragraph e of these instructions, if a participant in
a covered transaction knowingly enters into a lower tier covered transaction with a person who is
suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in
addition to other remedies available to the Federal Government, the department or agency with
which this transaction originated may pursue available remedies, including suspension and/or
debarment.
4. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier
Participants:
a. The prospective lower tier participant certifies, by submission of this proposal, that neither it
nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible,
or voluntarily excluded from participating in covered transactions by any Federal department or
agency.
b. Where the prospective lower tier participant is unable to certify to any of the
statements in this certification, such prospective participant shall attach an explanation to
this proposal.
D. ASSURANCE OF ADEQUATE FINANCIAL SYSTEMS AND CONTROL OF PROJECT COSTS
1. The Servicing Agency will be reimbursed in accordance with the terms of this
Agreement.
2. The Servicing Agency shall have entered into obligations for services and goods associated
with the Project prior to seeking reimbursement from the Government. Reimbursement will
only be made for expenses incurred after execution of a project agreement.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 31 of 34 July 23, 2020
3. The Servicing Agency shall ensure that the funds provided by the Government are not
misappropriated or misdirected to any other account, need, project, line-item, or unrelated
activity.
4. Any Federal funds not expended in conjunction with the Project will remain the property
of the Government.
5. Financial Management System: By signing this Agreement, the Servicing Agency verifies
that it has, or will implement, a financial management system adequate for monitoring the
accumulation of costs and that it complies with the financial management system
requirements of 2CFR Part 200.302. The Servicing Agency’s failure to comply with these
requirements may result in Agreement termination.
6. Allowable Costs: Determination of allowable costs will be made in accordance with the
applicable Federal cost principles, e.g., 2 CFR Part 200. Disallowed costs are those charges
determined to not be allowed in accordance with the applicable Federal cost principles or
other conditions contained in this Agreement.
E. TRANSPARENCY ACT REQUIREMENTS
Pursuant to the Federal Funding Transparency and Accountability Act of 2006, as amended (Pub. L. 109–282,
as amended by section 6202 of Public Law 110–252, hereafter referred to as ‘‘the Transparency Act’’ or ‘‘the
Act’’) and the OMB Interim Final Rule (75 FR 55663 (September 14, 2010) (available at
http://www.gpo.gov/fdsys/pkg/FR-2010-09-14/pdf/2010-22705.pdf) (codified at 2 CFR Part 170), the
Servicing Agency is required to report as required under the Act: The Servicing Agency shall also report
information for its prime contractor.
1. Reporting Obligations
a. Applicability. Unless the Servicing Agency (hereinafter in this section referred to as “you”) are
exempt as provided in paragraph 4. of this section, you must report each action that obligates
$25,000 or more in Federal funds for a prime contract to an entity (see definitions in subsection 5.
of this section).
b. Where and when to report.
1. You must report each obligating action described in subsection 1.a. of this section to
http://www.fsrs.gov.
2. For contractor information, report no later than the end of the month following the month
in which the contract was executed. (For example, if the obligation was made on November 7,
2010, the obligation must be reported by no later than December 31,
2010.)
c. What to report. You must report the information about each obligating action that the
submission instructions posted at http://www.fsrs.gov specify.
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 32 of 34 July 23, 2020
2. Reporting Total Compensation of Executives.
a. Applicability and what to report. You must report total compensation for each of your five
most highly compensated executives for the preceding completed fiscal year, if—
1. the total Federal funding authorized to date under this award is $25,000 or more;
2. in the preceding fiscal year, you received—
i. 80 percent or more of your annual gross revenues from Federal procurement contracts
(and subcontracts) and Federal financial assistance subject to the Transparency Act, as
defined at 2 CFR 170.320 (and subawards); and
ii. $25,000,000 or more in annual gross revenues from Federal procurement contracts
(and subcontracts) and Federal financial assistance subject to the Transparency Act, as
defined at 2 CFR 170.320 (and subawards); and
iii. The public does not have access to information about the compensation of the
executives through periodic reports filed under section 13(a) or 15(d) of the Securities
Exchange Act of 1934 (15 U.S.C. § 78m(a), 78o(d)) or section 6104 of the Internal
Revenue Code of 1986. (To determine if the public has access to the compensation
information, see the U.S. Security and Exchange Commission total compensation filings
at http://www.sec.gov/answers/execomp.htm.)
b. Where and when to report. You must report executive total compensation described in
subsection 2.a.. of this section:
1. As part of your registration profile at https://www.sam.gov
2. By the end of the month following the month in which this award is made, and annually
thereafter.
3. Reporting of Total Compensation of Prime Contractor’s Executives.
a. Applicability and what to report. Unless you are exempt as provided in subsection 4. of this
section, for each prime contractor receiving funds for which reimbursement will be sought, you
shall report the names and total compensation of each of the prime contractor's five most highly
compensated executives for the prime contractor's preceding completed fiscal year, if—
1. in the prime contractor's preceding fiscal year, the contractor received—
i 80 percent or more of its annual gross revenues from Federal procurement contracts
(and subcontracts) and Federal financial assistance subject to the Transparency Act,
as defined at 2 CFR 170.320 (and subawards); and
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 33 of 34 July 23, 2020
ii. $25,000,000 or more in annual gross revenues from Federal procurement contracts
(and subcontracts), and Federal financial assistance subject to the Transparency Act
(and subawards); and
2. The public does not have access to information about the compensation of the executives
through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of
1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. (To
determine if the public has access to the compensation information, see the U.S. Security and
Exchange Commission total compensation filings at
http://www.sec.gov/answers/execomp.htm.)
b. Where and when to report. You must report the prime contractor’s executive total
compensation described in subsection 3.a. of this section:
1. To http://www.fsrs.gov.
2. By the end of the month following the month during which you executed the prime
contract. For example, if a prime contract is executed on any date during the month of
October of a given year (i.e., between October 1 and 31), you must report any required
compensation information of the prime contractor by November 30 of that year.
4. Exemptions.
If, in the previous tax year, you or the prime contractor had gross income, from all sources, under $300,000,
you are exempt from the requirements to report prime contracts and the total compensation of the five most
highly compensated executives of any prime contractor.
5. Definitions. For purposes of this section:
a. Entity means all of the following, as defined in 2 CFR Part 25:
1. A Governmental organization, which is a State, local government, or Indian tribe;
2. A foreign public entity;
3. A domestic or foreign nonprofit organization;
4. A domestic or foreign for-profit organization;
5. A Federal agency, but only as a contractor or subcontractor to a non-Federal entity.
b. Executive means officers, managing partners, or any other employees in management
positions.
c. Total compensation means the cash and noncash dollar value earned by the executive during
the Servicing Agency's or prime contractor's preceding fiscal year and includes the following (for
more information see 17 CFR 229.402(c)(2)):
WA JEFF 150009(1)
Undi Road Bypass Improvements Page 34 of 34 July 23, 2020
1. Salary and bonus.
2. Awards of stock, stock options, and stock appreciation rights. Use the dollar amount
recognized for financial statement reporting purposes with respect to the fiscal year in
accordance with the Statement of Financial Accounting Standards No. 123 (Revised 2004)
(FAS 123R), Shared Based Payments.
3. Earnings for services under non-equity incentive plans. This does not include group life,
health, hospitalization or medical reimbursement plans that do not discriminate in favor of
executives, and are available generally to all salaried employees.
4. Change in pension value. This is the change in present value of defined benefit
and actuarial pension plans.
5. Above-market earnings on deferred compensation which is not tax-qualified.
6. Other compensation, if the aggregate value of all such other compensation (e.g.
severance, termination payments, value of life insurance paid on behalf of the employee,
perquisites or property) for the executive exceeds $10,000.
E. SINGLE AUDIT INFORMATION FOR SERVICING AGENCIES
To maximize the transparency and accountability of funds authorized under the Act as required by Congress
and in accordance with 2 CFR 200 “Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards”, the Servicing Agency agrees to maintain records that identify adequately
the source and application of FHWA funds.