HomeMy WebLinkAboutWashington State Department of Transportation Project 1802095 - 020524 11711
Washington State Local Agency Agreement Supplement
�I/ Department of Transportation
Agency Supplement Number
JEFFERSON COUNTY 1
Federal Aid Project Number Agreement Number CFDA No. 20.205-Highway Planning
TAP-0019(008) LA 10459 and Construction
All provisions in the basic agreement remain in effect except as modified by this supplement.
The Local Agency certifies that it is not excluded from receiving Federal funds by a Federal suspension or debarment
(2 CFR Part 180).Additional changes to the agreement are as follows:
Project Description
Name SR-19 RHODY DRIVE PED-BIKE IMPROVEMENTS-SOUTH SEGMENT Length 0.62
Termini CENTER ROAD MP 8.94 TO WEST VALLEY ROAD MP 9.56
Description of Work ✓ No Change
Design and construct pedestrian bicycle facilities to serve safe routes to school and commercial corridor on a state highway(SR 19).
Includes new infrastructure for a pedestrian stream crossing and pedestrian intersection crossings.
Reason for Supplement
Shift a portion of the existing TAP grant funds from the PE Agency line to a new PE Consultant line.
Are you claiming indirect cost rate? Yes ✓ No Project Agreement End Date December 31, 2026
Advertisement Date
Estimate of Funding
(1) (3) (4)
Type of Work Previous (2) Estimated Total Estimated Agency Estimated)Federal
Agreement/Suppl. Supplement Project Funds Funds Funds
PE o a.Agency
/o 170,830.00 -128,633.00 42,197.00 5,696.60 36,500.40
86.5
b.Other Consultant 0.00 128,633.00 128,633.00 17,365.40 111,267.60
Federal Aid c.Other 0.00
Participation 5,000.00 0.00 5,000.00 675.00 4,325.00
Ratio for PE d.State Services -
e.Total PE Cost Estimate(a+b+c+d) 175,830.00 0.00 175,830.00 23,737.00 152,093.00
Right of Wayoh,f.Agency 0.00
g.Other - 0.00
Federal Aid h.Other 0.00
Participation -
Ratio for RW i.State Services 0.00
j.Total R!W Cost Estimate(f+g+h+i) 0.00 0.00 0.00 0.00 0.00
-
Construction 0.00
%k.Contract
I.Other 0.00
m.Other 0.00
Federal Aid n.Other 0.00
Participation
Ratio for CN o.Agency 0.00
p.State Services 0.00
y.Total CN Cost Estimate(k+l+m+n+o+p) 0.00 0.00 0.00 0.00 0.00
r.Total Project Cost Estimate(e+i+q) 175,830.00 0.00 175,830.00 23,737.00 152,093.00
The Local Agency further stipulates that pursuant to said Title 23, regulations and policies and procedures, and as a
condition to payment of the Federal funds obligated, it accepts and will comply with the applicable provisions.
Agency Official Washington State Department of Transportation
By By
Title revi-t?. Decal QOCG c. t`r- Director, Local Program
Agency Date 2 i51z r Afppmved as to form only: Date Executed
1 - `""""f;- January 12,2024
DOT Form 140-041 Philip C.Hunsucker, Date
Page 1
Revised 04/2022 Chief Civil Deputy Prosecuting Attorney
Agency Supplement Number
JEFFERSON COUNTY 1
Federal Aid Project Number Agreement Number CFDA No. 20.205-Highway Planning
TAP-0019(008) LA 10459 and Construction
VI. Payment and Partial Reimbursement
The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid
by the Agency and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation
Act, as amended, 2 CFR Part 200.The State shall not be 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 Page 2
Revised 04/2022
Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Mark McCauley, County Administrator
From: Monte Reinders, Public Works Director/County Engineer
Agenda Date: February 5, 2024
Subject: WSDOT Local Agency Agreement Supplement No. 1
SR 19 Rhody Drive Ped-Bike Improvements - South Segment
Project No. 1802095, WSDOT Project No. TAP-0019(008)
Statement of Issue: A WSDOT Local Agency Agreement Supplement No. 1 for the SR 19 Rhody Drive
Ped.-Bike Improvements - South Segment project, is necessary in order to be able to request
reimbursement for Consultant expenditures, from our existing WSDOT Transportation Alternatives
Program grant.
Analysis/Strategic Goals/Pro's Et Con's: Public Works was awarded funding through the federal
Transportation Alternatives Program (TAP) for the preliminary engineering phase of the SR 19 Rhody
Drive Ped-Bike Improvements - South Project on June 26, 2020 and a WSDOT Local Agency
Agreement was executed on Sept. 15, 2022. This funding is administered through WSDOT Local
Programs and now requires a Local Agency Agreement Supplement to break out the estimated
Consultant expenditures from the estimated Agency expenditures. This revision of the original
Agreement is required in order to request reimbursement of Consultant funds.
This project is part of a comprehensive plan to establish pedestrian and bicycle connectivity in the
Chimacum/Hadlock area. Execution of this supplemental agreement will provide for use of
consultants to survey, design, obtain environmental permitting, and prepare construction bid
documents.
Fiscal Impact/Cost Benefit Analysis: The estimated total project funds for the PE phase is
$175,830.00 as shown on the original agreement and on the supplemental agreement. This
supplemental agreement will shift $128,633.00 from the Agency expenditures line on the
agreement to a new Consultant expenditures line, and retains $42,197.00 on the Agency
expenditures line. This project has a funding ratio of 86.5% from TAP funds and 13.5% from the
County Road Fund.
Recommendation: The Board is requested to sign two originals of the Local Agency Agreement
Supplement No. 1 and return them to Public Works. A fully executed copy will be returned to the
Board after it is executed by WSDOT.
Department Contact: John Wayand, P.E., Project Manager, 385-9256.
Reviewed B .
/11,4/i(ed,/,„zc. 0/AV.
Mark McCauley, CWIty Administrator Date
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Washington State Department of Transportation Contract No:rl�V f-k4 V4 92
Contract For: Local Agency Agreement Supplement No. 1/Project 1602095 Term: December 31,2026
COUNTY DEPARTMENT: Public Works
Contact Person: Chris Spell,ext 208,John Wayand,ext 256
Contact Phone: Chris 360-385-9208,John 385-9377
Contact email: CSpall@co Jefferson wa us,jwayand@jefferson.wa us
AMOUNT: $175,830 PROCESS: ^ Exempt from Bid Process
Revenue: TAP(86.5%) Cooperative Purchase
Expenditure: 18059500.410000 Competitive Sealed Bid
Matching Funds Required: Yes(13.5%) Small Works Roster
Sources(s)of Matching Funds J C.Road Fund Vendor List Bid
Fund# 16o RFP or RFQ
Munis Org/Obj 18033320.333131 ✓ Other: (modify existing agreement)
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMPLIANCE WITH JCC 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: ! N/A:t- 1 1 natu /'_e',�+"
Si _
re Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: El N/A: /,✓ Vari ,�, — �/--- 6J—Z¢
Sig ature Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 1/12/2024.
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
7Electronically approved as to form by PAO on 1/12/2024.
(1) State language - cannot change; (2) Contract amendment
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
1