HomeMy WebLinkAbout1898 - Washington State - Supplemental No. 1 - State Ave to 80th St NE non-motorized �; Washington State Local Agency Agreement Supplement
Department of Transportation 9 Y 9 pp
Agency Supplement Number
City of Marysville 1
Federal Aid Project Number Agreement Number CFDA No. 20.205
CM-2692(002) LA-9542 (Catalog of Federal Domestic Assistance)
The Local Agency requests to supplement the agreement number noted above.
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 80th St NE Length .68 miles
Termini State Ave to 5I st Ave NE
Description of Work ✓ No Change
Reason for Supplement
Funding of Right of Way phase
Are you claiming indirect cost rate? Yes / No Project Agreement End Date 12/31/2024
Does this change require additional Right of Way or Easements? Yes ✓ No Advertisement Date:
Estimate of Funding
(1) (3) (4) (5)
Type of Work Previous Supplement Estimated Total Estimated Agency Estimated Federal
AgreementiSuppl. Project Funds Funds Funds
PE 73,805.00 73,805.00 9,964.00 63,841.00
86.5 % a.Agency .
b.Other Consultant 14,451.00 14,451.00 1,951.00 12,500.00
Federal Aid C.Other 0.00
Participation 0.00
Ratio for PE d.State —
e.Total PE Cost Estimate ea•b4s•s11 _ 88,256.00 0.00 88,256.00 11,915.00 76,341.00
Right of Way f.Agency 10,000.00 10,000.00 1,350.00 8,650.00
86. �° consultant 45,000.00 45,000.00 6,075.00 38,925.00
g.Other
Fedeede ral Aid 170,613.00 170,613.00 23,033.00 147,580.00
h.Other acquisition
Participation 1,1 1 2.14 1,1 12.14 150.14 962.00
Ratio for RW I.State
—
j.Total RAN Cost Estimate alinit ii 0.00 226,725.14 226,725.14 30,608.14 196,1 17.00
Construction°J<.Contract 0.00
J.Other 0.00
,m•Other 0.00
Federal Aid n.Other 0.00
Participation 0.00
Ratio for CN o.Awned
p.State 0.00
q.Total CN Cost Estimate&d41n+n.o+01 0.00 0.00 0.00 0.00 0.00
r,Total Project Cost Estimate(ed+a1 88,256.00 226,725.14 314,981.14 42,523.14 272,458.00
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
Digitally signed by Stephanie Tax
By ,�' ,/:/ By Stephanie Tax Date:2021.01.26 10:48:20-08'00'
Title Jon Nchrin , ayo>���—�� Director, Local Program 1
6 ay or Executed JAN 2 0 Z 21 DOT Form 140-041 ed as to form Page 1
Revised 05/2020 -
'Jon Iker, City Attorney �.•QpG ' P
`
lAgency gupplement Number
City of Marysville 1
.Federal Aid Project Number ___......_.-_ Number CFDA No. 20.205CM-2692(002) 'Agreement
LA-9542 1(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 Page 2
Revised 05/2020
Instructions
1. Agency—Enter the agency name as entered on the original agreement.
2. Supplemental Number—Enter the number of the supplement.Supplement numbers will be
assigned in sequence beginning with Number 1 for the first supplement.
3. Project Number—Enter the federal aid project number assigned by WSDOT on the original
agreement.
4. Agreement Number—Enter the agreement number assigned by WSDOT on the original
agreement.
5. Project Description. Enter the project name, length, and termini.
6. Description of Work—Clearly describe if there is a change in work such as the addition or
deletion of work elements and/or changes to the termini. If the work has not changed, put a
check mark in the"No Change" box.
7. Reason for Supplement—Enter the reason for this supplement, i.e., increase PE funding to
cover design changes presented in the revised prospectus; request funding of construction
phase; decrease construction funding to the contract bid amount. If the supplement is
authorizing a construction phase,the project's proposed advertisement date must be included in
the space provided.
8. Change Requiring Additional Right of Way or Easements—Check the Yes box when the
supplement covers a change in scope(Description of Work or Termini)that requires additional
property rights than was previously expected,or when it's determined that property rights are
necessary and the project was previously submitted as no right of way required. Check No when
this is the case.
9. Claiming Indirect Cost Rate—Check the Yes box if the agency will be claiming indirect costs on
the project. For those projects claiming indirect costs,supporting documentation that clearly
shows the indirect cost rate being utilized must be provided with the supplement. Indirect cost
rate approval by your cognizant agency or through your agency's self-certification and
supporting documentation is required to be available for review by FHWA, WSDOT and/or State
Auditor. Check the No box if the agency will not be claiming indirect costs on the project. See
Section 23.5 for additional guidance.
10. Project Agreement End Date—Enter your previously established Project Agreement End Date. If
authorizing a new phase of the project, update the Project Agreement End Date based on the
following guidance:
a. For PE and RW—WSDOT recommends agencies estimate when the phase will be
completed and add three years to determine the "Project Agreement End Date".
b. For Construction—WSDOT recommends agencies estimate when construction will be
completed and add three years to determine the "Project Agreement End Date".
c. If an extension to a Project Agreement End Date is required between phase
authorizations,the need for the extension must be described in the Reason for
Supplement. Adequate justification to approve the extension must be submitted with
the supplement. See Section 22.3 for additional guidance.
11. Type of Work and Funding—Complete this section in the manner described in Appendix
22.52.05.
a. Column 1—Enter the amounts from column 1 of the original local agency agreement. If
the agreement has already been supplemented, enter the amounts by type of work
from column 3 of the last supplemental agreement.
b. Column 2—Enter additional amounts requested by type of work.
c. Column 3—Add the amounts in columns 1 and 2.
d. Columns 4 and 5—Enter the appropriate amounts based on the participation ratio
recorded on the original agreement.
12. Signatures—An authorized official of the local agency signs the Supplemental Agreement, and
writes in their title. Submit one originally signed supplement form to the Region Local Programs
Engineer. It is the responsibility of the local agency to submit an additional, originally signed
agreement form if they need an executed agreement for their file. Note:Do NOT enter a date
on the Date Executed line.
i; Washington State
Department of Transportation Local Agency Federal Aid
Project Prospectus
Prefix Route ( ) Date 11/30/2020
Federal Aid CM-2692(002) DUNS Number 076658673 Project Number
— --------- -- - — —
Local Agency R 1801 r WSDOT 1 Federal Employer 91-6001459
Project Number ` Use Only ) i Tax ID Number
Agency CA Agency Federal Program Title
City of Marysville I Yes 1 f No ii 20.205 ❑Other
Project Title Start Latitude N 48°04'06.35" Start Longitude W 122°10'36.68"
80th St NE
End Latitude N 48°04'05.82" End Longitude W 122°09'44.22"
Project Termini From-To Nearest City Name Project Zip Code(+4)
State Ave 51st Ave NE Marysville 98270-3427
Begin Mile Post End Mile Post Length of Project Award Type
N/A N/A .68 Miles ✓ Local❑Local Forces❑State❑Railroad
Route ID Begin Mile Point End Mile Point City Number *County Number County Name
N/A N/A N/A i 0745 ' 31 Snohomish
WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number
Northwest Region 38 Z 1
Total Local Agency I Phase Start
Phase Federal Funds
Estimated Cost Funding Date
(Nearest Hundred Dollar) (Nearest Hundred Dollar) (Nearest Hundred Dollar) Month Year
P.E. $88,200 $11,900 $76,300 03/2019
R/W ,$226,700 $30,600 t$196,100 01/2021
1 Cons. + 622,800 j$622,800 1$0 03/2022
[Total 1$937,700 j$665,300 1$272,400
Description of Existing Facility (Existing Design and Present Condition)
Roadway Width Number of Lanes
Varies,27'to 40' 2
180th St is primarily a two lane road, some sections have on street parking. Between 47th and 51st,there are
significant sections without any sidewalk.
Description of Proposed Work
Description of Proposed Work(Attach additional sheet(s)if necessary)
Restriping of 80th St NE from State Ave to 47th Ave to remove parking and provide for bicycle lanes. The
project will also include the construction of curb, gutter and sidewalk on the south side of 80th St NE from
47th Ave NE to 51st Ave NE. This section will also include a bicycle lane.
Local Agency Contact Person Title Phone
Jeff Laycock City Engineer 360-363-8274
Mailing Address City State Zip Code
80 Columbia Ave Marysville WA 98270
By _
Project Prospectus ' — Approving Authority
j— _ i Title City Engineer Date
DOT Form 140-101 Page 1
Revised 04/2015 Previous Editions Obsolete
Agency , Project Title Date
City of Marysville 80th St NE 11/30/2020
Type of Proposed Work
Project Type(Check all that Apply) Roadway Width Number of Lanes
✓; New Construction []Path /Trail ❑ 3-R 40 3
✓] Reconstruction Pedestrian / Facilities ❑ 2-R
❑ Railroad ❑Parking ❑ Other
❑Bridge
Geometric Design Data
Description Through Route Crossroad
0 Principal Arterial (✓ Principal Arterial
Federal Urban Minor Arterial
Urban IL] Minor Arterial
✓ ✓
Functional ❑ Rural Collector I Rural �Collector
Classification ID NHS Major Collector NHS 71 Major Collector
❑ Minor Collector ❑Minor Collector
❑Local Access ❑ Local Access
Terrain ✓ Flat ❑Roll ❑Mountain ' [Li Flat ❑Roll ❑Mountain
Posted Speed 25 mph 25 - 30 mph
Design Speed 30 mph 30- 35 mph _
Existing ADT 3,926 3,433 - 14,982
Design Year ADT 11,350 8,035 - 30,550
Design Year 2035 2035
Design Hourly Volume (DHV) 960 750-2,510
Performance of Work
Preliminary Engineering Will Be Performed By Others Agency
City of Marysville, Consultants 16.4 % 83.6 0%0
• Construction Will Be Performed By Contract Agency j
N/A
Environmental Classification
❑ Class I - Environmental Impact Statement (EIS) ✓ Class II - Categorically Excluded (CE)
Project Involves NEPA/SEPA Section 404 ✓] Projects Requiring Documentation
Interagency Agreement (Documented CE)
I + Class III - Environmental Assessment (EA)
n Project Involves NEPA/SEPA Section 404
Interagency Agreements
Environmental Considerations
Project will involve increasing total non-pervious area by more than 5,000 SF.
Total earthwork export/import is estimated to be 1,000 CY
DOT Form 140-101 Page 2
Revised 04/2015 Previous Editions Obsolete
Agency Project Title Date
City of Marysville 80th St NE 11/30/2020
Right of Way
❑ No Right of Way Needed ✓, Right of Way Needed
*All construction required by the ✓ No Relocation ❑ Relocation Required
contract can be accomplished
within the exiting right of way.
Utilities Railroad
❑ No utility work required ✓ No railroad work required
✓,All utility work will be completed prior to the start ❑All railroad work will be completed prior to the start of
of the construction contract the construction contract
✓ All utility work will be completed in coordination ❑All the railroad work will be completed in coordination
with the construction contract with the construction contract
Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project
Prior to construction contract - Several overhead utility poles will be relocated.
With Construction Contract - Existing covers for water valves, sewer manholes, will require adjustment to
final grade. New stormwater pipes and/or structures will be installed, final design will be dependent on
geotechnical evaluation and LID analysis.
FAA Involvement
Is any airport located within 3.2 kilometers (2 miles) of the proposed project? n Yes ✓ No
Remarks
This project has been reviewed by the legislative body of the administration agency or agencies, or it's
designee, and is not inconsistent with the agency's comprehensive plan for community development.
Agency City of Marysville
Date By
ayor hairperson
DOT Form 140-101 Page 3
Revised 04/2015 Previous Editions Obsolete