HomeMy WebLinkAbout2086 - Washington State - Agreement - 1st St to 88th ImprovementAgency
City of Marysville
Supplement Number
2
Federal Aid Project Number
HSrP 2691(005)
lAgreement Number
lr-n-zsro
CFDANo.20.2Os
(Catalog of Federal Domestic Assistance)
The LocalAgency requests to supplement the agreement entered into and executed on Il25l13
All provisions in the basic agreement remain in effect except as modified by this supplement.
The LocalAgency 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 State Ave. - 3rd St. to 80th St. NE Length 1.2 miles
Termini 3rd Street to 80th Street NE
Description of Work / No Change
Reason for Supplement
Authorization of Right-of-Way funds
Are you claiming indirect cost rate? ! Ves / No Project Agreement End Date April 30,2023
Does this change require additional Right of Way or EasementsZ I Yes / No Advertisement Date:
w
By
Title F
^-.
DOT Form 140-041
Revised 03/2019
Jon Nehring, Mayor
Washington State
Department of Tlansportation
AGEI{CY
Local Agency Agreement Supplement
said Title 23, regulations and policies and procedures, and as a
it accepts and will comply with the applicable provisions.
ington nt Transportation
By
Director, Local P
Date Executed
The LocalAgency further stipulates that pursuant to
condition to payment of the Federal funds obligated,
Agency Official
proved as to form
f,
Type of Work
Estimate of Fundinq
(1)
Previous
Aoreement/Suool.
(2)
Supplement
(3)
Estimated Total
Proiect Funds
(4)
Estimated Agency
Funds
(5)
Estimated Federal
Funds
PE
100 To
a Aoencv 29,000.00 29,000.00 29,000.00
b Other 250,000.00 250,000.00 250,000.00
FederalAid
Participation
Ratio for PE
c. Other 0.00
d State 1,000.00 1,000.00 1,000.00
e Total PF Cost Fslimate {artr**ll 280,000.00 0.00 280,000.00 0.00 280,000.00
Right of Way
100 o/o
f Aoencv 0.00 8,120.00 8,120.00 8,120.00
o Olher Consultant 0.00 24,000.00 24,000.00 24,000.00
FederalAid
Participation
Ratio for RW
h Olher Acquisition 0.00 20,603.00 20,603.00 20,603.00
i. Sfate 1,000.00 1,000.00 1,000.00
i. Total R/W Cost Estimate n+o+n+t 0.00 53,723.00 53,723.00 0.00 53,123.00
Construction
%
k. Contract 0.00
l. Other 0.00
m. Other 0.00
Federal Aid
Participation
Ratio for CN
n, Other 0.00
o. Aoencv 0.00
o State 0.00
o. Total CN Cost Estimate lk+t+m+n+o+ol 0.00 0.00 0.00 0.00 0.00
r. Total Proiect Cost Estimate te+rot 280,000.00 53,723.00 333,723.00 0.00 333,723.00
ty Attorney
(0$ il 0 201s
Page 1
Agency
City of Marysville
Supplement Number
2
Federal Aid Prolect Number
HSrP 2691(005)
lAgreement Number
iLA-78e0
CFDANo.2O.2O5
(Catalog of Federal Domestic Assistance)
Vl. Payment and Partial Reimbursement
The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid
by the Agency and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation
Act, as amended, 2 CFR Part 200. The State shall not be ultimately responsible for any of the costs of the project. The
Agency shall be ultimately responsible for all costs associated with the project which are not reimbursed by the Federal
Government. Nothing in this agreement shall be construed as a promise by the State as to the amount or nature of federal
participation in this project.
The Agency shall bill the state for federal aid project costs incurred in conformity with applicable federal and state laws.
The agency shall minimize the time elapsed between receipt of federal aid funds and subsequent payment of incurred
costs. Expenditures by the LocalAgency 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 lX).
Vll. 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 lnternalAudit Office in accordance with generally accepted governmental
auditing standards as issued by the United States GeneralAccounting Office by the Comptroller General of the United
States; WSDOT Manual M 27-50, ConsultantAuthorization, Selection, and AgreementAdministration; memoranda of
understanding between WSDOT and FHWA; and 2 CFR Part 200.501 - Audit Requirements.
lf 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.
lX. 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.
ProjectAgreement 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.
Vlll. Single AuditAct
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.
XVll. Assurances
LocalAgencies receiving Federal funding from the USDOT or its operating administrations (i.e., Federal Highway
Administration, Federal Transit Administration, FederalAviation Administration) are required to submit a written policy
statement, signed by the Agency Executive and addressed to the State, documenting that all programs, activities and
services will be conducted in compliance with Section 504 and the Americans with Disabilities Act (ADA)
DOT Form 140-041
Revised 0312019
Page2
^-'w Transportation Building
310 Maple Park Avenue S.E.
P.O. Box 47300
Olympia, WA 98504-7300
360-705-7000
TTY 1-800-833-6388
www.wsdot.wa.gov
Mr. Kevin Nielsen
Public Works Director
City of Marysville
80 Columbia Avenue
Marysville, Washington 9827 0-5 130
City of Marysville
State Ave. - 3"r St to 80th St NE
HSrP-2691(00s)
F'UND AUTHORIZATION
Dear Mr. Nielsen:
We have received FHWA fund authorization, effective October 28,2019, for this project as follows:
Washington State
Department of ftansportation
PHASE
Right of Way
October 29,2019
TOTAL
s53,723
F'EDERAL SHARE
$53,723
As a condition of authorization you must show continuous project progress through monthly billings,
until your project is complete. Failure to show continuous progress may result in your project
becoming inactive per 23 CFR 630.106(a) (5) and subject to de-obligation of all federal funds and
agreement closure.
Enclosed for your information and file is a fully executed copy of Supplement Number 2 to Local
Agency Agreement LA-7890 between WSDOT and your agency, All costs exceeding those shown on
this agreement are the sole responsibility of your agency. Any costs incurred after the Project
Agreement End Date shown on the supplement are not eligible for federal reimbursement. In
addition, all eligible costs incamed prior to the End Date must be billed within sixty (60) duys of the
End Dute or they are ineligible for federal reimbursement.
FHWA requires projects utilizing federal funds for preliminary engineering or right of way to advance
to construction. If this project is unable to proceed to construction, any expended federal funds must
be repaid.
WSDOT authorization to proceed with construction is contingent upon receipt of your Right of Way
Certification.
You may proceed with the administration of this project in accordance with your WSDOT approved
Certifi cation Acceptance agreement.
ffiffiq;fifi''+,/,Hm
Stephan Tax
Manager, Program Management
LocalPrograms
;, :iTy r-)!. irll.a\li :.iiVlH,l:
ST:cc:ml liuttltc lvoprtj &
Enclosure {^;f-}i\,i5viul\!t}y D!:vrLf}pMFNT
cc: Mehrdad Moini, Northwest Region Local Programs Engineer, MS NB82-l2l
N{.1\t 0 4 :i)',':)
^-.w H$:11,fl'$i:1"+r'"",porration g'g tu # ffi il,'rutrffiffi* i;lfJ:'.'
Olympia, WA 98504-7300
.iAl\ 2 2 d.&'i$os-zooo
TTY: 1-800-833-6388
-i-; ! t y {.! ij i,.,; nil W*,yillsd ot. wa. gov
Itriiiil-i{: vJ0Er's &
'Ci.)tui5li t.l f'i i] Y D EVe ! OPMF: r*T
January 15,2019
Mr. Kevin Nielsen
Public Works Director
City of Marysville
80 Columbia Avenue
Marysville, Washington 98270-5 1 30
City of Marysville
state Ave. - 3'd st. to 88th st. NE
HSrP-2691(00s)
FUND AUTHORIZATION
Dear Mr. Nielsen:
Enclosed for your information and file is a copy of Supplement Number I to Local Agency
Agreement LA-7890 for the above project between WSDOT and your agency.
This supplement modifies the funding for this project to the amounts shown below:
PHASE
Preliminary Engineering
TOTAL
$280,000
FEDERAL SHARE
$280,000
All costs exceeding those shown on this agreement are the sole responsibility of your
agency. Any costs incuned after the Project Agreement End Date shown on the
supplement are not eligible for federal reimbursement. In addition, all eligible costs
incurred prior to the End Date must be billed within sixty (60) days of the End Date or
they are ine ligib le for federal reimb urs ement.
As a condition of authorization you must show continuous project progress through monthly
billings, until your project is complete. Failure to show continuous progress may result in
your project becoming inactive per 23 CFR 630.106(a) (5) and subject to de-obligation of all
federal funds and agreement closure.
FHWA requires projects utilizing federal funds for preliminary engineering or right of way
to advance to construction. If this project is unable to proceed to construction, any expended
federal funds must be repaid.
WSDOT authorization to proceed with construction is contingent upon receipt of your Right
of Way Certification.
\Kevin Nielsen
Public Works Director
City of Marysville
State Ave - 3'd St. to 88th St. NE
January 15,2019
You may proceed with the administration of this project in accordance with your WSDOT
approved Certifi cation Acceptance agreement.
Sincerely,
Stephanie
Manager, Program Management
Local Programs
STjg:ml
Enclosure
ccr Mehrdad Moini, Northwest Region Local Programs Engineer, MS NB82-121
fr f:J'Ii I
i"ii 1;
'rt
I
ffinldryton ffrt!tr;psffi of ltartfortr$sr Local Agency Agreement Supplement
The LocalAgency requests to supplement the agreement entered into and executed on t /JS / t 3 qi)
All provisions in the basic agreement remain in effect except as modified by this supplemdnt. ' z
The change to the agreement are as follows:
Project Description
Name State Ave - 3rd St to 80th St NE Length 1.25 miles
Termini 3rd Street to 80th St NE
Description of Work I ruo Change
The project will improve traffic signal timing and phasing, improve visibility of traffic signal heads, and improve crosswalks. The
project will replace the entire signal at the intersection of State Avenue and 80th Sr NE.
Reason for Supplement
To cover increased design expenses due to ADA issues at the intersection of 80th St NE.
Are you claiming indirect cost rate? [ Ves / No Project Agreement End Date March 31, 2021
Does this change require additional Right of Way or Easements? ! Ves / No Advertisement Date:
100 Yo
Consultant
FederalAid
Participation
Ratio for RW
Acquisition
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 with the applicable
Agency Offic IN n Transportation
By
Title
By
Jon ehring, Mayor Director, Local
Date Executed
ram
DOT Form 140-041
Revised 0512015
Agency
City of Marysville
Supplement Number
I
Aid Project r u
HSrP 2691(00s)LA-7890
CFDANo. 20.205
(Catalog of Federal Domestic Assistance)
Type of Work
Estimate of Funding
(1)
Previous
AoreemenUSuopl
(2\
Supplement
(3)
Estimated Total
Proiect Funds
(4)
Estimated Agency
Funds
(5)
Estimated Federal
Funds
PE
100 otto
a. Agency
b. Other Consultant
FederalAid
Participation
Ratio for PE
c. Other
d. State
e. Total PE Cost Estimate ta+b+c+d)
29,000.00 29,000.00 29,000.00
160,000.00 90,000.00 250,000.00 250,000.00
0.00
l,000.00 1,000.00 1,000.00
190,000.00 90,000.00 280,000.00 0.00 280,000.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
Construction
otlo
k. Contract
I Other
m Other
FederalAid
Participation
Ratio for CN
n. Other
o. Aoencv
p. State
o. Total CN Cost Estimate tk+t+m+n+o+n)
0.00
0.00
0.00
0.00
0.00
0.00
0.00 0.00 0.00 0.00 0.00
r. Total Proiect Cost Estimate te+i+ol 190,000.00 90,000.00 280,000.00 0.00 280,000.00
'JAN 0 8 2019
Page 1
City of Marysville
Supplement Number
I
r
HSIP 2691(00s)LA-7890
CFDANo.20.205
(Catalog of Federal Domestic Assistance)
Vl. Payment and Partial Reimbursement
The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid
by the Agency and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation
Act, as amended, 2 CFR Part 200. The State shall not be ultimately responsible for any of the costs of the project. The
Agency shall be ultimately responsible for all costs associated with the project which are not reimbursed by the Federal
Government. Nothing in this agreement shall be construed as a promise by the State as to the amount or nature of federal
participation in this project.
The Agency shall bill the state for federal aid project costs incurred in conformity with applicable federal and state laws.
The agency shall minimize the time elapsed between receipt of federal aid funds and subsequent payment of incurred
costs. Expenditures by the LocalAgency 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
FederalAwards, and retained for audit.
The State will pay for State incurred costs on the project. Following payment, the State shall billthe 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 lX).
Vll. Audit of Federal Gonsultant Gontracts
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 lnternal Audit Office in accordance with generally accepted governmental
auditing standards as issued by the United States GeneralAccounting 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.
lf 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.
lX. 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 Prolect 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.
Vlll. Single Audit Act
The Agency, as a subrecipient of federal funds, shall adhere to the federal regulations ouilined 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 prompily to the State.
XVll. Assurances
LocalAgencies receiving Federal funding from the USDOT or its operating administrations (i.e., Federal Highway
Administration, Federal Transit Administration, Federal Aviation Administration) are required to submit a written policy
statement, signed by the Agency Executive and addressed to the State, documenting that all programs, activities and
services will be conducted in compliance with Section 504 and the Americans with Disabilities Act (ADA).
DOT Form 140-041
Revised 0512015
Page2
^-D*ult Washington State
Department of Transportation
City of Marysville
Local Agency Agreement
CFDA No. 20.205
(Catalog of Federal Domestic Assistance) / \
r(5,r -?CE{/aas \Project No
Agreement No.
For OSC WSDOT Use Only
ilft: ],i
Agency
Address B0 Columbia Ave
The Local Agency having complied, or hereby agreeing to comply, with the terms and conditions set forth in (l) Title 23, U.S. Code Highways, (2)
the regulations issued pursuant thereto, (3) 2 CFR 225, (4) Office of Management and Budget Circulars 4''102, and A-133, (5) the policies and
procedures prornulgated by the Washington State Department of Transportation, and (6) the federal aid project agreement entered into between the
State and Federal Govemment, relative to the above project, the Washington State Department of Transportation will authorize the Local Agency to
proceed on the project by a separate notification. Federal funds which are to be obligated for the project may not exceed the amount shown herein on
line r, column 3, without written authority by the State, subject to the approval of the Federal Highway Administration. All project costs not
reimbursed by the Federal Government shall be the responsibility of the Local Agency.
Project Description
Name State Ave - l-st St to 88th St NE Length N/A
Termini N/A
Descriotion of WorkTtie pioject wilf improve traffic signal timing and phasing, improve
visibility of traffic signal heads, improve crosswalks, add illumination
and install signs. The project will also add a new westbound right
t.urn/thru lane at the intersection of 88th St NE and State Ave NE.
Agency Washington rtment of Tra
By
Title Director of Highways and Local Programs
iJAN 2 s 20ffi
Marysville, WA 98270
(
By
DOT Form 140-039 EF
Revised 09/201 1
1
Type of Work
Estimate of Funding
(1)
Estimated Total
Project Funds
(2)
Estimated Agency
Funds
(3)
Estimated
Federal Funds
PE
l-00 To
a. Agency
b. Other ConsulLant
c. Other
Federal Aid
Participation
Ratio for PE
d. State
e. Total PE Cost Estimate (a+b+c+d)
$29, 000 $29,000
sl-60.000 $160, 000
$t_, 000 $1,000
$1_90, 000 s190, 000
Right of Way
%
f. Agency
o. Other
h. Other
Federal Aid
Participation
Ratio for RW
i. State
i. Total RAIV Cost Estimate (f+s+h+i)
Construction k. Contract
l. Other
m. Other
n. Other
%
feOerat niO
Participation
Ratio for CN
o. Agency
p. State
q. Total CN Cost Estimate ft+l+m+n+o+p)
r. Total Project Cost Estimate (e+j+q1 $1_90, ooo $190, 000
Date Executed
Construction Method of Financing pheck Method setected)
State Ad and Award
f] n4.tnoO A - Advance Payment - Agency Share of total construction cost (based on contract award)
n VetnoO B - Withhold from qas tax the Aqency's share of total conshuction cost (line 4, column 2) in the amount of
$at$per month for months
Local Force or Local Ad and Award
El VetnoO C - Aoencv cost incurred with oartial reimbursement
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 set
forth below. Adopted by official action on
Resolution/Ordinance No.
Provisions
l. Scope of Work
The Agency shall provide all the work, labor, materials, and services necessary to perform the project which is described and set forth in detail in
the "Project Description" and "Type of Work."
When the State acts for and on behalf of the Agency, the State shall be deemed an agent of the Agency and shall perform the services desmibed
and indicated in "Type of Work" on the face of this agreement, in accordance with plans and specifications as proposed by the Agency and approved
by the State and the Federal Highway Administration.
When the State acts for the Agency but is not subject to the right of control by the Agency, the State shall have the right to perform the work
subject to the ordinary procedures of the State and Federal Highway Administration.
ll. Delegation of Authority
The State is willing to fulfill the responsibilities to the Federal Government by the administration of this project. The Agency agrees that the State
shall have the full authority to carry out this administration. The State shall review, process, and approve documents required for federal aid
reimbursement in accordance with federal requirements. If the State advertises and awards the contract, the State will further act for the Agency in all
matters concerning the project as requested by the Agency. If the Local Agency advertises and awards the project, the State shall review the work to
ensure conformity with the approved plans and specifications.
lll. Project Administration
Certain types ofwork and services shall be provided by the State on this project as requested by the Agency and described in the Type ofWork
above. In addition, the State will furnish qualified personnel for the supervision and inspection ofthe work in progress. On Local Agency advertised
and awarded projects, the supervision and inspection shall be limited to ensuring all work is in conformance with approved plans, specifications, and
federal aid requirements. The salary of such engineer or other supervisor and all other salaries and costs incurred by State forces upon the project
will be considered a cost thereof. All costs related to this project incured by employees of the State in the customary manner on highway payrolls
and vouchers shall be charged as costs ofthe project.
lV. Availability of Records
All project records in support of all costs incured and actual expenditures kept by the Agency are to be maintained in accordance with local
government accounting procedures prescribed by the Washington State Auditor's Office, the U.S. Department of Transportation, and the
Washington State Department of Transportation. The records shall be open to inspection by the State and Federal Government at all reasonable times
and shall be retained and made available for such inspection for a period of not less than three years from the final payment of any federal aid funds
to the Agency. Copies of said records shall be furnished to the State and/or Federal Government upon request.
V. Gompliance with Provisions
The Agency shall not incur any federal aid participation costs on any classification ofwork on this project until authorized in writing by the State
for each classification. The classifications ofwork for projects are:
1. Preliminary engineering.
2. Right of way acquisition.
3. Project construction.
In the event that right of way acquisition, or actual construction of the road, for which preliminary engineering is undertaken is not started by the
closing of the tenth fiscal year following the fiscal year in which the agreement is executed, the Agency will repay to the State the sum or sums of
federal funds paid to the Agency under the terms of this agreement (see Section IX).
The Agency agrees that all stages of construction necessary to provide the initially planned complete facility within the limits of this project will
conform to at least the minimum values set by approved statewide design standards applicable to this class ofhighways, even though such additional
work is financed without federal aid participation.
The Agency agrees that on federal aid highway construction projects, the current federal aid regulations which apply to liquidated damages
relative to the basis offederal participation in the project cost shall be applicable in the event the contractor fails to complete the contract within the
contract time.
Vl. Payment and Partial Reimbursement
The total cost ofthe project, including all review and engineering costs and other expenses ofthe State, is to be paid by the Agency and by the
Federal Govemment. Federal funding shall be in accordance with the Federal Transportation Act, as amended, 2 CFR 225 and Office of
Management and Budget circulars A-102 and A-133. 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 offederal participation in this project.
DOT Form 140-039 EF
Revised 09/201'1 2
'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 elaps,e{ between receipt of federal aid funds and subsequent payment of incured costs. Expenditures by the Local Agency for
maintenance, general administration, supervision, and other overhead shall not be eligible for federal participation unless a cument indirect cost'plan
has been prepared in accordance with the regulations outlined in 2 CFR 225 - Cost Principles for State, Local, and Indian Tribal Govemment, and
retained for audit.
The State will pay for State incured 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 Governmeni (see Section IX).
1. Project Construction Costs
Project construction financing will be accomplished by one of the three methods as indicated in this agreement.
Method A - The Agency will place with the State, within (20) days after the execution of the consfl'uction contract, an advance in the amount of
the Agency's share ofthe total construction cost based on the contract award. The State will notiff the Agency ofthe exact amount to be deposited
with the State. The State will pay all costs incured under the contract upon presentation of progress billings from the contractor. Following such
paymenls,_.the State will submit a billing to tle Federal Government for the federal aid participation share of the cost. When the project is
substantially completed and final actual costs of the project can be determined, the State will present the Agency with a final billing showing the
amount due the State or the amount due the Agency. This billing will be cleared by either a payment from the Agency to the State or by a refund
from the State to the Agency.
Method B - The Agency's share of the total construction cost as shown on the face of this agreement shall be withheld from its monthly fuel tax
allotments. The face of this agreement establishes the months in which the withholding shall take place and the exact amount to be withheld each
month. The extent of withholding will be confirmed by letter from the State at the time of contract award. Upon receipt of progress billings from the
contractor, the State will submit such billings to the Federal Government for payment of its participating portion of such billings.
Method C - The Agency may submit vouchers to the State in the format prescribed by the State, in duplicate, not more than once per month for
those costs eligible for Federal participation to the extent that such costs are directly attributable and properly allocable to this project. Expenditures
by the Local Agency. for maintenance, general administration, supervision, and other overhead shall nolbe eligible for Federal participatlon unless
claimed under a previously approved indirect cost plan.
The State shall reimburse the Agency for the Federal share of eligible project costs up to the amount shown on the face of this agreement. At the
time of audit, the Agency will provide documentation of all costs incured on the project.
The State shall bill the Agency for all costs incured by the State relative to the project. The State shall also bill the Agency for the federal funds
paid by the State to the Agency for project costs which are subsequently determined to be ineligible for federal participation (see Section IX).
Vll. Audit of Federal Gonsultant 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 Intemal 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 M27-50, Consultant
Authorization, Selection, and Agreement Adminishation; memoranda of understanding between WSDOT and FHWA; and Office of Management
and Budget Circular A-133.
If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occured, the Agency shall reimburse
the State for the amount of such overpayment or excess participation (see Section IX).
Vlll. Single Audit Act
The Agency, as a subrecipient of federal funds, shall adhere to the federal Office of Management and Budget (OMB) Circular 4-133 as well as all
applicatle federal and state statutes and regulations. A subrecipient who expends $500,000 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 OMB Circular 4-133.
Upon conclusion of the 4-133 audit, the Agency shall be responsible for ensuring that a copy of the report is transmitted promptly to the State.
lX. Payment of Billing
The_Agency agrees that if payment or aran€ement 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 bilGd;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 the Director of Highways and Local
Programs.
X. Traffic Gontrol, Signing, Marking, and Roadway
Maintenance
The Ag,ency will not permit any changes to be made in the provisions for parking regulations and traffic control on this project without prior
approval of the State and Federal Highway Administration. The Agency will not install or permit to be installed any signs, signali, or markings not
in conformance with the standards approved by the Federal Highway Administration and MUTCD. The Agency will, at its own expense, ma-intain
the improvement covered by this agreement.
Xl. Indemnity
The Agency shall hold the Federal Government and the State harmless from and shall process and defend at its own expense all claims, demands,
or suits, whether at law or equity brought against the Agency, State, or Federal Government, arising from the Agency's execution,
DOT Form 140-039 EF
Revised 09/201 1 3
performance, or failure to perform any ofthe provisions ofthis agreement, or ofany other agreement or contract connected with this agreement, or
arising by reason of the participation of the State or Federal Government in the project, PROVIDED, nothing herein shall require the Agency to
reimburse the State or the Federal Government for damages arising out ofbodily injury to persons or damage to property caused by or resulting from
the sole negligence ofthe Federal Government or the State.
Xll. Nondiscrimination Provision
No liability shall attach to the State or Federal Government except as expressly provided herein.
The Agency shall not discriminate on the basis of race, color, national origin, or sex in the award and performance of any USDOT-assisted
contract and/or agreement or in the administration of its DBE program or the requirements of 49 CFR Part 26. The Agency shall take all necessary
and reasonable steps under 49 CFR Part 26 to ensure nondiscrimination in the award and administration of USDOT-assisted contracts and
agreements. The WSDOT's DBE program, as required by 49 CFR Part 26 and as approved by USDOT, is incorporated by reference in this
agreement. Implementation of this program is a legal obligation and failure to carry out its terms shall be treated as a violation of this agreement.
Upon notification to the Agency of its failure to carry out its approved program, the Department may impose sanctions as provided for under Part 26
and may, in appropriate cases, refer the matter for enforcement under 18 U.S.C. 1001 and/or the Program Fraud Civil Remedies Act of 1986 (31 U.S.
C. 3801 et seq.).
The Agency hereby agrees that it will incorporate or cause to be incorporated into any contract for construction work, or modification thereof, as
defined in the rules and regulations ofthe Secretary ofLabor in 4l CFR Chapter 60, which is paid for in whole or in part with funds obtained from
the Federal Government or bomowed on the credit of the Federal Government pursuant to a grant, contract, loan, insurance, or guarantee or
understanding pursuant to any federal program involving such grant, contract, loan, insurance, or guarantee, the required contract provisions for
Federal-Aid Contracts (FHWA 1273),located in Chapter 44 of the Local Agency Guidelines.
The Agency further agrees that it will be bound by the above equal opportunity clause with respect to its own employment practices when it
parlicipates in federally assisted construction work: Provided, that ifthe applicant so parlicipating is a State or Local Government, the above equal
opportunity clause is not applicable to any agency, instrumentality, or subdivision of such government which does not participate in work on or
under the contract.
The Agency also agrees:
( 1) To assist and cooperate actively with the State in obtaining the compliance of contractors and subcontractors with the equal opporlunity
clause and rules, regulations, and relevant orders ofthe Secretary oflabor.
(2) To furnish the State such information as it may require for the supervision of such compliance and that it will otherwise assist the State in
the discharge of its primary responsibility for securing compliance.
(3) To refrain from entering into any contract or contract modification subject to Executive Order 71246 of September 24, 1965, with a
contractor debared from, or who has not demonstrated eligibilify for, government contracts and federally assisted construction contracts
pursuant to the Executive Order.
(a) To carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors and
subcontractors by the State, Federai Highway Administration, or the Secretary ofLabor pursuant to Part II, subpart D ofthe Executive Order.
In addition, the Agency agrees that if it fails or refuses to comply with these undertakings, the State may take any or all of the following
actions:
(a) Cancel, terminate, or suspend this agreement in whole or in parl;
(b) Refrain from extending any further assistance to the Agency under the program with respect to which the failure or refusal
occuned until satisfactory assurance of future compliance has been received from the Agency; and
(c) Refer the case to the Department of Justice for appropriate legal proceedings.
Xlll. Liquidated Damages
The Agency hereby agrees that the liquidated damages provisions of23 CFR Part 635, Subpart 127, as supplemented, relative to the amount of
Federal participation in the project cost, shall be applicable in the event the contractor fails to complete the contract within the contract time. Failure
to include liquidated damages provision will not relieve the Agency from reduction offederal participation in accordance with this paragraph.
XlV. Termination for Public Gonvenience
. The Secretary of the Washington State Department of Transportation may terminate the contract in whole, or from time to time in part,
whenever:
(l) The requisite federal funding becomes unavailable through failure ofappropriation or otherwise.
(2) The contractor is prevented from proceeding with the work as a direct result ofan Executive Order ofthe President with respect to the
prosecution ofwar or in the interest ofnational defense, or an Executive Order ofthe President or Governor ofthe State with respect to the
preservation of energy resources.
(3) The contractor is prevented from proceeding with the work by reason of a preliminary, special, or permanent restraining order of a
coutl of competent jurisdiction where the issuance of such order is primarily caused by the acts or omissions of persons or agencies other than
the contractor.
(4) The Secretary determines that such termination is in the best interests of the State.
XV. Venue for Claims and/or Causes of Action
For the convenience of the parties to this contract, it is agreed that any claims and/or causes of action which the Local Agency has against the
State of Washington, growing out of this contract or the project with which it is concerned, shall be brought only in the Superior Court for Thurston
County.
DOT Form 140-039 EF
Revised 09/20'1 1 4
XVl. Gertification Regarding the Restrictions of the Use
of Federal Funds for Lobbying
The approving authority certifies, to the best ofhis or her knowledge and belief, that:
( I ) 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 federal agency, a member of Congress, an officer or employee of Congress, or an employee of a member
ofCongress in connection with the awarding ofany federal contract, the making ofany federal grant, the making ofany federal loan, the entering
into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or
cooperative agreement.
(2) Ifany 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 federal 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, gtant, loan, or cooperative agreement, the undersigned shall complete and submit the Standard Form - LLL,
"Disclosure Form to Report Lobbying," in accordance with its instructions.
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 as a prerequisite for making or entering into this transaction imposed by Section 1352, Title 3 l, U.S. Code. Any person who fails
to file the required certification shall be subject to a civil penalty ofnot less than $10,000 and not more than $100,000 for each such failure.
Additional Provisions
(3) The undersigned shall require that the language
(including subgrants, and contracts and subcontracts under
such subrecipients shall certi$ and disclose accordingly.
DOT Form 140-039 EF
Revised 09/201 1
of this certification be included in the award documents for all subawards at all tiers
grants, subgrants, loans, and cooperative agreements) which exceed $100,000, and that all
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