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Home My WebLink AboutAgreements/Contracts - Public Works (005)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: PUBLIC WORKS REQUEST SUBMITTED BY: Victoria Seim CONTACT PERSON ATTENDING ROUNDTABLE: John Brissey CONFIDENTIAL INFORMATION: ❑YES *NO DATE: 08.31.2026 PHONE: 509-754-6082 ®Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑ Grants - Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations fl---1 Request for Purchase ❑ Resolution ❑Recommendation ❑Professional Serv/Consultant ❑Support Letter ❑Surplus Req. [--]Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB Washington State Department of Transportation Local Agency Federal Aid Project Prospectus for County Road Project 21-08 (Bridge #426), AND Washington State Department of Transportation Local Agency Agreement, Supplement 2 to Agreement LA11069, for Bridge #426. Signatures needed on page 3 of the Prospectus AND on page 1 of the Local Agency Agreement. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? * YES ❑ NO ❑ N/A DATE OF ACTION: 9 /- APPROVE: DENIED ABSTAIN D1.� D-Z-- D3: DEFERRED OR CONTINUED TO: WITHDRAWN: 4/23/24 Adb� 'V/Washington State AfDepartment of Transportation Prefix Federal Aid BHOS Project Number Local Agency CRP 21-08 Project Number Local Agency Federal Aid Project Prospectus Route Date 8/26/2026 13AJ 001 DUNS Number 010202562 WSDOT 1 Federal Employer 91-6001319 Use Only j Tax ID Number Agency CA Agency Federal Program Title Grant County Public Works Yes ❑ No Z 20.205 [:]Other Project Title Start Latitude N 47.0865 Start Longitude W 119.8556 West Canal @ George (Bridge#426) Deck RepairEnd Latitude N 47-0867 I End Longitude w 119.8553 Project Termini From -To . . .. ........ . Nearest City Name Project Zip Code (+4) S. End of Bridge #426 N. End Bridge #426 George 98848-9513 Begin Mile Post End Mile Post Length of Project Award Type 1.51 1.53 0.02 1 Local 1:1 Local Forces [:] State [:] Railroad Route ID Begin Mile Point End Mile Point City Number County Number County Name 16570 1.51 1.53 N/A 13 Grant WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number North Central Region 13 4 N/A - ----------- Total Local Agency Federal Funds Phase Start Phase Estimated Cost Funding Date Nearest Hundred Dollar) (Nearest Hundred Dollar Nearest Hundred Dollar Month Year P. E. 127,800 0 127,800 11/2024 RIW Const. 8953.200 0 8951200 09/2026 Total 11.0231000 0 11023,000 Description of Existing Facility (Existing Design and Present Condition) Roadway Width 48 Feet Number of Lanes 2 Existing deck surface is showing significant signs of deterioration. I I Description of Proposed Work --- Description of Proposed Work (Attach additional sheet(s) if necessary) This project will repair the bridge deck of County Bridge #426 with new concrete surfacing Local Agency Contact Person Title Phone Tyler Brady Design/Construction Engineer (509)754-6082 Mailing Address City State Zip Code 124 Enterprise St. SE Ephrata WA 98823 By Project Prospectus Approving Authority County Road Engineer Title Date DOT Form 140-101 Revised 01/2022 Previous Editions Obsolete I %4zl, Agency Project Title Date Grant County Public Works West Canal @ George (Bridge#426) Deck R 8/26/2026 Type of Proposed Work Project Type (Check all that Apply) Roadway Width Number of Lanes E] New Construction ❑Path / Trail ❑ 3-R 48 2 [] Reconstruction ❑ Pedestrian I Facilities ❑ 2-R 0 Railroad ❑Parking ❑Other Z Bridge Geometric Design Data Description Through Route Crossroad ❑ Principal Arterial El Principal Arterial F1 Minor Arterial El Urban ElMinorArterialFederal UrbanCollector Functional Collector Rural El Rural Classification❑NHS Major Collector ❑Major Collector [:] NHS F] Minor Coilector El minor collector [:] Local Access [:] Local Access Terrain Z Flat [:1 Roll ❑Mountain ❑Flat [I Roll ❑Mountain Posted Speed 55 NO CROSSROADS Design Speed 55 Existing ADT 736 Design Year ADT 1094 Design Year 2038 Design Hourly Volume (DWG 109 'Performance of Work Preliminary Engineering Will Be Performed By Others Agency Grant County Public Works, Consultant 90 % 10 % Construction Will Be Performed By Contract Agency Contractor I too % %1 Environmental Classification El Class I - Environmental Impact Statement (EIS) Class 11 - Categorically Excluded (CE) ❑Project involves NEPAISEPA Section 404 []✓ Projects Requiring Documentation Interagency Agreement (Documented CE) ❑ Class III - Environmental Assessment (EA) [:] Project Involves NEPAISEPA Section 404 Interagency Agreements Environmental Considerations NEPA CE Approved 11/21/2024 DOT Form 140-101 Face 2 Revised 01/2022 Previous Editions Obsolete Agency Project Title Date Grant County Public Works West Canal @George (Bridge#426) Deck R. 8/26/2026 Right of Way F7 No Right of Way Needed Right of Way Needed * All construction required by the [ No Relocation [] Relocation Required contract can be accomplished within the existing right of way. Utilities Railroad Z No utility work required Z No railroad work required [:]All utility work will be completed prior to the start[:]All railroad work will be cony leted rior to the start of p p p p 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 IDescription of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project FAA Involvement Is any airport located within 3.2 kilometers (2 miles) of the proposed project? []lies No Remarks T his 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 s F Date 9 t 7xe By Mayor/Chairperson DOT Form 140-101 Page 3 Revised 01/2022 Previous Editions Obsolete Addft WrWashington State AfDepartment of Transportation Local Agency Agreement Supplement Agency Supplement Number Grant County Public Works 2 Project Number Agreement Number ALN. 20.205 - Highway Planning BHOS-13AJ(001) LA11069 and Construction Federal Highway Administration FHWA 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 West Canal @ George (Bridge #426) Deck Repair Termini MP 1.51 to MP 1.53 Description of Work No Change Repair the bridge deck of County Bridge #426 with new concrete surfacing. Reason for Supplement Obligate Funds for the CN Phase Length 0.02 Indirect Cost Rate F-] Yes No Project Agreement End Date 12/31/2030 Advertisement Date 10/1/2026 Estimate of Funding (1) 2 () (3) (4) (5) Type of Work Yp Previous Supplement Estimated Total Estimated A 9 yenc Estimated Federal Agreement/Suppl. Project Funds Funds Funds PE a.Agency 1400.00 145000.00 141000.00 100 % b. Other Consultant 1129847.00 1121847.00 1121847.00 Federal Aid c. Other 0.00 Participation d. State Services I M00.00 I,000.00 I M00.00 Ratio(s) for PE e. Total PE Cost Estimate 127, 847.00 0.00 127, 847.00 0.00 127, 847.00 RW f. Agency 0.00 .Other 0.00 Federal Aid h.Other 0.00 Participation i. State Services 0.00 Ratio(s) for RW i. Total R t E tim to 0.00 0.00 0.00 0.00 0.00 CN k. Contract 7661908.00 7661908.00 7661908.00 100 % 1. Other Consultant 975857.00 97,857.00 97,857.00 Federal Aid m. Other 0.00 n.Other 0.00 Participation Ratio(s) for CN o.Agency 271888.00 271888.00 2708.00 . State Services 21500.00 21500.00 25500.00 . Total CN Cost Estimate 0.00 8955153.00 895J 53.00 0.00 895,153.00 r. Total Project Cost Estimate 127,847.00 8955153.00 1 190231000.00 1 0.00 150235000.00 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 Kevin R. _Burgess, Chair Director, Local Programs Agency Date q11 /7V )�4 Date Executed DOT Form 140-041 LP Revised 09/2025 Page 1 • Previous Versions Obsolete • Agency Supplement Number Grant County Public Works 2 Project Number Agreement Number ALN 20.205 - Highway Planning BHOS-13AJ(001) LA11069 and Construction Federal Highway Administration FHWA 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 $1,000,000 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 LP Revised 09/2025 Page 2 • Previous Versions Obsolete • 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. 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. 9. Project Agreement End Date —Enter your previously established Project Agreement End Date. If authorizing anew 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. 10. Advertisement Date - At construction authorization only, enter the proposed project advertisement date (mm/dd/yy). 11. Type of Work and Funding (Round all amounts to the nearest whole dollar). 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 increase/decrease to total 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 enters their title and date of signature (mm/dd/yy). Note: Do NOT enter a date on the Date Executed line. DOT Form 140-041 LP Revised 09/2025 Page 3 • Previous Versions Obsolete •