HomeMy WebLinkAboutAgreements/Contracts - Public WorksWashington State
�` Department of Transportation
Agency Grant County Public Works
Address
124 Enterprise Street
Ephrata, WA 98823
K�21-117 —2A
J
Local Agency Agreem-e-nt
CFDA No. 20.205
(Catalog or Federal Domestic Assistance)
Project No.
Agreement No.
For OSC WSDOT Use Only
i ne Local Agency naving compliecl, or hereby agreeing to comply, with the terms and conditions set forth in (1) Title 23, U.S. Code
Highways, (2) the regulations issued pursuant thereto, (3) 2 CFR Part 200, (4) 2 CFR Part 180 — certifying that the local agency is not
excluded from receiving Federal funds by a Federal suspension or debarment, (5) the policies and procedures promulgated by the
Washington State Department of Transportation, and (6) the federal aid project agreement entered into between the State and Federal
Government, 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 Westshore Drive Overlay/Sidewalk
Termini Fairway Drive To .25 South of 4 -NE
Description of Work
Length 2.12 Miles
This project will provide for the reconstruction of an existing BST roadway and replace it with an HMA surface, cement concrete curb
and gutter, sidewalk, drainage, traffic control and other work on Westshore Drive
Project Agreement End Date December 31, 2024
Claiming Indirect Cost Rate
Proposed Advertisement Date
F] Yes
Y"" No
Estimate of Fundi
Type of Work
(2)
(3)
Estimated Total
Estimated Agency
Estimated Federal
Proiect Funds
Funds
Funds
PE a. Agency
150,000.00
23,822.00
126,178.00
% b. Other
Federal Aid c. Other
Participation
Ratio for PE - d. State
e. Total PE Cost Estimate (a+b+c+d)
1505,000.00
23.1822.00
126,178.00
Right of Way f. Agency
U/0 .Other
Federal Aid
Participation h. Other
Ratio for RW i. State
--- '. Total R/W Cost Estimate (f+g4b-H)
0.00
0.00
0.00
Construction k. Contract
-1.
0.00
0.00
0.00
% Other Contract (Other Funds)
0.00
0.00
0.00
m. Other
Federal Aid n. Other
Participation o.Agenc y
Ratio for CN -
0.00
0.00
0.00
- .State
0.00
0.00
0.00
q. Total CN Cost Estimate (k-Hiin+nto+pJ
0.00
0.00
0.00
f e=nh r. Total Prqiect Co st Estimate (e�+q)
150 00"0.00
23822.00
126J78.00
'cY
Ager,% Official Washington State
By Department of Transportation
By Director, Local Program
f
Title Date Executed
DOT Form 140-039
Revised 12/2020
Page 1