HomeMy WebLinkAboutAgreements/Contracts - Public Works (002)Aft
WrWashington State
AfDepartment of 'Transportation
Agency Grant County Public Works
Address
124 Enterprise Street
Ephrata, WA 98823
K21-143
Local Agency Agreement
CFDA No. 20.205
(Catalog or Federal Domestic Assistance)
Project No.
Agreement No.
For OSC WSDOT Use Only
The Local Agency having complied, 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. Federalfunds 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 Dodson RD. Overlay (2021)
Termini N. Frontage RD. To 4 -NW
Description of Work
Length* 2.82 Miles
This project will resurface the existing HMA pavement with an HMA overlay, shoulder finishing, traffic control and other work on
Dodson RD..
Project Agreement End Date December 31, 2024 Claiming Indirect Cost Rate
e
September 7, 2021 F-1Yes �✓ No
Proposed Advertisement Dat
Agen 110 i I
By
Title
c M r sswe.. V,
OOT Form 140-039
Revised 12/2020 7 n ,Z
Washington State
Department of Transportation
By Director, Local Program
Date Executed
Page 1
Estimate of Fundin
'Type
(1)
(2)
(3)
�p of Work
Estimated Total
Estimated Agency
Estimated Federal
Project Funds
Funds
Funds
PE a. Agency
b. Other
Federal Aid c. Other
Participation d. State
Ratio for PE
e. Total PE Cost Estimate a+b+c+d
0.00
0.00
0.00
Right of Way f. Agency
.Other
Federal Aid
h. Other
Participation
Ratio for RW i. State
'. Total RIW Cost Estimate f+ +h+i
0.00
0.00
0.00
Construction k. Contract
6287000.00
841780.00
543,220.00
I. Other Contract (Other Funds)
257235.00
251235.00
m. Other
Federal Aid n. Other
Participation o.Agency
32,660.00
32,660.00
0.00
Ratio for CN , State
21000.00
270.00
11730.00
Total CN Cost Estimate k+i+m+n+o+
687,895.00
142,945.00
544,950.00
r. Total Project Cot Estimate e+i+
687,895.00
142,945.00
544,950.00
Agen 110 i I
By
Title
c M r sswe.. V,
OOT Form 140-039
Revised 12/2020 7 n ,Z
Washington State
Department of Transportation
By Director, Local Program
Date Executed
Page 1