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VrWashington State
Af Department of Transportation
Agency Grant County Public Works
Address
124 Enterprise St. SE
Ephrata., WA 98823
K21-037
Local Agency Agreement
CFDA No. 20,206
(Catalog or Federal Domestic Assistance)
I Project No.
I 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, w1ative 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 Govern ment shall be the responsibility of the Local Agency,
Project Description
Name Grape& Maple Length 0,88
Termini 0.12 to 015 (Grape), 0.00 to 0.75 (Maple)
Description of Work
WoOk will include grading, drainage, curb and gutter., sidewalk, HMA, widening to 28% traffic control and other items.
Project Agreement End Date December 31,2024 Claiming Indirect Cost Rate
Proposed Advertisement Date NIA Yes i( No
Type of Work
86.5 %
Federal Aid
Participation
Rado for PE
V
Federal Aid
Padicipaflon
Ratio for RW
'ederal Aid
ladicipafion
160o for CN
Agenty Offi fal
py
TdIe
DOT Form 140-039
Revised 12/2020
(1) (2) (3)
Estimated Total Estimated Agency Estimated Federal
-- PLO]ed Funds - Funds Funds
123,000.00 116,605.00 1106.395.00
2tOOO.00 2700 1,730,00
1259000.00 116,875,00 1108,125.00
0.00 10.00 10.00
0.00
125,000.00
Washington State
Department of Transportation
By Director, Local Program
Date Executed
0.00 0.00
169875.00 11089125.00