HomeMy WebLinkAboutAgreements/Contracts - Public Works (003)AM
Washington State
VU Department of Transportation
Agency Grant County Public Works
Address
124 Enterprise Street
Ephrata, WA 98823
K 19-068
Local Agency Agreement
CFDA No. 20.205
(Catalog or Federal Domestic Assistance)
Project No. 5TPQ-G iY—l0d7�
Agreement No. *r 96 U
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. 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 5 -NW & U -NW Overlay
Termini SR 281 to SR 28
Description of Work
Length 8.84 miles
Work will include resurfacing the existing Hot Mix Asphalt (HMA) pavement with an HMA overlay, shoulder finishing, guardrail,
traffic control and other associated work.
Project Agreement End Date December 31, 2021 613 Claiming Indirect Cost Rate
Proposed Advertisement Date -May'", 201 Sol -q �) � �tq �'! Yes ✓ No
Agency Official
By J
Title
County Boatrdf Commissioners
DOT Form 140-039
Revised 03/2019
Washington-statf Department Transportation
//-4 Ao 19 By
Director, Local rograms
Date Executed JUN
Page 1
Ei itimate of Fund! ria
(1)
(2)
(3)
Type 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+c4di
0.00
0.00
0.00
ight of Way f. Agency
- - ----
g Other
---
- -
Federal Aid
-
Participation h. Other
Ratio for RW i. State
i. Total RM t Estimate (fs+h+ii
0.00
0.00
0.00
Construction k. Contract
2,219,900.00
299,687.00
1,920,213.00
o
86.5 �0 1. Other
—
_
m. Other
;Federal Aid n. Other
,Participation
o. Agency
100,600.00
13,581.00
87,019.00
Ratio for CN
p. State
4,500.00
607.00
3,893.00
q. Total CN Cost Estimate ,n
2,325,000.00
313,875.00
2,011,125.00
r. Total Proiect Cost Estimate ce+i+ai
2,325,000.00
313,875.00
2,011,125.00
Agency Official
By J
Title
County Boatrdf Commissioners
DOT Form 140-039
Revised 03/2019
Washington-statf Department Transportation
//-4 Ao 19 By
Director, Local rograms
Date Executed JUN
Page 1