The URL can be used to link to this page

Home My WebLink AboutAgreements/Contracts - Public WorksA, MWashington State Department of Transportation Agency Grant County Public Works Address 1.24 Enterprise Street Ephrata, Wa 98823 lzao- later Local Agency Agreement CFDA No. 20.205 (Catalog or Federal Domestic Assistance) Project No. S —/f v S " 6077 (C>07) Agreement No. Fo W ��1� se 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, (6) 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 Valley Road Grind/Inlay (Cascade Park to Scott Road) Termini 0.49 to 1.53 Description of Work Length 1,04 miles Work will include grinding, HMA surfacing, ADA ramps, sidewalk, traffic control and other items. Project Agreement End Date December 31, 2023 C -F-11 Claiming Indirect Cost Rate " '"""- Ct%e r018 Proposed Advertisement Date zV' ZDr �02p ❑ Yes /' No Estimate of Funding Type of Work (t) (2) (3) Estimated Total Estimated Agency Estimated Federal Pro'ect Funds Funds Funds PE . Agency % b. Other Federal Aid c ther Participation d. State Ratio for PE e Total PE Cost Est'm to +d — 0.00 0.00 0.00 Right of Way f. Agency .Other Federal Aid h. Other Participation Ratio for RW i. State '. Tolal RM CostEstimate (f4gth+iI 0.00 0.00 0.00 Constructionk. Contract 687,310.00 92,787.00 594,523.00 ° �0 1. Other m. Other Federal Aid n. Other Participation Ratio for CN o.Agency 32,118.00 4,336.00 27,782.00 p. State 5,000.00 675.00 4,325.00 a. Total CN Cost Estimate k 724,428.00 97,798.00 626,630.00 r Total Pvoiect Cosf Estimate (e+ 724,428.00 97,798.00 626,630.00 rge y • tal .- By OJA Title j�j aCC ( C+1 A -t. /Z DOT Form 140-039 Revised 05/2020 Washington State Pepartment of Tr rt tion By Director, Local r grams Date Executed ( j nn ,(�. p L-VLN Page 1 Construction Method of Financing (Check Method Selected) State Ad and Award Method A - Advance Payment - Agency Share of total construction cost (based on contract award) Method B - Withhold from gas tax the Agency's share of total construction coast (line 5, column 2) in the amount of at $ per month for months. Local Force or Local Ad and Award Method C -Agency cost incurred with partial reimbursement 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 set forth below. Adopted by official action on , Resolution/Ordinance No. Provisions I. Scope of Work The Agency shall provide all the work, labor, materials, and services necessary to perform the project which is described and set forth in detail in the "Project Description" and "Type of Work." When the State acts for and on behalf of the Agency, the State shall be deemed an agent of the Agency and shall perform the services described and indicated in "Type of Work" on the face of this agreement, in accordance with plans and specifications as proposed by the Agency and approved by the State and the Federal Highway Administration. When the State acts for the Agency but is not subject to the right of control by the Agency, the State shall have the right to perform the work subject to the ordinary procedures of the State and Federal Highway Administration. II. Delegation of Authority The State is willing to fulfill the responsibilities to the Federal Government by the administration of this project. The Agency agrees that the State shall have the full authority to carry out this administration. The State shall review, process, and approve documents required for federal aid reimbursement in accordance with federal requirements. If the State advertises and awards the contract, the State will further act for the Agency in all matters concerning the project as requested by the Agency. If the Local Agency advertises and awards the project, the State shall review the work to ensure conformity with the approved plans and specifications. III. Project Administration Certain types of work and services shall be provided by the State on this project as requested by the Agency and described in the Type of Work above. In addition, the State will furnish qualified personnel for the supervision and inspection of the work in progress. On Local Agency advertised and awarded projects, the supervision and inspection shall be limited to ensuring all work is in conformance with approved plans, specifications, and federal aid requirements. The salary of such engineer or other supervisor and all other salaries and costs incurred by State forces upon the project will be considered a cost thereof. All costs related to this project incurred by employees of the State in the customary manner on highway payrolls and vouchers shall be charged as costs of the project. IV. Availability of Records All project records in support of all costs incurred and actual expenditures kept by the Agency are to be maintained in accordance with local government accounting procedures prescribed by the Washington State Auditor's Office, the U.S. Department of Transportation, and the Washington State Department of Transportation. The records shall be open to inspection by the State and Federal Government at all reasonable times and shall be retained and made available for such inspection for a period of not less than three years from the final payment of any federal aid funds to the Agency. Copies of said records shall be furnished to the State and/or Federal Government upon request. V. Compliance with Provisions The Agency shall not incur any federal aid participation costs on any classification of work on this project until authorized in writing by the State for each classification. The classifications of work for projects are: 1. Preliminary engineering. 2. Right of way acquisition. 3. Project construction. Once written authorization is given, the Agency agrees to show continuous progress through monthly billings. Failure to show continuous progress may result the Agency's project becoming inactive, as described in 23 CFR 630, and subject to de -obligation of federal aid funds and/or agreement closure. If right of way acquisition, or actual construction of the road for which preliminary engineering is undertaken is not started by the close of the tenth fiscal year following the fiscal year in which preliminary engineering phase was authorized, the Agency will repay to the State the sum or sums of federal funds paid to the Agency under the terms of this agreement (see Section IX). If actual construction of the road for which right of way has been purchased is not started by the close of the tenth fiscal year following the fiscal year in which the right of way phase was authorized, the Agency will repay to the State the sum or sums of federal funds paid to the Agency under the terms of this agreement (see Section IX). DOT Form 140-039 Page 2 Revised 05/2020 The Agency agrees that all stages of construction necessary to provide the initially planned complete facility within the limits of this project will conform to at least the minimum values set by approved statewide design standards applicable to this class of highways, even though such additional work is financed without federal aid participation. The Agency agrees that on federal aid highway construction projects, the current federal aid regulations which apply to liquidated damages relative to the basis of federal participation in the project cost shall be applicable in the event the contractor fails to complete the contract within the contract time. 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). 1. Project Construction Costs Project construction financing will be accomplished by one of the three methods as indicated in this agreement. Method A —The Agency will place with the State, within (20) days after the execution of the construction contract, an advance in the amount of the Agency's share of the total construction cost based on the contract award. The State will notify the Agency of the exact amount to be deposited with the State. The State will pay all costs incurred under the contract upon presentation of progress billings from the contractor. Following such payments, the State will submit a billing to the Federal Government for the federal aid participation share of the cost. When the project is substantially completed and final actual costs of the project can be determined, the State will present the Agency with a final billing showing the amount due the State or the amount due the Agency. This billing will be cleared by either a payment from the Agency to the State or by a refund from the State to the Agency. Method B — The Agency's share of the total construction cost as shown on the face of this agreement shall be withheld from its monthly fuel tax allotments. The face of this agreement establishes the months in which the withholding shall take place and the exact amount to be withheld each month. The extent of withholding will be confirmed by letter from the State at the time of contract award. Upon receipt of progress billings from the contractor, the State will submit such billings to the Federal Government for payment of its participating portion of such billings. Method C —The Agency may submit vouchers to the State in the format prescribed by the State, in duplicate, not more than once per month for those costs eligible for Federal participation to the extent that such costs are directly attributable and property allocable to this project. Expenditures by the Local Agency for maintenance, general administration, supervision, and other overhead shall not be eligible for Federal participation unless claimed under a previously approved indirect cost plan. The State shall reimburse the Agency for the Federal share of eligible project costs up to the amount shown on the face of this agreement At the time of audit, the Agency will provide documentation of all costs incurred on the project. The State shall bill the Agency for all costs incurred by the State relative to the project. The State shall also bill the Agency for the federal funds paid by the State to the Agency for project costs which are subsequently determined to be ineligible for federal participation (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 (see Section IX). 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 $750,000 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. DOT Form 140-039 Page 3 Revised 05/2020 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 60 days after the Project Agreement End Date or they become ineligible for federal reimbursement. X. Traffic Control, Signing, Marking, and Roadway Maintenance The Agency will not permit any changes to be made in the provisions for parking regulations and traffic control on this project without prior approval of the State and Federal Highway Administration. The Agency will not install or permit to be installed any signs, signals, or markings not in conformance with the standards approved by the Federal Highway Administration and MUTCD. The Agency will, at its own expense, maintain the improvement covered by this agreement. XI. Indemnity The Agency shall hold the Federal Government and the State harmless from and shall process and defend at its own expense all claims, demands, or suits, whether at law or equity brought against the Agency, State, or Federal Government, arising from the Agency's execution, performance, or failure to perform any of the provisions of this agreement, or of any other agreement or contract connected with this agreement, or arising by reason of the participation of the State or Federal Government in the project, PROVIDED, nothing herein shall require the Agency to reimburse the State or the Federal Government for damages arising out of bodily injury to persons or damage to property caused by or resulting from the sole negligence of the Federal Government or the State. XII. Nondiscrimination Provision No liability shall attach to the State or Federal Government except as expressly provided herein. The Agency shall not discriminate on the basis of race, color, national origin, or sex in the award and performance of any USDOT- assisted contract and/or agreement or in the administration of its DBE program or the requirements of 49 CFR Part 26. The Agency shall take all necessary and reasonable steps under 49 CFR Part 26 to ensure nondiscrimination in the award and administration of USDOT-assisted contracts and agreements. The WSDOT's DBE program, as required by 49 CFR Part 26 and as approved by USDOT, is incorporated by reference in this agreement. Implementation of this program is a legal obligation and failure to carry out its terms shall be treated as a violation of this agreement. Upon notification to the Agency of its failure to carry out its approved program, the Department may impose sanctions as provided for under Part 26 and may, in appropriate cases, refer the matter for enforcement under 18 U.S.C. 1001 and/or the Program Fraud Civil Remedies Act of 1986 (31 U.S. C. 3801 at seq.). The Agency hereby agrees that it will incorporate or cause to be incorporated into any contract for construction work, or modification thereof, as defined in the rules and regulations of the Secretary of Labor in 41 CFR Chapter 60, which is paid for in whole or in part with funds obtained from the Federal Government or borrowed on the credit of the Federal Government pursuant to a grant, contract, loan, insurance, or guarantee or understanding pursuant to any federal program involving such grant, contract, loan, insurance, or guarantee, the required contract provisions for Federal -Aid Contracts (FHWA 1273), located in Chapter 44 of the Local Agency Guidelines. The Agency further agrees that it will be bound by the above equal opportunity clause with respect to its own employment practices when it participates in federally assisted construction work: Provided, that if the applicant so participating is a State or Local Government, the above equal opportunity clause is not applicable to any agency, instrumentality, or subdivision of such government which does not participate in work on or under the contract. The Agency also agrees: (1) To assist and cooperate actively with the State in obtaining the compliance of contractors and subcontractors with the equal opportunity clause and rules, regulations, and relevant orders of the Secretary of Labor. (2) To furnish the State such information as it may require for the supervision of such compliance and that it will otherwise assist the State in the discharge of its primary responsibility for securing compliance. (3) To refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with a contractor debarred from, or who has not demonstrated eligibility for, government contracts and federally assisted construction contracts pursuant to the Executive Order. (4) To carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors and subcontractors by the State, Federal Highway Administration, or the Secretary of Labor pursuant to Part Il, subpart D of the Executive Order. In addition, the Agency agrees that if it fails or refuses to comply with these undertakings, the State may take any or all of the following actions: (a) Cancel, terminate, or suspend this agreement in whole or in part; (b) Refrain from extending any further assistance to the Agency under the program with respect to which the failure or refusal occurred until satisfactory assurance of future compliance has been received from the Agency; and (c) Refer the case to the Department of Justice for appropriate legal proceedings. DOT form 140-039 Page 4 Revised 052020 XIII. Liquidated Damages The Agency hereby agrees that the liquidated damages provisions of 23 CFR Part 635, Subpart 127, as supplemented, relative to the amount of Federal participation in the project cost, shall be applicable in the event the contractor fails to complete the contract within the contract time. Failure to include liquidated damages provision will not relieve the Agency from reduction of federal participation in accordance with this paragraph. XIV. Termination for Public Convenience The Secretary of the Washington State Department of Transportation may terminate the contract in whole, or from time to time in part, whenever: (1) The requisite federal funding becomes unavailable through failure of appropriation or otherwise. (2) The contractor is prevented from proceeding with the work as a direct result of an Executive Order of the President with respect to the prosecution of war or in the interest of national defense, or an Executive Order of the President or Governor of the State with respect to the preservation of energy resources. (3) The contractor is prevented from proceeding with the work by reason of a preliminary, special, or permanent restraining order of a court of competent jurisdiction where the issuance of such order is primarily caused by the acts or omissions of persons or agencies other than the contractor. (4) The Secretary is notified by the Federal Highway Administration that the project is inactive. (5) The Secretary determines that such termination is in the best interests of the State. XV. Venue for Claims and/or Causes of Action For the convenience of the parties to this contract, it is agreed that any claims and/or causes of action which the Local Agency has against the State of Washington, growing out of this contract or the project with which it is concerned, shall be brought only in the Superior Court for Thurston County. XVI. Certification Regarding the Restrictions of the Use of Federal Funds for Lobbying The approving authority certifies, to the best of his or her knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any federal agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any federal agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit the Standard Form - LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subgrants, and contracts and subcontracts under grants, subgrants, loans, and cooperative agreements) which exceed $100,000, and that all such subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification as a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. 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). Additional Provisions DOT Form 140-039 Page 5 Revised 05/2020 Instructions 1. Agency Name and Billing Address — Enter the Agency of primary interest which will become a party to the agreement. 2. Project Number — Leave blank. This number will be assigned by WSDOT. 3. Agreement Number — Leave blank. This number will be assigned by WSDOT. 4. a. Project Description — Enter the project name, total length of the project (in miles), and a brief description of the termini. Data entered here must be consistent with the name, length, and termini noted in the STIP and Project Prospectus Example: (Name) "Regal Road", (Length) "1.2 miles", (Termini) "Smith Road to Main Street" b. Description of Work — Enter a concise statement of the major items of work to be performed. Statement must be consistent with the description of work noted in the STIP and Project Prospectus. Example: "Overlay Regal Road; install curb, gutter, and sidewalk; illumination; and traffic signal at the intersection of Regal Road and Dakota Avenue." c. Project Agreement End Date — Enter your Project Agreement End Date. This date is based on your projects Period of Performance (2 CFR 200.309). For Planning Only projects — WSDOT recommends agencies estimate the end of the project's period of performance and add three years to determine the "Project Agreement End Date". 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". For Construction — WSDOT recommends agencies estimate when construction will be completed and add three years to determine the "Project Agreement End Date". d. Proposed Advertisement Date — At construction authorization only, enter the proposed project advertisement date. e. Claiming 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 local agency agreement. 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. 5. Type of Work and Funding (Round all dollar amounts to the nearest whole dollar) a. PE — Lines a through d show Preliminary Engineering costs for the project by type of work (e.g., consultant, agency, state services, etc.). *Federal aid participation ratio for PE — enter ratio for PE lines with amounts in column 3. ■ Line a — Enter the estimated amount of agency work in columns 1 through 3. ■ Line b & c — Identify user, consultant, etc., and enter the estimated amounts in columns 1 through 3. ■ Line d — State Services. Every project must have funding for state services. Enter the estimated amounts in columns I through 3. ■ Line e — Total of lines a + b + c + d. b. Right of Way — If a Right of Way phase is authorized on the project, the appropriate costs are shown in lines f through i. *Federal aid participation ratio for RW — enter ratio for RW lines with amounts in column 3. ■ Line f— Enter the estimated amount of agency work in columns 1 through 3. ■ Line g & h — Identify user, consultant, etc., and enter the estimated amounts in columns 1 through 3. ■ Line i — State Services. Every project must have funding for state services. Enter the estimated amounts in columns 1 through 3. ■ Line j —Total of lines f + g + h + i c. Construction — Lines k through p show construction costs for the project by type of work (e.g., contract, consultant, agency, state services, etc.). *Federal aid participation ratio for CN — enter ratio for CN lines with amounts in column 3. ■ Line k — Enter the estimated cost of the contract. ■ Lines 1, m, & n — Enter other estimated costs such as utility and construction contracts or non -federally matched contract costs. ■ Line o — Enter estimated costs of all construction related agency work. ■ Line p — State Services. Every project must have funding for state services. Enter the estimated amounts in columns 1 through 3. ■ Line q — Total Construction Cost Estimate. Total of lines k + I + m + n + o + P. d. Total Project Cost Estimate ■ Line r — Total Cost Estimate of the Project. Total of lines e +j + q. *Please remember, if the federal aid participation rate entered is not the maximum rate allowed by FHWA, then the participation rate entered becomes the maximum rate allowed. 6. Signatures — An authorized official of the local agency signs the agreement, and writes in their title. Note: Do NOT enter a date on the Date Executed line. 7. Method of Construction Financing —Choose the method of financing for the construction portion of the project. a. Method "A" is used when the state administers the contract for the agency. b. Method `B" is also used when the state administers the contract for the agency. c. Method "C" is used with projects administered by the local agency. The agency will submit billings monthly through the state to FHWA for all eligible costs. The billings must document the payment requests from the contractor. If state -force work, such as audit and construction engineering, is to receive federal participation, it will be billed to the agency and FHWA simultaneously at the indicated ratio. To show continuous progress agencies should bill monthly until agreement is closed. 8. Resolutions/Ordinances — When someone other than the County Executive/Chairman, County Commissioners/Mayor is authorized to sign the agreement, the agency must submit to WSDOT with the agreement a copy of the Resolution/Ordinance designating that individual. 9. Parties to the Agreement — Submit one originally signed agreement form to the Region Local Programs Engineer. It is the responsibility of the local agency to submit an additional, originally signed agreement form if they need an executed agreement for their files. The agreement is first executed by the agency official(s) authorized to enter into the agreement. It is then transmitted to the state for execution by Local Programs. The agreement is dated at the time of final execution by Local Programs. DOCUMENTED COST ESTIMATE 7/15/2020 Valley Road Grind/Inlay (Cascade Park to Scott Road) CRP 20-01, STP(US)- MP 0.49 to 1.53 Documented Cost Estimate For Preliminary Engineering (County Funds Only) Design, Survey, PS & E Review $ 30,000.00 Prepare Bid Documents $ 4,000.00 Advertisement Process $ 1,000.00 642,345.00 Agency Construction Engineering (5% of Engineers Estimate) Total $ 35,000.00 (Costs based on historical Preliminary engineering costs) Documented Cost Estimate For Construction STPUS Construction Cost Estimate Agency $ 642,345.00 Agency Construction Engineering (5% of Engineers Estimate) $ 32,118.00 State Construction Engineering Estimate $ 5,000.00 Contingencies (Approximately 7% of Project Cost) $ 44,965.00 Total $ 724,428.00 (Costs based on historical construction costs) CN Phase Fund Breakout rota) $ 724,428.00 Complete Project Total (CN&+PE) $ 759,428.00 STPUS $ 626,630.00 $ 97,798.00 Agency rota) $ 724,428.00 Complete Project Total (CN&+PE) $ 759,428.00 Washington State S. T. I. P. 2020 to 2023 (Project Funds to Nearest Dollar) MPO/RTPO: Quad -Co RTPO N Inside Y Outside April 13, 2020 County: Grant Agency: Grant Co. Page 1 Total Project Total Est. STIP Func Project Imp Length Environmental RW Begin End Cost of Amend. Cls Number PIN STIP ID Type Type Required Termini Termini Project No. 04 WA -12564 04 1.040 CE No .49 1.53 1,139,135 20-03 Valley Road Grind/Inlay 2R Grind & Inlay - Work will include grinding, HMA surfacing, ADA ramps, sidewalk, traffic control and other items. Location: Cascade Park to Scott Road. Funding Federal Funds Phase Start Date Federal Fund Code State Fund Code State Funds Local Funds Total PE 2020 0 0 35,000 35,000 CN 2020 STP(US) 955,077 0 149,058 1,104,135 Project Totals 955,077 0 164,056 1,139,135 Expenditure Schedule Phase 1st 2nd 3rd 4th 5th&6th PE 35,000 0 0 0 0 CN 1,104,135 0 0 0 0 Totals 1,139,135 0 0 0 0 Page 1 Design Checklist Pace Prosect Development Page 71:5/2020 RECON Design elements Project: 20-01 Any Work on If Meets Standard? If Upgraded to If Is a Deviation or If HQ H&LP Local Agency Valley Road Grind/Inlay Blank Cell Design "Yes" If "Yes" move down "No" AASHTO? "No" Design Exception "Yes" Deviation Design Date: 2/28/2020 Element? If "no" move down _ 0 Yes ❑ No Q Yes ❑ No ❑ Yes Q No - _ -----. Q Yes ❑ No Q Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes - El No ❑ Yes ElNo ❑ Yes El to next Design Element ❑ Yes ❑ No 4 If "Yes" move down to next Design 4 ---- - 4 4 Required? If "No" Document --- -- -------- Approval Date Exception Approval Date Design Element Design AASHTO ❑ Yes Q No ❑ Yes ❑Q No ❑ Yes ❑Q No Level Standard to next element . Q Yes []-No--- -- 4 Element � -- -- to File � ❑Yes ❑ No -� - N/A Horizontal Alignment Vertical Alignment ---- --- Lane Width Lane Shoulder Width Lane & Shoulder Taper ------ - Pedestrian Facility Cross Slope Lane Cross Slope Shoulder Fill/Ditch Slopes Safety Improvements Shared Bike/Pedestrian Turn Radii Sight Distance Intersection Angle Barriers Standard Run Terminals -- --- D ----- -------- -------- Q Yes ❑ No Q Yes ❑ No ---- ❑ Yes ❑ No Q Yes ❑ No 0 Yes ❑ No --------- ---- [2.1 -Yes ❑ No Q Yes ❑ No Q Yes ❑ No ❑ Yes Q No ---_es. _---- - ❑Q Y ❑ No Q Yes ❑ No ❑ Yes ❑ No ❑ Yes Q No 4 - 4 - 4-- 4 0 Yes ❑ No -❑+ Yes ❑ No 0 Yes ❑ No 0 Yes ❑ No 0 Yes ❑ No - -- - --- ❑ Yes ❑+ No 4 ❑ Yes ❑ No Yes ❑ No ❑ Yes ❑ No ----- ❑ Yes ❑ No 4 ❑ Yes ❑ No 4 ❑Yes ❑ No ❑ Yes ❑ No N/A N/A ...... N/A N/A N/A N/A N/A N/A N/A - N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A ,l --- 4 ❑ Yes ❑ No -- - --- --------------- ❑ Yes ❑ No -i ----- - ❑ Yes _❑ No — ❑ Yes ❑ No 4 ❑ Yes ❑ No 13Yes ❑ No ------ 0 Yes E]No ❑ Yes ❑ No 4 4 4 4 4 _ 4 4 4 -4-- -� -j 4 ❑ Yes ❑ No -- ------ Q _ Yes ❑ No__ ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ..--- ----- ❑ Yes ❑ No ❑ Yes -❑ No -- - ❑ Yes_ ❑ No ❑ Yes ❑ No ❑ Yes 13No EJYes ❑ No ElYes [_1No 4 - - --- ❑.,Yes [J No --4- ---- ------ ❑ Yes ❑ No 4 -- -- D D -- 1 ------ 4 4 4 ---- - a 4 4 _ 0 Yes ❑ No Q Yes ❑ No ❑ Yes Q No - _ -----. Q Yes ❑ No Q Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes - El No ❑ Yes ElNo ❑ Yes El -i ❑ Yes ❑ No 4 0 Yes ❑ No ❑' Yes.... ❑. NO........... 4 ---- - 4 4 ❑ Yes ❑ No 4 ❑ Yes ❑ No 4 -_.- _- ---- Yes ❑ No 4 -❑ Yes ❑ No 4 - [:]Yes T❑.No 4 ❑ Yes ❑ No -� ElYes 13No 4 ❑ Yes ❑ NO 4 [_1Yes ❑ No -j --- -- -------- -' 4 - 4 4 Fill/Ditch Slopes ❑ Yes Q No ❑ Yes ❑Q No ❑ Yes ❑Q No 4 -1 .... Safety Improvements ................ 1 vbc Lane Width Shoulder Width -- - --------- Vertical Clearance structural Capacity Bridge Rail --- ❑ Yes 0 No ❑ Yes 0 No ----- ❑ Yes ❑Q No ❑ Yes 0 No > -i -3 ❑ Yes ❑ No —❑ Yes ❑ No ❑ Yes -❑ No ❑ Yes ❑ No 4 -- ❑ Yes ❑ No❑ ❑ Yes ❑ No - ❑ Yes ❑ No-� ❑ Yes ❑ No Yes ❑ No ❑ Yes ❑ No ----- ❑ Yes ❑ No 4 ❑ Yes ❑ No 4 ❑Yes ❑ No -j ----------- -i N/A N/A ...... N/A N/A N/A ----- 4 ❑ Yes Q No [jYes ❑ No ---- --- ------ Lane Width ❑ Yes ❑ No Horizontal Alignment - ❑Q Yes No — ❑+ Yes ❑ No - _-Q Yes -❑-No Yes No -i ❑Yes [JNo ❑Yes ❑ No 4 ❑ Yes ❑ No -� -- ---- - — -- --- --- N/A. :. N/A ......... Vertical Alignment 4 - - Q Yes ❑ No — -- ---- --- ------ Lane Width ----- --- - - ------ 0 Yes E]No - 4 -_Q -❑ 0 Yes ❑ No 4 ❑ Yes ElNo 4 ❑ Yes ❑ No i N/A Shoulder Width ❑+ Yes ❑ No 4 0 Yes ❑ No ❑' Yes.... ❑. NO........... 4 - 4 - ❑ Yes ❑ No - [3 Yes --O -- - � � Yes ❑ NO � -- 0 Yes ❑ No - N/A N/A Fill/Ditch Slopes 0 Yes ❑ No .... Safety Improvements ................ 1 . Q Yes []-No--- -- 4 .... Q ves ❑ No � -- -- ❑Yes ❑ No -- � ❑Yes ❑ No -� - N/A Shared Bike/Pedestrian _----- 0 Yes [:]No ........ -Y. e--......... -. o........... Q Yes ❑ No ) ❑Yes ❑ NO i ❑ Yes ❑ No N/A Design Levels IN Blank Cell (1) When provided, must meet current standards D Design Level D (County Standard) (2) See LAG Manual chapter 62 -- Appendix 62.102 A Design Level A (AASHTO) (3) When provided must meet WSDOT Design Manual AE Agency Evaluate to Design Level A (4) Items 1 and 2 under Safety Improvements Definitions are required, all others are AE Valley Road Grind/Inlay - Project Prospectus - Cross Roads Traffic Design Data 2/28/2020 Cascade Park to Scott Road (0.49 to 1.53) Grant County Public Works ROADLOG MAINLINE ROADNAME ADT ADTYR DSN YR DSN YR ADT DHV FFC PSTD SPEED DSN SPEED 41250 Valley Road (MP 0.49 to 1.53) 3776 2018 2038 5611 561 16 35 35 ROADLOG CROSSROADS ROAD NAME ADT ADTYR DSN YR DSN YR ADT DHV FFC PSTD SPEED DSN SPEED 41210 Denton Road (North of Valley) 227 2018 2038 337 34 19 25 25 41550 Ottmar Road (North of Valley) 2292 2018 2038 3406 341 17 35 35 41550 Ottmar Road (South of Valley) 51 2018 2038 76 8 19 25 25 41480 Lee Drive (South of Valley) 271 2018 2038 403 40 19 25 25 41500 Konishi Road (North of Valley) 218 2018 2038 324 32 17 25 25 41480 Stanley Road (East of Valley) 87 2018 2038 129 13 19 25 25 41440 Rainer Road (East of Valley) 90 2018 2038 134 13 19 25 25 41440 Rainer Road (West of Valley) 91 2018 2038 135 14 19 25 25 41380 Pettigrew Road (West of Valley) 133 2018 2038 198 20 19 25 25 41535 Wild Goose Lane (West of Valley) 466 2018 2038 692 69 19 25 25 41300 Clink Street (West of Valley) 499 2018 2038 741 74 19 25 25 41300 Cole Road (West of Valley) 228 2018 2038 339 34 19 25 25 41240 Scott Road (East of Valley) 646 2018 2038 960 96 19 25 25 FFC: 07 = Rural Major Collector 08 = Rural Minor Collector 09 = Rural Local Access 14= Urban Principal Arterials 16 = Urban Minor Arterials 17 = Urban Collector Arterials 18 = Urban Minor Collector 19 = Urban Local Access Valley Road Grind/Inlay Project TOTAL $642.345.00 Engineers Estimate Eng. Estimate Item M oa Quantity Unit Item Description Unit Price Price PREPARATION 1 100% L.S. Mobilization $60,000.00 $60,000.00 2 100% L.S. Removal of5tructure and Obstruction $30,000.00 $30,000.00 3 653.0 L.F. Saw Cut Existing Roadway $3.00 $1,959.00 SURFACING 4 100.00 C.V. Crushed Surfacing Top Course $90.00 $9,000.00 HOT MIX ASPHALT EST. EST. Crack Sealing $30,000.00 $30,000.00 S.V. Planing Bituminous Pavement $2.00 $34,000.00 F96HMA17,000.0 2,000.0 Ton CI.1/2 In. PG64-28 $80.00 $160,000.00 Calc. Calc. Job Mix Compliance Price Adjustment -$1.00 -$1.00 Calc. Calc. Compaction Price Adjustment -$1.00 TRAFFIC 10 653.0 L.F. Cement Conc. Traffic Curb and Gutter $50.00 $32,650.00 11 441.0 L.F. Cement Conc. Pedestrian Curb $30.00 $13,230.00 12 9,600.0 L.F. Paint Line $0.85 $8,160.00 13 300.0 L.F. Plastic Wide Lane Line $15.00 $4,500.00 14 1,344.0 S.F. Plastic Crosswalk Line $11.00 $14,784.00 15 180.0 L.F. Plastic Stop Line $8.00 $1,440.00 16 11 EA Plastic Wide B'Traffic Arrow $300.00 $3,300.00 17 5,300.0 L.F. Temporary Pavement Marking $0.25 $1,325.00 18 100% L.S. Project Temporary Traffic Control $130,000.00 $130,000.00 OTHER ITEMS 19 22 EA Cement Conc. Ramp Type "Parallel A" W/ Detectable Warning $4,000.00 $88,000.00 20 2 EA Cement Conc. Ramp Type "Single Direction A" W/ Detectable Warning $2,500.00 $5,000.00 21 15 EA Adjust Water Valve Box $600.00 $9,000.00 22 100% L.S. Trimmingand Cleanup $5,000.00 1 $5,000.00 23 Calc. Dol. Minor Changes -$1.00 -$1.00 24 1 100% 1 L.S. (SPCC) Plan $1,000.00 $1,000.00 TOTAL $642.345.00 � Washington State SIAP Department of Transportation NEPA Categorical Exclusion Documentation Form Q NEPA Approval Signatures /t- 3/5/2-0- 3 I $ zU Approving Authority Da Local Programs Environmental Engineer Date � 9 20 `P&OCn��vtMArl C C Jr1 �rogams Engineer Date Federal Highway Administration Date Completed By (Print Official's Name) Federal Aid Project Number STPUS-6077( ) NEPA Start Date 2/24/20 Intent of Submittal [] Preliminary Q✓ Final ❑ Re -Evaluate Agency Grant County Public Works Project Title Valley Road Grind/Inlay (Cascade Park to Scott Road) County Grant Beginning terminus: 0.49 Ending terminus: 1.53 Miles: 1.040 Township(s): 19 Range(s): 28 Section(s): 16.17 Part 1 - Project Description (Attach Vicinity Map) Work will include grinding existing asphalt and replacing with a new Hot Mix Asphalt surface, upgrade existing ADA ramps to meet current standards, sidewalk repair where needed, traffic control for the duration of the project and other items (i.e.: paint-line,thermo plastic arrows, crosswalk lines etc). Part 2 - Categorical Exclusion & STIP • Identify one CE from 23 CFR 771.117 (CE Guidebook -Appendix A) that fits the entire project (C)( 23 )(i ) • Per 23 CFR Part 452(1) identify the subsequent project phase identified on the STIP? ❑ ROW WJ Construction • Attach a copy of the STIP page to the CE documentation form. Q NEPA Approval Signatures /t- 3/5/2-0- 3 I $ zU Approving Authority Da Local Programs Environmental Engineer Date � 9 20 `P&OCn��vtMArl C C Jr1 �rogams Engineer Date Federal Highway Administration Date Completed By (Print Official's Name) Telephone (include area code) E-mail Address Samuel Dart (509) 754-6082 sdart@grantcountywa.gov DOT Form 140-100 Revised 12/2019 Aft Washington State wo Department of Transportation Agency: Grant County Public Works Prospectus Submittal Checklist Project Title: Valley Road Grind/Inlay (Cascade Park to Scott Road) Use this sheet as a cover sheet to the project prospectus package. Place an "X" in the right column to denote items included. If not applicable, state N/A. Include in the cover letter a comment explaining the action taken on each item as appropriate. Note later with an "L" if the information will be supplied at a future date. Application 1. Authorization Package Checklist (Appendix 21.43) X 2. Project Prospectus (Chapter 21) X 3. Vicinity Map X 4. Typical Roadway or Pathway Section X 5. Typical Bridge Section N/A 6. Local Agency Agreement (Chapter 22) X 7. Documented Cost Estimate (Chapter 22) X 8. TIP/STIP Inclusion (MPO/County/Agency, selected/limited to $) X Supporting Data 9. Local Agency Design Matrix Checklist (Appendix 42.101) X 10. Photos (Railroad Crossing, ER event sites, as required) N/A 11. Deviation Analysis Format (Appendix 41.51) N/A 12. Environmental Considerations (Chapter 24) X a. Class II Categorically Excluded (CE) - Environmental Classification Summary (ECS) X b. Class III Environmental Assessment (EA) N/A c. Class I Environmental Impact Statement (EIS) N/A d. SEPA Checklist L e. NEPA/SEPA/Section 404 Interagency Working Agreement N/A f. Evolutionarily Significant Unit (ESU) Determination of Effect Concurrence N/A g. Value Engineering Study (where applicable) N/A 13. Right of Way Requirements (Chapter 25) N/A a. Relocation Plan N/A b. Approved Right of Way Plans N/A c. Right of Way Project Funding Estimate or True Cost Estimate N/A d. Request Right of Way Fund Authorization N/A 14. Right of Way Certification (Appendix 25.179) N/A 15. Agreements/Easements with Railroads, Utilities, and Other Agencies (Chapter 32 and 25) N/A 16. Design Approval (Chapter 43) L 17. Tied Bids (Chapter 44) N/A 18. Nondiscrimination Agreement (Submit new agreement if outdated) N/A Remarks: DOT Form 140-553 Revised 5/2017 � Washington State �I/ Department of Transportation Local Agency Federal Aid Project Prospectus DOT Form 140-101 rage i Revised 04/2015 Previous Editions Obsolete Prefix Route ( ) Date 7/14/20 Federal Aid STPUS 6077 DUNS Number 01-020-2562 Project Number LocalAgency CRP 20-01 ! WSDO Y 1 Federal Employer 91-6001319 Project Number ` Use Onl J Tax ID Number Agency CAAgency Federal Program Title Grant County Public Works ❑✓ Yes ❑ No ❑✓ 20.205 ❑ Other Project Title Start Latitude N 47-08-32.03 Start Longitude W 119-18-55.43 Valley Road Grind/Inlay (Cascade Park to Scott Road) End Latitude N 47-08-00.39 End Longitude W 119-19-33.17 Project Termini From -To Nearest City Name Project Zip Code (+4) Cascade Park Scott Road Moses Lake 98837-8741 Begin Mile Post End Mile Post Length of Project Award Type 0.49 1.53 1.04 1,( Local ❑ Local Forces ❑ State ❑ Railroad Route ID Begin Mile Point End Mile Point City Number County Number County Name 6077 0.49 1.53 N/A 13 Grant WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number North Central Region 13 4 18 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. 35,000.00 35,000.00 0.00 03/2020 RM Const. 724,400 97,800 626,600 08/2020 Total 759,400 132,800 626,600 Description of Existing Facility (Existing Design and Present Condition) Roadway Width Number of Lanes 40 2 Existing road surface is showing signs of deterioration. Two driving lanes and a Two Way Left Turn Lane. Description of Proposed Work Description of Proposed Work (Attach additional sheet(s) if necessary) Work will include grinding, HMA surfacing, ADA ramps, sidewalk traffic control and other items. Local Agency Contact Person Title Phone Keith M. Elefson, P.E. County Engineer (509) 754-6082 Mailing Address City State I Zip Code 124 Enterprise Street Ephrata WA 98823-1987 By JZ-:_— All Q42tt— Approving Authority Project Prospectus Title County Engineer Date 7/*:0a DOT Form 140-101 rage i Revised 04/2015 Previous Editions Obsolete Agency Project Title 77/14/20 Date Grant County Public Works Valley Road Grind/Inlay Roadway Width Type of Proposed Work Project Type (Check all that Apply) Roadway Width Number of Lanes ❑ New Construction ❑ Path / Trail ❑ 3-R 40 2 ❑ Reconstruction ❑✓ Pedestrian / Facilities ❑✓ 2-R ❑ Railroad ❑ Parking ❑ Other ❑ Bridge Geometric Design Data Description Through Route Crossroad ❑ Principal Arterial ❑ Principal Arterial Federal ❑✓ Urban ❑✓ Minor Arterial W- Urban ❑ Minor Arterial Functional ❑ Rural ❑ Collector F-1collector El Rural Classification ❑ NHS M El Major Collector ❑ NHS Major Collector ❑ Minor Collector ❑ Minor Collector ❑ Local Access ❑✓ Local Access Terrain ❑✓ Flat ❑ Roll ❑ Mountain ❑✓ Flat [--]Roll ❑ Mountain Posted Speed See Attached Design Data for All See Attached Design Data for All Design Speed Existing ADT Design Year ADT Design Year Design Hourly Volume (DHV) Performance of Work Preliminary Engineering Will Be Performed By Others Agency Grant County Public Works % 100 % Construction Will Be Performed By Contract Agency Contractor 100 % % Environmental Classification ❑ Class I - Environmental Impact Statement (EIS) ❑✓ Class II - Categorically Excluded (CE) ❑ Project Involves NEPA/SEPA Section 404 Projects Requiring Documentation Interagency Agreement (Documented CE) ❑ Class III - Environmental Assessment (EA) ❑ Project Involves NEPA/SEPA Section 404 Interagency Agreements Environmental Considerations NEPA documents approved. 3/18/2020 DOT Form 140-101 rage Revised 04/2015 Previous Editions Obsolete Agency Project Title Date Grant County Public Works Valley Road Grind/Inlay 7/14/20 Right of Way ❑✓ No Right of Way Needed ❑ Right of Way Needed * All construction required by the ❑ No Relocation ❑ Relocation Required contract can be accomplished within the exiting right of way. Utilities Railroad 0✓ No utility work required ❑✓ No railroad work required ❑ All utility work will be completed prior to the start [:]All railroad work will be completed prior to the start of 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 I with the construction contract Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project No utility issues known at this time. FAA Involvement Is any airport located within 3.2 kilometers (2 miles) of the proposed project? [—]Yes ❑✓ No Remarks This 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. Date Agency Grant County Public Works By j&% County Road Engineer DOT Form 140-101 Page 3 Revised 04/2015 Previous Editions Obsolete TYPIGAL X-5FGTION GUT SLOPE FILL SLOPE 60' COUNTY RM b' 15' 14' 10' 14' 15' b' 2% TURN LANE 2AS 4., -2% -2% -2% 0.1THMA 6RIND/INLAY MP 053 TO MP 153 4' CONCRETE CLASS 3000 51DEAALK 4' CONCRETE CLASS 3000 51DEWALK Grant county GRANT covN'rY PTJBLIc woRKB DEPARTMIIVT Boars of Commissioners VALLEY ROAD GRIND/INLAY 124 ENTERPRISE ST. SE PROJECT' Richard Stevens, Chairman District No. 1 EPWATA, WA5HIN6TON 98823 CRP 20-01 Tom Taylor, District No. 2 ems) isn-e0e2 F:, (�ov) iso-boe� Cindy Carter, District No. 3