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AG 12-060�TU�v To: � � ExT: 2 `L CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PUBLIC WORKS / 2. ORIGINATING STAFF PERSON: ��f3..�. l.. "Ci�nw. EXT: Z� Z[7 3. DATE REQ. BY: 4. TYPE OF DOCUMENT (CHECK ONE�: O CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT O MAINTENANCE AGREEMENT � GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTA� DoCU1�Ex1' ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS� 0 ORDINANCE ❑ RESOLUTION ❑ C;ONTR ,�OTHER (AG#): ❑ I1vTERtACAt, �� �v�c�c Sv.ri/�`�Y __ 5. PRO.►EC'r NaME: d L. � 6. NAME OF CONTRACTOR: �' � ADDRESS: I:J Yh � TELEPHONE: Z� E-MAIL:�\..�.��.v�!+.�,�►'�ov.�Cav�w.a.cc.� �w� °�J FAx: SIGNATURENAME: Ck`('1t Cy�-GiS.v`�� T1TLE:� � ^ V S� i�5� 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIItEMENTS/CERTIFICATE 0 ALL OTI-IER REFERENCED EXHIBTfS ❑ PROOF OF AUTHORITY TO SIGN 0 REQUIItED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS CFW LICENSE # BL , EXP. 12/31/ UBI # ,�• � � 8. TERM: COMMENCEMENT DATE: � F�S COMPLETION DATE ,��,- �2►1 r 1�t �k- 9. TOTAL COMPENSATION: $ �, ��� Ooi? C�"CA✓�-� (INCLUDE EXPENSES AND SALES TAX, IF ANY� (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES� REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ C1TY 10. DoCU�rrr / CorrrRac�r REViEw O PROJECT MANAGER ❑ DNISION MANAGER .�DEPUTY DIRECTOR ,,a�DuzECroR ❑ RISK MANAGEMENT (IF APPLICABLE� �a'Lww DE�r 11. COUNCILAPPROVAL (IF APPLICABLE) INTTIAL / DATE REVIEWED �� .El�7i �.� :� ��— - COMMITTEE APPROVAL DATE: INTfIAL / DATE APPROVED COUNCILAPPROVAL DATE: 12 . CONTRACT SIGNATURE ROUTING ❑ SENTTO VENDOR/CONTRACTOR DATE SENT: O ATTACH: SIGNATUREAUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBTfS ❑ LAw DErr , SIGNATORY AYO OR DIRECTOR� �TY CLERK 1g�SSIGNED AG # 0 SIGNED COPY RENRNED ❑ REI'URN ONE ORIGINAL COMMENTS: ^------« u DATE REC' D: INITIAL / DATE SIGNED ���� �:►��r ���'�iT�I�i+' • �� �� ��� 1/9 .---�-� Washington State Public Works Board Post Office Box 42525 Olympia, Washington 98504-2525 www.pwb.wa.gov �� 2012 Capital Budget - Grant Programs Direct-Appropriation Projects Contract Readiness Survey Project Title: Sewer Critical Capacity Project Grant Amount: $1,500,000 Instructions: Before you can receive grant funds, a contract will need to be executed between you (Grantee) and the Public Works Board (Board). Contract development generally takes finro to three weeks once you have met our requirements. Please follow these steps to get the contracting process started: . 1. Completely fill out the survey questions by typing your responses in the electronic version of this form; 2. Have the Grantee Certification (last page) signed by the person authorized to sign contracts for your organization; 3. Attach documentation for committed funds (copies of award letters, council appropriations, etc.), if applicable; 4. Fill out and have the LEED Certi�cation Declaration form (attached); 5. Attach a copy of the project request form/packet that you submitted to legislature; 6. Compile and mail these documents to the address above, Attention Chris Gagnon. If you have any questions or need additional information, please contact Chris Gagnon at (360) 725-3158; christina.gacanon(c�commerce.wa.qov, or Myra Baldini at (360) 725-3152 or myra.baldini@commerce.wa.gov. Thank you for your assistance in making this contract-writing process as quick and easy as possible! SECTION 1. GENERAL INFORMATION � �_� �� - ___ ___ _ ._.____..__ ._ �_ .. � �;. � ` � t� ��"� �` � � � ��f�� City Of Federal Way ' � � � u � � � �, ��. w�b, � Publicly-Owned ❑ Private Non-Profit ❑ Tribal _..._,-- -- _ _ _ _.__ .__ _._. ...._.._. __ _ _ _ -- ---. .__..___ . _...__-- 0! 7 1 1 " http://www.pwb.wa.gov/macg_listing.asp 9':, 1 I- 1; 4 6 2 5 5; 0 , ,WA King :��rA , k �_ . .�,���..,��,-��..� -.�.:-� 47:3203 ------_ _ _ __ 89,377 „ � �� -- – — � � at 30th District Federal way , WA 98003_ 122.3081 72,800 9th District Senator Tracey Eide, Rep. Katrina Asay, Rep. Mark Miloscia ' _ _ _ _ _ _ . - -----. _. .------ ----- --- --- __.._. . _ .--; Mayor Skip Priest ' 33325 8 Ave S., Federal Way, WA 98063-9718 .; ___ _._ -----_. --- -------- -___- _ ___-- ----._. _ (253)835 2402 ' (253)835-2409 ' ----__ --------_ __ Skip. Priest@cityoffederalway.com Marwan Salloum P. E. 33325 8 Ave S., Federal way, WA 98063-9718 _-- _ ____._ - ( 253) 835-2720 (253) 835-2709 _ _ ._ __..__ __------_._--- Marwan.Salloum@cityoffederalway.com Public Works Board 2012 Capital Budget - Grant Programs Page 1 Direct-Appropriation Projects—Contract Readiness Survey SECTION 2. PROJECT INFORMATION PR4JECT DESCRIPTION The Critical Capacity Project will replace an approximately 1-mile length of sewer trunk line through � Downtown Federal Way, increasing pipe size from 12-inch to approximately 36-inch and expanding : sewer capacity critical to downtown development. The anticipated public benefit resulting from this project is to revitalize the city's downtown economic core and enhance Federal Way's and South King county's economic and cultural vitality. . __ ___ _- -- --- —.. ____._.__ � This phase of the project will complete desiqn and complete apqroximatelv 25% of the proiect construction A partially completed section of the project would be placed into service and provide additional wastewater detention time allowina some development to occur. However it is the intent of the City of Federal Way and Lakehaven Utilitv District to complete the entire proiect as a sincale proiect if SITE CONTROL ' The EO 05-05 requires recipients of state funds to consult with interested parties, i.e., Department of Archaeology and Historic Preservation, and Indian Tribes, prior to starting project construction. If your project funding includes federal funds, Section 106 (National Historic Preservation Act) will be required, which supersedes the EO 05-05 review. These consultations should take place as early as possible in order to avoid delays in starting your project. If you have questions regarding the cultural and historic resources process, please contact Matt Ojennus at (360) 725-4047 or email him at matthew.ojennus@commerce.wa.gov. Public Works Board 2012 Capital Budget - Grant Programs Page 2 Direct-Appropriation Projects—Contract Readiness Survey GOVERNOR EXECUTIVE ORDER 05-05 (EO 05-05) CULTURAL 8� HISTORICAL RESOURCES REVIEW (OR SECTION 106) SCOPE OF WORK Start Date: June 1, 2012 Activity 1: Advertise for Engineering Consultant Request for Proposals (RFP's): 06/01/12 - 06/30/12 Deliverables: Advertisement packet. Activity 2: Select Engineering Consultant : 06/30/12 — 08/30/12 Deliverables: Engineering Qualification Submittal and Engineering Contract. Activity 3: Engineering Design and Environmental Phase Start Date: 08/30/12 - 03/30/13 Deliverables: Engineering Report, Environmental Review, Permits, Public Information, Project design, Construction plans/specifications and bid documents. Activity 4: Advertise Project: 03/30/13 - 04/30/13 Deliverables: Advertisement Packet, Bid Tabulation and Recommendation to Award. Activity 5:Contract Bid Approval: 04/30/13 - 06/30/13 Deliverables: Executed Contract and Notice to proceed. Activity 6: Construction Phase: 06/30/13 - 06/30/14 Deliverables: Construction management, Inspections and project construction. Activity 7: Project Acceptance: 06/30/14 - 09/30/14 Deliverables: Final Construction Record Drawings and Council acceptance of the project Activity 8: Project Closeout: 09/30/14 — 12/01/14 Finalizing project documentation and filing ready for project audit. Completion Date: Dec 1, 2014 2 LEED is a certification program run by the U.S. Green Building Council. In 2005 the Washington State Legislature passed a law requiring all capital projects grant recipients to comply with the LEED standards (RCW 39.35D). The goal is for major construction or renovation projects receiving state funds to be built to the LEED silver standard where "practicable." Projects that fall under certain facility rypes and projects demonstrating that it would not "be practicable" to meet the LEED silver standard may qualify for a LEED exemption. Please refer to the attached LEED Certification Declaration form for more details. If you have questions regarding the LEED process, please contact Stephen Dunk at (360) 725-3157 or email him at stephen.dunk@commerce.wa.gov. Public Works Board 2012 Capital Budget - Grant Programs Page 3 Direct-Appropriation Projects—Contract Readiness Survey LEED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN) CERTIFICATION PROJECT COSTS E ngineering Report < Prelimina ry En gineering> (Projec P hase I) Cultural and Historical Resources Review (Executive Order 05-05, Section 106) (Project Phase 1) Environ Review (Project Phase I) Land/Right-of-Way Acquisition Permits (Project Phase I) Public Involvement/Information (Project Phase I) Bid Documents (Project Phase I) Construction (Project Phase I) ----_ -------- -------- - - - - - — Construction (Project Phase II) Other: Construction Management and Project Inspection (Phase 1) Other: Construction Management and Project Inspection (Phase 11) Other: Project Administration (Project Phase I) Other: Other: 50,000 10,000 55,000 0 50,000 20,000 450,000 1,550,000 3,250,000 150,000 315,000 100,000 Public Works Board 2012 Capital Budget - Grant Programs Page 4 Direct-Appropriation Projects—Contract Readiness Survey � PROJECT FUNDING This Direct Appropriation Grant (Proiect Phase I) Other Grant #1 Direct Appropriation Grant for (Lakehaven Utility District - Project Phase I) -----___�__------- ---------------- ..— Other Grant #2 Other Grant #3 __ _ _.. __ _-- ------------------- ---- Total Other Grants Loan #1 (Lakehaven Utility District - Project Phase II) --___. _._..._ __ _ _----- -_.------ Loan #2 Loan #3 Total Loans Local Revenue #1 Local Revenue #2 Local Revenue #3 Total Local Revenue Other Funds #1 -- _....._..._.....------------ Other Funds #2 Total Local Revenue Public Works Board Public Works Board Public Works Trust Fund 1,500,000 1,000,000 3,500,000 Committed Committed Pending _ __ _ Public Works Board 2012 Capital Budget - Grant Programs Page 5 Direct-Appropriation Projects—Contract Readiness Survey PROJECT PERFORMANCE MEASURES Upgraded sewer pipeline system will be capable of conveying an addition 8.3 MGD from the Federal Way downtown center area without causing surcharging issues. JOBS CREATED OR RETAINED PROJECT COMPLETION A partially completed section of the project would be placed into service and provide additional wastewater detention time allowing some development to occur. However, it is the intent of Lakehaven Utility District to complete the entire project as a single project if state funding is available. PROJECTISSUES Based on the engineering report it may be more economical to construct an alternative pipeline route and pipe diameter size to better serve the City of Federal Way City Center. Depending on construction methods available, additional time maybe required due to the accommodations needed with local businesses. Issue No.1: Acquiring all applicable Project permits. Issue No.2: Weather limitation. Issue No.3: Unknown subsurface conditions Issue No.4: Time limitations workin� within the City Core and around local businesses. Public Works Board 2012 Capital Budget - Grant Programs Page 6 Direct-Appropriation Projects—Contract Readiness Survey GRANTEE CERTIFICATION The Grantee certifies that: ■ The information and financial data provided in this document are true and correct to the best of their belief and knowledge and it is understood that Public Works Board staff may independently verify information, and that the discovery of incomplete, false, and/or misleading information is grounds for withholding awarded funds or termination of grant contract; ■ Records supporting the information provided in this document are on file and will be made available by the Grantee upon request; ■ There are no outstanding liens against this project; ■ There is currently no litigation in existence seeking to enjoin the commencement or completion of the above-described project; and , ■ The Grantee intends to enter into a grant contract with the Public Works Board, provided that the terms and conditions for a Public Works Board grant are satisfactory to both parties. Signed: Name: Skip Priest Title: Phone Number: 253-835-2402 Date: Attest: Public Works Board 2012 Capital Budget - Grant Programs Page 7 Direct-Appropriation Projects—Contract Readiness Survey Eligible Costs Capital Budget funds may generally be used to pay for the following project expenses incurred as far back as April 23, 2012: ■ design, architectural, and engineering work; ■ building permits/fees; ■ archeological/historical review; ■ construction labor and materials; ■ demolition/site preparation; • capitalized equipment; ■ information technology infrastructure (cables and wiring); ■ construction management and observation (from external sources only)*; ■ initial furnishings**; ■ landscaping; ■ real property when purchased specifically for the project, and associated costs.*** Ineliaible Costs The following costs are not eligible for reimbursement under this program: ■ internal administrative activities; ■ project management (from any sources); ■ fundraising activities; ■ feasibility studies; • computers or office equipment; ■ rolling stock (such as vehicles); ■ lease payments for rental of equipment or facilities; ■ mortgages and property leases (including long-term); ■ the moving of equipment, furniture, etc., between facilities. * Construction management and observation, for the purpose of this program, is defined as on-site management and/or supervision of the work site and workers thereon. Construction management does not include work typically performed by off-site consultants or consultant organizations, grant writers, project managers, or employees of the grantee, unless the employee is hired solely and specifically to perform on-site construction management as defined above. ** Furnishings and equipment are considered eligible project costs as long as the average useful life of the item purchased is 13 years or more. *'`* Costs directly associated with property acquisition include appraisal fees, title opinions, surveying fees, real estate fees, title transfer taxes, easements of record, and legal expenses. Note: Please do not include operating costs in your project scope and budget.