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AG 16-018`A -2.173 RETURN TO: Ai M rn-' n EXT: 1 f 30 Si CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PUBLIC WORKS / _TT ree4-s 2. ORIGINATING STAFF PERSON: C V1r 1 shn e EXT: X 2123 3. DATE REQ. BY: 3 - YYla rch - 2O t--1 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG #):I(s --OkB ❑ INTERLOCAL )(OTHER Su ail er* L 5. PROJECT NAME: 6.k-eel 1,Ake Parle_ -f t, Do LorlkouWl T ro►1 ` YYlehrd ad rfloinL, PE 6. NAME OF CONTRACTOR: W SDDT - N WR L-O CGU 'Programs S A4-1 n ADDRESS: 1S1O0 "DAy{-on Ave N V\oreline, vJA 018133 TELEPHONE: - E -MAIL: inztVirareeele P W€dct . w0. • FAX: Tv SIGNATURE NAME: mcAn en TITLE: 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT /AMENDMENTS CFW LICENSE # BL, EXP. 12/31/ UBI # , EXP. / / 8. TERM: COMMENCEMENT DATE: Upon r rnv 1 COMPLETION DATE: 'Pr o j ec- C o rr t p1 rtir n ih s t� lapopoo The p U6i 9. TOTAL COMPENSATION: $ 100, 000 + 62.00,0 O ( ilA Merit) (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 ❑ CITY ❑ PURCHASING: PLEASE CHARGE TO: 3o Lo -144 C)O - 200 - 59 5 - 3C - Kx x 10. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED k PROJECT MANAGER C6fr\ 2-a - Feb -20\1- AI DIVISION MANAGER (J DEPUTY DIRECTOR t( DIRECTOR 3'31 1'1 ❑ RISK MANAGEMENT (IF APPLICABLE) ` teTIVALLIERT 030T rev+.•r 11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: tJ% fk COUNCIL APPROVAL DATE: 10I -k 12. CONTRACT SIGNATURE ROUTING LA °ENT TO VENDOR/CONTRACTOR DATE SENT: $ DATE REC'D: /V/ i p lo ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LI ENSES, EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE (INCLUDE DEPT. SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.) INITIAL / DATE SIGNED ❑ LAW DEPT SIGNATORY (MAYOR OR DIRECTOR) j% ❑ CITY CLERK /nICALI,ki AG # AG# ('-01 AASSIGNED SIGNED COPY RETURNED DATE SENT: C4- I0-ti- ❑ RETURN ONE ORIGINAL COMMENTS: EXECUTE ° 1 " ORIGINALS - AAree m e c* i C, Sta-Fe_. -Corm 4-■ co- C x foi- be mo ct I e d - CI s(gY1s bebre 51-a4e . - N o U Legal- f2-\1'142,1A.> ?P_K M( lie" i )rr r1. 2 2017 Washington State 1; Department of Transportation Supplement - Local Programs State Funding Agreement Agency City of Federal Way Supplement Number Project Number HLP- 0443(008) Agreement Number LA 8820 1 This supplemental agreement is made and entered into All provisions in the AGREEMENT identified above remain in effect except as expressly modified by this supplement. The changes to the agreement are described as follows: Project Description © No Change Name Steel Lake Park to Downtown Trail Location S 312th Street between 23rd ave S and 28th Ave S Description of Work © No Change Reason for Supplement Obligation of Construction Funds Type of Work Estimate of Funding (1) Previous Agreement/Suppl._ (2) Supplement (3) Estimated Total Project Funds (4) Estimated Agency Funds (5) Estimated State Funds PE a. Agency $ 4,000.00 $ 4,000.00 $ 4,000.00 b. Other Consultant $ 95,000.00 $ 95,000.00 $ 95,000.00 c. Other d. State $ 1,000.00 $ 1,000.00 $ 1,000.00 e. Total PE Cost Estimate (a +b +c +d) $ 100,000.00 $ 0.00 $ 100,000.00 $ 0.00 $ 100,000.00 RW f. Agency g. Other h. Other i. State j. Total R/W Cost Estimate (f +g +h +i) $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 CN k. Contract $ 176,842.00 $ 176,842.00 $ 0.00 $ 176,842.00 I. Other Contract (non - particip $ 653,158.00 $ 653,158.00 $ 653,158.00 $ 0.00 m. Other n. Other Agency (non - participa $ 81,842.00 $ 81,842.00 $ 81,842.00 $ 0.00 o. Agency $ 22,158.00 $ 22,158.00 $ 0.00 $ 22,158.00 p. State $ 1,000.00 $ 1,000.00 $ 0.00 $ 1,000.00 q. To I CN Cost Estimate (k +I +m +n +o +p) $ 0.00 $ 935,000.00 $ 935,000.00 $ 735,000.00 $ 200,000.00 r. Tot oject Cost Estimate a +j +q $ 100,000.00 $ 935,000.00 $ 1,035,000.00 $ 735,000.00 $ 300,000.00 AG BY NC Title: Publi Works Director Date: — — 2. `\ DOT Form 140 -087A Revised 03/2016 STATE( %i , / BY. alIMIr • rector, oca rograms MAR 2 3 2011 Date RETURN TO: MateAdeS EXT: 1 Was CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PUBLIC WORKS /-11(--. 2. ORIGINATING STAFF PERSON: \ rjG. e- P��--�`� -- EXT: Z7 (4 -p 3. DATE REQ. BY: 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG #): ❑ INTERLOCt X OTHER LD c---4 L.- R ' e■nL F'`=" AtP_iA,44, ' 1 5. PROJECT NAME: S642.11._ ke. 'Qc..r K_ -b w, � v. � t 1Q 1 6. NAME OF CONTRACTOR: W S ."V n 1 t" • t.J 5or-- N1nlf. w (01 Q >u „'^' 4y p ADDRESS: i 5-7-00 Dint.... i� IJ,' ro O7' 33°5) J i 5eµ4- WA- 76)3,5 ■9 TELEPHONE: �a 33 E -MAIL: n FAX: SIGNATURE NAME: 5-48pf ank_Ti 6 TITLE7D1 ft &o ; ljpeaA fr 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT /AMENDMENTS CFW LICENSE # �fBL,, EXP. 12/31/ UBI # , JiTt XP. / �%MMENCEMENT DATE: !/ ` COMPLETION DATE: 1 O &OV p/ 8. TERM: CO ` 9. TOTAL COMPENSATION: $ CA . 1A 5 (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY L O CH A GE - 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 ❑ CITY ❑ PURCHASING: PLEASE CHARGE TO: 10. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED DIVISION MANAGER • DEPUTY DIRECTOR e DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) • LAW DEPT 11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING a-.11/1-1 1 -� SENT TO VENDOR/CONTRACTOR DATE SENT: �/ DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS INITIAL / DATE SIGNED p_S Dec ze, ❑ LAW DEPT ❑ CHIEF OF STAFF .eSIGNATORY (MAYOR OR DIRECTOR) Y CLERK ASSIGNED AG # 'SIGNED COPY RETURNED ❑ RETURN ONE ORIGINAL COMMENTS: EXECUTE ” ORIGINALS i tip'!/ At• go-0/8 ^ DATE SENT: 17,4 -I 'W MaY MIPIV A tr Mira' °Mir tfire al I Or' 1/15 A Da of Transportation Local Programs State Funding Agreement Work by Public Agencies Agency and Address City of Federal Way 33325 8th Avenue S Federal Way WA 98003 Agrgeqaent N r in A 2 Maximum Amount Authorized 300,000.00 Location and Description of Work (See also Exhibit "A ") S 312th Street between 23rd Avenue S and Steel Lake Park entrance: construct sidewalk on south side, including planter strip, illumination, and ADA ramps Participating Percentage 0.00% i et ow Project Number 14 LP - ()LI LB( CoS)._ This AGREEMENT is made and entered into this day of between the STATE OF WASHINGTON, Department of Transportation, acting by and through the Secretary of Transportation, hereinafter called the "STATE," and the above named organization, hereinafter call the "AGENCY." WHEREAS, the AGENCY is planning the work shown above, and in connection therewith, the AGENCY has requested financial assistance for the project or program, and WHEREAS, the AGENCY has requested funds for the above shown project or program, which has been selected by the STATE for funding assistance. NOW THEREFORE, in consideration of the terms, conditions, covenants, and performances contained herein, or attached and incorporated and made a part hereof, IT IS MUTUALLY AGREE AS FOLLOWS: DOT Form 140 -087 Revised 03/2015 Page 1 Estimate of Funding Type of Work (1) Estimated Total Project Funds (2) Estimated Agency Funds (3) Estimated State Funds PE a. Agency 4,000.00 4,000.00 b. Other Consultant 95,000.00 95,000.00 c. Other d. State 1,000.00 1,000.00 e. Total PE Cost Estimate (a +b +c +d) $ 100,000.00 $ 0.00 $ 100,000.00 Right of Way f. Agency g. Other h. Other . i. State J. Total R/W Cost Estimate (f +g +h +i) $ 0.00 $ 0.00 $ 0.00 Construction k. Contract I. Other m. Other n. Other o. Agency p. State q. Total CN Cost Estimate (k +I +m +n +o +p) $ 0.00 $ 0.00 $ 0.00 r. Total Project Cost Estimate (e +j +q) $ 100,000.00 _ $ 0.00 $ 100,000.00 DOT Form 140 -087 Revised 03/2015 Page 1 General The AGENCY agrees to perform the above described work in accordance with the Project Application attached hereto as "Exhibit A" and made a part of this AGREEMENT. Plans, specifications, and cost estimates shall be prepared by the AGENCY in accordance with the current State of Washington Standard Specifications for Road, Bridge, and Municipal Construction and adopted design standards, unless otherwise noted. The AGENCY will incorporate the plans and specifications into the AGENCY's project and thereafter advertise the resulting project for bid and, assuming bids are received and a contract is awarded, administer the contract, or if the project is of a size which the AGENCY is authorized to perform with its own forces under the laws of the State of Washington, the AGENCY may proceed with its own forces. All work performed under this AGREEMENT shall comply with the applicable provisions of state law. II Payment The STATE, in consideration of the faithful performance of the work to be performed by the AGENCY, agrees to reimburse the AGENCY for the percentage of the actual direct and related indirect cost of the work shown above, up to the "MAXIMUM AMOUNT AUTHORIZED ". The agency will comply with Governmental Accounting Auditing and Financial Reporting Standards and applicable state law and local regulations, policies and procedures. No payment will be made for work done prior to execution of this AGREEMENT. Partial payments shall be made by the STATE, upon request of the AGENCY, to cover costs incurred, These payments are not to be more frequent than one (1) per month. It is agreed that any such partial payment will not constitute agreement as to the appropriateness of any item and that, at the time of the final audit, all required adjustments .will be made and reflected in a final payment. The AGENCY agrees to submit a final bill to the STATE within forty -five (45) days after the AGENCY has completed work. The AGENCY agrees that all costs in excess of the amount authorized and the AGENCY's matching funds shall be the responsibility of the AGENCY 111 Audit The AGENCY agrees that an audit may be conducted by the STATE. During the progress of the work and for a period not less than three (3) years from the date of final payment to the AGENCY, the records and accounts pertaining to the work and accounting thereof are to be kept available for inspection and audit by the STATE and copies of all records, accounts, documents, or other data pertaining to the project will be furnished upon request. If any litigation, claim, or audit is commenced, the records and accounts along with supporting documentation shall be retained until all litigation, claim, or audit finding has been resolved even though such litigation, claim, or audit continues past the three -year retenti period. IN WIT I. SS WHERE IV Legal Relations No liability shall attach to the AGENCY or the STATE by reason of entering into this AGREEMENT except as expressly provided herein. V Nondiscrimination The AGENCY agrees to comply with all applicable state and federal laws, rules, and regulations pertaining to nondiscrimination and agrees to require the same of all subcontractors providing services or performing any work using funds provided under this AGREEMENT. VI. Venue For the convenience of the parties to this AGREEMENT, it is agreed that any claims and/or causes of action which the AGENCY has against the STATE, growing out of this AGREEMENT or the project or program with which it is concerned, shall be brought only in the Superior Court for Thurston County. VII Termination The Secretary of the Department of Transportation may terminate this AGREEMENT if the funding becomes unavailable or if the Secretary determines that it is in the best interest of the STATE. VIII Final Report and Final Inspection Within ninety (90) days following the completion of the project and submission of the final billing for the project, a final report and /or final inspection shall be submitted to the Director, Highways & Local Programs containing the following information: Non - Capital Projects 1. A description of the project or program. 2, A summary of actual costs of the project or program. 3. An evaluation of the project or program. This should address aspects such as transportation and /or other benefits to the public. Capital Projects 1. A final inspection is required, IX Supplement This agreement may be modified or supplemented only in writing by parties. the parties hereto have executed this AGREEMENT on th A EN \`� STATE By: Title: Public Works Director Date: a "vt c S DOT Form 140 -087 Revised 03/2015 By: ay and year (a wri en below. Dir ctor, Local Programs Date: 4m&N__.4 2 2016 Page 2