AG 20-044-002 - LAKEHAVEN WATER & SEWER DISTRICTRETURN TO: PW ADMIN EXT: 2700 ID #: 3813
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
I. ORIGINATING FPERSON:LWORKS/ Capital Engineering �lllii��� �' Ram �a
liv
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2. ORIGINATING sTnNaveenChandaExT:?53-797 6 3. A1� 3. TYPE OF DOCUMENT (CHECK ONE):
O CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
Q PUBLIC WORKS CONTRACT O SMALL OR LIMITED PUBLIC WORKS CONTRACT
p PROFESSIONAL SERVICE AGREEMENT p MAINTENANCE AGREEMENT
O GOODS AND SERVICE AGREEMENT p HUMAN SERVICES / CDBG
p REAL ESTATE DOCUMENT p SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
O ORDINANCE Q RESOLUTION
0 CONTRACT AMENDMENT (AG#): 20-44 O INTERLOCAL
p OTHER
4. PROJECT NAME:2020-2021 Neighborhood Traffic Safety (NTS) Project ---- Task Order # 1
5. NAME OFCONTRACTOR: Lakehaven Water and Sewer District
ADDRESS:31627 1st Avenue S Federal Way, WA 98003-5201 TELEPHONE:_2553-946-5401
E-MAIL: °bowmanF lakehave n.or FAX:
SiG�NA,ruR.GNAME:io ngpwman -- TITLE:
- Manager
6. EXHIBITS AND ATTACHMENTS: O SCOPE, WORK OR SERVICES O COMPENSATION O INSURANCE REQUIREMENTS/CERTIFICATE 13 ALL OTHER
REFERENCED EXHIBITS O PROOF OF AUTHORITY TO SIGN O REQUIRED LICENSES O PRIOR CONTRACT/AMENDMENTS
CFW LICENSE # BL, EXP. 12/31f_ UBI # EXP. / /_
7. TERM: COMMENCEMENT DATE: October 12, 2020 COMPLETION DATE: November 6, 2020
8. TOTAL COMPENSATION: $ 1,552 00 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: D YES D NO IF YES, MAXIMUM DOLLAR AMOUNT: $�----- __...
IS SALES TAX OWED: 13 YES E3 NO IF YES, $, PAID BY: 0 CONTRACTOR O CITY
RETAINAGE: RETAINAGE AMOUNT: �n RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
O PURCHASING: PLEASE CHARGE TO: 101-43D0-230-543-10-48 0
�9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
d PROJECT MANAGER NC 10/12/20
d DIVISION MANAGER SH 10/13/20
e DEPUTY DIRECTOR DSW 10/1312020
S DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
11 LAW DEPT ER 10/13/2020
10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
11. CONTRACT SIGNATURE ROUTING
8 SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC• D:
o ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(INCLUDE DEPT. SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCILAPPROVAL IS NEEDED.)
INITIAL / DATE SIGNED
❑ FINANCE DEPARTMENT
❑ LAW DEPT f, t
SIGNATORY (MAYOR OR DIRucroR) `�' i. t /111
CITY CLERK
�
❑ ASSIGNED AG # AG# -�E) 982- 20-044.002
❑ SIGNED COPY RETURNED DATE SENT:
COMMENTS:
EXECUTE, ' ORIGINAIS
0-044.0,02 dU„et,ong numberin convention for task orders.
Origina V assigned as AG 20-982 but reassigned as 2 ...
1I20'-70
Exhibit A
Task Order Format
SERVICES AGREEMENT
BETWEEN THE CITY OF FEDERAL WAY AND LAKEHAVEN UTILITY DISTRICT
FOR, SERVICES, COSTS AND CONSTRUCTION RELATED TO
Task Order h) cl(12
Project: 2020-2021 Neighborhood Traffic Safety (NTS) Project -WO # 1
This Task Order is issued under the Inter Local Agreement between the City of Federal Way
and Lakehaven Utility District. This Task Order establishes the scope, schedule, and budget for
2020-2021 Neighborhood Traffic Safety (NTS) Project -WO # 1. The Parties agree to perform
the Services in the manner set forth in this Task Order.
The effective date of this Task Order is October 6, 2020
Project Description. General Description of the work to be performed. May also include
definitions if helpful/appropriate.
• The Scope of Work is included as Attachment 1 to this Task Order.
. The Schedule is included as Attachment 2 to this Task Order.
. The Cost Estimate is included as Attachment 3 to this Task Order.
The authorized representatives of the parties have agreed to the terms of this Task Order by
sionina below,
For the Cit
For the
is r
Signat a
Sign�akur
Public Works Director
Title
Title
10/26/2020
;1
Date
Date
Approved as to Form:
Appro s to Fqfm s
j
Name, City Attorney
Nam' , Lakehaven
Legal Counsei'
Page 9
Task Order Attachment 1: Scope of Work: The City's project consists of construction of.
Traffic circle at SW 353rd PL and 19"' Avenue SW. The district's manhole is locatedin the
traffic circle which requires to be raised by approximately 8" with in the traffic circle. The
District requests the City to include raising manhole work as part of the City's project.
A. Project Administration.
A.1. Coordination and Communication. The City of Federal Way will provide the
coordination services for the project. The contact person for the City and District are
shown below:
Cam: Naveen Chandra, P.E., Senior Capital Engineer
Distr°ict,: Andrew Weygandt, P.E., Project Engineer
A.2 Diana ement andAdministrafion. The City of Federal Way will provide the
management and administration for the project
A.3 Agreements. None
B. Desr n and Review.
B.1. 4escr'6tion ofresponsibilities. The manhole will be adjusted per attached District's
details.
C. Permits andAp rovals.
D.I. Permit Requirements, Not Required
D.2. Perm ittin g and. Inspection Activities. The District will inspect and provide list of
corrective measures if required for the work within 24 hours of notification by the
City.
D. Bidding and Construction.
F.1. Descriration of reggonsibiiities. The City is responsible for bidding and construction
of the project.
E. Closeout ii
F.1. i`-he district will provide acceptance of work in writing
within 24 hours after completion of work including any corrective measure noted by the
district.
Page 10
Task Order Attachment 2: Estimated Schedule.
The work will be completed within 30 calendars days and by no later than November 6, 2020.
The actual work may be completed within a week by contractor.
City of Federal Way and Page 11
Lakehaven Water & Sewer District
Interlocal Agreement
Task Order Attachment 3. Cost Estimate.
City of Federal Way and Page 12
Lakehaven Water & Sewer District
Interlocal Agreement
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