AG 21-181 - WSDOTRETURN TO: PW ADMIN EXT: 2700 ID #: 4205
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT/DIV: PUBLIC WORKS / Capital Proeects _
2. ORIGINATING STAFF PERSON _Jeff HU nh EXT: 2721 3. DATE REQ. BY:
3. TYPE OF DOCUMENT (CHECK ONE):
E3 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#): _ ❑ INTERLOCAL
® OTHER_Sllnniement_LUB #23-006
4. PROJECT NAME: S 348th St NHS Preserveration Project
5. NAME OF CONTRACTOR: WSDOT
ADDRESS: TELEPHONE:
E-MAIL: FAX:
SIGNATURE NAME: TITLE:______
6. 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 # BI- EXP. 12/31/ UBI # _, EXP.
7. TERM: COMMENCEMENT DATE: &fl k `1 + 202) COMPLETION DATE: O-e- GI✓m�W-C 21 L 2 0 (O
8. TOTAL COMPENSATION: $� `��O i OOO.Oo (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: 13 YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
O PURCHASING: PLEASE CHARGE TO: C36241
9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
d PROJECT MANAGER JH/2/16/2023
8 DIVISION MANAGER Dat, M%2110 iis`oMeoo`°
8 DEPUTY DIRECTOR DSW 2J22J23
8 DIRECTOR -
❑ RISK MANAGEMENT (IF APPLICABLE)
6 LAW DEPT KVA 2/23/2023
10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: Na COMMITTEE APPROVAL, DATE:
SCHEDULED COUNCIL DATE: "a COUNCIL APPROVAL, DATE:
It. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: 2 12-98 2_3 DATE REC' D: -+' 1 i ci 2-8
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REM INDER/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 COUNCIL APPROVAL IS NEEDED.)
INITIAL / DATE SIGNED
N' l w—i;
AG# C_�:� 21-181A
DATE SENT: 11-I- :?I_@5,
COMMENTS:
EXECUTE" " ORIGINALS
❑ FINANCE DEPARTMENT
❑ LAW DEPT
11 SIGNATORY (MAYOR OR DIRECTOR)
8 CITY CLERK
❑ ASSIGNED AG #
❑ SIGNED COPY RETURNED
I /2020
RETURN TO: PW ADMIN EXT: 2700 ID #: 4205
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT/DIv: PUBLIC WORKS / Capital Projects
2. ORIGINATING STAFF PERSON. Jeff HUynh EXT: 2721 _ 3. DATE REQ. BY:
3. 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#): ❑ INTERLOCAL
m OTHER Sunnlement J RFR 923-006
4. PROJECTNAME: S 348th St NHS Preserveration Project
5. NAME OF CONTRACTOR: WSDOT
ADDRESS: TELEPHONE:
E-MAIL" FAX:
SIGNATURE NAME: TITLE:
6. 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._/
7. TERM: COMMENCEMENT DATE: h \ \� I Z�Z�j COMPLETION DATE:
8. TOTAL COMPENSATION: $ I, I i (o / OloO • op (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
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
O PURCHASING: PLEASE CHARGE TO: C36241
9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
6 PROJECT MANAGER JH/2/16/2023
8 DIVISION MANAGER !`" °°°" `��"°"°u°°
Dr.:,pil_0221 10:3Y:]" m'u'
8 DEPUTY DIRECTOR DSW 2/22123
A DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
6 LAW DEPT KVA 2/23/2023
10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: "a COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: " a COUNCIL APPROVAL DATE:
11. CONTRACT SIGNATURE ROUTING 2 n Gl 2 3 ci f
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: I Lo DATE REC'D: I 23
❑ 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 COUNCIL APPROVAL IS NEEDED.)
INITIAL / DATE SIGNED
❑ FINANCE DEPARTMENT
❑ LAW DEPT
6 SIGNATORY (MAYOR OR DIRECTOR)
d CITY CLERK
❑ ASSIGNED AG # AG#
❑ SIGNED COPY RETURNED DATE SENT:
COMMENTS:
EXECUTE' 'ORIGINALS
1/2020
aldbk
Washington State
'Department of Transportation
April 19, 2023
Mr. Edward Walsh, PE
Public Works Director
City of Federal Way
33325 8' Avenue South
Federal Way, Washington 98003
City of Federal Way
S. 348" Street
NHPP-1012(001)
FUND AUTHORIZATION
Dear Mr. Walsh:
Transportation Building
310 Maple Park Avenue S.E.
P.O. Box 47300
Olympia, WA 98504-7300
360-705-7000
TTY. 1-800-833-6388
www.wsdot.wa.gov
We have received FHWA fund authorization, effective April 17, 2023, for this project as follows:
PHASE
Construction
TOTAL
$1,026,000
FEDERAL SHARE
$1,026,000
The following are required to ensure compliance with federal and state requirements:
• Advertisement of the project within six weeks of construction authorization.
• Submit the Award Data to the Region Local Programs Engineer prior to construction start.
• Show continuous project progress through monthly billings, until the project is complete.
Failure to show continuous progress may result in the project becoming inactive per 23 CFR
630.106(a) (5) and subject to de -obligation of all federal funds and agreement closure.
Enclosed for your information and file is a fully executed copy of Supplement Number 1 to Local
Agency Agreement LA10198 between WSDOT and your agency. All costs exceeding those shown
on this agreement are the sole responsibility of your agency. Any costs incurred after the Project
Agreement End Date shown on the supplement are not eligible for federal reimbursement. In
addition, all eligible costs incurred prior to the End Date must be billed within sixty (60) days of
the End Date or they are ineligible for federal reimbursement.
You may proceed with the administration of this project in accordance with your WSDOT approved
Certification Acceptance agreement.
Sincerely,
Sf-r 4,t' e- T-ax
Stephanie Tax
Manager, Program Management
Local Programs
ST:jg:ml
Enclosure
cc: Mehrdad Moini, Northwest Region Local Programs Engineer, MS NB82-121
Awk
W! OWashington State Local Agency Agreement Supplement
Department of Transpoitation
City of Federal Way
plement Number^ }
IA No. 20.205 -Highway Pianning II
NHPP-1012(001) ILA10198 land Construction
All provisions in the basic agreement remain in effect except as modified by this supplement.
The Local Agency certifies that it is not excluded from receiving Federal funds by a Federal suspension or debarment
(2 CFR Part 180). Additional changes to the agreement are as follows:
Project Description
Name S 348th St NHS Preservation Project
Termini 9th Ave S to Pacific Hwy S
Description of Work ✓ No Change
Reason for Supplement
Obligation of construction funding
Are you claiming indirect cost rate? [JYes ( No
Length 0.24 mi
Project Agreement End Date December 31, 2026
Advertisement Date 6/15/2023 -F06 r:ery W1 2�
Y —
- - Estimate of Fundin CJ ��
(1) (3) (4) (5)
Type of Work
2
()
Previous Estimated Total Estimated Agency Estimated Federal
reemenUSu . Supplement Pro'ect Funds Funds Funds
PE
75,000.00
75,000.00
75,000.00
a-Agen
100 "fin
b. th r Consultant
10,000.00
10,000.00
0.00
10,000.00
Federal Aid
_Other
0.00
Participation
Ratio for PE
d. Slate SeNic s
5,000.00
5,000.00
0.00
5,000.00
Total PE Cost Estimate la+b+c+d)
90,000.00
0.00
90,000.00
0.00
90,000.00_
Right of Wa%
f ftency
0.00
. Other
0.00
Fetleral Aid
h Other
0.00
]Participation
0.00
IRatio for RW
I. Sta a Services
Cost m f+ +h+i
0.00
0.00
1 0.00
0.00
0.00
Construction
15, 100tract
876,000.00
876,000.00
0.00
876,000.00
100 %
0.00
other
M. Other
0.00
Federal Aid
in. Other
0.00
Participation
a,Agenpy
145,000.00
1 145,000.00
0.00
145,000.00
Ratio for CN
P.to Services
5,000.00
5,000.00
0.00
5,000.00
To al CN Cost Estimate rk+;+m+n+o+ol
0.00
1,026,000.00
1,026,000.00
0.00
1,026,000.00
r. Total Project Cost Estimate (�+L
190,000.0.0
1,026,000:00
1,116,000.00
0.00
1,116,000.00
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.
Agency Official Washington State Department of Transportation
By
Title Jim Ferrell
Agency Date
BY Stephanie Digitally signed by
StephanleTax
Director, Local Progra aXDate: 2023.04.1310:34:18
Date Executed-07'00'
DOT Form 140-041 Page 1
Revised 0412022
Agency Supplem�ist fVumhef
City of Federal Way 1
ederal Aid Project Number Agreement Number CMA N& 20.205 - Highway Planning
NHPP-1012(001) ILA1019a _ and Canstruciion
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).
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.
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 (b.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 90 days after the Project
Agreement End Date or they become ineligible for federal reimbursement.
Vill. 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.
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).
DOT Form 140-041 Page 2
Revised 04/2022
Washington State
Department of Transportation
Local Agency Federal Aid
Project Prospectus
Prefix Route ( ) Date 12/13/2023
Federal Aid NHpp-1012(001) DUNS Number 612509901
Project Number
I Local Agency 36241 f WSDOT Federal Employer 91-1462550
Project Number Use Only Tax ID Number
Agency CAAgency Federal Program Title
City of Federal Way ❑✓ Yes ❑ No ❑✓ 20.205 ❑ Other
Project Title Start Latitude N47.289889 Start Longitude W-122.323333
S 348th St NHS Preservation Project End Latitude N47.289833 End Longitude W-122.318103
Project Termini From -To Nearest City Name Project Zip Code (+4)
9th Ave S Pacific Hwy S Federal Way 98003-8425
Begin Mile Post End Mile Post I Length of Project Award Type
N/A N/A 0.24 mi ❑✓ Local ❑ Local Forces ❑ State ❑ Railroad
Route ID Begin Mile Point End Mile Point City Number County Number County Name
N/A N/A N/A �443 17 King
WSDOT Region Legislative District(s) Congressional District(s) I Urban Area Number
Northwest Region [l 30 9 80389
Total Local Agency Phase Start
Federal Funds
Phase Estimated Cost Funding Date
(Nearest Hundred Dollar) (Nearest Hundred Dollar) Nearest Hundred Dollar Month Year
P.E. $90,000 $90,000 November 2021
R/W
Const.
:$1,026,000
1$1,026,000
April 2023
Total
'$1,116,000
$1,116,000
Description of Existing Facility (Existing Design and Present Condition)
Roadway Width T�7`u
mber of Lanes
80 ft
The existing Westbound and Eastboud S 348th St from 9th Ave S to Pacific Hwy S (SR99) consist of four
general purpose lanes, two HOV lanes, and one left turn lane.
Description of Proposed Work
Description of Proposed Work (Attach additional sheet(s) if necessary)
Replacement of existing curb ramps and pedestrian push buttons to meet current ADA standards; full width
planing bituminous pavement; HMA pavement repair; 2 '/2 thick HMA overlay; removal and replacement of
existing dual -faced sloped mountable curb; replacement of traffic signal detection loops; channelization and
Local Agency Contact Person Title
Phone
Jeff Huynh Civil Engineer
253-835-2721
Mailing Address City
State
Zip Code
33325 8th Ave S Federal Way
WA
98425-8425
By
Project Prospectus
Approving Authority
Title Public Works Director
Date 2 / 2 3 / 2 0 2 ;
DOT Form 140-1o'f rage
Revised 0112022 Previous Editions Obsolete
Description of Proposed Work (Cont')
utility adjustments.
Agency Project Title
-7S
Date
City of Federal Way 348th St NHS Preservation Project
2/13/2023
Type of Proposed Work
Project Type (Check all that Apply) Roadway Width
Number of Lanes
❑ New Construction ❑ Path / Trail ❑✓ 3-R 80 ft
7
❑ Reconstruction ❑ Pedestrian / Facilities ❑ 2-R
❑ Railroad ❑ Parking ❑ Other
❑ Bridge
Geometric Design Data
Description
Through Route
Crossroad
❑✓ Principal Arterial
0✓ Principal Arterial
Federal ❑ Minor Arterial
❑✓ Urban
❑✓ Urban
❑ Minor Arterial
❑Collector
Functional El Rural
❑ Rural
❑Collector
Classification ❑ NHS ❑ Major Collector
❑ NHS
❑ Major Collector
❑ Minor Collector
❑ Minor Collector
❑ Local Access
❑ Local Access
Terrain ❑✓ Flat ❑ Roll ❑ Mountain
L]✓ Flat ❑ Roll ❑ Mountain
Posted Speed
35 mph
40 mph
Design Speed
35 mph
35 mph
Existing ADT
42,023
15,463
Design Year ADT
42,023
15,463
Design Year
2021
:2021
Design Hourly Volume (DHV) 3,015 1,293
Performance of Work _
Preliminary Engineering Will Be Performed By
Others Agency
City of Federal Way
ova 100
Construction Will Be Performed By
Contract Agency
Contractor
100
Environmental Classification
❑ Class I - Environmental Impact Statement (EIS) Z✓ 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
Categorically exempt per WAC 197-11-800 for SEPA.
nnr r--r idn_ini
Page 2
Revised 01/2022 Previous Editions Obsolete
Agency
City of Federal Way
Project Title 72/13/2023
ate
S 348th St NHS Preservation Project
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 existing right of way.
Utilities Railroad
I
❑✓ No utility work required Z✓ 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 with the construction contract
Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project
No utility relocation is anticipated for this project. Only local storm water catch basins and manholes will be
adjusted to finished grade.
FAA Involvement
Is any airport located within 3.2 kilometers (2 miles) of the proposed project? 0 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.
Agency
Date By
DOT Form 140-101
Revised 01/2022
Page 3
Previous Editions Obsolete
RETURN TO: PW ADMIN EXT: 2700 ID #: 3996
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT/DIV: PUBLIC WORKS / Capital Projects
2. ORIGINATING STAFF PERSON: Jeff Huynh EXT: 2721 3. DATE REQ. BY:
3. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
p 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#): ❑ INTERLOCAL
m {}TIIFR LOcai Agency Agreement
4. PROJECTNAME: S 348th St NHS Preservation Project PE Funding Obligation
5. NAME OF CONTRACTOR: WSDOT
ADDRESS. TELEPHONE:
E-MAIL: FAX:
SIGNATURE NAME: TITLE:
6. 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.
7. TERM: COMMENCEMENT DATE: TBD COMPLETION DATE: 12/31 /2024
8. TOTAL COMPENSATION: $ 90,000.00 (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: S
IS SALES TAX OWED: ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
0 PURCHASING: PLEASE CHARGE TO: d11212
9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
d PROJECT MANAGER JH/10/15/2021
DIVISION MANAGER SLH 10/1B/2021
04• DEPUTY DIRECTOR DSW 10/19/21
p� DIRECTOR —
❑ RISK MANAGEMENT (IF APPLICABLE)
N�LAW DEPT
10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: 11/01/2021 COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: 11/16/2021 COUNCIL APPROVAL DATE:
11. CONTRACT SIGNATURE ROUTING
SENT TO VENDOR/CONTRACTOR DATE SENT: 10 DATE REC' D: M
❑ 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 COUNCIL APPROVAL IS NEEDED.)
INITIAL / DATE SIGNED
❑ FINANCE DEPARTMENT
❑ LAW DEPT
SIGNATORY (MAYOR OR DIRECTOR)
CITY CLERK Ns
❑ ASSIGNED AG # AG#
❑ SIGNED COPY RETURNED DATE SENT:
COMMENTS:
EXECUTE" "ORIGINALS
'k _
� Washington State
j Department of Transportation
Agency City of Federal Way
Local Agency Agreement
CFDA No. 20.205
(Catalog or Federal Domestic Assistance)
Address 33325 8th Ave S Project No. NHPP-1012(001) Q (�
Federal Way, WA 98003 Agreement No. O I 1 j7
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 S 348th St NHS Preservation Project Length 0.24 mi
Termini 9th Ave S to Pacific Hwy S
Description of Work
Replacement of existing curb ramps and pedestrian push buttons to meet current ADA standards; full width planing bituminous
pavement; HMA pavement repair, 2 1/2" thick HMA overlay; removal and replacement of existing dual -faced sloped mountable curb;
replacement of traffic signal detection loops; channelization; and utility adjustments.
Project Agreement End Date 12/31/2024 Claiming Indirect Cost Rate
Proposed Advertisement Date ❑ Yes ✓ No
(+�#titndir�l.
Estimated Tntal Fclimated Ananry I Fci
& AAgenct+.
h Other Consultant Participation
d. State Particdpaiion
-�J-
Federal Aid % der
Participation`��r
Ratio for RW I —St—
' srontract-
Federal Aid
Patcdpation A
Ratio for CN P to _
g. Total QN Cost Estimate (kd+m4"+a1 0.00 0.00 0.00 _
r Total Prgject Ca§t Estima6a Ce•zflA 90,000.00 0.00 90,000.00—
Agency Official Washington State
By Department of Transportation Stephanie Digitally signed by
,►�11'� %'I r�'if By Director, Local Program - Stephanie Tax
666 ! Date:2021.11.18
Tit l ' lrn Ferrell, Mayor Date Executed a%� 15:42:59-08'00'
DOT Form 140-039 Page 1
Revised 12/2020
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
August 20 , 2021 , Resolution/Ordinance No. 21-813
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.
11. 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.
Ill. 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 sure 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 1212020
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 Pan: 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 properly 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 casts 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).
Vill. 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 12/2020
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.
XIL 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 et 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 cant' 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 II, 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 12/2020
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 12/2020
AW ORIGINAL
Washington State V. Local Agency Department of Transportation g Y Agreement
Agency City of Federal Way CFDA No. 20.206
(Catalog or Federal Domestic Assistance)
Address
33325 8th Ave S Project No.
Federal Way, WA 98003 Agreement No.
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 S 348th St NHS Preservation Project
Termini 9th Ave S to Pacific Hwy S
Description of Work
Length 0.24 mi
Replacement of existing curb ramps and pedestrian push buttons to meet current ADA standards; full width planing bituminous
pavement; HMA pavement repair; 2 1/2" thick HMA overlay; removal and replacement of existing dual -faced sloped mountable curb;
replacement of traffic signal detection loops; channelization; and utility adjustments.
Project Agreement End Date 12/31/2024 Claiming Indirect Cost Rate
Proposed Advertisement Date ❑ Yes ✓ No
Estimate of Funding -
Type of Work (1) (2) (3)
Estimated Total Estimated Agency Estimated Federal
Project Funds Funds Funds
_ _
a. a 75,000.00 0.00 75,000.00
1 00 % , Other Consultant Participation
10,000.00
0.00
10,000.00
Federal Aid c. Other
0.00
0.00
0.00
Participation d. State Participation
5,000.00
0.00 _ _ 5,000.00
0.00 190,000.00
Ratio for PE e. Total PE Estimate a+b+c+d
90,000.00
Right of Way f Agency
% Q. Other
(Federal
Aid h. Other
Participation - ---
Ratio for RW i. State
i. Total R/W Cost Estimate f +h+i
10.00 0.00 0.00
Construction k. Contract
L
M. Other
Federal Aid n. Other
Participation
Ratio for CN o. Agency
p. State
10.00 0.00
q. Total CN Cost Estimate N+1+ +n+o+nl 10.00
r. Total Project Cost Estimate (e:�+q)
190,000.00 10.00 90,000.00
Agency Official
By
Tit[ 9JiM'F9errell, Mayor f
Washington State
Department of Transportation
By Director, Local Program
Date Executed
DOT Form 140-039
Revised 12/2020
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
v/ 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
August 20 , 2021 , Resolution/Ordinance No. 21-813
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 12/2020
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 properly 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).
Vill. 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 12/2020
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 et 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 II, 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 12/2020
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 12/2020
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 1 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 + 1 + in + n + o +
P.
d. Total Project Cost Estimate
3 Liner —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.
Aft
Washington State
�. Department of Transportation
Local Agency Federal Aid
Project Prospectus
Prefix Route ( ) Date 10/15/2021
Federal Aid DUNS Number 612509901
Project Number
LocalAgency r WSDO y 1 Federal Employer 91-1462550
Project Number ` Use Only J Tax ID Number
Agency CA Agency Federal Program Title
City of Federal Way n Yes [] No ✓ 20.205 ❑ Other
Project Title Start Latitude N 47-289889 Start Longitude W 122.323333
S 348th St NHS Preservation Project End Latitude N 47.289833 End Longitude W 122.318103
Project Termini From -To Nearest City Name Project Zip Code (+4)
9th Ave S to Pacific Hwy S Federal Way 98003-8425
Begin Mile Post End Mile Post Length of Project Award Type
0.24 mi ❑✓ Local ❑ Local Forces ❑ State ❑ Railroad
Route ID Begin Mile Point End Mile Point City Number County Number County Name
443 17 King
WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number
T30
Northwest Region 9 80389
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. $90,000 $0 $90,000 November 2021
R/W $0 $0 $0 1
Const. $1,026,000 $0 $1,026,000 March 2023
Total $1,116,000 $0 $1,116,000
Description of Existing Facility (Existing Design and Present Condition)
Roadway Width
Number of Lanes
80 ft
7
The existing westbound and eastbound S 348th St from 9th Ave S to Pacific Hwy S (SR 99) consist four
general purpose lanes, two HOV lanes, and one left turn lane.
Description of Proposed Work
Description of Proposed Work (Attach additional sheet(s) if necessary)
Replacement of existing curb ramps and pedestrian push buttons to meet current ADA standards; full width
planing bituminous pavement; HMA pavement repair; 2 1/2" thick HMA overlay; removal and replacement of
existing dual -faced sloped mountable curb; replacement of traffic signal detection loops; channelization; and
Local Agency Contact Person
Title
Phone
Desiree Winkler
Deputy Public Works Director
253-835-2711
Mailing Address
City
State
Zip Code
33325 8th Ave S
Federal Way
WA
98003
By
Project Prospectus Approving Authority
Title Public Works Director I Date
UU I Form 140-101 F'age l
Revised 04/2015 Previous Editions Obsolete
Description of Proposed Work (Cont')
utility adjustments.
Agency
Project Title
Date
City of Federal Way
S 348th St NHS Preservation Project
10/15/2021
Type of Proposed Work
Project Type (Check all that Apply) Roadway Width
Number of Lanes
❑ New Construction ❑ Path / Trail ❑✓ 3-R 80 ft
7
❑ Reconstruction ❑ Pedestrian / Facilities ❑ 2-R
❑ Railroad ❑ Parking ❑ Other
❑ Bridge
Geometric Design Data
Description Through Route
Crossroad
❑✓ Principal Arterial
✓❑ Principal Arterial
Minor Arterial
Federal Urban ❑ ❑✓ Urban
0✓
❑ Minor Arterial
Rural
Functional ❑ Rural ❑ Collector Rural
❑
El
Classification ElNHS ElMajor Collector ❑ NHS
❑ Major Collector
❑ Minor Collector
❑ Minor Collector
❑ Local Access
❑ Local Access
Terrain ❑ Flat ❑✓ Roll ❑ Mountain ❑✓ Flat ❑ Roll El Mountain
Posted Speed 35 mph 40 mph
Design Speed 35 mph 40 mph
Existing ADT 42,023 15,463
Design Year ADT
42,023
15,463
Design Year
2021
2021
Design Hourly Volume (DHV)
3,015
1,293
Performance of Work
Preliminary Engineering Will Be Performed By
Others
Agency
City of Federal Way
%
100 ova
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 I] Projects Requiring Documentation
Interagency Agreement (Documented CE)
❑ Class III - Environmental Assessment (EA)
❑ Project Involves NEPA/SEPA Section 404
Interagency Agreements
Environmental Considerations
Categorically exempt per WAC 197-11-800 for SEPA.
Lju s corm 14v-1 u1 rage Z.
Revised 04/2015 Previous Editions Obsolete
Agency
City of Federal Way
ht of
Project Title Date
S 348th St NHS Preservation Project 10/15/2021
Z✓ 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
Z✓ No utility work required ❑✓ No railroad work required
❑AII 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 with the construction contract
Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project
No utility relocation is anticipated for this project. Only local storm water catch basins and manholes will be
adjusted to finished grade.
L
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.
Agency City
Date By/100
C
Mayor/chairperson
DOT Form 140-101 Page 3
Revised 0412015 Previous Editions Obsolete
� Washington State
'/= department of Transportation
November 30, 2021
Mr. Edward Walsh
Public Works Director
City of Federal Way
33325 8`h Avenue South
Federal Way, Washington 98003
City of Federal Way
S. 3481h Street
NHPP-1012(001)
FUND AUTHORIZATION
Dear Mr. Walsh:
Transportation Building
310 Maple Park Avenue S.E.
P.O. Box 47300
Olympia, WA 98504-7300
360-705-7000
TTY:1-800-833-6388
www.wsdot.wa.gov
We have received FHWA fund authorization, effective November 19, 2021, for this project as follows:
PHASE TOTAL
Preliminary Engineering $90,000
FEDERALSHARE
$90,000
As a condition of authorization, you must show continuous project progress through monthly billings, until
your project is complete. Failure to show continuous progress may result in your project becoming inactive
per 23 CFR 630.106(a) (5) and subject to de -obligation of all federal funds and agreement closure.
Enclosed for your information and file is a fully executed copy of Local Agency Agreement LA10198
between WSDOT and your agency. All costs exceeding those shown on this agreement are the sole
responsibility of your agency. Any costs incurred after the Project Agreement End Date shown on the
agreement are not eligible for federal reimbursement. In addition, all eligible costs incurred prior to the
End Date must be billed within sixty (60) days of the End Date or they are ineligible for federal
reimbursement.
FHWA requires projects utilizing federal funds for preliminary engineering or right of way to advance to
construction. If this project is unable to proceed to construction, any expended federal funds must be
repaid.
WSDOT authorization to proceed with right of way and/or construction is contingent upon receipt and
approval of your environmental documents.
You may proceed with the administration of this project in accordance with your WSDOT approved
Certification Acceptance agreement.
Sincerely,
Stgp�� T-A'c
Stephanie Tax
Manager, Program Management
Local Programs
STJg:ml
Enclosure
cc: Mehrdad Moini, Northwest Region Local Programs Engineer, MS NB82-121