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AG 03-009 RETURN TO: S EXT: 9705 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PUBLIC WORKS/STREETS 2. ORIGINATING STAFF PERSON:JOHN MULKEY EXT:2722 3. DATE REQ.BY:ASAP 4. TYPE OF DOCUMENT(CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT(E.G.,RFB,RFP,RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT(E.G.BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION CONTRACT AMENDMENT(AG#):_03-009 ❑ INTERLOCAL ❑ OTHER CERTIFICATION AGREEMENT QUALIFICATION AGREEMENT 5. PROJECT NAME:CERTIFICATION ACCEPTANCE QUALIFICATION AGREEMENT(ORIGINAL AG#03-009) 6. NAME OF CONTRACTOR:WSDOT HIGHWAYS AND LOCAL PROGRAMS ADDRESS:ED CONYERS,WSDOT H&LP,NW REGION,PO Box 330310,SEATTLE,WA 98155 TELEPHONE:206-440-3585 E-MAIL:CONYERE@WSDOT.WA.GOV FAX: SIGNATURE NAME:KATHLEEN DAVIS TITLE: DIRECTOR 7. EXHIBITS AND ATTACHMENTS:❑ SCOPE,WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS CFW LICENSE# BL,EXP. UBI# ,EXP 8. TERM: COMMENCEMENT DATE:UPON EXECUTION COMPLETION DATE:UPON COMPLETION 9. TOTAL COMPENSATION:$ (INCLUDE EXPENSES AND SALES TAX,IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE-ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑YES ❑NO IF YES,MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: ❑YES ❑NO IF YES,$ PAID BY: ❑CONTRACTOR ❑CITY ❑ PURCHASING: PLEASE CHARGE To:N/A 10. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED ❑ PROJECT MANAGER A DIVISION MANAGER S AL/iS be DEPUTY DIRECTOR J/ir/I gr DIRECTOR S12 /)tf- ,1 ❑ RISK MANAGEMENT (IF APPLICABLE) ,7'1`1 LAW DEPT y�500/15. 11. COUNCIL APPROVAL(IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNAI URE ROUTING /A l / �SENTTOVENDOR/CONTRACTOR DATE SENT: DATE REC'D: (/'f�J/5 ❑ ATTACH: SIGNATURE AUTHORITY,INSURANCE CERTIFICATE,LICEN ES,EXHIBITS !` ` INITIAL/DATE SIGNED ❑ LAW DEPT 5129, SIGNATORY(QM O iIRECTOR) gl Ai. /I ❑ CITY CLERK 1/1 kSSIGNEDAG# AG# D3—DO� 4IGNED COPY RETURNED DATE SENT: /C°i ❑RETURN ONE ORIGINAL COMMENTS:�`,`, EXECUTE"cf22 ORIGINALS THIS IS TO UPDATE THE LAST SUPPLEMENT TO THE CERTIFICATION AGREEMENT TO ALLOW FOR SIGNATURE BASED ON THE MAYOR'S DESIGNATION OF AUTHORITY TO SIGN. THIS IS A STATE DOCUMENT WE CANNOT REVISE,PER LAST REVISION,NO"APPROVED AS TO FORM"IS REQUIRED. 11/9 A■► Certification Acceptance eWashington State Department of Transportation Qualification Agreement Agency City of Federal Way Agency No. 443 Address 33325 Rth Avenue South Federal Way, WA 98O03-6375 The agency agrees to comply with the following requirements when developing all Federal Highway Administration (FHWA) projects under Full CA status. 1. Adherence to the Local Agency Guidelines and all policies and procedures promulgated by the Washington State Department of Transportation (WSDOT)which accomplish the policies and objectives set forth in Title 23, U.S. Code, Highways, and the regulations issued pursuant thereto. 2. The overall approval authorities and conditions will be as follows: a. The project prospectus will be reviewed and approved by the following official. Public Works Director or Street Systems Manager Position Title Only b. The local agency agreement will be reviewed and approved by the following official or officials. Mayor or Public Works Director Position Title or Titles Only c. The designs and environmental documents will be reviewed and approved by the following state of Washington registered Professional Civil Engineer. Public Works Director or Street Systems Manager Position Title Only d. The hearing's findings (if required)will be reviewed and approved by the following official or officials. Public Works Director or Street Systems Manager Position Title or Titles Only e. The contract plans, specifications, and estimate of cost will be reviewed and approved by the following state of Washington registered Professional Engineer. Public Works Director or Street Systems Manager Position Title or Titles Only f. Agreements will be signed by the following responsible local official: (1) Railroad Mayor Position Title Only (2) Utility Mayor Position Title Only (3) Consultant Mayor Position Title Only (4) Technical Services Mayor Position Title Only g. The award of contract will be signed by the following responsible local official. Public Works Director or Street systems Manager Position Title Only h. All projects will be constructed in conformance with the Washington State Department of Transportation/ American Public Works Association (WSDOT/APWA) current Standard Specifications for Road, Bridge, and Municipal Construction and such specifications that modify these specifications as appropriate. Multimodal enhancement projects shall be constructed in conformance with applicable state and local codes. DOT Form 140-043 EF Revised 10/2006 i. The contract administration will be supervised by the following state of Washington registered Professional Civil Engineer Public Works Director or Street Systems Manager Position Title Only j. Construction administration and material sampling and testing will be accomplished in accordance with the Local Agency Guidelines. 3. The agency agrees that they have the means to provide adequate expertise and will have support staff available to perform the functions being subdelegated. The support staff may include consultant or state services. 4. The agency agrees that the signature on each project prospectus and local agency agreement will be consistent with section 2 above. 5 All projects under Certification Acceptance shall be available for review by the FHWA and the State at any time and all project documents shall be retained and available for inspection during the plan development and construction stages and for a three year period following acceptance of the project by WSDOT. 6 Approval of the local agency certification by the Director of Local Programs may be rescinded at any time upon local agency request or if, in the opinion of the Director of Local Programs, it is necessary to do so. The rescission may be applied to all or part of the programs or projects approved in the local agency certification. • 'errell, ayor Date Washington State Department of Transportation Appreved By. • 1F •C At A Co - 1q-15 Director, Local Programs Kathleen B.Davis Date 7)(-)r. Yu-,� RETURN TO: "''� EXT: ''G/ '"� � � CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PUBLIC WORKS / ��^�t? -I S 2. ORIGINATING STAFF PERSON: .� I)1�� (- lL r!"C y EXT: Z��7 � 3. DATE REQ. BY: �/}Y' � 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 I� CONTRACT MEND NT (Asi#�: D�'" vV � ❑ INTER 6�'OTHER ��� �i�CG..�`� O`^ cr� t9 Jc. vi�Z. �it�✓�t� ll��� � c."}-i C3 ., �/'E�M�w� - PROJECT v � � � �, NAME OF NTRACTOR: G✓ L� — % •�• � c ADDRESS: • U• K�b'� �,�,� ,�I l� . _ �L I 3'' - �-1 17 E-M�L: '/ SIGNATURE NAME: K.:.N•��,[.C... � V I�S 'I�LEPHONE: F.�: TITLE: �;�e��.r 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMI'ENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN O REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS CFW LICENSE # BL, EXP. 12/31/ UBI # , EXP. / / 8. TERM: COMMENCEMENT DATE: COMPLETION DATE: 9. TOTAL COMPENSATION: $ (INCLUDE EXPENSES AND SALES TAX, IF ANY� (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY ❑ PURCHASING: PLEASE CHARGE TO: N'� lO. DOCUMENT / CONTRACT REVIEW t�PROJECT MANAGER ❑ DIVISION MANAGER L$"'DEPUTY DIRECTOR L�DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE� 15Y LAW DEPT 11. COUNCIL APPROVAL (IF APPLICABLE� IIVITIAL / DATE REVIEWED � / S" z, V �� 3-2-13- COMMITTEE APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: /2� I� Z ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS INITIAL / DATE SIGNED o Law DEr'r §�" SIGNATORY (MAYOR OR DIRECTOR� ❑ CITY CLERK ❑ ASSIGNED AG # � SIGNED COPY RETURNED ❑ RETURN ONE ORIGINAL K�« (� , �Q� ! lJ 4.7Gt ►1.Irt /' , L i� �� f.�1 V`f��.� l..G��` ���� ..� v f � ��' � h s t/ /� r IQ-,�n .n �.t� �.s �o rioo w, n��` f AG# ('� ` �'Ot� �Q DATE SENT: ti i�-cz e�h��ce � : .� �. -tin � S e � �� -� IrTITIAL / DATE APPROVED COUNCIL APPROVAL DATE: DATE REC'D: 11/9 � Washington State �� Department of Transportation Agency City of Federal Way Add1'e8s 33325 Rth Avenne �nnth -.- . . •:11 • Certification Acceptance Qualification Agreement Agency No. 443 The agency agrees to comply with the following requirements when developing all Federal Highway Administration (FHWA) projects under Full CA status. 1. Adherence to the Local Agency Guidelines and all policies and procedures promulgated by the Washington State Department of Transportation (WSDOT) which accomplish the policies and objectives set forth in Title 23, U.S. Code, Highways, and the regulations issued pursuant thereto. 2. The overall approval authorities and conditions will be as follows: a. The project prospectus will be reviewed and approved by the following official. Public Works Director or Street Systems Manager Position Title Only b. The local agency agreement will be reviewed and approved by the following o�cial or officials. Mayor Position Title or Titles Only c. The designs and environmental documents will be reviewed and approved by the following state of Washington registered Professional Civil Engineer. Public Works Director or Street Systems Manager Position TiUe Only d. The hearing's findings (if required) will be reviewed and approved by the following official or officials. Public Works Director or Street Systems Manager Position TiUe or TiUes Only e. The contract plans, specifications, and estimate of cost will be reviewed and approved by the following state of Washington registered Professional Engineer. Public Works D'uector or Street Systems Manager Position Title or Titles Only f. Agreements will be signed the following responsible local official: (1) Railroad (2) Utility Mayor Position Title Only Mayor Position Title Only (3) Consultant Mayar Position Title Only (4) Technical Services Mayor Position Title Only g. The award of contract will be signed by the following responsible local official. Public Works Director or Street Systems Manager Position Title Only h. All projects will be constructed in conformance with the Washington State Department of Transportation/ American Public Works Association (WSDOT/APWA) current Sfandard Spec�cations for Road, Bridge, and Municipal Construction and such specifications that modify these specifications as appropriate. Multimodal enhancement projects shall be constructed in conformance with applicable state and local codes. DOT Form 140-043 EF Revised 10/2006 The contract administration will be supervised by the following state of Washington registered Professional Civil Engineer. Public Works Director or Street Systems Manager Position Title Only j. Construction administration and material sampling and testing will be accomplished in accordance with the Loca/ Agency Guidelines. 3. The agency agrees that they have the means to provide adequate expertise and will have support staff available to perform the functions being subdelegated. The support staff may include consultant or state services. 4. The agency agrees that the signature on each project prospectus and local agency agreement will be consistent with section 2 above. 5. All projects under Certification Acceptance shall be available for review by the FHWA and the State at any time and all project documents shall be retained and available for inspection during the plan development and construction stages and for a three year period following acceptance of the project by WSDOT. 6. Approval of the local agency certification by the Director of Highways and Local Programs may be rescinded at any time upon local agency request or if, in the opinion of the Director of Highways and Local Programs, it is necessary to do so. The rescission may be applied to all or part of the programs or projects approved in the local agency certification. ip nes , or Washingtan State Department of Transportation Appro�red By: (� � �• Direc or, Highways and Local Programs 3/�1 �. Date �-g-12 Date DOT Form 140-043 EF Revised 10/2006 DAn.o, T / TO: KV)jstC1l Kelse)j fov Al BVjÆtev d/ /fJ Y CITY OF FEDERAL WAY LAW D EP AR TMENT REQUEST FOR CONTRACT PREPARATIONIDOCUMENT REVIEW/SIGNATURE ROUTING SLIP I. ORIGINATING DEPT.lDIV: PW/STR,çBTS 2, 4, 5. 6. 7, 8, 9. 10. 11. ORIGINATING STAFF PERSON AL BMTFR EXT: 40')5 3. DATE REQ, BY: TYPE OF DOCUMENT REQUESTED (CHECK ONE) OPROFESSIONAL SERVICE AGREEMENT OMAINTENANCE/LABOR AGREEMENT OPUBLIC WORKS CONTRACT OSMALL PUBLIC WORKS CONTRACT (LESS THAN $200,000) OPURCHASE AGREEMENT) (MATERIALS, SUPPLIES, EQUIPMENT) OSECURITY DOCUMENT (EG, AGREEMENT & PERF/MAIN BOND; ASSIGNMENT OF FUNDS IN LIEU OF BOND) OCONTRACTOR SELECTION DOCUMENT (EG, RFB, RFP, RFQ) OCONTRACT AMENDMENT 0 CDBG C2j OTHER CSRTIFICATION ACCH'TANCS Q.w\LlFICATION AC¡RSSMSNT AG#: OREAL ESTATE DOCUMENT PROJECT NAME: CSRTIFICATION ACCSPTANCS Q.w\LlFlcATlm,1 AC:;RSSMSNT (FSI>5RAL CiRANTS) NAME OF CONTRACTOR: WSÞOT - HigVlWC1i::J5 § Loc.C1L i>VOgVC1V1ÆS ADDRESS TELEPHONE SIGNATURE NAME: TITLE: DIRECTOR. I-tIC;HWAYS S LOCAL PRoC;. ATTACH ALL EXHIBITS AND CHECK BOXES OSCOPE OF SERVICES C2jALL EXHIBITS REFERENCED IN DOCUMENT O,NSURANCE CERTIFICATE ODOCUMENT AUTHORIZING SIGNATURE TERM: COMMENCEMENT DATE: COMPLETION DATE: TOTAL COMPENSATION $ _(INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE -ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: 0 YES 0 NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED 0 YES 0 NO IF YES, $ PAID BY: 0 CONTRACTOR 0 CIT CONTRACT REVIEW INI [gJPROJECT MANAGER (AL) (UJ..., l?ii7/rrz- [gJDIVISION MANAGER (MARWAN) C2jDIRECTOR ORISK MANAGEMENT C2jLAW INITIALIDATE APPROVED (Z 1rJ-/n.... TL(ft-tcL----- INITIALIDATE APPROVED CONTRACT SIGNATURE ROUTING [gJLAW DEPARTMENT C2jCITYMANAGER , ~ 7~ / <.J:)et'IY' CLERK . ' (7/ () i [gJSIGNCOPYBACKTOORGINATINGDE~,.e:Jk rt-O ' [gJASSIGNED AG# 03 -ODt / OPURCHASING: PLEASE CHA GE TO: N fA ~ I A L OTO BE RECORDED ' U 1'\ I \.J II '-¡ COMMENTS Please see attached documents, FYI. This was the previously executed agreement (AG 92-232). Certification Acceptance Qualification Agreement AG /f-o3 -DOC¡ AGENCY City of Federal Way AGENCY NO. 443 The agency agrees to comply with the following requirements when developing all Federal Highway Administration (FHW A) projects wider Full CA status. 1. Adherence to the Local Agency Guidelines and all policies and procedures promulgated by the Washington State Department of Transportation (WSDOT) which accomplish the policies and objectives set forth in Title 23, D.S, Code, Highways, and the regulations issued pursuant thereto. 2. The overall approval authorities and conditions will be as follows: a. The project prospectus will be reviewed and approved by the following official. Public Works Director or Street Svstems Mana!!er Position Title Only b. The local agency agreement will be reviewed and approved by the following official or officials. City Mana!!er Position Title Only c, The designs and environmental documents will be reviewed and approved by the following stale of Washington registered Professional Civil Engineer, Public Works Director or Street Systems Mana!!er Position Title Only d. The hearing's findings (if required) will be reviewed and approved by the following official or officials. Public Works Director or Street Systems Mana!!er Position Title or Titles Only e, The contract plans, specifications and estimate of cost will be reviewed and approved by the following stale of Washington registered Professional Engineer, Public Works Director or Street Systems Mana!!er Position Title or Titles Only f. Agreements will be signed by the following responsible local official. (I) Railroad Citv Manaeer Position Title Only City Mana!!er Position Title Only Citv Manaeer Position Title Only City Mana!!er PosiIion Title Only (2) Utility (3) Consultant (4) Technical Services g, The award of contract will be signed by the following responsible local official. Public Works Director or Street Systems Mana!!er Position Title Only h. All projecIs will be construcIed in conformance with the Washington State Department of Transportation! American Public Works Association (WSDOTI APW A) current Standard Specifications for Road, Bridge, and Municipal Construction and such specifications that modify these specifications as appropriaIe. Multimodal enhancement projects shall he constructed in conformance with applicable state and local codes, Local Agency Guidelines September 2002 ORIGINAL 10(2 Certification Acceptance Qualification Agreement i, The contract administration will be supervised by the following state of Washington registered Professional Civil Engineer. Public Works Director or Street Svstems Mana~er Position Title Only j, Construction administration and material sampling and testing will be accomplished in accordance with the WSDOT Construction Manual and the Local Agency Guidelines. 3. The agency agrees that they have the means to provide adequate expertise and will have support staff available to perfonn the functions being subdelegated. The support staff may include consullant or state services. 4. The agency agrees that the signature on each project prospectus and local agency agreement will be consistent with section 2 above. 5. All projects under Certification Acceptance shall be available for review by the FHW A and the stale at any time and all project documents shall be retained and available for inspection during the plan development and construction stages and for a three year period following acceptance of the project by WSDOT. 6. Approval of the local agency certification by the AssisIant Secretary for Highways and Local Programs may be rescinded at any time upon local agency request or if, in the opinion of the Assistant SecreIary for Highways and Local Programs, it is necessary to do so, The rescission may be applied to all or part of the programs or projects approved in the local agency certification. I L-- ¡; 107 Date I \}-\1-/0;f- Date WASHINGTON STATE DEPARTMENT OF TR<\..1'</SPORT A nON Approved By: /liQ3 Date f~-" I " ( -""',17 \'1 1J Local Agency Guidelines September 2002 20(2 &h¡ ...... ::r- Washington State ~II Department of Transportation Douglas B. MacDonald Secretary of Transportation November 18, 2002 Transportation Buildin~ 310 Maple Park Avenue S,EI1ECEIVE[ P,O. Box 47300 Olympia, WA 98504-7300 360-705-7000 ~"'" ',~ ~~~~~f~;~~J~tEhi\L WÞ,ì :,rWI'J'~Tq\T CA Agencies Re: Certification Acceptance (CA) Agreement Update In reviewing our Certification Acceptance (CA) Agreement files, we haveve noticed that the agreements are outdated, including some dating back to 1979. In order to update those agreements, adjust to changes in federal requirements, and conform to your CUITent organization, we are requesting that you submit updated CA agreements. Please include the following, as described per chapter 13 of the LAG Manual: . Certification Acceptance Agreement Table of Organization . Please submit these documents through your Region by January 31, 2003. We have provided a Word copy of a blank CA Agreement (September 2002) on our web site at www.wsdotwa.gov/TNODerations/LAG/CA.htm, If you have any questions, contact your Regional Local Programs Engineer. Thank you for helping us to assure success and continuation of the federal aid program on your behalf. ~a-u: Kathleen B. Davis Director Highways & Local Programs Division KBD:aok:ac cc: Region Local Programs Engineers City of Federal Way. Public Works Department 33530 First Way South' PO Box 9718' Federal Way, WA 98063-9718 Phone 253-661-4131 . Fax 253-661-4129 . www,ci.federal-wav,wa,us LETTER OF TRANSMITTAL Date: December 19, 2002 To: WSDOT Attn: Kathleen B. Davis Transportation Building 310 Maple Park Avenue SE PO Box 47300 Olympia, WA 98504-7300 From: Tracy Moore for Al Emter RE: Certification Acceptance Qualification Agreement (Federal Grants) TRANSMITTED As CHECKED BELow: ¡g¡ For Your Review 0 As Requested 0 Please Return 0 For Your Approval 0 For Your Information 0 Other 0 For Your Action 0 Under Separate Cover 0 Via ITEMS/COPIES DESCRIPTION 1 Original of Certification Acceptance Qualification Agreement (Federal Grants) COMMENTS: Please sign, date and return at your earliest convenience. Once fully executed a signed copy will be sent to you. Thank you. cc: Project File Day File k:lformsltransmittal ,. . f,:'; < I ,., " '" ,"'" AG 92~~~~DIXJ.3" WASHINGTON STATE DEPARTMENT OF TRANSPORTATION CERTIFICATION ACCEPTANCE QUALIFICATION AGREEMENT AGENCY City of F~eral Way AGENCY NO. The noted agency hereby agrees to comply willi IIIe Collowing requirementS when developing all projectS on Cederal aid highway sysrems except IIIelnterstate System: I. The Local Agency Guidelines and all policies and procedures promulgated by IIIe Washingron Stale Dcp:u1ment 01 Tl1lns, portation which accomplish IIIe policies and objectives set ConI1 in Ti~e 23, U.S. Code, Highways, and lhe regulations issued pursuant lllCICIO. 2. The overallapprovalauIhorities and conditions will be as Collows: a. The designs will be reviewed and approved by IIIe Collowing stale 01 Washioglon regislered ProCessional Ci\'iI Engine<r. Public Works Director and Street System... Manager Position Title Only b. The hearing's findings (if required) will be reviewed and approved by the Collowing official or officials. Public Works Director and Street Systems Manager Position Ti~e or Ti~es Only c. The conllaCl plans, specifications and estimate oC cost will be reviewed and approved by the Collowing state of Washington registered ProCessional Engineer. Public Works Director and Street Systems Manager Position TItle or Titles Only d. AgreementS will be signed by IIIe Collowing responsible local orncw: (1) Railroad Public Works Director' and Street Systems Manager Position TItle Only Public Works Director and Street Systems Manager Position Title Only City Manaoec Position Title Only Citx Manaqer Position Title Only .. The award oC conlraCI will be signed by the following responsible local órncial. (2) Utility (3) Consullanl (4) Technical Services C;~y M~Mgpr Position Title Only f. All projects wIll be comInICted in conformance willi the WashIngton Stale Deparlmenl oCTransponation/American Public Works Association (WSOOT/APW A) =1 Standard SpecirlC8lions for Road, Bridge, and Municipal Construction and such specifications that modify Ihese specifications as appropriate. g. The conlract administr2lion will be supervised by IIIe Collowing state ofWashin:ron registered ProCessional Civil Engineer" . Public Works Director and Street Systems Manager Position TItle Only h. ConstruCtion administl1ltion and material sampling and testing will be accompli.bed in accordancc wi~1 Ihc WSDOT Construction !\tan..1 and the Local Agency Guidelines. 3. The agency agrees thaI they h3ve the mans 10 provide adequate expcni.. and will h:1ve support suiC avaiiahlelO perCorm the Cunctions being subdeJegatcd. The suppon staff may include consultanl or stale services. ~œ IfWA W Jun. "" ,/ . '., -.. APPENDIX 1-3-' -. J, The noted agency a¡:rees to submillhe names of the approving aulhoritics noted in Secti0l12 above wilh each project ProSP«Ius. 5. All projects under Certification Acceptance shail be available for review by lhe FHW A and !he sta~ at any time and an projw doc uments shall be retained and available for inspection during lhe plan cleveIopmenI and construction stages and for a thrce ~'C3T period following acceptance of the projecI by FHW A. The SUIt Aid En¡;ineer's approval of !he local agency certification may be rescinded at any time upon request by !he local agency or if. in Ihe Sta~ Aid Engineer', opinion, it is IW'.ccssary 10 do so. The rescission may be appUC/,' 10 all or part of !he programs or projects approved in lhelocaJ agency certilication. 6, CITY OF FEDERAL WAY lo~A< all, City MaRi'ger I Approved By: N STATE DEPARTMENT OF TRANSPORTATION ?Q~ ~<- State Aid Engineer ... Carolyn A. Lake, City Attorney 1I/24/Q2. Da~ *Note: This CA approval is limited and each project must be submi tted to the District 1 Local Programs Engineer for approval on a project by project basis to administer under CA procedures. 1,3.1;VLAG1 ..j Jun. '986 ~'\.'f "'--\,h ,\ ~,(J) Ú1~~ i 2 '-I\:..\..,¡j;~.......~c~~~ -. ,.. r I . -., ,-. /tJ t1J)!¡tt ,,} :;; .... ï;7: Washington State .,,/1 Department of Transportation Duan. ....ntoon Socle'alY 01 r,anspMa"on r,anspmla"on B",i(k~ po BO,473oo Oly,",,'" WA 98'°4 731)(J November 20 1992 The Honorable Robert E. Stead Mayor of Federal Way 33530 1st Way South Federal Way, WA 98003 f:lC=cc=/'Vc=o : NOV 3 0 199. (;/' ", '2 I",..;, "\'.'10/'/'IC '-LiE%. W.4~ City of Federal Way Approval of Certification Acceptance Application Dear Mayor Stead: The Certification Acceptance Committee has com,eleted its evaluation of the qualifications, experience, and knowledge of the City s engineering staff based on the meeting of November 5, 1992, We are pleased to advise you that effective November 16, 1992, your agency has been granted Umited Certification Acceptance status for the administration of Federal Highway Administration funded projects. This means you must request approval to manage these projects on a project-by-project basis. Please pay particular attention to the Local Agency Guidelines for developing and administering FHWA funded projects, The guidelines contain the required procedures that must be followed to ensure full Federal participation in your projects, Your WSDOT District Local Programs Office will assist the City in the development and administration of projects through meetings and periodic documentation reviews. Should you require any assistance, please do not hesitate to contact your District Local Programs Engineer. In accordance with your CA Agreemunt, your projects will be subject to periodic Project Management Reviews by WSDOT and FHWA. A copy of the fully executed "Certification Acceptance Qualification Agreement" is enclosed. DBI:ds DLM Enclosure cc: Barry Morehead, FHWA Terry Paananen, Dist 1 MS: NB82/121 7];' ~ DENNIS ~w.M t;~ Assistant Secretary Local Programs a /ÎN/ //I///er ,:fM':!J :Soj¡~r ~