HomeMy WebLinkAbout42-97 - Res. Agreement with DOT for Brockdale Road Overlay RESOLUTION NO. 97
WHEREAS, in compliance with the terms and conditions set forth in Title 23 US Code
Highways; and,
WHEREAS, the attached Local Agency Agreement ("Attachment A") has been submitted
to the Board of County Commissioners for review.
NOW THEREFORE,BE IT RESOLVED by the Board of Mason County Commissioners,
that the aforementioned Local Agency Agreement is hereby approved and the Chairperson is
authorized to execute said document.
ADOPTED this 22nd day of April, 1997.
BOARD OF COMMISSIONERS
MASON COUNTY, WASHINGTON
411
MARY�4,6 CADY Chair#rson
\'-CVN� T IA D. OLSEN, Commissioner
UL_
�j- A. BOLENDEF., Commissioner
ATTEST:
Z
REBECCA S. ROGERS
Clerk of the Board
�PROVED AS TO FORM:
MICHAEL CLIFT
Deputy Prosecuting Attorney
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Washington State
• Local Agency Agreement
, Department of Transportation
Agency Mason County Public Works Project No.
Address P.O. Box 1850 Agreement No.
Shelton, Washington 98584 For Headquarters 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)Office of Management and Budget Circulars A-102 and A-128,(4)the policies and procedures
promulgated by the Washington State Department of Transportation,and(5)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 s,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 Brockdale Road Overlay Length 1.24 miles
Termini T-sland Lake Drive to Jensen Road
Description of Work
Project will consist of 2" ACP overlay and minor widening of shoulder to 5 feet
on each side through the length of the project.
Estimate of Funding
Type of Work (1) (2) (3)
EstimatedTotal Estimated Estimated
ProjectFunds Agency Funds Federal Funds
PEa. Agency work .............3.a.0.00............... ................450.................. ............2.,.550...........
b. Other .............................I.............. ........................................... .......................................
c. State services 500 75 425
d. Total PE cost estimate(a+b+c) 3,500 525 2,975
Rightof Way e. Agency work ............................... ........................................... .......................................
f. Other ......................................... ........................................... .......................................
g. State services
h. Total R/W cost estimate(e+f+g) ®A N/A N/A
Construction i. Contract ........................................... ..............:............................ ..........I...........................
.
j. Other Agency Force .......1.40.,000............... ......21.,.000.........I........ .......119.mRA.0............
k. Other ............................................ ...........................................
1. Other ............................................ ........................................... .......................................
in.Total contract costs(i+j+k+l) 140,000 21 ,000 119,000
Construction Engineering 2 382
n. Agency '.......................... ..................`7.................... ..........-L025............
o. Other ................0...................... ................... ..................... ..................0..................
p. State forces 1 ,176 176 1 ,000
q. Total construction engineering(n+o+p) 3 558 533
r. Total construction cost Estimate(m+q) 143,558 21 ,533 122,025
s. Total cost estimate of the project (clt+r) 147 058 22,058
*Federal participation in construction engineering(q)is limited to 15 percent of the total contract costs(line in,column 3).
The federal aid participation rate in this project will be determined by the Federal Government.The.parties expect that it will be 85
percent;however,it is understood that the rate may vary.The Local Agency agrees that this agreement is entered into without relying upon any
representation by the state made outside of this contract,or contained herein,as to what the federal participation rate will be.It further agrees
that it will not condition any future actions with respect to the project covered by this agreement upon past,current,or future representations as
to the federal participation rate.The dollar amount of federal partici ation cannot exceed the amount shown in line s,column 3.All costs not
reimbursed by the Federal Government shall be the responsibility of the Local Agency.
DOT Form 140-039
Revised 8195 1
Construction Method of Financing
(check method selected) .
State Ad and Award
O Method A—Advance Payment—Agency share of total Construction cost(based on contract award)
O Method B—Withhold from gas tax the Agency's share of total construction cost(line 4,column 2)in the amount of
$ at$ per month for months
Local Force orLocal Ad and Award
O 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 Apri 1 22 19 97, ,Resolution/Ordinance No. 42-97
Agency Official Washington State Department of Transportation
4&/By By —
M Y JO C a i rpers Assistant Secretary for TransAid
Board ofmason Cotinty CUnmissinners
Date Executed -------------
Provisions
1. Scope of Work payment of any federal aid funds to the Agency.Copies of said
The Agency shall provide all the work,labor,materials,and records shall be furnished to the State and/or Federal Government
services necessary to perform the project which is described and set upon request.
forth in detail in the"Project Description"and"Type of Work." V. Compliance with Provisions
When the State acts for and on behalf of the Agency,the State The Agency shall not incur any federal aid participation costs
shall be deemed an agent of the Agency and shall perform the services on any classification of work on this project until authorized in
described and indicated in"Type of Work"on the face of this writing by the State for each classification.The classifications of work
agreement,in accordance with plans and specifications as proposed by for projects are:
the Agency and approved by the State and the Federal Highway 1. Preliminary engineering up to and including approval.
Administration.
When the State acts for the Agency but is not subject to the right 2. Preparation of plans,specifications,and estimates.
of control by the Agency,the State shall have the right to perform the 3. Right of way acquisition.
work subject to the ordinary procedures of the State and Federal 4. Project construction.
I fghway Administration. In the event that right of way acquisition,or actual construction
of the road,for which preliminary engineering is undertaken is not
if. Delegation of Authority started by the closing of the tenth fiscal year following the fiscal year
The State is willing to fulfill the responsibilities to the Federal in which the agreement is executed,the Agency will repay to the State
Government by the administration of this project.The Agency agrees the sum or sums of federal funds paid to the Agency under the terms
that the State shall have the full authority to carry out this of this agreement(see Section Vlll).
administration.The State shall review,process,and approve The Agency agrees that all stages of construction necessary to
documents required for federal aid reimbursement in accordance with provide the initially planned complete facility within the limits of this
federal requirements.if the State advertises and awards the contract, project will conform to at least the minimum values set by approved
the State will further act for the Agency in all matters concerning the statewide design standards applicable to this class of highways,even
project as requested by the Agency.if the Local Agency advertises and though such additional work is financed without federal aid
awards the project,the State shall review the work to ensure participation.
conformity with the approved plans and specifications. The Agency agrees that on federal aid highway construction
projects,the current federal aid regulations which apply to liquidated
Ill. Project Administration damages relative to the basis of federal participation in the project
Certain types of work and services shall be provided by the State cost shall be applicable in the event the contractor fails to complete
on this project as requested by the Agency and described in the Type the contract within the contract time.
of Work above.in addition,the State will furnish qualified personnel
for the supervision and inspection of the work in progress.On Local VI. Payment and Partial Reimbursement
Agency advertised and awarded projects,the supervision and The total cost of the project,including all review and
inspection shall be limited to ensuring all work is in conformance with engineering costs and other expenses of the State,is to be paid by the
approved plans,specifications,and federal aid requirements.The Agency and by the Federal Government.Federal funding shall be in
salary of such engineer or other supervisor and all other salaries and accord with the Inlermodal Surface Transportation Efficiency Act
costs incurred by State for(rS upon the project will be considered a cost I991,Title 23,United States Code,as amended,and Office of
Ihereof.All costs related to this project incurrml by employees of till- Management and Budget circulars A-102 and A-128.•ihe Slate shall
Slate in Ilw customary manner on highway payrolls and vouchers shall not he ultimately responsible for any of the costs of the project.The
Ill-charged as costs of the project. Agency shall be ultimately responsible for all costs associated with the
IV. Availability of Records project which are not reimbursed by the Federal Government.
Nothing in this agreement shall he construed as a promise by the State
All projml records in support of all costs incurred and actual as In Ihr amount or aalure of federal participation in this project,
expendittims kept by the Agency are to br maintained in accordance 1. Preliminary Engineering,Righlof Way Acquisition,and
with procedures prescribed by the Division of Municipal Corporalions Audit Costs
of the State Auditor's Office•,the U.S.Department of Transportation,
and the Washington Stale Department of•f'ransportation.-for roc•ords The Agency will pay for Agenry incurred costs on the pState i
shall br open to inspection by till-`:late and Federal(;overnment al all Following sup h payments,t vouill(%cl it shall hr subnte,n not
Ihl-Slab in
reasonable lirnes and shall be rrbuned and made available(or ranch the formal ni prrscrihrd by the State,in -sv tho Agency till tutu than
inspection for a period of not less Ilion Ihrre years Irons the final ctnc'per monlh.'Ihr State will n•imtiutsr Ihr Agency up to the
iJO f 1 nr 141,O 4<; 7
Local Agency Environmental
Ar Washington State Classification
Department of Transportation
part 1 Pro,ect®ascription
Summary Type Date Created
Date Revised Revision Number
❑Preliminary ❑Final
Federal Aid Project Number Route ( ) Local Agency Project Number
Agency Federal Program Title
Mason County ❑20.204 P20.205 ❑20.206 ❑20.209 ❑Other
Project Title
Brockdale Road Overlay
Begin End 20 $� 21
MP 1.98 MP 3.22 Miles 1 m 24 Township
KP KP KM Range 4
County Water Resource Inventory Area(WRIA)No.&Name Within Puget Sound Basin?
Mason PYes ❑No
' ': Part 2 :Permits and Approvals;Regyared ; ...
Yes No Permit or Approval Yes No Permit or Approval
❑ ] Corps of Engineers ❑ Sec. 10 ❑ Sec. 404 ❑ ® Shoreline Permit
❑ Nationwide Type ❑ [ State Waste Discharge Permit
❑ Individual Permit No. ❑ ® Temp. Modification of Water Quality Standards
❑ ® Coast Guard ❑ Section 4(f)ffi ft Wildlife Refuges, Recreation
Areas, Historic Properties
❑ [X] Coastal Zone Management Certification
❑ ❑ [XJ Water Rights Permit
[XI Critical Area Ordinance(CAO)Permit
❑ � ❑ C] Water Quality Certification-Sec.401
Flood Plain Development Permit Issued by
❑ ] Forest Practice Act Permit ❑ [ Tribal Permit(s),(If any)
❑ ] Hydraulic Project Approval
❑ �] Local Building or Site Development Permits
❑ ] Local Clearing and Grading
❑ [ Nati.Historic Preservation Act-Section 106 ❑
❑ ] Other Permits,including GMA(List):
(NPDES)Municipal Stormwater Discharge
❑ [X] National Pollutant Discharge Elimination System
(NPDES)Baseline General for Construction
[� Stormwater Site Plan
Temp. Erosion Sediment Control Plan(TESC)
Part 3 EnVtronrnental �lassficatton
NEPA SEPA
❑ Class I-Environvental Impact Statement(EIS) ® Categorically exempt per WAC 197-11-800
Class II-Categorically Excluded(CE) ❑ Determination of Non-Significance(DNS)
❑ Projects Not Requiring Documentation for FHWA ❑ Environmental Impact Statement(EIS)
Approval(LAG 24.22(a)) ❑ Other Actions: ❑ Adoption
KC] Projects Requiring Documentation Without ❑ Addendum
Further FHWA Approval(LAG 24.22(b))
❑ Projects Requiring Documentation and FHWA
Approval(Documented CE)(LAG 24.22(c))
❑ Class III-Environmental Assessment(EA)
❑Supplemental EIS(SEIS)
DOT Form 140.100 EF Page 1 of 4
1/97
.......::::.:..:::: :.:...::.:::..: :..::..:::.:........ .... .
ParE 4 En��ronmenta[Considerations y rs
Will the project involve work in or affect any of the following? Identify proposed mitigation.
Attach additional pages or supplemental information of necessary.
1. Air Quality Identify any anticipated air quality issues.
Is the project included in Metropolitan Transportation Plan? ❑Yes ®No
Is the project located in an Air Quality Non-Attainment Area(for carbon monoxide,ozone,or PM10)? ❑Yes No
Is the project exempt from Air Quality conformity requirements? Yes ❑No
2. Critical/Sensitive Areas Identify any known Critical or Sensitive Areas as designated by local
Growth Management Act ordinances.
a. Aquifer Recharge Area,Wellhead Protection Area,or Sole Source Aquifer.
Project will not affect such properties or areas.
b. Geologically Hazardous Area
None exist on project.
c. Habitat List known species:
(1) Threatened/Endangered Species or Priority Habitat or Species. Indicate state or federal listing.
No impacts anticipated.
(2) General fish and wildlife habitat
None exist on project (no water bodies)
d. Wetlands. Estimate impacted categories and acreage:
(1) Are wetlands present? ❑Yes x❑No
(2) Estimated area impacted: Acres
3. Cultural Resources/Historic Structures Identify any historic or archaeological resources.
Project does not affect any such resources or structures.
4. Flood Plains or Ways
Is the project located in a 100-year flood plain? ❑Yes x❑No
If yes, is the project located in a 100-year floodway? ❑Yes ❑No
Will the project impact a 100-year flood plain? ❑Yes ®No
DOT Form 140-100 EF Page 2 of 4
1197
Part 4.Environmental Consederatons ;Confinued
10. Tribal Lands Identify.
None
11. Visual Quality
Will the project impact roadside classification or visual aspects? ❑Yes ®No
12. Water Quality/Storm Water
Is the project likely to increase runoff or affect water quality? ❑Yes ®No
Will the project include water quality/quantity treatment for the new pavement? ❑Yes ®No
Will the project include water quality/quantity treatment for existing pavement? ❑Yes FLI No
Has a NPDES municipal general permit been issued for this WRIA? ❑Yes KN No
13. Previous Environmental Commitments
Have provious environmental commitments been made in the project area? ❑Yes [A No
Identify
14. Long-Term Maintenance Commitments
Are long-term maintenance commitments necessary for this project? —]Yes ®No
Identify
..
Part 5 Approval Signatures
Local Ag y proving Authority Date Regional TransAid Engineer Date
OV /Asst.Secretary-TransAid
Federal HiffnwayAdrA. istration Date Completed By
Telephone Fax
DOT For 140.100 EF Page 4 of 4
1/97
O .eratl n
5. Hazardous and Problem Waste Identify potential sources and type.
Is the project likely to involve site clean-up? ❑Yes ®No
6. Noise Identify potential sensitive receptors or previous mitigation commitments.
Development of adjacent land is minimal; therefore, no significant
noise impact is expected.
7. Parks, Recreation Areas,Wildlife Refuges, Historic Properties, or Scenic Rivers/Byways,
4(f)/6(f) Lands. Identify.
Project does not abut any such properties or lands.
8. Resource.Lands Identify areas of impact.
a. Agricultural
None affected
b. Forest/Timber
Project will improve corridor for use as haul routes.
c. Mineral
None affected.
9. Rivers, Streams (Continuous, Intermittent), or Tidal Waters
a. Identify by name, proximity to project and Washington Stream Catalog Number.
Fisheries WA Stream No. Ecology 305b Report No.
Project does not cross any water bodies or streams.
b. Identify stream crossing structures by type.
DOT Form 140-100 EF Page 3 of 4
1/97
® Locale a er I
� Washington State
vI/ Department of Transportation Aid Project Prospectus
Prefix Route ( )
Federal Aid
Project Number Date
Local Agency Federal Employer
Project Number 970LAY 1 Tax ID Number
Agency Federal Program Title
Mason County Department of Public Works ❑ 20.204 ® 20.205 ❑ 20.206 ❑ 20.209 ❑ Other
Project Title
Brockdale Road ACP Overlay
Project Termini From To
Island Lake Road Jensen Road
From: To: Length of Project Award Type
MP 1.98 MP 3.22 1.24 miles ® Local ❑ Local Forces ❑ State ❑ Railroad
Federal Agency City Number County Number County Name WSDOT Region
0 FHWA ❑ Others I NA 23 Mason Olympic
Congressional District Legislative Districts Urban Area Number TMA/MPO/RTPO
6 35 N/A Peninsula
Total Local,4gency' Percent Obltgatton
Federal Funds
Phase Estimated Cost Funding Federal Date
{Nearest Do .. ..., ;.(Nearest bollar) (Nearest Dollar} Funds Month Year
P.E. 3,500 525 2,975
RAN --- --- --- ---
Const. 3,558 553 122,025
Total 7,058 22 058 125,000
Deserfptlon of Existing FCility (Existing Desrgn and Aresent Condition)
Roadway Width Number of Lanes
26 feet to 34 feet 2
Current alignment consists of two 12 foot lanes with shoulder widths ranging
from 1 foot to 5 feet along -length of project.
Description of;Proposed Work
Roadway Width Number of Lanes
❑New Construction ❑3-R ®2-R 34 2
Project will consist of 2" ACP overlay and minor widening of shoulders to 5 feet
on each side through the length of the project.
Local Agency Contact Person Title Phone
William Bullock 27-9670, ext. 4 8
Mailing Address - City I State Zip Code
P.O. Box 1850 Shelton WA 98584
B
Design Approval y J Y AUT P r ng Authority
(CA Agencies Only) A ri 1 22,1997
T tle ou kngin a Date p
DOT Form 140.101 EF Page 1 of 3
Revised 1/97
Agency Project Title Date
Mason Brockdale Road ACP Overlay
Geometric Design Dafa. .. ... IN
g ,.
Description Through Route Crossroad
~ ❑Principal Arterial ❑Principal Arterial
Federal ❑Urban ❑Minor Arterial - ❑ Urban ❑Minor Arterial
Functional ❑Collector ❑Collector
Classification Major Collector ❑Major Collector
❑Rural ❑Minor Collector ❑ Rural ❑Minor Collector
❑Access Street/Road ❑Access Street/Road
Terrain )EA Flat ❑Roll ❑Mountain ❑Flat ❑Roll ❑Mountain
Posted Speed 45
Design Speed 45
Existing ADT 5000
Design Year ADT 7000
Design Year 2013
Design Hourly Volume(DHV) 700
Accident 3 Year Experience ; .. . .. ...
Property In'u Accidents Fatal Accidents Total Number
Year Damage Number of Number of Number of Number of of Accidents
Accidents Accidents Injuries Accidents Fatalities
1994 4 3 7 2 2 9
1995 4 6 4
1996 1 1 1 2
5 8 14 2 2 1
MEMO:..:.......
TotaG;Number of Accidents Attributable to Lack of haVtngthe Pco'posed'Improeme>nt. .
5 8 14.
Performance of Work ;
Preliminary Engineering Will Be Performed By Others Agency
Mason County Department of Public Works % 100 %
Construction Will Be Performed By Contract Agency
Mason County Department of PUblic. Works % 100
Envronmental;Class>IfcationOXX
®Final ❑Preliminary
❑ Class I-Environmental Impact Statement(EIS) Class II-Categorically Excluded(CE)
❑ Project Involves NEPA/SEPA Section 404 ❑ Projects Not Requiring Documentation for FHWA
Interagency Agreement Approval(23CFR 771.117(c))
❑ Class III-Environmental Assessment(EA) Projects Requiring Documentation Without
Further FHWA Approval(FHWA/WSDOT MOU
❑ Project Involves NEPA/SEPA Section 404 dated 2/90)
Interagency Agreement
❑ Projects that Require Documentation and FHWA
Approval(Documented CE)
Environmental Considerations
DOT Form 140-101 EF Page 2 of 3
Revised 1/97
A ncy Project Title Date
Rason County Brockdale Road ACP Overlay
Mix
Right of Way
® No Right of Way Required ❑Right of Way Required
*All construction required by the ❑No Relocation ❑ Relocation Required
contract can be accomplished
within the existing right of way.
Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project
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 Mason County
Date April 22, 1997 By
airpe on
Board Mason County ommissioners
DOT Form 140-101 EF Page 3 of 3
Revised 1M7
Washington State
Department_of Transportation Federal Aid Project Prospectus
Prefix Route ( , Ei
Federal Aid rLocal Agency
Project Number Project Number
Agency Federal Program Title
Mason County Public Works ❑ M.24 9M-205 ❑ M-206 ❑ M-209 [I Other
Project Title
Brockdale Road ACP Overlay
Project Termini From To
Island Lake Road Jenson Road
From: To Length of Project Award Type
MP 1.98 MP 3.22 1 .24 miles ® Local ❑ Local Forces ❑ S ` ❑ Railroad
Federal Agency City Number County Number County Name DOT Region
U FHWA ❑ others N/p 23 .Mason Olympic
EIS CE EA - Congressional`°District Legislative Districts Urban Area Number T /MPO/RTPO
❑ 1 ❑ u ❑ Ill _. _ 35 N/A Peninsula _
µl : '
otal ' oc�allAgenoy�� !!� nd :."�b.! u� Percent Obir atto
H. �riuuur^!! um II h!I� a �hll.:'9i „! aI Ih(. FedGC81�1=U[idl$a �7I. w �� h g 1
_ und Feeea!
!_�I"N:v
h_
-
��.::
... _.. .� � ...���_ lt•!_...... . Mort�
P.E. 3,500 500 3,000 ,.' 85%
R/W - -- --- ----:' ---
Const. 140,000 - 21 ,0;00. 119,000 85%
Total 143 500 21 ,560, 124000 85%
a:�:.y.:.:_vi_...cu:...�c:..,.i:::::;v:::::..._c:u -............ ::::::::::::.�-,n:ca:::v:.:....:.:::...::�:::........:::
�[ :kq ., rm^'au. ,: a ?�. . ,7;HW:W�s: ! ^' .'.`' a:�.a ...:'a a, - «.,,; ; r!!'Sm`.�°«!=-:r�_=...4+-_: .: ----
c p t� , g� 111 ]R (Extstmg D stgn and i s �Gonditigni -' -- i,;,: .m_a:`::;!�!:;,s:..:+�-�:.,.::r-�?•k3s�!u!��.=_�iwr.e:z— -... *:� +�..a:....e,:.:mx.e:T� �: ?e�.N...._exa��.._.gw "�.-_�di�,._ �30:__.. !w�ac�4".-'r."_ �'�_
Roadway Width Number of Lanes
26 feet -to ,34- feet- 2
Current alignment consists of two 12 foot�,,,Janes with shoulder widths ranging
from 1 foot to 5 feet along length of project.
rsed VYorlkt: !. �
_ . .oecrpinorp�D t fP Roadway
Width Number of Lanes
❑New Construction ❑3-R ®2-R 34 few 2
Project will consist of 2" ACP overlay and minor widening of shoulders to 5 feet
on each side through the length; of the project.
Local Agency Contact Person Title Pho e
William Bullock Transportation Engineer 2%-9670, x458
Mailing Address
P 0 Box 1850 City Shelton Zip Code 9858
Location and Design Approval By
(CA Agencies Only) Approving Authority
t ( 7 �/ V Date L47
22
DOT Form 140-009A Page 1 Of 3
Revised 2198 g
Agency Project Title Date l
Mason;,' Brockdale Road ACP Overlay t
�.: .. '! ! 4 w�:I °:1 tii� !'�u,'i E��!a��'::'.:ul!�,;�r I�: ;i�IN:ICI d!�G�.i:�IHIII�if'i!
1C $ Ig. � xu!� .fit iih� 1411 �Nu�Hiw x. ii ��l�9i�l�il!IIIII�IIG tiu d� tlhil� tl
Description Through Route Crossroad
❑Principal Arterial ❑Principal Arterial .
- Federal ❑Urban ❑Minor Arterial ElUrban ❑Minor Arterial
Functional ❑Collector ❑Collector
Classification 1XI Major Collector ❑Major Collector
❑Rural ❑Minor Collector ❑ Rural _ - ❑Minor Collector
❑Access Street/Road ❑Access Street/Road
Terrain 99 Flat ❑Roll ❑Mountain ❑Flat ❑Roll ❑Mountain
Posted Speed 45
Design Speed 45
-Existing ADT : 5000
Desi n Year ADT' 7000
Desi n Year 2013
Design Hourly Volume(DHV) 700
- �. :x. �. .:r. .. pl!:4:.: .,.i!r-.'..°'.: ::nx:: i:u, --__ �xx:...; �. ,,,.
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Property Injury Accidents Fatal Accidents
,Year ;, Damage Number of 'Number of Number of Number of Total Number
Accidents Accidents njuries Accidents Fatalities of Accidents
3 ti 2 2 9
- 95 4 6 4
- 96 1 1 1 2
5 8 14 2 2 15
-.._..___-..........................._.......__................_..._._.:...r._,.._....:.........: ...... -- -
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'1m rovement...: t ...., _.
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::. ..._,. ...:::.::: u::�::., .: xx, lu!:i: i!.d1. ': ...:a..r...ta. !!! „w 'h _--"-,...'i'._.?'Y_M'�.!!.:, �....a n� u.. -
.. ..,,!: !_;;:.d :!!:Lw: :,,...... !°�x�:"s.;. ._:4.. :.1a
..!.. .:xw._.:x.-.: .. ... ra.!::dr:w:::..!:.. .a'.:a.:,!:.u.. 1 .. rA!..li...
ero: ance..of o '--' a:!i� . !....;�d:ra w: !'!'. o::.ti 4a:inw!�!!!�w !!and!,.nl!!!!xl!I4.xnk�Ndl!mli:d�!IMF, :�ii�,*�n!'vn9nli�F!il�'!ri �!n� 1 !.ti
Preliminary Engineering Will Be Performed By ", Others Agency
Mason County Public Works % 100 %
Construction Will Be Performed By Contract Agency
Mason County Public Works % 100 %
Environmental Considerations
None
❑ Check If No R/W Is acqulred° (DOT Form 262-060 and Endorsement must be on file with the CA Agen(*refer to Chapter 25 LAG manual)
Right of Way and Relocation
Water Area Involvement
None
DOT Form Page 2 of 3
Agency Project Title Date
Mason County Brockdale Road Overlay
Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project
None
y<,
r4
FAA Involvement
Is any airport located within 3.2 kilometers (2 miles) of the proposed project? ❑ Yes ❑ o
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 Co U l.Cl mil, ndCh
�dcnai�e o
DOT Form 140-009A
Revised2M Page 3 of 3
Washington State
ANY Department of Transportation Local Agency Agreement
Agency Mason County Public Works Project No.
P 0 Box 1850
Address Agreement No.
Shelton WA 98584 For Headquarters 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)Office of Management and Budget Circulars A-102 and A-128,(4)the policies and procedures
promulgated by the Washington State Department of Transportation,and(5)the federal aid project agreement entered into between the State and
Federal Government,rglative to the above project,the Washington State Department of Transportation will authorize the Local Agency to
proceed on the proje�t'by a separate notification.Federal funds which are to be obligated for the project may not exceed the amount shown herein
on line s,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 Deserlptlon
Name Brockdale Road Overlay Length 1.24 miles
Termini Island. I''akt, Drive to Jensen Road
Description of Work
Project will consist of 2" ACP overlay and minor widening of shoulder to 5 feet
on each side through the 'length of the project.
Estimate of Funding
Type of Worka) cv (3)
EstimatedTotal Estimated Estimated
Project Funds Agency Funds Federal Funds
PEa. Agency work ...........3 3 50.0............. ..................5.00................ ...........3.,.000.............
b. Other ............. I....................... ...........................................
c State services
d. Total PE cost estimate(a+b+c) 3,500 500 3,000
Rightof Way e. Agency work ..............................4 ........ ........................................... .......................................
f. Other ...................................
............................ ........ ...........................................
g. State services
h. Total R/W cost estimate(e+f+g) N/A N/A NIA
Construction i. .Contract
j. Other ............................................
k. Other ............................................ ...........................
1. Other ............................................ .......:................................... ...........I...........................
in.Total contract costs(i+j+k+l) NIA NIA /A
Construction Engineering
n. Agency 1 0.:.000.............. .......21 ,000... ............ ....1.1. .7.00 .............
o. other 140,000 21 ,000 119,®®
............. .... ... . . ..... .....
p. State forces 1 , fib............ ........� ,Ob0 V19000
q. Total construction engineering(n+o+p)
r. Total constriction cost Estimate(m+q)
s. Total cost estimate of the project (d+h+r)
"Federal participation in constriction engineering(q)is limited to 15 percent of the total contract costs(line in,column 3).
The federal aid participation rate in this project will be determined by the Federal Government.The parties expect that it will be 85
percent;however,it is understood that the rate may vary.The Local Agri agrees that this agreement is entered into without relying upon any
representation by the state made outside of this contract,or contained ereln,as to what the federal participation rate will be.It further agrees
that it will not condition any future actions with respect to the project covered by this agreement upon past,current,or future representations as
to the federal participation rate.The dollar amount of federal participation cannot exceed the amount shown in line s,column 3.All costs not
reimbursed by the Federal Government shall be the responsibility of the Local Agency.
DOT Form 140-039 I
Revised 8/95
Construction Method of Fk—Ancing
(cheek method-deded)
S tate Ad and Award
O Method A—Advance Payment—Agency share of total construction cost(based on contract award)
O Method B—Withhold from gas tax the Agency's share of total construction cost(line 4,column 2)in the amount of
$ at$ per month for months-
Local Force or Local Ad and Award -
O 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 ci ligated,it accepts and will comply with the applicable provisions set forth below.Adopted by official action
on ( �n ( aa- .19 9`7 .tesolution/Ordinance No.
Agency Official Washington State Department of Transportation
By By
Assistant Secretary for TransAid
kppp
5� Date Executed
Provisions
1. Scope of Work �fi payment of any federal aid funds to the Agency.Copies of said,
The Agency shall provide all the work,labor,materials,and records shall be furnished to the State and/or Federal Government
services necessary to perform the project which is described and set °`= upon request.
forth in detail in the"Project Description'and"'Type of Work." V. Compliance with Provisions
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 '` The Agency shall not incur any federal aid participation costs
described and indicated in"Type of Work"on the face of this on any classification of work on this project until authorized in
agreement,in accordance with plans and specifications as proposed by writing by the State for each classi-fication.The classifications of work
the Agency and approved by the State and the Federal Highway for projects are:
Administration. 1. Preliminary engineering up to and including approval.
When the State acts for the Agency but is not subject to the right 2• Preparation of'plans,'specifications,and estimates.
of control by the Agency,the State shall have the right to perform the 3. Right of way acquisition.
work subject to the ordinary procedures of the State and Federal 4. Projectfonstruction.
Highway Administration. in the.event that right of way acquisition,or actual construction 'w
11. Delegation of Authority of the road,for which preliminary engineering is undertaken is not
started by,the closing of the tenth fiscal year following the fiscal year
The State is willing to fulfill the responsibilities to the Federal in which the agreement is executed,the Agency will repay to the State
Government by the administration of this project.The Agency agrees the sum or sums of federal funds paid to the Agency under the terms
that the State shall have the full authority to carry out this of this agreement(see Section VIIi).
administration.The State shall review,process,and approve The Agency agrees that all stages of construction necessary to
documents required for federal aid reimbursement in accordance with provide the initially planned complete facility within the limits of this
federal requirements.If the State advertises and awards the contract, project will conform to at least the minimum values set by approved
the State will further act for the Agency in all matters concerning the statewide design standards applicable to this class of highways,even
project as requested by the Agency.If the Local Agency advertises and though such additional work is financed without federal aid
awards the project,the State shall review the workµto ensure, participation.
conformity with the approved plans and speci tcations. The Agency agrees that on federal aid highway construction
Ill. Project Administration projects,the current federal aid regulations which apply to liquidated
Certain types of work and services shall be provided by the State damages relative to the basis of federal participation in the project
on this project as requested b the Agency and described in the Type cost shall be applicable in the event the contractor fails to complete
p 1 q y b y yp the contract within the contract time.
of Work above.in addition,the State will furnish qualified personnel
for the supervision and inspection of the work in progress.On Local VI. Payment and Partial Reimbursement
Agency advertised and awarded projects,the supervision and The total cost of the project,including all review and
inspection shall be limited to ensuring all work is in conformance with engineering costs and other expenses of the State,is to be paid by the•
approved plans,specifications,and federal aid requirements.The Agency and by the Federal Government.Federal funding shall be in
salary of Such engineer or other supervisor and all other salaries and accord with the intermodal SurfaccTransportation Efficiency Act
costs incurred by State forces upon the project will be considered a cost 1491,Title 23,United States Cade,as aTended,and Office of
thereof.All costs related to this project incurred by employees of tho Management and Budget circulars A-M and A-128.The State shall
State in the customary manner on highway payrolls and vouchers shall not be ultimately responsible for any of the costs of the project.The
he charged as costs of the project. Agency shall be ultimately responsible for all costs associated with the
IV. Availability of Records project which are not reimbursed by the Federal Government.
All ro'u ct records in support of all costs incurred and actual Nothing in this agreement shall he consirud t• as a promise by the State
F I pI as lu the amoral or nature of federal participation in this project.
expendilors kept by the Agency ark-to be maintained in accordance 1. 1'reliminaryEngineering,flight of Way Aequisition,and
with procedures prescribed by the,division of Municipal Corporations AuditCoeta
of the State Auditor's Office,the U.S.Di-portment of Transportation,
and the Washington State i)eparlrn.,nt of'Transportation.The records 'I he Agem y will pay for A}';'ru'1'inrnrred crusts on the project.
shall be nPen to inspection by the State and federal Govenuneot al all Following such payments,vouchvis shall be submitted ht Iho Stale in
n asonable time-,and shall he relnincrl and maile:rvailnl,le for such the formal pre•scrihrd by the State,in quadruplicate,not more than
inspection fora period of not less.thin Three years from the find rune per mouth.,the State will roinihorse thr*Agency tip to Ihr
w)r I.uu tor,ri{'i
ra,r,„•i na,-, z
Labor for purposes of investigation to ascertain compliance with such to the amount of Federal participation in the project cost,shall be "
Hiles,regulations,and orders. applicable in the event the contractor fails to complete the contract
(f) In the event of the contractor's noncompliance with the within the contract time.Failure to include liquidated damages
nondiscrimination clauses of this contract or with any of such rules, provision will not relieve the Agency from reduction of federal
regulations or orders,this contract may be canceled,terminated,or participation in accordance with this paragraph.
suspended in whole or in part and the contractor maybe declared
ineligible for further government contracts or federaI assisted X111,'Germination for Public Convenience
construction contracts in accordance with procedures uthorized in The Secretary of the Washington State Department of
Executive Order 11246 of September 24,1965,and su other sanctions Transportation may terminate the contract in whole,or from time to
may be imposed and remedies invoked as provided in ecutive Order time in part,whenever.
11246 of September 24,1%5,or by rule,regulation,or o der of the (1)The requisite federal funding becomes unavailable through
Secretary of Labor,or as otherwise provided by law. failure of appropriation or otherwise.
(g)The contractor will include the provisions of t Section 11-2 (2)The contractor is prevented from proceeding with the work
in every subcontract or purchase order unless exempted y rules, as a direct result of an Executive Order of the President with respect to
regulations,or orders of the Secretary of Labor issued pu uant to the prosecution of war or in the interest of national defense,or an
Section 204 of Executive Order 11246 of September 24,19 ,so that Executive Order of the President or Governor of the State with respect
such provisions will be binding upon each subcontractor r vendor. to the preservation of energy resources.
The contractor will take such action with respect to any su contract or (3)The contractor is prevented from proceeding with the work
purchase order as the Agency,Washington State Departm t of by reason of a preliminary,special,or permanent restraining order of a
Transportation,or Federal Highway Administration may d as a court of competent jurisdiction where the issuance of such order is
means of enforcing such provisions including sanctions for primarily caused by the acts or omissions of persons or agencies other
noncompliance:Provided,however,that in the event a contr ctor than the contractor.
becomes involved in,or is threatened with,litigation with a (4)The Secretary detennmes,.tliat such termination is in the best
subcontractor,he may request the United States to enter into s ch interests of the State.
litigation to protect the interests of the United States. XIV.Venue for Clai �ind/or Causes of Action
The Agency further agrees that it will be bound by the above For the convene of the parties to this contract,it is agreed
equal opportunity clause with respect to its own employment practices P g
when it participates in federally assisted construction work:Provided, that any claims and/„ol causes of action which the Local Agency has
that if the applicant so participating is a State or Local Govenunen�t,the against the State of Washington,growing out of this contract or the
above equal opportunity clause is not applicable to any agency, project with which it is concerned,shall be brought only in the
instrumentality,or subdivision of such government which does not",:. Superior Court for Thurston County.
participate in work on or under the contract. , Certification Regarding`the Restrictions of the Use
The Agency also agrees: of Federal Funds for Lobbying
(1)To assist and cooperate actively with the State in obtaining
the compliance of contractors and subcontractors with the equal The approving authority certifies,to the best of his or her
opportunity clause and Hiles,regulations,and relevant orders of the knowledge and belief,that:
Secretary of Labor. (1)No federal appropriated funds have been paid or will be
(2)To furnish the State such information as it may require for the paid,by or on behalf of the undersigned,to any person for influencing
supervision of such compliance and that it will otherwise assist the or attempting to influence an officer or employee of any federal
State in the discharge of its primary responsibility for securing agency,a member of Congress,an officer.or employee of Congress,or
compliance. an employee of a member of Congress in connection with the
(3)To refrain from entering into any contract or contract awarding of any federal contract,the making of any federal grant,the
modification subject to Executive Order,11246 of September 24,1965, making of any federal loan,the entering into of any cooperative
with a contractor debarred from,or who has not demonstrated` agreement,and the extension,continuation,renewal,amendment,or
eligibility for,government contracts and federally assisted construction modification of any federal contract,grant,loan,or cooperative
contracts pursuant to the Executive Order. agreement.
(4)To carry out such sanctions and penalties for violation of the (2)If any funds other than federal appropriated funds have been
equal opportunity clause as may be imposed upon,contractors and paid or will be paid to any person for influencing or attempting to
subcontractors by the State,Federal Highway,Administration,or the influence an officer or employee of any federal agency,a member of
Secretary of Labor pursuant to Part II,suP b art D of the Executive Congress,ail officer or employee of Congress,or an employee of a
Order. member of Congress in connection with this federal contract,grant,
In addition,the Agency agrees that if it fails or refuses to comply loan,or cooperative agreement,the undersigned shall complete and
with these undertakings,the State may take any or all of the following submit the Standard Form-LLL,"Disclosure Form to Report
actions: Lobbying,"in accordance with its instructions.
(a)Cancel,terminate,or suspend this agreement in whole or in (3)The undersigned shall require that the language of this
part; certification be included in the award documents for all subawards at
(b)Refrain from extending any further assistance to the Agency all tiers(including subgrants,and contracts and subcontracts under
under the program with respect to which the failure or refusal occurred grants,subgrants,loans;2and cooperative agreements)which exceed
until satisfactory assurance of future compliance has been received $100,000,and that all such subrecipients shall certify and disclose
from the en A and accordingly,
Agency; This certification is a terial representation of fact upon which
(c) Refer the case to the Department of Justice for appropriate P P '
legal proceedings. reliance was placed when this,transaction was made or entered into.
Submission of this certification as a prerequisite for making or entering
Xll. Liquidated Damages into this transaction imposed by Section 1352,Title 31,U.S.Code. Any
The Agency hereby agrees that the liquidated damages person who fails to file the required certification shall be subject to a
provisions of 23 CFR Part 630,Subpart 305,as supplemented,relative civil penalty of not less than$10,000 and not more than$100,000 for
each such failure.
Additional1 i
DOT Form 140-039 4
Revised 8/95 .
amount shown on the face of this agreement for those costs eligible for participation,etc.)is not made to the State within 45 days after the
federal 1 articipation to the extent that such costs are directly attribut- Agency has been billed,the State shall effect reimbursement of the
able and properly allocable to this project.Expenditures by the Local total sum due from the regular monthly fuel tax allotments to the
Agency for the establishment,maintenance,general administration, Agency from the Motor Vehicle Fund.No additional Federal project
supervision,and other overhead shall not be eligible for federal funding will be approved until full payment is received unless
participation. otherwise directed by the Assistant Secretary for TransAid.
The State will pay for State incurred costs on the project.
Following payment,the State shall bill the Federal Government for IX. Traffic Control,Signing,Marking,and Roadway
reimbursement of those costs eligible for federal participation to the Maintenance
extent that such costs are attributable and properly allocable to this The Agency will not permit any changes to be made in the
project.The State shall bill the Agency for that portion of State costs provisions for parking regulations and traffic control on this project
which were not reimbursed by the Federal Government(see without prior approval of the State and Federal Highway
Section VIII). Administration.The Agency will not install or permit to be installed
2 Project Construction Costs any signs,signals,or markings not in conformance with the standards
Project construction financing will be accomplished by one approved by the Federal Highway Administration and MUTCD.The
of the three methods as indicated in this agreement. Agency will,at its own expense,maintain the improvement covered
Method A—The Agency will place with the State,within(20) by this agreement.
days after the execution of the construction contract,an advance in the X. Indemnity
amount of the Agency's share of the total construction cost based on The Agency shall hold the Federal Government and the State
the contract award.The State will notify the Agency of the exact harmless from and shall process and defend at its own expense all
amount to be deposited with the State.The State will pay all costs claims,demands,or suits,whether at law or equity brought against
incurred under the contract upon presentation of progress billings the Agency,State,or Federal Government,arising from the Agency's
from the contractor.Following such payments,the State will submit a
billing to the Federal Government for the federal aid participation execution,performance,or failure to perform any of the provisions of
share of the cost.When the project is substantially completed and final this agreement,or of any other agreement or contract connected with
this agreement,or arising by reason of the participation of the State or
actual costs of the project can be determined,the State will present the Federal Government in the prdlect,PROVIDED,nothing herein shall
Agency with a final billing showing the amount due the State or the require the Agency to rein rse the State or the Federal Government
amount due the Agency.This billing will becleared by either a for damages arising out odily injury to persons or damage to
payment from the Agency to the State or b}'a refund from the State to
the A property caused by or ulting from the sole negligence of the
��' Federal Governmen r the State.
Method B- The Agency's share of the total construction cost as No liability all attach to the State or Federal Government
shown on the face of this agreement shall be wi " Id from its monthly except as expre y provided herein.
fuel tax allotments.The face of this agreement establishes the months
in which the withholding shall take place and the exadamount to be XI. Non lserimination Provision
withheld each month.The extent of withholding will be confirmed by Th °Elgency hereby agrees that it will incorporate or cause to be
letter from the State at the time of contract award.Upon receiptnf incorpa ated into any contract for construction work,or modification
progress billings from the contractor,the State will submit such "°° thereof,as defined in the rules and regulations of the Secretary of
billings to the Federal Government for payment of its participating"^ Labor at 41 CFR Chapter 60,which is paid for in whole or in part with
portion of such billings. finds obtained from the Federal Government or borrowed on the
Method C—The Agency may submit vouchers to the State in the A credit of the Federal Government pursuant to a grant,contract,loan,
format prescribed by the State,in quadruplicate,not more than once in urance,or guarantee or understanding pursuant to any federal
per month for those costs eligible for Federal participation to the extenf pro am involving such grant,contract,loan,insurance,or guarantee,
that such costs are directly attributable and properly allocable to this''t the fo owing equal opportunity clause:
project Expenditures by the Local Agency for the establishment, f' " RING THE PERFORMANCE OF THIS CONTRACT,THE
maintenance,general administration,supervision,and other overhead CONTRA TOR AGREES AS FOLLOWS:"
shall not be eligible for Federal participation. (a)Th contractor will not discriminate against any employee or
The State shall reimburse the Agency for the Federal share of applicant for a ployment because of race,color,religion,sex,or
eligible project costs up to the amount shown on the face.of this national origin a contractor will take affirmative action to ensure
agreement.At the time of audit,the Agency will provide that applicants are mployed and that employees are treated during
documentation of all costs incurred on the project. .> employment withou regard to their race,color,religion,sex,or
The State shall bill the Agency for all costs incurred by the State national origin.Such a lion shall include,but not be limited to,the
relative to the project.The State shall also bill the:Agency for the following:employment, grading,demotion or transfer;recruitment
federal funds paid by the State to the Agency for project costs which fo recruitment advertising,layoffs or termination;rates r;pay or
are subsequently determined to be ineligible for federal participation other forms of compensatiokand selection for training,including
(see Section VIII). apprenticeship.The contractoragrees to post in conspicuous places,
Vii. Audit of Federal Aid Project, available to employees and applicants for employment,notices to be
The Agency,if services of a consultant are required,shall be provided by the Agency setting forth the provisions of this
responsible for audit of the consultant's records to determine eligible nondiscrimination clause.
federal aid costs on the project.The report of said audit shall be in the (b)The contractor will,in all solicitations or advertisements for
employees placed by or on behalf the contractor,state that all
Agency's files and made available to the State and the Federal
Government. qualified applicants will receive consideration for employment
without regard to race,color,religion,sex or national origin.
An audit shall be conducted by the WSDOT Internal Audit (c)The contractor will send to each labor union or
Office in accordance with generally accepted governmental auditing representative of workers with which he has a collective bargaining
standards as issued by the United States General Accounting Office by agreement or other contract or understanding,a notice to be provided
the Comptroller General of the United States;WSDOT Directive by the Agency advising the said labor union or workers'
D27-50,Consultant Authorization,Selection,and Agreement representative of the contractor's commitments under this Section
Administration;memoranda of understanding between WSDOT and 11-2 and shall post copies of the notice in conspicuous places available
FHWA;and Office of Management and Budget Circular A-128. to employees and applicants for employment.
If upon audit it is found that overpayment or participation of (d)The contractor will comply with all provisions of Executive
federal money in ineligible items of cost has occurred,the Agency shall Order 11246 of September 24,1965,and of the rules,regulations,and
reimburse the State for the amount of such overpayment or excess relevant orders of the Secretary of Labor.
participation(see Section VIII).
(e)The contractor will furnish all information and reports
VIII.Payment of Billing required by Executive Order 11246 of September 24,1965,and by the
The Agency agrees that if payment or arrangement for payment rules and regulations and orders of the Secretary of Labor,or
of any of the State's billing relative to the project(e.g.,State force work, pursuant thereto,and will permit access to his books,records,and
project cancellation,overpayment,cost ineligible for federal accounts by the Federal Highway Administration and the Secretary of
DOT Form 140-039
Revised 8/95 3
amount shown on the face of this agreement for those costs eligible for participation,etc.)is not made to the State within 45 days after the
federal participation to the extent that such costs are directly attribut- Agency has been billed,the State shall effect reimbursement of the
able and properly allocable to this project.Expenditures by the Local total sum due from the regular monthly fuel tax allotments to the
Agency for the establishment,maintenance,general administration, Agency from the Motor Vehicle Fund.No additional Federal project
supervision,and other overhead shall not be eligible for federal funding will be approved until full payment is received unless
participation. otherwise directed by the Assistant Secretary for TransAid.
The State will pay for State incurred costs on the project.
Following payment,the State shall bill the Federal Government for IX. Traffic Control,Signing,Marking,and Roadway
reimbursement of those costs eligible for federal participation to the Maintenance
extent that such costs are attributable and properly allocable to this The Agency will not permit any changes to be made in the
project.The State shall bill the Agency for that portion of State costs provisions for parking regulations and traffic control on this project
which were not reimbursed by the Federal Government(see without prior approval of the State and Federal Highway
Section V111). Administration.The Agency will not install or permit to be installed
2. Project Construction Costs any signs,signals,or markings not in conformance with the standards
Project construction financing will be accomplished by one approved by the Federal Highway Administration and MUTCD.The
of the three methods as indicated in this agreement. Agency will,at its own expense,maintain the improvement covered
Method A—The Agency will place with the State,within(20) by this agreement.
days after the execution of the construction contract,an advance in the X. Indemnity
amount of the Agency's share of the total construction cost based on The Agency shall hold the Federal Government and the State
the contract award.The State will notify the Agency of the exact harmless from and shall process and defend at its own expense all
amount to be deposited with the State.The State will pay all costs claims,demands,or suits,whether at law or equity brought against
incurred under the contract upon presentation of progress billings the Agency,State,or Federal Government,arising from the Agency's
from the contractor.Following such payments,the State will submit a execution,performance,or failure to perform any of the provisions of
billing to the Federal Government for the federal aid participation this agreement,or of any other agreement or contract connected with
share of the cost.When the project is substantially completed and final this agreement,or arising by reason of the participation of the State or
actual costs of the project can be determined,the State will present the Federal Government in the project,PROVIDED,nothing herein shall
Agency with a final billing showing the amount due the State or the require the Agency to reimburse the State or the Federal Government
amount due the Agency.This billing will be cleared by either a for damages arising out of bodily injury to persons or damage to
payment from the Agency to the State or by a refund from the State to property caused by or resulting from the sole negligence of the
the Agency. Federal Government or the State.
Method B— The Agency's share of the total construction cost as No liability shall attach to the State or Federal Government
shown on the face of this agreement shall be withheld from its monthly except as expressly provided herein.
fuel tax allotments.The face of this agreement establishes the months
in which the withholding shall take place and the exact amount to be Xl. Nondiscrimination Provision
withheld each month.The extent of withholding will be confirmed by The Agency hereby agrees that it will incorporate or cause to be
letter from the State at the time of contract award.Upon receipt of incorporated into any contract for construction work,or modification
progress billings from the contractor,the State will submit such thereof,as defined in the rules and regulations of the Secretary of
billings to the Federal Government for payment of its participating Labor at 41 CFR Chapter 60,which is paid for in whole or in part with
portion of such billings. funds obtained from the Federal Government or borrowed on the
Method C—The Agency may submit vouchers to the State in the credit of the Federal Government pursuant to a grant,contract,loan,
format prescribed by the State,in quadruplicate,not more than once insurance,or guarantee or understanding pursuant to any federal
per month for those costs eligible for Federal participation to the extent program involving such grant,contract,loan,insurance,or guarantee,
that such costs are directly attributable and properly allocable to this the following equal opportunity clause:
project.Expenditures by the Local Agency for the establishment, . "DURING THE PERFORMANCE OF THIS CONTRACT,THE
maintenance,general administration,supervision,and other overhead CONTRACTOR AGREES AS FOLLOWS:"
shall not be eligible for Federal participation. (a)The contractor will not discriminate against any'employee or
The State shall reimburse the Agency for the Federal share of applicant for employment because of race,color,religion,sex,or
eligible project costs up to the amount shown on the face of this national origin.The contractor will take affirmative action to ensure
agreement.At the time of audit,the Agency will provide that applicants are employed and that employees are treated during
documentation of all costs incurred on the project. employment without regard to their race,color,religion,sex,or
The State shall bill the Agency for all costs incurred by the State national origin.Such action shall include,but not be limited to,the
relative to the project.The State shall also bill the Agency for the following:employment,upgrading,demotion or transfer;recruitment
federal funds paid by the State to the Agency for project costs which or recruitment advertising;layoffs or termination;rates of pay or
are subsequently determined to be ineligible for federal participation other forms of compensation,and selection for training,including
(see Section VIII). apprenticeship.The contractor agrees to post in conspicuous places,
V I1. Audit of Federal Aid Project available to employees and applicants for employment,notices to be
The Agency,if services of a consultant are required,shall be provided by the Agency setting forth the provisions of this
responsible for audit of the consultant's records to determine eligible nondiscrimination clause.
res
P g (b)The contractor will,in all solicitations or advertisements for
federal aid costs on the project.The report of said audit shall be in the employees placed by or on behalf of the contractor,state that all
Agency's files and made available to the State and the Federal qualified applicants will receive consideration for employment
Government. without regard to race,color,religion,sex or national origin.
An audit shall be conducted by the WSDOT Internal Audit (c)The contractor will send to each labor union or
Office in accordance with generally accepted governmental auditing representative of workers with which he has a collective bargaining
standards as issued by the United States General Accounting Office by agreement or other contract or understanding,a notice to be provided
the Comptroller General of the United States;WSDOT Directive by the Agency advising the said labor union or workers'
D27-50,Consultant Authorization,Selection,and Agreement representative of the contractor's commitments under this Section
Administration;memoranda of understanding between WSDOT and 11-2 and shall post copies of the notice in conspicuous places available
FHWA;and Office of Management and Budget Circular A-128. to employees and applicants for employment.
If upon audit it is found that overpayment or participation of (d)The contractor will comply with all provisions of Executive
federal money in ineligible items of cost has occurred,the Agency shall Order 11246 of September 24,1965,and of the rules,regulations,and
reimburse the State for the amount of such overpayment or excess relevant orders of the Secretary of Labor.
participation(see Section VIII). (e)The contractor will furnish all information and reports
Vill.Payment of Billing required by Executive Order 11246 of September 24,1965,and by the
The Agency agrees that if payment or arrangement for payment rules and regulations and orders of the Secretary of Labor,or
of any of the State's billing relative to the project(e.g.,State force work, pursuant thereto,and will permit access to his books,records,and
project cancellation,overpayment,cost ineligible for federal accounts by the Federal Highway Administration and the Secretary of
DOT Form 140-039
Revised 8/95 3
Labor for purposes of investigation to ascertain compliance with such to the amount of Federal participation in the project cost,shall be
rules,regulations,and orders. applicable in the event the contractor fails to complete the contract
(f) In the event of the contractor's noncompliance with the within the contract time.Failure to include liquidated damages
nondiscrimination clauses of this contract or with any of such rules, provision will not relieve the Agency from reduction of federal
regulations or orders,this contract may be canceled,terminated,or participation in accordance with this paragraph.
suspended in whole or in part and the contractor may be declared
ineligible for further government contracts or federally assisted XIII.Termination for Public Convenience
construction contracts in accordance with procedures authorized in The Secretary of the Washington State Department of
Executive Order 11246 of September 24,1965,and such other sanctions Transportation may terminate the contract in whole,or from time to
may be imposed and remedies invoked as provided in Executive Order time in part,whenever:
11246 of September 24,1965,or by rule,regulation,or order of the (1)The requisite federal funding becomes unavailable through
Secretary of Labor,or as otherwise provided by law. failure of appropriation or otherwise.
(g)The contractor will include the provisions of this Section 11-2 (2)The contractor is prevented from proceeding with the work
in every subcontract or purchase order unless exempted by rules, as a direct result of an Executive Order of the President with respect to
regulations,or orders of the Secretary of Labor issued pursuant to the prosecution of war or in the interest of national defense,or an
Section 204 of Executive Order 11246 of September 24,1965,so that Executive Order of the President or Governor of the State with respect
such provisions will be binding upon each subcontractor or vendor. to the preservation of energy resources.
The contractor will take such action with respect to any subcontract or (3)The contractor is prevented from proceeding with the work
purchase order as the Agency,Washington State Department of by reason of a preliminary,special,or permanent restraining order of a
Transportation,or Federal Highway Administration may direct as a court of competent jurisdiction where the issuance of such order is
means of enforcing such provisions including sanctions for primarily caused by the acts or omissions of persons or agencies other
noncompliance:Provided,however,that in the event a contractor than the contractor.
becomes involved in,or is threatened with,litigation with a (4)The Secretary determines that such termination is in the best
subcontractor,he may request the United States to enter into such interests of the State.
litigation to protect the interests of the United States. XIV.Venue for Claims and/or Causes of Action
The Agency further agrees that it will be bound by the above
equal opportunity clause with respect to its own employment practices For the convenience of the parties to this contract,it is agreed
when it participates in federally assisted construction work:Provided, that any claims and/or causes of action which the Local Agency has
that if the applicant so participating is a State or Local Government,the against the State of Washington,growing out of this contract or the
above equal opportunity clause is not applicable to any agency, project with which it is concerned,shall be brought only in the
instrumentality,or subdivision of such government which does not Superior Court for Thurston County.
participate in work on or under the contract. XV. Certification Regarding the Restrictions of the Use
The Agency also agrees: of federal Funds for Lobbying
(1)To assist and cooperate actively with the State in obtaining The approving authority certifies,to the best of his or her
the compliance of contractors and subcontractors with the equal knowledge and belief,that:
opportunity clause and rules,regulations,and relevant orders of the (1)No federal appropriated funds have been paid or will be
Secretary of Labor. paid,by or on behalf of the undersigned,to any person for influencing
(2) furnish the State such information as it may require for the or attempting to influence an officer or employee of any federal
supervisioonn of such compliance and that it will otherwise assist the agency,a member of Congress,an officer or employee of Congress,or
State in the discharge of its primary responsibility for securing an employee of a member of Congress in connection with the
compliance. awarding of any federal contract,the making of any federal grant,the
(c io refrain from entering into any contract p contract making of any federal loan,the entering into of any cooperative
modification subject to Executive Order,has n t September 24,1965, agreement,and the extension,continuation,renewal,amendment,or
with i contractor debarred from,ct who has not demonstrated modification of any federal contract,grant,loan,or cooperative
eligibility for,government contracts and federally assisted construction
contracts pursuant to the Executive Order. agreement.
(4)To carry out such sanctions and penalties for violation of the (2)If any funds other than federal appropriated funds have been
equal opportunity clause as may be imposed upon contractors and paid or will be paid to any person for influencing or attempting to
subcontractors by the State,Federal Highway Administration,or the influence an officer or employee of any federal agency,a member of
Secretary of Labor pursuant to Part 11,subpart D of the Executive Congress,an officer or employee of Congress,or an employee of a
Order. member of Congress in connection with this federal contract,grant,
In addition,the Agency agrees that if it fails or refuses to comply loan,or cooperative agreement,the undersigned shall complete and
submit the Standard Formwith,"Disclosure Form to Report
with these undertakings,the State may take any or all of the following
actions: Lobbying,"in accordance with its instructions.
(a)Cancel,terminate,or suspend this agreement in whole or in (3)The undersigned shall require that the language of this
part; certification be included in the award documents for all subawards at
(b)Refrain from extending any further assistance to the Agency all tiers(including subgrants,and contracts and subcontracts under
under the program with respect to which the failure or refusal occurred grants,subgrants,loans,and cooperative agreements)which exceed
until satisfactory assurance of future compliance has been received $100,000,and that all such subrecipients shall certify and disclose
from the Agency;and accordingly.
(c) Refer the case to the Department of Justice for appropriate This certification is a material representation of fact upon which
legal proceedings. reliance was placed when this transaction was made or entered into.
Submission of this certification as a prerequisite for making or entering
XII. Liquidated Damages into this transaction imposed by Section 1352,Title 31,U.S.Code. Any
The Agency hereby agrees that the liquidated damages person who fails to file the required certification shall be subject to a
provisions of 23 CFR Part 630,Subpart 305,as supplemented,relative civil penalty of not less than$10,000 and not more than$100,000 for
each such failure.
Additional Provisions
DOT Form 140-039 4
Revised 8/95