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HomeMy WebLinkAbout44-97 - Res. Agreement with DOT for McLane Cove Bridge Replacement and Approaches 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 MARY Jo'(OY, Chairperson CYNT A D. OLSEN, Commissioner VoO A. 136LENDEFt, Commissioner ATTEST: REBECCA S.-ROGERS Clerk of the Board PROVED AS TO FORM: Ch MICHAEL CLIFT Deputy Prosecuting Attorney scv h:\wp\text\1oca1-ag.agr Washington State Department-of Transportation Federal Prefbc Route ( ) Date Federal Aid Local Agency Project Number Project Number Agency Federal Program Title f' Mason County Department of Public Works ❑ 20a04 20. ❑ 20•20e ❑ 20s09 ❑ Other Project Title McLane Cove Bridge Replacement & approaches Project Termini From To '4 MP .2.15 to MP 2.60 .P.1" 2.60 . From: To: Length of Project Award Yype 2.15 2.60 .45 ® Local ❑ Local Forces ❑ State ❑ Railroad Federal Agency City Number County Number ;,county Name DOT Region ® FHwA ❑ Others /A 23 Mason Olympic EIS CE - EA Congressional District Legislative Districts Urban Area Number TMA/MPO/RTPO ❑ I ❑ a ❑ ul 35 N/A Peninsula .:Y'NM..,.....�� .: ...i _m5?� ....4r:P..,�'.. �.._. ;:ogy�s;�. - - ..=5Fr•.. - - - ;� e ,t...:,55-:��_�„r,r,r !,Y r:: - t=.m,:- ;: _ .s�.k ! h.x.,. �otal�a. _ �� : � Local�.�i enc ,�r�r_� �� � :�.. � ,. �� , 9 Y _ ,.. .� ,..�.. . � -- ,�i;;�Y...-:� -- :.,�..__,_a._�yv�i__ .L_. ..._v. ... ....5................. .... .�r=�1.rr .. ..._...!5..�..... i!A..:i�_,. ,... ' -.m�.. :._,._ _ ,�-�+:�iL 9�a, ai�:23�:• :�'.:.:i=5i—a =:�:]=I�ii?:____ Cti;'.-'.r—n — -- �d.. - j. tN�ars# oliari,vh (Nearesl7oIWr} F � ulids - _::eMfr sear P.E. 141 ,000 21 ,000 120,000 85 RNV 1 Const. Total .. _ , 141 000 21 ,000 120,000 �i ...........................:..5:n ffi:_...,.. XS. _� ;s. +-�;!. y'. .,:��" .�: .rf "'��°^" a:,..�-r;�P_:5�! .m �_��'�_'--.,T 1.. I-r1g � Cil1y Extstm Ees7 nand Present+Gondttton[`N _.y--_--�� !'a^vc$Aa-,:-= ...-i.__=...._ 9r71I 9Y?—, ._..r, _r15-,�'=a:'�4..._._._.#5,e9[c:.iZ!_.....alk�i'F /_ �1.:115..........s-vas=:�..___: Roadway Width Number of Lanes 24 feet Bridge -- 22 foot approach 2 25 foot span bridge spanning McLane Cove on the Grapeview Loop Road® Road approaches consist of two 9 foot lanes wits 2 foot shoulders 5 F4J r rT!! .�, h -Jk i it 2 +'' i "I rid9 '{ �Y i Y:.. F• 5 2 ®esc[rptron,of„Pro used Work i Y 5 #s y { �....r. p......::...... k ....... .w :1 ?i`�.:4;. !a4.;nla� t!J.i iur.ikl!., 41 r'�N xu, �'t ih .....� _.� :.:: .. wl�,,...F�,-0Ir�:l'.F w'F''flu U'- Roadway Width Number of Lanes ®New Construction ❑3-R ❑2-R Bridge - 2 Preliminary Engineering for new construction involving real ,gnment of .4 mile of bridge approaches and widening"to*twb 11'dfoot lanes with ,,,foot shoulders. Bridge replacement will consist 'of a 45 foot span and 32 foot deck® Local Agency Contact Person Title Phone Alan Tahja Hydraulic Engineer 27-967 - 1 Mailing Address City Zip Code P 0 Box 1850 Shelton ,q 9858 YJ 4 Location and Design Approval By Approving Authority (CA Agencies Only) T I — j!� 1&)5 Date - Z- 7 DOT Form 140-009A Revised 2 Page 1 of 3 /96 g Agency Project Title Date McLane Cove Bridge Replacement �. ''MI y P...! ;�.h..a._ 9h14: � iiti*' ! '1 H �j !� ny',�.�� ! 0 5�h'LRry+d ..�I.....�... ���'G�I�'�p�II�I) :I :w �.�'p"._... _'.nr e� ryw`? :' IW',L, � M.1 �p:$11 .N0 ; _. �_. �r:. Darya.�..... N5 ... _ ........: uri '..wa.... _ �...�'. . _ Description Through Route Crossroad - _ _ _.. ❑Principal Arterial ❑Principal Arterial -'Federal ❑Urban ❑Minor Arterial ❑Urban Minor,Arterial ' Functional El Collector Collector Classification - ❑Major Collector El Major Collector , Rural ❑Minor Collector ❑Rural ❑Minor Collector ❑Access Street/Road ❑Access Street/Road Terrain Q Flat XX Roll ❑Mountain ❑Figti ❑Roll 0 Mountain Posted Speed 40 Desi n Speed `30 ExistingADT _ 466 Design Year ADT 93 Desi n Year "": 2011, Design Hourly Volume(DHV) 93 '. ;. .,...'.4i 1... 'T!wjl" pp4,'"';.._r�u4ryulhy" �Gn4@µhr .9. .,M ,�,w,,.a.wh4lh SIN, !.ru;gd r7 o-at ni_lu!mury! oar :�a A"p!p�i h hFk�?u rc!pI ! - µ e e + +E* 1y! iiH',"•' !h'` Niia I�ry �! , 1 1 ! 'k4_-,L-f,r + .�4•' � � `'�" �a"' .._. �_�. .ra..--`----.__i.....:4, r... ,r::.-r�_:__......_i!'a-^:r�.•>-........r...=.._._. tam 4 4r.._::c::.::'L=,+_�ir� Div�9-_�__ _�a'.�".! Property InjuryAccidents Fatal Accidents Total Number .Year Damage Number of `„ Number of t�lumber of Number of of Accidents Accidents Accidents e Injuries Accidents Fatalities 93 ¢ -94 - 1 1 95 - s Total_:Number�f:Acc dents Aftnbuab�e to_:L c�C of;havin the P;rosed 1m :rovement...:.0 z_. ...: = €:e, dry y�!ry m,�.-` �! _ :�; -�.. r .�F.;i,^^;ul °� y f ;r ry !. .,. --IamF- ,::::4 vli"''. f:.''..- __-'}.�i # .. 94 Y 3" > !Xr_ �.F':T�° r.. Off 'r:.iFpru!:49:m N`:,._ Y,y„i-1. ...�4. :1,�:��N�'. I:'H AN,:..t,.. ➢rq!!1���i!e4^=62h'SeY.I,%�Hji44!!I�,Y,.,v,:,�e1Y 3,l^.I:i1�.4<.H':41 M. 'k4� .i--=t: ... ink.. _...... Preliminary Engineering Will Be Performed By Others Agency Consultant and Mason County 90 % 10 Construction Will Be Performed By Contract Agency N/A % % Environmental Considerations SEPA will direct the design of appropriate environmental,.mitigation measures, if necessary. ❑ Check If No R/W Is acquired-(DOT;Form 262-060 and Endorsement must be on file with the CA Agency;refer to Chapter 25 LAG manual Right of Way and Relocation N/A Water Area Involvement McLane Cove Case Inlet -- Tidal Influence ONly DOT For 140-OMA Page 2 of 3 Revised 2W 9 Agency Project Tale McLane Cove Date Mason County Bridge Replacement & Approaches 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? El Yes ❑ No Remarks N/A `'N 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 cc�1t yYi,tSS) � Date LA q`7 !" By _ IkMW ,NWchai n DOT Form 140-009A Rehxd 2M Page 3 of 3 IVIAP Washington State Department of Transportation Agency Mason County Public Works Project P 0 Box 1850 Address Agreement 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,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 ,without written authority by the State,subject to the approval of the Federal Highway Administration.All project costs not reimbursed by theederal Government shall be the responsibility of the Local Agency. Project Description',,, Name McLane., Cove Bridge Replacement Length .45 mile Termini M.P. 2.15 to M.P. 2.60 Description of Work Estimate of Funding Type of Work (2) al EsthmatedTotal Estimated Estimated "Project Funds Agency Funds Federal Funds PE a. Agency work :..9 41.'0Q0............... ............2,100............... b. Other ............................... 18 900 C. State services d. Total PE cost estimate(a+b+c) 141 ,0100 a21 ,000 120,000 Right of Way e. Agency work f. Other .......................................... ............................. g. State services h. Total R/W cost estimate(e+f+k) N/A N N/A Construction i. Contract *............. ....................................... j. Other k. Other ............................................ ..................................... .... ....................................... 1. Other in.Total contract costs'(i+j+k+l) Construction Engnteeriig n. Agency ............................................ ........................................... .............................. o.:Other p.`State forces q. Total construction engineering(n+o+p) r. Total construction cost Estimate(m+q) N/A N/A /A S. Total costestimate of the project (d+h+r) 141 ,000 1,000 120,000 '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 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 hereon,as to what the federal participation rate will be.It further agrees that it will not condition any Euture 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 part.ci anon cannot exceed the amount shown in line s,column 3.All costs not .in by the Federal Govemment shall be the responsibility of the Local Agency. DOT Form 140-039 Revised 8/95 1 Construction Method of Financing - (c)reck 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_ 19 97 .Resolution/Ordinance No. Agency Official Washington State Department of Transportation By By Assistant Secretary for TransAid 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 agreement,in accordance with plans and specifications as proposed by writing by the State for each classification.The classifications of work projects are: the Agency and approved by the State and the Federal Highway for 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'lighway Administration. In the event that right of way acquisition,or actual construction of the road,for which preliminary engineering is undertaken is not 11. 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 Vill). 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 parti"cipation. conformity with the approved plans and specifications, The Agency agrees that on federal aid highway construction I11. Project Administration projectsthe current federal aid regulations which apply to liquidated 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 run this project as requested by the Agency and described in the Type the contract within the contract time. cif Work above.in addition,the State will fumish qualified personnel 1, • for the supervision and inspection of the work in''progress.On Local Vl. Payment and Partial Reimbursement Agency advertised and awarded projects,the supervision and The total cost of the project,including all review and inspection shall he 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,6nd all other salaries and accord with the Intermodal Surface Transportation Efficiency Act costs incurred by Slate forces upon the project will he considered a cost Ie)91,Title 23,United States Code,as amended,and Office of thereof.All costs related to this project incurred by employees of the Management and Budget circulars A-102 and A-128.'The State shall 51aly in the customary manner on highway payrolls and vouchers shall not he ultimately responsible for any of the costs of the project.The he charged as costs of the project. Agency shall be idlimately responsible for all costs associated with the IV. Availability of Records project which arcs not reimbursed lgv the Federal Goverrmuent. Nothing in this agreement shall he ronslrut ti as a promise by the State All project records in support of all costs incurred and actual as to Idle miomil or nature of federal participation in this project. r•xpondilurts kept by the Agency are to he maintained in accordance 1. Preliminary Engineering,Rigb1of Way Acquisition,and, with procedures prescribed by the Division of Municipal Corporalions Audit('osty of the State Auditor's Office,the U.S. Department of Transportation, and the Washington State i eparlmenl of•Transportation.The records ling Agency will pay for Agenr' irrrnrred costs nn the project. ,,hall be open to inspection by the+1,gte and Federal(�ovenvnent.11 all the tomcat such paymentsI vnucheni shall Ik•submitted to Iho Stale in reasonable tirnes and shall he relaincd and made available for soot the Gtnnal pmsrrihed by[Ili-Still(,,in quadrnplicale,not more than inspectioo fora I-riod of not less than three years front the final one per month.Aw State will wimllurse Ihr Agency tip to Ilse' i)Oi f, i 14hri'l amount shown owthe 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. " IX. Traffic Control,Signing,Marking, and oaidwwa Following payment;the State shall bill the Federal Government for g9 y 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 ma=intain 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,F'ederal Government,arising from the Agency's from the contractor.Foll mg such payments,the State will submit a execution,performance,or failure to perform any of the provisions of billing to the Federal Go rnment for the federal aid participation share of the cost.When the oject is substantially completed and final. this agreement,or'of any other agreement or contract connected with can be,determined,the State will present the this agreement,.br arising by reason of the participation of the State or actual costs of the project Agency with a final billing showing the amount due the State or the Federal Government in the project,PROVIDED,nothing herein shall amount due the A en This billin will be cleared b either a require the Agency to reimburse the State or the Federal Government payment from the A ry to the State orb a refund from the State to for damages arising out of bodily injury to persons or damage to g y 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 in shall take place and the exact amount to be 11, Nondiscrimination Provision withheld each month.The extent of withholding will be core imed 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.b_Wings;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 format resod C—b the State in y submit not more State'm,the credit of the Federal Government pursuant to a grant,contract,loan, Method C-The Agency may submit vouchers to the S an once P Y quadruplicate, 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 cosis'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;g supervision,administration, ervision,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 protect 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 uicurred by the State national origin.Such actionshall 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'sglection for training,including (see Section VMII.' . apprenticeship.The contractor agrees 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 forIaudit 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 Agency's files and made available tb=the State and the Federal employees placed by or on behalf of the contractor,state that all qualified applicants will receive consideration for employment Government- ;., An audit shall be conducted by the WSDOT Internal Audit without regard to race,color,religion,sex or national origin. (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 pE the United States;WSDOT Directive by the Agency advising the said labor union or workers' AdmireD27-50,Consultantmoranda ofon,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 participation(see Section VIII). relevant orders of the Secretary of Labor. (e)The contractor will furnish all information and reports Vlll.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 3 Revised 8195 - -Labor_for purposes of investigation to ascertain compliance with-such to the amount of Federal participation in the project cost;shall be rt' 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 i 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 autho"sized 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 September34,: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 includi�he 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 riles; as a direct result of an Executive Order of the President with respect to regulations,or orders of the Secretary'9fLabor issued pursuant to' the prosecution of war or in the interest of national defense,or an Section 204 of Executive Order 11246 of SSeptember 24,1965,so that Executive Order of the President or Governor of the State with respect such provisions will be binding upon ea 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 includin sanctions for primarily caused by the acts or omissions of persons or agencies other noncompliance:Provided,however,that in th 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 Stakes. XIV.Venue for Claims and/or Causes of Action ` The Agency'further agrees that it will be boud 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 participatesin 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&ovemment,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 whirl ido- 'not ` Superior Court for Thurston County.t " 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 obt"I ffig 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.a'ppropriated funds have been paid or will be Secretary of Labor:(2)To furnish the Statesuch information as it may require for thepaid,by or on be of the undersigned,to any person for influencing ' uence officer or supervision of such compliance and that it will otherwise assist the. or attempting t ema member of Congress,an officer employee employee ee of federal , or State in the discharge of its primary responsibility for securing agency, p y 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 Makin any federal loan,the entering into of any cooperative agreemeen modification subject to'Executive Order,11246 of September 24,1965, n with a contractor debar ed from,or who has not demonstrated t,and the extension,continuation,renewal,amendment,or 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 Y (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;subpart D of the Executive Congress,an officer or employee of Congress,or an employee of a Order. J 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`Fonm-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,and cogperative 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 XI1. 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 905,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 { ® al enc er Washington State al Department of Transportation Aid ProjectProspectus Prefix Route ( ) Federal Aid Date Project Number Local Agency Federal Employer Project Number I Tax ID Number Agency Federal Program Title Mason County Department of Public Works ❑ 20.204 IK1 20.2o5 ❑ 20.206 ❑ 20.2og ❑ other Project Title McLane Cove Bridge Replacement & Approaches Project Termini From To M.P. 2. 15 M.P. 2.60 From: To: Length of Project Award Type 2. 15 2.60 .45 X] Local ❑ Local Forces ❑ State ❑ Railroad Federal Agency City Number County Number County Name WSDOT Region FHWA ❑ Others N/A 23 1 Mason Olympic Congressional District Legislative Districts Urban Area Number TMA/MPO/RTPO 6 35 N/A Peninsula Total Local Agency Percent Oblt anon. Phase Estimated S. Funding ederal Fund Federal Date (NearestDolfar) (Nearest;Dollarj (NearestDollar)s ,. F..;untls Month Year P.E. 141 ,000 21 ,000 120,000 85 07 97 R/W Const. Total 141 ,000 21 ,000 120,000 Descr[pfion of Ex[sting Fae[I[ty (Existing Design and Present Condttlonj Roadway Width Number of Lanes 24 feet Bride - 22 foot approach..... 2 25 foot: span bridge spanning McLane Cove on the Grapeview Loop Road. Road approaches consist of two 9 foot lanes with 2 foot shoulders.. Descrtpt[on 0 "..1.Proposed Work Roadway Width Number of Lanes New Construction ❑3-R ❑2-R Bridge 2 Preliminary Engineering for new construction involving realignment 0.4 mile of bridge approaches and widening to two 11 foot lanes with 4 foot shoulders. Bridge replacement will consist of a 45 foot span and 32 foot deck. Local Agency Contact Person Title Phone 427-9670, William Bullock TranspQrtation Fnqinppr X-458 Mailing Address City State Zip Code P 0 Box 1850 Sh 1 B Design Approval Y J RY AUTH /E/ Appr vingAuthority (CA Agencies Only) Title Co ,ty Eng ie Date Apr 1 22, 1997 DOT Form 140-101 EF Page 1 of 3 Revised 1/97 Agency Project Title McLane Cove Date Mason County Bride Replacement & Approaches Right of ❑ No Right of Way Required ®Right of Way Required *All construction required by the contract can be accomplished ElNo Relocation ❑Relocation Required within the existing right of way. Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project Any utility relocations will be determined upon final project design. FAA Involvement Is any airport located within 3.2 kilometers (2 miles) of the proposed project? ❑ Yes ® No Remarks None 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 MARY Vbf hairperson Board M son County Vommissioners DOT Form 140-101 EF Page 3 of 3 Revised 1/97 Adft Washington State ®, Department of Transportation Local Agency Agreement Agency Mason County Dept. of Public Works Project No. P 0 Box 1850 Address Agreement o. 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,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 McLane Cove Bridge Replacement Length .45 mile Termini-M.P. 2. 15 to M.P. 2.60 Description of Work Realign bridge approaches and construct new bridge. New alignment includes two 11—foot lanes with 4 foot shoulders. New bridge will be 45 feet long and will be 32 feet wide. Estimate of Funding Type of Work (2) (3) EstimatedTotal Estimated Estimated ProjectFunds Agency Funds FederalFunds PE a. Agency work ..............1.4.0.,00.0......... ...................2.0.,.8.5.1...... .............1.1.9.,..1.4.9..... b. Other .............P..........I................. ................... ..................... ............0........................ c. State services 1 ,000 149 851 d. Total PE cost estimate(a+b+c) 141 ,000 21 ,000 120,000 Rightof Way e. Agency work .......................................... ........................................... ....................................... f. Other ............................................ ........................................:.. ......................I................ g. State services h. Total R/W cost estimate(e+f+g) N/A N/A N/A Constructioni. Contract ................I........................... ....................................I...... ....................................... j. Other ...............................I............ ........................................... ....................................... k. Other ............................................ ........................................... ....................................... 1. Other ............................................ ........................................... ........................I.............. m.Total contract costs(i+j+k+l) Construction Engineering n. Agency ............................................ ................................I.......... ......................I.;.............. o. Other ............................................ ...........................I............... ....................................... p. State forces q. Total construction engineering(n+o+p) r. Total construction cost Estimate(m+q) N/A N/A N/A S. Total cost estimate of the project (d+h+r) 141 000 21 ,000 120,000 'Federal participation in construction engineering(q)is limited to 15 percent of the total contract costs(line m,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. 11% 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 panccipation 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 8/95 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 j 22 .19 97, .Resolution/Ordinance No. 44-97 Agency Official Washington State Department of Transportation B By MARY C -- y Assistant Secretary for TransAid Chai ? Ir- Board of Mason County Commissioners 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 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 classification.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. Project construction. I lghway Administration. In the event that right of way acquisition,or actual construction of the road,for which preliminary engineering is undertaken is not 11. 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 terns 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 111. Project Administration projects,the current federal aid regulations which apply to liquidated 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 Slate 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 Surface Transportation Efficiency Act costs incurred by State forces upon the project will be considered a Cost 1991,'T'ille 23,United States Code,as amended,and Office of (hereof.All costs related to this project incurred by employees of Ihc Management and Budget circulars A-102 and A-128.•11te State shall State in the customary manner on highway payrolls and vouchers shall not be ulliniately responsible for any of the costs of the project.Th- 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. Nothing in this agreement shall he construed as a promise by the State All project records in support of all costs incurred and actual as 14)the amocmt or nature of federal participation in this project. expenditures kept by the Agency are to he maintained in accordance 1. PreliminarylingincerinK,Righlof Way Acquisition,and with procedures prescribed by the i)ivision of Municipal Cctrporalions of the Stale Auditor's Office,the U.S.Department of Transportaliort, Audit Costa and the Washington Stale Deparlownt of Transportation.The records 'I hc•Agency will pay for Agrnry inrnrred culls on the project. shall be open to inspection by the Slate and Federal Government at all following!+rich payments,voochels shall be submitted to the Stale in reasonahle firm-,and shall he rebnned and made available for such the formal prescribed by the Stale,in quadruplicale,not more than inspection for a period of not lest.th.cn Ihree years from the linal Mw per month. lire State will minihorse the Agency up to the U()i I nrr.. 141,(,Ti 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 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 he 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 fromthered under the contract upon presentation of progress billings contractor.Following such payments,the State will submit a the Agency,State,or Federal Government,arising from the Agency's from the 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 actual costs of the project can be determined,the State will present the this agreement,or arising by reason of the participation of the State or Federal Govemment in the project,PROVIDED,nothing herein shall Agency with a final billing showing the amount due the State or the r a require the Agency to reimburse the State or the Federal Government payment from the Agency to the State or byy a refund from the State to amount due the Agency.This billing will cleared by eitheGovernmentfor damages arising out of bodily injury to persons or damage to property caused by or resulting from the sole negligence of the the Agency.Method B— The Agency's share of the total construction cost as Federal Government or the State. shown on the face of this agreement shall be withheld from its monthly No liability shall attach to the State or Federal Government fuel tax allotments.The face of this agreement establishes the months except as expressly provided herein. in which the withholding shall take place and the exact amount to be X11. 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 Govemment 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, 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 Agency's files and made available to the State and the Federal employees placed by or on behalf of the contractor,state that all Govemment. qualified applicants will receive consideration for employment An audit shall be conducted by the WSDOT Internal Audit without regard to race,color,religion,sex or national origin. Office in accordance with generally accepted governmental auditing (c) The contractor will send to each labor union or standards as issued by the United States General Accounting Office by representative of workers with which he has a collective bargaining the Comptroller General of the United States;WSDOT Directive agreement or other contract or understanding,a notice to be provided D27-50,Consultant Authorization,Selection,and Agreement by the Agency advising the said labor union or workers' representative of the contractor's commitments under this Section Administration;memoranda of understanding between WSDOT and FHVVA;and Office of Management and Budget Circular A-128. 11-2 and shall post copies of the notice in conspicuous places available If upon audit it is found that overpayment or participation of to employees and applicants for employment.all provisions of Executive y with federal money in ineligible items of cost has occurred,the Agency shall Order 11246 of September 24,(d)The contractor will comply and the rules,regulations,and reimburse the State for the amount of such overpayment or excess relevant orders of the Secretary 6 Labor. participation(see Section VIIl). (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 Farm 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: f of Federal Funds or Lobbying a (1)To assist and cooperate actively with the State in obtaining The main Funds certifies,to the best of his or her the compliance of contractors and subcontractors with the equal approving authority opportunity clause and rules,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 R,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 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,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 Fo(m 140-039 4 Revised 8/95