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HomeMy WebLinkAbout111-96 - Res. Local Agency Agreement for Safety Hazard Elimination on Cloquallum Road RESOLUTION 11 -96 WHEREAS, in compliance with the terms and conditions set forth in Title 23, US Code of Highways; and, WHEREAS, a Local Agency Agreement between Mason County and the Washington State Department of Transportation for a Safety Hazard Elimination project on Cloquallum Road (Milepost 11.90 to Milepost 12.66), has been submitted to the Board of Mason County Commissioners for review and approval. 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. DATED this 24th day of September, 1996. BOARD OF COMMISSIONERS MASON COUNTY, WASHINGTON MARY�7 CADY, Chairp# /n S�6 WILLIAM O. HUNTER, Commissioner A/ M. L. FAUGIHENbER, Commissioner ATTEST: J" REBECCA S. ROGERS Clerk of the Board �P—PROVED AS TO FORM: A j� MICHAEL CLIFT Deputy Prosecuting Attorney Scv h:\wp\text\local-ag.agr Washington$fate Vs Department of Transportation Local Agency Agreement Mason County Agency Department of Public Works project No. Address P 0 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 Cloquallum (Rock Bluff) Length 0.76 mile Termini - M-P. 11 .90 to M=P= 12-66 Description of Work Realignment of this curve is necessary to eliminate the safety hazard. The proposed improvement would relax (from a 24' curve to an 8°curve) and relocate the curve north, in saddle of the rock bluff. This solution will improve sight distance by 100% and eliminate the embankment hazard. Road template will be constructed with 12 foot lanes, or more, and 5 foot shoulders. Estimate of Funding Type of Work Estimated Total Estimuted Estimated ProjectFunds AgencyFunds Federal Funds PE a. Agency work .........C.ompl.ete........... .....................-.Q................ .................-0.-_.........._ b. Other .................... ....................................... c. State services d. Total PE cost estimate(a+b+c) complete -0- -0- Right of Way e. Agency work .........c.Ompl.etl'........... .....................-.0-.............. .................-Q.-.............. f. Other ........... ........................................... ....................................... g. State services h. Total R/W cost estimate(e+f+g) com 1 ete -0- Construction i. Contract .........69.(1,.000.............. ...........590-1.0m.......... ...........1.0.0.1.0.0.0....... j. Other ........................................... k. Other .......... ........................................... ....................................... 1. Other ............................................ ........................................... ....................................... m.Total contract costs(i+j+k+l) 690,000 590,000 100,000 ConstrudionEngi,e mg n. Agency ............K. 000.............. ....... -0- .......50,000.......... ................. o. Other ...Q....................... ...:..............'�.-................. .... .............� -.............. p. State forces 5.000 _ 5,000 -0- q. Total construction engineering(n+o+p) 55,000 55,000 -0- r. Total construction cost Estimate(m+q) 745,000 1 645,000 100,000 s. Total cost estimate of the project (d+h+r) 745,000 645,000 100,000 '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 14% percent;however,it is understood that the rate may vary.The Local Aggency agrees that this agreement is entered into without relying upon any representation by the state made outside of this contract,or contained Mem,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 14o-039 Revised 8195 1 Construction Method of Financing fdtedc mrtW ilekda! 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 S per month for months Local Force or Local Ad and Award X K 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 proviskm set forth below.Adopted by official action OR September 24 i9 96, .Resolution/ordinance No. 111-96 Agency Official Washington State Department of Transportation By _� BY MA R Y C Y Assistant Secretary for rransAid Chal er n 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 wM Provisions When the State acts for and on behalf of the Agency,the State The Agency shall not incur any federal aid participation casts 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. 2 Preparation of tans,specifications,and estimates. When the State acts for the Agency but is not subject to the right reP p spec 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. Highway 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 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 Mast the minimum value%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 Ill. 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 State will furnish qualified personnel for the supervision and inspection of the work in progress.On Local VI. Payment and Partial Reimbu►sement 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 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 )vo)1,Title 23,United States Code,as amended,and Office of thereof.All casts related to this project incurred by employees of the Management and Budget circulars A-102 and A-128.The',late shall Stale in the customary manner on highway payrolls and vouchers shall not tw ultimately responsible for any of the costs of the project.The Iw 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 be ronsirued as a promise by the Statc All project records in support of all costs incurred and actual as to the amount or nature of federal participation in this project. ,-xpendilure•s kept by the Agency are to be maintained in accordance 1, Preliminary EnginecrinK,Right of Way Acquisition,and with prex odures prescribed by the Division of Municipal Corporations o Df the Stale Auditor's Office,the U.S. el,artment of Transportation, AuditGwfv and the Washington State ikpartnenl of Transportation.The records Folthe AKencv will pay for Age•nr,-all Ix-submitted mitt on the pn,jec,i shall be open to inspection by the I iate aml Federal Governmental all ill(,f anal inch j Hied bys,voucher•+shall Ix-submitted to the Slate in reasonable-limes and shall he retained and made available,for such the formal proscrihed at the Slate,in quadruplicate,not more•than inspection fora i-riod of not less than three years from the final one per month.The State will minohutse fho Agency top to the i 0 r 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 pro ly 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 property 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 Vlin. Administration.The Agency will not install or permit to be installed 2. ProjectConstruction 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 harms,demands,or suits,whether at law or brought against all incurred tundra the contract upon presentation of progress billings claithe Agency,State,or Federal Government,arising from the Aency'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 this agreement,or of any other agreement or contract connected with share the cost.When the project is substantially completed and final this agreement,or arising by reason of the participation of the State or actual mats of the project can be determined,the State will present the 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 Agency.'Ibis billing will be cleared by either a require the Agency to reimbursethe the State or Federal Government payment from the Agency to the State or by a refund from the State to for damages arising out of bodily injury to persons or damage to the Agency. property caused by or resulting from the sole negligence of the Method a The Agency's share Federal Government or the State. shall the total construction cost hl 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 hernias. fuel tax allotments The face of this agreement establishes the months in which the withholding shall take place and the exact amount to be XI. 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 Cb Tube n may submit vouchers to the State in the funds obtained from the Federal Government or borrowed on the Agency Y 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, 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 Government 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' Administration;memoranda of understanding between WSDOT and representative of the contractor's commitments under this Section FHWA;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. federal money in ineligible items of cost has occurred,the Agency shall (d)The contractor will comply with all provisions of Executive reimburse the State for the amount of such overpayment or excess Order 11246 of September 24,1965,and of the rules,regulations,and participation(see Section VIII). relevant orders of the Secretary of Labor. (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 Hiles, 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.Tern ination 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,wherever. 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 Hiles, 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 24,1%5,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 intents of the State. litigation to protect the interests of the United States. XIV.Venue for Ciahms 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 Re garding the Restrictions of the Use The Agency also agrees: (1)To assist and cooperate actively with the State in obtaining of ppi Fends for Lobbying approving the compliance of contractors and subcontractors with the equal The approving authority certifies,to the best of his or her 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 searing agency,a member of Congress,an officer or employee of Congress,or compliance. an employee of a member of Congress in connection with the p awarding of any federal contract,the making of any federal grant,the (c io refrain from entering into any contract or contrail making of any federal loan,the entering into of any cooperative modification subject to Executive r whoder,has n t September 24,1965, agreement,and the extension,continuation,renewal,amendment,or with a contractor debarred from,or who has not demonstrated 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 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 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 subrealpients 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 Rev,sed 8/95 Amillik � Washington State CIA Department of Transportation Federal Aidr ject Prospectus Prefix Route ( Date Federal Aid Local Agency Project Number STPH2O14 23AG Project Number CRP 1471 Agency Federal Program T'dle Mason County ❑ 20.204 ® 20.205 ❑ 20.206 ❑ 20.2os ❑ Other Project Title Clo uallum Rock Bluff Project Termini From To 11 .90 1 . 12.66 From: To: Length of Project Award Type MP 11 .9 12.66 .76 miles 0 Local ❑ Local Forces ❑ State ❑ Railroad Federal Agency City Number County Number County Name DOT Region ❑ FHWA ❑ Others N/A 23 Mason Olympic EIS CE EA Congressional District Legislative Districts Urban Area Number TMA/MPO/RTPO ❑ I [III ❑ It1 1 35 N/A N/A _ .: Total: Percent ...: ._._.Qblf atyo -= ......................se Estimated Cost Fpndin FederaCFuncls Federai Date (dearest14iiarj (Nearest[follar Nearest Dollar)= Funds- Montfr Y�r.... P.E. Completed -0- -0- -0- --- R1W --L-Qm.p 1 eted -0- -0- -0- --- Const. 745,000 645,000 100.000 13% 05-96 Total 45,000 645,000 100,000 Qscrrption aIf Existing Facility (Ex"istrn Clestgr and Prese Roadway Width Number of Lanes 22 2 This segment of the Cloquallum Road consists of 2-10 foot lanes with 1 oot s ou ers Vertical alighnment is nearly level . Horizontal alignment consists of a compound curve (240 at tightest radius) . This curve around the bluff is substandard; sight di - tance extends for only 100 feet. Posted advisory speed is 30 MPH (down from 45 MPH) . Existing pavement is in good condition. Accident rate on projects equal 11 .8 acciden s Description of.Propose'd Work ❑X New Construction El 3-R El 2-R Roadway Width 34 Number of Lanes 2" Road bed will be relocated. New geometry will include a 4 degree curve (vs. 24 degree existing) and improve sight distance. Safety improvements include widened shoulders and additional guardrail . Local Agency Contact Person Title hone Rich Geiger Project Engineer r360) 427-9670 Mailing Address City Zip Ce584 P.O. Box 1850 Shelton WA Location and Design Approval By (CA Agencies Only) Approving Authority Title Date DOT Form 140-009A Revised 2 Page 1 Of 3 198 g Agency Project Title Date j� Mason County Cloquallum Rock Bluff ..._:: ... ..._.: ::.....: :. : ... ..:: 1:..... ... .... .. ... ......... aa:..... ...... ' .:....... .::. Description Through Route Crossroad ❑Principal Arterial ❑Principal Arterial Federal ❑Urban ❑Minor Arterial ❑ Urban ❑Minor Arterial Functional ❑Collector ❑Collector Classification ElMajor Collector ElMajor Collector F—X1 Rural ®Minor Collector ❑ Rural ❑Minor Collector ❑Access Street/Road ❑Access Street/Road Terrain ❑Flat BRoll ❑Mountain ❑Flat ❑Roll ❑Mountain Posted Speed 45 - 30 Advisor N/A Design Speed 30 Existing ADT 610 Design Year ADT 1723 Design Year 2014 as per GMA Design Hourly Volume(DHV) 141 xp �nce:... .. ._......... .... ._..... Property Injury Accidents Fatal Accidents Total Number Year Damage Number of Number of Number of Number of Accidents Accidents Accidents Injuries Accidents Fatalities of 9/92 1 2 0 3 93 3 1 4 1 94 1 1 1 9 95 1 1 Total Number of A 4 d";J H Attributable to lack of Navin tFte Pro Deed lm ;roVement _ 2 3 7 Performance of Worl� .. . 9 Preliminary Engineering Will Be Performed By Others Agency Mason Count % 100 % Construction Will Be Performed By Contract Agency Mason County 100 % % Environmental Considerations A SEPA Checklist is expected to be performed and mitigations will be performed if necessary. ❑ Check if No R/W is acquired-(DOT Form 2624)60 and Endorsement must be on file with the CA Agency;refer to Chapter 25 LAG manual) Right of Way and Relocation Water Area Involvement DOT ' 2W Page 2 of 3 Agency Project Title Date Mason County Cloquallum Rock Bluff Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project The project is expected to need only minimal relocation of existing utilities. Any relocation of utilities are the responsibility of Mason County PUD #3, U.S. West Communications Telephone and Gig Harbor Telephone. FAA Involvement Is any airport located within 3.2 kilometers (2 miles) of the proposed project? ❑ Yes 9 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 September 24, 1996 By —(_ Chairperso BOARD OF ASON OUNTY COMMISSIONERS DOT Form 140-009A Revised 2M Page 3 of 3