HomeMy WebLinkAbout210610_V2aAuthorization Package Checklist
Agency:
Project Title:
Fed Aid/State Project #:
Funding Request PL PE RW CN
New Phase Authorization X
Local Region
Other: Included? Check Check
Project Prospectus Form# 140-101 Rev 04/2015
Are all three pages included?X
Does information (title, termini, description, RW needs, cost, etc.) agree with STIP/LAA/NEPA-CE? X
Is the project description written such that the project scope is clear to all?X
Are pages 1 and 3 signed?X
Is page 1 signed by a CA Agency? If not, indicate which Agency will serve as CA.X
CA Agency:X
Are the Latitude and Longitudes included and correct?X
Are Congressional and Legislative Districts filled out and correct?X
Project Zip Code includes the +4?X
Are estimated costs included for all phases of the project?X
Are the Functional Classification and Urban/Rural designation correct?X
Are the Right of Way, Utilities, and Railroad sections filled out?X
Typical Sections & Vicinity Map Prospectus Cont'd.
Are the Vicinity Map(s) and Roadway Section(s) included?X
Can someone unfamiliar with the project's location easily tell where it's located using the vicinity map?X
Are the project limits clearly marked on the map?X
Does the section include all elements, with dimensions, of the roadway prism?X
Are section changes, if applicable, throughout the project limits noted/displayed?X
STIP/Funding Documentation
Is the currently approved STIP page included?>30 Days old X
Does STIP information (termini, description, etc.) match the LAA and Prospectus? X
Are phases being authorized included in the STIP?X
Is funding from all requested programs shown in the STIP?X
Are the requested funds supported by the STIP?X
If funded through a HQ managed program (ex. Bridge, Demo), is the award letter included?NA
IF State funds are used is there a quarterly expendature chart included ?
Local Agency Agreement LA form# 140-039, Supp form# 140-041, State form#140-087, State Supp form# 140-087a
Is at least one LAA or LAA supplement with an original signature included?X
Current form used? (check revision date at bottom left) LA 03/19 Supp 03/19 State 03/18 State Supp 03/16 X
All pages of Agreement included?LA - 5 pages, Supp - 2 pages, State - 2 pages, State Supp 1 - page X
Project #Local Agency Agreement #
Supplement #Date of Orignal Agreement execution
Does project information (title, termini, length, description, etc.) agree with STIP/Prospectus/NEPA-CE? X
Is the reason for supplement accurate and up to date?NA
Is the Project Agreement End Date (month, day, and year) included? Does it follow LAG guidance?X
When not authorizing a new phase, is the end date the same as shown on the previous agreement?NA
If not, is adequate justification (see LAG 22.3) included to support changing the end date?
Is the Advertisement Date (month, day, and year) included? Is it within 6 weeks of estimated CN authorization?
If the indirect cost rate box is checked 'Yes', is the rate provided in the funding package?
If being claimed, note the Indirect Cost Rate in SPORT in the FAPA statement.
If corrections made, are they initialed? If made by WSDOT is permission from Agency provided?
Are funding amounts calculated correctly?X
6th Street Preservation - Phase 3
City of Bremerton
By Phase (check all that apply)
Increase/Decrease
Are the Agency information, Project #, LAA #, Supplement #, & date of original agreement execution correct?
Bremerton
Project Package Checklist April 2019 1 of 3
Authorization Package Checklist
Agency:
Project Title:
Fed Aid/State Project #:
Funding Request PL PE RW CN
New Phase Authorization X
Local Region
Other: Included? Check Check
6th Street Preservation - Phase 3
City of Bremerton
By Phase (check all that apply)
Increase/Decrease
Are the federal aid participation ratios correct, and are the requested federal amounts being maximized?X
Project Package Checklist April 2019 2 of 3
Authorization Package Checklist
Agency:
Project Title:
Fed Aid/State Project #:
Funding Request PL PE RW CN
New Phase Authorization X
Local Region
Other: Included? Check Check
6th Street Preservation - Phase 3
City of Bremerton
By Phase (check all that apply)
Increase/Decrease
Documented Cost Estimate
Is a Documented Cost Estimate included for each phase requesting/changing funds?X
Are total dollars on the LAA supported by the phase estimates?X
Does the estimate sufficiently demonstrate how the costs were determined? X
If historical percentages are used for PE/CE estimates, are the percentages reasonable and supported?
Right of Way
If authorizing RW, is a PFE or true cost estimate included?N/A
If Relocation is marked on Prospectus is Relocation Plan included?
Does the PFE/true cost estimate follow the formats as shown in LAG appendices 25.172 or 25.173?
Does the PFE/true cost estimate support RW amounts shown on the LAA?
If authorizing RW and Relocation is required, is the signature page of the approved Relocation Plan included?
If authorizing CN, is the HQ approved RW Certification included?
Environmental Documents - NEPA
Is an approved NEPA package (at least signature page) included?N/A
Does the description of work match the Prospectus/LAA/STIP?
Is the footprint of the project within the limits of the NEPA approval?
Do the NEPA-CE Part 3 RW responses agree with the STIP and Prospectus?
Is the approval date within the last 3 years?
If approval is older than 3 years, has the approval been re-evaluated by the Environmental group?
DBE Goals
If the submittal is for CN, is the DBE goal letter/e-mail included, or are the goals in SPORT?X
If construction by Local Forces, is the approved PIF included or noted in SPORT?N/A
PROJECT NOTES (Provide additional information or explanation as necessary)
Project Package Checklist April 2019 3 of 3
86.5
X
Independent Estimate For Consultant Services Worksheet
Agency:
Date:
Comments
N/A
Indirect Cost Rate Cost (in percent)170.00%$131,325.00
Fix Fee (in percent)20.00%$15,450.00
Reimbursable
A. Travel and Per Diem $1,000.00
B. Reproduction Expenses $500.00
C. Computer Expense $0.00
D. Communication $0.00
E. Sampling and Testing $0.00
F. Outside Consultants $0.00
G. Other
Total:$1,500.00
Sub-Total $225,525.00
*Contingencies $22,553 *Contingencies $22,553
* Use only on Cost plus Fix Fee agreement Grand Total $248,078
Prepared By:Chris Dimmitt, P.E.4/20/21
City of Bremerton Federal Project No.:Not Yet Assigned
Project Name:6th Street Preservation - Naval to Warren
Type of Services Estimated Cost
Planning $0.00
Surveying $10,000.00
Project Management $15,000.00
Geotechnical Engineering $7,000.00
Geometrics / Hydraulics Engineering $5,000.00
Structural Engineering $0.00
Traffic Engineering $39,000.00
Environmental & permitting $500.00
Public Involvement $750.00
Real Estates Services $0.00
Architectural Services $0.00
Mechanical / Electrical Engineering $0.00
Construction Management $0.00
Total $77,250.00
By:Checked By:Shane Weber Revised By:
Date:03/18/21 Date:03/19/21 Date
ITEM SPEC
NO.SECTION DESCRIPTION QTY UNIT UNIT PRICE TOTAL COST
SCHEDULE A
1 1-07 SPCC Plan 1 LS $2,500.00 $2,500
2 1-05 ADA Surveying 1 LS $15,000.00 $15,000
3 1-10 Project Temporary Traffic Control 1 LS $40,000.00 $40,000
4 2-02 Removal of Structure and Obstruction 1 LS $20,000.00 $20,000
5 2-02 Removing Cement Conc. Sidewalk 400 SY $25.00 $10,000
6 2-02 Removing Cement Conc. Curb and Gutter 600 LF $9.00 $5,400
7 2-03 Roadway Excavation Incl. Haul 100 CY $27.00 $2,700
8 5-04 HMA CL 1/2 In. PG 58H-22 1,917 Ton $95.00 $182,070
9 5-04 Planing Bituminous Pavement 16,828 SY $3.00 $50,484
10 7-05 Adjust Manhole 20 Each $450.00 $9,000
11 7-05 Replace Catch Basin Frame and Grate 20 Each $450.00 $9,000
12 7-05 Replace Catch Basin Type 1 4 Each $1,500.00 $6,000
13 8-01 Erosion/Water Pollution Control 1 LS $5,000.00 $5,000
14 8-01 Inlet Protection 33 Each $100.00 $3,300
15 8-14 Cement Conc. Curb Ramp Type Parallel A 26 Each $7,500 $195,000
16 8-21 Permanent Signing 1 LS $10,000.00 $10,000
17 8-22 Plastic Traffic Arrow 12 Each $150.00 $1,800
18 8-22 Plastic Crosswalk Line 2,300 SF $13.00 $29,900
19 8-22 Removing Traffic Markings 1 LS $5,000.00 $5,000
20 8-22 Traffic Signal at Veneta 1 Each $300,000.00 $300,000
21 8-22 12 In. White Plastic Stop Bar 265 LF $20.00 $5,300
22 8-22 New RPM Type 1 (Double Centerline)1,886 Each $5.65 $10,655
23 8-22 New RPM Type 2 New Installation (Double Centerline)539 Each $5.65 $3,044
24 8-22 New RPM Type 1 (Skip Line)815 Each $5.65 $4,603
25 8-22 New RPM Type 2 New Installation (Skip Line)272 Each $5.65 $1,534
26 9-33 Geogrid Pavement Reinforcement 16,828 SY $11.00 $185,108
27 Miscellaneous Item Allowance (20%)1 LS $222,479.85 $222,480
$1,334,879
Mobilization (8%)$106,790
Subtotal 1 $1,441,669
Sales Tax (0%)$0
Subtotal 2 $1,441,669
Constr. Eng (12% of Subtotal 2)$173,000
Change Order (4% of Subtotal 2)$57,667
Construction Total $1,672,337
Preliminary Engineering $303,031
Right of Way $0
TOTAL $1,975,368
TOTAL ESCALATED TO FOR 2024 CN Costs $2,170,000
Preliminary Cost Estimate
Project No.Date
233-01896 -8BQ March 20th, 2021
CONSTRUCTION SUBTOTAL
Location
Bremerton, WA
Owner
City of Bremerton
Project Name
6th Street Pavement Preservation (Warren Ave to Naval Ave)
Chris Dimmitt
- (historical average for PE on like projects in Bremerton)