HomeMy WebLinkAbout9232 DocuSign Envelope ID:13C27AF1-4087-4AAF-87C5-1D6B53D29C89
Local Programs Authorization Package Checklist
Agency: City of Bremerton
Project Title: Naval Avenue Bicycle and Pedestrian Enhancements Project-1st Street to 15th Street
Fed Aid/State Project#: TBD
By Phase(check all that apply)
Funding Request PL* PE** RW CN Non-Funding Request
New Phase Authorization MMEIMM
Phase Modification MMMM
*PL-Planning. Used for stand-alone planning and study projects.
**PE-Preliminary Engineering. This is the full design phase of a construction project. Once PE is authorized, Region HQ
the construction phase must be completed,or all federal expenditures must be repaid. Agency Check Check
1 it el =h 1 Li,< `e 1 X M M
In addition to this checklist,all Region submittals must utilize the standard Region IDC,memo,or cover letter. X n
If authorizing a subsequent phase on an existing project,has at least one bill for the prior phase been fully NA
processed by Local Programs(Posted date is present in SPORT)? If not,supplement cant be processed.
Has the scope changed(description of work,limits,staging,RW needs,etc.)since previous submittal? NA
I II= d o [di '( ft1,1 111 / G C`1.11I- El El El
Are all three pages of the current form included? X = n
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 an average person? X
Are pages 1 and 3 signec X
If the LPE or another agency is acting as CA,enter CA agency name below and include copy of CA agreement(PAA,etc). X
CA Agency: City of Bremerton
Are the Latitude and Longitudes(decimal format preferred)included and correct? X
Are Congressional and Legislative Districts included and correct? X
Project Zip Code includes the+ ! X
Are estimated costs included for all phases of the project? X = n
Are the Functional Classification and Urban/Rural designation correct? X
Are the Right of Way,Utilities,and Railroad sections filled out? X
When necessary,are the Vicinity Map(s)and Roadway Section(s)included? X
Can someone a 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 dimensionofthe roadway prism? X
Are section changes,if applicable,throughout the project limits noted/displayed? X
STIP/Funding Documentation-LAG Chapter 12 —M—M EX CI CI
i
Is the currently approved STIP page included? X
s STIP information(termini,description,etc.)match the LAA and Prospectus? X
Is the phase being authorized(or a later phase)programmed in the STIP? X
Is funding from all requested programs shown in X
Are the requested funds supported by the STIP? X
If funded through a HQ managed program(ex.Bridge,HSIP),is the award letter included when these NA
first obligated?
If funded through a HQ managed program,does the submitted scope match the project summary scope? NA
Loca Agency Agreement(DOT Forms 140-039 4 22&140-041 4 Chapt
er 22 EX El El
State Funded Local Agency Agreement(DOT forms 140-087 6/22 140-087A 6/22)
Is at least one LAA or LAA supplement,with an original signature,included?(Do NOT fill in Date Executed) X
Current form used?(check revision date at bottom left) X
All pages of Agreement included? X
Are the Agency information,Project#,LAA#,Supplement#,and date of original agreement execution correct? X
Does project information(title,termini,length,description,etc.)agree with STIP/Prospectus/NEPA-CE? X
HQ
Authorization Package Checklist WSDOT/Loca I Programs 1 of 2
DocuSign Envelope ID:13C27AF1-4087-4AAF-87C5-1D6B53D29C89
Local Programs Authorization Package Checklist
Check
Local Agency Agreement(DOT Forms 140-039&140-041 4/22)-LAG Chapter 22[CONT.]
State Funded Local Agency Agreement(DOT forms 140-087 6/22&140-087A "7`I X
Is the reason for supplement accurate and up to date? l X In In
Is the Project Agreement End Date(month,day,and year)included? Does it follow LAG guidance? X In In
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? NA
Is the Advertisement Date(month,day,and year)included?Is it within 6 weeks of estimated CN authorization? NA
If the ICR box is checked'Yes',is the agency's current approved/self-certifed rate documentation provided? NA
Must clearly show a single rate to be used,timeframe it covers,&actual signature of approval.
If corrections made,are they initialed?If made by WSDOT is permission from Agency provided? NA
Are all federal aid participation ratios being used listed? X In In
If de-obligating funds on any line,does it reduce obligation below expenditures? NA
Are amounts calculated correctly and shown in the correct columns?Amounts must be rounded to whole dollars. X LJ
Documentedto-LA an ppendix 22.5 CI El El
Is a Documented Cost Estimate included for each phase requesting/changing funds? X In In
Are total dollars on the LAA supported by the phase estimates? X 0
Does the estimate sufficiently demonstrate how the costs were determined? X In In
El El
If authorizing RW,is a true cost estimate summary sheet included? X In In
Does the trcost estimate summary sheet support RW amounts shown on the LAA? X In In
If authorizing RW and Relocation is required,is the signature page of the approved Relocation Plan included? X In In
If authorizing CN,is the Local Programs approved RW Certification included? NA 0 0
If RW acquired under the Government Acquisitions Provision,is approval documentation included? NA
tal Documentation/Approval(NEPA)- c
Is an approved NEPA package(at least signature page)included? X n
Does the description of work match the Prospectus/LAA/STIP? X In in
Is the footprint of the project within the limits of the NEPA approval? X In In
Do the NEPA-CE Part 3 RW responses agree with the STIP and Prospectus? X In In
Is the approval date within the last 3 years? X In In
Ilikproval is older than 3 years,has the approval been re-evaluated by the environmental engineer? NA
DBE GoRILAGIEKapterAG Chapter - LA, ha071E) cX EJ
If using a fed funding for a consultant in any phase,is the DBE goal letter/email included,or are the goals in SPORT? X In In
If authorizing construction,is the DBE goal letter/e-mail included,or are the goals in SPORT? NA
If construction includes a tied bid project,is the approved PIF included or noted in SPORT? NA
If construction by Local Forces,is the approved PIF included or noted in SPORT? NA
PROJECT NOTES(Provide additional information or explanation as necessary)
Authorization Package Checklist WSDOT/Local Programs 2 of 2
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
Washington State Local Agency Federal Aid
WA; Department of Transportation
Project Prospectus
Prefix Route ( ) Date 4/19/24
Federal Aid DUNS Number 55684970
Project Number
Local Agency 315028 WSDOT Federal Employer 91-6001231
Project Number Use Only Tax ID Number
Agency CA Agency Federal Program Title
City of Bremerton ✓ Yes ❑ No EI 20.205 ❑ Other
Project Title Start Latitude N 47.563734 Start Longitude W-122.646324
Naval Ave: 1st St- 15th St Pedestrian & Bicycle End Latitude N 47.574629 End Longitude W-122.646317
Project Termini From-To Nearest City Name Project Zip Code(+4)
1st Street 15th Street Bremerton 98337-1086
Begin Mile Post End Mile Post Length of Project Award Type
0.76 Miles El Local El Local Forces❑State El Railroad
Route ID Begin Mile Point End Mile Point City Number County Number County Name
NA NA NA 0115 18 Kitsap
WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number
Olympic Region 26 6
Total Local Agency Phase Start
Federal Funds
Phase Estimated Cost Funding Date
(Nearest Hundred Dollar) (Nearest Hundred Dollar) (Nearest Hundred Dollar) Month Year
P.E.
R/W $3,056,100 $556,500 $2,499,600 September 2024
Const.
Total
Description of Existing Facility (Existing Design and Present Condition)
Roadway Width Number of Lanes
Varies 24' to 52' Varies 2 to 5
See Attached
Description of Proposed Work
Description of Proposed Work(Attach additional sheet(s)if necessary)
See Attached
Local Agency Contact Person Title Phone
Shane Weber, P.E. Managing Engineer 360-473-2354
Mailing Address City State Zip Code
345 6th St, Suite 100 oocusigned by: Bremerton WA 98337
By BAF46UY EBE747B...
Project Prospectus Approving Authority
Title Mayor, City of Bremerton Date7/9/2024
DOT Form 140-101 Page 1
Revised 01/2022 Previous Editions Obsolete
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
Agency Project Title Date
City of Bremerton Naval Ave: 1st St- 15th St Pedestrian & Bic 4/19/24
Type of Proposed Work
Project Type(Check all that Apply) Roadway Width Number of Lanes
D New Construction D Path /Trail ❑3-R Varies 24' to 52' Varies 2 to 5
✓ Reconstruction ✓ Pedestrian / Facilities ❑2-R
❑ Railroad ❑ Parking ❑Other
❑ Bridge
Geometric Design Data
Description Through Route Crossroad
❑ Principal Arterial it Principal Arterial
✓Federal Urban Minor Arterial
Urban Minor Arterial
✓ ✓
Functional ❑ Rural El Collector ❑ Rural El Collector
Classification ❑ NHS Major Collector ❑ NHS El Major Collector
❑ Minor Collector ❑ Minor Collector
❑ Local Access ❑ Local Access
Terrain ✓ Flat ❑ Roll ❑ Mountain ❑ Flat ✓ Roll ❑ Mountain
Posted Speed 25 MPH 25 MPH
Design Speed 25 MPH 25 MPH
Existing ADT 3,160 20,000
Design Year ADT N/A N/A
Design Year N/A N/A
Design Hourly Volume (DHV) N/A N/A
Performance of Work
Preliminary Engineering Will Be Performed By Others Agency
Consultant 100
Construction Will Be Performed By Contract Agency
Contractor 100
Environmental Classification
❑Class I - Environmental Impact Statement (EIS) ✓ Class II - Categorically Excluded (CE)
❑ Project Involves NEPA/SEPA Section 404 ❑ Projects Requiring Documentation
Interagency Agreement (Documented CE)
❑Class III - Environmental Assessment (EA)
❑ Project Involves NEPA/SEPA Section 404
Interagency Agreements
Environmental Considerations
DOT Form 140-101 Page 2
Revised 01/2022 Previous Editions Obsolete
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
Agency Project Title Date
City of Bremerton Naval Ave: 1st St- 15th St Pedestrian & Bic, 4/19/24
Right of Way
EI No Right of Way Needed ✓ Right of Way Needed
*All construction required by the ❑ No Relocation ✓ Relocation Required
contract can be accomplished
within the existing right of way.
Utilities Railroad
✓ No utility work required ✓ No railroad work required
❑All utility work will be completed prior to the start ❑All railroad work will be completed prior to the start of
of the construction contract the construction contract
LIAII utility work will be completed in coordination LIAII the railroad work will be completed in coordination
with the construction contract with the construction contract
Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project
N/A
FAA Involvement
Is any airport located within 3.2 kilometers (2 miles) of the proposed project? ❑Yes EI No
Remarks
N/A
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 City of Bremerton DocuSigned by:
By U
Date 7/9/2024 E -4 B..
MaF4yoriairperson
DOT Form 140-101 Page 3
Revised 01/2022 Previous Editions Obsolete
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
Description of Existing Facility
Today, Naval Ave is a centrally located, 5-lane minor arterial (1st St to 11th), that serves under
10,000 vehicles per day.This corridor section has obstructed and deficient sidewalk widths that do not
meet ADA compliance. In addition, these sidewalk widths do not meet existing or forecasted higher
pedestrian demand.The level of traffic stress for bicycles on this roadway with vehicle speeds at 35
MPH and sharing a lane with traffic is very high. The roadway surface has an average PCI of 44 which
does not provide a smooth riding surface for bicyclists or for vehicles.
Description of Proposed Work:
The project will reconfigure the existing roadway cross section, by repurposing the outside
travel lanes for bike lanes and wider sidewalks and remove barriers to walking and cycling for all non-
motorized users throughout the corridor. The project includes installation of bike lanes, bike boxes, bike
detection, curb bulb-outs, and pedestrian/bicycle wayfinding signage.The roadway reconfiguration will
include stormwater improvements, and signal improvements to accommodate all non-motorized
phases. The pavement resurfacing and striping contributes rideability and visibility improvements for
both non-motorized travel and vehicular travel. The current scope includes obtaining additional ROW
from 1st St to 15th St. with TAP funds. These funds will be utilized to acquire the right-of-way needed to
accommodate new bike lanes and wider sidewalks; with all other components to be funded by
local/other sources.
DocuSign Envelope ID:13C27AF1-4087-4AAF-87C5-1D6B53D29C89
SEGMENT 1 SEGMENT 2 SEGMENT 3
__
PROJECTit".
LOCATION III
NAVAL AVENUE
0LI
M 00
m C
0 M 4 C7 CI V Co 0 0 s w
A M m 2 2 I I I I 2 I I
CA 'c r N N N N N CA N N w UI
—I
r —I —I —I —I —I —I —I —I A A
I
a Cl) N
i
CONSTRUCTION N
R/W VARIES VARIES R/W
SHARED—USE PATH TRAVEL LANE TWO—WAY LEFT TURN LANE TRAVEL LANE r SIDEWALK 3
SECTION MAP
' — 1"=300'
SEGMENT 1 -TYPICAL SECTION
BETWEEN 1ST STREET AND GREGORY WAY-LOOKING NORTH
CONSTRUCTION
R/W VARIES VARIES R/W - 7
SIDEWALK .. -.BIKE LANE—. TRAVEL LANE �r LEFT TURN POCKET .—+ TRAVEL LANE .--.BIKE LANE + SIDEWALK ANGELES D W o z
OR
TWO—WAY LEFT TURN EVER TT
PROJECT
111 (ilk-
LOCATION �� *'
SEGMENT 2 -TYPICAL SECTION
i :REM RT ` T LE
os ,�/1 f..o� l
BETWEEN GREGORY WAY AND 11TH STREET SHELTON. Q( 00 form dm'
CONSTRUCTION _ABERDEEN TAC�
b
R/W c. R/W '
u
1-6>,,,___
VARIES VARIES r `
o_
z
SIDEWALK BIKE LANE TRAVEL LANE TRAVEL LANE BIKE LANE SIDEWALK CENTRALIA
CHEHALIS
�,rf .-----
IMMIIMEMM -MINI sal 1C,
1----.
N I
KELSO
SEGMENT 3-TYPICAL SECTION VICINITY MAP
I BETWEEN 11TH STREET AND 15TH STREET
N.T.S.
Nil REVISIONS o " �" CITY OF BREMERTON
qN� l Olt NAVAL AVENUE: 1ST STREET TO 15TH STREET SHEET
2
TNO INCHES AT FULL SCALE DEPARTMENT OF PUBLIC WORKS & UTILITIES PEDESTRIAN & BICYCLE ENHANCEMENT
IF NOT SCALE ACCORDINGLY ENGINEERING DIVISION =
90% SECTION MAP of
SCALE ovaing
�! !NMI % T IIMK =BM ID IIMINX a 01
HORIz. I VERT. WIN.REK PL` ♦ as
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
Washington State S. T. I. P.
2024 to 2027
(Project Funds to Nearest Dollar)
MPO/RTPO: PSRC Y Inside N Outside June 5, 2024
County: Kitsap
Agency: Bremerton
Total
Project Total Est. STIP
Func Project Imp Length Environmental RW Begin End Cost of Amend.
Cls Number PIN STIP ID Type Type Required Termini Termini Project No.
04 BRE-29 28 0.760 CE Yes 1st Street/Naval Base Kitsap 15th Street 10,190,600
Naval Avenue: 1st Street to 15th Street Pedestrian &Bicycle Enhancement
The project will reconfigure the existing roadway cross section,repurpose the outside lanes to provide bike lanes and wider sidewalks,and
remove barriers to walking and cycling for all users throughout the corridor.Work includes installation of bike lanes, bike boxes and bike
detection,curb bulbs,and pedestrian/bicycle way-finding signage. The project will include storm drainage improvements, signal improvements to
accommodate non-motorized phases,and pavement resurfacing and striping to support these improvements.The current scope includes Phase
1 of ROW from 1st St to 11th St. Phase 2 of ROW from 11th St to 15th St.TA funds will be applied to acquire right-of-way needed to
accommodate the new bike lanes and wider sidewalks; all other project components will be funded by local/other sources.
Funding
Federal Funds
Phase Start Date Federal Fund Code State Fund Code State Funds Local Funds Total
RW 2024 TA(UM) 2,499,600 0 390,400 2,890,000
Project Totals 2,499,600 0 390,400 2,890,000
Expenditure Schedule
Phase 1st 2nd 3rd 4th 5th&6th
ALL 2,890,000 0 0 0 0
Totals 2,890,000 0 0 0 0
Page 1
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1D6B53D29C89
1171 Washington State
1// Department of Transportation Local Agency Agreement
Agency City of Bremerton CFDA No.20.205-Highway Planning and Construction
(Catalog of Federal Domestic Assistance)
Address 345 6th St, Suite 100
Project No. TAP-6633(003)
Bremerton,WA 98337-1891
Agreement No. LA10997
For 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)2 CFR Part 200, (4)2 CFR Part 180—certifying that the local agency Is not
excluded from receiving Federal funds by a Federal suspension or debarment, (5)the policies and procedures promulgated by the
Washington State Department of Transportation,and(6)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 r,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 Naval Ave-1st Street to 15th Street Pedestrian and Bicycle Enhancement Project. Length 0.76
Termini 1st Street to 15th Street
Description of Work
See attached.
Project Agreement End Date 12/31/2031 Claiming Indirect Cost Rate
Proposed Advertisement Date I Yes ✓ No
Estimate of Funding
(1) (2) (3)
Type of Work
Estimated Total Estimated Agency Estimated Federal
Project Funds Funds Funds
PE a.Agency
b.Other
Federal Aid c,Other
Participation d.State Services
Ratio for PE 0.00 0.00 0.00
e.Total PE Cost Estimate(a+b+c+d)
Right of Way f.Agency 1,781,089.00 240,447.00 1,540,642.00
86.5 %g Other Consultant 1,103,622.00 148,989.00 954,633.00
Federal Aid h.Other Eligible non-funded 166,322.00 166,322.00 0.00
Participation
Ratio for RW i.State Services 5,000.00 675.00 4,325.00
j,Total RIWCost Estimate(f+a+h+i) 3,056,033.00 556,433.00 2,499,600.00
Construction k.Contract
I.Other
m.Other
Federal Aid n.Other
Participation o.Agency
Ratio for CN
p.State Services
a.Total CN Cost Estimate(k+i+m+n+o+o) 0.00 0.00 0.00
r.Total Project Cost Est rtate4e ea b : 3,056,033.00 556,433.00 2,499,600.00
Agency Official ,J.�tieo6 Qv,, Washington State Department of Transportation
Greg wheeler
By L--6046095E8E747B_ By rams Stephanie
Title Mayor City of Bremerton Director, Local Pro Digitally u°nid OySlePnanle Tax
7/9/2024 g Tax Dale:2074 GA 16000Y4f P7'00'
Agency Date Date Executed
DOT Form 140-039 Page 1
Revised 04/2022
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1D6B53D29C89
Construction Method of Financing (Check Method Selected)
State Ad and Award
Method A-Advance Payment-Agency Share of total construction cost (based on contract award)
Method B -Withhold from gas tax the Agency's share of total construction coast (line 5, column 2) in
the amount of
$ at$ per month for months.
Local Force or Local Ad and Award
,/ 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
, Resolution/Ordinance No.
Provisions
I.Scope of Work
The Agency shall provide all the work, labor, materials,and services necessary to perform the project which is described and set
forth in detail in the"Project Description"and"Type of Work."
When the State acts for and on behalf of the Agency,the State shall be deemed an agent of the Agency and shall perform the
services described and indicated in"Type of Work"on the face of this agreement, in accordance with plans and specifications as
• proposed by the Agency and approved by the State and the Federal Highway Administration.
When the State acts for the Agency but is not subject to the right of control by the Agency,the State shall have the right to perform
the work subject to the ordinary procedures of the State and Federal Highway Administration.
II. Delegation of Authority
The State is willing to fulfill the responsibilities to the Federal Government by the administration of this project.The Agency agrees
that the State shall have the full authority to carry out this administration.The State shall review, process,and approve documents
required for federal aid reimbursement in accordance with federal requirements. If the State advertises and awards the contract,the
State will further act for the Agency in all matters concerning the project as requested by the Agency. If the Local Agency advertises and
awards the project,the State shall review the work to ensure conformity with the approved plans and specifications.
Ill. Project Administration
Certain types of work and services shall be provided by the State on this project as requested by the Agency and described in the
Type of Work above. In addition,the State will furnish qualified personnel for the supervision and inspection of the work in progress. On
Local Agency advertised and awarded projects,the supervision and inspection shall be limited to ensuring all work is in conformance
with approved plans, specifications,and federal aid requirements.The salary of such engineer or other supervisor and all other salaries
and costs incurred by State forces upon the project will be considered a cost thereof.All costs related to this project incurred by
employees of the State in the customary manner on highway payrolls and vouchers shall be charged as costs of the project.
IV.Availability of Records
All project records in support of all costs incurred and actual expenditures kept by the Agency are to be maintained in accordance
with local government accounting procedures prescribed by the Washington State Auditor's Office,the U.S. Department of
Transportation,and the Washington State Department of Transportation.The records shall be open to inspection by the State and
Federal Government at all reasonable times and shall be retained and made available for such inspection for a period of not less than
three years from the final payment of any federal aid funds to the Agency.Copies of said records shall be furnished to the State and/or
Federal Government upon request.
V.Compliance with Provisions
The Agency shall not incur any federal aid participation costs on any classification of work on this project until authorized in writing
by the State for each classification.The classifications of work for projects are:
1.Preliminary engineering.
2.Right of way acquisition.
3.Project construction.
Once written authorization is given,the Agency agrees to show continuous progress through monthly billings. Failure to show
continuous progress may result the Agency's project becoming inactive, as described in 23 CFR 630, and subject to de-obligation of
federal aid funds and/or agreement closure.
If right of way acquisition,or actual construction of the road for which preliminary engineering is undertaken is not started by the
close of the tenth fiscal year following the fiscal year in which preliminary engineering phase was authorized,the Agency will repay to
the State the sum or sums of federal funds paid to the Agency under the terms of this agreement(see Section IX).
If actual construction of the road for which right of way has been purchased is not started by the close of the tenth fiscal year
following the fiscal year in which the right of way phase was authorized,the Agency will repay to the State the sum or sums of federal
DOT Form 140-039 Page 2
Revised 04/2022
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
funds paid to the Agency under the terms of this agreement(see Section IX).
The Agency agrees that all stages of construction necessary to provide the initially planned complete facility within the limits of this
project will conform to at least the minimum values set by approved statewide design standards applicable to this class of highways,
even though such additional work is financed without federal aid participation.
The Agency agrees that on federal aid highway construction projects,the current federal aid regulations which apply to liquidated
damages relative to the basis of federal participation in the project cost shall be applicable in the event the contractor fails to complete
the contract within the contract time.
VI. Payment and Partial Reimbursement
The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid by the Agency
and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation Act,as amended,2 CFR Part
200.The State shall not be ultimately responsible for any of the costs of the project.The Agency shall be ultimately responsible for all
costs associated with the project which are not reimbursed by the Federal Government. Nothing in this agreement shall be construed as
a promise by the State as to the amount or nature of federal participation in this project.
The Agency shall bill the state for federal aid project costs incurred in conformity with applicable federal and state laws.The agency
shall minimize the time elapsed between receipt of federal aid funds and subsequent payment of incurred costs. Expenditures by the
Local Agency for maintenance,general administration,supervision, and other overhead shall not be eligible for federal participation
unless a current indirect cost plan has been prepared in accordance with the regulations outlined in 2 CFR Part 200-Uniform Admin
Requirements,Cost Principles and Audit Requirements for Federal Awards, and retained for audit.
The State will pay for State incurred costs on the project. Following payment,the State shall bill the Federal Government for
reimbursement of those costs eligible for federal participation to the extent that such costs are attributable and properly allocable to
this project.The State shall bill the Agency for that portion of State costs which were not reimbursed by the Federal Government(see
Section IX).
1. Project Construction Costs
Project construction financing will be accomplished by one of the three methods as indicated in this agreement.
Method A—The Agency will place with the State,within (20)days after the execution of the construction contract, an advance in the
amount of the Agency's share of the total construction cost based on the contract award.The State will notify the Agency of the exact
amount to be deposited with the State.The State will pay all costs incurred under the contract upon presentation of progress billings
from the contractor. Following such payments,the State will submit a billing to the Federal Government for the federal aid participation
share of the cost.When the project is substantially completed and final actual costs of the project can be determined,the State will
present the Agency with a final billing showing the amount due the State or the amount due the Agency.This billing will be cleared by
either a payment from the Agency to the State or by a refund from the State to the Agency.
Method B—The Agency's share of the total construction cost as shown on the face of this agreement shall be withheld from its
monthly fuel tax allotments.The face of this agreement establishes the months in which the withholding shall take place and the exact
amount to be withheld each month.The extent of withholding will be confirmed by letter from the State at the time of contract award.
Upon receipt of progress billings from the contractor,the State will submit such billings to the Federal Government for payment of its
participating portion of such billings.
Method C—The Agency may submit vouchers to the State in the format prescribed by the State, in duplicate, not more than once
per month for those costs eligible for Federal participation to the extent that such costs are directly attributable and properly allocable
to this project. Expenditures by the Local Agency for maintenance, general administration,supervision,and other overhead shall not be
eligible for Federal participation unless claimed under a previously approved indirect cost plan.
The State shall reimburse the Agency for the Federal share of eligible project costs up to the amount shown on the face of this
agreement.At the time of audit,the Agency will provide documentation of all costs incurred on the project.The State shall bill the
Agency for all costs incurred by the State relative to the project.The State shall also bill the Agency for the federal funds paid by the
State to the Agency for project costs which are subsequently determined to be ineligible for federal participation (see Section IX).
VII.Audit of Federal Consultant Contracts
The Agency,if services of a consultant are required, shall be responsible for audit of the consultant's records to determine eligible
federal aid costs on the project.The report of said audit shall be in the Agency's files and made available to the State and the Federal
Government.
An audit shall be conducted by the WSDOT Internal Audit Office in accordance with generally accepted governmental auditing
standards as issued by the United States General Accounting Office by the Comptroller General of the United States;WSDOT Manual
M 27-50, Consultant Authorization, Selection, and Agreement Administration; memoranda of understanding between WSDOT and
FHWA; and 2 CFR Part 200.501 -Audit Requirements.
If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occurred,the Agency shall
reimburse the State for the amount of such overpayment or excess participation(see Section IX).
VIII.Single Audit Act
The Agency,as a subrecipient of federal funds,shall adhere to the federal regulations outlined in 2 CFR Part 200.501 as well as all
applicable federal and state statutes and regulations.A subrecipient who expends$750,000 or more in federal awards from all sources
during a given fiscal year shall have a single or program-specific audit performed for that year in accordance with the provisions of 2
CFR Part 200.501. Upon conclusion of the audit,the Agency shall be responsible for ensuring that a copy of the report is transmitted
DOT Form 140-039 Page 3
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promptly to the State.
IX. Payment of Billing
The Agency agrees that if payment or arrangement for payment of any of the State's billing relative to the project(e.g., State force
work, project cancellation,overpayment, cost ineligible for federal participation, etc.)is not made to the State within 45 days after
the Agency has been billed,the State shall effect reimbursement of the total sum due from the regular monthly fuel tax allotments to
the Agency from the Motor Vehicle Fund. No additional Federal project funding will be approved until full payment is received unless
otherwise directed by the Director, Local Programs.
Project Agreement End Date-This date is based on your projects Period of Performance(2 CFR Part 200.309).
Any costs incurred after the Project Agreement End Date are NOT eligible for federal reimbursement.All eligible costs incurred prior
to the Project Agreement End Date must be submitted for reimbursement within 60 days after the Project Agreement End Date or they
become ineligible for federal reimbursement.
X.Traffic Control,Signing, Marking,and Roadway Maintenance
The Agency will not permit any changes to be made in the provisions for parking regulations and traffic control on this project
without prior approval of the State and Federal Highway Administration.The Agency will not install or permit to be installed any signs,
signals,or markings not in conformance with the standards approved by the Federal Highway Administration and MUTCD.The Agency
will, at its own expense, maintain the improvement covered by this agreement.
XI. Indemnity
The Agency shall hold the Federal Government and the State harmless from and shall process and defend at its own expense
all claims, demands,or suits,whether at law or equity brought against the Agency, State, or Federal Government,arising from the
Agency's execution, performance, or failure to perform any of the provisions of this agreement,or of any other agreement or contract
••
• connected with this agreement,or arising by reason of the participation of the State or Federal Government in the project, PROVIDED,
nothing herein shall require the Agency to reimburse the State or the Federal Government for damages arising out of bodily injury to
persons or damage to property caused by or resulting from the sole negligence of the Federal Government or the State.
XII.Nondiscrimination Provision
No liability shall attach to the State or Federal Government except as expressly provided herein.
The Agency shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of any USDOT-
assisted contract and/or agreement or in the administration of its DBE program or the requirements of 49 CFR Part 26.The Agency
shall take all necessary and reasonable steps under 49 CFR Part 26 to ensure nondiscrimination in the award and administration of
USDOT-assisted contracts and agreements.The WSDOT's DBE program, as required by 49 CFR Part 26 and as approved by USDOT,
is incorporated by reference in this agreement. Implementation of this program is a legal obligation and failure to carry out its terms
shall be treated as a violation of this agreement. Upon notification to the Agency of its failure to carry out its approved program,the
Department may impose sanctions as provided for under Part 26 and may, in appropriate cases, refer the matter for enforcement under
18 U.S.C. 1001 and/or the Program Fraud Civil Remedies Act of 1986(31 U.S.C.3801 et seq.).
The Agency hereby agrees that it will incorporate or cause to be incorporated into any contract for construction work, or modification
thereof,as defined in the rules and regulations of the Secretary of Labor in 41 CFR Chapter 60,which is paid for in whole or in part with
funds obtained from the Federal Government or borrowed on the credit of the Federal Government pursuant to a grant,contract, loan,
insurance,or guarantee or understanding pursuant to any federal program involving such grant,contract, loan, insurance,or guarantee,
the required contract provisions for Federal-Aid Contracts(FHWA 1273), located in Chapter 44 of the Local Agency Guidelines.
The Agency further agrees that it will be bound by the above equal opportunity clause with respect to its own employment
practices when it participates in federally assisted construction work: Provided,that if the applicant so participating is a State or Local
Government,the above equal opportunity clause is not applicable to any agency, instrumentality,or subdivision of such government
which does not participate in work on or under the contract.
The Agency also agrees:
(1)To assist and cooperate actively with the State in obtaining the compliance of contractors and subcontractors with the equal
opportunity clause and rules, regulations, and relevant orders of the Secretary of Labor.
(2)To furnish the State such information as it may require for the supervision of such compliance and that it will otherwise assist the
State in the discharge of its primary responsibility for securing compliance.
(3)To refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965,with
a contractor debarred from,or who has not demonstrated eligibility for, government contracts and federally assisted construction
contracts pursuant to the Executive Order.
(4)To carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors
and subcontractors by the State, Federal Highway Administration,or the Secretary of Labor pursuant to Part II,subpart D of the
Executive Order.
In addition,the Agency agrees that if it fails or refuses to comply with these undertakings,the State may take any or all of the
following actions:
(a)Cancel,terminate,or suspend this agreement in whole or in part;
(b)Refrain from extending any further assistance to the Agency under the program with respect to which the failure or refusal
occurred until satisfactory assurance of future compliance has been received from the Agency; and
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(c)Refer the case to the Department of Justice for appropriate legal proceedings.
XIII.Liquidated Damages
The Agency hereby agrees that the liquidated damages provisions of 23 CFR Part 635, Subpart 127, as supplemented, relative to
the amount of Federal participation in the project cost,shall be applicable in the event the contractor fails to complete the contract within
the contract time. Failure to include liquidated damages provision will not relieve the Agency from reduction of federal participation in
accordance with this paragraph.
XIV.Termination for Public Convenience
The Secretary of the Washington State Department of Transportation may terminate the contract in whole,or from time to time in
part,whenever:
(1)The requisite federal funding becomes unavailable through failure of appropriation or otherwise.
(2)The contractor is prevented from proceeding with the work as a direct result of an Executive Order of the President with
respect to the prosecution of war or in the interest of national defense,or an Executive Order of the President or Governor of
the State with respect to the preservation of energy resources.
(3)The contractor is prevented from proceeding with the work by reason of a preliminary,special,or permanent restraining
order of a court of competent jurisdiction where the issuance of such order is primarily caused by the acts or omissions of
persons or agencies other than the contractor.
(4)The Secretary is notified by the Federal Highway Administration that the project is inactive.
(5)The Secretary determines that such termination is in the best interests of the State.
XV.Venue for Claims and/or Causes of Action
For the convenience of the parties to this contract, it is agreed that any claims and/or causes of action which the Local Agency
has against the State of Washington,growing out of this contract or the project with which it is concerned,shall be brought only in the
Superior Court for Thurston County.
XVI.Certification Regarding the Restrictions of the Use of Federal Funds for Lobbying
The approving authority certifies,to the best of his or her knowledge and belief,that:
(1) No federal appropriated funds have been paid or will be paid,by or on behalf of the undersigned,to any person for influencing or
attempting to influence an officer or employee of any federal agency,a member of Congress, an officer or employee of Congress, or
an employee of a member of Congress in connection with the awarding of any federal contract,the making of any federal grant,the
making of any federal loan,the entering into of any cooperative agreement,and the extension,continuation, renewal,amendment,
or modification of any federal contract, grant, loan,or cooperative agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any federal agency,a member of Congress, an officer or employee of Congress,or an employee
of a member of Congress in connection with this federal contract,grant, loan,or cooperative agreement,the undersigned shall
complete and submit the Standard Form-LLL, "Disclosure Form to Report Lobbying,"in accordance with its instructions.
(3)The undersigned shall require that the language of this certification be included in the award documents for all subawards at
all tiers(including subgrants,and contracts and subcontracts under grants,subgrants,loans,and cooperative agreements)which
exceed$100,000, and that all such subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.
Submission of this certification as a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S.
Code.Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than
$100,000 for each such failure.
XVII.Assurances
Local agencies receiving Federal funding from the USDOT or its operating administrations(i.e., Federal Highway Administration,
Federal Transit Administration, Federal Aviation Administration)are required to submit a written policy statement, signed by the Agency
Executive and addressed to the State,documenting that all programs, activities,and services will be conducted in compliance with
Section 504 and the Americans with Disabilities Act(ADA).
Additional Provisions
DOT Form 140-039 Page 5
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DocuSign Envelope ID:13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
TAP-6633(001)
Description of Existing Facility
Today, Naval Ave is a centrally located, 5-lane minor arterial (1st St to 11th),that serves under
10,000 vehicles per day.This corridor section has obstructed and deficient sidewalk widths that do not
meet ADA compliance. In addition,these sidewalk widths do not meet existing or forecasted higher
pedestrian demand.The level of traffic stress for bicycles on this roadway with vehicle speeds at 35
MPH and sharing a lane with traffic is very high. The roadway surface has an average PCI of 44 which
does not provide a smooth riding surface for bicyclists or for vehicles.
Description of Proposed Work:
The project will reconfigure the existing roadway cross section, by repurposing the outside
travel lanes for bike lanes and wider sidewalks and remove barriers to walking and cycling for all non-
motorized users throughout the corridor.The project includes installation of bike lanes, bike boxes, bike
detection, curb bulb-outs, and pedestrian/bicycle wayfinding signage.The roadway reconfiguration will
include stormwater improvements, and signal improvements to accommodate all non-motorized
phases. The pavement resurfacing and striping contributes rideability and visibility improvements for
both non-motorized travel and vehicular travel.The current scope includes obtaining additional ROW
from 1st St to 15th St.with TAP funds. These funds will be utilized to acquire the right-of-way needed to
accommodate new bike lanes and wider sidewalks;with all other components to be funded by
local/other sources.
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1D6B53D29C89
1171 Washington State
1// Department of Transportation Local Agency Agreement
Agency City of Bremerton CFDA No.20.205-Highway Planning and Construction
(Catalog of Federal Domestic Assistance)
Address 345 6th St, Suite 100
Project No. TAP-6633(003)
Bremerton,WA 98337-1891
Agreement No. LA10997
For 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)2 CFR Part 200, (4)2 CFR Part 180—certifying that the local agency Is not
excluded from receiving Federal funds by a Federal suspension or debarment, (5)the policies and procedures promulgated by the
Washington State Department of Transportation,and(6)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 r,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 Naval Ave-1st Street to 15th Street Pedestrian and Bicycle Enhancement Project. Length 0.76
Termini 1st Street to 15th Street
Description of Work
See attached.
Project Agreement End Date 12/31/2031 Claiming Indirect Cost Rate
Proposed Advertisement Date I Yes ✓ No
Estimate of Funding
(1) (2) (3)
Type of Work
Estimated Total Estimated Agency Estimated Federal
Project Funds Funds Funds
PE a.Agency
b.Other
Federal Aid c,Other
Participation d.State Services
Ratio for PE 0.00 0.00 0.00
e.Total PE Cost Estimate(a+b+c+d)
Right of Way f.Agency 1,781,089.00 240,447.00 1,540,642.00
86.5 %g Other Consultant 1,103,622.00 148,989.00 954,633.00
Federal Aid h.Other Eligible non-funded 166,322.00 166,322.00 0.00
Participation
Ratio for RW i.State Services 5,000.00 675.00 4,325.00
j,Total RIWCost Estimate(f+a+h+i) 3,056,033.00 556,433.00 2,499,600.00
Construction k.Contract
I.Other
m.Other
Federal Aid n.Other
Participation o.Agency
Ratio for CN
p.State Services
a.Total CN Cost Estimate(k+i+m+n+o+o) 0.00 0.00 0.00
r.Total Project Cost Est rtate4e ea b : 3,056,033.00 556,433.00 2,499,600.00
Agency Official ,J.�tieo6 Qv,, Washington State Department of Transportation
Greg wheeler
By L--6046095E8E747B_ By rams Stephanie
Title Mayor City of Bremerton Director, Local Pro Digitally u°nid OySlePnanle Tax
7/9/2024 g Tax Dale:2074 GA 16000Y4f P7'00'
Agency Date Date Executed
DOT Form 140-039 Page 1
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Construction Method of Financing (Check Method Selected)
State Ad and Award
Method A-Advance Payment-Agency Share of total construction cost (based on contract award)
Method B -Withhold from gas tax the Agency's share of total construction coast (line 5, column 2) in
the amount of
$ at$ per month for months.
Local Force or Local Ad and Award
,/ 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
, Resolution/Ordinance No.
Provisions
I.Scope of Work
The Agency shall provide all the work, labor, materials,and services necessary to perform the project which is described and set
forth in detail in the"Project Description"and"Type of Work."
When the State acts for and on behalf of the Agency,the State shall be deemed an agent of the Agency and shall perform the
services described and indicated in"Type of Work"on the face of this agreement, in accordance with plans and specifications as
• proposed by the Agency and approved by the State and the Federal Highway Administration.
When the State acts for the Agency but is not subject to the right of control by the Agency,the State shall have the right to perform
the work subject to the ordinary procedures of the State and Federal Highway Administration.
II. Delegation of Authority
The State is willing to fulfill the responsibilities to the Federal Government by the administration of this project.The Agency agrees
that the State shall have the full authority to carry out this administration.The State shall review, process,and approve documents
required for federal aid reimbursement in accordance with federal requirements. If the State advertises and awards the contract,the
State will further act for the Agency in all matters concerning the project as requested by the Agency. If the Local Agency advertises and
awards the project,the State shall review the work to ensure conformity with the approved plans and specifications.
Ill. Project Administration
Certain types of work and services shall be provided by the State on this project as requested by the Agency and described in the
Type of Work above. In addition,the State will furnish qualified personnel for the supervision and inspection of the work in progress. On
Local Agency advertised and awarded projects,the supervision and inspection shall be limited to ensuring all work is in conformance
with approved plans, specifications,and federal aid requirements.The salary of such engineer or other supervisor and all other salaries
and costs incurred by State forces upon the project will be considered a cost thereof.All costs related to this project incurred by
employees of the State in the customary manner on highway payrolls and vouchers shall be charged as costs of the project.
IV.Availability of Records
All project records in support of all costs incurred and actual expenditures kept by the Agency are to be maintained in accordance
with local government accounting procedures prescribed by the Washington State Auditor's Office,the U.S. Department of
Transportation,and the Washington State Department of Transportation.The records shall be open to inspection by the State and
Federal Government at all reasonable times and shall be retained and made available for such inspection for a period of not less than
three years from the final payment of any federal aid funds to the Agency.Copies of said records shall be furnished to the State and/or
Federal Government upon request.
V.Compliance with Provisions
The Agency shall not incur any federal aid participation costs on any classification of work on this project until authorized in writing
by the State for each classification.The classifications of work for projects are:
1.Preliminary engineering.
2.Right of way acquisition.
3.Project construction.
Once written authorization is given,the Agency agrees to show continuous progress through monthly billings. Failure to show
continuous progress may result the Agency's project becoming inactive, as described in 23 CFR 630, and subject to de-obligation of
federal aid funds and/or agreement closure.
If right of way acquisition,or actual construction of the road for which preliminary engineering is undertaken is not started by the
close of the tenth fiscal year following the fiscal year in which preliminary engineering phase was authorized,the Agency will repay to
the State the sum or sums of federal funds paid to the Agency under the terms of this agreement(see Section IX).
If actual construction of the road for which right of way has been purchased is not started by the close of the tenth fiscal year
following the fiscal year in which the right of way phase was authorized,the Agency will repay to the State the sum or sums of federal
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funds paid to the Agency under the terms of this agreement(see Section IX).
The Agency agrees that all stages of construction necessary to provide the initially planned complete facility within the limits of this
project will conform to at least the minimum values set by approved statewide design standards applicable to this class of highways,
even though such additional work is financed without federal aid participation.
The Agency agrees that on federal aid highway construction projects,the current federal aid regulations which apply to liquidated
damages relative to the basis of federal participation in the project cost shall be applicable in the event the contractor fails to complete
the contract within the contract time.
VI. Payment and Partial Reimbursement
The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid by the Agency
and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation Act,as amended,2 CFR Part
200.The State shall not be ultimately responsible for any of the costs of the project.The Agency shall be ultimately responsible for all
costs associated with the project which are not reimbursed by the Federal Government. Nothing in this agreement shall be construed as
a promise by the State as to the amount or nature of federal participation in this project.
The Agency shall bill the state for federal aid project costs incurred in conformity with applicable federal and state laws.The agency
shall minimize the time elapsed between receipt of federal aid funds and subsequent payment of incurred costs. Expenditures by the
Local Agency for maintenance,general administration,supervision, and other overhead shall not be eligible for federal participation
unless a current indirect cost plan has been prepared in accordance with the regulations outlined in 2 CFR Part 200-Uniform Admin
Requirements,Cost Principles and Audit Requirements for Federal Awards, and retained for audit.
The State will pay for State incurred costs on the project. Following payment,the State shall bill the Federal Government for
reimbursement of those costs eligible for federal participation to the extent that such costs are attributable and properly allocable to
this project.The State shall bill the Agency for that portion of State costs which were not reimbursed by the Federal Government(see
Section IX).
1. Project Construction Costs
Project construction financing will be accomplished by one of the three methods as indicated in this agreement.
Method A—The Agency will place with the State,within (20)days after the execution of the construction contract, an advance in the
amount of the Agency's share of the total construction cost based on the contract award.The State will notify the Agency of the exact
amount to be deposited with the State.The State will pay all costs incurred under the contract upon presentation of progress billings
from the contractor. Following such payments,the State will submit a billing to the Federal Government for the federal aid participation
share of the cost.When the project is substantially completed and final actual costs of the project can be determined,the State will
present the Agency with a final billing showing the amount due the State or the amount due the Agency.This billing will be cleared by
either a payment from the Agency to the State or by a refund from the State to the Agency.
Method B—The Agency's share of the total construction cost as shown on the face of this agreement shall be withheld from its
monthly fuel tax allotments.The face of this agreement establishes the months in which the withholding shall take place and the exact
amount to be withheld each month.The extent of withholding will be confirmed by letter from the State at the time of contract award.
Upon receipt of progress billings from the contractor,the State will submit such billings to the Federal Government for payment of its
participating portion of such billings.
Method C—The Agency may submit vouchers to the State in the format prescribed by the State, in duplicate, not more than once
per month for those costs eligible for Federal participation to the extent that such costs are directly attributable and properly allocable
to this project. Expenditures by the Local Agency for maintenance, general administration,supervision,and other overhead shall not be
eligible for Federal participation unless claimed under a previously approved indirect cost plan.
The State shall reimburse the Agency for the Federal share of eligible project costs up to the amount shown on the face of this
agreement.At the time of audit,the Agency will provide documentation of all costs incurred on the project.The State shall bill the
Agency for all costs incurred by the State relative to the project.The State shall also bill the Agency for the federal funds paid by the
State to the Agency for project costs which are subsequently determined to be ineligible for federal participation (see Section IX).
VII.Audit of Federal Consultant Contracts
The Agency,if services of a consultant are required, shall be responsible for audit of the consultant's records to determine eligible
federal aid costs on the project.The report of said audit shall be in the Agency's files and made available to the State and the Federal
Government.
An audit shall be conducted by the WSDOT Internal Audit Office in accordance with generally accepted governmental auditing
standards as issued by the United States General Accounting Office by the Comptroller General of the United States;WSDOT Manual
M 27-50, Consultant Authorization, Selection, and Agreement Administration; memoranda of understanding between WSDOT and
FHWA; and 2 CFR Part 200.501 -Audit Requirements.
If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occurred,the Agency shall
reimburse the State for the amount of such overpayment or excess participation(see Section IX).
VIII.Single Audit Act
The Agency,as a subrecipient of federal funds,shall adhere to the federal regulations outlined in 2 CFR Part 200.501 as well as all
applicable federal and state statutes and regulations.A subrecipient who expends$750,000 or more in federal awards from all sources
during a given fiscal year shall have a single or program-specific audit performed for that year in accordance with the provisions of 2
CFR Part 200.501. Upon conclusion of the audit,the Agency shall be responsible for ensuring that a copy of the report is transmitted
DOT Form 140-039 Page 3
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promptly to the State.
IX. Payment of Billing
The Agency agrees that if payment or arrangement for payment of any of the State's billing relative to the project(e.g., State force
work, project cancellation,overpayment, cost ineligible for federal participation, etc.)is not made to the State within 45 days after
the Agency has been billed,the State shall effect reimbursement of the total sum due from the regular monthly fuel tax allotments to
the Agency from the Motor Vehicle Fund. No additional Federal project funding will be approved until full payment is received unless
otherwise directed by the Director, Local Programs.
Project Agreement End Date-This date is based on your projects Period of Performance(2 CFR Part 200.309).
Any costs incurred after the Project Agreement End Date are NOT eligible for federal reimbursement.All eligible costs incurred prior
to the Project Agreement End Date must be submitted for reimbursement within 60 days after the Project Agreement End Date or they
become ineligible for federal reimbursement.
X.Traffic Control,Signing, Marking,and Roadway Maintenance
The Agency will not permit any changes to be made in the provisions for parking regulations and traffic control on this project
without prior approval of the State and Federal Highway Administration.The Agency will not install or permit to be installed any signs,
signals,or markings not in conformance with the standards approved by the Federal Highway Administration and MUTCD.The Agency
will, at its own expense, maintain the improvement covered by this agreement.
XI. Indemnity
The Agency shall hold the Federal Government and the State harmless from and shall process and defend at its own expense
all claims, demands,or suits,whether at law or equity brought against the Agency, State, or Federal Government,arising from the
Agency's execution, performance, or failure to perform any of the provisions of this agreement,or of any other agreement or contract
••
• connected with this agreement,or arising by reason of the participation of the State or Federal Government in the project, PROVIDED,
nothing herein shall require the Agency to reimburse the State or the Federal Government for damages arising out of bodily injury to
persons or damage to property caused by or resulting from the sole negligence of the Federal Government or the State.
XII.Nondiscrimination Provision
No liability shall attach to the State or Federal Government except as expressly provided herein.
The Agency shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of any USDOT-
assisted contract and/or agreement or in the administration of its DBE program or the requirements of 49 CFR Part 26.The Agency
shall take all necessary and reasonable steps under 49 CFR Part 26 to ensure nondiscrimination in the award and administration of
USDOT-assisted contracts and agreements.The WSDOT's DBE program, as required by 49 CFR Part 26 and as approved by USDOT,
is incorporated by reference in this agreement. Implementation of this program is a legal obligation and failure to carry out its terms
shall be treated as a violation of this agreement. Upon notification to the Agency of its failure to carry out its approved program,the
Department may impose sanctions as provided for under Part 26 and may, in appropriate cases, refer the matter for enforcement under
18 U.S.C. 1001 and/or the Program Fraud Civil Remedies Act of 1986(31 U.S.C.3801 et seq.).
The Agency hereby agrees that it will incorporate or cause to be incorporated into any contract for construction work, or modification
thereof,as defined in the rules and regulations of the Secretary of Labor in 41 CFR Chapter 60,which is paid for in whole or in part with
funds obtained from the Federal Government or borrowed on the credit of the Federal Government pursuant to a grant,contract, loan,
insurance,or guarantee or understanding pursuant to any federal program involving such grant,contract, loan, insurance,or guarantee,
the required contract provisions for Federal-Aid Contracts(FHWA 1273), located in Chapter 44 of the Local Agency Guidelines.
The Agency further agrees that it will be bound by the above equal opportunity clause with respect to its own employment
practices when it participates in federally assisted construction work: Provided,that if the applicant so participating is a State or Local
Government,the above equal opportunity clause is not applicable to any agency, instrumentality,or subdivision of such government
which does not participate in work on or under the contract.
The Agency also agrees:
(1)To assist and cooperate actively with the State in obtaining the compliance of contractors and subcontractors with the equal
opportunity clause and rules, regulations, and relevant orders of the Secretary of Labor.
(2)To furnish the State such information as it may require for the supervision of such compliance and that it will otherwise assist the
State in the discharge of its primary responsibility for securing compliance.
(3)To refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965,with
a contractor debarred from,or who has not demonstrated eligibility for, government contracts and federally assisted construction
contracts pursuant to the Executive Order.
(4)To carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors
and subcontractors by the State, Federal Highway Administration,or the Secretary of Labor pursuant to Part II,subpart D of the
Executive Order.
In addition,the Agency agrees that if it fails or refuses to comply with these undertakings,the State may take any or all of the
following actions:
(a)Cancel,terminate,or suspend this agreement in whole or in part;
(b)Refrain from extending any further assistance to the Agency under the program with respect to which the failure or refusal
occurred until satisfactory assurance of future compliance has been received from the Agency; and
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(c)Refer the case to the Department of Justice for appropriate legal proceedings.
XIII.Liquidated Damages
The Agency hereby agrees that the liquidated damages provisions of 23 CFR Part 635, Subpart 127, as supplemented, relative to
the amount of Federal participation in the project cost,shall be applicable in the event the contractor fails to complete the contract within
the contract time. Failure to include liquidated damages provision will not relieve the Agency from reduction of federal participation in
accordance with this paragraph.
XIV.Termination for Public Convenience
The Secretary of the Washington State Department of Transportation may terminate the contract in whole,or from time to time in
part,whenever:
(1)The requisite federal funding becomes unavailable through failure of appropriation or otherwise.
(2)The contractor is prevented from proceeding with the work as a direct result of an Executive Order of the President with
respect to the prosecution of war or in the interest of national defense,or an Executive Order of the President or Governor of
the State with respect to the preservation of energy resources.
(3)The contractor is prevented from proceeding with the work by reason of a preliminary,special,or permanent restraining
order of a court of competent jurisdiction where the issuance of such order is primarily caused by the acts or omissions of
persons or agencies other than the contractor.
(4)The Secretary is notified by the Federal Highway Administration that the project is inactive.
(5)The Secretary determines that such termination is in the best interests of the State.
XV.Venue for Claims and/or Causes of Action
For the convenience of the parties to this contract, it is agreed that any claims and/or causes of action which the Local Agency
has against the State of Washington,growing out of this contract or the project with which it is concerned,shall be brought only in the
Superior Court for Thurston County.
XVI.Certification Regarding the Restrictions of the Use of Federal Funds for Lobbying
The approving authority certifies,to the best of his or her knowledge and belief,that:
(1) No federal appropriated funds have been paid or will be paid,by or on behalf of the undersigned,to any person for influencing or
attempting to influence an officer or employee of any federal agency,a member of Congress, an officer or employee of Congress, or
an employee of a member of Congress in connection with the awarding of any federal contract,the making of any federal grant,the
making of any federal loan,the entering into of any cooperative agreement,and the extension,continuation, renewal,amendment,
or modification of any federal contract, grant, loan,or cooperative agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any federal agency,a member of Congress, an officer or employee of Congress,or an employee
of a member of Congress in connection with this federal contract,grant, loan,or cooperative agreement,the undersigned shall
complete and submit the Standard Form-LLL, "Disclosure Form to Report Lobbying,"in accordance with its instructions.
(3)The undersigned shall require that the language of this certification be included in the award documents for all subawards at
all tiers(including subgrants,and contracts and subcontracts under grants,subgrants,loans,and cooperative agreements)which
exceed$100,000, and that all such subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.
Submission of this certification as a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S.
Code.Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than
$100,000 for each such failure.
XVII.Assurances
Local agencies receiving Federal funding from the USDOT or its operating administrations(i.e., Federal Highway Administration,
Federal Transit Administration, Federal Aviation Administration)are required to submit a written policy statement, signed by the Agency
Executive and addressed to the State,documenting that all programs, activities,and services will be conducted in compliance with
Section 504 and the Americans with Disabilities Act(ADA).
Additional Provisions
DOT Form 140-039 Page 5
Revised 04/2022
DocuSign Envelope ID:13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
TAP-6633(001)
Description of Existing Facility
Today, Naval Ave is a centrally located, 5-lane minor arterial (1st St to 11th),that serves under
10,000 vehicles per day.This corridor section has obstructed and deficient sidewalk widths that do not
meet ADA compliance. In addition,these sidewalk widths do not meet existing or forecasted higher
pedestrian demand.The level of traffic stress for bicycles on this roadway with vehicle speeds at 35
MPH and sharing a lane with traffic is very high. The roadway surface has an average PCI of 44 which
does not provide a smooth riding surface for bicyclists or for vehicles.
Description of Proposed Work:
The project will reconfigure the existing roadway cross section, by repurposing the outside
travel lanes for bike lanes and wider sidewalks and remove barriers to walking and cycling for all non-
motorized users throughout the corridor.The project includes installation of bike lanes, bike boxes, bike
detection, curb bulb-outs, and pedestrian/bicycle wayfinding signage.The roadway reconfiguration will
include stormwater improvements, and signal improvements to accommodate all non-motorized
phases. The pavement resurfacing and striping contributes rideability and visibility improvements for
both non-motorized travel and vehicular travel.The current scope includes obtaining additional ROW
from 1st St to 15th St.with TAP funds. These funds will be utilized to acquire the right-of-way needed to
accommodate new bike lanes and wider sidewalks;with all other components to be funded by
local/other sources.
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1D6B53D29C89
1171 Washington State
1// Department of Transportation Local Agency Agreement
Agency City of Bremerton CFDA No.20.205-Highway Planning and Construction
(Catalog of Federal Domestic Assistance)
Address 345 6th St, Suite 100
Project No. TAP-6633(003)
Bremerton,WA 98337-1891
Agreement No. LA10997
For 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)2 CFR Part 200, (4)2 CFR Part 180—certifying that the local agency Is not
excluded from receiving Federal funds by a Federal suspension or debarment, (5)the policies and procedures promulgated by the
Washington State Department of Transportation,and(6)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 r,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 Naval Ave-1st Street to 15th Street Pedestrian and Bicycle Enhancement Project. Length 0.76
Termini 1st Street to 15th Street
Description of Work
See attached.
Project Agreement End Date 12/31/2031 Claiming Indirect Cost Rate
Proposed Advertisement Date I Yes ✓ No
Estimate of Funding
(1) (2) (3)
Type of Work
Estimated Total Estimated Agency Estimated Federal
Project Funds Funds Funds
PE a.Agency
b.Other
Federal Aid c,Other
Participation d.State Services
Ratio for PE 0.00 0.00 0.00
e.Total PE Cost Estimate(a+b+c+d)
Right of Way f.Agency 1,781,089.00 240,447.00 1,540,642.00
86.5 %g Other Consultant 1,103,622.00 148,989.00 954,633.00
Federal Aid h.Other Eligible non-funded 166,322.00 166,322.00 0.00
Participation
Ratio for RW i.State Services 5,000.00 675.00 4,325.00
j,Total RIWCost Estimate(f+a+h+i) 3,056,033.00 556,433.00 2,499,600.00
Construction k.Contract
I.Other
m.Other
Federal Aid n.Other
Participation o.Agency
Ratio for CN
p.State Services
a.Total CN Cost Estimate(k+i+m+n+o+o) 0.00 0.00 0.00
r.Total Project Cost Est rtate4e ea b : 3,056,033.00 556,433.00 2,499,600.00
Agency Official ,J.�tieo6 Qv,, Washington State Department of Transportation
Greg wheeler
By L--6046095E8E747B_ By rams Stephanie
Title Mayor City of Bremerton Director, Local Pro Digitally u°nid OySlePnanle Tax
7/9/2024 g Tax Dale:2074 GA 16000Y4f P7'00'
Agency Date Date Executed
DOT Form 140-039 Page 1
Revised 04/2022
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1D6B53D29C89
Construction Method of Financing (Check Method Selected)
State Ad and Award
Method A-Advance Payment-Agency Share of total construction cost (based on contract award)
Method B -Withhold from gas tax the Agency's share of total construction coast (line 5, column 2) in
the amount of
$ at$ per month for months.
Local Force or Local Ad and Award
,/ 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
, Resolution/Ordinance No.
Provisions
I.Scope of Work
The Agency shall provide all the work, labor, materials,and services necessary to perform the project which is described and set
forth in detail in the"Project Description"and"Type of Work."
When the State acts for and on behalf of the Agency,the State shall be deemed an agent of the Agency and shall perform the
services described and indicated in"Type of Work"on the face of this agreement, in accordance with plans and specifications as
• proposed by the Agency and approved by the State and the Federal Highway Administration.
When the State acts for the Agency but is not subject to the right of control by the Agency,the State shall have the right to perform
the work subject to the ordinary procedures of the State and Federal Highway Administration.
II. Delegation of Authority
The State is willing to fulfill the responsibilities to the Federal Government by the administration of this project.The Agency agrees
that the State shall have the full authority to carry out this administration.The State shall review, process,and approve documents
required for federal aid reimbursement in accordance with federal requirements. If the State advertises and awards the contract,the
State will further act for the Agency in all matters concerning the project as requested by the Agency. If the Local Agency advertises and
awards the project,the State shall review the work to ensure conformity with the approved plans and specifications.
Ill. Project Administration
Certain types of work and services shall be provided by the State on this project as requested by the Agency and described in the
Type of Work above. In addition,the State will furnish qualified personnel for the supervision and inspection of the work in progress. On
Local Agency advertised and awarded projects,the supervision and inspection shall be limited to ensuring all work is in conformance
with approved plans, specifications,and federal aid requirements.The salary of such engineer or other supervisor and all other salaries
and costs incurred by State forces upon the project will be considered a cost thereof.All costs related to this project incurred by
employees of the State in the customary manner on highway payrolls and vouchers shall be charged as costs of the project.
IV.Availability of Records
All project records in support of all costs incurred and actual expenditures kept by the Agency are to be maintained in accordance
with local government accounting procedures prescribed by the Washington State Auditor's Office,the U.S. Department of
Transportation,and the Washington State Department of Transportation.The records shall be open to inspection by the State and
Federal Government at all reasonable times and shall be retained and made available for such inspection for a period of not less than
three years from the final payment of any federal aid funds to the Agency.Copies of said records shall be furnished to the State and/or
Federal Government upon request.
V.Compliance with Provisions
The Agency shall not incur any federal aid participation costs on any classification of work on this project until authorized in writing
by the State for each classification.The classifications of work for projects are:
1.Preliminary engineering.
2.Right of way acquisition.
3.Project construction.
Once written authorization is given,the Agency agrees to show continuous progress through monthly billings. Failure to show
continuous progress may result the Agency's project becoming inactive, as described in 23 CFR 630, and subject to de-obligation of
federal aid funds and/or agreement closure.
If right of way acquisition,or actual construction of the road for which preliminary engineering is undertaken is not started by the
close of the tenth fiscal year following the fiscal year in which preliminary engineering phase was authorized,the Agency will repay to
the State the sum or sums of federal funds paid to the Agency under the terms of this agreement(see Section IX).
If actual construction of the road for which right of way has been purchased is not started by the close of the tenth fiscal year
following the fiscal year in which the right of way phase was authorized,the Agency will repay to the State the sum or sums of federal
DOT Form 140-039 Page 2
Revised 04/2022
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
funds paid to the Agency under the terms of this agreement(see Section IX).
The Agency agrees that all stages of construction necessary to provide the initially planned complete facility within the limits of this
project will conform to at least the minimum values set by approved statewide design standards applicable to this class of highways,
even though such additional work is financed without federal aid participation.
The Agency agrees that on federal aid highway construction projects,the current federal aid regulations which apply to liquidated
damages relative to the basis of federal participation in the project cost shall be applicable in the event the contractor fails to complete
the contract within the contract time.
VI. Payment and Partial Reimbursement
The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid by the Agency
and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation Act,as amended,2 CFR Part
200.The State shall not be ultimately responsible for any of the costs of the project.The Agency shall be ultimately responsible for all
costs associated with the project which are not reimbursed by the Federal Government. Nothing in this agreement shall be construed as
a promise by the State as to the amount or nature of federal participation in this project.
The Agency shall bill the state for federal aid project costs incurred in conformity with applicable federal and state laws.The agency
shall minimize the time elapsed between receipt of federal aid funds and subsequent payment of incurred costs. Expenditures by the
Local Agency for maintenance,general administration,supervision, and other overhead shall not be eligible for federal participation
unless a current indirect cost plan has been prepared in accordance with the regulations outlined in 2 CFR Part 200-Uniform Admin
Requirements,Cost Principles and Audit Requirements for Federal Awards, and retained for audit.
The State will pay for State incurred costs on the project. Following payment,the State shall bill the Federal Government for
reimbursement of those costs eligible for federal participation to the extent that such costs are attributable and properly allocable to
this project.The State shall bill the Agency for that portion of State costs which were not reimbursed by the Federal Government(see
Section IX).
1. Project Construction Costs
Project construction financing will be accomplished by one of the three methods as indicated in this agreement.
Method A—The Agency will place with the State,within (20)days after the execution of the construction contract, an advance in the
amount of the Agency's share of the total construction cost based on the contract award.The State will notify the Agency of the exact
amount to be deposited with the State.The State will pay all costs incurred under the contract upon presentation of progress billings
from the contractor. Following such payments,the State will submit a billing to the Federal Government for the federal aid participation
share of the cost.When the project is substantially completed and final actual costs of the project can be determined,the State will
present the Agency with a final billing showing the amount due the State or the amount due the Agency.This billing will be cleared by
either a payment from the Agency to the State or by a refund from the State to the Agency.
Method B—The Agency's share of the total construction cost as shown on the face of this agreement shall be withheld from its
monthly fuel tax allotments.The face of this agreement establishes the months in which the withholding shall take place and the exact
amount to be withheld each month.The extent of withholding will be confirmed by letter from the State at the time of contract award.
Upon receipt of progress billings from the contractor,the State will submit such billings to the Federal Government for payment of its
participating portion of such billings.
Method C—The Agency may submit vouchers to the State in the format prescribed by the State, in duplicate, not more than once
per month for those costs eligible for Federal participation to the extent that such costs are directly attributable and properly allocable
to this project. Expenditures by the Local Agency for maintenance, general administration,supervision,and other overhead shall not be
eligible for Federal participation unless claimed under a previously approved indirect cost plan.
The State shall reimburse the Agency for the Federal share of eligible project costs up to the amount shown on the face of this
agreement.At the time of audit,the Agency will provide documentation of all costs incurred on the project.The State shall bill the
Agency for all costs incurred by the State relative to the project.The State shall also bill the Agency for the federal funds paid by the
State to the Agency for project costs which are subsequently determined to be ineligible for federal participation (see Section IX).
VII.Audit of Federal Consultant Contracts
The Agency,if services of a consultant are required, shall be responsible for audit of the consultant's records to determine eligible
federal aid costs on the project.The report of said audit shall be in the Agency's files and made available to the State and the Federal
Government.
An audit shall be conducted by the WSDOT Internal Audit Office in accordance with generally accepted governmental auditing
standards as issued by the United States General Accounting Office by the Comptroller General of the United States;WSDOT Manual
M 27-50, Consultant Authorization, Selection, and Agreement Administration; memoranda of understanding between WSDOT and
FHWA; and 2 CFR Part 200.501 -Audit Requirements.
If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occurred,the Agency shall
reimburse the State for the amount of such overpayment or excess participation(see Section IX).
VIII.Single Audit Act
The Agency,as a subrecipient of federal funds,shall adhere to the federal regulations outlined in 2 CFR Part 200.501 as well as all
applicable federal and state statutes and regulations.A subrecipient who expends$750,000 or more in federal awards from all sources
during a given fiscal year shall have a single or program-specific audit performed for that year in accordance with the provisions of 2
CFR Part 200.501. Upon conclusion of the audit,the Agency shall be responsible for ensuring that a copy of the report is transmitted
DOT Form 140-039 Page 3
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DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1D6B53D29C89
promptly to the State.
IX. Payment of Billing
The Agency agrees that if payment or arrangement for payment of any of the State's billing relative to the project(e.g., State force
work, project cancellation,overpayment, cost ineligible for federal participation, etc.)is not made to the State within 45 days after
the Agency has been billed,the State shall effect reimbursement of the total sum due from the regular monthly fuel tax allotments to
the Agency from the Motor Vehicle Fund. No additional Federal project funding will be approved until full payment is received unless
otherwise directed by the Director, Local Programs.
Project Agreement End Date-This date is based on your projects Period of Performance(2 CFR Part 200.309).
Any costs incurred after the Project Agreement End Date are NOT eligible for federal reimbursement.All eligible costs incurred prior
to the Project Agreement End Date must be submitted for reimbursement within 60 days after the Project Agreement End Date or they
become ineligible for federal reimbursement.
X.Traffic Control,Signing, Marking,and Roadway Maintenance
The Agency will not permit any changes to be made in the provisions for parking regulations and traffic control on this project
without prior approval of the State and Federal Highway Administration.The Agency will not install or permit to be installed any signs,
signals,or markings not in conformance with the standards approved by the Federal Highway Administration and MUTCD.The Agency
will, at its own expense, maintain the improvement covered by this agreement.
XI. Indemnity
The Agency shall hold the Federal Government and the State harmless from and shall process and defend at its own expense
all claims, demands,or suits,whether at law or equity brought against the Agency, State, or Federal Government,arising from the
Agency's execution, performance, or failure to perform any of the provisions of this agreement,or of any other agreement or contract
••
• connected with this agreement,or arising by reason of the participation of the State or Federal Government in the project, PROVIDED,
nothing herein shall require the Agency to reimburse the State or the Federal Government for damages arising out of bodily injury to
persons or damage to property caused by or resulting from the sole negligence of the Federal Government or the State.
XII.Nondiscrimination Provision
No liability shall attach to the State or Federal Government except as expressly provided herein.
The Agency shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of any USDOT-
assisted contract and/or agreement or in the administration of its DBE program or the requirements of 49 CFR Part 26.The Agency
shall take all necessary and reasonable steps under 49 CFR Part 26 to ensure nondiscrimination in the award and administration of
USDOT-assisted contracts and agreements.The WSDOT's DBE program, as required by 49 CFR Part 26 and as approved by USDOT,
is incorporated by reference in this agreement. Implementation of this program is a legal obligation and failure to carry out its terms
shall be treated as a violation of this agreement. Upon notification to the Agency of its failure to carry out its approved program,the
Department may impose sanctions as provided for under Part 26 and may, in appropriate cases, refer the matter for enforcement under
18 U.S.C. 1001 and/or the Program Fraud Civil Remedies Act of 1986(31 U.S.C.3801 et seq.).
The Agency hereby agrees that it will incorporate or cause to be incorporated into any contract for construction work, or modification
thereof,as defined in the rules and regulations of the Secretary of Labor in 41 CFR Chapter 60,which is paid for in whole or in part with
funds obtained from the Federal Government or borrowed on the credit of the Federal Government pursuant to a grant,contract, loan,
insurance,or guarantee or understanding pursuant to any federal program involving such grant,contract, loan, insurance,or guarantee,
the required contract provisions for Federal-Aid Contracts(FHWA 1273), located in Chapter 44 of the Local Agency Guidelines.
The Agency further agrees that it will be bound by the above equal opportunity clause with respect to its own employment
practices when it participates in federally assisted construction work: Provided,that if the applicant so participating is a State or Local
Government,the above equal opportunity clause is not applicable to any agency, instrumentality,or subdivision of such government
which does not participate in work on or under the contract.
The Agency also agrees:
(1)To assist and cooperate actively with the State in obtaining the compliance of contractors and subcontractors with the equal
opportunity clause and rules, regulations, and relevant orders of the Secretary of Labor.
(2)To furnish the State such information as it may require for the supervision of such compliance and that it will otherwise assist the
State in the discharge of its primary responsibility for securing compliance.
(3)To refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965,with
a contractor debarred from,or who has not demonstrated eligibility for, government contracts and federally assisted construction
contracts pursuant to the Executive Order.
(4)To carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors
and subcontractors by the State, Federal Highway Administration,or the Secretary of Labor pursuant to Part II,subpart D of the
Executive Order.
In addition,the Agency agrees that if it fails or refuses to comply with these undertakings,the State may take any or all of the
following actions:
(a)Cancel,terminate,or suspend this agreement in whole or in part;
(b)Refrain from extending any further assistance to the Agency under the program with respect to which the failure or refusal
occurred until satisfactory assurance of future compliance has been received from the Agency; and
DOT Form 140-039 Page 4
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DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1D6B53D29C89
(c)Refer the case to the Department of Justice for appropriate legal proceedings.
XIII.Liquidated Damages
The Agency hereby agrees that the liquidated damages provisions of 23 CFR Part 635, Subpart 127, as supplemented, relative to
the amount of Federal participation in the project cost,shall be applicable in the event the contractor fails to complete the contract within
the contract time. Failure to include liquidated damages provision will not relieve the Agency from reduction of federal participation in
accordance with this paragraph.
XIV.Termination for Public Convenience
The Secretary of the Washington State Department of Transportation may terminate the contract in whole,or from time to time in
part,whenever:
(1)The requisite federal funding becomes unavailable through failure of appropriation or otherwise.
(2)The contractor is prevented from proceeding with the work as a direct result of an Executive Order of the President with
respect to the prosecution of war or in the interest of national defense,or an Executive Order of the President or Governor of
the State with respect to the preservation of energy resources.
(3)The contractor is prevented from proceeding with the work by reason of a preliminary,special,or permanent restraining
order of a court of competent jurisdiction where the issuance of such order is primarily caused by the acts or omissions of
persons or agencies other than the contractor.
(4)The Secretary is notified by the Federal Highway Administration that the project is inactive.
(5)The Secretary determines that such termination is in the best interests of the State.
XV.Venue for Claims and/or Causes of Action
For the convenience of the parties to this contract, it is agreed that any claims and/or causes of action which the Local Agency
has against the State of Washington,growing out of this contract or the project with which it is concerned,shall be brought only in the
Superior Court for Thurston County.
XVI.Certification Regarding the Restrictions of the Use of Federal Funds for Lobbying
The approving authority certifies,to the best of his or her knowledge and belief,that:
(1) No federal appropriated funds have been paid or will be paid,by or on behalf of the undersigned,to any person for influencing or
attempting to influence an officer or employee of any federal agency,a member of Congress, an officer or employee of Congress, or
an employee of a member of Congress in connection with the awarding of any federal contract,the making of any federal grant,the
making of any federal loan,the entering into of any cooperative agreement,and the extension,continuation, renewal,amendment,
or modification of any federal contract, grant, loan,or cooperative agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any federal agency,a member of Congress, an officer or employee of Congress,or an employee
of a member of Congress in connection with this federal contract,grant, loan,or cooperative agreement,the undersigned shall
complete and submit the Standard Form-LLL, "Disclosure Form to Report Lobbying,"in accordance with its instructions.
(3)The undersigned shall require that the language of this certification be included in the award documents for all subawards at
all tiers(including subgrants,and contracts and subcontracts under grants,subgrants,loans,and cooperative agreements)which
exceed$100,000, and that all such subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.
Submission of this certification as a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S.
Code.Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than
$100,000 for each such failure.
XVII.Assurances
Local agencies receiving Federal funding from the USDOT or its operating administrations(i.e., Federal Highway Administration,
Federal Transit Administration, Federal Aviation Administration)are required to submit a written policy statement, signed by the Agency
Executive and addressed to the State,documenting that all programs, activities,and services will be conducted in compliance with
Section 504 and the Americans with Disabilities Act(ADA).
Additional Provisions
DOT Form 140-039 Page 5
Revised 04/2022
DocuSign Envelope ID:13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
TAP-6633(001)
Description of Existing Facility
Today, Naval Ave is a centrally located, 5-lane minor arterial (1st St to 11th),that serves under
10,000 vehicles per day.This corridor section has obstructed and deficient sidewalk widths that do not
meet ADA compliance. In addition,these sidewalk widths do not meet existing or forecasted higher
pedestrian demand.The level of traffic stress for bicycles on this roadway with vehicle speeds at 35
MPH and sharing a lane with traffic is very high. The roadway surface has an average PCI of 44 which
does not provide a smooth riding surface for bicyclists or for vehicles.
Description of Proposed Work:
The project will reconfigure the existing roadway cross section, by repurposing the outside
travel lanes for bike lanes and wider sidewalks and remove barriers to walking and cycling for all non-
motorized users throughout the corridor.The project includes installation of bike lanes, bike boxes, bike
detection, curb bulb-outs, and pedestrian/bicycle wayfinding signage.The roadway reconfiguration will
include stormwater improvements, and signal improvements to accommodate all non-motorized
phases. The pavement resurfacing and striping contributes rideability and visibility improvements for
both non-motorized travel and vehicular travel.The current scope includes obtaining additional ROW
from 1st St to 15th St.with TAP funds. These funds will be utilized to acquire the right-of-way needed to
accommodate new bike lanes and wider sidewalks;with all other components to be funded by
local/other sources.
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
WWashington State
i Department of Transportation Local Agency Agreement
Agency City of Bremerton CFDA No. 20.205-Highway Planning and Construction
(Catalog of Federal Domestic Assistance)
Address 345 6th St, Suite 100
Project No.
Bremerton, WA 98337-1891
Agreement No.
For 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)2 CFR Part 200, (4)2 CFR Part 180—certifying that the local agency is not
excluded from receiving Federal funds by a Federal suspension or debarment, (5)the policies and procedures promulgated by the
Washington State Department of Transportation, and (6)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 r, 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 Naval Ave-1st Street to 15th Street Pedestrian and Bicycle Enhancement Project. Length 0.76
Termini 1st Street to 15th Street
Description of Work
See attached.
Project Agreement End Date 12/31/2031 Claiming Indirect Cost Rate
Yes No
Proposed Advertisement Date
Estimate of Funding
(1) (2) (3)
Type of Work
Estimated Total Estimated Agency Estimated Federal
Project Funds Funds Funds
PE o a.Agency
�0 b. Other
Federal Aid c. Other
Participation d. State Services
Ratio for PE 0.00 0.00 0.00
e.Total PE Cost Estimate(a+b+c+d)
Right of Way f.Agency 1,781,089.00 240,447.00 1,540,642.00
86.5 %g. Other Consultant 1,103,622.00 148,989.00 954,633.00
Federal Aid Eligible non-funded 166,322.00 166,322.00 0.00
Participation h. Other g
Ratio for RW
i. State Services 5,000.00 675.00 4,325.00
j.Total R/W Cost Estimate(f+g+h+i) 3,056,033.00 556,433.00 2,499,600.00
Construction k. Contract
I. Other
m. Other
Federal Aid n. Other
Participation o.Agency
Ratio for CN
p. State Services
q.Total CN Cost Estimate(k+I+m+n+o+p) 0.00 0.00 0.00
r.Total Project Cost EstrnatOcte,IfilMed by: 3,056,033.00 556,433.00 2,499,600.00
Agency Official ��, Washington State Department of Transportation
Greg wheeler
By BAF46095E8E747B... By
Title Mayor City of Bremerton Director, Local Programs
Agency Date 7/9/2024 Date Executed
DOT Form 140-039 Page 1
Revised 04/2022
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
Construction Method of Financing (Check Method Selected)
State Ad and Award
Method A-Advance Payment -Agency Share of total construction cost (based on contract award)
Method B- Withhold from gas tax the Agency's share of total construction coast (line 5, column 2) in
the amount of
$ at $ per month for months.
Local Force or Local Ad and Award
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
, Resolution/Ordinance No.
Provisions
I. Scope of Work
The Agency shall provide all the work, labor, materials, and services necessary to perform the project which is described and set
forth in detail in the"Project Description"and "Type of Work."
When the State acts for and on behalf of the Agency, the State shall be deemed an agent of the Agency and shall perform the
services described and indicated in 'Type of Work"on the face of this agreement, in accordance with plans and specifications as
proposed by the Agency and approved by the State and the Federal Highway Administration.
When the State acts for the Agency but is not subject to the right of control by the Agency, the State shall have the right to perform
the work subject to the ordinary procedures of the State and Federal Highway Administration.
II. Delegation of Authority
The State is willing to fulfill the responsibilities to the Federal Government by the administration of this project.The Agency agrees
that the State shall have the full authority to carry out this administration. The State shall review, process, and approve documents
required for federal aid reimbursement in accordance with federal requirements. If the State advertises and awards the contract, the
State will further act for the Agency in all matters concerning the project as requested by the Agency. If the Local Agency advertises and
awards the project, the State shall review the work to ensure conformity with the approved plans and specifications.
Ill. Project Administration
Certain types of work and services shall be provided by the State on this project as requested by the Agency and described in the
Type of Work above. In addition, the State will furnish qualified personnel for the supervision and inspection of the work in progress. On
Local Agency advertised and awarded projects, the supervision and inspection shall be limited to ensuring all work is in conformance
with approved plans, specifications, and federal aid requirements.The salary of such engineer or other supervisor and all other salaries
and costs incurred by State forces upon the project will be considered a cost thereof.All costs related to this project incurred by
employees of the State in the customary manner on highway payrolls and vouchers shall be charged as costs of the project.
IV.Availability of Records
All project records in support of all costs incurred and actual expenditures kept by the Agency are to be maintained in accordance
with local government accounting procedures prescribed by the Washington State Auditor's Office, the U.S. Department of
Transportation, and the Washington State Department of Transportation. The records shall be open to inspection by the State and
Federal Government at all reasonable times and shall be retained and made available for such inspection for a period of not less than
three years from the final payment of any federal aid funds to the Agency. Copies of said records shall be furnished to the State and/or
Federal Government upon request.
V. Compliance with Provisions
The Agency shall not incur any federal aid participation costs on any classification of work on this project until authorized in writing
by the State for each classification.The classifications of work for projects are:
1. Preliminary engineering.
2. Right of way acquisition.
3. Project construction.
Once written authorization is given, the Agency agrees to show continuous progress through monthly billings. Failure to show
continuous progress may result the Agency's project becoming inactive, as described in 23 CFR 630, and subject to de-obligation of
federal aid funds and/or agreement closure.
If right of way acquisition, or actual construction of the road for which preliminary engineering is undertaken is not started by the
close of the tenth fiscal year following the fiscal year in which preliminary engineering phase was authorized, the Agency will repay to
the State the sum or sums of federal funds paid to the Agency under the terms of this agreement(see Section IX).
If actual construction of the road for which right of way has been purchased is not started by the close of the tenth fiscal year
following the fiscal year in which the right of way phase was authorized, the Agency will repay to the State the sum or sums of federal
DOT Form 140-039 Page 2
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DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
funds paid to the Agency under the terms of this agreement(see Section IX).
The Agency agrees that all stages of construction necessary to provide the initially planned complete facility within the limits of this
project will conform to at least the minimum values set by approved statewide design standards applicable to this class of highways,
even though such additional work is financed without federal aid participation.
The Agency agrees that on federal aid highway construction projects, the current federal aid regulations which apply to liquidated
damages relative to the basis of federal participation in the project cost shall be applicable in the event the contractor fails to complete
the contract within the contract time.
VI. Payment and Partial Reimbursement
The total cost of the project, including all review and engineering costs and other expenses of the State, is to be paid by the Agency
and by the Federal Government. Federal funding shall be in accordance with the Federal Transportation Act, as amended, 2 CFR Part
200. The State shall not be ultimately responsible for any of the costs of the project.The Agency shall be ultimately responsible for all
costs associated with the project which are not reimbursed by the Federal Government. Nothing in this agreement shall be construed as
a promise by the State as to the amount or nature of federal participation in this project.
The Agency shall bill the state for federal aid project costs incurred in conformity with applicable federal and state laws.The agency
shall minimize the time elapsed between receipt of federal aid funds and subsequent payment of incurred costs. Expenditures by the
Local Agency for maintenance, general administration, supervision, and other overhead shall not be eligible for federal participation
unless a current indirect cost plan has been prepared in accordance with the regulations outlined in 2 CFR Part 200- Uniform Admin
Requirements, Cost Principles and Audit Requirements for Federal Awards, and retained for audit.
The State will pay for State incurred costs on the project. Following payment, the State shall bill the Federal Government for
reimbursement of those costs eligible for federal participation to the extent that such costs are attributable and properly allocable to
this project. The State shall bill the Agency for that portion of State costs which were not reimbursed by the Federal Government(see
Section IX).
1. Project Construction Costs
Project construction financing will be accomplished by one of the three methods as indicated in this agreement.
Method A—The Agency will place with the State, within (20) days after the execution of the construction contract, an advance in the
amount of the Agency's share of the total construction cost based on the contract award.The State will notify the Agency of the exact
amount to be deposited with the State. The State will pay all costs incurred under the contract upon presentation of progress billings
from the contractor. Following such payments, the State will submit a billing to the Federal Government for the federal aid participation
share of the cost. When the project is substantially completed and final actual costs of the project can be determined, the State will
present the Agency with a final billing showing the amount due the State or the amount due the Agency. This billing will be cleared by
either a payment from the Agency to the State or by a refund from the State to the Agency.
Method B—The Agency's share of the total construction cost as shown on the face of this agreement shall be withheld from its
monthly fuel tax allotments. The face of this agreement establishes the months in which the withholding shall take place and the exact
amount to be withheld each month.The extent of withholding will be confirmed by letter from the State at the time of contract award.
Upon receipt of progress billings from the contractor, the State will submit such billings to the Federal Government for payment of its
participating portion of such billings.
Method C—The Agency may submit vouchers to the State in the format prescribed by the State, in duplicate, not more than once
per month for those costs eligible for Federal participation to the extent that such costs are directly attributable and properly allocable
to this project. Expenditures by the Local Agency for maintenance, general administration, supervision, and other overhead shall not be
eligible for Federal participation unless claimed under a previously approved indirect cost plan.
The State shall reimburse the Agency for the Federal share of eligible project costs up to the amount shown on the face of this
agreement.At the time of audit, the Agency will provide documentation of all costs incurred on the project.The State shall bill the
Agency for all costs incurred by the State relative to the project.The State shall also bill the Agency for the federal funds paid by the
State to the Agency for project costs which are subsequently determined to be ineligible for federal participation (see Section IX).
VII.Audit of Federal Consultant Contracts
The Agency, if services of a consultant are required, shall be responsible for audit of the consultant's records to determine eligible
federal aid costs on the project.The report of said audit shall be in the Agency's files and made available to the State and the Federal
Government.
An audit shall be conducted by the WSDOT Internal Audit Office in accordance with generally accepted governmental auditing
standards as issued by the United States General Accounting Office by the Comptroller General of the United States; WSDOT Manual
M 27-50, Consultant Authorization, Selection, and Agreement Administration; memoranda of understanding between WSDOT and
FHWA; and 2 CFR Part 200.501 -Audit Requirements.
If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occurred, the Agency shall
reimburse the State for the amount of such overpayment or excess participation (see Section IX).
VIII. Single Audit Act
The Agency, as a subrecipient of federal funds, shall adhere to the federal regulations outlined in 2 CFR Part 200.501 as well as all
applicable federal and state statutes and regulations.A subrecipient who expends$750,000 or more in federal awards from all sources
during a given fiscal year shall have a single or program-specific audit performed for that year in accordance with the provisions of 2
CFR Part 200.501. Upon conclusion of the audit, the Agency shall be responsible for ensuring that a copy of the report is transmitted
DOT Form 140-039 Page 3
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DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
promptly to the State.
IX. Payment of Billing
The Agency agrees that if payment or arrangement for payment of any of the State's billing relative to the project(e.g., State force
work, project cancellation, overpayment, cost ineligible for federal participation, etc.) is not made to the State within 45 days after
the Agency has been billed, the State shall effect reimbursement of the total sum due from the regular monthly fuel tax allotments to
the Agency from the Motor Vehicle Fund. No additional Federal project funding will be approved until full payment is received unless
otherwise directed by the Director, Local Programs.
Project Agreement End Date-This date is based on your projects Period of Performance (2 CFR Part 200.309).
Any costs incurred after the Project Agreement End Date are NOT eligible for federal reimbursement. All eligible costs incurred prior
to the Project Agreement End Date must be submitted for reimbursement within 60 days after the Project Agreement End Date or they
become ineligible for federal reimbursement.
X. Traffic Control, Signing, Marking, and Roadway Maintenance
The Agency will not permit any changes to be made in the provisions for parking regulations and traffic control on this project
without prior approval of the State and Federal Highway Administration.The Agency will not install or permit to be installed any signs,
signals, or markings not in conformance with the standards approved by the Federal Highway Administration and MUTCD. The Agency
will, at its own expense, maintain the improvement covered by this agreement.
Xl. Indemnity
The Agency shall hold the Federal Government and the State harmless from and shall process and defend at its own expense
all claims, demands, or suits, whether at law or equity brought against the Agency, State, or Federal Government, arising from the
Agency's execution, performance, or failure to perform any of the provisions of this agreement, or of any other agreement or contract
connected with this agreement, or arising by reason of the participation of the State or Federal Government in the project, PROVIDED,
nothing herein shall require the Agency to reimburse the State or the Federal Government for damages arising out of bodily injury to
persons or damage to property caused by or resulting from the sole negligence of the Federal Government or the State.
XII. Nondiscrimination Provision
No liability shall attach to the State or Federal Government except as expressly provided herein.
The Agency shall not discriminate on the basis of race, color, national origin, or sex in the award and performance of any USDOT-
assisted contract and/or agreement or in the administration of its DBE program or the requirements of 49 CFR Part 26.The Agency
shall take all necessary and reasonable steps under 49 CFR Part 26 to ensure nondiscrimination in the award and administration of
USDOT-assisted contracts and agreements. The WSDOT's DBE program, as required by 49 CFR Part 26 and as approved by USDOT,
is incorporated by reference in this agreement. Implementation of this program is a legal obligation and failure to carry out its terms
shall be treated as a violation of this agreement. Upon notification to the Agency of its failure to carry out its approved program, the
Department may impose sanctions as provided for under Part 26 and may, in appropriate cases, refer the matter for enforcement under
18 U.S.C. 1001 and/or the Program Fraud Civil Remedies Act of 1986 (31 U.S. C. 3801 et seq.).
The Agency hereby agrees that it will incorporate or cause to be incorporated into any contract for construction work, or modification
thereof, as defined in the rules and regulations of the Secretary of Labor in 41 CFR Chapter 60, which is paid for in whole or in part with
funds obtained from the Federal Government or borrowed on the credit of the Federal Government pursuant to a grant, contract, loan,
insurance, or guarantee or understanding pursuant to any federal program involving such grant, contract, loan, insurance, or guarantee,
the required contract provisions for Federal-Aid Contracts (FHWA 1273), located in Chapter 44 of the Local Agency Guidelines.
The Agency further agrees that it will be bound by the above equal opportunity clause with respect to its own employment
practices when it participates in federally assisted construction work: Provided, that if the applicant so participating is a State or Local
Government,the above equal opportunity clause is not applicable to any agency, instrumentality, or subdivision of such government
which does not participate in work on or under the contract.
The Agency also agrees:
(1)To assist and cooperate actively with the State in obtaining the compliance of contractors and subcontractors with the equal
opportunity clause and rules, regulations, and relevant orders of the Secretary of Labor.
(2)To furnish the State such information as it may require for the supervision of such compliance and that it will otherwise assist the
State in the discharge of its primary responsibility for securing compliance.
(3)To refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with
a contractor debarred from, or who has not demonstrated eligibility for, government contracts and federally assisted construction
contracts pursuant to the Executive Order.
(4)To carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors
and subcontractors by the State, Federal Highway Administration, or the Secretary of Labor pursuant to Part II, subpart D of the
Executive Order.
In addition, the Agency agrees that if it fails or refuses to comply with these undertakings, the State may take any or all of the
following actions:
(a) Cancel,terminate, or suspend this agreement in whole or in part;
(b) Refrain from extending any further assistance to the Agency under the program with respect to which the failure or refusal
occurred until satisfactory assurance of future compliance has been received from the Agency; and
DOT Form 140-039 Page 4
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DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
(c) Refer the case to the Department of Justice for appropriate legal proceedings.
XIII. Liquidated Damages
The Agency hereby agrees that the liquidated damages provisions of 23 CFR Part 635, Subpart 127, as supplemented, relative to
the amount of Federal participation in the project cost, shall be applicable in the event the contractor fails to complete the contract within
the contract time. Failure to include liquidated damages provision will not relieve the Agency from reduction of federal participation in
accordance with this paragraph.
XIV. Termination for Public Convenience
The Secretary of the Washington State Department of Transportation may terminate the contract in whole, or from time to time in
part, whenever:
(1)The requisite federal funding becomes unavailable through failure of appropriation or otherwise.
(2)The contractor is prevented from proceeding with the work as a direct result of an Executive Order of the President with
respect to the prosecution of war or in the interest of national defense, or an Executive Order of the President or Governor of
the State with respect to the preservation of energy resources.
(3)The contractor is prevented from proceeding with the work by reason of a preliminary, special, or permanent restraining
order of a court of competent jurisdiction where the issuance of such order is primarily caused by the acts or omissions of
persons or agencies other than the contractor.
(4)The Secretary is notified by the Federal Highway Administration that the project is inactive.
(5)The Secretary determines that such termination is in the best interests of the State.
XV.Venue for Claims and/or Causes of Action
For the convenience of the parties to this contract, it is agreed that any claims and/or causes of action which the Local Agency
has against the State of Washington, growing out of this contract or the project with which it is concerned, shall be brought only in the
Superior Court for Thurston County.
XVI. Certification Regarding the Restrictions of the Use of Federal Funds for Lobbying
The approving authority certifies, to the best of his or her knowledge and belief, that:
(1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of any federal agency, a member of Congress, an officer or employee of Congress, or
an employee of a member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the
making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,
or modification of any federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any federal agency, a member of Congress, an officer or employee of Congress, or an employee
of a member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall
complete and submit the Standard Form- LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3)The undersigned shall require that the language of this certification be included in the award documents for all subawards at
all tiers (including subgrants, and contracts and subcontracts under grants, subgrants, loans, and cooperative agreements)which
exceed $100,000, and that all such subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.
Submission of this certification as a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S.
Code.Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than
$100,000 for each such failure.
XVII.Assurances
Local agencies receiving Federal funding from the USDOT or its operating administrations(i.e., Federal Highway Administration,
Federal Transit Administration, Federal Aviation Administration) are required to submit a written policy statement, signed by the Agency
Executive and addressed to the State, documenting that all programs, activities, and services will be conducted in compliance with
Section 504 and the Americans with Disabilities Act(ADA).
Additional Provisions
DOT Form 140-039 Page 5
Revised 04/2022
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
Instructions
1. Agency Name and Billing Address—Enter the Agency of primary interest which will become a party to the agreement.
2. Project Number—Leave blank. This number will be assigned by WSDOT.
3. Agreement Number—Leave blank. This number will be assigned by WSDOT.
4.
a. Project Description—Enter the project name, total length of the project(in miles), and a brief description of the termini. Data
entered here must be consistent with the name, length, and termini noted in the STIP and Project Prospectus
Example:(Name) "Regal Road", (Length) "1.2 miles", (Termini) "Smith Road to Main Street"
b. Description of Work—Enter a concise statement of the major items of work to be performed. Statement must be consistent
with the description of work noted in the STIP and Project Prospectus.
Example:"Overlay Regal Road; install curb, gutter, and sidewalk; illumination; and traffic signal at the intersection of Regal
Road and Dakota Avenue."
c. Project Agreement End Date—Enter the Project Agreement End Date(mm/dd/yy). This date is based on the project's Period
of Performance (2 CFR 200.309).
For Planning Only projects—WSDOT recommends agencies estimate the end of the project's period of performance and add
three years to determine the"Project Agreement End Date".
For PE and RW—WSDOT recommends agencies estimate when the phase will be completed and add three years to
determine the"Project Agreement End Date". For Construction—WSDOT recommends agencies estimate when construction
will be completed and add three years to determine the"Project Agreement End Date".
d. Proposed Advertisement Date—At construction authorization only, enter the proposed project advertisement
date(mm/dd/yy).
e. Claiming Indirect Cost Rate—Check the Yes box if the agency will be claiming indirect costs on the project. For those
projects claiming indirect costs, supporting documentation that clearly shows the indirect cost rate being utilized must be
provided with the local agency agreement. Indirect cost rate approval by your cognizant agency or through your agency's
self-certification and supporting documentation is required to be available for review by FHWA, WSDOT and/or State Auditor.
Check the No box if the agency will not be claiming indirect costs on the project. See section 23.5 for additional guidance.
4. Type of Work and Funding (Round all dollar amounts to the nearest whole dollar)
a. PE—Lines a through d show Preliminary Engineering costs for the project by type of work(e.g., consultant, agency, state
services, etc.).
*Federal aid participation ratio for PE—enter ratio for PE lines with amounts in column 3.
• Line a—Enter the estimated amount of agency work in columns 1 through 3.
• Line b&c—Identify user, consultant, etc., and enter the estimated amounts in columns 1 through 3.
• Line d—State Services. Every project must have funding for state services. Enter the estimated amounts in columns 1
through 3.
• Line e—Total of lines a+ b+ c+ d.
b. Right of Way—If a Right of Way phase is authorized on the project, the appropriate costs are shown in lines f through i.
*Federal aid participation ratio for RW—enter ratio for RW lines with amounts in column 3.
• Line f—Enter the estimated amount of agency work in columns 1 through 3.
• Line g &h—Identify user, consultant, etc., and enter the estimated amounts in columns 1 through 3.
• Line i—State Services. Every project must have funding for state services. Enter the estimated amounts in columns 1
through 3.
• Linej—Total of lines f+g + h + i.
c. Construction—Lines k through p show construction costs for the project by type of work(e.g., contract, consultant, agency,
state services, etc.).
*Federal aid participation ratio for CN—enter ratio for CN lines with amounts in column 3.
DOT Form 140-039 Page 6
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DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
• Line k—Enter the estimated cost of the contract.
• Lines I, m, &n—Enter other estimated costs such as utility and construction contracts or non-federally matched
contract costs.
• Line o—Enter estimated costs of all construction related agency work.
• Line p—State Services. Every project must have funding for state services. Enter the estimated amounts in columns 1
through 3.
• Line q—Total Construction Cost Estimate.Total of lines k+ I + m+ n +o+p.
d. Total Project Cost Estimate
• Line r—Total Cost Estimate of the Project. Total of lines e+j +q.
*Please remember, if the federal aid participation rate entered is not the maximum rate allowed by FHWA, then the
participation rate entered becomes the maximum rate allowed.
6. Signatures—An authorized official of the local agency signs the agreement and enters their title and date of signature (mm/dd/
yy). Note: Do NOT enter a date on the Date Executed line.
7. Method of Construction Financing—Choose the method of financing for the construction portion of the project.
a. Method "A" is used when the state administers the contract for the agency.
b. Method "B" is also used when the state administers the contract for the agency.
c. Method "C" is used with projects administered by the local agency.The agency will submit billings monthly through the
state to FHWA for all eligible costs. The billings must document the payment requests from the contractor. If state-force
work, such as audit and construction engineering, is to receive federal participation, it will be billed to the agency and FHWA
simultaneously at the indicated ratio. To show continuous progress agencies should bill monthly until agreement is closed.
8. Resolutions/Ordinances—When someone other than the County Executive/Chairman, County Commissioners/Mayor is
authorized to sign the agreement, the agency must submit to WSDOT with the agreement a copy of the Resolution/Ordinance
designating that individual.
9. Parties to the Agreement—Submit one originally signed agreement form to the Region Local Programs Engineer. It is
the responsibility of the local agency to submit an additional, originally signed agreement form if they need an executed
agreement for their files. The agreement is first executed by the agency official(s) authorized to enter into the agreement.
It is then transmitted to the state for execution by Local Programs.The agreement is dated at the time of final execution by
Local Programs.
DOT Form 140-039 Page 7
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DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
Independent Estimate For Consultant Services Worksheet
Agency: City of Bremerton Federal Project No.: Not Yet Assigned
Project Name: Naval Ave Pedestrian and Bicycle Enhancement Project- 1st St to 15th St
Prepared By: Chris Dimmitt, P.E. Date: 4/11/24
Type of Services Estimated Cost Comments
Planning $0.00
Surveying $15,000.00
Project Management $15,500.00
Geotechnical Engineering $0.00
Geometrics/Hydraulics Engineering $35,000.00
Structural Engineering $63,000.00
Traffic Engineering $0.00
Environmental &permitting $0.00
Public Involvement $0.00
Real Estates Services $227,000.00
Architectural Services $0.00
Mechanical/Electrical Engineering $0.00
Construction Management $0.00
Total $355,500.00
Indirect Cost Rate Cost(in percent) 156.00% $554,580.00
Fix Fee (in percent) 23.00% $81,765.00
Reimbursable
A.Travel and Per Diem $28,000.00
B. Reproduction Expenses $7,000.00
C.Computer Expense $0.00
D.Communication $0.00
E.Sampling and Testing $0.00
F.Outside Consultants $127,000.00
G.Other
Total: $162,000.00
Sub-Total $1,153,845.00
*Contingencies $115,385 *Contingencies $115,385
* Use only on Cost plus Fix Fee agreement Grand Total $1,269,230
DocuSign Envelope ID:13C27AF1-4087-4AAF-87C5-1D6B53D29C89
COB ENGINEERING LABOR ESTIMATE
✓ 0 >
Right-Of-Way , 5 o o°
z . o C o u o
Naval Avenue Pedestrian&Bicycle - -
✓ o = = s
Enhancement Project-1st St to 15th StTo
S Y m m15 3
0
Managing Engineering
Task# Tasks&Subtasks Engineer Project Civil Engineer Engineering Engineering Project
City Engineer (Transpo) Manager III Tech IV Tech IV Assistant
Billing Rates 100.00 95.00 75.00 65.00 55.00 50.00 45.00
Raw Rates 100.00 95.00 75.00 65.00 55.00 55.00 45.00
Resource Code #REF! #REF! #N/A #N/A #N/A #N/A #REF!
1 Pre-offers 0 59 I 200. 52 0 I 0 15 326 $ 24,660.00
Right-Of-Way Kickoff Meeting 2 10 2 14
Introduction Letters 5 20 0 5 30
Brochure and Offer Letter Review and 2 20 5 27
Mailing
Draft AO5 packets review 50 150 50 5 255
0
2 Right-Of-Way 0 125 _I=;oi _ 300 0 0 0 - _ $ 57,625.00
Project Management/Engineering 125 200 325
Property Owner Coordination 150 300 450
0
0
0
0
3 ROW Meetings 0 50 MEMEr 50 0 0 0 150 $ 11,750.00
Monthly Project Meeting 50 50 50 150
0
0
0
0
4 Right-Of-Way Certification 0 10 70 20 0 0 $ 7,500.00
10 70 20 100
0
0
0
0
0
Task Total Hours 0 244 670 422 0 0 15 1351
Task Cost $ - $ 23,180.00 $ 50,250.00 $ 27,430.00 $ - $ - $ 675.00 $ 101,535.00
T
Avg Hra/Wk Construction(T3+T4) #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! $ (101,535.00)
T:\PROJECT FILES\PROJECT-Transportation Files\315028-Naval Avenue Ped&Bike Improvements\100 FINANCIAL\2 LOANS AND GRANTS\3-Obligation ROVJ\Revised\Naval Ave 1st to 15th_ROW_Staff Time Estimate.xlse Printed 5/20/20243:40 PM
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
LAA Agency Summary(Line f)
Acquisition Cost* $ 1,679,089.00
City Staff Time $ 102,000.00
Total $ 1,781,089.00
*includes the following:cost of offers,title&escrow,SEA,
condemnation,and inflation.The cost represented in line f
is not the total cost.The remainder costs to complete these
tasks are listed in line h.
DocuSign Envelope ID:13C27AF1-4087-4AAF-87C5-1D6B53D29C89
Agency: City of Bremerton Estimated Total: l $2,485,609
Project Title: Naval Ave:1st to 15th Bike&Ped.Enhancements(Phase-11th Street to 15th Street) Year Estimate Completed: 2024
Date of Estimate 4/25/2024 Year Acquisition to be Completed: 2026
RIGHT OF WAY Estimate Completed By. HDR Inc. Inflation Factor(Calculated): 1.04
FUNDING Name: Andy Roderick Digitally signed
ESTIMATE Title: Sr.Project Manager Eva Total Right of Way Costs: $2,585,033
by Eva Betts
LAC Concurrence: Date:2024.04.30
Nam Eva Betts Betts
Olympic Region Local Agency Coordinator 13:2 7:30-07'00' Select IAIII
Confiders AOS Statutory
Assessed Value- TE Total Confidence Title& Appraisal!
Assessors Tax Fee Area Improvement Acquisition ce Factored (under Misc.Fees Evaluation Subtotal Condemnation
Owner Name Sq Ft(reduce for (from other Damages Relocation Factor Escrow Appraisal Labor Total
Parcel Number TE or PE (Sq Ft) easements) sheet) Value Subtotal Level (Calculated) Subtotal Costs Review Cost $25,000) (including PM) Allowance All Enter Percentage
(1-10) Cost (SEA-$750)
3778-005-010-0308 Fee BRESSLER DORA 80 $10.74 $859 5 0.88 $1,615 $1,500 $1,300 $7,500 $500 $750 $13,165 10% 14,406
3778-005-010-0308 TE BRESSLER DORA 304 $1.07 $326 5 0.88 $614 $614 10% 675
FERGUSON DAVID&MAGEE
3778-005-009-0004 TE CODY 105 $1.18 $124 5 0.88 $233 $700 $1,300 $7,500 $500 $750 $10,983 2% 11,188
3778-005-008-0005 TE SHIPLEY RICHARD M 379 $1.00 $381 5 0.88 $716 $700 $1,300 $7,500 $500 $750 $11,466 2% 11,680
3778-005-007-0006 TE LOZANO PABLO V&FE C 526 $1.06 $556 5 0.88 $1,044 $700 $1,300 $7,500 $500 $750 $11,794 2% 12,015
3778-005-006-0007 TE SORIANOJERRYL 233 $1.06 $246 5 0.88 $463 $700 $1,300 $7,500 $500 $750 $11,213 2% 11,422
WILLIAMS BLAKE D&
3778-005-005-0008 TE ALEXANDRIAN 268 $1.06 $283 5 0.88 $532 $700 $1,300 $7,500 $500 $750 $11,282 2% 11,493
3717-010-019-0006 TE LAMBERT JAMES C IV 481 $0.85 $408 5 0.88 $767 $700 $1,300 $7,500 $500 $750 $11,517 5% 12,055
3717-010-017-0008 TE Timothy Samuels 118 $1.11 $132 5 0.88 $247 $700 $1,300 $7,500 $500 $750 $10,997 2% 11,202
3717-007-021-0008 TE JOHNSON FREDERICKA 490 $1.11 $546 5 0.88 $1,027 $700 $1,300 $7,500 $500 $750 $11,777 2% 11,997
3717-007-022-0007 TE CLAYTON LYNDA H 130 $1.53 $199 5 0.88 $375 $700 $1,300 $7,500 $500 $750 $11,125 2% 11,332
717-007-024-0005 TE WEGNERPA 132 $2.15 $284 5 0.88 $533 $700 $1,300 $7,500 $500 $750 $11,283 2% 11,494
3717-007-019-0101 TE Serena Deitch 84 $2.19 $184 5 0.88 $346 $700 $1,300 $7,500 $500 $750 $11,096 2% 11,302
3778-005-004-0009 Fee Brian Munley 131 $15.34 $2,010 5 0.88 $3,779 $1,500 $1,300 $7,500 $500 $750 $15,329 5% 16,058
3778-005-004-0009 TE Brian Munley 475 $1.53 $729 5 0.88 $1,370 $1,370 2% 1,398
3717-007-019-0002 Fee Steven Cottle 15 $16.42 $246 5 0.88 $463 $1,500 $1,300 $7,500 $500 $750 $12,013 2% 12,238
3717-007-019-0002 TE Steven Cottle 176 $1.64 $289 5 0.88 $543 $543 2% 554
3778-005-001-0002 Fee Union Hill Ventures LLC 1428 $13.86 $19,797 5 0.88 $37,218 $1,500 $8,000 $7,500 $500 $750 $55,468 15% 63,675
3778-005-001-0002 TE Union Hill Ventures LLC 1072 $1.39 $1,486 5 0.88 $2,794 $2,794 15% 3,213
3727-000-015-0108 TE Nguyen Thai 282 $1.10 $309 5 0.88 $581 $700 $1,300 $7,500 $500 $750 $11,331 2% 11,542
3727-000-001-0104 Fee WHITLOCKRESOURCESLLC 201 $12.80 $2,574 5 0.88 $4,839 $1,500 $1,300 $7,500 $500 $750 $16,389 5% 17,171
3727-000-001-0104 TE WHITLOCKRESOURCESLLC 468 $1.28 $599 5 0.88 $1,127 $1,127 5% 1,183
717-003-021-0007 TE DACANAYAMBROCIA 399 $1.59 $633 5 0.88 $1,189 $700 $1,300 $7,500 $500 $750 $11,939 2% 12,163
142401-3-016-2007 Fee NORTHWEST COMMERCIAL LLC 177 $10.25 $1,813 5 0.88 $3,409 $1,500 $1,300 $7,500 $500 $750 $14,959 5% 15,670
142401-3-016-2007 TE NORTHWEST COMMERCIAL LLC 367 $1.02 $376 5 0.88 $707 $707 5% 742
3717-003-019-0001 Fee AVENUE BARBERSHOP LLC 21 $20.39 $428 5 0.88 $805 $1,500 $1,300 $7,500 $500 $750 $12,355 5% 12,935
3717-003-019-0001 TE AVENUE BARBERSHOP LLC 195 $2.04 $398 5 0.88 $747 $747 5% 785
3717-003-019-0100 TE STULTZ PATRICIA M 145 $2.15 $311 5 0.88 $585 $700 $1,300 $7,500 $500 $750 $11,335 2% 11,547
142401-3-065-2007 Fee AYUSH&ANSH INC 523 $7.52 $3,933 5 0.88 $7,393 $1,500 $1,300 $7,500 $500 $750 $18,943 2% 19,307
142401-3-065-2007 TE AYUSH&ANSH INC 1504 $0.75 $1,131 5 0.88 $2,126 $2,126 2% 2,169
3717-002-021-0009 Fee MCDONALD WILLIAM T 208 $15.86 $3,293 5 0.88 $6,190 $1,500 $1,300 $7,500 $500 $750 $17,740 2% 18,080
3717-002-021-0009 TE MCDONALD WILLIAM T 372 $1.59 $590 5 0.88 $1,109 $1,109 2% 1,131
3717-002-019-0102 Fee MCDONALD WILLIAM T 106 $25.83 $2,748 5 0.88 $5,166 $1,500 $1,300 $7,500 $500 $750 $16,716 2% 17,035
3717-002-019-0102 TE MCDONALD WILLIAM T 113 $2.58 $293 5 0.88 $551 $551 2% 562
3717-002-015-0106 Fee VICTORY BUSINESS PARK LLC& 493 $3.08 $1,516 5 0.88 $2,850 $1,500 $1,300 $7,500 $500 $750 $14,400 5% 15,083
3717-002-015-0106 TE VICTORY BUSINESS PARK LLC& 400 $0.31 $123 5 0.88 $231 $231 5% 243
3752-003-021-0003 TE AN PYONG D&SOON H 350 $1.20 $419 5 0.88 $788 $700 $1,300 $7,500 $500 $750 $11,538 2% 11,753
3752-003-017-0108 TE TICEHURSTJAMES 123 $1.18 $145 5 0.88 $273 $700 $1,300 $7,500 $500 $750 $11,023 2% 11,229
3752-003-019-0007 TE MORTENSEN ANNETTE M 297 $3.71 $1,101 5 0.88 $2,069 $700 $1,300 $7,500 $500 $750 $12,819 5% 13,423
3807-009-001-0108 Fee Burred Investments LLC 163 $8.20 $1,337 5 0.88 $2,513 $1,500 $1,300 $7,500 $500 $750 $14,063 2% 14,329
3807-009-001-0108 TE Burred Investments LLC 882 $0.82 $723 5 0.88 $1,360 $1,360 2% 1,387
3752-002-021-0104 TE DOCKERY LOYJ III 206 $2.19 _ $451 5 0.88 $847 $700 $1,300 $7,500 $500 $750 $11,597 2% 11,814
3752-002-021-0005 TE Rene Urbina 207 $2.19 $453 5 0.88 $851 $700 $1,300 $7,500 $500 $750 $11,601 2% 11,818
3807-007-017-0005 TE SECONDEZ PHILIP&GRACE 278 $1.18 $328 5 0.88 $617 $700 $1,300 $7,500 $500 $750 $11,367 2% 11,580
Jeremy John Lea and Mackenzee
3752-002-019-0108 TE Grace Lea 51 $2.19 _ $112 5 0.88 $210 $700 $1,300 $7,500 $500 $750 $10,960 2% 11,164
3807-007-001-0102 TE SCHULDTTYLERJ 237 $1.58 $375 5 0.88 $704 $700 $1,300 $7,500_ $500 $750 $11,454 2% 11,668
3752-002-019-0009 Fee KEYL STEPHEN&ANNE MARIE 23 $21.88 $503 5 0.88 $946 $1,500 $1,300 $7,500 $500 $750 $12,496 2% 12,731
3807-007-001-0003 Fee MONTEMAYORJOSEGJR 30 $15.81 $5,000 $5,474 5 0.88 $5,891 $1,500 $1,300 $15,000 $500 $750 $24,941 15% 28,570
DocuSign Envelope I D:13C27AF1-4087-4AAF-87C5-1 D6B53D29C89
3807-007-001-0003 TE MONTEMAYORJOSEGJR 428 $1.58 $676 5 0.88 $1,272 $1,272 15% 1,463
3807-005-017-0108 TE ENTO JANUARY D 377 $2.19 $825 5 0.88 $1,551 $700 $1,300 $7,500 $500 $750 $12,301 5% 12,878
3807-005-017-0009 TE SZATHMARY LARS S 235 $2.19 $514 5 0.88 $967 $700 $1,300 $7,500 $500 $750 $11,717 5% 12,265
3807-005-001-0304 TE SOULEJAMESA 205 $2.52 $518 5 0.88 $973 $700 $1,300 $7,500 $500 $750 $11,723 2% 11,943
3807-005-001-0205 TE STONE BRANDON C 252 $1.93 $488 5 0.88 $917 $700 $1,300 $7,500 $500 $750 $11,667 2% 11,885
3807-003-016-0104 TE BERNARDINOESTELITAS 202 $1.74 $351 5 0.88 $660 $700 $1,300 $7,500 $500 $750 $11,410 2% 11,623
3807-003-001-0101 TE CYGNORJENNIFER 268 $1.93 $518 5 0.88 $975 $700 $1,300 $7,500 $500 $750 $11,725 2% 11,944
3807-003-001-0002 Fee CANCINO GRENDA L 19 $25.25 $480 5 0.88 $902 $1,500 $1,300 $7,500 $500 $750 $12,452 2% 12,686
3807-003-001-0002 TE CANCINO GRENDA L 159 $2.52 $401 5 0.88 $755 $755 2% 770
142401-3-038-2001 Fee Andres 11 $11.81 $128 5 0.88 $241 $1,500 $1,300 $7,500 $500 $750 $11,791 2% 12,012
142401-3-038-2001 TE Andres 61 _ $1.18 $72 5 0.88 $135 $135 2% 138
142401-3-037-2002 Fee Shane and Lacy Plemons 216 $11.81 $2,557 5 0.88 $4,808 $1,500 $1,300 $7,500 $500 $750 $16,358 5% 17,138
142401-3-037-2002 TE Shane and Lacy Plemons 533 $1.18 $630 5 0.88 $1,184 $1,184 5% 1,243
142401-3-036-2003 Fee DUENASTIMOTI 199 _ $15.81 $3,145 5 0.88 $5,913 $1,500 $1,300 $7,500 $500_ $750 $17,463 5% 18,299
142401-3-036-2003 TE DUENASTIMOTI 441 $1.58 $697 5 0.88 $1,310 $1,310 5% 1,376
142401-3-035-2004 Fee TERRAZAS ENTERPRISES INC 166 $14.93 $2,478 5 0.88 $4,659 $1,500 $1,300 $7,500 $500 $750 $16,209 15% 18,528
142401-3-035-2004 TE TERRAZAS ENTERPRISES INC 248 _ $1.49 $370 5 0.88 $696 $696 15% 800
3807-001-017-0008 Fee Scott&Kindra Mitchell 115 $11.81 $1,359 5 0.88 $2,554 $1,500 $1,300 $7,500 $500 $750 $14,104 2% 14,371
3807-001-017-0008 TE Scott&Kindra Mitchell 343 $1.18 $405 5 0.88 $762 $762 2% 777
3807-001-001-0105 Fee BELLROBERTC 136 _ $25.25 $3,434 5 0.88 $6,456 $1,500 $1,300 $7,500 $500_ $750 $18,006 2% 18,351
3807-001-001-0105 TE BELL ROBERT C 183 $2.52 $462 5 0.88 $869 $869 2% 886
3807-001-001-0006 Fee MARKUSH ANDREW 229 $8.76 $2,007 5 0.88 $3,773 $1,500 $1,300 $7,500 $500 $750 $15,323 15% 17,509
3807-001-001-0006 TE MARKUSH ANDREW 243 $0.88 $213 5 0.88 $400 $400 15% 460
3817-001-001-0301 Fee DewaltBlaine 75 $17.38 $1,304 5 0.88 $2,451 $1,500 $1,300 $7,500 $500 $750 $14,001 15% 15,989
3817-001-001-0301 TE DewaltBlaine 266 $1.74 $462 5 0.88 $869 $869 15% 1,000
BERTAGNOLE OSKAR R&
3817-001-001-0202 TE CLAUDIA 167 $1.93 $323 5 0.88 $606 $700 $1,300 $7,500 $500 $750 $11,356 2% 11,569
3775-000-031-0406 Fee Vanessa Davenport 5604 $12.58 $302,460 $130,000 $502,958 5 0.88 $831,161 $5,000 $8,500 $65,000 $500 $750 $910,911 15% 1,047,435
TAYLOR CHRISTOPHER L&
3775-000-031-0109 TE ZAPATA KATHLEEN R 0 $1.58 $0 1 2.50 $0 $700 $1,300 $7,500 $500 $750 $10,750 2% 10,950
3817-001-002-0102 TE ASHER MARTY 738 $0.54 $397 5 0.88 $747 $700 $1,300 $7,500 $500 $750 $11,497 2% 11,712
3817-001-002-0003 Fee LANDISJAMEST 631 $9.18 $5,793 5 0.88 $10,891 $1,500 $1,300 $7,500 $500 $750 $22,441 2% 22,875
3817-001-002-0003 TE LANDISJAMEST 303 $0.92 $278 5 0.88 $523 $523 2% 533
3817-001-003-0101 Fee RENSTROM LORRAINE F 676 $5.17 $3,497 5 0.88 $6,574 $1,500 $1,300 $7,500 $500 $750 $18,124 2% 18,472
3817-001-003-0101 TE RENSTROM LORRAINE F 258 $0.52 $133 5 0.88 $251 $251 2% 256
3817-001-003-0200 TE ANDERSONALFII _283 $1.02 $289 5 0.88 $543 $700 $1,300 $7,500 $500 $750 $11,293 2% 11,504
3775-000-031-0000 Fee LAWSON MICHAEL 3313 $10.66 $35,310 5 0.88 $66,383 $1,500 $8,000 $7,500 $500 $750 $84,633 2% 86,311
3775-000-031-0000 TE LAWSON MICHAEL 135 $1.07 $144 5 0.88 $271 $271 2% 276
3775-000-031-0505 Fee DERANGO PAULR 1210 _ $11.17 $13,512 5 0.88 $25,402 $1,500 $8,000 $7,500 $500 $750 $43,652 2% 44,510
3775-000-031-0505 TE DERANGO PAULR _41 $1.12 $46 1 2.50 $160 $160 2% 163
3775-000-031-0307 Fee ADAMS RONALD R 1363 $9.80 $13,352 5 0.88 $25,101 $1,500 $8,000 $7,500 $500 $750 $43,351 2% 44,203
3775-000-031-0307 TE ADAMS RONALD R 302 $0.98 $296 5 0.88 $556 $556 2% 567
3775-000-031-0604 Fee HICKSCLAUDEO 1985 $0.00 $0 $5,000 $5,000 5 0.88 $9,400 $1,500 $1,300 $7,500 $500 $750 $20,950 15% 23,980
OVERSON ALONZO R&
3775-000-030-0209 Fee ELDONNA R 1310 $7.41 $9,710 5 0.88 $18,255 $1,500 $1,300 $7,500 $500 $750 $29,805 2% 30,386
OVERSON ALONZO R&
3775-000-030-0209 TE ELDONNA R 106 $0.74 $79 5 0.88 $148 $148 2% 151
3817-001-004-0308 TE NADDEO CARYN S 246 $1.12 $275 5 0.88 $516 $700 $1,300 $7,500 $500 $750 $11,266 2% 11,477
3817-001-004-0506 Fee Deck Richard 907 $6.72 $6,095 5 0.88 $11,459 $1,500 $1,300 $7,500 $500 $750 $23,009 2% 23,454
3817-001-004-0506 TE Deck Richard 430 $0.67 $289 5 0.88 $543 $543 2% 554
3775-000-030-0308 Fee THOMASSCOTTN 543 $14.97 $8,130 5 0.88 $15,284 $1,500 $1,300 $7,500 $500 $750 $26,834 2% 27,356
3775-000-030-0308 TE THOMAS SCOTT N 264 $1.50 $395 5 0.88 $743 $743 2% 758
3775-000-030-0100 Fee FISHER DONNAJOYCE 651 $13.13 $8,545 5 0.88 $16,064 $1,500 $1,300 $7,500 $500 $750 $27,614 2% 28,151
3775-000-030-0100 TE FISHER DONNA JOYCE 94 $1.31 $123 5 0.88 $232 $232 2% 237
3775-000-030-0605 TE STAYROOKCURTISW 188 $1.50 $281 5 0.88 $529 $700 $1,300 $7,500 $500 $750 $11,279 2% 11,490
3775-000-030-0704 Fee TINDER MICHAEL&RECY 6 $11.74 $70 5 0.88 $132 $1,500 $1,300 $7,500 $500 $750 $11,682 15% 13,322
3775-000-030-0704 TE TINDER MICHAEL&RECY 242 $1.17 $284 5 0.88 $534 $534 15% 614
GREGORY MICHAEL L&
3816-000-009-0009 Fee MAGDALENA 15 $12.38 $186 5 0.88 $349 $1,500 $1,300 $7,500 $500 $750 $11,899 15% 13,572
GREGORY MICHAEL L&
3816-000-009-0009 TE MAGDALENA 738 $1.24 $914 5 0.88 $1,718 $1,718 15% 1,976
GREGORY MICHAEL L&
3816-000-008-0000 TE MAGDALENA 72 $0.21 $15 1 2.50 $52 $700 $1,300 $7,500 $500 $750 $10,802 15% 12,310
3816-000-007-0001 TE GUTIERREZTHOMAS 393 $1.61 $635 5 0.88 $1,193 $700 $1,300 $7,500 $500 $750 $11,943 5% 12,503
3816-000-005-0003 TE ABILLE FELICITO 380 $1.24 $471 5 0.88 $885 $700 $1,300 $7,500 $500 $750 $11,635 5% 12,179
3816-000-002-0006 TE KROUSE DARRELL E 530 $1.12 $592 5 0.88 $1,113 $700 $1,300 $7,500 $500 $750 $11,863 5% 12,418
3816-000-001-0007 TE Clingan Carol 470 $1.50 $704 5 0.88 $1,323 $700 $1,300 $7,500 $500 $750 $12,073 10% 13,205
3775-000-029-0202 TE Johns Henry&Jeanie 344 $0.91 _ $313 5 0.88 $588 $700 $1,300 $7,500 $500 $750 $11,338 5% 11,867
3775-000-029-0004 TE Hoogstraten Larry 335 $1.24 $415 5 0.88 $780 $700 $1,300 $7,500 $500 $750 $11,530 10% 12,608
DocuSign Envelope ID:13C27AF1-4087-4AAF-87C5-1D6B53D29C89
3775-000-012-0003 TE Villa Del Flor LLC 343 $0.20 $70 5 0.88 $132 $700 $1,300 $7,500 $5001 $750 $10,882 10% 11,895
3775-000-010-0203 Fee SCHEELSCOTTC&TEAHA 629 $8.87 $5,580 5 0.88 $10,490 $1,500 $1,300 $7,500 $500 $750 $22,040 10% 24,169
3775-000-010-0203 TE SCHEEL SCOTT C&TEAHA 492 $0.89 $436 5 0.88 $821 $821 10% 903
3775-000-010-0104 Fee NORDEEN BLAIR B 502 $15.12 $7,592 5 0.88 $14,273 $1,500 $1,300 $7,500 $600 $750 $25,923 5% 27,182
3775-000-010-0104 TE NORDEEN BLAIR B 437 $1.51 $661 5 0.88 $1,242 $1,242 5% 1,305
3775-000-010-0302 Fee BROOKSGRANTM 554 $16.31 $9,036 5 0.88 $16,988 $1,500 $1,300 $7,500 $600 $750 $28,638 5% 30,032
3775-000-010-0302 TE BROOKSGRANTM 410 $1.63 $669 5 0.88 $1,257 $1,257 5% 1,320
3775-000-010-0005 TE MONSON STEVEN ANDREW 833 $0.81 $672 5 0.88 $1,264 $700 $1,300 $7,500 $500 $750 $12,014 5% 12,577
142401-2-100-2006 Fee DAVIS VICTOR A 87 $13.98 $1,216 5 0.88 $2,286 $1,500 $1,300 $7,500 $500 $750 $13,836 5% 14,490
142401-2-100-2006 TE DAVIS VICTOR A 466 $1.40 $651 5 0.88 $1,224 $1,224 5% 1,286
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1D6B53D29C89
-. � APPROVED
DMichelle Michelle
t7 —�--�n� v �•� � Michelle Newlean
Newlean 06:Dat51e:2024.05.16
:40-0T00'
CITY OF
BREMERTON
THE CITY OF PRIDE AND OPPORTUNITY
Naval Avenue: 1st St to 15th St
Bicycle and Pedestrian
Enhancements Project
Relocation Assistance Plan
Prepared By:
Paul Gould
HDR Engineering, Inc
Senior Relocation Agent
May 1, 2024
LPA-553 1 of 10
Rev. 11/2023
DocuSign Envelope ID:13C27AF1-4087-4AAF-87C5-1D6B53D29C89
� Washington State NEPA Categorical Exclusion
�I/ Department of Transportation Documentation Form
Federal Aid Project Number NEPA Start Date Intent of Submittal
HLP-PB19(006) November 10,2022 ❑Preliminary ✓ Final ❑Re-Evaluate
Agency Project Title
City of Bremerton Naval Avenue: 1st St to 15th St Pedestrian and Bicycle Enhancement
County
IGtsap
Beginning terminus: 1st Street Township(s): 24N
Ending terminus: 15th Street Range(s): 01 E
Miles: 0.76 Section(s): 22,14
Part 1 - Project Description (Attach Vicinity Map)
The Naval Avenue: 1st St to 15th St. Bicycle and Pedestrian Enhancements Project is a road reconfiguration providing bike lanes,
wider sidewalks, and removal of non-motorized and American with Disabilities Act(ADA)barriers. Related project elements include
pavement resurfacing,street lighting,signal lighting and signal timing modifications, intersection treatments, curb and gutter,signing
and striping to support continuous bike facilities,way-finding signage, utility relocations, and stormwater improvements. New
stormwater infrastructure(storm drain catch basins, manholes,and associated conveyance piping)is proposed along Naval Avenue
in areas where existing structures cannot be maintained due to roadway improvements and also along roadway sections within the
project area where there presently is no existing stormwater infrastructure. See Attachment A(Vicinity Map).
Part 2 -Categorical Exclusion &STIP
• Identify one CE from 23 CFR 771.117(CE Guidebook-Appendix A)that fits the entire project c.3. bike and ped lanes, paths,etc.
• Per 23 CFR Part 452(I)identify the subsequent project phase identified on the STIP? ✓ ROW❑Construction
• Attach a copy of the STIP page to the CE documentation form. Attachment B
NEPA Approval Signatures
oyy y a�,,,tl Digitally signed by Jodie Beall
Ned Lever Jodie Bea
a ' -' Date:lly 12:55:07
Rom:2@..03211ZS/�-P]W 3-21-24 -07'00' 3/25/24
Local Agency Approving Authority Date Local Programs Environmental Engineer Date
Andrea Archer-Parsons DigitalysignedVon3dreaArc eer-Parsons
Date:2t124.U3220S:e)3:11-0T00 CE per PA 3/25/24
Regional Local Programs Engineer Date Federal Highway Administration Date
Completed By(Print Official's Name) Telephone(include area code) E-mail Address
Shane Weber (360)473-2354 shane.weber@ci.bremerton.wa.us
DOT Farm 140-100
Revised 10/2022
DocuSign Envelope ID: 13C27AF1-4087-4AAF-87C5-1D6B53D29C89
$hkigton Staterg��� Transportation Building
partTransportation t of $ rta`9ti69t$ 310 Maple Pads Avenue S.E.
Box WT300
05 rpia,'rYri;43504..7300
360-70.5-7000
TTY 8Co-S33-6388
W't'i?tVS7C.t42 QC'e'
May 20, 2024
Mr. Thomas Knuckey
Public Works Director
City of Bremerton
100 Oyster Bay Avenue N
Bremerton, Washington 98312
City of Bremerton
Naval Avenue: 1st Street to 15th Street Pedestrian
&Bicycle Enhancement
Fed Aid: #To Be Determined
DBE Goal
Dear Mr. Knuckey:
The WSDOT Disadvantaged Business Enterprise (DBE) and Training program, approved by
FHWA, requires the evaluation of each local agency project to determine the feasibility of
including goals (See chapter 26 of the Local Agency Guidelines (LAG)manual).
This office applied the criteria and established a Nine percent mandatory DBE goal for
consultants on this project. This evaluation of the mandatory DBE goal will remain in effect
for one year from the date of this letter. If the advertisement is scheduled for a date more
than one year after the date of this letter or the cost estimate changes more than twenty
percent prior to going to advertisement, reevaluation of the DBE goal is required.
Please note that failure to receive concurrence to award from Local Programs in accordance
with the LAG manual may result in loss of federal participation.
If you have any questions about the goal set, you can contact Nina Jones at 360.947.6788, or
by email atjonesni@wsdotwa.gov.
Sincerely,
Michele L. Britton, PE
Asst. State Local Programs Engineer
Local Programs
MLB:jd:ml
cc: John Ho, Olympic Region Local Programs Engineer, MS 47440