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HomeMy WebLinkAbout9233 DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 Local Programs Authorization Package Checklist Agency: City of Bremerton Project Title: SR 303 Adaptive Signals (Sheridan to Riddell) Fed Aid/State Project#: CRRSAA-0303(017) By Phase (check all that apply) Funding Request PL* PE** RW CN Non-Funding Request New Phase Authorization Phase Modification X *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 Miscellaneous Items X In addition to this checklist, all Region submittals must utilize the standard Region IDC, memo, or cover letter. If authorizing a subsequent phase on an existing project, has at least one bill for the prior phase been fully X processed by Local Programs (Posted date is present in SPORT)? If not,supplement can't be processed. Has the scope changed (description of work, limits,staging, RW needs, etc.) since previous submittal? NO I Project Prospectus (DOT Form 140-101 01/22) - LAG Chapter 21 X Are all three pages of the current form included? X Does information (title, termini,description, RW needs, cost,etc.)agree with STIP/LAA/NEPA-CE? X Is the project description written such that the project scope is clear to an average person? X Are pages 1 and 3 signed? X If the LPE or another agency is acting as CA,enter CA agency name below and include copy of CA agreement (PAA,etc). 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+4? X Are estimated costs included for all phases of the project? X Are the Functional Classification and Urban/Rural designation correct? X Are the Right of Way, Utilities,and Railroad sections filled out? X Typical Sections & Vicinity Map - LAG Chapter 21 X When necessary, are the Vicinity Map(s) and Roadway Section(s) included? X Can someone unfamiliar with the project's location easily tell where it's located using the vicinity map? X Are the project limits clearly marked on the map? X Does the section include all elements, with dimensions,of the roadway prism? NA Are section changes,if applicable, throughout the project limits noted/displayed? NA STIP/Funding Documentation - LAG Chapter 12 X Is the currently approved STIP page included? X Does 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 the STIP? 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 Local Agency Agreement (DOT Forms 140-039 4/22 & 140-0414/22 - LAG Chapter 22 X 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/N EPA-CE? X Authorization Package Checklist WSDOT/Local Programs 1 of 2 DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 Local Programs Authorization Package Checklist HQ 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 6/22) X Is the reason for supplement accurate and up to date? X Is the Project Agreement End Date (month,day,and year) included? Does it follow LAG guidance? X When not authorizing a new phase, is the end date the same as shown on the previous agreement? NA If not, is adequate justification (see LAG 22.3) included to support changing the end date? 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 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 Documented Cost Estimate - LAG 22.4 and Appendix 22.56 x - Is a Documented Cost Estimate included for each phase requesting/changing funds? X Are total dollars on the LAA supported by the phase estimates? X Does the estimate sufficiently demonstrate how the costs were determined? X Right of Way - LAG Chapter 25 NA If authorizing RW, is a true cost estimate summary sheet included? Does the true cost estimate summary sheet support RW amounts shown on the LAA? If authorizing RW and Relocation is required, is the signature page of the approved Relocation Plan included? If authorizing CN, is the Local Programs approved RW Certification included? If RW acquired under the Government Acquisitions Provision, is approval documentation included? Environmental Documentation/Approval (NEPA) - LAG Chapter 24 NA Is an approved NEPA package (at least signature page) included? Does the description of work match the Prospectus/LAA/STIP? Is the footprint of the project within the limits of the NEPA approval? Do the NEPA-CE Part 3 RW responses agree with the STIP and Prospectus? Is the approval date within the last 3 years? If approval is older than 3 years, has the approval been re-evaluated by the environmental engineer? DBE Goals (LAG Chapter 26) -Tied Bid (LAG Chapter 44) - Local Forces (LAG Chapter 61) X 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 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:7C9793A6-A814-4299-B2F2-A94B6755D096 W: tansportation shington State Local Agency Federal Aid iA; D Project Prospectus Prefix Route ( ) Date 06/26/2024 Federal Aid CRRSAA 0303 017 DUNS Number 55684970 Project Number Local Agency 315059 WSDOT Federal Employer 91-6001231 Project Number Use Only Tax ID Number Agency CAAgency Federal Program Title City of Bremerton ✓ Yes ❑ No ✓ 20.205 ❑ Other Project Title Start Latitude N 47.58833 Start Longitude W-122.62958 SR 303 Adaptive Signals (Sheridan to Riddell) End Latitude N 47.60686 End Longitude W-122.62889 Project Termini From-To Nearest City Name Project Zip Code(+4) Sheridan Road NE Riddell Road Bremerton 98310-3432 Begin Mile Post End Mile Post Length of Project Award Type N/A N/A 1.28 Miles ✓ Local El Local Forces LI State El Railroad Route ID Begin Mile Point End Mile Point City Number County Number County Name N/A N/A N/A 0115 18 Kitsap WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number Olympic Region 23 6 7 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. $592,500 $80,000 $512,500 August 2023 R/W $0 $0 $0 N/A Const. $1,849,700 $249,700 $1,600,000 July 2026 Total $2,442,200 $329,700 $2,112,500 Description of Existing Facility (Existing Design and Present Condition) Roadway Width Number of Lanes 54' 5 SR 303 is a designated principal arterial and includes 5 lanes (2 NB, 2SB, and a two-way center left turn lane). Existing signals located at Sheridan Rd, Sylvan Way, E Broad St, Hollis St, and NE Riddell Rd. Description of Proposed Work Description of Proposed Work(Attach additional sheet(s)if necessary) Installation of an adaptive signal system along the SR 303 (Wheaton Way) corridor. The system includes five signalized intersection at Sheridan Rd, Sylvan Way, E Broad St, Hollis St, and NE Riddell Rd. The project also includes systems engineering, vehicle detection, and communication interconnection. Local Agency Contact Person Title Phone Shane Weber, P.E. Managing Engineer 360-473-2354 Mailing Address City State Zip Code 345 6th Street, Suite 100 DocuSigned by: Bremerton WA 98337 4,,,,,Q€A, By Project Prospectus Approving Authority Title Mayor, City of Bremerton pa9/2024 DOT Form 140-101 Page 1 Revised 01/2022 Previous Editions Obsolete DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 Agency Project Title Date City of Bremerton SR 303 Adaptive Signals (Sheridan to Ridde 06/26/2024 Type of Proposed Work Project Type(Check all that Apply) Roadway Width Number of Lanes D New Construction D Path /Trail ❑3-R No change No change ❑ Reconstruction ❑ Pedestrian / Facilities ❑2-R ❑ Railroad ❑ Parking ✓ Other ❑ Bridge Geometric Design Data Description Through Route Crossroad ✓ Principal Arterial ❑ Principal Arterial Federal ❑ Urban ❑ Minor Arterial ✓ Urban Minor Arterial Functional ❑ Rural ❑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 30 MPH 25 MPH Design Speed 30 MPH 25 MPH Existing ADT 36,968 (2022) Varies (Under 10,000) 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 N/A- Work to be performed within existing roadbed/right-of-way DOT Form 140-101 Page 2 Revised 01/2022 Previous Editions Obsolete DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 Agency Project Title Date City of Bremerton SR 303 Adaptive Signals (Sheridan to Ridde 06/26/2024 Right of Way ✓ 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 ✓ All utility work will be completed in coordination ❑All 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 Potential for minor third-party utility relocations and/or adjustments associated with construction of improvements. FAA Involvement Is any airport located within 3.2 kilometers (2 miles) of the proposed project? ❑Yes ❑ 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 ©ocuSigned by: By Date 7/9/2024 ... ayor airperson DOT Form 140-101 Page 3 Revised 01/2022 Previous Editions Obsolete DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 ...i . -,t._„Tii.ra hh , ,I, a. City Limits a r. v + r"t ;,µ _ ry RM ' -,n;' a 3 0 F ,. �F �7 �. ` City N::meon % I VUECT� NE , ;, ;, �. � v J Fc' q ; f. z r o ) s3, : `1. ..r -i a'toot ' �.� _'__ F ,.. a 2 ALMIRA CT , ,K-4-f ',. n' '(�.1—.*4., ' 4+`'" ' i �` r! 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AC0 ti� �F y' C �'y4y m W >- 2GTH ST 2 l ��LO 4 zQ W y \\\5'' ST CET" ASH Pt O� J �Q Kitsap Lake x m 7 w v- . = .� x I-I-I W .. a A FOO . lG'7 di/4„„ C� 3 ST `I Bremerton Q LA_ !p J'l `> F� ~ 9 n LU k- N�p'N MAGNUSON W ,,W 25TH ST O Q �, Q 0p WA "—�""'—" County of Kitsap,WA State o a r Q 2 Q 3> -y-I c ; k, �, 1-"I K I T S A P Port Orch8adlks GIS, Esri, HERE, a �' m C v m c N\A ST. •Q Q r, Q J z Q W C Sti- Q NE I I Garmin,SafeGraph,METI/ m C 3 w 7 c — C' s Gorst z c w "' —' c NASA,USGS,Bureau of Land z 24TH ST o o d *., Coy N�C�O a m Z a NE H', Management, EPA, NPS, _, z - c� �`n LA w Fernwood USDA W "'/1 QI. • ... `.'.'r"var..:=ems n-.. � Z Z 'I eL NOTE:Location(s)of communications improvements not shown and to be determined during the preliminary engineering phase. ! -it 24TH ST a a HDLMAI 'i, CITY OF BREMERTON N PROJECT NO. tSR 303 Adaptive Signals (Sheridan to Riddell) DEPARTMENT OF PUBLIC WORKS & UTILITIES A XXXXXX ENGINEERING DIVISION o 1,000 2,000 SHEET CITY OF BREMERTON Project Location Map EXHIBIT BY: N.ATAIE DATE: 4/13/2023 CHECKED BY: DATE: Feet 1 OF 1 DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 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. 03 0303(017) BRE-31 24 0.000 CE No Sheridan Road Riddell Road 2,520,000 2403 Ad Mod SR 303 Adaptive Signals(Sheridan to Riddell) Install adaptive signal system at signalized intersections,including fiber optic cables and a central control system with servers. Funding Federal Funds Phase Start Date Federal Fund Code State Fund Code State Funds Local Funds Total PE 2024 CRP(UM) 44,222 0 79,978 124,200 CN 2026 STBG(UM) 1,600,000 0 327,570 1,927,570 Project Totals 1,644,222 0 407,548 2,051,770 Expenditure Schedule Phase 1st 2nd 3rd 4th 5th&6th ALL 124,200 0 1,927,570 0 0 Totals 124,200 0 1,927,570 0 0 Page 1 DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 Washington State j1I Department of Transportation Local Agency Agreement Supplement Agency Supplement Number City of Bremerton o1 Federal Aid Project Number Agreement Number CFDA No. 20.205-Highway Planning CRRSAA-0303(017) LA10670 and Construction All provisions in the basic agreement remain in effect except as modified by this supplement. The Local Agency certifies that it is not excluded from receiving Federal funds by a Federal suspension or debarment (2 CFR Part 180).Additional changes to the agreement are as follows: Project Description Name SR 303 Adaptive Signals(Sheridan to Riddell) Length 1.280 Termini Sheridan Road to NE Riddell Road Description of Work ✓ No Change Install adaptive signal system at signalized intersections, including fiber optic cables and a central control system with servers Reason for Supplement Increased Federal Funding Share Are you claiming indirect cost rate? Yes / No Project Agreement End Date 06/01/2028 Advertisement Date Estimate of Funding Type of Work (1) (2) (3) (4) (5) Previous Estimated Total Estimated Agency Estimated Federal Agreement/Suppl. Supplement Project Funds Funds Funds PE o a.Agency 96,400.00 96,400.00 13,014.00 83,386.00 /o 86.5 b. Other Consultant 439,906.00 51,123.00 491,029.00 66,289.00 424,741.00 Federal Aid c. Other 0.00 0.00 Participation 5,000.00 5,000.00 675.00 4,325.00 Ratio for PE d. State Services e.Total PE Cost Estimate(a+b+c+d) 541,306.00 51,123.00 592,429.00 79,978.00 512,452.00 Right of Way f.Agency 0.00 �0 g. Other 0.00 Federal Aid h. Other 0.00 Participation Ratio for RW i. State Services 0.00 j.Total R/W Cost Estimate(f+g+h+i) 0.00 0.00 0.00 0.00 0.00 Constructiono k. Contract 0.00 �0 I. Other 0.00 m. Other 0.00 Federal Aid n. Other 0.00 Participation Ratio for CN o.Agency 0.00 p. State Services 0.00 q.Total CN Cost Estimate(k+I+m+n+o+p) 0.00 0.00 0.00 0.00 0.00 r.Total Project Cost Estimate(e+j+q) 541,306.00 51,123.00 592,429.00 79,978.00 512,452.00 The Local Agency further stipulates that pursuant to said Title 23, regulations and policies and procedures, and as a condition to payment o . rda�funds obligated, it accepts and will comply with the applicable provisions. Agency Official Washington State Department of Transportation Greg wheel e r BAF46095E8E747B... By By Title Mayor Director, Local Program Agency Date 7/9/2024 Date Executed DOT Form 140-041 Page 1 Revised 04/2022 DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 Agency Supplement Number City of Bremerton 01 Federal Aid Project Number Agreement Number CFDA No. 20.205-Highway Planning CRRSAA-0303(01 7) LA10670 and Construction 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). 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. 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 90 days after the Project Agreement End Date or they become ineligible for federal reimbursement. 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 promptly to the State. 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). DOT Form 140-041 Page 2 Revised 04/2022 DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 Instructions 1. Agency—Enter the agency name as entered on the original agreement. 2. Supplemental Number—Enter the number of the supplement. Supplement numbers will be assigned in sequence beginning with Number 1 for the first supplement. 3. Project Number—Enter the federal aid project number assigned by WSDOT on the original agreement. 4. Agreement Number—Enter the agreement number assigned by WSDOT on the original agreement. 5. Project Description—Enter the project name, length, and termini. 6. Description of Work—Clearly describe if there is a change in work such as the addition or deletion of work elements and/or changes to the termini. If the work has not changed, put a check mark in the"No Change" box. 7. Reason for Supplement—Enter the reason for this supplement, i.e., increase PE funding to cover design changes presented in the revised prospectus; request funding of construction phase; decrease construction funding to the contract bid amount. If the supplement is authorizing a construction phase, the project's proposed advertisement date must be included in the space provided. 8. 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 supplement. 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. 9. Project Agreement End Date—Enter your previously established Project Agreement End Date. If authorizing a new phase of the project, update the Project Agreement End Date based on the following guidance: a. 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". b. For Construction—WSDOT recommends agencies estimate when construction will be completed and add three years to determine the"Project Agreement End Date". c. If an extension to a Project Agreement End Date is required between phase authorizations,the need for the extension must be described in the Reason for Supplement.Adequate justification to approve the extension must be submitted with the supplement. See Section 22.3 for additional guidance. 10.Type of Work and Funding (Round all amounts to the nearest whole dollar). a. Column 1 —Enter the amounts from column 1 of the original local agency agreement. If the agreement has already been supplemented, enter the amounts by type of work from column 3 of the last supplemental agreement. b. Column 2—Enter increase/decrease to total amounts requested by type of work. c. Column 3—Add the amounts in columns 1 and 2. d. Columns 4 and 5—Enter the appropriate amounts based on the participation ratio recorded on the original agreement. 11.Signatures—An authorized official of the local agency signs the Supplemental Agreement and enters their title and date of signature (mm/dd/yy). Note:Do NOT enter a date on the Date Executed line. DOT Form 140-041 Page 3 Revised 04/2022 DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 Independent Estimate For Consultant Services Worksheet Agency: City of Bremerton Federal Project No.: CRRSAA-0303(017) Project Name: SR 303 Adaptive Signals (Sheridan to Riddell) Prepared By: Chris Dimmitt, P.E. Date: 6/26/24 Type of Services Estimated Cost Comments Planning $0.00 N/A Surveying $0.00 N/A Project Management $0.00 N/A Geotechnical Engineering $0.00 N/A Geometrics/ Hydraulics Engineering $0.00 N/A Structural Engineering $0.00 N/A Traffic Engineering $16,600.00 Systems study+ PE Environmental & permitting $0.00 N/A Public Involvement $0.00 N/A Real Estates Services $0.00 Architectural Services $0.00 Mechanical/ Electrical Engineering $0.00 Construction Management $0.00 Total $16,600.00 Indirect Cost Rate Cost (in percent) 176.75% $29,340.50 Fix Fee (in percent) 30.00% $4,980.00 Reimbursable A. Travel and Per Diem $200.00 B. Reproduction Expenses $0.00 C. Computer Expense $0.00 D. Communication $0.00 E. Sampling and Testing $0.00 F. Outside Consultants $0.00 G. Other Total: $200.00 Sub-Total $51,120.50 *Contingencies $0.00 *Contingencies $0.00 * Use only on Cost plus Fix Fee agreement Grand Total $51,120.50 Rounded to $51,000 DocuSign Envelope ID:7C9793A6-A814-4299-B2F2-A94B6755D096 $hkigton Staterg��� Transportation Building partTransportation t of $ rta`9ti69t$ 310 Maple Pads Avenue S.E. P.O. u WT300 05 rpia,'rYri;43504..7300 360-70.5-7000 TTY 8Co-S33-6388 W't'i?tVS7C.t42 QC'e' September 20, 2023 Mr. Thomas Knuckey Public Works Director City of Bremerton 100 Oyster Bay Avenue N Bremerton, Washington 98312 City of Bremerton SR 303 Adaptive Signals (Sheridan to Riddell) CRRSAA-0303(017) 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 Fourteen percent mandatory DBE goal for consultants on this project. This evaluation of the DBE goal will remain in effect for 180 days from the date of this letter. If the consultant advertisement date exceeds the 180 days or the cost estimate changes more than twenty percent, the 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 Asst. State Local Programs Engineer Local Programs MLB:jd:ml cc: John Ho, Olympic Region Local Programs Engineer, MS 47440\