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Home My WebLink About9045 (2)Adw T. Washington State Local A enc Agreement Supp Department of Transportation g Y 9 Pp City of Bremerton 1 Federal Aid Project Number (Agreement Number CFDA No. 20.205 HSIP-OOOS(525) LA 9619 (Catalog of Federal Domestic Assistance) The Local Agency requests to supplement the agreement number noted above. 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 Kitsap Way (SR310) and Warren Ave (SR303) Traffic Signal and Multimodal Safety Length N/A Termini SR3 to Montgomery Avenue and Burwell Street (SR304) to Furneys Lane Description of Work ✓ No Change Retime signals, increase visibility of traffic signal heads, and improve conditions for pedestrians at traffic signals. Reason for Supplement Obligate Construction Funding Are you claiming indirect cost rate? Yes ✓ No Project Agreement End Date 12/31/2024 Does this change require additional Right of Way or Easements? ❑ Yes ✓ No Advertisement Date: 5/7/21 Estimate of Funding (1) (le (3) (4) (5) Type of Work Previous Supplement Estimated Total Estimated Agency Estimated Federal A reement/Su I. Project Funds Funds Funds E a. A nc 46,445.00 46,445.00 4,645.00 41,800.00 % Ib.Other 321,555.00 321,555.00 32,155.00 289,400.00 Federal Aid c Other 46,445.00 46,445.00 46,445.00 Participation (Ratio for PE d. State 3,555.00 3,555.00 355.00 3,200.00 e. Total PE Cost Estimate a+b 418,000.00 0.00 418,000.00 83,600.00 334,400.00 Right of Wayo f. A enc 0.00 g. Other 0.00 Federal Aid h. Other 0.00 Participation Ratio for RW iState0.00 J. Total W Cost Estimate f +h,b 0.00 0.00 0.00 0.00 0.00 tructio �o C n r c 1,950,400.00 1,950,400.00 0.00 1,950,400.00 100 II. Other (Consultant CM Contract) 175,000.00 175,000.00 0.00 175,000.00 Other (Agency Funded CM) 3,000.00 3,000.00 3,000.00 0.00 Federal Aid In. Other 0.00 Participation Ratio for CN o.Agency 50,000.00 50,000.00 0.00 50,000.00 p. State 5,000.00 5,000.00 0.00 5,000.00 g. Total CN Cost Estimate k -rn +0+ 0.00 2,183,400.00 2,183,400.00 3,000.00 2,180,400.00 r. Total Proiect Cost Estimate e+' 418,000.00 2,183,400.00 2,601,400.00 86,600.00 2,514,800.00 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. Agency Official Washington State By Department of Transportation By Director, Local Program Title May , City of Bremerton Date Executed DOT Form 140-041 Revised 12/2020 Page 1 City of Bremerton 1 -ederal Aid Project Number Agreement Number CFDA Rio. 20.205 HSIP-OOOS(525) LA 9619 (Catalog of Federal Domestic Assistance) 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. Vill. 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 12/2020 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. Change Requiring Additional Right of Way or Easements — Check the Yes box when the supplement covers a change in scope (Description of Work or Termini) that requires additional property rights than was previously expected, or when it's determined that property rights are necessary and the project was previously submitted as no right of way required. Check No when this is the case. 9. 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. 10. 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. 11. Type of Work and Funding — Complete this section in them an nerdescribed in Appendix 22.52.05. 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 additional amounts requested by type of work. c. Column 3 —Add the amounts in columns 1 and 2. Columns 4 and 5 — Enter the appropriate amounts based on the participation ratio recorded on the original agreement. 12. Signatures — An authorized official of the local agency signs the Supplemental Agreement, and writes in their title. Submit one originally signed supplement 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 file. Note: Do NOT enter a date on the Date Executed line. AIIIIIIIIIIIIIIIIIIIII► � Washington State A Department of Transportation Local Agency Federal Aid Project Prospectus Prefix Route ( ) Date 3/19/21 Federal Aid Project Number HSIP OOOS 525 DUNS Number 55684970 WSDO y 1 Federal Employer 91-6001231 ( Lo 1 I Agency 315023 Project Number J Use On l J Tax ID Number Agency - - CAAgency Federal Program Title City of Bremerton Yes [ 1 No ❑✓ 20.205 [:]Other Project Title Start Latitude N See Attached Start Longitude W See Attached Kitsap Way (SR 310) and Warren Ave (SR 303) End Latitude N See Attached End Lon itude W See Attached Project Termini From -To Nearest City Name Project Zip Code (+4) See Attached See Attached Bremerton 98337-1873 Begin Mile Post End Mile Post Length of Project Award Type N/A ❑✓ Local ❑ Local Forces ❑ State ❑ Railroad Route ID Begin Mile Point End Mile Point City Number County Number County Name 0115 18 Kitsap WSDOT Region Legislative District(s) Congressional District(s) Urban Area Number Olympic Region 26, 23, 35 6 7 Total Local Agency Federal Funds Phase Start Phase Estimated Cost Funding Date Nearest Hundred Dollar Nearest Hundred Dollar Nearest Hundred Dollar Month Year P. E. 418,000 83,600 334,400 June 2019 R/W 0 0 0 N/A Const. 12,183,400 3,000 12,180,400 1 April 2021 Total 12,601,400 86,600 12,514,800 Description of Existing Facility (Existing Design and Present Condition) Roadway Width Number of Lanes 60 Feet 4 Traffic signal heads are hard to find due to visibility issues, pedestrians have non-ADA compliant curb ramps and crossings, bicyclists currently use shared use lanes with vehicles for travel on Kitsap Way. Description of Proposed Work Description of Proposed Work (Attach additional sheet(s) if necessary) Retime signals, increase the visibility of traffic signal heads, and improve conditions for pedestrians at traffic signals. Upgrade signing and pavement markings and control access at driveways. On Kitsap Way (SR 310), improve lighting and rechannelize the roadway including with bike lanes and green bike lane facilities. 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 Bremerton WA 98337 By �►J Approving Authority Project Prospectus Title Mayor, City of Bremerton (Date 3/19/21 DOT Form 140-101 Pane.I Revised 04/2015 Previous Editions Obsolete Agency Project Title Date City of Bremerton Kitsap Way (SR 310) and Warren Ave (SR 3 3/19/21 Type of Proposed Work Project Type (Check all that Apply) ❑ New Construction ❑ Path / Trail ❑ Reconstruction ❑ Pedestrian / Facilities ❑ Railroad ❑ Parking ❑ Bridge Geometric Design Data Description Th Federal Functional Classification Terrain Posted Speed Design Speed Existing ADT Design Year ADT Design Year Design Hourly Volume (DHV) Performance of Work Preliminary Engineering Will Be Performed By Consultant Construction Will Be Performed By Contractor Environmental Classification ❑ 3-R ❑✓ 2-R ❑✓ Other Route Roadway Width Number of Lanes 60 Feet 1 4 ❑✓ Principal Arterial ❑✓ Urban ❑ Minor Arterial ❑ Rural ❑ Collector El NHS ❑ Major Collector ❑ Minor Collector ❑ Local Access ❑ Flat ❑✓ Roll ❑ Mountain varies 25 - 35 mph 35 mph 13,000 - 36,000 N/A N/A N/A ❑ Class I - Environmental Impact Statement (EIS) ❑ Project Involves NEPA/SEPA Section 404 Interagency Agreement ❑ Class III - Environmental Assessment (EA) ❑ Project Involves NEPA/SEPA Section 404 Interagency Agreements Environmental Considerations N/A Crossroad ❑✓ Principal Arterial ❑✓ Urban ❑ Minor Arterial ❑ Rural ❑Collector ❑ NHS ❑ Major Collector ❑ Minor Collector ❑ Local Access ❑ Flat ❑✓ Roll ❑ Mountain varies 30 - 35 mph 30 mph 14,000 - 43,000 N/A N/A N/A Others Agency 100 % % Contract Agency 100 % % U Class II - Categorically Excluded (CE) ❑✓ Projects Requiring Documentation (Documented CE) Revised 04/2015 Previous Editions Obsolete age Agency Project Title Date City of Bremerton Kitsap Way (SR 310) and Warren Ave (SR 3 3/19/21 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 exiting right of way. Utilities Railroad ❑ No utility work required 0 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 0 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 Utility work consisting of minor utility appurtenance adjustments. FAA Involvement Is any airport located within 3.2 kilometers (2 miles) of the proposed project? [:]Yes 0 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. Ag" City of Bremerton Date 3/19/21 By L,&,a Mayor/Chairperson (2� DOT Form 140-101 Page 3 Revised 04/2015 Previous Editions Obsolete