HomeMy WebLinkAbout9234 Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
Local Programs Authorization Package Checklist
Agency: City of Bremerton
Project Title: Bremerton School Zone Safety
Fed Aid/State Project#: HLP-SR19(004)
By Phase(check all that apply)
Funding Request PL* PE** RW CN Non-Funding Request
New Phase Authorization
Modification Modificationation IE
*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 Agency Notes
Miscellaneous Item [: 0 ❑
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 Y
processed by Local Programs(Posted date Is present In SPORT)? If not,supplement can't be processed.
*There was a minor sign change at
Armin Jahr,moving signs from
McClain to Sylvan Way. The
description of work did not change in
Has the scope changed(description of work,limits,staging,RW needs,etc.)since previous submittal? N* the LAA and Prospectus
Project Prospectus(DOT Form 140-101 01/22)-LAG Chapter 21 0 0CI-
Are all three pages of the current form included? Y JJ
Does information(title,termini,description,RW needs,cost,etc.)agree with STIP/LAA/NEPA-CE? Y
Is the project description written such that the project scope is clear to an average person? Y n n
Are pages 1 and 3 signed? Y
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? Y
Are Congressional and Legislative Districts included and correct? Y
Project Zip Code Includes the+4? Y
Are estimated costs included for all phases of the project? Y n n
Are the Functional Classification and Urban/Rural desiggtion correct? Y
Are the Right of Way,Utilities,and Railroad sections filled out? Y
rpical Sections&Vicinity Mirgialth EX CI ❑
When necessary,are the Vicinity Map(s)and Roadway Section(s)included? Y
Can someone unfamiliar with the project's location easily tell where it's located u!1:_ I. Y
Are the project limits clearly marked on the map? N/A n n
Does the section Include all erments,with dimensions,of the roatway prism? N/A
Are section changes,if applicable,throughout the project limits noted/displayed? N/A n n
STIP/Funding Documentation LAG Chapter 12 N/ CI ❑
Is the currently approved STIP page included? n
Does STIP Information(trmini,description,etc.)match the LAA and Prospectus?
Is the phase being authorized(or a later phase)programmed in the STIP?
Is funding from all requested programs shown in the STIP?
Are the requested funds supported by the STIP? n n
If funded through a HQ managed program(ex.Bridge,HSIP),is the award letter included when these J J
first obligated?
If funded through a HQ managed program,does the submitted scope match the project summary scope? n n
Local Agency Agreement(DOT Forms 140-039 4y" ` &140-0414/22-LAG Chapter 22 0 0CI
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) Y
Current form used?(check revision date at bottom left) Y
All pages of Agreement included? Y n n
Are the Agency information,Project U,LAA#,Supplement U,and date of original agreement execution correct? Y
Does project information(title,termini,length,description,etc.)agree with STIP/Prospectus/NEPA-CE? Y
HQ
Check
Authorization Package Checklist WSDOT/Local Programs 1 of 2
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
Local Programs Authorization Package Checklist
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)
Is the reason for supplement accurate and up to date? Y
Is the Project Agreement End Date(month,day,and year)Included? Does it follow LAG guidance? N/A n n
When not authorizing a new phase,is the end date the same as shown on the previous agreement? N/A n n
If not,is adequate justification(see LAG 22.3)included to support changing the end date? n n
Is the Advertisement Date(month,day,and year)included?Is it within 6 weeks of estimated CN authorization? N/A n n
If the ICR box is checked'Yes',is the agency's current approved/self-certifed rate documentation provided? NA n
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? N/A n n
Are all federal aid participation ratios being used listed? N/A n n
If de-obligating funds on any line,does it reduce obligation below expenditures? NA n n
Are amounts calculated correctly and shown In the correct columns?Amounts must be rounded to whole dollars. Y n n
Documented Cost Estimate-LAG 22.4 and Appendix 22.56 nX n ❑
Is a Documented Cost Estimate included for each phase requesting/changing funds? Y n n
Are total dollars on the LAA supported by the phase estimates? Y n n
Does the estimate sufficiently demonstrate how the costs were determined? Y n n
'Right of Wa435SPINIFIPT ❑ ❑
If authorizing RW,is a true cost estimate summary sheet Included? n n
Does the true cost estimate summary sheet support RW amounts shown on the LAA? n
If authorizing RW and Relocation is required,is the signature page of the approved Relocation Plan included? n
If authorizing CN,is the Local Programs approved RW Certification Included? n n
If RW acquired under the Government Acquisitions Provision,is approval documentation included? n n
Environmental Documentation/Approval(NEPA)- Ater 24 N/ ❑ ❑
Is an approved NEPA package(at least signature page)included?
Does the description of work match the Prospectus/LAA/STIP? n n
Is the footprint of the project within the limits of the NEPA approval? n n
Do the NEPA-CE Part 3 RW responses agree with the STIP and Prospectus? n n
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? n n
DBE Goals(LAG Chapter 26)-Tied Bid(LAG Chapter 44)-Local Forces(LAG Chapter 61) N/ ❑ ❑
If using a fed funding for a consultant In any phase,is the DBE goal letter/email Included,or are the goals in SPORT?
If authorizing construction,is the DBE goal letter/e-mail included,or are the goals in SPORT? n n
If construction includes a tied bid project,is the approved PIF included or noted in SPORT? n n
If construction by Local Forces,is the approved PIF included or noted in SPORT?
PROJECT NOTES(Provide additional information or explanation as necessary)
Authorization Package Checklist WSDOT/Local Programs 2 of 2
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
Milk
WWashington State Local Agency Federal Aid
AI Department of Transportation
Project Prospectus
Prefix Route ( ) Date 6/24/24
Federal Aid N/A N/A N/A DUNS Number 55684970
Project Number
Local Agency 315031 WSDOT Federal Employer 91-6001231
Project Number Use Only Tax ID Number
Agency CA Agency Federal Program Title
City of Bremerton ✓ Yes ❑ No ✓ 20.205 ❑ Other
Project Title Start Latitude N Various Start Longitude W Various
Bremerton School Zone Safety Improvements End Latitude N Various End Longitude W Various
Project Termini From-To Nearest City Name Project Zip Code(+4)
Various Various Bremerton 98337
Begin Mile Post End Mile Post Length of Project Award Type
N/A N/A Citywide LI Local EI Local Forces LII State LII 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 23,26 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. 36000 0 36000 October 2019
R/W
Const. 208000 0 208000 August 2024
Total 244000 0 244000
Description of Existing Facility (Existing Design and Present Condition)
Roadway Width Number of Lanes
Varies Varies
There are five schools with limited amount of safety measures to protect people traveling to public school
facilities in the City of Bremerton. There is currently basic signage and limited safety measures in place.
Description of Proposed Work
Description of Proposed Work(Attach additional sheet(s)if necessary)
Improvements at five schools including the following safety measures: speed feedback signs, flashing
beacons, school speed zone signage, and other improvements.
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 Signed by: Bremerton WA 98337-1891
4,,,,,Q€A,
By B f 4 O SEtE747B...
Project Prospectus Approving Authority
Title Mayor, City of Bremerton Da A30/2024
DOT Form 140-101 Page 1
Revised 01/2022 Previous Editions Obsolete
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
Agency Project Title Date
City of Bremerton Bremerton School Zone Safety Improveme ' 6/24/24
Type of Proposed Work
Project Type(Check all that Apply) Roadway Width Number of Lanes
❑ New Construction ❑ Path/Trail ❑3-R Varies Varies
❑ Reconstruction ❑ Pedestrian/ Facilities ❑2-R
❑ Railroad ❑ Parking ✓ Other
❑ Bridge
Geometric Design Data
Description Through Route Crossroad
❑ Principal Arterial ❑ Principal Arterial
Federal ✓ Urban 1 Minor Arterial ✓ Urban ❑Minor Arterial
❑Collector ❑Collector
Functional ❑ Rural ❑ Rural
❑ Major Collector ✓ Major Collector
Classification ❑ NHS ❑ Minor Collector ❑ NHS ❑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 Varies Varies
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
Agency o 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
Project received a SEPA Categorical Exemption. The project was determined to have No Historic Resources
Impacted by DAHP.
DOT Farm 140-101 Page 2
Revised 0112022 Previous Editions Obsolete
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
Agency Project Title Date
City of Bremerton Bremerton School Zone Safety ImprovemefJ 6/24/24
Right of Way
✓ No Right of Way Needed El Right of Way Needed
*All construction required by the LI No Relocation ❑ Relocation Required
contract can be accomplished
within the existing right of way.
Utilities Railroad
✓ No utility work required ✓ No railroad work required
El All utility work will be completed prior to the start EIAII railroad work will be completed prior to the start of
of the construction contract the construction contract
El All utility work will be completed in coordination El 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
N/A
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 Bre`n Eby:
7/30/2024 By
Date `-" 60-""E ayor/Chairperson
DOT Form 140-101 Page 3
Revised 01/2022 Previous Editions Obsolete
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
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Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
Washington State Supplement - Local Programs WAO Department of Transportation State Funding Agreement
Agency
City of Bremerton Supplement Number
Project Number Agreement Number
1
HLP-SR19(004) LA 9715
All provisions in the AGREEMENT identified above remain in effect except as expressly modified by this supplement.
The changes to the agreement are described as follows:
Project Description
Name Bremerton School Zone Safety Improvements-Safe Routes to School
Location Various
Description of Work ✓ No Change
Improvements at 5 schools including the following safety measures:speed feedback signs,flashing beacons,school speed zone
signage,and other improvements.
Reason for Supplement
Requesting construction funding authorization.
Estimate of Funding
Type of Work (1) (2) (3) (4) (5)
Previous Supplement Estimated Total Estimated Agency Estimated
Agreement/Suppl. Project Funds Funds State Funds
PE a.Agency $36,000.00 $36,000.00 $36,000.00
b.Other
c.Other
d.State Services $5,000.00 -$5,000.00
e.Total PE Cost Estimate(a+b+c+d) $41,000.00 -$5,000.00 $36,000.00 $0.00 $36,000.00
RW f.Agency
g.Other
h.Other
i.State Services
j.Total R/W Cost Estimate(f+g+h+i) $0.00 $0.00 $0.00 $0.00 $0.00
CN k.Contract $ 185,000.00 $185,000.00 $ 185,000.00
I.Other
m.Other
n.Other
o.Agency $20,000.00 $20,000.00 $20,000.00
p.State Services $3,000.00 $3,000.00 $3,000.00
q.Total CN Cost Estimate(k+l+m+n+o+p)$0.00 $208,000.00 $208,000.00 $0.00 $208,000.00
r.Total Project Cost Estimate(e+j+q) $41,000.00 $203,000.00 $244,000.00 $0.00 $244,000.00
9iyited-br - - -
AGENCY U ^, STATE
BY: sHr4bU95E2tra k... BY:
Director,Local Programs
Titre: Mayor,City of Bremerton
Agency Date: 7/30/2024 Date Executed:
DOT Form 140-087A
Revised 06/2022
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
COB ENGINEERING LABOR ESTIMATE t:
r
Construction Engineering,Inspection and c E "- $
Administration e ° ° `�
�9 T
Bremerton SRTS Project m
r2 To
Managing
Task## Tasks&Subtasks Engineer Civil Engineer Engineering Project
(Transpo) III UN/A Tech IV Assistant
Billing Rates 95.00 65.00 55.00 50.00 45.00
Raw Rates 95.00 65.00 55.00 55.00 45.00
Resource Code #REF! OVA #N/A #N/A #REF!
I I I I
1 Pre-Construction 36 0 36 0 0 72 $ 5,400.00
Pre-Construction meeting 2 4 6
Submittal Review 24 24
RAM/ROM documentation 2 16 18
Project Paperwork Verifcation 8 16 24
0
2 Construction 30 0 114 0 0 144 $ 9,120.00
Project Management/Engineering 30 30
Construction Inspection 80 80
Daily Quantity Tabulation 8 8
Inspectors Daily Reports 10 10
Progress Pay Estimates 16 16
0
3 Construction Meetings 8 0 40 0 0 48 $ 2,960.00
Weekly Project Meeting 8 40 48
Utility Coordination Meetings 0
0
0
0
4 Project Closeout 12 0 10 0 0 22 $ 1,690.00
project closeout paperwork 8 2 10
Project final progress payment 0
Punch List 8 8
Substantial Completion 2 2
Physical Completion 2 2
0
I Task Total Hours 86 0 200 0 0 286 -
Task Cost $ 8,170.00 $ - $ 11,000.00 $ - $ - $ 19,170.00
Rounded $ 20,000.00
Printed 6/25/202411:05 AM
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
B RUN DATE: 2
PROBABLE TOTAL COST TIME::11:02 AM
BRCITY Of
EMERTON COST ESTIMATE-BREMERTON SRTS PROJECT
# DESCRIPTION QUANTITY UNIT UNIT PRICE AMOUNT
PREPARATION
1 MOBILIZATION 1 L.S. $ 20,000.00 $ 20,000.00
2 MINOR CHANGE 1 L.S. $ 15,000.00 $ 15,000.00
3 PROJECT TEMPORARY TRAFFIC CONTROL 1 L.S. $ 15,000.00 $ 15,000.00
ARMIN JHAR
5 PERMANENT SIGNING-REGULAR 5 EACH $650.00 $ 3,250.00
6 PERMANENT SIGNING-SPEED FEEDBACK 1 EACH $ 8,600.00 $ 8,600.00
7 SEEDED LAWN INSTALLATION 4 S.Y. $ 7.00 $ 28.00
MOUNTAIN VIEW
8 PERMANENT SIGNING-REGULAR 12 EACH $650.00 $ 7,800.00
9 PERMANENT SIGNING-SPEED FEEDBACK 2 EACH $ 8,600.00 $ 17,200.00
10 SEEDED LAWN INSTALLATION 5 S.Y. $ 7.00 $ 35.00
11 CEMENT CONC.SIDEWALK 12 S.Y. $ 250.00 $ 3,000.00
12 PERMANENT SIGNING-REGULAR-REMOVAL 1215-STANDARD ITEM#-WSDOT) 4 L.S. $ 100.00 $ 400.00
NAVAL AVE
13 PERMANENT SIGNING-REGULAR-removal 1 EACH $650.00 $ 650.00
14 PERMANENT SIGNING-SPEED FEEDBACK 2 EACH $ 8,600.00 $ 17,200.00
15 SEEDED LAWN INSTALLATION 3 S.Y. $ 7.00 $ 21.00
16 CEMENT CONC.SIDEWALK 6 S.Y. $ 250.00 $ 1,500.00
17 PERMANENT SIGNING-REGULAR-REMOVAL 2 L.S. $ 100.00 $ 200.00
CROWNHILL
18 PERMANENT SIGNING-REGULAR 31 EACH $650.00 $ 20,150.00
19 PERMANENT SIGNING-SPEED FEEDBACK 2 EACH $ 8,600.00 $ 17,200.00
20 PERMANENT SIGNING-FLASHING BEACON 2 EACH $ 8,200.00 $ 16,400.00
21 SEEDED LAWN INSTALLATION 15 S.Y. $ 7.00 $ 105.00
22 PERMANENT SIGNING-REGULAR-REMOVAL 16 L.S. $ 100.00 $ 1,600.00
JOHN D.BUD HAWK
23 PERMANENT SIGNING-REGULAR 2 EACH $650.00 $ 1,300.00
24 PERMANENT SIGNING-SPEED FEEDBACK 2 EACH $ 8,600.00 $ 17,200.00
25 SEEDED LAWN INSTALLATION 6 S.Y. $ 7.00 $ 42.00
26 PERMANENT SIGNING-FLASHING BEACON-RELOCATE 1 L.S. $ 1,200.00 $ 1,200.00
WORK DONE BY CONTRACTOR $ 185,081.00
0%CONTINGENCY $ -
CONSTRUCTION TOTAL $ 185,081.00
Client:City of Bremerton Page 1
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
Washington State Transportation Building
® Department of Transportation 310 Maple Park Avenue S.E.
® p p P.O. Box 47300
Olympia,WA 98504-7300
360-705-7000
TTY: 1-800-833-6388
www.wsdot.wa.gov
October 10, 2019 RECEIVED
Mr. Thomas Knuckey
Interim Public Works Director O C T 1 8 2019
City of Bremerton
100 Oyster Bay Avenue N PUBLIC WORKS &
Bremerton, Washington 98312 UTILITIES DEPARTMENT
City of Bremerton
Bremerton School Zone Safety
HLP-SR19(004)
2019-21 Safe Routes to School
Dear Mr. Knuckey:
The above project has received fund authorization, effective October 10, 2019, as follows:
PHASE TOTAL STATE SHARE
Preliminary Engineering $41,000 $41,000
Enclosed for your information and file is a fully executed copy of Local Programs State
Funding Agreement LA-9715 between WSDOT and your agency. All costs exceeding those
shown on this agreement are the sole responsibility of your agency.
All future correspondence relating to the project is to be submitted to your Region Local
Programs Engineer, Bryan Dias.
Sincei-el ,
Stephanie ax
Manager, Program Management
Local Programs
ST:cc:ml
Enclosures
cc: Bryan Dias, Olympic Region Local Programs Engineer, MS 47440
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
.fiENCy
Washington State
V Department of Transportation
Local Programs State Funding Agency and Address
Agreement City of Bremerton
Work by Public 345 6th St, Suite 100
Agencies Bremerton, WA 98337-1891
Agreement Number Maximum Amount Authorized Location and Description of Work(See also Exhibit"A")
LA9715 41,000 Bremerton School Zone Safety Improvements - Safe
Participating Percentage Project Number Routes to School
100% WWLP sg i°1(DD1P
This AGREEMENT is made and entered into this SO day of &Ta , ZO/9
between the STATE OF WASHINGTON, Department of Transportation, acting by and through the Secretary
of Transportation, hereinafter called the "STATE," and the above named organization, hereinafter call the
"AGENCY."
WHEREAS, the AGENCY is planning the work shown above, and in connection therewith, the AGENCY has
requested financial assistance for the project or program, and
WHEREAS, the AGENCY has requested funds for the above shown project or program, which has been
selected by the STATE for funding assistance.
NOW THEREFORE, in consideration of the terms, conditions, covenants, and performances contained herein,
or attached and incorporated and made a part hereof, IT IS MUTUALLY AGREE AS FOLLOWS:
Estimate of Funding
Type of Work (1) (2) (3)
Estimated Total Estimated Agency Estimated
Project Funds Funds State Funds
PE a.Agency 36,000 0 36,000
b.Other
100% c.Other
d.State 5,000 0 5,000
e.Total PE Cost Estimate(a+b+c+d) 41,000 0 41,000
Right of Way f.Agency
g.Other
h.Other
i.State
J.Total R/W Cost Estimate(f+g+h+i) 0 0 0
Construction k.Contract
I.Other
m.Other
n.Other
o.Agency
p.State
q.Total CN Cost Estimate(k+l+m+n+o+p) 0 0 0
r.Total Project Cost Estimate(e+j+q) 41,000 0 41,000
DOT Form 140-087 P ge 1
Revised 06/2018 �'
awry
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
I IV
General Legal Relations
The AGENCY agrees to perform the above described work in accordance No liability shall attach to the AGENCY or the STATE by reason of
with the Project Application attached hereto as"Exhibit A"and made a entering into this AGREEMENT except as expressly provided herein.
part of this AGREEMENT. V
Plans,specifications,and cost estimates shall be prepared by the Nondiscrimination
AGENCY in accordance with the current State of Washington Standard The AGENCY agrees to comply with all applicable state and federal
Specifications for Road, Bridge,and Municipal Construction and adopted laws,rules,and regulations pertaining to nondiscrimination and agrees
design standards,unless otherwise noted. The AGENCY will incorporate to require the same of all subcontractors providing services or performing
the plans and specifications into the AGENCY's project and thereafter any work using funds provided under this AGREEMENT.
advertise the resulting project for bid and,assuming bids are received VI
and a contract is awarded,administer the contract,or if the project is of Venue
a size which the AGENCY is authorized to perform with its own forces For the convenience of the parties to this AGREEMENT,it is agreed that
under the laws of the State of Washington,the AGENCY may proceed any claims and/or causes of action which the AGENCY has against the
with its own forces. STATE,growing out of this AGREEMENT or the project or program with
All work performed under this AGREEMENT shall comply with the which it is concerned,shall be brought only in the Superior Court for
applicable provisions of state law. Thurston County.
II VII
Payment Termination
The STATE,in consideration of the faithful performance of the work to The Secretary of the Department of Transportation may terminate this
be performed by the AGENCY,agrees to reimburse the AGENCY for AGREEMENT if the funding becomes unavailable or if the Secretary
the percentage of the actual direct and related indirect cost of the work determines that it is in the best interest of the STATE.
shown above,up to the"MAXIMUM AMOUNT AUTHORIZED". The VIII
agency will comply with Governmental Accounting Auditing and Financial Final Report and Final Inspection
Reporting Standards and applicable state law and local regulations, Within ninety(90)days following the completion of the project and
policies and procedures. No payment will be made for work done prior to submission of the final billing for the project,a final report and/or final
execution of this AGREEMENT. inspection shall be submitted to the Director,Highways&Local Programs
Partial payments shall be made by the STATE,upon request of the containing the following information:
AGENCY,to cover costs incurred. These payments are not to be more
frequent than one(1)per month. It is agreed that any such partial Nan Capital Projects
payment will not constitute agreement as to the appropriateness of any 1. A description of the project or program.
item and that,at the time of the final audit,all required adjustments will 2. A summary of actual costs of the project or program.
be made and reflected in a final payment.The AGENCY agrees to submit
a final bill to the STATE within forty-five(45)days after the AGENCY has 3. An evaluation of the project or program. This should address
completed work. aspects such as transportation and/or other benefits to the
The AGENCY agrees that all costs in excess of the amount authorized public.
and the AGENCY's matching funds shall be the responsibility of the Capital Protects
AGENCY. 1. A final inspection is required.
III
Audit IX
The AGENCY agrees that an audit may be conducted by the STATE. Supplement
During the progress of the work and for a period not less than three(3) This agreement may be modified or supplemented only in writing by
years from the date of final payment to the AGENCY,the records and parties.
accounts pertaining to the work and accounting thereof are to be kept
available for inspection and audit by the STATE and copies of all records,
accounts,documents,or other data pertaining to the project will be
furnished upon request. If any litigation,claim,or audit is commenced,
the records and accounts along with supporting documentation shall
be retained until all litigation,claim,or audit finding has been resolved
even though such litigation,claim,or audit continues past the three-year
retention period.
IN WITNESS WHEREOF,the parties hereto have executed this AGREEMENT on the day and year. t wri n below.
AGENCY STATE •
By:
By: W Direct ,Local Programs
Title: Mayor 1)C:T 1 0 2019
Date:
Date: °1 1�5 t 2O‘°1
DOT Form 140-087 Page 2
Revised 06/2018
Docusign Envelope ID:A6A2E633-A432-4CF7-8B7C-ED5966B3AF55
Project Summary
Program:Safe Routes To School
Date:May 2019
Agency: Bremerton
Project Title:Bremerton School Zone Safety Improvements-Safe Routes to Schools
Project Description:Speed feedback signs,flashing beacons,and school speed zone signage
Detailed Project Description:
Improvement locations listed with associated schools
1. Speed Feedback Signs
a. Armin Jahr Elementary School(1 sign)
i. On McClain Ave,south of E 315t St
b. Crownhill Elementary School(2 signs)
i. On Marine Dr,between Bertha Ave and Lower Marine Dr(southern
intersection)
ii. On Marine Dr,between Rocky Point Rd NW and Lower Marine Dr(northern
intersection)
c. John D."Bud" Hawk Elementary(2 signs)
i. On Austin Dr, between Snoqualmie Pass St and vicinity of Higbee Rd
d. Mountain View Middle School(2 signs)
i. On Perry Ave, between Parker PI and Stone Way
e. Naval Avenue Elementary School(2 signs)
i. Naval Ave, between 8th St and 10th St
2. Flashing Beacon(2 beacons)
a. Crownhill Elementary
I. Marine Dr, between Rocky Pt Rd and Lower Marine Dr(northern intersection)
il. Marine Dr, between Bertha Ave and Lower Marine Dr(southern intersection)
3. School Speed Zone Signage
a. Armin Jahr Elementary School
i. McClain Ave,south of E 31st St
b. Crownhill Elementary School
i. Marine Dr and Rocky Pt Rd to Lower Marine Dr
ii. Rocky Pt Rd near 17th St
c. Mountain View Middle School
i. Perry Ave from Parker PI to Stone Way
ii. Stone Way between Perry Ave and Trenton Ave
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