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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 --.3/4>'', ..rw Gar..,nn,u F ifi,b SA IN En /1.. -, f _rs 2. r IM w a z 1411-1;t1. " zi...: eL, i , 111'j, 4. h' m971 1"K Z cc'n .a incur € , m " _ „-r . ram ILL- 3O Sz C y • 1 m I rp F'.�ch_a.. �_ _ a 3 a s n,, , . NE If 24 ry C. s L o zq r3u - O V P. O fl, 9 aT o r O , q o C? 47, a co+z m N., 1 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 Page 1 of 2