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006-06 - WSDOT - Supplement / Change Order 1W iishington State Department of Transp D l_/ Co - don Local Agency A, ck-o ,ment Supplement Agency Supplement Number City of Port Orchard 1 Federal Aid Project Number Agreement Number CFDA No. 20.205 STP -0166 008 LA 6165 Catalo of Federal Domestic ASSlstance The Local Agency requests to supplement the agreement entered into and executed on All provisions in the basic agreement remain in effect except as modified by this supplement. The changes to the agreement are as follows: Project Description Name Bay Street Pedestrian Pathway _ Termini Frederick Street to Annapolis Foot Ferry Terminal on along Sinclair Inlet Description of Work ® No Change Reason for Supplement Obligate funding for right-of-way acquisitions. Does this change require additional Right of Way or Easements? ❑ Yes ® No Length 1.0 mile Type of Work yp Estimate of Funding 0) (2) Previous A reement/Su I. Supplement (3) Estimated Total project Funds (4) Estimated Agency Funds (5) Estimated Federal Funds PE a. Agency_ 100 % b.Other c. Other Federal Aid d. State 349 834.00 349.834.00 49.834.00 � 300,000.00 _ _ Participation Ratio for PE e. Total PE Cost Estimate (a+b+c+d) 349 834.00 —�- 349,834.00 49,834.00 300,000.00 Right of Way f. enc 484,700.00 484,700.00 65 435.00 419,265.00 86.5 % .Other Federal Aid h. Other Participation Ratio for RW i. State 5.000.00 5,000.00 675.00 4 325.00 i. Total RIW Cost Estimate (f+g+h+i) Construction k. Contract I. Other m.Other % n. Other Federal Aid Participation o. A enc — Ratio for CN . State 9. Total CN Cost Estimate k+l+m+n+o r. Total Protect Cost Estimate (e 7 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 Department of Transportation 4 BY By - Title MayixCity of 114art Qrnhard Director of Highways and Local Programs - - Date Executed ATTEST: DOT Form 140-041 EF Revised 0312011 Bra ine arson, CMC, City Clerk Washington State V! Department of Transpuai cation Local Agency Al:,. cement Supplement Agency Supplement Number City of Port Orchard 1 Federal Aid Project Number Agreement Number CFDA No. 20.205 STP E -0166 0081 LA 6165 (Catalog of Federal Domestic Assistance) The Local Agency requests to supplement the agreement entered into and executed on All provisions in the basic agreement remain in effect except as modified by this supplement. The changes to the agreement are as follows: Project Description Name Bay Street Pedestrian Pathway Termini Frederick Street to Annapolis Foot Ferry Terminal on along Sinclair Inlet Description of Work ® No Change Reason for Supplement Obligate funding for right-of-way acquisitions. Does this chance require additional Right of Wav or Easements? ❑ Yes ® No Length 1.0 mile Type of Work yp Estimate of Funding (4) (5) Estimated Agency Estimated Funds Federal Funds (�> (2) Previous Supplement Aareement/SUDDI (3) Estimated Total Project Funds PE a. Agency 295,000.00 295 000.00 295,000.00 100 % b. Other Eligible Non -Federal 49,834.00 49 834.00 49,834.00 c. Other Federal Aid d. State 5,000.00 5,000.00 5,000.00 Participation Ratio for PE e. Total PE Cost Estimate (a+b+c+d) — 300 000.00 4983400 349,834.00 49,834.00 300,000.00 Right of Way f. AgencyAgengy 489 699.00 489,699.00 66,109.00 423 590.00 86.5 % Q. Other Eligible Non -Federal Federal Aid h. Other 60 127.00 60,127.00 60.127.00 Participation Ratio for RW i. State 10 00.00 10.000+001 10 000.00 j. Total R/W Cost Estimate (f+g+h+i) 5423,590.00 Construction k. Contract I. Other m.Other Federal Aid n. Other Participation o. Agency Ratio for CN . State q. Total CN Cost Estimate (k+l+m+n+o+p) ! r. Total Project Cost Estimate a+I 300,000,001 609,60-00n 8F 070 00 723,990,001 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 Department of Transportation By ,�� By Title Director of Highways and Local Programs Date Executed ATTEST: DOT Form 140-041 EF Revised 03/2011 Brandy Rinearson, CMC, City Clerk