011-05 - WSDOT - ContractM,ENCY
andix 22.41
Local Agency Agreement
Washington State Agency Local A Agreement
MAIF Department of Transportation g �/ g
Agency CFDA No. 20.205
9 Y City of Port Orchard (Catalog of Federal Domestic Assistance)
Address 216 Prospect Street Project No. 5TP Q S — G (0 1 0 0 4'
Port Orchard, WA 98366 Agreement No.ig 8 5
For OSC WSOOT Use Only
The Local Agency having complied, or hereby agreeing to comply, with the terms and conditions set forth in (1) Title 23, U.S. Code I-lighways, (2)
the regulations issued pursuant thereto, (3) Office of Management and Budget Circulars A-102, A-87 and A-133, (4) the policies and procedures
promulgated by the Washington State Department of Transportation, and (5) the federal aid project agreement entered into between the State and
Federal Government relative to the above project the Washington State Department of Transportation will authorize the Local Agency to proceed on
the project by a separate notification. Federal funds which are to be obligated for the project may not exceed the amount shown herein on line r,
column 3, without written authority by the Stale, subject to the approval ofthe Federal I-lighway Administration. All project costs not reimbursed by
the Federal Government shall be the responsibility ofthe Local Agency.
Project Description
Name Tremont Street Widening Length •65 mile
Termini Port Orchard Boulevard to .1 mile past SR 16
Description of Work
lu g eS T6 y tt.� i vc4 r COO- X> �LJ A k.cA t A 'e ►a JCs,.l ❑+� ti ��
►804.,sc+,•/Sd. r�� �n 1►yk�. k>,-Tvcrre
Type of Work
Estimate of Funding
(t)
Estimated Total
Prdect Funds
(2)
Estimated Agency
Funds
(3)
Estimated
Federal Funds
PE a. Agency
3,000
405
2,595
8(-S%
442,000
59,670
382,330
c. other
2,000
270
1,730
Federal Aid Participation2 d State
3,000
405
595
Ratio for PE e. Total PE Cost Estimate a+b+c+d
450,000
60,750
389,250
Right of Way f. A enc
h. Other
Federal Aid i. State
Participation
Ratio for RW .. Total RIW Cost Estimate (f+ +h+i
Construction k. Contract
I. Other
m. Other
n. Other
% o. A enc
Federal Aid
Participation
Ratio for CN q. Total CN Cost Estimate k+l+m+n+o+
r. Total Project Cost Estimate (e+j+q)
Agency
OfficialBY CC
Q
Title Mayor, City of Port Orchard
DOT Form 140-039 EF
Revised 01/2004
Kim E. Abel
Washington Sta Department of Transportation
By 14--ell
Assistant Secretary for Highways and LM13 'n 2005
FILD
Date Executed
Local Agency Guidelines 22-3