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