13-211.00 WSDOT Broadway at Argonne/Mullan Supplement 1AGENCY
• WAIF Depoltment of Wanspewtatkin Local Agency Agreement Supplement
Agency
Ci of S • okane Valle
Supplement Number
1
Federal Aid Project Number
STPUL -4039 003
Agreement Number
LA -7249
CFDA No. 20.205
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 Broadway @Argonne /Mullan
Termini 0.05 mile from centerline of each intersection in each direction
Length 0.1 Miles
Description of Work ® No Change
Reason for Supplement
Shift PE funds to RW and release RW funds.
Does this change require additional Right of Way or Easements? ® Yes ❑ No
Type of Work
ip e o or
Estimate of Funding
(1)
Previous
A•reement/Su••I.
(2)
Supplement
(3)
Estimated Total
Pro'ectFunds
(4)
Estimated Agency
Funds
(5)
Estimated
Federal Funds
PE a. A.enc
247,670.00
- 25,575.00
222,095.00
29,983.00
192,112.00
86.5 % b. Other Survey Consultant
27,630.00
27 630.00
3 730.00
23 900.00
c. Other
-.
Federal Aid
Participation d. State
1,000.00
1 000.00
135.00
865.00
Ratio for PE e. Total PE Cost Estimate (a +b +c +d)
276 300.00
-25 575.00
250,725.00
33,848.00
216,877.00
Right of Way f. A•enc
86.5 % . . Other
-■
24 575.00
24 575.00
3,317.00
21,258.00
Federal Aid h. Other
Participation
Ratio for RW 1. State
1 000.00
1 000.00
135.00
865.00
j. Total RAN Cost Estimate (f +g +h +i) ,
I I
1 I
I 1 I
I I
Construction k. Contract
I. Other
% m. Other
Federal Aid n. Other
Participation o. A•enc
Ratio for CN ., State
. Total CN Cost Estimate k+l+m+n+o
MIAMIIIIMINNIMMINTIN
r. Total Pro ect Cost Estimate e' •
* 1 1 1 1
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 D ailment of Traf?portation
/� C.Joi2E<S
By
Title P✓ .4 --770,2_,..--c• 7—
DOT Form 140 -041 EF
Revised 03/2011
By
Director of Highways and Local Programs
Date Executed
NOV 15 2013
6 3-2_( k