13-091.01 WSDOT: Sullivan Rd Preservation i -0q1, 01
V71. Washington State AGENCY
VI/ Department of Transportation Local Agency Agreement Supplement
Agency Supplement Number
City of Spokane Valley 1
Federal Aid Project Number Agreement Number CFDA No. 20.205
STPUL-4103(010) LA-8053 (Catalog of Federal Domestic Assistance)
The Local Agency requests to supplement the agreement entered into and executed on 5/17/2013
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 Sullivan Rd Preservation Project Length 0.67
Termini Sullivan Road-Sprague to Broadway and Broadway to Mission
Description of Work ® No Change
Grind and overlay of pavement surface and curb ramp upgrades-Sullivan Rd-Sprague Ave to Broadway Ave(WA-05113)and
Sullivan Rd-Broadway Ave to Mission Ave(WA-05109)
Reason for Supplement
Obligating Construction Funding.
Does this change require additional Right of Way or Easements? 0 Yes ® No Advertisement Date: 4/10/15
Estimate of Funding
Type of Work (1)Previous (2) (3)
Estimated Total Estimated Agency Estimated
Agreement/Suppl. Supplement Project Funds Funds Federal Funds
PE a.Agency 83,800.00 83,800.00 11,313.00 72,487.00
86.5 % b.Other
c.Other
Federal Aid d.State 1,000.00 1,000.00 135.00 865.00
Participation
Ratio for PE e.Total PE Cost Estimate(a+b+c+d) 84,800.00 84,800.00 11,448.00 73,352.00
Right of Way f.Agency
% g.Other
Federal Aid h. Other
Participation
Ratio for RW i.State
j.Total R/W Cost Estimate(f+g+h+i)
Construction k.Contract 906,071.00 906,071.00 122,320.00 783,751.00
I. Other
86.5 % m.Other
Federal Aid n.Other
Participation o.Agency 135,911.00 135,911.00 18,348.00 117,563.00
Ratio for CN p.State 1,000.00 1,000.00 135.00 865.00
q.Total CN Cost Estimate(k+l+m+n+o+p) 1,042,982.00 1,042,982.00 140,803.00 902,179.00
r.Total Project Cost Estimate(e+j+q) 84.800.00 1.042.982.00 1.127.782.00 152.251.00 975.531.00
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 Was 'ngton S a'- . -partment of Tr sportation
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By ,.� By , . . o
Title fb4jr#
t)C. tide/tics- ID/l2 FC7-0 Director of Local Prog=ms
Date Executed NAR fl 91015
DOT Form 140-041 EF
Revised 03/2014