17-142.04 WSDOT: Barker/BNSF Grade Separation - • AGENCY 11- 14 a .oti
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Washington State Local Agency Agreement SuPPlement, Department of Transportation
Agency Supplement Number
City of Spokane Valley 4
Federal Aid Project Number Agreement Number CFDA No. 20.205/20.933
REP&HLP-TIGERIX-4123(005) LA 9095 (Catalog of Federal Domestic Assistance)
The Local Agency requests to supplement the agreement entered into and executed on 7/21/2017
All provisions in the basic agreement remain in effect except as modified by this supplement.
The Local Agency certifies that it is not excluded from receiving Federal funds by a Federal suspension or debarment
(2 CFR Part 180).Additional changes to the agreement are as follows:
Project Description
Name Barker Road/BNSF Grade Separation Length 0.50 Miles
Termini BNSF to SR 290(Trent Ave)
Description of Work ✓ No Change
Reason for Supplement
Increase PE and ROW funds based on actual costs.
Are you`claiming indirect cost rate? Yes ✓ No Project Agreement End Date 12/31/2022
Does this change require additional Right of Way or Easements? Yes ✓ No Advertisement Date:
Estimate of Funding
Type of Work (1) (2) (3) (4) AYP Previous Supplement Estimated Total Estimated Agency Estimated Federal
Agreement/Suppl. Project Funds Funds Funds
PE % a.Agency 0.00
b.Other 0.00
Federal Aid c.Other 0.00
Participation 0.00
Ratio for PE d.State •
e.Total PE Cost Estimate(a+b+c+d) 0.00 0.00 40$0 ‘ko 0. 0 0.00
Right of Wayo f.Agency
g.Other \NV./
Federal Aid h.Other 00
Participation
Ratio for RW i.State 0.00 .
IW j.Total R Cost Estimate(f+g+h+1 0.00 e . 0 0.00 0.00 0.00
Constructiono k.Contract 0.00
I.Other 0.00
m.Other 0.00
Federal Aid n.Other 0.00
Participation
Ratio for CN o.Agency 0.00
p.State 0.00
q.Total CN Cost Estimate(k+i+m+n+o+p) 0.00 0.00 0.00 0.00 0.00
r.Total Project Cost Estimate(e+i+a) 0.00 0.00 0.00 0.00 0.00
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 Offcial Washingt tale Departure t of Transportation
By 01--
By .�.�
Title City Manager Director, Local rogram
Date Executed fiEB 020
1 t
DOT Form 140-041 Page 1
Revised 03/2019
Milk
on
� gt�/ Department of Transportation Exhibit'A'
Agency:City of Spokane Valley
Project Title:Barker Road/BNSF Grade Separation
Federal-Aid#:REP&HLP-TIGERIX-4123(005)
LAA#: LA 9095,Supplement No.4
Estimate of Funding
Type of Work (1) (2) (3) (4) (5) (6)
PREVIOUS AGREEMENT/ SUPPLEMENT ESTIMATED TOTAL ESTIMATED ESTIMATED ESTIMATED
SUPPLEMENT PROJECT FUNDS AGENCY FUNDS STATE FUNDS FEDERAL FUNDS
PE a. Agency(Leg.) $75,000.00 $75,000.00 $75,000.00
b. Agency(DEMO) $75,000.00 $75,000.00 $75,000.00
bb. Agency(Agency) $15,000.00 $15,000.00 $15,000.00
c. Other:Consultant(DEMO) $438,000.00 $438,000.00 $438,000.00
d. Other:Consultant(Leg.) $1,257,000.00 $1,257,000.00 $1,257,000.00
100% e. Other.Consultant(TIGER) $620,000.00 $620,000.00 $620,000.00
Federal Aid f. Other:Consultant(Agency) $120,000.00 $80,000.00 $200,000.00 $200,000.00
ff. Other.Utility Relocations(Agency) $60,000.00 $60,000.00 $60,000.00
Participation g. State(DEMO) $70,000.00 $70,000.00 $70,000.00
Ratio for PE h. Total PE Cost Est.(a.thru g.) $2,655,000.00 $155,000.00 $2,810,000.00 $275,000.00 $1,332,000.00 $1,203,000.00
Right-of-Way I. Agency(Leg.) $14,000.00 -$6,000.00 $8,000.00 $8,000.00
i. Other.`Consultant-Prof Services(Leg.) $115,000.00 $40,000.00 $155,000.00 $155,000.00
IL Other.Consultant-Prof Services(DEMO) $60,000.00 $60,000.00 $60,000.00
kk Other Consultant-Prof Services(Agency) $90,100.00 $34,900.00 $125,000.00 $125,000.00
I. Other.ROW Acquisitions(TIGER) $1,832,000.00 $1,832,000.00 $1,832,000.00
100% m. Other.ROW Acquisitions(DEMO) $76,921.00 -$34,000.00 $42,921.00 $42,921.00
Federal Aid n. Other.ROW Acquisitions(Agency) $91,991.00 $573,088.00 $665,079.00 $665,079.00
Participation o. State(Leg.) $39,000.00 -$34,000.00 $5,000.00 $5,000.00
oo. State:(DEMO) $34,000.00 $34,000.00 $34,000.00
Ratio for RW p. Total RIW Cost Est.(I.thru o.) $2,319,012.00 $607,988.00 $2,927,000.00 $790,079.00 $168,000.00 $1,968,921.00
Construction q. Contract(TIGER) $0.00
r. Contract(NHFB) $0.00
s. Contract(FMSIB) $0.00
t. Contract(Eligible,Non-Participate) $0.00
u. Other:Utility Relocations(Agency) $0.00
uu. Other.Consultant(NHFB) $0.00
v. Other.Consultant(FMSIB) $0.00
10o% w. Agency(NHFB) $0.00
Federal Aid x Agency(FMSIB) $0.00
Participation y. State(Freight) $0.00
Ratio for CN z. Total Const Cost Est.(q.thru y.) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Project Cost Estimate(h+p+z) $4,974,012.00 $762,988.00 $5,737,000.00 $1,065,079.00 $1,500,000.00 $3,171,921.00
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DOT Form 140-041
Revised 2015