12-132.00 WSDOT Pines Rd ITS ImprovementsC Washington State
AW Departlrnent of Transportation
AGENC-'V
Local Agency Agreement Supplement
Agency
Supplement Number
City of Spokane Valley
1
Federal Aid Project Number
Agreement Number
CFDA No. 20.205
CM-0027(012)
LA 6996
(Catalog of Federal Domestic Assistance
The Local Agency requests to supplement the agreement entered into and executed on August 27, 2009
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 Pines Road (SR27) ITS Improvements Length 2.26 mi.
Termini Sprague Ave to Trent Ave (SR -290)
Description of Work ❑ No Change
Install conduit and fiber optic cable, install a CCTV camera on Pines at Valleyway, Mission, and Trent, install permanent count station between
Broadway Ave and Mission Ave, and connect all the devices to the Spokane Regional Transportation Management Center..
Reason for Supplement
Request construction funding
Does this change require additional Right of Way or Easements? ❑ Yes ® No
Type of Work
Estimate of Funding
(t)
Previous
A reement/Su I.
(2)
Supplement
(3)
Estimated Total
Project Funds
(4)
Estimated Agency
Funds
(5)
Estimated
Federal Funds
PE a. Agency
11,900.00
11,900.00
1,606.00
10,294.00
86.5 % b. Other Consultant
226,000.00
226,000.00
30,510.00
195,490.00
c. Other
Federal Aid d. State
Participation
2,000.00
2,000.00
270.001
1,730.00
Ratio for PE e. Total PE Cost Estimate (a +b +c +d)
1 239 900.00
239,900.00
32,386.00
207,514.00
Right of Way f. Agency
86.5 % .Other
Federal Aid h. Other
Participation
Ratio for RW i. State
- --
j. Total RAN Cost Estimate (f +g +h +i)
Construction k. Contract
1,316,445.00
1,316,445.00
177,720.00
1,138,725.00
I. Other Consultant
58,000.00
58,000.00
7,830.00
50,170.00
86.5 % m. Other Mat'l testing
16,475.00
16,475.00
2,224.00
14.251.00
Federal Aid n. Other
Participation o. Agency
20,000.00
20,000.00
2,700.00
17,300.00
Ratio for CN . State
20,000.00
20,000.00
2,700.00
17,300.00
q. Total CN Cost Estimate (k-H+ +n+;
1,430,920.00
1 430 920.00
193 174.00
11237,746.00
r. Total Project Cost Estimate (e+'
239,900.00
1.43 .920.001
1,670,820.00,
22 5 60.00
1,445,2
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. /
Agenc Washington State D artment of Tyra sportation
By / /Z By
Ti Puhlic Works Director Director of Highways and Local Programs AUG 2 8 7012
Date Executed
DOT Form 140 -041 EF
Revised 03/2011
. X12- � 3)-