12-137.00 WSDOT Sidewalk Infill Phase 1AGENCY
U VIMI I M&O I staft
.,gin Local Agency Agreement Supplement
Agency
Supplement Number
City of Spokane Valley
2
Federal Aid Project Number
Agreement Number
CFDA No. 20.205
CM -9932 040
LA -7578
(Catalog of Federal Domestic Assistance
The Local Agency requests to supplement the agreement entered into and executed on 9/14/2011
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 Sidewalk Infill Project - Phase 1
Termini Various
Description of Work ® No Change
Length 1 Mile
Phase 1 of the project includes construction of sidewalk and restriping to include a bike lane on Pines Road from 16th Ave to 23rd.
Phase 2 of the project will include Sidewalk extensions on Farr Road and Perrine Road along with the six bus shelter pads.
Reason for Supplement
Requesting an increase in construction funds for phase 1 based off of the bid tabs.
Does this change require additional Right of Way or Easements? ❑ Yes ® No
Type of Work
yp
Estimate of Funding
(1)
Previous
A reement/Su I.
(2)
Supplement
(3)
Estimated Total
Pro'ect Funds
(4)
Estimated Agency
Funds
(5)
Estimated
Federal Funds
PE a. Agency
99,5 0.00
99 500.00
19 900.00
79 600.00
80 0/0 b. Other
14,019.00
14 019.00
14 019.00
c. Other
Federal Aid
Participation d. State
1,000.00
1,000.00
200.00
800.00
Ratio for PE e. Total PE Cost Estimate (a +b +c +d)
114 519.00
114,519.00
34,119.00
80,400.00
Right of Way f. Agency
80 %
.Other
Federal Aid h. Other
Participation
Ratio for RW i. State
J. Total RNV Cost Estimate (f +g +h +i)
Construction k. Contract
313 796.00
62 043.00
375 839.00
75 168.00
300 671.00
I. Other
116 826.00
52 629.00
169 455.00
169,455.00
m. Other
80 %
Federal Aid n. Other
Participation o.Agency
42 790.00
8,461.00
51 251.00
10,250.00
41 000.00
Ratio for CN . State
1,000.00
1,000.00
200.00
800.00
g. Total CN Cost Estimate k+l+m+n+o
474 412.00
123 133.00
597 545.00
255 073.00
342t471.00
r. Total Project Cost Estimate e '
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 Washing on Sta =e De artment of Transportation
BY BY
Title 1�U/3L l irC%�✓Lrt S ��/Z �G% T,� Director of Highways and Local Programs
Date Executed
DOT Form 140 -041 EF
Revised 03/2011
SEP 2 4 1012
co12 -i37