13-099.00 WSDOT Sullivan Road Bridge ReplacementF,
AGENCY
wr1111160M m mbon Wads
o olf':en IF-W ltl. Local Agency Agreement Supplement
Agency
Supplement Number
City of Spokane Valley
2
Federal Aid Project Number
Agreement Number
CFDA No. 20.205
BRM -4103 007
LA 753 O
(Catalog of Federal Domestic Assistance
The Local Agency requests to supplement the agreement entered into and executed on July 29, 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 Sullivan Rd W Bridge Replacement Project Length 0.19 miles
Termini @ Spokane River
Description of Work ® No Change
See attached Description of Work.
Reason for Supplement
Update Estimated Funding for PE phase and initiate RW phase.
Does this change require additional Right of Way or Easements? ® Yes ❑ No
Type of Work
yp
Estimate of Funding
('>
Previous
A reement/Su I.
(2)
Supplement
(3)
Estimated Total
Pro'ect Funds
(4)
Estimated Agency
Funds
(5)
Estimated
Federal Funds
PE a. Agency
100 000.00
100 000.00
20 000.00
80 000.00
80 % b. Other Consultant
1,480,000.00
94 500.00
1,574,500.00
314 900.00
1,259,600.00
c. Other
Federal Aid d. State
20 000.00
20 000.00
4 000.00
16 000.00
Participation
Ratio for PE e. Total PE Cost Estimate (a +b +c +d)
1,600,000.00
94 500.00
1,694,500.00
338,900.00
1,355,600.00
Right of Way f. Agency
3,350.00
31350.00
670.00
2 680.00
80 % Other Consultant
100 192.00
100 192.00
20 038.00
80 154.00
.
Federal Aid h. Other Property Purchase
184,716M
JR471600
36,943-00
147,77-100
Participation
Ratio for RW i. State
1,000.00
1,000.00
200.00
800.00
j. Total RNV Cost Estimate (f +g +h +i)
289,2158.00
289,258.00
57.R5111.00,
231,407.0
Construction k. Contract
I. Other
m. Other
%
n. Other
Federal Aid
Participation o. Agency
Ratio for CN . State
g. Total CN Cost Estimate k+l+m+n+o
r. Total Project Cost Estimate (e+q)
1,600,000.00
383,758.00
1,983,758.00
396,751,001
1,587,007.00
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
By
Title Pilh& Works nireetor
,z—/ -7.z Za/3
DOT Form 140 -041 EF
Revised 0312011
Wash7c"--A,-o State Department f Transportation
By
Director of Highways and Local Programs
Date Executed
MAI 14 to
Co i3- 6 �