HomeMy WebLinkAbout5590ORDINANCE NO.5 5 9 0
AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF
AUBURN, WASHINGTON, AUTHORIZING THE MAYOR AND
CITY CLERK TO SIGN A LOCAL AGENCY AGREEMENT
BETWEEN THE CITY AND THE WASHINGTON STATE
DEPARTMENT OF TRANSPORTATION, APPROVING
FEDERAL HAZARD ELIMINATION & SAFETY FUNDS TO
PREPARE AND IMPLEMENT THE IMPROVEMENT OF SR 164 -
AUBURN WAY SOUTH FROM 6T" STREET SE to 'M' STREET
SE.
WHEREAS, the City Council of the City of Auburn must adopt and
approve all appropriations by Ordinance pursuant to Chapter 35A.33 RCW; and
WHEREAS, the State Department of Transportation has awarded four
Federal Hazard Elimination and Safety grants in the total amount of $833,100
to the City of Auburn for the improvement of Auburn Way South (SR 164) for
the purpose of reducing accidents between 6`" Street SE and 'M' Street SE; and
WHEREAS, The State has agreed to combine these four grants into one
Agreement with the City.
THE CITY COUNCIL OF THE CITY OF AUBURN,
WASHINGTON, DO ORDAIN AS FOLLOWS:
Section 1. Purpose. Pursuant to Chapter 35A.33 RCW, the City
Council hereby approves the expenditure and appropriation of Federal Hazard
Ordinance No. 5590
September 25, 2001
Page 1
Elimination and Safety Funds in the total amount of $833,100, with local
matching funds of $92,567 from the 102 Fund. The Mayor and City Clerk are
hereby authorized to execute the Local Agency Agreement between the City
and the Washington State Department of Transportation approving said
agreement and obligating the funds for the design phase only, a copy of which
is attached hereto as Exhibit "A" and is incorporated herein by reference. The
Mayor and City Clerk are also authorized to approve and execute any future
supplemental agreements, up to the total grant amount for federal funds of
$833,100 hereto required for completion of phases of the project, including but
not limited to design, right-of-way, and construction.
Section 2. Severability. The provisions of this ordinance are
declared to be separate and severable. The invalidity of any clause, sentence,
paragraph, subdivision, section or portion of this ordinance, or the invalidity of
the application thereof to any person or circumstance shall not affect the validity
of the remainder of this ordinance, or the validity of its application to other
persons or circumstances.
Section 3. Implementation. The Mayor is hereby authorized to
implement such administrative procedures as may be necessary to carry out
the directions of this legislation.
Ordinance No. 5590
September 25, 2001
Page 2
Section 4. Effective date. This ordinance shall take effect and be in
force five (5) days from and after its passage, approval, and publication, as
provided by law.
INTRODUCED: October 15, 2001
PASSED: October 15, 2001
APPROVED: October 15, 2001
CHARLES A. BOOTH
MAYOR
ATTEST:
Dan Ile E. Daskam,
City Clerk
APPROVED AS TO FORM:
J-zl
Michael J. Reynolds,
City Attorney
PUBLISHED:
Ordinance No. 5590
September 25, 2001
Page 3
Washington State
MWANk
Washington
of Transportation
Agency CITY OF AUBURN
Address 25 W. Main St
Auburn, WA 98001
'AUENCr_oct Local Agency Agreement
CFDA No. 20.205
(Catalog of Federal Domestic Assistance)
Project No. STP Ht- e0 k G4 0 1 1
LAAgreement No. 51 r
For OSC WSDOT Use Only
The Local Agency having complied, or hereby agreeing to comply, with the terms and conditions set forth in(]) Title 23, U.S. Code Highways, (2) the regulations issued
pursuant thereto, (3) Office of Management and Budget Circulars A-102, A-87 and A-133,(4) the policies and procedures promulgated by the Washington State
Department of Transportation, and (5) the federal aid project agreement entered into between the State and Federal Government, relative to the above project, the
Washington State Department of Transportation will authorize the Local Agency to proceed on the project by a separate notification. Federal funds which are to be
obligated for the project may not exceed the amount shown herein on line r, column 3, without written authority by the State, subject to the approval of the Federal
Highway Administration. All project costs not reimbursed by the Federal Government shall be the responsibility of the Local Agency.
Project Description
Name SR 164 - 6th Street SW to M Street SE (C 10 14)
Length 0.82
Termini 6th Street SE to M Street SE
Description of Work
Hazard Elimination by construction of a new signal, re-channelization, signal modifications, lane widening and access
mangement.
Agency Official
�.� �i f t 0
Title Cbarlec A Booth, Ma_
DOT Form 140-039 EF
Revised 2101
Washington State Department of Tra sp/o taction
By
Assistant Secretary for Highways and Local Programs
- Date Executed 'NOV 2 1 20
Estimate of Funding
Type of Work
(3)
Estimated Total
Estimated Agency
Estimated
Project Funds
Funds
Federal Funds
PE
a. Agency
65,000.00'
6,500.00
58,500.00
90 %
bb. Oth�su tants
175,000.00
17,500 00
---
157,500.00
c. Other
Federal Aid
- -
d. State
30'00.00
3;000 0
18,000.00
Participation
_ - -
Ratio for PE
e. Total PE Cost Estimate (a+b+c+d)
260,000.00
26,000.00
234,000.00
Right of Way
f. Agency
-
_g. Other
h. Other
Federal AidParticipation
- - --
State
-
--- -
.
Ratio for RW
j. Total R/W Cost Estimate (f+g+h+i)
Construction
k. Contract
I. Other
in. Other
n. Other
- —
o. Agency
Federal Aid
p• State
-
Participation
Ratio for CN
q. Total CN Cost Estimate (k+l+m+n+o+p)
r. Total Project Cost Estimate (e+j+q)
260,000.00
26,000.00
234,000.00
Agency Official
�.� �i f t 0
Title Cbarlec A Booth, Ma_
DOT Form 140-039 EF
Revised 2101
Washington State Department of Tra sp/o taction
By
Assistant Secretary for Highways and Local Programs
- Date Executed 'NOV 2 1 20
Construction Method of Financing (Check Method Selected)
State Ad and Award
❑ Method A - Advance Payment - Agency Share of total construction cost (based on contract award)
O Method B - Withhold from gas tax the Agency's share of total construction cost (line 4, column 2) in the amount of
at $ per month for months.
Local Force or Local Ad and Award
® Method C - Agency cost incurred with partial reimbursement
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 set forth
below. Adopted by official action on
October 15 1 2001 Resolution/Ordinance No. 5590
Provisions
Scope of Work
The Agency shall provide all the work, labor, materials, and services
necessary to perform the project which is described and set forth in detail in the
"Project Description" and '*Type of Work."
When the State acts for and on behalf of the Agency, the State shall be
deemed an agent of the Agency and shall perform the services described and
indicated in "Type of Work" on the face of this agreement, in accordance with
plans and specifications as proposed by the Agency and approved by the State
and the Federal Highway Administration.
When the State acts for the Agency but is not subject to the right of control by
the Agency, the State shall have the right to perform the work subject to the
ordinary procedures of the State and Federal Highway Administration.
II. Delegation of Authority
The State is willing to fulfill the responsibilities to the Federal Government by
the administration of this project The Agency agrees that the State shall have the
full authority to carry out this administration. The State shall review, process,
and approve documents required for federal aid reimbursement in accordance
with federal requirements. If the State advertises and awards the contract, the
State will further act for the Agency in all matters concerning the project as
requested by the Agency. If the Local Agency advertises and awards the project,
the State shall review the work to ensure conformity with the approved plans and
specifications.
111. Project Administration
Certain types of work and services shall be provided by the State on this
project as requested by the Agency and described in the Type of Work above. In
addition, the State will famish qualified personnel for the supervision and
inspection of the work in progress. On Local Agency advertised and awarded
projects, the supervision and inspection shall be limited to ensuring all work is in
conformance with approved plats, specifications, and federal aid requirements.
The salary of such engineer or other supervisor and all other salaries and costs
incurred by State fomes upon the project will be considered a cost thereof All
costs related to this project incurred by employees of the State in the customary
manner on highway payrolls and vouchers shall be charged as costs of the
project.
IV. Availability of Records
All project records in support of all costs incurred and actual expenditures
kept by the Agency me to be maintained in accordance with local government
accounting procedures prescribed by the Washington State Auditor's Office,
the U.S. Department of Transportation, and the Washington State Department
of Transportation. The records shall be open to inspection by the State and
Federal Government at all reasonable times and shall be retained and made
available for such inspection for a period of not less than three years from the
final payment of any federal aid funds to the Agency. Copies of said records
shall be famished to the State and/or Federal Government upon request.
V. Compliance with Provisions
The Agency shall not incur any federal aid participation costs on any
classification of work on this project until authorized in writing by the State
for each classification. The classifications of work for projects are:
DOT Form 140-039 EF
Revised 2101
1. Preliminary engineering.
2. Right of way acquisition.
3. Project construction.
In the event that right of way acquisition, or actual construction of the road, for
which preliminary engineering is undertaken is not started by the closing of the
tenth fiscal year following the fiscal year in which the agreement is executed, the
Agency will repay to the State the sum or sums of federal funds paid in the Agency
under the terns of this agreement (see Section IX).
The Agency agrees that all stages of construction necessary to provide the
initially planned complete facility within the limits of this project will conform to at
least the minimum values set by approved statewide design standards applicable to
this class of highways, even though such additional work is financed without federal
aid participation.
The Agency agrees that on federal aid highway construction projects, the current
federal aid regulations which apply to liquidated damages relative to the basis of
federal participation in the project cost shall be applicable in the event the contractor
fails to complete the contract within the contract time.
VI. Payment and Partial Reimbursement
The total cost of the project, including all review and engineering costs and
other expenses of the State, is to be paid by the Agency and by the Federal
Government. Federal funding shall be in accordance with the Transportation
Equity Act for the 21 at Century (TEA 21), as amended, and Office of
Management and Budget circulars A-102, A-87 and A-133. The State shall not
be ultimately responsible for any of the costs of the project. The Agency shall
be ultimately responsible for all costs associated with the project which are not
reimbursed by the Federal Government. Nothing in this agreement shall be
construed as a promise by the State as to the amount or nature of federal
participation in this project.
1. Preliminary Engineering, Right of Way Acquisition, and Audit Costs
The Agency will pay for Agency incurred costs on the project. Following such
payments, vouchers shall he submitted to the State in the format prescribed by the
State, in duplicate, not more than once per month. The State will reimburse the
Agency up to the amount shown on the face of this agreement for those costs
eligible for federal participation to the extent that such costs are directly attributable
and properly allocable to this project Expenditures by the 1 tical Agency for
maintenance, general administration, supervision, and other overhead shall not be
eligible for federal participation unless an indirect cost plan nas been approved by
WSDOT.
The State will pay for State incurred costs on the project. Following
payment, the State shall bill the Federal Government for reimbursement of
those costs eligible for federal participation to the extent that such costs are
attributable and properly allocable to this project. The State shall bill the
Agency for that portion of State costs which were not reimbursed by the
Federal Government (see Section IX).
2. Project Construction Costs
Project concoction financing will be accomplished by one of the three
methods as indicated in this agreement.
Method A — The Agency will place with the Slate, within (20) days after the
execution of the construction contract, an advance in the amount of the
Agency's share of the total construction cost based on the contract award. The
State will notify the Agency of the exact amount to he deposited with the State.
The State will pay all costs incurred under the contract upon presentation of
progress billings from the contractor. Following such payments, the State will
submit a billing to the Federal Government for the federal aid participation
share of the cost. When the project is substantially completed and final actual
costs of the project can be determined, the State will present the Agency with a
final billing showing the amount due the State or the amount due the Agency.
This billing will be cleared by either a payment from the Agency to the State or
by a refund from the State to the Agency.
Method B — The Agency's share of the total construction cost as shown on
the face of this agreement shall be withheld from its monthly fuel tax
allotments. The face of this agreement establishes the months in which the
withholding shall take place and the exact amount to be withheld each month.
The extent of withholding will be confirmed by letter from the State at the time
of contract award. Upon receipt of progress billings from the contractor, the
State will submit such billings to the Federal Goventroent for payment of its
participating portion of such billings.
Method C — The Agency may submit vouchers to the State in the format
prescribed by the State, in duplicate, not more than once per month for those
costs eligible for Federal participation to the extent that such costs are directly
attributable and properly allocable to this project Expenditures by the Local
Agency for maintenance, general administration, supervision, and other
overhead shall not be eligible for Federal participation unless claimed under a
previously approved indirect cost plan.
The State shall reimburse the Agency for the Federal share of eligible
project costs up to the amount shown on the face of this agreement. At the time
of audit, the Agency will provide documentation of all costs incurred on the
project.
The State shall bill the Agency for all costs incurred by the State relative to
the project. The State shall also bill the Agency for the federal funds paid by
the State to the Agency for project costs which are subsequently determined to
be ineligible for federal participation (see Section IX).
VII. Audit of Federal Consultant Contracts
The Agency, if services of a consultant are required, shall be responsible for
audit of the consultant's records to determine eligible federal aid costs on the
project. The report of said audit shall be in the Agency's files and made
available to the State and the Federal Government.
An audit shall be conducted by the WSDOT Internal Audit Office in
accordance with generally accepted governmental auditing standards as
issued by the United States General Accounting Office by the Comptroller
General of the United States; WSDOT Manual M 27-50, Consultant
Authorization, Selection, and Agreement Administration; memoranda of
understanding between WSDOT and FHWA; and Office of Management
and Budget Circular A-133.
If upon audit it is found that overpayment or participation of federal
money in ineligible items of cost has occurred, the Agency shall reimburse
the State for the amount of such overpayment or excess participation (see
Section 1X).
VIII. Single Audit Act
The Agency, as a subrecipient of federal funds, shall adhere to the federal
Office of Management and Budget (OMB) Circular A-133 as well as all
applicable federal and state statutes and regulations. A subrecipient who
expends $300,000 or more in federal awards from all sources during a given
fiscal year shall have a single or program -specific audit performed for that
year in accordance with the provisions of OMB Circular A-133. Upon
conclusion of the A-133 audit, the Agency shall be responsible for ensuring
that a copy of the report is transmitted promptly to the State.
IX, Payment of Billing
The Agency agrees that if payment or arrangement for payment of any of
the State's billing relative to the project (e.g., State force work, project
cancellation, overpayment, cost ineligible for federal participation, etc.) is not
made to the State within 45 days after the Agency has been billed, the State
shall effect reimbursement of the total sum due from the regular monthly fuel
W allotments to the Agency from the Morar Vehicle Fond. No additional
Federal project funding will be approved until full payment is received unless
otherwise directed the Assistant Secretary for Highways and Local Programs.
DOT Form 140-039 EF
Revised 2/01
X. Traffic Control, Signing, Marking, and Roadway
Maintenance
The Agency will not permit any changes to be made in the provisions for parking
regulations and traffic control on this project without prior approval of the State and
Federal Highway Administration. The Agency will not install or permit to be
installed any signs, signals, or markings not in conformance with the standards
approved by the Federal Highway Administration and MUTCD. The Agency will,
at its own expense, maintain the improvement covered by this agreement.
XI. Indemnity
The Agency shall hold the Federal Government and the State harmless from and
shall process and defend at its own expense all claims, demands, or suits, whether
at law or equity brought against the Agency, State, or Federal Government, arising
from the Agency's execution, performance, or failure to perform any of the
provisions of this agreement, or of any other agreement or contract connected with
this agreement, or arising by reason of the participation of the State or Federal
Govemmenl in the project, PROVIDED, nothing herein shall require the Agency to
reimburse the State or the Federal Govertunent for damages arising out of bodily
injury to persons or damage to property caused by or resulting from the sole
negligence of the Federal Government or the State.
No liability shall attach to the State or Federal Government except as expressly
provided herein.
XII. Nondiscrimination Provision
The Agency shall not discriminate on the basis of race, color, national origin, or
sex in the award and performance of any USDOT-assisted contract and/or
agreement or in the administration of its DBE program or the requirements of 49
CFR Part 26. The Agency shall take all necessary and reasonable steps under 49
CFR Part 26 to ensure nondiscrimination in the award and administration of
USDOT-assisted contracts and agreements. The WSDOT's DBE program, as
required by 49 CFR Pan 26 and as approved by USDOT, is incorporated by
reference in this agreement Implementation of this program is a legal obligation
and failure to carry out its terms shall be treated as a violation of this agreement.
Upon notification in the Agency of its failure to carry out its approved program, the
Department may impose sanctions as provided for under Part 26 and may, in
appropriate cases, refer the matter for enforcement under 18 U.S.C. 1001 and/or the
Program Fraud Civil Remedies Act of 1986 (31 U.S.C. 3801 et seq.).
The Agency hereby agrees that it will incorporate or cause to be incorporated
into any contract for construction work, or modification thereof, as defined in the
rules and regulations of the Secretary of labor in 41 CFR Chapter 60, which is paid
for in whole or in part with funds obtained from the Federal Government or
borrowed on the credit of the Federal Government pursuant to a grant, contract,
loan, insurance, or guarantee or understanding pursuant to any federal program
involving such grant, contract, loan, insurance, or guarantee, the required contract
provisions for Federal -Aid Contracts (FH W A 1273), located in Chapter 44 of the
Local Agency Guidelines.
The Agency further agrees that it will he bound by the above equal
opportunity clause with respect to its own employment practices when it
participates in federally assisted construction works Provided, that if the
applicant so participating is a State or Local Government, the above equal
opportunity clause is not applicable to any agency, instrumentality, or
subdivision of such government which does not participate in work on or under
the contract.
The Agency also agrees:
(I) To assist and cooperate actively with the State in obtaining the compliance of
contractors and subcontractors with the equal opportunity clause and rules,
regulations, and relevant orders of the Secretary of Labor.
(2) To famish the State such information as it may require for the supervision of
such compliance and that it will otherwise assist the State in the discharge of its
primary responsibility for securing compliance.
(3) To refrain from entering into any contract or contract modification subject to
Executive Order 11246 of September 24, 1965, with a contractor debarred from, or
who has not demonstrated eligibility for, government contracts and federally
assisted construction contracts pursuant to the Executive Order.
(4) To carry out such sanctions and penalties for violation of the equal
opportunity clause as may be imposed upon contractors and subcontractors by the
State, Federal Highway Administration, or the Secretary of labor pursuant to Part
11, subpart D of the Executive Order.
In addition, the Agency agrees that if it fails or refuses to comply with these
undertakings, the State may take any or all of the following actions:
(a) Cancel, terminate, or suspend this agreement in whole or in part;
(b) Refrain from extending any further assistance to the Agency under the
program with respect to which the failure or refusal occurred until satisfactory
assurance of future compliance has been received from the Agency; and
(e) Refer the case to the Department of Justice for appropriate legal proceedings.
XIII. Liquidated Damages
The Agency hereby agrees that the liquidated damages provisions of 23 CFR
Part 630, Subpart 305, as supplemented, relative to the amount of Federal
participation in the project cost, shall be applicable in the event the contractor
fails to complete the contract within the contract time. Failure to include
liquidated damages provision will not relieve the Agency from reduction of
federal participation in accordance with this paragraph.
XIV. Termination for Public Convenience
The Secretary of the Washington State Department of Transportation may
terminate the contract in whole, or from time to time in part, whenever:
(1) The requisite federal funding becomes unavailable through failure of
appropriation or otherwise.
(2) The contractor is prevented from proceeding with the work as a direct
result of an Executive Order of the President with respect to the prosecution of
war or in the interest of national defense, or an Executive Order of the
President or Governor of the State with respect to the preservation of energy
resources_
(3) The contractor is prevented from proceeding with the work by reason of
a preliminary, special, or permanent restraining order of a court of competent
jurisdiction where the issuance of such order is primarily caused by the acts or
omissions of persons or agencies other than the contractor.
(4) The Secretary determines that such termination is in the best interests of
the State.
DOT Form 140-039 EF
Revised 2/01
XV. Venue for Claims and/or Causes of Action
For the convenience of the parties to this contract, it is agreed that any claims
and/or causes of action which the Local Agency has against the State of
Washington, growing out of this contract or the project with which it is
concerned, shall be brought only in the Superior Court for Thurston County.
XVI. Certification Regarding the Restrictions of the Use
of Federal Funds for Lobbying
The approving authority certifies, to the best of his or her knowledge and belief,
that:
(1) No federal appropriated funds have been paid or will be paid, by or on
behalf of the undersigned, to any person for influencing or attempting in influence
an officer or employee of any federal agency, a member of Congress, an officer or
employee of Congress, or an employee of a member of Congress in connection
with the awarding of any federal contract, the making of any federal grant, the
making of any federal loan, the entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any federal
contract, grant, loan, or cooperative agreement.
(2) If any funds other than federal appropriated funds have been paid or will be
paid to any person for influencing or attempting to influence an officer or
employee of any federal agency, a member of Congress, an officer or employee of
Congress, or an employee of a member of Congress in connection with this federal
contract, grant, loan, or cooperative agreement, the undersigned shall complete and
submit the Standard Form - LLL, "Disclosure Form to Report Lobbying,' in
accordance with its instructions.
(3) The undersigned shall require that the language of this certification be
included in the award documents for all subawards at all tiers (including subgrants,
and contracts and subcontracts under grants, subgrants, loans, and cooperative
agreements) which exceed $100,000, and that all such subrecipients shall certify
and disclose accordingly.
This certification is a material representation of fact upon which reliance was
placed when this transaction was made or entered into. Submission of this
certification as a prerequisite for making or entering into this transaction imposed
by Section 1352, Title 31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
Additional Provisions
Washington State
AO Department of Transportation
Local Agency Agreement Supplement
Agency
Supplement Number
City of Auburn
2
Federal Aid Project Number
Agreement Number
CFDA No. 20.205
STPH-0164(011)
LA 5177
(Catalog of Federal Domestic Assistance)
The Local Agency desires to supplement the agreement entered into and executed on November 21, 2001
All provisions in the basic agreement remain in effect except as expressly modified by this supplement.
The changes to the agreement are described as follows:
Project Description
Name SR 164 -6th Street SW to M Street SE (C1014
Termini 6th Street SE to M Street SE
Description of Work ® No Change
Reason for Supplement
Request funds for construction phase.
Length .82
The Local Agency further
to pay m: o edera
Title Peter R f ewi q„ Mayor
DOT Form 140-041 EF
Revised 4/2000
that pursuant to said Title 23, regulations and policies and procedures, and as a condition
igalv" accepts and will comply with the applicable provisions.
Washington tate Department of Transportation
By --
Assistant Secretary for Highways and Local Programs
Date Executed W 16 2005
Type of Work
Yp
Estimate of Funding
(1> (z)
Previous Supplement
A reement/Su I.
(3>
Estimated Total
ProFunds
(a)
Estimated Agency
Funds
(5>
EsB(5
Federal Funds
PE
a. Agency
65,000.00
65,000.00
6,500.001
58,500.00
90 %
b. Other Consultants
175,000.00
175,000.00
17,500.00
157,500.00
c. Other
Federal Aid
d. Slate
20,000.00
20,000.00
2,000.00:i
18,000.00
'
Participation
Ratio for PE
--
e. Total PE Cost Estimate (a+b+c+d)
---
260,000.00
-
-
260,000.00
26,000.00
234,000.00
Right of Way f. Agency
5,000.00
5,000.00
500.00
4,500.00
90 %
.Other Consultants
31,000.00
31,000.00
3,100.00
27,900.00
Federal Aid
h. Other Property Owners
18,710.00
18,710.00
1,870.00
16,840.00
Participation
Ratio for RW
i State
1,880.001
1,880.00
190.00
1,690.00
'. Total RAN Cost Estimate (f+g+h+i)
56,590.00
56,590.00
5,660.00
50,930.00
Construction k. Contract
509,078.00
509,078.00
50,908,001
458,170.00
I. Other Non -participation
865,922.00
865,922.00
865,922.00
- -
m. Other
n. Other
90 %
o. Agency
65,000.00
65,000.00
6,500.00''
58,500.00
Federal Aidp
Participation
State
10,000.00
10,000.00
1,000.00
9,000.00
—"
Ratio for CN
. Total CN Cost Estimate k+l+m+n+o
1,450,000.00
1,450,000.00
924,330.00
525,670.00
r. Total Project Cost Estimate (e+N)
316,590.00
1,450,000.00
1,766,590.00
955,990.00
810,600.00
The Local Agency further
to pay m: o edera
Title Peter R f ewi q„ Mayor
DOT Form 140-041 EF
Revised 4/2000
that pursuant to said Title 23, regulations and policies and procedures, and as a condition
igalv" accepts and will comply with the applicable provisions.
Washington tate Department of Transportation
By --
Assistant Secretary for Highways and Local Programs
Date Executed W 16 2005