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Appendix 22.51          Local AgencyAgreement

-
V7; Wyn-mm      Local Agency Agreement
Agency                              CFDA No. 20.205
F  0 F $07fH1
(Catalog of Federal Domestic Assistance)
Address M1121
Project No.
(,1ch W A  I I )
Agreement No.
For 086 WSDOT Use Only

The Local Agency having complied, or hereby agreeing to comply, with the terms and conditions set forth in (1) Title 23. US. Code Highways, (2)
the regulations issued pursuant thereto, (3) 2 CFR 225, (4) Ofce of Management and Budget Circulars A-lOZ, and A-l33, (5) the policies and
procedures promulgated by the Washington State Department of Transportation, and (6) the federal aid project agreement entered into between the
State and Federal Government, relative to the above projecc the Washington State Department of Transportation will authorize the Local Agency to
proceed on the project by a separate notication. 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   M  (It. 5014        t'  4,! (\m T Ck Pnm  Mki

Termini      A'k/
Description of Work            ' ' '
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" Estimate of Funding 
"(1)"      ,
Type f Work                          (2)        (a)
Estimated Total    Estimated Agency  ,    Estimated
Project Funds        Funds        Federal Funds
_P;,A9"01.,,
___
b. Other
c. Other
Federal Aid 
Participation 
Ratio for PE
Right of Way   f. Agency
%
__ _g. Other
Federal Aid 
.
Participation ' _____.. _ A A
_ 
Ratio for RW     '. Total R/W Cost Estimate f+ e +h+i
Construction


%
Federal Aid 
Participation . _.
Ratio for CM      -. Total CN Cost Estimate k+l+m+n+o+ -                                       
f-TOtalPTOEC1cStESmate(e*i+Q)                 _
Agency Ofcial                          Washington State Department of Transportation

By                                    By
_________

Title                                                Director of Highways and Local Programs

Date Executed

cor Form 140-039 EF                                  1
Revised 09/2011



WSDOT Local Agency Guidelines  M 36-6114                                  Page 22-5
April 2012

The Local Agency Agreement                                            Chapter 22
Local AgencyAgreement                                          Appendix 22.51



Construction Method of Financing  (Check Method Selected)
State Ad and Award
[:1 Method A - Advance Payment - Agency Share of total construction cost (based on contract award)
[:1 Method B - Withheld from gas tax the Agency's share of total construction cost (line 4. column 2) in the amount of
$ at $   per month for

Local Force or Local Ad and Award

Method C - Adencv cost incurred with partial reimbursement
The Local Agency further stipulates that pursuant to said Tltle 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 ofcial action on

Resolution/Ordinance No.
.             ,
Provisions
l. 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 specications 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.
ll. Delegation of Authority
The State is willing to fulll the responsibilities to the Federal Government by the administration of this project. The Agency agrees that the State
shall have the full authority to can'y 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 conceming 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 specications.
lll. 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 fumish qualied 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 plans, specications, and
federal aid requirements. The salary of such engineer or other supervisor and all other salaries and costs incurred by State forces 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. Avallabillty of Records
All project records in support of all costs incurred and actual expenditures kept by the Agency are to be maintained in accordance wrth 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 Govemment 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 nal payment of any federal aid funds
to the Agency. Copies of said records shall be furnished 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 classication of work on this project until authorized in writing by the State
for each classication. The classications of work for projects are:
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 scal year following the scal year in which the agreement is executed. the Agency wrll repay to the State the sum or sums of
federal funds paid to the Agency under the terms 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 nanced 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 Goverrunent. Federal funding shall be in accordance with the Federal Transportation Act, as amended, 2 CFR 225 and Ofce of
Management and Budget circulars A-lOZ and A-l33. 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.
DOT Form 140-039 EF
2
Revised 09/2011




Page 22-6                                     WSDOT Local Agency Guidelines  M 36453.14
April 2012

Chapter 22                                              The Local AgencyAgreement
Appendix 22.51                                              Local Agency Agreement


The Agency shall bill the state for federal aid pr0ject costs incurred in conformity with applicable federal and state laws. The agency shall
minimize the time elapsed between receipt of federal aid funds and subsequent payment of incurred costs. Expenditures by the Local Agency for
maintenance, general administration, supewision, and other overhead shall not be eligible for federal participation unless a current indirect cost plan
has          in accordance with the regulations outlined in 2 CFR 225 - Cost Principles for State, Local, and Indian Tribal Government.
beeinfprepased                                                                                    and
retaine  or au it.

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
I         Agency for that portion of State costs which were not reimbursed by the Federal Govemment (see Section 1X).

1. Project Construction Costs
Project construction nancing will be accomplished by one of the three methods as indicated in this agreement.
Method A - The Agency will place with the State, within (20) days aer 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 be deposited
with the State The State will pay all costs incurred under the contract upon resentation 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 nal actual costs of the project can be determined, the State will present the Agency with a final billing showrng 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 conrmed by letter from the State at the time of contract award. Upon receipt of rogress billings from the
contractor, the State will submit such billings to the Federal Government for payment of its participating portion of such bil ings.

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
l         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 les and made available to the State and the Federal Government.
An audit shall be conducted by the WSDOT Internal Audit Ofce in accordance with generally accepted governmental auditing standards as         '
issued by the United States General Accounting Ofce 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 Ofce of Management
and Budget Circular A-l 33.
'
If upon audit it is found that overpayment or participation of federal money in ineligible items of cost has occurred, the Agency shall reimburse
i         the State for the amount of such overpayment or excess participation (see Section 1X).

Vlll. Single Audit Act
The Agency, as a subrecipient of federal funds, shall adhere to the federal Ofce of Management and Budget (OMB) Circular A-l33 as well as all
applicable federal and state statutes and regulations. A subrecipient who expends $500,000 or more in federal awards from all sources during a
given scal year shall have a single or program-specic audit performed for that year in accordance with the provisions of OMB Circular A-133
Upon conclusion of the A-l33 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, preject
,
cancellation, overpayment. cost ineligible for federal participation, etc) is not made to the State within 45 days aer the Agency has been billed, the          '
State shall effect reimbursement of the total sum due from the regular monthly fuel tax allotments to the Agency from the Motor Vehicle Fund No
additional Federal pr0ject funding will be approved until full payment lS received unless otherwise directed the Director of Highways and Local
Programs.
X. Trafc Control, Signing, Marking, and Roadway
Maintenance
The Agency Will not permit any changes to be made in the provisions for parking regulations and trafc 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 wrll, 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,

DOT Form 140039 EF
Revised 0912011                                     3





WSDOT Local Agency Guidelines  M 36-63."                                  Page 22-7
April 2012

The Local AgencyAgreement                                           Chapter 22
Local AgencyAgreement                                          Appendix 22.51



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 Govemment in the project, PROVIDED, nothing herein shall require the Agency to
reimburse the State or the Federal Government 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

XII. Nondiscrimination Provision
No liability shall attach to the State or Federal Government except as expressly provided herein.

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 Part 26 and as approved by USDOT, is incorporated by reference in this
agreement. Implementation of this program is a legal obligation and failure to cany out its terms shall be treated as a violation of this agreement.
Upon notication to the Agency of its failure to carry out its approved program, the Department may impose sanctions as provided for under Part 26
in appropriate cases, refer the matter for enforcement under 18 U.S.C. 1001 and/or the Program Fraud Civil Remedies Act of 1986 (3l U.S.
Endsrsrbay,
.
1 et seq.).

The Agency hereby agrees that it will incorporate or cause to be incorporated into any contract for construction work, or modication thereof, as
dened in the rules and regulations of the Secretary of Labor in 4] 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 Govemment 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 (FHWA l273), located in Chapter 44 of the Local Agency Guidelines.

The Agency further agrees that it will be bound by the above equal opportunity clause with respect to its own employment practices when it
participates in federally assisted construction work: Provided, that if the applicant so participating is a State or Local Government, the above equal
clause is not applicable to any agency, instrumentality, or subdivision of such government which does not participate in work on or
under
opporttrilnity
e contract.
The Agency also agrees:
(l) 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 furnish 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 modication subject to Executive Order 11246 of September 24, l965, 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 pan;
(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
(c) Refer the case to the Department of Justice for appropriate legal proceedings.
Xlll. Liquidated Damages
The Agency hereby agrees that the liquidated damages provisions of 23 CFR Part 635, Subpart l27, 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:
(l) 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.

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.

DOT Form 140039 EF
Revised 09/2011




Page 22-8                                    WSDOT Local Agency Guidelines  M 36453.14
April 2012

Chapter 22                                              The LocalAgencyAgreement
Appendix 22.51                                              Local AgencyAgreement


XVI. Certication Regarding the Restrictions of the Use
of Federal Funds for Lobbying

The approving authority certies, 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 inuencing or attempting
to inuence an ofcer or employee of any federal agency, a member of Congress, an ofcer 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 modication 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 inuencing or attempting to inuence 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 certication 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 certication is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission
of this certication as a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, US. Code. Any     who fails
to le the required certication shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such 'personallure.

Additional Provisions

















DOT Form 140-039 EF
Revised 09/2011





WSDOT Local Agency Guidelines  M 36-63.14                                  Page 22-9
April 2012

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