HomeMy WebLinkAboutPW05-175 - Original - Revised Certification Acceptance Agreement "t
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Records Man-a geme
KENT
WASHINGTON Document
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission to City Clerks Office. All
portions are to be completed, if you have questions, please contact City Clerks Office.
Vendor Name: \M 5 0 OT Vendor Number:
JD Edwards Number
Contract Number: 00oy-- 7 Jr'
This is assigned by Deputy City Clerk
Description: K'tfr 0 1 5cd /-e ��r,-1 Iatcgy_
Detail:
Project Name: 6 i CCP tA?I d1CP vejyI �
Contract Effective Date: Termination Date:
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: �rt, L}- , ��P �+ Department:
Abstract:
S Public\RecordsManagement\Forms\ContractCover\ADCL7832 07/02
CITY OF KENT
_ �JJAN 2 6 2005
� Washington State TransportatioE'V�u i!PEE"NG DEP�
VI/ Department of Transportation 310 Maple Park Avenue S E
Douglas B. MacDonald P O Box47300
Secretary of Transportation Olympia,WA 98504-7300
360-705-7000
TTY 1-800-833-6388
www wsdot wa gov
January 21, 2005
Mr. Larry Blanchard
Acting Public Works Director
City of Kent
220 Fourth Avenue S
Kent, WA 98032-5895
City of Kent
Revised CA Agreement
Dear Mr Blanchard:
We appreciate your efforts in keeping this Certification Acceptance (CA)
document current, as it is important to your CA program.
Enclosed for your information and files is a copy of the revised city of Kent's
Certification Acceptance Agreement, which I approved and signed on January 24,
2005
Sincerely,
4 J,-D-a 4 �
Kathleen B Davis
Director
Highways & Local Programs Division
KBD.dm.ac
Enclosure
cc: Ed Conyers,Northwest Region, MS NB82-121
Certification Acceptance Qualification Agreement
AGENCY City of Kent AGENCY NO. 0615
The agency agrees to comply with the following requirements when developing all Federal Highway Administration
(FIIWA)projects under Full CA status.
1. Adherence to the Local Agency Guidelines and all policies and procedures promulgated by the Washington State Department
of Transportation(WSDOT)which accomplish the policies and objectives set forth in Title 23.U.S.Code, Highways,and the
regulations issued pursuant thereto.
2. The overall approval authorities and conditions will be as follows:
a. The project prospectus will be reviewed and approved by the following official.
Director of Public Works or City Engineer
Position Title Only -
b. The local agency agreement will be reviewed and approved by the following official or officials.
Director of Public Works or City Engineer
Position Title Only
c. The designs and environmental documents will be reviewed and approved by the following state of Washington
registered Professional Civil Engineer.
Director of Public Works or City Engineer
Position Title Only
d. The hearing's findings(if required)will be reviewed and approved by the following official or officials.
Director of Public Works or City Engineer
Position Title or Titles Only
e. The contract plans,specifications and estimate of cost will be reviewed and approved by the following state
of Washington registered Professional Engineer.
Director of Public Works or City Engineer
Position Title or Titles Only
f. Agreements will be signed by the following responsible local official:
(1) Railroad Mayor
Position Title Only
(2) Utility Mayor
Position Title Only
(3) Consultant Mayor
Position Title Only
(4) Technical Services Mayor
Position Title Only
g. The award of contract will be signed by the following responsible local official.
Mayor
Position Title Only
h. All projects will be constructed in conformance with the Washington State Department of Transportation/American
Public Works Association(WSDOTIAPWA)current Standard Specications for Road;Bridge.and Municipal
Construction and such specifications that modify these specifications us appropriate.Multimodal enhancement
projects shall be constructed in conformance with applicable state and local codes.
'k
Local Agency Gulde0es ---- — I
March 2004
L The contract administration will be supervised by the following state of Washington registered Professional
Civil Engineer.
City Engineer or Construction Engineering Manager
Position Title Only C {
j. Constriction administration and material sampling and testing will be accomplished in accordance with the WSDOT
C"onviraclion Marrual and the Loral Agency Guidelines.
3. The agency agrees that they have the means to provide adequate expertise and will have support staff'available to perform
the functions being subdelegated.The support staff may include consultant or state services.
4. The agency agrees that the signature on each project prospectus and local agency agreement will be consistent with
section 2 above.
5. All projects under Certification Acceptance shall be available for review by the FH WA and the state at any time and all
project documents shall be retained and available for inspection during the plan development and construction stages
and for a three year period following acceptance of the project by W SDOT.
b. Approval of the local agency certification by the Assistant Secretary for Highways and Local Programs may be rescinded
at any time upon local agency request or if,in the opinion of the Assistant Secretary for Highways and Local Programs, it
is necessary to do so.The rescission may be applied to all or pan of the programs or projects approved in the local agency
certification.
M or or Chairman Date
WASHINGTON STATE DEPARTMENT a
OF TRANSPORTATION
Approved By: �. /�• �d— jl"0�
Director,Highways and Local Programs Date
2 Local Agency Guidelines
} March 2004
Mt
Washington State Certification Acceptance
Department of Transportation Qualification Agreement
Agency City of Kent Agency No. 0615
Address 220 4th Avenue South
Kent, WA 98032
The agency agrees to comply with the following requirements when developing all Federal Highway
Administration (FHWA) projects under Full CA status
1 Adherence to the Local Agency Guidelines and all policies and procedures promulgated by the Washington
State Department of Transportation (WSDOT) which accomplish the policies and objectives set forth in Title 23,
U S Code, Highways, and the regulations issued pursuant thereto
2 The overall approval authorities and conditions will be as follows
a. The project prospectus will be reviewed and approved by the following official
Director of Public Works or City Engineer
Position Title Only
b The local agency agreement will be reviewed and approved by the following official or officials
Director of Public Works or City Engineer
Position Title or Titles Only
c The designs and environmental documents will be reviewed and approved by the following state of
Washington registered Professional Civil Engineer
Director of Public Works or City Engineer
Position Tide Only
d The hearing's findings (if required)will be reviewed and approved by the following official or officials
Director of Public Works or City Engineer
Position Title or Titles Only
e The contract plans, specifications, and estimate of cost will be reviewed and approved by the following
state of Washington registered Professional Engineer
Director of Public Works or City Engineer
Position Tide or Titles Only
f Agreements will be signed by the following responsible local official.
(1) Railroad Mayor
Position Title Only
(2) Utility Mayor
Position Title Only
(3) Consultant Mayor
Position Title Only
(4) Technical Mayor
Services Position Title Only
g The award of contract will be signed by the following responsible local official
Mayor
Position Title Only
h All projects will be constructed in conformance with the Washington State Department of Transportation/
American Public Works Association (WSDOT/APWA) current Standard Specifications for Road, Bridge, and
Municipal Construction and such specifications that modify these specifications as appropriate Multimodal
enhancement projects shall be constructed in conformance with applicable state and local codes
DOT Form 140-043 EF
Revised 10/2002
I The contract administration will be supervised by the following state of Washington registered Professional
Civil Engineer
City Engineer
Position Title Only
l Construction administration and material sampling and testing will be accomplished In accordance with the
WSDOT Construction Manual and the Local Agency Guidelines
3 The agency agrees that they have the means to provide adequate expertise and will have support staff available
to perform the functions being subdelegated The support staff may Include consultant or state services.
4 The agency agrees that the signature on each project prospectus and local agency agreement will be consistent
with section 2 above
5 All protects under Certification Acceptance shall be available for review by the FHWA and the State at any time
and all project documents shall be retained and available for inspection during the plan development and
construction stages and for a three year period following acceptance of the project by WSDOT
fi Approval of the local agency certification by the Assistant Secretary for Highways and Local Programs may be
rescinded at any time upon local agency request or If, In the opinion of the Assistant Secretary for Highways and
Local Programs, It Is necessary to do so The rescission may be applied to all or part of the programs or
projects approved In the local agency certification
1- 7- OS
Mayor fhairperson Date
Washington State Department of Transportation
7Appr ed By:
_/ ,519q US
DIr ,ctor, Highways and Local Programs Date
DOT Form 140-043 EF
Revised 10/2002
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