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Fonn approved
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Budget Bureau No. 63-R900,2 (7-62) ;:• 1 <.
HOUSING AND HOME FINANCE AGENCY
COMMUNITY FACILITIES ADMINISTRATION
PROGRAM OF ADVANCES FOR PUBLIC WORKS PLANNING \
fOR GOYE/It'IIIINT USI I\~
1-P.;.R.;.O.J.;.E:..;C:...T_N_UM:...B...;E;..R _______ -f_ d
OATE RECEIVED t·:~
COUNTY N
REQUEST FOR REVIEW AND APPROVAL OF PLANNING DOCUMENTS t· j
There are submitted herewith !or review and approval by the Housing and Home cITY . \. '!
Finance Agency, pursuant to t)le Agreement between that Agency and the public agency i ~
identi!ied below' the planning documents prepared in accordance with that Agreeaent' ' r ~
consisting O! (checlo cappliccable bu): . TYPE OF PRO.JECT. ·1
l-_c_J_P_I!'"EL-1-14_1_M_A-RY_P_L_A_M_M_II_6_R_E_PO-R-T-·-·-1Xl __ c_o_NoS_T_R_U_C_T_I_ON-P-L-A-N-S-A-M-D-S-PE_C_I_F_I_CA•T•I-O•N-S--"'---------------4 _;,·:·:··.:'1 .•. ;,
1. Legal corporate name and ad~ress or Applicant: 1
t. ~
~ . ~ city of Kent, washington Kent, l'1ashington
2. Name, title, and address or representative or the applicant currently authorized to act tor the applicant in all
aatters pertaining to the Federal Planning Advance., ,
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1 11 Alex Thornton, Mayor, City Hall, Kent, Washington :·'F t-------------:---------------------------------------4 i 1 3., Brie! description or _pubt'ic work project· contemplated by the planning docuaents subaitted herewith. 1 I
f'. ~~ Additions to Sanitary. Sewer System, in North Kent t.)
hi t·.
t---------------------~--------------------~--------~-----------T---------~ i •I
WORK BY WORK BY TOHL ~ ·ji 4. cosr Ol" PLAN PREPARATia.l
Total, all. planning costs to date.
CONTRACT APPLICANT'S COSTS ~~~
1--------1--F-O_R_c_Es __ +------i 1 'if ~ j
$241,882.53 $ ----$241.882.53 l::ii t-=:.;::.:::.t.:==.:::..:~--------+:=;.:::.=.~=:.:=:::...t Ui
costs not chargeable to Federal .advance 1=:$==~=-=-=-====F$==-=-=-=-==91=$==-=-=-====-4 ~:~~ LESS:
costs chargeable to Federal advance . . . . . . . . . . 24J.. 882.5 3 ----241~882.53 [j ~~~~n~~~d~~~:~;R:;t ~; re~:te: i: ~!~;t 8~? ~ ~5. $24l~-:-,O:.QO::o&..::.~--::::.::IO$:::::l..::S:..5-.,-5-4-4-.-.7-l-.--t-=s =-5:.:5::&.:,45o:5-=.:.:2::;.;:9:-......t i.J
(l)' For. any costs shown which were incurlecJ, under contract, purchase order, etc., attach a copy or each in-kj
::i:F:~ bill, and or each contract, purchase order, etc., or amend lent thereto not previously submitted fl
(2) Do the plans bear the seal o! a registered architect/engineer authorized to per!ora work in the State in
which the project is to be constructed? · Q(J Yes [ J No ! i'(,
I! any chargeable costs are shown !or work by Applicant's own torces, attach a certit1ed stateaent shoung f:·ij (3)
an itemized breakdown or such costs, showing number or persons employed, time engaged, and rates or pay. •·'1 t---------------------------------------------------------1 L 5, PREPARATION OF FINAL CONSTRUCTION PLANS {Show d«te• and caaounts a• appliccahle.)
{If planning doc&&aents bein; 1ubait'ted include full construction plan• cane! opccificcat(ons, this itea nutl not be ·'
filled in.J Full construction plans & Specs submitted September 7, 1966 ,il
Preparation or detailed Hnal plans began on (or) will begin on or about , :)
Planning contract !or Unal plans was signed on (or). will be sianed on or about • . ., ~;I(
Final plans will cost $ (or) are .estimated to cost about $ ,
Final plans will be completed about (date) (or) weeks a!ter contract is signed. ·.;· ... ·.·,·~··li
(Applicant acay cattac/a 1tatcacnt r1gcarcling final plcanning in lieu of fillins in thi• bloc •• )
~--------------------------~--------~----~~--~--------~--------------1[
tl B. Describe any Federal, State or local approval requiri!d be!ore construction can be&in, and show present status
thereor •.. (A •tcatca.,t acay he attcaclaecl if aorc ~pace' i• nciclecl.)
·state approvalsabtained and submitted to HHFA · . ~-,
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(Attcoch copiu of can7 revuirecl S.tcatc or loccal copproulr.) ''il
lr-P_r_e_v_i_o_u_s __ E_d_i_t_io __ n_s_O_b_s_o_l_e_t_e_,I __________ '!'"-__________ P_a_g_e ___ l_o_1'~4~~
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"--'---~~~..;;.;;:;;,.;....;,..;-r-:-=::;::::::...:._--.:::-.;,..;;.:.,~~..;.._-.:;-;.;__;__.:.;..:.:_;_...::;:_;:_:;,:;,..:..::.::..::..__:__...,......;.,;,.:.:.,...:~_.~ ... :...,. ~;.:...:.;:...:..;....:.~· ~ ... ~~-;:)jr
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7, ESI'IMATED. CX>ST OF PROPOSED pUBLIC WORK
(a) Architectural/Engineering services
Preparation ~r Preli~inary Plans
Preparation or Final Pli.ns ;· .
$ 233 I 471.03
supervision or construction.
Sub-Total.
Borings ••..
surveys .•. , •.
Total A/E Fee.
(b) Land and Rights-or-way
(c) construction . • • · .••
.•
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118~000.00
351.471.03
81411.50
J2,000.00
.• .$ 371.882
201000 .
3~248.529.21'
(d)
(e) !~~1 ~~~:~: :1~g~1:,: ·~cim:i~ ~ ,:cp~~ipg~qc:i~~ ,: 525,000
etc.
(!) Total. • • . . . • . . . , . . . .. . .
; '~ •.· ,' ' , ...
..... :
(Total of Bids)
(g) Maximum cost limit set by 'App11cant ln Item 4(f) or
Form CFA--1.01, Application. . . . . . . . . . . . . . .
(If 7(/) i• greuer thtZn 7(g), tZttaeh detailed uplanation.)
,$3.793.529
,$ 5 I 6391000 (per· letter of Feb.21,
1966)
8. Show approximate month and year when applicant plans.to undertake construction:Dec. • 1966, (If date
fro• thmt in It•• 5(&) of your application, Fora CFA-~01, attach explanation,)
Mention any !actor on which construction depends other than those in Items 5, 9, and 11:
Need for the facilities developed more rapidly than originally
anticipated due to unusually rapid. industrial e~pansion •. ·• ~·
9. (a) Site !or proposed public work has been
[]ACQUIRED []SELECTED []PLACED UNDER OPTION []NOT DEFINITELY SELECTED
differ•
(b) COnd~mnation proceedings started ~P·_:·t:::·:=• =:::1::9:.::6::6:::=:.:.--.!f~A_:t,::t a~c~h~• ::u ·~· d:!•.:,n~c·~t_:h~• r~·~o:_f.:.;·>~· :.,:· .:..:.... ___ :....:_:....:_ __ ...j
10, CXM'a!PLATED MEn!OD OF FINANCING PROPOSED PUBLIC WORK
A. Anticipated cash• . • . • . . • . • • . • . .
B. (1) General obligation bonds authorized ...
(2) General obligation bonds to be authorized
c. (1) Revenue bonds authorized •...•..•.
(2) Revenue bonds to be authorized .•....
D. (1) Assessment or improvement bonds authorized.
.•
,(2) Assessment or improvement. bonds to be authorized.
E. Other Sources (•p•cify each):
. ,(!)Federal Grant (EDA) see attachmenj:.
. : (2) -------:-....,.------....,.-..,....,....,....,...---:-;--
$ ____ :._
5,150,000
2,759,000
:"" \
... , . Total -Lines (A) through (E)·. . . • • $1.. 949,000
• Attach statement or sources or anticip~ted cash (building fund, etc.)
(At'tach esplanation if u~hod of fi,...ncing shown above differs fro• that in Itea 6 of your appllcation, Fora CFA•401,)
11. Attach a statement describing actions required to accomplish financing shown above and scheduled date tor each
action (include State t~pproilal•, bond election•, action by loea_l Governacnt, etc.) None ·
I certify that the information supplied on the above form and in the attached exhibits and statements .is true,
correct, and complete to the best o! my knowledge and belie!; that the amount or the advance requested does not in-
clude !u:tds (A) to reimburse the appi!cant !or·;any disbursement 1ade or· to defray any costs incurr~d prior to the
~ate ot the application; (B) to defray the. cost or any plan preparation performed prior to the date or the Federal
offer; or (C) 'to defray the CO !I ! any contract entered. into by the applicant prior to approval or the application,
it in such contra the lie r d .!1nance plan preparation !rom other than Federal runds.
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(•liWQEIBHB-&-POfCll!" 6f'o) RESOLUTION
Approving the Coapleted Planning Docuaent• Prepared with an Advance Froa th• United State• of Aaerica
Under the ter•• of Public Law 560, 83rd CongreSI of th.e United Statu, u a.ended.
··~-
Where as, _ _,T~h=-=e:.......::C~l.=· t.=..:Y~·-=o~f~K~e:;n,_._,t,_.,~~u.'il_,a:J::s<-=h~J.=· n~g,_,t=.!o~n....,__.....-=-:--~----------accepted an otter
( L. e g a l c o r p o r a t e n a • e o f a p 'p l i c an t )
!rom the United States Government !or an advance !or preparation of
· ··· .. public work des,cribed as additions to.,.Sanitary se:~er
~lanning documents ~ertaining to a
system in North Kent ·
.. · ------------~--~~~--------------------~~--------~------------------------------------; and Where as, _,.:H::l.=· =1~1=-...:&=--=I=n.:.;gm...::::.=an=..,~:-..-=Co.::o:c:n.:.;s=u==1:..:t:.:l.=· n=-g'c-=E=n=g~.:i:;;n.::.;e=e'='r:..:s=--------was engaged to prepare
(N••• of architect/engineer)·
the planning d~euments tor the aforesaid public work, and said archite~t and/or engineer has colpleted
documents and submitted th~m tor approval; and
Whereas, the completed planning documents have be~n carefully studied and are considered to· comprise
adequate planniqg of the p~blic work ~s~ential to the community and within the financial ability· or the
CJ.ty of Kent,. WashJ.ngton to construct; ·
(Legal corporate naae of appl icanq • •
Now, Therefore, be 1t resolved by The CJ.ty CouncJ.1 of the. CJ.ty of Kent, Wash.
the governing body of said applicant, that the planning documents submit ted by HILL & INGMAN
-'-----------'--------------as the basis tor tt:J detailed planning [] construction
(Naae of architeet/encineer) {Ch•c• applicable box)
or the additions to the Sanita~ Sewer System
. . (Public •orlr) .
dated5/66 to 8/66 , and he statements in Form CFA-430, Request tor Review and Approval or Plan-
ning Documents, in connection with Housing and Home Finance ACencl. PrOJJi,cVo }i!-WM.ij-3339 be and the
sue are hereby approved; and that cert itied copies or this ~Jls'6fu'h~ i'"e~~fe'd2J?Jf the Housing and
Home Finance Agency. • ,f
{SUGGESTED FORM OF) ~ERTIFIC~TE OF RECORDING OFFICER
I, the under•icned, the duly qualified and act1ng ________ ~c~iut~v~·~C~1~eur~k~--~----------------~·--
(Titl• of officer)
9 r the~--~C~J.~·t~v~-=o~f~K~e~n~t~,~~q~a~s~h~i~n~g~t~o~n~---,~~--~----~~----~~~~----~--------
(Le1az corpora•e naae Of applica'nt) ....
(here:tn called the "applicant") and the keeper of the records of the applicant, 1n.clud1ng the Journal of
Proceedings or the City of Kent, Washington (herein called the
(Governing body of the applicant)
•governing body"), do hereby certify: . '.
1. That the at~ached resolution is a true and correct copy or the resolution as finally adopted at
a meeting or the governing body on the 7th day or Novernber , 19...6.6, and duly rec~rded
in my o!!ice;
2. That said meeting was duly convened and held in all respects in accordance with law and to the
extent required by law due and proper notice or such meeting was given; that a legal quorum was present
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• throughout the meeting, and ·a legtlly su!!1cient number or members o! the governing body voted in the
proper manner and !or the adoption or said resolution; that all other requirements and proceedings under
the law incident ta the proper adoption or passage or said resolution: including publication, it re-
quired, have been duly fulfilled, carried out, and otherwise obseived; and that I aa authorized to execute
this certificate; ~ ~
IN WITNESS WHEREOF, I have hereunto set my hand this ~~ay ot_·~ ~~~~~------------fo6 • 19-.-·
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(If applicant hu an'official ual, iaprua hue.)
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Instructions For Preparation of Request For Review and Approval of
Planning Documents and Request For Payment
....
Upon completion of the planning work described in the agreement, the plans and
other documents are to be submitted to the HHFA Regional Offic~ on or before the date
specified· for such submission in the agreement b~tw.een the ap,Pli~~t :_aqd the Federal 1 ..
Government.
With the planning documents, there shall be submitted an original and two copies
of this Form.as formal notification of completion of planning work under the a~reement
and as the formal request for payment of the amount due under the agreement.
Please note that Item 4(1} of this Form requires attachment of ~copy of the in-
voice or other statement from the architect/engineer who prepared the plans, or of a
statement of. cOsts incurred by the applicant• sown forces or both.
, . 1 .. Where) wor~. necessary to the pl~ning, .s)..lch as surveys or ~rings,· was performed
;bY o'thers th'iur the archite'ct/ engimier ; .. and such work and costs were not included in
the architect/engineer contract, copies of the invoices.and of.the contract~.or pur~
chase orders for such work also must be attached to support the inclusion of these
items in the planning cost.
\ ... ~ ··. . . .
when prepared and certified, FOrm CFA-430 serves as evidence of plan completion~· '
and of plan approval by the applicant's governing body; in.addition, it furnishes in-
formation regarding the applicant's anticipated subsequent actions with respect to
such matters as preparing detailed plans, arranging financing, and starting cnnstruc-
. tion, The dates shown for such actions in Items 5, 8 and 11 should be as firm as pos-
sible; if the questions on the form do not permit an adequate reflection of the appli-
cant's schedule of continued project action, a separate statement should be attached.
''( l •. , .
Payment of the advance depends in part on prior formal approval of the planning
documents by the governing body of the applicant. A suggested form of resolution of
approval is shown on page 3, together with a suggested form o·f certificate of the re-
cording officer. If these'forms are usable by the applicant, the ~ords "Suggested
Form Of" may be stricken at the top of each form which should then be filled out com-
pletely by the authorized official of the applicant.
Upon receipt of this form and the other documents listed above, the HHFA Re-
gional Office will review the planning documents. When the documents are approved,
payment of the advance will be made without further action by the applicant.
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FHLBB·WuhinJton. D. C, Page 4 o! 4
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..:. : K'---. '· · UAdoob.. _/ C!'-'~xJ ___ ______ ----~----------~~:.~iis0~---------------------
r---)
(SUGGESTED FORM o_~ RESOLUTION 1t: _,::;_{:d--. ./)
Approving the Coapltted Planning Docu111ents Prepared ,.ith '";;';; Aavanc• -... "·•i ••.1 ·"-~of Aaerica
Under the teras of Public La., 560, 83rd Congress of tht United States, ... aaended •
Whereas, The City of Kentt Washington accepted an orrer
(Legal corporate n a a e of applicant)
from the United States Government for an advance for preparation of planning documents pertaining to a
public work described as additions to Sanitary Sewer System in North Kent
. and
Whereas, Hill & Ingman, Con$ul tl..ng Engin~~rs was engaged to prepare
(Naae of architect/engineer)
the planning documents for the aforesaid public work, and said architect and/or engineer has completed
documents and submitted them for approval; and
Whereas, the completed planning documents have been carefully studied and are considered to comprise
adequate pl~nt~ offt~f< ¥1~11CW.orh esse~tial to the community and within the financial ability or the
~ o e , as ~ng on to construct;
(Legal corporate naae of applicant)
City Wash. Now, Therefore, be 1t resolved by Thg Cit!? CQ1UlCil Qf the of Kent,
the governing body of said applicant, that the planning documents submitted by
as the basis for Q{J detailed planning [] construction
(Naae of architect/engineer) (Chec~ applicable bo ")
of the ADDITIQNS to the Sanitar~ SeX~Ze::r:: S¥s:tem
' . 5/66 to 8/66 (Public work)
dated ' and the statements in Form CFA-430, Request for Review and A3f:r~v~l of Plan-
ning Documents, in connection with Housing and Home Fin~nce Agency Mjecf ,r· P-WASH-3 be and the
same are hereby approved; and that certified copies of this feg{h ron b rAQ.f-w:f2Jl8he Housing and
Home Finance Agency. .
(SUGGESTED FORM OF) CERTIFIC.t\TE OF RECORDING OFFICER
I, the undersigned, the duly qualified and acting City Clerk
(Title of officer)
of the Cit;y of Kent, Washington
(L<gal corporate naae of applicant)
(herein called the "applicant") and the keeper bf the records of the applicant, including the Journal of
Proceedings of the CLt¥ of Kent, Nasbjng::ton (herein called the
(Governing body of the applicant)
"governing body"), do hereby certify:
1. That the at~ached resolution is a true and correct copy of the resolution as finally adopted at
a meeting of the governing body on the 7th day or November 19--6.6, and duly recorded .
in my office;
2. That said meeting was duly convened and held in all respects in accordance with law and to the
extent required by law due and proper notice of such meeting was given; that a legal quorum was present
throughout the meeting, and a legally sufficient number of members of the governing body voted in the
proper manner and for the adoption of said resolution; that all other requirements and proceedings under
the law incident to the proper adopt ion or passage of said resolution, including publication, if re-
quired, have been duly fulfilled, carried out, and otherwise observed; and that I am authorized to execute
this certificate; ~C) 'he-.-19{' 6. IN WITNESS WHEREOF, I have hereunto set my hand this I day of .
(If applicant hal _an offici a! ; e al, iapre1s
~>t.c~"--·0 ~ '"" ___ ._-~ ....... "'
herr.) (S-i.p-ature of offi7-.r)
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