HomeMy WebLinkAboutCAG2022-059 - Original - WA State Dept of Transportation - 260th St Pedestrian Lighting Review - 02/09/2022ApprovalOriginator:Department:
Date Sent:Date Required:
Authorized to Sign:
Director or Designee
Date of Council Approval:
Grant? Yes No
Type:Review/Signatures/RoutingDate Routed to the City Clerk’s Office:Agreement InformationVendor Name:Category:
Vendor Number:Sub-Category:
Project Name:
Project Details:
Agreement Amount:
Start Date:
Basis for Selection of Contractor:
Termination Date:
Local Business? Yes No*
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If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace.
Notice required prior to disclosure?
Yes No
Contract Number:
Agreement Routing Form
For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor’s Signature and Contract Cover
Sheet forms.
Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20
Budget Account Number:
Budget? Yes No
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Elyse for Rob Brown Public Works
02/11/2022 02/15/2022
✔N/A
✔
✔
N/A
Washington State Department of Transportation Contract
Original
260th St. Pedestrian Lighting
Review of pedestrian scale lighting under I-5.
60 days NTP
Other
12/31/2022
Comments:
Start date is within 60 calendar days after the City issues its Notice to
Proceed.
$7,000
CAG2022-059
2/11/22
^-wWashington StateDepartment ol TiansportationNorthwest RegionSno-King Local Agency and Development ServicesL5700 Dayton Avenue NorthP.O. Box 330310Seattle, WA 98133IZ A C C O U NT APPLICATIONJZ Numbe rzJZ14002/7t2022A JZ charge account has been opened by this office to cover all of WSDOT's costs for reviewing and commenting onsubmitted engineering data and plans, completing agreements, meetings and construction inspections.*Actual costs may vary - additional approval required if costs exceed the Estimated Cost by more than 25%.By signing this application the requester agrees to pay for all WSDOT costs associated with this request, includingadministrative costs, until this request is accepted by WSDOT as complete. Please do not send funds at this time - aninvoice will be submitted to you each month. Payment is due within 30 days of receipt of each invoice. lnterest of 1%per month may be charged on past due accounts.To avoid delays, please return this completed application as soon as possible via email or to the following address:Washington State Department of TransportationAttention: Duffy McCollochSno-King Development Services, MS 240P.O. Box 330310Seattle, WA 98133lf you have any questions, please contact Duffy McOolloch at 206-44A-4713.Sincerely,Ramin PazookiUtilities and Development Services ManagerVersion: October 10, 2079260th St Pedestrian Lighting147.62review of pedestrian scale lighting under l-5$7,000.00APPROXIMATE MIIE POST5PROJECT TITTESTATE ROUTEDESCRIPTION OF PROJECTil-'l Scope of Work Attached)*ESTIMATED COSTcbieren@kentwa.gov400 W. Gowe StKent, WA 9803291 6001 254"lCity of Kent Public Works253-856-5500Chad BierenPublic Works DirectorFederal lD Number or SSNEmail AddressESTER S INFORMATIONPhone NumberAddressDateorNameTitleAuthorizedWork OJZ Number.171400FOR DEPARTMENT USE ONLYDuffy McColloch / 4'12463NumberntativeWSDOT Re