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experiencing problems in obtaining timely payment(s) from the
Department. The Vendor Ombudsman may be contacted at 850-413-5516.
13.15 Reimbursement of Federal Funds:
The Agency shall comply with all applicable federal guidelines, procedures, and regulations. If at any time a review
conducted by Department and or FHWA reveals that the applicable federal guidelines, procedures, and regulations were
not followed by the Agency and FHWA requires reimbursement of the funds, the Agency will be responsible for repayment
to the Department of all funds awarded under the terms of this Agreement.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-010-40
PRODUCTION SUPPORT
LOCAL AGENCY PROGRAM AGREEMENT OGC– 04/14
Page 13
13.16 E- VERIFY
The Agency:
1. shall utilize the U.S. Department of Homeland Security’s E-Verify system to verify the employment eligibility of all
new employees hired by Agency during the term of the contract; and
2. shall expressly require any subcontractors performing work or providing services pursuant to the state contract to
likewise utilize the U.S. Department of Homeland Security’s E-Verify system to verify the employment eligibility of
all new employees hired by the subcontractor during the contract term.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-010-40
PRODUCTION SUPPORT
LOCAL AGENCY PROGRAM AGREEMENT OGC– 04/14
Page 14
IN WITNESS WHEREOF, the parties have caused these presents to be executed the day and year first above written.
AGENCY Okaloosa County B.O.C.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
By: By:
Name: Charles K. Windes, Jr. Name: Jason D. Peters, P.E.
Title: Chairman Title: Director of Transportation Development
Attest: Attest:
Title: Title:
Legal Review:
See attached Encumbrance Form for date of funding approval by Comptroller.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-010-40
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LOCAL AGENCY PROGRAM AGREEMENT 08/06
Page 15
EXHIBIT “A”
PROJECT DESCRIPTION AND RESPONSIBILITIES
FPN: 429675-2-58-01 & 429675-2-68-01
This exhibit forms an integral part of the Agreement between the State of Florida, Department of Transportation and
Okaloosa County B.O.C.C.
PROJECT LOCATION:
The project is X is not on the National Highway System.
The project is X is not on the State Highway System.
PROJECT DESCRIPTION:
This project is for the installation and construction of signage and pavement markings along County Road 4 from Ashley
Drive to State Road 10 (US 90).
SPECIAL CONSIDERATIONS BY AGENCY:
The audit report(s) required in the Agreement shall include a Schedule of Project Assistance that will reflect the
Department’s contract number, the Financial Project Number (FPN), the Federal Authorization Number (FAN), where
applicable, the amount of state funding action (receipt and disbursement of funds), any federal or local funding action, and
the funding action from any other source with respect to the project.
The Agency is required to provide a copy of the design plans for the Department’s review and approval to coordinate
permitting with the Department, and notify the Department prior to commencement of any right-of-way activities.
The Agency will upload all relevant documentation related to this project into the Department’s Local Agency Program
Information Tool (LAPIT) System.
The Agency shall commence the project’s activities subsequent to the execution of this Agreement and shall perform in
accordance with the following schedule:
a) Construction Letting by November 2014.
b) Construction Begin by January 2015.
c) Construction Complete by February 2015.
If this schedule cannot be met, the Agency will notify the Department in writing with a revised schedule or the project is
subject to the withdrawal of federal funding.
SPECIAL CONSIDERATIONS BY DEPARTMENT:
The Cultural Resource Assessment Survey (including coordination with the State Historic Preservation Officer) and all
documentation necessary to support the environmental Class of Action Determination will be the responsibility of the
Department.
The Department will reimburse the Agency for the eligible costs directly related to the construction and CEI not to exceed
$219,000.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-010-40
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LOCAL AGENCY PROGRAM AGREEMENT 09/11
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EXHIBIT “B”
SCHEDULE OF FUNDING
AGENCY NAME & BILLING ADDRESS FPN: 429675-2-58-01 & 429675-2-68-01
Okaloosa County B.O.C.C.
302 N. Wilson Street, Ste 203
Crestview, Fl 32536
PROJECT DESCRIPTION
Name: County Road 4 Signage & Pavement Markings Project Length: 3.397 miles
Termini: From Ashley Drive to State Road 10 (US 90)___________________________________________
FUNDING
(1) (2) (3)
TOTAL AGENCY STATE &
TYPE OF WORK By Fiscal Year PROJECT FUNDS FUNDS FEDERAL FUNDS
Planning FY:
FY:
FY:
Total Planning Cost
Project Development & Environment (PD&E)
FY:
FY:
FY:
Total PD&E Cost
Design FY: 2015
FY: 2016
FY: 2017
Total Design Cost
Right-of-Way FY:
FY:
FY:
Total Right-of-Way Cost
Construction FY: 2015 $189,000.00 $0.00 $189,000.00
FY: 2016
FY: 2017
FY: 2018
Total Construction Cost $189,000.00 $0.00 $189,000.00
Construction Engineering and Inspection (CEI)
$30,000.00 $0.00 $30,000.00
FY: 2015
FY: 2016
FY: 2017
Total CEI Cost $30,000.00 $0.00 $30,000.00
Total Construction and CEI Costs $219,000.00 $0.00 $219,000.00
TOTAL COST OF THE PROJECT $219,000.00 $0.00 $219,000.00
The Department's fiscal year begins on July 1. For this project, funds are not projected to be available until after the 1st of July of
each fiscal year. The Department will notify the Agency, in writing, when funds are available.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-010-40
PROJECT MANAGEMENT OFFICE
LOCAL AGENCY PROGRAM AGREEMENT 07/09
Page 17
EXHIBIT “C”
RESTRICTION ON CONSULTANT’S ELIGIBILITY TO COMPETE FOR
DEPARTMENT ASSISTED CONTRACTS
FPN: 429675-2-58-01 & 429675-2-68-01
This exhibit forms an integral part of the Agreement between the State of Florida, Department of Transportation
and Okalooa County B.O.C.C. .
EXISTING CONSULTANT CONTRACTS:
Existing consultant or professional services contracts shall not be used in the development and delivery of this project,
doing so will federalize the existing contract. All consultant and professional services contracts associated with this
project shall be advertised and selected in accordance with the Consultants Competitive Negotiations Act(CCNA).
Consult the District LAP Administrator for the appropriate federal language that must appear in each consultant contract.
CONSULTANT CEI CONTRACTS:
A consultant firm or its affiliate that was the engineer of record(EOR) on a project shall not be considered for construction
engineering and inspection(CEI) services, as a prime, on the same project.
A consultant firm or its affiliate who was the EOR on a project may only be considered for CEI services as a sub
consultant to the prime CEI firm with the approval of the Department prior to submittal of letters of response.
A consultant firm or its affiliate who was the sub to the EOR on a project may only be considered for CEI services, as
prime, on the same project, with the approval of the Department prior to submittal of letters of response.
The Department’s approval shall be based on the extent of the firm’s involvement in the design of the project or CEI
services, as the case may be, and the potential of hindrance I of any objective decision making.
A consultant or its affiliate who performed geotechnical services for the EOR shall not be considered as a sub to the firm
providing CEI services on the same project, in any capacity.
DESIGN-BUILD CONTRACTS:
The contractor or design professional cannot team, as a prime, with other firms to submit
