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(UTILITY WORK) FORCE ACCOUNT AGREEMENT This Agreement is made in duplicate this ____________ day of ____________, ____, by and between the STATE OF NEW HAMPSHIRE, by its Department of Transportation, party of the first part, hereinafter called the “State”, and , a Corporation duly organized and existing under the laws of the State of ______________, and authorized to do business in the State of New Hampshire, party of the second part, hereinafter called the “*”. This Agreement is made in duplicate this ____________ day of ___________, _____, by and between the STATE OF NEW HAMPSHIRE, by its Department of Transportation, party of the first part, hereinafter called the “State”, and ______________________________, a municipally owned utility/municipality, party of the second part, hereinafter called the “*”. WITNESSETH: WHEREAS, the State has the approval of the United States Department of Transportation (USDOT), Federal Highway Administration (FHWA), for a Federal-Aid ____________________________________________ Project, _______________________, for the construction of _______________________________________________________, in the City/Town of __________________, County of ____________________________, New Hampshire (NH), which construction necessitates the installation/relocation/replacement of ________________________________________________ to the extent required to permit construction of the Project, and, WHEREAS, the COMMISSIONER of the New Hampshire Department of Transportation (NHDOT), hereinafter called the “Commissioner”, has prepared plans and specifications for such Project marked ___________________________________________, which plans and specifications meet with the approval of the * and are on file in the permanent records of said Department of Transportation, Concord, New Hampshire, and, WHEREAS, the State is obligated to reimburse the * for _______________________ relocation due to the ___________________ prior existence to the State Highway Facility, and, WHEREAS, the State Attorney General’s Office has issued its opinion that the State is obligated to reimburse the * for the costs incurred for ______________________________ on ____________________________________, covered by the Project construction, and, WHEREAS, the State is obligated to reimburse the * for certain costs in accordance with RSA 228:22 (trench, backfill, and abandonment), and, WHEREAS, said _________________ is/are located on ________________________ (within the urban compact), the taking of which is compensable in eminent domain and therefore the costs of the relocations are the responsibility of the Project, and, [FOR CITY OR TOWN PROJECTS] WHEREAS, it has been determined that the cost of the _________________________ will be borne by the State/Project, and, WHEREAS, the ___________________________ desires the ___________________ to be included as part of the Highway Contract, and, WHEREAS, the */State desires the assistance of the State/* in the installation/relocation/replacement of the aforementioned facilities, NOW THEREFORE, in consideration thereof, the parties hereto mutually agree as follows: [INSERT DESCRIPTION OF WORK AND BEGIN PARAGRAPH #’S.] #. Underground conduit, pull boxes, transformer pads, pull ropes, {and} concrete light pole bases {, and traffic signal poles and appurtenances} will be furnished and installed by the State’s Contractor. Method of Payment for Described Work: Actual Cost estimated at $__________/>Lump Sum cost of $____________. Fixed Cost estimate at $__________/Lump Sum in the amount of $_______[PSNH]. Actual Contractor’s Bid estimate at $__________ [for an already bid upon project] Billing for Cost of Installation submitted to: Leonard Russell, Administrator of Finance Bureau of Finance and Contracts New Hampshire Department of Transportation 7 Hazen Drive, PO Box 483 Concord, NH 03302-0483 Detailed billing should be submitted showing: State Project Name & Number. Brief description of work covered. Dates work was started & completed. Breakdown of quantities and costs for labor, equipment, materials and overhead expenses. Whether billing is partial or final. _____ bill or invoice number. Date of billing. Billing for Cost of Operation {of Lighting}: [USE 4-LINE ADDRESS] City/Town of _____________________________/Company/Corporation/Department/ ___________________, District ____ Engineer/Administrator, Bureau of Turnpikes New Hampshire Department of Transportation _______________________________________________________________________ Billing for Cost of Operation of Traffic Signals: [USE 4-LINE ADDRESS] City/Town of _____________________________/Company/Corporation/Department/ ________________, District ____ Engineer/Administrator, Bureau of Traffic/Turnpikes New Hampshire Department of Transportation _______________________________________________________________________ #. The * agrees to assist the State in the inspection of the work described in Paragraph 1 above and will bring to the attention of the State’s Contract Administrator on the Project any deficiencies noted. The Contract Administrator shall require the Contractor to take corrective action as necessary to provide an acceptable installation. #. The work described in Paragraph 1 above is shown in greater detail on the approved plans and in the attached plans and estimates being made a part of this Agreement. #. The work described in Paragraph 1 above will be accomplished under the Highway Contract, in accordance with the Project plans and specifications. The State/* agrees to reimburse the */State for the engineering and inspection services incurred in the ______________________________. The * agrees to accept the operation, use, and maintenance of the facilities, as constructed. #. The work described in Paragraph _____ above will be accomplished under the Highway Contract, in accordance with the plans and specifications for same, at no cost to the *. The * agrees to accept the operation, use, and maintenance of the facilities, as constructed. #. The work described in Paragraph ___ above will be accomplished under the Highway Contract, in accordance with the plans and specifications for same. The */State agrees to reimburse the State/* for the actual costs (plus 10% construction engineering), and also agrees to accept the operation, use, and maintenance of the facilities, as constructed. #. The * agrees to permit the State, its agents, and contractors to enter upon said ________________________________ and land of the * for the purpose of performing the work described in Paragraph ____ above. #. The work described in Paragraph ___ above, which will be done by * forces and/or under an existing continuing contract and/or by competitive bid contract, is shown in greater detail on the approved plans and in the attached plans and estimates, said plans and estimates being made a part of this Agreement. Continuing contracts shall be defined as a written contract with * and the contractor which periodically does work for the *. The * will have awarded the continuing contracts using a competitive bid process, the attached documentation of which being made a part of this Agreement. Competitive bid contracts must be solicited by the * from at least three (3) contractors and authorized by the State before the work can be awarded. #. In order to assure a proper installation, the * will inspect the Contractor’s work of installing, relocating and/or adjusting the *’s facilities as required by the Project. Any issue shall be brought to the attention of the State’s Contract Administrator immediately and he/she shall resolve it. #. The * agrees to coordinate the work hereinbefore described with the State’s Project and also agrees to complete the work prior to or concurrently with the Project’s completion date, provided the * is not delayed by acts of God, strikes, or late delivery of critical materials. #. The * agrees to coordinate the work hereinbefore described with the State’s Project and also agrees to complete the utility relocation work prior to the Project’s completion date and to avoid construction conflicts with the State’s Contractor. [FOR TREE CLEARING AGREEMENTS] #. The * agrees to perform the work hereinbefore proposed, in accordance with the plans mentioned above, including such additions or modifications hereafter approved, in writing, by the * and the Commissioner. The amount of work to be performed by the *, including any changes, shall be approved by the Commissioner and the duly authorized representatives of the Federal Government before the work is performed, and the * shall be reimbursed therefore, as hereinafter provided, except that the cost of any such force account or contract work which is not approved as above indicated shall be borne by the *. #. The * agrees to notify the State of the starting and completion dates of the work hereinbefore described, and to provide the State’s Contract Administrator on the Project with Utility Reports showing the work performed, the classes and hours of labor, equipment and materials used, and the disposition of the materials replaced, along with the time and place abandoned or scrapped materials will be available for inspection. The * further agrees to complete the Utility Reports for work being done daily and deliver them weekly to the State’s Contract Administrator or mail them to the New Hampshire Department of Transportation, Bureau of Construction/Turnpikes/Highway Design/Maintenance-District ____, 7 Hazen Drive/________, PO Box 483/2950/______, Concord/__________, NH 03302-0483/2950/______, at the end of the week following that in which the work was performed. The * and the State’s Contract Administrator/Utility Coordinator shall resolve any possible discrepancies. The Utility Reports are not the basis for payment, but are needed for verification that the work was performed. #. The * agrees to aid in the inspection of the installation and backfill operations for the underground conduit and cables in order to assure a safe and proper installation of said conduit and cables. #. It is agreed that the * will own and maintain the underground electrical cables and will provide service under the terms and conditions of its Tariff for Electric Service on file with the Public Utilities Commission with the cost of service being borne by the State. #. It is agreed that the * will own and maintain the installations hereinbefore described, except as specified in Paragraph ____, and will provide service under the terms and conditions of its Tariff for Electric Service on file with the New Hampshire Public Utilities Commission, with the cost of service being borne by the New Hampshire Department of Transportation, Bureau of _____________/ City/Town of ________________________________/___________________ Company/Corporation/Department. The * further agrees, in the interest of securing an adequate lighting installation for this Project and in order to meet Federal requirements concerning the investment of public funds, that should the * or its successors be unwilling to provide lighting service through such installations, the State will be paid by the * or its successors an amount equal to the difference between (a) the then current salvage value of the facilities owned by the * with respect to which the State made a contribution hereunder and (b) the cost of removal of such facilities; multiplied by the ratio of the State’s payment hereunder to the total cost of such facilities. A. The term of this specific Agreement (Outdoor Lighting Service) shall be for an initial period of one (1) year with automatic one (1) year extensions thereafter unless canceled by either party by giving to the other notice in writing at least thirty (30) days prior to the expiration of any contract year for luminaries. #. It is further agreed that the State and/or City/Town will pay the * the total excess cost of such facilities as specified under the special provisions of its Tariff for Electric Service and, in addition, the * will be paid annually ___% (or the applicable percentage in effect at the time) of the excess cost to cover the operation and maintenance thereof. For the purposes of this paragraph, excess cost is defined as being the cost in excess of that which would have been incurred had the *’s standard bracket arms been mounted on existing poles and supplied from existing conductors. These costs are included in the operational costs of the utility. [THIS PARAGRAPH SHOULD NOT BE PRESENT IN NHEC AGREEMENTS] A. Excess cost for the new facilities described in Paragraph 1 above will be based on actual costs. B. One twelfth (1/12) of the _____% annual charge (or applicable percentage in effect) of total excess cost will be included with the *’s monthly billing for electric power. C./A. The term of the specific Agreement (Operation and Maintenance Charge) shall be for an initial period of ten (10) years with automatic one (1) year extensions thereafter unless canceled by either party by giving to the other notice in writing at least thirty (30) days prior to the expiration of the initial period or any extension thereof. [A. AND B. TO BE INCLUDED WITH UNITIL AGREEMENTS ONLY.] [C. WHEN WITH UNITIL, OTHERWISE A.] #. The State Agrees to reserve/obtain and/ or convey to the * the right of easement as shown on the approved plans to accommodate the new/relocated _________ line. This constitutes the replacement of existing rights and facilities. #. Federal and State participation in the cost of the work done under this Agreement shall be computed on the basis of the Federal Highway Administration, US Department of Transportation, Federal-Aid Policy Guide (FAPG) Code of Federal Regulations - Title 23 (23 CFR), Part 645, Subpart A and/or Subpart B. The subject regulation, including all current amendments and/or revisions, is hereby made a part of this Agreement. #. The * agrees to provide a payment to the Treasurer, State of New Hampshire, through: Leonard Russell, Director of Finance Bureau of Finance and Contracts New Hampshire Department of Transportation 7 Hazen Drive, PO Box 483 Concord, NH 03302-0483 in the amount of the bid costs [,minus the reimbursement amount,] for installing the ____________________ prior to the award of the Contract. Should the funds (approximately $_________________) not be provided, the ______________ work in excess of that length required to be relocated due to construction conflicts will be deleted from the Contract; and the * will be billed for the costs of the required relocated length, minus State reimbursement. [ALTERNATE WORDING FOR NEW INSTALLATION REQUESTED BY UTILITY.] to reimburse the State for the total cost of the work described in Paragraph 1 above {with the exception _______________________________________ estimated at $___________________. The State will be responsible for the cost to _______________________________________}. Payment must be received prior to the award of the Contract. The actual payment total required will be determined at the time of receipt of bids for the Project. The payment to be provided will consist of the sum of bid item totals related to the ____________________________________ work described in Paragraph 1 plus 10% for construction engineering. Should the funds not be provided, the work described in Paragraph 1 will be deleted from the Contract. #. Upon completion of the work, the State will compute the quantities and costs of items related to _____________________ installations/relocations/replacements, along with any additional required _________________________________ installations/relocations/replacements needed to resolve construction conflicts, plus 10% for construction engineering. If these costs exceed the escrow amount, the State will bill the * for the balance due. If they are less, the State will forward a check in the amount of the balance to the *. #. Upon completion and acceptance by the State, of the installations hereinbefore described, the * will own, maintain, and provide electrical power to the installed equipment, including the luminaires, wiring, and light standards with bracket arms, except the State, its successors, or assigns, will own and maintain the conduits, pull boxes, {and} concrete light pole bases, {and traffic signal poles and appurtenances}. #. The facilities being replaced or adjusted are a segment of service, distribution, or transmission lines; therefore, no credits are due for accrued depreciation. #. Upon the receipt of satisfactory detailed invoices (with applicable credit shown for salvage or scrap, betterments, and accrued depreciation) without arbitrary percentage or lump sum addition for overhead expenses, the State agrees to reimburse the * for the book value of the facilities being retired and for the trench and backfill necessary to accomplish the work described in Paragraph ____ above. The amount of the payment shall be computed by the method shown in the attached estimate. However, the State shall be under no obligation to make payment for the costs of any work, other than preliminary engineering, performed prior to the date the * is authorized in writing by the Commissioner to proceed with such approved work, or whenever the * violates the conditions set forth in this Agreement. #. Upon the receipt of satisfactory detailed invoices (with applicable credit shown for salvage or scrap, betterments, and accrued depreciation) without arbitrary percentage or lump sum addition for overhead expenses, the State agrees to reimburse the * for ___% of the costs of labor, equipment, and materials to perform the work described in the previous paragraphs, said costs being estimated at $__________. However, the State shall be under no obligation to make payment for the costs of any work, other than preliminary engineering, performed prior to the date the * is authorized in writing by the Commissioner to proceed with such approved work, or whenever the * violates the conditions set forth in this Agreement. #. Periodic progress payments will be made to the * upon presentation of invoices and substantiation of work performed (Utility Reports) provided the value of the work invoiced, other than the final invoice, is in excess of $1,000.00. [PARAGRAPH #8A. FOR PSNH WHEN APPLICABLE.] #. The * shall submit a final invoice no later than two (2) months after completion of its work [(and all charges are in,) for CECO only] on all lump sum projects, and six (6) months after completion of its work on all actual cost projects, which time frame will be no later than two (2) months after notification by the Department of Transportation that the State’s construction Project is complete and no further work is required, whenever possible. Upon submission of the final invoice and issuance of the Final Audit of Agreement, no further charges will be accepted. Payment will be made by the Department to the * after submission of progress or final invoices provided that all substantiating documentation has been submitted to the Department for the work invoiced therein. [PARAGRAPH #8B. FOR PSNH WHEN APPLICABLE.] #. The * agrees to furnish a Certificate of Compliance from the manufacturer, along with its final invoice, certifying that the light poles described in this Agreement conform to the requirements of the AASHTO “Standard Specifications for Structural Supports for Highway Signs, Luminaires, and Traffic Signals” (1985), as amended by the 1988 Interim Revisions, including revisions in effect on the date of this Agreement. #. The * agrees to record the costs paid by the State for the aforementioned facilities and maintain related accounting records in accordance with applicable provisions of the [Cost Accounting Standards prescribed by the Cost Accounting Standards Board as defined in Title 48 CFR Chapter 99 / Uniform System of Accounts prescribed by the State/Federal Energy Regulatory Commission], and the costs paid by the State for facilities covered by this Agreement and the corresponding current and cumulative depreciation amounts will be eliminated from the rate determination process. #. Upon the receipt of a final invoice, so marked, showing the dates the work was started and completed, the State agrees to reimburse the * for the actual cost estimated at/agreed lump sum cost of $___________ as full compensation for costs of ________________________ complete. However, the State shall be under no obligation to make payment for the costs of any work, other than preliminary engineering, performed prior to the date the * is authorized in writing by the Commissioner to proceed with such approved work, or whenever the * violates the conditions set forth in this Agreement. #. The State agrees to reimburse the * in the amount of $_________ for trench and backfill according to the attached estimate. The State also agrees to reimburse the * for the book value (original cost less allowable depreciation) of the __________________ which will be retired, the amount of this payment being $____________, which is computed per the attached estimate. The * agrees that these amounts, included in the payments described above, fulfill the State’s obligation of RSA 228:22 (1982) (trench, backfill, and book value). #. All cost records of the * pertaining to the Project will be subject at any time to inspection by representatives of the State and the Federal Government for a period of not less than three (3) years from the date final payment is received by the *. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day and year first above written. THE STATE OF NEW HAMPSHIREXDepartment of TransportationXBy:By:William J. 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