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Home My WebLink About20092624RESOLUTION RE: APPROVE ASSISTANCE AGREEMENT FOR ENERGY EFFICIENCY RETROFITS AND TRANSPORTATION EFFICIENCY PROJECT AND AUTHORIZE CHAIR TO SIGN - U.S. DEPARTMENT OF ENERGY WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Assistance Agreement for the Energy Efficiency Retrofits and Transportation Efficiency Project between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Finance and Administration, and the U.S. Department of Energy, Office of Energy Efficiency and Renewable Energy, commencing September 14, 2009, and ending September 13, 2012, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Assistance Agreement for the Energy Efficiency Retrofits and Transportation Efficiency Project between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Finance and Administration, and U.S. Department of Energy, Office of Energy Efficiency and Renewable Energy, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 5th day of October, A.D., 2009, nunc pro tunc September 14, 2009. BOARD OF CO TY COMMISSIONERS WELD COUNTY COLORADO ATTEST: Weld County Clerk to th BY: Deputy Cler APPROVE oufity Attorney Date of signature: David E. Long m F. Garcia, Chair 7 ra Kirkmeyer 2009-2624 F10049 / NOT SPECIFIED /OTHER ASSISTANCE AGREEMENT 1. Award No. DE -500001811 2. Modification No. 3. Effective Date 09/14/2009 4. CFDA No. 81.128 5. Awarded To WELD, COUNTY OF Attn: BARBARA CONNOLLY 915 10TH ST GREELEY CO 80631-1117 6. Sponsoring Office EERE (FORS) U.S. Department of Energy Office of Energy Efficiency & Renewable Forrestal Building 1000 Independence Avenue, SW Washington DC 20585 7. Period of Performance 09/14/2009 through 09/13/2012 8. Type of Agreement 9. Authority Energy Independence and Security Act (EISA) of 2007 10. Purchase Request or Funding Document No. 095C005211 ® Grant Cooperative Agreement Other 11. Remittance Address WELD, COUNTY OF Attn: BARBARA CONNOLLY 915 10TH ST GREELEY CO 806311117 12. Total Amount Govt. Share: $616,400.00 Cost Share : $122,000.00 Total : $738,400.00 13. Funds Obligated This action: $616,400.00 Total : $616,400.00 14. Principal Investigator Monica Daniels -Mika, tel: 970-356-4000 ext: 4210 15. Program Manager Martha J. Kass Phone: 865-576-0717 16. Administrator Oak Ridge U.S. Department of Energy P.O. Box 2001 Oak Ridge TN 37831 17. Submit Payment Requests To OR for Oak Ridge/OSTI U.S. Department of Energy Oak Ridge Office Oak Ridge Financial Service Center P.O. Box 6017 Oak Ridge TN 37831 18. Paying Office 19. Submit Reports To See Reporting Requirements Checklist 20. Accounting and Appropriation Data Block Grant 21. Research Title and/or Description of Project WELD COUNTY GOVERNMENT ENERGY EFFICIENCY RETROFITS AND TRANSPORTATION EFFICIENCY For the Recipient For the United States of America 22. igna e on d to Sign / 25. Signature of Grants/Agreements Officer4- _ l It-t:-.0-61-0- 23. Name a Title William F. Garcia, Chair, Weld County Board of Commissioners 24. Date Signed - 5 7009 l� 11 CT 26. Name of Officer SUSAN G. HISER 27. Date Signed 09/14/2009 2009-2624 NOT SPECIFIED /OTHER NOT SPECIFIED /OTHER CONTINUATION SHEET NAME OF OFFEROR OR CONTRACTOR WELD, COUNTY OF ITEM NO. (A) SUPPLIES/SERVICES (B) QUANTITY (C) UNIT (D) UNIT PRICE (E) AMOUNT (F) DUNS Number: 075757955 TAS::89 0331::TAS Recovery WELD COUNTY, CO ASAP: Yes Extent Competed: NOT AVAIL FOR COMP Delivery Location Code: 00522 Oak Ridge Office U.S. Department of Energy Oak Ridge Office 230 Warehouse Road Oak Ridge TN 37830 Payment: OR for Oak Ridge/OSTI U.S. Department of Energy Oak Ridge Office Oak Ridge Financial Service Center P.O. Box 6017 Oak Ridge TN 37831 Fund: 05796 Appr Year: 2009 Allottee: 30 Report Entity: 471999 Object Class: 41000 Program: 1005115 Project: 2004350 WFO: 0000000 Local Use: 0000000 TAS Agency: 89 TAB Account: 0331 REFERENCE NO. OF DOCUMENT BEING CONTINUED DE-SC0001811 PAGE OF 2 12 July 200 NOT SPECIFIED /OTHER • • • Energy Conservation Grant Timeline ($605,890) October 8, 2009 Centennial Boiler Burners ($137,000) Start Bid process: Feb Award Bid: Mid -Mar Order Parts: 4-6 Weeks Installation: 4-6 Weeks Courthouse Lighting ($36,500); 1400 Building Lighting ($36,000); 1402 Building Lighting ($36,000); HRD Building Lighting ($36,000) Start Bid process: Oct Award Bid: Mid -Nov Order Parts: 4-6 Weeks Installation: 18-20 Weeks 1400 Building HVAC Controls Upgrade ($58,130); 1402 Building HVAC Controls Upgrade ($58,130); HRD Building HVAC Controls Upgrade ($58,130) Start Bid process: Sole Source: Setpoint Systems Award Bid: Nov Order Parts: 4-6 Weeks Installation: 18-20 weeks Jail Boiler Upgrade ($150,000) Start engineering Bid process: Nov 09 Award Bid: Dec 09 Design solution: 6-10 Weeks Start Installation bid process: Feb 10 Award Bid: Mar 10 Order Parts: 4-6 Weeks Installation: 6-10 Weeks • corc\s anAcnrv& bo:lec.. Ib� IC� iciv, 1. 19u, le v2_- Iyoo 1402 H 2-D I Ad ✓v\ payoLc Cdurui 140 IL -to • u)4-�- C • \i5h-h n l house_ cy AileAM b1/4;\ O1 <4 I (.0 �f - Co o • • • ATTACHMENT 5 - DAVIS BACON WAGE DETERMINATION Page 1 of 4 General Decision Number: C0080010 08/07/2009 CO10 Superseded General Decision Number: CO20070010 State: Colorado Construction Type: Building County: Weld County in Colorado. BUILDING CONSTRUCTION PROJECTS (does not include residential construction consisting of single family homes and apartments up to and including 4 stories) Modification Number 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 ASBE0028-001 07/01/2009 Publication Date 02/08/2008 02/15/2008 03/07/2008 04/04/2008 06/06/2008 07/04/2008 08/15/2008 09/05/2008 10/03/2008 10/24/2008 11/07/2008 12/05/2008 01/02/2009 06/05/2009 07/03/2009 08/07/2009 Rates Fringes Asbestos Workers/Insulator (Includes application of all insulating materials, protective coverings, coatings and finishings to all types of mechanical systems) $ 23.54 11.13 • CARP2834-001 05/01/2009 Rates Fringes MILLWRIGHT $ 27.60 10.65 ELEC006B-010 06/01/2009 Rates Fringes ELECTRICIAN (Including Low Voltage http://www.wdol.gov/wdol/scafiles/davisbacon/CO10.dvb 8/31/2009 Page 2 of 4 :}i. r i.e7 and Installation of Fir- Alarms) S 31.00 11.40 ELEV0025-002 01/01/2009 Rates Fringes Elevator Constructor S 35.71 18.285 FOOTNOTE: a. Employer contributes 8% of basic hourly rate for over 5 years' service and 6% basic hourly rate for 6 months' to 5 years' service as Vacation Pay Credit. PAID HOLIDAYS: New Year's Day; Memorial Day; Independence Day; Labor Day; Veterans Day; Thanksgiving Day; Friday after Thanksgiving Day; and Christmas Day. IR0N0024-001 11/01/2008 Rates Fringes IRONWORKER, STRUCTURAL $ 24.80 8.86. * PAIN0930-001 07/01/2009 Rates Fringes GLAZIER S 27.95 7.10 PLUM0003-001 08/02/2008 Rates Fringes PLUMBER (Excluding HVAC work) $ 33.02 10.20 PLUM0208-001 06/01/2008 Rates Fringes PIPEFITTER {Including HVAC pipe) $ 32.95 10.27 * SHEEO009-0O1 07/01/2009 Rates Fringes Sheet metal worker (Includes HVAC duct and installation of HVAC systems) $ 30.55 11.67 SUCO2001-010 12/20/2001 Rates Fringes http://www.wdol.gov/wdollscafiles/davisbacon/CO10.dvb 8/31/2009 Page 3 of4 CARPE; IT =• < '1 QC Laborer, -omr,on 0.00 3.7n WELDERS - Receive rate prescribed for craft performing operation 'o which welding is incidental. Unlisted -classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (ii)). In the listing above, the "SU" designation means that rates listed under the identifier do not reflect collectively bargained wage and fringe benefit rates. Other designations indicate unions whose rates have been determined to be prevailing. WAGE DETERMINATION APPEALS PROCESS 1.) Has there been an initial decision in the matter? This can be: * an existing published wage determination * a survey underlying a wage determination * a Wage and Hour Division letter setting forth a position on a wage determination matter * a conformance (additional classification and rate) ruling On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Hour Regional Office for the area in which the survey was conducted because those Regional Offices have responsibility for the Davis -Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2.) and 3.) should be followed. With regard to any other matter not yet ripe for the formal process described here, initial contact should be with the Branch of Construction Wage Determinations. Write to: Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 2.) If the answer to the question in 1.) is yes, then an interested party (those affected by the action) can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7). Write to: http://www.wdol.gov/wdollscafiles/davisbacon/CO10.dvb 8/31/2009 Page 4 of 4 Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 The request should be accompanied by a full statement of the interested party's position and by any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue. 3.) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board). Write to: Administrative Review Board U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 4.) All decisions by the Administrative Review Board are final. END OF GENERAL DECISION http://www.wdol.gov/wdol/scafiles/davisbacon/CO10.dvb 8/31/2009 • • • ATTACHMENT 4 -BUDGET PAGES • • an an z Final Recommended p8 th A • 8p t7 r p§. t7 A $ N ,- 8 !moo t0 Technical Adjustments Recommended rI nr..--7 .- Questioned tg n 738.400 f7 n N (2) Buikfirg Retrofits O A N O A k O r N H 8 co 8 co c O sJO $$$ i .4z I s W g c§ g! 1 s 5 I g$ z € l c-$$ A Award Number: Applicant Name: WELD COUNTY Budget Information - Non Construction Programs New or Revised Budget P:, I- 80 v 05 CO w 4 9 O H, O 69 $616,400 Total (5) O 69 O 69 O 69 O 69 0 49 O 0 Co d9 O 69 O 4i O 0 CO CD 49 O 43 O 0 CD CD 69 0 49 Non -Federal (0 $0 $0 $616,400 $0 Grant Program, Function or Activity v 0 69 0 43 TS iv ir, N v LL O CO 69 M Op N o a Estimated Unobligated Funds tB 0 0 Z N 0 op 69 Federal (c ) $616,4001 O O R CD CO 49 o O V' CO 4J 49 Catdiog of Federal Domestic Assistance Number (b) CO N r- 0.5 5. Totals Section B - Budget Categories 6. Cbject Class Categories a. Personnel b. Fringe Benefits c. Travel d. Equipment e. Supplies - _ g. Construction i. Total Direct Charges (sum of 6a -6h) j. Indirect Charges k. Totals (sum of 6i -6j) 7. Program Income Section A- Bu et Summa Grant Program Function or Activity (a) Co O co O O Q O W O .= N of O • 0 O Previous Edition Usable Authorized for Local Reproductio • • • 69- fel 401 69 a \ \ a w ; % a # # # g » 2 )° 4,3 ) / a ) \ a \ $ Section C - Non -Federal Resources ad ci Total for 1st Year § a a a _ • ! 01 } J cci 20. Total (sum of lines 16-19) 21. Direct Charges \ Ft Previous Edition Usable for Local Reproduction O W c0 tN a am M E a ;V V O' mm 2c W II 3'$ Wo E 15 El n$ aCL ea J c cl o1H u o me e- 02 Wc .0 la 1. bm. zg 00 EP mo 3W a Fs a E em. a N,2 ow eE�c'SCJ 19 $q�Na4e y ° l9 co OomE$g Imo rn? 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N c 5 g c c .c N?? .. m 8 O .C ® C N « O O m E ice "8 C C N W N N m a. g _ m Eam ca v5m m A E 2 O N C O 0 a CC 8 Y C C m .O® 8 O C 0 (U E U m C C N 9 L_ C E m E O O Section F. Other Budget Information Column (e) —Enter totals of Columns (b), (c), and (d). co 0 10 m 9 A 0 Tax K TS m N.o.. v� : a m S c vv O >. m m O c N O O O C m.O E C O O a u - 8 Tm m« E05 N N 1 o m I2 N U N c o d J U v m C E 7 0 0 C C Tod E o m F to C c E C E u p j 8 m C C J -co O c E 9 O m m o c a ii Section D. Forecasted Cash Needs o'5 c EV A • C d c M a E V) U m c O O C ON >O rnm acv '-C)D N « a col E C 0 o V 0tsa) m c « « Lai L U C '- w3o m CNI Nit mva C m m t Line 23 —Provide any other explanations or comments deemed necessary. U C N CD OI C CO m 7 O a C .o N a S m -7 « m C o 0 t 7 m $ O a L O d CO E 0 Sc (0 0 8 8 O O C C O O N N T C T r it 5 W c C w Jm 4 •. C1 I- C1 e c e c J v m v Line 15 —Enter the totals of amounts on Lines 13 and 14. 88 Y' yU N6 A ATTACHMENT 2 - PROJECT ACTIVITY WORKSHEETS ENERGY EFFICIENCY AND CONSERVATION BLOCK GRANT PROGRAM - FORMULA GRANTS • • EECBG Activity Worksheet • • Y \ • Grantee: Weld County Government DUNS #: 75757955 Program ContactFirst Name: Monica Last Name: Daniels -Mika ProjectTitle: Weld County Energy Efficiency Retrofits Project Activity: 5. Energy Efficiency Retrofits If Other Sector Public If Other. Proposed Number of Jobs Created: 6.00 Proposed Number of Jobs Retained: Proposed Energy Saved and/or Renewable Energy Generated: 1.140,129 kWh annual estimated savings Proposed GHG Emissions Reduced (CO2 Equivalents): 762.000 Proposed Funds Leveraged: Proposed EECBG Budget: 571,701.00 Projected Costs Within Budget: Administration: Revolving Loans: Subgrants: Project Contact First Name: Toby Metric Activity: Building Retrofits Date: 06/15/2009 Program Contact Email: mmika®co . weld. co . us Last Name: Taylor If Other. Email: ttayloreco.weld.co.us ProjectSummary: (limit summaryto space provided) Weld County's EECBG funds will be used to increase energy efficiency and recognize cost savings in several county buildings. This project will provide measurable and sustainable energy savings. The goalsof this project are to increase the energy efficiency of the buildings by 20%, lower the county's energy costs, and increase the functionallife of the HVAC systems in several county buildings. This project aligns with the EECBG eligible activity defined as energy distribution and supports the Weld County Energy Efficiency and Conservation Strategy. The project will include upgrades to boiler burner systems in the Centennial Center at a cost of $137,000, and to the Jail Complex at a cost of $151,811. This will:, resultin.. an energy savings of 20% in each of the boiler burner systems. Inefficiencies have been identified and solutions created to increase the efficiency of these systems and therefore allow for the conservation of energy and fossil. fuel consumption. Another part of this project will include upgrades to building Heating Ventilation and Air Conditioning (HVAC)systems. One of the biggest returns in energy conservation is through the effective andefficient use of HVAC systems. Great strides have been made in the building HVAC automation industry to support energy conservation. The most recognizable is through automation systems which adjust equipment to perform at efficient levels and to meter down during non -peak times. Energy sources state changing the temperature just one degree results in a 2 percent savings. An automation. system can meter down 20 degrees during non -peak time resulting in 40% savings during two-thirds of the day. The HVAC upgrades will be made on three different county buildings. Our 1400 and 1402 Administrations buildings were constructed in 1992 and have served the community for 17 years: Over the past 17 years, the automation system has not kept pace with industry conservation programs:. To upgrade the controls for these systems would be $58,130 for each building: Our annual utility demand for these buildings costs $33K. A 40% savings by metering down during non -peak times can result in over a $10K per year savings. Our Human Resource Development (HRD) Administration building was constructed in 1988 and has served the community for 21 years. Over the -past 21 years, the automation system has not kept pace with industry conservation programs. To upgrade the controls for this system would be. $58,130. Our annual utility demand for this:building.. is $37K. A 40% savings by metering down during non -peak times can result in over a $11K per year savings. The last portion of this project will consist of upgrading lighting systems to more energy efficient units. This concept of energy conservation is proven time -and -time again. These upgrades will be made at three countybuildings. The Weld County Courthouse was built. in 1917 and has received various. remodels over the past 90 years. However, one area which remains outdated..for today's technology is the lighting. Currently, the Courthouse uses T-12 ballasts and bulbs for lighting. The advent of the. T-8 ballast/bulb technology has resulted in great energy consumption savings. Statistics show that converting a T-12 bulb to a T-8 bulb boasts a 20t energy savings. The entire courthouse can be upgraded to T-8 ballasts & bulbs for $36,500. The 1400 Administration building was built 17 years ago and its lighting remains outdated from today's technology. The entire building can be upgraded to T-9 ballasts &bulbs for $36,000. The same is true of the 1402 Administration building. We will pursue any energy efficiency rebates Xcel Energy may be offering for these building retrofits. The county plans to, contract this work out so approximately 6 or 7 new jobs will be created. If you am proposing more than one activity, save this file as many times as needed with sucosssive page numbers. For example: -OH-CITY-Columbus- Project Aclivfly page 1.pdi, "OH -CITY -Columbus -Project Activity page 2pdf,, -and continue as needed. EECBG Activity Worksheet Grantee: Weld County Government DUNS #: 75757955 Program ContactFirst Name: Monica Last Name: Daniels -Mika ProjectTitle: Weld County Transportation Efficiency Prjoject Activity: 7 • Transportation If Other: Sector: Public If Other Proposed Number of Jobs Created: 1.00 Proposed Energy Saved and/or Renewable Energy Generated: Proposed GHG Emissions Reduced (CO2 Equivalents): Proposed Funds Leveraged: $122,000.00 Proposed EECBG Budget 44,699.00 Projected Costs Within Budget: Administration: Revolving Loans: Subgrants: ProjectContactFirst Name: Toby Last Name: Taylor Email: ttayloreco. weld. co. us Metric Activity Transportation If Other ProjectSummary: (limit summaryto space povided) The county will utilize a portion of the EECBG funds to purchase transportation software to manage the vast trips generated by weld county residents. The county is using software that isfifteen years old. We have researched transportation optimization software and a solution has been identified that will allow the county to better plan and manage its trip routes to achieve the highest rate efficiencies. The automated. routing and scheduling softwarewill allowus to better handle demand response requests from residents throughout the county. Our dispatchers can accept each call and automatically input the request and find the best and most efficient time slot, vehicle and route to get them where they need to go. - The transportation optimization software will help us to reduce harmful air pollutants and greenhouse gas emissions, vehicle miles traveled, energy costa and energy used. The estimated cost of this project is $166,699 with the county requesting $44,699 in RECEG;.:grant funds. The software solution, costs are $44,699. The remainder of the cost, $122,000, will.be provided by the county as a commitment to and investment in energy conservation and the reduction of harmful air pollutantsand greenhouse gas emissions. This cost includes the price 'for 'the total GPS solution and the software training fees. Date: 06/15/2009 Program Contact Email: mmikaeco.weld.co.us Proposed Number of Jobs Retained: It you we proposing more than one actMly, save this file as many times as needed with successive page numbers. For example: 'OH -CITY -Columbus - Project Activity page 1. pol, "OH -CITY -Columbus -Project Activity page 2.pdf,,' and continue as needed. • EECBG Projects Time Line ---September 2009 -September 2010 Project: Weld County Transportation Efficiency Software Project tasks Research and get bids on software Select software and plan training Software training Software implementation Software use and steady state Months to completion Months 1-2 Months 2-4 Months 4-5 Months 5-9 Months 9-12 Project: Weld County Energy Efficiency Retrofits Project tasks Get project bids Select contractor/contract out work Begin energy efficiency retrofits Continue with building efficiency upgrades Apply for energy efficiency rebates Complete all building retrofits • Months to completion Months 1-2 Months 2-3 Month 4 Months 5-10 Month 11 Month 12 083109 SPECIAL TERMS AND CONDITIONS FOR THE ENERGY EFFICIENCY AND CONSERVATION BLOCK GRANT PROGRAM — FORMULA GRANTS Table of Contents 1. RESOLUTION OF CONFLICTING CONDITIONS 1 2. AWARD AGREEMENT TERMS AND CONDITIONS 1 3. AWARD PROJECT PERIOD AND BUDGET PERIODS 1 4. STAGED DISBURSEMENT OF FUNDS 5. PAYMENT PROCEDURES - ADVANCES THROUGH THE AUTOMATED STANDARD APPLICATION FOR PAYMENTS (ASAP) SYSTEM 2 6. INCREMENTAL FUNDING AND MAXIMUM OBLIGATION - COEXTENSIVE BUDGET PERIOD AND PROJECT PERIOD 2 7. COST SHARING FFRDC'S NOT INVOLVED 2 8. REBUDGETING AND RECOVERY OF INDIRECT COSTS 3 9. CEILING ON ADMINISTRATIVE COSTS 4 10. LIMITATIONS ON USE OF FUNDS 4 11. PRE -AWARD COSTS 4 12. USE OF PROGRAM INCOME - ADDITION 4 13. STATEMENT OF FEDERAL STEWARDSHIP 4 14. SITE VISITS 5 15. REPORTING REQUIREMENTS 5 16. PUBLICATIONS 5 17. FEDERAL, STATE, AND MUNICIPAL REQUIREMENTS 6 18. INTELLECTUAL PROPERTY PROVISIONS AND CONTACT INFORMATION 6 19. LOBBYING RESTRICTIONS 6 20. NOTICE REGARDING THE PURCHASE OF AMERICAN -MADE EQUIPMENT AND PRODUCTS - - SENSE OF CONGRESS 6 21. INSOLVENCY, BANKRUPTCY OR RECEIVERSHIP 6 22. NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) REQUIREMENTS 6 23. DECONTAMINATION AND/OR DECOMMISSIONING (D&D) COSTS 7 24. SPECIAL PROVISIONS RELATING TO WORK FUNDED UNDER AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 (MAY 2009) 7 25. REPORTING AND REGISTRATION REQUIREMENTS UNDER SECTION 1512 OF THE RECOVERY ACT (MAY 2009) 11 26. REQUIRED USE OF AMERICAN IRON, STEEL, AND MANUFACTURED GOODS -- SECTION 1605 OF THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 (MAY 2009) 11 27. REQUIRED USE OF AMERICAN IRON, STEEL, AND MANUFACTURED GOODS (COVERED UNDER INTERNATIONAL AGREEMENTS) --SECTION 1605 OF THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 (MAY 2009) 13 28. WAGE RATE REQUIREMENTS UNDER SECTION 1606 OF THE RECOVERY ACT (MAY 2009)16 29. RECOVERY ACT TRANSACTIONS LISTED IN SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND RECIPIENT RESPONSIBILITIES FOR INFORMING SUBRECIPIENTS (MAY 2009) 17 30. DAVIS BACON ACT REQUIREMENTS (MAY 2009) 17 31. HISTORIC PRESERVATION 25 ATTACHMENT 1 - INTELLECTUAL PROPERTY PROVISIONS 26 Not Specified/Other 083109 SPECIAL TERMS AND CONDITIONS FOR THE ENERGY EFFICIENCY AND CONSERVATION BLOCK GRANT PROGRAM - FORMULA GRANTS 1. RESOLUTION OF CONFLICTING CONDITIONS Any apparent inconsistency between Federal statutes and regulations and the terms and conditions contained in this award must be referred to the DOE Award Administrator for guidance. 2. AWARD AGREEMENT TERMS AND CONDITIONS This award/agreement consists of the Grant and Cooperative Agreement cover page, plus the following: a. Special terms and conditions. b. Attachments: Attachment No. Title l Intellectual Property Provisions 2 Project Activity Worksheet(s) are attached. If the Worksheet is for the Strategy, the grant will be amended to include additional Worksheets as activities are approved. 3 Federal Assistance Reporting Checklist 4 Budget Pages are attached. For Strategy, the SF -424A is attached, if it was included in the application. The grant will be amended to include additional Budget Pages as activities are approved. 5 Davis -Bacon Act Wage Determination(s), if applicable. For Strategy awards, the Wage Determination will be included when activities are approved. 6 Special Requirements, if applicable c. Applicable program regulations: Title V, Subtitle E of the Energy Independence Security Act (EISA) of 2007, Public Law 110-140. d. DOE Assistance Regulations, 10 CFR Part 600 at http://ecfr.gpoaccess.gov and if the award is for research and to a university or non-profit, the Research Terms & Conditions and the DOE Agency Specific Requirements at http://www.nsfgov/bfa/dias/policy/rtc/index.jsp. e. Application/proposal as approved by DOE. f.. National Policy Assurances to Be Incorporated as Award Terms in effect on date of award at http://manauement.energv.aov/business doe/1374.htm 3. AWARD PROJECT PERIOD AND BUDGET PERIODS The Project and Budget Periods for this award are concurrent for a 36 -month period as indicated in Item No. 7 of the Assistance Agreement Face Page. 4. STAGED DISBURSEMENT OF FUNDS J I IF MARKED, THIS TERM IS APPLICABLE The total funding allocation for this award is shown in Block 13 of the Assistance Agreement Cover Page. However, funds will be released according to a staged disbursement schedule. All funds must be expended within 36 months of the effective date of the award. Not Specified/Other 1 083109 [ ] For Energy Efficiency Conservation Strategy (EECS) Only awards, funds in the amount of $ [ ] is released to the Recipient to begin work on the EECS. The approved activities are listed in Attachment 2, Project Activity Worksheets. The remaining funds will be released for disbursement upon DOE approval of the EECS and amendment of the award to include the authorized Project Activity Worksheets. [ ] Funds in the amount of $ [ ] is released to the Recipient to begin work on the activities listed in Attachment 2, Project Activity Worksheets. The remaining funds will be released for disbursement upon DOE approval of additional activities and amendment of the award to include the authorized Project Activity Worksheets. [ ] Funds in the amount of $ [ ] is released to the Recipient to begin work on administrative duties pending resolution of problematic issues such as eligibility, technical issues, NEPA, historic preservation, budgetary items, or similar issues. The remaining funds will be released upon successful resolution of these issues and amendment of the award. 5. PAYMENT PROCEDURES - ADVANCES THROUGH THE AUTOMATED STANDARD APPLICATION FOR PAYMENTS (ASAP) SYSTEM J 1 IF MARKED, THIS TERM DOES NOT APPLY— SEE ATTACHMENT 6 a. Method of Payment. Payment will be made by advances through the Department of Treasury's ASAP system. b. Requesting Advances. Requests for advances must be made through the ASAP system. You may submit requests as frequently as required to meet your needs to disburse funds for the Federal share of project costs. If feasible, you should time each request so that you receive payment on the same day that you disburse funds for direct project costs and the proportionate share of any allowable indirect costs. If same -day transfers are not feasible, advance payments must be as close as is administratively feasible to actual disbursements. c. Adjusting payment requests for available cash. You must disburse any funds that are available from repayments to and interest earned on a revolving fund, program income, rebates, refunds, contract settlements, audit recoveries, credits, discounts, and interest earned on any of those funds before requesting additional cash payments from DOE/NNSA. d. Payments. All payments are made by electronic funds transfer to the bank account identified on the ASAP Bank Information Form that you filed with the U.S. Department of Treasury. 6. INCREMENTAL FUNDING AND MAXIMUM OBLIGATION - COEXTENSIVE BUDGET PERIOD AND PROJECT PERIOD APPLICABLE ONLY TO INCREMENTALLY FUNDED AWARDS. This award is funded on an incremental basis. The maximum obligation of the DOE/NNSA is limited to the amount shown on the Agreement Face Page. You are not obligated to continue performance of the project beyond the total amount obligated and your pro rata share of the project costs, if cost sharing is required. Additional funding is contingent upon the availability of appropriated funds and substantial progress towards meeting the objectives of the award. 7. COST SHARING FFRDC'S NOT INVOLVED APPLICABLE ONLY IF COST SHARING IS INCLUDED IN THE AWARD. a. Total Estimated Project Cost is the sum of the Government share and Recipient share of the estimated Not Specified/Other 2 083109 project costs. The Recipient's cost share must come from non -Federal sources unless otherwise allowed by law. By accepting federal funds under this award, you agree that you are liable for your percentage share of total allowable project costs, on a budget period basis, even if the project is terminated early or is not funded to its completion. This cost is shared as follows: Budget Budget Government Share Recipient Share Total Estimated Cost Period Period Start 51% $/% No. 1 09-04-09 $616,400.00 $122,000.00 $738,400.00 Total Project $616,400.00 $122,000.00 $738,400.00 b. If you discover that you may be unable to provide cost sharing of at least the amount identified in paragraph a of this article, you should immediately provide written notification to the DOE Award Administrator indicating whether you will continue or phase out the project. If you plan to continue the project, the notification must describe how replacement cost sharing will be secured. You must maintain records of all project costs that you claim as cost sharing, including in -kind costs, as well as records of costs to be paid by DOE/NNSA. Such records are subject to audit. d. Failure to provide the cost sharing required by this Article may result in the subsequent recovery by DOE/NNSA of some or all the funds provided under the award. 8. REBUDGETING AND RECOVERY OF INDIRECT COSTS THE APPLICABLE TERM IS MARKED BELOW. [ ] REBUDGETING AND RECOVERY OF INDIRECT COSTS - REIMBURSABLE INDIRECT COSTS AND FRINGE BENEFITS a. If actual allowable indirect costs and fringe benefits are less than those budgeted and funded under the award, you may use the difference to pay additional allowable direct costs during the project period. If at the completion of the award the Government's share of total allowable costs (i.e., direct, indirect, fringe benefits), is less than the total costs reimbursed, you must refund the difference. b. Recipients are expected to manage their indirect costs and fringe benefits. DOE will not amend an award solely to provide additional funds for changes in indirect costs and fringe benefits. DOE recognizes that the inability to obtain full reimbursement for indirect costs and fringe benefits means the recipient must absorb the underrecovery. Such underrecovery may be allocated as part of the organization's required cost sharing. [ ] REBUDGETING AND RECOVERY OF INDIRECT COSTS - REIMBURSABLE INDIRECT COSTS a. If actual allowable indirect costs are less than those budgeted and funded under the award, you may use the difference to pay additional allowable direct costs during the project period. If at the completion of the award the Government's share of total allowable costs (i.e., direct and indirect), is less than the total costs reimbursed, you must refund the difference. b. Recipients are expected to manage their indirect costs. DOE will not amend an award solely to provide additional funds for changes in indirect cost rates. DOE recognizes that the inability to obtain full reimbursement for indirect costs means the recipient must absorb the underrecovery. Such underrecovery may be allocated as part of the organization's required cost sharing. c. The budget for this award includes indirect costs, but does not include fringe benefits. Therefore, fringe benefit costs shall not be charged to nor shall reimbursement be requested for Not Specified/Other 3 083109 this project nor shall the fringe benefit costs for this project be allocated to any other federally sponsored project. In addition, fringe benefit costs shall not be counted as cost share unless approved by the Contracting Officer. [ X ] REBUDGETING AND RECOVERY OF INDIRECT COSTS - INDIRECT COSTS AND FRINGE BENEFITS ARE NOT REIMBURSABLE The budget for this award does not include indirect costs or fringe benefits. Therefore, these expenses shall not be charged to nor reimbursement requested for this project nor shall the fringe and indirect costs from this project be allocated to any other federally sponsored project. In addition, indirect costs or fringe benefits shall not be counted as cost share unless approved by the Contracting Officer. 9. CEILING ON ADMINISTRATIVE COSTS a. Recipients may not use more than 10 percent of amounts provided under this program, $75,00 , / whichever is greater (EISA Sec 545(b)(3)(A), for administrative expenses, excluding the cos s of meeting the reporting requirements under Title V, Subtitle E of EISA. These costs should be captured and summarized for each activating under the Projected Costs Within Budget: Administration. b. Recipients are expected to manage their administrative costs. DOE will not amend an award solely to provide additional funds for changes in administrative costs. The Recipient shall not be reimbursed on this project for any final administrative costs that are in excess of the designated 10 percent administrative cost ceiling. In addition, the Recipient shall neither count costs in excess of the administrative cost ceiling as cost share, nor allocate such costs to other federally sponsored projects, unless approved by the Contracting Officer. 10. LIMITATIONS ON USE OF FUNDS a. Recipients may not use more than 20 percent or $250,000, whichever is greater (EISA Sec 545(b)(3)(B), for the establishment of revolving loan funds. b. Recipients may not use more than 20 percent or $250,000, whichever is greater (EISA Sec 545(b)(3)(C), for subgrants to nongovernmental organizations for the purpose of assisting in the implementation of the energy efficiency and conservation strategy of the eligible unit of local government. 11. PRE -AWARD COSTS APPLICABLE ONLY IF COMPLETED BELOW. You arc entitled to reimbursement for preaward costs for the period from [MonthDayYear] to [MonthDayYear] in accordance with your request dated [MonthDayYear] if such costs are allowable in accordance with the applicable Federal cost principles referenced in 10 CFR Part 600. 12. USE OF PROGRAM INCOME - ADDITION If you earn program income during the project period as a result of this award, you may add the program income to the funds committed to the award and use it to further eligible project objectives. 13. STATEMENT OF FEDERAL STEWARDSHIP DOE/NNSA will exercise normal Federal stewardship in overseeing the project activities performed under this award. Stewardship activities include, but are not limited to, conducting site visits; reviewing performance and financial reports; providing technical assistance and/or temporary intervention in unusual circumstances to correct deficiencies which develop during the project; assuring compliance with terms and Not Specified/Other 4 083109 conditions; and reviewing technical performance after project completion to ensure that the award objectives have been accomplished. 14. SITE VISITS DOE's authorized representatives have the right to make site visits at reasonable times to review project accomplishments and management control systems and to provide technical assistance, if required. You must provide, and must require your subawardees to provide, reasonable access to facilities, office space, resources, and assistance for the safety and convenience of the government representatives in the performance of their duties. All site visits and evaluations must be performed in a manner that does not unduly interfere with or delay the work. 15. REPORTING REQUIREMENTS a. Requirements. The reporting requirements for this award are identified on the Federal Assistance Reporting Checklist, DOE F 4600.2, attached to this award. Failure to comply with these reporting requirements is considered a material noncompliance with the terms of the award. Noncompliance may result in withholding of future payments, suspension, or termination of the current award, and withholding of future awards. A willful failure to perform, a history of failure to perform, or unsatisfactory performance of this and/or other financial assistance awards, may also result in a debarment action to preclude future awards by Federal agencies. b. Dissemination of scientific/technical reports. Scientific/technical reports submitted under this award will be disseminated on the Internet via the DOE Information Bridge (www.osti.gov/bridge), unless the report contains patentable material, protected data, or SBIR/STTR data. Citations for journal articles c. produced under the award will appear on the DOE Energy Citations Database (www.osti.gov/enerevcitations). d. Restrictions. Reports submitted to the DOE Information Bridge must not contain any Protected Personal Identifiable Information (PIT), limited rights data (proprietary data), classified information, information subject to export control classification, or other information not subject to release. 16. PUBLICATIONS `( a) You are encouraged to publish or otherwise make publicly available the results of the work conducted under the award. b. An acknowledgment of Federal support and a disclaimer must appear in the publication of any material, whether copyrighted or not, based on or developed under this project, as follows: Acknowledgment: "This material is based upon work supported by the Department of Energy under Award Number [Enter the award number]." Disclaimer: "This report was prepared as an account of work sponsored by an agency of the United States Government. Neither the United States Government nor any agency thereof, nor any of their employees, makes any warranty, express or implied, or assumes any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would not infringe privately owned rights. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not necessarily constitute or imply its endorsement, recommendation, or favoring by the United States Government or any agency thereof. The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof" Not Specified/Other 5 083109 17. FEDERAL, STATE, AND MUNICIPAL REQUIREMENTS You must obtain any required permits and comply with applicable federal, state, and municipal laws, codes, and regulations for work performed under this award. 18. INTELLECTUAL PROPERTY PROVISIONS AND CONTACT INFORMATION a. The intellectual property provisions applicable to this award are provided as an attachment to this award or are referenced on the Agreement Face Page. A list of all intellectual property provisions may be found at littp://www.uc.doe.gov/financial assistance awards.htm. b. Questions regarding intellectual property matters should be referred to the DOE Award Administrator and the Patent Counsel designated as the service provider for the DOE office that issued the award. The IP Service Providers List is found at http://www.gc.doe.aov/documents/Intellectual Property (IP) Service Providers for Acquisition.pdf 19. LOBBYING RESTRICTIONS By accepting funds under this award, you agree that none of the funds obligated on the award shall be expended, directly or indirectly, to influence congressional action on any legislation or appropriation matters pending before Congress, other than to communicate to Members of Congress as described in 18 U.S.C. 1913. This restriction is in addition to those prescribed elsewhere in statute and regulation. 20. NOTICE REGARDING THE PURCHASE OF AMERICAN -MADE EQUIPMENT AND PRODUCTS -- SENSE OF CONGRESS It is the sense of the Congress that, to the greatest extent practicable, all equipment and products purchased with funds made available under this award should be American -made. 21. INSOLVENCY, BANKRUPTCY OR RECEIVERSHIP a. You shall immediately notify the DOE of the occurrence of any of the following events: (i) you or your parent's filing of a voluntary case seeking liquidation or reorganization under the Bankruptcy Act; (ii) your consent to the institution of an involuntary case under the Bankruptcy Act against you or your parent; (iii) the filing of any similar proceeding for or against you or your parent, or its consent to, the dissolution, winding -up or readjustment of your debts, appointment of a receiver, conservator, trustee, or other officer with similar powers over you, under any other applicable state or federal law; or (iv) your insolvency due to your inability to pay your debts generally as they become due. b. Such notification shall be in writing and shall: (i) specifically set out the details of the occurrence of an event referenced in paragraph a; (ii) provide the facts surrounding that event; and (iii) provide the impact such event will have on the project being funded by this award. c. Upon the occurrence of any of the four events described in the first paragraph, DOE reserves the right to conduct a review of your award to determine your compliance with the required elements of the award (including such items as cost share, progress towards technical project objectives, and submission of required reports). If the DOE review determines that there are significant deficiencies or concerns with your performance under the award, DOE reserves the right to impose additional requirements, as needed, including (i) change your payment method; or (ii) institute payment controls. d. Failure of the Recipient to comply with this provision may be considered a material noncompliance of this financial assistance award by the Contracting Officer. 22. NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) REQUIREMENTS You are restricted from taking any action using Federal funds, which would have an adverse effect on the Not Specified/Other 6 083109 environment or limit the choice of reasonable alternatives prior to DOE/NNSA providing either a NEPA clearance or a final NEPA decision regarding this project. Prohibited actions include: any activities other than approved and included in Attachment 2 of this award. This restriction does not preclude you from: activities approved and included in Attachment 2. If you move forward with activities that are not authorized for federal funding by the DOE Contracting Officer in advance of the final NEPA decision, you are doing so at risk of not receiving federal funding and such costs may not be recognized as allowable cost share. If this award includes construction activities, you must submit an environmental evaluation report/evaluation notification form addressing NEPA issues prior to DOE/NNSA initiating the NEPA process. See Term No. 31, entitled Historic Preservation. 23. DECONTAMINATION AND/OR DECOMMISSIONING (D&D) COSTS Notwithstanding any other provisions of this Agreement, the Government shall not be responsible for or have any obligation to the recipient for (i) Decontamination and/or Decommissioning (D&D) of any of the recipient's facilities, or (ii) any costs which may be incurred by the recipient in connection with the D&D of any of its facilities due to the performance of the work under this Agreement, whether said work was performed prior to or subsequent to the effective date of this Agreement. 24. SPECIAL PROVISIONS RELATING TO WORK FUNDED UNDER AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 (MAY 2009) Preamble The American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, (Recovery Act) was enacted to preserve and create jobs and promote economic recovery, assist those most impacted by the recession, provide investments needed to increase economic efficiency by spurring technological advances in science and health, invest in transportation, environmental protection, and other infrastructure that will provide long-term economic benefits, stabilize State and local government budgets, in order to minimize and avoid reductions in essential services and counterproductive State and local tax increases. Recipients shall use grant funds in a manner that maximizes job creation and economic benefit. The Recipient shall comply with all terms and conditions in the Recovery Act relating generally to governance, accountability, transparency, data collection and resources as specified in Act itself and as discussed below. Recipients should begin planning activities for their first tier subrecipients, including obtaining a DUNS O V. ---number (or updating the existing DUNS record), and registering with the Central Contractor Registration (CCR). Be advised that Recovery Act funds can be used in conjunction with other funding as necessary to complete projects, but tracking and reporting must be separate to meet the reporting requirements of the Recovery Act and related guidance. For projects funded by sources other than the Recovery Act, Contractors must keep separate records for Recovery Act funds and to ensure those records comply with the requirements of the Act. The Government has not fully developed the implementing instructions of the Recovery Act, particularly concerning specific procedural requirements for the new reporting requirements. The Recipient will be provided these details as they become available. The Recipient must comply with all requirements of the Act. If the recipient believes there is any inconsistency between ARRA requirements and current award terms and conditions, the issues will be referred to the Contracting Officer for reconciliation. Definitions Not Specified/Other 7 083109 For purposes of this clause, Covered Funds means funds expended or obligated from appropriations under the American Recovery and Reinvestment Act of 2009, Pub. L. 111-5. Covered Funds will have special accounting codes and will be identified as Recovery Act funds in the grant, cooperative agreement or TIA and/or modification using Recovery Act funds. Covered Funds must be reimbursed by September 30, 2015. Non -Federal employer means any employer with respect to covered funds — the contractor, subcontractor, grantee, or recipient, as the case may be, if the contractor, subcontractor, grantee, or recipient is an employer; and any professional membership organization, certification of other professional body, any agent or licensee of the Federal government, or any person acting directly or indirectly in the interest of an employer receiving covered funds; or with respect to covered funds received by a State or local government, the State or local government receiving the funds and any contractor or subcontractor receiving the funds and any contractor or subcontractor of the State or local government; and does not mean any department, agency, or other entity of the federal government. Recipient means any entity that receives Recovery Act funds directly from the Federal government (including Recovery Act funds received through grant, loan, or contract) other than an individual and includes a State that receives Recovery Act Funds. Special Provisions A. Flow Down Requirement Recipients must include these special terms and conditions in any subaward. B. Segregation of Costs Recipients must segregate the obligations and expenditures related to funding under the Recovery Act. Financial and accounting systems should be revised as necessary to segregate, track and maintain these funds apart and separate from other revenue streams. No part of the funds from the Recovery Act shall be commingled with any other funds or used for a purpose other than that of making payments for costs allowable for Recovery Act projects. Prohibition on Use of Funds None of the funds provided under this agreement derived from the American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, may be used by any State or local government, or any private entity, for any casino or other gambling establishment, aquarium, zoo, golf course, or swimming pool. C. Access to Records With respect to each financial assistance agreement awarded utilizing at least some of the funds appropriated or otherwise made available by the American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, any representative of an appropriate inspector general appointed under section 3 or 8G of the Inspector General Act of 1988 (5 U.S.C. App.) or of the Comptroller General is authorized — (1) to examine any records of the contractor or grantee, any of its subcontractors or subgrantees, or any State or local agency administering such contract that pertain to, and involve transactions relation to, the subcontract, subcontract, grant, or subgrant; and (2) to interview any officer or employee of the contractor, grantee, subgrantee, or agency regarding such transactions. D. Publication Not Specified/Other 8 083109 An application may contain technical data and other data, including trade secrets and/or privileged or confidential information, which the applicant does not want disclosed to the public or used by the Government for any purpose other than the application. To protect such data, the applicant should specifically identify each page including each line or paragraph thereof containing the data to be protected and mark the cover sheet of the application with the following Notice as well as referring to the Notice on each page to which the Notice applies: Notice of Restriction on Disclosure and Use of Data The data contained in pages ---- of this application have been submitted in confidence and contain trade secrets or proprietary information, and such data shall be used or disclosed only for evaluation purposes, provided that if this applicant receives an award as a result of or in connection with the submission of this application, DOE shall have the right to use or disclose the data here to the extent provided in the award. This restriction does not limit the Government's right to use or disclose data obtained without restriction from any source, including the applicant. Information about this agreement will be published on the Internet and linked to the website www.recovery.gov , maintained by the Accountability and Transparency Board. The Board may exclude posting contractual or other information on the website on a case -by -case basis when necessary to protect national security or to protect information that is not subject to disclosure under sections 552 and 552a of title 5, United States Code. E. Protecting State and Local Government and Contractor Whistleblowers The requirements of Section 1553 of the Act are summarized below. They include, but are not limited to: Prohibition on Reprisals: An employee of any non -Federal employer receiving covered funds under the American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, may not be discharged, demoted, or otherwise discriminated against as a reprisal for disclosing, including a disclosure made in the ordinary course of an employee's duties, to the Accountability and Transparency Board, an inspector general, the Comptroller General, a member of Congress, a State or Federal regulatory or law enforcement agency, a person with supervisory authority over the employee (or other person working for the employer who has the authority to investigate, discover or terminate misconduct, a court or grant jury, the head of a Federal agency, or their representatives information that the employee believes is evidence of: • gross management of an agency contract or grant relating to covered funds; • a gross waste of covered funds • a substantial and specific danger to public health or safety related to the implementation or use of covered funds; • an abuse of authority related to the implementation or use of covered funds; or • as violation of law, rule, or regulation related to an agency contract (including the competition for or negotiation of a contract) or grant, awarded or issued relating to covered funds. Agency Action: Not later than 30 days after receiving an inspector general report of an alleged reprisal, the head of the agency shall determine whether there is sufficient basis to conclude that the non -Federal employer has subjected the employee to a prohibited reprisal. The agency shall either issue an order denying relief in whole or in part or shall take one or more of the following actions: • Order the employer to take affirmative action to abate the reprisal. • Order the employer to reinstate the person to the position that the person held before the reprisal, together with compensation including back pay, compensatory damages, employment benefits, and other terms and conditions of employment that would apply to the person in that position if the reprisal had not been taken. • Order the employer to pay the employee an amount equal to the aggregate amount of all costs and expenses (including attorneys' fees and expert witnesses' fees) that were reasonably incurred by Not Specified/Other 9 083109 the employee for or in connection with, bringing the complaint regarding the reprisal, as determined by the head of a court of competent jurisdiction. Nonenforceablity of Certain Provisions Waiving Rights and remedies or Requiring Arbitration: Except as provided in a collective bargaining agreement, the rights and remedies provided to aggrieved employees by this section may not be waived by any agreement, policy, form, or condition of employment, including any predispute arbitration agreement. No predispute arbitration agreement shall be valid or enforceable if it requires arbitration of a dispute arising out of this section. Requirement to Post Notice of Rights and Remedies: Any employer receiving covered funds under the American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, shall post notice of the rights and remedies as required therein. (Refer to section 1553 of the American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, www.Recovery.gov, for specific requirements of this section and prescribed language for the notices.). F. Request for Reimbursement Reserved G. False Claims Act Recipient and sub -recipients shall promptly refer to the DOE or other appropriate Inspector General any credible evidence that a principal, employee, agent, contractor, sub -grantee, subcontractor or other person has submitted a false claim under the False Claims Act or has committed a criminal or civil violation of laws pertaining to fraud, conflict or interest, bribery, gratuity or similar misconduct involving those funds. H. Information in supporting of Recovery Act Reporting Recipient may be required to submit backup documentation for expenditures of funds under the Recovery Act including such items as timecards and invoices. Recipient shall provide copies of backup documentation at the request of the Contracting Officer or designee. I. Availability of Funds Funds appropriated under the Recovery Act and obligated to this award are available for reimbursement of costs until September 30, 2015. J. Additional Funding Distribution and Assurance of Appropriate Use of Funds Applicable if award is to a State Government or an Agency Certification by Governor -- Not later than April 3, 2009, for funds provided to any State or agency thereof by the American Reinvestment and Recovery Act of 2009, Pub. L. 1 1 1-5, the Governor of the State shall certify that: 1) the state will request and use funds provided by the Act; and 2) the funds will be used to create jobs and promote economic growth. Acceptance by State Legislature -- If funds provided to any State in any division of the Act are not accepted for use by the Governor, then acceptance by the State legislature, by means of the adoption of a concurrent resolution, shall be sufficient to provide funding to such State. Distribution — After adoption of a State legislature's concurrent resolution, funding to the State will be for distribution to local governments, councils of government, public entities, and public -private entities within the State either by formula or at the State's discretion. K. Certifications Not Specified/Other 10 083109 With respect to funds made available to State or local governments for infrastructure investments under the American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, the Governor, mayor, or other chief executive, as appropriate, certified by acceptance of this award that the infrastructure investment has received the full review and vetting required by law and that the chief executive accepts responsibility that the infrastructure investment is an appropriate use of taxpayer dollars. Recipient shall provide an additional certification that includes a description of the investment, the estimated total cost, and the amount of covered funds to be used for posting on the Internet. A State or local agency may not receive infrastructure investment funding from funds made available by the Act unless this certification is made and posted. 25. REPORTING AND REGISTRATION REQUIREMENTS UNDER SECTION 1512 OF THE RECOVERY ACT (MAY 2009) a. This award requires the recipient to complete projects or activities which are funded under the American Recovery and Reinvestment Act of 2009 (Recovery Act) and to report on use of Recovery Act funds provided through this award. Information from these reports will be made available to the public. b. The reports are due no later than ten calendar days after each calendar quarter in which the recipient receives the assistance award fun3edm whole or in part by the Recovery Act. c. Recipients and their first -tier recipients must maintain current registrations in the Central Contractor Registration (http://www,ccr,gov) at all times during which they have active federal awards funded with Recovery Act funds. A Dun and Bradstreet Data Universal Numbering System (DUNS) Number (http://www.dnb.com) is one of the requirements for registration in the Central Contractor Registration. d. The recipient shall report the information described in section 1512(c) of the Recovery Act using the reporting instructions and data elements that will be provided online at http://www.FederalReporting.gov and ensure that any information that is pre -filled is corrected or updated as needed. 26. REQUIRED USE OF AMERICAN IRON, STEEL, AND MANUFACTURED GOODS -- SECTION 1605 OF THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 (MAY 2009) THIS AWARD TERM IS APPLICABLE TO ANY RECOVERY ACT FUNDS FOR CONSTRUCTION, ALTERATION, MAINTENANCE, OR REPAIR OF A PUBLIC BUILDING OR PUBLIC WORK AND THE TOTAL PROJECT VALUE IS ESTIMATED LESS THAN $7,443,000. THIS AWARD TERM ALSO APPLIES TO ALL SUB GRANTS AND CONTRACTS. a. Definitions. As used in this award term and condition -- (1) Manufactured good means a good brought to the construction site for incorporation into the building or work that has been— (i) Processed into a specific form and shape; or (ii) Combined with other raw material to create a material that has different properties than the properties of the individual raw materials. (2) Public building and public work means a public building of, and a public work of, a governmental entity (the United States; the District of Columbia; commonwealths, territories, and minor outlying islands of the United States; State and local governments; and multi -State, regional, or interstate entities which have governmental functions). These buildings and works may include, without limitation, bridges, dams, plants, highways, parkways, streets, subways, tunnels, sewers, mains, power lines, pumping stations, heavy generators, railways, airports, terminals, docks, piers, Not Specified/Other 11 083109 wharves, ways, lighthouses, buoys, jetties, breakwaters, levees, and canals, and the construction, alteration, maintenance, or repair of such buildings and works. (3) Steel means an alloy that includes at least 50 percent iron, between .02 and 2 percent carbon, and may include other elements. b. Domestic preference. (1) This award term and condition implements Section 1605 of the American Recovery and Reinvestment Act of 2009 (Recovery Act) (Pub. L. 111--5), by requiring that all iron, steel, and manufactured goods used in the project are produced in the United States except as provided in paragraph (b)(3) and (b)(4) of this section and condition. (2) This requirement does not apply to the material listed by the Federal Government as follows: None [Award official to list applicable excepted materials or indicate "none"] (3) The award official may add other iron, steel, and/or manufactured goods to the list in paragraph (b)(2) of this section and condition if the Federal Government determines that-- (i) The cost of the domestic iron, steel, and/or manufactured goods would be unreasonable. The cost of domestic iron, steel, or manufactured goods used in the project is unreasonable when the cumulative cost of such material will increase the cost of the overall project by more than 25 percent; (ii) The iron, steel, and/or manufactured good is not produced, or manufactured in the United States in sufficient and reasonably available quantities and of a satisfactory quality; or (iii) The application of the restriction of section 1605 of the Recovery Act would be inconsistent with the public interest. c. Request for determination of inapplicability of Section 1605 of the Recovery Act (1) (i) Any recipient request to use foreign iron, steel, and/or manufactured goods in accordance with paragraph (b)(3) of this section shall include adequate information for Federal Government valuation of the request, including - (A) A description of the foreign and domestic iron, steel, and/or manufactured goods; (B) Unit of measure; (C) Quantity; (D) Cost; (E) Time of delivery or availability; (F) Location of the project; (G) Name and address of the proposed supplier; and (H) A detailed justification of the reason for use of foreign iron, steel, and/or manufactured goods cited in accordance with paragraph (b)(3) of this section. (ii) A request based on unreasonable cost shall include a reasonable survey of the market and a completed cost comparison table in the format in paragraph (d) of this section. (iii) The cost of iron, steel, and/or manufactured goods material shall include all delivery costs to the construction site and any applicable duty. (iv) Any recipient request for a determination submitted after Recovery Act funds have been obligated for a project for construction, alteration, maintenance, or repair shall explain why the recipient could not reasonably foresee the need for such determination and could not have requested the determination before the funds were obligated. If the recipient does not submit a satisfactory explanation, the award official need not make a determination. (2) If the Federal Government determines after funds have been obligated for a project for Not Specified/Other 12 083109 construction, alteration, maintenance, or repair that an exception to section 1605 of the Recovery Act applies, the award official will amend the award to allow use of the foreign iron, steel, and/or relevant manufactured goods. When the basis for the exception is nonavailability or public interest, the amended award shall reflect adjustment of the award amount, redistribution of budgeted funds, and/or other actions taken to cover costs associated with acquiring or using the foreign iron, steel, and/or relevant manufactured goods. When the basis for the exception is the unreasonable cost of the domestic iron, steel, or manufactured goods, the award official shall adjust the award amount or redistribute budgeted funds by at least the differential established in 2 CFR 176.110(a). (3) Unless the Federal Government determines that an exception to section 1605 of the Recovery Act applies, use of foreign iron, steel, and/or manufactured goods is noncompliant with section 1605 of the American Recovery and Reinvestment Act. d. Data. To permit evaluation of requests under paragraph (b) of this section based on unreasonable cost, the Recipient shall include the following information and any applicable supporting data based on the survey of suppliers: Foreign and Domestic Items Cost Comparison Description Unit of Measure Quantity Cost (dollars)* Item 1: Foreign steel, iron, or manufactured good Domestic steel, iron, or manufactured good Item 2: Foreign steel, iron , or manufactured good Domestic steel, iron, or manufactured good List name, address, telephone number, email address, and contact for suppliers surveyed. Attach copy of response; if oral, attach summary. Include other applicable supporting information. *Include all delivery costs to the construction site 27. REQUIRED USE OF AMERICAN IRON, STEEL, AND MANUFACTURED GOODS (COVERED UNDER INTERNATIONAL AGREEMENTS) --SECTION 1605 OF THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 (MAY 2009) THIS AWARD TERM IS APPLICABLE TO ANY RECOVERY ACT FUNDS FOR CONSTRUCTION, ALTERATION, MAINTENANCE, OR REPAIR OF A PUBLIC BUILDING OR PUBLIC WORK WITHA TOTAL PROJECT VALUE OVER $7,443,000 THAT INVOLVES IRON, STEEL, AND/OR MANUFACTURED GOODS MATERIALS COVERED UNDER INTERNATIONAL AGREEMENTS. THIS AWARD TERM ALSO APPLIES TO ALL SUBGRANTS AND CONTRACTS. a. Definitions. As used in this award term and condition -- Designated country — Not Specified/Other 13 083109 (1) A World Trade Organization Government Procurement Agreement country (Aruba, Austria, Belgium, Bulgaria, Canada, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Israel, Italy, Japan, Korea (Republic of), Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, and United Kingdom; (2) A Free Trade Agreement (FTA) country (Australia, Bahrain, Canada, Chile, Costa Rica, Dominican Republic, El Salvador, Guatemala, Honduras, Israel, Mexico, Morocco, Nicaragua, Oman, Peru, or Singapore); or (3) A United States -European Communities Exchange of Letters (May 15, 1995) country: Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovak Republic, Slovenia, Spain, Sweden, and United Kingdom. Designated country iron, steel, and/or manufactured goods — (1) Is wholly the growth, product, or manufacture of a designated country; or (2) In the case of a manufactured good that consist in whole or in part of materials from another country, has been substantially transformed in a designated country into a new and different manufactured good distinct from the materials from which it was transformed. Domestic iron, steel, and/or manufactured good — (1) Is wholly the growth, product, or manufacture of the United States; or (2) In the case of a manufactured good that consists in whole or in part of materials from another country, has been substantially transformed in the United States into a new and different manufactured good distinct from the materials from which it was transformed. There is no requirement with regard to the origin of components or subcomponents in manufactured goods or products, as long as the manufacture of the goods occurs in the United States. Foreign iron, steel, and/or manufactured good means iron, steel and/or manufactured good that is not domestic or designated country iron, steel, and/or manufactured good. Manufactured good means a good brought to the construction site for incorporation into the building or work that has been -- (1) Processed into a specific form and shape; or (2) Combined with other raw material to create a material that has different properties than the properties of the individual raw materials. Public building and public work means a public building of, and a public work of, a governmental entity (the United States; the District of Columbia; commonwealths, territories, and minor outlying islands of the United States; State and local governments; and multi -State, regional, or interstate entities which have governmental functions). These buildings and works may include, without limitation, bridges, dams, plants, highways, parkways, streets, subways, tunnels, sewers, mains, power lines, pumping stations, heavy generators, railways, airports, terminals, docks, piers, wharves, ways, lighthouses, buoys, jetties, breakwaters, levees, and canals, and the construction, alteration, maintenance, or repair of such buildings and works. Steel means an alloy that includes at least 50 percent iron, between .02 and 2 percent carbon, and may include other elements. Not Specified/Other 14 083109 b. Iron, steel, and manufactured goods. (1) The award term and condition described in this section implements-- (i) Section 1605(a) of the American Recovery and Reinvestment Act of 2009 (Pub. L. 111--5) (Recovery Act), by requiring that all iron, steel, and manufactured goods used in the project are produced in the United States; and (ii) Section 1605(d), which requires application of the Buy American requirement in a manner consistent with U.S. obligations under international agreements. The restrictions of section 1605 of the Recovery Act do not apply to designated country iron, steel, and/or manufactured goods. The Buy American requirement in section 1605 shall not be applied where the iron, steel or manufactured goods used in the project are from a Party to an international agreement that obligates the recipient to treat the goods and services of that Party the same as domestic goods and services. This obligation shall only apply to projects with an estimated value of $7,443,000 or more. (2) The recipient shall use only domestic or designated country iron, steel, and manufactured goods in performing the work funded in whole or part with this award, except as provided in paragraphs (b)(3) and (b)(4) of this section. (3) The requirement in paragraph (b)(2) of this section does not apply to the iron, steel, and manufactured goods listed by the Federal Government as follows: None [Award official to list applicable excepted materials or indicate "none"] (4) The award official may add other iron, steel, and manufactured goods to the list in paragraph (b)(3) of this section if the Federal Government determines that-- (i) The cost of domestic iron, steel, and/or manufactured goods would be unreasonable. The cost of domestic iron, steel, and/or manufactured goods used in the project is unreasonable when the cumulative cost of such material will increase the overall cost of the project by more than 25 percent; (ii) The iron, steel, and/or manufactured good is not produced, or manufactured in the United States in sufficient and reasonably available commercial quantities of a satisfactory quality; or (iii) The application of the restriction of section 1605 of the Recovery Act would be inconsistent with the public interest. c. Request for determination of inapplicability of section 1605 of the Recovery Act or the Buy American Act. (1) (i) Any recipient request to use foreign iron, steel, and/or manufactured goods in accordance with paragraph (b)(4) of this section shall include adequate information for Federal Government evaluation of the request, including -- (A) A description of the foreign and domestic iron, steel, and/or manufactured goods; (B) Unit of measure; (C) Quantity; (D) Cost; (E) Time of delivery or availability; (F) Location of the project; (G) Name and address of the proposed supplier; and (H) A detailed justification of the reason for use of foreign iron, steel, and/or manufactured goods cited in accordance with paragraph (b)(4) of this section. (ii) A request based on unreasonable cost shall include a reasonable survey of the market and a completed cost comparison table in the format in paragraph (d) of this section. (iii) The cost of iron, steel, or manufactured goods shall include all delivery costs to the Not Specified/Other 15 083109 construction site and any applicable duty. (iv) Any recipient request for a determination submitted after Recovery Act funds have been obligated for a project for construction, alteration, maintenance, or repair shall explain why the recipient could not reasonably foresee the need for such determination and could not have requested the determination before the funds were obligated. If the recipient does not submit a satisfactory explanation, the award official need not make a determination. (2) If the Federal Government determines after funds have been obligated for a project for construction, alteration, maintenance, or repair that an exception to section 1605 of the Recovery Act applies, the award official will amend the award to allow use of the foreign iron, steel, and/or relevant manufactured goods. When the basis for the exception is nonavailability or public interest, the amended award shall reflect adjustment of the award amount, redistribution of budgeted funds, and/or other appropriate actions taken to cover costs associated with acquiring or using the foreign iron, steel, and/or relevant manufactured goods.. When the basis for the exception is the unreasonable cost of the domestic iron, steel, or manufactured goods, the award official shall adjust the award amount or redistribute budgeted funds, as appropriate, by at least the differential established in 2 CFR 176.110(a). (3) Unless the Federal Government determines that an exception to section 1605 of the Recovery Act applies, use of foreign iron, steel, and/or manufactured goods other than designated country iron, steel, and/or manufactured goods is noncompliant with the applicable Act. d. Data. To permit evaluation of requests under paragraph (b) of this section based on unreasonable cost, the applicant shall include the following information and any applicable supporting data based on the survey of suppliers: Foreign and Domestic Items Cost Comparison Description Unit of Measure Quantity Cost (dollars)* Item I: Foreign steel, iron, or manufactured good Domestic steel, iron, or manufactured good Item 2: Foreign steel, iron , or manufactured good Domestic steel, iron, or manufactured good List name, address, telephone number, email address, and contact for suppliers surveyed. Attach copy of response; if oral, attach summary. Include other applicable supporting information. *Include all delivery costs to the construction site. 28. WAGE RATE REQUIREMENTS UNDER SECTION 1606 OF THE RECOVERY ACT (MAY 2009) THIS AWARD TERM IS APPLICABLE TO RECOVERY ACT PROGRAMS OR ACTIVITIES THAT MAY INVOLVE CONSTRUCTION, ALTERATION, MAINTENANCE, OR REPAIR. THIS AWARD TERM ALSO APPLIES TO ALL SUBGRANTS AND CONTRACTS. Not Specified/Other 16 083109 a. Section 1606 of the Recovery Act requires that all laborers and mechanics employed by contractors and subcontractors on projects funded directly by or assisted in whole or in part by and through the Federal Government pursuant to the Recovery Act shall be paid wages at rates not less than those prevailing on projects of a character similar in the locality as determined by the Secretary of Labor in accordance with subchapter IV of chapter 31 of title 40, United States Code. Pursuant to Reorganization Plan No. 14 and the Copeland Act, 40 U.S.C. 3145, the Department of Labor has issued regulations at 29 CFR parts 1, 3, and 5 to implement the Davis -Bacon and related Acts. Regulations in 29 CFR 5.5 instruct agencies concerning application of the standard Davis -Bacon contract clauses set forth in that section. Federal agencies providing grants, cooperative agreements, and loans under the Recovery Act shall ensure that the standard Davis -Bacon contract clauses found in 29 CFR 5.5(a) are incorporated in any resultant covered contracts that are in excess of $2,000 for construction, alteration or repair (including painting and decorating). b. For additional guidance on the wage rate requirements of section 1606, contact your awarding agency. Recipients of grants, cooperative agreements and loans should direct their initial inquiries concerning the application of Davis -Bacon requirements to a particular federally assisted project to the Federal agency funding the project. The Secretary of Labor retains final coverage authority under Reorganization Plan Number 14. 29. RECOVERY ACT TRANSACTIONS LISTED IN SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND RECIPIENT RESPONSIBILITIES FOR INFORMING SUBRECIPIENTS (MAY 2009) a. To maximize the transparency and accountability of funds authorized under the American Recovery and Reinvestment Act of 2009 (Pub. L. 111--5) (Recovery Act) as required by Congress and in accordance with 2 CFR 215.21 "Uniform Administrative Requirements for Grants and Agreements" and OMB Circular A--102 Common Rules provisions, recipients agree to maintain records that identify adequately the source and application of Recovery Act funds. OMB Circular A--102 is available at http://www.whitchouse.gov/omb/circulars/a102/a102.html b. For recipients covered by the Single Audit Act Amendments of 1996 and OMB Circular A--133, "Audits of States, Local Governments, and Non -Profit Organizations," recipients agree to separately identify the expenditures for Federal awards under the Recovery Act on the Schedule of Expenditures of Federal Awards (SEFA) and the Data Collection Form (SF --SAC) required by OMB Circular A-- 133. OMB Circular A--133 is available at http://www.whitehouse.gov/omb/circulars/a133/a133.html. This shall be accomplished by identifying expenditures for Federal awards made under the Recovery Act separately on the SEFA, and as separate rows under Item 9 of Part III on the SF --SAC by CFDA number, and inclusion of the prefix "ARRA-" in identifying the name of the Federal program on the SEFA and as the first characters in Item 9d of Part III on the SF --SAC. c. Recipients agree to separately identify to each subrecipient, and document at the time of subaward and at the time of disbursement of funds, the Federal award number, CFDA number, and amount of Recovery Act funds. When a recipient awards Recovery Act funds for an existing program, the information furnished to subrecipients shall distinguish the subawards of incremental Recovery Act funds from regular subawards under the existing program. d. Recipients agree to require their subrecipients to include on their SEFA information to specifically identify Recovery Act finding similar to the requirements for the recipient SEFA described above. This information is needed to allow the recipient to properly monitor subrecipient expenditure of ARRA funds as well as oversight by the Federal awarding agencies, Offices of Inspector General and the Government Accountability Office. 30. DAVIS BACON ACT REQUIREMENTS (MAY 2009) THIS AWARD TERM IS APPLICABLE TO ARRA AWARDS WHEN WAGE RATE Not Specified/Other 17 083109 REQUIREMENTS UNDER SECTION 1606 OF THE RECOVERY ACT TERM IS APPLICABLE. THIS AWARD TERM IS ALSO APPLICABLE TO SUBGRANTS AND CONTRACTS. Note: Where necessary to make the context of these articles applicable to this award, the term "Contractor" shall mean "Recipient" and the term "Subcontractor" shall mean "Subrecipient or Subcontractor" per the following definitions. Recipient means the organization, individual, or other entity that receives an award from DOE and is financially accountable for the use of any DOE funds or property provided for the performance of the project, and is legally responsible for carrying out the terms and conditions of the award. Subrecipient means the legal entity to which a subaward is made and which is accountable to the recipient for the use of the funds provided. The term may include foreign or international organizations (such as agencies of the United Nations). Davis -Bacon Act (a) Definition. —"Site of the work" (1) Means-- (i) The primary site of the work. The physical place or places where the construction called for in the award will remain when work on it is completed; and (ii) The secondary site of the work, if any. Any other site where a significant portion of the building or work is constructed, provided that such site is — (A) Located in the United States; and (B) Established specifically for the performance of the award or project; (2) Except as provided in paragraph (3) of this definition, includes any fabrication plants, mobile factories, batch plants, borrow pits, job headquarters, tool yards, etc., provided— (i) They are dedicated exclusively, or nearly so, to performance of the award or project; and (ii) They are adjacent or virtually adjacent to the "primary site of the work" as defined in paragraph (a)(I)(i), or the "secondary site of the work" as defined in paragraph (a)(l)(ii) of this definition; (3) Does not include permanent home offices, branch plant establishments, fabrication plants, or tool yards of a Contractor or subcontractor whose locations and continuance in operation are determined wholly without regard to a particular Federal award or project. In addition, fabrication plants, batch plants, borrow pits, job headquarters, yards, etc., of a commercial or material supplier which are established by a supplier of materials for the project before opening of bids and not on the Project site, are not included in the "site of the work." Such permanent, previously established facilities are not a part of the "site of the work" even if the operations for a period of time may be dedicated exclusively or nearly so, to the performance of a award. (b) (1) All laborers and mechanics employed or working upon the site of the work will be paid unconditionally and not less often than once a week, and without thsubse lu ciiea.a7 rebate on any accouii except such payroll deductions as are permitte y regulations b issued by the Secretary of Labor under the Copeland Act (29 CFR Part 3)), the full amount of wages and bona fide fringe benefits (or cash equivalents thereof) due at time of payment computed at rates not less than those contained in the wage determination of the Secretary of Labor which is attached hereto and made a part hereof, or as may be incorporated for a secondary site of the work, regardless of any contractual relationship which may be alleged to exist between the Contractor and such laborers and mechanics. Any wage determination incorporated for a secondary site of the work shall be effective from the first day on which work under the award was performed at that site and shall be incorporated without any adjustment in award price or estimated cost. Laborers employed by the construction Contractor or construction subcontractor that arc transporting portions of the building or work between the secondary site of the work and the primary site of the work shall be Not Specified/Other 18 083109 paid in accordance with the wage determination applicable to the primary site of the work. (2) Contributions made or costs reasonably anticipated for bona fide fringe benefits under section 1(b)(2) of the Davis -Bacon Act on behalf of laborers or mechanics are considered wages paid to such laborers or mechanics, subject to the provisions of paragraph (e) of this article; also, regular contributions made or costs incurred for more than a weekly period (but not less often than quarterly) under plans, funds, or programs which cover the particular weekly period, arc deemed to be constructively made or incurred during such period. (3) Such laborers and mechanics shall be paid not less than the appropriate wage rate and fringe benefits in the wage determination for the classification of work actually performed, without regard to skill, except as provided in the article entitled Apprentices and Trainees. Laborers or mechanics performing work in more than one classification may be compensated at the rate specified for each classification for the time actually worked therein; provided, that the employer's payroll records accurately set forth the time spent in each classification in which work is performed. (4) The wage determination (including any additional classifications and wage rates conformed under paragraph (c) of this article) and the Davis -Bacon poster (WH-1321) shall be posted at all times by the Contractor and its subcontractors at the site of the work in a prominent and accessible place where it can be easily seen by the workers. c. (1) The Contracting Officer shall require that any class of laborers or mechanics which is not listed in the wage determination and which is to be employed under the award shall be classified in conformance with the wage determination. The Contracting Officer shall approve an additional classification and wage rate and fringe benefits therefore only when all the following criteria have been met: (i) The work to be performed by the classification requested is not performed by a classification in the wage determination. (ii) The classification is utilized in the area by the construction industry. (iii) The proposed wage rate, including any bona fide fringe benefits, bears a reasonable relationship to the wage rates contained in the wage determination. (2) If the Contractor and the laborers and mechanics to be employed in the classification (if known), or their representatives and the Contracting Officer agree on the classification and wage rate (including the amount designated for fringe benefits, where appropriate), a report of the action taken shall be sent by the Contracting Officer to the Administrator of the: Wage and Hour Division Employment Standards Administration U.S. Department of Labor Washington, DC 20210 The Administrator or an authorized representative will approve, modify, or disapprove every additional classification action within 30 days of receipt and so advise the Contracting Officer or will notify the Contracting Officer within the 30 -day period that additional time is necessary. (3) In the event the Contractor, the laborers or mechanics to be employed in the classification, or their representatives, and the Contracting Officer do not agree on the proposed classification and wage rate (including the amount designated for fringe benefits, where appropriate), the Contracting Officer shall refer the questions, including the views of all interested parties and the recommendation of the Contracting Officer, to the Administrator of the Wage and Hour Division for determination. The Administrator, or an authorized representative, will issue a determination within 30 days of receipt and so advise the Contracting Officer or will notify the Contracting Officer within the 30 -day period that additional time is necessary. Not Specified/Other 19 083109 (4) The wage rate (including fringe benefits, where appropriate) determined pursuant to subparagraphs (c)(2) and (c)(3) of this article shall be paid to all workers performing work in the classification under this award from the first day on which work is performed in the classification. (d) Whenever the minimum wage rate prescribed in the award for a class of laborers or mechanics includes a fringe benefit which is not expressed as an hourly rate, the Contractor shall either pay the benefit as stated in the wage determination or shall pay another bona fide fringe benefit or an hourly cash equivalent thereof. (e) If the Contractor does not make payments to a trustee or other third person, the Contractor may consider as part of the wages of any laborer or mechanic the amount of any costs reasonably anticipated in providing bona fide fringe benefits under a plan or program; provided, that the Secretary of Labor has found, upon the written request of the Contractor, that the applicable standards of the Davis -Bacon Act have been met. The Secretary of Labor may require the Contractor to set aside in a separate account assets for the meeting of obligations under the plan or program. Rates of Wages The minimum wages to be paid laborers and mechanics under this award involved in performance of work at the project site, as determined by the Secretary of Labor to be prevailing for the corresponding classes of laborers and mechanics employed on projects of a c arac er ar o e contract wor in the pertinent locality, are included as an attachment to this award. These wage rates are minimum rates and are not intended to represent the actual wage rates that the Contractor may have to pay. Payrolls and Basic Records (a) Payrolls and basic records relatin the o$all be maintained by the Contractor during the course of the work and preserved for a period 3 years ereafter for all laborers and mechanics working at the site of the work. Such records shall contain the name, address, and social security number of each such worker, his or her correct classification, hourly rates of wages paid (including rates of contributions or costs anticipated for bona fide fringe benefits or cash equivalents thereof of the types described in section 1(b)(2)(B) of the Davis -Bacon Act), daily and weekly number of hours worked, deductions made, and actual wages paid. Whenever the Secretary of Labor has found, under paragraph (d) of the article entitled Davis -Bacon Act, that the wages of any laborer or mechanic include the amount of any costs reasonably anticipated in providing benefits under a plan or program described in section 1(b)(2)(B) of the Davis -Bacon Act, the Contractor shall maintain records which show that the commitment to provide such benefits is enforceable, that the plan or program is financially responsible, and that the plan or program has been communicated in writing to the laborers or mechanics affected, and records which show the costs anticipated or the actual cost incurred in providing such benefits. Contractors employing apprentices or trainees under approved programs shall maintain written evidence of the registration of apprenticeship programs and certification of trainee programs, the registration of the apprentices and trainees, and the ratios and wage rates prescribed in the applicable programs. (b) (I) The Contractor shall submit weekly for each week in which any award work is performed a copy of all payrolls to the Contracting Officer. The payrolls submitted shall set out accurately and completely all of the information required to be maintained under paragraph (a) of this article. This information may be submitted in any form desired. Optional Form WH-347 (Federal Stock Number 029-005-00014-1) is available for this purpose and may be purchased from the -- t Superintendent of Documents U.S. Government Printing Office Washington, DC 20402 The Prime Contractor is responsible for the submission of copies of payrolls by all subcontractors. (2) Each payroll submitted shall be accompanied by a "Statement of Compliance," signed by the Contractor or subcontractor or his or her agent who pays or supervises the payment of the persons employed under the award and shall certify -- (i) That the payroll for the payroll period contains the information required to be maintained under Not Specified/Other 20 083109 paragraph (a) of this article and that such information is correct and complete; (ii) That each laborer or mechanic (including each helper, apprentice, and trainee) employed on the award during the payroll period has been paid the full weekly wages earned, without rebate, either directly or indirectly, and that no deductions have been made either directly or indirectly from the full wages earned, other than permissible deductions as set forth in the Regulations, 29 CFR Part 3; and (iii) That each laborer or mechanic has been paid not less than the applicable wage rates and fringe benefits or cash equivalents for the classification of work performed, as specified in the applicable wage determination incorporated into the award. (3) The weekly submission of a properly executed certification set forth on the reverse side of Optional Form WH-347 shall satisfy the requirement for submission of the "Statement of Compliance" required by subparagraph (b)(2) of this article. (4) The falsification of any of the certifications in this article may subject the Contractor or subcontractor to civil or criminal prosecution under Section 1001 of Title 18 and Section 3729 of Title 31 of the United States Code. (c) The Contractor or subcontractor shall make the records required under paragraph (a) of this article available for inspection, copying, or transcription by the Contracting Officer or authorized representatives of the Contracting Officer or the Department of Labor. The Contractor or subcontractor shall permit the Contracting Officer or representatives of the Contracting Officer or the Department of Labor to interview employees during working hours on the job. If the Contractor or subcontractor fails to submit required records or to make them available, the Contracting Officer may, after written notice to the Contractor, take such action as may be necessary to cause the suspension of any further payment. Furthermore, failure to submit the required records upon request or to make such records available may be grounds for debarment action pursuant to 29 CFR 5.12. Withholding of Funds The Contracting Officer shall, upon his or her own action or upon written request of an authorized representative of the Department of Labor, withhold or cause to be withheld from the Contractor under this award or any other Federal award with the same Prime Contractor, or any other federally assisted award subject to Davis -Bacon prevailing wage requirements, which is held by the same Prime Contractor, so much of the accrued payments or advances as may be considered necessary to pay laborers and mechanics, including apprentices, trainees, and helpers, employed by the Contractor or any subcontractor the full amount of wages required by the award. In the event of failure to pay any laborer or mechanic, including any apprentice, trainee, or helper, employed or working on the site of the work, all or part of the wages required by the award, the Contracting Officer may, after written notice to the Contractor, take such action as may be necessary to cause the suspension of any further payment, advance, or guarantee of funds until such violations have ceased. Apprentices and Trainees (a) Apprentices. (1) An apprentice will be permitted to work at less than the predetermined rate for the work they performed when they are employed— (i) Pursuant to and individually registered in a bona fide apprenticeship program registered with the U.S. Department of Labor, Employment and Training Administration, Office of Apprenticeship and Training, Employer, and Labor Services (OATELS) or with a State Apprenticeship Agency recognized by the OATELS; or (ii) In the first 90 days of probationary employment as an apprentice in such an apprenticeship program, even though not individually registered in the program, if certified by the OATELS or a State Apprenticeship Agency (where appropriate) to be eligible for probationary employment as an apprentice. Not Specified/Other 21 083109 (2) The allowable ratio of apprentices to journeymen on the job site in any craft classification shall not be greater than the ratio permitted to the Contractor as to the entire work force under the registered program. (3) Any worker listed on a payroll at an apprentice wage rate, who is not registered or otherwise employed as stated in paragraph (a)(1) of this article, shall be paid not less than the applicable wage determination for the classification of work actually performed. In addition, any apprentice performing work on the job site in excess of the ratio permitted under the registered program shall be paid not less than the applicable wage rate on the wage determination for the work actually performed. (4) Where a contractor is performing construction on a project in a locality other than that in which its program is registered, the ratios and wage rates (expressed in percentages of the journeyman's hourly rate) specified in the Contractor's or subcontractor's registered program shall be observed. Every apprentice must be paid at not less than the rate specified in the registered program for the apprentice's level of progress, expressed as a percentage of the journeyman hourly rate specified in the applicable wage determination. (5) Apprentices shall be paid fringe benefits in accordance with the provisions of the apprenticeship program. If the apprenticeship program does not specify fringe benefits, apprentices must be paid the full amount of fringe benefits listed on the wage determination for the applicable classification. If the Administrator determines that a different practice prevails for the applicable apprentice classification, fringes shall be paid in accordance with that determination. (6) In the event OATELS, or a State Apprenticeship Agency recognized by OATELS, withdraws approval of an apprenticeship program, the Contractor will no longer be permitted to utilize apprentices at less than the applicable predetermined rate for the work performed until an acceptable program is approved. (b) Trainees. (1) Except as provided in 29 CFR 5.16, trainees will not be permitted to work at less than the predetermined rate for the work performed unless they are employed pursuant to and individually registered in a program which has received prior approval, evidenced by formal certification by the U.S. Department of Labor, Employment and Training Administration, Office of Apprenticeship Training, Employer, and Labor Services (OATELS). The ratio of trainees to journeymen on the job site shall not be greater than permitted under the plan approved by OATELS. (2) Every trainee must be paid at not less than the rate specified in the approved program for the trainee's level of progress, expressed as a percentage of the journeyman hourly rate specified in the applicable wage determination. Trainees shall be paid fringe benefits in accordance with the provisions of the trainee program. If the trainee program does not mention fringe benefits, trainees shall be paid the full amount of fringe benefits listed in the wage determination unless the Administrator of the Wage and Hour Division determines that there is an apprenticeship program associated with the corresponding journeyman wage rate in the wage determination which provides for less than full fringe benefits for apprentices. Any employee listed on the payroll at a trainee rate who is not registered and participating in a training plan approved by the OATELS shall be paid not less than the applicable wage rate in the wage determination for the classification of work actually performed. In addition, any trainee performing work on the job site in excess of the ratio permitted under the registered program shall be paid not less than the applicable wage rate in the wage determination for the work actually performed. (3) In the event OATELS withdraws approval of a training program, the Contractor will no longer be permitted to utilize trainees at less than the applicable predetermined rate for the work performed Not Specified/Other 22 083109 until an acceptable program is approved. (d) Equal employment opportunity. The utilization of apprentices, trainees, and journeymen under this article shall be in conformity with the equal employment opportunity requirements of Executive Order 11246, as amended, and 29 CFR Part 30. Compliance with Copeland Act Requirements The Contractor shall comply with the requirements of 29 CFR Part 3, which are hereby incorporated by reference in this award. Subcontracts (Labor Standards) (a) Definition. "Construction, alteration or repair," as used in this article means all types of work done by laborers and mechanics employed by the construction Contractor or construction subcontractor on a particular building or work at the site thereof; including without limitation — (1) Altering, remodeling, installation (if appropriate) on the site of the work of items fabricated off - site; (2) Painting and decorating; (3) Manufacturing or furnishing of materials, articles, supplies, or equipment on the site of the building or work; (4) Transportation of materials and supplies between the site of the work within the meaning of paragraphs (a)(1)(i) and (ii) of the "site of the work" as defined in the article entitled Davis Bacon Act of this award, and a facility which is dedicated to the construction of the building or work and is deemed part of the site of the work within the meaning of paragraph (2) of the "site of work" definition; and (5) Transportation of portions of the building or work between a secondary site where a significant portion of the building or work is constructed, which is part of the "site of the work" definition in paragraph (a)(l)(ii) of the Davis -Bacon Act article, and the physical place or places where the building or work will remain (paragraph (a)(1)(i) of the Davis Bacon Act article, in the "site of the work" definition). (b) The Contractor or subcontractor shall insert in any subcontracts for construction, alterations and repairs within the United States the articles entitled — (1) Davis -Bacon Act; Contract Work Hours and Safety Standards Act -- Overtime Compensation (if the article is included in this award); Apprentices and Trainees; Payrolls and Basic Records; Compliance with Copeland Act Requirements; Withholding of Funds; Subcontracts (Labor Standards); Contract Termination— Debarment; Not Specified/Other 23 083109 (9) Disputes Concerning Labor Standards; (10) Compliance with Davis -Bacon and Related Act Regulations; and (11)Certification of Eligibility. (c) The Prime Contractor shall be responsible for compliance by any subcontractor or lower tier subcontractor perfonning construction within the United States with all the award articles cited in paragraph (b). (d) (1)Within 14 days after issuance of the award, the Contractor shall deliver to the Contracting Officer a completed Standard Form (SF) 1413, Statement and Acknowledgment, for each subcontract for construction within the United States, including the subcontractor's signed and dated acknowledgment that the articles set forth in paragraph (b) of this article have been included in the subcontract. Within 14 days after the award of any subsequently awarded subcontract the Contractor shall deliver to the Contracting Officer an updated completed SF 1413 for such additional subcontract. (e) The Contractor shall insert the substance of this article, including this paragraph (e) in all subcontracts for construction within the United States. Contract Termination -- Debarment A breach of the award articles entitled Davis -Bacon Act, Contract Work Hours and Safety Standards Act -- Overtime Compensation, Apprentices and Trainees, Payrolls and Basic Records, Compliance with Copeland Act Requirements, Subcontracts (Labor Standards), Compliance with Davis -Bacon and Related Act Regulations, or Certification of Eligibility may be grounds for termination of the whole award or in part for the Recovery Act covered work only, and for debarment as a Contractor and subcontractor as provided in 29 CFR 5.12. Compliance with Davis -Bacon and Related Act Regulations All rulings and interpretations of the Davis -Bacon and Related Acts contained in 29 CFR Parts 1, 3, and 5 are hereby incorporated by reference in this award. Disputes Concerning Labor Standards The United States Department of Labor has set forth in 29 CFR Parts 5, 6, and 7 procedures for resolving disputes concerning labor standards requirements. Such disputes shall be resolved in accordance with those procedures and not the Disputes and Appeals as defined in 10 CFR 600.22. Disputes within the meaning of this article include disputes between the Contractor (or any of its subcontractors) and the contracting agency, the U.S. Department of Labor, or the employees or their representatives. Certification of Eligibility (a) By entering into this award, the Contractor certifies that neither it (nor he or she) nor any person or firm who has an interest in the Contractor's firm is a person or firm ineligible to be awarded Government awards by virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1). (b) No part of this award shall be subcontracted to any person or firm ineligible for award of a Government award by virtue of section 3(a) of the Davis -Bacon Act or 29 CFR 5.12(a)(1). (c) The penalty for making false statements is prescribed in the U.S. Criminal Code, 18 U.S.C. 1001. Approval of Wage Rates Not Specified/Other 24 083109 All straight time wage rates, and overtime rates based thereon, for laborers and mechanics engaged in work under this award must be submitted for approval in writing by the head of the contracting activity or a representative expressly designated for this purpose, if the straight time wages exceed the rates for corresponding classifications contained in the applicable Davis -Bacon Act minimum wage determination included in the award. Any amount paid by the Contractor to any laborer or mechanic in excess of the agency approved wage rate shall be at the expense of the Contractor and shall not be reimbursed by the Government. If the Government refuses to authorize the use of the overtime, the Contractor is not released from the obligation to pay employees at the required overtime rates for any overtime actually worked. 31. HISTORIC PRESERVATION Prior to the expenditure of Federal funds to alter any structure or site, the Recipient is required to comply with the requirements of Section 106 of the National Historic Preservation Act (NHPA), consistent with DOE's 2009 letter of delegation of authority regarding the NHPA. Section 106 applies to historic properties that are listed in or eligible for listing in the National Register of Historic Places. In order to fulfill the requirements of Section 106, the Recipient must contact the State Historic Preservation Officer (SHPO), and, if applicable, the Tribal Historic Preservation Officer (THPO), to coordinate the Section 106 review outlined in 36 CFR Part 800. SHPO contact information is available at the following link: http://www.ncshpo.org/find/index.htm. THPO contact information is available at the following link: http://www.nathpo.org/map.hhnl. Section 110(k) of the NHPA applies to DOE funded activities. Recipients shall avoid taking any action that results in an adverse effect to historic properties pending compliance with Section 106. Recipients should be aware that the DOE Contracting Officer will consider compliance with Section 106 of NHPA complete only after the Recipient has submitted adequate background documentation to the SHPO/THPO for its review, and the SHPO/THPO has provided written concurrence to the Recipient that it does not object to its Section 106 finding or determination. Recipient shall provide a copy of this concurrence to the Contracting Officer. This HISTORIC PRESERVATION clause applies to the Weld County Courthouse. Not Specified/Other 25 083109 ATTACHMENT 1 - INTELLECTUAL PROPERTY PROVISIONS Intellectual Property Provisions (NRD-1003) Nonresearch and Development Nonprofit organizations are subject to the intellectual property requirements at 10 CFR 600.136(a), (c) and (d). All other organizations are subject to the intellectual property requirements at 10 CFR 600.136(a) and (c). 600.136 Intangible property. (a) Recipients may copyright any work that is subject to copyright and was developed, or for which ownership was purchased, under an award. DOE reserves a royalty -free, nonexclusive and irrevocable right to reproduce, publish or otherwise use the work for Federal purposes, and to authorize others to do so. (c) DOE has the right to: (1) Obtain, reproduce, publish or otherwise use the data first produced under an award; and (2) Authorize others to receive, reproduce, publish, or otherwise use such data for Federal purposes. (d) In addition, in response to a Freedom of Information act (FOIA) request for research data relating to published research findings produced under an award that were used by the Federal Government in developing an agency action that has the force and effect of law, the DOE shall request, and the recipient shall provide, within a reasonable time, the research data so that they can be made available to the public through the procedures established under the FOIA. If the DOE obtains the research data solely in response to a FOIA request, the agency may charge the requester a reasonable fee equaling the full incremental cost of obtaining the research data. This fee should reflect the costs incurred by the agency, the recipient, and applicable subrecipients. This fee is in addition to any fees the agency may assess under the FOIA (5 U.S.C. 552(a)(4)(A)). Not Specified/Other 26 DOE F 4600.2 (2/09) All Other Editions Are Obsolete ATTACHMENT 3 U.S. Department of Energy FEDERAL ASSISTANCE REPORTING CHECKLIST AND INSTRUCTIONS 1. Identification Number: DESC0001811 2. Program/Project Title: Weld County Government Energy Efficiency Retrofits and Transportation Efficiency 3. Recipient: Weld County, Colorado 4. Reporting Requirements: A. MANAGEMENT REPORTING Frequency No. of Copies Addressees A Upload only 1 copy to the address in the next column at the Interval specified in the previous column. EECBG(ioo.doeoov • Progress Report Special Status Report Contracting Officer listed in Block 25 of Assistance Agreement B. SCIENTIFIC/TECHNICAL REPORTING (Reports/Products must be submitted with appropriate DOE F 241. The 241 forms are available at www.osti.00v/elink) Report/Product Form ❑ Final Scientific/Technical Report DOE F 241.3 ■ Conference papers/proceedings' DOE F 241.3 • Software/Manual DOE F 241.4 ❑ Other (see Special Instructions) DOE F 241.3 * Scientific and technical conferences only C. FINANCIAL REPORTING Q, F EECBGCo.go.doe.00v df SF -425, Federal Financial Report Contracting Officer listed in Block 25 of Assistance Agreement O. CLOSEOUT REPORTING ❑ Patent Certification F EECBG CNoo.doe.cov Contracting Officer listed in Block 25 of Assistance Agreement Property Certification ■ Other (see Special Instructions) E. OTHER REPORTING ❑ Annual Indirect Cost Proposal Q, F, A See Special Instructions Below • Annual Inventory Report of Federally Owned Property, if any @ Other — See Section 5 below: FREQUENCY CODES AND DUE DATES: A - Within 5 calendar days after events or as specified. S - Semiannually; within 30 days after end of reporting period. F - Final; 90 calendar days after expiration or termination of the award. Q - Quarterly; within 30 days after end of the reporting period. Y - Yearly; 90 days after the end of the reporting period. 5. Special Instructions: Forms are available at https://www.eere-omc.enerov.gov/forms.asp. Because this award is funded under the of the reporting period. Other Reporting is as follows: Energy Efficiency and Conservation Strategy (if applicable ) ANNUAL REPORTS ARRA — Performance Progress Report See Federal Assistance Reporting Instructions on following pages for more details. Please note: All quarterly reports are due no later than 30 days after the end of the reporting period. Recovery Act, the ARRA Performance Progress Report is due no later than 10 days after the end • • • Federal Assistance Reporting Instructions Reporting requirements under the EECBG Program consist of the following types of reports: SPECIAL STATUS REPORT The recipient must report the following events by e-mail as soon as possible after they occur: 1. Developments that have a significant favorable impact on the project. 2. Problems, delays, or adverse conditions which materially impair the recipient's ability to meet the objectives of the award or which may require DOE to respond to questions relating to such events from the public. For example, the recipient must report any of the following incidents and include the anticipated impact and remedial action to be taken to correct or resolve the problem/condition: a. Any single fatality or injuries requiring hospitalization of five or more individuals. b. Any significant environmental permit violation. c. Any verbal or written Notice of Violation of any Environmental, Safety, and Health statutes or regulations. d. Any incident which causes a significant process or hazard control system failure. e. Any event which is anticipated to cause a significant schedule slippage or cost increase. f. Any damage to Government -owned equipment in excess of $50,000. g. Any other incident that has the potential for high visibility in the media. FINANCIAL REPORTING FOR ALL RECIPIENTS: Submit a Quarterly Progress Report and the SF -425 Federal Financial Report. Instructions for the Quarterly Progress Report are below. The SF -425 is available at http://www.whitehouse.qov/omb/grants/index.html. CLOSEOUT REPORTING Property Certification The recipient must provide the Property Certification, including the required inventories of non-exempt property, located at http://qrants.pr.doe.qov. EECS STRATEGY (for units of local government and Indian tribes only) FOR UNITS OF LOCAL GOVERNMENT AND INDIAN TRIBES: units of local government and Indian tribes that do not submit an Energy Efficiency and Conservation Strategy (EECS) with their application must submit one not later than one -hundred twenty (120) days after the effective date of the award. The EELS shall be a comprehensive strategy that covers, at a minimum, all items details in Attachment D as well as the following: • Jurisdictional area covered by plan and governing body and/or office with direct authority over plan • Plan implementation partners and any leverages funds from private or other public sources • Baseline energy use and GHG emissions inventory and forecast • Goals/objectives for total energy use and emissions reductions, and energy efficiency increase (including deployment of renewable technologies) • Goals can be qualitative 2 • Actions/plans/strategies and implementation schedule to meet goals • Actions and strategies included in the plan can be eligible activities for use of funds under EECBG as well as activities that are ineligible; comprehensive planning is encouraged. The eligible activities should be marked as such. • Applicants are encouraged, in particular, to include the potential impact of anticipated leveraged funds from private as well as other public sources. • Expected outcomes and benefits of plan: • Jobs created and/or retained • Energy saved • Renewable energy capacity • GHG emissions reduced • Funds leveraged • Obstacles to reaching goals and strategies to remove obstacles • Policies and/or administrative actions adopted or needed to support actions/plans/strategies/targets/schedule • Evaluation, monitoring and verification plan • Plan for how activities will be sustained beyond grant period • Plans for the use of funds by adjacent eligible units of local governments that receive grants under the program; and plans to coordinate and share information with the state in which the eligible unit of local government is located regarding activities carried out using the grant to maximize the energy efficiency and conservation benefits under this part. • Plans for how these funds will be coordinated with leverages funds, including other Recovery Act funds, to maximize benefits for local and regional communities. ANNUAL REPORTS FOR UNITS OF LOCAL GOVERNMENT AND INDIAN TRIBES: Submit annual reports not later than two (2) years after the effective date of this award and annually thereafter. The annual report shall describe the status of development and implementation of the energy efficiency and conservation strategy and an assessment of energy efficiency gains within the jurisdiction of the eligible unit of local government or Indian Tribe. The annual report shall also address the metrics listed below. FOR STATES: Submit annual reports not later than one (1) year after the effective date of this award and annually thereafter. The annual report will include the metrics listed below as well as: • The status of development and implementation of the energy efficiency and conservation strategy of the state during the preceding calendar year; • The status of the subgrant program of the state; • Specific energy efficiency and conservation goals of the state for subsequent calendar years; and • Activities (list all programs created or supported by program funds and amount of program funds spent on each activity, indicate which programs are new and which are existing, indicate which programs are supported solely by program funds, and which have other funding sources. ARRA PERFORMANCE PROGRESS REPORT Failure to comply with this reporting requirement may result in termination of that part of the award funding by Recovery Act. ' Not later than 10 days after the end of each calendar quarter, each recipient shall submit a report to the grantor agency that contains: • The total amount of American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, covered funds received from that agency; • The amount of American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, covered funds received that were expended or obligated to project or activities; • A detailed list of all projects or activities for which American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, covered funds were expended or obligated including: 3 • • • o Name of project or activity o Description of project or activity o Evaluation of the completion status of project or activity o Estimate of number of jobs created and retained by project or activity in the manner and form prescribed by DOE o Infrastructure investments made by State and local governments, purpose, total cost, rationale or agency for funding infrastructure investment, name of agency contact. o Information on subcontracts or subgrants awarded by recipient to include data elements required to comply with the Federal Accountability and Transparency Act of 2006 (Pub. L. 109-282). • Compliance: As a condition of receipt of funds under this Act, no later than 180 days of enactment, all recipients shall provide the information described above. DOE intends to append the periodic ARRA — Performance Progress Report to include reporting on the following, at a minimum: The results of the funding provided for the EECBG Program through the American Recovery and Reinvestment Act (ARRA) will be assessed according to the following performance metrics: • Jobs created and/or retained • Energy (kwh/therms/gallons/BTUs/etc.) saved • Renewable energy generated • GHG emissions reduced • Cost savings The metrics described below are designed to track the accomplishments of projects funded by EECBG. States must not include results reported by direct grant recipients. Grant recipients will be presented with reporting requirements at the time they receive funding and will be expected to report their achievements in terms of the specified metrics presented below. Grant recipients will be required to report quarterly on project expenditures, and also on specific activities and achievements, such as square feet of buildings retrofitted. These items tend to be outputs (actions taken by grant recipients) but also include some short-term outcomes (results achieved relatively soon after project outputs occur that lead toward attainment of ultimate project objectives). Expenditures: Accurate records should be kept on project expenditures for all EECBG ARRA funded efforts. The specific information to be gathered and tracked is listed below. It will be the same for all project types: • Expenditures for project activities • Expenditures for administration • Expenditures for evaluation • Leveraged funds Metrics Activity: The key metrics to be reported will vary by project type. The minimum information to be reported, by project activity type, is reported below. Building Codes and Standards • Name of new code adopted • Name of old code replaced • Number of new and existing buildings covered by new code Building Retrofits • Number of buildings retrofitted, by sector • Square footage of buildings retrofitted, by sector Clean Energy Policy • Number of alternative energy plans developed or improved • Number of renewable portfolio standards established or improved • Number of interconnection standards established or improved 4 • Number of energy efficiency portfolio standards established or improved • Number of other policies developed or improved Building Energy Audits • Number of audits performed, by sector • Floor space audited, by sector • Auditor's projection of energy savings, by sector Energy Efficiency Rating and Labeling • Types of energy -consuming devices for which energy -efficiency rating and labeling systems were endorsed by the grantee Government, School, Institutional Procurement • Number of units purchased, by type (e.g., vehicles, office equipment, HVAC equipment, streetlights, exit signs) Industrial Process Efficiency (kwh equivalents) • Reduction in natural gas consumption (mmcf) • Reduction in fuel oil consumption (gallons) Reduction in electricity consumption (MWh) Loans and Grants • Number and monetary value of loans given • Number and monetary value of grants given Renewable Energy Market Development • Number and size of solar energy systems installed • Number and size of wind energy systems installed • Number and size of other renewable energy systems installed Financial Incentives for Energy Efficiency and Other Covered Investments • Monetary value of financial incentive provided, by sector • Total value of investments incentivized, by sector Technical Assistance • Number of information transactions contacts (for example, webinar, site visit, media, fact sheet) in which energy efficiency or renewable energy measure were recommended, by sector Transportation • Number of alternative fuel vehicles purchased • Number of conventional vehicles converted to alternative fuel use • Number of new alternative refueling stations emplaced • Number of new carpools and vanpools formed • Number of energy -efficient traffic signals installed • Number of street lane -miles for which synchronized traffic signals were installed Workshops, Training, and Education • Number of workshops, training, and education sessions held, by sector • Number of people attending workshops, training, and education sessions, by sector Other Activities Not Previously Defined • Pertinent metric information for any activity not defined above should be captured and included as needed Short-term Outcomes (DOE will provide supplemental guidance on how to calculate these outcomes to ensure consistent approaches that results can be aggregated at a regional, State and national level): 5 • • • Energy Savings (kwh • equivalents) Annual reduction in Annual reduction in Annual reduction in Annual reduction in Annual reduction in Annual reduction in end -use category Job Creation/Retention Number Type Duration natural gas consumption (mmcf) by sector and end -use category electricity consumption (MWh) by sector and end -use category electricity demand (MW) by sector and end -use category fuel oil consumption (gallons) by sector and end -use category propane consumption (gallons) by sector and end -use category gasoline and diesel fuel consumption (gallons) by sector and Renewable Energy Capacity and Generation • Amount of wind -powered electric generating capacity installed (MW) • Amount of electricity generated from wind systems (MWh) • Amount of photovoltaic generating capacity installed (MW) • Amount of electricity generated from photovoltaic systems (MWh) • Amount of electric generating capacity from other renewable sources installed (MW) • Amount of electricity generated from other renewable sources (MWh) Emissions Reductions (tons) (0O2 equivalents) • Methane • Carbon • Sulfur dioxide • Nitrogen oxide • Carbon monoxide Protected Personally Identifiable Information (PII) Reports must not contain any Protected PII. PII is any information about an individual which can be used to distinguish or trace an individual's identity. Some information that is considered to be PII is available in public sources such as telephone books, public websites, university listings, etc. This type of information is considered to be Public PII and includes, for example, first and last name, address, work telephone number, e-mail address, home telephone number, and general educational credentials. In contrast, Protected PII is defined as an individual's first name or first initial and last name in combination with any one or more of types of information, including, but not limited to, social security number, passport number, credit card numbers, clearances, bank numbers, biometrics, date and place of birth, mother's maiden name, criminal, medical and financial records, educational transcripts, etc. 6 GRANTS. GOV"' Grant Application Package •portunity Title: Bring Agency: CFDA Number: CFDA Description: Opportunity Number Competition ID: Opportunity Open Date: Opportunity Close Date: Agency Contact: Recovery Act Energy Efficiency and Conservation Block' National Energy Technology Laboratory 81.128 Energy Efficiency & Conservation Block Grant Program DE -FDA -0000013 03/28/2009 06/25/2009 Sue Miltenberger Contract Specialist E-mail: EECBG@netl.doe.gov This electronic grants application Isintended to be used to apply for the specific Federal funding opportunity referenced here. If the Federal funding opportunity listed is not the opportunity for which you want to apply, close this application package by clicking on the "Cancel" button at the top of this screen. You will then need to locate the correct Federal funding opportunity, download its application and then apply. This opportunity is only open to organizations, applicants who are submitting grant applications on behalf of a company, state, local or tribal government, academia, or other type of organization. * Application Filing Name: Mandatory Documents fit Documents CO -COUNTY -WELD isclosure of Lobbying Activities (SF-LLL) Instructions Move Form to Complete Move Form to Delete Mandatory Documents for Submission Application for Federal Assistance (SF -4240 - Other Attachments Form Project/Performance. Site. Location(s) Move Form to Optional Documents for Submission Submission List .._-- . Submission Move Form to Delete OEnter a name for the application in the Application Filing Name field. - This application can be completed in its entirety offline: however. you will need to login to the Grants.gov website during the submission process. - You can save your application at any time by clicking the "Save" button at the top of your screen. - The "Save & Submit" button will not be functional until all required data fields in the application are completed and you clicked on the "Check Package for Errors" button and confirmed all data required data fields are completed. OOpen and complete all of the documents listed in the "Mandatory Documents" box. Complete the SF -424 form first. - It is recommended that the SF -424 form be the first form completed for the application package. Data entered on the SF -424 will populate data fields in other mandatory and optional forms and the user cannot enter data in these fields. - The forms listed in the "Mandatory Documents" box and "Optional Documents" may be predefined forms. such as SF -424, forms where a document needs to be attached, such as the Project Narrative or a combination of both. "Mandatory Documents" are required for this application. "Optional Documents" can be used to provide additional support for this application or may be required for specific types of grant activity. Reference the application package instructions for more information regarding "Optional Documents". - To open and complete a form, simply click on the form's name to select the item and then click on the => button. This will move the document to the appropriate "Documents for Submission" box and the form will be automatically added to your application package. To view the form, scroll down the screen or select the form name and click on the "Open Form" button to begin completing the required data fields. To remove a form/document from the "Documents for Submission" box, click the document name to select it, and then click the <= button. This will return the form/document to the "Mandatory Documents" or "Optional Documents" box. - All documents listed in the "Mandatory Documents" box must be moved to the "Mandatory Documents for Submission" box. When you open a required form, the fields which must be completed are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a field, you will receive an error message. • Click the "Save & Submit" button to submit your application to Grants.gov. - Once you have properly completed all required documents and attached any required or optional documentation, save the completed application by clicking on the "Save" button. - Click on the "Check Package for Errors" button to ensure that you have completed all required data fields. Correct any errors or if none are found, save the application package. - The "Save & Submit" button will become active, click on the "Save & Submit" button to begin the application submission process. - You will be taken to the applicant login page to enter your Grants.gov username and password. Follow all onscreen instructions for submission. OMB Number: 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF -424 Version 02 • 1. Type of Submission: Preapplication 0 Application Changed/Corrected Application " 2. Type of Application: ❑X New Continuation Revision • If Revision, select appropriate letter(s): Other (Specify) • 3. Date Received: Completed by Grants.gov upon submission. 4. Applicant Identifier: 5a. Federal Entity Identifier: • 5b. Federal Award Identifier: State Use Only: 6. Date Received by State: 8. APPLICANT INFORMATION: 7. State Application Identifier: a. Legal Name: Weld County Government " b. Employer/Taxpayer Identification Number (EINITIN): 84 6000813 c. Organizational DUNS: 075757955 d. Address: Streetl: Street2: • City: County: State: Province: ' Country: Zip / Postal Code: 915 10th Street [P.O. Box 758 Greeley CO: Colorado USA: UNITED STATES 80632 e. Organizational Unit: Department Name: [Finance Division Name: Administration f. Name and contact information of person to be contacted on matters involving this application: Prefix: Middle Name: • Last Name: Suffix: Title: • First Name: Monica R Daniels -Mika Director of Administrative Services J Organizational Affiliation: Weld County • Telephone Number: 970-356-4000 4210 Fax Number: 970-352-0242 • Email: mmika@co.weld.co.us OMB Number: 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF -424 Version 02 9. Type of Applicant 1: Select Applicant Type: B: County Government Type of Applicant 2: Select Applicant Type: Type of Applicant 3'. Select Applicant Type. * Other (specify)'. * 10. Name of Federal Agency: National Energy Technology Laboratory 11. Catalog of Federal Domestic Assistance Number: 81.128 CFDA Title: Energy Efficiency & Conservation Block Grant Program 12. Funding Opportunity Number: uE—F0A-0000013 ' Title: Recovery Act R Energy Efficiency and Conservation Block Grants ? Formula Grants 13. Competition Identification Number: Title 14. Areas Affected by Project (Cities, Counties, States, etc.); Weld County Colorado and Greeley Colorado * 15. Descriptive Title of Applicant's Project: Weld County Government Energy Efficiency Retrofits and Transportation Efficiency Attach supporting documents as specified in agency instructions. Add Attachments .. OMB Number:4040-0004 Expiration Date: 01/31/2009 -Application .b. for Federal Assistance SF -424 Version 02 16. Congressional Districts Of: ' a. Applicant C0-004 * b. Program/Project 00-004 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment a View Attachment 17. Proposed Project: * a. Start Date: 09/30/2009 ' b. End Date: 09/30/2010 18. Estimated Funding ($): ' a. Federal * b. Applicant ' c. State ' d. Local ' e. Other * f. Program Income 'g. TOTAL 616,400.00 122, 000.00 0 . 00 0.00 0.00 0.00 738,900.00 * 19. Is Application a. This application Program is subject Subject to Review By State Under Executive was made available to the State under to E.O. 12372 but has not been selected covered by E.O. 12372. Order 12372 Process? the Executive Order 12372 Process for review on by the State for review. © c. Program is not * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) Yes X No Explanation 21. *By signing this herein are true, complete comply with any resulting subject me to criminal, application, I certify (1) to the statements contained In the list of certifications" and (2) that the statements and accurate to the best of my knowledge. I also provide the required assurances" and agree to terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency X "I AGREE " The list of certifications specific instructions. Authorized Representative: Prefix: * First Name: William Middle Name: 'Last Name: Garcia Suffix: *Title: Weld County Commissioner * Telephone Number: 970-356-4000 ext 4209 Fax Number: 970-352-0242 .' 'Email: wgardia@co.weld.co.us Signature of Authorized Representative: Completed by Grants.gov upon submission. ' Date Signed: Completed by Grants.gov upon submission. Authorized for Local Reproduction Standard Form 424 (Revised 10/2005) Prescribed by OMB Circular A-102 OMB Number. 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF -424 Version 02 • Applicant Federal Debt Delinquency Explanation The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space. Other Attachment File(s) * Mandatory Other Attachment Filename: Add Mandatory Other Attachment'. To add more "Other Attachment" attachments, please use the attachment buttons below. Add Optional Other Attachment • • Project/Performance Site Location(s) OMB Number: 4040-0010 Expiration Date: 08/31/2011 • • • Project/Performance Site Primary Location Organization Name: DUNS Number: ' Streetl: Street2: City: State: Province: Country: ❑ I am submitting an application as an individual, and not on behalf of a company, stale, local or tribal government, academia, or other type of organization. Weld County 0757579550000 915 10th Street Greeley County: Weld CO: Colorado USA: UNITED STATES ZIP / Postal Code: Ifittairt 8063]-1113 Project/Performance Site Location 1 Organization Name: DUNS Number: • Streetl: Street2: * City: * State: Province: * Country: ' Project/ Performance Site Congressional District: CO —004 ,,, aa.9YW;,: W-- ❑ I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. Weid County 0757579550000 901 9th Ave Greeley County: CO: Colorado USA: UNITED STATES ZIP / Postal Code: 80631-1113 Project/Performance Site Location 2 Organization Name: DUNS Number: Streetl: Street2: City: State: Province: • Country: ' ProjecV Performance Site Congressional District: CO —004 ,rtmt;1i ;':: ° ,Or!dl6iLih. 117a Pi:BIQ. T t:,,.,•¢ HNNIA ❑ I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. Weld County 0757579550000 1400 N. 17th Ave Greeley County: CO: Colorado USA: UNITED STATES * ZIP / Postal Code: 80631-9563 ta,,,-3i}nP.s?§t".ii},,4,s4,iii4iit:1'.Ii;t}iS215 i441Fo-o-�iiIF Project/ Performance Site Congressional District: ISM 'SEWN CO —004 ProjectlPerformance Site Location(s) • Project/Performance Site Location 3 Organization Name: DUNS Number: Streetl: Street2: * City: * State: Province: Country: ❑ I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. Weld County 0757579550000 1407 N. 17th Ave Greeley County: CO: Colorado USA: UNITED STATES • ZIP / Postal Code: 80631-9563 .,2 Ladv4.:W' Project/Performance Site Location 4 Organization Name: DUNS Number: * Streetl: • Street2: City: *State: Province: Country: • Project/ Performance Site Congressional District: CO —004 I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. Weld County 0757579550000 1551 N. 17th Ave Greeley County CO: Colorado USA: UNITED STATES ZIP / Postal Code: 80631-9117 aMo4424MERT76ii-GE6142"6=9G9i9j34E6E0 DH Project/Performance Site Location 5 Organization Name: DUNS Number: * Street': Street2: * City: State: Province: Country: Project/ Performance Site Congressional District. CO -004 a ! :I. .a.:.q,iilili ..3_,_:i: ii.. lliiii,idiu. iiiii ...., ❑ I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. Weld County 0757579550000 2100 0 Street Greeley County: CO: Colorado USA: UNITED STATES ZIP / Postal Code: 80631-9117 Project/ Performance Site Congressional District: CO -004 I uElui .I Iii rw,a., yin ri , ,tiE. ,(I, i.,,,,,,,EiAA.i.WflF.HMa.l.mLvr:: ,t 1 i;i YiLaE. S4 Project/Performance Site Location(s) • • • Project/Performance Site Location 6 Organization Name: DUNS Number: Streets: Street2: City: State: Province: Country: ❑ I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. Weld County 0757579550000 1105 H Street Greeley County: CO: Colorado USA: UNITED STATES ZIP / Postal Code 80631-9567 t% II i f,,yyhd 811 d VtB(,di_i.l, u.it r!I iii diniiIihi N �Bhln�divi:iert.'t Project/ Performance Site Congressional District: CO -004 EECBG Activity Worksheet Grantee: Weld County Government DUNS #: 75757955 Date: 06/15/2009 Program Contact Email: mmikac�co.weld.co.us Srogram Contact First Name: Monica Last Name: Daniels -Mika Project Title: Weld County Energy Efficiency Retrofits Project Activity: 5. Energy Efficiency Retrofits If Other: Sector: public If Other: Proposed Number of Jobs Created: 6.00 Proposed Number of Jobs Retained: Proposed Energy Saved and/or Renewable Energy Generated: 1,140,129 kWh annual estimated savings Proposed GHG Emissions Reduced (CO2 Equivalents): 762.000 Proposed Funds Leveraged: Proposed EECBG Budget: 571, 701.00 Projected Costs Within Budget: Administration: Revolving Loans: Subgrants: Project Contact First Name: Toby Last Name: Taylor Metric Activity: Building Retrofits Email: ttaylcr@co.weld.co.us If Other: Project Summary: (limit summary to space provided) Weld County's EECBG funds will be used to increase energy efficiency and recognize cost savings in several county buildings. This project will provide measurable and sustainable energy savings. The goals of this project are to increase the energy efficiency of the buildings by 20%, lower the county's energy costs, and increase the functional life of the HVAC systems in several county buildings. This project aligns with the EECBG eligible activity defined as energy efficiency retrofits and supports the Weld County Energy Efficiency and Conservation Strategy. The project will include upgrades to boiler burner systems in the Centennial Center at a cost of $137,000, and to the Jail Complex at a cost of $151,811. This will result in an energy savings of 20% in each of the boiler burner systems. Inefficiencies have been identified and solutions created to ncrease the efficiency of these systems and therefore allow for the conservation of energy and fossil IIIuelconsumption. Another part of this project will include upgrades to building Heating Ventilation and Air Conditioning (HVAC)systems. One of the biggest returns in energy conservation is through the effective and efficient use of HVAC systems. Great strides have been made in the building HVAC automation industry to support energy conservation. The most recognizable is through automation systems which adjust equipment to perform at efficient levels and to meter down during non -peak times. Energy sources state changing the temperature just one degree results in a 2 percent savings. An automation system can meter down 20 degrees during non -peak time resulting in 40% savings during two-thirds of the day. The HVAC upgrades will be made on three different county buildings. Our 1400 and 1402 Administration buildings were constructed in 1992 and have served the community for 17 years. Over the past 17 years, the automation system has not kept pace with industry conservation programs. To upgrade the controls for these systems would be $58,130 for each building. Our annual utility demand for these buildings costs $33K. A 40% savings by metering down during non -peak times can result in over a $10K per year savings. Our Human Resource Development (HRD) Administration building was constructed in 1988 and has served the community for 21 years. Over the past 21 years, the automation system has not kept pace with industry conservation programs. To upgrade the controls for this system would be $58,130. Our annual utility demand for this building is $37K. A 40% savings by metering down during non -peak times can result in over a $11K per year savings. The last portion of this project will consist of upgrading lighting systems to more energy efficient units. This concept of energy conservation is proven time -and -time again. These upgrades will be made at three county buildings. The weld County Courthouse was built in 1917 and has received various remodels over the past 90 years. However, one area which remains outdated for today's technology is the lighting. Currently, the Courthouse uses T-12 ballasts and bulbs for lighting. The advent of the T-8 ballast/bulb technology has resulted in great energy consumption savings. Statistics show that converting a T-12 bulb to a T-8 bulb boasts a 20% energy savings. The entire courthouse can be upgraded to T-8 ballasts & bulbs for $36,500. The 1400 Administration building was built 17 years ago and its lighting remains outdated from today's technology. The entire building can be upgraded to T-8 ballasts & bulbs for $36,000. The same is true of the 1402 Administration building. We will pursue any energy efficiency rebates Xcel Energy may be offering for these building retrofits. he county plans to contract this work out so approximately 6 or 7 new jobs will be created. 0 If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example: "OH -CITY -Columbus - Project Activity page 1.pdf,," "OH -CITY -Columbus -Project Activity page 2.pdr,"and continue as needed. EECBG Activity Worksheet Grantee •UNS #: Weld County Government 75757955 Date: 06/15/2009 Program Contact Email: mmika@co.weld.co.us rogram Contact First Name: Monica Last Name: Daniels -Mika ProjectTitle: Weld County Transportation Efficiency Prjoject Activity: 7. Transportation If Other: Sector: public If Other: Proposed Number of Jobs Created: 1 .00 Proposed Number of Jobs Retained: Proposed Energy Saved and/or Renewable Energy Generated: Proposed GHG Emissions Reduced (CO2 Equivalents): Proposed Funds Leveraged: $122, 000.00 Proposed EECBG Budget: 44.699.00 Projected Costs Within Budget: Administration: Revolving Loans: Subgrants: Project Contact First Name: Toby Last Name: Taylor Email: ttaylor@co.weld.co.us Metric Activity: Transportation If Other: Project Summary: (limit summaryto space provided) The county will utilize a portion of the EECBG funds to purchase transportation software to manage the vast trips generated by Weld County residents. The county is using software that is fifteen years old. We have researched transportation optimization software and a solution has been identified that will allow the county to better plan and manage its trip routes to achieve the highest rate efficiencies. The automated routing and scheduling software will allow us to better handle demand response requests from residents throughout the county. Our dispatchers can accept each call and automatically input the request and find the best and most efficient time slot, vehicle and route to get them where they need to go. The transportation optimization software will help us to reduce harmful air pollutants and greenhouse gas emissions, vehicle miles traveled, energy costs and energy used. he estimated cost of this project is $166,699 with the county requesting $44,699 in EECBG grant unds. The software solution costs are $44,699. The remainder of the cost, $122,000, will be provided by the county as a commitment to and investment in energy conservation and the reduction of harmful air pollutants and greenhouse gas emissions. This cost includes the price for the total GPS solution and the software training fees. • If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example: "OH -CITY -Columbus - Project Activity page 1.pdf,, " "OH -CITY -Columbus -Project Activity page 2. pd(,"and continue as needed. AwardRumber: •cant Name: WELD COUNTY Budget Information - Non Construction Programs royal No. 0348-0044 m O ti m O O Co O S O S O O New or Revised Budget Estimated Unobligated Funds m N 0 11 C O z a S O S M Total (5) O e O S O S O S O S O 0 V CO S O 5 O S O 0 V CO S O 5 O 0 V CO S Grant Program, Function or Activity v S S CJ O e co S N o e o e O O CO S co O CD S O O CO S 6. Object Class Categories a. Personnel b. Fringe Benefits c. Travel d. 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Non -Federal Resources a) C o C a m m O a) to 3 Ca - -C a) �"5 2 a) o U) > 2 O m a "0- -o C U O • C a) 4,-D m C C O o s E co C C `O O U W 0 m IY- 0 tD a) !n ' la L- CD C O C (a N J o) N Q C O a) U m E 0 U o Z' Tom U a) 0 � U o a ) a c y O a) a E .� m .≥ o m ao a) c L O a) U C W IT CO C C p E J Y U CO Column (b) —Enter the contribution to be made by the applicant. w 0 C O a co p a) E D N e, Un L C <o O U N 0 ca c DO O Y U j C -c a a a) C N C O CO L U a @ d0 CL m Q C C @ U L Lo a C C N c o) E 0 Y m ? m O O U O "a a O C 03 .-E C Jo o N o @ l9 a) co a - 0 a .c m co o a) — o o a C C m C J w m a W 0 — C U a) o co c a L Ua) C 'n O) C O EN 0 m J E coo 00 U w CO Uw Section F. Other Budget Information Column (e) —Enter totals of Columns (b), (c), and (d). N 0 (a N U U a m D O Xd U CD o a O 70 4 a O 5 C b o E O o o w 4- o O) _ C_ O E O C o O O t o oa a d O W a) >, 0 U )aS O.(13 E Na yy 2 r a) @ cr D o 2 o) w a) m N CO O u) 0 J U V a) C E O U C C o • Q N O = U H Q) m i C E m O c E 3 O U c O L O U N C o E E To m Ca) w a o L o C W a) a) 1° r _a m c U Section D. Forecasted Cash Needs 0 O C O a 0 m C N C E a o E d N oco a a) U a ) o 2 -c — c O a O a o CL .-..aa c C a) J (0 la 15 N d as 0 C Fa C 5 O- a) Qmm a) o C.L.. O L a d L w 3 3 I o m N co a) maw c a) a) J .xC w Line 23 —Provide any other explanations or comments deemed necessary. a) c O 0 U a)0 r O J a' ICT) L ra a) N 0 O -C -C 0 U U 0 0 C C J J E0 W N m 'S m T > N C C W ` W IN IC, VI -4- 'S O) a) .0 a c J -aa J -a Line 15 —Enter the totals of amounts on Lines 13 and 14. Previous Edition Usable • FINANCIAL MANGEMENT ASSESSMENT This assessment should be completed, signed and certified by the Applicants Financial Officer • • 1. Have you previously done business with DOE? 2. Have you previously done business with any other Federal Agency? It so, please identify: 3. Can the Applicant's Financial Officer or Independent Auditor certify that the Applicant has a financial management system sufficient to meet the requirements of 10 CFR 600.220? If yes, please skip to question #10 and sign/certify below. 4. Does your accounting system have the ability to track costs on a reimbursable basis? 5. Does your system allow for accurate, current and complete financial reporting, and record keeping as well as the maintaining of adequate source documentation? 6. Does your system allow for effective internal controls and accountability? 7. Does your system allow for effective and efficient cash management procedures? 8. Does your system prohibit subaward at any tier to any party which is debarred, suspended or otherwise excluded from or ineligible for participation in Federal assistance programs? 9. The expenditure of $500,000 or more of Federal funds in a fiscal year requires an organization to have an audit performed in accordance with OMB Circular A-133. Has your organization had such an audit performed? 10. If yes, please provide the most recent report or a copy of the SF -SAC forms filed with the Federal Audit Clearinghouse. If no, proceed to the next statement and certify by checking the YES block. I understand the audit requirements and will comply with the provisions of OMB Circular A-133 YES NO ® ❑ ❑ ❑ ® 0 Barbara ConnId �ouryty1FOncial O0wer, 970-356-4000 ext 4445 June 15, 2009 PRINTED NAME, TI I-)"OfdE FTIT OF INDIVIDUAL COMPLETING FORM DATE By signing this form, the above dividuat certif hat the responses provided to this survey am accurate as of the date. If 'NO'' has been selected for any of the statements above, please provide further explanation on page 2. • *REVISION* INTERNET REPORT ID: 246072 VERSION: 2 I F 7/24/2008 OMB No. 0348-0057 FORM SF -SAC U.S. DEPT. OF COMM.- Econ. and Stat. Admin.- U.S. CENSUS BUREAU (5-2004) ACTING AS COLLECTING AGENT FOR OFFICE OF MANAGEMENT AND BUDGET Data Collection Form for Reporting on AUDITS OF STATES, LOCAL GOVERNMENTS, AND NONPROFIT ORGANIZATIONS for Fiscal Year Ending Dates in 2004, 2005, or 2006 'Complete this form, as required by OMB Circular A-133, "Audits of States, Local Governments, and Non -Profit Organizations." Federal Audit Clearinghouse 1201 E. 10th Street Jeffersonville, IN 47132 GENERAL INFORMATION (To be completed by auditee, except for Items 4 and 7) 1. Fiscal period ending date for this submission Month Day Year 12 / 31 /2006 Fiscal Period End Dates Must Be In 2004, 2005, or 2006 2. Type of Circular A-133 audit X Single audit 2 ❑ Program -specific audit 3. Audit period covered 1 X Annual 2 ❑ Biennial 3 ❑ Other - Months 4. FEDERAL Date received by GOVERNMENT Federal clearinghouse USE ONLY 5. Auditee Identification Numbers a. Primary Employer Identification Number (EIN) 8 4 6 0 0 0 8 1 3 b. Are multiple EINs covered in this report? t ❑ Yes 2 ® No c. If Part I, Item 5b = "Yes," complete Part I, Item 5c on the continuation sheet on Page 4. d. Data Universal Numbering System (DUNS) Number 0 7 5 7 5 7 9 5 5 e. Are multiple DUNS covered in this report? t ❑ Yes 2 X No f. If Part I, Item 5e = "Yes," complete Part I, Item 5f on the continuation sheet on Page 4. • • 6. AUDITEE INFORMATION a. Auditee name WELD COUNTY, STATE OF COLORADO b. Auditee address (Number and street) 915 10TH STREET City GREELEY State CO ZIP + 4 Code 8 0 6 3 1 c. Auditee contact Name BARB CONNOLLY Title CONTROLLER d. Auditee contact telephone 970 ) 356 — 4000 e. Auditee contact FAX 970 ) 352 — 9019 f. Auditee contact E-mail BCONNOLLY@CO.WELD.CO.US ELD.CO.US g. AUDITEE CERTIFICATION STATEMENT - This is to certify that, to the best of my knowledge and belief, the auditee has: (1) engaged an auditor to perform an audit in accordance with the provisions of OMB Circular A-133 for the period described in Part I, Items 1 and 3; (2) the auditor has completed such audit and presented a signed audit report which states that the audit was conducted in accordance with the provisions of the Circular; and, (3) the information included in Parts I, II, and III of this data collection form is accurate and complete. I declare that the foregoing is true and correct. Agn ature of certi I/, officials tOne lie Printed Name of certifying offidefI 3rikl3A2f) CoNt1oLLL1 Date Month Day Year 7 /3O/O8 Printed Title of certifying official CON 720LLE4C 7. AUDITOR INFORMATION (To be completed by auditor) a. Auditor name BONDI & CO., LLC b. Auditor address (Number and street) 44 INVERNESS DRIVE EAST City ENGLEWOOD State CO ZIP + 4 Code 8 0 1 1 2 c. Auditor contact Name JENNIFER ULRICH Title AUDIT SENIOR d. Auditor contact telephone 303 ) 799 — 6826 e. Auditor contact FAX 303 ) 799 — 6926 f. Auditor contact E-mail JLU@BONDICO.COM 9- AUDITOR STATEMENT - The data elements and information included in this form are limited to those prescribed by OMB Circular A-133. The information included in Parts II and Ill of the form, except for Part III, Items 7, 8, and 9a -9f, was transferred from the auditor's report(s) for the period described in Part I, Items 1 and 3, and is not a substitute for such reports. The auditor has not performed any auditing procedures since the date of the auditor's report(s). A copy of the reporting package required by OMB Circular A-133, which includes the complete auditor's report(s), is available in its entirety from the auditee at the address provided in Part I of this form. As required by OMB Circular A-133, the information in Parts II and III of this form was entered in this form by the auditor based on information included in the reporting package. The auditor has not performed any additional auditing procedures in connection with the completion of this form. Signature of auditor Date Month Day Year uL lttIth 07 /2y /or / *REVISION* INTERNET REPORT ID: 246072 VERSION: 2 IF 7/24/2008 Primary El N: 8 4 6 0 0 0 8 1 3 A . .', FINANCIAL STATEMENTS (To be completed by auditor) \ 1 . Type of audit report Mark either: 1 any combination of: 2 E3 Unqualified opinion OR ❑ Qualified opinion 3 ❑ Adverse opinion 4 ❑ Disclaimer of opinion 2. Is a "going concern" explanatory paragraph included in the audit report? 1 • Yes 2 I3 No 3. Is a reportable condition disclosed? 1 El Yes 2 ■ No — SKIP to Item 5 4. Is any reportable condition reported as a material weakness? 1 ❑ Yes 2 ❑x No 5. Is a material noncompliance disclosed? 1 • Yes 2 © No PART II FEDERAL PROGRAMS (To be completed by auditor) 1. Does the auditor's report include a statement that the auditee's financial statements include departments, agencies, or other organizational units expending $500,000 or more in Federal awards that have separate A-133 audits which are not included in this audit? (AICPA Audit Guide, Chapter 12) 1 ■ Yes 2 © No 2. What is the dollar threshold to distinguish Type A and Type B programs? Circular A-133 § $ 1,191,717 (OMB .520(b)) 3. Did the auditee qualify as a low -risk auditee? (§ .530) 1 ■ Yes 2 © No 4. Is a reportable condition disclosed for any major program? (§ _ .510(a)(1)) 1 El Yes 2 ❑ No —SKIP to Item 6 ' 5. Is any reportable condition reported as a material weakness? (§ _ .510(a)(1)) 1 ■ Yes 2 © No 6. Are any known questioned costs reported? (§ .510(a)(3) or (4)) 1 ❑ Yes 2 x❑ No 7. Were Prior Audit Findings related to direct funding shown in the Summary Schedule of Prior Audit Findings? (§_.315(b)) 1 l3 Yes 2 ■ No 8. Indicate in se 10 23 11 94 12 84 81 which Federal agency(ies) have current year audit findings related to direct funding or prior audit the Summary Schedule of Prior Audit Findings related to direct funding. (Mark (X) all that apply or None) • U.S. Agency for Inter- 83 ■ Federal Emergency 43 ❑ National Aeronautics and 96 national Development Management Agency Space Administration ■ Agriculture 39 ■ General Services Administration se ■ National Archives and 1s ❑ Appalachian Regional s3 © Health and Human Services Records Administration Commission 97 ■ Homeland Security Os • National Endowment for 20 iiCommerce 14 CIHousing and Urban the Arts 21 ❑ Corporation for National Development os • National Endowment for 82 and Community Service 03 ■ Institute of Museum and the Humanities • Defense Library Services 47 ❑ National Science 64 15 (11 Interior Foundation oo • Education07 ❑ Office of National Drug ■ Energy 16 ■ Justice Control Policy findings shown ❑ Social Security Administration ■ U.S. Department of State ❑ Transportation • Treasury Li United States Information Agency ❑ Veterans Affairs ■ None • Other — Specify: 66 ❑ Environmental 17 • Labor so ■ Small Business Agency Protection as ■ Legal Services Corporation Administration Each agency identified is required to receive a copy of the reporting package. In addition, one copy each of the reporting package is required for: ' • the Federal Audit Clearinghouse archives • and, if not marked above, the Federal cognizant agency a rn Count total number of boxes marked above and submit this number of reporting packages .... 3 Page 2 FORM SF -SAC (5-2004) CU W 2' c6 E a` 7/24/20081(Page 3 - #1 of 5) U - CC Z O N > N A O CO e N 0 cc O cc w H w z Q W F Z I 9. FEDERAL AWARDS EXPENDED DURING FISCAL YEAR _... 10. AUDIT FINDINGS Audit finding reference number(s)5 (h1 Q Z Q Z C1 O eh O Q Z Q Z N b a Q Z Q Z Q Z IF ADDITIONAL LINES ARE NEEDED, PLEASE PHOTOCOPY I THIS PAGE, ATTACH ADDITIONAL PAGES TO THE FORM, AND SEE INSTRUCTIONS r See Appendix 1 of instructions for valid Federal Agency two -digit prefixes. 20r other identifying number when the Catalog of Federal Domestic Assistance (CFDA) number is not available. (See Instructions) 3 If major program is marked "Yes," enter only one letter (U = Unqualified opinion, Q = Qualified opinion, A = Adverse opinion, D = Disclaimer of opinion) corresponding to the type of audit report in the adjacent box. If major program is marked "No," leave the type of audit report box blank. 4 Enter the letter(s) of all type(s) of compliance requirement(s) that apply to audit findings (i.e., noncompliance, reportable conditions (including material weaknesses), questioned costs, fraud, and other items reported under §_ .510(a)) reported for each Federal program. A. Activities allowed or unallowed E. Eligibility I. Procurement and suspension L. Reporting B. Allowable costs/cost principles F. Equipment and real property management and debarment M. Subrecipient monitoring C. Cash management G. Matching, level of effort, earmarking J. Program income N. Special tests and provisions \..... D. Davis — Bacon Act H. Period of availability of Federal funds K. Real property acquisition and O. None 5N/A for NONE relocation assistance _. P. Othar / Type(s) of compliance requirement(s)4 (al O O W W 0 0 W 0 0 0 Major program If yes, type of audit report 3 (h) 7 7 7 7 7 7 7 E o m 22 �®MI 0) 0 Y Z ® Yes 2❑No 0 O >- Z E❑ 0) 0 >- Z 0 O >- Z 0) 0 >- Z 1 © Yes 20 No 1 ❑ Yes 2 N 0) 0 >- Z 1 ❑ Yes 2®No M❑ E■ M■ El E... N Direct award (f) co N O >z cn d O >-z 1 ❑ Yes 2®No co 0) O >z co m O >-z 1 ❑ Yes 20 No to 0) O >-z ❑ Yes 2®No 1 ❑ Yes 2®No co 0) O >-z E❑ ■ ■3 ■a ■a ■ N 7- N N Amount expended (e) O 0) O) C) N N EA O 0 n 1O N a e O m O 00)) CT e O O a N a r S O CC') N m 00 S $ 1,289,891 .00 O N co O m a e $ 254,850 .00 $ 481,691 .00 O N W r e $ 39,726,676 .00 Name of Federal program (d) HEAD START FOOD STAMP PROGRAM FOOD STAMP ADMINISTRATION CHILD SUPPORT CHILD CARE BLOCK GRANT CHILD CARE MANDATORY FOSTER CARE TITLE IV -E CHILD AND ADULT CARE FOOD PROGRAM CSFP PROGRAM EMERGENCY FOOD ASSISTANCE TOTAL FEDERAL AWARDS EXPENDED Research and develop- ment (C) 0 O Y z N O > Z 0) 0 > Z 00 O Y Z ❑E N 1 ❑ Yes 2©No 1 ❑ Yes 2❑xNo 0 0)) O } z N O >•Z 00 O } Z 0 O > Z ■E ■E ❑3 ■c NR •a ■ N N N - N •- N 1- N 7- N N CFDA Number Federal I Agency I Extension 2 Prefixl (a) (b) O PD co N O N O CI N co I 9 3 .575 co N _ _ _ _ co co coN _ _ _ C) co N _ _ _ O co I) _ _ _ _ O co an _ _ _ O FORM SF -SAC (5 2004) Page 3 m w m E a • 7/24/2008(Page 3 - #2 of 5) LL N z O N 2 W N N CD CD N N O cc O O a W x w z W z Z_ k J W 2 9. FEDERAL AWARDS EXPENDED DURING FISCAL YEAR 10. AUDIT FINDINGS Audit finding reference number(s)5 (b) 4 Z 4 z 4 z 6 z Q Z 4 Z Q Z Q Z Q Z Q z IF ADDITIONAL LINES ARE NEEDED, PLEASE PHOTOCOPY THIS PAGE, ATTACH ADDITIONAL PAGES TO THE FORM, AND SEE INSTRUCTIONS I See Appendix 1 of instructions for valid Federal Agency two -digit prefixes. 2 Or other identifying number when the Catalog of Federal Domestic Assistance (CFDA) number is not available. (See Instructions) 3 If major program is marked "Yes," enter only one letter (U = Unqualified opinion, O = Qualified opinion, A = Adverse opinion, D = Disclaimer of opinion) corresponding to the type of audit report in the adjacent box. If major program is marked "No," leave the type of audit report box blank. 4 Enter the letter(s) of all type(s) of compliance requirement(s) that apply to audit findings (i.e., noncompliance, reportable conditions (including material weaknesses), questioned costs, fraud, and other items reported under § .510(a)) reported for each Federal program. A. Activities allowed or unallowed E. Eligibility I. Procurement and suspension L. Reporting B. Allowable costs/cost principles F. Equipment and real property management and debarment M. Subrecipient monitoring C. Cash management G. Matching, level of effort, earmarking J. Program income N. Special tests and provisions D. Davis — Bacon Act H. Period of availability of Federal funds K. Real property acquisition and O. None 5 N/A for NONE relocation assistance p. nfhor Type(s) of compliance requirement(s)4 (a) O O O O O O O O O a Major program Major If yes, type program of audit report 3 (0) (h) 1 ❑ Yes 2 No 0)) O >Z N O rz N O >Z 1 ❑ Yes 2©No 0) 0 rZ ® Yes 2 N N O >Z 0 O >z 1 ❑ Yes 2 No ■3 ■M ■® E1■ E■ ❑E N N N N N N Direct award (f) ❑ Yes 2 N a) O >z 00 >z a) O >z N O >z ❑ Yes 2 No N O >z CD O >z 0) O >-z a) O >z ❑® N ■3 ■3 ■M ■ ■E ❑E ■® N - N - N ,- N N N N Amount expended (e) O 03 N 7. O S _$ 44,570 .00 O CD O O CN" CS O N CD °i Ca $ 603,854 .00 O CI n CJ COD CD S O O O O OD C U) 'a $ 466,485 .00 $ 243,450.00 O CI a D) a C D 'a $ 39,726,676 .00 Name of Federal program (d) NUTRITION SERVICE INCENTIVE JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT CRIME VICTIM ASSISTANCE VIOLENCE AGAINST WOMEN EMPLOYMENT SERVICES WIA ADULT PROGRAM WIA YOUTH ACTIVITIES WIA 10% INCENTIVE t PERFORMANCE PARTNERSHIP GRANTS TOTAL FEDERAL AWARDS EXPENDED Research and develop- ment (c) 1 ❑ Yes 2 No ❑ Yes 2®No 0 O rz co 0)) O >z 1 ❑ Yes 2 N co 0)) O >z co 0)) O >z N O rz a) O >z 0 O >z ❑3 • ■i ■® ■E •N EE CFDA Number Federal I Agency I Extension 2 Prefixl (a) I (b) On N o r co N CD r N N CD r co U) CD r 1 7 207 co N N r N N N r 1 7 .260 O CO O N O CD CD CD FORM SF -SAC (5 2004) Page co w c co E 0 7124/2008'— (Page 3 - #3 of 5) u- 0 N 2 W N I N O 10 N � � f Q O a ¢ w' cc cc r 1 Z { ---.._..._......._ ...... 1 9. FEDERAL AWARDS EXPENDED DURING FISCAL YEAR 10. AUDIT FINDINGS Audit finding reference number(s)5 (b) or z Q Z Q Z Q Z Q Z Q Z Q Z Q Z Q z Q z IF ADDITIONAL LINES ARE NEEDED, PLEASE PHOTOCOPY THIS PAGE, ATTACH ADDITIONAL PAGES TO THE FORM, AND SEE INSTRUCTIONS 1 See Appendix 1 of instructions for valid Federal Agency two -digit prefixes. 2Or other identifying number when the Catalog of Federal Domestic Assistance (CFDA) number is not available. (See Instructions) 3 If major program is marked "Yes," enter only one letter (U = Unqualified opinion, O = Qualified opinion, A = Adverse opinion, D = Disclaimer of opinion) corresponding to the type of audit report in the adjacent box. If major program is marked "No," leave the type of audit report box blank. 4 Enter the letter(s) of all type(s) of compliance requirement(s) that apply to audit findings (i.e., noncompliance, reportable conditions (including material weaknesses), questioned costs, fraud, and other items reported under § .510(a)) reported for each Federal program. A. Activities allowed or unallowed E. Eligibility I. Procurement and suspension L. Reporting B. Allowable costs/cost principles F. Equipment and real property management and debarment M. Subrecipient monitoring C. Cash management G. Matching, level of effort, earmarking J. Program income N. Special tests and provisions D. Davis — Bacon Act H. Period of availability of Federal funds K. Real property acquisition and O. None 5N/A for NONE relocation assistance P. Other / Type(s) of compliance requirement(s)4 (a) O O 0 0 0 0 0 0 0 0 Major program If yes, type of audit report 3 (h) Major program (9) 1 ❑ Yes 2XNo } z } Z ❑ Yes 2XNo ❑ Yes 2XNo ❑ Yes 2XNo >- 2 ❑ Yes 2XNo >- Z } z ❑® r N 0 ■0 ■E ■® N r N r N r N Direct award (f) N O Y Z 00 >- Z N O >- Z N O >- Z N O >- Z 1 ❑ Yes 2XNo N O > z 00 ? Z N O Y Z 1 ❑ Yes 2XNo ■E ■ 2 ■3 ❑E ■E ❑E ■E Amount expended (?)_..___. O co a CO 0) Ea O - .— C6' 69 $ 217,586.00 9 co CO Ci r (A 9 co r 10 69 $ 237,205 .00 $ 73,235 .00 $ 4,683.00 9 O fA O a COco C Ea 9 co co N N- O) CI 69 Name of Federal program (d) COMMUNITY SERVICES BLOCK GRANT OAA-ELDER ABUSE OAA-B SUPPORTIVE SERVICES OAA-D IN HOME SUPPORT OAA-ADMINISTRATION OAA-C-1-CONGRATE MEALS OAA-E NATIONAL CAREGIVER PROJECT GRANTS 8 COOPERATIVE AGREEMENTS MATERNAL AND CHILD HEALTH SERVICES _ 1 FAMILY PLANNING SERVICES TOTAL FEDERAL AWARDS EXPENDED Research and develop- ment (c) cD O >-z CI) O >-z N WO >-z co O rz ❑ Yes 2XNo 1 ❑ Yes 2 N N O >-z co O >-z co O >z ❑® 1 ❑ Yes 2®No ■E ■® M ■3 ■® ■E CFDA Number Federal Agency I Extension 2 Prefixl I (a) (b) OO — co — C N -- C -- co el 9 I 3 .044 O co N co O co M M in co FORM SF -SAC (5 2004) Page m w m 1.7 7/24/2000(Page 3 - #4 of 5) LL N z 0 cc W J N N O O O N O_ cc H O 0. cc w z cc W z Z k Z W Q k 9. FEDERAL AWARDS EXPENDED DURING FISCAL YEAR 10. AUDIT FINDINGS \I Audit finding reference number(s)5 (b) Q z Q z a 9 o Q z Q z Q z Q z Q z Q z Q z • IF ADDITIONAL LINES ARE NEEDED, PLEASE PHOTOCOPY THIS PAGE, ATTACH ADDITIONAL PAGES TO THE FORM, AND SEE INSTRUCTIONS I See Appendix 1 of instructions for valid Federal Agency two -digit prefixes. 20r other identifying number when the Catalog of Federal Domestic Assistance (CFDA) number is not available. (See Instructions) 3 If major program is marked "Yes," enter only one letter (U = Unqualified opinion, Q = Qualified opinion, A = Adverse opinion, D = Disclaimer of opinion) corresponding to the type of audit report in the adjacent box. If major program is marked "No," leave the type of audit report box blank. 4 Enter the letter(s) of all type(s) of compliance requirement(s) that apply to audit findings (i.e., noncompliance, reportable conditions (including material weaknesses), questioned costs, fraud, and other items reported under § .510(a)) reported for each Federal program. A. Activities allowed or unallowed E. Eligibility I. Procurement and suspension L. Reporting B. Allowable costs/cost principles F. Equipment and real property management and debarment M. Subrecipient monitoring C. Cash management G. Matching, level of effort, earmarking J. Program income N. Special tests and provisions D. Davis — Bacon Act H. Period of availability of Federal funds K. Real property acquisition and O. None 5 N/A for NONE relocation assistance P. Other / Type(s) of compliance requirement(s)4 (a) O O w 0 0 0 0 0 0 0 Major program Major If yes, type of audit program report 3 (9) (h) M 1 ❑ Yes 2 N T z ❑ Yes 2 N ® Yes 2❑No 1 ❑ Yes 2®No Y Z r Z } Z 0 0 1 E Yes 2®No ❑3 ■© ■C ■E ■® U -o Era _, al '" co 0) 0 >Z CO 0) 0 >Z ❑ Yes 2 No 1 ❑ Yes 2®No CO 0) 0 >Z 1 ❑ Yes 2❑XNo 1 ❑ Yes 2®No to 0) 0 >Z N 0 0 >Z N 0 0 >Z ■E ❑ ■© ■Mi ❑E ■® r N r N Amount expended (e) $ 182,857.00 $ 1,003,766.00 $ 2,218,794 .00 ,$ 1,757,945 .00 O O CO 0) a o on N 69 0 0 O N en" O CO EA 0 0 D) D) m co N r fA $ 95,024 .00 $ 2,744,344 .00 $ 9,253 .00 $ 39,726,676 .00 Name of Federal program (d) IMMUNIZATION GRANTS CENTER FOR DISEASE CONTROL AND PREVENTION TANF - TEMPORARY ASSISTANCE LOW INCOME ENERGY ASSISTANCE CHILD WELFARE SERVICES ADOPTION ASSISTANCE SOCIAL SERVICES BLOCK GRANT CHAFEE FOSTER CARE INDEPENDENT LIVING MEDICAL ASSISTANCE PROGRAM FAMILY PLANNING PROGRAM TOTAL FEDERAL AWARDS EXPENDED > Research and develop- ment (c) 00 > Z 0)) 0 > Z 00 > Z 00 > Z 00 0 > Z 1❑Yes ' 2❑XNo ON) 0 > Z 00 0 > Z 0 0 >2 0 0 > z ❑E ■3 ❑ ❑ ■ ■M ❑M ■® ■E CFDA Number Federal Agency I Extension 2 Prefix,' I (a) I (b) co N M a) I I 9 13 1,283 in N )7 m CD )7 a) to M a) faa CI m COD co a) CDD en a) N- en a) T en a) FORM SF -SAC (5 2004) Page 3 OD 7/24/2008 (Page 3 - #5 of 5) LL N Z 0 Cl) cc J N cc cc O m a N O_ H O a w Ui w z cc • z Z_ 2 w 9. FEDERAL AWARDS EXPENDED DURING FISCAL YEAR 10. AUDIT FINDINGS Audit finding reference number(s)5 (b) 4 z 4 2 4 2 4 2 4 2 4 2 Q 2 • IF ADDITIONAL LINES ARE NEEDED, PLEASE PHOTOCOPY THIS PAGE, ATTACH ADDITIONAL PAGES TO THE FORM, AND SEE INSTRUCTIONS T See Appendix 1 of instructions for valid Federal Agency two -digit prefixes. 20r other identifying number when the Catalog of Federal Domestic Assistance (CFDA) number is not available. (See Instructions) 3 If major program is marked "Yes," enter only one letter (U = Unqualified opinion, 0 = Qualified opinion, A = Adverse opinion, D = Disclaimer of opinion) corresponding to the type of audit report in the adjacent box. If major program is marked "No," leave the type of audit report box blank. 4 Enter the letter(s) of all type(s) of compliance requirement(s) that apply to audit findings (i.e., noncompliance, reportable conditions (including material weaknesses), questioned costs, fraud, and other items reported under § .510(a)) reported for each Federal program. A. Activities allowed or unallowed E. Eligibility I. Procurement and suspension L. Reporting B. Allowable costs/cost principles F. Equipment and real property management and debarment M. Subrecipient monitoring C. Cash management G. Matching, level of effort, earmarking J. Program income N. Special tests and provisions D. Davis — Bacon Act H. Period of availability of Federal funds K. Real property acquisition and O. None 5 N/A for NONE relocation assistance o nr.... / Type(s) of compliance requirement(s)4 (a) O O O O O O O Major program Major If yes, type of audit program report 3 (g) (h) N 0 ,>2 co 0 > Z co 0 > Z co 0 > Z co 0 > Z 0 0 > Z ❑ Yes 2 IX No N 0 >2 ❑❑ co 0 >2 ❑❑ 0 0 >z ❑❑ ❑M ■® ❑M ❑M ■O ■© Direct award (1) d 0 >z N 0 >z N 0 >z ❑® N 0 >z ❑ Yes 2 N 1 ❑ Yes 2❑X No N 0 >2 N 0 >2 N 0 >2 N 0 > 2 ❑E ■2 ❑3 ■® ■■ ■■ ❑■ Amount expended (e) 2 CD N CI O S 2 0 Ill N M N S $ 43,530 .00 $ 64,245 .00 2 10 0 N. co N S O m N ri co S O 0 r N S O S O S O Eli $ 39,726,676 .00 Name of Federal program (d) PREVENTIVE HEALTH AND SERVICES BLOCK GRANT MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANTI CONSUMER NAVIGATOR GRANT I ADJUSTMENT TO FEDERAL ASSISTANCE BRIDGE CONTRACTS ABSTINENCE EDUCATION METH LAB TRAINING TOTAL FEDERAL AWARDS EXPENDED Research and develop- ment (c) 0 0 >z N 0 >z 0 0 > z 0 0 >-2 ® N 0 0 > z 0 0 > z 1 ❑ Yes 2 No 1 ❑ Yes 2 N 0 0 >z 0 0 >z ❑KI ■3 ■3 ■© ■© ■■ ■❑ N N N N N N N CFDA Number Federal Agency I Extension 2 Prefix', I (a) (b) m 0i Cl a a, Cl co o n XXX' I £ 6 I I 9 I 3 I ,XXX I I I 91 31.235 N- in CD • FORM SF -SAC (5 2004) Page ( - 6 0 0 0 8 1 3 fct co LL CO - CO -0 0 cc J n ft) v N a W Q 1 — CC H Alt W CC Item 5 Continuation Sheet List the multiple DUNS covered in the report. I I I I I I I I r N N N A N N A N O M r M N t") t") C) IW CO C) h CO M CO 0) O O et I i I I I Q —1. I I I I I I I Z N M et IH (0 h O 0) O r m r 40 O O •O N C_ To i > O U U, Z W_ v1 a) E z C O C.) C a, V T O a W a) E a, U, U I I I I I N Q N a I, N qt et h qt O 0) et et O O r N (I) N N O O N N (0 O h O N O 0) 0 O 40 I I I I I I I 101 N N a N N N M sa M M 1') Q Q I I I I I z N C) et N CD h O 0) O et r 1i) O I% CO r T 0) O N FORM SF -SAC (5.200 Page 4 • • Attachment D Energy Efficiency & Conservation Strategy for Units of Local Governments & Indian Tribes As detailed in Part 1 of this announcement, all applicants must submit an Energy Efficiency and Conservation Strategy (EECS). Units of local government and Indian tribes have the option of submitting the EECS no later than 120 days after the effective date of the award or at the time of application. Units of local government and Indian tribes who chose to submit the EECS at the time of application shall use the format contained in Attachment D. This form should be saved in a file named "UIC-Strategy.pdf" and click on "Add Optional Other Attachment" to attach. Grantee: Weld County Date: 06/15/2009 (mm/dd/yyyy) DUNS #: 75757955 Program Contact Email: mmika@co.weld.co.us 1. Describe your government's proposed Energy Efficiency and Conservation Strategy. Provide a concise summary of your measureable goals and objectives, which should be aligned with the defined purposes and eligible activities of the EECBG Program. These goals and objectives should be comprehensive and maximize benefits community -wide. Provide a schedule or timetable for major milestones. If your government has an existing energy, climate, or other related strategy please describe how these strategies relate to each other. The goals and objectives of Weld County's Energy Efficiency and Conservation Strategy are to invest funds in projects that yield measurable and sustainable energy savings. Our goals for the Energy Efficiency and Conservation Block Grant Program are to: • Invest in and maintain our capital facilities through energy enhancements which result in energy efficiency and savings • Implement transportation management software that will improve the efficiency of the county's transportation system and therefore help us to reduce harmful air pollutants and greenhouse gas emissions, vehicle miles traveled, energy costs and energy used The first goal meets the EECBG eligible activity of Energy Efficiency Retrofits while the second goal meets the eligible activity of the Development and Implementation of Transportation Programs. The measurable goals of the Energy Efficiency Retrofit project are to: • Reduce the total energy use of county buildings • Improve the overall energy efficiency within these buildings • Create jobs The measurable goals of the Weld County Transportation Efficiency Project are to: • Increase energy efficiency of fleet vehicles • Reduce energy consumption • Reduce duplicate trips • Reduce GHGs • Better serve our community's transportation needs In the first quarter we will bid out the projects. We will begin training on the transportation software and begin the energy efficiency retrofits in the second quarter. In the third quarter we will implement the transportation software and continue with county building retrofits. We will begin using the transportation software and complete the energy efficiency retrofits to ty buildings during the fourth quarter. 2. Describe your government's proposed implementation plan for the use of EECBG Program funds to assist you in achieving the goals and objectives outlined in the strategy describe in question #1. Your description should include a summary of the activities submitted on your activity worksheets, and how each activity supports one or more of your strategy's goals/objectives. Under the eligible activity, Energy Efficiency Retrofits, the county will increase the energy efficiency in several of its buildings. We will use EECBG funds to upgrade the boiler burner systems in the Centennial Center and the Jail Complex in order to increase the efficiency of the boilers from approximately 60% to close to a 90% efficiency range. This increased efficiency allows for the conservation of energy and and fossil fuel consumption. We will also upgrade the Heating, Ventilation, and Air Conditioning (HVAC) systems in several buildings. The new systems adjust equipment to perform at efficient levels and meter down during non -peak times which can result in a 40% savings for two-thirds of the day. Lighting systems in many of the buildings will be replaced with energy efficient bulbs that boast a energy savings of 200/o. The activities in the Energy Efficiency Retrofit project support the county goal to reinvest in and maintain our capital facilities in the most energy efficient and cost effective manner possible. • The remainder of the county's EECBG funds will be used to purchase and implement transportation optimization software. This project meets the eligible activity of Development and Implementation of Transportation Programs. The transportation management software that will be purchased and implemented will improve the efficiency of the county's transportation system. It will allow the county to better plan and manage its trip routes to achieve the highest rate efficiencies. The automated routing and scheduling software will allow us to better handle demand response requests from residents throughout the county. Our dispatchers can accept each call and automatically input the request and find the best and most efficient time slot, vehicle, and route to get them where they need to go. The transportation optimization software will help us to reduce harmful air pollutants and greenhouse gas emissions, vehicle miles traveled, energy costs and energy used. It supports our goal to increase the delivery of transit through better use of technology to coordinate route trips and map trips to increase energy efficiency and reduce energy use. • • • 3. Describe how your government is taking into account the proposed implementation plans and activities for use of funds by adjacent units of local government that are grant recipients under the Program (response not mandatory for Indian Tribes). Staff members from Weld County and the City of Greeley (the only entitlement municipality in Weld) meet on a regular basis to talk about shared programs. Weld County will assist the City of Greeley to carry out their programs where possible. Weld County and the City of Greeley share many facilities located in the Island Grove Park and share the maintenance and expense of these facilities jointly. We intend to continue to be good stewards of these facilities. We hope to continue to learn from the positive works of others and will continue to look for opportunities to collaborate with local governments and municipalities to share lessons learned and best practices. • 4. Describe how your government will coordinate and share information with the state in which you are located regarding activities carried out with grant funds to maximize energy efficiency and conservation benefits (response not mandatory for Indian Tribes). The Governor's Energy Office has a strong, existing relationship with the EECBG entitled communities, and as such we rely upon the assistance of Mona Newton to provide input and assistance to Weld County. The GEO regional representative and local programs manager have ongoing dialogue with the EECBG communities. Monica Daniels -Mika is the EECBG point -of -contact for Weld County. Monica met with GEO representatives as needed to carry out the local and state plans and goals. Entitled communities will provide the GEO with copies of the EECBG reports provided to DOE. GEO will continue to meet individually with communities to review their results and identify additional community energy efficiency and renewable energy opportunities. One such opportunity arose through the development of this program. Weld County is working with th City of Greeley and School District 6 to sponsor a Community Development Grant to seek funding for a sidewalk project in thf Bella Romero neighborhood. The discussion and idea for this project was sparked from Mona and will be jointly carried out through alternatives funds. Absent the working relationship with Mona, this project is not likely to have developed. • 5. Describe how this plan has been designed to ensure that it sustains benefits beyond the EECBG funding period. • Energy reductions and cost savings associated with the upgrades to the boiler burner, HVAC and building lighting systems will be sustained over the lifetime of the installed equipment. The county's regular maintenance and operations schedule will add to the assurance that all the equipment is performing optimally. Enhancing our existing buildings saves in insurmountable ways, and the energy captured from maintaining and upgrading facilities clearly falls within the benefits of this program. This is not merely a one time task. Rather, stewardship of capital facilities is a long-term effort which can be enhanced for example through the opportunity of additional funds, but the programs are ongoing. Sustained benefits will also result from the installation of transportation optimization software that provides automated routing and scheduling capabilities to achieve high rate efficiencies. These efficiencies will help us to reduce harmful air pollutants and greenhouse gas emissions and vehicle miles traveled. It will also help us to lower energy use and costs. In addition to benefits already mentioned, the software will also reduce dispatch, driver, phone and reporting time, vehicle usage and paperwork. It will enhance the overall experience for those who use the county's transportation services. Our current transit tracking system does not afford us the most efficient use of technology to determine routes and transit matching needs. The proposed technological update will allow to combine and structure trips to reduce mileage travel and unnecessary trips which in turn decreases air pollution, energy used and energy costs. 6. The President has made it clear that every taxpayer dollar spent on our economic recovery must be subject to unprecedented levels of transparency and accountability. Describe the auditing or monitoring procedures currently in place or that will be in place (by what date), to ensure funds are used for authorized purposes and every step is taken to prevent instances of fraud, waste, error, and abuse. The Governor's Energy Office (GEO) has established grant monitoring process, which ensures early identification and resolution of delays in project implementation as well as record -keeping and Weld County intends to adhere to this process as well as our own long standing business practices. • Contractors are required to submit monthly or quarterly reports, which include both a project and a financial status report within 20 days of the end of each quarter. GEO reviews the report and promptly follows up on any additional indications of problems. While contracts are monitored via GEO by site visits to ensure adequate communications and to observe contractual tasks in progress, Weld County will monitor the projects on a regular basis. If problems are identified they will be resolved immediately. And as appropriate, additional site visits will be conducted to by GEO staff. Specific to the oversight and transparency provisions of the American Recovery and Reinvestment Act, on February 18, 2009, Colorado Governor Bill Ritter, Jr. established the Colorado Economic Recovery and Accountability Board (CE-RAB). The CE-RAB mission is oversight of the funding received by the State of Colorado from the American Recovery and Reinvestment Act. The Board's responsibility is to ensure that the state and local agencies that are directing funding do so with transparency, accountability, and, ultimately, to the highest benefit possible. Existing financial and management control processes within the county will ensure the EECBG projects receive stringent oversight, the use of the funds and results are transparent, and that all program activities are accountable using existing procedures. EECBG funds will be audited as a distinct item within the independent audit performed annually for the county. Part of the transparency and accountability oversight will be to ensure fair and equitable access to the decision making process. Citizens have the right to have both their voice heard, should they choose, and to have information readily available to them about the Recovery funding. In this light, Weld County will post information about the projects funded through the ARRA on its Web site and update the status of these projects regularly. • • ta:rn Wi�Yc COLORADO OFFICE OF BOARD OF COMMISSIONERS PHONE: 970-336-7204 FAX: 970-352-0242 915 101" STREET P.O. BOX 758 GREELEY, COLORADO 80632 Subject: Required ASSURANCES -- DE -FDA -0000013 Davis -Bacon Act This is to certify that all laborers and mechanics on projects funded directly or assisted in whole or in part by and through funding appropriated by the ARRA of 2009 will be paid wages at rates not less than those prevailing on projects of a character similar in the locality as determined by subchapter IV of Chapter 31 of title 40, United States Code. • Assurances I hereby designate William Garcia, (Weld County Commissioner, 970-356- 4000 ext 4209, wgarcia@co.weld.co.us) as the authorized official to apply for and receive funding based on Title V, Subtitle E, Energy Efficiency and Conservation Block Grants, Sections 541(3)(A) or 541(3)(B) of IASA 2007, Public Law 110-140. Signature of duly authorized official • G/ /6icD Date Page 1 iiINETL F 451.1-EECBG (3/2009) OPI=320 (Previous Editions Obsolete) • • I. BACKGROUND U.S. DEPARTMENT OF ENERGY ENVIRONMENTAL QUESTIONNAIRE The Department of Energy (DOE) National Environmental Policy Act (NEPA) Implementing Procedures (10 CFR 1021) require careful consideration of the potential environmental consequences of all proposed actions during the early planning stages of a project or activity. DOE must determine at the earliest possible time whether such actions will require either an Environmental Assessment or an Environmental Impact Statement, or whether they qualify for a Categorical Exclusion. To comply with these requirements, an Environmental Questionnaire must be completed for each proposed action to provide DOE with the information necessary to determine the appropriate level of NEPA review. H. INSTRUCTIONS Separate copies of the Environmental Questionnaire should be completed by the principal proposer and appropriate proposer's subcontractor. In addition, if the proposed project includes activities at different locations, an independent questionnaire should be prepared for each location. Supporting information can be provided as attachments. In completing this Questionnaire, the proposer is requested to provide specific information and quantities, when applicable, regarding air emissions, wastewater discharges, solid wastes, etc., to facilitate the necessary review. The proposer should identify the location of the project and specifically describe the activities that would occur at that location. In addition, the proposer will be required to submit an official copy of the project's statement of work (SOW) or statement of project objective (SOPO) that will be used in the contract/agreement between the proposer and DOE. III. QUESTIONNAIRE A. PROJECT SUMMARY 1. Solicitation/Project Number: DE-FOA-0000013 2. Proposer: Weld County 3. Principal Investigator: Toby Taylor Telephone Number: 970-356-4000 ext 2021 4. Project Title: Weld County Government Energy Efficiency Retrofits 5. Duration: 09/30/2009-09/30/2010 6. Location(s) of Performance (City/Township, County, State): Greeley Weld Colorado 7. Identify and select checkbox with the predominant project work activities under Group A -7b or A -7c. Group A -7b Work or project activities does NOT involve new building/facilities construction and site preparation activities. This work typically involves routine operation, modification, and retrofit of existing utility and transportation infrastructure, laboratories, commercial buildings/properties, offices and homes, test facilities, factories/power plants, vehicles test stands and components, refueling facilities, greenspace infrastructure, or other existing facilities. Page 2 • Group A -7c ❑ Work or project activities typically involves major building or facility construction, site preparation; the installation, replacement, or major modifications of energy system prototypes and infrastructure, access right-of-ways and roads; utility, greenspace, and transportation infrastructure, vehicle test facilities; commercial buildings/properties, fuel refinery/mixing facilities, factories/power plants; and other types of energy efficiency/conservation related systems, structures, and facilities. This work can require new or modified regulatory permits, environmental sampling and monitoring requirements, master planning, public involvement, and environmental impact review. ❑ Other types of work or project activities not listed. (please describe): 8. Summarize the objectives of the proposed work. List activities planned at the location as covered by this Environmental Questionnaire. 9. List all other locations where proposed work or project would be performed by project's proposer and subcontractors. 10. Identify major project operation related materials and waste that would be used, consumed, and produced by this project or activity. 11. Provide a brief description of the project location (physical location, surrounding area, adjacent structures). • 12. Attach a site plan or topographic map of the project work area. B. ENVIRONMENTAL IMPACTS This section is designed to obtain information for objectively assessing the environmental impacts of a proposed project. NEPA procedures require evaluations of possible effects (including land use, energy resource use, natural, historic and cultural resources, and pollutants) from proposed projects on the environment. 1. Land Use a. Characterize present land use where the proposed project would be located. ® Urban 0 Industrial ❑ Commercial ❑ Suburban 0 Rural 0 Residential O Forest 0 University Campus 0 Other b. Describe how land use would be affected by planned construction and project activities. ®J No construction would be anticipated for this project. ❑ Agricultural O Research Facilities c. Describe any plans to reclaim/replant areas that would be affected by the proposed project. No land areas would be affected. d. Would the proposed project affect any unique or unusual landforms (e.g., cliffs, waterfalls, etc.)? ® No 0 Yes (describe) Would the proposed project be located in or near a national park or wilderness area? ® No ❑ Yes (describe) Page 3 If project work activities falls under item A-76; then proceed directly to question B.6 (Atmospheric Conditions/Air Quality) and continue to fill out questionnaire. If project work falls under item A -7c; then proceed directly below to question B.2 (Construction Activities and/or Operations) and continue to fill out questionnaire. 2. Construction Activities and/or Operations a. Identify any roads, trails, or utility right of ways that traverse the proposed site or will be constructed and clearly mark them on project site maps. O None b. Would the proposed project require the construction of settling ponds? O No ❑ Yes (describe and identify location, and estimate surface area disturbed) c. Would the proposed project affect any existing body of water? ❑ No 0 Yes (describe) d. Would the proposed project be located in or impact a floodplain or wetland? ❑ No ❑ Yes (describe) e. Would the proposed project be likely to cause runoff/sedimentation/erosion? O No 0 Yes (describe) 3. Vegetation and Wildlife Resources a. Identify any State- or Federal -listed endangered or threatened plant or animal species affected by the proposed project. ❑ None b. Would any foreign substances/materials be introduced into ground or surface waters, or other earth/geologic resource because of project activities? Would these foreign substances/materials affect the water, soil, and geologic resources? ❑ No ❑ Yes (describe) c. Would any migratory animal corridors be impacted or disrupted by the proposed project? ❑ No ❑ Yes (describe) 4. Socioeconomic and Infrastructure Conditions. a. Would local socio-economic changes result from the proposed project? ❑ No ❑ Yes (describe) b. Would the proposed project generate increased traffic use of roads through local neighborhoods, urban or rural areas.? O No 0 Yes (describe) c. Would the proposed project require new transportation access (roads, rail, etc.)? Describe location, impacts, costs. ❑ No ❑ Yes (describe) d. Would any new transmission lines and/or power line right-of-ways be required? ❑ No ❑ Yes (describe location, voltage, and length of line) 5. Historical/Cultural Resources a. Describe any historical, archeological, or cultural sites in the vicinity of the proposed project; note any sites included on the National Register of Historic Places. O None Page 4 b. Would construction or operational activities planned under the proposed project disturb any historical, archeological, or cultural sites? ❑ No planned construction ❑ No historic sites ❑ Yes (describe) c. Would the proposed project interfere with visual resources (e.g., eliminate scenic views) or alter the present landscape? ❑ No 0 Yes (describe) For all proposed project work activities identified under item A -7b, respond to item B6 directly below and continue filling out environmental questionnaire. 6. Atmospheric Conditions/Air Quality a. Identify air quality conditions in the immediate vicinity of the proposed project with regard to attainment of National Ambient Air Quality Standards (NAAQS). This information is available under the NAAQS tables from the U.S. EPA Air and Radiation Division. Attainment Non -Attainment 03 SO,' PM 10 CO NO2 Lead b. Would proposed project require issuance of new or modified major source air quality permits? ® No 0 Yes (describe) c. Would the proposed project be in compliance with the National Emissions Standards for Hazardous Air Pollutants? O No (explain) ® Yes d. Would the proposed project be classified as either a New Source or a major modification to an existing source? ® No ❑ Yes (describe) e. Would the proposed project be in compliance with the New Source Performance Standards? ® Not Applicable ❑ No (explain) 0 Yes f. Would the proposed project be subject to prevention of significant deterioration air quality review? O Not applicable 0 No (explain) ❑ Yes (describe) g. What types of air emissions, including fugitive emissions, would be anticipated from the proposed project? None Would any types of emission control or particulate collection devices be used? ® No ❑ Yes (describe, including collection efficiencies) If no control devices are used, how would emissions be vented? No emissions 7. Hydrologic Conditions/Water Quality a. What is the closest body of water to the proposed project area and what is its distance from the project site? Poudre River Page 5 b. What sources would supply potable and process water for the proposed project? City of Greeley water c. Quantify the daily or annual amount of wastewater that would be generated by the proposed project. None d. Identify the local treatment facility that would receive wastewater from the proposed project. ® No discharges to local treatment facility e. Describe how wastewater would be collected and treated. No wastewater f. Would any run-off or leachates be produced from storage piles or waste disposal sites? Z No 0 Yes (describe source) g. Would project require issuance of new or modified water permits to perform project work or site development? ® No ❑ Yes (describe) h. Where would wastewater effluents from the proposed project be discharged? ® No wastewater produced Would the proposed project be permitted to discharge effluents into an existing body of water? Z No El Yes (describe water use and effluent impact) J. Would a new or modified National Pollutant Discharge Elimination System (NPDES) permit be required? ® No ❑ Yes (describe) k. Would the proposed project adversely affect the quality or movement of groundwater? ® No 0 Yes (describe) 8. Solid and Hazardous Wastes a. Describe and estimate major nonhazardous solid wastes that would be generated from the project. Solid wastes are defined as any solid, liquid, semi -solid, or contained gaseous material that is discarded or has served its intended purpose, or is a manufacturing or mining by-product (40 CFR 260, Appendix I). b. Would project require issuance of new or modified solid waste and/or hazardous waste related permits to perform project work activities? ® No ❑ Yes (explain) c. How and where would solid waste disposal be accomplished? El On -site (identify and describe location) ® Off -site (identify location and describe facility and treatment) N/A d. How would wastes for disposal be transported? N/A e. Describe and estimate the quantity of hazardous wastes (40 CFR 261.31) that would be generated, used, or stored under this project. ® None f How would hazardous or toxic waste be collected and stored? ® None used or produced Page 6 • • • g If hazardous wastes would require off -site disposal, have arrangements been made with a certified TSD (Treatment, Storage, and Disposal) facility? ® Not required 0 Arrangements not yet made 0 Arrangements made with a certified TSD facility (identify): C. DESCRIBE ANY ISSUES THAT WOULD GENERATE PUBLIC CONTROVERSY REGARDING THE PROPOSED PROJECT. gl None IV. CERTIFICATION BY PROPOSER I hereby certify that the information provided herein is current, accurate, and complete as of the date shown immediately below. SIGNATURE: "6t DATE: June / 18 / 2009 month day year TYPED NAME: Mon i Daniels -Mika TITLE: Director of Administrative Services ORGANIZATION: Weld County V. REVIEW AND APPROVAL BY DOE I hereby certify that I have reviewed the information provided in this questionnaire, have determined that all questions have been appropriately answered, and judge the responses to be consistent with the efforts proposed. PROJECT MANAGER: SIGNATURE: DATE: month day year TYPED NAME: FedConnect: Untitled Page Page 1 of 1 • • WELD, COUNTY OF — Monica Daniels -Mika cover page attachments Help I My Profile I Company Profile I Sign Out cost sensitive attachments I ai Print t Your response has been successfully submitted. Keep a copy of this page for your records. Confirmation Number: 633812875566030000 Sent: 6/22/2009 5:12:34 PM Status: Queued. Awaiting agency pick-up. Picked up by Agency: Offer good for 60 days. Return to Opportunity Summary I summary confii © 20D9 Compusearch Software Systems, Inc. All rights reserved. Terms of Service About FedConnect httns://www.fedconnect.net/FedConnect/MemberHome/Response/Complete.aspx 6/22/2009 • • • (ATTACHMENT D) Energy Efficiency and Conservation Strategy for Weld County Colorado 1. Describe your government's proposed Energy Efficiency and Conservation Strategy. Provide a concise summary of your measureable goals and objectives. which should he aligned with the defined purposes and eligible activities of the EECBG Program. These goals and objectives should be comprehensive and maximize benefits community -wide. Provide a schedule or timetable for major milestones. If your government has an existing energy, climate, or other related strategy please describe how these strategies relate to each other. The goals and objectives of the Weld County's Energy Efficiency and Conservation Strategy are to invest Energy Efficiency and Conservation Block Grant (EECBG) funds in projects that yield proven energy results. We have developed a multi -component approach to carry this effort forward. Weld County's EECBG goals and objectives will focus on the following areas: Weld County goals • Reinvestment and maintaining of our capital facilities through energy enhancement/efficiency as warranted. Do you have a reduction goal'? Consumption/sq. foot? • Hallmark the perseveration and energy enhancement of our historic structures. • Increase the delivery of transit through increased use of technology through coordination of route trips and trip mapping; thereby reducing air pollution, transit congestion and greenhouse gases. Provide our employees with technological support to enhance their productivity while reducing reliance upon high energy consumptive practices — do you want to detail what that is'? Provide education and services to Weld County citizens through the use of E -Gov activities and the use of the Internet. About energy conservation and efficiency opportunities'? Current Colorado goals (as of 2008) • 25% or more improvement (from 1990 baseline) in energy efficiency by 2012. • 20% reduction in energy use by Colorado state government by 2011. • Increasing the renewables on the electricity grid to 20% by 2020. Governor Ritter's Colorado Climate Action Plan is a call to reduce emissions of greenhouse gases by 20 percent over 2005 levels by 2020, and makes a shared commitment with other states and nations to even deeper emissions cuts by 2050. The goals and objectives associated with Energy Efficiency and Conservation Strategy - Colorado 1 EECBG funding will support the goals of the Colorado Climate Action Plan. Colorado will focus its efforts on the delivery of a full complement of public and private commercial and residential energy -efficiency and renewable energy programs. Building Capacity Overview Related Eligible Activities — Development of an Energy Efficiency and Conservation Strategy, Technical Consultant Services Weld County Government conservation strategy is comprised of three parts: 1. Maintain our existing capital facilities in the most energy efficient and cost effective fashion as possible. a. Annually, review all facilities to determine energy reduction potential and implement measures as deemed feasible. b. Annually, determine funding for energy enhancements and overall system upgrades. 2. Encourage additional alternative fuel vehicles in the county fleet. a. Maintain 5% of county owed fleet as alternative fuel vehicles 3. Provide our employees with technological support to enhance their productivity while reducing reliance upon high energy consumptive practices a. Annually, offer teleworking options to the various departments in Weld County b. Provide cellular telephone communications to all field staff to reduce unnecessary trips generated. (On -going) c. Encourage the use of video conferencing and arrangement with the 19`° Judicial District. (Completion of new project implementation Fall 2009) d. Provide E Gov services. (Annually review E -Gov services to determine.) We currently maintain a capital improvements plan spanning over XX County building located on three major campus and numerous remote locations throughout Weld County. We work hard to restore and maintain our capital infrastructure in Weld County, and one of the hallmarks of our inventory, is the Weld County Courthouse. This building was built in 1907, was reregistered as a national registry building in 1976, and since this time has been continually used as a courthouse. We intend to use the majority of these funds to ensure its continued use through the replacement of energy efficient and historically appropriate replaced windows. We further intend to use a portion of these funds to assist with the purchase of software to better enable us to provide transit services in a more energy friendly and efficient manner to our citizens. Unfortunately, in our society, we tend to build new and better and lose sight of the importance of maintaining what we have. In Weld County, we have a long founded • • • Energy Efficiency and Conservation Strategy - Colorado 2 • • cultural heritage of taking care of all that has been entrusted to us, and to gently make building and capacity improvements to be consistent with the business demands of today. We do not need to undertake numerous studies to tell us what we already know, which is as buildings age systems and functions must constantly be monitored to ensure that we provide the public with buildings meeting their needs, from cost effectiveness to energy embracing. We maintain a capital plan allowing us to make minor changes and alterations as both deemed necessary and affordable. When we construct buildings we do so because we have saved the funds to do so, thereby avoiding debt and inbondness. We construct our building simplistically with functionality in mind, and we maintain them in this fashion as well. While our strategy for these funds is focused primarily on improvements to the Weld County Courthouse, we are not losing site of providing care for our other buildings and we continually reinvest in these structures to ensure energy wise use of these buildings, and, as in the past, will upgrade and improve all of our structures as we are able. —Additionally, Weld County runs a rural transit system for our residents. We have provided this service since 1973. We provide over xx trips of year to xxxxx. During the past eighteen months we have undertaken a complete review of this program to ensure that we were providing these services to our residents in the best possible fashion. This review led us to make numerous changes and upgrades to our service delivery, and the final action is to upgrade the computer system which ties this division together. Our recent review shows that there is an immediate need to upgrade traffic route systems, and we propose to use a small portion of these funds to purchase this software (Match Route) to ensure that the most energy and cost efficient routes are utilized when providing this important transit service. Residential Overview Related Eligible Activities — Residential audits, energy efficiency retrofits, building codes and inspections, energy distribution, energy efficiency and conservation programs for buildings and facilities NA to this project no need to state anything if you aren't doing anything here. Weld County requires "Walkable Community" and pedestrian friendly design standards in all subdivision and land use applications administered by Weld County government. Do you want to include the standards? Commercial Overview Related Eligible Activities — Commercial audits, energy efficiency retrofits, building codes and inspections, energy distribution, traffic signals and street lighting, energy efficiency and conservation programs for buildings and facilities NA to this project When do you plan to update the energy codes? You could describe the county courthouse activities here. Energy Efficiency and Conservation Strategy - Colorado 3 Weld County administers the 2004 Uniform Building code standards which require the highest level of building design and construction standards and design of buildings. When constructing new buildings Weld County adheres to these energy design standards. IECC 2009 is now available. GEO will offer free trainings that you could take advantage of to help with the education of your building inspection staff. Renewable Energy Overview Related Eligible Activities —Energy distribution, reduction and capture of methane and greenhouse gases, renewable energy technologies on government buildings Weld County encourages appropriate use of its facilities and fleet through: 1. Paperless work environments. Since 2004, Weld County has invested funds to ensure departments reduce paper consumption through the appropriate scanning of documents. a. It is estimated that Weld County has reduced paper consumption by 20% 2. Uniformly controlled temperature systems. In an effort to save on energy use Weld County maintains is office buildings. a. All buildings, with the exception of the grader sheds, have system which is remotely monitored for energy usage. 3. New building construction. The numerous buildings recently built have all relied upon the high energy design standards. a. Automatic light systems are becoming incorporated as a design element to our new building designs. 4. Weld County uses alternative fuel vehicles when sensible to do so. a. Currently, 5% of our county fleet is fueled by an alternative fuel source. 5. Weld County encourages the appropriate use of technology to achieve energy efficiency, and enhancements. 6. Weld County relies upon telecommunication to maintain communications between the various County campuses. a. Appropriate staff members are outfitted with Air cards, and Blackberries 7. Teleworking. There are currently numerous departments within Weld relying upon teleworking programs to provide service to Weld county constituents. a. The Department of Human Services and the Weld County Assessor's Office are setting the tone for further expansion of this program in Weld County. b. The Department of Health and the Environment will establish a viable teleworking program in the next six months. • • • Energy Efficiency and Conservation Strategy - Colorado 4 • Greening Government Overview Related Eligible Activities — Commercial audits, energy efficiency retrofits, energy efficiency and conservation programs for buildings and facilities, development and implementation of transportation programs, material conservation programs, energy distribution, renewable energy technologies on government buildings The State's "lead -by -example" effort, Greening Government will continue to work with state agencies, colleges and universities to reduce the consumption of the following resources: Energy20%; Water 10%; Paper 20%; Petroleum 25% Will Weld County adopt this as well? • Weld County leads our region in the maintenance and overall performance of government buildings. We have a proven history of sound maintenance and upkeep of government buildings. While one could state that when a building is constructed in Weld County it is practical and functional in nature, we do use the highest construction standards possible with a outlook to long term use and proven capital return and this includes energy efficient construction practices. We routinely maintain capital improvements plans to provide for upkeep and enhancements to all of our buildings. Recently, representatives of the state historical society toured the Weld County Courthouse and were very pleased not only with the quality of original construction but with the upkeep and maintenance of the structure. We have gone above and beyond to not only maintain this building, but also to conduct substantial maintenance projects to ensuring the structure will operate at it highest potential. Transportation Overview Related Eligible Activities- Reduction and capture of methane and greenhouse gases, development and implementation of transportation programs 'In and effort to reduce petroleum consumption through reductions in vehicle miles traveled, and to more effectively manage the vast trips generated by Weld County residents we are proposing new route match software will better enable us to plan routes more effectively. This will improve the efficiency of existing fleet vehicles and reduce duplicate trips. There is also a reduction in trips traveled for county business when staff members are participate in Teleworking programs. A recent survey of Human Services staff members showed that employees note a reduction in trips traveled. Weld County will continue to look for and purchase alternative fuel vehicles that meet the business demands of the departments. Materials Management Overview Related Eligible Activities- Reduction and capture of methane and greenhouse gases, material conservation programs Energy Efficiency and Conservation Strategy - Colorado 5 In 2000, Weld County accepted the challenge to reduce our paper consumption by 20%. Programs were implemented countywide with a high concentration in Human Services and the County DA's Office. We have met this challenge of reduction and are now looking at alternative reductions through the use of continuing E -Gov alternatives for our constituents. For example, you can now pay your tax notice online, and look up all land use activities online thereby reducing the need to come into the departments and obtain this information. Financial Incentives Overview Related Eligible Activities- Financial incentives programs The financial incentives for our program are seen by our constitutes in a reduction in the need to manually obtain information, and through the convenience of the internet. The Weld County Internet house host numerous forms and applications once only available from a trip to the county department. Additionally, all county Purchasing activities are posted online thereby making procurement within the Weld system far easier and more cost effective for our vendors. Energy Education and Outreach Numerous departments in Weld County such as Human Services through the LEAP program and the Department of Health and the Environment sponsor programs to assist the public in learning the best and most cost effective way to use energy resources. Most of this information is available to the public via the County website. Additionally, as situations present themselves, such as those occurring through the land use process, education is provided by the expertise we have on staff to implement walkable communities, pedestrian friendly and energy aware land use projects and design. An example of this can easily be seen in the numerous land use standards requiring the conservations and best use of water within our community. 2. Describe your government's proposed implementation plan for the use of FFCBG Program funds to assist you in achieving the goals and objectives outlined in the strategy describe in question #1. Your description should include a summary of the activities submitted on your activity worksheets, and how each activity supports one or more of your strategy's goals/objectives. (See EECBG Activity Worksheets — Attachment B1 and the Excel document "GEO Program Descriptions") 3. Describe how your government is taking into account the proposed implementation plans and activities for use of funds by adjacent units of local government that are grant recipients under the Program (response not mandatory for Indian Tribes). Staff members from Weld County and the City of Greeley (the only entitlement municipality in Weld) meet on a regular basis to talk about shared programs. Weld County will assist the City of Greeley, where possible, to carry out their programs. Weld County and the City of Greeley share many facilities located in the Island Grove Park and share the maintenance and expense of these facilities jointly. We intend to continue to be good stewards of these facilities. We hope to • • • Energy Efficiency and Conservation Strategy - Colorado 6 • • • continue to learn from the positive works from others and will consider collaborative opportunities as they arise. 4. Describe how your government will coordinate and share information with the state in which you are located regarding activities carried out with grant funds to maximize energy efficiency and conservation benefits (response not mandatory for Indian Tribes). The Governor's Energy Office has a strong, existing relationship with the EECBG entitled communities, and as such we rely upon the assistance of Mona Newton to provide input and assistance to Weld County The GEO regional representative and local programs manager have ongoing dialogue with the EECBG communities. Monica Daniels Mika is the EECBG point -of -contact for Weld County. Monica meets with GEO representatives as needed to carry out the local and state plans and goals. Entitled communities will provide the GEO with copies of the EECBG reports provided to DOE. GEO will continue to meet individually with communities to review their results and identify additional community energy efficiency and renewable energy opportunities. One such opportunity arose through the development of this program. Weld County is working with the City of Greeley, and School District 6 to sponsor a Community Development Grant to seek funding for a sidewalk project in the Bella Romero neighborhood. The discussion and idea for this project was sparked from Mona and will be jointly carried out through alternatives funds. Without the working relationship with GEO this project is likely to not have happened. 5. Describe how this plan has been designed to ensure that it sustains benefits beyond the F.ECBG funding period. EECBG programs are developed under the following structure and Weld County agrees to manage our program under these guidelines. The foundation of these programs is based on a "Plan, Do, Check, Act" model, which will allow for flexibility to evaluate and modify program results to ensure that sustained benefits are realized. Because our numerous programs are tied within our normal business practices these programs are evaluated annually at budget time. The direct and sustainable impact to the Weld community is through appropriate stewardship and operations of our capital infrastructure and the programs we offer the public. Both components of our project have a long-term life expectancy, with the window project having the longest duration of potential impacts, and the computer enhancement has the most immediate impacts. Make a commitment to continuous improvement Building local capacity, the EECBG programs include a local sustainability program, which will recognize the need for continuous evaluation of changing local needs and opportunities, and a commitment to incremental improvements. Areas of accountability, roles and responsibilities will be established, and policies are documented as capital projects and work plans in Weld County. Assess Performance and Opportunities Energy Efficiency and Conservation Strategy - Colorado 7 Enhancing our existing buildings saves in insurmountable ways, and the energy captured from maintaining and upgrading facilities clearly falls within the benefits of this program. This is not merely a one time task. Rather, stewardship of capital facilities is a long-term effort which can be enhanced for example through the opportunity of additional funds, but the programs are ongoing. Through the placement of these new windows we will be ensuring that an existing structure maintains its vital role in our community by allowing it to meet the needs of its inhabitants and all those who come to the facility. Our current transit tracking system does not afford us the most efficient use of technology to determine routes and transit matching needs, the proposed technological update will allow to combine and structure trips to reduce mileage travel and combine trips to reduce unnecessary trips there by reducing air pollution and transit miles Set performance goals Goals will be established and estimates developed for potential for improvement. Short and long term goals will be specific and quantifiable at individual project and community level. (See Attached) Create Action Plan Programs and projects include detailed multi -level targets with timelines to close gaps. Internal and external roles have been or will be defined and funding identified prior to program implementation. The program and project scope has been clearly defined with stakeholders and approved by senior leadership. (See Attached) Implement Action Plan The GEO communication plan will raise awareness and address stakeholders on regular basis, building support at all levels within the community. The GEO EECS is designed to motivate local governments to adopt GEO programs in the local implementation plans. The GEO has committed to provide a portion of its EECBG funding to motivate entitled communities to participate in GEO programs, thus increasing the potential for statewide success. Evaluate Progress GEO will track and monitor progress through regular reviews of local plans, and update a centralized database to provide information across all programs and communities. GEO will recognize community achievements; acknowledge the contributions of individuals, teams, and organizations and seek media/third party opportunities to highlight achievements. 6. The President has made it clear that every taxpayer dollar spent on our economic recovery must be subject to unprecedented levels of transparency and accountability. Describe the auditing or monitoring procedures currently in place or that will be in place (by what date), to ensure funds are used for authorized purposes and every step is taken to prevent instances of fraud, waste, error, and abuse. • • • Energy Efficiency and Conservation Strategy - Colorado 8 • • • The Governor's Energy Office (GEO) has established grant monitoring process, which ensures early identification and resolution of delays in project implementation as well as record -keeping and Weld County intends to adhere to this process as well as our own longstanding business practices. Contractors are required to submit monthly or quarterly reports, which include both a project and a financial status report within 20 days of the end of each quarter. GEO reviews the report and promptly follows up on any additional indications of problems. While contracts are monitored via GEO by site visits to ensure adequate communications and to observe contractual tasks in progress, Weld County will monitor the construction project on a daily basis. If problems are identified they will be resolved immediately. And as appropriate, additional site visits will be conducted to by GEO staff. Specific to the oversight and transparency provisions of the American Recovery and Reinvestment Act, on February 18, 2009, Colorado Governor Bill Ritter, Jr. established the Colorado Economic Recovery and Accountability Board (CE-RAB). The CE-RAB mission is oversight of the funding received by the State of Colorado from the American Recovery and Reinvestment Act. The Board's responsibility is to ensure that the state and local agencies that are directing funding do so with transparency, accountability, and, ultimately, to the highest benefit possible. Part of the transparency and accountability oversight will be to ensure fair and equitable access to the decision making process. Citizens have the right to have both their voice heard, should they choose, and to have information readily available to them about the Recovery funding. In this light, Weld County will post a sign on the site stating that improvements to the Courthouse are funde e ARRA act and include a contact name to allow citizens the opportunity to obtain more information. n a r ion, eld County will post on its website, update status regarding both components of the project. Iaet. tA9slt ujcLa; Energy Efficiency and Conservation Strategy - Colorado 9 Performance Goals Courthouse Component 1. Weld . my will apply for additional funding to support this project throug grants from The Colora. s . istorical Society. Applications for these grants are d = i ecember, 2009 and April, 2010. 2. Weld County will ensure the 'vely construction . is project and meet the reporting criteria as stated within the guidelin- .f this ..ject 3. Windows in the Weld County C. - ouse be replaced by historically compatible energy enhanced glazing. R• : acement of the wi ..ws will result in an overall energy loss reduction and incre.: - in general functionality of th• ructure. 4. The Weld co. ty Courthouse will stand as a show case examp or other nationally regis e publically held buildings to ensure continued energy invest t in historic st ctures. Transit Component 1. With the enhanced software transit trips will be consolidated and combined with the most efficient energy routes. 2. Weld County will have the ability to collaborate with other transit systems using similar software. 3. Greenhouse gas emissions will be reduced through the more efficient use of transit and route mapping Energy Efficiency and Conservation Strategy - Colorado 10 • • • • • Action Plan '6Qurt House Component Receive grand unding Bid project out Apply for State historical Award bid Start construction State Historical Gr n (2) Additional c struction Proj completion Transit Component Receive grant funding Bid project out Award Bid Implement program Operate with new system August 2009 vember 2009 December 2010 January 2010 February 2010 i12010 April -No, •tuber 2010 December 2010 August 2009 October 2009 November 2009 December —January 2010 February 2010 Energy Efficiency and Conservation Strategy - Colorado 11 Amy Maziarz loom: Patti Russell ent: Tuesday, July 07, 2009 9:01 AM : Amy Maziarz Subject: FW: EECBG applications Attachments: CO - Local Government EECBG investment.xls Hi Amy, A new project, or a continuation of an old project! We are going to give this one to you! Thanks, Patti • _ From: Angie Fyfe To: Angie Fyfe Cc: Hew Hallock ; Joani Matranga ; Mona Newton ; Robert Mailander Sent: Mon Jul 06 13:58:58 2009 Subject: EECBG applications Hello, Now that the initial EECBG application due date is behind us, I am reaching out to request a copy of your Energy Efficiency and Conservation Strategy (attachment D) and ask that you please complete the attached Excel worksheet. If your city or county is seeking EECBG matching funds from GEO, please indicate the dollar amount of the request on the spreadsheet, and submit a copy of the Project Activity worksheet (attachment B1) for that activity. will accept requests for EECBG matching funds until July 31, so please return your documents on or before that date. 1 If your city or county has not yet completed the EECS or submitted the EECBG application, please let me know when you plan to do that. Thank you - Angie Angie Fyfe, LEED AP Local Program Manager Governor's Energy Office 1580 Logan Street #100 Denver, CO 80203 www.colorado.gov/energy 303-866-2059 angie.fyfe@state.co.us The Governor's Energy Office is currently developing multiple strategies to implement the American Recovery and Reinvestment Act. To stay up to date about how the GEO will direct recovery funds for renewable energy, energy efficiency and weatherization projects in Colorado, keep an eye on www.colorado.gov/energy/recovery <http://www.colorado.gov/energy/recovery> and sign up for the GEO e -newsletter. t 1 2 t • 1) > c • 0 0 a) • Local Interest for an LI II CO 4-1 v cm a, W 3 O CD W CC Local EECBG $ Activity Description O O O N (Ni c-1 V? N E to Ln OD T N O. N c on 1' a c =0 y0 C O in tro in CO LL 4 C W N O m O. (9 E in N Y OO C S C p C ra U CU > cm• O a Ht -0 C 0 C m m 5 w to j 0 CC N C _ "O 0 0 C 0 w u V) )CO J V) la V) E r c a) > ut m N E C CO ro N L a u c„ - o E ro v. 00 O o aci .. 'u m = on E a• O` O a+ C w N O O` a a C N ID U w m E o c) C E • o 4 H O -O C Ian ..0 U j >.. 'O 'O C O � U - L 0 C IC L w ro el c c a) al a) " a) JD in -O •11 C O t U CI C -O = g2 w (0 U N c `.G 0 E U •v. U C On a u c a ro w u a On O m 0 in )c 0 a) 'u >. -O 0 C >- .` u u CD L -O C E° C a)€ E° a) 7 a) > u in N a) N > ._ a) f "O N C 0- CC i.C w w a) CO w C CC H a) ri N M V Li, CD N 00 Q) O rl N M ri - c4 rl Phone: 970-356-4000 ext 4443 EECBG Activity Worksheet Grantee: Weld County Government �UN3 #: 75757955 rogram Contact First Name: Monica Date: 07/07/2009 Program Contact Email: mmika@co.weld.co.us Project Title: Weld County Financial Incentives Programs Activity: 4. Financial Incentive Program If Other: Sector: If Other: Proposed Number of Jobs Created: Proposed Number of Jobs Retained: Proposed Energy Saved and/or Renewable Energy Generated: Proposed GHG Emissions Reduced (CO2 Equivalents): Proposed Funds Leveraged: Proposed EECBG Budget: Projected Costs Within Budget: Administration: Revolving Loans: Subgrants: Project Contact First Name: Last Name: Email: Metric Activity: Financial Incentives: E Efficiency & Covered Investments If Other: Project Summary: (limit summary to space provided) Weld County would be interested in providing rebates to residents who purchase energy efficient appliances. We would like to explore this more once the FOA comes out. This project would support the county's goal of investing in projects that yield measurable and sustainable energy savings. Last Name: Daniels -Mika • • If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example: "OH -CITY -Columbus - Project Activity page 1.pdf,""OH-CITY-Columbus-Project Activity page 2.pdf,"and continue as needed. EECBG Activity Worksheet Grantee: Weld County Government ivUNS #: 75757955 Date: 07/07/2009 Program Contact Email: mmikaaco.weld.co.us rogram Contact First Name: Monica Last Name: Daniels -Mika Project Title: Traffic Signals and Street Lights Activity: 12. Lighting If Other: Sector: If Other: Proposed Number of Jobs Created: Proposed Number of Jobs Retained: Proposed Energy Saved and/or Renewable Energy Generated: Proposed GHG Emissions Reduced (CO2 Equivalents): Proposed Funds Leveraged: Proposed EECBG Budget: Projected Costs Within Budget: Administration: Revolving Loans: Subgrants: Project Contact First Name: Last Name: Email: Metric Activity: Other If Other: Project Summary: (limit summary to space provided) Weld County would like to explore the possibility of installing and/or upgrading current traffic signals and street lights to be timed for energy efficiency and savings. We will be able to provide more detailed information once the FOA is released. This project would support the county's goal of investing in projects that yield measurable and sustainable energy savings. • If you are proposing more than one activity, save this file as many times as needed with successive page numbers. For example: "OH -CITY -Columbus - Project Activity page 1.pdf," "OH -CITY -Columbus -Project Activity page 2.pdf," and continue as needed. Hello