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HomeMy WebLinkAbout20183778.tiffRESOLUTION RE: APPROVE APPLICATION FOR ENERGY AND MINERAL IMPACT ASSISTANCE PROGRAM GRANT FOR IMPROVEMENTS TO COUNTY ROAD 60.5 (DECEMBER CYCLE -TIER I) AND AUTHORIZE ELECTRONIC SUBMITTAL 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 Application for Energy and Mineral Impact Assistance Program Grant for Improvements to County Road 60.5 (December Cycle - Tier I) 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 Public Works, and the Colorado Department of Local Affairs, commencing upon full execution, with further terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, 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 Application for Energy and Mineral Impact Assistance Program Grant for Improvements to County Road 60.5 (December Cycle -Tier I) 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 Public Works, and the Colorado Department of Local Affairs, be and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Department of Public Works, be, and hereby is, authorized to submit electronically. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 26th day of November, A.D., 2018. BOARD OF COUNTY COMMISSIONERS WELL) COUNTY, COLORADO ATTEST: dioieu Jde4,;(,k Weld County Clerk to the Board Date of signature: Steve Moreno, Chair ) CAC TC eC) (tit / 2018-3778 EG0075 MEMORANDUM TO: Board of County Commissioners DATE: November 20, 2018 FROM: Stacey Swanson, Budget Manager SUBJECT: DOLA Application — 2018 December Cycle In accordance with the CIP work session held on October 30, 2018, Public Works is requesting the Commissioners submit two energy and mineral impact grant applications to the Department of Local Affairs (DOLA) for the 2018 December cycle. The first grant request is for a Tier 1-$200,000 grant application for paving WCR 60.5 from WCR 47.5 to WCR 51.5. If awarded, Public Works would use this money to purchase cement treated base (CTB), aggregate, and asphalt materials which our crews could use to pave approximately 2 miles of road. Pursuant to grant funding and Public Works' completion of other projects, this HARP project is anticipated to begin in the Fall of 2019. The second grant request is for a Tier 2 -$1,000,000 grant application for purchasing Heavy Equipment. We will be purchasing this equipment to replace outdated equipment used to help us catch up on the 5 & 7 -year gravel plans. If awarded, this grant would be used to purchase 6 graders and one crushing plant in late spring/early summer months of 2019. Staff recommends authorization of signature on the DOLA applications. I am available to answer any questions you may have. 2018-3778 Updated 10.20.2017 COLORADO Department of Local Affairs Division of Local Government ENERGY AND MINERAL IMPACT ASSISTANCE PROGRAM APPLICATION Tier I or Tier II Applications Must Be Submitted Electronically - Directions on Last Page -You are Highly Encouraged to Work with your Regional Field Manager when Completing your Application - A. GENERAL AND SUMMARY INFORMATION 1. Name/Title of Proposed Project: Weld County Road 60.5 Improvements 2. Applicant: Weld County (In the case of a multi -jurisdictional application, name of the "lead" municipality, county, special district or other political subdivision). In the case of a multi -jurisdictional application, provide the names of other directly participating political subdivisions: 3. Chief Elected Official (In the case of a multi -jurisdictional application. chief elected official of the "lead" political subdivision): Name: Mailing Address: PO Box 758 Steve Moreno City/Zip: Greeley, CO 80632-0758 E -Mail Address: smoreno@weldgov.com Title: Chair Phone: 970-400-4200 Alt Phone 4. Designated Contact Person (will receive all mailings) for the Application: Name: Mailing Address: City/Zip: E -Mail Address: Barbara Connolly PO Box 758 Greeley, CO 80632-0758 bconnolly@weldgov.com 5. Amount of Energy/Mineral Impact Funds requested: (Tier I. Up to $200.000 or Tier II; Greater than $200.000 to $1, 000, 000) Tier I- $200,000 Title: Controller Phone: 970-400-4445 Alt Phone 6. Description of the Project Scope of Work: (Project Description of the various tasks involved in the project including specific data such as quantities. mileage, square feet, lineal ft. etc. as well as specific project location within city and or county etc.) Weld County requests funding to assist with full depth reconstruction (FDR) of approximately 2.1 miles of WCR 60.5 from WCR 47.5 to WCR 51.5. Public Works will mill off the asphalt to a depth suitable for mixing into the subgrade, then use cement -treated base (CTB) to reinforce the subgrade and pave the roadway with 5" of asphalt to support truck traffic. 7. Description: (Describe the problem, opportunity or challenge that resulted in the request.) With traffic continuing to increase, this roadway is on the County's HARP program list, which involves a 20 -year life roadway design. The FDR program uses direct distribution severance dollars on roads significantly impacted by oil and gas activity. However, the County struggles to keep up with road damage. The County cannot afford to pave every road and increased truck traffic is making it difficult to maintain existing roads. Therefore, Public Works uses cement -treated base in new road projects to reinforce the subgrade (below the asphalt) in order to support truck traffic. We call this program Full Depth Reconstruction (FDR). 8. Local priority if more than one application from the same local government (1 of 2. 2 of 2. etc.) 1 of 1 9. Is the project on a State registered historic site or in a State registered Historic District? Yes( ) No(X ). If yes, please provide the registry number. . The department may need to seek a determination of effect from the State Historic Society. For more on the Colorado State Register of Historic Properties. please click here. Page 1 of 10 Updated 10.20.2017 B. DEMOGRAPHIC AND FINANCIAL INFORMATION. 1. Population a. What was the 2010 population of the applicant jurisdiction? b. What is the current population? (Current/most recent conservation trust fund/lottery distribution estimate is acceptable.) What is the source of the estimate? c. What is the population projection for the applicant in 5 years? What is the source of the projection? 252,825 314.360 DOLA 366,820 DOLA 2. Financial Information (Current Year): In the column below labeled "Applicant" provide the financial information for the municipality. county. school district or special district directly benefiting from the application In the columns below labeled "Entity". provide the financial information for any public entities on whose behalf the application is being submitted (if applicable). Complete items "a through k" for ALL project types: Applicant Lead Co -applicant Co -applicant a. Assessed Valuation (AV) Year: Most Recent $9,244,960,710 b. Total Mill Levy 15.80 c. Property (mill levy Tax Revenue x AV / 1.000) Generated $145,754,379 d. Sales Tax (Rate/Estimated Annual Revenue) 0% / $0.00 % / $ % / $ e. General Fund Budgeted Revenue $134,486,352 f. General Fund Budgeted Expenditures $131,544,733 g. the General previous Fund year Balance as General of Fund December Balance: 31St of $17,626,396 Portion h. of the General definition below) Fund identified which is in Unassigned the GASB AA $12,000,000 (meets statement i. Total Budgeted Revenue (All Funds)* $319,294,318 j. Budgeted Expenditures (All Funds)* $327,441,220 Total k. Total Fund Balance (All Funds)* $121,860,000 I. Total Outstanding Debt (All Funds)** $0.00 * Sum of General Fund and all Special or Enterprise Funds ** Include the total outstanding liability from all multi -year debt obligations (lease purchase agreements. certificate of participation and any other debt instruments). "Unassigned fund balance - Amounts that are available for any purpose: these amounts are reported only in the general fund and have not been committed by resolution. ordinance or contract and have not been budgeted for an intended purpose. (Click this link to locate GASB Fund Balance definitions) For Fund) o"• projects or managed to be through an Enterprise a Special Fund Fund (e.g. other water, than sewer, the General county airport), Fund (e.g. complete County items Road "k and through Bridge managed through Complete items "I through p" for ALL project types: Identify Fund: the relevant Special Fund or Enterprise Public Works Fund Fund u d Fund m. Special or Enterprise Fund Budgeted Revenue $71,173,797 $ $ n. Special Expenditures or Enterprise Fund Budgeted $82,808,926 $ $ o. Special or Enterprise Fund Outstanding Debt** $0.00 $ $ p. Special Fund Mill Levy (if applicable) 1.789 $ $ q. Special December or Enterprise 31St of the Fund previous Balance as of year $21,392.825 $ $ Page 2 of 10 Updated 10 20 2017 For Water and Sewer Project Only complete items "q through s" Complete items "q through s" for ALL project types �'�' ;, Water' - ' - Sevverz' r Tap Fee $ $ s Average Monthly User Charge (Divide sum of annual (commercial and residential) revenues by 12 and then divide by the number of total taps served ) NOTE Commercial and Residential Combined $ $ t Number of total Taps Served by Applicant ** Include the total outstanding liability from all multi -year debt obligations (lease purchase agreements, certificate of participation and any other debt instruments) Page 3 of 10 Updated 10 20 2017 C PROJECT BUDGET List expenditures and sources of revenue for the protect The totals on each side of the ledger must equal Expenditures Sources of Revenue (Dollar for Dollar Cash Match is Required, unless financial circumstance warrants a reduction) Funding Committed List Budget Line Items (Examples architect engineenng construction equipment items, etc ) „� r `' , Line Item Expenditures ,- , r, ' Line Item Costs ' List the sources of matching funds and documentable in -kind contnbution Total revenue must equal total expenditures � „r'rs indicate either cash or , '', Cash , , - In -Kind List Yes or No next to each line item , , ,, ` WCR 60 5 FDR Improvements (WCR 47 5 to WCR 51 5) $578,950 Energy/Mineral Impact Fund Grant Request $200,000 Yes *Energy/Mineral Impact Fund Loan Request (If applicable) No Weld County Cash $378,950 Yes TOTAL $578,950 TOTAL $578,950 $ Please attach a more detailed budget if available ( f the request is for planning, engineering or design, the following two questions may not be applicable) 1 Please identify the contingency associated with the project budget a Contingency Dollar value $ 0 b Contingency % of Budget 0 c If a contingency has not been identified as part of the budget, please explain why note 2 How recently was the budget and contingency determined for this project (month/year)? November 2018 Page 4 of 10 Updated 10 20 2017 D PROJECT INFORMATION The statutory purpose of the Energy and Mineral Impact Assistance program is to provide financial assistance to "political subdivisions socially or economically impacted by the development, processing or energy conversion of minerals and mineral fuels " 1 Demonstration of Need a Why is the project needed at this time'? WCR 60 5 is an important east/west collector roadway running east/west in Weld County b How does the implementation of this project address the need? The completion of this project will serve the greater East Greeley area and create a safer route for traveling between the Weld County Highway, Kersey, and Gill c Does this project, as identified in this application, completely address the stated need'? If not, please describe additional work or phases and the estimated time frame Do you anticipate requesting Energy and Mineral Impact Assistance funds for future phases? Yes, paving WCR 60 5 addresses the safety need for this portion of the roadway Weld County will not be requesting additional funding for future projects on this portion of WCR 60 5 d What other implementation options have been considered'? I Weld County is trying to be proactive on improving this oil & gas haul route e What are the consequences if the project is not awarded funds'? WCR 60 5 is a parallel collector road to SH 392 and a main travel route to Gill If funding is not awarded, this section will continue to deteriorate and become an even worse safety problem than it currently is today 2 Measurable Outcomes a Describe measurable outcomes you expect to see when implementation of this project is complete How will the project enhance the livability* of your region, county, city, town or community (e g constructing a new water plant will eliminate an unsafe drinking water system and provide safe and reliable drinking water, the construction of a new community center will provide expanded community services, or projects achieving goals regarding energy conservation, community heritage, economic development/diversification, traffic congestion, etc )? *(Livability means increasing the value and/or benefit in the areas that are commonly linked in community development such as jobs, housing, transportation, education, emergency mitigation, health and environment) Due to the limited number of paved roads in the vicinity due to the South Platte River, Lone Tree Creek and Cache la Poudre River confluence, the value of improving WCR 60 5 is significant because there are no paved east/west county roads in the vicinity, and particularly to the north until SH 392 The improvements will make the area safer for all motorists and add years of life to the existing roadway by using innovative technology at the subgrade level, which will help with truck traffic deterioration b How will the outcome of the project be measured to determine whether the anticipated benefits to this population actually occur? Upon completion, the geo-tech data will be included in our pavement management system and we will continue to collect traffic counts to determine if traffic increases c Does this project preserve and protect a registered state historic building, facility or structure'? If yes, please describe Year of construction N/A, no historic building, facility, or structure is involved in the project d Will this project implement an energy efficiency/strategy that could result in less carbon footprint or conserve energy use or capitalize on renewable energy technology'? If yes, please describe By utilizing Concrete -Treated Base (CTB) with a GPS-equipped grader it will reduce the number of grader passes, which reduces pollution and provide an improved air quality benefit e Will the project be constructed with "Resiliency Framework", which is to build and construct with a plan to reduce risks by utilizing materials and constructing in areas to better withstand natural or man-made disasters, etc ? If yes, please describe Yes, this project will be constructed with a Resiliency Framework by utilizing recycled asphalt materials into the subgrade to create a more durable subgrade to accommodate heavy ESAL truck traffic and provide a better substructure to withstand natural or man-made disasters for a long period of time 3 Relationship to Community Goals a Is the project identified in the applicant's budget or a )urisdictionally approved plan (e g capital improvement plan, equipment replacement plan, comprehensive plan, utility plan, road maintenance and improvement plan or other local or regional strategic management or planning document)? What is its ranking'? Yes, this project has been identified in the Public Works HRP budget Page 5 of 10 Updated 10 20 2017 4 Local Commitment and Ability to Pay/Local Effort a Why can't this project be funded locally'? Weld County reduced funding the HARP Program, which means less roads can be improved With less funding available, Weld County is trying to find other opportunities to fund projects directly impacted by the oil and gas industry In order to accomplish this project, Weld County is looking for funds to assist with purchasing additional materials, so the county crews can construct the improvements rather than contracting them b Has this project been deferred because of lack of local funding'? If so, how long'? Yes, this project has been deferred for a number of years c Explain the origin of your local cash match (Note Whenever possible, local government cash match on a dollar for dollar match basis is encouraged ) Are the local funds committed or pending'? If there are pending funds, when will the status of those funds be determined'? The project will be funded out of Public Works HRP Fund d What other community entities, organizations, or stakeholders recognize the value of this project and are collaborating with you to achieve increased livability of the community'? Please describe how your partners are contributing to achieve the improvement to the livability of the community through this project If in -kind contributions are included in the project budget, detailed tracking will be required on project monitoring report Motorists utilizing these roads appreciate the value of this safety project Do you really read this application, Don and Robert? This project is an important collector connector between Gill and Greeley and is an important fire protection roadway for the Platte Valley Fire District This road is the main pathway to the Greeley/Weld airport and Air National Guard i Please describe the level of commitment by each collaborator (e g fee waivers, in -kind services, fundraising, direct monetary contribution, policy changes ) Weld County is extremely committed to this project because the funds will be used to purchase additional materials, which county crews will use to construct the improvements ii Please list the value of the resources that each collaborator is bringing to the program Weld County equipment and labor is at least half of the cost of the project e Has the applicant dedicated the financial resources in their current budget, reserve funds and/or unused debt capacity that are being used for the local matching funds'? Explain if No Yes, the project funds are identified as part of the Haul Route (HARP) Program which Weld County will fund as the cash match from Public Works budget Construction would begin in late summer of 2019 Public Works designed the project in-house and no additional right-of-way is needed for the project This project will be completed before the end of 2019 f Have the applicant's tax rates, user charges or fees been reviewed recently to address funding for the proposed project'? Weld County has so many impacted oil and gas roads that all available funding is going into the PW General Fund/HARP program to help mitigate the impacts to as many county roads as possible The grant would allow Public Works to complete a significant oil and gas haul route, which wouldn't otherwise be completed g If the tax rate, user charges or fees were modified, what was the modification and when did this change occur'? Weld County has been directing the revenues from the Specific Ownership Tax to Public Works since 1985 h Has the applicant contacted representatives from local energy or mineral companies to discuss the project'? If yes, when was the contact and what was discussed Yes, HARP roads are discussed at Weld County's Oil and Gas Working Group regular meetings The Oil 8 Gas Working Group consists of industry partners discussing impacts affecting everyone and problem solves how we can all work together to minimize or mitigate these problems i Has the applicant requested financial support from the industry'? If yes, when was the contact, what amount did you request'? What were the results'? If no, why not'? Yes, but the industry typically helps Weld County projects with in -kind support such as water hauling, gravel, trucking and stock piling 5 Readiness to Go a Assuming this project is funded as requested, how soon will the project begin'? Select One (Within 3 months, ( )3-6 months, ( )6-9 months or (x)9-12 months'? What is the time frame for completion'? Select One ( )Within 3 months, ( ) 3-6 months, (U6-9 months, (X)9-12 months or U >12 months b Describe how you determined that the project can be completed within the proposed budget as outlined in this application'? If awarded, this project can start September 2019 Anticipate construction being completed by November 1st and closeout by the end of 4th quarter reporting c Has the necessary planning and design been completed'? How'? What additional design work remains'? How did the applicant develop project cost estimates'? Are any or permitting must still be completed, if any'? When'? How did the Page 6 of 10 Updated 10.20.2017 applicant develop project cost estimates? Is the project supported by bids, professional estimates or other credible information? Please attach a copy of any supporting documents. In addition, Weld County crews construct the improvements. The purpose of these funds is to acquire enough materials to pave the road. Weld County is extremely proficient with knowing exactly how much material is needed for paving roads, so no over or under runs are anticipated. All work will be done within the existing Right - of -Way so no additional land is needed for these improvements. i. What additional design work remains? None, nominal design is needed for this project and it is done in-house. ii. How did the applicant develop project cost estimates? Estimates were developed by professional engineers involved with the project design. iii. Is the project supported by bids. professional estimates or other credible information? Please attach a copy of any supporting documents. Estimates were developed using professional engineers and the historical costs of similar projects. iv. Are any Local, State or Federal permits required before the project can proceed? If yes, please describe. No additional permits are required for this project because it will occur within the existing right-of-way limits. 6. Energy & Mineral Relationship a. Describe how the applicant is. has been. or will be impacted by the development, production, or conversion of energy and mineral resources. Weld County is the #1 producing oil and gas county in the entire state and therefore is extremely impacted. Much of the road's traffic is due to oil and gas trucks. b. To further document the impact in the area. name the company or companies involved, the number of employees (click to get # of employees) associated with the activities impacting the jurisdiction and other relevant. quantitative indicators of energy/mineral impact. Companies with oil and gas operations in the area include: PDC Energy, Inc, Fountain Head Resources, Ltd., and Noble Energy. The number of employees employed in the energy/mineral impact field in Weld County is 4,926. c. Cite actual use data that documents direct impact as it relates to the need for the project. For example, "heavy truck traffic directly related to energy development activities is impacting County Road X. a traffic count done in May 2015 showed energy related truck traffic increased from 100 trips per day to 300." WCR 60.5 is an arterial road. Current traffic volumes on WCR 60.5 are 4,237 vehicles per day (vpd) with 36% truck traffic. This count was taken on 6/15/2017. 7. Management Capacity a. How will you separate and track expenditures, maintain funds and reserves for the capital expenditures and improvements as described in this project? Weld County's Accounting Department is recognized as a Tier 3 local government by the State and can manage all invoicing information through Banner Accounting System. In addition, Public Works will use the project management software PubWorks to assist in administering the grant. b. Describe the funding plan in place to address the new operating and maintenance expenses generated from the project? Weld County will utilize our HUTF fundinc in order to maintain this corridor. c. Describe the technical and professional experience/expertise of the person(s) and/or professional firms responsible to manage this protect. Weld County Public Works has several engineers on staff and proven expertise in roadway improvement projects. Barbara Connolly is the point of contact for this grant and Elizabeth Relford will be responsible for managing the construction protect. d. Does the project duplicate service capacity already established? Is the service inadequate? Has consolidation of services with another provider been considered? This is a safety project and does not duplicate service capacity but enhances it. Current service is inadequate and inefficient to meet existing truck traffic demands. Page 7 of 10 Updated 10.20.2017 E. HIGH PERFORMANCE CERTIFICATION (HPCP) PROGRAM COMPLIANCE. Colorado Revised Statutes (C.R.S. 24-30-1305.5) require all new facilities, additions, and renovation projects that meet the following applicability criteria to conform with the High Performance Certification Program (HPCP) policy adopted by the Office of the State Architect (OSA) if: • The project receives 25% or more of state funds: and • The new facility, addition, or renovation project contains 5,000 or more building gross square feet; and • The building includes an HVAC system; and • In the case of a renovation project, the cost of the renovation exceeds 25% of the current value of the property. The HPCP requires projects that meet the applicability criteria above to achieve third party verification with the target goal of LEED Gold or Green Globes -Three Globes. Projects are strongly encouraged to meet the Office of the State Architect's (OSA) Sustainable Priorities in addition to the LEED prerequisites. Projects funded through DOLA that meet the above applicability criteria are required to complete the DOLA registration and tracking process. See DOLA's HPCP web page for more information or contact your DOLA regional manager. In instances where achievement of LEED Gold or Green Globe -Three Globes certification is not achievable. an applicant may request a modification of the HPCP policy or a waiver if certain conditions exist. DOLA staff will work with applicants to identify workable solutions to meet the program's intent to maximize building energy efficiencies. Please answer the following questions: (Complete this section only if your project application is for a building project. both new construction as well as renovation.) 1. Is the applicant seeking state funding for 25% or more of the total project cost (including all phases, if applicable)? Yes( ) No( ) (If no, the project does not meet the HPCP requirement and the rest of this section does not need to be completed) Does the building include an HVAC system? Yes( ) No( ) If yes, please check whether the proposed project includes a HVAC upgrade or new HVAC system. 2. Is this project (check all that apply): new construction renovation new and renovation New building square footage: SF Renovation square footage: SF Is the building square footage (new construction and/or renovation) 5.000 SF or more? Yes( ) No( ) 3. For building renovation projects: What is the current property value? (Determine based on assessed or appraised value) $ What is the total project cost for the renovations? $ Does the cost of renovation exceed 25% of the current value of the property? Yes(_) No( ) 4. If you answered "yes" to questions 1, 2, 3, and if applicable, 4, then your project meets the HPCP applicability criteria. Complete the HPCP registration form and preliminary checklist and submit with this grant application. (See DOLA s HPCP web page for registration and checklist form.) ADDITIONAL QUESTIONS: 5. Have you included any additional costs in this grant application for third party verification to comply with the High Performance Certification Program? Yes( ) No( ) If yes. please specify the estimated cost for third participation verification/certification:$ 6. Will you need assistance locating resources. third party consultants, or technical assistance for HPCP third party verification requirements, preparing cost estimates. or otherwise complying with the HPCP? Yes( ) No( ) Explain Note: If this application is for design services for a planned building project that meets the HPCP applicability criteria and the applicant intends to seek state funding for 25% or more of the total project cost. then the design should maximize high performance building certification standards (by completing the HPCP checklist) and build in anticipated project costs, as appropriate. Page 8 of 10 Updated 10 20 2017 F TABOR COMPLIANCE 1 Does the applicant jurisdiction have voter authorization to receive and expend state grants without regard to TABOR spending limitations'? Yes(___) No( ^_) If yes, explain Yes 2 If the applicant jurisdiction receives a grant with State Severance funds, will the local government exceed the TABOR limit and force a citizen property tax rebate'? Yes(_) No( ) Explain No 3 Has the applicant jurisdiction been subject to any refund under TABOR or statutory tax limitations'? Yes(_) No( ) Explain I No i 4 Has the applicant sought voter approval to keep revenues above fiscal spending limits'? Yes() No() Explain I Yes 5 Are there any limitations to the voter approved revenues'? (e g , Can revenues only be spent on law enforcement or roads?) Yes( X ) No() Explain All Weld County ad valorem tax levies for county purposes, when applied to the total valuation for assessment of the County, shall be reduced so as to prohibit the levying of a greater amount of tax revenue than was levied from ad valorem taxation in the preceding year plus five percent (5%) except to provide for the payment of bonds and interest thereon 6 If the applicant jurisdiction is classified as an enterprise under TABOR, will acceptance of a state grant affect this status'? Yes(__) No( X ) Explain I Acceptance of grant funds will not affect Weld County as an enterprise under TABOR G ENVIRONMENTAL REVIEW Indicate below whether any of the proposed project activities 1 Will be undertaken in flood hazard areas Yes(X) No(_) List flood plain maps/studies reviewed in reaching this conclusion Describe alternatives considered and mitigation proposed I FIRM PANEL 1565, ZONE A MAP #08123C1565E Effective Date 1/20/2016 2 Will the project affect historical, archeological or cultural resources, or be undertaken in a geological hazard area Yes(_) No(X ) If yes, describe alternatives considered and mitigation proposed i 3 Address any other public health or safety related concerns? Describe Yes( ,__) No(X ) i Page 9 of 10 Updated 10.20.2017 APPLICATION SUBMISSION INSTRUCTIONS AND OFFICIAL BOARD ACTION DATE (REQUIRED) Application and attachments must be submitted electronically in WORD .DOC (Preferred) or .PDF Format (Unsecured) to: ImpactGrants(a�state.co.us Please Cc your DOLA Regional Manager all documents as well to ensure receipt. In email subject line include: Applicant Local Government name and Tier for which you are applying -example- Subject: Springfield County EIAF Grant Request. Tier 1 NOTE Please do not submit a scanned application (scanned attachments ok). (If you are unable to submit electronically please contact your DOLA Regional Manager) For any questions related to the electronic submission process, please call Leah Smith @ 303.864.7757 Attachments List (Check and submit the following documents if applicable): ► Preliminary Engineering Reports ► Architectural Drawings ► Cost Estimates X ► Detailed Budget ► Map showing location of the project X ► Attorney's TABOR decision ► HPCP Registration, modification Or Waiver Form ***************************************************************************************************************************************** Official Board Action taken on November 26, 2018 Date Submission of this form indicates official action by the applicant's governing board authorizing application for these funds. Page 10 of 10 6N6SW •� it One O o ALL _- - c- 0 ,:qb, -_e,. 66 •�?.�a t•��• •tcoati"• !'• :, ph .•• • <<nrrr'Iti 0/►r•t Asp tt•11, t . • ess - - • •al ••►.•► •I t• ♦- se ,•►'•�[ •,1 1,76 .er ms�,.- 411—mi'',2• A ►5' t�•,•,.�,!t•; sc... 't ; • • .,�7'1t1!• •(•!• t ♦ ••)- ••�j.� • qtr. �� E-4- • tw • • :are el*it fir` !•; ♦ ▪ - •►tii ►.! t• 7t• it *14.--7...° i ► ••f •1N1. Aran 0. e. 3f^,,• •( "•t• • • •�jitl• w_, • .(•..•• .� _ _ •-. t. WELD COUNTY PUBLIC WORKS DEPARTMENT ENGINEERING COST ESTIMATE Project Name CR 60.5 from 47 to 51.5 2.41 Project Limits (miles) Type of Project FDR/CTB, Pave DATE 11.20.2018 Weld County Material only Cost $578,950 CONSTRUCTION SUBTOTAL UNIT UNIT COST QUANTITY TOTAL CONSTRUCTION COSTS Cement (28' width at 12" and 5% cement) Ton $ 125.89 837 $ 105,370 Ton $ 47.70 6,024 $ 287,345 HMA (PG 64-22) (3") (26' width) HMA (PG 64-28) (2')(26' Width) $ 58.30 4,097 $ 238,855 Ton TOTAL $578,950 Hello