HomeMy WebLinkAbout20183779.tiffRESOLUTION
RE: APPROVE APPLICATION FOR ENERGY AND MINERAL IMPACT ASSISTANCE
PROGRAM GRANT FOR SIX (6) MOTOR GRADERS (DECEMBER CYCLE -TIER II)
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 Six (6) Motor Graders (December Cycle -Tier II) 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 Six (6) Motor Graders (December Cycle -Tier II) 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
WELD COUNTY, COLORADO
ATTEST: dade6)
Weld Co ty Clerkto the B
BY:
Deputy CI
APPROA
County Attorney
Date of signature: ///),*
Mike Freeman
Steve Moreno, Chair
XCUSED
//
cc:CLCTC8C)
11/b -/Ice
2018-3779
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
.1(------- 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.
t ("Sc.',
Staff recommends authorization of signature on the DOLA applications. I am available to
answer any questions you may have.
2018-3779
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 Heavy Equipment
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: Barbara Connolly
Mailing Address: PO Box 758
City/Zip: Greeley, CO 80632-0758
E -Mail Address: bconnolly@weldgov.com
5. Amount of Energy/Mineral Impact Funds requested:
Tier I; Up to $20Q000 or Tier II; Greater than $200,000 to $1,000,000)
Title: Controller
Phone: 970-400-4445
Alt Phone
Tier II- $1,000,000
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 pro ect location within city and or county etc)
Weld County requests funding to purchase six motor graders to replace older versions, to be used for applying
surface gravel on Weld County Roads; and one gravel crushing plant to replace the less efficient one. The
crushing plant will process pit run material for our surface gravel program, which is used to resurface Weld
County roads. This equipment is needed to support the county's gravel plan which is at least two years behind
schedule.
7. Description: (Describe the problem, opportunity or challenge that resulted in the request.)
Weld County has 2,200 miles of gravel roads that need to be maintained. Since gravel roads have a different
maintenance level of service than paved roads, they are the most impacted roads in the county due to the Oil &
Gas Industry equipment traveling them. There is a 5 and 7 -year gravel plan for every County gravel road and we
are currently two years behind schedule due to: 1) the increasingly limited supply of gravel; 2) the inability of our
current gravel crushing plant to keep up with the current demand, and; 3) The use of less -efficient road graders
for applying surface gravel. This heavy equipment will be used to maintain Weld County gravel roads to keep
improve safety for the traveling public.
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?
254,240
314.360
DOLA
366,820
DOLA
2.
Financial
In the
benefiting
the application
column
from
Information
below labeled
the application.
is being
(Current
"Applicant"
In
submitted
the
(if applicable).
columns
Year):
provide the financial information for the municipality, county, school
below labeled ''Entity", provide the financial information for any
district or special district directly
public entities on whose behalf
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
x AV
Revenue
/ 1.000)
Generated
$145,754,379
d.
Sales
Tax (Rate/Estimated
Annual
Revenue)
0% / $0.00
0/0 / $
% / $
e. General
Fund
Budgeted
Revenue
$134,486,352
f. General
Fund
Budgeted
Expenditures
$131.544,733
g.
General
the
previous
Fund
year
Balance
as
General
of
Fund
December
Balance:
31st
of
$17,626,396
Portion
h.
(meets
statement
of
the
General
definition
below)
Fund
identified
which
is
in
Unassigned
the GASB
AA
$12.000,000
i.
Total
Budgeted
Revenue (All
Funds)*
$319,294.318
j.
Total
Budgeted
Expenditures
(All
Funds)*
$327,441,220
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 1 i n k to locate GASB Fund Balance definitions)
For projects
to
be
managed
through
a Special
Fund
other
than
the
General
Fund
(e.g.
County
Road
"k
and
Bridge
Fund)
o"•
or managed
through
an
Enterprise
Fund (e.g. water,
sewer, county
airport),
complete
items
through
"I
Complete
items
through
p"
for ALL
project
types:
Identify
Fund:
the relevant
Special
Fund
or
Enterprise
Public
Works
Fund
Fund
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 `'
.Sewer
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 engineering, construction
equipment items etc )
;i
� '"'" s' � �771,",1�" ,47, Trj )- . "`,r c. �.
Tf �` ° �z o �+ i�*'n K i�p p, �s
d ��'--1,4•14r1r t a t
�; x) `Line Item Expenditures � �t s `me Item Costs w� ,
List the sources of matching funds and
documentable in -kind contribution
Total revenue must e9ual total expenditures
indicate either cash or
—",s.� .."-- , m .,
i f r � [ �r"„�,i.
F rvt
ns• a aI s
�r Casa = In -Kind
List Yes or No
next to each
line item
i" -'�`s
��,� t 'fir 'T
i a ,
-r app
"I r- � .1 7 r: -.T sue!
'`.e ,� _�Yl �9 ,�Y .� fi �� � j,
,,,. ^ b' .,,T l e R
^� .�' t'. 2 �r „
�>S
Weld County Heavy Equipment
Energy/Mineral Impact Fund Grant
Re uest
q
$1,000,000
• .1", • o'
,4.t.m'Y -�
t'°• i s
Yes
$1,890,000
'Energy/Mineral Impact Fund Loan
No
1 Crushing Plant (Crusher & Control
Trailer)
$1,000,000
Weld County Cash
$1,890,000
Yes
TOTAL
$2,890,000
TOTAL
$2,890,000
$
Please attach a more detailed budget if available
(If 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 $
b Contingency % of Budget %
c If a contingency has not been identified as part of the budget, please explain why not?
2 How recently was the budget and contingency determined for this project (month/year)? November 2018
Page 4 of 10
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 "
Updated 10 20 2017
1 Demonstration of Need
a Why is the project needed at this time'?
Weld County gravel roads are the most impacted by the Oil & Gas traffic and their equipment Our graders and
gravel crushing plant are aging and need to be replaced with more efficient heavy equipment to keep up with the
pace and demand of the industry since maintain gravel roads is a daily operation
b How does the implementation of this project address the need?
The new gravel crushing plant is more efficient and larger It will be able to crush gravel at an increased rate
which ourc county crews use to resurface county gravel roads The six graders will be more efficient and will
work at a faster pace to complete the continual resurfacing projects
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, purchasing the heavy equipment will completely address the stated need Weld County will not be
requesting additional funding for heavy equipment for gravel roads
d What other implementation options have been considered'?
Weld County is trying to be proactive by replacing older heavy equipment with newer, more efficient heavy
equipment This will help ensure we do not get further behind in our gravel plan if older heavy equipment breaks
down
e What are the consequences if the project is not awarded funds?
If this project is not awarded funds, Weld County will continue to be behind in their gravel plan and risk getting
further behind when current heavy equipment breaks down, which creates a safety issue to the traveling public
since some gravel roads have 50-70% truck traffic
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)
The purchase of a new gravel crushing plant and six new motor graders will improve the efficiency of crushing
surface gravel which is used to resurface county gravel roads Keeping up with the gravel plan is important to
the safety of our residents, businesses and Oil & Gas industry The improvements will add years of life to the
existing roadway by using efficient heavy equipment, 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, Public Works 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
i
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
New equipment with newer technology will improve the air quality
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
i
The nature of gravel roads makes them more susceptible to natural disasters With the county being behind on
the gravel plan, the risk to road damage is exasperated This project will help us to get our gravel roads back to a
more resilient level
3 Relationship to Community Goals
a Is the project identified in the applicant's budget or a junsdictionally 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?
Page 5 of 10
Updated 10 20 2017
Yes, this project has been identified in the Public Works Equipment Replacement Program
4 Local Commitment and Ability to Pay/Local Effort
a Why can't this project be funded locally?
Weld County is trying to find other opportunities to fund projects directly impacted by the oil and gas industry
In order to accomplish this, Weld County is looking for funds to assist with replacing equipment
b Has this project been deferred because of lack of local funding? If so, how long?
I 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?
i
The project will be funded out of Public Works Motor Pool
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
This project is an important equipment purchase that will assist the county in continuing to maintain gravel
roads impacted by oil & gas
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 replacement
equipment
i
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
I Yes, Weld County Motor Pool will fund the cash match from Public Works budget
ii Please list the value of the resources that each collaborator is bringing to the program
Weld County will provide the remaining cost of the equipment above and beyond the grant amount
f Have the applicant's tax rates, user charges or fees been reviewed recently to address funding for the proposed
protect?
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
I
I
g If the tax rate, user charges or fees were modified, what was the modification and when did this change occur?
I Weld County has been directing the revenues from the Specific Ownership Tax to Public Works since 1985 I
h Has the applicant contacted representatives from local energy or mineral companies to discuss the protect? If yes,
when was the contact and what was discussed
Yes None of the local oil & gas companies is willing to contribute equipment
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 (X)Within 3 months,
( )3-6 months, ( )6-9 months or ( )9-12 months? What is the time frame for completion? Select One ( )Within 3 months,
( ) 3-6 months, (x)6-9 months, (_)9-12 months or L) >12 months
b Describe how you determined that the project can be completed within the proposed budget as outlined in this
application?
If awarded, the equipment will be purchased within three months and the closeout will happen upon delivery of
the equipment meeting bid specifications
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? Is the project
supported by bids, professional estimates or other credible information? Please attach a copy of any supporting
documents
Yes
i What additional design work remains?
N/A
ii How did the applicant develop project cost estimates?
I
Page 6 of 10
Updated 10.20.2017
Estimates
were developed
from
past
equipment
purchases
and
bid
specifications.
iii. Is the project supported by bids. professional estimates or other credible information? Please attach a copy of any
supporting documents.
Estimates
were developed
from
bidding
similar
equipment
in
the
past.
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
purchase.
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.
See COGCC website https://cogcc.state.co.us
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.
Heavy truck traffic directly related to energy development activities is impacting all county gravel roads. You
would expect to see increase in traffic on paved roads. Our gravel roads are seeing daily increased truck use
which increases our maintenance level of surface gravel and is more labor and occurrence intensive.
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?
Maintenance on the purchased heavy equipment will continue to be budgeted for in Weld County's annual
budget but should be less due to it being new.
c. Describe the technical and professional experience/expertise of the person(s) and/or professional firms responsible to
manage this project.
Barbara Connolly, Weld County Controller, is the point of contact for this grant and Curtis Hall, Deputy Director
of Operations, Public Works, will be responsible for managing the equipment purchase.
d. Does the project duplicate service capacity already established? Is the service inadequate? Has consolidation of
services with another provider been considered?
By purchasing new equipment, Weld County can better maintain gravel roads which enhances safety and
prevents further erosion, requiring less road maintenance cost and longevity. Current road maintenance service
is inadequate and inefficient to meet existing demands.
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
I 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
I No
3 Has the applicant jurisdiction been subject to any refund under TABOR or statutory tax limitations'?
Yes(_) No( ) Explain
I No
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
I
I
i
4 Has the applicant sought voter approval to keep revenues above fiscal spending limits'? Yes( ) No() Explain
I
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(_) No(X)
List flood plain maps/studies reviewed in reaching this conclusion Describe alternatives considered and mitigation
proposed
I
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
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:
ImpactGrantsstate.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
► Attorney's TABOR decision
► HPCP Registration. modification
Or Waiver Form
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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.
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