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HomeMy WebLinkAbout20151504.tiff RESOLUTION RE: APPROVE COMMUNITY DEVELOPMENT BLOCK GRANT APPLICATION FOR BRIDGE 20.5/3B OVER BOULDER CREEK (FEMA) AND AUTHORIZE CHAIR TO SIGN 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 a Community Development Block Grant Application for Bridge 20.513B over Boulder Creek (FEMA) from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, to the Colorado Department of Public Safety, Division of Homeland Security and Emergency Management, 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 Community Development Block Grant Application for Bridge 20.5/3B over Boulder Creek (FEMA) from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, to the Colorado Department of Public Safety, Division of Homeland Security and Emergency Management, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. CZ% )leaf W2.2 2015-1504 EM0016 BC0045 COMMUNITY DEVELOPMENT BLOCK GRANT APPLICATION FOR BRIDGE 20.5/3B OVER BOULDER CREEK(FEMA) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of May,A.D.,2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY,COLORADO ATTEST: JCL:4k EXCUSED �,�xJ�,� V.�C :4k Barbara Kirkmeyer,Chair Weld County Clerk to the Board per. / Mice Freeman,Pro-Tens BY.11 1 / 1 I,l . � .4 li �� De. Clerk to the ;;oard �. EL c' ��Sean P.Conway '`r �k Ltr p� APPROVED AS TO FOR , tsQ� -°a ` ���' MK lie A.Cozad County Attorney •'16(73�w�4EXCUSED a I Steve Moreno Date of signature: 2015-1504 EM0016 BC0045 /2.7.-c , Colorado Division of Homeland Security Grant NOI / Application 1 . Emergency Management CDBG - DR Recover Colorado Infrastructure Program THIS SECTION FOR STATE USE ONLY DHSEM Identification Number: Colorado Point of Contact: CDBG-DR Program Manager Date NOI (Part A) Received: Colorado DHSEM 9195 East Mineral Avenue, Suite 200 Date Application (Part B) Received: Centennial, Colorado 80112 O11ice: 720.852.6713 Date Next Steps Letter Transmitted: Fay: 721.852.6750 cdps dhsem cdbgastate.co.us - PART A - NOI : PROJECT OVERVIEW 1 . Applicant Legal Name: Weld County. Colorado 2. Applicant ✓ Local Government Private Non-Profit (Attach copy of 501c3, if applicable) T . 3. Project Title: County Match FEMA Projects- WELCO07 (510) 4. Proposed Project Total Cost: 166.006.62 CDBG-DR-I Request: 20/50.83 5. Certifications: The undersigned assures fulfillment of all requirements of the CDBG-DR Recover Colorado Infrastructure Program as contained in the program guidelines and that all information contained herein is true and correct to the best of my knowledge. The governing body of the applicant has duly authorized the document, commits to the non-Federal and State share identified in the Budget, and hereby applies for the assistance documented in this application. Also, the applicant understands that the project may proceed ONLY AFTER a GRANT AGREEEMENT is approved Mike Freeman , Pro—Tem Weld County Commissioner (970) 356-4000 Typed Name of Authorized Applicant Agent 1`iii Telephone Number MSC' ejdtase...-- £IAYI72015 Signature of Authorized Applicant Agent Date Signed 2015-1504 Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 1 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI : APPLICANT INFORMATION I . Applicant Legal Name: Weld County. Colorado 2. FIPS Code: 123 DUNS Number: 07575-7955 3. U.S. Congressional District: 4th Congressman Name: 4. State Senatorial District: 1 Senator Name: M r. Cory Gardner 5. State Legislative District: 50 Representative Name: M r. KertB u Ck 6. Primary Point of Contact: The Primary Point of Contact is the person responsible for coordinating the implementation of this proposal, if approval is granted. Ms. II \Ir. ✓ Mrs. li First Name: Roy Last Name: Rudisill Title: Director Organization: Weld County Office of Emergency Managem€ Street Address: 1150 O Street it\ Greeley State: Colorado Lip Code: 80631 Telephone: (y t U ) „N! l a.x : ( y t u )sie- f 6 Mobile: (9 (U ) 35 - -U E-mail Address: rrudisill(a co .weld . co 7. Alternate Point of Contact: The Alternate Point of Contact is the person that can address questions or concerns in the Primary Point of Contact's absence. Ms. V \ Ir `li .. First Name: Barb Last Name: Connolly Title: Controller organization: Weld County Accounting Street Address: 1150 O Street City: Greeley State: Colorado Zip Code: 80631 Telephone: (y / U ).5 I ; \ : ly f UpOO- r 6 Mobile: E-mail Address: bconnolly(a�co .weld . 8. Application Prepared by: Ms. II Mrs Mrs IN First Name: Kyle l _ast Name: Jones Title: Planner Organization: ARCADIS-US Street Address: City: TallahassE State: FL Zip Code: 32309 Telephone: (OM)) Oki I . x: Mobile: (22b, 2Ul-3 FL-mail Address: kyle . jones(a arcadis- 9. Authorized Applicant Agent: Ms. fl Mr. Mrs. First Name: Barbara last Manic: Kirkmeyer Title: COMMISSif Organization: Weld County Street Address: 1150 O Street, P . O . Box 758 City: Greeley State: Colorado lip Code: 80631 Telephone: x: Mobile: E-mail Address: bkirkmeyer(c�co .welt The Authorized Applicant Agent MUST be the chief executive officer, mayor, etc. This person must be able to sign contracts, authorize funding allocations or payments, etc. Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 2 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI: PROJECT DESCRIPTION & NATIONAL OBJECTIVES MET 1. Project - Eligible Activity Description: Describe the proposed project. Explain how the proposed project will address recovery and/or resilience needs in your community either independently or as part of a larger project. Include a description of the desired outcome and the recovery objective(s) to be achieved. This narrative should describe the CDBG-DR Eligible Activity. In an effort to achieve resiliency from the severe storms and minimize risk to the general public, Weld County addressed severe damage to local roadways , bridges, culverts, removed hazardous roadway debris, made emergency repairs to paved and gravel roadways , addressed river embankments/dangerous conditions to the public and made repairs to emergency response vehicles that were damaged during the Incident Period . FEMA Categories A, B , C , and E were addressed in the Weld County FEMA Match . CDBG funds are needed to be applied towards the Weld County FEMA Local Match for the emergency work that was identified on previously submitted Project Worksheets . All projects covered under the Weld County Project Worksheets were vital for Weld County to clear hazardous debris from roadways/creeks/streams and enhance their infrastructure , river embankments, equipment and roadways . This particular NOI/Application will discuss 1A/Cl fnn7 / t^ 1 n \ thin Kin ' /\ nnlir.n+itmn rnn+ninn a 2. Site / Physical Location: Describe the area(s) affected/protected by this project, including location by complete street address and longitude and latitude (coordinates in decimal degrees). The latitude is 40 .446330 and the longitude is - 104 .701460 . The attached spreadsheet shows the Lat/Long coordinates for all of the project worksheets and depict the damage site locations as identified in the correlating Project Worksheets . However; the area affected 3. Population Served: Briefly describe the demographics of the population served or protected by this project. Include the percent of the overall community population benefiting from this project. Explain your response. An estimated 90% or more of the community benefited from the proactive work by Weld County and the removal of hazardous debris and the emergency work/repairs made to the roadways, bridges, equipment and culverts . The population benefiting from this Match Project will include an LMI level population percentage that will be directly or indirectly impacted through this project. This NOI and the associated PW impacted the entire County and demographic area . White : 67 . 6% , Hispanic: 28 . 3% , Other: 1 . 6% , Asian : 1 . 3% , Black: 0 .8% , Native American : 0 .4% . Weld County consists of 99,317 households with a median househo d income of S56.589 anc _ ie ma'or _v o= W . . ,o un `v is owner-occupied with _1 4. Priority of this Project: If you are submitting more than one CDBG-DR Infrastructure NOI, what is the relative priority of this project? Please indicate the priority as: Priority # of## Projects Submitted. Priority 18 of 36 Projects Submitted . Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 3 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI : CDBG-DR FUNDING QUALIFICATIONS Community Development Block Grant — Disaster Recovery (CDBG-DR) funding can be approved for a project in which ALL of the following requirements are met The physical location of the activity must be within a county listed in Table 1 of the program Recover Colorado Infrastructure Grant Program Guidelines (Guidelines). 1. Connection to Disaster Recovery CDBG's Disaster Recovery funds must be used for necessary expenses related to disaster relief, long-term recovery, restoration of infrastructure and housing, economic revitalization, and mitigation from future damages.. The activity must show a direct link to damages received during one or more of the events listed in Table 1 of the Guidelines. Please provide a brief explanation of how the proposed acquisition activity: ( 1 ) was a result of the disaster event; (2) will restore infrastructure or revitalize the economy; or will (3) mitigate future damages. During the incident period of September 11 , 2013 to September 30 , 2013 , Weld County, Colorado received heavy rainfall and debris in the creeks, streams and rivers which caused surface gravel removal and scour damage to numerous roads and bridges in Weld County . This NOI Application 11 request addresses emergency work and the damages that were a �F }y.� n /1 i1. .�r� 1�/'�.- - ..'.h TL, /� i+...rr��r\}.M.r n'ni 4Y1 � • ..;n-, , ,.. ,- } 2. Compliance with National Objectives State recipients receiving allocations under the CDBG-DR program must certify that their projected use of funds will ensure, and maintain evidence, that each of its activities assisted with CDBG-DR funds meets at least one of the three National Objectives. a) Which of the National Objectives are met by proposed project? fl Will benefit low and moderate income (LMI) persons; or Will aid in the prevention or elimination of slums or blight; or ✓ Is an Urgent Need in which meet community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community where other financial resources are not available to meet such needs. b) How will the proposed project meet the above checked National Objective(s). See attached LMI data for the Project . In addition to the LMI data attached , the State of Colorado (according to ACS 2008-2012 5Y ) lists Weld County at a 41 . 0% LMI . In reviewing the LMI data for this Project NOI , the PW associated LMI % was 52 .27% . The entire community benefited from the proactive emergency work by Weld County and the removal of hazardous debris and the work/repairs made to the roadways, bridges. equipment and culverts . The general vicinity of FEMA Match Projects encompasses the entire County and greatly benefits the entire LMI population for this project, which is why the County believes that this project not only meets, but exceeds the 50% requirement for meeting the National Objective . The emergency work/repairs that were made under the WELCO PW's for the Local FEMA Match drastically reduced hazardous conditions for the general public and enabled Weld County to focus on resiliency efforts post storm . It is believed that the service area for Project Site Locations benefited multiple LMI tract sections and thus a higher weighted percentage of over 50% should be noted for this match project due to Nature and Location of the activity that was completed and also the accessibility for the Site Locations that benefited the surrounding areas of Weld County. Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 4 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 3. Compliance with the primary objective. As indicated in the Guidelines: "A proposed project's benefits to LMI persons will be an important factor in evaluating potential infrastructure projects. A total of 20% of the Recover Colorado Infrastructure project funding must benefit LMI persons. Due to the very low percentage of LMI projects submitted in the first round of infrastructure funding, it is estimated that approximately 25% to 30% of the funding available in this second allocation must meet the LMI requirement to make up for the deficit." This section does not need to be completed if the project does not meet this National Objective. The primary objective for using CDBG Disaster Recovery funds is benefitting, by at least 51 percent, persons of low and moderate income. The following section provides the information necessary to complete this requirement. a) Is the proposed activity: / jurisdiction wide ❑ specified target area If you checked specified target area, which data source was used? (Note: select the smallest unit of Census data that encompasses your proposed target area.) b) Enter the number of households involved in the proposed project. 99 , 317 c) In the space below, describe how the applicant will comply with the requirement that at least 51 percent of CDBG-DR dollars will principally benefit low- and moderate-income households and persons. Weld County will comply with the 51 % requirement due to the fact that the PW associated under this NOI Project for the FEMA County Match is targeted to areas of the county that qualify as LMI . The justification behind this methodology is that multiple d) Enter the number of households within each income category expected to benefit from the proposed project. Incomes above 80% of the County Median 785 Incomes above 50% and up to 80% of the County Median 1265 Incomes at or below 50% of the County Median 2060 e) Which type of income was used to determine the above? (Check only one) As determined by the American Community Survey (Public Facilities projects) Annual income as defined for Public Housing and Section 8 ,/ Annual income as reported under the Census long form Adjusted gross income as defined for reporting under IRS Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 5 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergent) Management PART A - NOI: COMPREHENSIVE RISK ANALYSIS INFORMATION 1. Community Hazards Review: Please list and briefly describe in rank order of importance the natural or man-made hazards in your (the Applicant's) service area. The hazards identified within this Project for the FEMA County Match for WELCO07 (510 ) would be ranked in the following manner: Flood , Erosion and Subsidence . The hazards caused significant damage and posed a severe risk to the community for the designated incident period . 2. High Risk Hazards Addressed by the Project: Describe how, and the degree to which, the proposed project mitigates high risk hazards. Include damage history, source and type of problem, frequency of event(s), and severity of damage information, if available. Hazard 1 Flooding caused the most severe damage to Weld County during the designated incident period and this Project addressed and mitigated against severe flood damage to local roadways, bridges, culverts, removed hazardous debris along roadways . In addition , County Officials ensured repairs were made to paved and gravel roadways for the safety of the community and addressed river embankments/dangerous conditions to the public and made repairs to emergency response vehicles that were damaged during the Incident Period . The repairs made brought the damaged infrastructure back to its pre-disaster condition in accordance with regulations . IJazard 2 Erosion also caused a severe issue for the County. This Project addressed and mitigated against severe erosion damage to local roadways. shoulders, and embankments. The work that was conducted by the County mitigated against any immediate threat/hazard to the damaged infrastructure and restored the infrastructure back to its pre-disaster condition in accordance with regulations . Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 6 of 20 WV CI)I1G-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management Hazard 3 Subsidence was another critical hazard that caused dangerous conditions for the community. This Project addressed and mitigated against severe subsidence damage to local roadways, shoulders , bridges and embankments . The work that was conducted by the County mitigated against any immediate threat/hazard to the damaged infrastructure and restored the infrastructure back to its pre-disaster condition in accordance with regulations . Note: If your proposed project addresses more than three Hazards, please provide that information as an attachment. 3. Elimination of Risk: Does the proposed project result in the elimination of a hazard from your (the Applicant's) service area? If so, please describe. If not, please estimate the degree to which this project will mitigate the risk from the hazards identified in Item #2. The Proposed FEMA Local Match for WELCO07 (510 ) does not completely eliminate the hazards identified from the service area . The Proposed FEMA Match Project does allow Weld County to receive a percentage of funds back that the County expended during one of the most costly disasters in Colorado history however. These types of hazards that occurred in Weld County and throughout Colorado are truly an act of mother nature and the County was as prepared as it could have been but the severity/duration of the incident was of an unprecedented nature . Weld County cannot eliminate the risk of future flooding , erosion or land subsidence, but Local Officials can ensure that their community is prepared for future incident, take the necessary precautions and that their infrastructure is restored 4. Environmental Quality Improvements: Does the proposed project result in an improvement in the quality of the natural environment in your (the Applicant's) service area? If so, please describe. Yes ; the damages that attributed to the designated incident period and FEMA-DR 4145 were addressed via the previously submitted PW and the work conducted to restore the infrastructure back to its pre-disaster condition was implemented . The work done at this site location (see previous attachment for lat/long coordinates ) addressed not only improvements/repairs made to the infrastructure , but also improvements and repairs to the river embankments and any potential erosion or subsidence issues that could have tAlnrrnnnrl if thin (^ni irtti hnrl not tnlenn thin nrnnntivin rnnenci erne thnt thnt, rlird 5. Climate Change Improvements: Does the proposed project reduce or ameliorate a projected impact of climate change in Colorado? If so, please briefly describe the benefit of the project. This Proposed Project reduces a projected impact climate change due to the proactive mitigation measures that were undertaken by Weld County during the designated incident period . This was accomplished by ensuring that the damaged site location was addressed as soon , but as safely, as possible, and not to sustain any further impacts to the site locations or environment that would enable the damage to enhance the projected impact of any potential climate changes . Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 7 of 20 4 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 6. Community Process: Does the proposed project include a community planning or involvement process that increases P P community resiliency? If so, please briefly describe the process. This Proposed Project was initiated by County Officials in an effort to achieve resiliency from the severe storms and also to minimize risk to the community, Weld County addressed the severe flood damage to the roadways and infrastructure by ensuring that dangerous conditions for the public were addressed and mitigated properly and efficiently. 7. Reduction in the Costs of Future Response or Recovery: Will the proposed project result in a reduction in the cost of response or recovery from an incident occurring due to one or more of the hazards identified in Item #1 or #2? If so, please briefly describe how response or recovery costs will be reduced. For a small scale flooding incident, yes: however, the flooding that occurred during the designated incident period was catastrophic and the PW associated with the NOI FEMA Local Match Request were completed to address the damages . S. Floodplain/Floodway/Substantially Damaged Properties: Does the proposed project include a property or properties located in a floodway or floodplain; or not located in a regulatory floodplain but which were substantially damaged or have a history of damage from at least two disaster events? If so, please identify those properties below. No; the Proposed Project is for the FEMA Local Match for WELCO07 (510) from CDBG-DR in regards to expenses from CAT C Damage Categories for the designated incident period for FEMA-DR 4145 . 9. Mitigation Planning: Does your community have a current FEMA approved multi-hazard mitigation plan? ✓ Yes \o Location of proposed project in mitigation plan strategies: Page 13 9 Section/Part Mitigation Stra ra Is the community a member of good standing with the National Flood Insurance Program? 1 No Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 8 of 20 CDBC-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 10. Community Plan Compliance: Does the proposed project comply with and/or address an issue recognized in key community plans? Key plans include, but are not limited to: a Comprehensive Master Plan, a Stormwater Management Plan, a Hazard Mitigation Plans, or key community codes. If so, please describe how the project integrates into the plan(s). Yes; the Proposed Project complies with all local community plans and this Project integrates into the Plans because the County addressed the damages to local roadways and infrastructure and mitigated damages that posed a serious risk/hazard to the community during the incident period . This FEMA PW was initiated by Weld County and via this Proposed Project, the County requests that CDBG funds be applied towards the local FEMA Match for this Project . 11. Environmental / Historic Preservation Issues: Please describe any significant environmental, historic, or cultural features that may be affected by the project. Please also describe any features that may be improved by the project. All environmental issues are addressed on the previously submitted Project Worksheet as supporting documentation . The significant EHP issues were in regards to the Endangered Species Act ( ESA) and EHP Standard Conditions . All items were addressed and supporting backup documentation are addressed in the PW which is attached to the NOI Application . 12. Permitting: Please list the local, state, and tderal hermit that \\ ill he required to complete this project . All environmental issues are addressed on the previously submitted Project Worksheet as supporting documentation . The significant EHP issues were in regards to the Endangered Species Act ( ESA) and EHP Standard Conditions . All items were addressed in the Project Worksheet which is attached to this NOI Application and any additional information that is needed can provided upon request. Please see below for environmental permits that were obtained . nnrrnif Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 9 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 13. Community Resilience: Please describe how this project will increase the resilience of your community. As defined in the Guidelines: "Resilience incorporates hazard mitigation and land use planning strategies; critical infrastructure, environmental and cultural resource protection; and sustainability practices to reconstruct the built environment, and revitalize the economic, social, and natural environments." In an effort to achieve resiliency from the severe storms and minimize risk to the general public, Weld County addressed severe damage to local roadways . bridges, culverts. removed hazardous debris roadways . made repairs to paved and gravel roadways, addressed river embankments/dangerous conditions to the public and made repairs to emergency response vehicles that were damaged during the Incident Period . This Proposed Project addresses proactive work initiated by Weld County during FEMA-DR 4145 enabled the community to recover in an expeditious manner and increased the resilience of the community by incorporating nearly every aspect of sustainability and revitalizing the community . The community was able to recover quicker due to the proactive work done through this Proposed Project and the associated PW. 14. Maps Please attach the following maps with the project site and structures marked on the map. Use SAME ID number as in the Individual Property Worksheets. Flood Insurance Rate Map (FIRM). If the FIRM for your area is not published, please attach a copy of the Flood Hazard Boundary Map (FHBM). City or county scale map (large enough to show the entire project area) USGS 1 :24,000 topo map Parcel Map (Tax Map, Property Identification Map, etc.) Overview photographs. The photographs should be representative of the project area, including any relevant streams, creeks, rivers, etc., and drainage areas which affect the project site of will be affected by the project. 15. Additional Comments (Optional): Enter any additional comments related to the proposed project's ability to reduce hazard risk and increase community resiliency. This proposed project reduced the hazard risk to the community and increased resiliency by the work conducted through the PW in correlation with FEMA-DR 4145 . CDBG funds are being requested to be applied to the local FEMA Match ( 12 . 5% ) for the PW . All maps are located in project files that were previously submitted and will be provided upon request . The entire community benefited from the nrnac:tive work by Weld Cot intv and the removal rel Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 10 of 20 d CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI : DECISION MAKING PROCESS 1. Decision-Making Process: Describe the process you used to decide that this project is the best solution to the problem. Explain why this project is the best alternative you considered. Address questions such as: • Are you focusing on the area in your community that has the greatest potential for losses? • Have you considered the risks to critical facilities and structures and benefits to be obtained by mitigating this vulnerability? • Have you considered those areas or projects that present the greatest opportunities given the current situation(s) of interest in your community? • Are you addressing a symptom or the source of the problem? Addressing the source of the problem is a long-term solution which provides the most mitigation benefits. • If impacts to the environment, natural, cultural or historic resources have been identified, explain how your alternatives and proposed project address, minimize, or avoid these impacts. The Site locations within this WELCO PW in the Proposed Project were identified due to the high dollar amount of funds that were expended by Weld County to ensure the safety of the community and also restore county infrastructure back to its pre-disaster condition . A large percentage of the LMI population was impacted by the severe flooding incident and the proactive work by County Officials enabled the community to recover quicker, thus allowing the community to sustain resiliency and return operations to normal . 2. Acquisition Projects - Describe the community's methodology for selecting the properties to be acquired in this application and how each is ranked (highest to lowest): N/A Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 11 of 20 _ _ _ _ CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI: SCOPE OF WORK / BUDGET OVERVIEW / FINANICAL FACTORS 1. Project Scope: Please provide a comprehensive and detailed description of the scope of the proposed project. Describe each of the project components and the steps necessary to complete that work. If the proposed project is a funding match for another disaster recovery or infrastructure development program, please identify the agency, program funds, and project reference number that CDBG-DR funding is intended to support. Also describe any critical deadlines that must be met to accomplish this work. This Proposed Project is for the Local FEMA Match for costs for WELCO07 (510 ). These costs were incurred as a result of FEMA-DR 4145 . During the incident period of September 11 , 2013 to September 30 , 2013, Weld County , Colorado received heavy rainfall and debris in the creeks . streams and rivers which caused severe flooding to and along roadways and surface streets , and also severely damaged local infrastructure . This NOI Application request addresses the emergency work / damages that were a direct result of the severe flooding . A Scope of Work is included within the PW which is attached and addresses the work that was completed . 2. Community Priority: Please describe why this project is a priority for your organization. This Proposed Project is a priority for Weld County to utilize the CDBG funding as the Local FEMA Match to offset the costs for the proactive work done by the County to reduce hazardous conditions to the community . Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 12 of 20 CDBG-DR infrastructure Application Colorado Division of Homeland Security and Emergency Management 3. Project Cost Summary: Please summarize the major cost components of the project. Please round all values to the nearest dollar. a. Planning / Engineering / Design $ b. Environmental Compliance $ The value of general and/or c. Real Property Acquisition / Demolition $ professional labor wages must be tabulated in accordance d. Closing Costs / Legal Fees $ with the Davis Bacon Act of e. Housing Program Assistance $ 1931 f. Construction Costs $ g. Project Delivery Costs $ h. Other (specify below) $ 166.006.62 See Protect Worksheet Cost (attached; 1. total of a-h $ 166,006.62 .) . Duplication of Benefits (if unknown at time of application enter zero). $ 0.00 k. Subtract j. from i. to determine Total Project Cost $ 166,006.62 Notes: Housing Program Assistance costs include the cost of compliance with Uniform Relocation Assistance (URA) and Comparable Housing Assistance (CHA) requirements. Project Delivery Costs include the costs of project delivery by the sponsoring organization but do not include administrative overhead. 4. Total Project Cost Allocations Proposed Project Total Cost: $ 166,006 62 Federal Cost Share: $ 124.504 96 State Cost Share: $ 20.750.83 $ 20.750.83 Local Cost Share 5. Basis of Cost Estimate: Briefly describe how the cost estimates listed in #3 above were developed (e.g. lump sum, unit cost, quotation, etc.). The Cost Estimates were developed above from actual work that was properly procured and conducted . They come directly off of what was included on the FEMA approved PW and the costs are broken down by type of work and site . 6. Project Management: Describe how you will manage the costs and schedule, and how you will ensure successful performance. The work for this Proposed Project has been completed or is pending completion . The 12 . 5% CDBG Local Match will be applied towards the Weld County Match for FEMA PW's and the costs that were previously incurred during the disaster. Note: The applicant must agree to furnish quarterly reports during the entire time the project is in active status. Quarters end on March 31st, June 30th, September 30th, and December 31st. Reports are due to the State within 15 days after the end of each quarter.) Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 13 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 7. Project Maintenance Requirements: The following questions are to give assurance on the project's maintenance over its useful life. Please answer each question and give a brief explanation. a. If the project involves the acquisition of real property, what is the proposed land use after acquisition? (i.e., Agriculture, Recreation, Vacant Land, Park, Wetlands, etc.) N/A b. Will the project require periodic maintenance? No c. If yes, who will provide the maintenance? N/A d. What is the estimated cost of maintenance on an annual basis? 0 Note: Cost of maintenance is considered an application prioritization weighting factor. Projects with high maintenance costs have a greater risk of future failure due to deferred maintenance. Therefore, the responses provided above should be as complete and verifiable as possible in order to minimize the likelihood of ranking point reductions due to maintenance concerns. 8. Additional Comments: Enter any additional comments related to the proposed project's funding, if desired. CDBG funds are needed for the 12 . 5% Local FEMA Match and the associated PW that is included in the NOI-Application . 9. Financial / Fiscal Health Factors: Please indicate the total budget (all funds) of your organization. Please describe the impact of disaster recovery efforts to date on this budget. In addition, if this objective is selected based on the local governments inability to finance the activity, the municipality must also include in the application package a resolution stating this fact and supporting documentation such as budgetary information, a description of TABOR restrictions, and the most recent audit report or approved exemption from audit. Weld County's total 2015 budget is $307 . 031 , 089 .00 . The impact of the September, 2013 flooding has primary been on the damage to the county's road and bridge system . The damage has resulted in Weld County having to transfer $5 million from the Contingency Fund to the Public Works Fund in 2013 and in 2014 for a total of $ 10 million dollars . Without assistance from FEMA, FWHA, and CDBG the amount would have several million more . The impact has also forced the county to shift local resources from projects unrelated to flooding to deal with the emergency situations created by the flood in both the 2013 and 2014 fiscal years . Even in 2015 the county is still using local resources to recover from the flooding . Fortunately. Weld County has always been fiscally conservative and budgeted responsibly . Had the county not taken the responsible approach to its finances county service would have had to have been cut to cope with the flood recovery. In/nlrl C'ni into nnnrotoc i inrior tho mnct rnctrinti‘ ,n nrnnnrty toy lirnitQtintn in thn ctotn Pncirinil Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 14 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART B - APPLICATION : PROJECT MILESTONES / TIMELINES / TASKS I . Timeline / Tasks Insert the proposed work schedule as tasks to accomplish the overall goal of the proposed activity (i.e., appraisals, title search, closing, etc.), and provide a description of the task's purpose. This timeline will be used as a measurement tool for progress in the project's implementation and is included in the required Quarterly Reports. Also, FEMA uses the timeline for determining the approved period of performance. It will be the basis used to justify delays or extensions, if necessary, and should be estimated carefully. The first and last entries are state requirements and have already been entered. Task 1 : Timeframe: 3 Months Grant Process and Environmental Review Task 2: Emergency Repairs- The initial emergency repairs were made directly 1 Completed 9 Y P 9 Y P Timeframe: Task 3: Permanent Repairs - Because the emergency repairs werequick repait Completed P 9 Y P P Timeframe: Task 4: I imeframe: Task 5: I itnelranic: Task 6: Timeframe: Task 7: Timeframe: Task 8: Timeframe: Task 9: i mefrarne: Final Inspection Report and Project Closeout Task 10: The Final Inspection Report is a review of the activity's paper documentation. showing the project was implemented as required. Once the review is completed. the 3 Months report and findings will be provided to the grantee for review and concurrence. The l in�cfraill�. State submits the concurrence to FEMA as part of a closeout package to formally Total Project Timeframe: 6 Months Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 15 of 20 I CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 2. Start Date & Pre-Award Costs: The start date for any project begins upon GRANT AGREEMENT approval by the State Controller. If a different start date or timeframe is needed, provide an explanation below. Also indicate if any pre- award activities or costs have been incurred or authorized. The proposed project is for local FEMA match dollars and the work has already been completed . The repairs for this site began as soon as the flood waters receded and the county crews were able to access the site . The initial phase of repairs were emergency in nature and began in September of 2013 and concluded during November of that same year. Permanent repairs for this site commenced the following year at the beginning of construction season and concluded in October of 2014 . Additionally, cost have been incurred through the preparation of this NOI Application . Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 16 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management Please note that Part B is required for the final Application submittal. Part B sections may optionally be completed and submitted with the NOI. Please update any Part A section information when submitting you full Application. PART B — APPLICATION : ENVIRONMENTAL REVIEW 1. Environmental Review Background Information & Environmental Review Worksheet: In accordance with 24 CFR Part 58.22 (see below), all federally funded projects must accomplish an environmental review prior to beginning any work on a project. These HUD regulations are in place for two purposes: 1 . To ensure federal funds are used to place people of low and moderate income in environmentally safe conditions; and 2. To ensure federal funds are NOT used to negatively impact environmental conditions that exist near a project site. Please note the following limitations on CDBG-DR grant activities pending environmental clearance per 24 CFR Part 58.22. (a) Neither a recipient nor any participant in the development process, including public or private nonprofit or for-profit entities, or any of their contractors, may commit HUD assistance under a program listed in Sec. 58. 1(b) on an activity or project until HUD or the state has approved the recipient's RROF and the related certification from the responsible entity. In addition, until the RROF and the related certification have been approved, neither a recipient nor any participant in the development process may commit non-HUD funds on or undertake an activity or project under a program listed in Sec. 58. 1(b) if the activity or project would have an adverse environmental impact or limit the choice of reasonable alternatives. (b) N/A for DOLA/CDPS projects. (c) If a recipient is considering an application from a prospective sub-recipient or beneficiary and is aware that the prospective sub-recipient or beneficiary is about to take an action within the jurisdiction of the recipient that is prohibited by paragraph (a) of this section, then the recipient will take appropriate action to ensure that the objectives and procedures of NEPA are achieved. (d) An option agreement on a proposed site or property is allowable prior to the completion of the environmental review if the option agreement is subject to a determination by the recipient on the desirability of the property for the project as a result of the completion of the environmental review in accordance with this part and the cost of the option is a nominal portion of the purchase price. There is no constraint on the purchase of an option by third parties that have not been selected for HUD funding, have no responsibility for the environmental review and have no say in the approval or disapproval of the project. (e) Self-Help Homeownership Opportunity Program (SHOP). In accordance with section 11(d)(2)(A) of the Housing Opportunity Program Extension Act of 1996 (42 U.S.C. 12805 note), an organization, consortium, or affiliate receiving assistance under the SHOP program may advance non-grant funds to acquire land prior to completion of an environmental review and approval of a Request for Release of Funds (RROF) and certification, notwithstanding paragraph (a) of this section. Any advances to acquire land prior to approval of the RROF and certification are made at the risk of the organization, consortium, or affiliate and reimbursement for such advances may depend on the result of the environmental review. This authorization is limited to the SHOP program only and all other forms of HUD assistance are subject to the limitations in paragraph (a) of this section. (1) Relocation. Funds may be committed for relocation assistance before the approval of the RROF and related certification for the project provided that the relocation assistance is required by 24 CFR part 42. Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 17 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management Environmental Review Worksheet Check ALL of the activities listed below that will be included as part of the project, REGARDLESS OF THE FUNDING SOURCE: Q Information and financial services O Administrative and management activities O Environmental and other studies, resource identification, and the development of plans and strategies Most engineering and design costs associated with eligible projects ■ Inspections and testing of properties for hazards or defects b • Project planning E„4 ¢ 3 ❑ Purchase of insurance ≥ um O Purchase of tools a At . 0 Technical assistance and training >C .c .5. n Interim assistance to arrest the effects of an imminent threat or physical deterioration in which the assistance W w 7, does not alter environmental conditions. '`" p Public services that will not have a h sical impact or result in any physical changes (e.g., employment,physical PP Y child . care, health, education, counseling, welfare) 0 Assistance for temporary or permanent improvements that do not alter environmental conditions and are limited to protection, repair, or restoration activities necessary only to control or arrest the effects from disasters or imminent threats to public safety including those resulting from physical deterioration (Must also complete the Regulatory Checklist at the end of Exhibit IV-A) m TA Operating costs e , maintenance, security, operation, utilities, furnishings, equipment, su lies, staff training� � ( g Y P gPP Z = and recruitment, other incidental costs) Ux n Relocation costs iti p Acquisition, repair, improvement, reconstruction, or rehabilitation when the facilities and improvements are in place and will be retained in the same use without change in size or capacity of more than 20 percent ❑ Special projects directed to the removal of material and architectural barriers that restrict the mobility of and accessibility to elderly and handicapped persons II Acquisition (including leasing) or disposition of, or equity loans on, an existing structure -- fl Acquisition (including leasing) of vacant land provided the structure or land acquired, financed, or disposed of will be retained for the same use (:1 Acquisition, repair, improvement, reconstruction, or rehabilitation when the facilities and improvements are in place, but will change in size or capacity of more than 20 percent n Acquisition, repair, improvement, reconstruction, or rehabilitation when the facilities and improvements are in r- law place, but will involve a change in land use, such as from non-residential to residential, commercial to industrial, or from one industrial use to another fri Demolition ✓� New construction This checklist must be included with the CDBG application. Please direct questions to the appropriate contact person below: DOLA/DLG DHSEM Tamra Norton, Environmental Compliance Officer Steven Boand, State Disaster Recovery Manager Department of Local Affairs Department of Public Safety 1313 Sherman Street, Room 521, Division of Homeland Security and Emergency Management Denver, CO 80203 9195 E Mineral Ave, Suite 200 303-866-6398 Centennial, CO 80112 720.852.6713 tamra.norton@state.co.us steven.boand@state.co.us DPS/DOLA USE ONLY: Required level of environmental review: 0 Exempt 0 CENST 0 CESTO EA Reviewed by: Date of Review: Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 18 of 20 s .y CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 2. Supplemental Environmental Review Information Enter any additional comments related to environmental concerns for the proposed project if desired. Please list and attach any documents or studies that have been prepared that support the Environmental Review Worksheet responses. All environmental issues are addressed on the attached Project Worksheet as supporting documentation . The significant EHP issues were in regards to the Endangered Species Act ( ESA) and EHP Standard Conditions . All items were addressed and supporting backup documentation can be provided . Please see below for environmental permits that were obtained . Floodplain Permit 404 Nationwide Permit Migratory Birds Permit ( if needed ) Threatened and Endangered Species Permit O Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 19 of 20 q CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART B - APPLICATION : DETAILED PROJECT BUDGET I . Detailed Project Budget: Please enter or attach a detailed and comprehensive final proposed budget for the project. Please note that CDBG-DR funds may be limited to the amount submitted with the NOI pending the availability of additional funding This Proposed Project is for the Local FEMA Match for costs for WELCO07 (510 ). These costs were incurred as a result of FEMA-DR 4145 . During the incident period of September 11 , 2013 to September 30 , 2013 , Weld County, Colorado received heavy rainfall and debris in the creeks. streams and rivers which caused severe flooding to and along roadways and surface streets, and also severely damaged local infrastructure . This Application request addresses the emergency work / permanent work that were a direct result of the severe flooding . A Scope of Work and detailed project budget is included within the PW (see attached ). Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. 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" 2_ iii:1 .. . , ii.- 14 c if-, , I ... i '- , . i iiiiii - i0 • At U H1TTt t Q Q 1 = LLl t 3.• - O J ♦ tt Federal Emergency Management Agency E-Grants Page 1 of 38 PA-08-CO-4145-PW-00510(2) P Applicant Name: Application Title: WELD (COUNTY) WELCO07 - BRIDGE - 20.5 -3B OVER BOULDER CREEK Period of Performance Start: Period of Performance End: 09-14-2013 Subgrant Application - Entire Application Application Title: WELCO07 - BRIDGE - 20.5 -3B OVER BOULDER CREEK Application Number: PA-08-CO-4145-PW-00510(2) Application Type: Subgrant Application (PW) Preparer Information Prefix First Name Ken Middle Initial Last Name Beebe Title Agency/Organization Name FEMA - DHS Address 1 9195 E. MINERAL AVE. Address 2 City CENTENNIAL State CO Zip 80112 Email deanna.butterbaugh@state.co.us Is the application preparer the Point of Contact? No Point of Contact Information Prefix First Name Roy Middle Initial Last Name Rudisill Title Director - OEM Agency/Organization Weld County Address 1 1150 O Street Address 2 rudisill@weldgov.com City Greeley State CO ZIP 80632 https://isource.fema.net/emm ie/dispatchDestination.do?menuTi le=&topTi le=dsHeader&b.. . 10/28/2014 Federal Emergency Management Agency E-Grants Page 2 of 38 Phone 970-304-6540 Fax Email rrudisill@weld.gov.com Alternate Point of Contact Information Prefix First Name Middle Initial Last Name Title Agency/Organization Address 1 Address 2 City State ZIP Phone Fax Email Project Description Disaster Number: 4145 Pre-Application Number: PA-08-CO-4145-RPA-0088 Applicant ID: 123-99123-00 Applicant Name: WELD (COUNTY) Subdivision: Project Number: WELCO07 Standard Project Number/Title: 399 - Road System Damage Please Indicate the Project Type: Neither Alternate nor Improved Application Title: WELCO07 - BRIDGE - 20.5 -3B OVER BOULDER CREEK Category: C. ROADS & BRIDGES Percentage Work Completed? 90.0 % As of Date: 01 -18-2014 Comments Attachments Damage Facilities (Part 1 of 2) Facility Site Number Facility Name Address County City State ZIP Previously Action Damaged? 1 CR 20.5-3B OVER BOULDER CREEK Weld CO No https://isource.fema.net/emmie/dispatchDestination.do`?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 3 of 38 Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference SHIRLEY 01 -18- BRIDGE WELCO07 - Bridge SANDERS 2014 Miscellaneous INSPECTION Inspection Report- 1 .pdf View BROWN (6.65 Mb) SHIRLEY 01 -18- BRIDGE WELCO07 - Bridge SANDERS 2014 Miscellaneous INSPECTION Inspection Report-2.pdf View BROWN (2.58 Mb) SHIRLEY 01 -18- BRIDGE WELCO07 - Bridge SANDERS 2014 Miscellaneous INSPECTION Inspection Report-3.pdf View BROWN (805.29 kb) SHIRLEY 01 -18- BRIDGE WELCO07 - Bridge SANDERS 2014 Miscellaneous INSPECTION Inspection Report-4.pdf View BROWN (3. 11 Mb) KATHLEEN 02-05- Photos Applicant Photos.pdf View RUVARAC 2014 (2.79 Mb) KATHLEEN 02-05- Photos Photos.pdf(577.90 kb) View RUVARAC 2014 Facility Name: CR 20.5-3B OVER BOULDER CREEK Address 1 : Address 2: County: Weld City: State: CO ZIP: Was this site previously damaged? No Percentage Work Completed? 90.00 % PA-08-CO-4145-PW-00510(0): CR 20.5 PA-08-CO-4145-PW-00510( 1 ): ***** Version 1 ***** Location: PA-08-CO-4145-PW-00510(2 ): ***** Version 2 ***** PA-08-CO-4145-PW-00510(0): During the incident period of September 11 . 2013 to September 30, 2013, Weld County, Colorado received heavy rainfall and debris in the creeks, streams and rivers which caused damage to numerous roads and bridges in Weld County. This project worksheet addresses damages to bridge WEL020.5-003.0B over Boulder Creek, in Section 17. T2N, R68W. II https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. .. 10/28/2014 i amilme Federal Emergency Management Agency E-Grants Page 4 of 38 On November 15, 2013, Kathleen Ruvarac, FEMA TAC Bridge Specialist. David Ray. FEMA Hazard Mitigation Specialist, Glenn Cadman, California Emergency Management Agency assisting the State of Colorado Emergency Management Agency. and Donald Dunker. Weld County Public Works Engineer, performed a site investigation at this location to document damages. The bridge was open and repairs completed at the time of inspection. The 132.5 ft long x 32 ft wide concrete and steel structure traverses the Boulder Creek in Weld County, CO. The bridge is a double (2) span concrete/steel bridge consisting of a 4 inch asphalt overlay on corrugated steel deck, Eight (8) - W33x130 steel girders. concrete abutments and wing walls, and one ( 1 ) concrete intermediate pier. The deck is flanked on both sides with a galvanized W rail beam on 6 inch x 4 inch steel posts welded to the exterior girders. The damages to the facility include scour and washout on the north side of the intermediate pier exposing approximately 3 feet of pier wall . Additionally. 50 ft of barbed wire tied to the wingwall at the southwest corner was damaged. The bridge was closed after the event. Embankment material lost at the intermediate pier is estimated to be 32 ft in length along pier x 30 ft in width in east span x 3 ft in depth = 111 . 1 CY. The Applicant has provided pictures of the facility after the event and Damage Description and during repair operations. These photos are attached to this project worksheet. Dimensions: Due to the high water elevation in the creek at the time of inspection, the full extent of damages incurred as a result of this disaster may not have been observed and documented. The applicant provided previous bridge inspection reports for the facility dated June 30, 2010 and May 21 . 2012. The bridge in built in 1978 and had a sufficiency rating of 91 .6 in 2010 and 83.8 in 2012. Scour was noted at the northwest wingwall. The channel conditions noted flow is directed at the northwest wing and is at a bend in the alignment. The bridge inspection reports identified recommended maintenance activities to clean debris around bearing and on abutment seat and add large rip rap at the Northwest wingwall. The applicant noted additional rubble rip rap was washed away downstream during this event at the northwest wingwall. The field measurement is 15 ft in length x 6 ft in width x 1 .5 ft in depth/27 = 5 CY. The deck condition is noted as very good (8) on a scale of 0 to 9. The superstructure and substructure are noted as satisfactory (6). The channel was observed beginning to slump (6). PA-08-CO-4145-PW-00510(1 ): ***** Version 1 ***** PA-08-CO-4145-PW-00510(2): ***** Version 2 ***** PA-08-CO-4145-PW-00510(0): WORK COMPLETED 1 ) Contracts: The applicant hired a contractor, Mountain Constructors, Inc. . P.O. Box 405. Platteville, CO 80538 (970) 786-6161 . Invoice attached to project https://isource.fema.net/emmie/dispatchDestination.do''menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 5 of 38 worksheet for work performed 10-2 through 10-14, 2013 = $22,670.58. Hauled and dumped with (5 CY) Rubble Rip Rap at the northwest wingwall. 5 CY Rip Rap x $83. 17/CY (CDOT Item Number 506-00218) = $415.85 compared with $600.00 contractor's invoice. Dewatering operations. clearing and grubbing and embankment material fill at the north side of the intermediate pier. Dewatering - $400.00 contractor's invoice Clearing and grubbing - $6,000.00 contractor's invoice Filled in scour hole at intermediate pier with (72. 5 TNS. 39.8 CY) Aggregate base course with a unit weight of 135 lbs/cf (placed and compacted) and 71 .4 CY embankment (granular fill) material (placed and compacted ). Total Material — 111 . 1 CY — Weld County Construction Criteria typical section with material density used in calculation attached to project worksheet as supporting documentation. 71 .4 CY Embankment Material x $10.00/CY (CDOT Item Number 203- 00062) = $714.00 compared with contractor's invoice $2, 141 .70 72.5 TNS Aggregate Base Course x $33.70/TN (CDOT Item Number 304-06000 x2 due to economies of scale as compared with number of CDOT annual projects) = $2,443.25 compared with contractors invoice $2, 141 .70 Scope of Work: The project specialist compared the repair cost for labor and construction of similar bridge repairs with the bid and subsequent invoice received from Mountain Constructors, Inc. for $22,670.58 and found the costs for Mobilization $8.000.00 and Traffic Control $3,500.00 totaling $ 11 .500.00, approximately 50% of the repair cost of the facility. These costs are deemed to be high and the project worksheet reimbursement is reduced for Mobilization to $4,000.00 and Traffic Control to $1 ,750.00. The costs for mobilization and traffic control were brought to the applicants attention and the applicant indicated their intent to request a reimbursement from the contractor for the excessive mobilization and traffic control costs. The applicant indicated that the charges slipped through after the contractor's contract was reduced . Total contract $22.670.58 reduced to $16,920.58 The applicant hired an environmental consulting firm to prepare application for ACOE Section 404 Nationwide permit, Tiglas Ecological Services, 5015 Swainsona Drive, Loveland. CO 80537. Invoice attached to project worksheet for work performed 9-29-2013 = $600.00 Total Contracts: $ 17,520.58 2) Force Account: The applicant utilized force account labor and equipment to monitor facility and install barrier walls during the flood event and repair operations. https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b.. . 10/28/2014 Federal Emergency Management Agency E-Grants Page 6 of 38 Labor - $4,013.49 Equipment- $301 .50 Total: $4,314.99 WORK TO BE COMPLETED 1 ) Install 50 ft of barbed wire with metal posts at the southwest wingwall — 50 ft x $2.08/LF (607-01000 Fence Barbed Wire with Metal Posts CDOT Avg. Unit Price 2013) _ $104.00 Project Notes 1 . Following the September 2013 flooding, applicant used contract services and/or force account resources to re-open roads/bridges and repair damage as soon as possible. At several damage sites, repairs appear to have returned the facility to its pre-disaster design , function and capacity with no known remaining work to be completed. However at other sites due to the onset of winter conditions, applicant was unable to complete the restoration , thus leaving work to be completed. Finally, at some sites, applicant has expressed concern that unanticipated work may be still be required as a result of conditions beyond their control, such as possible subsequent settlement resulting from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage assessment. 2. This PW addresses all validated flood related damages at the specified site. including completed work and work to be completed (which damages were known to the applicant and reported to FEMA by the effective date of this PW). In the event that applicant identifies subsequent, currently unknown flood related damage at such site, applicant is advised to contact the State of Colorado Office of Emergency Management to report the damage and request an inspection prior to its repair. In the event that the State validates the damage as a direct result of the September 2013 flooding, the State will request FEMA prepare a version of this PW to address the eligible cost of repair. 3. Applicant has substantially completed the work but will not have cost data available within the fourteen day Pocket Guide rule. Per Field Operations Pocket Guide. Section 7, Cost Estimates, Page 26. "If the applicant has not produced cost data within two weeks of the site inspection, the Project Specialist will prepare the PW on the basis of an estimate for the work accomplished". Applicant. CO State representative and FEMA personnel jointly conducted all inspections and agreed to use CDOT costs for in-place costs to derive estimates on this project worksheet. Applicant understands that all actual support documentation. invoices, FA records, contract and proof of payment will be required for final reconciliation and or closeout process. 4. The Applicant will notify FEMA and the State of their intent to perform permanent work related to this site before any work commences in the field. Failure to do so may jeopardize the sub-grant for permanent work https://isource.fema.net/emmie/dispatchDestination.do?menuTi le=&topTi le=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 7 of 38 related to the work in this sub-grant. 5. Pursuant to 44 CFR 13.42, Grantees and Subgrantees are required to retain records, including source documentation, to support expenditures/costs incurred against the grant award, for 3 years from the date of submission to FEMA of the final Financial Status Report. 6. The applicant must obtain all required federal, state, and local permits prior to the commencement of work. 7. The subgrantee is requesting direct administrative costs that are directly chargeable to this specific project. Associated eligible work is related to administration of the PA project only and in accordance with 44 CFR 13.22. These costs are treated consistently and uniformly as direct costs in all federal awards and other subgrantee activities and are not included in any approved indirect costs. 8. Project was reviewed for 406 Hazard Mitigation and a copy of 406 HMP proposal is attached with this project. 9. The applicant is aware that all projects are subject to an insurance review as stated in 44 C.F. R. Sections 206.252 and 206.253. If applicable, an insurance determination will be made either as anticipated proceeds or actual proceeds in accordance with the applicant's insurance policy that may affect the total amount of the project. 10. The applicant is required to adhere to State and Federal Government Procurement rules and regulations and maintain adequate records to support the basis for all purchasing of goods and materials and contracting services for projects approved under the Public Assistance program. as stated in 44 CFR 13.36. The applicant has advised they have followed their normal procurement procedures PA-08-CO-4145-PW-00510( 1 ): ***** Version 1 ***** This version is written to capture additional hazard mitigation (an additional $1860.55 for 21 .3 tons of rip rap @ $83. 17/CY & 29 SY of geotextile fabric @ $3.07/SY) that was not included in the original HMP and additional engineering ( 14.75% of $7,384. 13 = $1 .090.00) to complete the hazard mitigation for the scour at the West abutment wall at the site (32 LF x 3 LF x 6.0 VF ). There will also be the following costs included and costs have been taken from the applicant's historical costs: 1 . 1 - Day traffic control: $ 1 .500.00 2. Sanitary Facility: $300.00 3. Dewatering (2 days): $3000.00 PA-08-CO-4145-PW-00510(2): ***** Version 2 ***** This version of the PW is being written in regard to the applicant's request submitted by e-mail dated June 04, 2014. This request is based on the applicants consultant determining what would be needed to fully restore the bridge to pre-existing conditions. The applicant is requesting $92,090.75 (see Opinion of Estimated Cost) for construction and $38,537.00 for engineering services. This request was first addressed and documented in version 1 of this PW. Since version 1 was written the applicant has contacted the State Emergency Management and FEMA with their concerns why they think version 1 does not re-store the bridge back to pre-existing conditions. FEMA. after several discussions with the applicant and understanding why they are requesting $92.090. 75 for https://isource.fema.net/emmie/dispatchDestination.do`'menuTi le=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 8 of 38 construction and $38.537.00 for engineering, FEMA has determined that their total request is fair and reasonable and is eligible for FEMA funding. The total eligible cost for Construction is $92.090.75. The total eligible cost for engineering is $38,537.00. This PW is now deemed to be a Large Project. Version 1 costs for $5,890.00 will be de-obligated because all costs for this request are now captured in version 2 of this PW. Hazard Mitigation Proposal Is effective mitigation feasible on this site? Yes If you answered Yes to the above question, the next question is required Will mitigation be performed on this site? Yes If you answered Yes to the above question, the next question is required Do you wish to attach a Hazard Mitigation Yes Proposal? If you answered Yes to the above question, the next two questions are required 406 Hazard Mitigation Plan WORK TO BE COMPLETED The applicant has indicated that installing rip rap and geotextile fabric at the north side of the intermediate pier downstream of the bridge will fill the scour at the bridge facility and alleviate future damages at the site. 1 ) Geotextile Fabric - 32 ft in length along pier x 12 ft in width towards the channel ( 10 ft in width + 2 ft overlap) x 2 sides of the channel = 85.3 SY x $3.07/SY (420-00112 Geotextile — Drainage- Class 3 CDOT Avg. Unit Price 2013) = $261 .87 2) Rip Rap - 32 ft in length x 10 ft in width towards the channel x 6 ft in depth x 2 sides of the channel = 142.2 CY X $83. 17/CY (506-00218 Rip Rap 18 inch CDOT Avg. Unit Price 2013) _ $11 ,826.77 Please provide the Scope of Work for the Total = $261 .87 + $ 11 .826. 77 = $12 ,088.64 estimate: (maximum 4000 characters) This HMP is considered cost effective per FEMA Disaster Assistance Policy 9526. 1 , Section VII . B. 2. Certain mitigation measures (Appendix A), determined cost effective, as long as the mitigation measure does not exceed 100% of the eligible cost of the eligible repair work on the project. Appendix A. 5. Gabion baskets, rip rap, sheet piling. and geotextile fabric installation- installation to control erosion. Bridge Repair Cost - Contractor Invoice - $ 16,920.58 The net cost of mitigation/cost of damages is 71 % < 100%. This HMP is for cost estimating purposes only. The Final design is the obligation of the Applicant and/or their agent. Would you like to add the Hazard Mitigation No Proposal as a cost line item to the project cost? https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 9 of 38 GIS Coordinates Project Location Latitude Longitude BRIDGE CR 20.5 40. 13863 - 105.02043 Special Considerations 1 . Does the damaged facility or item of work have insurance coverage and/or is it an insurable No risk (e.g. , buildings, equipment, vehicles, etc)? 2. Is the damaged facility located within a floodplain or coastal high hazard area and/or does it yes have an impact on a floodplain or wetland? If you would like to make any comments, please enter them below. (maximum 4000 characters) FLOOD MAP 08013C0300J 3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier No Resource System Unit or an Otherwise Protected Area? 4. Will the proposed facility repairs/reconstruction change the pre-disaster conditions (e.g. , footprint, material, location, capacity, use of function )? No 5. Does the applicant have a hazard mitigation proposal or would the applicant like technical Yes assistance for a hazard mitigation proposal? If you would like to make any comments.. please enter them below. (maximum 4000 characters) HMP ATTACHED 6. Is the damaged facility on the National Register of Historic Places or the state historic No listing? Is it older than 50 years? Are there more, similar buildings near the site? 7. Are there any pristine or undisturbed areas on, or near. the project site? Are there large No tracts of forestland? 8. Are there any hazardous materials at or adjacent to the damaged facility and/or item of No work? 9. Are there any other environmental or controversial issues associated with the damaged Yes facility and/or item of work? If you would like to make any comments, please enter them below. (maximum 4000 characters) EHP REVIEW WILL BE CONDUCTED Attachments User Date Document Description Hard Copy File File Name Action Type Reference KATHLEEN 02-05- Floodplain Firmette.pdf( 137.39 View RUVARAC 2014 kb) For Category C, D, E, F, and G Projects only Is effective mitigation feasible on this project? Yes If you answered Yes to the above question, the next question is required Will mitigation be performed on any sites in this Yes project? If you answered Yes to the above question, the next question is required Do you wish to attach a Hazard Mitigation Yes Proposal? https://isource.fema.net/emmie/dispatch Destination.do?menuTi le=&topTi le=dsHeader&b... 10/28/20 14 a f Federal Emergency Management Agency E-Grants Page 10 of 38 If you answered Yes to the above question, the next two questions are required 8/6/14 - Mark W. Petitt, 406 Specialist Revised HMP for Version 1 (see Attachments - "PW510 - WELDCO07 HMP Version 1 .pdf') Additional geotextile and riprap for west abutment. CR 20.5-3B over Boulder Creek - LAT: 40. 13863 LONG: -105.02043 The applicant has indicated that installing rip rap and geotextile fabric at the north side of the intermediate pier downstream of the bridge and on the west abutment (version 1 location) to fill the scour at the bridge facility and alleviate future damages at the site. 1 ) Geotextile Fabric - 32 ft in length along pier x 12 ft in width towards the channel ( 10 ft in width + 2 ft overlap) x 2 sides of the channel = 85.3 SY x $3.07/SY (420-00112 Geotextile — Drainage- Class 3 COOT Avg. Unit Price 2013) = $261 .87 Version 1 - Additional geotextile fabric - 32 ft x 8 ft = 29 sy x $3.07/sy = $89.03 Total Geotextile Fabric = $350.90 2) Rip Rap - 32 ft in length x 10 ft in width towards the channel x 6 ft in depth x 2 sides of the channel = 142.2 CY X $83. 17/CY (506-00218 Rip Rap 18 inch CDOT Avg . Unit Price 2013) = $11 .826. 77 Version 1 - Additional rip rap - (32 ft x 6 ft x 3 ft)/ 27 = 21 .3 cy x $83. 17/cy = $1 ,771 .52 Total Rip Rap = $ 13,598.30 Please provide the Scope of Work Mitigation Cost = $13,949.20 Repair Cost = $16.920.58 for the estimate: Mitigation % = 82.44% This Hazard Mitigation Proposal (HMP) is 82.44% of the repair and restoration costs. In accordance with FEMA Recovery Policy 9526. 1 . VII . B.2. "certain mitigation measures (are) determined to be cost effective, as long as the mitigation measure does not exceed 100% of the eligible cost of the eligible repair work on the project." The proposed mitigation measures at this site includes Appendix A paragraph #A.5 "Gabion baskets, rip rap. sheet piling, and geotextile fabric installation - Installation to control erosion" This HMP is cost effective and technically feasible. If this HMP is approved. and the mitigation is not performed. the Applicant must apply for a change in the Scope or Work and de&#8208;obligation of the HMP funding (RE: 9526. 1 .VII .C. ). Failure to complete the work of the HMP may limit future FEMA funding of repairs at the site, in the event that a similar disaster event results in similar damage at the site (PA Guide A&#8208:43). This HMP is for estimating purposes only. If the site's final placement and configuration are different than the preliminary estimate. the applicant should submit a change in scope request. This HMP is subject to further review prior to award. Would you like to add the Hazard Mitigation Yes Proposal as a cost line item to the project cost? Hazard Mitigation Proposal - 0909 Unit Unit of Unit Subgrant Cost # Code Material and/or Description Quantity Measure Price Budget Type Estimate Action Class *** Version 0 *** 1 9999 Geotextile fabric (COOT 2013, 85.3 SY $ 3.07 $ 261 .87 420-00112) 2 9999 Rip rap, 18in (COOT 2013, 506- 142.2 CY $ 83. 17 $ 11 .826.77 00218) https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTi le=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 11 of 38 *** Version 1 *** 3 9999 Version 1 addition Dry 18" Rip Rap 21 .3 CY $ 83. 17 $ 1 .771 .52 (CDOT 2013.. 506-00218) 4 9999 Version 1 addition Geotextile 29 SY $ 3.07 $ 89.03 Fabric (CDOT 2013. 420-00112) Total Cost: $ 13,949.19 Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference SHIRLEY 01 - 18- Mitigation HAZARD WELCO07 - 406 HMP SANDERS 2014 Document MITIGATION Plan .pdf(46.31 kb) View BROWN PLAN 08-06- Mitigation PW510 - WELDCO07 MARK PETITT 2014 Proposal Version 1 HMP HMP Version 1 .pdf(92.25 View kb) Cost Estimate Is this Project Worksheet for Cost Estimate Format (Preferred) Repair Sequence Code Material and/or Unit Unit of Unit Price Subgrant Type Cost Action Description Quantity Measure Budget Class Estimate *** Version 0 *** Other 1 0000 Work Completed Other $ 0.00 2 9003 Contract Costs 1 LS 17,520.58 CONTRACTUAL Other $ 17,520.58 3 9007 Labor 1 LS $ PERSONNEL Other $ 2,745. 10 2,745. 10 4 9008 Equipment 1 LS $ 200.00 EQUIPMENT Other $ 200.00 5 0000 Work to be Completed Other $ 0.00 6 9999 REPAIR 1 LS $ 104.00 CONSTRUCTION Other $ 104.00 Direct 7 9901 Administrative 1 LS $ 860.00 INDIRECT Other $ 860.00 Costs CHARGES (Subgrantee) *** Version 1 *** Other Contract - Engineer 8 9999 Services per 1 LS $ Other $ 1 ,090.00 FEMA 322 1 ,090.00 Curve B Page 60 = 14.75% of https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 12 of 38 new repair Traffic Control 9 9999 1 LS $ Other $ 1 ,500.00 ( 1 Day) 1 ,500.00 10 9999 Sanitary Facility 1 LS $ 300.00 Other $ 300.00 Water Control 11 9999 and Dewatering 1 LS $ Other $ 3,000.00 (2 days) 3,000.00 't'"t Version 2 *** Other 12 9999 De-obligate 1 LS $ Other S -5,890.00 Version 1 5.890.00 13 9999 Construction 1 LS $ Other $ 92,090.75 92,090.75 14 9999 Engineering 1 LS $ Other $ 38,537.00 38,537.00 CEF Cost 15 9000 Estimate (See 1 LS $ 0.00 CONSTRUCTION Other $ 0.00 Attached Spreadsheet) Total Cost : $ 152,057.43 Insurance Adjustments (Deductibles. Proceeds and Settlements) - 5900/5901 Material and/or Unit Unit of Unit Subgrant Cost Sequence Code Description Quantity Measure Price Budget Type Estimate Action Class Total Cost : $ 0.00 Hazard Mitigation Proposal - 0909 Material and/or Unit Unit of Unit Subgrant Cost Sequence Code Description Quantity Measure Price Budget Type Estimate Action Class *** Version 0 *** 1 9999 Geotextile fabric (COOT 85.3 SY $ 3.07 $ 261 .87 2013, 420-00112) 2 9999 Rip rap, 18in (CDOT 142.2 CY $ $ 11 ,826.77 2013, 506-00218) 83. 17 *** Version 1 *'t* Version 1 addition Dry 3 9999 18" Rip Rap (COOT 21 .3 CY 83. 17 $ 1 , 771 .52 2013, 506-00218) Version 1 addition 4 9999 Geotextile Fabric (COOT 29 SY $ 3.07 $ 89.03 2013, 420-00112) Total Cost : $ 13,949.19 Total Cost Estimate: $ 166,006.62 (Preferred Estimate Type + Insurance Adjustments + Hazard Mitigation Proposal) Comments https://isource.fema.net/emmie/dispatch Destination.do?menuTile=&topTi le=dsHeader&b. .. 10/28/2014 — — Federal Emergency Management Agency E-Grants Page 13 of 38 Attachments User Date Document Type Description Hard Copy File File Name Action Reference KATHLEEN 02-05- Miscellaneous WELCO07_DAC.pdf( 18.80 View RUVARAC 2014 kb) KATHLEEN 02-05- Invoice WELCO07_Cost Estimate View RUVARAC 2014 Data.pdf(949.29 kb) KATHLEEN 02-05- Contract Bid documents Bridge 20.5- View RUVARAC 2014 Document 3B.pdf( 1 .75 Mb) Existing Insurance Information Insurance Type Policy No. Bldg/Property Content Insurance Deductible Years Amount Amount Amount Amount Required Comments Insurance Policy on record at JFO Attachments Comments and Attachments Name of Section Comment Attachment Preparer Information BridgeOBoulderCkFM0802660850C[21.pdf Contact Information PW510Environmental Permit LO.pdf WELCO07 - Bridge Inspection Report-1 .pdf WELCO07 - Bridge Inspection Report-2.pdf Damage Facilities WELCO07 - Bridge Inspection Report-3.pdf WELCO07 - Bridge Inspection Report-4.pdf Applicant Photos.pdf Photos.pdf Special Considerations Firmette.pdf Mitigation WELCO07 - 406 HMP Plan.pdf PW510 - WELDCO07 HMP Version 1 .pdf WELCO07 DAC.pdf Cost Estimate WELCO07 Cost Estimate Data.pdf Bid documents Bridge 20.5-3B.pdf Insurance Information Insurance Policy on record at JFO WELCO07 DDD SOW.pdf WELCO07 90-91 Form.pdf Signed by Applicant WELCO07 Bridge 20.5-3B PW.pdf PW 510 - Entire Application.pdf Form 90-91 PW 510-1 - Entire Application.pdf AMEND - Log Item 14-28-4145 - PW 510.pdf VER. 2 PW 00510 Cover Sheet Edited.docx 510 version 2 ICON Engineering Cost Exhibit B.pdf 510 Version 2 Robert Reid Letter and Opinion of Probable Cost.pdf https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 _ Federal Emergency Management Agency E-Grants Page 14 of 38 Bundle Reference # (Amendment #) Date Awarded PA-08-CO-4145-State-0089(88) 10-24-2014 Subgrant Application - FEMA Form 90-91 Note: The Effective Cost Share for this application is 75% FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT WORKSHEET DISASTER PROJECT NO. PA ID NO. DATE CATEGORY WELCO07 123-99123- 10-09-2014 C FEMA 4145 - DR -CO 00 APPLICANT: WELD (COUNTY) WORK COMPLETE AS OF: 01 -18-2014 : 90 % Site 1of1 DAMAGED FACILITY: COUNTY: Weld CR 20.5-3B OVER BOULDER CREEK LOCATION: LATITUDE: LONGITUDE: 40. 13863 -105.02043 PA-08-CO-4145-PW-00510(0): CR 20.5 PA-08-CO-4145-PW-00510(1 ): Rlft♦ Version 1 PA-08-CO-4145-PW-00510(2): "*" Version 2 «<,. DAMAGE DESCRIPTION AND DIMENSIONS: PA-08-CO-4145-PW-00510(0): During the incident period of September 11 , 2013 to September 30, 2013. Weld County, Colorado received heavy rainfall and debris in the creeks, streams and rivers which caused damage to numerous roads and bridges in Weld County. This project worksheet addresses damages to bridge WEL020.5-003.0B over Boulder Creek, in Section 17, T2N, R68W. On November 15, 2013, Kathleen Ruvarac, FEMA TAC Bridge Specialist, David Ray, FEMA Hazard Mitigation Specialist, Glenn Cadman, California Emergency Management Agency assisting the State of Colorado Emergency Management Agency, and Donald Dunker. Weld County Public Works Engineer. performed a site investigation at this location to document damages. The bridge was open and repairs completed at the time of inspection. The 132.5 ft long x 32 ft wide concrete and steel structure traverses the Boulder Creek in Weld County, CO. The bridge is a double (2) span concrete/steel bridge consisting of a 4 inch asphalt overlay on corrugated steel deck, Eight (8) - W33x130 steel girders. concrete abutments and wing walls, and one (1 ) concrete intermediate pier. The deck is flanked on both sides with a galvanized W rail beam on 6 inch x 4 inch steel posts welded to the exterior girders. The damages to the facility include scour and washout on the north side of the intermediate pier exposing approximately 3 feet of pier wall. Additionally, 50 ft of barbed wire tied to the wingwall at the southwest corner was damaged. The bridge was closed after the event. Embankment material lost at the intermediate pier is estimated to be 32 ft in length along pier x 30 ft in width in east span x 3 ft in depth =111 . 1 CY. The Applicant has provided pictures of the facility after the event and during repair operations. These photos are attached to this project worksheet. Due to the high water elevation in the creek at the time of inspection, the full extent of damages incurred as a result of this disaster may not have been observed and documented. The applicant provided previous bridge inspection reports for the facility dated June 30. 2010 and May 21 , 2012. The bridge in built in 1978 https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTi Ie=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 15 of 38 and had a sufficiency rating of 91 .6 in 2010 and 83.8 in 2012. Scour was noted at the northwest wingwall. The channel conditions noted flow is directed at the northwest wing and is at a bend in the alignment. The bridge inspection reports identified recommended maintenance activities to clean debris around bearing and on abutment seat and add large rip rap at the Northwest wingwall. The applicant noted additional rubble rip rap was washed away downstream during this event at the northwest wingwall. The field measurement is 15 ft in length x 6 ft in width x 1 .5 ft in depth/27 = 5 CY. The deck condition is noted as very good (8) on a scale of 0 to 9. The superstructure and substructure are noted as satisfactory (6). The channel was observed beginning to slump (6). PA-08-CO-4145-PW-00510(1 ): ***** Version 1 PA-08-CO-4145-PW-00510(2): ***** Version 2 ***** SCOPE OF WORK: PA-08-CO-4145-PW-00510(0): WORK COMPLETED 1 ) Contracts: The applicant hired a contractor, Mountain Constructors, Inc., P.O. Box 405, Platteville, CO 80538 (970) 786-6161 . Invoice attached to project worksheet for work performed 10-2 through 10-14, 2013 = $22,670.58. Hauled and dumped with (5 CY) Rubble Rip Rap at the northwest wingwall. 5 CY Rip Rap x $83.17/CY (CDOT Item Number 506-00218) = $415.85 compared with $600.00 contractor's invoice. Dewatering operations, clearing and grubbing and embankment material fill at the north side of the intermediate pier. Dewatering - $400.00 contractor's invoice Clearing and grubbing - $6,000.00 contractor's invoice Filled in scour hole at intermediate pier with (72.5 TNS, 39.8 CY) Aggregate base course with a unit weight of 135 lbs/cf (placed and compacted) and 71 .4 CY embankment (granular fill) material (placed and compacted). Total Material - 111 .1 CY - Weld County Construction Criteria typical section with material density used in calculation attached to project worksheet as supporting documentation. 71 .4 CY Embankment Material x $10.00/CY (CDOT Item Number 203-00062) = $714.00 compared with contractor's invoice $2,141 .70 72.5 TNS Aggregate Base Course x $33.70/TN (CDOT Item Number 304-06000 x2 due to economies of scale as compared with number of CDOT annual projects) = $2,443.25 compared with contractor's invoice $2,141 .70 The project specialist compared the repair cost for labor and construction of similar bridge repairs with the bid and subsequent invoice received from Mountain Constructors, Inc. for $22,670.58 and found the costs for Mobilization $8,000.00 and Traffic Control $3,500.00 totaling $11 ,500.00, approximately 50% of the repair cost of the facility. These costs are deemed to be high and the project worksheet reimbursement is reduced for Mobilization to $4,000.00 and Traffic Control to $1 ,750.00. The costs for mobilization and traffic control were brought to the applicant's attention and the applicant indicated their intent to request a reimbursement from the contractor for the excessive mobilization and traffic control costs. The applicant indicated that the charges slipped through after the contractor's contract was reduced. Total contract $22,670.58 reduced to $16,920.58 The applicant hired an environmental consulting firm to prepare application for ACOE Section 404 Nationwide permit, Tiglas Ecological Services, 5015 Swainsona Drive, Loveland, CO 80537. Invoice attached to project worksheet for work performed 9-29-2013 = $600.00 Total Contracts: $17,520.58 2) Force Account: The applicant utilized force account labor and equipment to monitor facility and install barrier walls during the flood event and repair operations. Labor - $4,013.49 Equipment- $301 .50 Total: $4,314.99 WORK TO BE COMPLETED https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 16 of 38 1 ) Install 50 ft of barbed wire with metal posts at the southwest wingwall - 50 ft x $2.08/LF (607-01000 Fence Barbed Wire with Metal Posts CDOT Avg. Unit Price 2013) = S104.00 Project Notes 1 . Following the September 2013 flooding, applicant used contract services and/or force account resources to re-open roads/bridges and repair damage as soon as possible. At several damage sites, repairs appear to have returned the facility to its pre-disaster design, function and capacity with no known remaining work to be completed. However at other sites due to the onset of winter conditions, applicant was unable to complete the restoration, thus leaving work to be completed. Finally, at some sites, applicant has expressed concern that unanticipated work may be still be required as a result of conditions beyond their control, such as possible subsequent settlement resulting from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage assessment. 2. This PW addresses all validated flood related damages at the specified site, including completed work and work to be completed (which damages were known to the applicant and reported to FEMA by the effective date of this PW). In the event that applicant identifies subsequent, currently unknown flood related damage at such site, applicant is advised to contact the State of Colorado Office of Emergency Management to report the damage and request an inspection prior to its repair. In the event that the State validates the damage as a direct result of the September 2013 flooding, the State will request FEMA prepare a version of this PW to address the eligible cost of repair. 3. Applicant has substantially completed the work but will not have cost data available within the fourteen day Pocket Guide rule. Per Field Operations Pocket Guide, Section 7, Cost Estimates, Page 26, "If the applicant has not produced cost data within two weeks of the site inspection, the Project Specialist will prepare the PW on the basis of an estimate for the work accomplished". Applicant, CO State representative and FEMA personnel jointly conducted all inspections and agreed to use CDOT costs for in-place costs to derive estimates on this project worksheet. Applicant understands that all actual support documentation, invoices, FA records, contract and proof of payment will be required for final reconciliation and or closeout process. 4. The Applicant will notify FEMA and the State of their intent to perform permanent work related to this site before any work commences in the field. Failure to do so may jeopardize the sub-grant for permanent work related to the work in this sub-grant. 5. Pursuant to 44 CFR 13.42, Grantees and Subgrantees are required to retain records, including source documentation, to support expenditures/costs incurred against the grant award, for 3 years from the date of submission to FEMA of the final Financial Status Report. 6. The applicant must obtain all required federal, state, and local permits prior to the commencement of work. 7. The subgrantee is requesting direct administrative costs that are directly chargeable to this specific project. Associated eligible work is related to administration of the PA project only and in accordance with 44 CFR 13.22. These costs are treated consistently and uniformly as direct costs in all federal awards and other subgrantee activities and are not included in any approved indirect costs. 8. Project was reviewed for 406 Hazard Mitigation and a copy of 406 HMP proposal is attached with this project. 9. The applicant is aware that all projects are subject to an insurance review as stated in 44 C.F.R. Sections 206.252 and 206.253. If applicable, an insurance determination will be made either as anticipated proceeds or actual proceeds in accordance with the applicant's insurance policy that may affect the total amount of the project. 10. The applicant is required to adhere to State and Federal Government Procurement rules and regulations and maintain adequate records to support the basis for all purchasing of goods and materials and contracting services for projects approved under the Public Assistance program, as stated in 44 CFR 13.36 The applicant has advised they have followed their normal procurement procedures PA-08-CO-4145-PW-00510(1 ): ***** Version 1 ***** This version is written to capture additional hazard mitigation (an additional $1860.55 for 21 .3 tons of rip rap @ $83. 17/CY & 29 SY of geotextile fabric @ $3.07/SY) that was not included in the original HMP and additional engineering (14.75% of $7,384 13 = $1 ,090.00) to complete the hazard mitigation for the scour at the West abutment wall at the site (32 LF x 3 LF x 6.0 VF). There will also be the following costs included and costs have been taken from the applicant's historical costs: 1 . 1 - Day traffic control: $1 ,500.00 2. Sanitary Facility: $300.00 3. Dewatering (2 days): $3000.00 PA-08-CO-4145-PW-00510(2): ***** Version 2 ***** This version of the PW is being written in regard to the applicant's request submitted by e-mail dated June 04, 2014. This request is based on the applicant's consultant determining what would be needed to fully restore the bridge to pre-existing conditions. The applicant is requesting $92,090.75 (see Opinion of Estimated Cost) for construction and $38,537.00 for engineering services. This request was first https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 17 of 38 addressed and documented in version 1 of this PW. Since version 1 was written the applicant has contacted the State Emergency Management and FEMA with their concerns why they think version 1 does not re-store the bridge back to pre-existing conditions. FEMA. after several discussions with the applicant and understanding why they are requesting $92,090.75 for construction and $38,537.00 for engineering, FEMA has determined that their total request is fair and reasonable and is eligible for FEMA funding. The total eligible cost for Construction is $92,090.75. The total eligible cost for engineering is $38,537.00. This PW is now deemed to be a Large Project. Version 1 costs for $5,890.00 will be de-obligated because all costs for this request are now captured in version 2 of this PW Does the Scope of Work change the pre-disaster conditions at the site? Yes No Special Considerations included? Yes [1] No Hazard Mitigation proposal included? Yes Is there insurance coverage on this facility? Lj Yes ' No No PROJECT COST ITEM CODE NARRATIVE QUANTITY/UNIT UNIT PRICE COST *** Version 0 *** Other 1 0000 Work Completed 0/LS $ 0.00 $ 0.00 2 9003 Contract Costs 1 /LS $ 17.520.58 $ 17,520.58 3 9007 Labor 1 /LS $ 2,745. 10 $ 2. 745. 10 4 9008 Equipment 1 /LS $ 200.00 $ 200.00 5 0000 Work to be Completed 0/LS $ 0.00 $ 0.00 6 9999 REPAIR 1 /LS $ 104.00 $ 104.00 7 9901 Direct Administrative Costs 1 /LS $ 860.00 $ 860.00 (Subgrantee) *** Version 1 *** Other Contract - Engineer Services per 8 9999 FEMA 322 Curve B Page 60 = 1 /LS $ 1 .090.00 $ 1 ,090.00 14.75% of new repair 9 9999 Traffic Control ( 1 Day) 1 /LS $ 1 ,500.00 $ 1 ,500.00 10 9999 Sanitary Facility 1 /LS $ 300.00 $ 300.00 11 9999 y Water Control and Dewatering (2 1 /LS $ 3,000.00 $ 3,000.00 ' Version 2 *** Other 12 9999 De-obligate Version 1 1 /LS $ -5,890.00 $ -5,890.00 13 9999 Construction 1 /LS $ 92.090.75 $ 92,090.75 14 9999 Engineering 1 /LS $ 38.537.00 $ 38.537.00 15 9000 CEF 7. emate (See Attached 1 /LS $ 0.00 $ 0.00 et) 16 0909 Hazard Mitigation Proposal 1 /LS $ 13,949. 19 $ 13,949. 19 TOTAL COST $ 166,006.62 PREPARED BY Ken Beebe TITLE SIGNATURE APPLICANT REP. Roy Rudisill TITLE Director - OEM SIGNATURE https://isource.fema.net/emmie/dispatchDestination.do?menuTi le=&topTi le=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 18 of 38 WELD (COUNTY) : PA-08-CO-4145-PW-00510 Conditions Information Review Name Condition Type Condition Name Description Monitored Status If ground disturbing activities occur during construction . applicant will monitor ground Standard disturbance and if any potential Final Review Other (EHP) Condition #3 archeological resources are No Approved discovered. will immediately cease construction in that area and notify the State and FEMA. This review does not address all federal , state and local requirements. Acceptance of federal funding requires Standard recipient to comply with all Final Review Other (EHP) Condition #2 federal, state and local laws. No Approved Failure to obtain all appropriate federal , state and local environmental permits and clearances may jeopardize federal funding . Any change to the approved Standard scope of work will require re- Final Review Other (EHP) Condition #1 evaluation for compliance with No Approved NEPA and other Laws and Executive Orders. Applicant is responsible for Executive Order coordinating with the local floodplain manager. All Final Review Other (EHP) 11988 required permits should be No Approved Floodplains maintained as part of the permanent record . POST-CONSTRUCTION: 17. Upon project completion, revegetate all disturbed areas with native shrubs, trees, and grasses. a. Rip compacted access routes prior to replanting with native vegetation. b. Fill and reseed Endangered with weed free material and Final Review Other (EHP) Species Act native seed mixtures. c. No Approved (ESA) Consult the Service before finalizing a seed and plant list. 18. Bury riprap, then plant with native riparian vegetation. 19. Rehabilitate adjacent habitats impacted by floodwaters to restore connectivity and prevent future impacts from erosion or sedimentation . 20. Consider monitoring the https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 I Federal Emergency Management Agency E-Grants Page 19 of 38 revegetated areas for success. The Service can help establish success criteria during the consultation process. PROJECT IMPLEMENTATION: 7. Contact the Service immediately by telephone at (303) 236-4773 if a Preble's is found alive, dead, injured, or hibernating within the project area. Please also contact the Service if any other listed species are found within the project area. 8. To the maximum extent practicable. limit disturbing (e.g . , crushing. trampling) or removing (e.g. , cutting, clearing) all vegetation, such as willows, trees, shrubs, and grasses within riparian and adjacent upland habitats. a. Restrict the temporary or permanent removal of vegetation to the footprint of the project area. b. Minimize the use of heavy machinery and use smaller equipment when possible. c. Soil compaction: Temporarily line Endangered access routes with geotextiles Final Review Other (EHP) Species Act or other materials, especially in No Approved (ESA) wet, unstable soils to protect roots and the seed bank. 9. Use the attached table to track the acres or square feet of riparian and upland habitats temporarily or permanently affected by the response activities. a. Temporary Impacts: Native vegetation and habitats will reestablish following rehabilitation (e.g. , access route that is rehabilitated with native, weed- free seeds and plants). b. Permanent Impacts: Riparian or upland habitats will not return as a result of project activities (e.g. , road surface, concrete footings) 10. Track the volumes of any water from onsite sources stored or used for dust abatement, soil compaction. concrete mixing . or other activities. 11 . Locate, store, stage. operate. and refuel equipment outside of riparian or adjacent upland habitats. a. Operate equipment https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 20 of 38 from previously disturbed or modified roadbeds or road shoulders above the riparian habitats. b. Limit the number of entrance and exit points leading into the project area. c. Stockpile topsoil and debris outside the riparian corridor and protect from stream flows or runoff. 12. During the Preble's active season (May 1 through November 1 ). work only during daylight hours to avoid disrupting Preble's nocturnal activities. 13. Promptly remove waste to minimize site disturbance and avoid attracting predators. 14. Cover exposed holes or piles of loose dirt with boards, tarps, or other materials to prevent entrapment. 15. Use best management practices (BMPs) to limit construction-related disturbance, such as soil compaction , erosion. and sedimentation, and to prevent the spread of invasive weeds: a. Soil compaction: Establish one access route for workers. vehicles, and machinery, preferably along a previously disturbed surface or route. b. Soil compaction: Temporarily line access routes with geotextiles or other materials. especially in wet, unstable soils. c. Weed control: Wash and inspect vehicles and equipment before entering or leaving the project area so that they are free of noxious weed seeds and plant parts. d. Weed control: Use only weed free certified materials, including gravel, sand, top soil , seed, and mulch. 16. Complete construction before beginning restoration or enhancement activities. PRE-CONSTRUCTION DESIGN : 1 . Design the project to avoid and minimize the permanent and temporary impacts to riparian and Final Review adjacent upland habitats. a. Before construction , identify and prioritize riparian and adjacent upland habitats within the project area. Design the https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 21 of 38 project so that it avoids these habitats whenever possible. b. Minimize the amount of concrete, riprap, bridge footings, and other "hard." impermeable engineering features within the stream channel and riparian or adjacent upland habitats. c. Use bioengineering techniques to stabilize stream banks. d. Minimize the number and footprint of access routes, staging areas, and work areas. e. Locate access routes, staging areas. and work areas within previously disturbed or modified non-habitat areas. f. Maintain habitat connectivity under bridges or through culverts by installing ledges or dry culverts adjacent to the culverts with water flow. g. Avoid fragmenting linear riparian corridors. 2. Install limits of work fencing (e.g. , orange barrier netting or silt fencing), signage. or other Endangered visible markers to delineate Other (EHP) Species Act access routes and the project No Approved (ESA) area from habitats. Use this fencing to enforce no-entry zones. 3. Hold a preconstruction briefing for onsite personnel to explain the limits of work and other conservation measures. 4. Follow regional stormwater guidelines and design best management practices (BMPs) to control contamination. erosion, and sedimentation, such as silt fences, silt basins, gravel bags. and other controls needed to stabilize soils in denuded or graded areas, during and after construction. 5. Locate utilities along existing road corridors, and if possible, within the roadway or road shoulder. a. Bury overhead utilities whenever possible. b. Directionally bore utilities and pipes underneath habitats. 6. Develop and implement a habitat restoration plan that addresses site preparation, planting techniques. control of non-native weeds, native seed mixtures, and post- haps://isource.fema.net/emm e/dispatchDestination.do7menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 22 of 38 construction monitoring. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS, dated September Endangered 24, 2013, to the extent Final Review Other (EHP) Species Act possible: including apost- No Approved (ESA) construction estimate of the amount of habitat affected by the emergency response, an evaluation of how conservation recommendations were implemented, and the results of implementation in minimizing adverse effects. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS, dated September Endangered 24, 2013, to the extent Final Review Other (EHP) Species Act possible; including apost- No Approved (ESA) construction estimate of the amount of habitat affected by the emergency response, an evaluation of how conservation recommendations were implemented, and the results of implementation in minimizing adverse effects. PRE-CONSTRUCTION DESIGN : 1 . Design the project to avoid and minimize the permanent and temporary impacts to riparian and adjacent upland habitats. a. Before construction . identify and prioritize riparian and adjacent upland habitats within the project area. Design the project so that it avoids these habitats whenever possible. b. Minimize the amount of concrete, riprap, bridge footings, and other "hard," impermeable engineering features within the stream channel and riparian or adjacent upland habitats. c. Use bioengineering techniques to stabilize stream banks. d. Minimize the number and footprint of access routes. staging areas, and work areas. e. Locate access routes. staging areas, and work areas https://isource.fema.net/emmie/dispatchDesti nation.do?menuTi le=&topTi le=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 23 of 38 within previously disturbed or modified non-habitat areas. f. Maintain habitat connectivity under bridges or through culverts by installing ledges or dry culverts adjacent to the culverts with water flow. g. Avoid fragmenting linear riparian corridors. 2. Install limits of work fencing (e.g. , orange barrier netting or silt fencing), signage, or other visible markers to delineate access routes and the project area from habitats. Use this fencing to enforce no-entry zones. 3. Hold a preconstruction briefing for onsite personnel to explain the limits of work and other conservation measures. 4. Endangered Follow regional stormwater Final Review Other (EHP) Species Act guidelines and design best No Approved (ESA) management practices (BMPs) to control contamination. erosion, and sedimentation, such as silt fences, silt basins, gravel bags. and other controls needed to stabilize soils in denuded or graded areas, during and after construction. 5. Locate utilities along existing road corridors, and if possible, within the roadway or road shoulder. a. Bury overhead utilities whenever possible. b. Directionally bore utilities and pipes underneath habitats. 6. Develop and implement a habitat restoration plan that addresses site preparation, planting techniques, control of non-native weeds, native seed mixtures, and post- construction monitoring. PROJECT IMPLEMENTATION: 7. Contact the Service immediately by telephone at (303) 236-4773 if a Preble's is found alive. dead, injured, or hibernating within the project area. Please also contact the Service if any other listed species are found within the project area. 8. To the maximum extent practicable, limit disturbing (e.g . , crushing, trampling) or removing (e.g. , cutting, clearing) all vegetation, https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Ammilimw Federal Emergency Management Agency E-Grants Page 24 of 38 such as willows, trees. shrubs, and grasses within riparian and adjacent upland habitats. a. Restrict the temporary or permanent removal of vegetation to the footprint of the project area. b. Minimize the use of heavy machinery and use smaller equipment when possible. c. Soil compaction: Temporarily line access routes with geotextiles or other materials, especially in wet, unstable soils to protect roots and the seed bank. 9. Use the attached table to track the acres or square feet of riparian and upland habitats temporarily or permanently affected by the response activities. a. Temporary Impacts: Native vegetation and habitats will reestablish following rehabilitation (e.g. , access route that is rehabilitated with native, weed- free seeds and plants). b. Permanent Impacts: Riparian Endangered or upland habitats will not return as a result of project Final Review Other (EHP) Species Act activities e. No Approved (ESA) ( g. , road surface, concrete footings) 10. Track the volumes of any water from onsite sources stored or used for dust abatement, soil compaction, concrete mixing, or other activities. 11 . Locate. store. stage. operate. and refuel equipment outside of riparian or adjacent upland habitats. a. Operate equipment from previously disturbed or modified roadbeds or road shoulders above the riparian habitats. b. Limit the number of entrance and exit points leading into the project area. c. Stockpile topsoil and debris outside the riparian corridor and protect from stream flows or runoff. 12. During the Preble's active season (May 1 through November 1 ), work only during daylight hours to avoid disrupting Preble's nocturnal activities. 13. Promptly remove waste to minimize site disturbance and avoid attracting predators. 14. Cover exposed holes or piles https://isource.fema.net/emmie/dispatchDestination.do:'menuTi le=&topTi le=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 25 of 38 of loose dirt with boards. tarps. or other materials to prevent entrapment. 15. Use best management practices (BMPs) to limit construction-related disturbance, such as soil compaction, erosion, and sedimentation, and to prevent the spread of invasive weeds; a. Soil compaction: Establish one access route for workers, vehicles, and machinery, preferably along a previously disturbed surface or route. b. Soil compaction: Temporarily line access routes with geotextiles or other materials, especially in wet, unstable soils. c. Weed control: Wash and inspect vehicles and equipment before entering or leaving the project area so that they are free of noxious weed seeds and plant parts. d. Weed control: Use only weed free certified materials, including gravel, sand, top soil, seed, and mulch. 16. Complete construction before beginning restoration or enhancement activities. POST-CONSTRUCTION : 17. Upon project completion, revegetate all disturbed areas with native shrubs, trees, and grasses. a. Rip compacted access routes prior to replanting with native vegetation. b. Fill and reseed with weed free material and native seed mixtures. c. Endangered Consult the Service before Final Review Other (EHP) Species Act finalizing a seed and plant list. No Approved (ESA) 18. Bury riprap, then plant with native riparian vegetation. 19. Rehabilitate adjacent habitats impacted by floodwaters to restore connectivity and prevent future impacts from erosion or sedimentation . 20. Consider monitoring the revegetated areas for success. The Service can help establish success criteria during the consultation process. Executive Order Applicant is responsible for Final Review Other (EHP) 11988 - coordinating with the local No Approved Floodplains floodplain manager. All required permits should be https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 26 of 38 maintained as part of the permanent record . Any change to the approved Standard scope of work will require re- Final Review Other (EHP) Condition #1 evaluation for compliance with No Approved NEPA and other Laws and Executive Orders. This review does not address all federal . state and local requirements. Acceptance of federal funding requires Standard recipient to comply with all Final Review Other (EHP) Condition #2 federal, state and local laws. No Approved Failure to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. If ground disturbing activities occur during construction, applicant will monitor ground Standard disturbance and if any potential Final Review Other (EHP) Condition #3 archeological resources are No Approved discovered, will immediately cease construction in that area and notify the State and FEMA. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS. dated September Endangered 24, 2013. to the extent Final Review Other (EHP) Species Act possible: including apost- No Approved (ESA) construction estimate of the amount of habitat affected by the emergency response, an evaluation of how conservation recommendations were implemented, and the results of implementation in minimizing adverse effects. PRE-CONSTRUCTION DESIGN : 1 . Design the project to avoid and minimize the permanent and temporary impacts to riparian and adjacent upland habitats. a. Before construction , identify and prioritize riparian and adjacent upland habitats within the project area. Design the project so that it avoids these habitats whenever possible. b. Minimize the amount of concrete, riprap, bridge footings. and other "hard," https://isource.fema.net/emmie/dispatchDestination.do'.'menuTile=&topTile=dsHeader&b. .. 10/28/2014 Federal Emergency Management Agency E-Grants Page 27 of 38 impermeable engineering features within the stream channel and riparian or adjacent upland habitats. c. Use bioengineering techniques to stabilize stream banks. d. Minimize the number and footprint of access routes, staging areas, and work areas. e. Locate access routes. staging areas, and work areas within previously disturbed or modified non-habitat areas. f. Maintain habitat connectivity under bridges or through culverts by installing ledges or dry culverts adjacent to the culverts with water flow. g. Avoid fragmenting linear riparian corridors. 2. Install limits of work fencing (e.g. , orange barrier netting or silt fencing). signage, or other visible markers to delineate access routes and the project area from habitats. Use this Endangered fencing to enforce no-entry zones. 3. Hold a Final Review Other (EHP) Species Act preconstruction briefing for No Approved (ESA) onsite personnel to explain the limits of work and other conservation measures. 4. Follow regional stormwater guidelines and design best management practices (BMPs) to control contamination, erosion, and sedimentation, such as silt fences, silt basins, gravel bags, and other controls needed to stabilize soils in denuded or graded areas, during and after construction. 5. Locate utilities along existing road corridors. and if possible. within the roadway or road shoulder. a. Bury overhead utilities whenever possible. b. Directionally bore utilities and pipes underneath habitats. 6. Develop and implement a habitat restoration plan that addresses site preparation, planting techniques, control of non-native weeds, native seed mixtures, and post- construction monitoring. PROJECT IMPLEMENTATION : 7. Contact the Service immediately by telephone at https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 28 of 38 (303) 236-4773 if a Preble's is found alive, dead, injured, or hibernating within the project area. Please also contact the Service if any other listed species are found within the project area. 8. To the maximum extent practicable, limit disturbing (e.g. . crushing, trampling) or removing (e.g. , cutting, clearing) all vegetation. such as willows, trees, shrubs, and grasses within riparian and adjacent upland habitats. a. Restrict the temporary or permanent removal of vegetation to the footprint of the project area. b. Minimize the use of heavy machinery and use smaller equipment when possible. c. Soil compaction: Temporarily line access routes with geotextiles or other materials, especially in wet. unstable soils to protect roots and the seed bank. 9. Use the attached table to track the acres or square feet of Endangered riparian and upland habitats Final Review Other (EHP) Species Act temporarily or permanently No Approved (ESA) affected by the response activities. a. Temporary Impacts: Native vegetation and habitats will reestablish following rehabilitation (e.g. . access route that is rehabilitated with native, weed- free seeds and plants). b. Permanent Impacts: Riparian or upland habitats will not return as a result of project activities (e.g. , road surface, concrete footings) 10. Track the volumes of any water from onsite sources stored or used for dust abatement. soil compaction, concrete mixing, or other activities. 11 . Locate, store, stage. operate, and refuel equipment outside of riparian or adjacent upland habitats. a. Operate equipment from previously disturbed or modified roadbeds or road shoulders above the riparian habitats. b. Limit the number of entrance and exit points leading into the project area. c. Stockpile topsoil and debris outside the riparian corridor https://isource.fema.net/emmie/dispatch Destination.do?menuTi le=&topTi le=dsHeader&b. . . 10/28/2014 eimmins Federal Emergency Management Agency E-Grants Page 29 of 38 and protect from stream flows or runoff. 12. During the Preble's active season (May 1 through November 1 ), work only during daylight hours to avoid disrupting Preble's nocturnal activities. 13. Promptly remove waste to minimize site disturbance and avoid attracting predators. 14. Cover exposed holes or piles of loose dirt with boards, tarps. or other materials to prevent entrapment. 15. Use best management practices (BMPs) to limit construction-related disturbance. such as soil compaction, erosion, and sedimentation, and to prevent the spread of invasive weeds; a. Soil compaction: Establish one access route for workers, vehicles, and machinery, preferably along a previously disturbed surface or route. b. Soil compaction: Temporarily line access routes with geotextiles or other materials, especially in wet, unstable soils. c. Weed control: Wash and inspect vehicles and equipment before entering or leaving the project area so that they are free of noxious weed seeds and plant parts. d. Weed control: Use only weed free certified materials, including gravel, sand, top soil , seed, and mulch. 16. Complete construction before beginning restoration or enhancement activities. POST-CONSTRUCTION: 17. Upon project completion, revegetate all disturbed areas with native shrubs, trees. and grasses. a. Rip compacted access routes prior to replanting with native Endangered vegetation. b. Fill and reseed Final Review Other (EHP) Species Act with weed free material and No Approved (ESA) native seed mixtures. c. Consult the Service before finalizing a seed and plant list. 18. Bury riprap, then plant with native riparian vegetation. 19. Rehabilitate adjacent habitats impacted by floodwaters to restore connectivity and prevent future impacts from https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 30 of 38 erosion or sedimentation . 20. Consider monitoring the revegetated areas for success. The Service can help establish success criteria during the consultation process. Applicant is responsible for Executive Order coordinating with the local floodplain manager. All Final Review Other (EHP) 11988 - required permits should be No Approved Floodplains maintained as part of the permanent record . Any change to the approved Standard scope of work will require re- Final Review Other (EHP) Condition #1 evaluation for compliance with No Approved NEPA and other Laws and Executive Orders. This review does not address all federal, state and local requirements. Acceptance of federal funding requires Standard recipient to comply with all Final Review Other (EHP) Condition #2 federal, state and local laws. No Approved Failure to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. If ground disturbing activities occur during construction. applicant will monitor ground Standard disturbance and if any potential Final Review Other (EHP) Condition #3 archeological resources are No Approved discovered, will immediately cease construction in that area and notify the State and FEMA. If ground disturbing activities occur during construction, applicant will monitor ground Standard disturbance and if any potential EHP Review Other (EHP) Condition #3 archeological resources are No Recommended discovered, will immediately cease construction in that area and notify the State and FEMA. This review does not address all federal , state and local requirements. Acceptance of federal funding requires Standard recipient to comply with all EHP Review Other (EHP) Condition #2 federal . state and local laws. No Recommended Failure to obtain all appropriate federal . state and local environmental permits and clearances may jeopardize federal funding. https://isource.fema.net/emmie/dispatchDestination.do?menuTi le=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 31 of 38 Any change to the approved Standard scope of work will require re- EHP Review Other (EHP) Condition #1 evaluation for compliance with No Recommended NEPA and other Laws and Executive Orders. Applicant is responsible for Executive Order coordinating with the local EHP Review Other (EHP) 11988 - floodplain manager. All required permits should be No Recommended Floodplains maintained as part of the permanent record . POST-CONSTRUCTION: 17. Upon project completion. revegetate all disturbed areas with native shrubs, trees, and grasses. a. Rip compacted access routes prior to replanting with native vegetation . b. Fill and reseed with weed free material and native seed mixtures. c. Endangered Consult the Service before EHP Review Other (EHP) Species Act finalizing a seed and plant list. No Recommended (ESA) 18. Bury riprap, then plant with native riparian vegetation. 19. Rehabilitate adjacent habitats impacted by floodwaters to restore connectivity and prevent future impacts from erosion or sedimentation . 20. Consider monitoring the revegetated areas for success. The Service can help establish success criteria during the consultation process. PROJECT IMPLEMENTATION : 7. Contact the Service immediately by telephone at (303) 236-4773 if a Preble's is found alive, dead, injured, or hibernating within the project area. Please also contact the Service if any other listed species are found within the project area. 8. To the maximum extent practicable, limit disturbing (e.g. , crushing. trampling) or removing (e.g. , cutting, clearing) all vegetation, such as willows. trees, shrubs, and grasses within riparian and adjacent upland habitats. a. Restrict the temporary or permanent removal of vegetation to the footprint of the project area. b. Minimize the use of heavy machinery and use smaller equipment https://isource.fema.net/emmie/dispatch Destination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 32 of 38 when possible. c. Soil compaction: Temporarily line access routes with geotextiles or other materials, especially in wet, unstable soils to protect roots and the seed bank. 9. Use the attached table to track the acres or square feet of riparian and upland habitats temporarily or permanently affected by the response activities. a. Temporary Impacts: Native vegetation and habitats will reestablish following rehabilitation (e.g. . access route that is rehabilitated with native, weed- free seeds and plants). b. Permanent Impacts: Riparian or upland habitats will not return as a result of project activities (e.g. , road surface. concrete footings) 10. Track the volumes of any water from onsite sources stored or used for dust abatement, soil compaction, concrete mixing. or other activities. 11 . Locate, Endangered store, stage. operate, and EHP Review Other (EHP) Species Act refuel equipment outside of No Recommended (ESA) riparian or adjacent upland habitats. a. Operate equipment from previously disturbed or modified roadbeds or road shoulders above the riparian habitats. b. Limit the number of entrance and exit points leading into the project area. c. Stockpile topsoil and debris outside the riparian corridor and protect from stream flows or runoff. 12. During the Preble's active season (May 1 through November 1 ). work only during daylight hours to avoid disrupting Preble's nocturnal activities. 13. Promptly remove waste to minimize site disturbance and avoid attracting predators. 14. Cover exposed holes or piles of loose dirt with boards, tarps, or other materials to prevent entrapment. 15. Use best management practices (BMPs) to limit construction-related disturbance, such as soil compaction. erosion, and sedimentation. and to prevent the spread of invasive weeds; https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 33 of 38 a. Soil compaction: Establish one access route for workers. vehicles, and machinery, preferably along a previously disturbed surface or route. b. Soil compaction: Temporarily line access routes with geotextiles or other materials, especially in wet. unstable soils. c. Weed control: Wash and inspect vehicles and equipment before entering or leaving the project area so that they are free of noxious weed seeds and plant parts. d. Weed control: Use only weed free certified materials. including gravel. sand, top soil, seed. and mulch. 16. Complete construction before beginning restoration or enhancement activities. PRE-CONSTRUCTION DESIGN : 1 . Design the project to avoid and minimize the permanent and temporary impacts to riparian and adjacent upland habitats. a. Before construction , identify and prioritize riparian and adjacent upland habitats within the project area. Design the project so that it avoids these habitats whenever possible. b. Minimize the amount of concrete. riprap. bridge footings. and other "hard," impermeable engineering features within the stream Endangered channel and riparian or EHP Review Other (EHP) Species Act adjacent upland habitats. c. No Recommended (ESA) Use bioengineering techniques to stabilize stream banks. d. Minimize the number and footprint of access routes, staging areas. and work areas. e. Locate access routes, staging areas. and work areas within previously disturbed or modified non-habitat areas. f. Maintain habitat connectivity under bridges or through culverts by installing ledges or dry culverts adjacent to the culverts with water flow. g . Avoid fragmenting linear riparian corridors. 2. Install limits of work fencing (e.g. , orange barrier netting or silt fencing), signage. or other https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTi le=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 34 of 38 visible markers to delineate access routes and the project area from habitats. Use this fencing to enforce no-entry zones. 3. Hold a preconstruction briefing for onsite personnel to explain the limits of work and other conservation measures. 4. Follow regional stormwater guidelines and design best management practices (BMPs) to control contamination, erosion, and sedimentation, such as silt fences. silt basins, gravel bags, and other controls needed to stabilize soils in denuded or graded areas. during and after construction. 5. Locate utilities along existing road corridors, and if possible, within the roadway or road shoulder. a. Bury overhead utilities whenever possible. b. Directionally bore utilities and pipes underneath habitats. 6. Develop and implement a habitat restoration plan that addresses site preparation, planting techniques, control of non-native weeds, native seed mixtures, and post- construction monitoring. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS, dated September Endangered 24, 2013, to the extent post- EHP Review Other Species Act possible; including a EHP (EHP) construction estimate of the No Recommended (ESA) amount of habitat affected by the emergency response. an evaluation of how conservation recommendations were implemented. and the results of implementation in minimizing adverse effects. Internal Comments No. Queue User Date/Time Reviewer Comments 10/17/2014 Version 2 is written to update construction and Final PETKOVSEK 10- 17-2014 engineering cost for actual cost. No issues found. Move 23 Review JEAN 08:50 PM forward as eligible. JMP GMT Mitigation contained within this version is found eligible in final review. https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 35 of 38 Ron Pevan 8/7/14 - No issues as written. LJL 10-14-2014 10/14/14 - This now a large project that is less tan 90% 22 Grantee LAWSON 08:32 PM completed at the time of writing version 2. A CEF needs to be Review LESTER GMT applied to this project as a FEMA cost code "9000" entry that has a true cost itemized in Part A and forward cost applied as needed. Please revise this to be correct. LJL Grantee LAWSON 10- 10-2014 21 Review LESTER 12:23 AM 8/7/14 - No issues as written. LJL GMT WELD (COUNTY) CAT C, 90% complete, Bridge over Boulder Creek was built in 1978. It is a 133ft.x 32 ft. concrete and steel structure. Repairs are completed, mitigation will be added. The damages to the facility include scour and washout on the north side of the intermediate pier exposing approximately 3' of pier wall. Embankment material and rip rap loss: 32' x 30' x 3'. Mitigation : add rip rap and add geotextile fabric on the north side of the Bridge to fill the scour and protect the area. - tcookro - 03/10/2014 14: 14:03 GMT Note: Barbed wire tied to the wingwalls was damaged . Barbed wire was replaced scour and embankment (dewatered ) were restored. - tcookro - 03/10/2014 17:05: 37 GMT ***VERSION 1 *** This version adds additional Geotextile Fabric and Rip Rap to the HMP. with work including dewatering the creek. diverting traffic, and placing the materials at the scour area. This PW was reviewed by EHP staff on 3/10/2014. It was submitted to EHP after rework for the addition of material used in the HMP. These changes do not affect the original scope of work and no additional EHP review is required. - dsharon - 08/06/2014 19:20:06 GMT ***Version 2***This PW was reviewed by EHP staff on 03/10/2014 and 08/06/2014. It was submitted to EHP after 10-09-2014 rework for administrative changes (cost adjustments). These EHP PATTERSON changes do not affect the original scope of work and no { 20 Review MOLLY 1GMT PM additional EHP review is required. - mpatter7 - 10/09/2014 22:03: 31 GMT USACE Permit attached. - tcookro - 03/11 /2014 18:43: 14 GMT Project site work is not in a mapped wetland. - tcookro - 03/11 /2014 18:57:07 GMT Entire community will benefit from project completion . - tcookro - 03/10/2014 16:52:35 GMT Action is addressed under the attached Emergency Consultation between FEMA and USFWS, dated September 24. 2013. The consultation includes conservation measures intended to minimize impacts to the federally listed Preble's Meadow Jumping Mouse, Ute's Lady's Tress and Colorado Butterfly Bush, and Designated Critical Habitat protected under the ESA. - tcookro - 03/10/2014 17:29:09 GMT Project is located in Zone A. FIRM panel 0802660850C . dated 09/28/1982. Per 44 CFR Part 9.5 (g) Step 1 : Project repairs are determined to have no effect on floodplain or wetlands provided that the repairs remain in the existing footprint and do not impact previously undisturbed areas. No further floodplains review is required. - tcookro - 03/11 /2014 19:00: 17 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Appendix B: Ill . E. H and I agreed to by FEMA and the SHPO. - tcookro - 03/10/2014 17: 10: 55 GMT https://isource.fema.net/emmie/dispatchDestination.do?menu 1 ile=&topTile=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 36 of 38 Insurance JOHNSON 10-09-2014 VERSION 2 — The additional construction and engineering 19 Review KENNETH 07:09 PM costs will not alter the prior insurance policy coverage GMT comments or the insurance requirement comments. 10-09-2014 Mitigation The Version 1 Hazard Mitigation Proposal is approved with the 18 Review PETITT MARK GMT PM additional Version 2 damages. Mark W. Petitt, 406 Specialist Insurance JOHNSON 10-09-2014 VERSION 1 — The additional hazard mitigation scope of work 17 Review KENNETH 05:46 PM and costs will not alter the prior insurance policy coverage GMT comments or the insurance requirement comments. 10-09 2014 Mitigation The Hazard Mitigation Proposal is approved. Mark W. Petitt. 16 Review PETITT MARK GMT PM 406 Specialist 8-6-14:Completed Initial review, no issues were identified: Initial TREZONA 10-09-2014 work appears eligible. 15 Review SCOTT GMT PM 10-9-2014:Completed Initial review, no issues were identified: work appears eligible. Award 09-08-2014 14 Review SYSTEM 08:45 PM ACCEPTED GMT 08- 15-2014 Mitigation contained within this version is found eligible in final Final PEVAN review. 13 Review RONALD GMT PM Ron Pevan Grantee LAWSON 08-07-2014 12 Review LESTER 02: 10 PM 8/7/14 - No issues as written. LJL GMT WELD (COUNTY) CAT C, 90% complete, Bridge over Boulder Creek was built in 1978. It is a 133ft.x 32 ft. concrete and steel structure. Repairs are completed, mitigation will be added. The damages to the facility include scour and washout on the north side of the intermediate pier exposing approximately 3' of pier wall. Embankment material and rip rap loss: 3Z x 30' x 3'. Mitigation : add rip rap and add geotextile fabric on the north side of the Bridge to fill the scour and protect the area. - tcookro - 03/10/2014 14: 14:03 GMT Note: Barbed wire tied to the wingwalls was damaged. Barbed wire was replaced scour and embankment (dewatered) were restored. - tcookro - 03/10/2014 17:05:37 GMT 08-06-2014 ***VERSION 1 *** This version adds additional Geotextile 11 EHP PATTERSON 07:32 PM Fabric and Rip Rap to the HMP, with work including Review MOLLY GMT dewatering the creek, diverting traffic, and placing the materials at the scour area. This PW was reviewed by EHP staff on 3/10/2014. It was submitted to EHP after rework for the addition of material used in the HMP. These changes do not affect the original scope of work and no additional EHP review is required. - dsharon - 08/06/2014 19:20:06 GMT USACE Permit attached. - tcookro - 03/11/2014 18:43: 14 GMT Project site work is not in a mapped wetland. - tcookro - 03/11 /2014 18:57:07 GMT Entire community will benefit from project completion. - tcookro - 03/10/2014 16:52:35 GMT Action is addressed under the attached Emergency Consultation between FEMA and USFWS. dated September 24, 2013. The consultation includes conservation measures intended to minimize impacts to the federally listed Preble's https://isource.fema.net/emmie/dispatchDestination.do?menuTi le=&topTi le=dsHeader&b. . . 10/28/2014 Federal Emergency Management Agency E-Grants Page 37 of 38 Meadow Jumping Mouse, Ute's Lady's Tress and Colorado Butterfly Bush, and Designated Critical Habitat protected under the ESA. - tcookro - 03/10/2014 17:29:09 GMT Project is located in Zone A, FIRM panel 0802660850C , dated 09/28/1982. Per 44 CFR Part 9.5 (g) Step 1 : Project repairs are determined to have no effect on floodplain or wetlands provided that the repairs remain in the existing footprint and do not impact previously undisturbed areas. No further floodplains review is required. - tcookro - 03/11 /2014 19:00: 17 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Appendix B: Ill . E, H and I agreed to by FEMA and the SHPO. - tcookro - 03/10/2014 17: 10:55 GMT 08-06-2014 Mitigation The Hazard Mitigation Proposal is approved. Mark W. Petitt, 10 Review PETITT MARK GMT PM 406 Specialist 08-06-2014 Mitigation The Hazard Mitigation Proposal is approved - Brian W. Drost, 9 Review PETITT MARK 02: 15 PM 406 Specialist GMT Insurance JOHNSON 08-06-2014 VERSION 1 — The additional hazard mitigation scope of work 8 Review KENNETH 02: 13 PM and costs will not alter the prior insurance policy coverage GMT comments or the insurance requirement comments. A review of the documentation provided has identified that Weld County is insured for property damages through ; Colorado Counties Casualty and Property Pool . Policy Number 020412751 . This policy does not provide coverage for dams, dikes, Insurance JOHNSON 08-06-2014 bridges, culverts, roadways, streets, walks, paved surfaces. 7 Review KENNETH 02:03 PM tunnels, canals, land. GMT The insurance policy will not provide coverage for costs identified in this PW There will not an insurance reduction for this PW. The FEMA eligible damages are not to building, contents, equipment, or vehicles; therefore, there will not be an insurance commitment required. 08-06-2014 Initial TREZONA 8-6-14:Completed Initial review. no issues were identified: 6 Review SCOTT GMT PM work appears eligible. Award 03- 18-2014 5 Review SYSTEM 10:45 PM ACCEPTED GMT Note:Applicant, CO State representative and FEMA personnel jointly conducted all inspections and agreed to use CDOT costs for in-place costs to derive estimates on this project worksheet. Applicant understands that all actual support documentation, invoices, FA records. contract and proof of 03- 16-2014 payment will be required for final reconciliation and or closeout 4 Final PALACIO 02:50 PM process. Final Reviewer finds eligible the application and Review JOSE GMT approves the funding of this CAT-C project worksheet based on the applicant having performed all required procurement procedures, perform all required special considerations recommendations such as permits to address EHP considerations and securing all actual cost documentation for the financial reconciliation of this project. Task Force Leader- J. Palacio 03/16/2014 WELD (COUNTY) CAT C, 90% complete, Bridge over Boulder https://isource.fema.net/emmie/dispatchDestination.do?men uTi le=&topTi le=dsHeader&b... 10/28/2014 _ �. Federal Emergency Management Agency E-Grants Page 38 of 38 Creek was built in 1978. It is a 133ft.x 32 ft. concrete and steel structure. Repairs are completed, mitigation will be added. The damages to the facility include scour and washout on the north side of the intermediate pier exposing approximately 3' of pier wall. Embankment material and rip rap loss: 32' x 30' x 3'. Mitigation: add rip rap and add geotextile fabric on the north side of the Bridge to fill the scour and protect the area. - tcookro - 03/10/2014 14: 14:03 GMT Note: Barbed wire tied to the wingwalls was damaged. Barbed wire was replaced scour and embankment (dewatered) were restored. - tcookro - 03/10/2014 17:05:37 GMT USACE Permit attached. - tcookro - 03/11 /2014 18:43: 14 GMT Project site work is not in a mapped wetland. - tcookro - 03/11 /2014 18:57:07 GMT Entire community will benefit from project completion . - EHP PATTERSON 03-11 -2014 tcookro - 03/10/2014 16:52:35 GMT 3 Review MOLLY 08:29 PM Action is addressed under the attached Emergency GMT Consultation between FEMA and USFWS. dated September 24, 2013. The consultation includes conservation measures intended to minimize impacts to the federally listed Preble's Meadow Jumping Mouse, Ute's Lady's Tress and Colorado Butterfly Bush, and Designated Critical Habitat protected under the ESA. - tcookro - 03/10/2014 17:29:09 GMT Project is located in Zone A, FIRM panel 0802660850C , dated 09/28/1982. Per 44 CFR Part 9.5 (g ) Step 1 : Project repairs are determined to have no effect on floodplain or wetlands provided that the repairs remain in the existing footprint and do not impact previously undisturbed areas. No further floodplains review is required. - tcookro - 03/11 /2014 19:00: 17 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Appendix B: Ill . E, H and I agreed to by FEMA and the SHPO. - tcookro - 03/10/2014 17: 10: 55 GMT 03- 10-2014 Mitigation DROST The Hazard Mitigation Proposal is approved - Brian W. Drost. 2 Review BRIAN GMT PM 406 Specialist A review of the documentation provided has identified that Weld County is insured for property damages through: Colorado Counties Casualty and Property Pool, Policy Number 020412751 . This policy does not provide coverage for dams, dikes, Insurance JOHNSON 02-10-2014 bridges. culverts. roadways. streets. walks, paved surfaces. 1 Review KENNETH 10:53 PM tunnels, canals, land. GMT The insurance policy will not provide coverage for costs identified in this PW There will not an insurance reduction for this PW. The FEMA eligible damages are not to building, contents, equipment, or vehicles: therefore, there will not be an insurance commitment required. https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b. . . 10/28/2014 Hello