HomeMy WebLinkAbout20152478.tiff RESOLUTION
RE: APPROVE APPLICATION FOR ENERGY AND MINERAL IMPACT ASSISTANCE
PROGRAM GRANT FOR COUNTY ROAD 44 FROM CR 43 TO COUNTY ROAD 49
(TIER I -AUGUST CYCLE) 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 an Application for the Energy and Mineral
Impact Assistance Program Grant for County Road 44 from County Road 43 to County Road 49
(Tier 1 - August Cycle) from the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Department of Finance and
Administration, to the Colorado Department of Local Affairs, commencing upon full execution,
with further terms and conditions being as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Application for the Energy and Mineral Impact Assistance Program
Grant for County Road 44 from County Road 43 to County Road 49 (Tier I - August Cycle) from
the County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Department of Finance and Administration, to the Colorado
Department of Local Affairs be, and hereby is, approved.
BE IT FUTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 29th day of July, A.D., 2015.
BOARD OF COUNTY COMMISSIONERS
,,,t G WELD COUNTY, COO DO,
ATTEST: C/� W) ( ...See.
/ ' • ` ✓�E c tL, /
• arbara Kirkmeyer, Chair
Weld County Clerk to the Board � l / �
• i Freeman, Pro-Tem
BY. - !A_A GG p •
I; `�`���% tom♦
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D-•uty Clerk to the Boar•; , „�: r3 BUSED
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/
APP ORM:
$ oza A.e i v
Steve Moreno
Date of signature: 7-79
CC : TW, Fl T/..” 2015-2478
FI0060
,;4„atkof. MEMORANDUM
•
r. ! --- !I
., 1, r TO: Clerk to the Board
GQUNTY
DATE: July 27, 2015 .
FROM: Elizabeth Relford, Transportation Manager
SUBJECT: DOLA Application—Tier 1, August Cycle
The attached DOLA application requests Energy and Mineral Impact Assistance Funding
(EIAF) for a Tier I grant for $200,000 of full depth reconstruction of three miles of WCR 44
from WCR 43 to WCR 49.
Staff recommends Board approval of the DOLA application,which is due August 1, 2015. The
Tier I application would help pay the cost of materials for the full depth reconstruction (FDR)
of the road. The total material costs of the three mile project is estimated to be $793,912, but
the work will be performed by Public Works crews. This is a 2016 Haul Route Project(HARP).
I am available at your convenience to further discuss this matter.
M:\Francie\AGENDA memos\Agenda-CameronParrott.doc
•
2015-2478
Revised 2. 20. 15
DOLA COLORADO
*di
CO 0 Department of Local Affairs
TM Division of Local Government
ENERGY AND MINERAL IMPACT ASSISTANCE PROGRAM APPLICATION
Tier I or Tier II
Applications Must Be Submitted Electronically - Directions on Last Page
-You are Highly Encouraged to Work with your Regional Field Manager when Completing your Application -
A. GENERAL AND SUMMARY INFORMATION
1 . Name/Title of Proposed Project : Full Depth Reconstruction of three miles of WCR 44 Tier II
2 . Applicant : Weld County
( In the case of a multi-jurisdictional application . name of the "lead" municipality, county, special district or other political subdivision) .
In the case of a multi-; urisdictional application , provide the names of other directly participating political subdivisions :
3 . Chief Elected Official ( In the case of a multi -jurisdictional application , chief elected official of the " lead" political
subdivision ) :
Name : Barbara Kirkmeyer Title : Chair
Mailing Address : PO Box 758 Phone : 970 -356-4000 x4200
City/Zip : Greeley , CO 80632-0758 Phone :
E- Mail Address : bkirkmeyer@weldgov .com
4. Designated Contact Person (will receive all mailings) for the Application :
Name : Barbara Connolly Title : Controller
Mailing Address : PO Box 758 Phone : 970-356 -4000
City/Zip : Greeley , CO 80632-0758 Phone :
E- Mail Address : bconnolly@weldgov. com
5. Amount of Energy/Mineral Impact Funds requested :
(Tier I ; Up to $200 , 000 or Tier II ; Greater than $200 , 000 to $2 , 000 , 000)
Tier 1 - $200 , 000
6 . Description of the Project Scope of Work :
( Project Description of the various tasks involved in the project including specific data such as quantities . mileage , square feet. lineal ft. etc. as well as
specific protect location within city and or county etc. )
Weld County requests funding to assist with reconstructing approximately three miles of Weld County Road 44
due to damage created in part from intense oil and gas truck activity. In 2009 , the Weld County Commissioners
implemented Public Works ' Oil & Gas Haul Route Program ( HARP) . The program uses direct distribution
severance dollars on roads significantly impacted by oil and gas activity . However, the County struggles to keep
up with road damage. The County cannot afford to pave every road and increased truck traffic is making it
difficult to maintain existing roads . Therefore , Public Works now uses cement-treated base in new road projects
to reinforce the subgrade ( below the asphalt) in order to support truck traffic. We call this program Full Depth
Reconstruction ( FDR) . This grant request is to reconstruct three miles of existing paved road utilizing FDR.
Please see the attached map and the photographs at the end of this application .
7 . Local priority if more than one application from the same local government ( 1 of 2. 2 of 2 , etc. ) 1 of 1
Page 1 of 11
Revised 2. 20. 15
B . DEMOGRAPHIC AND FINANCIAL INFORMATION .
1 . Population
a . What was the 2010 population of the applicant jurisdiction ? 254 , 230
b. What is the current population ? 283 , 767
(Current/most recent conservation trust fund/lottery distribution estimate is acceptable . ) What is the source of the estimate? DOLA
c . What is the population projection for the applicant in 5 years? 329 , 759
What is the source of the projection ? DOLA
2 . Financial Information (Current Year) :
In the column below labeled "Applicant" provide the financial information for the municipality , county . school district or special district directly
benefiting from the application . In the columns below labeled "Entity" , provide the financial information for any public entities on whose behalf the
application is being submitted (if applicable) .
Complete items " a through j " for ALL project types :
Applicant Entity Entity
a . Assessed Valuation (AV) Year: 2015 $ 8 , 969 , 895 , 330
b . Mill Levy 15 . 800
c . Property Tax Revenue ( mill levy x AV) $ 141 , 724 , 346
d . Sales Tax ( Rate/Estimated Annual Revenue) 0 % / $0 % / $ % / $
e . Total General Fund Budget Revenue $ 135 , 110 , 244
f. Total Applicant Budget Expenditures
Sum of General Fund and all Special Funds) $ 307 031 089
g . General Fund Balance as of January 1 of this
current calendar year. $ 12 , 000 , 000
h . General Fund Balance ( Unrestricted ) as of
January 1 of this current calendar year. $ 12 , 000 , 000
i . Total Multi- year Debt Obligations (all funds*) $0
j . Total Lease- Purchase and Certificates of $0
Participation obligations*
For projects to be managed through a Special Fund other than the General Fund ( e. g . County Road and Bridge
Fund ) or managed through an Enterprise Fund (e . g . water, sewer, county airport) , complete items " k through o " :
Identify the relevant Special Fund or Enterprise Fund :
k . Special or Enterprise Fund Budget Amount $84 , 449 , 304
I . Special or Enterprise Fund Multi-Year Debt $0
Obligations*
m . Special or Enterprise Fund Balance as of
January 1 of this calendar year $9 , 635 , 000
n . Special or Enterprise Fund Balance
( Unrestricted) as of January 1 of this calendar $0
year
o . Special or Enterprise Fund Lease- Purchase $0
and Certificate of Participation Obligations*
p . Special Fund Mill Levy ( if applicable) 1 . 839
For Water and Sewer Project Only complete items " q through s " :
q . Tap Fee
r. Average Monthly User Charge
(Divide sum of annual (commercial and residential)
revenues by 12 and then divide by the number of total taps
served . )
NOTE : Commercial and Residential Combined
s . Number of total Taps Served by Applicant
* Include the sum of the year-end principal amounts remaining for all multi-year debt obligations , lease purchase
agreements or certificate of participation notes
Page 2 of 11
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D . PROJECT INFORMATION .
The statutory purpose of the Energy and Mineral Impact Assistance program is to provide financial assistance to
" political subdivisions socially or economically impacted by the development, processing or energy conversion of
minerals and mineral fuels . "
1 . Demonstration of Need :
a . Why is the project needed at this time?
This project is needed to improve safety . Weld County is one of the most active oil and gas counties in the State .
As a result, the impact to county roads is significant and they are difficult to maintain . Weld County has
approximately 3 , 000 miles of road , of which 800 are paved . Many of the County's existing paved roads were not
designed to withstand the increased oil and gas truck traffic and are deteriorating rapidly . In order to handle
truck traffic , these roads need to be rebuilt from the subgrade level up. Additionally , this past spring the County
has been impacted by unusually heavy rains . Many roads and bridges have been impacted , but the worst was a
County Road 6 bridge that washed out over a ditch near the South Platte west of US 85 . That project cannot wait
for grant funding and has pulled resources away from other projects such as this reconstruction on WCR 44.
b. How does the implementation of this project address the need ?
The project reconstructs approximately three miles of the eight miles of WCR 44 between US 85 and WCR 49.
c . Does this project , as identified in this application , completely address the stated need ? If not, please describe
additional work or phases and the estimated time frame . Do you anticipate requesting Energy and Mineral Impact
Assistance funds for future phases?
If this grant is approved , the County would anticipate applying for funding to help reconstruct another two miles
of WCR 44 ( between 39 and 43 ) in December. Next year the County may apply for assistance with reconstructing
the last three miles to US 85 .
d . What other implementation options have been considered ?
The County is using a significant amount of oil and gas property taxes and direct distribution severance funds
for county-wide road improvements . This funding assists Public Works road improvements , which have
increased significantly . In order to keep up with road improvements , Weld County has hired additional crews and
acquired more equipment to help offset oil and gas impacts .
e . What are the consequences if the project is not awarded funds?
If funding is not awarded , the road will continue to deteriorate. Weld County may have to reduce the speed limit
and sign the area with " Road Damage Ahead " signs .
2 . Measurable Outcomes :
a . Describe measurable outcomes you expect to see when implementation of this project is complete . How will the
project enhance the livability* of your region , county, city, town or community (e . g . constructing a new water plant will
eliminate an unsafe drinking water system and provide safe and reliable drinking water; the construction of a new
community center will provide expanded community services , or projects achieving goals regarding energy conservation ,
community heritage , economic development/diversification , traffic congestion , etc . ) ?
*( Livability means increasing the value and/or benefit in the areas that are commonly linked in community development such
as jobs , housing , transportation , education , emergency mitigation , health and environment)
The improvements will make the roadway safer for all motorists and add years of life to the existing roadway by
using new technology at the subgrade level .
b. How many people will benefit from the project? ( i . e . , region , county , city, town , community, subdivision , households or
specific area or group ; or any portion thereof)
WCR 44 is an arterial road with approximately 1 , 500 vehicles per day with 21 percent being heavy truck traffic .
c. How will the outcome of the project be measured to determine whether the anticipated benefits to this population
actually occur?
Traffic counts will continue to be collected to determine if traffic increases .
d . Does this project preserve and protect a historic building , facility or structure? If yes , please describe .
Year of construction :
No historic building , facility, or structure is involved in the project.
e . Will this project implement an energy efficiency/strategy that could result in less carbon footprint or conserve energy
use or capitalize on renewable energy technology? If yes , please describe .
By utilizing Concrete-Treated Base (CTB) with a GPS-equipped grader it will reduce the number of grader passes ,
which reduces pollution and providing an improved air quality benefit.
3 . Relationship to Community Goals
a . Is the project identified in the applicant' s budget or a jurisdictionally approved plan (e . g . capital improvement plan ,
equipment replacement plan , comprehensive plan , utility plan , road maintenance and improvement plan or other local or
regional strategic management or planning document) ? What is its ranking ?
Page 4 of 11
Revised 2. 20. 15
Yes , this project has been identified in Public Works general fund budget.
4. Local Commitment and Ability to Pay/Local Effort
a . Why can 't this project be funded locally?
This project can 't be entirely funded locally because the oil and gas impacts to the County are so significant that
we cannot use all of our resources on every road annually. As mentioned previously , heavy spring rains and
runoff have damaged roads and bridges across the County .
b . Has this protect been deferred because of lack of local funding ? If so , how long ?
Yes , this project has been deferred from last year' s HARP program . Due to increased truck traffic , these roads
have emerged with emergency repair needs that Public Works cannot solely address .
c . Explain the origin of your local cash match . ( Note : Whenever possible , local government cash match on a dollar for
dollar match basis is encouraged . )
The Commissioners fund the HARP program annually with $4 million . The HARP funds are direct distribution
severance monies budgeted specifically to Public Works.
d . What other community entities , organizations , or stakeholders recognize the value of this project and are collaborating
with you to achieve increased livability of the community? Please describe how your partners are contributing to achieve
the improvement to the livability of the community through this project . If in- kind contributions are included in the project
budget, detailed tracking will be required on protect monitoring report.
All motorists utilizing these roads recognize the value of this safety project ; however, it is several miles from the
nearest communities , which are Gilcrest, LaSalle, and Kersey. Those communities do not have funding for
contributing to County road projects WCR 44 is also a school bus route for District RE-1 .
i . Please describe the level of commitment by each collaborator . (e . g . fee waivers , in- kind services , fundraising , direct
monetary contribution , policy changes . )
Weld County will use the grant funds to leverage the cost of materials to construct the improvements . Weld
County crews will provide the labor and equipment to complete the work. The grant cash match will be from
Public Works ' general fund .
ii . Please list the value of the resources that each collaborator is bringing to the program .
e . Has the applicant dedicated the financial resources in their current budget , reserve funds and/or unused debt capacity
that are being used for the local matching funds ? Explain if No _
As required by State Statute, Weld County maintains a contingency fund . If awarded , Weld County will fund the
cash match from Public Works ' general fund .
f. Have the applicant' s tax rates , user charges or fees been reviewed recently to address funding for the proposed
protect?
Weld County has so many impacted roads that all available funding is going into the HARP program to improve
as many county roads as possible . This grant would help help offset the cost of materials for this project.
g . If the tax rate , user charges or fees were modified , what was the modification and when did this change occur?
Weld County has been directing the revenues from the Specific Ownership Tax to Public Works since 1985 .
h . Has the applicant contacted representatives from local energy or mineral companies to discuss the project? If yes ,
when was the contact and what was discussed .
HARP roads are discussed at Weld County 's Oil and Gas Working Group regular meetings . The O&G Working
Group is made up of industry partners where we discuss impacts affecting us all and problem solve how we can
work together to minimize or remediate problems .
i . Has the applicant requested financial support from the industry? If yes , when was the contact , what amount did you
request? What were the results? If no , why not?
The industry typically helps Weld County projects with in - kind support such as water hauling , gravel , trucking ,
and stock piling .
5. Readiness to Go
a . Assuming this project is funded as requested , how soon will the project begin ? Select One (_)Within 3 months ,
(j3-6 months , (_)6-9 months or (_) 9- 12 months? What is the time frame for completion ? Select One (_)Within 3 months ,
(_) 3-6 months , (_)6-9 months , (X_) 9- 12 months or (_) > 12 months .
b . Describe how you determined that the project can be completed within the proposed budget as outlined in this
application ? Are contingencies considered within the project budget?
The budget has been estimated by professional engineers . If the project exceeds the estimate , the County will
reallocate funds from another project or reduce project scope _
c . Has the necessary planning been completed ? How? What additional design work or permitting must still be
completed , if any? When ? How did the applicant develop project cost estimates? Is the project supported by bids ,
professional estimates or other credible information ? Please attach a copy of any supporting documents .
Since the construction project occurs within the existing right-of-way limits no design is needed .
Page 5 of 11
Revised 2. 20. 15
6 . Energy & Mineral Relationship
a . Describe how the applicant is , has been , or will be impacted by the development , production , or conversion of energy
and mineral resources .
Weld County accounts for more than fifty percent of all oil and gas activity for the entire state and therefore is
extremely impacted . Much of the road 's traffic is due to oil and gas trucks .
b . To further document the impact in the area , name the company or companies involved , the number of employees
associated with the activities impacting the ' urisdiction and other relevant , quantitative indicators of energy/mineral impact.
Companies with wells in the area include : Noble Energy , PDC Energy, Encana Oil & Gas ( USA) , Inc. , Prima
Exploration , Inc . and others . On County Road 49, Ensign , Heartland Biogas , and Rose Rock Midstream Crude all
have operations .
7 . Management Capacity
a . How will you separate and track expenditures , maintain funds and reserves for the capital expenditures and
improvements as described in this protect?
Weld County ' s Accounting Department is recognized as a Tier 3 local government by the State and can manage
all invoicing information through Banner Accounting System . In addition , Public Works will use the project
management software PubWorks to assist in administering the project.
b . Describe the funding plan in place to address the new operating and maintenance expenses generated from the
protect?
Weld County will continue to utilize the Highway Users Tax Fund ( HUTF) for maintenance expenses .
c . Describe the technical and professional experience/expertise of the person ( s) and/or professional firms responsible to
manage this project .
Weld County Public Works has several engineers on staff and proven expertise in roadway improvement
projects . Elizabeth Relford , Transportation Manager, will be responsible for managing this project.
d . Does the project duplicate service capacity already established ? Is the service inadequate? Has consolidation of
services with another provider been considered?
This is a safety project and does not duplicate service capacity but creates it. Current service is inadequate and
inefficient to meet existing traffic demands .
E . HIGH PERFORMANCE CERTIFICATION ( HPCP) PROGRAM COMPLIANCE.
Colorado Revised Statutes (C . R . S . 24- 30- 1305 . 5 ) require all new facilities , additions , and renovation projects that meet
the following eligibility criteria to conform with the High Performance Certification Program ( HPCP) policy adopted by the
Office of the State Architect ( OSA) if:
• The project receives 25 % or more of state funds ; and
• The new facility , addition , or renovation project contains 5 , 000 or more building gross square feet ; and
• The building includes an HVAC system ; and
• In the case of a renovation project , the cost of the renovation exceeds 25 % of the current value of the property .
The HPCP requires projects that meet the eligibility criteria above to achieve third party verification with the target goal of
LEED Gold or Green Globes-Three Globes . Projects are strongly encouraged to meet the Office of the State Architect' s
( OSA) Sustainable Priorities in addition to the LEED prerequisites . Projects funded through DOLA that meet the above
eligibility criteria are required to complete the DOLA registration and tracking process . See DOLA' s HPCP web page for
more information or contact your DOLA regional manager.
In instances where achievement of LEED Gold or Green Globe-Three Globes certification is not achievable , an applicant
may request a modification of the HPCP policy or a waiver if certain conditions exist . DOLA staff will work with applicants
to identify workable solutions to meet the program ' s intent to maximize building energy efficiencies .
Please answer the following questions:
( Complete this section only if your project application is for a building project , both new construction as well as
renovation . )
1 . Is the applicant seeking state funding for 25 % or more of the total project cost ( including all phases , if
applicable) ? Yes No
( If no, the project does not meet the HPCP requirement and the rest of this section does not need to be completed)
2. Does the building include an HVAC system ? Yes No
Page 6 of 11
Revised 2. 20. 15
If yes , please check whether the proposed project includes a HVAC upgrade or new HVAC
system .
3 . Is this project (check all that apply) : new construction renovation new and renovation
New building square footage : SF Renovation square footage : SF
Is the building square footage ( new construction and/or renovation ) 5 , 000 SF or more ? Yes No
4. For building renovation projects :
What is the current property value ? ( Determine based on assessed or appraised value) $
What is the total project cost for the renovations ? $
Does the cost of renovation exceed 25 % of the current value of the property? Yes No
5. If you answered "yes " to questions 1 , 2 , 3 , and if applicable, 4, then your project meets the HPCP
eligibility criteria . Complete the HPCP registration form and preliminary checklist and submit with this
grant application . ( See DOLA' s HPCP web page for registration and checklist form . )
ADDITIONAL QUESTIONS :
6 . Have you included any additional costs in this grant application for third party verification to comply with the
High Performance Certification Program ? Yes No If yes , please specify the estimated cost for
third participation verification/certification : $
7. Will you need assistance locating resources , third party consultants , or technical assistance for HPCP third
party verification requirements , preparing cost estimates , or otherwise complying with the HPCP ?
Yes No Explain
Note : If this application is for design services for a planned building project that meets the HPCP eligibility criteria and the applicant
intends to seek state funding for 25% or more of the total project cost. then the design should maximize high performance building
certification standards (by completing the HPCP checklist) and build in anticipated project costs. as appropriate.
F . TABOR COMPLIANCE .
1 . Does the applicant jurisdiction have voter authorization to receive and expend state grants without regard to TABOR
spending limitations ? If yes , explain :
Yes
2 . If the applicant jurisdiction receives a grant with State Severance funds , will the local government exceed the TABOR
limit and force a citizen property tax rebate?
No
3 . Has the applicant jurisdiction been subject to any refund under TABOR or statutory tax limitations ? Explain .
No
4. Has the applicant sought voter approval to keep revenues above fiscal spending limits? Explain .
Yes
5. Are there any limitations to the voter approved revenues ? ( e . g . , Can revenues only be spent on law enforcement or
roads ?)
All Weld County ad valorem tax levies for county purposes , when applied to the total valuation for assessment of
the County , shall be reduced so as to prohibit the levying of a greater amount of tax revenue than was levied
from ad valorem taxation in the preceding year plus five percent ( 5% ) except to provide for the payment of bonds
and interest thereon .
6 . If the applicant jurisdiction is classified as an enterprise under TABOR , will acceptance of a state grant affect this
status ? Explain .
No
G . ENVIRONMENTAL REVIEW.
Indicate below whether any of the proposed project activities :
1 . Will be undertaken in flood hazard areas . Yes No X _
List flood plain maps/studies reviewed in reaching this conclusion . Describe alternatives considered and mitigation
proposed .
FIRM panels : 080266-0775C dated September 28 , 1992
2. Will affect historical , archeological or cultural resources , or be undertaken in geological
Page 7 of 11
Revised 2. 20. 15
hazard area ? Yes No X
Describe alternatives considered and mitigation proposed .
3 . Address any other related public health or safety concerns ? Describe . Yes No X
APPLICATION SUBMISSION INSTRUCTIONS
AND
OFFICIAL BOARD ACTION DATE ( REQUIRED
Application and attachments must be submitted electronically in
WORD . DOC ( Preferred ) or . PDF Format ( Unsecured ) to :
ImpactGrantsstate. co . us
Please Cc your Regional Field Manager all documents as well to ensure receipt.
In email subject line include : Applicant Local Government name and Tier for which you are applying
• -example- Subject : Springfield County EIAF Grant Request , Tier 1
NOTE : Please do not submit a scanned application (scanned attachments ok) .
( If you are unable to submit electronically please contact your DOLA regional manager)
For any questions related to the electronic submittal please call Bret Hillberry @ 303 . 864 . 7730
Attachments List ( Check and submit the following documents , if applicable) :
► Preliminary Engineering Reports
► Architectural Drawings
► Cost Estimates
► Detailed Budget
► Map showing location of the project X
► Attorney' s TABOR decision
► HPCP Registration , modification
Or Waiver Form
I
Official Board Action taken on
July 29 , 2015
Date
Submission of this form indicates official action by the applicant's governing board
authorizing application for these funds .
Page 8 of 11
RE: ENERGY AND MINERAL IMPACT ASSISTANCE GRANT APPLICATION - TIER 1
AUGUST CYCLE (CR 44 FROM CR 43 TO CR 49)
ATTEST: SetbietX.-1 y�J Ias��OARD OF COUNTY COMMISSIONERS
Weld County Clerk o the Board, "� /��`�jti D COUNTY, COL€RADO
•
BY'
�e.uty Clerk to the Boar. 1 `-, = `'f:ra Kirkmeyer, Chair 'JUL 3 2a•'
A RO DaZDING: ROVED AS STANCE:
Director of Finance and Administration Ele d O I or Depa ment Head
�5PROVED FORM: AIM
/Jl��i Director of General Services
County Attorney
026/6- 02 5/7/
Revised 2. 20. 15
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