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HomeMy WebLinkAbout20151497.tiff RESOLUTION RE: APPROVE COMMUNITY DEVELOPMENT BLOCK GRANT APPLICATION FOR VARIOUS GRAVEL AND PAVED ROADS (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 various Gravel and Paved Roads (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 various Gravel and Paved Roads (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. CC' OEf t; Acr+ (1242a 2015-1497 EM0016 BC0045 COMMUNITY DEVELOPMENT BLOCK GRANT APPLICATION FOR VARIOUS GRAVEL AND PAVED ROADS 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: ,/ /, EXCUSED aCLo�t�C Barbara Kirkmeyer,Chair Weld County Clerk to the Board Mike Freeman,Pro-Tem BY: De u Clerk to th Boar /-� Sean P.Conway 2,44; er-dod APPROVED AS TO F _ Ag— Julie A.Cozad County Attorney ® EXCUSED Date of signature: U/Pa Ef hli ( Steve Moreno 2015-1497 EM0016 BC0045 Colorado Division of Homeland Security Grant NOI / Application 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 Office: 720.852.6713 Date Next Steps Letter Transmitted: Fax: 720.852.6750 cdps dhsem cdbg@state.co.us PART A - NOI : PROJECT OVERVIEW 1 . Applicant Legal Name: Weld County, Colorado 2. Applicant Type: ✓ Local Government Private Non-Profit (Attach copy of 501c3, if applicable) 3. Project Title: County Match FEMA Projects - WELCO08 (561 ) 4. Proposed Project Total Cost: 312.604.50 CDBG-DR-I Request: 39.075.56 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 hue Telephone Number einiffilt AiLerga......- MAY 27 ?Q15 Signature of Authorized Applicant Agent Date Signed 2015- 1497 V tack and continuations or additional items as an kttachment 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 1 . 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: Mr. Cory Gardner 5. State Legislative District: 50 Representative Name: Mr. Ken Buck 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. O Mrs. . First Name: Roy Last Name: Rudisill Title: Director Organization: Weld County Office of Emergency ManagemE Street Address: 1 150 O Street City: Greeley State: Colorado zip Code: 80631 Telephone: ly / U ) ita I av ( f U )s.itJ- r .( Mobile: ,y /U ) .38 " -U F.-mail Address: rrudisill(CT�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. Q \i, II \I i di First Name: Barb Last Name: Connolly Title: Controller Organization: Weld County Accounting Street Address: 1150 O Street City: Greeley State: Colorado lip Code: 80631 Telephone: ( y / U ),545 I . \ : J / U ) O.5O- /d Mobil: E-mail Address: bconnollyco .weld . 8. Application Prepared b. : M . Mr. V Ml s ll First Name: Kyle Last Name: Jones Title: Planner Organization: ARCADIS-US Street Address: City: Tallahass( State: FL zip Code: 32309 Telephone: (00U)o I v Mobile: (225 , 2U2-3 E-mail Address: kyle . iones(a�arcadis- 9. Authorized Applicant Agent: Ms. ✓ \Ir. Mrs. First Name: Barbara Last Name: Kirkmeyer Title: COmmiSSii Organization: Weld County Street Address: 1150 O Street, P . O . Box 758 City: Greeley State: Colorado Zip Code: 80631 Telephone: ly I U)00b F; x: Mobile: E-mail Address: bkirkmeyerco .wel( 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 'A/c' f(1(lQ L_ fl1 \ Thr-L_Iarninnt \/\/r.rlrnkr-tn+ in r,i4ennkrt-J ., r,rl "nr-t+rtint, r f ts,nrl, O 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). There are 21 different gravel road sites on this PW and the attached spreadsheet shows the Lat/Long coordinates for all of the sites and depicts the damage site locations as identified in the correlating Project Worksheets . However; the area affected encompasses a much o 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 and The maiority of Weld County is owner-occuoied wi :h p 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 13 of 36 Projects Submitted . I 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 request addresses emergency work and the damages that were a -a 44, -- m t-, ., "i-,r r.-,t .r r nut / ♦I-, -,4 •r, ..-.+.,.J . . ..•44-, 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? ./ Will benefit low and moderate income (LMI) persons; or nWill 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 38 . 70% . However, this percentage does not accurately capture the total number of service areas that are either directly or indirectly impacted by the FEMA Match Projects. 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 thus the County believes that a higher LMI % should be given for this FEMA match Projects . 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 p Attach any continuations or additional items as an Attachment to the electronic application and c-mail submittal. Page 4 of 20 I CDBG-l)R 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) 1 Annual income as defined for Public Housing and Section 8 ,/ Annual income as reported under the Census long form 1 I 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 Emergency 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 WELCO08 (561 ) 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 . tlaiard 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 . ttach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 6 of 20 CDBG-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 WELCO08 (561 ) 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 ternrcnnnrl if Wry (-'ni in+ti hard nn+ ten Lnn +inn nrn'nn+it,n rnnno, arnc +h-if +hnt1 rlii-1 l� 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 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 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 . 8. 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 WELCO08 (561 ) 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 No Location of proposed project in mitigation plan strategies: Page 139 Section/Part Mitigation Stra Is the community a member of good standing with the National Flood Insurance Program? I Yes No Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 8 of 20 CDBG-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 can be provided . 12. Permitting: Please list the local, state, and federal permits that will be required to complete this project. All permitting was addressed on the attached Project Worksheet as supporting documentation . The significant permitting 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 ^ nn n� �+llrlu n�t� Qnrm;} Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 9 of 20 a 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. I 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 cnmmi snits henefited from the nrnactive work by Weld County and the removal Attach any continuations or additional items as an Attachment to the electronic application and e-mail suhmittal. Page 10 of 20 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. • I f 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 . This Proposed Project has site locations across the entire community and service area and it was determined that 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 \ttach 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 WELCO08 (561 ). 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 attached PW 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. I'age 12 of 211 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) $ 312.604.50 See Protect Worksheet Cost ;see attached) 1. roust ora-h $ 312,604.50 . Duplication of Benefits (if unknown at time of application enter zero). $ 0.00 h. Subtract j. from i. to determine Total Project Cost $ 312,604.50 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: $ 312.604.50 Federal Cost Share: $ 234.453.37 State Cost Share: $ 39.075.56 $ 39,075.56 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 c-mail submittal. Page 13 of 20 1 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. 1A/n1r4 rni int„ nnnrntre i inrfnr thu-, mnst rnetrirtiun nrnnartli tQv limitntinn in than etntn Rneiricon Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 14 of 20 I CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART B - APPLICATION : PROJECT MILESTONES / TIMELINES / TASKS 1. 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 : Grant Process and Environmental Review Timeframe: 3 Months Task Emergency Repairs- The initial emergency repairs were made directly 1 Completed g y p g Y p Timeframe: Task 3: Permanent Repairs - Becuase the emergency repairs were quick repair Completed Timeframe: Task 4: Timeframe: Task 5: Timeframe: Task 6: Timeframe: Task 7: Timeframe: Task 8: Timeframe: Task 9: Timeframe: 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 report and findings will be provided to the grantee for review and concurrence. The Timeframe: 3 Months 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 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 September 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 c-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. (f) 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 Ig Administrative and management activities O Environmental and other studies, resource identification, and the development of plans and strategies V • Most engineering and design costs associated with eligible projects f Al Inspections and testing of properties for hazards or defects b Project planning ¢ ❑ Purchase of insurance ❑ Purchase of tools st ❑ Technical assistance and training .E ❑ Interim assistance to arrest the effects of an imminent threat or physical deterioration in which the assistance w w does not alter environmental conditions. ••-• Public services that will not have a physical impact or result in any physical changes (e.g., employment, 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 E ≥ 0 Operating costs (e.g., maintenance, security, operation, utilities, furnishings, equipment, supplies, staff training Z = and recruitment, other incidental costs) -� U E ❑ Relocation costs 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 f O Special projects directed to the removal of material and architectural barriers that restrict the mobility of and accessibility to elderly and handicapped persons I I Acquisition (including leasing) or disposition of, or equity loans on, an existing structure ❑ Acquisition (including leasing) of vacant land provided the structure or land acquired, financed, or disposed of will be retained for the same use Acquisition, repair, improvement, reconstruction, or rehabilitation when the facilities and improvements are in o 1 place, but will change in size or capacity of more than 20 percent 11 Acquisition, repair, improvement, reconstruction, or rehabilitation when the facilities and improvements are in PG4 1E 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 RDemolition New construction This checklist must be included with the CDBG application. Please direct questions to the appropriate contact person below: DOLA/DLG DHSEM I'amra 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 tamra.norton(a�state.co.us 720.852.6713 steven.boand@state.co.us DPS/DOLA USE ONLY: Required level of environmental review: O Exempt O CENST O 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 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 Attach any continuations or additional items as an Attachment to the electronic application and c-mail submittal. Page 19 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART B - APPLICATION : DETAILED PROJECT BUDGET 1. 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 WELCO08 (561 ). 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 / damages that were a direct result of the severe flooding . A Scope of Work and detailed project budget is included within the PW and addresses the work that was completed and can be provided upon request. Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. 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NI vI n1 �1 • . jl 1• W W W r - LL LL LL LL LL LL ilitit1i-&i #1 titt.m • 'ter a - . a' . 0" ' '.le lif RI. a-* r 4-- ..! i .El:\ {l w lzIIa1 al r o s V 1 w J"'4 t�,,,• t o ' 0CD ,�w C Lt. II- 1 , •♦ i n. 1, .• ® V Ff ; »! 1sr tk I Federal Emergency Management Agency E-Grants Page I of 32 ► R.7-0 C8 G 145 N-00561 (0) Applicant Name: Application Title: WELD (COUNTY) WELCO08 - Various County Roads - Gravel and Paved Period of Performance Start: Period of Performance End: 09-14-2013 Subgrant Application - Entire Application Application Title: WELCO08 - Various County Roads - Gravel and Paved Application Number: PA-08-CO-4145-PW 00561(0) Application Type: 5ubgrant Application (PW) Preparer Information Prefix First Name Paul Middle Initial Last Name Hesse Title TAO Project Specialist Agency/Organization Name FEMA - DHS Address 1 9200 East 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 rrudisill@weldgov.com City Greeley State CO ZIP 80632 Phone 970-304-6540 Fax https://connectl .dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatch Destination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 2 of 32 Email rrudisill@weldgov.com Alternate Point of Contact Information Prefix First Name Trevor Middle Initial Last Name Jinicek Title Director Agency/Organization Weld County Address 1 1150 O Street Address 2 City Greeley State CO ZIP 80632 Phone 970-356-4000 Fax Email tjinicek@weldgov.com 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: WELCO08 Standard Project Number/Title: 399 - Road System Damage Please Indicate the Project Type: Neither Alternate nor Improved Application Title: WELCO08 - Various County Roads - Gravel and Paved Category: C. ROADS & BRIDGES Percentage Work Completed? 95.0 As of Date: 01 -23-2014 Comments The applicant must notify the state if there are any changes in the scope of work prior to starting the repairs. Failure to notify the State Division of Emergency Management may jeopardize receipt of federal funds. Attachments Damage Facilities (Part 1 of 2) Facility Site Number Facility Name Address County City State ZIP Previously Action Damaged? 1 Various County Roads - Gravel and 1150 O Weld Greeley CO 80632 No Paved Street Comments https://connectl .dhs.gov/emm ie/,Danal nfo=isource. fema.net,SSL+dispatchDestination.do?.. . 4/30/2014 Federal Emergency Management Agency E-Grants Page 3 of 32 Attachments User Date Document Description Hard Copy File File Name Action Type Reference PAUL 02-04- Location Maps - PW #WELCO08 Location HESSE 2014 Map Part 1 Maps_Part1 .pdf(3.82 Mb) View PAUL 02-09- Location Maps - PW #WELCO08 Location HESSE 2014 Map Part 2 Maps_Part2. 1 .pdf(3.28 Mb) View PAUL 02-09- Photos Photos PW WELCO08 Photos. 1 .pdf(666.94 View HESSE 2014 kb) Facility Name: Various County Roads - Gravel and Paved Address 1 : 1150 O Street Address 2: County: Weld City: Greeley State: CO ZIP: 80632 Was this site previously damaged? No Percentage Work Completed? 95.00 % PA-08-CO-4145-PW-00561 (0): Various County Roads shown below as Locations 1 through 21 . Each Location: location has a GPS listed for the damaged area. PA-08-CO-4145-PW-00561 (0): During the incident period of September 11 , 2013 through September 30. 2013, the declared severe storms caused flooding, landslides and mudslides throughout Weld County in Colorado. The gravel roads sustained damages from overtopping of roads, high water levels in drainage ditches and overloaded culverts. Damages commonly consisted of shoulder and embankment erosion, washout of road base and aggregate surfacing. This PW describes 21 damaged road locations. Total damages at the 21 locations include total aggregate loss of 7499. 14 Tons and asphalt pavement loss of 186 Tons. Damages to culverts and bridges are covered under separate PWs. [Refer to Scope Notes 10 and 11 for cost and conversion factors.] Location #1 Road EM-110-27-.5 Begin GPS: 40.78342, -104.80159 End GPS: 40.78334, -104.80379 Floodmap #0802660175C [Panel not printed] Dimension: Road: 585LF x 22FT wide x 0.33FT deep/27 = 157CY x 1 .82 = 287T Embankment: (1 .5FT wide x 1 .5FT deep/2) x 2 sides x 585FT long/27 = 49CY x 1 .82 = 89T Damage: Road surface and embankment erosion [both sides] caused aggregate loss of 376T. No damage to CMP. Location #2 Road EM-27-110-.8 Begin GPS: 40.80214, -104.81049 End GPS: 40.80310. -104.81047 Floodmap #0802660175C [Panel not printed] Dimension: Road: 340LF x 22FT wide x 0.33FT deep/27 = 91CY x 1 .82 = 167T Embankment: (1 .5FT wide x 3FT deep/2) x 2 sides x 340FT long/27 = 57CY x 1 .82 = 103T Damage: Road surface and embankment erosion [both sides] caused https://connectl .dhs.gov/emm ie/,Danal nto=isource.fema.net,SSL+dispatch Destination.do?.. . 4/30/2014 Federal Emergency Management Agency E-Grants Page 4 of 32 aggregate loss of 270T. No damage to CMP. Location #3 Road EM-108-27-.5 Begin GPS: 40.76863, - 104.79212 End GPS: 40.76863. -104.79316 Floodmap #0802660175O [Panel not printed] Dimension: Road: 275LF x 22FT wide x 0.33FT deep/27 = 74CY x 1 .82 = 135T Embankment: (2FT wide x 1 .53FT deep/2) x 2 sides x 275FT long/27 = 31CY x 1 .82 = 55T Damage: Road surface and embankment erosion [both sides] caused aggregate loss of 190T. No damage to CMP. Location #4 Road EM-94-43-.0 Begin GPS: 40.66800, -104.65839 End GPS: 40.66768. -104.65836 Floodmap #08026603500 [Panel not printed] Dimension: Road: 100LF x 6FT wide x 0.67FT deep/27 = 15CY x 1 .82 = 27T Embankment: (3.5FT wide x 2FT deep/2) x 1 side x 115FT long/27 = 15CY x 1 .82 = 27T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 54T. No damage to CMP. Location #5 Road EM-90-15-. 1 [9 locations through 90- 19-3.3 approximately 150LF each total 1350LF at the following locations: 90-15-. 1 . 90-15-.5. 90-15- .7, 90-15-.8. 90-15-.9. 90-15-1 . 1 . 90-15-1 .5. 90-19-3. 1 , and 90-15-3.3] Begin GPS: 40.63944, -104.91761 End GPS: 40.63954. -104.82288 Floodmap #0802660325O Dated 9/28/82 [not in floodplain] Dimension: Road: 1350LF x 24FT wide x 0.33FT deep/27 = 396CY x 1 .82 = 722T Embankment: (2FT wide x 3FT deep/2) x 1 side x 1350FT long/27 = 150CY x 1 .82 = 273T Damage: Road surface and embankment erosion [1 side] caused aggregate Damage Description and Dimensions: loss of 995T Location #6 Road EM-15-90-.5 [6 locations through 15-90-2.8 approximately 150LF each total 900LF at the following locations: 15-90-.5. 15-90-.8. 15-90- 1 .6. 15-90-2. 1 , 15-90-2.5. and 15-90-2.8] Begin GPS: 40.66952, -104.92444 End GPS: 40.67924. -104.92428 Floodmap #0802660325O dated 9/28/82 [not in floodplain] Dimension: Road: 900LF x 24FT wide x 0.33FT deep/27 = 264CY x 1 .82 = 481T Embankment: (3FT wide x 3FT deep/2) x 1 side x 900FT long/27 = 150CY x 1 .82 = 273T Damage: Road surface and embankment erosion [2 sides] caused aggregate loss of 754T Location #7 Road EM-61 -76-.0 (. 1 ) Begin GPS: 40.5425. - 104.48934 End GPS: 40.54170. -104.48931 Floodmap #080266052O [Panel not printed] Dimension: Road: 280LF x 24FT wide x 0.35FT deep/27 = 87CY x 1 .82 = 159T Embankment: (1 .5FT wide x 2FT deep/2) x 1 side x 280FT long/27 = 16CY x 1 .82 = 28T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 187T Location #8 Road EM-71 -80-2. 1 Begin GPS: 40.59829, -104.3941 End GPS: 40.59962. -104.39398 Floodmap #0802660525O [Panel not printed] Dimension: Road: 200LF x 24FT wide x 0.25FT deep/27 = 44CY x 1 .82 = 81T Embankment: (3FT wide x 2FT deep/2) x 1 side x 470FT long/27 = 52CY x 1 .82 = 95T Embankment: (1 .5FT wide x 1 .5FT deep/2) x 1 side x 470FT long/27 = 20CY x 1 .82 = 36T https://connectl .dhs.gov/emm ie/,Danalnfo=isource.tema.net,SSL+dispatch Destination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 5 of 32 Damage: Road surface and embankment erosion [2 sides] caused aggregate loss of 212T Location #9 Road EM-74-392-2. 1 Begin GPS: 40.52289, -104.37213 End GPS: 40.52291 . -104.37007 Floodmap #0802660525O [Panel not printed] Dimension: Embankment: (2.5FT wide x 2FT deep/2) x 1 side x 550FT long/27 = 51 CY x 1 .82 = 93T Damage: Road embankment erosion [1 side] caused aggregate loss of 93T Location #10 Road EM-68-69-2. 1 Begin GPS: 40.47926. - 104.37498 End GPS: 40.47928. -104.37396 Floodmap #0802660675O dated 9/28/82 [not in floodplain] Dimension: Road: 275LF x 25FT wide x 0.6FT deep/27 = 153CY x 1 .82 = 279T Embankment: ( 1 FT wide x 1 FT deep/2) x 1 side x 275FT long/27 = 5CY x 1 .82 = 9T Magnesium Chloride: 275LF x 1 gal/LF = 275 gal. Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 288T Location #11 Road EM-72-31 -.4 Begin GPS: 40.51011 , -104.76512 End GPS: 40.51013. -104.76553 Floodmap #0802660475D dated 9/22/99 [not in floodplain] Dimension: Road: 110LF x 24FT wide x 0.5FT deep/27 = 49CY x 1 .82 = 89T Embankment: (1 FT wide x 1 FT deep/2) x 2 sides x 110FT long/27 = 4CY x 1 .82 = 7T Damage: Road surface and embankment erosion [2 sides] caused aggregate loss of 96T Location #12 Road EM-51 -58-.5 Begin GPS: 40.41366, -104.58353 End GPS: 40.41467. -104.58355 Floodmap #0802660645O dated 9/28/82 [not in floodplain] Dimension: Road: 100LF x 6FT wide x 3FT deep/27 = 67CY x 1 .82 = 122T Embankment: (3FT wide x 3FT deep/2) x 1 side x 312FT long/27 = 52CY x 1 .82 = 95T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 217T Location #13 Road EM-45-54.5-.2 Note: According to the Weld County consultant [Base Tactical] EM-45-54.5-.2 covers cleaning of the ditch just south of Hwy 34 on CR 45. This work is incidental to the culvert repair where this ditch goes under CR45. Therefore, this work is not covered under this PW but is covered under the Weld County Culverts PW #WELCO35. Location #14 Road Em-43-54-.2 [Road repaired by Oil Company] Begin GPS: 40.38126. -104.65891 Mid GPS: 40.38472. -104.65888 End GPS: 40.38678. -104.65834 Floodmap #0802660639O dated 9/28/82 Floodplain Zone A4 Dimension : Road: 1960LF x 18FT wide/9 = 3920SY Damage: Road surface and embankment erosion both sides caused aggregate loss. Applicant indicated that Oil Company repaired road and embankment at the Oil Company's cost. No material cost incurred by Applicant only labor and equipment for supervision and grading. Location #15 Road EM-388-53-.25 [Paved] Begin GPS: 40.41037, -104. 54981 End GPS: 40.41370. -104.55771 Floodmap #0802660645O dated 9/28/82 Floodplain Zone A Dimension: Road [asphalt]: 42LF x 16FT wide x 0.58FT deep/27 = 14CY x 1 .97 = 28T Shoulder: (1 FT wide x 0. 17FT deep) x 2 sides x 726FT long/27 = 9. 1CY x 1 .82 = 16T Damage: Road surface [asphalt — 28T] and shoulder erosion [2 sides — https://connect I .dhs.goviem m ie/,Danal n f-o=isource.fema.net,SSL+dispatch Destination.do?. .. 4/30/2014 Federal Emergency Management Agency E-Grants Page 6 of 32 approximately 30% within the GPS limits 2420 x 0.3 = 726LF] caused aggregate loss of 16T. Location #16 Road EM-52-US85-.0 is a paved road that had shoulder damages. This location is split up into 4 areas as shown below. There was no damage to the pavement. Location #16. 1 Road EM-52-US85-.0 [Paved] Begin GPS: 40.35999. -104.6959 End GPS: 40.36147. - 104.68857 Floodmap #08026606380 dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep) x 2 sides x 1221 FT long/27 = 60CY x 1 .82 = 109T Damage: Shoulder erosion [2 sides — approximately 60% within the GPS limits 2035LF x 0.6 = 1221LF] caused aggregate loss of 109T. No damage to pavement. Location #16.2 Road EM-52-US85-.0 [Paved] GPS: 40.36309. -104.65900 [southwest corner CR43 intersection] Floodmap #08026606390 dated 9/28/82 [not in floodplain] Dimension: Shoulder: (2FT wide x 0.33FT deep) x 1 side x 40FT long/27 = ICY x 1 .82 = 1 .82T Damage: Shoulder erosion [1 side — 4OLF] caused aggregate loss of 1 .82T. No damage to pavement. Location #16.3 Road EM-52-US85-.0 [Paved] GPS: 40.36303. -104.67770 [southwest corner CR41 intersection] Floodmap #0802660638O dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep) x 1 side x 40FT long/27 = 10y x 1 .82 = 1 .82T Damage: Shoulder erosion [1 side — 4OLF] caused aggregate loss of 1 .82T. No damage to pavement. Location #16.4 Road EM-52-US85-.0 [Paved] GPS: 40.36303. -104.67770 [extending 100LF west on north side of road at CR41 intersection] Floodmap #08026606380 dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep) x 1 side x 100FT long/27 = 2.4CY x 1 .82 = 4.5T Damage: Shoulder erosion [1 side — 100LF] caused aggregate loss of 4.5T. No damage to pavement. Location #17 Road EM-Brantner-35th [Paved] Note: Within the GPS limits shown below. there are seven [7] areas of damage indicated as 17. 1 - 17.7. Begin GPS: 40.36650. -104.70034 End GPS: 40.36526. -104.70184 [Note: This end point coincides with the beginning of City of Evans work covered under a separate PW Ref #EVANS09 EMMIE #00302, therefore there is no apparent overlap of work being claimed.] Floodmap #0801820001B dated 4/2/79 Floodplain Zone A7 and Zone B Floodmap #0802660638C dated 9/28/82 Floodplain Zone A7 and Zone B Location #17. 1 Embankment southeast side of roadway Dimension: Embankment: (8FT wide x 5.5FT deep/2) x 1 side x 595FT long/27 = 485CY x 1 .82 = 884T Damage: Embankment erosion [1 side] caused aggregate loss of 884T Location #17.2 Asphalt pavement washout southeast side of roadway [measured as 2 triangles in plan view with common base length of 8LF] Dimension: 15FT long x 8FT wide/2 x 5.5FT deep/27 = 12CY x 1 .82 = 22T 21FT long x 8FT wide/2 x 5.5FT deep/27 = 17CY x 1 .82 = 31T Damage: Paved roadway erosion caused aggregate [53 x 0.94 = 50T] and asphalt [53 x 0.06 = 3T] loss of approximately 53T. The tonnage split was calculated as follows: 0.33FT asphalt depth/5.5FT total depth = 0.06 https://connectl .dhs.gov/em m ie/,Dana I n fo=isource.fema.net,SSL+dispatch Destination.do?... 4/30/2014 d Federal Emergency Management Agency E-Grants Page 7 of 32 These tonnages are approximate due to rounding errors and a slight difference in density. however they are reasonable for estimating purposes. Location #17.3 Pavement washout full width of roadway [rectangular in plan view] Dimension: 17FT long x 21 FT wide x 5.5FT deep/27 = 73CY x 1 .82 = 132T Damage: Paved roadway erosion caused aggregate [132 x 0.94 = 124T] and asphalt [132 x 0.06 = 8T] loss of approximately 132T Location #17.4 Pavement washout east half of roadway [rectangular in plan view] Dimension: 47FT long x 11 FT wide x 5.5FT deep/27 = 105CY x 1 .82 = 192T Damage: Paved roadway erosion caused aggregate [192 x 0.94 = 180T] and asphalt [192 x 0.06 = 12T] loss of approximately 192T Location #17.5 Pavement washout full width of roadway [rectangular in plan view] Dimension: 130FT long x 21 FT wide x 5.5FT deep/27 = 556CY x 1 .82 = 1014T Damage: Paved roadway erosion caused aggregate [1014 x 0.94 = 953T] and asphalt [1014 x 0.06 = 61T] loss of approximately 1014T Location #17.6 Pavement washout portion of east half of roadway [rectangular in plan view] Dimension: 47FT long x 7FT wide x 5.5FT deep/27 = 67CY x 1 .82 = 122T Damage: Paved roadway erosion caused aggregate [122 x 0.94 = 115T] and asphalt [122 x 0.06 = 7T] loss of approximately 122T Location #17.7 Pavement washout full width of roadway [rectangular in plan view] Dimension: 92FT long x 21 FT wide x 5.5FT deep/27 = 394CY x 1 .82 = 717T Damage: Paved roadway erosion caused aggregate [717 x 0.94 = 674T] and asphalt [717 x 0.06 = 43T] loss of approximately 717T Location #17 Material Summary: Calculated loss = 3114T made up of 2980T of aggregate and 134T of asphalt. Location #18 Road EM-52-35-1 .4 [49th Street — from Brantner intersection southwest] Start GPS: 40.36478, -104.70493 End GPS: 40.36358, -104.70571 Note: This site is listed for information only. The GPS coordinates shown below from the site visit with Weld County personnel are within the limits of work completed under the City of Evans PW Ref #EVANS09 EMMIE #00302. This work is not covered under this PW since it was already claimed under the City of Evans PW. This information was confirmed in the field with the FEMA Project Specialist who wrote the PW for City of Evans. Location #19 Road EM-46-25-0 [Detour Route between Hwy 60 and CR25] Start [East] GPS: 40.32057. -104.81143 End [West] GPS: 40.31919. - 104.82419 Floodmap #0802660750C dated 9/28/82 Floodplain Zone A Dimension: Road: 3700LF x 24FT wide x 0.09FT deep/27 = 296CY x 1 .82 = 540T Embankment: (5FT wide x 3FT deep/2) x 1 side x 185FT long/27 = 51 CY x 1 .82 = 94T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 634T. Location #20 Road EM-46-23-.9 [Detour Route between CR23 and CR25] Start GPS: 40.31915. -104.82977 End GPS: 40.31919. -104.83334 [23-25] Floodmap #0802660750C dated 9/28/82 [not in floodplain] Dimension : Road: 1000LF x 24FT wide x 0. 11 FT deep/27 = 98CY x 1 .82 = 178T Damage: Road surface erosion caused aggregate loss of 178T. https://connectl .dhs.gov/emmie/, Dana[nfo=isource.fema.net,SSL+dispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 8 of 32 Location #21 Road EM-129.5-127-.2 [Actual Description: EM-129-127.7-.2 on Rd 94] GPS: 40.67001 , -103.83154 Floodmap #0802660425C [Panel not printed] Dimension: Road: 75LF x 4FT wide x 3FT deep/27 = 33CY x 1 .82 = 61T Embankment: (5FT wide x 2FT deep/2) x 1 side x 150FT long/27 = 28CY x 1 .82 = 51T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 112T. PA-08-CO-4145-PW-00561 (0): WORK COMPLETED: The Applicant used Force Account Labor, Equipment. and Material along with some contracted hauling to complete the repairs to the Locations shown on this PW. The work on this PW is itemized by location showing the road and its location relative to the nearest intersection along with GPS coordinates. Photos were taken and are attached. The roads and culverts were maintained in above average condition with well-developed and maintained ditches. The quantities are estimated from site visits and costs are estimated using the CDOT pricing for similar work complete and in-place. These costs should account for the labor and equipment required to complete the work. The following Locations are shown as Work Completed except as noted where work is required in the spring such as paving. Location #1 Road EM-110-27-.5 Scope: Replace eroded road surface and embankment aggregate [81T]. Discussions with the foreman indicated that the operator was able to pull up material that had washed from the roadway to the right-of-way to use in rebuilding the damaged area, therefore only 81T was placed and the remainder was reclaimed. Cost: 81T x $33.70/T = $2.729.70 Location #2 Road EM-27-110-.8 Scope: Replace eroded road surface and embankment aggregate [270T] Cost: 270T x $33.70/T = $9,099.00 Location #3 Road EM-108-27-.5 Scope of Work: Scope: Replace eroded road surface and embankment aggregate [81T]. Discussions with the foreman indicated that the operator was able to pull up material that had washed from the roadway to the right-of-way to use in rebuilding the damaged area, therefore only 81T was placed and the remainder was reclaimed. Cost: 81T x $33. 70/T = $2. 729.70 Location #4 Road EM-94-43-.0 Scope: Replace eroded road surface and embankment aggregate [54T] Cost: 54T x $33.70/T = $1 .819.80 Location #5 Road EM-90-15-. 1 Scope: Replace eroded road surface and embankment aggregate [995T] Cost: 995T x $33.70/T = $33.531 .50 Location #6 Road EM-15-90-.5 Scope: Replace eroded road surface and embankment aggregate [754T] Cost: 754T x $33.70/T = $25.409.80 Location #7 Road EM-61 -76-.0 (. 1 ) Scope: Replace eroded road surface and embankment aggregate [187T] Cost: 187T x $33.70/T = $6.301 .90 Location #8 Road EM-71 -80-2. 1 Scope: Replace eroded road surface and embankment aggregate [2121] h t tps://connect I .dhs.gov/em m iel. Dana l n to=isource.fema.net,SSL+dispatch Destination .do?. . . 4/30/2014 maw - _ J Federal Emergency Management Agency F-Grants Page 9 of 32 Cost: 212T x $33.70/T = $7, 144.40 Location #9 Road EM-74-392-2. 1 Scope: Replace eroded embankment aggregate [93T] Cost: 93T x $33.70/T = $3. 134. 10 Location #10 Road EM-68-69-2. 1 Scope: Replace eroded road surface and embankment aggregate [288T] Aggregate Cost: 288T x $33.70/T = $9,705.60 Magnesium Chloride Cost: 275 gal x $0.55/gal = $151 .25 Note: Applicant indicated that the Oil Company working in the area hauled the material. therefore no cost to the Applicant. however the Applicant utilized FA Labor and Equipment to compact. reclaim. and grade the material. Although the Applicant did not have cost associated with material, the estimated cost shown above using the CDOT unit price covers the FA Labor and Equipment. The Applicant reported the cost of magnesium chloride at $0.49/gal. therefore a cost of $0.55/gal was used above to include the distributor truck and driver. The Applicant placed 11 .000 gallons of Magnesium Chloride after the roadway was prepared at a reported application rate of approximately 5.000 gallons/mile. Therefore, the application rate is approximately 1 gal/LF of roadway. Location #11 Road EM-72-31 -.4 Scope: Replace eroded road surface and embankment aggregate [96T] Cost: 96T x $33.70/T = $3.235.20 Location #12 Road EM-51 -58-.5 Scope: Replace eroded road surface and embankment aggregate [217T] Cost: 217T x $33.70/T = $7,312.90 Note: Applicant indicated that gravel was placed from damaged area to the house at that end of the road. however this gravel was not storm damage related. Location #13 Road EM-45-54.5-.2 Note: According to the Weld County consultant [Base Tactical] EM-45-54.5-.2 covers cleaning of the ditch just south of Hwy 34 on CR 45. This work is incidental to the culvert repair where this ditch goes under CR45. Therefore. this work is not covered under this PW but is covered under the Weld County Culverts PW #WELCO35. Cost: $0.00 Location #14 Road Em-43-54-.2 [Road repaired by Oil Company] Scope: County supervision of material placement by Oil Company and grading by County labor and equipment. Cost: Labor: [1 hr x $39.58/hr] + [7hr x $59.06/hr] = $453.00 Equipment: [1 hr x $70/hr cost code 8332] + [7hr x $14/hr cost code 8801 ] = $168.00 Total Cost = 453 + 168 = $621 Location #15 Road EM-388-53-.25 [Paved] Scope: Replace damaged asphalt [28T] and eroded shoulder aggregate [16T] Aggregate Cost: 16T x $33.70/T = $539.20 Repair Asphalt Pavement [use 7" thick] Sawcut Pavement: 16LF + 42LF + 16 = 74LF x $3/LF = $222 Unclassified Excavation [use CDOT code 203-00010 $14. 18/CY complete in place]: 42LF x 16LF x 0.58FT deep = 390CF/27 = 14.44CY x $14. 18/CY = $204.76 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/T]: 14.44CY x 1 .97T/CY = 28.5T use 29T x $81 .70/T = $2,369.30 Traffic Control Estimate and small job adder: $1000 Mobilization/Demob Estimate: $1 .500 Total Cost: 540 + 222 + 205 + 2370 + $1000 + $1 .500 = $5.837 https://connect 1 .dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination .do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 10 of 32 Location #16. 1 Road EM-52-US85-.0 [Paved] Scope: Replace eroded shoulder aggregate [109T] Cost: 109T x $33.701T = $3.673.30 Location #16.2 Road EM-52-US85-.0 [Paved] Scope: Replace eroded shoulder aggregate [1 .82T] Cost: 1 .82T x $33. 70/I = $60.66 Location #16.3 Road EM-52-US85-.0 [Paved] Scope: Replace eroded shoulder aggregate [1 .82T] Cost: 1 .82T x $33.70/I = $60.66 Location #16.4 Road EM-52-US85-.0 [Paved] Scope: Replace eroded shoulder aggregate [4.5T] Cost: 4.5T x $33.70/T = $151 .65 Total Cost Location #16 = 3673.30 + 60.66 + 60.66 + 151 .65 = $3.946.27 Location #17 Road EM-Brantner-35th [Paved] Note: The work completed at the time of inspection included removal of damaged roadway and embankment materials and filling of those damaged areas up to the grade of the existing asphalt pavement. The work to be completed includes sawcutting the asphalt and removing material down to the depth of the adjoining asphalt section [measured in the Evans PW at 4" thick] along with installation of new asphalt. Location #17. 1 Embankment southeast side of roadway Scope: Replace eroded embankment aggregate [884T] Aggregate Cost: 884T x $33.70/T = $29.790.80 Location #17.2 Pavement washout southeast side of roadway [triangular in plan view] Scope: Replace eroded aggregate base [53T] Aggregate Cost: 53T x $33.70/T = $1 .786. 10 Work Completed Total = $1 .786. 10 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick same as used in Evans PW on Brantner which was measured] Sawcut Pavement: 9LF + 16LF + 22LF + 9LF = 56LF x $3/LF = $168 Unclassified Excavation [use CDOT code 203-00010 $14. 18/CY complete in place]: 38LF x 9LF x 0.33FT deep = 112.86CF/27 = 4. 18CY x $14. 18/CY = $59.27 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/T]: 4. 18CY x 1 .97T/CY = 8.23T use 9T x $81 .70/T = $735.30 Work to be Completed Total = $962.57 Location #17.3 Pavement washout full width of roadway [rectangular in plan view] Scope: Replace eroded aggregate base [132T] Aggregate Cost: 132T x $33.70/T = $4.448.40 Work Completed Total = $4.448.40 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick] Sawcut Pavement: 21LF + 21LF = 42LF x $3/LF = $126 Unclassified Excavation [use CDOT code 203-00010 $14. 18/CY complete in place]: 17LF x 21LF x 0.33FT deep = 117.81 CF/27 = 4.36CY x $14. 18/CY = $61 .82 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/T]: 4.36CY x 1 .97T/CY = 8.6T use 9T x $81 .70/T = $735.30 Work to be Completed Total = $923. 12 Location #17.4 Pavement washout east half of roadway [rectangular in plan view] Scope: Replace eroded aggregate base [192T] https://connectl .dhs.gov/emm ie/.Danal n fo=isource.fema.net,SSL+dispatch Destination.do?... 4/30/2014 — _ Federal Emergency Management Agency E-Grants Page II of 32 Aggregate Cost: 192T x $33.70/1 = $6,470.40 Work Completed Total = $6.470.40 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick] Sawcut Pavement: 12LF + 48LF + 12LF = 72LF x $3/LF = $216 Unclassified Excavation [use CDOT code 203-00010 $14. 18/CY complete in place]: 48LF x 12LF x 0.33FT deep = 190.08CF/27 = 7.04CY x $14. 18/CY = $99.83 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/1]: 7.04CY x 1 .97T/CY = 13.87T use 14T x $81 .70/1 = $1 , 143.80 Work to be Completed Total = $1 ,459.63 Location #17.5 Pavement washout full width of roadway [rectangular in plan view] Scope: Replace eroded aggregate base [1014T] Aggregate Cost: 1014T x $33.70/1 = $34, 171 .80 Work Completed Total = $34. 171 .80 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick] Sawcut Pavement: 21LF + 21LF = 42LF x $3/LF = $126 Unclassified Excavation [use CDOT code 203-00010 $14. 18/CY complete in place]: 132LF x 21LF x 0.33FT deep = 914.76CF/27 = 33.88CY x $14. 18/CY = $480.42 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/1]: 33.88CY x 1 .97T/CY = 66.74T use 67T x $81 .70/1 = $5,473.90 Work to be Completed Total = $6,080.32 Location #17.6 Pavement washout portion of east half of roadway [rectangular in plan view] Scope: Replace eroded aggregate base [122T] Aggregate Cost: 122T x $33.70/1 = $4, 111 .40 Work Completed Total = $4. 111 .40 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick] Sawcut Pavement: 8LF + 49LF + 8LF = 65LF x $3/LF = $195 Unclassified Excavation [use CDOT code 203-00010 $14. 18/CY complete in place]: 49LF x 8LF x 0.33FT deep = 129.36CF/27 = 4.79CY x $14.18/CY = $67.92 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/I]: 4.79CY x 1 .97T/CY = 9.44T use 10T x $81 .70/1 = $817.00 Work to be Completed = $1 .079.92 Location #17.7 Pavement washout full width of roadway [rectangular in plan view] Scope: Replace eroded aggregate base [717T] Aggregate Cost: 717T x $33.70/1 = $24. 162.90 Work Completed Total = $24. 162.90 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick] Sawcut Pavement: 21LF + 21LF = 42LF x $3/LF = $126 Unclassified Excavation [use CDOT code 203-00010 $14. 18/CY complete in place]: 94LF x 21LF x 0.33FT deep = 651 .42CF/27 = 24. 13CY x $14. 18/CY = $342. 16 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/1]: 24. 13CY x 1 .97T/CY = 47.54T use 48T x $81 .70/1 = $3.921 .60 Work to be Completed Total = $4,389.76 Total Cost Location 17 [Paved] Work Completed: Aggregate replacement = 29. 790.80 + 1 ,786. 10 + 4,448.40 + 6,470.40 + 34. 171 .80 + 4. 111 .40 + 24. 162.90 = $104,941 .80 Work Completed Total = $104.941 .80 https://connectl .dhs.gov/emm ie/ Dana1nfo=isource.fema.net,SSL+dispatch Destination .do?. .. 4/30/2014 Federal Emergency Management Agency E-Grants Page 12 of 32 Work to be Completed: Pavement replacement: Sawcut = 168 + 126 + 216 + 126 + 195 + 126 = $957 Unclassified Excavation = 59.27 + 61 .82 + 99.83 + 480.42 + 67.92 + 342. 16 = $1 . 111 .42 Install Asphalt = 735.30 + 735.30 + 1143.80 + 5473.90 + 817 + 3921 .60 = $12,826.90 Work to be Completed Total = 957 + 1111 .42 + 12826.90 = $14.895.32 Location #18 Road EM-52-35-1 .4 [49th Street — from Brantner intersection southwest] Scope: Work at this location is covered under a separate PW. See PW Ref #EVANS09 EMMIE #00302. Cost: $0.00 Location #19 Road EM-46-25-0 [Detour Route between Hwy 60 and CR25] Scope: Replace eroded road surface and embankment aggregate [634T]. Apply magnesium chloride [5000 gal] since it was used as a detour route [incidental to the permanent work]. Based on discussions with the road foreman, there were 6 loads of aggregate at the intersection of Hwy 60 and CR25 on the southern embankment and 17 loads of aggregate on the roadway from Hwy 60 west toward CR25 approximately 3700 feet. This section was sprayed with magnesium chloride twice since it was a detour route. The Applicant indicated an application rate of 5.000 gallons/mile each time. approximately 10,000 gallons were placed on the section between Hwy 60 and CR25 which is 1 mile. Aggregate Cost: 634T x $33.70/T = $21 .365.80 Magnesium Chloride Cost: 10.000 gal x $0.55/gal = $5.500.00 Work Completed Total Cost: $21 .365.80 + $5,500 = $26,865.80 Location #20 Road EM-46-23-.9 [Detour Route between CR23 and CR25] Scope: Replace eroded road surface aggregate [178T]. Apply magnesium chloride [2 passes at 5000 gallons each = 10000 gal] since this was used as a detour route [incidental to the permanent work]. Based on discussions with the road foreman. 6 loads of aggregate were placed on the section of roadway between CR23 and CR25. The applicant indicated that the application rate of magnesium chloride is approximately 5.000 gallons/mile and it was applied twice. Therefore the segment between CR23 and CR25 would have 10.000 gallons placed since the distance is 1 mile.] Aggregate Cost: 178T x $33.70/I = $5,998.60 Magnesium Chloride Cost: 10000 gal x $0.55/gal = $5,500.00 Work Completed Total: $5,998.60 + $5.500 = $11 .498.60 Location #21 Road EM-129.5-127-.2 [Actual Description: EM-129-127.7-.2 on Rd 94] Scope: Replace eroded road surface and embankment aggregate [112T] Work Completed Cost: 112T x $33.70/T = $3,774.40 WORK COMPLETED SUMMARY: Aggregate: 7499. 14 Tons at a cost of $252.721 .02 Magnesium Chloride: 20.275 gallons at a cost of $11 , 151 .25 Asphalt: 29Tons at a cost of $5.837.00 Work Completed Total = $269.709.27 WORK TO BE COMPLETED SUMMARY: Asphalt: 157Tons at a cost of $14,895.32 Work to be Completed Total = $14.895.32 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 https://connectl .dhs.gov/ernm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 13 of 32 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(s), 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(s), 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. 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. 4. The applicant must obtain all required federal. state, and local permits prior • to the commencement of work. 5. 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. 6. Project was reviewed for 406 Hazard Mitigation and a copy of 406 HMP proposal is attached with this project. 7. 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. 8. 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. 9. Applicant has completed a substantial percentage of 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. Attached is the CDOT average in-place cost for materials. 10. The cost of aggregate in-place was established using CDOT average in- place cost for materials dated May 17, 2013. CDOT Code 304-06000 for Aggregate Base Course [Class 6] at a unit cost of $16.85/T for greater than https://connectl .dhs.gov/em m ie . Dana lnlo=isource.fema.net,SSL+dispatch Destination.do?.. . 4/30/2014 Federal Emergency Management Agency E-Grants Page 14 of 32 50.000T was multiplied by a factor of 2 to get the price used in this PW of $33. 70/T. The CDOT unit price was doubled due to a lack of economies of scale for the small jobs and remote locations that were covered by this PW. 11 . The county measures its quantities in terms of tons. Field measured quantities were computed in cubic yards. The Weld County Engineering and Construction Criteria document specifies materials densities of 1461bs/CF for Hot Mix Asphalt. 135lbs/CF for Aggregate Base Course. and 1201bs/CF for fill material. The project specialist used these densities to compute conversion factors to apply to the cubic yard computations as shown below: Hot Mix Asphalt: [1461bs/CF x 27CF/CY]/2000lbs/Ton = 1 .97 T/CY Aggregate Base Course: [1351bs/CF x 27CF/CY]/2000lbs/Ton = 1 .82 T/CY Fill material: [1201bs/CF x 27CF/CY]/20001bs/Ton = 1 .62 T/CY For PW #WELCO08. the aggregate used by the Applicant to complete the repairs was either surface gravel or Class 6. therefore the Aggregate Base Course conversion of 1 .82T/CY was used. 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 Proposal? Yes If you answered Yes to the above question. the next two questions are required Please provide the Scope of Work for the estimate: HMP Attached (maximum 4000 characters) Would you like to add the Hazard Mitigation Yes Proposal as a cost line item to the project cost? GIS Coordinates Project Location Latitude Longitude Location 1 40.78342 -104.80159 Special Considerations 1 . Does the damaged facility or item of work have insurance coverage and/or is it an insurable risk No (e.g. . buildings. equipment, vehicles. etc)? If you would like to make any comments, please enter them below. (maximum 4000 characters) Insurance Policy on file at JFO. 2. Is the damaged facility located within a floodplain or coastal high hazard area and/or does it have Yes an impact on a floodplain or wetland? If you would like to make any comments. please enter them below. (maximum 4000 characters) Floodmap information is listed in the Damage Description for each location. Floodmaps are attached for those locations that are in a floodplain. 3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource No System Unit or an Otherwise Protected Area? 4. Will the proposed facility repairs/reconstruction change the pre-disaster conditions (e.g. . footprint. No material. location. capacity. use of function)? 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. https://connectl .dhs.gov/emm ie/,Danal n f-o=isource.fema.net,SSL+dispatch Destination .do?. .. 4/30/2014 Federal Emergency Management Agency E-Grants Page 15 of 32 (maximum 4000 characters) HMP Attached 6. Is the damaged facility on the National Register of Historic Places or the state historic listing? Is it No 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 tracts of No forestland? 8. Are there any hazardous materials at or adjacent to the damaged facility and/or item of work? No 9. Are there any other environmental or controversial issues associated with the damaged facility No and/or item of work? Attachments User Date Document Description Hard Copy File File Name Action Type Reference PAUL 02-04- Floodplain Firmettes PW #WELCO08 Firmettes.pdf View HESSE 2014 (2.44 Mb) 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 Proposal? Yes If you answered Yes to the above question. the next two questions are required Please provide the Scope of Work HMP attached for the estimate: Would you like to add the Hazard Mitigation Yes Proposal as a cost line item to the project cost? Hazard Mitigation Proposal - 0909 # Code Material and/or Description Unit Unit of Unit Price Subgrant Type Cost Estimate Action Quantity Measure Budget Class ' Version 0 *** 1 9999 Rip rap 291 CY $ 83. 17 $ 24.202.47 2 9999 Unclassified fill 141 CY $ 17.84 $ 2.515.44 3 9999 Grass seed 12 LB $ 6.00 $ 72.00 4 9999 Labor 7 HR $ 30.00 $ 210.00 Total Cost: $ 26,999.91 Comments HMP attached Attachments User Date Document Type Description Hard Copy File File Name Action Reference PAUL 02-05- Mitigation PW #WELCO08 HMP.pdf HESSE 2014 Proposal HMP (145.41 kb) View Cost Estimate Is this Project Worksheet for https://connect I .dhs.gov/emmie/,DanaInto=isource.fema.net,SSL+dispatch Destination .do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 16 of 32 (Preferred) Repair Se uence Code Material and/or Unit Unit of Subgrant Cost q Description Quantity Measure Unit Price Budget Class Type Estimate Action ' Version 0 *'t' Work Completed Work 1 9999 Locations 1 -21 1 LS 269,709.27 CONSTRUCTION Completed $ 269,709.27 Work To Be Completed Work To $ 2 9999 Location 17 1 LS 14,895.32 CONSTRUCTION Be $ 14,895.32 Completed Direct Subgrantee Admin Cost Direct Direct 3 9901 Administrative 1 LS $ 1 ,000.00 INDIRECT Subgrantee $ 1 .000.00 Costs CHARGES (Subgrantee) Admin Cost Total Cost : $ 285,604.59 Insurance Adjustments (Deductibles. Proceeds and Settlements) - 5900/5901 Unit Unit of Unit Subgrant Cost Sequence Code Material and/or Description Quantity Measure Price Budget Type Estimate Action Class Total Cost : $ 0.00 Hazard Mitigation Proposal - 0909 Unit Unit of Unit Subgrant Cost Sequence Code Material and/or Description Quantity Measure Price Budget Type Estimate Action Class ' Version 0 *'`* 1 9999 Rip rap 291 CY $ 83. 17 $ 24.202.47 2 9999 Unclassified fill 141 CY $ 17.84 $ 2,515.44 3 9999 Grass seed 12 LB $ 6.00 $ 72.00 4 9999 Labor 7 HR $ 30.00 $ 210.00 Total Cost : $ 26,999.91 Total Cost Estimate: $ 312,604.50 (Preferred Estimate Type + Insurance Adjustments + Hazard Mitigation Proposal) i Comments Cost calculations are shown in the scope of work for each location. Be advised there are some rounding errors. R Attachments I User Date Document Description Hard Copy File Type Reference File Name Action PAUL 02-05- Calculation Unit Cost PW #WELCO08 Unit Cost View HESSE 2014 Sheet Information Info.pdf(19.89 kb) PAUL 02-05- Calculation DAC Sheet PW #WELCO08 DAC.pdf View HESSE 2014 Sheet (236.50 kb) I Existing Insurance Information I https://connect l .dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatch Destination .do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 17 of 32 Bldg/Property Content Insurance Deductible Years Insurance Type Policy No. Amount Amount Amount Amount Required Comments Attachments Comments and Attachments Name of Section Comment Attachment The applicant must notify the state if there are any changes in the Project Description scope of work prior to starting the repairs. Failure to notify the State Division of Emergency Management may jeopardize receipt of federal funds. PW #WELCO08 Location Maps Part1 .pdf Damage Facilities PW #WELCO08 Location Maps Part2. 1 .pdf PW WELCO08 Photos. 1 .pdf Special Considerations PW #WELCO08 Firmettes.pdf Mitigation HMP attached PW #WELCO08 HMP.pdf PW #WELCO08 Unit Cost Estimate Cost calculations are shown in the scope of work for each location. Cost Info.pdf Be advised there are some rounding errors. PW #WELCO08 DAC.pdf Form 90-91 PW #WELCO08 90-91 SIGNED.pdf Bundle Reference # (Amendment #) Date Awarded PA-08-CO-4145-State-0035(34) 03-03-2014 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 WELCO08 123-99123- 02-18-2014 C FEMA 4145 - DR -CO 00 APPLICANT WELD (COUNTY) WORK COMPLETE AS OF 01-23-2014 95 % Site 1 of 1 DAMAGED FACILITY COUNTY. Weld Various County Roads - Gravel and Paved LOCATION LATITUDE. LONGITUDE. 40.78342 -104.80159 https://connectl .dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatch Destination.do?. . . 4/30/20I 4 I Federal Emergency Management Agency E-Grants Page 18 of 32 PA-08-CO-4145-PW-00561(0): Various County Roads shown below as Locations 1 through 21 . Each location has a GPS listed for the damaged area. DAMAGE DESCRIPTION AND DIMENSIONS: PA-08-CO-4145-PW 00561 (0): During the incident period of September 11 , 2013 through September 30, 2013, the declared severe storms caused flooding, landslides and mudslides throughout Weld County in Colorado. The gravel roads sustained damages from overtopping of roads, high water levels in drainage ditches and overloaded culverts. Damages commonly consisted of shoulder and embankment erosion, washout of road base and aggregate surfacing. This PW describes 21 damaged road locations. Total damages at the 21 locations include total aggregate loss of 7499.14 Tons and asphalt pavement loss of 186 Tons. Damages to culverts and bridges are covered under separate PWs. [Refer to Scope Notes 10 and 11 for cost and conversion factors.] Location #1 Road EM-110-27-.5 Begin GPS: 40.78342, -104.80159 End GPS: 40.78334, -104.80379 Floodmap #0802660175C [Panel not printed] Dimension: Road: 585LF x 22FT wide x 0.33FT deep/27 = 157CY x 1 .82 = 287T Embankment: (1.5FT wide x 1.5FT deep/2) x 2 sides x 585FT long/27 = 49CY x 1.82 = 89T Damage: Road surface and embankment erosion [both sides] caused aggregate loss of 376T. No damage to CMP. Location #2 Road EM-27-110-.8 Begin GPS: 40.80214, -104.81049 End GPS: 40.80310, -104.81047 Floodmap #0802660175C [Panel not printed] Dimension: Road: 340LF x 22FT wide x 0.33FT deep/27 = 91 CY x 1 .82 = 167T Embankment: (1 .5FT wide x 3FT deep/2) x 2 sides x 340FT long/27 = 57CY x 1.82 = 103T Damage: Road surface and embankment erosion [both sides] caused aggregate loss of 270T. No damage to CMP. Location #3 Road EM-108-27-.5 Begin GPS: 40.76863, -104.79212 End GPS: 40.76863, -104.79316 Floodmap #0802660175C [Panel not printed] Dimension: Road: 275LF x 22FT wide x 0.33FT deep/27 = 74CY x 1 .82 = 135T Embankment: (2FT wide x 1.53FT deep/2) x 2 sides x 275FT long/27 = 31 CY x 1 .82 = 55T Damage: Road surface and embankment erosion [both sides] caused aggregate loss of 190T. No damage to CMP. Location #4 Road EM-94-43-.0 Begin GPS: 40.66800, -104.65839 End GPS: 40.66768, -104.65836 Floodmap #0802660350C [Panel not printed] Dimension: Road: 100LF x 6FT wide x 0.67FT deep/27 = 15CY x 1.82 = 27T Embankment: (3.5FT wide x 2FT deep/2) x 1 side x 115FT long/27 = 15CY x 1.82 = 27T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 54T. No damage to CMP. Location #5 Road EM-90-15-.1 [9 locations through 90-19-3.3 approximately 150LF each total 1350LF at the following locations: 90-15-.1, 90-15-.5, 90-15-.7, 90-15-.8, 90-15-.9, 90-15-1 .1 , 90-15-1 .5, 90-19-3.1 , and 90-15-3.3] Begin GPS: 40.63944, -104.91761 End GPS: 40.63954, -104.82288 Floodmap #0802660325C Dated 9/28/82 [not in floodplain] Dimension: Road: 1350LF x 24FT wide x 0.33FT deep/27 = 396CY x 1 .82 = 722T Embankment: (2FT wide x 3FT deep/2) x 1 side x 1350FT long/27 = 150CY x 1.82 = 273T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 995T Location #6 Road EM-15-90-.5 [6 locations through 15-90-2.8 approximately 150LF each total 900LF at the following locations: 15-90-.5, 15-90-.8, 15-90-1 .6, 15-90-2.1 , 15-90-2.5. and 15-90-2.8] Begin GPS: 40.66952, -104.92444 End GPS: 40.67924, -104.92428 Floodmap #0802660325C dated 9/28/82 [not in floodplain] Dimension: Road: 900LF x 24FT wide x 0.33FT deep/27 = 264CY x 1 .82 = 481T Embankment: (3FT wide x 3FT deep/2) x 1 side x 900FT long/27 = 150CY x 1.82 = 273T Damage: Road surface and embankment erosion [2 sides] caused aggregate loss of 754T Location #7 Road EM-61-76-.0 (.1) Begin GPS: 40.5425, -104.48934 End GPS: 40.54170, -104.48931 Floodmap #080266052C [Panel not printed] Dimension: Road: 280LF x 24FT wide x 0.35FT deep/27 = 87CY x 1.82 = 159T Embankment: (1 .5FT wide x 2FT deep/2) x 1 side x 280FT long/27 = 16CY x 1 .82 = 28T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 187T Location #8 Road EM-71-80-2.1 Begin GPS: 40.59829, -104.3941 End GPS: 40.59962, -104.39398 Floodmap #0802660525C [Panel not printed] Dimension: Road: 200LF x 24FT wide x 0.25FT deep/27 = 44CY x 1 .82 = 81T Embankment: (3FT wide x 2FT deep/2) x 1 side x 470FT long/27 = 52CY x 1.82 = 95T Embankment: (1.5FT wide x 1.5FT deep/2) x 1 side x 470FT long/27 = 20CY x 1 .82 = 36T Damage: Road surface and embankment erosion [2 sides] caused aggregate loss of 212T Location #9 Road EM-74-392-2.1 Begin GPS: 40.52289. -104.37213 End GPS: 40.52291 , -104.37007 Floodmap #0802660525C [Panel not printed] https://connect I .dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 19 of 32 Dimension: Embankment: (2.5FT wide x 2FT deep/2) x 1 side x 550FT long/27 = 51 CY x 1 .82 = 93T Damage: Road embankment erosion [1 side] caused aggregate loss of 93T Location #10 Road EM-68-69-2.1 Begin GPS: 40.47926, -104.37498 End GPS: 40.47928, -104.37396 Floodmap #0802660675C dated 9/28/82 [not in floodplain] Dimension: Road: 275LF x 25FT wide x 0.6FT deep/27 = 153CY x 1.82 = 279T Embankment: (1 FT wide x 1 FT deep/2) x 1 side x 275FT long/27 = 5CY x 1.82 = 9T Magnesium Chloride: 275LF x 1 gal/LF = 275 gal. Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 288T Location #11 Road EM-72-31-.4 Begin GPS: 40.51011 , -104.76512 End GPS: 40.51013, -104.76553 Floodmap #0802660475D dated 9/22/99 [not in floodplain] Dimension: Road: 110LF x 24FT wide x 0.5FT deep/27 = 49CY x 1 .82 = 89T Embankment: (1 FT wide x 1 FT deep/2) x 2 sides x 110FT long/27 = 4CY x 1 .82 = 7T Damage: Road surface and embankment erosion [2 sides] caused aggregate loss of 96T Location #12 Road EM-51-58-.5 Begin GPS: 40.41366, -104.58353 End GPS: 40.41467, -104.58355 Floodmap #0802660645C dated 9/28/82 [not in floodplain] Dimension: Road: 100LF x 6FT wide x 3FT deep/27 = 67CY x 1 .82 = 122T Embankment: (3FT wide x 3FT deep/2) x 1 side x 312FT long/27 = 52CY x 1.82 = 95T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 217T Location #13 Road EM-45-54.5-.2 Note: According to the Weld County consultant [Base Tactical] EM-45-54.5-.2 covers cleaning of the ditch just south of Hwy 34 on CR 45. This work is incidental to the culvert repair where this ditch goes under CR45. Therefore, this work is not covered under this PW but is covered under the Weld County Culverts PW#WELCO35. Location #14 Road Em-43-54-.2 [Road repaired by Oil Company] Begin GPS: 40.38126, -104.65891 Mid GPS: 40.38472, -104.65888 End GPS: 40.38678, -104.65834 Floodmap #0802660639C dated 9/28/82 Floodplain Zone A4 Dimension: Road: 1960LF x 18FT wide/9 = 3920SY Damage: Road surface and embankment erosion both sides caused aggregate loss. Applicant indicated that Oil Company repaired road and embankment at the Oil Company's cost. No material cost incurred by Applicant only labor and equipment for supervision and grading. Location #15 Road EM-388-53-.25 [Paved] Begin GPS: 40.41037. -104.54981 End GPS: 40.41370, -104.55771 Floodmap #0802660645C dated 9/28/82 Floodplain Zone A Dimension: Road [asphalt]: 42LF x 16FT wide x 0.58FT deep/27 = 14CY x 1.97 = 28T Shoulder (1 FT wide x 0. 17FT deep) x 2 sides x 726FT long/27 = 9.1 CY x 1 .82 = 16T Damage: Road surface [asphalt — 281] and shoulder erosion [2 sides — approximately 30% within the GPS limits 2420 x 0.3 = 726LF] caused aggregate loss of 16T. Location #16 Road EM-52-US85-.0 is a paved road that had shoulder damages. This location is split up into 4 areas as shown below. There was no damage to the pavement. Location #16.1 Road EM-52-US85-.0 [Paved] Begin GPS: 40.35999, -104.6959 End GPS: 40.36147, -104.68857 Floodmap #0802660638C dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep) x 2 sides x 1221 FT long/27 = 60CY x 1.82 = 109T Damage: Shoulder erosion [2 sides — approximately 60% within the GPS limits 2035LF x 0.6 = 1221 LF] caused aggregate loss of 109T. No damage to pavement. Location #16.2 Road EM-52-US85-.0 [Paved] GPS: 40.36309, -104.65900 [southwest corner CR43 intersection] Floodmap #0802660639C dated 9/28/82 [not in floodplain] Dimension: Shoulder: (2FT wide x 0.33FT deep) x 1 side x 40FT long/27 = 1 CY x 1.82 = 1.82T Damage: Shoulder erosion [1 side — 40LF] caused aggregate loss of 1.82T. No damage to pavement. Location #16.3 Road EM-52-US85-.0 [Paved] GPS: 40.36303, -104.67770 [southwest corner CR41 intersection] Floodmap #0802660638C dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep) x 1 side x 40FT long/27 = 1 CY x 1.82 = 1 .82T Damage: Shoulder erosion [1 side — 40LF] caused aggregate loss of 1.82T. No damage to pavement. Location #16.4 Road EM-52-US85-.0 [Paved] GPS: 40.36303, -104.67770 [extending 100LF west on north side of road at CR41 intersection] Floodmap #0802660638C dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep) x 1 side x 100FT long/27 = 2.4CY x 1.82 = 4.5T Damage: Shoulder erosion [1 side — 100LF] caused aggregate loss of 4.5T. No damage to pavement. Location #17 Road EM-Brantner-35th [Paved] Note: Within the GPS limits shown below. there are seven [7] areas of damage indicated as 17.1 - 17.7. Begin GPS: 40.36650, -104.70034 End GPS: 40.36526, -104.70184 [Note: This end point coincides with the beginning of City of Evans work covered under a separate PW Ref #EVANS09 EMMIE #00302, therefore there is no apparent overlap of work being claimed.] Floodmap #0801820001B dated 4/2/79 Floodplain Zone A7 and Zone B Floodmap #0802660638C dated 9/28/82 Floodplain Zone A7 and Zone B https://connect I .dhs.gov/emmie/,Dana[nfo=isource.fema.net,SSL+dispatch Destination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 20 of 32 Location #17.1 Embankment southeast side of roadway Dimension: Embankment: (8FT wide x 5.5FT deep/2) x 1 side x 595FT long/27 = 485CY x 1 .82 = 884T Damage: Embankment erosion [1 side] caused aggregate loss of 884T Location #17.2 Asphalt pavement washout southeast side of roadway [measured as 2 triangles in plan view with common base length of 8LF] Dimension: 15FT long x 8FT wide/2 x 5.5FT deep/27 = 12CY x 1.82 = 22T 21FT long x 8FT wide/2 x 5.5FT deep/27 = 17CY x 1 .82 = 31T Damage: Paved roadway erosion caused aggregate [53 x 0.94 = 50T] and asphalt [53 x 0.06 = 3T] loss of approximately 53T. The tonnage split was calculated as follows: 0.33FT asphalt depth/5.5FT total depth = 0.06 These tonnages are approximate due to rounding errors and a slight difference in density, however they are reasonable for estimating purposes. Location #17.3 Pavement washout full width of roadway [rectangular in plan view] Dimension: 17FT long x 21FT wide x 5.5FT deep/27 = 73CY x 1.82 = 132T Damage: Paved roadway erosion caused aggregate [132 x 0.94 = 124T] and asphalt [132 x 0.06 = 8T] loss of approximately 132T Location #17.4 Pavement washout east half of roadway [rectangular in plan view] Dimension: 47FT long x 11 FT wide x 5.5FT deep/27 = 105CY x 1 .82 = 192T Damage: Paved roadway erosion caused aggregate [192 x 0.94 = 180T] and asphalt [192 x 0.06 = 12T] loss of approximately 192T Location #17.5 Pavement washout full width of roadway [rectangular in plan view] Dimension: 130FT long x 21 FT wide x 5.5FT deep/27 = 556CY x 1 .82 = 1014T Damage: Paved roadway erosion caused aggregate [1014 x 0.94 = 953T] and asphalt [1014 x 0.06 = 61T] loss of approximately 1014T Location #17.6 Pavement washout portion of east half of roadway [rectangular in plan view] Dimension: 47FT long x 7FT wide x 5.5FT deep/27 = 67CY x 1 .82 = 122T Damage: Paved roadway erosion caused aggregate [122 x 0.94 = 115T] and asphalt [122 x 0.06 = 71] loss of approximately 122T Location #17.7 Pavement washout full width of roadway [rectangular in plan view] Dimension: 92FT long x 21FT wide x 5.5FT deep/27 = 394CY x 1 .82 = 717T Damage: Paved roadway erosion caused aggregate [717 x 0.94 = 674T] and asphalt [717 x 0.06 = 43T] loss of approximately 717T Location #17 Material Summary: Calculated loss = 3114T made up of 2980T of aggregate and 134T of asphalt. Location #18 Road EM-52-35-1.4 [49th Street — from Brantner intersection southwest] Start GPS: 40.36478, -104.70493 End GPS: 40.36358, -104.70571 Note: This site is listed for information only. The GPS coordinates shown below from the site visit with Weld County personnel are within the limits of work completed under the City of Evans PW Ref #EVANS09 EMMIE #00302. This work is not covered under this PW since it was already claimed under the City of Evans PW. This information was confirmed in the field with the FEMA Project Specialist who wrote the PW for City of Evans. Location #19 Road EM-46-25-0 [Detour Route between Hwy 60 and CR25] Start [East] GPS: 40.32057, -104.81143 End [West] GPS: 40.31919, -104.82419 Floodmap #0802660750C dated 9/28/82 Floodplain Zone A Dimension: Road: 3700LF x 24FT wide x 0.09FT deep/27 = 296CY x 1 .82 = 540T Embankment: (5FT wide x 3FT deep/2) x 1 side x 185 FT long/27 = 51 CY x 1 .82 = 94T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 634T. Location #20 Road EM-46-23-.9 [Detour Route between CR23 and CR25] Start GPS: 40.31915, -104.82977 End GPS: 40.31919, -104.83334 [23-25] Floodmap #0802660750C dated 9/28/82 [not in floodplain] Dimension: Road: 1000LF x 24FT wide x 0.11 FT deep/27 = 98CY x 1.82 = 178T Damage: Road surface erosion caused aggregate loss of 178T. Location #21 Road EM-129.5-127-.2 [Actual Description: EM-129-127.7-.2 on Rd 94] GPS: 40.67001 . -103.83154 Floodmap #0802660425C [Panel not printed] Dimension: Road: 75LF x 4FT wide x 3FT deep/27 = 33CY x 1.82 = 61T Embankment: (5FT wide x 2FT deep/2) x 1 side x 150FT long/27 = 28CY x 1.82 = 51T Damage: Road surface and embankment erosion [1 side] caused aggregate loss of 112T. SCOPE OF WORK: PA-08-CO-4145-PW-00561(0): WORK COMPLETED: The Applicant used Force Account Labor, Equipment. and Material along with some contracted hauling to complete the repairs to the Locations shown on this PW. The work on this PW is itemized by location showing the road and its location relative to the nearest intersection along with GPS coordinates. Photos were taken and are attached. The roads and culverts were maintained in above average condition with well-developed and maintained ditches. The quantities are estimated from site visits and costs are estimated using the CDOT pricing for similar work complete and in-place. These costs should account for the labor and equipment required to complete the work. The following Locations are shown as Work Completed except as noted where work is required in the spring such as paving. Location #1 Road EM-110-27-.5 Scope: Replace eroded road surface and embankment aggregate [81T]. Discussions with the foreman indicated that the operator was able to pull up material that had washed from the roadway to the right-of-way to use in rebuilding the damaged area, therefore only 81T was placed and the remainder was reclaimed. Cost: 81T x $33.70/T = $2.729.70 https://connect I .dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 21 of 32 Location #2 Road EM-27-110-.8 Scope: Replace eroded road surface and embankment aggregate [2701] Cost: 270T x $33.70/T = $9,099.00 Location #3 Road EM-108-27-.5 Scope: Replace eroded road surface and embankment aggregate [81T]. Discussions with the foreman indicated that the operator was able to pull up material that had washed from the roadway to the right-of-way to use in rebuilding the damaged area, therefore only 81T was placed and the remainder was reclaimed. Cost: 81T x $33.70/1 = $2,729.70 Location #4 Road EM-94-43-.0 Scope: Replace eroded road surface and embankment aggregate [54T] Cost: 54T x $33.70/[ _ $1 ,819.80 Location #5 Road EM-90-15-.1 Scope: Replace eroded road surface and embankment aggregate [9951] Cost: 995T x $33.70/T = $33,531.50 Location #6 Road EM-15-90-.5 Scope: Replace eroded road surface and embankment aggregate [7541] Cost: 754T x $33.70/T = $25,409.80 Location #7 Road EM-61-76-.0 (. 1) Scope: Replace eroded road surface and embankment aggregate [187T] Cost 187T x $33.70/T = $6,301.90 Location #8 Road EM-71-80-2.1 Scope: Replace eroded road surface and embankment aggregate [212T] Cost: 212T x $33.70/T = $7,144.40 Location #9 Road EM-74-392-2.1 Scope: Replace eroded embankment aggregate [93T] Cost: 93T x $33.70/T = $3, 134.10 Location #10 Road EM-68-69-2.1 Scope: Replace eroded road surface and embankment aggregate [2881] Aggregate Cost: 288T x $33.70/1 = $9,705.60 Magnesium Chloride Cost: 275 gal x $0.55/gal = $151 .25 Note: Applicant indicated that the Oil Company working in the area hauled the material, therefore no cost to the Applicant, however the Applicant utilized FA Labor and Equipment to compact, reclaim, and grade the material. Although the Applicant did not have cost associated with material, the estimated cost shown above using the CDOT unit price covers the FA Labor and Equipment. The Applicant reported the cost of magnesium chloride at $0.49/gal, therefore a cost of $0.55/gal was used above to include the distributor truck and driver. The Applicant placed 11 ,000 gallons of Magnesium Chloride after the roadway was prepared at a reported application rate of approximately 5,000 gallons/mile. Therefore. the application rate is approximately 1 gal/LF of roadway. Location #11 Road EM-72-31-.4 Scope: Replace eroded road surface and embankment aggregate [961] Cost: 96T x $33.70/1 = $3,235.20 Location #12 Road EM-51-58-.5 Scope: Replace eroded road surface and embankment aggregate (217T] Cost: 217T x $33.70/1 = $7,312.90 Note: Applicant indicated that gravel was placed from damaged area to the house at that end of the road. however this gravel was not storm damage related. Location #13 Road EM-45-54.5-.2 Note: According to the Weld County consultant (Base Tactical] EM-45-54.5-.2 covers cleaning of the ditch just south of Hwy 34 on CR 45. This work is incidental to the culvert repair where this ditch goes under CR45. Therefore, this work is not covered under this PW but is covered under the Weld County Culverts PW#WELCO35. Cost: $0.00 Location #14 Road Em-43-54-.2 [Road repaired by Oil Company] Scope: County supervision of material placement by Oil Company and grading by County labor and equipment. Cost: Labor [1 hr x $39.58/hr] + [7hr x $59.06/hr] = $453.00 Equipment: [1hr x $70/hr cost code 8332] + [7hr x $14/hr cost code 8801] = $168.00 Total Cost = 453 + 168 = $621 Location #15 Road EM-388-53-.25 [Paved] Scope: Replace damaged asphalt [28T] and eroded shoulder aggregate [16T] Aggregate Cost: 16T x $33.70/1 = $539.20 Repair Asphalt Pavement [use 7" thick] Sawcut Pavement: 16LF + 42LF + 16 = 74LF x $3/LF = $222 Unclassified Excavation [use CDOT code 203-00010 $14.18/CY complete in place]: 42LF x 16LF x 0.58FT deep = 390CF/27 = 14.44CY x $14.18/CY = $204.76 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/1]: 14.44CY x 1 .97T/CY = 28.5T use 29T x $81.70/1 = $2,369.30 Traffic Control Estimate and small job adder $1000 Mobilization/Demob Estimate: $1 ,500 Total Cost: 540 + 222 + 205 + 2370 + $1000 + $1 ,500 = $5,837 https://connect I .dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 4/30/2014 r Federal Emergency Management Agency E-Grants Page 22 of 32 Location #16.1 Road EM-52-US85-.0 [Paved] Scope: Replace eroded shoulder aggregate [109T] Cost: 109T x $33.70/T = $3,673.30 Location #16.2 Road EM-52-US85-.0 [Paved] Scope: Replace eroded shoulder aggregate [1.821] Cost: 1.82T x $33.70/I = $60.66 Location #16.3 Road EM-52-US85-.0 [Paved] Scope: Replace eroded shoulder aggregate [1 .82T] Cost: 1 .82T x $33.70/1" = $60.66 Location #16.4 Road EM-52-US85-.0 [Paved] Scope: Replace eroded shoulder aggregate [4.5T] Cost: 4.5T x $33.70/1" = $151 .65 Total Cost Location #16 = 3673.30 + 60.66 + 60.66 + 151.65 = $3,946.27 Location #17 Road EM-Brantner-35th [Paved] Note: The work completed at the time of inspection included removal of damaged roadway and embankment materials and filling of those damaged areas up to the grade of the existing asphalt pavement. The work to be completed includes sawcutting the asphalt and removing material down to the depth of the adjoining asphalt section [measured in the Evans PW at 4" thick] along with installation of new asphalt. Location #17.1 Embankment southeast side of roadway Scope: Replace eroded embankment aggregate [884T] Aggregate Cost: 884T x $33.70/1" = $29,790.80 Location #17.2 Pavement washout southeast side of roadway [triangular in plan view] Scope: Replace eroded aggregate base [537] Aggregate Cost: 53T x $33.70/1" = $1 ,786.10 Work Completed Total = $1 ,786.10 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick same as used in Evans PW on Brantner which was measured] Sawcut Pavement: 9LF + 16LF + 22LF + 9LF = 56LF x $3/LF = $168 Unclassified Excavation [use CDOT code 203-00010 $14.18/CY complete in place]: 38LF x 9LF x 0.33FT deep = 112.86CF/27 = 4.18CY x $14.18/CY = $59.27 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/1"]: 4.18CY x 1 .971/CY = 8.23T use 9T x $81 .70/1" = $735.30 Work to be Completed Total = $962.57 Location #17.3 Pavement washout full width of roadway [rectangular in plan view] Scope: Replace eroded aggregate base [132T] Aggregate Cost: 132T x $33.70/1" = $4,448.40 Work Completed Total = $4.448.40 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick] Sawcut Pavement: 21LF + 21LF = 42LF x $3/LF = $126 Unclassified Excavation [use CDOT code 203-00010 $14.18/CY complete in place]: 17LF x 21LF x 0.33FT deep = 117.81 CF/27 = 4.36CY x $14. 18/CY = $61 .82 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/1"]: 4.36CY x 1.971/CY = 8.6T use 9T x $81.70/1" = $735.30 Work to be Completed Total = $923.12 Location #17.4 Pavement washout east half of roadway [rectangular in plan view] Scope: Replace eroded aggregate base [1921"] Aggregate Cost: 192T x $33.70/1" = $6,470.40 Work Completed Total = $6,470.40 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick] Sawcut Pavement: 12LF + 48LF + 12LF = 72LF x $3/LF = $216 Unclassified Excavation [use CDOT code 203-00010 $14.18/CY complete in place]: 48LF x 12LF x 0.33FT deep = 190.08CF/27 = 7.04CY x $14.18/CY = $99.83 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/1"]: 7.04CY x 1 .97T/CY = 13.87T use 14T x $81.70/1" = $1 ,143.80 Work to be Completed Total = $1 ,459.63 Location #17.5 Pavement washout full width of roadway [rectangular in plan view] Scope: Replace eroded aggregate base [1014T] Aggregate Cost: 1014T x $33.70/1" = $34,171.80 Work Completed Total = $34,171 .80 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick] Sawcut Pavement: 21LF + 21LF = 42LF x $3/LF = $126 Unclassified Excavation [use CDOT code 203-00010 $14.18/CY complete in place]: 132LF x 21LF x 0.33FT deep = 914.76CF/27 = 33.88CY x $14.18/CY = $480.42 Install Asphalt Pavement [use CDOT code 403-33741 $81.70/1"]: 33.88CY x 1.97T/CY = 66.74T use 67T x $81.70/1" = $5,473.90 Work to be Completed Total = $6,080.32 Location #17.6 Pavement washout portion of east half of roadway [rectangular in plan view] https://connect l .dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatch Destination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 23 of 32 Scope: Replace eroded aggregate base [122T] Aggregate Cost: 122T x $33.70/T = $4,111 .40 Work Completed Total = $4,111 .40 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick] Sawcut Pavement: 8LF + 49LF + 8LF = 65LF x $3/LF = $195 Unclassified Excavation [use CDOT code 203-00010 $14.18/CY complete in place]: 49LF x 8LF x 0.33FT deep = 129.36CF/27 = 4.79CY x $14.18/CY = $67.92 Install Asphalt Pavement [use CDOT code 403-33741 $81 .70/1]: 4.79CY x 1.97T/CY = 9.44T use 10T x $81 .70/7 = $817.00 Work to be Completed = $1 ,079.92 Location #17.7 Pavement washout full width of roadway [rectangular in plan view] Scope: Replace eroded aggregate base [7171] Aggregate Cost: 717T x $33.70/7 = $24,162.90 Work Completed Total = $24,162.90 Work to be Completed: Scope: Replace Asphalt Pavement [use 4" thick] Sawcut Pavement: 21LF + 21LF = 42LF x $3/LF = $126 Unclassified Excavation [use CDOT code 203-00010 $14. 18/CY complete in place]: 94LF x 21LF x 0.33FT deep = 651 .42CF/27 = 24.13CY x $14.18/CY = $342.16 Install Asphalt Pavement [use CDOT code 403-33741 $81.70/7]: 24.13CY x 1 .977/CY = 47.54T use 48T x $81.70!7 = $3,921 .60 Work to be Completed Total = $4,389.76 Total Cost Location 17 [Paved] Work Completed: Aggregate replacement = 29,790.80 + 1 ,786.10 + 4,448.40 + 6,470.40 + 34,171 .80 + 4,111.40 + 24,162.90 = $104,941.80 Work Completed Total = $104,941 .80 Work to be Completed: Pavement replacement: Sawcut = 168 + 126 + 216 + 126 + 195 + 126 = $957 Unclassified Excavation = 59.27 + 61 .82 + 99.83 + 480.42 + 67.92 + 342.16 = $1, 111 .42 Install Asphalt = 735.30 + 735.30 + 1143.80 + 5473.90 + 817 + 3921.60 = $12,826.90 Work to be Completed Total = 957 + 1111 .42 + 12826.90 = $14,895.32 Location #18 Road EM-52-35-1.4 [49th Street — from Brantner intersection southwest] Scope: Work at this location is covered under a separate PW. See PW Ref#EVANS09 EMMIE #00302. Cost: $0.00 Location #19 Road EM-46-25-0 [Detour Route between Hwy 60 and CR25] Scope: Replace eroded road surface and embankment aggregate [6341]. Apply magnesium chloride [5000 gal] since it was used as a detour route [incidental to the permanent work]. Based on discussions with the road foreman, there were 6 loads of aggregate at the intersection of Hwy 60 and CR25 on the southern embankment and 17 loads of aggregate on the roadway from Hwy 60 west toward CR25 approximately 3700 feet. This section was sprayed with magnesium chloride twice since it was a detour route. The Applicant indicated an application rate of 5,000 gallons/mile each time, approximately 10,000 gallons were placed on the section between Hwy 60 and CR25 which is 1 mile. Aggregate Cost: 634T x $33.70/7 = $21 ,365.80 Magnesium Chloride Cost: 10,000 gal x $0.55/gal = $5,500.00 Work Completed Total Cost: $21 ,365.80 + $5,500 = $26,865.80 Location #20 Road EM-46-23-.9 [Detour Route between CR23 and CR25] Scope: Replace eroded road surface aggregate [1781]. Apply magnesium chloride [2 passes at 5000 gallons each = 10000 gal] since this was used as a detour route [incidental to the permanent work]. Based on discussions with the road foreman, 6 loads of aggregate were placed on the section of roadway between CR23 and CR25. The applicant indicated that the application rate of magnesium chloride is approximately 5,000 gallons/mile and it was applied twice. Therefore the segment between CR23 and CR25 would have 10,000 gallons placed since the distance is 1 mile.] Aggregate Cost: 178T x $33.70/I = $5.998.60 Magnesium Chloride Cost: 10000 gal x $0.55/gal = $5,500.00 Work Completed Total: $5,998.60 + $5,500 = $11 ,498.60 Location #21 Road EM-129.5-127-.2 [Actual Description: EM-129-127.7-.2 on Rd 94] Scope: Replace eroded road surface and embankment aggregate [112T] Work Completed Cost: 112T x $33.70/7 = $3,774.40 WORK COMPLETED SUMMARY: Aggregate: 7499.14 Tons at a cost of $252.721 .02 Magnesium Chloride: 20,275 gallons at a cost of $11 , 151.25 Asphalt: 29Tons at a cost of $5,837.00 Work Completed Total = $269,709.27 WORK TO BE COMPLETED SUMMARY_ Asphalt: 157Tons at a cost of $14,895.32 Work to be Completed Total = $14,895.32 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. https://connectl .dhs.gov/emm ie/,DanaInfo=isource.fema.net,SSL+d ispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 24 of 32 2. This PW addresses all validated flood related damages at the specified site(s), 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(s), 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. 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. 4. The applicant must obtain all required federal. state, and local permits pnor to the commencement of work. 5. 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. 6. Project was reviewed for 406 Hazard Mitigation and a copy of 406 HMP proposal is attached with this project. 1 7. 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. 8. 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. 9. Applicant has completed a substantial percentage of 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. Attached is the CDOT average in-place cost for materials. 10. The cost of aggregate in-place was established using CDOT average in-place cost for materials dated May 17. 2013. CDOT Code 304-06000 for Aggregate Base Course [Class 61 at a unit cost of $16.85/T for greater than 50,000T was multiplied by a factor of 2 to get the price used in this PW of $33.70/T. The CDOT unit price was doubled due to a lack of economies of scale for the small jobs and remote locations that were covered by this PW. 11 . The county measures its quantities in terms of tons. Field measured quantities were computed in cubic yards. The Weld County Engineering and Construction Criteria document specifies materials densities of 1461bs/CF for Hot Mix Asphalt. 1351bs/CF for Aggregate Base Course. and 1201bs/CF for fill material. The project specialist used these densities to compute conversion factors to apply to the cubic yard computations as shown below: Hot Mix Asphalt: [1461bs/CF x 27CF/CYJ/2000lbs/Ton = 1 .97 T/CY Aggregate Base Course' [1351bs/CF x 27CF/CYJ/20001bs/Ton = 1.82 T/CY Fill material' [120lbs/CF x 27CF/CYJ/2000lbs/Ton = 1 .62 T/CY For PW #WELCO08, the aggregate used by the Applicant to complete the repairs was either surface gravel or Class 6 therefore the Aggregate Base Course conversion of 1 .82T/CY was used. Does the Scope of Work change the pre-disaster conditions at the site? Yes No Special Considerations included'? Yes No 4 Hazard Mitigation proposal included' Yes No Is there insurance coverage on this facility'? Yes No PROJECT COST d ITEM CODE NARRATIVE QUANTITY/UNIT UNIT PRICE COST *** Version 0 *** Work Completed 1 9999 Locations 1 -21 1 /LS $ 269,709.27 $ 269,709.27 Work To Be Completed 2 9999 Location 17 1 /LS $ 14,895.32 $ 14,895.32 Direct Subgrantee Admin Cost 3 9901 Direct Administrative Costs 1 /LS (Subgrantee) $ 1 ,000.00 $ 1 ,000.00 4 0909 Hazard Mitigation Proposal 1 /LS $ 26,999.91 $ 26.999.91 TOTAL COST $ 312,604.50 PREPARED BY Paul Hesse TITLE TAC Project Specialist SIGNATURE APPLICANT REP. Roy Rudisill TITLE Director - OEM SIGNATURE https://connect I .dhs.gov/emmie/,DanaInfo=isource.fema . net,SSL+dispatchDestination.do?... 4/30/2014 _ _ Federal Emergency Management Agency E-Grants Page 25 of 32 WELD (COUNTY) : PA-08-CO-4145-PW-00561 Conditions Information Review Name Condition Type Condition Name Description Monitored Status This review does not address all federal. state and local requirements. Acceptance of federal funding Standard requires recipient to comply with all Final Review Other (EHP) Condition #2 federal, state and local laws. Failure No Approved to obtain all appropriate federal. state and local environmental permits and clearances may jeopardize federal funding. • Any change to the approved scope of Final Review Other (EHP) Standard work will require re-evaluation for No Approved Condition #1 compliance with NEPA and other Laws and Executive Orders. Gravel/borrow materials for work to be National Historic completed must be obtained from one Final Review Other (EHP) Preservation Act of the following pre-approved sources: No Approved (NHPA) (SHPO approved source. CO Licensed Pit. commercial source. contractor or county Stockpiles). Applicant is responsible for Executive Order coordinating with the local floodplain Final Review Other (EHP) 11988 - manager. All required permits should No Approved Floodplains be maintained as part of the permanent record. If ground disturbing activities occur during construction. applicant will Standard monitor ground disturbance and if any Final Review Other (EHP) potential archeological resources are No Approved Condition #3 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 24. 2013.. Endangered to the extent possible: including a Final Review Other (EHP) Species Act post-construction estimate of the No Approved (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. 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://connectl .dhs.gov/emm le/„ Danalnth=isource.fema.net,SSL+dispatch Destination .do'?. . . 4/30/2014 Federal Emergency Management Agency E-Grants Page 26 of 32 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 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. Endangered operate. and refuel equipment outside Final Review Other (EHP) Species Act of riparian or adjacent upland habitats. No Approved (ESA) 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: 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 https://connect I .dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatch Destination .do?... 4/30/20I 4 Federal Emergency Management Agency E-Grants Page 27 of 32 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 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 Endangered flow. g. Avoid fragmenting linear Final Review Other (EHP) Species Act riparian corridors. 2. Install limits of No Approved (ESA) 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. 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 https://connectl .dhs.gov/emm ie/,Dana I n fo=isource.fema.net,SSL+dispatch Destination.do?... 4/30/2014 a Federal Emergency Management Agency E-Grants Page 28 of 32 seed mixtures, and post-construction monitoring. 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. Consult the Service Endangered before finalizing a seed and plant list. Final Review Other (EHP) Species Act 18. Bury riprap. then plant with native No Approved (ESA) 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. If ground disturbing activities occur during construction, applicant will Standard monitor ground disturbance and if any EHP Review Other (EHP) potential archeological resources are No Recommended Condition #3 g 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 Standard requires recipient to comply with all EHP Review Other (EHP) Condition #2 federal. state and local laws. Failure No Recommended to obtain all appropriate federal. state and local environmental permits and clearances may jeopardize federal funding. Any change to the approved scope of EHP Review Other (EHP) Standard work will require re-evaluation for Condition #1 compliance with NEPA and other No Recommended Laws and Executive Orders. Gravel/borrow materials for work to be National Historic completed must be obtained from one EHP Review Other (EHP) Preservation Act of the following pre-approved sources: No Recommended (NHPA) (SHPO approved source. CO Licensed Pit. commercial source, contractor or county Stockpiles). Applicant is responsible for Executive Order coordinating with the local floodplain EHP Review Other (EHP) 11988 - manager. All required permits should No Recommended Floodplains be 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. Consult the Service Endangered before finalizing a seed and plant list. https://connect I .dhs.gov/emmie/, Danalnfo=isource.fema.net,SSL+dispatch Destination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 29 of 32 Species Act 18. Bury riprap. then plant with native (ESA) riparian vegetation. 19. Rehabilitate adjacent habitats impacted by floodwaters to restore connectivity EHP Review Other (EHP) and prevent future impacts from No Recommended erosion or sedimentation. 20. Consider monitoring the revegetated areas for success. The Service can help establish success criteria during the consultation process. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS. dated September 24, 2013. Endangered to the extent possible: including a EHP Review Other (EHP) Species Act post-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. 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 Endangered areas, and work areas. e. Locate EHP Review Other (EHP) Species Act access routes. staging areas. and No Recommended (ESA) 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 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 https://connectl .dhs.gov/emm ie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 30 of 32 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, 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 Endangered soils to protect roots and the seed EHP Review Other (EHP) Species Act bank. 9. Use the attached table to No Recommended (ESA) 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 from previously disturbed or modified roadbeds or road shoulders above the riparian habitats. b. Limit the number of https://connectl .dhs.gov/emm ie/,DanaInfo=isource.fema.net,SSL+dispatchDestination .do?. . . 4/30/2014 Federal Emergency Management Agency E-Grants Page 31 of 32 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. Internal Comments No. Queue User Date/Time Reviewer Comments 5 Award SYSTEM 03-03-2014 11 :45 ACCEPTED Review PM 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.Final Reviewer finds eligible the application PALACIO 02-26-2014 10: 14 and approves the funding of this CAT-C project worksheet 4 Final Review JOSE PM GMT 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 02/26/2014 Cat C. 95% complete. Weld County. Weld County. Applicant used force account labor. equipment, and materials and contracted for hauling costs to repair flood caused embankment erosion and washout of road base and aggregate surfacing at 21 sites on county roads including replacing road surface material. re-grading and replacing and embankment aggregate. replace aggregate base material, replacing asphalt pavement, and applying magnesium chloride to roads used as detour routes. Mitigation: Applicant proposes to install rip rap https://connect I .dhs.gov/em m ie/,DanaInforisourcelema.net.SSL+dispatc 11 Destination .do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 32 of 32 and top with 8 inch soil cover and grass seed at Site 17. 1 and Site 19 to reduce future damages. - cwalz123 - 02/21 /2014 16:57:23 GMT Project site work is not in a mapped wetland. - cwalz123 - 02/21 /2014 18:23:54 GMT The entire community will benefit from the completion of this project. - cwalz123 - 02/21 /2014 18:24:04 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. - cwalz123 - 02/21 /2014 16:59: 16 GMT Change 8-step attachement to a pdf document. FIRM numbers for sites 14 and 17 should be changed:Site 14 - 08026606370 and Site 17 - 08026606380. Sites 1 , 2. 3 are located on a non-printed panel number 3 EHP Review EAKINS 02-25-2014 02:21 08026601750. Site 4 is located on a non-printed panel VWNN PM GMT number 08026603500. Per FIRM 08026603250 dated 09/28/1982. Sites 5. 6 are located in Zone X. Sites 7. 8, 9 are located on a non-printed panel number 0802660520. Per FIRM 0802660475D dated 09/22/1999. Site 11 is in Zone X. Per FIRM 0802660675C dated 09/28/1982. Site 10 is in Zone X. Per FIRM 08026606450 dated 9/28/82. Site 12 is in Zone X. Per Firm 08026606390 dated 09/28/1982. Site 14 is in Zone A4. Per FIRM 08026606450 dated 09/28/1982. Site 15 is in Zone A. Per FIRM 08026606380 dated 9/28/82 Site 16 is in Zone A7. Per FIRM 0801820001B dated 4/2/79, Site 17 is in Zone A7. Per FIRM 08026607500 dated 9/28/82, Sites 19, 20 are in Zone A. Site 21 is located on a non-printed panel number 0802660425C . Per 44 CFR Part 9.5 (g). Steps 1 , 4, 5, and 8 of 8- Step review completed. See attached. - cwalz123 - 02/21 /2014 18:22:52 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Item III: Section A, B agreed to by FEMA and the SHPO. - cwalz123 - 02/21 /2014 16:57:40 GMT 2 Mitigation DROST 02-21 -2014 03:31 The Hazard Mitigation Proposal is approved - Brian W. Drost, Review BRIAN PM GMT 406 Specialist Insurance GILLIAM 02-19-2014 02:57 Applicant's property insurance specifically excludes roadways 1 Review ROBERT PM GMT from coverage. Insurance proceeds are not anticipated and there is no insurance O&M for road projects. https://connectl .dhs.gov/emm ie/, DanaI n to=isource.fema.net.SSL+dispatch Destination.do?. .. 4/30/2014 Hello