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HomeMy WebLinkAbout20151510.tiff RESOLUTION RE: APPROVE COMMUNITY DEVELOPMENT BLOCK GRANT APPLICATION FOR BRIDGE 19/4B OVER BIG DRY CREEK (FEMA) AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Community Development Block Grant Application for Bridge 1914B over Big Dry Creek (FEMA) from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, to the Colorado Department of Public Safety, Division of Homeland Security 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 Co Bridge 1914B over Big Dry Creek (FEMA) from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, to the Colorado Department of Public Safety, Division of Homeland Security 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. 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 t , ��,/ // WELD COUNTY, COLORADO ATTEST: �1,gt1! j,d4,0:4k. EXCUSED Barbara Kirkmeyer, Chair Weld County Clerk to the Board F 0 0 c � r1n.�—� Mike Freeman, Pro-Tem BY: D . 4y Clerk to t Boar" -,cTh • ? • .. �%.ean�P. Conway�,} ;4tAPPROVE4 AS TO FOR (idP• ulie A. Cozad County Attorney � � EXCUSED /g J Steve Moreno Date of signature: "� CC,tOEM; Acct (Sig 2015-1510 EM0016 BC0045 Colorado Division of Homeland Security Grant NOI / Application list Emergency Management CDBG-DR Recover Colorado Infrastructure Program THIS SECTION FOR STATE USE()NIX 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 cdos dhsem cdbgt7a,state.co.us PART A - NOI: PROJECT OVERVIEW I. Applicant Legal Name: Weld County, Colorado 2. Applicant Type: ✓ Local Government Private Non-Profit(Attach copy of 501e3, if applicable) 3. Project Title: County Match FEMA Projects-WELCO33(689) 4. Proposed Project Total Cost: 73,988.94 CDBG-DR-I Request: 9,248.62 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—Tern Weld County Commissioner (970)356-4000 Ilyed Nano a/Authorized Applicant,term f ale Telephone Number WAY 272015 Signumre n/;1 utlmrlced Applicant Agent Dole Signed 2015-1510 Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page I of 20 C DIBC-DIR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI: APPLICANT INFORMATION I. Applicant Legal Name: Weld County, Colorado 2. FIPS Code: 123 DUNS Number: 07575-7955 3. U.S.Congressional District: 4th Congressman Name: 4. State Senatorial District: 1 Senator Name: 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. ❑ Mr.❑✓ Mrs.❑First Name: Roy Last Name: Rudisill Title: Director Organization: Weld County Office of Emergency Manageme Street Address: 1150 O Street City: Greeley State: Colorado Zip Code: 80631 Telephone: (y/U)JUS Fax: (y/U)bib-/(y Mobile: (9/D) 381-0 E-mail Address: rrudisillco.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. ❑ Mr.❑ Mis. First Name: Barb Last Name: Connolly Title: Controller Organization: Weld County Accounting Street Address: 1150 O Street City: Greeley State: Colorado Zip Code: 80631 Telephone: (y/U).S F;x: l /U)J3b-/6 Mobile: E-mail Address: bconnolly(&co.weld. K. Application Prepared by: Ms.❑ Mr.n Mrs❑ First Name: Kyle Last Name: Jones Title: Planner Organization: ARCADIS-US Street Address: City: TallahassE State: FL zip code: 32309 Telephone: (i U)t5 E x: Mobile: (22b) 2U2 3 F,-mail Address: kvle.iones(@arcadis- 9. Authorized Applicant Agent: Ms. ❑ Mr.❑ Mrs.❑First Name: Barbara Last Name: Kirkmeyer Title: COmmiSSh Organization: Weld County Street Address: 1150 O Street, P.O. Box 758 City: Greeley State: Colorado Zip Code: 80631 Telephone: (y/ -)' 6 F;x: Mobile: E-mail Address: bkirkmeyer(U7co.welt The Authorized Applicant Agent MUST be the chief executive officer, mayor, etc. This person must be able to sign contracts,authorize funding allocations or payments,etc. Attach any continuations or additional items as an Attachment to the electronic application and c-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 I. 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 (copies provided upon request). 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 nini/n....u....H.... ..dll .di.-..,,.... IAICI r'nQQJsont .....-1 0 2. Site/Physical Location: Describe the area(s)affected/protected by this project, including location by complete street address and longitude and latitude(coordinates in decimal degrees). The latitude is 40.028780 and longitude is -104.886130. The attached spreadsheet shows the Lat/Long coordinates for all of the Project Worksheets and depicts the damage site locations as identified in the correlating Project Worksheets. 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 household income of$56 589 and the majority of Weld County is owner-occupied with O 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 24 of 36 Projects Submitted. Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 3 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A- NOI: CDBG-DR FUNDING QUALIFICATIONS Community Development Block Grant— Disaster Recovery (CDBG-DR) funding can be approved for a project in which ALL of the following requirements are met The physical location of the activity must be within a county listed in Table I of the program Recover Colorado Infrastructure Grant Program Guidelines(Guidelines). I. Connection to Disaster Reouvery 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 I of the Guidelines. Please provide a brief explanation of how the proposed acquisition activity: (I) 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 4:.-..... ........la ..F 41... .......��.. i1.....J:..... Tr... ....��..L.Q..... rNAI IL...4 :.. : ,4,.,J ..d,ti LL.:.. �..... ....i 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? tf Will benefit low and moderate income(LMI)persons; or 7 Will aid in the prevention or elimination of slums or blight;or Is an Urgent Need in which meet community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community where other financial resources are not available to meet such needs. h) Flow 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 25.47%. 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 a Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 4 of 20 CDBC-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 3. Compliance with the primary objective. As indicated in the Guidelines: "A proposed project's benefits to LMI persons will be an important factor in evaluating potential infrastructure projects. A total of 20% of the Recover Colorado Infrastructure project funding must benefit LMI persons. Due to the very low percentage of LMI projects submitted in the first round of infrastructure funding, it is estimated that approximately 25% to 30% of the funding available in this second allocation must meet the LMI requirement to make up for the deficit." This section does not need to he completed if the project does not meet this National Objective. The primary objective for using CDB(3 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: j j I jurisdiction wide f1 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 CDB(3-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 o 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) piAs determined by the American Community Survey(Public Facilities projects) riAnnual income as defined for Public Housing and Section 8 Annual income as reported under the Census long form Adjusted gross income as defined for reporting under IRS Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 5 of 20 CDBC-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 WELCO33 (689) 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. Hazard 2 Erosion also caused a severe issue for the County. This Project addressed and mitigated against severe erosion damage to local roadways, shoulders, and embankments. The work that was conducted by the County mitigated against any immediate threat/hazard to the damaged infrastructure and restored the infrastructure back to its pre-disaster condition in accordance with regulations. Attach any continuations or additional items as an Attachment to the electronic application and c-mail submittal. rage 6 of 211 CDRC-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 WELCO33 (689) 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 ...nr.-nnnr1 if khn re, h....l nnk knLnn the, nrewthen r..nno, khn.. rlfrl O 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 CDBC-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 WELCO33 (689) 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? [1 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? 1 Yes No Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 8 of 20 CDISC-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 arc not limited to: a Comprehensive Master Plan, a Stormwater Management Plan, a Hazard Mitigation Plans, or key community codes. Ifso, 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 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 any additional supporting backup documentation can be provided upon request. 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 any additional supporting backup documentation can be provided upon request. Please see below for environmental permits that were obtained. Floodplain Permit non Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 9 of 20 CDRC-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 13. Community Resilience: Please describe how this project will increase the resilience ofyour 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's. 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 124,000 topo map Parcel Map(Tax Map,Property Identification Map,etc.) Overview photographs. The photographs should be representative of the project area,including any relevant streams,creeks, rivers,etc.,and drainage areas which affect the project site of will be affected by the project. 15. Additional Comments(Optional): Enter any additional comments related to the proposed project's ability to reduce hazard risk and increase community resiliency. This proposed project reduced the hazard risk to the community and increased resiliency by the work conducted through the PW in correlation with FEMA-DR 4145. CDBG funds are being requested to be applied to the local FEMA Match (12.5%) for the PW. All maps are located in project files that were previously submitted and will be provided upon request. The entire community henefited from the nrnactive work by Weld County and the removal re Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 10 of 20 CDRC-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI: DECISION MAKING PROCESS I. Decision-Making Process: Describe the process you used to decide that this project is the best solution to the problem. Explain why this project is the best alternative you considered. Address questions such as: • Are you focusing on the area in your community that has the greatest potential for losses? • Have you considered the risks to critical facilities and structures and benefits to be obtained by mitigating this vulnerability? • have you considered those areas or projects that present the greatest opportunities given the current situation(s) of interest in your community? • Are you addressing a symptom or the source of the problem? Addressing the source of the problem is a long-term solution which provides the most mitigation benefits. • If impacts to the environment,natural,cultural or historic resources have been identified,explain how your alternatives and proposed project address,minimize,or avoid these impacts. The Site locations within this WELCO PW in the Proposed Project were identified due to the high dollar amount of funds that were expended by Weld County to ensure the safety of the community and also restore county infrastructure back to its pre-disaster condition. 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 Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page I I of 20 CDRG-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 WELCO33 (689). These costs were incurred as a result of FEMA-DR 4145. During the incident period of September 11, 2013 to September 30, 2013, Weld County, Colorado received heavy rainfall and debris in the creeks, streams and rivers which caused severe flooding to and along roadways and surface streets, and also severely damaged local infrastructure. This NOI Application request addresses the emergency work / damages that were a direct result of the severe flooding. A Scope of Work is included within the PW and addresses the work that was completed. 2. Community Priority: Please describe why this project is a priority for your organization. This Proposed Project is a priority for Weld County to utilize the CDBG funding as the Local FEMA Match to offset the costs for the proactive work done by the County to reduce hazardous conditions to the community. Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 12 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 3. Project Cost Summary: Please summarize the major cost components of the project. Please round all values to the nearest dollar. a. Planning/ Engineering/ Design $ b. Environmental Compliance $ The value of general and/or c. Real Property Acquisition/Demolition $ professional labor wages must be tabulated in accordance d. Closing Costs Legal Fees $ with the Davis Bacon Act of e. Housing Program Assistance $ 1931 I Construction Costs $ g. Project Delivery Costs $ h. Other(specify below) $ 73,988.94 See Project Worksheet Cost (attached) L Total of a-h $ 73,988.94 j. Duplication of Benefits(if unknown at time of application enter zero). $ 0.00 k. Subtract j. from i- to determine Total Project Cost $ 73,988.94 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: $ 73,988.94 Federal Cost Share: $ 55,491.70 State Cost Share: $9,248.62 $9.248.62 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 3l sst. Reports are due to the State within 15 days after the end of each quarter.) Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 13 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 7. Project Maintenance Requirements: The following questions are to give assurance on the project's maintenance over its useful life. Please answer each question and give a brief explanation. a. 1 f 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. 1Alalrl Cn..nhi nnnrninc !inrlar the mnni rn.-irintivo nrnnnriv Inv limit-Minn in ihn r•tnin Rnnirl n,fl Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 14 of 20 CDBC-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 I: Grant Process and Environmental Review Timeframe: 3 Months Task 2: Emergency Repairs-The initial emergency repairs were made directly ICompleted 9 Y P 9 Y PTimeframe: Task 3: Permanent Repairs- Becuase the emergency repairs werequick re ail Completed p 9 y p repaii p Task 4: Timeframe: Task : 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 3 Months report and findings will be provided to the grantee for review and concurrence. The Time Rome: 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 IS of 20 CDBC-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. I fa different start date or timeframe is needed,provide an explanation below.Also indicate if any pre- award activities or costs have been incurred or authorized. The proposed project is for local FEMA match dollars and the work has already been completed. The repairs for this site began as soon as the flood waters receded and the county crews were able to access the site. The initial phase of repairs were emergency in nature and began in September of 2013 and concluded during November of that same year. Permanent repairs for this site commenced the following year at the beginning of construction season and concluded in October of 2014. Additionally, cost have been incurred through the preparation of this NOI Application. Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. rage 16 of 20 CDBC-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: I. To ensure federal funds are used to place people of tow 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(6) 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 I lomeownership Opportunity Program (SHOP). In accordance with section I I(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. (I) 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 CDRC-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: U Information and financial services D Administrative and management activities • Environmental and other studies, resource identification,and the development of plans and strategies SI Most engineering and design costs associated with eligible projects • Inspections and testing of properties for hazards or defects • Project planning Q .`a ❑ Purchase of insurance ≥ ❑ Purchase of tools ❑ Technical assistance and training >e'• E .6 ❑ Interim assistance to arrest the effects of an imminent threat or physical deterioration in which the assistance W m o 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) �- ❑� 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[V-A) t ? Q Operating costs(e.g., maintenance, security, operation, utilities. furnishings,equipment,supplies, staff training Z = and recruitment, other incidental costs) Us ❑ Relocation costs ❑� Acquisition, repair, improvement,reconstruction,or rehabilitation when the facilities and improvements are in U place and will be retained in the same use without change in size or capacity of more than 20 percent ❑ Special projects directed to the removal of material and architectural barriers that restrict the mobility of and Gy accessibility to elderly and handicapped persons U ❑ 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 U Acquisition,repair, improvement,reconstruction,or rehabilitation when the facilities and improvements are in place,but will change in size or capacity of more than 20 percent ❑ Acquisition,repair, improvement, reconstruction,or rehabilitation when the facilities and improvements are in C W place,but will involve a change in land use, such as from non-residential to residential,commercial to n industrial, or from one industrial use to another m ❑ Demolition ❑ New construction This checklist must be included with the CDBG application. Please direct questions to the appropriate contact person below: DOLA/DLC DHSEM Steven 13oand,State Disaster Recovery Manager -fans Norton,Itnvironmental Compliance Officer Department of Public Safety Department of Local Affairs _ I}11 Sherman Street.Room 521, Divtswn of Homeland Security and Emergency Management Denver,CO 80207 9195 P.Mineral Ave,Suite 200 103-866-639H Centennial,CO 8111 12 720.852.6713 tamra.nortonLstate.co.us steven.boand(astate.co.us UPS/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 IS of 211 CDBC-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 any additional supporting backup documentation can be provided upon request. Please see below for environmental permits that were obtained. Floodplain Permit 404 Nationwide Permit Migratory Birds Permit (if needed) Threatened and Endangered Species Permit 0 Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 19 of 20 CDBC-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 WELCO33 (689). 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. Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 20 of 20 E _ N E 0 3 ° E E F o o E v a O 3 E z -_ 3 3 3 E Lgjig Hi;T. 0 00 0 0 > 0 0 Mggegg , , egmM g5 e °m °-, ° oMg1a o mfl ow ^ m m m m i m m w m m m m m a ^ m m m N 4 N N ,. N N a w �., . E4 F 3 0 0 0 f 0 o N NN NN F1A P .. N N N ... N UT '° - 3 0 ^ 3 o 0 3 ^ o 3 3 8 o o ^ o o 0 o N 3 o 3 o o e o ^ ^ a 3 0 o r m ^ ^ 3 3 3 3 2 ^ �. ^ a ^ m e ^ m N ^ N N N N �, �, m � � r r r r �, � �, m m m .. laRMEMPARIMECOMARWARRiiQAMUIR a a a a a a ¢ a a a a a a a a a a a a a a w w 2 w w f F F f w > w w w w w w F f 4 f f 2 F F F F 2 w w w f F F w > w w w w • �' . er• 1 • 1 _ elit 0 70 ',' i ._ y • . �. w w w�� I" r n`�•111! LL LL LL � e k!rielliiltit ii :41 99Frrt—t- - :41 '' .. . a it c • 'pi ellirehi• i .. . . os,it. 1, .0i, 2. NIA .\ r . . t.1 .lAra r 4 r.4.• : - • - • . , < fp tawk �N' v��.k Y TA ' �T • *Si :N2 ^ • 1 - ' fly � .t • • a �� •—i NI rl M' pl „i m — • Cl. 77: • _ a a a < a s a ` •J - - LL LL LL LL LL LL u. w = fit • •iu a #^ w w / / ,_ / _ 1• �l t � • i C N y _• 3 traIii I — • j `/ VO b• fit~ _. i 1 j _ ... LL U U N N Q r. C = c 0 - to co a) 1O 9 C Federal Emergency Management Agency E-Grants Page I of 22 PA-08-CO-4145-PW-00689(2) F' Applicant Name: Application Title: WELD(COUNTY) WELCO33-BR 19-46 over Big Dry Creek Period of Performance Start: Period of Performance End: 09-14-2013 Subgrant Application - Entire Application Application Title: WELCO33-BR 19-4B over Big Dry Creek Application Number: PA-08-CO-4145-PW-00699(2) Application Type: Subgrant Application(PW) Preparer Information Prefix First Name Ken Middle Initial Last Name Beebe Title Agency/Organization Name FEMA 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 PO BOX 758 Address 2 City Greeley State CO ZIP 80632 https://isource.fema.net/emmic/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 2 of 22 Phone 970-304-6540 Fax Email rrudisill@weldgov.com Alternate Point of Contact Information Prefix First Name Middle Initial Last Name Title Agency/Organization Address 1 Address 2 City State ZIP Phone Fax Email Project Description Disaster Number: 4145 Pre-Application Number: PA-08-CO-4145-RPA-0088 Applicant ID: 123-99123-00 Applicant Name: WELD (COUNTY) Subdivision: Project Number: WELCO33 Standard Project Number/Title: 399- Road System Damage Please Indicate the Project Type: Neither Alternate nor Improved Application Title: WELCO33-BR 19-4B over Big Dry Creek Category: C.ROADS & BRIDGES Percentage Work Completed? 50.0 % As of Date: 11-14-2013 Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference KATHLEEN 02-27- Map Location WELCO33_Location Map.pdf View RUVARAC 2014 (104.64 kb) Damage Facilities (Part 1 of 2) Site https:iiisource.fema.netiemmie'dispatchDestination.do:'menuTi le=&topTile=dsHeader&h... 10/28/2014 Federal Emergency Management Agency E-Grants Page 3 of 22 Facility Facility Name Address County City State ZIP Previously Action Number Damaged? 1 BR 19-4B over Big Dry Creek Weld CO No Comments Attachments User Date Document Type Description Hard Copy File File Name Action Reference KATHLEEN 02-27- Photos WELCO33_Photo Sheet View RUVARAC 2014 01.pdf(181.44 kb) KATHLEEN 02-27- Photos Applicant's Photos.pdf View RUVARAC 2014 (1.21 Mb) KATHLEEN 02-27- Bridge BR-19-4B Rep View—Bridge RUVARAC 2014 Survey/Document Inspection Mb) Facility Name: BR 19-4B over Big Dry Creek Address 1: Address 2: County: Weld City: State: CO ZIP: Was this site previously damaged? No Percentage Work Completed? 95.00 % PA-08-CO-4145-PW-00689(0): This project worksheet addresses damages to Bridge WEL019.0-004-B over Big Dry Creek, in Section 28,T1 N, R67W. Lat: N40.02878 Long: -W104.88613 Location: PA-08-CO-4145-PW-00689(1): *'***Version 1 PA-08-CO-4145-PW-00689(2): Version 2***** PA-08-C O-4145-PW-00689(0): During the incident period of September 11, 2013 to September 30, 2013, Weld County, Colorado received heavy rainfall and debris in the creeks, streams and rivers which caused damage to numerous roads and bridges in Weld County. This project worksheet addresses damages to Bridge WEL019.0-004-B over Big Dry Creek, in Section 28, T1 N, R67W. On November 14, 2013, Kathleen Ruvarac, FEMA TAC Bridge Specialist, David Ray, FEMA Hazard Mitigation Specialist, Gary Moore, FEMA Environmental, Historic Preservation Specialist and Donald Dunker, Weld County Public Works Engineer, performed a site investigation at this https: iisource.fema.netiemmicidispatchDestination.do?menuTile=&topTile=dsHeader&b... I O/28i2014 Federal Emergency Management Agency E-Grants Page 4 of 22 location to document damages. The bridge was open and repairs completed at the time of inspection. Lat: N40.02878 Long: -W104.88613 Flooding of the Big Dry Creek resulted in damages on CR 19.0 include washout of asphalt, roadway base and embankment material within the deck area and in front of the backwall in the northbound lane of Bridge W EL019.0-004.08. The 29.8 ft long x 32 ft wide steel structure traverses the Big Dry Creek in Weld County, CO. The bridge is a single (1) span bridge consisting of a 7 inch asphalt overlay on corrugated steel deck, seven (7)—W24x68 steel girders, sheet pile backwall supported by eight (8)with 10 inch x 10 inch steel H piles abutments and wing walls. The deck is flanked on both sides with a galvanized W rail beam on 5.25 inch x 8 inch steel posts. Asphalt Patch on the northbound and southbound travel lanes measured 31 ft Lx 14.5 ft W=449.5 SF x 0.6 ft D = 269.7 CF x 146 LB/CF x1 ton/2000 LB = 19.7 tons asphalt Embankment Material lost within the deck area and in front of the backwall in the northbound lane is estimated 15 ft L x 14.5 ft W x 8.1 ft D = 65.3 CY. Rip Rap was washed away at the north and south abutments estimated to Damage Description and Dimensions. be 40 ft L x 10 ft W towards the channel x 3 ft D x2 abutments = 88.9 CY Recent bridge inspection report was provided by the applicant dated May 21, 2012. The bridge was built in 1984 and had a sufficiency rating of 62.4, Structurally Deficient in 2012. 2012 inspection notes of elements include: bridge deck and approach railing inadequate, pavement on deck is cracking, potholes on deck, beams, sheet pile light rusting. R3-R4 rust on south backwall (A1), Backwall at north abutment (A2) is bulging with rust from mudline up 3 feet. Rust showing on piles at and below water line. Southwest wingwall is encased in asphalt, northwest wingwall is bulging at the top approx. 1 ft. The deck condition is noted as satisfactory(6)on a scale of 0 to 9. The superstructure is noted as satisfactory (6) and substructure is noted as poor(4). The channel banks were observed to be in need of minor repairs (7). Maintenance items included sealing of crack in deck overlay at ends of deck, railing replacement, encasing piles and abutment backwalls in concrete. The Applicant has provided pictures of the facilities documenting damages. These photos are attached to this project worksheet. PA-08-CO-4145-PW-00689(1): ***** Version 1 ***** PA-08-CO-4145-P W-00689(2): *****Version 2 * *** PA-08-CO-4145-P W-00689(0): WORK TO BE COMPLETED: 1 —Fill embankment material lost in roadway travel lanes, embankment and shoulders—65.3 CY x 1.82 (Conversion Factor CY ABC Class 6 Material to Tons = 118.8 tons x$33.70/ton (CDOT Item Number 304- 06000 Aggregate Base Course Class 6 x 2 due to economies of scale as compared with number of CDOT annual projects) = $4,003.56 https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b_. I O/28/2014 Federal Emergency Management Agency E-Grants Page 5 of 22 2—Replace asphalt on travel lanes = 19.7 tons x $81.70/ton (CDOT Item Number 403-33741 Hot Bituminous Pavement (Grading S)(75) (PG 64- 22) = $1,609.49. The applicant indicated that the debris would be disposed of at its landfill in Kennesburg, Colorado. Tree limbs, etc. would be disposed of at A-1 Organics Rattler Ridge, 12002 CR 59, Kennesburg, CO. Solid Waste would be disposed of at Waste Management- Buffalo Ridge Landfill, 11655 CR 59, Keenesburg, CO. 3- Replace Rip Rap north and south abutments = 88.9 CY x$83.17/CY (Rip Rap 18 inch CDOT Item Number 506-00218) = $7,393.81 Total = $13,006.86 cost estimate prepared by project specialist using 2013 CDOT Average Unit Prices Project Notes 1. During repair or reconstruction, applicant may incur increased costs related to clearing and grubbing, placement of topsoil, erosion and sedimentation control, sanitary facilities, dewatering mobilization and flagging/traffic control. Such costs are generally addressed in the "in-place" unit costs of repair or reconstruction items, and not specifically addressed in the Scope of Work. However, if a project requires an extraordinary use of any such items, to where a specific reference in the PW should be considered, applicant is advised to contract Colorado Department of Emergency Management requesting a revision to the PW's Scope of Work. 2. 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 Scope of Work: estimate for the work accomplished". Applicant 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. 3. The Applicant will notify FEMA and the State of their intent to perform permanent work related to this site before any work commences in the field. Failure to do so may jeopardize the sub-grant for permanent work related to the work in this sub-grant. 4. 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. 5. The applicant must obtain all required federal, state, and local permits prior to the commencement of work. 6. 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. 7. Payment for small projects is made at the time of project approval, based on validated documentation included in the PW, including documents, site visit observations and/or photos. At the time that this PW was written, no documentation was available regarding DAC. Since DAC https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 6 of 22 can only be validated through documentation provided by the applicant, no allowance was included. 8. Project was reviewed for 406 Hazard Mitigation and a hazard mitigation proposal is attached to this project worksheet. 9. The applicant is aware that all projects are subject to an insurance review as stated in 44 C.F.R. Sections 206.252 and 206.253. If applicable, an insurance determination will be made either as anticipated proceeds or actual proceeds in accordance with the applicant's insurance policy that may affect the total amount of the project. 10. The applicant is required to adhere to State and Federal Government Procurement rules and regulations and maintain adequate records to support the basis for all purchasing of goods and materials and contracting services for projects approved under the Public Assistance program, as stated in 44 CFR 13.36. The applicant has advised they have followed their normal procurement procedures PA-08-CO-4145-PW-00689(1): *****Version 1 ***** This version is written to capture additional costs that were not identified in the original project or sub-grant application. This version is written to also capture a hazard mitigation proposal for project 00689. Work to be Completed: The original scope of work did not include any excavation for the placement of rip-rap, cost for muck excavation identified in CDOT costs (203-00100)at$13.77 per cubic yard. Approximate dimensions for excavation for placement of rip-rap at the west side of the bridge on the north end is 20ft long x 5ft wide x 1 ft deep (20 x 5 x 1 = 100 divided by 27 = 3.7cy or rounding up 4cy)dimensions for excavation for placement of rip- rap at the west side of the bridge on the south ends are approximately 30ft long x 15ft wide x 15ft deep (30 x 15 x 15 = 6,750 divided by 27 = 250cy) for a total of 254cy of excavation to place rip-rap. CDOT costs (203-00100)muck excavation @$13.77 per cubic yard x 254cy= $3,497.58 The original scope of work did not include fill dirt(or top soil)to cover the rip-rap after placement. Approximate dimensions for placement of fill dirt at the west side of the bridge on the north end is 20ft long x 30ft wide x 2ft deep (20 x 30 x 2 = 1,200 divided by 27 = 44cy) dimensions for excavation for placement of fill dirt at the west side of the bridge on the south ends are approximately 20ft long x 30ft wide x 2ft deep (20 x 30 x 2 = 1,200 divided by 27 =44cy)for a total of 88cy. CDOT costs (207-00205)topsoil @ $10.69 per cubic yard x 88cy = $940.72. The proposed erosion control mitigation measure for the referenced site will be accomplished by installing filter fabric underneath the rip-rap, top-soil to cover the voids and vegetated-mat over the rip-rap to reduce rip-rap displacement and future erosion in similar events. Using this erosion control mitigation technique will also reduce the impact on the Preble's Mouse habitat or range as required by the Endangered Species Act(ESA)& regulations in the state of Colorado. Cost for engineering is being added in this Version utilizing figure 4 in the 322 on page 60 which states (curve B, compensation for basic services expressed as a percentage of construction cost for projects of average https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 7 of 22 complexity)which states over$10,000.00 but under$50,000.00 adds a 15% cost on the final project dollar. 15% x$18,868.16 (the final dollar for this project with Version costs added in total) = $2,830.22 The original scope of work did not take into consideration the need for traffic control during the repair process. Project specialist estimates 2 days at 10 hours per day to be potentially sufficient to complete the repairs. CDOT costs(630-00003)uniformed traffic control @ $71.15 per hour, 2 days x 10 hours = 20 hours x$71.15 = $1,423.00 Total cost for this Version: $8,691.52 PA-08-CO-4145-PW-00689(2): ***** Version 2 ' *** This version of the PW is being written in regard to the applicant's request to update the cost of Construction and Engineering based on actual costs. See version 1 for original request. It should be noted that the bid estimate included a bid item "Concrete Facing" and was bid at$66,234.00 which the applicant is not claiming. The low bid cost for construction is $93,542.00 minus $66,234.00 (concrete facing) equal $27,308.00 and awarded to AISA Civil. After several discussions with the applicant and understanding why they are requesting $27,308.00 for construction and $18,150.94 for engineering, FEMA has determined that their total request is fair and reasonable and is eligible for FEMA funding. The total eligible cost for Construction is$27,308.00. The total eligible cost for engineering is $18,150.94. NOTE: The applicant has submitted a bid sheet document with all bids and a detailed document showing a breakdown of hours and costs for engineering. The applicant has stated in an e-mail that there are no costs submitted for engineering in regard to the concrete facing on the abutment. Version 1 costs for Material and Contract ($940.72 + 7,750.80 = $8,691.52)will be de-obligated because all costs for this request are captured in version 2. Comments and Attachments 689 version 2 -Bid Summary 689 version 2—Bohannan Huston Hourly Breakdown and Cost Estimate (Exhibit B) 689 version 2— Bid Tab for Bridge 19/46 Hazard Mitigation Proposal Is effective mitigation feasible on this site? No If you answered Yes to the above question, the next question is required Will mitigation be performed on this site? No If you answered Yes to the above question, the next question is required Do you wish to attach a Hazard Mitigation No Proposal? If you answered Yes to the above question, the next two questions are required Please provide the Scope of Work for the Project was reviewed for 406 Hazard Mitigation and cost for https://isource.fema.net'emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 8 of 22 estimate: the replacement of rip rap is included in the permanent repair (maximum 4000 characters) cost estimate. Would you like to add the Hazard Mitigation No Proposal as a cost line item to the project cost? GIS Coordinates Project Location Latitude Longitude BR 19-4B over Big Dry Creek 40.02878 -104.88613 Special Considerations 1. Does the damaged facility or item of work have insurance coverage and/or is it an insurable No risk (e.g., buildings, equipment, vehicles, etc)? 2. Is the damaged facility located within a floodplain or coastal high hazard area and/or does it Yes have an impact on a floodplain or wetland? If you would like to make any comments, please enter them below. (maximum 4000 characters) Zone A-Areas between limits of the 100 year flood; base flood elevations and flood hazard factors not determined. Flood Map Panel 0802660980C dated September 28, 1982 3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier No Resource System Unit or an Otherwise Protected Area? 4. Will the proposed facility repairs/reconstruction change the pre-disaster conditions (e.g., No footprint, material, location, capacity, use of function)? 5. Does the applicant have a hazard mitigation proposal or would the applicant like technical No assistance for a hazard mitigation proposal? 6. Is the damaged facility on the National Register of Historic Places or the state historic listing? No Is it older than 50 years?Are there more, similar buildings near the site? 7. Are there any pristine or undisturbed areas on, or near, the project site?Are there large tracts No of 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 Yes and/or item of work? If you would like to make any comments, please enter them below. (maximum 4000 characters) EHP to conduct review Attachments User Date Document Description Hard Copy File File Name Action Type Reference KATHLEEN 02-27- Floodplain Firmette.pdf(181.17 View RUVARAC 2014 kb) For Category C, D, E, F, and G Projects only Is effective mitigation feasible on this project? Yes If you answered Yes to the above question, the next question is required Will mitigation be performed on any sites in this Yes project? If you answered Yes to the above question, the next question is required Do you wish to attach a Hazard Mitigation Yes Proposal? https://i source.fema.net/emm i e/di spatch Destination.do?menuT i le=&topTi le=ds H eader&b... 10/28/2014 Federal Emergency Management Agency F-Grants Page 9 of 22 If you answered Yes to the above question, the next two questions are required 7/2/14 - Mark W. Petitt, 406 Specialist Revised HMP (see Attachments)Site#1: Severe flooding in Weld County during the incident period of SEPTEMBER 11th, 2013 TO SEPTEMBER 30th, 2013 resulted in flooding of the Big Dry Creek which resulted in damages to CR 19.0 include washout of asphalt, roadway base and embankment material within the deck area and in front of the backwall in the northbound lane of Bridge WEL019.0-004.08. Asphalt Patch on the northbound and southbound travel lanes measured 31 ft L x 14.5 ft W=449.5 SF x 0.6 ft D = 269.7 CF x 146 LB/CF x1 ton/2000 LB = 19.7 tons asphalt Embankment Material lost within the deck area and in front of the backwall in the northbound lane is estimated 15 ft L x 14.5 ft W x 8.1 ft D = 65.3 CY. Rip Rap was washed away at the north and south abutments on the west side, estimated to be 40 ft L x 10 ft W towards the channel x 3 ft D x 2 abutments= 88.9 CY. This mitigation proposal includes placing approximately 210 square yards (21 x 30 = 630 divided by 9 =70sy x 3 = 210sy) of GEOTEXTILE FABRIC at three corners of the bridge (on the west side of the bridge both north and south ends and on the east side of the bridge on the north end) along with additional rip-rap at the same locations measuring approximately 30ft long x 20ft wide x 3ft deep (30 x 20 x 3 = 1,800cf/27 = 67cy x 3= 201 cy total). THIS MITIGATION WILL ELIMINATE OR GREATLY REDUCE THE CHANCES THAT THIS TYPE OF DAMAGE WILL OCCUR AT THIS LOCATION DURING A FUTURE, SIMILAR EVENT. The cost Please provide the Scope of Work of these mitigation measures is: $15,523.14 The cost of for the estimate: returning the site to pre-disaster condition is: $18,200.80 Cost Effectiveness Ratio: 85.29% This Hazard Mitigation Proposal (HMP) is 85.29% of the repair and restoration costs. In accordance with FEMA Recovery Policy 9526.1, VII. B.2. "certain mitigation measures (are) determined to be cost effective, as long as the mitigation measure does not exceed 100% of the eligible cost of the eligible repair work on the project."The proposed mitigation measures at this site includes Appendix A paragraph#A.5. This HMP is cost effective and technically feasible. The proposed erosion control mitigation measure for the referenced site will be accomplished by installing filter fabric underneath the rip-rap, top-soil to cover the voids and vegetated-mat over the rip-rap to reduce rip-rap displacement and future erosion in similar events. Using this erosion control mitigation technique will also reduce the impact on the Preble's Mouse habitat or range as required by the Endangered Species Act (ESA) & regulations in the state of Colorado. If this HMP is approved, and the mitigation is not performed, the Applicant must apply for a change in the Scope or Work and de&#8208;obligation of the HMP funding (RE: 9526.1.VII.C.). Failure to complete the work of the HMP may limit future FEMA funding of repairs at the site, in the event that a similar disaster event results in similar damage at the site (PA Guide A&#8208;43). This HMP is for estimating purposes only. If the site's final placement and configuration are different than the preliminary estimate, the applicant should submit a change in scope request. This HMP is subject to further review prior to award. Would you like to add the Hazard Mitigation No Proposal as a cost line item to the project cost? https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 10 of 22 Comments 5/28/14 The applicant has accomplished mitigation through good construction practices at no additional cost to FEMA.Therefore, the placeholder status has been removed. J.Malone/406 Attachments User Date Document Description Hard Copy File File Name Action Type Reference STEFANIE 07-02- Version 1 Version 1 Copy of HMP SCHNEIDER 2014 HMP Weld County.xlsx(51.40 kb) View Cost Estimate Is this Project Worksheet for (Preferred) Repair Material Unit Unit of Subgrant Cost Sequence Code and/or Quantity Measure Unit Price Budget Class Type Estimate Action Description ***Version 0*** Work To Be Completed Aggregate Work To 1 9999 Base Course 118.8 TON $ 33.70 CONSTRUCTION Be $4,003.56 Completed Work To 2 9999 Asphalt 19.7 TON $81.70 CONSTRUCTION Be $ 1,609.49 Completed Work To 3 9999 Rip Rap 88.9 CY $ 83.17 CONSTRUCTION Be $ 7,393.81 Completed ***Version 1 *** Other 4 9009 Material 1 LS $940.72 SUPPLIES Other $940.72 5 9001 Contract 1 LS 7,750.80 CONTRACTUAL Other $ 7,750.80 6 0909 Mitigation 1 LS 15,523.14 OTHER Other $ 15,523.14 ***Version 2 *** Other 7 9999 De obligate 1 LS $ Other $-8,691.52 Version 1 8,691.52 8 9999 Construction 1 LS 27,308.00 Other $27,308.00 9 9999 Engineering 1 LS 18,150.94 Other $ 18,150.94 Total Cost : $ 73,988.94 Insurance Adjustments (Deductibles, Proceeds and Settlements)-5900/5901 Subgrant Se uence Code Material and/or Descri tion Unit Unit of Unit Budget Type Cost qAction p Quantity Measure Price Clas Estimate s https:, isource.tema.net/emnlie'dispatchDestination.do"menuTile=&topTile=dsHeader&b... 10128/2014 Federal Emergency Management Agency F-Grants Page I I of 22 Total Cost : $0.00 Hazard Mitigation Proposal -0909 Subgrant Sequence Code Material and/or Description Unit Unit of Unit Bud Budget Type Cost Action q p Quantity Measure Price Clas yp Estimate s Total Cost : $0.00 Total Cost Estimate: $73,988.94 (Preferred Estimate Type+Insurance Adjustments) Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference KATHLEEN 02-27- Weld County-2013 CDOT RUVARAC 2014 Miscellaneous Average Unit Prices.pdf View (37.37 kb) STEFANIE 07-02- Version 1 PW 689 Version 1 Cost View SCHNEIDER 2014 Cost Data Data.pdf(1011.36 kb) Existing Insurance Information Insurance Type Policy No. Bldg/Property Content Insurance Deductible Years Amount Amount Amount Amount Required Comments On file at JFO Attachments Comments and Attachments Name of Section Comment Attachment Preparer Information WELCO33 signed.pdf Project Description WELCO33 Location Map.pdf WELCO33 Photo Sheet 01.pdf Damage Facilities Applicant's Photos.pdf BR-19-4B Bridge Inspection Report.pdf Special Considerations Firmette.pdf 5/28/14 The applicant has accomplished mitigation Mitigation through good construction practices at no additional Version 1 Copy of HMP Weld cost to FEMA.Therefore, the placeholder status has County.xlsx been removed.J.Malone/406 Weld County - 2013 CDOT Cost Estimate Average Unit Prices.pdf PW 689 Version 1 Cost Data.pdf Insurance Information On file at JFO https:':/isource.fema.net:/emmie/dispatchDestination.do?mentiTile=&topTile=dsHeader&h... 10/28/2014 Federal Emergency Management Agency E-Grants Page 12 of 22 PW 689 V.0-1 - Entire Application.pdf VER 2 PW 00689 Cover Sheet Corrected.docx 689 version 2 Bid Summary.pdf 689 version 2 Bid Tab for Bridge 194B.pdf 689 version 2 Bohannan Huston Hourly Breakdown and Cost Estimate (Ehxibit B).pdf Version 2 PW 689 123639 0 6.pdf Form 90-91 Version 2 PW 689 BHI Work Order 2 Signed.pdf Version 2 PW 689 Bohannan Huston executed agreement.pdf Version 2 PW 689 Drawings.pdf Version 2 PW 689 Dry Creek Bid Tabs.xls Version 2 PW 689 DRY CREEK FLOOD RECOVERY PROJECT- 118.pdf Version 2 PW 689 Special Provisions 1.pdf Version 2 PW 689 Special Provisions 2.pdf Bundle Reference#(Amendment#) Date Awarded PA-08-CO-4145-State-0089(88) 10-24-2014 Subgrant Application - FEMA Form 90-91 Note: The Effective Cost Share for this application is 75% FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT WORKSHEET DISASTER PROJECT NO. PA ID NO. DATE CATEGORY WELCO33 123-99123- 10-09-2014 C FEMA 4145 - DR -CO 00 APPLICANT:WELD(COUNTY) WORK COMPLETE AS OF: 11-14-2013:50 Site 1 of 1 DAMAGED FACILITY. COUNTY: Weld BR 19-4B over Big Dry Creek LOCATION LATITUDE LONGITUDE: 40.02878 -104.88613 PA-08-CO-4145-PW-00689(0): This project worksheet addresses damages to Bridge WEL019.0-004-B over Big Dry Creek.in Section 28,T1N,R67W. Lat N40.02878 Long: -W104 88613 PA-08-CO-4145-PW-00689(1): Version 1 https:-:isource tema.netiemmie/dispatchDestination.do'n1enuTile=&topTile=dsHcader&b... 10/28 2014 Federal Emergency Management Agency E-Grants Page 13 of 22 PA-08-CO-4145-PW-00689(2): Version 2'^" DAMAGE DESCRIPTION AND DIMENSIONS: PA-08-CO-4145-PW-00689(0). During the incident period of September 11,2013 to September 30,2013,Weld County,Colorado received heavy rainfall and debris in the creeks,streams and rivers which caused damage to numerous roads and bridges in Weld County. This project worksheet addresses damages to Bridge WEL019.0-004-B over Big Dry Creek,in Section 28,TIN, R67W. On November 14,2013.Kathleen Ruvarac,FEMA TAC Bridge Specialist, David Ray, FEMA Hazard Mitigation Specialist,Gary Moore.FEMA Environmental,Historic Preservation Specialist and Donald Dunker.Weld County Public Works Engineer,performed a site investigation at this location to document damages. The bridge was open and repairs completed at the time of inspection. Lat: N40.02878 Long. -W104.88613 Flooding of the Big Dry Creek resulted in damages on CR 19.0 include washout of asphalt,roadway base and embankment material within the deck area and in front of the backwall in the northbound lane of Bridge WEL019.0-004.08. The 29.8 ft long x 32 ft wide steel structure traverses the Big Dry Creek in Weld County,CO. The bridge is a single(1)span bridge consisting of a 7 inch asphalt overlay on corrugated steel deck,seven(7)—W24x68 steel girders,sheet pile backwall supported by eight(8)with 10 inch x 10 inch steel H piles abutments and wing walls.The deck is flanked on both sides with a galvanized W rail beam on 5.25 inch x 8 inch steel posts. Asphalt Patch on the northbound and southbound travel lanes measured 31 ft L x 14.5 ft W=449.5 SF x 0.6 ft D=269.7 CF x 146 LB/CF x 1 ton/2000 LB=19.7 tons asphalt Embankment Material lost within the deck area and in front of the backwall in the northbound lane is estimated 15 ft L x 14.5 ft W x 8.1 ft D= 65.3 CY Rip Rap was washed away at the north and south abutments estimated to be 40 ft L x 10 ft W towards the channel x 3 ft D x 2 abutments= 889 CV Recent bridge inspection report was provided by the applicant dated May 21,2012.The bridge was built in 1984 and had a sufficiency rating of 62 4, Structurally Deficient in 2012. 2012 inspection notes of elements include:bridge deck and approach railing inadequate, pavement on deck is cracking,potholes on deck, beams,sheet pile light rusting.R3-R4 rust on south backwall(Al), Backwall at north abutment(A2)is bulging with rust from mudline up 3 feet. Rust showing on piles at and below water line.Southwest wingwall is encased in asphalt.northwest wingwall is bulging at the top approx. 1 ft.The deck condition is noted as satisfactory(6)on a scale of 0 to 9. The superstructure is noted as satisfactory(6)and substructure is noted as poor(4).The channel banks were observed to be in need of minor repairs(7). Maintenance items included sealing of crack in deck overlay at ends of deck, railing replacement,encasing piles and abutment backwalls in concrete. The Applicant has provided pictures of the facilities documenting damages. These photos are attached to this project worksheet. PA-08-CO-4145-PW-00689(1)'. PA-08-CO-4145-PW-00689(2): "^'Version 2 SCOPE OF WORK: PA-08-CO-4145-PW-00689(0): WORK TO BE COMPLETED'. 1 -Fill embankment material lost in roadway travel lanes,embankment and shoulders-65.3 CY x 1.82(Conversion Factor CY ABC Class 6 Material to Tons=118.8 tons x$33.70/ton(CDOT Item Number 304-06000 Aggregate Base Course Class 6 x 2 due to economies of scale as compared with number of CDOT annual projects)=$4,003.56 2—Replace asphalt on travel lanes=19.7 tons x$81 70/ton(CDOT Item Number 403-33741 Hot Bituminous Pavement(Grading S)(75)(PG 64-22)=$1,609.49.The applicant indicated that the debris would be disposed of at its landfill in Kennesburg,Colorado.Tree limbs,etc.would be disposed of at A-1 Organics Rattler Ridge, 12002 CR 59,Kennesburg,CO. Solid Waste would be disposed of at Waste Management- Buffalo Ridge Landfill. 11655 CR 59.Keenesburg,CO. 3-Replace Rip Rap north and south abutments=88.9 CY x$83.17/CY(Rip Rap 18 inch CDOT Item Number 506-00218)=$7,393.81 Total=$13,006.86 cost estimate prepared by project specialist using 2013 CDOT Average Unit Prices Project Notes https://isource.fema.net/emmie/dispatchDestination.do'?mcnuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 14 of 22 1. During repair or reconstruction.applicant may incur increased costs related to clearing and grubbing, placement of topsoil,erosion and sedimentation control,sanitary facilities,dewatering mobilization and flagging/traffic control.Such costs are generally addressed in the"in- place"unit costs of repair or reconstruction items,and not specifically addressed in the Scope of Work.However,if a project requires an extraordinary use of any such items,to where a specific reference in the PW should be considered,applicant is advised to contract Colorado Department of Emergency Management requesting a revision to the PW's Scope of Work. 2. 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 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 COOT average in-place cost for materials. 3. The Applicant will notify FEMA and the State of their intent to perform permanent work related to this site before any work commences in the field.Failure to do so may jeopardize the sub-grant for permanent work related to the work in this sub-grant. 4. 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. 5 The applicant must obtain all required federal,state,and local permits prior to the commencement of work. 6. 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. 7. Payment for small projects is made at the time of project approval,based on validated documentation included in the PW,including documents,site visit observations and/or photos. At the time that this PW was written,no documentation was available regarding DAC. Since DAC can only be validated through documentation provided by the applicant, no allowance was included. 8. Project was reviewed for 406 Hazard Mitigation and a hazard mitigation proposal is attached to this project worksheet, 9. The applicant is aware that all projects are subject to an insurance review as stated in 44 C.F.R.Sections 206.252 and 206.253. If applicable,an insurance determination will be made either as anticipated proceeds or actual proceeds in accordance with the applicant's insurance policy that may affect the total amount of the project. 10. The applicant is required to adhere to State and Federal Government Procurement rules and regulations and maintain adequate records to support the basis for all purchasing of goods and materials and contracting services for projects approved under the Public Assistance program,as stated in 44 CFR 13.36.The applicant has advised they have followed their normal procurement procedures PA-08-CO-4145-P W-00689(1)_ Version 1 '-**** This version is written to capture additional costs that were not identified in the original project or sub-grant application. This version is written to also capture a hazard mitigation proposal for project 00689. Work to be Completed' The original scope of work did not include any excavation for the placement of rip-rap.cost for muck excavation identified in COOT costs(203- 00100)at$13.77 per cubic yard. Approximate dimensions for excavation for placement of rip-rap at the west side of the bridge on the north end is 20ft long x 5ft wide x 1 ft deep(20 x 5 x 1 = 100 divided by 27=3.7cy or rounding up 4cy)dimensions for excavation for placement of rip-rap at the west side of the bridge on the south ends are approximately 30ft long x 15k wide x 15ft deep(30 x 15 x 15=6.750 divided by 27 =250cy)for a total of 254cy of excavation to place rip-rap. CDOT costs(203-00100)muck excavation @$13.77 per cubic yard x 254cy=$3,497.58 The original scope of work did not include fill dirt(or top soil)to cover the rip-rap after placement. Approximate dimensions for placement of fill dirt at the west side of the bridge on the north end is 20k long x 30ft wide x 2ft deep(20 x 30 x 2=1,200 divided by 27=44cy)dimensions for excavation for placement of fill dirt at the west side of the bridge on the south ends are approximately 20ft long x 30ft wide x 2ft deep(20 x 30 x 2= 1,200 divided by 27=44cy)for a total of 88cy. CDOT costs(207-00205)topsoil @$10.69 per cubic yard x 88cy=$940.72.The proposed erosion control mitigation measure for the referenced site will be accomplished by installing filter fabric underneath the rip-rap,top-soil to cover the voids and vegetated-mat over the rip- rap to reduce rip-rap displacement and future erosion in similar events. Using this erosion control mitigation technique will also reduce the impact on the Preble's Mouse habitat or range as required by the Endangered Species Act(ESA)8 regulations in the state of Colorado, Cost for engineering is being added in this Version utilizing figure 4 in the 322 on page 60 which states(curve B,compensation for basic services expressed as a percentage of construction cost for projects of average complexity)which states over$10,000.00 but under $50,000.00 adds a 15%cost on the final project dollar. 15%x$18,868 16(the final dollar for this project with Version costs added in total)_$2,830.22 The original scope of work did not take into consideration the need for traffic control during the repair process. Project specialist estimates 2 days at 10 hours per day to be potentially sufficient to complete the repairs. CDOT costs(630-00003)uniformed traffic control @$71 15 per hour,2 days x 10 hours=20 hours x$71.15=$1,423.00 Total cost for this Version' $8,691.52 PA-08-CO-4145-PW-00689(2). https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency F-Grants Page 15 of 22 *****Version 2 This version of the PW is being written in regard to the applicant's request to update the cost of Construction and Engineering based on actual costs. See version 1 for original request. It should be noted that the bid estimate included a bid item"Concrete Facing"and was bid at $66,234.00 which the applicant is not claiming. The low bid cost for construction is$93,542.00 minus$66,234.00(concrete facing)equal $27,308.00 and awarded to AISA Civil. After several discussions with the applicant and understanding why they are requesting$27,308.00 for construction and$18,150.94 for engineering, FEMA has determined that their total request is fair and reasonable and is eligible for FEMA funding The total eligible cost for Construction is$27,308.00. The total eligible cost for engineering is$18,150.94. NOTE The applicant has submitted a bid sheet document with all bids and a detailed document showing a breakdown of hours and costs for engineering. The applicant has stated in an e-mail that there are no costs submitted for engineering in regard to the concrete facing on the abutment. Version 1 costs for Material and Contract($940.72+7,750.80=$8,691.52)will be de-obligated because all costs for this request are captured in version 2. Comments and Attachments 689 version 2-Bid Summary 689 version 2-Bohannan Huston Hourly Breakdown and Cost Estimate(Exhibit B) 689 version 2-Bid Tab for Bridge 19/48 Does the Scope of Work change the pre-disaster conditions at the site? Yes No Special Considerations included? Yes No Hazard Mitigation proposal included? Yes No Is there insurance coverage on this facility? Yes No PROJECT COST ITEM CODE NARRATIVE QUANTITY/UNIT UNIT PRICE COST 'Version 0*** Work To Be Completed 1 9999 Aggregate Base Course 118.8/TON $33.70 $4,003.56 2 9999 Asphalt 19.7/TON $ 81.70 $ 1,609.49 3 9999 Rip Rap 88.9/CY $83.17 $ 7,393.81 *** Version 1 *** Other 4 9009 Material 1/LS $940.72 $940.72 5 9001 Contract 1/LS $ 7,750.80 $ 7,750.80 6 0909 Mitigation 1/LS $ 15,523.14 $ 15,523.14 ***Version 2 *** Other 7 9999 De-obligate Version 1 1/LS $ -8,691.52 $ -8,691.52 8 9999 Construction 1/LS $27,308.00 $27,308.00 9 9999 Engineering 1/LS $ 18,150.94 $ 18,150.94 TOTAL $ 73,988.94 COST PREPARED BY Ken Beebe TITLE SIGNATURE APPLICANT REP. Roy Rudisill TITLE Director-OEM SIGNATURE WELD (COUNTY) : PA-08-CO-4145-PW-00689 https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency F-Grants Page 16 of 22 Conditions Information Review Name Condition Type Condition Name Description Monitored Status The applicant is responsible for verifying and compliance with all permit requirements, including permit conditions, pre- construction notification requirements and regional conditions as provided by the US Army Corps of Engineers (USACE). The applicant is Clean Water Act responsible for implementing, Final Review Other(EHP) (CWA) monitoring, and maintaining all No Approved Best Management Practices (BMP's) and Pre-Construction Notification (PCN) conditions of applicable Nation Wide Permits (NWP). This is to include any requirements per the Colorado Department of Public Health and Environment 401 Water Quality Certification for Clean Water Act permits. This review does not address all federal, state and local requirements.Acceptance of federal funding requires recipient Final Review Other(EHP) Standard to comply with all federal, state No Approved Condition #2 and local laws. Failure to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. Any change to the approved Standard scope of work will require re- Final Review Other(EHP) Condition#1 evaluation for compliance with No Approved NEPA and other Laws and Executive Orders. Applicant is responsible for Executive Order coordinating with the local Final Review Other (EHP) 11988- floodplain manager. All required No Approved Floodplains permits should be maintained as part of the permanent record. The applicant is responsible for verifying and compliance with all permit requirements, including permit conditions, pre- construction notification requirements and regional conditions as provided by the US Final Review Other(EHP) Clean Water Act Army Corps of Engineers No Approved (CWA) (USACE). The applicant is responsible for implementing, monitoring, and maintaining all Best Management Practices (BMP's) and Pre-Construction Notification (PCN)conditions of applicable Nation Wide Permits (NWP). This is to include any https://isource.fema.net/em m i c/di spatch Desti nati on.do?menuT i l e=&topTi le=dsH eader&b... I 0/28/2014 Federal Emergency Management Agency E-Grants Page 17 of 22 requirements per the Colorado Department of Public Health and Environment 401 Water Quality Certification for Clean Water Act permits. Any change to the approved Standard scope of work will require re- Final Review Other(EHP) Condition#1 evaluation for compliance with No Approved NEPA and other Laws and Executive Orders. This review does not address all federal, state and local requirements. Acceptance of federal funding requires recipient Final Review Other(EHP) Standard to comply with all federal, state No Approved Condition#2 and local laws. Failure to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. If ground disturbing activities occur during construction, applicant will monitor ground Final Review Other(EHP) Standard disturbance and if any potential No Approved Condition#3 archeological resources are pp discovered, will immediately cease construction in that area and notify the State and FEMA. If ground disturbing activities occur during construction, applicant will monitor ground Final Review Other (EHP) Standard disturbance and if any potential No Approved Condition#3 archeological resources are discovered, will immediately cease construction in that area and notify the State and FEMA. Applicant is responsible for Executive Order coordinating with the local Final Review Other(EHP) 11988- floodplain manager. All required No Approved Floodplains permits should be maintained as part of the permanent record. Any change to the approved Standard scope of work will require re- Final Review Other(EHP) Condition#1 evaluation for compliance with No Approved NEPA and other Laws and Executive Orders. This review does not address all federal, state and local requirements. Acceptance of federal funding requires recipient Final Review Other(EHP) Standard to comply with all federal, state No Approved Condition#2 and local laws. Failure to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. If ground disturbing activities occur during construction, https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 18 of 22 applicant will monitor ground disturbance and if any potential Final Review Other(EHP) Standard archeological resources are No Approved Condition #3 discovered, will immediately cease construction in that area and notify the State and FEMA. If ground disturbing activities occur during construction, applicant will monitor ground EHP Review Other EHP Standard disturbance and if any potential ( ) Condition#3 archeological resources are No Recommended discovered, will immediately cease construction in that area and notify the State and FEMA. This review does not address all federal, state and local requirements. Acceptance of federal funding requires recipient EHP Review Other(EHP) Standard to comply with all federal, state No Recommended Condition#2 and local laws. Failure to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. Any change to the approved Standard scope of work will require re- EHP Review Other(EHP) Condition #1 evaluation for compliance with No Recommended NEPA and other Laws and Executive Orders. Applicant is responsible for Executive Order coordinating with the local EHP Review Other(EHP) 11988- floodplain manager. All required No Recommended Floodplains permits should be maintained as part of the permanent record. The applicant is responsible for verifying and compliance with all permit requirements, including permit conditions, pre- construction notification requirements and regional conditions as provided by the US Army Corps of Engineers (USACE). The applicant is Clean Water Act responsible for implementing, EHP Review Other(EHP) (CWA) monitoring, and maintaining all No Recommended Best Management Practices (BMP's) and Pre-Construction Notification (PCN)conditions of applicable Nation Wide Permits (NWP). This is to include any requirements per the Colorado Department of Public Health and Environment 401 Water Quality Certification for Clean Water Act permits. Internal Comments No. Queue User Date/Time Reviewer Comments https://isource.fema.net/cmmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 19 of 22 10/17/2014 Version 2 is written to update construction and engineering cost for actual costs. No issues found. Move forward as eligible. JMP Version 1 -This version is written to capture additional costs that were not identified in the original project or sub-grant application and to include hazard mitigation proposal for Final PETKOVSEK 10-17-2014 project 00689.Cost seems to be reasonable and work to be 23 Review JEAN 08:46 PM disaster related. J.Palacio-DGS 7/15/2014 GMT Final Reviewer finds eligible the application and approves the funding of this project worksheet based on the applicant having performed all required procurement procedures, perform all required special considerations recommendations such as permits to address EHP considerations and securing all actual cost documentation for the financial reconciliation of this project. Task Force Leader-J. Palacio 04/11/2014 Version for additional costs and HMP. No DAC included. No Grantee LAWSON 10-10-2014 other issues 22 10:40 AM 10/10/14 -This is a large project and requires that an CEF be Review LESTER GMT applied to this project that is less than 90% complete. Please revise. LJL 10-10-2014 Grantee LAWSON Version for additional costs and HMP. No DAC included. No 21 Review LESTER GMT AM other issues Cat C, 50% complete. Weld County, Weld County. Applicant replaced fill embankment material and asphalt to repair roadway travel lanes and replaced rip rap on the north and south abutments to repair the bridge to pre-disaster condition. -cwalz123 -03/17/2014 17:30:22 GMT ***Version 1*** Applicant will excavate muck from bridge abutments for placement of rip rap. Applicant will cover rip rap with topsoil. Mitigation: Applicant proposes to place geotextile fabric underneath rip rap and a vegetated mat over the rip rap to reduce the chance of erosion from a similar event. - cwalz123- 07/07/2014 21:01:14 GMT ***Version 2***This PW was reviewed by EHP staff on 03/17/2014 and 07/07/2014. It was submitted to EHP after rework for administrative changes (cost adjustments). These changes do not affect the original scope of work and no additional EHP review is required. -mpatter7- 10/09/2014 EHP PATTERSON 10-09-2014 21:52:31 GMT 20 Review MOLLY 09156 PM Project activities have the potential to impact Waters of the GT United States or wetlands. Project involves dredge, fill, excavation and/or modification. -cwalz123-07/07/2014 21:12:44 GMT Project site work is in mapped wetlands. Project has no potential to impact the wetland function or resources and substantially restores site to pre-disaster condition. No further wetland review is required under the 8-step process. - cwalz123-03/17/2014 17:46:53 GMT The entire community will benefit from the completion of this project. - cwalz123-03/17/2014 17:47:05 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 -03/17/2014 17:40:32 GMT hops://jsource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 20 of 22 Project is located in Zone A, FIRM 0802660980C dated 09/28/1982. Per 44 CFR Part 9.5 (g)Step 1: Project repairs are determined to have no effect on floodplain or wetlands provided that the repairs remain in the existing footprint and do not impact previously undisturbed areas. No further floodplains review is required. -cwalz123-03/17/2014 17:46:37 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Item III; Section B, H agreed to by FEMA and the SHPO. - cwalz123-03/17/2014 17:35:54 GMT Insurance JOHNSON 10-09-2014 VERSION 2—The additional construction and engineering 19 Review KENNETH 07:21 PM costs will not alter the prior insurance policy coverage GMT comments or the insurance requirement comments. Mitigation 10-09-2014 The Version 1 hazard mitigation proposal is 18 Review PETITT MARK GMIT PM W. Petitt, 406 Specialist g P P approved. Mark nsurance JOHNSON 10-09-2014 VERSION 1 —The additional scope of work and costs will not 17 Review KENNETH 06:59 PM alter the prior insurance policy coverage comments or the GMT insurance requirement comments. Mitigation 10-09-2014 mitigation proposal is The hazard 16 PETITT MARK O6:41 PM approved. Mark W. Petitt, Review GMT 406 Specialist 7-2-2014: Completed Initial review, no issues were identified; Initial TREZONA 10-09-2014 work appears eligible. 15 06:30 PM Review SCOTT GMT 10-9-2014: Completed Initial review, no issues were identified; work appears eligible. Award 08-01-2014 14 Review SYSTEM 02:45 PM ACCEPTED GMT Version 1 -This version is written to capture additional costs that were not identified in the original project or sub-grant application and to include hazard mitigation proposal for project 00689.Cost seems to be reasonable and work to be disaster related. J.Palacio-DGS 7/15/2014 Final PALACIO 07-15-2014 13 Review JOSE 04:32 PM Final Reviewer finds eligible the application and approves the GMT funding of this project worksheet based on the applicant having performed all required procurement procedures, perform all required special considerations recommendations such as permits to address EHP considerations and securing all actual cost documentation for the financial reconciliation of this project. Task Force Leader-J. Palacio 04/11/2014 Grantee 07-08-2014 Version for additional costs and HMP. No DAC included. No 12 Review PATEL KAJAL GMT PM other issues Cat C, 50% complete. Weld County, Weld County. Applicant replaced fill embankment material and asphalt to repair roadway travel lanes and replaced rip rap on the north and south abutments to repair the bridge to pre-disaster condition. -cwalz123-03/17/2014 17:30:22 GMT ***Version 1*** Applicant will excavate muck from bridge abutments for placement of rip rap. Applicant will cover rip rap with topsoil. Mitigation: Applicant proposes to place geotextile fabric underneath rip rap and a vegetated mat over the rip rap to reduce the chance of erosion from a similar event. - cwalz123-07/07/2014 21:01:14 GMT https:i/isource.fema.net/emmic/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 21 of 22 Project activities have the potential to impact Waters of the United States or wetlands. Project involves dredge, fill, excavation and/or modification. - cwalz123-07/07/2014 21:12:44 GMT Project site work is in mapped wetlands. Project has no potential to impact the wetland function or resources and substantially restores site to pre-disaster condition. No further wetland review is required under the 8-step process. - cwalz123 -03/17/2014 17:46:53 GMT The entire community will benefit from the completion of this project. -cwalz123-03/17/2014 17:47:05 GMT Action is addressed under the attached Emergency 07-08-2014 EHP Consultation between FEMA and USFWS, dated September 24, 2013. The consultation includes conservation measures 11 EAKINS WYNN 03:02 PM Review GMT 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 -03/17/2014 17:40:32 GMT Project is located in Zone A, FIRM 0802660980C dated 09/28/1982. Per 44 CFR Part 9.5 (g) Step 1: Project repairs are determined to have no effect on floodplain or wetlands provided that the repairs remain in the existing footprint and do not impact previously undisturbed areas. No further floodplains review is required. -cwalz123-03/17/2014 17:46:37 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Item III; Section B, H agreed to by FEMA and the SHPO. - cwalz123-03/17/2014 17:35:54 GMT Insurance JOHNSON 07-02-2014 VERSION 1 —The additional scope of work and costs will not 10 08:27 PM alter the prior insurance policy coverage comments or the Review KENNETH GMT insurance requirement comments. Mitigation 07-02-2014 The hazard mitigation proposal is approved. Mark W. Petitt, 9 Review PETITT MARK GMT PM 406 Specialist The applicant is interested in 406 mitigation and has requested this be addressed at a later date when they have a better understanding of what they will be proposing. They have been Mitigation 07-02-2014 advised that 406 mitigation cannot be applied if it requires 8 PETITT MARK 07:31 PM removing complete work and it will be evaluated for eligibility Review GMT as per FEMA Recovery Policy 9526.1. Furthermore, the submission of the mitigation proposal will have to be coordinated through the Colorado Division of Emergency Management. Mark W. Petitt, 406 Specialist 07-02-2014 Applicant's property insurance through the CAPP risk pool Insurance JOHNSON affords no coverage for bridges, roadways or embankments. 7 Review KENNETH GMT PM Insurance proceeds are not anticipated, and there is no insurance purchase requirement. 07-02-2014 Initial TREZONA 7-2-2014: Completed Initial review, no issues were identified; 6 Review SCOTT GMT PM work appears eligible. Award 04-15-2014 5 Review SYSTEM 05:45 PM ACCEPTED GMT Final Reviewer finds eligible the application and approves the Final PALACIO 04-11-2014 funding of this project worksheet based on the applicant 4 Review JOSE GMT PM having performed all required procurement procedures, perform all required special considerations recommendations such as permits to address EHP considerations and securing https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Federal Emergency Management Agency E-Grants Page 22 of 22 all actual cost documentation for the financial reconciliation of this project. Task Force Leader-J. Palacio 04/11/2014 Cat C, 50% complete. Weld County, Weld County. Applicant replaced fill embankment material and asphalt to repair roadway travel lanes and replaced rip rap on the north and south abutments to repair the bridge to pre-disaster condition. -cwalz123- 03/17/2014 17:30:22 GMT Project site work is in mapped wetlands. Project has no potential to impact the wetland function or resources and substantially restores site to pre-disaster condition. No further wetland review is required under the 8-step process. - cwalz123-03/17/2014 17:46:53 GMT The entire community will benefit from the completion of this project. - cwalz123-03/17/2014 17:47:05 GMT Action is addressed under the attached Emergency EHP DELAUNE 03-17-2014 Consultation between FEMA and USFWS, dated September 3 06:00 PM 24, 2013. The consultation includes conservation measures Review JONATHAN GMT 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 -03/17/2014 17:40:32 GMT Project is located in Zone A, FIRM 0802660980C dated 09/28/1982. Per 44 CFR Part 9.5 (g)Step 1: Project repairs are determined to have no effect on floodplain or wetlands provided that the repairs remain in the existing footprint and do not impact previously undisturbed areas. No further floodplains review is required. -cwalz123-03/17/2014 17:46:37 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Item III; Section B, H agreed to by FEMA and the SHPO. -cwalz123- 03/17/2014 17:35:54 GMT The applicant is interested in 406 mitigation and has requested this be addressed at a later date when they have a better understanding of what they will be proposing.They have been Mitigation 03-17-2014 advised that 406 mitigation cannot be applied if it requires 2 Review PETITT MARK 01:38 PM removing complete work and it will be evaluated for eligibility GMT as per FEMA Recovery Policy 9526.1. Furthermore, the submission of the mitigation proposal will have to be coordinated through the Colorado Division of Emergency Management. Mark W. Petitt, 406 Specialist 03-17-2014 Applicant's property insurance through the CAPP risk pool Insurance GILLIAM affords no coverage for bridges, roadways or embankments. 1 Review ROBERT GMT 12 PM Insurance proceeds are not anticipated, and there is no insurance purchase requirement. https://isource.fema.net/emmie/dispatchDestination.do?menuTile=&topTile=dsHeader&b... 10/28/2014 Hello