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PublicAssistanceFEMA-DR-4145-CO:I4-D4145-01 1
FORM 1 -GRANT CHANGE LETTER NUMBER 9
To The
AGREEMENT
Between the
STATE OF COLORADO
DEPARTMENT OF PUBLIC SAFETY
DIVISION OF HOMELAND SECURITY AND EMERGENCY MANAGEMENT
And
WELD COUNTY
Date:April 21,2015 Original Contract:#I4-D4145-01 I Original Contract CMS#:63343 CMS Routing#:78916
In accordance with Section§20(I)(iii)of the Original Grant Agreement between the State of Colorado,acting by and through the Department of
Public Safety,Division of I Iomeland security and Emergency Management,and WELL?COUNTY,the provisions of the Grant and any amendments
thereto affected by this Grant Change Letter are modified as follows:
1. Project Description.Grantee shall perform the activities listed in the Project Worksheet(s)(PW),as listed in Exhibit D-9,which are
incorporated into the original Grant by reference herein in accordance with the provisions of the Original Grant.Exhibit D-9 incorporates the
addition of P Ws 00112(1)and 00489(1).
PW(s)Budget:
I -
Agreement Project Federal State Cost- Grantee Match Project
Contract Worksheet Category Share Share Regnircme t Total Project Completion
(PW/i) Deadline
Original 00112(0) C $933,811.50 $155,635.25 S155,635.25 $1,245,082.00 03/14/15
Contract
Form 1#1 00121(0) C $1,108,312.50 $184,718.75 $184,718.75 $1,477,750.00 03/14/15
Form 1#2 00489(0) C $90,214.65 $15,035.77 S15,035.78 $120,286.20 03/14/15
Form 1#2 00561(0) C $234,453.38 $39,075.56 $39,075.56 $312,604.50 03/14/15
Form 1#2 00574(0) C $62,743.91 $10,457.31 $10,457.32 $83,658.54 03/14/15
• Form 1#2 00588(0) C $375.424.22 $62,570.70 $62,570.70 $500,565.62 03/14/15
Form(#3 00643(0) C $437,429.22 $72,904.87 $72,904.87 $583,238.96 03/14/15
Form I#3 00712(0) C $63,787.80 $10,631.30 $10,631.30 $85,050.40 03/14/15
Form I#3 00790(0) C $61,416.75 $10,236.12 510,236.13 $81,889.00 03/14/15
Form 1#3 00851(0) D $726,050.00 $121,008.33 $121,008.34 $968,066.67 03/14/15
Form 1 43 00687(0) C S76,541.48 $12,756.91 S12,756.91 $102,055.30 03/14/15
Form 1#3 00643(1) C $5,294.48 5882.41 $882.41 $7,059.30 03/14/15
Form 1#3 00661(0) C 562,089.66 $10,348.27 $10,348.28 $82,786.21 03/14/15
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Form 1 #3 00663(0) C $139,837.93 $23,306.32 523.306.32 5186,450.57 03/14/15
Form I#3 00665(0) C $199,279.08 $33,213.18 $33,213.18 $265.705.44 03/14/15
Form I#3 00897(0) C $242.981.65 $40,496.94 $40,496.94 $323,975.53 03/14/15
Form I#4 01001(0) A $196,167.17 $32,694.53 $32,694.53 $261,556.23 09/14/14
Form 1#4 00663(1) C S19,926.89 $3,321.15 $3,321.15 $26,569.19, 03/14/15
Form 1#4 01046(0) A $260,054.77 $43,342.46 $43,342.46 5346,739.69 09/14/14
Form 1 #5 00965(0) B $58,362.08 S9,727.01 $9,727.01 577.816.10 09/14/14
Form 1 #6 00908(I) B 5140,986.77 S23,497.79 S23,497.80 5187,982.36 09/14/14
Form I#7 00588(I) C' S10,992.05 $1,832.01 $1,832.01 $14,656.07 03/14/15
Form 1#7 00790(I) (' S18,228.00 53.038.00 $3,038.00 524.304.00 03/14/15
Form I#8 00510(0) C S25,138.74 54,189.79 $4,189.79 ¶33,518.32 03/14/15
Form 1#8 00689(0) C $9,755.15 $1,625.85 $1.625.86 $13,006.86 03/14/15
Form I#8 00689(1) C S18,161.00 $3,026.83 $3,026.83 $24,214.66 03/14/15
I
Form 1#8 00510(1) C 55.812.91 $968.82 $968.82 57,750.55 03/14/15
Form I#8 00510(2) C S93,553.31 S15.592.22 S15,592.22 S 124,737.75 03/14/15
Form 1#8 00663(2) C 520.625.00 S3,437.50 $3,437.50 527.500.00 03/14/15
Form 1#8 00689(2) C $27,575.57 $4,595.92 $4,595.93 S36,767.42 03/14/15
Form I#9 00112(1) C $174,533.62 529,088.93 529,088.94 $232,711.49 03/14/15
Form I#9 00489(1) C 549,546.23 58.257.70 58.257.71 S66,061.64 03/14/15
Total $5,949,087.47 5991,514.50 $991,514.60 57,932,116.57
Management Costs:
Federal Share from Project Table Available for Management Costs(1.34%)
S5.949,087 47 579.717 77
I
2 Price/Cost.The revised maximum amount payable by the State for performance of this Grant is$7,020,319.74 and the required amount of
non-federal/state matching funds,if applicable,is¶991,514.60.The total amount of Management Costs is$79,717.77.
3 Effective Date.The effective date hereof is upon approval of the State Controller or his delegate.However,see the Original Grant for any
costs allowable prior to the effective date.
4 Additional Requirements.None
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Public Assistance FE MA-DR-4145-CO:14-D4145-011
STATE OF COLORADO
John W.Hickenlooper,GOVERNOR
ALL GRANTS REOUIRE APPROVAL BY THE
DEPARTMENT OFPU 'SAFETY, STATE CONTROLLER
Division of Homeland Security•. d E• agency Management
CRS§2430-202 requires the State Controller to approve all
State Grants.This Gnat is sot valid until signed and dated
By: below by the State Controller or delegate.Grantee is not
Kevin .,.m,utrector -. authorized to begin performance until such time If Grantee
begins performing prior thereto,the State of Colorado is not
obligated to pay Grantee for such performance or for any goods
and/or services provided hereunder.
Date: s/L23/15
STATE CONTROLLER
Robert Jaros,CPA,MBA,JD
By: 3/1f ltia4,r°
Colorado Department of Public Saf ,Cindy Fredriksen,Procurement Director
Date: 4\I'o,' C
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