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Federal Emergency Management Agency E-Grants Page 1 of 3
PA-08-00.4145-PW-00712(0) a
Applicant Name: pplication Title:
WELD(COUNTY) WELC019-BRIDGE 87.0/42.5B
Period of Performance Start: Period of Performance End:
09-14-2013
Bundle Reference#(Amendment#) Date Awarded
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
DR -CO WELCOI9 123-99123- 02-22-2014
FEMA 14145 I- C
APPLICANT;WELD(COUNTY) WORK COMPLETE AS OF:
01-04-2014:75%
Site l of
DAMAGED FACILITY:
COUNTY: Weld
BRIDGE 87.0142.58
LOCATION: LATITUDE: LONGITUDE:
40.30793 -104.24462
Current Version:
CR87 AT PLATTE RIVER
DAMAGE DESCRIPTION AND DIMENSIONS:
Current Version:
CR 87.0/42.5B Canal Bridge(Canal parallel to South Platte River),Category C.Permanent Bridge Repair
Lat N40.30793
Long:—W104.24482
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 WEL87.0/42.5B Canal Bridge. (Canal parallel to South Platte River.)
On November 19,2013,Kathleen Ruvarac,FEMA TAC Bridge Specialist,David Ray,FEMA Hazard Mitigation 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 were substantially completed at the time of Inspection.
The 60 ft long x 30 ft wide concrete and steel structure traverses a canal of the South Platte River in Weld County,CO. The bridge is a
steel beam with a 4 inch asphalt overlay on corrugated steel deck,six(6)-24 inch steel girders,concrete abutments and wing walls. The
deck is flanked on both sides with a galvanized W rail beam on 6 inch x 4 inch steel posts welded to the exterior girders.
The damages to the facility include the following:
1 .North Approach washout. 30 FT X 20 FT X 12 FT=7,200 CF/27=266.67 CY
2.South Approach washout 25 FT X 25 FT X 12 FT=7,500 CF/27=277.78 CY
3.East embankment washout 220 FT X 13 FT X 4 FT=11,440 CF/27=423.70 CY
4.Rip Rap 181N washed away. 240 FT X 12 FT X 2 FT=5.760 CF(27=213.33 CY
5.Rip Rap 61Nwashed away. 25 FT X 8 FT X 2 FT=D y 400 CF/27-14.87 CY
6.Bridge deck and approaches asphalt destroyed. 105 FT X 30 FT X 0.33 FT=1,040 CF X 130LB/CF =
-135,200 LB.
TOTAL WASHOUT=968.15CY.181N RIP RAP=213.33CY,61N RIP RAP=14.81CY,Asphalt=135,200LB.
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Federal Emergency Management Agency E-Urants Page 2 of 3
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SCOPE OF WORK:
Current Version! •
WORK COMPLETED
f .North Approach washout. 7,200 CF/27=266.67 CY X 1.82=485.33 TONS X$33.70=$16,355.73. 304-06000 CDOT. •
2,South Approach washout. 7,500 CF 127=277.78 CY X 1.82=505.56 TONS X$33.70=$17,037.22. 304-06000 COOT. •
3.East embankmentwashout. 11,440 CF 127=423.70 CY X 1.82=771.14 TONS X$33.70=$25,987.44. 304 06000 CDOT. •
4.Rip Rap 161N washed away. 5,760 CF/27=213.33 CY X$83.17=$17,742.93. 506-00218 COOT.
5.Rip Rap BIN washed away. 400 CF/27=14.81 CY X$94.78=$1,404.15. 506.00206 COOT. •
TOTAL=$78,527.48.
WORK TO BE COMPLETED
6.Bridge deck and approaches asphalt destroyed. 135.200 LB '/2000 =67.60 TONS X $81.70=$5.522.92.403-33741 CDOT.
TOTAL=$5,522.92.
Project Notes: der •
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1. During repair or reconstruction,applicant may incur beidattail costs related to clearing and grubbing:placement of topsoil,erosion and
sedimentation control,sanitary facilities 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. The applicant has not provided previous bridge inspection reports for this facility.Applicant has completed a substantial percentage of
the work but will not have cost data or supporting documents 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".
3. The deck originally had an asphalt top coat that was destroyed by the storm. The Applicant covered the deck with gravel as an Initial
repair and may choose in the future to cover the deck with asphalt. •
•
4. Following the September 2013 fiooding,applicant used contract services andror force account resources to re open roads/bridges and ••
repair damage as soon as possible, At several damage sites,repairs appear to have returned the facility to its pre-disaster design,function .
and capacity with no known remaining work to be compteted. However at other sites due to the onset of winter conditions,applicant was
unable to complete the restoration,thus leaving work to be completed. Finally,at some sites,applicant has expressed concern that
unanticipated work may be still be required as a result of conditions beyond their control,such as possible subsequent settlement resulting
horn saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage .
assessment.
5. This PW addresses all validated flood related damages at the specified site,including completed work and work to be completed(which
damages were known to the applicant and reported to FEMA by the effective date of this PW). In the event that applicant identifies
subsequent,currently unknown flood related damage at such site,applicant is advised to contact the State of Colorado Office of Emergency
Management to report the damage and request an inspection prior to its repair. In the event that the State validates the damage as a direct
result of the September 2013 flooding,the State wilt request FEMA prepare a version of this PW to address the eligible cost of repair.
6. Applicant has completed a substantial percentage of the work but will not have cost data available within the fourteen day Pocket Guide
rule.Per Field Operations Pocket Guide,Section 7,Cost Estimates,Page 26,if the applicant has not produced cost data within two weeks
of the site inspection,the Project Specialist will prepare the PW on the basis of an estimate for the work accomplished'.Applicant,CO State
representative and FEMA personnel jointly conducted all inspections and agreed to use COOL 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.
7. 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 far permanent work related to the work in this sub-grant.
8. 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,
9. The applicant must obtain all required federal,state,and local permits prior to the commencement of work.
10. 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, The direct
administrative cost is this PW is an estimate because complete cost data was not avalfable.
11. At the time this PW was written the full extent of possible 406 Hazard Mitigation opportunities was rot identified. Applicant may submit
HMP after a review by their consulting engineers.
12. 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.
13. 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.
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
Is there insurance coverage on this facility? Yes No
No
https://isource.fema.net/emmie/internalintegration?applicationid=356599 3/24/2014
Federal Emergency Management Agency E-Grants Page 3 of 3
PROJECT COST
ITEM CODE NARRATIVE QUANTITY/UNIT UNIT PRICE COST
***Version 0`"}
Work Completed
1 9999 ESTIMATE 1/LS $78,527.48 $78,527.48
Work To Be Completed
2 9999 ESTIMATE 1/LS $5,522.92 $5,522.92
Direct Grantee Admin Cost
3 9901 Direct Administrative Costs 1/LS $1,000.00 $1,000.00
(Subgrantee)
TOTAL COST $85,050.40
PREPARED BY STEPHEN SUI-IY TITLE PROJECT SPECIALIST SIGNATURE
APPLICANT REP.Roy Rudisill TITLE Director-OEM SIGNATURE // ,
https://isource.fema.net/emmie/internalIntcgration?appiicationld=356599 3/24/2014
Esther Gesick
From: Roy Rudisill
Sent: Tuesday, April 01, 2014 7:36 AM
To: Esther Gesick
Cc: Katie Wolff; Tommy Horton
Subject: FW: PW Worksheet for BOCC approval
Attachments: FEMA PW Summary 31March2014.xlsx
Esther, when you view the worksheet you will see the top four PWs in red, we have not received these from
FEMA. The bottom of the sheet has PW listed in bold,these have been signed and returned to FEMA.The
PW's we are approving are the remaining PWs. Hope this helps and please let me know if you have any
questions.
Roy
Director Roy Rudisill
Weld County Office of Emergency Management
1150 O St. Greeley Co. 80632
970-304-6540 Office
970-381-0417 Cell
117LL111 J cif U1•112‘,,
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication.Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
From: Katie Wolff[mailto:kwolff(abasetactical.com]
Sent: Monday, March 31, 2014 8:45 PM
To: Roy Rudisill
Cc: 'Tommy Horton'; Esther Gesick
Subject: RE: PW Worksheet for BOCC approval
Here you go.
Katie Wolff
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