HomeMy WebLinkAbout20142678.tiff RESOLUTION
RE: CONSIDER HAZARD MITIGATION GRANT APPLICATION FOR THE EMERGENCY
RESPONSE REFUELING STATIONS AT DACONO AND FORT LUPTON
(5% INITIATIVE GENERATORS) 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 Hazard Mitigation Grant Application for the
Emergency Response Refueling Stations at Dacono and Fort Lupton (5% Initiative Generators)
from the County of Weld, State of Colorado, by and through the Board of County Commissioners
of Weld County, on behalf of the Office of Emergency Management, to the Colorado Division of
Homeland Security and Emergency Management, with terms and conditions being as stated in
said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, a copy
of which is attached hereto and incorporated herein by reference.
NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County,
Colorado, that the Hazard Mitigation Grant Application for the Emergency Response Refueling
Stations at Dacono and Fort Lupton (5% Initiative Generators) from the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the
Office of Emergency Management, to the Colorado Division of Homeland Security and
Emergency Management be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 27th day of August, A.D., 2014.
BOARD OF COUNTY COMMISSIONERS
ELD COUNTY, ORADO
ATTEST: CC//-C m 15'a
�1/ �CLLo�c� Douglas/Rademacher, Chair
Weld County Clerk to the Board O
♦�� lE l_ ���.�_;�_ . ka
arbara Kirkmey r, Pro-Tem
eoii\clutyClerk the Bo ' "It'" 1—
an P. Conway
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APP ED AS : ® ,XCUSED
Mike Frreeergnn
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/ William F. Garcia
Date of signature: 9 r9
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9115
2014-2678
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Emergency Response Refueling Stations
Dacono and Fort Lupton Sites
Hazard Mitigation Grant Program Application
FEMA-4145-DR-CO
August 29, 2014
5% Initiative Project
Generator Application
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2014-2678
Colorado Division of Homeland Security Hazard Mitigation Application
...-_ and Emergency Management Other Project Type
EXHIBIT D-OT
THIS SECTION FOR STATE USE ONLY
DISASTER:4145
FEMA Identification Number: Colorado Point of Contact:
State Hazard Mitigation Officer
Date Application Received: Colorado DHSEM
9195 East Mineral Avenue,Suite
Date State Approved: 200 Centennial,Colorado 80112
Office 720 852 6600
Coloradojdenti$oation Number iii Fax:.` 7207i,852.6750
x
$mail: Sean.Settle@state co us
FEMA Application Submittal late',v. kb:
NOTE:Application must be submitted in digital form.
PROJECT OVERVIEW
1. Applicant Legal Name: Weld County,Colorado
2. Applicant Type: O Local Government Native American Tribe
State Government Private Non-Profit(Attach copy of 501 c3)
3. Project Title: Emergency Response Refueling Stations: Dacono and Fort Lupton sites
4. Proposed Project Total Cost: $ 28,704.04 The State of Colorado Hazard Mitigation Grant Program
Federal Share(75%): $ 21,528.03 Scoring Sheet accompanies this application. For other project
type application+.the applicant request technical assistance
State Match(12.5%) $ 3,588.01 from the Division of Ilomel nd Security&Emergency
Local Match(12.5%): $3,588.01 Management by e-mail or phone.
5. Projects submitted under the HMGP 5%Initiative Program are exempt from Benefit Cost Analysis requirements. For Other
Project Types not submitted on a state designed specific project type application enter the Benefit Cost benefits,cost,and
ratio determined prior to application. Export the Benefit Cost file and provide in electronic format,along with all supporting
documentation used to develop the ratio. If Benefit Cost Analysis was waived,place an "N/A"in the blanks,and provide
explanation below for the exemption. Attach documentation.
Benefits: $n/a Cost: $n/a Ratio: n/a
n Waiver Used: [2 Initiative 5%Project (No BCA Required) ❑ Cost Effectiveness Policy E Other(explain)
Although these generators are for cmronuity of operations at critical facilities and for reduced emergency response time,there is no acceptable methodology to produce a positive benefitcost ratio.
6. Certifications:
The undersigned assures fulfillment of all requirements of the Hazard Mitigation Grant 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 share identified in the Scope of Work/Budget,and
hereby applies for the assistance documented in this application. Also,the applicant understands that the project may proceed
ONLY AFTER FEMA/STATE APPROVAL is gained.
Douglas Rademacher Chairman,Weld County Commissioner 970-336-7204
Typed Name of Authorized RepresentativeeApplicant Agent Tide Telephone Number
oOlti(m,, ` % razed AUG 27 2014
Sign urea urhorized Representative-Applicant Agent Date Signed
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
APPLICANT INFORMATION
1. Does your community have a current FEMA approved multi-hazard mitigation plan? a✓ Yes No
Location of proposed project in mitigation plan strategies Page 5.3-5.4 Section/Part 5.1.1
2. Is the community a member of good standing with the National Flood Insurance Program? n Yes In No
3. Has the community adopted the IBC nationally recognized building code? a Yes El No
4. FIPS Code: 123 DUNS Number: 07575-7955
5. U.S. Congressional District: 4th Congressman Name: Mr.Cory Gardner
6. State Senatorial District: 1 Senator Name: Senator Greg Brophy
7. State Legislative District: 50 Representative Name: Rep. David Young
8. Primary Point of Contact:
The Primary Point of Contact is the person responsible for coordinating the implementation of this proposal, if approval
is granted.
InMs. In Mr. El Mrs. First Name: Roy Last Name: Rudisill
Title: Director,Weld Co. OEM Organization: Weld County, Colorado
Street Address: 1150 O Street
City: Greeley State: Colorado Zip Code: 80632
Telephone: 970-304-6540 Fax: 970-336-7233 Mobile: 970-381-0417 E-mail Address: rrudisill@weldgov.com
9. 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.
nMs. El Mr. In Mrs. First Name: Merle Last Name: Leach
Title: OEM Coordinator Organization: Weld County,Colorado
Street Address: 1150 O Street
City: Greeley State: Colorado Zip Code: 80632
Telephone: °7°'358-100°•'"3996 Fax: 970-336-7233 Mobile: E-mail Address: mleach@weldgov.com
10. Application Prepared by:
aMs. a Mr. in Mrs. First Name: Aaron Last Name: Henderson
Title: Hazard Mitigation Planner Organization: Arcadis US, Inc.
Street Address: 3522 Thomasville Rd.
City: Tallahassee State: Florida Zip Code: 32309
Telephone: 850-8954709 Fax: Mobile: E-mail Address: aaron.henderson@arcadis-us.com
11. Authorized Applicant Agent:
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.
EDMs. a Mr. a Mrs. First Name: Douglas Last Name: Rademacher
Title: Chairman,Weld Co.Commission Organization: Weld County, Colorado
Street Address: 1150 O Street
City: Greeley State: Colorado Zip Code: 80632
Telephone: 970-336-7204 Fax: 970-336-7233 Mobile: E-mail Address: drademacher@weldgov.com
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
PROJECT DESCRIPTION
I. Type of Project Permanently installed generators(2 sites)
2. Site Address: (No PO or Route No.) Dacono& Fort Lupton --see worksheets attached
3. City,State,Zip Code:
4. Tax Parcel ID: See each worksheet 5. Property Tax ID:
6. Latitude(in decimal form): See worksheets 7. Longitude(in decimal form):
8. Flood Zone Designation: AE or A 1-30 A(no base flood elevation given)
B or X(shaded) X C or X(un-shaded)
9. Panel Number of the FIRM used to determine the above: See each worksheet 10. Date of FIRM:
I I. Describe, in detail,the proposed project. Explain how the proposed project will solve the problem(s)and provide the
level(s)of protection.Include a description of the desired outcome and methodology of the mitigation activity in terms
of mitigation objectives to be achieved. Please see attached scope of work.
12. Is this a new or revised application? 12 New n Revised
If revised,check appropriate box: n Funding Change n Timeline Extension
nChange in Scope of Work n Other(specify below)
13. Is this a Phased Project application? n Yes pi l No
If Phased,check appropriate box: in 2 Phase(list phases n 3/4 Phase(list phases
below) below)
nIncludes Acquisition n Includes Easements
in
Involves Relocating ^ Other(specify below)
Utilities
14.Other Federal Agency(OFA)Partner? n Yes I71 No
If yes, check appropriate box: I I FEMA is primary agency n FEMA has a limited role
nDuplication of Programs review process has been established.
Provide name(s)of all OFAs
15. Will all partners use ASCE/SEI 24-05? Yes IT No
If yes,check appropriate box(es): 1.5 Basic Design 2.0 Basic Requirements
(1-Iydrologic! I Iydrotropic projects only) 3.0 High Risk Flood Hazard 5.0 Materials
ASCE 24-05 is not applicable to this project type
or sites.) None are in the floodplain. El Other ASCE commentary data/addendum
16. Describe yes answers to questions 13, 14,and/or 15.
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
17. Site Plan(For projects that will change the function /functionality of land surfaces-- to include easements):
A site plan (engineering report, feasibility study report), with alignment drawings, that include the location, plan view
and cross-section of cuts, fills and control structures, is required. Include the type, and measurement, of all pipes,
culverts,ditches, swales and detention/retention basins and ponds. Send the following engineering as appropriate.
nCalculations used to determine the sizes of any culverts in the project (drainage area, amount of flow, slope of
culvert, invert elevations).
nCalculations used to determine the sizes of any ditches and swales in the project (drainage area, amount of flow,
slope and depth of the ditch).
nCalculations used to determine the sizes of any detention/retention basins and ponds in the project (drainage area,
amount of flow,stage-storage,and stage-discharge).
18. Structural Plan iFor projects that +i II chm,c the function:tunctionaliq of buildings and other suvcturcs—to include vet oil ttingl:
A structural plan (engineering report, feasibility study report), with architectural drawings, that include the location, a
topographical view and a view of existing structures,is required. Include the following engineering as appropriate.
nCalculations used to determine the necessary strength,densities,composition and sizes of any structural construction
materials proposed for use in the project.
nCalculations used to determine the sizes of any storm-water control systems proposed in the project (to include
ditches,culverts,detention ponds,swales,etc.).
EtAll other pertinent calculations developed to support the need for the project to be considered as proposed
19. Describe answers to questions 18 as necessary.
TIMELINE MAINTENANCE
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.
1. Task 1: Colorado State Contract Process Timeframe: 3 Months
The State contract is the State's legal mechanism required to ensure funding or services to the
applicant. The timeframe reflects up to a 3 month period.
Task 2: Design &permitting, beginning after award,within 90 days Timeframe: 3 months
Task 3: Procurement of equipment/contractual services,within 60 days of contract Timeframe: 2 months
Task 4:Vendor selection/contracting,within 60 days after task 3 Timeframe: 2 months
Task 5: Project implementation,within 8 months of state contract Timeframe: 3 months
Task 6:Weather delays may add as much as 60 days Timeframe: 2 months
Task 7:State/local inspections,within 30 days of implementation Timeframe: 1 month
Task 8: State Compliance Review and Closeout Timeframe: 3 Months
Financial and project reconciliation with local,state,and federal concurrence.
Total Timeframe(must not exceed 1,095 days,36 months,or 3 years) Timeframe: 19 months
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
2. The start date for any proposed project begins upon FEMA approval. If a specific timeframe is needed, provide the
timeframe and an explanation.
n/a
3. An Operations and Maintenance(O&M) plan must be developed for each project. For application purposes,there
must be an assurance acknowledging that the project will be operated and maintained in a manner that will achieve the
proposed hazard mitigation.The final plan must be submitted prior to project closeout, because FEMA will review the
final O&M plan during project closeout.
For the application,do you provide assurance that:
A. The project will be operated and maintained in a manner that will achieve the proposed n Yes 1-1 No
hazard mitigation?
B. The final O&M Plan will be provided prior to project closeout,for review by FEMA? I I Yes n No
C. Is a signed Maintenance Agreement attached to this application? n Yes n No
4. In addition to #3 above, 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. Who will be responsible for providing any needed maintenance for the project?
Both the Weld Co.Office of Emergency Management and the Weld Co.Dept of Buildings&Grounds will share responsibility for me maintenance and exercise of these generators.
b. What is the cost of maintenance on an annual basis?
$544.00/year/site
Note: The cost of maintenance is considered all application prioritization weighting factor. Projects containing 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 points
reductions due to maintenance concerns.
ALTERNATIVE ACTIONS
List two feasible alternative projects to mitigate the hazard(s)in the project area. One alternative is the"No Action
Alternative."
I. No Action Alternative
Discuss the impacts on the project area if no action is taken. Please see attached no action/alternative action projects.
2. Other Feasible Alternative Project Title: Please see attached no action/alternative action projects.
Portable Generators
a. Project Description and Scope of Work Please see attached description.
Discuss a feasible alternative to the proposed project. This could be an entirely different mitigation method or a
significant modification to the design of the current proposed project. Please include scope of work, engineering
details(if applicable),estimated budget and the impacts of this alternative. Also, explain how the alternative project
will solve the problem(s)and/or provide protection for the hazard(s).
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
SCOPE OF WORK / BUDGET
In this section,provide the details of all costs of the project. For estimates,reasonable projections are essential.
1. If this is NOT a PHASED PROJECT,enter the estimated costs beginning on line 2. If acquisition is part of the
non-phased project,also enter acquisition related costs on Line lb.
2. If this is a PHASED PROJECT—enter the estimated costs for Phase 1 beginning on Line la.
la.Pre-Construction Cost(include any planning,study fees,architectural and/or engineering design costs, costs
permit costs, etc.)—(indicate if item will be used as in-kind or pre-award)
Description Hours Rate Cost
Units
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Total Cost $ $
la. Total Pre-Construction Cost la. $
lb. If real property acquisition or real property easement is proposed as part of the project,list each property on the
Property Inventory Worksheet(attached)and tabulate all property costs here.
1. Estimated Pre-Event Fair Market Value $
2. Estimated Cost for Demolition $ If CDBG-DR funds are included in
this cost estimate, the value of general
3. Estimated cost for Structure Relocation $ and/or professional labor wages must
4. Estimated Appraisal Cost $ he tabulated in accordance with the
5. Estimated Closing Costs/Legal Fees $ Davis Bacon Act of 1931.
6. Uniform Relocation Assistance $
7. Comparable Housing $
8. Other(specify below) $ (a)Total of 1-8 $
9. Program Income $
10. Duplication of Benefits $ (b)Total of 10-11 $
11. Subtract(b)from (a)to determine Total Cost to Acquire Property 1b. $
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2. Phase II Costs(of if the proposal is for a NON-PHASED Project): Please see attached cost estimate, tab 2.
a. Materials(indicate if item will be used as in-kind offset)
Item Dimension Quantity Cost per Unit Cost
20 Kw single-phase permanent generator 2 $6621.60 $13,243.20
Transfer switch,wiring,conduit 2 $791.50 $1,583.00
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Total Cost 2a. $ $14,826.20
b. Labor—include equipment costs—(indicate if item will be used as in-kind)
Description Hours Rate Cost
Electrical design,engineering,permits 11 $272.73 $3,000.00
Generator installation:2 sites 44 $204.55 $9,000.00
$ $
$ $
_ $ $
$ $
$ $
$ $
, $ $
$ $
Total Cost 2b. $ $12,000.00
c. Fees Paid(include any other costs associated with the project, i.e.,project management, inspection services, permit
costs, etc.)—(indicate if item will be counted as in-kind offset)
Description Hours Rate Cost
Overall Project management $ 7%of total project $1,877.84
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Total Cost 2c. $ $1,877.84
2d. Total Construction(or Phase II)Cost (2a+2b+2c) 2d. $ 28,704.04
3. Phase III Costs(generally final& de-mobilization costs. If another Phase exists,copy and paste the details):
a. Materials(indicate if item will be used as in-kind offset)
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
Item Dimension Quantity Cost per Unit Cost
$ s
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Total Cost 3a $ $
b. Labor—include equipment costs—(indicate if item will be used as in-kind)
Description Hours Rate Cost
$ $
$
s $
$ $
$ $
s $
$ $
s $
s $
Total Cost 3b $ $
c. Fees Paid(include any other costs associated with the project,i.e.,project management,inspection services,permit
costs,etc.)—(indicate if item will be counted as in-kind offset)
Description Hours Rate Cost
$ $
$ $
$ $
s $
$21,528 $
$ $
Total Cost 3c $ $
2d. Total Construction(or Phase III)Cost (3a+3b+3c) 3d. $
4. Total Project Cost(la+lb+2d+3d) $28,704.04
5. Total Project Cost(A+B)
75%Federal Share: $21,528 Round Federal Share to nearest dollar
12.5%State Match: $3,588
12.5%Local Match: $3,588
NOTE:Round figures to the nearest dollar.
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
6. Non-Federal Funding Share(25% of Total Cost)
List all sources and amounts utilized in the non-federal share including all in-kind services. In-kind services may not
exceed the 25%non-federal share. If any portion of the non-Federal share will come from non-applicant sources
(donated services, private donation, etc.),attach letters of funding commitment for each non-applicant source.
Commitment
Source Name of Source Agency Type Funding Amount
Letter Attached
Weld County Weld County Commission Cash $3,588.01 Yes
State of Colorado Division of HS/EM $ 3,588.01
$
$
$
Source=State,Local,Private Non-Profit,Other
Source Agency=Specific entity providing match
Type Funding=Administration,Cash,Consulting Fees,Engineering Fees,Equipment Operation/Rental,Labor,Supplies,Other
7. Describe how you will manage the costs and schedule,and how you will ensure successful performance.
Please see attached scope of work/ project description.
8. Would the applicant consider a reduced federal&state cost share in full project funding was not available?
nYes,a reduction up to_%or up to$ would be acceptable.
l lNo
9. Additional Comments Please see attached further comments regarding applicant willingness to accept reduced costs.
Enter any additional comments related to the proposed project's funding,if desired.
This is the #1 priority generator project.
CDBG-DR FUNDING FOR NON-FEDERAL SHARE
Grant recipients may be eligible to use Community Development Block Grant—Disaster Recovery(CDBG-DR) funds for a
portion,or all,of the non-Federal share match requirement to FEMA's Hazard Mitigation Grant Program(HMGP). The
physical location of the activity must be within a county listed in FEMA Presidential Declaration FEMA-DR-4145-CO. This
section of the application should be filled-in only if you are seeking to obtain CDBG-DR funds for this purpose.
An activity may be assisted in part with CDBG-DR funds only if ALL of the following requirements are met.
1. Connection to FEMA-DR-4145-CO
CDBG's Disaster Recovery funds must be used for necessary expenses related to disaster relief, long-term recovery,
restoration of infrastructure and housing,and economic revitalization. The activity must show a direct link to damages
received during the September 11-30,2013 flooding,which resulted in FEMA Presidential Declaration FEMA-DR-
4145-CO. Please provide a brief explanation of how the proposed acquisition activity: (I)was a result of this flooding
event; and(2)will restore housing or infrastructure,or revitalize the economy.
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
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
below national objectives.
a. Which of the national objectives will the proposed project meet?
n Will benefit to low-and moderate-income persons;
> I Will aid in the prevention or elimination of slums or blight;or
I May also include activities that the State and its State grant recipient certifies are designed to meet other
community development needs having a particular urgency because existing conditions pose a serious and
immediate threat to the health or welfare of the community where other financial resources are not available
to meet such needs.
b. How will the proposed project meet the above checked national objective(s).
3. Compliance with the primary objective
The primary objective for using CDBG Disaster Recovery funds is benefitting,by at least 51 percent,persons of low-
and moderate-income. The following provides the information necessary to complete this requirement.
a. Is the proposed activity: ❑ jurisdiction wide ❑ specified target area
If you checked specified target area,which data source was used?(Note:select the smallest unit of Census data that
encompasses your proposed target area)
b. Enter the number of households involved in the proposed project.
c. In the space below,describe how the applicant will comply with the requirement that at least 51 percent of CDBG-
DR dollars will principally benefit low-and moderate-income households and persons.
d. Enter the number of households within each income category expected to benefit from the proposed project.
Incomes above 80%of the County Median
Incomes above 50%and up to 80%of the County Median
Incomes at or below 50%of the County Median
e. Which type of income was used to determine the above? (Check only one)
InAnnual income as defined for Public Housing and Section 8
EIAnnual income as reported under the Census long form
ElAdjusted gross income as defined for reporting under IRS
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
ENVIRONMENTAL/CONSULTATION REQUIREMENTS
Regulations governing the Hazard Mitigation Grant Program(HMGP)state that any project must"be in conformance with 44
CFR part 9, Floodplain Management and Protection of Wetlands, and 44 CFR part 10, Environmental Considerations." To
comply with this mandate, written coordination must occur with the state and Federal agencies listed below to provide
documentation relative to its potential effect on the physical,biological and built environment.
NOTE: In coordinating with the below listed agencies, please provide photographs of the project site and adjacent
area/structures, a description of the project referencing structure/site addresses, site map,property map and USGS
map with the property location marked Maps must be of sufficient scale and detail that show the project site and
surrounding project area(area of potential effects).
Attach copies of the correspondence sent and received from below agencies (letters, permits, etc.). A list of contacts,
addresses,and phone numbers,as well as an example letter,are provided in the Applicant Handbook.
State Historical Preservation Office
Environmental Requirement: National Historic Preservation Act:Historical Structures and Archeological Resources
Questions Addressed: Does your project affect or is it in close proximity to any buildings or structures of any kind?
Does your project involve disturbance of ground?
Colorado Division of Wildlife-T&E Species AND U.S. Department of the Interior(Fish and Wildlife Service)
Environmental Requirement: Endangered Species Act and Fish and Wildlife Coordination Act
Questions Addressed: Does your project remove vegetation?
Is your project in or near any type of waterway or body of water?(within'/2 mile)
Is the project not contained within existing structures,or may it result in changes or potential effects to
the natural environment?
Are there threatened or endangered species or their critical habitat present in the project area or within
the county the project is located within?
Will this activity require an Aquatic Resource Alteration Permit?
Colorado Department of Public Health and Environment AND U.S.Army Corps of Engineers
Environmental Requirement: Clean Water Act, Rivers and Harbors Act,and Executive Order 11990(Protection of Wetlands)
Executive Order 11988(Floodplain Management)
Questions Addressed: Will the project involve work near or in a waterway, dredging or disposal of dredged material,
excavation,adding fill material or result in any modification to water bodies or wetlands designed as
"waters of the U.S."as identified by the US Army Corps of Engineers or on the National Wetland
Inventor}?
Will the project require a National Pollutant Discharge Elimination System(NPDES) permit from the
U.S.Environmental Protection Agency?
Will this activity require a Construction Storm-water Permit?
Does the project alter a watercourse,water flood patterns,or a drainage way,regardless of its floodplain
designation? Will the activity require a CLOMR(Conditional Letter of Map Revision)?
U.S. Department of Agriculture(Natural Resources Conservation Services)
Environmental Requirement: Farmland Protection Policy Act
Questions Addressed: Will the project convert more than 5 acres of farmland outside community limits and require
documentation from the USDA Natural Resource Conservation Service (Prime, Unique or other
Important Farmlands)?
U.S.Army Corps of Engineers AND Colorado Department of Transportation
Regulatory Requirement: 44 CFR§80.13(b):Consultation regarding other ongoing Federal Activities
Question Addressed: (1)The sub-applicant must demonstrate that is has consulted with USACE regarding the subject land's
potential future use for the construction of a levee system. The subapplicant must also demonstrate
that it has, and will, reject any future consideration of such use if it accepts FEMA assistance to
convert the property to permanent open space.
(2)The sub-applicant must demonstrate that it has coordinated with its State Department of
Transportation to ensure that no future, planned modifications, improvements, or enhancements to
Federal aid systems are under consideration that will affect the subject property.
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
Additional Comments
Enter any additional comments related to environmental concerns for the proposed project if desired.
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
ASSURANCES
Construction Programs
Public reporting burden for this collection of information is estimated to average 15 minutes per response, induding
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding the burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden,to the Office of Management
and Budget, Paperwork Reduction Project(0348-0042),Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact
the Awarding Agency. Further,certain Federal assistance awarding agencies may require applicants to certify to
additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant, 1 certify that the applicant:
1. Has the legal authority to apply for Federal assistance, one of the 19 statutes or regulations specified in
and the institutional, managerial and financial capability Appendix A of OPM's Standards for a Merit System of
induding funds sufficient to pay the non-Federal share Personnel Administration(5 C.F.R. 900, Subpart F).
of project costs to ensure proper planning, management
and completion of the project described in this 9. Will comply with the Lead-Based Paint Poisoning
application. Prevention Act(42 U.S.C. §§4801 et seq.)which
prohibits the use of lead-based paint in construction or
2. Will give the awarding agency,the Comptroller General rehabilitation of residence structures.
of the United States and, if appropriate,the State, 10. Will comply with all Federal statutes relating to non-
through any authorized representative, access to and
the right to examine all records, books, papers, or discrimination. These include but are not limited to: (a)
documents related to the assistance; and will establish a Title VI of the Civil Rights Act of 1964(P.L. 88-352)
proper accounting system in accordance with generally which prohibits discrimination on the basis of race, color
accepted accounting standards or agency directives. or national origin; (b)Title IX of the Education
Amendments of 1972, as amended(20 U.S.C. §§1681-
3. Will not dispose of,modify the use of, or change the 1683, and 1685-1686), which prohibits discrimination on
terms of the real property title,or other interest in the the basis of Sex; (c) Section 504 of the Rehabilitation
site and facilities without permission and instructions Act of 1973, as amended(29 U.S.C. §794),which
from the awarding agency. Will record the Federal prohibits discrimination on the basis of handicaps; (d)
interest in the title of real property in accordance with the Age Discrimination Act of 1975, as amended(42
awarding agency directives and will include a covenant U.S.C. §§6101-6107),which prohibits discrimination on
in the title of real property acquired in whole or in part the basis of age; (e)the Drug Abuse Office and
with Federal assistance funds to assure non- Treatment Act f 1972(P.L.92-255), as amended,
discrimination during the useful life of the project. relating to nondiscrimination on the basis of drug abuse;
(f)the Comprehensive Alcohol Abuse and Alcoholism
4. Will comply with the requirements of the assistance
awarding agency with regard to the drafting, review and (P.L. 91-616),1on, as amended,n and Rehabilitation gto nondiscrimination of 1
approval of construction plans and specifications. on thebasis a relating alcoholism;c (g) 23
on basis of alcohol abuse or §§523
5. Will provide and maintain competent and adequate and 527 of the Public Health Service Act of 1912(42
engineering supervision at the construction site to U.S.C. §§290 dd-3 and 290 ee-3), as amended, relating
ensure that the complete work conforms with the to confidentially of alcohol and drug abuse patient
approved plans and specifications and will furnish records; (h)Title VIII of the Civil Rights Act of 1968(42
progress reports and such other information as may be U.S.C. §§3601 et seq.), as amended, relating to
required by the assistance awarding agency or state. nondiscrimination in the sale, rental or financing of
housing; (i)any other nondiscrimination provisions in the
6. Will initiate and complete the work within the applicable specific statute(s)under which application for Federal
time frame after receipt of approval of the awarding assistance is being made; and 0)the requirements of
agency. any other nondiscrimination statute(s)which may apply
7. Will establish safeguards to prohibit employees from to the application.
using their positions for a purpose that constitutes or 11. Will comply, or has already complied,with the
presents the appearance of personal or organizational requirements of Titles II and III of the Uniform
conflict of interest,or personal gain. Relocation Assistance and Real Property Acquisition
8. Will comply with the Intergovernmental Personnel act of Policies Act of 1970(P.L. 91-646)which provide for fair
1970(42 U.S.C. §§4728-4763)relating to prescribed and equitable treatment of persons displaced or whose
standards for merit systems for programs funded under property is acquired as a result of Federal and federal-
Attach any continuations or additional items to this page. Page 13 of 20
Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
assisted programs. These requirements apply to all approved State management program developed under
interests in real property acquired for project purposes the Coastal Zone Management Act of 1972(16 U.S.C.
regardless of Federal participation in purchases. §§1451 et seq.); (f)conformity of Federal actions to
12. Will comply with the provisions of the Hatch Act(5 State(Clean Air) Implementation Plans under Section
U.S.C. §ply with
aov 7324-7328)the whHatch limit the 176(c) of the Clean Air Act of 1955, as amended(42
political activities of employees whose principal U.S.C. §§7401 et seq.); (9)protection of underground
sources of drinking water under the Safe Drinking Water
employment activities are funded in whole or in part with
Federal funds. Act of 1974,as amended(PL. 93-523);and,(h)
protection of endangered species under the
13. Will comply, as applicable,with the provisions of the Endangered Species Act of 1973, as amended(P.L. 93-
Davis-Bacon Act(40 U.S.C. §§276a to 276a-7),the 205).
Copeland Act(40 U.S.C. §276c and 18 U.S.C. §874), 16. Will comply with the Wild and Scenic Rivers Act of 1968
and the Contract Work Hours and Safety Standards Act (16 U.S.C. §§1271 et seq.)related to protecting
(40 U.S.C. §§327-333) regarding labor standards for components or potential components of the national wild
federally-assisted construction sub-agreements. and scenic rivers system.
14. Will comply with flood insurance purchase requirements 17. Will assist the awarding agency in assuring compliance
of Section 102(a)of the Flood Disaster Protection Act of with Section 106 of the National Historic Preservation
1973(P.L. 93-234)which requires recipients in a special Act of 1966,as amended (16 U.S.C. §470), EO 11593
flood hazard area to participate in the program and to (identification and protection of historic properties), and
purchase flood insurance if the total cost of insurable the Archaeological and Historic Preservation Act of
construction and acquisition is$10,000 or more. 1974(16 U.S.C. §§469a-1 et seq.).
15. Will comply with environmental standards which may be 18 Will cause to be performed the required financial and
prescribed pursuant to the following: (a)institution of compliance audits in accordance with the Single Audit
environmental quality control measures under the Act Amendments of 1996 and OMB Circular No. A-133,
National Environmental Policy Act of 1969(P.L. 91-190) "Audits of States, Local Governments, and Non-Profit
and Executive Order(EO) 11514; (b) notification of Organizations."
violating facilities pursuant to EO 11738; (c) protection
of wetlands pursuant to EO 11990; (d)evaluation of 19. Will comply with all applicable requirements of all other
flood hazards in floodplains in accordance with EO Federal laws, executive orders, regulations, and policies
11988; (e)assurance of project consistency with the governing this program.-' 11aUR OFA LOFA I°s Chairman, Weld County BOCC
SIGNATU ED CER 1 YING OFFICIAL TITLE
Weld County, Colorado AUG 2 7 2014
APPLICANT ORGANIZATION DATE SUBMITTED
SF-4260(Rev.7-97)Rack
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
ASSURANCES CONTINUED
Certifications Regarding Lobbying; Debarment,Suspension and Other Responsibility Matters;and Drug-Free
Workplace Requirements
Section 17.630 of the regulations provide that a grantee that is a State may elect to make one certification in each Federal
fiscal year. A copy of which should be included with each application for FEMA funding. States and State agencies may elect
to use a Statewide certification.
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest.
Applicants should also review the instructions for certification induded in the regulations before completing this form. Signature
on this form provides for compliance with certification requirements under 44 CFR Part 18, "New Restrictions on Lobbying; and
28 CFR Part 17, "Government-wide Debarment and suspension(Non-procurement)and Government-wide Requirements for
Drug-Free Workplace(Grants)."The certifications shall be treated as a material representation of fact upon which reliance will
be placed when the Federal Emergency Management Agency(FEMA)determines to award the covered transaction,grant, or
cooperative agreement.
1. LOBBYING
A. As required by the section 1352,Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons entering
into a grant or cooperative agreement over$100,000,as defined at 44 CFR Part 18,the applicant certifies that:
(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to any person
for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer
or employee of congress, or an employee of a Member of Congress in connection with the making of any
Federal grant,the entering into of any cooperative agreement and extension,continuation, renewal, amendment,
or modification of any Federal grant or cooperative agreement;
(b) If any other funds than Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency,a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative
agreement, the undersigned shall complete and submit Standard Form LLL, "Disdosure of Lobbying Activities",
in accordance with its instructions;
(c) The undersigned shall require that the language of this certification be included in the award documents for all
the sub awards at all tiers(induding subgrants,contracts under grants and cooperative agreements, and
subcontract(s))and that all subrecipients shall certify and disclose accordingly.
2. DEBARMENT,SUSPENSION AND OTHER RESPONSIBILITY MATTERS(DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and Suspension, and implemented at 44 CFR Part 67,for prospective
participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17.510-A. The applicant certifies that
it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of
Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal
department or agency;
(b) Have not within a three-year period preceding this application been convicted of or had a civilian judgment
rendered against them for commission of fraud or a criminal offense in connection with obtaining,attempting to
obtain, or perform a public(Federal, State, or local)transaction or contract under a public transaction;violation of
Federal or State antitrust statutes or commission of embezzlement,theft,forgery, bribery,falsification or
destruction of records, making false statements, or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity(Federal, State,
or locally)with commission of any of the offenses enumerated in paragraph(1)(b)of this certification;and
(d) Have not within a three-year period preceding this application had one or more public transactions(Federal,
State, or local)terminated for cause or default; and
B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an
explanation to this application.
3. DRUG-FREE WORKPLACE(GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 44 CFR Part 17, Subpart F,for grantees, as
defined at 44 CFR part 17, Sections 17.615 and 17.623:
(A) The applicant certifies that it will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture, distribution,dispensing, possession,
or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be
taken against employees for violation of such prohibition;
(b) Establishing an on-going drug free awareness program to inform employees about:
(1) The dangers of drug abuse in the workplace;
Attach any continuations or additional items to this page. Page IS of 20
Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation and employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in the performance of the grant to be given a copy of
the statement required by paragraph(a);
(d) Notifying the employee in the statement required by paragraph (a)that, as a condition of employment under the
grant,the employee will:
(1) Abide by the terms of the statement; and
(2) Notify the employee in writing of his or her conviction for a violation of a criminal drug statute occurring in the
workplace no later than five calendar days after such conviction.
(e) Notifying the agency, in writing within 10 calendar days after receiving notice under subparagraph(d)(2)from an
employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must
provide notice, including position title,to the applicable FEMA awarding office, i.e. regional office or FEMA office.
(f) Taking one of the following actions against such an employee,within 30 calendar days of receiving notice under
subparagraph(d)(2),with respect to any employee who is so convicted:
(1) Taking appropriate personnel action against such an employee, up to and including termination, consistent
with the requirements of the Rehabilitation Act of 1973, as amended; or
(2) Require such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program
approved for such purposes by a Federal, State, or local health,law enforcement or other appropriate
agency.
(g) Making a good effort to continue to maintain a drug free workplace through implementation of paragraphs(a),
(b), (c), (d), (e), and(f).
(B) The grantee may insert in the space provided below the site(s)for the performance of work done in connection with
the specific grant:
Place of Performance Street City State Zip Code
Dacono Emergency Re-fueling site 5500 Highway 52 Dacono CO
Fort Lupton Emergency Re-fueling site 7625 Weld CR 31 Fort Lupton CO
a - 4 Ate„ Chairman, Weld County BOCC
SIGNAT"71O:,-;"
RE OF AUTH IZED CERTIFYING OFFICIAL TITLE
Weld County, Colorado AUG 2 7 2014
APPLICANT ORGANIZATION DATE SUBMITTED
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
PROPERTY OVERVIEW (If property surface rights or easements are to be acquired)
The following table should be a compilation of all properties to be included in the proposed project. In the Property ID#
column, assign a unique ID number to each property in the project(i.e., Property# 01,O2,O3, etc.)and refer to this number
in the information listed under Individual Property Worksheets on the following page. Not applicable to this project.
ID# Owner of Property Street Address Total Property Cost
(Do not use ROUTE or PO BOX)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
Special Consideration Properties (If property sub-surface rights or easements are
to be acquired) — Complete Individual Property Worksheet for each.
Not applicable to this project.
Owner of Property Street Address
(Do not use ROUTE or PO BOX)
Special Consideration Properties (If transportation or public access easements are
necessary) — Complete Individual Property Worksheet for each.
Not applicable to this project.
Street Address
Owner of Property
(Do not use ROUTE or PO BOX)
Attach any continuations or additional items to this page. Page 18 of 20
Hazard Mitigation Application Continued Colorado Division or Homeland Security&Emergency Management
INDIVIDUAL PROPERTY WORKSHEET No properties are being acquired in this project.
This section must be filled out for each individual property to be acquired. Make as many copies as needed and be sure to
label each sheet with its corresponding Property ID#(given on the previous page)for reference. Homeowners should be able
to assist you in filling in the information requested.
1. Property ID: 2. Property Owner
3. Property Address:(No PO or Route No.)
4. City, State,Zip Code:
5. Tax Parcel ID: 6. Property Tax ID:
7. Latitude: 8. Longitude:
Pro lcrty Data
9. Property owner have flood insurance? 10. If Yes,Insurance Policy Provider:
11. If Yes,NFIP Policy Number: 12. Repetitive Loss Number:
13. Is property in a n Floodway n Floodplain n Other High Hazard Area II Not Applicable
14. Flood Zone Designation: AE or A 1-30 A(no base flood elevation given
B or X(shaded C or X(unshaded)
15. Panel Number of the FIRM used to determine the above: 16. Date of FIRM:
17. Construction Date of Structure:
18. Building Type: n 1-story with basement n 2-story with basement n Split level with basement
El1• -story w/o basement n 2• -story w/o basement n Split level w/o basement
In Manufactured Home n O• ther(specify)
19. Construction Type: n W• ood Frame n Concrete Block n Other(specify)
20. Foundation of Building: n Basement n Crawl Space n Elevated on Piers,Piles,Posts,or Columns
n Slab or Grade n Vacant Land n Other(Specify Below)
21. Type of Residency: n O• wner Occupied 1Principal Residence n Rental Property
nO• wner Occupied n Secondary Residence n Not Applicable
n Other(Specify)
22. If Rental,how many units are occupied?
23. If Rental,tenant names:
24. If property is a critical facility,what type? n Hazardous Materials Facility n Emergency Operations Center
n Power Facility n Water Facility
nSewer/wastewater treatment facility n Communications Facility
nEmergency Medical Care Facility n Fire Protection
n Other(Specify)
25. Historic bldg controls(easements): n
26. Percent of Structure's Damage n 0-49% n 50-99% n 100%
27. How many times has the property flooded?
n2-3 insured losses cumulatively=<than building fair market value n 4 or more insured losses since 1978
n2-3 insured losses cumulatively=>than building fair market value 1-1 Not Applicable
28. What is the source of flooding: n R• iverine Flooding n Storm-water Runoff n Closed Basin
El O• ther(Specify)
Attach any continuations or additional items to this page. Page 19 or2a
Hazard Mitigation Application Continued Colorado Division of Homeland Security&Emergency Management
Proposed Cost to Aef 'tire Property
In this section,provide the details of all costs of the project. For estimates,reasonable projections are essential.
29. Estimated Appraisal Cost $
30. Estimated Pre-Event Fair Market Value $
31. Estimated Closing Costs/Legal Fees $
(includes all costs necessary, including:title
search,title insurance,settlement statement,
deed preparation and recording,release of
liens)
32. Estimated Cost for Demolition $
(consists of all costs necessary for demolition
of structure,including: hazardous materials
inspection,testing,abatement,clearance,and
disposal to approved landfill)
33. Uniform Relocation Assistance $
34. Comparable Housing $
35. Other(specify below) $
36. Total of 29-35 $
37. Duplication of Benefits $
38. Subtract 37 from 36 to determine Total Cost to Acquire Property $
Alt ach the following:
39. Declaration and Release form for property owner: ❑ 40. Elevation Certificate, if available: n
41. Declaration and Release form for each tenant household: n 42. Duplication of Benefits Affidavit: n
43. Hazardous Materials Certification: 44. Signed Notice of Voluntary Interest: n
45. Pictures showing front,back and side view: U
Attach any continuations or additional items to this page. Page 20 of 20
Alternative Project Cost Estimate for 2 Portable Generators
between 10 additional stations listed in this application
Materials
Item Description Quantity Cost per Unit Cost
1 Single-Phase Portable Gas Generator 2 $ 3,916.80 $ 7,833.60
2 Portable Generator Manual Transfer Switch 2 $ 474.75 $ 949.50
Total Material $ 8,783.10
Labor
Item Description Quantity Cost per Unit Cost
3 Transfer Switch Installations 2 $ 500.00 $ 1,000.00
Total Labor $ 1,000.00
Fees Paid
Item Description Hours Rate Cost
4 Project Management 7% of project cost $ 684.82
Total Fees $ 684.82
TOTAL Alternative Estimated Cost $ 10,467.92
Estimated FEMA Share 75% $ 7,850.94
Estimated State Share 12.5% $ 1,308.49
Estimated Local Share 12.5% $ 1,308.49
1pColorado DHSEM EXHIBIT C
Hazard Mitigation Application All Project Types
DESIGNATION OF AGENT
RESOLUTION
BE IT RESOLVED Board of County Commissioners OF Weld County
(Governing Body) (Public Entity)
THAT Douglas Rademacher , Chair,
(Name) (Title)
is hereby authorized to execute for and in behalf of
Weld County
a public entity established under the laws of the State of Colorado, all required forms and documents for the
purpose of obtaining financial assistance for the Hazard Mitigation Grant Program (HMGP) under the Robert
T. Stafford Disaster Relief and Emergency Assistance Act (Public Law 93-288 as amended)
Passed and approved this 27th day of August , 20 14
CERTIFICATION
1, Esther E. Gesick , duly appointed and Clerk to the Board
(Name) (Title)
of Weld County , do hereby certify that the above is a true and correct copy of
(Public Entity)
a resolution passed and approved by the Board of County Commissioners
(Governing Body)
of Weld County, Colorado on the 27th day of August 2014 .
V� / y,ideotok, Clerk to the Board 8/27/2014
(Signature) (Official Position) (Date)
COLORADO
Cops
Division of Homeland Security
CO &Emergency Management
Hazard Mitigation Grant Program (HMGP)
Sub-Grantee Maintenance Agreement Certification
WHEREAS, the Board of Weld County County Commissioners [city/county] (herein after referred to as the Sub-grantee) and the
Colorado Division of Homeland Security & Emergency Management (DHSEM), (herein after referred to as the Grantee)desire to reduce
or eliminate future natural hazard damages in the best interest of the community,the State.and the federal government;and
WHEREAS, the FEMA Hazard Mitigation Grant Program (HMGP) provides funding to Territories, Indian Tribal governments, local
governments, and eligible private non-profits (PNPs) following a Presidential major disaster declaration. The cost-shared federal funding
assists projects that meet FEMA Benefit Cost Analysis(BCA)methodologies for mitigation projects.These projects reduce or eliminate the
long-term risk of natural hazard damage through a national competitive process;and
WHEREAS,the FEMA Hazard Mitigation Grant Program(HMGP)allows funds to be used to procure property,equipment,and allow for the
modification of property(herein after referred to as the Property)to assist in the Applicant's statewide mitigation goals:
Goal I -Reduce the loss of life and personal injuries from natural hazard events,
Goal 2-Reduce damage to local government assets;
NOW,THEREFORE,the Grantee and the Sub-grantee agree to participate in the FEMA Hazard Mitigation Grant Program(HMGP)funded
by the U. S. Department of Homeland Security, Federal Emergency Management Agency (FEMA) based upon the Hazard Mitigation
Assistance Unified Guidance(2013),and:
I. The Sub-grantee agrees to install(if applicable)and maintain the Property as in functional working order and/or as specified in the HMA
Guidance,at their own expense as specified in the project scope for the duration of the BCA or manufacture's guidelines useful life;
2.The Sub-grantee agrees the routine maintenance requirements will be sufficiently identified, and the sub-grantee or another authorized
entity has accepted the maintenance responsibility. This shall include, but not be limited to.as maintaining generators or other purchased
equipment/systems as specified by the manufactures specifications,keeping vacant land clear of debris,garbage,and vermin;keeping stream
channels,culverts.and storm drains clear of obstnictions and debris;and keeping detention ponds free of debris,trees,and woody growth;
3.The Sub-grantee agrees it is required to undertake periodic inspections of the Property to ensure that compliance is being maintained;
4.The Sub-grantee discovers that if the Property is out of compliance(or is informed of same at any time),the Sub-grantee shall notify the
Grantee of the violation and indicate what steps are being taken to remedy the situation;
5.The Sub-grantee will then have 60-days to bring the Property back into compliance. If compliance cannot be achieved within the 60-day
timeframe,the Grantee will notify the FEMA Regional Administrator of the violation and must also outline how the matter will be resolved;
6.The Sub-grantee,agrees if enforcement action is needed.the FEMA Regional Administrator may direct that future FEMA grant funds be
withheld pending corrective action; that the sub-grantee reimburse FEMA and the Grantee prorated portion of the expended project funds
equal to all of the costs necessary to cure the violated property;and/or require the transfer of Title to another eligible entity;
7.The Sub-grantee agrees if none of these actions brings the Properly back into compliance,the FEMA Regional Administrator may refer the
matter to the Office of Chief Counsel for criminal and civil prosecutions in a court of competent jurisdiction(44 CFR 80.19).
Date: AUG 2 7 2014
'gnature o ub-Grantee( Authorized Agent)
Douglas Rademacher Chair
Sub-Applicant(Type Name and Title)
7/2014 DHSEM Maintenance Agreement
(,r,,f�'F
700 Kipling Street Suite 1000, Lakewood, CO 80215 P 303.239.4398 F 303.239.4670 cdpsweb.state.co.us .7, ''
•
John W. Hickenlooper, Governor I Stan Hickey, Executive Director .'
`.
It '' Emergency Response Re-fueling Stations at Dacono & Fort Lupton
Dacono Site Cost Estimate
Materials
Item Number Description Quantity Cost per Unit Cost
1 20kw,Single-Phase Generator 1 $ 6,621.60 $ 6,621.60
2 Transfer Switch,Wiring,and Conduit 1 $ 791.50 $ 791.50
Total Material $ 7,413.10
Labor
Item Number Description Hours Rate Cost
3 Electrical Design/Engineering/Permits 5.5 $ 272.73 $ 1,500.00
4 Generator Installation 22 $ 204.55 $ 4,500.00
Total Labor $ 6,000.00
Fees Paid
Item Number Description Hours"-fr Rate Cost
5 Project Management 7%of project cost $ 938.92
Total Fees $ 938.92
TOTAL Estimated Project Cost $ 14,352.02
Estimated FEMA Share 75% $ 10,764.02
Estimated State Share 12.5% $ 1,794.00
Estimated Local Share 12.5% $ 1,794.00
Fort Lupton Site Cost Estimate
Materials
Item Number Description : Quantity Cost per Unit Cost
1 20kw,Single-Phase Generator 1 $ 6,621.60 $ 6,621.60
2 Transfer Switch,Wiring,and Conduit 1 $ 791.50 $ 791.50
Total Material $ 7,413.10
Labor
Item Number Description Hours Rate Cost
3 Electrical Design/Engineering/Permits 5.5 $ 272.73 $ 1,500.00
4 Generator Installation 22 $ 204.55 $ 4,500.00
Total Labor $ 6,000.00
Fees Paid
Item Number Description Hours Rate Cost
5 Project Management 7%of project cost $ 938.92
Total Fees $ 938.92
TOTAL Estimated Project Cost $ 14,352.02
Estimated FEMA Share 75% $ 10,764.02
Estimated State Share 12.5% $ 1,794.00
Estimated Local Share 12.5% $ 1,794.00
Emergency Response Vehicle Re-fueling Station Generator Project Budget -Total Costs
Total Materials $ 14,826.20
Total Labor $ 12,000.00
Total Fees Paid $ 1,877.84
Total Estimated Project Cost $ 28,704.04
Total Estimated FEMA Share 75% $ 21,528.03
Total Estimated State Share 12.5% $ 3,588.01
Total Estimated Local Share 12.5% $ 3,588.01
I ` "t `'m'y' --c-r,- OEM — Office of Emergency Management
• ''''. .- ;_-_,,, h,1,__-;_ Director: Roy Rudisill
1150 "O" Street
PO Box 758
l Greeley, CO 80632-0758
w COUNTY
ii. Phone 970-304-6540
{ , Fax 970-336-7242
rr4
www.co.weld.co.us
EMERGENCY MANAGEMENT
Mrs. Marilyn Gaily
State Hazard Mitigation Officer
Colorado Department of Public Safety
Division of Homeland Security and Emergency Management
Office of Emergency Management
9195 E. Mineral Ave. Suite 200
Centennial, CO 80112-3556
Dear Mrs. Marilyn Gaily,
As part of the Hazard Mitigation Grant Program process, a local funding match is required to be
identified. This letter serves as Weld County commitment to meet the matching fund requirements for
the Hazard Mitigation Program project Dacono-Ft Lupton Generator.The local matching fund
requirement is$ 3,588.01
Matching funds will come from Weld County General funds, at this time we are counting on CDBG-DR
funds for our match.
It is understood that 12.5%of the non-federal share of the HMGP projects will be contributed by the
I State of Colorado.
Your assistance is greatly appreciated.
Sincerely,
Roy Rudisill - Director
BOARD OF COUNTY COMMISSIONERS
1861 1150 O STREET
P.O. BOX 758
GREELEY, COLORADO 80632
PHONE: 970-336-7204
1
FAX. 970-352-0242
August 26, 2014
Environmental Justice Statement
The proposed project shall comply with Executive Order 12898, Environmental Justice and the
applicant certifies that:
1. There are no concentrations of low income or minority populations in or near the
Planning area that will be negatively impacted by this project.
2. The Project will not result in a disproportionately high or adverse effect on low income or
minority populations
3. As there are no concentrations of low income or minority populations in or near the
Planning area that will be negatively impacted by this project, there will be no actions
required to ensure achievement of environmental justice for low income and minority
populations.
Douglas Rademacher, Chairman
Board of County Commissioners of Weld County
Signature: l
Date: AUG 2 7 2014
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