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PA-88-CO4145-PW-00688(0) P
Applicant Name: Application Title:
WELD(COUNTY) WELCO31-BR 23-14A over Little Dry Creek and Approach
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. PAID NO. DATE CATEGORY
I- I DR I-CO WELC031 123-99123-2 03-04-2014
FEMA 14145 00
O
APPLICANT:WELD(COUNTY) WORK COMPLETE AS OF:
11-13-2013:50
Site 1 oft
DAMAGED FACILITY:
COUNTY: Weld
BR 23-14 A over Little Dry Creek
LOCATION: LATITUDE: LONGITUDE:
40.09459 -104.84884
Current Version:
This project worksheet addresses damages to roadway approach at Bridge WEL023.0-014A over
Little Dry Creek,in Section 35,T2N,R67W.
Let:N40.09459
Long: -W104.84884
DAMAGE DESCRIPTION AND DIMENSIONS:
Current Version:
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 roadway approach at Bridge WEL023.0-014A over Little Dry Creek,in Section 35,T2N,R67W.
On November 13,2913,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:N40.09459
Long: -W104.84884
•
Flooding of the Little Dry Creek resulted in damages on CR 23 include washout of shoulder embankment material adjacent to the
southbound travel lane and behind the north approach wingwalls of the Bridge WEL023.0-014A.
The 29.3 ft long x 32.1 ft wide steel structure traverses the Little Dry Creek in Weld County,CO. rue bridge is a single(1)span bridge
•
consisting of an 6 inch asphalt overlay on corrugated steel deck,Eight(8)—W24x68 steel girders in each span,sheet pile backwall
• supported by six.(6)with 8 Inch x 8 inch H piles abutments and wing wails.The deck Is flanked on both sides with a galvanized W rail beam
bolted to steel posts.
Embankment material was washed away by the flood waters behind each wingwall on the north approach(NE and NW)and is estimated to
be6ftt x 1011 Wx 3.56tDx 2 wings=15.8 CY
Embankment material was washed out along the southbound shoulder on the north approach(west side of the road)and is field measured
Lobe 67 ft Lx 16ftWx 5ftD=198.5 CY
https://isource.fema.net/emmie/internallntegration?apphicationld=356858 3/24/2014
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Federal Emergency Management Agency E-Grants Page 2 of 3
Total Embankment Material=214.3 CY
Rip Rap was washed away at the northwest wingwall estimated to be 6 ft L x 10 ft W towards the channel x 4.5 ft D=10.0 CY
Vegetative debris at the site requires clean up and removal. The quantity is estimated to be 50 ft in L x 60 ft in W x 5 ft in D=555.6 CY.
Recent bridge inspection report was provided by the applicant dated May 21,2012.The bridge was built in 1997 and had a sufficiency
rating of 94.6 in 2012.
2012 inspection notes of elements include:bridge deck and approach railing inadequate,pavement crack sealing,fight rust on bottom of
girders,w-beam steel posts,and steel sheet pile abutments.The deck condition is noted as fair(5)on a scale of 0 to 9. The superstructure
is noted as satisfactory(6)and substructure is noted as good(7).The channel banks were observed to be in need of minor repairs(7).
Maintenance items included sealing crack In deck overlay and railing replacement.
The Applicant has provided pictures of the facilities documenting damages. These photos are attached to this project worksheet.
SCOPE OF WORK: •
Current Version:
WORK TO BE COMPLETED:
1—Fill embankment material lost in roadway travel lanes,embankment and shoulders—214.3 CY x 1.82(Conversion Factor CY ABC Class
6 Material to Tons=300.0 tons x$33.70/ton(COOT item Number 304-06000 Aggregate Base Course Class 6 x 2 due to economies of
scale as compared with number of COOT annual projects)=513,143.00
2—Replace Rip Rap north and south abutments=10.0 CY x$83.17/CY(Rip Rap 18 inch CDOT Item Number 506-00218)=$831.70
3—Debris removal at site—555.6 CY x$5.00/CY estimated cost=52,778.00.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.
Total=$16,752.70 cost estimate prepared by project specialist cuing 2013 COOT Average Unit Prices
Project Notes: 154%140
k �l %140%Nat �cf
1. During repair or reconstruction,applicant may incur costs related to clearing and grubbing(1p ai cement of topsoil,erosion and
sedimentation control,sanitary facilities mobilization and flaggingltraffic 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 cast 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 wilt 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 COOT 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 paymentwlll 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 lime 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 he validated through documentation provided by the applicant,no allowance was included.
8. Project was reviewed for 406 Hazard Mitigation and a J g pptcinat has hired an engineering firm to Identify hazard mitigation measures at a
later date.
9. The applicant is aware that all projects are subject to art 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 Erie basis for all purchasing of goods and materials and contracting services far 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.
11. 406 HMP:At the time that this PW was wrllen,the full extent of feasible 406 hazard mitigation opportunities was not identified.
Applicant may propose 406 Mitigation opportunities for consideration.
https://isource.fema.net/emmie/internallntegration?applicationld=356858 3/24/2014
Federal Emergency Management Agency E-Grants Page 3 of 3
conditions at the site? 'Yes iNo Special Considerations included? t :;Yes fNo
Hazard Mitigation proposal inducted? ; !Yes ! !No Is there Insurance coverage on this facility? ! IYes I No
PROJECT COST
ITEM CODE NARRATIVE QUANTITYfUNIT UNIT COST
PRICE
***Version 0*'*
Work To Be Completed
1 9999 Aggregate Base Course 390/TON $33.70 $ 13,143.00
2 9999 Rip Rap 10/CY $83.17 $831.70
3 9999 Debris Removal 555.6/CY $5.00 $2,778.00
4 0909 Hazard Mitigation Proposal 1/LS $ 1,493.00 $14493.00
TOTAL $ 18,245.70
COST
PREPARED BY KATHLEEN RLNARAC TITLE TAC Bridge Specialist SIGNATURE
APPLICANT REP.Roy Rudisill TITLE Director-OEM SIGNATURE
https://isource.fema.net/emmie/internallntegratian?applicationld=356858 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 31 March2014.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
k.';'-
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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 tmailto:kwolffC�basetactical.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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