Loading...
HomeMy WebLinkAbout20141427.tiff FORM 1 - GRANT CHANGE LETTER NUMBER 2 To The AGREEMENT Between the STATE OF COLORADO DEPARTMENT OF PUBLIC SAFETY DIVISION OF HOMELAND SECURITY AND EMERGENCY MANAGEMENT And WELD COUNTY Date: Original Contract #: 14-D4145-011 Original Contract CMS#:63343 CMS Routing#67238 3/21/2014 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 Homeland security and Emergency Management, and WELD COUNTY beginning January 7, 2014 and ending on September 10, 2018, 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-2, which are incorporated into the original Grant by reference herein in accordance with the provisions of the Original Grant. Exhibit D-2 incorporates the addition of PWs 00489(0), 00561(0), 00574(0), and 00588(0). PW(s) Budget: Project Grantee Project Agreement Worksheet Category Federal Share State Cost- Match Total Project Completion Contract (PW#) Share Requirement Deadline Original 00112(0) C $933,811.50 $155,635.25 $155,635.25 $1,245,082.00 3/14/2015 Form I #1 00121(0) C $1,108,312.50 $184,718.75 $184,718.75 $1,477,750.00 3/14/2015 Form 1 #2 00489(0)-/i C $90,214.65 $15,035.77 $15,035.78 $120,286.20 3/14/2015 Form I #2 00561(0),1 C $234,453.38 $39,075.56 $39,075.56 $312,604.50 3/14/2015 Form 1 #2 00574(0) / C $62,743.91 $10,457.31 $10,457.32 $83,658.54 3/14/2015 Form I #2 00588(0) C $375,424.22 $62,570.70 $62,570.70 $500,565.62 3/14/2015 Total $2,804,960.16 $467,493.34 $467,493.36 $3,739,946.86 Co tv‘Mu r`�G CC N I(06 W S CTZ 2014-1427 CONICKID �Vv(f,�, GtF) 5 - - I t-\ CA 038i5 R7 EM co/(o I Page I oft—Form] 6p ooy-5 Management Costs: Federal Share from Project Table Available for Management Costs(1.34%) $2,804,960.16 $37,586.46 2) Price/Cost. The revised maximum amount payable by the State for performance of this Grant is $3,310,039.96 and the required amount of non-federal/state matching funds, if applicable, is $467,493.36. The total amount of Management Costs is $37,586.46. 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 STATE OF COLORADO ALL GRANTS REQUIRE APPROVAL BY THE John W.Hickenlooper,GOVERNOR STATE CONTROLLER DEPARTMENT OF PUBLICS Y Division of Homeland Sec and E rgency CRS§24-30-202 requires the State Controller to approve Manage ent all State Grants. This Grant is not valid until signed and dated below by the State Controller or delegate.Grantee B / SP/2._ is not authorized to begin performance until such time.If Kevin Klein,Director 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 Date: y/3 bq hereunder. STATE CONTROLLER Robert Jaros,CPA,MBA,JD By: O Colorado Department ublic Safety, Thopma J Jugow, Controller Prrtrvkud t Paotamania OLItC , Date: 4 t Page 2 of 2—Form I 1 Public Assistance FEMA-DR-4145-CO: 14-D4145-011 EXHIBIT D-2-FEMA PROJECT WORKSHEETS Federal Emergency Management Agency E-Grants Page 1 of 16 11-13 le45 @:)45 s 40489(0) P Applicant Name: Application Title: WELD(COUNTY) WELCO06-ROAD-CR 20.5 BETWEEN CR 5 AND CR 7 Period of Performance Start: Period of Performance End: 09-14-2013 03-14-2015 Subgrant Application - Entire Application Application Title: WELCO06-ROAD-CR 20.5 BETWEEN CR 5 AND CR 7 � s v Application Number: PA-08-CO-4145-PW-00489(0) Application Type: Subgrant AppUIcalon(PW) Preparer Information Prefix Ms. First Name KATHLEEN Middle Initial Last Name RUVARAC Title TAG BRIDGE SPECIALIST Agency/Organization Name FEMA- DHS Address 1 9195 E. 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 1150 O Street Address 2 rudisill@weldgov.com City Greeley State CO ZIP 80632 https://connect l.dhs.gov/ennnie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 2 of 16 Phone 970-304-6540 Fax Email rrudisill@weld.gov.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: WELCO06 Standard Project Number!Title: 399- Road System Damage Please Indicate the Project Type: Neither Alternate nor Improved Application Title: WELCO06- ROAD -CR 20.5 BETWEEN CR 5 AND CR 7 Category: C.ROADS& BRIDGES Percentage Work Completed? 95.0 % As of Date: 11-14-2013 Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference KATHLEEN 02-05- Map Location Map WELCO06 Location View RUVARAC 2014 Map_CR20.pdf(133.35 kb) KATHLEEN 02-05- Project Site Photos Photos.pdf(112.17 kb) View RUVARAC 2014 Photos https://connect 1.dhs.gov/emmie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 3 of 16 Damage Facilities (Part 1 of 2) Facility Site Number Facility Name Address County City State ZIP Previously Action Damaged? 1 CR 20.5 east of Boulder Creek Weld CO No Comments Attachments Facility Name: CR 20.5 east of Boulder 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-00489(0): CR 20.5 east of Boulder Creek Location: PA-06-CO-4145-PW-00489(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 CR 20.5 between CR 5 and CR 7, in Section 16, T2N, R68W. On November 14, 2013, Kathleen Ruvarac, FEMA TAC Bridge Specialist, David Ray, FEMA Hazard Mitigation Specialist, Gary Moore, FEMA Environmental, Historical, Preservation Specialist, and Donald Dunker,Weld County Public Works Engineer, performed a site investigation at this location to document damages. The road was open Damage Description and and repairs completed at the time of inspection. Dimensions: One asphalt patch on roadway measured 362 ft in length x 13 ft in width =4,706 SF x 0.75 ft in depth = 3,529.50 CF x 146 LB/CF x 1 ton/2000 LB = 257.7 TNS asphalt A second asphalt patch on roadway measured 19 ft in length x 13 ft in width x 0.75 ft in depth = 185.25 CF x 146 LB/CF x 1 ton/2000 LB = 13.5 TNS asphalt Total: 271.2 TNS asphalt were validated with asphalt thickness of 9 inches. Embankment Material lost in roadway void in the westbound travel lane and on north shoulder measuring length ft in len th x 15 ft in width x 6 ft in depth =1,206.7 CY and 19 ft in length x 15 ft in width x 6 ft in depth = 63.3 CY,totaling 1,270 CY. https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,S SL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 4 of 16 16 LF of 18" CMP washed away from the site and was not recovered. The Applicant has provided pictures of the facility dated 9-16-2013 documenting damages. These photos are attached to this project worksheet. PA-08-CO-4145-P W-00489(0): WORK COMPLETED 1)Contracts: The applicant hired a contractor, Mountain Constructors, Inc., P.O. Box 405, Platteville, CO 80538 (970)786-6161. Invoice attached to project worksheet for work performed 10-2 through 10-14, 2013=$86,984.48. Original bid was$146,000 but Weld County reduced work to be performed in contract(placing asphalt with Force account labor, equipment and materials)because contractor could not complete work as quickly as Weld County needed the work to be completed to open the road. Hauled and dumped with (975.07 CY) Rip—Rap in lieu of borrow material to fill in roadway void in travel lane and shoulder embankment. It was necessary to fill the void with larger stone in order to quickly facilitate restoration of the facility under saturated soil flooding conditions. The contractor invoiced the applicant for the rip rap stone as the same unit price which was quoted in their bid of$30/CY for embankment(granular fill). Filled in roadway void in travel lane and shoulder embankment with (606.76 TNS, 303.4 CY)Aggregate base course cost(placed and compacted). Total Fill Materials = 975.07 CY+ 303.4 CY= 1278.5 CY The project specialist compared the repair cost for labor and construction of similar roadway repairs with the bid and subsequent invoice received from Mountain Constructors, Inc. for$86,984.48 and found the repair estimate to be reasonable. Scope of Work: The applicant hired an environmental consulting firm to prepare application for ACOE Section 404 Nationwide permit, Tiglas Ecological Services, 5015 Swainsona Drive, Loveland, CO 80537. Invoice attached to project worksheet for work performed 9-29-2013 =$445.00 Total Contracts: $87,429.48 2) Force Account: The applicant utilized force account labor, equipment and materials to install(289.16 tons)of asphaltic material on roadway. Labor-$6,706.73 Equipment-$5,476.88 Materials-$11,277.24 Asphalt Specialties The project specialist compared the repair cost for construction of similar CDOT roadway repairs with the Applicant's force account labor, equipment and materials found the repair estimate to be reasonable. CDOT Item Number 403-33741 Hot Bituminous Pavement(Grading S) (75)(PG-64-22)= $81.70/ton x 289.16 TNS =$23,624.37 (In Place) Compared with Force Account=$23,530.93 (Applicant installed asphalt in excess of 9 inches deep within validated roadway ground area, 289.16 tons, Project specialist validated 271.2 tons of asphalt, quantity of material validated within 10% and considered reasonable.) Applicant utilized force account labor to install 16 LF of 18" CMP (CDOT Item Number 603-10180 In place)x $48.49/LF =$775.84 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 5 of 16 Total Materials: $12,053.08 Project Notes 1. Following the September 2013 flooding, applicant used contract services and/or 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 completed. 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 from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage assessment. 2. 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 will request FEMA prepare a version of this PW to address the eligible cost of repair. 3.Applicant has substantially completed 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 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. 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. Project was reviewed for 406 Hazard Mitigation and a copy of 406 HMP proposal is attached with this project. 8. The applicant is aware that all projects are subject to an insurance https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S S L+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 6 of 16 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. 9. 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. Hazard Mitigation Plan is Attached Hazard Mitigation Proposal • Is effective mitigation feasible on this site? Yes If you answered Yes to the above question, the next question is required Will mitigation be performed on this site? Yes If you answered Yes to the above question, the next question is required Do you wish to attach a Hazard Mitigation Yes Proposal? If you answered Yes to the above question,the next two questions are required 406 Hazard Mitigation Plan Work To Be Completed The applicant has indicated that the installation of turf reinforcement mat on the roadside shoulders and embankment slopes will re-direct channel flow across the slopes reducing erosion at the facility and alleviating future damages. 1) Turf Reinforcement Mat—362 ft+ 19 ft= 381 ft in length x 15 ft in width within the right of way= 635 SY x 1.2 factor for toe in excess of material= 762 SY x $10.00/SY Please provide the Scope of Work for the (CDOT Avg. Unit Price furnished and installed)= $7,620.00 estimate: This HMP is considered cost effective per FEMA Disaster (maximum 4000 characters) Assistance Policy 9526.1, Section VII. B. 2. Certain mitigation measures (Appendix A), determined cost effective, as long as the mitigation measure does not exceed 100% of the eligible cost of the eligible repair work on the project. Appendix A. 5. Gabion baskets, rip rap, sheet piling, and geotextile fabric installation- installation to control erosion. The net cost of mitigation/cost of damages is 7% < 100%. This HMP is for cost estimating purposes only. The Final design is the obligation of the Applicant and/or their agent. 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 CR 20.5 east of Boulder Creek 40.13887 105.00048 between CR 5 and CR 7 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 7 of 16 Special Considerations 1. Does the damaged facility or item of work have insurance coverage and/or is it an insurable yes risk(e.g., buildings, equipment, vehicles, etc)? If you would like to make any comments, please enter them below. (maximum 4000 characters) On file at the JFO 2. Is the damaged facility located within a floodplain or coastal high hazard area and/or does it No have an impact on a floodplain or wetland? If you would like to make any comments, please enter them below. (maximum 4000 characters) Flood Map 08013C0300J 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 Yes assistance for a hazard mitigation proposal? If you would like to make any comments, please enter them below. (maximum 4000 characters) HMP Attached to Back Up 6. Is the damaged facility on the National Register of Historic Places or the state historic No listing? 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 No tracts of forestland? 8. Are there any hazardous materials at or adjacent to the damaged facility and/or item of No work? 9. Are there any other environmental or controversial issues associated with the damaged Yes facility and/or item of work? If you would like to make any comments, please enter them below. (maximum 4000 characters) EHP Review will be conducted Attachments User Date Document Description Hard Copy File File Name Action Type Reference KATHLEEN 01-20- Firmette- WELCO06-Firmetle.pdf BROWN 2014 Floodplain Map (369.83 kb) View 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? If you answered Yes to the above question, the next two questions are required https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,S SL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 8 of 16 02/07/14-Brian W. Drost, 406 Specialist- Revised HMP: 406 Hazard Mitigation Plan Work To Be Completed The applicant has indicated that the installation of turf reinforcement mat on the roadside shoulders and embankment slopes will re-direct channel flow across the slopes reducing erosion at the facility and alleviating future damages. 1)Turf Reinforcement Mat—362 ft+ 19 ft = 381 ft in length x 15 ft in width within the right of way=635 SY x 1.2 factor for toe in excess of material = 762 SY x$10.00/SY Pleaseprovide the Scope of Work (CDOT Avg. Unit Price furnished and installed)= $7,620.00 for the estimate: This HMP is considered cost effective per FEMA Disaster Assistance Policy 9526.1, Section VII. B. 1. Certain mitigation measures (Appendix A), determined cost effective, as long as the mitigation measure does not exceed 15%of the eligible cost of the eligible repair work on the project. The net cost of mitigation/cost of damages is 6.82% ($7,620/ $111,666.20). This HMP is for cost estimating purposes only.The Final design is the obligation of the Applicant and/or their agent. Would you like to add the Hazard Mitigation Yes Proposal as a cost line item to the project cost? Hazard Mitigation Proposal-0909 # Code Material and/or Description Unit Unit of Unit Price Subgrant Type Cost Estimate Action Quantity Measure Budget Class ***Version 0*** 1 9999 I Turf reinforcement mat 762 SY I $ 10.00 $ 7,620.00 Total Cost: $ 7,620.00 Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference KATHLEEN 02-05- Mitigation Weld County CAT C CR 20.5 East RUVARAC 2014 Proposal of Boulder Creek_HMP.pdf(59.35 View kb) Cost Estimate Is this Project Worksheet for (Preferred) Repair Sequence Code Material and/or Unit Unit of Unit Price Subgrant Type Cost Action Description Quantity Measure Budget Class Estimate ***Version 0*** Other 1 0000 Work Completed Other $ 0.00 2 9003 Contract Costs 1 LS 87,429.48 CONTRACTUAL Other $ 87,429.48 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S SL+dispatchD estination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 9 of 16 3 9007 Labor 1 LS 6,706.76 PERSONNEL Other $ 6,706.76 4 9008 Equipment 1 LS 5,476.88 EQUIPMENT Other $ 5,476.88 5 9009 Material 1 LS 12,053.08 SUPPLIES Other $ 12,053.08 6 0000 Work to be Completed Other $ 0.00 Direct 7 9901 Administrative 1 LS $ INDIRECT Other $ 1,000.00 Costs 1,000.00 CHARGES (Subgrantee) Total Cost : $ 112,666.20 Insurance Adjustments (Deductibles, Proceeds and Settlements)- 5900/5901 Subgrant Sequence Code Material and/or Unit Unit of Unit Budget Type Cost Action Description Quantity Measure Price Class Estimate Total Cost : $0.00 Hazard Mitigation Proposal -0909 Subgrant Sequence Code Material and/or Unit Unit of Unit Budget Type Cost Action Description Quantity Measure Price Class Estimate ***Version 0*** 1 9999 Turf reinforcement mat 762 I SY $ 10.001 $7,620.00 Total Cost : $ 7,620.00 Total Cost Estimate: $ 120 266.20 (Preferred Estimate Type+ Insurance Adjustments+ Hazard Mitigation Proposal) Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference KATHLEEN 02-05- WELCO06 Cost Est. Section RUVARAC 2014 Invoice-Contract Materials.pdf View (1.61 Mb) KATHLEEN 02-05- WELCO06 Contract View RUVARAC 2014 Provisions .pdf(1.98 Mb) KATHLEEN 02-05- WELCO06 Force Account DAC- View RUVARAC 2014 Estimate.pdf(221.82 kb) Existing Insurance Information Insurance Type Policy No. Bldg/Property Content Insurance Deductible Years Amount Amount Amount Amount Required I I https://connect 1.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 10 of 16 Comments On file at JFO Attachments Comments and Attachments Name of Section Comment Attachment Project Description WELCO06_Location Map_CR20.pdf Photos.pdf Special Considerations WELCO06 - Firmette.pdf Mitigation Weld County CAT C CR 20.5 East of Boulder Creek_HMP.pdf WELCO06 Cost Est. Section Invoice -Contract Materials.pdf Cost Estimate WELCO06 Contract Provisions .pdf WELCO06 Force Account DAC- Estimate.pdf Insurance Information On file at JFO Form 90-91 WELCO06_DDD_SOW.pdf Application Level Procurement Policy in Effect til Jan 7 2014.pdf Bid documents Bridge 20.5-WCR 5 to 7.pdf Bundle Reference#(Amendment#) Date Awarded PA-08-CO-4145-State-0031(30) 02-14-2014 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 WELCO06 123-99123- 02-06-2014 C FEMA 4145 - DR -CO 00 APPLICANT:WELD(COUNTY) WORK COMPLETE AS OF: 11-14-2013:95% Site 1 of 1 DAMAGED FACILITY: COUNTY: Weld CR 20.5 east of Boulder Creek LOCATION: LATITUDE: LONGITUDE: 40.13887 -105.00048 PA-08-CO-4145-PW-00489(0): CR 20.5 east of Boulder Creek DAMAGE DESCRIPTION AND DIMENSIONS: PA-08-CO-4145-P W-00489(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 CR 20.5 between CR 5 and CR 7,in Section 16,T2N,R68W. https://connectl.dhs.gov/emrnie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 11 of 16 On November 14,2013,Kathleen Ruvarac,FEMA TAC Bridge Specialist,David Ray,FEMA Hazard Mitigation Specialist,Gary Moore, FEMA Environmental,Historical,Preservation Specialist,and Donald Dunker,Weld County Public Works Engineer,performed a site investigation at this location to document damages. The road was open and repairs completed at the time of inspection. One asphalt patch on roadway measured 362 ft in length x 13 ft in width=4,706 SF x 0.75 ft in depth=3,529.50 CF x 146 LB/CF x 1 ton/2000 LB=257.7 TNS asphalt A second asphalt path on roadway measured 19 ft in length x 13 ft in width x 0.75 ft in depth= 185.25 CF x 146 LB/CF x 1 ton/2000 LB= 13.5 TNS asphalt Total:271.2 TNS asphalt were validated with asphalt thickness of 9 inches. Embankment Material lost in roadway void in the westbound travel lane and on north shoulder measuring 362 ft in length x 15 ft in width x 6 ft in depth=1,206.7 CY and 19 ft in length x 15 ft in width x 6 ft in depth=63.3 CY,totaling 1,270 CY. 16 LF of 18"CMP washed away from the site and was not recovered. The Applicant has provided pictures of the facility dated 9-16-2013 documenting damages. These photos are attached to this project worksheet. SCOPE OF WORK: PA-08-CO-4145-PW-00489(0): WORK COMPLETED 1)Contracts: The applicant hired a contractor,Mountain Constructors,Inc.,P.O.Box 405,Platteville,CO 80538(970)786-6161. Invoice attached to project worksheet for work performed 10-2 through 10-14,2013=$86,984.48. Original bid was$146,000 but Weld County reduced work to be performed in contract(placing asphalt with Force account labor,equipment and materials)because contractor could not complete work as quickly as Weld County needed the work to be completed to open the road. Hauled and dumped with(975.07 CY)Rip—Rap in lieu of borrow material to fill in roadway void in travel lane and shoulder embankment. It was necessary to fill the void with larger stone in order to quickly facilitate restoration of the facility under saturated soil flooding conditions. The contractor invoiced the applicant for the rip rap stone as the same unit price which was quoted in their bid of$30/CY for embankment (granular fill). Filled in roadway void in travel lane and shoulder embankment with(606.76 TNS,303.4 CY)Aggregate base course cost(placed and compacted). Total Fill Materials=975.07 CY+303.4 CY=1278.5 CY The project specialist compared the repair cost for labor and construction of similar roadway repairs with the bid and subsequent invoice received from Mountain Constructors,Inc.for$86,984.48 and found the repair estimate to be reasonable. The applicant hired an environmental consulting firm to prepare application for ACOE Section 404 Nationwide permit,Tiglas Ecological Services,5015 Swainsona Drive,Loveland,CO 80537. Invoice attached to project worksheet for work performed 9-29-2013=$445.00 Total Contracts:$87,429.48 2)Force Account: The applicant utilized force account labor,equipment and materials to install(289.16 tons)of asphaltic material on roadway. Labor-$6,706.73 Equipment-$5,476.88 Materials-$11,277.24 Asphalt Specialties The project specialist compared the repair cost for construction of similar CDOT roadway repairs with the Applicant's force account labor, equipment and materials found the repair estimate to be reasonable.CDOT Item Number 403-33741 Hot Bituminous Pavement(Grading S) (75)(PG-64-22)=$81.70/ton x 289.16 TNS=$23,624.37(In Place) Compared with Force Account=$23,530.93(Applicant installed asphalt in excess of 9 inches deep within validated roadway ground area, 289.16 tons,Project specialist validated 271.2 tons of asphalt,quantity of material validated within 10%and considered reasonable.) Applicant utilized force account labor to install 16 LF of 18"CMP(CDOT Item Number 603-10180 In place)x$48.49/LF=$775.84 Total Materials:$12,053.08 Project Notes 1. Following the September 2013 flooding,applicant used contract services and/or force account resources to re-open roads/bridges and repair damage as soon as possible. At several damage sits,repairs appear to have returned the facility to its pre-disaster design,function and capacity with no known remaining work to be completed. 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 from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage assessment. 2. 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 will request FEMA prepare a version of this PW to address the eligible cost of repair. 3.Applicant has substantially completed the work but will not have cost data available within the fourteen day Pocket Guide rule.Per Field https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,S SL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 12 of 16 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 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. 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.Project was reviewed for 406 Hazard Mitigation and a copy of 406 HMP proposal is attached with this project 8.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 antidpated proceeds or actual proceeds in accordance with the applicant's insurance policy that may affect the total amount of the project. 9.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. Hazard Mitigation Plan is Attached 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 PROJECT COST ITEM CODE NARRATIVE QUANTITY/UNIT UNIT PRICE COST ' Version 0' Other 1 0000 Work Completed 0/LS $0.00 $0.00 2 9003 Contract Costs 1/LS $87,429.48 $87,429.48 3 9007 Labor 1/LS $ 6,706.76 $6,706.76 4 9008 Equipment 1/LS $ 5,476.88 $ 5,476.88 5 9009 Material 1/LS $ 12,053.08 $ 12,053.08 6 0000 Work to be Completed 0/LS $ 0.00 $ 0.00 7 9901 Direct Administrative Costs 1/LS $ 1,000.00 $ 1,000.00 (Subgrantee) 8 0909 Hazard Mitigation Proposal 1/LS $ 7,620.00 $7,620.00 TOTAL COST $ 120,286.20 • PREPARED BY KATHLEEN RUVARAC TITLE TAC BRIDGE SPECIALIST SIGNATURE APPLICANT REP.Roy Rudisill TITLE Director-OEM SIGNATURE WELD (COUNTY) : PA-08-CO-4145-PW-00489 Conditions Information Review Name Condition Type Condition Name Description Monitored Status https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 13 of 16 This review does not address all federal, state and local requirements. Acceptance of federal funding requires Standard recipient to comply with all Final Review Other(EHP) Condition#2 federal, state and local laws. No Approved 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 No Approved with NEPA and other Laws and Executive Orders. The applicant must coordinate with the local Final Review Other(EHP) NEPA Condition floodplain manager to obtain No Approved and comply with appropriate floodplain management permits. Gravel/borrow materials for work to be completed must be obtained from one of the National Historic following pre-approved Final Review Other(EHP) Preservation Act sources: (SHPO approved No Approved (NHPA) source, CO Licensed Pit, commercial source, contractor or county Stockpiles). Applicant is responsible for Executive Order coordinating with the local floodplain manager. All Final Review Other(EHP) 11988- required permits should be No Approved Floodplains maintained as part of the permanent record. Applicant shall,to the extent Final Review Other(EHP) Endangered possible, adhere to the No Approved Species Act(ESA) attached conservation measures. If ground disturbing activities occur during construction, applicant will monitor ground Standard disturbance and if any Final Review Other(EHP) Condition#3 potential archeological No Approved resources are discovered,will immediately cease construction in that area and notify the State and FEMA. This review does not address all federal, state and local Standard requirements.Acceptance of EHP Review Other(EHP) Condition#2 federal funding requires No Recommended recipient to comply with all federal, state and local laws. Failure to obtain all https://connectl.dhs.gov/ertnnie/,DanaInfo=isource.fema.net,S SL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 14 of 16 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 No Recommended with NEPA and other Laws and Executive Orders. The applicant must coordinate with the local EHP Review Other(EHP) NEPA Condition floodplain manager to obtain No Recommended and comply with appropriate floodplain management permits. Gravel/borrow materials for work to be completed must be obtained from one of the National Historic following pre-approved EHP Review Other(EHP) Preservation Act sources: (SHPO approved No Recommended (NHPA) source, CO Licensed Pit, commercial source, contractor or county Stockpiles). Applicant is responsible for Executive Order coordinating with the local floodplain manager.All EHP Review Other(EHP) 11988- No Recommended required permits should be Floodplains maintained as part of the permanent record. Applicant shall,to the extent EHP Review Other(EHP) Endangered possible, adhere to the No Recommended Species Act(ESA) attached conservation measures. If ground disturbing activities occur during construction, applicant will monitor ground Standard disturbance and if any EHP Review Other(EHP) Condition#3 potential archeological No Recommended resources are discovered,will immediately cease construction in that area and notify the State and FEMA. Internal Comments No. Queue User Date/Time Reviewer Comments 02-14-2014 Award 6 Review SYSTEM 03:47 PM ACCEPTED GMT Award PEVAN 02-14-2014 5 Review RONALD 02:58 PM Approved GMT Note:Applicant has substantially completed the work but will not have cost data available within the fourteen day Pocket Guide rule. Final Reviewer finds eligible the application and https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page 15 of 16 approves the funding of this CAT-C project worksheet based on the applicant having performed all required procurement Final PALACIO 02-12-2014 procedures, perform all required special considerations 4 Review JOSE 03:43 PM recommendations such as permits to address EHP GMT considerations and securing all actual cost documentation for the financial reconciliation of this project. Task Force Leader- J.Palacio 02/12/2014 Category C, 95%complete,Weld County. The applicant used contract and force account labor to fill in a damaged roadway and shoulder embankment with rip rap, aggregate base, and asphalt and replaced an 18" corrugated metal culvert running under the road. Mitigation: The applicant will install a turf reinforcement mat on the road shoulder embankment to reduce future erosion. -dsharon-02/10/2014 16:42:19 GMT The Denver regulatory office is requiring that an emergency permit be obtained for all flood recovery work that takes place in Waters of the US. -dsharon -02/10/2014 20:57:26 GMT Project site work is in mapped wetlands. 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 wetlands or floodplains review is required. Project has no potential to impact the wetland function or EHP PATTERSON 02-10-2014 resources and substantially restores site to pre-disaster 3 Review MOLLY 08:59 PM condition. No further wetland review is required under the 8- GMT step process. -dsharon-02/10/2014 16:40:11 GMT Entire community will benefit from project completion. - dsharon -02/10/2014 16:40:30 GMT Threatened and Endangered Species occur in this county but the type of activity proposed on this Project Worksheet has been determined to have "no effect"on this species. - dsharon-02/10/2014 16:34:28 GMT Please add CWA comment Project is located in Zone A, FIRM panel 0802660850C dated September 28th 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 floodplain review is required. -dsharon-02/10/2014 16:39:15 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Item III; Sections A and G agreed to by FEMA and the SHPO. - dsharon-02/10/2014 16:33:12 GMT A review of the documentation provided has identified that Weld County is insured for property damages through; Colorado Counties Casualty and Property Pool, Policy Number 020412751. This policy does not provide coverage for dams, dikes, Insurance JOHNSON 02-07-2014 bridges, culverts, roadways, streets, walks, paved surfaces, 2 Review KENNETH 10:07 PM tunnels, canals, land. GMT The insurance policy will not provide coverage for costs identified in this PW There will not an insurance reduction for this PW. The FEMA eligible damages are not to building, contents, equipment, or vehicles;therefore,there will not be an insurance commitment required. https://connectl.dhs.gov/emmie/,DanaInfo=isource.fema.net,S SL+dispatchDestination.do?... 2/19/2014 L _ Federal Emergency Management Agency E-Grants Page 16 of 16 02-07-2014 Mitigation DROST The Hazard Mitigation Proposal is approved-Brian W. Drost, 1 Review BRIAN GMT PM 406 Specialist https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 2/19/2014 Federal Emergency Management Agency E-Grants Page I of 33 iir r Pt-0B-¢0-4145-PW-00561(0) P Applicant Name: Application Title: WELD(COUNTY) WELCO08-Various County Roads-Gravel and Paved Period of Performance Start: Period of Performance End: 09-14-2013 03-14-2015 Subgrant Application - Entire Application Application Title: WEL0O08-Various County Roads-Gravel and Paved Application Number: PA-os-co-4145-Pw-00561(0) Application Type: sudgrant Application(Pw) Preparer Information Prefix First Name Paul Middle Initial Last Name Hesse Title TAC Project Specialist Agency/Organization Name FEMA-DHS 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 1150 O Street Address 2 rrudisill@weldgov.com City Greeley State CO ZIP 80632 Phone 970-304-6540 Fax https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 2 of 33 Email rrudisill@weldgov.com Alternate Point of Contact Information Prefix First Name Trevor Middle Initial Last Name Jinicek Title Director Agency/Organization Weld County Address 1 1150 O Street Address 2 City Greeley State CO ZIP 80632 Phone 970-356-4000 Fax Email tjinicek@weldgov.com 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: WELCO08 Standard Project Number/Title: 399-Road System Damage Please Indicate the Project Type: Neither Alternate nor Improved Application Title: WELCO08-Various County Roads-Gravel and Paved Category: C.ROADS&BRIDGES Percentage Work Completed? 95.0% As of Date: 01-23-2014 Comments The applicant must notify the state if there are any changes in the scope of work prior to starting the repairs. Failure to notify the State Division of Emergency Management may jeopardize receipt of federal funds. Attachments Damage Facilities(Part 1 of 2) Site Facility Facility Name Address County City State ZIP Previously Action Number Damaged? 1 Various County Roads-Gravel and 1150 O Weld Greeley CO 80632 No Paved Street Comments Attachments https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 3 of 33 User Date Document Description Hard Copy File File Name Action Type Reference PAUL 02-04- Location Maps- PW#WELCO08 Location HESSE 2014 Map Part 1 Maps_Partl.pdf(3.82 Mb) View PAUL 02-09- Location Maps- PW#WELCO08 Location HESSE 2014 Map Part 2 Maps_Part2.1.pdf(3.28 Mb) View PAUL 02-09- Photos Photos PW WELCO08 Photos.1.pdf(666.94 View HESSE 2014 Facility Name: Various County Roads-Gravel and Paved Address 1: 1150 O Street Address 2: County: Weld City: Greeley State: CO ZIP: 80632 Was this site previously damaged? No Percentage Work Completed? 95.00 PA-08-CO-4145-PW-00561(0): Various County Roads shown below as Locations 1 through 21. Each Location: location has a GPS listed for the damaged area. Damage Description and Dimensions: PA-08-CO-4145-PW-00561(0): During the incident period of September 11, 2013 through September 30, 2013, the declared severe storms caused flooding, landslides and mudslides throughout Weld County in Colorado. The gravel roads sustained damages from overtopping of roads, high water levels in drainage ditches and overloaded culverts. Damages commonly consisted of shoulder and embankment erosion,washout of road base and aggregate surfacing. This PW describes 21 damaged road locations. Total damages at the 21 locations include total aggregate loss of 7499.14 Tons and asphalt pavement loss of 186 Tons. Damages to culverts and bridges are covered under separate PWs. [Refer to Scope Notes 10 and 11 for cost and conversion factors.] Location#1 Road EM-110-27-.5 Begin GPS:40.78342,-104.80159 End GPS:40.78334,-104.80379 Floodmap#0802660175C [Panel not printed] Dimension: Road: 585LF x 22FT wide x 0.33FT deep/27= 157CY x 1.82= 287T Embankment: (1.5FT wide x 1.5FT deep/2)x 2 sides x 585FT long/27= 49CY x 1.82 =89T Damage: Road surface and embankment erosion [both sides]caused aggregate loss of 376T. No damage to CMP. Location#2 Road EM-27-110-.8 Begin GPS:40.80214,-104.81049 End GPS:40.80310,-104.81047 Floodmap#0802660175C [Panel not printed] Dimension: Road:340LF x 22FT wide x 0.33FT deep/27=91 CY x 1.82= 167T Embankment: (1.5FT wide x 3FT deep/2)x 2 sides x 340FT long/27=57CY x 1.82= 103T Damage: Road surface and embankment erosion [both sides]caused https://connect I.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 4 of 33 aggregate loss of 270T. No damage to CMP. Location#3 Road EM-108-27-.5 Begin GPS:40.76863,-104.79212 End GPS:40.76863,-104.79316 Floodmap#0802660175C [Panel not printed] Dimension: Road:275LF x 22FT wide x 0.33FT deep/27= 74CY x 1.82= 135T Embankment: (2FT wide x 1.53FT deep/2)x 2 sides x 275FT long/27= 31CY x 1.82 =55T Damage: Road surface and embankment erosion[both sides]caused aggregate loss of 190T. No damage to CMP. Location#4 Road EM-94-43-.0 Begin GPS:40.66800,-104.65839 End GPS:40.66768,-104.65836 Floodmap#0802660350C [Panel not printed] Dimension: Road: 100LF x 6FT wide x 0.67FT deep/27= 15CY x 1.82=27T Embankment: (3.5FT wide x 2FT deep/2)x 1 side x 115FT long/27= 15CY x 1.82=27T Damage: Road surface and embankment erosion [1 side]caused aggregate loss of 54T. No damage to CMP. Location#5 Road EM-90-15-.1 [9 locations through 90-19-3.3 approximately 150LF each total 1350LF at the following locations: 90-15-.1, 90-15-.5, 90- 15-.7,90-15-.8,90-15-.9,90-15-1.1,90-15-1.5,90-19-3.1,and 90-15-3.3] Begin GPS:40.63944,-104.91761 End GPS:40.63954,-104.82288 Floodmap#0802660325C Dated 9/28/82[not in floodplain] Dimension: Road: 1350LF x 24FT wide x 0.33FT deep/27=396CY x 1.82= 722T Embankment: (2FT wide x 3FT deep/2)x 1 side x 1350FT long/27= 150CY x 1.82=273T Damage: Road surface and embankment erosion [1 side]caused aggregate loss of 995T Location#6 Road EM-15-90-.5[6 locations through 15-90-2.8 approximately 150LF each total 900LF at the following locations: 15-90-.5, 15-90-.8, 15- 90-1.6, 15-90-2.1, 15-90-2.5, and 15-90-2.8] Begin GPS:40.66952,-104.92444 End GPS:40.67924,-104.92428 Floodmap#0802660325C dated 9/28/82 [not in floodplain] Dimension: Road: 900LF x 24FT wide x 0.33FT deep/27=264CY x 1.82= 481T Embankment: (3FT wide x 3FT deep/2)x 1 side x 900FT long/27= 150CY x 1.82 =273T Damage: Road surface and embankment erosion [2 sides]caused aggregate loss of 754T Location#7 Road EM-61-76-.0(.1) Begin GPS:40.5425,-104.48934 End GPS:40.54170,-104.48931 Floodmap#080266052C[Panel not printed] Dimension: Road:280LF x 24FT wide x 0.35FT deep/27=87CY x 1.82= 159T Embankment: (1.5FT wide x 2FT deep/2)x 1 side x 280FT long/27= 16CY x 1.82=28T Damage: Road surface and embankment erosion [1 side]caused aggregate loss of 187T Location#8 Road EM-71-80-2.1 Begin GPS:40.59829,-104.3941 End GPS:40.59962,-104.39398 Floodmap#0802660525C [Panel not printed] Dimension: Road:200LF x 24FT wide x 0.25FT deep/27=44CY x 1.82= 81T Embankment: (3FT wide x 2FT deep/2)x 1 side x 470FT long/27=52CY x 1.82=95T Embankment: (1.5FT wide x 1.5FT deep/2)x 1 side x 470FT long/27=20CY https://connect 1.dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 5 of 33 x 1.82 =36T Damage: Road surface and embankment erosion [2 sides]caused aggregate loss of 212T Location#9 Road EM-74-392-2.1 Begin GPS:40.52289,-104.37213 End GPS:40.52291,-104.37007 Floodmap#0802660525C [Panel not printed] Dimension: Embankment: (2.5FT wide x 2FT deep/2)x 1 side x 550FT long/27=51 CY x 1.82=93T Damage: Road embankment erosion [1 side]caused aggregate loss of 93T Location#10 Road EM-68-69-2.1 Begin GPS:40.47926,-104.37498 End GPS:40.47928,-104.37396 Floodmap#0802660675C dated 9/28/82[not in floodplain] Dimension: Road:275LF x 25FT wide x 0.6FT deep/27= 153CY x 1.82= 279T Embankment: (1 FT wide x 1 FT deep/2)x 1 side x 275FT long/27=5CY x 1.82 =9T Magnesium Chloride: 275LF x 1 gal/LF=275 gal. Damage: Road surface and embankment erosion [1 side]caused aggregate loss of 288T Location#11 Road EM-72-31-.4 Begin GPS:40.51011,-104.76512 End GPS:40.51013,-104.76553 Floodmap#0802660475D dated 9/22/99[not in floodplain] Dimension: Road: 110LF x 24FT wide x 0.5FT deep/27=49CY x 1.82=89T Embankment: (1 FT wide x 1 FT deep/2)x 2 sides x 110FT long/27=4CY x 1.82 =7T Damage: Road surface and embankment erosion [2 sides]caused aggregate loss of 96T Location#12 Road EM-51-58-.5 Begin GPS:40.41366,-104.58353 End GPS:40.41467,-104.58355 Floodmap#0802660645C dated 9/28/82[not in floodplain] Dimension: Road: 100LF x 6FT wide x 3FT deep/27=67CY x 1.82= 122T Embankment: (3FT wide x 3FT deep/2)x 1 side x 312FT long/27=52CY x 1.82 =95T Damage: Road surface and embankment erosion [1 side]caused aggregate loss of 217T Location#13 Road EM-45-54.5-.2 Note: According to the Weld County consultant[Base Tactical]EM-45- 54.5-.2 covers cleaning of the ditch just south of Hwy 34 on CR 45. This work is incidental to the culvert repair where this ditch goes under CR45. Therefore,this work is not covered under this PW but is covered under the Weld County Culverts PW#WELCO35. Location#14 Road Em-43-54-.2[Road repaired by Oil Company] Begin GPS:40.38126, -104.65891 Mid GPS:40.38472,-104.65888 End GPS:40.38678,-104.65834 Floodmap#0802660639C dated 9/28/82 Floodplain Zone A4 Dimension: Road: 1960LF x 18FT wide/9=3920SY Damage: Road surface and embankment erosion both sides caused aggregate loss. Applicant indicated that Oil Company repaired road and embankment at the Oil Company's cost. No material cost incurred by Applicant only labor and equipment for supervision and grading. Location#15 Road EM-388-53-.25[Paved] Begin GPS:40.41037,-104.54981 End GPS:40.41370,-104.55771 Floodmap#0802660645C dated 9/28/82 Floodplain Zone A Dimension: Road[asphalt]:42LF x 16FT wide x 0.58FT deep/27= 14CY x 1.97=28T Shoulder: (1 FT wide x 0.17FT deep)x 2 sides x 726FT long/27=9.1 CY x https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 6 of 33 1.82= 16T Damage: Road surface[asphalt—281]and shoulder erosion [2 sides— approximately 30%within the GPS limits 2420 x 0.3=726LF]caused aggregate loss of 16T. Location#16 Road EM-52-US85-.0 is a paved road that had shoulder damages. This location is split up into 4 areas as shown below. There was no damage to the pavement. Location#16.1 Road EM-52-US85-.0[Paved] Begin GPS:40.35999,-104.6959 End GPS:40.36147,-104.68857 Floodmap#0802660638C dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep)x 2 sides x 1221 FT long/27 =60CY x 1.82= 109T Damage: Shoulder erosion [2 sides—approximately 60%within the GPS limits 2035LF x 0.6= 1221LF]caused aggregate loss of 109T. No damage to pavement. Location#16.2 Road EM-52-US85-.0[Paved] GPS:40.36309,-104.65900[southwest corner CR43 intersection] Floodmap#0802660639C dated 9/28/82[not in floodplain] Dimension: Shoulder: (2FT wide x 0.33FT deep)x 1 side x 40FT long/27= 1 CY x 1.82 = 1.82T Damage: Shoulder erosion [1 side—40LF]caused aggregate loss of 1.82T. No damage to pavement. Location#16.3 Road EM-52-US85-.0[Paved] GPS:40.36303,-104.67770[southwest corner CR41 intersection] Floodmap#0802660638C dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep)x 1 side x 40FT long/27= 1CY x 1.82= 1.82T Damage: Shoulder erosion [1 side—40LF]caused aggregate loss of 1.82T. No damage to pavement. Location#16.4 Road EM-52-US85-.0[Paved] GPS:40.36303,-104.67770[extending 100LF west on north side of road at CR41 intersection] Floodmap#0802660638C dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep)x 1 side x 100FT long/27= 2.4CY x 1.82=4.5T Damage: Shoulder erosion[1 side—100LF]caused aggregate loss of 4.5T. No damage to pavement. Location#17 Road EM-Brantner-35th [Paved] Note: Within the GPS limits shown below,there are seven [7]areas of damage indicated as 17.1 - 17.7. Begin GPS:40.36650,-104.70034 End GPS:40.36526,-104.70184[Note: This end point coincides with the beginning of City of Evans work covered under a separate PW Ref#EVANS09 EMMIE#00302,therefore there is no apparent overlap of work being claimed.] Floodmap#0801820001B dated 4/2/79 Floodplain Zone A7 and Zone B Floodmap#0802660638C dated 9/28/82 Floodplain Zone A7 and Zone B Location#17.1 Embankment southeast side of roadway Dimension: Embankment: (8FT wide x 5.5FT deep/2)x 1 side x 595FT long/27=485CY x 1.82=884T Damage: Embankment erosion [1 side]caused aggregate loss of 884T Location#17.2 Asphalt pavement washout southeast side of roadway [measured as 2 triangles in plan view with common base length of 8LF] Dimension: 15FT long x 8FT wide/2 x 5.5FT deep/27 = 12CY x 1.82=22T 21 FT long x 8FT wide/2 x 5.5FT deep/27= 17CY x 1.82= 31T Damage: Paved roadway erosion caused aggregate[53 x 0.94=50T]and https://connect l.dhs.gov/emmie/,Danaln fo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 7 of 33 asphalt[53 x 0.06=31]loss of approximately 53T. The tonnage split was calculated as follows: 0.33FT asphalt depth/5.5FT total depth =0.06 These tonnages are approximate due to rounding errors and a slight difference in density, however they are reasonable for estimating purposes. Location#17.3 Pavement washout full width of roadway[rectangular in plan view] Dimension: 17FT long x 21 FT wide x 5.5FT deep/27= 73CY x 1.82= 132T Damage: Paved roadway erosion caused aggregate[132 x 0.94= 124T]and asphalt[132 x 0.06=8T]loss of approximately 132T Location#17.4 Pavement washout east half of roadway[rectangular in plan view] Dimension: 47FT long x 11 FT wide x 5.5FT deep/27= 105CY x 1.82= 192T Damage: Paved roadway erosion caused aggregate[192 x 0.94 = 180T]and asphalt[192 x 0.06= 12T)loss of approximately 192T Location#17.5 Pavement washout full width of roadway [rectangular in plan view] Dimension: 130FT long x 21 FT wide x 5.5FT deep/27=556CY x 1.82= 1014T Damage: Paved roadway erosion caused aggregate[1014 x 0.94=9531) and asphalt[1014 x 0.06=61T]loss of approximately 1014T Location#17.6 Pavement washout portion of east half of roadway [rectangular in plan view] Dimension: 47FT long x 7FT wide x 5.5FT deep/27=67CY x 1.82 = 122T Damage: Paved roadway erosion caused aggregate[122 x 0.94 = 115T]and asphalt[122 x 0.06=7T]loss of approximately 122T Location#17.7 Pavement washout full width of roadway[rectangular in plan view] Dimension: 92FT long x 21 FT wide x 5.5FT deep/27=394CY x 1.82= 717T Damage: Paved roadway erosion caused aggregate[717 x 0.94=674T] and asphalt[717 x 0.06=43T]loss of approximately 717T Location#17 Material Summary: Calculated loss= 3114T made up of 2980T of aggregate and 134T of asphalt. Location#18 Road EM-52-35-1.4[49th Street—from Brantner intersection southwest] Start GPS:40.36478,-104.70493 End GPS:40.36358,-104.70571 Note: This site is listed for information only. The GPS coordinates shown below from the site visit with Weld County personnel are within the limits of work completed under the City of Evans PW Ref#EVANS09 EMMIE #00302. This work is not covered under this PW since it was already claimed under the City of Evans PW. This information was confirmed in the field with the FEMA Project Specialist who wrote the PW for City of Evans. Location#19 Road EM-46-25-0 [Detour Route between Hwy 60 and CR25] Start[East]GPS: 40.32057,-104.81143 End [West]GPS:40.31919, -104.82419 Floodmap#0802660750C dated 9/28/82 Floodplain Zone A Dimension: Road: 3700LF x 24FT wide x 0.09FT deep/27=296CY x 1.82 = 540T Embankment: (5FT wide x 3FT deep/2)x 1 side x 185FT long/27=51CY x 1.82=94T Damage: Road surface and embankment erosion [1 side]caused aggregate loss of 634T. Location#20 Road EM-46-23-.9 [Detour Route between CR23 and CR25] Start GPS:40.31915,-104.82977 End GPS:40.31919,-104.83334[23-25] https://connect l.dhs.gov/emm ie/,Danal nfo=i source.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 8 of 33 Floodmap#0802660750C dated 9/28/82[not in floodplain] Dimension: Road: 1000LF x 24FT wide x 0.11 FT deep/27=98CY x 1.82= 178T Damage: Road surface erosion caused aggregate loss of 178T. Location#21 Road EM-129.5-127-.2 [Actual Description: EM-129-127.7-.2 on Rd 94] GPS: 40.67001,-103.83154 Floodmap#0802660425C [Panel not printed] Dimension: Road: 75LF x 4FT wide x 3FT deep/27=33CY x 1.82=61T Embankment: (5FT wide x 2FT deep/2)x 1 side x 150FT long/27=28CY x 1.82 =51T Damage: Road surface and embankment erosion [1 side]caused aggregate loss of 112T. Scope of Work: PA-08-CO-4145-PW-00561(0): WORK COMPLETED: The Applicant used Force Account Labor, Equipment, and Material along with some contracted hauling to complete the repairs to the Locations shown on this PW. The work on this PW is itemized by location showing the road and its location relative to the nearest intersection along with GPS coordinates. Photos were taken and are attached. The roads and culverts were maintained in above average condition with well-developed and maintained ditches. The quantities are estimated from site visits and costs are estimated using the CDOT pricing for similar work complete and in-place. These costs should account for the labor and equipment required to complete the work. The following Locations are shown as Work Completed except as noted where work is required in the spring such as paving. Location#1 Road EM-110-27-.5 Scope: Replace eroded road surface and embankment aggregate[81T]. Discussions with the foreman indicated that the operator was able to pull up material that had washed from the roadway to the right-of-way to use in rebuilding the damaged area,therefore only 81T was placed and the remainder was reclaimed. Cost: 81T x$33.70/T=$2,729.70 Location#2 Road EM-27-110-.8 Scope: Replace eroded road surface and embankment aggregate[270T] Cost: 270T x$33.70/T=$9,099.00 Location#3 Road EM-108-27-.5 Scope: Replace eroded road surface and embankment aggregate[81T]. Discussions with the foreman indicated that the operator was able to pull up material that had washed from the roadway to the right-of-way to use in rebuilding the damaged area,therefore only 81T was placed and the remainder was reclaimed. Cost: 81T x$33.70/T= $2,729.70 Location#4 Road EM-94-43-.0 Scope: Replace eroded road surface and embankment aggregate[54T] Cost: 54T x$33.70/T= $1,819.80 Location#5 Road EM-90-15-.1 Scope: Replace eroded road surface and embankment aggregate(995T] Cost: 995T x$33.70/T=$33,531.50 Location#6 Road EM-15-90-.5 Scope: Replace eroded road surface and embankment aggregate[754T] Cost: 754T x$33.70/T=$25,409.80 https://connect I.dhs.gov/emm ie/,Danalnfo=isource.fema.net,S SL+dispatch Destination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 9 of 33 Location#7 Road EM-61-76-.0 (.1) Scope: Replace eroded road surface and embankment aggregate[187T] Cost: 187T x$33.70/T=$6,301.90 Location#8 Road EM-71-80-2.1 Scope: Replace eroded road surface and embankment aggregate[212T] Cost: 212T x$33.70/T=$7,144.40 Location#9 Road EM-74-392-2.1 Scope: Replace eroded embankment aggregate[93T] Cost: 93T x$33.70/T=$3,134.10 Location#10 Road EM-68-69-2.1 Scope: Replace eroded road surface and embankment aggregate[2881] Aggregate Cost: 288T x$33.70/T=$9,705.60 Magnesium Chloride Cost: 275 gal x$0.55/gal=$151.25 Note: Applicant indicated that the Oil Company working in the area hauled the material,therefore no cost to the Applicant, however the Applicant utilized FA Labor and Equipment to compact, reclaim, and grade the material. Although the Applicant did not have cost associated with material, the estimated cost shown above using the CDOT unit price covers the FA Labor and Equipment. The Applicant reported the cost of magnesium chloride at $0.49/gal, therefore a cost of$0.55/gal was used above to include the distributor truck and driver. The Applicant placed 11,000 gallons of Magnesium Chloride after the roadway was prepared at a reported application rate of approximately 5,000 gallons/mile. Therefore,the application rate is approximately 1 gal/LF of roadway. Location#11 Road EM-72-31-.4 Scope: Replace eroded road surface and embankment aggregate[96T] Cost: 96T x$33.70/T=$3,235.20 Location#12 Road EM-51-58-.5 Scope: Replace eroded road surface and embankment aggregate[2171] Cost: 217T x$33.70/T=$7,312.90 Note: Applicant indicated that gravel was placed from damaged area to the house at that end of the road, however this gravel was not storm damage related. Location#13 Road EM-45-54.5-.2 Note: According to the Weld County consultant[Base Tactical)EM-45- 54.5-.2 covers cleaning of the ditch just south of Hwy 34 on CR 45. This work is incidental to the culvert repair where this ditch goes under CR45. Therefore, this work is not covered under this PW but is covered under the Weld County Culverts PW#WELCO35. Cost: $0.00 Location#14 Road Em-43-54-.2[Road repaired by Oil Company] Scope: County supervision of material placement by Oil Company and grading by County labor and equipment. Cost: Labor [1 hr x$39.58/hr] +[7hr x$59.06/hr]=$453.00 Equipment: [1 hr x$70/hr cost code 8332]+[7hr x$14/hr cost code 8801]= $168.00 Total Cost=453+ 168 = $621 Location#15 Road EM-388-53-.25[Paved] Scope: Replace damaged asphalt[28T]and eroded shoulder aggregate [16T) Aggregate Cost: 16T x$33.70/T=$539.20 Repair Asphalt Pavement[use 7"thick] Sawcut Pavement: 16LF+42LF+ 16=7415 x$3/LF=$222 Unclassified Excavation [use CDOT code 203-00010$14.18/CY complete in place]: https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 10 of 33 42LF x 16LF x 0.58FT deep=390CF/27= 14.44CY x$14.18/CY=$204.76 Install Asphalt Pavement[use CDOT code 403-33741 $81.70/T]: 14.44CY x 1.97T/CY=28.5T use 29T x$81.70/T=$2,369.30 Traffic Control Estimate and small job adder: $1000 Mobilization/Demob Estimate: $1,500 Total Cost: 540+222 +205+2370+$1000+$1,500=$5,837 Location#16.1 Road EM-52-US85-.0[Paved] Scope: Replace eroded shoulder aggregate[109T] Cost: 109T x$33.70/7=$3,673.30 Location#16.2 Road EM-52-US85-.0[Paved] Scope: Replace eroded shoulder aggregate[1.82T] Cost: 1.821 x$33.70/1=$60.66 Location#16.3 Road EM-52-US85-.0[Paved] • Scope: Replace eroded shoulder aggregate[1.82T] Cost: 1.82T x$33.70(7=$60.66 Location#16.4 Road EM-52-US85-.0[Paved] Scope: Replace eroded shoulder aggregate[4.5T] Cost: 4.5T x$33.70/7=$151.65 Total Cost Location#16=3673.30+60.66+60.66+ 151.65=$3,946.27 Location#17 Road EM-Brantner-35th [Paved] Note: The work completed at the time of inspection included removal of damaged roadway and embankment materials and filling of those damaged areas up to the grade of the existing asphalt pavement. The work to be completed includes sawcutting the asphalt and removing material down to the depth of the adjoining asphalt section [measured in the Evans PW at 4"thick] along with installation of new asphalt. Location#17.1 Embankment southeast side of roadway Scope: Replace eroded embankment aggregate[884T] Aggregate Cost: 884T x$33.70/7=$29,790.80 Location#17.2 Pavement washout southeast side of roadway[triangular in plan view] Scope: Replace eroded aggregate base[53T] Aggregate Cost: 53T x$33.70/7=$1,786.10 Work Completed Total=$1,786.10 Work to be Completed: Scope: Replace Asphalt Pavement[use 4"thick same as used in Evans PW on Brantner which was measured] Sawcut Pavement: 9LF + 16LF+22LF +9LF=56LF x$3/LF=$168 Unclassified Excavation [use CDOT code 203-00010$14.18/CY complete in place]: 38LF x 9LF x 0.33FT deep= 112.86CF/27=4.18CY x$14.18/CY=$59.27 Install Asphalt Pavement[use CDOT code 403-33741 $81.70/7]: 4.18CY x 1.97T/CY=8.23T use 9T x$81.70/7=$735.30 Work to be Completed Total =$962.57 Location#17.3 Pavement washout full width of roadway[rectangular in plan view] Scope: Replace eroded aggregate base[132T] Aggregate Cost: 132T x$33.70/7=$4,448.40 Work Completed Total=$4,448.40 Work to be Completed: Scope: Replace Asphalt Pavement[use 4"thick] Sawcut Pavement: 21LF+21 LF=42LF x$3/LF =$126 Unclassified Excavation [use CDOT code 203-00010$14.18/CY complete in place]: https://connect 1.dhs.gov/emmie/,Danal nfo=i source.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page I 1 of 33 17LF x 21LF x 0.33FT deep= 117.81CF/27=4.36CY x$14.18/CY= $61.82 Install Asphalt Pavement[use CDOT code 403-33741 $81.70/T]: 4.36CY x 1.97T/CY=8.6T use 9T x$81.70/T=$735.30 Work to be Completed Total =$923.12 Location#17.4 Pavement washout east half of roadway[rectangular in plan view] Scope: Replace eroded aggregate base[192T] Aggregate Cost: 192T x$33.70/T=$6,470.40 Work Completed Total=$6,470.40 Work to be Completed: Scope: Replace Asphalt Pavement[use 4"thick] Sawcut Pavement: 12LF+48LF+ 12LF=72LF x$3/LF=$216 Unclassified Excavation[use CDOT code 203-00010$14.18/CY complete in place]: 48LF x 12LF x 0.33FT deep= 190.08CF/27= 7.04CY x$14.18/CY= $99.83 Install Asphalt Pavement[use CDOT code 403-33741 $81.70/T]: 7.04CY x 1.977/CY= 13.87T use 14T x$81.70fT=$1,143.80 Work to be Completed Total =$1,459.63 Location#17.5 Pavement washout full width of roadway[rectangular in plan view] Scope: Replace eroded aggregate base[1014T] Aggregate Cost: 1014T x$33.70/T= $34,171.80 Work Completed Total =$34,171.80 Work to be Completed: Scope: Replace Asphalt Pavement[use 4"thick] Sawcut Pavement: 21 LF+21 LF =42LF x$3/LF=$126 Unclassified Excavation [use CDOT code 203-00010$14.18/CY complete in place]: 132LF x 21LF x 0.33FT deep=914.76CF/27=33.88CY x$14.18/CY= $480.42 Install Asphalt Pavement[use CDOT code 403-33741 $81.70(7]: 33.88CY x 1.977/CY=66.74T use 67T x$81.70/7=$5,473.90 Work to be Completed Total=$6,080.32 Location#17.6 Pavement washout portion of east half of roadway [rectangular in plan view] Scope: Replace eroded aggregate base[122T] Aggregate Cost: 122T x$33.70/1"=$4,111.40 Work Completed Total = $4,111.40 Work to be Completed: Scope: Replace Asphalt Pavement[use 4"thick] Sawcut Pavement: 8LF+49LF+8LF=65LF x$3/LF =$195 Unclassified Excavation[use CDOT code 203-00010$14.18/CY complete in place]: 49LF x 8LF x 0.33FT deep= 129.36CF/27 =4.79CY x$14.18/CY=$67.92 Install Asphalt Pavement[use CDOT code 403-33741 $81.70/1]: 4.79CY x 1.977/CY=9.44T use 10T x$81.70/T=$817.00 Work to be Completed=$1,079.92 Location#17.7 Pavement washout full width of roadway[rectangular in plan view] Scope: Replace eroded aggregate base[7171] Aggregate Cost: 717T x$33.70/T=$24,162.90 Work Completed Total =$24,162.90 Work to be Completed: Scope: Replace Asphalt Pavement[use 4"thick] Sawcut Pavement: 21 LF+21 LF=42LF x$3/LF=$126 Unclassified Excavation[use CDOT code 203-00010$14.18/CY complete in place]: 94LF x 21LF x 0.33FT deep=651.42CF/27=24.13CY x$14.18/CY= $342.16 https://connect].dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 12 of 33 Install Asphalt Pavement[use CDOT code 403-33741 $81.70/T]: 24.13CY x 1.97T/CY=47.54T use 48T x$81.70/T=$3,921.60 Work to be Completed Total=$4,389.76 Total Cost Location 17[Paved] Work Completed: Aggregate replacement=29,790.80+ 1,786.10+4,448.40+6,470.40+ 34,171.80+4,111.40+24,162.90= $104,941.80 Work Completed Total =$104,941.80 Work to be Completed: Pavement replacement: Sawcut= 168+ 126+216+ 126+ 195+ 126= $957 Unclassified Excavation=59.27+61.82+99.83+480.42+67.92+342.16 =$1,111.42 Install Asphalt=735.30+735.30+ 1143.80+5473.90+817+3921.60= $12,826.90 Work to be Completed Total=957+ 1111.42+ 12826.90=$14,895.32 Location#18 Road EM-52-35-1.4[49th Street—from Brantner intersection southwest] Scope: Work at this location is covered under a separate PW. See PW Ref #EVANS09 EMMIE#00302. Cost: $0.00 Location#19 Road EM-46-25-0 [Detour Route between Hwy 60 and CR25] Scope: Replace eroded road surface and embankment aggregate[634T]. Apply magnesium chloride[5000 gal]since it was used as a detour route [incidental to the permanent work]. Based on discussions with the road foreman,there were 6 loads of aggregate at the intersection of Hwy 60 and CR25 on the southern embankment and 17 loads of aggregate on the roadway from Hwy 60 west toward CR25 approximately 3700 feet. This section was sprayed with magnesium chloride twice since it was a detour route. The Applicant indicated an application rate of 5,000 gallons/mile each time, approximately 10,000 gallons were placed on the section between Hwy 60 and CR25 which is 1 mile. Aggregate Cost: 634T x$33.70/T=$21,365.80 Magnesium Chloride Cost: 10,000 gal x$0.55/gal=$5,500.00 Work Completed Total Cost: $21,365.80+$5,500=$26,865.80 Location#20 Road EM-46-23-.9 [Detour Route between CR23 and CR25] Scope: Replace eroded road surface aggregate[178T]. Apply magnesium chloride[2 passes at 5000 gallons each= 10000 gal]since this was used as a detour route[incidental to the permanent work]. Based on discussions with the road foreman,6 loads of aggregate were placed on the section of roadway between CR23 and CR25. The applicant indicated that the application rate of magnesium chloride is approximately 5,000 gallons/mile and it was applied twice. Therefore the segment between CR23 and CR25 would have 10,000 gallons placed since the distance is 1 mile.] Aggregate Cost: 178T x$33.70/T=$5,998.60 Magnesium Chloride Cost: 10000 gal x$0.55/gal=$5,500.00 Work Completed Total: $5,998.60+$5,500=$11,498.60 Location#21 Road EM-129.5-127-.2 [Actual Description: EM-129-127.7-.2 on Rd 94] Scope: Replace eroded road surface and embankment aggregate[112T] Work Completed Cost: 112T x$33.70/T=$3,774.40 WORK COMPLETED SUMMARY: Aggregate: 7499.14 Tons at a cost of$252,721.02 Magnesium Chloride: 20,275 gallons at a cost of$11,151.25 Asphalt: 29Tons at a cost of$5,837.00 Work Completed Total=$269,709.27 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 13 of 33 WORK TO BE COMPLETED SUMMARY: Asphalt: 157Tons at a cost of$14,895.32 Work to be Completed Total=$14,895.32 PROJECT NOTES: 1. Following the September 2013 flooding,applicant used contract services and/or 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 completed. 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 from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage assessment. 2. This PW addresses all validated flood related damages at the specified site(s), 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(s),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 will request FEMA prepare a version of this PW to address the eligible cost of repair. 3. 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. 4. The applicant must obtain all required federal, state, and local permits prior to the commencement of work. 5. 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. 6. Project was reviewed for 406 Hazard Mitigation and a copy of 406 HMP proposal is attached with this project. 7. 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. 8. 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. 9. 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 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 14 of 33 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 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. 10. The cost of aggregate in-place was established using CDOT average in- place cost for materials dated May 17,2013. CDOT Code 304-06000 for Aggregate Base Course[Class 6)at a unit cost of$16.85/T for greater than 50,000T was multiplied by a factor of 2 to get the price used in this PW of $33.70/1". The CDOT unit price was doubled due to a lack of economies of scale for the small jobs and remote locations that were covered by this PW. 11. The county measures its quantities in terms of tons. Field measured quantities were computed in cubic yards. The Weld County Engineering and Construction Criteria document specifies materials densities of 1461bs/CF for Hot Mix Asphalt, 1351bs/CF for Aggregate Base Course, and 1201bs/CF for fill material. The project specialist used these densities to compute conversion factors to apply to the cubic yard computations as shown below: Hot Mix Asphalt: [1461bs/CF x 27CF/CY]/20001bs/Ton = 1.97 T/CY Aggregate Base Course: [1351bs/CF x 27CF/CY]/2000lbs/Ton= 1.82 T/CY Fill material: [1201bs/CF x 27CF/CY]/20001bs/Ton = 1.62 T/CY For PW#WELCO08,the aggregate used by the Applicant to complete the repairs was either surface gravel or Class 6,therefore the Aggregate Base Course conversion of 1.82T/CY was used. Hazard Mitigation Proposal Is effective mitigation feasible on this site? I Yes If you answered Yes to the above question,the next question is required Will mitigation be performed on this site? I Yes If you answered Yes to the above question,the next question is required Do you wish to attach a Hazard Mitigation Proposal?'Yes If you answered Yes to the above question,the next two questions are required Please provide the Scope of Work for the estimate: HMP Attached (maximum 4000 characters) Would you like to add the Hazard Mitigation Yes Proposal as a cost line item to the project cost? GIS Coordinates Project Location Latitude Longitude Location 1 40.78342 -104.80159 Special Considerations 1. Does the damaged facility or item of work have insurance coverage and/or is it an insurable risk No (e.g., buildings,equipment,vehicles, etc)? If you would like to make any comments, please enter them below. (maximum 4000 characters) Insurance Policy on file at JFO. 2. Is the damaged facility located within a floodplain or coastal high hazard area and/or does it have yes an impact on a floodplain or wetland? If you would like to make any comments, please enter them below. https://connectl.dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+di spatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 15 of 33 (maximum 4000 Characters) Floodmap information is listed in the Damage Description for each location. Floodmaps are attached for those locations that are in a floodplain. 3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource No System Unit or an Otherwise Protected Area? 4.Will the proposed facility repairs/reconstruction change the pre-disaster conditions (e.g., footprint, No material, location,capacity, use of function)? 5. Does the applicant have a hazard mitigation proposal or would the applicant like technical Yes assistance for a hazard mitigation proposal? If you would like to make any comments,please enter them below. (maximum 4000 characters) HMP Attached 6. Is the damaged facility on the National Register of Historic Places or the state historic listing? Is it No 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 of No 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 No and/or item of work? Attachments User Date Document Description Hard Copy File File Name Action Type Reference PAUL 02-04- Floodplain Firmettes PW#WELCO08 Firmettes.pdf View HESSE 2014 (2.44 Mb) 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 project? Yes If you answered Yes to the above question,the next question is required Do you wish to attach a Hazard Mitigation Proposal? Yes If you answered Yes to the above question,the next two questions are required Please provide the Scope of Work HMP attached for the estimate: Would you like to add the Hazard Mitigation Yes Proposal as a cost line item to the project cost? Hazard Mitigation Proposal -0909 # Code Material and/or Description Unit Unit of Unit Price Subgra p Type Cost Estimate Action Quantity yp Measure Budget Class ***Version 0*** 1 9999 Rip rap 291 CY $83.17 $24,202.47 2 9999 Unclassified fill 141 CY $17.84 $2,515.44 3 9999 Grass seed 12 LB $6.00 $72.00 4 9999 Labor 7 HR $30.00 $210.00 Total Cost:$26,999.91 Comments https://connect 1.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 16 of 33 HMP attached Attachments User Date Document Type Description Hard Copy File File Name Action Reference PAUL 02-05- Mitigation PW#WELCO08HMP.pdf HESSE 2014 Proposal HMP (145.41 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 Completed 1 9999 Locations 1 LS $ CONSTRUCTION Work $269,709.27 1-21 269,709.27 Completed Work To Be Completed Work To 2 9999 Location 17 1 LS 14,895.32 CONSTRUCTION Be $ 14,895.32 Completed Direct Subgrantee Admin Cost Direct Direct 3 9901 Administrative 1 LS $ 1,000.00 INDIRECT Subgrantee $ 1,000.00 Costs CHARGES Admin Cost (Subgrantee) Total Cost: $285,604.59 Insurance Adjustments(Deductibles, Proceeds and Settlements)-5900/5901 Subgrant Sequence Code Material and/or Description Unit Unit of Unit Budget Type Cost Action Quantity Measure Price Class Estimate Total Cost: $0.00 Hazard Mitigation Proposal-0909 Subgrant Sequence Code Material and/or Description Unit Unit of Unit Budget Type Cost Action q p Quantity Measure Price Class Estimate *n Version 0*** 1 9999 Rip rap 291 CY $83.17 $24,202.47 2 9999 Unclassified fill 141 CY $ 17.84 $2,515.44 3 9999 Grass seed 12 LB $6.00 $72.00 4 9999 Labor 7 HR $30.00 $210.00 Total Cost: $26,999.91 Total Cost Estimate: $312,604.50 (Preferred Estimate Type+Insurance Adjustments+ Hazard Mitigation Proposal) https://connect I.dhs.gov/emmie/,Danalnfo=isource.fema.net,SS L+d ispatch Destination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 17 of 33 Comments Cost calculations are shown in the scope of work for each location. Be advised there are some rounding errors. Attachments User Date Document Description Hard Copy File File Name Action Type Reference PAUL 02-05- Calculation Unit Cost PW#WELCO08 Unit Cost View HESSE 2014 Sheet Information Info.pdf(19.89 kb) PAUL 02-05- Calculation PW#WELCO08 DAC.pdf HESSE 2014 Sheet DAC Sheet (236.50 kb) View Existing Insurance Information Insurance Type Policy No. Bldg/Property Content Insurance Deductible Years Amount Amount Amount Amount Required Comments Attachments Comments and Attachments Name of Section Comment Attachment The applicant must notify the state if there are any changes in the Project Description scope of work prior to starting the repairs. Failure to notify the State Division of Emergency Management may jeopardize receipt of federal funds. PW#WELCO08 Location Maps Partl.pdf Damage Facilities PW#WELCO08 Location Maps Part2.1.pdf PW WELCO08 Photos.1.pdf Special Considerations PW#WELCO08 Firmettes.pdf Mitigation HMP attached PW#WELCO08 HMP.pdf PW#WELCO08 Unit Cost Estimate Cost calculations are shown in the scope of work for each location. Cost Info.pdf Be advised there are some rounding errors. PW#WELCO08 DAC.pdf PW#WELCO08 90-91 Form 90-91 SIGNED.pdf Bundle Reference#(Amendment#) Date Awarded PA-08-CO-4145-State-0035(34) 03-03-2014 Subgrant Application - FEMA Form 90-91 Note:The Effective Cost Share for this application is 75% https://connect l.dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 18 of 33 FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT WORKSHEET DISASTER PROJECT NO. PAID NO. DATE CATEGORY WELCO08 02-18-2014 FEMA 14145 I- IDR I-CO 99123-00 C APPLICANT:WELD(COUNTY) WORK COMPLETE AS OF: 01-23-2014:95% Site 1 of 1 DAMAGED FACILITY: COUNTY: Weld Various County Roads-Gravel and Paved LOCATION: LATITUDE: LONGITUDE: 40.78342 -104.80159 PA-08-CO-4145-PW-00561(0): Various County Roads shown below as Locations 1 through 21. Each location has a GPS listed for the damaged area. DAMAGE DESCRIPTION AND DIMENSIONS: PA-08-CO-4145-PW-00561(0): During the incident period of September 11,2013 through September 30,2013,the declared severe storms caused flooding,landslides and mudslides throughout Weld County in Colorado. The gravel roads sustained damages from overtopping of roads,high water levels in drainage ditches and overloaded culverts. Damages commonly consisted of shoulder and embankment erosion,washout of road base and aggregate surfacing. This PW describes 21 damaged road locations. Total damages at the 21 locations include total aggregate loss of 7499.14 Tons and asphalt pavement loss of 186 Tons. Damages to culverts and bridges are covered under separate PWs. [Refer to Scope Notes 10 and 11 for cost and conversion factors.] Location#1 Road EM-110-27-.5 Begin GPS'.40.78342,-104.80159 End GPS:40.78334,-104.80379 Floodmap#0802660175C[Panel not printed] Dimension: Road:585LF x 22FT wide x 0.33FT deep/27=157CY x 1.82=287T Embankment: (1.5FT wide x 1.5FT deep/2)x 2 sides x 585FT long/27=49CY x 1.82=89T Damage: Road surface and embankment erosion[both sides]caused aggregate loss of 376T. No damage to CMP. Location#2 Road EM-27-110-.8 Begin GPS:40.80214,-104.81049 End GPS:40.80310,-104.81047 Floodmap#0802660175C[Panel not printed] Dimension: Road:340LF x 22FT wide x 0.33FT deep/27=91 CY x 1.82=167T Embankment: (1.5FT wide x 3FT deep/2)x 2 sides x 340FT long/27=57CY x 1.82=103T Damage: Road surface and embankment erosion[both sides]caused aggregate loss of 270T. No damage to CMP. Location#3 Road EM-108-27-.5 Begin GPS:40.76863,-104.79212 End GPS:40.76863,-104.79316 Floodmap#0802660175C[Panel not printed] Dimension: Road:275LF x 22FT wide x 0.33FT deep/27=74CY x 1.82=135T Embankment: (2FT wide x 1.53FT deep/2)x 2 sides x 275FT long/27=31CY x 1.82=55T Damage: Road surface and embankment erosion[both sides]caused aggregate loss of 190T. No damage to CMP. Location#4 Road EM-94-43-.0 Begin GPS'.40.66800,-104.65839 End GPS:40.66768,-104.65836 Floodmap#0802660350C[Panel not printed] Dimension: Road:100LF x 6FT wide x 0.67FT deep/27=15CY x 1.82=27T Embankment: (3.5FT wide x 2FT deep/2)x 1 side x 115FT long/27=15CY x 1.82=27T Damage: Road surface and embankment erosion[1 side]caused aggregate loss of 54T. No damage to CMP. Location#5 Road EM-90-15-.1 [9 locations through 90-19-3.3 approximately 150LF each total 1350LF at the following locations:90-15-.1,90-15-.5, 90-15-.7,90-15-.8,90-15-.9,90-15-1.1,90-15-1.5,90-19-3.1,and 90-15-3.3] Begin GPS:40.63944,-104.91761 End GPS:40.63954,-104.82288 Floodmap#0802660325C Dated 9/28/82[not in floodplain] Dimension: Road: 1350LF x 24FT wide x 0.33FT deep/27=396CY x 1.82=722T Embankment: (2FT wide x 3FT deep/2)x 1 side x 1350FT long/27=150CY x 1.82=273T Damage: Road surface and embankment erosion[1 side]caused aggregate loss of 995T Location#6 Road EM-15-90-.5[6 locations through 15-90-2.8 approximately 150LF each total 900LF at the following locations:15-90-.5,15-90-.8, 15-90-1.6,15-90-2.1,15-90-2.5,and 15-90-2.8] Begin GPS:40.66952,-104.92444 End GPS:40.67924,-104.92428 Floodmap#0802660325O dated 9/28/82[not in floodplain] Dimension: Road:900LF x 24FT wide x 0.33FT deep/27=264CY x 1.82=461T Embankment: (3FT wide x 3FT deep/2)x 1 side x 900FT long/27=150CY x 1.82=273T https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 19 of 33 Damage: Road surface and embankment erosion[2 sides]caused aggregate loss of 754T Location#7 Road EM-61-76-.0(.1) Begin GPS:40.5425,-104.48934 End GPS:40.54170,-104.48931 Floodmap#080266052C[Panel not printed] Dimension: Road:280LF x 24FT wide x 0.35FT deep/27=87CY x 1.82=159T Embankment: (1.5FT wide x 2FT deep/2)x 1 side x 280FT long/27=16CY x 1.82=281 Damage: Road surface and embankment erosion[1 side]caused aggregate loss of 187T Location#8 Road EM-71-80-2.1 Begin GPS:40.59829,-104.3941 End GPS:40.59962,-104.39398 Floodmap#0802660525O[Panel not printed] Dimension: Road:200LF x 24FT wide x 0.25FT deep/27=44CY x 1.82=81T Embankment: (3FT wide x 2FT deep/2)x 1 side x 470FT long/27=52CY x 1.82=95T Embankment: (1.5FT wide x 1.5FT deep/2)x 1 side x 470FT long/27=20CY x 1.82=36T Damage: Road surface and embankment erosion[2 sides]caused aggregate loss of 212T Location#9 Road EM-74-392-2.1 Begin GPS:40.52289,-104.37213 End GPS:40.52291,-104.37007 Floodmap#0802660525O[Panel not printed] Dimension: Embankment: (2.5FT wide x 2FT deep/2)x 1 side x 550FT long/27=51CY x 1.82=93T Damage: Road embankment erosion[1 side]caused aggregate loss of 93T Location#10 Road EM-68-69-2.1 Begin GPS:40.47926,-104.37498 End GPS:40.47928,-104.37396 Floodmap#0802660675O dated 9/28/82[not in floodplain] Dimension: Road:275LF x 25FT wide x 0.6FT deep/27=153CY x 1.82=279T Embankment: (1FT wide x 1FT deep/2)x 1 side x 275FT long/27=5CY x 1.82=91 Magnesium Chloride'. 275LF x 1 gal/LF=275 gal. Damage: Road surface and embankment erosion[1 side]caused aggregate loss of 288T Location#11 Road EM-72-31-.4 Begin GPS:40.51011,-104.76512 End GPS:40.51013,-104.76553 Floodmap#0802660475D dated 9/22/99[not in floodplain] Dimension: Road:110LF x 24FT wide x 0.5FT deep/27=49CY x 1.82=89T Embankment: (1FT wide x 1FT deep/2)x 2 sides x 110FT long/27=4CY x 1.82=7T Damage: Road surface and embankment erosion[2 sides]caused aggregate loss of 96T Location#12 Road EM-51-58-.5 Begin GPS:40.41366,-104.58353 End GPS:40.41467,-104.58355 Floodmap#0802660645O dated 9/28/82[not in floodplain] Dimension: Road: 100LF x 6FT wide x 3FT deep/27=67CY x 1.82=1221 Embankment: (3FT wide x 3FT deep/2)x 1 side x 312FT long/27=52CY x 1.82=95T Damage: Road surface and embankment erosion[1 side]caused aggregate loss of 217T Location#13 Road EM-45-54.5-.2 Note: According to the Weld County consultant[Base Tactical]EM-45-54.5-.2 covers cleaning of the ditch just south of Hwy 34 on CR 45. This work is incidental to the culvert repair where this ditch goes under CR45. Therefore,this work is not covered under this PW but is covered under the Weld County Culverts PW#WELCO35. Location#14 Road Em-43-54-.2[Road repaired by Oil Company] Begin GPS:40.38126,-104.65891 Mid GPS:40.38472,-104.65888 End GPS:40.38678,-104.65834 Floodmap#0802660639O dated 9/28/82 Floodplain Zone A4 Dimension: Road: 1960LF x 18FT wide/9=3920SY Damage: Road surface and embankment erosion both sides caused aggregate loss. Applicant indicated that Oil Company repaired road and embankment at the Oil Company's cost. No material cost incurred by Applicant only labor and equipment for supervision and grading. Location#15 Road EM-388-53-.25[Paved] Begin GPS:40.41037,-104.54981 End GPS:40.41370,-104.55771 Floodmap#0802660645C dated 9/28/82 Floodplain Zone A Dimension: Road[asphalt]:42LF x 16FT wide x 0.58FT deep/27=14CY x 1.97=281 Shoulder (1FT wide x 0.17FT deep)x 2 sidesx 726FT long/27=9.1CY x 1.82=16T Damage: Road surface[asphalt—281]and shoulder erosion[2 sides—approximately 30%within the GPS limits 2420 x 0.3=726LF]caused aggregate loss of 16T. Location#16 Road EM-52-US85-.0 is a paved road that had shoulder damages. This location is split up into 4 areas as shown below. There was no damage to the pavement. Location#16.1 Road EM-52-US85-.0[Paved] Begin GPS:40.35999,-104.6959 End GPS:40.36147,-104.68857 Floodmap#0802660638C dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep)x 2 sides x 1221 FT long/27=60CY x 1.82=109T Damage: Shoulder erosion[2 sides—approximately 60%within the GPS limits 2035LF x 0.6=1221 LF]caused aggregate loss of 109T. No damage to pavement. Location#16.2 Road EM-52-US85-.0[Paved] GPS:40.36309,-104.65900[southwest corner CR43 intersection] Floodmap#0802660639O dated 9/28/82[not in floodplain] https://connect l.dhs.gov/emm ie/,DanaInfo=isource.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 20 of 33 Dimension: Shoulder: (2FT wide x 0.33FT deep)x 1 side x 40FT long/27=ICY x 1.82=1.82T Damage: Shoulder erosion[1 side—40LF]caused aggregate loss of 1.82T. No damage to pavement. Location#16.3 Road EM-52-US85-.0[Paved] GPS:40.36303,-104.67770[southwest corner CR41 intersection] Floodmap#0802660638C dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep)x 1 side x 40FT long/27=1CY x 1.82=1.82T Damage: Shoulder erosion[1 side—40LF]caused aggregate loss of 1.82T. No damage to pavement. Location#16.4 Road EM-52-US85-.0[Paved] GPS:40.36303,-104.67770[extending 100LF west on north side of road at CR41 intersection] Floodmap#0802660638C dated 9/28/82 Floodplain Zone A7 Dimension: Shoulder: (2FT wide x 0.33FT deep)x 1 side x 100FT long/27=2.4CY x 1.82=4.5T Damage: Shoulder erosion[1 side—100LF]caused aggregate loss of 4.5T. No damage to pavement. Location#17 Road EM-Brantner-35th [Paved] Note: Within the GPS limits shown below,there are seven[7]areas of damage indicated as 17.1-17.7. Begin GPS:40.36650.-104.70034 End GPS:40.36526,-104.70184[Note:This end point coincides with the beginning of City of Evans work covered under a separate PW Ref#EVANS09 EMMIE#00302,therefore there is no apparent overlap of work being claimed.] Floodmap#0801820001 B dated 4/2/79 Floodplain Zone A7 and Zone B Floodmap#0802660638C dated 9/28/82 Floodplain Zone A7 and Zone B Location#17.1 Embankment southeast side of roadway Dimension: Embankment:(8FT wide x 5.5FT deep/2)x 1 side x 595FT long/27=485CY x 1.82=884T Damage: Embankment erosion[1 side]caused aggregate loss of 884T Location#17.2 Asphalt pavement washout southeast side of roadway[measured as 2 triangles in plan view with common base length of 8LF] Dimension: 15FT long x 8FT wide/2 x 5.5FT deep/27=12CY x 1.82=22T 21FT long x 8FT wide/2 x 5.5FT deep/27=17CY x 1.82=31T •• Damage: Paved roadway erosion caused aggregate[53 x 0.94=50T]and asphalt[53 x 0.06=3T]loss of approximately 53T. The tonnage split was calculated as follows: 0.33FT asphalt depth/5.5FT total depth=0.06 These tonnages are approximate due to rounding errors and a slight difference in density,however they are reasonable for estimating purposes. Location#17.3 Pavement washout full width of roadway[rectangular in plan view] Dimension: 17FT long x 21FT wide x 5.5FT deep/27=73CY x 1.82=132T Damage: Paved roadway erosion caused aggregate[132 x 0.94=124T]and asphalt[132 x 0.06=8T]loss of approximately 132T Location#17.4 Pavement washout east half of roadway[rectangular in plan view] Dimension: 47FT long x 11 FT wide x 5.5FT deep/27=105CY x 1.82=192T Damage: Paved roadway erosion caused aggregate[192 x 0.94=1807]and asphalt[192 x 0.06=127]loss of approximately 192T Location#17.5 Pavement washout full width of roadway[rectangular in plan view] Dimension: 130FT long x 21FT wide x 5.5FT deep/27=556CY x 1.82=1014T Damage: Paved roadway erosion caused aggregate[1014 x 0.94=953T]and asphalt[1014 x 0.06=617]loss of approximately 1014T Location#17.6 Pavement washout portion of east half of roadway[rectangular in plan view] Dimension: 47FT long x 7FT wide x 5.5FT deep/27=67CY x 1.82=1221 Damage: Paved roadway erosion caused aggregate[122 x 0.94=1157]and asphalt[122 x 0.06=7T]loss of approximately 122T Location#17.7 Pavement washout full width of roadway[rectangular in plan view] Dimension: 92FT long x 21 FT wide x 5.5FT deep/27=394CY x 1.82=717T Damage: Paved roadway erosion caused aggregate[717 x 0.94=6747]and asphalt[717 x 0.06=43T]loss of approximately 717T Location#17 Material Summary: Calculated loss=3114T made up of 2980T of aggregate and 134T of asphalt. Location#18 Road EM-52-35-1.4[49th Street-from Brantner intersection southwest] Start GPS:40.36478,-104.70493 End GPS:40.36358,-104.70571 Note: This site is listed for information only. The GPS coordinates shown below from the site visit with Weld County personnel are within the limits of work completed under the City of Evans PW Ref#EVANS09 EMMIE#00302. This work is not covered under this PW since it was already claimed under the City of Evans PW. This information was confirmed in the field with the FEMA Project Specialist who wrote the PW for City of Evans. Location#19 Road EM-46-25-0 [Detour Route between Hwy 60 and CR25] Start[East]GPS'.40.32057,-104.81143 End[West]GPS'.40.31919,-104.82419 Floodmap#0802660750C dated 9/28/82 Floodplain Zone A Dimension: Road:3700LF x 24FT wide x 0.09FT deep/27=296CY x 1.82=540T Embankment: (5FT wide x 3FT deep/2)x 1 side x 185FT long/27=51CY x 1.82=94T Damage: Road surface and embankment erosion[1 side]caused aggregate loss of 634T. Location#20 Road EM-46-23-.9 [Detour Route between CR23 and CR25] Start GPS:40.31915,-104.82977 End GPS'.40.31919,-104.83334[23-25] Floodmap#0802660750C dated 9/28/82[not in floodplain] Dimension: Road: 1000LF x 24FT wide x 0.11FT deep/27=98CY x 1.82=178T Damage: Road surface erosion caused aggregate loss of 178T. Location#21 Road EM-129.5-127-.2 [Actual Description:EM-129-127.7-.2 on Rd 94] GPS: 40.67001,-103.83154 Floodmap#0802660425C[Panel not printed] https://connect 1.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 21 of 33 Dimension: Road:75LF x 4FT wide x 3FT deep/27=33CY x 1.82=61T Embankment: (5FT wide x 2FT deep/2)x 1 side x 150FT long/27=28CY x 1.82=51T Damage: Road surface and embankment erosion[1 side]caused aggregate loss of 112T. SCOPE OF WORK: PA-08-CO-4145-PW-00561(0): WORK COMPLETED: The Applicant used Force Account Labor,Equipment,and Material along with some contracted hauling to complete the repairs to the Locations shown on this PW. The work on this PW is itemized by location showing the road and its location relative to the nearest intersection along with GPS coordinates. Photos were taken and are attached. The roads and culverts were maintained in above average condition with well-developed and maintained ditches. The quantities are estimated from site visits and costs are estimated using the CDOT pricing for similar work complete and in-place. These costs should account for the labor and equipment required to complete the work. The following Locations are shown as Work Completed except as noted where work is required in the spring such as paving. Location#1 Road EM-110-27-.5 Scope: Replace eroded road surface and embankment aggregate[811]. Discussions with the foreman indicated that the operator was able to pull up material that had washed from the roadway to the right-of-way to use in rebuilding the damaged area,therefore only 81T was placed and the remainder was reclaimed. Cost: 81T x$33.70/7=$2,729.70 Location#2 Road EM-27-110-.8 Scope: Replace eroded road surface and embankment aggregate[2701] Cost: 270T x$33.70/T=$9,099.00 Location#3 Road EM-108-27-.5 Scope: Replace eroded road surface and embankment aggregate[B1T]. Discussions with the foreman indicated that the operator was able to pull up material that had washed from the roadway to the right-of-way to use in rebuilding the damaged area,therefore only 81T was placed and the remainder was reclaimed. Cost: 81T x$33.701T=$2,729.70 Location#4 Road EM-94-43-.0 Scope: Replace eroded road surface and embankment aggregate[547] Cost: 54T x$33.70/T_$1,819.80 Location#5 Road EM-90-15-.1 Scope: Replace eroded road surface and embankment aggregate[9951] Cost: 995T x$33.70/T=$33,531.50 Location#6 Road EM-15-90-.5 Scope: Replace eroded road surface and embankment aggregate[754T] Cost: 754T x$33.70/7=$25,409.80 Location#7 Road EM-61-76-.0(.1) Scope: Replace eroded road surface and embankment aggregate[18711 Cost: 187T x$33.70/T=$6,301.90 Location#8 Road EM-71-80-2.1 Scope: Replace eroded road surface and embankment aggregate[2121] Cost: 212T x$33.70/T=$7,144.40 Location#9 Road EM-74-392-2.1 Scope: Replace eroded embankment aggregate[931] Cost: 93T x$33.70/T=$3,134.10 Location#10 Road EM-68-69-2.1 Scope: Replace eroded road surface and embankment aggregate[288T] Aggregate Cost: 288T x$33.70/T=$9,705.60 Magnesium Chloride Cost: 275 gal x$0.55/gal=$151.25 Note: Applicant indicated that the Oil Company working in the area hauled the material,therefore no cost to the Applicant,however the Applicant utilized FA Labor and Equipment to compact,reclaim,and grade the material. Although the Applicant did not have cost associated with material, the estimated cost shown above using the CDOT unit price covers the FA Labor and Equipment. The Applicant reported the cost of magnesium chloride at$0.49/gal,therefore a cost of$0.55/gal was used above to include the distributor truck and driver. The Applicant placed 11,000 gallons of Magnesium Chloride after the roadway was prepared at a reported application rate of approximately 5,000 gallons/mile. Therefore,the application rate is approximately 1 gal/LF of roadway. Location#11 Road EM-72-31-.4 Scope: Replace eroded road surface and embankment aggregate[96T] Cost: 96T x$33.70/7=$3,235.20 Location#12 Road EM-51-58-.5 Scope: Replace eroded road surface and embankment aggregate[2171] Cost: 217T x$33.70/7=$7,312.90 Note: Applicant indicated that gravel was placed from damaged area to the house at that end of the road,however this gravel was not storm damage related. https://connect l.dhs.gov/emm ie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 22 of 33 Location#13 Road EM-45-54.5-.2 Note: According to the Weld County consultant[Base Tactical]EM-45-54.5-.2 covers deaning of the ditch just south of Hwy 34 on CR 45. This work is incidental to the culvert repair where this ditch goes under CR45. Therefore,this work is not covered under this PW but is covered under the Weld County Culverts PW#WELCO35. Cost: $0.00 Location#14 Road Em-43-54-.2[Road repaired by Oil Company] Scope: County supervision of material placement by Oil Company and grading by County labor and equipment. Cost: Labor: [1 hr x$39.58/hr]+[7hr x$59.06/hr]_$453.00 Equipment: [1hr x$70/hr cost code 8332]4-[7hr x$14/hr cost code 8801]=$168.00 Total Cost=453+168=$621 Location#15 Road EM-388-53-.25[Paved] Scope: Replace damaged asphalt[28T]and eroded shoulder aggregate[1611 Aggregate Cost: 16T x$33.70/7=$539.20 Repair Asphalt Pavement[use 7"thick] Sawcut Pavement: 16LF+42LF+16=74LF x$3/LF=$222 Undassified Excavation[use CDOT code 203-00010$14.18/CY complete in place]: 42LF x 16LF x 0.58FT deep=390CF/27=14.44CY x$14.18/CY=$204.76 Install Asphalt Pavement[use CDOT code 403-33741$81.70/7]: 14.44CY x 1.97T/CY=28.5T use 29T x$81.70/T=$2,369.30 Traffic Control Estimate and small job adder: $1000 Mobilization/Demob Estimate:$1,500 Total Cost 540+222+205+2370+$1000+$1,500=$5,837 Location#16.1 Road EM-52-U585-.0[Paved] Scope: Replace eroded shoulder aggregate[109T] Cost: 109T x$33.70/T=$3,673.30 Location#16.2 Road EM-52-US85-.0[Paved] Scope: Replace eroded shoulder aggregate[1.821] Cost: 1.82T x$33.70/7=$60.66 Location#16.3 Road EM-52-US85-.0[Paved] Scope: Replace eroded shoulder aggregate[1.821] Cost: 1.82T x$33.70/T=$60.66 Location#16.4 Road EM-52-US85-.0[Paved] Scope: Replace eroded shoulder aggregate[4.511 Cost 4.5T x$33.70/T=$151.65 Total Cost Location#16=3673.30+60.66+60.66+151.65=$3,946.27 Location#17 Road EM-Brantner-35th [Paved] Note: The work completed at the time of inspection included removal of damaged roadway and embankment materials and filling of those damaged areas up to the grade of the existing asphalt pavement. The work to be completed includes sawcutting the asphalt and removing material down to the depth of the adjoining asphalt section[measured in the Evans PW at 4"thick]along with installation of new asphalt. Location#17.1 Embankment southeast side of roadway Scope: Replace eroded embankment aggregate[8841] Aggregate Cost: 884T x$33.70/1-=$29,790.80 Location#17.2 Pavement washout southeast side of roadway[triangular in plan view] Scope: Replace eroded aggregate base[531] Aggregate Cost: 53T x$33.70/7=$1,786.10 Work Completed Total=$1,786.10 Work to be Completed: Scope: Replace Asphalt Pavement[use 4"thick same as used in Evans PW on Brantner which was measured] Sawcut Pavement: 9LF+16LF+22LF+9LF=56LF x$3/LF=$168 Unclassified Excavation[use CDOT code 203-00010$14.18/CY complete in place]: 38LF x 9LF x 0.33FT deep=112.86CF/27=4.18CY x$14.18/CY=$59.27 Install Asphalt Pavement use CDOT code 403-33741$81.70/7]: 4.18CY x 1.97T/CY=8.23T use 9T x$81.70/1-=$735.30 Work to be Completed Total=$962.57 Location#17.3 Pavement washout full width of roadway[rectangular in plan view] Scope: Replace eroded aggregate base[1321] Aggregate Cost: 132T x$33.70/7=$4,448.40 Work Completed Total=$4,448.40 Work to be Completed: Scope: Replace Asphalt Pavement[use 4"thick] Sawcut Pavement: 21 LF+21 LF=42LF x$3/LF=$126 Undassified Excavation[use CDOT code 203-00010$14.18/CY complete in place]: 17LF x 21LF x 0.33FT deep=117.81 CF/27=4.36CY x$14.18/CY=$61.82 Install Asphalt Pavement[use CDOT code 403-33741 $81.70/7]: 4.36CY x 1.97T/CY=8.6T use 9T x$81.70/7=$735.30 Work to be Completed Total=$923.12 Location#17.4 Pavement washout east half of roadway[rectangular in plan view] https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 23 of 33 Scope: Replace eroded aggregate base[1921] Aggregate Cost: 192T x$33.70/T=$6,470.40 Work Completed Total=$6,470.40 Work to be Completed: Scope: Replace Asphalt Pavement[use 4"thick] Sawcut Pavement: 12LF+48LF+12LF=72LF x$3/LF=$216 Unclassified Excavation[use CDOT code 203-00010$14.18/CY complete in place]: 48LF x 12LF x 0.33FT deep=190.08CF/27=7.04CY x$14.18/CY=$99.83 Install Asphalt Pavement[use CDOT code 403-33741$81.70/T]: 7.04CY x 1.97T/CY=13.87T use 14T x$81.70/T=$1,143.80 Work to be Completed Total=$1,459.63 Location#17.5 Pavement washout full width of roadway[rectangular in plan view] Scope: Replace eroded aggregate base[1014T] Aggregate Cost: 1014T x$33.7011=$34,171.80 Work Completed Total=$34,171.80 Work to be Completed: Scope: Replace Asphalt Pavement[use 4°thick] Sawcut Pavement: 21 LF+21 LF=42LF x$3/LF=$126 Unclassified Excavation[use CDOT code 203-00010$14.18/CY complete in place]: 132LF x 21LF x 0.33FT deep=914.76CF/27=33.BBCY x$14.18/CY=$480.42 Install Asphalt Pavement[use CDOT code 403-33741 581.70/7]: 33.88CY x 1.97T/CY=66.74T use 67T x$81.70/T=$5,473.90 Work to be Completed Total=$6,080.32 Location#17.6 Pavement washout portion of east half of roadway[rectangular in plan view] Scope: Replace eroded aggregate base[1221] Aggregate Cost: 122T x$33.70/T=$4,111.40 Work Completed Total=$4,111.40 Work to be Completed: Scope: Replace Asphalt Pavement[use 4"thick] Sawcut Pavement: 8LF+49LF+8LF=65LF x$3/LF=$195 Unclassified Excavation[use COOT code 203-00010$14.18/CY complete in place]: 49LF x BLF x 0.33FT deep=129.36CF/27=4.79CY x$14.18/CY=$67.92 Install Asphalt Pavement[use CDOT code 403-33741 $81.7011]: 4.79CY x 1.97T/CY=9.44T use 10T x$81.70/T=$817.00 Work to be Completed=$1,079.92 Location#17.7 Pavement washout full width of roadway[rectangular in plan view] Scope: Replace eroded aggregate base[7171] Aggregate Cost: 717T x$33.70/T=$24,162.90 Work Completed Total=$24,162.90 Work to be Completed: Scope. Replace Asphalt Pavement[use 4"thick] Sawcut Pavement: 21LF+21LF=42LF x$3/LF=$126 Unclassified Excavation[use COOT code 203-00010$14.18/CY complete in place]: 94LF x 21LF x 0.33FT deep=651.42CF/27=24.13CY x$14.18/CY=$342.16 Install Asphalt Pavement[use CDOT code 403-33741 581.70/1]: 24.13CY x 1.97T/CY=47.54T use 48T x$81.7011=$3,921.60 Work to be Completed Total=$4,389.76 Total Cost Location 17[Paved] Work Completed: Aggregate replacement=29,790.80+1,786.10+4,448.40+6,470.40+34,171.80+4,111.40+24,162.90=$104,941.80 Work Completed Total=$104,941.80 Work to be Completed: Pavement replacement: Sawcut=168+126+216+126+195+126=$957 Unclassified Excavation=59.27+61.82+99,83+480.42+67.92+342.16=$1,111.42 Install Asphalt=735.30+735.30+1143.80+5473.90+817+3921.60=$12,826.90 Work to be Completed Total=957+1111.42+12826.90=$14,895.32 Location#18 Road EM-52-35-1.4[49th Street—from Brantner intersection southwest] Scope: Work at this location is covered under a separate PW. See PW Ref#EVANS09 EMMIE#00302. Cost: $0.00 Location#19 Road EM-46-25-0 [Detour Route between Hwy 60 and CR25] Scope: Replace eroded road surface and embankment aggregate[634T]. Apply magnesium chloride[5000 gal]since it was used as a detour route [incidental to the permanent work]. Based on discussions with the road foreman,there were 6 loads of aggregate at the intersection of Hwy 60 and CR25 on the southem embankment and 17 loads of aggregate on the roadway from Hwy 60 west toward CR25 approximately 3700 feet. This section was sprayed with magnesium chloride twice since it was a detour route. The Applicant indicated an application rate of 5,000 gallons/mile each time,approximately 10,000 gallons were placed on the section between Hwy 60 and CR25 which is 1 mile. Aggregate Cost: 634T x$33.70/T=$21,365.80 Magnesium Chloride Cost: 10,000 gal x$0.55/gal=$5,500.00 Work Completed Total Cost: $21,365.80+$5,500=$26,865.80 Location#20 Road EM-46-23-.9 [Detour Route between CR23 and CR25] Scope: Replace eroded road surface aggregate[1787]. Apply magnesium chloride[2 passes at 5000 gallons each=10000 gal]since this was used as a detour route[incidental to the permanent work]. Based on discussions with the road foreman,6 loads of aggregate were placed on the https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 24 of 33 section of roadway between CR23 and CR25. The applicant indicated that the application rate of magnesium chloride is approximately 5,000 gallons/mile and it was applied twice. Therefore the segment between CR23 and CR25 would have 10,000 gallons placed since the distance is 1 mile.] Aggregate Cost: 17BT x$33.70/T=$5,998.60 Magnesium Chloride Cost: 10000 gal x$0.55/gal=$5,500.00 Work Completed Total: $5,998.60+$5,500=$11,498.60 Location#21 Road EM-129.5-127-.2 [Actual Description. EM-129-127,7-.2 on Rd 94] Scope: Replace eroded road surface and embankment aggregate[112T] Work Completed Cost. 112T x$33.70/7=$3,774.40 WORK COMPLETED SUMMARY: Aggregate: 7499.14 Tons at a cost of$252,721.02 Magnesium Chloride: 20,275 gallons at a cost of$11,151.25 Asphalt: 29Tons at a cost of$5,837.00 Work Completed Total=$269,709.27 WORK TO BE COMPLETED SUMMARY: Asphalt 157Tons at a cost of$14,895.32 Work to be Completed Total=$14,895.32 PROJECT NOTES: 1. Following the September 2013 flooding,applicant used contract services and/or 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 completed. 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 from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage assessment. 2. This PW addresses all validated flood related damages at the specified site(s),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 P . In the event that applicant identifies subsequent, currently unknown flood related damage at such site(s),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 will request FEMA prepare a version of this PW to address the eligible cost of repair, 3. 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. 4. The applicant must obtain all required federal,state,and local permits prior to the commencement of work. 5. 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. 6. Project was reviewed for 406 Hazard Mitigation and a copy of 406 HMP proposal is attached with this project. 7. 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. 8. The applicant is required to adhere to State and Federal Govemment 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. 9. 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 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. 10. The cost of aggregate in-place was established using CDOT average in-place cost for materials dated May 17,2013. CDOT Code 304-06000 for Aggregate Base Course[Class 6]at a unit cost of$16.851T for greater than 50,0007 was multiplied by a factor of 2 to get the price used in this PW of$33.70/T. The CDOT unit price was doubled due to a lack of economies of scale for the small jobs and remote locations that were covered by this PW. 11.The county measures its quantities in terms of tons.Field measured quantities were computed in cubic yards.The Weld County Engineering and Construction Critena document specifies materials densities of 1461bs/CF for Hot Mix Asphalt, 1351bs/CF for Aggregate Base Course,and 120Ibs/CF for fill material. The project specialist used these densities to compute conversion factors to apply to the cubic yard computations as shown below: Hot Mix Asphalt: [146lbs/CF x 27CF/CY]/20001bs/Ton=1.97 T/CY Aggregate Base Course: [1351bs/CF x 27CF/CY1/2000lbs/Ton=1.82 T/CY Fill material: [1201bs/CF x 27CF/CY]/20001bs/Ton=1.62 T/CY For PW#WELCO08,the aggregate used by the Applicant to complete the repairs was either surface gravel or Class 6,therefore the Aggregate Base Course conversion of 1.82T/CY was used. Special Considerations included? `/Yes No https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 25 of 33 Does the Scope of Work change the pre-disaster conditions at the site? Yes No Hazard Mitigation proposal included? `/Yes No Is there insurance coverage on this facility? Yes I No PROJECT COST ITEM CODE NARRATIVE QUANTITY/UNIT UNIT PRICE COST Version 0'*` Work Completed 1 9999 Locations 1-21 1/LS $269,709.27 $269,709.27 Work To Be Completed 2 9999 Location 17 1/LS $ 14,895.32 $ 14,895.32 Direct Subgrantee Admin Cost 3 9901 Direct Administrative Costs 1/LS $ 1,000.00 $ 1,000.00 (Subgrantee) 4 0909 Hazard Mitigation Proposal 1/LS $26,999.91 $26,999.91 TOTAL COST $312,604.50 PREPARED BY Paul Hesse TITLE TAC Project Specialist SIGNATURE APPLICANT REP. Roy Rudisill TITLE Director-OEM SIGNATURE WELD(COUNTY) : PA-08-CO-4145-PW-00561 Conditions Information Review Name Condition Type Condition Name Description Monitored Status This review does not address all federal, state and local requirements. Acceptance of federal funding Standard requires recipient to comply with all Final Review Other(EHP) Condition#2 federal, state and local laws. Failure No Approved to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. Any change to the approved scope of Final Review Other(EHP) Standard work will require re-evaluation for No Approved Condition#1 compliance with NEPA and other • Laws and Executive Orders. Gravel/borrow materials for work to National Historic be completed must be obtained from Final Review Other(EHP) Preservation Act one of the following pre-approved No Approved (NHPA) sources: (SHPO approved source, CO Licensed Pit,commercial source, contractor or county Stockpiles). Applicant is responsible for Executive Order coordinating with the local floodplain Final Review Other(EHP) 11988- manager.All required permits should No Approved Floodplains be maintained as part of the permanent record. Final Review Other(EHP) Standard If ground disturbing activities occur No Approved Condition#3 during construction,applicant will monitor ground disturbance and if any potential archeological resources are discovered,will immediately https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 26 of 33 WELD(COUNTY) : PA-08-CO-4145-PW-00561 Conditions Information cease construction in that area and notify the State and FEMA. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS, dated Endangered September 24,2013,to the extent Final Review Other(EHP) Species Act Possible; including apost- No Approved (ESA) construction estimate of the amount of habitat affected by the emergency response, an evaluation of how conservation recommendations were implemented, and the results of implementation in minimizing adverse effects. Final Review Other(EHP) Endangered PROJECT IMPLEMENTATION: 7. No Approved Species Act Contact the Service immediately by (ESA) telephone at(303)236-4773 if a Preble's is found alive, dead, injured, or hibernating within the project area. Please also contact the Service if any other listed species are found within the project area. 8.To the maximum extent practicable,limit disturbing (e.g., crushing,trampling)or removing (e.g., cutting, clearing)all vegetation, such as willows,trees, shrubs, and grasses within riparian and adjacent upland habitats. a. Restrict the temporary or permanent removal of vegetation to the footprint of the project area. b. Minimize the use of heavy machinery and use smaller equipment when possible. c. Soil compaction:Temporarily line access routes with geotextiles or other materials,especially in wet, unstable soils to protect roots and the seed bank.9. Use the attached table to track the acres or square feet of riparian and upland habitats temporarily or permanently affected by the response activities. a. Temporary Impacts: Native vegetation and habitats will reestablish following rehabilitation (e.g., access route that is rehabilitated with native,weed-free seeds and plants). b. Permanent Impacts: Riparian or upland habitats will not return as a result of project activities(e.g., road surface, concrete footings) 10.Track the volumes of any water from onsite sources stored or used for dust abatement, soil compaction, concrete mixing, or other activities. 11. Locate, store, stage,operate,and refuel equipment https://connectl.dhs.gov/emm ie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 27 of 33 WELD(COUNTY) : PA-08-CO-4145-PW-00561 Conditions Information outside of riparian or adjacent upland habitats. a. Operate equipment from previously disturbed or modified roadbeds or road shoulders above the riparian habitats. b. Limit the number of entrance and exit points leading into the project area. c. Stockpile topsoil and debris outside the riparian corridor and protect from stream flows or runoff. 12. During the Preble's active season(May 1 through November 1),work only during daylight hours to avoid disrupting Preble's nocturnal activities. 13. Promptly remove waste to minimize site disturbance and avoid attracting predators. 14. Cover exposed holes or piles of loose dirt with boards,tarps,or other materials to prevent entrapment. 15. Use best management practices (BMPs)to limit construction-related disturbance, such as soil compaction, erosion, and sedimentation, and to prevent the spread of invasive weeds; a. Soil compaction: Establish one access route for workers,vehicles, and machinery, preferably along a previously disturbed surface or route. b. Soil compaction: Temporarily line access routes with geotextiles or other materials, especially in wet, unstable soils. c. Weed control: Wash and inspect vehicles and equipment before entering or leaving the project area so that they are free of noxious weed seeds and plant parts. d.Weed control: Use only weed free certified materials, including gravel, sand,top soil, seed, and mulch. 16. Complete construction before beginning restoration or enhancement activities. Final Review Other(EHP) Endangered PRE-CONSTRUCTION DESIGN: 1. No Approved Species Act Design the project to avoid and (ESA) minimize the permanent and temporary impacts to riparian and adjacent upland habitats. a. Before construction, identify and prioritize riparian and adjacent upland habitats within the project area. Design the project so that it avoids these habitats whenever possible. b. Minimize the amount of concrete, riprap, bridge footings, and other "hard,"impermeable engineering features within the stream channel and riparian or adjacent upland habitats. c. Use bioengineering https://connect 1.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 28 of 33 WELD(COUNTY) : PA-08-CO-4145-PW-00561 Conditions Information techniques to stabilize stream banks. d. Minimize the number and footprint of access routes, staging areas, and work areas. e. Locate access routes, staging areas, and work areas within previously disturbed or modified non- habitat areas.f. Maintain habitat connectivity under bridges or through culverts by installing ledges or dry culverts adjacent to the culverts with water flow. g.Avoid fragmenting linear riparian corridors. 2. Install limits of work fencing (e.g.,orange barrier netting or silt fencing), signage,or other visible markers to delineate access routes and the project area from habitats. Use this fencing to enforce no-entry zones. 3. Hold a preconstruction briefing for onsite personnel to explain the limits of work and other conservation measures.4. Follow regional stormwater guidelines and design best management practices(BMPs) to control contamination,erosion, and sedimentation, such as silt fences, silt basins,gravel bags, and other controls needed to stabilize soils in denuded or graded areas, during and after construction. 5. Locate utilities along existing road corridors, and if possible,within the roadway or road shoulder. a. Bury overhead utilities whenever possible. b. Directionally bore utilities and pipes underneath habitats.6. Develop and implement a habitat restoration plan that addresses site preparation, planting techniques, control of non-native weeds, native seed mixtures, and post-construction monitoring. Final Review Other(EHP) Endangered POST-CONSTRUCTION: 17. Upon No Approved Species Act project completion, revegetate all (ESA) disturbed areas with native shrubs, trees,and grasses. a. Rip compacted access routes prior to replanting with native vegetation. b. Fill and reseed with weed free material and native seed mixtures. c. Consult the Service before finalizing a seed and plant list. 18. Bury riprap,then plant with native riparian vegetation. 19. Rehabilitate adjacent habitats impacted by floodwaters to restore connectivity and prevent future impacts from erosion or sedimentation.20. Consider monitoring the revegetated areas for success.The Service can https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 29 of 33 WELD(COUNTY) : PA-08-CO-4145-PW-00561 Conditions Information help establish success criteria during the consultation process. If ground disturbing activities occur during construction, applicant will Standard monitor ground disturbance and if EHP Review Other(EHP) Condition#3 any potential archeological resources No Recommended are 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 Standard requires recipient to comply with all EHP Review Other(EHP) Condition#2 federal,state and local laws. Failure No Recommended to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. Any change to the approved scope of EHP Review Other(EHP) Standard work will require re-evaluation for No Recommended Condition#1 compliance with NEPA and other Laws and Executive Orders. Gravel/borrow materials for work to National Historic be completed must be obtained from EHP Review Other(EHP) Preservation Act one of the following pre approved No Recommended (NHPA) sources: (SHPO approved source, CO Licensed Pit, commercial source, contractor or county Stockpiles). Applicant is responsible for Executive Order coordinating with the local floodplain EHP Review Other(EHP) 11988- manager.All required permits should No Recommended Floodplains be maintained as part of the permanent record. POST-CONSTRUCTION: 17. Upon project completion, revegetate all disturbed areas with native shrubs, trees, and grasses. a. Rip compacted access routes prior to replanting with native vegetation. b. Fill and reseed with weed free material and native seed mixtures. c. Consult the Service Endangered before finalizing a seed and plant list. EHP Review Other(EHP) Species Act 18. Bury riprap,then plant with native No Recommended (ESA) riparian vegetation. 19. Rehabilitate adjacent habitats impacted by floodwaters to restore connectivity and prevent future impacts from erosion or sedimentation. 20. Consider monitoring the revegetated areas for success. The Service can help establish success criteria during the consultation process. EHP Review Other(EHP) Endangered The applicant should implement No Recommended Species Act appropriate FWS conservation (ESA) measures identified in the Emergency Consultation between FEMA and USFWS, dated https://connect 1.dhs.gov/emm ie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 30 of 33 WELD(COUNTY) : PA-06-CO4145-PW-00561 Conditions Information September 24,2013,to the extent possible; including a post- construction estimate of the amount of habitat affected by the emergency response,an evaluation of how conservation recommendations were implemented, and the results of implementation in minimizing adverse effects. EHP Review Other(EHP) Endangered PRE-CONSTRUCTION DESIGN: 1. No Recommended Species Act Design the project to avoid and (ESA) minimize the permanent and temporary impacts to riparian and adjacent upland habitats. a. Before construction, identify and prioritize riparian and adjacent upland habitats within the project area. Design the project so that it avoids these habitats whenever possible. b. Minimize the amount of concrete, riprap, bridge footings,and other "hard," impermeable engineering features within the stream channel and riparian or adjacent upland habitats. c. Use bioengineering techniques to stabilize stream banks. d. Minimize the number and footprint of access routes, staging areas, and work areas. e. Locate access routes, staging areas, and work areas within previously disturbed or modified non- habitat areas.f. Maintain habitat connectivity under bridges or through culverts by installing ledges or dry culverts adjacent to the culverts with water flow. g.Avoid fragmenting linear riparian corridors. 2. Install limits of work fencing (e.g., orange barrier netting or silt fencing), signage,or other visible markers to delineate access routes and the project area from habitats. Use this fencing to enforce no-entry zones. 3. Hold a preconstruction briefing for onsite personnel to explain the limits of work and other conservation measures.4. Follow regional stormwater guidelines and design best management practices(BMPs) to control contamination,erosion, and sedimentation,such as silt fences, silt basins,gravel bags, and other controls needed to stabilize soils in denuded or graded areas, during and after construction. 5. Locate utilities along existing road corridors, and if possible,within the roadway or road shoulder. a. Bury overhead utilities whenever possible. https://connect 1.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 31 of 33 WELD(COUNTY) : PA-08-CO-4145-PW-00561 Conditions Information b. Directionally bore utilities and pipes underneath habitats. 6. Develop and implement a habitat restoration plan that addresses site preparation, planting techniques, control of non-native weeds, native seed mixtures, and post-construction monitoring. EHP Review Other(EHP) Endangered PROJECT IMPLEMENTATION: 7. No Recommended Species Act Contact the Service immediately by (ESA) telephone at(303)236-4773 if a Preble's is found alive,dead, injured, or hibernating within the project area. Please also contact the Service if any other listed species are found within the project area. 8.To the maximum extent practicable, limit disturbing (e.g., crushing,trampling)or removing (e.g., cutting, clearing)all vegetation, such as willows,trees, shrubs, and grasses within riparian and adjacent upland habitats. a. Restrict the temporary or permanent removal of vegetation to the footprint of the project area. b. Minimize the use of heavy machinery and use smaller equipment when possible. c. Soil compaction:Temporarily line access routes with geotextiles or other materials,especially in wet, unstable soils to protect roots and the seed bank. 9. Use the attached table to track the acres or square feet of riparian and upland habitats temporarily or permanently affected by the response activities.a. Temporary Impacts: Native vegetation and habitats will reestablish following rehabilitation (e.g., access route that is rehabilitated with native,weed-free seeds and plants). b. Permanent Impacts: Riparian or upland habitats will not return as a result of project activities(e.g., road surface, concrete footings) 10.Track the volumes of any water from onsite sources stored or used for dust abatement, soil compaction,concrete mixing,or other activities. 11. Locate, store, stage, operate, and refuel equipment outside of riparian or adjacent upland habitats. a. Operate equipment from previously disturbed or modified roadbeds or road shoulders above the riparian habitats. b. Limit the number of entrance and exit points leading into the project area.c. Stockpile topsoil and debris outside https://connectl.dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 32 of 33 WELD(COUNTY) : PA-08-CO-4145-PW-00561 Conditions Information the riparian corridor and protect from stream flows or runoff. 12. During the Preble's active season(May 1 through November 1),work only during daylight hours to avoid disrupting Preble's nocturnal activities. 13. Promptly remove waste to minimize site disturbance and avoid attracting predators. 14. Cover exposed holes or piles of loose dirt with boards,tarps,or other materials to prevent entrapment. 15. Use best management practices(BMPs)to limit construction-related disturbance, such as soil compaction, erosion, and sedimentation, and to prevent the spread of invasive weeds;a. Soil compaction: Establish one access route for workers,vehicles, and machinery, preferably along a previously disturbed surface or route. b. Soil compaction:Temporarily line access routes with geotextiles or other materials,especially in wet, II unstable soils. c.Weed control: Wash and inspect vehicles and equipment before entering or leaving the project area so that they are free of noxious weed seeds and plant parts. d.Weed control: Use only weed free certified materials, including gravel, sand,top soil, seed, and mulch. 16. Complete construction before beginning restoration or enhancement activities. Internal Comments No. Queue User Date/Time Reviewer Comments Award SYSTEM 03-03-2014 11:45 5 ACCEPTED Review PM GMT Note: Applicant, CO State representative and FEMA personnel jointly conducted all inspections and agreed to use CDOT costs for in-place costs to derive estimates on this project worksheet.Final Reviewer finds eligible the application and PALACIO 02-26-2014 10:14 approves the funding of this CAT-C project worksheet based on 4 Final Review JOSE PM GMT 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 02/26/2014 3 EHP Review EAKINS 02-25-2014 02:21 Cat C,95%complete. Weld County,Weld County. Applicant WYNN PM GMT used force account labor,equipment,and materials and contracted for hauling costs to repair flood caused embankment erosion and washout of road base and aggregate surfacing at 21 sites on county roads including replacing road surface material, re-grading and replacing and embankment aggregate, replace aggregate base material,replacing asphalt https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 33 of 33 Internal Comments No. Queue User Date/Time Reviewer Comments pavement, and applying magnesium chloride to roads used as detour routes. Mitigation: Applicant proposes to install rip rap and top with 8 inch soil cover and grass seed at Site 17.1 and Site 19 to reduce future damages. -cwalz123-02/21/2014 16:57:23 GMT Project site work is not in a mapped wetland.-cwalz123- 02/21/2014 18:23:54 GMT The entire community will benefit from the completion of this project.-cwalz123-02/21/2014 18:24:04 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.-cwalz123-02/21/2014 16:59:16 GMT Change 8-step attachement to a pdf document. FIRM numbers for sites 14 and 17 should be changed:Site 14-0802660637C and Site 17-0802660638C. Sites 1,2, 3 are located on a non-printed panel number 0802660175C. Site 4 is located on a non-printed panel number 0802660350C. Per FIRM 0802660325C dated 09/28/1982, Sites 5, 6 are located in Zone X. Sites 7, 8, 9 are located on a non-printed panel number 080266052C. Per FIRM 0802660475D dated 09/22/1999, Site 11 is in Zone X. Per FIRM 0802660675C dated 09/28/1982, Site 10 is in Zone X. Per FIRM 0802660645C dated 9/28/82, Site 12 is in Zone X. Per Firm 0802660639C dated 09/28/1982, Site 14 is in Zone A4. Per FIRM 0802660645C dated 09/28/1982, Site 15 is in Zone A. Per FIRM 0802660638C dated 9/28/82 Site 16 is in Zone A7. Per FIRM 0801820001B dated 4/2/79, Site 17 is in Zone A7. Per FIRM 0802660750C dated 9/28/82, Sites 19, 20 are in Zone A. Site 21 is located on a non-printed panel number 0802660425C. Per 44 CFR Part 9.5(g). Steps 1,4,5,and 8 of 8-Step review completed. See attached.-cwalz123- 02/21/2014 18:22:52 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Item III; Section A, B agreed to by FEMA and the SHPO.-cwalz123-02/21/2014 16:57:40 GMT 2 Mitigation DROST 02-21-2014 03:31 The Hazard Mitigation Proposal is approved-Brian W. Drost, Review BRIAN PM GMT 406 Specialist Insurance GILLIAM 02-19-2014 02:57 Applicant's property insurance specifically excludes roadways 1 Review ROBERT PM GMT from coverage. Insurance proceeds are not anticipated and there is no insurance O&M for road projects. https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 1 of 16 U) PX-084O-4145-PW-00574(0) P Applicant Name: Application Title: WELD(COUNTY) WELCO15-CR 58 Period of Performance Start: Period of Performance End: 09-14-2013 03-14-2015 Subgrant Application - Entire Application Application Title: WELCO15-CR 58 Application Number: PA-08-CO-4145-PW-00574(0) Application Type: Subgrant Application(PW) Preparer Information Prefix First Name KATHLEEN Middle Initial Last Name RUVARAC Title PROJECT SPECIALIST 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 Director-OEM Address 1 PO BOX 758 Address 2 City Greeley State CO ZIP 80632 Phone 970-3046540 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 2 of 16 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: WELCO15 Standard Project Number/Title: 399- Road System Damage Please Indicate the Project Type: Neither Alternate nor Improved Application Title: WELCO15- CR 58 Category: C.ROADS& BRIDGES Percentage Work Completed? 95.0% As of Date: 11-19-2013 Comments Attachments Damage Facilities (Part 1 of 2) Facility Site Number Facility Name Address County City State ZIP Previously Action Damaged? 1 CR 58 near South Platte River Weld CO No 2 BRIDGE 58-47A OVER PATTERSON DITCH Weld CO No Comments https://connect I.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 3 of 16 Attachments User Date Document Description Hard Copy File File Name Action Type Reference SHIRLEY 02-07- LOCATION WELCO15_Location SANDERS 2014 Map mAP Map_CR58.pdf(133.93 kb) View BROWN SHIRLEY 02-07- SANDERS 2014 Photos PHOTOS Applicant Photos.pdf(7.46 Mb) View BROWN SHIRLEY 02-07- CR 58 near South Platte River SANDERS 2014 Photos PHOTOS Photo Sheet 01.pdf(135.23 kb) View BROWN SHIRLEY 02-07- CR 58 near South Platte River SANDERS 2014 Photos PHOTOS Photo Sheet 02.pdf(62.54 kb) View BROWN Facility Name: CR 58 near South Platte River 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-00574(0): GPS 40.40833-104.61388 Location: Damage Description and Dimensions: PA-08-CO-4145-PW-00574(0): Damage Description and Dimensions 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 CR 58 east of South Platte River and Bridge 58-47A over Patterson Ditch, in Section 12, T5N, R65W. On November 19, 2013, Kathleen Ruvarac, FEMA TAC Bridge Specialist, David Ray, FEMA Hazard Mitigation Specialist, Gary Moore, FEMA Environmental, Historical, Preservation Specialist, and Donald Dunker, Weld County Public Works Engineer, performed a site investigation at this location to document damages. The road and bridge was open and repairs completed at the time of inspection. Location 1 CR 58 east of South Platte River, Category C, Permanent Road Repair Lat: N40.40833 Long: -W104.61388 https://connect l.dhs.gov/emmie/,Danalnfo=i source.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 4 of 16 Flooding of South Platte River resulted in damages on CR 58 include washout of asphalt, roadway base and embankment material on the westbound travel lane and adjacent shoulder. Embankment Material lost in roadway void in the westbound travel lane measuring 254 ft in length x 12 ft in width x 3 ft in depth=338.7 CY and on north shoulder measuring 254 ft in length x 17 ft in width x 3 ft in depth =479.8 CY, totaling 818.5 CY. One asphalt patch on roadway measured 254 ft in length x 12 ft in width = 3,048 SF x 0.5 ft in depth= 1,524 CF x 146 LB/CF x 1 ton/2000 LB = 111.3 TNS asphalt. Ditch cleaning each side of the road at the site is estimated to be 375 ft in length on the north shoulder and 325 ft in length on the south shoulder adjacent to the travel lanes, totaling 700 LF. PA-08-CO-4145-P W-00574(0): WORK TO BE COMPLETED Location 1 1 —Fill void in roadway travel lane, embankment and north shoulder— 818.5 CY x 1.82 (Conversion Factor CY ABC Class 6 Material to Tons= 1,489.7 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) =$50,201.88 Scope of Work: 2—Install asphalt on roadway westbound travel lane = 111.3 tons x $81.70/ton (CDOT Item Number 403-33741 Hot Bituminous Pavement (Grading S) (75) (PG 64-22) = $9,093.21 3—Ditch cleaning each side of roadway=700 LF x$3.40/LF All material was re-used on the road shoulder.(FEMA Cost Code 3070 Ditch Cleaning and shaping) = $2,380.00 Total Location 1 = $61,675.09 Hazard Mitigation Proposal • Is effective mitigation feasible on this site? I Yes If you answered Yes to the above question, the next question is required Will mitigation be performed on this site? 'Yes If you answered Yes to the above question,the next question is required Do you wish to attach a Hazard Mitigation Yes Proposal? If you answered Yes to the above question,the next two questions are required Please provide the Scope of Work for the estimate: Work To Be Completed (maximum 4000 characters! The applicant has indicated that the installation of turf reinforcement mat on the roadside shoulders and embankment slopes will re-direct channel flow across the slopes reducing erosion at the facility and alleviating future damages. 1) Turf Reinforcement Mat—254 ft in length x 19 ft in width within the right of way=536.2 SY x 1.2 factor for toe in excess of material =643.5 SY x$10.00/SY (CDOT Item Number 216- 00301) = $6,435.00 This HMP is considered cost effective per FEMA Disaster Assistance Policy 9526.1, Section VII. B. 2. Certain mitigation measures (Appendix A), determined cost effective, as long as https://connect I.dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 5 of 16 the mitigation measure does not exceed 100%of the eligible cost of the eligible repair work on the project. Appendix A. 5. Gabion baskets, rip rap, sheet piling, and geotextile fabric installation- installation to control erosion. Location 1 —SOW Item#1 =$50,201.88 $6,435.00/$50,201.88 = 12.8% The net cost of mitigation/cost of damages is 12.8% < 100%. This HMP is for cost estimating purposes only. The Final design is the obligation of the Applicant and/or their agent. Would you like to add the Hazard Mitigation Yes Proposal as a cost line item to the project cost? GIS Coordinates Project Location Latitude Longitude CR 58 40.40833 -104.61388 Facility Name: BRIDGE 58-47A OVER PATTERSON DITCH 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-00574(0): BRIDGE 58-47A OVER PATTERSON DITCH Location: Damage Description and Dimensions: PA-08-CO-4145-PW-00574(0): Location 2 Bridge 58-47A over Patterson Ditch, Category C, Permanent Bridge Repair Lat: N40.41003 Long:-W104.62029 Flooding of Patterson Ditch resulted in damages to Bridge 58-47A including washout of asphalt, roadway base and embankment material on the east and west approaches behind the backwalls and wingwalls. The double span concrete bridge, 75 ft in length x 32 ft in width, traverses the Patterson Ditch and consists of a concrete deck, one (1) concrete intermediate pier and integral concrete backwall and wingwalls. Bridge inspection reports were not provided by the applicant. Material lost in first roadway patch on the east approach behind the backwall is estimated to be 40 ft in length x 31 ft in width x 10 ft in depth =459.3 CY. Material lost in second roadway patch is estimated to be 18 ft in length x 7 ft in width x 3 ft in depth= 14.0 CY. Material lost in third roadway patch is estimated to be 4 ft in length x 3 ft in width x 3 ft in depth = 1.3 CY. Total Material: 474.6 CY One asphalt patch on roadway behind the east backwall measured 40 ft in https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 6 of 16 length x 31 ft in width = 1,240 SF x 0.5 ft in depth = 620 CF x 146 LB/CF x 1 ton/2000 LB =45.3 TNS asphalt A second asphalt patch on roadway measured 18 ft in length x 7 ft in width = 126 SF x 0.5 ft in depth =63 CF x 146 LB/CF x 1 ton/2000 LB =4.6 TNS asphalt A third asphalt patch on roadway measured 4 ft in length x 3 ft in width = 12 SF x 0.5 ft in depth =6 CF x 146 LB/CF x 1 ton/2000 LB=0.4 TNS asphalt Total Asphalt: 50.3 TNS In addition, Rip Rap was washed away at each wingwall and is estimated to be (15 ft in front of each wingwall x 4 wingwalls,totaling 60 ft in length x 5 ft in width towards the channel x 3 ft in depth = 33.3 CY. The Applicant has provided pictures of the road and bridge facilities dated 9-15-2013 documenting damages. These photos are attached to this project worksheet. Scope of Work: PA-08-CO-4145-PW-00574(0): Work To Be Completed Location 2 1 —Structural Backfill behind east abutment backwall at first roadway patch location—459.3 CY x$14.68/CY(CDOT Item Number 206-00100 Structural Backfill) =$6,742.52 2- Fill voids in roadway travel lane in the second and third asphalt patch locations— 15.3 CY x 1.82= 27.8 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) =$936.86 3- Install asphalt at three locations on the westbound travel lane =50.3 tons x$81.70/ton(CDOT Item Number 403-33741 Hot Bituminous Pavement(Grading S) (75) (PG 64-22) =$4,109.51 4—Replace Rip-Rap in front of wingwalls—33.3 CY x$83.17/CY (CDOT Item Number 506-00218 Rip Rap 18 inch) =$2,769.56 Total Location 2 =$14,558.45 Total: $76,223.54 cost estimate prepared by project specialist using 2013 CDOT Average Unit Prices Project Notes 1. Following the September 2013 flooding, applicant used contract services and/or 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 completed. 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 from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage assessment. 2. 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 P . 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 will request FEMA prepare a version of this PW to https://connect 1.dhs.gov/emm ie/,Danaln fo=isource.fem a.net,SSL+dispatchDesti nation.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 7 of 16 address the eligible cost of repair. 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. 3. 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 CDOT average in-place cost for materials. 4. 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. 5. 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. 6. The applicant must obtain all required federal, state, and local permits prior to the commencement of work. 7. 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. 8. Project was reviewed for 406 Hazard Mitigation and a 406 HMP 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 PP P 9 stated in 44 CFR 13.36. The applicant has advised they have followed their normal procurement procedures. Hazard Mitigation Proposal https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 8 of 16 - Is effective mitigation feasible on this site? 'Yes If you answered Yes to the above question,the next question is required Will mitigation be performed on this site? Yes If you answered Yes to the above question,the next question is required Do you wish to attach a Hazard Mitigation Yes Proposal? If you answered Yes to the above question, the next two questions are required Please provide the Scope of Work for the estimate: HMP ATTACHED (maximum 4000 characters) 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 BRIDGE 58-47A 40.41003 -104.62029 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) Location 1 -Zone B-Areas between limits of the 100 year flood and and 500 year flood; etc. Location 2-Zone C- Areas of minimal flooding. Flood Map Panel 0802660637C dated September 28, 1982 3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource No 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 Yes 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 SHIRLEY SANDERS 02-07- Firmette.pdf(501.78 BROWN 2014 Floodplain FIRMETTET kb) View For Category C, D, E, F,and G Projects only https://connectl.dhs.gov/emm ie/,Danalnfo=isource.fema.net,SS L+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 9 of 16 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? If you answered Yes to the above question,the next two questions are required Work To Be Completed The applicant has indicated that the installation of turf reinforcement mat on the roadside shoulders and embankment slopes will re-direct channel flow across the slopes reducing erosion at the facility and alleviating future damages. 1) Turf Reinforcement Mat—254 ft in length x 19 ft in width within the right of way= 536.2 SY x 1.2 factor for toe in excess of material =643.5 SY x$10.00/SY (CDOT Item Number 216-00301) = $6,435.00 This HMP is considered cost effective Please provide the Scope of Work per FEMA Disaster Assistance Policy 9526.1, Section VII. B. 2. for the estimate: Certain mitigation measures (Appendix A), determined cost effective, as long as the mitigation measure does not exceed 100% of the eligible cost of the eligible repair work on the project. Appendix A. 5. Gabion baskets, rip rap, sheet piling, and geotextile fabric installation-installation to control erosion. Location 1 —SOW Item#1 =$50,201.88$6,435.00/$50,201.88 = 12.8%The net cost of mitigation/cost of damages is 12.8% < 100%. This HMP is for cost estimating purposes only. The Final design is the obligation of the Applicant and/or their agent. Would you like to add the Hazard Mitigation Proposal as a cost line item to the project cost? Yes Hazard Mitigation Proposal -0909 # Code Material and/or Description Unit Unit of Unit Price Subgrant Type Cost Estimate Action Quantity Measure Budget Class ***Version 0*** 1 9999 Turf reinforcement mat 643.5 SY $ 10.00 $6,435.00 Total Cost: $6,435.00 Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference SHIRLEY 02-07- Mitigation WELCOI5_EHP Email Approval of SANDERS MITIGATION View BROWN 2014 Document HMP.pdf(78.81 kb) SHIRLEY Weld County CAT C CR 58 near 02-07- Mitigation SANDERS MITIGATION South Platte River_HMP.docx View BROWN 2014 Document (19.30 kb) Cost Estimate Is this Project Worksheet for https://connect l.dhs.gov/emm ie/,Dana]nfo=isource.fema.net,S S L+dispatchDesti nation.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 10 of 16 (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 Work To 1 9999 REPAIR 1 LS 76,223.54 CONSTRUCTION Be $76,223.54 Completed Direct Work To Administrative $ INDIRECT 2 9901 Costs 1 LS 1,000.00 CHARGES Be $ 1,000.00 (Subgrantee) Completed Total Cost: $ 77,223.54 Insurance Adjustments(Deductibles, Proceeds and Settlements)-5900/5901 Subgrant Sequence Code Material and/or Description Unit Unit of Unit Budget Type Cost Action Quantity Measure Price Class Estimate Total Cost: $ 0.00 Hazard Mitigation Proposal-0909 Subgrant Sequence Code Material and/or Description Unit Unit of Unit Budget Type Cost Action Quantity Measure Price Class Estimate ***Version 0*** 1 19999 Turf reinforcement mat f 643.5 I SY 1 $ 10.001 I 1$6,435.00 Total Cost: $6,435.00 Total Cost Estimate: $ 83,658.54 (Preferred Estimate Type+Insurance Adjustments+Hazard Mitigation Proposal; Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference SHIRLEY 02-07- Calculation CDOT COST OF Weld County-2013 CDOT SANDERS 2014 Sheet MATERIAL Average Unit Prices.pdf View BROWN (37.37 kb) Existing Insurance Information Insurance Type Policy No. Bldg/Property Content Insurance Deductible Years Amount Amount Amount Amount Required Comments On file at JFO https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page I I of 16 Attachments Comments and Attachments Name of Section Comment Attachment Preparer Information WeldCoBridgeFM0802660637C[11.pdf WELCO15 Location Map CR58.pdf Damage Facilities Applicant Photos.pdf CR 58 near South Platte River Photo Sheet 01.pdf CR 58 near South Platte River Photo Sheet 02.pdf Special Considerations Firmette.pdf Mitigation WELCO15 EHP Email Approval of HMP.pdt Weld County CAT C CR 58 near South Platte River HMP.docx Cost Estimate Weld County- 2013 COOT Average Unit Prices.pdf Insurance Information On file at JFO Form 90-91 Weld County CAT C CR 58 near South Platte River.docx (Bundle Reference#(Amendment#) Date Awarded PA-08-CO-4145-State-0035(34) 03-03-2014 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. PAID NO. DATE CATEGORY WELCO15 123- 02-19-2014 C FEMA 4145 - DR -CO 99123-00 APPLICANT:WELD(COUNTY) WORK COMPLETE AS OF: 11-19-2013:95% Site 1 of 2 DAMAGED FACILITY: COUNTY. Weld CR 58 near South Platte River LOCATION: LATITUDE: LONGITUDE: 40.40833 -104.61388 PA-08-CO-4145-PW-00574(0) GPS 40.40833-104.61388 DAMAGE DESCRIPTION AND DIMENSIONS: PA-08-CO-4145-P W-00574(0): Damage Description and Dimensions 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 CR 58 east of South Platte River and Bridge 58-47A over Patterson Ditch,in Section 12,T5N,R65W. On November 19,2013,Kathleen Ruvarac,FEMA TAC Bridge Specialist,David Ray, FEMA Hazard Mitigation Specialist,Gary Moore,FEMA Environmental,Historical,Preservation Specialist,and Donald Dunker,Weld County Public Works Engineer,performed a site investigation at this location to document damages. The road and bridge was open and repairs completed at the time of inspection. Location 1 https://connectl.dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 12 of 16 CR 58 east of South Platte River,Category C, Permanent Road Repair Lat:N40.40833 Long. -W104.61388 Flooding of South Platte River resulted in damages on CR 58 include washout of asphalt, roadway base and embankment material on the westbound travel lane and adjacent shoulder. Embankment Material lost in roadway void in the westbound travel lane measuring 254 ft in length x 12 ft in width x 3 ft in depth=338.7 CY and on north shoulder measuring 254 ft in length x 17 ft in width x 3 ft in depth=479.8 CY,totaling 818.5 CY. One asphalt patch on roadway measured 254 ft in length x 12 ft in width=3,048 SF x 0.5 ft in depth=1,524 CF x 146 LB/CF x 1 ton/2000 LB= 111.3 TNS asphalt Ditch cleaning each side of the road at the site is estimated to be 375 ft in length on the north shoulder and 325 ft in length on the south shoulder adjacent to the travel lanes,totaling 700 LF. SCOPE OF WORK: PA-08-CO-4145-PW-00574(0): WORK TO BE COMPLETED Location 1 1—Fill void in roadway travel lane,embankment and north shoulder—818.5 CY x 1.82(Conversion Factor CY ABC Class 6 Material to Tons= 1,489.7 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)=$50.201.88 2—Install asphalt on roadway westbound travel lane=111.3 tons x$81.70/ton(CDOT Item Number 403-33741 Hot Bituminous Pavement (Grading S)(75)(PG 64-22)=$9,093.21 3—Ditch cleaning each side of roadway=700 LF x$3.40/LF All material was re-used on the road shoulder.(FEMA Cost Code 3070 Ditch Cleaning and shaping)=$2,380.00 Total Location 1 =$61,675.09 Site 2 of 2 DAMAGED FACILITY: COUNTY: Weld BRIDGE 58-47A OVER PATTERSON DITCH LOCATION: LATITUDE: LONGITUDE: 40.41003 -104.62029 PA-08-CO-4145-P W-00574(0): BRIDGE 58-47A OVER PATTERSON DITCH DAMAGE DESCRIPTION AND DIMENSIONS: PA-08-CO-4145-PW-00574(0): W-00574(0): Location 2 Bridge 58-47A over Patterson Ditch,Category C, Permanent Bridge Repair Lat N40.41003 Long.-W104.62029 Flooding of Patterson Ditch resulted in damages to Bridge 58-47A including washout of asphalt,roadway base and embankment material on the east and west approaches behind the backwalls and wingwalls. The double span concrete bridge,75 ft in length x 32 ft in width,traverses the Patterson Ditch and consists of a concrete deck,one(1)concrete intermediate pier and integral concrete backwall and wingwalls. Bridge inspection reports were not provided by the applicant Material lost in first roadway patch on the east approach behind the backwall is estimated to be 40 ft in length x 31 ft in width x 10 ft in depth =459.3 CV. Material lost in second roadway patch is estimated to be 18 ft in length x 7 ft in width x 3 ft in depth=14.0 CY. Material lost in third roadway patch is estimated to be 4 ft in length x 3 ft in width x 3 ft in depth=1.3 CY. Total Material: 474.6 CY One asphalt patch on roadway behind the east backwall measured 40 ft in length x 31 ft in width=1,240 SF x 0.5 ft in depth=620 CF x 146 LB/CF x 1 ton/2000 LB=45.3 TNS asphalt A second asphalt patch on roadway measured 18 ft in length x 7 ft in width= 126 SF x 0.5 ft in depth=63 CF x 146 LB/CF x 1 ton/2000 LB= 4.6 TNS asphalt A third asphalt patch on roadway measured 4 ft in length x 3 ft in width=12 SF x 0.5 ft in depth=6 CF x 146 LB/CF x 1 ton/2000 LB=0.4 TNS asphalt Total Asphalt: 50.3 TNS In addition,Rip Rap was washed away at each wingwall and is estimated to be(15 ft in front of each wingwall x 4 wingwalls,totaling 60 ft in length x 5 ft in width towards the channel x 3 ft in depth=33.3 CY. The Applicant has provided pictures of the road and bridge facilities dated 9-15-2013 documenting damages. These photos are attached to this https://connect 1.dhs.gov/emm ie/,Danatnfo=isource.fema.net,S SL+dispatch Destination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 13 of 16 project worksheet. SCOPE OF WORK: PA-08-CO-4145-PW-00574(0): Work To Be Completed Location 2 1—Structural Backfill behind east abutment backwall at first roadway patch location-459.3 CY x$14.68/CY(CDOT Item Number 206-00100 Structural Backfill)=$6,742.52 2-Fill voids in roadway travel lane in the second and third asphalt patch locations—15.3 CY x 1.82=27.8 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)= $936.86 3-Install asphalt at three locations on the westbound travel lane=50.3 tons x$81.70/ton(CDOT Item Number 403-33741 Hot Bituminous Pavement(Grading S)(75)(PG 64-22)=$4,109.51 4—Replace Rip-Rap in front of wingwalls—33.3 CY x$83.17/CY(CDOT Item Number 506-00218 Rip Rap 18 inch)=$2,769.56 Total Location 2=$14,558.45 Total:$76,223.54 cost estimate prepared by project specialist using 2013 CDOT Average Unit Prices Project Notes 1. Following the September 2013 flooding,applicant used contract services and/or 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 completed. 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 from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage assessment 2. 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 P . 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 will request FEMA prepare a version of this PW to address the eligible cost of repair.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. 3. 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 CDOT average in-place cost for materials. 4. 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. 5. 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. 6. The applicant must obtain all required federal,state,and local permits prior to the commencement of work. 7. 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. 8. Project was reviewed for 406 Hazard Mitigation and a 406 HMP 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. Does the Scope of Work change the pre-disaster conditions at the site? Yes V No Special Considerations included? VYes No Hazard Mitigation proposal included? J Yes No Is there insurance coverage on this facility? Yes V No https://connect I.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 14 of 16 PROJECT COST ITEM CODE NARRATIVE QUANTITY/UNIT UNIT PRICE COST ***Version 0*** Work To Be Completed 1 9999 REPAIR 1/LS $76,223.54 $76,223.54 2 9901 Direct Administrative Costs 1/LS $ 1,000.00 $ 1,000.00 (Subgrantee) 3 0909 Hazard Mitigation Proposal 1/LS $6,435.00 $6,435.00 TOTAL $83,658.54 COST PREPARED BY KATHLEEN RUVARAC TITLE PROJECT SPECIALIST SIGNATURE APPLICANT REP.Roy Rudisill TITLE Director-OEM SIGNATURE WELD(COUNTY) : PA-08-CO-4145-PW-00574 Conditions Information Review Name Condition Type Condition Name Description Monitored Status 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. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS, dated September 24, 2013,to the Endangered extent possible; including a post- Final Review Other(EHP) Species Act construction estimate of the No Approved (ESA) amount of habitat affected by the emergency response, an evaluation of how conservation recommendations were implemented, and the results of implementation in minimizing adverse effects. Final Review Other(EHP) Standard If ground disturbing activities No Approved Condition#3 occur during construction, applicant will monitor ground disturbance and if any potential archeological resources are https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 15 of 16 WELD(COUNTY) : PA-08-CO-4145-PW-00574 Conditions Information 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. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS, dated September 24, 2013,to the Endangered extent possible; including a post- EHP Review Other(EHP) Species Act construction estimate of the No Recommended (ESA) amount of habitat affected by the emergency response, an evaluation of how conservation recommendations were implemented, and the results of implementation in minimizing adverse effects. If ground disturbing activities occur during construction, applicant will monitor ground EHP Review Other(EHP) Standard disturbance and if any potential No Recommended Condition#3 archeological resources are discovered,will immediately cease construction in that area and notify the State and FEMA. Internal Comments No. Queue User Date/Time Reviewer Comments 03-03-2014 Award 6 SYSTEM 11:45 PM ACCEPTED Review GMT 5 Final PALACIO 02-27-2014 Note:at some sites, applicant has expressed concern that Review JOSE 04:33 PM unanticipated work may be still be required as a result of GMT conditions beyond their control,such as possible subsequent settlement resulting from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage assessment as the reason for the 95%completion approximately$3000.00. Final Reviewer https://connect I.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 16 of 16 Internal Comments No. Queue User Date/fime Reviewer Comments finds eligible the application and approves the funding of this CAT-C 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 02/27/2014 Grantee MOSER 02-26-2014 Correct%complete in final. PW currently shows 95% 4 Review JORDAN GMT PM complete,though all work is"work to be completed" Weld County, Cat C, 95%, Replacement of patch of asphalt and restoration of embankment using the material that washed out. Mitigation: add turf mat to the embankment. -tcookro- 02/21/2014 16:58:02 GMT Project site work is not in a mapped wetland. -tcookro- 02/21/2014 16:59:46 GMT Entire community will benefit from project completion. -tcookro -02/21/2014 16:59:20 GMT Action is addressed under the attached Emergency Consultation between FEMA and USFWS, dated September 02-21-2014 24, 2013. The consultation includes conservation measures EHP PATTERSON intended to minimize impacts to the federally listed Preble's 3 Review MOLLY GMT PM Meadow Jumping Mouse, Ute's Lady's Tress and Colorado Butterfly Bush, and Designated Critical Habitat protected under the ESA.-tcookro-02/21/2014 17:40:54 GMT Per Flood Insurance Rate Map (FIRM) Project is located in Zone B, FIRM 0802660637C, WELD CO, 09/28/1982. Project has limited to no potential to impact the floodplain function or resources and substantially restores site to pre-disaster condition. -tcookro- 02/21/2014 17:12:47 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Appendix B: Ill-A, B, D, E, F agreed to by FEMA and the SHPO.-tcookro- 02/21/2014 17:49:27 GMT A review of the documentation provided has identified that Weld County is insured for property damages through; Colorado Counties Casualty and Property Pool, Policy Number 020412751. This policy does not provide coverage for dams, dikes, Insurance JOHNSON 02-20-2014 bridges, culverts, roadways, streets,walks, paved surfaces, 2 Review KENNETH 09:44 PM tunnels, canals, land. GMT The insurance policy will not provide coverage for costs identified in this PW There will not be an insurance reduction for this PW. The FEMA eligible damages are not to building, contents, equipment, or vehicles; therefore, there will not be an insurance commitment required. Mitigation 02-20-2014 The Hazard Mitigation Proposal is approved- Brian W. Drost, 1 Review DROST BRIAN GMT PM 406 Specialist https://connect l.dhs.gov/emm ie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 1 of 43 Pt0840.4145-PW-00588(0) P Applicant Name: Application Title: WELD(COUNTY) WELCO05-Weld County Gravel Roads Period of Performance Start: Period of Performance End: 09-14-2013 03-14-2015 Subgrant Application - Entire Application Application Title: WELCGo5-Weld County Gravel Roads Application Number: PA-08-CO-4145-PW-00583(0) Application Type: subgrantApplication(PW) Preparer Information Prefix Mr. First Name STEPHEN Middle Initial A Last Name MORENO Title Project Specialist Agency/Organization Name FEMA Address 1 9200 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 Mr. First Name Roy Middle Initial Last Name Rudisill Title Director- OEM Agency/Organization Weld County Office of Emergency Management Address 1 1150 O Street Address 2 City Greeley State CO ZIP 80632 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 2 of 43 Phone 970-304-6540 Fax Email rrudisill@weldgov.com Alternate Point of Contact Information Prefix Mr. First Name Trevor Middle Initial Last Name Jinicek Title Agency/Organization Address 1 1150 O Street Address 2 Weld County Office of Emergency Management City Greeley State CO ZIP 80632 Phone 970-356-4000 Fax Email tjinicek@weldgov.com 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: WELCO05 Standard Project Number/Title: 399- Road System Damage Please Indicate the Project Type: Neither Alternate nor Improved Application Title: WELCO05-Weld County Gravel Roads Category: C.ROADS& BRIDGES Percentage Work Completed? 95.0 % As of Date: 02-18-2014 Comments The applicant must notify the state if there are any changes in the scope of work prior to starting the repairs. Failure to notify the State Division of Emergency Management may jeopardize receipt of federal funds. Attachments Damage Facilities(Part 1 of 2) Facility Site Number Facility Name Address County City State ZIP Previously Action Damaged? https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 3 of 43 1 Weld County Gravel Roads- 1111 H Weld Greeley CO 80632 No locations#1-20 Street 2 Weld County Gravel Roads- 1111 H Weld Greeely CO 80632 No locations#21-42 Street Comments This is the documentation of the flood damage to the gravel road system in the southern portion of Weld County; the damages are for that portion of the county south of highway US 34. They extend east to west across the full width of the county. Attachments Document Hard Copy User Date Type Description File File Name Action Reference An email from the gravel road DELETION 02-STEPHEN 13- Miscellaneous consultant y as REQUEST 22.5-US85 View MORENO 2014_02_12_08_24_08.pdf(47.82 2014 to remove a kb) location site STEPHEN 02 Post event&post PW WELCO05 GRAVEL ROADS View MORENO 20- Photos repair photos photos B .pdf(2.64 Mb) 2014 02- STEPHEN 20- Ma Google maps of PW WELCO05 GRAVEL ROADS View MORENO 2014 p locations maps B .pdf(2.74 Mb) Facility Name: Weld County Gravel Roads- locations#1-20 Address 1: 1111 H Street Address 2: County: Weld City: Greeley State: CO ZIP: 80632 Was this site previously damaged? No Percentage Work Completed? 95.00% PA-08-CO-4145-PW-00588(0): This document serves to report on the countywide damages to the Weld county gravel roads system.ln particular these locations are south of US 34 and range east-west across the county. The locations were split into Location: two pieces in order to avoid the 32,000 character liomit in the Scope OF Work. This first piece covers locations#1-20 and the second covers #21-42. Damage Description and PA-08-CO-4145-PW-00588(0): Dimensions: During the incident period of September 11 to September 30, 2013, torrential rains resulted in raging torrents across Weld County, spilling flood water from the South Platte River and nearby streams, creeks and https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+di spatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 4 of 43 reservoirs, inundating the roads and bridges throughout the County. The flooding resulted in erosion damage to the road embankments. The typical scenario was the longitudinal erosion of the sideslopes and the road embankment.The sideslope is that portion of the embankment from the top of the road surface to the bottom of the drainage ditch. These damaged locations were characterized by narrow, 1'-3'wide, and shallow, 1'-2' deep, gullies cut into the road prism. Damaged lengths of roadway ranged from less than 50'L to more than a mile. Ditch cleanout was observed and measured at 3 sites, together totaling approximately 3644 LF. A series of 4-18" arch CMPs driveway culverts required replacement for a total length of 140 LF There were locations at which transverse water flow widened the damaged areas as erosion advanced toward the centerline of the road embankment. Culvert damages are reported in a separate PW WELCO35. This PW was created to document damages to the Weld County gravel road system. The sites documented in this PW are located south of US 34 and range east-west across the full width of the county. In order to facilitate inspections, the County provided a listing of damage sites. County personnel accompanied the project specialist on every inspection. As inspections were carried out, some of these roads turned out to be paved with asphalt.At these paved locations there was minor cracking of the asphalt pavement but no obvious erosion damage to the roadway embankment. There are a total of 42 individual locations reported on this PW. Some sites were incorporated into other PWs and are so identified. Upon inspection there were locations with no damage beyond ditch cleanout. The total of 42 was retained to maintain consistency with the project specialist's field notes. The net number of locations that actually contributed costs to this PW is 34. Based on the site inspection dimensions, the total embankment loss is estimated to be 9,501.4 tons(tn). In addition, there was an estimated loss of the gravel riding surface amounting to 4943.2 tons.All cubic yard measurements were converted to tonnages in order to be consistent with the Weld County practice of measurement in tons. The cubic yard volumes were multiplied by 1.82 tons/cy. A detailed explanation of the rationale for using this factor is provided in the Project Notes.The details regarding the individual damage locations are documented in the following pages. The GPS coordinate, (40.44633,-104.70146) is for the Weld County Public Works office. Location#R1 4-91-0.3 GPS: 40.01505,-104.21279 The damage at this location included the erosion of the gravel road embankment including the surface gravel for approximately 74' L x 23' W x 1' D x 1/27=63 cy. Using the conversion factor of 1.82 tns/cu yd x 63 cy yields a volume of 114.7 tn. The gravel surfacing was washed away for a distance of approximately 74'L x 23'W x 0.25'D x 1/27=15.8cy. Multiplying by the 1.82 conversion factor x 15.8=28.7 tn. Location#R2 4-81-0 GPS: 40.01521,-104.28265 to 40.01522,-104.28704 The damage at this location included the erosion of the gravel road embankment including the surface gravel for approximately 1216' L x 8' W x 2' D x 1/27 =720.6 cy. Using the conversion factor of 1.82 tns/cu yd x 720.6 cy yields a volume of 1311.5 tn. The gravel surfacing was washed away for a distance of approximately 1216'L x 8'W x 0.25'D x 1/27= 90.1cy. Multiplying by the 1.82 conversion factor x 90.1= 163.9 tn. Location#R3 81-8-0 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 5 of 43 GPS: 40.04424,-104.30098 The damage at this location was the erosion of the gravel road embankment measuring approximately 112' L x 4'W x 4' D x 1/27= 66.4 cy. Using the conversion factor of 1.82 tns/cu yd x 66.4 cy yields a volume of 120.8 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R4 73-4-0.4 GPS: 40.00929,-104.37671 to 40.00723,-104.37672 The damage at this location included the erosion of the gravel road embankment measuring approximately 752' L x 3'W x 2' D x 1/27= 167.1 cy. Using the conversion factor of 1.82 tns/cu yd x 167.1 cy yields a volume of 304.1 tn. The gravel surfacing was washed away for a distance of approximately 752'L x 22'W x 0.33'D x 1/27= 153.2cy. Multiplying by the 1.82 conversion factor x 153.2= 278.8 tn. Location#R5 4-73-0.9 GPS: 40.01521,-104.35782 to 40.01523,-104.35437 The damage at this location was limited to the erosion of the gravel road embankment which measured approximately 968' L x 1'W x 1.5' D x 1/27 = 53.8 cy. Using the conversion factor of 1.82 tns/cu yd x 53.8 cy yields a volume of 97.9 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R6 10-75-2 GPS: 40.05868,-104.36416 to 40.05869,-104.35969 The damage at this location was limited to the erosion of the gravel road embankment, measuring approximately 1233' L x 1.5' W x 2' D x 1/27 =137 cy. Using the conversion factor of 1.82 tns/cu yd x 137 cy yields a volume of 249.3 tn. Both sides of the road were eroded. . Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R7 8-71-0.2 GPS: 40.04426,-104.39166 The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 2112' L x 1.5' W x 0.5' D x 1/27 = 58.7 cy. Using the conversion factor of 1.82 tns/cu yd x 58.7 cy yields a volume of 106.8 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R8 67-SH52-0.5 GPS: 40.07964,-104.43292 The damage at this location was limited to the erosion of the gravel surface for approximately 300' L x 26' W x 0.25' D x 1/27= 72.2 cy. Using the conversion factor of 1.82 tns/cu yd x 72.2 cy yields a volume of 131.4tn. This location was deleted by the county. Location#R9 10-65-0.2 GPS: 40.05880,-104.43712 The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 100' L x 1.5'W x 0.5' D x 1/27 =2.8 cy. Using the conversion factor of 1.82 tns/cu yd x 2.8 cy yields a https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 6 of 43 volume of 5.1 tn. . Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R1063-2-0.1 GPS: 40.00186,-104.47099 The damage at this location included the erosion of the gravel road embankment and the surface gravel. The embankment loss measured approximately 200' L x 1.5'W x 0.75' D x 1/27=8.3 cy. Using the conversion factor of 1.82 tns/cu yd x 8.3 cy yields a volume of 15.2tn. Gravel surfacing loss was measured 460'L x 23'W x 0.25'D x 1/27=98cy. Applying the 1.82 conversion factor x 98 cy= 178.3tn. Location#R11 6-63-0.3 GPS: 40.02969,-104.46294 The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 70'L x 3'W x 1' D x 1/27=7.8 cy. Using the conversion factor of 1.82 tns/cu yd x 7.8 cy yields a volume of 14.2 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R12 8-63-0.2 GPS: 40.04413,-104.46472 The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 30' L x 2'W x 2' D x 1/27 =4.4 cy. Using the conversion factor of 1.82 tns/cu yd x 4.4 cy yields a volume of 8.1 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R13/R26 6-61-0.1 GPS: 40.02957,-104.49187 The damage at this location is reported under Location#R26/R 13. Location#R14 61-6-0.5 GPS: 40.03526,-104.48954 The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 50' L x 1'W x 2' D x 1/27= 3.7 cy. Using the conversion factor of 1.82 tns/cu yd x 3.7 cy yields a volume of 6.7 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R15 61-8-0.5 GPS: 40.04998,-104.48952 The damage at this location was limited to erosion of the gravel road embankment measuring approximately 20' L x 2'W x 0.5' D x 1/27 = 0.7 cy. Using the conversion factor of 1.82 tns/cu yd x 0.7cy yields a volume of 1.3 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R16 59-2-0.75 GPS: 40.01104,-104.50864 to 40.01257,-104.50659 The damage at this location was limited to the erosion of the gravel surface for approximately 821' L x 24'W x 0.25' D x 1/27= 182.4 cy. Using the conversion factor of 1.82 tns/cu yd x 182.4 cy yields a volume of 332.0 tn. https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 7 of 43 Location#R17 59-6-0.3 GPS: 40.03765,-104.50831 The damage at this location was limited to erosion of the gravel road embankment measuring approximately 150' L x 2'W x 0.5' D x 1/27= 5.6 cy. Using the conversion factor of 1.82 tns/cu yd x 5.6cy yields a volume of 10.1 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R18 10-55-0.5 GPS: 40.05822,-104.54220 The damage at this location included the erosion of the gravel road embankment and the surface gravel. The embankment loss measured approximately 50' L x 1.5' W x 1.0' D x 1/27=2.8 cy. Using the conversion factor of 1.82 tns/cu yd x 2.8cy yields a volume of 5.1 tn. The gravel surface was eroded for approximately 50'L x 23'W x 0.25'D x 1/27 = 10.6cy. Using the conversion factor of 1.82 tns/cu yd x 10.6cy =19.3tn. Location #R19 10-59-0.3 GPS: 40.05854, -104.49600 The damage at this location included the erosion of the gravel road embankment and the surface gravel. The embankment loss measured approximately 40' L x 1.5' W x 1.0' D x 1/27= 2.2 cy. Using the conversion factor of 1.82 tns/cu yd x 2.2cy yields a volume of 4.0 tn. The gravel surface was eroded for approximately 50'L x 24'W x 0.25'D x 1/27 = 11.1cy. Using the conversion factor of 1.82 tns/cu yd x 11.1cy =20.2tn. Location #R20 55-10-0.5 GPS: 40.06 064,-104.54609 The damage at this location included the erosion of the gravel road embankment and the surface gravel. The embankment loss measured approximately 700' L x 2.0.' W x 1.0' D x 1/27 = 51.9 cy. Using the conversion factor of 1.82 tns/cu yd x 51.9cy yields a volume of 94.5 tn. The gravel surface was eroded for approximately 1000'L x 27'W x 0.25'D x 1/27=250cy. Using the conversion factor of 1.82 tns/cu yd x 250cy=455.Otn. Scope of Work: PA-08-CO-4145-PW-00588(0): Weld County used their equipment, materials and staff to effect repairs to the damaged sites. Most of these efforts were directed toward backfilling the longitudinally eroded gullies. There were occasional sites where transverse flows had eaten into the embankment and washed away the gravel riding surface. Damages were typically limited to longitudinal erosion of the sideslope with minor losses of the traveled way. The length of damaged locations ranged from less than 50'to more than a mile. More than half of the sites were in excess of 100' long. Evidence of ditch cleanout was observed and measured for a reported ditch cleanout total of approximately 3644 LF x$3.40/Lf=$12,389.60. A series of 4-18"arch CMPs were replaced, with a total length of 140LF and an estimated cost of$2,093. Replacement of the embankment materials is estimated to be 9,501.4 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 8 of 43 tons at an estimated cost of$320,197.55. The gravel riding surface losses were estimated to be 4,943.2 tons, with an estimated cost of $166,586.65. The specifics of each location are presented on the following pages. The total tonnage for the PW is 14,435.6 with an estimated value of$486,784.20. The combined total estimate of embankment, surfacing, ditch cleanout and replacement culverts is $501,266.81 All cubic yard quantities were converted to tonnages to reflect Weld County practice; see the Project Notes for details regarding the conversion methodology. The project specialist used Colorado DOT figures as an estimating tool. Cost data for replacement and resurfacing gravel materials was drawn from the Colorado DOT unit bid prices for the period Jan 1 thru March 31, 2013; see the Project Notes for additional information. Ditch cleanout costs were taken from FEMA cost codes and the culvert materials costs were supplied by the applicant. SCOPE OF WORK COMPLETED WORK Location#R1 4-91-0.3 GPS: 40.01505,-104.21279 The county used their forces, materials and equipment to replace the lost embankment and gravel surfacing. They repaired the damaged area of the embankment amounting to approximately 74' L x 23'W x 1' D x 1/27=63 cy. Using the conversion factor of 1.82 tns/cu yd x 63 cy yields a volume of 114.7 tn. The gravel surfacing was replaced for a distance of approximately 74'L x 23'W x 0.25'D x 1/27=15.8cy. Multiplying by the 1.82 conversion factor x 15.8= 28.7 tn. Embankment $33.70 x 114.7= $3,865.39 Gravel Surfacing $33.70 x 28.7= $967.19 Total $4,832.58 Location#R2 4-81-0 GPS: 40.01521,-104.28265 to 40.01522,-104.28704 The county used their forces, materials and equipment to replace the lost embankment and gravel surfacing.They repaired the damage to the embankment of approximately 1216' L x 8'W x 2' D x 1/27 = 720.6 cy. Using the conversion factor of 1.82 tns/cu yd x 720.6 cy yields a volume of 1311.5 tn. The gravel surfacing was replaced for a distance of approximately 1216'L x 8'W x 0.25'D x 1/27=90.1cy. Multiplying by the 1.82 conversion factor x 90.1= 163.9 tn. Embankment $33.70 x 1311.5=$44,197.55 Gravel Surfacing $33.70 x 163.9= $5,523.43 Total $49,720.98 Location#R3 81-8-0 GPS: 40.04424,-104.30098 The county used their forces, materials and equipment to replace the lost embankment measuring approximately 112' L x 4'W x 4' D x 1/27 =66.4 cy. Using the conversion factor of 1.82 tns/cu yd x 66.4 cy yields a volume of 120.8 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,S SL+d ispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 9 of 43 Embankment $33.70 x 120.8= $4070.96 Total $4,070.96 Location#R4 73-4-0.4 GPS: 40.00929,-104.37671 to 40.00723,-104.37672 The county used their forces, materials and equipment to repair the damage at this location. The repair measured approximately 752' L x 3' W x 2' D x 1/27 = 167.1 cy. Using the conversion factor of 1.82 tns/cu yd x 167.1 cy yields a volume of 304.1 tn. The gravel surfacing was replaced for a distance of approximately 752'L x 22'W x 0.25'D x 1/27= 202.2cy. Multiplying by the 1.82 conversion factor x 202.2= 368.0 tn. Embankment $33.70 x 304.1 = $10,248.17 Gravel Surfacing $33.70 x 278.8 =$9,395.56 Total $19,643.73 Location#R5 4-73-0.9 GPS:40.01521,-104.35782 to 40.01523,-104.35437 The county used their forces, materials and equipment to repair the damage at this location. The repair was limited to the erosion of the gravel road embankment which measured approximately 968' Lx 1'W x 1.5' D x 1/27= 53.8 cy. Using the conversion factor of 1.82 tns/cu yd x 53.8 cy yields a volume of 97.9 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 97.9= $3,299.23 Total $3,299.23 Location#R6 10-75-2 GPS:40.05868,-104.36416 to 40.05869,-104.35969 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location was limited to the erosion of the gravel road embankment, measuring approximately 1233' L x 1.5'W x 2' D x 1/27 =137 cy. Using the conversion factor of 1.82 tns/cu yd x 137 cy yields a volume of 249.3 tn. Both sides of the road were eroded. . Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 249.3 = $8,401.41 Total $8,401.41 Location#R7 8-71-0.2 GPS: 40.04426,-104.39166 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 2112' L x 1.5'W x 0.5' D x 1/27= 58.7 cy. Using the conversion factor of 1.82 tns/cu yd x 58.7 cy yields a volume of 106.8 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. https://connectl.dhs.goviemmid,Dananfo=isourcelema.net S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 10 of 43 Embankment $33.70 x 106.8 = $3,599.16 Total $3,599.16 Location#R8 67-SH52-0.5 GPS: 40.07964,-104.43292 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location was limited to the erosion of the gravel surface for approximately 300' L x 26'W x 0.25' D x 1/27 =72.2 cy. Using the conversion factor of 1.82 tns/cu yd x 72.2 cy yields a volume of 131.4tn. Gravel Surfacing $33.70 x 131.4=$4,428.18 Total $4,428.18 Location#R9 10-65-0.2 GPS: 40.05880,-104.43712 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 100' L x 1.5' W x 0.5' D x 1/27 =2.8 cy. Using the conversion factor of 1.82 tns/cu yd x 2.8 cy yields a volume of 5.1 tn. . Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 5.1 = $171.87 Total $171.87 Location#R10 63-2-0.1 GPS: 40.00186,-104.47099 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. The embankment loss measured approximately 200' L x 1.5'W x 0.75' D x 1/27 =8.3 cy. Using the conversion factor of 1.82 tns/cu yd x 8.3 cy yields a volume of 15.2tn. Gravel surfacing loss was measured 460'L x 23'W x 0.25'D x 1/27=98cy. Applying the 1.82 conversion factor x 98 cy = 178.3tn. Embankment $33.70 x 15.2 = $512.24 Gravel Surfacing$33.70 x 178.3=$6,008.71 Total $6,520.95 Location#R11 6-63-0.3 GPS: 40.02969,-104.46294 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 70'L x 3'W x 1' D x 1/27 =7.8 cy. Using the conversion factor of 1.82 tns/cu yd x 7.8 cy yields a volume of 14.2 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 11 of 43 Embankment $33.70 x 14.2 = $478.54 Total $478.54 Location#R12 8-63-0.2 GPS: 40.04413,-104.46472 The county used their forces, materials and equipment to repair the damage at this location.The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 30' L x 2'W x 2' D x 1/27=4.4 cy. Using the conversion factor of 1.82 tns/cu yd x 4.4 cy yields a volume of 8.1 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 8.1 = $272.97 Total $272.97 Location#R13/R26 6-61-0.1 GPS: 40.02 957,-104.49187 The damage at this location is reported under Location#R26/R 13. Location#R14 61-6-0.5 GPS: 40.03526,-104.48954 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 50' L x 1'W x 2' D x 1/27= 3.7 cy. Using the conversion factor of 1.82 tns/cu yd x 3.7 cy yields a volume of 6.7 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 6.7 = $225.79 Total $225.79 Location#R15 61-8-0.5 GPS: 40.04998,-104.48952 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location was limited to erosion of the gravel road embankment measuring approximately 20' L x 2'W x 0.5' D x 1/27 = 0.7 cy. Using the conversion factor of 1.82 tns/cu yd x 0.7cy yields a volume of 1.3 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 1.3 =$43.81 Total $43.81 Location#R16 59-2-0.75 GPS: 40.01104,-104.50864 to 40.01257,-104.50659 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location was limited to the erosion of the gravel surface for approximately 821' L x 24'W x 0.25' D x 1/27 = 182.4 cy. Using the conversion factor of 1.82 tns/cu yd x 182.4 cy yields a volume of 332.0 tn. https://connectl.dhs.gov/emm ie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 12 of 43 Gravel Surfacing $33.70 x 332.0=$11,188.40 Total $11,188.40 Location#R17 59-6-0.3 GPS: 40.03765,-104.50831 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location was limited to erosion of the gravel road embankment measuring approximately 150' L x 2'W x 0.5' D x 1/27 = 5.6 cy. Using the conversion factor of 1.82 tns/cu yd x 5.6cy yields a volume of 10.1 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 10.1 = $340.37 Total $340.37 Location#R18 10-55-0.5 GPS: 40.05822,-104.54220 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. The embankment loss measured approximately 50' L x 1.5'W x 1.0' D x 1/27=2.8 cy. Using the conversion factor of 1.82 tns/cu yd x 2.8cy yields a volume of 5.1 tn. The gravel surface was eroded for approximately 50'L x 23'W x 0.25'D x 1/27= 10.6cy. Using the conversion factor of 1.82 tns/cu yd x 10.6cy=19.4tn. Embankment $33.70 x 5.1 = $171.87 Gravel Surfacing $33.70 x 19.4 =$653.78 Total $825.65 Location #R19 10-59-0.3 GPS: 40.05854, -104.49600 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. The embankment loss measured approximately 40' L x 1.5'W x 1.0' D x 1/27= 2.2 cy. Using the conversion factor of 1.82 tns/cu yd x 2.2cy yields a volume of 4.0 tn. The gravel surface was eroded for approximately 50'L x 24'W x 0.25'D x 1/27= 11.1 cy. Using the conversion factor of 1.82 tns/cu yd x 11.1 cy=20.2tn. Embankment $33.70 x 4.0 = $134.80 Gravel Surfacing $33.70 x20.2 =$680.74 Total $815.54 Location #R20 55-10-0.5 GPS: 40.06064,-104.54609 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. The https://connect I.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 13 of 43 embankment loss measured approximately 700' L x 2.0.'W x 1.0' D x 1/27 =51.9 cy. Using the conversion factor of 1.82 tns/cu yd x 51.9cy yields a volume of 94.5 tn.The gravel surface was eroded for approximately 1000'L x 27'W x 0.25'D x 1/27=250cy. Using the conversion factor of 1.82 tns/cu yd x 250cy=455.0tn. Embankment $33.70 x 94.5 =$3,184.65 Gravel Surfacing$33.70 x455.0=$15,333.50 Total $18,518.15 The project notes are contained on the next segment with locations#21- 42 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 estimate: (maximum 4000 characters) 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 Location#R1 4-91-0.3 40.01505 -104.2127 Location#R2 4-81-0 40.01522 -104.287 40.01521 104.28265 Location#R3 81-8-0 40.04424 -104.3009 Location#R4 73-4-0.4 40.00723 -104.3767 40.00929 -104.3767 Location#R5 4-73-0.9 40.01523 -104.3543 40.01521 -104.3578 Location#R6 10-75-2 40.05868 -104.3641 40.05869 -104.3596 Location#R7 8-71-0.2 40.04426 -104.3916 Location#R8 67-SH52-0.5 40.07964 -104.43292 Location#R9 10-65-0.2 40.0588 -104.43712 Location#R10 63-2-0.1 40.00186 -104.47099 Location#R11 6-63-0.3 40.02969 -104.46294 Location#R12 8-63-0.2 40.04413 -104.46472 https://connect l.dhs.gov/emm ie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 14 of 43 Location#R13/R26 6-61-0.1 40.02957 -104.4918 Location#R14 61-6-0.5 40.03526 -104.48954 Location#R15 61-8-0.5 40.04998 -104.4895 Location#R16 59-2-0.75 40.01257 -104.50659 40.01104 -104.50864 Location#R17 59-6-0.3 40.03765 -104.50831 Location#R18 10-55-0.5 40.05822 -104.5422 Location#R19 10-59-0.3 40.05854 -104.496 Location#R20 55-10-0.5 40.06064 -104.54609 Location#R21 6-55-1.75 40.02948 -104.5126 Location#R22 4-53-0.3 40.01502 -104.55932 Location#R23 53-4-0.3 40.0067 -104.54642 Location#R24 47-SH 52-0.3 40.05912 -104.62156 40.07288 -104.6216 Location#R 25 47-8-0.5 40.05176 -104.6216 Location#R26/R13 6-61-0.1 40.02955 -104.48974 40.02957 -104.49187 Location#R27 20-53-0.5 40.13131 -104.56048 Location#R28 20-51-0.5 40.13124 -104.57369 Location#R29 COL-HAR 40.10462 -104.76903 Location#R30 20-31-0.3 40.1309 -104.76696 Location#R31 22.5-US85-0.5 40.15225 -104.82329 DELETED Location#R32 22-19-23 40.14531 -104.85108 40.14536 -104.86544 Location#R33 21-8-1.1 40.06184 -104.86739 Location#R34 15-2-0.9 40.00023 -104.90798 Location#R 35 14.5-21-0.2 40.09471 -104.86568 40.09475 -104.86378 Location#R 36 5-10-0.8 40.03727 -104.01784 Location#R37 21-6-0.5 40.03727 -104.8671 Location#R38 5-42-0 40.29135 -104.01752 Location#R 39 50-13-0 DETOUR 40.34893 -104.94349 ROAD Location#R40 396-tr-cl 40.33403 -104.79954 40.34173 -104.784 Location#R 41 44-17-0 DETOUR 40.30571 -104.90558 ROAD 40.3054 -104.88685 Location#R42 38-9-0.0 DETOUR 40.26284 -104.94169 ROAD 40.26266 -104.97774 Facility Name: Weld County Gravel Roads-locations#21-42 Address 1: 1111 H Street Address 2: https://connect 1.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 15 of 43 County: Weld City: Greeely State: CO ZIP: 80632 Was this site previously damaged? No Percentage Work Completed? 95.00 % PA-08-C O-4145-P W-00588(0): This description is for locations 21-42. These locations were separated from Locations#1-20 in order to overcome the EMMIE restriction of Location: 32000 characters in the Scope of Work reporting block. Damage Description and PA-08-CO-4145-PW-00588(0): Dimensions: This is a continuation of the previous section of Locations 1-20 Location# R21 6-55-1.75 GPS:40.02948,-104.51260 5:40.02948,-104.51260 The damage at this location included the erosion of the gravel road embankment and the surface gravel. The embankment loss measured approximately 250' L x 2.5.'W x 2' D x 1/27=46.3 cy. Using the conversion factor of 1.82 tns/cu yd x 46.3cy yields a volume of 84.3 tn. The gravel surface was eroded for approximately 250'L x 23'W x 0.25'D x 1/27= 53.2cy. Using the conversion factor of 1.82 tns/cu yd x 53.2cy =96.9tn. Location#R22 4-53-0.3 GPS: 40.01502,-104.559324 The damage at this location included the erosion of the gravel road embankment and the surface gravel. The embankment loss measured approximately 1056' L x 2'W x 1.5' D x 1/27 = 117.3 cy. Using the conversion factor of 1.82 tns/cu yd x 117.3.2cy yields a volume of 213.5 tn. The gravel surface was eroded for approximately 1056'L x 24'W x 0.25'D x 1/27= 234.7cy. Using the conversion factor of 1.82 tns/cu yd x 234.7cy=427.1 tn. Location#R23 53-4-0.3 GPS: 40.00670, -104.54642 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment damage was confined to the sideslope of the cross section. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. The embankment loss measured approximately 50' L x 1.5'W x 1' D x 1/27 =2.8 cy. Using the conversion factor of 1.82 tns/cu yd x 2.8cy yields a volume of 5.1 tn. The gravel surface was eroded for approximately 50'L x 27'W x 0.25'D x 1/27= 12.5cy. Using the conversion factor of 1.82 tns/cu yd x 12.5cy=22.8tn. Location#R24 47-SH 52-0.3 GPS: 40.07288, -104.62160 to 40.05912,-104.62156 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 4918'L x 1.5'W x 1' D x 1/27= 273.2cy. Using the conversion factor of 1.82 tns/cu yd x 273.2cy=497.3tn. The gravel surface was eroded for approximately 4918'L x 1'W x 0.25'D x 1/27=45.5cy. Using the conversion factor of 1.82 tns/cu yd x 45.5cy https://connect 1.dhs.gov/emm ie/,Danainfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 16 of 43 =82.9tn. Location#R 25 47-8-0.5 GPS: 40.05176, -104.62160 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 150'L x 3.5W x 2' D x 1/27 = 38.9cy. Using the conversion factor of 1.82 tns/cu yd x 38.9 =70.8tn.The gravel surface was eroded for approximately 150'L x 2'W x 0.25'D x 1/27=2.8cy. Using the conversion factor of 1.82 tns/cu yd x 2.8cy=5.1tn. Location#R26/R13 6-61-0.1 GPS: 40.02957, -104.49187 to 40.02955, -104.48974 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 520'L x2'W x 2.5' D x 1/27=96.3cy. Using the conversion factor of 1.82 tns/cu yd x 96.3=175.3 tn. The gravel surface was eroded for approximately 520'L x 1'W x 0.25'D x 1/27 =4.8cy. Using the conversion factor of 1.82 tns/cu yd x 4.8cy=8.8tn. This location is reported under identifiers#13 and#26. This occurred because the location was visited on two occasions. Data were not readily available on the initial visit. In order to maintain the project specialist's numbering convention the location has dual numbering. The estimated quantities and costs are shown only once. Location#R27 20-53-0.5 GPS: 40.13131, -10456048 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 400'L x5'W x 2' D x 1/27 =148.1cy. Using the conversion factor of 1.82 tns/cu yd x 148.1=269.6tn.The gravel surface was eroded for approximately 400'L x 2'W x 0.25'D x 1/27= 7.4cy. Using the conversion factor of 1.82 tns/cu yd x 7.4cy=13.5tn. Location#R28 20-51-0.5 GPS 40.13124, -104.57369 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 1056'L x4'W x3' D x 1/27=469.3cy. Using the conversion factor of 1.82 tns/cu yd x 469.3=854.2tn.The gravel surface was eroded for approximately 1056'L x 6'W x 0.25'D x 1/27 = 58.7cy. Using the conversion factor of 1.82 tns/cu yd x 58.7cy=106.8tn. Location#R29 COL-HAR GPS: 40.10462,-104.76903 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 165'L x 10'W x 2' D x 1/27=122.2cy. Using the conversion factor of 1.82 tns/cu yd x 122.2=222.4tn.The gravel surface was eroded for approximately 165'L x 10'W x 0.25'D x 1/27 = 15.3cy. Using the conversion factor of 1.82 tns/cu yd x 15.3cy=27.8tn. Location#R30 20-31-0.3 GPS: 40.13090,-104.76696 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 4447'L x 2'W x 2.5' D x 1/27=823.5cy. Using the conversion factor of 1.82 tns/cu yd x 823.5=1498.8tn.The gravel surface was eroded for approximately 4447'L x 2'W x 0.25'D x 1/27=82.4cy. https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S SL+d ispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 17 of 43 Using the conversion factor of 1.82 tns/cu yd x 82.4cy=149.9tn. Location#R31 22.5-US85-0.5 DELETE GPS: 40.15225,-104.82329 The damage at this location included the washout of the entire road embankment including a culvert. Embankment losses were approximately 120'L x 18'W x 2' D x 1/27 =160cy. Using the conversion factor of 1.82 tns/cu yd x 160=291.2tn.The gravel surface was washed away for approximately 120'L x 18'W x 0.25'D x 1/27 =20.0cy. Using the conversion factor of 1.82 tns/cu yd x 20cy=36.4tn. Location#R32 22-19-23 GPS: 40.14531,-104.85108 to 40.14536, -104.86544 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 4032'L x 2'W x 1.5' D x 1/27=448.0cy. Using the conversion factor of 1.82 tns/cu yd x 448.0=815.4tn.The gravel surface was eroded for approximately 4032'L x 2'W x 0.25'D x 1/27 = 74.7cy. Using the conversion factor of 1.82 tns/cu yd x 74.7cy=135.9tn. Location#R33 21-8-1.1 GPS: 40.06184,-104.86739 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 500'L x 7'W x 2' D x 1/27=259.3cy. Using the conversion factor of 1.82 tns/cu yd x 259.3=471.9tn.The gravel surface was eroded for approximately 500'L x 4'W x 0.25'D x 1/27= 18.5cy. Using the conversion factor of 1.82 tns/cu yd x 18.5 =33.7tn Location#R34 15-2-0.9 GPS: 40.00023, -104.90798 The damage at this site was limited to sedimentation of the roadway ditch for a length of approximately 500 LF. Location#R 35 14.5-21-0.2 GPS:40.09471,-104.86568 to 40.09475,-104.86378 The embankment appeared undamaged.This is a ditch cleanout operation at the site of a 40'L x 18" CMP. The inspection team observed that the ditches had been cleaned out on both sides of the road for a distance of approximately 530 LF x 2 = 1060LF. Location#R 36 5-10-0.8 GPS: 40.03727,-104.01784 This location is an asphalt paved road. The asphalt surface was undamaged and there was no apparent damage to the road embankment. The ditch required cleanout for approximately 1584 LF and replacement of 4-18" arch CMPs that were serving as driveway culverts. Location#R37 21-6-0.5 GPS: 40.03727, -104.86710 This is the location of a bridge on an asphalt paved road. This site is included in PW WELCO28. Location#R38 5-42-0 GPS: 40.29135, -104.01752 This is the location of a bridge on an asphalt paved road.This location is included in PW WELCO22. https://connect l.dhs.gov/emm ie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 18 of 43 Location#R 39 50-13-0 detour route GPS: 40.34893, -104.94349 This location is being reported in PW WELCO37 as a Category B project. Location#R40 396-tr-cl GPS: 40.33403, -104.79954 to 40.34173, -104.78400 The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 5500'L x 2'W x 2.5' D x 1/27=1018.5cy. Using the conversion factor of 1.82 tns/cu yd x 1018.5=1853.7tn.The gravel surface was eroded for approximately 5500'L x 24'W x 0.25'D x 1/27 = 1222.2cy. Using the conversion factor of 1.82 tns/cu yd x 1222.2cy =2224.4tn. Location#R41 44-17-0 detour route GPS: 40.30540,-104.88685 to 40.30571, -104.90558 This location is being reported in PW WELCO37 as a Category B project. Location#R42 38-9-0.0 detour route GPS: 40.26266, -104.97774 to 40.26284,-104.94169 This location is being reported in PW WELCO37 as a Category B project. Scope of Work: PA-08-CO-4145-PW-00588(0): This isa continuation of the previous section of Locations 1-20 COMPLETED WORK Location# R21 6-55-1.75 GPS:40.02948,-104. The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. The embankment loss measured approximately 250' L x 2.5.'W x 2' D x 1/27 =46.3 cy. Using the conversion factor of 1.82 tns/cu yd x 46.3cy yields a volume of 84.3 tn. The gravel surface was eroded for approximately 250'L x 23'W x 0.25'D x 1/27= 53.2cy. Using the conversion factor of 1.82 tns/cu yd x 53.2cy=96.9tn. Embankment $33.70 x 84.3 = $2,840.91 Gravel Surfacing $33.70 x 96.9 =$3,265.53 Total $6,106.44 Location#R22 4-53-0.3 GPS: 40.01502,-104.559324 The county used their forces, materials and equipment to repair the damage at this location.The damage at this location included the erosion of the m road gravel embankment and the surface gravel. The embankment loss measured approximately 1056' L x 2'W x 1.5' D x 1/27 = 117.3 cy. Using the conversion factor of 1.82 tns/cu yd x 117.3.2cy yields a volume of 213.5 tn. The gravel surface was eroded for approximately 1056'L x 24'W x 0.25'D x 1/27=234.7cy. Using the https://connectl.dhs.gov/emm ie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 19 of 43 conversion factor of 1.82 tns/cu yd x 234.7cy=427.1tn. Embankment $33.70 x 213.5 = $7,194.95 Gravel Surfacing $33.70 x427.1 =$14,393.27 Total $21,588.22 Location#R23 53-4-0.3 GPS: 40.00670, -104.54642 The county used their forces, materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment damage was confined to the sideslope of the cross section. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. The embankment loss measured approximately 50' L x 1.5'W x 1' D x 1/27 =2.8 cy. Using the conversion factor of 1.82 tns/cu yd x 2.8cy yields a volume of 5.1 tn. The gravel surface was eroded for approximately 50'L x 27'W x 0.25'D x 1/27 = 12.5cy. Using the conversion factor of 1.82 tns/cu yd x 12.5cy =22.6tn. Embankment $33.70 x 5.1 = $171.87 Gravel Surfacing $33.70 x 22.8 =$768.36 Total $940.23 Location#R24 47-SH 52-0.3 GPS: 40.07288, -104.62160 to 40.05912, -104.62156 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 4918'L x 1.5W x 1' D x 1/27= 273.2cy. Using the conversion factor of 1.82 tns/cu yd x 273.2cy =497.3tn. The gravel surface was eroded for approximately 4918'L x 1'W x 0.25'D x 1/27 =45.5cy. Using the conversion factor of 1.82 tns/cu yd x 45.5cy =82.9tn. Embankment $33.70 x 497.3 = $16,759.01 Gravel Surfacing $33.70 x 82.9 =$2,793.73 Total $19,552.74 Location#R 25 47-8-0.5 GPS: 40.05176, -104.62160 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 150'L x 3.5W x 2' D x 1/27 = 38.9cy. Using the conversion factor of 1.82 tns/cu yd x 38.9 =70.8tn.The gravel surface was eroded for approximately 150'L x 2'W x 0.25'D x 1/27 = 2.8cy. Using the conversion factor of 1.82 tns/cu yd x 2.8cy=5.1 tn. Embankment $33.70 x 70.8 = $2,385.96 Gravel Surfacing$33.70 x 5.1 = $170.87 Total $2,557.83 https://connect l.dhs.gov/emm ie/,Danaln fo=isource.fema.net,SSL+dispatch Destination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 20 of 43 Location#R26/R13 6-61-0.1 GPS: 40.02957, -104.49187 to 40.02955, -104.48974 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 520'L x2'W x 2.5' D x 1/27= 96.3cy. Using the conversion factor of 1.82 tns/cu yd x 96.3=175.3 tn. The gravel surface was eroded for approximately 520'L x 1'W x 0.25'D x 1/27=4.8cy. Using the conversion factor of 1.82 tns/cu yd x 4.8cy =8.8tn. This location is reported under identifiers#13 and#26. This occurred because the location was visited on two occasions. Data were not readily available on the initial visit. In order to maintain the project specialist's numbering convention the location has dual numbering. The estimated quantities and costs are shown only once. Embankment $33.70 x 175.3 = $5,907.61 Gravel Surfacing$33.70 x 8.8 =$296.56 Total $6,204.17 Location#R27 20-53-0.5 GPS: 40.13131, -10456048 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 400'L x5'W x 2' D x 1/27 =148.1cy. Using the conversion factor of 1.82 tns/cu yd x 148.1=269.6tn.The gravel surface was eroded for approximately 400'L x 2'W x 0.25'D x 1/27 =7.4cy. Using the conversion factor of 1.82 tns/cu yd x 7.4cy=13.5tn. Embankment $33.70 x 269.6 =$9,085.52 Gravel Surfacing $33.70 x 13.5 =$454.95 Total $9,540.47 Location#R28 20-51-0.5 GPS 40.13124, -104.57369 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 1056'L x4'W x3' D x 1/27 =469.3cy. Using the conversion factor of 1.82 tns/cu yd x 469.3=854.2tn.The gravel surface was eroded for approximately 1056'L x 6'W x 0.25'D x 1/27 = 58.7cy. Using the conversion factor of 1.82 tns/cu yd x 58.7cy=106.8tn. Embankment $33.70 x 854.2 = $28,786.54 Gravel Surfacing $33.70 x 106.8 43,599.16 Total $32,385.70 Location#R29 COL-HAR GPS: 40.10462, -104.76903 The county used their forces, materials and equipment to repair the damage at this location.The damage at this location included the https://connect I.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatch Destination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 21 of 43 erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 165'L x 10'W x 2' D x 1/27 =122.2cy. Using the conversion factor of 1.82 tns/cu yd x 122.2=222.4tn.The gravel surface was eroded for approximately 165'L x 10'W x 0.25'D x 1/27 = 15.3cy. Using the conversion factor of 1.82 tns/cu yd x 15.3cy=27.8tn. Embankment $33.70 x 222.4 = $7,494.88 Gravel Surfacing $33.70 x 27.8 =$936.86 Total $8,431.74 Location#R30 20-31-0.3 GPS: 40.13090,-104.76696 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 4447'L x 2'W x 2.5' D x 1/27 =823.5cy. Using the conversion factor of 1.82 tns/cu yd x 823.5=1498.8tn.The gravel surface was eroded for approximately 4447'L x 2'W x 0.25'D x 1/27= 82.4cy. Using the conversion factor of 1.82 tns/cu yd x 82.4cy=149.9tn. Embankment $33.70 x 1498.8 = $50,509.56 Gravel Surfacing$33.70 x 149.9 =$5,051.63 Total $55,561.19 Location#R31 22.5-US85-0.5 DELETE GPS: 40.15225, -104.82329 An oil company repaired this location because they were eager to gain access to their equipment. The county will not be billed for the repair. Weld county has requested this location be removed from their claim. See attached E mail. Location#R32 22-19-23 GPS: 40.14531,-104.85108 to 40.14536, -104.86544 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 4032'L x 2'W x 1.5' D x 1/27 =448.0cy. Using the conversion factor of 1.82 tns/cu yd x 448.0=815.4tn.The gravel surface was eroded for approximately 4032'L x 2'W x 0.25'D x 1/27= 74.7cy. Using the conversion factor of 1.82 tns/cu yd x 74.7cy=135.9tn. Embankment $33.70 x 815.4 =$27,478.98 Gravel Surfacing $33.70 x 135.9 =$4,579.83 Total $32,058.81 Location#R33 21-8-1.1 GPS: 40.06184, -104.86739 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 500'L x 7'W x 2' D x 1/27 =259.3cy. Using the conversion factor of 1.82 tns/cu yd x https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 22 of 43 259.3=471.9tn.The gravel surface was eroded for approximately 500'L x 4'W x 0.25'D x 1/27= 18.5cy. Using the conversion factor of 1.82 tns/cu yd x 18.5 =33.7tn Embankment $33.70 x 471.9 = $15,903.03 Gravel Surfacing $33.70 x 33.7 =$1,135.69 Total $17,038.72 Location#R34 15-2-0.9 GPS: 40.06184,-104.86739 The county forces and equipment were used to cleanout the ditch and restore the flowline. The extent of the cleanout was about 500LF. The project specialist used the FEMA unit price, $3.40/LF cost code (3070), to estimate the cost for ditch cleaning/shaping operation. Cleanout/ditch shaping $3.40 x 500Lf= $1,700 Location#R 35 14.5-21-0.2 GPS: 40.09471, -104.86568 to 40.09475, -104.86378 This was a ditch cleanout operation at the site of a 40'L x 18"CMP. County forces were used to cleanout and reestablish the flow line for the ditches on each side of the road. The combined length of the cleaning operation was 2x 530LF = 1060 LF. The project specialist used the FEMA unit price, $3.40/LF cost code (3070), to estimate the cost for ditch cleaning/shaping operation. Cleanout/shaping $3.40/if x 10601f=$3,604 Location#R 36 5-10-0.8 GPS: 40.03727,-104.01784 This location is an asphalt paved road. The inspection team could not identify any obvious repairs to the asphalt surface such as recent asphalt patches. The county replaced 4—18" arch CMPs driveway culverts totaling 140 LF. The project specialist used the county unit price of$14.95/Lf to estimate the cost. County forces and equipment were used to cleanout and reshape the ditch for a length of 1584LF. The project specialist used the FEMA unit price, $3.40/LF cost code (3070), to estimate the cost for ditch cleaning/shaping operation. 18"-arch CMP @$14.95 x 140 LF = $2,093 Cleanout/shaping $3.40/If x 1584LF = $5,385.60 TOTAL= $7,478.60 Location#R37 21-6-0.5 GPS: 40.03727,-104.86710 This is the location of a bridge on an asphalt paved road. This site is included in PW WELCO28. Location#R38 5-42-0 GPS: 40.29135, -104.01752 This is the location of a bridge on an asphalt paved road. This location is included in PW WELCO22. Location#R39 50-13-0 GPS: 40.34893, -104.94349 This location was a detour route and is included as part of WELCO37. https://connect 1.dhs.gov/emmie/,Danaln fo=isource.fema.net,SSL+dispatch Destination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 23 of 43 Location#R40 396-tr-cl GPS: 40.33403, -104.79954 to 40.34173, -104.78400 The county used their forces, materials and equipment to repair the damage at this location. The damage at this location included the erosion of the gravel road embankment and the surface gravel. Embankment losses were approximately 5500'L x 2'W x 2.5' D x 1/27 =1018.5cy. Using the conversion factor of 1.82 tns/cu yd x 1018.5=1853.7tn.The gravel surface was eroded for approximately 5500'L x 24'W x 0.25'D x 1/27= 1222.2cy. Using the conversion factor of 1.82 tns/cu yd x 1222.2cy=2224.4tn. Embankment $33.70 x 1,853.7 = $62,469.69 Gravel Surfacing $33.70 x 2,224.4 =$74,962.28 Total $137,431.97 Location#R 41 44-17-0 DETOUR ROUTE GPS: 40.30540,-104.88685 to 40.30571, -104.90558 This location is being reported in PW WELCO37 as a category B project. Location#R42 38-9-0.0 DETOUR ROUTE GPS: 40.26266, -104.97774 to 40.26284, -104.94169 This location is being reported in PW WELCO37 as a category B project. END OF SCOPE OF WORK Weld County Project Notes these notes apply to all 42 Locations. 1. Following the September 2013 flooding, applicant used contract services and/or 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 completed. 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 from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a complete damage assessment. 2. This PW addresses all validated flood related damages at the specified site(s), 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 P . In the event that applicant identifies subsequent, currently unknown flood related damage at such site(s), 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 will request FEMA prepare a version of this PW to address the eligible cost of repair. 3. As described in 44 CFR Section 13.42, applicant must maintain all work-related records for a period of three(3)years from applicant closure (final payment). All records relative to this project worksheet are subject to examination and audit by the State, FEMA, and the Comptroller General of the United States and must reflect work related https://connectl.dhs.gov/emmie/,Danal nfo=i source.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 24 of 43 to disaster specific costs. 4. The applicant must obtain all required federal, state, and local permits prior to the commencement of work. 5. 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. 6. Project inspection team included the 406 Hazard Mitigation staff members. Repairs had been completed at the time of the inspections and no opportunities were identified. 7. 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. 8. 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/will follow their normal procurement procedures. 9. All calculated quantities have been rounded to the nearest tenth of the applicable unit, i.e.,tons, cubic yards. Minor discrepancies in quantities or costs are the result of rounding. 10. The Weld County employee pay policy and the Weld County procurement policy are on file in EMMIE. 11. The county measures its quantities in terms of tons. Field measured quantities were computed in p cubic yards. The Weld County Engineering 9 9 and Construction Criteria document specifies materials densities of 1461bs/cu ft for Hot Mix Asphalt and 1351b/cu ft for embankment. The project specialist used these densities to compute conversion factors to apply to the cubic yard computations. For the Hot Mix Asphalt the factor is 1461b/cu ft x 27 cu ft/cu yd x 1/2000 lb/ton= 1.97 tn/cy. For the embankment fill material the calculation is 1351b/ct x 27 cu ft/cu yd x 1/2000 lb/tn= 1.82 to/cu yd. The field measured quantities were multiplied by their respective conversion factors to yield quantities in tons. A Colorado DOT(CDOT) unit cost of$33.70/tn was used for estimating the in- place repair costs. This is twice the CDOT Item Number 304-06000 Aggregate Base Course Class 6. This cost was used because of expected economies of scale as compared to the CDOT figures. 12. The applicant expects to claim Direct Administrative Costs for this PW. The DAC charges were not available at the time of PW preparation. The project specialist added an estimate as a temporary measure to preserve the opportunity to claim DAC when the final figures become available. https://connect I.dhs.gov/emmie/,Dana)nfo=isource.fema.net,S SL+dispatch Destination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 25 of 43 13 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 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. 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 estimate: (maximum 4000 characters) 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 Special Considerations 1. Does the damaged facility or item of work have insurance coverage and/or is it an No insurable risk (e.g., buildings, equipment, vehicles, etc)? 2. Is the damaged facility located within a floodplain or coastal high hazard area and/or does No it have an impact on a floodplain or wetland? 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 No listing? 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 No tracts of forestland? 8.Are there any hazardous materials at or adjacent to the damaged facility and/or item of No work? 9. Are there any other environmental or controversial issues associated with the damaged No facility and/or item of work? https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 26 of 43 If you would like to make any comments, please enter them below. (maximum 4000 characters) Per Regional Guidance, an EHP review is required. Attachments User Date Document Description Hard Copy File Name Action Type File Reference These two attachments PW WELCO05 STEPHEN 02-20- Floodplain show the county has not GRAVEL ROADS View MORENO 2014 been mapped firmette B .pdf(250.94 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 project? No If you answered Yes to the above question,the next question is required Do you wish to attach a Hazard Mitigation Proposal? No If you answered Yes to the above question, the next two questions are required Please provide the Scope of Work for the estimate: Would you like to add the Hazard Mitigation No Proposal as a cost line item to the project cost? Comments Attachments Cost Estimate Is this Project Worksheet for (Preferred) Repair Material Unit Unit of Unit Subgrant Cost Sequence Code and/or T ype Description Quantity Measure Price Budget Class Estimate Action ***Version 0*** Work Completed 1 9999 class 6 14444.6 TON $ CONSTRUCTION Work $486,783.02 gravel fill 33.70 Completed 18" Work 2 9999 arch CMP 140 LF 14.95 SUPPLIES Completed $2,093.00 Ditch Work 3 3070 Cleaning & 3144 LF 3.40 CONSTRUCTION Completed $ 10,689.60 Shaping Total Cost: $499,565.62 https://connect l.dhs.gov/emmie/,Danainfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 27 of 43 Insurance Adjustments(Deductibles, Proceeds and Settlements) - 5900/5901 Subgrant Sequence Code Material and/or Unit Unit of Unit Budget Type Cost Action Description Quantity Measure Price Class Estimate ***Version 0*** Direct Administrative 1 9999 1 LS $ $ 1,000.00 Costs-estimated 1,000.00 Total Cost : $ 1,000.00 Total Cost Estimate: $500,565.62 (Preferred Estimate Type+ Insurance Adjustments) Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference HOWARD 02-20- Miscellaneous Site Summary Site Summary WELCO05 View BURD 2014 Sheet Sheet Summary.xlsx(21.12 kb) Existing Insurance Information Insurance Type Policy No. Bldg/Property Content Insurance Deductible Years Amount Amount Amount Amount Required Insurance Adjustments (Deductibles, Proceeds and Settlements)-5900/5901 Subgrant Unit Unit of Cost # Code Material and/or Description Quantity Measure Unit Price Budget Type Estimate Action Class ***Version 0*** 1 9999 Direct Administrative Costs- 1 LS $ $ 1,000.00 estimated 1,00a00 Total Cost: $ 1,000.00 Comments Attachments Comments and Attachments Name of Section Comment Attachment The applicant must notify the state if there are any changes in the scope of work prior to starting the Project Description repairs. Failure to notify the State Division of Emergency Management may jeopardize receipt of federal funds. Damage Facilities https://connect I.dhs.gov/emmie/,Dana)nfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 28 of 43 Comments and Attachments This is the documentation of the flood damage to gravel road DELETION REQUEST the gravel road system in the southern portion of 22.5-US85 Weld County; the damages are for that portion of 2014 02 12 08 24 08.pdf the county south of highway US 34. They extend PW WELCO05 GRAVEL ROADS east to west across the full width of the county. photos B .pdf PW WELCO05 GRAVEL ROADS maps B .pdf Special Considerations The county has not been mapped PW WELCO05 GRAVEL ROADS firmette B .pdf Cost Estimate WELCO05 Summarv.xlsx Bundle Reference#(Amendment#) Date Awarded PA-08-CO-4145-State-0035(34) 03-03-2014 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 DATE CATEGORY WELCO05 NO. 02-20-2014 C FEMA 4145 - DR -CO 123- 99123-00 APPLICANT:WELD(COUNTY) WORK COMPLETE AS OF: 02-18-2014:95% Site 1 of 2 DAMAGED FACILITY: COUNTY: Weld Weld County Gravel Roads-locations#1-20 LOCATION: LATITUDE: LONGITUDE: 40.03526 -104.48954 40.0588 -104.43712 40.30571 -104.90558 PA-08-CO-4145-PW-00588(0): 40.3054 -104.88685 40.34173 -104.784 This document serves to report on the countywide damages to the Weld county gravel roads 40.33403 -104.79954 system.ln particular these locations are south of US 34 and range east-west across the county.The 40.34893 -104.94349 locations were split into two pieces in order to avoid the 32,000 character liomit in the Scope OF 40.1309 -104.76696 Work.This first piece covers locations#1-20 and the second covers#21-42. 40.13131 -104.56048 40.04998 -104.4895 40.04426 -104.3916 40.01505 -104.2127 40.05176 -104.6216 40.07288 -104.6216 40.05912 -104.62156 40.02948 -104.5126 40.03727 -104.8671 40.10462 -104.76903 40.01522 -104.287 40.01521 104.28265 40.06184 -104.86739 40.14536 -104.86544 40.14531 -104.85108 40.15225 -104.82329 40.02957 -104.4918 40.01523 -104.3543 40.01521 -104.3578 40.00929 -104.3767 40.00723 -104.3767 40.05869 -104.3596 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 29 of 43 40.05868 -104.3641 40.09475 -104.86378 40.09471 -104.86568 40.00023 -104.90798 40.06064 -104.54609 40.05854 -104.496 40.03727 -104.01784 40.05822 -104.5422 40.01257 -104.50659 40.01104 -104.50864 40.07964 -104.43292 40.02957 -104.49187 • 40.02955 -104.48974 40.02969 -104.46294 40.29135 -104.01752 40.0067 -104.54642 40.00186 -104.47099 40.26284 -104.94169 40.26266 -104.97774 40.13124 -104.57369 40.03765 -104.50831 40.04424 -104.3009 40.01502 -104.55932 40.04413 -104.46472 DAMAGE DESCRIPTION AND DIMENSIONS: • PA-08-CO-4145-PW-00588(0): During the incident period of September 11 to September 30,2013,torrential rains resulted in raging torrents across Weld County,spilling flood water from the South Platte River and nearby streams,creeks and reservoirs,inundating the roads and bridges throughout the County.The flooding resulted in erosion damage to the road embankments.The typical scenario was the longitudinal erosion of the sideslopes and the road embankment.The sideslope is that portion of the embankment from the top of the road surface to the bottom of the drainage ditch.These damaged locations were characterized by narrow,1'-3'wide,and shallow,1'-2'deep,gullies cut into the road prism.Damaged lengths of roadway ranged from less than 50'L to more than a mile.Ditch deanout was observed and measured at 3 sites,together totaling approximately 3644 LF.A series of 4-18"arch CMPs driveway culverts required replacement for a total length of 140 LF There were locations at which transverse water flow widened the damaged areas as erosion advanced toward the centerline of the road embankment. Culvert damages are reported in a separate PW WELCO35. This PW was created to document damages to the Weld County gravel road system.The sites documented in this PW are located south of US 34 and range east-west across the full width of the county.In order to facilitate inspections,the County provided a listing of damage sites.County personnel accompanied the project specialist on every inspection. As inspections were carried out,some of these roads turned out to be paved with asphalt.At these paved locations there was minor cracking of the asphalt pavement but no obvious erosion damage to the roadway embankment.There are a total of 42 individual locations reported on this PW.Some sites were incorporated into other PWs and are so identified.Upon inspection there were locations with no damage beyond ditch deanout.The total of 42 was retained to maintain consistency with the project specialist's field notes.The net number of locations that actually contributed costs to this PW is 34. Based on the site inspection dimensions,the total embankment loss is estimated to be 9,501.4 tons(tn).In addition,there was an estimated loss of the gravel riding surface amounting to 4943.2 tons.All cubic yard measurements were converted to tonnages in order to be consistent with the Weld County practice of measurement in tons.The cubic yard volumes were multiplied by 1.82 tons/cy.A detailed explanation of the rationale for using this factor is provided in the Project Notes.The details regarding the individual damage locations are documented in the following pages. The GPS coordinate,(40.44633,-104.70146)is for the Weld County Public Works office. Location#R1 4-91-0.3 GPS:40.01505,-104.21279 The damage at this location included the erosion of the gravel road embankment including the surface gravel for approximately 74'L x 23' W x 1'D x 1/27=63 cy.Using the conversion factor of 1.82 tns/cu yd x 63 cy yields a volume of 114.7 tn.The gravel surfacing was washed away for a distance of approximately 74'L x 23W x 0.25D x 1/27=15.8cy.Multiplying by the 1.82 conversion factor x 15.8=28.7 tn. Location#R2 4-81-0 GPS:40.01521,-104.28265 to 40.01522,-104.28704 The damage at this location included the erosion of the gravel road embankment including the surface gravel for approximately 1216'L x 8'W x 2'D x 1/27=720.6 cy.Using the conversion factor of 1.82 tns/cu yd x 720.6 cy yields a volume of 1311.5 tn.The gravel surfacing was washed away for a distance of approximately 1216'L x 8'W x 0.25'D x 1/27=90.1 cy.Multiplying by the 1.82 conversion factor x 90.1= 163.9 tn. Location#R3 81-8-0 GPS:40.04424,-104.30098 The damage at this location was the erosion of the gravel road embankment measuring approximately 112'L x 4'W x 4'D x 1/27=66.4 cy.Using the conversion factor of 1.82 tns/cu yd x 66.4 cy yields a volume of 120.8 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 30 of 43 areas. Location#R4 73-4-0.4 GPS:40.00929,-104.37671 to 40.00723,-104.37672 The damage at this location included the erosion of the gravel road embankment measuring approximately 752'L x 3'W x 2'D x 1/27= 167.1 cy.Using the conversion factor of 1.82 tns/cu yd x 167.1 cy yields a volume of 304.1 tn.The gravel surfacing was washed away for a distance of approximately 752'L x 22'W x 0.33'D x 1/27=153.2cy.Multiplying by the 1.82 conversion factor x 153.2=278.8 tn. Location#R5 4-73-0.9 GPS:40.01521,-104.35782 to 40.01523,-104.35437 The damage at this location was limited to the erosion of the gravel road embankment which measured approximately 968'L x 1'W x 1.5' D x 1/27=53.8 cy.Using the conversion factor of 1.82 tns/cu yd x 53.8 cy yields a volume of 97.9 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R6 10-75-2 GPS:40.05868,-104.36416 to 40.05869,-104.35969 The damage at this location was limited to the erosion of the gravel road embankment,measuring approximately 1233'L x 1.5'W x 2'D x 1/27=137 cy.Using the conversion factor of 1.82 tns/cu yd x 137 cy yields a volume of 249.3 tn.Both sides of the road were eroded.. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R7 8-71-0.2 GPS:40.04426,-104.39166 The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 2112'L x 1.5'W x 0.5'D x 1/27=58.7 cy.Using the conversion factor of 1.82 tns/cu yd x 58.7 cy yields a volume of 106.8 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R8 67-SH52-0.5 GPS:40.07964,-104.43292 The damage at this location was limited to the erosion of the gravel surface for approximately 300'L x 26'W x 0.25'D x 1/27=72.2 cy. Using the conversion factor of 1.82 tns/cu yd x 72.2 cy yields a volume of 131.4tn.This location was deleted by the county. Location#R9 10-65-0.2 GPS:40.05880,-104.43712 The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 100'L x 1.5'W x 0.5'D x 1/27=2.8 cy.Using the conversion factor of 1.82 tns/cu yd x 2.8 cy yields a volume of 5.1 tn..Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R10 63-2-0.1 GPS:40.00186,-104.47099 The damage at this location included the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 200'L x 1.5'W x 0.75'D x 1/27=8.3 cy.Using the conversion factor of 1.82 tns/cu yd x 8.3 cy yields a volume of 15.2tn. Gravel surfacing loss was measured 460'L x 23'W x 0.25'D x 1/27=98cy.Applying the 1.82 conversion factor x 98 cy=178.3tn. Location#R11 6-63-0.3 GPS:40.02969,-104.46294 The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 70'L x 3'W x 1'D x 1/27 =7.8 cy.Using the conversion factor of 1.82 tns/cu yd x 7.8 cy yields a volume of 14.2 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R12 8-63-0.2 GPS:40.04413,-104.46472 The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 30'L x 2'W x 2'D x 1/27=4.4 cy.Using the conversion factor of 1.82 tns/cu yd x 4.4 cy yields a volume of 8.1 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R13/R26 6-61-0.1 GPS:40.02957,-104.49187 The damage at this location is reported under Location#R26/R 13. Location*R14 61-6-0.5 GPS:40.03526,-104.48954 The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 50'L x 1'W x 2'D x 1/27=3.7 cy.Using the conversion factor of 1.82 tns/cu yd x 3.7 cy yields a volume of 6.7 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R15 61-8-0.5 GPS:40.04998,-104.48952 https://connect I.dhs.gov/emmie/,Dana)nfo=isource.fema.net,S SL+dispatch Destination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 31 of 43 The damage at this location was limited to erosion of the gravel road embankment measuring approximately 20'L x 2'W x 0.5'D x 1/27 =0.7 cy.Using the conversion factor of 1.82 tns/cu yd x 0.7cy yields a volume of 1.3 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R16 59-2-0.75 GPS:40.01104,-104.50864 to 40.01257,-104.50659 The damage at this location was limited to the erosion of the gravel surface for approximately 821'L x 24'W x 0.25'D x 1/27=182.4 cy. Using the conversion factor of 1.82 tns/cu yd x 182.4 cy yields a volume of 332.0 tn. Location#R17 59-6-0.3 GPS:40.03765,-104.50831 The damage at this location was limited to erosion of the gravel road embankment measuring approximately 150'L x 2'W x 0.5'D x 1/27 =5.6 cy.Using the conversion factor of 1.82 ins/cu yd x 5.6cy yields a volume of 10.1 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Location#R18 10-55-0.5 GPS:40.05822,-104.54220 The damage at this location included the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 50'L x 1.5'W x 1.0'D x 1/27=2.8 cy.Using the conversion factor of 1.82 tns/cu yd x 2.8cy yields a volume of 5.1 tn.The gravel surface was eroded for approximately 50'L x 23W x 0.25'D x 1/27=10.6cy.Using the conversion factor of 1.82 Ins/cu yd x 10.6cy =19.3tn. Location #R19 10-59-0.3 GPS:40.05854,-104.49600 The damage at this location included the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 40'L x 1.5'W x 1.0'D x 1/27=2.2 cy.Using the conversion factor of 1.82 tns/cu yd x 2.2cy yields a volume of 4.0 tn.The gravel surface was eroded for approximately 50'L x 24'W x 0.25'D x 1/27=11.1 cy.Using the conversion factor of 1.82 tns/cu yd x 11.1cy =20.21n. Location #R20 55-10-0.5 GPS:40.06064,-104.54609 The damage at this location included the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 700'L x 2.0.'W x 1.0'D x 1/27=51.9 cy.Using the conversion factor of 1.82 tns/cu yd x 51.9cy yields a volume of 94.5 tn.The gravel surface was eroded for approximately 1000'L x 27'W x 0.25'D x 1/27=250cy.Using the conversion factor of 1.82 tns/cu yd x 250cy=455.0tn. SCOPE OF WORK: PA-08-CO-4145-PW-00588(0): Weld County used their equipment,materials and staff to effect repairs to the damaged sites.Most of these efforts were directed toward backfilling the longitudinally eroded gullies.There were occasional sites where transverse flows had eaten into the embankment and washed away the gravel riding surface.Damages were typically limited to longitudinal erosion of the sideslope with minor losses of the traveled way.The length of damaged locations ranged from less than 50'to more than a mile.More than half of the sites were in excess of 100'long.Evidence of ditch deanout was observed and measured for a reported ditch cleanout total of approximately 3644 LF x$3.40/Lf =$12,389.60.A series of 4-18"arch CMPs were replaced,with a total length of 140LF and an estimated cost of$2,093. Replacement of the embankment materials is estimated to be 9,501.4 tons at an estimated cost of$320,197.55.The gravel riding surface losses were estimated to be 4,943.2 tons,with an estimated cost of$166,586.65. The specifics of each location are presented on the following pages.The total tonnage for the PW is 14,435.6 with an estimated value of$486,784.20. The combined total estimate of embankment,surfacing,ditch deanout and replacement culverts is$501,266.81 All cubic yard quantities were converted to tonnages to reflect Weld County practice;see the Project Notes for details regarding the conversion methodology.The project specialist used Colorado DOT figures as an estimating tool.Cost data for replacement and resurfacing gravel materials was drawn from the Colorado DOT unit bid prices for the period Jan 1 thru March 31,2013;see the Project Notes for additional information.Ditch cleanout costs were taken from FEMA cost codes and the culvert materials costs were supplied by the applicant. SCOPE OF WORK COMPLETED WORK Location#R1 4-91-0.3 GPS:40.01505,-104.21279 The county used their forces,materials and equipment to replace the lost embankment and gravel surfacing.They repaired the damaged area of the embankment amounting to approximately 74'L x 23'W x 1'D x 1/27=63 cy.Using the conversion factor of 1.82 tns/cu yd x 63 cy yields a volume of 114.7 in.The gravel surfacing was replaced for a distance of approximately 74'L x 23'W x 0.25'D x 1/27=15.8cy. Multiplying by the 1.82 conversion factor x 15.8=28.7 in. https://connectl.dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 32 of 43 Embankment $33.70 x 114.7=$3,865.39 Gravel Surfacing$33.70 x 28.7= $967.19 Total $4,832.58 Location#R2 4-81-0 GPS:40.01521,-104.28265 to 40.01522,-104.28704 The county used their forces,materials and equipment to replace the lost embankment and gravel surfacing.They repaired the damage to the embankment of approximately 1216'L x 8'W x 2'D x 1/27=720.6 cy.Using the conversion factor of 1.82 tns/cu yd x 720.6 cy yields a volume of 1311.5 tn.The gravel surfacing was replaced for a distance of approximately 1216'L x 8'W x 0.25'D x 1/27=90.1cy.Multiplying by the 1.82 conversion factor x 90.1=163.9 tn. Embankment $33.70 x 1311.5=$44,197.55 Gravel Surfacing$33.70 x 163.9= $5,523.43 Total $49,720.98 Location#R3 81-8-0 GPS:40.04424,-104.30098 The county used their forces,materials and equipment to replace the lost embankment measuring approximately 112'L x 4'W x 4'D x 1/27=66.4 cy.Using the conversion factor of 1.82 tns/cu yd x 66.4 cy yields a volume of 120.8 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 120.8=$4070.96 Total $4,070.96 Location#R4 73-4-0.4 GPS:40.00929,-104.37671 to 40.00723,-104.37672 The county used their forces,materials and equipment to repair the damage at this location.The repair measured approximately 752'L x 3'W x 2'D x 1/27=167.1 cy.Using the conversion factor of 1.82 tns/cu yd x 167.1 cy yields a volume of 304.1 tn.The gravel surfacing was replaced for a distance of approximately 752'L x 22'W x 0.25'D x 1/27=202.2cy.Multiplying by the 1.82 conversion factor x 202.2= 368.0 tn. Embankment $33.70 x 304.1 =$10,248.17 Gravel Surfacing$33.70 x 278.8=$9,395.56 Total $19,643.73 Location#R5 4-73-0.9 GPS:40.01521,-104.35782 to 40.01523,-104.35437 The county used their forces,materials and equipment to repair the damage at this location.The repair was limited to the erosion of the gravel road embankment which measured approximately 968'L x 1'W x 1.5'D x 1/27=53.8 cy.Using the conversion factor of 1.82 tns/cu yd x 53.8 cy yields a volume of 97.9 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 97.9=$3,299.23 Total $3,299.23 Location#R6 10-75-2 GPS:40.05868,-104.36416 to 40.05869,-104.35969 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location was limited to the erosion of the gravel road embankment,measuring approximately 1233'L x 1.5'W x 2'D x 1/27=137 cy.Using the conversion factor of 1.82 tns/cu yd x 137 cy yields a volume of 249.3 tn.Both sides of the road were eroded..Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 249.3 =$8,401.41 Total $8,401.41 Location#R7 8-71-0.2 GPS:40.04426,-104.39166 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 2112'L x 1.5'W x 0.5'D x 1/27=58.7 cy.Using the conversion factor of 1.82 tns/cu yd x 58.7 cy yields a volume of 106.8 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 106.8 =$3,599.16 Total $3,599.16 Location#R8 67-SH52-0.5 GPS:40.07964,-104.43292 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 33 of 43 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location was limited to the erosion of the gravel surface for approximately 300'L x 26'W x 0.25'D x 1/27=72.2 cy. Using the conversion factor of 1.82 tns/cu yd x 72.2 cy yields a volume of 131.4tn. Gravel Surfacing $33.70 x 131.4=$4,428.18 Total $4,428.18 Location#R9 10-65-0.2 GPS:40.05880,-104.43712 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 100'L x 1.5'W x 0.5'D x 1/27=2.8 cy.Using the conversion factor of 1.82 tns/cu yd x 2.8 cy yields a volume of 5.1 tn..Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 5.1 =$171.87 Total $171.87 Location#R10 63-2-0.1 GPS:40.00186,-104.47099 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 200'L x 1.5'W x 0.75'D x 1/27=8.3 cy.Using the conversion factor of 1.82 tns/cu yd x 8.3 cy yields a volume of 15.2tn.Gravel surfacing loss was measured 460'L x 23'W x 0.25'D x 1/27=98cy.Applying the 1.82 conversion factor x 98 cy=178.3tn. Embankment $33.70 x 15.2 =$512.24 Gravel Surfacing$33.70 x 178.3=$6,008.71 Total $6,520.95 Location#R11 6-63-0.3 GPS:40.02969,-104.46294 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 70'L x 3'W x 1'D x 1/27=7.8 cy.Using the conversion factor of 1.82 tns/cu yd x 7.8 cy yields a volume of 14.2 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 14.2 =$478.54 Total $478.54 Location#R12 8-63-0.2 GPS:40.04413,-104.46472 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 30'L x 2'W x 2'D x 1/27=4.4 cy.Using the conversion factor of 1.82 tns/cu yd x 4.4 cy yields a volume of 8.1 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 8.1 =$272.97 Total $272.97 Location#R13/R26 6-61-0.1 GPS:40.02957,-104.49187 The damage at this location is reported under Location#R26/R 13. Location#R14 61-6-0.5 GPS:40.03526,-104.48954 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location was limited to the erosion of the gravel road embankment measuring approximately 50'L x 1'W x 2'D x 1/27=3.7 cy.Using the conversion factor of 1.82 Ins/cu yd x 3.7 cy yields a volume of 6.7 tn.Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 6.7 =$225.79 Total $225.79 Location#R15 61-8-0.5 GPS:40.04998,-104.48952 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location was limited to erosion of the gravel road embankment measuring approximately 20'L x 2'W x 0.5 D x 1/27=0.7 cy.Using the conversion factor of 1.82 tns/cu yd x 0.7cy yields a volume of 1.3 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 1.3 =$43.81 https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 34 of 43 Total $43.81 Location#R16 59-2-0.75 GPS:40.01104,-104.50864 to 40.01257,-104.50659 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location was limited to the erosion of the gravel surface for approximately 821'L x 24'W x 0.25'D x 1/27=182.4 cy.Using the conversion factor of 1.82 tns/cu yd x 182.4 cy yields a volume of 332.0 tn. Gravel Surfacing$33.70 x 332.0=$11,188.40 Total $11,188.40 Location#R17 59-6-0.3 GPS:40.03765,-104.50831 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location was limited to erosion of the gravel road embankment measuring approximately 150'L x 2'W x 0.5'D x 1/27=5.6 cy.Using the conversion factor of 1.82 tns/cu yd x 5.6cy yields a volume of 10.1 tn. Damage was confined to the sideslope of the cross section so there was no loss of gravel surfacing.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. Embankment $33.70 x 10.1 =$340.37 Total $340.37 Location#R18 10-55-0.5 GPS:40.05822,-104.54220 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 50'L x 1.5'W x 1.0'D x 1/27=2.8 cy.Using the conversion factor of 1.82 tns/cu yd x 2.8cy yields a volume of 5.1 tn.The gravel surface was eroded for approximately 50'L x 23'W x 0.25D x 1/27=10.6cy.Using the conversion factor of 1.82 tns/cu yd x 10.6cy=19.4tn. Embankment $33.70 x 5.1 =$171.87 Gravel Surfacing$33.70 x 19.4=$653.78 Total $825.65 Location #R19 10-59-0.3 GPS:40.05854,-104.49600 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 40'L x 1.5'W x 1.0'D x 1/27=2.2 cy.Using the conversion factor of 1.82 tns/cu yd x 2.2cy yields a volume of 4.0 tn.The gravel surface was eroded for approximately 50'L x 24'W x 0.25'D x 1/27=11.1cy.Using the conversion factor of 1.82 tns/cu yd x 11.1cy=20.2tn. Embankment $33.70 x 4.0 =$134.80 Gravel Surfacing$33.70 x20.2=$680.74 Total $815.54 Location #R20 55-10-0.5 GPS:40.06064,-104.54609 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 700'L x 2.0.'W x 1.0'D x 1/27=51.9 cy.Using the conversion factor of 1.82 tns/cu yd x 51.9cy yields a volume of 94.5 tn.The gravel surface was eroded for approximately 1000'L x 27'W x 0.25'D x 1/27=250cy.Using the conversion factor of 1.82 tns/cu yd x 250cy=455.otn. Embankment $33.70 x 94.5 =$3,184.65 Gravel Surfacing$33.70 x455.0=$15,333.50 Total $18,518.15 The project notes are contained on the next segment with locations#21-42 Site 2 of 2 DAMAGED FACILITY: COUNTY: Weld Weld County Gravel Roads-locations#21-42 LOCATION: LATITUDE: LONGITUDE: PA-08-CO-4145-P W-00588(0): This description is for locations 21-42.These locations were separated from Locations#1-20 in order https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S SL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 35 of 43 to overcome the EMMIE restriction of 32000 characters in the Scope of Work reporting block. DAMAGE DESCRIPTION AND DIMENSIONS: PA-08-CO-4145-P W-00588(0): This is a continuation of the previous section of Locations 1-20 Location#R21 6-55-1.75 G P S:40.02948,-104.51260 The damage at this location included the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 250'L x 2.5.'W x 2'D x 1/27=46.3 cy.Using the conversion factor of 1.82 tns/cu yd x 46.3cy yields a volume of 84.3 tn. The gravel surface was eroded for approximately 250'L x 23W x 0.25'D x 1/27=53.2cy.Using the conversion factor of 1.82 tns/cu yd x 53.2cy=96.9tn. Location#R22 4-53-0.3 GPS:40.01502,-104.559324 The damage at this location included the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 1056'L x 2'W x 1.5'D x 1/27=117.3 cy.Using the conversion factor of 1.82 tns/cu yd x 117.3.2cy yields a volume of 213.5 tn.The gravel surface was eroded for approximately 1056'L x 24'W x 0.25'D x 1/27=234.7cy.Using the conversion factor of 1.82 tns/cu yd x 234.7cy=427.1 tn. Location#R23 53-4-0.3 GPS:40.00670,-104.54642 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment damage was confined to the sideslope of the cross section.The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas. The embankment loss measured approximately 50'L x 1.5'W x 1'D x 1/27=2.8 cy.Using the conversion factor of 1.82 tns/w yd x 2.8cy yields a volume of 5.1 tn.The gravel surface was eroded for approximately 50'L x 27'W x 0.25'0 x 1/27=12.5cy.Using the conversion factor of 1.82 tns/cu yd x 12.5cy=22.8tn. Location#R24 47-SH 52-0.3 GPS:40.07288,-104.62160 to 40.05912,-104.62156 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 4918'L x 1.5'W x 1'D x 1/27=273.2cy.Using the conversion factor of 1.82 tns/cu yd x 273.2cy=497.3tn. The gravel surface was eroded for approximately 4918'L x 1'W x 0.25'D x 1/27=45.5cy.Using the conversion factor of 1.82 tns/cu yd x 45.5cy=82.9tn. Location#R 25 47-8-0.5 GPS:40.05176,-104.62160 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 150'L x 3.5W x 2'D x 1/27=38.9cy.Using the conversion factor of 1.82 tns/cu yd x 38.9=70.8tn.The gravel surface was eroded for approximately 150'L x 2'W x 0.25'D x 1/27=2.8cy.Using the conversion factor of 1.82 tns/cu yd x 2.8cy=5.1in. Location#R26/R13 6-61-0.1 GPS:40.02957,-104.49187 to 40.02955,-104.48974 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 520'L x2'W x 2.5'D x 1/27=96.3cy. Using the conversion factor of 1.82 tns/cu yd x 96.3=175.3 tn.The gravel surface was eroded for approximately 520'L x 1'W x 0.25'D x 1/27=4.8cy.Using the conversion factor of 1.82 tns/cu yd x 4.8cy=8.8tn.This location is reported under identifiers#13 and#26.This occurred because the location was visited on two occasions.Data were not readily available on the initial visit.In order to maintain the project specialist's numbering convention the location has dual numbering.The estimated quantities and costs are shown only once. Location#R27 20-53-0.5 GPS:40.13131,-10456048 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 400'L x5'W x 2'D x 1/27=148.1cy.Using the conversion factor of 1.82 tns/cu yd x 148.1=269.6tn.The gravel surface was eroded for approximately 400'L x 2'W x 0.25'D x 1/27=7.4cy.Using the conversion factor of 1.82 tns/cu yd x 7.4cy=13.5tn. Location#R28 20-51-0.5 GPS 40.13124,-104.57369 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 1056'L x4'W x3'D x 1/27=469.3cy.Using the conversion factor of 1.82 tns/cu yd x 469.3=854.2tn.The gravel surface was eroded for approximately 1056'L x 6'W x 0.25'D x 1/27=58.7cy.Using the conversion factor of 1.82 tns/cu yd x 58.7cy=106.8tn. Location#R29 COL-HAR GPS:40.10462,-104.76903 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 165'L x 10'W x 2'D x 1/27=122.2cy.Using the conversion factor of 1.82 tns/cu yd x 122.2=222.4tn.The gravel surface was eroded for approximately 165'L x 10'W x 0.25'D x 1/27=15.3cy.Using the conversion factor of 1.82 tns/cu yd x 15.3cy=27.8tn. Location#R30 20-31-0.3 https://connect I.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 36 of 43 GPS:40.13090,-104.76696 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 4447'L x 2'W x 2.5'D x 1/27=823.5cy.Using the conversion factor of 1.82 tns/cu yd x 823.5=1498.8tn.The gravel surface was eroded for approximately 4447'L x 2'W x 0.25'D x 1/27=82.4cy. Using the conversion factor of 1.82 tns/cu yd x 82.4cy=149.9tn. Location#R31 22.5-U585-0.5 DELETE GPS:40.15225,-104.82329 The damage at this location included the washout of the entire road embankment including a culvert.Embankment losses were approximately 120'L x 18'W x 2'D x 1/27=160cy. Using the conversion factor of 1.82 ins/cu yd x 160=291.2tn.The gravel surface was washed away for approximately 120'L x 18'W x 0.25'D x 1/27=20.0cy.Using the conversion factor of 1.82 tns/cu yd x 20cy=36.4tn. Location#R32 22-19-23 GPS:40.14531,-104.85108 to 40.14536,-104.86544 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 4032'L x 2'W x 1.5'D x 1/27=448.0cy.Using the conversion factor of 1.82 tns/cu yd x 448.0=815.4tn.The gravel surface was eroded for approximately 4032'L x 2'W x 0.25'D x 1/27=74.7cy.Using the conversion factor of 1.82 tns/cu yd x 74.7cy=135.91n. Location#R33 21-8-1.1 GPS:40.06184,-104.86739 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 500'L x 7'W x 2'D x 1/27=259.3cy.Using the conversion factor of 1.82 tns/cu yd x 259.3=471.9tn.The gravel surface was eroded for approximately 500'L x 4'W x 0.25'D x 1/27=18.5cy.Using the conversion factor of 1.82 tns/cu yd x 18.5 =33.7tn Location#R34 15-2-0.9 GPS:40.00023,-104.90798 The damage at this site was limited to sedimentation of the roadway ditch for a length of approximately 500 LF. Location#R 35 14.5-21-0.2 GPS:40.09471,-104.86568 to 40.09475,-104.86378 The embankment appeared undamaged.This is a ditch cleanout operation at the site of a 40'L x 18"CMP.The inspection team observed that the ditches had been cleaned out on both sides of the road for a distance of approximately 530 LF x 2=1060LF. Location#R 36 5-10-0.8 GPS:40.03727,-104.01784 This location is an asphalt paved road.The asphalt surface was undamaged and there was no apparent damage to the road embankment.The ditch required cleanout for approximately 1584 LF and replacement of 4-18"arch CMPs that were serving as driveway culverts. Location#R37 21-6-0.5 GPS:40.03727,-104.86710 This is the location of a bridge on an asphalt paved road.This site is included in PW WELCO28. Location#R38 5-42-0 GPS:40.29135,-104.01752 This is the location of a bridge on an asphalt paved road.This location is included in PW WELCO22. Location#R 39 50-13-0 detour route GPS:40.34893,-104.94349 This location is being reported in PW WELCO37 as a Category B project. Location#R40 396-tr-cl GPS:40.33403,-104.79954 to 40.34173,-104.78400 The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 5500'L x 2'W x 2.5'D x 1/27=1018.5cy.Using the conversion factor of 1.82 tns/cu yd x 1018.5=1853.7tn.The gravel surface was eroded for approximately 5500'L x 24'W x 0.25'D x 1/27=1222.2cy.Using the conversion factor of 1.82 tns/cu yd x 1222.2cy =2224.4tn. Location#R41 44-17-0 detour route GPS:40.30540,-104.88685 to 40.30571,-104.90558 This location is being reported in PW WELCO37 as a Category B project. Location#R42 38-9-0.0 detour route GPS:40.26266,-104.97774 to 40.26284,-104.94169 This location is being reported in PW WELCO37 as a Category B project. SCOPE OF WORK: PA-08-CO-4145-PW-00588(0): This isa continuation of the previous section of Locations 1-20 https://connect I.dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 37 of 43 COMPLETED WORK Location#R21 6-55-1.75 GPS:40.02948,-104.51260 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location induded the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 250'L x 2.5.'W x 2'D x 1/27=46.3 cy.Using the conversion factor of 1.82 tns/cu yd x 46.3cy yields a volume of 84.3 tn.The gravel surface was eroded for approximately 250'L x 23'W x 0.25'D x 1/27=53.2cy.Using the conversion factor of 1.82 tns/cu yd x 53.2cy=96.9tn. Embankment $33.70 x 84.3 =$2,840.91 Gravel Surfacing$33.70 x 96.9 =$3,265.53 Total $6,106.44 • Location#R22 4-53-0.3 GPS:40.01502,-104.559324 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location induded the erosion of the gravel road embankment and the surface gravel.The embankment loss measured approximately 1056'L x 2'W x 1.5'D x 1/27=117.3 cy.Using the conversion factor of 1.82 tns/cu yd x 117.3.2cy yields a volume of 213.5 tn.The gravel surface was eroded for approximately 1056'L x 24'W x 0.25'D x 1/27=234.7cy.Using the conversion factor of 1.82 tns/cu yd x 234.7cy=427.1tn. Embankment $33.70 x 213.5 =$7,194.95 Gravel Surfacing$33.70 x427.1 =$14,393.27 Total $21,588.22 Location#R23 53-4-0.3 GPS:40.00670,-104.54642 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment damage was confined to the sideslope of the cross section. The stated dimensions include the use of 0.5 as a multiplier to compute triangular areas.The embankment loss measured approximately 50'L x 1.5'W x 1'D x 1/27=2.8 cy. Using the conversion factor of 1.82 tns/cu yd x 2.8cy yields a volume of 5.1 tn.The gravel surface was eroded for approximately 50'L x 27'W x 0.25'D x 1/27=12.5cy.Using the conversion factor of 1.82 tns/cu yd x 12.5cy=22.8tn. Embankment $33.70 x 5.1 =$171.87 Gravel Surfacing$33.70 x 22.8=$768.36 Total $940.23 Location#R24 47-SH 52-0.3 GPS:40.07288,-104.62160 to 40.05912,-104.62156 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location induded the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 4918'L x 1.5'W x 1'D x 1/27= 273.2cy.Using the conversion factor of 1.82 tns/cu yd x 273.2cy=497.3tn. The gravel surface was eroded for approximately 4918'L x 1'W x 0.25'D x 1/27=45.5cy. Using the conversion factor of 1.82 tns/cu yd x 45.5cy=82.9tn. Embankment $33.70 x 497.3 =$16,759.01 Gravel Surfacing$33.70 x 82.9 =$2,793.73 • Total $19,552.74 Location#R 25 47-8-0.5 GPS:40.05176,-104.62160 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 150'L x 3.5'W x 2'D x 1/27= 38.9cy.Using the conversion factor of 1.82 tns/cu yd x 38.9=70.8tn.The gravel surface was eroded for approximately 150'L x 2'W x 0.25D x 1/27=2.8cy.Using the conversion factor of 1.82 tns/cu yd x 2.8cy=5.1tn. Embankment $33.70 x 70.8 =$2,385.96 Gravel Surfacing$33.70 x 5.1 = $170.87 Total $2,557.83 Location#R26/R13 6-61-0.1 GPS:40.02957,-104.49187 to 40.02955,-104.48974 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 520'L x2'W x 2.5'D x 1/27= 96.3cy. Using the conversion factor of 1.82 tns/cu yd x 96.3=175.3 tn.The gravel surface was eroded for approximately 520'L x 1'W x 0.25'D x 1/27=4.8cy.Using the conversion factor of 1.82 tns/cu yd x 4.8cy=8.8tn.This location is reported under identifiers#13 and #26.This occurred because the location was visited on two occasions.Data were not readily available on the initial visit.In order to maintain the project specialist's numbering convention the location has dual numbering.The estimated quantities and costs are shown only once. Embankment $33.70 x 175.3 =$5,907.61 https://connect I.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 38 of 43 Gravel Surfacing$33.70 x 8.8 =$296.56 Total $6,204.17 Location#R27 20-53-0.5 GPS:40.13131,-10456048 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 400'L x5'W x 2'D x 1/27 =148.1cy.Using the conversion factor of 1.82 tns/cu yd x 148.1=269.6tn.The gravel surface was eroded for approximately 400'L x 2'W x 0.25'D x 1/27=7.4cy.Using the conversion factor of 1.82 tns/cu yd x 7.4cy=13.5tn. Embankment $33.70 x 269.6 =$9,085.52 Gravel Surfacing$33.70 x 13.5 4454.95 Total $9,540.47 Location#R28 20-51-0.5 GPS 40.13124,-104.57369 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 1056'L x4'W x3'D x 1/27 =469.3cy.Using the conversion factor of 1.82 tns/cu yd x 469.3=854.2tn.The gravel surface was eroded for approximately 1056'L x 6'W x 0.25'D x 1/27=58.7cy.Using the conversion factor of 1.82 tns/cu yd x 58.7cy=106.8tn. Embankment $33.70 x 854.2 =$28,786.54 Gravel Surfacing$33.70 x 106.8 =$3,599.16 Total $32,385.70 Location#R29 COL-HAR GPS:40.10462,-104.76903 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 165'L x 10'W x 2'D x 1/27 =122.2cy.Using the conversion factor of 1.82 tns/cu yd x 122.2=222.4tn.The gravel surface was eroded for approximately 165'L x 10'W x 0.25'D x 1/27=15.3cy.Using the conversion factor of 1.82 tns/cu yd x 15.3cy=27.8tn. Embankment $33.70 x 222.4 =$7,494.88 Gravel Surfacing$33.70 x 27.8 =$936.86 Total $8,431.74 Location#R30 20-31-0.3 GPS:40.13090,-104.76696 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 4447'L x 2'W x 2.5'D x 1/27 =823.5cy.Using the conversion factor of 1.82 tns/cu yd x 823.5=1498.8tn.The gravel surface was eroded for approximately 4447'L x 2'W x 0.25'D x 1/27=82.4cy.Using the conversion factor of 1.82 tns/cu yd x 82.4cy=149.9tn. Embankment $33.70 x 1498.8 =$50,509.56 Gravel Surfacing$33.70 x 149.9 =$5.061.63 Total $55,561.19 Location#R31 22.5-US85-0.5 DELETE GPS:40.15225,-104.82329 An oil company repaired this location because they were eager to gain access to their equipment.The county will not be billed for the repair.Weld county has requested this location be removed from their claim.See attached E mail. Location#R32 22-19-23 GPS:40.14531,-104.85108 to 40.14536,-104.86544 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the • erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 4032'L x 2'W x 1.5'D x 1/27 =448.0cy.Using the conversion factor of 1.82 tns/cu yd x 448.0=815.4tn.The gravel surface was eroded for approximately 4032'L x 2'W x 0.25'D x 1/27=74.7cy.Using the conversion factor of 1.82 tns/cu yd x 74.7cy=135.9tn. Embankment $33.70 x 815.4 =$27,478.98 Gravel Surfacing$33.70 x 135.9 =54.579.83 Total $32,058.81 Location#R33 21-8-1.1 GPS:40.06184,-104.86739 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 500'L x 7'W x 2'D x 1/27 =259.3cy.Using the conversion factor of 1.82 tns/cu yd x 259.3=471.9tn.The gravel surface was eroded for approximately 500'L x 4'W x 0.25'D x 1/27=18.5cy.Using the conversion factor of 1.82 tns/cu yd x 18.5 =33.7tn https://connectl.dhs.gov/emmie/,Danal 1. h =p t d s.gov/emmie/,Danalnfo isource.fema.net,SSL+dispatchDestinatioado.... 3/5/2014 Federal Emergency Management Agency E-Grants Page 39 of 43 Embankment $33.70 x 471.9 =$15,903.03 Gravel Surfacing$33.70 x 33.7 41,135.69 Total $17,038.72 Location#R34 15-2-0.9 GPS:40.06184,-104.86739 The county forces and equipment were used to deanout the ditch and restore the flowline.The extent of the deanout was about 500LF. The project specialist used the FEMA unit price,$3.40/LF cost code(3070),to estimate the cost for ditch deaning/shaping operation. Cleanout/ditch shaping$3.40 x 500Lf=$1,700 Location#R 35 14.5-21-0.2 GPS:40.09471,-104.86568 to 40.09475,-104.86378 This was a ditch deanout operation at the site of a 401 x 18"CMP.County forces were used to deanout and reestablish the flow line for the ditches on each side of the road.The combined length of the cleaning operation was 2x 530LF=1060 LF.The project specialist used the FEMA unit price,$3.40/LF cost code(3070),to estimate the cost for ditch deaning/shaping operation. Cleanout/shaping $3.4011f x 10601f=$3,604 Location#R 36 5-10-0.8 GPS:40.03727,-104.01784 This location is an asphalt paved road.The inspection team could not identify any obvious repairs to the asphalt surface such as recent asphalt patches.The county replaced 4—18"arch CMPs driveway culverts totaling 140 LF.The project specialist used the county unit price of$14.95/Lf to estimate the cost.County forces and equipment were used to deanout and reshape the ditch for a length of 1584LF.The project specialist used the FEMA unit price,$3.40/LF cost code(3070),to estimate the cost for ditch cleaning/shaping operation. 18"-arch CMP @$14.95 x 140 LF =$2,093 Cleanout/shaping $3.40/If x 1584LF=$5,385.60 TOTAL= $7,478.60 Location#R37 21-6-0.5 GPS:40.03727,-104.86710 This is the location of a bridge on an asphalt paved road.This site is included in PW WELCO28. Location#R38 5-42-0 GPS:40.29135,-104.01752 This is the location of a bridge on an asphalt paved road.This location is included in PW WELCO22. Location#R39 50-13-0 GPS:40.34893,-104.94349 This location was a detour route and is included as part of WELCO37. Location#R40 396-tr-d GPS:40.33403,-104.79954 to 40.34173,-104.78400 The county used their forces,materials and equipment to repair the damage at this location.The damage at this location included the erosion of the gravel road embankment and the surface gravel.Embankment losses were approximately 5500'L x 2'W x 2.5'D x 1/27 =1018.5cy. Using the conversion factor of 1.82 tns/cu yd x 1018.5=1853.7tn.The gravel surface was eroded for approximately 5500'L x 24W x 0.25'O x 1/27=1222.2cy.Using the conversion factor of 1.82 tns/cu yd x 1222.2cy=2224.4tn. Embankment $33.70 x 1,853.7 =$62,469.69 Gravel Surfacing$33.70 x 2,224.4 =$74,962.28 Total $137,431.97 Location#R 41 44-17-0 DETOUR ROUTE GPS:40.30540,-104.88685 to 40.30571,-104.90558 This location is being reported in PW WELCO37 as a category B project. Location#R42 38-9-0.0 DETOUR ROUTE GPS:40.26266,-104.97774 to 40.26284,-104.94169 This location is being reported in PW WELCO37 as a category B project. END OF SCOPE OF WORK Weld County Project Notes these notes apply to all 42 Locations. 1. Following the September 2013 flooding,applicant used contract services and/or 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 completed. 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 from saturated soil conditions following the flood or where high water levels or erosion/deposition prevented a https://connect l.dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 40 of 43 complete damage assessment. 2. This PW addresses all validated flood related damages at the specified site(s),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(s),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 will request FEMA prepare a version of this PW to address the eligible cost of repair. 3.As described in 44 CFR Section 13.42,applicant must maintain all work-related records for a period of three(3)years from applicant closure(final payment). All records relative to this project worksheet are subject to examination and audit by the State,FEMA,and the Comptroller General of the United States and must reflect work related to disaster specific costs. 4.The applicant must obtain all required federal,state,and local permits prior to the commencement of work. 5.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. 6.Project inspection team included the 406 Hazard Mitigation staff members. Repairs had been completed at the time of the inspections and no opportunities were identified. 7.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. 8.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/will follow their normal procurement procedures. 9.All calculated quantities have been rounded to the nearest tenth of the applicable unit,i.e.,tons,cubic yards.Minor discrepancies in quantities or costs are the result of rounding. 10.The Weld County employee pay policy and the Weld County procurement policy are on file in EMMIE. 11.The county measures its quantities in terms of tons.Field measured quantities were computed in cubic yards.The Weld County Engineering and Construction Criteria document specifies materials densities of 1461bs/cu ft for Hot Mix Asphalt and 1351b/cu ft for embankment.The project specialist used these densities to compute conversion factors to apply to the cubic yard computations.For the Hot Mix Asphalt the factor is 1461b/cu ft x 27 cu ft/cu yd x 1/2000 lb/ton=1.97 tn/cy.For the embankment fill material the calculation is 1351b/ct x 27 cu ft/cu yd x 1/2000 Ib/tn=1.82 to/cu yd.The field measured quantities were multiplied by their respective conversion factors to yield quantities in tons.A Colorado DOT(CDOT) unit cost of$33.70/tn was used for estimating the in-place repair costs.This is twice the CDOT Item Number 304-06000 Aggregate Base Course Class 6.This cost was used because of expected economies of scale as compared to the CDOT figures. 12.The applicant expects to claim Direct Administrative Costs for this PW.The DAC charges were not available at the time of PW preparation.The project specialist added an estimate as a temporary measure to preserve the opportunity to claim DAC when the final figures become available. 13 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 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. Does the Scope of Work change the pre-disaster conditions at the site? Yes No Special Considerations included? r Yes J'..No Hazard Mitigation proposal included? !Yes "/'No Is there insurance coverage on this facility? Yes J No PROJECT COST ITEM CODE NARRATIVE QUANTITY/UNIT UNIT COST PRICE ***Version 0*** Work Completed 1 9999 class 6 gravel fill 14444.6/TON $33.70 $486,783.02 2 9999 18" CMP arch 140/LF $ 14.95 $2,093.00 3 3070 Ditch Cleaning &Shaping 3144/LF $ 3.40 $ 10,689.60 https://connect l.dhs.gov/emmie/,Danalnfo=isource.fema.net,S S L+d ispatchDestination,do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 41 of 43 4 0000 Insurance Adjustments-5900/5901 0/LS $ 0.00 $0.00 ***Version 0*** 5 9999 Direct Administrative Costs-estimated 1/LS 1,000.00 $ 1,000.00 TOTAL $500,565.62 COST PREPARED BY STEPHEN A MORENO TITLE Project Specialist SIGNATURE APPLICANT REP.Roy Rudisill TITLE Director-OEM SIGNATURE WELD(COUNTY) : PA-08-CO-4145-PW-00688 Conditions Information Review Name Condition Type Condition Name Description Monitored Status This review does not address all federal, state and local requirements. Acceptance of federal funding requires recipient to Final Review Other(EHP) Standard 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 Final Review Other(EHP) Condition#1 re-evaluation for compliance No Approved with NEPA and other Laws and Executive Orders. National Historic Final Review Other(EHP) Preservation Act No Approved (NHPA) Applicant is responsible for Executive Order coordinating with the local floodplain manager.All Final Review Other(EHP) 11988- required permits should be No Approved Floodplains maintained as part of the permanent record. Debris must be State Hazardous appropriately separated and Final Review Other(EHP) Materials and No Approved Solid Waste Laws disposed of in an approved disposal site or landfill. Final Review Other(EHP) Standard If ground disturbing No Approved Condition#3 activities occur during construction, applicant will monitor ground disturbance and if any potential archeological resources are discovered,will immediately cease construction in that https://connect 1.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 42 of 43 WELD(COUNTY) : PA-08-CO-4145-PW-00588 Conditions Information area and notify the State and FEMA. This review does not address all federal, state and local requirements. Acceptance of federal funding requires recipient to EHP Review Other EHP Standard comply with all federal, state ( ) Condition#2 and local laws. Failure to No Recommended 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 EHP Review Other(EHP) Condition#1 re-evaluation for compliance No Recommended with NEPA and other Laws and Executive Orders. National Historic EHP Review Other(EHP) Preservation Act No Recommended (NHPA) Applicant is responsible for Executive Order coordinating with the local EHP Review Other(EHP) 11988- floodplain manager. All required permits should be No Recommended Floodplains maintained as part of the permanent record. State Hazardous Debris must be EHP Review Other(EHP) Materials and appropriately separated and No Recommended Solid Waste Laws disposed of in an approved disposal site or landfill. If ground disturbing activities occur during construction, applicant will monitor ground disturbance EHP Review Other EHP Standard 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. Internal Comments No. Queue User Date/Time Reviewer Comments Award 03-03-2014 5 Review SYSTEM 11:45 PM ACCEPTED GMT 4 Final PALACIO 02-28-2014 Note:Applicant, CO State representative and FEMA personnel Review JOSE 05:29 PM jointly conducted all inspections and agreed to use CDOT costs GMT for in-place costs to derive estimates on this project https://connect l.dhs.gov/emmie/,DanaInfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Federal Emergency Management Agency E-Grants Page 43 of 43 Internal Comments No. Queue User Date/Time Reviewer Comments worksheet.Final Reviewer finds eligible the application and approves the funding of this CAT-C 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 02/28/2014 Category: C, 95% Complete, Weld County, Weld County. Applicant used force labor and equipment to repair roads using gravel at sites 1, 2, 4, 8, 10, 16, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 32, 33,40.Applicant repaired embankment at sites 1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30 32, 33,40. Applicant clean out and shaped ditch at sites 34, 35, 36. Applicant replaced and repair culvert at site 36. Applicant must get an approved landfill permit or must be disposed of in an approved disposal site. Mitigation-None- bsherma1 - 02/24/2014 15:13:07 GMT Project site work is not in a mapped wetland.- bsherma1 - 02/24/2014 15:01:06 GMT Entire community will benefit from the project. - bsherma1 - 02-25-2014 02/24/2014 15:01:42 GMT 3 EHP PATTERSON 09:59 PM Threatened and Endangered Species occur in this county but Review MOLLY GMT the type of activity proposed on this Project Worksheet has been determined to have"no effect" on any T&E species. This Project occurs 500 ft or more away from a wetland, river, stream, lake, canal or drainage. (or This Project falls within a block clearance zone for the Preble's Meadow Jumping Mouse)- bshermal -02/24/2014 15:09:30 GMT Work involves removal, staging, transporting, and/or disposal of debris. (Includes culverts) - bshermal - 02/24/2014 15:13:39 GMT Project is located on a non-printed panel number 0802661050C. Project is located on a non-printed panel number 0802661075C. - bshermal -02/24/2014 14:54:49 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Item III; Section B, C, E agreed to by FEMA and the SHPO.- bshermal - 02/24/2014 15:04:08 GMT Mitigation DROST 02-21-2014 This repair/restoration project has been reviewed for mitigation 2 09:26 PM opportunities but there is no opportunity because work has Review BRIAN GMT been completed- Brian W. Drost, 406 Specialist 02-21-2014 Applicant is insinured through the CCCPP risk pool. That 1 Insurance GILLIAM 02:29 PM policy specifically excludes roadways from coverage. Review ROBERT GMT Insurance proceeds are not anticipated, and there is no insurance O&M for roads. https://connect I.dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 3/5/2014 Hello