The URL can be used to link to this page

Browse Search

Home My WebLink About20140151.tiff FENA Form 90-91,DEC 09 U.S.DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY • PROJECT WORKSHEET PAPERWORK BURDEN DISCLOSURE NOTICE Pudic reporting burden for this form is estimated to average 90 minutes per response. Burden means the time,effort and financial resources expended by persons to generate, maintain,disclose,or to provide information to us.You may send comments regarding the burden estimate or any aspect of the collection,including suggestions for reducing the burden to:Information Collections Management,U.S. Department of Homeland Security, Federal Emergency Management Agency.500 C Street,SW.Washington,DC 20472, Paperwork Reduction Protect(OMB Control Number 1660-0017).You are not required to respond to this colection of information unless a valid OMB number appears in the upper • right corner of this form.NOTE:Do not send your completed questionnaire to this address. DECLARATION NO. PW REF NO. DATE FIPS NO. CATEGORY EMMIE NO. FEMA 4145 DR CO WELCO06 11121/13 123-99123-00 C • APPLICANT WORK COMPLETED AS OF: DATE: PERCENT: Weld County 11114113 - 95% DAMAGED FACILITY- COUNTY Road-CR 20.5 between CR 5 and CR 7 Weld LOCATION LATITUDE LONGITUDE CR 20.5 East of Boulder Creek 40.13887 -105.00048 Was this site previously damaged? r Yes r:' No r' Unsure DAMAGE DESCRIPTION AND DIMENSIONS: See Attached • • SCOPE OF WORK: Fund at 75% See Attached PROJECT COST ITEM CODE NARRATIVE QUANTITY UNIT UNIT PRICE COST 1 0000 WORK COMPLETED $ - 2 9003 Contracts 1.00 LS $87,429.48 $ 87,429.48 _ 3 9007 Force Account Labor 1.00 $LS $6,707.18 $ 6,707.79 4 9008 Force Account Equipment 1.00 LS $5,546.50 $ 5,546.50 5 9008 Force Account Materials 1.00 LS $11,277.24 $ 11,277.24 6 0000 WORK TO BE COMPLETED $ 7 9901 Direct Administrative Costs(Estimated) 1.00 LS $1,000.00 $ 1,000.00 SUBTOTAL FROM COST ONTINUATION PAGE(S) $ • - TOTAL PROJECT COST $ 111,960.41 PREPARED BY: Kathleen Ruvarac TITLE: 7AC Bridge Specialist FEMA PAC CREW LEADER: Mark Spahr STATE PAC CREW LEADER: Kevin Kuretich j2 ,/ APPLICANT: Roy Rudisill ip- DATE: /+//—Fcft PHONE: 970-30+65.40 National RV Template V2.6 June 2012 Excel mounts 1A REPLACES ALL PREVIOUS VEaSl0NS /-/5----240/1/ CGL t/J` nG nCkV . eW A— List.., 2014-0151 FEMA Form 90.120 FEDERAL EMERGENCY MANAGEMENT AGENCY SPECIAL CONSIDERATIONS DISASTER APPLICANT NAME PW REF NO. FIRS NO. DATE 4145 I CO Weld County WELCO06 123-99123.00 11/21/13 1. Does the damaged facility or item of work have insurance and/or is it an insurable risk? (e.g.,buildings,equipment,vehicles,etc.) r Yes r No r Unsure 2. Is the damaged facility located within a floodplain or coastal high hazard area,or does it have an impact on a floodplain or wetland? r Yes a No r" Unsure Flood Map 08013C0300J 3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource System Unit or an Otherwise Protected Area? r Yes r: No r Unsure 4. Will the proposed facility repairs/reconstruction change the pre-disaster condition? (e.g.,footprint,marenat location,cape*,use or function) r•Yes ? No r Unsure • 5. Does the applicant have a hazard mitigation proposal or would the applicant like technical assistance for a hazard proposal? G'Yes r No r Unsure 6. Is the damaged facility on the National Register of Historic Places or the state historic listing? Is it older than 50 years? Are there more,similar buildings near the site? r Yes r No r• Unsure Facility Constructed In: • 7. Are there any pristine or undisturbed areas on,or near,the project site? Are there large tracts of forestland? r Yes r No C Unsure 8. Are there any hazardous materials at or adjacent to the damaged facility and/or item of work? r Yes r: No r'•Unsure • 9. Are there any other environmentally or controversial issues associated with the damaged facility and/or item of work? C•' Yes r No r Unsure EHP Review will be conducted 10 r Yes r- No r: Unsure PREPARED BY: (Kathleen Ruvarac National PIN Templal0 v2.6 June 2012 Excel 2007/2010 FEDERAL EMERGENCY MANAGEMENT AGENCY HAZARD MITIGATION PROPOSAL(HMP) DISASTER _ APPLICANT PW REF NO. FPS NO. CATEGORY 4145 1 CO Weld County �-- WELCO06 123-99123-00 - C SCOPE OF WORK: See attached ESTIMATE OF WORK ITEM CODE DESCRIPTION QUANTITY UNIT UNIT PRICE COST 1 0000 WORK TO BE COMPLETED 2 9999 Turf Reinforcement Mat 762.00 SY $10.00 $7,620.00 Total In-Kind Repair/Replacement Cost of Damaged Element(s) $110,960.41 Total HMP Cost %of Total Eligible Cost 6.87% Eligibility 15%Rule (Do Not Include in the PW) $7,620.00 TECHNICAL SPECIALIST FOR MITIGATION(SIGNATURE) Agency Date RECOMMENDED BY(SIGNATURE) TITLE Agency IDate CONCURRENCE BY STATE INSPECTOR Agency Date CONCURRENCE BY APPLICANT Agency Date NOTE:Signature by the Federal inspector is not an approval of this work,and signature by the state and Local Representative is not a commitment to perform the work. elates.:PW Template V26 Juno 2012 Eacu1200212010 FEDERAL EMERGENCY MANAGEMENT AGENCY HAZARD MITIGATION PROPOSAL (HMP) SUMMARY DISASTER APPLICANT PW REF NO. FIPS NO. CATEGORY 4145 CO Weld County WELCO06 123-99123-00 C Mitigation activity will be performed on sites in this project ❑ If there is no mitigation activity explain why not. ❑ Codes and Standards ❑ Good Construction Practices [r] Mitigation Policy O 15 percent • 100 percent list • Benefit/Cost Ratio(Attach B/C analysis) ❑ Other: Enter cost of mitigation project as percent of in-kind repair or as dollar amount: Dollar Amount: $7,620.00 Percent:• 6.87% ❑ Check here if you wish to attach a Hazard-Mitigation Proposal Prepared By: 'Kathleen Ruvarac 111/2112013 National PW Template VZ.0 June 2012 Excel 200712010 FEDERAL EMERGENCY MANAGEMENT AGENCY 9901-DIRECT ADMINISTRATIVE COSTS (SUBGRANTEE) DISASTER APPLICANT PW REF NO. CATEGORY 4145 I CO Weld County WELCO06 C COUNTY DATE FIRS NO. WORK STATUS Weld 11/21/13 123-99123-00 Work To Be Completed The sub-grantee is claiming actual or estimated Direct Administrative Costs associated with this Project Worksheet in accordance with PA Policy 9525.9. Ali costs must be documented at the time of grant closeout. LABOR SUMMARY NAME TITLE HOURS RATE COST FRINGE PW Development through Closeout Various 40 $ 25.00 $ 1,000.00 $ _ $ $ S $ 1 $ $ $LABOR SUBTOTAL $ 1,000.00 EQUIPMENT SUMMARY COST CODE DESCRIPTION HOURS OR RATE COST MALES $ $ $ $ $ $ $ EQUIPMENT SUBTOTAL $ MATERIAL SUMMARY OFFICE SUPPLIES DESCRIPTION QUANTITY UNIT PRICE COST $ $ OTHER MATERIAL DESCRIPTION QUANTITY UNIT PRICE COST $ $ $ $ MATERIAL SUBTOTAL $DIRECT ADMINISTRATIVE COSTS TOTAL $ 1,000.00 I certify that the above information was obtained from our records, invoices, or other documents that are on file at our offices and available for audit. Certified by: Title: Date: �v Roy Rudisill 91,4e,. Director-OEM National FW Templeta V2.6 June 2012 Excel 200712010 FEDERAL EMERGENCY MANAGEMENT AGENCY COST SUMMARY RECORD APPLICANT PW REF NO. , CATEGORY FIPS NO. DISASTER Weld County_ WELCO06 C 123-99123-00 4145 CO CLAIM COST COMMENTS(FEMA USE ONLY) ELIGIBLE COSTS FORCE ACCOUNT LABOR 6,707.19 $ 6,707.19 REGULAR TIME FORCE ACCOUNT LABOR OVERTIME • FORCE ACCOUNT 5,546.50 $ 5,546.50 EQUIPMENT MATERIALS $ 11,277.24 $ 11,277.24 • RENTAL EQUIPMENT $ - $ - CONTRACTS $ 87,429.48 $ 87,429.48 DIRECT ADMINISTRATIVE 1,000.00 $ 1,000.00 COSTS TOTAL $ 111,960.41 $ 111,960.41 I certify that the above information was transcribed from timesheets,payroll records,equipment log, invoices,stock records or other documents which are available for audit. Certified by: Title: Date: Roy Rudisill !�v� Director-OEM T Applicant's records have been reviewed and found correct with the exceptions as noted. FEDERAL e2FROEVEI WWIE ENTAOENCY EMPLOYEE PAYROLL DATA APPLICANT PW REF NO. CATEGORY FIPS NO. DISASTER 0 WeldCounly WELCO06 C 123.9912300 FEMA I 4146 OR I CO EMPLOYEE HARE TITLE STATUS' HOURLY PATE BENEFITS FRINGE OR REG VAC SICK HOL RET SS MEOC UNEMP HEALTH LIFE _ WC OTHER BENEFITS LASTMAME,FIRSTNAME JOG DESCRIPTION SEE BFLOW $ "' '—'D YS NEAR N % % 5 $IMONTH V. I A REO DY Ezampto:Doe.John E.omptt:Policemen FT 370.00 10 5 r 12 620% T.45% $30000 $5.00 21.01% 7,45% Arawder 1 FT 532.60 ` ^ Arenan_7 FT $36.93 _ _ sa1_I FT 532.90 Bo«nat FT $25.22 _ .. Bodo° . FT 562.51 J _ . Waooc FT 530.31 . _ _ _ Adman 2 FT 638.46 Dunker FT 540.00 _ _ Yea FT 231.59 Oman* FT 531.59 ^ Johnson FT 531.59 Garda FF 531.59 T _ (Mee FT 531.59 Perez FT 522.55 - _ Meander 2 FT 143.73 _t Kktnben FT 559.91 0a0_2 FT 34373 Stock FT 529.67 Habrook . FT 549.97 . Marquez FT $61.56 .• • Masan FT $20.71 1 • Noncan, FT $2'.55I . 1 • — _ • I • • Certified By: I CERTIFY THAT THE INFORMATION BELOW WAS TRANSCRIBED FROM PAYROLL Date: RECORDS OR OTHER DOCUMENTS WHICH ARE AVAILABLE FOR AUDIT. Page lot'1 2 •2 / 7 . | ' o.2 § § ® a . S § a : - ® - - - ii . / - - - - . ® . . , . . _ ._/ # } . ; ■ • ' . ' ' tl e G § e \ o a Ce k Ire 0 \ / k k ® - - - - • - CO - - - - - - - - - - - ® - - a § a 3. • / _ - CO 0 s ELco _ _ _it ti al 24 9 . 2 _ei , . r ` . - ® � - - - - 69 - L - ' 0' - 49 - - , @ 8 k 8 8 8 8 ] 9 § L I ' IL - . - I - ) ) § § k § i- § ) § - _ . _ • ill n. \ a - - . &� CI . !@ & o . Z O ° . . si / it i . . , - - LL / 3 it \ ° $ \ g it k a . < _ . ` - § I— t s \ . . — ( k0 = � 0 ■ « k § § / X w _ . . . . . § Ce & § . u.. § § § r . / . . 8 — - - f § E § § j . . | m E �,0mi § E § E § § § E § E E E § E E § § G E § § § § E c SCU _ E L = 8 ; f • CI § 0 L k- \ / E I A \� k \ t B e :1- .O 2§ ! ( k _ 8 ! z E. 1 2 F z 4 , 3 — /k G )` 7.} ] j - , } . ] / j g , , . . . . . ( -'• . . . . . • g , § , . �� - , \ % . . . . , , , _ _ . _ . , - V, . . . . . j \ . . . . . . . . . . . . . ® ) ) I- \ R i it \ / R , , ; ® / \ 1,:, \ \ e } 3 - . , , , , 0 . , . . , . , , , . _ � . . 40 - $ § 2, 3 11,1 0 \ /j§ 0 , ^ }= 2 . : . § . , \ § . . . 7 . . . . . . , . . , | I in an an cn, , / " ® , ——\as an . - - ® \ - " ` \ ° ° % } \ \ < I ` . � u. ,. -- ,_ . , - j ) ) « -)• ~ - , • i . : ° ` ) ) \ � \Cn / : 2 0 . . 0 ® o 9 . 4 /( c . b o § . ) e ' I , ( ` 0 ( § § u ; ---- , . * * m I— — -- - - ! } ,- ) § z d .sI ] = z ( / 0 CC 0 § or . . — tt ) . ) Ct i B 0 II - ° , , . ) � I2.1 0 § ` f » § t7c0 _ I # , 0>ro , { ( 0 . , i fl 17/ irri . . \ ( @ — ,,,•- ) — • ' I , , co E ( ee� I ; [ ( E / , 11'o o E { ; i 0 , 010 ( ] E § a , 2 # snwis v t t & E g ! t . I u d \ \ o § : i § _ \ < k ~ } ' ! - i , I k ®$ ! ( — ! 1 . ! \ �$ \ < & ! § \ / ) § _ J § •\ 2 ) / . /@ 1 % • \ } k / ^ \ \ 2. 8 $ R , ‘)\ - - . ® - - - _ 44 ` B ` g • .. ' ql, ' , ' k \ } § ) 7 § o ` 2 | } _ - / - ® -La _ ® - 4 . - 4* ® - O - - - - / - \ j & ® � k . t » § - g@g i . ` ; zi_! , . | , . a, , 2 , 8 . , , 3� - ® - - in . - ® - - In rr § _ . , . , . a . - 8 8 } § . . § § § a 7 § . — , . _ / | I & k / j Z } Li . . . _ $ k ° . 41 2 a O '- • ` 0k ) CC - . 0 � \ o § u. , . � - . it \ CO \ ° a f \ ) . _ § \ Z ci - 8 6 or 3,11 \Z § S § ( k § ( . & < 2 § $ . . . - t § Q • R2 , - & / IL .- 0 k § - - { | { # k m b § @ , . • 6 zi - A § , , . ` V. , f . . . $ m,_ 2 R E § § § E § | E § E 2 E E § 2 § E E ) § § § 2 § _a. ! L . 6 E t 6 g ca o• E | . 1 > 0 | • \ j }- / ! j } a _ai _ 'a2 / 2 - , g . f { ,a $ ( 3 3 2 3 t 3 2 2 1 e - ! f / | _ , .- . c%). . |� , - . , , . I- | _ o ) ` ` a \ - - - - - - - - . - . ® - - - - . . - - - - - ® - - . § . . . . , ( .- § (\ | , , . , . . , . , 0 o .3 0. . 0 / § w § — - • - ® . - - - - - - - - - - - CO - - . . . . . . . 2 ° 2 § C A i LLL § §■ ` a a Lil. k . 2 . E m , _ �� / \ \ 2. \ \ } _ . 41 ° . / \ . _ \ . \ . § \ \ \ 49 \ k 2 | t § / a. - § - , 8 ) 8 8 § } 0 § b a § | 7 k kLI g k , CO g 7 § _ . . , . $a 2 4,1 4- _ A§ ) R 4- . . ( re \ _ . .LU ! § S ° 6 § $ § a . . . _ 3 ( 4 g d _ \ § 7- z z § - 2 ■ U ex } j EI _ .01 j < < 2 ■ § co 2 cC uJ 4 _ , _ . . _ 2 ) / § § U. Z k ,,,t, ' ' f \ 0 / ,u_io. \ e - t2 0.. ; ; § # : ' _ . .ci / o. E . �1� § E E $ § § E § & k E E § E E E § E ; § | § § C . \ 5 s_ L . L Lt t t a I _ ) k si ! § ! . i ® $§ J k © 2 ; \ § — a J 1 . . | 2 z e | R z 3 al - /o | FEDERAL EMERGENCY MANAGEMENT AGENCY EQUIPMENT INVENTORY FORM APPLICANT: FIPS NO. DISASTER CATEGORY PW REF NO. Weld County 123.99123-00 4146 CO C WELCOO6 CAPACITY FEMACOST ADJUSTED EQUIPMENT(UNIT HO.) OPERATOR MAKE MODEL HP SIZE CODE COST CODE COMMENTS UNIT PRICE Thick.Pickup,(Example) Example: Doe,John Chevrolet 1500 250 8073 _ Truck,Pickup(112 ton)_1 Axtman_1. 8801 Truck,Pickup(1 3/4 ton)_1 Alexander_1 8805 $ 29.19 Truck.Tractor Alexander 2 8792 Trailer,Dump Alexander 2 8590 Truck.Pickup(1 3/4 ton)_2 Dunker 8805 $ 29.19 Truck,Tandem Woods 8791 .$ 43.00, Truck,Dump_1 Villa 8722 Truck,Dump 2 _Omondi 8722 Truck,Dump 3 Johnson 8722 Truck,Dump 4 Garcia 8722 Truck,Dump_5 Ulrich 8722 Truck,Dump_6 Perez 8722 Kinnison 8433 Paver,Asphalt Truck,Dump 7 Stock 8802 Truck,Pickup(1/2 ton)_2 Holbrook 88O1 Truck.Pickup(1/2 tan)_3 Gibson 8801 EQUIPMENT INVENTORY PAGE 1 OF 1 R p0 yob g — - _ — _ r a m 01.. N $ O N r ' i i ' • m. to n 3 V 4 o CO - N a a a N N V. N a M w M N a .. M a _ M M N N M` N M N N W fa O O O S . . . W Q Q Q __ W eNe pN a a a N a a a N N a a J a a a H a N a M a N N 1 co N 8 N O O a N. a F .- /V r O 6 . W r QQ a C F e 0 zQ92 O Q C ill LL o y w o „ a O eQ, _ z . a a _ IT_ N vt 9' Y. o g { [r• p x 0 ()• lil U W & w a a zW Q a �_ - - o e w V N m la c a' X m 41 g w2 W Z o O . _ y> `a K y U 0. a _ 5 L W r 0 0 r O• Z m = w O C p r c al 0 — 0 F ! a ac La i Li, W O o , _ 0 z . Vi m O W a a a a a a a a a c it c a a a a a a a a a a a a a a ¢ J Z 2 = r x x Tx Y 2 i x X I x I x S I I I 2 1 S = x 0 c r E �- 6 2 el y O e E a a, a Q H O `o E .c a . a ci z 40 O b < Z F m tt O N y Z WO CO m m m 5 .- . _ _ y IX O T O N g w• ° _ - _ a. 0 O IL = z S w Z _ ^t 0 _ Q- G g E e - .. W i 7 g a m E N m ' i u m 3 w 't a a Y a t"' a O ,w YV SA u t o E (� c$ G. 'a a 'a a 6 a. 2 v Y Y z m w tt cc Qt , ` I- F t- F t l t _- cc � a q k n ° a $ ■ ° ■ ; § m § k § , , § d § © . . , . , • � g U § _ S ` . . - - - - - - - - 44 - - ® - - ® _ . ® - - - . . . . § ! m tria # e § 7 ki. § § f h - , . 40 . , , - 1 _ CO, } k ( k k § ( - - - _ , 40 - . . . . �. ; § a - ,co IZ \ LO _ a _ § / « § _ . . _im f t u. © .\ _ $ § to C \ -j ' F.cu ;en . . _ . , § I CZ rr \ 2 3 0 E S ° ° 9 cc cc k iv \ @ § . _ . . . ? s ` . _ . . 01 CV . . ] _ 2 7 ) § § LL a 7 . . . . . _ - & z Ui ` - - - 2 2 2 § - IZE- , } (9 c a / La 2 - . . _ l ( a 0 : . 0 k ( ) - , . ., § ) . o k ' _ § LL . . , 2 m ; , 2 & 2 g § • ° . . . _ } § © _.11\ I I I I cc _ I } I ` / cc cc cc I cc c B T « , f * I x x i = _ _ I I _ % I = §. § e . 0 ! § $ k m 0 § 2 2 @ ; ) k } § 7 ■ / & ) % 3 z 7 6 0 2 « § \ ! 01 z =k § B a2 et k § § § k ( k § 2 \ a. . . _ . . 2 § = E III 'g % P. �� j � �, 4.g !! ® t » ) 2 { . ) k ! •| k } 0 / 0 0 0 0 0 ! } )- 'U S Z.S. , �S. / / } / \ / / /J / } / k ef# ( , 1 - {) { f * , o E 2 ° \ ° \ _ ` co 0� k ,, t E _ ' \ W 30 4 m \3 % 2 2 / d § \ ) § z - / § ? A ® ' OL § 92 § CY O ca ) . W . e , Ce ) \ § � \ � � / ) Q / u $ ' 1111111 ' ' 22 \ \ 73 i-• g •hFhlIII1 2 \ �_ \ 3 R z \ E $ k % - ", / .- - I_ E e _ H E § 7 70 2 , \ 0 0 U U « - w y § / J / D G O \ \ Ts 2 ! \ ` \ g ° \\ 15\ ,_ \ t } � k I-- > \ { k C. % / + » ° Q 7 z � / 7 f f \ ) � < § cc< { , O § \ ® • 6 ■ § 7t / ' w\ § .• co ?/! hR §w R$ $i n 8 -... co III ' fI re co \ q UUU1111 ~ _ / ce / « \ - . / \ & U \ e o k 7 / % / qI \ / . _ _ f i / 5 b E co . ; 8 . \ — o � : S. LL O 2 } 0 } U E - \ o ± • / § .. Y m \ . i . / \ - t k - o \ \ 7 6 / i / O 0 7 f / N -Es 2 E R ik 2 ? / ( y 3 _ § ) § . ; [ § -o L. • C -• . H NI » C / _ / ) C) o \ 2k / ou k W ? t � k , - j k -E ��k $ I E . j Cr - k Weld County CAT C CR 20.5 East of Boulder Creek.docx 1/11/2014 9:08:20 AM Page 1 of 4 Damage Description and Dimensions CR 20.5 east of Boulder Creek,Category C, Permanent Road Repair Lat—N40.13887 Long.—W105.00048 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 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 patch on roadway measured 19 ft in length x 13 ft in width x 0.75 ft in depth =185.25 CF x 146 L8/CF x 1 ton/2000 LB=13.5 TNS asphalt Total: 271.2 TNS asphalt 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 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 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 Weld County CAT C CR 20.5 East of Boulder Creek.docx 1/11/2014 9:08:20 AM Page 2 of 4 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-$6,707.19 Equipment-$5,546.50 Materials-$11,277.24 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. The applicant has provided payroll data for employees as an hourly rate including fringe benefits. 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. Weld County CAT C CR 20.5 East of Boulder Creek.docx 1/11/2014 9:08:20 AM Page 3 of 4 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. 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. 90%sampling of the timesheets and equipment logs have been reviewed and found to be complete by the FEMA project specialist. A copy of the applicant's payroll policy and example timesheets and equipment logs are attached as supporting documentation. 9. 100%of all received invoices,and cancelled checks(or other proofs of payment) have been reviewed and are attached as supporting documentation. 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. Weld County CAT C CR 20.5 East of Boulder Creek.docx 1/11/2014 9:08:20 AM Page 4 of 4 406 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(CDOT Avg. Unit Price furnished and installed)=$7,620.00 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 the mitigation measure does not exceed 100%of the eligible cost of the eligible repair work on the project. Appendix A.5.Gabio n on 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. 1` k'`, T\ t , ICYt `' `' -3`,`ir yar" f.w.t m 1 I� ,,. c >c, t( , E et III'. L. it 75a �.v>fL"tip{v..�l (m( il£ ; �� ° �s� o O • 3.1 6+241 wt `'li5 kF�Y� ,, 'SI rte" rli nh- iT:a-uw.,n3 �'- o x ryar Ai, : -.- JLb o w y (Qj 1 'Iy�-,r yix t t 7 r, h '_ ea £ >�' T"ti � wx a f i iaed m r'r c ` k M 459" xx•� xr tK ry { „.pct fY �� 1t��{`y �[�7CY T hk �S} >cNict "y 'l' P1 t ac t 'Y. F '� -.-1\''.):1::,,,%_:: .: i S� v`fI t� �vhyi , wii �+ O r , D+' N' c -iiktntw.fr a-0 t ,- ,fd .- Saia fib' ' rl 'd a Li C a y Fv ro4t ta55 e E �H }y ''} tsJyt,�+'.Y71r2'i"YYra' 3��i ci + o ''� Q� W �.v _X H1 'ttifY✓ ac, iseg.3 to ry �F' 0 ocs w I« M �'o� 1 ( i�U44 : 1 ;- s'` r� c� s.r,, zx a� to O� 2 O r mA ,t T r r m 1 ,�ja �"f e' 6' C) 2 1 O T ,4,-,41,1:,j4,y G:":.1-4,2,E x d 1 f'1- 7,1 i Ik 3e h '4'N'S''''' "i vita ,? U F- 2 Z �,. Pl"1 A r r n + i o .v Y. .. t' 1 az„2,-4,j, t tbP + 0 W a N O in ,I 4 Si {lfrt`�a F ei 3in -i.i r4 ZS IT„ U > f Es twN 4. x n N w coo' Y 1t -.2-.,..,!::::;Ac.,,,-E:, ,,,,.,0„ l''- [ ry 3 a;$1,:x: Ybs i t t '� KO cr» Is A r w R' ti �t "-t �-t ?r� ? .it 'tit ' ,!�''t'`rr�'•�p ^ i} U.1 ay + v k '� { W ail 4J�� ., ti -+� ''iR#} �, t i . a xt1 U x+ zY` ro x a* ti� ..{:,,,‘,. .t.:::,,r w re w 1 ' �” Wk. �; » x,v,\rw kig f1 S; : t�,a e�f. '"i -µ-r il. e : S -1-4N V11. t t o }t ..."?,:%:,;141`1,4P1%:1.4' t 4. F J r2 t .1\-::::.N-4:;:-.. zca'QI'iy J'r Y+®1 t 3 0 4 l 9 1- 1{ •o V Q ,"4--. it n 'fP 1, th O >- . .. W4..sa .._,` F ,� kf �7' 'v-k�.,,.. , 2 ,O 2 Z `7 n iz o Q E.- O 5 S'g ft 0 wLu W EL O LL Q s _.. ,,:;,.- . rr p'Y s 3' _A.T 1�.",.,—....„...ill r, ontag>: - I- e S�,u. F'='7 �.a' as ai sS m T n is v i�M 5 [ VI ‘c 3k • r5{ Z l �4 6 t1 r 0 c l ri T' rF € W s h4sf MM w r E ��'iqy y'� ilk ''3 CA6 si �i r .14-es ;_ T ',4,...,..41).€-=.144,...4.1 •.Fr 1 a£*61$ O ' i ''rR 1 b t gi c,01„�i �w i. cD y Rr y .I l4:::.:,:;;;.:-',''. 4.- M rr-e! k O i YYY'(41 S + $'2t 1 s & d.'b f . + (M }, ii'` t ^3 r{ TT 1 m t �� w{r h� i X ',nisi Qi-v k i ''v ,,g !.;,....4,47;;;"%., g ! y l N V b •'iM! 4ti^!� -ha �> r n'1 M •} a f 4 ie r i _. c— 1 u -'n r.i s �S'- - ' r ØP cm ?{ i. • N .• V kb F Y+��f} h^sd' t./ frr� Y U. f�'i� ra „ OQ r yu e rte( ty r ₹"1 '.gtr`TC erx 'x v IR".Y•�i' 'C r a f f Hwj ��seex� # �+ o T YS ' , h i t trs 9 zl w s =v n - • U ':�C iP F7x z , , r�{awbry.c-�._ } • ` / t7 Q • `i '� tisj a' �2i. "t ��s)�H"�i s X43L� WIL d r` 1 iai" ; ^� i i" .Iul O W i to) r .. dfi ; "`•rte �..�' N LQzQz F N i i vT '� £ i i t " i Y's y ,"Y,'a 427. W O ..4.-.. .-;......-6.,--.;,,,,.' .i .1 �L i ,5,E ' ¢d C}7 E n N O 11J 1 ?i S /ti t ^u,4 • - -''r° 4h yyr)1' i L, Z O LL �— v i '�,,, vx' l/ Y ,� n iii w, "E iik itibi too yyyA �) to ai i b '' Sr LL U V .I441i 4 ag a,Y' L I tiArm"`t 'Eft" I.LI Piz air t '4 � "i V�{ 1 _ ; �� r ' 0 t q aRrk � n �,ry x,,��e:m'u i ° ' � 1� ik d �d;. p p O ' :.:°.L.,,,,...4.43. }`�, ."n,�4s"e , "a 1.,TI' 3 Yr. R.. .,,,e4i,� !,,e,- Hid °x5 tsh > Z in Z Z d• D O `f z U g U 0 w a al 4 Q .v r�';^v .. . ..,.nX Ys\Yc"g'.ae'.;�._.av"uv� `-a ..5,v,✓. i:'�'1,7... x'-..nv.�v silbti~rn;M, ,_.. _._. .. 1 1 r l s' L�ti y -+'ie t z � ! �L xw . . ( d 1�{ , C s,� �I7,44� . "#ice}� �k i v>, , • V ul S ta .,1 x77, t, ,� ' t I y ' *r lift• "`. V Lt •Zd C9 aWao t lto) ` ott • i A� ,c4 � iz g,, t,.f ,„‘/,x,,,,,,,,,,,•>1,,2 i d l KL 47y:.:,../.1.,-• S,vjr yY k � ^44'1` as .' 1 �i lie 'f w i Y "VIY I ".2, 11 ) d • fi g1' 9rV f�M1 Y ftdl l 2: O • 2 A2 d'5 �'ak I i 4 4 •t Y ,( . Cv�jt{C' h % ;(315... IR LJ i � S /y 1 Y i 1 %',. M i ; t e i9 i > t tit'5 t` •y r t k. , 1.. Y /. t �.R M1.. ` d7 • W r _z i ici L i r€<.,..=5;hY,°� tv-� `1C-" d � >- 0 r Za+ W 4) 0s WiOmy � F ie ,.y.-,.;:r-_,,,:t.,;,/7.4.,...,,.-41,) w.C �' ' ma tx bt$ 1 O l Nw g. in ,.*7 !1 z v i i Cr wSt .%w z co - a r7 ewst r'a w*g Y S r z J s 4`'" i w 1 •z X ¢. N O J LIJ ¢ 2.t �` tr z I ' ' r '1 It 4�6" : W Rs 6 s'�ye ry r/tc T t� rt ° tef 3 • r 5 i r.'rG'' wO • y J•c t a+ lw� tk 1 t § • O w 5 t e r '4 .',."7",--,?P'': ° ..'''"''''''',4 'T it ,, >gg`y jV w ' 'i(CM zt..y� !ty b0 x �qt < � .I I iiC ttrvR1 d-I • �� r + --4.>1.'1'..kk-Y q m�y !� Y i a 1� NfhTv'M1 o W d • x �. 4,4s,„,.--Ali, it dra>i s 'in 7t �'AV 1 E S r 'u. tPA¢€� { vi 5 a`I)4 i l.�5 t y w' O ur h n I kt, 1 ,1,�� q a ilJ ' u I �pza' -lf a. N ihQ a°L A l I.Iail k' i i \ag m a r s: �� w! " st r`rT� �, tea? P7` y1 ?I l+' 4 �W 1 s V iy 0 -•:••••••04 Oh 1,i l . .,c. W it ,.. i tW.n: r te&"'- � '`�^ry.h rM1 f tra R� t vt t j . 11 g k O r,z "6 r . �a. ° x z t0 Z •• ,';'0:-'4,4,fr°f S ti sgH'n • t[ _ i-- fi s 17- it z U 3 u a a {j U O W Hello