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HomeMy WebLinkAboutIowa Department of Transportation-2/14/2011Nowa Department of Transportation Form 240004wd 01-06 REQUEST FOR REGIONAL OR METROPOLITAN TRANSPORTATION ENHANCEMENT FUNDS General Information RPA or MPO: Black Hawk Metropolitan Area Transportation Policy Board Sponsor/Applicant Agency: City of Waterloo Contact Person (Name & Title: Jeff Bales, Associate Engineer Complete Mailing Address: 715 Mulberry Street Waterloo City IA State Street Address and/or Box No. 50703 (319)29I-4366 Zip Daytime Phone If more than one agency or organization is involved in this project, please state the name, contact person, mailing address, and telephone number of the second agency. (Attach an additional page if more than two agencies are involved.) Applicant Agency: Contact Person (Name & Title): Complete Mailing Address: Street Address and/or Box No. City Project Information State Zip Daytime Phone Project Title: Low Henry Hoover Memorial Garden Project Description (including length if applicable) required: This project involves aesthetic improvements adjacent to U.S. Highway 218 between W. 41° Street and Park Ave. Improvements in honor of Lou Henry Hoover include a walkway, plantings, decorative paving, lighting, decorative fencing and sculptures. If this project includes land acquisition, how many acres? Project Category - Check alt boxes that apply to indicate the categories that best describe your project. Q Trails and Bicycle Grouping ❑ Facilities for Pedestrians and Bicycles ❑ Presentation of Abandoned Railway Corridors ❑ Safety and Educational Activities for Pedestrians and Bicyclists O Scenic and Natural Resources Grouping ❑ Scenic Highway Programs Including Tourist and Welcome Centers ❑ Acquisition of Scenic Easements and Scenic Sites ❑ Landscaping and Other Scenic Beautification ❑ Control and Removal of Outdoor Advertising ❑ Mlfgation of Water Pollution Due to Highway Runoff, including Projects that Reduce Vehicle - Caused Wildlife Mortality, while Maintaining Habitat Connectivity. -1- © Historic and Archaeological Grouping O Historic Highway Programs, including Tourist and Welcome Centers ❑ Historic Preservation ❑ Rehabilitation and Operation of Historic Transportation Buildings, Structures, or Faaities ❑ Archaeological Planning and Research ❑ Establishment of Transportation Museums Estimated Project Costs Land Cost $ 0.00 Preliminary Design 1 Engineering $ 0.00 Utility Relocation $ 0.00 Construction Engineering $ 0.00 Construction Cost $ 162,300.00 In -Kind Cost $ Contingency $ 16,230.00 Other (please specify) $ 1. 2. 3. Total Cost $ 178,530.00 Enhancement Fund Request $ 142,824.00 Applicant Match (20% Minimum) $ 35,706.00 Match SourceAmount Assured or Anticipated (Date Anticipated) Private Donations/City of Waterloo $25,697.00 Assured In -Kind Labor $7,500.00 Anticipated Private Donations $2,509.00 Antici . ated Are any state funds involved in this project? ❑ Yes If yes, please explain the source and conditions ® No Are any other federal funds involved in this project? 0 Yes ® No If yes, please explain the source and conditions Will this project be open to the public? ® Yes 0 No Do you intend to charge a fee to users? 0 Yes ® No If yes, how much? $ What will it be used for? -2- Estimated Project Development Schedule Design Start Date March 1, 2011 Completion Date Land Acquisition Start Date Completion Date Construction Start Date September I, 2011 Completion Date Has any part of this project been started? 0 Yes 0 No If yes, explain: July 1, 2011 July 1, 2012 Documentation and Narrative Information The following documents and narratives must be attached to this application. In the upper right-hand comer of each document or narrative write the corresponding letter shown below. ® A. A NARRATIVE assessing existing conditions, outlining the concept of the proposed project, and providing adequate project justification. Transportation enhancements must have a direct relationship to the intermodal transportation system, either as it exists or as it is planned. Assess your project in regard to the transportation system relative to its functional relationship, proximity, or impact to an existing or planned transportation facility. Assess the value of this project from a statewide perspective and how it will be a functional addition to the transportation system and the state as a whole if no additional development funds are received. ® B. A MAP identifying the location of the project. ® C. A SKETCH -PLAN of the project, including cross-section for bicycle or pedestrian facilities. ® D. An ITEMIZED BREAKDOWN of the total project costs. ® E. A TIME SCHEDULE for the total project development. Funding for projects which fail to make satisfactory progress may be rescheduled or removed from the program by the Iowa Department of Transportation. ® F. An OFFICIAL ENDORSEMENT of the project from the authority to be responsible for its maintenance and operation. The authority must provide written assurance that it will adequately maintain the completed project for its intended public use for a minimum of 20 years following project completion. ® G. A NARRATIVE discussing the public input process that was followed and the extent to which adjacent property owners and others have been informed of the proposed project and an assessment of their acceptance. The award of Statewide Transportation Enhancement (TE) funds; any subsequent funding or letting of contracts for design, construction, reconstruction, improvement, or maintenance; or the furnishing of materials shall not involve direct or indirect interest, prohibited by Iowa Code Sections 314.2, 362.5, or 331.342, of any state, county, or city official, elective or appointive. Any award of funding or any letting of a contract in violation of the foregoing provisions shall invalidate the award of funding and authorize a complete recovery of any funds previously disbursed. -3- Certification To the best of my knowledge and belief, all information included in this application is true and accurate, including the commitment of all physical and financial resources. This application has been duly authorized by the participating local authority. I understand the attached OFFICIAL ENDORSEMENT(S) binds the participating local governments to assume responsibility for adequate maintenance of any new or improved facilities. I understand that, although this information is sufficient to secure a commitment of funds, an executed contract between the applicant and the Department is required prior to the authorization of funds. Representing the , City of Waterloo ee, i( Signature pate Ernest G. Clark, Mayor Typed Name and Title Date -4-