HomeMy WebLinkAboutIowa Department of Transportation-9/27/2010Form 231025 (03-09)
�® Iowa Department of Transportation
�1 Iowa Safe Routes to School
Infrastructure Grant Application
CONTACT INFORMATION SHEET
Complete the information below and include this page as the first page of your application.
The person identified as the Contact will be the main point of contact for Iowa DOT staff.
Organization (check one) City County El State
Project Title: Highland Elementary Safe Routes to School
Contact Name: Wayne Castle
Contact Title: Associate Engineer
Organization: City of Waterloo Engineering Department
Mailing Address: 715 Mulberry Street
City, State, Zip: Waterloo, Iowa 50703
Best Phone # to Call: (319) 291-4312
Contact E-mail: wayne.castle@waterloo-ia.org
Contact Fax: (319) 291-4262
Amount of SRTS Funding Requested:
School District: Waterloo Community
$165,795
School Name: Highland Elementary
Brief Description of Your Project and Location: (one or two lines only) Sidewalk infill with street and
railroad crossing improvements along the main routes connecting the new Highland Elementary with the
established neighborhoods in northeast Waterloo.
The award of Safe Routes to School funds; any subsequent funding or letting of contracts for design, construction,
reconstruction, improvement or maintenance; and the fumishing of materials for this project shall not involve direct or indirect
interest of any state, county or city official, elective or appointive. All of the above are prohibited by Iowa Code Sections 314.2,
362.5 or 331.342. Any award of funding or any letting of a contract in violation of the foregoing provisions shall invalidate the
award of Safe Routes to School funding and authorize a complete recovery of any funds previously disbursed.
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 applicant. I understand
the following OFFICIAL ENDORSEMENT binds the applicant 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 authorization of funds.
Represent f the City of Waterlo
Signature
Ernest G. Clark, Mayor
Typed Name and Title
Date
(419'i (90
Date
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