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HomeMy WebLinkAboutR.I.S.E (Neell Street) - 6/10/19DOCUMENT INFORMATION The following documents and narratives must be submitted with this application. In the upper right corner of each document or narrative write the corresponding letter shown below. (Please refer to the general instructions for an explanation of each item.) ® A. • B. ® C. E] D. ® E. F. ® G. X H. • I. © J. ® K. • L. • M. A resolution or resolutions approved by the participating local governments. A narrative describing the potential economic development. A transportation narrative assessing existing conditions, outlining the proposed concept of the roadway project, and the location of associated economic development. A reproducible map identifying the general area, the location of the roadway project, and the location of associated economic development. A plan and typical cross section of the roadway project. A time schedule for the total development, including the roadway project. Assurance of at least 20 percent non -RISE financial participation in the project. Documentation that arrangements have been made for nonroadway factors intrinsic to the success of the development. An itemized breakdown of total capital investment (nonroadway). An itemized breakdown of total roadway project costs. The attached form must be used. A narrative describing the associated economic development and jobs. The attached form must be used. Documentation that the proposed roadway project and economic development are consistent with any regional or metropolitan area long-range transportation plans in effect for the RISE project. Completed Minority Impact Statement attached to application. 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 government(s). I understand the attached resolution(s) binds the participating local governments to assume responsibility for adequate maintenance of any new or improved city streets or secondary roads. I hereby certify, under penalty of perjury, that any award of RISE funds; any subsequent letting of contracts for design, construction, reconstruction, improvement, or maintenance; or the furnishing of materials therefore; shall not involve direct or indirect interest, prohibited by Iowa Code 15A.2, 314.2, 362.5, or 331.342, of any state, county, or city official, elective or appointive. Any award of RISE funding or any letting of a contract in violation of the foregoing provisions shall invalidate the award of RISE funding and authorize a complete recovery of any funds previously disbursed. I understand that, although this information is sufficient to secure a commitment of funds, a firm contract between the applicant and the department is required prior to the authorization of funds. Representing the City of Waterloo Name of Applicant's Governing Authority Signed 1t2 Quentin Hart, Mayor Signature in ink Date Attested Kelley Felchle, City Clerk Typed Name and Title Date Signature in ink Date Typed Name and Title Date Page 3 of 6 & IOWA DOT Form 105101 (3-18) Minority Impact Statement Pursuant to 2008 Iowa Acts, HF 2393, Iowa Code 8.11, all grant applications submitted to the State of Iowa that are due beginning Jan. 1, 2009, shall include a Minority Impact Statement. This is the state's mechanism for requiring grant applications to consider the potential impact of the grant project's proposed programs or policies on minority groups. Please choose the statement(s) that pertains to this grant application. Complete all the information requested for the chosen statement(s). Submit additional pages as necessary. ❑ The proposed grant project programs or policies could have a disproportionate or unique positive impact on minority persons. Describe the positive impact expected from this project. Indicate which groups are impacted. ❑ Women ❑ Persons with a disability ❑ Pacific Islanders ❑ American Indians C Blacks ❑ Latinos LI C Asians Alaskan Native Americans ❑ Other The proposed grant project programs or policies could have a disproportionate or unique negative impact on minority persons. Describe the negative impact expected from this project. Present the rationale for the existence of the proposed program or policy. Provide evidence of consultation with representatives of the minority groups impacted. Indicate which groups are impacted. ❑ Women ❑ Persons with a disability ❑ Pacific Islanders ❑ American Indians ❑ Blacks ❑ Latinos ❑ Asians ❑ Alaskan Native Americans ❑ Other The proposed grant project programs or policies are not expected to have a disproportionate or unique impact on minority persons. Present the rationale for determining no impact. This project involves improvements to a public street that will be open and accessible to all persons. Accordingly, the proposed project is not expected to have a disproportionate or unique impact on any minority persons. I hereby certify that the information on this form is complete and accurate, to the best of my knowledge. Name Quentin Hart Title Mayor, City of Waterloo Definitions "Minority Persons," as defined in Iowa Code 8.11, means individuals who are women, persons with a disability, Blacks, Latinos, Asians or Pacific Islanders, American Indians, and Alaskan Native Americans. "Disability," as defined in Iowa Code 15.102, subsection 7, paragraph "b," subparagraph (1): b. As used in this subsection: (1) "Disability" means, with respect to an individual, a physical or mental impairment that substantially limits one or more of the major life activities of the individual, a record of physical or mental impairment that substantially limits one or more of the major life activities of the individual, or being regarded as an individual with a physical or mental impairment that substantially limits one or more of the major life activities of the individual. "Disability" does not include any of the following: (a) Homosexuality or bisexuality. (b) Transvestism, transsexualism, pedophilia, exhibitionism, voyeurism, gender identity disorders not resulting from physical impairments or other sexual behavior disorders. (c) Compulsive gambling, kleptomania, or pyromania. (d) Psychoactive substance abuse disorders resulting from current illegal use of drugs. "State Agency," as defined in Iowa Code 8.11, means a department, board, bureau, commission, or other agency or authority of the State of Iowa.