HomeMy WebLinkAboutIowa Flood Mitigation Board - Improvement_Fund_Award_Agreement_-_6.15.2026Docusign Envelope ID: 0C676AAC-5407-8CF8-808C-E4E04747B93D
STATE OF IOWA
DESIGNATION OF APPLICANT'S INTERNAL AUTHORIZED REPRESENTATIVE
For the purpose of obtaining, complying with requirements of, and/or managing financial
assistance under IowA CODE 29C, 29D, 418 and 418A as well as the Robert T. Stafford Disaster
Relief and Emergency Assistance Act (PL 100-707, as amended), the National Flood Insurance
Reform Act of 1994 (PL 103-325, as amended), or the High Hazard Potential Dam Program, 33
U.S.C. § 467f-2.
Jamie Knutson, P.E. City Engineer
(Print Name of Authorized Representative) v (Signature and Date)
is hereby authorized to execute the functions initialed below on behalf of
City of Waterloo
6/15/2026
(Applicant Entity)
Project City of Waterloo Virden Creek Dry Dam S21
Title
(Describe the project for which these activities are authorized)
Initial Authorized Activities (Only initial next to the activities being assigned)
Sign application forms (SF-424, SF-424[A-D], GG &/or FF-104 [lobbying etc.], W9,
SF-LLL, & Minority Impact Statement) (does not include local match resolution)
DB Submit applications in online portals (e.g., EMGrants, FEMA GO, eGrants)
DB
DB
DB
DB
DB
Submit Quarterly Reports to Iowa HSEM and/or FEMA
Submit Requests for Reimbursement or Advance Payment for subgrantee
Request Grant Closeout and confirm compliance with grant requirements
Request Grant Time Extensions
Request Grant Scope/Budget Adjustments
David Boesen, Mayor Kelley Felchle, City Clerk
Chief Executive Officer (Print Name and Title)
Signed by:
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Signature and Date
6/15/2026
Attested (Print Name and Title)
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`—griyiWteFfa&bnd Date
6/15/2026
HSEM Form updated February 26, 2025