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HomeMy WebLinkAboutPROJECT WORKSHEET - CATEGORY B - 5/16/2007 (2) FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT WORKSHEET Expires April 30,2001 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this form is estimated to average 30 minutes. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing and submitting the form. You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of the forms. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to Information Collection Management, Federal Emergency Management Agency, 500 C Street,Washington, DC 20472, Paperwork Reduction Project(3067-0151). NOTE: Do not send your completed form to this address. DECLARATION NO: PROJECT NO. FIPS NO. DATE CATEGORY FEMA 1688 DR IA RH-005 013-82425-00 5/16/2007 B DAMAGED FACILITY WORK COMPLETE AS OF: USE OF POLICE PERSONAL AND EQUIPMENT FOR INCIDENT CALLS 4/25/2007 100 % APPLICANT COUNTY CITY OF WATERLOO,IA. BLACK HAWK LOCATION LATITUDI: LONGITUDE CITY WIDE 42.49891 -92.33238 DAMAGE DESCRIPTION AND DIMENSIONS SEVERE WINTER STORMS DURING THE EVENT PERIOD 2-23 to 3-2-07 REQUIRED THE USE OF OVER 1,876 HOURS OF REGULAR TIME POLICE FORCE ACCOUNT LABOR AND 13,025 MILES FORCE ACCOUNT EQUIPMENT TO PATROL THE ROADS LOOKING FOR DOWNED ELECTRICAL WIRES AND TREE LIMBS,ACCIDENTS, CITIZENS IN DANGER, INOPERATIVE TRAFFIC LIGHTS AND RESPONDED TO 49 MERGENCY CALLS. THERE ARE NO CODES AND STANDARDS OR MITIGATION ISSUES WITH THIS PROJECT. SCOPE OF WORK Work Completed:THE CITY POLICE DEPARTMENT PATROLED THE STREETS UTILIZING MORE THAN 1,876 REGULAR TIME FORCE ACCOUNT LABOR AND 13,025 MILES OF FORCE ACCOUNT EQUIPMENT. Does the Scope of Work change the pre-disaster condition at site? ❑Yes ❑✓ No Special Consideration issues included? ❑Yes 2 No Hazard Mitigation proposal included? Yes ❑� No Is there insurance coverage on facility? ❑Yes 0 No ❑ PROJECT COST ITEM CODE NARRATIVE QUANTITY/ UNIT UNIT PRICE COST COMPLETED WORK 1 8072 Automobile,Police to 250 HP 13,025 / MILES $0.55 $7,163.75 2 • I 3 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / TOTAL COST $7,163.75 PREPARED BY: RAY HUDSON TITLE: PROJECT SPECIALIST LOCAL REPRESENTATI : _ DATE: 5/16/2007 FEMA Form 90-91,SEP 98 N CY ECKERT FEDERAL EMERGENCY MANAGEMENT AGENCY SPECIAL CONSIDERATIONS QUESTIONS 1. Applicant's Name 2. FIPS Number 3. Date CITY OF WATERLOO, IA 013-82425-00 4. Project Name 5/16/2007 5. Location INCIDENT POLICE CALLS CITY WIDE Form must be filled out—for each project 1. Does the damaged facility or item of work have insurance and/or is it an insurable risk?(e.g.,buildings,equipment,vehicles,etc.) Yes 0 No ❑Unsure Comments 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? ❑Yes 0 No ❑Unsure Comments 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? El Yes 0 No ❑Unsure Comments 4. Will the proposed facility repairs/reconstruction change the pre-disaster condition? (e.g.footprint,material,location,capacity,use or function) Yes 0 No ❑Unsure Comments 5. Does the applicant have a hazard proposal or would the applicant like technical assistance for a hazard mitigation proposal? Yes 0 No ❑Unsure Comments 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? Yes 0 No ❑Unsure Comments 7. Are there any pristine or undisturbed areas on,or near,the project site? Are there large tracts of forestland? Yes 0 No ❑Unsure Comments 8. Are there any hazardous materials at or adjacent to the damaged facility and/or item of work? ❑Yes 0 No ❑Unsure Comments 9. Are there any other environmental or controversial issues associated with the damaged facility and/or item of work? ❑Yes 0 No ❑Unsure Comments Local Representative: Date: 5/16/2007 FEMA Form 90-120 0 c. Q ¢ a , 0 0 j j > t, M 40 S >" 8 8 W W W W W W W W W W W W W W W W W wWW W w a F F 4 cl Fab9JJJJJJJ JJJd JQ °x J JJ J J J J J J -I J J FI'> > > > > > > > > a ¢ 2 2 > > > > ? # x o* >< U W aw W a 4 t 7 a U x a Q V o w w rari M - a '5 N "�' 00 0 0 0 • W .7 oev o 0 8 8 0 0 0 0 g a g g i Q i . o o ce w Ca a o Q F U O us U o HO E. 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