HomeMy WebLinkAboutPROJECT WORKSHEETS AND PROJECT APPLICATION SUMMARY - 5/30/2007 1-isiiie7prA7
Fields of Opportunities STATE OF IOWA
CHESTER J. CULVER DEPARTMENT OF PUBLIC DEFENSE
GOVERNOR
IOWA HOMELAND SECURITY AND
PATTY JUDGE EMERGENCY MANAGEMENT DIVISION
LT.GOVERNOR DAVID L.MILLER,ADMINISTRATOR
4,4
May 30,2007
Ms. Nancy Eckert, City Clerk Disaster#: DR-1688-IA
City of Waterloo PA ID#: 013-82425-00
715 Mulberry Street Package#(s): 36
Waterloo, IA 50703
Dear Ms. Eckert:
Enclosed are copies of your Project Worksheets (PW's) and Project Application Summary (P.2), for your Public Assistance
application. It is important that you maintain these records and your documented costs on a Project Worksheet by Project
Worksheet basis for program administration and audit purposes for a period of three years from the date of your last
payment.
It is very important that you review each Project Worksheet for:
• accuracy/completeness;
• the scope of work to determine differences, if any, between the Project Worksheet and what was
agreed upon when the site was inspected;
• calculation errors and corresponding dollar amounts.
If there are specific issues or discrepancies on a Project Worksheet you need to notify the Public Assistance Officer
immediately. Remember, you have 30 days from the receipt of this letter to request to have any issue reconsidered for
eligibility.
Please note that in order for you, as an eligible applicant, to receive payment of approved grant funding, Iowa Homeland
Security and Emergency Management Division must have on file all of the required documentation listed below. We have
not received the forms marked with an X. Please submit these as soon as possible. Once the completed forms have been
received we can request payment for some or all of your approved Federal share funding.
Required Documentation
® State of Iowa Application for Federal/State Assistance
® Applicant's Assurances and Certifications
® Substitute W 9/Vendor Update Form
When all of your small projects are 100% complete, or when any one of your large projects is 100% complete, please
notify the Public Assistance Office of Iowa Homeland Security and Emergency Management Division so that we may begin
the closeout process. Remember, in the event that your actual project costs exceed the approved amount shown on the
project worksheet, you have 60 days from the date on which the project work was completed to officially request a project
cost adjustment,which must include documentation of all project costs.
7105 NW 70th AVENUE/CAMP DODGE/BLDG. W-4/JOHNSTON, IOWA 50131-1824/515-725-3231
W W W.TOWAHOMELANDSECURITY.ORG
If you have any questions or concerns, please call the Public Assistance Office of Iowa Homeland Security and Emergency
Management Division at(515)725-3231.
Sincerely,
Pt n-n.is Ufxrper
Dennis Harper
State Public Assistance Officer
Enclosures
DATE: 05/18/2007 FEDERAL EMERGENCY MANAGEMENT AGENCY
PROJECT APPLICATION SUMMARY(P.2)
DISASTER#: 1688
PACKAGE NO: 36
P.A.ID: 013-82425-00 APPLICANT: WATERLOO,CITY OF
PW# VSN CAT INF COST SHR PROJECTED COMPL DATE APPROVED PW AMOUNT
276 0 A N N 09/14/2007 $51,858.00
Site Number: 1
DAMAGED DEBRIS REMOVAL
FACILITY:
CITY WIDE
FACILITY
LOCATION: WORK COMPLETED:
CITY FORCE ACCOUNT LABOR AND EQUIPMENT WAS USED TO PICK UP,TRANSPORT AND BURN 4,275 CY OF
SCOPE OF WORK: DEBRIS AND PICK UP AND TRANSPORT 4,368 CY OF DEBRIS FROM PUBLIC PROPERTY WITHIN THE CITY LIMITS
OF WATERLOO, IA.
WORK TO BE COMPLETED:
CITY FORCE LABOR AND EQUIPMENT WILL BE UTILIZED TO BURN 4,368 CY OF DEBRIS.
1 PW $AMOUNT ELIGIBLE $FEDERAL SHARE
PWs: $51,858.00 $38,893.50
SUBGRANTEE ADMIN EXP: $1,555.74 $1,555.74
TOTAL: $53,413.74 $40,449.24
GRAND TOTAL: 1 PW
$AMOUNT ELIGIBLE $FEDERAL SHARE
PWs: $51,858.00 $38,893.50
SUBGRANTEE ADMIN EXP: $1,555.74 $1,555.74 GRANTEE
TOTAL: $53,413.74 $40,449.24 ADMIN EXP: $404.49
APPROVED BY: DAVID TESKA DATE: 05/17/2007
PUBLIC ASSISTANCE OFFICER
•
Page 1 of 1
PROJECT WORKSHEET REPORT
DECLARATION NO.FEMA-IA-DR1688 PREPARED DATE 04/25/2007
FIPS NO. 013-82425-00
APPLICANT NAME WATERLOO,CITY OF REPORT DATE 05/18/2007 17:29
SUBDIVISION INF TYPE 0 INF
• NON-INF
FEMA PW# 276 VSN 0 REF# RH-001 0 REC
CATEGORY A.Debris Removal COUNTY BLACK HAWK FUNDING OPTION COST SHARE 0.75
STD PROJECT NO. 199 PROJECT TITLE DEBRIS REMOVAL
PROJECTED CMPLTN DT 09/14/2007 ACTUAL CMPLTN DT WORK COMPLETE AS OF 04/20/2007 95
ELIGIBILITY Yes AMOUNT ELIG$51,858.00 FEDERAL SHARE $38,893.50 PRIORITY Normal
BEGIN DESIGN DT BEGIN CONSTR DT —PW REVIEWER DATA
END DESIGN DT END CONSTR DT REVIEWER NAME DATE
INITIAL REVIEW DAVISON,WARREN 05/10/2007
PREPARER HUDSON, RAY FINAL REVIEW TESKA,DAVID 05/17/2007
ROLE PO DATA SOURCE Paper
STATE DEAN,MARK
MT PROP 0 Yes• No VALIDATED • Yes 0 No
DATE OBLGTD 05/17/2007 PACKAGE DATE 05/17/2007 PNP QUESTIONS 0 Yes• No STATE RVWD 0 Yes• No
PACKAGE ID 36 ATTACH • Yes 0 No
Does the Scope of Work change the pre-disaster conditions at the site? 0 Yes • No 0 Unsure
Special Considerations issues included? 0 Yes • No 0 Unsure
Is there insurance coverage on this facility? 0 Yes No 0 Unsure
Hazard Mitigation proposal included? 0 Yes No 0 Unsure
Page 1 of 6
PROJECT WORKSHEET REPORT
DECLARATION NO.FEMA-IA-DR1688 PREPARED DATE 04/25/2007
FIPS NO. 013-82425-00
REPORT DATE 05/18/2007 17:29
APPLICANT NAME WATERLOO,CITY OF
SUBDIVISION INF TYPE 0 INF
ill NON-INF
FEMA PW# 276 VSN 0 REF# RH-001 0 REC
SITE NUMBER 1 of 1
FACILITY NAME DEBRIS REMOVAL Latitude 42.47289
ADDRESS Longitude-92.31081
CITY WATERLOO STATE ZIP
Was this site previously damaged?0 Yes 0 No • Unsure
SITE NUMBER 1 -LOCATION
CITY WIDE
SITE NUMBER 1 -DAMAGE DIMENSIONS AND DESCRIPTION
SEVERE WINTER STORMS DURING THE EVENT PERIOD 2-23 TO 3-2-07 CAUSED ICE AND SNOW ACCUMULATION WHICH DAMAGED
MANY TREES CAUSING MANY LIMBS TO FALL TO THE GROUND.THE CITY SANITATION DEPARTMENT PICKED UP,TRANSPORTED
AND BURNED TWO PILES OF WOODY DEBRIS 4,275 CY(ASH PILE 135 FT X 45 FT X 1 FT=6,075 CF/27=225 CY OF ASH X ASH
MULTIPLIER OF 19=4,275 CY OF DEBRIS)(42.47542,-92.30137)AND ONE PILE OF UNBURNED DEBRIS 4,368 CY(182 FT X 54 FT X 12
FT= 117,936 CF/27=4,368 CY).
A TOTAL OF 8,643 CY OF DEBRIS.
THE CITY HAS A LETTER FROM THE DEPARTMENT OF NATURAL RESOURCES PERMITTING THE BURNING OF LANDSCAPING DEBRIS
AT THIS SITE.
SITE NUMBER 1 -SCOPE OF WORK
WORK COMPLETED:
CITY FORCE ACCOUNT LABOR AND EQUIPMENT WAS USED TO PICK UP,TRANSPORT AND BURN 4,275 CY OF DEBRIS AND PICK UP
AND TRANSPORT 4,368 CY OF DEBRIS FROM PUBLIC PROPERTY WITHIN THE CITY LIMITS OF WATERLOO,IA.
WORK TO BE COMPLETED:
CITY FORCE LABOR AND EQUIPMENT WILL BE UTILIZED TO BURN 4,368 CY OF DEBRIS.
Page 2 of 6
PROJECT WORKSHEET REPORT
DECLARATION NO.FEMA-IA-DR1688 PREPARED DATE 04/25/2007
FIPS NO. 013 82425 00 REPORT DATE 05/18/2007 17:29
APPLICANT NAME WATERLOO,CITY OF
INF TYPE 0 INF
SUBDIVISION
• NON-INF
FEMA PW# 276 VSN 0 REF# RH-001 0 REC
COST ESTIMATE
ITEM VSN CODE MATERIAL AND/OR DESCRIPTION UOM QTY UNIT PRICE COST
1 0 0000 WORK COMPLETED 0 0 $.00 $0.00
2 0 1015 DEBRIS(TREES&LIMBS,SCATTERED) CY 4275 $6.00 $25,650.00
3 0 1015 DEBRIS(TREES& LIMBS; SCATTERED) CY 4368 $5.00 $21,840.00
4 0 0000 WORK TO BE COMPLETED 0 0 $.00 $0.00
5 0 9999 BURN WOODY DEBRIS CY 1 $4,368.00 $4,368.00
Eligible Amounts: Total(this version) $51,858.00
Total Oblig To Date $51,858.00
Unobligated+Obligated $51,858.00
Federal Share for Obligated and Unobligated $38,893.50
SPECIAL CONSIDERATIONS
1 Does the damaged facility or item of work have insurance coverage and/or is it an insurable risk 0 Yes • No 0 Unsure
(e.g.,buildings,equipment,vehicles,etc.)?
2 Is the damaged facility located within a floodplain or coastal high hazard area and/or does it have 0 Yes No 0 Unsure
an impact on a floodplain or wetland?
3 Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource 0 Yes • No 0 Unsure
System Unit or an Otherwise Protected Area?
4 Will the proposed facility repairs/reconstruction change the pre-disaster conditions(e.g.,footprint, 0 Yes • No 0 Unsure
material, location, capacity,use or function)?
5 Does the applicant have a hazard mitigation proposal or would the applicant like technical 0 Yes • No 0 Unsure
assistance for a hazard mitigation proposal?
6 Is the damaged facility on the National Register of Historic Places or the state historic listing?Is it 0 Yes No 0 Unsure
older than 50 years?Are there more,similar buildings near the site?
7 Are there any pristine or undisturbed areas on,or near,the project site?Are there large tracts of 0 Yes No 0 Unsure
forestland?
8 Are there any hazardous materials at or adjacent to the damaged facility and/or item of work? 0 Yes • No 0 Unsure
9 Are there any other environmental or controversial issues associated with the damaged facility 0 Yes • No 0 Unsure
and/or item of work?
Page 3 of 6
PROJECT WORKSHEET REPORT
DECLARATION NO.FEMA-IA-DR1688 PREPARED DATE 04/25/2007
FIPS NO. 013-82425-00
APPLICANT NAME WATERLOO,CITY OF REPORT DATE 05/18/2007 17:29
SUBDIVISION INF TYPE 0 INF
NON-INF
FEMA PW# 276 VSN 0 REF# RH-001 0 REC
ENVIRONMENTAL-All Environmental Review is complete.
Laws and Executive Orders Review-All Other Laws/EOs complete.-WDAVISON
Laws/EOs Status
Coastal Barriers Resources Act(CBRA) Gen Revw/NA
Clean Water Act(CWA) Gen Revw/NA
Coastal Zone Management Act(CZMA) Gen Revw/NA
Endangered Species Act(ESA) Gen Revw/NA
Fish and Wildlife Coordination Act(FWCA) Gen Revw/NA
National Historic Preservation Act(NHPA) Gen Revw/NA
Clean Air Act(CAA) Gen Revw/NA
E.O. 11988:Floodplains Gen Revw/NA
E.O. 11990:Wetlands Gen Revw/NA
E.O. 12898: Environmental Justice for Low Income and Minority Populations Gen Revw/NA
NEPA Level of Review-05/18/2007 17:29:56-This project is statutorily excluded from the requirements of the National Environmental Policy Act
and no other environmental review or documentation is required.-WDAVISON
Page 4 of 6
PROJECT WORKSHEET REPORT
DECLARATION NO. FEMA-IA-DR1688 PREPARED DATE 04/25/2007
FIPS NO. 013-82425-00
REPORT DATE 05/18/2007 17:29
APPLICANT NAME WATERLOO,CITY OF
SUBDIVISION
INF TYPE INF
• NON-INF
FEMA PW# 276 VSN 0 REF# RH-001 O REC
Standard Conditions
1. Any change to the approved scope of work will require re-evaluation for compliance with NEPA and other Laws and Executive Orders.
2. This review does not address all federal,state and local requirements.Acceptance of federal funding requires recipient to comply with all federal,state
and local laws. Failure to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding.
3. If ground disturbing activities occur during construction, applicant will monitor ground disturbance and if any potential archeological resources are
discovered,will immediately cease construction in that area and notify the State and FEMA.
GENERAL COMMENTS
DEBRIS REMOVAL
THE PROJECT IS TO REMOVE,STAGE AND DISPOSE OF VEGETATIVE DEBRIS IN ACCORDANCE WITH ALL APPLICABLE
ENVIRONMENTAL LAWS AND REGULATIONS. DEBRIS REMOVAL IS STATUTORILY EXCLUDED FROM FURTHER REVIEW UNDER THE
NATIONAL ENVIRONMENTAL POLICY ACT.
PAUL CHIN 05/04/2007
RECORD MAINTENANCE
COMPLETE RECORDS AND COST DOCUMENTS FOR ALL APPROVED WORK MUST BE MAINTAINED FOR AT LEAST 3 YEARS FROM THE
DATE THE LAST PROJECT WAS COMPLETED OR FROM RECEIPT OF FINAL PAYMENT,WHICHEVER IS LATER. ALL APPROVED PWS
WITHIN A PROJECT APPLICATION ARE SUBJECT TO RANDOM AUDITS. QUARTERLY REVIEWS ARE CONDUCTED ON ALL APPROVED
PW'S WHICH EQUAL OR EXCEED$59,700 AND HAVE NOT RECEIVED FINAL PAYMENT. ANY JURISDICTION RECEIVING$500,000 OR
MORE IN TOTAL FEDERAL FINANCIAL ASSISTANCE IN A FISCAL YEAR MUST SUBMIT A COPY OF ITS SINGLE AUDIT(AS REQUIRED BY
THE SINGLE AUDIT ACT OF 1984)TO THE STATE.-PAUL CHIN 05/04/2007
Page 5 of 6
PROJECT WORKSHEET REPORT
DECLARATION NO.FEMA-IA-DR1688 PREPARED DATE 04/25/2007
FIPS NO. 013-82425-00
REPORT DATE 05/18/2007 17:29
APPLICANT NAME WATERLOO,CITY OF
SUBDIVISION INF TYPE 0 INF
• NON-INF
FEMA PW# 276 VSN 0 REF# RH-001 0 REC
PW REQUIRED REVIEWS
REVIEW ASSIGNED DATE DATE
REVIEW STATUS RECOMMENDATION REVIEWER REVIEWER SUBMITTED REVIEWED
Initial Complete Eligible WARREN DAVISON wdavison 05/04/2007 05/10/2007
STATE Complete Eligible PATRICK HALL phall 05/10/2007 05/10/2007
Final Complete Eligible DAVID TESKA dteska 05/10/2007 05/17/2007
Page 6 of 6