HomeMy WebLinkAboutMEMO FOR THE RECORD - PA ID 013-8245-00 TUN.28.CO' ?qorn FEr^P DFO NO,�195 —p, —... •-- . � ---
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MEMORANDUM FOR THE RECORD
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FEMA-!woo-DR-J.-II--
Subject: Completion of Applicant's Project Worksheets-Exit Memo
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Applicant Name: t ( J.4 --- J
PA m if; r-1.17. -- 4 1 C'
_-ma c ..,/ Lid ?
Kick-Off Meeting Date: L_f ___
The number of small and large project worksheets written for each category is listed below.
If there is no reported damage within a category,please mark the category with a "0"(zero)_
Discuss this information with the Applicant and review it for accuracy at the Exit Briefing. If the
Applicant concurs,they should sign the memo along with the State and FEMA PA Group
Supervisor told PAC).
Project Worksheet Summary —__,
,completed Projects (Sm aC.S all Projects ILar ` Pro:sots 'Total #of s P
s
Category A:Debris Remove! I L I LI J
tCategory B:1Piotective Measures + -z.-
iffti
aii
(Category C: Roads and f L r i (-YIC.3
Bridges
ICategory 0:Water Control Facilities i i `�
!Category E:Buildings& Equipment
Category F: Utilities
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Category G:Recreational,Other t Li
Total Number of Project
i �2 ,f
Work U sheets � 116,4171�1 � i
Important Time Lines,Statutory Requirements,and ReqquiTed Permits
• In accordance with 44 Cr1t§206.202(d)(1)(n),if additional damage is found and additional funding
is requested,the Applicant must provide written notification to the State no later than 60 days after
the Kickoff Meeting.
• In accordance with 44 CFR§206.206(2Xc),the Applicant must tile appeals within 60 days after
receipt of a notice of the action being appealed.
s All work must comply with the provisions of the Clean Water Act,Clear Air Act,Resource i
Conservation and Preservation Act,and related Federal statues and associated State and local laws,
codes,ordinances,and other statues.
• The Applicant must maintain complete records and cost documentation for all eligible work for a
minimum of three years from the date the Applicant's grant is officially closed.
• Applicants assume responsibility for obtaining all necessary permits and authorizations needed to
comply with local,State,and Federal requirements,
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FEMA PAC: eA.01
State PAC: _.-r��/r'� Datei A G/i7
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Applicant Representative: v Date; ^G--.a ' 0 7 �I
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JUN.28.200 8:54AM FEMA DFO NO.090 P.4
MEMORANDUM FOR THE RECORD
FEMA-1705-DR-IA.
Subject: Completion of Applicant's Project Worksheets—Exit Memo
Applicant Name: City of Waterloo
PA ID#: 013-8245-00
Kick-Off Meeting Date: 6/27/2007
The number of small and large project worksheets written for each category is listed below.
If there is no reported damage within a category,please mark the category with a"0"(zero).
Discuss this information with the Applicant and review it for accuracy at the Exit Briefing. If the
Applicant concurs,they should sign the memo along with the State and FEMA PA Group
Supervisor(old PAC).
I
Project Worksheet Summary
Completed Projects Small Projects Large Projects Total#of PWs
Category A:Debris Removal 2 $ 105,387.08
Category B:Protective Measures 4 $ 43,480.89
Donated Resources 0
Category C:Roads and Bridges 1 $ 13,413.11
Category D:Water Control Facilities 0
Category E:Buildings&Equipment 1 S 2,750.00
Category F:utilities 0
Category G:Recreational,Other 0
Total Number of Project 8 0 $ 165,031.08
Worksheets
To the best of our knowledge,damage surveys in all categories of work have been completed and all Project
Worksheets have been written. (Examples of exceptions are sites under water,demolition projects,etc.)
Projects which may require farther consideration or monitoring are listed in the comment section below:
Comment Section:
FEMA PAC: C.Di &G.Welton Date; June 28,2007
State PAC: , � Date:
_ / Ito)
Applicant Representative: ;<_I/ � Date:.%WO c.4 7
Applicants have the right to appeal a decision,the appeal must be sent to the State in'writing by this date:
August 28th,2007. (60 days from Exit Briefing). To Iowa Homeland Security&Emergency Management
Division,7105 NW 70!°Ave,Camp Dodge Bldg.W-4,Johnston,IA 50131.
.
JUN.28.2007 8:5341 FEMA DFO t1O.090 P.2
FEDERAL EMERGENCY MANAGEMENT AGENCY
PROJECT WORKSHEET Expires April 30,2001
PAPERWORK BURDEN DISCLOSURE NOTICE F
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 WLOO-E1 013-82425-00 06/27/2007 _ E
DAMAGED FACILITY WORK COMPLETE AS OF:
Hazard Material Trng Center 06/27/2007 0 %
APPLICANT COUNTY
City of Waterloo Black Hawk _
LOCATION LATITUDE LONGITUDE
1925 Newell Street Waterloo,Iowa 50707
DAMAGE DESCRIPTION AND DIMENSIONS
COMMENCING ON FEBRUARY 23RD THRU MARCH 2ND,2007, A SEVERE WINTER STORM OCCURRED THAT
DEPOSITED EXCESSIVE ICING UP TO 1 INCH THICK THROUGHOUT THE CITY OF WATERLOO, IOWA, THE CITY'S
HAZARDOUS MATERIALS REGIONAL TRAINING CENTER BLDG.WAS COVERED IN ICE.THE APPRX TOTAL SQ.
FOOTAGE OF ROOF=6900 SF....THE % DAMAGED=30-50% OF THE ROOF-PER BLDG COORDINATOR PAT
BROCKWAY THE DAMAGE WAS CREATED FROM SHARP ICE FORMATIONS FALLING FROM THEIR
COMMUNICATION TOWER ON TO THE FLAT ROOF MADE OF'RUBBERIZED BLADDER'MATERIAL— CREATING HOLES
AND DAMAGING THE ROOF TOP ABOVE A SMALL PORTION OF THE ADMINISTRATIVE OFFICES AND THE ADJOINING
CLASSROOMS. SEE ATTACHED DRAWING AND PICTURE_
SCOPE OF WORK
THE APPLICANT HAS RECEIVED QUOTES FROM TWO COMPANY'S TO DO REPAIRS: SERVICE ROOFING COMPANY
AND KOCH CONSTRUCTION,THEY HAVE OPTED TO USE SERVICE ROOFING COMPANY--FOR$2,750.00...THEY DID
THE ORIGINAL ROOFING(10 YEARS AGO) AND DID RE-ROOFING 8 YRS AGO...COPIES OF EACH ATTACHED TO
PW.,ALL COSTS SEEM REASONABLE, ,..PROPERTY INSURANCE DECLARATION PAGE ATTACHED..APPLICANT HAS
$50,000.00 DEDUCTIBLE...
Does the Scope of Work change the pre-disaster condition at site? ❑Yes 7 No
Special Consideration issues included? 0 Yes ❑No Hazard Mitigation proposal included? ❑Yes E No
is there insurance coverage on facility? E Yes 0 No
PROJECT COST
ITEM CODE 1 NARRATIVE QUANTITY/ UNIT j UNIT PRICE I COST
""*1-22WOR TO BE COMPLETEDmscxrre:rr
1 9003 Contract Labor-Not complete 1 / LS S2,750.00 S2,750.00
2
3 /
4 /
5
6
7 /
a
9
10 /
11 /
TOTAL COST 62,750.00
PREPARED BY: C.Diaz&G.Welton TITLE: PAC
—LOCAL R1:PRESENTATTtTE)(' 'Y DATE 06/27/2007
FEMA Form 90-91,SEP 98 Pa rockway
JUN.29.2007 8:53A11 FEMA DFO NO.090 P.3
FEDERAL EMERGENCY MANAGEMENT AGENCY
SPECIAL CONSIDERATIONS QUESTIONS
1. Applicant's Name 2. FiPS Number 3. Date
City of Waterloo 013.82425-00 06/27/2007
4. Project Name 5. Location
Haz Mat Tmg Cntr•Roof 1925 Newell Street Waterloo,Iowa 50707
Form must be filled out-for each project
1. Does the damaged facility or item of work have Insurance and(or Is It en insurable risk?(e.g.,DUllotngs,equipment vehicles,etc.)
E Yes ❑No ❑Unsure Comments City has$50,000.00 detuctible for each incident
2. Is the damaged facility located within a lloodplain or coastal high hazard area,or does it have an impact on a lloodpiain or wetland?
❑Yes E No ❑unsure Comments
3. Is the damaged facility Of Item of work located within or adjacent to a Coastal Barrier Resource System Unit or gm Otherwise Protected Area?
❑Yes ❑NO Q Unsure Comments
4. Will One proposed facility repeira/reconstructiOn Change the pre-diaseter condition? (e.g.footprint,material,location,capacity,Use or function)
❑Yes E No ❑Unsure Comments
5. Ooes the applicant have a hazard proposal or would the applicant like technical assistance for a hazard mitigation proposal?
❑Yes ❑NO ❑Unsure Comments
6. Is the damaged facility on the National Register of Hiatoric Places or the state historic listing? Is It older than 50 years? Are there more.similar buildings
near the site?
❑Yes Q No ❑unsure Comments
7. Are there any pristine or undisturbed areas on,or near,the project site? Are there large tracts of forestland?
❑Yes E No ❑Unsure Comments
@. Are there any hazardous materials at or adjacent to me damaged facility and/or(tern of work?
❑Yes ENo ❑Unsure Comments _
- I
9. Are there any other environmental or controversial issues associated twat the damaged facility and/or item of work?
❑Yes E No ❑Unsure Comments
Local Representative: ' 1C ,''Lt'1�' I 4?4 . Date: 06/27/2007
FEMA Form 90.120 �I� V
715 Mulberry Street
Waterloo, IA 50703-5783 CITY OF WATERLOO
319-291-4323 PHONE
319-291-4571 FAX
Fax
To: G.Welton From: Nancy Eckert, City Clerk
Fax: Pages: 4, including this one
Phone: Date: June 28, 2007
Re: 1688 Project Worksheets CC:
❑ Urgent X For Review ❑ Please Comment ❑ Please Reply 0 Please Recycle
If you do not receive all pages or legible copies of this transmission,
please notify our office immediately. Thank you!
• Comments:
Attached are the signed documents.
Nancy Eckert, City Clerk
JUN.28.2OO7 8:53AM FEMA DFO NO.O9O P.1
(„:4W1C41 k9) FEMA
FEMA-1705-DR TA
4149 120TH ST
Urbandale,IA 50323
515-727-8400(Main Phone)
515-727-7913(Main FAX)
Fax
To: tiLGv From: � I 1 01`r
Fau: NCL tLIS �
Date: 10 J,e)/ 5-)
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Phone: Pages: `��'u4-) ����---
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Re: 4� e CCc
L9�ffrgent For Review 0 Please Comment 0 Please Reply ❑Please Recycle
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•
715 Mulberry Street
Waterloo, IA 50703-5783 CITY OF WATERLOO
319-291-4323 PHONE
319-291-4571 FAX
Fax
To: G.Welton From: Nancy Eckert, City Clerk
Fax: Pages: 2, including this one
Phone: Date: June 28, 2007
Re: 1688 CC:
❑ Urgent X For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
If you do not receive all pages or legible copies of this transmission,
please notify our office immediately. Thank you!
• Comments:
Attached is the revised signed document.
Nancy
JUN..2 'HMO? 4:39PM FEMA DFO No.09F., P , r•_
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Cg�V 5g�
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4149 1201 ST
Urbandale,IA23
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515°727 S400(Main Phone)
515-727-7913(Main FAX) 1
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Fax
To: IL-ctei
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Fax: 3 i� 'j' -�f —L(. Dater Cia
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Phone: Pages: e -` c e.)'
CC: _
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