HomeMy WebLinkAbout156-04 RESOLUTION•
• 1
RESOLUTION NO. 156-04
A RESOLUTION AUTHORIZING THE MAYOR TO APPLY FOR
AND ACCEPT A STATE AND TRIBAL ASSISTANCE GRANT
(STAG) FROM THE U. S. ENVIRONMENTAL PROTECTION
AGENCY FOR SANITARY SEWER SYSTEM IMPROVEMENTS;
DESIGNATING THE MAYOR AS THE CITY'S AUTHORIZED
REPRESENTATIVE IN ALL MATTERS RELATING TO THE
PROCUREMENT AND ADMINISTRATION OF SAID GRANT;
AND APPROVING A BUDGET ADJUSTMENT RECOGNIZING
$1,060,500.00 IN GRANT REVENUE.
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1. That the City Council of the City of Fayetteville, Arkansas
hereby authorizes the Mayor to apply for and accept a State and Tribal
Assistance Grant (STAG) from the U. S. Environmental Protection Agency for
sanitary sewer system improvements.
Section 2. That the City Council of the City of Fayetteville, Arkansas
hereby designates the Mayor as the City's Authorized Representative in all
matters relating to the procurement and administration of said grant.
Section 3. That the City Council of the City of Fayetteville, Arkansas
hereby approves a budget adjustment recognizing $1,060,500.00 in grant
revenue.
PASSED and APPROVED this 5th day of October 2004.
ATTEST:
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By: 011/0'/Y)'u,(.t-'
SONDRA SMITH, City Clerk
Version 7/03
APPLICATION FOR
FEDERAL ASSISTANCE
2. DATE SUBMITTED
Applicant Identifier
1. TYPE OF SUBMISSION:
Application
Pre -application
3. DATE RECEIVED BY STATE
State Application Identifier
X
•
Construction
Non -Construction
X
❑
Construction
Non -Construction
4. DATE RECEIVED BY FEDERAL AGENCY
Federal Identifier
5.
APPLICANT INFORMATION
Legal Name:
Organizational Unit:
City of Fayetteville
Department:
Water and Wastewater Department
Organizational DUNS:
Division:
Water and Sewer Operations Division
Address: 113 West Mountain Street
Name and telephone number of person to be contacted on matters involving this
application (give area code)
Street:
113 West Mountain Street
Prefix:
Mr.
First Name:
Greg
City: Fayetteville
Middle Name:
County: Washington
Last Name:
Boettcher
State: Arkansas (AR)
Zip Code:
72701
Suffix:
Country:
USA
Email:
gboettcher(a)ci.fayetteville.ar.us
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
71-6018462
Phone Number (give area code)
(479) 575-8330
Fax Number (give area code)
(479) 575-8257
8. TYPE OF APPLICATION:
X New ■ Continuation •
If Revision, enter appropriate letter(s) in box(es)
(See back of form for description of letters.)
Revision
7. TYPE OF APPLICANT: (See back of form for Application Types)
C (Municipal Govemment)
Other (specify)
Other ( specify)
9. NAME OF FEDERAL AGENCY:
11 S. Environmental Protection Agency
10 CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:
66-606
TITLE (Name of P ro Pin):
State and Tribal Assistance Grants Account
11. DESCRIPTIVE TITLE OF APPLICANT S PROJECT:
Sanitary Sewer Rehabilitation Project (EPA STAG Grant FY 2003/FY2004) for
Basins 1(1, 2, 3, 4, 5, 11) and Minisystem Basins W (2, 27). Project includes
variety of cost-effective sanitary sewer system rehabilitation activities including
slip lining, cured -in-place liners, replacement and other methods as determined
during final design. The project is predicted to include over 15,000 feet of
sanitary sewer lines and appurtenances.
12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc):
City of Fayetteville, Arkansas (Farming on, Greenland Elkins)
13. PROPOSED PROJECT
14. CONGRESSIONAL DISTRICTS OF:
Start Date:
July 2004
Ending Date:
August 2005
a. Applicant
.3
b. Project
3
15. ESTIMATED FUNDING:
(Combined Grants from FY 2003/FY2004)
16.1S APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
ORDER 12372 PROCESS? Yes
a Federal
S 1,060,500
a. Yes X 11115 PREAPPLICATION/APPLICATION WAS MADE
b. Applicant
S 2,089,695
AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR
c. State
f
REVIEW 014
d. Local
$
DATE:
e. Other
S
b. No •
0
REVIEW
PROGRAM IS NOT COVERED BY E. 0. 12372
OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR
f. Program Income
S
17.15 THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
g. TOTAL
S 3,150,195
■
Yes If"Yes" attach an explanation. X No
18. TO THE BEST OF
DOCUMENT HAS BEEN
ATTACHED ASSURANCES
MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICAT1ON/PREAPPLICATION ARE TRUE AND CORRECT.- TFIE
DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE
IF THE ASSISTANCE 1S AWARDED.
a Authorized Representative
Prefix
Mayor
First Name
Dan
Middle Name
Last Name
Coody
Suffix
b. Title . -
Mayor of Fayetteville/
c. Telephone Number (give area code)
(479) 575-8330
d. Signature of Autho
, ���
to � /I
e. Date Sin
/ 5/0 /
Previous Edition U
Authorized for Local Reproduction
tandard Form 4"24 (Kcv. 9 -
Prescribed by OMB Circular A-IO2
v E PA
United States Environmental Protection Agency
Washington, D.C.
EPA Project Control Number
Certification Regarding
Debarment, Suspension, and Other Responsibility Matters
The prospective participant certifies to the best of its knowledge and belief that it and its principals:
(a)
(b)
Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
covered transactions by any Federal department or agency;
Have not within a three year period preceding this proposal been convicted of or had a civil judgement rendered
against them for commission of fraud or a criminal offense in connection with obtaining. attempting to obtain, or
performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal
or State antitrust statutes or commission of embezzlement. theft, forgery, bribery, falsification or destruction of
records, making false statements, or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal. State, or
local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and
(d) Have not within a three-year period preceding this application/proposal had one or more public transactions
(Federal, State, or local) terminated for cause or default.
I understand that a false statement on this certification may be grounds for rejection of this proposal or termination of the
award. In addition, under 18 USC Sec. 1001, a false statement may result in a fine of up to 510,000 or imprisonment for
up to 5 years, or both.
Mayor Dan Coody, Mayor of Fayetteville, Arkansas
Typed Name & Titl Q Author.. d Representative
Signature of Authorized Representativ
1 am unable to certify to the above statements. My explanation is attached.
EPA Form 5700-49(11-88)
Date We/0i
• •
EPA Project Control Number
CERTIFICATION REGARDING LOBBYING
CERTIFICATION FOR CON IRACTS, GRANTS,
LOANS, AND COOPERATIVE AGREEMENTS
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with the awarding of any Federal
contract, the making of any Federal grant, the making of any Federal loan, the entering
into of any cooperative agreement, and the extension, continuation, renewal, amendment,
or modification of any Federal contract, grant, loan, or cooperative agreement. •
(2) If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress in connection with this Federal contract, grant, loan, or
cooperative agreement, the undersigned shall complete and submit Standard Form -LLL,
"Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the
award documents for all sub -awards at all tiers (including sub -contracts, sub -grants, and
contracts under grants, loans, and cooperative agreements) and that all sub -recipients
shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for
making or entering into this transaction imposed by section 1352 , title 31 U.S. Code. Any
person who fails to file the required certification shall be subject to a civil penalty of not less
than $10,000 and not more than $100,000 for each such failure.
Ma or Dan aad Ma or of Fa etteville Arkansas
Typed Nam
d Representative
_24044_
Dat
Signature of Authorized
ntative
A
410PA
Washington, DC 20460
Preaward Compliance Review Report for
All Applicants Requesting Federal Financial Assistance
FORM Approved
OMB No. 2090-0014
Expires: 4-30-99
Note: Read Instructions before completing form.
1. A. Applicant (Name, City, State)
City of Fayetteville, Arkansas
B. Recipient (Name, City, State)
City of Fayetteville, Arkansas
C. EPA Project No.
11. Brief description of proposed project, program or activity. Sanitary sewer rehabilitation project
for Basins 1 (1,2,3,4,5,11) and Minisystem Basins W (2,27). Project includes variety
system rehabilitation activities including slip lining, cured -in-place liners, replacement
determined during final design. The project is predicted to include over 15,000 feet
appurtenances.
(EPA STAG FY2003/FY2004)
of cost-effective sanitary sewer
and other methods as
of sanitary sewer lines and
111. Are any civil rights lawsuits or complaints pending against applicant and/or recipient? If yes, list those complaints and
the disposition of each complaint.
0 Yes
t No
IV. Have any civil rights compliance reviews of the applicant and/or recipient been conducted by any Federal agency during
the two years prior to this application for activities which would receive EPA assistance? If yes, list those compliance
reviews and status of each review.
D Yes
NNo
V. Is any other Federal financial assistance being applied for or is any other Federal financial assistance being applied to any
portion of this project program or activity? If yes, list the other Federal Agency(s), describe the associated work and the
dollar amount of assistance.
0 Yes
6 No
VI. If entire community under the applicant's
plan, give reasons why. The project
prioritization. This multi-year
minimizes each customers
jurisdiction is not served under the existing facilities/services, or will not be sery d under the proposed
is part of an ongoing program that targets areas based upon ranking and
continuing program benefits all customers by reducing backups and overflows plus
user charges by reducing their charges for treatment of the excess wastewater flows.
VH. Population Characteristics
Number of People
1. A. Population of Entire Service Area
58,047
B. Minority Population of Entire Service Area
7,836
2. A. Population Currently Being Served
57,176
B. Minority Population Currently Being Served
7,718
3. A. Population to be Served by Project, Program or Activity
57,716
B. Minority Population to be Served by Project, Program or Activity
7,718
4. A. Population to Remain Without Service
871
B. Minority Population to Remain With Service
118
VIII. Will all new facilities or alterations to existing facilities financed by these funds be designed
and constructed to be readily accessible to and usable by handicapped persons? If no, explain how
a regulatory exception (40 CFR 7.70) applies.
X Yes
0 No
IX. Give the schedule for future projects, programs or activities (or of future plans), by which services will be provided to all beneficiaries within
applicant's jurisdiction. If there is no schedule, explain why. Small isolated remote areas of the city do not currently have central
sewer service. Development, growth and utility extensions will continue to reduce the portions of the population •
that are unserved. All new residential developments in Fayetteville are served by central sanitary sewer service.
X. 1 certify the statements 1 have made on this form and all attachments thereto are true, accurate and complete. 1 acknowledge that any knowingly
false or mis • mg stateme • ay be punishable by fine or imprisonment or both under applicable law.
A. Si:utho:. dM..
,ir 'iMC..r ,'
B. Tide of
Authorized Official
of Fayetteville, Arkansas
C. Date
/G / Q
. ayor
For the U.S. Environmental Protection Agency
Approvedill"
Authorized EPA Official
Date
• Disapproved
EPA Fonn 4700-4 (Rev. 1/90) Previous editions arc obsolete.
• •
QUALITY MANAGEMENT PLAN
x This program/project does not involve environmentally related measurements nor
data generation; therefore, a Quality Management Plan is not required pursuant to
the above referenced assistance regulations.
This program/project involves environmentally related measurements or data
generation; therefore, a Quality Management Plan which meets the requirements
of:
40 CFR 30.54 for universities and non-profit organizations is attached or
has been forwarded to the EPA Project Officer.
40 CFR 31.45 for State and local governments is attached or has been
forwarded to the EPA Project Officer.
Date
orized Representative
/441
City of Fayetteville, Arkansas
Budget Adjustment Form
•
Budget Year
2004
Department: Water & Wastewater
Division: Water & Sewer Maintenance
Program: Sewer Mains Construction
Dale Requested
10/5/2004
Adjustment Number
Project or Item Requested:
$1,060,500 is requested in the Sewer improvements
account of the Sanitary Sewer Rehabilitation - EPA
Rehab Grant Project.
Project or Item Deleted:
None. To recognize revenue of $1,060,500 in the Federal
grants account.
Justification of this Increase:
Funding is needed will be used for sanitary sewer
rehabilitation including slip linings, cured -in-place liners,
replacement, and other methods.
Justification of this Decrease:
A grant was received from the Environmental Protection
Agency for the purpose of sanitary sewer rehabilitation.
Increase Budget (Decrease Revenue)
Account Name Account Number Amount Project Number
Sewer improvements
5400 5700 5815 00 1,060,500 02017 0401
Decrease Budget (Increase Revenue)
Account Name Account Number Amount Project Number
Federal grants.
5400 0940 4309 00 1,060,500 020/ 7 0 `1-v /
Approval Signatures Budget Office Use Only
Type: A B C
Requested : y Date
9-1
udget Manager Date
Department Director Date
Aw
1
ices Finance & InteDi tor
/O
Date
/O
Mayor Date
Date of Approval
Posted to General Ledger
Posted to Project Accounting
Entered in Category Log
Initial Date
Initial Date
Initial Date
Initial Date
NAME OF FILE:
CROSS REFERENC
Item #
Date
Resolution No. 156-04
w/grant application & budget adjustment
Document
•
1
09/15/04
memo to mayor & City Council
2
draft resolution
3
Letter of Transmittal
- RJN
Group
4
copy of application package
5
Exhibit A Project Location Map
6
draft resolution
7
project work plan
8
budget information
g
copy of project map
10
copy of letter EPA Region 6
11
summary of rehabiliation
12
copy of location map 5
13
copy of overall location map
14
copy of location map 1
15
copy of
location map 2
16
copy of location map 3
17
copy of location map 4
18
Staff Review Form
19
Res. 156-04 with wrong date
20
copy of
signed
application package
21
memo to Greg Boettcher
22
copy of preliminary plat
•
ye eti�i le
• /of is fop
/56v�
` ri//x/5/t4.
City Council Meeting of October 5, 2004
CITY COUNCIL AGENDA MEMO
To: Mayor and City Council
Thru: Hugh Earnest
From: Greg Boettcher
b
Chief Administrative Officer Water/Wastewater Director
Date: September 15, 2004
Subject: Resolution authorizing Mayor to execute State and Tribal Assistance Grant
(STAG) Program Application with the Environmental Protection Agency
(EPA) and to serve as the Fayetteville's designated representative relating to
sanitary sewer rehabilitation improvements.
RECOMMENDATION
Fayetteville City Administration recommends approval of a resolution authorizing the
Mayor to file the EPA STAG grant, execute all required documents, furnish required
information and act as the city's designated representative for grant administration.
BACKGROUND
Fayetteville has been the recipient of $1,100,000.00 in EPA Grant Assistance from the
State and Tribal Assistance Program, notificaiton of the awards being made on June 10,
2003 and May 17, 2004 (copies of EPA correspondence attached). The combined EPA
grant funding is proposed to be leveraged with the city's ongoing sewer rehabilitation
funding to accelerate the local program. The EPA grant provides a maximum of 55% of
the costs with 45% being the required local match. On June 15, 2004, a contract with
RJN Group was approved for the project's planning/design/bidding phase services.
DISCUSSION
Consultant efforts on the grant application, the environmental clearances and the design
have proceeded concurrently. Attached are copies of the grant application forms and the
categorical exclusion report that address the funding and environmental needs of the
project. The project approach utilizes parallel work planes to expedite the completion
time for the project.
BUDGET IMPACT
This project is a budgeted activity with the Fayetteville budget containing $2,753,627.90
in unencumbered funds for sanitary sewer rehabilitation, which will be combined with
the net EPA Grant proceeds of $1,060,500.00 to create an adequate project budget of
$3,814,127.90
Odor
• •
RESOLUTION NO.
A RESOLUTION AUTHORIZING THE MAYOR TO APPLY FOR
AND ACCEPT A STATE AND TRIBAL ASSISTANCE GRANT
(STAG) FROM THE U S ENVIRONMENTAL PROTECTION
AGENCY FOR SANITARY SEWER SYSTEM IMPROVEMENTS;
DESIGNATING THE MAYOR AS THE CITY'S AUTHORIZED
REPRESENTATIVE IN ALL MATTERS RELATING TO THE
PROCUREMENT AND ADMINISTRATION OF SAID GRANT;
AND APPROVING A BUDGET ADJUSTMENT RECOGNIZING
$1,060,500.00 IN GRANT REVENUE.
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1. That the City Council of the City of Fayetteville, Arkansas
hereby authorizes the Mayor to apply for and accept a State and Tribal
Assistance Grant (STAG) from the U. S. Environmental Protection Agency for
sanitary sewer system improvements.
Section 2. That the City Council of the City of Fayetteville, Arkansas
hereby designates the Mayor as the City's Authorized Representative in all
matters relating to the procurement and administration of said grant.
Section 3. That the City Council of the City of Fayetteville, Arka�nsa
hereby approves a budget adjustment recognizing $1,060,590,0,0y-tr'i :grant 4
revenue.
PASSED and APPROVED this 5th day of October 2004.
/APPROVED::
ATTES
N COOD , Mayor
By: I l
SONDRA SMITH, ty/Clerk
1
Letter of Transmittal
IRECEIVED
SEP 0 3 2004
RUN Group, Inc.
12160 Abrams Road, Suite 400
Dallas, Texas 75243
(972) 437-4300
TO: Mr. Greg Boettcher, P.E.
Water and Wastewater Director
City of Fayetteville
113 West Mountain Street
Fayetteville, AR 72701
CITY OF FAYETTEVILLE
MAYOR'S OFHVt
Date: 9/2/2004
Job No. 18-1959-00
Attention: Mr. Greg Boettcher, P.E.
Reason: EPA forms
Description
2
9/2/04
We are sending you ❑ Attached r Under Separate Cover Via
El Shop Drawings r Prints C Plans 0 Samples
Copy of Letter
C Report G Change Order Gam' Other
Next Day ithe following items.
I: Specifications
Copies
Date
No.
Description
2
9/2/04
Application Package
These are Transmitted as checked below:
❑ For Approval
G For your Use
❑ As Requested
• Approved as
✓ Approved as
✓ Returned for Corrections
E For Review and Comment
fJ FOR BIDS DUE
20
CJ Resubmit
r Submit
r Return
Copies for Approval
Copies for Distribution
Corrected
Prints Returned After Loan to Us r
Remarks
Copy to: File 18-1959-00
Signed: Hugh Kelso
APPLICATION PACKAGE SUBMITTAL CHECKLIST
X SF 424, 424A, 424C including object class categories worksheet and Key Contacts Form.
X SF 424D Assurances - Construction Programs
Clearinghouse Comments.
X Certification Regarding Debarment, Suspension and Other Responsibility Matters.
X Anti -Lobbying Recipient Certification must be completed and returned if you are
requesting $100,000 or more in Federal funds. Please retain the Disclosure of Lobbying
Activities" form for your use in reporting lobbying activities during the project period of
the assistance award.
NIA Current indirect cost rate negotiation agreement, if applicable.
X Compliance Report - EPA Form 4700-4
X Quality Management Plan statement. If your project/program involves environmentally
related measurements or data generation, a Quality Management Plan is required.
X Workplan - prepared in accordance with instructions provided by your EPA Project
Officer.
NIA SF 3881 - ACH Vendor/Miscellaneous Payment Enrollment
N/A Superfund specific requirements
MAIL THE ORIGINAL AND ONE COPY OF YOUR COMPLETED
APPLICATION TO:
•
Procurement and Grants Section (6MD-RP)
Environmental Protection Agency
1445 Ross Ave., Suite 1200
Dallas TX 75202-2733
•
INSTRUCTIONS FOR THE SF -424
Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget,
Paperwork Reduction Project (0348-0043), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET, SEND IT TO THE ADDRESS
PROVIDED BY THE SPONSORING AGENCY.
This is a standard form used by applicants as a required face sheet for pre -applications and applications submitted for Federal assistance. It will be used by Federal
agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have
selected the program to be included in their process, have been given an opportunity to review the applicant's submission.
Item
Entry-
Item.
Entry.
1.
Select Type of Submission.
11.
Enter a brief descriptive title of the project. If more than one
program is involved, you should append an explanation on a separate
sheet. if appropriate (e.g., construction or real property projects),
attach a map showing project location. For prcapplications, use a
separate sheet to provide a summary description of this project.
2.
Date application submitted to Federal agency (or State if applicable)
and applicant's control number (if applicable)
12.
List only the largest political entities affected (e.g., State, counties,
cities).
3.
State use only (if applicable).
13.
Enter the proposed start date and end date of the project.
4.
Enter Date Received by Federal Agency Federal identifier number: If
this application is a continuation or revision to an existing award,
enter the present Federal Identifier number. If for a new project,
leave blank.
14.
List the applicant's Congressional District and any District(s)
affected by the program or project
5.
Enter legal name of applicant, name of primary organizational unit
(including division, if applicable), which will undertake the assistance
activity, enter the organization's DUNS number (received from Dun
and Bradstreet), enter the complete address of the applicant (including
country), and name, telephone number, e-mail and fax of the person
to contact on matters related to this application.
15.
Amount requested or to be contributed during the first
f inding/budget period by each contributor. Value of in kind
contributions should be included on appropriate lines as applicable.
If the action will result in a dollar change to an existing award,
indicate only the amount of the change. For decreases, enclose the
amounts in parentheses. If both basic and supplemental amounts are
included, show breakdown on an attached sheet. For multiple
program funding, use totals and show breakdown using same
categories as item 15.
6.
Enter Employer Identification Number (EIN) as assigned by the
Internal Revenue Service.
16.
Applicants should contact the State Single Point of Contact (SPOC)
for Federal Executive Order 12372 to determine whether the
application is subject to the State intergovernmental review process.
7.
Select the appropriate letter in
the space provided. 1. State Controlled
A. State Institution of Higher
B. County Learning
C. Municipal J. Private University
D. Township K. Indian Tribe
E. Interstate L. Individual
F. Intermunicipal M. Profit Organization
G. Special District N. Other (Specify)
H. independent School O. Not for Profit
District Organization
17.
This question applies to the applicant organization, not the person
who signs as the authorized representative. Categories of debt
include delinquent audit disallowances, loans and taxes.
8.
Select the type from the following list:
• "Ncw" means a new assistance award. -
• "Continuation" means an extension for an additional
funding/budget period for a project with a projected
completion date.
• `Revision" means any change in the Federal
Government's financial obligation or contingent liability
from an existing obligation. If a revision enter the
appropriate letter.
A increase Award B. Decrease Award
C. Increase Duration D. Decrease Duration
18.
To be signed by the authorized representative of the applicant. A
copy of the governing body's authorization for you to sign this
application as official representative must be on file in the applicant's
office. (Certain Federal agencies may require that this authorization
be submitted as part of the application.)
9.
Name of Federal agency from which assistance is being requested
with this application.
10.
Use the Catalog of Federal Domestic Assistance number and title of
the program under which assistance is requested.
SF -424 (Rev. 7-97) Back
OMB Approval No. 0348-0042
ASSURANCES - CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
Awarding Agency. Further certain Federal assistance awarding agencies may require applicants to certify to additional
assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance,
and the institutional, managerial and financial capability
(including funds sufficient to pay the non -Federal share
of project costs) to ensure proper planning,
management and completion of the project described in
this application.
2. Will give the awarding agency, the Comptroller General
of the United States and, if appropriate, the State,
through any authorized representative, access to and
the right to examine all records, books, papers, or
documents related to the assistance; and will establish
a proper accounting system in accordance with
generally accepted accounting standards or agency
directives.
3. Will not dispose of, modify the use of, or change the
terms of the real property title, or other interest in the
site and facilities without permission and instructions
from the awarding agency. Will record the Federal
interest in the title of real property in accordance with
awarding agency directives and will include a covenant
in the title of real property aquired in whole or in part
with Federal assistance funds to assure non-
discrimination during the useful life of the project.
4. Will comply with the requirements of the assistance
awarding agency with regard to the drafting, review and
approval of construction plans and specifications.
5. Will provide and maintain competent and adequate
engineering supervision at the construction site to
ensure that the complete work conforms with the
approved plans and specifications and will furnish
progress reports and such other information as may be
required by the assistance awarding agency or State.
6. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
7. Will establish safeguards to prohibit employees from
using their positions for a purpose that constitutes or
presents the appearance of personal or organizational
conflict of interest, or personal gain.
Previous Edition Usable
8. Will comply with the Intergovernmental Personnel Act
of 1970 (42 U.S.C. §§4728-4763) relating to prescribed
standards for merit systems for programs funded
under one of the 19 statutes or regulations specified in
Appendix A of OPM's Standards for a Merit System of
Personnel Administration (5 C.F.R. 900, Subpart F).
9. Will comply with the Lead -Based Paint Poisoning
Prevention Act (42 U.S.C. §§4801 et seq.) which
prohibits the use of lead-based paint in construction or
rehabilitation of residence structures
10. Will comply with all Federal statutes relating to non-
discrimination. These include but are not limited to: (a)
Title VI of the Civil Rights Act of 1964 (P.L. 88-352)
which prohibits discrimination on the basis of race,
color or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. §§1681
1683 and 1685-1686), which prohibits discrimination
on the basis of sex; (c) Section 504 of the
Rehabilitation Act of 1973, as amended (29 U.S.C.
§794), which prohibits discrimination on the basis of
handicaps; (d) the Age Discrimination Act of 1975, as
amended (42 U.S.C. §§6101-6107), which prohibits
discrimination on the basis of age; (e) the Drug Abuse
Office and Treatment Act of 1972 (P1.. 92-255), as
amended, relating to nondiscrimination on the basis of
drug abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) §§523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee
3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the
Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as
amended, relating to nondiscrimination in the sale,
rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is being
made; and, 0) the requirements of any other
nondiscrimination statute(s) which may apply to the
application.
Standard Form 424D (Rev. 7-97)
Authorized for Local Reproduction Prescribed by OMB Circular A-102
•
11. Will comply, or has already complied, with the
requirements of Titles II and III of the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of
1970 (P.L. 91-646) which provide for fair and equitable
treatment of persons displaced or whose property is
acquired as a result of Federal and federally -assisted
programs. These requirements apply to all interests in real
property acquired for project purposes regardless of
Federal participation in purchases.
12. Will comply with the provisions of the Hatch Act (5 U.S.C.
§§1501-1508 and 7324-7328) which limit the political
activities of employees whose principal employment
activities are funded in whole or in part with Federal funds.
13. Will comply as applicable, with the provisions of the Davis -
Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act
(40 U.S.C. §276c and 18 U.S.C. §874). and the Contract
Work Hours and Safety Standards Act (40 U.S.C. §§327-
333) regarding labor standards for federally -assisted
construction subagreements.
14. Will comply with flood insurance purchase requirements of
Section 102(a) of the Flood Disaster Protection Act of 1973
(P.L. 93-234) which requires recipients in a special flood
hazard area to participate in the program and to purchase
flood insurance if the total cost of insurable construction
and acquisition is $10,000 or more.
15. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the
•
National Environmental Policy Act of 1969 (P.L. 91-
190) and Executive Order (EO) 11514; (b) notification
of violating facilities pursuant to EO 11738; (c)
protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance
with EO 11988; (e) assurance of project consistency
with the approved State management program
developed under the Coastal Zone Management Act of
1972 (16 U.S.C. §§1451 et seq.); (f) conformity of
Federal actions to State (Clean Air) Implementation
Plans under Section 176(c) of the Clean Air Act of
1955, as amended (42 U.S.C. §§7401 et seq.); (g)
protection of underground sources of drinking water
under the Safe Drinking Water Act of 1974, as
amended (P.L. 93-523); and, (h) protection of
endangered species under the Endangered Species Act
of 1973, as amended (P.L. 93-205).
16. Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. §§1271 et seq.) related to protecting
components or potential components of the national
wild and scenic rivers system.
17. Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
Act of 1966, as amended (16 U.S.C. §470), EO 11593
(identification and protection of historic properties), and
the Archaeological and Historic Preservation Act of
1974 (16 U.S.C. §§469a-1 et seq.). •
18. Will cause to be performed the required financial and
compliance audits in accordance with the Single Audit
Act Amendments of 1996 and OMB Circular No. A-133,
"Audits of States, Local Governments, and Non -Profit
Organizations."
19. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations, and policies
governing this program.
SIGNATURE OF ORIZED
G
RTIFYING OFFICIAL
APPLICANT ORGANIZATION
City of Fayetteville, Arkansas
TITLE
Mayor of Fayetteville, Arkansas
DATE SUBMITTED
September 2, 2004
SF -424D (Rev. 7-97) Back
&EPA
KEY CONTACTS FORM
Form Approved () No:2030-0020 Approval Expires 12/3/02
Authorized Representative: Original awards acrid amendments will be sent to this individual for review
and acceptance, unless otherwise indicated.
Name: Mayor Dan Coody
Title: Mayor of Fayetteville
Complete Address. 113 West Mountain Street
Fayetteville, Arkansas 72701
Phone Number: (479) 575 8330
Payee: Individual authorized to accept payments.
Name: Steve Davis,
Title: Financial and Administrative Services Director
Mail Address: 113 West Mountain Street
Fayetteville, Arkansas 72701
Phone Number (479) 575-8302
Administrative Contact: Individual from Sponsored Program Office to contact concerning
administrative matters (i.e., indirect cost rate computation, rebudgeting requests etc)
Name: Greg Boettcher
Title: Water and Wastewater Director
Mailing Address: 113 West Mountain Street
Fayetteville, Arkansas 72701
Phone Number:
FAX Number:
E -Mail Address:
(479) 575-8330
(479)575-8257
gboettcherQct.fayetteville.ar.us
Principal Investigator: Individual responsible for the technical completion of the proposed work.
Name. RJN Group, Inc. -Hugh Kelso -Engineering Consultant
Title: Regional Vice President
Mailing Address: 12160 Abrams Road, Ste 400
Dallas, Texas 75243
Phone Number: (972) 437-4300
FAX Number: (972) 437-2707
E -Mail Address: hkelso@rjn.com
Web URL:
EPA Form 5700-54 (Rev 4-02)
•
RESOLUTION NO.
A RESOLUTION STATING THE CITY OF FAYETTEVILLE'S INTENT TO
SEEK FUNDING THROUGH THE ENVIRONMENTAL PROTECTION
AGENCY'S STATE AND TRIBAL ASSISTANCE GRANTS PROGRAM FOR
SANITARY SEWER SYSTEM IMPROVEMENTS AND AUTHORIZING THE
MAYOR TO PURSUE FUNDING AND EXECUTE APPLICATIONS AS THE
CITY'S DESIGNATED REPRESENTATIVE.
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1. That the Mayor of Fayetteville, Arkansas is authorized to prepare and
submit documents which are necessary in applying for funding and establishing an
administrative organization to implement activities pursuant to a Special Appropriations
Project as funded by the Environmental Protection Agency through its State and Tribal
Assistance Program.
PASSED and APPROVED this 7'h day of September, 2004
APPROVED:
By:
DAN COODY, Mayor
ATTEST:
By:
SONDRA SMITH, City Clerk
•
1 •
PROJECT WORK PLAN
Project Title: Sanitary Sewer Rehabilitation in Basins 11-I5,111,112,
116,118, W-2, and W-27
Name of Applicant: City of Fayetteville, Arkansas
Project Need:
The objective of the project is to complete sanitary sewer
rehabilitation to reduce Infiltration/Inflow, reduce
maintenance problems and provide better service to
customers, and reduce the occurrence of sanitary sewer
overflows.
Project Description and Activities: The Project will include the complete replacement of
approximately 14,000 linear feet of sanitary sewer and
point repairs at approximately 42 locations. The activities
funded by this grant will only include the construction
related activities and will not include planning,
engineering, inspection activities, etc. The general
location of the project area is shown on Exhibit A.
Project Environmental Benefits:
Project Schedule:
The primary environmental benefit of this project will be
to reduce sewer backups and the occurrence of sanitary
sewer overflows. All of the sewer repairs that will be
completed in this project are upstream of known backup
or overflow locations. Repair of these sewers will reduce
or eliminate the occurrence of sewerage backups into
private residences and businesses and also reduce the
occurrence of discharge of raw sewerage from
overflowing manholes in the project area.
The design of the improvements is currently underway
utilizing non -grant funding. The construction phase of the
project, which will be funded by this grant, is expected to
be initiated in early to mid 2005 and be completed by mid
2006.
Project Budget: See attached Form 424C.
el9act) 1.10i11P3 anoIrid
•
•
15. Project (program) income $ .00 $ .00 $ 3,150,195 .00
16. TOTAL PROJECT COSTS (subtract #15 from #14) $ 3,793,185 .00 $ 0.00 $
FEDERAL FUNDING
14. SUBTOTAL
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10. Equipment
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4. Architectural and engineering fees
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OMB Approval No. 0348-004�
BUDGET INFORMATION - Construction Programs .
NoTF Certain Federal assistance oroorams require additional computations to arrive at tM Federal sham of project costs eligible for participation. If such is the case, you will be notified.
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$ 3,506,804 .00
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