HomeMy WebLinkAbout199-05 RESOLUTION• •
RESOLUTION NO. 199-05
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
$481,200 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 $481,200.00 in grant revenue.
PASSED and APPROVED this 4th day of October, 2005.
APPROVED:
By
ATTEST:
By: i / a
SO A SMITH, City Clerk
DAN COODY, Mayor
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U.S. ENVIRONMENTAL
PROTECTION AGENCY
Cooperative Agreement
ASSISTANCE ID NO.
DATE OF AWARD
SEP 1 3 20�
PRG 1 DOC ID IAMENDIY
XP - 96606201 - 0
TYPE OF ACTION
MAILING
DATE
2 0 2�r
ACHMENT METHOD:
H#
ACHp
RECIPIENT TYPE:
Send Payment Request to:
Municipal
Las Vegas Finance Center
RECIPIENT:
PAYEE:
City of Fayetteville
City of Fayetteville
113 West Mountain Street
113 West Mountain Street
Fayetteville, AR 72701
Fayetteville, AR 72701
EIN: 71-6018462
PROJECT MANAGER
EPA PROJECT OFFICER
EPA GRANT SPECIALIST
Mr. David Jurgens
Rajen Patel
Linda Lyons
113 West Mountain Street
Water Quality Protection Division, 6WQ-AP
Procurement and Grants Section. 6MD-RX
Fayetteville, AR 72701
E -Mail: Lyons.Linda®epamail.epa.gov
E -Mail: djurgens@ci.fayetteville.ar.us
E -Mall: Patel.Rajen®epamail.epa.gov
Phone: 214-665-7419
Phone: 479-575-8318
Phone: 214-665-2788
PROJECT TITLE AND DESCRIPTION
AR -City of Fayetteville Sanitary Sewer Rehabilitation Project
The project consists of rehabilitation of sanitary sewer manholes and sewer lines to be identified in the sanitary sewer evaluation study underway for the City
Basin 1-15. Rehabilitation of sewer lines will utilize open cut replacement, cured -in-place piping and pipe bursting methods. The project is anticipated to
significantly reduce the infowrinfiltration in the entire project area, thereby reducing the maintenance cost and sewer main blockages.
BUDGET PERIOD
PROJECT PERIOD
TOTAL BUDGET PERIOD COST
TOTAL PROJECT PERIOD COST
01/01/2006 - 12/31/2008
01/01/2006 - 12/31/2008
$874.910.00
5874,910.00
NOTE: The Agreement must be completed in duplicate and the Original returned to the appropriate Grants Management Office listed below,
within 3 calendar weeks after receipt or within any extension of time as may be granted by EPA Receipt of a written refusal or failure
to return the properly executed document within the prescribed time, may result In the withdrawal of the otter by tho Agency Any
change to the Agreement by the Recipient subsequent to the document being signed by the EPA Award Official, which the Award
Oficial determines to materially alter the Agreement, shall void the Agreement.
OFFER AND ACCEPTANCE
The United States, acting by and through the U.S. Environmental Protection Agoncy(EPA), hereby otters Assistance/Amendment to
the
City of Fayetteville for 55.00 % of all approved costs
Incurred up to and not exceeding
5481.200
for the support of approved budget period effort described In application
(including all application modifications)
cited In the Project
Title and Description above, signed
08/01/2005 Included
herein by reference.
ISSUING OFFICE (GRANTS MANAGEMENT OFFICE)
AWARD APPROVAL OFFICE
ORGANIZATION / ADDRESS
ORGANIZATION 1 ADDRESS
Management Division. 6MD-RX
U.S. EPA, Region 6
14-45 Ross Avenue. Suite 1200
Water Quality Protection Division (6WQ)
Dallas. TX 75202-2733
1445 Ross Avenue
Dallas, TX 75202-2733
THE UNITED STATES OF AMERICA BY THE U.S. ENVIRONMENTAL PROTECTION AGENCY
SIGN URE OFA
9.9FJICIAL
TYPED NAME AND TITLE
TFl .2
/1/j
y��
2-3 -" .__
Miguel I. Flores. Directs Water Quality Protection Division (6WQ)
1 3
212-3-1"-"
This agreement Is subject to applicable U.S. Environmental Protection Agoncy statutory provlslons and assistance regulations. In
accepting this award or amendment and any payments mado pursuant thereto, (1) the undersigned represents that he s duly
authorized to act on behalf of the recipient organization, and (2) the recipient agrees (a) that the award Is subject to the applicable
provlslons of 40 CFR Chapter 1, Subchapter B and of the provisions of this agreement (and all attachments), and (b) that acceptance of
any payments constitutes an agreement by the payee that the amounts, 11 any found by EPA to have been overpaid will bo refunded or
credited In full to EPA.
BY AND ON BEHALF OF THE DESIGNATED RECIPIENT ORGANIZATION
"��"C///p/1�
SIGNAT/��riYL 6,0241
NAME AND TITLE
TYPEDATE
Dan Co
Dan Coody, Mayor
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EPA Funding Information
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XP 96606201.0 Page 2
FUNDS
FORMER AWARD
THIS ACTION
AMENDED TOTAL
EPA Amount ThIs Action
$
$ 481,200
$ 481.200
EPA In -Kind Amount
Cost
Organization
$
S
$ 0
Unexpended Prior Year Balance
$
0600GKV'
0600OQM
$
4183
4183
$ 0
Other Federal Funds
240.600
240,600
$
$
$ 0
Recipient Contribution
$
$ 393,710
5 393,710
State Contribution
$
$
$ 0
Local Contribution
$
$
$ 0
Other Contribution
S
$
$ 0
Allowable Project
Cost
$ 0
5 874,910
$ 874,910
Assistance Program
(CFDA)
Statutory Authority
Regulatory Authority
66.606 - Surveys - Studies - Investigations and
Special Purpose Grants
Consolidated Appropriations Act of 2005 (PL
108-447)
40 CFR PART 31
Fiscal
Site Name
DCN
FY
Approp.
Code
Budget
Organization
PRC
Object
Class
Site/Protect
Cost
Organization
Obligation /
Doobllgation
-
-
WA0015
WA0015
O O
N N
E4
E4
0600GKV'
0600OQM
202851E
202851E
4183
4183
-
-
-
-
240.600
240,600
481.200
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XP - 96606201 - 0 Page 3
Approved
Budget
Program Element Classification (Construction)
Approved Allowable Budget Period Cost
1. Administration Expense
$0
2. Preliminary Expense
$0
3. Land Structure, Right Of Way
$0
4. Architectural Engineering Basic Fees
$0
5. Other Architectural Engineering Fees
$0
6. Project
Inspection Foes
$0
7. Land Development
$0
8. Relocation Expenses
$0
9. Relocation Payments to Individuals & Bus.
$0
10. Demolition and Removal
$0
11. Construction and Protect
Improvement
$874,910
12. Equipment
$0
13. Miscellaneous
$0
14. Total (Lines 1 thru 13)
$874,910
15. Estimate income
$0
16. Net Project
Amount (Line 14 minus 15)
5874,910
17. Less: ineligible Exclusions
$0
18. Add: Contingencies
$0
19. Total
(Share: Recip 45.00% Fed 55.00%)
$874,910
20. TOTAL
APPROVED
ASSISTANCE
AMOUNT
$481.200
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XP -96606201-0 Page 4
Administrative Conditions
This Assistance Agreement is awarded in accordance with the Federal Grants and Cooperative
Agreement Act of 1977. Areas of substantial EPA involvement, beyond the normal exercise of
performance evaluation and program review, have been detailed in specific output objectives
which resulted from negotiation between EPA and the recipient. These areas are included in the
application for this award and have become a part of this Agreement.
1. The recipient covenants and agrees that it will expeditiously initiate and timely complete the
project work for which assistance has been awarded under this Agreement, in accordance
with all applicable provisions of 40 CFR Chapter 1, Subchapter B. The recipient warrants,
represents, and agrees that it and all its contractors, employees and representatives, will
comply with all APPLICABLE provisions of 40 CFR Chapter 1, Subchapter B,
INCLUDING BUT NOT LIMITED TO the provisions of 40 CFR Parts 31, 32, 34, and
35. This award may be reduced or terminated at such time the recipient fails to comply with
the program objectives, grant award conditions, or Federal reporting requirements.
2. Recipient standards of administration, property management, procurement and financial
management, as well as records and facilities of recipients, their contractors and
subcontractors are subject to audit and inspection by the Comptroller General of the United
States and the U S Environmental Protection Agency in accordance with Office of
Management and Budget (OMB) Circulars A-87, A-102, or A -I 10, as appropriate, A-133 and
40 CFR Part 31. The recipient's standards governing procurement will be in accordance with
40 CFR, Part 31.36 and OMB Circular A-102. The recipient shall maintain a financial
management system which meets the requirements of 40 CFR Part 31.20.
3. Any State agency or agency of a political subdivision of a State which is using appropriated
Federal funds shall comply with the requirements set forth in Section 6002 of the Resource
Conservation and Recovery Act (RCRA) (42 U.S.C. 6962). Regulations issued under RCRA
Section 6002 apply to any acquisition of an item where the purchase price exceeds $10,000 or
where the quantity of such items acquired in the course of the preceding fiscal year was
$10,000 or more. RCRA Section 6002 requires that preference be given in procurement
programs to the purchase of specific products containing recycled materials identified in
guidelines developed by EPA. These guidelines are listed in 40 CFR 247.
4. In accordance with EPA Order 1000.25 and Executive Order 13101, Greening the
Government Through Waste Prevention, Recycling, and Federal Acquisition, the recipient
agrees to use recycled paper for all reports which are prepared as a part of this agreement and
delivered to EPA. This requirement does not apply to reports prepared on forms supplied by
EPA, or to Standard Forms, which are printed on recycled paper and are available through the
General Services Administration. Please note that Section 901 of Executive Order 13101,
dated September 14, 1998, revoked Executive Order 12873, Federal Acquisition, Recycling,
and Waste Prevention in its entirety.
5. In accordance with 40 CFR Part 31.41, the recipient shall submit an annual Financial
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Status Report (FSR), Standard Form 269 or 269A, to:
Grants Team (6MD-RX)
U. S. Environmental Protection Agency, Region 6
1445 Ross Avenue
Dallas, Texas 75202-2733
The final Financial Status Report (FSR) is due on or before 90 days after the end of the
budget period. In accordance with Agency policy, all project expenditures reported by the
recipient shall be deemed to include both the Federal and recipient share of the expenditures.
The final Financial Status Report (FSR) shall be submitted to:
U.S. Environmental Protection Agency
Las Vegas Finance Center
P.O. Box 98515
Las Vegas, Nevada 89193-8515
6. The recipient agrees to ensure that all conference, meeting, convention, or training space
funded in whole or in part with federal funds, complies with the Hotel and Motel Fire Safety
Act of 1990.
7. Under the Paperwork Reduction Act of 1995, Office of Management and Budget (OMB)
clearance must be obtained prior to collecting information from 10 or more persons and will
use EPA's name while collecting the information under this project. The term "person"
means an individual, parmership, association, corporation, business, trust, or legal
representative, an organized group of individuals, a State, territory, or local government or
branch thereof, or a political subdivision of a State, territory, or local government or a branch
of a political subdivision. The EPA Project Officer is responsible for requesting clearance
from OMB.
8. In accordance with OMB Circular A -I33, the recipient shall obtain a single audit if it
expends $500,000 or more a year in federal awards. The recipient shall also submit a copy of
the audit report to:
Grants Team (6MD-RX)
U.S. Environmental Protection Agency, Region 6
1445 Ross Avenue
Dallas, Texas 75202-2733
9. The Federal share of allowable expenditures chargeable to this assistance project will be
financed by the EPA AUTOMATED CLEARING HOUSE (EPA-ACH) PAYMENT
SYSTEM.
The recipient will strictly adhere to the accounting and reporting procedures described in the
EPA-ACH Recipient's Manual for the duration of the project. Four conditions should receive
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special attention:
a. Cash drawdowns will be made only as actually needed for disbursements.
b. The recipient will provide timely reporting of cash disbursements and balances through
semi-annual submission (within fifteen (15) days after June 30 and December 31 of each
calendar year) of the Federal Cash Transactions Report (SF -272) to:
U.S. Environmental Protection Agency
Las Vegas Finance Center
P.O. Box 98515
Las Vegas, Nevada 89193-8515
c. The recipient will impose the same standards of timing and reporting on secondary recipients,
if any.
d. When a drawdown under the EPA-ACH Payment System occurs, the recipient must show the
Assistance Agreement Number(s) under "Financial Data" on the EPA-ACH Payment Request
Form. Requests for payment should be faxed to:
(702) 798-2411
Las Vegas Finance Center
Attention: Anedia Feaster
10. In accordance with 40 CFR Part 31.41, the recipient shall submit an annual Financial
Status Report (FSR), Standard Form 269 or 269A, to:
Grants Team (6MD-RX)
U. S. Environmental Protection Agency, Region 6
1445 Ross Avenue
Dallas, Texas 75202-2733
The final Financial Status Report (FSR) is due on or before 90 days after the end of the
budget period. In accordance with Agency policy, all project expenditures reported by the
recipient shall be deemed to include both the Federal and recipient share of the expenditures.
For construction grants when required in accordance with 40 CFR Part 31.41(e)(2)(iii), the
Federal agency may substitute the Financial Status Report specified in Part 31.41(6) for the
Outlay Report and Request for Reimbursement, Standard Form 271. The final Financial
Status Report (FSR) shall be submitted to:
U.S. Environmental Protection Agency
Las Vegas Finance Center
P.O. Box 98515
Las Vegas, Neveda 89193-8515
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11. The recipient agrees to comply with the requirements of EPA's Program for Utilization of
Small, Minority and Women's Business Enterprises in procurement under assistance
agreements:
a. The recipient accepts the applicable FY 2003 Minority Business Enterprise (MBE)/Women's
Business Enterprise (WBE) "fair share" goals/objectives negotiated with EPA by the
Arkansas Department of Environmental Quality as follows:
MBE: CONSTRUCTION - 0%; SUPPLIES - 1.0%; SERVICES - .7%; EQUIPMENT - 1.91%
WBE: CONSTRUCTION - 0%; SUPPLIES - 4.3%; SERVICES - 5.4%; EQUIPMENT - 3.35%
If the recipient wishes to negotiate their own FY 2005 MBE/WBE goals, the recipient must
submit proposed MBE/WBE goals based on an availability analysis, or, at their option, a
disparity study, of qualified MBEs and WBEs to do the work in the relevant market for
construction, services, supplies and equipment. The recipient agrees to submit proposed "fair
share" objectives, together with the supporting availability analysis or disparity study, to the
Regional MBE/WBE Coordinator within 30 days of award. EPA will conclude "fair share"
negotiations within 30 days of receiving the submission. Once EPA approves the objectives,
the recipient agrees to apply them in accordance with paragraphs 1.(b) -(f).
b. (1) The recipient agrees to ensure, to the fullest extent possible, that at least the applicable
"fair share" objectives of Federal funds for prime contracts or subcontracts for supplies,
construction, equipment or services are made available to organization owned or controlled
by socially and economically disadvantaged individuals, women and Historically Black
Colleges and Universities.
(2) For assistance agreements related to research under the Clean Air Act Amendments of
1990, the recipient agrees to ensure, to the fullest extent possible, that at least the applicable
"fair share" objectives of Federal funds for prime contracts or subcontracts for supplies,
construction, equipment or services are made available to organizations owned or controlled
by socially and economically disadvantaged individuals, women, disabled Americans,
Historically Black Colleges and Universities, Colleges and Universities having a student
body in which 40% or more of the students are Hispanic, minority institutions having a
minority student body of 50% or more, and private and voluntary organizations controlled by
individuals who are socially and economically disadvantaged.
c. The recipient agrees to include in its bid documents the applicable "fair share" objectives and
require all of its prime contractors to include in their bid documents for subcontracts the
negotiated "fair share" percentages.
d. The recipient agrees to follow the six affirmative steps or positive efforts stated in 40 CFR
Section 30.44(b), 31.36(e), or 35.6580, as appropriate, and retain records documenting
compliance.
e. The recipient agrees to submit an EPA form 5700-52A "MBE/WBE Utilization Under
Federal Grants, Cooperative Agreements and Interagency Agreements" beginning with the
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Federal fiscal year quarter the recipient receives the award and continuing until the project is
completed. These reports must be submitted to the Regional MBE/WBE Coordinator within
30 days of the end of the Federal Fiscal quarter (January 30, April 30, July 30, and October
30). For assistance awards for continuing environmental programs and assistance awards
with institutions of higher education, hospitals and other non-profit organizations, the
recipient agrees to submit an EPA form 5700-52A to the Regional MBE/WBE Coordinator
by October 30 of each year. (Reporting form available at www.epa.gov/osdbu.)
f. If race and/or gender neutral efforts prove inadequate to achieve a "fair share" objective, the
recipient agrees to notify EPA in advance of any race and/or gender conscious action it plans
to take to more closely achieve the "fair share" objectives.
12. The recipient also agrees and is required to utilize the six affirmative steps if a contract is
awarded under this agreement relative to small businesses in rural areas (SBRAs) in
compliance with Section 129 of Public Law 100-50, 40 CFR 30.44(b) and 40 CFR 31.36(e).
13. EPA may take corrective action under 40 CFR Parts 30, 31, and 35, as appropriate, if the
recipient fails to comply with the MBE/WBE terms and conditions.
14. The Recipient agrees that upon receipt of this funding assistance award, that the enclosed
SF -3881 (ACH Vendor/Miscellaneous Payment Enrollment Form) will be completed and
returned to the EPA Las Vegas Finance Center. The Recipient should further contact the EPA.
Project Officer listed on the first page of the Cooperative Agreement to obtain instructions
for setting up the A Dual Signatory Process @ in the Electronic Funds Transfer (EFT)
System. Thereafter, the Recipient will be supplied with appropriate forms and instructions for
requesting reimbursements.
15. The assistance recipient agrees to comply with Executive Order 13202
(Feb. 22, 2001, 66 Fed. Reg. 11225) of February 17, 2001, entitled
"Preservation of Open Competition and Government Neutrality Towards
Government Contractors' Labor Relations on Federal and Federally
Funded Construction Projects," as amended by Executive Order 13208
(April 11, 2001, 66 Fed. Reg. 18717) of April 6, 2001, entitled "Amendment
to Executive Order 13202, Preservation of Open Competition and
Government Neutrality Towards Government Contractors' Labor Relations
on Federal and Federally Funded Construction Projects.
16. In accordance with 40 CFR 30.27(b) or 31.36(j)(I), EPA's participation in the salary
(excluding overhead) paid to individual consultants is limited to the maximum hourly
rate for a level 4 of the Executive Schedule, which is currently approximately S67.22
per hour or S537.76 per day (2005).
17. Pursuant to EPA's annual Appropriations Act, the chief executive officer of this
recipient agency shall require that no grant funds have been used to engage
in lobbying of the Federal Government or in litigation against the United States
unless authorized under existing law. As mandated by this Act, the recipient
agrees to provide certification to the award official via EPA Form 5700-53,
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Lobbying and Litigation Certificate , within 90 days after the end of project
period. The form can be accessed at
http://www.epa.gov/ogd/forms/adobe/5700-53.pdf.
18. Recipient shall abide by its respective OMB Circular (A-21, A-87, or A-122), which
prohibits the use of federal grant funds for litigation against the United States. Any
Part 30 recipient shall abide by its respective OMB Circular (A-21 or A-122), which
prohibits the use of Federal grant funds to participate in various forms of lobbying or
other political activities.
19. The recipient agrees to comply with Title 40 CFR Part 34, New Restrictions on Lobbying .
The recipient shall include the language of this provision in award documents for all
subawards exceeding $100,000, and require that subrecipients submit certification
and disclosure forms accordingly.
20. In accordance with the Byrd Anti -Lobbying Amendment, any recipient who makes a
prohibited expenditure under Title 40 CFR Part 34 or fails to file the required
certification or lobbying forms shall be subject to a civil penalty of not less than
$10,000 and not more than $100,000 for each such expenditure.
21 Recipient shall fully comply with Subpart C of 40 CFR Part 32, entitled "Responsibilities of
Participants Regarding Transactions." Recipient is responsible for ensuring that any lower
tier covered transaction, as described in Subpart B of 40 CFR Part 32, entitled
"Covered Transactions," includes a term or condition requiring compliance with Subpart C.•
Recipient is responsible for further requiring the inclusion of a similar term or condition in
any subsequent lower tier covered transactions. Recipient acknowledges that failing to
disclose the information required under 40 CFR 32.335 may result in the delay or
negation of this assistance agreement, or pursuance of legal remedies, including
suspension and debarment.
22. Recipient may access the Excluded Parties List System at www.cnls.aov. This term and
condition supersedes EPA Form 5700-49, "Certification Regarding Debarment, Suspension,
and Other Responsibility Matters."
Programmatic Conditions
In accordance with the National Environmental Policy Act (NEPA), 42 U.S.C.
§ 4321 et seq , EPA is required to conduct an environmental review on the
project funded by this grant Accordingly:
The recipient agrees to provide EPA, in a timely fashion, an environmental
information document (EID) containing all the necessary information on the
project including a written analysis of the alternatives and the environmental
impacts of the project. The EID must be of sufficient scope and detail to enable
EPA to perform an environmental review under NEPA and other Federal
environmental statutes
The recipient agrees not to take any action on the project beyond conceptual
design (Conceptual design is essentially the same as facility planning as defined
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• •
in EPA's Construction Grants program), including but not limited to, beginning
the preparation of plans and specifications, purchasing land, advertising or
awarding design and/or construction contracts, initiating construction or
requesting reimbursement from EPA for costs associated with such actions until
such time as EPA has completed its environmental review in accordance with
NEPA and 40 CFR Part 6 and 1500 et seq Completion of this review will be
evidenced by the issuance of a Categorical Exclusion (CE), the conclusion of the
Finding of No Significant Impact (FNSI) process, or the issuance of a Record of
Decision (ROD).
The recipient agrees that, upon completion of the NEPA review, design and
construction shall be undertaken in accordance with the results of that review,
including but not limited to, the implementation of measures EPA identifies as
reasonable to mitigate the environmental impacts of the project EPA reserves
the right to unilaterally terminate this grant in the event the recipient fails to
comply with this condition, in accordance with 40 CFR Section 31.43.
2. This award is subject to all applicable Federal crosscutting laws and authorities
as well as EPA, Office of Wastewater Management, policy guidance dated
June 6, 2005 - attached hereto as Attachment A.
3. The recipient will work with the EPA Las Vegas Finance Center (LVFC) to setup
the U.S. Department of Treasury's "Automated Standard Application For
Payment" (ASAP) system. ASAP is an electronic payment system that the
recipient will access via the Internet. Once enrolled in ASAP, the recipient
should contact their EPA Project Officer for instructions on submitting the
payment requests. The recipient will submit the reimbursement request
Standard Form (SF) 271 (Attachment B) and appropriate invoices to their Project
Officer for approval. When the Project Officer approves the payment, they will
notify the recipient to withdraw the approved amount from the ASAP system.
•
If the recipient has not completed the enrollment process for ASAP and is
requesting payment, the recipient should contact their Project Officer to obtain
instructions for setting up the "Dual Signatory Process" in the EPA "Automated
Clearing House" (ACH) payment system. Once the recipient has been setup in
ACH, the recipient will submit their payment requests to the Project Officer. The
recipient will submit the reimbursement request SF -271, appropriate invoices,
and the Payment Request Form (Attachment B) to their EPA Project Officer for
approval.
Recipients using ACH will be required to complete their enrollment in the ASAP
system. Once enrolled in the ASAP system, the recipient will follow the
procedures outlined in the paragraph above.
4. The recipient agrees to provide locational information/data (e.g., latitude and
longitude) of the proposed project in accordance with instructions to be provided
by EPA and submit the information to EPA Project Officer for its inclusion in an
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EPA national database.
5. Federal laws and regulations shall apply except in those cases where State
requirements are more stringent than Federal requirements. Where questions
arise as to applicability, the EPA Project Officer should be contacted.
6. As a part of the environmental review, the recipient will ensure that all
environmental review documentation developed will be consistent with the EPA
Region 6 document, NEPA Handbook for Special Appropriation Projects,
Attachment C.
Project management and execution will be very closely monitored by EPA
representatives throughout the assistance agreement's project and budget
periods Effective implementation of the scope of work involves a jointly
supported strong ongoing collaboration between the recipient and EPA
Technical assistance and coordination will be routine. EPA and the recipient
will maintain a continuous dialogue for the rapid identification, solution,
and escalation of problems to top level managers.
In addition, EPA representatives will be specifically responsible for assuring
that the following post -award activities take place:
Review of periodic payment requests;
Interim inspections;
Review of change orders and claims;
Review and approval of final payment requests;
Analysis of environmental review documents for NEPA-compliance,
if appropriate; and
Determination that the project is capable of meeting its objectives.
Also, EPA representatives will assure that the recipient understands and meets
requirements related to the National Environmental Policy Act and numerous
cross -cutting Federal authorities.
8. EPA Region 6 "Supplemental Conditions for Federally Assisted Water and
Wastewater Treatment Facilities" attached hereto as Attachment D, must be
included in all construction contract bidding documents, and shall control where
a conflict arises with other contract provisions. Certain provisions also pertain to
professional services contracts, and these provisions must be applied as
appropriate
9. Executed site certificate(s) shall be submitted to the EPA Project Officer, as
evidence that sites, easements and rights-of-way have been acquired.
10. The recipient will ensure that any design and construction performed under this
assistance agreement shall be consistent with the EPA document, Guidance on
• •
Quality Assurance for Environmental Technology, Design, Construction and
Operation (EPA QA/G-11), Attachment E
11. All of the following must be submitted to and approved by EPA before recipient
may advertise for bids for construction.
a. Plans and specifications and addenda to the plans and specifications.
b. Architect/Engineer (A/E) agreement for construction services.
c. A project schedule.
All change orders executed after the award of contract must be submitted and
approved by EPA
12. The recipient agrees to submit proposed and existing procurement actions,
including subcontracts, that will use EPA assistance for review as soon as
available. All procurement actions must comply with the provisions of 40 CFR
Part 31, specifically 40 CFR 31.36.
13. The recipient also agrees to provide forty-five (45%) percent of project costs with
nonfederal matching funds.
14. The recipient agrees to meet the project schedule provided with the grant
application or the most recent amended schedule approved by the EPA Project
Officer unless justifiable delays occur due to unexpected circumstances.
15. The recipient understands that the use of recipient's work force to perform
grant -funded construction is subject to provisions of OMB Circular No A-87.
Recipient agrees that the rates paid for direct labor and the types of fringe
benefits for recipient's work force performing grant -funded construction will
be in accordance with normal rates and benefits applicable to similar work
performed by recipient's work force. Recipient agrees to maintain adequate
file information to support both the basis for pay rates and benefits, and the
total costs charged to the grant.
David Jurgens
Submitted By
City of Fayetteville
Staff Review Form
City Council Agenda Items
or
Contracts
10/4/2005
City Council Meeting Date
Water/Wastewater
Division
Action Required:
•
Water/Wastewater
Department
Resolution authorizing Mayor to apply for and accept a State and Tribal Assistance Grant (STAG) Program
Application from the US 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 $481,200 in grant revenue.
$0.00
Cost of this request
5,419,133.00
5400.5700.5815.00 $
Account Number
02017
Project Number
Category / Project Budget
Sanitary Sewer Rehabilitation
Program Category / Project Name
1,080,401.65 Sewer Mains Construction
Funds Used to Date Program / Project Category Name
4,338,731.35 Water/Sewer
Remaining Balance Fund Name
Budgeted Item XX Budget Adjustment Attached
XX
Departmen
r
to
ZSSeP Q5
Date
� 9 0
City Attorney
ate
9- 2L.-05
Finance nInternal Service Director Date
Mayor
Previous Ordinance or Resolution # 156-04
Original Contract Date:
Original Contract Number
N/A
N/A
Received in Mayor's Office
BGqtIF''A''FD __
Comments:
•
CITY COUNCIL AGENDA MEMO
City Council IC9eeting of October 4, 2005
To: Fayetteville City Council
Thru: Mayor Dan Coody
From: David Jurgens, Water/Wastewater Director, Interim
Date: September 25, 2005
Subject: Resolution authorizing Mayor to apply for and accept a State and Tribal Assistance Grant
(STAG) Program Application from the US 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 $481,200 in grant revenue.
RECOMMENDATION
Fayetteville City Administration recommends approval of a resolution authorizing the Mayor to
apply for and accept a STAG grant, execute all required documents, furnish required information
and act as the City's Authorized Representative in all matters relating to the procurement and
administration of said grant.
BACKGROUND
Fayetteville has been the recipient of $481,100 in USEPA Grant Assistance from the State and
Tribal Assistance Grant Program for 2005. Receipt of this award was made on September 22, 2005.
This EPA grant funding was approved for sanitary sewer rehabilitation and is proposed to be
merged into the City's ongoing sewer rehabilitation funding to accelerate the program. The EPA
grant provides a maximum of 55% of the costs, with the remaining 45% being the required local
match.
DISCUSSION
Consultant work on sanitary sewer rehabilitation has been proceeding. It is anticipated that these
funds will be used for rehabilitation in the Hamesting sewer basin. Field investigations have been
underway in this area since June, 2005.
BUDGET IMPACT
Sanitary sewer rehabilitation is a budgeted project. The EPA Grant proceeds will be combined with
the City's budgeted funds and the 2003/2004 STAG grants to execute rehabilitation projects
throughout the sanitary sewer system. A budget adjustment recognizing $481,200 in grant revenue
is attached.
STAG Gmnt 05 CC Memo OctOS.doc
• •
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
$481,200.00 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 granter rji
Section 3. That the City Council of the City of Fa tt'hy'lle, Arikansas
hereby approves a budget adjustment recognizing $481,200.00 irtgrant revenue.
r
PASSED and APPROVED this 4th day of October)200$.
APPROVE(
ATTEST:
B
f0
,iACOODY, Mayor
• City of Fayetteville, Arkansas
Budget Adjustment Form
•
Budget Year
2005
Department: Water & Wastewater
Division: Water & Sewer Maintenance
Program: Sewer Mains Construction
Date Requested
9/25/2005
Adjustment Number
Project or Item Added/Increased:
$481,200 is requested in the Sewer Improvements
account of the Sanitary Sewer Rehabilitation- EPA
Rehabilitaiton Grant Project.
Project or Item Dcictcd/Reduced:
None. This action is required to recognize receipt of
$481,200 in the Federal Grants account.
Justification of this Increase:
Funding will be used for sanitary sewer rehabiltiation to
include repairs to sanitary sewer mains and manholes.
ustification of this Decrease:
A grant was received from the Environmental Protection
Agency for the purpose of sanitary sewer rehabilitation.
Increase Expense Budget (Decrease Revenue Budget)
Account Name Account Number Amount Project Number
Sewer improvements
Account Name
5400 5700 5815 00 461,200 02017
Decrease Expense Budget (Increase Revenue Budget)
Account Number Amount
Federal grants -Capital
5400 0940 4309 00
Project Number
481,200 02017
Approval Signatures Budget Office Use Only
zS_ peo_as
Zes
Date
ZS�Sapcb"
4;6
Date
/at(
Date
Finance
Mayor
A 13 C ( E
Date of Approval
Initial Date
Posted to General Ledger
Posted to Project Accounting
Entered in Category Log
Initial Date
Initial Date
Initial Date
#0ED 07%
‘it Csi
�
ra W o
s
P1'l t Mbl1
• •
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
REGION 6 r' `r -441
1445 ROSS AVENUE, SUITE 1200
DALLAS, TX 75202-2733
SEP 2 0 2005
CERTIFIED MAIL. RETURN RECEIPT REQUESTED
Honorable Dan Coody
Mayor
City of Fayetteville
113 West Mountain Street
Fayetteville, AR 72701
RE: Sanitary Sewer Rehabilitation Project
Assistance Agreement: XP -966062-01-0
Dear Mayor Coody:
SEP 2 2 2005
6:AYOR'S OF/ ,Cli .__
1 am pleased to advise you that your application and work plan for Federal assistance in
support of the referenced project have been approved. The amount offered is $481,200 subject to
the terms and conditions of the award.
To complete this award, please sign and date both copies of the enclosed Cooperative
Agreement. Retain one original for your file and return one original directly to Linda Lyons,
Management Division (6MD-RX) within three (3) calendar weeks after receipt. We suggest that
you send this document by Certified Mail.
Thank you for your efforts in this vital area of environmental protection within the State
of Arkansas.
Sincerely yours,
(V41414 R7
Day Miguel I. Flores
Director
Water Quality Protection Division
Enclosure
cc: Honorable Mike Huckabee, Governor of Arkansas
Recycled/Recyclable • Printed wllh Vegetable 01 Based Nb on 100% Recycled Paper (40% Postconsumer)
',Sondra Smith :STAG Grant Resolution 5
From: Sondra Smith
To: Jurgens, David
Subject: STAG Grant Resolution 199-05
I have attached a copy of the STAG Grant that was passed at the October 4, 2005 City Council meeting.
The grant letter stated there were two copies of the Cooperative Agreement but I only found one in the file.
I am keeping the one original. Please contact me or Amber if you have any questions.
Have a great day!
Page 1
5i3v/04
kph
5—r G
OMB CONTROL NO.2030-0020 On
d oetiet,r
APPROVED. 12/30/02
APPROVAL EXPIRES: 12/31/05 Pt
oyrt
U.S. ENVIRONMENTAL PROTECTION AGENCY & f,
MBE/WBE UTILIZATION UNDER FEDERAL GRANTS, COOPERATIVE
AGREEMENTS, AND INTERAGENCY AGREEMENTS
PART 1. (Reports are required even if no procurements are made during the reporting period.)
1A. FEDERAL FISCAL YEAR
200 ep
1B.
REPORTING QUARTER (Check appropriate
■ 11' Al 2"d
•
box)
3rd O 471 -Sep)
111
Annual
(Oct -Dec) (Jan -Mar) (Apr -Jun) (Jul
1C. REVISION
Year:
HIGHLIGHT ITEMS TO BE REVISED AND PROVIDE EXPLANATION IN BLOCK No. 6
Quarter:
2A. FEDERAL FINANCIAL ASSISTANCE AGENCY
(EPA Office Address - ATTN: DBE Coordinator)
3A. REPORTI G RECIPIENT (Name and Address)
/1 * �ileer/4
4ekar.pu A14I AIJ Eno&'us aist.« eSstei
C1 10 i LIS ape/ 7
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/13 DesOlotin v.r
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28. REPORTING CONTACT
(EPA DBE Coordinator)
< & key
2C. PHONE:
SM-661-.002 7?
3B. REPORTING CONTACT (Recipient)
/Ya f St Ca
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3C. PHONE:
m -Szs- 8334
4A. FINANCIAL ASSISTANCE AGREEMENT ID NUMBER
(SRF State Recipients, Refer to Instructions for Completion of 4A, 5A, and 5C)
XP- 1769 0•201-0
4B. FEDERAL FINANCIAL ASSISTANCE PROGRAM
Ssio Q,n7L
5A. TOTAL ASSISTANCE AGREEMENT
AMOUNT
EPA Share: $ /i 064),5-00
5B. Check and skip to Block
No. 7 if no procurements
and accomplishments
were made this reporting
5C. TOTAL PROCUREMENT AMOUNT THIS REPORTING
PERIOD (ONLY include the amount not in any prior reporting
period and procurements made by SRF Loan Recipients and Sub -
Recipients)
period.
$ .2 3 ODD , 00
I ��
Recipient Share: S SQh(v� 6
i
(Exclude procuremei t amounts reported by Prime Contractors)
j
5D. ACTUAL MBENVBE PROCUREMENT ACCOMPLISHED THIS
REPORTING PERIOD BY RECIPIENT (SRF State Recipients, Report
State Procurement Activities Here)
$ MBE,Ay4 S WBE
Construction !e
5E. ACTUAL MBE/WBE PROCUREMENT ACCOMPLISHED THIS
REPORTING PERIOD BY LOAN RECIPIENTS, SUB -RECIPIENTS,
AND PRIME CONTRACTORS
$ MBE o $ WBE
Construction t
Equipment
Equipment
Services
Services
Supplies
Supplies
TOTAL /
TOTAL
6. COMMENTS:
Ms rerel] ,K N& 1 l't S,'h% aiet ehtar4-2;14 ive' &s s' LS
1-6. EXeCiK ii, isle • 0P 7;193 a iS aide" c»4t c{
7. NAME OF AUTHORIZED
In
REPRESENTATIVE
loco[ y
TITLE
Mayo or
S. SIGNATU E OF
AUTHORIZED
REPRESENTATIVE
DATE Illfth4
3D littl Oh .... .
EPA FOR
NOTE: THIS REPO
S
- (5196) available electronically at http:llwww.epa.gov/osdbu/5700 52a.pdf
30 DAYS AFTER THE END OF EACH FEDERAL FISCAL QUARTER OR ANNUAL:
DATES ARE: January 30, April 30, July 30, and October 30*
ANNUAL REPORT
i
mub'.
6W b
/fez /99
OMB CONTROL NO.2030.0020
APPROVED: 12/30/02
APPROVAL EXPIRES: 12/31/05
U.S. ENVIRONMENTAL PROTECTION AGENCY
MBENVBE UTILIZATION UNDER FEDERAL GRANTS, COOPERATIVE
AGREEMENTS, AND INTERAGENCY AGREEMENTS
PART 1. (Reports are required even if no procurements ar
EPA FOR
NOTE: THIS REPO
S
- (5/96) available electronically at http://www.epa.gov/osdbu/5700 52a_pdf
30 DAYS AFTER THE END OF EACH FEDERAL FISCAL QUARTER OR ANNUAL:
DATES ARE: January 30, April 30, July 30, and October 30'
• ANNUAL REPORT
1A. FEDERAL FISCAL YEAR
200 6
1B. REPORTING QUARTER (Check appropriate box)
0 1" (Oct -Dec) igi 2"0 (Jan-Mar)3r6�"
• (Apr -Jun) 0 4 (Jul -Sep) ❑Annual
1C. REVISION
Year:
HIGHLIGHT ITEMS TO BE REVISED AND PROVIDE EXPLANATION IN BLOCK No. 6
Quarter:
2A. FEDERAL FINANCIAL ASSISTANCE AGENCY
(EPA Office Address -- ATTN: DBE Coordinator))
444 4000 44141 RES/kines a..,t 5'1D
lD I Fasi Citifs l , S�.►ile gsz)
Chi/ 41, 707X 1
3A. REPORTING RECIPIENT (Name and Address)
n , (' y/
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3I 07 113 Qesi loan414-
i1eS7/t '4,0(72 70/
2B. REPORTING CONTACT
(EPA DBE Coordinator)
S# L.aOY
2C. PHONE;
.a/-affs-647?
3B. REPORTING CONTACT (Recipient)
, fi, .44 cry
3C. PHONE:
M -s -8330
4A. FINANCIAL ASSISTANCE AGREEMENT ID NUMBER
(SRF State Recipients, Refer to Instructions for Completion of 4A, 5A, and 5C)
XP— 17490a0/ -o
4B. FEDERAL FINANCIAL ASSISTANCE PROGRAM
STAn Qiebt4
5A. TOTAL ASSISTANCE AGREEMENT
AMOUNT
/_,� M
EPA Share: $ /� O(cO , O
5B. Check and skip to Block
No. 7 if no procurements
and accomplishments
were made this reporting
period.
5C. TOTAL PROCUREMENT AMOUNT THIS REPORTING
PERIOD (ONLY include the amount not in any prior reporting
period and procurements made by SRF Loan Recipients and Sub -
Recipients) 07071 ��
$ ,4.,jj jj
�,r r� /- p
Recipient Share: $ t !� (yap 2
(Excludetprocurement amounts reported by Prime Contractors)
5D. ACTUAL MBE/WBE PROCUREMENT
REPORTING PERIOD BY RECIPIENT (SRF
Stale Procurement Activities Here)
5 PABEM
Construction KJ
ACCOMPLISHED
State
THIS
Recipients, Report
$ W8Es
5E. ACTUAL
REPORTING
AND PRIME
ConstructionEquipment
Equipment
Services
Supplies
TOTAL
MBE/WBE PROCUREMENT ACCOMPLISHED THIS
PERIOD BY LOAN RECIPIENTS, SUB -RECIPIENTS,
CONTRACTORS
S MBEs $ WB E
Services /
Supplies
TOTAL /
6. COMMENTS:
p/dS ieeBided ,rft K &t &rn'%Ceidet 1C6h2%iv,L s' kkey &via' !Cira
7Q EXCqfrei'kfi, Inc aP /c4& J a 15 Alder (1%fkte/
7. NAME OF AUTHORIZED REPRESENTATIVE
JP1 may
TITLE
friar r
8. SIGNATU E OF AUTHORIZED
REPRESENTATIVE
DATE
3 D flAq Oki
EPA FOR
NOTE: THIS REPO
S
- (5/96) available electronically at http://www.epa.gov/osdbu/5700 52a_pdf
30 DAYS AFTER THE END OF EACH FEDERAL FISCAL QUARTER OR ANNUAL:
DATES ARE: January 30, April 30, July 30, and October 30'
• ANNUAL REPORT
I
015 04 City of Fayetteville
Maintenance/Inquiry
Document Item Action
Reference Date Ref. Taken Brief Description
RES 10/04/2005 199 State & Tribal Assistance Grant
6/02/2006
12:36:17
Keywords • Res. 199-05
Sewer System Improvement
STAG
Water/Wastewater
55/45 Matching Grant
U.S. Environmental Protection
$481,200.00
EPA
Grant
State & Tribal Assistance
File Reference # • Res/2005
Security Class • Retention Type:
Expiration Date **** Active ****
Date for Cont/Referred:
Name Referred to •
Press Cmd 6 to Update
Cmdl-Return Cmd2-Check Out Cmd8-Retention Cmd3-End Press 'ENTER' to Continue
Cmd5-Abstract Yes No (c) 1986-1992 Munimetrix Systems Corp.
015 08 City of Fayetteville
Maintenance/Inquiry
Document Item Action
Reference Date Ref. Taken Brief Description
RES 10/04/2005 199 State & Tribal Assistance Grant
6/02/2006
12:36:49
Abstract: 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
improvement; 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 $481,200.00 in grant revenue.
Cmdl-Return
Cmd3-End Press 'ENTER' to Continue
(c) 1986-1992 Munimetrix Systems Corp.
ilk Mi -6
Form Approved OMB NO. 2030-0020 Approval Expires .12/3/02
ifi>ei Cams -
.57/4 G rani
LOBBYING AND LITIGATION CERTIFICATION FOR GRANTS AND COOPERATIVE
AGREEMENTS*
INSTRUCTIONS:
* At project completion, complete this form pursuant to the 2001 Department of Veterans Affairs and Housing and Urban
Development, and Independent Appropriations Act, Public Law 106-377, Section 424 and 2000 Department of Veterans
Affairs and Housing and Urban Development, and Independent Appropriations Act, Public Law 106-74, Section 426 and any
other subsequent Appropriation Act requirements.
Please mail this form to your EPA Grant Specialist within 90 days of project completion. DO NOT send this information to the
Office of Management & Budget.
Assistance Agreement Number(s):
XP 96606201 EPA
I hereby certify that none of these funds have been used to engage in the lobbying of the Federal
Governmor in liti tion against the United.States unless authorized under existing law.
Signa
ure of the Chief Executi A fficer
Print Name
Date
4 4 08
Burden Statement - The annual public reporting and record keeping burden for this collection of information is estimated to average 5 minutes per
respondent. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide
infomiation to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and systems
for the purposes of collecting, validating and verifying information, processing and maintaining information, and disclosing and providing information;
adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of
information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may
not conduct or sponsor, and a person is not required to respond to , a collection of information unless it displays a currently valid OMB control number.
The OMB control numbers for EPA's regulations are listed in 40 CFR Part 9 and 48 CFR Chapter 15.
Send comments on the Agency's need for this infomration, the accuracy of the provided burden estimates, and any suggested methods for minimizing
respondent burden, including through the use of automated collection techniques to the Director, Regulatory Information Division, U.S. Environmental
Protection Agency, Ariel Rios Building, 1200 Pennsylvania Avenue, N.W., Mail Code 3213A, Washington, DC 20460; and to the Office of Information
and Regulatory Affairs, Office of Management and Budget, 725 1Th Street, N.W., Washington, DC 20503, Attention: Desk Officer for EPA. Include the
EPA 1CR number and OMB control number in any correspondence.
EPA Form 5700-53 (Rev. 7-02)
kir
OMB CONTROL NO.2030-0020
APPROVED- 12130/02
APPROVAL EXPIRES: 12/31/05
U.S. ENVIRONMENTAL PROTECTION AGENCY
MBEIWBE UTILIZATION UNDER FEDERAL GRANTS, COOPERATIVE
AGREEMENTS, AND INTERAGENCY AGREEMENTS
PART 1. (Reports are required even if no procurements are made during the reporting period.)
1A. FEDERAL FISCAL YEAR
2008
113. REPORTING QUARTER (Check appropriate box)
0 1a (Oct -Dec) 0 2'" (Jan -Mar) D 3r° (Apr -Jun) O 4'" (Jul -Sep) XX Final
1C. REVISION
Year:
HIGHLIGHT ITEMS TO BE REVISED AND PROVIDE EXPLANATION IN BLOCK No. 6
Quarter:
2A. FEDERAL FINANCIAL ASSISTANCE AGENCY
(EPA Office Address - ATTN: DBE Coordinator)
USEPA REGION 6
1445 Ross Avenue, Suite 1200
Mail Code: 6MDRX
Dallas, TX 75202-2733
3A. REPORTING RECIPIENT (Name and Address)
City of Fayetteville
113 West Mountain
Fayetteville, AR 72701
2B REPORTING CONTACT
2C. PHONE:
3B. REPORTING CONTACT (Recipient)
3C. PHONE:
(EPA DBE Coordinator)
Debora N. Bradford, SDBUO
(214) 665-7406
Shannon Jones
(479) 575-8206
4A. FINANCIAL ASSISTANCE AGREEMENT ID NUMBER
(SRF State Recipients, Refer to Instructions for Completion of 4A, 5A, and 5C)
XP -966062-01-0
4B. FEDERAL FINANCIAL ASSISTANCE PROGRAM
STAG Grant
5A. TOTAL ASSISTANCE AGREEMENT
AMOUNT (2005)
EPA Share: $ 481.200
58 Check and skip to Block
No. 7 it no procurements
and accomplishments
were made this reporting
5C. TOTAL PROCUREMENT AMOUNT THIS REPORTING
PERIOD (ONLY include the amount not in any prior reporting
period and procurements made by SRF Loan Recipients and Sub -
Recipients)
period.
$
Recipient Share: $ 393.709
XX(Exclude
procurement amounts reported by Prime Contractors)
50. ACTUAL MBENVBE PROCUREMENT ACCOMPLISHED THIS
REPORTING PERIOD BY RECIPIENT (SRF State Recipients. Report
State Procurement Activities Here)
$MBE $WBE
Construction
5E. ACTUAL MBENVBE PROCUREMENT ACCOMPLISHED THIS
- REPORTING PERIOD BY LOAN RECIPIENTS, SUB -RECIPIENTS,
AND PRIME CONTRACTORS
$MBE $WBE
Construction
Equipment
Equipment
Serv'ces
Services
Supplies
Supplies
TOTAL
TOTAL
6. COMMENTS:
No procurements were made this quarter by the City. The contractor completed the work in December 2007.
7. NAME OF AUTHORIZED REPRESENTATIVE
Dan Coody
TITLE
Mayor
B. . r
NATURE OF UTHORIZED REPRESENTATIVE
q
DATE
/-) /
{�
r rJ��4y
� `--�V
EPA FORM 571
NOTE: THIS REPOR-
SU
52A - B) available electronically at http://www.epa.gov/osdbu/5700 52a.pdf
IS DU 30 DAYS AFTER THE END OF EACH FEDERAL FISCAL QUARTER OR ANNUAL
SSIO DATES ARE: January 30, April 30, July 30, and October 30*
'SUBMISSION DATE FOR ANNUAL REPORTS
XP -156
(01-01)
CERTIFICATE
I certify that all the Labor Standards Contract Provisions of the specifications have been
complied with during construction of water and/or wastewater infrastructure(s) known by
the U. S. Environmental Protection Agency as
XP -966062-01-0 , Farmington Sewer Rehabilitation, Unit 1 & Unit 2
(Project Number) (Legal Name of Project)
1--
Signatureo Autho ' ed ' -presentative
Manor Dan Coody
Name and Title
015 08 .1i." City of Fayetteville
Maintenance/Inquiry
Document Item Action
Reference Date Ref. Taken Brief Description
RES 10/04/2005 199 State & Tribal Assistance Grant
4/10/2008
10:23:15
Abstract:'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
improvement; 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 $481,200.00 in grant revenue.
Cmdl-Return
Y
Cmd3-End Press 'ENTER' to Continue
(c) 1986-1992 Munimetrix Systems Corp.
ugs
(4.10.08) Clarice Pearman - EPA forms
Page 1
From:
To:
Date:
Subject:
Attachments:
Clarice Pearman
Jurgens, David
4.10.08 3:43 PM
EPA forms
04.04.08 EPA Forms -STAG Grant.pdf
CC: Audit
David:
Attached are various forms from the EPA regarding a grant. I will attached these forms to Res. 199-05. Please let me
know if there is anything else needed for this item. Have a good afternoon.
Thanks.
Clarice