HomeMy WebLinkAbout280-19 RESOLUTION113 West Mountain Street
Fayetteville, AR 72701
(479) 575-8323
Resolution: 280-19
File Number: 2019-0794
WILSON PARK BRIDGE:
A RESOLUTION TO AUTHORIZE MAYOR JORDAN TO ACCEPT A GRANT FROM THE ARKANSAS
RECREATIONAL TRAILS PROGRAM IN THE AMOUNT OF $170,000.00 TO CONSTRUCT A NEW
TRAIL BRIDGE AT WILSON PARK, TO APPROVE AN AGREEMENT OF UNDERSTANDING
BETWEEN THE CITY OF FAYETTEVILLE AND THE ARKANSAS STATE HIGHWAY AND
TRANSPORTATION DEPARTMENT, AND TO APPROVE A BUDGET ADJUSTMENT
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 acceptance of a
grant from the Arkansas Recreational Trails Program in the amount of $170,000.00 and authorizes Mayor
Jordan to execute an Agreement of Understanding with the Arkansas State Highway and Transportation
Department for the construction of a new trail bridge at Wilson Park.
Section 2: That the City Council of the City of Fayetteville, Arkansas hereby approves a budget
adjustment, a copy of which is attached to this Resolution.
PASSED and APPROVED on 12/3/2019
Page 1 Printed on 1215119
File Number.• 2019-0794
Resolution 280-19
Attest:
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Kara Paxton, City Clerk Treas" fir
DNS AS . • ��:
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Page 2 Printed on 1215119
City of Fayetteville, Arkansas 113 West Mountain Street
r4% Fayetteville, AR 72701
(479) 575-8323
Nt �01) Text File
File Number: 2019-0794
Agenda Date: 12/3/2019 Version: 1 Status: Passed
In Control: City Council Meeting File Type: Resolution
Agenda Number: A 22
WILSON PARK BRIDGE:
A RESOLUTION TO AUTHORIZE MAYOR JORDAN TO ACCEPT A GRANT FROM THE
ARKANSAS RECREATIONAL TRAILS PROGRAM IN THE AMOUNT OF $170,000.00 TO
CONSTRUCT A NEW TRAIL BRIDGE AT WILSON PARK, TO APPROVE AN AGREEMENT OF
UNDERSTANDING BETWEEN THE CITY OF FAYETTEVILLE AND THE ARKANSAS STATE
HIGHWAY AND TRANSPORTATION DEPARTMENT, AND TO APPROVE A BUDGET
ADJUSTMENT
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 acceptance of a grant
from the Arkansas Recreational Trails Program in the amount of $170,000.00 and authorizes Mayor Jordan to
execute an Agreement of Understanding with the Arkansas State Highway and Transportation Department for
the construction of a new trail bridge at Wilson Park.
Section 2: That the City Council of the City of Fayetteville, Arkansas hereby approves a budget adjustment, a
copy of which is attached to this Resolution.
City ofFayattaville, Arkansas Page 1 Printed on 12/4/2019
Byron Humphry
Submitted By
City of Fayetteville Staff Review Form
2019-0793
Legistar File ID
12/3/2019
City Council Meeting Date - Agenda Item Only
N/A for Non -Agenda Item
11/15/2019 Parks & Recreation /
_ Parks & Recreation Department
Submitted Date Division / Department
Action Recommendation:
Approval of a resolution to authorize the City to accept $170,000 from the Arkansas Recreational Trails Program to
construct a new trail bridge at Wilson Park, approval of an Agreement of Understanding between the City of
Fayetteville and Arkansas State Highway and Transportation Department, and approval of a budget adjustment.
Budget Impact:
2250.520.9256.5814.05 Parks Development
Account Number
13001.1802
Fund
Wilson Park Improvements
Project Number Project Title
Budgeted Item? Yes
Current Budget
$ 389,010.00
Funds Obligated
$ 257,702.18
Current Balance
$ 131,307.82
Does item have a cost? No
Item Cost
$ -
Budget Adjustment Attached? Yes
Budget Adjustment
$ 170,000.00
Remaining Budget
$ 301,307.82
V20140710
Previous Ordinance or Resolution # 123-19
Original Contract Number: Approval Date:
Comments:
CITY OF
L FAYETTEVILLE
ARKANSAS
MEETING OF DECEMBER 3, 2019
TO: Mayor and City Council
CITY COUNCIL MEMO
THRU: Don Marr, Chief of Staff
Connie Edmonston, Parks and Recreation Director
FROM: Byron Humphry, Park Maintenance Superintendent
DATE: November 15, 2019
SUBJECT: Approval of a resolution to authorize the City to accept $170,000 from the
Arkansas Recreational Trails Program to construct a new trail bridge at Wilson Park,
approval of an Agreement of Understanding between the City of Fayetteville and
Arkansas State Highway and Transportation Department, and approval of a budget
adjustment.
RECOMMENDATION:
Parks and Recreation requests City Council approval of a resolution to authorize the City to
accept $170,000 from the Arkansas Recreational Trails Program to construct a new trail bridge
at Wilson Park, approval of an Agreement of Understanding between the City of Fayetteville and
the Arkansas State Highway and Transportation Department, and approval of a budget
adjustment.
BACKGROUND:
On May 21, 2019, City Council approved Resolution 123-19 to express the willingness to apply
for a federal grant through the Recreational Trails Program to build a new trail bridge at Wilson
Park. The grant is an 80/20 match with the City responsible for 20% of the project total. The
requested funds were $172,800 with a project total of $216,000.
On September 30, 2019, Parks and Recreation received notification that the City had been
awarded grant funding in the amount of $170,000. The City's required match is $42,500.
DISCUSSION:
On October 24, 2019, Parks staff attended a grant kick-off meeting and obtained the details
regarding grant administration. The first required step is for the Mayor and City Attorney to sign
an Agreement of Understanding between the City and the Arkansas State Highway and
Transportation Department.
Also requiring the Mayor's signature is Attachment B and Attachment N. Attachment B allows
the Mayor to designate a full-time employee who will be responsible for the day to day oversight
of the grant. Staff requests Byron Humphry, Parks Maintenance Superintendent, be that
designee.
Mailing Address:
113 W. Mountain Street www.fayetteville-ar.gov
Fayetteville, AR 72701
Attachment N certifies that federal funds were obtained ethically and without persuasion.
BUDGET/STAFF IMPACT:
Grant funding was awarded in the amount of $170,000. The City is responsible for 20% of the
total, or $42,500. The remaining 80%, or $170,000, will be awarded to the City as a
reimbursement. The City funds will come from budgeted funds in the Wilson Park Improvements
project.
Attachments:
Agreement of Understanding
Attachment B
Attachment N
Budget Adjustment
AGREEMENT OF UNDERSTANDING
BETWEEN
THE CITY OF FAYETTEVILLE
AND
THE ARKANSAS DEPARTMENT OF TRANSPORTATION
In Cooperation with the
U. S. Department of Transportation Federal Highway Administration
RELATIVE TO
Implementation of Job 040811, Fayetteville Wilson Park Trail Bridge Repl. (RTP-19) (S)
(hereinafter called the "Project") as an Arkansas Recreational Trails Program (RTP)
NonMotorized project.
WHEREAS, funding in the Fixing America's Surface Transportation (FAST) Act includes 80%
Federal -aid funds to be matched with 20% non-federal funds for approved RTP projects; and
WHEREAS, the City of Fayetteville (hereinafter called "Sponsor") has expressed its desire to
use Federal -aid funds for the eligible Project and to provide necessary matching for such funds;
and
WHEREAS, the Sponsor has transmitted to the Arkansas Department of Transportation
(hereinafter called the "Department") a signed and sealed Resolution from the Sponsor's
governing body authorizing the Sponsor's CEO or their designated representative to execute
agreements and contracts with the Department for the Project; and
WHEREAS, funding participation will be as follows, subject to a limit of $170,000 maximum
Federal -aid approved for the Project:
Maximum
Minimum
Federal %
Sponsor
Project Design:
0
100
Right-of-Way/Utilities:
0
100
Project Construction:
80
20
Project Construction Inspection:
0
100
WHEREAS, the Sponsor understands that these funds have been awarded for specific project
purposes, not for the Sponsor to utilize until expended; and
WHEREAS, the Sponsor knows of no legal impediments to the completion of the Project; and
WHEREAS, it is understood that the Sponsor and the Department will adhere to the General
Requirements for Recipients and Sub -Recipients Concerning Disadvantaged Business
Enterprises (DBEs) (Attachment A*) and that, as part of these requirements, the Department may
set goals for DBE participation in the Project ranging from 0% to 100% that are practical and
related to the potential availability of DBEs in desired areas of expertise; and
-1-
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
WHEREAS, the Department has published the Arkansas Local Public Agency Project Manual
(available at www.ardot.g_ov/LPA) /LPA) which outlines procedures and requirements which must be
followed during development and construction of the Project; and
WHEREAS, the parties agree, unless specifically stated otherwise, that the provisions of this
agreement are not intended to created or confer a third party benefit or right in any person or
entity, not a party to this agreement.
IT IS HEREBY AGREED that the Sponsor and the Department, in cooperation with the Federal
Highway Administration, will participate in a cooperative program for implementation of the
Project and will accept the responsibilities and assigned duties as described hereinafter.
THE SPONSOR WILL:
1. Notify the Department in writing who the Sponsor designates as its full-time employee to be
in responsible charge of the day to day oversight of the Project (Attachment B*). The duties
and functions of this person are:
• Oversee project activities, including those dealing with cost, time, adherence to contract
requirements, construction quality and scope of Federal -aid projects;
• Maintains familiarity of day to day project operations, including project safety issues;
r Makes or participates in decisions about changed conditions or scope changes that require
change orders and/or supplemental agreements;
• During construction, visits and reviews the project on a daily basis;
•, Reviews financial processes, transactions and documentation to ensure that safeguards
are in place to minimize fraud, waste, and abuse;
• Directs project staff, Sponsor or consultant, to carry out project administration and
contract oversight, including proper documentation;
• Be aware of the qualifications, assignments and on-the-job performance of the Sponsor
and consultant staff at all stages of the project.
2. Sponsors that require a reduction or modification to the scope of their project will submit the
Revision of Project Scope and Budget (Attachment C*) with the signed Agreement of
Understanding.
3. Prepare plans, specifications, and a cost estimate for construction. A registered professional
engineer must sign the plans and specifications for the project if the project includes design
of structural components. Plans which include the design of only non -infrastructure
components will not require a registered stamp.
4. Be responsible for any necessary coordination with affected railroads including preliminary
and final plan review and for executing any formal railroad maintenance and construction
agreements that may be necessary for the project. This includes ensuring that potential
bidders are aware of railroad coordination required during construction including flagging
services and insurance.
5. Submit plans at 30%, 60%, and 90% completion stages for Department review.
-2-
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
6. Submit the following deliverables for the Project by the listed deadline or risk possible
cancellation of the Federal -aid award or significant delay of the Project. If a deadline is
missed, the Sponsor may be required to submit a reason for the delay and request a time
extension in writing.
Deliverable
Deadline
Signed Agreement of Understanding for
60 Days from the Kick-off Meeting
Execution by the Department
30% Complete Plans for Review
180 Days from the Kick-off Meeting
60% Complete Plans for Review
90 Days from the return of Department
comments on previous set of plans
90% Complete Plans for Review
90 Days from the return of Department
.............
comments on previous set of plans
Final Plans, Bid Documents, and Request
90 Days from the return of Department
for Authority to Advertise
comments on previous set of plans
7. Complete the process for all permits that might be required for the project. This could
include, but is not limited to, the US Army Corp of Engineers Section 404 permit; and the
Arkansas Department of Environmental Quality's Section 401 Water Quality Certification,
Short Term Activity Authorization, and National Pollutant Discharge Elimination System
permit. The Section 404 permitting application(s) and/or determination information should
be submitted with the plans to the Department in order to aid in the completion of the
environmental documentation.
8. Provide any necessary higher levels of investigation for the required environmental
document should the Project have uncertain or significant cultural, environmental or social
impacts; have a likelihood of generating controversy; and/or possible economic impacts. For
projects located on federal lands, the Sponsor must submit a Mpletedenvironmental
document for the Project, approved by the agency with authority over the federal lands.
9. Comply with provisions of the Americans with Disabilities Act, Section 504 of the
Rehabilitation Act of 1973, Title VI of the Civil Rights Act of 1964, FHWA RTP Guidance,
and any other Federal, State, and/or local laws, rules and/or regulations. (See Attachment D*
for items to be included in the bid proposal).
10. Before acquiring property or relocating utilities, contact the Department's Right of Way
Division to obtain the procedures for acquiring right-of-way and adjusting utilities in
conformance with federal regulations. NOTE: Failure to notify the Department prior to
initiating these phases of work may result in all project expenditures being declared
non -participating in federal funds.
11. Acquire property in accordance with the Uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970, as amended (commonly referred to as the "Uniform Act").
12. Provide a copy of the registered deed or other approved documentation and an appropriate
certification stating the Sponsor's clear and unencumbered title to any right-of-way to be
used for the Project and the land is accessible to the general public for recreational or
transportation purposes (See Attachment El *). If property has been acquired for the Project,
use Attachment E2* for certification of the right-of-way.
-3-
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
13. Ensure the preparation of utility adjustment and right-of-way plans are in accordance with
Arkansas State Highway Commission Policy.
14. Submit a certification letter (Attachment F*), including all items noted, to the Department
when requesting authority to advertise the Project for construction bids.
15. Refrain from any Project construction for which the Sponsor expects monetary
reimbursement until a Notice to Proceed is received from the Department.
16. If the project is to be advertised, it must be done in accordance with federal procedures as
shown in Attachment G*. NOTE: FHWA authorization and Department approval must
be given prior to advertising for construction bids.
17. Forward a copy of all addenda to the Project during the advertisement to the Department.
18. After bids are opened and reviewed, submit a certification (Attachment H*), including all
items noted, to the Department and request concurrence in award of the contract.
19. Prior to issuing the notice to proceed to the Contractor, the Sponsor must hold a pre -
construction meeting with the Contractor and must invite the Department's Resident
Engineer assigned to the Project.
20. Prior to executing the work, submit change orders to the contract to the Department's
Resident Engineer assigned to the Project for review and approval for program eligibility.
21. Construct the Project in accordance to plans and specifications that were developed by the
Sponsor, or the Sponsor's representative, and were reviewed and approved by the
Department prior to the issuance of the Notice to Proceed.
22. Perform construction inspection in accordance with Attachment I*.
23. Make payments to the contractor for work accomplished in accordance with the plans and
specifications and then request reimbursement from the Department on the Construction
Certification and Reimbursement Request (CCRR) form (Attachment J*). For projects being
constructed using the Sponsor's forces, reimbursement requests will also be submitted using
the CCRR. Requests for reimbursement must be made at least once every three (3) months
that construction projects are active in order to avoid being put on the FHWA inactive project
list.
24. Attach Report of Daily Work Performed (Attachment K*) for all days that correspond with
each CCRR submittal.
25. Upon project completion hold a final acceptance meeting for the Project and submit the Final
Acceptance Report form certifying that the Project was accomplished in accordance with the
plans and specifications (Attachment L*). This form must be signed by the engineer
performing construction inspection on the Project, the Department's Resident Engineer
assigned to the project, the Sponsor's full-time employee in responsible charge, and the
Sponsor's CEO.
26. Maintain accounting records to adequately support reimbursement with Federal -aid funds
and be responsible for the inspection, measurement and documentation of pay items, and
-4-
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
certification of all work in accordance with the plans and specifications for the Project and
for monitoring the Contractor and subcontractor(s) for compliance with the provisions of
FHWA-1273, Required Contract Provisions, Federal -aid Construction Contracts, and
Supplements.
27. Pay all unpaid claims for all materials, labor, and supplies entered into contingent or
incidental to the construction of said work or used in the course of said work including but
not limited to materials, labor, and supplies described in and provided for in Act Nos. 65 and
368 of 1929, Act No. 82 of 1935, and Acts amendatory thereof.
28. Agree that any and all claims for damages to property or injury to persons caused by any act
or omission, negligence, or misconduct from the performance of work by the Sponsor's
contractor on the Project shall be the sole responsibility of the Sponsor's contractor and in
this regard the Sponsor shall require the contractor on the Project to procure and maintain a
General Public Liability Insurance Policy during the duration of the Project which shall be
endorsed to include broad form general liability and complete operations coverage on the
Project. The contractor shall furnish the Sponsor with documentation of proof of liability
insurance coverage with submission of the signed contract.
29. Agree that any claims, liability, costs, expenses, demands, settlements, or judgments arising
from misconduct or the negligent acts or omissions of the Sponsor, its employees, agents or
contractors in the performance of the Project and this Agreement must be presented to the
Sponsor. Further, the Sponsor by acceptance of this grant, agrees that the Department and
the Arkansas State Highway Commission, as the pass -through entity, have no duty or
responsibility for the design, construction, maintenance or operation of the Project that is the
subject of this grant, and, therefore shall have no liability related to the design, construction,
maintenance or operation of the Project. The Sponsor also agrees to assume all risks
associated with the work to be performed by its agents, employees, and contractors under this
grant and Agreement and the Department and the Arkansas State Highway Commission, as
the pass -through entity, shall not be responsible or liable for any damages whatsoever from
the actions of the Sponsor, its employees, agents and contractors.
30. Assure that its policies and practices with regard to its employees, any part of whose
compensation is reimbursed from federal funds, will be without regard to race, color,
religion, sex, national origin, age, or disability in compliance with the Civil Rights Act of
1964, the Age Discrimination in Employment Act of 1967, The Americans with Disabilities
Act of 1990, as amended, and Title 49 of the Code of Federal Regulations Part 21 (49 CFR
21), Nondiscrimination in Federally -Assisted Programs of the Department of Transportation.
31. Retain all records relating to inspection and certification, the Contractor's billing statements,
and any other files necessary to document the performance and completion of the work in
accordance with requirements of 49 CFR 18.42 - Retention and access requirements for
records (Attachment M*).
32. Grant the right of access to Sponsor's records pertinent to this Project and the right to audit
by the Department and Federal Highway Administration officials.
33. Be responsible for 100% of all project costs incurred should the Project not be completed as
specified.
-5-
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
34. Be responsible for 100% of any and all expenditures for which federal funds do not
participate or that are not approved for federal funds.
35. Sign and transmit to the Department the Certification for Grants, Loans, and Cooperative
Agreements (Attachment N*), which is necessary for Project participation.
36. Repay to the Department the federal share of the cost of any portion of this Project if, for any
reason, federal participation is removed due to actions or inactions of the Sponsor, its agents,
its employees, or its assigns or the Sponsor's consultants or contractors or their agents. Such
actions or inactions shall include, but are not limited to, federal non -participation arising
from problems with design plans, specifications, construction, change orders, construction
inspection, or contractor payment procedures. The Sponsor understands and agrees that the
Department may cause necessary funds to be withheld from the Sponsor's Motor Fuel Tax
allotment should the Sponsor fail to pay to the Department any required funds, fail to
complete the Project as specified, or fail to adequately maintain or operate the Project.
37. Repay all federal funds if this is determined necessary for any reason.
38. Retain total, direct control over the Project throughout the life of the improvements and not,
without prior approval from the Department:
• sell, transfer, or otherwise abandon any portion of the Project;
• change the intended use of the Project as approved;
• make significant alterations to any improvements constructed with Federal -aid funds; or
• cease maintenance or operation of a project due to the Project's obsolescence.
39. Be responsible for satisfactory maintenance and operation of all improvements and for
adopting regulations and ordinances as necessary to ensure this. Failure to adequately
maintain and operate the Project in accordance with Federal -aid requirements may result in
the Sponsor's repayment of Federal funds and may result in the withholding of all future
Federal -aid funds.
40. Submit to the Department a Single Audit in accordance with the Office of Management and
Budget (OMB) Circular A-133 each fiscal year that the Sponsor expends more than $500,000
of Federal -aid from any federal source including, but not limited to, the U.S. Department of
Transportation. The fiscal year used for the reporting is based on the Sponsor's fiscal year.
The $500,000 threshold is subject to change after OMB periodic reviews.
41. Promptly notify the Department if the Project is rendered unfit for continued use by natural
disaster or other cause.
42. Complete and transmit to the Department both pages of the Federal Funding Accountability
and Transparency Act (FFATA) Reporting Requirements (Attachment O*).
43. Private or Non -Profit Organizations must review and submit Attachment P* with all
documents requested to the Department. A Notice to Proceed will not be granted to these
organizations without the documents being submitted in full.
Q
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
THE DEPARTMENT WILL:
1. Maintain an administrative file for the Project and be responsible for administering
Federal -aid funds.
2. Request review from the Arkansas Historic Preservation Program (AHPP).
3. Provide routine environmental documentation for the Project.
4. Notify the Sponsor when right-of-way and/or utility plans are approved and the Sponsor
may proceed with right-of-way acquisition and/or utility adjustments.
5. Upon receipt of the Sponsor's certification of right-of-way (property) ownership, provide
the appropriate documentation to the file.
6. Review plans and specifications for project/program eligibility.
7. Ensure substantial compliance with federal contracting requirements through review of the
bidding proposal for inclusion of required federal forms, review of the administration of the
DBE program provisions, and general compliance with 23 CFR 635.
8. Advise the Sponsor when to proceed with Project construction or advertisement of the
Project for construction bids.
9. Review bid tabulations and concur in award of the construction contract for the Project.
10. Participate in the Sponsor's preconstruction and final acceptance meetings.
11. Visually verify (insofar as is reasonably possible) that the work meets contract requirements
before reimbursement is made to the Sponsor.
12. Review and approve any necessary change orders for project/program eligibility
13. Reimburse the Sponsor 80% (Federal -aid share) for eligible costs up to the maximum
Federal -aid amount as approved in the CCRR form (Attachment J*). This reimbursement
will be limited to the maximum Federal -aid amount and to the federal amount available at
the time payment is requested. If the payment requested exceeds the Federal -aid available at
the time, the difference will be reimbursed as additional Federal -aid for the Project becomes
available.
14. Subject to the availability of Federal -aid allocated for the Project, pay the Sponsor the
remaining amount due upon completion of the Project and submittal of the certified Final
Acceptance Report form (Attachment L*).
15. Reserve the right to cancel the Project if there is an unreasonable delay in project
development or completion of the project, there is a lack of progression toward project
development or completion of the project, the Sponsor is unable to provide an audit -worthy
reason for the substantial delay in the project development or completion process or the
Sponsor is unresponsive to Department requests.
-7-
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
IT IS FURTHER AGREED that should the Sponsor fail to fulfill its responsibilities and assigned
duties as related in this Agreement, such failure may disqualify the Sponsor from receiving all
future Federal -aid funds administered by the Department.
IT IS FURTHER AGREED that should the Sponsor fail to pay to the Department any required
funds due for implementation of the Project or fail to complete the Project as specified in this
Agreement, or fail to adequately maintain or operate the Project, the Department may cause such
funds as may be required to be withheld from the Sponsor's Motor Fuel Tax allotment.
rdIN WITNESS WHEREOF, the parties thereto have executed this Agreement on this
day of p2Ge►,,bf',20 q
ARKANSAS DEPARTMENT OF
TRANSPORTATION
Scott E. Bennett, P.E.
Director
Attorney
*All Attachments referenced in this Agreement are available in digital format on the
Department's LPA weboaae at: wwNv.ardot.uov/IA1A.
ARKANSAS DEPARTMENT OF TRANSPORTATION
NOTICE OF NONDISCRIMINATION
The Arkansas Department of Transportation (Department) complies with all civil rights provisions of federal statutes and related authorities
that prohibit discrimination in programs and activities receiving federal financial assistance. Therefore, the Department does not discriminate
on the basis of race, sex, color, age, national origin, religion (not applicable as a protected group under the Federal Motor Carrier Safety
Administration Title VI Program), disability, Limited English Proficiency (LEP), or low-income status in the admission, access to and
treatment in the Department's programs and activities, as well as the Department's hiring or employment practices. Complaints of alleged
discrimination and inquiries regarding the Department's nondiscrimination policies may be directed to Joanna P. McFadden Section Head -
EEO/DBE (ADA/504/Titte VI Coordinator), P. O. Box 2261, Little Rock, AR 72203, (501) 569-2298, (Voicerf-rY 711), or the following
email address: iaattna,ttiefaddenfsx?ard4184y
Free language assistance for Limited English Proficient individuals is available upon request.
This notice is available from the ADA/504/fide VI Coordinator in large print, on audiotape and in Braille.
-8-
Attachment B
(Designating Full -Time Employee
in Responsible Charge)
December 3, 2019
Mr. Jared D. Wiley
Division Engineer — Program Management
Arkansas Department of Transportation
P. O. Box 2261
Little Rock, AR 72203
Re: Job #040811
Job Name: Wilson Park Trail Bridge
County: Washington
Dear Mr. Wiley:
The full-time employee in responsible charge of the day to day oversight for the referenced
project will be Byron Humphry. This letter certifies that the employee is aware of the duties
and functions they are in charge of as outlined in the Agreement of Understanding. This
employee may be reached by phone at (479-575-8368) or by elinail at (bhumphry�afayetteville-
ar gov). I
y�
City of
Attachment N
CERTIFICATION FOR GRANTS, LOANS, AND COOPERATIVE AGREEMENTS
The undersigned certifies to the best of his 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 Federal 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
Federal agency, a Member of Congress, an officer or employee of Congress, or an
employee of 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 grants, and contracts
and subcontracts under grants, sub grants, loans and cooperative agreements) which
exceed $100,000, and that all such 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.
Mayor Lioneld Jordan
Name:
City of Fayetteville, Arkansas - Budget Adjustment Form (Legistar) 2 Errors
Budget Year Division Adjustment Number
/Org2 PARKS &RECREATION (520)
2019
Requestor: Alan Bearden
BUDGET ADJUSTMENT DESCRIPTION / JUSTIFICATION:
Request to recognize Arkansas Recreational Trails Program grant revenue of $170,000 through the Arkansas State
Highway and Transportation Department to be used to construct a new bridge on the trail that passes through Wilson
Park. This grant is for reimbursement of expenses.
RESOLUTION/ORDINANCE
COUNCIL DATE: 1 2/3/201 9
LEGISTAR FILE ID#: 2019-0794
Li,kRutchenk
11/14/2019 10:46 AM
Budget Director Date
TYPE:
JOURNAL #:
GLDATE:
CHKD/POSTED:
D - (City Council)
TOTAL 170,000 170,000 v.20190924
Increase / (Decrease) Project.Sub#
Account Number Expense Revenue Project Sub.Detl AT Account Name
2250.520.9255-4309.00 - 170,000 13001 1802 RE Federal Grants - Capital
2250.520.9255-5814.05 170,000 - 13001 1802 EX Improvements - Trails
H:\Budget Adjustments\2019_Budget\City Council\ 1 2-03-2019\2019-0794 BA Wilson Park Bridge Grant 1 of 1
Mathis, Jeana
From: Mathis, Jeana
Sent: Tuesday, June 23, 2020 10:49 AM
To: Humphry, Byron
Subject: Wilson Park Bridge ( Resolution 280-19)
Hi Byron,
I am currently working on the holding file. Could you please send me the signed document that goes with Legistar
2019-0794, so that I can archive the packet.
Thank you,
Jeana Mathis
Customer & Information Records Specialist
Office of the City Clerk Treasurer
City of Fayetteville, Arkansas
0mathis(@fayetteviIle-ar.gov
479.575.8323
Website I Facebook I Twitter I Instagram I YouTube
CITY of
FAYETTEVILL.E
OWN ARKANSAS
Branson, Lisa
From: Pennington, Blake
Sent: Tuesday, June 23, 2020 1:54 PM
To: Branson, Lisa
Subject: RE: Wilson Park Bridge ( Resolution 280-19)
I'm fine including those in the final packet. It's mostly rules/regulations and forms that we can use for various aspects of
the project.
Blake E. Pennington
Assistant City Attorney
Tele: (479) 575-8313
bpennin;;ton ct)fayetteville-ar.gov
From: Branson, Lisa <Ibranson@fayetteville-ar.gov>
Sent: Tuesday, June 23, 2020 1:13 PM
To: Pennington, Blake <bpennington@fayetteville-ar.gov>
Subject: FW: Wilson Park Bridge ( Resolution 280-19)
From: Mathis, Jeana <imath is@fayetteville-ar.gov>
Sent: Tuesday, June 23, 2020 11:33 AM
To: Branson, Lisa <Ibranson@fayetteville-ar.gov>
Subject: FW: Wilson Park Bridge ( Resolution 280-19)
From: Humphry, Byron <bhumphry@fayetteville-ar.gov>
Sent: Tuesday, June 23, 2020 11:06 AM
To: Mathis, Jeana <jmath is@fayetteville-ar.gov>
Subject: RE: Wilson Park Bridge ( Resolution 280-19)
See attached.
Byron Humphry
Maintenance Superintendent
Parks and Recreation
City of Fayetteville, Arkansas
T 479.575.8368 1 F 479.521.7714
Website I Facebook I Twitter I Instagram I YouTube
CITY OF
Wig FAYETTEVILLE
ARKANSAS
From: Mathis, Jeana <imath is@fayetteville-ar.gov>
Sent: Tuesday, June 23, 2020 10:49 AM
To: Humphry, Byron <bhumphry@favetteville-ar.gov>
Subject: Wilson Park Bridge ( Resolution 280-19)
Hi Byron,
I am currently working on the holding file. Could you please send me the signed document that goes with Legistar
2019-0794, so that I can archive the packet.
Thank you,
Jeana Mathis
Customer & Information Records Specialist
Office of the City Clerk Treasurer
City of Fayetteville, Arkansas
a math is(a.fayetteville-ar.gov
479.575.8323
Website I Facebook I Twitter I Instagram I YouTube
CITY OF
FAYETTEVILLE
ARKANSAS
AGREEMENT OF UNDERSTANDING
BETWEEN
THE CITY OF FAYETTEVILLE
AND
THE ARKANSAS DEPARTMENT OF TRANSPORTATION
In Cooperation with the
U. S. Department of Transportation Federal Highway Administration
RELATIVE TO
Implementation of Job 040811, Fayetteville Wilson Park Trail Bridge Repl. (RTP-19) (S)
(hereinafter called the "Project") as an Arkansas Recreational Trails Program (RTP)
NonMotorized project.
WHEREAS, funding in the Fixing America's Surface Transportation (FAST) Act includes 800/a
Federal -aid funds to be matched with 20% non-federal funds for approved RTP projects; and
WHEREAS, the City of Fayetteville (hereinafter called "Sponsor") has expressed its desire to
use Federal -aid funds for the eligible Project and to provide necessary matching for such funds;
and
WHEREAS, the Sponsor has transmitted to the Arkansas Department of Transportation
(hereinafter called the "Department") a signed and sealed Resolution from the Sponsor's
governing body authorizing the Sponsor's CEO or their designated representative to execute
agreements and contracts with the Department for the Project; and
WHEREAS, funding participation will be as follows, subject to a limit of 5170,000 maximum
Federal -aid approved for the Project:
Maximum Minimum
Fed % Sponsor%
Project Design: 0 100
Right-of-Way/Utilities: 0 100
Project Construction: 80 20
Project Construction Inspection: 0 100
WHEREAS, the Sponsor understands that these funds have been awarded for specific project
purposes, not for the Sponsor to utilize until expended; and
WHEREAS, the Sponsor knows of no legal impediments to the completion of the Project; and
WHEREAS, it is understood that the Sponsor and the Department will adhere to the General
Requirements for Recipients and Sub -Recipients Concerning Disadvantaged Business
Enterprises (DBEs) (Attachment A*) and that, as part of these requirements, the Department may
set goals for DBE participation in the Project ranging from 0% to 100% that are practical and
related to the potential availability of DBEs in desired areas of expertise; and
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
WHEREAS, the Department has published the Arkansas Local Public Agency Project Manual
(available at www.ardot.sov/LPA) which outlines procedures and requirements which must be
followed during development and construction of the Project; and
WHEREAS, the parties agree, unless specifically stated otherwise, that the provisions of this
agreement are not intended to created or confer a third party benefit or right in any person or
entity, not a party to this agreement.
IT IS HEREBY AGREED that the Sponsor and the Department, in cooperation with the Federal
Highway Administration, will participate in a cooperative program for implementation of the
Project and will accept the responsibilities and assigned duties as described hereinafter.
THE SPONSOR WILL:
1. Notify the Department in writing who the Sponsor designates as its full-time employee to be
in responsible charge of the day to day oversight of the Project (Attachment B*). The duties
and functions of this person are:
• Oversee project activities, including those dealing with cost, time, adherence to contract
requirements, construction quality and scope of Federal -aid projects;
• Maintains familiarity of day to day project operations, including project safety issues;
• Makes or participates in decisions about changed conditions or scope changes that require
change orders and/or supplemental agreements;
• During construction, visits and reviews the project on a daily basis;
• Reviews financial processes, transactions and documentation to ensure that safeguards
are in place to minimize fraud, waste, and abuse;
• Directs project staff, Sponsor or consultant, to carry out project administration and
contract oversight, including proper documentation;
• Be aware of the qualifications, assignments and on-the-job performance of the Sponsor
and consultant staff at all stages of the project
2. Sponsors that require a reduction or modification to the scope of their project will submit the
Revision of Project Scope and Budget (Attachment C*) with the signed Agreement of
Understanding.
3. Prepare plans, specifications, and a cost estimate for construction. A registered professional
engineer must sign the plans and specifications for the project if the project includes design
of structural components. Plans which include the design of only non -infrastructure
components will not require a registered stamp.
4. Be responsible for any necessary coordination with affected railroads including preliminary
and final plan review and for executing any formal railroad maintenance and construction
agreements that may be necessary for the project. This includes ensuring that potential
bidders are aware of railroad coordination required during construction including flagging
services and insurance.
5. Submit plans at 30%, 60%, and 90% completion stages for Department review.
sE
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
6. Submit the following deliverables for the Project by the listed deadline or risk possible
cancellation of the Federal -aid award or significant delay of the Project. If a deadline is
missed, the Sponsor may be required to submit a reason for the delay and request a time
extension in writing.
Deliverable
Deadline
Signed Agreement of Understanding for
60 Days from the Kick-off Meeting
Execution by the Department
30% Complete Plans for Review
180 Days from the Kick-off Meeting
60% Complete Plans for Review
90 Days from the return of Department
comments on previous set of plans
90% Complete Plans for Review
90 Days from the return of Department
comments on previous set of plans
Final Plans, Bid Documents, and Request
90 Days from the return of Department
for Authority to Advertise
comments on previous set of plans
7. Complete the process for all permits that might be required for the project. This could
include, but is not limited to, the US Army Corp of Engineers Section 404 permit; and the
Arkansas Department of Environmental Quality's Section 401 Water Quality Certification,
Short Tenn Activity Authorization, and National Pollutant Discharge Elimination System
permit. The Section 404 permitting application(s) and/or determination information should
be submitted with the plans to the Department in order to aid in the completion of the
environmental documentation.
8. Provide any necessary higher levels of investigation for the required environmental
document should the Project have uncertain or significant cultural, environmental or social
impacts; have a likelihood of generating controversy; and/or possible economic impacts. For
projects located on federal lands, the Sponsor must submit a cg=IeW environmental
document for the Project, approved by the agency with authority over the federal lands.
9. Comply with provisions of the Americans with Disabilities Act, Section 504 of the
Rehabilitation Act of 1973, Title VI of the Civil Rights Act of 1964, FHWA RTP Guidance,
and any other Federal, State, and/or local laws, rules and/or regulations. (See Attachment D*
for items to be included in the bid proposal).
10. Before acquiring property or relocating utilities, contact the Department's Right of Way
Division to obtain the procedures for acquiring right-of-way and adjusting utilities in
conformance with federal regulations. NOTE: Failure to notify the Department prior to
initiating these phases of work may result in all project expenditures being declared
non -participating in federal funds.
11. Acquire property in accordance with the Uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970, as amended (commonly referred to as the "Uniform Act").
12. Provide a copy of the registered deed or other approved documentation and an appropriate
certification stating the Sponsor's clear and unencumbered title to any right-of-way to be
used for the Project and the land is accessible to the general public for recreational or
transportation purposes (See Attachment E 1 *). If property has been acquired for the Project,
use Attachment E2* for certification of the right-of-way.
-3-
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
13. Ensure the preparation of utility adjustment and right-of-way plans are in accordance with
Arkansas State Highway Commission Policy.
14. Submit a certification letter (Attachment F*), including all items noted, to the Department
when requesting authority to advertise the Project for construction bids.
15. Refrain from any Project construction for which the Sponsor expects monetary
reimbursement until a Notice to Proceed is received from the Department.
16. If the project is to be advertised, it must be done in accordance with federal procedures as
shown in Attachment G*. NOTE: FHWA authorization and Department approval must
be given prior to advertising for construction bids.
17. Forward a copy of all addenda to the Project during the advertisement to the Department.
18. After bids are opened and reviewed, submit a certification (Attachment H*), including all
items noted, to the Department and request concurrence in award of the contract.
19. Prior to issuing the notice to proceed to the Contractor, the Sponsor must hold a pre -
construction meeting with the Contractor and must invite the Department's Resident
Engineer assigned to the Project.
20. Prior to executing the work, submit change orders to the contract to the Department's
Resident Engineer assigned to the Project for review and approval for program eligibility.
21. Construct the Project in accordance to plans and specifications that were developed by the
Sponsor, or the Sponsor's representative, and were reviewed and approved by the
Department prior to the issuance of the Notice to Proceed.
22. Perform construction inspection in accordance with Attachment 1*.
23. Make payments to the contractor for work accomplished in accordance with the plans and
specifications and then request reimbursement from the Department on the Construction
Certification and Reimbursement Request (CCRR) form (Attachment J*). For projects being
constructed using the Sponsor's forces, reimbursement requests will also be submitted using
the CCRR. Requests for reimbursement must be made at least once every three (3) months
that construction projects are active in order to avoid being put on the FHWA inactive project
list.
24. Attach Report of Daily Work Performed (Attachment K*) for all days that correspond with
each CCRR submittal.
25. Upon project completion hold a final acceptance meeting for the Project and submit the Final
Acceptance Report form certifying that the Project was accomplished in accordance with the
plans and specifications (Attachment L*). This form must be signed by the engineer
performing construction inspection on the Project, the Department's Resident Engineer
assigned to the project, the Sponsor's full-time employee in responsible charge, and the
Sponsor's CEO.
26. Maintain accounting records to adequately support reimbursement with Federal -aid funds
and be responsible for the inspection, measurement and documentation of pay items, and
-4-
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of'Transportation
certification of all work in accordance with the plans and specifications for the Project and
for monitoring the Contractor and subcontractor(s) for compliance with the provisions of
FHWA-1273, Required Contract Provisions, Federal -aid Construction Contracts, and
Supplements.
27. Pay all unpaid claims for all materials, labor, and supplies entered into contingent or
incidental to the construction of said work or used in the course of said work including but
not limited to materials, labor, and supplies described in and provided for in Act Nos. 65 and
368 of 1929, Act No. 82 of 1935, and Acts amendatory thereof.
28. Agree that any and all claims for damages to property or injury to persons caused by any act
or omission, negligence, or misconduct from the performance of work by the Sponsor's
contractor on the Project shall be the sole responsibility of the Sponsor's contractor and in
this regard the Sponsor shall require the contractor on the Project to procure and maintain a
General Public Liability Insurance Policy during the duration of the Project which shall be
endorsed to include broad form general liability and complete operations coverage on the
Project. The contractor shall furnish the Sponsor with documentation of proof of liability
insurance coverage with submission of the signed contract.
29. Agree that any claims, liability, costs, expenses, demands, settlements, or judgments arising
from misconduct or the negligent acts or omissions of the Sponsor, its employees, agents or
contractors in the performance of the Project and this Agreement must be presented to the
Sponsor. Further, the Sponsor by acceptance of this grant, agrees that the Department and
the Arkansas State Highway Commission, as the pass -through entity, have no duty or
responsibility for the design, construction, maintenance or operation of the Project that is the
subject of this grant, and, therefore shall have no liability related to the design, construction,
maintenance or operation of the Project. The Sponsor also agrees to assume all risks
associated with the work to be performed by its agents, employees, and contractors under this
grant and Agreement and the Department and the Arkansas State Highway Commission, as
the pass -through entity, shall not be responsible or liable for any damages whatsoever from
the actions of the Sponsor, its employees, agents and contractors.
30. Assure that its policies and practices with regard to its employees, any part of whose
compensation is reimbursed from federal funds, will be without regard to race, color,
religion, sex, national origin, age, or disability in compliance with the Civil Rights Act of
1964, the Age Discrimination in Employment Act of 1967, The Americans with Disabilities
Act of 1990, as amended, and Title 49 of the Code of Federal Regulations Part 21 (49 CFR
21), Nondiscrimination in Federally -Assisted Programs of the Department of Transportation.
31. Retain all records relating to inspection and certification, the Contractor's billing statements,
and any other files necessary to document the performance and completion of the work in
accordance with requirements of 49 CFR 18.42 - Retention and access requirements for
records (Attachment M*).
32. Grant the right of access to Sponsor's records pertinent to this Project and the right to audit
by the Department and Federal Highway Administration officials.
33. Be responsible for 100% of all project costs incurred should the Project not be completed as
specified.
WE
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
34. Be responsible for 100% of any and all expenditures for which federal funds do not
participate or that are not approved for federal funds.
35. Sign and transmit to the Department the Certification for Grants, Loans, and Cooperative
Agreements (Attachment N*), which is necessary for Project participation.
36. Repay to the Department the federal share of the cost of any portion of this Project if, for any
reason, federal participation is removed due to actions or inactions of the Sponsor, its agents,
its employees, or its assigns or the Sponsor's consultants or contractors or their agents. Such
actions or inactions shall include, but are not limited to, federal non -participation arising
from problems with design plans, specifications, construction, change orders, construction
inspection, or contractor payment procedures. The Sponsor understands and agrees that the
Department may cause necessary funds to be withheld from the Sponsor's Motor Fuel Tax
allotment should the Sponsor fail to pay to the Department any required funds, fail to
complete the Project as specified, or fail to adequately maintain or operate the Project.
37. Repay all federal funds if this is determined necessary for any reason.
38. Retain total, direct control over the Project throughout the life of the improvements and not,
without prior approval from the Department:
• sell, transfer, or otherwise abandon any portion of the Project;
• change the intended use of the Project as approved;
• make significant alterations to any improvements constructed with Federal -aid funds; or
• cease maintenance or operation of a project due to the Projects obsolescence.
39. Be responsible for satisfactory maintenance and operation of all improvements and for
adopting regulations and ordinances as necessary to ensure this. Failure to adequately
maintain and operate the Project in accordance with Federal -aid requirements may result in
the Sponsor's repayment of Federal funds and may result in the withholding of all future
Federal -aid funds.
40. Submit to the Department a Single Audit in accordance with the Office of Management and
Budget (OMB) Circular A-133 each fiscal year that the Sponsor expends more than $500,000
of Federal -aid from any federal source including, but not limited to, the U.S. Department of
Transportation. The fiscal year used for the reporting is based on the Sponsor's fiscal year.
The $500,000 threshold is subject to change after OMB periodic reviews.
41. Promptly notify the Department if the Project is rendered unfit for continued use by natural
disaster or other cause.
42. Complete and transmit to the Department both pages of the Federal Funding Accountability
and Transparency Act (FFATA) Reporting Requirements (Attachment O*).
43. Private or Non -Profit Organizations must review and submit Attachment P* with all
documents requested to the Department. A Notice to Proceed will not be granted to these
organizations without the documents being submitted in full.
-6-
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
THE DEPARTMENT WILL:
1. Maintain an administrative file for the Project and be responsible for administering
Federal -aid funds.
2. Request review from the Arkansas Historic Preservation Program (AHPP).
3. Provide routine environmental documentation for the Project.
4. Notify the Sponsor when right-of-way and/or utility plans are approved and the Sponsor
may proceed with right-of-way acquisition and/or utility adjustments.
5. Upon receipt of the Sponsor's certification of right-of-way (property) ownership, provide
the appropriate documentation to the file.
6. Review plans and specifications for project/program eligibility.
7. Ensure substantial compliance with federal contracting requirements through review of the
bidding proposal for inclusion of required federal forms, review of the administration of the
DBE program provisions, and general compliance with 23 CFR 635.
8. Advise the Sponsor when to proceed with Project construction or advertisement of the
Project for construction bids.
9. Review bid tabulations and concur in award of the construction contract for the Project.
10. Participate in the Sponsor's preconstruction and final acceptance meetings.
11. Visually verify (insofar as is reasonably possible) that the work meets contract requirements
before reimbursement is made to the Sponsor.
12. Review and approve any necessary change orders for project/program eligibility.
13. Reimburse the Sponsor 80% (Federal -aid share) for eligible costs up to the maximum
Federal -aid amount as approved in the CCRR form (Attachment J*). This reimbursement
will be limited to the maximum Federal -aid amount and to the federal amount available at
the time payment is requested. If the payment requested exceeds the Federal -aid available at
the time, the difference will be reimbursed as additional Federal -aid for the Project becomes
available.
14. Subject to the availability of Federal -aid allocated for the Project, pay the Sponsor the
remaining amount due upon completion of the Project and submittal of the certified Final
Acceptance Report form (Attachment L*).
15. Reserve the right to cancel the Project if there is an unreasonable delay in project
development or completion of the project, there is a lack of progression toward project
development or completion of the project, the Sponsor is unable to provide an audit -worthy
reason for the substantial delay in the project development or completion process or the
Sponsor is unresponsive to Department requests.
-7-
Agreement of Understanding Between the City of Fayetteville
and the Arkansas Department of Transportation
IT IS FURTHER AGREED that should the Sponsor fail to fulfill its responsibilities and assigned
duties as related in this Agreement, such failure may disqualify the Sponsor from receiving all
future Federal -aid funds administered by the Department.
IT IS FURTHER AGREED that should the Sponsor fail to pay to the Department any required
funds due for implementation of the Project or fail to complete the Project as specified in this
Agreement, or fail to adequately maintain or operate the Project, the Department may cause such
funds as may be required to be withheld from the Spons&s Motor Fuel Tax allotment.
3ra
IN WITNESS WHEREOF, the parties thereto have executed this Agreement on this
dayof- Decem-ber , a01 q
ARKANSAS DEPARTMENT OF
TRANSPORTATION
lag- dt
, V Scott E. Bennett, P.E.
��/JA•('� Director
I
OF FAYETTEVILLE
/,"Liorydd Jordan
May ayetteville
it Williams
Attorney
*All Attachments referenced in this Agreement are available in digital format on the
Department's LPA webpa a at: www.ardot.Qav/Ll'A.
ARKANSAS DEPARTMENT OF TRANSPORTATION
NOTICE OF NONDISCRIMINATION
The Arkansas Department of Transportation (Department) complies with all civil rights provisions of federal statutes and related authorities
that prohibit discrimination in programs and activities receiving federal financial assistance. Therefore, the Department does not discriminate
on the basis of race, sex, color, age, national origin, religion (not applicable as a protected group under the Federal Motor Carrier Safety
Administration Title VI Program), disability, Limited English Proficiency (LEP), or low-income status in the admission, access to and
treatment in the Department's programs and activities, as well as the Department's hiring or employment practices. Complaints of alleged
discrimination and inquiries regarding the Department's nondiscrimination policies may be directed to Joanna P. McFadden Section Head -
EEO/DBE (ADA/504/Title VI Coordinator), P. O. Box 2261, Little Rock, AR 72203, (501) 569-2298, (VoiceMY 711), or the following
email address: joannn mcfaddcn0)nrdot.eov
Free language assistance for Limited English Proficient individuals is available upon request.
This notice is available from the ADA/504/Title VI Coordinator in large print, on audiotape and in Braille.
11F:12
Attachment A
GENERAL REQUIREMENTS
FOR
RECIPIENTS AND SUB -RECIPIENTS
CONCERNING DISADVANTAGED BUSINESS ENTERPRISES
It is the policy of the U. S. Department of Transportation that disadvantaged
business enterprises (DBEs) as defined in 49 CFR Part 26 shall have the maximum
opportunity to participate in the performance of contracts financed in whole or in part
with Federal funds under this Agreement. Consequently, the DBE requirements of 49
CFR Part 26 apply to this Agreement.
The recipient or its contractor agrees to ensure that DBEs as defined in 49 CFR
Part 26 have the maximum opportunity to participate in the performance of contracts and
subcontracts financed in whole or in part with Federal funds provided under this
Agreement. In this regard all recipients or contractors, shall take all necessary and
reasonable steps in accordance with 49 CFR Part 26 to ensure that DBEs have the
maximum opportunity to compete for and perform contracts. Recipients and their
contractors shall not discriminate on the basis of race, color, national origin, or sex in the
award and performance of DOT -assisted contracts.
If as a condition of assistance the recipient has submitted and the Department has
approved a disadvantaged business enterprise affirmative action program, which the
recipient agrees to carry out, this program is incorporated into this financial assistance
agreement by reference. This program shall be treated as a legal obligation and failure to
carry out its terms shall be treated as a violation of this financial assistance agreement.
Upon notification to the recipient of its failure to carry out the approved program, the
Department shall impose such sanctions as noted in 49 CFR Part 26, Subpart F, which
sanctions may include termination of the Agreement or other measures that may affect
the ability of the recipient to obtain future DOT financial assistance.
The recipient shall advise each sub -recipient, contractor or subcontractor that
failure to carry out the requirements set forth in 49 CFR Part 26, Subsections 26.101 and
26.107 shall substitute a breach of contract and after the notification of the Department,
may result in termination of the agreement or contract by the recipient or such remedy as
the recipient deems appropriate.
(NOTE: Where appropriate, the term "recipient" may be modified to mean
"sub -recipient", and the term "contractor" modified to include "subcontractor".)
Attachment B
(Designating Full -Time Employee
in Responsible Charge)
December 3.2019
Mr. Jared D. Wiley
Division Engineer— Program Management
Arkansas Department of Transportation
P. O. Box 2261
Little Rock, AR 72203
Re: Job #040811
Job Name: JFil.i;on Park Trail Bridze
County: Washington
Dear Mr. Wiley:
The full-time employee in responsible charge of the day to day oversight for the referenced
project will be Byron Humahrv. This letter certifies that the employee is aware of the duties
and functions they are in charge of as outlined in the Agreement of Understanding. This
employee may be reached by phone at (479-575-8368) or by a sail at (bhumphry a�fayettevilte-
ar.gov).
Mayor Li
City of F;
Attachment C
Sponsor Letterhead
Revision of Project Scope and Budget
DATE
Mr. Jared D. Wiley
Division Engineer — Program Management
Arkansas Department of Transportation
P. O. Box 2261
Little Rock, AR 72203
Re: Job #
Job Name
County
Dear Mr. Wiley:
The scope and/or budget for the project has/have been revised. I certify that:
1) The length of the project will be feet and be feet wide with a/an
surface.
2) Other project changes are as follows:
3) Two maps are attached. One is the project location map, and the other is a close up map
that shows the project termini.
4) The revised budget is $ Federal -aid and $ Sponsor funds for a total
project budget of $
Any substantial changes to the above information will be submitted in writing to ARDOT.
Sincerely,
NAME & OFFICE
(Sponsor's CEO)
Attachments
Attachment D
REQUIRED CONTENTS OF BIDDING PROPOSALS
FEDERAL -AID PROJECTS
1) FHWA-1273
Each set of contract documents shall include FHWA-1273, "Required Contract Provisions,
Federal -aid Construction Contracts," and such supplements that may modify the FHWA-
1273. Copies of FHWA-1273 and supplements will be provided by the Department.
2) Anti -Collusion and Debarment Certification
The certification shall either be in the form of an affidavit executed and sworn to by the bidder
before a person who is authorized by the laws of the State to administer oaths or in the form of
an unsworn declaration executed under penalty of perjury of the law of the United States. The
required form for the Anti -Collusion and Debarment Certification will be provided by the
Department. The certification includes:
• Anti -collusion - A statement executed by, or on behalf of the person, firm, association, or
corporation submitting the bid certifying that such person, firm, association, or
corporation has not, either directly or in -directly, entered into any agreement, participated
in any collusion, or otherwise taken any action, in restraint of free competitive bidding in
connection with the submitted bid.
• Debarment - A statement regarding debarment, suspension, ineligibility and voluntary
exclusion as required by Title 49 of the Code of Federal Regulations, Part 29 (49 CFR 29).
Failure to submit the executed Certification as [)art of the bidding documents will make
the bid nonresponsive and not eligible for award consideration.
3) Lobbying Certification
This certification is required by 49 CFR 20. The form for this certification will be provided
by the Department.
4) "Buy America" Provisions
Because federal highway funds are included in the project, "Buy America" requirements, as
specified in Title 23 of the United States code Section 313 and Title 23 of the code of Federal
Regulations Section 635.410, apply to this project. This requirement applies to all iron and
steel products used on the project. A section of the bidding documents should specify these
requirements as part of the project and it should at least be noted in the advertisement for bids.
Attachment E 1
CITY / COUNTY LETTERHEAD
JOB NUMBER
JOB NAME
COUNTY
Title to the right of way necessary for the construction of this project has been acquired, or will be
acquired, in accordance with applicable Federal Highway Administration procedures.
1 indicate total number in each category here. Delete any categories not used in this job.
Tract(s)
Options(s)
_ Paid
Donation(s)
Negotiation Pending* - include tract number(s) and statement: "It is anticipated that
this/these tract(s) will be acquired by (date). "
Condemnation(s) — (include Order of Possession date or date the Court Order was filed)
Condemnation(s) Pending* - include tract numbers) and anticipated filing date
* If applicable
jdelete the statement in each pair that does not apply
There arc no displacees on this project.
-Or-
Relocation Assistance has been provided in accordance with applicable Federal Highway
Administration procedures and all displacees have moved from this project. There was/were #
displaced (residencelsAusiness(esI/persona! property/etc) on the project.
There arc no structures located within the right of way area.
-Or-
All structures have been removed from this project, except for those to be included as demolition
items in the highway contract.
No conflicting utilities are known to exist in the right of way area.
-Or-
Necessary utility relocation has been, or will be, completed as shown in the attached Utility Status
Report.
There are no railroads involved on this project
-OR-
Tract(s) #_ shown above include(s) # (Permanent/Temporary Construction Easements) for
Railroad.
No right of way in excess of that needed for construction or future maintenance of this project was
acquired.
Certified by: Date:
(Type name)
(Type title)
Attachment E2
CITY / COUNTY LETTERHEAD
JOB NUMBER
JOB NAME
COUNTY
Title to the right of way necessary for the construction of this project was in public ownership prior
to project development. No additional right of way was acquired.
There are no displacees on this project.
There are no structures located within the right of way area.
There are no railroads involved on this project.
No known conflicting utilities exist within the right of way area.
Certified by:
(Type name)
(Type title)
Date:
Attachment F
CERTIFICATION LETTER
REQUESTING AUTHORITY TO ADVERTISE
DA TE
Mr. Emanuel Banks
Deputy Director and Chief Engineer
Arkansas Department of Transportation
P. O. Box 2261
Little Rock, AR 72203
Dear Mr. Banks:
Re: Job #
Job Nance
County
The following documents are submitted concerning the referenced project:
1. One set of plans and specifications.
2. A copy of the preliminary estimate of cost.
3. An unexecuted copy of the bid proposal form.
I certify that the plans, specifications and estimate were prepared by or under the direct
supervision of a Professional Engineer licensed to practice in the State of Arkansas and that the
plans and specifications comply with the Americans with Disabilities Act (ADA), the American
Association of State Highway and Transportation Officials (AASHTO) design standards, and all
other applicable state and federal regulations, including airport clearance when necessary, for the
type of work involved.
I understand that if any project items are declared non -participating in federal funds due to
failure to comply with any State or federal requirements, the Sponsor will promptly repay such
funds to the Arkansas Department of Transportation (ARDOT). Further, I hereby authorize the
Director of the Arkansas State Department of Finance and Administration to transfer such funds
from the Sponsor's Motor Fuel Tax allotment to the ARDOT's RRA Fund upon notification by
the ARDOT Director of that such funds are due ARDOT and have not been paid by the Sponsor.
Approval to proceed with advertisement of the project for bids is requested.
Sincerely,
NAME & OFFICE
(Sponsor's CEO)
Enclosures
Attachment G
GUIDELINES FOR ADVERTISING AND OPENING BIDS
FEDERAL -AID PROJECTS
Upon receipt of written authorization from the Arkansas Department of Transportation
(Department), the project may be advertised for bids. The following minimum guidelines for
advertising must be met:
• The minimum advertising period is three weeks (21 days).
• In addition to meeting the State requirements for advertising for construction projects, the
project must be advertised a minimum of two times in a statewide newspaper (online or print
versions are acceptable).
• The notice must contain: (1) the time, date, and place that sealed bids are to be accepted,
opened, and publicly read; (2) a brief description of the kind or type of work contemplated;
and (3) the place at which prospective bidders may obtain plans and specifications.
• The Sponsor will forward a copy of the approved advertisement to the Department once
advertisement starts. Any addenda will also be sent to the Department during the
advertisement period.
• The Sponsor will include the following language in the solicitation for bids:
"The Sponsor hereby notifies all bidders that this contract is subject to applicable
labor laws, non-discrimination provisions, wage rate laws and other federal laws
including the Fair Labor Standards Acts of 1938. The Work Hours Act of 1962
and Title VI of the Civil Rights Act of 1964 also apply."
"`Buy America' provisions apply to this project."
• All bids received in accordance with the terms of the advertisement shall be publicly opened
and at a minimum, the total amount bid must be read aloud (the sponsor may choose to read
the bids item by item).
• If any bid received is not read aloud, the name of the bidder and the reason for not reading
the bid aloud shall be publicly announced at the letting.
• Negotiation with contractors during the period following the opening of bids and before
the award of the contract is strictly prohibited.
Attachment H
CERTIFICATION LETTER
REQUESTING CONCURRENCE IN AWARD OF THE CONTRACT
DATE
Mr. Emanuel Banks
Deputy Director and Chief Engineer
Arkansas Department of Transportation
P. O. Box 2261
Little Rock, AR 72203
Dear Mr. Banks:
Re: Job #
Job Name
County
The following documents are submitted concerning the referenced project:
1. One set of bid tabulations.
2. Justification of award (if low bid amount is greater than 10% over the estimate).
I certify that the referenced project was advertised and bids were received in accordance with the
regulations governing Federal -aid projects and all other applicable state and federal regulations,
and that this process has been reviewed and approved by the Sponsor's Attorney. Additionally, I
certify that the bid is being awarded to the lowest responsive and qualified bidder and that there
has not been, nor will there be, any negotiations with the contractor or other bidders regarding
the amount bid.
Your concurrence in the award of this contract to (INSERT CONTRACTOR NAME) is
requested.
Sincerely,
Sponsor's CEO
Sponsor's Attorney
Enclosures
Attachment 1
GUIDELINE FOR INSPECTION OF LOCALLY ADMINISTERED
CONSTRUCTION CONTRACTS FOR
TRANSPORTATION ALTERNATES PROGRAM (TAP) PROJECTS AND
RECREATIONAL TRAILS PROGRAM (RTP) PROJECTS
Upon receipt of written concurrence from the Arkansas Department of Transportation in the
award of the construction contract, the construction contract may be executed. The following
minimum guidelines for inspection must be met:
1) Project must be inspected by a Professional Engineer registered to practice in the State of
Arkansas.
2) Project must be inspected using best practices for the type of work and the Sponsor is not
required to use Department inspection procedures.
3) Prior to beginning construction activities, the Sponsor must hold a pre -construction meeting
and must invite the Department's Resident Engineer (RE) assigned to the project. At the
meeting:
a) The Sponsor will provide the RE two sets of plans and two copies of the construction
contract. (One for RE's records and one to be sent to Program Management Division)
b) The RE will provide a packet of posters and notices required by the FHWA-1273
supplemental specifications.
4) Submit the Construction Certification and Reimbursement Request (CCRR) form to the RE
for review and handling. RE to check:
a) Maximum federal funding available.
b) Signed by Sponsor's Chief Elected Official (CEO).
c) RE to review for math errors and compare to previously submitted CCRRs.
d) Page 2 must be submitted.
e) Copy of check(s) from the Sponsor to the Sponsor's Contractor and LPA Report(s) of
Daily Worked Performed.
5) Prior to implementing change orders, the Sponsor must submit fully executed change orders
to the Department's RE for Department review and approval. The change order form must
include:
a) The Sponsor's CEO (or designated representative), Engineer, and Contractor's signature.
b) Description of the change and why the change was necessary.
c) For unit price contracts, any changes in quantities.
d) For new pay items, the pay item name, quantities, units, and unit price.
e) Time extensions.
fj All change orders must be reviewed and approved before beginning work except for
reconciliation change orders at the end of the project.
g) Reconciliation changes are required for project underruns greater than 20% and for all
projects greater than 10% over.
6) Upon completion of the Project:
a) Submit a CCRR form showing the work completed as the final contract amount.
i) This form must be submitted even if the Sponsor has been reimbursed 100% of the
Federal -aid available for the Project.
b) Hold a final acceptance meeting in which the Sponsor's engineer, the designated full-
time employee and the Department's RE must attend.
c) Submit the LPA Final Acceptance Report form to the RE at the final acceptance meeting.
CONSTRUCTION CERTIFICATION AND REIMBURSEMENT REQUEST
Job No Payee/Sponsor:
FAPaddress
County
Job Name
Federal Tax ID No
SPONSOR'S REQUEST
1 Maximum Approved Federal -aid Amount
2 Original Contract Amount
3 Net Changes by Change Orders
4 Present Contract Total
5 Present Federal -aid Amount (80% of Line 4
or Amount on Line 1, whichever is less)
6 Work Completed to Date
7 Federal Match (80% of Line 6 or amount
on Line 5, whichever is less)
8 Previous Reimbursements (Federal)
9 Amount Due this Estimate
1 M-4 1 Inn A from I inn 71
• - -
Total changes previously approved
ADDITIONS
DEDUCTIONS
Total approved this Request Period
TOTALS
NET CHANGES by Change Order
(Line 3 above
By
Title:
By
Title:
PAGE 1 OF
DATE
PAY RFOUFST #
1 ROM TO:
Revised 1/31/17
2 PAGES
The information provided in this document is true and correct and I
recommend that payment be made to the Contractor for this work
Date
Payment is requested from the Arkansas Department
of Transportation for the Amount Due. I certify that the
Contractor and/or subcontractor(s) are complying with the provisions
of FHWA-1273, Required Contract Provisions, Federal -aid Construction
Contracts, and Supplements; that the work has been completed by the
Contractor in accordance with the plans and specifications; and that
the Contractor has been paid for this work
Date:
DEPARTMENT USE ONLY
Recommended for Payment in PAID
Accordance with Project Agreement Approved for Payment
Voucher No.
Resident Engineer State Construction Engineer Date:
Attachment J
CONSTRUCTION CERTIFICATION AND REIMBURSEMENT REQUEST Revised. 7/31/17
PAGE 2 OF 2 PAGES
JOB NUMBER:
FAP: REQUEST NO: DATE
JOB NAME:
SPONSOR:
FROM TO:
CONTRACTOR:
A
B
C
D I E
F
G
H
I
ITEM
NO.
DESCRIPTION OF WORK
SCHEDULED
VALUE
WORK COMPLETED
MATERIALS
PRESENTLY
STOCKPILED
NOT IN D or E
TOTAL
COMPLETED &
STOCKPILED
TO DATE D+E+F
%
COMPLETED
(G + C)
BALANCE
TO FINISH
(C - G)
PREVIOUS
REQUESTS
THIS PERIOD
GRAND TOTALS
Attachment J
COPY OF SPONSOR'S PAYMENT CHECK FOR THIS ESTIMATE MUST BE ATTACHED TO THIS FORM
Attachment K
Sponsor
LPA Report of Daily Work Performed
Job Name: Job No..
FAP No.: Contractor:
Date: Hours Worked: — Report No.:
Site Conditions
Useable
Partly Useable
Not Useable
Min Temp. (F)
Max Temp. F
Comments
Project Conditions
Weather
Sunny
Partly Cloudy
Rain
Rainfall Amt. (in.)
Number of Contractor's
Personnel
Laborers
Carpenters
Concrete Laborers
Equip. Operators
Electricians
Plumbers
Foreman
Other
Other
Location and Description of Work Performed
Special Instructions and/or Conversations
Signed:
Desi nated Full-time Employee
Attachment L
SPONSOR
LPA Final Acceptance Report
Job Name:
Date:
Job No:
FAP No:
County:
Route:
Contractor:
Date Work Began:
Date Work Completed:
Attendees:
Remarks:
Project Completed in Substantial
Compliance with Plans and Specifications
and Recommended for Final Acceptance by
Sponsor
Engineer
Recommended for Acceptance in
Accordance with Project Agreement
ARDOT Resident Engineer
Project Recommended for Acceptance
Designated Full-time Employee:
I certify that the Contractor and/or subcontractor(s) have complied with the provisions of
FHWA-1273, Required Contract Provisions, Federal -aid Construction Contracts, and
Supplements; that the project has been completed by the Contractor in accordance with
the plans and specifications; that the Contractor has been paid for this work, and the
project is hereby accepted.
SPONSOR's CEO
Attachment M
49 CFR 18.42
UNIFORM ADMINISTRATIVE REQUIREMENTS FOR GRANTS AND COOPERATIVE
AGREEMENTS TO STATE AND LOCAL GOVERNMENTS
Post -Award Requirements
Retention and access requirements for records.
(a) Applicability. (1) This section applies to all
financial and programmatic records, supporting
documents, statistical records, and other records of
grantees or subgrantees which are:
(i) Required to be maintained by the terms of this
part, program regulations or the grant agreement, or
(ii) Otherwise reasonably considered as pertinent to
program regulations or the grant agreement.
(2) This section does not apply to records maintained
by contractors or subcontractors. For a requirement to
place a provision concerning records in certain kinds of
contracts, see Sec. 18.36(iX 10).
(b) Length of retention period. (1) Except as
otherwise provided, records must be retained for three
years from the starting date specified in paragraph (c) of
this section.
(2) If any litigation, claim, negotiation, audit or other
action involving the records has been started before the
expiration of the 3-year period, the records must be
retained until completion of the action and resolution of
all issues which arise from it, or until the end of the
regular 3-year period, whichever is later.
(3) To avoid duplicate recordkeeping, awarding
agencies may make special arrangements with grantees
and subgrantees to retain any records which are
continuously needed for joint use. The awarding agency
will request transfer of records to its custody when it
determines that the records possess long-term retention
value. When the records are transferred to or maintained
by the Federal agency, the 3-year retention requirement
is not applicable to the grantee or subgrantee.
(c) Starting date of retention period --(I) General.
When grant support is continued or renewed at annual
or other intervals, the retention period for the records of
each funding period starts on the day the grantee or
subgrantee submits to the awarding agency its single or
last expenditure report for that period. However, if grant
support is continued or renewed quarterly, the retention
period for each year's records starts on the day the
grantee submits its expenditure report for the last quarter
of the Federal fiscal year. In all other cases, the retention
period starts on the day the grantee submits its final
expenditure report. If an expenditure report has been
waived, the retention period starts on the day the report
would have been due.
(2) Real property and equipment records. The
retention period for real property and equipment records
starts from the date of the disposition or replacement or
transfer at the direction of the awarding agency.
(3) Records for income transactions after grant or
subgrant support. In some cases grantees must report
income after the period of grant support. Where there is
such a requirement, the retention period for the records
pertaining to the eaming of the income starts from the
end of the grantee's fiscal year in which the income is
earned.
(4) Indirect cost rate proposals, cost allocations
plans, etc. This paragraph applies to the following types
of documents, and their supporting records: indirect cost
rate computations or proposals, cost allocation plans,
and any similar accounting computations of the rate at
which a particular group of costs is chargeable (such as
computer usage chargeback rates or composite fringe
benefit rates).
(i) If submitted for negotiation. If the proposal, plan,
or other computation is required to be submitted to the
Federal Government (or to the grantee) to form the basis
for negotiation of the rate, then the 3-year retention
period for its supporting records starts from the date of
such submission.
(ii) !f not submitted for negotiation. If the proposal,
plan, or other computation is not required to be
submitted to the Federal Government (or to the grantee)
for negotiation purposes, then the 3-year retention
period for the proposal plan, or computation and its
supporting records starts from the end of the fiscal year
(or other accounting period) covered by the proposal,
plan, or other computation.
(d) Substitution of microfilm. Copies made by
microfilming, photocopying, or similar methods may be
substituted for the original records.
(e) Access to records -{I) Records of grantees and
subgrantees. The awarding agency and the Comptroller
General of the United States, or any of their authorized
representatives, shall have the right of access to any
pertinent books, documents, papers, or other records of
grantees and subgrantees which are pertinent to the
grant, in order to make audits, examinations, excerpts,
and transcripts.
(2) Expiration of right of access. The right of access
in this section must not be limited to the required
retention period but shall last as long as the records are
retained.
(f) Restrictions on public access. The Federal
Freedom of Information Act (5 U.S.C. 552) does not
apply to records unless required by Federal, State, or
local law, grantees and subgrantees are not required to
permit public access to their records.
[Revised as of October 1, 1997]
Attachment N
CERTIFICATION FOR GIZANTS, LOANS, AND COOPERATIVE AGREEMENTS
The undersigned certifies to the best of his 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 Federal 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
Federal agency, a Member of Congress, an officer or employee of Congress, or an
employee of 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 grants, and contracts
and subcontracts under grants, sub grants, loans and cooperative agreements) which
exceed $100,000, and that all such 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.
City o Fayettc e
SOP:
Signature
Mayor Lioneld Jordan
Name:
Federal Funding Accountability and Transparency Act (FFATA)
Reporting Requirements
(For more information go to https://www.fsrs.gov�
FFATA was signed on September 26, 2006. The intent is to empower every American with
the ability to hold the government accountable for each spending decision. The end result is to
reduce wasteful spending in the government. The FFATA legislation requires information on
federal awards (federal financial assistance and expenditures) be made available to the public via
a single, searchable website, which is www.USASpendinggov.
A Prime Grant Recipient (Arkansas Department of Transportation (hereinafter called
ARDOT)) awarded a new Federal grant greater than or equal to $25,000 as of October 1, 2010 is
subject to FFATA sub -award reporting requirements as outlined in the Office of Management and
Budget guidance issued August 27, 2010. ARDOT is required to file a FFATA sub -award
report for any sub -grant awarded to a sub-awardee greater than or equal to $25,000. As
a sub-awardee, City of Fayetteville shall provide the
following information to ARDOT in order to fulfill FFATA reporting requirements:
• A unique identifier (Dun & Bradstreet DUNS Number) of the sub-awardee receiving the
award and the parent entity of the recipient, should the sub-awardee be owned by another
entity;
• The names and total compensation of the five most highly compensated officers of the
sub-awardee if the sub-awardee in the preceding Federal fiscal year received 80 percent
or more of its annual gross revenues in Federal awards; and $25,000,000 or more in
annual gross revenues from Federal awards; and the public does not have access to
information about the compensation of the senior executives of the sub-awardee through
periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934
(15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. See
FFATA § 2(b)(1).
Page 1 of 2
Required Sub-Awardee Information
(A) Sub-Awardee - DUNS Number
Parent (if applicable) — DUNS Number:
075657742
(B) In the preceding completed Federal fiscal year, did your business or organization (the legal
entity to which the DUNS number entered above belongs) receive (1) 80 percent or more of
its annual gross revenues in U.S. federal contracts, subcontracts, loans, grants, subgrants,
and/or cooperative agreements; and (2) $25,000,000 or more in annual gross revenues from
U.S. federal contracts, subcontracts, loans, grants, subgrants, and/or cooperative
agreements?
Yes 0 No Q
If "Yes" is selected, answer (C).
(C) Does the public have access to information about the compensation of the executives in your
business or organization (the legal entity to which the DUNS number entered above belongs)
through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of
1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986?
Yes 0 No 0
If "Yes" is selected, visit http.1Avww.sec.gov/edgar.shtml for
reference. If "No" is selected, answer (D).
(D) If "No" was selected in Question "C", complete the following information for the five (5)
most highly compensated executives in your business or organization (the legal entity to
which the DUNS number entered above belongs), Amount should reflect the Total
Compensation Amount in the preceding completed Federal fiscal year in U.S. whole dollars.
Sub-Awardee Names and Compensation of Most Highly Compensated officers
Name:
2. Name:
Amount: $
Amount: $
3. Name: Amount: $
4. Name: Amount: $
Name:
Amount: $
Page 2 of 2
Attachment P
CERTIFICATION LETTER for PRIVATE or NON- PROFIT ORGANIZATIONS
DATE
Mr. Jared D. Wiley
Division Engineer — Program Management
Arkansas Department of Transportation
P. O. Box 2261
Little Rock, AR 72203
Re: Job #
Job Name
Counts,
Dear Mr. Wiley:
Regarding certification of my organization, I am enclosing the following:
(1) A certified copy of a dated Original Articles of Incorporation identifying the name of the
Corporation. Documentation proves that the organization has been in existence for three
years.
(2) A copy of the organization's procurement procedures for Federal -aid projects. Our
Federal -aid procurement procedures meet the minimum requirements set forth in
49 CFR 19.44 and Attachment F. (or, if the procurement procedures do not meet these
standards) The organization elects to follow advertisement and procurement procedures
shown in Attachment F.
(3) A notarized letter that states that the organization will name a successor at the time of any
change in the organizational status and that the Programs and Contracts Division will be
notified of such an occurrence. This letter is signed and dated by an Officer.
(4) A notarized statement (signed and dated by an Officer) that the organization does not
discriminate on the basis of age, disability, gender, income, race, or religion.
(5) A partnership resolution with a neighboring County or City or Federal/State Agency
signed and dated by the Mayor, County Judge or Officer of the Federal/State Agency.
The resolution promises that the Agency will maintain the project as a recreation use area
in the event that the primary sponsor cannot fulfill its long-term obligations and
responsibilities to the grant contract.
Additionally, I am enclosing the organization's annual "Business Entity Certificate of Good
Standing" obtained from the Arkansas Secretary of State Office and the W-9 form from the
Internal Revenue Service which contains the employer identification number and identifies the
type of Corporation the nonprofit organization is.
Sincerely,
NAME & OFFICE
(Sponsor's Name)
Enclosure(s)