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Federal Disaster: 4013-DR-NE #204EMERGENCY MANAGEMENT AGENCY MG Judd Lyons Director 1300 Military Road Lincoln, Nebraska 68508 -1090 Phone: (402) 471-7421 Dave Heineman Governor April 11, 2012 BLAIR, CITY OF % ALLEN SCHOEMAKER (DIR OF PBLC WRKS)/ROD STORM (CITY ADMIN) 218 S 16TH ST BLAIR NE 68008 Dear Mr. Shoemaker In regards to Federal Disaster: 4013 -DR -NE the SA obligation process has begun. Enclosed is /are an electronic copy(s) of Subgrant Application(s) #204 for your agency. You have 60 days from the date of this letter to file an appeal with the State if there are any issues regarding your Subgrant Application. This is a copy for your records only. No further action is required at this time. Soon the payment process will begin. Once your projects are completed and payments have been made please review and sign the Project Completion and Certification Report (PA), which you will receive with your final federal payment. Once all Federal funds have been paid to your agency in regard to this disaster and the P4 is returned to the Public Assistance Office State funds will be paid, if applicable. Until the PA is signed and returned to our office, no State disaster - related assistance payments will be made to your agency. If you have any questions please call Julie Bergfield (402) 471 -7216. Sincerely, Donny Christensen State Public Assistance Officer An Equal Opporon ity/Ajfirmative Action Employer _�- printed on recycled paper Federal Emergency Management Agency E- Grants A -07 -NE -4013 pplicant Name: Period of Performance Start: 08 -12 -2011 Page 1 of h lAppllcation Title: WAFFI3C Fairview Road &Plant Road Period of Performance End: 02 -12 -2013 Subgrant Application - Entire Application Application Title WAFFI3C Fairview Road & Plant Road Application Number PA- 07 -NE- 4013 -PW- 00204(0) Application Type Subgrant Application (PW) Bundle Reference # (Amendment PA -07 - NE -4013- State- nnsriti m Date Awarded 04 -07 -2012 �SubgrantApplication - FEMA Form 90 -9' Note: The Effective Cost Share for this application is 75% DISASTER PROJECT NO 0. FEMA 4013 - DR HNEWAFF13C APPLICANT: BLAIR DAMAGED FACILITY: Fairview Road & Plant Road LOCATION: PA- 07 -NE- 4013 -PW 00204(0): City Water Treatment Plant DAMAGE DESCRIPTION AND DIMENSIONS.. PA 07 -NE- 4013 -P W- 00204(0): LATITUDE: I LONGITUDE. 41.55128 - 96.10566 Beginning May 24 and continuing to August 1, 2011, flooding from the Missouri River and various tributaries threatened the City of Blair's water and wastewater treatment facilities. The sub grantee instituted emergency protective measures to protect the facilities, in uding construction of temporary berms (ref. SAs WAFF046 and WAFF09B). Trucks carrying construction material accessed the berm from 9 cl Fairview Drive (Site 1) and one interior plant road (Site 2). Both roads were extensively damaged by the repeated heavy truck use as this Pavement was not designed for construction traffic. Damage to these roads was not addressed in the work performed for the temporary berm construction. Location above is for Fairview Drive (Site 1), Blair, NE 68008 This is a draft and subject to change. SCOPE OF WORK: PA -07 -N E- 4013 -P W -00204 (0): FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT WORKSHEET PAID NO. DATE 177 - 05350 -00 11 -15 -2011 CATEGORY C Site 1 of 3 WORK COMPLETE AS OF: 11 -07 -2011 :1 % COUNTY: Washington https: / /isource.ferna. A - Federal Emergency Management Agency E- Grants Page 2 of 6 Revision Note: This SGA has been revised to change the work category from Category B (Emergency Protective Measures) to Category C (Roads - Permanent Work). Work Completed: The sub grantee removed 395ACY of damaged concrete pavement from Fairview Drive, to allow emergency protective measures to continue. Details of work completed are described in the continuation sheets. Work to be Completed: The sub grantee will hire contractors ( er Cit procre estimates were based on FEMA cost codes in the absen eof hist ric o other document d costs Sit available to s grantee. Details of work to be completed are described in the continuation sheets. DAMAGED FACILITY: Site 2 of 3 Site 1 : Fairview Road & Plant Road COUNTY: Washington LOCATION: LATITUDE: LONGITUDE: 41,55195 - 96.09822 PA- 07- NE- 4013 -PW 00204(0): 41.55128 - 96.10566 Site 1: (a) & (b) Fairview Drive, 18 -ft wide paved concrete road (0.5 -ft D), 2049 -ft long. (Start 41.55128 /-96.10566; end 41.55195 /-96-09822.) DAMAGE DESCRIPTION AND DIMENSIONS: PA- 07 -NE- 4013 -PW 00204(0): Site 1: Work Completed: Fairview Drive, 18 -ft wide paved concrete road (0.5 -ft D), 2049 -ft long. (Start 41.55128 / - 96.10566; end 41.55195 / 96.09822.) - Fairview Drive is 2,049 -ft in length, 1,703.8 -ft was damaged plus 4 plant entrances and 1 turn heavy construction traffic used to build the widening. -Two sections of 001 -ft L x 18 ft reinforced concrete pavement were totally destroyed from he temporary berm around the water treatment plant, (x),(1,-W x 0.5 -ft D /27) = 333.7 CY. (b), (185 -ft L x 18 - ft W x 0.5 -ft D / 27) = 61.7 CY. Aggregate surfacing material was placed on the roadway to allow emergency work to continue and was captured on SA's WAFF04B & WAFF098. Work to be Completed: Fairview Drive, 18 -ft wide paved concrete road (0.5 -ft D), 2,049 -ft long. (Start 41.55128 / - 96.10566; end 41.55195 / - 96.09822). aged concrete pavement remains on Fairview Drive and will need to be removed, This amount, combined with pavement already removed (395.4 CY; calculations reported in Work Completed), totals 568 CY of damaged concrete to be replaced (172.6 CY + 395.4 CY). - Connecting Fairview Drive to the facility interior roads are four (4) entrances, each comprised of a single concrete slab (30 -ft L x 40 - ft W x 0.5 -ft D / 27 = 22.2 x 4 -ea. = 88.8 CY). All 4 entrance slabs were damaged beyond repair and all will have to be replaced (88.8 CY). - There is a single turn - widening at one entrance (slab measuring 3 -ft L x 60 -ft W x 0.5 -ft D / 27 = 3.3 CY). This widening is damaged beyond repair and will have to be replaced (3.3 CY). - Underlying Fairview Drive, the 4 connecting entrances, and the turn - widening, is a gravel aggregate base course (0.25 -ft D). Portions of this material has saturated, settled, and failed, and will have to be replaced. Dimensions: Fairview Drive = 284 CY (1,703.8 -ft L x 18 -ft W x 0.25 -ft D /27); entrances = 44.4 CY (30 -ft L x 40 -ft W x 0.25 -ft D /27 x 4 ea); turn - widening = 1.7 CY (3 -ft L x 60 -ft W x 0.25 -ft D / 27). Total aggregate base course to be replaced = 330.1 CY SCOPE OF WORK: PA- 07 -NE- 4013 -P W- 00204(0): Site 1: Work Completed: The damaged reinforced concrete was removed and stockpiled on site, which allowed aggregate surfacing material to be placed on the roadway and allow emergency work to continue. The total damaged road surface removed from Fairview Drive EMA cost codes were used for = 395.4 CY. (a),(333.7 CY) @ $4.00 per CY = $1,334.80 (b), (61.7 CY estimating purposes in the absence of documented costs available to the sub g a Site $246.80 1. Total = $1,581.60 Wok to be Completed: The following work will return Site 1 back to pre- disaster condition by repairing the broken sections (only) of Fairview Drive. FEMA cost codes were used for estimating purposes in the absence of documented costs available to the sub grantee. - Remove damaged road surfaces on Fairview Drive (172.6 CY), 4 entrance slabs (88.8 CY), and the turn - widening (3.3 CY). Total to be removed = 264.7 CY (FEMA code 3212) _ $1,058.80 - Replace, shape, and grade aggregate base course,under the damaged sections of Fairview Drive (284 CY); 4 entrances (44,4 CY), and the turn - widening (1.7 CY). Total to be replaced = 330.1 CY @ $18.90 per CY (FEMA code 3203) = CY $6,238.89 - Replace damaged concrete pavement (only) on Fairview Drive (568 CY), 4 entrances (88.8 CY), and the turn- widening (3.3 CY) = 660.1 CY @ $150.00 per CY (FEMA code 3305) _ $99,015.00 Site 1 Total Costs for Repairing = $106,312.69 DAMAGED FACILITY: Site 3 of 3 Site 2: Fairview Road & Plant Road LOCATION: COUNTY: Washington LATITUDE: I LONGITUDE: 41.55205 - 96.09833 41.55273 - 96.09863 httns://1sourcf- ..fPma Federal Emergency Management Agency E- Grants PA -07 -N E- 4013 -P W- 00204(0): Plant Road, 18 -ft wide paved concrete surface road (0.5 -ft D), 299 -ft long. (Start 41.55205 / - 96.09833; end 41.55273 / - 96.09863). DAMAGE DESCRIPTION AND DIMENSIONS: PA -07 -N E- 4013 -P W- 002 04 (0): Page 3 of 6 Site 2: Plant Road, 18 -ft wide paved concrete surface road (0.5 -ft D), 299 -ft long. (Start 41.55205 / - 96.09833; end 41.55273 / - 96.09863). - Plant Road is 299 -ft in length, 188.4 -ft was damaged. - The Plant Road surface available for visual inspection (not covered by the emergency berm) was comprised of 60 panels of reinforced concrete. It will require 62.8 CY (188.4 -ft L x 18 -ft W x 0.5 -ft D / 27) of reinforced concrete to repair 38 broken panels (only). - Plant Road has a gravel aggregate base course (0.25 -ft D). Portions of this material has saturated, settled, and failed, and will have to be replaced. This will require 31.4 CY (188.4 -ft L x 18 -ft W x 0.25 -ft D / 27) of aggregate base. SCOPE OF WORE: PA -07 -N E- 4013 -P W- 00204(0): Site 2: Work to be Completed: The following work will return Site 2 back to pre- disaster condition by repairing the damaged sections (only) of the road. FEMA cost codes were used for estimating purposes in the absence of documented costs available to the sub grantee. - Remove damaged concrete pavement (only) on Plant Road. Total to be removed = 62.8 CY @ $4.00 per CY (Code 3212) = $251.20 - Replace, shape, and grade aggregate base course under the damaged sections of Plant Road. Total to be replaced = 31.4 CY @ $18.90 per CY (Code 3203) = $593.46 - Replace damaged concrete pavement on Plant Road. Total to be replaced = 62.8 CY @ $150.00 per CY = $9,420.00. Site 2 Total Costs for Repairing = $10,264.66 1 recommend that the repairs to pre- disaster condition be eligible, and the requested codes and standards upgrade be ineligible. Project Notes: 1. The sub grantee is requesting Direct Administrative Costs that are directly chargeable to this specific project. Associated eligible work is related to administration of this PA.project only and in accordance with 44 CFR §13.22. These costs are treated consistently and uniformly as direct costs in all Federal awards and other sub grantee activities and are not included in any approved indirect cost rates. 2. No mitigation opportunities were identified for the referenced permanent work. 3. If any eligible portion of the scope of work described in this sub grant application is reimbursed in the future via litigation, settlement, rk any other mechanism; FEMA is required to reduce the amount of assistance for eligible work by such amount per §312 of the Stafford Act. 4. This a Large Project (over $63,900). Final payment will be based on documented eligible expenses. Supplemental payment will be made . upon receipt of eligible invoices from the sub grantee. All approved sub grant applications within a project application are subject to random audits. Quarterly reviews are conducted on all approved sub grant applications which equal or exceed $63,200 and have not received final payment. Any jurisdiction receiving $500,000 or more in total Federal financial assistance in a fiscal year must submit a copy of its single audit (as required by the Single Audit Act of 1984) to the state. 5. As described in CFR Section 13.42, sub grantee must maintain all work - related records for a period of three (3) years from applicant closure (final payment). All records relative to this project worksheet are subject to examination and audit by the State, FEMA, and the Comptroller General of the United States and must reflect work related to disaster specific costs. 6. Document (s) entered may be subject to the Privacy Act of 1974. Document(s) entered may contain personal or privileged information and should be treated as "For Official Use Only ". Contents shall not be disclosed, discussed, or shared with individuals unless they have a direct need -to -know in the performance of their official duties. Unauthorized disclosure of this information may result in Personal Liability with Civil and Criminal penalties. Complete records and cost documents for all approved work must be maintained for at least 3 years from the date the last project was completed or from receipt of final payment, whichever is later. 7. The Nebraska Department of Environmental Quality (DEQ) has made available their requirements for meeting "State Requirements ", however, if sub grantee's are looking for Federal Dollars for Disaster Damages, then Executive Orders 11988 and 11990 need to be reviewed at minimum. 8. Presidential Directive 11988 Floodplain Management and 11990 Wetland Objectives are: - Avoid, to extent possible, the long - and short - term adverse impacts associated with the occupancy and modifications of floodplains. - Avoid direct and indirect floodplain development whenever there is a practicable alternative. 9. Executive Order 11988 requires Federal agencies to avoid the 100 -year floodplain, unless there is no practicable alternative, or to mitigate the effects of potential flooding through such measures as elevating structures, FEMA must determine if a project is located in a Special Flood Hazard Area (SFHA) as designated on the National Flood Insurance Program (NFIP) Maps. 10. All documentation was reviewed /validated and found reasonable by the FEMA Project Specialist assigned. Copies of all contracts, sub grantee's pertinent pre- disaster policies; and codes and standard upgrade requirements are attached or in the JFO. Attachments: 1. Email From Director of Public Works, Dated 11/10/2011, Regarding Codes and Standards. 2. City of Blair Zoning Map for Fairview Drive. 3. Minimum Design Standards from Nebraska Board of Classifications, Nebraska Department of Roads, 4. AASHTO Standards Manual. 5. City of Blair's 2010 Certification to Nebraska Board of Public Roads Classifications and Standards. 6. Location Map and Cost of previous road project that complied with applicable Codes and Standards . 7. Procurement Procedures. 8. Sub Grantee floodplain storage permit. Does the Scope of Work change the pre - disaster conditions at the site? r_] Yes Special Considerations included? Eofl Yes D No � No Hazard Mitigation proposal included? U Yes R No I Is there insurance coverage on this facility? El Yes Z No PROJECT COST Federal Emergency Management Agency E- Grants Page 4 of 6 ITEM CODE NARRATIVE QUANTITY /UNIT UNIT PRICE COST 1 0000 Work Completed 0 /LS $ 0.00 $ 0.00 2 9901 Direct Administrative Costs (Subgrantee) 1 /LS $ 150.78 $ 150.78 3 3212 CONCRETE PAVEMENT, REMOVAL ( R7) 395.4/CY $ 4.00 $ 1,581.60 4 0000 Work To Be Completed (FEMA Cost Codes Used) 0 /LS $ 0.00 $ 0.00 5 9000 CEF COST ESTIMATE (SEE ATTACHED SPREADSHEET) 1 /LS $ 120,075.00 $ 120,075.00 6 0000 Insurance Adjustments 0 /LS 1 /LS $ 0.00 $ 0.00 7 5909 No Anticipated or Actual Insurance Proceeds 0.00 ETOTAL $ 0.00 $ 121,807.38 PREPAR ED BY Richard Romberger APPLICANT REP. Allen Schoemaker ETITLE ect Specialist ctor of Pu blic Works SIGNATURE SIGNATURE BLAIR : PA- 07- NE- 4013 -PW -00204 Conditions Information Review Name Condition Type Condition Name Description This review does not address all federal, state and local requirements. Acceptance of federal funding requires Final Review Other EHP Standard recipient to comply with all (EHP) Condition #2 federal, state and local laws. Failure to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. Any change to the approved Standard scope of work will require re- Final Review Other (EHP) evaluation for compliance with Condition #1 p NEPA and other Laws and Executive Orders. If ground disturbing activities occur during construction, applicant will monitor ground Final Review Other (EHP) Standard disturbance and if any potential Condition #3 archeological resources are discovered, will immediately cease construction in that area and notify the State and FEMA. ____JThis review does not address Monitored) Status No I Approved No I Approved No Approved A ____7' Federal Emergency Management Agency E- Grants Page 5 of 6 Internal Comments No. Queue all federal, state and local Date /Time Reviewer Comments Award requirements. Acceptance of 11 Review SYSTEM 01:48 PM federal funding requires GMT recipient to comply with all EHP Review Other (EHP) Standard Condition #2 federal, state and local laws. Failure to obtain all appropriate No Recommended with all federal, state and local laws. Applicant is required to 10 Review federal, state and local 01:06 PM obtain all appropriate federal, state and local permits, and environmental permits and environmental permits and clearances. Failure to do so may clearances may jeopardize 9 Final BAILEY 03 -26 -2012 03:30 PM * * * * * * * ** *This project has been revised from a Cat B to a Cat federal funding. Review STEVEN GMT C * * * ** *Pending Cost Review * * * * * ** Any change to the approved HEARN 03 -23 -2012 EHP Review Other (EHP) Standard Condition #1 scope of work will require re- evaluation for compliance with No Recommended NEPA and other Laws and Final 03 -23 -2012 Executive Orders. 7 Review BAUER JOY 03:03 PM * * * ** *Pending Cost Review * * * * * ** If ground disturbing activities GMT occur during construction, 03 -23 -2012 6 Review applicant will monitor ground 02:03 PM * * * ** *Pending Cost Review * * * * * ** EHP Review Other (EHP) Standard Condition #3 disturbance and if any potential archeological resources are No Recommended Final BAILEY 02 -09 -2012 discovered, will immediately 5 Review STEVEN 06:26 PM * * * ** *Pending Cost Review * * * * * ** cease construction in that area GMT and notify the State and FEMA. BAILEY 02- 09-2012 Internal Comments No. Queue User Date /Time Reviewer Comments Award 04 -10 -2012 11 Review SYSTEM 01:48 PM ACCEPTED GMT * * ** *Acceptance of federal funding requires recipient to comply Final BAILEY 04 -05 -2012 with all federal, state and local laws. Applicant is required to 10 Review STEVEN 01:06 PM obtain all appropriate federal, state and local permits, and GMT environmental permits and clearances. Failure to do so may jeopardize federal funding. * * * * * * * *sab 9 Final BAILEY 03 -26 -2012 03:30 PM * * * * * * * ** *This project has been revised from a Cat B to a Cat Review STEVEN GMT C * * * ** *Pending Cost Review * * * * * ** Final HEARN 03 -23 -2012 8 Review STEVEN 08:29 PM * * * * * *Pendin Cost Review * * * * * ** g GMT Final 03 -23 -2012 7 Review BAUER JOY 03:03 PM * * * ** *Pending Cost Review * * * * * ** GMT Final 03 -23 -2012 6 Review BAUER JOY 02:03 PM * * * ** *Pending Cost Review * * * * * ** GMT Final BAILEY 02 -09 -2012 5 Review STEVEN 06:26 PM * * * ** *Pending Cost Review * * * * * ** GMT Final BAILEY 02- 09-2012 4 Review STEVEN GMT PM * * * ** *Pending Cost Review * * * * * ** PA- 07 -NE- 4013 -PW- 00204, City of Blair, Washington County, Cat B (41.55128 - 96.10566). The applicant will repair damage to 2 concrete roads that resulted from trucks haulina https: / /isource. fema .gov /emmie /viewApplication.do All 0/9011 Federal Emergency Management Agency E- Grants EHP Review 2 I Review 1 Initial Review ADAMSKI JOSEPH CARRUBBA LOUISE HEARN STEVEN 02 -08 -2012 09:14 PM GMT 12 -08 -2011 09:48 PM GMT 12 -07 -2011 09:18 PM GMT Page 6 of 6 fill materials for berm construction work as part of Category B SGAs WAFF04B and WAFF09B. This project will remove damaged road concrete sections (395 CY) to facilitate emergency berm construction and to replace damaged concrete and subfill as needed to return these 2 roads to pre - disaster condition. - tbrook15 - 02/03/2012 14:53:27 GMT Project is not within the range map for the Western Prairie Fringed Orchid; Gray Wolf extipated from NE since early 1900's; Project does not involve in water work, thus will not effect the Pallid Sturgeon. This project will not effect the federally listed species of Washington County, NE. - tbrook15 - 01/31/2012 14:51:19 GMT Project occurs along the eastern edge of the Central Flyway and has no potential to take migratory birds. - tbrook15 - 01/31/2012 14:53:16 GMT 395 CY of concrete rubble will be stockpiled at applicants facility located @ 3rd and Grant Streets, Blair, NE (41.540942 - 96.114952) for future re -use. - tbrookl5 - 02/03/2012 14:57:51 GMT EO 11988: The project is located within an A zone per FIRM panel # 310228006c. Floodplain avoidance by relocating the facility or abandoning its use is not a practicable alternative. Project will not, on both a long -term or short -term basis, adversely impact base flood levels, floodplain resources or characteristics. - tbrook15 - 01/31/2012 14:55:37 GMT Per Programmatic Agreement for DR 4013/4014 this project meets the allowance # III A, B - tbrook15 - 01/31/2012 14:48:09 GMT 12/8/1 INSURANCE CONSIDERATIONS. Applicant does not have insurance on this facility. There is no duplication of benefits pursuant to 44 CFR 206.250(c) and Sec. 312 of the Stafford Act. There are no insurance proceeds to be deducted. As detailed in FEMA Fact Sheet Number 9580.3, the requirement to obtain and maintain insurance as a condition of receiving public assistance funding from FEMA applies to buildings, contents, vehicles, and equipment. The items described in this Subgrant Application do not fall in one of these categories. There is no insurance purchase requirement. Louise Carrubba, Insurance Specialist. * * * * ** *Photos show that the two roads on this project do not appear to be "extensively damaged'; they appear to have normal wear for actively used 6" concrete roads in Eastern Nebraska that are subject to freeze /thaw with minor alligator cracking * * * * * ** SJH 12/7/11 https: / /isource. fema .gov /emmie /viewApplication.do an ni ')nl 1) v 1